nclex-rn pass rates: Topics by Science.gov

Sample records for nclex-rn pass rates

Comparing NET and ERI standardized exam scores between baccalaureate graduates who pass or fail the NCLEX-RN.

PubMed

Bondmass, Mary D; Moonie, Sheniz; Kowalski, Susan

2008-01-01

In the United States, nursing programs are commonly evaluated by their graduates success on the National Council Licensure Examination for Registered Nurses (NCLEX-RN). The purpose of this paper is to describe a change in NCLEX-RN success rates following the addition of standardized exams throughout our program's curriculum, and to compare these exam scores between graduates who pass NCLEX-RN and those who do not. Our results indicate an 8.5% change (p < 0.000) in the NCLEX-RN pass rate from our previous 5-year mean pass rate, and significant differences in standardized test scores for those who pass the NCLEX-RN compared to those who do not (p < 0.03). We conclude that our selected standardized exam scores are able to significantly identify graduates who are more likely to pass NCLEX-RN than not.
Learning Style as a Predictor of First-Time NCLEX-RN Success: Implications for Nurse Educators.

PubMed

Lown, Susan G; Hawkins, Lee Ann

Improving NCLEX-RN® pass rates remains a priority for nursing programs. Many programs collect learning style inventory data, yet few studies have looked at relationships between these data and NCLEX-RN pass/fail rates. Learning style preferences (visual, auditory, tactile, individual, group) and NCLEX pass/fail results were examined for 532 undergraduates in a Midwestern university. A significant correlation between preference for group learning and failure of the NCLEX was found (χ = 5.99, P = .05).
NCLEX-RN Examination Performance by BSN Graduates of Four Historically Black Colleges and Universities

ERIC Educational Resources Information Center

Chesney, Anita M.

2010-01-01

This qualitative multiple-case study research explored and described differences as well as NCLEX-RN preparation strategies used by Historically Black College and University (HBCU) baccalaureate nursing programs with consistent NCLEX pass rates versus those with inconsistent pass rates. Two of the four selected programs had a history of consistent…
Strategies for lowering attrition rates and raising NCLEX-RN pass rates.

PubMed

Higgins, Bonnie

2005-12-01

This study was designed to determine strategies to raise the NCLEX-RN pass rate and lower the attrition rate in a community college nursing program. Ex-post facto data were collected from 213 former nursing student records. Qualitative data were collected from 10 full-time faculty, 30 new graduates, and 45 directors of associate degree nursing programs in Texas. The findings linked the academic variables of two biology courses and three components of the preadmission test to completion of the nursing program. A relationship was found between one biology course, the science component of the preadmission test, the HESI Exit Examination score, and the nursing skills course to passing the NCLEX-RN. Qualitative data indicated preadmission requirements, campus counselors, remediation, faculty, test-item writing, and teaching method were instrumental in completion of the program and passing the NCLEX-RN.
Predictors of NCLEX-RN Success of Associate Degree Graduates: A Correlational Study

ERIC Educational Resources Information Center

Kehm, Bonny J.

2013-01-01

The outcome of Associate Degree Nursing (ADN) students not passing the initial National Council of Licensure Examination for Registered Nursing (NCLEX-RN) can adversely affect schools of nursing. This failure also adversely affects the national nursing shortage. The declining national pass rates on the NCLEX-RN for ADN graduates and the increasing…
Academic and Demographic Predictors of NCLEX-RN Pass Rates in First- and Second-Degree Accelerated BSN Programs.

PubMed

Kaddoura, Mahmoud A; Flint, Elizabeth P; Van Dyke, Olga; Yang, Qing; Chiang, Li-Chi

Relatively few studies have addressed predictors of first-attempt outcomes (pass-fail) on the National Council Licensure Examination-Registered Nurses (NCLEX-RN) for accelerated BSN programs. The purpose of this study was to compare potential predictors of NCLEX outcomes in graduates of first-degree accelerated (FDA; n=62) and second-degree accelerated (SDA; n=173) BSN programs sharing a common nursing curriculum. In this retrospective study, bivariate analyses and multiple logistic regression assessed significance of selected demographic and academic characteristics as predictors of NCLEX-RN outcomes. FDA graduates were more likely than SDA graduates to fail the NCLEX-RN (P=.0013). FDA graduates were more likely to speak English as a second or additional language (P<.0001), have lower end-of-program GPA and HESI Exit Exam scores (both P<.0001), and have a higher proportions of grades ≤ C (P=.0023). All four variables were significant predictors of NCLEX-RN outcomes within both FDA and SDA programs. The only significant predictors in adjusted logistic regression of NCLEX-RN outcome for the pooled FDA+SDA graduate sample were proportion of grades ≤ C (a predictor of NCLEX-RN failure) and HESI Exit Exam score (a predictor of passing NCLEX-RN). Grades of C or lower on any course may indicate inadequate mastery of critical NCLEX-RN content and increased risk of NCLEX-RN failure. Copyright © 2016 Elsevier Inc. All rights reserved.
Impact of a standardized test package on exit examination scores and NCLEX-RN outcomes.

PubMed

Homard, Catherine M

2013-03-01

The purpose of this ex post facto correlational study was to compare exit examination scores and NCLEX-RN(®) pass rates of baccalaureate nursing students who differed in level of participation in a standardized test package. Three cohort groups emerged as a standardized test package was introduced: (a) students who did not participate in a standardized test package; (b) students with two semesters of a standardized test package; and (c) students with four semesters of a standardized test package. Benner's novice-to-expert theory framed the study in the belief that students best acquire knowledge and skills through practice and reflection. Students participating in four semesters of a standardized test package demonstrated higher exit examination scores and NCLEX-RN pass rates compared with students who did not participate in this package. This study's results could inform nurse educators about strategies to facilitate nursing student success on exit examinations and the NCLEX-RN. Copyright 2013, SLACK Incorporated.
Accelerated second-degree nursing students: predictors of graduation and NCLEX-RN first-time pass rates.

PubMed

Penprase, Barbara B; Harris, Margaret A

2013-01-01

It is important to understand and identify factors that affect students' academic performance before entry into a nursing program and as they progress through the program. The authors discuss a study, and its outcomes, that assessed accelerated second-degree nursing students' prenursing and core nursing grades that served to predict their success at completing the nursing program and passing NCLEX-RN on first attempt. Strategies were identified to help at-risk students to be successful in the program and with first-time passage of NCLEX-RN.
Decision-Tree Analysis for Predicting First-Time Pass/Fail Rates for the NCLEX-RN® in Associate Degree Nursing Students.

PubMed

Chen, Hsiu-Chin; Bennett, Sean

2016-08-01

Little evidence shows the use of decision-tree algorithms in identifying predictors and analyzing their associations with pass rates for the NCLEX-RN(®) in associate degree nursing students. This longitudinal and retrospective cohort study investigated whether a decision-tree algorithm could be used to develop an accurate prediction model for the students' passing or failing the NCLEX-RN. This study used archived data from 453 associate degree nursing students in a selected program. The chi-squared automatic interaction detection analysis of the decision trees module was used to examine the effect of the collected predictors on passing/failing the NCLEX-RN. The actual percentage scores of Assessment Technologies Institute®'s RN Comprehensive Predictor(®) accurately identified students at risk of failing. The classification model correctly classified 92.7% of the students for passing. This study applied the decision-tree model to analyze a sequence database for developing a prediction model for early remediation in preparation for the NCLEXRN. [J Nurs Educ. 2016;55(8):454-457.]. Copyright 2016, SLACK Incorporated.
Self-Esteem, Locus of Control, and First-Time NCLEX-RN Passage of BSN Students at Historically Black Colleges and Universities.

PubMed

Chavis, Pamella Ivey

Relationships between self-esteem, locus of control (LOC), and first-time passage of National Council Licensure Examination for Registered Nurses (NCLEX-RN®) were examined at baccalaureate nursing programs at two historically black colleges and universities. Shortages continue to exceed demands for RNs prepared at the baccalaureate level. Inconsistent pass rates on the NCLEX-RN for graduates of historically black colleges and universities impede the supply of RNs. Surveys and archival data were used to examine characteristics of the sample and explore relationships among variables. All participants (N = 90) reported high self-esteem and internal LOC. Models suggested that all those with high self-esteem and internal LOC would pass the NCLEX-RN; only 85 percent passed the first time. Statistical analysis revealed a lack of statistical significance between self-esteem, LOC, and first-time passage. Variables not included in the study may have affected first-time passage.
Simulation Performance and National Council Licensure Examination for Registered Nurses Outcomes: Field Research Perspectives.

PubMed

Brackney, Dana E; Lane, Susan Hayes; Dawson, Tyia; Koontz, Angie

2017-11-01

This descriptive field study examines processes used to evaluate simulation for senior-level Bachelor of Science in Nursing (BSN) students in a capstone course, discusses challenges related to simulation evaluation, and reports the relationship between faculty evaluation of student performance and National Council Licensure Examination for Registered Nurses (NCLEX-RN) first-time passing rates. Researchers applied seven terms used to rank BSN student performance (n = 41, female, ages 22-24 years) in a senior-level capstone simulation. Faculty evaluation was correlated with students' NCLEX-RN outcomes. Students evaluated as "lacking confidence" and "flawed" were less likely to pass the NCLEX-RN on the first attempt. Faculty evaluation of capstone simulation performance provided additional evidence of student preparedness for practice in the RN role, as evidenced by the relationship between the faculty assessment and NCLEX-RN success. Simulation has been broadly accepted as a powerful educational tool that may also contribute to verification of student achievement of program outcomes and readiness for the RN role.
Use of Standardized Mastery Content Assessments Given during the First Year of a Baccalaureate Nursing Program for Predicting NCLEX-RN Outcomes

ERIC Educational Resources Information Center

Emory, DeAnna Jan

2012-01-01

The purpose of this study was to evaluate the relationship between standardized content specific mastery assessments and NCLEX-RN outcomes. Three content-specific standardized assessments testing Fundamentals, Pharmacology and Mental Health concepts were used to explain the dichotomous NCLEX-RN outcome of pass or fail. The three assessments were…
Exploring longitudinal shifts in international nurse migration to the United States between 2003 and 2013 through a random effects panel data analysis.

PubMed

Squires, Allison; Ojemeni, Melissa T; Jones, Simon

2016-06-30

No study has examined the longitudinal trends in National Council Licensure Exam for Registered Nurse (NCLEX-RN) applicants and pass rates among internationally-educated nurses (IENs) seeking to work in the United States, nor has any analysis explored the impact of specific events on these trends, including changes to the NCLEX-RN exam, the role of the economic crisis, or the passing of the WHO Code on the International Recruitment of Health Personnel. This study seeks to understand the impact of the three aforementioned factors that may be influencing current and future IEN recruitment patterns in the United States. In this random effects panel data analysis, we analyzed 11 years (2003-2013) of annual IEN applicant numbers and pass rates for registered nurse credentialing. Data were obtained from publicly available reports on exam pass rates. With the global economic crisis and NCLEX-RN changes in 2008 coupled with the WHO Code passage in 2010, we sought to compare if (1) the number of applicants changed significantly after those 2 years and (2) if pass rates changed following exam modifications implemented in 2008 and 2011. A total of 177 countries were eligible for inclusion in this analysis, representing findings from 200,453 IEN applicants to the United States between 2003 and 2013. The majority of applicants were from the Philippines (58 %) and India (11 %), with these two countries combined representing 69 % of the total. Candidates from Sub-Saharan African countries totalled 7133 (3 % of all applications) over the study period, with half of these coming from Nigeria alone. No significant changes were found in the number of candidates following the 2008 economic crisis or the 2010 WHO Code, although pass rates decreased significantly following the 2008 exam modifications and the WHO Code implementation. This study suggests that, while the WHO Code has had an influence on overall IEN migration dynamics to the United States by decreasing candidate numbers, in most cases, the WHO Code was not the single cause of these fluctuations. Indeed, the impact of the NCLEX-RN exam changes appears to exert a larger influence.
Nursing Students' Nonacademic Barriers to Success on High Stakes Exams

ERIC Educational Resources Information Center

Bussen, Jennifer A.

2016-01-01

Every nursing program wants its graduates to pass the NCLEX-RN licensure examination the first time they take it. For those who fail, entry into practice is delayed until they can pass the NCLEX-RN. The nursing programs that graduated students who fail may experience a loss of reputation, decreased numbers of potential applicants, and, ultimately,…
Laying the Groundwork for NCLEX Success: An Exploration of Adaptive Quizzing as an Examination Preparation Method.

PubMed

Cox-Davenport, Rebecca A; Phelan, Julia C

2015-05-01

First-time NCLEX-RN pass rates are an important indicator of nursing school success and quality. Nursing schools use different methods to anticipate NCLEX outcomes and help prevent student failure and possible threat to accreditation. This study evaluated the impact of a shift in NCLEX preparation policy at a BSN program in the southeast United States. The policy shifted from the use of predictor score thresholds to determine graduation eligibility to a more proactive remediation strategy involving adaptive quizzing. A descriptive correlational design evaluated the impact of an adaptive quizzing system designed to give students ongoing active practice and feedback and explored the relationship between predictor examinations and NCLEX success. Data from student usage of the system as well as scores on predictor tests were collected for three student cohorts. Results revealed a positive correlation between adaptive quizzing system usage and content mastery. Two of the 69 students in the sample did not pass the NCLEX. With so few students failing the NCLEX, predictability of any course variables could not be determined. The power of predictor examinations to predict NCLEX failure could also not be supported. The most consistent factor among students, however, was their content mastery level within the adaptive quizzing system. Implications of these findings are discussed.
Faculty support for ESL nursing students: action plan for success.

PubMed

Hansen, Eileen; Beaver, Shirley

2012-01-01

Nursing students whose first language is not English have lower retention and NCLEX-RN pass rates. This review identifies four areas of difficulty and recommends strategies that can be employed by supportive faculty to assist these students and help ensure a more diverse nursing workforce to care for our increasingly diverse patient population.
Predictors for Associate Degree Nursing Students' First Attempt on NCLEX-RN

ERIC Educational Resources Information Center

Smith, Barbara A.

2011-01-01

Nursing program administrators need to identify significant predictors for associate degree nursing (ADN) students to determine characteristics of those who will most likely pass the NCLEX-RN® on the first attempt. The purpose of the quantitative study with a correlation prediction design was to determine if a relationship existed between the…
People are failing! Something needs to be done: Canadian students' experience with the NCLEX-RN.

PubMed

McGillis Hall, Linda; Lalonde, Michelle; Kashin, Jordana

2016-11-01

Canada's nurse regulators adopted the NCLEX as the entry-to-practice licensing exam for Canada's registered nurses effective January 2015. It is important to determine whether any issues from this change emerged for nursing students in preparing for and taking this new exam. To explore the experiences of Canadian graduate student nurses who were the first to write the NCLEX examination for entry to practice in Canada, determine whether any issues with implementation were identified and how these could be addressed. A qualitative study. Thematic analysis of semi-structured interview data obtained through interviews with 202 graduate Canadian nursing students was the methodology employed in this study. The predominant theme that emerged from the interview data was policy related issues that students identified with preparing for and taking the NCLEX. Sub-themes included: a) temporary test centre concerns, b) perceptions of American context and content on the exam, c) lack of French language resources and translation issues, d) the limited number of opportunities to write the exam, e) communication and engagement with regulators, f) financial costs incurred and g) reputational costs for the Canadian nursing profession. The experiences of study participants with NCLEX implementation in Canada were less than positive. This is of critical importance given the pass rates for first-time NCLEX writers in Canada were reported as 69.7%, substantially lower than pass rates on the previous Canadian entry-to-practice exam. Copyright © 2016 Elsevier Ltd. All rights reserved.
Preparing underemployed Latino U.S. nurses through the Mexico NCLEX-RN Success Program.

PubMed

Lujan, Josefina; Little, Kermit

2010-12-01

The critical nursing shortage in U.S. communities along the United States-Mexico border is compounded by the need for nurses who are linguistically and culturally concordant with the growing number of Latinos in these communities. The innovative 16-week Mexico NCLEX-RN Success Program responds to this need by helping underemployed Latino nurses, who were educated in Mexico and live in the United States, adapt linguistically and culturally to multiple-choice testing. Ten of the program students have taken the NCLEX-RN with a 50% pass rate, which is twice as high as the internationally educated candidate passing average. This demonstrates potential for the program to build the human capacity of U.S. communities along the United States-Mexico border by infusing linguistically and culturally concordant nurses into the workforce and materializing the dream of underemployed Latino nurses to implement their hard-earned and urgently needed nursing skills. Lessons learned from the program are discussed. Copyright 2010, SLACK Incorporated.
Components of US Associate Degree Nursing Programs and Their Relationship to the National Council Licensure Examination for Registered Nurses Graduate Pass Rates

ERIC Educational Resources Information Center

Popescu, Caroline A.

2011-01-01

The nursing shortage has accelerated the need for nursing programs to discover program components related to success on the NCLEX-RN. As the demand for nurses is growing, nursing programs have been called upon to help find solutions to the problem. This study attempted to contribute to the resolution of the shortage and provide nursing educators…

Predictors of Success and Failure for ADN Students on the NCLEX-RN

ERIC Educational Resources Information Center

Benefiel, Diane

2011-01-01

The purpose of this study was to: 1) analyze the relationship of preprogram and nursing program variables on National Council Licensure Examination for Registered Nurses (NCLEX-RN) success and failure, and 2) develop a model to predict success and failure on the NCLEX-RN. The convenience sample was comprised of 245 spring, summer, and fall midterm…
Program Exit Examinations in Nursing Education: Using a Value Added Assessment as a Measure of the Impact of a New Curriculum

ERIC Educational Resources Information Center

Morris, Tama; Hancock, Dawson

2008-01-01

To become a registered nurse in the United States, one must pass the National Council License Examination for Registered Nurses (NCLEX-RN). To address the growing national nursing shortage, nurse preparation programs must better prepare students to pass this national licensure examination. The purpose of this study was to determine whether a new…
Affirming At-Risk Minorities for Success (ARMS): retention, graduation, and success on the NCLEX-RN.

PubMed

Sutherland, Judith A; Hamilton, Mary Jane; Goodman, Nancy

2007-08-01

Increasing ethnic and racial diversity in the U.S. population combined with inadequate minority representation in the nursing profession requires innovative strategies to recruit, retain, and graduate nurses from diverse ethnic and racial populations. Affirming At-Risk Minorities for Success (ARMS) was funded by a U.S. Department of Health and Human Services Basic Nurse Education and Practice Program grant. Participants (N = 64) were enrolled in a baccalaureate degree nursing program that has been predominantly White/ Anglo and is located in the south-central region of the United States. Research objectives were to increase program retention, graduation rates, and success on the National Council Licensure Examination for Registered Nurses (NCLEX-RN) for minority or educationally disadvantaged students through programmatic interventions, including mentoring and advising, tutoring, and educational seminars. The comparison group was non-ARMS students derived from a comprehensive database (N = 265). Results indicated that interventions positively affected graduation rates (measure of retention = 98%), significantly affected grades in the Leadership-Management capstone course, and eliminated the effects of ethnicity on NCLEX-RN success.
A Comparative Analysis of Demographic and Academic Characteristics and NCLEX-RN Passing among Urban and Rural Campus Students in a Midwest Associate Degree Nursing Program

ERIC Educational Resources Information Center

Nacos-Burds, Kathleen J.

2010-01-01

A retrospective study was initiated to determine: (1) the predictive relationship between demographic and academic variables and NCLEX-RN success; and (2) if there were significant differences between urban and rural nursing students that could account for an increased percentage of rural NCLEX-RN failures. A convenience sample was comprised of…
Tutoring for Success: Empowering Graduate Nurses After Failure on the NCLEX-RN.

PubMed

Lutter, Stacy L; Thompson, Cheryl W; Condon, Marian C

2017-12-01

Failure on the National Council Licensure Examination for Registered Nurses (NCLEX-RN) is a devastating experience. Most research related to NCLEX-RN is focused on predicting and preventing failure. Despite these efforts, more than 20,000 nursing school graduates experience failure on the NCLEX-RN each year, and there is a paucity of literature regarding remediation after failure. The aim of this article is to describe an individualized tutoring approach centered on establishing a trusting relationship and incorporating two core strategies for remediation: the nugget method, and a six-step strategy for question analysis. This individualized tutoring method has been used by three nursing faculty with a 95% success rate on an NCLEX retake attempt. Further research is needed to identify the elements of this tutoring method that influence success. [J Nurs Educ. 2017;56(12):758-761.]. Copyright 2017, SLACK Incorporated.
The predictive ability of critical thinking, nursing GPA, and SAT scores on first-time NCLEX-RN performance.

PubMed

Romeo, Elizabeth M

2013-01-01

This study was conducted to investigate the predictability of several variables in achieving first-time success on the NCLEX-RN. Several researchers have attempted to investigate the differences between students who passed the NCLEX-RN the first time and those who failed. No studies used a large enough failure group to have statistical significance. The three specific variables in this study were nursing GPA, SAT combined math and verbal scores, and critical thinking measured on a standardized assessment examination. An ex post facto study design was used to examine data from the records of associate degree nursing graduates during a three-year period. The most significant predictors of NCLEX-RN success were the students' nursing GPA and the overall standardized assessment examination score. The findings of this study could potentially influence the identification of students at risk for NCLEX-RN failure.
NCLEX-RN performance: predicting success on the computerized examination.

PubMed

Beeman, P B; Waterhouse, J K

2001-01-01

Since the adoption of the Computerized Adaptive Testing (CAT) format of the National Certification Licensure Examination for Registered Nurses (NCLEX-RN), no studies have been reported in the literature on predictors of successful performance by baccalaureate nursing graduates on the licensure examination. In this study, a discriminant analysis was used to identify which of 21 variables can be significant predictors of success on the CAT NCLEX-RN. The convenience sample consisted of 289 individuals who graduated from a baccalaureate nursing program between 1995 and 1998. Seven significant predictor variables were identified. The total number of C+ or lower grades earned in nursing theory courses was the best predictor, followed by grades in several individual nursing courses. More than 93 per cent of graduates were correctly classified. Ninety-four per cent of NCLEX "passes" were correctly classified, as were 92 per cent of NCLEX failures. This degree of accuracy in classifying CAT NCLEX-RN failures represents a marked improvement over results reported in previous studies of licensure examinations, and suggests the discriminant function will be helpful in identifying future students in danger of failure. J Prof Nurs 17:158-165, 2001. Copyright 2001 by W.B. Saunders Company
Use of aptitude to understand bachelor of science in nursing student attrition and readiness for the National Council Licensure Examination-Registered Nurse.

PubMed

Newton, Sarah E; Moore, Gary

2009-01-01

Attrition is a serious issue among Bachelor of Science in Nursing (BSN) students with attrition rates around 50% nationwide. To help minimize BSN student attrition, many nursing programs use commercially available standardized nursing aptitude tests as adjuncts to scholastic aptitude data, usually operationalized as pre-nursing grade point average, to select students for admission. Little is known regarding the usefulness of scholastic and nursing aptitude data for predicting long-term retention in a BSN program and readiness for the National Council Licensure Examination-Registered Nurse (NCLEX-RN). Therefore, the purpose of this study was to describe the relationships among scholastic aptitude, nursing aptitude, BSN student attrition prior to the final semester of the curriculum, and BSN student readiness for the NCLEX-RN. This study's findings, along with other findings in the literature, suggest the need for a parsimonious explanatory model of BSN student attrition that can be used to guide admission and progression policies, and ensure that students ready for the NCLEX-RN are the ones graduating from BSN programs.
Study groups: are they effective in preparing students for NCLEX-RN?

PubMed

Ashley, J; O'Neil, J

1994-10-01

The effectiveness of faculty-directed study groups as an intervention to prepare nurse candidates for NCLEX-RN was evaluated. The NCLEX-RN performance of a baccalaureate class who had participated in study groups was compared to the performance of a prior class who had not participated in study groups. Academic subgroups within the classes were compared to determine if study groups were equally effective across levels of academic achievement. The possible reasons for the significant difference in the NCLEX-RN passing rate between "at-risk" students who participated in study groups and at-risk students who did not participate in study groups are discussed. Discussion also considers possible factors influencing the generally better performance of study group participants at all academic levels. Suggestions for future intervention research direct attention to time intensity of interventions and research control through random assignments to treatment groups.
An Analysis of Programmatic Variables Relating to the Pass Rates on the Licensure Examination by Practical Nurses in Tennessee Technology Centers

ERIC Educational Resources Information Center

Simpson, Janis Lee

2013-01-01

The purpose of this quantitative research study was to determine the degree to which Licensed Practical Nursing programmatic variables positively correlate with select Tennessee Technology Center institution pass rates on the licensure examination--NCLEX-PNRTM. This study investigated the relationship between the dependent variable of NCLEX-PNRTM…
The answer is questions: accelerated-nursing students report practice questions are fundamental to first-time NCLEX-RN success.

PubMed

Blozen, Barbara B

2014-01-01

There are a number of anecdotal reports on demographic characteristics and academic success of accelerated-nursing students; yet few empirical studies have examined accelerated-nursing students NCLEX-RN success. Applying Knowles' adult learning theory as a guiding framework, the purpose of this qualitative study was to explore, from the accelerated-nursing students' perspective, the factors reported as contributing to their success on the NCLEX-RN. The research questions aimed to elicit participants' descriptions of their experiences and factors contributing to their success via individual interviews. The most significant finding the participants identified as the factor that contributed to their success was the practicing of NCLEX-RN questions. The findings of this study have several implications for educational policy and practice for universities and schools of nursing as the information gained from this study applies to recruitment and retention as well as curriculum and educational strategies in an accelerated-nursing program.
Use of exit examinations: a criterion for graduation?

PubMed

Cullen, P D

1997-01-01

This study sought to measure the use of exit examinations in nursing schools at Historically Black Colleges and Universities (HBCU). Fifteen participants from HBCU nursing schools throughout the United States were surveyed to determine current practices related to exit exams. Overall, fourteen schools (93.33%) used an exit exam at the end of their nursing program. However, 73.33% of the participants (11 schools) reported it was mandatory for students to pass the exam as a requirement for graduation. Almost 47% of the participants (7 schools) reported the use of the exit exam was related to NCLEX-RN pass rates, while others reported identification of student needs as the primary reason for using an exit exam. Most participants were very helpful by sharing their innovations. While this small study provided some information on the use of exit examinations, more research is needed to substantiate both the appropriateness and usefulness of their use in baccalaureate degree nursing programs.
Thinking strategically: academic-practice relationships: one health system's experience.

PubMed

Wurmser, Teri; Bliss-Holtz, Jane

2011-01-01

Strategic planning and joint leverage of the strengths inherent in the academic and practice arenas of nursing are imperative to confront the challenges facing the profession of nursing and its place within the healthcare team of the future. This article presents a description and discussion of the implementation of several academic-practice partnership initiatives by Meridian Health, a health system located in central New Jersey. Included in the strategies discussed are creation of a support program for nonprofessional employees to become registered nurses; active partnership in the development of an accelerated BSN program; construction of support systems and academic partnerships for staff participation in RN-to-BSN programs; construction of on-site clinical simulation laboratories to foster interprofessional learning; and the implementation of a new BSN program, the first and only generic BSN program in two counties of the state. Outcomes of these academic-practice partnerships also are presented, including number of participants; graduation and NCLEX-RN pass rates; MH nurse vacancy rates; and nurse retention rates after first employment. Copyright © 2011 Elsevier Inc. All rights reserved.
Predictors for Success on the NCLEX-RN for Associate Degree Nursing Graduates

ERIC Educational Resources Information Center

Swain, Katrina C.

2012-01-01

The nursing shortage is a national issue that has ignited an increasing demand to address the importance of preparing students to be successful on the initial National Council of Licensure Examination for Registered Nursing (NCLEX-RN). Nursing programs are charged by the Board of Nursing to prepare graduates to be successful on the initial…
Relationshp between Academic Variables and Personality Type to Progression in an Associate Degree Nursing Program and Achievement on NCLEX-RN.

ERIC Educational Resources Information Center

Wood, Ione Norma

This retrospective study was done to identify academic and personality variables that predict student progression through an associate degree nursing program and achievement on the National Council Licensing Examination for Registered Nurses (NCLEX-RN). The study searched for evidence of a decline in academic ability in the students over the 7…
Standardized Testing Practices: Effect on Graduation and NCLEX® Pass Rates.

PubMed

Randolph, Pamela K

The use standardized testing in pre-licensure nursing programs has been accompanied by conflicting reports of effective practices. The purpose of this project was to describe standardized testing practices in one states' nursing programs and discover if the use of a cut score or oversight of remediation had any effect on (a) first time NCLEX® pass rates, (b) on-time graduation (OTG) or (c) the combination of (a) and (b). Administrators of 38 nursing programs in one Southwest state were sent surveys; surveys were returned by 34 programs (89%). Survey responses were compared to each program's NCLEX pass rate and on-time graduation rate; t-tests were conducted for significant differences associated with a required minimum score (cut score) and oversight of remediation. There were no significant differences in NCLEX pass or on-time graduation rates related to establishment of a cut score. There was a significant difference when the NCLEX pass rate and on-time graduation rate were combined (Outcome Index "OI") with significantly higher program outcomes (P=.02.) for programs without cut-scores. There were no differences associated with faculty oversight of remediation. The results of this study do not support establishment of a cut-score when implementing a standardized testing. Copyright © 2016. Published by Elsevier Inc.
Factors associated with National Council Licensure Examination-Registered Nurse success.

PubMed

Arathuzik, D; Aber, C

1998-01-01

Identification of factors associated with National Council Licensure Examination-Registered Nurse (NCLEX-RN) success is critical at public colleges of nursing with diverse student populations. This issue was the purpose of this research study. A descriptive correlational research design was used. Seventy-nine generic senior students enrolled in an urban public university participated in the study. Several internal and external blocks to success were described by the students, including family responsibilities, emotional distress, fatigue, and financial and work burdens. Significant correlations were found between success in the NCLEX-RN and cumulative undergraduate nursing program grade point average, English as the primary language spoken at home, lack of family responsibilities or demands, lack of emotional distress, and sense of competency in critical thinking. Establishment of a comprehensive data base-including factors associated with success in the NCLEX-RN and programs of advisement, tutoring, and stress management as well as classes in study skills, test taking, and NCLEX preparation-are recommended for public colleges of nursing with diverse student populations.
Impact of Professional Nursing Tutors on National Council Licensure Examination Success

ERIC Educational Resources Information Center

Mondeik, Shelly L.

2014-01-01

This mixed-methods study examined the impact of professional nursing tutors on National Council Licensure Examination (NCLEX) success. Thirty-eight nursing student success rates from Northcentral Technical College, a two year technical college in Wisconsin, were analyzed by using NCLEX pass rate information, professional tutoring logs, and a…
Locus of Control & Motivation Strategies for Learning Questionnaire: Predictors of Student Success on the ATI Comprehensive Predictor Exam & NCLEX-RN Examination

ERIC Educational Resources Information Center

Carpenter, Jane H.

2011-01-01

The two purposes of this study were to determine whether locus of control (LOC) was predictive of how a student would perform on the ATI Comprehensive Predictor Exam and the NCLEX-RN, and if the Motivated Strategies for Learning Questionnaire (MSLQ) provided information that would help determine predictors of success on these two exams. The study…
The Relationship between Post Reach Exit Exam (E[superscript 2]) Failure Remediation and NCLEX-RN Success of Graduates of Baccalaureate Nursing Programs

ERIC Educational Resources Information Center

Allen, Patricia Gale

2009-01-01

An ex post facto study was conducted to determine whether any relationship exists between remediation post Reach Exit Exam (E[superscript 2]) failure and NCLEX-RN success of graduates of baccalaureate nursing programs. Data was gathered from responses to the seventh annual validity study (V7S) offered to deans and directors of nursing programs by…

Computerized NCLEX-RN and NCLEX-PN preparation programs. Comparative review, 1997.

PubMed

Riner, M E; Mueller, C; Ihrke, B; Smolen, R A; Wilson, M; Richardson, V; Stone, C; Zwirn, E E

1997-01-01

The computerized test taking market continues to expand to meet the needs of nursing students studying to prepare for the NCLEX-RN and the NCLEX-PN. In addition, currently registered nurses may choose to use these software programs to review clinical knowledge in areas in which they are not currently practicing. This article reviewed software designed for personal use, review books with complete disks, on-site institutional testing and consultation, and school of nursing LANs. The costs of software for personal use is priced reasonably and provides flexibility for students to use as their schedule permits. The cost of institutional licenses is moderate and most programs provide multiple on-site use rights. The marketplace has responded to the computerized NCLEX testing now in place nationally. As new formats are developed and new uses identified, nursing faculty and students can expect to see an expanded use of computerized testing.
HESI admission assessment (A(2)) examination scores, program progression, and NCLEX-RN success in baccalaureate nursing: an exploratory study of dependable academic indicators of success.

PubMed

Hinderer, Katherine A; DiBartolo, Mary C; Walsh, Catherine M

2014-01-01

In an effort to meet the demand for well-educated, high-quality nurses, schools of nursing seek to admit those candidates most likely to have both timely progression and first-time success on the National Council Licensure Examination for Registered Nurses (NCLEX-RN). Finding the right combination of academic indicators, which are most predictive of success, continues to be an ongoing challenge for entry-level baccalaureate nursing programs across the United States. This pilot study explored the relationship of a standardized admission examination, the Health Education Systems, Inc. (HESI) Admission Assessment (A(2)) Examination to preadmission grade point average (GPA), science GPA, and nursing GPA using a retrospective descriptive design. In addition, the predictive ability of the A(2) Examination, preadmission GPA, and science GPA related to timely progression and NCLEX-RN success were explored. In a sample of 89 students, no relationship was found between the A(2) Examination and preadmission GPA or science GPA. The A(2) Examination was correlated with nursing GPA and NCLEX-RN success but not with timely progression. Further studies are needed to explore the utility and predictive ability of standardized examinations such as the A(2) Examination and the contribution of such examinations to evidence-based admission decision making. Copyright © 2014 Elsevier Inc. All rights reserved.
Quantitative research on critical thinking and predicting nursing students' NCLEX-RN performance.

PubMed

Romeo, Elizabeth M

2010-07-01

The concept of critical thinking has been influential in several disciplines. Both education and nursing in general have been attempting to define, teach, and measure this concept for decades. Nurse educators realize that critical thinking is the cornerstone of the objectives and goals for nursing students. The purpose of this article is to review and analyze quantitative research findings relevant to the measurement of critical thinking abilities and skills in undergraduate nursing students and the usefulness of critical thinking as a predictor of National Council Licensure Examination-Registered Nurse (NCLEX-RN) performance. The specific issues that this integrative review examined include assessment and analysis of the theoretical and operational definitions of critical thinking, theoretical frameworks used to guide the studies, instruments used to evaluate critical thinking skills and abilities, and the role of critical thinking as a predictor of NCLEX-RN outcomes. A list of key assumptions related to critical thinking was formulated. The limitations and gaps in the literature were identified, as well as the types of future research needed in this arena. Copyright 2010, SLACK Incorporated.
KATTS: a framework for maximizing NCLEX-RN performance.

PubMed

McDowell, Betsy M

2008-04-01

A key indicator of the quality of a nursing education program is the performance of its graduates as first-time takers of the NCLEX-RN. As a result, nursing schools are open to strategies that strengthen the performance of their graduates on the examination. The Knowledge base, Anxiety control, Test-Taking Skills (KATTS) framework focuses on the three components of achieving a maximum score on an examination. In KATTS, all three components must be present and in proper balance to maximize a test taker's score. By strengthening not just one but all of these components, graduates can improve their overall test scores significantly. Suggested strategies for strengthening each component of KATTS are provided. This framework has been used successfully in designing remedial tutoring programs and in assisting first-time NCLEX test takers in preparing for the licensing examination.
Students' Midprogram Content Area Performance as a Predictor of End-of-Program NCLEX Readiness.

PubMed

Brussow, Jennifer A; Dunham, Michelle

2017-12-22

Many programs have implemented end-of-program predictive testing to identify students at risk of NCLEX-RN failure. Unfortunately, for many students, end-of-program testing comes too late. Regression and relative importance analysis were used to explore relationships between 9 content area assessments and an end-of-program assessment shown to be predictive of NCLEX-RN success. Results indicate that scores on assessments for content areas such as medical surgical nursing and care of children are predictive of end-of-program test scores, suggesting that instructors should provide remediation at the first sign of lagging performance.This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in anyway or used commercially without permission from the journal.
Use of NCLEX preparation strategies in a hospital orientation program for graduate nurses.

PubMed

Wray, Karen; Whitehead, Tanya; Setter, Robyn; Treas, Leslie

2006-01-01

This article describes outcomes from the first year of a hospital orientation program for graduate nurses that was expanded to systematize and enrich preparation of graduate nurses for success on the NCLEX-RN licensure examination. The study protocol provided the Assessment Technologies Institute predictor examination to assess risk for licensure examination failure, review materials, and a meeting with an education specialist to identify and prioritize study needs. Those at highest risk for failure were also provided an in-depth written study plan and ongoing follow-up and support until the licensure examination was taken. The study sample consisted of 90 graduate nurses who were hired from May through August of 2005 at the University of Kansas Hospital. The pass rate for participants was 86.7% on the first attempt in year 1 of the program. At-risk graduates who reported that the predictor results impacted their study habits and followed the study recommendations were more likely to pass the licensure examination. Graduate nurses reported a high level of satisfaction with the support provided. Specific challenges faced by hospital nurse administrators in recruitment and retention and return on investment over a 3-year improvement plan are described.
Evaluation of a Secure Laptop-Based Testing Program in an Undergraduate Nursing Program: Students' Perspective.

PubMed

Tao, Jinyuan; Gunter, Glenda; Tsai, Ming-Hsiu; Lim, Dan

2016-01-01

Recently, the many robust learning management systems, and the availability of affordable laptops, have made secure laptop-based testing a reality on many campuses. The undergraduate nursing program at the authors' university began to implement a secure laptop-based testing program in 2009, which allowed students to use their newly purchased laptops to take quizzes and tests securely in classrooms. After nearly 5 years' secure laptop-based testing program implementation, a formative evaluation, using a mixed method that has both descriptive and correlational data elements, was conducted to seek constructive feedback from students to improve the program. Evaluation data show that, overall, students (n = 166) believed the secure laptop-based testing program helps them get hands-on experience of taking examinations on the computer and gets them prepared for their computerized NCLEX-RN. Students, however, had a lot of concerns about laptop glitches and campus wireless network glitches they experienced during testing. At the same time, NCLEX-RN first-time passing rate data were analyzed using the χ2 test, and revealed no significant association between the two testing methods (paper-and-pencil testing and the secure laptop-based testing) and students' first-time NCLEX-RN passing rate. Based on the odds ratio, however, the odds of students passing NCLEX-RN the first time was 1.37 times higher if they were taught with the secure laptop-based testing method than if taught with the traditional paper-and-pencil testing method in nursing school. It was recommended to the institution that better quality of laptops needs to be provided to future students, measures needed to be taken to further stabilize the campus wireless Internet network, and there was a need to reevaluate the Laptop Initiative Program.
A Crisis in Competency: The Strategic and Ethical Imperative to Assessing New Graduate Nurses' Clinical Reasoning.

PubMed

Kavanagh, Joan M; Szweda, Christine

The aim of the study was to assess entry-level competency and practice readiness of newly graduated nurses. Literature on success of new graduates focuses primarily on National Council of State Boards of Nursing Licensure Examination (NCLEX-RN) pass rates, creating a false and incomplete picture of practice readiness. Posthire and prestart Performance-Based Development System assessments were administered to more than 5,000 newly graduated nurses at a large midwestern academic medical center between July 2010 and July 2015. Aggregate baseline data indicate that only 23 percent of newly graduated nurses demonstrate entry-level competencies and practice readiness. New data suggest that we are losing ground in the quest for entry-level competency. Graduates often are underprepared to operate in the complex field of professional practice where increased patient acuity and decreased length of stay, coupled with a lack of deep learning in our academic nursing programs, have exacerbated a crisis in competency.
Associate Degree Nursing Graduates Perceptions of NCLEX Performance

ERIC Educational Resources Information Center

Pulito, Judy

2017-01-01

There has been a shortage of registered nurses in the United States for more than a decade, and an aging population is increasing this problem. This study was prompted by the number of associate degree nursing graduates at a Midwestern community college failing the NCLEX-RN licensure exam, which is required for employment. The purpose of this…
An Innovative Academic Progression in Nursing Model in New York State.

PubMed

Markowitz, Marianne; Bastable, Susan B

2017-05-01

The Dual Degree Partnership in Nursing (DDPN) is a unique articulation model created in 2005 between two nursing programs that provides a seamless pathway for students to earn both an associate's degree and a bachelor's degree in nursing while benefiting from the strengths of each program. Archival data has been systematically collected for a decade on admission, progression, retention, satisfaction, graduation, and NCLEX-RN pass rates to measure the reliability, validity, and integrity of this DDPN model for nursing education. The findings demonstrate consistent performance and positive outcomes on all factors measured, which have been benchmarked against available state and national results. This innovative approach to academic progression in nursing is replicable and serves as a prototype to educate more nurses at the baccalaureate level, which directly contributes to the Institute of Medicine's goal of 80% of RNs having a minimum of a bachelor's degree by 2020. [J Nurs Educ. 2017;56(5):266-273.]. Copyright 2017, SLACK Incorporated.
The Relationship Between the California Critical Thinking Disposition Inventory and Student Learning Outcomes in Baccalaureate Nursing Students.

PubMed

Searing, Lisabeth Meade; Kooken, Wendy Carter

2016-04-01

Critical thinking is the foundation for nurses' decision making. One school of nursing used the California Critical Thinking Disposition Inventory (CCTDI) to document improvement in critical thinking dispositions. A retrospective study of 96 nursing students' records examined the relationships between the CCTDI and learning outcomes. Correlational statistics assessed relationships between CCTDI scores and cumulative grade point averages (GPA) and scores on two Health Education Systems Incorporated (HESI) examinations. Ordinal regression assessed predictive relationships between CCTDI scores and science course grades and NCLEX-RN success. First-year CCTDI scores did not predict first-year science grades. Senior-year CCTDI scores did not correlate with cumulative GPA or HESI RN Exit Exam scores, but were weakly correlated with HESI Pharmacology Exam scores. CCTDI scores did not predict NCLEX-RN success. This study did not identify meaningful relationships between critical thinking dispositions, as measured by the CCTDI, and important learning outcomes. The results do not support the efficacy of using the CCTDI in nursing education. Copyright 2016, SLACK Incorporated.
Predicting National Council Licensure Examination for Registered Nurses Performance

ERIC Educational Resources Information Center

Whitehead, Charles D.

2016-01-01

The Baccalaureate Nursing program in San Antonio, Texas experienced a decrease in National Council Licensure Examination for Registered Nurses (NCLEX-RN) on the first attempt for students graduating between 2009 and 2014 without a clear explanation for the decline. The purpose of this quantitative non-experimental correlational study was to…
Nursing Distance Learning Course Comparison of Assignments and Examination Scores

ERIC Educational Resources Information Center

Mundine, Jennifer

2016-01-01

Nursing programs have embraced distance learning in their curricula, but discussion is ongoing about course assignments and grading criteria to increase examination scores in nursing distance learning courses. Because course examinations are a predictor of success on the postgraduate licensing examination (NCLEX-RN), the purpose of this study was…
Preadmission Academic Achievement Criteria as Predictors of Nursing Program Completion and NCLEX-RN Success

ERIC Educational Resources Information Center

Rogers, Tanya L.

2009-01-01

Admission policies and practices in higher education, including those in nursing programs, are diverse; yet administrators have traditionally relied upon preadmission academic achievement for selection of qualified students. Higher education administrators have the responsibility to serve the institution and all of its constituents, ensuring that…
Predictors of Retention and Passing National Council Licensure Examination for Registered Nurses

ERIC Educational Resources Information Center

Elkins, Nancy

2013-01-01

The current nursing shortage has challenged colleges to educate nurses at a faster pace than in previous times. Successful completion of the nursing programs and passing the National Council Licensure Examination for Registered Nurses (NCLEX-RN) exam is important for the students, faculty, and nursing programs. The purpose of this retrospective…
Computerized Testing of Level III Associate Degree Nursing Students versus Paper and Pencil Testing Methods

ERIC Educational Resources Information Center

Gullo, Shirna R.

2014-01-01

Computerized testing may be one solution to enhance performance on the curricular Health Education Systems Inc. (HESI) exam and the National Council Licensure Exam for Registered Nurses (NCLEX-RN). Due to the integration of improved technological processes and procedures in healthcare for computerized documentation and electronicmedical records,…
Predictors of Success on the National Council Licensure Examination for Registered Nurses among Transfer BSN Students

ERIC Educational Resources Information Center

Fortier, Mary E.

2010-01-01

This quantitative research study (N=175) examined predictors of first time success on the National Council Licensure Examination for Registered Nurses (NCLEX-RN) among transfer students in a baccalaureate degree program (BSN). The predictors were chosen after an extensive literature review yielded few studies related to this population. Benner's…
A Revised Admissions Standard for One Community College Nursing Program

ERIC Educational Resources Information Center

Lown, Maris A.

2010-01-01

Predicting success on the NCLEX-RN is of paramount importance to nursing programs as they are held accountable for this outcome by accrediting agencies and by boards of nursing. This action research study examined the relationship between the NET admission test, anatomy and physiology grades, grade point average (GPA) on admission to the program…
Admission Criteria, Program Outcomes, and NCLEX-RN(RTM) Success in Second Degree Students

ERIC Educational Resources Information Center

Rowland, Janet Wedge

2013-01-01

The purpose of this retrospective study was to examine the outcome performance of second degree students in an Accelerated BSN (ABSN) and an Entry Level MSN (ELMSN) program. In addition to student demographics (ethnicity/race, age, and gender), study variables included admission and end-of-program indicators. Admission criteria included the…
Simulation: The Effects of Simulation on High Stakes Testing in Undergradute Nursing Education

ERIC Educational Resources Information Center

Walters, Linda

2014-01-01

Many nursing programs use standardized testing packages in order to evaluate students' content mastery as well as predict probability of passing the National Council Licensure for Registered Nurses (NCLEX-RN). Instead of a diagnosis for weak content areas, programs implement testing policies in the belief that such policies ensure student success…

Content Mastery Exams: An Option to Replace Faculty-Generated Final Exams

ERIC Educational Resources Information Center

Martin, Deanna K.

2017-01-01

Determining the most effective means of assessing content mastery as well as preparedness for the National Council Licensure Examination for Registered Nurses (NCLEX-RN) is a task of all pre-licensure nursing faculty. The records of 331 diploma nursing students were reviewed for this retrospective, descriptive, correlational study that examines…
A Multiple Case Study of Associate Degree Nursing Student Experiences on NCLEXRN Preparation

ERIC Educational Resources Information Center

Joseph, Soosannamma

2017-01-01

A major challenge in the nursing education system is to assist nursing students to be successful in the program and on the National Council of Licensing Examination for Registered Nurses (NCLEX-RN). Nursing schools have a critical responsibility for contributing to the nation's need for more qualified nurses in order to reduce the impact of the…
Forecasting Nursing Student Success and Failure on the NCLEX-RN Using Predictor Tests

ERIC Educational Resources Information Center

Santiago, Lawrence A.

2013-01-01

A severe and worsening nursing shortage exists in the United States. Increasing numbers of new graduate nurses are necessary to meet this demand. To address the concerns of increased nursing demand, leaders of nursing schools must ensure larger numbers of nursing students graduate. Prior to practicing as registered nurses in the United States,…
The Effect of Classroom and Clinical Learning Approaches on Academic Achievement in Associate Degree Nursing Students

ERIC Educational Resources Information Center

Carrick, Jo Anne

2010-01-01

While many students compete aggressively to enter into nursing schools, those who succeed have no guarantee they will be successful in their nursing studies, graduating, and passing the National Council Licensing Exam for Registered Nurses (NCLEX-RN[R]). This study's objective was to gain a better understanding of how nursing students approach…
The Leader-Clinician Advocate in Advancing Student Clinical Learning.

PubMed

Bleich, Michael R

2017-03-01

The visionary, think-ahead leader realizes a responsibility to ensure that a steady pipeline of qualified professionals exists. In the settings where they lead, academic partnerships can ensure that students are socialized and adequately prepared for existing and emerging job roles. Concept-based learning, NCLEX-RN test plans, and 12 strategies to ensure leader-clinician engagement with students are presented. J Contin Educ Nurs. 2017;48(3):99-101. Copyright 2017, SLACK Incorporated.
Impact of HESI Specialty Exams: the ninth HESI Exit Exam validity study.

PubMed

Zweighaft, Elizabeth L

2013-01-01

Using an ex post facto, nonexperimental design, this, the ninth validity study of Elsevier's HESI Exit Exam (E(2)), reexamined the predictive accuracy of the E(2). The value of administering HESI Specialty Exams within the nursing curriculum in terms of E(2) scores was also investigated. The sample was composed of nursing students (N = 3,790) from 63 randomly selected schools-26 baccalaureate, 31 associate degree, and 6 diploma programs-throughout the United States who took the E(2) between September 2008 and August 2009. As in the previous 8 studies, the E(2) was found to be highly accurate (96.61%) in predicting success on the National Council Licensure Examination for Registered Nurses (NCLEX-RN). Findings also indicated that students who took one or more HESI Specialty Exams during their nursing curriculum had a significantly higher mean E(2) score (P ≤ .0001) than students who did not take HESI Specialty Exams during their nursing curriculum. Of the 8 HESI Specialty Exams investigated, scores on the Critical Care, Pediatrics, and Medical-Surgical specialty exams were most predictive of NCLEX-RN success. Schools of nursing that used HESI Specialty Exams as course final exams had a significantly higher mean E(2) score (P < .01) than schools that used the exams for remediation and practice. Copyright © 2013 Elsevier Inc. All rights reserved.
Comparison of native versus nonnative English-speaking nurses on critical thinking assessments at entry and exit.

PubMed

Whitehead, Tanya D

2006-01-01

Diversity of language among healthcare employees and nursing students is growing as diversity increases among the general population. Institutions have begun to develop systems to accommodate diversity and to assimilate workers. One barrier to nonnative English-speaking nurse hires may be posed by readiness for the licensure exam and the critical thinking assessments that are now an expected outcome of nursing programs, and act as a gatekeeper to graduation and to employment. To assist in preparing for high-stakes testing, the Assessment Technologies Institute Critical Thinking Assessment was developed in compliance with credentialing bodies' educational outcomes criteria. This pilot study of 209 nursing students was designed to reveal any possible language bias that might act as a barrier to nonnative English speakers. Nursing students were entered as whole classes to the study to control for selection bias. A sample representative of national nursing enrollment was obtained from 21 universities, with 192 (92%) native English-speaking students and 17 (8%) nonnative English speakers participating in the study. All students were given the Assessment Technologies Institute Critical Thinking Assessment at entry and exit to their nursing program. Average scores on entry were 66% for nonnative speakers and 72% for native speakers. At exit, the nonnative speakers had closed the gap in academic outcomes. They had an average score of 72% compared to 73% for native speakers. The study found that the slight differences between the native and nonnative speakers on 2 exit outcome measures-National Council licensure examination (NCLEX-RN) pass rates and Critical Thinking Assessment-were not statistically significant, demonstrating that nonnative English speakers achieved parity with native English-speaking peers on the Critical Thinking Assessment tool, which is often believed to be related to employment readiness.
Nursing student clinical shift completion as a predictor of NCLEX failure.

PubMed

Woodworth, Julie A

2014-01-01

As competition for clinical sites increases, hospitals and nursing schools report the use of nontraditional student placements such as one 12-hour clinical shift; that was an option offered by the author's school. The author discusses implementation of 12-hour shifts and compared NCLEX fail rates of students on one 12-hour shift with students who had 2 weekly 6-hour shifts.
Nursing EDGE: evaluating delegation guidelines in education.

PubMed

Henderson, Deborah; Sealover, Pamela; Sharrer, Vicki; Fusner, Sally; Jones, Sandy; Sweet, Stacie; Blake, Tim

2006-01-01

Delegation, an important concept for nursing students to learn and practice, is central to registered nurse (RN) performance, and important on the NCLEX-RN examination. Nursing faculty members from an ADN program designed a descriptive study to evaluate planned versus actual delegation in the curriculum, and a second study to evaluate an intervention on delegation. Study One assessed the presence of delegation in each nursing course. Statistical analysis compared the planned implementation with the results for student definitions of delegation, and identification of the five rights of delegation based on the National Council of State Boards of Nursing (NCSBN) definition and five rights. Study one results are shared. Study Two utilized a comparison of pre-to-post intervention measures. Students were asked to complete eight steps of a delegation exercise and determine what could be delegated to an unlicensed assistant, and what should be completed by the RN. Answers were coded and entered into SPSS. Statistical analysis compared each student's ability to correctly identify the five rights of delegation prior to the exercise, against the ability to correctly answer five questions two weeks post exercise. Significant improvement (p< 0.05) occurred on each measure. Recommendations are discussed.
Report card: an evaluation of a concept-based curriculum.

PubMed

Giddens, Jean Foret; Morton, Nancy

2010-01-01

This article describes the evaluation of an innovative, concept-based baccalaureate nursing curriculum. Curriculum evaluation is an ongoing process that serves to ensure the delivery of quality education. Findings from surveys and focus groups identified strengths of the new curriculum as the conceptual approach, interactive small-group learning activities, clinical intensives, and early patient care experiences. Issues and challenges identified in the evaluation included perceived repetition of content in the Professional Nursing concept courses, coordination of community-based clinical experiences, a perceived need for greater age-span, pharmacology, and pathophysiology content, and NCLEX-RN preparation. Curriculum revisions based on these findings are described.
A Study on the Effects of Collaborative Teaching as Measured by the Student Nurse's HESI-RN Exam Scores in an AD/RN Program

ERIC Educational Resources Information Center

Sweeney, Irene O.

2014-01-01

The inquiry to be addressed in this Action Research Study (ARS) is the effective teaching modality that will increase the class average pass rate and reduce the percent of students who do not score 850 or above on the HESI-RN exams. The researcher's intent was to provide data in support of a collaborative teaching environment in which to…
A cognitive behavioral course for at-risk senior nursing students preparing to take the NCLEX.

PubMed

Poorman, Susan G; Mastorovich, Melissa L; Liberto, Terri L; Gerwick, Michele

2010-01-01

For some nursing students, the stress of preparing for and taking the NCLEX can lead to maladaptive behaviors such as poor test performance and inadequate preparation. A different approach to NCLEX preparation for at-risk seniors is described. A 3-credit course that combines cognitive behavioral techniques, metacognitive strategies, test-taking strategies, and simulated NCLEX experience with practice questions is presented. Students also develop an individualized plan of preparation from graduation until they take the NCLEX.
The Relationship among Health Education Systems, Inc. Progression and Exit Examination Scores, Day or Evening Enrollment, Final Grade Point Average and NCLEX-RN® Success in Associate Degree Nursing Students

ERIC Educational Resources Information Center

Barnwell-Sanders, Pamela

2015-01-01

Graduates of associate degree (AD) nursing programs form the largest segment of first-time National Council Licensure Examination for Registered Nurses (NCLEX-RN®) test takers, yet also experience the highest rate of NCLEX-RN® failures. NCLEX-RN® failure delays entry into the profession, adding an emotional and financial toll to the unsuccessful…
Nurse staffing levels and Medicaid reimbursement rates in nursing facilities.

PubMed

Harrington, Charlene; Swan, James H; Carrillo, Helen

2007-06-01

To examine the relationship between nursing staffing levels in U.S. nursing homes and state Medicaid reimbursement rates. Facility staffing, characteristics, and case-mix data were from the federal On-Line Survey Certification and Reporting (OSCAR) system and other data were from public sources. Ordinary least squares and two-stage least squares regression analyses were used to separately examine the relationship between registered nurse (RN) and total nursing hours in all U.S. nursing homes in 2002, with two endogenous variables: Medicaid reimbursement rates and resident case mix. RN hours and total nursing hours were endogenous with Medicaid reimbursement rates and resident case mix. As expected, Medicaid nursing home reimbursement rates were positively related to both RN and total nursing hours. Resident case mix was a positive predictor of RN hours and a negative predictor of total nursing hours. Higher state minimum RN staffing standards was a positive predictor of RN and total nursing hours while for-profit facilities and the percent of Medicaid residents were negative predictors. To increase staffing levels, average Medicaid reimbursement rates would need to be substantially increased while higher state minimum RN staffing standards is a stronger positive predictor of RN and total nursing hours.
Concurrent and lagged effects of registered nurse turnover and staffing on unit-acquired pressure ulcers.

PubMed

Park, Shin Hye; Boyle, Diane K; Bergquist-Beringer, Sandra; Staggs, Vincent S; Dunton, Nancy E

2014-08-01

We examined the concurrent and lagged effects of registered nurse (RN) turnover on unit-acquired pressure ulcer rates and whether RN staffing mediated the effects. Quarterly unit-level data were obtained from the National Database of Nursing Quality Indicators for 2008 to 2010. A total of 10,935 unit-quarter observations (2,294 units, 465 hospitals) were analyzed. This longitudinal study used multilevel regressions and tested time-lagged effects of study variables on outcomes. The lagged effect of RN turnover on unit-acquired pressure ulcers was significant, while there was no concurrent effect. For every 10 percentage-point increase in RN turnover in a quarter, the odds of a patient having a pressure ulcer increased by 4 percent in the next quarter. Higher RN turnover in a quarter was associated with lower RN staffing in the current and subsequent quarters. Higher RN staffing was associated with lower pressure ulcer rates, but it did not mediate the relationship between turnover and pressure ulcers. We suggest that RN turnover is an important factor that affects pressure ulcer rates and RN staffing needed for high-quality patient care. Given the high RN turnover rates, hospital and nursing administrators should prepare for its negative effect on patient outcomes. © Health Research and Educational Trust.
Concurrent and Lagged Effects of Registered Nurse Turnover and Staffing on Unit-Acquired Pressure Ulcers

PubMed Central

Park, Shin Hye; Boyle, Diane K; Bergquist-Beringer, Sandra; Staggs, Vincent S; Dunton, Nancy E

2014-01-01

Objective We examined the concurrent and lagged effects of registered nurse (RN) turnover on unit-acquired pressure ulcer rates and whether RN staffing mediated the effects. Data Sources/Setting Quarterly unit-level data were obtained from the National Database of Nursing Quality Indicators for 2008 to 2010. A total of 10,935 unit-quarter observations (2,294 units, 465 hospitals) were analyzed. Methods This longitudinal study used multilevel regressions and tested time-lagged effects of study variables on outcomes. Findings The lagged effect of RN turnover on unit-acquired pressure ulcers was significant, while there was no concurrent effect. For every 10 percentage-point increase in RN turnover in a quarter, the odds of a patient having a pressure ulcer increased by 4 percent in the next quarter. Higher RN turnover in a quarter was associated with lower RN staffing in the current and subsequent quarters. Higher RN staffing was associated with lower pressure ulcer rates, but it did not mediate the relationship between turnover and pressure ulcers. Conclusions We suggest that RN turnover is an important factor that affects pressure ulcer rates and RN staffing needed for high-quality patient care. Given the high RN turnover rates, hospital and nursing administrators should prepare for its negative effect on patient outcomes. PMID:24476194
A Nursing Workforce Diversity Project: Strategies for Recruitment, Retention, Graduation, and NCLEX-RN Success.

PubMed

Murray, Ted A; Pole, David C; Ciarlo, Erica M; Holmes, Shearon

2016-01-01

The purpose of this article is to describe a collaborative project designed to recruit and retain students from underrepresented minorities and disadvantaged backgrounds into nursing education. Ethnic minorities remain underrepresented in the nursing workforce in comparison to the general population. The numbers of minorities enrolled in nursing education programs are insufficient to meet the health care workforce diversity needs of the future. High school students were provided with a preprofessional education program to prepare them for admission into a nursing program. Retention strategies were implemented for newly admitted and enrolled nursing education students. Twenty-one high school students enrolled in a nursing education program. The students enrolled in the nursing education program graduated and passed the licensure examination. Early recruitment and multiprong retention programs can be successful in diversifying the registered nurse workforce.
Attrition and success rates of accelerated students in nursing courses: a systematic review.

PubMed

Doggrell, Sheila Anne; Schaffer, Sally

2016-01-01

There is a comprehensive literature on the academic outcomes (attrition and success) of students in traditional/baccalaureate nursing programs, but much less is known about the academic outcomes of students in accelerated nursing programs. The aim of this systematic review is to report on the attrition and success rates (either internal examination or NCLEX-RN) of accelerated students, compared to traditional students. For the systematic review, the databases (Pubmed, Cinahl and PsychINFO) and Google Scholar were searched using the search terms 'accelerated' or 'accreditation for prior learning', 'fast-track' or 'top up' and 'nursing' with 'attrition' or 'retention' or 'withdrawal' or 'success' from 1994 to January 2016. All relevant articles were included, regardless of quality. The findings of 19 studies of attrition rates and/or success rates for accelerated students are reported. For international accelerated students, there were only three studies, which are heterogeneous, and have major limitations. One of three studies has lower attrition rates, and one has shown higher success rates, than traditional students. In contrast, another study has shown high attrition and low success for international accelerated students. For graduate accelerated students, most of the studies are high quality, and showed that they have rates similar or better than traditional students. Thus, five of six studies have shown similar or lower attrition rates. Four of these studies with graduate accelerated students and an additional seven studies of success rates only, have shown similar or better success rates, than traditional students. There are only three studies of non-university graduate accelerated students, and these had weaknesses, but were consistent in reporting higher attrition rates than traditional students. The paucity and weakness of information available makes it unclear as to the attrition and/or success of international accelerated students in nursing programs. The good information available suggests that accelerated programs may be working reasonably well for the graduate students. However, the limited information available for non-university graduate students is weak, but consistent, in suggesting they may struggle in accelerated courses. Further studies are needed to determine the attrition and success rates of accelerated students, particularly for international and non-university graduate students.
An Academic-Service Partnership: A System-Wide Approach and Case Report.

PubMed

Bay, Esther H; Tschannen, Dana J

2017-06-01

An academic-service partnership was formed to increase educational capacity, improve evidence-based nursing at the point of care, and engage staff nurses, clinical faculty, and students in patient and family care. This case report reflects an overview of the first year of full implementation, and survey results from nurse leaders and faculty at the 3-year time point. Following its third year of an academic-service partnership, the shared mission, vision, and values have resulted in stronger NCLEX-RN results, improved quality initiatives, and trends for improvements in patient outcomes. Alignment with faculty and mentors surrounding student expectations has improved, as well as shared evidence-based practices. Sustaining an academic-service partnership requires dedicated leaders, faculty, and mentors. This partnership continues to thrive and move toward excellence in patient- and family-centered outcomes and undergraduate clinical education. [J Nurs Educ. 2017;56(6):373-377.]. Copyright 2017, SLACK Incorporated.
Using Computer-Adaptive Quizzing as a Tool for National Council Licensure Examination Success.

PubMed

Pence, Jill; Wood, Felecia

This study examined the relationship between using computer-adaptive quizzing (CAQ) and first-time National Council Licensure Examination (NCLEX) success. A retrospective, descriptive, correlational design was used to analyze the relationship between use of a CAQ program and first-time NCLEX results of 194 baccalaureate graduates. Chi-square analysis suggested that there was an association between using the software and NCLEX success (p < .001, df = 1), with 16 percent of those without access compared to 1 percent with access being unsuccessful on the licensure exam. Results support using CAQ as formative preparation for the NCLEX.

An Investigation of NCLEX-PN Performance and Student Perceptions among Practical Nursing Graduates

ERIC Educational Resources Information Center

Abston-Coleman, Sharon L.; Levy, Dessie R.

2010-01-01

Students in practical nursing programs require 32 weeks of coursework (1 academic year) and completion of a national licensing exam (NCLEX-PN) to secure employment. The purpose of this study was to identify selected academic variables that were related to NCLEX-PN performance for first-time test takers of two types of practical nursing programs at…
New Careers in Nursing: An Effective Model for Increasing Nursing Workforce Diversity.

PubMed

Craft-Blacksheare, Melva

2018-03-01

The Robert Wood Johnson Foundation and the American Association of Colleges of Nursing developed the New Careers in Nursing (NCIN) program to address the nursing shortage, increase workforce diversity, and raise the profession's educational level. The program provided scholarships to second-degree underrepresented or economically disadvantaged (UED) students attending an accelerated nursing program to earn a Bachelor of Science in Nursing degree. A midwestern university received three academic-year cycles of NCIN funding. The program's model, resources, and functioning are described. The NCIN provided exceptional financial and program support that received high marks from participants. During the three award cycles, 20 UED scholars graduated with a Bachelor of Science in Nursing degree. Nineteen of the 20 scholars passed the NCLEX-RN on the first attempt. While the NCIN program has ended, nursing school administrators and faculty wishing to promote UED student success should consider using the program's model and resources as the basis for their own program. [J Nurs Educ. 2018;57(3):178-183.]. Copyright 2018, SLACK Incorporated.
Radon and thoron in cave dwellings (Yan'an, China)

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

Wiegand, J.; Feige, S.; Xie Quingling

2000-04-01

{sup 222}Rn and {sup 220}Rn concentrations were measured in cave dwellings and brick houses in the region of Yan'an (China) during summer 1997. The underground dwellings are built into Quaternary loess, and all investigated houses are founded on it. The median values of indoor {sup 222}Rn and {sup 220}Rn concentrations are 42 (n = 18) and 77Bq m{sup {minus}3} (n = 15) for brick houses and 92 (n = 23) and 215 (n = 17) Bq m{sup {minus}3} for cave dwellings. To classify the dwellings in respect to their cave-character, the fraction of walls having a direct contact to themore » loess is calculated for each dwelling. While the {sup 222}Rn concentrations are increasing with higher fractions, the {sup 220}Rn concentrations are not correlated with this fraction. On the other hand, due to the short half-life of {sup 220}Rn the distance from the measuring point to the walls is negatively correlated with the {sup 220}Rn concentration, while there is no correlation with the {sup 222}Rn concentration. Therefore, concentric isolines of {sup 220}Rn concentrations showing a strong gradient were detected in cave dwellings. An influence of the ventilation rate is distinct for {sup 222}Rn but weak for {sup 220}Rn. The effective dose rates for {sup 222}Rn and {sup 220}Rn and their progenies are calculated for brick houses (2.7 mSv y{sup {minus}1}), cave dwellings (7.1 mSv y{sup {minus}1}), and for traditional cave dwellings with a bed foundation built with loess (16.7 mSv y{sup {minus}1}). These calculations are based on summer measurements only. It is expected that the true effective dose rates will be significantly higher.« less
Variation in Leaf Respiration Rates at Night Correlates with Carbohydrate and Amino Acid Supply1[OPEN

PubMed Central

Lee, Chun Pong; Cheng, Riyan

2017-01-01

Plant respiration can theoretically be fueled by and dependent upon an array of central metabolism components; however, which ones are responsible for the quantitative variation found in respiratory rates is unknown. Here, large-scale screens revealed 2-fold variation in nighttime leaf respiration rate (RN) among mature leaves from an Arabidopsis (Arabidopsis thaliana) natural accession collection grown under common favorable conditions. RN variation was mostly maintained in the absence of genetic variation, which emphasized the low heritability of RN and its plasticity toward relatively small environmental differences within the sampling regime. To pursue metabolic explanations for leaf RN variation, parallel metabolite level profiling and assays of total protein and starch were performed. Within an accession, RN correlated strongly with stored carbon substrates, including starch and dicarboxylic acids, as well as sucrose, major amino acids, shikimate, and salicylic acid. Among different accessions, metabolite-RN correlations were maintained with protein, sucrose, and major amino acids but not stored carbon substrates. A complementary screen of the effect of exogenous metabolites and effectors on leaf RN revealed that (1) RN is stimulated by the uncoupler FCCP and high levels of substrates, demonstrating that both adenylate turnover and substrate supply can limit leaf RN, and (2) inorganic nitrogen did not stimulate RN, consistent with limited nighttime nitrogen assimilation. Simultaneous measurements of RN and protein synthesis revealed that these processes were largely uncorrelated in mature leaves. These results indicate that differences in preceding daytime metabolic activities are the major source of variation in mature leaf RN under favorable controlled conditions. PMID:28615345
Thirteen years and counting: Outcomes of a concurrent ASN/BSN enrollment program.

PubMed

Heglund, Stephen; Simmons, Jessica; Wink, Diane; D'Meza Leuner, Jean

In their 2011 report, The Future of Nursing, the Institute of Medicine called for 80% of the nursing workforce to be comprised of baccalaureate prepared Registered Nurses by the year 2020. One suggested approach to achieve this goal is the creation of programs that allow students to progress through associate and baccalaureate nursing preparation simultaneously. This paper describes the University of Central Florida's 13-year experience after implementing a Concurrent Enrollment Program. Development and structure of the program, advisement and curriculum details, facilitators and barriers are described. Data on National Council Licensure Examination for Registered Nurses pass rates, completion rates, comparison with traditional RN-BSN students, and progression to graduate school are also included. The Concurrent Program model described here between a specific university and state college partners, demonstrated positive outcomes that support achievement of the Institute of Medicine's goals. Copyright © 2017 Elsevier Inc. All rights reserved.
Enhancing Student Learning: RN CAT Advisement Program.

ERIC Educational Resources Information Center

Donaldson, Susan K.

This document describes a community college advisement program that was implemented to improve the student pass rate for the national nursing licensure examination. The nursing faculty at Manatee Community College (Florida) recently instituted an advisement system during the final semester of the two-year nursing program. First, students were…
Characteristics of the Nursing Practice Environment Associated With Lower Unit-Level RN Turnover.

PubMed

Nelson-Brantley, Heather V; Park, Shin Hye; Bergquist-Beringer, Sandra

2018-01-01

The aim of this study is to examine characteristics of the nursing practice environment associated with lower RN turnover. Identifying characteristics of the practice environment that contribute to lower RN turnover is important for meeting the national quality strategy priority of reducing healthcare costs. Data from 1002 adult care units in 162 National Database of Nursing Quality Indicators participating hospitals were analyzed using multivariate linear regression. The Practice Environment Scale of the Nursing Work Index was used to measure practice environment characteristics. RN turnover was measured at the unit level. Nursing units with higher overall ratings of the nursing practice environment had lower rates of RN turnover. Units with higher RN perceived staffing and resource adequacy experienced significantly lower RN turnover. Unit managers and hospital administrators should consider RN perception of staffing and resource adequacy and the overall practice environment when developing targeted strategies for decreasing RN turnover.
Safety organizing, emotional exhaustion, and turnover in hospital nursing units.

PubMed

Vogus, Timothy J; Cooil, Bruce; Sitterding, Mary; Everett, Linda Q

2014-10-01

Prior research has found that safety organizing behaviors of registered nurses (RNs) positively impact patient safety. However, little research exists on how engaging in safety organizing affects caregivers. While we know that organizational processes can have divergent effects on organizational and employee outcomes, little research exists on the effects of pursuing highly reliable performance through safety organizing on caregivers. Specifically, we examined whether, and the conditions under which, safety organizing affects RN emotional exhaustion and nursing unit turnover rates. Subjects included 1352 RNs in 50 intensive care, internal medicine, labor, and surgery nursing units in 3 Midwestern acute-care hospitals who completed questionnaires between August and December 2011 and 50 Nurse Managers from the units who completed questionnaires in December 2012. Cross-sectional analyses of RN emotional exhaustion linked to survey data on safety organizing and hospital incident reporting system data on adverse event rates for the year before survey administration. Cross-sectional analysis of unit-level RN turnover rates for the year following the administration of the survey linked to survey data on safety organizing. Multilevel regression analysis indicated that safety organizing was negatively associated with RN emotional exhaustion on units with higher rates of adverse events and positively associated with RN emotional exhaustion with lower rates of adverse events. Tobit regression analyses indicated that safety organizing was associated with lower unit level of turnover rates over time. Safety organizing is beneficial to caregivers in multiple ways, especially on nursing units with high levels of adverse events and over time.
Developing and evaluating innovative items for the NCLEX: Part 2, item characteristics and cognitive processing.

PubMed

Wendt, Anne; Harmes, J Christine

2009-01-01

This article is a continuation of the research on the development and evaluation of innovative item formats for the NCLEX examinations that was published in the March/April 2009 edition of Nurse Educator. The authors discuss the innovative item templates and evaluate the statistical characteristics and level of cognitive processing required to answer the examination items.
Inhalation exposures due to radon and thoron ((222)Rn and (220)Rn): Do they differ in high and normal background radiation areas in India?

PubMed

Mishra, Rosaline; Sapra, B K; Prajith, R; Rout, R P; Jalaluddin, S; Mayya, Y S

2015-09-01

In India, High Background Radiation Areas (HBRAs) due to enhanced levels of naturally occurring radionuclides in soil (thorium and, to a lesser extent, uranium), are located along some parts of the coastal tracts viz. the coastal belt of Kerala, Tamilnadu and Odisha. It is conjectured that these deposits will result in higher emissions of radon isotopes ((222)Rn and (220)Rn) and their daughter products as compared to Normal Background Radiation Areas (NBRAs). While the annual external dose rates contributed by gamma radiations in these areas are about 5-10 times higher, the extent of increase in the inhalation dose rates attributable to (222)Rn and (220)Rn and their decay products is not well quantified. Towards this, systematic indoor surveys were conducted wherein simultaneous measurements of time integrated (222)Rn and (220)Rn gas and their decay product concentrations was carried out in around 800 houses in the HBRAs of Kerala and Odisha to estimate the inhalation doses. All gas measurements were carried out using pin-hole cup dosimeters while the progeny measurements were with samplers and systems based on the Direct radon/thoron Progeny sensors (DRPS/DTPS). To corroborate these passive measurements of decay products concentrations, active sampling was also carried out in a few houses. The results of the surveys provide a strong evidence to conclude that the inhalation doses due to (222)Rn and (220)Rn gas and their decay products in these HBRAs are in the same range as observed in the NBRAs in India. Copyright © 2015 Elsevier Ltd. All rights reserved.
A field experiment on Rn flux from reclaimed uranium mill tailings.

PubMed

Hinton, T G; Whicker, F W

1985-04-01

Design and construction techniques are described for a 1.6 ha experimental reclamation plot consisting of a 1-m-thick slab of uranium mill tailings covered with various depths of overburden. A passive, activated charcoal device was developed and used for measurements of Rn flux at the soil surface. Observations on Rn flux vs overburden depth indicated that tailings covered with 1.5 m of revegetated or 0.3 m of bare overburden had Rn exhalation rates comparable to background. Vegetated subplots exhibited a significantly higher (often an order of magnitude) flux than the bare subplots. A positive correlation was observed between precipitation quantities and Rn flux.
Obesity, hypertension and diabetes mellitus affect complication rate of different nephrectomy techniques.

PubMed

Hua, X; Ying-Ying, C; Zu-Jun, F; Gang, X; Zu-Quan, X; Qiang, D; Hao-Wen, J

2014-12-01

To investigate whether obesity, hypertension, and diabetes mellitus (DM) would increase post-nephrectomy complication rates using standardized classification method. We retrospectively included 843 patients from March 2006 to November 2012, of whom 613 underwent radical nephrectomy (RN) and 229 had partial nephrectomy (PN). Modified Clavien classification system was applied to quantify complication severity of nephrectomy. Fisher's exact or chi-square test was used to assess the relationship between complication rates and obesity, hypertension, as well as DM. The prevalence of obesity, hypertension, and DM was 11.51%, 30.84%, 8.78%, respectively. The overall complication rate was 19.31%, 30.04%, 35.71% and 36.36% for laparoscopic radical nephrectomy (LRN), open-RN, LPN and open-PN respectively. An increasing trend of low grade complication rate as BMI increased was observed in LRN (P=.027) and open-RN (P<.001). Obese patients had greater chance to have low grade complications in LRN (OR=4.471; 95% CI: 1.290-17.422; P=0.031) and open-RN (OR=2.448; 95% CI: 1.703-3.518; P<.001). Patients with hypertension were more likely to have low grade complications, especially grade ii complications in open-RN (OR=1.526; 95% CI: 1.055-2.206; P=.026) and open PN (OR=2.032; 95% CI: 1.199-3.443; P=.009). DM was also associated with higher grade i complication rate in open-RN (OR=2.490; 95% CI: 331-4.657; P=.016) and open-PN (OR=4.425; 95% CI: 1.815-10.791; P=.013). High grade complication rates were similar in comparison. Obesity, hypertension, and DM were closely associated with increased post-nephrectomy complication rates, mainly low grade complications. Copyright © 2013 AEU. Published by Elsevier Espana. All rights reserved.
Factors related to progression and graduation rates for RN-to-bachelor of science in nursing programs: searching for realistic benchmarks.

PubMed

Robertson, Sue; Canary, Cheryl Westlake; Orr, Marsha; Herberg, Paula; Rutledge, Dana N

2010-03-01

Measurement and analysis of progression and graduation rates is a well-established activity in schools of nursing. Such rates are indices of program effectiveness and student success. The Commission on Collegiate Nursing Education (2008), in its recently revised Standards for Accreditation of Baccalaureate and Graduate Degree Nursing Programs, specifically dictated that graduation rates (including discussion of entry points, timeframes) be calculated for each degree program. This context affects what is considered timely progression to graduation. If progression and graduation rates are critical outcomes, then schools must fully understand their measurement as well as interpretation of results. Because no national benchmarks for nursing student progression/graduation rates exist, schools try to set expectations that are realistic yet academically sound. RN-to-bachelor of science in nursing (BSN) students are a unique cohort of baccalaureate learners who need to be understood within their own learning context. The purposes of this study were to explore issues and processes of measuring progression and graduation rates in an RN-to-BSN population and to identify factors that facilitate/hinder their successful progression to work toward establishing benchmarks for success. Using data collected from 14 California schools of nursing with RN-to-BSN programs, RN-to-BSN students were identified as generally older, married, and going to school part-time while working and juggling family responsibilities. The study found much program variation in definition of terms and measures used to report progression and graduation rates. A literature review supported the use of terms such as attrition, retention, persistence, graduation, completion, and success rates, in an overlapping and sometimes synonymous fashion. Conceptual clarity and standardization of measurements are needed to allow comparisons and setting of realistic benchmarks. One of the most important factors identified in this study is the potentially prolonged RN-to-BSN timeline to graduation. This underlines the need to look beyond standardized educational norms for graduation rates and consider the realities of "persistence" by which these students are successful in completing their studies. It also raises the question of whether student success and program success/effectiveness are two separate measures or two separate events on one progression timeline. While clarifying our thinking about success in this population of students, the study raised many questions that warrant further research and debate.
State funding for higher education and RN replacement rates by state: a case for nursing by the numbers in state legislatures.

PubMed

Bargagliotti, L Antoinette

2009-01-01

Amid an enduring nursing shortage and state budget shortfalls, discerning how the percentage of state funding to higher education and other registered nurse (RN) workforce variables may be related to the RN replacement rates (RNRR) in states has important policy implications. Regionally, the age of RNs was inversely related to RNRR. State funding in 2000 significantly predicted the 2004 RNRR, with the percentage of LPNs in 2004 adding to the model. The stability of the model using 2000 and 2004 funding data suggests that state funding creates a climate for RNRR.
Multiple solutions for a class of fractional (p, q)-Laplacian system in RN

NASA Astrophysics Data System (ADS)

Chen, Caisheng; Bao, Jinfeng; Song, Hongxue

2018-03-01

In this work, the symmetric mountain pass lemma is employed to establish the existence of infinitely many solutions to the fractional (p, q)-Laplacian system: (-Δ)p su +V1(x ) |u |p -2u =α-1Fu(x ,u ,v ) +λ b1(x ) |u |m -2u and (-Δ)q sv +V2(x ) |v |q -2v =α-1Fv(x ,u ,v ) +μ b2(x ) |v |k -2v in RN, where (-Δ)p s and (-Δ)q s are the fractional p and q-Laplacian operators, respectively, and 0 < s < 1 < q ≤ p, sp < N, p
Group cohesion and nurse satisfaction: examination of a team-building approach.

PubMed

DiMeglio, Karen; Padula, Cynthia; Piatek, Carolyn; Korber, Susan; Barrett, Ann; Ducharme, Maria; Lucas, Sandra; Piermont, Nicole; Joyal, Elaine; DeNicola, Virginia; Corry, Karen

2005-03-01

The purpose of this study was to determine the impact of a team-building intervention on group cohesion, nurse satisfaction, and turnover rates. Creating an environment that supports and retains nurses represents a formidable challenge for nursing leaders. Research related to strategies that positively impact the culture in which nurses practice, thus potentially improving nurse satisfaction and reducing turnover, is critically needed. Registered nurses (RNs) employed on inpatient units in a 247-bed, private acute care Magnet teaching hospital participated in this quasi experimental preintervention and postintervention design. The RN-RN interaction subscale from the National Database of Nursing Quality Indicators Adapted Index of Work Satisfaction, the National Database of Nursing Quality Indicators Adapted Index of Job Enjoyment, the Group Cohesion Scale, and a facilitator-developed measure were completed preimplementation and postimplementation of unit-tailored intervention strategies, which took place over a 12-month period. Turnover rates were collected 6 month preintervention and postintervention. Improvement in group cohesion, RN-RN interaction, job enjoyment, and turnover was demonstrated. Targeted, unit-based strategies can be an effective means of reducing turnover rates and improving group cohesion and nurse satisfaction.
Comparison of Reasons for Nurse Turnover in Magnet® and Non-Magnet Hospitals.

PubMed

Park, Shin Hye; Gass, Stephanie; Boyle, Diane K

2016-05-01

The aim of this study is to compare rates and reasons for registered nurse (RN) turnover by Magnet® status. Although lower RN turnover rates in Magnet hospitals have been documented well in the literature, little is known about specific separation reasons for RN turnover and whether the reasons differ between Magnet and non-Magnet hospitals. This descriptive, correlational study analyzed unit-level 2013 National Database of Nursing Quality Indicators® turnover data (2,958 units; 497 hospitals). Poisson regression and Wilcoxon-Mann-Whitney test were used. Registered nurse turnover due to environment-related reasons was higher on units in non-Magnet hospitals than units in Magnet hospitals. Units in non-Magnet hospitals had 4.684 times higher turnover rates due to staffing/workload and 1.439 times higher rates due to work schedules than did units in Magnet hospitals. Nursing administrators in both Magnet and non-Magnet hospitals need to continually strive to improve unit work environments, particularly staffing and workload conditions and work scheduling.
Evaluation of radon adsorption characteristics of a coconut shell-based activated charcoal system for radon and thoron removal applications.

PubMed

Karunakara, N; Sudeep Kumara, K; Yashodhara, I; Sahoo, B K; Gaware, J J; Sapra, B K; Mayya, Y S

2015-04-01

Radon ((222)Rn), thoron ((220)Rn), and their decay products contribute a major fraction (more than 50%) of doses received from ionisation radiation in public domain indoor environments and occupation environments such as uranium mines, thorium plants, and underground facilities, and are recognised as important radiological hazardous materials, which need to be controlled. This paper presents studies on the removal of (222)Rn and (220)Rn from air using coconut shell-based granular activated charcoal cylindrical adsorber beds. Experiments were conducted to evaluate the (222)Rn and (220)Rn adsorption characteristics, and the mitigation efficiency of coconut-based activated charcoal available in India. The performance parameters evaluated include breakthrough time (τ) and adsorption coefficient (K), and degassing characteristics of the charcoal bed of varying dimensions at different flow rates. While the breakthrough for (222)Rn occurred depending on the dimension of the adsorber bed and flow rates, for (220)Rn, the breakthrough did not occur. The breakthrough curve exhibited a stretched S-shape response, instead of the theoretically predicted sharp step function. The experiments confirm that the breakthrough time individually satisfies the quadratic relationship with respect to the diameter of the bed, and the linear relationship with respect to the length, as predicted in the theory. The K value varied in the range of 2.3-4.12 m(3) kg(-1) with a mean value of 2.99 m(3) kg(-1). The K value was found to increase with the increase in flow rate. Heating the charcoal to ∼ 100 °C resulted in degassing of the adsorbed (222)Rn, and the K of the degassed charcoal and virgin charcoal were found to be similar with no deterioration in performance indicating the re-usability of the charcoal. Copyright © 2015 Elsevier Ltd. All rights reserved.
Reducing RN Vacancy Rate: A Nursing Recruitment Office Process Improvement Project.

PubMed

Hisgen, Stephanie A; Page, Nancy E; Thornlow, Deirdre K; Merwin, Elizabeth I

2018-06-01

The aim of this study was to reduce the RN vacancy rate at an academic medical center by improving the hiring process in the Nursing Recruitment Office. Inability to fill RN positions can lead to higher vacancy rates and negatively impact staff and patient satisfaction, quality outcomes, and the organization's bottom line. The Model for Improvement was used to design and implement a process improvement project to improve the hiring process from time of interview through the position being filled. Number of days to interview and check references decreased significantly, but no change in overall time to hire and time to fill positions was noted. RN vacancy rate also decreased significantly. Nurse manager satisfaction with the hiring process increased significantly. Redesigning the recruitment process supported operational efficiencies of the organization related to RN recruitment.
Evaluating innovative items for the NCLEX, part I: usability and pilot testing.

PubMed

Wendt, Anne; Harmes, J Christine

2009-01-01

National Council of State Boards of Nursing (NCSBN) has recently conducted preliminary research on the feasibility of including various types of innovative test questions (items) on the NCLEX. This article focuses on the participants' reactions to and their strategies for interacting with various types of innovative items. Part 2 in the May/June issue will focus on the innovative item templates and evaluation of the statistical characteristics and the level of cognitive processing required to answer the examination items.

Use of video-feedback, reflection, and interactive analysis to improve nurse leadership practices.

PubMed

Crenshaw, Jeannette T

2012-01-01

The chronic shortage of registered nurses (RNs) affects patient safety and health care quality. Many factors affect the RN shortage in the workforce, including negative work environments, exacerbated by ineffective leadership approaches. Improvements in the use of relationship-based leadership approaches lead to healthier work environments that foster RN satisfaction and reduce RN turnover and vacancy rates in acute care settings. In this article, an innovative approach to reduce nurse turnover and decrease vacancy rates in acute care settings is described. Video feedback with reflection and interactive analysis is an untapped resource for nurse leaders and aspiring nurse leaders in their development of effective leadership skills. This unique method may be an effective leadership strategy for addressing recruitment and retention issues in a diverse workforce.
Natural radioactivity and radon exhalation rates in man-made tiles used as building materials in Japan.

PubMed

Iwaoka, K; Hosoda, M; Suwankot, N; Omori, Y; Ishikawa, T; Yonehara, H; Tokonami, S

2015-11-01

Man-made tiles frequently used in Japan were collected, and activity concentrations and radon ((222)Rn) exhalation rates in these tiles were measured. Dose estimations for inhabitants living in houses built using these tiles were also carried out. The activity concentrations of (226)Ra, (228)Ra and (40)K in the man-made tiles were 31-170, 35-110 and 260-980 Bq kg(-1), respectively. The (222)Rn exhalation rates in the tiles were 8.8-21 μBq m(-2) s(-1). The ranges of experimental activity concentrations and (222)Rn exhalation rates were almost identical to those of natural rocks used as typical building materials in Japan. The maximum value of effective dose to inhabitants living in houses built with the man-made tiles was 0.14 mSv y(-1), which is lower than the reference level range (1-20 mSv y(-1)) for abnormally high levels of natural background radiation published in the ICRP Publication 103. © The Author 2015. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oup.com.
Improved automated analysis of radon (222Rn) and thoron (220Rn) in natural waters.

PubMed

Dimova, Natasha; Burnett, William C; Lane-Smith, Derek

2009-11-15

Natural radon ((222)Rn) and thoron ((220)Rn) can be used as tracers of various chemical and physical processes in the environment. We present here results from an extended series of laboratory experiments intended to improve the automated analysis of (222)Rn and (220)Rn in water using a modified RAD AQUA (Durridge Inc.) system. Previous experience with similar equipment showed that it takes about 30-40 min for the system to equilibrate to radon-in-water concentration increases and even longer for the response to return to baseline after a sharp spike. While the original water/gas exchanger setup was built only for radon-in-water measurement, our goal here is to provide an automated system capable of high resolution and good sensitivity for both radon- and thoron-in-water detections. We found that faster water flow rates substantially improved the response for both isotopes while thoron is detected most efficiently at airflow rates of 3 L/min. Our results show that the optimum conditions for fastest response and sensitivity for both isotopes are at water flow rates up to 17 L/min and an airflow rate of 3 L/min through the detector. Applications for such measurements include prospecting for naturally occurring radioactive material (NORM) in pipelines and locating points of groundwater/surface water interaction.
Continuing Education for Mentors and a Mentoring Program for RN-to-BSN Students.

PubMed

Cheek, Rita E; Walsh Dotson, Jo Ann; Ogilvie, LeAnn A

2016-06-01

Mentoring programs have been used effectively with graduate and undergraduate nursing students and newly licensed nurses. There are few publications about mentoring for the RN enrolled in a bachelor of science in nursing (RN-to-BSN) program. To address low graduation rates in the public RN-to-BSN nursing programs, the Montana Center to Advance Health Through Nursing designed a mentoring program to help these nurses achieve their BSN. This voluntary program was initiated at an RN-to-BSN program in a 4-year college with six RN students who were paired with a mentor. An interactive, continuing education workshop on mentoring also was developed to prepare experienced nurses for their role as a mentor. This workshop was held nine times across Montana, with a total of 156 attendees. Workshop evaluations were consistently positive. Participants identified time and personality issues as barriers to successful mentoring and recommended expansion of the workshop to a distance-learning format so more nurses could attend. J Contin Educ Nurs. 2016;47(6):272-277. Copyright 2016, SLACK Incorporated.
Construction, Testing, and Analysis of Radon Mitigation System

NASA Astrophysics Data System (ADS)

Jardin, Dan; Schnee, Richard; CDMS Collaboration

2011-10-01

The search for dark matter or other rare events such as neutrinoless double-beta decay is difficult in the presence of background radiation such as the alpha and beta emissions from the 222Rn decay chain. In order to reduce the radioactive background from Rn-daughters, an ultra-low radon clean room is being built at Syracuse University. A vacuum-swing adsorption system is used to mitigate the radon. Air flows through one of two tanks filled with charcoal that the radon adsorbs to, allowing the filtered air to pass into the clean room. Computer-controlled valves direct the airflow so that one tank filters the air while the other tank is purged of radon by circulating a small fraction of the cleaned airflow back through the tank at low pressure. The durations, pressures, and flow rates of each stage of building pressure, filtering, releasing pressure, and purging in the tanks are optimized in order to maximize the reduction of radon from the air. Professor.
GROWTH AND DEVELOPMENT SYMPOSIUM: Adenosine monophosphate-activated protein kinase and mitochondria in Rendement Napole pig growth.

PubMed

Scheffler, T L; Gerrard, D E

2016-09-01

The Rendement Napole mutation (RN-), which is well known to influence pork quality, also has a profound impact on metabolic characteristics of muscle. Pigs with RN- possess a SNP in the γ3 subunit of adenosine monophosphate (AMP)-activated protein kinase (AMPK); AMPK, a key energy sensor in skeletal muscle, modulates energy producing and energy consuming pathways to maintain cellular homeostasis. Importantly, AMPK regulates not only acute response to energy stress but also facilitates long-term adaptation via changes in gene and protein expression. The RN- allele increases AMPK activity, which alters the metabolic phenotype of skeletal muscle by increasing mitochondrial content and oxidative capacity. Fibers with greater oxidative capacity typically exhibit increased protein turnover and smaller fiber size, which indicates that RN- pigs may exhibit decreased efficiency and growth potential. However, whole body and muscle growth of RN- pigs appear similar to that of wild-type pigs and despite increased oxidative capacity, fibers maintain the capacity for hypertrophic growth. This indicates that compensatory mechanisms may allow RN- pigs to achieve rates of muscle growth similar to those of wild-type pigs. Intriguingly, lipid oxidation and mitochondria function are enhanced in RN- pig muscle. Thus far, characteristics of RN- muscle are largely based on animals near market weight. To better understand interaction between energy signaling and protein accretion in muscle, further work is needed to define age-dependent relationships between AMPK signaling, metabolism, and muscle growth.
Peer tutoring program for academic success of returning nursing students.

PubMed

Bryer, Jennifer

2012-01-01

High attrition rates among students in associate degree nursing programs are a concern for faculty, administrators, and students. Programs offering academic and emotional support for students at risk for failing a clinical course may decrease attrition rates and improve academic performance. A peer tutoring program was developed for returning nursing students who were unsuccessful in a previous clinical course. Peer tutors met with returning students weekly to review course work, complete case studies and practice NCLEX questions. Trusting, supportive relationships developed among students and a significant increase in grades was noted at the end of the course for 79% of students. Implementation of peer tutoring was beneficial for returning students, tutors, and the nursing program and may be valuable in other courses where academic achievement is a concern.
A hybrid classroom-online curriculum format for RN-BSN students: cohort support and curriculum structure improve graduation rates.

PubMed

Davidson, Susan C; Metzger, Richard; Lindgren, Katherine S

2011-05-01

As more registered nurses (RNs) return to school to obtain a bachelor of science in nursing (BSN), innovative ways must be found to support them in this endeavor. Barriers for RNs who return to school include scheduling of coursework and fear of failure. One school of nursing with a traditional BSN program reviewed its RN-BSN track, with its low retention and graduation rates. With input from nursing leaders and nurses in the community, the school applied for and was awarded a 3-year Health Resources and Services Administration grant to redesign the RN-BSN program. A hybrid classroom-online curriculum is offered in a structured, sequential format so that the RNs are admitted once a year and must complete the courses as a group, in a cohort. Data collected from evaluations showed that program support, technology support, and social support from peers encouraged the RNs to "stay the course," and 100% completed the requirements to graduate. Copyright 2011, SLACK Incorporated.
Preliminary Experiments Using a Passive Detector for Measuring Indoor 220Rn Progeny Concentrations with an Aerosol Chamber.

PubMed

Sorimachi, Atsuyuki; Tokonami, Shinji; Kranrod, Chutima; Ishikawa, Tetsuo

2015-06-01

This paper describes preliminary experiments using a passive detector for integrating measurements of indoor thoron (²²⁰Rn) progeny concentrations with an aerosol chamber. A solid state nuclear detector (CR-39) covered with a thin aluminum-vaporized polyethylene plate (Mylar film) was used to detect only alpha particles emitted from ²¹²Po due to ²²⁰Rn progeny deposited on the detector surfaces. The initial experiment showed that Mylar film with area density of more than 5 mg cm⁻² was suitable to cut off completely alpha particles of 7.7 MeV from ²¹⁴Po of ²²²Rn progeny decay. In the experiment using the passive detector, it was observed that the net track density increased linearly with an increase of time-integrating ²²⁰Rn progeny concentration. As a result of dividing deposition rates by atom concentrations, the deposition velocity was given as 0.023 cm s⁻¹ for total ²²⁰Rn progeny. The model estimates of deposition velocities were 0.330 cm s⁻¹ for unattached ²²⁰Rn progeny and 0.0011 cm s⁻¹ for aerosol-attached ²²⁰Rn progeny using Lai-Nazaroff formulae. These deposition velocities were in the same range with the results reported in the literature. It was also found that the exposure experiments showed little influence of vertical profiles and surface orientations of the passive detector in the chamber on the detection responses, which was in good agreement with that in the model estimates. Furthermore, it was inferred that the main uncertainty of the passive detector was inhomogeneous deposition of Rn progeny onto its detection surfaces.
Allometric methodology for the assessment of radon exposures to terrestrial wildlife.

PubMed

Vives i Batlle, J; Copplestone, D; Jones, S R

2012-06-15

A practical approach to calculate (222)Rn daughter dose rates to terrestrial wildlife is presented. The method scales allometrically the relevant parameters for respiration in different species of wildlife, allowing inter-species calculation of the dose per unit radon concentration in air as simple base-and-exponent power functions of the mass. For plants, passive gas exchange through the leaf surface is assumed, also leading to specific power relationships with mass. The model generates conservative predictions in which the main contributor to the dose rate of target tissues of the respiratory system is from α radiation arising from (222)Rn daughters. Tabulated (222)Rn DPURn values are given for 69 species used by the England & Wales Environment Agency for habitats assessments. The approach is then applied to assess the authorised discharges of (222)Rn from sites in England, demonstrating that, from a whole-body dose perspective, the biota considered are protected from effects at the population level. Copyright © 2012 Elsevier B.V. All rights reserved.
Baccalaureate education in nursing and patient outcomes.

PubMed

Blegen, Mary A; Goode, Colleen J; Park, Shin Hye; Vaughn, Thomas; Spetz, Joanne

2013-02-01

The aim of this study was to examine the effects of registered nurse (RN) education by determining whether nurse-sensitive patient outcomes were better in hospitals with a higher proportion of RNs with baccalaureate degrees. The Future of Nursing report recommends increasing the percentage of RNs with baccalaureate degrees from 50% to 80% by 2020. Research has linked RN education levels to hospital mortality rates but not with other nurse-sensitive outcomes. This was a cross-sectional study that, with the use of data from 21 University HealthSystem Consortium hospitals, analyzed the association between RN education and patient outcomes (risk-adjusted patient safety and quality of care indicators), controlling for nurse staffing and hospital characteristics. Hospitals with a higher percentage of RNs with baccalaureate or higher degrees had lower congestive heart failure mortality, decubitus ulcers, failure to rescue, and postoperative deep vein thrombosis or pulmonary embolism and shorter length of stay. The recommendation of the Future of Nursing report to increase RN education levels is supported by these findings.
Measurements of soil and canopy exchange rates in the Amazon rain forest using Rn-222

NASA Technical Reports Server (NTRS)

Trumbore, S. E.; Keller, M.; Wofsy, S. C.; Da Costa, J. M.

1990-01-01

Measurements were taken of the emission of Rn-222 from Amazon forest rocks and soils and used as a tracer of ventilation of the forest canopy layer at night. It was determined that the greatest resistance to transfer of trace gases from the soil to the atmosphere lies in the soil air space. Profiles of Rn-222 and CO2 showed steepest concentration gradients in the layer between 0 and 3 m above soil surface. Aerodynamic resistances calculated for this layer from Rn-222 and CO2 varied from 1.6 to 18 s/cm, with greater resistance during the afternoon than at night. The resistance to exchange with air from the entire 41 m layer below the canopy averaged 4.8 s/cm during 13 nights of CO2 profiles. The calculated average time to flush the layer below 41 m is 5.5 hr, and it is concluded that this indicates that significant exchange occurs despite nocturnal stratification.
Peer Mentoring in Long-Term Care: Rational, Design, and Retention

ERIC Educational Resources Information Center

Hegeman, Carol; Hoskinson, Debi; Munro, Heather; Maiden, Patricia; Pillemer, Karl

2007-01-01

This article describes two successful peer-mentoring programs designed to improve the quality of care in nursing homes and retention rates among direct care staff. The first program, "Growing Strong Roots," examined CNA retention rates and the second program, "Peer Mentoring for Long Term Charge Nurses," examined RN and LPN retention rates. These…
Perioperative outcomes of 6042 nephrectomies in 2012: surgeon-reported results in the UK from the British Association of Urological Surgeons (BAUS) nephrectomy database.

PubMed

Henderson, John M; Fowler, Sarah; Joyce, Adrian; Dickinson, Andrew; Keeley, Francis X

2015-01-01

To present the perioperative outcomes from the British Association of Urological Surgeons (BAUS) nephrectomy dataset for 2012, the first year of public reporting of individual surgeon outcomes in the UK. All nephrectomies performed in the year 2012 and recorded in the database were analysed. These were divided into simple nephrectomy (SN), partial nephrectomy (PN), radical nephrectomy (RN), and nephroureterectomy (NU). The estimated capture rate for nephrectomy was 80%. The outcomes measured were 30-day mortality (30-DM), Clavien-Dindo complications grade ≥III, blood transfusion, conversion to open, and length of stay. The overall 30-DM was 0.55% (SN 0.53%; PN 0.10%; RN 0.52%; NU 1.27%). Clavien-Dindo complications grade ≥III were recorded in 3.9% of nephrectomies (SN 4.3%; PN 5.4%; RN 3.1%; NU 4.5%). Blood transfusion was required during surgical admission for 8.4% of nephrectomies (SN 5.2%; PN 3.4%; RN 11.1%; NU 8.3%). Conversion to open was carried out in 5.5% of minimally invasive nephrectomies (SN 6.1%; PN 4.0%; RN 5.5%; NU 5.6%). Open nephrectomy patients remained in hospital for a median of 6 days (SN 7; PN 5; RN 7; NU 8 days), which was higher than the median 4-day stay (SN 3; PN 4; RN 4; NU 5 days) for minimally invasive surgery. Nephrectomy in 2012 was a safe procedure with morbidity and mortality rates comparable with or less than published series. The collection of surgeon-specific data should be iterative with further refinement of data categories, support for the collection process and independent validation of results. © 2014 The Authors. BJU International © 2014 BJU International.
Calculating graduation rates.

PubMed

Starck, Patricia L; Love, Karen; McPherson, Robert

2008-01-01

In recent years, the focus has been on increasing the number of registered nurse (RN) graduates. Numerous states have initiated programs to increase the number and quality of students entering nursing programs, and to expand the capacity of their programs to enroll additional qualified students. However, little attention has been focused on an equally, if not more, effective method for increasing the number of RNs produced-increasing the graduation rate of students enrolling. This article describes a project that undertook the task of compiling graduation data for 15 entry-level programs, standardizing terms and calculations for compiling the data, and producing a regional report on graduation rates of RN students overall and by type of program. Methodology is outlined in this article. This effort produced results that were surprising to program deans and directors and is expected to produce greater collaborative efforts to improve these rates both locally and statewide.
Expected indoor 222Rn levels in counties with very high and very low lung cancer rates.

PubMed

Cohen, B L

1989-12-01

Counties in the U.S. with high lung cancer rates should have higher average 222Rn levels than counties with low lung cancer rates, assuming the average 222Rn level in a county is not correlated with other factors that cause lung cancer. The magnitude of this effect was calculated, using the absolute risk model, the relative risk model, and an intermediate model, for females who died in 1950-1969. The results were similar for all three models. We concluded that, ignoring migration, the average Rn level in the highest lung cancer counties should be about three times higher than in the lowest lung cancer counties according to the theory. Preliminary data are presented indicating that the situation is quite the opposite: The average Rn level in the highest lung cancer counties was only about one-half that in the lowest lung cancer counties.
Effect of staff turnover on staffing: A closer look at registered nurses, licensed vocational nurses, and certified nursing assistants.

PubMed

Kash, Bita A; Castle, Nicholas G; Naufal, George S; Hawes, Catherine

2006-10-01

We examined the effects of facility and market-level characteristics on staffing levels and turnover rates for direct care staff, and we examined the effect of staff turnover on staffing levels. We analyzed cross-sectional data from 1,014 Texas nursing homes. Data were from the 2002 Texas Nursing Facility Medicaid Cost Report and the Area Resource File for 2003. After examining factors associated with staff turnover, we tested the significance and impact of staff turnover on staffing levels for registered nurses (RNs), licensed vocational nurses (LVNs) and certified nursing assistants (CNAs). All three staff types showed strong dependency on resources, such as reimbursement rates and facility payor mix. The ratio of contracted to employed nursing staff as well as RN turnover increased LVN turnover rates. CNA turnover was reduced by higher administrative expenditures and higher CNA wages. Turnover rates significantly reduced staffing levels for RNs and CNAs. LVN staffing levels were not affected by LVN turnover but were influenced by market factors such as availability of LVNs in the county and women in the labor force. Staffing levels are not always associated with staff turnover. We conclude that staff turnover is a predictor of RN and CNA staffing levels but that LVN staffing levels are associated with market factors rather than turnover. Therefore, it is important to focus on management initiatives that help reduce CNA and RN turnover and ultimately result in higher nurse staffing levels in nursing homes.
Radon progeny size distributions and enhanced deposition effects from high radon concentrations in an enclosed chamber.

PubMed

Leonard, Bobby E

2004-01-01

Prior work studying radon progeny in a small enclosed chamber found that at high (222)Rn concentrations an enhanced surface deposition was observed. Subsequent measurements for unfiltered air showed minimal charged particle mobility influence. Progeny particle size measurements reported here, performed at the US Department of Energy Environmental Measurement Laboratory (now with Home Security Department), using the EML graded screen array (GSA) system show in unfiltered air that the high (222)Rn levels causes a reduction in the attached (218)Po progeny airborne particulates and formation of additional normal sized unattached ( approximately 0.80 nm) and also even smaller (218)Po below 0.50 nm. At a (222)Rn level of 51 kBq m(-3), 73% of all (218)Po are of a mean particle diameter of about 0.40 +/- 0.02 nm. At this (222)Rn level, the ratio of (218)Po to (222)Rn airborne concentrations is reduced significantly from the concentration ratio at low (222)Rn levels. Similar reductions and size reformations were observed for the (214)Pb and (214)Bi/Po progeny. The particle size changes are further confirmed using the plateout rates and corresponding deposition velocities. The Crump and Seinfeld deposition theory provides the corresponding particle diffusion coefficients. With the diffusion coefficient to ultrafine clustered particle diameter correlation of Ramamurthi and Hopke, good agreement is obtained between EML GSA and deposition velocity data down to 0.40 nm. Strong evidence is presented that the progeny size reduction is due to, as a result of air ionization, the increased neutralization rate (primarily from electron scavenging of OH molecules) of the initially charged progeny. This is shown to increase with the (1/2) power of (222)Rn concentration and relative humidity as well as increased air change rate in the chamber. These results imply that at (222)Rn levels above 50 kBq m(-3), at relative humidity of 52%, a considerable reduction in lung dose could occur from preferential deposition of the progeny in the nasal and oral passages.
Treatment management of small renal masses in the 21st century: a paradigm shift.

PubMed

Sun, Maxine; Abdollah, Firas; Bianchi, Marco; Trinh, Quoc-Dien; Jeldres, Claudio; Thuret, Rodolphe; Tian, Zhe; Shariat, Shahrokh F; Montorsi, Francesco; Perrotte, Paul; Karakiewicz, Pierre I

2012-07-01

Partial (PN) or radical nephrectomy (RN) represents the standard of care for patients with small renal masses. Active surveillance (AS) also may be considered. We examined the rates of PN, RN, and AS within a contemporary population-based cohort. Using the surveillance, epidemiology and end results database, we identified 26,468 patients diagnosed with T1aN0M0 renal cell carcinoma, between years 1988 and 2008. Determinants of PN and AS were assessed using logistic regression analyses within surgically managed patients and within the entire cohort, respectively. Overall, 8,966 (34%), 14,705 (56%), and 2,797 (11%) patients underwent PN, RN, and AS, respectively. The rate of PN increased (4.7% in 1988 to 40.4% in 2008, P<0.001), whereas the rate of RN decreased over time (92.9% in 1988 to 41.4% in 2008, P<0.001). The rate of AS increased over time (2.4% in 1988 to 18.2% in 2008, P<0.001). In multivariable analyses, the determinants for PN consisted of more contemporary year of diagnosis, younger patient age, male gender, Caucasian race, married status, and decreasing tumor size (all P≤0.003). The determinants of AS consisted of more contemporary year of diagnosis, more advanced age, male gender, decreasing tumor size, and unmarried marital status (all P≤0.001). Regional differences for management of localized RCC were detected. It is encouraging that PN rates have increased in an eightfold fashion. Moreover, a fivefold increase was recorded for AS. These figures show a paradigm shift in the management of small renal masses.
Medicaid payment rates, case-mix reimbursement, and nursing home staffing--1996-2004.

PubMed

Feng, Zhanlian; Grabowski, David C; Intrator, Orna; Zinn, Jacqueline; Mor, Vincent

2008-01-01

We examined the impact of state Medicaid payment rates and case-mix reimbursement on direct care staffing levels in US nursing homes. We used a recent time series of national nursing home data from the Online Survey Certification and Reporting system for 1996-2004, merged with annual state Medicaid payment rates and case-mix reimbursement information. A 5-category response measure of total staffing levels was defined according to expert recommended thresholds, and examined in a multinomial logistic regression model. Facility fixed-effects models were estimated separately for Registered Nurse (RN), Licensed Practical Nurse (LPN), and Certified Nurse Aide (CNA) staffing levels measured as average hours per resident day. Higher Medicaid payment rates were associated with increases in total staffing levels to meet a higher recommended threshold. However, these gains in overall staffing were accompanied by a reduction of RN staffing and an increase in both LPN and CNA staffing levels. Under case-mix reimbursement, the likelihood of nursing homes achieving higher recommended staffing thresholds decreased, as did levels of professional staffing. Independent of the effects of state, market, and facility characteristics, there was a significant downward trend in RN staffing and an upward trend in both LPN and CNA staffing. Although overall staffing may increase in response to more generous Medicaid reimbursement, it may not translate into improvements in the skill mix of staff. Adjusting for reimbursement levels and resident acuity, total staffing has not increased after the implementation of case-mix reimbursement.

Assessment of (222)Rn emanation from ore body and backfill tailings in low-grade underground uranium mine.

PubMed

Mishra, Devi Prasad; Sahu, Patitapaban; Panigrahi, Durga Charan; Jha, Vivekanand; Patnaik, R Lokeswara

2014-02-01

This paper presents a comparative study of (222)Rn emanation from the ore and backfill tailings in an underground uranium mine located at Jaduguda, India. The effects of surface area, porosity, (226)Ra and moisture contents on (222)Rn emanation rate were examined. The study revealed that the bulk porosity of backfill tailings is more than two orders of magnitude than that of the ore. The geometric mean radon emanation rates from the ore body and backfill tailings were found to be 10.01 × 10(-3) and 1.03 Bq m(-2) s(-1), respectively. Significant positive linear correlations between (222)Rn emanation rate and the (226)Ra content of ore and tailings were observed. For normalised (226)Ra content, the (222)Rn emanation rate from tailings was found to be 283 times higher than the ore due to higher bulk porosity and surface area. The relative radon emanation from the tailings with moisture fraction of 0.14 was found to be 2.4 times higher than the oven-dried tailings. The study suggested that the mill tailings used as a backfill material significantly contributes to radon emanation as compared to the ore body itself and the (226)Ra content and bulk porosity are the dominant factors for radon emanation into the mine atmosphere.
RECURRENT NOVAE IN M31

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

Shafter, A. W.; Henze, M.; Rector, T. A.

2015-02-01

The reported positions of 964 suspected nova eruptions in M31 recorded through the end of calendar year 2013 have been compared in order to identify recurrent nova (RN) candidates. To pass the initial screen and qualify as a RN candidate, two or more eruptions were required to be coincident within 0.′1, although this criterion was relaxed to 0.′15 for novae discovered on early photographic patrols. A total of 118 eruptions from 51 potential RN systems satisfied the screening criterion. To determine what fraction of these novae are indeed recurrent, the original plates and published images of the relevant eruptions havemore » been carefully compared. This procedure has resulted in the elimination of 27 of the 51 progenitor candidates (61 eruptions) from further consideration as RNe, with another 8 systems (17 eruptions) deemed unlikely to be recurrent. Of the remaining 16 systems, 12 candidates (32 eruptions) were judged to be RNe, with an additional 4 systems (8 eruptions) being possibly recurrent. It is estimated that ∼4% of the nova eruptions seen in M31 over the past century are associated with RNe. A Monte Carlo analysis shows that the discovery efficiency for RNe may be as low as 10% that for novae in general, suggesting that as many as one in three nova eruptions observed in M31 arise from progenitor systems having recurrence times ≲100 yr. For plausible system parameters, it appears unlikely that RNe can provide a significant channel for the production of Type Ia supernovae.« less
Statistical variability and confidence intervals for planar dose QA pass rates

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

Bailey, Daniel W.; Nelms, Benjamin E.; Attwood, Kristopher

Purpose: The most common metric for comparing measured to calculated dose, such as for pretreatment quality assurance of intensity-modulated photon fields, is a pass rate (%) generated using percent difference (%Diff), distance-to-agreement (DTA), or some combination of the two (e.g., gamma evaluation). For many dosimeters, the grid of analyzed points corresponds to an array with a low areal density of point detectors. In these cases, the pass rates for any given comparison criteria are not absolute but exhibit statistical variability that is a function, in part, on the detector sampling geometry. In this work, the authors analyze the statistics ofmore » various methods commonly used to calculate pass rates and propose methods for establishing confidence intervals for pass rates obtained with low-density arrays. Methods: Dose planes were acquired for 25 prostate and 79 head and neck intensity-modulated fields via diode array and electronic portal imaging device (EPID), and matching calculated dose planes were created via a commercial treatment planning system. Pass rates for each dose plane pair (both centered to the beam central axis) were calculated with several common comparison methods: %Diff/DTA composite analysis and gamma evaluation, using absolute dose comparison with both local and global normalization. Specialized software was designed to selectively sample the measured EPID response (very high data density) down to discrete points to simulate low-density measurements. The software was used to realign the simulated detector grid at many simulated positions with respect to the beam central axis, thereby altering the low-density sampled grid. Simulations were repeated with 100 positional iterations using a 1 detector/cm{sup 2} uniform grid, a 2 detector/cm{sup 2} uniform grid, and similar random detector grids. For each simulation, %/DTA composite pass rates were calculated with various %Diff/DTA criteria and for both local and global %Diff normalization techniques. Results: For the prostate and head/neck cases studied, the pass rates obtained with gamma analysis of high density dose planes were 2%-5% higher than respective %/DTA composite analysis on average (ranging as high as 11%), depending on tolerances and normalization. Meanwhile, the pass rates obtained via local normalization were 2%-12% lower than with global maximum normalization on average (ranging as high as 27%), depending on tolerances and calculation method. Repositioning of simulated low-density sampled grids leads to a distribution of possible pass rates for each measured/calculated dose plane pair. These distributions can be predicted using a binomial distribution in order to establish confidence intervals that depend largely on the sampling density and the observed pass rate (i.e., the degree of difference between measured and calculated dose). These results can be extended to apply to 3D arrays of detectors, as well. Conclusions: Dose plane QA analysis can be greatly affected by choice of calculation metric and user-defined parameters, and so all pass rates should be reported with a complete description of calculation method. Pass rates for low-density arrays are subject to statistical uncertainty (vs. the high-density pass rate), but these sampling errors can be modeled using statistical confidence intervals derived from the sampled pass rate and detector density. Thus, pass rates for low-density array measurements should be accompanied by a confidence interval indicating the uncertainty of each pass rate.« less
The 150 Credit-Hour Requirement and CPA Examination Pass Rates--A Four Year Study

ERIC Educational Resources Information Center

Briggs, Gary P.; He, Lerong

2012-01-01

Debate concerning the minimum educational requirements of certified public accountant (CPA) candidates in the USA has been taking place for decades. This paper compares the sectional pass rates of CPA candidates from jurisdictions requiring 150 credit hours of college study with the pass rates of candidates from jurisdictions not requiring 150…
The Dubious Utility of the Value-Added Concept in Higher Education: The Case of Accounting

ERIC Educational Resources Information Center

Yunker, J.A.

2005-01-01

Using data on CPA exam pass rates and various institutional variables, this research examines the potential usefulness of the value-added concept in accounting higher education. For a sample of 548 US colleges and universities, predicted pass rates were computed from regression equations relating observed pass rates to institutional variables. The…
SU-F-T-236: Comparison of Two IMRT/VMAT QA Systems Using Gamma Index Analysis

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

Dogan, N; Denissova, S

2016-06-15

Purpose: The goal of this study is to assess differences in the Gamma index pass rates when using two commercial QA systems and provide optimum Gamma index parameters for pre-treatment patient specific QA. Methods: Twenty-two VMAT cases that consisted of prostate, lung, head and neck, spine, brain and pancreas, were included in this study. The verification plans have been calculated using AcurosXB(V11) algorithm for different dose grids (1.5mm, 2.5mm, 3mm). The measurements were performed on TrueBeam(Varian) accelerator using both EPID(S1000) portal imager and ArcCheck(SunNuclearCorp) devices. Gamma index criteria variation of 3%/3mm, 2%/3mm, 2%/2mm and threshold (TH) doses of 5% tomore » 50% were used in analysis. Results: The differences in Gamma pass rates between two devices are not statistically significant for 3%/3mm, yielding pass rate higher than 95%. Increase of lower dose TH showed reduced pass rates for both devices. ArcCheck’s more pronounced effect can be attributed to higher contribution of lower dose region spread. As expected, tightening criteria to 2%/2mm (TH: 10%) decreased Gamma pass rates below 95%. Higher EPID (92%) pass rates compared to ArcCheck (86%) probably due to better spatial resolution. Portal Dosimetry results showed lower Gamma pass rates for composite plans compared to individual field pass rates. This may be due to the expansion in the analyzed region which includes pixels not included in the separate field analysis. Decreasing dose grid size from 2.5mm to 1.5mm did not show statistically significant (p<0.05) differences in Gamma pass rates for both QA devices. Conclusion: Overall, both system measurements agree well with calculated dose when using gamma index criteria of 3%/3mm for a variety of VMAT cases. Variability between two systems increases using different dose GRID, TH and tighter gamma criteria and must be carefully assessed prior to clinical use.« less
Hilar location is an independent prognostic factor for recurrence in T1 renal cell carcinoma after nephrectomy.

PubMed

Shim, Myungsun; Song, Cheryn; Park, Sejun; Kim, Aram; Choi, Seung-Kwon; Kim, Choung-Soo; Ahn, Hanjong

2015-01-01

We investigated the prognostic significance of tumor location at the renal hilum near the sinus structure on the recurrence in T1 renal cell carcinoma (RCC). A total of 1,818 T1 RCC patients who underwent radical (RN) or partial nephrectomy (PN) from 1997 to 2011 were retrospectively reviewed. A hilar tumor was defined as a tumor abutting the main renal artery and/or vein or its segmental branches, without invasion. We compared the recurrence-free survival (RFS) rates between hilar and nonhilar T1 RCC and analyzed predictors of RFS after nephrectomy. Patients with hilar tumors showed a poorer 5-year RFS compared with nonhilar tumors both in T1a (89.7 vs. 98.5 %, p < 0.001) and T1b (81.6 vs. 95.1 %, p < 0.001) RCCs. Among patients who underwent RN and PN, hilar tumors were associated with lower 5-year RFS (87.6 vs. 97.2 % for RN, 78.1 vs. 98.2 % for PN, both p < 0.001). In T1a hilar tumor, PN was associated with poorer 5-year RFS than RN (79.5 vs. 93.0 %, p < 0.001). In multivariate analysis, a hilar location remained as an independent predictor of recurrence in both T1a and T1b tumors (both p = 0.001). Hilar tumors show a higher recurrence rate than nonhilar counterparts in T1 RCC. In T1a hilar tumors, PN demonstrated poorer RFS than RN. Potential intrinsic renal anatomical or lymphovascular structural differences as well as differences in cancer characteristics need further investigations.
A descriptive study of employment patterns and work environment outcomes of specialist nurses in Canada.

PubMed

Doran, Diane; Duffield, Christine; Rizk, Paul; Nahm, Sang; Chu, Charlene H

2014-01-01

The purpose was to describe the number, demographic characteristics, work patterns, exit rates, and work perceptions of nurses in Ontario, Canada, in 4 specialty classifications: advanced practice nurse (APN)-clinical nurse specialist (CNS), APN-other, primary healthcare nurse practitioner [RN(extended class [EC])], and registered nurse (RN) with specialty certification. The objectives were to (1) describe how many qualified nurses are available by specialty class; (2) create a demographic profile of specialist nurses; (3) determine the proportions of specialist and nonspecialist nurses who leave (a) direct patient care and (b) nursing practice annually; (4) determine whether specialist and nonspecialist nurses differ in their self-ratings of work environment, job satisfaction, and intention to remain in nursing. Employment patterns refer to nurses' employment status (eg, full-time, part-time, casual), work duration (ie, length of employment in nurses and in current role), and work transitions (ie, movement in and out of the nursing workforce, and movement out of current role). A longitudinal analysis of the Ontario nurses' registration database from 2005 to 2010 and a survey of specialist nurses in Canada was conducted. The setting was Canada. The database sample consisted of 3 specialist groups, consisting of RN(EC), CNS, and APN-other, as well as 1 nonspecialist RN staff nurse group. The survey sample involved 359 nurses who were classified into groups based on self-reported job title and RN specialty-certification status. Data sources included College of Nurses of Ontario registration database and survey data. The study measures were the Nursing Work Index, a 4-item measure of job satisfaction, and 1-item measure of intent to leave current job. Nurses registered with the College of Nurses of Ontario were tracked over the study period to identify changes in their employment status with comparisons made between nurses employed in specialist roles and those registered as general staff nurses. Analysis involved descriptive summaries, mean comparisons with independent-samples t test, and χ(2) tests for categorical data. Exit rates from direct practice were highest for APN-other (7.6%) and CNS (6.2%) and lowest for RN(EC) (1.0%) and staff nurses (1.2%). χ(2) Tests indicated yearly exit rates of both APN-other and CNS nurse groups were significantly higher than those of staff nurses in all years evaluated (α = .025). Every specialist employment group scored significantly higher than staff nurses on measures of work environment and satisfaction outcomes. We provided a description of specialist nurses in Ontario and examined the relationship between specialization and employment patterns of nurses to inform nurse retention strategies in the future. Employment in specialist nursing positions is significantly associated with differences in transitions or exits from nursing among the specialist and nonspecialist groups. Registered nurses (EC) displayed improved retention characteristics compared with staff nurses. Advanced practice nurse-other and APN-CNS exit rates from nursing practice in Ontario were comparable to staff nurses, but exit rates from direct clinical practice roles were higher than those of staff nurses. Targeted strategies are required to retain CNS and APN-other in direct clinical practice roles.
BSN completion barriers, challenges, incentives, and strategies.

PubMed

Duffy, Marie T; Friesen, Mary Ann; Speroni, Karen Gabel; Swengros, Diane; Shanks, Laura A; Waiter, Pamela A; Sheridan, Michael J

2014-04-01

The objectives of this study were to explore RN perceptions regarding barriers/challenges and incentives/supports for BSN completion and identify recommendations to increase RN BSN completion. The Institute of Medicine's 2011 The Future of Nursing report recommended the proportion of RNs with a BSN increase to 80% by 2020. This qualitative study included 41 RNs who participated in 1 of 6 focus groups based on their BSN completion status. Primary themes were sacrifices, barriers/challenges, incentives/supports, value, how to begin, and pressure. Primary BSN completion barriers/challenges were work-life balance and economic issues. Incentives/supports identified were financial compensation, assistance from employer and academic institution, and encouragement from family. Institutional strategies recommended for increasing BSN completion rates were improved access to education and financial support facilitated by collaboration between hospitals and academic institutions. Exploring RN barriers/challenges and incentives/supports for BSN completion can lead to implementation of institutional strategies, such as tuition reimbursement and academic collaboration.
BOREAS TGB-12 Rn-222 Flux Data over the NSA

NASA Technical Reports Server (NTRS)

Hall, Forrest G. (Editor); Conrad, Sara K.; Trumbore, Susan; Sundquist, Eric; Winston, Greg

2000-01-01

The BOREAS TGB-12 team made measurements of soil carbon inventories, carbon concentration in soil gases, and rates of soil respiration at several sites to estimate the rates of carbon accumulation and turnover in each of the major vegetation types. Sampling strategies for soils were designed to take advantage of local fire chronosequences, so that the accumulation of carbon in new moss growth could be determined. All the data are used to 1) calculate the inventory of carbon and nitrogen in moss and mineral soil layers at NSA sites, 2) determine the rates of input and turnover (using both accumulation since the last stand-killing fire and radiocarbon data), and 3) link changes in soil respiration rate to shifts in the C-14 content of soil CO2 to determine the average "age" respired CO2. These Rn-222 flux data were collected from 15-Nov-1993 to 16-Aug-1994 over the NSA sites. The data in this data set are stored in tabular ASCII files.
A study of disequilibrium between 220Rn and 216Po for 220Rn measurements using a flow-through Lucas scintillation cell.

PubMed

Sathyabama, N; Datta, D; Gaware, J J; Mayya, Y S; Tripathi, R M

2014-01-01

Lucas-type scintillation cells (LSCs) are commonly used for rapid measurements of (220)Rn concentrations in flow-through mode in field and for calibration experiments in laboratories. However, in those measurements, equilibrium between (220)Rn and (216)Po is generally assumed and two alpha particles are considered to be emitted per (220)Rn decay due to very short half-life of (216)Po. In this paper, a small, yet significant disequilibrium existing between (220)Rn and (216)Po has been examined and shown that less than two alpha particles are actually emitted per (220)Rn decay in the cell when flow is maintained. A theoretical formula has been derived for the first time for a correction factor (CF) to be applied to this measured concentration to account for the disequilibrium. The existence of this disequilibrium has been verified experimentally and is found to increase with the increase in the ratio of flow rate to cell volume. The reason for the disequilibrium is attributed to the flushing out of (216)Po formed in the cell before its decay due to the flow. Uncertainties in measured concentrations have been estimated and the estimated CF values have been found to be significant for the flow rates considered above 5 dm(3) min(-1) for a cell of volume 0.125 dm(3). The calculated values of the CF are about 1.055 to 1.178 in the flow rate range of 4 to 15 dm(3) min(-1) for the cell of volume 0.125 dm(3), while the corresponding experimental values are 1.023 to 1.264. This is a systematic error introduced in (220)Rn measurements using a flow-through LSC, which can be removed either by correct formulation or by proper design of a measurement set-up.
Do Differences in Programmatic Resource Investments Result in Different 3-Year Pass Rates on the U.S. National Physical Therapy Examination?

PubMed

Covington, Kyle; McCallum, Christine; Engelhard, Chalee; Landry, Michel D; Cook, Chad

2016-01-01

The rising cost of health professions education is well documented and a growing concern among educators; however, little is known about the implications of resource investment on student success. The objective of this study was to determine whether programs with higher National Physical Therapist Exam (NPTE) pass rates invested significantly more on programmatic resources. This observational study used data from the Commission on Accreditation in Physical Therapy Education's (CAPTE) Annual Accreditation Report including all accredited physical therapist programs from the United States who graduated physical therapist students in 2011. Resource expenditures were recorded as both raw and as an index variable (resources per student). Descriptive statistics and comparisons (using chi-square and t-tests) among programs with <100% and 100% pass rates were analyzed from 2009-2011. An ANCOVA was used to determine differences in raw resource expenditures and resource expenditures per student. There were no differences in raw resource expenditures between programs with <100% and 100% pass rates. Programs with 100% pass rates were provided more resource expenditures per student for personnel, overall budget, and core faculty. The results of this study suggest programs with 100% pass rates invested significantly more per student for selected resources.
Trends and perioperative outcomes for laparoscopic and robotic nephrectomy using the National Surgical Quality Improvement Program (NSQIP) database.

PubMed

Liu, Jen-Jane; Leppert, John T; Maxwell, Bryan G; Panousis, Periklis; Chung, Benjamin I

2014-05-01

We sought to examine the trends in perioperative outcomes of kidney cancer surgery stratified by type (radical nephrectomy [RN] vs. partial nephrectomy [PN]) and approach (open vs. minimally invasive). We queried the National Surgical Quality Improvement Program database to identify kidney cancer operations performed from 2005 to 2011. We examined 30-day perioperative outcomes including operative time, transfusion rate, length of stay, major morbidity (cardiovascular, pulmonary, renal, and infectious), and mortality. A total of 2,902 PN and 5,459 RN cases were identified. The use of PN increased over time, accounting for 39% of all nephrectomies in 2011. Minimally invasive approaches also increased over time for both RN and PN. Open surgery was associated with increased length of stay, receipt of transfusion, major complications, and perioperative mortality. Resident involvement and open approach were independent predictors of major complications for both PN and RN. Additionally, the presence of a medical comorbidity was also a risk factor for complications after RN. The overall complication rates decreased for all approaches over the study period. Minimally invasive approaches to kidney cancer renal surgery have increased with favorable outcomes. The safety of open and minimally invasive PN improved significantly over the study period. Although pathologic features cannot be determined from this data set, these data show that complications from renal surgical procedures are decreasing in an era of increasing use. © 2013 Published by Elsevier Inc.
Establishment of a Rotor Model Basis.

DTIC Science & Technology

1982-06-01

2 FC = J r2 dr = (r r3) W) rA Defining b, = 1 (r2 - N =(A3) b2= r the segment extremities are given by equations (87) as rn(+) = ( nbl + b2 )I1/2 (A...rn(_)] - FC n= 1 N 2 ((2n - 1)b I + 2b2 ][vnb + b2 - .(n - l)bj + b2 -F Cn= 1 S11N-i [(2N - l)bj + 2b2]rT - (b, + 2 b2)rA - b I / nbl + b- FC n=1...EEM = 4 [rn(+) + rn(-)]2[rn(+) - rn(-)] - FC n= 1 N 2 2 4 [rn(+) - rn(_)J[rn(+) + rn(_ )] - FC n= 1 = b (/I + b 2 + bI2+2 E nbl + b2 - FC 4 bj + b 2
Impact of Online Summer Mathematics Bridge Program on Placement Scores and Pass Rates

ERIC Educational Resources Information Center

Frost, Jodi L.; Dreher, J. P.

2017-01-01

An online four-week summer mathematics bridge program was implemented at a Midwest university with historically low pass rates in College Algebra and Remedial Mathematics. Students who completed the four week program significantly increased their mathematics placement exam scores. These students also had a higher pass rate in their initial college…
Pass rates on the American Board of Family Medicine Certification Exam by residency location and size.

PubMed

Falcone, John L; Middleton, Donald B

2013-01-01

The Accreditation Council for Graduate Medical Education (ACGME) sets residency performance standards for the American Board of Family Medicine Certification Examination. This study aims are to describe the compliance of residency programs with ACGME standards and to determine whether residency pass rates depend on program size and location. In this retrospective cohort study, residency performance from 2007 to 2011 was compared with the ACGME performance standards. Simple linear regression was performed to see whether program pass rates were dependent on program size. Regional differences in performance were compared with χ(2) tests, using an α level of 0.05. Of 429 total residency programs, there were 205 (47.8%) that violate ACGME performance standards. Linear regression showed that program pass rates were positively correlated and dependent on program size (P < .001). The median pass rate per state was 86.4% (interquartile range, 82.0-90.8. χ(2) Tests showed that states in the West performed higher than the other 3 US Census Bureau Regions (all P < .001). Approximately half of the family medicine training programs do not meet the ACGME examination performance standards. Pass rates are associated with residency program size, and regional variation occurs. These findings have the potential to affect ACGME policy and residency program application patterns.
SU-F-T-301: Planar Dose Pass Rate Inflation Due to the MapCHECK Measurement Uncertainty Function

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

Bailey, D; Spaans, J; Kumaraswamy, L

Purpose: To quantify the effect of the Measurement Uncertainty function on planar dosimetry pass rates, as analyzed with Sun Nuclear Corporation analytic software (“MapCHECK” or “SNC Patient”). This optional function is toggled on by default upon software installation, and automatically increases the user-defined dose percent difference (%Diff) tolerance for each planar dose comparison. Methods: Dose planes from 109 IMRT fields and 40 VMAT arcs were measured with the MapCHECK 2 diode array, and compared to calculated planes from a commercial treatment planning system. Pass rates were calculated within the SNC analytic software using varying calculation parameters, including Measurement Uncertainty onmore » and off. By varying the %Diff criterion for each dose comparison performed with Measurement Uncertainty turned off, an effective %Diff criterion was defined for each field/arc corresponding to the pass rate achieved with MapCHECK Uncertainty turned on. Results: For 3%/3mm analysis, the Measurement Uncertainty function increases the user-defined %Diff by 0.8–1.1% average, depending on plan type and calculation technique, for an average pass rate increase of 1.0–3.5% (maximum +8.7%). For 2%, 2 mm analysis, the Measurement Uncertainty function increases the user-defined %Diff by 0.7–1.2% average, for an average pass rate increase of 3.5–8.1% (maximum +14.2%). The largest increases in pass rate are generally seen with poorly-matched planar dose comparisons; the MapCHECK Uncertainty effect is markedly smaller as pass rates approach 100%. Conclusion: The Measurement Uncertainty function may substantially inflate planar dose comparison pass rates for typical IMRT and VMAT planes. The types of uncertainties incorporated into the function (and their associated quantitative estimates) as described in the software user’s manual may not accurately estimate realistic measurement uncertainty for the user’s measurement conditions. Pass rates listed in published reports or otherwise compared to the results of other users or vendors should clearly indicate whether the Measurement Uncertainty function is used.« less
Uptake of the natural radioactive gas radon by an epiphytic plant.

PubMed

Li, Peng; Zhang, Ruiwen; Gu, Mintian; Zheng, Guiling

2018-01-15

Radon ( 222 Rn) is a natural radioactive gas and the major radioactive contributor to human exposure. The present effective ways to control Rn contamination are ventilation and adsorption with activated carbon. Plants are believed to be negligible in reducing airborne Rn. Here, we found epiphytic Tillandsia brachycaulos (Bromeliaceae) was effective in reducing airborne Rn via the leaves. Rn concentrations in the Rn chamber after Tillandsia plant treatments decreased more than those in the natural situation. The specialized foliar trichomes densely covering Tillandsia leaves play a major role in the uptake of Rn because the amplified rough leaf surface area facilitates deposition of Rn progeny particles and the powdery epicuticular wax layer of foliar trichomes uptakes liposoluble Rn. The results provide us a new ecological strategy for Rn contamination control, and movable epiphytic Tillandsia plants can be applied widely in Rn removal systems. Copyright © 2017 Elsevier B.V. All rights reserved.
BOREAS TGB-12 Rn-222 Activity Data over the NSA

NASA Technical Reports Server (NTRS)

Trumbore, Susan; Hall, Forrest G. (Editor); Conrad, Sara K. (Editor); Sundquist, Eric; Winston, Greg

2000-01-01

The BOREAS TGB-12 team made measurements of soil carbon inventories, carbon concentration in soil gases, and rates of soil respiration at several sites to estimate the rates of carbon accumulation and turnover in each of the major vegetation types. Sampling strategies for soils were designed to take advantage of local fire chronosequences, so that the accumulation of carbon in regrowing mosses could be determined. All the data are used to: (1) calculate the inventory of carbon and nitrogen in moss and mineral soil layers at NSA sites, (2) determine the rates of input and turnover (using both accumulation since the last stand-killing fire and radiocarbon data), and (3) link changes in soil respiration rate to shifts in the C-14 content of soil CO2 to determine the average "age" respired CO2 . These Rn-222 activity data were collected from 15-Nov-1993 to 16-Aug-1994 over the NSA sites. They are useful for determining the rate of gas exchange between soil and the overlying atmosphere. The data in this data set are stored in tabular ASCII files.
75 FR 43156 - Notice of Proposed Information Collection Requests

Federal Register 2010, 2011, 2012, 2013, 2014

2010-07-23

... in the approval process would defeat the purpose of the information collection, violate State or... requirements for foreign nursing schools (National Council Licensure Examination for Registered Nurses (NCLEX... attending foreign medical and nursing schools to gather such scores. Requests for copies of the proposed...

Retirement financial planning and the RN: an integrative literature review.

PubMed

Keele, Shanna; Alpert, Patricia T

2013-11-01

This integrative literature review examined the current research on RN retirement. The review identified 3 critical gaps in knowledge: (a) minimal knowledge regarding the economic impact on RN retirement, (b) incomplete information regarding the demographics of RN retirement, and (c) a scarcity of prospective longitudinal RN workforce studies. Future research must address these gaps to better address RN workforce sustainability.
Retirement Financial Planning and the RN: An Integrative Literature Review.

PubMed

Keele, Shanna; Alpert, Patricia T

2015-10-01

This integrative literature review examined the current research on RN retirement. The review identified 3 critical gaps in knowledge: (a) minimal knowledge regarding the economic impact on RN retirement, (b) incomplete information regarding the demographics of RN retirement, and (c) a scarcity of prospective longitudinal RN workforce studies. Future research must address these gaps to better address RN workforce sustainability.
Registration of six germplasm lines of cotton, Gosspyium hirsutum L. with resistance to root-knot and reniform nematodes

USDA-ARS?s Scientific Manuscript database

Six Upland cotton, Gossypium hirsutum L., germplasm lines, M Rk-Rn 1, M Rk-Rn 2, M Rk-Rn 3, M Rk-Rn 4, M Rk-Rn 5, and M Rk-Rn 6, with resistance to root-knot nematode, Meloidogyne incognita (Kofoid and White) Chitwood, and reniform nematode, Rotylenchulus reniformis Linford and Oliveria, were jointl...
Internal exposure from building materials exhaling (222)Rn and (220)Rn as compared to external exposure due to their natural radioactivity content.

PubMed

Ujić, Predrag; Celiković, Igor; Kandić, Aleksandar; Vukanac, Ivana; Durasević, Mirjana; Dragosavac, Dusan; Zunić, Zora S

2010-01-01

The main scope of this paper is to point out the importance of introducing radon and thoron exhalation measurements from building materials in the regulating frame. Currently (2009), such a regulation of this kind of exposure is not explicitly included in the Serbian regulating network. To this end, this work reports concentration measurements of (226)Ra, (232)Th and (40)K and radon and thoron exhalation rates from building materials used in Serbia. Following detailed analysis, it was noticed that both internal exposures to radon and/or thoron exhaling from building materials may exceed external exposures to their precursors contained therein.
The Effect of Physician Delegation to Other Health Care Providers on the Quality of Care for Geriatric Conditions

PubMed Central

Lichtenstein, Brian J.; Reuben, David B.; Karlamangla, Arun S.; Han, Weijuan; Roth, Carol P.; Wenger, Neil S.

2016-01-01

OBJECTIVES to examine the effects of delegation on quality of care that patients receive for three common geriatric conditions: dementia, falls, and incontinence. DESIGN pooled analysis of 8 the Assessing Care of Vulnerable Elders (ACOVE) projects from 1998 to 2010. SETTING 15 ambulatory practice sites across the United States PARTICIPANTS 4,776 patients age ≥ 65 years, of mixed demographic backgrounds who participated in ACOVE studies. INTERVENTION multivariate analysis of prior ACOVE observation and intervention studies was conducted, with in addition to two retrospectively defined variables: “intent to delegate” and “maximum delegation” for each ACOVE quality indicator (QI). MEASUREMENTS The primary outcome for the study was QI pass probability, by level of delegation, for 47 ACOVE quality indicators. RESULTS A total of 4,776 patients were evaluated, with 16,204 QIs included for analysis. Across all studies, QI pass probabilities were 0.36 for physician-performed tasks; 0.55 for nurse practitioner (NP), physician assistant (PA), and registered nurse (RN)-performed tasks; and 0.61 for medical assistant (MA), or licensed vocational nurse (LVN)-performed tasks. In multiply adjusted models, the independent pass-probability effect of delegation to NPs, PAs, or RNs was 1.37 (p = 0.055) CONCLUSIONS Delegation to non-physician providers is associated with higher quality of care for geriatric conditions in community practices and supports the value of interdisciplinary team management for common outpatient conditions among older adults. PMID:26480977
Regional scale net radiation estimation by means of Landsat and TERRA/AQUA imagery and GIS modeling

NASA Astrophysics Data System (ADS)

Cristóbal, J.; Ninyerola, M.; Pons, X.; Llorens, P.; Poyatos, R.

2009-04-01

Net radiation (Rn) is one of the most important variables for the estimation of surface energy budget and is used for various applications including agricultural meteorology, climate monitoring and weather prediction. Moreover, net radiation is an essential input variable for potential as well as actual evapotranspiration modeling. Nowadays, radiometric measurements provided by Remote Sensing and GIS analysis are the technologies used to compute net radiation at regional scales in a feasible way. In this study we present a regional scale estimation of the daily Rn on clear days, (Catalonia, NE of the Iberian Peninsula), using a set of 22 Landsat images (17 Landsat-5 TM and 5 Landsat-7 ETM+) and 171 TERRA/AQUA images MODIS from 2000 to 2007 period. TERRA/AQUA MODIS images have been downloaded by means of the EOS Gateway. We have selected three different types of products which contain the remote sensing data we have used to model daily Rn: daily LST product, daily calibrated reflectances product and daily atmospheric water vapour product. Landsat-5 TM images have been corrected by means of conventional techniques based on first order polynomials taking into account the effect of land surface relief using a Digital Elevation Model, obtaining an RMS less than 30 m. Radiometric correction of Landsat non-thermal bands has been done following the methodology proposed by Pons and Solé (1994), which allows to reduce the number of undesired artifacts that are due to the effects of the atmosphere or to the differential illumination which is, in turn, due to the time of the day, the location in the Earth and the relief (zones being more illuminated than others, shadows, etc). Atmospheric correction of Landsat thermal band has been carried out by means of a single-channel algorithm improvement developed by Cristóbal et al. (2009) and the land surface emissivity computed by means of the methodology proposed by Sobrino and Raissouni (2000). Rn has been estimated through the balance among the net shortwave radiation Rn and the net longwave radiation. In addition, two types of approaches have been carried out for its determination: the estimation of the variables implied in the calculation of Rn at daily level (Rndl); and the calculation of the Rn at the time of satellite pass (Rni) and its subsequent conversion to daily Rn by means of the Rn ratio. Net shortwave radiation has been computed by means of albedo and a solar radiation model obtained through a DEM following the methodology of Pons and Ninyerola (2008).This methodology takes into account the position of the Sun, the angles of incidence, the projected shadows and the distance from the Earth to the Sun at one hour intervals. The diffuse radiation is estimated from the direct radiaton and the exoatmospheric direct solar irradiance is estimated with the Page equation (1986) and fitted by Baldasano et al. (1994). Net longwave radiation has been calculated through land surface temperature and emissivity, atmospheric water vapour and air temperature. Air temperature has been modeled by means of multiple regression analysis and GIS interpolation using ground meteorological stations. Finally, air emissivity has been computed using air temperature models and atmospheric water vapour following the methodology developed by Dilley and O'Brien (1998). Finally, models have been validated through a set of 13 ground meteorological standard stations and an experimental station placed in a Mediterranean mountain area over a Pinus sylvestris stand. Obtained results show a mean RMSE of 20 W m-2 in the case of Landsat and a mean RMSE of 22 W m-2 in the case of TERRA/AQUA MODIS, being these results in agreement with other published results, but also offering better RMSE in some cases. Keywords: Net radiation, Landsat, TERRA/AQUA MODIS, GIS modeling, regional scale.
Evidence for a Right-Ear Advantage in Newborn Hearing Screening Results

PubMed Central

Hildesheimer, Minka; Roziner, Ilan; Henkin, Yael

2016-01-01

The aim of the present study was to investigate the effect of ear asymmetry, order of testing, and gender on transient-evoked otoacoustic emission (TEOAE) pass rates and response levels in newborn hearing screening. The screening results of 879 newborns, of whom 387 (study group) passed screening successfully in only one ear in the first TEOAE screening, but passed screening successfully in both ears thereafter, and 492 (control group) who passed screening successfully in both ears in the first TEOAE, were retrospectively examined for pass rates and TEOAE characteristics. Results indicated a right-ear advantage, as manifested by significantly higher pass rates in the right ear (61% and 39% for right and left ears, respectively) in the study group, and in 1.75 dB greater TEOAE response amplitudes in the control group. The right-ear advantage was enhanced when the first tested ear was the right ear (76%). When the left ear was tested first, pass rates were comparable in both ears. The right-ear advantage in pass rates was similar in females versus males, but manifested in 1.5 dB higher response amplitudes in females compared with males, regardless of the tested ear and order of testing in both study and control groups. The study provides further evidence for the functional lateralization of the auditory system at the cochlear level already apparent soon after birth in both males and females. While order of testing plays a significant role in the asymmetry in pass rates, the innate right-ear advantage seems to be a more dominant contributor. PMID:27927982
Evidence for a Right-Ear Advantage in Newborn Hearing Screening Results.

PubMed

Ari-Even Roth, Daphne; Hildesheimer, Minka; Roziner, Ilan; Henkin, Yael

2016-12-06

The aim of the present study was to investigate the effect of ear asymmetry, order of testing, and gender on transient-evoked otoacoustic emission (TEOAE) pass rates and response levels in newborn hearing screening. The screening results of 879 newborns, of whom 387 (study group) passed screening successfully in only one ear in the first TEOAE screening, but passed screening successfully in both ears thereafter, and 492 (control group) who passed screening successfully in both ears in the first TEOAE, were retrospectively examined for pass rates and TEOAE characteristics. Results indicated a right-ear advantage, as manifested by significantly higher pass rates in the right ear (61% and 39% for right and left ears, respectively) in the study group, and in 1.75 dB greater TEOAE response amplitudes in the control group. The right-ear advantage was enhanced when the first tested ear was the right ear (76%). When the left ear was tested first, pass rates were comparable in both ears. The right-ear advantage in pass rates was similar in females versus males, but manifested in 1.5 dB higher response amplitudes in females compared with males, regardless of the tested ear and order of testing in both study and control groups. The study provides further evidence for the functional lateralization of the auditory system at the cochlear level already apparent soon after birth in both males and females. While order of testing plays a significant role in the asymmetry in pass rates, the innate right-ear advantage seems to be a more dominant contributor. © The Author(s) 2016.
New equations for predicting postoperative risk in patients with hip fracture.

PubMed

Hirose, Jun; Ide, Junji; Irie, Hiroki; Kikukawa, Kenshi; Mizuta, Hiroshi

2009-12-01

Predicting the postoperative course of patients with hip fractures would be helpful for surgical planning and risk management. We therefore established equations to predict the morbidity and mortality rates in candidates for hip fracture surgery using the Estimation of Physiologic Ability and Surgical Stress (E-PASS) risk-scoring system. First we evaluated the correlation between the E-PASS scores and postoperative morbidity and mortality rates in all 722 patients surgically treated for hip fractures during the study period (Group A). Next we established equations to predict morbidity and mortality rates. We then applied these equations to all 633 patients with hip fractures treated at seven other hospitals (Group B) and compared the predicted and actual morbidity and mortality rates to assess the predictive ability of the E-PASS and Physiological and Operative Severity Score for the enUmeration of Mortality and Morbidity (POSSUM) systems. The ratio of actual to predicted morbidity and mortality rates was closer to 1.0 with the E-PASS than the POSSUM system. Our data suggest the E-PASS scoring system is useful for defining postoperative risk and its underlying algorithm accurately predicts morbidity and mortality rates in patients with hip fractures before surgery. This information then can be used to manage their condition and potentially improve treatment outcomes. Level II, prognostic study. See the Guidelines for Authors for a complete description of levels of evidence.
The organizational impact of a new graduate pediatric nurse mentoring program.

PubMed

Halfer, Diana; Graf, Elaine; Sullivan, Christine

2008-01-01

Successful mentoring programs for new graduate nurses are designed to provide professional supports to ease the transition of these newcomers from student to practicing nurse. In the financially constrained health care environment, a resource-intensive program can be sustained only by leaders who see quantitative evidence of organizational impact over time. A descriptive study was undertaken at a pediatric academic medical center to compare the job satisfaction and retention rates of two cohorts of new graduate nurses: one before and one after the implementation of a Pediatric RN Internship Program. In this study overall job satisfaction was significantly higher in the post-internship group as compared to the pre-internship group. Improved job satisfaction was also reflected in a lower turnover rate (12% vs. 20% in the pre-internship group) that was sustained during the 2-year post-intervention study period. By lowering turnover rates, organizations avoid costs associated with recruitment, orientation, and temporary labor coverage for vacant RN positions.
Investigation of Natural Radioactivity in a Monazite Processing Plant in Japan.

PubMed

Iwaoka, Kazuki; Yajima, Kazuaki; Suzuki, Toshikazu; Yonehara, Hidenori; Hosoda, Masahiro; Tokonami, Shinji; Kanda, Reiko

2017-09-01

Monazite is a naturally occurring radioactive material that is processed for use in a variety of domestic applications. At present, there is little information available on potential radiation doses experienced by people working with monazite. The ambient dose rate and activity concentration of natural radionuclides in raw materials, products, and dust in work sites as well as the Rn and Rn concentrations in work sites were measured in a monazite processing plant in Japan. Dose estimations for plant workers were also conducted. The activity concentration of the U series in raw materials and products for the monazite processing plant was found to be higher than the relevant values described in the International Atomic Energy Agency Safety Standards. The ambient dose rates in the raw material yard were higher than those in other work sites. Moreover, the activity concentrations of dust in the milling site were higher than those in other work sites. The Rn concentrations in all work sites were almost the same as those in regular indoor environments in Japan. The Rn concentrations in all work sites were much higher than those in regular indoor environments in Japan. The maximum value of the effective dose for workers was 0.62 mSv y, which is lower than the reference level range (1-20 mSv y) for abnormally high levels of natural background radiation published in the International Commission of Radiological Protection Publication 103.
Responses of Nitrogen Utilization and Apparent Nitrogen Loss to Different Control Measures in the Wheat and Maize Rotation System

PubMed Central

Peng, Zhengping; Liu, Yanan; Li, Yingchun; Abawi, Yahya; Wang, Yanqun; Men, Mingxin; An-Vo, Duc-Anh

2017-01-01

Nitrogen (N) is an essential macronutrient for plant growth and excessive application rates can decrease crop yield and increase N loss into the environment. Field experiments were carried out to understand the effects of N fertilizers on N utilization, crop yield and net income in wheat and maize rotation system of the North China Plain (NCP). Compared to farmers’ N rate (FN), the yield of wheat and maize in reduction N rate by 21–24% based on FN (RN) was improved by 451 kg ha-1, N uptakes improved by 17 kg ha-1 and net income increased by 1671 CNY ha-1, while apparent N loss was reduced by 156 kg ha-1. The controlled-release fertilizer with a 20% reduction of RN (CRF80%), a 20% reduction of RN together with dicyandiamide (RN80%+DCD) and a 20% reduction of RN added with nano-carbon (RN80%+NC) all resulted in an improvement in crop yield and decreased the apparent N losses compared to RN. Contrasted with RN80%+NC, the total crop yield in RN80%+DCD improved by 1185 kg ha-1, N uptake enhanced by 9 kg ha-1 and net income increased by 3929 CNY ha-1, while apparent N loss was similar. Therefore, a 37–39% overall decrease in N rate compared to farmers plus the nitrification inhibitor, DCD, was effective N control measure that increased crop yields, enhanced N efficiencies, and improved economic benefits, while mitigating apparent N loss. There is considerable scope for improved N use effieincy in the intensive wheat -maize rotation of the NCP. PMID:28228772
Outdoor 220Rn, 222Rn and terrestrial gamma radiation levels: investigation study in the thorium rich Fen Complex, Norway.

PubMed

Mrdakovic Popic, Jelena; Bhatt, Chhavi Raj; Salbu, Brit; Skipperud, Lindis

2012-01-01

The present study was done in the Fen Complex, a Norwegian area rich in naturally occurring radionuclides, especially in thorium ((232)Th). Measurement of radioactivity levels was conducted at the decommissioned iron (Fe) and niobium (Nb) mining sites (TENORM) as well as at the undisturbed wooded sites (NORM), all open for free public access. The soil activity concentrations of (232)Th (3280-8395 Bq kg(-1)) were significantly higher than the world and the Norwegian average values and exceeded the Norwegian screening level (1000 Bq kg(-1)) for radioactive waste, while radium ((226)Ra) was present at slightly elevated levels (89-171 Bq kg(-1)). Terrestrial gamma dose rates were also elevated, ranging 2.6-4.4 μGy h(-1). Based on long-term surveys, the air concentrations of thoron ((220)Rn) and radon ((222)Rn) reached 1786 and 82 Bq m(-3), respectively. Seasonal variation in the outdoor gamma dose rates and Rn concentrations was confirmed. Correlation analyses showed a linear relationship between air radiation levels and the abundance of (232)Th in soil. The annual outdoor effective radiation doses for humans (occupancy 5 h day(-1)) were estimated to be in the range of 3.0-7.7 mSv, comparable or higher than the total average (summarized indoor and outdoor) exposure dose for the Norwegian population (2.9 mSv year(-1)). On the basis of all obtained results, this Norwegian area should be considered as enhanced natural radiation area (ENRA).
Energy-dependent etching-related impacts on CR-39 alpha detection efficiency for the Rn-222 and Rn-220 decay chains

NASA Astrophysics Data System (ADS)

Tan, Y.; Yuan, H.; Kearfott, K. J.

2018-04-01

CR-39 detectors are widely used to measure environmental levels of Rn-222, Rn-220 and their progeny. Prior research reported the CR-39 detection efficiency for alpha particles from Rn-222, Rn-220 and their progeny under a variety of etching conditions. This paper provides an explanation for interesting observations included in that work, namely that the critical incidence angle decreases with the increasing particle energy and the detection efficiency for 8.78 MeV alpha particles is zero. This paper explains these phenomena from a consideration of the interaction of alpha particles with the CR-39 detectors and the physics of etching dynamics. The proposed theory provides a rationale for an approach to optimizing the etching conditions of CR-39 detector for measuring Rn-222, Rn-220 and their progenies.
Relationship Between Physician Assistant Program Length and Physician Assistant National Certifying Examination Pass Rates.

PubMed

Colletti, Thomas P; Salisbury, Helen; Hertelendy, Attila J; Tseng, Tina

2016-03-01

This study was conducted to examine the relationship between physician assistant (PA) educational program length and PA programs' 5-year average Physician Assistant National Certifying Examination (PANCE) first-time pass rates. This was a retrospective correlational study that analyzed previously collected data from a nonprobability purposive sample of accredited PA program Web sites. Master's level PA programs (n = 108) in the United States with published average PANCE scores for 5 consecutive classes were included. Provisional and probationary programs were excluded (n = 4). Study data were not normally distributed per the Kolmogorov-Smirnov test, P = .00. There was no relationship between program length and PANCE pass rates, ρ (108) = -0.04, P = .68. Further analyses examining a possible relationship between program phase length (didactic and clinical) and PANCE pass rates also demonstrated no differences (ρ [107] = -0.05, P = .60 and ρ [107] = 0.02, P = .80, respectively). The results of this study suggest that shorter length PA programs perform similarly to longer programs in preparing students to pass the PANCE. In light of rapid expansion of PA educational programs, educators may want to consider these findings when planning the length of study for new and established programs.
Study of impacts of different evaluation criteria on gamma pass rates in VMAT QA using MatriXX and EPID

NASA Astrophysics Data System (ADS)

Noufal, Manthala Padannayil; Abdullah, Kallikuzhiyil Kochunny; Niyas, Puzhakkal; Subha, Pallimanhayil Abdul Raheem

2017-12-01

Aim: This study evaluates the impacts of using different evaluation criteria on gamma pass rates in two commercially available QA methods employed for the verification of VMAT plans using different hypothetical planning target volumes (PTVs) and anatomical regions. Introduction: Volumetric modulated arc therapy (VMAT) is a widely accepted technique to deliver highly conformal treatment in a very efficient manner. As their level of complexity is high in comparison to intensity-modulated radiotherapy (IMRT), the implementation of stringent quality assurance (QA) before treatment delivery is of paramount importance. Material and Methods: Two sets of VMAT plans were generated using Eclipse planning systems, one with five different complex hypothetical three-dimensional PTVs and one including three anatomical regions. The verification of these plans was performed using a MatriXX ionization chamber array embedded inside a MultiCube phantom and a Varian EPID dosimetric system attached to a Clinac iX. The plans were evaluated based on the 3%/3 mm, 2%/2 mm, and 1%/1 mm global gamma criteria and with three low-dose threshold values (0%, 10%, and 20%). Results: The gamma pass rates were above 95% in all VMAT plans, when the 3%/3mm gamma criterion was used and no threshold was applied. In both systems, the pass rates decreased as the criteria become stricter. Higher pass rates were observed when no threshold was applied and they tended to decrease for 10% and 20% thresholds. Conclusion: The results confirm the suitability of the equipments used and the validity of the plans. The study also confirmed that the threshold settings greatly affect the gamma pass rates, especially for lower gamma criteria.
Comparability of nurse staffing measures in examining the relationship between RN staffing and unit-acquired pressure ulcers: a unit-level descriptive, correlational study.

PubMed

Choi, JiSun; Staggs, Vincent S

2014-10-01

Various staffing measures have been used in examining the relationship between nurse staffing and patient outcomes. Little research has been conducted to compare these measures based on their explanatory power as predictors of nursing-sensitive outcomes. In this study, both administrative and nurse-reported measures were examined. Administrative measures included registered nurse (RN) skill mix and three versions of nursing hours per patient day (HPPD); nurse-reported measures included RN-reported number of assigned patients and RN-perceived staffing adequacy. To examine correlations among six nurse staffing measures and to compare their explanatory power in relation to unit-acquired pressure ulcers (UAPUs). Descriptive, correlational study. 2397 nursing units in 409 U.S. acute care hospitals. Random-intercept logistic regression analyses were performed using 2011 data from a national database. Relationships between nurse staffing measures and UAPU occurrences were examined in eight models, each with one or more staffing measures as predictors. Characteristics of nursing units (RN workgroup education level and RN workgroup unit tenure) and hospitals (size, teaching status, and Magnet status) were included as control variables. Two versions of HPPD (total nursing HPPD and RN HPPD) and RN skill mix were significantly correlated with RN-reported number of assigned patients (r range=-0.87 to -0.75). These staffing measures had weaker correlations with RN-perceived staffing adequacy (r range=0.16 to 0.23). Of the six staffing variables, only RN-perceived staffing adequacy and RN skill mix were significantly associated with UAPU odds, the former being the better predictor. Although RN-perceived staffing adequacy was not highly correlated with administrative measures of HPPD and RN skill mix, it was the strongest predictor of UAPU occurrences. RN-perceived staffing adequacy can serve as a more appropriate measure of staffing for nursing-sensitive outcomes research than administrative measures, as it reflects relevant aspects of staffing and involves an implicit adjustment for patient acuity. Copyright © 2014 Elsevier Ltd. All rights reserved.
A direct correlation among indoor Rn, soil gas Rn and geology in the Reading Prong near Boyertown, Pennsylvania

USGS Publications Warehouse

Reimer, G.M.; Gundersen, L.C.S.

1989-01-01

We feel that this study suggests a relationship among geology, soil gas Rn and the potential for indoor Rn accumulation in this portion of the Reading Prong. There are deviations from a perfect correlation but these are related to inhomogeneities in the geologic environment and perhaps variations in construction techniques of homes in the area. This study also demonstrates that several analyses in a small area may be necessary to adequately determine the Rn distribution for a particular geologic unit. That scale would be determined by the complexity of the local geology. Where no discrete source of elevated Rn supply is found for dwellings having a significant Rn accumulation, the implication is that overall gross permeability may be sufficient to supply Rn from a larger volume of soil and rock.
Measuring fire spread rates from repeat pass airborne thermal infrared imagery

Treesearch

Douglas A. Stow; Philip J. Riggan; Emanual A. Storey; Lloyd L. Coulter

2014-01-01

The objective is to evaluate procedures for direct measurement of fire spread rates (FSRs) based on archived repeat pass airborne thermal infrared (ATIR) imagery and to identify requirements for more refined measurements of FSR and environmental factors that influence FSR. Flaming front positions are delineated on sequential FireMapper ATIR images captured at...
SU-E-T-543: Is It Feasible to Tighten the Criteria for IROC's Anthropomorphic Phantoms?

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

Molineu, A; Alvarez, P; Kry, S

Purpose: To analyze results of IROC Houston QA center's (RPC) H and N and prostate IMRT phantoms to determine the effect that tightening criteria would have on the phantom pass rate. Methods: IROC Houston's anthropomorphic H and N and prostate phantoms are used to credential institution's to participate in NCI clinical trials that allow the use of IMRT. The phantoms are shipped to institutions where they are filled with water and undergo imaging, treatment planning, and irradiation as a patient would. Each phantom houses targets and organs at risk. They also hold film and TLD. Dosimeter results are compared tomore » the institution's treatment plan using the criteria of 7% for PTV TLD doses and ≥85% pixels must pass 7%/4 mm global gamma analyses. Pass rates for the H and N and prostate phantoms were recalculated using the following tighter criteria options: 1) 5% TLD and 85% pixels 7%/4 gamma2) 5% TLD and 90% pixels 7%/4 gamma3) 5% TLD and 85% pixels 5%/4 gammaGamma analysis was repeated for the 30 most recent irradiations of each phantom to estimate results for criteria 3. Results: Pass rates using current criteria for the H and N and prostate phantoms are 84% and 85% respectively. Pass rates since gamma criteria were introduced in 2012 are 90% and 87%. Criteria 1 applied to all irradiations drops pass rates to 78% and 82%. Applying it to only irradiations with gamma results give 77% and 84%. Applying criteria 2 to only phantoms with gamma results drops pass rates to 80% and 74% and they fall to 83% and 67% respectively using criteria 3. Conclusion: Applying tighter criteria to phantom results has potential to increase quality in clinical trials. The results of the 30 most recent irradiations indicate that there may be room to tighten H and N phantom criteria in the future. Work supported by PHS grant CA10953 and CA081647 (NCI, DHHS)« less

Common attributes of high/low performing general surgery programs as they relate to QE/CE pass rates.

PubMed

Bankhead-Kendall, Brittany; Slama, Eliza; Truitt, Michael S

2016-12-01

This comparative study aims to identify the differences between high and low performing programs as defined by their ABS board pass rates. We identified programs in the top 5% (TP) and lower 5% (LP) for 1st time QE/CE pass rates during the study period with resident and program related variables. All data was pooled and analyzed. TP had more U.S. graduates, higher average USMLE Step 1/2 scores, and all residents took the exam within a year of graduation. TP were more likely to rotate at a Level 1 trauma center, spent more time with simulation, and had numerous fellowship programs. They ascribed their success to mock oral exams, mature curricula, and group educational activities. Graduates of TP chose general surgery twice as often (40% vs 19%). Program related factors (Level 1 trauma, excellent didactics, higher number of fellowships, increased group educational activities, higher percentage of graduates into general surgery) are associated with TP. Our data suggests there may be modifiable program related variables that positively impact QE/CE pass rates. Copyright Â© 2016 Elsevier Inc. All rights reserved.
Creating an Arms Race? Examining School Costs and Motivations for Providing NAPLEX and PCOA Preparation

PubMed Central

Shuford, Veronica P.; DiVall, Margarita V.; Daugherty, Kimberly K.; Rudolph, Michael J.

2017-01-01

Objective. To examine the extent of financial and faculty resources dedicated to preparing students for NAPLEX and PCOA examinations, and how these investments compare with NAPLEX pass rates. Methods. A 23-item survey was administered to assessment professionals in U.S. colleges and schools of pharmacy (C/SOPs). Institutions were compared by type, age, and student cohort size. Institutional differences were explored according to the costs and types of NAPLEX and PCOA preparation provided, if any, and mean NAPLEX pass rates. Results. Of 134 C/SOPs that received the survey invitation, 91 responded. Nearly 80% of these respondents reported providing some form of NAPLEX preparation. Significantly higher 2015 mean NAPLEX pass rates were found in public institutions, schools that do not provide NAPLEX prep, and schools spending less than $10,000 annually on NAPLEX prep. Only 18 schools reported providing PCOA preparation. Conclusion. Investment in NAPLEX and PCOA preparation resources vary widely across C/SOPs but may increase in the next few years, due to dropping NAPLEX pass rates and depending upon how PCOA data are used. PMID:29109557
Estimation of attached and unattached progeny of 222Rn and 220Rn concentration using deposition based progeny sensors.

PubMed

Mehra, Rohit; Bangotra, Pargin; Kaur, Kirandeep; Kanse, Sandeep; Mishra, Rosaline

2015-11-01

The attached and unattached radon and thoron progeny concentrations have been calculated using deposition-based progeny sensors in Mansa, Muktsar, Bathinda and Faridkot districts of Punjab, India. The total (attached + unattached) equilibrium-equivalent (222)Rn concentration (EECRA + U) and total (attached + unattached) equilibrium-equivalent (220)Rn concentration (EECTA + U) were found to vary from 9 to 46 Bqm(-3) and 0.5 to 3.1 Bq m(-3), respectively. The concentrations of attached progeny nuclides for both (222)Rn and (220)Rn have been found to be greater than the unattached progeny nuclides in the dwellings of studied area. An attempt has also been made to assess the effective dose for (222)Rn and (220)Rn in the studied area. The radiation dose originated from (222)Rn and (220)Rn progeny is low and health risk is negligible. © The Author 2015. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oup.com.
Enhancing "Mathematics for Informatics" and its Correlation with Student Pass Rates

ERIC Educational Resources Information Center

Divjak, B.; Erjavec, Z.

2008-01-01

In this article, changes in "Mathematics for Informatics" at the Faculty of Organisation and Informatics in the University of Zagreb are described, and correlated with students pass rates. Students at the Faculty work in an interdisciplinary field, studying Informatics within a business context. The main reason for introducing the…
Fluid rare earth element anlayses from wells RN-12 and RN-19, Reykjanes, Iceland

DOE Data Explorer

Andrew Fowler

2015-07-24

Results for fluid rare earth elment analyses from Reykjanes wells RN-12 and RN-19. The data have not been corrected for flashing. Samples preconcetrated using chelating resin with IDA functional group (InertSep ME-1). Analyzed using and Element magnetic sctor ICP-MS.
Controls on radon emission from granite as evidenced by compression testing to failure

NASA Astrophysics Data System (ADS)

Koike, Katsuaki; Yoshinaga, Tohru; Suetsugu, Kenta; Kashiwaya, Koki; Asaue, Hisafumi

2015-10-01

A set of uniaxial compression tests of granite specimens taken from five localities across Japan was conducted to identify the factors controlling the quantity of radon (Rn) emission (sum of 222Rn and 220Rn) during compression and failure. An α-scintillation detector and a gas flow unit were installed with a testing machine to enable continuous measurement of Rn emissions. Common to all specimens, Rn emissions remained at or slightly declined from the background level after the start of loading; this is similar to the natural phenomenon of decline in groundwater-dissolved Rn before an earthquake. Closure of original microcracks is the most likely cause of the initial Rn decline. Then, Rn emissions begin to increase at 46-57 per cent stress level to the uniaxial compressive strength, and continue to increase even after the failure of specimen. This commencement stress level is close to the general stress level at outbreak of acoustic emissions caused by the development and connection of microcracks. The Rn increase after failure is similar to a phenomenon observed in aftershocks, which may originate from the enhancement of Rn emanations from grains due to the large increase in total surface area and stress release. In addition to the initial radioelement content in rock, the failure pattern (conjugate shear versus longitudinal tensile type), compressive strength, and grain size are possible control factors of the maximum quantity of Rn emissions induced by failure. This maximum may also be affected by the development velocity of the emanation area, which is related to the Rn emanation fraction, associated with the fragmentation. In addition to the magnitude of an earthquake and its hypocentre distance to Rn detectors, the magnitude of increase in Rn concentration in soil gas and groundwater before, during, and after an earthquake in crystalline rocks depends on the intrinsic radioelement content, the mineral texture, and the mechanical properties of rocks. Rock fracturing and failure do not necessarily induce increase in Rn emission due to these rock properties, which can be used to understand the sensitivity of Rn concentration in soil gas or groundwater in connection with an earthquake.
An instrument for measuring equilibrium-equivalent {sup 222}Rn concentrations with etched track detectors

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

Zhuo, Weihai; Iida, Takao

1999-11-01

To simultaneously measure both {sup 222}Rn and {sup 220}Rn progeny concentrations, a new type of portable integrating monitor with allyl diglycol carbonate (CR-39) plastic detectors was developed. The monitor gives the average equilibrium equivalent {sup 222}Rn and {sup 220}Rn concentrations EEC{sub Rn} and EEC{sub Tn} during sampling intervals. The detection efficiencies of the alpha particles were calculated by Monte Carlo method. The lower limits of detection for EEC{sub Rn} and EEC{sub Tn} are estimated to be 0.57 Bq m{sup 13} and 0.07 B1 m{sup {minus}3} for 24 h continuously sampling at a flow rate of 0.9 L min{sup {minus}1}. Themore » measuring results with the new type monitors were confined through intercomparison experiments. In a small survey, a rather high {sup 220}Rn progeny concentration with an average of 1.73 Bq m{sup {minus}3} was observed in traditional Japanese dwellings with soil/mud plastered walls. On the other hand, a very high {sup 232}Th concentration in soil was reported in China. They suggested that there is a possibility of high {sup 220}Rn progeny concentration in both Japan and China.« less
An instrument for measuring equilibrium-equivalent [sup 222]Rn concentrations with etched track detectors

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

Zhuo, Weihai; Iida, Takao

1999-11-01

To simultaneously measure both [sup 222]Rn and [sup 220]Rn progeny concentrations, a new type of portable integrating monitor with allyl diglycol carbonate (CR-39) plastic detectors was developed. The monitor gives the average equilibrium equivalent [sup 222]Rn and [sup 220]Rn concentrations EEC[sub Rn] and EEC[sub Tn] during sampling intervals. The detection efficiencies of the alpha particles were calculated by Monte Carlo method. The lower limits of detection for EEC[sub Rn] and EEC[sub Tn] are estimated to be 0.57 Bq m[sup 13] and 0.07 B1 m[sup [minus]3] for 24 h continuously sampling at a flow rate of 0.9 L min[sup [minus]1]. Themore » measuring results with the new type monitors were confined through intercomparison experiments. In a small survey, a rather high [sup 220]Rn progeny concentration with an average of 1.73 Bq m[sup [minus]3] was observed in traditional Japanese dwellings with soil/mud plastered walls. On the other hand, a very high [sup 232]Th concentration in soil was reported in China. They suggested that there is a possibility of high [sup 220]Rn progeny concentration in both Japan and China.« less
Predictors of NCLEX-PN Success for Practical Nursing Students

ERIC Educational Resources Information Center

Eickhoff, Mary Ann

2016-01-01

There is currently a nursing shortage in the United States. By 2022, the Bureau of Labor Statistics (BLS) expects, the number of job openings for Practical Nurses (PN) will be 168,500, an increase of 25% over 2012 (BLS, 2014). Nursing education does not currently meet present, much less future needs. Nursing programs have limited space; according…
Course Pass Rates in Fall 1987. Enrollment Analysis Report EA88-6.

ERIC Educational Resources Information Center

Clagett, Craig A.; Diehl, Patricia K.

A study was conducted at Prince George's Community College (PGCC) in Maryland to determine the percentage of students enrolled in courses in fall 1987 who received passing grades, and to examine these pass rates with respect to academic discipline, and student gender, age, race, and admission status. Study findings included the following: (1) the…
Academic Performance and Pass Rates: Comparison of Three First-Year Life Science Courses

ERIC Educational Resources Information Center

Downs, C. T.

2009-01-01

First year students' academic performance in three Life Science courses (Botany, Zoology and Bioscience) was compared. Pass rates, as well as the means and distributions of final marks were analysed. Of the three components (coursework, practical and theory examinations) contributing to the final mark of each course, students performed best in the…
Management of Cerebral Radiation Necrosis: A Retrospective Study of 12 Patients.

PubMed

Liao, Chenlong; Visocchi, Massimiliano; Zhang, Wenchuan; Yang, Min; Zhong, Wenxiang; Liu, Pengfei

2017-01-01

Cerebral radiation necrosis (RN) is a severe complication of radiotherapy for cerebral pathologies. This study discusses the radiographic and pathological features of 12 patients with RN and investigates the management strategy. Eleven patients with brain tumors, and one with cerebral cavernous angioma, treated by surgical resection or Gamma Knife alone before radiotherapy developed RN during follow-up. Surgical resection for the cerebral RN was performed in nine patients, and the other three patients received medical treatment. The clinical features, magnetic resonance imaging (MRI), surgical findings, and pathological sections are reviewed. The diagnosis of RN was confirmed by histological study in all the patients; those with surgical and medical treatment recovered. As a major complication of radiotherapy, from the clinical and neuroradiological points of view, RN may simulate tumor recurrence. Due to the increasing number of patients with RN who will need to be treated in future years, the definite diagnosis and appropriate treatment of RN remain critical.
Creating an Arms Race? Examining School Costs and Motivations for Providing NAPLEX and PCOA Preparation.

PubMed

Lebovitz, Lisa; Shuford, Veronica P; DiVall, Margarita V; Daugherty, Kimberly K; Rudolph, Michael J

2017-09-01

Objective. To examine the extent of financial and faculty resources dedicated to preparing students for NAPLEX and PCOA examinations, and how these investments compare with NAPLEX pass rates. Methods. A 23-item survey was administered to assessment professionals in U.S. colleges and schools of pharmacy (C/SOPs). Institutions were compared by type, age, and student cohort size. Institutional differences were explored according to the costs and types of NAPLEX and PCOA preparation provided, if any, and mean NAPLEX pass rates. Results. Of 134 C/SOPs that received the survey invitation, 91 responded. Nearly 80% of these respondents reported providing some form of NAPLEX preparation. Significantly higher 2015 mean NAPLEX pass rates were found in public institutions, schools that do not provide NAPLEX prep, and schools spending less than $10,000 annually on NAPLEX prep. Only 18 schools reported providing PCOA preparation. Conclusion. Investment in NAPLEX and PCOA preparation resources vary widely across C/SOPs but may increase in the next few years, due to dropping NAPLEX pass rates and depending upon how PCOA data are used.
Use of Radon for Evaluation of Atmospheric Transport Models: Sensitivity to Emissions

NASA Technical Reports Server (NTRS)

Gupta, Mohan L.; Douglass, Anne R.; Kawa, S. Randolph; Pawson, Steven

2004-01-01

This paper presents comparative analyses of atmospheric radon (Rn) distributions simulated using different emission scenarios and the observations. Results indicate that the model generally reproduces observed distributions of Rn but there are some biases in the model related to differences in large-scale and convective transport. Simulations presented here use an off-line three-dimensional chemical transport model driven by assimilated winds and two scenarios of Rn fluxes (atom/cm s) from ice-free land surfaces: (A) globally uniform flux of 1.0, and (B) uniform flux of 1.0 between 60 deg. S and 30 deg. N followed by a sharp linear decrease to 0.2 at 70 deg. N. We considered an additional scenario (C) where Rn emissions for case A were uniformly reduced by 28%. Results show that case A overpredicts observed Rn distributions in both hemispheres. Simulated northern hemispheric (NH) Rn distributions from cases B and C compare better with the observations, but are not discernible from each other. In the southern hemisphere, surface Rn distributions from case C compare better with the observations. We performed a synoptic scale source-receptor analysis for surface Rn to locate regions with ratios B/A and B/C less than 0.5. Considering an uncertainty in regional Rn emissions of a factor of two, our analysis indicates that additional measurements of surface Rn particularly during April-October and north of 50 deg. N over the Pacific as well as Atlantic regions would make it possible to determine if the proposed latitude gradient in Rn emissions is superior to a uniform flux scenario.
Examining Student Achievement and Curriculum in a Nursing Program at a Midwestern Community College

ERIC Educational Resources Information Center

Cooper, Sandra E.

2012-01-01

The purpose of this study was to examine the pathway model of a nursing curriculum and evaluate the relationship and predictive ability of demographic and academic variables on the success or failure of those taking the National Council Licensure Examination for Registered Nurses (NCLEX-RN®) and to determine the impact of noncognitive role…
Transforming RN education: clinical learning and clinical knowledge development.

PubMed

Benner, P

1993-04-01

Transforming RN education has the potential for transforming clinical teaching and learning for all students. The returning RN student offers possibilities for clinical learning that the generic student does not have, but this should not cause us to limit the returning RN student to the generic level. Where possible innovative programs should be developed to move the RN student from baccalaureate level to the Master's level. As educators, we should take the opportunity to increase the numbers of nurses who are educationally prepared to move into advanced levels of practice. The returning RN student offers a rich human resource for the profession, and a rich resource for improving our clinical teaching as well as our practice.
General Education Requirements in a Community College Baccalaureate RN-to-BSN Program

ERIC Educational Resources Information Center

Krupp, Jason Bentley

2012-01-01

Increasing demand for nurses with bachelor degrees, the growing culture of accountability in higher education, and the community college baccalaureate phenomena provided the impetus for this study. This ex-post facto quantitative study examined the graduation rates and time to degree of 240 students who were enrolled in a bachelor of science in…
Degree/Graduation Outcomes: Ohio Public and Private Colleges and Universities. 2008 Report

ERIC Educational Resources Information Center

Ohio Board of Regents, 2008

2008-01-01

This report displays, in tabular format, the following information: (1) Degrees and Certificates Awarded in Fiscal Years 2002-2006 at Ohio's Public, Independent, and Proprietary Institutions; (2) PRAXIS II and PRAXIS III Pass Rates--2005 Academic Year; (3) Three Year Pass Rates (2005-2007) on Health Care Examinations for First-Time Test-Takers;…
Pass Rates in Primary School Leaving Examination in Tanzania: Implication for Efficient Allocation of Resources

ERIC Educational Resources Information Center

Kassile, Telemu

2014-01-01

This paper examines regional differentials in pass rates in Primary School Leaving Examination (PSLE) in Mainland Tanzania. In particular, the paper investigates the effects of pupil-teacher ratio (PTR), pupil-latrine ratio (PLR), pupil-classroom ratio (PCR), availability of electricity in schools, and secondary school and above education of women…
Assessing RN-to-RN peer review on clinical units.

PubMed

Pfeiffer, Judith A; Wickline, Mary A; Deetz, Jill; Berry, Elise S

2012-04-01

The primary purpose of this study was to measure informal registered nurse (RN)-to-RN peer review (defined as collegial communication about the quality of nursing care) at the work-unit level. Survey design with cluster sampling of 28 hospital or ambulatory care units (n = 541 respondents). Results were compared with existing patient safety and satisfaction data. A chi-squared test was used to compare responses against nurse characteristics. Nurses agreed that RN-to-RN peer review takes place on their units, but no correlation with patient safety and satisfaction data was found. Misunderstandings about the meaning of peer review were evident. Open-ended comments revealed barriers to peer review: fear of retribution, language barriers and lack of professionalism. Nurses need clarification of peer review. Issues with common language in a professional environment need to be addressed and nurses can learn collaboration from each other's cultures. Managers should support RN-to-RN peer review on clinical units. Methods used here may be useful to assess current departmental nurse peer review. © 2011 Blackwell Publishing Ltd.

Red nucleus and rubrospinal tract disorganization in the absence of Pou4f1

PubMed Central

Martinez-Lopez, Jesus E.; Moreno-Bravo, Juan A.; Madrigal, M. Pilar; Martinez, Salvador; Puelles, Eduardo

2015-01-01

The red nucleus (RN) is a neuronal population that plays an important role in forelimb motor control and locomotion. Histologically it is subdivided into two subpopulations, the parvocellular RN (pRN) located in the diencephalon and the magnocellular RN (mRN) in the mesencephalon. The RN integrates signals from motor cortex and cerebellum and projects to spinal cord interneurons and motor neurons through the rubrospinal tract (RST). Pou4f1 is a transcription factor highly expressed in this nucleus that has been related to its specification. Here we profoundly analyzed consequences of Pou4f1 loss-of-function in development, maturation and axonal projection of the RN. Surprisingly, RN neurons are specified and maintained in the mutant, no cell death was detected. Nevertheless, the nucleus appeared disorganized with a strong delay in radial migration and with a wider neuronal distribution; the neurons did not form a compacted population as they do in controls, Robo1 and Slit2 were miss-expressed. Cplx1 and Npas1, expressed in the RN, are transcription factors involved in neurotransmitter release, neuronal maturation and motor function processes among others. In our mutant mice, both transcription factors are lost, suggesting an abnormal maturation of the RN. The resulting altered nucleus occupied a wider territory. Finally, we examined RST development and found that the RN neurons were able to project to the spinal cord but their axons appeared defasciculated. These data suggest that Pou4f1 is necessary for the maturation of RN neurons but not for their specification and maintenance. PMID:25698939
Levels of naturally occurring gamma radiation measured in British homes and their prediction in particular residences.

PubMed

Kendall, G M; Wakeford, R; Athanson, M; Vincent, T J; Carter, E J; McColl, N P; Little, M P

2016-03-01

Gamma radiation from natural sources (including directly ionising cosmic rays) is an important component of background radiation. In the present paper, indoor measurements of naturally occurring gamma rays that were undertaken as part of the UK Childhood Cancer Study are summarised, and it is shown that these are broadly compatible with an earlier UK National Survey. The distribution of indoor gamma-ray dose rates in Great Britain is approximately normal with mean 96 nGy/h and standard deviation 23 nGy/h. Directly ionising cosmic rays contribute about one-third of the total. The expanded dataset allows a more detailed description than previously of indoor gamma-ray exposures and in particular their geographical variation. Various strategies for predicting indoor natural background gamma-ray dose rates were explored. In the first of these, a geostatistical model was fitted, which assumes an underlying geologically determined spatial variation, superimposed on which is a Gaussian stochastic process with Matérn correlation structure that models the observed tendency of dose rates in neighbouring houses to correlate. In the second approach, a number of dose-rate interpolation measures were first derived, based on averages over geologically or administratively defined areas or using distance-weighted averages of measurements at nearest-neighbour points. Linear regression was then used to derive an optimal linear combination of these interpolation measures. The predictive performances of the two models were compared via cross-validation, using a randomly selected 70 % of the data to fit the models and the remaining 30 % to test them. The mean square error (MSE) of the linear-regression model was lower than that of the Gaussian-Matérn model (MSE 378 and 411, respectively). The predictive performance of the two candidate models was also evaluated via simulation; the OLS model performs significantly better than the Gaussian-Matérn model.
A carrier sensed multiple access protocol for high data base rate ring networks

NASA Technical Reports Server (NTRS)

Foudriat, E. C.; Maly, Kurt J.; Overstreet, C. Michael; Khanna, S.; Paterra, Frank

1990-01-01

The results of the study of a simple but effective media access protocol for high data rate networks are presented. The protocol is based on the fact that at high data rates networks can contain multiple messages simultaneously over their span, and that in a ring, nodes used to detect the presence of a message arriving from the immediate upstream neighbor. When an incoming signal is detected, the node must either abort or truncate a message it is presently sending. Thus, the protocol with local carrier sensing and multiple access is designated CSMA/RN. The performance of CSMA/RN with TTattempt and truncate is studied using analytic and simulation models. Three performance factors, wait or access time, service time and response or end-to-end travel time are presented. The service time is basically a function of the network rate, it changes by a factor of 1 between no load and full load. Wait time, which is zero for no load, remains small for load factors up to 70 percent of full load. Response time, which adds travel time while on the network to wait and service time, is mainly a function of network length, especially for longer distance networks. Simulation results are shown for CSMA/RN where messages are removed at the destination. A wide range of local and metropolitan area network parameters including variations in message size, network length, and node count are studied. Finally, a scaling factor based upon the ratio of message to network length demonstrates that the results, and hence, the CSMA/RN protocol, are applicable to wide area networks.
Nurse staffing and hospital ownership in California.

PubMed

Seago, Jean Ann; Spetz, Joanne; Mitchell, Shannon

2004-05-01

The purpose of this study is to describe the relationship between nurse staffing and owner type or specific corporate owner in California acute care hospitals. Little empirical data exist regarding nurse staffing as it relates to owner type or specific corporate owner. With minimum staffing ratios scheduled to be implemented in January 2004, this study provides baseline data for evaluating the impact of minimum staffing ratios in California. The study design is descriptive and cross-sectional. Data used in this study are for short-term general hospitals that reported to the California Office of Statewide Health Planning and Development database for fiscal years ending in 1997 through 1999. Six regression models were estimated using pooled data from the 3 years of data. The most consistent significant findings are: increased patient days or patient discharges predict increased registered nurse (RN) hours; lower RN wages predict increased RN hours; higher technology scores predict increased RN hours; and in 1998 there was an across-the-board decrease in RN hours. Other significant findings include that for-profit hospitals and for-profit systems had fewer RN productive hours for medical-surgical nursing, and select corporate owners, unrelated to profit status, had consistently fewer RN productive hours for medical-surgical nursing. For-profit hospitals and systems behaved differently in the healthcare market environment of the late 1990s. Select nonprofit systems were also using significantly less RN staffing. Other findings support the implication that as technology sophistication increases, there will be a need for increased RN hours to manage the advanced technology. This runs counter to the argument that increasing technology will decrease the need for RN hours. Finally, as discharges go up, the need for RN hours increases.
Regularity of random attractors for fractional stochastic reaction-diffusion equations on Rn

NASA Astrophysics Data System (ADS)

Gu, Anhui; Li, Dingshi; Wang, Bixiang; Yang, Han

2018-06-01

We investigate the regularity of random attractors for the non-autonomous non-local fractional stochastic reaction-diffusion equations in Hs (Rn) with s ∈ (0 , 1). We prove the existence and uniqueness of the tempered random attractor that is compact in Hs (Rn) and attracts all tempered random subsets of L2 (Rn) with respect to the norm of Hs (Rn). The main difficulty is to show the pullback asymptotic compactness of solutions in Hs (Rn) due to the noncompactness of Sobolev embeddings on unbounded domains and the almost sure nondifferentiability of the sample paths of the Wiener process. We establish such compactness by the ideas of uniform tail-estimates and the spectral decomposition of solutions in bounded domains.
Utilization of Emotional Freedom Techniques (EFT) to Reduce Test Anxiety in High Stakes Testing

ERIC Educational Resources Information Center

Mohler, Marie Elaine

2013-01-01

There are many reasons a person may fail a high stakes test such as the National Council Licensure Examination for Registered Nurses (NCLEX-RN®). Sleep deprivation, illness, life stressors, knowledge deficit, and test anxiety are some of the common explanations. A student with test anxiety may feel threatened by this evaluation process. This…
Stated Briefly: Participation and Pass Rates for College Preparatory Transition Courses in Kentucky. REL 2015-060

ERIC Educational Resources Information Center

Cramer, Eric; Mokher, Christine

2015-01-01

This study examines Kentucky high school students' participation and pass rates in college preparatory transition courses, voluntary remedial courses in math and reading offered to grade 12 students. These courses are targeted to students scoring just below the state's college readiness benchmarks on the ACT in grade 11. The study found that:…
Respectful Alignment of Programs as a Possible Factor in Remedial Writers' Pass Rates

ERIC Educational Resources Information Center

McDonald, Mary

2017-01-01

For over four years, students enrolled in remedial writing classes who attended eight writing center tutorials directly linked to their assignments had an average pass rate of 95.6 percent, whereas students who did not attend any writing center tutorials had an average pass rate of 39.4 percent. These correlations are just that--correlations that…
Spectral estimates of net radiation and soil heat flux

USGS Publications Warehouse

Daughtry, C.S.T.; Kustas, William P.; Moran, M.S.; Pinter, P. J.; Jackson, R. D.; Brown, P.W.; Nichols, W.D.; Gay, L.W.

1990-01-01

Conventional methods of measuring surface energy balance are point measurements and represent only a small area. Remote sensing offers a potential means of measuring outgoing fluxes over large areas at the spatial resolution of the sensor. The objective of this study was to estimate net radiation (Rn) and soil heat flux (G) using remotely sensed multispectral data acquired from an aircraft over large agricultural fields. Ground-based instruments measured Rn and G at nine locations along the flight lines. Incoming fluxes were also measured by ground-based instruments. Outgoing fluxes were estimated using remotely sensed data. Remote Rn, estimated as the algebraic sum of incoming and outgoing fluxes, slightly underestimated Rn measured by the ground-based net radiometers. The mean absolute errors for remote Rn minus measured Rn were less than 7%. Remote G, estimated as a function of a spectral vegetation index and remote Rn, slightly overestimated measured G; however, the mean absolute error for remote G was 13%. Some of the differences between measured and remote values of Rn and G are associated with differences in instrument designs and measurement techniques. The root mean square error for available energy (Rn - G) was 12%. Thus, methods using both ground-based and remotely sensed data can provide reliable estimates of the available energy which can be partitioned into sensible and latent heat under nonadvective conditions. ?? 1990.
ASSESSMENT OF INHALATION DOSE FROM THE INDOOR 222Rn AND 220Rn USING RAD7 AND PINHOLE CUP DOSEMETERS.

PubMed

Mehra, R; Jakhu, R; Bangotra, P; Kaur, K; Mittal, H M

2016-10-01

Radon is the most important source of natural radiation and is responsible for approximately half of the received dose from all sources. Most of this dose is from inhalation of the radon progeny, especially in closed atmospheres. Concentration of radon ( 222 Rn) and thoron ( 220 Rn) in the different villages of Jalandhar and Kapurthala district of Punjab has been calculated by pinhole cup dosemeters and RAD7. On an average, it has been observed from the study that the values of all the parameters calculated are higher in case of active monitoring than the passive monitoring. The calculated equilibrium equivalent 222 Rn concentration (EEC Rn ) and equilibrium equivalent 220 Rn concentration (EEC Th ) fluctuate in the range from 5.58 to 34.29 and from 0.35 to 2.7 Bq m -3 as estimated by active technique, respectively. Similarly, the observed mean value of the potential alpha energy concentration of 222 Rn (PAEC Rn ) and 220 Rn (PAEC Th ) is 4.55 and 4.34 mWL, respectively. The dose rate to the soft tissues and lung from indoor 222 Rn varies from 0.06 to 0.38 and from 0.50 to 3.05 nGy h -1 , respectively. The total annual effective dose for the residents of the study area is less than 10 mSv. © The Author 2016. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oup.com.
Effective Dose Radon 222 of the Tap Water in Children and Adults People; Minab City, Iran.

PubMed

Fakhri, Yadolah; Kargosha, Morteza; Langarizadeh, Ghazaleh; Zandsalimi, Yahya; Rasouli Amirhajeloo, Leila; Moradi, Mahboobeh; Moradi, Bigard; Mirzaei, Maryam

2015-09-01

(222)Rn is a radioactive, odorless, and colorless element which has a half-life of 3.83 days. One of (222)Rn main resources are Groundwater (wells, springs, etc.). Hence, the use of groundwater with high concentration of (222)Rn can increase the risk of lung and stomach cancers. Concentration of (222)Rn in tap water of Minab city in two temperatures 5 and 15 ºC was measured by radon meter model RTM1668-2. The effective dose was calculated by equations proposed by UNSCEAR. Geometric mean concentration of (222)Rn in drinking water was found to be 0.78±0.06 and 0.46±0.04 Bq/l at 5 and 15 ̊C (p value<0.05), respectively. The effective doses were 0.006 and 0.003 mSv/y for adults, and 0.011 and 0.007 mSv/y for the children, respectively (p value<0.05). Besides, the effective dose for adult through inhaling (222)Rn at 5 and 15 ̊C were estimated 0.0021 and 0.0012mSv/y, respectively. Geometric mean concentration in (222)Rn drinking water and effective dose received from drinking water and inhalation of (222)Rn is lower than WHO and EPA standard limits. Increasing temperature of drinking water will decrease the effective dose received. Annual Effective dose received from inhalation and consumption of (222)Rn in drinking water in children is more than adults.
On the Hardy Space Theory of Compensated Compactness Quantities

NASA Astrophysics Data System (ADS)

Lindberg, Sauli

2017-05-01

We make progress on a problem of Coifman et al. (J Math Pures Appl (9) 72(3): 247-286, 1993) by showing that the Jacobian operator J does not map {W^{1,n}(Rn, Rn) onto the Hardy space H1(Rn) for any {n ≥ 2}. The related question about the surjectivity of {J : dot{W}^{1,n}(Rn,Rn) to H1(Rn) is still open. The second main result and its variants reduce the proof of H1 regularity of a large class of compensated compactness quantities to an integration by parts or easy arithmetic, and applications are presented. Furthermore, we exhibit a class of nonlinear partial differential operators in which weak sequential continuity is a strictly stronger condition than H1 regularity, shedding light on another question of Coifman, Lions, Meyer and Semmes.
Does administering a comprehensive examination affect pass rates on the Registered Health Information Administrator certification examination?

PubMed

McNeill, Marjorie H

2009-01-01

The purpose of this research study was to determine whether the administration of a comprehensive examination before graduation increases the percentage of students passing the Registered Health Information Administrator certification examination. A t-test for independent means yielded a statistically significant difference between the Registered Health Information Administrator certification examination pass rates of health information administration programs that administer a comprehensive examination and programs that do not administer a comprehensive examination. Programs with a high certification examination pass rate do not require a comprehensive examination when compared with those programs with a lower pass rate. It is concluded that health information administration faculty at the local level should perform program self-analysis to improve student progress toward achievement of learning outcomes and entry-level competencies.
The statistical validity of nursing home survey findings.

PubMed

Woolley, Douglas C

2011-11-01

The Medicare nursing home survey is a high-stakes process whose findings greatly affect nursing homes, their current and potential residents, and the communities they serve. Therefore, survey findings must achieve high validity. This study looked at the validity of one key assessment made during a nursing home survey: the observation of the rate of errors in administration of medications to residents (med-pass). Statistical analysis of the case under study and of alternative hypothetical cases. A skilled nursing home affiliated with a local medical school. The nursing home administrators and the medical director. Observational study. The probability that state nursing home surveyors make a Type I or Type II error in observing med-pass error rates, based on the current case and on a series of postulated med-pass error rates. In the common situation such as our case, where med-pass errors occur at slightly above a 5% rate after 50 observations, and therefore trigger a citation, the chance that the true rate remains above 5% after a large number of observations is just above 50%. If the true med-pass error rate were as high as 10%, and the survey team wished to achieve 75% accuracy in determining that a citation was appropriate, they would have to make more than 200 med-pass observations. In the more common situation where med pass errors are closer to 5%, the team would have to observe more than 2000 med-passes to achieve even a modest 75% accuracy in their determinations. In settings where error rates are low, large numbers of observations of an activity must be made to reach acceptable validity of estimates for the true rates of errors. In observing key nursing home functions with current methodology, the State Medicare nursing home survey process does not adhere to well-known principles of valid error determination. Alternate approaches in survey methodology are discussed. Copyright © 2011 American Medical Directors Association. Published by Elsevier Inc. All rights reserved.
Evaluating Creative Thinking of Rn-Bsn Students in the Course of Clinical Case Study and Practicum

ERIC Educational Resources Information Center

Ku, Ya-Lie

2015-01-01

This case study evaluated creative thinking of RN-BSN students in the course of clinical case study and practicum. Study design used quantitative and qualitative evaluations of creative thinking of RN-BSN students by triangulation method in the course of clinical case study and practicum. Sixty RN-BSN students self-perceived the changing levels of…
Extensive radioactive characterization of a phosphogypsum stack in SW Spain: 226Ra, 238U, 210Po concentrations and 222Rn exhalation rate.

PubMed

Abril, José-María; García-Tenorio, Rafael; Manjón, Guillermo

2009-05-30

Phosphogypsum (PG) is a by-product of the phosphate fertilizer industries that contains relatively high concentrations of uranium series radionuclides. The US-EPA regulates the agriculture use of PG, attending to its (226)Ra content and to the (222)Rn exhalation rate from inactive stacks. Measurements of (222)Rn exhalation rates in PG stacks typically show a large and still poorly understood spatial and temporal variability, and the published data are scarce. This work studies an inactive PG stack in SW Spain of about 0.5 km(2) from where PG can be extracted for agriculture uses, and an agriculture soil 75 km apart, being representative of the farms to be amended with PG. Activity concentrations of (226)Ra, (238)U and (210)Po have been measured in 30 PG samples (0-90 cm horizon) allowing for the construction of maps with spatial distributions in the PG stack and for the characterization of the associated PG inputs to agriculture soils. Averaged (226)Ra concentrations for the stack were 730+/-60 Bq kg(-1) (d.w.), over the US-EPA limit of 370 Bq kg(-1). (222)Rn exhalation rate has been measured by the charcoal canister method in 49 sampling points with 3 canisters per sampling point. Values in PG stack were under the US-EPA limit of 2600 Bq m(-2)h(-1), but they were one order of magnitude higher than those found in the agriculture soil. Variability in radon emissions has been studied at different spatial scales. Radon exhalation rates were correlated with (226)Ra concentrations and daily potential evapotranspiration (ETo). They increased with ETo in agriculture soils, but showed an opposite behaviour in the PG stack.
The relation between radon in schools and in dwellings: A case study in a rural region of Southern Serbia.

PubMed

Žunić, Z S; Bossew, P; Bochicchio, F; Veselinovic, N; Carpentieri, C; Venoso, G; Antignani, S; Simovic, R; Ćurguz, Z; Udovicic, V; Stojanovska, Z; Tollefsen, T

2017-02-01

Recognized as a significant health hazard, radon (Rn) has been given increasing attention for years. Surveys of different kinds have been performed in many countries to assess the intensity and the geographical extent of possible Rn problems. Common surveys cover mainly dwellings, the indoor place with highest occupancy, and schools, where people spend a large fraction of their lifetime and which can also be considered exemplary for Rn exposure at workplaces; it has however been observed that relating them is difficult. It was unclear whether residential Rn at a location, or in a region, can be predicted by Rn at a school of that location, or vice versa. To current knowledge, no general rule seems applicable, as few models to describe the relationship between Rn in dwellings and in schools have been developed. In Southern Serbia, a Rn survey in a predominantly rural region was based on measurements in primary schools. The question arose whether or to which degree the results can be considered as indicative or even representative for residential Rn concentrations. To answer the question an additional survey of indoor Rn concentrations in dwellings was initiated, designed and performed in Sokobanja district in 2010-2012 in a manner to be able to detect a relationship if it exists. In the study region, 108 dwellings in 12 villages and towns were selected, with one primary school each. In this paper, we investigate how a relation between Rn in schools and dwellings could be identified and quantified, by developing a model and using experimental data from both the above main and additional surveys. The key criterion is the hypothesis that the relation dwellings - schools, if it exists, is stronger for dwellings closer to a school than for those dwellings further away. We propose methods to test the hypothesis. As result, the hypothesis is corroborated at 95% significance level. More specifically, on town level (typical size about 1 km), the Rn concentration ratio dwelling/school is about 0.8 (geometrical mean), with geometrical standard deviation (GSD) about 1.9. For dwelling and school hypothetically in the same location, the ratio is estimated about 0.7 with GSD about 1.5. We think that the methodology can be applied to structurally similar problems. The results could be used to create "conditional maps" of Rn concentration in dwellings, i.e., for example a map of probabilities that indoor Rn concentrations in dwellings exceed 100 Bq/m 3 , as function of Rn concentration in the local school. Copyright © 2016 Elsevier Ltd. All rights reserved.
Inverse modeling of Asian (222)Rn flux using surface air (222)Rn concentration.

PubMed

Hirao, Shigekazu; Yamazawa, Hiromi; Moriizumi, Jun

2010-11-01

When used with an atmospheric transport model, the (222)Rn flux distribution estimated in our previous study using soil transport theory caused underestimation of atmospheric (222)Rn concentrations as compared with measurements in East Asia. In this study, we applied a Bayesian synthesis inverse method to produce revised estimates of the annual (222)Rn flux density in Asia by using atmospheric (222)Rn concentrations measured at seven sites in East Asia. The Bayesian synthesis inverse method requires a prior estimate of the flux distribution and its uncertainties. The atmospheric transport model MM5/HIRAT and our previous estimate of the (222)Rn flux distribution as the prior value were used to generate new flux estimates for the eastern half of the Eurasian continent dividing into 10 regions. The (222)Rn flux densities estimated using the Bayesian inversion technique were generally higher than the prior flux densities. The area-weighted average (222)Rn flux density for Asia was estimated to be 33.0 mBq m(-2) s(-1), which is substantially higher than the prior value (16.7 mBq m(-2) s(-1)). The estimated (222)Rn flux densities decrease with increasing latitude as follows: Southeast Asia (36.7 mBq m(-2) s(-1)); East Asia (28.6 mBq m(-2) s(-1)) including China, Korean Peninsula and Japan; and Siberia (14.1 mBq m(-2) s(-1)). Increase of the newly estimated fluxes in Southeast Asia, China, Japan, and the southern part of Eastern Siberia from the prior ones contributed most significantly to improved agreement of the model-calculated concentrations with the atmospheric measurements. The sensitivity analysis of prior flux errors and effects of locally exhaled (222)Rn showed that the estimated fluxes in Northern and Central China, Korea, Japan, and the southern part of Eastern Siberia were robust, but that in Central Asia had a large uncertainty.
Contribution of (222)Rn-bearing water to indoor radon and indoor air quality assessment in hot spring hotels of Guangdong, China.

PubMed

Song, Gang; Wang, Xinming; Chen, Diyun; Chen, Yongheng

2011-04-01

This study investigates the contribution of radon ((222)Rn)-bearing water to indoor (222)Rn in thermal baths. The (222)Rn concentrations in air were monitored in the bathroom and the bedroom. Particulate matter (PM, both PM(10) and PM(2.5)) and carbon dioxide (CO(2)) were also monitored with portable analyzers. The bathrooms were supplied with hot spring water containing 66-260 kBq m(-3) of (222)Rn. The results show that the spray of hot spring water from the bath spouts is the dominant mechanism by which (222)Rn is released into the air of the bathroom, and then it diffuses into the bedroom. Average (222)Rn level was 110-410% higher in the bedrooms and 510-1200% higher in the bathrooms compared to the corresponding average levels when there was no use of hot spring water. The indoor (222)Rn levels were influenced by the (222)Rn concentrations in the hot spring water and the bathing times. The average (222)Rn transfer coefficients from water to air were 6.2 × 10(-4)-4.1 × 10(-3). The 24-h average levels of CO(2) and PM(10) in the hotel rooms were 89% and 22% higher than the present Indoor Air Quality (IAQ) standard of China. The main particle pollutant in the hotel rooms was PM(2.5). Radon and PM(10) levels in some hotel rooms were at much higher concentrations than guideline levels, and thus the potential health risks to tourists and especially to the hotel workers should be of great concern, and measures should be taken to lower inhalation exposure to these air pollutants. Copyright © 2011 Elsevier Ltd. All rights reserved.
Temporal Cerebral Microbleeds Are Associated With Radiation Necrosis and Cognitive Dysfunction in Patients Treated for Nasopharyngeal Carcinoma

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

Shen, Qingyu; Department of Neurology, Zengcheng People's Hospital, Guangzhou; Lin, Focai

Purpose: Radiation therapy for patients with nasopharyngeal carcinoma (NPC) may be complicated with radiation-induced brain necrosis (RN), resulting in deteriorated cognitive function. However, the underlying mechanism of this phenomenon remains unclear. This study attempts to elucidate the association between cerebral microbleeds (CMBs) and radiation necrosis and cognitive dysfunction in NPC patients treated with radiation therapy. Methods and Materials: This cross-sectional study included 106 NPC patients who were exposed to radiation therapy (78 patients with RN and 28 without RN). Sixty-six patients without discernable intracranial pathology were included as the control group. CMBs were confirmed using susceptibility-weighted magnetic resonance imaging. Cognitivemore » function was accessed using Montreal Cognitive Assessment. Patients with a total score below 26 were defined as cognitively dysfunction. Results: Seventy-seven patients (98.7%) in the RN group and 12 patients (42.9%) in the non-RN group had at least 1 CMB. In contrast, only 14 patients (21.2%) in the control group had CMBs. In patients with a history of radiation therapy, CMBs most commonly presented in temporal lobes (76.4%) followed by cerebellum (23.7%). Patients with RN had more temporal CMBs than those in the non-RN group (37.7 ± 51.9 vs 3.8 ± 12.6, respectively; P<.001). The number of temporal lobe CMBs was predictive for larger volume of brain necrosis (P<.001) in multivariate linear regression analysis. Although cognitive impairment was diagnosed in 55.1% of RN patients, only 7.1% of non-RN patients sustained cognitive impairment (P<.001). After adjusting for age, sex, education, period after radiation therapy, CMBs in other lobes, and RN volume, the number of temporal CMBs remained an independent risk factor for cognitive dysfunction (odds ratio [OR]: 1.03; 95% confidence interval [CI]: 1.01-1.04; P=.003). Conclusions: CMBs is a common radiological manifestation in NPC patients with RN. The number of temporal CMBs is independently associated with increased likelihood of cognitive dysfunction in patients with RN.« less

Calibration of electret-based integral radon monitors using NIST polyethylene-encapsulated {sup 226}Ra/{sup 222}Rn emanation (PERE) standards

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

Colle, R.; Hutchinson, J.M.R.; Kotrappa, P.

1995-11-01

The recently developed {sup 222}Rn emanation standards that are based on polyethylene-encapsulated {sup 226}Ra solutions were employed for a first field-measurement application test to demonstrate their efficacy in calibrating passive integral radon monitors. The performance of the capsules was evaluated with respect to the calibration needs of electret ionization chambers (E-PERM{reg_sign}, Rad Elec Inc.). The encapsulated standards emanate well-characterized and known quantities of {sup 222}Rn, and were used in two different-sized, relatively-small, accumulation vessels (about 3.6 L and 10 L) which also contained the deployed electret monitors under test. Calculated integral {sup 222}Rn activities from the capsules over various accumulationmore » times were compared to the averaged electret responses. Evaluations were made with four encapsulated standards ranging in {sup 226}Ra activity from approximately 15 Bq to 540 Bq (with {sup 222}Rn emanation fractions of 0.888); over accumulation times from 1 d to 33 d; and with four different types of E-PERM detectors that were independently calibrated. The ratio of the electret chamber response E{sub Rn} to the integral {sup 222}Rn activity I{sub Rn} was constant (within statistical variations) over the variables of the specific capsule used, the accumulation volume, accumulation time, and detector type. The results clearly demonstrated the practicality and suitability of the encapsulated standards for providing a simple and readily-available calibration for those measurement applications. However, the mean ratio E{sub Rn}/I{sub Rn} was approximately 0.91, suggesting a possible systematic bias in the extant E-PERM calibrations. This 9% systematic difference was verified by an independent test of the E-PERM calibration based on measurements with the NIST radon-in-water standard generator.« less
(222)Rn activity in groundwater of the St. Lawrence Lowlands, Quebec, eastern Canada: relation with local geology and health hazard.

PubMed

Pinti, Daniele L; Retailleau, Sophie; Barnetche, Diogo; Moreira, Floriane; Moritz, Anja M; Larocque, Marie; Gélinas, Yves; Lefebvre, René; Hélie, Jean-François; Valadez, Arisai

2014-10-01

One hundred ninety-eight groundwater wells were sampled to measure the (222)Rn activity in the region between Montreal and Quebec City, eastern Canada. The aim of this study was to relate the spatial distribution of (222)Rn activity to the geology and the hydrogeology of the study area and to estimate the potential health risks associated with (222)Rn in the most populated area of the Province of Quebec. Most of the groundwater samples show low (222)Rn activities with a median value of 8.6 Bq/L. Ninety percent of samples show (222)Rn activity lower than 100 Bq/L, the exposure limit in groundwater recommended by the World Health Organization. A few higher (222)Rn activities (up to 310 Bq/L) have been measured in wells from the Appalachian Mountains and from the magmatic intrusion of Mont-Saint-Hilaire, known for its high level of indoor radon. The spatial distribution of (222)Rn activity seems to be related mainly to lithology differences between U-richer metasediments of the Appalachian Mountains and magmatic intrusions and the carbonaceous silty shales of the St. Lawrence Platform. Radon is slightly enriched in sodium-chlorine waters that evolved at contact with clay-rich formations. (226)Ra, the parent element of (222)Rn could be easily adsorbed on clays, creating a favorable environment for the production and release of (222)Rn into groundwater. The contribution of groundwater radon to indoor radon or by ingestion is minimal except for specific areas near Mont-Saint-Hilaire or in the Appalachian Mountains where this contribution could reach 45% of the total radioactive annual dose. Copyright © 2014 Elsevier Ltd. All rights reserved.
Exploring 222Rn as a tool for tracing groundwater inflows from eskers and moraines into slope peatlands of the Amos region of Quebec, Canada.

PubMed

Berthot, Laureline; Pinti, Daniele L; Larocque, Marie; Gagné, Sylvain; Ferlatte, Miryane; Cloutier, Vincent

2016-11-01

Peatlands can play an important role in the hydrological dynamics of a watershed. However, interactions between groundwater and peat water remain poorly understood. Here, we present results of an exploratory study destined to test radon ( 222 Rn) as a potential tracer of groundwater inflows from fluvioglacial landform aquifers to slope peatlands in the Amos region of Quebec, Canada. 222 Rn occurs in groundwater but is expected to be absent from peat water because of its rapid degassing to the atmosphere. Any 222 Rn activity detected in peat water should therefore derive from groundwater inflow. 222 Rn activity was measured in groundwater from municipal, domestic wells and newly drilled and instrumented piezometers from the Saint-Mathieu-Berry and Barraute eskers (n = 9), from the Harricana Moraine (n = 4), and from the fractured bedrock (n = 3). Forty measurements of 222 Rn activity were made from piezometers installed in five slope peatlands, along six transects oriented perpendicular to the fluvioglacial deposits. The relationship between 222 Rn and total dissolved solids (TDS) measured in water from the mineral deposits underlying the peat layer suggests that 222 Rn is introduced by lateral inflow from eskers and moraine together with salinity. This input is then diluted by peat water, depleted in both TDS and 222 Rn. The fact that a relationship between TDS and 222 Rn is visible calls for a continuous inflow of groundwater from lateral eskers/moraines, being 222 Rn rapidly removed from the system by radioactive decay. Although more research is required to improve the sampling and tracing techniques, this work shows the potential of 222 Rn tracer to identify groundwater inflow areas from granular aquifers found in eskers and moraines to slope peatlands. Copyright © 2016 Elsevier Ltd. All rights reserved.
The effect of prior healthcare employment on the wages of registered nurses.

PubMed

Yoo, Byung-Kwang; Kim, Minchul; Lin, Tzu-Chun; Sasaki, Tomoko; Ward, Debbie; Spetz, Joanne

2016-08-19

The proportion of registered nurses (RNs) with employment in health-related positions before their initial RN education has increased in the past two decades. Previous research found that prior health-related employment is positively associated with RN workforce supply, potentially due to the wage differences based on different career paths. This study's objective is to test the hypotheses that prior health-related employment is associated with differences in starting wages and with different rates of wage growth for experience as an RN. We conducted a cross-sectional analysis using the 2008 National Sample Survey of Registered Nurses (NSSRN) linked with county-level variables from the Area Health Resource File. We estimated a Heckman model where the second-stage equation's outcome variable was the logarithm of the RN hourly wage, accounting for the self-selection of working or not working as an RN (i.e., the first-stage equation's outcome variable). Key covariates included interaction terms between years of experience, experience squared, and six categories of prior health-related employment (manager, LPN/LVN, allied health, nursing aide, clerk, and all other healthcare positions). Additional covariates included demographics, weekly working hours, marital status, highest nursing degree, and county-level variables (e.g., unemployment rate). We estimated the marginal effect of experience on wage for each type of prior health-related employment, conducting separate analyses for RNs whose initial education was a Bachelor of Science in Nursing (BSN) (unweighted N = 10,345/weighted N = 945,429), RNs whose initial education was an Associate degree (unweighted N = 13,791/weighted N = 1,296,809), and total population combining the former groups (unweighted N = 24,136/weighted N = 2,242,238). Prior health-related employment was associated with higher wages, with the strongest wage differences among BSN-educated RNs. Among BSN-educated RNs, previous employment as a health care manager, LPN/LVN, or nursing aide produced statistically higher starting wages ($1.72-$3.86 per hour; $3400-$7700 per year; p = 0.006-0.08). However, experience-based wage growth was lower for BSN-educated RNs previously employed as allied health workers, LPN/LVNs, or nursing aides. Among Associate degree-educated RNs, wage difference was not observed except for higher initial wage for RNs with previous employment as LPN/LVNs. Prior employment in health-related positions was associated with both starting salary and experience-based wage growth among BSN-educated RNs. The higher wage return for those with a BSN may motivate non-RN healthcare workers to seek a BSN in their transition to RN jobs, which could help advancement toward the 80 % BSN workforce recommended by the U.S. Institute of Medicine.
Effects of leadership characteristics on pediatric registered nurses' job satisfaction.

PubMed

Roberts-Turner, Reneé; Hinds, Pamela S; Nelson, John; Pryor, Juanda; Robinson, Nellie C; Wang, Jichuan

2014-01-01

Job satisfaction levels among registered nurses (RNs) influence RN recruitment, retention, turnover, and patient outcomes. Researchers examining the relationship between characteristics of nursing leadership and RN job satisfaction have treated RNs as a monolithic group with little research on the satisfaction of hospital-based pediatric RNs. This study assessed the relationship of transformational and transactional nursing leadership characteristics and RN job satisfaction reported by pediatric RNs. This single site study included 935 hospital-based pediatric RNs who completed validated survey items regarding nursing leadership and job satisfaction. A structural equation model (SEM) was applied to assess how autonomy (transformational leadership) and distributive justice (transactional leadership) influence RN job satisfaction, and how RN socio-demographic characteristics influence job satisfaction via autonomy and distributive justice. Findings revealed that both autonomy and distributive justice had significant positive effects on RN job satisfaction but the largest source of influence was autonomy.
INDOOR RADON, THORON AND THEIR PROGENY CONCENTRATIONS IN HIGH THORON RURAL SERBIA ENVIRONMENTS.

PubMed

Zunic, Zora S; Stojanovska, Z; Veselinovic, N; Mishra, R; Yarmoshenko, I V; Sapra, B K; Ishikawa, T; Omori, Y; Curguz, Z; Bossew, P; Udovicic, V; Ramola, R C

2017-11-01

This article deals with the variation of radon (Rn), thoron (Tn) and their progeny concentrations expressed in terms of equilibrium equivalent concentrations (EERC and EETC), in 40 houses, in four villages of Sokobanja municipality, Southern Serbia. Two types of passive detectors were used: (1) discriminative radon-thoron detector for simultaneous Rn and Tn gases measurements and (2) direct Tn and Rn progeny sensors (DRPS/DTPS) for measuring Rn and Tn progeny concentrations. Detectors were exposed simultaneously for a single period of 12 months. Variations of Tn and EETC appear higher than those of Rn and EERC. Analysis of the spatial variation of the measured concentrations is also reported. This work is part of a wider survey of Rn, Tn and their progeny concentrations in indoor environments throughout the Balkan region started in 2011 year. © The Author 2017. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oup.com.
The utility of mock oral examinations in preparation for the American Board of Surgery certifying examination.

PubMed

Higgins, Rana M; Deal, Rebecca A; Rinewalt, Daniel; Hollinger, Edward F; Janssen, Imke; Poirier, Jennifer; Austin, Delores; Rendina, Megan; Francescatti, Amanda; Myers, Jonathan A; Millikan, Keith W; Luu, Minh B

2016-02-01

Determine the utility of mock oral examinations in preparation for the American Board of Surgery certifying examination (ABS CE). Between 2002 and 2012, blinded data were collected on 63 general surgery residents: 4th and 5th-year mock oral examination scores, first-time pass rates on ABS CE, and an online survey. Fifty-seven residents took the 4th-year mock oral examination: 30 (52.6%) passed and 27 (47.4%) failed, with first-time ABS CE pass rates 93.3% and 81.5% (P = .238). Fifty-nine residents took the 5th-year mock oral examination: 28 (47.5%) passed and 31 (52.5%) failed, with first-time ABS CE pass rates 82.1% and 93.5% (P = .240). Thirty-eight responded to the online survey, 77.1% ranked mock oral examinations as very or extremely helpful with ABS CE preparation. Although mock oral examinations and ABS CE passing rates do not directly correlate, residents perceive the mock oral examinations to be helpful. Copyright © 2016 Elsevier Inc. All rights reserved.
77 FR 9931 - Medicare and Medicaid Programs; Quarterly Listing of Program Issuances-October Through December 2011

Federal Register 2010, 2011, 2012, 2013, 2014

2012-02-21

... Ashby (410) 786-6322 Coverage Provisions. XI National Oncologic Positron Emission Stuart Caplan, RN, MAS... Tillman, RN, MAS (410) 786-9252 Facilities. XV Fluorodeoxyglucose Positron Emission Stuart Caplan, RN, MAS...
Worldwide isotope ratios of the Fukushima release and early-phase external dose reconstruction

PubMed Central

Chaisan, Kittisak; Smith, Jim T.; Bossew, Peter; Kirchner, Gerald; Laptev, Gennady V.

2013-01-01

Measurements of radionuclides (RNs) in air made worldwide following the Fukushima accident are quantitatively compared with air and soil measurements made in Japan. Isotopic ratios RN:137Cs of 131I, 132Te, 134,136Cs, are correlated with distance from release. It is shown, for the first time, that both within Japan and globally, ratios RN:137Cs in air were relatively constant for primarily particle associated radionuclides (134,136Cs; 132Te) but that 131I shows much lower local (<80 km) isotope ratios in soils relative to 137Cs. Derived isotope ratios are used to reconstruct external dose rate during the early phase post-accident. Model “blind” tests show more than 95% of predictions within a factor of two of measurements from 15 sites to the north, northwest and west of the power station. It is demonstrated that generic isotope ratios provide a sound basis for reconstruction of early-phase external dose rates in these most contaminated areas. PMID:24018776
7 CFR 3560.402 - Loan payment processing.

Code of Federal Regulations, 2010 CFR

2010-01-01

... paragraph (c) of this section, must be closed and serviced using the PASS. (b) Required conversion to PASS... action on the account involves a change in the loan rates or terms or whenever a subsequent loan to the...
Po-210 and Pb-210 as atmospheric tracers and global atmospheric Pb-210 fallout: a review.

PubMed

Baskaran, M

2011-05-01

Over the past ∼ 5 decades, the distribution of (222)Rn and its progenies (mainly (210)Pb, (210)Bi and (210)Po) have provided a wealth of information as tracers to quantify several atmospheric processes that include: i) source tracking and transport time scales of air masses; ii) the stability and vertical movement of air masses iii) removal rate constants and residence times of aerosols; iv) chemical behavior of analog species; and v) washout ratios and deposition velocities of aerosols. Most of these applications require that the sources and sink terms of these nuclides are well characterized. Utility of (210)Pb, (210)Bi and (210)Po as atmospheric tracers requires that data on the (222)Rn emanation rates is well documented. Due to low concentrations of (226)Ra in surface waters, the (222)Rn emanation rates from the continent is about two orders of magnitude higher than that of the ocean. This has led to distinctly higher (210)Pb concentrations in continental air masses compared to oceanic air masses. The highly varying concentrations of (210)Pb in air as well the depositional fluxes have yielded insight on the sources and transit times of aerosols. In an ideal enclosed air mass (closed system with respect to these nuclides), the residence times of aerosols obtained from the activity ratios of (210)Pb/(222)Rn, (210)Bi/(210)Pb, and (210)Po/(210)Pb are expected to agree with each other, but a large number of studies have indicated discordance between the residence times obtained from these three pairs. Recent results from the distribution of these nuclides in size-fractionated aerosols appear to yield consistent residence time in smaller-size aerosols, possibly suggesting that larger size aerosols are derived from resuspended dust. The residence times calculated from the (210)Pb/(222)Rn, (210)Bi/(210)Pb, and (210)Po/(210)Pb activity ratios published from 1970's are compared to those data obtained in size-fractionated aerosols in this decade and possible reasons for the discordance is discussed with some key recommendations for future studies. The existing global atmospheric inventory data of (210)Pb is re-evaluated and a 'global curve' for the depositional fluxes of (210)Pb is established. A current global budget for atmospheric (210)Po and (210)Pb is also established. The relative importance of dry fallout of (210)Po and (210)Pb at different latitudes is evaluated. The global values for the deposition velocities of aerosols using (210)Po and (210)Pb are synthesized. Copyright © 2010 Elsevier Ltd. All rights reserved.
Relationship between internal medicine program board examination pass rates, accreditation standards, and program size.

PubMed

Falcone, John L; Gonzalo, Jed D

2014-01-19

To determine Internal Medicine residency program compliance with the Accreditation Council for Graduate Medical Education 80% pass-rate standard and the correlation between residency program size and performance on the American Board of Internal Medicine Certifying Examination. Using a cross-sectional study design from 2010-2012 American Board of Internal Medicine Certifying Examination data of all Internal Medicine residency pro-grams, comparisons were made between program pass rates to the Accreditation Council for Graduate Medical Education pass-rate standard. To assess the correlation between program size and performance, a Spearman's rho was calculated. To evaluate program size and its relationship to the pass-rate standard, receiver operative characteristic curves were calculated. Of 372 Internal Medicine residency programs, 276 programs (74%) achieved a pass rate of =80%, surpassing the Accreditation Council for Graduate Medical Education minimum standard. A weak correlation was found between residency program size and pass rate for the three-year period (p=0.19, p<0.001). The area underneath the receiver operative characteristic curve was 0.69 (95% Confidence Interval [0.63-0.75]), suggesting programs with less than 12 examinees/year are less likely to meet the minimum Accreditation Council for Graduate Medical Education pass-rate standard (sensitivity 63.8%, specificity 60.4%, positive predictive value 82.2%, p<0.001). Although a majority of Internal Medicine residency programs complied with Accreditation Council for Graduate Medical Education pass-rate standards, a quarter of the programs failed to meet this requirement. Program size is positively but weakly associated with American Board of Internal Medicine Certifying Examination performance, suggesting other unidentified variables significantly contribute to program performance.
Doses from beta radiation in sensitive layers of human lung and dose conversion factors due to 222Rn/220Rn progeny.

PubMed

Markovic, V M; Stevanovic, N; Nikezic, D

2011-08-01

Great deal of work has been devoted to determine doses from alpha particles emitted by (222)Rn and (220)Rn progeny. In contrast, contribution of beta particles to total dose has been neglected by most of the authors. The present work describes a study of the detriment of (222)Rn and (220)Rn progeny to the human lung due to beta particles. The dose conversion factor (DCF) was introduced to relate effective dose and exposure to radon progeny; it is defined as effective dose per unit exposure to inhaled radon or thoron progeny. Doses and DCFs were determined for beta radiation in sensitive layers of bronchi (BB) and bronchioles (bb), taking into account inhaled (222)Rn and (220)Rn progeny deposited in mucus and cilia layer. The nuclei columnar secretory and short basal cells were considered to be sensitive target layers. For dose calculation, electron-absorbed fractions (AFs) in the sensitive layers of the BB and bb regions were used. Activities in the fast and slow mucus of the BB and bb regions were obtained using the LUNGDOSE software developed earlier. Calculated DCFs due to beta radiation were 0.21 mSv/WLM for (222)Rn and 0.06 mSv/WLM for (220)Rn progeny. In addition, the influence of Jacobi room parameters on DCFs was investigated, and it was shown that DCFs vary with these parameters by up to 50%.
Radon and NO2 levels and related environmental factors in 100 underground subway platforms over two-year period.

PubMed

Hwang, Sung Ho; Park, Jae Bum; Park, Wha Me

2018-01-01

In this study, the environmental factors that affect radon (Rn) and nitrogen dioxide (NO 2 ) levels in subway-station underground platforms are evaluated, and the outdoor NO 2 levels are compared with those obtained for the underground platforms. The Rn and NO 2 levels from May 2013 to September 2015 are determined for lines 1-4 of the Seoul Metro, via calculation of the arithmetic means of the Rn and NO 2 levels with their standard deviations (SDs). The underground Rn levels in 2013 are found to be significantly higher than those recorded in 2015 for the Seoul Metro. In addition, the Rn levels are related to the station depth and construction year. Further, the underground NO 2 levels are shown to be significantly higher than the outdoor levels for all four Seoul Metro subway lines. The Rn levels are also found to vary significantly between months, and are shown to increase gradually with depth from 8 to 20 m. The Rn levels are also higher for stations constructed in the 1980s. Therefore, stricter monitoring of Rn level may be required for stations constructed in the 1980s and/or having platform depths within the 8-20 m range. Island-type platform stations based on granite areas may also require careful attention. Copyright © 2017 Elsevier Ltd. All rights reserved.
Association Between Radiation Necrosis and Tumor Biology After Stereotactic Radiosurgery for Brain Metastasis

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

Miller, Jacob A.; Bennett, Elizabeth E.; Xiao, Roy

Background: The primary dose-limiting toxicity of stereotactic radiosurgery (SRS) is radiation necrosis (RN), which occurs after approximately 5% to 10% of treatments. This adverse event may worsen neurologic deficits, increase the frequency and cost of imaging, and necessitate prolonged treatment with steroids or antiangiogenic agents. Previous investigations have primarily identified lesion size and dosimetric constraints as risk factors for RN in small populations. We hypothesized that disease histology, receptor status, and mutational status are associated with RN. Methods and Materials: All patients presenting with brain metastasis between 1997 and 2015 who underwent SRS and subsequent radiographic follow-up at a singlemore » tertiary-care institution were eligible for inclusion. The primary outcome was the cumulative incidence of radiographic RN. Multivariate competing risks regression was used to identify biological risk factors for RN. Results: 1939 patients (5747 lesions) were eligible for inclusion; 285 patients (15%) experienced radiographic RN after the treatment of 427 (7%) lesions. After SRS, the median time to RN was 7.6 months. After multivariate analysis, graded prognostic assessment, renal pathology, lesion diameter, and the heterogeneity index remained independently predictive of RN in the pooled cohort. In subset analyses of individual pathologies, HER2-amplified status (hazard ratio [HR] 2.05, P=.02), BRAF V600+ mutational status (HR 0.33, P=.04), lung adenocarcinoma histology (HR 1.89, P=.04), and ALK rearrangement (HR 6.36, P<.01) were also associated with RN. Conclusions: In the present investigation constituting the largest series of RN, several novel risk factors were identified, including renal histology, lung adenocarcinoma histology, HER2 amplification, and ALK/BRAF mutational status. These risk factors may be used to guide clinical trial design incorporating biological risk stratification or dose escalation. Future studies determining the optimal timing of targeted therapies are warranted to further define the risk of RN.« less
Establishment of quality assurance for respiratory-gated radiotherapy using a respiration-simulating phantom and gamma index: Evaluation of accuracy taking into account tumor motion and respiratory cycle

NASA Astrophysics Data System (ADS)

Lee, Jae-Seung; Im, In-Chul; Kang, Su-Man; Goo, Eun-Hoe; Baek, Seong-Min

2013-11-01

The purpose of this study is to present a new method of quality assurance (QA) in order to ensure effective evaluation of the accuracy of respiratory-gated radiotherapy (RGR). This would help in quantitatively analyzing the patient's respiratory cycle and respiration-induced tumor motion and in performing a subsequent comparative analysis of dose distributions, using the gamma-index method, as reproduced in our in-house developed respiration-simulating phantom. Therefore, we designed a respiration-simulating phantom capable of reproducing the patient's respiratory cycle and respiration-induced tumor motion and evaluated the accuracy of RGR by estimating its pass rates. We applied the gamma index passing criteria of accepted error ranges of 3% and 3 mm for the dose distribution calculated by using the treatment planning system (TPS) and the actual dose distribution of RGR. The pass rate clearly increased inversely to the gating width chosen. When respiration-induced tumor motion was 12 mm or less, pass rates of 85% and above were achieved for the 30-70% respiratory phase, and pass rates of 90% and above were achieved for the 40-60% respiratory phase. However, a respiratory cycle with a very small fluctuation range of pass rates failed to prove reliable in evaluating the accuracy of RGR. Therefore, accurate and reliable outcomes of radiotherapy will be obtainable only by establishing a novel QA system using the respiration-simulating phantom, the gamma-index analysis, and a quantitative analysis of diaphragmatic motion, enabling an indirect measurement of tumor motion.
Systematic Review: Bridging the Gap in RPN-to-RN Transitions.

PubMed

Suva, Grace; Sager, Shelley; Mina, Elaine Santa; Sinclair, Nancy; Lloyd, Monique; Bajnok, Irmajean; Xiao, Sarah

2015-07-01

To review the evidence examining the influences of successful education and professional role transition for registered practical nurses (RPNs) pursuing a baccalaureate degree in nursing (BScN) and registered nurse (RN) licensure through RPN-to-RN bridging programs. Systematic review of papers published between 1995 and 2014 that evaluated students' education and professional role transitions from RPN to RN. Thirty-nine papers were selected that observed or studied the change or transition in designation from RPN to RN, or its equivalent, through bridging programs and analyzed thematically according to Meleis, Sawyer, Im, Hilfinger Messias, and Schumacher's transition model. Personal, community, and social conditions related to preparation for entry, program enrolment, and postgraduate clinical integration influence successful education and professional role transitions for RPN-to-RN bridging students. Providing key transition supports may enhance the potential for successful student transition into and throughout a bridging program, but further research is necessary to enhance this understanding and to recommend best practices for optimizing students' success. The evidence from this review identifies facilitators and barriers to successful education and professional role transition for RPN-to-RN bridging students, and identifies important considerations for future research. © 2015 Sigma Theta Tau International.
Predicting Persistence in Practical Nursing and Success on the NCLEX-PN: Examining Demographic, Non-Academic, and Academic Variables

ERIC Educational Resources Information Center

Davis, Alicia Debra

2015-01-01

The United States is now in the midst of a major nursing shortage that is predicted to get worse over the next ten years (Kurzen, 2005). The Health Resources and Services Administration reports that all 50 states will suffer from a nursing shortage by 2020 (U.S. Department of Health and Human Services, 2004). This means that there will be a…
Measurement and reduction of low-level radon background in the KATRIN experiment

NASA Astrophysics Data System (ADS)

Fränkle, F. M.

2013-08-01

The KArlsruhe TRItium Neutrino (KATRIN) experiment is a next generation, model independent, large scale experiment to determine the mass of the electron anti-neutrino by investigating the kinematics of tritium beta decay with a sensitivity of 200 meV/c2. The measurement setup consists of a high luminosity windowless gaseous molecular tritium source (WGTS), a differential and cryogenic pumped electron transport and tritium retention section, a tandem spectrometer section (pre-spectrometer and main spectrometer) for energy analysis, followed by a detector system for counting transmitted beta decay electrons. Measurements performed at the KATRIN pre-spectrometer test setup showed that the decay of radon (Rn) atoms in the volume of the KATRIN spectrometers is a major background source. Rn atoms from low-level radon emanation of materials inside the vacuum region of the KATRIN spectrometers are able to penetrate deep into the magnetic flux tube so that the alpha decay of Rn contributes to the background. Of particular importance are electrons emitted in processes accompanying the Rn alpha decay, such as shake-off, internal conversion of excited levels in the Rn daughter atoms and Auger electrons. Lowenergy electrons (< 100 eV) directly contribute to the background in the signal region. High-energy electrons can be stored magnetically inside the volume of the spectrometer and are able to create thousands of secondary electrons via subsequent ionization processes with residual gas molecules. In order to reduce the Rn induced background different active and passive counter measures were developed and tested. This proceeding will give an overview on Rn sources within the KATRIN spectrometer, describes how Rn decays inside the spectrometer produce background events at the detector and presents different counter measures to reduce the Rn induced background.
Ion beam analyses of radionuclide migration in heterogeneous rocks

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

Alonso, Ursula; Missana, Tiziana; Garcia-Gutierrez, Miguel

2013-07-18

The migration of radionuclides (RN) in the environment is a topic of general interest, for its implications on public health, and it is an issue for the long-term safety studies of deep geological repositories (DGR) for high-level radioactive waste. The role played by colloids on RN migration is also of great concern. Diffusion and sorption are fundamental mechanisms controlling RN migration in rocks and many experimental approaches are applied to determine transport parameters for low sorbing RN in homogeneous rocks. However, it is difficult to obtain relevant data for high sorbing RN or colloids, for which diffusion lengths are extremelymore » short, or within heterogeneous rocks, where transport might be different in different minerals. The ion beam techniques Rutherford Backscattering Spectrometry (RBS) and micro-Particle Induced X-Ray Emission ({mu}PIXE), rarely applied in the field, were selected for their micro-analytical potential to study RN diffusion and surface retention within heterogeneous rocks. Main achievements obtained during last 12 years are highlighted.« less

Determination of MLC model parameters for Monaco using commercial diode arrays.

PubMed

Kinsella, Paul; Shields, Laura; McCavana, Patrick; McClean, Brendan; Langan, Brian

2016-07-08

Multileaf collimators (MLCs) need to be characterized accurately in treatment planning systems to facilitate accurate intensity-modulated radiation therapy (IMRT) and volumetric-modulated arc therapy (VMAT). The aim of this study was to examine the use of MapCHECK 2 and ArcCHECK diode arrays for optimizing MLC parameters in Monaco X-ray voxel Monte Carlo (XVMC) dose calculation algorithm. A series of radiation test beams designed to evaluate MLC model parameters were delivered to MapCHECK 2, ArcCHECK, and EBT3 Gafchromic film for comparison. Initial comparison of the calculated and ArcCHECK-measured dose distributions revealed it was unclear how to change the MLC parameters to gain agreement. This ambiguity arose due to an insufficient sampling of the test field dose distributions and unexpected discrepancies in the open parts of some test fields. Consequently, the XVMC MLC parameters were optimized based on MapCHECK 2 measurements. Gafchromic EBT3 film was used to verify the accuracy of MapCHECK 2 measured dose distributions. It was found that adjustment of the MLC parameters from their default values resulted in improved global gamma analysis pass rates for MapCHECK 2 measurements versus calculated dose. The lowest pass rate of any MLC-modulated test beam improved from 68.5% to 93.5% with 3% and 2 mm gamma criteria. Given the close agreement of the optimized model to both MapCHECK 2 and film, the optimized model was used as a benchmark to highlight the relatively large discrepancies in some of the test field dose distributions found with ArcCHECK. Comparison between the optimized model-calculated dose and ArcCHECK-measured dose resulted in global gamma pass rates which ranged from 70.0%-97.9% for gamma criteria of 3% and 2 mm. The simple square fields yielded high pass rates. The lower gamma pass rates were attributed to the ArcCHECK overestimating the dose in-field for the rectangular test fields whose long axis was parallel to the long axis of the ArcCHECK. Considering ArcCHECK measurement issues and the lower gamma pass rates for the MLC-modulated test beams, it was concluded that MapCHECK 2 was a more suitable detector than ArcCHECK for the optimization process. © 2016 The Authors
Loss of Magnet® Designation and Changes in RN Work Engagement: A Report on How 1 Hospital's Culture Changed Over Time.

PubMed

Wonder, Amy Hagedorn; York, Jacki; Jackson, Kathryn L; Sluys, Teresa D

2017-10-01

The aim of this study was to examine the loss of Magnet® designation and how RNs' work engagement changed at 1 community hospital. The importance of RN work engagement to promote quality and safety is widely recognized in healthcare. Ongoing consistent research is critical to determine what organizational structures are needed to support RN work engagement. This was a comparative, descriptive, correlational study of RN cohorts at 2 time points: time 1 (T1), in 2011 during Magnet designation (n = 119), and time 2 (T2), in 2016, approximately 2 years after the loss of Magnet designation (n = 140). The cohort of RNs at T2 reported significantly lower work engagement in the time period after the loss of Magnet designation when compared with the RN cohort at T1 during Magnet designation (P ≤ .0002). These results provide insights for clinical leaders striving to support a culture of RN work engagement and quality care.
RN jurisdiction over nursing care systems in nursing homes: application of latent class analysis

PubMed Central

Corazzini, Kirsten N.; Anderson, Ruth A.; Mueller, Christine; Thorpe, Joshua M.; McConnell, Eleanor S.

2015-01-01

Background In the context of declining registered nurse (RN) staffing levels in nursing homes, professional nursing jurisdiction over nursing care systems may erode. Objectives The purpose of this study is to develop a typology of professional nursing jurisdiction in nursing homes in relation to characteristics of RN staffing, drawing upon Abbott's (1988) tasks and jurisdictions framework. Method The study was a cross-sectional, observational study using the 2004 National Nursing Home Survey (N=1,120 nursing homes). Latent class analysis tested whether RN staffing indicators differentiated facilities in a typology of RN jurisdiction, and compared classes on key organizational environment characteristics. Multiple logistic regression analysis related the emergent classes to presence or absence of specialty care programs in 8 clinical areas. Results Three classes of capacity for jurisdiction were identified, including ‘low capacity’ (41% of homes) with low probabilities of having any indicators of RN jurisdiction, ‘mixed capacity’ (26% of homes) with moderate to high probabilities of having higher RN education and staffing levels, and ‘high capacity’ (32% of homes) with moderate to high probabilities of having almost all indicators of RN jurisdiction. ‘High capacity’ homes were more likely to have specialty care programs relative to ‘low capacity’ homes; such homes were less likely to be chain-owned, and more likely to be larger, provide higher technical levels of patient care, have unionized nursing assistants, have a lower ratio of LPNs to RNs, and a higher education level of the administrator. Discussion Findings provide preliminary support for the theoretical framework as a starting point to move beyond extensive reliance on staffing levels and mix as indicators of quality. Further, findings indicate the importance of RN specialty certification. PMID:22166907
Calibration of Electret-Based Integral Radon Monitors Using NIST Polyethylene-Encapsulated 226Ra/222Rn Emanation (PERE) Standards.

PubMed

Collé, R; Kotrappa, P; Hutchinson, J M R

1995-01-01

The recently developed 222 Rn emanation standards that are based on polyethylene-encapsulated 226 Ra solutions were employed for a first field-measurement application test to demonstrate their efficacy in calibrating passive integral radon monitors. The performance of the capsules was evaluated with respect to the calibration needs of electret ionization chambers (E-PERM ® , Rad Elec Inc.). The encapsulated standards emanate well-characterized and known quantities of 222 Rn, and were used in two different-sized, relatively-small, accumulation vessels (about 3.6 L and 10 L) which also contained the deployed electret monitors under test. Calculated integral 222 Rn activities from the capsules over various accumulation times were compared to the averaged electret responses. Evaluations were made with four encapsulated standards ranging in 226 Ra activity from approximately 15 Bq to 540 Bq (with 222 Rn emanation fractions of 0.888); over accumulation times from 1 d to 33 d; and with four different types of E-PERM detectors that were independently calibrated. The ratio of the electret chamber response E Rn to the integral 222 Rn activity I Rn was constant (within statistical variations) over the variables of the specific capsule used, the accumulation volume, accumulation time, and detector type. The results clearly demonstrated the practicality and suitability of the encapsulated standards for providing a simple and readily-available calibration for those measurement applications. However, the mean ratio E Rn / I Rn was approximately 0.91, suggesting a possible systematic bias in the extant E-PERM calibrations. This 9 % systematic difference was verified by an independent test of the E-PERM calibration based on measurements with the NIST radon-in-water standard generator.
Student Outcomes Report.

ERIC Educational Resources Information Center

Clagett, Craig A.

Prince George's Community College (PGCC) created a Student Outcomes Report in December 1996 that measures course completion, retention, student achievement, program completion, transfer, and certification. Findings indicated that though the course pass rate was 75%, individual course completion ranged from 44% to 100%. Divisional pass rates ranged…
Characterizing long-term radon concentration changes in a geothermal area for correlation with volcanic earthquakes and reservoir temperatures: A case study from Mt. Aso, southwestern Japan

NASA Astrophysics Data System (ADS)

Koike, Katsuaki; Yoshinaga, Tohru; Asaue, Hisafumi

2014-04-01

The purpose of this study is to characterize in detail the temporal changes in Rn (radon-222) concentration in soil gases near fumaroles and clarify its correlation with volcanic earthquakes and temperatures in two geothermal reservoirs. Mt. Aso crater in southwest Japan, which has two reservoirs on its western side estimated by magnetotelluric survey to be at about 2 km in depth, was selected for this study. For the long-term survey, the α scintillation counter method was used weekly for 12.5 years at the three hot springs within a 2-km range. Rn concentrations were calculated using the CRAS method, a calculation method that considers radioactive equilibrium or nonequilibrium state of the soil gas. Rn concentrations generally showed similar fluctuation patterns among the sites. CRAS was used as a new indicator for evaluating the age of the soil gas. This age corresponds to the elapsed time determined from the generation of Rn based on the measurement of the numbers of atoms of Rn and its daughter 218Po at the start of measurement. In comparing the Rn data with the history of earthquakes in the Aso caldera, volcanic seismicity was identified as a major controlling factor in the sudden increase and decrease in Rn concentration as a function of age. For more precise detections of change, Rn concentrations were measured continuously at one site by pumping soil gas from a borehole and using an ionization chamber over 2.5 years. Five chemical components (He, H2, N2, CH4, and CO2) were then measured by gas chromatography at 1-week intervals. Because Rn concentrations are affected strongly by atmospheric temperatures, the residual components were obtained by subtracting the trend of the components from the original data. Chemical component data were used to estimate the temperature and pressure in the reservoir at the site; temperatures ranged from 229 to 280 °C, (average 265 °C, average pressure 80 MPa). Residual Rn concentrations showed a clear correlation with temporal changes in estimated temperature and, to a degree, with pressure. Considering the migration mechanism of Rn by molecular diffusion and advection under rapid gas upflow conditions, change in the diffusion coefficient is regarded as a possible factor to have induced temporal changes in Rn concentrations in conjunction with the temperature changes in the reservoirs. In addition, the increase of the amount of degassed Rn from the advective-convective hydrothermal fluids, which is associated with wall-rock fracturing, is another important factor. Earthquakes likely enhance the permeability of a reservoir by generating fractures, which in turn can cause an increase in the reservoir temperature, upflow fluid velocity, and gas flux. This provides one possible interpretation for the significant correlation of Rn concentrations with earthquakes.
The Role of Organizational Culture in Retaining Nursing Workforce

PubMed Central

Banaszak-Holl, Jane; Castle, Nicholas G.; Lin, Michael K.; Shrivastwa, Nijika; Spreitzer, Gretchen

2015-01-01

Purpose of the Study: We examined how organizational culture in nursing homes affects staff turnover, because culture is a first step to creating satisfactory work environments. Design and Methods: Nursing home administrators were asked in 2009 to report on facility culture and staff turnover. We received responses from 419 of 1,056 administrators contacted. Respondents reported the strength of cultural values using scales from a Competing Values Framework and percent of staff leaving annually for Registered Nurse (RN), Licensed Practice Nurse (LPN), and nursing aide (NA) staff. We estimated negative binomial models predicting turnover. Results: Turnover rates are lower than found in past but remain significantly higher among NAs than among RNs or LPNs. Facilities with stronger market values had increased turnover among RNs and LPNs, and among NAs when turnover was adjusted for facilities with few staff. Facilities emphasizing hierarchical internal processes had lower RN turnover. Group and developmental values focusing on staff and innovation only lowered LPN turnover. Finally, effects on NA turnover become insignificant when turnover was adjusted if voluntary turnover was reported. Implications: Organizational culture had differential effects on the turnover of RN, LPN, and NA staff that should be addressed in developing culture-change strategies. More flexible organizational culture values were important for LPN staff only, whereas unexpectedly, greater emphasis on rigid internal rules helped facilities retain RNs. Facilities with a stronger focus on customer needs had higher turnover among all staff. PMID:24218146
Measurement and reduction of low-level radon background in the KATRIN experiment

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

Fränkle, F. M.

The KArlsruhe TRItium Neutrino (KATRIN) experiment is a next generation, model independent, large scale experiment to determine the mass of the electron anti-neutrino by investigating the kinematics of tritium beta decay with a sensitivity of 200 meV/c{sup 2}. The measurement setup consists of a high luminosity windowless gaseous molecular tritium source (WGTS), a differential and cryogenic pumped electron transport and tritium retention section, a tandem spectrometer section (pre-spectrometer and main spectrometer) for energy analysis, followed by a detector system for counting transmitted beta decay electrons. Measurements performed at the KATRIN pre-spectrometer test setup showed that the decay of radon (Rn)more » atoms in the volume of the KATRIN spectrometers is a major background source. Rn atoms from low-level radon emanation of materials inside the vacuum region of the KATRIN spectrometers are able to penetrate deep into the magnetic flux tube so that the alpha decay of Rn contributes to the background. Of particular importance are electrons emitted in processes accompanying the Rn alpha decay, such as shake-off, internal conversion of excited levels in the Rn daughter atoms and Auger electrons. Lowenergy electrons (< 100 eV) directly contribute to the background in the signal region. High-energy electrons can be stored magnetically inside the volume of the spectrometer and are able to create thousands of secondary electrons via subsequent ionization processes with residual gas molecules. In order to reduce the Rn induced background different active and passive counter measures were developed and tested. This proceeding will give an overview on Rn sources within the KATRIN spectrometer, describes how Rn decays inside the spectrometer produce background events at the detector and presents different counter measures to reduce the Rn induced background.« less
Holocene slip rates along the San Andreas Fault System in the San Gorgonio Pass and implications for large earthquakes in southern California

NASA Astrophysics Data System (ADS)

Heermance, Richard V.; Yule, Doug

2017-06-01

The San Gorgonio Pass (SGP) in southern California contains a 40 km long region of structural complexity where the San Andreas Fault (SAF) bifurcates into a series of oblique-slip faults with unknown slip history. We combine new 10Be exposure ages (Qt4: 8600 (+2100, -2200) and Qt3: 5700 (+1400, -1900) years B.P.) and a radiocarbon age (1260 ± 60 years B.P.) from late Holocene terraces with scarp displacement of these surfaces to document a Holocene slip rate of 5.7 (+2.7, -1.5) mm/yr combined across two faults. Our preferred slip rate is 37-49% of the average slip rates along the SAF outside the SGP (i.e., Coachella Valley and San Bernardino sections) and implies that strain is transferred off the SAF in this area. Earthquakes here most likely occur in very large, throughgoing SAF events at a lower recurrence than elsewhere on the SAF, so that only approximately one third of SAF ruptures penetrate or originate in the pass.Plain Language SummaryHow large are earthquakes on the southern San Andreas Fault? The answer to this question depends on whether or not the earthquake is contained only along individual fault sections, such as the Coachella Valley section north of Palm Springs, or the rupture crosses multiple sections including the area through the San Gorgonio Pass. We have determined the age and offset of faulted stream deposits within the San Gorgonio Pass to document slip rates of these faults over the last 10,000 years. Our results indicate a long-term slip rate of 6 mm/yr, which is almost 1/2 of the rates east and west of this area. These new rates, combined with faulted geomorphic surfaces, imply that large magnitude earthquakes must occasionally rupture a 300 km length of the San Andreas Fault from the Salton Sea to the Mojave Desert. Although many ( 65%) earthquakes along the southern San Andreas Fault likely do not rupture through the pass, our new results suggest that large >Mw 7.5 earthquakes are possible on the southern San Andreas Fault and likely occur every 1000-1500 years. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.ncbi.nlm.nih.gov/pubmed/25257070','PUBMED'); return false;" href="https://www.ncbi.nlm.nih.gov/pubmed/25257070">Implementing statistical equating for MRCP(UK) Parts 1 and 2.</a> <a target="_blank" rel="noopener noreferrer" href="https://www.ncbi.nlm.nih.gov/entrez/query.fcgi?DB=pubmed">PubMed</a> McManus, I C; Chis, Liliana; Fox, Ray; Waller, Derek; Tang, Peter 2014-09-26 The MRCP(UK) exam, in 2008 and 2010, changed the standard-setting of its Part 1 and Part 2 examinations from a hybrid Angoff/Hofstee method to statistical equating using Item Response Theory, the reference group being UK graduates. The present paper considers the implementation of the change, the question of whether the pass rate increased amongst non-UK candidates, any possible role of Differential Item Functioning (DIF), and changes in examination predictive validity after the change. Analysis of data of MRCP(UK) Part 1 exam from 2003 to 2013 and Part 2 exam from 2005 to 2013. Inspection suggested that Part 1 pass rates were stable after the introduction of statistical equating, but showed greater annual variation probably due to stronger candidates taking the examination earlier. Pass rates seemed to have increased in non-UK graduates after equating was introduced, but was not associated with any changes in DIF after statistical equating. Statistical modelling of the pass rates for non-UK graduates found that pass rates, in both Part 1 and Part 2, were increasing year on year, with the changes probably beginning before the introduction of equating. The predictive validity of Part 1 for Part 2 was higher with statistical equating than with the previous hybrid Angoff/Hofstee method, confirming the utility of IRT-based statistical equating. Statistical equating was successfully introduced into the MRCP(UK) Part 1 and Part 2 written examinations, resulting in higher predictive validity than the previous Angoff/Hofstee standard setting. Concerns about an artefactual increase in pass rates for non-UK candidates after equating were shown not to be well-founded. Most likely the changes resulted from a genuine increase in candidate ability, albeit for reasons which remain unclear, coupled with a cognitive illusion giving the impression of a step-change immediately after equating began. Statistical equating provides a robust standard-setting method, with a better theoretical foundation than judgemental techniques such as Angoff, and is more straightforward and requires far less examiner time to provide a more valid result. The present study provides a detailed case study of introducing statistical equating, and issues which may need to be considered with its introduction. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.ncbi.nlm.nih.gov/pubmed/20826068','PUBMED'); return false;" href="https://www.ncbi.nlm.nih.gov/pubmed/20826068">Updated estimates of HAL n and RN- effects on pork quality: fresh and processed loin and ham.</a> <a target="_blank" rel="noopener noreferrer" href="https://www.ncbi.nlm.nih.gov/entrez/query.fcgi?DB=pubmed">PubMed</a> Cherel, P; Glénisson, J; Figwer, P; Pires, J; Damon, M; Franck, M; Le Roy, P 2010-12-01 A 1000-pig F2 intercross QTL detection experimental population was generated using two commercial sire lines. Independent carriers of HAL n and RN- mutations (10% and 14%, respectively) were included in this population as control genotypes. The effects of HAL n and RN- heterozygous genotypes on fresh and transformed loins and hams were estimated using a mixed model methodology. The results document the unfavorable effects of both mutations on meat quality. Smaller effects of HAL Nn genotype compared to HAL nn or RN-rn+ genotypes were estimated. Interestingly, effects of HAL Nn genotype on meat pH and loin color could be insignificant at 24-h postmortem, but translate into higher water losses on storage and cooking, and result in tougher cooked loin. Using the same methodology, significant effects of the PRKAG3 (RN) I199 allele on ultimate pH values but not on glycolytic potential were observed. Copyright © 2010 The American Meat Science Association. Published by Elsevier Ltd. All rights reserved. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.ncbi.nlm.nih.gov/pubmed/24040770','PUBMED'); return false;" href="https://www.ncbi.nlm.nih.gov/pubmed/24040770">Eighty percent by 2020: the present and future of RN-to-BSN education.</a> <a target="_blank" rel="noopener noreferrer" href="https://www.ncbi.nlm.nih.gov/entrez/query.fcgi?DB=pubmed">PubMed</a> McEwen, Melanie; Pullis, Bridgette R; White, Mary Joe; Krawtz, Susan 2013-10-01 More than 600 RN-to-BSN programs currently exist in the United States, and the numbers of programs and students are growing rapidly. This unprecedented growth is a result of several factors, including the Institute of Medicine's recommendation that 80% of RNs be BSN prepared by 2020. This survey was undertaken to explore key ideas and issues related to RN-to-BSN education to gather information on how RN-to-BSN programs are changing and to uncover concerns posited by program directors. The survey indicated that lack of standardization has resulted in significant variability in expectations and requirements among RN-to-BSN programs. Further, numerous questions need to be answered and concerns addressed to develop strategies to maintain growth, improve access, and remove barriers without sacrificing quality. Findings can be used to ensure that RN-to-BSN education prepares graduates for the future health care system and that the outcome is not just a piece of paper. Copyright 2013, SLACK Incorporated. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.ncbi.nlm.nih.gov/pubmed/27729351','PUBMED'); return false;" href="https://www.ncbi.nlm.nih.gov/pubmed/27729351">Order effects in high stakes undergraduate examinations: an analysis of 5 years of administrative data in one UK medical school.</a> <a target="_blank" rel="noopener noreferrer" href="https://www.ncbi.nlm.nih.gov/entrez/query.fcgi?DB=pubmed">PubMed</a> Burt, Jenni; Abel, Gary; Barclay, Matt; Evans, Robert; Benson, John; Gurnell, Mark 2016-10-11 To investigate the association between student performance in undergraduate objective structured clinical examinations (OSCEs) and the examination schedule to which they were assigned to undertake these examinations. Analysis of routinely collected data. One UK medical school. 2331 OSCEs of 3 different types (obstetrics OSCE, paediatrics OSCE and simulated clinical encounter examination OSCE) between 2009 and 2013. Students were not quarantined between examinations. (1) Pass rates by day examination started, (2) pass rates by day station undertaken and (3) mean scores by day examination started. We found no evidence that pass rates differed according to the day on which the examination was started by a candidate in any of the examinations considered (p>0.1 for all). There was evidence (p=0.013) that students were more likely to pass individual stations on the second day of the paediatrics OSCE (OR 1.27, 95% CI 1.05 to 1.54). In the cases of the simulated clinical encounter examination and the obstetrics and gynaecology OSCEs, there was no (p=0.42) or very weak evidence (p=0.099), respectively, of any such variation in the probability of passing individual stations according to the day they were attempted. There was no evidence that mean scores varied by day apart from the paediatric OSCE, where slightly higher scores were achieved on the second day of the examination. There is little evidence that different examination schedules have a consistent effect on pass rates or mean scores: students starting the examinations later were not consistently more or less likely to pass or score more highly than those starting earlier. The practice of quarantining students to prevent communication with (and subsequent unfair advantage for) subsequent examination cohorts is unlikely to be required. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('http://adsabs.harvard.edu/abs/2017EPJC...77..358A','NASAADS'); return false;" href="http://adsabs.harvard.edu/abs/2017EPJC...77..358A">Online ^{222}Rn removal by cryogenic distillation in the XENON100 experiment</a> <a target="_blank" rel="noopener noreferrer" href="http://adsabs.harvard.edu/abstract_service.html">NASA Astrophysics Data System (ADS)</a> Aprile, E.; Aalbers, J.; Agostini, F.; Alfonsi, M.; Amaro, F. D.; Anthony, M.; Arneodo, F.; Barrow, P.; Baudis, L.; Bauermeister, B.; Benabderrahmane, M. L.; Berger, T.; Breur, P. A.; Brown, A.; Brown, E.; Bruenner, S.; Bruno, G.; Budnik, R.; Bütikofer, L.; Calvén, J.; Cardoso, J. M. R.; Cervantes, M.; Cichon, D.; Coderre, D.; Colijn, A. P.; Conrad, J.; Cussonneau, J. P.; Decowski, M. P.; de Perio, P.; Gangi, P. Di; Giovanni, A. Di; Diglio, S.; Duchovni, E.; Eurin, G.; Fei, J.; Ferella, A. D.; Fieguth, A.; Franco, D.; Fulgione, W.; Gallo Rosso, A.; Galloway, M.; Gao, F.; Garbini, M.; Geis, C.; Goetzke, L. W.; Grandi, L.; Greene, Z.; Grignon, C.; Hasterok, C.; Hogenbirk, E.; Itay, R.; Kaminsky, B.; Kessler, G.; Kish, A.; Landsman, H.; Lang, R. F.; Lellouch, D.; Levinson, L.; Calloch, M. Le; Lin, Q.; Lindemann, S.; Lindner, M.; Lopes, J. A. M.; Manfredini, A.; Maris, I.; Undagoitia, T. Marrodán; Masbou, J.; Massoli, F. V.; Masson, D.; Mayani, D.; Meng, Y.; Messina, M.; Micheneau, K.; Miguez, B.; Molinario, A.; Murra, M.; Naganoma, J.; Ni, K.; Oberlack, U.; Orrigo, S. E. A.; Pakarha, P.; Pelssers, B.; Persiani, R.; Piastra, F.; Pienaar, J.; Piro, M.-C.; Pizzella, V.; Plante, G.; Priel, N.; Rauch, L.; Reichard, S.; Reuter, C.; Rizzo, A.; Rosendahl, S.; Rupp, N.; Saldanha, R.; dos Santos, J. M. F.; Sartorelli, G.; Scheibelhut, M.; Schindler, S.; Schreiner, J.; Schumann, M.; Lavina, L. Scotto; Selvi, M.; Shagin, P.; Shockley, E.; Silva, M.; Simgen, H.; Sivers, M. v.; Stein, A.; Thers, D.; Tiseni, A.; Trinchero, G.; Tunnell, C.; Upole, N.; Wang, H.; Wei, Y.; Weinheimer, C.; Wulf, J.; Ye, J.; Zhang, Y.; Cristescu, I. 2017-06-01 We describe the purification of xenon from traces of the radioactive noble gas radon using a cryogenic distillation column. The distillation column was integrated into the gas purification loop of the XENON100 detector for online radon removal. This enabled us to significantly reduce the constant ^{222}Rn background originating from radon emanation. After inserting an auxiliary ^{222}Rn emanation source in the gas loop, we determined a radon reduction factor of R > 27 (95% C.L.) for the distillation column by monitoring the ^{222}Rn activity concentration inside the XENON100 detector. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.gpo.gov/fdsys/pkg/FR-2011-02-17/pdf/2011-3596.pdf','FEDREG'); return false;" href="https://www.gpo.gov/fdsys/pkg/FR-2011-02-17/pdf/2011-3596.pdf">76 FR 9349 - Jim Woodruff Project</a> <a target="_blank" rel="noopener noreferrer" href="http://www.gpo.gov/fdsys/browse/collection.action?collectionCode=FR">Federal Register 2010, 2011, 2012, 2013, 2014</a> 2011-02-17 ... month. Southeastern would compute its purchased power obligation for each delivery point monthly... rates to include a pass-through of purchased power expenses. The capacity and energy charges to preference customers can be reduced because purchased power expenses will be recovered in a separate, pass... </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.ncbi.nlm.nih.gov/pubmed/24182619','PUBMED'); return false;" href="https://www.ncbi.nlm.nih.gov/pubmed/24182619">The effects of RN staffing hours on nursing home quality: a two-stage model.</a> <a target="_blank" rel="noopener noreferrer" href="https://www.ncbi.nlm.nih.gov/entrez/query.fcgi?DB=pubmed">PubMed</a> Lee, Hyang Yuol; Blegen, Mary A; Harrington, Charlene 2014-03-01 Based on structure-process-outcome approach, this study examined the association of registered nurse (RN) staffing hours and five quality indicators, including two process measures (catheter use and antipsychotic drug use) and three outcome measures (pressure ulcers, urinary tract infections, and weight loss). We used data on resident assessments, RN staffing, organizational characteristics, and market factors to examine the quality of 195 nursing homes operating in a rural state of United States - Colorado. Two-stage least squares regression models were performed to address the endogenous relationships between RN staffing and the outcome-related quality indicators, and ordinary least squares regression was used for the process-related ones. This analysis focused on the relationship of RN staffing to nursing home quality indicators, controlling for organizational characteristics, resources, resident casemix, and market factors with clustering to control for geographical differences. Higher RN hours were associated with fewer pressure ulcers, but RN hours were not related to the other quality indicators. The study finding shows the importance of understanding the role of 'nurse staffing' under nursing home care, as well as the significance of associated/contextual factors with nursing home quality even in a small rural state. Copyright © 2013 Elsevier Ltd. All rights reserved. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.ncbi.nlm.nih.gov/pubmed/26191968','PUBMED'); return false;" href="https://www.ncbi.nlm.nih.gov/pubmed/26191968">Estimation of Groundwater Radon in North Carolina Using Land Use Regression and Bayesian Maximum Entropy.</a> <a target="_blank" rel="noopener noreferrer" href="https://www.ncbi.nlm.nih.gov/entrez/query.fcgi?DB=pubmed">PubMed</a> Messier, Kyle P; Campbell, Ted; Bradley, Philip J; Serre, Marc L 2015-08-18 Radon ((222)Rn) is a naturally occurring chemically inert, colorless, and odorless radioactive gas produced from the decay of uranium ((238)U), which is ubiquitous in rocks and soils worldwide. Exposure to (222)Rn is likely the second leading cause of lung cancer after cigarette smoking via inhalation; however, exposure through untreated groundwater is also a contributing factor to both inhalation and ingestion routes. A land use regression (LUR) model for groundwater (222)Rn with anisotropic geological and (238)U based explanatory variables is developed, which helps elucidate the factors contributing to elevated (222)Rn across North Carolina. The LUR is also integrated into the Bayesian Maximum Entropy (BME) geostatistical framework to increase accuracy and produce a point-level LUR-BME model of groundwater (222)Rn across North Carolina including prediction uncertainty. The LUR-BME model of groundwater (222)Rn results in a leave-one out cross-validation r(2) of 0.46 (Pearson correlation coefficient = 0.68), effectively predicting within the spatial covariance range. Modeled results of (222)Rn concentrations show variability among intrusive felsic geological formations likely due to average bedrock (238)U defined on the basis of overlying stream-sediment (238)U concentrations that is a widely distributed consistently analyzed point-source data. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('http://www.dtic.mil/docs/citations/ADA021960','DTIC-ST'); return false;" href="http://www.dtic.mil/docs/citations/ADA021960">Handbook of Inviscid Sphere-Cone Flow Fields and Pressure Distributions. Volume 1</a> <a target="_blank" rel="noopener noreferrer" href="http://www.dtic.mil/">DTIC Science & Technology</a> 1975-12-01 8.00 ANGLE OF ATTACK = 1.00 P / P FREE-STREAM AT PLANE ANGLES L/RN 0. 30. 60. 90. 120. iso . 180. S/RN 62.835 34.625 33.936 31.809 27.874 23.163 19.897...1.954 1 922 11273 6.972 3.241 3069 2663 2 2.20 27003 1.876 1.843 12*372 12817 3.228 3.046 2.619 2211 1.939 1.811 1.778 13.453 3*576 3.23t -4-,-G40 59...AT PLANE ANGLES -L/RN 0. 30. 60. 90. 1206 150. ISO * S/RN .728 55.729 51.603 41.628 30.695 22.303 17.474 15.941 1.296 o874 52.472 48.397 38.674 28.299 </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.ncbi.nlm.nih.gov/pubmed/3949515','PUBMED'); return false;" href="https://www.ncbi.nlm.nih.gov/pubmed/3949515">Radium-226 body burden in U miners by measurement of Rn in exhaled breath.</a> <a target="_blank" rel="noopener noreferrer" href="https://www.ncbi.nlm.nih.gov/entrez/query.fcgi?DB=pubmed">PubMed</a> Srivastava, G K; Raghavayya, M; Kotrappa, P; Somasundaram, S 1986-02-01 Uranium miners were made to inhale Rn-free medical O2 and exhale through a 5.2-1 A1 chamber before reporting to work. The chamber was sealed and isolated from the sampling circuit. An electrostatic plate collected the freshly formed Rn-decay products. The subsequent programmed alpha counting of the plate yielded a Rn concentration in the exhaled breath. Assuming that the exhaled breath represents a certain fraction of the Rn produced inside the body, the body burden of 226Ra was calculated. Standardisation of this procedure and the data collected on 310 miners are discussed. The procedure is simple and applicable for routine measurements. The miner needs to be in the laboratory for only 10 min. The system is also portable for field application. For routine use, the minimum detectable concentration is 3.87 Bq X m-3 which corresponds to a body burden of 0.26 kBq in a typical miner, if one assumes the Rn release fraction from the body as 84%. The system offers a more convenient and sensitive alternative to whole-body counting of workers for 226Ra. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('http://adsabs.harvard.edu/abs/2007JMAA..330..654D','NASAADS'); return false;" href="http://adsabs.harvard.edu/abs/2007JMAA..330..654D">Uniqueness of boundary blow-up solutions on exterior domain of RN</a> <a target="_blank" rel="noopener noreferrer" href="http://adsabs.harvard.edu/abstract_service.html">NASA Astrophysics Data System (ADS)</a> Dong, Wei; Pang, Changci 2007-06-01 In this paper, we consider the existence and uniqueness of positive solutions of the degenerate logistic type elliptic equation where N[greater-or-equal, slanted]2, D[subset of]RN is a bounded domain with smooth boundary and a(x), b(x) are continuous functions on RN with b(x)[greater-or-equal, slanted]0, b(x)[not identical with]0. We show that under rather general conditions on a(x) and b(x) for large x, there exists a unique positive solution. Our results improve the corresponding ones in [W. Dong, Y. Du, Unbounded principal eigenfunctions and the logistic equation on RN, Bull. Austral. Math. Soc. 67 (2003) 413-427] and [Y. Du, L. Ma, Logistic type equations on RN by a squeezing method involving boundary blow-up solutions, J. London Math. Soc. (2) 64 (2001) 107-124]. </li> </ol> <div class="pull-right"> <ul class="pagination"> <li><a href="#" onclick='return showDiv("page_1");'>«</a></li> <li><a href="#" onclick='return showDiv("page_10");'>10</a></li> <li><a href="#" onclick='return showDiv("page_11");'>11</a></li> <li class="active">12</li> <li><a href="#" onclick='return showDiv("page_13");'>13</a></li> <li><a href="#" onclick='return showDiv("page_14");'>14</a></li> <li><a href="#" onclick='return showDiv("page_25");'>»</a></li> </ul> </div> </div> </div> </div> <div id="page_13" class="hiddenDiv"> <div class="row"> <div class="col-sm-12"> <div class="pull-right"> <ul class="pagination"> <li><a href="#" onclick='return showDiv("page_1");'>«</a></li> <li><a href="#" onclick='return showDiv("page_11");'>11</a></li> <li><a href="#" onclick='return showDiv("page_12");'>12</a></li> <li class="active">13</li> <li><a href="#" onclick='return showDiv("page_14");'>14</a></li> <li><a href="#" onclick='return showDiv("page_15");'>15</a></li> <li><a href="#" onclick='return showDiv("page_25");'>»</a></li> </ul> </div> </div> </div> <div class="row"> <div class="col-sm-12"> <ol class="result-class" start="241"> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.osti.gov/servlets/purl/864443','DOE-PATENT-XML'); return false;" href="https://www.osti.gov/servlets/purl/864443">Method for the preparation of radon-211</a> <a target="_blank" rel="noopener noreferrer" href="http://www.osti.gov/doepatents">DOEpatents</a> Meyer, Geerd-J.; Lambrecht, Richard M. 1982-01-01 A method for the production of .sup.211 Rn comprising bombarding .sup.209 Bi with .sup.7 Li particles utilizing the nuclear reaction .sup.209 Bi(.sup.7 Li,5n).sup.211 Rn. The method provides a simple spectrum from which .sup.211 Rn can be easily isolated in a highly pure condition. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.osti.gov/biblio/22224204-influence-gas-flow-reynolds-number-plasma-column-glass-tube','SCIGOV-STC'); return false;" href="https://www.osti.gov/biblio/22224204-influence-gas-flow-reynolds-number-plasma-column-glass-tube">Influence of the gas-flow Reynolds number on a plasma column in a glass tube</a> <a target="_blank" rel="noopener noreferrer" href="http://www.osti.gov/search">DOE Office of Scientific and Technical Information (OSTI.GOV)</a> Jin, Dong Jun; Uhm, Han S.; Cho, Guangsup 2013-08-15 Atmospheric-plasma generation inside a glass tube is influenced by gas stream behavior as described by the Reynolds number (Rn). In experiments with He, Ne, and Ar, the plasma column length increases with an increase in the gas flow rate under laminar flow characterized by Rn < 2000. The length of the plasma column decreases as the flow rate increases in the transition region of 2000 < Rn < 4000. For a turbulent flow beyond Rn > 4000, the length of the plasma column is short in front of the electrode, eventually leading to a shutdown. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.ncbi.nlm.nih.gov/pubmed/15202153','PUBMED'); return false;" href="https://www.ncbi.nlm.nih.gov/pubmed/15202153">Respiratory protection against Mycobacterium tuberculosis: quantitative fit test outcomes for five type N95 filtering-facepiece respirators.</a> <a target="_blank" rel="noopener noreferrer" href="https://www.ncbi.nlm.nih.gov/entrez/query.fcgi?DB=pubmed">PubMed</a> Lee, Kiyoung; Slavcev, Andrea; Nicas, Mark 2004-01-01 In preparing to fit test a large workforce, a respirator program manager needs to initially choose respirators that will fit the greatest proportion of employees and achieve the best fits. This article discusses our strategy in selecting respirators from an initial array of seven NIOSH-certified Type N95 filtering-facepiece devices for a respiratory protection program against Mycobacterium tuberculosis (M. tb) aerosol. The seven respirators were screened based on manufacturer-provided fit test data, comfort, and cost. From these 7 devices, 5 were chosen for quantitative fit testing on 40 subjects who were a convenience sample from a cohort of approximately 30,000 workers scheduled to undergo fit testing. Across the five brands, medium/regular-size respirators fit from 8% to 95% of the subjects; providing another size of the same brand improved the pass rates slightly. Gender was not found to significantly affect fit test pass rates for any respirator brand. Among test panel members, an Aearo Corporation respirator (TC 84A-2630) and a 3M Company respirator (TC 84A-0006) provided the highest overall pass rates of 98% and 90%, respectively. We selected these two brands for fit testing in the larger worker cohort. To date, these two respirators have provided overall pass rates of 98% (1793/1830) and 88% (50/57), respectively, which are similar to the test panel results. Among 1850 individuals who have been fit tested, 1843 (99.6%) have been successfully fitted with one or the other brand. In a separate analysis, we used the test panel pass rates to estimate the reduction in M. tb infection risk afforded by the medium/regular-size of five filtering-facepiece respirators. We posed a low-exposure versus a high-exposure scenario for health care workers and assumed that respirators could be assigned without conducting fit testing, as proposed by many hospital infection control practitioners. Among those who would pass versus fail the fit test, we assumed an average respirator penetration (primarily due to faceseal leakage) of .04 and 0.3, respectively. The respirator with the highest overall pass rate (95%) reduced M. tb infection risk by 95%, while the respirator with the lowest pass rate (8%) reduced M. tb infection risk by only 70%. To promote the marketing of respirators that will successfully fit the highest proportion of wearers, and to increase protection for workers who might use respirators without the benefit of being fit tested, we recommend that fit testing be part of the NIOSH certification process for negative-pressure air-purifying respirators with tightly fitting facepieces. At a minimum, we recommend that respirator manufacturers generate and provide pass rate data to assist in selecting candidate respirators. In any event, program managers can initially select candidate respirators by comparing quantitative fit tests for a representative sample of their employee population. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://eric.ed.gov/?q=sol&id=ED576356','ERIC'); return false;" href="https://eric.ed.gov/?q=sol&id=ED576356">The Transition Experiences of Graduates of a Synchronous Online LPN to RN Program</a> <a target="_blank" rel="noopener noreferrer" href="http://www.eric.ed.gov/ERICWebPortal/search/extended.jsp?_pageLabel=advanced">ERIC Educational Resources Information Center</a> Hoag, Debra K. 2016-01-01 This qualitative case study included a review of the nursing shortage, nursing education, contemporary learners, the LPN and RN, the future of nursing education, online education, and transitions experiences. These topics defined this study by providing the underpinnings to understand the LPN to RN journey. According to the American Association of… </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.osti.gov/biblio/283159-new-beaded-carbon-molecular-sieve-sorbent-sup-rn-monitoring','SCIGOV-STC'); return false;" href="https://www.osti.gov/biblio/283159-new-beaded-carbon-molecular-sieve-sorbent-sup-rn-monitoring">A new beaded carbon molecular sieve sorbent for {sup 222}Rn monitoring</a> <a target="_blank" rel="noopener noreferrer" href="http://www.osti.gov/search">DOE Office of Scientific and Technical Information (OSTI.GOV)</a> Scarpitta, S.C. 1996-05-01 A new commercially available beaded carbon molecular sieve sorbent, Carboxen-564 (20/45 mesh), was tested and compared to Calgon-PCB (40/80) activated carbon for its adsorptive and desorptive characteristics under controlled conditions of temperature (25{degrees})C and relative humidity (RH). The amount of water vapor adsorbed by the beaded carbon molecular sieve material was typically a factor of 4 lower than the activated carbon, with a concomitant fourfold increase in the {sup 222}Rn adsorption coefficient, K{sub Rn}. The maximum K{sub Rn} value for a thin layer of Carboxen-564, following a 2-d exposure at 40% RH, was 7.2 Bq kg{sup {minus}1} per Bq m{supmore » {minus}3}. The K{sub Rn} for a 1-cm bed, following a 2-d exposure was 5.5 Bq m{sup {minus}3}, a 25% reduction. under dynamic sampling conditions, where 0.4 g of the beaded carbon molecular sieve was contained in a 6 cm x 0.4 cm diameter tube, the maximum K{sub Rn} value was 6.5 Bq m{sup {minus}3} after 2.5 h of sampling at 29% RH when the input flow rate was 4.2 x 10{sup {minus}3} m{sup 3} h{sup {minus}1}. Kinetic studies were also conducted under passive sampling conditions. The data show that the {sup 222}Rn buildup time-constant for a thin layer of the beaded carbon molecular sieve material was 1.3 h, whereas that of a 1 cm bed was 13 h. The {sup 222}Rn desorption time-constants, from gram amounts of the beaded carbon molecular sieve material was 1.3 h, whereas that of a 1 cm bed was 13 h. The {sup 222}Rn desorption time-constants, from gram amounts of the beaded carbon molecular sieve material into air and into a commercially available toluene based liquid scintillation cocktail, were 2 h and 3 h, respectively. Carboxen`s high {sup 222}Rn adsorbing capacity, rapid kinetics, hydrophobicity and physical properties makes it an attractive alternative to other commercially available activated carbon used in passive and dynamic sampling devices. 18 refs., 7 figs.« less </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.ncbi.nlm.nih.gov/pubmed/26372739','PUBMED'); return false;" href="https://www.ncbi.nlm.nih.gov/pubmed/26372739">Radon and radioactivity at a town overlying Uranium ores in northern Greece.</a> <a target="_blank" rel="noopener noreferrer" href="https://www.ncbi.nlm.nih.gov/entrez/query.fcgi?DB=pubmed">PubMed</a> Kourtidis, K; Georgoulias, A K; Vlahopoulou, M; Tsirliganis, N; Kastelis, N; Ouzounis, K; Kazakis, N 2015-12-01 Extensive measurements of (222)Rn in the town of Xanthi in N Greece show that the part of the town overlying granite deposits and the outcrop of a uranium ore has exceptionally high indoor radon levels, with monthly means up to 1500 Bq m(-3). A large number of houses (40%) in this part of the town exhibit radon levels above 200 Bq m(-3) while 11% of the houses had radon levels above 400 Bq m(-3). Substantial interannual variability as well as the highest in Europe winter/summer ratios (up to 12) were observed in this part of the town, which consist of traditional stone masonry buildings of the late 19th-early 20th century. Measurements of (238)U and (232)Th content of building materials from these houses as well as radionuclide measurements in different floors show that the high levels of indoor radon measured in these buildings are not due to high radon emanation rates from the building materials themselves but rather due to high radon flux from the soil because of the underlying geology, high radon penetration rates into the buildings from underground due to the lack of solid concrete foundations in these buildings, or a combination thereof. From the meteorological variables studied, highest correlation with indoor (222)Rn was found with temperature (r(2) = 0.65). An indoor radon prognostic regression model using temperature, pressure and precipitation as input was developed, that reproduced indoor radon with r(2) = 0.69. Hence, meteorology is the main driving factor of indoor radon, with temperature being the most important determinant. Preliminary flux measurements indicate that the soil-atmosphere (222)Rn flux should be in the range 150-250 Bq m(-2) h(-1), which is in the upper 10% of flux values for Europe. Copyright © 2015 Elsevier Ltd. All rights reserved. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://eric.ed.gov/?q=FNP&id=ED549263','ERIC'); return false;" href="https://eric.ed.gov/?q=FNP&id=ED549263">Online Faculty Mentoring and Transition Balance in Family Nurse Practitioner Students</a> <a target="_blank" rel="noopener noreferrer" href="http://www.eric.ed.gov/ERICWebPortal/search/extended.jsp?_pageLabel=advanced">ERIC Educational Resources Information Center</a> Poronsky, Cathlin B. 2011-01-01 The purpose of this study was to examine the effect of online faculty mentoring on Registered Nurse (RN) to Family Nurse Practitioner (FNP) role transition balance during graduate education. Making the transition from RN to an FNP can seem daunting and there is limited information in the literature about RN to FNP role transition during graduate… </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('http://files.eric.ed.gov/fulltext/ED240938.pdf','ERIC'); return false;" href="http://files.eric.ed.gov/fulltext/ED240938.pdf">Pathways to Practice. A Series of Final Reports on the SREB Nursing Curriculum Project.</a> <a target="_blank" rel="noopener noreferrer" href="http://www.eric.ed.gov/ERICWebPortal/search/extended.jsp?_pageLabel=advanced">ERIC Educational Resources Information Center</a> Haase, Patricia T. Five final reports on the Nursing Curriculum Project of the Southern Regional Education Board are presented. The reports include (1) RN (Registered Nursing) Education: The Basic Issues; (2) Types of RN Programs; (3) Planning and Operating an RN Program; (4) Acclimating the Novice Nurse: Whose Responsibility? and (5) Statewide Planning for Nursing.… </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.pubmedcentral.nih.gov/articlerender.fcgi?tool=pmcentrez&artid=1653991','PMC'); return false;" href="https://www.pubmedcentral.nih.gov/articlerender.fcgi?tool=pmcentrez&artid=1653991">Manpower planning for nurse personnel.</a> <a target="_blank" rel="noopener noreferrer" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?DB=pmc">PubMed Central</a> Keaveny, T J; Hayden, R L 1978-01-01 A technique is described which can be applied to manpower planning for nurse personnel at a state or regional level. An iterative process explores the implications of alternative planning policy decision strategies intended to balance manpower supply and requirements. Impacts of the following policy alternatives are estimated: scale of operations of education institutions; interstate migration patterns; labor force participation rates; and job design of licensed practical nurse (LPN) and registered nurse (RN) positions. PMID:665883 </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.pubmedcentral.nih.gov/articlerender.fcgi?tool=pmcentrez&artid=5585132','PMC'); return false;" href="https://www.pubmedcentral.nih.gov/articlerender.fcgi?tool=pmcentrez&artid=5585132">Visits to Registered Nurses</a> <a target="_blank" rel="noopener noreferrer" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?DB=pmc">PubMed Central</a> Parker, Emese C.; Kong, Kevin; Watts, Leslie A.; Schwarz, Eleanor B.; Darney, Philip D.; Thiel de Bocanegra, Heike 2017-01-01 Background In 2013, California passed Assembly Bill (A.B.) 2348, approving registered nurses (RNs) to dispense patient self-administered hormonal contraceptives and administer injections of hormonal contraceptives. The Family Planning, Access, Care and Treatment (Family PACT) program, which came into effect in 1997 to expand low-income, uninsured California resident access to contraceptives at no cost, is one program in which qualified RNs can dispense and administer contraceptives. Aims The aims of this study were to (a) describe utilization of RN visits within California's Family PACT program and (b) evaluate the impact of RN visits on client birth control acquisition during the first 18 months after implementation of A.B. 2348 (January 1, 2013 to June 30, 2014). Methods A descriptive observational design using administrative databases was used. Family PACT claims were retrieved for RN visits and contraception. Paid claims for contraceptive dispensing and/or administration visits by physicians, nurse practitioners, certified nurse midwives, and physician assistants were compared before and after the implementation of A.B. 2348 at practice sites where RN visits were and were not utilized. Contraceptive methods and administration procedures were identified using Healthcare Common Procedure Coding System codes, National Drug Codes, and Common Procedural Terminology codes. Claims data for healthcare facilities were abstracted by site location based on a unique combination of National Provider Identifier (NPI), NPI Owner, and NPI location number. Results RN visits were found mainly in Northern California and the Central Valley (73%). Sixty-eight percent of RN visits resulted in same-day dispensing and/or administration of hormonal (and/or barrier) methods. Since benefit implementation, RN visits resulted in a 10% increase in access to birth control dispensing and/or administration visits. RN visits were also associated with future birth control acquisition and other healthcare utilization within the subsequent 30 days. Discussion RN visits, though underutilized across the state, have resulted in increased access to contraception in some communities, an effect that may continue to grow with time and can serve as a model for other states. PMID:28604507 </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('http://adsabs.harvard.edu/abs/2015JNuM..466..187Z','NASAADS'); return false;" href="http://adsabs.harvard.edu/abs/2015JNuM..466..187Z">Chemical durability and leaching mechanism of Ce0.5Eu0.5PO4 ceramics: Effects of temperature and pH values</a> <a target="_blank" rel="noopener noreferrer" href="http://adsabs.harvard.edu/abstract_service.html">NASA Astrophysics Data System (ADS)</a> Zhao, Xiaofeng; Teng, Yuancheng; Wu, Lang; Huang, Yi; Ma, Jiyan; Wang, Guolong 2015-11-01 Ce0.5Eu0.5PO4 ceramics with high relative density were prepared by hot-press (HPS) and pressureless (PLS) sintering. The effects of temperature and pH values on the chemical durability of the ceramics were investigated. The results show that an increase of acidity significantly accelerated the corrosion of the samples. In alkaline leachates, further release elements were prevented by the newborn surface precipitation. The leach rate (Rn) of HPS sample was similar to that of PLS specimen in deionized water, but higher Rn for PLS sample was found in pH = 11 solution. Moreover, apparent activation energy of the dissolution of Eu (40 ± 4 kJ mol-1) is much higher than that of Ce (20 ± 1 kJ mol-1), leading to the higher normalized elemental leach rate of Eu. Both the Eu and Ce elements have low leach rates (10-12-10-9 m d-1) after 42 days in all the leachates studied in this work. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('http://adsabs.harvard.edu/abs/2014JARS....8.3541F','NASAADS'); return false;" href="http://adsabs.harvard.edu/abs/2014JARS....8.3541F">Net radiation estimated by remote sensing in Cerrado areas in the Upper Paraguay River Basin</a> <a target="_blank" rel="noopener noreferrer" href="http://adsabs.harvard.edu/abstract_service.html">NASA Astrophysics Data System (ADS)</a> Fausto, Marcos Alves; Machado, Nadja Gomes; de Souza Nogueira, José; Biudes, Marcelo Sacardi 2014-01-01 The Cerrado is a heterogeneous landscape which is shrinking due to deforestation, giving rise to managed ecosystems. The land cover changes alter net radiation (Rn), which determines the quantity of available energy to the energy balance partition. The objectives of this study were (1) to determine the spatial pattern of the vegetation indices, albedo, and land surface temperature (LST) and (2) to evaluate the Rn estimated by Landsat 5 Thematic Mapper (TM) images over Cerrado areas in the Upper Paraguay River Basin. We estimated the vegetation indices, albedo, LST, and Rn of five selected vegetation types. The values estimated by Landsat 5 TM images had seasonal variations with higher values of the vegetation indices and lower values of the albedo and the LST during the wet season. The riparian and Cerrado strictu sensu had higher values of vegetation indices and lower albedo and LST than grasslands. The Rn estimated by Landsat 5 TM images was highly correlated with the measured Rn. The Rn had a seasonal pattern, following the solar radiation, with higher values during the wet season and varied spatially with higher values in the riparian forest and Cerrado strictu sensu and lower in the grasslands. This study showed the applicability of the Landsat 5 TM images to estimate Rn, which can help to understand the heterogeneity in the study area. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.ncbi.nlm.nih.gov/pubmed/27055308','PUBMED'); return false;" href="https://www.ncbi.nlm.nih.gov/pubmed/27055308">Effect of Prior Health-Related Employment on the Registered Nurse Workforce Supply.</a> <a target="_blank" rel="noopener noreferrer" href="https://www.ncbi.nlm.nih.gov/entrez/query.fcgi?DB=pubmed">PubMed</a> Yoo, Byung-kwan; Lin, Tzu-chun; Kim, Minchul; Sasaki, Tomoko; Spetz, Joanne 2016-01-01 Registered nurses (RN) who held prior health-related employment in occupations other than licensed practical or vocational nursing (LPN/LVN) are reported to have increased rapidly in the past decades. Researchers examined whether prior health-related employment affects RN workforce supply. A cross-sectional bivariate probit model using the 2008 National Sample Survey of Registered Nurses was esti- mated. Prior health-related employment in relatively lower-wage occupations, such as allied health, clerk, or nursing aide, was positively associated with working s an RN. ~>Prior health-related employ- ment in relatively higher-wage categories, such as a health care manager or LPN/LVN, was positively associated with working full-time as an RN. Policy implications are to promote an expanded career ladder program and a nursing school admission policy that targets non-RN health care workers with an interest in becoming RNs. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.ncbi.nlm.nih.gov/pubmed/28604507','PUBMED'); return false;" href="https://www.ncbi.nlm.nih.gov/pubmed/28604507">Visits to Registered Nurses: An Opportunity to Increase Contraceptive Access in California.</a> <a target="_blank" rel="noopener noreferrer" href="https://www.ncbi.nlm.nih.gov/entrez/query.fcgi?DB=pubmed">PubMed</a> Parker, Emese C; Kong, Kevin; Watts, Leslie A; Schwarz, Eleanor B; Darney, Philip D; Thiel de Bocanegra, Heike In 2013, California passed Assembly Bill (A.B.) 2348, approving registered nurses (RNs) to dispense patient self-administered hormonal contraceptives and administer injections of hormonal contraceptives. The Family Planning, Access, Care and Treatment (Family PACT) program, which came into effect in 1997 to expand low-income, uninsured California resident access to contraceptives at no cost, is one program in which qualified RNs can dispense and administer contraceptives. The aims of this study were to (a) describe utilization of RN visits within California's Family PACT program and (b) evaluate the impact of RN visits on client birth control acquisition during the first 18 months after implementation of A.B. 2348 (January 1, 2013 to June 30, 2014). A descriptive observational design using administrative databases was used. Family PACT claims were retrieved for RN visits and contraception. Paid claims for contraceptive dispensing and/or administration visits by physicians, nurse practitioners, certified nurse midwives, and physician assistants were compared before and after the implementation of A.B. 2348 at practice sites where RN visits were and were not utilized. Contraceptive methods and administration procedures were identified using Healthcare Common Procedure Coding System codes, National Drug Codes, and Common Procedural Terminology codes. Claims data for healthcare facilities were abstracted by site location based on a unique combination of National Provider Identifier (NPI), NPI Owner, and NPI location number. RN visits were found mainly in Northern California and the Central Valley (73%). Sixty-eight percent of RN visits resulted in same-day dispensing and/or administration of hormonal (and/or barrier) methods. Since benefit implementation, RN visits resulted in a 10% increase in access to birth control dispensing and/or administration visits. RN visits were also associated with future birth control acquisition and other healthcare utilization within the subsequent 30 days. RN visits, though underutilized across the state, have resulted in increased access to contraception in some communities, an effect that may continue to grow with time and can serve as a model for other states. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.osti.gov/biblio/6359867','DOE-PATENT-XML'); return false;" href="https://www.osti.gov/biblio/6359867">Method for the preparation of radon-211. [Patent application</a> <a target="_blank" rel="noopener noreferrer" href="http://www.osti.gov/doepatents">DOEpatents</a> Meyer, G.J.; Lambrecht, R.M. 1980-10-10 A method is claimed for the production of /sup 211/Rn which can be easily isolated from the target and obtained in high yields. It is claimed that the radioisotope /sup 211/Rn can be prepared by the bombardment of /sup 209/Bi with /sup 7/Li particles using the nuclear reaction /sup 209/Bi(/sup 7/Li,5n)/sup 211/Rn. The /sup 211/Rn can be isolated from the target quite easily by degassing at elevated temperatures and the radiochemical purity of the product is better than 98%. It can thus be used as a generator system for /sup 211/At which is of potential interest in biomedical applications. The excitation function for this reaction is about from 40 to 60 MeV and the cross section for /sup 211/Rn production reaches 650 mb at 53 MeV producing a saturation yield of 5.5 ..mu..Ci/nA. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.ncbi.nlm.nih.gov/pubmed/29685794','PUBMED'); return false;" href="https://www.ncbi.nlm.nih.gov/pubmed/29685794">Predictors of nurses' experience of verbal abuse by nurse colleagues.</a> <a target="_blank" rel="noopener noreferrer" href="https://www.ncbi.nlm.nih.gov/entrez/query.fcgi?DB=pubmed">PubMed</a> Keller, Ronald; Krainovich-Miller, Barbara; Budin, Wendy; Djukic, Maja Between 45% and 94% of registered nurses (RNs) experience verbal abuse, which is associated with physical and psychological harm. Although several studies examined predictors of RNs' verbal abuse, none examined predictors of RNs' experiences of verbal abuse by RN colleagues. To examine individual, workplace, dispositional, contextual, and interpersonal predictors of RNs' reported experiences of verbal abuse from RN colleagues. In this secondary analysis, a cross-sectional design with multiple linear regression analysis was used to examine the effect of 23 predictors on verbal abuse by RN colleagues in a sample of 1,208 early career RNs. Selected variables in the empirical intragroup conflict model explained 23.8% of variance in RNs' experiences of verbal abuse by RN colleagues. A number of previously unstudied factors were identified that organizational leaders can monitor and develop or modify policies to prevent early career RNs' experiences of verbal abuse by RN colleagues. Copyright © 2017 Elsevier Inc. All rights reserved. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.ncbi.nlm.nih.gov/pubmed/28078783','PUBMED'); return false;" href="https://www.ncbi.nlm.nih.gov/pubmed/28078783">New propolis type from north-east Brazil: chemical composition, antioxidant activity and botanical origin.</a> <a target="_blank" rel="noopener noreferrer" href="https://www.ncbi.nlm.nih.gov/entrez/query.fcgi?DB=pubmed">PubMed</a> Ferreira, Joselena M; Fernandes-Silva, Caroline C; Salatino, Antonio; Negri, Giuseppina; Message, Dejair 2017-08-01 Propolis is a bee product with wide diversity of biological activity. It has a complex composition, which is dependent on its botanical source. The present study aimed to determine the chemical profile, antioxidant activity and botanical origin of two samples of a propolis type from two locations of the state of Rio Grande do Norte (RN, north-east Brazil). The standard chemical characteristics of the RN propolis are similar or superior to the internationally marketed Brazilian green propolis. RN propolis from two locations have high antioxidant activity, corresponding to 10% (municipality of Afonso Bezerra) and 13% (municipality of Alto do Rodrigues) of quercetin activity by the 2,2-diphenyl-1-picrylhydrazyl method and to 15% (both locations) by the β-carotene discoloration method. High-performance liquid chromatography with diode array detection (HPLC-DAD)-electrospray ionization-tandem mass spectrometry analyses revealed that most constituents of the RN propolis are flavonoids, mainly flavonols and chalcones. HPLC-DAD analysis of ethanol extracts revealed a great similarity between the chemical profile of RN propolis and shoot apices of 'jurema-preta' (Mimosa tenuiflora, Leguminosae, Mimosoideae). 'Jurema-preta' shoot apices are likely resin sources of RN propolis. The chemical characteristics and antioxidant property of RN propolis provide promising prospects for the introduction of this type of propolis into the apicultural market. © 2017 Society of Chemical Industry. © 2017 Society of Chemical Industry. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.gpo.gov/fdsys/pkg/FR-2011-02-07/pdf/2011-2626.pdf','FEDREG'); return false;" href="https://www.gpo.gov/fdsys/pkg/FR-2011-02-07/pdf/2011-2626.pdf">76 FR 6606 - Combined Notice of Filings</a> <a target="_blank" rel="noopener noreferrer" href="http://www.gpo.gov/fdsys/browse/collection.action?collectionCode=FR">Federal Register 2010, 2011, 2012, 2013, 2014</a> 2011-02-07 ... Wednesday, February 09, 2011. Docket Numbers: RP11-1737-000. Applicants: Golden Pass Pipeline LLC. Description: Golden Pass Pipeline LLC submits tariff filing per 154.203: CP11-34-000 Amended Initial Rates to... submits tariff filing per 154.203: Medford Lateral Annual Report Year Ending 10-31-10 to be effective N/A... </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('http://adsabs.harvard.edu/abs/2016AGUFM.B13F0700Z','NASAADS'); return false;" href="http://adsabs.harvard.edu/abs/2016AGUFM.B13F0700Z">The contribution of nitrogen fixation by cyanobacteria to particulate organic nitrogen in a constructed wetland</a> <a target="_blank" rel="noopener noreferrer" href="http://adsabs.harvard.edu/abstract_service.html">NASA Astrophysics Data System (ADS)</a> Zhang, X.; PAN, X.; MA, M.; Li, W.; Cui, L. 2016-12-01 N-fixing cyanobacteria can create extra nitrogen for aquatic ecosystems. Previous studies reported inconsistence patterns of the contribution of biological nitrogen fixation to the nitrogen pools in aquatic ecosystems. However, there were few studies concerning the effect of fixed nitrogen by cyanobacteria on the nitrogen removal efficiency in constructed wetlands. This study was performed at the Beijing Wildlife Rescue and Rehabilitation Centre, where a constructed lake for the habitation of waterfowls and a constructed wetland for purifying sewage from the lake are located. The composition of phytoplankton communities, the concentrations of particulate organic nitrogen (PON) and nitrogen fixation rates (Rn) in the constructed lake and the constructed wetland were compared throughout a growing season. We counted the densities of genus Anabaena and Microcystis cells, and explored their relationships with PON and Rn in water. The proportions of PON from various sources, including the ambient N2, waterfowl faeces, wetland sediments and the nitrates, were calculated by the natural abundance of 15N with the IsoSource software. The result revealed that the constructed lake was alternately dominated by Anabaena and Microcystis throughout the growing season, and the Rn was positively correlated with PON and the cell density of Anabaena (P < 0.05). This implied that the fixed nitrogen by N-fixing Anabaena might be utilized by non-N-fixing Microcystis, maintaining the fixed nitrogen with PON form. The ambient N2 composed 0.5 82% and 50.0 84.7% to the PON in the constructed lake and wetland respectively during the growing season. The proportions of PON from N2 increased to more than 80% when the Rn reached the highest in September. The result demonstrated that the nitrogen fixed by Anabaena might be utilized by non-N-fixing Microcystis which formed water blooms in summer. Therefore, the decline of the removal efficiency of PON in the constructed wetland in summer might indirectly result from the nitrogen fixation, since the proliferated algal were difficult to sediment in surface flow wetlands. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.ncbi.nlm.nih.gov/pubmed/20195553','PUBMED'); return false;" href="https://www.ncbi.nlm.nih.gov/pubmed/20195553">Patient-controlled oral analgesia for postoperative pain management following total knee replacement.</a> <a target="_blank" rel="noopener noreferrer" href="https://www.ncbi.nlm.nih.gov/entrez/query.fcgi?DB=pubmed">PubMed</a> Kastanias, Patti; Gowans, Sue; Tumber, Paul S; Snaith, Kianda; Robinson, Sandra 2010-01-01 To investigate whether patient-controlled oral analgesia (PCOA) used by individuals receiving a total knee replacement could reduce pain, increase patient satisfaction, reduce opioid use and/or reduce opioid side effects when compared with traditional nurse (RN)-administered oral analgesia. Patients who underwent an elective total knee replacement at a quaternary care centre (Toronto Western Hospital, Toronto, Ontario) were randomly assigned to either PCOA or RN-administered short-acting oral opioids on postoperative day 2. Subjects in the RN group called the RN to receive their prescribed short-acting opioid. Subjects in the PCOA group kept a single dose of their prescribed oral opioid at their bedside and took this dose when they felt they needed it, to a maximum of one dose every 2 h. Study outcomes, collected on postoperative day 2, included pain (measured by the Brief Pain Inventory - Short Form), patient satisfaction (measured by the Pain Outcome Questionnaire Satisfaction subscale - component II), opioid use (oral morphine equivalents), opioid side effects (nausea, pruritus and/or constipation) and knee measures (maximum passive knee flexion and pain at maximum passive knee flexion, performed on the operative knee). Study outcomes were analyzed twice. First, for a subset of 73 subjects who remained in their randomly assigned group (PCOA group, n=36; RN group, n=37), randomized analyses were performed. Second, for the larger sample of 88 subjects who were categorized by their actual method of receiving oral opioids (PCOA group, n=41; RN group, n=47), as-treated analyses were performed. There were no differences in study outcomes between the PCOA and RN groups in either analysis. PCOA was not superior to RN administration on study outcomes. However, PCOA did not increase opioid use or pain. PCOA remains an important element in the patient-centred care facility. </li> </ol> <div class="pull-right"> <ul class="pagination"> <li><a href="#" onclick='return showDiv("page_1");'>«</a></li> <li><a href="#" onclick='return showDiv("page_11");'>11</a></li> <li><a href="#" onclick='return showDiv("page_12");'>12</a></li> <li class="active">13</li> <li><a href="#" onclick='return showDiv("page_14");'>14</a></li> <li><a href="#" onclick='return showDiv("page_15");'>15</a></li> <li><a href="#" onclick='return showDiv("page_25");'>»</a></li> </ul> </div> </div> </div> </div> <div id="page_14" class="hiddenDiv"> <div class="row"> <div class="col-sm-12"> <div class="pull-right"> <ul class="pagination"> <li><a href="#" onclick='return showDiv("page_1");'>«</a></li> <li><a href="#" onclick='return showDiv("page_12");'>12</a></li> <li><a href="#" onclick='return showDiv("page_13");'>13</a></li> <li class="active">14</li> <li><a href="#" onclick='return showDiv("page_15");'>15</a></li> <li><a href="#" onclick='return showDiv("page_16");'>16</a></li> <li><a href="#" onclick='return showDiv("page_25");'>»</a></li> </ul> </div> </div> </div> <div class="row"> <div class="col-sm-12"> <ol class="result-class" start="261"> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.ncbi.nlm.nih.gov/pubmed/25422042','PUBMED'); return false;" href="https://www.ncbi.nlm.nih.gov/pubmed/25422042">Quality of hip and knee osteoarthritis management in primary health care in a Norwegian county: a cross-sectional survey.</a> <a target="_blank" rel="noopener noreferrer" href="https://www.ncbi.nlm.nih.gov/entrez/query.fcgi?DB=pubmed">PubMed</a> Grønhaug, Gudmund; Østerås, Nina; Hagen, Kåre Birger 2014-11-25 Osteoarthritis (OA) is one of the most common causes of pain and disability in the adult population. Several studies have documented discordance between general practioners (GP) practice and management recommendations, but there is limited published information about patient reported experience of quality of care. The primary aim of this study was to assess the patient perceived quality of OA management in primary health care. Secondly, we wanted to explore the factors associated with the perceived quality of OA care. A cross-sectional survey in six general practices in the county of Nord-Trøndelag in Norway, patients with radiologically diagnosed OA, according to ICPC codes L89, L90 or L91 or clinical signs and symptoms corresponding to OA in the hip or knee and patient-reported quality of OA care on the 17-item OsteoArthritis Quality Indicator questionnaire (OA-QI). OA-QI summary pass rates were calculated, in which the numerator represents the number with indicators passed and the denominator represents the total number of eligible persons. Associations with summary pass rates were explored with demographic, disease related and health care related factors as independent variables. A total of 119 patients were included (response rate 42%). The median summary QI pass rate for all 17 QIs was 47% (Inter Quartile Range 33-65%), but there were large variation between the different items. The referral for weight reduction had the lowest pass rate (8%), whereas the highest pass rate was having received information about the importance of physical activity and exercise (84%). The median summary QI pass rates for both non-pharmacological- (QIs 1-11) and pharmacological (QIs 13-16) treatments were 50% (IQR 25-75). In bivariate regression analyses, only overall treatment satisfaction was significantly associated with QI pass rate (p = 0.001), with unstandardized beta = 6.1 (95% CI 2.7 to 9.5), i.e. a one-point increase on the five-point satisfaction scale was associated with a 6% increase in pass rate. Considering that the median summary QI pass rate was 47%, there might be room for improvement in OA care. Advice and the referral of OA patients in need of weight reduction seem to have the greatest potential for improvement. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.ncbi.nlm.nih.gov/pubmed/17633651','PUBMED'); return false;" href="https://www.ncbi.nlm.nih.gov/pubmed/17633651">[Geochemical characteristics of radon and mercury in soil gas in Lhasa, Tibet, China].</a> <a target="_blank" rel="noopener noreferrer" href="https://www.ncbi.nlm.nih.gov/entrez/query.fcgi?DB=pubmed">PubMed</a> Zhou, Xiao-Cheng; Du, Jian-Guo; Wang, Chuan-Yuan; Cao, Zhong-Quan; Yi, Li; Liu, Lei 2007-03-01 The geochemical characteristics of radon and mercury in soil gas in Lhasa and vicinity are investigated based on the measurements of Rn and Hg concentrations, and environmental quality for Rn and Hg in soil gas was evaluated by means of the index of geoaccumulation. The data of Rn and Hg of 1 579 sampling site indicate that the values of environmental-geochemical background of Rn and Hg are 7 634.9 Bq/m3, 41.5 ng/m3 with standard deviations of 2.7 Bq/m3, 2.2 ng/m3, respectively. The environmental quality for Rn in soil gas is better in the west and east parts of studied area, but becomes moderate pollution (level III) in the north part of the central area. Rn is derived from radioactive elements in granitic sediments in the intermountain basin and granite base, which are the major sources of pollution. The environmental quality for Hg in soil gas becomes gradually polluted from the suburban to the center of urban, and the highest pollution reaches level IV. The background of Hg in soil gas is mainly controlled by compositions of sediments, but the Hg pollution caused by human waste and religionary use of mercury. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.ncbi.nlm.nih.gov/pubmed/28835615','PUBMED'); return false;" href="https://www.ncbi.nlm.nih.gov/pubmed/28835615">Logic programming reveals alteration of key transcription factors in multiple myeloma.</a> <a target="_blank" rel="noopener noreferrer" href="https://www.ncbi.nlm.nih.gov/entrez/query.fcgi?DB=pubmed">PubMed</a> Miannay, Bertrand; Minvielle, Stéphane; Roux, Olivier; Drouin, Pierre; Avet-Loiseau, Hervé; Guérin-Charbonnel, Catherine; Gouraud, Wilfried; Attal, Michel; Facon, Thierry; Munshi, Nikhil C; Moreau, Philippe; Campion, Loïc; Magrangeas, Florence; Guziolowski, Carito 2017-08-23 Innovative approaches combining regulatory networks (RN) and genomic data are needed to extract biological information for a better understanding of diseases, such as cancer, by improving the identification of entities and thereby leading to potential new therapeutic avenues. In this study, we confronted an automatically generated RN with gene expression profiles (GEP) from a cohort of multiple myeloma (MM) patients and normal individuals using global reasoning on the RN causality to identify key-nodes. We modeled each patient by his or her GEP, the RN and the possible automatically detected repairs needed to establish a coherent flow of the information that explains the logic of the GEP. These repairs could represent cancer mutations leading to GEP variability. With this reasoning, unmeasured protein states can be inferred, and we can simulate the impact of a protein perturbation on the RN behavior to identify therapeutic targets. We showed that JUN/FOS and FOXM1 activities are altered in almost all MM patients and identified two survival markers for MM patients. Our results suggest that JUN/FOS-activation has a strong impact on the RN in view of the whole GEP, whereas FOXM1-activation could be an interesting way to perturb an MM subgroup identified by our method. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://eric.ed.gov/?q=social+AND+media+AND+power&pg=2&id=EJ926395','ERIC'); return false;" href="https://eric.ed.gov/?q=social+AND+media+AND+power&pg=2&id=EJ926395">In Search of a New Developmental-Education Pedagogy</a> <a target="_blank" rel="noopener noreferrer" href="http://www.eric.ed.gov/ERICWebPortal/search/extended.jsp?_pageLabel=advanced">ERIC Educational Resources Information Center</a> Mellow, Gail O.; Woolis, Diana D.; Laurillard, Diana 2011-01-01 Nationwide, pass rates of developmental education students barely reach 60 percent, cutting short the promise of higher education for too many students. The authors believe that a national pass rate of 80 percent or better is possible; indeed, it is a national imperative. In this article, the authors describe an ongoing project that aims to… </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.osti.gov/biblio/22218182-short-lived-rn-daughters-cryogenic-liquids','SCIGOV-STC'); return false;" href="https://www.osti.gov/biblio/22218182-short-lived-rn-daughters-cryogenic-liquids">Short-lived Rn-222 daughters in cryogenic liquids</a> <a target="_blank" rel="noopener noreferrer" href="http://www.osti.gov/search">DOE Office of Scientific and Technical Information (OSTI.GOV)</a> Pelczar, Krzysztof; Frodyma, Nikodem; Wójcik, Marcin In this paper a detection method of α emitters from {sup 222}Rn decay chain, present in cryogenic liquids, using bare Si-PIN diodes immersed in the liquids is presented. Properties of ionized {sup 222}Rn daughters deduced from conducted measurements are outlined. Life-time of positive ions was found to be of the order of 10 s, and nonzero content of electronegative ions was observed. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.pubmedcentral.nih.gov/articlerender.fcgi?tool=pmcentrez&artid=4417439','PMC'); return false;" href="https://www.pubmedcentral.nih.gov/articlerender.fcgi?tool=pmcentrez&artid=4417439">Staffing Subsidies and the Quality of Care in Nursing Homes</a> <a target="_blank" rel="noopener noreferrer" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?DB=pmc">PubMed Central</a> Foster, Andrew D.; Lee, Yong Suk 2015-01-01 Concerns about the quality of state-financed nursing home care has led to the wide-scale adoption by states of pass-through subsidies, in which Medicaid reimbursement rates are directly tied to staffing expenditure. We examine the effects of Medicaid pass-through on nursing home staffing and quality of care by adapting a two-step FGLS method that addresses clustering and state-level temporal autocorrelation. We find that pass-through subsidies increases staffing by about 1% on average and 2.7% in nursing homes with a low share of Medicaid patients. Furthermore, pass-through subsidies reduce the incidences of pressure ulcer worsening by about 0.9%. PMID:25814437 </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('http://adsabs.harvard.edu/abs/2017GGG....18.2162F','NASAADS'); return false;" href="http://adsabs.harvard.edu/abs/2017GGG....18.2162F">What happens to in-soil Radon activity during a long-lasting eruption? Insights from Etna by multidisciplinary data analysis</a> <a target="_blank" rel="noopener noreferrer" href="http://adsabs.harvard.edu/abstract_service.html">NASA Astrophysics Data System (ADS)</a> Falsaperla, S.; Neri, M.; Di Grazia, G.; Langer, H.; Spampinato, S. 2017-06-01 We analyze short- to long-term changes (from days to months) in Radon (Rn) activity measured nearby (<2 km) the eruptive fractures that fed a lava effusion at Mt. Etna, Italy, between 13 May 2008 and 6 July 2009. The N120-140°E eruptive fractures opened between 3050 and 2620 m above sea level before a dike-forming intrusion fed the ˜14 month-long lava emission. Our high-rate data streams include: Rn, ambient parameters (barometric pressure and soil temperature), and seismic data (earthquakes and volcanic tremor) recorded from January 2008 to July 2009. The analysis highlights repeated episodes of rock-fracturing related to seismic swarms, and vigorous gas pulses and peak values in Rn emissions (maximum ˜4.1×105 Bq/m3 on 16 November 2008), which we interpreted in a conceptual model as the response to inputs from the magmatic system during the eruption. This multidisciplinary study: (i) provides evidence of a close relationship between Rn emission at a fumarole near the summit active craters and local earthquakes, and (ii) enables exploring the important role of the volcanic source on the temporal development of the Rn flux, which may account for the much higher (≫94 m/d) ascent speed of the Rn carrier (vapor) than diffusion. The close location of Rn probes to the active conduits, along with the application of our multidisciplinary approach, may shed new light on the internal dynamics of other active volcanoes worldwide. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.ncbi.nlm.nih.gov/pubmed/29554737','PUBMED'); return false;" href="https://www.ncbi.nlm.nih.gov/pubmed/29554737">Machine learning methods as a tool to analyse incomplete or irregularly sampled radon time series data.</a> <a target="_blank" rel="noopener noreferrer" href="https://www.ncbi.nlm.nih.gov/entrez/query.fcgi?DB=pubmed">PubMed</a> Janik, M; Bossew, P; Kurihara, O 2018-07-15 Machine learning is a class of statistical techniques which has proven to be a powerful tool for modelling the behaviour of complex systems, in which response quantities depend on assumed controls or predictors in a complicated way. In this paper, as our first purpose, we propose the application of machine learning to reconstruct incomplete or irregularly sampled data of time series indoor radon ( 222 Rn). The physical assumption underlying the modelling is that Rn concentration in the air is controlled by environmental variables such as air temperature and pressure. The algorithms "learn" from complete sections of multivariate series, derive a dependence model and apply it to sections where the controls are available, but not the response (Rn), and in this way complete the Rn series. Three machine learning techniques are applied in this study, namely random forest, its extension called the gradient boosting machine and deep learning. For a comparison, we apply the classical multiple regression in a generalized linear model version. Performance of the models is evaluated through different metrics. The performance of the gradient boosting machine is found to be superior to that of the other techniques. By applying learning machines, we show, as our second purpose, that missing data or periods of Rn series data can be reconstructed and resampled on a regular grid reasonably, if data of appropriate physical controls are available. The techniques also identify to which degree the assumed controls contribute to imputing missing Rn values. Our third purpose, though no less important from the viewpoint of physics, is identifying to which degree physical, in this case environmental variables, are relevant as Rn predictors, or in other words, which predictors explain most of the temporal variability of Rn. We show that variables which contribute most to the Rn series reconstruction, are temperature, relative humidity and day of the year. The first two are physical predictors, while "day of the year" is a statistical proxy or surrogate for missing or unknown predictors. Copyright © 2018 Elsevier B.V. All rights reserved. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('http://adsabs.harvard.edu/abs/2014IJMPD..2342005S','NASAADS'); return false;" href="http://adsabs.harvard.edu/abs/2014IJMPD..2342005S">Rn gravity is kicking and alive: The cases of Orion and NGC 3198</a> <a target="_blank" rel="noopener noreferrer" href="http://adsabs.harvard.edu/abstract_service.html">NASA Astrophysics Data System (ADS)</a> Salucci, Paolo; Frigerio Martins, Christiane; Karukes, Ekaterina 2014-08-01 We analyzed the Rotation Curves (RCs) of two crucial objects, the dwarf galaxy Orion and the low luminosity Spiral NGC 3198, in the framework of Rn gravity. We surprisingly found that the no dark matter (DM) power-law F(R) case fits them well, performing much better than LCDM halo models. The level of this unexpected success can be a boost for Rn gravity. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.ncbi.nlm.nih.gov/pubmed/28832458','PUBMED'); return false;" href="https://www.ncbi.nlm.nih.gov/pubmed/28832458">Teaching Informatics to Prelicensure, RN-to-BSN, and Graduate Level Students.</a> <a target="_blank" rel="noopener noreferrer" href="https://www.ncbi.nlm.nih.gov/entrez/query.fcgi?DB=pubmed">PubMed</a> Vottero, Beth Teaching nursing informatics to students in associate, baccalaureate, RN-BSN, and graduate nursing programs poses challenges for curriculum design, as well as developing appropriate instruction and assessment methods. The current state of nursing informatics education provides opportunities for unique instructional design and assessment techniques. Key course content is provided with suggestions for teaching informatics that focus on leveling for prelicensure, RN-BSN, and graduate nursing programs. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.ncbi.nlm.nih.gov/pubmed/24855805','PUBMED'); return false;" href="https://www.ncbi.nlm.nih.gov/pubmed/24855805">The fundamentals of integrating service in a post-licensure RN to BSN program.</a> <a target="_blank" rel="noopener noreferrer" href="https://www.ncbi.nlm.nih.gov/entrez/query.fcgi?DB=pubmed">PubMed</a> Washington-Brown, Linda; Ritchie, Arlene 2014-01-01 Integrating service in a post-licensure registered nurse to bachelor of science in nursing (RN to BSN) program provides licensed registered nurse (RN) students the opportunity to learn, develop, and experience different cultures while serving the community and populations in need (McKinnon & Fitzpatrick, 2012). Service to the community, integrated with academic learning can be applied in a wide variety of settings, including schools, universities, and community faith-based organizations. Academic service-learning (ASL) can involve a group of students, a classroom, or an entire school. In the RN to BSN program, the authors use a student-directed service learning approach that integrates service-learning throughout the curriculum. RN students are introduced to service-learning at program orientation prior to the start of classes and receive reinforcement and active engagement throughout the curriculum. The students and volunteer agencies receive and give benefits from the services provided and the life lessons gained through mentorship, education, and hands-on experiences. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.osti.gov/biblio/22649159-su-investigating-correction-methods-ion-recombination-effects-octavius-srs-measurements','SCIGOV-STC'); return false;" href="https://www.osti.gov/biblio/22649159-su-investigating-correction-methods-ion-recombination-effects-octavius-srs-measurements">SU-F-T-584: Investigating Correction Methods for Ion Recombination Effects in OCTAVIUS 1000 SRS Measurements</a> <a target="_blank" rel="noopener noreferrer" href="http://www.osti.gov/search">DOE Office of Scientific and Technical Information (OSTI.GOV)</a> Knill, C; Wayne State University School of Medicine, Detroit, MI; Snyder, M Purpose: PTW’s Octavius 1000 SRS array performs IMRT QA measurements with liquid filled ionization chambers (LICs). Collection efficiencies of LICs have been shown to change during IMRT delivery as a function of LINAC pulse frequency and pulse dose, which affects QA results. In this study, two methods were developed to correct changes in collection efficiencies during IMRT QA measurements, and the effects of these corrections on QA pass rates were compared. Methods: For the first correction, Matlab software was developed that calculates pulse frequency and pulse dose for each detector, using measurement and DICOM RT Plan files. Pulse information ismore » converted to collection efficiency and measurements are corrected by multiplying detector dose by ratios of calibration to measured collection efficiencies. For the second correction, MU/min in daily 1000 SRS calibration was chosen to match average MU/min of the VMAT plan. Usefulness of derived corrections were evaluated using 6MV and 10FFF SBRT RapidArc plans delivered to the OCTAVIUS 4D system using a TrueBeam equipped with an HD- MLC. Effects of the two corrections on QA results were examined by performing 3D gamma analysis comparing predicted to measured dose, with and without corrections. Results: After complex Matlab corrections, average 3D gamma pass rates improved by [0.07%,0.40%,1.17%] for 6MV and [0.29%,1.40%,4.57%] for 10FFF using [3%/3mm,2%/2mm,1%/1mm] criteria. Maximum changes in gamma pass rates were [0.43%,1.63%,3.05%] for 6MV and [1.00%,4.80%,11.2%] for 10FFF using [3%/3mm,2%/2mm,1%/1mm] criteria. On average, pass rates of simple daily calibration corrections were within 1% of complex Matlab corrections. Conclusion: Ion recombination effects can potentially be clinically significant for OCTAVIUS 1000 SRS measurements, especially for higher pulse dose unflattened beams when using tighter gamma tolerances. Matching daily 1000 SRS calibration MU/min to average planned MU/min is a simple correction that greatly reduces ion recombination effects, improving measurements accuracy and gamma pass rates. This work was supported by PTW.« less </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('http://www.dtic.mil/docs/citations/ADA200076','DTIC-ST'); return false;" href="http://www.dtic.mil/docs/citations/ADA200076">A Counterexample Concerning the External index</a> <a target="_blank" rel="noopener noreferrer" href="http://www.dtic.mil/">DTIC Science & Technology</a> 1988-08-01 et al. For a suitable sequence (rn) satisfying rn 4 w, rn/n 4 O , let rn r n Tn(j) -P( E Xni j i Xni > 0), j-1,2.... (5) i-i i1l where Xn,i is 1 if...Appromd for pubW 7~~ o . Dittrbutiona tln~mItd 10 9 N I. 20 1tIC 1 0 - a pi 00 I 11 3 0 06 -6 .. 02~ ’ x. a C-L d e a A 0i 0 - Ss 0 - 8 go ip9 d vi . -C...PERSONAL AUTHO..S) Smith, R.L. 13. TYPE OF REPORT 13b. TIME COVERED 14. DATE OF REPORT (Yr...WE.. Day) 15. PAGE COUNT r rint FROM 91/87_ TO 8L31/8 </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.fs.usda.gov/treesearch/pubs/7352','TREESEARCH'); return false;" href="https://www.fs.usda.gov/treesearch/pubs/7352">Alternate biomass harvesting systems using conventional equipment</a> <a target="_blank" rel="noopener noreferrer" href="http://www.fs.usda.gov/treesearch/">Treesearch</a> Bryce J. Stokes; William F. Watson; I. Winston Savelle 1985-01-01 Three harvesting methods were field tested in two stand types. Costs and stand utilization rates were developed for a conventional harvesting system, without energy wood recovery; a two-pass roundwood and energy wood system; and a one-pass system that harvests roundwood and energy wood. The systems harvested 20-acre test blocks in two pine pulpwood plantations and in a... </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('http://files.eric.ed.gov/fulltext/EJ1052631.pdf','ERIC'); return false;" href="http://files.eric.ed.gov/fulltext/EJ1052631.pdf">Candidate Performance on the Business Environment and Concepts Section of the CPA Exam</a> <a target="_blank" rel="noopener noreferrer" href="http://www.eric.ed.gov/ERICWebPortal/search/extended.jsp?_pageLabel=advanced">ERIC Educational Resources Information Center</a> Lindsay, D. H.; Tan, K. B.; Campbell, Annhenrie 2009-01-01 This paper examines how differences in curricular design of undergraduate accounting programs influence pass rates on the Business Environment and Concepts Section of the CPA Exam. The association of the pass rate of a school's accounting graduates to the design of the schools accounting program and to other school characteristics was examined… </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.ncbi.nlm.nih.gov/pubmed/27188758','PUBMED'); return false;" href="https://www.ncbi.nlm.nih.gov/pubmed/27188758">Nurse Knowledge, Work Environment, and Turnover in Highly Specialized Pediatric End-of-Life Care.</a> <a target="_blank" rel="noopener noreferrer" href="https://www.ncbi.nlm.nih.gov/entrez/query.fcgi?DB=pubmed">PubMed</a> Lindley, Lisa C; Cozad, Melanie J 2017-07-01 To examine the relationship between nurse knowledge, work environment, and registered nurse (RN) turnover in perinatal hospice and palliative care organizations. Using nurse intellectual capital theory, a multivariate analysis was conducted with 2007 National Home and Hospice Care Survey data. Perinatal hospice and palliative care organizations experienced a 5% turnover rate. The professional experience of advanced practice nurses (APNs) was significantly related to turnover among RNs (β = -.032, P < .05). Compared to organizations with no APNs professional experience, clinical nurse specialists and nurse practitioners significantly reduced RN turnover by 3 percentage points. No other nurse knowledge or work environment variables were associated with RN turnover. Several of the control variables were also associated with RN turnover in the study; Organizations serving micropolitan (β = -.041, P < .05) and rural areas (β = -.037, P < .05) had lower RN turnover compared to urban areas. Organizations with a technology climate where nurses used electronic medical records had a higher turnover rate than those without (β = .036, P < .05). The findings revealed that advanced professional experience in the form of APNs was associated with reductions in RN turnover. This suggests that having a clinical nurse specialist or nurse practitioner on staff may provide knowledge and experience to other RNs, creating stability within the organization. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.ncbi.nlm.nih.gov/pubmed/22378203','PUBMED'); return false;" href="https://www.ncbi.nlm.nih.gov/pubmed/22378203">An intercomparison for NIRS and NYU passive thoron gas detectors at NYU.</a> <a target="_blank" rel="noopener noreferrer" href="https://www.ncbi.nlm.nih.gov/entrez/query.fcgi?DB=pubmed">PubMed</a> Sorimachi, Atsuyuki; Ishikawa, Tetsuo; Tokonami, Shinji; Chittaporn, Passaporn; Harley, Naomi H 2012-04-01 An intercomparison on thoron ((220)Rn) measurement was carried out between National Institute of Radiological Sciences, Japan (NIRS), and New York University School of Medicine, USA (NYU). The measurements of (220)Rn concentration at NIRS and NYU were performed by using the scintillation cell method and the two-filter method, respectively, as the standard measurement method. Three types of alpha track detectors based on passive radon ((222)Rn)-(220)Rn discriminative measurement technique were used: Raduet and Radopot detectors were used at NIRS, and four-leaf detectors were used at NYU. In this study, the authors evaluated (220)Rn concentration variation in terms of run for exposure, measurement method, and exposure chamber. The detectors were exposed to (220)Rn gas with approximately 15 kBq m(-3) during the period from 0.75 to 3 d. As a result, the variation of each measurement method among these exposure runs was comparable to or less than that for the two-filter method. Agreement between the standard measurement methods of NIRS and NYU was observed to be about 10%, as is the case with the passive detectors. The Raduet detector showed a large variation in the detection response between the NIRS and NYU chambers, which could be related to different traceability. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('http://adsabs.harvard.edu/abs/2016AGUOSMG41A..03M','NASAADS'); return false;" href="http://adsabs.harvard.edu/abs/2016AGUOSMG41A..03M">Impacts of Declining Mississippi River Sediment Load on Subaqueous Delta Front Sedimentation and Geomorphology</a> <a target="_blank" rel="noopener noreferrer" href="http://adsabs.harvard.edu/abstract_service.html">NASA Astrophysics Data System (ADS)</a> Maloney, J. M.; Bentley, S. J.; Xu, K.; Georgiou, I. Y.; Miner, M. D. 2016-02-01 The Mississippi River delta system is undergoing unprecedented changes due to the effects of climate change and anthropogenic alterations to the river and its delta. Since the 1950s, the suspended sediment load of the Mississippi River has decreased by approximately 50% due to the construction of >50,000 dams in the Mississippi basin. The impact of this decreased sediment load has been observed in subaerial environments, but the impact on sedimentation and geomorphology of the subaqueous delta front has yet to be examined. To identify historic trends in sedimentation patterns, we compiled bathymetric datasets, including historical charts, industry and academic surveys, and NOAA data, collected between 1764 and 2009. Sedimentation rates are variable across the delta front, but are highest near the mouth of Southwest Pass, which carries the largest percentage of Mississippi River flow and sediment into the Gulf of Mexico. The progradation rate of Southwest Pass (measured at the 10 m depth contour) has slowed from 67 m/yr between 1764 and 1940 to 26 m/yr between 1940 and 1979, with evidence of further deceleration from 1979-2009. Decreased rates of progradation are also observed at South Pass and Pass A Loutre, with the 10 m contour retreating at rates >20 m/yr at both passes. Advancement of the delta front also decelerated in deeper water (15-90 m) offshore from Southwest Pass. In this area, from 1940-1979, depth contours advanced seaward 30 m/yr, but rates declined from 1979-2005. Furthermore, over the same area, the sediment accumulation rate decreased by 81% for the same period. The Mississippi River delta front appears to be entering a phase of decline, which will likely be accelerated by future upstream management practices. This decline has implications for offshore ecosystems, biogeochemical cycling, pollutant dispersal, mudflow hazard, and the continued use of the delta as an economic and population center. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('http://adsabs.harvard.edu/abs/2016AIPC.1706t0013C','NASAADS'); return false;" href="http://adsabs.harvard.edu/abs/2016AIPC.1706t0013C">Calculating inspector probability of detection using performance demonstration program pass rates</a> <a target="_blank" rel="noopener noreferrer" href="http://adsabs.harvard.edu/abstract_service.html">NASA Astrophysics Data System (ADS)</a> Cumblidge, Stephen; D'Agostino, Amy 2016-02-01 The United States Nuclear Regulatory Commission (NRC) staff has been working since the 1970's to ensure that nondestructive testing performed on nuclear power plants in the United States will provide reasonable assurance of structural integrity of the nuclear power plant components. One tool used by the NRC has been the development and implementation of the American Society of Mechanical Engineers (ASME) Boiler and Pressure Vessel Code Section XI Appendix VIII[1] (Appendix VIII) blind testing requirements for ultrasonic procedures, equipment, and personnel. Some concerns have been raised, over the years, by the relatively low pass rates for the Appendix VIII qualification testing. The NRC staff has applied statistical tools and simulations to determine the expected probability of detection (POD) for ultrasonic examinations under ideal conditions based on the pass rates for the Appendix VIII qualification tests for the ultrasonic testing personnel. This work was primarily performed to answer three questions. First, given a test design and pass rate, what is the expected overall POD for inspectors? Second, can we calculate the probability of detection for flaws of different sizes using this information? Finally, if a previously qualified inspector fails a requalification test, does this call their earlier inspections into question? The calculations have shown that one can expect good performance from inspectors who have passed appendix VIII testing in a laboratory-like environment, and the requalification pass rates show that the inspectors have maintained their skills between tests. While these calculations showed that the PODs for the ultrasonic inspections are very good under laboratory conditions, the field inspections are conducted in a very different environment. The NRC staff has initiated a project to systematically analyze the human factors differences between qualification testing and field examinations. This work will be used to evaluate and prioritize potential human factors issues that may degrade performance in the field. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.pubmedcentral.nih.gov/articlerender.fcgi?tool=pmcentrez&artid=2855290','PMC'); return false;" href="https://www.pubmedcentral.nih.gov/articlerender.fcgi?tool=pmcentrez&artid=2855290">Patient-controlled oral analgesia for postoperative pain management following total knee replacement</a> <a target="_blank" rel="noopener noreferrer" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?DB=pmc">PubMed Central</a> Kastanias, Patti; Gowans, Sue; Tumber, Paul S; Snaith, Kianda; Robinson, Sandra 2010-01-01 PURPOSE: To investigate whether patient-controlled oral analgesia (PCOA) used by individuals receiving a total knee replacement could reduce pain, increase patient satisfaction, reduce opioid use and/or reduce opioid side effects when compared with traditional nurse (RN)-administered oral analgesia. METHODS: Patients who underwent an elective total knee replacement at a quaternary care centre (Toronto Western Hospital, Toronto, Ontario) were randomly assigned to either PCOA or RN-administered short-acting oral opioids on postoperative day 2. Subjects in the RN group called the RN to receive their prescribed short-acting opioid. Subjects in the PCOA group kept a single dose of their prescribed oral opioid at their bedside and took this dose when they felt they needed it, to a maximum of one dose every 2 h. Study outcomes, collected on postoperative day 2, included pain (measured by the Brief Pain Inventory – Short Form), patient satisfaction (measured by the Pain Outcome Questionnaire Satisfaction sub-scale – component II), opioid use (oral morphine equivalents), opioid side effects (nausea, pruritis and/or constipation) and knee measures (maximum passive knee flexion and pain at maximum passive knee flexion, performed on the operative knee). RESULTS: Study outcomes were analyzed twice. First, for a subset of 73 subjects who remained in their randomly assigned group (PCOA group, n=36; RN group, n=37), randomized analyses were performed. Second, for the larger sample of 88 subjects who were categorized by their actual method of receiving oral opioids (PCOA group, n=41; RN group, n=47), as-treated analyses were performed. There were no differences in study outcomes between the PCOA and RN groups in either analysis. CONCLUSION: PCOA was not superior to RN administration on study outcomes. However, PCOA did not increase opioid use or pain. PCOA remains an important element in the patient-centred care facility. PMID:20195553 </li> </ol> <div class="pull-right"> <ul class="pagination"> <li><a href="#" onclick='return showDiv("page_1");'>«</a></li> <li><a href="#" onclick='return showDiv("page_12");'>12</a></li> <li><a href="#" onclick='return showDiv("page_13");'>13</a></li> <li class="active">14</li> <li><a href="#" onclick='return showDiv("page_15");'>15</a></li> <li><a href="#" onclick='return showDiv("page_16");'>16</a></li> <li><a href="#" onclick='return showDiv("page_25");'>»</a></li> </ul> </div> </div> </div> </div> <div id="page_15" class="hiddenDiv"> <div class="row"> <div class="col-sm-12"> <div class="pull-right"> <ul class="pagination"> <li><a href="#" onclick='return showDiv("page_1");'>«</a></li> <li><a href="#" onclick='return showDiv("page_13");'>13</a></li> <li><a href="#" onclick='return showDiv("page_14");'>14</a></li> <li class="active">15</li> <li><a href="#" onclick='return showDiv("page_16");'>16</a></li> <li><a href="#" onclick='return showDiv("page_17");'>17</a></li> <li><a href="#" onclick='return showDiv("page_25");'>»</a></li> </ul> </div> </div> </div> <div class="row"> <div class="col-sm-12"> <ol class="result-class" start="281"> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.ncbi.nlm.nih.gov/pubmed/29719883','PUBMED'); return false;" href="https://www.ncbi.nlm.nih.gov/pubmed/29719883">Nursing Information Flow in Long-Term Care Facilities.</a> <a target="_blank" rel="noopener noreferrer" href="https://www.ncbi.nlm.nih.gov/entrez/query.fcgi?DB=pubmed">PubMed</a> Wei, Quan; Courtney, Karen L 2018-04-01 Long-term care (LTC), residential care requiring 24-hour nursing services, plays an important role in the health care service delivery system. The purpose of this study was to identify the needed clinical information and information flow to support LTC Registered Nurses (RNs) in care collaboration and clinical decision making. This descriptive qualitative study combines direct observations and semistructured interviews, conducted at Alberta's LTC facilities between May 2014 and August 2015. The constant comparative method (CCM) of joint coding was used for data analysis. Nine RNs from six LTC facilities participated in the study. The RN practice environment includes two essential RN information management aspects: information resources and information spaces. Ten commonly used information resources by RNs included: (1) RN-personal notes; (2) facility-specific templates/forms; (3) nursing processes/tasks; (4) paper-based resident profile; (5) daily care plans; (6) RN-notebooks; (7) medication administration records (MARs); (8) reporting software application (RAI-MDS); (9) people (care providers); and (10) references (i.e., books). Nurses used a combination of shared information spaces, such as the Nurses Station or RN-notebook, and personal information spaces, such as personal notebooks or "sticky" notes. Four essential RN information management functions were identified: collection, classification, storage, and distribution. Six sets of information were necessary to perform RN care tasks and communication, including: (1) admission, discharge, and transfer (ADT); (2) assessment; (3) care plan; (4) intervention (with two subsets: medication and care procedure); (5) report; and (6) reference. Based on the RN information management system requirements, a graphic information flow model was constructed. This baseline study identified key components of a current LTC nursing information management system. The information flow model may assist health information technology (HIT) developers to consolidate the design of HIT solutions for LTC, and serve as a communication tool between nurses and information technology (IT) staff to refine requirements and support further LTC HIT research. Schattauer GmbH Stuttgart. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.gpo.gov/fdsys/pkg/CFR-2014-title7-vol15/pdf/CFR-2014-title7-vol15-sec4279-231.pdf','CFR2014'); return false;" href="https://www.gpo.gov/fdsys/pkg/CFR-2014-title7-vol15/pdf/CFR-2014-title7-vol15-sec4279-231.pdf">7 CFR 4279.231 - Interest rates.</a> <a target="_blank" rel="noopener noreferrer" href="http://www.gpo.gov/fdsys/browse/collectionCfr.action?selectedYearFrom=2014&page.go=Go">Code of Federal Regulations, 2014 CFR</a> 2014-01-01 ... 7 Agriculture 15 2014-01-01 2014-01-01 false Interest rates. 4279.231 Section 4279.231 Agriculture... Interest rates. The provisions found in § 4279.125 apply to loans guaranteed under this subpart, except as provided in paragraphs (a) through (c) of this section. Lenders are encouraged to pass interest-rate... </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.gpo.gov/fdsys/pkg/CFR-2012-title7-vol15/pdf/CFR-2012-title7-vol15-sec4279-231.pdf','CFR2012'); return false;" href="https://www.gpo.gov/fdsys/pkg/CFR-2012-title7-vol15/pdf/CFR-2012-title7-vol15-sec4279-231.pdf">7 CFR 4279.231 - Interest rates.</a> <a target="_blank" rel="noopener noreferrer" href="http://www.gpo.gov/fdsys/browse/collectionCfr.action?selectedYearFrom=2012&page.go=Go">Code of Federal Regulations, 2012 CFR</a> 2012-01-01 ... 7 Agriculture 15 2012-01-01 2012-01-01 false Interest rates. 4279.231 Section 4279.231 Agriculture... Interest rates. The provisions found in § 4279.125 apply to loans guaranteed under this subpart, except as provided in paragraphs (a) through (c) of this section. Lenders are encouraged to pass interest-rate... </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.ncbi.nlm.nih.gov/pubmed/28166580','PUBMED'); return false;" href="https://www.ncbi.nlm.nih.gov/pubmed/28166580">Outcomes of Embedded Care Management in a Family Medicine Residency Patient-Centered Medical Home.</a> <a target="_blank" rel="noopener noreferrer" href="https://www.ncbi.nlm.nih.gov/entrez/query.fcgi?DB=pubmed">PubMed</a> Newman, Robert J; Bikowski, Richard; Nakayama, Kristy; Cunningham, Tina; Acker, Pam; Bradshaw, Dana 2017-01-01 Much attention is devoted nationally to preventing hospital readmissions and emergency department (ED) use, given the high cost of this care. There is a growing body of evidence from the Patient Centered Primary Care Collaborative that a patient-centered medical home (PCMH) model successfully lowers these costs. Our study evaluates a specific intervention in a family medicine residency PCMH to decrease readmissions and ED utilization using an embedded care manager. The Department of Family and Community Medicine at Eastern Virginia Medical School in Norfolk, VA, hired an RN care manager in May of 2013 with a well-defined job description focused on decreasing hospital readmissions and ED usage. Our primary outcomes for the study were number of monthly hospital admissions and readmissions over 23 months and monthly ED visits over 20 months. Readmission rates averaged 22.2% per month in the first year of the intervention and 18.3% in the second year, a statistically significant 3.9% decrease. ED visits averaged 176 per month in the first year and 146 per month in the second year, a statistically significant 17% reduction. Our study adds to the evidence that a PCMH model of care with an embedded RN care manager can favorably lower readmission rates and ED utilization in a family medicine residency practice. Developing a viable business model to support this important work remains a challenge. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.ncbi.nlm.nih.gov/pubmed/18974071','PUBMED'); return false;" href="https://www.ncbi.nlm.nih.gov/pubmed/18974071">Occupational stress and strain in the Royal Navy 2007.</a> <a target="_blank" rel="noopener noreferrer" href="https://www.ncbi.nlm.nih.gov/entrez/query.fcgi?DB=pubmed">PubMed</a> Bridger, R S; Brasher, K; Dew, A; Kilminster, S 2008-12-01 Previous surveys of psychological strain in the Naval Service (NS) have shown higher than expected levels of strain when compared to the general population. To repeat the survey last carried out in 2004 and to obtain further information on the nature of the occupational stressors associated with strain. General Health Questionnaire-12 strain rates and job/life stressors were measured using a Work and Well-Being Questionnaire. Models of strain were developed for male and female personnel in the Royal Navy (RN) and males in the Royal Marines (RM). The response rate was 57%. The psychological strain rate was 31.5% overall. Personnel suffering from strain tended to be 'overcommitted' to work, had low levels of commitment to the NS and had suffered stressful life events (SLEs) in the previous 12 months. Strain rates declined with age and rank in males, but not in females. Strain was significantly positively correlated with levels of overcommitment, effort-reward imbalance (ERI), role conflict, work-family conflict, organizational commitment and exposure to SLEs. Models of strain in the males and females in the RN and in the RM accounted for between 37 and 44% of the variance in strain. The survey provides evidence for both the demand control and ERI models-components of these models contribute independently to strain. High levels of commitment to the organization were associated with lower strain and exposure to SLEs to higher strain. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('http://adsabs.harvard.edu/abs/2014AGUFMOS33B1061M','NASAADS'); return false;" href="http://adsabs.harvard.edu/abs/2014AGUFMOS33B1061M">Assessing Subaqueous Mudflow Hazard on the Mississippi River Delta Front, Part 1: A Historical Perspective on Mississippi River Delta Front Sedimentation</a> <a target="_blank" rel="noopener noreferrer" href="http://adsabs.harvard.edu/abstract_service.html">NASA Astrophysics Data System (ADS)</a> Maloney, J. M.; Bentley, S. J.; Obelcz, J.; Xu, K.; Miner, M. D.; Georgiou, I. Y.; Hanegan, K.; Keller, G. 2014-12-01 Subaqueous mudflows are known to be ubiquitous across the Mississippi River delta front (MRDF) and have been identified as a hazard to offshore infrastructure. Among other factors, sediment accumulation rates and patterns play an important role in governing the stability of delta front sediment. High sedimentation rates result in underconsolidation, slope steepening, and increased biogenic gas production, which are all known to decrease stability. Sedimentation rates are highly variable across the MRDF, but are highest near the mouth of Southwest Pass, which carries the largest percentage of Mississippi River sediment into the Gulf of Mexico. Since the 1950s, the sediment load of the Mississippi River has decreased by ~50% due to dam construction upstream. The impact of this decreased sediment load on MRDF mudflow dynamics has yet to be examined. We compiled MRDF bathymetric datasets, including historical charts, industry and academic surveys, and NOAA data, collected between 1764 and 2009, in order to identify historic trends in sedimentation patterns. The progradation of Southwest Pass (measured at 10 m depth contour) has slowed from ~66 m/yr between 1764 and 1940 to ~25 m/yr between 1940 and 1979, with evidence of further deceleration from 1979-2009. Decreased rates of progradation are also observed at South Pass and Pass A Loutre. Advancement of the delta also decelerated in deeper water (15-90 m) offshore from Southwest Pass. In this area, from 1940-1979, depth contours advanced seaward ~25 m/yr, but did not advance from 1979-2005. Furthermore, over the same area and time ranges, the sediment accumulation rate decreased by ~82%. We expect these sedimentation trends are occurring across the delta front, with potential impacts on spatial and temporal patterns of subaqueous mudflows. The MRDF appears to be entering a phase of decline, which will likely be accelerated by future upstream sediment diversion projects. New geophysical data will be required to assess potential mudflow hazards associated with new MRDF sedimentation rates and patterns (See Part 2, Obelcz et al.). </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.osti.gov/biblio/22545259-su-assessing-imrt-treatment-delivery-accuracy-consistency-varian-truebeam-using-sunnuclear-perfraction-epid-dosimetry-software','SCIGOV-STC'); return false;" href="https://www.osti.gov/biblio/22545259-su-assessing-imrt-treatment-delivery-accuracy-consistency-varian-truebeam-using-sunnuclear-perfraction-epid-dosimetry-software">SU-E-T-133: Assessing IMRT Treatment Delivery Accuracy and Consistency On a Varian TrueBeam Using the SunNuclear PerFraction EPID Dosimetry Software</a> <a target="_blank" rel="noopener noreferrer" href="http://www.osti.gov/search">DOE Office of Scientific and Technical Information (OSTI.GOV)</a> Dieterich, S; Trestrail, E; Holt, R 2015-06-15 Purpose: To assess if the TrueBeam HD120 collimator is delivering small IMRT fields accurately and consistently throughout the course of treatment using the SunNuclear PerFraction software. Methods: 7-field IMRT plans for 8 canine patients who passed IMRT QA using SunNuclear Mapcheck DQA were selected for this study. The animals were setup using CBCT image guidance. The EPID fluence maps were captured for each treatment field and each treatment fraction, with the first fraction EPID data serving as the baseline for comparison. The Sun Nuclear PerFraction Software was used to compare the EPID data for subsequent fractions using a Gamma (3%/3mm)more » pass rate of 90%. To simulate requirements for SRS, the data was reanalyzed using a Gamma (3%/1mm) pass rate of 90%. Low-dose, low- and high gradient thresholds were used to focus the analysis on clinically relevant parts of the dose distribution. Results: Not all fractions could be analyzed, because during some of the treatment courses the DICOM tags in the EPID images intermittently change from CU to US (unspecified), which would indicate a temporary loss of EPID calibration. This technical issue is still being investigated. For the remaining fractions, the vast majority (7/8 of patients, 95% of fractions, and 96.6% of fields) are passing the less stringent Gamma criteria. The more stringent Gamma criteria caused a drop in pass rate (90 % of fractions, 84% of fields). For the patient with the lowest pass rate, wet towel bolus was used. Another patient with low pass rates experienced masseter muscle wasting. Conclusion: EPID dosimetry using the PerFraction software demonstrated that the majority of fields passed a Gamma (3%/3mm) for IMRT treatments delivered with a TrueBeam HD120 MLC. Pass rates dropped for a DTA of 1mm to model SRS tolerances. PerFraction pass rates can flag missing bolus or internal shields. Sanjeev Saini is an employee of Sun Nuclear Corporation. For this study, a pre-release version of PerFRACTION 1.1 software from Sun Nuclear Corporation was used.« less </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.ncbi.nlm.nih.gov/pubmed/23205525','PUBMED'); return false;" href="https://www.ncbi.nlm.nih.gov/pubmed/23205525">Novel instruments for in situ continuous Rn-222 measurement in groundwater and the application to river bank infiltration.</a> <a target="_blank" rel="noopener noreferrer" href="https://www.ncbi.nlm.nih.gov/entrez/query.fcgi?DB=pubmed">PubMed</a> Gilfedder, B S; Hofmann, H; Cartwright, I 2013-01-15 There is little known about the short-term dynamics of groundwater-surface water exchange in losing rivers. This is partly due to the paucity of chemical techniques that can autonomously collect high-frequency data in groundwater bores. Here we present two new instruments for continuous in situ (222)Rn measurement in bores for quantifying the surface water infiltration rate into an underlying or adjacent aquifer. These instruments are based on (222)Rn diffusion through silicone tube membranes, either wrapped around a pole (MonoRad) or strung between two hollow end pieces (OctoRad). They are combined with novel, robust, low-cost Geiger counter (222)Rn detectors which are ideal for long-term autonomous measurement. The down-hole instruments have a quantitative response time of about a day during low flow, but this decreases to <12 h during high-flow events. The setup was able to trace river water bank infiltration during moderate to high river flow during two field experiments. Mass-balance calculations using the (222)Rn data gave a maximum infiltration rate of 2 m d(-1). These instruments offer the first easily constructible system for continuous (222)Rn analysis in groundwater, and could be used to trace surface water infiltration in many environments including rivers, lakes, wetlands, and coastal settings. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.ncbi.nlm.nih.gov/pubmed/17386964','PUBMED'); return false;" href="https://www.ncbi.nlm.nih.gov/pubmed/17386964">Exhalation of (222)Rn from phosphogypsum piles located at the Southwest of Spain.</a> <a target="_blank" rel="noopener noreferrer" href="https://www.ncbi.nlm.nih.gov/entrez/query.fcgi?DB=pubmed">PubMed</a> Dueñas, C; Liger, E; Cañete, S; Pérez, M; Bolívar, J P 2007-01-01 Phosphogypsum (PG) is a waste product of the phosphoric acid production process and contains, generally, high activity concentrations of uranium series radionuclides. It is stored in piles formed over the last 40 years close to the town of Huelva (Southwest of Spain). The very broad expanse of the PG piles (about 1200 ha) produces a local, but unambiguous, radioactive impact to their surroundings. In 1992, the regional government of Andalusia restored an area of 400 ha by covering it with a 25-cm thick layer of natural soil and, currently, there is an additional zone of 400 ha in course of restoration (unrestored) and the same area of active PG stacks. Due to the high activity concentration of (226)Ra in active PG stacks (average 647 Bq kg(-1)), a significant exhalation of (222)Rn could be produced from the surface of the piles. Measurements have been made of (222)Rn exhalation from active PG stacks and from restored and unrestored zones. The (222)Rn exhalation from unrestored zones is half of that of the active PG stacks. Following restoration, the (222)Rn exhalation is approximately eight times lower than the active PG stacks. The activity concentrations of natural radionuclides ((226)Ra, (40)K, (232)Th) in the mentioned zones have been determined. This study was also conducted to determine the effect of (226)Ra activity concentration on the (222)Rn exhalation, and a good correlation was obtained between the (222)Rn exhalation and (226)Ra activity, porosity and density of soil. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.gpo.gov/fdsys/pkg/CFR-2013-title7-vol15/pdf/CFR-2013-title7-vol15-sec4279-231.pdf','CFR2013'); return false;" href="https://www.gpo.gov/fdsys/pkg/CFR-2013-title7-vol15/pdf/CFR-2013-title7-vol15-sec4279-231.pdf">7 CFR 4279.231 - Interest rates.</a> <a target="_blank" rel="noopener noreferrer" href="http://www.gpo.gov/fdsys/browse/collectionCfr.action?selectedYearFrom=2013&page.go=Go">Code of Federal Regulations, 2013 CFR</a> 2013-01-01 ... 7 Agriculture 15 2013-01-01 2013-01-01 false Interest rates. 4279.231 Section 4279.231 Agriculture... Interest rates. The provisions found in § 4279.125 apply to loans guaranteed under this subpart, except as provided in paragraphs (a) through (c) of this section. Lenders are encouraged to pass interest-rate... </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://lymphaticnetwork.org/living-with-lymphedema/lymphedema/','NIH-MEDLINEPLUS'); return false;" href="https://lymphaticnetwork.org/living-with-lymphedema/lymphedema/">Lymphedema</a> <a target="_blank" rel="noopener noreferrer" href="http://medlineplus.gov/">MedlinePlus</a> ... Lymphedema & Lymphatic Diseases About Us Mission History Your Investment Partners and Supporting Members LE&RN Informational Flyer ... Lymphedema & Lymphatic Diseases About Us Mission History Your Investment Partners and Supporting Members LE&RN Informational Flyer ... </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('http://www.dtic.mil/docs/citations/ADA528373','DTIC-ST'); return false;" href="http://www.dtic.mil/docs/citations/ADA528373">Superconductive ADC Project Fabrication Package. Final Design Review Package (Briefing Charts)</a> <a target="_blank" rel="noopener noreferrer" href="http://www.dtic.mil/">DTIC Science & Technology</a> 2010-09-07 Simulation Results Iin 1.45mV 2.5Ω 1pH 4pH 100fF 310uA 1fΩ Ic = 300uA Rn = 0.8Ω Cs = 0.32pF Ic = 300uA Rn = 0.8Ω Cs = 0.32pF Iin Vout Vout Ic = 500uA Rn...0.55Ω Cs = 0.32pF ONR Superconductive ADC CLIN/SLIN 0001AD September 2010, Brad Perranoski Pg. 17 Modulator Design Documentation Comparator Design...Comparator Design - Cadence Schematic & Simulation Comparator Testbench Simulation Results 1.45mV 2.5Ω 1pH 4pH 100fF 310uA 1fΩSine wave 100uApk Iin Ic </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('http://files.eric.ed.gov/fulltext/ED398954.pdf','ERIC'); return false;" href="http://files.eric.ed.gov/fulltext/ED398954.pdf">Retention Rates, Graduates, and LAM-Series Completers for the Legal Assistant Management Program.</a> <a target="_blank" rel="noopener noreferrer" href="http://www.eric.ed.gov/ERICWebPortal/search/extended.jsp?_pageLabel=advanced">ERIC Educational Resources Information Center</a> Hamilton, John In February 1996, Gainesville College, in Georgia, conducted a study of students in its Legal Assistant Management (LAM) Program to determine retention rates, numbers of graduates, and course pass rates. Retention and graduation rates were calculated for 175 students who enrolled in at least one LAM course from spring 1991 to fall 1995. In… </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.pubmedcentral.nih.gov/articlerender.fcgi?tool=pmcentrez&artid=4613379','PMC'); return false;" href="https://www.pubmedcentral.nih.gov/articlerender.fcgi?tool=pmcentrez&artid=4613379">Database trial impact on graduate nursing comprehensive exams</a> <a target="_blank" rel="noopener noreferrer" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?DB=pmc">PubMed Central</a> Pionke, Katharine; Huckstadt, Alicia 2015-01-01 While the authors were doing a test period of databases, the question of whether or not databases affect outcomes of graduate nursing comprehensive examinations came up. This study explored that question through using citation analysis of exams that were taken during a database trial and exams that were not. The findings showed no difference in examination pass/fail rates. While the pass/fail rates did not change, a great deal was learned in terms of citation accuracy and types of materials that students used, leading to discussions about changing how citation and plagiarism awareness were taught. PMID:26512218 </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.osti.gov/biblio/22648635-results-from-imaging-radiation-oncology-core-houston-anthropomorphic-phantoms-used-proton-therapy-clinical-trial-credentialing','SCIGOV-STC'); return false;" href="https://www.osti.gov/biblio/22648635-results-from-imaging-radiation-oncology-core-houston-anthropomorphic-phantoms-used-proton-therapy-clinical-trial-credentialing">Results From the Imaging and Radiation Oncology Core Houston's Anthropomorphic Phantoms Used for Proton Therapy Clinical Trial Credentialing</a> <a target="_blank" rel="noopener noreferrer" href="http://www.osti.gov/search">DOE Office of Scientific and Technical Information (OSTI.GOV)</a> Taylor, Paige A., E-mail: pataylor@mdanderson.org; Kry, Stephen F.; Alvarez, Paola Purpose: The purpose of this study was to summarize the findings of anthropomorphic proton phantom irradiations analyzed by the Imaging and Radiation Oncology Core Houston QA Center (IROC Houston). Methods and Materials: A total of 103 phantoms were irradiated by proton therapy centers participating in clinical trials. The anthropomorphic phantoms simulated heterogeneous anatomy of a head, liver, lung, prostate, and spine. Treatment plans included those for scattered, uniform scanning, and pencil beam scanning beam delivery modalities using 5 different treatment planning systems. For every phantom irradiation, point doses and planar doses were measured using thermoluminescent dosimeters (TLD) and film, respectively. Differencesmore » between measured and planned doses were studied as a function of phantom, beam delivery modality, motion, repeat attempt, treatment planning system, and date of irradiation. Results: The phantom pass rate (overall, 79%) was high for simple phantoms and lower for phantoms that introduced higher levels of difficulty, such as motion, multiple targets, or increased heterogeneity. All treatment planning systems overestimated dose to the target, compared to TLD measurements. Errors in range calculation resulted in several failed phantoms. There was no correlation between treatment planning system and pass rate. The pass rates for each individual phantom are not improving over time, but when individual institutions received feedback about failed phantom irradiations, pass rates did improve. Conclusions: The proton phantom pass rates are not as high as desired and emphasize potential deficiencies in proton therapy planning and/or delivery. There are many areas for improvement with the proton phantom irradiations, such as treatment planning system dose agreement, range calculations, accounting for motion, and irradiation of multiple targets.« less </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://eric.ed.gov/?q=Inertia&pg=4&id=EJ1155172','ERIC'); return false;" href="https://eric.ed.gov/?q=Inertia&pg=4&id=EJ1155172">3-Year-Olds' Perseveration on the DCCS Explained: A Meta-Analysis</a> <a target="_blank" rel="noopener noreferrer" href="http://www.eric.ed.gov/ERICWebPortal/search/extended.jsp?_pageLabel=advanced">ERIC Educational Resources Information Center</a> Landry, Oriane; Al-Taie, Shems; Franklin, Ari 2017-01-01 The Dimensional Change Card Sort (DCCS) task is a widely used measure of preschoolers' executive function. We combined data for 3,290 3-year-olds from 37 unique studies reporting 130 experimental conditions. Using raw pass/fail counts, we computed the pass rates and chi-squared value for each against chance (50/50) performance. We grouped data… </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.ncbi.nlm.nih.gov/pubmed/24218146','PUBMED'); return false;" href="https://www.ncbi.nlm.nih.gov/pubmed/24218146">The role of organizational culture in retaining nursing workforce.</a> <a target="_blank" rel="noopener noreferrer" href="https://www.ncbi.nlm.nih.gov/entrez/query.fcgi?DB=pubmed">PubMed</a> Banaszak-Holl, Jane; Castle, Nicholas G; Lin, Michael K; Shrivastwa, Nijika; Spreitzer, Gretchen 2015-06-01 We examined how organizational culture in nursing homes affects staff turnover, because culture is a first step to creating satisfactory work environments. Nursing home administrators were asked in 2009 to report on facility culture and staff turnover. We received responses from 419 of 1,056 administrators contacted. Respondents reported the strength of cultural values using scales from a Competing Values Framework and percent of staff leaving annually for Registered Nurse (RN), Licensed Practice Nurse (LPN), and nursing aide (NA) staff. We estimated negative binomial models predicting turnover. Turnover rates are lower than found in past but remain significantly higher among NAs than among RNs or LPNs. Facilities with stronger market values had increased turnover among RNs and LPNs, and among NAs when turnover was adjusted for facilities with few staff. Facilities emphasizing hierarchical internal processes had lower RN turnover. Group and developmental values focusing on staff and innovation only lowered LPN turnover. Finally, effects on NA turnover become insignificant when turnover was adjusted if voluntary turnover was reported. Organizational culture had differential effects on the turnover of RN, LPN, and NA staff that should be addressed in developing culture-change strategies. More flexible organizational culture values were important for LPN staff only, whereas unexpectedly, greater emphasis on rigid internal rules helped facilities retain RNs. Facilities with a stronger focus on customer needs had higher turnover among all staff. © The Author 2013. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.ncbi.nlm.nih.gov/pubmed/3744832','PUBMED'); return false;" href="https://www.ncbi.nlm.nih.gov/pubmed/3744832">Radiation data input for the design of dry or semi-dry U tailings disposal.</a> <a target="_blank" rel="noopener noreferrer" href="https://www.ncbi.nlm.nih.gov/entrez/query.fcgi?DB=pubmed">PubMed</a> Kvasnicka, J 1986-09-01 Before discussion of design criteria for the handling of dry or semi-dry tailings, it is necessary to obtain an insight into the radiation levels associated with the tailings particles and to study the basic physical properties of dry tailings. This article presents the experimental results of assessing Ra and specific alpha-activity distribution with respect to particle size of the Ranger (RUM) and Nabarlek (QML) uranium mines dry tailings samples. The variation of Rn emanation coefficient versus particle size of dry tailings has also been measured. The nuclear-track detection technique, gamma spectrometry and alpha counting were used for the above measurements. Surface Rn flux from the hypothetical Nabarlek semi-infinite dry tailings pile is 32 Bq m-2 s-1 and the Rn flux for Ranger is 10 Bq m-2 s-1. The theoretical exposure rates for 1 m above these hypothetical tailings piles are 0.95 microC kg-1 h-1 and 0.28 microC kg-1 h-1, respectively. The derived air alpha-contamination limits (DAAC) for the tailings dust were calculated to be 1.2 Bq m-3 for workers and 0.034 Bq m-3 for a member of the public. The limit for workers corresponds to the air tailings dust concentration of 0.79 mg m-3 for QML tailings and 2.2 mg m-3 for RUM tailings. The DAAC limit for the public corresponds to the air tailings dust concentration of 0.022 mg m-3 for QML tailings and 0.064 mg m-3 for RUM tailings. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('http://adsabs.harvard.edu/abs/2015PhRvE..91b2926Z','NASAADS'); return false;" href="http://adsabs.harvard.edu/abs/2015PhRvE..91b2926Z">Analyzing long-term correlated stochastic processes by means of recurrence networks: Potentials and pitfalls</a> <a target="_blank" rel="noopener noreferrer" href="http://adsabs.harvard.edu/abstract_service.html">NASA Astrophysics Data System (ADS)</a> Zou, Yong; Donner, Reik V.; Kurths, Jürgen 2015-02-01 Long-range correlated processes are ubiquitous, ranging from climate variables to financial time series. One paradigmatic example for such processes is fractional Brownian motion (fBm). In this work, we highlight the potentials and conceptual as well as practical limitations when applying the recently proposed recurrence network (RN) approach to fBm and related stochastic processes. In particular, we demonstrate that the results of a previous application of RN analysis to fBm [Liu et al. Phys. Rev. E 89, 032814 (2014), 10.1103/PhysRevE.89.032814] are mainly due to an inappropriate treatment disregarding the intrinsic nonstationarity of such processes. Complementarily, we analyze some RN properties of the closely related stationary fractional Gaussian noise (fGn) processes and find that the resulting network properties are well-defined and behave as one would expect from basic conceptual considerations. Our results demonstrate that RN analysis can indeed provide meaningful results for stationary stochastic processes, given a proper selection of its intrinsic methodological parameters, whereas it is prone to fail to uniquely retrieve RN properties for nonstationary stochastic processes like fBm. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.pubmedcentral.nih.gov/articlerender.fcgi?tool=pmcentrez&artid=5114157','PMC'); return false;" href="https://www.pubmedcentral.nih.gov/articlerender.fcgi?tool=pmcentrez&artid=5114157">Nurse knowledge, work environment, and turnover in highly specialized pediatric end-of-life care</a> <a target="_blank" rel="noopener noreferrer" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?DB=pmc">PubMed Central</a> Lindley, Lisa C.; Cozad, Melanie J. 2016-01-01 Objective To examine the relationship between nurse knowledge and work environment and Registered Nurse (RN) turnover in perinatal hospice and palliative care organizations. Methods Using nurse intellectual capital theory, a multivariate analysis was conducted with 2007 National Home and Hospice Care Survey data. Results Perinatal hospice and palliative care organizations experienced a 5% turnover rate. The professional experience of advanced practice nurses (APNs) was significantly related to turnover among RNs (β= −0.032, P< 0.05). Compared to organizations with no APNs professional experience, clinical nurse specialists and nurse practitioners significantly reduced RN turnover by 3-percentage points. No other nurse knowledge or work environment variables were associated with RN turnover. Several of the control variables were also associated with RN turnover in the study: organizations serving micropolitan (β= −0.041, P< 0.05) and rural areas (β= −0.037, P< 0.05) had lower RN turnover, compared to urban areas. Organizations with a technology climate where nurses used electronic medical records had a higher turnover rate than those without (β= 0.036, P< 0.05). Conclusions The findings revealed that advanced professional experience in the form of APNs were associated with reductions in RN turnover. This suggests that having a clinical nurse specialist or nurse practitioner on staff may provide knowledge and experience to other RNs, creating stability within the organization. PMID:27188758 </li> </ol> <div class="pull-right"> <ul class="pagination"> <li><a href="#" onclick='return showDiv("page_1");'>«</a></li> <li><a href="#" onclick='return showDiv("page_13");'>13</a></li> <li><a href="#" onclick='return showDiv("page_14");'>14</a></li> <li class="active">15</li> <li><a href="#" onclick='return showDiv("page_16");'>16</a></li> <li><a href="#" onclick='return showDiv("page_17");'>17</a></li> <li><a href="#" onclick='return showDiv("page_25");'>»</a></li> </ul> </div> </div> </div> </div> <div id="page_16" class="hiddenDiv"> <div class="row"> <div class="col-sm-12"> <div class="pull-right"> <ul class="pagination"> <li><a href="#" onclick='return showDiv("page_1");'>«</a></li> <li><a href="#" onclick='return showDiv("page_14");'>14</a></li> <li><a href="#" onclick='return showDiv("page_15");'>15</a></li> <li class="active">16</li> <li><a href="#" onclick='return showDiv("page_17");'>17</a></li> <li><a href="#" onclick='return showDiv("page_18");'>18</a></li> <li><a href="#" onclick='return showDiv("page_25");'>»</a></li> </ul> </div> </div> </div> <div class="row"> <div class="col-sm-12"> <ol class="result-class" start="301"> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.ncbi.nlm.nih.gov/pubmed/29127933','PUBMED'); return false;" href="https://www.ncbi.nlm.nih.gov/pubmed/29127933">Analysis of the relationships between environmental noise and urban morphology.</a> <a target="_blank" rel="noopener noreferrer" href="https://www.ncbi.nlm.nih.gov/entrez/query.fcgi?DB=pubmed">PubMed</a> Han, Xiaopeng; Huang, Xin; Liang, Hong; Ma, Song; Gong, Jianya 2018-02-01 Understanding the effects of urban morphology on urban environmental noise (UEN) at a regional scale is crucial for creating a pleasant urban acoustic environment. This study seeks to investigate how the urban morphology influences the UEN in the Shenzhen metropolitan region of China, by employing remote sensing and geographic information data. The UEN in this study consists of not only regional environmental noise (RN), but also traffic noise (TN). The experimental results reveal the following findings: 1) RN is positively correlated with the nighttime light intensity (NTL) and land surface temperature (LST) (p < 0.05). More interestingly, landscape composition and configuration can also significantly affect RN. For instance, urban vegetation can mitigate the RN (r = -0.411, p < 0.01). There is a reduced RN effect when fewer buildings exist in an urban landscape, in terms of the positive relationship between building density and RN (r = 0.188, p < 0.01). Given the same percentage of building area, buildings are more effective at reducing noise when they are distributed across the urban scenes, rather than being spatially concentrated (r = -0.205, p < 0.01). 2) TN positively relates to large (r = 0.520, p < 0.01) and small-medium (r = 0.508, p < 0.01) vehicle flow. In addition, vegetation along or near roads can alleviate the TN effect (r = -0.342, p < 0.01). TN can also become more severe in urban landscapes where there is higher road density (r = 0.307, p < 0.01). 3) Concerning the urban functional zones, traffic land is the greatest contributor to urban RN, followed by mixed residential and commercial land. The findings revealed by this research will indicate how to mitigate UEN. Copyright © 2017 Elsevier Ltd. All rights reserved. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.ncbi.nlm.nih.gov/pubmed/26552882','PUBMED'); return false;" href="https://www.ncbi.nlm.nih.gov/pubmed/26552882">Balance between carbon gain and loss under long-term drought: impacts on foliar respiration and photosynthesis in Quercus ilex L.</a> <a target="_blank" rel="noopener noreferrer" href="https://www.ncbi.nlm.nih.gov/entrez/query.fcgi?DB=pubmed">PubMed</a> Sperlich, D; Barbeta, A; Ogaya, R; Sabaté, S; Peñuelas, J 2016-02-01 Terrestrial carbon exchange is a key process of the global carbon cycle consisting of a delicate balance between photosynthetic carbon uptake and respiratory release. We have, however, a limited understanding how long-term decreases in precipitation induced by climate change affect the boundaries and mechanisms of photosynthesis and respiration. We examined the seasonality of photosynthetic and respiratory traits and evaluated the adaptive mechanism of the foliar carbon balance of Quercus ilex L. experiencing a long-term rainfall-exclusion experiment. Day respiration (Rd) but not night respiration (Rn) was generally higher in the drought treatment leading to an increased Rd/Rn ratio. The limitation of mesophyll conductance (gm) on photosynthesis was generally stronger than stomatal limitation (gs) in the drought treatment, reflected in a lower gm/gs ratio. The peak photosynthetic activity in the drought treatment occurred in an atypical favourable summer in parallel with lower Rd/Rn and higher gm/gs ratios. The plant carbon balance was thus strongly improved through: (i) higher photosynthetic rates induced by gm; and (ii) decreased carbon losses mediated by Rd. Interestingly, photosynthetic potentials (Vc,max, Jmax, and TPU) were not affected by the drought treatment, suggesting a dampening effect on the biochemical level in the long term. In summary, the trees experiencing a 14-year-long drought treatment adapted through higher plasticity in photosynthetic and respiratory traits, so that eventually the atypical favourable growth period was exploited more efficiently. © The Author 2015. Published by Oxford University Press on behalf of the Society for Experimental Biology. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('http://www.dtic.mil/docs/citations/AD1032140','DTIC-ST'); return false;" href="http://www.dtic.mil/docs/citations/AD1032140">A Vision in Jeopardy: Royal Navy Maritime Autonomous Systems (MAS)</a> <a target="_blank" rel="noopener noreferrer" href="http://www.dtic.mil/">DTIC Science & Technology</a> 2017-03-31 Chapter 6 will propose a new MAS vision for the RN. However, before doing so, a fresh look at the problem is required. Consensus of the Problem, Not the... assessment , the RN has failed to deliver any sustainable MAS operational capability. A vision for MAS finally materialized in 2014. Yet, the vision...continuous investment and assessment , the RN has failed to deliver any sustainable MAS operational capability. A vision for MAS finally materialized in </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.ncbi.nlm.nih.gov/pubmed/29768726','PUBMED'); return false;" href="https://www.ncbi.nlm.nih.gov/pubmed/29768726">Ribes nigrum L. Prevents UVB-mediated Photoaging in Human Dermal Fibroblasts: Potential Antioxidant and Antiinflammatory Activity.</a> <a target="_blank" rel="noopener noreferrer" href="https://www.ncbi.nlm.nih.gov/entrez/query.fcgi?DB=pubmed">PubMed</a> Li, Lu; Hwang, Eunson; Ngo, Hien T T; Seo, Seul A; Lin, Pei; Gao, Wei; Liu, Ying; Yi, Tae-Hoo 2018-05-16 Black currants (Ribes nigrum L, RN) are known as a "super fruit" to possess for their many potential health benefits such as the alleviation of oxidative stress-related disorders. However, little skin photoaging-related research has been done on the use of this agent. In the present study, we investigated the protective effects of RN in UVB-irradiated human dermal fibroblasts (NHDFs). RN treatment in UVB-irradiated skin models alleviated UVB-mediated photoaging through several mechanisms: Treatment with RN downregulated MAPK-related signaling models, such as those of activation protein 1 (AP-1) and nuclear factor kappa B (NF-κB). In addition, phase II gene heme oxygenase-1 (HO-1) was modulated by the increase in nuclear factor erythroid 2-related factor 2 (Nrf2) in the nuclear, and finally, transforming growth factor TGF-β was upregulated in vitro. Further study indicated that UVB-induced production of MMP-1 and IL-6 could be inhibited by PD 98059 (an inhibitor of ERK) and SP600125 (an inhibitor of JNK). Thus, RN improved the expression of type I procollagen and inhibited UVB-induced MMP-1 and IL-6 secretion through inactivating MAPK cascades. Therefore, RN is a suitable target for further investigation as an antiphotoaging agent and may have applications in the skincare industry. © 2018 The American Society of Photobiology. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.osti.gov/biblio/22494412-radon-assay-sno+','SCIGOV-STC'); return false;" href="https://www.osti.gov/biblio/22494412-radon-assay-sno+">Radon assay for SNO+</a> <a target="_blank" rel="noopener noreferrer" href="http://www.osti.gov/search">DOE Office of Scientific and Technical Information (OSTI.GOV)</a> Rumleskie, Janet The SNO+ experiment will study neutrinos while located 6,800 feet below the surface of the earth at SNOLAB. Though shielded from surface backgrounds, emanation of radon radioisotopes from the surrounding rock leads to back-grounds. The characteristic decay of radon and its daughters allows for an alpha detection technique to count the amount of Rn-222 atoms collected. Traps can collect Rn-222 from various positions and materials, including an assay skid that will collect Rn-222 from the organic liquid scintillator used to detect interactions within SNO+. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('http://adsabs.harvard.edu/abs/2015AIPC.1697h0002R','NASAADS'); return false;" href="http://adsabs.harvard.edu/abs/2015AIPC.1697h0002R">Radon assay for SNO+</a> <a target="_blank" rel="noopener noreferrer" href="http://adsabs.harvard.edu/abstract_service.html">NASA Astrophysics Data System (ADS)</a> Rumleskie, Janet 2015-12-01 The SNO+ experiment will study neutrinos while located 6,800 feet below the surface of the earth at SNOLAB. Though shielded from surface backgrounds, emanation of radon radioisotopes from the surrounding rock leads to back-grounds. The characteristic decay of radon and its daughters allows for an alpha detection technique to count the amount of Rn-222 atoms collected. Traps can collect Rn-222 from various positions and materials, including an assay skid that will collect Rn-222 from the organic liquid scintillator used to detect interactions within SNO+. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.ncbi.nlm.nih.gov/pubmed/26988452','PUBMED'); return false;" href="https://www.ncbi.nlm.nih.gov/pubmed/26988452">Purification and culture characteristics of 36 benthic marine diatoms isolated from the Solthörn tidal flat (Southern North Sea).</a> <a target="_blank" rel="noopener noreferrer" href="https://www.ncbi.nlm.nih.gov/entrez/query.fcgi?DB=pubmed">PubMed</a> Scholz, Bettina 2014-08-01 Marine benthic diatoms growing in biofilms on sediment surfaces generally occur associated with heterotrophic bacteria, whereas modern molecular techniques and analyses of species-specific physiology create a demand for axenic cultures. Numerous benthic diatoms were isolated from surface sediments during a monitoring of the Solthörn tidal flat (southern North Sea, Germany) from May 2008 to May 2009. Of these, around 50% could be purified from the accompanying heterotrophic bacteria using different antibiotics combined with physical separation methods (vortexing, ultrasound). Overall, seven different antibiotics were tested at different concentrations, and a best working protocol was developed. The axenic strains were stable on average for only around 15 months, indicating a symbiotic interaction between the benthic diatoms and the associated bacteria. While most short-term effects during the purification process were restricted to differences in growth rates among xenic and axenic diatom strains, long-term cultivation led to distinct changes in cell volumes and growth characteristics of the axenic strains. © 2014 Phycological Society of America. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://eric.ed.gov/?q=Descriptive+AND+ex-post+AND+facto+AND+studies&id=ED556275','ERIC'); return false;" href="https://eric.ed.gov/?q=Descriptive+AND+ex-post+AND+facto+AND+studies&id=ED556275">Collaborative Behaviors Practiced by Teachers and Their Administrators Resulting in Increased California High School Exit Exam Pass Rates for Students with Learning Disabilities</a> <a target="_blank" rel="noopener noreferrer" href="http://www.eric.ed.gov/ERICWebPortal/search/extended.jsp?_pageLabel=advanced">ERIC Educational Resources Information Center</a> Everett, Katherine E. 2013-01-01 Purpose. The purpose of this replication study was to describe the extent to which seven collaborative behaviors were demonstrated by general education teachers assigned students with disabilities, education specialists, and their administrators in selected California high schools that exceeded the state average pass rate for 10th-grade students… </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.osti.gov/biblio/5940115-thermal-effectiveness-multiple-shell-tube-pass-tema-heat-exchangers','SCIGOV-STC'); return false;" href="https://www.osti.gov/biblio/5940115-thermal-effectiveness-multiple-shell-tube-pass-tema-heat-exchangers">Thermal effectiveness of multiple shell and tube pass TEMA E heat exchangers</a> <a target="_blank" rel="noopener noreferrer" href="http://www.osti.gov/search">DOE Office of Scientific and Technical Information (OSTI.GOV)</a> Pignotti, A.; Tamborenea, P.I. 1988-02-01 The thermal effectiveness of a TEMAE shell-and-tube heat exchanger, with one shell pass and an arbitrary number of tube passes, is determined under the usual simplifying assumptions of perfect transverse mixing of the shell fluid, no phase change, and temperature independence of the heat capacity rates and the heat transfer coefficient. A purely algebraic solution is obtained for the effectiveness as a functions of the heat capacity rate ratio and the number of heat transfer units. The case with M shell passes and N tube passes is easily expressed in terms of the single-shell-pass case. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.pubmedcentral.nih.gov/articlerender.fcgi?tool=pmcentrez&artid=5609347','PMC'); return false;" href="https://www.pubmedcentral.nih.gov/articlerender.fcgi?tool=pmcentrez&artid=5609347">Improving MRCP PACES pass rates through the introduction of a regional multifaceted support framework</a> <a target="_blank" rel="noopener noreferrer" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?DB=pmc">PubMed Central</a> Jerrom, Richard; Roper, Tayeba; Murthy, Narasimha 2017-01-01 Introduction Practical Assessment of Clinical Examination Skills (PACES) constitutes the final part of the mandatory Royal College of Physicians exam series for progression to higher specialty training. Pass rates were lower for core medical trainees (CMTs) in Coventry and Warwickshire in comparison to other regions within the West Midlands and nationally. Objectives Our aim was to improve pass rates in the region through the introduction of a stimulating and supportive teaching framework, designed to enhance the quality and frequency of PACES teaching. Methods To identify key areas for change a baseline questionnaire, including Likert Scale and free text questions related to PACES teaching, was distributed to all CMTs in the region. Many trainees highlighted concern over lack of PACES-orientated teaching and support, with particular emphasis on: lack of bedside-teaching with feedback; infrequent opportunities for practising communication skills; and difficulty identifying suitable patients in an efficient manner. To address these concerns the following interventions were implemented over two Plan, Do, Study, Act (PDSA) cycles which were analysed at 6 months and 12months: a digital forum to highlight relevant inpatients for examination practice; a peer-to-peer mentoring scheme; a consultant-led bedside-teaching rota; and classroom-based communication skills sessions. Results Pass rates at Annual Review of Competence Progression improved from baseline to the end of the first year of implementation, 56.3% to 77.3%, respectively. Furthermore, following analysis of questionnaires at each PDSA cycle, we demonstrated a progressive improvement in trainee satisfaction in exposure, quality and relevance of teaching. Conclusion Our innovative, cost-effective teaching framework for PACES preparation has improved exam outcomes and facilitated swift junior doctor career progression, while raising the profile of the trust. Furthermore, this innovation provides a template for potential adoption in other National Health Service institutions. PMID:28959777 </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.ncbi.nlm.nih.gov/pubmed/28558433','PUBMED'); return false;" href="https://www.ncbi.nlm.nih.gov/pubmed/28558433">Testing the usefulness of 222Rn to complement conventional hydrochemical data to trace groundwater provenance in complex multi-layered aquifers. Application to the Úbeda aquifer system (Jaén, SE Spain).</a> <a target="_blank" rel="noopener noreferrer" href="https://www.ncbi.nlm.nih.gov/entrez/query.fcgi?DB=pubmed">PubMed</a> Ortega, L; Manzano, M; Rodríguez-Arévalo, J 2017-12-01 The Úbeda aquifer system is a multi-layered aquifer intensively exploited for irrigation. It covers 1100km 2 and consists of piled up sedimentary aquifer and aquitard layers from Triassic sandstones and clays at the bottom, to Jurassic carbonates (main exploited layer) in the middle, and Miocene sandstones and marls at the top. Flow network modification by intense exploitation and the existence of deep faults favour vertical mixing of waters from different layers and with distinct chemical composition. This induces quality loss and fosters risk of quantity restrictions. To support future groundwater abstraction management, a hydrogeochemical (major and some minor solutes) and isotopic ( 222 Rn) study was performed to identify the chemical signatures of the different layers and their mixing proportions in mixed samples. The study of 134 groundwater samples allowed a preliminary identification of hydrochemical signatures and mixtures, but the existence of reducing conditions in the most exploited sector prevents the utility of sulphate as a tracer of Triassic groundwater in the Jurassic boreholes. The potential of 222 Rn to establish isotopic signatures and to trace groundwater provenance in mixtures was tested. 222 Rn was measured in 48 samples from springs and boreholes in most aquifer layers. At first, clear correlations were observed between 222 Rn, Cl and SO 4 in groundwater. Afterwards, very good correlations were observed between 222 Rn and the chemical facies of the different layers established with End Member Mixing Analysis (EMMA). Using 222 Rn as part of the signatures, EMMA helped to identify end-member samples, and to quantify the mixing proportions of water from the Triassic and the Deep Miocene layers in groundwater pumped by deep agricultural wells screened in the Jurassic. The incorporation of 222 Rn to the study also allowed identifying the impact of irrigation returns through the association of moderate NO 3 , Cl, and Br contents with very low 222 Rn activities. Copyright © 2017. Published by Elsevier B.V. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.ncbi.nlm.nih.gov/pubmed/26209979','PUBMED'); return false;" href="https://www.ncbi.nlm.nih.gov/pubmed/26209979">Complex regulation of Hsf1-Skn7 activities by the catalytic subunits of PKA in Saccharomyces cerevisiae: experimental and computational evidences.</a> <a target="_blank" rel="noopener noreferrer" href="https://www.ncbi.nlm.nih.gov/entrez/query.fcgi?DB=pubmed">PubMed</a> Pérez-Landero, Sergio; Sandoval-Motta, Santiago; Martínez-Anaya, Claudia; Yang, Runying; Folch-Mallol, Jorge Luis; Martínez, Luz María; Ventura, Larissa; Guillén-Navarro, Karina; Aldana-González, Maximino; Nieto-Sotelo, Jorge 2015-07-27 The cAMP-dependent protein kinase regulatory network (PKA-RN) regulates metabolism, memory, learning, development, and response to stress. Previous models of this network considered the catalytic subunits (CS) as a single entity, overlooking their functional individualities. Furthermore, PKA-RN dynamics are often measured through cAMP levels in nutrient-depleted cells shortly after being fed with glucose, dismissing downstream physiological processes. Here we show that temperature stress, along with deletion of PKA-RN genes, significantly affected HSE-dependent gene expression and the dynamics of the PKA-RN in cells growing in exponential phase. Our genetic analysis revealed complex regulatory interactions between the CS that influenced the inhibition of Hsf1/Skn7 transcription factors. Accordingly, we found new roles in growth control and stress response for Hsf1/Skn7 when PKA activity was low (cdc25Δ cells). Experimental results were used to propose an interaction scheme for the PKA-RN and to build an extension of a classic synchronous discrete modeling framework. Our computational model reproduced the experimental data and predicted complex interactions between the CS and the existence of a repressor of Hsf1/Skn7 that is activated by the CS. Additional genetic analysis identified Ssa1 and Ssa2 chaperones as such repressors. Further modeling of the new data foresaw a third repressor of Hsf1/Skn7, active only in the absence of Tpk2. By averaging the network state over all its attractors, a good quantitative agreement between computational and experimental results was obtained, as the averages reflected more accurately the population measurements. The assumption of PKA being one molecular entity has hindered the study of a wide range of behaviors. Additionally, the dynamics of HSE-dependent gene expression cannot be simulated accurately by considering the activity of single PKA-RN components (i.e., cAMP, individual CS, Bcy1, etc.). We show that the differential roles of the CS are essential to understand the dynamics of the PKA-RN and its targets. Our systems level approach, which combined experimental results with theoretical modeling, unveils the relevance of the interaction scheme for the CS and offers quantitative predictions for several scenarios (WT vs. mutants in PKA-RN genes and growth at optimal temperature vs. heat shock). </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.ncbi.nlm.nih.gov/pubmed/29692443','PUBMED'); return false;" href="https://www.ncbi.nlm.nih.gov/pubmed/29692443">Comparing Student Performance on the Old vs New Versions of the NAPLEX.</a> <a target="_blank" rel="noopener noreferrer" href="https://www.ncbi.nlm.nih.gov/entrez/query.fcgi?DB=pubmed">PubMed</a> Welch, Adam C; Karpen, Samuel C 2018-04-01 Objective. To determine if the new 2016 version of the North American Pharmacy Licensure Examination (NAPLEX) affected scores when controlling for student performance on other measures using data from one institution. Methods. There were 201 records from the classes of 2014-2016. Doubly robust estimation using weighted propensity scores was used to compare NAPLEX scaled scores and pass rates while considering student performance on other measures. Of the potential controllers of student performance: Pharmacy Curricular Outcomes Assessment (PCOA), scaled composite scores from the Pharmacy College Admission Test (PCAT), and P3 Grade Point Average (GPA). Only PCOA and P3 GPA were found to be appropriate for propensity scoring. Results. The weighted NAPLEX scaled scores did not significantly drop from the old (2014-2015) to the new (2016) version of NAPLEX. The change in pass rates between the new and old versions of NAPLEX were also non-significant. Conclusion. Using data from one institution, the new version itself of the NAPLEX did not have a significant effect on NAPLEX scores or first-time pass rates when controlling for student performance on other measures. Colleges are encouraged to repeat this analysis with pooled data and larger sample sizes. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.ncbi.nlm.nih.gov/pubmed/23593343','PUBMED'); return false;" href="https://www.ncbi.nlm.nih.gov/pubmed/23593343">Characterization of the two intra-individual sequence variants in the 18S rRNA gene in the plant parasitic nematode, Rotylenchulus reniformis.</a> <a target="_blank" rel="noopener noreferrer" href="https://www.ncbi.nlm.nih.gov/entrez/query.fcgi?DB=pubmed">PubMed</a> Nyaku, Seloame T; Sripathi, Venkateswara R; Kantety, Ramesh V; Gu, Yong Q; Lawrence, Kathy; Sharma, Govind C 2013-01-01 The 18S rRNA gene is fundamental to cellular and organismal protein synthesis and because of its stable persistence through generations it is also used in phylogenetic analysis among taxa. Sequence variation in this gene within a single species is rare, but it has been observed in few metazoan organisms. More frequently it has mostly been reported in the non-transcribed spacer region. Here, we have identified two sequence variants within the near full coding region of 18S rRNA gene from a single reniform nematode (RN) Rotylenchulus reniformis labeled as reniform nematode variant 1 (RN_VAR1) and variant 2 (RN_VAR2). All sequences from three of the four isolates had both RN variants in their sequences; however, isolate 13B had only RN variant 2 sequence. Specific variable base sites (96 or 5.5%) were found within the 18S rRNA gene that can clearly distinguish the two 18S rDNA variants of RN, in 11 (25.0%) and 33 (75.0%) of the 44 RN clones, for RN_VAR1 and RN_VAR2, respectively. Neighbor-joining trees show that the RN_VAR1 is very similar to the previously existing R. reniformis sequence in GenBank, while the RN_VAR2 sequence is more divergent. This is the first report of the identification of two major variants of the 18S rRNA gene in the same single RN, and documents the specific base variation between the two variants, and hypothesizes on simultaneous co-existence of these two variants for this gene. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.pubmedcentral.nih.gov/articlerender.fcgi?tool=pmcentrez&artid=3623918','PMC'); return false;" href="https://www.pubmedcentral.nih.gov/articlerender.fcgi?tool=pmcentrez&artid=3623918">Characterization of the Two Intra-Individual Sequence Variants in the 18S rRNA Gene in the Plant Parasitic Nematode, Rotylenchulus reniformis</a> <a target="_blank" rel="noopener noreferrer" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?DB=pmc">PubMed Central</a> Nyaku, Seloame T.; Sripathi, Venkateswara R.; Kantety, Ramesh V.; Gu, Yong Q.; Lawrence, Kathy; Sharma, Govind C. 2013-01-01 The 18S rRNA gene is fundamental to cellular and organismal protein synthesis and because of its stable persistence through generations it is also used in phylogenetic analysis among taxa. Sequence variation in this gene within a single species is rare, but it has been observed in few metazoan organisms. More frequently it has mostly been reported in the non-transcribed spacer region. Here, we have identified two sequence variants within the near full coding region of 18S rRNA gene from a single reniform nematode (RN) Rotylenchulus reniformis labeled as reniform nematode variant 1 (RN_VAR1) and variant 2 (RN_VAR2). All sequences from three of the four isolates had both RN variants in their sequences; however, isolate 13B had only RN variant 2 sequence. Specific variable base sites (96 or 5.5%) were found within the 18S rRNA gene that can clearly distinguish the two 18S rDNA variants of RN, in 11 (25.0%) and 33 (75.0%) of the 44 RN clones, for RN_VAR1 and RN_VAR2, respectively. Neighbor-joining trees show that the RN_VAR1 is very similar to the previously existing R. reniformis sequence in GenBank, while the RN_VAR2 sequence is more divergent. This is the first report of the identification of two major variants of the 18S rRNA gene in the same single RN, and documents the specific base variation between the two variants, and hypothesizes on simultaneous co-existence of these two variants for this gene. PMID:23593343 </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.osti.gov/biblio/6942942-intercomparison-radon-progeny-measurement-methods-equipment-north-america','SCIGOV-STC'); return false;" href="https://www.osti.gov/biblio/6942942-intercomparison-radon-progeny-measurement-methods-equipment-north-america">1989 Intercomparison of radon progeny measurement methods and equipment in North America</a> <a target="_blank" rel="noopener noreferrer" href="http://www.osti.gov/search">DOE Office of Scientific and Technical Information (OSTI.GOV)</a> Scofield, P.; George, A.; Tu, Keng. 1990-03-01 At the 1989 {sup 222}Rn progeny intercomparison held at the Environmental Measurements Laboratory (EML), July 10--14, 1989, grab sampling and integrating/continuous {sup 222}Rn progeny methods were evaluated. Sixteen facilities participated in this intercomparison. Twelve facilities used {sup 222}Rn progeny grab sampling methods, and nine facilities used integrating/continuous instruments. Eighty-eight percent of the participants reported grab sample {sup 222}Rn progeny concentrations that were within 20% of the EML reference values. Good agreement between participant and EML grab-sample potential alpha energy concentrations (PAECs) was observed; 92% of the participants had PAECs within 20% of the EML values. For the integrating/continuous PAEC valuesmore » determined with integrating/continuous monitors, 89% of the participants were within 20% of the EML reference values. 9 refs., 3 figs., 4 tabs.« less </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('http://adsabs.harvard.edu/abs/2012PMB....57.4263W','NASAADS'); return false;" href="http://adsabs.harvard.edu/abs/2012PMB....57.4263W">Tumour control probability derived from dose distribution in homogeneous and heterogeneous models: assuming similar pharmacokinetics, 125Sn-177Lu is superior to 90Y-177Lu in peptide receptor radiotherapy</a> <a target="_blank" rel="noopener noreferrer" href="http://adsabs.harvard.edu/abstract_service.html">NASA Astrophysics Data System (ADS)</a> Walrand, Stephan; Hanin, François-Xavier; Pauwels, Stanislas; Jamar, François 2012-07-01 Clinical trials on 177Lu-90Y therapy used empirical activity ratios. Radionuclides (RN) with larger beta maximal range could favourably replace 90Y. Our aim is to provide RN dose-deposition kernels and to compare the tumour control probability (TCP) of RN combinations. Dose kernels were derived by integration of the mono-energetic beta-ray dose distributions (computed using Monte Carlo) weighted by their respective beta spectrum. Nine homogeneous spherical tumours (1-25 mm in diameter) and four spherical tumours including a lattice of cold, but alive, spheres (1, 3, 5, 7 mm in diameter) were modelled. The TCP for 93Y, 90Y and 125Sn in combination with 177Lu in variable proportions (that kept constant the renal cortex biological effective dose) were derived by 3D dose kernel convolution. For a mean tumour-absorbed dose of 180 Gy, 2 mm homogeneous tumours and tumours including 3 mm diameter cold alive spheres were both well controlled (TCP > 0.9) using a 75-25% combination of 177Lu and 90Y activity. However, 125Sn-177Lu achieved a significantly better result by controlling 1 mm-homogeneous tumour simultaneously with tumours including 5 mm diameter cold alive spheres. Clinical trials using RN combinations should use RN proportions tuned to the patient dosimetry. 125Sn production and its coupling to somatostatin analogue appear feasible. Assuming similar pharmacokinetics 125Sn is the best RN for combination with 177Lu in peptide receptor radiotherapy justifying pharmacokinetics studies in rodent of 125Sn-labelled somatostatin analogues. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.ncbi.nlm.nih.gov/pubmed/24732414','PUBMED'); return false;" href="https://www.ncbi.nlm.nih.gov/pubmed/24732414">The effects of caffeine ingestion on the reaction time and short-term maximal performance after 36 h of sleep deprivation.</a> <a target="_blank" rel="noopener noreferrer" href="https://www.ncbi.nlm.nih.gov/entrez/query.fcgi?DB=pubmed">PubMed</a> Souissi, Makram; Chtourou, Hamdi; Abedelmalek, Salma; Ghozlane, Imen Ben; Sahnoun, Zouhair 2014-05-28 The aim of the present study was to investigate the effects of caffeine ingestion on cognitive and physical performances after 36h of sleep deprivation. In randomized order, thirteen healthy male physical education students (age: 21.1±1.1years, body mass: 77.1±7.2kg, height: 1.77±0.06m) completed four test sessions at 18:00h: after placebo or 5mg·kg(-1) of caffeine ingestion during a baseline night (RN) (bed time: from 22:30h to 07:00h) or a night of 36h of sleep deprivation (TSD). During each test session, participants performed the squat jump (SJ), the reaction time, and the 30-s Wingate tests (i.e., for the measurement of the peak (PP) and mean (MP) powers and the fatigue index (FI)). The results showed that PP and MP decreased and FI increased during the TSD compared to RN in the placebo condition (p<0.001). The caffeine ingestion improved PP after TSD compared to RN (p<0.001). SJ decreased significantly after the TSD compared to RN after both placebo and caffeine ingestions (p<0.001). However, SJ increased significantly after caffeine ingestion during RN and TSD (p<0.001). The reaction time increased significantly after TSD compared to RN (p<0.001). However, the reaction time decreased significantly after the caffeine ingestion only during the TSD (p<0.001). Therefore, caffeine is an effective strategy to counteract the effect of 36h of sleep loss on physical and cognitive performances. Copyright © 2014 Elsevier Inc. All rights reserved. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.ncbi.nlm.nih.gov/pubmed/28411426','PUBMED'); return false;" href="https://www.ncbi.nlm.nih.gov/pubmed/28411426">Thoron Mitigation System based on charcoal bed for applications in thorium fuel cycle facilities (part 2): Development, characterization, and performance evaluation.</a> <a target="_blank" rel="noopener noreferrer" href="https://www.ncbi.nlm.nih.gov/entrez/query.fcgi?DB=pubmed">PubMed</a> Sudeep Kumara, K; Sahoo, B K; Gaware, J J; Sapra, B K; Mayya, Y S; Karunakara, N 2017-06-01 Exposure due to thoron ( 220 Rn) gas and its decay products in a thorium fuel cycle facility handling thorium or 232 U/ 233 U mixture compounds is an important issue of radiological concern requiring control and mitigation. Adsorption in a flow-through charcoal bed offers an excellent method of alleviating the release of 220 Rn into occupational and public domain. In this paper, we present the design, development, and characterization of a Thoron Mitigation System (TMS) for industrial application. Systematic experiments were conducted in the TMS for examining the 220 Rn mitigation characteristics with respect to a host of parameters such as flow rate, pressure drop, charcoal grain size, charcoal mass and bed depth, water content, and heat of the carrier gas. An analysis of the experimental data shows that 220 Rn attenuation in a flow through charcoal bed is not exponential with respect to the residence time, L/U a (L: bed depth; U a : superficial velocity), but follows a power law behaviour, which can be attributed to the occurrence of large voids due to wall channeling in a flow through bed. The study demonstrates the regeneration of charcoal adsorption capacity degraded due to moisture adsorption, by hot air blowing technique. It is found that the mitigation factor (MF), which is the ratio of the inlet 220 Rn concentration (C in ) to the outlet 220 Rn concentration (C out ), of more than 10 4 for the TMS is easily achievable during continuous operation (>1000 h) at a flow rate of 40 L min -1 with negligible (<1 cm of water column) pressure drop. The Thoron Mitigation System based on adsorption on charcoal bed offers a compact and effective device to remove 220 Rn from affluent air streams in a space constrained domain. The prototype system has been installed in a thorium fuel cycle facility where it is being evaluated for its long-term performance and overall effectiveness in mitigating 220 Rn levels in the workplace. Copyright © 2017 Elsevier Ltd. All rights reserved. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.ncbi.nlm.nih.gov/pubmed/16891895','PUBMED'); return false;" href="https://www.ncbi.nlm.nih.gov/pubmed/16891895">National survey on the natural radioactivity and 222Rn exhalation rate of building materials in The Netherlands.</a> <a target="_blank" rel="noopener noreferrer" href="https://www.ncbi.nlm.nih.gov/entrez/query.fcgi?DB=pubmed">PubMed</a> de Jong, P; van Dijk, W; van der Graaf, E R; de Groot, T J H 2006-09-01 The present study reports on results of a nation-wide survey on the natural radioactivity concentrations and Rn exhalation rates of the prevailing building materials in the Netherlands. In total 100 samples were taken and analyzed for the activity concentrations of Ra, Ra, Th, and K and for their Rn exhalation rate. The sampled materials consisted of gypsum products, aerated concrete, sand-lime and clay bricks, mortars and concrete, representing about 95% of the stony building materials used in the construction of Dutch homes. The laboratory analyses were performed according to two well-documented standard procedures, the interlaboratory reproducibility of which is found to be within 5% on average. The highest radionuclide concentrations were found in a porous inner wall brick to which fly ash was added. The second highest were clay bricks with average Ra and Ra levels around 40 Bq kg. Concrete and mortar show the highest exhalation rates with a fairly broad range of 1 to 13 microBq (kg s). Low natural radioactivity levels are associated with either natural gypsum (products) or gypsum from flue gas desulphurization units, and low exhalation rates with clay bricks. To evaluate the radiological impact the radioactivity concentrations in each sample were combined into a so-called dose factor, representing the absorbed dose rate in a room with a floor, walls and ceiling of 20 cm of the material in question. For that purpose, calculations with the computer codes MCNP, Marmer and MicroShield on the specific absorbed dose rates were incorporated in the paper. The results of these codes corresponded within 6% and average values were calculated at 0.90, 1.10, and 0.080 nGy h per Bq kg for the U series, the Th series, and K, respectively. Model calculations on the external dose rate, based on the incidence of the various building materials in 1,336 living rooms, are in accordance with measured data. </li> </ol> <div class="pull-right"> <ul class="pagination"> <li><a href="#" onclick='return showDiv("page_1");'>«</a></li> <li><a href="#" onclick='return showDiv("page_14");'>14</a></li> <li><a href="#" onclick='return showDiv("page_15");'>15</a></li> <li class="active">16</li> <li><a href="#" onclick='return showDiv("page_17");'>17</a></li> <li><a href="#" onclick='return showDiv("page_18");'>18</a></li> <li><a href="#" onclick='return showDiv("page_25");'>»</a></li> </ul> </div> </div> </div> </div> <div id="page_17" class="hiddenDiv"> <div class="row"> <div class="col-sm-12"> <div class="pull-right"> <ul class="pagination"> <li><a href="#" onclick='return showDiv("page_1");'>«</a></li> <li><a href="#" onclick='return showDiv("page_15");'>15</a></li> <li><a href="#" onclick='return showDiv("page_16");'>16</a></li> <li class="active">17</li> <li><a href="#" onclick='return showDiv("page_18");'>18</a></li> <li><a href="#" onclick='return showDiv("page_19");'>19</a></li> <li><a href="#" onclick='return showDiv("page_25");'>»</a></li> </ul> </div> </div> </div> <div class="row"> <div class="col-sm-12"> <ol class="result-class" start="321"> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.ncbi.nlm.nih.gov/pubmed/25167378','PUBMED'); return false;" href="https://www.ncbi.nlm.nih.gov/pubmed/25167378">The financial impact of robotic technology for partial and radical nephrectomy.</a> <a target="_blank" rel="noopener noreferrer" href="https://www.ncbi.nlm.nih.gov/entrez/query.fcgi?DB=pubmed">PubMed</a> Kates, Max; Ball, Mark W; Patel, Hiten D; Gorin, Michael A; Pierorazio, Phillip M; Allaf, Mohamad E 2015-03-01 We sought to evaluate the financial impact of robotic technology for partial nephrectomy (PN) and radical nephrectomy (RN) in the state of Maryland. The Maryland Health Services Cost Review Commission (HSCRC) documents all acute care hospital charges data. This database was queried for patients who underwent laparoscopic or robot-assisted RN and PN from 2008 to 2012. Total hospital charge, subcharge, and length of stay (LOS) were analyzed separately for RN and PN. Overall, 2834 patients were identified. Of those, 282 were laparoscopic PN (LPN), 1078 robot-assisted PN (RPN), 1098 laparoscopic RN (LRN), and 376 robot-assisted RN (RRN). For PN, the total hospital charge was $19,062 for LPN and $18,255 for RPN (P=0.138), with a charge savings of $807 per case in favor of robotics. For RN, the total hospital charge was $23,391 for RRN and $18,280 for LRN (P=0.004), with a charge premium of $5111 for robotic cases. LOS was shorter for RPN compared with LPN (2.51 vs 2.99 days, P<0.0001) and for RRN compared with LRN (3.52 vs 3.98, P=0.0498). RPN is associated with lower hospital charges than LPN, while RRN is associated with higher hospital charges than LRN. Savings for RPN are driven by decreased room and board charge, while the premium for RRN is driven by higher operating room and supply charges. Because RRN use is increasing, the financial implications of RRN use for routine cases warrants further study. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.pubmedcentral.nih.gov/articlerender.fcgi?tool=pmcentrez&artid=2956696','PMC'); return false;" href="https://www.pubmedcentral.nih.gov/articlerender.fcgi?tool=pmcentrez&artid=2956696">A novel antiangiogenic peptide derived from hepatocyte growth factor inhibits neovascularization in vitro and in vivo</a> <a target="_blank" rel="noopener noreferrer" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?DB=pmc">PubMed Central</a> Xu, Yi; Zhao, Hui; Zheng, Ying; Gu, Qing; Ma, Jianxing 2010-01-01 Purpose To study the antiangiogenic activity of two small peptides (H-RN and H-FT) derived from the hepatocyte growth factor kringle 1 domain (HGF K1) using in vitro and in vivo assays. Methods RF/6A rhesus macaque choroid-retina endothelial cells were used for in vitro studies. The inhibiting effect of two peptides on a vascular endothelial growth factor (VEGF)-stimulated cell proliferation, cell migration, and endothelial cell tube formation were investigated. For in vivo assays, the antiangiogenic activity of H-RN and H-FT in the chick chorioallantoic membrane model (CAM) and a mice oxygen-induced retinopathy model (OIR) were studied. A recombinant mouse VEGF-neutralizing antibody, bevacizumab, and a scrambled peptide were used as two control groups in separate studies. Results H-RN effectively inhibited VEGF-stimulated RF/6A cell proliferation, migration, and tube formation on Matrigel™, while H-FT did not. H-RN was also able to inhibit angiogenesis when applied to the CAM, and had antineovascularization activity in the retinal neovascularization of a mouse OIR model when administrated as an intravitreous injection. The antiangiogenic activity of H-RN was not as strong as that of VEGF antibodies. The H-FT and scrambled peptide had no such activity. Conclusions H-RN, a new peptide derived from the HGF K1 domain, was shown to have antiangiogenic activity in vitro and in vivo. It may lead to new potential drug discoveries and the development of new treatments for pathological retinal angiogenesis. PMID:21031024 </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.ncbi.nlm.nih.gov/pubmed/25634087','PUBMED'); return false;" href="https://www.ncbi.nlm.nih.gov/pubmed/25634087">Nurse workforce characteristics and infection risk in VA Community Living Centers: a longitudinal analysis.</a> <a target="_blank" rel="noopener noreferrer" href="https://www.ncbi.nlm.nih.gov/entrez/query.fcgi?DB=pubmed">PubMed</a> Uchida-Nakakoji, Mayuko; Stone, Patricia W; Schmitt, Susan K; Phibbs, Ciaran S 2015-03-01 To examine effects of workforce characteristics on resident infections in Veterans Affairs (VA) Community Living Centers (CLCs). A 6-year panel of monthly, unit-specific data included workforce characteristics (from the VA Decision Support System and Payroll data) and characteristics of residents and outcome measures (from the Minimum Data Set). A resident infection composite was the dependent variable. Workforce characteristics of registered nurses (RN), licensed practical nurses (LPN), nurse aides (NA), and contract nurses included: staffing levels, skill mix, and tenure. Descriptive statistics and unit-level fixed effects regressions were conducted. Robustness checks varying workforce and outcome parameters were examined. Average nursing hours per resident day was 4.59 hours (SD=1.21). RN tenure averaged 4.7 years (SD=1.64) and 4.2 years for both LPN (SD=1.84) and NA (SD=1.72). In multivariate analyses RN and LPN tenure were associated with decreased infections by 3.8% (incident rate ratio [IRR]=0.962, P<0.01) and 2% (IRR=0.98, P<0.01) respectively. Robustness checks consistently found RN and LPN tenure to be associated with decreased infections. Increasing RN and LPN tenure are likely to reduce CLC resident infections. Administrators and policymakers need to focus on recruiting and retaining a skilled nursing workforce. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.ncbi.nlm.nih.gov/pubmed/26486131','PUBMED'); return false;" href="https://www.ncbi.nlm.nih.gov/pubmed/26486131">Environmental impact of CO2, Rn, Hg degassing from the rupture zones produced by Wenchuan M s 8.0 earthquake in western Sichuan, China.</a> <a target="_blank" rel="noopener noreferrer" href="https://www.ncbi.nlm.nih.gov/entrez/query.fcgi?DB=pubmed">PubMed</a> Zhou, Xiaocheng; Chen, Zhi; Cui, Yueju 2016-10-01 The concentrations and flux of CO2, (222)Radon (Rn), and gaseous elemental mercury (Hg) in soil gas were investigated based on the field measurements in June 2010 at ten sites along the seismic rupture zones produced by the May 12, 2008, Wenchuan M s 8.0 earthquake in order to assess the environmental impact of degassing of CO2, Rn and Hg. Soil gas concentrations of 344 sampling points were obtained. Seventy measurements of CO2, Rn and Hg flux by the static accumulation chamber method were performed. The results of risk assessment of CO2, Rn and Hg concentration in soil gas showed that (1) the concentration of CO2 in the epicenter of Wenchuan M s 8.0 earthquake and north end of seismic ruptures had low risk of asphyxia; (2) the concentrations of Rn in the north segment of seismic ruptures had high levels of radon, Maximum was up to level 4, according to Chinese code (GB 50325-2001); (3) the average geoaccumulation index I geo of soil Hg denoted the lack of soil contamination, and maximum values classified the soil gas as moderately to strongly polluted in the epicenter. The investigation of soil gas CO2, Rn and Hg degassing rate indicated that (1) the CO2 in soil gas was characterized by a mean [Formula: see text] of -20.4 ‰ and by a mean CO2 flux of 88.1 g m(-2) day(-1), which were in the range of the typical values for biologic CO2 degassing. The maximum of soil CO2 flux reached values of 399 g m(-2) day(-1) in the epicenter; (2) the soil Rn had higher exhalation in the north segment of seismic ruptures, the maximum reached value of 1976 m Bq m(-2) s(-1); (3) the soil Hg flux was lower, ranging from -2.5 to 18.7 n g m(-2) h(-1) and increased from south to north. The mean flux over the all profiles was 4.2 n g m(-2) h(-1). The total output of CO2 and Hg degassing estimated along seismic ruptures for a survey area of 18.17 km(2) were approximately 0.57 Mt year(-1) and 688.19 g year(-1). It is recommended that land-use planners should incorporate soil gas and/or gas flux measurements in the environmental assessment of areas of possible risk. A survey of all houses along seismic ruptures is advised as structural measures to prevent the ingress of soil gases, including CO2 and Rn, were needed in some houses. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://pubs.er.usgs.gov/publication/70031439','USGSPUBS'); return false;" href="https://pubs.er.usgs.gov/publication/70031439">Geochemical and geophysical examination of submarine groundwater discharge and associated nutrient loading estimates into Lynch Cove, Hood Canal, WA</a> <a target="_blank" rel="noopener noreferrer" href="http://pubs.er.usgs.gov/pubs/index.jsp?view=adv">USGS Publications Warehouse</a> Swarzenski, P.W.; Simonds, F.W.; Paulson, A.J.; Kruse, S.; Reich, C. 2007-01-01 Geochemical tracer data (i.e., 222Rn and four naturally occurring Ra isotopes), electromagnetic (EM) seepage meter results, and high-resolution, stationary electrical resistivity images were used to examine the bi-directional (i.e., submarine groundwater discharge and recharge) exchange of a coastal aquifer with seawater. Our study site for these experiments was Lynch Cove, the terminus of Hood Canal, WA, where fjord-like conditions dramatically limit water column circulation that can lead to recurring summer-time hypoxic events. In such a system a precise nutrient budget may be particularly sensitive to groundwater-derived nutrient loading. Shore-perpendicular time-series subsurface resistivity profiles show clear, decimeter-scale tidal modulation of the coastal aquifer in response to large, regional hydraulic gradients, hydrologically transmissive glacial terrain, and large (4-5 m) tidal amplitudes. A 5-day 222Rn time-series shows a strong inverse covariance between 222Rn activities (0.5−29 dpm L-1) and water level fluctuations, and provides compelling evidence for tidally modulated exchange of groundwater across the sediment/water interface. Mean Rn-derived submarine groundwater discharge (SGD) rates of 85 ± 84 cm d-1 agree closely in the timing and magnitude with EM seepage meter results that showed discharge during low tide and recharge during high tide events. To evaluate the importance of fresh versus saline SGD, Rn-derived SGD rates (as a proxy of total SGD) were compared to excess 226Ra-derived SGD rates (as a proxy for the saline contribution of SGD). The calculated SGD rates, which include a significant (>80%) component of recycled seawater, are used to estimate associated nutrient (NH4+, Si, PO43-, NO3 + NO2, TDN) loads to Lynch Cove. The dissolved inorganic nitrogen (DIN = NH4 + NO2 + NO3) SGD loading estimate of 5.9 × 104 mol d-1 is 1−2 orders of magnitude larger than similar estimates derived from atmospheric deposition and surface water runoff, respectively. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('http://www.dtic.mil/docs/citations/ADA021142','DTIC-ST'); return false;" href="http://www.dtic.mil/docs/citations/ADA021142">Characterization of Bird Impacts on a Rigid Plate: Part 1</a> <a target="_blank" rel="noopener noreferrer" href="http://www.dtic.mil/">DTIC Science & Technology</a> 1975-01-01 a breech block at the breech end and a sabot stopper at the muzzle. Four longitudinal slits 46 cm long, 0. 318 cm wide, terminating 36 cm from the...series, the two PCB 118 transducers performed ratisfactorily for 71 shots and displayod no indications of imminent failure, 20 I1I Iz AFFDL-TR-75-5...75-5 Shot No. 4951; velocity 215 rn/s Shot No. 4965; velocity Z01 rn/s A-3 AFFDL-TR-75-5 Shot No. 2986; velocity 71 rn/s Shot No. 4987; velocity 105 i </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('http://adsabs.harvard.edu/abs/2018JDE...264.2184B','NASAADS'); return false;" href="http://adsabs.harvard.edu/abs/2018JDE...264.2184B">Elliptic operators with unbounded diffusion, drift and potential terms</a> <a target="_blank" rel="noopener noreferrer" href="http://adsabs.harvard.edu/abstract_service.html">NASA Astrophysics Data System (ADS)</a> Boutiah, S. E.; Gregorio, F.; Rhandi, A.; Tacelli, C. 2018-02-01 We prove that the realization Ap in Lp (RN) , 1 < p < ∞, of the elliptic operator A = (1 + | x|α) Δ + b | x| α - 1 x/|x| ṡ ∇ - c | x|β with domain D (Ap) = { u ∈W 2 , p (RN) | Au ∈Lp (RN) } generates a strongly continuous analytic semigroup T (ṡ) provided that α > 2 , β > α - 2 and any constants b ∈ R and c > 0. This generalizes the recent results in [4] and in [16]. Moreover we show that T (ṡ) is consistent, immediately compact and ultracontractive. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.pubmedcentral.nih.gov/articlerender.fcgi?tool=pmcentrez&artid=5127722','PMC'); return false;" href="https://www.pubmedcentral.nih.gov/articlerender.fcgi?tool=pmcentrez&artid=5127722">Using agency nurses to fill RN vacancies within specialized hospice and palliative care</a> <a target="_blank" rel="noopener noreferrer" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?DB=pmc">PubMed Central</a> Cozad, Melanie J.; Lindley, Lisa C.; Mixer, Sandy J. 2016-01-01 The use of agency nurses offers flexibility in filling registered nurse openings during times of shortage, yet little is known about their use in specialized palliative care. In an effort to fill this knowledge gap, this study determined whether significant relationships existed between full-time and part-time RN vacancies and the use of agency RNs within specialized hospices that deliver perinatal end of life care to women and their families in the event of miscarriage, ectopic pregnancy, or other neonatal complications resulting in death. This study used data from the 2007 National Home and Hospice Care Survey and multivariate regression methods to estimate the association between RN vacancies and agency RNs use. Approximately 13% of perinatal hospices in 2007 used agency nurses. Increases in full-time RN vacancies are associated with a significant increase in the use of agency RNs, while part-time RN vacancies are associated with a significant decrease in agency RNs. These results suggest that full-time agency RNs were used as a supplemental workforce to fill vacancies until the full-time position is recruited. However, for part-time vacancies, the responsibilities of those positions shifted onto existing staff and the position was not filled. PMID:27683508 </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://pubs.er.usgs.gov/publication/70034213','USGSPUBS'); return false;" href="https://pubs.er.usgs.gov/publication/70034213">Comparison and analysis of empirical equations for soil heat flux for different cropping systems and irrigation methods</a> <a target="_blank" rel="noopener noreferrer" href="http://pubs.er.usgs.gov/pubs/index.jsp?view=adv">USGS Publications Warehouse</a> Irmak, A.; Singh, Ramesh K.; Walter-Shea, Elizabeth; Verma, S.B.; Suyker, A.E. 2011-01-01 We evaluated the performance of four models for estimating soil heat flux density (G) in maize (Zea mays L.) and soybean (Glycine max L.) fields under different irrigation methods (center-pivot irrigated fields at Mead, Nebraska, and subsurface drip irrigated field at Clay Center, Nebraska) and rainfed conditions at Mead. The model estimates were compared against measurements made during growing seasons of 2003, 2004, and 2005 at Mead and during 2005, 2006, and 2007 at Clay Center. We observed a strong relationship between the G and net radiation (Rn) ratio (G/Rn) and the normalized difference vegetation index (NDVI). When a significant portion of the ground was bare soil, G/Rn ranged from 0.15 to 0.30 and decreased with increasing NDVI. In contrast to the NDVI progression, the G/Rn ratio decreased with crop growth and development. The G/Rn ratio for subsurface drip irrigated crops was smaller than for the center-pivot irrigated crops. The seasonal average G was 13.1%, 15.2%, 10.9%, and 12.8% of Rn for irrigated maize, rainfed maize, irrigated soybean, and rainfed soybean, respectively. Statistical analyses of the performance of the four models showed a wide range of variation in G estimation. The root mean square error (RMSE) of predictions ranged from 15 to 81.3 W m-2. Based on the wide range of RMSE, it is recommended that local calibration of the models should be carried out for remote estimation of soil heat flux. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://eric.ed.gov/?q=rate&pg=2&id=EJ1062336','ERIC'); return false;" href="https://eric.ed.gov/?q=rate&pg=2&id=EJ1062336">Tactics to Increase Course Evaluation Response Rates: A Comparison of Effectiveness</a> <a target="_blank" rel="noopener noreferrer" href="http://www.eric.ed.gov/ERICWebPortal/search/extended.jsp?_pageLabel=advanced">ERIC Educational Resources Information Center</a> Jacek, Laura 2015-01-01 When an institution decides to move to online teaching evaluations, they often face concerns that their response rates will fall with the change. This fear need never come to pass, however. There are many interventions that can raise response rates. Good communication strategies, improved student and faculty engagement, and grade hold are just a… </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.ncbi.nlm.nih.gov/pubmed/10392051','PUBMED'); return false;" href="https://www.ncbi.nlm.nih.gov/pubmed/10392051">Justifying our practice.</a> <a target="_blank" rel="noopener noreferrer" href="https://www.ncbi.nlm.nih.gov/entrez/query.fcgi?DB=pubmed">PubMed</a> McDonald, J 1998-10-01 Do we need an RN to do this? Or, can it be done by a less skilled worker? In the redesign of today's hospitals, it is inevitable that these questions are being asked and the role of the RN is being carefully scrutinized. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('http://adsabs.harvard.edu/abs/2018Grund..23..155G','NASAADS'); return false;" href="http://adsabs.harvard.edu/abs/2018Grund..23..155G">Grundwasserzufluss zum Steißlinger See und Folgen für die Wasserchemie</a> <a target="_blank" rel="noopener noreferrer" href="http://adsabs.harvard.edu/abstract_service.html">NASA Astrophysics Data System (ADS)</a> Gilfedder, Benjamin; Peiffer, Stefan; Pöschke, Franziska; Spirkaneder, Andrea 2018-06-01 Groundwater can play an important role in lake water and chemical budgets. The aim of this study was to map and quantify groundwater discharge to Lake Steißlingen, a small lake in south-west Germany, using Rn as a natural groundwater tracer. 222Rn, nutrients, temperature and oxygen concentration were measured in depth profiles and in sediment-near water samples during April and June 2016. The spatial distribution of Rn activities (max. 944 Bq m-3) showed that groundwater discharges into the middle of the lake and along the northeastern shore from springs in the hypolimnion (11-14 m depth). Based on a Rn mass-balance groundwater accounts for 70% of the total water input (GWflux = 11 l s-1) to the lake. There were significant positive correlations between methane and nitrite with Rn activity, suggesting the groundwater as a common source. Overall the inflow of groundwater causes a deterioration in lake water quality. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.ncbi.nlm.nih.gov/pubmed/27884533','PUBMED'); return false;" href="https://www.ncbi.nlm.nih.gov/pubmed/27884533">Thoron, radon and air ions spatial distribution in indoor air.</a> <a target="_blank" rel="noopener noreferrer" href="https://www.ncbi.nlm.nih.gov/entrez/query.fcgi?DB=pubmed">PubMed</a> Kolarž, Predrag; Vaupotič, Janja; Kobal, Ivan; Ujić, Predrag; Stojanovska, Zdenka; Žunić, Zora S 2017-07-01 Spatial distribution of radioactive gasses thoron (Tn) and radon (Rn) in indoor air of 9 houses mostly during winter period of 2013 has been studied. According to properties of alpha decay of both elements, air ionization was also measured. Simultaneous continual measurements using three Rn/Tn and three air-ion active instruments deployed on to three different distances from the wall surface have shown various outcomes. It has turned out that Tn and air ions concentrations decrease with the distance increase, while Rn remained uniformly distributed. Exponential fittings function for Tn variation with distance was used for the diffusion length and constant as well as the exhalation rate determination. The obtained values were similar with experimental data reported in the literature. Concentrations of air ions were found to be in relation with Rn and obvious, but to a lesser extent, with Tn. Copyright © 2016 Elsevier Ltd. All rights reserved. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('http://adsabs.harvard.edu/abs/2018ISPAr42.3.1339P','NASAADS'); return false;" href="http://adsabs.harvard.edu/abs/2018ISPAr42.3.1339P">Quantifying the Contributions of Environmental Parameters to Ceres Surface Net Radiation Error in China</a> <a target="_blank" rel="noopener noreferrer" href="http://adsabs.harvard.edu/abstract_service.html">NASA Astrophysics Data System (ADS)</a> Pan, X.; Yang, Y.; Liu, Y.; Fan, X.; Shan, L.; Zhang, X. 2018-04-01 Error source analyses are critical for the satellite-retrieved surface net radiation (Rn) products. In this study, we evaluate the Rn error sources in the Clouds and the Earth's Radiant Energy System (CERES) project at 43 sites from July in 2007 to December in 2007 in China. The results show that cloud fraction (CF), land surface temperature (LST), atmospheric temperature (AT) and algorithm error dominate the Rn error, with error contributions of -20, 15, 10 and 10 W/m2 (net shortwave (NSW)/longwave (NLW) radiation), respectively. For NSW, the dominant error source is algorithm error (more than 10 W/m2), particularly in spring and summer with abundant cloud. For NLW, due to the high sensitivity of algorithm and large LST/CF error, LST and CF are the largest error sources, especially in northern China. The AT influences the NLW error large in southern China because of the large AT error in there. The total precipitable water has weak influence on Rn error even with the high sensitivity of algorithm. In order to improve Rn quality, CF and LST (AT) error in northern (southern) China should be decreased. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('http://adsabs.harvard.edu/abs/2017PhyC..540...20L','NASAADS'); return false;" href="http://adsabs.harvard.edu/abs/2017PhyC..540...20L">Large voltage modulation in superconducting quantum interference devices with submicron-scale step-edge junctions</a> <a target="_blank" rel="noopener noreferrer" href="http://adsabs.harvard.edu/abstract_service.html">NASA Astrophysics Data System (ADS)</a> Lam, Simon K. H. 2017-09-01 A promising direction to improve the sensitivity of a SQUID is to increase its junction's normal resistance value, Rn, as the SQUID modulation voltage scales linearly with Rn. As a first step to develop highly sensitive single layer SQUID, submicron scale YBCO grain boundary step edge junctions and SQUIDs with large Rn were fabricated and studied. The step-edge junctions were reduced to submicron scale to increase their Rn values using focus ion beam, FIB and the measurement of transport properties were performed from 4.3 to 77 K. The FIB induced deposition layer proves to be effective to minimize the Ga ion contamination during the FIB milling process. The critical current-normal resistance value of submicron junction at 4.3 K was found to be 1-3 mV, comparable to the value of the same type of junction in micron scale. The submicron junction Rn value is in the range of 35-100 Ω, resulting a large SQUID modulation voltage in a wide temperature range. This performance promotes further investigation of cryogen-free, high field sensitivity SQUID applications at medium low temperature, e.g. at 40-60 K. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.osti.gov/biblio/22488759-occurrence-sup-rn-irrigation-water-from-wadi-al-rummah-qassim-province-saudi-arabia','SCIGOV-STC'); return false;" href="https://www.osti.gov/biblio/22488759-occurrence-sup-rn-irrigation-water-from-wadi-al-rummah-qassim-province-saudi-arabia">Occurrence of {sup 222}Rn in irrigation water from Wadi Al-Rummah Qassim province, Saudi Arabia</a> <a target="_blank" rel="noopener noreferrer" href="http://www.osti.gov/search">DOE Office of Scientific and Technical Information (OSTI.GOV)</a> El-Taher, Atef; Alashrah, Saleh Naturally accruing radioactive materials in the environment have received attention since they may be present in high level and pose risk to human health. The present work deals with measuring of {sup 222}Rn in irrigation water samples from Wadi Al-Rummah, Qassim province, in central of Saudi Arabia. {sup 222}Rn concentrations were measured by RAD7. It was found that the concentration of {sup 222}Rn ranged from 2.1 ± 1.2 to 7.2 ± 1.5 BqL{sup −1}. These values are below 11.1 BqL{sup −1} the maximum contamination level recommended from the U.S. Environmental Protection Agency. The calculated annual effective dose (AED) ranging frommore » 7.5 to 26.1 µSv/y. It was evident that the total annual effective dose resulting from radon in irrigation groundwater in Wadi Al-Rummah in Qassim area were significantly lower than the recommended limit 1 mSv/y for the public.« less </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.ncbi.nlm.nih.gov/pubmed/20411878','PUBMED'); return false;" href="https://www.ncbi.nlm.nih.gov/pubmed/20411878">Mentor program boosts new nurses' satisfaction and lowers turnover rate.</a> <a target="_blank" rel="noopener noreferrer" href="https://www.ncbi.nlm.nih.gov/entrez/query.fcgi?DB=pubmed">PubMed</a> Fox, Kathy C 2010-07-01 In 2004, the turnover rate among first-year registered nurses (RNs) at St. Francis Hospital and Health Centers had mushroomed to 31%. Based on research, in 2006, the hospital embarked on a journey to implement an RN mentor program to improve satisfaction and reduce turnover. A pilot program was initiated, including 12 RN mentors and 12 RN protégés from select nursing units. The results showed a 0% turnover rate during the 1-year pilot program. Based on these findings, the mentor program was expanded to include RNs working in inpatient nursing units and surgery and emergency departments. Each year, the RN turnover rate has decreased. In 2009, the turnover rate was 10.3%. Because of the success of the program, it has been expanded in scope to include other professionals experiencing high turnover in targeted departments, including radiological technicians, respiratory therapists, pharmacists, and physical therapists. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.ncbi.nlm.nih.gov/pubmed/22341642','PUBMED'); return false;" href="https://www.ncbi.nlm.nih.gov/pubmed/22341642">Observing how RNs use clinical time in a nursing home: a pilot study.</a> <a target="_blank" rel="noopener noreferrer" href="https://www.ncbi.nlm.nih.gov/entrez/query.fcgi?DB=pubmed">PubMed</a> Dellefield, Mary Ellen; Harrington, Charlene; Kelly, Ann 2012-01-01 Registered nurses (RNs) working in nursing homes (NHs) are a scarce professional resource. Their responsibilities include direct (e.g., assessment, physical care, and medication administration) and indirect care (e.g., documentation, supervision, and other activities performed away from the resident to manage their care environment). The purpose of the study was to describe the direct and indirect care distribution of RNs working day shift in an NH. All RN care was observed, although RN care associated with pressure ulcer prevention as a clinical outcome was highlighted. Work sampling was conducted using a personal data assistant-based RN Observation Measure. RNs spent 59% of their time on indirect care. Little direct care could be linked with specific clinical categories relevant to pressure ulcer prevention. RNs are challenged to use RN clinical time more strategically. Copyright © 2012 Mosby, Inc. All rights reserved. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.ncbi.nlm.nih.gov/pubmed/29306576','PUBMED'); return false;" href="https://www.ncbi.nlm.nih.gov/pubmed/29306576">An untapped resource in the nursing workforce: Licensed practical nurses who transition to become registered nurses.</a> <a target="_blank" rel="noopener noreferrer" href="https://www.ncbi.nlm.nih.gov/entrez/query.fcgi?DB=pubmed">PubMed</a> Jones, Cheryl B; Toles, Mark; Knafl, George J; Beeber, Anna S A more diverse registered nurse (RN) workforce is needed to provide health care in North Carolina (NC) and nationally. Studies describing licensed practical nurse (LPN) career transitions to RNs are lacking. To characterize the occurrence of LPN-to-RN professional transitions; compare key characteristics of LPNs who do and do not make such a transition; and compare key characteristics of LPNs who do transition in the years prior to and following their transition. A retrospective design was conducted using licensure data on LPNs from 2001 to 2013. Cohorts were constructed based on year of graduation. Of 39,398 LPNs in NC between 2001 and 2013, there were 3,161 LPNs (8.0%) who had a LPN-to-RN career transition between 2001 and 2013. LPNs were more likely to transition to RN if they were male; from Asian, American Indian, or other racial groups; held an associate or baccalaureate degree in their last year as an LPN (or their last year in the study if they did not transition); worked in a hospital inpatient setting; worked in the medical-surgical nursing specialty; and were from a rural area. Our findings indicate that the odds of an LPN-to-RN transition were greater if LPNs were: male; from all other racial groups except white; of a younger age at their first LPN licensure; working in a hospital setting; working in the specialty of medical-surgical nursing; employed part-time; or working in a rural setting during the last year as an LPN. This study fills an important gap in our knowledge of LPN-to-RN transitions. Policy efforts are needed to incentivize: LPNs to make a LPN-to-RN transition; educational entities to create and communicate curricular pathways; and employers to support LPNs in making the transition. Copyright © 2017 Elsevier Inc. All rights reserved. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://ntrs.nasa.gov/search.jsp?R=20030002634&hterms=warm&qs=Ntx%3Dmode%2Bmatchall%26Ntk%3DAll%26N%3D0%26No%3D80%26Ntt%3Dwarm','NASA-TRS'); return false;" href="https://ntrs.nasa.gov/search.jsp?R=20030002634&hterms=warm&qs=Ntx%3Dmode%2Bmatchall%26Ntk%3DAll%26N%3D0%26No%3D80%26Ntt%3Dwarm">Convection and Easterly Wave Structure Observed in the Eastern Pacific Warm-Pool during EPIC-2001</a> <a target="_blank" rel="noopener noreferrer" href="http://ntrs.nasa.gov/search.jsp">NASA Technical Reports Server (NTRS)</a> Peterson, Walter A.; Cifelli, R.; Boccippio, D.; Rutledge, S. A.; Fairall, C. W.; Arnold, James E. (Technical Monitor) 2002-01-01 During September-October 2001, the East Pacific Investigation of Climate Processes in the Coupled Ocean-Atmosphere System (EPIC-2001) ITCZ field campaign focused on studies of deep convection in the warm-pool region of the East Pacific. In addition to the TAO mooring array, observational platforms deployed during the field phase included the NOAA ship RN Ronald H. Brown, the NSF ship RN Horizon, and the NOAA P-3 and NCAR C-130 aircraft. This study combines C-band Doppler radar, rawinsonde, and surface heat flux data collected aboard the RN Brown to describe ITCZ convective structure and rainfall statistics in the eastern Pacific as a function of 3-5 day easterly wave phase. Three distinct easterly wave passages occurred during EPIC-2001. Wind and thermodynamic data reveal that the wave trough axes exhibited positively correlated U and V winds and a slight westward phase tilt with height. A relatively strong (weak) northeasterly deep tropospheric shear followed the trough (ridge) axis. Temperature and humidity perturbations exhibited mid-to upper level cooling (warming) and drying (moistening) in the northerly (trough and southerly) phase. At low levels warming (cooling) occurred in the northerly (southerly) phase with little change in the relative humidity, though mixed layer mixing ratios were larger during the northerly phase. When composited, radar, sounding, lightning and surface heat flux observations suggest the following systematic behavior as a function of wave phase: approximately zero to one quarter wavelength ahead of (behind) the wave trough in northerly (southerly) flow, larger (smaller) CAPE, lower (higher) CIN, weaker (stronger) tropospheric shear, higher (lower) conditional mean rain rates, higher (lower) lightning flash densities, and more (less) robust convective vertical structure occurred. Latent and sensible heat fluxes reached a minimum in the northerly phase and then increased through the trough, reaching a peak during the ridge phase (leading the peak in CAPE). From a radar echo coverage perspective, larger areas of light rain and slightly larger (10%) area averaged rain rates occurred in the vicinity of, and just behind, the trough axes in southerly flow. Importantly, the transition in convective structure observed across the trough axis when considered with the relatively small change in area mean rain rates suggests the presence of a transition in the vertical structure of diabatic heating across the easterly waves examined. The inferred transition in heating structure is supported by radar diagnosed divergence profiles that exhibit convective (stratiform) characteristics ahead of (behind) the trough. </li> </ol> <div class="pull-right"> <ul class="pagination"> <li><a href="#" onclick='return showDiv("page_1");'>«</a></li> <li><a href="#" onclick='return showDiv("page_15");'>15</a></li> <li><a href="#" onclick='return showDiv("page_16");'>16</a></li> <li class="active">17</li> <li><a href="#" onclick='return showDiv("page_18");'>18</a></li> <li><a href="#" onclick='return showDiv("page_19");'>19</a></li> <li><a href="#" onclick='return showDiv("page_25");'>»</a></li> </ul> </div> </div> </div> </div> <div id="page_18" class="hiddenDiv"> <div class="row"> <div class="col-sm-12"> <div class="pull-right"> <ul class="pagination"> <li><a href="#" onclick='return showDiv("page_1");'>«</a></li> <li><a href="#" onclick='return showDiv("page_16");'>16</a></li> <li><a href="#" onclick='return showDiv("page_17");'>17</a></li> <li class="active">18</li> <li><a href="#" onclick='return showDiv("page_19");'>19</a></li> <li><a href="#" onclick='return showDiv("page_20");'>20</a></li> <li><a href="#" onclick='return showDiv("page_25");'>»</a></li> </ul> </div> </div> </div> <div class="row"> <div class="col-sm-12"> <ol class="result-class" start="341"> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.pubmedcentral.nih.gov/articlerender.fcgi?tool=pmcentrez&artid=5958887','PMC'); return false;" href="https://www.pubmedcentral.nih.gov/articlerender.fcgi?tool=pmcentrez&artid=5958887">Impact of Front Range sources on reactive nitrogen concentrations and deposition in Rocky Mountain National Park</a> <a target="_blank" rel="noopener noreferrer" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?DB=pmc">PubMed Central</a> Prenni, Anthony J.; Sullivan, Amy P.; Evanoski-Cole, Ashley R.; Fischer, Emily V.; Callahan, Sara; Sive, Barkley C.; Zhou, Yong; Schichtel, Bret A.; Collett Jr, Jeffrey L. 2018-01-01 Human influenced atmospheric reactive nitrogen (RN) is impacting ecosystems in Rocky Mountain National Park (ROMO). Due to ROMO’s protected status as a Class 1 area, these changes are concerning, and improving our understanding of the contributions of different types of RN and their sources is important for reducing impacts in ROMO. In July–August 2014 the most comprehensive measurements (to date) of RN were made in ROMO during the Front Range Air Pollution and Photochemistry Éxperiment (FRAPPÉ). Measurements included peroxyacetyl nitrate (PAN), C1–C5 alkyl nitrates, and high-time resolution NOx, NOy, and ammonia. A limited set of measurements was extended through October. Co-located measurements of a suite of volatile organic compounds provide information on source types impacting ROMO. Specifically, we use ethane as a tracer of oil and gas operations and tetrachloroethylene (C2Cl4) as an urban tracer to investigate their relationship with RN species and transport patterns. Results of this analysis suggest elevated RN concentrations are associated with emissions from oil and gas operations, which are frequently co-located with agricultural production and livestock feeding areas in the region, and from urban areas. There also are periods where RN at ROMO is impacted by long-range transport. We present an atmospheric RN budget and a nitrogen deposition budget with dry and wet components. Total deposition for the period (7/1–9/30) was estimated at 1.58 kg N/ha, with 87% from wet deposition during this period of above average precipitation. Ammonium wet deposition was the dominant contributor to total nitrogen deposition followed by nitrate wet deposition and total dry deposition. Ammonia was estimated to be the largest contributor to dry deposition followed by nitric acid and PAN (other species included alkyl nitrates, ammonium and nitrate). All three species are challenging to measure routinely, especially at high time resolution. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.ncbi.nlm.nih.gov/pubmed/29690853','PUBMED'); return false;" href="https://www.ncbi.nlm.nih.gov/pubmed/29690853">RN Job Satisfaction and Retention After an Interprofessional Team Intervention.</a> <a target="_blank" rel="noopener noreferrer" href="https://www.ncbi.nlm.nih.gov/entrez/query.fcgi?DB=pubmed">PubMed</a> Baik, Dawon; Zierler, Brenda 2018-04-01 Despite continuing interest in interprofessional teamwork to improve nurse outcomes and quality of care, there is little research that focuses on nurse job satisfaction and retention after an interprofessional team intervention. This study explored registered nurse (RN) job satisfaction and retention after a purposeful interprofessional team training and structured interprofessional bedside rounds were implemented. As part of a larger study, in this comparative cross-sectional study, pre- and post-intervention data on RN job satisfaction and turnover rate were collected and analyzed. It was found that RNs had significantly higher job satisfaction after the interprofessional team intervention. The 6-month period turnover rate in the post-intervention period was slightly lower than the 6-month period turnover rate in pre-intervention period; however, the rate was too low to provide statistical evidence. Ongoing coaching and supportive work environments to improve RN outcomes should be considered to enhance quality of care and patient safety in healthcare. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.ncbi.nlm.nih.gov/pubmed/26142806','PUBMED'); return false;" href="https://www.ncbi.nlm.nih.gov/pubmed/26142806">Application of spectral decomposition of ²²²Rn activity concentration signal series measured in Niedźwiedzia Cave to identification of mechanisms responsible for different time-period variations.</a> <a target="_blank" rel="noopener noreferrer" href="https://www.ncbi.nlm.nih.gov/entrez/query.fcgi?DB=pubmed">PubMed</a> Przylibski, Tadeusz Andrzej; Wyłomańska, Agnieszka; Zimroz, Radosław; Fijałkowska-Lichwa, Lidia 2015-10-01 The authors present an application of spectral decomposition of (222)Rn activity concentration signal series as a mathematical tool used for distinguishing processes determining temporal changes of radon concentration in cave air. The authors demonstrate that decomposition of monitored signal such as (222)Rn activity concentration in cave air facilitates characterizing the processes affecting changes in the measured concentration of this gas. Thanks to this, one can better correlate and characterize the influence of various processes on radon behaviour in cave air. Distinguishing and characterising these processes enables the understanding of radon behaviour in cave environment and it may also enable and facilitate using radon as a precursor of geodynamic phenomena in the lithosphere. Thanks to the conducted analyses, the authors confirmed the unquestionable influence of convective air exchange between the cave and the atmosphere on seasonal and short-term (diurnal) changes in (222)Rn activity concentration in cave air. Thanks to the applied methodology of signal analysis and decomposition, the authors also identified a third process affecting (222)Rn activity concentration changes in cave air. This is a deterministic process causing changes in radon concentration, with a distribution different from the Gaussian one. The authors consider these changes to be the effect of turbulent air movements caused by the movement of visitors in caves. This movement is heterogeneous in terms of the number of visitors per group and the number of groups visiting a cave per day and per year. Such a process perfectly elucidates the observed character of the registered changes in (222)Rn activity concentration in one of the decomposed components of the analysed signal. The obtained results encourage further research into precise relationships between the registered (222)Rn activity concentration changes and factors causing them, as well as into using radon as a precursor of geodynamic phenomena in the lithosphere. Copyright © 2015 Elsevier Ltd. All rights reserved. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('http://adsabs.harvard.edu/abs/2003JMEP...12..165S','NASAADS'); return false;" href="http://adsabs.harvard.edu/abs/2003JMEP...12..165S">The effect of heat treatment on the corrosion resistance of 440C stainless steel in 20% HNO3 + 2.5% Na2Cr2O7 solution</a> <a target="_blank" rel="noopener noreferrer" href="http://adsabs.harvard.edu/abstract_service.html">NASA Astrophysics Data System (ADS)</a> Savas, Terence P.; Wang, Allen Yi-Lan; Earthman, James C. 2003-04-01 The effect of heat treatment on the corrosion resistance of 440C stainless steel was investigated in a 20% HNO3 + 2.5% Na2Cr2O7 solution using electrochemical noise (ECN) measurements, electrochemical impedance spectroscopy (EIS), and scanning electron microscopy (SEM) examinations. The noise resistance ( Rn), which has been found to be inversely related to the localized corrosion rate, was measured to be 5.7E + 08 Ω-cm2, 4.2E + 08 Ω-cm2, and 3.7E + 04 Ω-cm2 for the oil-quenched, air-quenched, and vacuum furnace cooled (VFC) samples, respectively, after 1200 s exposures. The Rn for all heat treat conditions stabilized within a range of 1.0E + 07 Ω-cm2 to 3.2E + 08 Ω-cm2 after 2 h exposures. The EIS response showed a polarization resistance ( R p) on the order of 6.6E + 04 Ω-cm2, 5.3E + 04 Ω-cm2, and 1.1E + 04 Ω-cm2 for the oil-quenched, air-quenched, and VFC samples, respectively, after 2 h exposures. The EIS data are in good agreement with ECN data and indicate that after longer exposures, general corrosion mechanisms dominate and the corrosion rates are comparable. SEM examinations of specimens subjected to 1200 s exposures revealed that severity of pitting and intergranular corrosion damage was consistent with trends in the Rn data. Specifically, the electrochemical noise data as well as SEM examinations of specimens revealed a higher localized corrosion resistance of the hardened specimens during the early stages of passivation. This greater resistance to localized corrosion can be attributed to an increased stability of the natural passive film resulting from a higher concentration of chromium atoms in solution for the martensite phase. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://pubs.er.usgs.gov/publication/70031688','USGSPUBS'); return false;" href="https://pubs.er.usgs.gov/publication/70031688">Role of aquifer heterogeneity in fresh groundwater discharge and seawater recycling: An example from the Carmel coast, Israel</a> <a target="_blank" rel="noopener noreferrer" href="http://pubs.er.usgs.gov/pubs/index.jsp?view=adv">USGS Publications Warehouse</a> Weinstein, Y.; Burnett, W.C.; Swarzenski, P.W.; Shalem, Y.; Yechieli, Y.; Herut, B. 2007-01-01 A case study is shown in which the pattern of submarine groundwater discharge and of seawater recycling is controlled by local hydrogeological variability. The coastal aquifer in Dor Bay is composed of two units: a partly confined calcaranitic sandstone (Kurkar) and an overlying loose sand. Groundwater in the Kurkar has elevated activities of 222Rn (∼390 dpm/L) and relatively low 224Ra/223Ra activity ratios (3–4), while the sand groundwater is significantly less radiogenic (6–90 dpm/L) and shows higher 224Ra/223Ra ratios. Groundwater discharging from sand-covered areas of the bay has salinities of 16–31 and an average 222Rn activity of 168 dpm/L, which lies on a mixing line between Rn-rich Kurkar fresh water and Rn-poor seawater. Another key observation is that seawater infiltrates to some extent into onshore sand groundwater, while the fresh water within the submarine Kurkar can be traced up to 40 m offshore. This implies that while fresh water mainly discharges from the Kurkar unit, seawater recycling is limited to the loose sand, and that the discharge from sand-covered areas is a mixture of Kurkar water with recycled seawater. Advection rates from the bay floor were calculated from Rn time series and found to vary between 0 and 36 cm/d, correlating negatively with bay water depth. The average flux was 8.1 cm/d, and it did not seem to change much during March, May, and July 2006. The average amount of fresh water discharging to the bay was 5.0 m3/d per meter of shoreline. Radon activity in the sand groundwater also fluctuates due to influx of Kurkar-type groundwater. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.ncbi.nlm.nih.gov/pubmed/29905929','PUBMED'); return false;" href="https://www.ncbi.nlm.nih.gov/pubmed/29905929">Beyond classic risk adjustment: Socioeconomic status and hospital performance in urologic oncology surgery.</a> <a target="_blank" rel="noopener noreferrer" href="https://www.ncbi.nlm.nih.gov/entrez/query.fcgi?DB=pubmed">PubMed</a> Odisho, Anobel Y; Etzioni, Ruth; Gore, John L 2018-06-15 Safety-net hospitals (SNHs) care for more patients of low socioeconomic status (SES) than non-SNHs and are disproportionately punished under SES-naive Medicare readmission risk-adjustment models. This study was designed to develop a risk-adjustment framework that incorporates SES and to assess the impact on readmission rates. California Office of Statewide Health Planning and Development data from 2007 to 2011 were used to identify patients undergoing radical cystectomy (RC) for bladder cancer (n = 3771) or partial nephrectomy (PN; n = 5556) or radical nephrectomy (RN; n = 13,136) for kidney cancer. Unadjusted hospital rankings and predicted rankings under models simulating the Medicare Hospital Readmissions Reduction Program were compared with predicted rankings under models incorporating SES and hospital factors. SES, derived from a multifactorial neighborhood score, was calculated from US Census data. The 30-day readmission rate was 26.1% for RC, 8.3% for RN, and 9.5% for PN. The addition of SES, geographic, and hospital factors changed hospital rankings significantly in comparison with the base model (P < .01) except for SES for RC (P = .07) and SES and rural factors for PN (P = .12). For RN and PN, the addition of SES predicted lower percentile ranks for SNHs and thus improved observed-to-expected rankings (P < .01). For RC, there were no changes in hospital rankings. SES is important for risk adjustments for complex surgical procedures such as RC. Patient SES affects overall hospital rankings across cohorts, and critically, it differentially and punitively affects rankings for SNHs for some procedures. Cancer 2018. © 2018 American Cancer Society. © 2018 American Cancer Society. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.ncbi.nlm.nih.gov/pubmed/29578041','PUBMED'); return false;" href="https://www.ncbi.nlm.nih.gov/pubmed/29578041">Intraoperative Conversion From Partial to Radical Nephrectomy: Incidence, Predictive Factors, and Outcomes.</a> <a target="_blank" rel="noopener noreferrer" href="https://www.ncbi.nlm.nih.gov/entrez/query.fcgi?DB=pubmed">PubMed</a> Petros, Firas G; Keskin, Sarp K; Yu, Kai-Jie; Li, Roger; Metcalfe, Michael J; Fellman, Bryan M; Chang, Courtney M; Gu, Cindy; Tamboli, Pheroze; Matin, Surena F; Karam, Jose A; Wood, Christopher G 2018-06-01 To evaluate preoperative and intraoperative predictors of conversion to radical nephrectomy (RN) in a cohort of patients undergoing a planned partial nephrectomy (PN) for renal cell carcinoma (RCC). A single-center, retrospective review was conducted using our PN database that includes patients who were scheduled to undergo PN (regardless of the approach) but were converted to RN between August 1990 and December 2016. Reasons for conversion were collected from the operative report. Patient demographics and perioperative variables were compared with the successful PN group. Univariate and multivariate logistic regression analyses were conducted to assess predictors of conversion. A total of 1857 patients were scheduled to undergo PN. Of these patients, 90 (5%) were converted to RN. The multivariate model showed that larger tumor size (odds ratio [OR] = 1.20, P = .040), higher RENAL nephrometry score (OR = 1.41, P = .001), hilar tumor or renal sinus invasion (OR = 2.80, P = .004), laparoscopic PN (OR = 7.34, P <.001), intraoperative bleeding (OR = 19.62, P <.001), positive surgical margin (OR = 31.85, P <.001), and advanced pathologic tumor-stage (T3 or T4) (OR = 7.29, P <.001) were associated with increased odds of intraoperative conversion to RN. The rate of conversion to RN was low in patients who were scheduled to undergo PN in this series. Larger tumor size with increasing complexity, hilar tumor location or renal sinus invasion, locally advanced tumors, laparoscopic PN but not robotic PN, bleeding complication, and positive surgical margin were associated with intraoperative conversion from scheduled PN to RN. Copyright © 2018 Elsevier Inc. All rights reserved. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.pubmedcentral.nih.gov/articlerender.fcgi?tool=pmcentrez&artid=3960480','PMC'); return false;" href="https://www.pubmedcentral.nih.gov/articlerender.fcgi?tool=pmcentrez&artid=3960480">Postnatal Maturation of the Red Nucleus Motor Map Depends on Rubrospinal Connections with Forelimb Motor Pools</a> <a target="_blank" rel="noopener noreferrer" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?DB=pmc">PubMed Central</a> Williams, Preston T. J. A.; Kim, Sangsoo 2014-01-01 The red nucleus (RN) and rubrospinal tract (RST) are important for forelimb motor control. Although the RST is present postnatally in cats, nothing is known about when rubrospinal projections could support motor functions or the relation between the development of the motor functions of the rubrospinal system and the corticospinal system, the other major system for limb control. Our hypothesis is that the RN motor map is present earlier in development than the motor cortex (M1) map, to support early forelimb control. We investigated RN motor map maturation with microstimulation and RST cervical enlargement projections using anterograde tracers between postnatal week 3 (PW3) and PW16. Microstimulation and tracer injection sites were verified histologically to be located within the RN. Microstimulation at PW4 evoked contralateral wrist, elbow, and shoulder movements. The number of sites producing limb movement increased and response thresholds decreased progressively through PW16. From the outset, all forelimb joints were represented. At PW3, RST projections were present within the cervical intermediate zone, with a mature density of putative synapses. In contrast, beginning at PW5 there was delayed and age-dependent development of forelimb motor pool projections and putative rubromotoneuronal synapses. The RN has a more complete forelimb map early in development than previous studies showed for M1, supporting our hypothesis of preferential rubrospinal rather than corticospinal control for early movements. Remarkably, development of the motor pool, not intermediate zone, RST projections paralleled RN motor map development. The RST may be critical for establishing the rudiments of motor skills that subsequently become refined with further CST development. PMID:24647962 </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://pubs.er.usgs.gov/publication/70015395','USGSPUBS'); return false;" href="https://pubs.er.usgs.gov/publication/70015395">Mapping surface energy balance components by combining landsat thematic mapper and ground-based meteorological data</a> <a target="_blank" rel="noopener noreferrer" href="http://pubs.er.usgs.gov/pubs/index.jsp?view=adv">USGS Publications Warehouse</a> Moran, M.S.; Jackson, R. D.; Raymond, L.H.; Gay, L.W.; Slater, P.N. 1989-01-01 Surface energy balance components were evaluated by combining satellite-based spectral data with on-site measurements of solar irradiance, air temperature, wind speed, and vapor pressure. Maps of latent heat flux density (??E) and net radiant flux density (Rn) were produced using Landsat Thematic Mapper (TM) data for three dates: 23 July 1985, 5 April 1986, and 24 June 1986. On each date, a Bowen-ratio apparatus, located in a vegetated field, was used to measure ??E and Rn at a point within the field. Estimates of ??E and Rn were also obtained using radiometers aboard an aircraft flown at 150 m above ground level. The TM-based estimates differed from the Bowen-ratio and aircraft-based estimates by less than 12 % over mature fields of cotton, wheat, and alfalfa, where ??E and Rn ranged from 400 to 700 Wm-2. ?? 1989. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.ncbi.nlm.nih.gov/pubmed/26645843','PUBMED'); return false;" href="https://www.ncbi.nlm.nih.gov/pubmed/26645843">Promoting Trust in the Registered Nurse-Patient Relationship.</a> <a target="_blank" rel="noopener noreferrer" href="https://www.ncbi.nlm.nih.gov/entrez/query.fcgi?DB=pubmed">PubMed</a> Leslie, Jamie Lynn; Lonneman, William 2016-01-01 The establishment of trust in the registered nurse (RN)-patient relationship promotes patient engagement and improves the likelihood that the patient will be an active member of the patient care team. The purpose of this article is to examine nursing literature to identify the antecedents, attributes, and outcomes of trusting relationships between RNs and patients in home healthcare. Antecedents of trust for the RN-patient relationship included 1) meeting a need, 2) respect, 3) attention to time, 4) continuity of care, and 5) the initial visit. Attributes of trust between RN and patient in the home healthcare setting were identified as communication, connection, and reciprocity. For the RN and patient who established mutual trust, patients demonstrated better adaptation and collaboration for improvement of health, expressed a sense of security, and indicated a willingness to engage in additional trusting relationships. Barriers to a trusting relationship included a lack of respect and incompetent and/or unethical care. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.ncbi.nlm.nih.gov/pubmed/28509720','PUBMED'); return false;" href="https://www.ncbi.nlm.nih.gov/pubmed/28509720">Effects of RN Age and Experience on Transformational Leadership Practices.</a> <a target="_blank" rel="noopener noreferrer" href="https://www.ncbi.nlm.nih.gov/entrez/query.fcgi?DB=pubmed">PubMed</a> Herman, Susan; Gish, Mary; Rosenblum, Ruth; Herman, Michael 2017-06-01 This study reported the evolution of transformational leadership (TL) practices and behaviors across years of age, management experience, and professional nursing practice within a professional nursing leadership organization. Recent studies of CNO TL found valuations peak near age 60 years. This study reported on a wider range of management positions, correlating years of RN practice and management experience and age to TL metrics. This study used Kouzes and Posner's Leadership Practices Inventory-Self-Assessment (LPI-S) to survey a nursing leadership organization, the Association of California Nurse Leaders (ACNL). Anonymous responses were analyzed to identify leadership trends in age and years of professional service. On average, LPI-S metrics of leadership skills advance through years of management, RN experience, and age. The TL scores are statistically higher in most LPI-S categories for those with more than 30 years of RN or management experience. Decade-averaged LPI-S TL metrics in the ACNL survey evolve linearly throughout age before peaking in the decade from age 60 to 69 years. A similar evolution of TL metrics is seen in decades of either years of management experience or years of RN experience. Transformational leadership increased with nursing maturity particularly for LPI-S categories of "inspire a shared vision," "challenge the process," and "enable others to act." In the ACNL population studied, decade-averaged leadership metrics advanced. Leadership evolution with age in the broader RN population peaked in age bracket 60 to 69 years. The LPI-S averages declined when older than 70 years, coinciding with a shift from full-time work toward retirement and part-time employment. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.ncbi.nlm.nih.gov/pubmed/26480977','PUBMED'); return false;" href="https://www.ncbi.nlm.nih.gov/pubmed/26480977">Effect of Physician Delegation to Other Healthcare Providers on the Quality of Care for Geriatric Conditions.</a> <a target="_blank" rel="noopener noreferrer" href="https://www.ncbi.nlm.nih.gov/entrez/query.fcgi?DB=pubmed">PubMed</a> Lichtenstein, Brian J; Reuben, David B; Karlamangla, Arun S; Han, Weijuan; Roth, Carol P; Wenger, Neil S 2015-10-01 The quality of care of older adults in the United States has been consistently shown to be inadequate. This gap between recommended and actual care provides an opportunity to improve the value of health care for older adults. Prior work from the Assessing Care of Vulnerable Elders (ACOVE) investigators first defined, and then sought to improve, clinical practice for common geriatric conditions. A critical component of the ACOVE intervention for practice improvement was an emphasis on the delegation of specific care processes, but the independent effect of delegation on the quality of care has not been evaluated. This study analyzed the pooled results of prior ACOVE projects from 1998 to 2010. Totaled, these studies included 4,776 individuals aged 65 and older of mixed demographic backgrounds and 16,204 ACOVE quality indicators (QIs) for three geriatric conditions: falls, urinary incontinence, and dementia. In unadjusted analyses, QI pass probabilities were 0.36 for physician-performed tasks, 0.55 for nurse practitioner (NP)-, physician assistant (PA)-, and registered nurse (RN)-performed tasks; and 0.61 for medical assistant- and licensed vocational nurse-performed tasks. In multiply adjusted models, the independent pass-probability effect of delegation to NPs, PAs, and RNs was 1.37 (P = .05). These findings suggest that delegation of selected tasks to nonphysician healthcare providers is associated with higher quality of care for these geriatric conditions in community practices and supports the value of interdisciplinary team management for common outpatient conditions in older adults. © 2015, Copyright the Authors Journal compilation © 2015, The American Geriatrics Society. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.ncbi.nlm.nih.gov/pubmed/28131147','PUBMED'); return false;" href="https://www.ncbi.nlm.nih.gov/pubmed/28131147">Expanding Capacity With an Accelerated On-Line BSN Program.</a> <a target="_blank" rel="noopener noreferrer" href="https://www.ncbi.nlm.nih.gov/entrez/query.fcgi?DB=pubmed">PubMed</a> Lindley, Marie Kelly; Ashwill, Regina; Cipher, Daisha J; Mancini, Mary E Colleges of nursing are challenged to identify innovative, efficient, and effective mechanisms to expand enrollment in prelicensure programs. This objective of this project was to identify whether a prelicensure nursing program that is both accelerated and on-line is as effective as a traditional face-to-face program, in terms of graduation rates and National Council Licensure Exam pass rates. This analysis of 1,064 students compared demographic and outcomes data between students in a state university's college of nursing who were enrolled in an accelerated, fully on-line bachelors of science in nursing (BSN) program and the traditional on-campus BSN program. Students significantly differed in their ethnicity, level of prior education, and graduation rates (95% vs. 89.3%). First-time National Council Licensure Exam pass rates for both groups did not significantly differ (92.5% vs. 94.5%). Results indicate that an accelerated on-line BSN program can overcome factors known to limit capacity expansion in schools of nursing and produce high-quality student outcomes. Copyright © 2016 Elsevier Inc. All rights reserved. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('http://www.dtic.mil/docs/citations/ADA083453','DTIC-ST'); return false;" href="http://www.dtic.mil/docs/citations/ADA083453">Static Tests of Segments of Tunnel Linings. Volume II. Data.</a> <a target="_blank" rel="noopener noreferrer" href="http://www.dtic.mil/">DTIC Science & Technology</a> 1979-06-30 8217- N Nv N~ w) oi "AAL LA in tn LA% LA w) cc rN 0’. po 00o-. LA 𔃺 D LA ’y L 0 a,0000 coL LA r’- W00 a, c".Jc’.N Ii .1 eNC ,-n0 0000D 00D 0W)0’ 󈧄’ 0-4...000000 rN’ 0 i.n ) P, hiin LALAiLn in Din iLLA.7. iN rN’.4N7r) N. - -i -oi LA.7 i ) N r in0. o’ 1- N 00. c3 ) LADo ’ a, N -i C~ N) j \\i N -N -. -.9. 󈧄 </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://pubs.er.usgs.gov/publication/70033344','USGSPUBS'); return false;" href="https://pubs.er.usgs.gov/publication/70033344">Temporal variability of submarine groundwater discharge: Assessments via radon and seep meters, the southern carmel coast, Israel</a> <a target="_blank" rel="noopener noreferrer" href="http://pubs.er.usgs.gov/pubs/index.jsp?view=adv">USGS Publications Warehouse</a> Weinstein, Y.; Shalem, Y.; Burnett, W.C.; Swarzenski, P.W.; Herut, B. 2007-01-01 Seep meter data from Dor Bay, Israel, showed a steady decrease in submarine groundwater discharge (SGD) rates between March and July 2006 (averages of 34, 10.4 and 1.5 cm d-1 in March, May and July, respectively), while estimates based on radon time series showed remarkably uniform averages (8 cm d-1). The May seep meter data show a rough positive correlation with sea level, unlike the negative correlation shown by the Rn-calculated rates. Smaller-size meters, deployed in July adjacent to the regular-size ones, showed significantly higher rates (10 cm d-1), which negatively correlated with salinity. It is suggested that the decreased rates documented by the seep meters are the result of an increased shallow seawater recharge in the bay (due to decreasing hydraulic gradients). This is not captured by the radon, since recharging water is radon-poor. The positive correlation of discharge with sea level is due to increased seawater recycling in times of high sea stand. Copyright ?? 2007 IAHS Press. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://eric.ed.gov/?q=record+AND+management+AND+system&pg=4&id=ED533921','ERIC'); return false;" href="https://eric.ed.gov/?q=record+AND+management+AND+system&pg=4&id=ED533921">A Statistical Comparison of First Time Praxis II Pass Rates between Homegrown 4 Year Students and Transfer Students of a Medium Size Suburban University: A Six Year Study</a> <a target="_blank" rel="noopener noreferrer" href="http://www.eric.ed.gov/ERICWebPortal/search/extended.jsp?_pageLabel=advanced">ERIC Educational Resources Information Center</a> Holmes, Jason Edward, Jr. 2011-01-01 In order to meet the federal mandate specified by the No Child Left Behind Act to demonstrate content competency for teaching certification, students must pass a written examination. Missouri and 37 other states chose the Praxis II to satisfy requirements. Presently, schools of education advertise the passing rate of the Praxis II as 100%, since… </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://ntrs.nasa.gov/search.jsp?R=19730051231&hterms=Radon&qs=Ntx%3Dmode%2Bmatchall%26Ntk%3DAll%26N%3D0%26No%3D10%26Ntt%3DRadon','NASA-TRS'); return false;" href="https://ntrs.nasa.gov/search.jsp?R=19730051231&hterms=Radon&qs=Ntx%3Dmode%2Bmatchall%26Ntk%3DAll%26N%3D0%26No%3D10%26Ntt%3DRadon">Radon emanation from the moon - Spatial and temporal variability.</a> <a target="_blank" rel="noopener noreferrer" href="http://ntrs.nasa.gov/search.jsp">NASA Technical Reports Server (NTRS)</a> Gorenstein, P.; Golub, L.; Bjorkholm, P. 1973-01-01 Observations of Rn-222 and Po-210 on the lunar surface with the orbiting Apollo alpha particle spectrometer reveal a number of features in their spatial distribution and indicate the existence of time variations in lunar radon emission. Localized Rn-222 or Po-210 around the craters Aristarchus and Grimaldi and the edges of virtually all maria indicates time varying radon emission and suggests a correlation between alpha 'hot spots' and sites of transient optical events observed from the earth. In a gross sense, the slower variations of Rn-222 seem to correlate with the distribution of gamma activity. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('http://www.dtic.mil/docs/citations/ADA589393','DTIC-ST'); return false;" href="http://www.dtic.mil/docs/citations/ADA589393">Application of LCR Waves to Inspect Aircraft Structures</a> <a target="_blank" rel="noopener noreferrer" href="http://www.dtic.mil/">DTIC Science & Technology</a> 2013-01-01 Mechanical Engineering (COBEM 2011). Proceedings of COBEM, 2011. Natal, RN, Brasil Analysis of the behavior of Lcr Waves propagating in Steel bars using...Taguchi Method. 21 th International Congress of Mechanical Engineering (COBEM 2011). Proceedings of COBEM, 2011. Natal, RN, Brasil . Application </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.ncbi.nlm.nih.gov/pubmed/26668835','PUBMED'); return false;" href="https://www.ncbi.nlm.nih.gov/pubmed/26668835">Proposals for registered nurse prescribing: perceptions and intentions of nurses working in primary health care settings.</a> <a target="_blank" rel="noopener noreferrer" href="https://www.ncbi.nlm.nih.gov/entrez/query.fcgi?DB=pubmed">PubMed</a> Wilkinson, Jill 2015-12-01 In 2013, the Nursing Council of New Zealand consulted on a proposal for introduction of registered nurse (RN) prescribing at two levels (specialist and community) within the designated class of prescriber. The proposal builds on the success of the diabetes nurse specialist prescribing project and the experience of other countries where RN prescribing is well established. To describe the views and intentions of nurses who work in primary health care (PHC) settings about the two levels of RN prescribing proposed. The study involved a self-reported survey using a non-probability sample of RNs working in PHC settings (N=305). Quantitative and qualitative data were analysed descriptively. The respondents were experienced nurses. Overall, 82.3% expressed interest in becoming a community nurse prescriber, and 62.6% expressed interest in the specialist prescriber level. RN prescribing was expected to improve efficiency and access to medicines for high-needs populations, clarify accountability and improve nurses' autonomy. The education requirements for the specialist level were viewed as appropriate but too onerous for many. Requirements were viewed as inadequate for the community level. Concerns were raised about funding for education and support for RN prescribing roles. Nurses were positive about the proposals and see a potential to meet significant unmet health need. Nurses are already engaged in the provision of medicines to patients and prescribing authority would ensure they are suitably qualified to engage in these tasks. A clear policy platform will be needed if the proposed levels of RN prescribing are to be successfully implemented. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.ncbi.nlm.nih.gov/pubmed/28339308','PUBMED'); return false;" href="https://www.ncbi.nlm.nih.gov/pubmed/28339308">Association between EMS Question Bank Completion and Passing Rates on the EMS Certification Examination.</a> <a target="_blank" rel="noopener noreferrer" href="https://www.ncbi.nlm.nih.gov/entrez/query.fcgi?DB=pubmed">PubMed</a> Clemency, Brian; Martin-Gill, Christian; Rall, Nicole; May, Paul; Lubin, Jeffrey; Cooley, Craig; Van Dillen, Christine; Silvestri, Salvatore; Portela, Roberto; Cooney, Derek; Knutsen, Christian; March, Juan 2017-01-01 A board review question bank was created to assist candidates in their preparation for the 2015 EMS certification examination. We aimed to describe the development of this question bank and evaluate its successes in preparing candidates to obtain EMS subspecialty board certification. An online question bank was developed by 13 subject matter experts who participated as item writers, representing eight different EMS fellowship programs. The online question bank consisted of four practice tests, with each of the tests comprised of 100 questions. The number of candidates who participated in and completed the question bank was calculated. The passing rate among candidates who completed the question bank was calculated and compared to the publicly reported statistics for all candidates. The relationship between candidates' performance on the question bank and subspecialty exam pass rates was determined. A total of 252 candidates took at least one practice test and, of those, 225 candidates completed all four 100-question practice tests. The pass rate on the 2015 EMS certification exam was 79% (95%CI 74-85%) among candidates who completed the question bank, which is 12% higher than the overall pass rate (p = 0.003). Candidates' performance on the question bank was positively associated with overall success on the exam (X 2 = 75.8, p < 0.0001). Achieving a score of ≥ 70% on the question bank was associated with a higher likelihood of passing the exam (OR = 17.8; 95% CI: 8.0-39.6). Completing the question bank program was associated with improved pass rates on the EMS certification exam. Strong performance on the question bank correlated with success on the exam. </li> </ol> <div class="pull-right"> <ul class="pagination"> <li><a href="#" onclick='return showDiv("page_1");'>«</a></li> <li><a href="#" onclick='return showDiv("page_16");'>16</a></li> <li><a href="#" onclick='return showDiv("page_17");'>17</a></li> <li class="active">18</li> <li><a href="#" onclick='return showDiv("page_19");'>19</a></li> <li><a href="#" onclick='return showDiv("page_20");'>20</a></li> <li><a href="#" onclick='return showDiv("page_25");'>»</a></li> </ul> </div> </div> </div> </div> <div id="page_19" class="hiddenDiv"> <div class="row"> <div class="col-sm-12"> <div class="pull-right"> <ul class="pagination"> <li><a href="#" onclick='return showDiv("page_1");'>«</a></li> <li><a href="#" onclick='return showDiv("page_17");'>17</a></li> <li><a href="#" onclick='return showDiv("page_18");'>18</a></li> <li class="active">19</li> <li><a href="#" onclick='return showDiv("page_20");'>20</a></li> <li><a href="#" onclick='return showDiv("page_21");'>21</a></li> <li><a href="#" onclick='return showDiv("page_25");'>»</a></li> </ul> </div> </div> </div> <div class="row"> <div class="col-sm-12"> <ol class="result-class" start="361"> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.ncbi.nlm.nih.gov/pubmed/26636235','PUBMED'); return false;" href="https://www.ncbi.nlm.nih.gov/pubmed/26636235">RN Diabetes Virtual Case Management: A New Model for Providing Chronic Care Management.</a> <a target="_blank" rel="noopener noreferrer" href="https://www.ncbi.nlm.nih.gov/entrez/query.fcgi?DB=pubmed">PubMed</a> Brown, Nancy N; Carrara, Barbara E; Watts, Sharon A; Lucatorto, Michelle A 2016-01-01 The U.S. chronic disease health care system has substantial gaps in delivery of services. New models of care change traditional delivery of care and explore new settings for care. This article describes a new model of diabetes chronic care delivery: nurse-delivered care that includes protocol-based insulin titration and patient education delivered solely in a virtual environment. In phase 1, the clinical outcome of time to achievement of glycated hemoglobin (A(1C)) goals (P < .001; 95% confidence interval, 1.68-2.24) was significantly improved by registered nurse (RN) standing order intervention (n = 24) as compared with historical controls (n = 28). In phase 2, patients who were referred to an RN-managed insulin titration protocol with individualized A(1C) goals had a significant (P < .001; 95% confidence interval, 1.680-2.242) reduction in results from a mean of 9.6% at baseline to 7.7% at completion. Average patient age was 66 years, with a mean duration of 11 years diagnosed with diabetes. Safety was demonstrated by the absence of hypoglycemia related to RN protocol adjustment. There were no admissions or emergency room (ER) visits for hypoglycemia. This study demonstrates safety and efficacy of RN virtual chronic disease management for an older population of patients with long-standing diabetes. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.ncbi.nlm.nih.gov/pubmed/24637283','PUBMED'); return false;" href="https://www.ncbi.nlm.nih.gov/pubmed/24637283">[Impact of nurse, nurses' aid staffing and turnover rate on inpatient health outcomes in long term care hospitals].</a> <a target="_blank" rel="noopener noreferrer" href="https://www.ncbi.nlm.nih.gov/entrez/query.fcgi?DB=pubmed">PubMed</a> Kim, Yunmi; Lee, Ji Yun; Kang, Hyuncheol 2014-02-01 This study was conducted to explore the impact of registered nurse/nurses' aid (RN/NA) staffing and turnover rate on inpatient health outcomes in long term care hospitals. A secondary analysis was done of national data from the Health Insurance Review and Assessment Services including evaluation of long term care hospitals in October-December 2010 and hospital general characteristics in July-September 2010. Final analysis of data from 610 hospitals included RN/NA staffing, turnover rate of nursing staff and 5 patient health outcome indicators. Finding showed that, when variables of organization and community level were controlled, patients per RN was a significant indicator of decline in ADL for patients with dementia, and new pressure ulcer development in the high risk group and worsening of pressure ulcers. Patients per NA was a significant indicator for new pressure ulcer development in the low risk group. Turnover rate was not significant for any variable. To maintain and improve patient health outcomes of ADL and pressure ulcers, policies should be developed to increase the staffing level of RN. Studies are also needed to examine causal relation of NA staffing level, RN staffing level and patient health outcomes with consideration of the details of nursing practice. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.ncbi.nlm.nih.gov/pubmed/19893449','PUBMED'); return false;" href="https://www.ncbi.nlm.nih.gov/pubmed/19893449">Lessons learned from a lateral violence and team-building intervention.</a> <a target="_blank" rel="noopener noreferrer" href="https://www.ncbi.nlm.nih.gov/entrez/query.fcgi?DB=pubmed">PubMed</a> Barrett, Ann; Piatek, Carolyn; Korber, Susan; Padula, Cynthia 2009-01-01 Lateral violence is likely to exist in settings characterized by poor leadership and lack of clearly articulated roles, expectations, and processes that guide behavior. The purposes of this process improvement project were to (1) identify and improve baseline levels of nurse satisfaction and group cohesion through planned unit-based interventions, (2) determine the effect of a team-building intervention on factors that impact cohesive team functioning, and (3) determine the effect of lateral violence training and communication style differences in improving team cohesion. The sample consisted of registered nurses (RNs) from 4 diverse patient care areas, chosen on the basis of low scores on the National Database of Nursing Quality Indicators (NDNQI) RN-RN interaction subscale. A quasi-experimental pre-post intervention design without a control group was employed. The intervention focused on lateral violence and team building. A qualitative component focused on the impact of the intervention on overall group dynamics and processes. RN scores on the Group Cohesion Scale (P = .037) and the RN-RN interaction scores improved postintervention. Group sessions focused on building trust, identifying and clarifying roles, engaging staff in decision making, role-modeling positive interactions, and holding each other accountable. Key to a cohesive environment is an effective nurse manager able to drive and sustain change. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.pubmedcentral.nih.gov/articlerender.fcgi?tool=pmcentrez&artid=4440801','PMC'); return false;" href="https://www.pubmedcentral.nih.gov/articlerender.fcgi?tool=pmcentrez&artid=4440801">Nurse Workforce Characteristics and Infection Risk in VA Community Living Centers: A Longitudinal Analysis</a> <a target="_blank" rel="noopener noreferrer" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?DB=pmc">PubMed Central</a> Uchida-Nakakoji, Mayuko; Stone, Patricia W.; Schmitt, Susan K.; Phibbs, Ciaran S. 2015-01-01 Objective To examine effects of workforce characteristics on resident infections in Veterans Affairs (VA) Community Living Centers (CLCs). Data Sources A six-year panel of monthly, unit-specific data included workforce characteristics (from the VA Decision Support System and Payroll data) and characteristics of residents and outcome measures (from the Minimum Data Set). Study Design A resident infection composite was the dependent variable. Workforce characteristics of registered nurses (RN), licensed practical nurses (LPN), nurse aides (NA), and contract nurses included: staffing levels, skill mix and tenure. Descriptive statistics and unit-level fixed effects regressions were conducted. Robustness checks varying workforce and outcome parameters were examined. Principal Findings Average nursing hours per resident day was 4.59 hours (sd = 1.21). RN tenure averaged 4.7 years (sd = 1.64) and 4.2 years for both LPN (sd= 1.84) and NA (sd= 1.72). In multivariate analyses RN and LPN tenure were associated with decreased infections by 3.8% (IRR= 0.962 p<0.01) and 2% (IRR=0.98 p<0.01) respectively. Robustness checks consistently found RN and LPN tenure to be associated with decreased infections. Conclusions Increasing RN and LPN tenure are likely to reduce CLC resident infections. Administrators and policymakers need to focus on recruiting and retaining a skilled nursing workforce. PMID:25634087 </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.ncbi.nlm.nih.gov/pubmed/24814999','PUBMED'); return false;" href="https://www.ncbi.nlm.nih.gov/pubmed/24814999">Evidence-based use of electronic clinical tracking systems in advanced practice registered nurse education: an integrative review.</a> <a target="_blank" rel="noopener noreferrer" href="https://www.ncbi.nlm.nih.gov/entrez/query.fcgi?DB=pubmed">PubMed</a> Branstetter, M Laurie; Smith, Lynette S; Brooks, Andrea F 2014-07-01 Over the past decade, the federal government has mandated healthcare providers to incorporate electronic health records into practice by 2015. This technological update in healthcare documentation has generated a need for advanced practice RN programs to incorporate information technology into education. The National Organization of Nurse Practitioner Faculties created core competencies to guide program standards for advanced practice RN education. One core competency is Technology and Information Literacy. Educational programs are moving toward the utilization of electronic clinical tracking systems to capture students' clinical encounter data. The purpose of this integrative review was to evaluate current research on advanced practice RN students' documentation of clinical encounters utilizing electronic clinical tracking systems to meet advanced practice RN curriculum outcome goals in information technology as defined by the National Organization of Nurse Practitioner Faculties. The state of the science depicts student' and faculty attitudes, preferences, opinions, and data collections of students' clinical encounters. Although electronic clinical tracking systems were utilized to track students' clinical encounters, these systems have not been evaluated for meeting information technology core competency standards. Educational programs are utilizing electronic clinical tracking systems with limited evidence-based literature evaluating the ability of these systems to meet the core competencies in advanced practice RN programs. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.ncbi.nlm.nih.gov/pubmed/15701379','PUBMED'); return false;" href="https://www.ncbi.nlm.nih.gov/pubmed/15701379">Radon concentrations in ground and drinking water in the state of Chihuahua, Mexico.</a> <a target="_blank" rel="noopener noreferrer" href="https://www.ncbi.nlm.nih.gov/entrez/query.fcgi?DB=pubmed">PubMed</a> Villalba, L; Colmenero Sujo, L; Montero Cabrera, M E; Cano Jiménez, A; Rentería Villalobos, M; Delgado Mendoza, C J; Jurado Tenorio, L A; Dávila Rangel, I; Herrera Peraza, E F 2005-01-01 This paper reports (222)Rn concentrations in ground and drinking water of nine cities of Chihuahua State, Mexico. Fifty percent of the 114 sampled wells exhibited (222)Rn concentrations exceeding 11Bq/L, the maximum contaminant level (MCL) recommended by the USEPA. Furthermore, around 48% (123 samples) of the tap-water samples taken from 255 dwellings showed radon concentrations over the MCL. There is an apparent correlation between total dissolved solids and radon concentration in ground-water. The high levels of (222)Rn found may be entirely attributed to the nature of aquifer rocks. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.ncbi.nlm.nih.gov/pubmed/28121730','PUBMED'); return false;" href="https://www.ncbi.nlm.nih.gov/pubmed/28121730">Radon Release and Its Simulated Effect on Radiation Doses.</a> <a target="_blank" rel="noopener noreferrer" href="https://www.ncbi.nlm.nih.gov/entrez/query.fcgi?DB=pubmed">PubMed</a> Orabi, Momen 2017-03-01 One of the main factors that affect the uncertainty in calculating the gamma-radiation absorbed dose rate inside a room is the variation in the degree of secular equilibrium of the considered radioactive series. A component of this factor, considered in this paper, is the release of radon (Rn) from building materials to the living space of the room. This release takes place through different steps. These steps are represented and mathematically formulated. The diffusion of radon inside the material is described by Fick's second law. Some of the factors affecting the radon release rate (e.g. covering walls, moisture, structure of the building materials, etc.) are discussed. This scheme is used to study the impact of radon release on the gamma-radiation absorbed dose rate inside a room. The investigation is carried out by exploiting the MCNP simulation software. Different building materials are considered with different radon release rates. Special care is given to Rn due to its relatively higher half-life and higher indoor concentration than the other radon isotopes. The results of the presented model show that the radon release is of a significant impact in some building materials. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://eric.ed.gov/?q=low+AND+wages&pg=2&id=EJ978883','ERIC'); return false;" href="https://eric.ed.gov/?q=low+AND+wages&pg=2&id=EJ978883">Gatekeeping: Why Shouldn't We Be Ambivalent?</a> <a target="_blank" rel="noopener noreferrer" href="http://www.eric.ed.gov/ERICWebPortal/search/extended.jsp?_pageLabel=advanced">ERIC Educational Resources Information Center</a> Sowbel, Lynda R. 2012-01-01 An increase of 88% in programs from 1990 through 2004, low GRE scores, low entry- level wages, declining pass rates in licensing tests, and an increase in ethical violations reported all support the contention that there are higher enrollment rates and decreased gatekeeping selectivity in today's graduate MSW programs. This article discusses four… </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.ncbi.nlm.nih.gov/pubmed/29296034','PUBMED'); return false;" href="https://www.ncbi.nlm.nih.gov/pubmed/29296034">The Impact of Dose Rate on the Accuracy of Step-and-Shoot Intensity-modulated Radiation Therapy Quality Assurance Using Varian 2300CD.</a> <a target="_blank" rel="noopener noreferrer" href="https://www.ncbi.nlm.nih.gov/entrez/query.fcgi?DB=pubmed">PubMed</a> Njeh, Christopher F; Salmon, Howard W; Schiller, Claire 2017-01-01 Intensity-modulated radiation therapy (IMRT) delivery using "step-and-shoot" technique on Varian C-Series linear accelerator (linac) is influenced by the communication frequency between the multileaf collimator and linac controllers. Hence, the dose delivery accuracy is affected by the dose rate. Our aim was to quantify the impact of using two dose rates on plan quality assurance (QA). Twenty IMRT patients were selected for this study. The plan QA was measured at two different dose rates. A gamma analysis was performed, and the degree of plan modulation on the QA pass rate was also evaluated in terms of average monitor unit per segment (MU/segment) and the total number of segments. The mean percentage gamma pass rate of 94.9% and 93.5% for 300 MU/min and 600 MU/min dose rate, respectively, was observed. There was a significant ( P = 0.001) decrease in percentage gamma pass rate when the dose rate was increased from 300 MU/min to 600 MU/min. There was a weak, but significant association between the percentage pass rate at both dose rate and total number of segments. The total number of MU was significantly correlated to the total number of segments ( r = 0.59). We found a positive correlation between the percentage pass rate and mean MU/segment, r = 0.52 and r = 0.57 for 300 MU/min and 600 MU/min, respectively. IMRT delivery using step-and-shoot technique on Varian 2300CD is impacted by the dose rate and the total amount of segments. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.ncbi.nlm.nih.gov/pubmed/27777667','PUBMED'); return false;" href="https://www.ncbi.nlm.nih.gov/pubmed/27777667">The Relationship Between ACGME Duty Hour Requirements and Performance on the American Board of Emergency Medicine Qualifying Examination.</a> <a target="_blank" rel="noopener noreferrer" href="https://www.ncbi.nlm.nih.gov/entrez/query.fcgi?DB=pubmed">PubMed</a> Counselman, Francis L; Kowalenko, Terry; Marco, Catherine A; Joldersma, Kevin B; Korte, Robert C; Reisdorff, Earl J 2016-10-01 In 2003, the Accreditation Council for Graduate Medical Education (ACGME) instituted requirements that limited the number of hours residents could spend on duty, and in 2011, it revised these requirements. This study explored whether the implementation of the 2003 and 2011 duty hour limits was associated with a change in emergency medicine residents' performance on the American Board of Emergency Medicine (ABEM) Qualifying Examination (QE). Beginning with the 1999 QE and ending with the 2014 QE, candidates for whom all training occurred without duty hour requirements (Group A), candidates under the first set of duty hour requirements (Group C), and candidates under the second set of duty hour requirements (Group E) were compared. Comparisons included mean scores and pass rates. In Group A, 5690 candidates completed the examination, with a mean score of 82.8 and a 90.2% pass rate. In Group C, 8333 candidates had a mean score of 82.4 and a 90.5% pass rate. In Group E, there were 1269 candidates, with a mean score of 82.5 and an 89.4% pass rate. There was a small but statistically significant decrease in the mean scores (0.04, P < .001) after implementation of the first duty hour requirements, but this difference did not occur after implementation of the 2011 standards. There was no difference among pass rates for any of the study groups (χ 2 = 1.68, P = .43). We did not identify an association between the 2003 and 2011 ACGME duty hour requirements and performance of test takers on the ABEM QE. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('http://adsabs.harvard.edu/abs/2018PMB....63c5010B','NASAADS'); return false;" href="http://adsabs.harvard.edu/abs/2018PMB....63c5010B">Prediction of radiation necrosis in a rodent model using magnetic resonance imaging apparent transverse relaxation (R_{2}^{*} )</a> <a target="_blank" rel="noopener noreferrer" href="http://adsabs.harvard.edu/abstract_service.html">NASA Astrophysics Data System (ADS)</a> Belliveau, Jean-Guy; Jensen, Michael D.; Stewart, James M. P.; Solovey, Igor; Klassen, L. Martyn; Bauman, Glenn S.; Menon, Ravi S. 2018-02-01 Background and purpose. Radiation necrosis remains an irreversible long-term side-effect following radiotherapy to the brain. The ability to predict areas that could ultimately develop into necrosis could lead to prevention and management of radiation necrosis. Materials and Methods. Fischer 344 rats were irradiated using two platforms (micro-CT irradiator and x-Rad 225 IGRT) with radiation up to 30 Gy for the micro-CT and 40 Gy for the xRAD-224 to half the brain. Animals were subsequently imaged using a 9.4 T MRI scanner every 2-4 weeks for up to 28 weeks using a 7-echo gradient echo sequence. The apparent transverse relaxation constant (R2* ) was calculated and retrospectively analyzed. Results. Animals irradiated with the low-dose rate micro-CT did not exhibit any symptoms or imaging changes associated with RN. Animals irradiated with the xRAD-225 exhibited imaging changes consistent with RN at week 24. Analysis of the R2* coefficient within the lesion and hippocampus shows the potential for detection of RN up to 10 weeks prior to morphological changes. Conclusions. The ability to predict areas of RN and increases of R2* within the hippocampus provides a method for long-term monitoring and prediction of RN. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.ncbi.nlm.nih.gov/pubmed/4081775','PUBMED'); return false;" href="https://www.ncbi.nlm.nih.gov/pubmed/4081775">Enhanced radioactivity due to natural oil and gas production and related radiological problems.</a> <a target="_blank" rel="noopener noreferrer" href="https://www.ncbi.nlm.nih.gov/entrez/query.fcgi?DB=pubmed">PubMed</a> Kolb, W A; Wojcik, M 1985-10-01 Increased gamma radiation detected incidentally a few years ago in a North German oil field was traceable to radioactive scale. At the request of the Federal Ministry of the Interior a survey program was then established for dose rate measurements at various production sites, assessment of the radionuclide content of brines and scale and the Rn-222 content of natural gas. Dose equivalent rates of up to 50 mu Sv/h have been measured at the external surface of storage tanks for brines, but 73% of the 160 sites investigated did not show an increase above the natural background. Brines from gas fields contained Ra-226 of up to 286 Bq/l and scale of up to 1 kBq/g. In brines and scale from oil fields Ra-228 was usually the predominant radionuclide. Some samples contained "unsupported" Pb-210 and even Ac-227, too, but practically no uranium or thorium. The Rn-222 concentrations in natural gas samples varied between 0.004 and 4 Bq/l with a mean value of 0.6 Bq/l. It is shown that the radiation exposure due to natural gas consumption is negligible but some other problems or radiological relevance are recognized. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.ncbi.nlm.nih.gov/pubmed/28101739','PUBMED'); return false;" href="https://www.ncbi.nlm.nih.gov/pubmed/28101739">Inhalation dose due to radon, thoron, and progenies in dwellings of a hill station.</a> <a target="_blank" rel="noopener noreferrer" href="https://www.ncbi.nlm.nih.gov/entrez/query.fcgi?DB=pubmed">PubMed</a> Sivakumar, R 2017-02-01 The general public spends a major portion of their time in an indoor environment and hence receives a considerable amount of radiation. Knowledge about indoor radiation is important in order to arrive at the actual effective dose received by residents. The indoor radon, thoron, and progeny concentrations observed in the present study were found to vary with seasons of a given year. The highest and lowest indoor average radon, thoron, and progeny levels were observed during winter and summer seasons, respectively. The concentrations of indoor radon, thoron, and progenies were found to vary with the type of houses. The highest 222 Rn, 220 Rn, and progeny concentrations were observed in mud houses and the lowest values were recorded in wooden houses. The indoor 222 Rn concentration correlated well with concentration of its grandparent 238 U in underlying soil with a correlation coefficient of 0.87. The correlation between indoor 220 Rn and 232 Th in the underlying soil was found to be 0.64. The estimated effective doses received by the general public in the present study due to indoor radon and thoron were 1.49 ± 0.49 and 1.30 ± 0.53 mSv/year, respectively. The annual effective doses due to radon and thoron progenies were estimated as 0.76 ± 0.27 and 0.47 ± 0.23 mSv/year, respectively. The contributions from 222 Rn, 220 Rn, and corresponding progenies to the annual effective doses received were 37, 32, 19, and 12%, respectively. The general public living in the study area receives an inhalation dose of 4.02 mSv/year due to indoor radon, thoron, and progenies, which were found to be less than the action limit of ICRP 2009. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.ncbi.nlm.nih.gov/pubmed/27994197','PUBMED'); return false;" href="https://www.ncbi.nlm.nih.gov/pubmed/27994197">Different responses of soybean cyst nematode resistance between two RIL populations derived from Peking x 7605 under two ecological sites.</a> <a target="_blank" rel="noopener noreferrer" href="https://www.ncbi.nlm.nih.gov/entrez/query.fcgi?DB=pubmed">PubMed</a> Li, Yongchun; Guo, Na; Zhao, Jinming; Zhou, Bin; Xu, Ran; Ding, Hui; Zhao, Weiguo; Gai, Junyi; Xing, Han 2016-12-01 The soybean cyst nematode (SCN), Heterodera glycines Ichinohe, is a plant-parasitic nematode that feeds on the roots of soybean and most economically devastating pathogen of soybean (Glycine max (L.) Merr.) worldwide. Host plant resistance is the most effective control method. To understand SCN resistance in different environments, two recombinant-inbred lines (RILs) populations NJ(RN)P7 (217 F 2:8:11 lines) and JN(RN)P7 (248 F 2:7:9 lines) were developed from the cross of the cultivars Peking x 7605 in Nanjing and Jinan, respectively, and examined in this study. Peking is resistant to SCN race 1 (HG types 2.5.7), while 7605 is highly susceptible. Chi-square test of frequency distribution of families' female index (FI) showed that resistance to SCN was significantly different between NJ(RN)P7 and JN(RN)P7 populations. Three recessive genes conditioned the inheritance of resistance to SCN race 1 in both populations, but significant difference was detected for the mean of FI on two populations (DM= -16.68, P< 0.01). This indicated that natural selection may affect resistance to SCN. By analysing the variation of phenotype, the genetic structure of the two populations was determined to be different. The inheritance and variation of resistance were confirmed by simple sequence repeat (SSR) markers. For the two populations, 10 SSR markers showed polymorphism of resistant and susceptible DNA bulks. Some markers associated with the resistance of SCN races 1, 2, 3 and 5, and two markers, Satt163 and Satt309, reportedly related to rgh1 were detected both in NJ(RN)P7 and JN(RN)P7 populations. The results support the view that a disease acts as a selective force on plant resistance characteristics, which may alter the relative fitness of resistance alleles. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.osti.gov/biblio/382937-pass-pig-passes-test-two-phase-pipelines','SCIGOV-STC'); return false;" href="https://www.osti.gov/biblio/382937-pass-pig-passes-test-two-phase-pipelines"></a> <a target="_blank" rel="noopener noreferrer" href="http://www.osti.gov/search">DOE Office of Scientific and Technical Information (OSTI.GOV)</a> Wu, H.L.; Spronsen, G. van; Klaus, E.H. A simulation model of the dynamics of a by-pass pig and related two-phase flow behavior along with field trials of the pig in a dry-gas pipeline have revealed significant gains in use of a by-pass pig in modifying gas and liquid production rates. The method can widen the possibility of applying two-phase flow pipeline transportation to cases in which separator or slug-catcher capacity is limited by practicality or cost. Pigging two-phase pipelines normally generates large liquid slug volumes in front of the pig. These require large separators or slug catchers. Using a high by-pass pig to disperse the liquid andmore » reduce the maximum liquid production rate before pig arrival has been investigated by Shell Exploration and Production companies. A simulation model of the dynamics of the pig and related two-phase flow behavior in the pipeline was used to predict the performance of by-pass pigs. Field trials in a dry-gas pipeline were carried out to provide friction data and to validate the model. The predicted mobility of the high by-pass pig in the pipeline and risers was verified and the beneficial effects due to the by-pass concept exceeded the prediction of the simplified model.« less </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://eric.ed.gov/?q=fundamentals+AND+demographic+AND+analysis&pg=3&id=ED555030','ERIC'); return false;" href="https://eric.ed.gov/?q=fundamentals+AND+demographic+AND+analysis&pg=3&id=ED555030">Early Identification of At-Risk LPN-to-RN Students</a> <a target="_blank" rel="noopener noreferrer" href="http://www.eric.ed.gov/ERICWebPortal/search/extended.jsp?_pageLabel=advanced">ERIC Educational Resources Information Center</a> Hawthorne, Lisa K. 2013-01-01 Nurse education programs are implementing standardized assessments without evaluating their effectiveness. Graduates of associate degree nursing programs continue to be unsuccessful with licensure examinations, despite standardized testing and stronger admission criteria. This problem is also prevalent for LPN-to-RN education programs due to a… </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.ncbi.nlm.nih.gov/pubmed/24213896','PUBMED'); return false;" href="https://www.ncbi.nlm.nih.gov/pubmed/24213896">Consumption of methane by soils.</a> <a target="_blank" rel="noopener noreferrer" href="https://www.ncbi.nlm.nih.gov/entrez/query.fcgi?DB=pubmed">PubMed</a> Dueñas, C; Fernández, M C; Carretero, J; Pérez, M; Liger, E 1994-05-01 Measurements of the methane flux and methane concentration profiles in soil air are presented. The flux of methane from the soil is calculated by two methods: a) Direct by placing a static open chamber at the soil surface. b) Indirect, using the (222)Rn concentrations profile and the (222)Rn flux in the soil surface in parallel with the methane concentration ((222)Rn calibrated fluxes). The methane flux has been determined in two kinds of soils (sandy and loamy) in the surroundings of Málaga (SPAIN). The directly measured methane fluxes at all investigated sites is higher than methane fluxes derived from "Rn calibrated fluxes". Atmospheric methane is consumed by soils, mean direct flux to the atmosphere were - 0.33 g m(-2)yr-1. The direct methane flux is the same within the measuring error in sandy and loamy soils. The influence of the soil parameters on the methane flux indicates that microbial decomposition of methane is primarily controlled by the transport of methane. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.ncbi.nlm.nih.gov/pubmed/24069715','PUBMED'); return false;" href="https://www.ncbi.nlm.nih.gov/pubmed/24069715">Specialized new graduate RN pediatric orientation: a strategy for nursing retention and its financial impact.</a> <a target="_blank" rel="noopener noreferrer" href="https://www.ncbi.nlm.nih.gov/entrez/query.fcgi?DB=pubmed">PubMed</a> Friedman, M Isabel; Delaney, Margaret M; Schmidt, Kathleen; Quinn, Carolyn; Macyk, Irene 2013-01-01 New graduate RN retention in the first year of employment is a challenge for hospitals, ranging from a low of 25% to a high of 64%. In 2005, hospitals in New York state spent 11.7% of their nursing budgets on temporary nursing staffing. The objectives of this study were to determine the retention and costs associated with the employment of new graduate RNs before and after the initiation of specialized year-long pediatric critical care, emergency department, and hematology/oncology orientation programs. The major study findings were improved retention of 84% to 94%, significant retention between the two groups at 9 months, and an annual financial savings related to decreased nursing turnover in the specialized orientation group. Specialized orientation programs that support new graduate RNs have documented increased RN retention and decreased RN turnover. In concert with the increased retention and decreased turnover, health care finances were positively impacted by specialized orientation programs. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.ncbi.nlm.nih.gov/pubmed/24344822','PUBMED'); return false;" href="https://www.ncbi.nlm.nih.gov/pubmed/24344822">Helping mothers survive bleeding after birth: an evaluation of simulation-based training in a low-resource setting.</a> <a target="_blank" rel="noopener noreferrer" href="https://www.ncbi.nlm.nih.gov/entrez/query.fcgi?DB=pubmed">PubMed</a> Nelissen, Ellen; Ersdal, Hege; Ostergaard, Doris; Mduma, Estomih; Broerse, Jacqueline; Evjen-Olsen, Bjørg; van Roosmalen, Jos; Stekelenburg, Jelle 2014-03-01 To evaluate "Helping Mothers Survive Bleeding After Birth" (HMS BAB) simulation-based training in a low-resource setting. Educational intervention study. Rural referral hospital in Northern Tanzania. Clinicians, nurse-midwives, medical attendants, and ambulance drivers involved in maternity care. In March 2012, health care workers were trained in HMS BAB, a half-day simulation-based training, using a train-the-trainer model. The training focused on basic delivery care, active management of third stage of labor, and treatment of postpartum hemorrhage, including bimanual uterine compression. Evaluation questionnaires provided information on course perception. Knowledge, skills, and confidence of facilitators and learners were tested before and after training. Four master trainers trained eight local facilitators, who subsequently trained 89 learners. After training, all facilitators passed the knowledge test, but pass rates for the skills test were low (29% pass rate for basic delivery and 0% pass rate for management of postpartum hemorrhage). Evaluation revealed that HMS BAB training was considered acceptable and feasible, although more time should be allocated for training, and teaching materials should be translated into the local language. Knowledge, skills, and confidence of learners increased significantly immediately after training. However, overall pass rates for skills tests of learners after training were low (3% pass rate for basic delivery and management of postpartum hemorrhage). The HMS BAB simulation-based training has potential to contribute to education of health care providers. We recommend a full day of training and validation of the facilitators to improve the training. © 2013 Nordic Federation of Societies of Obstetrics and Gynecology. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('http://adsabs.harvard.edu/abs/2017Fract..2550060Z','NASAADS'); return false;" href="http://adsabs.harvard.edu/abs/2017Fract..2550060Z">THE EXCEPTIONAL SETS ON THE RUN-LENGTH FUNCTION OF β-EXPANSIONS</a> <a target="_blank" rel="noopener noreferrer" href="http://adsabs.harvard.edu/abstract_service.html">NASA Astrophysics Data System (ADS)</a> Zheng, Lixuan; Wu, Min; Li, Bing Let β > 1 and the run-length function rn(x,β) be the maximal length of consecutive zeros amongst the first n digits in the β-expansion of x ∈ [0, 1]. The exceptional set Emaxφ = x ∈ [0, 1] :liminf n→∞rn(x,β) φ(n) = 0,limsupn→∞rn(x,β) φ(n) = +∞ is investigated, where φ : ℕ → ℝ+ is a monotonically increasing function with limn→∞φ(n) = +∞. We prove that the set Emaxφ is either empty or of full Hausdorff dimension and residual in [0, 1] according to the increasing rate of φ. </li> </ol> <div class="pull-right"> <ul class="pagination"> <li><a href="#" onclick='return showDiv("page_1");'>«</a></li> <li><a href="#" onclick='return showDiv("page_17");'>17</a></li> <li><a href="#" onclick='return showDiv("page_18");'>18</a></li> <li class="active">19</li> <li><a href="#" onclick='return showDiv("page_20");'>20</a></li> <li><a href="#" onclick='return showDiv("page_21");'>21</a></li> <li><a href="#" onclick='return showDiv("page_25");'>»</a></li> </ul> </div> </div> </div> </div> <div id="page_20" class="hiddenDiv"> <div class="row"> <div class="col-sm-12"> <div class="pull-right"> <ul class="pagination"> <li><a href="#" onclick='return showDiv("page_1");'>«</a></li> <li><a href="#" onclick='return showDiv("page_18");'>18</a></li> <li><a href="#" onclick='return showDiv("page_19");'>19</a></li> <li class="active">20</li> <li><a href="#" onclick='return showDiv("page_21");'>21</a></li> <li><a href="#" onclick='return showDiv("page_22");'>22</a></li> <li><a href="#" onclick='return showDiv("page_25");'>»</a></li> </ul> </div> </div> </div> <div class="row"> <div class="col-sm-12"> <ol class="result-class" start="381"> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.ncbi.nlm.nih.gov/pubmed/15468634','PUBMED'); return false;" href="https://www.ncbi.nlm.nih.gov/pubmed/15468634">Tying it all together--The PASS to Success: a comprehensive look at promoting job retention for workers with psychiatric disabilities in a supported employment program.</a> <a target="_blank" rel="noopener noreferrer" href="https://www.ncbi.nlm.nih.gov/entrez/query.fcgi?DB=pubmed">PubMed</a> Dorio, JoAnn 2004-01-01 Job initiation rates are steadily improving for people with severe and persistent mental illnesses. Yet, job retention rates, especially for those individuals who historically have had difficulty maintaining employment, continue to concern vocational rehabilitation professionals. In this paper, the author develops and refines her ideas that were presented in a previous research paper titled "Differences in Job Retention in a Supported Employment Program, Chinook Clubhouse." A more complete model, "The PASS to Success," is suggested by incorporating existing research with the author's revised work. Components of the model (Placement, Attitude, Support, Skills), can be used to predict vocational success and promote job retention. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.ncbi.nlm.nih.gov/pubmed/24300253','PUBMED'); return false;" href="https://www.ncbi.nlm.nih.gov/pubmed/24300253">Implementing a writing course in an online RN-BSN program.</a> <a target="_blank" rel="noopener noreferrer" href="https://www.ncbi.nlm.nih.gov/entrez/query.fcgi?DB=pubmed">PubMed</a> Stevens, Carol J; D'Angelo, Barbara; Rennell, Nathalie; Muzyka, Diann; Pannabecker, Virginia; Maid, Barry 2014-01-01 Scholarly writing is an essential skill for nurses to communicate new research and evidence. Written communication directly relates to patient safety and quality of care. However, few online RN-BSN programs integrate writing instruction into their curricula. Nurses traditionally learn how to write from instructor feedback and often not until midway into their baccalaureate education. Innovative strategies are needed to help nurses apply critical thinking skills to writing. The authors discuss a collaborative project between nursing faculty and technical communication faculty to develop and implement a writing course that is 1 of the 1st courses the students take in the online RN-BSN program. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.osti.gov/biblio/22648885-su-comparing-imrt-qa-pass-rates-before-after-mlc-calibration','SCIGOV-STC'); return false;" href="https://www.osti.gov/biblio/22648885-su-comparing-imrt-qa-pass-rates-before-after-mlc-calibration">SU-F-T-271: Comparing IMRT QA Pass Rates Before and After MLC Calibration</a> <a target="_blank" rel="noopener noreferrer" href="http://www.osti.gov/search">DOE Office of Scientific and Technical Information (OSTI.GOV)</a> Mazza, A; Perrin, D; Fontenot, J Purpose: To compare IMRT QA pass rates before and after an in-house MLC leaf calibration procedure. Methods: The MLC leaves and backup jaws on four Elekta linear accelerators with MLCi2 heads were calibrated using the EPID-based RIT Hancock Test as the means for evaluation. The MLCs were considered to be successfully calibrated when they could pass the Hancock Test with criteria of 1 mm jaw position tolerance, and 1 mm leaf position tolerance. IMRT QA results were collected pre- and postcalibration and analyzed using gamma analysis with 3%/3mm DTA criteria. AAPM TG-119 test plans were also compared pre- and post-calibration,more » at both 2%/2mm DTA and 3%/3mm DTA. Results: A weighted average was performed on the results for all four linear accelerators. The pre-calibration IMRT QA pass rate was 98.3 ± 0.1%, compared with the post-calibration pass rate of 98.5 ± 0.1%. The TG-119 test plan results showed more of an improvement, particularly at the 2%/2mm criteria. The averaged results were 89.1% pre and 96.1% post for the C-shape plan, 94.8% pre and 97.1% post for the multi-target plan, 98.6% pre and 99.7% post for the prostate plan, 94.7% pre and 94.8% post for the head/neck plan. Conclusion: The patient QA results did not show statistically significant improvement at the 3%/3mm DTA criteria after the MLC calibration procedure. However, the TG-119 test cases did show significant improvement at the 2%/2mm level.« less </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.ncbi.nlm.nih.gov/pubmed/27842258','PUBMED'); return false;" href="https://www.ncbi.nlm.nih.gov/pubmed/27842258">A combined EPR and MD simulation study of a nitroxyl spin label with restricted internal mobility sensitive to protein dynamics.</a> <a target="_blank" rel="noopener noreferrer" href="https://www.ncbi.nlm.nih.gov/entrez/query.fcgi?DB=pubmed">PubMed</a> Oganesyan, Vasily S; Chami, Fatima; White, Gaye F; Thomson, Andrew J 2017-01-01 EPR studies combined with fully atomistic Molecular Dynamics (MD) simulations and an MD-EPR simulation method provide evidence for intrinsic low rotameric mobility of a nitroxyl spin label, Rn, compared to the more widely employed label MTSL (R1). Both experimental and modelling results using two structurally different sites of attachment to Myoglobin show that the EPR spectra of Rn are more sensitive to the local protein environment than that of MTSL. This study reveals the potential of using the Rn spin label as a reporter of protein motions. Copyright © 2016 Elsevier Inc. All rights reserved. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('http://hdl.handle.net/2060/20150019435','NASA-TRS'); return false;" href="http://hdl.handle.net/2060/20150019435">Iron-Rich Carbonates as the Potential Source of Evolved CO2 Detected by the Sample Analysis at Mars (SAM) Instrument in Gale Crater</a> <a target="_blank" rel="noopener noreferrer" href="http://ntrs.nasa.gov/search.jsp">NASA Technical Reports Server (NTRS)</a> Sutter, B.; Heil, E.; Rampe, E. B.; Morris, R. V.; Ming, D. W.; Archer, P. D.; Eigenbrode, J. L.; Franz, H. B.; Glavin, D. P.; McAdam, A. C.; <a style="text-decoration: none; " href="javascript:void(0); " onClick="displayelement('author_20150019435'); toggleEditAbsImage('author_20150019435_show'); toggleEditAbsImage('author_20150019435_hide'); "> <img style="display:inline; width:12px; height:12px; " src="images/arrow-up.gif" width="12" height="12" border="0" alt="hide" id="author_20150019435_show"> <img style="width:12px; height:12px; display:none; " src="images/arrow-down.gif" width="12" height="12" border="0" alt="hide" id="author_20150019435_hide"> 2015-01-01 The Sample Analysis at Mars (SAM) instrument detected at least 4 distinct CO2 release during the pyrolysis of a sample scooped from the Rocknest (RN) eolian deposit. The highest peak CO2 release temperature (478-502 C) has been attributed to either a Fe-rich carbonate or nano-phase Mg-carbonate. The objective of this experimental study was to evaluate the thermal evolved gas analysis (T/EGA) characteristics of a series of terrestrial Fe-rich carbonates under analog SAM operating conditions to compare with the RN CO2 releases. Natural Fe-rich carbonates (<53 microns) with varying Fe amounts (Fe(0.66)X(0.34)- to Fe(0.99)X(0.01)-CO3, where X refers to Mg and/or Mn) were selected for T/EGA. The carbonates were heated from 25 to 715 C (35 C/min) and evolved CO2 was measured as a function of temperature. The highest Fe containing carbonates (e.g., Fe(0.99)X(0.01)-CO3) yielded CO2 peak temperatures between 466-487 C, which is consistent with the high temperature RN CO2 release. The lower Fe-bearing carbonates (e.g., Fe(0.66)X(0.34)CO3) did not have peak CO2 release temperatures that matched the RN peak CO2 temperatures; however, their entire CO2 releases did occur within RN temperature range of the high temperature CO2 release. Results from this laboratory analog analysis demonstrate that the high temperature RN CO2 release is consistent with Fe-rich carbonate (approx.0.7 to 1 wt.% FeCO3). The similar RN geochemistry with other materials in Gale Crater and elsewhere on Mars (e.g., Gusev Crater, Meridiani) suggests that up to 1 wt. % Fe-rich carbonate may occur throughout the Gale Crater region and could be widespread on Mars. The Rocknest Fe-carbonate may have formed from the interaction of reduced Fe phases (e.g., Fe2+ bearing olivine) with atmospheric CO2 and transient water. Alternatively, the Rocknest Fe-carbonate could be derived by eolian processes that have eroded distally exposed deep crustal material that possesses Fe-carbonate that may have formed through metamorphic and/or metasomatic processes. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.ncbi.nlm.nih.gov/pubmed/28881400','PUBMED'); return false;" href="https://www.ncbi.nlm.nih.gov/pubmed/28881400">Quality specification and status of internal quality control of cardiac biomarkers in China from 2011 to 2016.</a> <a target="_blank" rel="noopener noreferrer" href="https://www.ncbi.nlm.nih.gov/entrez/query.fcgi?DB=pubmed">PubMed</a> Li, Tingting; Wang, Wei; Zhao, Haijian; He, Falin; Zhong, Kun; Yuan, Shuai; Wang, Zhiguo 2017-09-07 This study aimed to investigate the status of internal quality control (IQC) for cardiac biomarkers from 2011 to 2016 so that we can have overall knowledge of the precision level of measurements in China and set appropriate precision specifications. Internal quality control data of cardiac biomarkers, including creatinine kinase MB (CK-MB) (μg/L), CK-MB(U/L), myoglobin (Mb), cardiac troponin I (cTnI), cardiac troponin T (cTnT), and homocysteines (HCY), were collected by a web-based external quality assessment (EQA) system. Percentages of laboratories meeting five precision quality specifications for current coefficient of variations (CVs) were calculated. Then, appropriate precision specifications were chosen for these six analytes. Finally, the CVs and IQC practice were further analyzed with different grouping methods. The current CVs remained nearly constant for 6 years. cTnT had the highest pass rates every year against five specifications, whereas HCY had the lowest pass rates. Overall, most analytes had a satisfactory performance (pass rates >80%), except for HCY, if one-third TEa or the minimum specification were employed. When the optimal specification was applied, the performance of most analytes was frustrating (pass rates < 60%) except for cTnT. The appropriate precision specifications of Mb, cTnI, cTnT and HCY were set as current CVs less than 9.20%, 9.90%, 7.50%, 10.54%, 7.63%, and 6.67%, respectively. The data of IQC practices indicated wide variation and substantial progress. The precision performance of cTnT was already satisfying, while the other five analytes, especially HCY, were still frustrating; thus, ongoing investigation and continuous improvement for IQC are still needed. © 2017 Wiley Periodicals, Inc. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.ncbi.nlm.nih.gov/pubmed/26669937','PUBMED'); return false;" href="https://www.ncbi.nlm.nih.gov/pubmed/26669937">Dynamic distributions of tumor necrosis factor-alpha and its receptors in the red nucleus of rats with spared nerve injury.</a> <a target="_blank" rel="noopener noreferrer" href="https://www.ncbi.nlm.nih.gov/entrez/query.fcgi?DB=pubmed">PubMed</a> Wang, Jing; Ding, Cui-Ping; Yu, Jing; Zeng, Xiao-Yan; Han, Shui-Ping; Wang, Jun-Yang 2016-08-01 Previous studies have demonstrated that tumor necrosis factor-alpha (TNF-α) in the red nucleus (RN) plays a facilitated role in the development of neuropathic pain, and its effect is transmitted through TNF-α receptor (TNFR) subtypes 1 and 2. Here, the dynamic distributions of TNF-α and TNFRs in the RN of rats with spared nerve injury (SNI) were investigated. Western blot analysis and immunofluorescence staining indicated that TNF-α was hardly expressed in the RN of normal rats but significantly increased at 1 week and peaked at 2 weeks after SNI. Neurons and oligodendrocytes showed TNF-α expression at both 1 week and 2 weeks after SNI, while astrocytes and microglia produced TNF-α later than neurons and oligodendrocytes starting at 2 weeks after SNI. TNFR1 was constitutively expressed in the RN of normal rats and significantly enhanced at 2 weeks but not 1 week after SNI; it was mainly localized in neurons, oligodendrocytes and microglia. Astrocytes were not immunopositive for TNFR1 under normal conditions and at 1 week after injury, but small amounts of astrocytes showed TNFR1 expression at 2 weeks after SNI. A low level of TNFR2 was expressed in the RN of normal rats, but it was significantly increased at 1 week and 2 weeks after SNI and localized in neurons and all three types of glia. These findings suggest that neurons and three types of glia in the RN all contribute to TNF-α production and participate in the initiation and/or maintenance of neuropathic pain induced by SNI. TNF-α exerts its effects in different types of cells maybe through different receptors, TNFR1 and/or TNFR2, in the different stages of neuropathic pain. © 2015 Japanese Society of Neuropathology. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.pubmedcentral.nih.gov/articlerender.fcgi?tool=pmcentrez&artid=26696','PMC'); return false;" href="https://www.pubmedcentral.nih.gov/articlerender.fcgi?tool=pmcentrez&artid=26696">Tight frames of k-plane ridgelets and the problem of representing objects that are smooth away from d-dimensional singularities in Rn</a> <a target="_blank" rel="noopener noreferrer" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?DB=pmc">PubMed Central</a> Donoho, David L. 1999-01-01 For each pair (n, k) with 1 ≤ k < n, we construct a tight frame (ρλ : λ ∈ Λ) for L2 (Rn), which we call a frame of k-plane ridgelets. The intent is to efficiently represent functions that are smooth away from singularities along k-planes in Rn. We also develop tools to help decide whether k-plane ridgelets provide the desired efficient representation. We first construct a wavelet-like tight frame on the X-ray bundle χn,k—the fiber bundle having the Grassman manifold Gn,k of k-planes in Rn for base space, and for fibers the orthocomplements of those planes. This wavelet-like tight frame is the pushout to χn,k, via the smooth local coordinates of Gn,k, of an orthonormal basis of tensor Meyer wavelets on Euclidean space Rk(n−k) × Rn−k. We then use the X-ray isometry [Solmon, D. C. (1976) J. Math. Anal. Appl. 56, 61–83] to map this tight frame isometrically to a tight frame for L2(Rn)—the k-plane ridgelets. This construction makes analysis of a function f ∈ L2(Rn) by k-plane ridgelets identical to the analysis of the k-plane X-ray transform of f by an appropriate wavelet-like system for χn,k. As wavelets are typically effective at representing point singularities, it may be expected that these new systems will be effective at representing objects whose k-plane X-ray transform has a point singularity. Objects with discontinuities across hyperplanes are of this form, for k = n − 1. PMID:10051554 </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.ncbi.nlm.nih.gov/pubmed/29034463','PUBMED'); return false;" href="https://www.ncbi.nlm.nih.gov/pubmed/29034463">Statin treatment may lower the risk of postradiation epilepsy in patients with nasopharyngeal carcinoma.</a> <a target="_blank" rel="noopener noreferrer" href="https://www.ncbi.nlm.nih.gov/entrez/query.fcgi?DB=pubmed">PubMed</a> Rong, Xiaoming; Yin, Jing; Wang, Hongxuan; Zhang, Xiaoni; Peng, Ying 2017-12-01 This study aimed to clarify the effect of statins on preventing the risk of postradiation epilepsy. We performed a retrospective analysis of neurological nasopharyngeal carcinoma patients with a history of radiotherapy. Patients with a history of epilepsy before radiation and those who received prophylactically antiepileptic treatment were excluded. The demographic and clinical data of these patients were collected through chart review. We used Kaplan-Meier analysis (log-rank test) to examine the effect of statins on epilepsy-free survival. Cox regression analysis was utilized to identify independent predictive variables. Our study included 532 patients (405 males and 127 females) with a mean follow-up of 28.1 months. During follow-up, 471 (88.5%) patients developed radiation-induced brain necrosis (RN). Within a mean latency of 24.1 months, 88 (16.5%) patients experienced epilepsy, of whom 27 (27 of 88, 30.7%) patients suffered from epilepsy before the diagnosis of RN. Thirty-six (36 of 88, 40.9%) cases of epilepsy occurred after RN onset, and in 22 cases (22 of 88, 25.0%) epilepsy was the first presentation of RN. Three patients suffered from epilepsy but did not have RN. Eighty-eight patients in our cohort were treated with statins because of hyperlipidemia or prevention of cardiocerebrovascular diseases, of whom six (6.8%) developed epilepsy, whereas in those without statin, the epileptic rate was 18.5%. Log-rank test found that there was a significant difference in epilepsy-free survival between patients who used statins and those who did not (p = 0.016). After adjusting for confounding variables, multivariate Cox regression analysis revealed that statin use could still significantly reduce the risk of epilepsy after radiation (hazard ratio = 0.36, 95% confidence interval = 0.15-0.82, p = 0.015). However, for the patients who already suffered from RN, statin treatment did not lower the risk of post-RN epilepsy. Early statin use may reduce the risk of postradiotherapy epilepsy in patients with nasopharyngeal carcinoma. © 2017 The Authors. Epilepsia published by Wiley Periodicals, Inc. on behalf of International League Against Epilepsy. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('http://www.ars.usda.gov/research/publications/publication/?seqNo115=303815','TEKTRAN'); return false;" href="http://www.ars.usda.gov/research/publications/publication/?seqNo115=303815">Characterization of reniform nematode genome through shotgun sequencing</a> <a target="_blank" rel="noopener noreferrer" href="https://www.ars.usda.gov/research/publications/find-a-publication/">USDA-ARS?s Scientific Manuscript database</a> The reniform nematode (RN), a major agricultural pest particularly on cotton in the United States(U.S.), is among the major plant parasitic nematodes for which limited genomic information exists. In this study, over 380 Mb of sequence data were generated from four pooled adult female RN and assembl... </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.osti.gov/biblio/22423844-defining-optimal-planning-target-volume-image-guided-stereotactic-radiosurgery-brain-metastases-results-randomized-trial','SCIGOV-STC'); return false;" href="https://www.osti.gov/biblio/22423844-defining-optimal-planning-target-volume-image-guided-stereotactic-radiosurgery-brain-metastases-results-randomized-trial">Defining the Optimal Planning Target Volume in Image-Guided Stereotactic Radiosurgery of Brain Metastases: Results of a Randomized Trial</a> <a target="_blank" rel="noopener noreferrer" href="http://www.osti.gov/search">DOE Office of Scientific and Technical Information (OSTI.GOV)</a> Kirkpatrick, John P., E-mail: john.kirkpatrick@dm.duke.edu; Department of Surgery, Duke University, Durham, North Carolina; Wang, Zhiheng 2015-01-01 Purpose: To identify an optimal margin about the gross target volume (GTV) for stereotactic radiosurgery (SRS) of brain metastases, minimizing toxicity and local recurrence. Methods and Materials: Adult patients with 1 to 3 brain metastases less than 4 cm in greatest dimension, no previous brain radiation therapy, and Karnofsky performance status (KPS) above 70 were eligible for this institutional review board–approved trial. Individual lesions were randomized to 1- or 3- mm uniform expansion of the GTV defined on contrast-enhanced magnetic resonance imaging (MRI). The resulting planning target volume (PTV) was treated to 24, 18, or 15 Gy marginal dose for maximum PTV diametersmore » less than 2, 2 to 2.9, and 3 to 3.9 cm, respectively, using a linear accelerator–based image-guided system. The primary endpoint was local recurrence (LR). Secondary endpoints included neurocognition Mini-Mental State Examination, Trail Making Test Parts A and B, quality of life (Functional Assessment of Cancer Therapy-Brain), radionecrosis (RN), need for salvage radiation therapy, distant failure (DF) in the brain, and overall survival (OS). Results: Between February 2010 and November 2012, 49 patients with 80 brain metastases were treated. The median age was 61 years, the median KPS was 90, and the predominant histologies were non–small cell lung cancer (25 patients) and melanoma (8). Fifty-five, 19, and 6 lesions were treated to 24, 18, and 15 Gy, respectively. The PTV/GTV ratio, volume receiving 12 Gy or more, and minimum dose to PTV were significantly higher in the 3-mm group (all P<.01), and GTV was similar (P=.76). At a median follow-up time of 32.2 months, 11 patients were alive, with median OS 10.6 months. LR was observed in only 3 lesions (2 in the 1 mm group, P=.51), with 6.7% LR 12 months after SRS. Biopsy-proven RN alone was observed in 6 lesions (5 in the 3-mm group, P=.10). The 12-month DF rate was 45.7%. Three months after SRS, no significant change in neurocognition or quality of life was observed. Conclusions: SRS was well tolerated, with low rates of LR and RN in both cohorts. However, given the higher potential risk of RN with a 3-mm margin, a 1-mm GTV expansion is more appropriate.« less </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('http://adsabs.harvard.edu/abs/1992arm..symp..449J','NASAADS'); return false;" href="http://adsabs.harvard.edu/abs/1992arm..symp..449J">Modeling maintenance-strategies with rainbow nets</a> <a target="_blank" rel="noopener noreferrer" href="http://adsabs.harvard.edu/abstract_service.html">NASA Astrophysics Data System (ADS)</a> Johnson, Allen M., Jr.; Schoenfelder, Michael A.; Lebold, David The Rainbow net (RN) modeling technique offers a promising alternative to traditional reliability modeling techniques. RNs are evaluated through discrete event simulation. Using specialized tokens to represent systems and faults, an RN models the fault-handling behavior of an inventory of systems produced over time. In addition, a portion of the RN represents system repair and the vendor's spare part production. Various dependability parameters are measured and used to calculate the impact of four variations of maintenance strategies. Input variables are chosen to demonstrate the technique. The number of inputs allowed to vary is intentionally constrained to limit the volume of data presented and to avoid overloading the reader with complexity. If only availability data were reviewed, it is possible that the conclusion might be drawn that both strategies are about the same and therefore the cheaper strategy from the vendor's perspective may be chosen. The richer set of metrics provided by the RN simulation gives greater insight into the problem, which leads to better decisions. By using RNs, the impact of several different variables is integrated. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('http://adsabs.harvard.edu/abs/2017PhRvD..95g2008A','NASAADS'); return false;" href="http://adsabs.harvard.edu/abs/2017PhRvD..95g2008A">Results from a calibration of XENON100 using a source of dissolved radon-220</a> <a target="_blank" rel="noopener noreferrer" href="http://adsabs.harvard.edu/abstract_service.html">NASA Astrophysics Data System (ADS)</a> Aprile, E.; Aalbers, J.; Agostini, F.; Alfonsi, M.; Amaro, F. D.; Anthony, M.; Arneodo, F.; Barrow, P.; Baudis, L.; Bauermeister, B.; Benabderrahmane, M. L.; Berger, T.; Breur, P. A.; Brown, A.; Brown, E.; Bruenner, S.; Bruno, G.; Budnik, R.; Bütikofer, L.; Calvén, J.; Cardoso, J. M. R.; Cervantes, M.; Cichon, D.; Coderre, D.; Colijn, A. P.; Conrad, J.; Cussonneau, J. P.; Decowski, M. P.; de Perio, P.; di Gangi, P.; di Giovanni, A.; Diglio, S.; Duchovni, E.; Eurin, G.; Fei, J.; Ferella, A. D.; Fieguth, A.; Franco, D.; Fulgione, W.; Gallo Rosso, A.; Galloway, M.; Gao, F.; Garbini, M.; Geis, C.; Goetzke, L. W.; Grandi, L.; Greene, Z.; Grignon, C.; Hasterok, C.; Hogenbirk, E.; Itay, R.; Kaminsky, B.; Kessler, G.; Kish, A.; Landsman, H.; Lang, R. F.; Lellouch, D.; Levinson, L.; Le Calloch, M.; Lin, Q.; Lindemann, S.; Lindner, M.; Lopes, J. A. M.; Manfredini, A.; Maris, I.; Marrodán Undagoitia, T.; Masbou, J.; Massoli, F. V.; Masson, D.; Mayani, D.; Meng, Y.; Messina, M.; Micheneau, K.; Miguez, B.; Molinario, A.; Murra, M.; Naganoma, J.; Ni, K.; Oberlack, U.; Orrigo, S. E. A.; Pakarha, P.; Pelssers, B.; Persiani, R.; Piastra, F.; Pienaar, J.; Piro, M.-C.; Plante, G.; Priel, N.; Rauch, L.; Reichard, S.; Reuter, C.; Rizzo, A.; Rosendahl, S.; Rupp, N.; Saldanha, R.; Dos Santos, J. M. F.; Sartorelli, G.; Scheibelhut, M.; Schindler, S.; Schreiner, J.; Schumann, M.; Scotto Lavina, L.; Selvi, M.; Shagin, P.; Shockley, E.; Silva, M.; Simgen, H.; Sivers, M. V.; Stein, A.; Thers, D.; Tiseni, A.; Trinchero, G.; Tunnell, C.; Upole, N.; Wang, H.; Wei, Y.; Weinheimer, C.; Wulf, J.; Ye, J.; Zhang, Y.; Xenon Collaboration 2017-04-01 A <mml:mmultiscripts>Rn 220 </mml:mmultiscripts> source is deployed on the XENON100 dark matter detector in order to address the challenges in calibration of tonne-scale liquid noble element detectors. We show that the <mml:mmultiscripts>Pb 212 </mml:mmultiscripts> beta emission can be used for low-energy electronic recoil calibration in searches for dark matter. The isotope spreads throughout the entire active region of the detector, and its activity naturally decays below background level within a week after the source is closed. We find no increase in the activity of the troublesome <mml:mmultiscripts>Rn 222 </mml:mmultiscripts> background after calibration. Alpha emitters are also distributed throughout the detector and facilitate calibration of its response to <mml:mmultiscripts>Rn 222 </mml:mmultiscripts> . Using the delayed coincidence of <mml:mmultiscripts>Rn 220 </mml:mmultiscripts>- <mml:mmultiscripts>Po 216 </mml:mmultiscripts> , we map for the first time the convective motion of particles in the XENON100 detector. Additionally, we make a competitive measurement of the half-life of <mml:mmultiscripts>Po 212 </mml:mmultiscripts> , t1 /2=(293.9 ±(1.0 )stat±(0.6 )sys) ns . </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://eric.ed.gov/?q=strategic+AND+planning&pg=6&id=EJ937061','ERIC'); return false;" href="https://eric.ed.gov/?q=strategic+AND+planning&pg=6&id=EJ937061">Creating Sustainable Learning Environments in Schools by Means of Strategic Planning: The Experience of Engagement by a Comparative Education Team at a University</a> <a target="_blank" rel="noopener noreferrer" href="http://www.eric.ed.gov/ERICWebPortal/search/extended.jsp?_pageLabel=advanced">ERIC Educational Resources Information Center</a> Steyn, H.; Wolhuter, C. 2010-01-01 Many schools in South Africa are dysfunctional, or at least do not function optimally. This statement could be substantiated by just citing statistics about failure rates, school drop-out rates, school violence, matric pass rates, learner absenteeism, educator absenteeism or the incidence of discipline problems and the effect thereof on educators.… </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.pubmedcentral.nih.gov/articlerender.fcgi?tool=pmcentrez&artid=3993615','PMC'); return false;" href="https://www.pubmedcentral.nih.gov/articlerender.fcgi?tool=pmcentrez&artid=3993615">Uranium and Radon in Private Bedrock Well Water in Maine: Geospatial Analysis at Two Scales</a> <a target="_blank" rel="noopener noreferrer" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?DB=pmc">PubMed Central</a> 2015-01-01 In greater Augusta of central Maine, 53 out of 1093 (4.8%) private bedrock well water samples from 1534 km2 contained [U] >30 μg/L, the U.S. Environmental Protection Agency’s (EPA) Maximum Contaminant Level (MCL) for drinking water; and 226 out of 786 (29%) samples from 1135 km2 showed [Rn] >4,000 pCi/L (148 Bq/L), the U.S. EPA’s Alternative MCL. Groundwater pH, calcite dissolution and redox condition are factors controlling the distribution of groundwater U but not Rn due to their divergent chemical and hydrological properties. Groundwater U is associated with incompatible elements (S, As, Mo, F, and Cs) in water samples within granitic intrusions. Elevated [U] and [Rn] are located within 5–10 km distance of granitic intrusions but do not show correlations with metamorphism at intermediate scales (100−101 km). This spatial association is confirmed by a high-density sampling (n = 331, 5–40 samples per km2) at local scales (≤10–1 km) and the statewide sampling (n = 5857, 1 sample per 16 km2) at regional scales (102–103 km). Wells located within 5 km of granitic intrusions are at risk of containing high levels of [U] and [Rn]. Approximately 48 800–63 900 and 324 000 people in Maine are estimated at risk of exposure to U (>30 μg/L) and Rn (>4000 pCi/L) in well water, respectively. PMID:24655434 </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.ncbi.nlm.nih.gov/pubmed/14649447','PUBMED'); return false;" href="https://www.ncbi.nlm.nih.gov/pubmed/14649447">The future of the nurse shortage: will wage increases close the gap?</a> <a target="_blank" rel="noopener noreferrer" href="https://www.ncbi.nlm.nih.gov/entrez/query.fcgi?DB=pubmed">PubMed</a> Spetz, Joanne; Given, Ruth 2003-01-01 In recent years the U.S. media have been reporting a shortage of registered nurses (RNs). In theory, labor-market shortages are self-correcting; wage increases will bring labor markets into equilibrium, and policy intervention is not necessary. In this paper we develop a simple forecasting model and ask the question: How high must RN wages rise in the future to end the RN shortage? We find that inflation-adjusted wages must increase 3.2-3.8 percent per year between 2002 and 2016, with wages cumulatively rising up to 69 percent, to end the shortage. Total RN expenditures would more than double by 2016. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.ncbi.nlm.nih.gov/pubmed/25442342','PUBMED'); return false;" href="https://www.ncbi.nlm.nih.gov/pubmed/25442342">Defining the optimal planning target volume in image-guided stereotactic radiosurgery of brain metastases: results of a randomized trial.</a> <a target="_blank" rel="noopener noreferrer" href="https://www.ncbi.nlm.nih.gov/entrez/query.fcgi?DB=pubmed">PubMed</a> Kirkpatrick, John P; Wang, Zhiheng; Sampson, John H; McSherry, Frances; Herndon, James E; Allen, Karen J; Duffy, Eileen; Hoang, Jenny K; Chang, Zheng; Yoo, David S; Kelsey, Chris R; Yin, Fang-Fang 2015-01-01 To identify an optimal margin about the gross target volume (GTV) for stereotactic radiosurgery (SRS) of brain metastases, minimizing toxicity and local recurrence. Adult patients with 1 to 3 brain metastases less than 4 cm in greatest dimension, no previous brain radiation therapy, and Karnofsky performance status (KPS) above 70 were eligible for this institutional review board-approved trial. Individual lesions were randomized to 1- or 3- mm uniform expansion of the GTV defined on contrast-enhanced magnetic resonance imaging (MRI). The resulting planning target volume (PTV) was treated to 24, 18, or 15 Gy marginal dose for maximum PTV diameters less than 2, 2 to 2.9, and 3 to 3.9 cm, respectively, using a linear accelerator-based image-guided system. The primary endpoint was local recurrence (LR). Secondary endpoints included neurocognition Mini-Mental State Examination, Trail Making Test Parts A and B, quality of life (Functional Assessment of Cancer Therapy-Brain), radionecrosis (RN), need for salvage radiation therapy, distant failure (DF) in the brain, and overall survival (OS). Between February 2010 and November 2012, 49 patients with 80 brain metastases were treated. The median age was 61 years, the median KPS was 90, and the predominant histologies were non-small cell lung cancer (25 patients) and melanoma (8). Fifty-five, 19, and 6 lesions were treated to 24, 18, and 15 Gy, respectively. The PTV/GTV ratio, volume receiving 12 Gy or more, and minimum dose to PTV were significantly higher in the 3-mm group (all P<.01), and GTV was similar (P=.76). At a median follow-up time of 32.2 months, 11 patients were alive, with median OS 10.6 months. LR was observed in only 3 lesions (2 in the 1 mm group, P=.51), with 6.7% LR 12 months after SRS. Biopsy-proven RN alone was observed in 6 lesions (5 in the 3-mm group, P=.10). The 12-month DF rate was 45.7%. Three months after SRS, no significant change in neurocognition or quality of life was observed. SRS was well tolerated, with low rates of LR and RN in both cohorts. However, given the higher potential risk of RN with a 3-mm margin, a 1-mm GTV expansion is more appropriate. Copyright © 2015 Elsevier Inc. All rights reserved. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.osti.gov/servlets/purl/985247','DOE-PATENT-XML'); return false;" href="https://www.osti.gov/servlets/purl/985247">Method of detecting leakage from geologic formations used to sequester CO.sub.2</a> <a target="_blank" rel="noopener noreferrer" href="http://www.osti.gov/doepatents">DOEpatents</a> White, Curt [Pittsburgh, PA; Wells, Arthur [Bridgeville, PA; Diehl, J Rodney [Pittsburgh, PA; Strazisar, Brian [Venetia, PA 2010-04-27 The invention provides methods for the measurement of carbon dioxide leakage from sequestration reservoirs. Tracer moieties are injected along with carbon dioxide into geological formations. Leakage is monitored by gas chromatographic analyses of absorbents. The invention also provides a process for the early leak detection of possible carbon dioxide leakage from sequestration reservoirs by measuring methane (CH.sub.4), ethane (C.sub.2H.sub.6), propane (C.sub.3H.sub.8), and/or radon (Rn) leakage rates from the reservoirs. The invention further provides a method for branding sequestered carbon dioxide using perfluorcarbon tracers (PFTs) to show ownership. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://eric.ed.gov/?q=business+AND+mathematics&pg=4&id=ED550891','ERIC'); return false;" href="https://eric.ed.gov/?q=business+AND+mathematics&pg=4&id=ED550891">Adult Student Learning Behaviors in a Roadblock Mathematics Course</a> <a target="_blank" rel="noopener noreferrer" href="http://www.eric.ed.gov/ERICWebPortal/search/extended.jsp?_pageLabel=advanced">ERIC Educational Resources Information Center</a> Tennant, Aimee 2012-01-01 Adult students are a growing population on college campuses. Adult students have lower graduation rates and longer times to graduation than traditional-age students. The ability to pass a college level mathematics course is a key factor in the graduation rates of all students. Past research has identified developmental mathematics, college… </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://eric.ed.gov/?q=Optometry&pg=6&id=EJ579892','ERIC'); return false;" href="https://eric.ed.gov/?q=Optometry&pg=6&id=EJ579892">Ultimate Success Rates on National Board Examinations: A Research Brief.</a> <a target="_blank" rel="noopener noreferrer" href="http://www.eric.ed.gov/ERICWebPortal/search/extended.jsp?_pageLabel=advanced">ERIC Educational Resources Information Center</a> Gross, Leon J.; Wallis, Norman E.; Present, Richard K. 1999-01-01 A study investigated the percentage of optometry students successfully completing the four-component National Board of Examiners in Optometry examination at graduation between 1995 to 1997. Ultimate pass rates for all four components ranged from 87.0% to 90.9%. Results are discussed in relation to the 1993 test-sequence expansion and to the number… </li> </ol> <div class="pull-right"> <ul class="pagination"> <li><a href="#" onclick='return showDiv("page_1");'>«</a></li> <li><a href="#" onclick='return showDiv("page_18");'>18</a></li> <li><a href="#" onclick='return showDiv("page_19");'>19</a></li> <li class="active">20</li> <li><a href="#" onclick='return showDiv("page_21");'>21</a></li> <li><a href="#" onclick='return showDiv("page_22");'>22</a></li> <li><a href="#" onclick='return showDiv("page_25");'>»</a></li> </ul> </div> </div> </div> </div> <div id="page_21" class="hiddenDiv"> <div class="row"> <div class="col-sm-12"> <div class="pull-right"> <ul class="pagination"> <li><a href="#" onclick='return showDiv("page_1");'>«</a></li> <li><a href="#" onclick='return showDiv("page_19");'>19</a></li> <li><a href="#" onclick='return showDiv("page_20");'>20</a></li> <li class="active">21</li> <li><a href="#" onclick='return showDiv("page_22");'>22</a></li> <li><a href="#" onclick='return showDiv("page_23");'>23</a></li> <li><a href="#" onclick='return showDiv("page_25");'>»</a></li> </ul> </div> </div> </div> <div class="row"> <div class="col-sm-12"> <ol class="result-class" start="401"> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.pubmedcentral.nih.gov/articlerender.fcgi?tool=pmcentrez&artid=1478785','PMC'); return false;" href="https://www.pubmedcentral.nih.gov/articlerender.fcgi?tool=pmcentrez&artid=1478785">Simulated swimming: a useful tool for evaluation the VO2 max of swimmers in the laboratory.</a> <a target="_blank" rel="noopener noreferrer" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?DB=pmc">PubMed Central</a> Kimura, Y; Yeater, R A; Martin, R B 1990-01-01 This study was designed to develop a simulated swimming exercise (SS) so that peak VO2 would be assessed on swimmers in a laboratory setting. The subjects assumed a prone position on an incline bench and performed arm cranking on a Monark Rehab Trainer while performing a flutter kick against tension supplied by elastic cords. The SS test was compared to four peak VO2 tests: treadmill running (RN), tethered swimming (TW), bicycle ergometry (B), and arm cranking (AC). Eleven male varsity swimmers underwent each of the five VO2 max tests, and maximal cardiorespiratory indicators (HR, VE, VO2, O2 pulse, and RQ) were measured. The percentage of peak VO2 obtained during SS was compared to RN, TW, B, and AC. The SS test achieved 78 percent of RN, 91 percent of TW, 81 percent of B, and 124 percent of AC. There were no significant differences in VO2 in ml/kg.min between SS and TW. As expected, RN and B were significantly higher, while AC was lower. Ten subjects performed the SS test twice on two separate days within one week. The reliability of VO2 max in ml/kg.min was 0.95. the validity of VO2 max in ml/kg.min in the SS test vs. RN was 0.68. The SS test is reliable and can be used as effectively as TW to assess the VO2 max of swimmers in a laboratory setting. PMID:2078808 </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.ncbi.nlm.nih.gov/pubmed/27348357','PUBMED'); return false;" href="https://www.ncbi.nlm.nih.gov/pubmed/27348357">RN assessments of excellent quality of care and patient safety are associated with significantly lower odds of 30-day inpatient mortality: A national cross-sectional study of acute-care hospitals.</a> <a target="_blank" rel="noopener noreferrer" href="https://www.ncbi.nlm.nih.gov/entrez/query.fcgi?DB=pubmed">PubMed</a> Smeds-Alenius, Lisa; Tishelman, Carol; Lindqvist, Rikard; Runesdotter, Sara; McHugh, Matthew D 2016-09-01 Quality and safety in health care has been increasingly in focus during the past 10-15 years. Stakeholders actively discuss ways to measure safety and quality of care to improve the health care system as a whole. Defining and measuring quality and safety, however, is complicated. One underutilized resource worthy of further exploration is the use of registered nurses (RNs) as informants of overall quality of care and patient safety. However, research is still scarce or lacking regarding RN assessments of patient safety and quality of care and their relationship to objective patient outcomes. To investigate relationships between RN assessed quality of care and patient safety and 30-day inpatient mortality post-surgery in acute-care hospitals. This is a national cross-sectional study. A survey (n=>10,000 RNs); hospital organizational data (n=67); hospital discharge registry data (n>200,000 surgical patients). RN data derives from a national sample of RNs working directly with inpatient care in surgical/medical wards in acute-care hospitals in Sweden in 2010. Patient data are from the same hospitals in 2009-2010. Adjusted multivariate logistic regression models were used to estimate relationships between RN assessments and 30-day inpatient mortality. Patients cared for in hospitals where a high proportion of RNs reported excellent quality of care (the highest third of hospitals) had 23% lower odds of 30-day inpatient mortality compared to patients cared for in hospitals in the lowest third (OR 0.77, CI 0.65-0.91). Similarly, patients in hospitals where a high proportion of RNs reported excellent patient safety (highest third) had is 26% lower odds of death (OR 0.74, CI 0.60-0.91). RN assessed excellent patient safety and quality of care are related to significant reductions in odds of 30-day inpatient mortality, suggesting that positive RN reports of quality and safety can be valid indicators of these key variables. Copyright © 2016 The Author(s). Published by Elsevier Ltd.. All rights reserved. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.ncbi.nlm.nih.gov/pubmed/21233616','PUBMED'); return false;" href="https://www.ncbi.nlm.nih.gov/pubmed/21233616">A multicenter prospective study of surgical audit systems.</a> <a target="_blank" rel="noopener noreferrer" href="https://www.ncbi.nlm.nih.gov/entrez/query.fcgi?DB=pubmed">PubMed</a> Haga, Yoshio; Ikejiri, Koji; Wada, Yasuo; Takahashi, Tadateru; Ikenaga, Masakazu; Akiyama, Noriyoshi; Koike, Shoichiro; Koseki, Masato; Saitoh, Toshihiro 2011-01-01 This study was undertaken to evaluate a modified form of Estimation of Physiologic Ability and Surgical Stress (E-PASS) for surgical audit comparing with other existing models. Although several scoring systems have been devised for surgical audit, no nation-wide survey has been performed yet. We modified our previous E-PASS surgical audit system by computing the weights of 41 procedures, using data from 4925 patients who underwent elective digestive surgery, designated it as mE-PASS. Subsequently, a prospective cohort study was conducted in 43 national hospitals in Japan from April 1, 2005, to April 8, 2007. Variables for the E-PASS and American Society of Anesthesiologists (ASA) status-based model were collected for 5272 surgically treated patients. Of the 5272 patients, we also collected data for the Portsmouth modification of Physiologic and Operative Severity Score for the enUmeration of Mortality and morbidity (P-POSSUM) in 3128 patients. The area under the receiver operative characteristic curve (AUC) was used to evaluate discrimination performance to detect in-hospital mortality. The ratio of observed to estimated in-hospital mortality rates (OE ratio) was defined as a measure of quality. The numbers of variables required were 10 for E-PASS, 7 for mE-PASS, 20 for P-POSSUM, and 4 for the ASA status-based model. The AUC (95% confidence interval) values were 0.86 (0.79-0.93) for E-PASS, 0.86 (0.79-0.92) for mE-PASS, 0.81 (0.75-0.88) for P-POSSUM, and 0.73 (0.63-0.83) for the ASA status-based model. The OE ratios for mE-PASS among large-volume hospitals significantly correlated with those for E-PASS (R = 0.93, N = 9, P = 0.00026), P-POSSUM (R = 0.96, N = 6, P = 0.0021), and ASA status-based model (R = 0.83, N = 9, P = 0.0051). Because of its features of easy use, accuracy, and generalizability, mE-PASS is a candidate for a nation-wide survey. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.pubmedcentral.nih.gov/articlerender.fcgi?tool=pmcentrez&artid=5548457','PMC'); return false;" href="https://www.pubmedcentral.nih.gov/articlerender.fcgi?tool=pmcentrez&artid=5548457">Can anti-Vascular Endothelial Growth Factor Antibody Reverse Radiation Necrosis? A Preclinical Investigation</a> <a target="_blank" rel="noopener noreferrer" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?DB=pmc">PubMed Central</a> Duan, Chong; Perez-Torres, Carlos J; Yuan, Liya; Engelbach, John A; Beeman, Scott C; Tsien, Christina I; Rich, Keith M; Schmidt, Robert E; Ackerman, Joseph JH; Garbow, Joel R 2017-01-01 Anti-vascular endothelial growth factor (anti-VEGF) antibodies are a promising new treatment for late time-to-onset radiation-induced necrosis (RN). We sought to evaluate and validate the response to anti-VEGF antibody in a mouse model of RN. Mice were irradiated with the Leksell Gamma Knife PerfexionTM and then treated with anti-VEGF antibody, beginning at post-irradiation (PIR) week 8. RN progression was monitored via anatomic and diffusion MRI from weeks 4 to 12 PIR. Standard histology, using haematoxylin and eosin (H&E), and immunohistochemistry staining were used to validate the response to treatment. After treatment, both post-contrast T1-weighted and T2-weighted image-derived lesion volumes decreased (P<0.001), while the lesion volumes for the control group increased. The abnormally high apparent diffusion coefficient (ADC) for RN also returned to the ADC range for normal brain following treatment (P<0.001). However, typical RN pathology was still present histologically. Large areas of focal calcification were observed in ~50% of treated mouse brains. Additionally, VEGF and hypoxia-inducible factor 1-alpha (HIF-1α) were continually upregulated in both the anti-VEGF and control groups. Despite improvements observed radiographically following anti-VEGF treatment, lesions were not completely resolved histologically. The subsequent calcification and the continued upregulation of VEGF and HIF-1α merit further preclinical/clinical investigation. PMID:28425047 </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://pubs.er.usgs.gov/publication/70108159','USGSPUBS'); return false;" href="https://pubs.er.usgs.gov/publication/70108159">Uranium and radon in private bedrock well water in Maine: geospatial analysis at two scales</a> <a target="_blank" rel="noopener noreferrer" href="http://pubs.er.usgs.gov/pubs/index.jsp?view=adv">USGS Publications Warehouse</a> Yang, Qiang; Smitherman, Paul; Hess, C.T.; Culbertson, Charles W.; Marvinney, Robert G.; Zheng, Yan 2014-01-01 In greater Augusta of central Maine, 53 out of 1093 (4.8%) private bedrock well water samples from 1534 km2 contained [U] >30 μg/L, the U.S. Environmental Protection Agency’s (EPA) Maximum Contaminant Level (MCL) for drinking water; and 226 out of 786 (29%) samples from 1135 km2 showed [Rn] >4,000 pCi/L (148 Bq/L), the U.S. EPA’s Alternative MCL. Groundwater pH, calcite dissolution and redox condition are factors controlling the distribution of groundwater U but not Rn due to their divergent chemical and hydrological properties. Groundwater U is associated with incompatible elements (S, As, Mo, F, and Cs) in water samples within granitic intrusions. Elevated [U] and [Rn] are located within 5–10 km distance of granitic intrusions but do not show correlations with metamorphism at intermediate scales (100−101 km). This spatial association is confirmed by a high-density sampling (n = 331, 5–40 samples per km2) at local scales (≤10–1 km) and the statewide sampling (n = 5857, 1 sample per 16 km2) at regional scales (102–103 km). Wells located within 5 km of granitic intrusions are at risk of containing high levels of [U] and [Rn]. Approximately 48 800–63 900 and 324 000 people in Maine are estimated at risk of exposure to U (>30 μg/L) and Rn (>4000 pCi/L) in well water, respectively. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.ncbi.nlm.nih.gov/pubmed/28425047','PUBMED'); return false;" href="https://www.ncbi.nlm.nih.gov/pubmed/28425047">Can anti-vascular endothelial growth factor antibody reverse radiation necrosis? A preclinical investigation.</a> <a target="_blank" rel="noopener noreferrer" href="https://www.ncbi.nlm.nih.gov/entrez/query.fcgi?DB=pubmed">PubMed</a> Duan, Chong; Perez-Torres, Carlos J; Yuan, Liya; Engelbach, John A; Beeman, Scott C; Tsien, Christina I; Rich, Keith M; Schmidt, Robert E; Ackerman, Joseph J H; Garbow, Joel R 2017-05-01 Anti-vascular endothelial growth factor (anti-VEGF) antibodies are a promising new treatment for late time-to-onset radiation-induced necrosis (RN). We sought to evaluate and validate the response to anti-VEGF antibody in a mouse model of RN. Mice were irradiated with the Leksell Gamma Knife Perfexion™ and then treated with anti-VEGF antibody, beginning at post-irradiation (PIR) week 8. RN progression was monitored via anatomic and diffusion MRI from weeks 4-12 PIR. Standard histology, using haematoxylin and eosin (H&E), and immunohistochemistry staining were used to validate the response to treatment. After treatment, both post-contrast T1-weighted and T2-weighted image-derived lesion volumes decreased (P < 0.001), while the lesion volumes for the control group increased. The abnormally high apparent diffusion coefficient (ADC) for RN also returned to the ADC range for normal brain following treatment (P < 0.001). However, typical RN pathology was still present histologically. Large areas of focal calcification were observed in ~50% of treated mouse brains. Additionally, VEGF and hypoxia-inducible factor 1-alpha (HIF-1α) were continually upregulated in both the anti-VEGF and control groups. Despite improvements observed radiographically following anti-VEGF treatment, lesions were not completely resolved histologically. The subsequent calcification and the continued upregulation of VEGF and HIF-1α merit further preclinical/clinical investigation. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.ncbi.nlm.nih.gov/pubmed/25855087','PUBMED'); return false;" href="https://www.ncbi.nlm.nih.gov/pubmed/25855087">The role of mesoscale meteorology in modulating the (222)Rn concentrations in Huelva (Spain)--impact of phosphogypsum piles.</a> <a target="_blank" rel="noopener noreferrer" href="https://www.ncbi.nlm.nih.gov/entrez/query.fcgi?DB=pubmed">PubMed</a> Hernández-Ceballos, M A; Vargas, A; Arnold, D; Bolívar, J P 2015-07-01 The combined analysis of (222)Rn activity concentrations and mesoscale meteorological conditions at Huelva city (Spain) was addressed in this study to understand the potential impact of phosphogypsum piles on the (222)Rn activity concentrations registered at this area. Hourly mean data from April 2012 to February 2013 registered at two sampling sites (Huelva city and in the background station of El Arenosillo, located 27 km to the south-east) have been used in the study. The results of the present study showed a large difference in mean radon concentrations between the two stations during the sampling period, 6.3 ± 0.4 Bq m(-3) at Huelva and 3.0 ± 0.2 Bq m(-3) at El Arenosillo. The analysis has demonstrated that hourly (222)Rn concentrations at Huelva city above 22 Bq m(-3), with nocturnal peaks up to 50 Bq/m(3), mainly coincided with the occurrence of a pure sea-land breeze cycle. Mesoscale circulations in this region are mainly characterized by two patterns of sea-land breeze, pure and non-pure, with the phosphosypsum piles directly upstream (south) of the city during the afternoon on pure sea-breeze days. The difference between mean (222)Rn activity concentrations at Huelva city were 9.9 ± 1.5 Bq m(-3) for the pure pattern and 3.3 ± 0.5 Bq m(-3) for the non-pure pattern, while in the background station concentrations were 3.9 ± 0.4 Bq m(-3) and 2.8 ± 0.4 Bq m(-3) respectively. Considering these large differences, a detailed analysis of composites and case studies of representative sea-land breeze cycles of both types and their impact on (222)Rn activity concentration was performed. The results suggested that the presence of the phosphogypsum piles was necessary in order to justify the high (222)Rn activity concentrations observed at Huelva compared with the background station in the afternoons on pure sea breeze days (1.5-2.0 Bq m(-3)). On the other hand, large night time differences between the two sites on these days were likely to be associated with a combination of shallow density currents travelling down the Guadalquivir valley and, again, the presence of phosphogypsum piles. The results have demonstrated a significant impact of the phosphogypsum piles on (222)Rn activity concentrations in Huelva city during the occurrence of pure sea breeze days. Copyright © 2015 Elsevier Ltd. All rights reserved. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.ncbi.nlm.nih.gov/pubmed/16370234','PUBMED'); return false;" href="https://www.ncbi.nlm.nih.gov/pubmed/16370234">Developments in the RN first assistant role during the Korean War.</a> <a target="_blank" rel="noopener noreferrer" href="https://www.ncbi.nlm.nih.gov/entrez/query.fcgi?DB=pubmed">PubMed</a> Hallquist, Deborah L 2005-10-01 During times of war, demand for health care providers has stimulated increased employment of nurses and broadened the dimensions of the scope of nursing practice in the surgical arena. This article examines how the work of army nurses during the Korean War helped develop the role of the RN first assistant. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.ncbi.nlm.nih.gov/pubmed/19330975','PUBMED'); return false;" href="https://www.ncbi.nlm.nih.gov/pubmed/19330975">Career ladder program for registered nurses in ambulatory care.</a> <a target="_blank" rel="noopener noreferrer" href="https://www.ncbi.nlm.nih.gov/entrez/query.fcgi?DB=pubmed">PubMed</a> Nelson, Joan; Sassaman, Becky; Phillips, Alison 2008-01-01 RN ladder programs are designed to inspire and reward clinical excellence. Kaiser Permanente Colorado's (KPCO) career ladder program emerged as a result of a labor-management partnership. Career ladder point assignments are reflective of the organization's priorities and values. KPCO's career ladder point tool awards RNs for formal and continuing education, professional presentations, organizational experience and experience as an RN, certifications and active professional memberships, leadership activities, research and publications, and nursing-related volunteer work. Participation in the RN career ladder requires that the nurse achieve a self-determined, manager-approved, measurable goal that will improve patient care. Career ladder nurses at KPCO were significantly more involved in leadership and interdisciplinary activities, quality improvement projects, and preceptorship. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.ncbi.nlm.nih.gov/pubmed/26483855','PUBMED'); return false;" href="https://www.ncbi.nlm.nih.gov/pubmed/26483855">The reliability of the pass/fail decision for assessments comprised of multiple components.</a> <a target="_blank" rel="noopener noreferrer" href="https://www.ncbi.nlm.nih.gov/entrez/query.fcgi?DB=pubmed">PubMed</a> Möltner, Andreas; Tımbıl, Sevgi; Jünger, Jana 2015-01-01 The decision having the most serious consequences for a student taking an assessment is the one to pass or fail that student. For this reason, the reliability of the pass/fail decision must be determined for high quality assessments, just as the measurement reliability of the point values. Assessments in a particular subject (graded course credit) are often composed of multiple components that must be passed independently of each other. When "conjunctively" combining separate pass/fail decisions, as with other complex decision rules for passing, adequate methods of analysis are necessary for estimating the accuracy and consistency of these classifications. To date, very few papers have addressed this issue; a generally applicable procedure was published by Douglas and Mislevy in 2010. Using the example of an assessment comprised of several parts that must be passed separately, this study analyzes the reliability underlying the decision to pass or fail students and discusses the impact of an improved method for identifying those who do not fulfill the minimum requirements. The accuracy and consistency of the decision to pass or fail an examinee in the subject cluster Internal Medicine/General Medicine/Clinical Chemistry at the University of Heidelberg's Faculty of Medicine was investigated. This cluster requires students to separately pass three components (two written exams and an OSCE), whereby students may reattempt to pass each component twice. Our analysis was carried out using the method described by Douglas and Mislevy. Frequently, when complex logical connections exist between the individual pass/fail decisions in the case of low failure rates, only a very low reliability for the overall decision to grant graded course credit can be achieved, even if high reliabilities exist for the various components. For the example analyzed here, the classification accuracy and consistency when conjunctively combining the three individual parts is relatively low with κ=0.49 or κ=0.47, despite the good reliability of over 0.75 for each of the three components. The option to repeat each component twice leads to a situation in which only about half of the candidates who do not satisfy the minimum requirements would fail the overall assessment, while the other half is able to continue their studies despite having deficient knowledge and skills. The method put forth by Douglas and Mislevy allows the analysis of the decision accuracy and consistency for complex combinations of scores from different components. Even in the case of highly reliable components, it is not necessarily so that a reliable pass/fail decision has been reached - for instance in the case of low failure rates. Assessments must be administered with the explicit goal of identifying examinees that do not fulfill the minimum requirements. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://pubs.er.usgs.gov/publication/70020036','USGSPUBS'); return false;" href="https://pubs.er.usgs.gov/publication/70020036">Massive sediment bypassing on the lower shoreface offshore of a wide tidal inlet: Cat Island Pass, Louisiana</a> <a target="_blank" rel="noopener noreferrer" href="http://pubs.er.usgs.gov/pubs/index.jsp?view=adv">USGS Publications Warehouse</a> Jaffe, B.E.; List, J.H.; Sallenger, A.H. 1997-01-01 Analysis of a series of historical bathymetric and shoreline surveys along the Louisiana coast west of the Mississippi River mouth detected a large area of deposition in water depths of 2.0–8.5 m offshore of a 9-km-wide tidal inlet, the Cat Island Pass/Wine Island Pass system. A 59.9 · 106 m3 sandy deposit formed from the 1930s–1980s, spanning 27 km in the alongshore direction, delineating the transport pathway for sediment bypassing offshore of the inlet on the shoreface. Bypassing connected the shorefaces of two barrier island systems, the Isles Dernieres and the Bayou Lafourche.The processes responsible for formation of this deposit are not well understood, but sediment-transport modeling suggests that sediment is transported primarily by wind-driven coastal currents during large storms and hurricanes. Deposition appears to be related to changes in shoreline orientation, closing of transport pathways into a large bay to the east and the presence of tidal inlets. This newly documented type of bypassing, an offshore bypassing of the inlet system, naturally nourished the immediate downdrift area, the eastern Isles Dernieres, where shoreface and shoreline erosion rates are about half of pre-bypassing rates. Erosion rates remained the same farther downdrift, where bypassing has not yet reached. As this offshore bypassing continues, the destruction of the Isles Dernieres will be slowed. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('http://www.dtic.mil/docs/citations/AD1036289','DTIC-ST'); return false;" href="http://www.dtic.mil/docs/citations/AD1036289">Detection and Discrimination in One Pass Using the OPTEMA Towed Array</a> <a target="_blank" rel="noopener noreferrer" href="http://www.dtic.mil/">DTIC Science & Technology</a> 2017-02-21 classification survey was performed using the One Pass Time domain EM Array (OPTEMA) at the former Southwestern Proving Ground near Hope, AR. Over...small arms ammunition, 20 to 155 mm projectiles, mortars, rockets, grenades, and up to 500-lb bombs [7]. Following the end of World War II, the proving...Range summary report [5]. It is assumed that combined field survey and analysis rates of $1000/acre for an EM -61 DGM survey and $30/anomaly for a </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('http://adsabs.harvard.edu/abs/2017JGP...121..317B','NASAADS'); return false;" href="http://adsabs.harvard.edu/abs/2017JGP...121..317B">Some remarks on the topology of hyperbolic actions of Rn on n-manifolds</a> <a target="_blank" rel="noopener noreferrer" href="http://adsabs.harvard.edu/abstract_service.html">NASA Astrophysics Data System (ADS)</a> Bouloc, Damien 2017-11-01 This paper contains some results on the topology of a nondegenerate action of Rn on a compact connected n-manifold M when the action is totally hyperbolic (i.e. its toric degree is zero). We study the R-action generated by a fixed vector of Rn, that provides some results on the number of hyperbolic domains and the number of fixed points of the action. We study with more details the case of the 2-sphere, in particular we investigate some combinatorial properties of the associated 4-valent graph embedded in S2. We also construct hyperbolic actions in dimension 3, on the sphere S3 and on the projective space RP3. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('http://adsabs.harvard.edu/abs/2001NIMPA.469..240I','NASAADS'); return false;" href="http://adsabs.harvard.edu/abs/2001NIMPA.469..240I">A ``delayed'' counting method to determine indoor Rn-222 levels indirectly</a> <a target="_blank" rel="noopener noreferrer" href="http://adsabs.harvard.edu/abstract_service.html">NASA Astrophysics Data System (ADS)</a> Iannopollo, V.; Licandro, M.; Trimarchi, M.; Tripepi, M. G.; Vermiglio, G. 2001-08-01 A new indirect and "delayed" way is presented to determine indoor concentration of Rn-222 by best-fitting methods. If a rapid knowledge of Rn-222 levels is required and if a detection system is not available in situ, it is possible to obtain concentration of radioactive gas by determining of "delayed" counts of Po-214. The "delay" time consists of two or three hours. The method is based on the use of cellulose filters for particulate collection and on the analysis of samples by alpha spectroscopy. It is also possible to obtain concentrations of short-lived radon daughters Po-218, Pb-214, Bi-214, which are very important quantities in a medical framework. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('http://hdl.handle.net/2060/19750007181','NASA-TRS'); return false;" href="http://hdl.handle.net/2060/19750007181">An investigation of environmental factors associated with the current and proposed jetty systems at Belle Pass, Louisiana</a> <a target="_blank" rel="noopener noreferrer" href="http://ntrs.nasa.gov/search.jsp">NASA Technical Reports Server (NTRS)</a> Dantin, E. J.; Whitehurst, C. A.; Durbin, W. T. 1974-01-01 The history of the existing jetty system at Belle Pass was investigated to determine its past effect on the littoral currents and beach erosion. Present flow patterns and erosion rates were also studied, along with the prevailing recession rates of local beaches not influenced by the jetty system. Aerial photographs and maps were used in conjunction with periodic hydraulic measurements, ground observations, and physical measurements of beach erosion. A scale model was constructed to further the study of flow patterns and velocities. It is shown that the existing jetty has not adversely affected the coastline in the area; erosive processes have been retarded by the jetty and its companion groin. Future erosion patterns are predicted, and projected effects of the proposed jetty system are given. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.ncbi.nlm.nih.gov/pubmed/27074199','PUBMED'); return false;" href="https://www.ncbi.nlm.nih.gov/pubmed/27074199">Monte Carlo simulation of semiconductor detector response to (222)Rn and (220)Rn environments.</a> <a target="_blank" rel="noopener noreferrer" href="https://www.ncbi.nlm.nih.gov/entrez/query.fcgi?DB=pubmed">PubMed</a> Irlinger, J; Trinkl, S; Wielunksi, M; Tschiersch, J; Rühm, W 2016-07-01 A new electronic radon/thoron monitor employing semiconductor detectors based on a passive diffusion chamber design has been recently developed at the Helmholtz Zentrum München (HMGU). This device allows for acquisition of alpha particle energy spectra, in order to distinguish alpha particles originating from radon and radon progeny decays, as well as those originating from thoron and its progeny decays. A Monte-Carlo application is described which uses the Geant4 toolkit to simulate these alpha particle spectra. Reasonable agreement between measured and simulated spectra were obtained for both (220)Rn and (222)Rn, in the energy range between 1 and 10 MeV. Measured calibration factors could be reproduced by the simulation, given the uncertainties involved in the measurement and simulation. The simulated alpha particle spectra can now be used to interpret spectra measured in mixed radon/thoron atmospheres. The results agreed well with measurements performed in both radon and thoron gas environments. It is concluded that the developed simulation allows for an accurate prediction of calibration factors and alpha particle energy spectra. Copyright © 2016 Elsevier Ltd. All rights reserved. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.pubmedcentral.nih.gov/articlerender.fcgi?tool=pmcentrez&artid=3134690','PMC'); return false;" href="https://www.pubmedcentral.nih.gov/articlerender.fcgi?tool=pmcentrez&artid=3134690">Fundamentals of Laparoscopic Surgery: A Surgical Skills Assessment Tool in Gynecology</a> <a target="_blank" rel="noopener noreferrer" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?DB=pmc">PubMed Central</a> Arden, Deborah; Dodge, Laura E.; Zheng, Bin; Ricciotti, Hope A. 2011-01-01 Objective: To describe our experience with the Fundamentals of Laparoscopic Surgery (FLS) program as a teaching and assessment tool for basic laparoscopic competency among gynecology residents. Methods: A prospective observational study was conducted at a single academic institution. Before the FLS program was introduced, baseline FLS testing was offered to residents and gynecology division directors. Test scores were analyzed by training level and self-reported surgical experience. After implementing a minimally invasive gynecologic surgical curriculum, third-year residents were retested. Results: The pass rates for baseline FLS skills testing were 0% for first-year residents, 50% for second-year residents, and 75% for third- and fourth-year residents. The pass rates for baseline cognitive testing were 60% for first- and second-year residents, 67% for third-year residents, and 40% for fourth-year residents. When comparing junior and senior residents, there was a significant difference in pass rates for the skills test (P=.007) but not the cognitive test (P=.068). Self-reported surgical experience strongly correlated with skills scores (r-value=0.97, P=.0048), but not cognitive scores (r-value=0.20, P=.6265). After implementing a curriculum, 100% of the third-year residents passed the skills test, and 92% passed the cognitive examination. Conclusions: The FLS skills test may be a valuable assessment tool for gynecology residents. The cognitive test may need further adaptation for applicability to gynecologists. PMID:21902937 </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('http://www.dtic.mil/docs/citations/ADA042575','DTIC-ST'); return false;" href="http://www.dtic.mil/docs/citations/ADA042575">International Symposium on Military Applications of Blast Simulation (5th)</a> <a target="_blank" rel="noopener noreferrer" href="http://www.dtic.mil/">DTIC Science & Technology</a> 1977-06-22 Centre d’Etudes de Grainat, Gramat , France, de- scribed their work in designing a blast simulator with a test section of 12—rn width and 7—rn height...de Gramat , Gramat , France) on the dynamic behavior of limestone. Through a series of high—pressure experiments of the type developed in the recent </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('http://files.eric.ed.gov/fulltext/ED375891.pdf','ERIC'); return false;" href="http://files.eric.ed.gov/fulltext/ED375891.pdf">The Feasibility of an Evening LPN to RN Transition Program.</a> <a target="_blank" rel="noopener noreferrer" href="http://www.eric.ed.gov/ERICWebPortal/search/extended.jsp?_pageLabel=advanced">ERIC Educational Resources Information Center</a> Donsky, Aaron P.; Cox, Samuel C. In an attempt to handle the shortage of registered nurses (RN's), many institutions have designed articulation programs to move licensed practical nurses (LPN's) into RN programs. Research describes LPN's as nontraditional adult learners with family responsibilities who must work full-time while in school. Many are anxious about returning to the… </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.ncbi.nlm.nih.gov/pubmed/24611961','PUBMED'); return false;" href="https://www.ncbi.nlm.nih.gov/pubmed/24611961">Population-focused nursing: advocacy for vulnerable populations in an RN-BSN program.</a> <a target="_blank" rel="noopener noreferrer" href="https://www.ncbi.nlm.nih.gov/entrez/query.fcgi?DB=pubmed">PubMed</a> Jones, Melissa; Smith, Paul 2014-01-01 The purpose of this article is to describe an innovative learning activity for online RN-BSN students designed to foster advocacy for vulnerable populations. The Vulnerable Population Advocacy Assignment, included as a component of the online Population-Focused Nursing class, provides students with the opportunity to identify and develop an awareness of issues impacting vulnerable populations and to advocate for policy changes that will influence the health of individuals, families, and populations. RN-BSN students build on previous knowledge and skills in professional communication and advocacy as they develop a policy statement designed to address health disparities impacting local, national, and global populations. © 2014 Wiley Periodicals, Inc. </li> </ol> <div class="pull-right"> <ul class="pagination"> <li><a href="#" onclick='return showDiv("page_1");'>«</a></li> <li><a href="#" onclick='return showDiv("page_19");'>19</a></li> <li><a href="#" onclick='return showDiv("page_20");'>20</a></li> <li class="active">21</li> <li><a href="#" onclick='return showDiv("page_22");'>22</a></li> <li><a href="#" onclick='return showDiv("page_23");'>23</a></li> <li><a href="#" onclick='return showDiv("page_25");'>»</a></li> </ul> </div> </div> </div> </div> <div id="page_22" class="hiddenDiv"> <div class="row"> <div class="col-sm-12"> <div class="pull-right"> <ul class="pagination"> <li><a href="#" onclick='return showDiv("page_1");'>«</a></li> <li><a href="#" onclick='return showDiv("page_20");'>20</a></li> <li><a href="#" onclick='return showDiv("page_21");'>21</a></li> <li class="active">22</li> <li><a href="#" onclick='return showDiv("page_23");'>23</a></li> <li><a href="#" onclick='return showDiv("page_24");'>24</a></li> <li><a href="#" onclick='return showDiv("page_25");'>»</a></li> </ul> </div> </div> </div> <div class="row"> <div class="col-sm-12"> <ol class="result-class" start="421"> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.ncbi.nlm.nih.gov/pubmed/8676211','PUBMED'); return false;" href="https://www.ncbi.nlm.nih.gov/pubmed/8676211">Journal writing as a mode of thinking for RN-BSN students: a leveled approach to learning to listen to self and others.</a> <a target="_blank" rel="noopener noreferrer" href="https://www.ncbi.nlm.nih.gov/entrez/query.fcgi?DB=pubmed">PubMed</a> Hodges, H F 1996-03-01 Returning to academe, RNs are conceptualized as adult learners, as gendered authors, and as developing students. For most RNs prior learning has evolved from the rational-technical model from which they have learned to look at the world from a distance, relying on empirical evidence and negating or denying personal knowledge. Carefully constructed assignments in journal writing based on educational and developmental theory can be an effective means to assist RN-BSN students in social, cognitive, and professional development. Journal writing in response to assigned readings and clinical experiences provides a safe environment for RN-BSN students to explore critically the ideas of others, to look seriously at authorial intention and point of argument, and to articulate their own views of the world. Conceptually supported by student development and learning theories of Perry (1970) and Knowles (1984), and qualitative research with women's ways of knowing (Belenky, Clinchy, Goldberger, & Tarule, 1986), a leveled model of journal writing for RN-BSN students is described as a vehicle for the development of writing and thinking critically. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.ncbi.nlm.nih.gov/pubmed/24637942','PUBMED'); return false;" href="https://www.ncbi.nlm.nih.gov/pubmed/24637942">Antiretroviral therapy-induced mitochondrial toxicity: potential mechanisms beyond polymerase-γ inhibition.</a> <a target="_blank" rel="noopener noreferrer" href="https://www.ncbi.nlm.nih.gov/entrez/query.fcgi?DB=pubmed">PubMed</a> Selvaraj, S; Ghebremichael, M; Li, M; Foli, Y; Langs-Barlow, A; Ogbuagu, A; Barakat, L; Tubridy, E; Edifor, R; Lam, W; Cheng, Y-C; Paintsil, E 2014-07-01 We hypothesized that competition between nucleotide reverse-transcriptase inhibitor triphosphate and endogenous deoxyribonucleotide triphosphate (dNTP) may lead to depletion of dNTP pools and mitochondrial dysfunction independent of polymerase-γ (pol-γ) inhibition. We collected peripheral blood mononuclear cells from 75 adults (25 cases: HIV-infected patients with mitochondrial toxicity, 25 HIV-infected positive controls, and 25 HIV-negative controls). We observed statistically significant individual and group differences in ribonucleotide (RN) and deoxyribonucleotide (dRN) pools. The median values for the RN pools were 10,062 (interquartile range (IQR): 7,090-12,590), 4,360 (IQR: 3,058-6,838), and 2,968 (IQR: 2,538-4,436) pmol/10(6) cells for negative controls, positive controls, and cases, respectively. Cases had significantly higher absolute mitochondrial DNA copy number as compared with negative controls (P < 0.05). Moreover, cases had significantly higher expression levels of pol-γ, nucleotide transporters, cellular kinases, and adenosine triphosphate (ATP)-binding cassette (ABC) proteins as compared with controls. Antiretroviral therapy (ART) perturbs RN and dRN pools. Depletion of RN and dRN pools may be associated with ART-induced mitochondrial toxicity independent of pol-γ inhibition. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.osti.gov/biblio/234121-international-marine-atmospheric-sup-rn-measurement-intercomparison-bermuda-part-nist-calibration-methodology-standardized-sample-additions','SCIGOV-STC'); return false;" href="https://www.osti.gov/biblio/234121-international-marine-atmospheric-sup-rn-measurement-intercomparison-bermuda-part-nist-calibration-methodology-standardized-sample-additions">An international marine-atmospheric {sup 222}Rn measurement intercomparison in Bermuda. Part 1: NIST calibration and methodology for standardized sample additions</a> <a target="_blank" rel="noopener noreferrer" href="http://www.osti.gov/search">DOE Office of Scientific and Technical Information (OSTI.GOV)</a> Colle, R.; Unterweger, M.P.; Hodge, P.A. 1996-01-01 As part of an international {sup 222}Rn measurement intercomparison conducted at Bermuda in October 1991, NIST provided standardized sample additions of known, but undisclosed (blind) {sup 222}Rn concentrations that could be related to US national standards. The standardized sample additions were obtained with a calibrated {sup 226}Ra source and a specially-designed manifold used to obtain well-known dilution factors from simultaneous flow-rate measurements. The additions were introduced over sampling periods of several hours (typically 4 h) into a common streamline on a sampling tower used by the participating laboratories for their measurements. The standardized {sup 222}Rn activity concentrations for the intercomparisonmore » ranged from approximately 2.5 Bq {center_dot} m{sup {minus}3} to 35 Bq {center_dot} m{sup {minus}3} (of which the lower end of this range approached concentration levels for ambient Bermudian air) and had overall uncertainties, approximating a 3 standard deviation uncertainty interval, of about 6% to 13%. This paper describes the calibration and methodology for the standardized sample additions.« less </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('http://files.eric.ed.gov/fulltext/EJ983665.pdf','ERIC'); return false;" href="http://files.eric.ed.gov/fulltext/EJ983665.pdf">Towards Understanding the Successful Learner: A Case Study of IGNOU</a> <a target="_blank" rel="noopener noreferrer" href="http://www.eric.ed.gov/ERICWebPortal/search/extended.jsp?_pageLabel=advanced">ERIC Educational Resources Information Center</a> Nair, Sindhu P. 2012-01-01 The growth of enrolment in the ODL system has been considerable. However, another parameter of significance in the context of Open and Distance learning is the learner success rate. While enrolment rates have been very encouraging in distance education, the pass-out rates haven't been similar. There is a need to focus on the dynamics involved… </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.pubmedcentral.nih.gov/articlerender.fcgi?tool=pmcentrez&artid=4606479','PMC'); return false;" href="https://www.pubmedcentral.nih.gov/articlerender.fcgi?tool=pmcentrez&artid=4606479">The reliability of the pass/fail decision for assessments comprised of multiple components</a> <a target="_blank" rel="noopener noreferrer" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?DB=pmc">PubMed Central</a> Möltner, Andreas; Tımbıl, Sevgi; Jünger, Jana 2015-01-01 Objective: The decision having the most serious consequences for a student taking an assessment is the one to pass or fail that student. For this reason, the reliability of the pass/fail decision must be determined for high quality assessments, just as the measurement reliability of the point values. Assessments in a particular subject (graded course credit) are often composed of multiple components that must be passed independently of each other. When “conjunctively” combining separate pass/fail decisions, as with other complex decision rules for passing, adequate methods of analysis are necessary for estimating the accuracy and consistency of these classifications. To date, very few papers have addressed this issue; a generally applicable procedure was published by Douglas and Mislevy in 2010. Using the example of an assessment comprised of several parts that must be passed separately, this study analyzes the reliability underlying the decision to pass or fail students and discusses the impact of an improved method for identifying those who do not fulfill the minimum requirements. Method: The accuracy and consistency of the decision to pass or fail an examinee in the subject cluster Internal Medicine/General Medicine/Clinical Chemistry at the University of Heidelberg’s Faculty of Medicine was investigated. This cluster requires students to separately pass three components (two written exams and an OSCE), whereby students may reattempt to pass each component twice. Our analysis was carried out using the method described by Douglas and Mislevy. Results: Frequently, when complex logical connections exist between the individual pass/fail decisions in the case of low failure rates, only a very low reliability for the overall decision to grant graded course credit can be achieved, even if high reliabilities exist for the various components. For the example analyzed here, the classification accuracy and consistency when conjunctively combining the three individual parts is relatively low with κ=0.49 or κ=0.47, despite the good reliability of over 0.75 for each of the three components. The option to repeat each component twice leads to a situation in which only about half of the candidates who do not satisfy the minimum requirements would fail the overall assessment, while the other half is able to continue their studies despite having deficient knowledge and skills. Conclusion: The method put forth by Douglas and Mislevy allows the analysis of the decision accuracy and consistency for complex combinations of scores from different components. Even in the case of highly reliable components, it is not necessarily so that a reliable pass/fail decision has been reached – for instance in the case of low failure rates. Assessments must be administered with the explicit goal of identifying examinees that do not fulfill the minimum requirements. PMID:26483855 </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.ncbi.nlm.nih.gov/pubmed/24063734','PUBMED'); return false;" href="https://www.ncbi.nlm.nih.gov/pubmed/24063734">Synthesis, structural characterization, and electrochemical properties of dinuclear Ni/Mn model complexes for the active site of [NiFe]-hydrogenases.</a> <a target="_blank" rel="noopener noreferrer" href="https://www.ncbi.nlm.nih.gov/entrez/query.fcgi?DB=pubmed">PubMed</a> Song, Li-Cheng; Li, Jia-Peng; Xie, Zhao-Jun; Song, Hai-Bin 2013-10-07 Four new dinuclear Ni/Mn model complexes RN(PPh2)2Ni(μ-SEt)2(μ-Cl)Mn(CO)3 (7, R = p-MeC6H4CH2; 8, R = EtO2CCH2) and RN(PPh2)2Ni(μ-SEt)2(μ-Br)Mn(CO)3 (9, R = p-MeC6H4CH2; 10, R = EtO2CCH2) have been prepared via the four separated step-reactions involving six new precursors RN(PPh2)2 (1, R = p-MeC6H4CH2; 2, R = EtO2CCH2), RN(PPh2)2NiCl2 (3, R = p-MeC6H4CH2; 4, R = EtO2CCH2), and RN(PPh2)2Ni(SEt)2 (5, R = p-MeC6H4CH2; 6, R = EtO2CCH2). The Et3N-assisted aminolysis of Ph2PCl with p-MeC6H4CH2NH2 or EtO2CCH2NH2·HCl in CH2Cl2 gave the azadiphosphine ligands 1 and 2 in 38% and 53% yields, whereas the coordination reaction of 1 or 2 with NiCl2·6H2O in CH2Cl2/MeOH afforded the mononuclear Ni dichloride complexes 3 and 4 in 59% and 78% yields, respectively. While thiolysis of 3 or 4 with EtSH under the assistance of Et3N in CH2Cl2 produced the mononuclear Ni dithiolate complexes 5 and 6 in 64% and 68% yields, further treatment of 5 and 6 with Mn(CO)5Cl or Mn(CO)5Br resulted in formation of the dinuclear Ni/Mn model complexes 7-10 in 31-73% yields. All the new compounds 1-10 have been structurally characterized, while model complexes 7 and 9 have been found to be catalysts for HOAc proton reduction to hydrogen under CV conditions. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.ncbi.nlm.nih.gov/pubmed/21109334','PUBMED'); return false;" href="https://www.ncbi.nlm.nih.gov/pubmed/21109334">Soil gas (²²²Rn, CO₂, ⁴He) behaviour over a natural CO₂ accumulation, Montmiral area (Drôme, France): geographical, geological and temporal relationships.</a> <a target="_blank" rel="noopener noreferrer" href="https://www.ncbi.nlm.nih.gov/entrez/query.fcgi?DB=pubmed">PubMed</a> Gal, Frédérick; Joublin, Franck; Haas, Hubert; Jean-Prost, Véronique; Ruffier, Véronique 2011-02-01 The south east basin of France shelters deep CO₂ reservoirs often studied with the aim of better constraining geological CO₂ storage operations. Here we present new soil gas data, completing an existing dataset (CO₂, ²²²Rn, ⁴He), together with mineralogical and physical characterisations of soil columns, in an attempt to better understand the spatial distribution of gas concentrations in the soils and to rule on the sealed character of the CO₂ reservoir at present time. Anomalous gas concentrations were found but did not appear to be clearly related to geological structures that may drain deep gases up to the surface, implying a dominant influence of near surface processes as indicated by carbon isotope ratios. Coarse grained, quartz-rich soils favoured the existence of high CO₂ concentrations. Fine grained clayey soils preferentially favoured the existence of ²²²Rn but not CO₂. Soil formations did not act as barriers preventing gas migrations in soils, either due to water content or due to mineralogical composition. No abundant leakage from the Montmiral reservoir can be highlighted by the measurements, even near the exploitation well. As good correlation between CO₂ and ²²²Rn concentrations still exist, it is suggested that ²²²Rn migration is also CO₂ dependent in non-leaking areas--diffusion dominated systems. Copyright © 2010 Elsevier Ltd. All rights reserved. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('http://adsabs.harvard.edu/abs/2004PhRvB..69s5109K','NASAADS'); return false;" href="http://adsabs.harvard.edu/abs/2004PhRvB..69s5109K">Kondo effect in systems with dynamical symmetries</a> <a target="_blank" rel="noopener noreferrer" href="http://adsabs.harvard.edu/abstract_service.html">NASA Astrophysics Data System (ADS)</a> Kuzmenko, T.; Kikoin, K.; Avishai, Y. 2004-05-01 This paper is devoted to a systematic exposure of the Kondo physics in quantum dots for which the low-energy spin excitations consist of a few different spin multiplets |SiMi>. Under certain conditions (to be explained below), some of the lowest energy levels ESi are nearly degenerate. The dot in its ground state cannot then be regarded as a simple quantum top, in the sense that beside its spin operator other dot (vector) operators Rn are needed (in order to fully determine its quantum states), which have nonzero matrix elements between states of different spin multiplets <SiMi|Rn|SjMj>≠0. These Runge-Lenz operators do not appear in the isolated dot Hamiltonian (so in some sense they are “hidden”). Yet, they are exposed when tunneling between dot and leads is switched on. The effective spin Hamiltonian which couples the metallic electron spin s with the operators of the dot then contains exchange terms JnsṡRn besides the ubiquitous ones JisṡSi. The operators Si and Rn generate a dynamical group [usually SO(n)]. Remarkably, the value of n can be controlled by gate voltages, indicating that abstract concepts such as dynamical symmetry groups are experimentally realizable. Moreover, when an external magnetic field is applied, under favorable circumstances the exchange interaction involves solely the Runge-Lenz operators Rn and the corresponding dynamical symmetry group is SU(n). For example, the celebrated group SU(3) is realized in a triple quantum dot with four electrons. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.ncbi.nlm.nih.gov/pubmed/25853600','PUBMED'); return false;" href="https://www.ncbi.nlm.nih.gov/pubmed/25853600">The effect of dual accreditation on family medicine residency programs.</a> <a target="_blank" rel="noopener noreferrer" href="https://www.ncbi.nlm.nih.gov/entrez/query.fcgi?DB=pubmed">PubMed</a> Mims, Lisa D; Bressler, Lindsey C; Wannamaker, Louise R; Carek, Peter J 2015-04-01 In 1985, the American Osteopathic Association (AOA) Board of Trustees agreed to allow residency programs to become dually accredited by the AOA and Accreditation Council for Graduate Medical Education (ACGME). Despite the increase in such programs, there has been minimal research comparing these programs to exclusively ACGME-accredited residencies. This study examines the association between dual accreditation and suggested markers of quality. Standard characteristics such as regional location, program structure (community or university based), postgraduate year one (PGY-1) positions offered, and salary (PGY-1) were obtained for each residency program. In addition, the faculty to resident ratio in the family medicine clinic and the number of half days residents spent in the clinic each week were recorded. Initial Match rates and pass rates of new graduates on the ABFM examination from 2009 to 2013 were also obtained. Variables were analyzed using chi-square and Student's t test. Logistic regression models were then created to predict a program's 5-year aggregate initial Match rate and Board pass rate in the top tertile as compared to the lowest tertile. Dual accreditation was obtained by 117 (27.0%) of programs. Initial analyses revealed associations between dually accredited programs and mean year of initial ACGME program accreditation, regional location, program structure, tracks, and alternative medicine curriculum. When evaluated in logistic regression, dual accreditation status was not associated with Match rates or ABFM pass rates. By examining suggested markers of program quality for dually accredited programs in comparison to ACGME-only accredited programs, this study successfully established both differences and similarities among the two types. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://eric.ed.gov/?q=quantitative+AND+research+AND+nursing&pg=6&id=ED549574','ERIC'); return false;" href="https://eric.ed.gov/?q=quantitative+AND+research+AND+nursing&pg=6&id=ED549574">Gender-Based Barriers Experienced by Male Students in an Online RN-to-BSN Nursing Program</a> <a target="_blank" rel="noopener noreferrer" href="http://www.eric.ed.gov/ERICWebPortal/search/extended.jsp?_pageLabel=advanced">ERIC Educational Resources Information Center</a> Kirk, John R. 2012-01-01 This quantitative survey-based research study examined the experiences of 49 men through a comparative analysis of their traditional classroom-based Diploma or Associate Degree in Nursing program and their subsequent experiences in the University of Phoenix online Registered Nurse to Bachelor of Science in Nursing (RN-to-BSN) degree completion… </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.ncbi.nlm.nih.gov/pubmed/21741766','PUBMED'); return false;" href="https://www.ncbi.nlm.nih.gov/pubmed/21741766">Two-scale evaluation of remediation technologies for a contaminated site by applying economic input-output life cycle assessment: risk-cost, risk-energy consumption and risk-CO2 emission.</a> <a target="_blank" rel="noopener noreferrer" href="https://www.ncbi.nlm.nih.gov/entrez/query.fcgi?DB=pubmed">PubMed</a> Inoue, Yasushi; Katayama, Arata 2011-09-15 A two-scale evaluation concept of remediation technologies for a contaminated site was expanded by introducing life cycle costing (LCC) and economic input-output life cycle assessment (EIO-LCA). The expanded evaluation index, the rescue number for soil (RN(SOIL)) with LCC and EIO-LCA, comprises two scales, such as risk-cost, risk-energy consumption or risk-CO(2) emission of a remediation. The effectiveness of RN(SOIL) with LCC and EIO-LCA was examined in a typical contamination and remediation scenario in which dieldrin contaminated an agricultural field. Remediation was simulated using four technologies: disposal, high temperature thermal desorption, biopile and landfarming. Energy consumption and CO(2) emission were determined from a life cycle inventory analysis using monetary-based intensity based on an input-output table. The values of RN(SOIL) based on risk-cost, risk-energy consumption and risk-CO(2) emission were calculated, and then rankings of the candidates were compiled according to RN(SOIL) values. A comparison between three rankings showed the different ranking orders. The existence of differences in ranking order indicates that the scales would not have reciprocal compatibility for two-scale evaluation and that each scale should be used independently. The RN(SOIL) with LCA will be helpful in selecting a technology, provided an appropriate scale is determined. Copyright © 2011 Elsevier B.V. All rights reserved. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('http://hdl.handle.net/2060/19900012964','NASA-TRS'); return false;" href="http://hdl.handle.net/2060/19900012964">CSMA/RN: A universal protocol for gigabit networks</a> <a target="_blank" rel="noopener noreferrer" href="http://ntrs.nasa.gov/search.jsp">NASA Technical Reports Server (NTRS)</a> Foudriat, E. C.; Maly, Kurt J.; Overstreet, C. Michael; Khanna, S.; Paterra, Frank 1990-01-01 Networks must provide intelligent access for nodes to share the communications resources. In the range of 100 Mbps to 1 Gbps, the demand access class of protocols were studied extensively. Many use some form of slot or reservation system and many the concept of attempt and defer to determine the presence or absence of incoming information. The random access class of protocols like shared channel systems (Ethernet), also use the concept of attempt and defer in the form of carrier sensing to alleviate the damaging effects of collisions. In CSMA/CD, the sensing of interference is on a global basis. All systems discussed above have one aspect in common, they examine activity on the network either locally or globally and react in an attempt and whatever mechanism. Of the attempt + mechanisms discussed, one is obviously missing; that is attempt and truncate. Attempt and truncate was studied in a ring configuration called the Carrier Sensed Multiple Access Ring Network (CSMA/RN). The system features of CSMA/RN are described including a discussion of the node operations for inserting and removing messages and for handling integrated traffic. The performance and operational features based on analytical and simulation studies which indicate that CSMA/RN is a useful and adaptable protocol over a wide range of network conditions are discussed. Finally, the research and development activities necessary to demonstrate and realize the potential of CSMA/RN as a universal, gigabit network protocol is outlined. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('http://www.dtic.mil/docs/citations/ADA586785','DTIC-ST'); return false;" href="http://www.dtic.mil/docs/citations/ADA586785">A Mathematical and Sociological Analysis of Google Search Algorithm</a> <a target="_blank" rel="noopener noreferrer" href="http://www.dtic.mil/">DTIC Science & Technology</a> 2013-01-16 through the collective intelligence of the web to determine a page’s importance. Let v be a vector of RN with N ≥ 8 billion. Any unit vector in RN is...scrolled up by some artifical hits. Aknowledgment: The authors would like to thank Dr. John Lavery for his encouragement and support which enable them to </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://eric.ed.gov/?q=self+AND+development&pg=4&id=EJ1155135','ERIC'); return false;" href="https://eric.ed.gov/?q=self+AND+development&pg=4&id=EJ1155135">Personal Transformation in RNs Who Recently Graduated from an RN to BSN Program</a> <a target="_blank" rel="noopener noreferrer" href="http://www.eric.ed.gov/ERICWebPortal/search/extended.jsp?_pageLabel=advanced">ERIC Educational Resources Information Center</a> Becker, Annette L. 2017-01-01 The purpose of this study was to explore experiences of personal transformation and development of self-authorship in registered nurses (RNs) who recently completed an RN to bachelor of science in nursing (BSN) program. A content analysis was performed on the qualitative data obtained from semistructured interviews with 14 RNs. Experiences of… </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.osti.gov/servlets/purl/1261973','SCIGOV-DOEDE'); return false;" href="https://www.osti.gov/servlets/purl/1261973">Drill cutting and core major, trace and rare earth element anlayses from wells RN-17B and RN-30, Reykjanes, Iceland</a> <a target="_blank" rel="noopener noreferrer" href="http://www.osti.gov/dataexplorer">DOE Data Explorer</a> Andrew Fowler 2015-05-01 Analytical results for x-ray fluorescence (XRF) and Inductively Couple Plasma Mass Spectrometry (ICP-MS) measurement of major, trace and rare earth elements in drill cuttings from geothermal wells in Reykjanes, Iceland. Total Fe was analyzed as FeO, therefore is not included under the Fe2O3 column. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.osti.gov/biblio/22634754-su-evaluation-magnetic-resonance-image-gated-radiotherapy-system-using-motion-phantom-radiochromic-film','SCIGOV-STC'); return false;" href="https://www.osti.gov/biblio/22634754-su-evaluation-magnetic-resonance-image-gated-radiotherapy-system-using-motion-phantom-radiochromic-film">SU-F-J-151: Evaluation of a Magnetic Resonance Image Gated Radiotherapy System Using a Motion Phantom and Radiochromic Film</a> <a target="_blank" rel="noopener noreferrer" href="http://www.osti.gov/search">DOE Office of Scientific and Technical Information (OSTI.GOV)</a> Lamb, J; Ginn, J; O’Connell, D Purpose: Magnetic resonance image (MRI) guided radiotherapy enables gating directly on target position for soft-tissue targets in the lung and abdomen. We present a dosimetric evaluation of a commercially-available FDA-approved MRI-guided radiotherapy system’s gating performance using a MRI-compatible respiratory motion phantom and radiochromic film. Methods: The MRI-compatible phantom was capable of one-dimensional motion. The phantom consisted of a target rod containing high-contrast target inserts which moved inside a body structure containing background contrast material. The target rod was equipped with a radiochromic film insert. Treatment plans were generated for a 3 cm diameter spherical target, and delivered to the phantommore » at rest and in motion with and without gating. Both sinusoidal and actual tumor trajectories (two free-breathing trajectories and one repeated-breath hold) were used. Gamma comparison at 5%/3mm was used to measure fidelity to the static target dose distribution. Results: Without gating, gamma pass rates were 24–47% depending on motion trajectory. Using our clinical standard of repeated breath holds and a gating window of 3 mm with 10% of the target allowed outside the gating boundary, the gamma pass rate was 99.6%. Relaxing the gating window to 5 mm resulted in gamma pass rate of 98.6% with repeated breath holds. For all motion trajectories gated with 3 mm margin and 10% allowed out, gamma pass rates were between 64–100% (mean:87.5%). For a 5 mm margin and 10% allowed out, gamma pass rates were between 57–98% (mean: 82.49%), significantly lower than for 3 mm by paired t-test (p=0.01). Conclusion: We validated the performance of respiratory gating based on real-time cine MRI images with the only FDA-approved MRI-guided radiotherapy system. Our results suggest that repeated breath hold gating should be used when possible for best accuracy. A 3 mm gating margin is statistically significantly more accurate than a 5 mm gating margin.« less </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('http://adsabs.harvard.edu/abs/2018JNuM..499....9M','NASAADS'); return false;" href="http://adsabs.harvard.edu/abs/2018JNuM..499....9M">Influence of the interpellet space to the Instant Release Fraction determination of a commercial UO2 Boiling Water Reactor Spent Nuclear Fuel</a> <a target="_blank" rel="noopener noreferrer" href="http://adsabs.harvard.edu/abstract_service.html">NASA Astrophysics Data System (ADS)</a> Martínez-Torrents, A.; Serrano-Purroy, D.; Casas, I.; De Pablo, J. 2018-02-01 The contact of the coolant with the fuel pin during irradiation produces a gradient of temperature in the fuel pellet that segregates the radionuclides (RN) depending on its volatility and reactivity. This segregation determines the Instant Release Fraction (IRF), an important source of radiological risk in the performance assessment (PA) of a Deep Geologic Repository (DGR). RN segregation was studied radially in previous papers. In the present work, it was studied axially, taking into special consideration the cutting position of the solid sample to be studied. Iodine and caesium were the RN with the highest release, while the contribution of rubidium, strontium, molybdenum and technetium to the IRF depended on their chemical state. The interpellet presence (known also as dishing) effect was clearly observed for caesium, increasing its release by one order of magnitude. According to these results, one of the major contributions to the IRF comes from the RN trapped in the dishing and has to be considered in the sampling and data interpretation that will be performed for the PA of the DGR. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.ncbi.nlm.nih.gov/pubmed/23161716','PUBMED'); return false;" href="https://www.ncbi.nlm.nih.gov/pubmed/23161716">The comparative effectiveness of fine-needle aspiration cytology sampling policies: a simulation study.</a> <a target="_blank" rel="noopener noreferrer" href="https://www.ncbi.nlm.nih.gov/entrez/query.fcgi?DB=pubmed">PubMed</a> Schmidt, Robert L; Howard, Kirsten; Hall, Brian J; Layfield, Lester J 2012-12-01 Sample adequacy is an important aspect of overall fine-needle aspiration cytology (FNAC) performance. FNAC effectiveness is augmented by an increasing number of needle passes, but increased needle passes are associated with higher costs and greater risk of adverse events. The objective of this study was to compare the impact of several different sampling policies on FNAC effectiveness and adverse event rates using discrete event simulation. We compared 8 different sampling policies in 12 different sampling environments. All sampling policies were effective when the per-pass accuracy is high (>80%). Rapid on-site evaluation (ROSE) improves FNAC effectiveness when the per-pass adequacy rate is low. ROSE is unlikely to be cost-effective in sampling environments in which the per-pass adequacy is high. Alternative ROSE assessors (eg, cytotechnologists) may be a cost-effective alternative to pathologists when the per-pass adequacy rate is moderate (60%-80%) or when the number of needle passes is limited. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('http://adsabs.harvard.edu/abs/2014OptCo.312..238C','NASAADS'); return false;" href="http://adsabs.harvard.edu/abs/2014OptCo.312..238C">Uplink transmission of a 60-km-reach WDM/OCDM-PON using a spectrum-sliced pulse source</a> <a target="_blank" rel="noopener noreferrer" href="http://adsabs.harvard.edu/abstract_service.html">NASA Astrophysics Data System (ADS)</a> Choi, Yong-Kyu; Hanawa, Masanori; Park, Chang-Soo 2014-02-01 We propose and experimentally demonstrate the uplink transmission of a 60-km-reach wavelength division multiplexing/optical code division multiplexing (WDM/OCDM) passive optical network (PON) using a spectrum-sliced pulse source. As a single light source, a broadband pulse source with a bandwidth of 6.5 nm and a repetition rate of 1.25 GHz is generated at a central office and supplied to a remote node (RN) through a 50-km fiber link. At the RN, narrow-band pulses (as a source for uplink transmission) are obtained by spectrum slicing the broadband pulse source with a cyclic arrayed waveguide grating and are then supplied to all optical network units (ONUs) via 1×4 power splitters and 10-km drop fibers. Eight wavelengths are obtained with a 6.5-nm bandwidth of the broadband pulse source, and the qualities of the pulses with a repetition rate of 1.25 GHz and a pulse width of 45 ps for the eight wavelengths are sufficient for four-chip OCDM encoding at the ONUs. In our experiments, four signals are multiplexed by OCDM at one wavelength, and another encoded signal is also multiplexed by WDM. The bit error rates (BERs) of the signals exhibit error-free transmission (BER<10-9) over a 60-km single-mode fiber at 1.25 Gb/s. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://eric.ed.gov/?q=adn&pg=2&id=ED513922','ERIC'); return false;" href="https://eric.ed.gov/?q=adn&pg=2&id=ED513922">Motivational Factors in Registered Nurses Completing a Baccalaureate Completion Program</a> <a target="_blank" rel="noopener noreferrer" href="http://www.eric.ed.gov/ERICWebPortal/search/extended.jsp?_pageLabel=advanced">ERIC Educational Resources Information Center</a> Alonzo, Amanda L. 2009-01-01 The purpose of this qualitative descriptive study was to investigate what motivates associate degree (AND) and diploma prepared registered nurses (RN) to pursue a baccalaureate degree (BSN) through an RN-to-BSN program. Studies have shown that the educational level of nurses has direct impact on the safety and quality of care provided to patients.… </li> </ol> <div class="pull-right"> <ul class="pagination"> <li><a href="#" onclick='return showDiv("page_1");'>«</a></li> <li><a href="#" onclick='return showDiv("page_20");'>20</a></li> <li><a href="#" onclick='return showDiv("page_21");'>21</a></li> <li class="active">22</li> <li><a href="#" onclick='return showDiv("page_23");'>23</a></li> <li><a href="#" onclick='return showDiv("page_24");'>24</a></li> <li><a href="#" onclick='return showDiv("page_25");'>»</a></li> </ul> </div> </div> </div> </div> <div id="page_23" class="hiddenDiv"> <div class="row"> <div class="col-sm-12"> <div class="pull-right"> <ul class="pagination"> <li><a href="#" onclick='return showDiv("page_1");'>«</a></li> <li><a href="#" onclick='return showDiv("page_21");'>21</a></li> <li><a href="#" onclick='return showDiv("page_22");'>22</a></li> <li class="active">23</li> <li><a href="#" onclick='return showDiv("page_24");'>24</a></li> <li><a href="#" onclick='return showDiv("page_25");'>25</a></li> <li><a href="#" onclick='return showDiv("page_25");'>»</a></li> </ul> </div> </div> </div> <div class="row"> <div class="col-sm-12"> <ol class="result-class" start="441"> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.osti.gov/servlets/purl/1261974','SCIGOV-DOEDE'); return false;" href="https://www.osti.gov/servlets/purl/1261974">Drill core major, trace and rare earth element anlayses from wells RN-17B and RN-30, Reykjanes, Iceland</a> <a target="_blank" rel="noopener noreferrer" href="http://www.osti.gov/dataexplorer">DOE Data Explorer</a> Andrew Fowler 2015-04-01 Analytical results for X-ray fluorescence (XRF) and inductively coupled plasma mass spectrometry (ICP-MS) measurement of major, trace and rare earth elements in drill core from geothermal wells in Reykjanes, Iceland. Total Fe was analyzed as FeO, therefore is not included under the Fe2O3 column. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://pubs.er.usgs.gov/publication/70022342','USGSPUBS'); return false;" href="https://pubs.er.usgs.gov/publication/70022342">Testing a full‐range soil‐water retention function in modeling water potential and temperature</a> <a target="_blank" rel="noopener noreferrer" href="http://pubs.er.usgs.gov/pubs/index.jsp?view=adv">USGS Publications Warehouse</a> Andraski, Brian J.; Jacobson, Elizabeth A. 2000-01-01 Recent work has emphasized development of full‐range water‐retention functions that are applicable under both wet and dry soil conditions, but evaluation of such functions in numerical modeling has been limited. Here we show that simulations using the Rossi‐Nimmo (RN) full‐range function compared favorably with those using the common Brooks‐Corey function and that the RN function can improve prediction of water potentials in near‐surface soil, particularly under dry conditions. Simulations using the RN function also improved prediction of temperatures throughout the soil profile. Such improvements could be important for calculations of liquid and vapor flow in near‐surface soils and in deep unsaturated zones of arid and semiarid regions. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.ncbi.nlm.nih.gov/pubmed/18160861','PUBMED'); return false;" href="https://www.ncbi.nlm.nih.gov/pubmed/18160861">Nurses supporting nurses: creating a mentoring program for staff nurses to improve the workforce environment.</a> <a target="_blank" rel="noopener noreferrer" href="https://www.ncbi.nlm.nih.gov/entrez/query.fcgi?DB=pubmed">PubMed</a> Latham, Christine L; Hogan, Mikel; Ringl, Karen 2008-01-01 The hospital workforce environment has been recognized as an important factor for nurse retention and patient safety, yet there is ongoing evidence that inadequate communication, intraprofessional oppression, and lack of collaboration and conflict resolution continue to disempower nurses and hinder improvement of workforce conditions. A 3-year academic-hospital partnership developed and used a registered nurse (RN) mentor and advocacy program to improve the RN work environment and selected patient outcomes. The partnership initiated mentor-mentee teams and a Workforce Environment Governance Board, and obtained preliminary data on outcomes related to mentor-mentee teamwork, changes in the level of support within each unit, and the impact of improved working conditions on nurse and patient satisfaction, nurse vacancy and turnover rates, and 3 patient safety outcomes related to fall and pressure ulcer prevention and use of restraints. Dedicated mentors not only engaged in supporting fellow nurses but also assisted with enhancing the overall work environment for RNs. The partnership enhanced mutual respect between frontline RNs and managers, and allowed frontline RNs to improve the culture of support. The comprehensive approach to incorporating mentor-mentee teams changes the way fellow nurses and others perceive nurses, augments support by managers and coworkers, and improves patient care outcomes. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.ncbi.nlm.nih.gov/pubmed/22037647','PUBMED'); return false;" href="https://www.ncbi.nlm.nih.gov/pubmed/22037647">Registered nurse retention strategies in nursing homes: a two-factor perspective.</a> <a target="_blank" rel="noopener noreferrer" href="https://www.ncbi.nlm.nih.gov/entrez/query.fcgi?DB=pubmed">PubMed</a> Hunt, Selina R; Probst, Janice C; Haddock, Kathlyn S; Moran, Robert; Baker, Samuel L; Anderson, Ruth A; Corazzini, Kirsten 2012-01-01 As the American population ages and the proportion of individuals over the age of 65 expands, the demand for high-quality nursing home care will increase. However, nursing workforce instability threatens care quality and sustainability in this sector. Despite increasing attention to nursing home staff turnover, far less is known about registered nurse (RN) retention. In this study, the relationships between retention strategies, employee benefits, features of the practice environment, and RN retention were explored. Further, the utility of Herzberg's two-factor theory of motivation as a framework for nursing home retention studies was evaluated. This study was a secondary analysis of the nationally representative 2004 National Nursing Home Survey. The final sample of 1,174 participating nursing homes were either certified by Medicare or Medicaid or licensed by state agencies. We used a weighted multinomial logistic regression using an incremental approach to model the relationships. Although most nursing homes offered some combination of retention programs, the majority of strategies did not have a significant association with the level of RN retention reported by facilities. Director of nursing tenure and other extrinsic factors had the strongest association with RN retention in adjusted analyses. To improve RN retention, organizations may benefit greatly from stabilizing nursing home leadership, especially the director of nursing position. Second, managers of facilities with poor retention may consider adding career ladders for advancement, awarding attendance, and improving employee benefits. As a behavioral outcome of motivation and satisfaction, retention was not explained as expected using Herzberg's two-factor theory. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://ntrs.nasa.gov/search.jsp?R=19900040682&hterms=Radon&qs=N%3D0%26Ntk%3DAll%26Ntx%3Dmode%2Bmatchall%26Ntt%3DRadon','NASA-TRS'); return false;" href="https://ntrs.nasa.gov/search.jsp?R=19900040682&hterms=Radon&qs=N%3D0%26Ntk%3DAll%26Ntx%3Dmode%2Bmatchall%26Ntt%3DRadon">Radon-222 as a test of convective transport in a general circulation model</a> <a target="_blank" rel="noopener noreferrer" href="http://ntrs.nasa.gov/search.jsp">NASA Technical Reports Server (NTRS)</a> Jacob, Daniel J.; Prather, Michael J. 1990-01-01 A three-dimensional tracer model based on the Goddard Institude of Space Studies GCM is used to simulate the distribution of Rn-222 over North America to test the ability of the model to describe the transport of pollutants in the boundary layer and the exchange of mass between the boundary layer and the free troposphere. The model results are compared with surface observations from five sites in the U.S., showing that Rn-222 concentrations are primarily regulated by dry convection. The simulations show satisfactory agreement with observations although the model underpredicts observations at night and the simulated Rn-222 concentrations over the northeastern U.S. are too high in the spring and too low in the fall. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('http://adsabs.harvard.edu/abs/2018JDE...265.2191S','NASAADS'); return false;" href="http://adsabs.harvard.edu/abs/2018JDE...265.2191S">Transition fronts of time periodic bistable reaction-diffusion equations in RN</a> <a target="_blank" rel="noopener noreferrer" href="http://adsabs.harvard.edu/abstract_service.html">NASA Astrophysics Data System (ADS)</a> Sheng, Wei-Jie; Guo, Hong-Jun 2018-09-01 This paper is concerned with the existence and qualitative properties of transition fronts for time periodic bistable reaction-diffusion equations in RN. We first show that any almost-planar transition front is actually planar, regardless of the number of transition layers. Then we prove that all transition fronts admit a global mean speed γ and it holds γ = | c |, where c is the speed of the planar traveling front. Finally we establish the existence of a transition front in RN that is not a standard traveling front. Such a front behaves like three moving time periodic planar fronts as time goes to -∞ and like a time periodic V-shaped traveling front as time goes to ∞. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.ncbi.nlm.nih.gov/pubmed/22416541','PUBMED'); return false;" href="https://www.ncbi.nlm.nih.gov/pubmed/22416541">NURSING 911: an orientation program to improve retention of online RN-BSN students.</a> <a target="_blank" rel="noopener noreferrer" href="https://www.ncbi.nlm.nih.gov/entrez/query.fcgi?DB=pubmed">PubMed</a> Gilmore, Melanie; Lyons, Evadna M 2012-01-01 This article describes the implementation and evaluation of an eight-hour, comprehensive, face-to-face orientation program designed to improve student retention in a newly developed online RN to BSN program. A total of 179 newly enrolled RN to BSN students participated in the orientation program and evaluated the process. Student attrition decreased from 20 percent to less than 1 percent after the orientation program was extended and improved to include a technology assessment and an online practice course. A quality online program requires a well-designed orientation that includes technological assessments and hands-on, active participation by the learner. The newly improved and designed course has become effective in student retention and transition into the online learning environment. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.osti.gov/servlets/purl/10142716','SCIGOV-STC'); return false;" href="https://www.osti.gov/servlets/purl/10142716">Generation and mobility of radon in soil. Technical report</a> <a target="_blank" rel="noopener noreferrer" href="http://www.osti.gov/search">DOE Office of Scientific and Technical Information (OSTI.GOV)</a> Rose, A.W.; Jester, W.A.; Ciolkosz, E.J. This study has confirmed large seasonal and daily variations of Rn in soil gas, developed models for the effects of temperature and moisture on air-water Rn partition, inhibited Rn diffusion from wet soil into sparse large air-filled pores and effects of diffusion into bedrock, demonstrated that organic matter is a major host for 226Ra in soils and that organic-bound Ra largely determines the proportion of 222Rn emanated to pore space, shown that in contrast 220Rn is emanated mainly from 224Ra in Fe-oxides, detected significant disequilibrium between 226Ra and 238U in organic matter and in some recent glacial soils, demonstrated bymore » computer models that air convection driven by temperature differences is expected in moderately permeable soils on hillsides.« less </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.ncbi.nlm.nih.gov/pubmed/20393361','PUBMED'); return false;" href="https://www.ncbi.nlm.nih.gov/pubmed/20393361">The effect of Medicaid wage pass-through programs on the wages of direct care workers.</a> <a target="_blank" rel="noopener noreferrer" href="https://www.ncbi.nlm.nih.gov/entrez/query.fcgi?DB=pubmed">PubMed</a> Baughman, Reagan A; Smith, Kristin 2010-05-01 Despite growing demand for nursing and home health care as the US population ages, compensation levels in the low-skill nursing labor market that provides the bulk of long-term care remain quite low. The challenge facing providers of long-term care is that Medicaid reimbursement rates for nursing home and home health care severely restrict the wage growth that is necessary to attract workers, resulting in high turnover and labor shortages. Almost half of US states have responded by enacting "pass-through" provisions in their Medicaid programs, channeling additional long-term care funding directly to compensation of lower-skill nursing workers. We test the effect of Medicaid wage pass-through programs on hourly wages for direct care workers. We estimate several specifications of wage models using employment data from the 1996 and 2001 panels of the Survey of Income and Program Participation for nursing, home health, and personal care aides. The effect of pass-through programs is identified by an indicator variable for states with programs; 20 states adopted pass-throughs during the sample period. Workers in states with pass-through programs earn as much as 12% more per hour than workers in other states after those programs are implemented. Medicaid wage pass-through programs appear to be a viable policy option for raising compensation levels of direct care workers, with an eye toward improving recruitment and retention in long-term care settings. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.ncbi.nlm.nih.gov/pubmed/25304238','PUBMED'); return false;" href="https://www.ncbi.nlm.nih.gov/pubmed/25304238">Effects of ambient and elevated CO2 on growth, chlorophyll fluorescence, photosynthetic pigments, antioxidants, and secondary metabolites of Catharanthus roseus (L.) G Don. grown under three different soil N levels.</a> <a target="_blank" rel="noopener noreferrer" href="https://www.ncbi.nlm.nih.gov/entrez/query.fcgi?DB=pubmed">PubMed</a> Singh, Aradhana; Agrawal, Madhoolika 2015-03-01 Catharanthus roseus L. plants were grown under ambient (375 ± 30 ppm) and elevated (560 ± 25 ppm) concentrations of atmospheric CO2 at different rates of N supply (without supplemental N, 0 kg N ha(-1); recommended N, 50 kg N ha(-1); and double recommended N, 100 kg N ha(-1)) in open top chambers under field condition. Elevated CO2 significantly increased photosynthetic pigments, photosynthetic efficiency, and organic carbon content in leaves at recommended (RN) and double recommended N (DRN), while significantly decreased total nitrogen content in without supplemental N (WSN). Activities of superoxide dismutase, catalase, and ascorbate peroxidase were declined, while glutathione reductase, peroxidase, and phenylalanine-ammonia lyase were stimulated under elevated CO2. However, the responses of the above enzymes were modified with different rates of N supply. Elevated CO2 significantly reduced superoxide production rate, hydrogen peroxide, and malondialdehyde contents in RN and DRN. Compared with ambient, total alkaloids content increased maximally at recommended level of N, while total phenolics in WSN under elevated CO2. Elevated CO2 stimulated growth of plants by increasing plant height and numbers of branches and leaves, and the magnitude of increment were maximum in DRN. The study suggests that elevated CO2 has positively affected plants by increasing growth and alkaloids production and reducing the level of oxidative stress. However, the positive effects of elevated CO2 were comparatively lesser in plants grown under limited N availability than in moderate and higher N availability. Furthermore, the excess N supply in DRN has stimulated the growth but not the alkaloids production under elevated CO2. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.ncbi.nlm.nih.gov/pubmed/24372470','PUBMED'); return false;" href="https://www.ncbi.nlm.nih.gov/pubmed/24372470">New graduate separations from New Zealand's nursing workforce in the first 5 years after registration: a retrospective cohort analysis of a national administrative data set 2005-2010.</a> <a target="_blank" rel="noopener noreferrer" href="https://www.ncbi.nlm.nih.gov/entrez/query.fcgi?DB=pubmed">PubMed</a> North, Nicola; Leung, William; Lee, Rochelle 2014-08-01 To describe workforce separation rates and its relationship with demographic and work characteristics in the 2005 new graduate cohort's first 5 years as practising RNs in NZ. Retaining new graduate RNs is critical to nursing workforce sustainability; one study showed that if an RN is still employed in a hospital setting 5 years after graduation, he/she tends to remain active in the health industry. Retrospective analysis using the Nursing Council of New Zealand's registration data set for years 2005-2010. All newly registered NZ graduates practising in NZ in 2005 (n = 1236) were tracked for 5 years. Within 5 years of graduation, 26% of the cohort had separated from the NZ nursing workforce, 18% in the first year. The under-25s (n = 517), 42% of the cohort, had the highest loss, 32%, in 5 years. Separations were significantly lower for graduates in their 30s vs. their 20s and for those who gained postgraduate tertiary qualifications post-registration (10%) vs. those who did not (29%). Hospitals were the most frequent employment setting over 5 years, the largest increase being community settings. Five-year retention rates in the four largest practice areas were surgical 26%, medical 16%, mental health 60% and continuing care 10%. After 5 years, 24% of those still practising (n = 920) worked in a different health board region. New graduate RN losses were higher than in previous research, with younger RNs at most risk, threatening future sustainability of the nursing workforce and highlighting the need for evidence-based targeted strategies to retain them. © 2013 John Wiley & Sons Ltd. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('http://www.dtic.mil/docs/citations/ADA320605','DTIC-ST'); return false;" href="http://www.dtic.mil/docs/citations/ADA320605">Transformation Weakening of Ceramic Composite Interfaces.</a> <a target="_blank" rel="noopener noreferrer" href="http://www.dtic.mil/">DTIC Science & Technology</a> 1996-12-06 20 90 80 0 0.01 0.02 0.03 0.04 0.05 0.06 0.07 "Plastic" Shear Strain, yp (rn/rn)(b) "Plastic" stain due to transformation in MgSiQ3 with 2 molo Mn2...for Ceramic Matrix Composites," C. M. Huang, F. Xiong, Y. Xu, A. Zangvil and W. M. Kriven, J. Materials Science and Engineering, A191 (1995) 249-256 </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.pubmedcentral.nih.gov/articlerender.fcgi?tool=pmcentrez&artid=4860174','PMC'); return false;" href="https://www.pubmedcentral.nih.gov/articlerender.fcgi?tool=pmcentrez&artid=4860174">First-pass myocardial perfusion imaging with whole-heart coverage using L1-SPIRiT accelerated variable density spiral trajectories</a> <a target="_blank" rel="noopener noreferrer" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?DB=pmc">PubMed Central</a> Yang, Yang; Kramer, Christopher M.; Shaw, Peter W.; Meyer, Craig H.; Salerno, Michael 2015-01-01 Purpose To design and evaluate 2D L1-SPIRiT accelerated spiral pulse sequences for first-pass myocardial perfusion imaging with whole heart coverage capable of measuring 8 slices at 2 mm in-plane resolution at heart rates up to 125 beats per minute (BPM). Methods Combinations of 5 different spiral trajectories and 4 k-t sampling patterns were retrospectively simulated in 25 fully sampled datasets and reconstructed with L1-SPIRiT to determine the best combination of parameters. Two candidate sequences were prospectively evaluated in 34 human subjects to assess in-vivo performance. Results A dual density broad transition spiral trajectory with either angularly uniform or golden angle in time k-t sampling pattern had the largest structural similarity (SSIM) and smallest root mean square error (RMSE) from the retrospective simulation, and the L1-SPIRiT reconstruction had well-preserved temporal dynamics. In vivo data demonstrated that both of the sampling patterns could produce high quality perfusion images with whole-heart coverage. Conclusion First-pass myocardial perfusion imaging using accelerated spirals with optimized trajectory and k-t sampling pattern can produce high quality 2D-perfusion images with wholeheart coverage at the heart rates up to 125 BPM. PMID:26538511 </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('http://adsabs.harvard.edu/abs/2014GML....34..457M','NASAADS'); return false;" href="http://adsabs.harvard.edu/abs/2014GML....34..457M">Late Quaternary history of contourite drifts and variations in Labrador Current flow, Flemish Pass, offshore eastern Canada</a> <a target="_blank" rel="noopener noreferrer" href="http://adsabs.harvard.edu/abstract_service.html">NASA Astrophysics Data System (ADS)</a> Marshall, Nicole R.; Piper, David J. W.; Saint-Ange, Francky; Campbell, D. Calvin 2014-10-01 Contourite drifts of alternating sand and mud, shaped by the Labrador Current, formed during the late Quaternary in Flemish Pass seaward of the Grand Banks of Newfoundland, Canada. The drifts preserve a record of Labrador Current flow variations through the last glacial maximum. A high-resolution seismic profile and a transect of four cores were collected across Beothuk drift on the southeast side of Flemish Pass. Downcore and lateral trends in grain size and sedimentation rate provide evidence that, between 16 and 13 ka, sediment was partitioned across Beothuk drift and the adjacent Flemish Pass floor by a strong current flow but, from 29 to 16 ka, sedimentation was more of a blanketing style, represented by draped reflections interpreted as being due to a weaker current. The data poorly resolve the low sedimentation rates since 13 ka, but the modern Labrador Current in Flemish Pass is the strongest it has been in at least the past 29 ka. Pre-29 ka current flow is interpreted based on reflection architecture in seismic profiles. A prominent drift on the southwestern side of Flemish Pass formed above a mid-Miocene erosion surface, but was buried by a mass-transport deposit after the penultimate glacial maximum and after drift deposition switched to eastern Flemish Pass. These findings illustrate the temporal complexity of drift sedimentation and provide the first detailed proxy for Labrador Current flow since the last glacial maximum. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.osti.gov/servlets/purl/6559758','SCIGOV-STC'); return false;" href="https://www.osti.gov/servlets/purl/6559758">Generation and mobility of radon in soil</a> <a target="_blank" rel="noopener noreferrer" href="http://www.osti.gov/search">DOE Office of Scientific and Technical Information (OSTI.GOV)</a> Rose, A.W.; Jester, W.A.; Ciolkosz, E.J. This study has confirmed large seasonal and daily variations of Rn in soil gas, developed models for the effects of temperature and moisture on air-water Rn partition, inhibited Rn diffusion from wet soil into sparse large air-filled pores and effects of diffusion into bedrock, demonstrated that organic matter is a major host for 226Ra in soils and that organic-bound Ra largely determines the proportion of 222Rn emanated to pore space, shown that in contrast 220Rn is emanated mainly from 224Ra in Fe-oxides, detected significant disequilibrium between 226Ra and 238U in organic matter and in some recent glacial soils, demonstrated bymore » computer models that air convection driven by temperature differences is expected in moderately permeable soils on hillsides.« less </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.ncbi.nlm.nih.gov/pubmed/29254775','PUBMED'); return false;" href="https://www.ncbi.nlm.nih.gov/pubmed/29254775">Efficient Interplay Effect Mitigation for Proton Pencil Beam Scanning by Spot-Adapted Layered Repainting Evenly Spread out Over the Full Breathing Cycle.</a> <a target="_blank" rel="noopener noreferrer" href="https://www.ncbi.nlm.nih.gov/entrez/query.fcgi?DB=pubmed">PubMed</a> Poulsen, Per Rugaard; Eley, John; Langner, Ulrich; Simone, Charles B; Langen, Katja 2018-01-01 To develop and implement a practical repainting method for efficient interplay effect mitigation in proton pencil beam scanning (PBS). A new flexible repainting scheme with spot-adapted numbers of repainting evenly spread out over the whole breathing cycle (assumed to be 4 seconds) was developed. Twelve fields from 5 thoracic and upper abdominal PBS plans were delivered 3 times using the new repainting scheme to an ion chamber array on a motion stage. One time was static and 2 used 4-second, 3-cm peak-to-peak sinusoidal motion with delivery started at maximum inhalation and maximum exhalation. For comparison, all dose measurements were repeated with no repainting and with 8 repaintings. For each motion experiment, the 3%/3-mm gamma pass rate was calculated using the motion-convolved static dose as the reference. Simulations were first validated with the experiments and then used to extend the study to 0- to 5-cm motion magnitude, 2- to 6-second motion periods, patient-measured liver tumor motion, and 1- to 6-fraction treatments. The effect of the proposed method was evaluated for the 5 clinical cases using 4-dimensional (4D) dose reconstruction in the planning 4D computed tomography scan. The target homogeneity index, HI = (D 2 - D 98 )/D mean , of a single-fraction delivery is reported, where D 2 and D 98 is the dose delivered to 2% and 98% of the target, respectively, and D mean is the mean dose. The gamma pass rates were 59.6% ± 9.7% with no repainting, 76.5% ± 10.8% with 8 repaintings, and 92.4% ± 3.8% with the new repainting scheme. Simulations reproduced the experimental gamma pass rates with a 1.3% root-mean-square error and demonstrated largely improved gamma pass rates with the new repainting scheme for all investigated motion scenarios. One- and two-fraction deliveries with the new repainting scheme had gamma pass rates similar to those of 3-4 and 6-fraction deliveries with 8 repaintings. The mean HI for the 5 clinical cases was 14.2% with no repainting, 13.7% with 8 repaintings, 12.0% with the new repainting scheme, and 11.6% for the 4D dose without interplay effects. A novel repainting strategy for efficient interplay effect mitigation was proposed, implemented, and shown to outperform conventional repainting in experiments, simulations, and dose reconstructions. This strategy could allow for safe and more optimal clinical delivery of thoracic and abdominal proton PBS and better facilitate hypofractionated and stereotactic treatments. Copyright © 2017 Elsevier Inc. All rights reserved. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://eric.ed.gov/?q=adobe&pg=3&id=EJ949950','ERIC'); return false;" href="https://eric.ed.gov/?q=adobe&pg=3&id=EJ949950">Using Adobe Connect to Deliver Online Library Instruction to the RN to BSN Program</a> <a target="_blank" rel="noopener noreferrer" href="http://www.eric.ed.gov/ERICWebPortal/search/extended.jsp?_pageLabel=advanced">ERIC Educational Resources Information Center</a> Carlson, Kathleen 2011-01-01 This paper takes a look at how one academic health sciences librarian brought mediated literature searching to the distance RN to BSN nursing students. It takes a look at why Adobe Connect was the webinar software that was selected to deliver online instruction to the students. The article explains how students participated in a pre-class survey… </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('http://www.dtic.mil/docs/citations/ADA555298','DTIC-ST'); return false;" href="http://www.dtic.mil/docs/citations/ADA555298">Laser Capture Microdissection Assisted Identification of Epithelial MicroRNA Expression Signatures for Prognosis of Stage I NSCLC</a> <a target="_blank" rel="noopener noreferrer" href="http://www.dtic.mil/">DTIC Science & Technology</a> 2011-10-01 SiC relativ stains (B) are p tandard error 0 ng of RN on of a muc , a finding s measured crease in t dissection l, given tha of total RN ummary o...the yield and quality of microRNAs from LMD microdissectates of FFPE tissues for downstream analysis. Materials and Methods Ethics statement </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.ncbi.nlm.nih.gov/pubmed/15526704','PUBMED'); return false;" href="https://www.ncbi.nlm.nih.gov/pubmed/15526704">Creating a successful RN first assistant practice.</a> <a target="_blank" rel="noopener noreferrer" href="https://www.ncbi.nlm.nih.gov/entrez/query.fcgi?DB=pubmed">PubMed</a> DeFrancesco, Joyce 2004-10-01 Many RN first assistants (RNFAs) aspire to having their own practice. This article provides helpful exercises to help RNFAs determine if they have what it takes to be business owners and their own bosses. The pros and cons of different business structures-sole proprietorships, partnerships, and corporations-also are discussed to help RNFAs determine the best structure for their independent practice. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('http://files.eric.ed.gov/fulltext/ED479965.pdf','ERIC'); return false;" href="http://files.eric.ed.gov/fulltext/ED479965.pdf">A Survey of Former Nursing (RN and LVN) Students. Summary Findings of Respondents District-Wide.</a> <a target="_blank" rel="noopener noreferrer" href="http://www.eric.ed.gov/ERICWebPortal/search/extended.jsp?_pageLabel=advanced">ERIC Educational Resources Information Center</a> Glyer, Culver-Betty In fall 2001 staff of the Los Rios Community College District Office of Institutional Research collaborated with occupational deans, academic deans, and faculty to develop and administer a survey of former nursing (RN and LVN) students. The survey was designed to determine how well courses had met the needs of former nursing students who earned… </li> </ol> <div class="pull-right"> <ul class="pagination"> <li><a href="#" onclick='return showDiv("page_1");'>«</a></li> <li><a href="#" onclick='return showDiv("page_21");'>21</a></li> <li><a href="#" onclick='return showDiv("page_22");'>22</a></li> <li class="active">23</li> <li><a href="#" onclick='return showDiv("page_24");'>24</a></li> <li><a href="#" onclick='return showDiv("page_25");'>25</a></li> <li><a href="#" onclick='return showDiv("page_25");'>»</a></li> </ul> </div> </div> </div> </div> <div id="page_24" class="hiddenDiv"> <div class="row"> <div class="col-sm-12"> <div class="pull-right"> <ul class="pagination"> <li><a href="#" onclick='return showDiv("page_1");'>«</a></li> <li><a href="#" onclick='return showDiv("page_21");'>21</a></li> <li><a href="#" onclick='return showDiv("page_22");'>22</a></li> <li><a href="#" onclick='return showDiv("page_23");'>23</a></li> <li class="active">24</li> <li><a href="#" onclick='return showDiv("page_25");'>25</a></li> <li><a href="#" onclick='return showDiv("page_25");'>»</a></li> </ul> </div> </div> </div> <div class="row"> <div class="col-sm-12"> <ol class="result-class" start="461"> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.osti.gov/biblio/22642246-su-predicting-ventilation-change-due-radiation-therapy-dependency-pre-rt-ventilation-effort-correction','SCIGOV-STC'); return false;" href="https://www.osti.gov/biblio/22642246-su-predicting-ventilation-change-due-radiation-therapy-dependency-pre-rt-ventilation-effort-correction">SU-F-J-219: Predicting Ventilation Change Due to Radiation Therapy: Dependency On Pre-RT Ventilation and Effort Correction</a> <a target="_blank" rel="noopener noreferrer" href="http://www.osti.gov/search">DOE Office of Scientific and Technical Information (OSTI.GOV)</a> Patton, T; Du, K; Bayouth, J Purpose: Ventilation change caused by radiation therapy (RT) can be predicted using four-dimensional computed tomography (4DCT) and image registration. This study tested the dependency of predicted post-RT ventilation on effort correction and pre-RT lung function. Methods: Pre-RT and 3 month post-RT 4DCT images were obtained for 13 patients. The 4DCT images were used to create ventilation maps using a deformable image registration based Jacobian expansion calculation. The post-RT ventilation maps were predicted in four different ways using the dose delivered, pre-RT ventilation, and effort correction. The pre-RT ventilation and effort correction were toggled to determine dependency. The four different predictedmore » ventilation maps were compared to the post-RT ventilation map calculated from image registration to establish the best prediction method. Gamma pass rates were used to compare the different maps with the criteria of 2mm distance-to-agreement and 6% ventilation difference. Paired t-tests of gamma pass rates were used to determine significant differences between the maps. Additional gamma pass rates were calculated using only voxels receiving over 20 Gy. Results: The predicted post-RT ventilation maps were in agreement with the actual post-RT maps in the following percentage of voxels averaged over all subjects: 71% with pre-RT ventilation and effort correction, 69% with no pre-RT ventilation and effort correction, 60% with pre-RT ventilation and no effort correction, and 58% with no pre-RT ventilation and no effort correction. When analyzing only voxels receiving over 20 Gy, the gamma pass rates were respectively 74%, 69%, 65%, and 55%. The prediction including both pre- RT ventilation and effort correction was the only prediction with significant improvement over using no prediction (p<0.02). Conclusion: Post-RT ventilation is best predicted using both pre-RT ventilation and effort correction. This is the only prediction that provided a significant improvement on agreement. Research support from NIH grants CA166119 and CA166703, a gift from Roger Koch, and a Pilot Grant from University of Iowa Carver College of Medicine.« less </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('http://adsabs.harvard.edu/abs/2003PhRvC..67e4605C','NASAADS'); return false;" href="http://adsabs.harvard.edu/abs/2003PhRvC..67e4605C">Neutron densities from a global analysis of medium-energy proton-nucleus elastic scattering</a> <a target="_blank" rel="noopener noreferrer" href="http://adsabs.harvard.edu/abstract_service.html">NASA Astrophysics Data System (ADS)</a> Clark, B. C.; Kerr, L. J.; Hama, S. 2003-05-01 A new method for extracting neutron densities from intermediate-energy elastic proton-nucleus scattering observables uses a global Dirac phenomenological approach based on the relativistic impulse approximation. Datasets for 40Ca, 48Ca, and 208Pb in the energy range from 500 MeV to 1040 MeV are considered. The global fits are successful in reproducing the data and in predicting datasets not included in the analysis. Using this global approach, energy-independent neutron densities are obtained. The vector point proton density distribution ρpv is determined from the empirical charge density after unfolding the proton form factor. The other densities, ρnv, ρps, ρns, are parametrized. This work provides energy-independent values for the rms neutron radius Rn and the neutron skin thickness Sn, in contrast to the energy-dependent values obtained by previous studies. In addition, the results presented in this paper show that the expected rms neutron radius and the skin thickness for 40Ca are accurately reproduced. The values of Rn and Sn obtained from the global fits that we consider to be the most reliable are given as follows: for 40Ca, 3.314>Rn>3.310 fm and -0.063>Sn >-0.067 fm; for 48Ca, 3.459>Rn>3.413 fm and 0.102>Sn>0.056 fm; and for 208Pb, 5.550>Rn>5.522 fm and 0.111>Sn>0.083 fm. These values are in reasonable agreement with nonrelativistic Skyrme-Hartree-Fock models and with relativistic Hartree-Bogoliubov models with density-dependent meson-nucleon couplings. The results from the global fits for 48Ca and 208Pb are generally not in agreement with the usual relativistic mean-field models. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.osti.gov/servlets/purl/867626','DOE-PATENT-XML'); return false;" href="https://www.osti.gov/servlets/purl/867626">Method of and apparatus for measuring the mean concentration of thoron and/or radon in a gas mixture</a> <a target="_blank" rel="noopener noreferrer" href="http://www.osti.gov/doepatents">DOEpatents</a> Lucas, Henry 1990-01-01 A method of and an apparatus for detecting and accurately measuring the mean concentrations of .sup.222 Rn and .sup.220 Tn in a gas mixture, such as the ambient atmosphere in a mine, is provided. The apparatus includes an alpha target member which defines at least one operative target surface and which is preferably fabricated from a single piece of an alpha particle sensitive material. At least one portion of the operative target surface is covered with an alpha particle filter. The uncovered and filter covered operative surface is exposed to the gas mixture containing the .sup.222 Rn and .sup.220 Tn. In the radioactive decay series of these isotopes the maximum kinetic energy emitted by the alpha decay of .sup.222 Rn is about 1.1 MeV less than the maximum kinetic energy emitted by the alpha decay of a .sup.220 Tn. The alpha particle filter has a predetermined mass per unit area of the covered portion of the operative target surface that prevents penetration of alpha particles which originate from .sup.222 Rn decay, but which allows passage therethrough of the maximum kinetic energy alpha particles from .sup.220 Tn decay. Thus, a count of the alpha particle tracks in the uncovered portion of the target member is proportional to the mean concentration of sum of .sup.222 Rn and .sup.220 Tn in the gas mixture, while the count of alpha tracks in the target member under the filter is proportional to the concentration of only the .sup.220 Tn in the gas mixture. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.ncbi.nlm.nih.gov/pubmed/22889964','PUBMED'); return false;" href="https://www.ncbi.nlm.nih.gov/pubmed/22889964">Soil gas 222Rn concentration in northern Germany and its relationship with geological subsurface structures.</a> <a target="_blank" rel="noopener noreferrer" href="https://www.ncbi.nlm.nih.gov/entrez/query.fcgi?DB=pubmed">PubMed</a> Künze, N; Koroleva, M; Reuther, C-D 2013-01-01 (222)Rn in soil gas activity was measured across the margins of two active salt diapirs in Schleswig-Holstein, northern Germany, in order to reveal the impact of halokinetic processes on the soil gas signal. Soil gas and soil sampling were carried out in springtime and summer 2011. The occurrence of elevated (222)Rn in soil gas concentrations in Schleswig-Holstein has been ascribed to radionuclide rich moraine boulder material deposits, but the contribution of subsurface structures has not been investigated so far. Reference samples were taken from a region known for its granitic moraine boulder deposits, resulting in (222)Rn in soil gas activity of 40 kBq/m(3). The values resulting from profile sampling across salt dome margins are of the order of twice the moraine boulder material reference values and exceed 100 kBq/m(3). The zones of elevated concentrations are consistent throughout time despite variations in magnitude. One soil gas profile recorded in this work expands parallel to a seismic profile and reveals multiple zones of elevated (222)Rn activities above a rising salt intrusion. The physical and chemical properties of salt have an impact on the processes influencing gas migration and surface near radionuclide accumulations. The rise of salt supports the breakup of rock components thus leading to enhanced emanation. This work provides a first approach regarding the halokinetic contribution to the (222)Rn in soil gas occurrence and a possible theoretical model which summarizes the relevant processes was developed. Copyright © 2012 Elsevier Ltd. All rights reserved. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.osti.gov/pages/biblio/1263843-understanding-impact-flow-rate-recycle-conversion-complex-biorefinery-stream-using-flow-through-microbial-electrolysis-cell','SCIGOV-DOEP'); return false;" href="https://www.osti.gov/pages/biblio/1263843-understanding-impact-flow-rate-recycle-conversion-complex-biorefinery-stream-using-flow-through-microbial-electrolysis-cell">Understanding the impact of flow rate and recycle on the conversion of a complex biorefinery stream using a flow-through microbial electrolysis cell</a> <a target="_blank" rel="noopener noreferrer" href="http://www.osti.gov/pages">DOE PAGES</a> Lewis, Alex J.; Borole, Abhijeet P. 2016-06-16 We investigated the effect of flow rate and recycle on the conversion of a biomass-derived pyrolysis aqueous phase in amicrobial electrolysis cell (MEC) to demonstrate production of renewable hydrogen in biorefinery. A continuous MEC operation was investigated under one-pass and recycle conditions usingthe complex, biomass-derived, fermentable, mixed substrate feed at a constant concentration of 0.026 g/L,while testing flow rates ranging from 0.19 to 3.6 mL/min. This corresponds to an organic loading rate (OLR) of 0.54₋10 g/L-day. Mass transfer issues observed at low flow rates were alleviated using high flow rates.Increasing the flow rate to 3.6 mL/min (3.7 min HRT) duringmore » one-pass operation increased the hydrogen productivity 3-fold, but anode conversion efficiency (ACE) decreased from 57.9% to 9.9%. Recycle of the anode liquid helped to alleviate kinetic limitations and the ACE increased by 1.8-fold and the hydrogen productivity by 1.2-fold compared to the one-pass condition at the flow rate of 3.6 mL/min (10 g/L-d OLR). High COD removal was also achieved under recycle conditions, reaching 74.2 1.1%, with hydrogen production rate of 2.92 ± 0.51 L/L-day. This study demonstrates the advantages of combining faster flow rates with a recycle process to improve rate of hydrogen production from a switchgrass-derived stream in the biorefinery.« less </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.ncbi.nlm.nih.gov/pubmed/29461349','PUBMED'); return false;" href="https://www.ncbi.nlm.nih.gov/pubmed/29461349">Return on Investment for the Baccalaureate-Prepared RN in Ambulatory Care.</a> <a target="_blank" rel="noopener noreferrer" href="https://www.ncbi.nlm.nih.gov/entrez/query.fcgi?DB=pubmed">PubMed</a> Zolotorofe, Irene; Fortini, Robert; Hash, Pam; Daniels, Angel; Orsolini, Liana; Mazzoccoli, Andrea; Gerardi, Tina 2018-03-01 Evidence supports the return on investment for an RN in ambulatory care. Utilizing RNs to their fullest potential in ambulatory practices is essential to effectively manage population health. Bon Secours Health System launched a new role, patient navigator RNs, to ensure seamless transitions of complex patients across care settings, resulting in better patient outcomes and a financial return. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.ncbi.nlm.nih.gov/pubmed/25189081','PUBMED'); return false;" href="https://www.ncbi.nlm.nih.gov/pubmed/25189081">[Aquatic Ecological Index based on freshwater (ICE(RN-MAE)) for the Rio Negro watershed, Colombia].</a> <a target="_blank" rel="noopener noreferrer" href="https://www.ncbi.nlm.nih.gov/entrez/query.fcgi?DB=pubmed">PubMed</a> Forero, Laura Cristina; Longo, Magnolia; John Jairo, Ramirez; Guillermo, Chalar 2014-04-01 Aquatic Ecological Index based on freshwater (ICE(RN-MAE)) for the Rio Negro watershed, Colombia. Available indices to assess the ecological status of rivers in Colombia are mostly based on subjective hypotheses about macroinvertebrate tolerance to pollution, which have important limitations. Here we present the application of a method to establish an index of ecological quality for lotic systems in Colombia. The index, based on macroinvertebrate abundance and physicochemical variables, was developed as an alternative to the BMWP-Col index. The method consists on determining an environmental gradient from correlations between physicochemical variables and abundance. The scores obtained in each sampling point are used in a standardized correlation for a model of weighted averages (WA). In the WA model abundances are also weighted to estimate the optimum and tolerance values of each taxon; using this information we estimated the index of ecological quality based also on macroinvertebrate (ICE(RN-MAE)) abundance in each sampling site. Subsequently, we classified all sites using the index and concentrations of total phosphorus (TP) in a cluster analysis. Using TP and ICE(RN-MAE), mean, maximum, minimum and standard deviation, we defined threshold values corresponding to three categories of ecological status: good, fair and critical. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://ntrs.nasa.gov/search.jsp?R=19860064841&hterms=experimental+survey&qs=Ntx%3Dmode%2Bmatchall%26Ntk%3DAll%26N%3D0%26No%3D70%26Ntt%3Dexperimental%2Bsurvey','NASA-TRS'); return false;" href="https://ntrs.nasa.gov/search.jsp?R=19860064841&hterms=experimental+survey&qs=Ntx%3Dmode%2Bmatchall%26Ntk%3DAll%26N%3D0%26No%3D70%26Ntt%3Dexperimental%2Bsurvey">Flowfield survey over a 75 deg swept delta wing at an angle of attack of 20.5 deg</a> <a target="_blank" rel="noopener noreferrer" href="http://ntrs.nasa.gov/search.jsp">NASA Technical Reports Server (NTRS)</a> Kjelgaard, S. O.; Sellers, W. L., III; Weston, R. P. 1986-01-01 An experimental investigation of the flowfield over a 75 deg swept delta wing at an angle of attack of 20.5 deg has been conducted. The data include pitot pressure surveys and two types of flow visualization. Surface and flowfield visualization data were obtained at Reynolds number, Rn, ranging from 0.5 to 2.0 million in increments of 0.25 million. Detailed pitot pressure surveys were made at five longitudinal stations at Rn = 0.5, 1.0, and 1.5 million in both the primary and secondary vortices. The results indicate that Reynolds number has only a minor effect on the global structure of the flowfield in the Reynolds number range that was investigated. The boundary layer transitions from laminar to turbulent at the trailing edge of the wing at Rn = 1.0 x 10 to the 6th, and the transition moves forward to x/L = 0.4 at Rn = 2.0 x 10 to the 6th. The positions of the primary vortex cores are insensitive to Reynolds number in this range; however, the lateral position of the secondary vortex core moves outboard aft of the region where the boundary layer transitions from laminar to turbulent. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.ncbi.nlm.nih.gov/pubmed/20844255','PUBMED'); return false;" href="https://www.ncbi.nlm.nih.gov/pubmed/20844255">Are false-positive rates leading to an overestimation of noise-induced hearing loss?</a> <a target="_blank" rel="noopener noreferrer" href="https://www.ncbi.nlm.nih.gov/entrez/query.fcgi?DB=pubmed">PubMed</a> Schlauch, Robert S; Carney, Edward 2011-04-01 To estimate false-positive rates for rules proposed to identify early noise-induced hearing loss (NIHL) using the presence of notches in audiograms. Audiograms collected from school-age children in a national survey of health and nutrition (the Third National Health and Nutrition Examination Survey [NHANES III]; National Center for Health Statistics, 1994) were examined using published rules for identifying noise notches at various pass-fail criteria. These results were compared with computer-simulated "flat" audiograms. The proportion of these identified as having a noise notch is an estimate of the false-positive rate for a particular rule. Audiograms from the NHANES III for children 6-11 years of age yielded notched audiograms at rates consistent with simulations, suggesting that this group does not have significant NIHL. Further, pass-fail criteria for rules suggested by expert clinicians, applied to NHANES III audiometric data, yielded unacceptably high false-positive rates. Computer simulations provide an effective method for estimating false-positive rates for protocols used to identify notched audiograms. Audiometric precision could possibly be improved by (a) eliminating systematic calibration errors, including a possible problem with reference levels for TDH-style earphones; (b) repeating and averaging threshold measurements; and (c) using earphones that yield lower variability for 6.0 and 8.0 kHz--2 frequencies critical for identifying noise notches. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.ncbi.nlm.nih.gov/pubmed/17551601','PUBMED'); return false;" href="https://www.ncbi.nlm.nih.gov/pubmed/17551601">Thomas Spencer Wells, Bt FRCS (1818-97) and his contributions to naval medicine.</a> <a target="_blank" rel="noopener noreferrer" href="https://www.ncbi.nlm.nih.gov/entrez/query.fcgi?DB=pubmed">PubMed</a> Cook, G C 2007-05-01 Sir Thomas Spencer Wells (1818-97) is best remembered both as a gynaecological surgeon, who introduced ovariectomy, and as the one who introduced the surgical forceps named after him. Far less is known of his career in the Royal Navy (RN) as an assistant surgeon and then a surgeon, and his contributions to naval medicine. Wells enlisted for the RN at the age of 23 years and for most of his naval career (1841-56) he served at the Naval Hospital, Malta (1841-48). However, from 1851 to 1853 he was surgeon and sanitary officer on the sloop, HMS Modeste. Most of Wells' contributions to the health of sailors were of a preventive nature, especially involving ventilation, in RN ships. He was also an enthusiast for quarantine and vaccination. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('http://www.dtic.mil/docs/citations/ADA051975','DTIC-ST'); return false;" href="http://www.dtic.mil/docs/citations/ADA051975">Descriptive Summaries of the Research, Development, Test and Evaluation, Army Appropriation FY 1979. Supporting Data FY 1979. Supporting Data FY 1979, Budget Estimate Estimate Submitted to Congress January 1978. Volume I</a> <a target="_blank" rel="noopener noreferrer" href="http://www.dtic.mil/">DTIC Science & Technology</a> 1978-01-01 1 O MW i fr 9 C-4 M i &.<? o 2 H ^ 0’O rn ublic U nlin f £• S s o Sü- W’ o- g 31 1 > o m —I ^_) Ŕ mm OmH Jo...34" > rn^ ^ <> mm:o ooO< m 5c — ^rn 71 o HH 73 m m > O > * *< < > m 3 5 2. m g. z 5 " 1 3 H 3 co J5 ß0 3 21 fO>~ftOSf97S o ö CD c...mftmmmmmmmmmm ^•5 UNCLASSIFIED SECURITY CLASSIFICATION OF THIS PAGE (Whmn Data Entered) REPORT DOCUMENTATION PAGE 1 . REPORT NUMBER None </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.ncbi.nlm.nih.gov/pubmed/25920780','PUBMED'); return false;" href="https://www.ncbi.nlm.nih.gov/pubmed/25920780">Radon in underground waters as a natural analogue to study the escape of CO2 in geological repositories.</a> <a target="_blank" rel="noopener noreferrer" href="https://www.ncbi.nlm.nih.gov/entrez/query.fcgi?DB=pubmed">PubMed</a> Martín Sánchez, A; Ruano Sánchez, A B; de la Torre Pérez, J; Jurado Vargas, M 2015-11-01 Activity concentrations of dissolved (222)Rn and (226)Ra were measured in several underground aquifers, which are candidates for repositories or for the study of analogue natural escapes of CO2. The concentration of both radionuclides in water was determined using liquid scintillation counting. The values obtained for the (222)Rn concentrations varied from 0 to 150 Bq l(-1), while the levels of (226)Ra were in general very low. This indicates that (222)Rn is coming from the decay of the undissolved (226)Ra existing in the rocks and deep layers of the aquifers, being later transported by diffusion in water. © The Author 2015. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oup.com. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.ncbi.nlm.nih.gov/pubmed/29206264','PUBMED'); return false;" href="https://www.ncbi.nlm.nih.gov/pubmed/29206264">RN-to-BSN Students' Quality Improvement Knowledge, Skills, Confidence, and Systems Thinking.</a> <a target="_blank" rel="noopener noreferrer" href="https://www.ncbi.nlm.nih.gov/entrez/query.fcgi?DB=pubmed">PubMed</a> Trent, Peggy; Dolansky, Mary A; DeBrew, Jacqueline Kayler; Petty, Gayle M 2017-12-01 Little evidence demonstrates that RN-to-baccalaureate nursing (BSN) graduates have met The Essentials of Baccalaureate Education for Professional Nursing Practice-specifically, evidence of the graduates' organizational and systems leadership related to quality care and patient safety. This BSN Essentials reflects the QSEN quality improvement (QI) competency. The purpose of this pilot study was to develop and test an assessment strategy to measure RN-to BSN students' QI competence and their perception of QI knowledge and skills. Students (N = 59) from six RN-to-BSN programs participated in a Qualtrics survey e-mailed during the last semester of their program. The majority of students (60%) reported that they did not experience QI content in their program. Scores on QI knowledge, skills, and systems thinking were low, yet the students self-reported that they were confident in their ability to perform QI. This pilot study provides an assessment strategy to measure students' competence related to QI. Nursing education has an opportunity to integrate and measure QI competence to ensure that nurses have the knowledge and skills to continually improve patient care. [J Nurs Educ. 2017;56(12):737-740.]. Copyright 2017, SLACK Incorporated. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.osti.gov/biblio/22439775-nuclear-data-sheets','SCIGOV-STC'); return false;" href="https://www.osti.gov/biblio/22439775-nuclear-data-sheets">Nuclear Data Sheets for A = 210</a> <a target="_blank" rel="noopener noreferrer" href="http://www.osti.gov/search">DOE Office of Scientific and Technical Information (OSTI.GOV)</a> Shamsuzzoha Basunia, M. 2014-09-15 Evaluated spectroscopic data for {sup 210}Au, {sup 210}Hg, {sup 210}Tl, {sup 210}Pb, {sup 210}Bi, {sup 210}Po, {sup 210}At, {sup 210}Rn, {sup 210}Fr, {sup 210}Ra, {sup 210}Ac, and {sup 210}Th and corresponding level schemes from radioactive decay and reaction studies are presented. This evaluation supersedes the previous evaluation by E. Browne (2003Br13). Highlights of this publication are the identification of new μs isomers of {sup 210}Hg by 2013Go10 and measurement of an excited level energy at 1709 keV 30 of {sup 210}Rn from {sup 214}Rn α decay: 68.6 μs by 2006Ku26 denoted as x+1664.6 in the Adopted Levels. Earlier experimental limitsmore » for x≤50 keV was proposed in 1979Po19 and 1982Po03 – (HI,xnγ)« less </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('http://adsabs.harvard.edu/abs/2014PhLA..378.3464P','NASAADS'); return false;" href="http://adsabs.harvard.edu/abs/2014PhLA..378.3464P">Characterization of dynamical systems under noise using recurrence networks: Application to simulated and EEG data</a> <a target="_blank" rel="noopener noreferrer" href="http://adsabs.harvard.edu/abstract_service.html">NASA Astrophysics Data System (ADS)</a> Puthanmadam Subramaniyam, Narayan; Hyttinen, Jari 2014-10-01 In this letter, we study the influence of observational noise on recurrence network (RN) measures, the global clustering coefficient (C) and average path length (L) using the Rössler system and propose the application of RN measures to analyze the structural properties of electroencephalographic (EEG) data. We find that for an appropriate recurrence rate (RR>0.02) the influence of noise on C can be minimized while L is independent of RR for increasing levels of noise. Indications of structural complexity were found for healthy EEG, but to a lesser extent than epileptic EEG. Furthermore, C performed better than L in case of epileptic EEG. Our results show that RN measures can provide insights into the structural properties of EEG in normal and pathological states. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.ncbi.nlm.nih.gov/pubmed/16883672','PUBMED'); return false;" href="https://www.ncbi.nlm.nih.gov/pubmed/16883672">Becoming a registered nurse: the nurse extern experience.</a> <a target="_blank" rel="noopener noreferrer" href="https://www.ncbi.nlm.nih.gov/entrez/query.fcgi?DB=pubmed">PubMed</a> Starr, Kimberly; Conley, Virginia M 2006-01-01 Little is known about the perceptions of nursing students externing in newly developed hospital-based programs that focus on socialization and transition to the registered nurse (RN) role rather than on institutional recruitment and retention goals. This qualitative study explored student nurse externs' expectations, experiences, and benefits of participation in a student-focused externship program. Externs wanted to gain experience with skills and learn what it was like to be an RN. Goals were met or exceeded by becoming comfortable in the externship role, growing in skill performance and confidence, and becoming members of the healthcare team. The experience fostered growth from the novice to advanced beginner level of nursing practice. Externs saw the program participation as a valuable way to gain experience and learn what it was like to be an RN. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.osti.gov/servlets/purl/965071','SCIGOV-STC'); return false;" href="https://www.osti.gov/servlets/purl/965071">Overview of Hazard Assessment and Emergency Planning Software of Use to RN First Responders</a> <a target="_blank" rel="noopener noreferrer" href="http://www.osti.gov/search">DOE Office of Scientific and Technical Information (OSTI.GOV)</a> Waller, E; Millage, K; Blakely, W F 2008-08-26 There are numerous software tools available for field deployment, reach-back, training and planning use in the event of a radiological or nuclear (RN) terrorist event. Specialized software tools used by CBRNe responders can increase information available and the speed and accuracy of the response, thereby ensuring that radiation doses to responders, receivers, and the general public are kept as low as reasonably achievable. Software designed to provide health care providers with assistance in selecting appropriate countermeasures or therapeutic interventions in a timely fashion can improve the potential for positive patient outcome. This paper reviews various software applications of relevance tomore » radiological and nuclear (RN) events that are currently in use by first responders, emergency planners, medical receivers, and criminal investigators.« less </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.osti.gov/biblio/22262794-delivery-quality-assurance-arccheck','SCIGOV-STC'); return false;" href="https://www.osti.gov/biblio/22262794-delivery-quality-assurance-arccheck">Delivery quality assurance with ArcCHECK</a> <a target="_blank" rel="noopener noreferrer" href="http://www.osti.gov/search">DOE Office of Scientific and Technical Information (OSTI.GOV)</a> Neilson, Christopher; Klein, Michael; Barnett, Rob 2013-04-01 Radiation therapy requires delivery quality assurance (DQA) to ensure that treatment is accurate and closely follows the plan. We report our experience with the ArcCHECK phantom and investigate its potential optimization for the DQA process. One-hundred seventy DQA plans from 84 patients were studied. Plans were classified into 2 groups: those with the target situated on the diodes of the ArcCHECK (D plans) and those with the target situated at the center (C plans). Gamma pass rates for 8 target sites were examined. The parameters used to analyze the data included 3%/3 mm with the Van Dyk percent difference criteriamore » (VD) on, 3%/3 mm with the VD off, 2%/2 mm with the VD on, and x/3 mm with the VD on and the percentage dosimetric agreement “x” for diode plans adjusted. D plans typically displayed maximum planned dose (MPD) on the cylindrical surface containing ArcCHECK diodes than center plans, resulting in inflated gamma pass rates. When this was taken into account by adjusting the percentage dosimetric agreement, C plans outperformed D plans by an average of 3.5%. ArcCHECK can streamline the DQA process, consuming less time and resources than radiographic films. It is unnecessary to generate 2 DQA plans for each patient; a single center plan will suffice. Six of 8 target sites consistently displayed pass rates well within our acceptance criteria; the lesser performance of head and neck and spinal sites can be attributed to marginally lower doses and increased high gradient of plans.« less </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('http://www.dtic.mil/docs/citations/ADA510068','DTIC-ST'); return false;" href="http://www.dtic.mil/docs/citations/ADA510068">Changes in Ovarian Stromal Function and Associated Symptoms in Premenopausal Women Undergoing Chemotherapy for Breast Cancer</a> <a target="_blank" rel="noopener noreferrer" href="http://www.dtic.mil/">DTIC Science & Technology</a> 2008-08-01 Reynolds CA, Hartmann LC. Stratification of breast cancer risk in women with atypia : A Mayo cohort study. Journal of Clinical Oncology. 2007;25... Breast Cancer PRINCIPAL INVESTIGATOR: Marlene H. Frost, RN, Ph.D. CONTRACTING ORGANIZATION...Chemotherapy for Breast Cancer 5b. GRANT NUMBER DAMD17-03-1-0593 5c. PROGRAM ELEMENT NUMBER 6. AUTHOR(S) Frost, Marlene H., RN, Ph.D 5d. PROJECT </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.ncbi.nlm.nih.gov/pubmed/16095570','PUBMED'); return false;" href="https://www.ncbi.nlm.nih.gov/pubmed/16095570">Distinct roles of oxidative stress and antioxidants in the nucleus dorsalis and red nucleus following spinal cord hemisection.</a> <a target="_blank" rel="noopener noreferrer" href="https://www.ncbi.nlm.nih.gov/entrez/query.fcgi?DB=pubmed">PubMed</a> Xu, Mei; Yip, George Wai-Cheong; Gan, Le-Ting; Ng, Yee-Kong 2005-09-07 Oxidative stress plays an important role in the pathogenesis of neurodegeneration after the acute central nervous system injury. We reported previously that increased nitric oxide (NO) production following spinal cord hemisection tends to lead to neurodegeneration in neurons of the nucleus dorsalis (ND) that normally lacks expression of neuronal NO synthase (nNOS) in opposition to those in the red nucleus (RN) that constitutively expresses nNOS. We wondered whether oxidative stress could be a mechanism underlying this NO involved neurodegeneration. In the present study, we examined oxidative damage evaluated by the presence of 4-hydroxynonenal (HNE) and iron accumulation and expression of putative antioxidant enzymes heme oxygenase-1 (HO-1) and superoxide dismutase (SOD) in neurons of the ND and RN after spinal cord hemisection. We found that HNE expression was induced in neurons of the ipsilateral ND from 1 to 14 days following spinal cord hemisection. Concomitantly, iron staining was seen from 7 to 14 days after lesion. HO-1, however, was only transiently induced in ipsilateral ND neurons between 3 and 7 days after lesion. In contrast to the ND neurons, HNE was undetectable and iron level was unaltered in the RN neurons after spinal cord hemisection. HO-1, SOD-Cu/Zn and SOD-Mn were constitutively expressed in RN neurons, and lesion to the spinal cord did not change their expression. These results suggest that oxidative stress is involved in the degeneration of the lesioned ND neurons; whereas constitutive antioxidant enzymes may protect the RN neurons from oxidative damage. </li> </ol> <div class="pull-right"> <ul class="pagination"> <li><a href="#" onclick='return showDiv("page_1");'>«</a></li> <li><a href="#" onclick='return showDiv("page_21");'>21</a></li> <li><a href="#" onclick='return showDiv("page_22");'>22</a></li> <li><a href="#" onclick='return showDiv("page_23");'>23</a></li> <li class="active">24</li> <li><a href="#" onclick='return showDiv("page_25");'>25</a></li> <li><a href="#" onclick='return showDiv("page_25");'>»</a></li> </ul> </div> </div> </div> </div> <div id="page_25" class="hiddenDiv"> <div class="row"> <div class="col-sm-12"> <div class="pull-right"> <ul class="pagination"> <li><a href="#" onclick='return showDiv("page_1");'>«</a></li> <li><a href="#" onclick='return showDiv("page_21");'>21</a></li> <li><a href="#" onclick='return showDiv("page_22");'>22</a></li> <li><a href="#" onclick='return showDiv("page_23");'>23</a></li> <li><a href="#" onclick='return showDiv("page_24");'>24</a></li> <li class="active">25</li> <li><a href="#" onclick='return showDiv("page_25");'>»</a></li> </ul> </div> </div> </div> <div class="row"> <div class="col-sm-12"> <ol class="result-class" start="481"> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.ncbi.nlm.nih.gov/pubmed/29149124','PUBMED'); return false;" href="https://www.ncbi.nlm.nih.gov/pubmed/29149124">How Do You Adapt Your Plans For a Nursing Career When the Unexpected Occurs.</a> <a target="_blank" rel="noopener noreferrer" href="https://www.ncbi.nlm.nih.gov/entrez/query.fcgi?DB=pubmed">PubMed</a> Spawn, Nadia 2017-12-01 I graduated nursing school seven months pregnant in November 2015. My plans were to take the NCLEX immediately, give birth, take three months to adjust, and begin my nursing career in a glamorous emergency department position by the spring.  Fast forward to January 2016. My family lost three members in a car accident and my daughter was born high-needs, requiring multiple hospitalizations. Although she and my family needed me, I was anxious about taking too much time off after nursing school, which could delay my career advancement. . </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.ncbi.nlm.nih.gov/pubmed/25036535','PUBMED'); return false;" href="https://www.ncbi.nlm.nih.gov/pubmed/25036535">Characterization of the reniform nematode genome by shotgun sequencing.</a> <a target="_blank" rel="noopener noreferrer" href="https://www.ncbi.nlm.nih.gov/entrez/query.fcgi?DB=pubmed">PubMed</a> Nyaku, Seloame T; Sripathi, Venkateswara R; Kantety, Ramesh V; Cseke, Sarah B; Buyyarapu, Ramesh; Mc Ewan, Robert; Gu, Yong Q; Lawrence, Kathy; Senwo, Zachary; Sripathi, Padmini; George, Pheba; Sharma, Govind C 2014-04-01 The reniform nematode (RN), a major agricultural pest particularly on cotton in the United States, is among the major plant-parasitic nematodes for which limited genomic information exists. In this study, over 380 Mb of sequence data were generated from pooled DNA of four adult female RNs and assembled into 67,317 contigs, including 25,904 (38.5%) predicted coding contigs and 41,413 (61.5%) noncoding contigs. Most of the characterized repeats were of low complexity (88.9%), and 0.9% of the contigs matched with 53.2% of GenBank ESTs. The most frequent Gene Ontology (GO) terms for molecular function and biological process were protein binding (32%) and embryonic development (20%). Further analysis showed that 741 (1.1%), 94 (0.1%), and 169 (0.25%) RN genomic contigs matched with 1328 (13.9%), 1480 (5.4%), and 1330 (7.4%) supercontigs of Meloidogyne incognita, Brugia malayi, and Pristionchus pacificus, respectively. Chromosome 5 of Caenorhabditis elegans had the highest number of hits to the RN contigs. Seven putative detoxification genes and three carbohydrate-active enzymes (CAZymes) involved in cell wall degradation were studied in more detail. Additionally, kinases, G protein-coupled receptors, and neuropeptides functioning in physiological, developmental, and regulatory processes were identified in the RN genome. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.osti.gov/biblio/21152439-sup-rn-measurements-federal-university-technology-utfpr-curitiba-pr-brazil','SCIGOV-STC'); return false;" href="https://www.osti.gov/biblio/21152439-sup-rn-measurements-federal-university-technology-utfpr-curitiba-pr-brazil">{sup 222}Rn Measurements at Federal University of Technology (UTFPR, Curitiba, PR, Brazil)</a> <a target="_blank" rel="noopener noreferrer" href="http://www.osti.gov/search">DOE Office of Scientific and Technical Information (OSTI.GOV)</a> Correa, Janine Nicolosi; Paschuk, Sergei A.; Fior, Loriane 2008-08-07 Numerous studies and reports indicate that the indoor radon inhalation by humans has to be considered as the main source of radiological hazard and probably the second most important cause of lung cancer after that of smoking. During the last decades, many countries have put considerable efforts into direct measurements and monitoring of {sup 222}Rn and its progeny exposure, as well as {sup 222}Rn concentration mapping. Present measurements were performed with an aim to study possible correlation between used construction materials and {sup 222}Rn indoor concentration levels. For this purpose, 50 Lexan track detectors were exposed in the air (indoormore » as well as outdoor) during two months (June and July) within the central region of Curitiba and Campo Largo (Parana St., Brazil). Since this period of the year is usually rather cold in the South of Brazil, exposition time was chosen to prevent possible saturation of alpha tracks. The second step of measurements was performed during the months of November, December and January, when 50 Lexan track detectors were exposed in the air (indoor and outdoor) within the same urban area. Achieved results are being compared with other experimental data.« less </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.ncbi.nlm.nih.gov/pubmed/15519441','PUBMED'); return false;" href="https://www.ncbi.nlm.nih.gov/pubmed/15519441">Problem solving strategies integrated into nursing process to promote clinical problem solving abilities of RN-BSN students.</a> <a target="_blank" rel="noopener noreferrer" href="https://www.ncbi.nlm.nih.gov/entrez/query.fcgi?DB=pubmed">PubMed</a> Wang, Jing-Jy; Lo, Chi-Hui Kao; Ku, Ya-Lie 2004-11-01 A set of problem solving strategies integrated into nursing process in nursing core courses (PSNP) was developed for students enrolled in a post-RN baccalaureate nursing program (RN-BSN) in a university in Taiwan. The purpose of this study, therefore, was to evaluate the effectiveness of PSNP on students' clinical problem solving abilities. The one-group post-test design with repeated measures was used. In total 114 nursing students with 47 full-time students and 67 part-time students participated in this study. The nursing core courses were undertaken separately in three semesters. After each semester's learning, students would start their clinical practice, and were asked to submit three written nursing process recordings during each clinic. Assignments from the three practices were named post-test I, II, and III sequentially, and provided the data for this study. The overall score of problem solving indicated that score on the post-test III was significantly better than that on post-test I and II, meaning both full-time and part-time students' clinical problem solving abilities improved at the last semester. In conclusion, problem-solving strategies integrated into nursing process designed for future RN-BSN students are recommendable. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('http://adsabs.harvard.edu/abs/2006JMAA..324.1282R','NASAADS'); return false;" href="http://adsabs.harvard.edu/abs/2006JMAA..324.1282R">On the existence and uniqueness of minima and maxima on spheres of the integral functional of the calculus of variations</a> <a target="_blank" rel="noopener noreferrer" href="http://adsabs.harvard.edu/abstract_service.html">NASA Astrophysics Data System (ADS)</a> Ricceri, Biagio 2006-12-01 Given a bounded domain [Omega][subset of]Rn, we prove that if is a C1 function whose gradient is Lipschitzian in Rn+1 and non-zero at 0, then, for each r>0 small enough, the restriction of the integral functional to the sphere has a unique global minimum and a unique global maximum. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.osti.gov/biblio/22570159-we-bra-imrt-qa-arccheck-md-anderson-experience','SCIGOV-STC'); return false;" href="https://www.osti.gov/biblio/22570159-we-bra-imrt-qa-arccheck-md-anderson-experience">WE-D-BRA-06: IMRT QA with ArcCHECK: The MD Anderson Experience</a> <a target="_blank" rel="noopener noreferrer" href="http://www.osti.gov/search">DOE Office of Scientific and Technical Information (OSTI.GOV)</a> Aristophanous, M; Suh, Y; Chi, P Purpose: The objective of this project was to report our initial IMRT QA results and experience with the SunNuclear ArcCHECK. Methods: Three thousand one-hundred and sixteen cases were treated with IMRT or VMAT at our institution between October 2013 and September 2014. All IMRT/VMAT treatment plans underwent Quality Assurance (QA) using ArcCHECK prior to therapy. For clinical evaluation, a Gamma analysis is performed following QA delivery using the SNC Patient software (Sun Nuclear Corp) at the 3%/3mm level. QA Gamma pass rates were analyzed based on categories of treatment site, technique, and type of MLCs. Our current clinical threshold formore » passing a QA (Tclin) is set at a Gamma pass rate greater than 90%. We recorded the percent of failures for each category, as well as the Gamma pass rate threshold that would Result in 95% of QAs to pass (T95). Results: Using Tclin a failure rate of 5.9% over all QAs was observed. The highest failure rate was observed for gynecological (22%) and the lowest for CNS (0.9%) treatments. T95 was 91% over all QAs and ranged from 73% (gynecological) to 96.5% (CNS) for individual treatments sites. T95 was lower for IMRT and non-HD (high definition) MLCs at 88.5% and 94.5%, respectively, compared to 92.4% and 97.1% for VMAT and HD MLC treatments, respectively. There was a statistically significant difference between the passing rates for IMRT vs. VMAT and for HD MLCs vs. non-HD MLCs (p-values << 0.01). Gynecological, IMRT, and HD MLC treatments typically include more plans with larger field sizes. Conclusion: On average, Tclin with ArcCHECK was consistent with T95, as well as the 90% action level reported in TG-119. However, significant variations between the examined categories suggest a link between field size and QA passing rates and may warrant field size-specific passing rate thresholds.« less </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.ncbi.nlm.nih.gov/pubmed/21404962','PUBMED'); return false;" href="https://www.ncbi.nlm.nih.gov/pubmed/21404962">Evaluating the effectiveness of an online medical laboratory technician program.</a> <a target="_blank" rel="noopener noreferrer" href="https://www.ncbi.nlm.nih.gov/entrez/query.fcgi?DB=pubmed">PubMed</a> Hansen-Suchy, Kara 2011-01-01 The purpose of this study was to analyze the effectiveness of an online medical laboratory technician program in the academic preparation and development of laboratory professionals. A semi-quantitative comparative research design was used. Several factors were considered in this evaluation. Academic outcomes between online and campus medical laboratory technician (MLT) students was determined by comparing overall and categorical scores on certification exams as well as first time pass rate. Certification exam scores and first time pass rates were also compared to national norms when possible to do so. Demographic data, including age and experience were compared. Additionally, learning styles were assessed to determine if there was a correlation to overall GPA and MLT GPA and if learning styles could be used to predict successful completion of an online Associates of Applied Science. The research was conducted at an academic university located in the mountain west United States. Participants consisted of online and campus students enrolled in a Medical Laboratory Technician program that graduated with their Associate of Applied Science degree between the years 2007-2009. Results of these years were also compared to graduates from 2004-2006 in the same program. Certification performance and first time pass rates were the major outcomes measured. Age and experience were correlated. Online learning styles and GPA were also compared to successful degree completion. The researcher found no significant difference in certification performance with regard to total and categorical scores, and first time pass rates between campus and online MLT students. Online students were slightly older and had more experience working in a laboratory in some capacity. Correlation studies showed significant positive correlation between learning styles, GPA, and successful completion of an Associate of Applied Science degree. When registry scores were compared to the prior cohort of online students, some subcategories scores demonstrated a significant increase using Chi-squared analysis. The research demonstrated that the online MLT students studied were as academically prepared as their campus counterparts. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.pubmedcentral.nih.gov/articlerender.fcgi?tool=pmcentrez&artid=1993888','PMC'); return false;" href="https://www.pubmedcentral.nih.gov/articlerender.fcgi?tool=pmcentrez&artid=1993888">Resource Allocation and Resident Outcomes In Nursing Homes: Comparisons between the Best and Worst1</a> <a target="_blank" rel="noopener noreferrer" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?DB=pmc">PubMed Central</a> Anderson, Ruth A.; Hsieh, Pi-Ching; Su, Hui-Fang 2005-01-01 The purpose of this study was to identify patterns of resource allocation that related to resident outcomes in nursing homes. Data on structure, staffing levels, salaries, cost, casemix, and resident outcomes were obtained from state-level, administrative databases on 494 nursing homes. We identified two sets of comparison groups and showed that the group of homes with the greatest percentage of improvement in resident outcomes had higher levels of RN staffing and higher costs. However, comparison groups based on best/worst average outcomes did not differ in resource allocation patterns. Additional analysis demonstrated that when controlling for RN staffing, resident outcomes in high and low cost homes did not differ. The results suggest that, although RN staffing is more expensive, it is key to improving resident outcomes. PMID:9679807 </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('http://adsabs.harvard.edu/abs/2017PhRvC..96e4303X','NASAADS'); return false;" href="http://adsabs.harvard.edu/abs/2017PhRvC..96e4303X">Spectroscopy of reflection-asymmetric nuclei with relativistic energy density functionals</a> <a target="_blank" rel="noopener noreferrer" href="http://adsabs.harvard.edu/abstract_service.html">NASA Astrophysics Data System (ADS)</a> Xia, S. Y.; Tao, H.; Lu, Y.; Li, Z. P.; Nikšić, T.; Vretenar, D. 2017-11-01 Quadrupole and octupole deformation energy surfaces, low-energy excitation spectra, and transition rates in 14 isotopic chains: Xe, Ba, Ce, Nd, Sm, Gd, Rn, Ra, Th, U, Pu, Cm, Cf, and Fm, are systematically analyzed using a theoretical framework based on a quadrupole-octupole collective Hamiltonian (QOCH), with parameters determined by constrained reflection-asymmetric and axially symmetric relativistic mean-field calculations. The microscopic QOCH model based on the PC-PK1 energy density functional and δ -interaction pairing is shown to accurately describe the empirical trend of low-energy quadrupole and octupole collective states, and predicted spectroscopic properties are consistent with recent microscopic calculations based on both relativistic and nonrelativistic energy density functionals. Low-energy negative-parity bands, average octupole deformations, and transition rates show evidence for octupole collectivity in both mass regions, for which a microscopic mechanism is discussed in terms of evolution of single-nucleon orbitals with deformation. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('http://adsabs.harvard.edu/abs/2010EGUGA..1213067B','NASAADS'); return false;" href="http://adsabs.harvard.edu/abs/2010EGUGA..1213067B">On the impact of RN network coverage on event selection and data fusion during the 2009 National Data Centres Preparedness Exercise</a> <a target="_blank" rel="noopener noreferrer" href="http://adsabs.harvard.edu/abstract_service.html">NASA Astrophysics Data System (ADS)</a> Becker, Andreas; Krysta, Monika; Auer, Matthias; Brachet, Nicolas; Ceranna, Lars; Gestermann, Nicolai; Nikkinen, Mika; Zähringer, Matthias 2010-05-01 The so-called National Data Centres (NDCs) to the Provisional Technical Secretariat of the Preparatory Commission for the Comprehensive Nuclear-Test-Ban Treaty (CTBT) Organization are in charge to provide for the final judgement on the CTBT relevance of explosion events encountered in the PTS International Monitoring System (IMS). The latter is a 321 stations network set-up by the PTS (to date completion level: 80%) in order to globally monitor for occurrence of CTBT relevant seismo-acoustic and radionuclide signals. In doing so, NDCs learn about any seismo-acoustic or radionuclide event by active retrieval or subscription to corresponding event lists and products provided by the International Data Centre (IDC) to the PTS. To prepare for their instrumental role in case of a CTBT relevant event, the NDCs jointly conduct annually so-called NDC Preparedness Exercises. In 2009, NDC Germany was in charge to lead the exercise and to choose a seismo-acoustic event out of the list of events provided by the PTS (Gestermann et al., EGU2010-13067). The novelty in this procedure was that also the infrasound readings and the monitoring coverage of existing (certified) radionuclide stations into the area of consideration were taken into account during the event selection process (Coyne et al., EGU2010-12660). Hence, the event finally chosen and examined took place near Kara-Zhyra mine in Eastern Kazakhstan on 28 November 2009 around 07:20:31 UTC (Event-ID 5727516). NDC Austria performed forward atmospheric transport modelling in order to predict RN measurements that should have occurred in the radionuclide IMS. In doing so the fictitious case that there would have been a release of radionuclides taking place at the same location (Wotawa and Schraik, 2010; EGU2010-4907) in a strength being typical for a non-contained nuclear explosion is examined. The stations indicated should then be analysed for their actual radionuclide readings in order to confirm the non nuclear character of the event (negative testing scenario). Obviously only stations already set up and ‘certified' of being capable of full operations, could be recruited for this. In doing so an issue was encountered with regard to the availability of RN data at certified RN stations. Despite the support to the event selection, PTS also supplied so-called data fusion bulletins that apply a method to collocate the RN and seismo-acoustic source location results (Krysta and Becker, EGU2010-10218). In this paper we demonstrate the impact of gaps in network coverage that appear due to the aforementioned reduced RN data availability for source location capacities. Network coverage assessments for the set of certified stations and the reduced set of stations actually sending data shall therefore be discussed. Furthermore, the capabilities and constraints of the data fusion method to make up for the RN source location accuracy losses related to reduced RN data availability at certified stations shall be presented. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.ncbi.nlm.nih.gov/pubmed/20370788','PUBMED'); return false;" href="https://www.ncbi.nlm.nih.gov/pubmed/20370788">The usefulness of design of experimentation in defining the effect difficult airway factors and training have on simulator oral-tracheal intubation success rates in novice intubators.</a> <a target="_blank" rel="noopener noreferrer" href="https://www.ncbi.nlm.nih.gov/entrez/query.fcgi?DB=pubmed">PubMed</a> Thomas, Frank; Carpenter, Judi; Rhoades, Carol; Holleran, Renee; Snow, Gregory 2010-04-01 This exploratory study examined novice intubators and the effect difficult airway factors have on pre- and posttraining oral-tracheal simulation intubation success rates. Using a two-level, full-factorial design of experimentation (DOE) involving a combination of six airway factors (curved vs. straight laryngoscope blade, trismus, tongue edema, laryngeal spasm, pharyngeal obstruction, or cervical immobilization), 64 airway scenarios were prospectively randomized to 12 critical care nurses to evaluate pre- and posttraining first-pass intubation success rates on a simulator. Scenario variables and intubation outcomes were analyzed using a generalized linear mixed-effects model to determine two-way main and interactive effects. Interactive effects between the six study factors were nonsignificant (p = 0.69). For both pre- and posttraining, main effects showed the straight blade (p = 0.006), tongue edema (p = 0.0001), and laryngeal spasm (p = 0.004) significantly reduced success rates, while trismus (p = 0.358), pharyngeal obstruction (p = 0.078), and cervical immobilization did not significantly change the success rate. First-pass intubation success rate on the simulator significantly improved (p = 0.005) from pre- (19%) to posttraining (36%). Design of experimentation is useful in analyzing the effect difficult airway factors and training have on simulator intubation success rates. Future quality improvement DOE simulator research studies should be performed to help clarify the relationship between simulator factors and patient intubation rates. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://eric.ed.gov/?q=disruption+AND+routine&pg=2&id=EJ907774','ERIC'); return false;" href="https://eric.ed.gov/?q=disruption+AND+routine&pg=2&id=EJ907774">Schooling and Subject Disengagement in Year 10 Science in Four Maintained Schools in Northern England</a> <a target="_blank" rel="noopener noreferrer" href="http://www.eric.ed.gov/ERICWebPortal/search/extended.jsp?_pageLabel=advanced">ERIC Educational Resources Information Center</a> Butroyd, Robert 2008-01-01 The reform of curriculum and assessment in the 14-19 age range in England seeks to address the failure of schools to engage substantial cohorts of pupils, as measured by truancy rates, disruption of lessons and GCSE pass rates. The new statutory orders for Science are motivated in part by similar concerns. Four schools, already in partnership for… </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.ncbi.nlm.nih.gov/pubmed/22372984','PUBMED'); return false;" href="https://www.ncbi.nlm.nih.gov/pubmed/22372984">Evolving practice patterns for the management of small renal masses in the USA.</a> <a target="_blank" rel="noopener noreferrer" href="https://www.ncbi.nlm.nih.gov/entrez/query.fcgi?DB=pubmed">PubMed</a> Yang, Glen; Villalta, Jacqueline D; Meng, Maxwell V; Whitson, Jared M 2012-10-01 What's known on the subject? and What does the study add? Treatment options for small renal masses include radical nephrectomy (RN), partial nephrectomy (PN), ablation, and surveillance. PN provides equivalent oncological as RN for small tumours, but long-term outcomes for ablation and surveillance are poorly defined. Due to changing techniques and technology, treatment patterns for small renal masses are rapidly developing. Prior studies had analysed utilisation trends for PN and RN to 2006, revealing a relative rise in the rate of PN. However, overall treatment trends including surveillance and ablation had not been studied using a population-based cohort. It has become increasingly clear that RN is associated with greater renal and cardiovascular deterioration than nephron-sparing treatments. Thus, it is important to understand current population-based practice patterns for the treatment of small renal masses to assess whether practitioners are adhering to ever-changing principles in this field. The present study provides up-to-date treatment trends in the USA using a large population-based cohort. To describe the changing practice patterns in the management of small renal masses, including the use of surveillance and ablative techniques. All patients in the Surveillance, Epidemiology and End Results (SEER) registry treated for renal masses of ≤7 cm in diameter, from 1998 to 2008, were included for analysis. Annual trends in the use of surveillance, ablation, partial nephrectomy (PN), and radical nephrectomy (RN) were calculated. Multinomial logistic regression was used to determine the association of demographic and clinical characteristics with treatment method. In all, 48 148 patients from 17 registry sites with a mean age of 63.4 years were included for analysis. Between 1998 and 2008, for masses of <2 cm and 2.1-4 cm, there was a dramatic increase in the proportion of patients undergoing PN (31% vs 50%, 16% vs 33%, respectively) and ablation (1% vs 11%, 2% vs 9%, respectively). In multivariable analysis, later year of diagnosis, male gender, being married, clinically localised disease, and smaller tumours were associated with increased use of PN vs RN. Later year of diagnosis, male gender, being unmarried, smaller tumour, and the presence of bilateral masses were associated with increased use of ablation and surveillance vs RN. PN is now used in half of all patients with the smallest renal masses, and its use continues to increase over time. Ablation and surveillance are less common overall, but there is increased usage over time in select populations. © 2012 THE AUTHORS. BJU INTERNATIONAL © 2012 BJU INTERNATIONAL. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://eric.ed.gov/?q=pass+AND+year+AND+paper&pg=2&id=EJ1163652','ERIC'); return false;" href="https://eric.ed.gov/?q=pass+AND+year+AND+paper&pg=2&id=EJ1163652">A Review of Challenges in South African Education and Possible Ways to Improve Educational Outcome as Suggested by Decades of Research</a> <a target="_blank" rel="noopener noreferrer" href="http://www.eric.ed.gov/ERICWebPortal/search/extended.jsp?_pageLabel=advanced">ERIC Educational Resources Information Center</a> Maarman, Gerald J.; Lamont-Mbawuli, Kim 2017-01-01 Despite many positive developments in South Africa (SA), the education system and educational outcome face many challenges and require further improvement. This is reflected by elevated school dropout rates and suboptimal annual pass rates in various grades (Grades 7-12). Over the years, a plethora of studies has identified methods through which… </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.ncbi.nlm.nih.gov/pubmed/26571657','PUBMED'); return false;" href="https://www.ncbi.nlm.nih.gov/pubmed/26571657">[Effects of tillage at pre-planting of winter wheat and summer maize on leaf senescence of summer maize].</a> <a target="_blank" rel="noopener noreferrer" href="https://www.ncbi.nlm.nih.gov/entrez/query.fcgi?DB=pubmed">PubMed</a> Li, Xia; Zhang, Ji-wang; Ren, Bai-zhao; Fan, Xia; Dong, Shu-ting; Liu, Peng; Zhao, Bin 2015-05-01 This study explored the effects of different tillage treatments at pre-planting winter wheat and summer maize on leaf senescence physiological characteristics of summer maize in double cropping system. Zhengdan 958 was used as experimental material. Three tillage treatments, including rotary tillage before winter wheat seeding and no-tillage before summer maize seeding (RN), mold- board plow before winter wheat seeding and no-tillage before summer maize seeding (MN), and moldboard plow before winter wheat seeding and rotary tillage before summer maize seeding (MR), were designed to determine the effects of different tillage treatments on leaf area (LA) , leaf area reduction, photosynthetic pigments content, superoxide dismutase (SOD), catalase (CAT) and peroxidase (POD) activities and malondialdehyde (MDA) content in ear leaves of summer maize after tasselling (VT). LA of MN and MR were higher than that of RN from VT to 40 days after tasseling (VT + 40) and LA reduction of MR was the highest after VT + 40. As for MR, MN and NT, the photosynthetic pigments content got the maximum value at 20 days after tasselling (VT + 20) and then decreased, following the change of unimodal curve. At VT + 20, the contents of chlorophyll a in MR and MN were increased by 11.4% and 9.7%, the contents of chlorophyll b in MR and MN were increased by 14.9% and 15.9%, compared with RN. The soluble protein content in ear leaves decreased following the growth process in all treatments, and that of MR and MN remained 11.5% and 24.4% higher than that of RN from VT to VT + 40. SOD, CAT and POD activities of three treatments got the maximum values at VT + 20 and then decreased, following the change of unimodal curve. MDA content increased following the growth process in all treatments and that of RN always remained at high levels. Grain yields of MN and MR were 24.0% and 30.6% greater than that of RN, respectively. Grain yield of MR was 5.2% higher than that of MN. In conclusion, the ability of leaf senescence resistance of MN was improved, which was helpful to increase the yield of summer maize. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.ncbi.nlm.nih.gov/pubmed/28776956','PUBMED'); return false;" href="https://www.ncbi.nlm.nih.gov/pubmed/28776956">First follow-up radiographic response is one of the predictors of local tumor progression and radiation necrosis after stereotactic radiosurgery for brain metastases.</a> <a target="_blank" rel="noopener noreferrer" href="https://www.ncbi.nlm.nih.gov/entrez/query.fcgi?DB=pubmed">PubMed</a> Sharma, Mayur; Jia, Xuefei; Ahluwalia, Manmeet; Barnett, Gene H; Vogelbaum, Michael A; Chao, Samuel T; Suh, John H; Murphy, Erin S; Yu, Jennifer S; Angelov, Lilyana; Mohammadi, Alireza M 2017-09-01 Local progression (LP) and radiation necrosis (RN) occur in >20% of cases following stereotactic radiosurgery (SRS) for brain metastases (BM). Expected outcomes following SRS for BM include tumor control/shrinkage, local progression and radiation necrosis. 1427 patients with 4283 BM lesions were treated using SRS at Cleveland Clinic from 2000 to 2012. Clinical, imaging and radiosurgery data were collected from the database. Local tumor progression and RN were the primary end points and correlated with patient and tumor-related variables. 5.7% of lesions developed radiographic RN and 3.6% showed local progression at 6 months. Absence of new extracranial metastasis (P < 0.001), response to SRS at first follow-up scan (local progression versus stable size (P < 0.001), partial resolution versus complete resolution at first follow up [P = 0.009]), prior SRS to the same lesion (P < 0.001), IDL% (≤55; P < 0.001), maximum tumor diameter (>0.9 cm; P < 0.001) and MD/PD gradient index (≤1.8, P < 0.001) were independent predictors of high risk of local tumor progression. Absence of systemic metastases (P = 0.029), good neurological function at 1st follow-up (P ≤ 0.001), no prior SRS to other lesion (P = 0.024), low conformity index (≤1.9) (P = 0.009), large maximum target diameter (>0.9 cm) (P = 0.003) and response to SRS (tumor progression vs. stable size following SRS [P < 0.001]) were independent predictors of high risk of radiographic RN. Complete tumor response at first follow-up, maximum tumor diameter <0.9 cm, tumor volume <2.4 cc and no prior SRS to the index lesion are good prognostic factors with reduced risk of LP following SRS. Complete tumor response to SRS, poor neurological function at first follow-up, prior SRS to other lesions and high conformity index are favorable factors for not developing RN. Stable or partial response at first follow-up after SRS have same impact on local progression and RN compared to those with complete resolution or progression. © 2017 The Authors. Cancer Medicine published by John Wiley & Sons Ltd. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('http://www.dtic.mil/docs/citations/ADA510220','DTIC-ST'); return false;" href="http://www.dtic.mil/docs/citations/ADA510220">WORLD PORT INDEX Nineteenth Edition</a> <a target="_blank" rel="noopener noreferrer" href="http://www.dtic.mil/">DTIC Science & Technology</a> 2009-01-01 SABLE US 4424N 08319W CP06 14863 V RN E N N Y Y Y Q N Q M Y N 4460 OSCODA US 4425N 08319W CP06 14863 V RN E N N Y Y Y Q N Q M Y N 4470 ALPENA US 4504N... ALPENA US CP06 04470 ALSEA 16810 * ALTA NO 182 21130 ALTAMIRA MX 148 09355 ALTATA MX 153 15820 ALUMINA MARINE TERM 10772 * ALUSHTA UP BA24 43810 </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.ncbi.nlm.nih.gov/pubmed/10855085','PUBMED'); return false;" href="https://www.ncbi.nlm.nih.gov/pubmed/10855085">Storytelling as a teaching-learning tool with RN students.</a> <a target="_blank" rel="noopener noreferrer" href="https://www.ncbi.nlm.nih.gov/entrez/query.fcgi?DB=pubmed">PubMed</a> Branch, M; Anderson, M 1999-01-01 The Registered Nurse student returning to school brings both a knowledge base and experiences that lend themselves to enriching the learning environment. These experiences have helped to develop the practical knowledge and expertise that is evident in their practice. When these experiences are shared in the form of stories, they provide a mechanism for transformation within the learner. This study focused on the use of storytelling in teaching and empowering RN students to become involved in their own learning and fostering critical reflection. The RN students in this study represented a diverse ethnic/racial group. As a result, students were challenged to understand and manage cultural diversity and value cultural differences. The use of storytelling engaged students in reflective thinking, writing, and learning activities that identified assumptions, alternative ways of thinking, teaching, and practicing nursing. </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('http://adsabs.harvard.edu/abs/1987RMxAA..15...11F','NASAADS'); return false;" href="http://adsabs.harvard.edu/abs/1987RMxAA..15...11F">A SOUTHERN ATLAS OF GALACTIC HYDROGEN (THE REGION 0 degrees \\< Q \\< 12 degrees, -3 degrees >/ B -17 degrees)</a> <a target="_blank" rel="noopener noreferrer" href="http://adsabs.harvard.edu/abstract_service.html">NASA Astrophysics Data System (ADS)</a> Franco, M. L.; Poppel, W. G. L.; Vieira, E. R. 1987-05-01 RESUMEN Se presentan datos observacionales en la lfnea de 21-cm del hidr6geno neutro obtenidos con el radiotelescopio de 30-rn del lAR. Las observaciones cubren la regi6n 00 < Q 120, 30 > b - 170 en intervalos dell0 tanto en Q como en b. El intervalo de velocidades radiales se extiende desde -100 km 1 hasta + 100 km 1 con una resolucj6n cinematica de 2km 1 ABSTRACT We present observational data in the 21-rn line of neutral hydrogen, which have been obtained with the 30-rn dish of the lAR. The observations cover 00 < Q 120, 30 > b > 170 at intervals of 10 in both Qand b. The radial velocity interval extends from -100 to + 100km 1 with a kinematical resolution of 2 km s- . Key words: GALAXY-STRUCTURE - RADIO LINES-21-cm </li> <li> <a target="_blank" rel="noopener noreferrer" onclick="trackOutboundLink('https://www.ncbi.nlm.nih.gov/pubmed/29615851','PUBMED'); return false;" href="https://www.ncbi.nlm.nih.gov/pubmed/29615851">The Effects of Money on Fake Rating Behavior in E-Commerce: Electrophysiological Time Course Evidence From Consumers.</a> <a target="_blank" rel="noopener noreferrer" href="https://www.ncbi.nlm.nih.gov/entrez/query.fcgi?DB=pubmed">PubMed</a> Wang, Cuicui; Li, Yun; Luo, Xuan; Ma, Qingguo; Fu, Weizhong; Fu, Huijian 2018-01-01 Online ratings impose significant effects on the behaviors of potential customers. Thus, online merchants try to adopt strategies that affect this rating behavior, and most of these strategies are connected to money, such as the strategies of returning cash coupons if a consumer gives a five-star rating (RI strategy, an acronym for "returning" and "if") or returning cash coupons directly with no additional requirements (RN strategy, an acronym for "returning" and "no"). The current study explored whether a certain strategy (RN or RI) was more likely to give rise to false rating behaviors, as assessed by event-related potentials. A two-stimulus paradigm was used in this experiment. The first stimulus (S1) was the picture of a product with four Chinese characters that reflected the product quality (slightly defective vs. seriously defective vs. not defective), and the second stimulus (S2) displayed the coupon strategy (RN or RI). The participants were asked to decide whether or not to give a five-star rating. The behavioral results showed that the RI strategy led to a higher rate of five-star ratings than the RN strategy. For the electrophysiological time courses, the N1, N2, and LPP components were evaluated. The slightly defective products elicited a larger amplitude of the N1 component than the seriously defective and not-defective products, reflecting that perceptual difficulty was associated with the processing of the slightly defective products. The RI strategy evoked a less negative N2 and a more positive LPP than the RN strategy, indicating that the subjects perceived less conflict and experienced stronger incentives when processing the RI strategy. These findings will benefit future studies of fake online comments and provide evidence supporting the policy of forbidding the use of the RI strategy in e-commerce. </li> </ol> <div class="pull-right"> <ul class="pagination"> <li><a href="#" onclick='return showDiv("page_1");'>«</a></li> <li><a href="#" onclick='return showDiv("page_21");'>21</a></li> <li><a href="#" onclick='return showDiv("page_22");'>22</a></li> <li><a href="#" onclick='return showDiv("page_23");'>23</a></li> <li><a href="#" onclick='return showDiv("page_24");'>24</a></li> <li class="active">25</li> <li><a href="#" onclick='return showDiv("page_25");'>»</a></li> </ul> </div> </div> </div> </div> <div class="footer-extlink text-muted" style="margin-bottom:1rem; text-align:center;">Some links on this page may take you to non-federal websites. 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