Nurse managers: the ties that bind.

PubMed

Simons, Sherri Lee

2003-01-01

The staff nurses' immediate manager directly influences an NICU's ability to attract and retain professional nurses. This makes it especially important that nurse executives and administrators identify opportunities to better meet the needs of their nurse managers and measure the impacts of their decisions. Data about front-line manager turnover need to be measured, reported, and examined. No longer can organizations afford to view managers as another expense; they are an asset on the balance sheet. Strategic planning for the recruitment and retention of nurse managers will be vital both to an organization's healthy bottom line and to the quality of its patient care.

77 FR 25729 - Notice of Issuance of Final Determination Concerning Certain Agilent Oscilloscopes

Federal Register 2010, 2011, 2012, 2013, 2014

2012-05-01

.... LIT. 7. AC line filter PCA that acts as the power manager; 8. Power supply; 9. Fan; 10. Bucket..., consisting of the fan, the AC Line Filter PCA, power supply, AC and DC cables, and wiring, is installed into... power cable on the front deck subassembly is connected to the AC line filter PCA on the rear deck...

Preparing Students for Front-Line Management: Non-Routine Day-to-Day Decisions

ERIC Educational Resources Information Center

Clydesdale, Greg; Tan, John

2009-01-01

Purpose: This paper attempts to reduce the gap between management education and practice. It emphasises day-to-day decisions that middle and lower level managers make. The purpose is to provide an education framework embodying a flexible approach to interpretation and solution creation, suitable for situations of ambiguity and uncertainty.…

Virulence evolution at the front line of spreading epidemics.

PubMed

Griette, Quentin; Raoul, Gaël; Gandon, Sylvain

2015-11-01

Understanding and predicting the spatial spread of emerging pathogens is a major challenge for the public health management of infectious diseases. Theoretical epidemiology shows that the speed of an epidemic is governed by the life-history characteristics of the pathogen and its ability to disperse. Rapid evolution of these traits during the invasion may thus affect the speed of epidemics. Here we study the influence of virulence evolution on the spatial spread of an epidemic. At the edge of the invasion front, we show that more virulent and transmissible genotypes are expected to win the competition with other pathogens. Behind the front line, however, more prudent exploitation strategies outcompete virulent pathogens. Crucially, even when the presence of the virulent mutant is limited to the edge of the front, the invasion speed can be dramatically altered by pathogen evolution. We support our analysis with individual-based simulations and we discuss the additional effects of demographic stochasticity taking place at the front line on virulence evolution. We confirm that an increase of virulence can occur at the front, but only if the carrying capacity of the invading pathogen is large enough. These results are discussed in the light of recent empirical studies examining virulence evolution at the edge of spreading epidemics. © 2015 The Author(s). Evolution © 2015 The Society for the Study of Evolution.

Leadership and Management in Vocational Education and Training: Staying Focused on Strategy. Volume 1 [and] Volume 2.

ERIC Educational Resources Information Center

Mulcahy, Dianne

Roles and functions of senior and front line managers in VET organizations and their approaches to developing management and leadership expertise were examined in order to identify best practices. Based upon mail surveys sent to managers in 1551 registered training organizations (365 responded, for a response rate of 23.5%), 147 telephone…

How front-line healthcare workers respond to stock-outs of essential medicines in the Eastern Cape Province of South Africa.

PubMed

Hodes, R; Price, I; Bungane, N; Toska, E; Cluver, L

2017-08-25

Shortages of essential medicines are a daily occurrence in many of South Africa (SA)'s public health facilities. This study focuses on the responses of healthcare workers to stock-outs, investigating how actors at the 'front line' of public health delivery understand, experience and respond to shortages of essential medicines and equipment in their facilities. Findings are based on focus groups, observations and interviews with healthcare workers and patients at healthcare facilities in the Eastern Cape Province of SA, conducted as part of the Mzantsi Wakho study. The research revealed a discrepancy between 'informal' definitions of stock-outs and their reporting through formal stock-out management channels. Front-line healthcare workers had designed their own systems for classifying the severity of stock-outs, based on the product in question, and on their potential to access stocks from other facilities. Beyond formal systems of procurement and supply, healthcare workers had established vast networks of alternative communication and action, often using personal resources to procure medical supplies. Stock-outs were only reported when informal methods of stock-sharing did not secure top-up supplies. These findings have implications for understanding the frequency and severity of stock-outs, and for taking action to prevent and manage stock-outs effectively.

Using 2nd generation tyrosine kinase inhibitors in frontline management of chronic phase chronic myeloid leukemia

PubMed Central

Jayakar, Vishal

2014-01-01

Choices in medicine come with responsibility. With several TKI's (Tyrosine kinase inhibitors) available for front-line management of CML (Chronic Myeloid Leukemia), an astute clinician has to personalise, rationalise and take a pragmatic approach towards selection of the best drug for the ‘patient in question’. Though it is hotly debated as to which TKI will triumph, the truth of this debate lies in individualising treatment rather than a general ‘all size fits all’ approach with imatinib. I personally believe that the second generation TKI's will suit most patient clinical profiles rather than prescribing imatinib to all and I have strived to make a strong case for them in front line treatment of CML. Though Imatinib may remain the first line choice for some patients, my efforts in this debate are mainly geared towards breaking the myth that imatinib is the sole ‘block buster’ on the CML landscape PMID:24665456

Suicide Intervention Skills among Japanese Medical Residents

ERIC Educational Resources Information Center

Fujisawa, Daisuke; Suzuki, Yuriko; Kato, Takahiro A.; Hashimoto, Naoki; Sato, Ryoko; Aoyama-Uehara, Kumi; Fukasawa, Maiko; Tomita, Masayuki; Watanabe, Koichiro; Kashima, Haruo; Otsuka, Kotaro

2013-01-01

Objectives: Patient suicide is a tragic occurrence, and it can be a demoralizing experience for medical residents. Few studies, however, have assessed suicide management skills among these front-line healthcare professionals. This study evaluated the self-assessed competence and confidence of medical residents with regard to the management of…

Line managers as marketers.

PubMed

Rynne, T J

1986-09-01

Many hospital administrators and boards of directors, having overcome their initial opposition to advertising and hired a marketing professional, are wondering why their marketing programs have not accomplished all that they had hoped. The answer lies in their perception of who is responsible for marketing. Marketing is not a specialty separate from the disciplines of management--it is a basic management skill. Its goal is to satisfy the customer by providing products and services that meet the customer's needs, wants, and preferences. Line managers must understand the hospital's customers and make the critical day-to-day differences in satisfying them. They are the hospital's front-line marketers, and the marketing department's role is to support them in this function. The marketing department should develop the line managers' marketing skills by furnishing them with the appropriate tools: formats, models, examples, and instructions. In addition, the marketing staff should provide such specialized services as marketing research, ad agency management, and development of communications.

Training the Front-Line Union Man

ERIC Educational Resources Information Center

Heier, W. D.

1970-01-01

A study report and recommendations for training shop stewards, with particular reference to the need for fuller cooperation between unions and management in program planning. A standardized union steward job model is included. (LY)

The coping strategies of front-line health workers in the context of user fee exemptions in Niger

PubMed Central

2015-01-01

When user fee exemptions were introduced for children under five years of age in Niger, front-line staff in the health system were not consulted in advance, and various obstacles seriously hindered the policy's implementation. Health workers developed two types of coping strategies. The first dealt with shortcomings of the policy implementation process related to management tools, drug stocks, co-existence of the fee exemption and cost recovery systems, and, above all, supply management for medicines (ordering from private companies, issuing makeshift prescriptions). The second involved clientelism, circumvention of regulations, and misappropriation of resources. Adverse effects have arisen due to both the failings of the health system and the practices of health workers. These include a focus on the commercial management of patients, the most 'costly' of whom sometimes find themselves being refused treatment, patients roaming in search of medicines and treatment, and a decline in quality of care. PMID:26558816

Evaluating the Performance Improvement Preferences of Disability Service Managers: An Exploratory Study Using Gilbert's Behavior Engineering Model

ERIC Educational Resources Information Center

Wooderson, John R.; Cuskelly, Monica; Meyer, Kim A.

2017-01-01

Background: Front-line managers play an important role in managing the performance of staff working in services for people with intellectual disability, but little is known about the practices they prefer to use to improve staff performance and whether these align with what research has shown to be effective. Method: This study comprised two…

Research Data Management Services in Academic Libraries in the US: A Content Analysis of Libraries' Websites

ERIC Educational Resources Information Center

Yoon, Ayoung; Schultz, Teresa

2017-01-01

Examining landscapes of research data management services in academic libraries is timely and significant for both those libraries on the front line and the libraries that are already ahead. While it provides overall understanding of where the research data management program is at and where it is going, it also provides understanding of current…

Boundary spanning by nurse managers: effects of managers' characteristics and scope of responsibility on teamwork.

PubMed

Meyer, Raquel M; O'Brien-Pallas, Linda; Doran, Diane; Streiner, David; Ferguson-Paré, Mary; Duffield, Christine

2014-06-01

Increasing role complexity has intensified the work of managers in supporting healthcare teams. This study examined the influence of front-line managers' characteristics and scope of responsibility on teamwork. Scope of responsibility considers the breadth of the manager's role. A descriptive, correlational design was used to collect cross-sectional survey and administrative data in four acute care hospitals. A convenience sample of 754 staff completed the Relational Coordination Scale as a measure of teamwork that focuses on the quality of communication and relationships. Nurses (73.9%), allied health professionals (14.7%) and unregulated staff (11.7%) worked in 54 clinical areas, clustered under 30 front-line managers. Data were analyzed using hierarchical linear modelling. Leadership practices, clinical support roles and compressed operational hours had positive effects on teamwork. Numbers of non-direct report staff and areas assigned had negative effects on teamwork. Teamwork did not vary by span, managerial experience, worked hours, occupational diversity or proportion of full-time employees. Large, acute care teaching hospitals can enable managers to foster teamwork by enhancing managers' leadership practices, redesigning the flow or reporting structure for non-direct reports, optimizing managerial hours relative to operational hours, allocating clinical support roles, reducing number of areas assigned and, potentially, introducing co-manager models. Copyright © 2014 Longwoods Publishing.

On Becoming Batman: An Ethnographic Examination of Hero Imagery in Early-Career Residential Life Emergency Management

ERIC Educational Resources Information Center

Molina, Danielle K.

2016-01-01

Emergency response is an essential function of all residential life staff, but particularly for resident assistants serving on the front line. This organizational ethnography examined the role that professional identity played for early-career residential life practitioners engaged in emergency management. The data elucidated heroism as a…

Leaders on the Front Line--Managing Emotion for Ethical Decision Making

ERIC Educational Resources Information Center

Tenuto, Penny L.; Gardiner, Mary E.; Yamamoto, Julie K.

2016-01-01

To build capacity for students in educational leadership programs, we developed a teaching case study focused on managing emotion for ethical decision making in supervision of personnel. The case offers troubling encounters between a secondary assistant principal and a novice teacher, a veteran teacher, and a veteran administrator. Scenarios…

Geotechnical Asset Management Plan : Technical Report

DOT National Transportation Integrated Search

2017-06-30

Geotechnical assets which include rock and soil slopes, retaining walls, and material sites support and protect the Department's pavements and bridges, and provide the material from which these assets are built. They are the front line of the...

Practice and power: a review and interpretive synthesis focused on the exercise of discretionary power in policy implementation by front-line providers and managers.

PubMed

Gilson, Lucy; Schneider, Helen; Orgill, Marsha

2014-12-01

Tackling the implementation gap is a health policy concern in low- and middle-income countries (LMICs). Limited attention has so far been paid to the influence of power relations over this gap. This article presents, therefore, an interpretive synthesis of qualitative health policy articles addressing the question: how do actors at the front line of health policy implementation exercise discretionary power, with what consequences and why? The article also demonstrates the particular approach of thematic synthesis and contributes to discussion of how such work can inform future health policy research. The synthesis drew from a broader review of published research on any aspect of policy implementation in LMICs for the period 1994-2009. From an initial set of 50 articles identified as relevant to the specific review question, a sample of 16 articles were included in this review. Nine report experience around decentralization, a system-level change, and seven present experience of implementing a range of reproductive health (RH) policies (new forms of service delivery). Three reviewers were involved in a systematic process of data extraction, coding, analysis, synthesis and article writing. The review findings identify: the practices of power exercised by front-line health workers and their managers; their consequences for policy implementation and health system performance; the sources of this power and health workers' reasons for exercising power. These findings also provide the basis for an overarching synthesis of experience, highlighting the importance of actors, power relations and multiple, embedded contextual elements as dimensions of health system complexity. The significance of this synthesis lies in its insights about: the micropractices of power exercised by front-line providers; how to manage this power through local level strategies both to influence and empower providers to act in support of policy goals; and the focus and nature of future research on these issues. Published by Oxford University Press in association with The London School of Hygiene and Tropical Medicine © The Author 2014; all rights reserved.

The impact of managed care contracts on the admission and registration process.

PubMed

Tilley, B G

1993-04-01

With increasing demand placed on the admission and registration process, hospitals are undergoing dramatic operational changes. These changes are necessary to maintain the vital cash flow of the hospitals. A major factor forcing hospitals to rethink the front line process in the admission and registration area is the impact of managed care.

Promoting Inter-Agency Readiness through Standardized Training and Education of Front Line Responders

DTIC Science & Technology

2011-09-01

Management (Regular Basic Course Training Specifications, 2010). It synthesizes the knowledge , skills, and abilities necessary to interdict a terrorist...way of recognizing emergency managers for the work that they do and it certifies them for their knowledge , skills, and abilities. This certification... the same to provide a foundation that supports continuous output and feedback specific to knowledge , skills, and procedures. New York DCJS manages

Implementing a Lean Management System in Primary Care: Facilitators and Barriers From the Front Lines.

PubMed

Hung, Dorothy; Martinez, Meghan; Yakir, Maayan; Gray, Caroline

2015-01-01

Although Lean management techniques are increasingly used in health care to improve quality and reduce costs, lessons about how to successfully implement this approach on the front lines of care delivery are not well documented. In this study, we highlight key facilitators and barriers to implementing Lean among frontline primary care providers. This case study took place at a large, ambulatory care delivery system serving nearly 1 million patients. In-depth interviews were conducted with primary care physicians, staff, and administrators to identify key factors impacting Lean redesigns in primary care. Overall, staff engagement and performance management, sensitivity to the professional values and culture of medicine, and perceived adequacy of organizational resources were critical when introducing Lean changes. Specific drivers of change included empowerment of staff at all levels, visual display of performance metrics, and a culture of innovation and collaboration. Barriers included physician resistance to standardized work, difficulty transferring management responsibilities to non-physician staff, and time and staffing required for participating in improvement efforts. Although Lean offers a new approach to delivering care, the implementation process itself is both complex and crucial to success. Understanding early facilitators and barriers can maximize Lean's, potential to improve health care delivery.

Front-Line Physicians' Satisfaction with Information Systems in Hospitals.

PubMed

Peltonen, Laura-Maria; Junttila, Kristiina; Salanterä, Sanna

2018-01-01

Day-to-day operations management in hospital units is difficult due to continuously varying situations, several actors involved and a vast number of information systems in use. The aim of this study was to describe front-line physicians' satisfaction with existing information systems needed to support the day-to-day operations management in hospitals. A cross-sectional survey was used and data chosen with stratified random sampling were collected in nine hospitals. Data were analyzed with descriptive and inferential statistical methods. The response rate was 65 % (n = 111). The physicians reported that information systems support their decision making to some extent, but they do not improve access to information nor are they tailored for physicians. The respondents also reported that they need to use several information systems to support decision making and that they would prefer one information system to access important information. Improved information access would better support physicians' decision making and has the potential to improve the quality of decisions and speed up the decision making process.

Long-Term Lessons

ERIC Educational Resources Information Center

Gettelman, Alan

2006-01-01

Public or private, K-12, college or university, no one knows their facilities better than school maintenance and operations staff--from the front-line custodians to facility managers. When it comes to planning restrooms for new construction and renovation, operational experience is especially critical. Applying best practices in advance can save…

FACILITY 1042. FRONT OBLIQUE SHOWING ROYAL PALMS LINING FRONT WALK. ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

FACILITY 1042. FRONT OBLIQUE SHOWING ROYAL PALMS LINING FRONT WALK. VIEW FACING SOUTHEAST - U.S. Naval Base, Pearl Harbor, Naval Housing Area Hale Alii, Junior Officers' Quarters Type, 9-10 Hale Alii Avenue, 1-2 Eighth Street, Pearl City, Honolulu County, HI

Case management.

PubMed

Woodward, Judy; Rice, Eve

2015-03-01

Health care in the United States is changing rapidly under pressure from both political and professional stakeholders, and one area on the front line of required change is the discipline of case management. Historically, case management has worked to defragment the health care delivery system for clients and increase access to health care. Case management will have an expanded role resulting from Affordable Care Act initiatives to improve health care. This article includes definitions of case management, current issues related to case management, case management standards of practice, and a case study of the management of pediatric chronic disease. Copyright © 2015 Elsevier Inc. All rights reserved.

Defining Success: Women in School Leadership

ERIC Educational Resources Information Center

Gandara, Minerva; Hendricks, Kim; Alonzo, Teresa Lopez

2012-01-01

Principals are the front-line administrators being asked to do more with less--strengthening teaching and learning, maintaining morale and building a culture of trust, and creating high expectations while managing scarce resources. Given the challenging roles that these school leaders play, giving voice to principals' needs as well as their…

Evaluation of the Service Review Model with Performance Scorecards

ERIC Educational Resources Information Center

Szabo, Thomas G.; Williams, W. Larry; Rafacz, Sharlet D.; Newsome, William; Lydon, Christina A.

2012-01-01

The current study combined a management technique termed "Service Review" with performance scorecards to enhance staff and consumer behavior in a human service setting consisting of 11 supervisors and 56 front-line staff working with 9 adult consumers with challenging behaviors. Results of our intervention showed that service review and…

The DISAM Journal of International Security Assistance Management. Volume 23, Number 1, Fall 2000

DTIC Science & Technology

2000-01-01

Security Assistance Command Figure 1 The USASAC, including OPM-SANG, is staffed by 621 men and women , of whom 104 are military. These professionals are...by program managers. These program managers are like “front-line entreprenuers ” delivering products and services to their customers. They have been...NATO history was to be commanded by a Polish general in June 1988. The brigade of some 3000 men and women was composed of five national battalions

Visual EKF-SLAM from Heterogeneous Landmarks †

PubMed Central

Esparza-Jiménez, Jorge Othón; Devy, Michel; Gordillo, José L.

2016-01-01

Many applications require the localization of a moving object, e.g., a robot, using sensory data acquired from embedded devices. Simultaneous localization and mapping from vision performs both the spatial and temporal fusion of these data on a map when a camera moves in an unknown environment. Such a SLAM process executes two interleaved functions: the front-end detects and tracks features from images, while the back-end interprets features as landmark observations and estimates both the landmarks and the robot positions with respect to a selected reference frame. This paper describes a complete visual SLAM solution, combining both point and line landmarks on a single map. The proposed method has an impact on both the back-end and the front-end. The contributions comprehend the use of heterogeneous landmark-based EKF-SLAM (the management of a map composed of both point and line landmarks); from this perspective, the comparison between landmark parametrizations and the evaluation of how the heterogeneity improves the accuracy on the camera localization, the development of a front-end active-search process for linear landmarks integrated into SLAM and the experimentation methodology. PMID:27070602

Starting up the upstarts.

PubMed

Greene, J

1997-12-20

Venture capitalists pour $1 billion a year into health care--and that investment may be the most overlooked indicator of new business opportunities. Signs show that companies focused on consolidation and cost-cutting are off the A list for risk capital. Instead, venture capitalists are targeting start-ups that save money on the front lines by truly managing care.

NCI Scientists Create New Assay, Identify Novel Therapeutic Compounds, and Take Places on Front Lines of Cancer Research | Poster

Cancer.gov

A team of scientists and specialists from NCI at Frederick, NCI at Bethesda, the Frederick National Laboratory for Cancer Research, and Data Management Services, Inc., has developed the first method for identifying natural products that could increase the effectiveness of camptothecin-based cancer treatments.

Outcome Evaluation of Active Support Training in Taiwan

ERIC Educational Resources Information Center

Chou, Yueh-Ching; Harman, Anthony D.; Lin, Chwen-Jen; Lee, Wan-ping; Chang, Shu-chuan; Lin, Mei-Ling

2011-01-01

Active Support was implemented for the first time in Taiwan in March, 2009. This study aims to evaluate whether the supervisors and front line managers of residential services receiving Active Support Training (AST) caused a positive impact on their users with intellectual disabilities (ID) while comparing this with their counterparts with ID…

Hospital implementation of health information technology and quality of care: are they related?

PubMed

Restuccia, Joseph D; Cohen, Alan B; Horwitt, Jedediah N; Shwartz, Michael

2012-09-27

Recently, there has been considerable effort to promote the use of health information technology (HIT) in order to improve health care quality. However, relatively little is known about the extent to which HIT implementation is associated with hospital patient care quality. We undertook this study to determine the association of various HITs with: hospital quality improvement (QI) practices and strategies; adherence to process of care measures; risk-adjusted inpatient mortality; patient satisfaction; and assessment of patient care quality by hospital quality managers and front-line clinicians. We conducted surveys of quality managers and front-line clinicians (physicians and nurses) in 470 short-term, general hospitals to obtain data on hospitals' extent of HIT implementation, QI practices and strategies, assessments of quality performance, commitment to quality, and sufficiency of resources for QI. Of the 470 hospitals, 401 submitted complete data necessary for analysis. We also developed measures of hospital performance from several publicly data available sources: Hospital Compare adherence to process of care measures; Medicare Provider Analysis and Review (MEDPAR) file; and Hospital Consumer Assessment of Healthcare Providers and Systems HCAHPS® survey. We used Poisson regression analysis to examine the association between HIT implementation and QI practices and strategies, and general linear models to examine the relationship between HIT implementation and hospital performance measures. Controlling for potential confounders, we found that hospitals with high levels of HIT implementation engaged in a statistically significant greater number of QI practices and strategies, and had significantly better performance on mortality rates, patient satisfaction measures, and assessments of patient care quality by hospital quality managers; there was weaker evidence of higher assessments of patient care quality by front-line clinicians. Hospital implementation of HIT was positively associated with activities intended to improve patient care quality and with higher performance on four of six performance measures.

Stuck in the middle: The emotional labours of case managers in the personal injury compensation system.

PubMed

Newnam, Sharon; Petersen, Alan; Keleher, Helen; Collie, Alex; Vogel, Adam; McClure, Rod

2016-10-17

Case managers within injury compensation systems are confronted with various emotional demands. Employing the concept of emotional labour, this paper explores distinctive aspects of these demands. The findings are drawn from focus groups with 21 Australian case managers. Case managers work was characterised by extra-role commitments, emotional control, stress and balancing tensions arising from differing stakeholder expectations about outcomes related to compensation and return to work. By examining the experiences of case managers, the findings add to the literature on the emotional labour of front line service workers, especially with respect to the demands involved in managing the conflicting demands of work.

Towards Ubiquitous Peer Review Strategies to Sustain and Enhance a Clinical Knowledge Management Framework

PubMed Central

Rocha, Roberto A.; Bradshaw, Richard L.; Bigelow, Sharon M.; Hanna, Timothy P.; Fiol, Guilherme Del; Hulse, Nathan C.; Roemer, Lorrie K.; Wilkinson, Steven G.

2006-01-01

Widespread cooperation between domain experts and front-line clinicians is a key component of any successful clinical knowledge management framework. Peer review is an established form of cooperation that promotes the dissemination of new knowledge. The authors describe three peer collaboration scenarios that have been implemented using the knowledge management infrastructure available at Intermountain Healthcare. Utilization results illustrating the early adoption patterns of the proposed scenarios are presented and discussed, along with succinct descriptions of planned enhancements and future implementation efforts. PMID:17238422

Voices from the front lines. Four leaders on the cross-border challeng they've faced.

PubMed

Minguet, Luc; Caride, Eduardo; Yamaguchi, Takeo; Tedjarati, Shane

2014-09-01

Executives on the front lines of managing across borders share their insights: Luc Minguet, of France's Michelin, talks about the importance of cultural training not just for managers taking on assignments abroad but also for local employees who work with colleagues from around the world. He describes how his own experience learning to communicate across cultures reflects the tire-maker's broader practices. Eduardo Caride, of Madrid-based Telefónica, explains how the relatively young multinational is investing in a diverse talent mix as it strives to become a truly global company. Whereas early on, leaders relied on exporting Spanish managers abroad, he notes, the street now runs both ways. Takeo Yamaguchi, of Japan's Hitachi, details his efforts to create standardized global HR systems and processes across the conglomerate's 948 separate companies. "Three years ago, we had no systematic way of tracking employees, evaluating performance, or identifying future leaders," Yamaguchi says. "Today we do." And Shane Tedjarati, from the United States' Honeywell, talks about how the industrial powerhouse is shifting its strategy toward new regions, such as China, India, vietnam, and Indonesia. "We call these markets 'high-growth regions' instead of emerging markets," says Tedjarati, "because they now account for more than half of Honeywell's total growth."

Attributes of nursing work environment as predictors of registered nurses' job satisfaction and intention to leave.

PubMed

Choi, Sandy Pin-Pin; Cheung, Kin; Pang, Samantha Mei-Che

2013-04-01

To examine how front-line registered nurses' perception of their work environment associates with and predicts nurse outcomes in terms of job satisfaction and turnover intention. Mounting evidence has pointed to an inseparable link between attributes of the nursing work environment and nurse outcomes. However, there is a paucity of research examining nurses' perception of their work environment beyond the Western context. This cross-sectional survey involved 1271 registered nurses working in 135 inpatient units in 10 public hospitals in Hong Kong. The instrument comprised items developed from in-depth interviews with front-line nurses that explored nurses' perception of their work environment. Factor analysis identified five dimensions (professionalism, co-worker relationship, management, staffing and resources, and ward practice) of the nursing work environment. Logistic regression analysis further identified professionalism, management and ward practice as significant factors in predicting nurses' turnover intention, and staffing and resources as an additional factor in predicting their job satisfaction. Attributes of the nursing work environment have a significant bearing on nurses' job satisfaction and intention to leave. Managerial effort should focus on improving nurses' work conditions through detailed resource planning, effective management and removal of work constraints that affect nursing practice. © 2012 Blackwell Publishing Ltd.

The Role of Activity Based Costing (ABC) in Educational Support Services: A White Paper.

ERIC Educational Resources Information Center

Edds, Daniel B.

Many front-line managers who are assuming more financial responsibility for their organizations find traditional cost accounting inadequate for their needs and are turning to Activity Based Costing (ABC). ABC is not a financial reporting system to serve the needs of regulatory agencies, but a tool that tracks costs from the general ledger…

Development of a competency framework for nurse managers in Ireland.

PubMed

McCarthy, Geraldine; Fitzpatrick, Joyce J

2009-08-01

This article describes the results of an Irish national study on the Competency Model for Nursing Management commissioned by the Office of Health Management. More than 300 nurse managers and 80 service stakeholders (other professionals, managers, and service colleagues) participated in the development of generic competencies for nurse managers and specific competencies for three levels of managers-director level, middle manager level, and front-line managers. Examples of behavioral indicators (both positive and negative) for each competency level also have been delineated. Future efforts are being directed toward evaluating the usefulness of the competency model for assessing readiness to manage among job applicants, implementation of continuing education programs for nurse managers, and overall career development and planning. Copyright 2009, SLACK Incorporated.

Program Manager: Journal of the Defense Systems Management College. Volume 20, Number 4, July-August 1991

DTIC Science & Technology

1991-08-01

national aritificial intelligence technologies, phase is intended to establish a stable headline news when front-line which are key to linking computer and... intelligence and S&T own alternative. communities. There are experts from Assembly of potential material the S&T community through contin- alternatives...cidents to SEC. i chief inform him that he am earlier work, Designing Defense intelligent cififrhitathIeS’ysterns, and adds the current spin of -FEI

Moral Stress, Moral Practice, and Ethical Climate in Community-Based Drug-Use Research: Views From the Front Line

PubMed Central

Fisher, Celia B.; True, Gala; Alexander, Leslie; Fried, Adam L.

2016-01-01

Background The role of front-line researchers, those whose responsibilities include face-to-face contact with participants, is critical to ensuring the responsible conduct of community-based drug use research. To date, there has been little empirical examination of how front-line researchers perceive the effectiveness of ethical procedures in their real-world application and the moral stress they may experience when adherence to scientific procedures appears to conflict with participant protections. Methods This study represents a first step in applying psychological science to examine the work-related attitudes, ethics climate, and moral dilemmas experienced by a national sample of 275 front-line staff members whose responsibilities include face-to-face interaction with participants in community-based drug-use research. Using an anonymous Web-based survey we psychometrically evaluated and examined relationships among six new scales tapping moral stress (frustration in response to perceived barriers to conducting research in a morally appropriate manner); organizational ethics climate; staff support; moral practice dilemmas (perceived conflicts between scientific integrity and participant welfare); research commitment; and research mistrust. Results As predicted, front-line researchers who evidence a strong commitment to their role in the research process and who perceive their organizations as committed to research ethics and staff support experienced lower levels of moral stress. Front-line researchers who were distrustful of the research enterprise and frequently grappled with moral practice dilemmas reported higher levels of moral stress. Conclusion Applying psychometrically reliable scales to empirically examine research ethics challenges can illuminate specific threats to scientific integrity and human subjects protections encountered by front-line staff and suggest organizational strategies for reducing moral stress and enhancing the responsible conduct of research. PMID:27795869

Moral Stress, Moral Practice, and Ethical Climate in Community-Based Drug-Use Research: Views From the Front Line.

PubMed

Fisher, Celia B; True, Gala; Alexander, Leslie; Fried, Adam L

2013-01-01

The role of front-line researchers, those whose responsibilities include face-to-face contact with participants, is critical to ensuring the responsible conduct of community-based drug use research. To date, there has been little empirical examination of how front-line researchers perceive the effectiveness of ethical procedures in their real-world application and the moral stress they may experience when adherence to scientific procedures appears to conflict with participant protections. This study represents a first step in applying psychological science to examine the work-related attitudes, ethics climate, and moral dilemmas experienced by a national sample of 275 front-line staff members whose responsibilities include face-to-face interaction with participants in community-based drug-use research. Using an anonymous Web-based survey we psychometrically evaluated and examined relationships among six new scales tapping moral stress (frustration in response to perceived barriers to conducting research in a morally appropriate manner); organizational ethics climate; staff support; moral practice dilemmas (perceived conflicts between scientific integrity and participant welfare); research commitment; and research mistrust. As predicted, front-line researchers who evidence a strong commitment to their role in the research process and who perceive their organizations as committed to research ethics and staff support experienced lower levels of moral stress. Front-line researchers who were distrustful of the research enterprise and frequently grappled with moral practice dilemmas reported higher levels of moral stress. Applying psychometrically reliable scales to empirically examine research ethics challenges can illuminate specific threats to scientific integrity and human subjects protections encountered by front-line staff and suggest organizational strategies for reducing moral stress and enhancing the responsible conduct of research.

Ultraviolet Properties of Halo Coronal Mass Ejections: Doppler Shifts, Angles, Shocks, and Bulk Morphology

NASA Astrophysics Data System (ADS)

Ciaravella, A.; Raymond, J. C.; Kahler, S. W.

2006-11-01

We present UV spectral information for 22 halo or partial halo CMEs observed by UVCS. The CME fronts show broad line profiles, while the line intensities are comparable to the background corona. The Doppler shifts of the front material are generally small, showing that the motion of gas in the fronts is mostly transverse to the line of sight. This indicates that, at least in halo CMEs, the fronts generally correspond to coronal plasma swept up by a shock or compression wave, rather than plasma carried outward by magnetic loops. This favors an ice cream cone (or a spherical shell) model, as opposed to an expanding arcade of loops. We use the line widths to discriminate between shock heating and bulk expansion. Of 14 cases where we detected the CME front, the line broadening in 7 cases can be attributed to shock heating, while in 3 cases it is the line-of-sight component of the CME expansion. For the CME cores we determine the angles between the motion and the plane of the sky, along with the actual heliocentric distances, in order to provide quantitative estimates of projection effects.

What's at Risk? The Proliferation of Risk across Child and Youth Policy in England

ERIC Educational Resources Information Center

Turnbull, Gavin; Spence, Jean

2011-01-01

The concept of risk has found increasing prominence in social policy, human services management and front-line practice in recent years. This is particularly the case in relation to children and young people, who, in the UK, have been subject to a range of interventions based on the identification of population-based risk factors. Through the…

A Theoretical Model for Designing an In-House Community College Department Chair Professional Development Program

ERIC Educational Resources Information Center

Sirkis, Jocelyn Eager

2013-01-01

Academic department chairs serve as front-line managers and leaders who perform a wide variety of tasks. These tasks may include mundane chores, such as ordering office supplies, or important ones, such as changing the department culture to one that embraces assessment. Too often, however, individuals take on the chair position with little to no…

The Social Integration of Employees with Disabilities in the Workplace: An Explanatory Case Study of Supervisors' Current Practices

ERIC Educational Resources Information Center

Angotta, Jill E.

2013-01-01

This study is an exploratory case study on supervisors' and front line managers' current practices towards the promotion of the socialization of employees with disabilities with their non-disabled peers. The researcher interviewed eight participants, four men and four women, purposefully selected from Connecticut and Indiana in person or over the…

A Study of the Impact of a Leadership Development Program on a Community College's Front-Line and Middle Managers

ERIC Educational Resources Information Center

Adcock-Shantz, Jennifer K.

2011-01-01

Current research indicates that community colleges are facing what has been termed a "leadership crisis" due to the high number of Baby Boomers retiring and those planning to retire in the next several years (McCall, 2006; Bagnato, 2004; Shults, 2001). In 2006, the American Association of Community Colleges recommended community colleges…

Turf Wars: Which Side Are You on?

ERIC Educational Resources Information Center

Berry, Steve

2012-01-01

A school business manager who has been in the market for a new athletic field in the last 10 years has no doubt has been exposed to the front lines of an intense battle for market share between producers of natural grass and manufacturers of artificial turf. Each camp is well represented by powerful industry organizations across the country. As a…

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

NASA Technical Reports Server (NTRS)

Holm, Jeanne

2003-01-01

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

Enhancing frontline clinical leadership in an acute hospital trust.

PubMed

Phillips, Natasha; Byrne, Geraldine

2013-09-01

To report on a leadership programme for ward managers in one National Health Service Trust that aimed to enhance their contribution to the delivery of the organisation's key objectives to support excellent patient experience. Effective ward leadership has been recognised as vital to the quality of care, resource management and interprofessional working. However, there is evidence that, at present, front-line nurse leaders are ill equipped to lead effectively and lack confidence in their ability to do so. The project aimed to provide a tailored programme for ward managers to develop their portfolio of skills to perform this pivotal role. The course contained two key elements: an integrated teaching programme to enhance leadership knowledge and skills and action learning to facilitate application to individual's own leadership practice. Both were underpinned by a change project where each individual identified, undertook and evaluated an innovation in practice. Twenty-two ward managers completed the leadership programme. Participants completed semi-structured questionnaires after each taught module. Action learning was evaluated through a combined structured and semi-structured questionnaire. All participants evaluated the programme as increasing their repertoire of leadership skills. Following completion of the programme, ward managers continue to work together as an evolving community of practice. Ward managers' development is enhanced by a programme integrating theory, action learning and completion of a ward-based project. Ward managers cannot be effectively developed in isolation. Leadership development is best supported where the organisation is also committed to developing. A leadership development programme that incorporates knowledge from within the organisation with external expertise can be an effective method to enhance front-line clinical leadership. © 2013 Blackwell Publishing Ltd.

Transformational leadership to promote cross-generational retention.

PubMed

Lobo, Vanessa M

2010-05-01

As the current nursing shortage intensifies under the weight of an aging population, retention of front-line staff is becoming paramount. Studies have consistently demonstrated that the leadership style of nurse managers plays a significant role to this end. This paper describes some of the challenges that managers encounter in their dealings with the contemporary multigenerational workforce - including the baby boomers, generation X and generation Y (the "millennials"). A review of research findings suggests the insufficiency of a single leadership approach to nurse management compared to more tailored generational strategies. Application of the transformational leadership model provides the background and tenets from which solutions are proposed for multigenerational management.

Poverty, Place and Pedagogy in Education: Research Stories from Front-Line Workers

ERIC Educational Resources Information Center

Comber, Barbara

2016-01-01

This article considers what it means to teach and learn in places of poverty through the narratives of front-line workers--particularly students and teachers. What is the work of teaching and learning in places of poverty in current times? How has this changed? What can be learned from both the haunting and hopeful narratives of front-line…

On the Front Lines of Rare Disease Research

MedlinePlus

... Diseases On the Front Lines of Rare Disease Research Past Issues / Spring 2016 Table of Contents Dr. ... MedlinePlus magazine. Many people may not hear about research on rare diseases. Why is this research important ...

Early Childhood Reform in Seven Communities: Front-Line Practice, Agency Management, and Public Policy. [Volume I: Final Technical Report.] Studies of Education Reform.

ERIC Educational Resources Information Center

Schultz, Tom; And Others

An era of substantial growth in investment of resources, program development, and research has led to tangible gains in the scope and quality of early childhood education programs. However, the system of early childhood education programs is plagued by unequal access and inconsistent, inadequate levels of quality. Additionally, the focus of…

Perceptions of Title IX Administrators in Arkansas Institutions of Higher Education on Implementing Office for Civil Rights Guidance: A Qualitative Study

ERIC Educational Resources Information Center

Jones, Arch

2017-01-01

With the significant pressure placed on higher education administrators, and more specifically Title IX Coordinators, to manage compliance of the Office for Civil Rights (OCR) guidance on Title IX, this study has focused on the perceptions of the of individuals tasked with this obligation. To determine from the individuals on the front line of…

Front-office staff can improve clinical tobacco intervention: health coordinator pilot project.

PubMed

Bass, Frederic; Naish, Brigham; Buwembo, Isaac

2013-11-01

To learn whether front-line personnel in primary care practices can increase delivery of clinical tobacco interventions and also help smokers address physical inactivity, at-risk alcohol use, and depression. Uncontrolled before-and-after design. Vancouver, BC, area (4 practices); northern British Columbia (2 practices). Six practices, with 1 staff person per practice serving as a "health coordinator" who tracked and, after the baseline period, delivered preventive interventions to all patients who smoked. To assess delivery of preventive interventions, each practice was to sample 300 consecutive patient records, both at baseline and at follow-up 15 months later. Front-office staff were recruited, trained, paid, and given ongoing support to provide preventive care. Clinicians supplemented this care with advice and guided the use of medication. Effectiveness of the intervention was based on comparison, at baseline and at follow-up, of the proportion of patients with any of the following 6 proven intervention components documented in their medical records: chart reminder, advice received, self-management plan, target quit date, referral, and follow-up date (as they applied to tobacco, physical inactivity, at-risk alcohol use, and depression). A Tobacco Intervention Flow Sheet cued preventive care, and its data were entered into a spreadsheet (which served as a smokers' registry). Qualitative appraisal data were noted. For tobacco, substantial increases occurred after the intervention period in the proportion of patients with each of the intervention components noted in their charts: chart reminder (20% vs 94%); provision of advice (34% vs 79%); self-management plan (14% vs 57%); target quit date (5% vs 11%); referral (6% vs 11%); and follow-up date (7% vs 42%). Interventions for physical inactivity and depression showed some gains, but there were no gains for at-risk alcohol use. Front-line staff, patients, and clinicians were enthusiastic about the services offered. Selected front-office personnel can substantially increase the delivery of evidence-based clinical tobacco intervention and increase patient and staff satisfaction in doing so. How far these findings can be generalized and their population effects require further study.

REACT Real-Time Emergency Action Coordination Tool

NASA Technical Reports Server (NTRS)

2004-01-01

Recently the Emergency Management Operations Center (EMOC) of St. Tammany Parish turned to the Technology Development and Transfer Office (TDTO) of NASA's Stennis Space Center (SSC) for help in combating the problems associated with water inundation. Working through a Dual-Use Development Agreement the Technology Development and Transfer Office, EMOC and a small geospatial applications company named Nvision provided the parish with a new front-line defense. REACT, Real-time Emergency Action coordination Tool is a decision support system that integrates disparate information to enable more efficient decision making by emergency management personnel.

From the front line to the bottom line: building revenue integrity.

PubMed

Britt, John; Adams, Shawn; Snow, Trevor

2015-07-01

To improve trends in accounts receivable and a hospital's bottom line without fear of penalty or repayment, organizations should expand the definition of the revenue cycle team by: Engaging front-line clinical and business personnel. Training personnel to understand the roles they play in revenue integrity. Creating scorecards with measurable goals to promote accountability. Monitoring the outcomes and defining real-time, actionable responses to negative variances.

Early Childhood Reform in Seven Communities: Front-Line Practice, Agency Management, and Public Policy. Volume III: Technical Appendix--Research Design and Methodology. Studies of Education Reform.

ERIC Educational Resources Information Center

Lopez, Elena

The administration and funding of early childhood education programs has engendered recent federal policy debates. This volume is the third report in a series of three, which are derived from a study that examined how local organizations implement complex government programs for early childhood education. The study analyzed and documented…

A Large-Scale Internet/Computer-Based, Training Module: Dissemination of Evidence-Based Management of Postpartum Hemorrhage to Front-Line Health Care Workers

ERIC Educational Resources Information Center

Abawi, Karim; Gertiser, Lynn; Idris, Raqibat; Villar, José; Langer, Ana; Chatfield, Alison; Campana, Aldo

2017-01-01

Postpartum hemorrhage (PPH) is the leading cause of maternal mortality in most developing and low-income countries and the cause of one-quarter of maternal deaths worldwide. With appropriate and prompt care, these deaths can be prevented. With the current and rapidly developing research and worldwide access to information, a lack of knowledge of…

Creating an Excellent Patient Experience Through Service Education: Content and Methods for Engaging and Motivating Front-Line Staff.

PubMed

Kennedy, Denise M

2017-12-01

Service quality and patient satisfaction affect an organization's value-based payments. This new value paradigm calls for a new approach to service education and training for front-line staff. Thoughtfully conceived, department-specific content, infused with patient feedback, value creation, and science of service quality principles, was developed to give front-line staff a deeper understanding of the impact of their performance on patient experience, value creation, and value-based revenue. Feedback from nearly 1500 trainees in 60 educational sessions delivered over 7 years indicates good understanding of the content and appreciation of the targeted approach. On a 5-point scale ranging from 1 (least effective) to 5 (most effective), trainees' ratings of their understanding of service quality concepts and impact on value ranged from 4.7 to 4.9. Verbatim comments showed a positive impact on staff. Employee feedback suggests that value-based service education may be useful in motivating front-line staff, improving service quality, and creating value.

Modeling of an 8-12 GHz receiver front-end based on an in-line MEMS frequency discriminator

NASA Astrophysics Data System (ADS)

Chu, Chenlei; Liao, Xiaoping

2018-06-01

This paper focuses on the modeling of an 8-12 GHz RF (radio frequency) receiver front-end based on an in-line MEMS (microelectromechanical systems) frequency discriminator. Actually, the frequency detection is realized by measuring the output dc thermal voltage generated by the MEMS thermoelectric power sensor. Based on this thermal voltage, it has a great potential to tune the resonant frequency of the VCO (voltage controlled oscillator) in the RF receiver front-end application. The equivalent circuit model of the in-line frequency discriminator is established and the measurement verification is also implemented. Measurement and simulation results show that the output dc thermal voltage has a nearly linear relation with frequency. A new construction of RF receiver front-end is then obtained by connecting the in-line frequency discriminator with the voltage controlling port of VCO. Lastly, a systemic simulation is processed by computer-aided software and the real-time simulation waveform at each key point is observed clearly.

Improved Discretization of Grounding Lines and Calving Fronts using an Embedded-Boundary Approach in BISICLES

NASA Astrophysics Data System (ADS)

Martin, D. F.; Cornford, S. L.; Schwartz, P.; Bhalla, A.; Johansen, H.; Ng, E.

2017-12-01

Correctly representing grounding line and calving-front dynamics is of fundamental importance in modeling marine ice sheets, since the configuration of these interfaces exerts a controlling influence on the dynamics of the ice sheet. Traditional ice sheet models have struggled to correctly represent these regions without very high spatial resolution. We have developed a front-tracking discretization for grounding lines and calving fronts based on the Chombo embedded-boundary cut-cell framework. This promises better representation of these interfaces vs. a traditional stair-step discretization on Cartesian meshes like those currently used in the block-structured AMR BISICLES code. The dynamic adaptivity of the BISICLES model complements the subgrid-scale discretizations of this scheme, producing a robust approach for tracking the evolution of these interfaces. Also, the fundamental discontinuous nature of flow across grounding lines is respected by mathematically treating it as a material phase change. We present examples of this approach to demonstrate its effectiveness.

High-gain thompson-scattering X-ray free-electron laser by time-synchronic laterally tilted optical wave

DOEpatents

Chang, Chao; Tang, Chuanxiang; Wu, Juhao

2017-05-09

An improved optical undulator for use in connection with free electron radiation sources is provided. A tilt is introduced between phase fronts of an optical pulse and the pulse front. Two such pulses in a counter-propagating geometry overlap to create a standing wave pattern. A line focus is used to increase the intensity of this standing wave pattern. An electron beam is aligned with the line focus. The relative angle between pulse front and phase fronts is adjusted such that there is a velocity match between the electron beam and the overlapping optical pulses along the line focus. This allows one to provide a long interaction length using short and intense optical pulses, thereby greatly increasing the radiation output from the electron beam as it passes through this optical undulator.

Desmoid-type fibromatosis: a front-line conservative approach to select patients for surgical treatment.

PubMed

Fiore, Marco; Rimareix, Françoise; Mariani, Luigi; Domont, Julien; Collini, Paola; Le Péchoux, Cecile; Casali, Paolo G; Le Cesne, Axel; Gronchi, Alessandro; Bonvalot, Sylvie

2009-09-01

Surgery is still the standard treatment for desmoid-type fibromatosis (DF). Recently, the Institut Gustave Roussy (IGR), Villejuif, France, reported a series of patients treated with a front-line conservative approach (no surgery and no radiotherapy). The disease remained stable in more than half of patients. This study was designed to evaluate this approach on the natural history of the disease in a larger series of patients. A total of 142 patients presenting to the IGR or Istituto Nazionale Tumori (INT), Milan, Italy, were initially treated using a front-line deliberately conservative policy. Their progression-free survival (PFS) was observed and a multivariate analysis was performed for major clinical variables. Seventy-four patients presented with primary tumor, 68 with recurrence. Eighty-three patients received a "wait & see" policy (W&S), whereas 59 were initially offered medical therapy (MT), mainly hormonal therapy and chemotherapy. A family history of sporadic colorectal cancer was present in 8% of patients. The 5-year PFS was 49.9% for the W&S group and 58.6% for the medically treated patients (P = 0.3196). Similar results emerged for primary and recurrent DF. Multivariate analysis identified no clinical variables as independent predictors of PFS. In the event of progression, all patients were subsequently managed safely. A conservative policy could be a safe approach to primary and recurrent DF, which could avoid unnecessary morbidity from surgery and/or radiation therapy. Half of patients had medium-term stable disease after W&S or MT. A multidisciplinary, stepwise approach should be prospectively tested in DF.

A Proof-Carrying File System

DTIC Science & Technology

2009-06-06

written in Standard ML, and comprises nearly 7,000 lines of code. OpenSSL is used for all cryptographic operations. Because the front end tools are used...be managed. Macrobenchmarks. To understand the performance of PCFS in practice, we also ran two simple macrobenchmarks. The first (called OpenSSL in...the table below), untars the OpenSSL source code, compiles it and deletes it. The other (called Fuse in the table below), performs similar operations

United We Stand, Divided We Fall: Increasing Response Capability in Kentucky through Regionalization and Leadership

DTIC Science & Technology

2011-03-01

trust (Yang & Mossholder, 2010). In “Disaster and Emergency Management: Canadian Nurses ’ Perceptions of Preparedness on Hospital Front Lines,” the...authors examined nurses ’ perceptions in terms of their confidence rating of their level of preparedness, awareness of hospital plans, perceptions of...significant role in the ice storm response. Public health nurses worked in shelters; environmentalists were called upon to ensure that restaurants with

Towards a sociology of healthcare safety and quality.

PubMed

Allen, Davina; Braithwaite, Jeffrey; Sandall, Jane; Waring, Justin

2016-02-01

The contributions to this collection address technologies, practices, experiences and the organisation of quality and safety across a wide range of healthcare contexts. Spanning three continents, from hospital to community, maternity to mental health, they shine a light into the boardrooms, back offices and front-lines of healthcare, offering sociological insights from the perspectives of managers, clinicians and patients. We review these articles and consider how they contribute to some of the dilemmas that confront mainstream approaches to quality and safety and then look ahead to outline future lines of sociological inquiry to progress the theory and practice of quality and safety. © 2015 Foundation for the Sociology of Health & Illness.

Patterns of relapse and outcome of elderly multiple myeloma patients treated as front-line therapy with novel agents combinations☆

PubMed Central

Lopez, Aurelio; Mateos, Maria-Victoria; Oriol, Albert; Valero, Marta; Martínez, Joaquín; Lorenzo, Jose Ignacio; Perez, Montserrat; Martinez, Rafael; de Paz, Raquel; Granell, Miguel; De Arriba, Felipe; Blanchard, M. Jesús; Peñalver, Francisco Javier; Bello, Jose Luis; Martin, Maria Luisa; Bargay, Joan; Blade, Joan; Lahuerta, Juan Jose; San Miguel, Jesús F.; de la Rubia, Javier

2015-01-01

We report the characteristics of relapse, treatment response, and outcomes of 145 elderly patients with multiple myeloma in first relapse after front-line treatment with VMP or VTP. Reappearance of CRAB symptoms (113 patients) and more aggressive forms of disease (32 patients) were the most common patterns of relapse. After second-line therapy, 75 (51.7%) patients achieved at partial response and 16 (11%) complete response (CR). Overall survival was longer among patients receiving VMP as front-line induction (21.4 vs. 14.4 months, P=0.037), in patients achieving CR (28.3 vs. 14.8 months; P=0.04), and in patients without aggressive relapse (28.6 vs. 7.6 months; P=0.0007). PMID:26500850

Digital Geospatial Datasets in Support of Hydrologic Investigations of the Colorado Front Range Infrastructure Resources Project

USGS Publications Warehouse

Rafferty, Sharon A.; Arnold, L.R.; Char, Stephen J.

2002-01-01

The U.S. Geological Survey developed this dataset as part of the Colorado Front Range Infrastructure Resources Project (FRIRP). One goal of the FRIRP was to provide information on the availability of those hydrogeologic resources that are either critical to maintaining infrastructure along the northern Front Range or that may become less available because of urban expansion in the northern Front Range. This dataset extends from the Boulder-Jefferson County line on the south, to the middle of Larimer and Weld Counties on the North. On the west, this dataset is bounded by the approximate mountain front of the Front Range of the Rocky Mountains; on the east, by an arbitrary north-south line extending through a point about 6.5 kilometers east of Greeley. This digital geospatial dataset consists of digitized contours of unconsolidated-sediment thickness (depth to bedrock).

Management of problematic behaviours among individuals on long-term opioid therapy: protocol for a Delphi study

PubMed Central

Merlin, Jessica S; Young, Sarah R; Azari, Soraya; Becker, William C; Liebschutz, Jane M; Pomeranz, Jamie; Roy, Payel; Saini, Shalini; Starrels, Joanna L; Edelman, E Jennifer

2016-01-01

Introduction Given the sharp rise in opioid prescribing and heightened recognition of opioid addiction and overdose, opioid safety has become a priority. Clinical guidelines on long-term opioid therapy (LTOT) for chronic pain consistently recommend routine monitoring and screening for problematic behaviours. Yet, there is no consensus definition regarding what constitutes a problematic behaviour, and recommendations for appropriate management to inform front-line providers, researchers and policymakers are lacking. This creates a barrier to effective guideline implementation. Thus, our objective is to present the protocol for a Delphi study designed to: (1) elicit expert opinion to identify the most important problematic behaviours seen in clinical practice and (2) develop consensus on how these behaviours should be managed in the context of routine clinical care. Methods/analysis We will include clinical experts, defined as individuals who provide direct patient care to adults with chronic pain who are on LTOT in an ambulatory setting, and for whom opioid prescribing for chronic non-malignant pain is an area of expertise. The Delphi study will be conducted online in 4 consecutive rounds. Participants will be asked to list problematic behaviours and identify which behaviours are most common and challenging. They will then describe how they would manage the most frequently occurring common and challenging behaviours, rating the importance of each management strategy. Qualitative analysis will be used to categorise behaviours and management strategies, and consensus will be based on a definition established a priori. Ethics/dissemination This study has been approved by the Institutional Review Board (IRB) of the University of Alabama at Birmingham (UAB). This study will generate Delphi-based expert consensus on the management of problematic behaviours that arise in individuals on LTOT, which we will publish and disseminate to appropriate professional societies. Ultimately, our findings will provide guidance to front-line providers, researchers and policymakers. PMID:27154486

Front-Side Microstrip Line Feeding a Raised Antenna Patch

NASA Technical Reports Server (NTRS)

Hodges, Richard; Hoppe, Daniel

2005-01-01

An improved design concept for a printed-circuit patch antenna and the transmission line that feeds the patch calls for (1) a microstrip transmission line on the front (radiative) side of a printed-circuit board based on a thin, high-permittivity dielectric substrate; (2) using the conductor covering the back side of the circuit board as a common ground plane for both the microstrip line and the antenna patch; (3) supporting the antenna patch in front of the circuit board on a much thicker, lower-permittivity dielectric spacer layer; and (4) connecting the microstrip transmission line to the patch by use of a thin wire or narrow ribbon that extends through the thickness of the spacer and is oriented perpendicularly to the circuit-board plane. The thickness of the substrate is typically chosen so that a microstrip transmission line of practical width has an impedance between 50 and 100 ohms. The advantages of this design concept are best understood in the context of the disadvantages of prior design concepts, as explained

Front line manager's quick reference guide for organizational impact analysis.

PubMed

McCauley, Darendia

2013-09-01

In reference to the original research questions, there is organizational documented support for the QRG. FLMs perceived the QRG to have both effectiveness and utility. Both less experienced FLMs and more experienced FLMs found the QRG to be helpful, as indicated by intended use, with more experienced FLMs indicating a higher intended use. The ATO Office Safety Programs Fatigue Risk Management Group has requested an expansion of the QRG, including fatigue-related issues. Overall, the QRG has proven to be a useful and convenient document for all FLMs. As it becomes a recognizable and essential resource in both the training and management tool box, the use of the QRG will likely grow.

Gossip and nurses: malady or remedy?

PubMed

Thomas, Sarah A; Rozell, Elizabeth J

2007-01-01

Gossip is a natural part of every social setting and has a profound influence on organizational behaviors. As the primary care givers in the hospital setting, nurses are the front line in generating and controlling gossip. It is essential that management recognize this dynamic in the nursing workforce so they can be proactive in developing strategies to effectively control gossip. This article highlights the positive and negative aspects of gossip and provides strategies to help nursing professionals effectively manage this workplace issue. Unmanaged gossip can have a negative effect on the workplace by damaging relationships and reputations. Gossip that is managed effectively can have a positive effect on the workplace by building social bonds within the nursing unit.

Writing on the Front Line: A Study of Workplace Writing.

ERIC Educational Resources Information Center

Mabrito, Mark

1997-01-01

Examines the on-the-job writing of 60 front-line supervisors in a Midwest steel manufacturing plant. Presents information about the frequency, type, purpose, and length of writing produced along with the challenges supervisors faced as writers on the job. Argues that this information will help business communications instructors enhance their…

Front-Line Facilitating: Negotiating Adventurous Learning within Workplace Programs

ERIC Educational Resources Information Center

Smith, Robert L.

2011-01-01

Instructors are the front line of educational programs. They are the personnel, along with the learners, who enact the educational mission. Since educators work in relative isolation, studying their views is necessary to understand their professional actions. This is a study of the professional experiences of instructors within steel-mill learning…

Cough: are children really different to adults?

PubMed Central

Chang, Anne B

2005-01-01

Worldwide paediatricians advocate that children should be managed differently from adults. In this article, similarities and differences between children and adults related to cough are presented. Physiologically, the cough pathway is closely linked to the control of breathing (the central respiratory pattern generator). As respiratory control and associated reflexes undergo a maturation process, it is expected that the cough would likewise undergo developmental stages as well. Clinically, the 'big three' causes of chronic cough in adults (asthma, post-nasal drip and gastroesophageal reflux) are far less common causes of chronic cough in children. This has been repeatedly shown by different groups in both clinical and epidemiological studies. Therapeutically, some medications used empirically for cough in adults have little role in paediatrics. For example, anti-histamines (in particular H1 antagonists) recommended as a front-line empirical treatment of chronic cough in adults have no effect in paediatric cough. Instead it is associated with adverse reactions and toxicity. Similarly, codeine and its derivatives used widely for cough in adults are not efficacious in children and are contraindicated in young children. Corticosteroids, the other front-line empirical therapy recommended for adults, are also minimally (if at all) efficacious for treating non-specific cough in children. In summary, current data support that management guidelines for paediatric cough should be different to those in adults as the aetiological factors and treatment in children significantly differ to those in adults. PMID:16270937

Firing up the front line.

PubMed

Katzenbach, J R; Santamaria, J A

1999-01-01

For many organizations, achieving competitive advantage means eliciting superior performance from employees on the front line--the burger flippers, hotel room cleaners, and baggage handlers whose work has an enormous effect on customers. That's no easy task. Front line workers are paid low wages, have scant hope of advancement, and--not surprisingly--often care little about the company's performance. But then how do some companies succeed in engaging the emotional energy of rank-and-file workers? A team of researchers at McKinsey & Company and the Conference Board recently explored that question and discovered that one highly effective route is demonstrated by the U.S. Marine Corps. The Marines' approach to motivation follows the "mission, values, and pride" path, which researchers say is practical and relevant for the business world. More specifically, the authors say the Marines follow five practices: they over-invest in cultivating core value; prepare every person to lead, including front line supervisors; learn when to create teams and when to create single-leader work groups; attend to all employees, not just the top half; and encourage self-discipline as a way of building pride. The authors admit there are critical differences between the Marines and most businesses. But using vivid examples from companies such as KFC and Marriott International, the authors illustrate how the Marines' approach can be translated for corporate use. Sometimes, the authors maintain, minor changes in a company's standard operating procedure can have a powerful effect on front line pride and can result in substantial payoffs in company performance.

The promise of Lean in health care.

PubMed

Toussaint, John S; Berry, Leonard L

2013-01-01

An urgent need in American health care is improving quality and efficiency while controlling costs. One promising management approach implemented by some leading health care institutions is Lean, a quality improvement philosophy and set of principles originated by the Toyota Motor Company. Health care cases reveal that Lean is as applicable in complex knowledge work as it is in assembly-line manufacturing. When well executed, Lean transforms how an organization works and creates an insatiable quest for improvement. In this article, we define Lean and present 6 principles that constitute the essential dynamic of Lean management: attitude of continuous improvement, value creation, unity of purpose, respect for front-line workers, visual tracking, and flexible regimentation. Health care case studies illustrate each principle. The goal of this article is to provide a template for health care leaders to use in considering the implementation of the Lean management system or in assessing the current state of implementation in their organizations. Copyright © 2013 Mayo Foundation for Medical Education and Research. Published by Elsevier Inc. All rights reserved.

Observing practice leadership in intellectual and developmental disability services.

PubMed

Beadle-Brown, J; Bigby, C; Bould, E

2015-12-01

Improving staff performance is an issue in services for people with intellectual disability. Practice leadership, where the front line leader of a staff team focuses on service user outcomes in everything they do and provides coaching, modeling, supervision and organisation to the team, has been identified as important in improving staff performance. To date this finding is based only on self-report measures. This paper describes and tests an observational measure of practice leadership based on an interview with the front-line manager, a review of paperwork and observations in 58 disability services in Australia. The measure showed good internal consistency and acceptable inter-rater reliability. Practice leadership was associated with staff practice and outcomes for service users. The observed measure of practice leadership appears to be a useful tool for assessing whether leadership within a service promotes enabling and empowering support by staff. It was found to discriminate higher and lower performing services in terms of active support. The measure had good reliability and validity although some further testing is required to give a complete picture of the possible uses and reliability of the measure. The measure is potentially useful in contexts of both research and service development. The confirmation of previous findings from self-report measures that practice leadership is related to the quality of staff practice and outcomes for service users has implications for policy and practice in terms of the training of managers and structures for organisational management. © 2015 MENCAP and International Association of the Scientific Study of Intellectual and Developmental Disabilities and John Wiley & Sons Ltd.

Assessing clinicians' management of first episode schizophrenia using clinical case vignettes.

PubMed

Huffman, Jeff C; Freudenreich, Oliver; Romeo, Sarah; Baer, Lee; Sutton-Skinner, Kelly; Petersen, Tim; Fromson, John A; Birnbaum, Robert J

2010-02-01

Patients with first episode schizophrenia may present in a variety of clinical settings to providers who have a range of knowledge and skills. A thoughtful workup of patients with new-onset psychosis is critical, and the treatment of first episode schizophrenia differs from that of chronic psychotic disorders. Clinical case vignettes with free-form responses can be used to carefully assess whether front line practitioners provide guideline-adherent management of first episode psychosis. A clinical case vignette, presenting a patient with first episode schizophrenia, was created and administered to the attendees of a continuing medical education programme. Free-form responses to questions regarding differential diagnosis, workup, treatment and treatment duration were scored based on published practice guidelines. Response frequencies were tabulated and performance was compared among professional disciplines. Sixty-two attendees completed the vignette. Though the attendees typically considered a broad differential diagnosis and appropriately initiated treatment with antipsychotics, the respondents' proposed medical workup was limited, and they prescribed antipsychotics at higher doses and for a shorter duration than recommended in the literature. The prescribers outperformed the non-prescribers on treatment questions (P = 0.006), but the two groups' performance did not significantly differ on the assessment questions (P = 0.08). The front line clinicians who encounter patients with first episode schizophrenia may have significant practice gaps in the initial and follow-up care of these patients. Given the preliminary nature of this study and the debate about the optimal care for first episode psychosis, further study is needed. If such gaps are confirmed, additional educational interventions are required to align clinical management with published practice guidelines.

Effect of low-carbohydrate claims on consumer perceptions about food products' healthfulness and helpfulness for weight management.

PubMed

Labiner-Wolfe, Judith; Jordan Lin, Chung-Tung; Verrill, Linda

2010-01-01

Evaluate effect of low-carbohydrate claims on consumer perceptions about food products' healthfulness and helpfulness for weight management. Experiment in which participants were randomly assigned 1 of 12 front-of-package claim conditions on bread or a frozen dinner. Seven of the 12 conditions also included Nutrition Facts (NF) information. Internet. 4,320 members of a national on-line consumer panel. Exposure to images of a food package. Ratings on Likert scales about perceived healthfulness, helpfulness for weight management, and caloric content. Mean ratings by outcome measure, condition, and product were calculated. Ratings were also used as the dependent measure in analysis of variance models. Participants who saw front-of-package-only conditions rated products bearing low-carbohydrate claims as more helpful for weight management and lower in calories than the same products without a claim. Those who saw the bread with low-carbohydrate claims also rated it as more healthful than those who saw no claim. When the NF label was available and products had the same nutrition profile, participants rated products with low-carbohydrate claims the same as those with no claim. Consumers who do not use the NF panel may interpret low-carbohydrate claims to have meaning beyond the scope of the claim itself. Published by Elsevier Inc.

AB 540: Tuition Waiver Policy in California: How Student Services Professionals Influence College Access for Undocumented Students

ERIC Educational Resources Information Center

Wang, Lynn J.

2018-01-01

This was an exploratory qualitative study utilizing tenets of phenomenology to examine the lived experiences of front-line student services professionals in Admissions and Financial Aid and their dilemmas in interpreting and implementing California Assembly Bill 540 (2001) in their interactions with undocumented students. Front-line student…

Characterization of Ablation Product Radiation Signatures of PICA and FiberForm

NASA Technical Reports Server (NTRS)

Winter, Michael; Butler, Bradley D.; Diao, Zhaojin; Panerai, Francesco; Martin, Alexandre; Bailey, Sean C. C.; Danehy, Paul M.; Splinter, Scott

2016-01-01

Emission spectroscopy measurements in the post-shock layer in front of low density ablative material samples of different shapes were obtained in the NASA Langley HYMETS arcjet facility. A horizontal line of measurement positions was imaged on the entrance slit of the spectrometer allowing detection of the entire stagnation line in front of the samples. The stagnation line measurements were used to compare the post-shock layer emission signatures in front of PICA and FiberForm. The emission signatures of H, NH, and OH are characteristic for pyrolysis gases and consequently were only observed in front of the PICA samples. CN and C were found in front of both materials and are mainly due to interactions of the carbon fibers with the plasma. In all tests with instrumented samples, the emission of Mn, Cr, and Ni was observed when the thermocouple temperatures reached or exceeded 1,500 K, strongly indicating erosion of the molten thermocouple tips. Temperatures in the post-shock layer were estimated from comparing the CN band emission to spectral simulation. The resulting rotational and vibrational temperatures were on the order of 7,000 to 9,000 K and close to each other indicating a plasma condition close to equilibrium. In addition to the stagnation line configurations, off-axis lines of observation were investigated to gather information about spalled particles in the flow. From a comparison of measured continuum emission with simulated Planck radiation, average particle temperatures along the measured line of observation were determined for two cases. Particle temperatures between 3,500 and 2,000 K were found. A comprehensive investigation of the entire amount of data set is ongoing.

The 5As team intervention: bridging the knowledge gap in obesity management among primary care practitioners.

PubMed

Ogunleye, Ayodele; Osunlana, Adedayo; Asselin, Jodie; Cave, Andrew; Sharma, Arya Mitra; Campbell-Scherer, Denise Lynn

2015-12-22

Despite opportunities for didactic education on obesity management, we still observe low rates of weight management visits in our primary care setting. This paper describes the co-creation by front-line interdisciplinary health care providers and researchers of the 5As Team intervention to improve obesity prevention and management in primary care. We describe the theoretical foundations, design, and core elements of the 5AsT intervention, and the process of eliciting practitioners' self-identified knowledge gaps to inform the curricula for the 5AsT intervention. Themes and topics were identified through facilitated group discussion and a curriculum relevant to this group of practitioners was developed and delivered in a series of 12 workshops. The research question and approach were co-created with the clinical leadership of the PCN; the PCN committed internal resources and a practice facilitator to the effort. Practice facilitation and learning collaboratives were used in the intervention For the content, front-line providers identified 43 topics, related to 13 themes around obesity assessment and management for which they felt the need for further education and training. These needs included: cultural identity and body image, emotional and mental health, motivation, setting goals, managing expectations, weight-bias, caregiver fatigue, clinic dynamics and team-based care, greater understanding of physiology and the use of a systematic framework for obesity assessment (the "4Ms" of obesity). The content of the 12 intervention sessions were designed based on these themes. There was a strong innovation values fit with the 5AsT intervention, and providers were more comfortable with obesity management following the intervention. The 5AsT intervention, including videos, resources and tools, has been compiled for use by clinical teams and is available online at http://www.obesitynetwork.ca/5As_Team . Primary care interdisciplinary practitioners perceive important knowledge gaps across a wide range of topics relevant to obesity assessment and management. This description of the intervention provides important information for trial replication. The 5AsT intervention may be a useful aid for primary care teams interested to improve their knowledge of obesity prevention and management. Clinical Trials.gov (NCT01967797).

Acceptability and perceived utility of drone technology among emergency medical service responders and incident commanders for mass casualty incident management.

PubMed

Hart, Alexander; Chai, Peter R; Griswold, Matthew K; Lai, Jeffrey T; Boyer, Edward W; Broach, John

2017-01-01

This study seeks to understand the acceptability and perceived utility of unmanned aerial vehicle (UAV) technology to Mass Casualty Incidents (MCI) scene management. Qualitative questionnaires regarding the ease of operation, perceived usefulness, and training time to operate UAVs were administered to Emergency Medical Technicians (n = 15). A Single Urban New England Academic Tertiary Care Medical Center. Front-line emergency medical service (EMS) providers and senior EMS personnel in Incident Commander roles. Data from this pilot study indicate that EMS responders are accepting to deploying and operating UAV technology in a disaster scenario. Additionally, they perceived UAV technology as easy to adopt yet impactful in improving MCI scene management.

Continuing education to go: capacity building in psychotherapies for front-line mental health workers in underserviced communities.

PubMed

Ravitz, Paula; Cooke, Robert G; Mitchell, Scott; Reeves, Scott; Teshima, John; Lokuge, Bhadra; Lawson, Andrea; McNaughton, Nancy; Skinner, Wayne; Cooper, Carolynne; Fefergrad, Mark; Zaretsky, Ari

2013-06-01

To address the gaps between need and access, and between treatment guidelines and their implementation for mental illness, through capacity building of front-line health workers. Following a learning needs assessment, work-based continuing education courses in evidence-supported psychotherapies were developed for front-line workers in underserviced community settings. The 5-hour courses on the fundamentals of cognitive-behavioural therapy, interpersonal psychotherapy, motivational interviewing, and dialectical behaviour therapy each included videotaped captioned simulations, interactive lesson plans, and clinical practice behaviour reminders. Two courses, sequentially offered in 7 underserviced settings, were subjected to a mixed methods evaluation. Ninety-three nonmedical front-line workers enrolled in the program. Repeated measures analysis of variance was used to assess pre- and postintervention changes in knowledge and self-efficacy. Qualitative data from 5 semistructured focus groups with 25 participants were also analyzed. Significant pre- and postintervention changes in knowledge (P < 0.001) were found in course completers. Counselling self-efficacy improved in participants who took the first course offered (P = 0.001). Dropouts were much less frequent in peer-led, small-group learning than in a self-directed format. Qualitative analysis revealed improved confidence, morale, self-reported practice behaviour changes, and increased comfort in working with difficult clients. This work-based, multimodal, interactive, interprofessional curriculum for knowledge translation of psychotherapeutic techniques is feasible and helpful. A peer-led group format is preferred over self-directed learning. Its application can build capacity of front-line health workers in helping patients who suffer from common mental disorders.

The Colorado Front Range Ecosystem Management Research Project: Accomplishments to date

Treesearch

Brian Kent; Wayne D. Shepperd; Deborah J. Shields

2000-01-01

This article briefly describes the goals and objectives for the Colorado Front Range Ecosystem Management Project (FREM). Research under this project has addressed both biophysical and human dimensions problems relating to ecosystem management in the Colorado Front Range. Results of completed work are described, and the status of the ongoing demonstration project at...

"You Are a Part of the Solution": Negotiating Gender-Based Violence and Engendering Change in Urban Informal Settlements in Mumbai, India.

PubMed

Chakraborty, Proshant; Daruwalla, Nayreen; Jayaraman, Anuja; Pantvaidya, Shanti

2016-08-04

This article explores how women front-line workers engage with domestic and gender-based violence in the urban informal settlements of Dharavi in Mumbai, India. We conducted in-depth interviews with 13 voluntary front-line workers, along with ethnographic fieldwork in Dharavi, as a part of a pilot study. Our findings contribute to literature on context-specific approaches to understanding gender-based violence and "models" to prevent domestic violence in urban micro-spaces. Furthermore, we also discuss notions of "change" (badlaav) that the front-line workers experience. Finally, this article presents implications for socially engaged ethnographic research, as well as contextual and grounded insights on ways to reduce gender-based and domestic violence. © The Author(s) 2016.

Possible impacts of the pre-monsoon dry line and sea breeze front on nocturnal rainfall over northeast Bangladesh

NASA Astrophysics Data System (ADS)

Stiller-Reeve, Mathew; Toniazzo, Thomas; Kolstad, Erik; Spengler, Thomas

2017-04-01

The northeast region of Bangladesh receives a large amount of rainfall before the large-scale monsoon circulation begins. For example, in April (a "pre-monsoon" month) 2010, 804 mm of rain fell in the regional capital Sylhet. It was the second wettest month of the entire year. From our conversations with the local people, we know that this pre-monsoon rainfall is extremely important to their livelihoods. We therefore need to understand it's triggering mechanisms. Several theories have been published, all of which are likely to be at play. However, in this work we look more closely at how the sea breeze front and prominent pre-monsoonal dry line in this region may play a role. If these mechanisms play a role in the convection, then it is likely that they trigger convection further afield, and then the resulting systems then propagate towards northeast Bangladesh. We believe this because rainfall associated with dry line/sea-breeze front convection often occurs during the late afternoon, but the rainfall over northeast Bangladesh shows a clear late-night/early-morning maxima. At present, the temporal and spatial resolution of the regional observations is inappropriate for examining these possible mechanisms. We therefore use a numerical model (WRF) to investigate the possible links between the convection and the sea breeze front and dry line. We use April 2010 as a case study since it was such a wet pre-monsoon month. The simulation shows that a sea breeze circulation often develops during the day in the coastal zone of Bangladesh and northeast India. After sunset the sea breeze front propagates inland pushing back the hot, dry air over India. On several days during the simulation, convection is triggered along the sea breeze front, which then propagates towards northeast Bangladesh and intensifies across the topography surrounding the Sylhet region. From our simulations, it appears that nocturnal convection over northeast Bangladesh is triggered by several mechanisms, but that the dry line and sea breeze front could also be an active contributor.

Case Managers on the Front Lines of Ethical Dilemmas: Advocacy, Autonomy, and Preventing Case Manager Burnout.

PubMed

Sortedahl, Charlotte; Mottern, Nina; Campagna, Vivian

The purpose of this article is to examine how case managers are routinely confronted by ethical dilemmas within a fragmented health care system and given the reality of financial pressures that influence life-changing decisions. The Code of Professional Conduct for Case Managers (Code), published by the Commission for Case Manager Certification, acknowledges "case managers may often confront ethical dilemmas" (Code 1996, Rev. 2015). The Code and expectations that professional case managers, particularly those who are board certified, will uphold ethical and legal practice apply to case managers in every practice setting across the full continuum of health care. This discussion acknowledges the ethical dilemmas that case managers routinely confront, which empowers them to seek support, guidance, and resources to support ethical practice. In addition, the article seeks to raise awareness of the effects of burnout and moral distress on case managers and others with whom they work closely on interdisciplinary teams.

"Against Fascism, War and Economies": The Communist Party of Great Britain's Schoolteachers during the Popular Front, 1935-1939

ERIC Educational Resources Information Center

Kavanagh, Matthew

2014-01-01

The Popular Front line made the Communist Party of Great Britain (CPGB) a more hospitable place for "brain workers." The emphasis the line placed on mass ideological and cultural struggle against fascism meant that they became important allies to be won for the working class. As the principal transmitters of ideology and culture to the…

Intentions to Participate in Counselling among Front-Line, At-Risk Irish Government Employees: An Application of the Theory of Planned Behaviour

ERIC Educational Resources Information Center

Hyland, Philip E.; McLaughlin, Christopher G.; Boduszek, Daniel; Prentice, Garry R.

2012-01-01

The study set out to examine intentions to engage in counselling among at-risk Irish government employees and the differential utility of two alternative theory of planned behaviour (TPB) models of behaviour to explain intentions to participate in counselling. Individuals (N = 259) employed in a front-line, at-risk occupation for the Irish…

Examining the front lines of local environmental public health practice: a Maryland case study.

PubMed

Resnick, Beth; Zablotsky, Joanna; Nachman, Keeve; Burke, Thomas

2008-01-01

Local environmental public health (EPH) is the foundation of a nation's environmental protection infrastructure. With increasing pressure to demonstrate the ability of EPH activities to effectively protect health, the Johns Hopkins Center for Excellence in EPH Practice, as part of the Centers for Disease Control and Prevention's (CDC's) EPH capacity-building effort, developed the Profile of Maryland Environmental Public Health Practice. This profile offers an examination of front-line local EPH strengths, needs, challenges, and provides recommendations to strengthen the EPH infrastructure. A multistep process was conducted, including site visits to all of Maryland's 24 local EPH agencies and a questionnaire addressing administrative structure, communication, funding, workforce, crisis management, technology, and legal authority, completed by local EPH directors. The Maryland Profile revealed a dedicated and responsive workforce limited by a neglected, fragmented, and underfunded EPH infrastructure. Recommendations regarding leadership, workforce, training, technology, communication, and legal authority are offered. This research has implications for the national EPH infrastructure. Recommendations offered are consistent with the CDC's findings in A National Strategy to Revitalize Environmental Public Health Services. These findings and recommendations offer opportunities to facilitate the advancement of an EPH system to better protect the nation's health.

Building a leadership team that works.

PubMed

Blomenberg, Emily M

2005-01-01

Radiology administrators often are challenged to do more with less. In today's fast-paced work environment, leaders must be creative. They must surround themselves with good people in order to successfully achieve their organizations' goals. Once a radiology administrator is satisfied and comfortable that he or she has, the right staff involved, a leadership team can be formally establislished. Howard Regional Health System established an Imaging Services Leadership Team with a vision to provide leaders for the staff to "follow," just as team members learn from the radiology administrator. In addition, team members are vital in assisting the radiology administrator in managing the department The process of building the team consisted of 3 steps: selecting team members (the most challenging and time-consuming component), formalizing a functional team, and putting the team into action. Finding the right people, holding regular meetings, and making those team meetings meaningful are keys to a successful leadership team. The implementation of the team has had a positive effect on imaging services: the number of procedures has increased, the team is used as a communication tool for front-line staff, front-line staff are becoming more comfortable with making decisions.

Principles and practices for the restoration of ponderosa pine and dry mixed-conifer forests of the Colorado Front Range

Treesearch

Robert N. Addington; Gregory H. Aplet; Mike A. Battaglia; Jennifer S. Briggs; Peter M. Brown; Antony S. Cheng; Yvette Dickinson; Jonas A. Feinstein; Kristen A. Pelz; Claudia M. Regan; Jim Thinnes; Rick Truex; Paula J. Fornwalt; Benjamin Gannon; Chad W. Julian; Jeffrey L. Underhill; Brett Wolk

2018-01-01

Wildfires have become larger and more severe over the past several decades on Colorado’s Front Range, catalyzing greater investments in forest management intended to mitigate wildfire risks. The complex ecological, social, and political context of the Front Range, however, makes forest management challenging, especially where multiple management goals including forest...

Impoverishment of practice: analysis of effects of economic discourses in home care case management practice.

PubMed

Ceci, Christine

2006-03-01

Home care is a health sector under increasing pressure. Demand is often said to be outstripping capacity, with constant change and retrenchment distinguishing features of the current context. This paper takes a reading of the current conditions of home care using data gathered during a field study of home care case management practices conducted in 2004. As economic discourses become increasingly influential in determining responses to client situations, case managers (and their managers) find themselves with limited capacity to exercise control over their practices. A growing gap between professionally influenced discourses--those presumably intended to guide practice--and organizational priorities creates a dissonance for case managers as the political-ethical dimensions of their practices are displaced by budget "realities." For front-line workers, such displacement cannot be sustained in their face-to-face encounters with clients, leading to a growing sense of frustration and powerlessness among these highly skilled practitioners.

Variability of phase and amplitude fronts due to horizontal refraction in shallow water.

PubMed

Katsnelson, Boris G; Grigorev, Valery A; Lynch, James F

2018-01-01

The variability of the interference pattern of a narrow-band sound signal in a shallow water waveguide in the horizontal plane in the presence of horizontal stratification, in particular due to linear internal waves, is studied. It is shown that lines of constant phase (a phase front) and lines of constant amplitude/envelope (an amplitude front) for each waveguide mode may have different directions in the spatial vicinity of the point of reception. The angle between them depends on the waveguide's parameters, the mode number, and the sound frequency. Theoretical estimates and data processing methodology for obtaining these angles from experimental data recorded by a horizontal line array are proposed. The behavior of the angles, which are obtained for two episodes from the Shallow Water 2006 (SW06) experiment, show agreement with the theory presented.

The use of alectinib in the first-line treatment of anaplastic lymphoma kinase-positive non-small-cell lung cancer.

PubMed

Gadgeel, Shirish M

2018-03-14

Anaplastic lymphoma kinase (ALK) gene rearrangements as driver genetic alterations occur in approximately 2-4% of non-small-cell lung cancer (NSCLC) patients. Alectinib, a next generation ALK inhibitor, recently demonstrated, in two separate Phase III trials, superior efficacy to crizotinib, the first ALK inhibitor to demonstrate clinical efficacy in ALK-positive NSCLC patients. Alectinib also demonstrated superior efficacy in the CNS. The data from these two Phase III studies suggest that the efficacy of starting with alectinib is superior to the overall clinical efficacy of starting with crizotinib followed by switching to alectinib at the time of disease progression. These results have changed the standard of care to alectinib as front-line therapy for advanced ALK-positive NSCLC patients. Areas covered: this paper reviews the available data on alectinib as front-line therapy in patients with ALK-positive NSCLC patients including its activity against brain metastases. In addition, the paper will review the data with other ALK inhibitors as front-line therapy.

On the "Front Lines" of the Classroom: Moral Education and Muslim Students in French State Schools

ERIC Educational Resources Information Center

Wesselhoeft, Kirsten

2017-01-01

This paper examines the role of the French state school classroom as a scene of moral pedagogy from the point of view of the French state and Muslim community activists. I argue that in both sets of discourses, the state school classroom is consistently figured as the front lines of a battleground, in which teachers, students, and parents are all…

Developing and sustaining leadership in public health nursing: findings from one British Columbia health authority.

PubMed

Mills, Leslie; Wong, Sabrina T; Bhagat, Radhika; Quail, Donna; Triolet, Kathy; Weber, Tannis

2012-12-01

To develop clinical leadership among front-line public health nurses (PHNs). This paper describes a quality improvement process to develop clinical leadership among front-line PHNs. Three activities were undertaken by a working group consisting mainly of front-line staff: engaging PHNs in an online change-readiness questionnaire, administering a survey to clients who had ever used public health services delivered by one Vancouver Community Infant, Child and Youth (ICY) program team and conducting three group interviews with public health providers. The group interviews asked about PHN practice. They were analyzed using thematic content analysis. This quality improvement project suggests that PHNs (n=70) strongly believed in opportunities for system improvement. Client surveys (n=429) and community partner surveys (n=79) revealed the importance of the PHN role. Group interview data yielded three themes: PHNs were the "hub" of community care; PHNs lacked a common language to describe their work; PHNs envisioned their future practice encompassing their full scope of competencies. PHNs developed the "ICY Public Health Nursing Model," which articulates 14 public health interventions and identifies the scope of their work. Developing and sustaining clinical leadership in front-line PHNs was accomplished through these various quality assurance activities. Copyright © 2013 Longwoods Publishing.

Observations of a tidal intrusion front in a tidal channel

NASA Astrophysics Data System (ADS)

Lu, Shasha; Xia, Xiaoming; Thompson, Charlie E. L.; Cao, Zhenyi; Liu, Yifei

2017-11-01

A visible front indicated by a surface colour change, and sometimes associated with foam or debris lines, was observed in a tidal channel during neap tide. This is an example of a tidal intrusion front occurring in the absence of sudden topographical changes or reversing flows, typically reported to be associated with such fronts. Detailed Acoustic Doppler Current Profiler and conductivity/temperature/depth measurements were taken on repeated transects both with fronts apparent and with fronts absent. The results indicated that the front occurred as a result of stratification, which was sustained by the buoyancy flux and the weak tide-induced mixing during neap ebb tide. The stronger tide-induced mixing during spring tide restrained stratification, leading to the absence of a front. The mechanism of the frontogenesis was the density gradient between the stratified water formed during neap ebb tide, and the more mixed seawater during neap flood tide; thus, the water on the landward (southwestern) side of the front was stratified, and that on the seaward side (northeastern) of the front was vertically well mixed. Gradient Richardson number estimates suggest that the flow between the stratified and mixed water was near the threshold 0.25 for shear instability. Meanwhile, the density gradient would provide an initial baroclinic contribution to velocity convergence, which is indicated by the accumulation of buoyant matter such as foam, grass, and debris into a sharply defined line along the surface. The front migrates with the flood current, with a local maximum towards the eastern side of the channel, leading to an asymmetrical shape with the eastern side of the front driven further into the Tiaozhoumen tidal channel.

Multi-objective Analysis for a Sequencing Planning of Mixed-model Assembly Line

NASA Astrophysics Data System (ADS)

Shimizu, Yoshiaki; Waki, Toshiya; Yoo, Jae Kyu

Diversified customer demands are raising importance of just-in-time and agile manufacturing much more than before. Accordingly, introduction of mixed-model assembly lines becomes popular to realize the small-lot-multi-kinds production. Since it produces various kinds on the same assembly line, a rational management is of special importance. With this point of view, this study focuses on a sequencing problem of mixed-model assembly line including a paint line as its preceding process. By taking into account the paint line together, reducing work-in-process (WIP) inventory between these heterogeneous lines becomes a major concern of the sequencing problem besides improving production efficiency. Finally, we have formulated the sequencing problem as a bi-objective optimization problem to prevent various line stoppages, and to reduce the volume of WIP inventory simultaneously. Then we have proposed a practical method for the multi-objective analysis. For this purpose, we applied the weighting method to derive the Pareto front. Actually, the resulting problem is solved by a meta-heuristic method like SA (Simulated Annealing). Through numerical experiments, we verified the validity of the proposed approach, and discussed the significance of trade-off analysis between the conflicting objectives.

Focus on Alectinib and Competitor Compounds for Second-Line Therapy in ALK-Rearranged NSCLC

PubMed Central

Tran, Phu N.; Klempner, Samuel J.

2016-01-01

The management of anaplastic lymphoma kinase rearranged (ALK+) non-small cell lung cancer (NSCLC) exemplifies the potential of a precision medicine approach to cancer care. The ALK inhibitor crizotinib has led to improved outcomes in the first- and second-line setting; however, toxicities, intracranial activity, and acquired resistance necessitated the advent of later generation ALK inhibitors. A large portion of acquired resistance to ALK inhibitors is caused by secondary mutations in the ALK kinase domain. Alectinib is a second-generation ALK inhibitor capable of overcoming multiple crizotinib-resistant ALK mutations and has demonstrated improved outcomes after crizotinib failure. Favorable toxicity profile and improved intracranial activity have spurred ongoing front-line trials and comparisons to other ALK inhibitors. However, important questions regarding comparability to competitor compounds, acquired alectinib resistance, and ALK inhibitor sequencing remain. Here, we review the key clinical data supporting alectinib in the second-line therapy of ALK+ NSCLC and provide context in comparison to other ALK inhibitors in development. PMID:27965961

Focus on Alectinib and Competitor Compounds for Second-Line Therapy in ALK-Rearranged NSCLC.

PubMed

Tran, Phu N; Klempner, Samuel J

2016-01-01

The management of anaplastic lymphoma kinase rearranged (ALK+) non-small cell lung cancer (NSCLC) exemplifies the potential of a precision medicine approach to cancer care. The ALK inhibitor crizotinib has led to improved outcomes in the first- and second-line setting; however, toxicities, intracranial activity, and acquired resistance necessitated the advent of later generation ALK inhibitors. A large portion of acquired resistance to ALK inhibitors is caused by secondary mutations in the ALK kinase domain. Alectinib is a second-generation ALK inhibitor capable of overcoming multiple crizotinib-resistant ALK mutations and has demonstrated improved outcomes after crizotinib failure. Favorable toxicity profile and improved intracranial activity have spurred ongoing front-line trials and comparisons to other ALK inhibitors. However, important questions regarding comparability to competitor compounds, acquired alectinib resistance, and ALK inhibitor sequencing remain. Here, we review the key clinical data supporting alectinib in the second-line therapy of ALK+ NSCLC and provide context in comparison to other ALK inhibitors in development.

Substance Abuse Screening and Treatment.

PubMed

Tenegra, Johnny C; Leebold, Bobby

2016-06-01

One of the more prevalent and often undiagnosed problems seen by primary care clinicians is substance misuse. Resulting in increased morbidity and mortality, loss of productivity, and increased health care costs, substance misuse in our society remains a significant public health issue. Primary care physicians are on the front lines of medical care, and as such, are in a distinctive position to recognize potential problems in this area and assist. This article outlines office-based screening approaches and strategies for managing and treating this complex issue confronting primary care. Copyright © 2016 Elsevier Inc. All rights reserved.

Operational Knowledge Management: Signaleers Share Front Line Experiences

DTIC Science & Technology

2011-01-01

commander recommended for you to be the division KMO . You’ve heard “knowledge management” thrown around at NTC or JRTC, and usually from your...technology? You check the division’s MTOE and fi nd out the authorizations are for an 02A, Branch Immaterial O-5/ LTC as the KMO and a FA 57A Battle...Command Systems Operator O-4/ MAJ as the deputy KMO . Then you start to research the fi eld of KM and fi nd FM 6-01.1 Knowledge Wading through mounds of

System looks outside its own walls to find innovative way to cut kids' asthma admissions.

PubMed

1999-10-01

Atlanta children's hospital system initiates outpatient pediatric asthma disease management program to reduce inpatient admissions and ER visits while reducing costs. Children's Healthcare of Atlanta turned to the primary care physician community for front-line support in keeping mild asthma cases out of the hospital. By offering evidence-based practice guidelines, training for staff, and educational materials for patients and their families, the Partnership to ACE Asthma program is off to a running start. Learn how to set up a similar program.

School Nurses on the Front Lines of Medicine: Connecting the Dots: SCRIPTS for Success in the Evaluation of Pediatric Rashes.

PubMed

Olympia, Robert P

2017-05-01

Although skin rashes may not necessarily prompt a visit to the school nurse's office, a rash associated with other systemic symptoms, such as fever, headache, difficulty swallowing or breathing, weakness, or abdominal pain, may cause a child to visit your office. This article describes the initial assessment and management of skin rashes in children and adolescents and delineates reasons that may prompt the school nurse to transfer a student with a rash to a local emergency department.

KENNEDY SPACE CENTER, FLA. -- United Space Alliance (USA) Vice President and Associate Program Manager of Florida Operations Bill Pickavance (left front) and NASA Deputy Associate Administrator for Space Station and Shuttle Programs Michael Kostelnik (right front) tour a solid rocket booster (SRB) retrieval ship at Cape Canaveral. NASA and USA Space Shuttle program management are participating in a leadership workday. The day is intended to provide management with an in-depth, hands-on look at Shuttle processing activities at KSC.

NASA Image and Video Library

2003-12-19

KENNEDY SPACE CENTER, FLA. -- United Space Alliance (USA) Vice President and Associate Program Manager of Florida Operations Bill Pickavance (left front) and NASA Deputy Associate Administrator for Space Station and Shuttle Programs Michael Kostelnik (right front) tour a solid rocket booster (SRB) retrieval ship at Cape Canaveral. NASA and USA Space Shuttle program management are participating in a leadership workday. The day is intended to provide management with an in-depth, hands-on look at Shuttle processing activities at KSC.

"Ask a slave" and interpreting race on public history's front line: interview with Azie Mira Dungey.

PubMed

Dungey, Azie Mira; Tyson, Amy M

2014-02-01

In this interview, Azie Mira Dungey (creator of the web series, "Ask a Slave") and Amy M. Tyson (Associate Professor of History at DePaul University and author of The Wages of History: Emotional Labor on Public History's Front Lines) discuss Dungey's web series, as well as her experiences as a living history interpreter at both the Smithsonian Museum of American History and at Mount Vernon.

The establishment of the Croatian Dental Crops: the front-line experience of a dentist volunteer.

PubMed

Jelaca-Bagić, S; Sipina, J; Visković, R; Cakarun, Z; Vlatković, I; Biloglav, D

1997-01-01

The establishment of the first dental office of the Croatian Dental Corps (CDC) in the city of Zadar represented at the same time the beginning of the CDC. This article describes the front-line experience of a dentist who volunteered to provide basic medical help, which eventually laid the groundwork for providing general dental care and establishing the first CDC dental office. The office was opened on December 16, 1991, and provided general dental care except prosthetics. Although faced with numerous problems and extremely difficult conditions, the office staff completed 1,913 initial and 1,157 control checkups and performed 4,002 services by treating 12 to 16 patients per day. The main causes for emergencies were caries (59%) and endodontic complications (28%). This variety of services in the proximity of the front line is considered extensive even for advanced medical corps of modern armies.

LH Power Losses In Front of the JET Launcher

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

Jacquet, P.; Arnoux, G.; Kirov, K.

2009-11-26

In recent JET experiments, Lower Hybrid (LH) power losses in the Scrape-Off Layer (SOL) were characterized using infra-red (IR) thermography. Hot spots were observed on objects intercepting the field lines passing in front of the LH launcher, i.e. on poloidal limiters and on dumplates located at the top of the tokamak; their locations being in good agreement with magnetic field line tracing using the EFIT equilibrium code. The dumplate temperature was monitored while scanning the launcher position so that the radial distance between field lines intercepting the hot spots and the launcher was increased up to 3.5 cm. The dissipationmore » layer in front of the launcher was estimated to be at least 3.5 cm wide, in agreement with recent measurements on Tore-Supra, but not with simple models that predict a dissipation layer in the mm range.« less

Perspective view toward east, northeast from Line Street showing west ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

Perspective view toward east, northeast from Line Street showing west front and south end - University of Idaho, University Classroom Building, Line Street between University Avenue & Idaho Avenue, Moscow, Latah County, ID

Dispatches from the front: emergency medicine teachers' perceptions of competency-based education.

PubMed

Bandiera, Glen; Lendrum, David

2011-05-01

Controversy exists regarding the applicability of competency-based education during clinical rotations in emergency medicine (EM). Little has been written about the perceptions of front-line teachers regarding one such competency-based education paradigm, the CanMEDS framework. We undertook to determine 1) what perceptions exist among front-line teachers at two academic health science emergency departments (EDs) regarding the use of the CanMEDS roles to frame what residents should learn on ED rotations and 2) how those same teachers envision practically incorporating the CanMEDS roles into feedback provided to residents. Teachers at two sites volunteered for a semistructured focus group study. Focus groups were moderated by an experienced qualitative researcher, and verbatim transcriptions were coded by two independent reviewers. The codes were merged into final themes. The final focus group was used to further explore issues raised and test assumptions made in the preceding groups. In five focus groups involving 21 participants, the Medical Expert and Professional roles were seen as most relevant to an EM rotation, whereas the Health Advocate, Manager, Scholar, and Collaborator roles were least relevant. On further exploration, however, faculty identified highly relevant components of each role that they could envision teaching in an ED. Participants also felt that the framework helped highlight the breadth of physician competencies and provided structure for teaching and feedback. EM faculty find the CanMEDS framework helpful for structuring teaching and learning and that many elements of the roles, when defined, are feasible to integrate into a clinical rotation.

Looking southeast from intersection of Idaho Avenue and Line Street ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

Looking southeast from intersection of Idaho Avenue and Line Street showing north end and west front - University of Idaho, University Classroom Building, Line Street between University Avenue & Idaho Avenue, Moscow, Latah County, ID

Three-dimensional stereoscopic analysis of a coronal mass ejection and comparison with UV spectroscopic data

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

Susino, Roberto; Bemporad, Alessandro; Dolei, Sergio, E-mail: susino@oato.inaf.it, E-mail: sdo@oact.inaf.it

2014-07-20

A three-dimensional (3D) reconstruction of the 2007 May 20 partial-halo coronal mass ejection (CME) has been made using STEREO/EUVI and STEREO/COR1 coronagraphic images. The trajectory and kinematics of the erupting filament have been derived from Extreme Ultraviolet Imager (EUVI) image pairs with the 'tie-pointing' triangulation technique, while the polarization ratio technique has been applied to COR1 data to determine the average position and depth of the CME front along the line of sight. This 3D geometrical information has been combined for the first time with spectroscopic measurements of the O VI λλ1031.91, 1037.61 line profiles made with the Ultraviolet Coronagraphmore » Spectrometer (UVCS) on board the Solar and Heliospheric Observatory. Comparison between the prominence trajectory extrapolated at the altitude of UVCS observations and the core transit time measured from UVCS data made possible a firm identification of the CME core observed in white light and UV with the prominence plasma expelled during the CME. Results on the 3D structure of the CME front have been used to calculate synthetic spectral profiles of the O VI λ1031.91 line expected along the UVCS slit, in an attempt to reproduce the measured line widths. Observed line widths can be reproduced within the uncertainties only in the peripheral part of the CME front; at the front center, where the distance of the emitting plasma from the plane of the sky is greater, synthetic widths turn out to be ∼25% lower than the measured ones. This provides strong evidence of line broadening due to plasma heating mechanisms in addition to bulk expansion of the emitting volume.« less

Brentuximab Vedotin in the Front-Line Treatment of Patients With CD30+ Peripheral T-Cell Lymphomas: Results of a Phase I Study

PubMed Central

Fanale, Michelle A.; Horwitz, Steven M.; Forero-Torres, Andres; Bartlett, Nancy L.; Advani, Ranjana H.; Pro, Barbara; Chen, Robert W.; Davies, Andrew; Illidge, Tim; Huebner, Dirk; Kennedy, Dana A.; Shustov, Andrei R.

2014-01-01

Purpose Front-line treatment of peripheral T-cell lymphomas (PTCL) involves regimens such as cyclophosphamide, doxorubicin, vincristine, prednisone (CHOP) and results in a 5-year overall survival (OS) rate of less than 50%. This phase I open-label study evaluated the safety and activity of brentuximab vedotin administered sequentially with CHOP or in combination with CHP (CHOP without vincristine) as front-line treatment in patients with CD30+ PTCL. Patients and Methods Patients received sequential treatment (once every 3 weeks) with brentuximab vedotin 1.8 mg/kg (two cycles) followed by CHOP (six cycles) or brentuximab vedotin 1.8 mg/kg plus CHP (BV+CHP) for six cycles (once every 3 weeks). Responders received single-agent brentuximab vedotin for eight to 10 additional cycles (for a total of 16 cycles). The primary objective was assessment of safety; secondary end points included objective response rate, complete remission (CR) rate, progression-free survival rate (PFS), and OS. There were no prespecified comparisons of the two treatment approaches. Results After sequential treatment, 11 (85%) of 13 patients achieved an objective response (CR rate, 62%; estimated 1-year PFS rate, 77%). Grade 3/4 adverse events occurred in eight (62%) of 13 patients. At the end of combination treatment, all patients (n = 26) achieved an objective response (CR rate, 88%; estimated 1-year PFS rate, 71%). All seven patients without anaplastic large-cell lymphoma achieved CR. Grade 3/4 adverse events (≥ 10%) in the combination-treatment group were febrile neutropenia (31%), neutropenia (23%), anemia (15%), and pulmonary embolism (12%). Conclusion Brentuximab vedotin, administered sequentially with CHOP or in combination with CHP, had a manageable safety profile and exhibited substantial antitumor activity in newly diagnosed patients with CD30+ PTCL. A randomized phase III trial is under way, comparing BV+CHP with CHOP (clinical trial No. NCT01777152). PMID:25135998

Goose management schemes to resolve conflicts with agriculture: Theory, practice and effects.

PubMed

Eythórsson, Einar; Tombre, Ingunn M; Madsen, Jesper

2017-03-01

In 2012, the four countries hosting the Svalbard population of pink-footed goose Anser brachyrhynchus along its flyway launched an International Species Management Plan for the population. One of the aims was to reduce conflicts between geese and agriculture to an acceptable level. Since 2006, Norway has offered subsidies to farmers that provide refuge areas for geese on their land. We evaluate the mid-Norwegian goose management subsidy scheme, with a view to its adjustment to prevailing ecological and socio-economic parameters. The analysis indicates that the legitimacy of the scheme is highly dependent on transparency of knowledge management and accountability of management scheme to the farming community. Among farmers, as well as front-line officials, outcomes of prioritisation processes within the scheme are judged unfair when there is an evident mismatch between payments and genuine damage. We suggest how the scheme can be made more fair and responsive to ecological changes, within a framework of adaptive management.

Effect of phase front modulation on the merging of multiple regularized femtosecond filaments

NASA Astrophysics Data System (ADS)

Pushkarev, D.; Shipilo, D.; Lar'kin, A.; Mitina, E.; Panov, N.; Uryupina, D.; Ushakov, A.; Volkov, R.; Karpeev, S.; Khonina, S.; Kosareva, O.; Savel'ev, A.

2018-04-01

Comparative experimental data on filamentation of a powerful femtosecond laser beams with amplitude or phase front modulation is presented. We show that phase discontinuities and zero intensity lines prevented filament merging and superfilament formation.

Lean practices for quality results: a case illustration.

PubMed

Hwang, Pauline; Hwang, David; Hong, Paul

2014-01-01

Increasingly, healthcare providers are implementing lean practices to achieve quality results. Implementing lean healthcare practices is unique compared to manufacturing and other service industries. The purpose of this paper is to present a model that identifies and defines the lean implementation key success factors in healthcare organisations. The model is based on an extant literature review and a case illustration that explores actual lean implementation in a major USA hospital located in a Midwestern city (approximately 300,000 people). An exploratory/descriptive study using observation and follow-up interviews was conducted to identify lean practices in the hospital. Lean practice key drivers include growing elderly populations, rising medical expenses, decreasing insurance coverage and decreasing management support. Effectively implementing lean practices to increase bottom-line results and improve organisational integrity requires sharing goals and processes among healthcare managers and professionals. An illustration explains the model and the study provides a sound foundation for empirical work. Practical implications are included. Lean practices minimise waste and unnecessary hospital stays while simultaneously enhancing customer values and deploying resources in supply systems. Leadership requires clear project targets based on sound front-end planning because initial implementation steps involve uncertainty and ambiguity (i.e. fuzzy front-end planning). Since top management support is crucial for implementing lean practices successfully, a heavyweight manager, who communicates well both with top managers and project team members, is an important success factor when implementing lean practices. Increasingly, green orientation and sustainability initiatives are phrases that replaced lean practices. Effective results; e.g. waste reduction, employee satisfaction and customer values are applicable to bigger competitive challenges arising both in specific organisations and inter-organisational networks. Healthcare managers are adopting business practices that improve efficiency and productivity while ensuring their healthcare mission and guaranteeing that customer values are achieved. Shared understanding about complex goals (e.g. reducing waste and enhancing customer value) at the front-end is crucial for implementing successful lean practices. In particular, this study shows that nursing practices, which are both labour intensive and technology enabled, are good candidates for lean practice.

A quality tool for health insurers. A new scale measures "quality orientation" from the customer's point of view.

PubMed

Westbrook, K W; Pedrick, D; Bush, V

1996-01-01

This study defines a company's quality orientation as "all process-related activities that can be discerned by customers." This even includes certain processes internal to the company that can be seen and evaluated by customers. One significant contribution this study provides is scale development centered on customer rather than employee perceptions. To generate scale items, input was gathered from experts involved in the study, senior managers employed with the target company, focus groups of employees working on the front line with customers, and users of the services. Because the sale measures customer perceptions of quality in comparison with the firm's closest competitor, it provides managers with information for benchmarking performance relative to others in the marketplace.

Protecting the public or setting the bar too high? Understanding the causes and consequences of regulatory actions of front-line regulators and specialized drug shop operators in Kenya.

PubMed

Wafula, Francis; Molyneux, Catherine; Mackintosh, Maureen; Goodman, Catherine

2013-11-01

The problem of poor regulatory compliance has been widely reported across private health providers in developing countries. Less known are the underlying reasons for poor compliance, especially with regards to the roles played by front-line regulatory staff, and the regulatory institution as a whole. We designed a qualitative study to address this gap, with the study questions and tools drawing on a conceptual framework informed by theoretical literature on regulation. Data were collected from specialized drug shops (SDSs) in two rural districts in Western Kenya in 2011 through eight focus group discussions, and from regulatory staff from organizations governing the pharmaceutical sector through a total of 24 in-depth interviews. We found that relationships between front-line regulators and SDS operators were a strong influence on regulatory behaviour, often resulting in non-compliance and perverse outcomes such as corruption. It emerged that separate regulatory streams operated in urban and rural locations, based mainly on differing relationships between the front-line regulators and SDS operators, and on broader factors such as the competition environment and community expectations. Effective incentive structures for regulatory staff were either absent, or poorly linked to performance in regulatory organizations, resulting in divergences between the purposes of the regulatory organization and activities of front-line staff. Given the rural-urban differences in the practice environment, the introduction of lower retail practice requirements for rural SDSs could be considered. This would allow illegally operated shops to be brought within the regulatory framework, facilitating good quality provision of essential commodities to marginalized areas, without lowering the practice requirements for the better complying urban SDSs. In addition, regulatory organizations need to devise incentives that better link the level of effort to rewards such as professional advancement of regulatory staff. Copyright © 2013 Elsevier Ltd. All rights reserved.

Protecting the public or setting the bar too high? Understanding the causes and consequences of regulatory actions of front-line regulators and specialized drug shop operators in Kenya

PubMed Central

Wafula, Francis; Molyneux, Catherine; Mackintosh, Maureen; Goodman, Catherine

2013-01-01

The problem of poor regulatory compliance has been widely reported across private health providers in developing countries. Less known are the underlying reasons for poor compliance, especially with regards to the roles played by front-line regulatory staff, and the regulatory institution as a whole. We designed a qualitative study to address this gap, with the study questions and tools drawing on a conceptual framework informed by theoretical literature on regulation. Data were collected from specialized drug shops (SDSs) in two rural districts in Western Kenya in 2011 through eight focus group discussions, and from regulatory staff from organizations governing the pharmaceutical sector through a total of 24 in-depth interviews. We found that relationships between front-line regulators and SDS operators were a strong influence on regulatory behaviour, often resulting in non-compliance and perverse outcomes such as corruption. It emerged that separate regulatory streams operated in urban and rural locations, based mainly on differing relationships between the front-line regulators and SDS operators, and on broader factors such as the competition environment and community expectations. Effective incentive structures for regulatory staff were either absent, or poorly linked to performance in regulatory organizations, resulting in divergences between the purposes of the regulatory organization and activities of front-line staff. Given the rural-urban differences in the practice environment, the introduction of lower retail practice requirements for rural SDSs could be considered. This would allow illegally operated shops to be brought within the regulatory framework, facilitating good quality provision of essential commodities to marginalized areas, without lowering the practice requirements for the better complying urban SDSs. In addition, regulatory organizations need to devise incentives that better link the level of effort to rewards such as professional advancement of regulatory staff. PMID:24016728

The firehose instability during multiple reconnection in the Earth's magnetotail

NASA Astrophysics Data System (ADS)

Alexandrova, Alexandra; Divin, Andrey; Retino, Alessandro; Deca, Jan; Catapano, Filomena; Cozzani, Giulia

2017-04-01

We found unique events in the Cluster spacecraft observations of the Earth's magnetotail which correspond to the case of multiple reconnection sites. The ion temperature anisotropy of more energized ions in the direction parallel to the magnetic field, rather than in the perpendicular direction, is observed in the region of dynamical interaction between two active X-lines. The magnetic field and plasma parameters associated with the anisotropy correspond to the firehose instability conditions. We discuss possible scenarios of development of the firehose instability in multiple reconnection by comparing the observations with numerical simulations. Conventional Particle-in-Cell simulations of 2D magnetic reconnection starting from Harris equilibria are performed using implicit PIC code iPIC3D [Markidis, 2010]. At earlier stages the evolution creates fronts which push the weakly magnetized current sheet plasma away from the X-line. Fronts accelerate and reflect particles, producing parallel ion beams and increasing parallel ion temperature ahead of the front. If multiple X-lines are present, then the counterstreaming ion beams appear inside the original current sheet between colliding reconnection jet fronts. For large enough parallel ion pressure anisotropy, the firehose-like mode is excited inside the original current sheet with a flapping-like appearance along the X GSM direction but not Y GSM (current) direction. One should note that our simulations do not include the Bz magnetic field component (normal to the current sheet), hence ion beams cannot escape into the lobes and the whole region between two colliding fronts is unstable to firehose-like instability. In the Earth's magnetotail such configuration likely occurs when two active X-lines are close enough to each other, similar to a few cases we found in the Cluster observations.

Making advanced analytics work for you.

PubMed

Barton, Dominic; Court, David

2012-10-01

Senior leaders who write off the move toward big data as a lot of big talk are making, well, a big mistake. So argue McKinsey's Barton and Court, who worked with dozens of companies to figure out how to translate advanced analytics into nuts-and-bolts practices that affect daily operations on the front lines. The authors offer a useful guide for leaders and managers who want to take a deliberative approach to big data-but who also want to get started now. First, companies must identify the right data for their business, seek to acquire the information creatively from diverse sources, and secure the necessary IT support. Second, they need to build analytics models that are tightly focused on improving performance, making the models only as complex as business goals demand. Third, and most important, companies must transform their capabilities and culture so that the analytical results can be implemented from the C-suite to the front lines. That means developing simple tools that everyone in the organization can understand and teaching people why the data really matter. Embracing big data is as much about changing mind-sets as it is about crunching numbers. Executed with the right care and flexibility, this cultural shift could have payoffs that are, well, bigger than you expect.

Enhancing the population impact of collaborative care interventions: Mixed method development and implementation of stepped care targeting posttraumatic stress disorder and related comorbidities after acute trauma

PubMed Central

Zatzick, Douglas; Rivara, Frederick; Jurkovich, Gregory; Russo, Joan; Trusz, Sarah Geiss; Wang, Jin; Wagner, Amy; Stephens, Kari; Dunn, Chris; Uehara, Edwina; Petrie, Megan; Engel, Charles; Davydow, Dimitri; Katon, Wayne

2011-01-01

Objective To develop and implement a stepped collaborative care intervention targeting PTSD and related co-morbidities to enhance the population impact of early trauma-focused interventions. Method We describe the design and implementation of the Trauma Survivors Outcomes & Support Study (TSOS II). An interdisciplinary treatment development team was comprised of trauma surgical, clinical psychiatric and mental health services “change agents” who spanned the boundaries between front-line trauma center clinical care and acute care policy. Mixed method clinical epidemiologic and clinical ethnographic studies informed the development of PTSD screening and intervention procedures. Results Two-hundred and seven acutely injured trauma survivors with high early PTSD symptom levels were randomized into the study. The stepped collaborative care model integrated care management (i.e., posttraumatic concern elicitation and amelioration, motivational interviewing, and behavioral activation) with cognitive behavioral therapy and pharmacotherapy targeting PTSD. The model was feasibly implemented by front-line acute care MSW and ARNP providers. Conclusions Stepped care protocols targeting PTSD may enhance the population impact of early interventions developed for survivors of individual and mass trauma by extending the reach of collaborative care interventions to acute care medical settings and other non-specialty posttraumatic contexts. PMID:21596205

[Security agents on the front line against Ebola: roles, perceptions and knowledge in Fann Teaching Hospital, Dakar, Senegal].

PubMed

Lanièce, C; Sow, K; Desclaux, A

2016-10-01

Security agents are on the front line when patients arrive at health facilities, giving them a potential role to play in an Ebola virus disease (EVD) outbreak. The position of security agents within health services is poorly documented. A survey was conducted to clarify their understanding of Ebola pathology, to assess their need for information and to determine their role in patient management. The survey included both qualitative and quantitative aspects. 80 security agents of the Fann teaching hospital (Dakar) completed questionnaires, and 11 were interviewed. Qualitative analysis was performed with Dedoose and the quantitative analysis using Excel. The results show that security agents' activities go beyond their mission of security and control. They are involved in informing, orienting and assisting patients and those accompanying them in the hospital. The security agents have basic knowledge of EVD, but overestimate the risk of transmission. They want to be more informed and to have access to protective material. These results suggest that these professionals should be taken into account when developing response strategies to Ebola outbreaks. Their knowledge of and protection against the disease must be strengthened. Non-health professionals working in health facilities should be trained in order to be able to relay information to the public.

Engaging dental professionals in NHS leadership - the challenges, the opportunities and the risks.

PubMed

Ford, J

2014-09-01

Leadership training in dentistry and the wider NHS is often overlooked or seen as an unnecessary distraction from front line duties. Dentists themselves are often reluctant to adopt formal leadership learning due to the way work is structured and rewarded. So, what is it like for a dentist to undertake leadership training and how can the gap be bridged between the need for highly trained leaders in dentistry and the reticence of front line professionals to take time away from practice?

Advancing the application of systems thinking in health: South African examples of a leadership of sensemaking for primary health care.

PubMed

Gilson, Lucy; Elloker, Soraya; Olckers, Patti; Lehmann, Uta

2014-06-16

New forms of leadership are required to bring about the fundamental health system changes demanded by primary health care (PHC). Using theory about complex adaptive systems and policy implementation, this paper considers how actors' sensemaking and the exercise of discretionary power currently combine to challenge PHC re-orientation in the South African health system; and provides examples of leadership practices that promote sensemaking and power use in support of PHC. The paper draws on observational, interview, and reflective data collected as part of the District Innovation and Action Learning for Health Systems Development (DIALHS) project being implemented in Cape Town, South Africa. Undertaken collaboratively between health managers and researchers, the project is implemented through cycles of action-learning, including systematic reflection and synthesis. It includes a particular focus on how local health managers can better support front line facility managers in strengthening PHC. The results illuminate how the collective understandings of staff working at the primary level - of their working environment and changes within it - act as a barrier to centrally-led initiatives to strengthen PHC. Staff often fail to take ownership of such initiatives and experience them as disempowering. Local area managers, located between the centre and the service frontline, have a vital role to play in providing a leadership of sensemaking to mediate these challenges. Founded on personal values, such leadership entails, for example, efforts to nurture PHC-aligned values and mind-sets among staff; build relationships and support the development of shared meanings about change; instil a culture of collective inquiry and mutual accountability; and role-model management practices, including using language to signal meaning. PHC will only become a lived reality within the South African health system when frontline staff are able to make sense of policy intentions and incorporate them into their everyday routines and practices. This requires a leadership of sensemaking that enables front line staff to exercise their collective discretionary power in strengthening PHC. We hope this theoretically-framed analysis of one set of experiences stimulates wider thinking about the leadership needed to sustain primary health care in other settings.

Advancing the application of systems thinking in health: South African examples of a leadership of sensemaking for primary health care

PubMed Central

2014-01-01

Background New forms of leadership are required to bring about the fundamental health system changes demanded by primary health care (PHC). Using theory about complex adaptive systems and policy implementation, this paper considers how actors’ sensemaking and the exercise of discretionary power currently combine to challenge PHC re-orientation in the South African health system; and provides examples of leadership practices that promote sensemaking and power use in support of PHC. Methods The paper draws on observational, interview, and reflective data collected as part of the District Innovation and Action Learning for Health Systems Development (DIALHS) project being implemented in Cape Town, South Africa. Undertaken collaboratively between health managers and researchers, the project is implemented through cycles of action-learning, including systematic reflection and synthesis. It includes a particular focus on how local health managers can better support front line facility managers in strengthening PHC. Results The results illuminate how the collective understandings of staff working at the primary level - of their working environment and changes within it – act as a barrier to centrally-led initiatives to strengthen PHC. Staff often fail to take ownership of such initiatives and experience them as disempowering. Local area managers, located between the centre and the service frontline, have a vital role to play in providing a leadership of sensemaking to mediate these challenges. Founded on personal values, such leadership entails, for example, efforts to nurture PHC-aligned values and mind-sets among staff; build relationships and support the development of shared meanings about change; instil a culture of collective inquiry and mutual accountability; and role-model management practices, including using language to signal meaning. Conclusions PHC will only become a lived reality within the South African health system when frontline staff are able to make sense of policy intentions and incorporate them into their everyday routines and practices. This requires a leadership of sensemaking that enables front line staff to exercise their collective discretionary power in strengthening PHC. We hope this theoretically-framed analysis of one set of experiences stimulates wider thinking about the leadership needed to sustain primary health care in other settings. PMID:24935658

77 FR 59416 - Notice of Meeting, Front Range Resource Advisory Council

Federal Register 2010, 2011, 2012, 2013, 2014

2012-09-27

... DEPARTMENT OF THE INTERIOR Bureau of Land Management [COF000-LLCOF00000-L19900000-XZ0000] Notice of Meeting, Front Range Resource Advisory Council AGENCY: Bureau of Land Management, Interior. ACTION: Notice of public meeting. SUMMARY: In accordance with the Federal Land Policy and Management Act and the...

77 FR 38824 - Notice of Meeting, Front Range Resource Advisory Council

Federal Register 2010, 2011, 2012, 2013, 2014

2012-06-29

... DEPARTMENT OF THE INTERIOR Bureau of Land Management [COF000-LLCOF00000-L19900000-XZ0000] Notice of Meeting, Front Range Resource Advisory Council AGENCY: Bureau of Land Management, Interior. ACTION: Notice of public meeting. SUMMARY: In accordance with the Federal Land Policy and Management Act and the...

Creating an Excellent Patient Experience Through Service Education

PubMed Central

2017-01-01

Service quality and patient satisfaction affect an organization’s value-based payments. This new value paradigm calls for a new approach to service education and training for front-line staff. Thoughtfully conceived, department-specific content, infused with patient feedback, value creation, and science of service quality principles, was developed to give front-line staff a deeper understanding of the impact of their performance on patient experience, value creation, and value-based revenue. Feedback from nearly 1500 trainees in 60 educational sessions delivered over 7 years indicates good understanding of the content and appreciation of the targeted approach. On a 5-point scale ranging from 1 (least effective) to 5 (most effective), trainees’ ratings of their understanding of service quality concepts and impact on value ranged from 4.7 to 4.9. Verbatim comments showed a positive impact on staff. Employee feedback suggests that value-based service education may be useful in motivating front-line staff, improving service quality, and creating value. PMID:29276761

Resent Status of ITER Equatorial Launcher Development

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

Takahashi, K.; Kajiwara, K.; Kasugai, A.

2009-11-26

The ITER equatorial launcher is divided into a front shield and a port plug. The front shield is composed of fourteen blanket shield modules so as to form three openings for the injection of mm-wave beams into plasma. Twenty-four waveguide transmission lines, internal shields, cooling pipes and so on are installed in the port plug. The transmission lines consist of the corrugated waveguides, miter bends and the free space propagation region utilizing two mirrors in front of the waveguide outlet. The analysis of mm-wave beam propagation in the region shows that the transmission efficiency more than 99.5% is attained. Themore » high power experiments of the launcher mock-up have been carried out and the measured field patterns at each mirror and the outlet of the launcher are agreed with the calculations. It is concluded that the transmission line components in the launcher mock-up are fabricated as designed and the present mm-wave design in the launcher is feasible.« less

Development, empowerment and accountability of front line employees.

PubMed

Kaushik, Mradul; Mehta, Sanjay; Singh, Prashant; Gupta, Vivek; Singh, Ajay

2015-01-01

Facilitating patient-focused, cost-effective care throughout the continuum is a challenge that requires creativity of healthcare administrators. At BLK Super Specialty Hospital, a Guest Relationship Executive (GRE) and Patient Care Coordinator (PCC) role was developed to improve communication and linkage among clinical and non-clinical departments. Management also innovated various other processes which needed improvement for facilitating the improvement of services provided to the patients. Empowering PCC and GRE to take the initiative, make decisions and take actions to prevent and resolve service issues has elevated service levels and lead to an enhanced patient experience.

An analysis of computerization in primary care practices.

PubMed

Condon, James V; Smith, Sherry P

2002-12-01

To remain profitable, primary care practices, the front-line health care providers, must provide excellent patient care and reduce expenses while providing payers with accurate data. Many primary care practices have turned to computer technology to achieve these goals. This study examined the degree of computerization of primary care providers in the Augusta, Georgia, metropolitan area as well as the level of awareness of the Health Insurance Portability and Accountability Act (HIPAA) by primary care providers and its potential effect on their future computerization plans. The study's findings are presented and discussed as well as a number of recommendations for practice managers.

Understanding quality patient care and the role of the practicing nurse.

PubMed

Owens, Laura D; Koch, Robert W

2015-03-01

Nurses play a vital role in improving the safety and quality of patient care. The authors provide the front-line nurse providers with an overview of critical concepts related to quality management of patient care. A historical approach provides the reader with an overview of the trajectory or the quality in health care movement. Furthermore, the article provides the nurse with a basic understanding of national and international organizations that focus on quality patient care. A brief introduction of measures of quality care is presented as well as implications for nursing practice. Copyright © 2015 Elsevier Inc. All rights reserved.

School Nurses on the Front Lines of Medicine: Take a BREATH: The Approach to a Student With Respiratory Distress.

PubMed

Loaec, Morgann; Olympia, Robert P

2018-01-01

Students presenting with varying degrees of respiratory symptoms and distress occur commonly in the school setting. It is important to develop a differential diagnosis for respiratory distress, to initiate stabilization of the student with life-threatening symptoms, and to triage these students to an appropriate level of care (back to the classroom, home with their guardian with follow up at their primary health care provider's office, or directly to the closest emergency department via Emergency Medical Services). This article describes the initial assessment and management of a student presenting with respiratory distress.

A working paradigm for the treatment of obesity in gastrointestinal practice

PubMed Central

Acosta, Andres; Camilleri, Michael

2017-01-01

Obesity is a chronic, relapsing, multi-factorial disease characterized by abnormal or excessive adipose tissue accumulation that may impair health and increase disease risks. Despite the ever-increasing prevalence and economic and societal burden, the current approaches to treat obesity are not standardized or generally effective. In this manuscript, we describe a current working paradigm developed by a consensus approach for the multidisciplinary treatment of obesity in the GI practice. Obesity should be managed as a continuum of care focusing on weight loss, weight loss maintenance and prevention of weight regain. This approach needs to be disseminated throughout the health care system, coordinated by a multidisciplinary team and include gastroenterologists who are in a unique position to address obesity. Gastroenterologists are in the front line of managing the morbidity resulting from obesity, and have expertise in use of the essential tools to manage obesity: nutrition, pharmacology, endoscopy and surgery. PMID:28936110

An integrative model of organizational safety behavior.

PubMed

Cui, Lin; Fan, Di; Fu, Gui; Zhu, Cherrie Jiuhua

2013-06-01

This study develops an integrative model of safety management based on social cognitive theory and the total safety culture triadic framework. The purpose of the model is to reveal the causal linkages between a hazardous environment, safety climate, and individual safety behaviors. Based on primary survey data from 209 front-line workers in one of the largest state-owned coal mining corporations in China, the model is tested using structural equation modeling techniques. An employee's perception of a hazardous environment is found to have a statistically significant impact on employee safety behaviors through a psychological process mediated by the perception of management commitment to safety and individual beliefs about safety. The integrative model developed here leads to a comprehensive solution that takes into consideration the environmental, organizational and employees' psychological and behavioral aspects of safety management. Copyright © 2013 National Safety Council and Elsevier Ltd. All rights reserved.

Patient-centered blood management.

PubMed

Hohmuth, Benjamin; Ozawa, Sherri; Ashton, Maria; Melseth, Richard L

2014-01-01

Transfusions are common in hospitalized patients but carry significant risk, with associated morbidity and mortality that increases with each unit of blood received. Clinical trials consistently support a conservative over a liberal approach to transfusion. Yet there remains wide variation in practice, and more than half of red cell transfusions may be inappropriate. Adopting a more comprehensive approach to the bleeding, coagulopathic, or anemic patient has the potential to improve patient care. We present a patient-centered blood management (PBM) paradigm. The 4 guiding principles of effective PBM that we present include anemia management, coagulation optimization, blood conservation, and patient-centered decision making. PBM has the potential to decrease transfusion rates, decrease practice variation, and improve patient outcomes. PBM's value proposition is highly aligned with that of hospital medicine. Hospitalists' dual role as front-line care providers and quality improvement leaders make them the ideal candidates to develop, implement, and practice PBM. © 2013 Society of Hospital Medicine.

Factors influencing nurse managers' intent to stay or leave: a quantitative analysis.

PubMed

Hewko, Sarah J; Brown, Pamela; Fraser, Kimberly D; Wong, Carol A; Cummings, Greta G

2015-11-01

To identify and report on the relative importance of factors influencing nurse managers' intentions to stay in or leave their current position. Effective nurse managers play an important role in staff nurse retention and in the quality of patient care. The advancing age of nurse managers, multiple job opportunities within nursing and the generally negative perceptions of the manager role can contribute to difficulties in retaining nurse managers. Ninety-five Canadian nurse managers participated in a web survey. Respondents rated the importance of factors related to their intent to leave or stay in their current position for another 2 years. Descriptive, t-test and mancova statistics were used to assess differences between managers intending to stay or leave. For managers intending to leave (n = 28), the most important factors were work overload, inability to ensure quality patient care, insufficient resources, and lack of empowerment and recognition. Managers intending to leave reported significantly lower job satisfaction, perceptions of their supervisor's resonant leadership and higher burnout levels. Organisations wishing to retain existing nurse managers and to attract front-line staff into leadership positions must create and foster an environment that supports nurse managers. © 2014 John Wiley & Sons Ltd.

Everyday resilience in district health systems: emerging insights from the front lines in Kenya and South Africa

PubMed Central

Gilson, Lucy; Barasa, Edwine; Nxumalo, Nonhlanhla; Cleary, Susan; Goudge, Jane; Molyneux, Sassy; Tsofa, Benjamin; Lehmann, Uta

2017-01-01

Recent global crises have brought into sharp relief the absolute necessity of resilient health systems that can recognise and react to societal crises. While such crises focus the global mind, the real work lies, however, in being resilient in the face of routine, multiple challenges. But what are these challenges and what is the work of nurturing everyday resilience in health systems? This paper considers these questions, drawing on long-term, primarily qualitative research conducted in three different district health system settings in Kenya and South Africa, and adopting principles from case study research methodology and meta-synthesis in its analytic approach. The paper presents evidence of the instability and daily disruptions managed at the front lines of the district health system. These include patient complaints, unpredictable staff, compliance demands, organisational instability linked to decentralisation processes and frequently changing, and sometimes unclear, policy imperatives. The paper also identifies managerial responses to these challenges and assesses whether or not they indicate everyday resilience, using two conceptual lenses. From this analysis, we suggest that such resilience seems to arise from the leadership offered by multiple managers, through a combination of strategies that become embedded in relationships and managerial routines, drawing on wider organisational capacities and resources. While stable governance structures and adequate resources do influence everyday resilience, they are not enough to sustain it. Instead, it appears important to nurture the power of leaders across every system to reframe challenges, strengthen their routine practices in ways that encourage mindful staff engagement, and develop social networks within and outside organisations. Further research can build on these insights to deepen understanding. PMID:29081995

Revolving drug funds at front-line health facilities in Vientiane, Lao PDR.

PubMed

Murakami, H; Phommasack, B; Oula, R; Sinxomphou, S

2001-03-01

Pharmaceutical cost recovery programmes, which have been mainly implemented in Africa, are gradually spreading to Southeast Asian countries that formerly belonged to the socialist bloc. This report describes the economic and operational realities of revolving drug funds (RDFs) at district hospitals and health centres in the capital of the Lao PDR by reviewing research conducted by the implementing department. People in the municipality spent an average of US$11 on drugs in 1996. The RDFs comprised only 3% of the total yearly drug sales in the municipality, whereas private pharmacies accounted for 75%. The RDFs were forced to operate in conjunction with the remaining government drug endowment and the thriving private pharmacies. This scheme has provided a stable supply of essential drugs. The assurance of drug availability at the front-line health facilities has resulted in increased utilization of the facilities despite the introduction of a drug fee. The cost recovery rate was 107% at health centres and 108% at district hospitals in two monitored districts during the 10 months from November 1997. Decentralized financial management was essential for cost recovery, allowing timely adjustment of selling prices as purchase prices rapidly inflated after the Asian economic crisis. The health staff observed that the people perceived drugs as everyday commodities that they should buy and take based on self-diagnosis and personal preference. Adaptation of the public health authorities to market-oriented thinking along with the establishment of pharmaceutical cost recovery occurred with few problems. However, both financial and operational management capacity at the municipal level pose a major challenge to policy clarification and scheme setting, especially in procurement, control of prescribing practices and the integration of drug dispensing with other components of quality clinical care.

Everyday resilience in district health systems: emerging insights from the front lines in Kenya and South Africa.

PubMed

Gilson, Lucy; Barasa, Edwine; Nxumalo, Nonhlanhla; Cleary, Susan; Goudge, Jane; Molyneux, Sassy; Tsofa, Benjamin; Lehmann, Uta

2017-01-01

Recent global crises have brought into sharp relief the absolute necessity of resilient health systems that can recognise and react to societal crises. While such crises focus the global mind, the real work lies, however, in being resilient in the face of routine, multiple challenges. But what are these challenges and what is the work of nurturing everyday resilience in health systems? This paper considers these questions, drawing on long-term, primarily qualitative research conducted in three different district health system settings in Kenya and South Africa, and adopting principles from case study research methodology and meta-synthesis in its analytic approach. The paper presents evidence of the instability and daily disruptions managed at the front lines of the district health system. These include patient complaints, unpredictable staff, compliance demands, organisational instability linked to decentralisation processes and frequently changing, and sometimes unclear, policy imperatives. The paper also identifies managerial responses to these challenges and assesses whether or not they indicate everyday resilience, using two conceptual lenses. From this analysis, we suggest that such resilience seems to arise from the leadership offered by multiple managers, through a combination of strategies that become embedded in relationships and managerial routines, drawing on wider organisational capacities and resources. While stable governance structures and adequate resources do influence everyday resilience, they are not enough to sustain it. Instead, it appears important to nurture the power of leaders across every system to reframe challenges, strengthen their routine practices in ways that encourage mindful staff engagement, and develop social networks within and outside organisations. Further research can build on these insights to deepen understanding.

Thermal environment of the Southern Washington region of the Cascadia subduction zone

NASA Astrophysics Data System (ADS)

Salmi, Marie S.; Johnson, H. Paul; Harris, Robert N.

2017-08-01

Eleven recently collected multichannel seismic (MCS) profiles from the Cascadia Open-Access Seismic Transects experiment offshore Washington State are used to characterize the distribution of bottom-simulating reflectors (BSRs) from seaward of the deformation front onto the continental shelf of the Cascadia Subduction Zone. The 11 MCS lines consisted of nine lines perpendicular and two lines parallel to the Cascadia margin covering a 100 km along-strike region of the accretionary wedge. From these MCS profiles we generated a 3-D view of the Cascadia margin thermal structure by interpreting 40,232 individual BSR picks in terms of temperature and heat flow. Overall BSR-derived heat flow values decrease from approximately 95 mW m-2 10 km east of the deformation front to approximately 60 mW m-2 located 60 km landward of the deformation front. Anomalously low heat flow values near 25 mW m-2 on a prominent midmargin terrace indicate recent sediment failure within the accretionary prism. Localized differences between BSR heat flow and numerical models reflect an estimated regional mean vertical fluid flow of +0.53 cm yr-1 for the survey area, with localized fluid flow approaching a maximum of +3.8 cm yr-1. Distinct finite element models for the nine MCS profiles perpendicular to the deformation front reproduce BSR heat flow values, producing an overall root-mean-square misfit of 10.2 mW m-2. At the deformation front, the incoming oceanic sediment/crust interface temperatures vary from 164°C to 179°C, indicating the updip limit of the Cascadia seismogenic zone.

Exploring managers' views on span of control: more than a headcount.

PubMed

Wong, Carol A; Elliott-Miller, Pat; Laschinger, Heather; Cuddihy, Michael; Meyer, Raquel M; Keatings, Margaret; Burnett, Camille; Szudy, Natalie

2014-03-01

The purpose of this qualitative study was to explore front-line managers' (FLMs') perceptions of their span of control (SOC) and how they manage it. As part of a larger quantitative study examining relationships between FLMs' SOC and performance outcomes, 10 manager focus groups were conducted by teleconference, involving 48 managers from 14 academic healthcare organizations. Themes and subthemes were identified according to (a) perceptions of the size and scope of SOC; (b) factors influencing the complexity of SOC; (c) supports needed to manage SOC; (d) changing leadership style; and (e) ways of coping with role overload. Participants described system demands as a significant contributor to their work responsibilities and a sense of role overload. About half of managers stated their SOC was unreasonable and that they lacked the necessary supports to manage it. Many managers who described their SOC as reasonable still expressed concerns about internal and external workload pressures that contributed to changing leadership style and role overload. Findings reinforce the importance of organizational strategies to create regular dialogue with FLMs regarding the size, complexity and appropriateness of current spans and to provide the resource supports necessary to ensure they can manage their SOC effectively.

REQUIREMENTS AND GUIDELINES FOR NSLS EXPERIMENTAL BEAM LINE VACUUM SYSTEMS-REVISION B.

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

FOERSTER,C.

Typical beam lines are comprised of an assembly of vacuum valves and shutters referred to as a ''front end'', optical elements to monochromatize, focus and split the photon beam, and an experimental area where a target sample is placed into the photon beam and data from the interaction is detected and recorded. Windows are used to separate sections of beam lines that are not compatible with storage ring ultra high vacuum. Some experimental beam lines share a common vacuum with storage rings. Sections of beam lines are only allowed to vent up to atmospheric pressure using pure nitrogen gas aftermore » a vacuum barrier is established to protect ring vacuum. The front end may only be bled up when there is no current in the machine. This is especially true on the VUV storage ring where for most experiments, windows are not used. For the shorter wavelength, more energetic photons of the x-ray ring, beryllium windows are used at various beam line locations so that the monochromator, mirror box or sample chamber may be used in a helium atmosphere or rough vacuum. The window separates ring vacuum from the environment of the downstream beam line components. The stored beam lifetime in the storage rings and the maintenance of desirable reflection properties of optical surfaces depend upon hydrocarbon-free, ultra-high vacuum systems. Storage ring vacuum systems will operate at pressures of {approximately} 1 x 10{sup {minus}10} Torr without beam and {approximately} 1 x 10{sup {minus}9} Torr with beam. Systems are free of hydrocarbons in the sense that no pumps, valves, etc. containing organics are used. Components are all-metal, chemically cleaned and bakeable. To the extent that beam lines share a common vacuum with the storage ring, the same criteria will hold for beam line components. The design philosophy for NSLS beam lines is to use all-metal, hydrocarbon-free front end components and recommend that experimenters use this approach for common vacuum hardware downstream of front ends. O-ring-sealed valves, if used, are not permitted upstream of the monochromator exit aperture. It will be the responsibility of users to demonstrate that their experiment will not degrade the pressure or quality of the storage ring vacuum. As a matter of operating policy, all beam lines will be monitored for prescribed pressure and the contribution of high mass gases to this pressure each time a beam line has been opened to ring vacuum.« less

Leadership support for ward managers in acute mental health inpatient settings.

PubMed

Bonner, Gwen; McLaughlin, Sue

2014-05-01

This article shares findings of work undertaken with a group of mental health ward managers to consider their roles through workshops using an action learning approach. The tensions between the need to balance the burden of administrative tasks and act as clinical role models, leaders and managers are considered in the context of providing recovery-focused services. The group reviewed their leadership styles, broke down the administrative elements of their roles using activity logs, reviewed their working environments and considered how recovery focused they believed their wards to be. Findings support the notion that the ward manager role in acute inpatient settings is at times unmanageable. Administration is one aspect of the role for which ward managers feel unprepared and the high number of administrative tasks take them away from front line clinical care, leading to frustration. Absence from clinical areas reduces opportunities for role modeling good clinical practice to other staff. Despite the frustrations of administrative tasks, overall the managers thought they were supportive to their staff and that their wards were recovery focused.

Front office staff as medical educators, risk creators, and risk managers.

PubMed

Kapp, Marshall B

2016-03-16

The author describes his own negative series of encounters with the front office staff of a large specialty medical practice during a recent lengthy episode of significant medical distress. The author suggests several reasons, including legal risk management, that medical students should be exposed as part of their education to the interactions of patients with front office staffs (not just physicians) to get a fuller picture of patients' actual experiences with the health care system.

Grounding line migration through the calving season at Jakobshavn Isbræ, Greenland, observed with terrestrial radar interferometry

NASA Astrophysics Data System (ADS)

Xie, Surui; Dixon, Timothy H.; Voytenko, Denis; Deng, Fanghui; Holland, David M.

2018-04-01

Ice velocity variations near the terminus of Jakobshavn Isbræ, Greenland, were observed with a terrestrial radar interferometer (TRI) during three summer campaigns in 2012, 2015, and 2016. We estimate a ˜ 1 km wide floating zone near the calving front in early summer of 2015 and 2016, where ice moves in phase with ocean tides. Digital elevation models (DEMs) generated by the TRI show that the glacier front here was much thinner (within 1 km of the glacier front, average ice surface is ˜ 100 and ˜ 110 m above local sea level in 2015 and 2016, respectively) than ice upstream (average ice surface is > 150 m above local sea level at 2-3 km to the glacier front in 2015 and 2016). However, in late summer 2012, there is no evidence of a floating ice tongue in the TRI observations. Average ice surface elevation near the glacier front was also higher, ˜ 125 m above local sea level within 1 km of the glacier front. We hypothesize that during Jakobshavn Isbræ's recent calving seasons the ice front advances ˜ 3 km from winter to spring, forming a > 1 km long floating ice tongue. During the subsequent calving season in mid- and late summer, the glacier retreats by losing its floating portion through a sequence of calving events. By late summer, the entire glacier is likely grounded. In addition to ice velocity variation driven by tides, we also observed a velocity variation in the mélange and floating ice front that is non-parallel to long-term ice flow motion. This cross-flow-line signal is in phase with the first time derivative of tidal height and is likely associated with tidal currents or bed topography.

Factors influencing load-haul-dump operator line of sight in underground mining.

PubMed

Eger, Tammy; Salmoni, Alan; Whissell, Robert

2004-03-01

The inability of load-haul-dump (LHD) equipment operators to see people, objects or hazards around the LHD machine they drive is a causal factor in a number of serious accidents. Line of sight evaluations were conducted on 11 different LHD models. Results indicated blind spots were caused by cab posts, and vehicles lights and light brackets. Line of sight impairments were caused by wheel well covers, buckets, fire extinguisher, light posts, radiator covers, booms, radio remote boxes, elevated engine profiles and air intake cylinders. These results were supported by questionnaires completed by 130 LHD operators. The operators indicated the bucket, lights and light brackets, boom and cab impaired line of sight. Line of sight testing and LHD operator feedback indicated line of sight to the right front corner and back right corner were typically worse than line of sight to the front left side of the vehicle. Results of this study have been used to conduct awareness campaigns within the Ontario mining industry and to suggest vehicle design modifications to LHD manufacturers.

Three-dimensional finite-element analysis of chevron-notched fracture specimens

NASA Technical Reports Server (NTRS)

Raju, I. S.; Newman, J. C., Jr.

1984-01-01

Stress-intensity factors and load-line displacements were calculated for chevron-notched bar and rod fracture specimens using a three-dimensional finite-element analysis. Both specimens were subjected to simulated wedge loading (either uniform applied displacement or uniform applied load). The chevron-notch sides and crack front were assumed to be straight. Crack-length-to-specimen width ratios (a/w) ranged from 0.4 to 0.7. The width-to-thickness ratio (w/B) was 1.45 or 2. The bar specimens had a height-to-width ratio of 0.435 or 0.5. Finite-element models were composed of singularity elements around the crack front and 8-noded isoparametric elements elsewhere. The models had about 11,000 degrees of freedom. Stress-intensity factors were calculated by using a nodal-force method for distribution along the crack front and by using a compliance method for average values. The stress intensity factors and load-line displacements are presented and compared with experimental solutions from the literature. The stress intensity factors and load-line displacements were about 2.5 and 5 percent lower than the reported experimental values, respectively.

Mise en évidence d'un nouveau front de chevauchement dans l'Atlas tunisien oriental de Tunisie par sismique réflexion. Contexte structural régional et rôle du Trias salifère

NASA Astrophysics Data System (ADS)

Khomsi, Sami; Bédir, Mourad; Ben Jemia, M. Ghazi; Zouari, Hédi

2004-11-01

Structural interpretations of newly acquired seismic lines in northeastern Tunisia allow us to highlight a new thrust front for the Atlasic range of Tunisia, in contrast to the previously Zaghouan fault thrust Dorsale zone. This new thrust front takes place on weakness tectonic zones, materialized by inherited faults anchored on the pre-Triassic basement. This front seems to be a paleogeographic trend controlling structural style and basin fill with a synsedimentary activity. The front is expressed by reverse faults, thrust faults, back thrusting, and decollement structures. To cite this article: S. Khomsi et al., C. R. Geoscience 336 (2004).

The Offensive Efficiency of the High-Level Handball Players of the Front and the Rear Lines

PubMed Central

Moncef, Cherif; Dagbaji, Gomri; Abdallah, Aouidet; Mohamed, Said

2011-01-01

Purpose The aim of this study was to investigat the offensive efficiency of the professional handball players forming the front and rear lines. Methods Our investigation was carried out on four matches (final, semi-finals and classifying match) at the 19th male Handball World Championship “Tunisia 2005”. Finalist teams were Tunisia, France, Croatia, and Spain. Matches were recorded using 5 digital camcorders (SONY, DCL, and TRV 130E). Number of passes and the length of the attacks were determined by software “STUDIO 9”. Speed of the ball at the different shootings was calculated by REGAVI software, version 2.57, 2004. Work was dissociated according to 2 variables namely axes and lines. Results Players of lateral axes (A4) and front basis (L1) were shorter and thinner than those of the central axis (A3) and rear basis (L2). No differences were observed between lines and axes in age. The analysis of the total shootings to the goal shows that the players of lines and axes present very close values in each team, excepting the Croatian L2 compared to the Tunisian L2. Players of the rear Croatian basis present also a number of attacks concluded by a non-successfully cadred shooting greater than all other groups. In the Spanish group, a significant difference among number of passes concluded by a non-successfully cadred shooting between lines, and front basis vs central axis was noted. No significant difference was found between lines and axes in the Croatian team. Regarding the velocity of shooting, excepting the Croatian team, no differences were found between lines and axes of the other teams. No differences were also noted in the attack duration between lines and axes in Croatian and Tunisian teams. In the Spanish team, duration of attacks concluded by a cadred shooting was most important when finished by an L2 or an A3 player. Conclusion The present results demonstrate that finalist teams were found to be clearly characterized by L2 and A3 players taller and weightier than those of L1 and A4. Organized attack was generally concluded by shooting done by an L2 or an A4 player and the shooting velocity did not significantly determine the offensive efficiency. PMID:22375245

Spring Regimes

DTIC Science & Technology

2003-04-15

of Albuquerque, New Mexico. . Since the system has “bottomed out” one could project a straight line northeastward (with little eastward movement of...in determining if forecast model guidance is “on track.” 14. 14. Subject Terms: CLOUDS, COMMA CLOUD, DRY LINE , GULF STRATUS, HEIGHT FALL CENTERS...4-40 Warm Fronts, Squall Lines and Mesocyclones

3. Oblique view of the south front and west side ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

3. Oblique view of the south front and west side of the chapel, facing northeast. Postal building and roof line of 366th wing headquarters are visible to the left of the chapel - Mountain Home Air Force Base, Base Chapel, 350 Willow Street, Cantonment Area, Mountain Home, Elmore County, ID

Closed-loop wavelength stabilization of an optical parametric oscillator as a front end of a high-power iodine laser chain.

PubMed

Kral, L

2007-05-01

We present a complex stabilization and control system for a commercially available optical parametric oscillator. The system is able to stabilize the oscillator's output wavelength at a narrow spectral line of atomic iodine with subpicometer precision, allowing utilization of this solid-state parametric oscillator as a front end of a high-power photodissociation laser chain formed by iodine gas amplifiers. In such setup, a precise wavelength matching between the front end and the amplifier chain is necessary due to extremely narrow spectral lines of the gaseous iodine (approximately 20 pm). The system is based on a personal computer, a heated iodine cell, and a few other low-cost components. It automatically identifies the proper peak within the iodine absorption spectrum, and then keeps the oscillator tuned to this peak with high precision and reliability. The use of the solid-state oscillator as the front end allows us to use the whole iodine laser system as a pump laser for the optical parametric chirped pulse amplification, as it enables precise time synchronization with a signal Ti:sapphire laser.

Radiative thermal conduction fronts

NASA Technical Reports Server (NTRS)

Borkowski, Kazimierz J.; Balbus, Steven A.; Fristrom, Carl C.

1990-01-01

The discovery of the O VI interstellar absorption lines in our Galaxy by the Copernicus observatory was a turning point in our understanding of the Interstellar Medium (ISM). It implied the presence of widespread hot (approx. 10 to the 6th power K) gas in disk galaxies. The detection of highly ionized species in quasi-stellar objects' absorption spectra may be the first indirect observation of this hot phase in external disk galaxies. Previous efforts to understand extensive O VI absorption line data from our Galaxy were not very successful in locating the regions where this absorption originates. The location at interfaces between evaporating ISM clouds and hot gas was favored, but recent studies of steady-state conduction fronts in spherical clouds by Ballet, Arnaud, and Rothenflug (1986) and Bohringer and Hartquist (1987) rejected evaporative fronts as the absorption sites. Researchers report here on time-dependent nonequilibrium calculations of planar conductive fronts whose properties match well with observations, and suggest reasons for the difference between the researchers' results and the above. They included magnetic fields in additional models, not reported here, and the conclusions are not affected by their presence.

Radiative thermal conduction fronts

NASA Astrophysics Data System (ADS)

Borkowski, Kazimierz J.; Balbus, Steven A.; Fristrom, Carl C.

1990-07-01

The discovery of the O VI interstellar absorption lines in our Galaxy by the Copernicus observatory was a turning point in our understanding of the Interstellar Medium (ISM). It implied the presence of widespread hot (approx. 10 to the 6th power K) gas in disk galaxies. The detection of highly ionized species in quasi-stellar objects' absorption spectra may be the first indirect observation of this hot phase in external disk galaxies. Previous efforts to understand extensive O VI absorption line data from our Galaxy were not very successful in locating the regions where this absorption originates. The location at interfaces between evaporating ISM clouds and hot gas was favored, but recent studies of steady-state conduction fronts in spherical clouds by Ballet, Arnaud, and Rothenflug (1986) and Bohringer and Hartquist (1987) rejected evaporative fronts as the absorption sites. Researchers report here on time-dependent nonequilibrium calculations of planar conductive fronts whose properties match well with observations, and suggest reasons for the difference between the researchers' results and the above. They included magnetic fields in additional models, not reported here, and the conclusions are not affected by their presence.

Scaling law governing the roughness of the swash edge line

NASA Astrophysics Data System (ADS)

Bormashenko, E.; Musin, A.; Grynyov, R.

2014-09-01

The paper is devoted to the analysis of the shape of the swash edge line. Formation of the swash boundary is treated as an interfacial phenomenon. The simplest quantitative characteristic of the roughness of interface is its width w, defined as the root-mean-square fluctuation around the average position. For rough interfaces, the scaling with size of the system L is observed in the form w(L)~Lζ. The concept of scaling supplies a simple framework for classifying interfaces. It is suggested that the fine structure of the swash boundary results from the combined action of the pinning force applied by random defects of the beach and elasticity of distorted swash boundary. The roughness of the swash front was studied at the Mediterranean Sea coast for uprush and backwash flows. Value of exponent ζ for receding swash front line was 0.64 +/- 0.02, when in the case of advancing swash the value 0.73 +/- 0.03 was calculated. The scaling exponent established for the receding phase of the swash is very close to the values of the exponent established for the roughness of the triple line for water droplets deposited on rough surfaces, crack propagation front in Plexiglas, and for the motion of a magnetic domain walls.

Advancing innovation in health care leadership: a collaborative experience.

PubMed

Garcia, Victor H; Meek, Kevin L; Wilson, Kimburli A

2011-01-01

The changing framework of today's health care system requires leaders to be increasingly innovative in how they approach their daily functions and responsibilities. Sustaining and advancing a level of innovation that already exists can be challenging for health care administrators with the demands of time and resource limitations. Using collaboration to bring new-age teaching and disciplines to front-line leadership, one hospital was able to reinvigorate a culture of innovation through multiple levels and disciplines of the organization. The Innovation Certification Course provided nursing leaders and other managers' an evidence-drive approach, new principles and useful strategies of innovative leadership and graduate program education.

Green, Clean, & Mean: Pushing the Energy Envelope in Tech Industry Buildings

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

Mills, Evan; Granderson, Jessica; Chan, Rengie

When it comes to innovation in energy and building performance, one can expect leading-edge activity from the technology sector. As front-line innovators in design, materials science, and information management, developing and operating high-performance buildings is a natural extension of their core business. The energy choices made by technology companies have broad importance given their influence on society at large as well as the extent of their own energy footprint. Microsoft, for example, has approximately 250 facilities around the world (30 million square feet of floor area), with significant aggregate energy use of approximately 4 million kilowatt-hours per day (Figure 1).

NASA SAVE Award Winner

NASA Image and Video Library

2012-01-09

NASA Goddard Space Flight Center Financial Manager and White House 2011 SAVE award winner Matthew Ritsko is seen during a television interview at NASA Headquarters shortly after meeting with President Obama at the White House on Monday, Jan. 9, 2011, in Washington. The Presidential Securing Americans' Value and Efficiency (SAVE) program gives front-line federal workers the chance to submit their ideas on how their agencies can save money and work more efficiently. Matthew's proposal calls for NASA to create a "lending library" where specialized space tools and hardware purchased by one NASA organization will be made available to other NASA programs and projects. Photo Credit: (NASA/Bill Ingalls)

Optimizing Oxygenation in the Mechanically Ventilated Patient: Nursing Practice Implications.

PubMed

Barton, Glenn; Vanderspank-Wright, Brandi; Shea, Jacqueline

2016-12-01

Critical care nurses constitute front-line care provision for patients in the intensive care unit (ICU). Hypoxemic respiratory compromise/failure is a primary reason that patients require ICU admission and mechanical ventilation. Critical care nurses must possess advanced knowledge, skill, and judgment when caring for these patients to ensure that interventions aimed at optimizing oxygenation are both effective and safe. This article discusses fundamental aspects of respiratory physiology and clinical indices used to describe oxygenation status. Key nursing interventions including patient assessment, positioning, pharmacology, and managing hemodynamic parameters are discussed, emphasizing their effects toward mitigating ventilation-perfusion mismatch and optimizing oxygenation. Copyright © 2016 Elsevier Inc. All rights reserved.

Confronting bioterrorism: physicians on the front line.

PubMed

Varkey, Prathibha; Poland, Gregory A; Cockerill, Franklin R; Smith, Thomas F; Hagen, Philip T

2002-07-01

The events surrounding September 11, 2001, and its aftermath have compelled the public health and medical community to face the hitherto unfamiliar reality of bioterrorism. Physicians and public health personnel are frontline soldiers in this new form of warfare. This article provides a general overview of the pathophysiology, clinical presentation, diagnosis, and management of patients infected with the 6 highest priority agents that could potentially be used in bioterrorism. The diseases discussed include anthrax, smallpox, tularemia, plague, botulism, and viral hemorrhagic fevers. Despite the unpredictable nature of bioterrorism, disaster preparedness and knowledge of essential diagnostic and epidemiological principles can contribute substantially toward combating this new threat.

Sensitivity of Totten Glacier Ice Shelf extent and grounding line to oceanic forcing

NASA Astrophysics Data System (ADS)

Pelle, T.; Morlighem, M.; Choi, Y.

2017-12-01

Totten Glacier is a major outlet glacier of the East Antarctic Ice Sheet and has been shown to be vulnerable to ocean-induced melt in both its past and present states. The intrusion of warm, circumpolar deep water beneath the Totten Glacier Ice Shelf (TGIS) has been observed to accelerate ice shelf thinning and promote iceberg calving, a primary mechanism of mass discharge from Totten. As such, accurately simulating TGIS's ice front dynamics is crucial to the predictive capabilities of ice sheet models in this region. Here, we study the TGIS using the Ice Sheet System Model (ISSM) and test the applicability of three calving laws: Crevasse Formation calving, Eigen calving, and Tensile Stress calving. We simulate the evolution of Totten Glacier through 2100 under enhanced oceanic forcing in order to investigate both future changes in ice front dynamics and possible thresholds of instability. In addition, we artificially retreat Totten's ice front position and allow the model to proceed dynamically in order to analyze the response of the glacier to calving events. Our analyses show that Tensile Stress calving most accurately reproduces Totten Glacier's observed ice front position. Furthermore, unstable grounding line retreat is projected when Totten is simulated under stronger oceanic thermal forcing scenarios and when the calving front is significantly retreated.

A new wave front shape-based approach for acoustic source localization in an anisotropic plate without knowing its material properties.

PubMed

Sen, Novonil; Kundu, Tribikram

2018-07-01

Estimating the location of an acoustic source in a structure is an important step towards passive structural health monitoring. Techniques for localizing an acoustic source in isotropic structures are well developed in the literature. Development of similar techniques for anisotropic structures, however, has gained attention only in the recent years and has a scope of further improvement. Most of the existing techniques for anisotropic structures either assume a straight line wave propagation path between the source and an ultrasonic sensor or require the material properties to be known. This study considers different shapes of the wave front generated during an acoustic event and develops a methodology to localize the acoustic source in an anisotropic plate from those wave front shapes. An elliptical wave front shape-based technique was developed first, followed by the development of a parametric curve-based technique for non-elliptical wave front shapes. The source coordinates are obtained by minimizing an objective function. The proposed methodology does not assume a straight line wave propagation path and can predict the source location without any knowledge of the elastic properties of the material. A numerical study presented here illustrates how the proposed methodology can accurately estimate the source coordinates. Copyright © 2018 Elsevier B.V. All rights reserved.

Improvisation and the art of holistic nursing.

PubMed

Hanley, Mary Anne; Fenton, Mary V

2013-10-01

The art of improvisation is an essential component of responding on the front lines of caring. Improvisation expresses the nurse's capacity to perceive the changing patterns of patients and their environments in ways that foster creative and innovative approaches to meeting healthcare needs. Many holistic nurses across the country are working on the front lines of caring, improvising and implementing projects to create change within their communities. This article examines improvisation within the context of the art and science of nursing, and proposes that improvisation reflects qualities within holistic nursing that are essential in contemporary health care.

Nanotube Surface Arrays: Weaving, Bending, and Assembling on Patterned Silicon

NASA Astrophysics Data System (ADS)

Tsukruk, Vladimir V.; Ko, Hyunhyub; Peleshanko, Sergiy

2004-02-01

We report the fabrication of ordered arrays of oriented and bent carbon nanotube on a patterned silicon surface with a micron scale spacing extending over millimeter size surface areas. We suggest that the patterning is controlled by the hydrodynamic behavior of a fluid front and orientation and bending mechanisms are facilitated by the pinned carbon nanotubes trapped by the liquid-solid-vapor contact line. The bending of the pinned nanotubes occurs along the shrinking receding front of the drying microdroplets. The formation of stratified microfluidic layers is vital for stimulating periodic instabilities of the contact line.

Sturdy for common things: cultivating moral sensemaking on the front lines of practice.

PubMed

Browning, David M

2012-04-01

This essay argues that the field of bioethics should concern itself especially with the process of making moral sense that unfolds among clinicians, patients and family members during common but high-stakes conversations occurring on the front lines of practice. The essay outlines the parameters of a bioethics grounded in the moral experience of patients, families and practitioners. It challenges ethicists, educators, and clinician leaders to commit themselves to advocating and developing creative approaches to learning that will cultivate the moral sensibilities of frontline clinicians in this critically important domain of practice.

Better, Sooner, More Convenient? The reality of pursuing greater integration between primary and secondary healthcare providers in New Zealand

PubMed Central

Lovelock, Kirsten; Martin, Greg; Gauld, Robin; MacRae, Jayden

2017-01-01

Objectives: This article focuses on the results of evaluations of two business plans developed in response to a policy initiative which aimed to achieve greater integration between primary and secondary health providers in New Zealand. We employ the Consolidated Framework for Implementation Research to inform our analysis. The Better, Sooner, More Convenient policy programme involved the development of business plans and, within each business plan, a range of areas of focus and associated work-streams. Methods: The evaluations employed a mixed method multi-level case study design, involving qualitative face-to-face interviews with front-line staff, clinicians and management in two districts, one in the North Island and the other in the South Island, and an analysis of routine data tracked ambulatory sensitive hospitalisations and emergency department presentations. Two postal surveys were conducted, one focussing on the patient care experiences of integration and care co-ordination and the second focussing on the perspectives of health professionals in primary and secondary settings in both districts. Results: Both evaluations revealed non-significant changes in ambulatory sensitive hospitalisations and emergency department presentation rates and slow uneven progress with areas of focus and their associated work-streams. Our evaluations revealed a range of implementation issues, the barriers and facilitators to greater integration of healthcare services and the implications for those who were responsible for putting policy into practice. Conclusion: The business plans were shown to be overly ambitious and compromised by the size and scope of the business plans; dysfunctional governance arrangements and associated accountability issues; organisational inability to implement change quickly with appropriate and timely funding support; an absence of organisational structural change allowing parity with the policy objectives; barriers that were encountered because of inadequate attention to organisational culture; competing additional areas of focus within the same timeframe; and consequent overloading of front-line staff which led to workload stress, fatigue and disillusionment. Where success was achieved, this largely hinged on the enthusiasm of a small pool of front-line workers and their initial buy-into the idea of integrated care. PMID:28491307

Better, Sooner, More Convenient? The reality of pursuing greater integration between primary and secondary healthcare providers in New Zealand.

PubMed

Lovelock, Kirsten; Martin, Greg; Gauld, Robin; MacRae, Jayden

2017-01-01

This article focuses on the results of evaluations of two business plans developed in response to a policy initiative which aimed to achieve greater integration between primary and secondary health providers in New Zealand. We employ the Consolidated Framework for Implementation Research to inform our analysis. The Better, Sooner, More Convenient policy programme involved the development of business plans and, within each business plan, a range of areas of focus and associated work-streams. The evaluations employed a mixed method multi-level case study design, involving qualitative face-to-face interviews with front-line staff, clinicians and management in two districts, one in the North Island and the other in the South Island, and an analysis of routine data tracked ambulatory sensitive hospitalisations and emergency department presentations. Two postal surveys were conducted, one focussing on the patient care experiences of integration and care co-ordination and the second focussing on the perspectives of health professionals in primary and secondary settings in both districts. Both evaluations revealed non-significant changes in ambulatory sensitive hospitalisations and emergency department presentation rates and slow uneven progress with areas of focus and their associated work-streams. Our evaluations revealed a range of implementation issues, the barriers and facilitators to greater integration of healthcare services and the implications for those who were responsible for putting policy into practice. The business plans were shown to be overly ambitious and compromised by the size and scope of the business plans; dysfunctional governance arrangements and associated accountability issues; organisational inability to implement change quickly with appropriate and timely funding support; an absence of organisational structural change allowing parity with the policy objectives; barriers that were encountered because of inadequate attention to organisational culture; competing additional areas of focus within the same timeframe; and consequent overloading of front-line staff which led to workload stress, fatigue and disillusionment. Where success was achieved, this largely hinged on the enthusiasm of a small pool of front-line workers and their initial buy-into the idea of integrated care.

Flow chemistry: A light touch to a deadly problem

NASA Astrophysics Data System (ADS)

Booker-Milburn, Kevin

2012-06-01

Flow chemistry has grown in stature as a technique with the potential to deliver synthetic complexity with assembly-line-like efficiency. Application of flow technology to the front-line antimalarial drug artemisinin promises to revolutionalize treatment.

Developing eLearning for pressure ulcer prevention and management.

PubMed

Cameron, Rosie; Rodgers, Angela; Welsh, Lynn; McGown, Katrina

2014-08-12

The impact of pressure ulcers is psychologically, physically and clinically challenging for both patients and NHS staff. NHS Greater Glasgow and Clyde (NHS GGC), in line with the Scottish Best Practice Statement for the Prevention and Management of Pressure Ulcers ( Quality Improvement Scotland, 2009 ), and the NHS Health Improvement Scotland (2011) Preventing Pressure Ulcers Change Package, launched an awareness campaign throughout the organisation in April 2012 and has more recently adopted a 'zero-tolerance' approach to pressure damage. The tissue viability service in NHS GGC recognised that in order to achieve this aim, education of front-line staff is essential. An educational framework for pressure ulcer prevention was developed for all levels of healthcare staff involved in the delivery of patient care. As a means to support the framework, an initiative to develop web-based eLearning modules has been taken forward. This has resulted in the creation of an accessible, cost-effective, stimulating, relevant, and evidence-based education programme designed around the educational needs of all healthcare staff. In conjunction with the organisation's 'top ten tools' for pressure ulcer prevention and management, the modular online education programme addresses the aims of quality improvement and zero tolerance by supporting the provision of safe and effective person-centered care.

Non-native plant invasions in managed and protected ponderosa pine/Douglas-fir forests of the Colorado Front Range

Treesearch

Paula J. Fornwalt; Merrill R. Kaufmann; Laurie S. Huckaby; Jason M. Stoker; Thomas J. Stohlgren

2003-01-01

We examined patterns of non-native plant diversity in protected and managed ponderosa pine/Douglas-fir forests of the Colorado Front Range. Cheesman Lake, a protected landscape, and Turkey Creek, a managed landscape, appear to have had similar natural disturbance histories prior to European settlement and fire protection during the last century. However, Turkey Creek...

Spirit's Course

NASA Technical Reports Server (NTRS)

2004-01-01

[figure removed for brevity, see original site] [figure removed for brevity, see original site] Figure 1Figure 2

This digital elevation map shows the topography of the 'Columbia Hills,' just in front of the Mars Exploration Rover Spirit's current position. Rover planners have plotted the safest route for Spirit to climb to the front hill, called 'West Spur.' The black line in the middle of the image represents the rover's traverse path, which starts at 'Hank's Hollow' and ends at the top of 'West Spur.' Scientists are sending Spirit up the hill to investigate the interesting rock outcrops visible in images taken by the rover. Data from the Mars Orbital Camera on the orbiting Mars Global Surveyor were used to create this 3-D map.

In figure 1, the digital map shows the slopes of the 'Columbia Hills,' just in front of the Mars Exploration Rover Spirit's current position. Colors indicate the slopes of the hills, with red areas being the gentlest and blue the steepest. Rover planners have plotted the safest route for Spirit to climb the front hill, called 'West Spur.' The path is indicated here with a curved black line. Stereo images from the Mars Orbital Camera on the orbiting Mars Global Surveyor were used to create this 3-D map.

In figure 2, the map shows the north-facing slopes of the 'Columbia Hills,' just in front of the Mars Exploration Rover Spirit's current position. Bright areas indicate surfaces sloping more toward the north than dark areas. To reach the rock outcrop at the top of the hill, engineers will aim to drive the rover around the dark areas, which would yield less solar power. The curved black line in the middle represents the rover's planned traverse path.

The Front Line.

ERIC Educational Resources Information Center

Unks, Gerald

1979-01-01

The author draws an analogy between today's school system and an assembly line, deploring the notion that all children are taught the same thing at the same time, ending in humiliation, disgrace, and failure for some, and nonchallenging academic activities for others. (KC)

Patterns of care and outcomes in adolescent and young adult acute lymphoblastic leukemia: a population-based study.

PubMed

Muffly, Lori; Alvarez, Elysia; Lichtensztajn, Daphne; Abrahão, Renata; Gomez, Scarlett Lin; Keegan, Theresa

2018-04-24

Adolescents and young adults (AYAs, 15-39 years) with acute lymphoblastic leukemia (ALL) represent a heterogeneous population who receive care in pediatric or adult cancer settings. Using the California Cancer Registry, we describe AYA ALL patterns of care and outcomes over the past decade. Sociodemographics, treatment location, and front-line therapies administered to AYAs diagnosed with ALL between 2004 and 2014 were obtained. Cox regression models evaluated associations between ALL setting and regimen and overall survival (OS) and leukemia-specific survival (LSS) for the entire cohort, younger AYA (<25 years), and AYAs treated in the adult cancer setting only. Of 1473 cases, 67.7% were treated in an adult setting; of these, 24.8% received a pediatric ALL regimen and 40.7% were treated at a National Cancer Institute (NCI)-designated center. In multivariable analyses, front-line treatment in a pediatric (vs adult) setting (OS HR = 0.53, 95% confidence interval [CI], 0.37-0.76; LSS HR = 0.51, 95% CI, 0.35-0.74) and at an NCI/Children's Oncology Group (COG) center (OS HR = 0.80, 95% CI, 0.66-0.96; LSS HR = 0.80, 95% CI, 0.65-0.97) were associated with significantly superior survival. Results were similar when analyses were limited to younger AYAs. Outcomes for AYAs treated in an adult setting did not differ following front-line pediatric or adult ALL regimens. Our population-level findings demonstrate that two-thirds of AYAs with newly diagnosed ALL are treated in an adult cancer setting, with the majority receiving care in community settings. Given the potential survival benefits, front-line treatment of AYA ALL at pediatric and/or NCI/COG-designated cancer centers should be considered. © 2018 by The American Society of Hematology.

Middle Managers' Experiences and Role in Implementing an Interactive Tailored Patient Assessment eHealth Intervention in Clinical Practice.

PubMed

Varsi, Cecilie; Ekstedt, Mirjam; Gammon, Deede; Børøsund, Elin; Ruland, Cornelia M

2015-06-01

The role of nurse and physician managers is considered crucial for implementing eHealth interventions in clinical practice, but few studies have explored this. The aim of the current study was to examine the perceptions of nurse and physician managers regarding facilitators, barriers, management role, responsibility, and action taken in the implementation of an eHealth intervention called Choice into clinical practice. Individual qualitative interviews were conducted with six nurses and three physicians in management positions at five hospital units. The findings revealed that nurse managers reported conscientiously supporting the implementation, but workloads prevented them from participating in the process as closely as they wanted. Physician managers reported less contribution. The implementation process was influenced by facilitating factors such as perceptions of benefits from Choice and use of implementation strategies, along with barriers such as physician resistance, contextual factors and difficulties for front-line providers in learning a new way of communicating with the patients. The findings suggest that role descriptions for both nurse and physician managers should include implementation knowledge and implementation skills. Managers could benefit from an implementation toolkit. Implementation management should be included in management education for healthcare managers to prepare them for the constant need for implementation and improvement in clinical practice.

Advocacy on the Front Lines of CTE

ERIC Educational Resources Information Center

Reese, Susan

2011-01-01

Career and technical education (CTE) in the 21st century is more relevant and rigorous than ever before. It prepares students to compete in the global workplace, it inspires lifelong learning, and it helps prevent at-risk students from dropping out of school because it keeps them engaged in the learning process. Those who work on the front lines…

Front Elevation and Floor Plan in 1893, 1894, and 1909; ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

Front Elevation and Floor Plan in 1893, 1894, and 1909; Office End Elevation, Waiting End Elevation, Section A (1894), Section B (1894), Signage (ca. 1908-1911), Map of Rail Lines & Depots on Soldiers' Home - National Home for Disabled Volunteer Soldiers, Pacific Branch, Streetcar Depot, Corner of Pershing & Dewey Avenues, Los Angeles, Los Angeles County, CA

Making housing first happen: organizational leadership in VA's expansion of permanent supportive housing.

PubMed

Kertesz, Stefan G; Austin, Erika Laine; Holmes, Sally K; Pollio, David E; Schumacher, Joseph E; White, Bert; Lukas, Carol VanDeusen

2014-12-01

While most organizational literature has focused on initiatives that transpire inside the hospital walls, the redesign of American health care increasingly asks that health care institutions address matters outside their walls, targeting the health of populations. The US Department of Veterans Affairs (VA)'s national effort to end Veteran homelessness represents an externally focused organizational endeavor. Our aim was to evaluate the role of organizational practices in the implementation of Housing First (HF), an evidence-based homeless intervention for chronically homeless individuals. This was an interview-based comparative case study conducted across eight VA Medical Centers (VAMCs). Front line staff, mid-level managers, and senior leaders at VA Medical Centers were interviewed between February and December 2012. Using a structured narrative and numeric scoring, we assessed the correlation between successful HF implementation and organizational practices devised according to the organizational transformation model (OTM). Scoring results suggested a strong association between HF implementation and OTM practice. Strong impetus to house Veterans came from national leadership, reinforced by Medical Center directors closely tracking results. More effective Medical Center leaders differentiated themselves by joining front-line staff in the work (at public events and in process improvement exercises), by elevating homeless-knowledgeable persons into senior leadership, and by exerting themselves to resolve logistic challenges. Vertical alignment and horizontal integration advanced at sites that fostered work groups cutting across service lines and hierarchical levels. By contrast, weak alignment from top to bottom typically also hindered cooperation across departments. Staff commitment to ending homelessness was high, though sustainability planning was limited in this baseline year of observation. Key organizational practices correlated with more successful implementation of HF for homeless Veterans. Medical Center directors substantively influenced the success of this endeavor through their actions to foster impetus, demonstrate commitment and support alignment and integration.

Impact of exclusion criteria for the DASISION and ENESTnd trials in the front-line treatment of a 'real-life' patient population with chronic myeloid leukaemia.

PubMed

Latagliata, Roberto; Carmosino, Ida; Vozella, Federico; Volpicelli, Paola; De Angelis, Federico; Loglisci, Maria Giovanna; Salaroli, Adriano; De Luca, Maria Lucia; Montagna, Chiara; Serrao, Alessandra; Molica, Matteo; Diverio, Daniela; Nanni, Mauro; Mancini, Marco; Breccia, Massimo; Alimena, Giuliana

2017-06-01

Both Dasision and ENESTnd trials had many exclusion criteria, with a possible selection bias compared with the real-life. To address the impact of this bias on the first-line treatment in the current clinical practice, we revised 207 unselected newly diagnosed chronic phase chronic myeloid leukaemia (CML) patients [M/F 108/99, median age 58.8 years, interquartile range 42.3-70.2] treated with front-line imatinib from June 2002 to June 2013 at our Institution, and evaluated how many of them would have been excluded from enrolment in the two trials. Twenty-eight patients (13.5%) should have been excluded by both trials because of polycomorbidities (12), severe cardiomyopathy (five), age > 80 with frailty (three), drug abuse (two) or other severe concomitant diseases (six). In addition, eight patients should have been excluded by Dasision due to isolated chronic obstructive broncopulmonar disease, and 19 patients should have been excluded by ENESTnd due to isolated diabetes (10), arrhythmia (four), acute myocardial infarction > 6 months before CML diagnosis (two), chronic pancreatic disease (two) and peripheral arterial obstructive disease (one). On the whole, 36 patients (17.4%) would have been excluded by Dasision trial and 47 (22.7%) by ENESTnd trial. The patients potentially not eligible for both trials were significantly older and with imatinib had a worse outcome compared with patients potentially eligible. Our data highlight that an automatic transposition of results available in clinical controlled trials into the frontline real-life management of CML patients should be regarded with caution. Copyright © 2015 John Wiley & Sons, Ltd. Copyright © 2015 John Wiley & Sons, Ltd.

Understanding the Manager of the Project Front-End

NASA Technical Reports Server (NTRS)

Mulenburg, Gerald M.; Imprescia, Cliff (Technical Monitor)

2000-01-01

Historical data and new findings from interviews with managers of major National Aeronautics and Space Administration (NASA) projects confirm literature reports about the criticality of the front-end phase of project development, where systems engineering plays such a key role. Recent research into the management of ten contemporary NASA projects, combined with personal experience of the author in NASA, provide some insight into the relevance and importance of the project manager in this initial part of the project life cycle. The research findings provide evidence of similar approaches taken by the NASA project manager.

Growth dynamics of cancer cell colonies and their comparison with noncancerous cells

NASA Astrophysics Data System (ADS)

Huergo, M. A. C.; Pasquale, M. A.; González, P. H.; Bolzán, A. E.; Arvia, A. J.

2012-01-01

The two-dimensional (2D) growth dynamics of HeLa (cervix cancer) cell colonies was studied following both their growth front and the pattern morphology evolutions utilizing large population colonies exhibiting linearly and radially spreading fronts. In both cases, the colony profile fractal dimension was df=1.20±0.05 and the growth fronts displaced at the constant velocity 0.90±0.05 μm min-1. Colonies showed changes in both cell morphology and average size. As time increased, the formation of large cells at the colony front was observed. Accordingly, the heterogeneity of the colony increased and local driving forces that set in began to influence the dynamics of the colony front. The dynamic scaling analysis of rough colony fronts resulted in a roughness exponent α = 0.50±0.05, a growth exponent β = 0.32±0.04, and a dynamic exponent z=1.5±0.2. The validity of this set of scaling exponents extended from a lower cutoff lc≈60 μm upward, and the exponents agreed with those predicted by the standard Kardar-Parisi-Zhang continuous equation. HeLa data were compared with those previously reported for Vero cell colonies. The value of df and the Kardar-Parisi-Zhang-type 2D front growth dynamics were similar for colonies of both cell lines. This indicates that the cell colony growth dynamics is independent of the genetic background and the tumorigenic nature of the cells. However, one can distinguish some differences between both cell lines during the growth of colonies that may result from specific cooperative effects and the nature of each biosystem.

10. Photograph of line drawing in possession of Engineering Plans ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

10. Photograph of line drawing in possession of Engineering Plans and Services Division, Rock Island Arsenal. FRONT ELEVATION, 1873. - Rock Island Arsenal, Building No. 225, Rodman Avenue between Flagler Street & Gillespie Avenue, Rock Island, Rock Island County, IL

Contact Line Instability Caused by Air Rim Formation under Nonsplashing Droplets.

PubMed

Pack, Min; Kaneelil, Paul; Kim, Hyoungsoo; Sun, Ying

2018-05-01

Drop impact is fundamental to various natural and industrial processes such as rain-induced soil erosion and spray-coating technologies. The recent discovery of the role of air entrainment between the droplet and the impacting surface has produced numerous works, uncovering the unique physics that correlates the air film dynamics with the drop impact outcomes. In this study, we focus on the post-failure air entrainment dynamics for We numbers well below the splash threshold under different ambient pressures and elucidate the interfacial instabilities formed by air entrainment at the wetting front of impacting droplets on perfectly smooth, viscous films of constant thickness. A high-speed total internal reflection microscopy technique accounting for the Fresnel reflection at the drop-air interface allows for in situ measurements of an entrained air rim at the wetting front. The presence of an air rim is found to be a prerequisite to the interfacial instability which is formed when the capillary pressure in the vicinity of the contact line can no longer balance the increasing gas pressure near the wetting front. A critical capillary number for the air rim formation is experimentally identified above which the wetting front becomes unstable where this critical capillary number inversely scales with the ambient pressure. The contact line instabilities at relatively low We numbers ( We ∼ O(10)) observed in this study provide insight into the conventional understanding of hydrodynamic instabilities under drop impact which usually require We ≫ 10.

Enhanced photon management in silicon thin film solar cells with different front and back interface texture

PubMed Central

Tamang, Asman; Hongsingthong, Aswin; Jovanov, Vladislav; Sichanugrist, Porponth; Khan, Bakhtiar A.; Dewan, Rahul; Konagai, Makoto; Knipp, Dietmar

2016-01-01

Light trapping and photon management of silicon thin film solar cells can be improved by a separate optimization of the front and back contact textures. A separate optimization of the front and back contact textures is investigated by optical simulations taking realistic device geometries into consideration. The optical simulations are confirmed by experimentally realized 1 μm thick microcrystalline silicon solar cells. The different front and back contact textures lead to an enhancement of the short circuit current by 1.2 mA/cm2 resulting in a total short circuit current of 23.65 mA/cm2 and an energy conversion efficiency of 8.35%. PMID:27481226

Study of Pressure Oscillations in Supersonic Parachute

NASA Astrophysics Data System (ADS)

Dahal, Nimesh; Fukiba, Katsuyoshi; Mizuta, Kazuki; Maru, Yusuke

2018-04-01

Supersonic parachutes are a critical element of planetary mission whose simple structure, light-weight characteristics together with high ratio of aerodynamic drag makes them the most suitable aerodynamic decelerators. The use of parachute in supersonic flow produces complex shock/shock and wake/shock interaction giving rise to dynamic pressure oscillations. The study of supersonic parachute is difficult, because parachute has very flexible structure which makes obtaining experimental pressure data difficult. In this study, a supersonic wind tunnel test using two rigid bodies is done. The wind tunnel test was done at Mach number 3 by varying the distance between the front and rear objects, and the distance of a bundle point which divides suspension lines and a riser. The analysis of Schlieren movies revealed shock wave oscillation which was repetitive and had large pressure variation. The pressure variation differed in each case of change in distance between the front and rear objects, and the change in distance between riser and the rear object. The causes of pressure oscillation are: interaction of wake caused by front object with the shock wave, fundamental harmonic vibration of suspension lines, interference between shock waves, and the boundary layer of suspension lines.

Dynamics of the Molten Contact Line

NASA Technical Reports Server (NTRS)

Sonin, Ain A.; Duthaler, Gregg; Liu, Michael; Torresola, Javier; Qiu, Taiqing

1999-01-01

The purpose of this program is to develop a basic understanding of how a molten material front spreads over a solid that is below its melting point, arrests, and freezes. Our hope is that the work will contribute toward a scientific knowledge base for certain new applications involving molten droplet deposition, including the "printing" of arbitrary three-dimensional objects by precise deposition of individual molten microdrops that solidify after impact. Little information is available at this time on the capillarity-driven motion and arrest of molten contact line regions. Schiaffino and Sonin investigated the arrest of the contact line of a molten microcrystalline wax spreading over a subcooled solid "target" of the same material. They found that contact line arrest takes place at an apparent liquid contact angle that depends primarily on the Stefan number S=c(T(sub f) -T(sub t)/L based on the temperature difference between the fusion point and the target temperature, and proposed that contact line arrest occurs when the liquid's dynamic contact angle approaches the angle of attack of the solidification front just behind the contact line. They also showed, however, that the conventional continuum equations and boundary conditions have no meaningful solution for this angle. The solidification front angle is determined by the heat flux just behind the contact line, and the heat flux is singular at that point. By comparing experiments with numerical computations, Schiaffino and Sonin estimated that the conventional solidification model must break down within a distance of order 0.1 - 1 microns of the contact line. The physical mechanism for this breakdown is as yet undetermined, and no first-principles theory exists for the contact angle at arrest. Schiaffino and Sonin also presented a framework for understanding how to moderate Weber number molten droplet deposition in terms of similarity laws and experimentation. The study is based on experiments with three molten materials- molten wax on solid wax, water on ice, and mercury on frozen mercury- which between them span a considerable range of the deposition/solidification similarity parameters. Correlations are obtained for the spreading velocity, spreading time scales, the spreading factor (i.e. ratio of deposited drop's final footprint radius and the drop's initial radius), post-spreading liquid oscillation amplitudes and time scales, and bulk solidification time scales. Duthaler carried out an experimental and theoretical investigation of the relationship between the liquid's apparent contact angle and the Capillary number Ca=mu U/sigma based on contact line speed, for molten materials spreading over subcooled solids. This relationship is required for modeling of melt spreading. We have adapted Voinov's methodology to the molten contact line and formulated a theoretical model for the Ca vs. contact angle relationship, based Schiaffino and Sonin#s (1997a,b) wedge-like solidification front model. With the solidification front angle taken from Schiaffino and Sonin, the model is in good agreement with the experimental results for Ca vs. contact angle. Duthaler also extended the experimental investigation of droplet deposition and contact line freezing to more materials, including solder on glass, solder on solder, water on ice, and molten microcrystalline wax on wax. The latter also included tests on inclined targets. Deposition tests have also been done with molten octacosane (C28H58) on various targets. An important objective of our program has been the development of micron-scale sensors for measuring the transient temperature at a point on the substrate surface as a molten contact line moves over it. The expectation is that this temperature history will yield a better understanding of the thermal process in the contact line region. The sensors are of the thermistor type, either 2.5 microns or 1.5 microns square, microfabricated with silicon-based technology on either pure silicon or amorphous silicon dioxide chips. Each chip has 32 sensors distributed on its surface in arrays. The time response is better than 10 ms. At the time of writing, sensor calibration is in progress. Results on thermal transients during contact line passage will be discussed at the conference. While we expect that the data will provide information on the near-contact-line heat transfer process, we also foresee possible problems. First, the spatial resolution of the sensors may be insufficient to resolve the near-contact-line region. Second, the sensors protrude about 0.5 microns above the substrate surface, and may affect the contact line motion. Third, a sensor's temperature history depends on both the heat flux distribution into it from the fusion front and the thermal properties of the substrate below it and the solidified melt between it and the fusion front. The heat flux distribution in the contact line region must therefore be unfolded from computations of the overall system's transient thermal response.

Factors influencing intentions to stay and retention of nurse managers: a systematic review.

PubMed

Brown, Pamela; Fraser, Kimberly; Wong, Carol A; Muise, Melanie; Cummings, Greta

2013-04-01

This systematic review aimed to explore factors known to influence intentions to stay and retention of nurse managers in their current position. Retaining staff nurses and recruiting nurses to management positions are well documented; however, there is sparse research examining factors that influence retention of nurse managers. Thirteen studies were identified through a systematic search of the literature. Eligibility criteria included both qualitative and quantitative studies that examined factors related to nurse manager intentions to stay and retention. Quality assessments, data extraction and analysis were completed on all studies included. Twenty-one factors were categorized into three major categories: organizational, role and personal. Job satisfaction, organizational commitment, organizational culture and values, feelings of being valued and lack of time to complete tasks leading to work/life imbalance, were prominent across all categories. These findings suggest that intentions to stay and retention of nurse managers are multifactoral. However, lack of robust literature highlights the need for further research to develop strategies to retain nurse managers. ImplICATIONS FOR NURSE MANAGEMENT: Health-care organizations and senior decision-makers should feel a responsibility to support front-line managers in relation to workload and span of control, and in understanding work/life balance issues faced by managers. © 2012 Blackwell Publishing Ltd.

Staff survey of organizational structure and process for a Public Health Department.

PubMed

Dwyer, J J

1995-01-01

A survey of 227 North York Public Health Department (NYPHD) staff provided their perspective on the organizational structure. They perceived that (a) the departmental and divisional organizational structures are effective for program delivery, (b) the Central Resources structure and divisional and departmental reporting structures are moderately effective for program delivery, (c) the decentralized office structure is an advantage for service delivery but less so for administration and intra-division and inter-division communication, (d) the mandatory program structure involves low to moderate interdisciplinary teamwork and moderately impacts service delivery, (e) intra-division and management-staff communication are fair but inter-division and office communication are between poor and fair, (f) education, research, and service are moderately integrated, and (g) the divisional and departmental work atmospheres are a little positive. Management perceived greater participation in program planning, more frequent communication with other divisions, a number of education and research opportunities from various divisions/units, and more management recognition than front line staff did.

Human risk factors associated with pilots in runway excursions.

PubMed

Chang, Yu-Hern; Yang, Hui-Hua; Hsiao, Yu-Jung

2016-09-01

A breakdown analysis of civil aviation accidents worldwide indicates that the occurrence of runway excursions represents the largest portion among all aviation occurrence categories. This study examines the human risk factors associated with pilots in runway excursions, by applying a SHELLO model to categorize the human risk factors and to evaluate the importance based on the opinions of 145 airline pilots. This study integrates aviation management level expert opinions on relative weighting and improvement-achievability in order to develop four kinds of priority risk management strategies for airline pilots to reduce runway excursions. The empirical study based on experts' evaluation suggests that the most important dimension is the liveware/pilot's core ability. From the perspective of front-line pilots, the most important risk factors are the environment, wet/containment runways, and weather issues like rain/thunderstorms. Finally, this study develops practical strategies for helping management authorities to improve major operational and managerial weaknesses so as to reduce the human risks related to runway excursions. Copyright © 2016 Elsevier Ltd. All rights reserved.

Multiple UAV Cooperation for Wildfire Monitoring

NASA Astrophysics Data System (ADS)

Lin, Zhongjie

Wildfires have been a major factor in the development and management of the world's forest. An accurate assessment of wildfire status is imperative for fire management. This thesis is dedicated to the topic of utilizing multiple unmanned aerial vehicles (UAVs) to cooperatively monitor a large-scale wildfire. This is achieved through wildfire spreading situation estimation based on on-line measurements and wise cooperation strategy to ensure efficiency. First, based on the understanding of the physical characteristics of the wildfire propagation behavior, a wildfire model and a Kalman filter-based method are proposed to estimate the wildfire rate of spread and the fire front contour profile. With the enormous on-line measurements from on-board sensors of UAVs, the proposed method allows a wildfire monitoring mission to benefit from on-line information updating, increased flexibility, and accurate estimation. An independent wildfire simulator is utilized to verify the effectiveness of the proposed method. Second, based on the filter analysis, wildfire spreading situation and vehicle dynamics, the influence of different cooperation strategies of UAVs to the overall mission performance is studied. The multi-UAV cooperation problem is formulated in a distributed network. A consensus-based method is proposed to help address the problem. The optimal cooperation strategy of UAVs is obtained through mathematical analysis. The derived optimal cooperation strategy is then verified in an independent fire simulation environment to verify its effectiveness.

Appearance of wavefront dislocations under interference among beams with simple wavefronts

NASA Astrophysics Data System (ADS)

Angelsky, Oleg V.; Besaha, R. N.; Mokhun, Igor I.

1997-12-01

The appearance of wave front dislocations under interference among beams with simple wave fronts is considered. It is shown, that even two beams with the smooth wave fonts is possible the formation of dislocations screw type. The screw dislocations are formed in cross point of lines of equal amplitude of beams and minimum of an interference pattern.

5. Photocopy of blue line drawing (on file at La ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

5. Photocopy of blue line drawing (on file at La Grande District Office, La Grande, Oregon) USDA Forest Service, 1939 TREE PLANTING MASTER PLAN - Union Ranger District Compound, Fronting State Highway 203, at West edge of Union, Union, Union County, OR

7. Photocopy of blue line drawing (on file at La ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

7. Photocopy of blue line drawing (on file at La Grande District Office, La Grande, Oregon) USDA Forest Service, 1965 MASTER SITE DEVELOPMENT PLAN - Union Ranger District Compound, Fronting State Highway 203, at West edge of Union, Union, Union County, OR

Azacitidine for Front-Line Therapy of Patients with AML: Reproducible Efficacy Established by Direct Comparison of International Phase 3 Trial Data with Registry Data from the Austrian Azacitidine Registry of the AGMT Study Group

PubMed Central

Pleyer, Lisa; Döhner, Hartmut; Dombret, Hervé; Seymour, John F.; Schuh, Andre C.; Beach, CL; Swern, Arlene S.; Burgstaller, Sonja; Stauder, Reinhard; Girschikofsky, Michael; Sill, Heinz; Schlick, Konstantin; Thaler, Josef; Halter, Britta; Machherndl Spandl, Sigrid; Zebisch, Armin; Pichler, Angelika; Pfeilstöcker, Michael; Autzinger, Eva M.; Lang, Alois; Geissler, Klaus; Voskova, Daniela; Sperr, Wolfgang R.; Hojas, Sabine; Rogulj, Inga M.; Andel, Johannes; Greil, Richard

2017-01-01

We recently published a clinically-meaningful improvement in median overall survival (OS) for patients with acute myeloid leukaemia (AML), >30% bone marrow (BM) blasts and white blood cell (WBC) count ≤15 G/L, treated with front-line azacitidine versus conventional care regimens within a phase 3 clinical trial (AZA-AML-001; NCT01074047; registered: February 2010). As results obtained in clinical trials are facing increased pressure to be confirmed by real-world data, we aimed to test whether data obtained in the AZA-AML-001 trial accurately represent observations made in routine clinical practice by analysing additional AML patients treated with azacitidine front-line within the Austrian Azacitidine Registry (AAR; NCT01595295; registered: May 2012) and directly comparing patient-level data of both cohorts. We assessed the efficacy of front-line azacitidine in a total of 407 patients with newly-diagnosed AML. Firstly, we compared data from AML patients with WBC ≤ 15 G/L and >30% BM blasts included within the AZA-AML-001 trial treated with azacitidine (“AML-001” cohort; n = 214) with AAR patients meeting the same inclusion criteria (“AAR (001-like)” cohort; n = 95). The current analysis thus represents a new sub-analysis of the AML-001 trial, which is directly compared with a new sub-analysis of the AAR. Baseline characteristics, azacitidine application, response rates and OS were comparable between all patient cohorts within the trial or registry setting. Median OS was 9.9 versus 10.8 months (p = 0.616) for “AML-001” versus “AAR (001-like)” cohorts, respectively. Secondly, we pooled data from both cohorts (n = 309) and assessed the outcome. Median OS of the pooled cohorts was 10.3 (95% confidence interval: 8.7, 12.6) months, and the one-year survival rate was 45.8%. Thirdly, we compared data from AAR patients meeting AZA-AML-001 trial inclusion criteria (n = 95) versus all AAR patients with World Health Organization (WHO)-defined AML (“AAR (WHO-AML)” cohort; n = 193). Within the registry population, median OS for AAR patients meeting trial inclusion criteria versus all WHO-AML patients was 10.8 versus 11.8 months (p = 0.599), respectively. We thus tested and confirmed the efficacy of azacitidine as a front-line agent in patients with AML, >30% BM blasts and WBC ≤ 15 G/L in a routine clinical practice setting. We further show that the efficacy of azacitidine does not appear to be limited to AML patients who meet stringent clinical trial inclusion criteria, but instead appears efficacious as front-line treatment in all patients with WHO-AML. PMID:28212292

Near infrared spectra of the Orion bar

NASA Astrophysics Data System (ADS)

Marconi, A.; Testi, L.; Natta, A.; Walmsley, C. M.

1998-02-01

We have used the LONGSP spectrometer on the 1.5-m TIRGO telescope to obtain long slit spectra in the J, H, and K wavelength bands towards two positions along the Orion bar. These data have been supplemented with images made using the ARNICA camera mounted on TIRGO as well as with an ESO NTT observation carried out by Dr A. Moorwood. We detect a variety of transitions of hydrogen, helium, OI, FeII, FeIII, and H_2. From our molecular hydrogen data, we conclude that densities are moderate (3-6x 10(4) cm(-3) ) in the layer responsible for the molecular hydrogen emission and give no evidence for the presence of dense neutral clumps. We also find that the molecular hydrogen bar is likely to be tilted by ~ 10 degrees relative to the line of sight. We discuss the relative merits of several models of the structure of the bar and conclude that it may be split into two structures separated by 0.2-0.3 parsec along the line of sight. It also seems likely to us that in both structures, density increases along a line perpendicular to the ionization front which penetrates into the neutral gas. We have used the 1.317mum OI line to estimate the FUV radiation field incident at the ionization front and find values of 1-3x 10(4) greater than the average interstellar field. From [FeII] line measurements, we conclude that the electron density in the ionized layer associated with the ionization front is of order 10(4) \\percc. Finally, our analysis of the helium and hydrogen recombination lines implies essential coincidence of the helium and hydrogen Stromgren spheres.

Hotel-Motel Occupations: Hotel-Motel Clerk. Front Office Manager. Competency-Based Education Curriculum.

ERIC Educational Resources Information Center

McKinney, L. S.

A teacher's guide and student curriculum are provided for a hotel-motel occupations competency-based education curriculum designed to facilitate the learning of skills for front office clerks and managers. The teacher's guide contains an explanation of the curriculum and suggested usage, a list of competencies by job title, evaluation aids,…

Structuring agency: examining healthcare management in the USA and Australia using organizational theory.

PubMed

Payne, Julianne; Leiter, Jeffrey

2013-01-01

Since the 1970s, the healthcare industry has undergone significant changes. Using neo-institutional and resource dependency theories, the purpose of this paper is to explore how managers perceive constraint and enact agency amidst these historic challenges--perhaps most significantly, declining funding and increasing regulation. The data come from ten interviews with healthcare managers, spanning for-profit, non-profit, and government legal forms and hospital and nursing home sub-industries in both Queensland, Australia and North Carolina, USA. The authors look for patterns across the interviews. The paper shows that governments and umbrella "parent" organizations force managers to adhere to institutional expectations in exchange for resource investment. Managers navigate these environmental obstacles using a shared business-minded approach and competitive differentiation. Yet various interest groups--including front-line workers, physicians, and patients--challenge this paradigm, as they demand a focus on quality of care. Managers' efforts are likewise curbed by the very resource and institutional pressures they resist. The authors understand changes in the healthcare industry as resulting from an increasingly powerful managerial logic, at odds with traditional professional and societal values. Interest groups are best positioned to challenge this logic.

Quarantine, Isolation, and Health Care Workers.

PubMed

Webb, Adam

2015-12-01

Although Ebola virus disease and other hemorrhagic fevers are not generally considered infectious diseases of the nervous system, neurologists may be asked to participate in the management of patients with these and other dangerous communicable illnesses, including possible bioterrorism agents. It is essential for all health professionals to understand the public health, legal, and ethical frameworks behind autonomy-limiting interventions such as quarantine and isolation. Health care professionals represent the front line of defense during public health emergencies. They are often disproportionately affected by the illnesses themselves as well as by the public health interventions intended to prevent spread. The global health crisis caused by the spread of Ebola virus disease has been instructional for examining these ethical issues.

Practical Work-up and Management of Recurrent Pregnancy Loss for the Front-Line Clinician.

PubMed

Branch, D Ware; Silver, Robert M

2016-09-01

Only a few so-called etiologies of recurrent pregnancy loss recurrent pregnancy loss in otherwise healthy women are adequately supported by well-designed investigations of association. The majority of proposed "treatments" have not been subjected to rigorous trials. The American Board of Internal Medicine Choosing Wisely initiative urges providers and patients to have constructive dialog aimed at choosing health care that is supported by evidence, not duplicative of other tests or procedures already received, free from harm, and truly necessary. We support the refreshing, objective frankness promoted by this campaign. A version of the Choosing Wisely "Do" and "Don't" format for recurrent pregnancy loss is presented.

Myocardial Viability: From Proof of Concept to Clinical Practice

PubMed Central

Tan, Timothy C.; Hsu, Chijen; Denniss, Alan Robert

2016-01-01

Ischaemic left ventricular (LV) dysfunction can arise from myocardial stunning, hibernation, or necrosis. Imaging modalities have become front-line methods in the assessment of viable myocardial tissue, with the aim to stratify patients into optimal treatment pathways. Initial studies, although favorable, lacked sufficient power and sample size to provide conclusive outcomes of viability assessment. Recent trials, including the STICH and HEART studies, have failed to confer prognostic benefits of revascularisation therapy over standard medical management in ischaemic cardiomyopathy. In lieu of these recent findings, assessment of myocardial viability therefore should not be the sole factor for therapy choice. Optimization of medical therapy is paramount, and physicians should feel comfortable in deferring coronary revascularisation in patients with coronary artery disease with reduced LV systolic function. Newer trials are currently underway and will hopefully provide a more complete understanding of the pathos and management of ischaemic cardiomyopathy. PMID:27313943

PlantDB – a versatile database for managing plant research

PubMed Central

Exner, Vivien; Hirsch-Hoffmann, Matthias; Gruissem, Wilhelm; Hennig, Lars

2008-01-01

Background Research in plant science laboratories often involves usage of many different species, cultivars, ecotypes, mutants, alleles or transgenic lines. This creates a great challenge to keep track of the identity of experimental plants and stored samples or seeds. Results Here, we describe PlantDB – a Microsoft® Office Access database – with a user-friendly front-end for managing information relevant for experimental plants. PlantDB can hold information about plants of different species, cultivars or genetic composition. Introduction of a concise identifier system allows easy generation of pedigree trees. In addition, all information about any experimental plant – from growth conditions and dates over extracted samples such as RNA to files containing images of the plants – can be linked unequivocally. Conclusion We have been using PlantDB for several years in our laboratory and found that it greatly facilitates access to relevant information. PMID:18182106

12. Photograph of line drawing in possession of Engineering Plans ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

12. Photograph of line drawing in possession of Engineering Plans and Services Division, Rock Island Arsenal. FRONT (WEST) ELEVATION, 1877. DELINEATOR: W. OTTO GRONEN. - Rock Island Arsenal, Building No. 90, East Avenue between North Avenue & King Drive, Rock Island, Rock Island County, IL

4. Photocopy of blue line drawing (on file at La ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

4. Photocopy of blue line drawing (on file at La Grande District Office, La Grande, Oregon) USDA Forest Service, 1938 SITE PLAN, UNION RANGER STATION - Union Ranger District Compound, Fronting State Highway 203, at West edge of Union, Union, Union County, OR

8. Photocopy of blue line drawing (on file at La ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

8. Photocopy of blue line drawing (on file at La Grande District Office, La Grande, Oregon) USDA Forest Service, 1939 DETAIL PLANTING PLAN, SERVICE BUILDINGS - Union Ranger District Compound, Fronting State Highway 203, at West edge of Union, Union, Union County, OR

Abundances of O, Mg, S, Cr, Mn, Ti, NI and Zn from absorption lines of neutral gas in the Large Magellanic Cloud in front of R136

NASA Astrophysics Data System (ADS)

de Boer, K. S.; Fitzpatrick, E. L.; Savage, B. D.

1985-11-01

The authors have searched six high-dispersion IUE spectra of R136 for weak absorption lines of C I, O I, Mg I, Mg II, Si I, Si II, P I, Cl I, Cr II, Mn II, Fe I, Ni II, Zn II, CO and C2. The absorption detected is from neutral gas in front of the 30 Doradus H II region. For the first time abundances of Mg, Cr, Mn, Ti, Ni, and Zn are determined for an extragalactic system. The LMC abundances from the absorption lines are a factor of 2 to 3 below those of the Milky Way, in agreement with general results from emission line studies. The density and temperature of the neutral gas are estimates from the observed excitation and ionization at approximately n(H) = 300 cm-3 and T = 100K, implying a gas pressure of about 3×104cm-3K.

Wilson lines in the MHV action

DOE PAGES

Kotko, P.; Stasto, A. M.

2017-09-12

The MHV action is the Yang-Mills action quantized on the light-front, where the two explicit physical gluonic degrees of freedom have been canonically transformed to a new set of fields. This transformation leads to the action with vertices being off-shell continuations of the MHV amplitudes. We show that the solution to the field transformation expressing one of the new fields in terms of the Yang-Mills field is a certain type of the Wilson line. More precisely, it is a straight infinite gauge link with a slope extending to the light-cone minus and the transverse direction. One of the consequences ofmore » that fact is that certain MHV vertices reduced partially on-shell are gauge invariant — a fact discovered before using conventional light-front perturbation theory. We also analyze the diagrammatic content of the field transformations leading to the MHV action. We found that the diagrams for the solution to the transformation (given by the Wilson line) and its inverse differ only by light-front energy denominators. Further, we investigate the coordinate space version of the inverse solution to the one given by the Wilson line. We find an explicit expression given by a power series in fields. We also give a geometric interpretation to it by means of a specially defined vector field. Finally, we discuss the fact that the Wilson line solution to the transformation is directly related to the all-like helicity gluon wave function, while the inverse functional is a generating functional for solutions of self-dual Yang-Mills equations.« less

Wilson lines in the MHV action

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

Kotko, P.; Stasto, A. M.

The MHV action is the Yang-Mills action quantized on the light-front, where the two explicit physical gluonic degrees of freedom have been canonically transformed to a new set of fields. This transformation leads to the action with vertices being off-shell continuations of the MHV amplitudes. We show that the solution to the field transformation expressing one of the new fields in terms of the Yang-Mills field is a certain type of the Wilson line. More precisely, it is a straight infinite gauge link with a slope extending to the light-cone minus and the transverse direction. One of the consequences ofmore » that fact is that certain MHV vertices reduced partially on-shell are gauge invariant — a fact discovered before using conventional light-front perturbation theory. We also analyze the diagrammatic content of the field transformations leading to the MHV action. We found that the diagrams for the solution to the transformation (given by the Wilson line) and its inverse differ only by light-front energy denominators. Further, we investigate the coordinate space version of the inverse solution to the one given by the Wilson line. We find an explicit expression given by a power series in fields. We also give a geometric interpretation to it by means of a specially defined vector field. Finally, we discuss the fact that the Wilson line solution to the transformation is directly related to the all-like helicity gluon wave function, while the inverse functional is a generating functional for solutions of self-dual Yang-Mills equations.« less

On a front line.

PubMed Central

Jones, L.

1995-01-01

Like the patients, doctors in Sarajevo depend largely on humanitarian aid; everyone in the public sector has worked without pay for almost three years. The hospital is on a front line; yet the psychiatric department continues to function, even conducting large scale studies of psychosocial aspects of war in Bosnia-Hercegovina. The type of inpatient morbidity and treatment patterns have changed. A plethora of psychosocial rehabilitation programmes has emerged, including counselling, drop in centres, and attending to special needs of elderly people, schoolchildren, and women. The most prominent psychological symptoms were exhaustion at the prospect of a third winter of war and bewilderment at the Western stereotype of Bosnians as Muslim fundamentalists. Images p1052-a p1053-a PMID:7728062

An isocenter estimation tool for proton gantry alignment

NASA Astrophysics Data System (ADS)

Hansen, Peter; Hu, Dongming

2017-12-01

A novel tool has been developed to automate the process of locating the isocenter, center of rotation, and sphere of confusion of a proton therapy gantry. The tool uses a Radian laser tracker to estimate how the coordinate frame of the front-end beam-line components changes as the gantry rotates. The coordinate frames serve as an empirical model of gantry flexing. Using this model, the alignment of the front and back-end beam-line components can be chosen to minimize the sphere of confusion, improving the overall beam positioning accuracy of the gantry. This alignment can be performed without the beam active, improving the efficiency of installing new systems at customer sites.

Monitoring the fracture behavior of SiCp/Al alloy composites using infrared lock-in thermography

NASA Astrophysics Data System (ADS)

Kordatos, E. Z.; Myriounis, D., P.; Hasan, S., T.; Matikas, T. E.

2009-03-01

his work deals with the study of fracture behavior of silicon carbide particle-reinforced (SiCp) A359 aluminum alloy matrix composites using an innovative nondestructive method based on lock-in thermography. The heat wave, generated by the thermo-mechanical coupling and the intrinsic energy dissipated during mechanical cyclic loading of the sample, was detected by an infrared camera. The coefficient of thermo-elasticity allows for the transformation of the temperature profiles into stresses. A new procedure was developed to determine the crack growth rate using thermographic mapping of the material undergoing fatigue: (a) The distribution of temperature and stresses at the surface of the specimen was monitored during the test. To this end, thermal images were obtained as a function of time and saved in the form of a movie. (b) The stresses were evaluated in a post-processing mode, along a series of equally spaced reference lines of the same length, set in front of the crack-starting notch. The idea was that the stress monitored at the location of a line versus time (or fatigue cycles) would exhibit an increase while the crack approaches the line, then attain a maximum when the crack tip was on the line. Due to the fact that the crack growth path could not be predicted and was not expected to follow a straight line in front of the notch, the stresses were monitored along a series of lines of a certain length, instead of a series of equally spaced points in front of the notch. The exact path of the crack could be easily determined by looking at the stress maxima along each of these reference lines. The thermographic results on the crack growth rate of the metal matrix composite (MMC) samples with three different heat treatments were correlated with measurements obtained by the conventional compliance method, and found to be in agreement.

Claw and limb disorders in 12 Norwegian beef-cow herds

PubMed Central

Fjeldaas, Terje; Nafstad, Ola; Fredriksen, Bente; Ringdal, Grethe; Sogstad, Åse M

2007-01-01

Background The main aim of the study was to assess the prevalence of claw and limb disorders in Norwegian beef-cow herds. Methods Twenty-six herds with ≥15 cow-years were selected by computerized systematic assignment from the three most beef cattle-dense regions of Norway. The study population consisted of 12 herds with 28 heifers and 334 cows. The animals were trimmed and examined once by claw trimmers during the late winter and spring of 2003. The seven claw trimmers had been taught diagnosing and recording of claw lesions. Environment, feeding and management routines, age and breed, culling and carcass characteristics were also recorded. Results Lameness was recorded in 1.1% of the animals, and only in hind claws. Pericarpal swellings were recorded in one animal and peritarsal lesions in none. In total, claw and limb disorders including lameness were recorded in 29.6% of the animals, 4.1% with front and 28.2% with hind limb disorders, respectively. Most lesions were mild. Laminitis-related claw lesions were recorded in 18.0% of the animals and infectious lesions in 16.6%. The average claw length was 84 mm in front claws and 89 mm in hind claw. Both laminitis-related and infectious claw lesions were more prevalent with increasing age. Carcasses from animals with claw and limb disorders were on average 34 kg heavier than carcasses from animals without such disorders (p = 0.02). Our results also indicate association between some management factors and claw lesions. Conclusion The study shows that the prevalence of lameness was low in 12 Norwegian beef-cow herds compared to beef-cattle herds in other countries and also that there were less claw and limb disorders in these herds compared to foreign dairy-cattle herds. The prevalence of lameness and white-line fissures was approximately the same as in Norwegian dairy herds whereas less dermatitis, heel-horn erosions, haemorrhages of the sole and the white line and sole ulcers were recorded. PMID:17892582

Organizational Leaders’ and Staff Members’ Appraisals of Their Work Environment Within a Children’s Social Service System

PubMed Central

Patterson, David A.; Dulmus, Catherine; Maguin, Eugene; Keesler, John; Powell, Byron

2014-01-01

Several studies have demonstrated the effect of an organization’s culture and climate on the delivery of services to clients and the success of clinical outcomes. Workers’ perceptions are integral components of organizational social context, and in order to create a positive organizational culture and climate, managers and frontline staff need to have a shared understanding of the social context. The existing literature does not adequately address that discrepancies in perceptions of culture and climate between frontline staff and managers impact the implementation of policies and services. The purpose of this study is to compare the workgroup-level culture and climate of a single, large child and family social services organization, based on the reported experiences of front-line workers and senior managers. The results showed that, as a group, senior managers rated the organization as having a culture that was much more proficient and much less rigid and a climate that was more engaged and more functional than the average frontline workgroup. The discrepancies between the perceptions of upper management and workgroup-level staff indicate the need for interventions that can improve communication and cohesiveness between these two groups. PMID:25101308

A single center’s experience using four different front line mobilization strategies in lymphoma patients planned to undergo autologous hematopoietic cell transplantation

PubMed Central

Haverkos, Bradley M.; Huang, Ying; Elder, Patrick; O’Donnell, Lynn; Scholl, Diane; Whittaker, Becky; Vasu, Sumi; Penza, Sam; Andritsos, Leslie A.; Devine, Steven M.; Jaglowski, Samantha M.

2016-01-01

In an otherwise eligible patient with relapsed lymphoma, inadequate mobilization of peripheral blood stem cells is a limiting factor to proceeding with an autologous hematopoietic cell transplantation (auto-HCT). Multiple strategies have been used to mobilize an adequate number of hematopoietic stem cells (HSCs) with no obvious front-line strategy. We report a single institutional experience mobilizing HSCs using four different approaches in lymphoma patients. We prospectively collected mobilization outcomes on patients planning to undergo auto-HCT at Ohio State University. We report results of first mobilization attempt for all relapsed or refractory lymphoma patients between 2008–2014. We identified 255 lymphoma patients who underwent mobilization for planned auto-HCT. The 255 lymphoma patients underwent the following front line mobilization strategies: 95 (37%) GCSF alone, 38 (15%) chemomobilization (GCSF+chemotherapy), 97 (38%) preemptive day 4 plerixafor, and 25 (10%) rescue day 5 plerixafor. As expected, there were significant differences between cohorts including age, comorbid indices, histology, and amount of prior chemotherapy. After controlling for differences between groups, the odds of collecting 2×106/kg HSCs on the first day of collection and 5×106/kg HSCs in total was highest in the cohort undergoing chemomobilization. In conclusion, our experience highlights the effectiveness of chemomobilization. PMID:28067870

Curriculum-Based Learning--Museum Style

ERIC Educational Resources Information Center

Yuill, Stephanie

2007-01-01

From the World Conservation Union to front-line practitioners, there is increasing recognition of the interaction between nature and people, and a growing integration of environmental and social issues. This also rings true for natural and cultural heritage educators as the line between nature and culture education slowly blurs. Perhaps the…

Silvicultural systems and cutting methods for ponderosa pine forests in the Front Range of the central Rocky Mountains

Treesearch

Robert R. Alexander

1986-01-01

Guidelines are provided to help forest managers and silviculturists develop even- and/or uneven-aged cutting practices needed to convert old-growth and mixed ponderosa pine forests in the Front Range into managed stands for a variety of resource needs. Guidelines consider stand conditions, and insect and disease susceptibility. Cutting practices are designed to...

Assessment and outcome of 496 penetrating gastrointestinal warfare injuries.

PubMed

Saghafinia, M; Nafissi, N; Motamedi, M R K; Motamedi, M H K; Hashemzade, M; Hayati, Z; Panahi, F

2010-03-01

The abdominal viscera are among the most vulnerable organs of the body to penetrating trauma. Proper management of such trauma in war victims at the first-line hospital where these victims are first seen is of paramount importance. We reviewed medical records of war victims suffering small bowel and colorectal injuries treated at first, second and third-line hospitals during the Iraq-Iran War (1980-88) to assess surgical outcomes. The medical records of 496 Iranian war victims suffering penetrating gastrointestinal (GI) injuries treated at first, second and third-line (tertiary) hospitals, a total of 19 centres, were reviewed. Laparotomy had been performed at the 1st line hospitals for all patients who had an acute abdomen, whose wounds violated the peritoneum or whose abdominal radiographs showed air or shrapnel in the abdominal cavity. Stable patients were transferred from first-line to second-line or from second line to tertiary hospitals postoperatively. The treatments, complications and patient outcomes were documented and analyzed. There were 496 patients; 145, 220 and 131 victims underwent laparotomy for GI injuries at first, second and third-line hospitals respectively. The small intestine and colon respectively were the most prevalent abdominal organs damaged. Those first treated for GI injuries at front-line hospitals (145 victims) had more serious conditions and could not be transferred prior to surgery and presented a higher prevalence of complications and mortality. Overall mortality from GI surgery was 3.6% (18 patients). Eleven patients (7.5%) whose first GI operation was performed at frontline hospitals and 7 patients (3.2%) who underwent their first surgical operation at second-line hospitals died. The most common reason for these deaths was complications relating to the gastrointestinal operation such as anastomotic leak. Six missed injuries were seen at the frontline and one at second line hospitals. There were no deaths at the 3rd line hospitals. Penetrating abdominal injuries were common in Iranian victims of war often causing multiple organ injuries. The colon and small intestine were the more commonly injured organs and carried the most postoperative complications. Mortality at 1st line hospitals was more than double that of 2nd line hospitals; the complication rate was also greater as was the number of missed injuries. Adherence to the standard surgical protocols, prompt evaluation, proper triage and management are factors which may lower patient morbidity and complications.

Too many crying babies: a systematic review of pain management practices during immunizations on YouTube

PubMed Central

2014-01-01

Background Early childhood immunizations, although vital for preventative health, are painful and too often lead to fear of needles. Effective pain management strategies during infant immunizations include breastfeeding, sweet solutions, and upright front-to-front holding. However, it is unknown how often these strategies are used in clinical practice. We aimed to review the content of YouTube videos showing infants being immunized to ascertain parents’ and health care professionals’ use of pain management strategies, as well as to assess infants’ pain and distress. Methods A systematic review of YouTube videos showing intramuscular injections in infants less than 12 months was completed using the search terms "baby injection" and "baby vaccine" to assess (1) the use of pain management strategies and (2) infant pain and distress. Pain was assessed by crying duration and pain scores using the FLACC (Face, Legs, Activity, Cry, Consolability) tool. Results A total of 142 videos were included and coded by two trained individual viewers. Most infants received one injection (range of one to six). Almost all (94%) infants cried before or during the injections for a median of 33 seconds (IQR = 39), up to 146 seconds. FLACC scores during the immunizations were high, with a median of 10 (IQR = 3). No videos showed breastfeeding or the use of sucrose/sweet solutions during the injection(s), and only four (3%) videos showed the infants being held in a front-to-front position during the injections. Distraction using talking or singing was the most commonly used (66%) pain management strategy. Conclusions YouTube videos of infants being immunized showed that infants were highly distressed during the procedures. There was no use of breastfeeding or sweet solutions and limited use of upright or front-to-front holding during the injections. This systematic review will be used as a baseline to evaluate the impact of future knowledge translation interventions using YouTube to improve pain management practices for infant immunizations. PMID:24885559

Effect of crack curvature on stress intensity factors for ASTM standard compact tension specimens

NASA Technical Reports Server (NTRS)

Alam, J.; Mendelson, A.

1983-01-01

The stress intensity factors (SIF) are calculated using the method of lines for the compact tension specimen in tensile and shear loading for curved crack fronts. For the purely elastic case, it was found that as the crack front curvature increases, the SIF value at the center of the specimen decreases while increasing at the surface. For the higher values of crack front curvatures, the maximum value of the SIF occurs at an interior point located adjacent to the surface. A thickness average SIF was computed for parabolically applied shear loading. These results were used to assess the requirements of ASTM standards E399-71 and E399-81 on the shape of crack fronts. The SIF is assumed to reflect the average stress environment near the crack edge.

Suicide intervention skills among Japanese medical residents.

PubMed

Fujisawa, Daisuke; Suzuki, Yuriko; Kato, Takahiro A; Hashimoto, Naoki; Sato, Ryoko; Aoyama-Uehara, Kumi; Fukasawa, Maiko; Tomita, Masayuki; Watanabe, Koichiro; Kashima, Haruo; Otsuka, Kotaro

2013-11-01

Patient suicide is a tragic occurrence, and it can be a demoralizing experience for medical residents. Few studies, however, have assessed suicide management skills among these front-line healthcare professionals. This study evaluated the self-assessed competence and confidence of medical residents with regard to the management of potentially suicidal patients and assessed the correlation with the residents' background characteristics. The authors conducted a multicenter, cross-sectional survey of 114 medical residents in Japan, using a modified version of the Suicide Intervention Response Inventory (SIRI-2), the Medical Outcomes Study 8-Item Short-Form Health Survey (SF-8), and a 5-point Likert scale to assess confidence in suicide management. A majority (89.5%) of the residents rated their confidence in managing suicidal patients as Not At All Confident or Rather Not Confident, although most were close to completing their psychiatric rotation. Results on the SIRI-2 suggested intermediate competence in managing suicidal behavior, as compared with that of other healthcare professionals. Competence as indicated by the SIRI-2 score was weakly and negatively correlated with the score for self-perceived Vitality on the SF-8 scale. Insufficient skills and lack of confidence in the management of suicidal patients was observed in this sample of Japanese medical residents, thus highlighting the need for improved suicide-management programs for junior medical residents in Japanese hospitals.

Pharmacokinetic drug evaluation of osimertinib for the treatment of non-small cell lung cancer.

PubMed

Rossi, Antonio; Muscarella, Lucia Anna; Di Micco, Concetta; Carbonelli, Cristiano; D'alessandro, Vito; Notarangelo, Stefano; Palomba, Giuseppe; Sanpaolo, Gerardo; Taurchini, Marco; Graziano, Paolo; Maiello, Evaristo

2017-12-01

First- and second-generation epidermal growth factor receptor-tyrosine kinase inhibitors (EGFR-TKIs), such as gefitinib, erlotinib, icotinib, and afatinib are the standard-of-care for first-line therapy of non-small-cell lung cancer (NSCLC) harboring activating EGFR mutations. Unfortunately, after initial activity of an average 9-13 months, disease progression has been reported in the majority of patients. In about 50% of cases the progression is due to the onset of the T790M mutation in exon 20 of the EGFR gene. Third-generation EGFR-TKIs targeting this mutation were investigated, with osimertinib the only reaching clinical practice. Areas covered: A structured search of bibliographic databases for peer-reviewed research literature and of main meetings using a focused review question addressing osimertinib, was undertaken. Expert opinion: Osimertinib is the standard-of-care for EGFR-mutated patients progressing to first-line EGFR-TKIs due to the acquired EGFR T790M mutation. Results from the head-to-head first-line trial comparing osimertinib versus gefitinib or erlotinib in activating EGFR mutations might change the front-line approach. Osimertinib in combination regimens, such as immunotherapy, and in adjuvant setting are ongoing. Thus, the strategic approach for the management of EGFR-mutated NSCLC patients will change further in the next few years.

Cephalopods of the Southwest Indian OceanRidge: A hotspot of biological diversity and absence of endemism

NASA Astrophysics Data System (ADS)

Laptikhovsky, V.; Boersch-Supan, P.; Bolstad, K.; Kemp, K.; Letessier, T.; Rogers, A. D.

2017-02-01

A total of 68 cephalopod species belonging to 26 families (10-11% of the total known cephalopod diversity) were collected onboard R/V Fridtjof Nansen during a research survey on Southwest Indian Ocean Ridge in November-December 2009. This relatively small area extends from the Tropical front to the Subantarctic front with four distinctive cephalopod faunas and represents one of the most outstanding hotspots of cephalopod diversity reported to date. However, most of the species caught there were characterised by circumglobal distribution in the Southern Hemisphere, and no endemic species were unambiguously found, although a number of taxa could not be confidently attributed to known species. Most of the studied area was dominated by squid species reproducing in epipelagic layers (mostly Enoploteuthidae and Pyroteuthidae). Species reproducing in meso-bathypelagial whose juveniles ascend to surface water (Cranchiidae, Histioteuthidae, etc.) became gradually more and more important southward from the Tropical Zone to the Southern Peripheral Ecotone. In the latter region they were joined by near-bottom dwellers of the order Sepiolida. The epipelagic strategy of reproduction disappears completely at the Subpolar Front, where epipelagic waters were inhabited by young members of the Cranchiidae and Gonatidae hatched in deep-seas. This study demonstrated the importance of conservation and management of this high-seas area, with its unique biodiversity and ecological resources, in line with recommendations by the IUCN Seamount project and Global Ocean Biodiversity Initiative.

Targeted therapies in non-small cell lung cancer: a focus on ALK/ROS1 tyrosine kinase inhibitors.

PubMed

Sgambato, Assunta; Casaluce, Francesca; Maione, Paolo; Gridelli, Cesare

2018-01-01

Anaplastic lymphoma kinase (ALK) and ROS1 rearrangements define important molecular subgroups of advanced non-small cell lung cancer (NSCLC). The identification of these genetic driver alterations created new potential for highly active therapeutic interventions. After discovery of ALK rearrangements in NSCLC, it was recognized that these confer sensitivity to ALK inhibition. Areas covered: Crizotinib, the first-in-class ALK/ROS1/MET inhibitor, was initially approved as second-line treatment of ALK-positive advanced NSCLC but after this, it was firmly established as the standard first-line therapy for advanced ALK-positive NSCLC. After initial response to crizotinib, tumors inevitably relapse. Next-generation ALK inhibitors, more potent and brain-penetrable than crizotinib, may be effective in re-inducing remissions when cancers are still addicted to ALK. Ceritinib and alectinib are approved for metastatic ALK positive NSCLC patients, while brigatinib received granted accelerated approval by the United States Food and Drug Administration. Regarding ROS1 rearrangement, to date crizotinib is the only ALK-tyrosine kinase inhibitor receiving indication as treatment of ROS1 positive advanced NSCLC. Expert commentary: Although novel ALK-inhibitors are under clinical investigation compared to crizotinib as front-line treatment for ALK-positive NSCLC, nowadays the current standard first-line therapy for these patients is crizotinib. Further research will clarify the best management of ALK-positive NSCLC, above all who progress on first-line crizotinib.

Supra Arcade Downflows in the Earth's Magnetotail

NASA Astrophysics Data System (ADS)

Kobelski, A.; Savage, S. L.; Malaspina, D.

2017-12-01

Pinpointing the location of a single reconnection event in the corona is difficult due to observational constraints, although features directly resulting from this rapid reconfiguration of the field lines can be observed beyond the reconnection site. One set of such features are outflows in the form of post-reconnection loops, which have been linked to observations of supra-arcade downflows (SADs). SADs appear as sunward-traveling, density-depleted regions above flare arcades that develop during long duration eruptions. The limitations of remote sensing methods inherently results in ambiguities regarding the interpretation of SAD formation. Of particular interest is how these features are related to post-reconnection retracting magnetic field lines. In planetary magnetospheres, similar events to solar flares occur in the form of substorms, where reconnection in the anti-sunward tail of the magnetosphere causes field lines to retract toward the planet. Using data from the Time History of Events and Macroscopic Interactions during Substorms (THEMIS), we compare one particular aspect of substorms, dipolarization fronts, to SADs. Dipolarization fronts are observed as rapid but temporary changes in the magnetic field of the magnetotail plasma sheet into a more potential-like dipolar shape. These dipolarization fronts are believed to be retracting post-reconnection field lines. We combine data sets to show that the while the densities and magnetic fields involved vary greatly between the regimes, the plasma βs and Alfvén speeds are similar. These similarities allow direct comparison between the retracting field lines and their accompanying wakes of rarified plasma observed with THEMIS around the Earth to the observed morphological density depletions visible with XRT and AIA on the Sun. These results are an important source of feedback for models of coronal current sheets.

Supra Arcade Downflows in the Earth's Magnetotail

NASA Technical Reports Server (NTRS)

Kobelski, Adam; Savage, Sabrina L.; Malaspina, David M.

2017-01-01

Pinpointing the location of a single reconnection event in the corona is difficult due to observational constraints, although features directly resulting from this rapid reconfiguration of the field lines can be observed beyond the reconnection site. One set of such features are outflows in the form of post-reconnection loops, which have been linked to observations of supra-arcade downflows (SADs). SADs appear as sunward-traveling, density-depleted regions above flare arcades that develop during long duration eruptions. The limitations of remote sensing methods inherently results in ambiguities regarding the interpretation of SAD formation. Of particular interest is how these features are related to post-reconnection retracting magnetic field lines. In planetary magnetospheres, similar events to solar flares occur in the form of substorms, where reconnection in the anti-sunward tail of the magnetosphere causes field lines to retract toward the planet. Using data from the Time History of Events and Macroscopic Interactions during Substorms (THEMIS), we compare one particular aspect of substorms, dipolarization fronts, to SADs. Dipolarization fronts are observed as rapid but temporary changes in the magnetic field of the magnetotail plasma sheet into a more potential-like dipolar shape. These dipolarization fronts are believed to be retracting post-reconnection field lines. We combine data sets to show that the while the densities and magnetic fields involved vary greatly between the regimes, the plasma betas and Alfvén speeds are similar. These similarities allow direct comparison between the retracting field lines and their accompanying wakes of rarified plasma observed with THEMIS around the Earth to the observed morphological density depletions visible with XRT and AIA on the Sun. These results are an important source of feedback for models of coronal current sheets.

Nitrogen gas propagation in a liquid helium cooled vacuum tube following a sudden vacuum loss

NASA Astrophysics Data System (ADS)

Dhuley, R. C.; Van Sciver, S. W.

2017-02-01

We present experimental measurements and analysis of propagation of the nitrogen gas that was vented to a high vacuum tube immersed in liquid helium (LHe). The scenario resembles accidental venting of atmospheric air to a SRF beam-line and was investigated to understand how the in-flowing air would propagate in such geometry. The gas front propagation speed in the tube was measured using pressure probes and thermometers installed at regular intervals over the tube length. The experimental data show the front speed to decrease along the vacuum tube. The empirical and analytical models developed to characterize the front deceleration are summarized.

The Impact of Discontinuity Front Orientation on the Accuracy of L1 Space Weather Forecasting

NASA Astrophysics Data System (ADS)

Szabo, A.

2013-12-01

Current space weather forecasting from the Sun-Earth first Lagrange (L1) point assumes that all observed solar wind discontinuity fronts (interplanetary shocks, ICME boundaries) are perpendicular to the Sun-Earth line and are propagating radially out from eh Sun. In reality, these weather fronts can have significantly tilted orientation. Combined ACE, Wind and Soho observations allow the quantification of this effect. With the launch of the DSCOVR spacecraft in early 2015, dual real-time solar wind measurements will become available (at least at some time). Algorithms and their impact exploiting this unique scenario will be discussed.

Unusual Contact-Line Dynamics of Thick Films and Drops

NASA Technical Reports Server (NTRS)

Veretennikov, Igor; Agarwal, Abhishek; Indeikina, Alexandra; Chang, Hsueh-Chia

1999-01-01

We report several novel phenomena In contact-line and fingering dynamics of macroscopic spinning drops and gravity-driven films with dimensions larger than the capillary length. It is shown through experimental and theoretical analysis that such macroscopic films can exhibit various interfacial shapes, including multi valued ones, near the contact line due to a balance between the external body forces with capillarity. This rich variety of front shapes couples with the usual capillary, viscous, and intermolecular forces at the contact line to produce a rich and unexpected spectrum of contact-line dynamics. A single finger develops when part of the front becomes multivalued on a partially wetting macroscopic spinning drop in contrast to a different mechanism for microscopic drops of completely wetting fluids. Contrary to general expectation, we observe that, at high viscosity and low frequencies of rotation, the speed of a glycerine finger increases with increasing viscosity. Completely wetting Dow Corning 200 Fluid spreads faster over a dry inclined plane than a prewetted one. The presence of a thin prewetted film suppresses fingering both for gravity-driven flow and for spin coating. We analyze some of these unique phenomena in detail and offer qualitative physical explanations for the others.

Successful Treatment of BK Virus Hemorrhagic Cystitis (HC) Post Allogenic Hematopoietic Stem Cell Transplantation with Low Dose Cidofovir.

PubMed

Arora, R; Jasmita; Singh, M; Garg, A; Gupta, M; Gupta, N

2017-05-01

BK virus (BKV) hemorrhagic cystitis (HC) is a serious cause of morbidity and mortality after allogeneic hematopoietic SCT (allo-HSCT) in patients with hematological malignancies. Around half of allogenic HSCT patients present with BKV viruria at some point after HSCT; about 5-40% of these patients subsequently develop active HC. Supportive care including bladder irrigation, blood transfusions and symptomatic pain management remains the mainstay of therapy; the acyclic nucleoside analogue cidofovir is currently the front-line drug for BKV-HC treatment. Here we report the first case of severe hemorrhagic cystitis from India who was successfully treated with low dose cidofovir therapy. © Journal of the Association of Physicians of India 2011.

Studies of transformational leadership in the consumer service workgroup: cooperative conflict resolution and the mediating roles of job satisfaction and change commitment.

PubMed

Yang, Yi-Feng

2012-10-01

The present paper evaluates the effect of transformational leadership on job satisfaction and change commitment along with their interconnected effects (mediation) on cooperative conflict resolution (management) in customer service activities in Taiwan. The multi-source samples consist of data from personnel serving at customer centers (workgroups), such as phone service personnel, customer representatives, financial specialists, and front-line salespeople. An empirical study was carried out using a multiple mediation procedure incorporating boot-strapping techniques and PRODCLIN2 with structural equation modeling (SEM) analysis. The results indicate that the main effect of the leadership style on cooperative conflict resolution is mediated by change commitment and job satisfaction.

Preparing supervisors to provide safeguarding supervision for healthcare staff.

PubMed

Smikle, Marcia

2017-11-28

This paper outlines why experienced supervisors at a London healthcare provider received skills training so they could offer safeguarding supervision to front-line colleagues with case management responsibilities for vulnerable children and young people. It examines how supervisors use the main functions of supervision and a cycle of reflection in clinical practice with supervisees. As well as the professional issues encountered by supervisors in relation to the benefits, the challenges of providing supervision and the action required to make safeguarding supervision a part of the organisational culture are also explored. ©2017 RCN Publishing Company Ltd. All rights reserved. Not to be copied, transmitted or recorded in any way, in whole or part, without prior permission of the publishers.

Front-line window therapy with cisplatin in patients with primary disseminated Ewing sarcoma: A study by the Associazione Italiana di Ematologia ed Oncologia Pediatrica and Italian Sarcoma Group.

PubMed

Luksch, Roberto; Grignani, Giovanni; D'Angelo, Paolo; Prete, Arcangelo; Puma, Nadia; Podda, Marta; Casanova, Michela; Ferrari, Andrea; Morosi, Carlo; Fagioli, Franca; Aglietta, Massimo; Ferrari, Stefano; Picci, Piero; Massimino, Maura

2017-12-01

The aim was to assess the activity of cisplatin (CDDP) in Ewing sarcoma (ES). The study consisted of front-line window therapy with CDDP 120 mg/sqm every 3 weeks for two courses in children and young adults with primary disseminated ES. Response was assessed using the Response Evaluation Criteria in Solid Tumours criteria, and Simon's two-stage design was applied. Twelve consecutive patients were enrolled in stage 1. Only one objective response was observed. Since the target response rate was not achieved, accrual was stopped and CDDP as a single agent in ES was judged unworthy of further assessment. © 2017 Wiley Periodicals, Inc.

Modeling of efficient light extraction in light-pipes through specular surfaces with elliptical and lineal front shapes

NASA Astrophysics Data System (ADS)

Sánchez-Guerrero, Guillermo E.; Viera-González, Perla M.; Ceballos-Herrera, Daniel E.; Martínez-Guerra, Edgar

2016-09-01

Extraction light in light-pipes with different specular surfaces was analyzed. In the analysis, the impact of the surface shape in all properties of the extracted light in order to obtain an efficient extraction and a uniform illumination using a LED as light source. Also, several parameters of the specular surface to obtain spatial uniformity inside the light-pipe are considered. In this case, the simulation was made for a rectangular light­pipe. One objective of this work is to compare how the front face shape of the specular surface can affect the extraction of light in the lateral face of the light-pipe, only straight and elliptical front faces were used in this work and the comparison between them at different tilts and lengths were made. The main purpose of the front face was extract the light uniformly at the lateral face and this was done by studying simulations on OpticStudio Zemax. The results show how the extraction length is lower in the elliptical front but its total power performs better than the line front.

1. GENERAL VIEW SHOWING FRONT EAST FACADE, FROM SOUTHEAST. Photo ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

1. GENERAL VIEW SHOWING FRONT EAST FACADE, FROM SOUTHEAST. Photo supplied by the Florida Division of Archives, History and Records Management, Tallahasse, Florida. - Sulphur Springs Hotel, 8122 North Nebraska Avenue, Tampa, Hillsborough County, FL

3. VIEW OF EAST SIDE AND NORTH FRONT OF BUILDING ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

3. VIEW OF EAST SIDE AND NORTH FRONT OF BUILDING #2205 (AREA CONTAINING VEHICLE REPAIR SHOP AND VEHICLE MANAGEMENT OFFICE), FACING SOUTHWEST. - Medford Service Center, Warehouse, 1319 McAndrews Road, Medford, Jackson County, OR

Electronics design of the RPC system for the OPERA muon spectrometer

NASA Astrophysics Data System (ADS)

Acquafredda, R.; Ambrosio, M.; Balsamo, E.; Barichello, G.; Bergnoli, A.; Consiglio, L.; Corradi, G.; dal Corso, F.; Felici, G.; Manea, C.; Masone, V.; Parascandolo, P.; Sorrentino, G.

2004-09-01

The present document describes the front-end electronics of the RPC system that instruments the magnet muon spectrometer of the OPERA experiment. The main task of the OPERA spectrometer is to provide particle tracking information for muon identification and simplify the matching between the Precision Trackers. As no trigger has been foreseen for the experiment, the spectrometer electronics must be self-triggered with single-plane readout capability. Moreover, precision time information must be added within each event frame for off-line reconstruction. The read-out electronics is made of three different stages: the Front-End Boards (FEBs) system, the Controller Boards (CBs) system and the Trigger Boards (TBs) system. The FEB system provides discrimination of the strip incoming signals; a FAST-OR output of the input signals is also available for trigger plane signal generation. FEB signals are acquired by the CB system that provides the zero suppression and manages the communication to the DAQ and Slow Control. A Trigger Board allows to operate in both self-trigger mode (the FEB's FAST-OR signal starts the plane acquisition) or in external-trigger mode (different conditions can be set on the FAST-OR signals generated from different planes).

49 CFR Appendix F to Part 238 - Alternative Dynamic Performance Requirements for Front End Structures of Cab Cars and MU Locomotives

Code of Federal Regulations, 2013 CFR

2013-10-01

... of cab cars and MU locomotives with shaped-noses or crash energy management designs, or both. In any... Front End Structures of Cab Cars and MU Locomotives F Appendix F to Part 238 Transportation Other... Performance Requirements for Front End Structures of Cab Cars and MU Locomotives As specified in § 238.209(b...

49 CFR Appendix F to Part 238 - Alternative Dynamic Performance Requirements for Front End Structures of Cab Cars and MU Locomotives

Code of Federal Regulations, 2012 CFR

2012-10-01

... of cab cars and MU locomotives with shaped-noses or crash energy management designs, or both. In any... Front End Structures of Cab Cars and MU Locomotives F Appendix F to Part 238 Transportation Other... Performance Requirements for Front End Structures of Cab Cars and MU Locomotives As specified in § 238.209(b...

49 CFR Appendix F to Part 238 - Alternative Dynamic Performance Requirements for Front End Structures of Cab Cars and MU Locomotives

Code of Federal Regulations, 2011 CFR

2011-10-01

... of cab cars and MU locomotives with shaped-noses or crash energy management designs, or both. In any... Front End Structures of Cab Cars and MU Locomotives F Appendix F to Part 238 Transportation Other... Performance Requirements for Front End Structures of Cab Cars and MU Locomotives As specified in § 238.209(b...

49 CFR Appendix F to Part 238 - Alternative Dynamic Performance Requirements for Front End Structures of Cab Cars and MU Locomotives

Code of Federal Regulations, 2014 CFR

2014-10-01

... of cab cars and MU locomotives with shaped-noses or crash energy management designs, or both. In any... Front End Structures of Cab Cars and MU Locomotives F Appendix F to Part 238 Transportation Other... Performance Requirements for Front End Structures of Cab Cars and MU Locomotives As specified in § 238.209(b...

VISIONS2 Learning for Life Initiative. Workplace Literacy Implementation Model.

ERIC Educational Resources Information Center

Walsh, Chris L.; Ferguson, Susan E.; Taylor, Mary Lou

This document presents a model for implementing workplace literacy education that focuses on giving front-line workers or first-line workers basic skills instruction and an appreciation for lifelong learning. The introduction presents background information on the model, which was developed during a partnership between a technical college and an…

17. Photograph of a line drawing in the possession of ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

17. Photograph of a line drawing in the possession of the Engineer's Office of the Marion, IL Veterans Administration Medical Center. FRONT (NORTH) ELEVATION; DRAWING 1-7R, DATED SEPTEMBER 4, 1940. (8 x 10 negative) - Veterans Administration Medical Center, Building No. 1, Old State Route 13 West, Marion, Williamson County, IL

Antarctic Atmospheric Infrasound.

DTIC Science & Technology

1986-11-01

subject to expansion from solar heating. The solution is lots of RTV goop on the end caps and Tee connection. 6.1.4 Land Lines A land line failure will...on the newer cards - 57 - 6, DEMODULATOR CARD CAGE SI Filter-amplifier output Output banana plugs 5.6K 2 4I 22 NC 11 Slow-speed analogue Front panal

Software Product Lines: Report of the 2009 U.S. Army Software Product Line Workshop

DTIC Science & Technology

2009-04-01

record system was fielded in 2008. One early challenge for Overwatch was coming up with a funding model that would support core asset development (a...match the organizational model to the funding model . Product line architecture is essential. Address product line requirements up front. Put processes...when trying to move from a customer-driven, product-specific funding model to one in which at least some of the funds are allocated to the creation and

Airpower Leadership on the Front Line: Lt Gen George H. Brett and Combat Command

DTIC Science & Technology

2006-09-01

front.indd 5 11/7/06 10:29:42 AM insight into the makings of effective leadership and successful command. THOMAS HUGHES Associate Professor School...transformed impossibilities into tasks completed. My thesis reader, Dr. Thomas Hughes, lent his unerring sense of style and his gifted historical...project. The commandant, Col Thomas E. Griffith, provided papers pertaining to General Brett from his collection of historical documents. Dr. Harold R

The assemblage of compliance in psychiatric case management.

PubMed

Brodwin, Paul

2010-08-01

In the post-asylum era, case managers perform much of the face-to-face work of pharmaceutical compliance for people with severe and persistent mental illness. Their work demands careful orchestration of the assemblage of compliance, including the actual medications, the ideology of biopsychiatry, the division of professional labor, and certain mundane tools. Ethnographic vignettes from an Assertive Community Treatment (ACT) team show how case managers use this assemblage in their everyday routines, but also how it undercuts key elements of the original ACT mission. Reflecting its roots in the deinstitutionalization movement, the ACT model gives case managers limitless responsibilities for clients' lives, but then narrowly defines their role as the prosthetic extension of psychiatric authority. To produce compliance, case managers depend on the medication cassette, analyzed here as a human/non-human hybrid woven into their ordinary work. The medication cassette has pre-scripted uses that enlist clinicians in biopsychiatric thinking and also silently impose compliant behavior on clients. The elements in the assemblage of compliance depend on each other, but they do not form a seamless whole, as evidenced by the dilemmas and micropolitics of the clinical front-line. Theoretical notions of assemblages and technologies of compliance, drawn from science and technology studies, illuminate a core conundrum of practice in psychiatric case management.

1300038

NASA Image and Video Library

2013-01-28

FROM LEFT TO RIGHT IN FRONT OF THE F-1 GAS GENERATOR ARE: DYNETICS PROGRAM MANAGER KIM DOERING, DYNETICS DEPUTY PROGRAM MANAGER ANDY CROCKER, MARSHALL PARTNERSHIPS MANAGER STACY COUNTS, AND MARSHALL PROJECT MANAGER FOR DYNETICS WHITNEY YOUNG.

High-performance workplace practices in nursing homes: an economic perspective.

PubMed

Bishop, Christine E

2014-02-01

To develop implications for research, practice and policy, selected economics and human resources management research literature was reviewed to compare and contrast nursing home culture change work practices with high-performance human resource management systems in other industries. The organization of nursing home work under culture change has much in common with high-performance work systems, which are characterized by increased autonomy for front-line workers, self-managed teams, flattened supervisory hierarchy, and the aspiration that workers use specific knowledge gained on the job to enhance quality and customization. However, successful high-performance work systems also entail intensive recruitment, screening, and on-going training of workers, and compensation that supports selective hiring and worker commitment; these features are not usual in the nursing home sector. Thus despite many parallels with high-performance work systems, culture change work systems are missing essential elements: those that require higher compensation. If purchasers, including public payers, were willing to pay for customized, resident-centered care, productivity gains could be shared with workers, and the nursing home sector could move from a low-road to a high-road employment system.

Effects of customer entitlement on service workers' physical and psychological well-being: a study of waitstaff employees.

PubMed

Fisk, Glenda M; Neville, Lukas B

2011-10-01

This exploratory study examines the nature of customer entitlement and its impact on front-line service employees. In an open-ended qualitative inquiry, 56 individuals with waitstaff experience described the types of behaviors entitled customers engage in and the kinds of service-related "perks" these individuals feel deserving of. Participants explained how they responded to entitled customers, how and when managers became involved, and how their dealings with these patrons influenced their subjective physical and psychological well-being. We found that the behaviors of entitled customers negatively impacted waitstaff employees. Participants reported physiological arousal, negative affect, burnout, and feelings of dehumanization as a result of dealing with these patrons. While respondents drew on a variety of strategies to manage their encounters with entitled customers, they indicated workplace support was often informal and described feeling abandoned by management in dealing with this workplace stressor. Approaching customer entitlement as a form of microaggression, we offer recommendations for practice and suggest new directions for future research. . (PsycINFO Database Record (c) 2011 APA, all rights reserved).

Experimental studies of one-way reaction front barriers in three-dimensional vortex flows

NASA Astrophysics Data System (ADS)

Gannon, Joanie; Doan, Minh; Simons, Jj; Mitchell, Kevin; Solomon, Tom

2017-11-01

We present results of experimental studies of the evolution of the excitable, Ruthenium (Ru)-catalyzed, Belousov-Zhabotinsky (BZ) reaction in a three-dimensional (3D) flow composed of the superposition of horizontal and vertical vortex chains. The reaction fronts are imaged in 3D with a scanning, laser-induced fluorescence technique that takes advantage of the differential fluoresence of the Ruthenium indicated at the front. When the horizontal and vertical vortex chains are lined up, a dominant scroll structure is observed that acts as a one-way barrier blocking fronts propagating across vortex boundaries and into vortex centers. A second, quarter-tube barrier is observed along the edges of the unit cell. When the vortices are shifted relative to each other, tube-like barriers are observed in the interior. All of these barriers are compared with burning invariant manifolds predicted from a 6D set of differential equations describing the evolution of front elements in the flow. Supported by NSF Grants DMR-1361881 and DUE-1317446.

The life cycle of thunderstorm gust fronts as viewed with Doppler radar and rawinsonde data

NASA Technical Reports Server (NTRS)

Wakimoto, R. M.

1982-01-01

This paper presents the time-dependent analysis of the thunderstorm gust front with the use of Project NIMROD data. RHI cross sections of reflectivity and Doppler velocity are constructed to determine the entire vertical structure. The life cycle of the gust front is divided into four stages: (1) the formative stage; (2) the early mature stage; (3) the late mature stage; and (4) the dissipation stage. A new finding is a horizontal roll detected in the reflectivity pattern resulting from airflow that is deflected upward by the ground, while carrying some of the smaller precipitation ahead of the main echo core of the squall line. This feature is called a 'precipitation roll'. As determined from rawinsonde data, the cold air behind the gust front accounts for the observed surface pressure rise. Calculations confirm that the collision of two fluids produce a nonhydrostatic pressure at the leading edge of the outflow. The equation governing the propagation speed of a density current accurately predicts the movement of the gust front.

Shallow temperature differences along the Deep Creek Range front, Idaho

NASA Astrophysics Data System (ADS)

Ore, H. T.; Wiegand, G. H.

1990-02-01

The extent of the solvolysis reaction of a tertiary butyl chloride solution placed in vials buried about 1.2 m below the ground surface is dependent on average temperature at that depth over the period of burial. This method is herein used to indicate differences in shallow temperature from the western flank of the Basin and Range Deep Creek Range front, about 5 km westward into Rockland Valley in southeastern Idaho. Ninety-three samples, distributed to allow determination of lateral and vertical sample-site variation in total reaction amount, were analyzed after being in place for 3 months. Results from two sample lines, 3.5 km apart, show that subsurface total reaction amount declines slightly for the first 1.6 km away from the mountain front, rises abruptly to several times initial reaction, slowly declines for the next several km, then tends to slowly rise again. Plots of extent of reaction vs distance for the two traverses are nearly parallel; in both the abrupt increase in total reaction coincides with a line of springs, suggesting that hydrologic activity is at least related to the effects noted.

Femtosecond laser-induced structural difference in fused silica with a non-reciprocal writing process

NASA Astrophysics Data System (ADS)

Song, Hui; Dai, Ye; Song, Juan; Ma, Hongliang; Yan, Xiaona; Ma, Guohong

2017-04-01

In this paper, we report a non-reciprocal writing process for inducing asymmetric microstructure using a femtosecond laser with tilted pulse fronts in fused silica. The shape of the induced microstructure at the focus closely depends on the laser scan direction. An elongated end is observed as a kind of structural difference between the written lines with two reverse scans along + x and - x, which further leads to a birefringence intensity difference. We also find a bifurcation in the head region of the induced microstructure between the written lines along x and y. That process results from the focal intensity distortion caused by the pulse front tilt by comparing the simulated intensity distribution with the experimental results. The current results demonstrate that the pulse front tilt not only affects the free electron excitation at the focus but also further distorts the shape of the induced microstructure during a high-energy femtosecond laser irradiation. These results offer a route to fabricate optical elements by changing the spatiotemporal characteristics of ultrashort pulses.

Development of a front end controller/heap manager for PHENIX

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

Ericson, M.N.; Allen, M.D.; Musrock, M.S.

1996-12-31

A controller/heap manager has been designed for applicability to all detector subsystem types of PHENIX. the heap manager performs all functions associated with front end electronics control including ADC and analog memory control, data collection, command interpretation and execution, and data packet forming and communication. Interfaces to the unit consist of a timing and control bus, a serial bus, a parallel data bus, and a trigger interface. The topology developed is modular so that many functional blocks are identical for a number of subsystem types. Programmability is maximized through the use of flexible modular functions and implementation using field programmablemore » gate arrays (FPGAs). Details of unit design and functionality will be discussed with particular detail given to subsystems having analog memory-based front end electronics. In addition, mode control, serial functions, and FPGA implementation details will be presented.« less

Molecular diagnosis of Legionella infections--Clinical utility of front-line screening as part of a pneumonia diagnostic algorithm.

PubMed

Gadsby, Naomi J; Helgason, Kristjan O; Dickson, Elizabeth M; Mills, Jonathan M; Lindsay, Diane S J; Edwards, Giles F; Hanson, Mary F; Templeton, Kate E

2016-02-01

Urinary antigen testing for Legionella pneumophila serogroup 1 is the leading rapid diagnostic test for Legionnaires' Disease (LD); however other Legionella species and serogroups can also cause LD. The aim was to determine the utility of front-line L. pneumophila and Legionella species PCR in a severe respiratory infection algorithm. L. pneumophila and Legionella species duplex real-time PCR was carried out on 1944 specimens from hospitalised patients over a 4 year period in Edinburgh, UK. L. pneumophila was detected by PCR in 49 (2.7%) specimens from 36 patients. During a LD outbreak, combined L. pneumophila respiratory PCR and urinary antigen testing had optimal sensitivity and specificity (92.6% and 98.3% respectively) for the detection of confirmed cases. Legionella species was detected by PCR in 16 (0.9%) specimens from 10 patients. The 5 confirmed and 1 probable cases of Legionella longbeachae LD were both PCR and antibody positive. Front-line L. pneumophila and Legionella species PCR is a valuable addition to urinary antigen testing as part of a well-defined algorithm. Cases of LD due to L. longbeachae might be considered laboratory-confirmed when there is a positive Legionella species PCR result and detection of L. longbeachae specific antibody response. Copyright © 2015 The British Infection Association. Published by Elsevier Ltd. All rights reserved.

Clinical heterogeneity of diffuse large B cell lymphoma following failure of front-line immunochemotherapy.

PubMed

Farooq, Umar; Maurer, Matthew J; Thompson, Carrie A; Thanarajasingam, Gita; Inwards, David J; Micallef, Ivana; Macon, William; Syrbu, Sergei; Lin, Tasha; Lin, Yi; Ansell, Stephen M; Nowakowski, Grzegorz S; Habermann, Thomas M; Cerhan, James R; Link, Brian K

2017-10-01

This study aimed to describe the patterns of care and outcomes of diffuse large B cell lymphoma (DLBCL) after failure of front line anthracycline-based immunochemotherapy (IC). Patients with newly diagnosed lymphoma were prospectively enrolled in Molecular Epidemiology Resource (MER) of the University of Iowa/Mayo Clinic Lymphoma Specialized Program of Research Excellzence. All DLBCL and primary mediastinal B-cell lymphoma (PMBL) patients treated with front-line anthracycline-based IC were followed for relapse. Patients with relapse on follow-up and subsequently retreated were included in this analysis. 1039 patients received anthracycline-based IC between 2002 and 2012, of which 244 relapsed and were subsequently retreated. Across all therapies, overall survival at 4 years (OS4) from relapse was 28% and 103 patients ultimately underwent autologous haematopoietic cell transplant (autoHCT) with OS4 from autoHCT of 51%. Patients relapsing after 12 months from initial diagnosis had OS4 of 47% but those with a transient or no response to initial therapy had OS4 of only 13%. Outcomes of relapsed or refractory DLBCL differ substantially when categorized by response to initial therapy, timing of relapse and opportunity to undergo autoHCT. The design and interpretation of uncontrolled trials should account for this heterogeneity in patients with relapsed DLBCL. © 2017 John Wiley & Sons Ltd.

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

Maktav, D.; Kapdasli, S.

At some regions of the Black Sea coasts of Istanbul in Turkey, there are a number of coal mining areas. As a result of these mining works, topographical and morphological structure of the land near the coast line has been strongly changed. Moreover, a great amount of earth has been carried into the sea in front of the coast line. The study concerns the attempt to monitor the coal mining effects on the coast line and coastal morphology by using remote sensing technology.

Align the Front End First.

ERIC Educational Resources Information Center

Perry, Jim

1995-01-01

Discussion of management styles and front-end analysis focuses on a review of Douglas McGregor's theories. Topics include Theories X, Y, and Z; leadership skills; motivational needs of employees; intrinsic and extrinsic rewards; and faulty implementation of instructional systems design processes. (LRW)

The success of a management information system in health care - a case study from Finland.

PubMed

Kivinen, Tuula; Lammintakanen, Johanna

2013-02-01

The purpose of this article is to describe perspectives on information availability and information use among users of a management information system in one specialized health care organization. The management information system (MIS) is defined as the information system that provides management with information about financial and operational aspects of hospital management. The material for this qualitative case study was gathered by semi-structured interviews. The interviewees were purposefully selected from one specialized health care organization. The organization has developed its management information system in recent years. Altogether 13 front-line, middle and top-level managers were interviewed. The two themes discussed were information availability and information use. The data were analyzed using inductive content analysis using ATLAS.ti computer program. The main category "usage of management information system" consisted of four sub-categories: (1) system quality, (2) information quality, (3) use and user satisfaction and (4) development of information culture. There were many organizational and cultural aspects which influence the use of MIS in addition to factors concerning system usability and users. The connection between information culture and information use was recognized and the managers proposed numerous ways to increase the use of information in management work. The implementation and use of management information system did not seem to be planned as an essential tool in strategic information management in the health care organization studied. Copyright © 2012 Elsevier Ireland Ltd. All rights reserved.

Intracellular pH gradients in migrating cells.

PubMed

Martin, Christine; Pedersen, Stine F; Schwab, Albrecht; Stock, Christian

2011-03-01

Cell polarization along the axis of movement is required for migration. The localization of proteins and regulators of the migratory machinery to either the cell front or its rear results in a spatial asymmetry enabling cells to simultaneously coordinate cell protrusion and retraction. Protons might function as such unevenly distributed regulators as they modulate the interaction of focal adhesion proteins and components of the cytoskeleton in vitro. However, an intracellular pH (pH(i)) gradient reflecting a spatial asymmetry of protons has not been shown so far. One major regulator of pH(i), the Na(+)/H(+) exchanger NHE1, is essential for cell migration and accumulates at the cell front. Here, we test the hypothesis that the uneven distribution of NHE1 activity creates a pH(i) gradient in migrating cells. Using the pH-sensitive fluorescent dye BCECF, pH(i) was measured in five cell lines (MV3, B16V, NIH3T3, MDCK-F1, EA.hy926) along the axis of movement. Differences in pH(i) between the front and the rear end (ΔpH(i) front-rear) were present in all cell lines, and inhibition of NHE1 either with HOE642 or by absence of extracellular Na(+) caused the pH(i) gradient to flatten or disappear. In conclusion, pH(i) gradients established by NHE1 activity exist along the axis of movement.

Strength Enhancement of Car Front Bumper for Slow Speed Impact by FEA Method as per IIHS Regulation

NASA Astrophysics Data System (ADS)

Sonawane, Chandrakant Rameshchandra; Shelar, Ajit Lavaji

2017-05-01

Low speed collisions happen significantly due to on road slow moving heavy traffic as well as during parking of vehicles. The bumpers are provided in front and back side of a vehicle has two main purposes: first is to absorb the energy generated during these kinds of slow speed impacts and secondly to protect the expensive parts like main engine parts, radiators and connected engine cooling mechanism, headlights, taillights, etc, by slowing down the vehicles. The problem often in various cars bumper is that they doesn't line-up vertically during low speed impact and leads to damage of various parts which are costly to repair. Many a times bumper design does not have sufficient capacity to absorb the energy generated during these impact. Guideline by International Institute Highway Safety (IIHS) regulation provides useful insight for such low speed impact study. In this paper, slow speed impact test were conducted as per IIHS regulation in three positions namely central impact, left hand corner impact and right hand corner impact. Parameters including bumper material, shape, thickness and impact condition are analyzed using fine element analysis (FEA) to enhance crashworthiness design in low speed impact. Then the vehicle front structure has been modified suitably. It has been observed that lining up the front metal bumper with suitable stiffness provides the best result which ultimately reduces the damage to the vehicle parts.

Design Performance of Front Steering-Type Electron Cyclotron Launcher for ITER

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

Takahashi, K.; Imai, T.; Kobayashi, N.

2005-01-15

The performance of a front steering (FS)-type electron cyclotron launcher designed for the International Thermonuclear Experimental Reactor (ITER) is evaluated with a thermal, electromagnetic, and nuclear analysis of the components; a mechanical test of a spiral tube for the steering mirror; and a rotational test of bearings. The launcher consists of a front shield and a launcher plug where three movable optic mirrors to steer incident multimegawatt radio-frequency beam power, waveguide components, nuclear shields, and vacuum windows are installed. The windows are located behind a closure plate to isolate the transmission lines from the radioactivated circumstance (vacuum vessel). The waveguidemore » lines of the launcher are doglegged to reduce the direct neutron streaming toward the vacuum windows and other components. The maximum stresses on the critical components such as the steering mirror, its cooling tube, and the front shield are less than their allowable stresses. It was also identified that the stress on the launcher, which yielded from electromagnetic force caused by plasma disruption, was a little larger than the criteria, and a modification of the launcher plug structure was necessary. The nuclear analysis result shows that the neutron shield capability of the launcher satisfies the shield criteria of the ITER. It concludes that the design of the FS launcher is generally suitable for application to the ITER.« less

Infrared spectroscopy of interstellar shocks

NASA Technical Reports Server (NTRS)

Mckee, C. F.; Chernoff, D. F.; Hollenbach, D. J.

1984-01-01

Infrared emission lines from interstellar shocks provide valuable diagnostics for violent events in the interstellar medium, such as supernova remnants and mass outflow from young stellar objects. There are two types of interstellar shocks: in J shocks, gas properties 'jump' from their preshock to their postshock values in a shock front with a thickness equal to or less than one mean free path; radiation is emitted behind the shock front, primarily in the visible and ultraviolet, but with a few strong infrared lines, such as OI(63 microns). Such shocks occur in ionized or neutral atomic gas, or at high velocities (equal to or greater than 50 km/s) in molecular gas. In C shocks, gas is accelerated and heated by collisions between charged particles, which have a low concentration and are coupled to the magnetic field, and neutral particles; radiation is generated throughout the shock and is emitted almost entirely in infrared emission lines. Such shocks occur in weakly ionized molecular gas for shock velocities below about 50 km/s.

A terahertz in-line polarization converter based on through-via connected double layer slot structures

PubMed Central

Woo, Jeong Min; Hussain, Sajid; Jang, Jae-Hyung

2017-01-01

A terahertz (THz) in-line polarization converter that yields a polarization conversion ratio as high as 99.9% is demonstrated at 1 THz. It has double-layer slot structures oriented in orthogonal directions that are electrically connected by 1/8-wavelngth-long through-via holes beside the slot structures. The slots on the front metal-plane respond to the incident THz wave with polarization orthogonal to the slots and generates a circulating surface current around the slots. The surface current propagates along a pair of through-via holes that function as a two-wire transmission line. The propagating current generates a surface current around the backside slot structures oriented orthogonal to the slot structures on the front metal layer. The circulating current generates a terahertz wave polarized orthogonal to the backside slot structures and the 90° polarization conversion is completed. The re-radiating THz wave with 90° converted polarization propagates in the same direction as the incident THz wave. PMID:28211498

Challenges in implementing electronic hand hygiene monitoring systems.

PubMed

Conway, Laurie J

2016-05-02

Electronic hand hygiene (HH) monitoring systems offer the exciting prospect of a more precise, less biased measure of HH performance than direct observation. However, electronic systems are challenging to implement. Selecting a system that minimizes disruption to the physical infrastructure and to clinician workflow, and that fits with the organization's culture and budget, is challenging. Getting front-line workers' buy-in and addressing concerns about the accuracy of the system and how the data will be used are also difficult challenges. Finally, ensuring information from the system reaches front-line workers and is used by them to improve HH practice is a complex challenge. We describe these challenges in detail and suggests ways to overcome them. Copyright © 2016 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.

Kinetic models for historical processes of fast invasion and aggression

NASA Astrophysics Data System (ADS)

Aristov, Vladimir V.; Ilyin, Oleg V.

2015-04-01

In the last few decades many investigations have been devoted to theoretical models in new areas concerning description of different biological, sociological, and historical processes. In the present paper we suggest a model of the Nazi Germany invasion of Poland, France, and the USSR based on kinetic theory. We simulate this process with the Cauchy boundary problem for two-element kinetic equations. The solution of the problem is given in the form of a traveling wave. The propagation velocity of a front line depends on the quotient between initial forces concentrations. Moreover it is obtained that the general solution of the model can be expressed in terms of quadratures and elementary functions. Finally it is shown that the front-line velocities agree with the historical data.

Combined chemotherapy with cytotoxic and targeted compounds for the management of human malignant pleural mesothelioma.

PubMed

Favoni, Roberto E; Florio, Tullio

2011-08-01

Human malignant pleural mesothelioma (hMPM) is an aggressive asbestos-associated cancer, the incidence of which is increasing and which, despite progress in diagnosis and therapy, continues to have a poor prognosis. Asbestos fibers induce aberrant cell signaling, leading to proto-oncogene activation and chemoresistance. In this review, we discuss the evolution of pharmacological management of hMPM up to the most recent advances. Monotherapy with single cytotoxic drugs achieves modest objective response rates, seldom reaching 30%. However, combination regimens using novel drugs and standard molecules are showing gradually improving responses and clinical benefits. Phase II/III studies have identified pemetrexed, a multitarget folate pathway inhibitor in combination with platinum derivatives, and the cisplatin/gemcitabine association as front-line chemotherapy for hMPM. Detailed knowledge of molecular mechanisms of signal transduction and neoangiogenesis in hMPM should aid in the design and screening of other promising compounds such as more efficacious receptor tyrosine kinase inhibitors. Copyright © 2011 Elsevier Ltd. All rights reserved.

Unusual presentation of phaeochromocytoma.

PubMed

Hope, D C D; Palan, J M

2016-05-10

A 44-year-old woman, with a background of heart, lung and renal transplantation secondary to cystic fibrosis and type 1 diabetes, presented with tachycardia, hyperglycaemia, nausea and vomiting. She was initially managed for diabetic ketoacidosis with severe dehydration. However, persistent episodic hypertension and tachycardia led the investigating team to identify significantly raised urinary metanephrines and a left-sided adrenal mass; Iodine-123-meta-iodobenzylguanidine single photon emission computer tomography scan (MIBG SPECT/CT) showed avid uptake of tracer, confirming a left-sided phaeochromocytoma. She was started on medical management and is awaiting an elective laparoscopic procedure. This case describes the presentation of a unilateral phaeochromocytoma as ketoacidosis in a patient with type 1 diabetes with no other apparent precipitant. This highlights the metabolic counter-regulatory effect of excess catecholamines in addition to the inotropic/chronotropic effects that are associated with this adrenal tumour. Recognition of atypical signs and symptoms may point towards an atypical precipitant of diabetic ketoacidosis-a medical emergency presenting to front-line clinicians. 2016 BMJ Publishing Group Ltd.

Unusual presentation of phaeochromocytoma

PubMed Central

Hope, D C D; Palan, J M

2016-01-01

A 44-year-old woman, with a background of heart, lung and renal transplantation secondary to cystic fibrosis and type 1 diabetes, presented with tachycardia, hyperglycaemia, nausea and vomiting. She was initially managed for diabetic ketoacidosis with severe dehydration. However, persistent episodic hypertension and tachycardia led the investigating team to identify significantly raised urinary metanephrines and a left-sided adrenal mass; Iodine-123-meta-iodobenzylguanidine single photon emission computer tomography scan (MIBG SPECT/CT) showed avid uptake of tracer, confirming a left-sided phaeochromocytoma. She was started on medical management and is awaiting an elective laparoscopic procedure. This case describes the presentation of a unilateral phaeochromocytoma as ketoacidosis in a patient with type 1 diabetes with no other apparent precipitant. This highlights the metabolic counter-regulatory effect of excess catecholamines in addition to the inotropic/chronotropic effects that are associated with this adrenal tumour. Recognition of atypical signs and symptoms may point towards an atypical precipitant of diabetic ketoacidosis—a medical emergency presenting to front-line clinicians. PMID:27166010

Ameliorating Patient Stigma Amongst Staff Working With Personality Disorder: Randomized Controlled Trial of Self-Management Versus Skills Training.

PubMed

Clarke, Sue; Taylor, Georgina; Bolderston, Helen; Lancaster, Joanna; Remington, Bob

2015-11-01

Patients diagnosed with a personality disorder (PD) are often stigmatized by the healthcare staff who treat them. This study aimed to compare the impact on front-line staff of a self-management Acceptance and Commitment Therapy-based training intervention (ACTr) with a knowledge- and skills-based Dialectical Behaviour Training intervention (DBTr). A service-based randomized controlled trial was conducted comparing the effects of 2-day ACTr (N = 53) and DBTr (N = 47) staff workshops over 6 months. Primary outcome measures were staff attitudes towards patients and staff-patient relationships. For both interventions, staff attitudes, therapeutic relationship, and social distancing all improved pre- to postintervention, and these changes were maintained at 6-month follow-up. Although offering different resources to staff, both ACTr and DBTr were associated with an improved disposition towards PD patients. Future research could evaluate a combined approach, both for staff working with PD patients and those working with other stigmatized groups.

Organization and Management of the International Space Station (ISS) Multilateral Medical Operations

NASA Technical Reports Server (NTRS)

Duncan, J. M.; Bogomolov, V. V.; Castrucci, F.; Koike, Y.; Comtois, J. M.; Sargsyan, A. E.

2007-01-01

The goal of this work is to review the principles, design, and function of the ISS multilateral medical authority and the medical support system of the ISS Program. Multilateral boards and panels provide operational framework, direct, and supervise the ISS joint medical operational activities. The Integrated Medical Group (IMG) provides front-line medical support of the crews. Results of ongoing activities are reviewed weekly by physician managers. A broader status review is conducted monthly to project the state of crew health and medical support for the following month. All boards, panels, and groups function effectively and without interruptions. Consensus prevails as the primary nature of decisions made by all ISS medical groups, including the ISS medical certification board. The sustained efforts of all partners have resulted in favorable medical outcomes of the initial fourteen long-duration expeditions. The medical support system appears to be mature and ready for further expansion of the roles of all Partners, and for the anticipated increase in the size of ISS crews.

Functional Allocation for Ground-Based Automated Separation Assurance in NextGen

NASA Technical Reports Server (NTRS)

Prevot, Thomas; Mercer, Joey; Martin, Lynne; Homola, Jeffrey; Cabrall, Christopher; Brasil, Connie

2010-01-01

As part of an ongoing research effort into functional allocation in a NextGen environment, a controller-in-the-loop study on ground-based automated separation assurance was conducted at NASA Ames' Airspace Operations Laboratory in February 2010. Participants included six FAA front line managers, who are currently certified professional controllers and four recently retired controllers. Traffic scenarios were 15 and 30 minutes long where controllers interacted with advanced technologies for ground-based separation assurance, weather avoidance, and arrival metering. The automation managed the separation by resolving conflicts automatically and involved controllers only by exception, e.g., when the automated resolution would have been outside preset limits. Results from data analyses show that workload was low despite high levels of traffic, Operational Errors did occur but were closely tied to local complexity, and safety acceptability ratings varied with traffic levels. Positive feedback was elicited for the overall concept with discussion on the proper allocation of functions and trust in automation.

Community opioid treatment perspectives on contingency management: Perceived feasibility, effectiveness, and transportability of social and financial incentives

PubMed Central

Hartzler, Bryan; Rabun, Carl

2013-01-01

Treatment community reluctance toward contingency management (CM) may be better understood by eliciting views of its feasibility, effectiveness, and transportability when social vs. financial incentives are utilized. This mixed method study involved individual staff interviews representing three personnel tiers (an executive, clinical supervisor, and two front-line clinicians) at 16 opiate treatment programs. Interviews included Likert ratings of feasibility, effectiveness, and transportability of each incentive type, and content analysis of corresponding interviewee narrative. Multi-level modeling analyses indicated that social incentives were perceived more feasible, more effective, and more transportable than financial incentives, with results pervading personnel tier. Content analysis suggested the more positive perception of social incentives was most often due to expected logistical advantages, positive impacts on patient quality-of-life, and philosophical congruence among staff. Weaker perception of financial incentives was most often influenced by concerns about costs, patient dissatisfaction, and staff philosophical incongruence. Implications for CM dissemination are discussed. PMID:23506780

Considerations in change management related to technology.

PubMed

Luo, John S; Hilty, Donald M; Worley, Linda L; Yager, Joel

2006-01-01

The authors describe the complexity of social processes for implementing technological change. Once a new technology is available, information about its availability and benefits must be made available to the community of users, with opportunities to try the innovations and find them worthwhile, despite organizational resistances. The authors reviewed the literature from psychiatry, psychology, sociology, business, and technology to distill common denominators for success and failure related to implementing technology. Beneficial technological innovations that are simple to use and obviously save everyone time and effort are easy to inaugurate. However, innovations that primarily serve management rather than subordinates or front-line utilizers may fail, despite considerable institutional effort. This article reviews and outlines several of the more prominent theoretical models governing successful institutional change. Successful implementation of difficult technological changes requires visionary leadership that has carefully considered the benefits, consulted with influence leaders at all organizational levels to spot unintended consequences and sources of resistance, and developed a detailed plan and continuous quality assurance process to foster implementation over time.

YAMM - Yet Another Menu Manager

NASA Technical Reports Server (NTRS)

Mazer, Alan S.; Weidner, Richard J.

1991-01-01

Yet Another Menu Manager (YAMM) computer program an application-independent menuing package of software designed to remove much difficulty and save much time inherent in implementation of front ends of large packages of software. Provides complete menuing front end for wide variety of applications, with provisions for independence from specific types of terminals, configurations that meet specific needs of users, and dynamic creation of menu trees. Consists of two parts: description of menu configuration and body of application code. Written in C.

SARS: a quality management test of our public health safety net.

PubMed

Zapp, Ron; Krajden, Mel; Lynch, Tim

2004-01-01

Emergence of severe acute respiratory syndrome in March 2003 tested all aspects of BC Centre for Disease Control (BCCDC) operations. In addition to its public health responsibilities, BCCDC was pivotal in the science defining SARS. These events occurred under international scientific and media scrutiny over a 4-month period and were seen as an opportunity to learn about how the Centre performed under extreme pressure as a QM-based (quality-management-based) organization. A retrospective review of the QM practices over the previous 6-months was initiated on June 30, 2003. Key management documentation during the study period was reviewed. Structured interviews were conducted with front line personnel. Customized instrumentation was developed to correlate management decisions with recognized QM criteria: anticipatory management; keeping programs on track; ongoing adjustment, improvement, and revision; identifying and improving sources of error, waste, and redundancy; feedback from key stakeholders; and data-driven decision-making methods. The team structure between laboratory science and epidemiology was critical. This was attributed to the culture of scientific discovery of the organization. All knowledge gained was shared with other organizations around the world. The consensus is that British Columbia was very lucky this time around. This review is part of BCCDC's commitment to fighting emerging infectious diseases.

Using a smartphone as a tool to measure compensatory and anomalous head positions.

PubMed

Farah, Michelle de Lima; Santinello, Murillo; Carvalho, Luis Eduardo Morato Rebouças de; Uesugui, Carlos Fumiaki; Barcellos, Ronaldo Boaventura

2018-01-01

To describe a new method for measuring anomalous head positions by using a cell phone. The photo rotation feature of the iPhone® PHOTOS application was used. With the patient seated on a chair, a horizontal stripe was fixed on the wall in the background and a sagittal stripe was fixed on the seat. Photographs were obtained in the following views: front view (photographs A and B; with the head tilted over one shoulder) and upper axial view (photographs C and D; viewing the forehead and nose) (A and C are without camera rotation, and B and D are with camera rotation). A blank sheet of paper with two straight lines making a 32-degree angle was also photographed. Thirty examiners were instructed to measure the rotation required to align the reference points with the orthogonal axes. In order to set benchmarks to be compared with the measurements obtained by the examiners, blue lines were digitally added to the front and upper view photographs. In the photograph of the sheet of paper (p=0.380 and a=5%), the observed values did not differ statistically from the known value of 32 degrees. Mean measurements were as follows: front view photograph A, 22.8 ± 2.77; front view B, 21.4 ± 1.61; upper view C, 19.6 ± 2.36; and upper view D, 20.1 ± 2.33 degrees. The mean difference in measurements for the front view photograph A was -1.88 (95% CI -2.88 to -0.88), front view B was -0.37 (95% CI -0.97 to 0.17), upper view C was 1.43 (95% CI 0.55 to 2.24), and upper view D was 1.87 (95% CI 1.02 to 2.77). The method used in this study for measuring anomalous head position is reproducible, with maximum variations for AHPs of 2.88 degrees around the X-axis and 2.77 degrees around the Y-axis.

Investigation on inlet recirculation characteristics of double suction centrifugal compressor with unsymmetrical inlet

NASA Astrophysics Data System (ADS)

Yang, Ce; Wang, Yingjun; Lao, Dazhong; Tong, Ding; Wei, Longyu; Liu, Yixiong

2016-08-01

The inlet recirculation characteristics of double suction centrifugal compressor with unsymmetrical inlet structures were studied in numerical method, mainly focused on three issues including the amounts and differences of the inlet recirculation in different working conditions, the circumferential non-uniform distributions of the inlet recirculation, the recirculation velocity distributions of the upstream slot of the rear impeller. The results show that there are some differences between the recirculation of the front impeller and that of the rear impeller in whole working conditions. In design speed, the recirculation flow rate of the rear impeller is larger than that of the front impeller in the large flow range, but in the small flow range, the recirculation flow rate of the rear impeller is smaller than that of the front impeller. In different working conditions, the recirculation velocity distributions of the front and rear impeller are non-uniform along the circumferential direction and their non-uniform extents are quite different. The circumferential non-uniform extent of the recirculation velocity varies with the working conditions change. The circumferential non-uniform extent of the recirculation velocity of front impeller and its distribution are determined by the static pressure distribution of the front impeller, but that of the rear impeller is decided by the coupling effects of the inlet flow distortion of the rear impeller, the circumferential unsymmetrical distribution of the upstream slot and the asymmetric structure of the volute. In the design flow and small flow conditions, the recirculation velocities at different circumferential positions of the mean line of the upstream slot cross-section of the rear impeller are quite different, and the recirculation velocities distribution forms at both sides of the mean line are different. The recirculation velocity distributions in the cross-section of the upstream slot depend on the static pressure distributions in the intake duct.

3. Main Control Switchboard (front), view to the southwest, with ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

3. Main Control Switchboard (front), view to the southwest, with item 1 (the synchronization monitor) on the far left of the photograph and item 14 (the Libby transmission line panel) on the far right of the photograph. The operator's desk, with telephone and computer monitors, is also visible in left foreground of the photograph. - Washington Water Power Clark Fork River Noxon Rapids Hydroelectric Development, Powerhouse, South bank of Clark Fork River at Noxon Rapids, Noxon, Sanders County, MT

Primary care specialty career choice among Canadian medical students

PubMed Central

Osborn, Heather Ann; Glicksman, Jordan T.; Brandt, Michael G.; Doyle, Philip C.; Fung, Kevin

2017-01-01

Abstract Objective To identify which factors influence medical students’ decision to choose a career in family medicine and pediatrics, and which factors influence their decision to choose careers in non–front-line specialties. Design Survey that was created based on a comprehensive literature review to determine which factors are considered important when choosing practice specialty. Setting Ontario medical school. Participants An open cohort of medical students in the graduating classes of 2008 to 2011 (inclusive). Main outcome measures The main factors that influenced participants’ decision to choose a career in primary care or pediatrics, and the main factors that influenced participants’ decision to choose a career in a non–front-line specialty. Results A total of 323 participants were included in this study. Factors that significantly influenced participants’ career choice in family medicine or pediatrics involved work-life balance (acceptable hours of practice [P = .005], acceptable on-call demands [P = .012], and lifestyle flexibility [P = .006]); a robust physician-patient relationship (ability to promote individual health promotion [P = .014] and the opportunity to form long-term relationships [P < .001], provide comprehensive care [P = .001], and treat patients and their families [P = .006]); and duration of residency program (P = .001). The career-related factors that significantly influenced participants’ decision to choose a non–front-line specialty were as follows: becoming an expert (P < .001), maintaining a focused scope of practice (P < .001), having a procedure-focused practice (P = .001), seeing immediate results from one’s actions (P < .001), potentially earning a high income (P < .001), and having a perceived status among colleagues (P < .001). Conclusion In this study, 8 factors were found to positively influence medical students’ career choice in family medicine and pediatrics, and 6 factors influenced the decision to choose a career in a non–front-line specialty. Medical students can be encouraged to explore a career in family medicine or pediatrics by addressing misinformation, by encouraging realistic expectations of career outcomes in the various specialties, and by demonstrating the capacity of primary care fields to incorporate specific motivating factors. PMID:28209702

Health workers who ask about social determinants of health are more likely to report helping patients: Mixed-methods study.

PubMed

Naz, Anila; Rosenberg, Ellen; Andersson, Neil; Labonté, Ronald; Andermann, Anne

2016-11-01

To assess the feasibility of implementing a clinical decision aid called the CLEAR Toolkit that helps front-line health workers ask their patients about social determinants of health, refer to local support resources, and advocate for wider social change. A mixed-methods study using quantitative (online self-completed questionnaires) and qualitative (in-depth interviews, focus groups, and key informant interviews) methods. A large, university-affiliated family medicine teaching centre in Montreal, Que, serving one of the most ethnically diverse populations in Canada. Fifty family doctors and allied health workers responded to the online survey (response rate of 50.0%), 15 completed in-depth interviews, 14 joined 1 of 2 focus groups, and 3 senior administrators participated in key informant interviews. Our multimethod approach included an online survey of front-line health workers to assess current practices and collect feedback on the tool kit; in-depth interviews to understand why they consider certain patients to be more vulnerable and how to help such patients; focus groups to explore barriers to asking about social determinants of health; and key informant interviews with high-level administrators to identify organizational levers for changing practice. Senior administrators consider asking about social determinants to be part of the mandate of health workers. However, barriers perceived by front-line clinicians include insufficient training in social history taking, uncertainty about how to address these issues in clinical practice, and a lack of knowledge of local referral resources. Health workers with specific ways of asking patients about their social challenges were more likely to report having helped their patients as compared with those who did not know how to ask (93.8% vs 52.9%; P = .003). While health workers recognize the importance of social determinants, many are unsure how to ask about these often sensitive issues or where to refer patients. The CLEAR Toolkit can be easily adapted to local contexts to help front-line health workers initiate dialogue around social challenges and better support patients in clinical practice. Copyright© the College of Family Physicians of Canada.

Post-LGM grounding line and calving front translations of the West Antarctic Ice Sheet in the Whales Deep paleo-ice-stream trough, eastern Ross Sea, Antarctica

NASA Astrophysics Data System (ADS)

McGlannan, A. J.; Bart, P. J.; Chow, J.

2016-12-01

A large-area (2500 km2) multibeam survey of the Whales Deep paleo-ice-stream trough, eastern Ross Sea, Antarctica was acquired during NBP1502B. This sector of the continental shelf is important as it was covered by grounded and floating ice, which drained the central part of an expanded West Antarctic Ice Sheet (WAIS) during the last glacial cycle. The seafloor geomorphology shows a well-defined cluster of four back stepping grounding zone wedges (GZWs) that were deposited in a partly overlapping fashion on the middle continental shelf during WAIS retreat. These observations permit two end-member possibilities for how the WAIS grounding line and calving front vacated the trough. In the first scenario, each GZW represents successive landward shifts of the grounding line and calving front. In the second scenario, each GZW represents a large-scale retreat and re-advance of grounded and floating ice. To determine which of these two end-member scenarios most accurately describes WAIS retreat from this sector of Ross Sea, we evaluated a grid of kasten and piston cores. The core stations were selected on the basis of backstepping GZWs along the trough axis. Our core data analyses included an integration of visual core descriptions, x-ray images, grain size, water content, total organic carbon, shear strengths, and diatom assemblage data. Core data reveal a single transgressive succession from proximal diamict overlain by sub-ice-shelf and/or open-marine sediments. These data strongly support the first scenario, suggesting that an ice shelf remained continuously intact during the time that the grounding line successively moved from the shelf edge to the middle shelf by small-scale landward translations until the end of the fourth grounding event. Sedimentologic and diatom-assemblage data from the inner shelf show that only the last middle shelf grounding event ended with a long-distance retreat of grounded and then floating ice to south of the modern calving front.

Primary care specialty career choice among Canadian medical students: Understanding the factors that influence their decisions.

PubMed

Osborn, Heather Ann; Glicksman, Jordan T; Brandt, Michael G; Doyle, Philip C; Fung, Kevin

2017-02-01

To identify which factors influence medical students' decision to choose a career in family medicine and pediatrics, and which factors influence their decision to choose careers in non-front-line specialties. Survey that was created based on a comprehensive literature review to determine which factors are considered important when choosing practice specialty. Ontario medical school. An open cohort of medical students in the graduating classes of 2008 to 2011 (inclusive). The main factors that influenced participants' decision to choose a career in primary care or pediatrics, and the main factors that influenced participants' decision to choose a career in a non-front-line specialty. A total of 323 participants were included in this study. Factors that significantly influenced participants' career choice in family medicine or pediatrics involved work-life balance (acceptable hours of practice [ P = .005], acceptable on-call demands [ P = .012], and lifestyle flexibility [ P = .006]); a robust physician-patient relationship (ability to promote individual health promotion [ P = .014] and the opportunity to form long-term relationships [ P  < .001], provide comprehensive care [ P = .001], and treat patients and their families [ P = .006]); and duration of residency program ( P = .001). The career-related factors that significantly influenced participants' decision to choose a non-front-line specialty were as follows: becoming an expert ( P  < .001), maintaining a focused scope of practice ( P  < .001), having a procedure-focused practice ( P = .001), seeing immediate results from one's actions ( P  < .001), potentially earning a high income ( P  < .001), and having a perceived status among colleagues ( P  < .001). In this study, 8 factors were found to positively influence medical students' career choice in family medicine and pediatrics, and 6 factors influenced the decision to choose a career in a non-front-line specialty. Medical students can be encouraged to explore a career in family medicine or pediatrics by addressing misinformation, by encouraging realistic expectations of career outcomes in the various specialties, and by demonstrating the capacity of primary care fields to incorporate specific motivating factors. Copyright© the College of Family Physicians of Canada.

A Semi-analytical Model for Wind-fed Black Hole High-mass X-Ray Binaries: State Transition Triggered by Magnetic Fields from the Companion Star

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

Yaji, Kentaro; Yamada, Shinya; Masai, Kuniaki

We propose a mechanism of state transition in wind-fed black hole (BH) binaries (high-mass X-ray binaries) such as Cyg X-1 and LMC X-1. Modeling a line-driven stellar wind from the companion by two-dimensional hydrodynamical calculations, we investigate the processes of wind capture by, and accretion onto, the BH. We assume that the wind acceleration is terminated at the He ii ionization front because ions responsible for line-driven acceleration are ionized within the front, i.e., the He iii region. It is found that the mass accretion rate inferred from the luminosity is remarkably smaller than the capture rate. Considering the difference,more » we construct a model for the state transition based on the accretion flow being controlled by magnetorotational instability. The outer flow is torus-like, and plays an important role to trigger the transition. The model can explain why state transition does occur in Cyg X-1, while not in LMC X-1. Cyg X-1 exhibits a relatively low luminosity, and then the He ii ionization front is located and can move between the companion and BH, depending on its ionizing photon flux. On the other hand, LMC X-1 exhibits too high luminosity for the front to move considerably; the front is too close to the companion atmosphere. The model also predicts that each state of high-soft or low-hard would last fairly long because the luminosity depends weakly on the wind velocity. In the context of the model, the state transition is triggered by a fluctuation of the magnetic field when its amplitude becomes comparable to the field strength in the torus-like outer flow.« less

Evolutionary trade-offs and the structure of polymorphisms.

PubMed

Sheftel, Hila; Szekely, Pablo; Mayo, Avi; Sella, Guy; Alon, Uri

2018-05-26

Populations of organisms show genetic differences called polymorphisms. Understanding the effects of polymorphisms is important for biology and medicine. Here, we ask which polymorphisms occur at high frequency when organisms evolve under trade-offs between multiple tasks. Multiple tasks present a problem, because it is not possible to be optimal at all tasks simultaneously and hence compromises are necessary. Recent work indicates that trade-offs lead to a simple geometry of phenotypes in the space of traits: phenotypes fall on the Pareto front, which is shaped as a polytope: a line, triangle, tetrahedron etc. The vertices of these polytopes are the optimal phenotypes for a single task. Up to now, work on this Pareto approach has not considered its genetic underpinnings. Here, we address this by asking how the polymorphism structure of a population is affected by evolution under trade-offs. We simulate a multi-task selection scenario, in which the population evolves to the Pareto front: the line segment between two archetypes or the triangle between three archetypes. We find that polymorphisms that become prevalent in the population have pleiotropic phenotypic effects that align with the Pareto front. Similarly, epistatic effects between prevalent polymorphisms are parallel to the front. Alignment with the front occurs also for asexual mating. Alignment is reduced when drift or linkage is strong, and is replaced by a more complex structure in which many perpendicular allele effects cancel out. Aligned polymorphism structure allows mating to produce offspring that stand a good chance of being optimal multi-taskers in at least one of the locales available to the species.This article is part of the theme issue 'Self-organization in cell biology'. © 2018 The Author(s).

Polarization and wavelength diversities of Gulf Stream fronts imaged by AIRSAR

NASA Technical Reports Server (NTRS)

Lee, J. S.; Jansen, R. W.; Marmorino, G. O.; Chubb, S. R.

1995-01-01

During the 1990 Gulf Stream Experiment, NASA/JPL AIRSAR imaged the north edge of the Gulf Stream near the coast of Virginia. Simultaneous in-situ measurements of currents, temperatures, salinities, etc. were made for several crossings of the north edge by the R/V Cape Henlopen. Measurements identified two fronts with shearing and converging flows. The polarimetric SAR images from the fronts showed two bright linear features. One of them corresponds to the temperature front, which separated the warm Gulf Stream water to the south from a cool, freshwater filament to the north. The other line, located about 8 km north of the temperature front, is believed to correspond to the velocity front between the filament and the slope water. At these fronts, wave-current interactions produced narrow bands of steep and breaking waves manifesting higher radar returns in polarimetric SAR images. In general, our AIRSAR imagery shows that the signal-to-clutter ratio of radar cross sections for the temperature front is higher than that of the velocity front. In this paper, we study the polarization and wavelength diversities of radar response of these two fronts using the P-, L-, and C-Band Polarimetric SAR data. The north-south flight path of the AIRSAR crossed the temperature front several times and provided valuable data for analysis. Three individual passes are investigated. We found that for the temperature front, the cross-pol (HV) responses are much higher than co-pol responses (VV and HH), and that P-Band HV has the highest signal to clutter ratio. For the velocity front, the ratio is the strongest in P-Band VV, and it is indistinguishable for all polarizations in C-Band. The radar cross sections for all three polarization (HH, HV, and VV) and for all three bands are modelled using an ocean wave model and a composite Bragg scattering model. In our initial investigations, the theoretical model agrees qualitatively with the AIRSAR observations.

33 CFR 80.810 - Cape San Blas, FL to Perdido Bay, FL.

Code of Federal Regulations, 2010 CFR

2010-07-01

..., FL to Perdido Bay, FL. (a) A line drawn from St. Joseph Bay Entrance Range A Rear Light through St. Joseph Bay Entrance Range B Front Light to St. Joseph Point. (b) A line drawn across the mouth of Salt Creek as an extension of the general trend of the shoreline to continue across the inlet to St. Andrews...

Integral field spectroscopy of selected areas of the Bright bar and Orion-S cloud in the Orion nebula

NASA Astrophysics Data System (ADS)

Mesa-Delgado, A.; Núñez-Díaz, M.; Esteban, C.; López-Martín, L.; García-Rojas, J.

2011-10-01

We present integral field spectroscopy of two selected zones in the Orion nebula obtained with the Potsdam Multi-Aperture Spectrophotometer, covering the optical spectral range from 3500 to 7200 Å and with a spatial resolution of 1 arcsec. The observed zones are located on the prominent Bright bar and on the brightest area at the north-east of the Orion south cloud, both containing remarkable ionization fronts. We obtain maps of emission-line fluxes and ratios, electron density and temperatures, and chemical abundances. We study the ionization structure and morphology of both fields, whose ionization fronts show different inclination angles with respect to the plane of the sky. We find that the maps of electron density, O+/H+ and O/H ratios show a rather similar structure. We interpret this as produced by the strong dependence on density of the [O II] lines used to derive the O+ abundance, and that our nominal values of electron density - derived from the [S II] line ratio - may be slightly higher than the appropriate value for the O+ zone. We measure the faint recombination lines of O II in the field at the north-east of the Orion south cloud, allowing us to explore the so-called abundance discrepancy problem. We find a rather constant abundance discrepancy across the field and a mean value similar to that determined in other areas of the Orion nebula, indicating that the particular physical conditions of this ionization front do not contribute to this discrepancy. Based on observations collected at the Centro Astronómico Hispano Alemán (CAHA) at Calar Alto, operated jointly by the Max-Planck Institut für Astronomie and the Instituto de Astrofísica de Andalucía (CSIC).

Colloque S&T Symposium 2009: Understanding the Human Dimension in 21st Century Conflict/Warfare: Taking Care of the Front Line (comprendre la dimension humaine dans les conflits/la conduite de la guerre au xxle siecle: veiller a la ligne de front)

DTIC Science & Technology

2009-06-01

à un adversaire d’un type différent. Il a ajouté que le modèle de gestion du personnel doit également s’adapter aux changements importants que subit...humaines; on risque d’assister à un manque d’imagination et de sang- froid si nous ne nous penchons pas sur les possibilités sur le plan technologique...la conduite de la guerre au XXIe siècle: Veiller à la ligne de front Stefan Wolejszo DGMPRA Kyle Fraser DGMPRA Orrick White (Editor) DRDC Corporate

High temperature oxidation-resistant thruster research

NASA Technical Reports Server (NTRS)

Wooten, John R.; Lansaw, P. Tina

1990-01-01

A program was conducted for NASA-LeRC by Aerojet Propulsion Division to establish the technology base for a new class of long-life, high-performance, radiation-cooled bipropellant thrusters capable of operation at temperatures over 2200 C (4000 F). The results of a systematic, multi-year program are described starting with the preliminary screening tests which lead to the final material selection. Life greater than 15 hours was demonstrated on a workhorse iridium-lined rhenium chamber at chamber temperatures between 2000 and 2300 C (3700 and 4200 F). The chamber was fabricated by the Chemical Vapor Deposition at Ultramet. The program culminated in the design, fabrication, and hot-fire test of an NTO/MMH 22-N (5-lbF) class thruster containing a thin wall iridium-lined rhenium thrust chamber with a 150:1 area ratio nozzle. A specific impulse of 310 seconds was measured and front-end thermal management was achieved for steady state and several pulsing duty cycles. The resulting design represents a 20 second specific impulse improvement over conventional designs in which the use of disilicide coated columbium chambers limit operation to 1300 C (2400 F).

PLASMA DIAGNOSTICS OF AN EIT WAVE OBSERVED BY HINODE/EIS AND SDO/AIA

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

Veronig, A. M.; Kienreich, I. W.; Muhr, N.

2011-12-10

We present plasma diagnostics of an Extreme-Ultraviolet Imaging Telescope (EIT) wave observed with high cadence in Hinode/Extreme-Ultraviolet Imaging Spectrometer (EIS) sit-and-stare spectroscopy and Solar Dynamics Observatory/Atmospheric Imaging Assembly imagery obtained during the HOP-180 observing campaign on 2011 February 16. At the propagating EIT wave front, we observe downward plasma flows in the EIS Fe XII, Fe XIII, and Fe XVI spectral lines (log T Almost-Equal-To 6.1-6.4) with line-of-sight (LOS) velocities up to 20 km s{sup -1}. These redshifts are followed by blueshifts with upward velocities up to -5 km s{sup -1} indicating relaxation of the plasma behind the wave front.more » During the wave evolution, the downward velocity pulse steepens from a few km s{sup -1} up to 20 km s{sup -1} and subsequently decays, correlated with the relative changes of the line intensities. The expected increase of the plasma densities at the EIT wave front estimated from the observed intensity increase lies within the noise level of our density diagnostics from EIS Fe XIII 202/203 A line ratios. No significant LOS plasma motions are observed in the He II line, suggesting that the wave pulse was not strong enough to perturb the underlying chromosphere. This is consistent with the finding that no H{alpha} Moreton wave was associated with the event. The EIT wave propagating along the EIS slit reveals a strong deceleration of a Almost-Equal-To -540 m s{sup -2} and a start velocity of v{sub 0} Almost-Equal-To 590 km s{sup -1}. These findings are consistent with the passage of a coronal fast-mode MHD wave, pushing the plasma downward and compressing it at the coronal base.« less

Cold fronts and reservoir limnology: an integrated approach towards the ecological dynamics of freshwater ecosystems.

PubMed

Tundisi, J G; Matsumura-Tundisi, T; Pereira, K C; Luzia, A P; Passerini, M D; Chiba, W A C; Morais, M A; Sebastien, N Y

2010-10-01

In this paper the authors discuss the effects of cold fronts on the dynamics of freshwater ecosystems of southeast South America. Cold fronts originating from the Antarctic show a monthly frequency that promotes turbulence and vertical mixing in reservoirs with a consequence to homogenize nutrient distribution, dissolved oxygen and temperature. Weak thermoclines and the athelomixis process immediately before, during and after the passage of cold fronts interfere with phytoplankton succession in reservoirs. Cyanobacteria blooms in eutrophic reservoirs are frequently connected with periods of stratification and stability of the water column. Cold fronts in the Amazon and Pantanal lakes may produce fish killings during the process of "friagem" associated mixing events. Further studies will try to implement a model to predict the impact of cold fronts and prepare management procedures in order to cope with cyanobacteria blooms during warm and stable water column periods. Changes in water quality of reservoirs are expected during circulation periods caused by cold fronts.

Integrating mHealth at point of care in low- and middle-income settings: the system perspective.

PubMed

Wallis, Lee; Blessing, Paul; Dalwai, Mohammed; Shin, Sang Do

2017-06-01

While the field represents a wide spectrum of products and services, many aspects of mHealth have great promise within resource-poor settings: there is an extensive range of cheap, widely available tools which can be used at the point of care delivery. However, there are a number of conditions which need to be met if such solutions are to be adequately integrated into existing health systems; we consider these from regulatory, technological and user perspectives. We explore the need for an appropriate legislative and regulatory framework, to avoid 'work around' solutions, which threaten patient confidentiality (such as the extensive use of instant messaging services to deliver sensitive clinical information and seek diagnostic and management advice). In addition, we will look at other confidentiality issues such as the need for applications to remove identifiable information (such as photos) from users' devices. Integration is dependent upon multiple technological factors, and we illustrate these using examples such as products made available specifically for adoption in low- and middle-income countries. Issues such as usability of the application, signal loss, data volume utilization, need to enter passwords, and the availability of automated or in-app context-relevant clinical advice will be discussed. From a user perspective, there are three groups to consider: experts, front-line clinicians, and patients. Each will accept, to different degrees, the use of technology in care - often with cultural or regional variation - and this is central to integration and uptake. For clinicians, ease of integration into daily work flow is critical, as are familiarity and acceptability of other technology in the workplace. Front-line staff tend to work in areas with more challenges around cell phone signal coverage and data availability than 'back-end' experts, and the effect of this is discussed.

Teachers and Healthy Indoor School Environments

EPA Pesticide Factsheets

Teachers can be powerful advocates for creating healthy indoor environments, including improving school indoor air quality (IAQ). As they are on the front lines, teachers can perceive when IAQ changes affect students and themselves.

Children with Special Health Care Needs

MedlinePlus

... to the Hospital Heroes On Medicine's Front Line Observation Emergency Care Fact Sheet Health & Safety Tips Campaigns ... to all caregivers of children, such as babysitters, teachers, and school nurses. Resources Emergency Care For You ...

Non-LTE radiating acoustic shocks and Ca II K2V bright points

NASA Technical Reports Server (NTRS)

Carlsson, Mats; Stein, Robert F.

1992-01-01

We present, for the first time, a self-consistent solution of the time-dependent 1D equations of non-LTE radiation hydrodynamics in solar chromospheric conditions. The vertical propagation of sinusoidal acoustic waves with periods of 30, 180, and 300 s is calculated. We find that departures from LTE and ionization recombination determine the temperature profiles of the shocks that develop. In LTE almost all the thermal energy goes into ionization, so the temperature rise is very small. In non-LTE, the finite transition rates delay the ionization to behind the shock front. The compression thus goes into thermal energy at the shock front leading to a high temperature amplitude. Further behind the shock front, the delayed ionization removes energy from the thermal pool, which reduces the temperature, producing a temperature spike. The 180 s waves reproduce the observed temporal changes in the calcium K line profiles quite well. The observed wing brightening pattern, the violet/red peak asymmetry and the observed line center behavior are all well reproduced. The short-period waves and the 5 minute period waves fail especially in reproducing the observed behavior of the wings.

Investigation on Low Firing Copper for Front Electrode of Si-Based Solar Cell Applications.

PubMed

Chiang, Chen-Su; Wu, Yia-Ming; Lee, Wen-Hsi

2018-04-01

Solar cell is one of the most popular alternative energies. The aim of this study is to construct an ohmic contact between front electrode and Si-based solar cell by a Newly-invented low-cost paste and low temperature sintering process. The core-shell of CucoreAgshell powders were prepared for making high solid content paste, then screen printing the fine line on laser-opening H-pattern silicon substrate and applying firing process. Because the silver coverage is more than 95% and silver nanoparticles start to melt at 200 °C. The shell of nanoparticles of silver not only is used to prevent copper from oxidized, but also connected core Cu particles for enhancing the conductivity of CucoreAgshell. TEM, EDS, SEM were used to examine the microstructure of CucoreAgshell. Fourpoint probe and transmission line model were employed to analyze the sheet resistance and the specific contact resistance. The lowest specific contact resistivity is 0.005 Ωcm2, sheet resistance is 0.0138 Ω/ and the lowest resistivity of front electrode measured is 2.65 × 10-5 Ωcm when CucoreAgshell paste with 94 wt% solid content was fired at 550 °C.

Training giraffe (Giraffa camelopardalis reticulata) for front foot radiographs and hoof care.

PubMed

Dadone, Liza I; Schilz, Amy; Friedman, Susan G; Bredahl, Jason; Foxworth, Steve; Chastain, Bob

2016-05-01

For a large herd of reticulated giraffes, a mainly operant-based training program was created for front foot radiographs and hoof trims in an effort to diagnose and better manage lameness. Behaviors were shaped in a restricted contact set-up, using a positive reinforcement procedure to teach a series of mastered cued behaviors. This training was used to obtain lateral and lateral oblique front foot radiographs for the entire herd. Radiographs were diagnostic for multiple possible causes of lameness including fractures and osteitis of the distal phalangeal bone, hoof overgrowth, osteoarthritis of the distal interphalangeal joint, rotation of the distal phalangeal bone, sesamoid bone cysts, and sole foreign bodies. By training giraffe for foot radiographs and hoof trims, potential causes of lameness could be identified and better managed. Long-term, the results may help zoos identify best practices for managing and preventing lameness in giraffe. Zoo Biol. 35:228-236, 2016. © 2016 Wiley Periodicals, Inc. © 2016 Wiley Periodicals, Inc.

A multichannel EEG acquisition scheme based on single ended amplifiers and digital DRL.

PubMed

Haberman, Marcelo Alejandro; Spinelli, Enrique Mario

2012-12-01

Single ended (SE) amplifiers allow implementing biopotential front-ends with a reduced number of parts, being well suited for preamplified electrodes or compact EEG headboxes. On the other hand, given that each channel has independent gain; mismatching between these gains results in poor common-mode rejection ratios (CMRRs) (about 30 dB considering 1% tolerance components). This work proposes a scheme for multichannel EEG acquisition systems based on SE amplifiers and a novel digital driven right leg (DDRL) circuit, which overcome the poor CMRR of the front-end stage providing a high common mode reduction at power line frequency (up to 80 dB). A functional prototype was built and tested showing the feasibility of the proposed technique. It provided EEG records with negligible power line interference, even in very aggressive EMI environments.

A survey of front-line paramedics examining the professional relationship between paramedics and physician medical oversight.

PubMed

Foerster, Christopher R; Tavares, Walter; Virkkunen, Ilkka; Kämäräinen, Antti

2018-03-01

Paramedicine is often dependent on physician medical directors and their associated programs for direction and oversight. A positive relationship between paramedics and their oversight physicians promotes safety and quality care while a strained or ineffective one may threaten these goals. The objective of this study was to explore and understand the professional relationship between paramedics and physician medical oversight as viewed by front-line paramedics. All active front-line paramedics from four municipal paramedic services involving three medical oversight groups in Ontario were invited to complete an online survey. Five hundred and four paramedics were invited to participate in the study, with 242 completing the survey (48% response rate); 66% male, 76% primary care paramedics with an average of 13 (SD=9) years of experience. Paramedics had neutral or positive perceptions regarding their autonomy, opportunities to interact with their medical director, and medical director understanding of the prehospital setting. Paramedics perceived medical directives as rigid and ambiguous. A significant amount of respondents reported a perception of having provided suboptimal patient care due to fear of legal or disciplinary consequences. Issues of a lack of support for critical thinking and a lack of trust between paramedics and medical oversight groups were often raised. Paramedic perceptions of physician medical oversight were mixed. Concerning areas identified were perceptions of ambiguous written directives and concerns related to the level of trust and support for critical thinking. These perceptions may have implications for the system of care and should be explored further.

Energy conversion and dissipation at dipolarization fronts: Theory, modeling and MMS observations

NASA Astrophysics Data System (ADS)

Sitnov, M. I.; Motoba, T.; Merkin, V. G.; Ohtani, S.; Cohen, I. J.; Mauk, B.; Vines, S. K.; Anderson, B. J.; Moore, T. E.; Torbert, R. B.; Giles, B. L.; Burch, J. L.

2017-12-01

Magnetic reconnection is one of the most important energy conversion mechanisms in space plasmas. In the classical picture it converts the energy of antiparallel magnetic fields into the kinetic and thermal energy of accelerated plasma particles in reconnection exhausts. It also involves energy dissipation near the X-line. This classical picture may be substantially modified in real space plasma configurations, such as the dayside magnetopause and the magnetotail. In particular, in the magnetotail the flows of accelerated particles may be strongly asymmetric along the tail with the domination of earthward flows. At the same time, strong energy conversion and even dissipation may occur away from the X-line, in particular, at dipolarization fronts. Here we present a theoretical picture of spontaneous magnetotail reconnection based on 3-D PIC simulations with the focus on plasma bulk flows, energy conversion and dissipation. This picture is compared with some observations from the MMS tail season. An important finding from these observations is that dipolarizations fronts may not only be regions of the total energy conversion with jE>0, but they may also be the sites of energy dissipation, both positive (jE'>0, E' is the electric field E in the system moving with one of the plasma species) and negative (jE'<0). Observations are further compared with theory and modeling that predict the specific location and sign of the energy dissipation at fronts depending on their evolution phase (e.g., formation, propagation, braking).

33 CFR 80.525 - Cape Lookout, NC to Cape Fear, NC.

Code of Federal Regulations, 2010 CFR

2010-07-01

... Shackleford Banks. (b) A line drawn from Morehead City Channel Range Front Light to the seaward extremity of... the southwest side of New River Inlet at latitude 34°31.5′ N. longitude 77°20.6′ W. to the seaward tangent of the shoreline on the northeast side on New River Inlet. (e) A line drawn across New Topsail...

Front-Line Resilience Perspectives: The Electric Grid

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

Finster, M.; Phillips, J.; Wallace, K.

2016-11-01

This report seeks to summarize how states and local utility companies are approaching all-hazards resilience in planning, construction, operations, and maintenance of the electric system, as well as challenges faced when addressing all-hazards resilience.

KENNEDY SPACE CENTER, FLA. -- From front row left, NASA Deputy Associate Administrator for Space Station and Shuttle Programs Michael Kostelnik and NASA Space Shuttle Program Manager William Parsons are trained on the proper use of the Emergency Life Support Apparatus (ELSA). NASA and United Space Alliance (USA) Space Shuttle program management are participating in a leadership workday. The day is intended to provide management with an in-depth, hands-on look at Shuttle processing activities at KSC.

NASA Image and Video Library

2003-12-19

KENNEDY SPACE CENTER, FLA. -- From front row left, NASA Deputy Associate Administrator for Space Station and Shuttle Programs Michael Kostelnik and NASA Space Shuttle Program Manager William Parsons are trained on the proper use of the Emergency Life Support Apparatus (ELSA). NASA and United Space Alliance (USA) Space Shuttle program management are participating in a leadership workday. The day is intended to provide management with an in-depth, hands-on look at Shuttle processing activities at KSC.

Magnetic shuffling of coronal downdrafts

NASA Astrophysics Data System (ADS)

Petralia, A.; Reale, F.; Orlando, S.

2017-02-01

Context. Channelled fragmented downflows are ubiquitous in magnetized atmospheres, and have recently been addressed based on an observation after a solar eruption. Aims: We study the possible back-effect of the magnetic field on the propagation of confined flows. Methods: We compared two 3D magnetohydrodynamic simulations of dense supersonic plasma blobs that fall down along a coronal magnetic flux tube. In one, the blobs move strictly along the field lines; in the other, the initial velocity of the blobs is not perfectly aligned with the magnetic field and the field is weaker. Results: The aligned blobs remain compact while flowing along the tube, with the generated shocks. The misaligned blobs are disrupted and merge through the chaotic shuffling of the field lines. They are structured into thinner filaments. Alfvén wave fronts are generated together with shocks ahead of the dense moving front. Conclusions: Downflowing plasma fragments can be chaotically and efficiently mixed if their motion is misaligned with field lines, with broad implications for disk accretion in protostars, coronal eruptions, and rain, for example. Movies associated to Figs. 2 and 3 are available at http://www.aanda.org

Complex socio-technical systems: Characterization and management guidelines.

PubMed

Righi, Angela Weber; Saurin, Tarcisio Abreu

2015-09-01

Although ergonomics has paid increasing attention to the perspective of complexity, methods for its operationalization are scarce. This study introduces a framework for the operationalization of the "attribute view" of complexity, which involves: (i) the delimitation of the socio-technical system (STS); (ii) the description of four complexity attributes, namely a large number of elements in dynamic interactions, a wide diversity of elements, unexpected variability, and resilience; (iii) the assessment of six management guidelines, namely design slack, give visibility to processes and outcomes, anticipate and monitor the impacts of small changes, monitor the gap between prescription and practice, encourage diversity of perspectives when making decisions, and create an environment that supports resilience; and (iv) the identification of leverage points for improving the STS design, based on both the analysis of relationships among the attributes and their classification as irreducible/manageable complexity, and liability/asset. The use of the framework is illustrated by the study of an emergency department of a University hospital. Data collection involved analysis of documents, observations of work at the front-line, interviews with employees, and the application of questionnaires. Copyright © 2015 Elsevier Ltd and The Ergonomics Society. All rights reserved.

An overview of patient safety climate in the VA.

PubMed

Hartmann, Christine W; Rosen, Amy K; Meterko, Mark; Shokeen, Priti; Zhao, Shibei; Singer, Sara; Falwell, Alyson; Gaba, David M

2008-08-01

To assess variation in safety climate across VA hospitals nationally. Data were collected from employees at 30 VA hospitals over a 6-month period using the Patient Safety Climate in Healthcare Organizations survey. We sampled 100 percent of senior managers and physicians and a random 10 percent of other employees. At 10 randomly selected hospitals, we sampled an additional 100 percent of employees working in units with intrinsically higher hazards (high-hazard units [HHUs]). Data were collected using an anonymous survey design. We received 4,547 responses (49 percent response rate). The percent problematic response--lower percent reflecting higher levels of patient safety climate--ranged from 12.0-23.7 percent across hospitals (mean=17.5 percent). Differences in safety climate emerged by management level, clinician status, and workgroup. Supervisors and front-line staff reported lower levels of safety climate than senior managers; clinician responses reflected lower levels of safety climate than those of nonclinicians; and responses of employees in HHUs reflected lower levels of safety climate than those of workers in other areas. This is the first systematic study of patient safety climate in VA hospitals. Findings indicate an overall positive safety climate across the VA, but there is room for improvement.

Approaches of Improving University Assets Management Efficiency

ERIC Educational Resources Information Center

Wang, Jingliang

2015-01-01

University assets management, as an important content of modern university management, is generally confronted with the issue of low efficiency. Currently, to address the problems exposed in university assets management and take appropriate modification measures is an urgent issue in front of Chinese university assets management sectors. In this…

Lightning Step Leader and Return Stroke Spectra at 100,000 fps

NASA Astrophysics Data System (ADS)

Harley, J.; McHarg, M.; Stenbaek-Nielsen, H. C.; Haaland, R. K.; Sonnenfeld, R.; Edens, H. E.; Cummer, S.; Lapierre, J. L.; Maddocks, S.

2017-12-01

A fundamental understanding of lightning can be inferred from the spectral emissions resulting from the leader and return stroke channels. We examine events recorded at 00:58:07 on 19 July 2015 and 06:44:24 on 23 July 2017, both at Langmuir Laboratory. Analysis of both events is supplemented by data from the Lightning Mapping Array at Langmuir. The 00:58:07 event spectra was recorded using a 100 line per mm grating in front of a Phantom V2010 camera with an 85mm (9o FOV) Nikon lens recording at 100,000 frames per second. Coarse resolution spectra (approximately 5 nm resolution) are produced from approximately 400 nm to 800 nm for each frame. We analyze several nitrogen and oxygen lines to understand step leader temperature behavior between cloud and ground. The 06:44:24 event spectra was recorded using a 300 line per mm grating (approximately 1.5 nm resolution) in front of a Phantom V2010 camera with an 50mm (32o FOV) Nikon lens also recording at 100,000 frames per second. Two ionized atomic nitrogen lines at 502 nm and 569 nm appear upon attachment and disappear as the return stroke travels from ground to cloud in approximately 5 frames. We analyze these lines to understand initial return stroke temperature and species behavior.

Population management, systems-based practice, and planned chronic illness care: integrating disease management competencies into primary care to improve composite diabetes quality measures.

PubMed

Kimura, Joe; DaSilva, Karen; Marshall, Richard

2008-02-01

The increasing prevalence of chronic illnesses in the United States requires a fundamental redesign of the primary care delivery system's structure and processes in order to meet the changing needs and expectations of patients. Population management, systems-based practice, and planned chronic illness care are 3 potential processes that can be integrated into primary care and are compatible with the Chronic Care Model. In 2003, Harvard Vanguard Medical Associates, a multispecialty ambulatory physician group practice based in Boston, Massachusetts, began implementing all 3 processes across its primary care practices. From 2004 to 2006, the overall diabetes composite quality measures improved from 51% to 58% for screening (HgA1c x 2, low-density lipoprotein, blood pressure in 12 months) and from 13% to 17% for intermediate outcomes (HgA1c

A multitasking, multisinked, multiprocessor data acquisition front end

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

Fox, R.; Au, R.; Molen, A.V.

1989-10-01

The authors have developed a generalized data acquisition front end system which is based on MC68020 processors running a commercial real time kernel (rhoSOS), and implemented primarily in a high level language (C). This system has been attached to the back end on-line computing system at NSCL via our high performance ETHERNET protocol. Data may be simultaneously sent to any number of back end systems. Fixed fraction sampling along links to back end computing is also supported. A nonprocedural program generator simplifies the development of experiment specific code.

Considerations for Expanding, Eliminating, and Maintaining Community College Athletic Teams and Programs

ERIC Educational Resources Information Center

Lawrence, Heather J.; Mullin, Christopher M.; Horton, David, Jr.

2009-01-01

Collegiate athletic programs have often been referred to as the "front porch" of an institution. Coaches, athletic teams, student athletes, and athletic department staff serve as a "link between the immediate campus family and the larger community. It is this front-porch principle that makes managing intercollegiate athletics a unique and…

29 CFR 458.4 - Informing members of the standards of conduct provisions.

Code of Federal Regulations, 2010 CFR

2010-07-01

.... 458.4 Section 458.4 Labor Regulations Relating to Labor OFFICE OF LABOR-MANAGEMENT STANDARDS... placed on the front page of the newspaper, or the front page should have a conspicuous reference to the... Department of Labor publication Union Member Rights and Officer Responsibilities under the Civil Service...

Range-Specific High-Resolution Mesoscale Model Setup: Data Assimilation

NASA Technical Reports Server (NTRS)

Watson, Leela R.

2014-01-01

Mesoscale weather conditions can have an adverse effect on space launch, landing, and ground processing at the Eastern Range (ER) in Florida and Wallops Flight Facility (WFF) in Virginia. During summer, land-sea interactions across Kennedy Space Center (KSC) and Cape Canaveral Air Force Station (CCAFS) lead to sea breeze front formation, which can spawn deep convection that can hinder operations and endanger personnel and resources. Many other weak locally driven low-level boundaries and their interactions with the sea breeze front and each other can also initiate deep convection in the KSC/CCAFS area. Some of these other boundaries include the Indian River breeze front, Banana River breeze front, outflows from previous convection, horizontal convective rolls, convergence lines from other inland bodies of water such as Lake Okeechobee, the trailing convergence line from convergence of sea breeze fronts due to the shape of Cape Canaveral, frictional convergence lines from the islands in the Bahamas, convergence lines from soil moisture differences, convergence lines from cloud shading, and others. All these subtle weak boundary interactions often make forecasting of operationally important weather very difficult at KSC/CCAFS during the convective season (May-Oct). These convective processes often build quickly, last a short time (60 minutes or less), and occur over small distances, all of which also poses a significant challenge to the local forecasters who are responsible for issuing weather advisories, watches, and warnings. Surface winds during the transition seasons of spring and fall pose the most difficulties for the forecasters at WFF. They also encounter problems forecasting convective activity and temperature during those seasons. Therefore, accurate mesoscale model forecasts are needed to aid in their decision making. Both the ER and WFF would benefit greatly from high-resolution mesoscale model output to better forecast a variety of unique weather phenomena. Global and national scale models cannot properly resolve important local-scale weather features at each location due to their horizontal resolutions being much too coarse. Therefore, a properly tuned model at a high resolution is needed to provide improved capability. This task is a multi-year effort in which the Applied Meteorology Unit (AMU) will tune the Weather Research and Forecasting (WRF) model individually for each range. The goal of the first year, the results of which are in this report, was to tune the WRF model based on the best model resolution and run time while using reasonable computing capabilities. To accomplish this, the ER and WFF supported the tasking of the AMU to perform a number of sensitivity tests in order to determine the best model configuration for operational use at each of the ranges to best predict winds, precipitation, and temperature (Watson 2013). This task is a continuation of that work and will provide a recommended local data assimilation (DA) and numerical forecast model design optimized for the ER and WFF to support space launch activities. The model will be optimized for local weather challenges at both ranges.

SLOW PATCHY EXTREME-ULTRAVIOLET PROPAGATING FRONTS ASSOCIATED WITH FAST CORONAL MAGNETO-ACOUSTIC WAVES IN SOLAR ERUPTIONS

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

Guo, Y.; Ding, M. D.; Chen, P. F., E-mail: guoyang@nju.edu.cn

2015-08-15

Using the high spatiotemporal resolution extreme ultraviolet (EUV) observations of the Atmospheric Imaging Assembly on board the Solar Dynamics Observatory, we conduct a statistical study of the observational properties of the coronal EUV propagating fronts. We find that it might be a universal phenomenon for two types of fronts to coexist in a large solar eruptive event. It is consistent with the hybrid model of EUV propagating fronts, which predicts that coronal EUV propagating fronts consist of both a fast magneto-acoustic wave and a nonwave component. We find that the morphologies, propagation behaviors, and kinematic features of the two EUVmore » propagating fronts are completely different from each other. The fast magneto-acoustic wave fronts are almost isotropic. They travel continuously from the flaring region across multiple magnetic polarities to global distances. On the other hand, the slow nonwave fronts appear as anisotropic and sequential patches of EUV brightening. Each patch propagates locally in the magnetic domains where the magnetic field lines connect to the bottom boundary and stops at the magnetic domain boundaries. Within each magnetic domain, the velocities of the slow patchy nonwave component are an order of magnitude lower than that of the fast-wave component. However, the patches of the slow EUV propagating front can jump from one magnetic domain to a remote one. The velocities of such a transit between different magnetic domains are about one-third to one-half of those of the fast-wave component. The results show that the velocities of the nonwave component, both within one magnetic domain and between different magnetic domains, are highly nonuniform due to the inhomogeneity of the magnetic field in the lower atmosphere.« less

Point of care information services: a platform for self-directed continuing medical education for front line decision makers

PubMed Central

Moja, Lorenzo; Kwag, Koren Hyogene

2015-01-01

The structure and aim of continuing medical education (CME) is shifting from the passive transmission of knowledge to a competency-based model focused on professional development. Self-directed learning is emerging as the foremost educational method for advancing competency-based CME. In a field marked by the constant expansion of knowledge, self-directed learning allows physicians to tailor their learning strategy to meet the information needs of practice. Point of care information services are innovative tools that provide health professionals with digested evidence at the front line to guide decision making. By mobilising self-directing learning to meet the information needs of clinicians at the bedside, point of care information services represent a promising platform for competency-based CME. Several points, however, must be considered to enhance the accessibility and development of these tools to improve competency-based CME and the quality of care. PMID:25655251

Multispectral imaging reveals biblical-period inscription unnoticed for half a century

PubMed Central

Cordonsky, Michael; Levin, David; Moinester, Murray; Sass, Benjamin; Turkel, Eli; Piasetzky, Eli; Finkelstein, Israel

2017-01-01

Most surviving biblical period Hebrew inscriptions are ostraca—ink-on-clay texts. They are poorly preserved and once unearthed, fade rapidly. Therefore, proper and timely documentation of ostraca is essential. Here we show a striking example of a hitherto invisible text on the back side of an ostracon revealed via multispectral imaging. This ostracon, found at the desert fortress of Arad and dated to ca. 600 BCE (the eve of Judah’s destruction by Nebuchadnezzar), has been on display for half a century. Its front side has been thoroughly studied, while its back side was considered blank. Our research revealed three lines of text on the supposedly blank side and four "new" lines on the front side. Our results demonstrate the need for multispectral image acquisition for both sides of all ancient ink ostraca. Moreover, in certain cases we recommend employing multispectral techniques for screening newly unearthed ceramic potsherds prior to disposal. PMID:28614416

Multispectral imaging reveals biblical-period inscription unnoticed for half a century.

PubMed

Faigenbaum-Golovin, Shira; Mendel-Geberovich, Anat; Shaus, Arie; Sober, Barak; Cordonsky, Michael; Levin, David; Moinester, Murray; Sass, Benjamin; Turkel, Eli; Piasetzky, Eli; Finkelstein, Israel

2017-01-01

Most surviving biblical period Hebrew inscriptions are ostraca-ink-on-clay texts. They are poorly preserved and once unearthed, fade rapidly. Therefore, proper and timely documentation of ostraca is essential. Here we show a striking example of a hitherto invisible text on the back side of an ostracon revealed via multispectral imaging. This ostracon, found at the desert fortress of Arad and dated to ca. 600 BCE (the eve of Judah's destruction by Nebuchadnezzar), has been on display for half a century. Its front side has been thoroughly studied, while its back side was considered blank. Our research revealed three lines of text on the supposedly blank side and four "new" lines on the front side. Our results demonstrate the need for multispectral image acquisition for both sides of all ancient ink ostraca. Moreover, in certain cases we recommend employing multispectral techniques for screening newly unearthed ceramic potsherds prior to disposal.

Hα line shape in front of the limiter in the HT-6M tokamak

NASA Astrophysics Data System (ADS)

Wan, Baonian; Li, Jiangang; Luo, Jiarong; Xie, Jikang; Wu, Zhenwei; Zhang, Xianmei; HT-6M Group

1999-11-01

The Hα line shape in front of the limiter in the HT-6M tokamak is analysed by multi-Gaussian fitting. The energy distribution of neutral hydrogen atoms reveals that Hα radiation is contributed by Franck-Condon atoms, atoms reflected at the limiter surface and charge exchange. Multi-Gaussian fitting of the Hα spectral profile indicates contributions of 60% from reflection particles and 40% from molecule dissociation to recycling. Ion temperatures in central regions are obtained from the spectral width of charge exchange components. Dissociation of hydrogen molecules and reflection of particles at the limiter surface are dominant in edge recycling. Reduction of particle reflection at the limiter surface is important for controlling edge recycling. The measured profiles of neutral hydrogen atom density are reproduced by a particle continuity equation and a simplified one dimensional Monte Carlo simulation code.

CloudSat First Image of a Warm Front Storm Over the Norwegian Sea

NASA Technical Reports Server (NTRS)

2006-01-01

[figure removed for brevity, see original site] Figure 1

CloudSat's first image, of a warm front storm over the Norwegian Sea, was obtained on May 20, 2006. In this horizontal cross-section of clouds, warm air is seen rising over colder air as the satellite travels from right to left. The red colors are indicative of highly reflective particles such as water droplets (or rain) or larger ice crystals (or snow), while the blue indicates thinner clouds (such as cirrus). The flat green/blue lines across the bottom represent the ground signal. The vertical scale on the CloudSat Cloud Profiling Radar image is approximately 30 kilometers (19 miles). The blue line below the Cloud Profiling Radar image indicates that the data were taken over water. The inset image shows the CloudSat track relative to a Moderate Resolution Imaging Spectroradiometer (MODIS) infrared image taken at nearly the same time.

Trauma and its aftermath for commercially sexually exploited women as told by front-line service providers.

PubMed

Hom, Kristin A; Woods, Stephanie J

2013-02-01

Commercial sexual exploitation of women and girls through forced prostitution and sex-trafficking is a human rights and public health issue, with survivors facing complex mental health problems from trauma and violence. An international and domestic problem, the average age of recruitment into sex-trafficking is between 11 and 14 years old. Given its secrecy and brutality, such exploitation remains difficult to study, which results in a lack of knowledge related to trauma and how best to develop specific services that effectively engage and meet the unique needs of survivors. This qualitative research, using thematic analysis, explored the stories of trauma and its aftermath for commercially sexually exploited women as told by front-line service providers. Three themes emerged regarding the experience of sex-trafficking and its outcomes-Pimp Enculturation, Aftermath, and Healing the Wound-along with seven subthemes. These have important implications for all service and healthcare providers.

Public health significance of zoonotic Cryptosporidium species in wildlife: Critical insights into better drinking water management.

PubMed

Zahedi, Alireza; Paparini, Andrea; Jian, Fuchun; Robertson, Ian; Ryan, Una

2016-04-01

Cryptosporidium is an enteric parasite that is transmitted via the faecal-oral route, water and food. Humans, wildlife and domestic livestock all potentially contribute Cryptosporidium to surface waters. Human encroachment into natural ecosystems has led to an increase in interactions between humans, domestic animals and wildlife populations. Increasing numbers of zoonotic diseases and spill over/back of zoonotic pathogens is a consequence of this anthropogenic disturbance. Drinking water catchments and water reservoir areas have been at the front line of this conflict as they can be easily contaminated by zoonotic waterborne pathogens. Therefore, the epidemiology of zoonotic species of Cryptosporidium in free-ranging and captive wildlife is of increasing importance. This review focuses on zoonotic Cryptosporidium species reported in global wildlife populations to date, and highlights their significance for public health and the water industry.

Studies of transformational leadership in consumer service: market orientation behavior and alternative roles for the mediators and moderators of change commitment.

PubMed

Yang, Yi-Feng

2013-12-01

The present paper evaluates the relation between transformational leadership and market orientation along with the mediating and moderating effects of change commitment for employees in customer centers in Taiwan. 327 questionnaires were returned by personnel at several customer centers in four different insurance companies. Inter-rater agreement was acceptable based on the multiple raters (i.e., the consumer-related employees from the division groups) of one individual (i.e., a manager)--indicating the aggregated measures were acceptable. The multi-source sample comprised data taken from the four division centers: phone services, customer representatives, financial specialists, and front-line salespeople. The relations were assessed using a multiple mediation procedure incorporating bootstrap techniques and PRODCLIN2 with structural equation modeling analysis. The results reflect a mediating role for change commitment.

Genetic testing for hereditary cancer predisposition: BRCA1/2, Lynch syndrome, and beyond

PubMed Central

Hall, MJ; Obeid, EI; Schwartz, SC; Mantia-Smaldone, G; Forman, AD; Daly, MB

2016-01-01

Obstetrician/gynecologists and gynecologic oncologists serve an integral role in the care of women at increased hereditary risk of cancer. Their contribution includes initial identification of high risk patients, screening procedures like bimanual exam, trans-vaginal ultrasound and endometrial biopsy, prophylaxis via TAH and/or BSO, and chemoprevention. Further, gynecologists also serve a central role in the management of the secondary repercussions of efforts to mitigate increased cancer risks, including vasomotor symptoms, sexual function, bone health, cardiovascular disease, and mental health. The past several years has seen multiple new high and moderate penetrance genes introduced into the clinical care of women at increased risk of gynecologic malignancy. Awareness of these new genes and the availability of new multigene panel tests is critical for providers on the front-line of women’s health. PMID:26812021

Financial capacity in older adults: a growing concern for clinicians.

PubMed

Gardiner, Paul A; Byrne, Gerard J; Mitchell, Leander K; Pachana, Nancy A

2015-02-02

Older people with cognitive impairment and/or dementia may be particularly vulnerable to diminished financial decision-making capacity. Financial capacity refers to the ability to satisfactorily manage one's financial affairs in a manner consistent with personal self-interest and values. Impairment of financial capacity makes the older individual vulnerable to financial exploitation, may negatively affect their family's financial situation and places strain on relationships within the family. Clinicians are often on the front line of responding to queries regarding decision-making capacity, and clinical evaluation options are often not well understood. Assessment of financial capacity should include formal objective assessment in addition to a clinical interview and gathering contextual data. Development of a flexible, empirically supported and clinically relevant assessment approach that spans all dimensions of financial capacity yet is simple enough to be used by non-specialist clinicians is needed.

School Nurses on the Front Lines of Medicine: The Approach to a Student After a Syncopal Event: Don't "PASS OUT".

PubMed

Hackett, Gretchen; Brady, Jodi; Olympia, Robert P

2018-03-01

Students presenting with syncope and/or seizure occur occasionally in the school setting. Several studies have shown that seizures as well as respiratory distress are the most common medical emergencies that prompt school nurses and staff to contact emergency medical services (EMS) to transport students to the closest emergency department (Knight 1999, Olympia 2005). It is important to develop a differential diagnosis for syncope, to initiate stabilization of the student with life-threatening symptoms, and to triage these students to an appropriate level of care (back to the classroom, home with their guardian with follow-up at their primary health care provider's office, or directly to the closest emergency department via EMS). This article describes the initial assessment and management of two students presenting after syncopal events.

110. MILL APPROACH FROM EAST. THE TRAM LINE RANT TO ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

110. MILL APPROACH FROM EAST. THE TRAM LINE RANT TO THE RIGHT (NORTH) OF THE ROAD AND REACHED THE CRUDE ORE BINS AROUND THE FAR BEND. BUILDINGS FROM FRONT TO BACK ARE, ON RIGHT, OIL WAREHOUSE AND GASOLINE SHED, AND ON LEFT, GARAGE, CARPENTER'S SHOP, OIL SHED, AND MACHINE SHOP. - Bald Mountain Gold Mill, Nevada Gulch at head of False Bottom Creek, Lead, Lawrence County, SD

Strategic variation in mobbing as a front line of defense against brood parasitism.

PubMed

Welbergen, Justin A; Davies, Nicholas B

2009-02-10

Coevolutionary arms races, where adaptations in one party select for counter-adaptations in another and vice versa, are fundamental to interactions between organisms and their predators, pathogens, and parasites [1]. Avian brood parasites and their hosts have emerged as model systems for studying such reciprocal coevolutionary processes [2, 3]. For example, hosts have evolved changes in egg appearance and rejection of foreign eggs in response to brood parasitism from cuckoos, and cuckoos have evolved host-egg mimicry as a counter-response [4-6]. However, the host's front line of defense is protecting the nest from being parasitized in the first place [7-10], yet little is known about the effectiveness of nest defense as an antiparasite adaptation, and its coevolutionary significance remains poorly understood [10]. Here we show first that mobbing of common cuckoos Cuculus canorus by reed warblers Acrocephalus scirpaceus is an effective defense against parasitism. Second, mobbing of cuckoos is a phenotypically plastic trait that is modified strategically according to local parasitism risk. This supports the view that hosts use a "defense in-depth strategy," with successive flexible lines of defense that coevolve with corresponding offensive lines of the parasite. This highlights the need for more holistic research into the coevolutionary consequences when multiple adaptations and counter-adaptations evolve in concert [11].

Bathymetry of Torssukatak fjord and one century of glacier stability

NASA Astrophysics Data System (ADS)

An, L.; Rignot, E. J.; Morlighem, M.

2017-12-01

Marine-terminating glaciers dominate the evolution of the Greenland Ice Sheet(GrIS) mass balance as they control 90% of the ice discharge into the ocean. Warm air temperatures thin the glaciers from the top to unground ice fronts from the bed. Warm oceans erode the submerged grounded ice, causing the grounding line to retreat. To interpret the recent and future evolution of two outlet glaciers, Sermeq Avangnardleq (AVA) and Sermeq Kujatdleq (KUJ) in central West Greenland, flowing into the ice-choked Torssukatak fjord (TOR), we need to know their ice thickness and bed topography and the fjord bathymetry. Here, we present a novel mapping of the glacier bed topography, ice thickness and sea floor bathymetry near the grounding line using high resolution airborne gravity data from AIRGrav collected in August 2012 with a helicopter platform, at 500 m spacing grid, 50 knots ground speed, 80 m ground clearance, with submilligal accuracy, i.e. higher than NASA Operation IceBridge (OIB)'s 5.2 km resolution, 290 knots, and 450 m clearance. We also employ MultiBeam Echo Sounding data (MBES) collected in the fjord since 2009. We had to wait until the summer of 2016, during Ocean Melting Greenland (OMG), to map the fjord bathymetry near the ice fronts for the first time. We constrain the 3D inversion of the gravity data with MBES in the fjord and a reconstruction of the glacier bed topography using mass conservation (MC) on land ice. The seamless topography obtained across the grounding line reveal the presence of a 300-m sill for AVA, which explains why this glacier has been stable for a century, despite changes in surface melt and ocean-induced melt and the presence of a deep fjord (800 m) in front of the glacier. For KUJ, we also reveal the presence of a wide sill (300 m depth) near the current ice front which explains its stability and the stranding of iceberg debris in front of the glacier. The results shed new light on the evolution of these glaciers and explain their apparent stability. The data also reveal the presence of a deep bed upstream, indicating a potential for rapid retreat if ocean and surface melting are able to dislodge the glaciers from their stabilizing sills. This work was funded by NASA Cryosphere Program and from a grant by the Gordon and Betty Moore Foundation.

Vacuum ultraviolet line radiation measurements of a shock-heated nitrogen plasma

NASA Technical Reports Server (NTRS)

Mcclenahan, J. O.

1972-01-01

Line radiation, in the wavelength region from 1040 to 2500 A from nitrogen plasmas, was measured at conditions typical of those produced in the shock layer in front of vehicles entering the earth's atmosphere at superorbital velocities. The radiation was also predicted with a typical radiation transport computer program to determine whether such calculations adequately model plasmas for the conditions tested. The results of the comparison show that the radiant intensities of the lines between 1040 and 1700 A are actually lower than are predicted by such computer models.

Factors leading to the formation of arc cloud complexes

NASA Technical Reports Server (NTRS)

Welshinger, Mark John; Brundidge, Kenneth C.

1987-01-01

A total of 12 mesoscale convective systems (MCSs) were investigated. The duration of the gust front, produced by each MCS, was used to classify the MCSs. Category 1 MCSs were defined as ones that produced a gust front and the gust front lasted for more than 6 h. There were 7 category 1 MCSs in the sample. Category 2 MCSs were defined as ones that produced a gust front and the gust front lasted for 6 h or less. There were 4 category 2 MCSs. The MCS of Case 12 was not categorized because the precipitation characteristics were similar to a squall line, rather than an MCS. All of the category 1 MCSs produced arc cloud complexes (ACCs), while only one of the category 2 MCSs produced an ACC. To determine if there were any differences in the characteristics between the MCSs of the two categories, composite analyses were accomplished. The analyses showed that there were significant differences in the characteristics of category 1 and 2 MCSs. Category 1 MCSs, on average, had higher thunderstorm heights, greater precipitation intensities, colder cloud top temperatures and produced larger magnitudes of surface divergence than category 2 MCSs.

Mode Conversion of a Solar Extreme-ultraviolet Wave over a Coronal Cavity

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

Zong, Weiguo; Dai, Yu, E-mail: ydai@nju.edu.cn

2017-01-10

We report on observations of an extreme-ultraviolet (EUV) wave event in the Sun on 2011 January 13 by Solar Terrestrial Relations Observatory and Solar Dynamics Observatory in quadrature. Both the trailing edge and the leading edge of the EUV wave front in the north direction are reliably traced, revealing generally compatible propagation velocities in both perspectives and a velocity ratio of about 1/3. When the wave front encounters a coronal cavity near the northern polar coronal hole, the trailing edge of the front stops while its leading edge just shows a small gap and extends over the cavity, meanwhile gettingmore » significantly decelerated but intensified. We propose that the trailing edge and the leading edge of the northward propagating wave front correspond to a non-wave coronal mass ejection component and a fast-mode magnetohydrodynamic wave component, respectively. The interaction of the fast-mode wave and the coronal cavity may involve a mode conversion process, through which part of the fast-mode wave is converted to a slow-mode wave that is trapped along the magnetic field lines. This scenario can reasonably account for the unusual behavior of the wave front over the coronal cavity.« less

An empowerment framework for nursing leadership development: supporting evidence.

PubMed

Macphee, Maura; Skelton-Green, Judith; Bouthillette, France; Suryaprakash, Nitya

2012-01-01

This article is a report on a descriptive study of nurse leaders' perspectives of the outcomes of a formal leadership programme. Effective nurse leaders are necessary to address complex issues associated with healthcare systems reforms. Little is known about the types of leadership development programmes that most effectively prepare nurse leaders for healthcare challenges. When nurse leaders use structural and psychological empowerment strategies, the results are safer work environments and better nurse outcomes. The leadership development programme associated with this study is based on a unifying theoretical empowerment framework to empower nurse leaders and enable them to empower others. Twenty seven front-line and mid-level nurse leaders with variable years of experience were interviewed for 1 year after participating in a formal leadership development programme. Data were gathered in 2008-2009 from four programme cohorts. Four researchers independently developed code categories and themes using qualitative content analysis. Evidence of leadership development programme empowerment included nurse leader reports of increased self-confidence with respect to carrying out their roles and responsibilities; positive changes in their leadership styles; and perceptions of staff recognition of positive stylistic changes. Regardless of years of experience, mid-level leaders had a broader appreciation of practice environment issues than front-line leaders. Time for reflection was valuable to all participants, and front-line leaders, in particular, appreciated the time to discuss nurse-specific issues with their colleagues. This study provides evidence that a theoretical empowerment framework and strategies can empower nurse leaders, potentially resulting in staff empowerment. © 2011 The Authors. Journal of Advanced Nursing © 2011 Blackwell Publishing Ltd.

Deriving the Properties of Coronal Pressure Fronts in 3D: Application to the 2012 May 17 Ground Level Enhancement

NASA Astrophysics Data System (ADS)

Rouillard, A. P.; Plotnikov, I.; Pinto, R. F.; Tirole, M.; Lavarra, M.; Zucca, P.; Vainio, R.; Tylka, A. J.; Vourlidas, A.; De Rosa, M. L.; Linker, J.; Warmuth, A.; Mann, G.; Cohen, C. M. S.; Mewaldt, R. A.

2016-12-01

We study the link between an expanding coronal shock and the energetic particles measured near Earth during the ground level enhancement of 2012 May 17. We developed a new technique based on multipoint imaging to triangulate the three-dimensional (3D) expansion of the shock forming in the corona. It uses images from three vantage points by mapping the outermost extent of the coronal region perturbed by the pressure front. We derive for the first time the 3D velocity vector and the distribution of Mach numbers, M FM, of the entire front as a function of time. Our approach uses magnetic field reconstructions of the coronal field, full magnetohydrodynamic simulations and imaging inversion techniques. We find that the highest M FM values appear near the coronal neutral line within a few minutes of the coronal mass ejection onset; this neutral line is usually associated with the source of the heliospheric current and plasma sheet. We illustrate the variability of the shock speed, shock geometry, and Mach number along different modeled magnetic field lines. Despite the level of uncertainty in deriving the shock Mach numbers, all employed reconstruction techniques show that the release time of GeV particles occurs when the coronal shock becomes super-critical (M FM > 3). Combining in situ measurements with heliospheric imagery, we also demonstrate that magnetic connectivity between the accelerator (the coronal shock of 2012 May 17) and the near-Earth environment is established via a magnetic cloud that erupted from the same active region roughly five days earlier.

Continued EGFR-TKI with concurrent radiotherapy to improve time to progression (TTP) in patients with locally progressive non-small cell lung cancer (NSCLC) after front-line EGFR-TKI treatment.

PubMed

Wang, Y; Li, Y; Xia, L; Niu, K; Chen, X; Lu, D; Kong, R; Chen, Z; Sun, J

2018-03-01

Epidermal growth factor receptor-tyrosine kinase inhibitor (EGFR-TKI) is the optimal treatment for EGFR-mutant advanced non-small cell lung cancer (NSCLC). However, most patients developed systemic or local progression due to acquired EGFR-TKI resistance. This retrospective study aimed to evaluate the feasibility of continued EGFR-TKI with concurrent radiotherapy (CTCRT) in patients with local progression after front-line EGFR-TKI treatment. Advanced NSCLC patients with active EGFR mutation who received EGFR-TKI were treated with CTCRT after local progression. Medical data were analyzed for time to progression (TTP), progression-free survival (PFS), tumor response rate, overall survival (OS) and adverse events. A total of 50 irradiated lesions from 44 patients were included. Median TTP and PFS of measurable lesions (n = 31) were both significantly prolonged after local radiotherapy (TTP1 + TTP2 vs. TTP1: 21.7 vs. 16.0 months, P = 0.010; PFS1 + PFS2 vs. PFS1: 21.3 vs. 16.0 months, P = 0.027). For all lesions (n = 50), objective response rate (ORR) and local tumor control rate (LCR) were 54.0 and 84.0%, respectively. Median OS was 26.6 months. There were no serious adverse events before or after radiotherapy. The treatment modality of CTCRT is considerable and effective for EGFR-mutant NSCLC patients even with local failure from front-line EGFR-TKI treatment.

Shearlet-based edge detection: flame fronts and tidal flats

NASA Astrophysics Data System (ADS)

King, Emily J.; Reisenhofer, Rafael; Kiefer, Johannes; Lim, Wang-Q.; Li, Zhen; Heygster, Georg

2015-09-01

Shearlets are wavelet-like systems which are better suited for handling geometric features in multi-dimensional data than traditional wavelets. A novel method for edge and line detection which is in the spirit of phase congruency but is based on a complex shearlet transform will be presented. This approach to detection yields an approximate tangent direction of detected discontinuities as a byproduct of the computation, which then yields local curvature estimates. Two applications of the edge detection method will be discussed. First, the tracking and classification of flame fronts is a critical component of research in technical thermodynamics. Quite often, the flame fronts are transient or weak and the images are noisy. The standard methods used in the field for the detection of flame fronts do not handle such data well. Fortunately, using the shearlet-based edge measure yields good results as well as an accurate approximation of local curvature. Furthermore, a modification of the method will yield line detection, which is important for certain imaging modalities. Second, the Wadden tidal flats are a biodiverse region along the North Sea coast. One approach to surveying the delicate region and tracking the topographical changes is to use pre-existing Synthetic Aperture Radar (SAR) images. Unfortunately, SAR data suffers from multiplicative noise as well as sensitivity to environmental factors. The first large-scale mapping project of that type showed good results but only with a tremendous amount of manual interaction because there are many edges in the data which are not boundaries of the tidal flats but are edges of features like fields or islands. Preliminary results will be presented.

75 FR 3487 - Notice of Public Meeting: Recreation Subcommittee of the Sierra Front-Northwestern Great Basin...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-01-21

... Area (NCA) Scenic Loop managed by the Bureau of Land Management. Date and Time: The Recreation... DEPARTMENT OF THE INTERIOR Bureau of Land Management DEPARTMENT OF AGRICULTURE Forest Service..., and Mojave- Southern Great Basin Resource Advisory Councils, Nevada AGENCY: Bureau of Land Management...

Predictive modeling of freezing and thawing of frost-susceptible soils.

DOT National Transportation Integrated Search

2015-09-01

Frost depth is an essential factor in design of various transportation infrastructures. In frost : susceptible soils, as soils freezes, water migrates through the soil voids below the freezing line : towards the freezing front and causes excessive he...

On the Front Lines: Presidents Build Institutional Image.

ERIC Educational Resources Information Center

Justiz, Manuel J.; And Others

1986-01-01

The principles used by college presidents in enhancing their institutions' images are outlined and illustrated in profiles of the presidents' roles at the University of South Carolina, Trinity University, Tuskegee University, and the Community College of Philadelphia. (MSE)

76 FR 72821 - 50th Anniversary of the United States Agency for International Development

Federal Register 2010, 2011, 2012, 2013, 2014

2011-11-28

... front lines of poverty and conflict to support communities and countries as they build a better future... has opened new frontiers in the global fight against hunger, poverty, and disease. As USAID continues...

Colorado Front Range fuel photo series

Treesearch

Michael A. Battaglia; Jonathan M. Dodson; Wayne D. Shepperd; Mark J. Platten; Owen M. Tallmadge

2005-01-01

This photo series was developed to help fire managers estimate ground and surface fuel loads that exist in cover types of the Southern Colorado Front Range wildland-urban interface. Photos and associated data representing low, medium, and high fuel loadings from this study are presented by forest type, along with examples of typical or median fuel loadings that were...

Dipolarization Fronts from Reconnection Onset

NASA Astrophysics Data System (ADS)

Sitnov, M. I.; Swisdak, M. M.; Merkin, V. G.; Buzulukova, N.; Moore, T. E.

2012-12-01

Dipolarization fronts observed in the magnetotail are often viewed as signatures of bursty magnetic reconnection. However, until recently spontaneous reconnection was considered to be fully prohibited in the magnetotail geometry because of the linear stability of the ion tearing mode. Recent theoretical studies showed that spontaneous reconnection could be possible in the magnetotail geometries with the accumulation of magnetic flux at the tailward end of the thin current sheet, a distinctive feature of the magnetotail prior to substorm onset. That result was confirmed by open-boundary full-particle simulations of 2D current sheet equilibria, where two magnetotails were separated by an equilibrium X-line and weak external electric field was imposed to nudge the system toward the instability threshold. To investigate the roles of the equilibrium X-line, driving electric field and other parameters in the reconnection onset process we performed a set of 2D PIC runs with different initial settings. The investigated parameter space includes the critical current sheet thickness, flux tube volume per unit magnetic flux and the north-south component of the magnetic field. Such an investigation is critically important for the implementation of kinetic reconnection onset criteria into global MHD codes. The results are compared with Geotail visualization of the magnetotail during substorms, as well as Cluster and THEMIS observations of dipolarization fronts.

Contact lines are unstable even under non-splashing droplets

NASA Astrophysics Data System (ADS)

Pack, Min; Kaneelil, Paul; Sun, Ying

2017-11-01

Drop impact is fundamental to natural and industrial processes such as rain-induced soil erosion and spray coating technologies. In this study, we elucidate the interfacial instabilities formed by air entrainment at the wetting front of impacting droplets on atomically smooth, viscous silicone oil films of constant thickness with varying droplet velocity, viscosity, surface tension, and ambient pressures. A high-speed total internal reflection microscopy technique accounting for the Fresnel relations at the droplet interface allowed for in-situ measurements of an entrained air rim at the wetting front. The growth of the air rim is a prerequisite to the instability which is formed when the gas pressure balances the capillary pressure near the wetting front. A critical capillary number, which inversely scales as the ambient pressure, is predicted and the result agrees well with the experiments. The wavenumber in the instability is shown to increase with viscosity and velocity but decrease with surface tension of the impacting drop. We thus conclude that the instability mechanism is in qualitative agreement with the Saffman-Taylor instability - where the low viscosity air is displacing the higher viscosity droplet. The low We contact line instabilities observed in this study provide a paradigm shift in the conventional understanding of hydrodynamic instabilities under drop impact which usually require We >>10.

Development of a data management front-end for use with a LANDSAT-based information system

NASA Technical Reports Server (NTRS)

Turner, B. J.

1982-01-01

The development and implementation of a data management front-end system for use with a LANDSAT based information system that facilitates the processsing of both LANDSAT and ancillary data was examined. The final tasks, reported on here, involved; (1) the implementation of the VICAR image processing software system at Penn State and the development of a user-friendly front-end for this system; (2) the implementation of JPL-developed software based on VICAR, for mosaicking LANDSAT scenes; (3) the creation and storage of a mosiac of 1981 summer LANDSAT data for the entire state of Pennsylvania; (4) demonstrations of the defoliation assessment procedure for Perry and Centre Counties, and presentation of the results at the 1982 National Gypsy Moth Review Meeting, and (5) the training of Pennsylvania Bureau of Forestry personnel in the use of the defoliation analysis system.

PyXNAT: XNAT in Python.

PubMed

Schwartz, Yannick; Barbot, Alexis; Thyreau, Benjamin; Frouin, Vincent; Varoquaux, Gaël; Siram, Aditya; Marcus, Daniel S; Poline, Jean-Baptiste

2012-01-01

As neuroimaging databases grow in size and complexity, the time researchers spend investigating and managing the data increases to the expense of data analysis. As a result, investigators rely more and more heavily on scripting using high-level languages to automate data management and processing tasks. For this, a structured and programmatic access to the data store is necessary. Web services are a first step toward this goal. They however lack in functionality and ease of use because they provide only low-level interfaces to databases. We introduce here PyXNAT, a Python module that interacts with The Extensible Neuroimaging Archive Toolkit (XNAT) through native Python calls across multiple operating systems. The choice of Python enables PyXNAT to expose the XNAT Web Services and unify their features with a higher level and more expressive language. PyXNAT provides XNAT users direct access to all the scientific packages in Python. Finally PyXNAT aims to be efficient and easy to use, both as a back-end library to build XNAT clients and as an alternative front-end from the command line.

Using Twitter and other social media platforms to provide situational awareness during an incident.

PubMed

Tobias, Ed

2011-10-01

The recent use of social media by protesters in Iran, Egypt, Yemen and elsewhere has focused new attention on this communications medium. Government agencies and businesses, as well, are using social media to push information to their stakeholders. Those who are on the front lines of this information revolution, however, realise that social media is most effective when the communication is two-way. Unlike other media, social media allows information sharing. This, in turn, provides emergency managers with new situational-awareness resources when trying to mitigate an incident. As Federal Emergency Management Agency (FEMA) Administrator Craig Fugate told Information Week on January 19th, 2011: 'We can adjust much quicker if we can figure out how to have (a) two-way conversation and if we can look at the public as a resource. The public is putting out better situational awareness than many of our own agencies can.' This paper provides examples of how social media can be used as a situational-awareness resource and specific 'tools' that can be used to assist with this task.

PyXNAT: XNAT in Python

PubMed Central

Schwartz, Yannick; Barbot, Alexis; Thyreau, Benjamin; Frouin, Vincent; Varoquaux, Gaël; Siram, Aditya; Marcus, Daniel S.; Poline, Jean-Baptiste

2012-01-01

As neuroimaging databases grow in size and complexity, the time researchers spend investigating and managing the data increases to the expense of data analysis. As a result, investigators rely more and more heavily on scripting using high-level languages to automate data management and processing tasks. For this, a structured and programmatic access to the data store is necessary. Web services are a first step toward this goal. They however lack in functionality and ease of use because they provide only low-level interfaces to databases. We introduce here PyXNAT, a Python module that interacts with The Extensible Neuroimaging Archive Toolkit (XNAT) through native Python calls across multiple operating systems. The choice of Python enables PyXNAT to expose the XNAT Web Services and unify their features with a higher level and more expressive language. PyXNAT provides XNAT users direct access to all the scientific packages in Python. Finally PyXNAT aims to be efficient and easy to use, both as a back-end library to build XNAT clients and as an alternative front-end from the command line. PMID:22654752

Charge nurses as front-line leaders: development through transformative learning.

PubMed

Thomas, Patricia L

2012-02-01

Based on the results of a staff satisfaction survey, nurse leaders recognized that the role of charge nurse was a significant source of dissatisfaction. Little attention had been paid to how the charge nurse role was learned, and no organizational support was offered to develop nurses for this role. Collaborating with a nurse educator consultant, nurse managers developed and implemented a three-part educational program to reframe staff perceptions of the charge nurse role. Centered on principles of transformational learning, the program evaluation demonstrated that concerted efforts to improve staff satisfaction and effectiveness could be accomplished if staff were given new information and guided through focused discussion and reflection. Eighty-two percent of the attendees noted that they appreciated the time allocated for the sessions and acknowledged that this gave them an opportunity to examine their thoughts and feelings. Seventy-five percent said that they learned new words to describe and explain their experiences. After the sessions, staff described a new sense of professional pride and nurse managers observed greater confidence in nurses' decision making and assertive communication. Copyright 2012, SLACK Incorporated.

Restriction to gene flow is associated with changes in the molecular basis of pyrethroid resistance in the malaria vector Anopheles funestus

PubMed Central

Barnes, Kayla G.; Irving, Helen; Chiumia, Martin; Mzilahowa, Themba; Coleman, Michael; Hemingway, Janet; Wondji, Charles S.

2017-01-01

Resistance to pyrethroids, the sole insecticide class recommended for treating bed nets, threatens the control of major malaria vectors, including Anopheles funestus. Effective management of resistance requires an understanding of the dynamics and mechanisms driving resistance. Here, using genome-wide transcription and genetic diversity analyses, we show that a shift in the molecular basis of pyrethroid resistance in southern African populations of this species is associated with a restricted gene flow. Across the most highly endemic and densely populated regions in Malawi, An. funestus is resistant to pyrethroids, carbamates, and organochlorides. Genome-wide microarray-based transcription analysis identified overexpression of cytochrome P450 genes as the main mechanism driving this resistance. The most up-regulated genes include cytochrome P450s (CYP) CYP6P9a, CYP6P9b and CYP6M7. However, a significant shift in the overexpression profile of these genes was detected across a south/north transect, with CYP6P9a and CYP6P9b more highly overexpressed in the southern resistance front and CYP6M7 predominant in the northern front. A genome-wide genetic structure analysis of southern African populations of An. funestus from Zambia, Malawi, and Mozambique revealed a restriction of gene flow between populations, in line with the geographical variation observed in the transcriptomic analysis. Genetic polymorphism analysis of the three key resistance genes, CYP6P9a, CYP6P9b, and CYP6M7, support barriers to gene flow that are shaping the underlying molecular basis of pyrethroid resistance across southern Africa. This barrier to gene flow is likely to impact the design and implementation of resistance management strategies in the region. PMID:28003461

Characterizing Ion Flows Across a Dipolarization Front

NASA Astrophysics Data System (ADS)

Arnold, H.; Drake, J. F.; Swisdak, M.

2017-12-01

In light of the Magnetospheric Multiscale Mission (MMS) moving to study predominately symmetric magnetic reconnection in the Earth's magnetotail, it is of interest to investigate various methods for determining the relative location of the satellites with respect to the x line or a dipolarization front. We use a 2.5 dimensional PIC simulation to explore the dependence of various characteristics of a front, or flux bundle, on the width of the front in the dawn-dusk direction. In particular, we characterize the ion flow in the x-GSM direction across the front. We find a linear relationship between the width of a front, w, and the maximum velocity of the ion flow in the x-GSM direction, Vxi, for small widths: Vxi/VA=w/di*1/2*(mVA2)/Ti*Bz/Bxwhere m, VA, di, Ti, Bz, and Bx are the ion mass, upstream Alfven speed, ion inertial length, ion temperature, and magnetic fields in the z-GSM and x-GSM directions respectively. However, once the width reaches around 5 di, the relationship gradually approaches the well-known theoretical limit for ion flows, the upstream Alfven speed. Furthermore, we note that there is a reversal in the Hall magnetic field near the current sheet on the positive y-GSM side of the front. This reversal is most likely due to conservation of momentum in the y-GSM direction as the ions accelerate towards the x-GSM direction. This indicates that while the ions are primarily energized in the x-GSM direction by the front, they transfer energy to the electromagnetic fields in the y-GSM direction. The former energy transfer is greater than the latter, but the reversal of the Hall magnetic field drags the frozen-in electrons along with it outside of the front. These simulations should better able researchers to determine the relative location of a satellite crossing a dipolarization front.

Observations and Simulations of Electron Dynamics Near an Active Neutral Line

NASA Technical Reports Server (NTRS)

Goldstein, M. L.; Hwang, Kyoung-Joo; Ashour-Abdalla, Maha; El-Aloui, Mostafa; Schriver, David; Richard, Robert; Zhou, Meng; Walker, Ray

2010-01-01

Recent observations in the Earth's magnetotail have shown rapid increases in the fluxes of energetic electrons with energies up to 100's of keV associated with dipolarization fronts that propagate into the inner magnetosphere. On August 15, 2001 the four Cluster spacecraft located slightly dawnward of midnight (yGSM approx. -5.4RE) at xGSM approx. -18RE observed a series of earthward propagating dipolarization fronts [Hwang et al., 2010]. At least 6 dipolarization fronts were observed in a 20m interval. Unlike previously reported cases the fluxes of electrons up to 95keV decreased during the passage of the first three fronts over the spacecraft. The energetic electron fluxes increased during the passage of the last three fronts. We have performed a global magnetohydrodynamic simulation of this event using solar wind observations from the ACE satellite to drive the simulation. In the simulation a very complex reconnection system in the near-Earth tail at XGSM approx. -20RE launched a series of earthward propagating dipolarization fronts that are similar to those observed on Cluster. The simulation results indicate that the Cluster spacecraft were just earthward of the reconnection site. In this paper we will present a study of the dynamics of electrons associated with these events by using the large-scale kinetic simulation approach in which we launch a large number of electrons into the electric and magnetic fields from this simulation.

Relation of sound intensity and accuracy of localization.

PubMed

Farrimond, T

1989-08-01

Tests were carried out on 17 subjects to determine the accuracy of monaural sound localization when the head is not free to turn toward the sound source. Maximum accuracy of localization for a constant-volume sound source coincided with the position for maximum perceived intensity of the sound in the front quadrant. There was a tendency for sounds to be perceived more often as coming from a position directly toward the ear. That is, for sounds in the front quadrant, errors of localization tended to be predominantly clockwise (i.e., biased toward a line directly facing the ear). Errors for sounds occurring in the rear quadrant tended to be anticlockwise. The pinna's differential effect on sound intensity between front and rear quadrants would assist in identifying the direction of movement of objects, for example an insect, passing the ear.

The influence of coastal fronts on the movement and dispersion of oil slicks. [Delaware Bay

NASA Technical Reports Server (NTRS)

Klemas, V. (Principal Investigator); Davis, G.; Kupferman, S.

1976-01-01

The author has identified the following significant results. LANDSAT, aircraft, and boats were used successfully to study estuarine and coastal fronts or boundaries. Horizontal salinity gradients of 4% in one meter and convergence velocities of the order of 0.1 m/sec were observed. Visibility improved from one meter to two meters as certain boundaries were crossed. Fronts near the mouth of the bay are associated with the tidal exchange with shelf water. By capturing and holding oil slicks, these frontal systems also significantly influence the movement and dispersion of oil slicks in Delaware Bay. Recent oil slick tracking experiments conducted to verify a predictive oil dispersion and movement model have shown that during certain parts of the tidal cycle the oil slicks tend to line up along boundaries.

Investigation of accelerating ion triode with magnetic insulation for neutron generation

NASA Astrophysics Data System (ADS)

Shikanov, A. E.; Kozlovskij, K. I.; Vovchenko, E. D.; Rashchikov, V. I.; Shatokhin, V. L.; Isaev, A. A.

2017-12-01

Vacuum accelerating tube (AT) for neutron generation with the secondary electron emission suppressed by helical line pulse magnetic field which allocated inside accelerating gap in front of hollow conical cathodeis discussed. The central anode was covered by the hollow cathode. This technical solution of AT is an ion triode in which helical line serve as a grid. Computer simulation results of longitudinal magnetic field distributional along the axis are presented.

Education Matters, December 2009

ERIC Educational Resources Information Center

Beckner, Gary, Ed.

2009-01-01

"Education Matters" is the monthly newsletter of the Association of American Educators (AAE), an organization dedicated to advancing the American teaching profession through personal growth, professional development, teacher advocacy and protection. This issue of the newsletter includes: (1) Notes from the Front Lines: Study Reveals…

Polarimetric Thermal Imaging

DTIC Science & Technology

2007-03-01

front of a large area blackbody as background. The viewing angle , defined as the angle between surface normal and camera line of sight, was varied by...and polarization angle were derived from the Stokes parameters. The dependence of these polarization characteristics on viewing angle was investigated

Design, manufacturing and measurement of a PV miniconcentrator for front point-contact silicon solar cells

NASA Astrophysics Data System (ADS)

Pérez, D.; Miñano, J. C.; Benítez, P.; Muñoz, F.; Mohedano, R.

2005-08-01

A novel photovoltaic concentrator has been developed in the framework of the European project "High efficiency silicon solar cells concentrator". In this project, front-contacted silicon solar cell have also been designed and manufactured by the project leader (the French LETI). This silicon cell concept is potentially capable to perform well (24% efficiency has been predicted) for much higher concentration levels than the back-contacted cells (and, of course, than the two-side contacted cells). The concentrator is formed by one lens of squared contour with flat entry surface and large-facet Fresnel exit surface, and a secondary that encapsulates the solar cell. On the contrary to the conventional Fresnel lens plus nonimaging secondary concentrators, the primary and secondary are designed simultaneously, leading to better concentration-acceptance angle product without compromise with the compactness. The grid lines in the front-contacted cells are aluminium prisms (which contact the p+ and n+ emitters, alternatively), acting as a linear cone concentrator that concentrates Cg =1.52× in the cross sectional dimension of the prisms. The secondary concentrator has a refractive rotational symmetric top surface that is crossed with two linear flow-line TIR mirror. Then, in the cross section normal to the aluminium prisms, the secondary provides a 2D concentration of Cg =12×, while in the cross section parallel to the prisms it provides a 2D concentration of Cg =24.16× as the grid lines in this dimension. Therefore, the cell is rectangular (1:2.08 aspect ratio), being the grid lines parallel to the shorter rectangle side. The total 3D geometrical concentration is 24.16×(12×1.52) = 455× for the square aperture and rectangular cell, and gets a design acceptance angle α=+/-1.8 degrees. Injection moulded prototypes are have been manufactured and measured, proving an optical efficiency of 79%. Computer modelling of the concentrator performance will also be presented.

Doppler-radar observation of the evolution of downdrafts in convective clouds

NASA Technical Reports Server (NTRS)

Motallebi, N.

1982-01-01

A detailed analysis of the 20 July 1977 thunderstorm complex which formed and evolve over the South Park region in Central Colorado is presented. The storm was extensively analyzed using multiple Doppler radar and surface mesonet data, developed within an environment having very weak wind shear. The storm owed its intensification to the strength of the downdraft, which was nearly coincident with the region where the cloud had grown. The noteworthy features of this storm were its motion to the right of the cloud-level winds, its multicellular nature and discrete propagation, its north-south orientation, and its relatively large storm size and high reflectivity factor (55 dBZ). This scenario accounts for the observed mesoscale and cloud-scale event. A line of convergence was generated at the interface between the easterly upslope winds and westerly winds. During stage II, the convergence line subsequently propagated down the slopes of the Mosquito Range, and was the main forcing mechanism for the development of updraft on the west flank of the storm. The formation of downdraft on the eastern side of updraft blacked surface inflow, and created a detectable gust front. As the original downdraft intensified, the accumulation of evaporatively-chilled air caused the intensification of the mesohigh, which likely destroyed the earlier convergence line and created a stronger convergence line to the east, which forced up-lifting of the moist, westerly inflow and caused the formation of updraft to the east. An organized downdraft circulation, apparently maintained by precipitation drag and evaporational cooling, was responsible in sustaining a well-defined gust front. The storm attained its highest intensity as a consequence of merging with a neighboring cloud. The interaction of downdrafts or gust fronts from two intense cells appeared to be the primary mechanism of this merging process as suggested by Simpson et al. (1980). The merging process coincided with more rain than occurred in unmerged echoes.

Reactive composite compositions and mat barriers

DOEpatents

Langton, Christine A.; Narasimhan, Rajendran; Karraker, David G.

2001-01-01

A hazardous material storage area has a reactive multi-layer composite mat which lines an opening into which a reactive backfill and hazardous material are placed. A water-inhibiting cap may cover the hazardous material storage area. The reactive multi-layer composite mat has a backing onto which is placed an active layer which will neutralize or stabilize hazardous waste and a fronting layer so that the active layer is between the fronting and backing layers. The reactive backfill has a reactive agent which can stabilize or neutralize hazardous material and inhibit the movement of the hazardous material through the hazardous material storage area.

Fine-grained linings of leveed channels facilitate runout of granular flows

USGS Publications Warehouse

Kokelaar, B.P.; Graham, R. L.; Gray, J.M.N.T.; Vallance, James W.

2014-01-01

Catastrophic dense granular flows, such as occur in rock avalanches, debris flows and pyroclastic flows, move as fully shearing mixtures that have approximately 60 vol.% solids and tend to segregate to form coarse-grained fronts and leveed channels. Levees restrict spreading of unconfined flows and form as coarse particles that become concentrated in the top of the flow are transported to the front and then advect to the sides in the flow head. Channels from which most material has drained away down slope are commonly lined with fine-grained deposit, widely thought to remain from the tail of the waning flow. We show how segregation in experimental dense flows of carborundum or sand (300–425 μm) mixed with spherical fine ballotini (150–250 μm), on rough slopes of 27–29°, produces fine-grained channel linings that are deposited with the levees, into which they grade laterally. Maximum runout distance is attained with mixtures containing 30–40% sand, just sufficient to segregate and form levees that are adequately robust to restrict the spreading attributable to the low-friction fines. Resin impregnation and serial sectioning of deliberately arrested experimental flows shows how fines-lined levees form from the flow head; the flows create their own stable ‘conduit’ entirely from the front, which in a geophysical context can play an important mechanistic role in facilitating runout. The flow self-organization ensures that low-friction fines at the base of the segregated channel flow shear over fine-grained substrate in the channel, thus reducing frictional energy losses. We propose that in pyroclastic flows and debris flows, which have considerable mobility attributable to pore-fluid pressures, such fine-grained flow-contact zones form similarly and not only reduce frictional energy losses but also reduce flow–substrate permeability so as to enhance pore-fluid pressure retention. Thus the granular flow self-organization that produces fine-grained channel linings can be an important factor in facilitating long runout of catastrophic geophysical flows on the low slopes (few degrees) of depositional fans and aprons around mountains and volcanoes.

Fine-grained linings of leveed channels facilitate runout of granular flows

NASA Astrophysics Data System (ADS)

Kokelaar, B. P.; Graham, R. L.; Gray, J. M. N. T.; Vallance, J. W.

2014-01-01

Catastrophic dense granular flows, such as occur in rock avalanches, debris flows and pyroclastic flows, move as fully shearing mixtures that have approximately 60 vol.% solids and tend to segregate to form coarse-grained fronts and leveed channels. Levees restrict spreading of unconfined flows and form as coarse particles that become concentrated in the top of the flow are transported to the front and then advect to the sides in the flow head. Channels from which most material has drained away down slope are commonly lined with fine-grained deposit, widely thought to remain from the tail of the waning flow. We show how segregation in experimental dense flows of carborundum or sand (300-425 μm) mixed with spherical fine ballotini (150-250 μm), on rough slopes of 27-29°, produces fine-grained channel linings that are deposited with the levees, into which they grade laterally. Maximum runout distance is attained with mixtures containing 30-40% sand, just sufficient to segregate and form levees that are adequately robust to restrict the spreading attributable to the low-friction fines. Resin impregnation and serial sectioning of deliberately arrested experimental flows shows how fines-lined levees form from the flow head; the flows create their own stable ‘conduit’ entirely from the front, which in a geophysical context can play an important mechanistic role in facilitating runout. The flow self-organization ensures that low-friction fines at the base of the segregated channel flow shear over fine-grained substrate in the channel, thus reducing frictional energy losses. We propose that in pyroclastic flows and debris flows, which have considerable mobility attributable to pore-fluid pressures, such fine-grained flow-contact zones form similarly and not only reduce frictional energy losses but also reduce flow-substrate permeability so as to enhance pore-fluid pressure retention. Thus the granular flow self-organization that produces fine-grained channel linings can be an important factor in facilitating long runout of catastrophic geophysical flows on the low slopes (few degrees) of depositional fans and aprons around mountains and volcanoes.

Gas propagation in a liquid helium cooled vacuum tube following a sudden vacuum loss

NASA Astrophysics Data System (ADS)

Dhuley, Ram C.

This dissertation describes the propagation of near atmospheric nitrogen gas that rushes into a liquid helium cooled vacuum tube after the tube suddenly loses vacuum. The loss-of-vacuum scenario resembles accidental venting of atmospheric air to the beam-line of a superconducting radio frequency particle accelerator and is investigated to understand how in the presence of condensation, the in-flowing air will propagate in such geometry. In a series of controlled experiments, room temperature nitrogen gas (a substitute for air) at a variety of mass flow rates was vented to a high vacuum tube immersed in a bath of liquid helium. Pressure probes and thermometers installed on the tube along its length measured respectively the tube pressure and tube wall temperature rise due to gas flooding and condensation. At high mass in-flow rates a gas front propagated down the vacuum tube but with a continuously decreasing speed. Regression analysis of the measured front arrival times indicates that the speed decreases nearly exponentially with the travel length. At low enough mass in-flow rates, no front propagated in the vacuum tube. Instead, the in-flowing gas steadily condensed over a short section of the tube near its entrance and the front appeared to `freeze-out'. An analytical expression is derived for gas front propagation speed in a vacuum tube in the presence of condensation. The analytical model qualitatively explains the front deceleration and flow freeze-out. The model is then simplified and supplemented with condensation heat/mass transfer data to again find the front to decelerate exponentially while going away from the tube entrance. Within the experimental and procedural uncertainty, the exponential decay length-scales obtained from the front arrival time regression and from the simplified model agree.

On the Importance of "Front-Side Mechanics" in Athletics Sprinting.

PubMed

Haugen, Thomas; Danielsen, Jørgen; Alnes, Leif Olav; McGhie, David; Sandbakk, Øyvind; Ettema, Gertjan

2018-05-16

Practitioners have, for many years, argued that athletic sprinters should optimize front-side mechanics (leg motions occurring in front of the extended line through the torso) and minimize back-side mechanics. This study aimed to investigate if variables related to front- and back-side mechanics can be distinguished from other previously highlighted kinematic variables (spatiotemporal variables and variables related to segment configuration and velocities at touchdown) in how they statistically predict performance. A total of 24 competitive sprinters (age: 23.1 [3.4] y, height: 1.81 [0.06] m, body mass: 75.7 [5.6] kg, and 100-m personal best: 10.86 [0.22] s) performed two 20-m starts from block and 2 to 3 flying sprints over 20 m. Kinematics were recorded in 3D using a motion tracking system with 21 cameras at a 250 Hz sampling rate. Several front- and back-side variables, including thigh (r = .64) and knee angle (r = .51) at lift-off and maximal thigh extension (r = .66), were largely correlated (P < .05) with accelerated running performance, and these variables displayed significantly higher correlations (P < .05) to accelerated running performance than nearly all the other analyzed variables. However, the relationship directions for most front- and back-side variables during accelerated running were opposite in comparison to how the theoretical concept has been described. Horizontal ankle velocity, contact time, and step rate displayed significantly higher correlation values to maximal velocity sprinting than the other variables (P < .05), and neither of the included front- and back-side variables were significantly associated with maximal velocity sprinting. Overall, the present findings did not support that front-side mechanics were crucial for sprint performance among the investigated sprinters.

Implementation of artificial intelligence rules in a data base management system

NASA Technical Reports Server (NTRS)

Feyock, S.

1986-01-01

The intelligent front end prototype was transformed into a RIM-integrated system. A RIM-based expert system was written which demonstrated the developed capability. The use of rules to produce extensibility of the intelligent front end, including the concept of demons and rule manipulation rules were investigated. Innovative approaches such as syntax programming were to be considered.

A Study of Direct Digital Manufactured RF/Microwave Packaging

NASA Astrophysics Data System (ADS)

Stratton, John W. I.

Various facets of direct digital manufactured (DDM) microwave packages are studied. The rippled surface inherent in fused deposition modeling (FDM) fabricated geometries is modeled in Ansoft HFSS, and its effect on the performance of microstrip transmission lines is assessed via simulation and measurement. The thermal response of DDM microstrip transmission lines is analyzed over a range of RF input powers, and linearity is confirmed over that range. Two IC packages are embedded into DDM printed circuit boards, and their performance is analyzed. The first is a low power RF switch, and the second is an RF front end device that includes a low noise amplifier (LNA) and a power amplifier (PA). The RF switch is shown to perform well, as compared to a layout designed for a Rogers 4003C microwave laminate substrate. The LNA performs within datasheet specifications. The power amplifier generates substantial heat, so a thermal management attempt is described. Finally, a capacitively loaded 6dB Wilkinson power divider is designed and fabricated using DDM techniques and materials. Its performance is analyzed and compared to simulation. The device is shown to compare favorably to a similar device fabricated on a Rogers 4003C microwave laminate using traditional printed circuit board techniques.

Training Paraprofessional Group Counseling Leaders in the Federal Prison System.

ERIC Educational Resources Information Center

Riggs, Ronald C.; Meyer, Robert L.

1981-01-01

Reports a program in which in-service training in rational-behavioral group counseling was delivered to "front-line" Bureau of Prisons staff by institution psychologists and consultants from the local community. Training focused on conducting time-limited, structured groups. (Author)

The Student Experience.

ERIC Educational Resources Information Center

Haselgrove, Susanne, Ed.

This collection of papers discusses the experience of students in the United Kingdom's new, mass higher education system. The papers are viewed as dispatches from the "front line" rather than conventional analyses by education researchers. The organization of the papers mirrors the stages of students' experience of higher…

Engineering a Biological Revolution.

PubMed

Matheson, Susan

2017-01-26

The new field of synthetic biology promises to change health care, computer technology, the production of biofuels, and more. Students participating in the International Genetically Engineered Machine (iGEM) competition are on the front lines of this revolution. Copyright © 2017 Elsevier Inc. All rights reserved.

Attic still life southsoutheast looking northnorthwest. Shows an early toilet, ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

Attic still life south-southeast looking north-northwest. Shows an early toilet, what is possibly the original front door, and a lead lined reservoir. Also shows the attic framing. - Samuel P. Grindle House, 13 School Street, Castine, Hancock County, ME

An experimental test of the 'transmission-line model' of electromagnetic radiation from triggered lightning return strokes

NASA Technical Reports Server (NTRS)

Willett, J. C.; Idone, V. P.; Orville, R. E.; Leteinturier, C.; Eybert-Berard, A.

1988-01-01

Peak currents, two-dimensional average propagation speeds, and electric field waveforms for a number of subsequent return strikes in rocket-triggered lightning flashes were measured in order to test the 'transmission-line model' of return-stroke radiation of Uman and McLain (1970). Reasonable agreement is found between the propagation speeds measured with the streak camera and those deduced from the transmission-line model. A modification of the model is proposed in which two wave fronts travel upward and downward away from a junction point a short distance above the ground.

An experimental test of the 'transmission-line model' of electromagnetic radiation from triggered lightning return strokes

NASA Astrophysics Data System (ADS)

Willett, J. C.; Idone, V. P.; Orville, R. E.; Leteinturier, C.; Eybert-Berard, A.

1988-04-01

Peak currents, two-dimensional average propagation speeds, and electric field waveforms for a number of subsequent return strikes in rocket-triggered lightning flashes were measured in order to test the 'transmission-line model' of return-stroke radiation of Uman and McLain (1970). Reasonable agreement is found between the propagation speeds measured with the streak camera and those deduced from the transmission-line model. A modification of the model is proposed in which two wave fronts travel upward and downward away from a junction point a short distance above the ground.

UPMC Prescription for Wellness: A Quality Improvement Case Study for Supporting Patient Engagement and Health Behavior Change.

PubMed

Maners, Rebecca J; Bakow, Eric; Parkinson, Michael D; Fischer, Gary S; Camp, Geoffrey R

Addressing patient health and care behaviors that underlie much of chronic disease continues to challenge providers, medical practices, health systems, and insurers. Improving health and care as described by the Quadruple Aim requires innovation at the front lines of clinical care: the doctor-patient interaction and office practice. This article describes the use of Lean Six Sigma in a quality improvement (QI) effort to design an effective and scalable method for physicians to prescribe health coaching for healthy behaviors in a primary care medical home within a large integrated delivery and financing system. Building on the national Agency for Healthcare Research and Quality and Robert Wood Johnson Foundation-funded Prescription for Health multisite demonstration, this QI case study provides important lessons for transforming patient-physician-practice support systems to better address lifestyle and care management challenges critical to producing better outcomes.

Genetic testing for hereditary cancer predisposition: BRCA1/2, Lynch syndrome, and beyond.

PubMed

Hall, M J; Obeid, E I; Schwartz, S C; Mantia-Smaldone, G; Forman, A D; Daly, M B

2016-03-01

Obstetrician/gynecologists and gynecologic oncologists serve an integral role in the care of women at increased hereditary risk of cancer. Their contribution includes initial identification of high risk patients, screening procedures like bimanual exam, trans-vaginal ultrasound and endometrial biopsy, prophylaxis via TAH and/or BSO, and chemoprevention. Further, gynecologists also serve a central role in the management of the secondary repercussions of efforts to mitigate increased cancer risks, including vasomotor symptoms, sexual function, bone health, cardiovascular disease, and mental health. The past several years has seen multiple new high and moderate penetrance genes introduced into the clinical care of women at increased risk of gynecologic malignancy. Awareness of these new genes and the availability of new multi-gene panel tests is critical for providers on the front-line of women's health. Copyright © 2016 Elsevier Inc. All rights reserved.

Exploring Stigma by Association among Front-Line Care Providers Serving Sex Workers

PubMed Central

Phillips, Rachel; Benoit, Cecilia

2013-01-01

Stigma by association, also referred to as “courtesy stigma,” involves public disapproval evoked as a consequence of associating with stigmatized persons. While a small number of sociological studies have shown how stigma by association limits the social support and social opportunities available to family members, there is a paucity of research examining this phenomenon among the large network of persons who provide health and social services to stigmatized groups. This paper presents results from a primarily qualitative study of the work-place experiences of a purposive sample of staff from an organization providing services to sex workers. The findings suggest that stigma by association has an impact on staff health because it shapes both the workplace environment as well as staff perceptions of others' support. At the same time, it is evident that some staff, owing to their more advantaged social location, are better able to manage courtesy stigma than others. PMID:24289946

Educate patients on billing policies to improve your bottom line.

PubMed

May, Jonathan

2006-01-01

In no other industry are the consumers of goods or services so unaware and uninvolved in the reimbursement for the goods or services received. The United States healthcare industry has created and allowed to perpetuate a "hands-off" compensation approach that has created a consumer mentality proving quite difficult to change. In this article, the author describes the origin of this outdated approach and suggests a restructured office and clear communication with patients as starting points to change this deep-rooted mind-set. He describes how an up-front approach to patients' financial responsibilities and proactive staff can help reduce miscommunication between provider, patient, and insurance carrier and improve your practice's cash flow. The author also suggests that the patient's financial burden will continue to increase and offers tips to maintain positive patient relationships, improve your accounts receivable management, and protect you financially.

"It's not my problem" (yet). With readmissions under the microscope, CIOs know chronic disease management is moving front and center.

PubMed

Lawrence, Daphne

2009-09-01

Chronic disease management is a system initiative, not just for primary care or ambulatory. The business case is currently poor for chronic disease management, but may soon change due to reform. Chronic disease management can help prevent costly readmissions. Care management plans are often a component of an EMR.

A Relation Between the Eikonal Equation Associated to a Potential Energy Surface and a Hyperbolic Wave Equation.

PubMed

Bofill, Josep Maria; Quapp, Wolfgang; Caballero, Marc

2012-12-11

The potential energy surface (PES) of a molecule can be decomposed into equipotential hypersurfaces. We show in this article that the hypersurfaces are the wave fronts of a certain hyperbolic partial differential equation, a wave equation. It is connected with the gradient lines, or the steepest descent, or the steepest ascent lines of the PES. The energy seen as a reaction coordinate plays the central role in this treatment.

Modular Multi-Sensor Display System Design Study. Volume 2. Detail Design and Application Analysis

DTIC Science & Technology

1974-08-01

control grid . 2. Horizontal AFC/Deflection Module - Generates horizontal sweep signals from input syncs to provide 525 to 1023 line television raster...separation, and gener- ate composite blanking for the CRT control grid . Signal Number of Lines Signal Type Characteristics Input Interface Composite...SEPERATOR DC RESTORA- TION l_i BLANKING VERT DRIVE ■♦ Bl" CRT " CATHODE * _fc> BRIGHTNESS ^ (FRONT PANEL) .CRT GRID ■♦• COMP SYNC Figure

DERIVING THE PROPERTIES OF CORONAL PRESSURE FRONTS IN 3D: APPLICATION TO THE 2012 MAY 17 GROUND LEVEL ENHANCEMENT

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

Rouillard, A. P.; Plotnikov, I.; Pinto, R. F.

2016-12-10

We study the link between an expanding coronal shock and the energetic particles measured near Earth during the ground level enhancement of 2012 May 17. We developed a new technique based on multipoint imaging to triangulate the three-dimensional (3D) expansion of the shock forming in the corona. It uses images from three vantage points by mapping the outermost extent of the coronal region perturbed by the pressure front. We derive for the first time the 3D velocity vector and the distribution of Mach numbers, M {sub FM}, of the entire front as a function of time. Our approach uses magneticmore » field reconstructions of the coronal field, full magnetohydrodynamic simulations and imaging inversion techniques. We find that the highest M {sub FM} values appear near the coronal neutral line within a few minutes of the coronal mass ejection onset; this neutral line is usually associated with the source of the heliospheric current and plasma sheet. We illustrate the variability of the shock speed, shock geometry, and Mach number along different modeled magnetic field lines. Despite the level of uncertainty in deriving the shock Mach numbers, all employed reconstruction techniques show that the release time of GeV particles occurs when the coronal shock becomes super-critical ( M {sub FM} > 3). Combining in situ measurements with heliospheric imagery, we also demonstrate that magnetic connectivity between the accelerator (the coronal shock of 2012 May 17) and the near-Earth environment is established via a magnetic cloud that erupted from the same active region roughly five days earlier.« less

Crack growth monitoring at CFRP bond lines

NASA Astrophysics Data System (ADS)

Rahammer, M.; Adebahr, W.; Sachse, R.; Gröninger, S.; Kreutzbruck, M.

2016-02-01

With the growing need for lightweight technologies in aerospace and automotive industries, fibre-reinforced plastics, especially carbon-fibre (CFRP), are used with a continuously increasing annual growth rate. A promising joining technique for composites is adhesive bonding. While rivet holes destroy the fibres and cause stress concentration, adhesive bond lines distribute the load evenly. Today bonding is only used in secondary structures due to a lack of knowledge with regard to long-term predictability. In all industries, numerical simulation plays a critical part in the development process of new materials and structures, while it plays a vital role when it comes to CFRP adhesive bondings conducing the predictability of life time and damage tolerance. The critical issue with adhesive bondings is crack growth. In a dynamic tensile stress testing machine we dynamically load bonded CFRP coupon specimen and measure the growth rate of an artificially started crack in order to feed the models with the results. We also investigate the effect of mechanical crack stopping features. For observation of the bond line, we apply two non-contact NDT techniques: Air-coupled ultrasound in slanted transmission mode and active lockin-thermography evaluated at load frequencies. Both methods give promising results for detecting the current crack front location. While the ultrasonic technique provides a slightly higher accuracy, thermography has the advantage of true online monitoring, because the measurements are made while the cyclic load is being applied. The NDT methods are compared to visual inspection of the crack front at the specimen flanks and show high congruence. Furthermore, the effect of crack stopping features within the specimen on the crack growth is investigated. The results show, that not all crack fronts are perfectly horizontal, but all of them eventually come to a halt in the crack stopping feature vicinity.

Multipurpose Hyperspectral Imaging System

NASA Technical Reports Server (NTRS)

Mao, Chengye; Smith, David; Lanoue, Mark A.; Poole, Gavin H.; Heitschmidt, Jerry; Martinez, Luis; Windham, William A.; Lawrence, Kurt C.; Park, Bosoon

2005-01-01

A hyperspectral imaging system of high spectral and spatial resolution that incorporates several innovative features has been developed to incorporate a focal plane scanner (U.S. Patent 6,166,373). This feature enables the system to be used for both airborne/spaceborne and laboratory hyperspectral imaging with or without relative movement of the imaging system, and it can be used to scan a target of any size as long as the target can be imaged at the focal plane; for example, automated inspection of food items and identification of single-celled organisms. The spectral resolution of this system is greater than that of prior terrestrial multispectral imaging systems. Moreover, unlike prior high-spectral resolution airborne and spaceborne hyperspectral imaging systems, this system does not rely on relative movement of the target and the imaging system to sweep an imaging line across a scene. This compact system (see figure) consists of a front objective mounted at a translation stage with a motorized actuator, and a line-slit imaging spectrograph mounted within a rotary assembly with a rear adaptor to a charged-coupled-device (CCD) camera. Push-broom scanning is carried out by the motorized actuator which can be controlled either manually by an operator or automatically by a computer to drive the line-slit across an image at a focal plane of the front objective. To reduce the cost, the system has been designed to integrate as many as possible off-the-shelf components including the CCD camera and spectrograph. The system has achieved high spectral and spatial resolutions by using a high-quality CCD camera, spectrograph, and front objective lens. Fixtures for attachment of the system to a microscope (U.S. Patent 6,495,818 B1) make it possible to acquire multispectral images of single cells and other microscopic objects.

Accuracy of Press Reports in Astronomy

NASA Astrophysics Data System (ADS)

Schaefer, B. E.; Hurley, K.; Nemiroff, R. J.; Branch, D.; Perlmutter, S.; Schaefer, M. W.; Consolmagno, G. J.; McSween, H.; Strom, R.

1999-12-01

Most Americans learn about modern science from press reports, while such articles have a bad reputation among scientists. We have performed a study of 403 news articles on three topics (gamma-ray astronomy, supernovae, and Mars) to quantitatively answer the questions 'How accurate are press reports of astronomy?' and 'What fraction of the basic science claims in the press are correct?' We have taken all articles on the topics from five news sources (UPI, NYT, S&T, SN, and 5 newspapers) for one decade (1987-1996). All articles were evaluated for a variety of errors, ranging from the fundamental to the trivial. For 'trivial' errors, S&T and SN were virtually perfect while the various newspapers averaged roughly one trivial error every two articles. For meaningful errors, we found that none of our 403 articles significantly mislead the reader or misrepresented the science. So a major result of our study is that reporters should be rehabilitated into the good graces of astronomers, since they are actually doing a good job. For our second question, we rated each story with the probability that its basic new science claim is correct. We found that the average probability over all stories is 70%, regardless of source, topic, importance, or quoted pundit. How do we reconcile our findings that the press does not make significant errors yet the basic science presented is 30% wrong? The reason is that the nature of news reporting is to present front-line science and the nature of front-line science is that reliable conclusions have not yet been reached. So a second major result of our study is to make the distinction between textbook science (with reliability near 100%) and front-line science which you read in the press (with reliability near 70%).

STEREO OBSERVATIONS OF FAST MAGNETOSONIC WAVES IN THE EXTENDED SOLAR CORONA ASSOCIATED WITH EIT/EUV WAVES

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

Kwon, Ryun-Young; Ofman, Leon; Kramar, Maxim

2013-03-20

We report white-light observations of a fast magnetosonic wave associated with a coronal mass ejection observed by STEREO/SECCHI/COR1 inner coronagraphs on 2011 August 4. The wave front is observed in the form of density compression passing through various coronal regions such as quiet/active corona, coronal holes, and streamers. Together with measured electron densities determined with STEREO COR1 and Extreme UltraViolet Imager (EUVI) data, we use our kinematic measurements of the wave front to calculate coronal magnetic fields and find that the measured speeds are consistent with characteristic fast magnetosonic speeds in the corona. In addition, the wave front turns outmore » to be the upper coronal counterpart of the EIT wave observed by STEREO EUVI traveling against the solar coronal disk; moreover, stationary fronts of the EIT wave are found to be located at the footpoints of deflected streamers and boundaries of coronal holes, after the wave front in the upper solar corona passes through open magnetic field lines in the streamers. Our findings suggest that the observed EIT wave should be in fact a fast magnetosonic shock/wave traveling in the inhomogeneous solar corona, as part of the fast magnetosonic wave propagating in the extended solar corona.« less

Formation of a katabatic induced cold front at the east Andean slopes

NASA Astrophysics Data System (ADS)

Trachte, K.; Nauss, T.,; Rollenbeck, R.; Bendix, J.

2009-04-01

Within the DFG research unit 816, climate dynamics in a tropical mountain rain forest in the national reserve of the Reserva Biósfera de San Francisco in South Ecuador are investigated. Precipitation measurements in the mountain environment of the Estación Científica de San Francisco (ECSF) with a vertical rain radar profiler have been made over the last seven years. They reveal unexpected constant early morning rainfall events. On the basis of cloud top temperatures from corresponding GOES satellite imageries, a Mesoscale Convective System could be derived. Its formation region is located south-east of the ECSF in the Peruvian Amazon basin. The generation of the MCS is assumed to results from an interaction of both local and mesoscale conditions. Nocturnal drainage air from the Andean slopes and valleys confluences in the Amazon basin due to the concave lined terrain. This cold air converges with the warm-moist air of the Amazon inducing a local cold front. This process yields to deep convection resulting in a MCS. With the numerical model ARPS the hypothesized formation of a cloud cluster due to a katabatic induced cold front is shown in an ideal case study. Therefor an ideal terrain model representing the features of the Andes in the target area has been used. The simplification of the oprography concerns a concave lined slope and a valley draining into the basin. It describes the confluence of the cold drainage air due to the shape of the terrain. Inside the basin the generation of a local cold front is shown, which triggers the formation of a cloud cluster.

Stochastic particle acceleration at shocks in the presence of braided magnetic fields.

NASA Astrophysics Data System (ADS)

Kirk, J. G.; Duffy, P.; Gallant, Y. A.

1996-10-01

The theory of diffusive acceleration of energetic particles at shock fronts assumes charged particles undergo spatial diffusion in a uniform magnetic field. If, however, the magnetic field is not uniform, but has a stochastic or braided structure, the transport of charged particles across the average direction of the field is more complicated. Assuming quasi-linear behaviour of the field lines, the particles undergo sub-diffusion on short time scales. We derive the propagator for such motion, which differs from the Gaussian form relevant for diffusion, and apply it to a configuration with a plane shock front whose normal is perpendicular to the average field direction. Expressions are given for the acceleration time as a function of the diffusion coefficient of the wandering magnetic field lines and the spatial diffusion coefficient of the charged particles parallel to the local field. In addition we calculate the spatial dependence of the particle density in both the upstream and downstream plasmas. In contrast to the diffusive case, the density of particles at the shock front is lower than it is far downstream. This is a consequence of the partial trapping of particles by structures in the magnetic field. As a result, the spectrum of accelerated particles is a power-law in momentum which is steeper than in the diffusive case. For a phase-space density f{prop.to}p^-s^, we find s=s_diff_[1+1/(2ρ_c_)], where ρ_c_ is the compression ratio of the shock front and s_diff_ is the standard result of diffusive acceleration: s_diff_=3ρ_c_/(ρ_c_-1). A strong shock in a monatomic ideal gas yields a spectrum of s=4.5. In the case of electrons, this corresponds to a radio synchrotron spectral index of α=0.75.

Sex differences on a measure of conformity in automated teller machine lines.

PubMed

Reysen, Stephen; Reysen, Matthew B

2004-10-01

Sex differences in conformity were examined as participants approached two ATMs, one of which was occupied by three confederates and the other immediately available. The number of men and women in the line in front of one of the ATMs was manipulated (3 men or 3 women), and an unobtrusive observer recorded the sex of each participant. The results indicated that women were more likely than men to wait in line to use the ATM regardless of the makeup of the line. Thus, the present study provides evidence in favor of the idea that sex differences in conformity are evident on a common task performed in a natural setting.

Rewards and advancements for clinical pharmacists.

PubMed

Goodwin, S Diane; Kane-Gill, Sandra L; Ng, Tien M H; Melroy, Joel T; Hess, Mary M; Tallian, Kimberly; Trujillo, Toby C; Vermeulen, Lee C

2010-01-01

The American College of Clinical Pharmacy charged the Clinical Practice Affairs Committee to review and update the College's 1995 White Paper, "Rewards and Advancements for Clinical Pharmacy Practitioners." Because of the limited data on the present state of rewards and advancements for clinical pharmacists, an online survey of "front-line" clinical pharmacists and pharmacy managers was conducted (1126 total respondents, 14% response rate). The resulting White Paper discusses motivators and existing systems of rewards and advancements for clinical pharmacists, as well as perceived barriers to implementation of these systems. Clinical pharmacists reported work-life balance, a challenging position, and opportunities for professional advancement as the most important factors for career success. At the time of the survey, financial rewards appeared not to be a major motivator for clinical pharmacists. Managers underestimated the importance that clinical pharmacists place on work-life balance and favorable work schedules. Although almost two thirds of the clinical pharmacists surveyed had not developed a professional development plan, 84% indicated an interest in career planning. Both clinical pharmacists and managers rated the lack of a clear reward and advancement structure as the most important barrier to effective systems of rewards and advancements. Pharmacy managers and administrators are encouraged to develop effective systems of rewards and advancements for clinical pharmacists that positively impact patient care and the institution's mission; these systems will benefit the clinical pharmacist, the health care institution, and the patient.

Do trauma courses change practice? A qualitative review of 20 courses in East, Central and Southern Africa.

PubMed

Ologunde, Rele; Le, Grace; Turner, Jim; Pandit, Hemant; Peter, Noel; Maurer, David; Hodgson, Sam; Larvin, Joseph; Lavy, Chris

2017-09-01

Trauma courses have been shown to improve clinical knowledge and patient outcomes. However, little is known about the individual drivers of change in practice amongst course participants in their home clinic environment. Front-line healthcare workers participated in a two-day Primary Trauma Care (PTC) course. Immediately after the course participants completed an evaluation survey on intended change in the management of trauma patients. Six months after the course, participants completed a survey on actual changes that had occurred. A total of 451 participants were sampled, with 321 responding at 6 months, from 40 courses across East, Central and Southern Africa. The most commonly reported intended change was the adoption of an ABCDE/systematic approach (53%). Six months after the course, 92.7% of respondents reported that they had made changes in their management, with adoption of an ABCDE/systematic approach (50.0%) remaining most common. 77% of participants reported an improvement in departmental trauma management, 26% reported an increase in staffing, 29% an increase in equipment and 68% of participants had gone on to train other healthcare workers in PTC. The findings suggest that PTC courses not only improve individual management of trauma patients but also but is also associated with beneficial effects for participants' host institutions with regards to staffing, equipment and training. Copyright © 2017 Elsevier Ltd. All rights reserved.

Systemic Front Line Therapy of Follicular Lymphoma: When, to Whom and How.

PubMed

Pavanello, Francesca; Steffanoni, Sara; Ghielmini, Michele; Zucca, Emanuele

2016-01-01

The natural history of follicular lymphoma is usually characterized by an indolent course with a high response rate to the first line therapy followed by recurrent relapses, with a time to next treatment becoming shorter after each subsequent treatment line. More than 80% of patients have advanced stage disease at diagnosis. The time of initiation and the nature of the treatment is mainly conditioned by symptoms, tumor burden, lymphoma grading, co-morbidities and patients preference. A number of clinical and biological factors have been determined to be prognostic in this disease, but the majority of them could not show to be predictive of response to treatment, and therefore can't be used to guide the treatment choice. CD20 expression is the only predictive factor recognized in the treatment of FL and justifies the use of "naked" or "conjugated" anti-CD20 monoclonal antibodies as a single agent or in combination with chemo- or targeted therapy. Nevertheless, as this marker is almost universally found in FL, it has little role in the choice of treatment. The outcome of patients with FL improved significantly in the last years, mainly due to the widespread use of rituximab, autologous and allogeneic transplantation in young and fit relapsed patients, the introduction of new drugs and the improvement in diagnostic accuracy and management of side effects. Agents as new monoclonal antibodies, immuno-modulating drugs, and target therapy have recently been developed and approved for the relapsed setting, while studies to evaluate their role in first line treatment are still ongoing. Here we report our considerations on first line treatment approach and on the potential factors which could help in the choice of therapy.

Systemic Front Line Therapy of Follicular Lymphoma: When, to Whom and How

PubMed Central

Pavanello, Francesca; Steffanoni, Sara; Ghielmini, Michele; Zucca, Emanuele

2016-01-01

The natural history of follicular lymphoma is usually characterized by an indolent course with a high response rate to the first line therapy followed by recurrent relapses, with a time to next treatment becoming shorter after each subsequent treatment line. More than 80% of patients have advanced stage disease at diagnosis. The time of initiation and the nature of the treatment is mainly conditioned by symptoms, tumor burden, lymphoma grading, co-morbidities and patients preference. A number of clinical and biological factors have been determined to be prognostic in this disease, but the majority of them could not show to be predictive of response to treatment, and therefore can’t be used to guide the treatment choice. CD20 expression is the only predictive factor recognized in the treatment of FL and justifies the use of “naked” or “conjugated” anti-CD20 monoclonal antibodies as a single agent or in combination with chemo- or targeted therapy. Nevertheless, as this marker is almost universally found in FL, it has little role in the choice of treatment. The outcome of patients with FL improved significantly in the last years, mainly due to the widespread use of rituximab, autologous and allogeneic transplantation in young and fit relapsed patients, the introduction of new drugs and the improvement in diagnostic accuracy and management of side effects. Agents as new monoclonal antibodies, immuno-modulating drugs, and target therapy have recently been developed and approved for the relapsed setting, while studies to evaluate their role in first line treatment are still ongoing. Here we report our considerations on first line treatment approach and on the potential factors which could help in the choice of therapy. PMID:27872742

Shifts in distribution of herbivorous geese relative to hydrological variation in East Dongting Lake wetland, China.

PubMed

Zhang, Pingyang; Zou, Yeai; Xie, Yonghong; Zhang, Hong; Liu, Xiangkui; Gao, Dali; Yi, Feiyue

2018-04-24

Studies on distribution dynamics of waterbirds and the relation with hydrological changes are essential components of ecological researches. East Dongting Lake is a Ramsar site and especially important wintering ground for herbivorous geese along the East Asian-Australasian Flyway. In this paper, based on annual (2008/09-2016/17) waterbird census data, we investigated the spatial-temporal distributions of three herbivorous goose species (Lesser White-fronted Goose Anser erythropus, Bean Goose Anser fabalis, and Greater White-fronted Goose Anser albifrons) within East Dongting Lake, and analyzed their distribution dynamics (denoted by percentage similarity index, PSI) relative to variations in hydrological regime. The results demonstrated that the distribution of the globally vulnerable Lesser White-fronted Geese changed obviously between years, whereas that of Bean Geese was more stable. Greater White-fronted Geese suffered drastic distribution variation during the study period. The PSI of Lesser White-fronted Geese was negatively correlated with between-year difference in water recession time and mean water level in October, whereas no obvious trend was found in Bean Geese. The Normalized Difference Vegetation Index (NDVI) was applied to detect changes in food resources of the geese, and significant correlations were also found between NDVI and hydrological factors. It was inferred that the variations in hydrological regime affected the annual distribution dynamics of Lesser White-fronted Geese by changing food conditions; whereas the effect on Bean Geese were not reflected in this study. Species traits may explain the differences in distribution dynamics among the three goose species. It was speculated that Lesser White-fronted Geese might be more sensitive to habitat change, whereas Bean Geese were more resilient. We suggested that regulating hydrological regime was crucial in management works. Our study could offer scientific information for species conservation in the context of habitat changes in East Dongting Lake wetland and provide potential insights into habitat management in this area. Copyright © 2018 Elsevier B.V. All rights reserved.

Response of major Greenland outlet glaciers to oceanic and atmospheric forcing: Results from numerical modeling on Petermann, Jakobshavn and Helheim Glacier.

NASA Astrophysics Data System (ADS)

Nick, F. M.; Vieli, A.; Pattyn, F.; Van de Wal, R.

2011-12-01

Oceanic forcing has been suggested as a major trigger for dynamic changes of Greenland outlet glaciers. Significant melting near their calving front or beneath the floating tongue and reduced support from sea ice or ice melange in front of their calving front can result in retreat of the terminus or the grounding line, and an increase in calving activities. Depending on the geometry and basal topography of the glacier, these oceanic forcing can affect the glacier dynamic differently. Here, we carry out a comparison study between three major outlet glaciers in Greenland and investigate the impact of a warmer ocean on glacier dynamics and ice discharge. We present results from a numerical ice-flow model applied to Petermann Glacier in the north, Jakobshavn Glacier in the west, and Helheim Glacier in the southeast of Greenland.

Differential diffusion effects on buoyancy-driven instabilities of acid-base fronts: the case of a color indicator.

PubMed

Kuster, S; Riolfo, L A; Zalts, A; El Hasi, C; Almarcha, C; Trevelyan, P M J; De Wit, A; D'Onofrio, A

2011-10-14

Buoyancy-driven hydrodynamic instabilities of acid-base fronts are studied both experimentally and theoretically in the case where an aqueous solution of a strong acid is put above a denser aqueous solution of a color indicator in the gravity field. The neutralization reaction between the acid and the color indicator as well as their differential diffusion modifies the initially stable density profile in the system and can trigger convective motions both above and below the initial contact line. The type of patterns observed as well as their wavelength and the speed of the reaction front are shown to depend on the value of the initial concentrations of the acid and of the color indicator and on their ratio. A reaction-diffusion model based on charge balances and ion pair mobility explains how the instability scenarios change when the concentration of the reactants are varied.

Lean-driven improvements slash wait times, drive up patient satisfaction scores.

PubMed

2012-07-01

Administrators at LifePoint Hospitals, based in Brentwood, TN, used lean manufacturing techniques to slash wait times by as much as 30 minutes and achieve double-digit increases in patient satisfaction scores in the EDs at three hospitals. In each case, front-line workers took the lead on identifying opportunities for improvement and redesigning the patient-flow process. As a result of the new efficiencies, patient volume is up by about 25% at all three hospitals. At each hospital, the improvement process began with Kaizen, a lean process that involves bringing personnel together to flow-chart the current system, identify problem areas, and redesign the process. Improvement teams found big opportunities for improvement at the front end of the flow process. Key to the approach was having a plan up front to deal with non-compliance. To sustain improvements, administrators gather and disseminate key metrics on a daily basis.

Role stressors and coping strategies among nurse managers.

PubMed

Udod, Sonia; Cummings, Greta G; Care, W Dean; Jenkins, Megan

2017-02-06

Purpose The purpose of this paper is to share preliminary evidence about nurse managers' (NMs) role stressors and coping strategies in acute health-care facilities in Western Canada. Design/methodology/approach A qualitative exploratory inquiry provides deeper insight into NMs' perceptions of their role stressors, coping strategies and factors and practices in the organizational context that facilitate and hinder their work. A purposeful sample of 17 NMs participated in this study. Data were collected through individual interviews and a focus group interview. Braun and Clarke's (2006) six phase approach to thematic analysis guided data analysis. Findings Evidence demonstrates that individual factors, organizational practices and structures affect NMs stress creating an evolving role with unrealistic expectations, responding to continuous organizational change, a fragmented ability to effectively process decisions because of work overload, shifting organizational priorities and being at risk for stress-related ill health. Practical implications These findings have implications for organizational support, intervention programs that enhance leadership approaches, address individual factors and work processes and redesigning the role in consideration of the role stress and work complexity affecting NMs health. Originality/value It is anticipated that health-care leaders would find these results concerning and inspire them to take action to support NMs to do meaningful work as a way to retain existing managers and attract front line nurses to positions of leadership.

An Overview of Patient Safety Climate in the VA

PubMed Central

Hartmann, Christine W; Rosen, Amy K; Meterko, Mark; Shokeen, Priti; Zhao, Shibei; Singer, Sara; Falwell, Alyson; Gaba, David M

2008-01-01

Objective To assess variation in safety climate across VA hospitals nationally. Study Setting Data were collected from employees at 30 VA hospitals over a 6-month period using the Patient Safety Climate in Healthcare Organizations survey. Study Design We sampled 100 percent of senior managers and physicians and a random 10 percent of other employees. At 10 randomly selected hospitals, we sampled an additional 100 percent of employees working in units with intrinsically higher hazards (high-hazard units [HHUs]). Data Collection Data were collected using an anonymous survey design. Principal Findings We received 4,547 responses (49 percent response rate). The percent problematic response—lower percent reflecting higher levels of patient safety climate—ranged from 12.0–23.7 percent across hospitals (mean=17.5 percent). Differences in safety climate emerged by management level, clinician status, and workgroup. Supervisors and front-line staff reported lower levels of safety climate than senior managers; clinician responses reflected lower levels of safety climate than those of nonclinicians; and responses of employees in HHUs reflected lower levels of safety climate than those of workers in other areas. Conclusions This is the first systematic study of patient safety climate in VA hospitals. Findings indicate an overall positive safety climate across the VA, but there is room for improvement. PMID:18355257

Large Ice Discharge From the Greenland Ice Sheet

NASA Technical Reports Server (NTRS)

Rignot, Eric

1999-01-01

The objectives of this work are to measure the ice discharge of the Greenland Ice Sheet close to the grounding line and/or calving front, and compare the results with mass accumulation and ablation in the interior to estimate the ice sheet mass balance.

The Front Line: Satisfaction of Classified Employees.

ERIC Educational Resources Information Center

Bauer, Karen W.

2000-01-01

Discusses job satisfaction in classified support staff (primarily clerical and secretarial) of colleges and universities. Notes that these staff are frequently the first representatives of the institution encountered by prospective students, parents, and others. Finds that rewards and recognition, opportunities for feedback, and help with…

Attitudes toward Suicide Prevention in Front-Line Health Staff.

ERIC Educational Resources Information Center

Herron, Jane; Ticehurst, Henry; Appleby, Louis; Perry, Amanda; Cordingley, Lis

2001-01-01

The determinants and distribution of attitudes towards suicide prevention were investigated in four groups of health professionals who are in contact with suicidal patients: general practitioners; accident and emergency nurses; psychiatrists in training; and community psychiatric nurses. Attitudes were shown to differ significantly between…

Acute Modulation of Mycobacterial Cell Envelope Biogenesis by Front-Line Tuberculosis Drugs.

PubMed

Rodriguez-Rivera, Frances P; Zhou, Xiaoxue; Theriot, Julie A; Bertozzi, Carolyn R

2018-05-04

Front-line tuberculosis (TB) drugs have been characterized extensively in vitro and in vivo with respect to gene expression and cell viability. However, little work has been devoted to understanding their effects on the physiology of the cell envelope, one of the main targets of this clinical regimen. Herein, we use metabolic labeling methods to visualize the effects of TB drugs on cell envelope dynamics in mycobacterial species. We developed a new fluorophore-trehalose conjugate to visualize trehalose monomycolates of the mycomembrane using super-resolution microscopy. We also probed the relationship between mycomembrane and peptidoglycan dynamics using a dual metabolic labeling strategy. Finally, we found that metabolic labeling of both cell envelope structures reports on drug effects on cell physiology in two hours, far faster than a genetic sensor of cell envelope stress. Our work provides insight into acute drug effects on cell envelope biogenesis in live mycobacteria. © 2018 Wiley-VCH Verlag GmbH & Co. KGaA, Weinheim.

Variations in West Antarctic Ice Front and Passive Microwave Brightness Temperature for 8 Years Duration in 2000s

NASA Astrophysics Data System (ADS)

Kim, J.; Yu, J.; Wang, L.; Liu, H.

2017-12-01

Changes in Antarctic ice sheet are caused by various reasons such as changes in Holocene climate, precipitation, and ocean temperature. Such issues of changes in ice sheet has been mainly focused on the Antarctic peninsula, and it is known that ice retreat of the area is caused by changes in atmospheric and ocean temperatures. For the case of West Antarctica, ice front change research is relatively rarely conducted except the Pine island glacier area. This study has monitored ice front changes of West Antarctica and compared the patterns with the changes in brightness temperature based on remote sensing techniques. We used 2000 Radarsat-1 and 2008 Rasarsat-2 SAR data to delineate coastlines of whole West Antarctica based on the locally thresholding adaptive algorithm. The delineated coast lines are analyzed to figure out ice front change patterns between the duration. The variations in brightness temperature for the same duration are calculated based on Defense Meteorological Satellite Program (DMSP)'s Special Sensor Microwave/Images-Special Sensor Microwave Imager/Sounder (SSM/I-SSMIS) passive microwave data. The results show ice front of West Antarctica shows advancing trend except the pine island glacier area. The brightness temperature had decreasing trend during the study period. It infers that changes in ice front and brightness temperature of West Antarctica have considerable relationships. It is expected that a long term monitoring of the relationship would contribute understanding ice dynamics of West Antarctica significantly.

Microfluidic Analysis with Front-Face Fluorometric Detection for the Determination of Total Inorganic Iodine in Drinking Water.

PubMed

Inpota, Prawpan; Strzelak, Kamil; Koncki, Robert; Sripumkhai, Wisaroot; Jeamsaksiri, Wutthinan; Ratanawimarnwong, Nuanlaor; Wilairat, Prapin; Choengchan, Nathawut; Chantiwas, Rattikan; Nacapricha, Duangjai

2018-01-01

A microfluidic method with front-face fluorometric detection was developed for the determination of total inorganic iodine in drinking water. A polydimethylsiloxane (PDMS) microfluidic device was employed in conjunction with the Sandell-Kolthoff reaction, in which iodide catalyzed the redox reaction between Ce(IV) and As(III). Direct alignment of an optical fiber attached to a spectrofluorometer was used as a convenient detector for remote front-face fluorometric detection. Trace inorganic iodine (IO 3 - and I - ) present naturally in drinking water was measured by on-line conversion of iodate to iodide for determination of total inorganic iodine. On-line conversion efficiency of iodate to iodide using the microfluidic device was investigated. Excellent conversion efficiency of 93 - 103% (%RSD = 1.6 - 11%) was obtained. Inorganic iodine concentrations in drinking water samples were measured, and the results obtained were in good agreement with those obtained by an ICP-MS method. Spiked sample recoveries were in the range of 86%(±5) - 128%(±8) (n = 12). Interference of various anions and cations were investigated with tolerance limit concentrations ranging from 10 -6 to 2.5 M depending on the type of ions. The developed method is simple and convenient, and it is a green method for iodine analysis, as it greatly reduces the amount of toxic reagent consumed with reagent volumes in the microfluidic scale.

Hazardous materials emergency response mobile robot

NASA Technical Reports Server (NTRS)

Stone, Henry W. (Inventor); Lloyd, James (Inventor); Alahuzos, George (Inventor)

1992-01-01

A simple or unsophisticated robot incapable of effecting straight-line motion at the end of its arm inserts a key held in its end effector or hand into a door lock with nearly straight-line motion by gently thrusting its back heels downwardly so that it pivots forwardly on its front toes while holding its arm stationary. The relatively slight arc traveled by the robot's hand is compensated by a complaint tool with which the robot hand grips the door key. A visible beam is projected through the axis of the hand or gripper on the robot arm end at an angle to the general direction in which the robot thrusts the gripper forward. As the robot hand approaches a target surface, a video camera on the robot wrist watches the beam spot on the target surface fall from a height proportional to the distance between the robot hand and the target surface until the beam spot is nearly aligned with the top of the robot hand. Holes in the front face of the hand are connected through internal passages inside the arm to an on-board chemical sensor. Full rotation of the hand or gripper about the robot arm's wrist is made possible by slip rings in the wrist which permit passage of the gases taken in through the nose holes in the front of the hand through the wrist regardless of the rotational orientation of the wrist.

RF current distribution and topology of RF sheath potentials in front of ICRF antennae

NASA Astrophysics Data System (ADS)

Colas, L.; Heuraux, S.; Brémond, S.; Bosia, G.

2005-08-01

The 2D (radial/poloidal) spatial topology of RF-induced convective cells developing radially in front of ion cyclotron range of frequency (ICRF) antennae is investigated, in relation to the spatial distribution of RF currents over the metallic structure of the antenna. This is done via a Green's function, determined from the ICRF wave coupling equations, and well-suited to open field lines extending toroidally far away on both sides of the antenna. Using such formalism, combined with a full-wave calculation using the 3D antenna code ICANT (Pécoul S. et al 2000 Comput. Phys. Commun. 146 166-87), two classes of convective cells are analysed. The first one appears in front of phased arrays of straps, and depending on the strap phasing, its topology is interpreted using the poloidal profiles of either the RF current or the RF voltage of the strip line theory. The other class of convective cells is specific to antenna box corners and is evidenced for the first time. Based on such analysis, general design rules are worked out in order to reduce the RF-sheath potentials, which generalize those proposed in the earlier literature, and concrete antenna design options are tested numerically. The merits of aligning all strap centres on the same (tilted) flux tube, and of reducing the antenna box toroidal conductivity in its lower and upper parts, are discussed.

Opinions from the Front Lines of Cat Colony Management Conflict

PubMed Central

Peterson, M. Nils; Hartis, Brett; Rodriguez, Shari; Green, Matthew; Lepczyk, Christopher A.

2012-01-01

Outdoor cats represent a global threat to terrestrial vertebrate conservation, but management has been rife with conflict due to differences in views of the problem and appropriate responses to it. To evaluate these differences we conducted a survey of opinions about outdoor cats and their management with two contrasting stakeholder groups, cat colony caretakers (CCCs) and bird conservation professionals (BCPs) across the United States. Group opinions were polarized, for both normative statements (CCCs supported treating feral cats as protected wildlife and using trap neuter and release [TNR] and BCPs supported treating feral cats as pests and using euthanasia) and empirical statements. Opinions also were related to gender, age, and education, with females and older respondents being less likely than their counterparts to support treating feral cats as pests, and females being less likely than males to support euthanasia. Most CCCs held false beliefs about the impacts of feral cats on wildlife and the impacts of TNR (e.g., 9% believed feral cats harmed bird populations, 70% believed TNR eliminates cat colonies, and 18% disagreed with the statement that feral cats filled the role of native predators). Only 6% of CCCs believed feral cats carried diseases. To the extent the beliefs held by CCCs are rooted in lack of knowledge and mistrust, rather than denial of directly observable phenomenon, the conservation community can manage these conflicts more productively by bringing CCCs into the process of defining data collection methods, defining study/management locations, and identifying common goals related to caring for animals. PMID:22970269

BEAM TRANSPORT LINES FOR THE BSNS.

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

WEI, J.

2006-06-26

This paper presents the design of two beam transport lines at the BSNS: one is the injection line from the Linac to the RCS and the other is the target line from the RCS to the target station. In the injection beam line, space charge effects, transverse halo collimation, momentum tail collimation and debunching are the main concerned topics. A new method of using triplet cells and stripping foils is used to collimate transverse halo. A long straight section is reserved for the future upgrading linac and debuncher. In the target beam line, large halo emittance, beam stability at themore » target due to kicker failures and beam jitters, shielding of back-scattering neutrons from the target are main concerned topics. Special bi-gap magnets will be used to reduce beam losses in the collimators in front of the target.« less

Fiber Optic Picosecond Laser Pulse Transmission Line for Hydrogen Ion Beam Profile Measurement

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

Liu, Yun; Huang, Chunning; Aleksandrov, Alexander V

2013-01-01

We present a fiber optic laser pulse transmission line for non-intrusive longitudinal profile measurement of the hydrogen ion (H-) beam at the front-end of the Spallation Neutron Source (SNS) accelerator. The 80.5 MHz, 2.5 ps, multi-killowatt optical pulses are delivered to the accelerator beam line through a large mode area polarization maintaining optical fiber to ensure a high measurement stability. The transmission efficiency, output laser beam quality, pulse jitter and pulse width broadening over a 100-ft fiber line are experimentally investigated. A successful measurement of the H- beam microbunch (~130 ps) profile is obtained. Our experiment is the first demonstrationmore » of particle beam profile diagnostics using fiber optic laser pulse transmission line.« less

Strong shock implosion, approximate solution

NASA Astrophysics Data System (ADS)

Fujimoto, Y.; Mishkin, E. A.; Alejaldre, C.

1983-01-01

The self-similar, center-bound motion of a strong spherical, or cylindrical, shock wave moving through an ideal gas with a constant, γ= cp/ cv, is considered and a linearized, approximate solution is derived. An X, Y phase plane of the self-similar solution is defined and the representative curved of the system behind the shock front is replaced by a straight line connecting the mappings of the shock front with that of its tail. The reduced pressure P(ξ), density R(ξ) and velocity U1(ξ) are found in closed, quite accurate, form. Comparison with numerically obtained results, for γ= {5}/{3} and γ= {7}/{5}, is shown.

Asymmetry of nonlinear interactions of solar MHD discontinuities with the bow shock

NASA Astrophysics Data System (ADS)

Grib, S. A.; Pushkar, E. A.

2006-07-01

Oblique interaction between the solar fast shock wave, which is a typical nonstationary strong discontinuity in the interplanetary space, and the bow shock front upstream of an Earth-type planetary magnetosphere is studied. Attention has been paid to the qualitative and quantitative (with respect to the proton density distribution) dawn-dusk (or morning-evening) asymmetry of the discontinuities refracted into the magnetosheath, which originates in the ecliptic plane on different sides of the Sun-Earth line. The results under discussion have been corroborated experimentally by the gas-kinetic pattern of the bow-shock front and the WIND and ISEE 3 spacecraft measurements of the plasma density.

Technique for finding and identifying filters that cut off OTDR lights in front of ONU from a central office

NASA Astrophysics Data System (ADS)

Takaya, Masaaki; Honda, Hiroyasu; Narita, Yoshihiro; Yamamoto, Fumihiko; Arakawa, Koji

2006-04-01

We report on a newly developed in-service measurement technique that can be used from a central office to find and identify any filter in front of an ONU on an optical fiber access network. Using this system, in-service tests can be performed because the test lights are modulated at a high frequency. Moreover, by using the equipment we developed, this confirmation operation can be performed continuously and automatically with existing automatic fiber testing systems. The developed technique is effective for constructing a fiber line testing system with an optical time domain reflectometer.

Process Research ON Semix Silicon Materials (PROSSM)

NASA Astrophysics Data System (ADS)

Wohlgemuth, J. H.; Warfield, D. B.

1982-02-01

A cost effective process sequence was identified, equipment was designed to implement a 6.6 MW per year automated production line, and a cost analysis projected a $0.56 per watt cell add-on cost for this line. Four process steps were developed for this program: glass beads back clean-up, hot spray antireflective coating, wave soldering of fronts, and ion milling for edging. While spray dopants were advertised as an off the shelf developed product, they were unreliable with shorter than advertised shelf life.

Plasma-Filled Rod-Pinch Diode Research on Gamble II

DTIC Science & Technology

2007-06-01

by the dashed red line in Fig. 3. CaF2 thermoluminescent dosimeters ( TLDs ) located on the front surface of the rolled edge measure the dose. The...half-maximum line-spread function] and high dose [23 rad(CaF2) at 1 m] with 1-2 MeV electron energies are unique capabilities that the PFRP offers...for radiographic imaging in this electron -energy range. The source distribution has a narrow central peak that can enhance the spatial resolution

Labeled line drawing of launch and entry suit identifies various components

NASA Technical Reports Server (NTRS)

1988-01-01

Line drawings illustrate the front and back of the space shuttle launch and entry suit (LES) and labels identify various components. LES was designed for STS-26, the return to flight mission, and subsequent missions. Included in the crew escape system (CES) package are launch and entry helmet (LEH) with communications carrier (COMM CAP), parachute pack and harness, life preserver unit (LPU), life raft unit (LRU), LES gloves, suit oxygen manifold and valves, boots, and survival gear. Details of larger components are also identified.

Process Research ON Semix Silicon Materials (PROSSM)

NASA Technical Reports Server (NTRS)

Wohlgemuth, J. H.; Warfield, D. B.

1982-01-01

A cost effective process sequence was identified, equipment was designed to implement a 6.6 MW per year automated production line, and a cost analysis projected a $0.56 per watt cell add-on cost for this line. Four process steps were developed for this program: glass beads back clean-up, hot spray antireflective coating, wave soldering of fronts, and ion milling for edging. While spray dopants were advertised as an off the shelf developed product, they were unreliable with shorter than advertised shelf life.

Finite Ground Coplanar Waveguide Shunt MEMS Switches for Switched Line Phase Shifters

NASA Technical Reports Server (NTRS)

Ponchak, George E.; Simons, Rainee N.; Scardelletti, Maximillian; Varaljay, Nicholas C.

2000-01-01

Switches with low insertion loss and high isolation are required for switched line phase shifters and the transmit/receive switch at the front end of communication systems. A Finite Ground Coplanar (FGC) waveguide capacitive, shunt MEMS switch has been implemented on high resistivity Si. The switch has demonstrated an insertion loss of less than 0.3 dB and a return loss greater than 15 dB from 10 to 20, GHz. The switch design, fabrication, and characteristics are presented.

State of the Art for Design and Construction of Sand Compaction Piles

DTIC Science & Technology

1987-11-01

Walz, Headquarters, US Army Corps of Engineers (HQUSACE), was REMR Technical Monitor. The REMR Overview Committee, consisted of Mr. John R. Nikel ... Wire Vibrator Hopper Casing Pipe Air Line Power Line Sand Skip Bucket Front End Loader Figure 2. Typical equipment used to construct a sand...8217~~~~--­ Rubber Packing Wire Inlet for air to close valve and press sand down ..,...__ Air lnl~ot: Figure 5. Special valve used to seal the casing when

Combustor oscillation attenuation via the control of fuel-supply line dynamics

DOEpatents

Richards, George A.; Gemmen, Randall S.

1998-01-01

Combustion oscillation control in combustion systems using hydrocarbon fuels is provided by acoustically tuning a fuel-delivery line to a desired phase of the combustion oscillations for providing a pulse of a fuel-rich region at the oscillating flame front at each time when the oscillation produced pressure in the combustion chamber is in a low pressure phase. The additional heat release produced by burning such fuel-rich regions during low combustion chamber pressure effectively attenuates the combustion oscillations to a selected value.

Labeled line drawing of launch and entry suit identifies various components

NASA Image and Video Library

1988-09-22

Line drawings illustrate the front and back of the space shuttle launch and entry suit (LES) and labels identify various components. LES was designed for STS-26, the return to flight mission, and subsequent missions. Included in the crew escape system (CES) package are launch and entry helmet (LEH) with communications carrier (COMM CAP), parachute pack and harness, life preserver unit (LPU), life raft unit (LRU), LES gloves, suit oxygen manifold and valves, boots, and survival gear. Details of larger components are also identified.

21. SOUTH THROUGH FACTORY FROM NEAR NORTHEAST CORNER TOWARD SOUTH ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

21. SOUTH THROUGH FACTORY FROM NEAR NORTHEAST CORNER TOWARD SOUTH FRONT OF BUILDING. VISIBLE FROM LEFT TO RIGHT ARE CIRCA 1865 METAL-TURNING LATHE; CIRCA 1875 POWER SHEAR, PUNCH, AND RIVETING MACHINE (WITH FLOORING RAISED TO SHOW OPERATOR'S 'PIT'); LINE SHAFT WITH PULLEYS AND BELTS FOR OPERATING MACHINERY; PERMANENT WOODEN LADDER TO SKYLIGHT AREA (LOCATION OF CIRCA 1920 ELECTRIC MOTOR WHICH POWERED LINE SHAFT); AND BUFFALO FORGE CO. HAND SHEAR FOR ANGLE STEEL. - Kregel Windmill Company Factory, 1416 Central Avenue, Nebraska City, Otoe County, NE

A comparison of three regions of Puppis A

NASA Technical Reports Server (NTRS)

Fischbach, K. F.; Bateman, L. M.; Canizares, C. R.; Markert, T. H.; Saez, P. J.

1990-01-01

High resolution X-ray spectral observations of Puppis A were performed with the FPCS on the Einstein Observatory at three regions of the remnant: the shock front, the bright eastern knot, and the interior. Plasma diagnostics of lines from OVII and OVIII constrain the values of electron temperature, ionization timescale, and hydrogen column density. Results of the diagnostics for these three regions are compared. A nonequilibrium analysis of previously published fluxes of oxygen lines shows that the interior has not yet reached ionization equilibrium.

Beyond police crisis intervention: moving "upstream" to manage cases and places of behavioral health vulnerability.

PubMed

Wood, Jennifer D; Beierschmitt, Laura

2014-01-01

Law enforcement officers continue to serve on the front lines as mental health interventionists, and as such have been subject to a wave of "first generation" reform designed to enhance their crisis response capabilities. Yet, this focus on crisis intervention has not answered recent calls to move "upstream" and bolster early intervention in the name of long-term recovery. This paper reports on findings from an action research project in Philadelphia aimed at exploring opportunities for enhanced upstream engagement. Study methods include spatial analyses of police mental health transportations from an eight year period (2004-2011) and qualitative data from twenty-three "framing conversations" with partners and other stakeholders, seven focus groups with police and outreach workers, five key informant interviews as well as document reviews of the service delivery system in Philadelphia. Recommendations include the need to move beyond a focus on what police can do to a wider conception of city agencies and business stakeholders who can influence vulnerable people and vulnerable spaces of the city. We argue for the need to develop shared principles and rules of engagement that clarify roles and stipulate how best to enlist city resources in a range of circumstances. Since issues of mental health, substance use and disorder are so tightly coupled, we stress the importance of establishing a data-driven approach to crime and disorder reduction in areas of the city we term "hotspots of vulnerability". In line with a recovery philosophy, such an approach should reduce opportunities for anti-social behavior among the "dually labeled" in ways consistent with "procedural justice". Furthermore, crime and disorder data flowing from police and security to behavioral health analysts could contribute to a more focused case management of "repeat utilizers" across the two systems. Our central argument is that a twin emphasis on "case management" and "place management" may provide the pillars needed to move upstream and strengthen interventions along a continuum of engagement. Copyright © 2014 Elsevier Ltd. All rights reserved.

Structure and physical conditions in the Huygens region of the Orion nebula

NASA Astrophysics Data System (ADS)

O'Dell, C. R.; Ferland, G. J.; Peimbert, M.

2017-02-01

Hubble Space Telescope images, MUSE maps of emission lines, and an atlas of high velocity resolution emission-line spectra have been used to establish for the first time correlations of the electron temperature, electron density, radial velocity, turbulence, and orientation within the main ionization front of the nebula. From the study of the combined properties of multiple features, it is established that variations in the radial velocity are primarily caused by the photoevaporating ionization front being viewed at different angles. There is a progressive increase of the electron temperature and density with decreasing distance from the dominant ionizing star θ1 Ori C. The product of these characteristics (ne × Te) is the most relevant parameter in modelling a blister-type nebula like the Huygens region, where this quantity should vary with the surface brightness in Hα. Several lines of evidence indicate that small-scale structure and turbulence exist down to the level of our resolution of a few arcseconds. Although photoevaporative flow must contribute at some level to the well-known non-thermal broadening of the emission lines, comparison of quantitative predictions with the observed optical line widths indicates that it is not the major additive broadening component. Derivation of Te values for H+ from radio+optical and optical-only ionized hydrogen emission showed that this temperature is close to that derived from [N II] and that the transition from the well-known flat extinction curve which applies in the Huygens region to a more normal steep extinction curve occurs immediately outside of the Bright Bar feature of the nebula.

What Is Developmentally Appropriate Teaching?

ERIC Educational Resources Information Center

Clements, Douglas H.; Fuson, Karen C.; Sarama, Julie

2017-01-01

Teachers are on the front line in any educational controversy. Increasingly, some bloggers, newspaper articles, and other media have criticized the Common Core State Standards for Mathematics (CCSSM) (CCSSI 2010) as being inappropriate for children in kindergarten and first grade. However, both research and expert practice reveal that children are…

Communication Supports in Residential Services for People with an Intellectual Disability

ERIC Educational Resources Information Center

Dalton, Caroline; Sweeney, John

2013-01-01

This study explores front-line staff knowledge and perceptions of how people with intellectual disability residing in residential services are supported to communicate effectively. Participants ("n" = 138) completed a self-report questionnaire adapted from an instrument developed by DeSimone & Cascella (2005) "Journal of…

Complexity, Global Politics, and National Security

DTIC Science & Technology

1997-01-01

behind the front lines. 26. The author is greatly indebted to his colleague (and wife) Harriet for her careful reading of the first draft leading to...Ecosystem. New York: Henry Holt & Co., 1992. Ruelle, David. Chance and Chaos. Princeton, NJ: Princeton University Press, 1991. Sarigul-Klijn, Martinus M

Teaching Tolerance: Notes from the Front Line.

ERIC Educational Resources Information Center

Heller, Carol; Hawkins, Joseph A.

1994-01-01

The Southern Poverty Law Center's (Alabama) Teaching Tolerance Project provides free products and services to teachers and schools working to promote racial tolerance. Other programs combatting racism include the Westridge Young Writers Workshop, Facing History and Ourselves, the Sidewalk Theatre of New York, the Fratney School (Wisconsin), and…

Reasons Parents Exempt Children from Receiving Immunizations

ERIC Educational Resources Information Center

Luthy, Karlen E.; Beckstrand, Renea L.; Callister, Lynn C.; Cahoon, Spencer

2012-01-01

School nurses are on the front lines of educational efforts to promote childhood vaccinations. However, some parents still choose to exempt their children from receiving vaccinations for personal reasons. Studying the beliefs of parents who exempt vaccinations allows health care workers, including school nurses, to better understand parental…

EXAMINATION - ASTRONAUT CARPENTER - SCHOOL OF AVIATION MEDICINE - PENSACOLA, FL

NASA Image and Video Library

1961-12-07

S61-04571 (1961) --- Astronaut M. Scott Carpenter's balance mechanism performance is tested as he walks a straight line by putting one foot directly in front of the other. He is performing this test at the School of Aviation Medicine, Pensicola, Florida. Photo credit: NASA

Secrets of the STEM X Academy

ERIC Educational Resources Information Center

Teaching Science, 2016

2016-01-01

Science teachers, whether in primary or secondary schools, are in the front line for creating a more scientifically literate community. This article describes the STEM X Academy, a program created with the following goals: (1) demystify Science, Technology, Engineering, and Mathematics (STEM); (2) help teachers transform their teaching with…

Leadership Matters

ERIC Educational Resources Information Center

Chester, Barbara; Terry, Mark; Liddiard, Dwight; Cargile, Diane; Cobb, David P.; Sturdivant, Fidelia

2010-01-01

Though research tells that principals are key in raising student achievement, principals remain unsung heroes for the nation's children. Because they work on the front lines of education--student by student and class by class--to lead schools in preparing students for successful lives, it's possible to miss the entire significance of the…

Tools for Building on Youth Strengths

ERIC Educational Resources Information Center

Cox, Kathy

2008-01-01

While rhetoric about strength-based approaches abounds, this perspective has not penetrated the front lines of practice. Many programs serving troubled youngsters are still mired in a deficit and deviance orientation. This article provides practical strategies for assessing the strengths of children and developing interventions to tap their assets…

Front-Line Advocacy: Advocacy Based on Effective Relationships

ERIC Educational Resources Information Center

Gooden, Benny L.

2012-01-01

When American Association of School Administrators (AASA) and other membership organizations try to engage individuals in advocacy, a frequent exhortation is "Contact your representatives in Congress." Professional membership groups also stress that written communication is more powerful than phone calls to a representative's office, and they…

Integrating mHealth at point of care in low- and middle-income settings: the system perspective

PubMed Central

Wallis, Lee; Blessing, Paul; Dalwai, Mohammed; Shin, Sang Do

2017-01-01

ABSTRACT While the field represents a wide spectrum of products and services, many aspects of mHealth have great promise within resource-poor settings: there is an extensive range of cheap, widely available tools which can be used at the point of care delivery. However, there are a number of conditions which need to be met if such solutions are to be adequately integrated into existing health systems; we consider these from regulatory, technological and user perspectives. We explore the need for an appropriate legislative and regulatory framework, to avoid ‘work around’ solutions, which threaten patient confidentiality (such as the extensive use of instant messaging services to deliver sensitive clinical information and seek diagnostic and management advice). In addition, we will look at other confidentiality issues such as the need for applications to remove identifiable information (such as photos) from users’ devices. Integration is dependent upon multiple technological factors, and we illustrate these using examples such as products made available specifically for adoption in low- and middle-income countries. Issues such as usability of the application, signal loss, data volume utilization, need to enter passwords, and the availability of automated or in-app context-relevant clinical advice will be discussed. From a user perspective, there are three groups to consider: experts, front-line clinicians, and patients. Each will accept, to different degrees, the use of technology in care – often with cultural or regional variation – and this is central to integration and uptake. For clinicians, ease of integration into daily work flow is critical, as are familiarity and acceptability of other technology in the workplace. Front-line staff tend to work in areas with more challenges around cell phone signal coverage and data availability than ‘back-end’ experts, and the effect of this is discussed. PMID:28838302

Performance Efficiency of a Crash Energy Management System

DOT National Transportation Integrated Search

2007-03-13

Previous work has led to the development of a crash energy : management (CEM) system designed to distribute crush : throughout unoccupied areas of a passenger train in a collision : event. This CEM system is comprised of crush zones at the : front an...

Waiting can be an optimal conservation strategy, even in a crisis discipline

PubMed Central

Possingham, Hugh P.; Bode, Michael

2017-01-01

Biodiversity conservation projects confront immediate and escalating threats with limited funding. Conservation theory suggests that the best response to the species extinction crisis is to spend money as soon as it becomes available, and this is often an explicit constraint placed on funding. We use a general dynamic model of a conservation landscape to show that this decision to “front-load” project spending can be suboptimal if a delay allows managers to use resources more strategically. Our model demonstrates the existence of temporal efficiencies in conservation management, which parallel the spatial efficiencies identified by systematic conservation planning. The optimal timing of decisions balances the rate of biodiversity decline (e.g., the relaxation of extinction debts, or the progress of climate change) against the rate at which spending appreciates in value (e.g., through interest, learning, or capacity building). We contrast the benefits of acting and waiting in two ecosystems where restoration can mitigate forest bird extinction debts: South Australia’s Mount Lofty Ranges and Paraguay’s Atlantic Forest. In both cases, conservation outcomes cannot be maximized by front-loading spending, and the optimal solution recommends substantial delays before managers undertake conservation actions. Surprisingly, these delays allow superior conservation benefits to be achieved, in less time than front-loading. Our analyses provide an intuitive and mechanistic rationale for strategic delay, which contrasts with the orthodoxy of front-loaded spending for conservation actions. Our results illustrate the conservation efficiencies that could be achieved if decision makers choose when to spend their limited resources, as opposed to just where to spend them. PMID:28894004

Waiting can be an optimal conservation strategy, even in a crisis discipline.

PubMed

Iacona, Gwenllian D; Possingham, Hugh P; Bode, Michael

2017-09-26

Biodiversity conservation projects confront immediate and escalating threats with limited funding. Conservation theory suggests that the best response to the species extinction crisis is to spend money as soon as it becomes available, and this is often an explicit constraint placed on funding. We use a general dynamic model of a conservation landscape to show that this decision to "front-load" project spending can be suboptimal if a delay allows managers to use resources more strategically. Our model demonstrates the existence of temporal efficiencies in conservation management, which parallel the spatial efficiencies identified by systematic conservation planning. The optimal timing of decisions balances the rate of biodiversity decline (e.g., the relaxation of extinction debts, or the progress of climate change) against the rate at which spending appreciates in value (e.g., through interest, learning, or capacity building). We contrast the benefits of acting and waiting in two ecosystems where restoration can mitigate forest bird extinction debts: South Australia's Mount Lofty Ranges and Paraguay's Atlantic Forest. In both cases, conservation outcomes cannot be maximized by front-loading spending, and the optimal solution recommends substantial delays before managers undertake conservation actions. Surprisingly, these delays allow superior conservation benefits to be achieved, in less time than front-loading. Our analyses provide an intuitive and mechanistic rationale for strategic delay, which contrasts with the orthodoxy of front-loaded spending for conservation actions. Our results illustrate the conservation efficiencies that could be achieved if decision makers choose when to spend their limited resources, as opposed to just where to spend them.

An Open-Source Auto-Calibration Routine Supporting the Stormwater Management Model

NASA Astrophysics Data System (ADS)

Tiernan, E. D.; Hodges, B. R.

2017-12-01

The stormwater management model (SWMM) is a clustered model that relies on subcatchment-averaged parameter assignments to correctly capture catchment stormwater runoff behavior. Model calibration is considered a critical step for SWMM performance, an arduous task that most stormwater management designers undertake manually. This research presents an open-source, automated calibration routine that increases the efficiency and accuracy of the model calibration process. The routine makes use of a preliminary sensitivity analysis to reduce the dimensions of the parameter space, at which point a multi-objective function, genetic algorithm (modified Non-dominated Sorting Genetic Algorithm II) determines the Pareto front for the objective functions within the parameter space. The solutions on this Pareto front represent the optimized parameter value sets for the catchment behavior that could not have been reasonably obtained through manual calibration.

How State-Funded Home Care Programs Respond to Changes in Medicare Home Health Care: Resource Allocation Decisions on the Front Line

PubMed Central

Corazzini, Kirsten

2003-01-01

Objective To examine how case managers in a state-funded home care program allocate home care services in response to information about a client's Medicare home health care status, with particular attention to the influence of work environment. Data Sources/Study Setting Primary data collected on 355 case managers and 26 agency directors employed in June 1999 by 26 of the 27 regional agencies administering the Massachusetts Home Care Program for low-income elders. Study Design Data were collected in a cross-sectional survey study design. A case manager survey included measures of work environment, demographics, and factorial survey vignette clients (N=2,054), for which case managers assessed service eligibility levels. An agency director survey included measures of management practices. Data Collection/Extraction Methods Hierarchical linear models estimated the effects of work environment on the relationship between client receipt of Medicare home health care and care plan levels while controlling for case-mix differences in agencies' clients. Principal Findings Case managers did not supplement extant Medicare home health services, but did allocate more generous service plans to clients who have had Medicare home health care services recently terminated. This finding persisted when controlling for case mix and did not vary by work environment. Work environment affected overall care plan levels. Conclusions Study findings indicate systematic patterns of frontline resource allocation shaping the relationships among community-based long-term care payment sources. Further, results illustrate how nonuniform implementation of upper-level initiatives may be partially attributed to work environment characteristics. PMID:14596390

Improving preparedness of medical students and junior doctors to manage patients with diabetes.

PubMed

Kelly, Narcie A A; Brandom, Kevin G; Mattick, Karen L

2015-01-01

New medical graduates are the front-line staff in many hospital settings and manage patients with diabetes frequently. Prescribing is an area of concern for junior doctors, however, with insulin prescribing reported as a particular weakness. This study aimed to produce an educational intervention which aimed to improve preparedness to manage patients with diabetes and evaluate it using a mixed methods approach. An e-resource (http://www.diabetesscenariosforjuniordoctors.co.uk) was created to contain commonplace and authentic diabetes decision-making scenarios. -32 junior doctors (n=20) and year 5 students (n=12) in South West England worked through the scenarios while 'thinking aloud' and then undertook a semistructured interview. Qualitative data were transcribed verbatim and analyzed thematically. Participant confidence to manage patients with diabetes before, immediately after, and 6 weeks after the educational intervention was also measured using a self-rating scale. Participants reported that patients with diabetes were daunting to manage because of the wide array of insulin products, their lack of confidence with chronic disease management and the difficulty of applying theory to practice. The e-resource was described as authentic, practical, and appropriate for the target audience. Junior doctors' self-rated confidence to manage patients with diabetes increased from 4.7 (of 10) before using the e-resource, to 6.4 immediately afterwards, and 6.8 6 weeks later. Medical students' confidence increased from 5.1 before, to 6.4 immediately afterwards, and 6.4 6 weeks later. Providing opportunities to work with authentic scenarios in a safe environment can help to ameliorate junior doctors' lack of confidence to manage patients with diabetes.

Entanglement entropy in integrable field theories with line defects II. Non-topological defect

NASA Astrophysics Data System (ADS)

Jiang, Yunfeng

2017-08-01

This is the second part of two papers where we study the effect of integrable line defects on bipartite entanglement entropy in integrable field theories. In this paper, we consider non-topological line defects in Ising field theory. We derive an infinite series expression for the entanglement entropy and show that both the UV and IR limits of the bulk entanglement entropy are modified by the line defect. In the UV limit, we give an infinite series expression for the coefficient in front of the logarithmic divergence and the exact defect g-function. By tuning the defect to be purely transmissive and reflective, we recover correctly the entanglement entropy of the bulk and with integrable boundary respectively.

Multi-Objective Differential Evolution for Voltage Security Constrained Optimal Power Flow in Deregulated Power Systems

NASA Astrophysics Data System (ADS)

Roselyn, J. Preetha; Devaraj, D.; Dash, Subhransu Sekhar

2013-11-01

Voltage stability is an important issue in the planning and operation of deregulated power systems. The voltage stability problems is a most challenging one for the system operators in deregulated power systems because of the intense use of transmission line capabilities and poor regulation in market environment. This article addresses the congestion management problem avoiding offline transmission capacity limits related to voltage stability by considering Voltage Security Constrained Optimal Power Flow (VSCOPF) problem in deregulated environment. This article presents the application of Multi Objective Differential Evolution (MODE) algorithm to solve the VSCOPF problem in new competitive power systems. The maximum of L-index of the load buses is taken as the indicator of voltage stability and is incorporated in the Optimal Power Flow (OPF) problem. The proposed method in hybrid power market which also gives solutions to voltage stability problems by considering the generation rescheduling cost and load shedding cost which relieves the congestion problem in deregulated environment. The buses for load shedding are selected based on the minimum eigen value of Jacobian with respect to the load shed. In the proposed approach, real power settings of generators in base case and contingency cases, generator bus voltage magnitudes, real and reactive power demands of selected load buses using sensitivity analysis are taken as the control variables and are represented as the combination of floating point numbers and integers. DE/randSF/1/bin strategy scheme of differential evolution with self-tuned parameter which employs binomial crossover and difference vector based mutation is used for the VSCOPF problem. A fuzzy based mechanism is employed to get the best compromise solution from the pareto front to aid the decision maker. The proposed VSCOPF planning model is implemented on IEEE 30-bus system, IEEE 57 bus practical system and IEEE 118 bus system. The pareto optimal front obtained from MODE is compared with reference pareto front and the best compromise solution for all the cases are obtained from fuzzy decision making strategy. The performance measures of proposed MODE in two test systems are calculated using suitable performance metrices. The simulation results show that the proposed approach provides considerable improvement in the congestion management by generation rescheduling and load shedding while enhancing the voltage stability in deregulated power system.

Evaluation of Adaptive Noise Management Technologies for School-Age Children with Hearing Loss.

PubMed

Wolfe, Jace; Duke, Mila; Schafer, Erin; Jones, Christine; Rakita, Lori

2017-05-01

Children with hearing loss experience significant difficulty understanding speech in noisy and reverberant situations. Adaptive noise management technologies, such as fully adaptive directional microphones and digital noise reduction, have the potential to improve communication in noise for children with hearing aids. However, there are no published studies evaluating the potential benefits children receive from the use of adaptive noise management technologies in simulated real-world environments as well as in daily situations. The objective of this study was to compare speech recognition, speech intelligibility ratings (SIRs), and sound preferences of children using hearing aids equipped with and without adaptive noise management technologies. A single-group, repeated measures design was used to evaluate performance differences obtained in four simulated environments. In each simulated environment, participants were tested in a basic listening program with minimal noise management features, a manual program designed for that scene, and the hearing instruments' adaptive operating system that steered hearing instrument parameterization based on the characteristics of the environment. Twelve children with mild to moderately severe sensorineural hearing loss. Speech recognition and SIRs were evaluated in three hearing aid programs with and without noise management technologies across two different test sessions and various listening environments. Also, the participants' perceptual hearing performance in daily real-world listening situations with two of the hearing aid programs was evaluated during a four- to six-week field trial that took place between the two laboratory sessions. On average, the use of adaptive noise management technology improved sentence recognition in noise for speech presented in front of the participant but resulted in a decrement in performance for signals arriving from behind when the participant was facing forward. However, the improvement with adaptive noise management exceeded the decrement obtained when the signal arrived from behind. Most participants reported better subjective SIRs when using adaptive noise management technologies, particularly when the signal of interest arrived from in front of the listener. In addition, most participants reported a preference for the technology with an automatically switching, adaptive directional microphone and adaptive noise reduction in real-world listening situations when compared to conventional, omnidirectional microphone use with minimal noise reduction processing. Use of the adaptive noise management technologies evaluated in this study improves school-age children's speech recognition in noise for signals arriving from the front. Although a small decrement in speech recognition in noise was observed for signals arriving from behind the listener, most participants reported a preference for use of noise management technology both when the signal arrived from in front and from behind the child. The results of this study suggest that adaptive noise management technologies should be considered for use with school-age children when listening in academic and social situations. American Academy of Audiology

Synchronizing Fireflies

ERIC Educational Resources Information Center

Zhou, Ying; Gall, Walter; Nabb, Karen Mayumi

2006-01-01

"Imagine a tenth of a mile of river front with an unbroken line of trees with fireflies on ever leaf flashing in synchronism. ... Then, if one's imagination is sufficiently vivid, he may form some conception of this amazing spectacle." So wrote the naturalist Hugh Smith. In this article we consider how one might model mathematically the…

Back-illuminated CCD imager adapted for contrast transfer function measurements thereon

NASA Technical Reports Server (NTRS)

Levine, Peter A. (Inventor)

1987-01-01

Stripe patterns of varying spatial frequency, formed in the top-metalization of a back-illuminated solid-state imager, facilitate on-line measurement of contrast transfer function during wafer-probe testing. The imager may be packaged to allow front-illumination during in-the-field testing after its manufacture.

Anatomy of a Crisis: Report from the Front Line.

ERIC Educational Resources Information Center

Goens, George A.

1996-01-01

Describes events following the murder of a Wisconsin high school principal from the superintendent's viewpoint. A conceptual emergency plan is needed to get through the immediate tidal wave of the crisis. Simple guidelines are most useful. Plans should be clear and flexible and provide for inservice training, psychological assistance, and…

50 CFR 660.302 - Definitions.

Code of Federal Regulations, 2010 CFR

2010-10-01

... change seasonally according to the different conservation needs of the different overfished species... any rollers, bobbins, or other material encircling or tied along the length of the footrope. (C) Small... mesh. (J) Trawl fishing line. A length of chain, rope, or wire rope in the bottom front end of a trawl...

The Front Line: Corruption of Youth or Ignorance in Action?

ERIC Educational Resources Information Center

Unks, Gerald

1981-01-01

The author decries the tactics of one-issue pressure groups seeking to censor sex education and other educational activities. He sees these groups as an anti-intellectual force attacking the free exchange of ideas, which is the major purpose and function of schools in a democracy. (SJL)

SPIDER Readied for Launch

NASA Image and Video Library

2015-01-22

Prior to launch, the team laid out the parachute and hang lines in front of SPIDER, seen in the distance. The long-duration balloon that would carry SPIDER into the sky is attached to the end of the parachute shown here in the foreground. http://photojournal.jpl.nasa.gov/catalog/PIA19177

Canada in the 21st Century - Triumph or Tragedy? The Front Line.

ERIC Educational Resources Information Center

Kilgour, David

1996-01-01

Argues that new patterns of trade and production combined with an emphasis on a knowledge-based economy/society make it imperative that Canada upgrade its educational system. Specifically notes that several growing and dominant industries (microelectronics, biotechnology, telecommunications) require a high-tech skilled labor force. (MJP)

Effect of Organizational Climate on Youth Outcomes in Residential Treatment

ERIC Educational Resources Information Center

Jordan, Neil; Leon, Scott C.; Epstein, Richard A.; Durkin, Elizabeth; Helgerson, Jena; Lakin-Starr, Brittany L.

2009-01-01

This study examined the association between organizational climate and changes in internalizing and externalizing behavior for youth in residential treatment centers (RTCs). The sample included 407 youth and 349 front-line residential treatment staff from 17 RTCs in Illinois. Youth behavior was measured using the Child Functional Assessment Rating…

Combatting Race-Related Stress in the Classroom

ERIC Educational Resources Information Center

Sehgal, Priya; Jeffries, Julia; Rappaport, Nancy

2018-01-01

In a time marked by racial divides, the authors of this article argue that teachers are on the front lines of identifying and responding to race-related stress in the classroom. They provide suggestions for how teachers can educate themselves about students' racialized experiences and respond appropriately to support students' mental health.

Youth Employment: National Policy and Local Delivery in Three U.S. Settings.

ERIC Educational Resources Information Center

Elmore, Richard F.

Research on the local implementation of national policies offering youth employment focused on "high-risk" youth in Seattle, San Francisco, and Clark County, Washington. Data from structured interviews with young people, front-line workers, and local administrators were analyzed using "backward mapping" (going from behavior to…

Talk-show host and CEO.

PubMed

Greene, J

1990-07-09

Erie Chapman's idea of being a hospital chief executive extends to hosting a television talk show and spending work days as a patient escort or janitor. A critic of executives who rule their hospitals from their offices, Mr. Chapman advocates being visible and accessible to front-line staff and the public.

Teacher Responses to Bullying: Self-Reports from the Front Line

ERIC Educational Resources Information Center

Marshall, Megan L.; Varjas, Kris; Meyers, Joel; Graybill, Emily C.; Skoczylas, Rebecca B.

2009-01-01

School climate research emphasizes the critical role teachers play in providing safe and supportive environments for students to learn. Despite numerous negative physical and mental health consequences related to bullying in schools, research investigating teachers' responses to reduce bullying is scarce. Individual in-depth interviews were…

Facilities | Advanced Manufacturing Research | NREL

Science.gov Websites

, and black building with two people walking in front of it. Energy Systems Integration Facility Its projects. Photo of a large, warehouse-like, lab space with several people in hard hats operating equipment with a few people and manufacturing equipment, including spools and web lines. Manufacturing Laboratory

Economic Competitiveness: A Campaign Primer

ERIC Educational Resources Information Center

Fischer, Karin

2008-01-01

With the dollar's continued swoon and grim news on the job front, American economic competitiveness has become a central theme in the presidential election. Stumping in Ohio and Pennsylvania, old-line industrial states hit hard by the flight of manufacturing jobs, Democrats Hillary Rodham Clinton and Barack Obama have called for renegotiating the…

Introduction to Effective Music Teaching: Artistry and Attitude

ERIC Educational Resources Information Center

Townsend, Alfred S.

2011-01-01

"Introduction to Effective Music Teaching: Artistry and Attitude" provides the prospective teacher with front-line tested strategies and approaches that are based on current research and the author's three decades of service as a public school music educator, department chairman, and public school district music administrator. Starting with a…

Building Resilience through Humor.

ERIC Educational Resources Information Center

Berg, Debra Vande; Van Brockern, Steve

1995-01-01

Research on resilience suggests that a sense of humor helps to stress-proof children in conflict. Reports on a workshop for educators and youth workers convened to explore ways humor is being used to foster positive development and resilience with troubled youth. Describes applications of humor front-line professionals report as useful in their…

The Front Line: Thou Shalt Not Think!

ERIC Educational Resources Information Center

Unks, Gerald

1979-01-01

Teachers who desire the academic freedom to discuss all sides of an issue are often branded as disloyal, communistic, or evil. But it is those who propose thought control and oppose total access to knowledge, not teachers advocating their students' right to know, who are America's actual subversives. (Author/SJL)

Reputationally Strong HIV Prevention Programs: Lessons from the Front Line

ERIC Educational Resources Information Center

Eke, Agatha N.; Mezoff, Jane S.; Duncan, Ted; Sogolow, Ellen D.

2006-01-01

Although HIV prevention researchers have conducted numerous controlled outcome studies to evaluate the effectiveness of theory-based interventions aimed at reducing HIV risk behaviors, many HIV risk reduction interventions are conducted not by researchers but by staff in local health departments or community-based organizations (CBOs). Despite…

High-Impact Training Solutions: Top Issues Troubling Trainers.

ERIC Educational Resources Information Center

Burke, Lisa A., Ed.

Designed for front-line training professionals, this book addresses the most pressing issues in the training and development field (T&D). "Introduction" (Lisa A. Burke) discusses the importance of viewing training as a subsystem of human resources, training as a systematic process, and indicators of high impact training.…

Knowledge Collisions: Perspectives from CED Practitioners Working with Women. NALL Working Paper.

ERIC Educational Resources Information Center

Stratton, Mary; Jackson, Ted

A study explored the ways that front-line community development workers across Canada gained information needed to work with women participants in community economic development initiatives. Data were gathered through focus groups, a preliminary study with 15 key informants employed in community development organizations, and structured telephone…

Computer-Based and Paper-Based Measurement of Recognition Performance.

ERIC Educational Resources Information Center

Federico, Pat-Anthony

To determine the relative reliabilities and validities of paper-based and computer-based measurement procedures, 83 male student pilots and radar intercept officers were administered computer and paper-based tests of aircraft recognition. The subject matter consisted of line drawings of front, side, and top silhouettes of aircraft. Reliabilities…

Communicating for Safety's Sake

ERIC Educational Resources Information Center

Wiesner, Robert

2005-01-01

No community is safe until every member takes responsibility for the community's collective safety. College communities are no different from families, towns and businesses in that respect. Getting everyone to accept responsibility is a challenge and skilled communication is an important component of the solution. As part of the front line,…

Victims of Domestic Violence and Front-Line Workers: A Helping Paradigm

ERIC Educational Resources Information Center

Peters, Scott W.; Trepal, Heather C.; de Vries, Sabina M.; Day, Sally W.; Leeth, Christopher

2009-01-01

Victims of domestic violence present a challenge to law enforcement and emergency room personnel. The authors propose a helping approach to assist these professionals. This paradigm is composed of: active and empathetic listening, acceptance without judgment, identifying victims' strengths, honoring victims as experts, and the process of leaving…

Organizational Justice and Social Workers' Intentions to Leave Agency Positions

ERIC Educational Resources Information Center

Kim, Tae Kuen; Solomon, Phyllis; Jang, Cinjae

2012-01-01

The authors investigated the impact of organizational justice on social workers' intention to leave Korean social service agencies. Specifically, this study concentrated on the moderating effect of organizational justice on the relationship between burnout and intention to leave. The authors surveyed 218 front-line social workers from 51 social…

Front-Line Educators: The Impact of Classified Staff Interactions on the Student Experience

ERIC Educational Resources Information Center

Schmitt, Mary Ann; Duggan, Molly H.; Williams, Mitchell R.; McMillan, Judy B.

2015-01-01

This multiple case study explored classified staff interactions with students as a strategy for increasing success. Interviews, observations, and focus groups examined interactions from the staff perspective. Findings indicate staff members enhance the educational process by providing a human connection, offering practical strategies for success,…

Exploring Staff Facilitation that Supports Family Learning

ERIC Educational Resources Information Center

Pattison, Scott A.; Dierking, Lynn D.

2012-01-01

Front-line educators are arguably critical to the visitor experience at museums and science centers across the country. However, little research exists to inform staff facilitation strategies or professional development efforts. In this article, we describe the results of a qualitative study of 63 staff-family interactions in a science center,…

Lymphocystis virus: isolation and propagation in centrarchid fish cell lines.

PubMed

Wolf, K; Gravell, M; Malsberger, R G

1966-02-25

A virus from fish with lymphocystis disease was isolated in fish cell cultures. Eleven serial transfers were made and the pathognomonic lymphocystis cells were produced in vitro in each transfer. Fish inoculated with 6th- and 9th-passage material developed the disease, and virus was reisolated front them.

KSC-04pd0524

NASA Image and Video Library

2004-03-05

KENNEDY SPACE CENTER, FLA. - The STS-114 crew pose for a photo in front of a solid rocket booster aft skirt in the SRB Assembly and Refurbishment Facility. In front, from left, are Cynthia Perrons, electrical technician with United Space Alliance; Commander Eileen Collins, Pilot James Kelly, and Mission Specialists Charles Camarda and Andrew Thomas. In back are Paul Gutierrez, associate program manager in SRB Element, USA; John Cleary Jr., electrical engineer with USA; Mike Leppert, project lead, Manufacturing Operations, USA; Don Noah, Materials and Processes engineer, USA; Bob Herman, deputy associate program manager, SRB Element, USA; Mission Specialist Soichi Noguchi; Dale Marlow, thermal protection system engineer with USA; Mission Specialist Stephen Robinson; Greg Henry, director, Manufacturing Operations, USA.

Ultrafast-laser dicing of thin silicon wafers: strategies to improve front- and backside breaking strength

NASA Astrophysics Data System (ADS)

Domke, Matthias; Egle, Bernadette; Stroj, Sandra; Bodea, Marius; Schwarz, Elisabeth; Fasching, Gernot

2017-12-01

Thin 50-µm silicon wafers are used to improve heat dissipation of chips with high power densities. However, mechanical dicing methods cause chipping at the edges of the separated dies that reduce the mechanical stability. Thermal load changes may then lead to sudden chip failure. Recent investigations showed that the mechanical stability of the cut chips could be increased using ultrashort-pulsed lasers, but only at the laser entrance (front) side and not at the exit (back) side. The goal of this study was to find strategies to improve both front- and backside breaking strength of chips that were cut out of an 8″ wafer with power metallization using an ultrafast laser. In a first experiment, chips were cut by scanning the laser beam in single lines across the wafer using varying fluencies and scan speeds. Three-point bending tests of the cut chips were performed to measure front and backside breaking strengths. The results showed that the breaking strength of both sides increased with decreasing accumulated fluence per scan. Maximum breaking strengths of about 1100 MPa were achieved at the front side, but only below 600 MPa were measured for the backside. A second experiment was carried out to optimize the backside breaking strength. Here, parallel line scans to increase the distance between separated dies and step cuts to minimize the effect of decreasing fluence during scribing were performed. Bending tests revealed that breaking strengths of about 1100 MPa could be achieved also on the backside using the step cut. A reason for the superior performance could be found by calculating the fluence absorbed by the sidewalls. The calculations suggested that an optimal fluence level to minimize thermal side effects and periodic surface structures was achieved due to the step cut. Remarkably, the best breaking strengths values achieved in this study were even higher than the values obtained on state of the art ns-laser and mechanical dicing machines. This is the first study to the knowledge of the authors, which demonstrates that ultrafast-laser dicing improves the mechanical stability of thin silicon chips.

Deep Chandra Observation and Numerical Studies of the Nearest Cluster Cold Front in the Sky

NASA Technical Reports Server (NTRS)

Werner, N.; ZuHone, J. A.; Zhuravleva, I.; Ichinohe, Y.; Simionescu, A.; Allen, S. W.; Markevitch, M.; Fabian, A. C.; Keshet, U.; Roediger, E.;

Safety leadership: application in construction site.

PubMed

Cooper, Dominic

2010-01-01

The extant safety literature suggests that managerial Safety Leadership is vital to the success and maintenance of a behavioral safety process. The current paper explores the role of Managerial Safety Leadership behaviors in the success of a behavioral safety intervention in the Middle-East with 47,000 workers from multiple nationalities employed by fourteen sub-contractors and one main contractor. A quasi-experimental repeating ABABAB, within groups design was used. Measurement focused on managerial Safety Leadership and employee safety behaviors as well as Corrective Actions. Data was collected over 104 weeks. During this time, results show safety behavior improved by 30 percentage points from an average of 65% during baseline to an average of 95%. The site achieved 121 million man-hours free of lost-time injuries on the longest run. Stepwise multiple regression analyses indicated 86% of the variation in employee safety behavior was associated with senior, middle and front-line manager's Safety Leadership behaviors and the Corrective Action Rate. Approximately 38% of the variation in the Total Recordable Incident Rate (TRIR) was associated with the Observation rate, Corrective Action Rate and Observers Records of managerial safety leaders (Visible Ongoing Support). The results strongly suggest manager's Safety Leadership influences the success of Behavioral Safety processes.

Integrated remotely sensed datasets for disaster management

NASA Astrophysics Data System (ADS)

McCarthy, Timothy; Farrell, Ronan; Curtis, Andrew; Fotheringham, A. Stewart

2008-10-01

Video imagery can be acquired from aerial, terrestrial and marine based platforms and has been exploited for a range of remote sensing applications over the past two decades. Examples include coastal surveys using aerial video, routecorridor infrastructures surveys using vehicle mounted video cameras, aerial surveys over forestry and agriculture, underwater habitat mapping and disaster management. Many of these video systems are based on interlaced, television standards such as North America's NTSC and European SECAM and PAL television systems that are then recorded using various video formats. This technology has recently being employed as a front-line, remote sensing technology for damage assessment post-disaster. This paper traces the development of spatial video as a remote sensing tool from the early 1980s to the present day. The background to a new spatial-video research initiative based at National University of Ireland, Maynooth, (NUIM) is described. New improvements are proposed and include; low-cost encoders, easy to use software decoders, timing issues and interoperability. These developments will enable specialists and non-specialists collect, process and integrate these datasets within minimal support. This integrated approach will enable decision makers to access relevant remotely sensed datasets quickly and so, carry out rapid damage assessment during and post-disaster.

Improving Data Quality in Mass-Gatherings Health Research.

PubMed

Guy, Andrew; Prager, Ross; Turris, Sheila; Lund, Adam

2017-06-01

Mass gatherings attract large crowds and can strain the planning and health resources of the community, city, or nation hosting an event. Mass-Gatherings Health (MGH) is an evolving niche of prehospital care rooted in emergency medicine, emergency management, public health, and disaster medicine. To explore front-line issues related to data quality in the context of mass gatherings, the authors draw on five years of management experience with an online, mass-gathering event and patient registry, as well as clinical and operational experience amassed over several decades. Here the authors propose underlying human, environmental, and logistical factors that may contribute to poor data quality at mass gatherings, and make specific recommendations for improvement through pre-event planning, on-site actions, and post-event follow-up. The advancement of MGH research will rely on addressing factors that influence data quality and developing strategies to mitigate or enhance those factors. This is an exciting time for MGH research as higher order questions are beginning to be addressed; however, quality research must start from the ground up to ensure optimal primary data capture and quality. Guy A , Prager R , Turris S , Lund A . Improving data quality in mass-gatherings health research. Prehosp Disaster Med. 2017;32(3):329-332.