The Ames Virtual Environment Workstation: Implementation issues and requirements

NASA Technical Reports Server (NTRS)

Fisher, Scott S.; Jacoby, R.; Bryson, S.; Stone, P.; Mcdowall, I.; Bolas, M.; Dasaro, D.; Wenzel, Elizabeth M.; Coler, C.; Kerr, D.

1991-01-01

This presentation describes recent developments in the implementation of a virtual environment workstation in the Aerospace Human Factors Research Division of NASA's Ames Research Center. Introductory discussions are presented on the primary research objectives and applications of the system and on the system's current hardware and software configuration. Principle attention is then focused on unique issues and problems encountered in the workstation's development with emphasis on its ability to meet original design specifications for computational graphics performance and for associated human factors requirements necessary to provide compelling sense of presence and efficient interaction in the virtual environment.

Pilot production of 4 sq cm ITO/InP photovoltaic solar cells

NASA Technical Reports Server (NTRS)

Gessert, T. A.; Li, X.; Coutts, T. J.; Tzafaras, N.

1991-01-01

Experimental results of a pilot production of 32 4-sq cm indium tin oxide (ITO)InP space solar cells are presented. The discussion includes analysis of the device performance of the best cells produced as well as the performance range of all production cells. The experience gained from the production is discussed, indicating other issues that may be encountered when large-scale productions are initiated. Available data on a 4-sq cm ITO/InP cell that was flown on the UoSAT-5 satellite is reported.

From mission to measures: performance measure development for a Teen Pregnancy Prevention Program.

PubMed

Farb, Amy Feldman; Burrus, Barri; Wallace, Ina F; Wilson, Ellen K; Peele, John E

2014-03-01

The Office of Adolescent Health (OAH) sought to create a comprehensive set of performance measures to capture the performance of the Teen Pregnancy Prevention (TPP) program. This performance measurement system needed to provide measures that could be used internally (by both OAH and the TPP grantees) for management and program improvement as well as externally to communicate the program's progress to other interested stakeholders and Congress. This article describes the selected measures and outlines the considerations behind the TPP measurement development process. Issues faced, challenges encountered, and lessons learned have broad applicability for other federal agencies and, specifically, for TPP programs interested in assessing their own performance and progress. Published by Elsevier Inc.

Department of Homeland Security (DHS) Proficiency Testing on Small-Scale Safety and Thermal Testing of Improvised Explosives

NASA Astrophysics Data System (ADS)

Reynolds, John; Sandstrom, Mary; Brown, Geoffrey; Warner, Kirstin; Phillips, Jason; Shelley, Timothy; Reyes, Jose; Hsu, Peter

2013-06-01

One of the first steps in establishing safe handling procedures for explosives is small-scale safety and thermal (SSST) testing. To better understand the response of improvised materials or HMEs to SSST testing, 18 HME materials were compared to 3 standard military explosives in a proficiency-type round robin study among five laboratories--2 DoD and 3 DOE--sponsored by DHS. The testing matrix has been designed to address problems encountered with improvised materials--powder mixtures, liquid suspensions, partially wetted solids, immiscible liquids, and reactive materials. Over 30 issues have been identified that indicate standard test methods may require modification when applied to HMEs to derive accurate sensitivity assessments needed for development safe handling and storage practices. This presentation will discuss experimental difficulties encountered when testing these problematic samples, show inter-laboratory testing results, show some statistical interpretation of the results, and highlight some of the testing issues. Some of the work was performed under the auspices of the U.S. Department of Energy by Lawrence Livermore National Laboratory under Contract DE-AC52-07NA27344. LLNL-ABS-617519 (721812).

Nutrition research in the military.

PubMed

Hill, Neil E; Fallowfield, J L; Delves, S K; Wilson, D R

2014-06-01

Military research performed in an operational environment involves mission-specific considerations. The Institute of Naval Medicine was tasked in 2008 by the Surgeon General to investigate the nutritional status of deployed British military personnel, and how this might affect body composition, physical fitness and operational capability. This paper briefly describes the logistic and technical issues specific to military research that were encountered by the study team, how these issues were overcome and how this research has influenced military practice. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

Health-Based Capitation Risk Adjustment in Minnesota Public Health Care Programs

PubMed Central

Gifford, Gregory A.; Edwards, Kevan R.; Knutson, David J.

2004-01-01

This article documents the history and implementation of health-based capitation risk adjustment in Minnesota public health care programs, and identifies key implementation issues. Capitation payments in these programs are risk adjusted using an historical, health plan risk score, based on concurrent risk assessment. Phased implementation of capitation risk adjustment for these programs began January 1, 2000. Minnesota's experience with capitation risk adjustment suggests that: (1) implementation can accelerate encounter data submission, (2) administrative decisions made during implementation can create issues that impact payment model performance, and (3) changes in diagnosis data management during implementation may require changes to the payment model. PMID:25372356

STGT program: Ada coding and architecture lessons learned

NASA Technical Reports Server (NTRS)

Usavage, Paul; Nagurney, Don

1992-01-01

STGT (Second TDRSS Ground Terminal) is currently halfway through the System Integration Test phase (Level 4 Testing). To date, many software architecture and Ada language issues have been encountered and solved. This paper, which is the transcript of a presentation at the 3 Dec. meeting, attempts to define these lessons plus others learned regarding software project management and risk management issues, training, performance, reuse, and reliability. Observations are included regarding the use of particular Ada coding constructs, software architecture trade-offs during the prototyping, development and testing stages of the project, and dangers inherent in parallel or concurrent systems, software, hardware, and operations engineering.

Uneasiness among laboratory technicians.

PubMed

Arluke, A

1999-01-01

Four aspects of animal experimentation cause uneasiness among many animal laboratory technicians. First, if technicians form strong attachments to lab animals, they feel conflict between their nurturing and the experimental manipulations they perform. Most technicians learn to curtail these attachments. Second, the "sacrifice" of lab animals becomes routinized and stripped of special meaning for many technicians, making killing uncomfortably rote. Third, technicians sometimes encounter outsiders who are critical of animal experimentation and ridicule the technicians for doing this work. Most technicians avoid telling outsiders about their work or take an educational approach to deal with these awkward encounters. Finally, most technicians report some ethical uneasiness about certain types of experiments and their clinical value, as well as about the use of certain animals, and they feel they cannot turn to investigators or fellow technicians to pursue such issues.

Lunar Dust on Heat Rejection System Surfaces: Problems and Prospects

NASA Technical Reports Server (NTRS)

Gaier, James R.; Jaworske, Donald A.

2007-01-01

Heat rejection from power systems will be necessary for human and robotic activity on the lunar surface. Functional operation of such heat rejection systems is at risk of degradation as a consequence of dust accumulation. The Apollo astronauts encountered marked degradation of performance in heat rejection systems for the lunar roving vehicle, science packages, and other components. Although ground testing of dust mitigation concepts in support of the Apollo mission identified mitigation tools, the brush concept adopted by the Apollo astronauts proved essentially ineffective. A better understanding of the issues associated with the impact of lunar dust on the functional performance of heat rejection systems and its removal is needed as planning gets underway for human and robotic missions to the Moon. Renewed emphasis must also be placed on ground testing of pristine and dust-covered heat rejection system surfaces to quantify degradation and address mitigation concepts. This paper presents a review of the degradation in performance of heat rejection systems encountered on the lunar surface to-date, and will discuss current activities underway to evaluate the durability of candidate heat rejection system surfaces and current dust mitigation concepts.

Performance Portability Strategies for Grid C++ Expression Templates

NASA Astrophysics Data System (ADS)

Boyle, Peter A.; Clark, M. A.; DeTar, Carleton; Lin, Meifeng; Rana, Verinder; Vaquero Avilés-Casco, Alejandro

2018-03-01

One of the key requirements for the Lattice QCD Application Development as part of the US Exascale Computing Project is performance portability across multiple architectures. Using the Grid C++ expression template as a starting point, we report on the progress made with regards to the Grid GPU offloading strategies. We present both the successes and issues encountered in using CUDA, OpenACC and Just-In-Time compilation. Experimentation and performance on GPUs with a SU(3)×SU(3) streaming test will be reported. We will also report on the challenges of using current OpenMP 4.x for GPU offloading in the same code.

Development Challenges of Utilizing a Corner Cube Mechanism Design with Successful IASI Flight Heritage for the Infrared Sounder (IRS) on MTG: Recurrent Mechanical Design not Correlated to Recurrent Development

NASA Astrophysics Data System (ADS)

Spanoudakis, Peter; Schwab, Philippe; Kiener, Lionel; Saudan, Herve; Perruchoud, Gerald

2015-09-01

The Corner Cube Mechanism (CCM) design for the Infra-Red Sounder (IRS) on MTG is based on the successful mechanism currently in orbit on the Infrared Atmospheric Sounding Interferometers (IASI) on the Metop satellites. The overall CCM performance is described with attention given to the specific design developments for the MTG project. A description is presented of the modifications introduced and challenges encountered to adapt the IASI space heritage design (which is only 15 years old) to meet the MTG specifications. A detailed account is provided regarding the tests performed on the adapted components for the new programme. The major issues encountered and solutions proposed are illustrated concerning the voice- coil actuator development, optical switch design, fatigue life of the flexure components and the adaptation of the launch locking device. Nevertheless, an Engineering Qualification Model was rapidly manufactured and now undergoing a qualification test campaign.

Identifying ethical issues of the Department of the Army civilian and Army Nurse Corps certified registered nurse anesthetists.

PubMed

Jenkins, Constance L; Elliott, Aaron R; Harris, Janet R

2006-08-01

The purposes of this study were to identify the ethical issues Department of the Army civilian and Army Nurse Corps certified registered nurse anesthetists (CRNAs) encountered in their anesthesia practice and how disturbed they were by these issues. This descriptive study used a secondary data analysis of a cross-sectional survey of Army Nurse Corps officers and Department of the Army civilian registered nurses (N = 5,293). The CRNA subset (n = 97) was obtained from questionnaires that indicated a primary practice setting as anesthesia. The most frequently occurring ethical issue identified was conflict in the nurse-physician relationship, whereas the most disturbing issue was working with incompetent/impaired colleagues. Unresolved ethical conflicts can negatively influence the nurses' morale, leading to avoidance of the issue and contributing to burnout. Identifying the ethical issues and disturbance level experienced by CRNAs should contribute to the development of an ethics education program that addresses issues encountered in CRNA practice.

Job Management Requirements for NAS Parallel Systems and Clusters

NASA Technical Reports Server (NTRS)

Saphir, William; Tanner, Leigh Ann; Traversat, Bernard

1995-01-01

A job management system is a critical component of a production supercomputing environment, permitting oversubscribed resources to be shared fairly and efficiently. Job management systems that were originally designed for traditional vector supercomputers are not appropriate for the distributed-memory parallel supercomputers that are becoming increasingly important in the high performance computing industry. Newer job management systems offer new functionality but do not solve fundamental problems. We address some of the main issues in resource allocation and job scheduling we have encountered on two parallel computers - a 160-node IBM SP2 and a cluster of 20 high performance workstations located at the Numerical Aerodynamic Simulation facility. We describe the requirements for resource allocation and job management that are necessary to provide a production supercomputing environment on these machines, prioritizing according to difficulty and importance, and advocating a return to fundamental issues.

CALiPER Exploratory Study. Recessed Troffer Lighting

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

Miller, N. J.; Royer, M. P.; Poplawski, M. E.

This CALiPER study examines the problems and benefits likely to be encountered with LED products intended to replace linear fluorescent lamps. LED dedicated troffers, replacement tubes, and non-tube retrofit kits were evaluated against fluorescent benchmark troffers in a simulated office space for photometric distribution, uniformity of light on the task surface, suitability of light output, flicker, dimming performance, color quality, power quality, safety and certification issues, ease of installation, energy efficiency, and life-cycle cost.

Everyday Ethics: Ethical Issues and Stress in Nursing Practice

PubMed Central

Ulrich, Connie M.; Taylor, Carol; Soeken, Karen; O'Donnell, Patricia; Farrar, Adrienne; Danis, Marion; Grady, Christine

2010-01-01

Aim This paper is a report of a study of the type, frequency, and level of stress of ethical issues encountered by nurses in their everyday practice. Background Everyday ethical issues in nursing practice attract little attention but can create stress for nurses. Nurses often feel uncomfortable in addressing the ethical issues they encounter in patient care. Methods A self-administered survey was sent in 2004 to 1000 nurses in four states in four different census regions of the United States of America. The adjusted response rate was 52%. Data were analyzed using descriptive statistics, cross-tabulations and Pearson correlations. Results A total of 422 questionnaires were used in the analysis. The five most frequently-occurring and most stressful ethical and patient care issues were protecting patients' rights; autonomy and informed consent to treatment; staffing patterns; advanced care planning; and surrogate decision-making. Other common occurrences were unethical practices of healthcare professionals; breaches of patient confidentiality or right to privacy; and end-of-life decision-making. Younger nurses and those with fewer years of experience encountered ethical issues more frequently and reported higher levels of stress. Nurses from different regions also experienced specific types of ethical problems more commonly. Conclusion Nurses face daily ethical challenges in the provision of quality care. To retain nurses, targeted ethics-related interventions that address caring for an increasingly complex patient population are needed. PMID:20735502

Everyday ethics: ethical issues and stress in nursing practice.

PubMed

Ulrich, Connie M; Taylor, Carol; Soeken, Karen; O'Donnell, Patricia; Farrar, Adrienne; Danis, Marion; Grady, Christine

2010-11-01

This paper is a report of a study of the type, frequency, and level of stress of ethical issues encountered by nurses in their everyday practice. Everyday ethical issues in nursing practice attract little attention but can create stress for nurses. Nurses often feel uncomfortable in addressing the ethical issues they encounter in patient care. A self-administered survey was sent in 2004 to 1000 nurses in four states in four different census regions of the United States of America. The adjusted response rate was 52%. Data were analysed using descriptive statistics, cross-tabulations and Pearson correlations. A total of 422 questionnaires were used in the analysis. The five most frequently occurring and most stressful ethical and patient care issues were protecting patients' rights; autonomy and informed consent to treatment; staffing patterns; advanced care planning; and surrogate decision-making. Other common occurrences were unethical practices of healthcare professionals; breaches of patient confidentiality or right to privacy; and end-of-life decision-making. Younger nurses and those with fewer years of experience encountered ethical issues more frequently and reported higher levels of stress. Nurses from different regions also experienced specific types of ethical problems more commonly. Nurses face daily ethical challenges in the provision of quality care. To retain nurses, targeted ethics-related interventions that address caring for an increasingly complex patient population are needed. © 2010 Blackwell Publishing Ltd.

Ada issues in implementing ART-Ada

NASA Technical Reports Server (NTRS)

Lee, S. Daniel

1990-01-01

Due to the Ada mandate of a number of government agencies, interest in deploying expert systems such as Ada has increased. Recently, several Ada-based expert system tools have been developed. According to a recent benchmark report, these tools do not perform as well as similar tools written in C. While poorly implemented Ada compilers contribute to the poor benchmark result, some fundamental problems of the Ada language itself have been uncovered. Here, the authors describe Ada language issues encountered during the deployment of ART-Ada, an expert system tool for Ada deployment. ART-Ada is being used to implement several prototype expert systems for the Space Station Freedom and the U.S. Air Force.

NASA flight cell and battery issues

NASA Technical Reports Server (NTRS)

Schulze, N. R.

1989-01-01

The author presents the important battery and cell problems, encompassing both test failures and accidents, which were encountered during the past year. Practical issues facing programs, which have to be considered in the development of a battery program strategy, are addressed. The problems of one program, the GRO (Gamma Ray Observatory), during the past year are focused on to illustrate the fundamental types of battery problems that occur. Problems encountered by other programs are briefly mentioned to complete the accounting. Two major categories of issues are defined, namely, whose which are quality and design related, i.e., problems having inherent manufacturing-process-related aspects with an impact on cell reliability, and these which are accident triggered or man induced, i.e., those operational issues having an impact on battery and cell reliability.

Everyday ethics in internal medicine resident clinic: an opportunity to teach.

PubMed

Carrese, Joseph A; McDonald, Erin L; Moon, Margaret; Taylor, Holly A; Khaira, Kiran; Catherine Beach, Mary; Hughes, Mark T

2011-07-01

Being a good doctor requires competency in ethics. Accordingly, ethics education during residency training is important. We studied the everyday ethics-related issues (i.e. ordinary ethics issues commonly faced) that internal medical residents encounter in their out-patient clinic and determined whether teaching about these issues occurred during faculty preceptor-resident interactions. This study involved a multi-method qualitative research design combining observation of preceptor-resident discussions with preceptor interviews. The study was conducted in two different internal medicine training programme clinics over a 2-week period in June 2007. Fifty-three residents and 19 preceptors were observed, and 10 preceptors were interviewed. Transcripts of observer field notes and faculty interviews were carefully analysed. The analysis identified several themes of everyday ethics issues and determined whether preceptors identified and taught about these issues. Everyday ethics content was considered present in 109 (81%) of the 135 observed case presentations. Three major thematic domains and associated sub-themes related to everyday ethics issues were identified, concerning: (i) the Doctor-Patient Interaction (relationships; communication; shared decision making); (ii) the Resident as Learner (developmental issues; challenges and conflicts associated with training; relationships with colleagues and mentors; interactions with the preceptor), and; (iii) the Doctor-System Interaction (financial issues; doctor-system issues; external influences; doctor frustration related to system issues). Everyday ethics issues were explicitly identified by preceptors (without teaching) in 18 of 109 cases (17%); explicit identification and teaching occurred in only 13 cases (12%). In this study a variety of everyday ethics issues were frequently encountered as residents cared for patients. Yet, faculty preceptors infrequently explicitly identified or taught these issues during their interactions with residents. Ethics education is important and residents may regard teaching about the ethics-related issues they actually encounter to be highly relevant. A better understanding of the barriers to teaching is needed in order to promote education about everyday ethics in the out-patient setting. © Blackwell Publishing Ltd 2011.

Everyday ethics in internal medicine resident clinic: an opportunity to teach

PubMed Central

Carrese, Joseph A; McDonald, Erin L; Moon, Margaret; Taylor, Holly A; Khaira, Kiran; Beach, Mary Catherine; Hughes, Mark T

2011-01-01

OBJECTIVES Being a good doctor requires competency in ethics. Accordingly, ethics education during residency training is important. We studied the everyday ethics-related issues (i.e. ordinary ethics issues commonly faced) that internal medical residents encounter in their out-patient clinic and determined whether teaching about these issues occurred during faculty preceptor–resident interactions. METHODS This study involved a multi-method qualitative research design combining observation of preceptor-resident discussions with preceptor interviews. The study was conducted in two different internal medicine training programme clinics over a 2-week period in June 2007. Fifty-three residents and 19 preceptors were observed, and 10 preceptors were interviewed. Transcripts of observer field notes and faculty interviews were carefully analysed. The analysis identified several themes of everyday ethics issues and determined whether preceptors identified and taught about these issues. RESULTS Everyday ethics content was considered present in 109 (81%) of the 135 observed case presentations. Three major thematic domains and associated sub-themes related to everyday ethics issues were identified, concerning: (i) the Doctor–Patient Interaction (relationships; communication; shared decision making); (ii) the Resident as Learner (developmental issues; challenges and conflicts associated with training; relationships with colleagues and mentors; interactions with the preceptor), and; (iii) the Doctor–System Interaction (financial issues; doctor–system issues; external influences; doctor frustration related to system issues). Everyday ethics issues were explicitly identified by preceptors (without teaching) in 18 of 109 cases (17%); explicit identification and teaching occurred in only 13 cases (12%). CONCLUSIONS In this study a variety of everyday ethics issues were frequently encountered as residents cared for patients. Yet, faculty preceptors infrequently explicitly identified or taught these issues during their interactions with residents. Ethics education is important and residents may regard teaching about the ethics-related issues they actually encounter to be highly relevant. A better understanding of the barriers to teaching is needed in order to promote education about everyday ethics in the out-patient setting. PMID:21649704

Using Issues-Based Art Education to Facilitate Middle School Students' Learning in Racial Issues

ERIC Educational Resources Information Center

Li, Dan

2018-01-01

Issues-based art education encourages students to express their perspectives on different social issues through art making. In this article, the author discusses racial issues with middle school students through contemporary artwork discussion and hands-on poster making. The difficulties that students encounter in their poster making session will…

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

Brown, Carrie; LaRue, Anna; Pigman, Margaret

As more and more zero net energy (ZNE) buildings are built and monitored, we can learn from both careful case studies of individual projects as well as a broader perspective of trends over time. In a forum sponsored by Pacific Gas and Electric Company (PG&E), eight expert speakers discussed: results and lessons from monitoring occupied ZNE buildings; best practices for setting performance targets and getting actionable performance information, and; things that have surprised them about monitored ZNE buildings. This paper distills the content of the forum by laying out the most common hurdles that are encountered in setting up monitoringmore » projects, frequent performance issues that the monitoring uncovers, and lessons learned that can be applied to future projects.« less

SURVIAC Bulletin: RPG Encounter Modeling, Vol 27, Issue 1, 2012

DTIC Science & Technology

2012-01-01

return a probability of hit ( PHIT ) for the scenario. In the model, PHIT depends on the presented area of the targeted system and a set of errors infl...simplifying assumptions, is data-driven, and uses simple yet proven methodologies to determine PHIT . Th e inputs to THREAT describe the target, the RPG, and...Point on 2-D Representation of a CH-47 Th e determination of PHIT by THREAT is performed using one of two possible methodologies. Th e fi rst is a

Optical linear algebra processors - Architectures and algorithms

NASA Technical Reports Server (NTRS)

Casasent, David

1986-01-01

Attention is given to the component design and optical configuration features of a generic optical linear algebra processor (OLAP) architecture, as well as the large number of OLAP architectures, number representations, algorithms and applications encountered in current literature. Number-representation issues associated with bipolar and complex-valued data representations, high-accuracy (including floating point) performance, and the base or radix to be employed, are discussed, together with case studies on a space-integrating frequency-multiplexed architecture and a hybrid space-integrating and time-integrating multichannel architecture.

The Major Environmentally-Based Land Use Issues on the Urban Fringe.

ERIC Educational Resources Information Center

Hordon, Robert M.

Types of land-use issues which form current problems in urban areas are discussed in this paper. The majority of these environmentally based issues revolve around the management of water. The five most often encountered water-oriented issues are denoted in rank order of importance. First, an ample water supply which is free from contamination must…

Methodological, technical, and ethical issues of a computerized data system.

PubMed

Rice, C A; Godkin, M A; Catlin, R J

1980-06-01

This report examines some methodological, technical, and ethical issues which need to be addressed in designing and implementing a valid and reliable computerized clinical data base. The report focuses on the data collection system used by four residency based family health centers, affiliated with the University of Massachusetts Medical Center. It is suggested that data reliability and validity can be maximized by: (1) standardizing encounter forms at affiliated health centers to eliminate recording biases and ensure data comparability; (2) using forms with a diagnosis checklist to reduce coding errors and increase the number of diagnoses recorded per encounter; (3) developing uniform diagnostic criteria; (4) identifying sources of error, including discrepancies of clinical data as recorded in medical records, encounter forms, and the computer; and (5) improving provider cooperation in recording data by distributing data summaries which reinforce the data's applicability to service provision. Potential applications of the data for research purposes are restricted by personnel and computer costs, confidentiality considerations, programming related issues, and, most importantly, health center priorities, largely focused on patient care, not research.

Virginia Department of Transportation public-private procurement : issues and accomplishments and interim report

DOT National Transportation Integrated Search

1997-01-01

This paper documents the contracting and procurement issues and opportunities encountered by VDOT in developing what was their first public-private partnership agreement for an Intelligent Transportation System (ITS).

A recent U.S. patent process for a musical instrument

NASA Astrophysics Data System (ADS)

Baecker, James I.

2005-09-01

The ins and outs of going from a novel musical instrument concept to issuance of a U.S. patent. The technical work performed included the development of a musical instrument based on space-frame body construction and a definition of the instrument body's resonance characteristics. The result required a description of the invention and communication with the patent attorney and conveying a correct perception of the invention to the U.S. Patent Office. This presentation describes several technical, practical, legal, and commercial issues encountered during the patent process by the inventors and their business entity. On 7 September 2004, U.S. Patent No. 6,787,688 for a musical instrument was issued and assigned by the inventors to Harmos Music, Ltd.

Sensitivity Training and Group Encounter, an Introduction.

ERIC Educational Resources Information Center

Siroka, Robert W., Ed.; And Others

"Sensitivity Training and Group Encounter" attempts to explore group interaction on many levels--verbal, sensory, and physical. It can be utilized as a model for dealing with various forms of interpersonal relations, from ongoing social issues to the isolation, alienation, and distrust felt by the members of a group. Presented as a guide to this…

Spaces of Spiritual Citizenship: Children's Relational and Emotional Encounters with the Everyday School Environment

ERIC Educational Resources Information Center

Hemming, Peter J.

2013-01-01

This article addresses the issue of children's spiritual, relational and emotional encounters with the primary school environment, with reference to concepts and theories from both education studies and human geography. Drawing on mixed-method qualitative research in two case study institutions, the article examines pupils' photographed "special…

Beyond Dramatic Truth: Theatre within the Therapeutic Encounter

ERIC Educational Resources Information Center

Pendle, Andy; Rowe, Nick

2010-01-01

Recorded footage of counselling sessions with real clients can be a valuable educational resource that gives training counsellors the opportunity to analyse the theories and practices they encounter in their education. However, the use of such material raises complex ethical issues: what are the safeguards against the misuse of the material? Can…

The State of The Environment 1972-1982.

ERIC Educational Resources Information Center

United Nations Environment Programme, Nairobi (Kenya).

This report focuses on the changes (positive or negative) that occurred in the state of the world environment in the decade following the United Nations Conference on the Human Environment convened at Stockholm in June 1972. It also brings into focus the major environmental issues encountered or likely to be encountered. The first section focuses…

Helping Students Navigate Faith Challenges in the Biblical Studies Classroom

ERIC Educational Resources Information Center

Sharp, Carolyn J.; Clark-Soles, Jaime

2012-01-01

What happens when students encounter the academic study of the Bible in the seminary or undergraduate classroom? Does a teacher have a responsibility to help students navigate challenges to Christian faith that might arise? What pedagogical problems and opportunities does this encounter present? How does this issue manifest differently in…

The Methodological Benefits of Social Media: "Studying Up" in Brazil in the Facebook Age

ERIC Educational Resources Information Center

Straubhaar, Rolf

2015-01-01

While conducting research on the organizational cultures of elite nonprofit organizations in Rio de Janeiro, the author encountered many access issues identified in the current literature: in particular, difficulty in encountering research subjects due to the transitional nature of educational nonprofits and the role of secretaries and…

Ethical and Moral Courage is Distress among Professional Nurses: A Workplace Issue.

PubMed

Brown, Geraldine

2015-01-01

Ethics and moral issues do impact the manner in which professional nurses perform their major duties. Moral distress often conflict with an ethical appropriate course of action that is known, but cannot be implemented. This distress has been associated with job dissatisfaction, burnout, early retirement, withdrawal from the moral dimensions of direct patient care, and others just leaving the profession altogether. In the workplace, institutions must make an assertive effort in providing resources and addressing situations that cause personal anxiety and depression that adversely affects total patient care. The American Association of Critical Care Nurses (AACN) has addressed ethical issues and moral distress in practices that support nurses with moral courage, when encountering ethical conflicts. Ask, Affirm, Assess and Act are the 4 A's that AACN believes should be a part of an organization's strategic plan to create a healthy workplace environment.

Renewable Electricity in the United States: The National Research Council Study and Recent Trends

NASA Astrophysics Data System (ADS)

Holmes, K. John; Papay, Lawrence T.

2011-11-01

The National Research Council issued Electricity from Renewables: Status, Prospects, and Impediments in 2009 as part of the America's Energy Future Study. The panel that authored this report, the Panel on Electricity from Renewable Sources, worked from 2007 to 2009 gathering information and analysis on the cost, performance and impacts of renewable electricity resources and technologies in the United States. The panel considered the magnitude and distribution of the resource base, the status of renewable electricity technologies, the economics of these technologies, their environmental footprint, and the issues related to scaling up renewables deployment. In its consideration of the future potential for renewable electricity, the panel emphasizes policy, technology, and capital equally because greatly scaling up renewable electricity encounters significant issues that go beyond resource availability or technical capabilities. Here we provide a summary of this report and discuss several recent trends that impact renewable electricity.

On-Board Sound Intensity (OBSI) study, phase 2 : [summary].

DOT National Transportation Integrated Search

2014-05-01

To many people, environmental issues might : suggest air pollution, water pollution, or similar : ideas. But an environmental issue of growing : concern is noise pollution, which many cities : in Florida are encountering as they grow, and : nei...

Understanding ethical dilemmas in the emergency department: views from medical students' essays.

PubMed

House, Joseph B; Theyyunni, Nikhil; Barnosky, Andrew R; Fuhrel-Forbis, Andrea; Seeyave, Desiree M; Ambs, Dawn; Fischer, Jonathan P; Santen, Sally A

2015-04-01

For medical students, the emergency department (ED) often presents ethical problems not encountered in other settings. In many medical schools there is little ethics training during the clinical years. The benefits of reflective essay writing in ethics and professionalism education are well established. The purpose of this study was to determine and categorize the types of ethical dilemmas and scenarios encountered by medical students in the ED through reflective essays. During a 4(th)-year emergency medicine rotation, all medical students wrote brief essays on an ethical situation encountered in the ED, and participated in an hour debriefing session about these essays. Qualitative analysis was performed to determine common themes from the essays. The frequency of themes was calculated. The research team coded 173 essays. The most common ethical themes were autonomy (41%), social justice (32.4%), nonmaleficence (31.8%), beneficence (26.6%), fidelity (12%), and respect (8.7%). Many of the essays contained multiple ethical principles that were often in conflict with each other. In one essay, a student grappled with the decision to intubate a patient despite a preexisting do-not-resuscitate order. This patient encounter was coded with autonomy, beneficence, and nonmaleficence. Common scenarios included ethical concerns when caring for critical patients, treatment of pain, homeless or alcoholic patients, access to care, resource utilization, and appropriateness of care. Medical students encounter patients with numerous ethically based issues. Frequently, they note conflicts between ethical principles. Such essays constitute an important resource for faculty, resident, and student ethics training. Copyright © 2015 Elsevier Inc. All rights reserved.

Six degree of freedom simulation system for evaluating automated rendezvous and docking spacecraft

NASA Technical Reports Server (NTRS)

Rourke, Kenneth H.; Tsugawa, Roy K.

1991-01-01

Future logistics supply and servicing vehicles such as cargo transfer vehicles (CTV) must have full 6 degree of freedom (6DOF) capability in order to perform requisite rendezvous, proximity operations, and capture operations. The design and performance issues encountered when developing a 6DOF maneuvering spacecraft are very complex with subtle interactions which are not immediately obvious or easily anticipated. In order to deal with these complexities and develop robust maneuvering spacecraft designs, a simulation system and associated family of tools are used at TRW for generating and validating spacecraft performance requirements and guidance algorithms. An overview of the simulator and tools is provided. These are used by TRW for autonomous rendezvous and docking research projects including CTV studies.

Influence of temporal context on value in the multiple-chains and successive-encounters procedures.

PubMed

O'Daly, Matthew; Angulo, Samuel; Gipson, Cassandra; Fantino, Edmund

2006-05-01

This set of studies explored the influence of temporal context across multiple-chain and multiple-successive-encounters procedures. Following training with different temporal contexts, the value of stimuli sharing similar reinforcement schedules was assessed by presenting these stimuli in concurrent probes. The results for the multiple-chain schedule indicate that temporal context does impact the value of a conditioned reinforcer consistent with delay-reduction theory, such that a stimulus signaling a greater reduction in delay until reinforcement has greater value. Further, nonreinforced stimuli that are concurrently presented with the preferred terminal link also have greater value, consistent with value transfer. The effects of context on value for conditions with the multiple-successive-encounters procedure, however, appear to depend on whether the search schedule or alternate handling schedule was manipulated, as well as on whether the tested stimuli were the rich or lean schedules in their components. Overall, the results help delineate the conditions under which temporal context affects conditioned-reinforcement value (acting as a learning variable) and the conditions under which it does not (acting as a performance variable), an issue of relevance to theories of choice.

Robotically performed total mesorectal excision for rectal cancer.

PubMed

Alecu, L; Stănciulea, O; Poesina, D; Tomulescu, V; Vasilescu, C; Popescu, I

2015-01-01

Rectal cancer is an important health problem, due to the increasing number of new cases and the quality of life issues brought forth by surgical treatment in these patients. The aim of the study was to analyse the results of robotic surgery in the treatment of lower and middle rectal cancer,locations in which TME is performed. Patients diagnosed with and operated on for rectal cancer by the means of robotic surgery between 2008-2012 at the Fundeni Clinical Institute were retrospectively analysed. A number of 117 patients with rectal cancer were operated on by robotic surgery, of which 79 (67.52%) were submitted to total mesorectal excision (TME). The most frequently performed surgery was low anterior resection, followed by rectal amputation through abdominoperineal approach.Anastomosis fistula was observed in 9 (11.39%) patients. Local recurrence was encountered in 2 (2.53%) of the robotically performed surgeries. 1. Robotically assisted total mesorectal excision is feasible, safe and can be performed with a small number of complications and a low local recurrence rate; 2. The main advantages are oncological safety and quality of life; 3.Conversion to open surgery is rarely encountered; 4. Protection loop ileostomy existence allows avoiding reintervention in case anastomotic fistula occurs in patients with low anterior resection. 5. Robotic surgery may become gold standard in the surgical treatment of rectal cancer. Celsius.

Performance of a Kilowatt-Class Stirling Power Conversion System in a Thermodynamically Coupled Configuration

NASA Technical Reports Server (NTRS)

Geng, Steven M.; Briggs, Maxwell H.; Hervol, David S.

2011-01-01

A pair of 1-kWe free-piston Stirling power convertors has been modified into a thermodynamically coupled configuration, and performance map testing has been completed. This is the same configuration planned for the full-scale 12-kWe power conversion unit (PCU) that will be used in the Fission Power System Technology Demonstration Unit (TDU). The 1-kWe convertors were operated over a range of conditions to evaluate the effects of thermodynamic coupling on convertor performance and to identify any possible control challenges. The thermodynamically coupled convertor showed no measureable difference in performance from the baseline data collected when the engines were separate, and no major control issues were encountered during operation. The results of this test are guiding controller development and instrumentation selection for the TDU.

Fabrication and performance analysis of 4-sq cm indium tin oxide/InP photovoltaic solar cells

NASA Technical Reports Server (NTRS)

Gessert, T. A.; Li, X.; Phelps, P. W.; Coutts, T. J.; Tzafaras, N.

1991-01-01

Large-area photovoltaic solar cells based on direct current magnetron sputter deposition of indium tin oxide (ITO) into single-crystal p-InP substrates demonstrated both the radiation hardness and high performance necessary for extraterrestrial applications. A small-scale production project was initiated in which approximately 50 ITO/InP cells are being produced. The procedures used in this small-scale production of 4-sq cm ITO/InP cells are presented and discussed. The discussion includes analyses of performance range of all available production cells, and device performance data of the best cells thus far produced. Additionally, processing experience gained from the production of these cells is discussed, indicating other issues that may be encountered when large-scale productions are begun.

Performance of a Kilowatt-Class Stirling Power Conversion System in a Thermodynamically-Coupled Configuration

NASA Astrophysics Data System (ADS)

Geng, S. M.; Briggs, M. H.; Hervol, D. S.

A pair of 1kWe free-piston Stirling power convertors has been modified into a thermodynamically coupled configuration, and performance map testing has been completed. This is the same configuration planned for the full-scale 12 kWe power conversion unit (PCU) that will be used in the Fission Power System Technology Demonstration Unit (TDU). The 1-kWe convertors were operated over a range of conditions to evaluate the effects of thermodynamic coupling on convertor performance and to identify any possible control challenges. The thermodynamically coupled convertor showed no measurable difference in performance from the baseline data collected when the engines were separate and no major control issues were encountered during operation. The results of this test are guiding controller development and instrumentation selection for the TDU.

BodyHeat Encounter: Performing Technology in Pedagogical Spaces of Surveillance/Intimacy

ERIC Educational Resources Information Center

Fels, Lynn; Ricketts, Kathryn

2015-01-01

What occurs when videographer and performer encounter each other through the lens of a camera? This collaborative performative inquiry focuses on embodiment and emergent narrative as realized through an encounter between technology and the visceral body--a relational body that smells, touches, sees, hears and feels the emergent world through…

Application of LAC-type processes and concepts to nonrecreation management issues in protected areas

Treesearch

Linda Merigliano; David N. Cole; David J. Parsons

1997-01-01

When Limits of Acceptable Change concepts are applied to nonrecreational issues, two primary problems are encountered: (1) developing zoning schemes which are compatible when multiple issues are addressed, and (2) defining the desired condition and establishing measurable standards for ecosystem attributes which change in unpredictable ways. Approaches to overcome...

Resistances Encountered in Starting a Group Therapy Program for Suicide Attempters in Varied Administrative Settings.

ERIC Educational Resources Information Center

Hackel, Jacqueline; Asimos, Chrisula T.

1980-01-01

Reports areas of difficulty (including funding issues, management and personal bias issues, and theoretical issues) which emerged in the development of five treatment groups of depressed and suicidal patients. Groups reflected efforts between the city-county mental health system and funding agencies. Strategies for overcoming difficulties are…

Exploring Operational Issues and Practices of School Nutrition Programs in Large School Districts

ERIC Educational Resources Information Center

Nettles, Mary Frances; Carr, Deborah H.; Johnson, James T.; Federico, Holly A.

2008-01-01

Purpose/Objectives: The purpose was to explore issues associated with school nutrition (SN) programs in large school districts. Specific objectives were to identify operational issues and practices SN directors encounter and describe characteristics of SN directors and their programs. Methods: A panel of seven SN professionals from large school…

Virginia Department of Transportation public-private procurement : issues and accomplishments and interim report

DOT National Transportation Integrated Search

1999-01-01

This paper documents the contracting and procurement issues and opportunities encountered by the Virginia Department of Transportation (VDOT) in developing what was their first public-private partnership agreement for an Intelligent Transportation Sy...

A Study on the Application of Creative Problem Solving Teaching to Statistics Teaching

ERIC Educational Resources Information Center

Hu, Ridong; Xiaohui, Su; Shieh, Chich-Jen

2017-01-01

Everyone would encounter the life issue of solving complicated problems generated by economic behaviors among all activities for making a living. Various life problems encountered therefore could be generalized by economic statistics. In other words, a lot of important events in daily life are related to economic statistics. For this reason,…

A Decolonizing Encounter: Ward Churchill and Antonia Darder in Dialogue. Counterpoints: Studies in the Postmodern Theory of Education. Volume 430

ERIC Educational Resources Information Center

Orelus, Pierre W., Ed.

2012-01-01

"A Decolonizing Encounter" examines the effects of western colonialism on historically marginalized and colonized populations living both in the West and the "third world". Specifically, it explores crucial issues such as the decolonizing of schools and communities of color; the decentralization of power of the capitalist and…

Factors Affecting Student Persistence at a Selected Community College in the Stann Creek District, Belize, Central America

ERIC Educational Resources Information Center

Martinez, Karen Charlette

2011-01-01

Students encounter many issues that influence their persistence in college; some they come with, others they encounter while enrolled. Factors influencing students' success in college have taken on much interest in recent years. Students' persistence studies have been increasing; however, there is much to be learned about factors influencing…

Barriers Encountered in the Transfer of Educational Training to Workplace Practice in Saudi Arabia

ERIC Educational Resources Information Center

Almannie, Mohamed

2015-01-01

This study introduces a critical issue in the practicality of training programs, not only in Saudi Arabia, but also in other developing countries where billions of dollars are spent on training human resources without evaluation of these programs on workplace practice and organization development. This study investigates barriers encountered in…

The Role of Individualism/Collectivism in Critical Classroom Encounters: A Four Country Study

ERIC Educational Resources Information Center

Frankel, Robert; Swanson, Scott R.; Sagan, Mariusz

2005-01-01

Internationalization raises the issue of whether, and to what extent, the inherent culture of a country may have particular influence on the nature of service interactions, and on education (i.e., student-professor interactions) specifically. Thus the service encounter in the classroom becomes a subject of increasing importance and interest with…

The Problem-Based Learning Process: Reflections of Pre-Service Elementary School Teachers

ERIC Educational Resources Information Center

Baysal, Zeliha Nurdan

2017-01-01

This study aims to identify the benefits acquired by third-year pre-service elementary school teachers participating in a problem-based learning process in social studies education, the issues they encountered in that process and those they are likely to encounter, and their feelings about the process. Semi-structured interviews were used as one…

History-Enriched Spaces for Shared Encounters

NASA Astrophysics Data System (ADS)

Konomi, Shin'ichi; Sezaki, Kaoru; Kitsuregawa, Masaru

We discuss "history-enriched spaces" that use historical data to support shared encounters. We first examine our experiences with DeaiExplorer, a social network display that uses RFID and a historical database to support social interactions at academic conferences. This leads to our discussions on three complementary approaches to addressing the issues of supporting social encounters: (1) embedding historical data in embodied interactions, (2) designing for weakly involved interactions such as social navigation, and (3) designing for privacy. Finally, we briefly describe a preliminary prototype of a proxemics-based awareness tool that considers these approaches.

Comparison of Analytical Predictions and Experimental Results for a Dual Brayton Power System

NASA Technical Reports Server (NTRS)

Johnson, Paul

2007-01-01

NASA Glenn Research Center (GRC) contracted Barber- Nichols, Arvada, CO to construct a dual Brayton power conversion system for use as a hardware proof of concept and to validate results from a computational code known as the Closed Cycle System Simulation (CCSS). Initial checkout tests were performed at Barber- Nichols to ready the system for delivery to GRC. This presentation describes the system hardware components and lists the types of checkout tests performed along with a couple issues encountered while conducting the tests. A description of the CCSS model is also presented. The checkout tests did not focus on generating data, therefore, no test data or model analyses are presented.

Science Teachers Taking their First Steps toward Teaching Socioscientific Issues through Collaborative Action Research

NASA Astrophysics Data System (ADS)

Lee, Hyunju; Yang, Jung-eun

2017-06-01

This study presents two science teachers, Catherine and Jennifer, who took their first steps toward teaching socioscientific issues through collaborative action research. The teachers participated in the collaborative action research project because they wanted to address socioscientific issues but had limited experience in teaching them. The research questions included what kinds of challenges the teachers encountered when implementing socioscientific issues and to what extent they resolved the challenging issues as participating in collaborative action research. The primary data source consisted of audiotapes of regular group meetings containing information on the process of constructing and implementing lesson plans and reflecting on their teaching of socioscientific issues. We also collected classroom videotapes of the teachers' instruction and audiotapes of students' small group discussions and their worksheets. The findings indicated that when addressing socioscientific issues in the classes, the teachers encountered several challenging issues. We categorized them into four: (1) restructuring classroom dynamics and culture, (2) scaffolding students' engagement in socioscientific issues, (3) dealing with values, and (4) finding their niche in schools. However, this study showed that collaborative action research could be a framework for helping the teachers to overcome such challenges and have successful experiences of teaching socioscientific issues. These experiences became good motivation, to gradually develop their understanding of teaching socioscientific issues and instructional strategies for integrating the knowledge and skills that they had accumulated over the years.

[Tubal sterilization in mentally handicapped women].

PubMed

Barjot, P; Hervé, C

2001-09-22

When performed for contraception purposes, tubular sterilization for mentally handicapped women poses important ethical issues, including patient's rights, body integrity, and the notion of informed consent. French law guarantees the respect and safety of all patients, but in everyday practice, patient's rights must be upheld by family and healthcare workers searching for the most adapted solutions for each individual situation. We present here our proposals for everyday practice. Our conclusions are based on an analysis of the notion of handicap as defined by the WHO and on the observed sexual activities of this type of patient. In this context, informed consent involves a number of subjective factors pointing out the difficulty encountered in providing dear comprehensible information. Finally we discuss the ethical issue of tubular sterilization which many consider to be a masked form of eugenism.

Tile Surface Thermocouple Measurement Challenges from the Orbiter Boundary Layer Transition Flight Experiment

NASA Technical Reports Server (NTRS)

Campbell, Charles H.; Berger, Karen; Anderson, Brian

2012-01-01

Hypersonic entry flight testing motivated by efforts seeking to characterize boundary layer transition on the Space Shuttle Orbiters have identified challenges in our ability to acquire high quality quantitative surface temperature measurements versus time. Five missions near the end of the Space Shuttle Program implemented a tile surface protuberance as a boundary layer trip together with tile surface thermocouples to capture temperature measurements during entry. Similar engineering implementations of these measurements on Discovery and Endeavor demonstrated unexpected measurement voltage response during the high heating portion of the entry trajectory. An assessment has been performed to characterize possible causes of the issues experienced during STS-119, STS-128, STS-131, STS-133 and STS-134 as well as similar issues encountered during other orbiter entries.

Challenges, Not Barriers: The Work and Family Issues of Women Superintendents

ERIC Educational Resources Information Center

Reecks-Rodgers, Debra Ann

2013-01-01

Prior studies have indicated that qualified female administrators have not applied for superintendency positions because of possible work/family conflicts, but little research has been done on the work/family issues encountered by women in the superintendency or on the strategies they use to resolve these issues. In response, this study is an…

Exploring Digital Encounters in the Public Arena

NASA Astrophysics Data System (ADS)

Schieck, Ava Fatah Gen.; Kostakos, Vassilis; Penn, Alan

In this chapter, we explore the types of encounters that technology enables. We consider the differences between digital and nondigital encounters through two pilot studies carried out in the city of Bath, United Kingdom. We investigate how technology can be appropriated for shared interactions that support conscious (or unconscious) social encounters, and highlight the importance of space and the role of place in providing temporal and spatial mechanisms facilitating different types of shared encounters. Here, we apply a method based on intervention through "sensing and projecting" Bluetooth names and digital identity in the public arena, and describe initial observations about people's reaction toward the projection of their Bluetooth names in public. In particular, we note the significance of constructing socially meaningful relations between people mediated by these technologies. We discuss initial results and outline issues raised in detail before finally describing the ongoing work.

Using a Structured Checklist to Improve the Orthopedic Ward Round: A Prospective Cohort Study.

PubMed

Talia, Adrian J; Drummond, James; Muirhead, Cameron; Tran, Phong

2017-07-01

Comprehensive and timely documentation on orthopedic ward rounds continues to be problematic, leading to delayed or inappropriate patient care and miscommunication between health care providers. The authors introduced a simple checklist to improve the documentation on orthopedic ward rounds in their institution. A prospective cohort study was performed. Standard care was provided for cohort A. During a 2-week period, the documentation of patient care by physicians following a ward round was assessed in terms of venous thromboembolism prophylaxis, fasting status, wound or dressing plan, weight-bearing status, and important surgical details. The physicians were blinded to this initial review. For cohort B, a structured ward round checklist was introduced during a 2-week period. A total of 132 patient encounters were recorded in cohort A. Important issues that were rarely discussed included vital signs (11.4%), venous thromboembolism prophylaxis (9.8%), and bowel status (3.8%). Issues that were poorly documented included fasting status (9.1%), wound or dressing plan (6.8%), and weight-bearing status (11.4%). After introduction of the checklist, daily documentation of surgical details improved from 38.6% to 85.3% of patient encounters. Fasting status documentation improved from 9.1% to 70.6% of patient encounters. Venous thromboembolism prophylaxis discussion increased from 9.8% to 45.6% of the time, while its documentation improved from 6.8% to 92.6%. Documentation of weight-bearing status improved from 11.4% to 83.8% (all P<.0001). The use of a structured checklist during orthopedic ward rounds led to significant improvement in both the consideration and the documentation of key aspects of surgical care. [Orthopedics. 2017; 40(4):e663-e667.]. Copyright 2017, SLACK Incorporated.

Issues and Knowledge Concerning the Use of Heads-Up Displays in Air Transports

DOT National Transportation Integrated Search

2003-03-01

This document provides a literature review of design issues encountered by the Federal Aviation Administration (FAA) during the : certification of head-up displays (HUDs) for use in air transports. This review extracts certification advice from the l...

Teaching ethics to paediatrics residents: the centrality of the therapeutic alliance.

PubMed

Taylor, Holly A; McDonald, Erin L; Moon, Margaret; Hughes, Mark T; Carrese, Joseph A

2009-10-01

Previous research on ethical issues encountered by medical professionals in training and practice have presented the thematic content of the cases they encounter rather than the activities in which clinicians engage and in which they most often encounter ethical issues. We conducted a direct observation study of paediatrics residents and their preceptors seeing patients in an out-patient general paediatrics clinic. Our objectives were to describe the everyday ethics-related issues paediatrics residents encounter as they interact with patients. Our ultimate goal is to use this knowledge to enhance current efforts to teach ethics to paediatrics residents. The study team directly observed paediatrics residents discussing patients with their faculty preceptors (19 half-day sessions, 76 hours) in an out-patient general paediatrics clinic located in an urban academic medical centre. Each interaction between resident and preceptor about a single patient was considered a case for further analysis. A total of 247 cases were recorded. Forty-one of the cases were coded as having ethics-related content. A constant comparative method of qualitative data analysis revealed that residents were most likely to encounter ethical issues when engaged in the following activities: (i) maintaining a therapeutic alliance with the caregiver (e.g. the parent); (ii) prioritising patient or family needs; (iii) adjusting to the power embodied by the role of doctors, and (iv) distinguishing suboptimal care from abuse or neglect. In addition, our findings indicate that it is through their efforts to maintain the therapeutic alliance with the caregivers of their patients that residents engage in and integrate three processes: developing their medical knowledge; adhering to professional norms, and balancing the power inherent in the doctor's role with their responsibility to serve the patient's interests. Medical faculty tasked with teaching ethics to paediatrics residents can utilise the results of this project to better target and enhance their ethics education efforts directed at residents in the out-patient setting. Future research could further examine and test these findings in other clinical settings (e.g. adult general medicine).

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

Gearhart, Jared Lee; Adair, Kristin Lynn; Durfee, Justin David.

When developing linear programming models, issues such as budget limitations, customer requirements, or licensing may preclude the use of commercial linear programming solvers. In such cases, one option is to use an open-source linear programming solver. A survey of linear programming tools was conducted to identify potential open-source solvers. From this survey, four open-source solvers were tested using a collection of linear programming test problems and the results were compared to IBM ILOG CPLEX Optimizer (CPLEX) [1], an industry standard. The solvers considered were: COIN-OR Linear Programming (CLP) [2], [3], GNU Linear Programming Kit (GLPK) [4], lp_solve [5] and Modularmore » In-core Nonlinear Optimization System (MINOS) [6]. As no open-source solver outperforms CPLEX, this study demonstrates the power of commercial linear programming software. CLP was found to be the top performing open-source solver considered in terms of capability and speed. GLPK also performed well but cannot match the speed of CLP or CPLEX. lp_solve and MINOS were considerably slower and encountered issues when solving several test problems.« less

Physician-based transactions: the sale of medical practices, ambulatory surgery centers, and dialysis facilities.

PubMed

Becker, S; Pristave, R J

1995-01-01

This article provides an overview of the critical business and legal issues encountered in sales of practices, ambulatory surgery centers, and dialysis facilities. Specifically, it discusses prototypical valuations, transaction structures, and the principal legal issues that must be addressed.

A Case Study of Professional Boundary Issues Experienced by Undergraduate Psychology Students in a Supervised Field Experience Course

ERIC Educational Resources Information Center

Sharp, Gwen; Yao, Richard; Cresiski, Robin; Hahn, Kate

2013-01-01

There has been little research on the types of boundary issues encountered in undergraduate psychology field experience courses, despite the increased popularity of such courses. This case study identifies the frequency and types of boundary issues faced by undergraduate psychology students enrolled in such a course, including the most common…

'To Trust or Not to Trust--Pupils' Ways of Judging Information Encountered in a Socio-Scientific Issue.

ERIC Educational Resources Information Center

Kolsto, Stein Dankert

2001-01-01

Describes a qualitative study in which 16-year-old Norwegian pupils dealt with a socio-scientific issue. Investigates aspects of students' decision-making concerning a local version of the well-known controversial issue of whether or not power transmission lines increase the risk for childhood leukemia. Some of the resolution strategies imply that…

Operational Issues Encountered by School Nutrition Directors in School Districts with Less than 30,000 Student Enrollment

ERIC Educational Resources Information Center

Rushing, Keith; Nettles, Mary Frances; Johnson, James T.

2009-01-01

Purpose: To identify operational issues and practices associated with operating school nutrition (SN) programs in school districts with less than 30,000 student enrollment. Method: The survey was adapted from a similar study that explored operational issues in school districts with enrollments of 30,000 or more students. The survey asked SN…

Management of ATM-based networks supporting multimedia medical information systems

NASA Astrophysics Data System (ADS)

Whitman, Robert A.; Blaine, G. James; Fritz, Kevin; Goodgold, Ken; Heisinger, Patrick

1997-05-01

Medical information systems are acquiring the ability to collect and deliver many different types of medical information. In support of the increased network demands necessitated by these expanded capabilities, asynchronous transfer mode (ATM) based networks are being deployed in medical care systems. While ATM supplies a much greater line rate than currently deployed networks, the management and standards surrounding ATM are yet to mature. This paper explores the management and control issues surrounding an ATM network supporting medical information systems, and examines how management impacts network performance and robustness. A multivendor ATM network at the BJC Health System/Washington University and the applications using the network are discussed. Performance information for specific applications is presented and analyzed. Network management's influence on application reliability is outlined. The information collected is used to show how ATM network standards and management tools influence network reliability and performance. Performance of current applications using the ATM network is discussed. Special attention is given to issues encountered in implementation of hypertext transfer protocol over ATM internet protocol (IP) communications. A classical IP ATM implementation yields greater than twenty percent higher network performance over LANE. Maximum performance for a host's suite of applications can be obtained by establishing multiple individually engineered IP links through its ATM network connection.

Clinical encounters between nurses and First Nations women in a Western Canadian hospital.

PubMed

Browne, Annette J

2007-05-01

Based on findings from an ethnographic study, this paper explores the sociopolitical context of nurses' encounters with First Nations women in a Western Canadian hospital. Data were collected using in-depth interviews and participant observation of clinical encounters involving nurses and First Nations women who were in-patients in the hospital. Four themes in the data are discussed: relating across presumed "cultural differences"; constructing the Other; assumptions influencing clinical practice; and responding to routine patient requests. The findings illustrate how discourses and assumptions about Aboriginal people, culture, and presumed differences can become interwoven into routine clinical encounters. These results highlight the importance of analyzing health-care encounters in light of the wider sociopolitical and historical forces that give rise to racialization, culturalism and Othering, and underscore the need for critical awareness of these issues among nurses and other heath-care providers.

Issues Affecting Cross-Cultural Adaptation of International Graduate Students

ERIC Educational Resources Information Center

Hartshorne, Richard; Baucom, Jennifer

2007-01-01

The purpose of this study was to identify and analyze the adjustment problems encountered by international graduate students enrolled in American universities. Issues of interest included motives for attending graduate school, factors involved in facilitating and constraining the graduate school experience, personality traits that contribute to…

Burn Survivors' Perceptions regarding Relevant Sexual Education Strategies

ERIC Educational Resources Information Center

Parrott, Yolan; Esmail, Shaniff

2010-01-01

Purpose: This paper aims to investigate the unique issues childhood burn survivors experience in relation to sex education and sexual development. Design/methodology/approach: Using a phenomenological approach, participants described their lived experiences with regards to sex education and the sexuality issues they encountered as child burn…

Comet nucleus sample return mission

NASA Technical Reports Server (NTRS)

1983-01-01

A comet nucleus sample return mission in terms of its relevant science objectives, candidate mission concepts, key design/technology requirements, and programmatic issues is discussed. The primary objective was to collect a sample of undisturbed comet material from beneath the surface of an active comet and to preserve its chemical and, if possible, its physical integrity and return it to Earth in a minimally altered state. The secondary objectives are to: (1) characterize the comet to a level consistent with a rendezvous mission; (2) monitor the comet dynamics through perihelion and aphelion with a long lived lander; and (3) determine the subsurface properties of the nucleus in an area local to the sampled core. A set of candidate comets is discussed. The hazards which the spacecraft would encounter in the vicinity of the comet are also discussed. The encounter strategy, the sampling hardware, the thermal control of the pristine comet material during the return to Earth, and the flight performance of various spacecraft systems and the cost estimates of such a mission are presented.

Motion/visual cueing requirements for vortex encounters during simulated transport visual approach and landing

NASA Technical Reports Server (NTRS)

Parrish, R. V.; Bowles, R. L.

1983-01-01

This paper addresses the issues of motion/visual cueing fidelity requirements for vortex encounters during simulated transport visual approaches and landings. Four simulator configurations were utilized to provide objective performance measures during simulated vortex penetrations, and subjective comments from pilots were collected. The configurations used were as follows: fixed base with visual degradation (delay), fixed base with no visual degradation, moving base with visual degradation (delay), and moving base with no visual degradation. The statistical comparisons of the objective measures and the subjective pilot opinions indicated that although both minimum visual delay and motion cueing are recommended for the vortex penetration task, the visual-scene delay characteristics were not as significant a fidelity factor as was the presence of motion cues. However, this indication was applicable to a restricted task, and to transport aircraft. Although they were statistically significant, the effects of visual delay and motion cueing on the touchdown-related measures were considered to be of no practical consequence.

Representing energy efficiency diagnosis strategies in cognitive work analysis.

PubMed

Hilliard, Antony; Jamieson, Greg A

2017-03-01

This article describes challenges encountered in applying Jens Rasmussen's Cognitive Work Analysis (CWA) framework to the practice of energy efficiency Monitoring & Targeting (M&T). Eight theoretic issues encountered in the analysis are described with respect to Rasmussen's work and the modeling solutions we adopted. We grappled with how to usefully apply Work Domain Analysis (WDA) to analyze categories of domains with secondary purposes and no ideal grain of decomposition. This difficulty encouraged us to pursue Control Task (ConTA) and Strategies (StrA) analysis, which are under-explored as bases for interface design. In ConTA we found M&T was best represented by two interlinked work functions; one controlling energy, the other maintaining knowledge representations. From StrA, we identified a popular representation-dependent strategy and inferred information required to diagnose faults in system performance and knowledge representation. This article presents and discusses excerpts from our analysis, and outlines their application to diagnosis support tools. Copyright © 2015 Elsevier Ltd. All rights reserved.

The impact of brief team communication, leadership and team behavior training on ad hoc team performance in trauma care settings.

PubMed

Roberts, Nicole K; Williams, Reed G; Schwind, Cathy J; Sutyak, John A; McDowell, Christopher; Griffen, David; Wall, Jarrod; Sanfey, Hilary; Chestnut, Audra; Meier, Andreas H; Wohltmann, Christopher; Clark, Ted R; Wetter, Nathan

2014-02-01

Communication breakdowns and care coordination problems often cause preventable adverse patient care events, which can be especially acute in the trauma setting, in which ad hoc teams have little time for advanced planning. Existing teamwork curricula do not address the particular issues associated with ad hoc emergency teams providing trauma care. Ad hoc trauma teams completed a preinstruction simulated trauma encounter and were provided with instruction on appropriate team behaviors and team communication. Teams completed a postinstruction simulated trauma encounter immediately afterward and 3 weeks later, then completed a questionnaire. Blinded raters rated videotapes of the simulations. Participants expressed high levels of satisfaction and intent to change practice after the intervention. Participants changed teamwork and communication behavior on the posttest, and changes were sustained after a 3-week interval, though there was some loss of retention. Brief training exercises can change teamwork and communication behaviors on ad hoc trauma teams. Copyright © 2014 Elsevier Inc. All rights reserved.

Insurance-related and financial challenges reported by managed care enrollees with breast cancer.

PubMed

Klimmek, Rachel; Snow, Denise; Wenzel, Jennifer

2010-10-01

Cancer survivors in the United States often encounter significant challenges in obtaining and paying for medical care. Multiple research studies have examined these issues in Medicare and Medicaid populations and the underinsured, but very little is known about insurance-related challenges encountered by cancer survivors enrolled in private insurance programs such as managed care. This secondary analysis of data explored the insurance-related and financial challenges reported by women enrolled in a managed care organization during cancer treatment and early follow-up. The researchers reviewed semistructured interviews with 14 women with breast cancer near the time of diagnosis, midway through treatment, and after treatment completion. Most women reported considerable stress related to performance of insurance-related tasks during or immediately after treatment, which resulted in negative emotional and psychological experiences. This article presents recommendations for how oncology nurses can intervene to assess and address these challenges and their effects. Future research should examine best practices related to nursing management of insurance-related and financial challenges during cancer.

Parallel software support for computational structural mechanics

NASA Technical Reports Server (NTRS)

Jordan, Harry F.

1987-01-01

The application of the parallel programming methodology known as the Force was conducted. Two application issues were addressed. The first involves the efficiency of the implementation and its completeness in terms of satisfying the needs of other researchers implementing parallel algorithms. Support for, and interaction with, other Computational Structural Mechanics (CSM) researchers using the Force was the main issue, but some independent investigation of the Barrier construct, which is extremely important to overall performance, was also undertaken. Another efficiency issue which was addressed was that of relaxing the strong synchronization condition imposed on the self-scheduled parallel DO loop. The Force was extended by the addition of logical conditions to the cases of a parallel case construct and by the inclusion of a self-scheduled version of this construct. The second issue involved applying the Force to the parallelization of finite element codes such as those found in the NICE/SPAR testbed system. One of the more difficult problems encountered is the determination of what information in COMMON blocks is actually used outside of a subroutine and when a subroutine uses a COMMON block merely as scratch storage for internal temporary results.

Elsevier’s approach to the bioCADDIE 2016 Dataset Retrieval Challenge

PubMed Central

Scerri, Antony; Kuriakose, John; Deshmane, Amit Ajit; Stanger, Mark; Moore, Rebekah; Naik, Raj; de Waard, Anita

2017-01-01

Abstract We developed a two-stream, Apache Solr-based information retrieval system in response to the bioCADDIE 2016 Dataset Retrieval Challenge. One stream was based on the principle of word embeddings, the other was rooted in ontology based indexing. Despite encountering several issues in the data, the evaluation procedure and the technologies used, the system performed quite well. We provide some pointers towards future work: in particular, we suggest that more work in query expansion could benefit future biomedical search engines. Database URL: https://data.mendeley.com/datasets/zd9dxpyybg/1 PMID:29220454

Peregrine Sustainer Motor Development

NASA Technical Reports Server (NTRS)

Brodell, Chuck; Franklin, Philip

2015-01-01

The Peregrine sounding rocket is an in-house NASA design that provides approximately 15 percent better performance than the motor it replaces. The design utilizes common materials and well-characterized architecture to reduce flight issues encountered with the current motors. It engages NASA design, analysts, test engineers and technicians, ballisticians, and systems engineers. The in-house work and collaboration within the government provides flexibility to efficiently accommodate design and program changes as the design matures and enhances the ability to meet schedule milestones. It provides a valuable tool to compare industry costs, develop contracts, and it develops foundational knowledge for the next generation of NASA engineers.

Children with Cancer: School Related Issues

ERIC Educational Resources Information Center

Gartin, Barbara C.; Murdick, Nikki L.

2009-01-01

School gives purpose to a student's life. Today, students with cancer and cancer survivors are encouraged to continue their educational experiences to maintain a sense of normalcy. This manuscript discusses the research findings on medical, physical, and cognitive issues that students with cancer and cancer survivors may encounter in their…

School Consultants as Agents of Social Justice for Multicultural Children and Families

ERIC Educational Resources Information Center

Li, Chieh; Vazquez-Nuttall, Ena

2009-01-01

This article discusses some of the social justice issues that multicultural students and families encounter that are directly relevant to school consultation practice. The issues include culturally fair education, fair expectations of the child from the family and school, fair assessment, evidence-based intervention, and evaluation of…

Dietary Issues Inpatients Face With Being Vegetarian

PubMed Central

Potter-Dunlop, Julie A.; Tse, Alice M.

2016-01-01

This article reviews the literature from 1985 through 2010 on research related to the dietary issues vegetarian inpatients may encounter in the acute care setting. A thematic portrayal of vegetarianism in the context of the inpatient setting is described. Implications for future research and nursing practice are identified. PMID:22157507

Road Signs in Ethical Quicksand.

ERIC Educational Resources Information Center

Jerrell, S. Lee; Jerrell, Jeanette M.

1985-01-01

Some of the major moral and ethical dilemmas illustrated by authors in this special journal issue are highlighted. From an ethical viewpoint, the complexity of evaluation activities is likened to "quicksand" terrain in which directional or warning signs should be erected to aid personal choices when such issues are encountered.…

Teachers Teaching Teachers (T3)[TM]. Volume 5, Number 3

ERIC Educational Resources Information Center

Crow, Tracy, Ed.

2009-01-01

"Teachers Teaching Teachers" ("T3") focuses on coaches' roles in the professional development of teachers. Each issue also explores the challenges and rewards that teacher leaders encounter. This issue includes: (1) Building Bridges: Data Help Instructional Coach Make Vital Connections with Teachers (Theresa Long); (2) NSDC Tool: Instructional…

Comparison of Analytical Predictions and Experimental Results for a Dual Brayton Power System (Discussion on Test Hardware and Computer Model for a Dual Brayton System)

NASA Technical Reports Server (NTRS)

Johnson, Paul K.

2007-01-01

NASA Glenn Research Center (GRC) contracted Barber-Nichols, Arvada, CO to construct a dual Brayton power conversion system for use as a hardware proof of concept and to validate results from a computational code known as the Closed Cycle System Simulation (CCSS). Initial checkout tests were performed at Barber- Nichols to ready the system for delivery to GRC. This presentation describes the system hardware components and lists the types of checkout tests performed along with a couple issues encountered while conducting the tests. A description of the CCSS model is also presented. The checkout tests did not focus on generating data, therefore, no test data or model analyses are presented.

The Library and Human Memory. Final Report on Mechanized Information Services in the University Library, Phase I - Planning. Part 13.

ERIC Educational Resources Information Center

Norman, Donald A.

This paper discusses the differences between the storage problems encountered in a large library and those encountered in the human memory. Some of the properties of the human memory system and some of the major issues which affect the interaction between human users and the existing library systems are outlined. The problem of browsing is used as…

Heterogeneous Monolithic Integration of Single-Crystal Organic Materials.

PubMed

Park, Kyung Sun; Baek, Jangmi; Park, Yoonkyung; Lee, Lynn; Hyon, Jinho; Koo Lee, Yong-Eun; Shrestha, Nabeen K; Kang, Youngjong; Sung, Myung Mo

2017-02-01

Manufacturing high-performance organic electronic circuits requires the effective heterogeneous integration of different nanoscale organic materials with uniform morphology and high crystallinity in a desired arrangement. In particular, the development of high-performance organic electronic and optoelectronic devices relies on high-quality single crystals that show optimal intrinsic charge-transport properties and electrical performance. Moreover, the heterogeneous integration of organic materials on a single substrate in a monolithic way is highly demanded for the production of fundamental organic electronic components as well as complex integrated circuits. Many of the various methods that have been designed to pattern multiple heterogeneous organic materials on a substrate and the heterogeneous integration of organic single crystals with their crystal growth are described here. Critical issues that have been encountered in the development of high-performance organic integrated electronics are also addressed. © 2016 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim.

Component-Level Selection and Qualification for the Global Ecosystem Dynamics Investigation (GEDI) Laser Altimeter Transmitter

NASA Technical Reports Server (NTRS)

Frese, Erich A.; Chiragh, Furqan L.; Switzer, Robert; Vasilyev, Aleksey A.; Thomes, Joe; Coyle, D. Barry; Stysley, Paul R.

2018-01-01

Flight quality solid-state lasers require a unique and extensive set of testing and qualification processes, both at the system and component levels to insure the laser's promised performance. As important as the overall laser transmitter design is, the quality and performance of individual subassemblies, optics, and electro-optics dictate the final laser unit's quality. The Global Ecosystem Dynamics Investigation (GEDI) laser transmitters employ all the usual components typical for a diode-pumped, solid-state laser, yet must each go through their own individual process of specification, modeling, performance demonstration, inspection, and destructive testing. These qualification processes and results for the laser crystals, laser diode arrays, electro-optics, and optics, will be reviewed as well as the relevant critical issues encountered, prior to their installation in the GEDI flight laser units.

A comparison of ethical issues in nursing practice across nursing units.

PubMed

Park, Mihyun; Jeon, Sang Hee; Hong, Hyun-Ja; Cho, Sung-Hyun

2014-08-01

The complexity and variety of ethical issues in nursing is always increasing, and those issues lead to special concerns for nurses because they have critical impacts on nursing practice. The purpose of this study was to gather comprehensive information about ethical issues in nursing practice, comparing the issues in different types of nursing units including general units, oncology units, intensive care units, operating rooms, and outpatient departments. The study used a descriptive research design. Ethics/human rights issues encountered by nurses in their daily nursing practice were identified by using the Ethical Issues Scale. The study sample included 993 staff nurses working in a university hospital in South Korea. This study was approved by the University Institutional Review Board. Completed questionnaires were returned sealed with signed informed consent. The most frequently and disturbingly encountered issues across nursing units were "conflicts in the nurse-physician relationship," "providing care with a possible risk to your health," and "staffing patterns that limit patient access to nursing care." The findings of this study showed that nurses from different nursing units experienced differences in the types or frequency of ethical issues. In particular, intensive care units had the greatest means of all the units in all three component scales including end-of-life treatment issues, patient care issues, and human rights issues. Nurses experienced various ethical challenges in their daily practice. Of the ethical issues, some were distinctively and frequently experienced by nurses in a specific unit. This study suggested that identifying and understanding specific ethical issues faced by nurses in their own areas may be an effective educational approach to motivate nurses and to facilitate nurses' reflection on their experiences. © The Author(s) 2014.

Teachers Teaching Teachers (T3). Volume 6, Number 3

ERIC Educational Resources Information Center

Armstrong, Anthony, Ed.

2010-01-01

"Teachers Teaching Teachers" ("T3") focuses on coaches' roles in the professional development of teachers. Each issue also explores the challenges and rewards that teacher leaders encounter. This issue includes: (1) Teaching English Language Learners: Mainstream Teachers Make a Stellar Journey as a Team to Transform Classroom Practices (Elsa M.…

Ethical Issues in the Assessment and Treatment of a Rational Suicidal Client.

ERIC Educational Resources Information Center

Snipe, Rosetta M.

1988-01-01

Notes that rational client's decision to commit suicide may present complex ethical issues for therapist. Presents and discusses three-month account of therapy with client, from perspective of ethical values and principles upon which assessment and treatment decisions were made, and complex ethical dilemmas encountered as therapist juxtaposed…

Doctoral Supervision in a Cross-Cultural Context: Issues Affecting Supervisors and Candidates

ERIC Educational Resources Information Center

Winchester-Seeto, Theresa; Homewood, Judi; Thogersen, Jane; Jacenyik-Trawoger, Christa; Manathunga, Catherine; Reid, Anna; Holbrook, Allyson

2014-01-01

This article presents an analysis of rich data, gathered from interviews with 46 candidates and 38 supervisors from three Australian universities, about experiences of doctoral supervision in cross-cultural situations. Our analysis shows that many of the issues reported by international candidates are the same as those encountered by domestic…

Teachers Teaching Teachers (T3)[TM]. Volume 4, Number 7

ERIC Educational Resources Information Center

von Frank, Valerie, Ed.

2009-01-01

"Teachers Teaching Teachers" ("T3") focuses on coaches' roles in the professional development of teachers. Each issue also explores the challenges and rewards that teacher leaders encounter. This issue includes: (1) Learning Cycle Spins Individuals into a Team (Valerie von Frank); (2) NSDC Tool: The Professional Teaching and Learning Cycle; (3)…

Family Home Childcare Providers: A Comparison of Subsidized and Non-Subsidized Working Environments and Employee Issues

ERIC Educational Resources Information Center

Shriner, Michael; Schlee, Bethanne M.; Mullis, Ronald L.; Cornille, Thomas A.; Mullis, Ann K.

2008-01-01

Federal and State Governments provide childcare subsidies for low-income working families. This study compares the encountered issues and working environments of family home providers of subsidized and non-subsidized childcare. Questionnaires were distributed throughout a southeastern state in the United States to 548 family home childcare…

Teachers Teaching Teachers (T3)[TM]. Volume 4, Number 8

ERIC Educational Resources Information Center

von Frank, Valerie, Ed.

2009-01-01

"Teachers Teaching Teachers" ("T3") focuses on coaches' roles in the professional development of teachers. Each issue also explores the challenges and rewards that teacher leaders encounter. This issue includes: (1) Tackling Behavior from All Sides (Valerie von Frank); (2) Tools: Effective Behavior Support Self-Assessment Survey; (3) Lessons from…

Teachers Teaching Teachers (T3)[TM]. Volume 4, Number 6

ERIC Educational Resources Information Center

von Frank, Valerie, Ed.

2009-01-01

"Teachers Teaching Teachers" ("T3") focuses on coaches' roles in the professional development of teachers. Each issue also explores the challenges and rewards that teacher leaders encounter. This issue includes: (1) Values and Clarity Build Classroom Language (Valerie von Frank); (2) Tools: Identifying and Clarifying Beliefs about Learning; (3)…

A Case Study Approach to Ethics in Career Development, Second Edition. Monograph Series

ERIC Educational Resources Information Center

Makela, Julia Panke; Perlus, Jessamyn G.

2017-01-01

This second edition tackles some of the most vexing questions that career development professionals encounter today. Using a case study design, it offers a hands-on experience with ethical terminology, resources, and issues. Each dilemma presented includes detailed, guided discussion of key issues and recommendations, with direct connections to…

Numerical Study of a Convective Turbulence Encounter

NASA Technical Reports Server (NTRS)

Proctor, Fred H.; Hamilton, David W.; Bowles, Roland L.

2002-01-01

A numerical simulation of a convective turbulence event is investigated and compared with observational data. The specific case was encountered during one of NASA's flight tests and was characterized by severe turbulence. The event was associated with overshooting convective turrets that contained low to moderate radar reflectivity. Model comparisons with observations are quite favorable. Turbulence hazard metrics are proposed and applied to the numerical data set. Issues such as adequate grid size are examined.

A qualitative description of service providers' experiences of ethical issues in HIV care.

PubMed

Sabone, Motshedisi B; Mogobe, Keitshokile Dintle; Matshediso, Ellah; Shaibu, Sheila; Ntsayagae, Esther I; Corless, Inge B; Cuca, Yvette P; Holzemer, William L; Dawson-Rose, Carol; Baez, Solymar S Soliz; Rivero-Mendz, Marta; Webel, Allison R; Eller, Lucille Sanzero; Reid, Paula; Johnson, Mallory O; Kemppainen, Jeanne; Reyes, Darcel; Nokes, Kathleen; Wantland, Dean; Nicholas, Patrice K; Lingren, Teri; Portillo, Carmen J; Sefcik, Elizabeth; Long-Middleton, Ellen

2018-01-01

Managing HIV treatment is a complex multi-dimensional task because of a combination of factors such as stigma and discrimination of some populations who frequently get infected with HIV. In addition, patient-provider encounters have become increasingly multicultural, making effective communication and provision of ethically sound care a challenge. This article explores ethical issues that health service providers in the United States and Botswana encountered in their interaction with patients in HIV care. A descriptive qualitative design was used to collect data from health service providers and patients using focused group discussions. This article is based on responses from health service providers only. Participants and context: This article is based on 11 focused group discussions with a total sample of 71 service providers in seven US sites and one Botswana site. Ethical considerations: Ethical review boards at all the study sites reviewed the study protocol and approved it. Ethical review boards of the study's coordinating centers, Rutgers University and the University of California at San Francisco, also approved it. The study participants provided a written informed consent to participate. HIV service providers encountered ethical challenges in all the four Beauchamp and Childress' biomedical ethics of respect for patients' autonomy, beneficence, justice, and nonmaleficence. The finding that HIV service providers encounter ethical challenges in their interaction with patients is supported by prior studies. The ethical challenges are particularly prominent in multicultural care and resource-constrained care environments. Provision of HIV care is fraught with ethical challenges that tend to pose different issues depending on a given care environment. It is important that strong partnerships are developed among key stakeholders in HIV care. In addition, health service providers need to be provided with resources so they can provide quality and ethically sound care.

Encounter Group Effects of Soccer Team Performance.

ERIC Educational Resources Information Center

Magen, Zipora

1980-01-01

Suggests that a positive relationship exists between encounter group experience and the soccer team performance--a conclusion worthy of consideration in further research in the fields of psychology and sociology of sports. (Author)

Surgical ethics: surgical virtue and more.

PubMed

Vercler, Christian J

2015-01-01

The encounter between a patient and her surgeon is unique for several reasons. The surgeon inflicts pain upon a patient for the patient's own good. An operative intervention is irreducibly personal, such that the decisions about and performance of operations are inseparable from the idiosyncrasies of the individual surgeon. Furthermore, there is a chasm of knowledge between the patient and surgeon that is difficult to cross. Hence, training in the discipline of surgery includes the inculcation of certain virtues and practices to safeguard against abuses of this relationship and to make sure that the best interests of the patient are prioritized. The stories in this issue are evidence that in contemporary practice this is not quite enough, as surgeons reflect on instances they felt were ethically challenging. Common themes include the difficulty in communicating surgical uncertainty, patient-surgeon relationships, ethical issues in surgical training, and the impact of the technological imperative on caring for dying patients.

An astronomer's guide to period searching

NASA Astrophysics Data System (ADS)

Schwarzenberg-Czerny, A.

2003-03-01

We concentrate on analysis of unevenly sampled time series, interrupted by periodic gaps, as often encountered in astronomy. While some of our conclusions may appear surprising, all are based on classical statistical principles of Fisher & successors. Except for discussion of the resolution issues, it is best for the reader to forget temporarily about Fourier transforms and to concentrate on problems of fitting of a time series with a model curve. According to their statistical content we divide the issues into several sections, consisting of: (ii) statistical numerical aspects of model fitting, (iii) evaluation of fitted models as hypotheses testing, (iv) the role of the orthogonal models in signal detection (v) conditions for equivalence of periodograms (vi) rating sensitivity by test power. An experienced observer working with individual objects would benefit little from formalized statistical approach. However, we demonstrate the usefulness of this approach in evaluation of performance of periodograms and in quantitative design of large variability surveys.

Challenges in conducting qualitative research in health: A conceptual paper.

PubMed

Khankeh, Hamidreza; Ranjbar, Maryam; Khorasani-Zavareh, Davoud; Zargham-Boroujeni, Ali; Johansson, Eva

2015-01-01

Qualitative research focuses on social world and provides the tools to study health phenomena from the perspective of those experiencing them. Identifying the problem, forming the question, and selecting an appropriate methodology and design are some of the initial challenges that researchers encounter in the early stages of any research project. These problems are particularly common for novices. This article describes the practical challenges of using qualitative inquiry in the field of health and the challenges of performing an interpretive research based on professional experience as a qualitative researcher and on available literature. One of the main topics discussed is the nature of qualitative research, its inherent challenges, and how to overcome them. Some of those highlighted here include: identification of the research problem, formation of the research question/aim, and selecting an appropriate methodology and research design, which are the main concerns of qualitative researchers and need to be handled properly. Insights from real-life experiences in conducting qualitative research in health reveal these issues. The paper provides personal comments on the experiences of a researcher in conducting pure qualitative research in the field of health. It offers insights into the practical difficulties encountered when performing qualitative studies and offers solutions and alternatives applied by these authors, which may be of use to others.

The Janus-Faced Role of Gambling Flow in Addiction Issues.

PubMed

Trivedi, Rohit H; Teichert, Thorsten

2017-03-01

Flow experience has been widely investigated in experiential activities such as sports, the performing arts, gaming, and Internet usage. Most studies focus on the positive aspects of flow experience and its effect on performance. In stark contrast, gambling research focusing on the negative side of addiction lacks an in-depth investigation of gamblers' (positive) flow encounters. This separation of research lines seems out of place given that recent research indicates connections between flow and addiction. Joining both constructs in a causal-effects model helps one gain a better understanding of their relationship and its contingencies. This article empirically investigates whether and how it is possible to observe a "Janus face" of flow with its various sub-dimensions in online gambling. Empirical data were collected from 500 online gamblers by applying a structured questionnaire with established scales. The data were analyzed with a confirmatory factor analysis and a double-hurdle model to separate casual gamblers who are unsusceptible to any addiction issues from gamblers affected by initiatory addiction issues. The findings indicate that online gambling addiction is negatively influenced by two sub-dimensions of flow experience, namely a sense of control and concentration on the task at hand, whereas it is enhanced by a transformation of time and autotelic experience.

Performance of three-way data types during Voyager's encounter with Neptune

NASA Technical Reports Server (NTRS)

Roth, D. C.; Taylor, T. H.; Jacobson, R. A.; Lewis, G. D.

1990-01-01

Voyager's flyby of Neptune in August of 1989 was the most distant planetary encounter ever achieved. Round trip light travel time was more than eight hours, exceeding view periods at two of the three tracking station sites. Consequently, the majority of radiometric tracking was accomplished by transmitting the uplink from one station, and receiving the downlink at a different station. This procedure defines three-way data. Dependence on three-way data for orbit determination is one distinguishing element of Voyager's successful encounter with Neptune. This paper addresses the performance of three-way range and Doppler data supporting pre-encounter orbit determination and post-encounter orbit reconstruction. Also, calibrations which reduce systematic errors inherent to three-way data are described and analyzed.

Information Presentation

NASA Technical Reports Server (NTRS)

Holden, Kritina L.; Thompson, Shelby G.; Sandor, Aniko; McCann, Robert S.; Kaiser, Mary K.; Adelstein, Barnard D.; Begault, Durand R.; Beutter, Brent R.; Stone, Leland S.; Godfroy, Martine

2009-01-01

The goal of the Information Presentation Directed Research Project (DRP) is to address design questions related to the presentation of information to the crew. In addition to addressing display design issues associated with information formatting, style, layout, and interaction, the Information Presentation DRP is also working toward understanding the effects of extreme environments encountered in space travel on information processing. Work is also in progress to refine human factors-based design tools, such as human performance modeling, that will supplement traditional design techniques and help ensure that optimal information design is accomplished in the most cost-efficient manner. The major areas of work, or subtasks, within the Information Presentation DRP for FY10 are: 1) Displays, 2) Controls, 3) Procedures and Fault Management, and 4) Human Performance Modeling. The poster will highlight completed and planned work for each subtask.

The Present Status of Siam Photon Laboratory

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

Pairsuwan, Weerapong; Ishii, Takehiko; Isoyama, Goro

We report the technical problems encountered in commissioning and improving the performance of the accelerator complex which consists of a 1 GeV light source storage ring, a 1 GeV booster synchrotron, and a 40 MeV injector linac. Regulation work for an attached beam line with an experimental station for photoemission studies is also described. Beam instability and low injection efficiency are the major issues for the accelerator complex. In the beam line, the accurate optical alignment of the monochromator system and the modification of the measurement control software supplied by a marker are the work having been performed. The resultsmore » of the work on the accelerator complex will be helpful to the commissioning of the machine obtained secondhand and reformed to some extent.« less

Status of ISS Water Management and Recovery

NASA Technical Reports Server (NTRS)

Carter, Layne; Wilson, Laura Labuda; Orozco, Nicole

2012-01-01

Water management on ISS is responsible for the provision of water to the crew for drinking water, food preparation, and hygiene, to the Oxygen Generation System (OGS) for oxygen production via electrolysis, to the Waste & Hygiene Compartment (WHC) for flush water, and for experiments on ISS. This paper summarizes water management activities on the ISS US Segment, and provides a status of the performance and issues related to the operation of the Water Processor Assembly (WPA) and Urine Processor Assembly (UPA). This paper summarizes the on-orbit status as of May 2011, and describes the technical challenges encountered and lessons learned over the past year.

Cochlear implant challenges encountered in tuberculous otitis media.

PubMed

Chen, Cheng-Fang; Liu, Zhao-Hui; Xie, Jing; Ma, Xiao-Bo; Li, Yi; Gong, Shu-Sheng

2012-05-01

Tuberculous otitis media (TOM) is rare in ENT department, and is frequently misdiagnosed as otitis media. Thus early systemic treatment is very important for TOM. We reported a case report with TOM to highlight development of the disease and difficulties in clinical treatment in late stage of TOM. Implantation of ossified and eroded cochlea poses many unique challenges to both the surgeon and programming team. With thorough preparation and complete knowledge about characters of specific issues, implantation would be performed successfully, and patients with ossified cochlear could benefit from cochlear implantation. Copyright © 2012 Hainan Medical College. Published by Elsevier B.V. All rights reserved.

Status of ISS Water Management and Recovery

NASA Technical Reports Server (NTRS)

Carter, Layne; Pruitt, Jennifer; Brown, Christopher A.; Bazley, Jesse; Gazda, Daniel; Schaezler, Ryan; Bankers, Lyndsey

2016-01-01

Water management on ISS is responsible for the provision of water to the crew for drinking water, food preparation, and hygiene, to the Oxygen Generation System (OGS) for oxygen production via electrolysis, to the Waste & Hygiene Compartment (WHC) for flush water, and for experiments on ISS. This paper summarizes water management activities on the ISS US Segment and provides a status of the performance and issues related to the operation of the Water Processor Assembly (WPA) and Urine Processor Assembly (UPA). This paper summarizes the on-orbit status as of May 2016 and describes the technical challenges encountered and lessons learned over the past year.

Status of ISS Water Management and Recovery

NASA Technical Reports Server (NTRS)

Carter, Layne; Brown, Christopher; Orozco, Nicole

2014-01-01

Water management on ISS is responsible for the provision of water to the crew for drinking water, food preparation, and hygiene, to the Oxygen Generation System (OGS) for oxygen production via electrolysis, to the Waste & Hygiene Compartment (WHC) for flush water, and for experiments on ISS. This paper summarizes water management activities on the ISS US Segment, and provides a status of the performance and issues related to the operation of the Water Processor Assembly (WPA) and Urine Processor Assembly (UPA). This paper summarizes the on-orbit status as of June 2013, and describes the technical challenges encountered and lessons learned over the past year.

Status of ISS Water Management and Recovery

NASA Technical Reports Server (NTRS)

Carter, Layne; Tobias, Barry; Orozco, Nicole

2012-01-01

Water management on ISS is responsible for the provision of water to the crew for drinking water, food preparation, and hygiene, to the Oxygen Generation System (OGS) for oxygen production via electrolysis, to the Waste & Hygiene Compartment (WHC) for flush water, and for experiments on ISS. This paper summarizes water management activities on the ISS US Segment, and provides a status of the performance and issues related to the operation of the Water Processor Assembly (WPA) and Urine Processor Assembly (UPA). This paper summarizes the on-orbit status as of June 2012, and describes the technical challenges encountered and lessons learned over the past year.

Status of ISS Water Management and Recovery

NASA Technical Reports Server (NTRS)

Carter, Layne; Takada, Kevin; Gazda, Daniel; Brown, Christopher; Bazley, Jesse; Schaezler, Ryan; Bankers, Lyndsey

2017-01-01

Water management on ISS is responsible for the provision of water to the crew for drinking water, food preparation, and hygiene, to the Oxygen Generation System (OGS) for oxygen production via electrolysis, to the Waste & Hygiene Compartment (WHC) for flush water, and for experiments on ISS. This paper summarizes water management activities on the ISS US Segment and provides a status of the performance and issues related to the operation of the Water Processor Assembly (WPA) and Urine Processor Assembly (UPA). This paper summarizes the on-orbit status as of June 2017 and describes the technical challenges encountered and lessons learned over the past year.

Status of ISS Water Management and Recovery

NASA Technical Reports Server (NTRS)

Carter, Layne; Pruitt, Jennifer; Brown, Christopher A.; Schaezler, Ryan; Bankers, Lyndsey

2015-01-01

Water management on ISS is responsible for the provision of water to the crew for drinking water, food preparation, and hygiene, to the Oxygen Generation System (OGS) for oxygen production via electrolysis, to the Waste & Hygiene Compartment (WHC) for flush water, and for experiments on ISS. This paper summarizes water management activities on the ISS US Segment, and provides a status of the performance and issues related to the operation of the Water Processor Assembly (WPA) and Urine Processor Assembly (UPA). This paper summarizes the on-orbit status as of May 2015 and describes the technical challenges encountered and lessons learned over the past two years.

A Bayesian Framework for Estimating the Concordance Correlation Coefficient Using Skew-elliptical Distributions.

PubMed

Feng, Dai; Baumgartner, Richard; Svetnik, Vladimir

2018-04-05

The concordance correlation coefficient (CCC) is a widely used scaled index in the study of agreement. In this article, we propose estimating the CCC by a unified Bayesian framework that can (1) accommodate symmetric or asymmetric and light- or heavy-tailed data; (2) select model from several candidates; and (3) address other issues frequently encountered in practice such as confounding covariates and missing data. The performance of the proposal was studied and demonstrated using simulated as well as real-life biomarker data from a clinical study of an insomnia drug. The implementation of the proposal is accessible through a package in the Comprehensive R Archive Network.

The Off-Campus Center: Extending the Reach of Higher Education. Organizational Issues.

ERIC Educational Resources Information Center

Gabor, Stanley C.; Heggan, Jon P.

Based on a study of basic organizational issues typically encountered in opening, managing, and closing an off-campus center (OCC), this monograph is designed for colleges and universities wishing to explore the possibility of creating or expanding an OCC for adult students. The definition of an OCC is provided. After a brief statistical overview…

An Analysis of Technological Issues Emanating from Faculty Transition to a New Learning Management System

ERIC Educational Resources Information Center

Sanga, Mapopa William

2016-01-01

This case study investigated the process 119 faculty members underwent as they transitioned from using Desire to Learn (D2L) learning management system (LMS), to using Canvas LMS. Other than analyzing technological issues faculty members encountered while navigating various aspects of the Canvas interface, the study also analyzed technological…

Friending, IMing, and Hanging out Face-to-Face: Overlap in Adolescents' Online and Offline Social Networks

ERIC Educational Resources Information Center

Reich, Stephanie M.; Subrahmanyam, Kaveri; Espinoza, Guadalupe

2012-01-01

Many new and important developmental issues are encountered during adolescence, which is also a time when Internet use becomes increasingly popular. Studies have shown that adolescents are using these online spaces to address developmental issues, especially needs for intimacy and connection to others. Online communication with its potential for…

Identity Crisis in Cormac McCarthy's "All the Pretty Horses"

ERIC Educational Resources Information Center

Gebreen, Hayder A. K.

2016-01-01

The issue of identity is one of the main issues that encounters man in each culture. Identity is a set of behaviors, emotions, and thought patterns which are unique to every individual that define him as a member of a certain group. Identity is shaped by race, ethnicity, religious beliefs, language, physical features, childhood experiences, sexual…

Desperate Shadows of "Belonging": Revealing Pedagogical Issues with Teaching Prescribed English Texts in the NSW Higher School Certificate (HSC)

ERIC Educational Resources Information Center

Jogie, Melissa R.

2015-01-01

As New South Wales (NSW) bids farewell to the 2009-2014 Area of Study concept "Belonging", this article summarises some critical reflections from English teachers on the main pedagogical issues encountered when using prescribed texts to teach "Belonging" to both the Standard and Advanced English courses in contemporary…

Live Scale Active Shooter Exercise: Lessons Learned

ERIC Educational Resources Information Center

Ervin, Randy

2008-01-01

On October 23, 2007, the Lake Land College Public Safety Department conducted a full-scale live exercise that simulated an active shooter and barricaded hostage. In this article, the author will emphasize what they learned, and how they intend to benefit from it. He will list the law enforcement issues and general issues they encountered, and then…

Moving from Good Ideas in Educational Systems Change to Sustainable Program Implementation: Coming to Terms with Some of the Realities

ERIC Educational Resources Information Center

Noell, George H.; Gansle, Kristin A.

2009-01-01

Proponents of systemic changes in education commonly encounter ethical, theoretical, and pragmatic challenges in moving from possibility to implementation of their vision of change. Although ethical and theoretical issues are critically important to a successful change initiative, pragmatic issues relevant to assuring program implementation have…

Patient perspectives of telemedicine quality

PubMed Central

LeRouge, Cynthia M; Garfield, Monica J; Hevner, Alan R

2015-01-01

Background The purpose of this study was to explore the quality attributes required for effective telemedicine encounters from the perspective of the patient. Methods We used a multi-method (direct observation, focus groups, survey) field study to collect data from patients who had experienced telemedicine encounters. Multi-perspectives (researcher and provider) were used to interpret a rich set of data from both a research and practice perspective. Results The result of this field study is a taxonomy of quality attributes for telemedicine service encounters that prioritizes the attributes from the patient perspective. We identify opportunities to control the level of quality for each attribute (ie, who is responsible for control of each attribute and when control can be exerted in relation to the encounter process). This analysis reveals that many quality attributes are in the hands of various stakeholders, and all attributes can be addressed proactively to some degree before the encounter begins. Conclusion Identification of the quality attributes important to a telemedicine encounter from a patient perspective enables one to better design telemedicine encounters. This preliminary work not only identifies such attributes, but also ascertains who is best able to address quality issues prior to an encounter. For practitioners, explicit representation of the quality attributes of technology-based systems and processes and insight on controlling key attributes are essential to implementation, utilization, management, and common understanding. PMID:25565781

Issues encountered in a qualitative secondary analysis of help-seeking in the prodrome to psychosis.

PubMed

Gladstone, Brenda M; Volpe, Tiziana; Boydell, Katherine M

2007-10-01

Primary data are rarely used explicitly as a source of data outside of the original research purpose for which they were collected. As a result, qualitative secondary analysis (QSA) has been described as an "invisible enterprise" for which there is a "notable silence" amongst the qualitative research community. In this paper, we report on the methodological implications of conducting a secondary analysis of qualitative data focusing on parents' narratives of help-seeking activities in the prodrome to psychosis. We review the literature on QSA, highlighting the main characteristics of the approach, and discuss issues and challenges encountered in conducting a secondary analysis. We conclude with some thoughts on the implications for conducting a QSA in children's mental health services and research.

An Emperical Analysis of the Corperate Ownership Concentration on the Operation Performance after IPOs of Chinese listed SMEs

NASA Astrophysics Data System (ADS)

Jiming, Li; Xing, Sun

The purpose of this paper is to investigates whether the large shareholders of small and medium firms (SMEs) take advantage of the inside information and decrease their shares before their operation performance begins to decline after the Initial Public Offerings (IPOs). By using the data from annual reports of SMEs listed on Shenzhen Stock Exchange in China from 2004 to 2006, this study explores both the relationship and the interaction effects between the change of operation performance and the ownership concentration of SMEs around their IPOs. The statistic analysis indicates that there is a significantly positive relationship between the ownership concentration and their operation performance after IPOs during the sample period. Moreover, the companies with higher ownership decreasing encounter more severe operation performance decline, which sugests that the listed companies intend to package their book profits before IPOs for the sake of increasing their issuing prices and enlarge their financing scales.

UAS in the NAS Flight Test Series 4 Overview

NASA Technical Reports Server (NTRS)

Murphy, Jim

2016-01-01

Flight Test Series 4 (FT4) provides the researchers with an opportunity to expand on the data collected during the first flight tests. Following Flight Test Series 3, additional scripted encounters with different aircraft performance and sensors will be conducted. FT4 is presently planned for Spring of 2016 to ensure collection of data to support the validation of the final RTCA Phase 1 DAA (Detect and Avoid) Minimum Operational Performance Standards (MOPS). There are three research objectives associated with this goal: Evaluate the performance of the DAA system against cooperative and non-cooperative aircraft encounters Evaluate UAS (Unmanned Aircraft Systems) pilot performance in response to DAA maneuver guidance and alerting with live intruder encounters Evaluate TCAS/DAA (Traffic Alert and Collision Avoidance System/Detect and Avoid) interoperability. This flight test series will focus on only the Scripted Encounters configuration, supporting the collection of data to validate the interoperability of DAA and collision avoidance algorithms.

A General Exponential Framework for Dimensionality Reduction.

PubMed

Wang, Su-Jing; Yan, Shuicheng; Yang, Jian; Zhou, Chun-Guang; Fu, Xiaolan

2014-02-01

As a general framework, Laplacian embedding, based on a pairwise similarity matrix, infers low dimensional representations from high dimensional data. However, it generally suffers from three issues: 1) algorithmic performance is sensitive to the size of neighbors; 2) the algorithm encounters the well known small sample size (SSS) problem; and 3) the algorithm de-emphasizes small distance pairs. To address these issues, here we propose exponential embedding using matrix exponential and provide a general framework for dimensionality reduction. In the framework, the matrix exponential can be roughly interpreted by the random walk over the feature similarity matrix, and thus is more robust. The positive definite property of matrix exponential deals with the SSS problem. The behavior of the decay function of exponential embedding is more significant in emphasizing small distance pairs. Under this framework, we apply matrix exponential to extend many popular Laplacian embedding algorithms, e.g., locality preserving projections, unsupervised discriminant projections, and marginal fisher analysis. Experiments conducted on the synthesized data, UCI, and the Georgia Tech face database show that the proposed new framework can well address the issues mentioned above.

Association of volume of patient encounters with residents' in-training examination performance.

PubMed

McCoy, Christopher P; Stenerson, Matthew B; Halvorsen, Andrew J; Homme, Jason H; McDonald, Furman S

2013-08-01

Patient care and medical knowledge are Accreditation Council for Graduate Medical Education (ACGME) core competencies. The correlation between amount of patient contact and knowledge acquisition is not known. To determine if a correlation exists between the number of patient encounters and in-training exam (ITE) scores in internal medicine (IM) and pediatric residents at a large academic medical center. Retrospective cohort study Resident physicians at Mayo Clinic from July 2006 to June 2010 in IM (318 resident-years) and pediatrics (66 resident-years). We tabulated patient encounters through review of clinical notes in an electronic medical record during post graduate year (PGY)-1 and PGY-2. Using linear regression models, we investigated associations between ITE score and number of notes during the previous PGY, adjusted for previous ITE score, gender, medical school origin, and conference attendance. For IM, PGY-2 admission and consult encounters in the hospital and specialty clinics had a positive linear association with ITE-3 % score (β = 0.02; p = 0.004). For IM, PGY-1 conference attendance is positively associated with PGY-2 ITE performance. We did not detect a correlation between PGY-1 patient encounters and subsequent ITE scores for IM or pediatric residents. No association was found between IM PGY-2 ITE score and inpatient, outpatient, or total encounters in the first year of training. Resident continuity clinic and total encounters were not associated with change in PGY-3 ITE score. We identified a positive association between hospital and subspecialty encounters during the second year of IM training and subsequent ITE score, such that each additional 50 encounters were associated with an increase of 1 % correct in PGY-3 ITE score after controlling for previous ITE performance and continuity clinic encounters. We did not find a correlation for volume of encounters and medical knowledge for IM PGY-1 residents or the pediatric cohort.

Using Machine Learning for Behavior-Based Access Control: Scalable Anomaly Detection on TCP Connections and HTTP Requests

DTIC Science & Technology

2013-11-01

machine learning techniques used in BBAC to make predictions about the intent of actors establishing TCP connections and issuing HTTP requests. We discuss pragmatic challenges and solutions we encountered in implementing and evaluating BBAC, discussing (a) the general concepts underlying BBAC, (b) challenges we have encountered in identifying suitable datasets, (c) mitigation strategies to cope...and describe current plans for transitioning BBAC capabilities into the Department of Defense together with lessons learned for the machine learning

Teaching evolution in the Australian classroom

NASA Astrophysics Data System (ADS)

Vozzo, Les

A summary of the key issues of controversy encountered by science teachers in Australian classrooms. Evolution, cloning and gene manipulation, fertility control, artificial intelligence, irradiation of food, the use of nuclear energy, radiation from powerlines are some of the topics discussed and debated in classrooms. What are some of the difficulties encountered by teachers when students ask questions that raise moral dilemmas and challenges entrenched beliefs and views of the world. What are some of the teaching strategies used that deal with these difficulties.

A reliable sewage quality abnormal event monitoring system.

PubMed

Li, Tianling; Winnel, Melissa; Lin, Hao; Panther, Jared; Liu, Chang; O'Halloran, Roger; Wang, Kewen; An, Taicheng; Wong, Po Keung; Zhang, Shanqing; Zhao, Huijun

2017-09-15

With closing water loop through purified recycled water, wastewater becomes a part of source water, requiring reliable wastewater quality monitoring system (WQMS) to manage wastewater source and mitigate potential health risks. However, the development of reliable WQMS is fatally constrained by severe contamination and biofouling of sensors due to the hostile analytical environment of wastewaters, especially raw sewages, that challenges the limit of existing sensing technologies. In this work, we report a technological solution to enable the development of WQMS for real-time abnormal event detection with high reliability and practicality. A vectored high flow hydrodynamic self-cleaning approach and a dual-sensor self-diagnostic concept are adopted for WQMS to effectively encounter vital sensor failing issues caused by contamination and biofouling and ensure the integrity of sensing data. The performance of the WQMS has been evaluated over a 3-year trial period at different sewage catchment sites across three Australian states. It has demonstrated that the developed WQMS is capable of continuously operating in raw sewage for a prolonged period up to 24 months without maintenance and failure, signifying the high reliability and practicality. The demonstrated WQMS capability to reliably acquire real-time wastewater quality information leaps forward the development of effective wastewater source management system. The reported self-cleaning and self-diagnostic concepts should be applicable to other online water quality monitoring systems, opening a new way to encounter the common reliability and stability issues caused by sensor contamination and biofouling. Copyright © 2017 Elsevier Ltd. All rights reserved.

Users and uses of Landsat 8 satellite imagery—2014 survey results

USGS Publications Warehouse

Miller, Holly M.

2016-04-18

To explore the effect of the availability of Landsat 8 imagery on Landsat imagery use in general, established users (those who had consistently used Landsat imagery both before and after Landsat 8 imagery became available) using Landsat 8 imagery were asked about changes in the amount of Landsat imagery they used. The majority of established users using Landsat 8 imagery (60 percent) reported an average increase of 51 percent in the number of scenes obtained after Landsat 8 imagery became available. Landsat 8 users were asked if they had encountered challenges in using Landsat 8 whereas non-Landsat 8 users were asked if such challenges had played a role in why they were not using Landsat 8 imagery. Although many users did not encounter challenges when using or trying to use Landsat 8 data, slightly less than 30 percent did encounter issues with processing the data to a usable point. The most common issue reported was not being able to create or have access to a surface reflectance corrected product. Other challenges were related to the file sizes of images being too large to download, store, or analyze. There were no statistically significant differences between Landsat 8 and non-Landsat 8 users in terms of challenges encountered when using or trying to use the imagery, which indicates that users were not unduly discouraged by the challenges they may have encountered. When asked about potential consequences of not using Landsat 8, more than half of the non-Landsat 8 users did not report detrimental effects on their work from not using the imagery. Of those who did report detrimental effects, decreased quality of work, decreased scope of work, and increased time spent on work were the most common.   

Mutual Benefit for Foreign Medical Students and Chinese Postgraduates: A Mixed Team-Based Learning Method Overcomes Communication Problems in Hematology Clerkship

ERIC Educational Resources Information Center

Chen, Xianling; Chen, Buyuan; Li, Xiaofan; Song, Qingxiao; Chen, Yuanzhong

2017-01-01

Hematology is difficult for students to learn. A beneficial education method for hematology clerkship training is required to help students develop clinical skills. Foreign medical students often encounter communication issues in China. To address this issue, Chinese post-graduates from our institute are willing to assist with educating foreign…

The Basics of School Law: A Guide for School Directors

ERIC Educational Resources Information Center

Washington State School Directors' Association (NJ1), 2010

2010-01-01

This guide is intended to give individual school board directors an introduction to some of the legal issues they may encounter in their board service. This material is not intended to answer every question, even in the subject matter areas they cover. This guide is merely intended to alert directors to the legal issues that they will encounter…

Informal Statistics Help Desk

NASA Technical Reports Server (NTRS)

Ploutz-Snyder, R. J.; Feiveson, A. H.

2015-01-01

Back by popular demand, the JSC Biostatistics Lab is offering an opportunity for informal conversation about challenges you may have encountered with issues of experimental design, analysis, data visualization or related topics. Get answers to common questions about sample size, repeated measures, violation of distributional assumptions, missing data, multiple testing, time-to-event data, when to trust the results of your analyses (reproducibility issues) and more.

Bioethical issues and health care chaplaincy in aotearoa New Zealand.

PubMed

Carey, Lindsay B

2012-06-01

This paper summarizes survey and interview results from a cross-sectional study of New Zealand health care chaplaincy personnel concerning their involvement in multiple bioethical issues encountered by patients, families and clinical staff within the health care context. Some implications of this study concerning health care chaplaincy, ecclesiastical institutions, health care institutions and government responsibilities are discussed and recommendations presented.

Radio science ground data system for the Voyager-Neptune encounter, part 1

NASA Technical Reports Server (NTRS)

Kursinski, E. R.; Asmar, S. W.

1991-01-01

The Voyager radio science experiments at Neptune required the creation of a ground data system array that includes a Deep Space Network complex, the Parkes Radio Observatory, and the Usuda deep space tracking station. The performance requirements were based on experience with the previous Voyager encounters, as well as the scientific goals at Neptune. The requirements were stricter than those of the Uranus encounter because of the need to avoid the phase-stability problems experienced during that encounter and because the spacecraft flyby was faster and closer to the planet than previous encounters. The primary requirement on the instrument was to recover the phase and amplitude of the S- and X-band (2.3 and 8.4 GHz) signals under the dynamic conditions encountered during the occultations. The primary receiver type for the measurements was open loop with high phase-noise and frequency stability performance. The receiver filter bandwidth was predetermined based on the spacecraft's trajectory and frequency uncertainties.

10 Gigabit Ethernet Performance on SGI Altix and Origin Systems

NASA Technical Reports Server (NTRS)

Meyer, Andy

2005-01-01

As the state of high performance computing continues to advance, the size of datasets continue to grow, driving a need for high bandwidth data networks. family of networks. 10 Gigabit Ethernet is the latest step in the popular Ethernet We have evaluated the S2io Xframe 10 Gigabit Ethernet adapter on 512p SGI Altix systems running ProPack 3, and Origin systems running Irix 6.5.24 and 6.5.26 in our production supercomputing environment. We encountered a number of performance and stability issues, which were promptly dealt with by SGI and S2io. Using nttcp we tested TCP performance for single and multiple streams, and we tested file transfer using NFS and bbftp. We will present the results of our testing, including the effects of various tuning options on throughput and CPU utilization, and offer suggestions for configuring and tuning S2io 10 Gigabit Ethernet cards in an Altix/Linux or Origin/Irix environment.

Ad hoc supervision of general practice registrars as a 'community of practice': analysis, interpretation and re-presentation.

PubMed

Clement, T; Brown, J; Morrison, J; Nestel, D

2016-05-01

General practice registrars in Australia undertake most of their vocational training in accredited general practices. They typically see patients alone from the start of their community-based training and are expected to seek timely ad hoc support from their supervisor. Such ad hoc encounters are a mechanism for ensuring patient safety, but also provide an opportunity for learning and teaching. Wenger's (Communities of practice: learning, meaning, and identity. Cambridge University Press, New York, 1998) social theory of learning ('communities of practice') guided a secondary analysis of audio-recordings of ad hoc encounters. Data from one encounter is re-presented as an extended sequence to maintain congruence with the theoretical perspective and enhance vicariousness. An interpretive commentary communicates key features of Wenger's theory and highlights the researchers' interpretations. We argue that one encounter can reveal universal understandings of clinical supervision and that the process of naturalistic generalisation allows readers to transfer others' experiences to their own contexts. The paper raises significant analytic, interpretive, and representational issues. We highlight that report writing is an important, but infrequently discussed, part of research design. We discuss the challenges of supporting the learning and teaching that arises from adopting a socio-cultural lens and argue that such a perspective importantly captures the complex range of issues that work-based practitioners have to grapple with. This offers a challenge to how we research and seek to influence work-based learning and teaching in health care settings.

Investigating the role of content knowledge, argumentation, and situational features to support genetics literacy

NASA Astrophysics Data System (ADS)

Shea, Nicole Anne

Science curriculum is often used as a means to train students as future scientists with less emphasis placed on preparing students to reason about issues they may encounter in their daily lives (Feinstein, Allen, & Jenkins, 2013; Roth & Barton, 2004). The general public is required to think scientifically to some degree throughout their life and often across a variety of issues. From an empirical standpoint, we do not have a robust understanding of what scientific knowledge the public finds useful for reasoning about socio-scientific issues in their everyday lives (Feinstein, 2011). We also know very little about how the situational features of an issue influences reasoning strategy (i.e., the use of knowledge to generate arguments). Rapid advances in science - particularly in genetics - increasingly challenge the public to reason about socio-scientific issues. This raises questions about the public's ability to participate knowledgeably in socio-scientific debates, and to provide informed consent for a variety of novel scientific procedures. This dissertation aims to answer the questions: How do individuals use their genetic content knowledge to reason about authentic issues they may encounter in their daily lives? Individuals' scientific knowledge is a critical aspect of scientific literacy, but what scientific literacy looks like in practice as individuals use their content knowledge to reason about issues comprised of different situational features is still unclear. The purpose of this dissertation is to explore what knowledge is actually used by individuals to generate and support arguments about a variety of socio-scientific issues, and how the features of those issues influences reasoning strategy. Three studies were conducted to answer questions reflecting this purpose. Findings from this dissertation provide important insights into what scientific literacy looks like in practice.

Issues in Implementing a Structured Problem-Based Learning Strategy in a Volcano Unit: A Case Study

ERIC Educational Resources Information Center

Lee, Hyunju; Bae, Sungah

2008-01-01

The purpose of this study was to understand how an 8th grade science class used a structured problem-based learning (PBL) strategy to study volcanoes and to discuss some of the issues that science teachers might encounter when designing and implementing the PBL strategy. This study took place at Collins Middle School, which is located in a…

The Use of Video Technology for Providing Feedback to Students: Can It Enhance the Feedback Experience for Staff and Students?

ERIC Educational Resources Information Center

Crook, Anne; Mauchline, Alice; Maw, Stephen; Lawson, Clare; Drinkwater, Robyn; Lundqvist, Karsten; Orsmond, Paul; Gomez, Stephen; Park, Julian

2012-01-01

There are numerous issues surrounding the provision of assessment-related feedback in Higher Education, which in recent years have been highlighted in the National Student Survey. In this paper questionnaire data from staff and students at the University of Reading are used to confirm the main issues encountered with feedback, namely problems of…

Editorial Commentary: The Jury Remains Out on Hybrid Autograft-Plus-Allograft for Diminutive Hamstring Anterior Cruciate Ligament Autografts.

PubMed

Dhawan, Aman

2016-11-01

In a Level III, single center, retrospective, nonrandomized observational study, anterior cruciate ligament reconstruction revision rates and patient-reported outcomes were found to be similar at 2-year follow-up when using autograft hamstrings versus a hybrid graft (autograft and nonirradiated allograft), with both groups reporting low levels of revisions and excellent outcomes. Despite previous published data that were cause for concern, a study in this issue provides support for use of a hybrid graft technique when encountering the challenging situation of a diminutive hamstring autograft when performing anterior cruciate ligament reconstruction. Copyright © 2016 Arthroscopy Association of North America. Published by Elsevier Inc. All rights reserved.

Simulation and Validation of Injection-Compression Filling Stage of Liquid Moulding with Fast Curing Resins

NASA Astrophysics Data System (ADS)

Martin, Ffion A.; Warrior, Nicholas A.; Simacek, Pavel; Advani, Suresh; Hughes, Adrian; Darlington, Roger; Senan, Eissa

2018-03-01

Very short manufacture cycle times are required if continuous carbon fibre and epoxy composite components are to be economically viable solutions for high volume composite production for the automotive industry. Here, a manufacturing process variant of resin transfer moulding (RTM), targets a reduction of in-mould manufacture time by reducing the time to inject and cure components. The process involves two stages; resin injection followed by compression. A flow simulation methodology using an RTM solver for the process has been developed. This paper compares the simulation prediction to experiments performed using industrial equipment. The issues encountered during the manufacturing are included in the simulation and their sensitivity to the process is explored.

Implementing a Course in Business Environment and Public Policy: A Case Study.

ERIC Educational Resources Information Center

Wooten, Bob E.; Snider, Walter D.

1982-01-01

Describes a course of study dealing with business values, ethics, and environment. The course focuses on issues concerning ethical and moral considerations that may be encountered in the marketplace. (JOW)

Mariner Venus-Mercury 1973 Project. Volume 1: Venus and Mercury 1 Encounters

NASA Technical Reports Server (NTRS)

1976-01-01

The primary mission report includes the Venus encounter and the first Mercury encounter. Plans and activities undertaken to successfully achieve the mission objectives are described. Operational activities are identified by mission operation system functions, providing a brief summary of each discipline. Spacecraft performance is summarized by subsystems.

Challenges in conducting qualitative research in health: A conceptual paper

PubMed Central

Khankeh, Hamidreza; Ranjbar, Maryam; Khorasani-Zavareh, Davoud; Zargham-Boroujeni, Ali; Johansson, Eva

2015-01-01

Background: Qualitative research focuses on social world and provides the tools to study health phenomena from the perspective of those experiencing them. Identifying the problem, forming the question, and selecting an appropriate methodology and design are some of the initial challenges that researchers encounter in the early stages of any research project. These problems are particularly common for novices. Materials and Methods: This article describes the practical challenges of using qualitative inquiry in the field of health and the challenges of performing an interpretive research based on professional experience as a qualitative researcher and on available literature. Results: One of the main topics discussed is the nature of qualitative research, its inherent challenges, and how to overcome them. Some of those highlighted here include: identification of the research problem, formation of the research question/aim, and selecting an appropriate methodology and research design, which are the main concerns of qualitative researchers and need to be handled properly. Insights from real-life experiences in conducting qualitative research in health reveal these issues. Conclusions: The paper provides personal comments on the experiences of a researcher in conducting pure qualitative research in the field of health. It offers insights into the practical difficulties encountered when performing qualitative studies and offers solutions and alternatives applied by these authors, which may be of use to others. PMID:26793245

Enhanced Influenza Surveillance Using Telephone Triage and Electronic Syndromic Surveillance in the Department of Veterans Affairs, 2011-2015.

PubMed

Lucero-Obusan, Cynthia; Winston, Carla A; Schirmer, Patricia L; Oda, Gina; Holodniy, Mark

Telephone triage (TT) is a method whereby medical professionals speak by telephone to patients to assess their symptoms or health concerns and offer advice. These services are often administered through an electronic TT system, which guides TT professionals during the encounter through the use of structured protocols and algorithms to help determine the severity of the patients' health issue and refer them to appropriate care. TT is also an emerging data source for public health surveillance of infectious and noninfectious diseases, including influenza. We calculated Spearman correlation coefficients to compare the weekly number of US Department of Veterans Affairs (VA) TT calls with other conventional influenza measures for the 2011-2012 through 2014-2015 influenza seasons, for which there were a total of 35 666 influenza-coded TT encounters. Influenza-coded calls were strongly correlated with weekly VA influenza-coded hospitalizations (0.85), emergency department visits (0.90), influenza-like illness outpatient visits (0.92), influenza tests performed (0.86), positive influenza tests (0.82), and influenza antiviral prescriptions (0.89). The correlation between VA-TT and Centers for Disease Control and Prevention (CDC) national data for weekly influenza hospitalizations, influenza tests performed, and positive influenza tests was also strong. TT correlates well with VA health care use and CDC data and is a timely data source for monitoring influenza activity.

Tracking Patient Encounters and Clinical Skills to Determine Competency in Ambulatory Care Advanced Pharmacy Practice Experiences

PubMed Central

Pereira, Chrystian R.; Harris, Ila M.; Moon, Jean Y.; Westberg, Sarah M.; Kolar, Claire

2016-01-01

Objective. To determine if the amount of exposure to patient encounters and clinical skills correlates to student clinical competency on ambulatory care advanced pharmacy practice experiences (APPEs). Design. Students in ambulatory care APPEs tracked the number of patients encountered by medical condition and the number of patient care skills performed. At the end of the APPE, preceptors evaluated students’ competency for each medical condition and skill, referencing the Dreyfus model for skill acquisition. Assessment. Data was collected from September 2012 through August 2014. Forty-six responses from a student tracking tool were matched to preceptor ratings. Students rated as competent saw more patients and performed more skills overall. Preceptors noted minimal impact on workload. Conclusions. Increased exposure to patient encounters and skills performed had a positive association with higher Dreyfus stage, which may represent a starting point in the conversation for more thoughtful design of ambulatory care APPEs. PMID:26941440

Post-deployment usability evaluation of a radiology workstation.

PubMed

Jorritsma, Wiard; Cnossen, Fokie; Dierckx, Rudi A; Oudkerk, Matthijs; Van Ooijen, Peter M A

2016-01-01

To determine the number, nature and severity of usability issues radiologists encounter while using a commercially available radiology workstation in clinical practice, and to assess how well the results of a pre-deployment usability evaluation of this workstation generalize to clinical practice. The usability evaluation consisted of semi-structured interviews and observations of twelve users using the workstation during their daily work. Usability issues and positive usability findings were documented. Each issue was given a severity rating and its root cause was determined. Results were compared to the results of a pre-deployment usability evaluation of the same workstation. Ninety-two usability issues were identified, ranging from issues that cause minor frustration or delay, to issues that cause significant delays, prevent users from completing tasks, or even pose a potential threat to patient safety. The results of the pre-deployment usability evaluation had limited generalizability to clinical practice. This study showed that radiologists encountered a large number and a wide variety of usability issues when using a commercially available radiology workstation in clinical practice. This underlines the need for effective usability engineering in radiology. Given the limitations of pre-deployment usability evaluation in radiology, which were confirmed by our finding that the results of a pre-deployment usability evaluation of this workstation had limited generalizability to clinical practice, it is vital that radiology workstation vendors devote significant resources to usability engineering efforts before deployment of their workstation, and to continue these efforts after the workstation is deployed in a hospital. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

What matters most to people in musculoskeletal physiotherapy consultations? A qualitative study.

PubMed

Stenner, Rob; Palmer, Shea; Hammond, Ralph

2018-06-01

Person-centred approaches to care require clinicians to engage in trying to understand the full range of problems and concerns, treatment and investigation requests, and emotional and social issues that people bring to the consultation. If, however, the main issues of importance are not openly declared and discussed they cannot be addressed. This is likely to result in people receiving the care that clinicians think they need, rather than care based on individual needs and preferences. To understand people's abilities to express the issues of importance to them within a consultation and clinicians' abilities to acknowledge and address those issues. A qualitative study using an interpretive phenomenological approach. Fifteen people and their physiotherapists were interviewed and their consultations recorded. The resulting data sets were analysed to identify and report themes within the data. The findings revealed that people present with what are often simple issues, but which are sometimes expressed in an unstructured way in clinical encounters and are often difficult for clinicians to establish. Three linked themes emerged: (1) clear versus unstructured agendas; (2) people need information and understanding; and (3) developing a sense of collaboration. The issues of importance that people bring to a consultation are varied and often vague. This research highlights the importance of communication to elicit, identify and address the issues of importance to people in clinical encounters to ensure a positive experience and outcome for both the individual person and clinician. Achieving desirable health outcomes is more likely when people are supported to think about their priorities and 'what matters to them'. Copyright © 2018 Elsevier Ltd. All rights reserved.

Attitudes of rehabilitation medicine doctors toward medical ethics in Malaysia.

PubMed

Mazlina, M; Julia, P E

2011-06-01

Medical ethics issues encountered in rehabilitation medicine differ from those in an acute care setting due to the complex relationships among the parties involved in rehabilitative care. The study examined the attitudes of Malaysian rehabilitation doctors toward medical ethics issues commonly encountered during patient care. We surveyed 74 rehabilitation physicians and residents in Malaysia using a self-administered descriptive questionnaire. The questions covered medical ethics issues on allocation of resources, patient confidentiality, discharge planning, goal-setting, reimbursement documentation, decision-making capacity and withdrawal of life support. The overall response rate was 69 percent. More than 80 percent of respondents would disclose confidential information to their team members if it would affect the rehabilitation process. More than two-thirds of respondents would not allocate scarce rehabilitation resources if the functional outcome is marginally positive. Issues involving patients' autonomy in decision-making, both in life-threatening and non-life-threatening situations, showed mix responses. The least common response was on the issue of discharge planning, where 51 percent of respondents would send a patient back to a nursing home with suboptimal care if there were no other alternatives. The attitude of Malaysian rehabilitation doctors toward ethical issues is reflective of the level of maturity of rehabilitation medicine in Malaysia. Issues on allocation of resources, discharge planning and decision-making capacity are significantly influenced by limited rehabilitation facilities in parts of the country. The lack of influence from external factors, such as a developed health insurance system, contributes to the difference in attitude between rehabilitation doctors in Malaysia and those in developed countries.

Issues and challenges associated with classifying neoplasms in percutaneous needle biopsies of incidentally found small renal masses.

PubMed

Evans, Andrew J; Delahunt, Brett; Srigley, John R

2015-03-01

Percutaneous needle core biopsy has become acceptable for classifying renal tumours and guiding patient management in the setting of an incidentally-detected small renal mass (SRM), defined as an asymptomatic, non-palpable mass <4cm in maximum dimension. Long-held concerns preventing the incorporation of biopsies into routine patient care, including the perception of poor diagnostic yield and risks of complications such as bleeding or biopsy tract seeding, have largely been disproven. While needle biopsies for SRMs have traditionally been performed in academic centres, pathologists based in non-academic centres can expect to encounter these specimens as urologists and/or interventional radiologist trainees complete their training programs and begin work in non-academic centres. This review covers the rationale for performing these biopsies, the expected diagnostic yield, relevant differential diagnoses and an approach to classifying SRMs based on limited samples as well as the use of immunohistochemical (IHC) staining panels to aid in this process. There is also an undeniable learning curve for pathologists faced with reporting these biopsies and a number of issues and potential pitfalls attributable to sampling must be kept in mind by pathologists and clinicians alike. Copyright © 2015 Elsevier Inc. All rights reserved.

Effects of Soundscapes on Perceived Crowding and Encounter Norms

NASA Astrophysics Data System (ADS)

Kim, Sang-Oh; Shelby, Bo

2011-07-01

Soundscapes in recreation settings are becoming an important issue, but there are few studies of the effects of sounds on recreation experiences, especially crowding perceptions and encounter norms. This study compared effects of six types of sounds (an airplane, a truck engine, children playing, birds, water, and a control) on perceived crowding (PC) and encounter norms for hikers. Data were collected from 47 college students through lab experiments using simulated images, with moving hikers inserted in the original photo taken in the Jungmeori area of Mudeungsan Provincial Park in Korea. Overall, the motor-made sounds of the airplane and truck engine increased PC and decreased acceptability ratings, and the natural sounds of birds and water decreased PC and increased acceptability ratings. Ratings of the sound of children playing were similar to those in the control (i.e., no sound). In addition, as numbers of hikers increased, the overall effects of sounds decreased, and there were few significant differences in PC or acceptability ratings at the highest encounter levels. Theoretical and methodological implications are discussed.

Effects of soundscapes on perceived crowding and encounter norms.

PubMed

Kim, Sang-Oh; Shelby, Bo

2011-07-01

Soundscapes in recreation settings are becoming an important issue, but there are few studies of the effects of sounds on recreation experiences, especially crowding perceptions and encounter norms. This study compared effects of six types of sounds (an airplane, a truck engine, children playing, birds, water, and a control) on perceived crowding (PC) and encounter norms for hikers. Data were collected from 47 college students through lab experiments using simulated images, with moving hikers inserted in the original photo taken in the Jungmeori area of Mudeungsan Provincial Park in Korea. Overall, the motor-made sounds of the airplane and truck engine increased PC and decreased acceptability ratings, and the natural sounds of birds and water decreased PC and increased acceptability ratings. Ratings of the sound of children playing were similar to those in the control (i.e., no sound). In addition, as numbers of hikers increased, the overall effects of sounds decreased, and there were few significant differences in PC or acceptability ratings at the highest encounter levels. Theoretical and methodological implications are discussed.

Utilization of Porous Media for Condensing Heat Exchangers

NASA Technical Reports Server (NTRS)

Tuan, George C.

2006-01-01

The use of porous media as a mean of separating liquid condensate from the air stream in condensing heat exchangers has been explored in the past inside small plant growth chambers and in the Apollo Command Module. Both applications used a cooled porous media made of sintered stainless steel to cool and separate condensation from the air stream. However, the main issues with the utilization of porous media in the past have been the deterioration of the porous media over long duration, such as clogging and changes in surface wetting characteristics. In addition, for long duration usage, biofilm growth from microorganisms on the porous medial would also be an issue. In developing Porous Media Condensing Heat Exchangers (PMCHX) for future space applications, different porous materials and microbial growth control methods will need to be explored. This paper explores the work performed at JSC and GRC to evaluate different porous materials and microbial control methods to support the development of a Porous Media Condensing Heat Exchanger. It outlines the basic principles for designing a PMCHX and issues that were encountered and ways to resolve those issues. The PMCHX has potential of mass, volume, and power savings over current CHX and water separator technology and would be beneficial for long duration space missions.

Occupational health and safety issues among nurses in the Philippines.

PubMed

de Castro, A B; Cabrera, Suzanne L; Gee, Gilbert C; Fujishiro, Kaori; Tagalog, Eularito A

2009-04-01

Nursing is a hazardous occupation in the United States, but little is known about workplace health and safety issues facing the nursing work force in the Philippines. In this article, work-related problems among a sample of nurses in the Philippines are described. Cross-sectional data were collected through a self-administered survey during the Philippine Nurses Association 2007 convention. Measures included four categories: work-related demographics, occupational injury/illness, reporting behavior, and safety concerns. Approximately 40% of nurses had experienced at least one injury or illness in the past year, and 80% had experienced back pain. Most who had an injury did not report it. The top ranking concerns were stress and overwork. Filipino nurses encounter considerable health and safety concerns that are similar to those encountered by nurses in other countries. Future research should examine the work organization factors that contribute to these concerns and strengthen policies to promote health and safety.

'They don't just come for Machu Picchu': locals' views of tourist-local sexual relationships in Cuzco, Peru.

PubMed

Bauer, Irmgard

2008-08-01

Sexual and romantic relationships between local people and tourists have long taken place. Such encounters are not a modern phenomenon, but the potential of sexually transmitted infections (STIs), including HIV/AIDS, warrants greater research into the issue. This paper analyses local people's views of local-tourist relationships in Cuzco/Peru. Data were obtained through in-depth interviews, participant and non-participant observation and informal discussions. Attraction based on physical difference was reportedly the main trigger for such relationships. Emerging themes discussed include issues of self-esteem, strategies of approach, tourists' motives, emotional involvement and expectations from such encounters. Levels of unprotected sexual behaviour and lack of STI awareness are of sufficient concern to recommend urgent action. Suggestions for sexual health education are made with particular emphasis on targeting local people involved in the tourism and hospitality industries.

Occupational Health and Safety Issues Among Nurses in the Philippines

PubMed Central

de Castro, A. B.; Cabrera, Suzanne L.; Gee, Gilbert C.; Fujishiro, Kaori; Tagalog, Eularito A.

2009-01-01

Nursing is a hazardous occupation in the United States, but little is known about workplace health and safety issues facing the nursing work force in the Philippines. In this article, work-related problems among a sample of nurses in the Philippines are described. Cross-sectional data were collected through a self-administered survey during the Philippine Nurses Association 2007 convention. Measures included four categories: work-related demographics, occupational injury/illness, reporting behavior, and safety concerns. Approximately 40% of nurses had experienced at least one injury or illness in the past year, and 80% had experienced back pain. Most who had an injury did not report it. The top ranking concerns were stress and overwork. Filipino nurses encounter considerable health and safety concerns that are similar to those encountered by nurses in other countries. Future research should examine the work organization factors that contribute to these concerns and strengthen policies to promote health and safety. PMID:19438081

Resiliency of the Multiscale Retinex Image Enhancement Algorithm

NASA Technical Reports Server (NTRS)

Rahman, Zia-Ur; Jobson, Daniel J.; Woodell, Glenn A.

1998-01-01

The multiscale retinex with color restoration (MSRCR) continues to prove itself in extensive testing to be very versatile automatic image enhancement algorithm that simultaneously provides dynamic range compression, color constancy, and color rendition, However, issues remain with regard to the resiliency of the MSRCR to different image sources and arbitrary image manipulations which may have been applied prior to retinex processing. In this paper we define these areas of concern, provide experimental results, and, examine the effects of commonly occurring image manipulation on retinex performance. In virtually all cases the MSRCR is highly resilient to the effects of both the image source variations and commonly encountered prior image-processing. Significant artifacts are primarily observed for the case of selective color channel clipping in large dark zones in a image. These issues are of concerning the processing of digital image archives and other applications where there is neither control over the image acquisition process, nor knowledge about any processing done on th data beforehand.

Managerial implications of medical sales representative perceptions of job duties, job qualifications, and other performance-related issues.

PubMed

Tengilimoğlu, Dilaver; Korkmaz, Sezer; Akinci, Fevzi; Parsons, Amy L

2004-01-01

This study examined the perceptions of medical sales representatives of job related duties, job qualifications needed, and motivating factors and tested for differences based on gender, age, years of experience and education using prior research as a base. This study also explored issues that may arise between sales people and physicians. The authors surveyed 132 medical sales representatives from pharmaceutical firms located in Ankara, Turkey. The authors' findings highlight the need in Turkey for developing in-service training programs for medical sales representatives, especially in the areas related to technical aspects of the product, effective marketing and personal selling strategies, and consumer relations. Training in these areas will help salespeople to better manage the problems typically encountered in physician-sales representative relations. While the study was conducted in Turkey, the results are similar to findings in prior research conducted in other countries and therefore may be of interest to all sales managers.

Guidelines for the identification of unknown samples for laboratories performing forensic analyses for chemical terrorism.

PubMed

Magnuson, Matthew L; Satzger, R Duane; Alcaraz, Armando; Brewer, Jason; Fetterolf, Dean; Harper, Martin; Hrynchuk, Ronald; McNally, Mary F; Montgomery, Madeline; Nottingham, Eric; Peterson, James; Rickenbach, Michael; Seidel, Jimmy L; Wolnik, Karen

2012-05-01

Since the early 1990s, the FBI Laboratory has sponsored Scientific Working Groups to improve discipline practices and build consensus among the forensic community. The Scientific Working Group on the Forensic Analysis of Chemical, Biological, Radiological and Nuclear Terrorism developed guidance, contained in this document, on issues forensic laboratories encounter when accepting and analyzing unknown samples associated with chemical terrorism, including laboratory capabilities and analytical testing plans. In the context of forensic analysis of chemical terrorism, this guidance defines an unknown sample and addresses what constitutes definitive and tentative identification. Laboratory safety, reporting issues, and postreporting considerations are also discussed. Utilization of these guidelines, as part of planning for forensic analysis related to a chemical terrorism incident, may help avoid unfortunate consequences not only to the public but also to the laboratory personnel. 2011 American Academy of Forensic Sciences. Published 2011. This article is a U.S. Government work and is in the public domain in the U.S.A.

Geometric convex cone volume analysis

NASA Astrophysics Data System (ADS)

Li, Hsiao-Chi; Chang, Chein-I.

2016-05-01

Convexity is a major concept used to design and develop endmember finding algorithms (EFAs). For abundance unconstrained techniques, Pixel Purity Index (PPI) and Automatic Target Generation Process (ATGP) which use Orthogonal Projection (OP) as a criterion, are commonly used method. For abundance partially constrained techniques, Convex Cone Analysis is generally preferred which makes use of convex cones to impose Abundance Non-negativity Constraint (ANC). For abundance fully constrained N-FINDR and Simplex Growing Algorithm (SGA) are most popular methods which use simplex volume as a criterion to impose ANC and Abundance Sum-to-one Constraint (ASC). This paper analyze an issue encountered in volume calculation with a hyperplane introduced to illustrate an idea of bounded convex cone. Geometric Convex Cone Volume Analysis (GCCVA) projects the boundary vectors of a convex cone orthogonally on a hyperplane to reduce the effect of background signatures and a geometric volume approach is applied to address the issue arose from calculating volume and further improve the performance of convex cone-based EFAs.

Acquisition and review of diagnostic images for use in medical research and medical testing examinations via the Internet

NASA Astrophysics Data System (ADS)

Pauley, Mark A.; Dalrymple, Glenn V.; Zhu, Quiming; Chu, Wei-Kom

2000-12-01

With the continued centralization of medical care into large, regional centers, there is a growing need for a flexible, inexpensive, and secure system to rapidly provide referring physicians in the field with the results of the sophisticated medical tests performed at these facilities. Furthermore, the medical community has long recognized the need for a system with similar characteristics to maintain and upgrade patient case sets for oral and written student examinations. With the move toward filmless radiographic instrumentation, the widespread and growing use of digital methods and the Internet, both of these processes can now be realized. This article describes the conceptual development and testing of a protocol that allow users to transmit, modify, remotely store and display the images and textual information of medical cases via the Internet. We also discuss some of the legal issues we encountered regarding the transmission of medical information; these issues have had a direct impact on the implementation of the results of this project.

Dealing with Processing Chapter 10 Files from Multiple Vendors

NASA Technical Reports Server (NTRS)

Knudtson, Kevin Mark

2011-01-01

This presentation discusses the experiences of the NASA Dryden Flight Research Center's (DFRC) Western Aeronautical Test Range (WATR) in dealing with the problems encountered while performing post flight data processing using the WATR's data collection/processing system on Chapter 10 files from different Chapter 10 recorders. The transition to Chapter 10 recorders has brought Vvith it an assortment of issues that must be addressed: the ambiguities of language in the Chapter 10 standard, the unrealistic near-term expectations of the Chapter 10 standard, the incompatibility of data products generated from Chapter 10 recorders, and the unavailability of mature Chapter 10 applications. Some of these issues properly belong to the users of Chapter 10 recorders, some to the manufacturers, and some to the flight test community at large. The goal of this presentation is to share the WATR's lesson learned in processing data products from various Chapter 10 recorder vendors. The WATR could benefit greatly in the open forum Vvith lessons learned discussions with other members of the flight test community.

Use of Melt Flow Rate Test in Reliability Study of Thermoplastic Encapsulation Materials in Photovoltaic Modules

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

Moseley, J.; Miller, D.; Shah, Q.-U.-A. S. J.

2011-10-01

Use of thermoplastic materials as encapsulants in photovoltaic (PV) modules presents a potential concern in terms of high temperature creep, which should be evaluated before thermoplastics are qualified for use in the field. Historically, the issue of creep has been avoided by using thermosetting polymers as encapsulants, such as crosslinked ethylene-co-vinyl acetate (EVA). Because they lack crosslinked networks, however, thermoplastics may be subject to phase transitions and visco-elastic flow at the temperatures and mechanical stresses encountered by modules in the field, creating the potential for a number of reliability and safety issues. Thermoplastic materials investigated in this study include PV-grademore » uncured-EVA (without curing agents and therefore not crosslinked); polyvinyl butyral (PVB); thermoplastic polyurethane (TPU); and three polyolefins (PO), which have been proposed for use as PV encapsulation. Two approaches were used to evaluate the performance of these materials as encapsulants: module-level testing and a material-level testing.« less

Lessons Learned During Solutions of Multidisciplinary Design Optimization Problems

NASA Technical Reports Server (NTRS)

Patnaik, Suna N.; Coroneos, Rula M.; Hopkins, Dale A.; Lavelle, Thomas M.

2000-01-01

Optimization research at NASA Glenn Research Center has addressed the design of structures, aircraft and airbreathing propulsion engines. During solution of the multidisciplinary problems several issues were encountered. This paper lists four issues and discusses the strategies adapted for their resolution: (1) The optimization process can lead to an inefficient local solution. This deficiency was encountered during design of an engine component. The limitation was overcome through an augmentation of animation into optimization. (2) Optimum solutions obtained were infeasible for aircraft and air-breathing propulsion engine problems. Alleviation of this deficiency required a cascading of multiple algorithms. (3) Profile optimization of a beam produced an irregular shape. Engineering intuition restored the regular shape for the beam. (4) The solution obtained for a cylindrical shell by a subproblem strategy converged to a design that can be difficult to manufacture. Resolution of this issue remains a challenge. The issues and resolutions are illustrated through six problems: (1) design of an engine component, (2) synthesis of a subsonic aircraft, (3) operation optimization of a supersonic engine, (4) design of a wave-rotor-topping device, (5) profile optimization of a cantilever beam, and (6) design of a cvlindrical shell. The combined effort of designers and researchers can bring the optimization method from academia to industry.

System Engineering and Integration of Controls for Advanced Life Support

NASA Technical Reports Server (NTRS)

Overland, David; Hoo, Karlene; Ciskowski, Marvin

2006-01-01

The Advanced Integration Matrix (AIM) project at the Johnson Space Center (JSC) was chartered to study and solve systems-level integration issues for exploration missions. One of the first issues identified was an inability to conduct trade studies on control system architectures due to the absence of mature evaluation criteria. Such architectures are necessary to enable integration of regenerative life support systems. A team was formed to address issues concerning software and hardware architectures and system controls.. The team has investigated what is required to integrate controls for the types of non-linear dynamic systems encountered in advanced life support. To this end, a water processing bioreactor testbed is being developed which will enable prototyping and testing of integration strategies and technologies. Although systems such as the water bioreactors exhibit the complexities of interactions between control schemes most vividly, it is apparent that this behavior and its attendant risks will manifest itself among any set of interdependent autonomous control systems. A methodology for developing integration requirements for interdependent and autonomous systems is a goal of this team and this testbed. This paper is a high-level summary of the current status of the investigation, the issues encountered, some tentative conclusions, and the direction expected for further research.

Physical Profiling Performance of Air Force Primary Care Providers

DTIC Science & Technology

2017-08-09

AFRL-SA-WP-TR-2017-0014 Physical Profiling Performance of Air Force Primary Care Providers Anthony P. Tvaryanas1; William P...COVERED (From – To) September 2016 – January 2017 4. TITLE AND SUBTITLE Physical Profiling Performance of Air Force Primary Care Providers...encounter with their primary care team. An independent medical standards subject matter expert (SME) reviewed encounters in the electronic health record

A systematic review of religious beliefs about major end-of-life issues in the five major world religions.

PubMed

Chakraborty, Rajshekhar; El-Jawahri, Areej R; Litzow, Mark R; Syrjala, Karen L; Parnes, Aric D; Hashmi, Shahrukh K

2017-10-01

The objective of this study was to examine the religious/spiritual beliefs of followers of the five major world religions about frequently encountered medical situations at the end of life (EoL). This was a systematic review of observational studies on the religious aspects of commonly encountered EoL situations. The databases used for retrieving studies were: Ovid MEDLINE In-Process & Other Non-Indexed Citations, Ovid MEDLINE, Ovid EMBASE, Ovid PsycINFO, Ovid Cochrane Central Register of Controlled Trials, Ovid Cochrane Database of Systematic Reviews, and Scopus. Observational studies, including surveys from healthcare providers or the general population, and case studies were included for review. Articles written from a purely theoretical or philosophical perspective were excluded. Our search strategy generated 968 references, 40 of which were included for review, while 5 studies were added from reference lists. Whenever possible, we organized the results into five categories that would be clinically meaningful for palliative care practices at the EoL: advanced directives, euthanasia and physician-assisted suicide, physical requirements (artificial nutrition, hydration, and pain management), autopsy practices, and other EoL religious considerations. A wide degree of heterogeneity was observed within religions, depending on the country of origin, level of education, and degree of intrinsic religiosity. Our review describes the religious practices pertaining to major EoL issues and explains the variations in EoL decision making by clinicians and patients based on their religious teachings and beliefs. Prospective studies with validated tools for religiosity should be performed in the future to assess the impact of religion on EoL care.

Using clinical data to predict high-cost performance coding issues associated with pressure ulcers: a multilevel cohort model.

PubMed

Padula, William V; Gibbons, Robert D; Pronovost, Peter J; Hedeker, Donald; Mishra, Manish K; Makic, Mary Beth F; Bridges, John Fp; Wald, Heidi L; Valuck, Robert J; Ginensky, Adam J; Ursitti, Anthony; Venable, Laura Ruth; Epstein, Ziv; Meltzer, David O

2017-04-01

Hospital-acquired pressure ulcers (HAPUs) have a mortality rate of 11.6%, are costly to treat, and result in Medicare reimbursement penalties. Medicare codes HAPUs according to Agency for Healthcare Research and Quality Patient-Safety Indicator 3 (PSI-03), but they are sometimes inappropriately coded. The objective is to use electronic health records to predict pressure ulcers and to identify coding issues leading to penalties. We evaluated all hospitalized patient electronic medical records at an academic medical center data repository between 2011 and 2014. These data contained patient encounter level demographic variables, diagnoses, prescription drugs, and provider orders. HAPUs were defined by PSI-03: stages III, IV, or unstageable pressure ulcers not present on admission as a secondary diagnosis, excluding cases of paralysis. Random forests reduced data dimensionality. Multilevel logistic regression of patient encounters evaluated associations between covariates and HAPU incidence. The approach produced a sample population of 21 153 patients with 1549 PSI-03 cases. The greatest odds ratio (OR) of HAPU incidence was among patients diagnosed with spinal cord injury (ICD-9 907.2: OR = 14.3; P  < .001), and 71% of spinal cord injuries were not properly coded for paralysis, leading to a PSI-03 flag. Other high ORs included bed confinement (ICD-9 V49.84: OR = 3.1, P  < .001) and provider-ordered pre-albumin lab (OR = 2.5, P  < .001). This analysis identifies spinal cord injuries as high risk for HAPUs and as being often inappropriately coded without paralysis, leading to PSI-03 flags. The resulting statistical model can be tested to predict HAPUs during hospitalization. Inappropriate coding of conditions leads to poor hospital performance measures and Medicare reimbursement penalties. © The Author 2016. Published by Oxford University Press on behalf of the American Medical Informatics Association. All rights reserved. For Permissions, please email: journals.permissions@oup.com

The physics, chemistry and dynamics of explosions.

PubMed

Oran, Elaine S; Williams, Forman A

2012-02-13

The motivation for devoting a Theme Issue to explosions is discussed. As subsequent articles in the issue are written with the assumption that the reader has had a certain amount of previous exposure to the subject, some of the history and necessary background information are presented here. The topics on explosions that will be encountered in the remaining articles are previewed. Finally, several important future outstanding research problems, beyond those addressed in the following articles, are discussed, with the objective of complementing the coverage of explosions in this issue.

Safety in bear country: protective measures and bullet performance at short range.

Treesearch

W.R. Meehan; J.F. Thilenius

1983-01-01

Bears are frequently encountered by people working in or enjoying the outdoors. Some government agencies have regulations concerning the firearms their personnel carry for protection against bears.Guidelines to prevent hazardous encounters with bears are presented, and the performance of commonly used weapons and ammunition is discussed. The ballistic...

Exploring Festival Performance as a State of Encounter

ERIC Educational Resources Information Center

O’Grady, Alice; Kill, Rebekka

2013-01-01

This article outlines the activities of the research network "Festival Performance as a State of Encounter", which was funded by the Arts and Humanities Research Council as part of the Beyond Text strategic programme. The network was formulated in 2008, and a range of different events were organized over the course of two years to…

Psychological Maltreatment in Schools: Emerging Issues for Counselors.

ERIC Educational Resources Information Center

Neese, Lynda A.

1989-01-01

Defines psychological maltreatment of children. Discusses the damage done to children as a result of abusive behavior encountered at the school. Examines situations in which either peers or educators are perpetrators. Discusses the ethical implications for counselors. (BH)

Engineering Encounters: Teaching Educators about Engineering

ERIC Educational Resources Information Center

Tank, Kristina M.; Raman, D. Raj; Lamm, Monica H.; Sundararajan, Sriram; Estapa, Anne

2017-01-01

This column presents ideas and techniques to enhance science teaching. This month's issue describes preservice elementary teachers learning engineering principles from engineers. Few elementary teachers have experience with implementing engineering into the classroom. While engineering professional development opportunities for inservice teachers…

Transforming an educational virtual reality simulation into a work of fine art.

PubMed

Panaiotis; Addison, Laura; Vergara, Víctor M; Hakamata, Takeshi; Alverson, Dale C; Saiki, Stanley M; Caudell, Thomas Preston

2008-01-01

This paper outlines user interface and interaction issues, technical considerations, and problems encountered in transforming an educational VR simulation of a reified kidney nephron into an interactive artwork appropriate for a fine arts museum.

Assessing contextual factors that influence acceptance of pedestrian alerts by a night vision system.

PubMed

Källhammer, Jan-Erik; Smith, Kip

2012-08-01

We investigated five contextual variables that we hypothesized would influence driver acceptance of alerts to pedestrians issued by a night vision active safety system to inform the specification of the system's alerting strategies. Driver acceptance of automotive active safety systems is a key factor to promote their use and implies a need to assess factors influencing driver acceptance. In a field operational test, 10 drivers drove instrumented vehicles equipped with a preproduction night vision system with pedestrian detection software. In a follow-up experiment, the 10 drivers and 25 additional volunteers without experience with the system watched 57 clips with pedestrian encounters gathered during the field operational test. They rated the acceptance of an alert to each pedestrian encounter. Levels of rating concordance were significant between drivers who experienced the encounters and participants who did not. Two contextual variables, pedestrian location and motion, were found to influence ratings. Alerts were more accepted when pedestrians were close to or moving toward the vehicle's path. The study demonstrates the utility of using subjective driver acceptance ratings to inform the design of active safety systems and to leverage expensive field operational test data within the confines of the laboratory. The design of alerting strategies for active safety systems needs to heed the driver's contextual sensitivity to issued alerts.

Performance Evaluation of a 50kW Hall Thruster

NASA Technical Reports Server (NTRS)

Jacobson, David T.; Jankovsky, Robert S.

1999-01-01

An experimental investigation was conducted on a laboratory model Hall thruster designed to operate at power levels up to 50 kW. During this investigation the engine's performance was characterized over a range of discharge currents from 10 to 36 A and a range of discharge voltages from 200 to 800 V Operating on the Russian cathode a maximum thrust of 966 mN was measured at 35.6 A and 713.0 V. This corresponded to a specific impulse of 3325 s and an efficiency of 62%. The maximum power the engine was operated at was 25 kW. Additional testing was conducted using a NASA cathode designed for higher current operation. During this testing, thrust over 1 N was measured at 40.2 A and 548.9 V. Several issues related to operation of Hall thrusters at these high powers were encountered.

Human embryonic stem cell research: implications from an ethical and legal standpoint.

PubMed

Trepagnier, D M

2000-12-01

The purpose of this paper is to discuss the ethical and legal implications of one of the newest and most controversial medical breakthroughs. Stem cell research has been performed on mice for many years, but human embryonic stem cells are believed by scientists to be the basis for possible treatments and/or cures to many diseases affecting millions of people around the world. In order to perform research on human embryonic stem cells, numerous ethical issues must be addressed. Guidelines and protocols can be established in order to allow scientists to pursue new medical advances while maintaining the highest ethical standards in the use of human embryos. An alternative to using embryos is adult stem cells which have recently proven to be more versatile than previously believed. Opposing views will always be encountered when facing new science technologies. Where should the ethical line be drawn?

Modelling accelerated degradation data using Wiener diffusion with a time scale transformation.

PubMed

Whitmore, G A; Schenkelberg, F

1997-01-01

Engineering degradation tests allow industry to assess the potential life span of long-life products that do not fail readily under accelerated conditions in life tests. A general statistical model is presented here for performance degradation of an item of equipment. The degradation process in the model is taken to be a Wiener diffusion process with a time scale transformation. The model incorporates Arrhenius extrapolation for high stress testing. The lifetime of an item is defined as the time until performance deteriorates to a specified failure threshold. The model can be used to predict the lifetime of an item or the extent of degradation of an item at a specified future time. Inference methods for the model parameters, based on accelerated degradation test data, are presented. The model and inference methods are illustrated with a case application involving self-regulating heating cables. The paper also discusses a number of practical issues encountered in applications.

On-sky AO test bench

NASA Astrophysics Data System (ADS)

Brousseau, Denis; Thibault, Simon; Lavigne, Jean-François; Véran, Jean-Pierre

2016-07-01

With the upcoming construction of ELTs, several existing technologies are being pushed beyond their performance limit and it became essential to develop and evaluate alternatives. We present a specifically designed focal plane box which will allow to evaluate, directly on-sky, the performance of a number of next generation adaptive optics related technologies The system will able us to compare the performance of several new wavefront sensors in contrast to a Shack-Hartman wavefront sensor. The system has been designed for the "Observatoire du Mont Mégantic" (OMM) which hosts a telescope having a 1.6-meter diameter primary. The OMM telescope, located halfway between Montreal and Quebec City, is known to be an excellent location to develop and test precursor instruments which can then be upscaled to larger telescopes (ex. SPIOMM which led to SITELLE at the CFHT). We present the results of the first run made at the telescope and also identify problems that were encountered. We also propose a series of modifications to the system that will help to solve these issues.

Social-aware data dissemination in opportunistic mobile social networks

NASA Astrophysics Data System (ADS)

Yang, Yibo; Zhao, Honglin; Ma, Jinlong; Han, Xiaowei

Opportunistic Mobile Social Networks (OMSNs), formed by mobile users with social relationships and characteristics, enhance spontaneous communication among users that opportunistically encounter each other. Such networks can be exploited to improve the performance of data forwarding. Discovering optimal relay nodes is one of the important issues for efficient data propagation in OMSNs. Although traditional centrality definitions to identify the nodes features in network, they cannot identify effectively the influential nodes for data dissemination in OMSNs. Existing protocols take advantage of spatial contact frequency and social characteristics to enhance transmission performance. However, existing protocols have not fully exploited the benefits of the relations and the effects between geographical information, social features and user interests. In this paper, we first evaluate these three characteristics of users and design a routing protocol called Geo-Social-Interest (GSI) protocol to select optimal relay nodes. We compare the performance of GSI using real INFOCOM06 data sets. The experiment results demonstrate that GSI overperforms the other protocols with highest data delivery ratio and low communication overhead.

The supervisory encounter and the senior GP trainee: managing for, through and with.

PubMed

Brown, James; Nestel, Debra; Clement, Tim; Goldszmidt, Mark

2018-02-01

Help-seeking supervisory encounters provide important learning experiences for trainees preparing for independent practice. Although there is a body of expert opinion and theories on how supervisor encounters should happen, supporting empirical data are limited. This is particularly true for the senior general practice (GP) trainee. Without knowing what happens during these encounters, we cannot know how to maximise their educational potential. This study aimed to understand what happens when senior GP trainees call on their supervisor when caring for patients and how learning can be enhanced when this occurs. This is an analysis of data from a multi-case study of five GP supervisory pairs, each with a GP registrar and their supervisor. The data are recordings of 45 supervisory encounters, 78 post-encounter reflections and six interviews. We used Wenger's communities of practice theory and rhetorical genre theory as analytical lenses. The supervisory encounters followed a consistent format, which fitted the form of a genre. Within this genre, three dominant interactional patterns were identified, which we labelled 'managing for', 'managing through' and 'managing with'. Each pattern presented different opportunities and drew on different skills. The primary agenda was always developing a plan for the patient. Education agendas included acquiring knowledge, developing skills and achieving independence. Other agendas were issues of control, credibility and relationship building. Both supervisor and trainee could be purposeful in their supervisory engagement. For supervisors and trainees to achieve the educational potential of their supervisory encounters they require flexibility. This depends on understanding the genre of the supervisory encounter, the agendas at play, the options they have in engaging and having the skills to utilise these options. Educators can facilitate supervisors and trainees in acquiring this understanding and these skills. We recommend further research into the genre of the supervisory encounter. © 2017 John Wiley & Sons Ltd and The Association for the Study of Medical Education.

Ethical issues in a pediatric private practice.

PubMed

Jakubowitz, Melissa

2011-11-01

Building a successful pediatric private practice requires clinical expertise and an understanding of the business process, as well as familiarity with the American Speech-Language-Hearing Association Code of Ethics. This article provides an overview of the ethical issues that may be encountered when building a practice, including a look at marketing and advertising, financial management, privacy, and documentation. Ethically sound decision making is a key to a successful business. © Thieme Medical Publishers.

Effects of Ice Formations on Airplane Performance in Level Cruising Flight

NASA Technical Reports Server (NTRS)

Preston, G. Merritt; Blackman, Calvin C.

1948-01-01

A flight investigation in natural icing conditions was conducted by the NACA to determine the effect of ice accretion on airplane performance. The maximum loss in propeller efficiency encountered due to ice formation on the propeller blades was 19 percent. During 87 percent of the propeller icing encounters, losses of 10 percent or less were observed. Ice formations on all of the components of the airplane except the propellers during one icing encounter resulted in an increase in parasite drag of the airplane of 81 percent. The control response of the airplane in this condition was marginal.

Existential Assessment

ERIC Educational Resources Information Center

Dana, Richard H.; Leech, Shirley

1974-01-01

Present psychological assessment stems from a philosophy of science that values objectivity but fails to comprehend the existence of the person being evaluated. A humanistic-existential model shifts the focus from omnipotence to encounter and encourages client responsibility. Some pertinent assessment issues are formulated and specific instruments…

Mass Property Measurements of the Mars Science Laboratory Rover

NASA Technical Reports Server (NTRS)

Fields, Keith

2012-01-01

The NASA/JPL Mars Science Laboratory (MSL) spacecraft mass properties were measured on a spin balance table prior to launch. This paper discusses the requirements and issues encountered with the setup, qualification, and testing using the spin balance table, and the idiosyncrasies encountered with the test system. The final mass measurements were made in the Payload Hazardous Servicing Facility (PHSF) at Kennedy Space Center on the fully assembled and fueled spacecraft. This set of environmental tests required that the control system for the spin balance machine be at a remote location, which posed additional challenges to the operation of the machine

A day in the life of a junior doctor: everyday ethical encounters.

PubMed

Quarini, Catherine J

2010-11-01

This paper presents a hypothetical 'day in the life' of junior doctors working on a busy hospital ward. It illustrates the fact that, although the everyday ethical encounters faced by doctors are generally not as dramatic as some of the ethical issues discussed at medical school, the underlying principles, such as consent, confidentiality and resource allocation, are highly relevant to daily practice. After presenting some of the ethical challenges faced by junior doctors, from patients confused by poor explanations to inadequate consent procedures, the paper ends with suggestions on how to improve the situation.

A general purpose subroutine for fast fourier transform on a distributed memory parallel machine

NASA Technical Reports Server (NTRS)

Dubey, A.; Zubair, M.; Grosch, C. E.

1992-01-01

One issue which is central in developing a general purpose Fast Fourier Transform (FFT) subroutine on a distributed memory parallel machine is the data distribution. It is possible that different users would like to use the FFT routine with different data distributions. Thus, there is a need to design FFT schemes on distributed memory parallel machines which can support a variety of data distributions. An FFT implementation on a distributed memory parallel machine which works for a number of data distributions commonly encountered in scientific applications is presented. The problem of rearranging the data after computing the FFT is also addressed. The performance of the implementation on a distributed memory parallel machine Intel iPSC/860 is evaluated.

Team Software Development for Aerothermodynamic and Aerodynamic Analysis and Design

NASA Technical Reports Server (NTRS)

Alexandrov, N.; Atkins, H. L.; Bibb, K. L.; Biedron, R. T.; Carpenter, M. H.; Gnoffo, P. A.; Hammond, D. P.; Jones, W. T.; Kleb, W. L.; Lee-Rausch, E. M.

2003-01-01

A collaborative approach to software development is described. The approach employs the agile development techniques: project retrospectives, Scrum status meetings, and elements of Extreme Programming to efficiently develop a cohesive and extensible software suite. The software product under development is a fluid dynamics simulator for performing aerodynamic and aerothermodynamic analysis and design. The functionality of the software product is achieved both through the merging, with substantial rewrite, of separate legacy codes and the authorship of new routines. Examples of rapid implementation of new functionality demonstrate the benefits obtained with this agile software development process. The appendix contains a discussion of coding issues encountered while porting legacy Fortran 77 code to Fortran 95, software design principles, and a Fortran 95 coding standard.

Characterisation of spectrophotometers used for spectral solar ultraviolet radiation measurements.

PubMed

Gröbner, J

2001-01-01

Spectrophotometers used for spectral measurements of the solar ultraviolet radiation need to be well characterised to provide accurate and reliable data. Since the characterisation and calibration are usually performed in the laboratory under conditions very different from those encountered during solar measurements, it is essential to address all issues concerned with the representativity of the laboratory characterisation with respect to the solar measurements. These include among others the instrument stability, the instrument linearity, the instrument responsivity, the wavelength accuracy, the spectral resolution, stray light rejection and the instrument dependence on ambient temperature fluctuations. These instrument parameters need to be determined often enough so that the instrument changes only marginally in the period between successive characterisations and therefore provides reliable data for the intervening period.

Institutional Animal Care and Use Committee Considerations for the Use of Wildlife in Research and Education.

PubMed

Sikes, Robert S; Bryan, John A

2016-01-01

Ethical and effective oversight of the use of wildlife species in research and education requires consideration of issues and methods not relevant to work with traditional laboratory or domesticated animals, just as the effective oversight of biomedical research requires consideration of issues and methods not germane to wildlife research. Institutional Animal Care and Use Committees or other institutional review committees can meet their responsibilities in these disparate types of animal activities only by using resources tailored to the animals and situations encountered. Here we review the issues and the resources that facilitate effective oversight of such activities in the wildlife research arena available to researchers, institutional review committees, regulatory bodies, and accrediting bodies. Issues covered include an understanding of the fundamental differences between wildlife research and biomedical research; the profound differences between wildlife species and traditional laboratory subjects, most of which are domesticated animals; and the unique issues presented when the research subjects are members of wild populations and communities. We review the resources available for effective oversight of wildlife projects and emphasize that competent oversight of wildlife research demands the use of appropriate resources. These resources include guidelines designed for the use of wild species (taxon-specific guidelines) and protocol forms tailored for the species and situations encountered. © The Author 2016. Published by Oxford University Press on behalf of the Institute for Laboratory Animal Research. All rights reserved. For permissions, please email: journals.permissions@oup.com.

An evaluation of children's metered-dose inhaler technique for asthma medications.

PubMed

Burkhart, Patricia V; Rayens, Mary Kay; Bowman, Roxanne K

2005-03-01

Regardless of the medication delivery system, health care providers need to teach accurate medication administration techniques to their patients, educate them about the particular nuances of the prescribed delivery system (eg, proper storage), and reinforce these issues at each health encounter. A single instruction session is not sufficient to maintain appropriate inhaler techniques for patients who require continued use. Providing written steps for the administration technique is helpful so that the patient can refer to them later when using the medication. The National Heart, Lung, and Blood Institute's "Practical Guide for the Diagnosis and Management of Asthma" recommends that practitioners follow these steps for effective inhaler technique training when first prescribing an inhaler: 1. Teach patients the steps and give written instruction handouts. 2. Demonstrate how to use the inhaler step-by-step. 3. Ask patients to demonstrate how to use the inhaler. Let the patient refer to the handout on the first training. Then use the handout asa checklist to assess the patient's future technique. 4. Provide feedback to patients about what they did right and what they need to improve. Have patients demonstrate their technique again, if necessary. The last two steps should be performed (ie, demonstration and providing feedback on what patients did right and what they need to improve) at every subsequent visit. If the patient makes multiple errors, it is advisable to focus on improving one or two key steps at a time. With improvements in drug delivery come challenges, necessitating that practitioners stay current with new medication administration techniques. Teaching and reinforcing accurate technique at each health care encounter are critical to help ensure medication efficacy for patients with asthma. Since one fifth of children in the study performed incorrect medication technique even after education, checklists of steps for the correct use of inhalation devices, such as those provided in this article, should be given to patients for home use and for use by clinicians to evaluate patient technique at each health encounter.

Evaluation of the Trade Space Between UAS Maneuver Performance and SAA System Performance Requirements

NASA Technical Reports Server (NTRS)

Jack, Devin P.; Hoffler, Keith D.; Johnson, Sally C.

2014-01-01

A need exists to safely integrate Unmanned Aircraft Systems (UAS) into the National Airspace System. Replacing manned aircraft's see-and-avoid capability in the absence of an onboard pilot is one of the key challenges associated with safe integration. Sense-and-avoid (SAA) systems will have to achieve yet-to-be-determined required separation distances for a wide range of encounters. They will also need to account for the maneuver performance of the UAS they are paired with. The work described in this paper is aimed at developing an understanding of the trade space between UAS maneuver performance and SAA system performance requirements. An assessment of current manned and unmanned aircraft performance was used to establish potential UAS performance test matrix bounds. Then, nearterm UAS integration work was used to narrow down the scope. A simulator was developed with sufficient fidelity to assess SAA system performance requirements for a wide range of encounters. The simulator generates closest-point-of-approach (CPA) data from the wide range of UAS performance models maneuvering against a single intruder with various encounter geometries. The simulator is described herein and has both a graphical user interface and batch interface to support detailed analysis of individual UAS encounters and macro analysis of a very large set of UAS and encounter models, respectively. Results from the simulator using approximate performance data from a well-known manned aircraft is presented to provide insight into the problem and as verification and validation of the simulator. Analysis of climb, descent, and level turn maneuvers to avoid a collision is presented. Noting the diversity of backgrounds in the UAS community, a description of the UAS aerodynamic and propulsive design and performance parameters is included. Initial attempts to model the results made it clear that developing maneuver performance groups is required. Discussion of the performance groups developed and how to know in which group an aircraft belongs for a given flight condition and encounter is included. The groups are specific to airplane, flight condition, and encounter, rather than airplane-only specific. Results and methodology for developing UAS maneuver performance requirements are presented for each maneuver as well. Results for the vertical maneuver indicate that a minimum specific excess power value can assure a minimum CPA for a given time-to-go prediction. However, smaller values of specific excess power may achieve or exceed the same CPA if the UAS has sufficient speed to trade for altitude. Level turn results are less impacted by specific excess power and are presented as a function of turn rate. The effect of altitude is also discussed for the turns. Next steps and future work are discussed. Future studies will lead to better quantification of the preliminary results and cover the remainder of the proposed test matrix. It is anticipated that this will be done in conjunction with RTCA SC-228 over the next few months.

A single issue program in an isolated area: mammography screening in Darwin, NT.

PubMed

McLean, M J; Condon, J R

1999-08-01

A process evaluation of the Northern Territory (NT) mammography program, NT Breast Screen (NTBS), during its initial 18 months of operation. The study was undertaken in Darwin, NT, from December 1994 to May 1996. Clinical outcomes were obtained by reviewing computerised and manual program records to determine waiting times for results, recall rates and cancer detection rates. Client satisfaction was assessed by a questionnaire sent to all women with normal results over a 12-week period. General practitioner satisfaction was assessed by a questionnaire sent to all general practitioners in the region who had one or more clients who had attended the service. During this time, 2,882 screening mammograms were performed; 98 women were recalled for assessment (3.4%). Breast cancer was detected in 10 women (3.5 per 1000 women screened). The program was well accepted by clients and general practitioners. Performance criteria were not met for waiting times for results. NTBS faced challenges because of its small and dispersed population, a lack of local radiologists with mammographic experience and the conflict with other pressing health issues, particularly in Aboriginal health. Despite these challenges, the program functioned effectively during its initial 18 months. Mammography screening programs in isolated areas can function effectively. The constraints encountered by NTBS are likely to apply to similar programs. Issues identified requiring further research are the psychological consequences of long waiting times for results, and the prioritisation of mammography for Aboriginal women.

The Brown University Child and Adolescent Behavior Letter, 1999.

ERIC Educational Resources Information Center

Lipsitt, Lewis P., Ed.

1999-01-01

These 12 monthly issues from 1999 explore problems encountered by children and adolescents. Regular features include "Keep Your Eye On...," brief accounts of research into childhood and adolescent problems; "What's New in Research," summarizing research from recent publications and professional conferences;…

Student Activity Funds: Procedures & Controls.

ERIC Educational Resources Information Center

Cuzzetto, Charles E.

Student activity funds may create educational opportunities for students, but they frequently create problems for business administrators. The first part of this work reviews the types of organizational issues and transactions an organized student group is likely to encounter, including establishing a constitution, participant roles,…

International Students' Confidence and Academic Success

ERIC Educational Resources Information Center

Telbis, Nicola Miky; Helgeson, Lars; Kingsbury, Cheryl

2014-01-01

Research shows that the international student population is showing significant growth. This article deals with issues affecting a growing international student population. Studies show that foreign students are encountering difficulties in social adaptability, language barriers, academic ability, and financial need. There is evidence that a…

Fire Down Below.

ERIC Educational Resources Information Center

Drummond, Steven

2000-01-01

Explores some of the problems associated with coal burning boilers in educational facilities and the extent of their use in the New York City public school system. Also highlighted are some of the changes and issues schools encounter when they convert from coal to oil or gas. (GR)

End-Users: Dollars but Doubts.

ERIC Educational Resources Information Center

Arnold, Stephen E.

1989-01-01

Identifies existing categories of end users of online information retrieval systems, discusses problems that have been encountered by information providers and customers, and suggests strategies for capturing new end-user markets. Issues discussed include user cordial interfaces, CD-ROM products, ethics involved in information provision, and…

Dealing with Sexual Harassment.

ERIC Educational Resources Information Center

Rowe, Mary P.

1981-01-01

Advice is presented for managers who encounter sexual harassment problems. Three recommendations are offered: complainants can be helped to help themselves, such conflicts can be resolved through procedures designed to deal with all kinds of complaints, and the issue of power differences should be confronted. (MLW)

The Brown University Child and Adolescent Behavior Letter, 1998.

ERIC Educational Resources Information Center

Lipsitt, Lewis P., Ed.

1998-01-01

These 12 monthly issues from 1998 explore problems encountered by children and adolescents. Regular features include "Keep Your Eye On...," brief accounts of research into childhood and adolescent problems, "What's New in Research," summarizing research from recent publications and professional conferences;…

Dentist-patient communication in the multilingual dental setting.

PubMed

Goldsmith, C; Slack-Smith, L; Davies, G

2005-12-01

Communication between dentists and patients can be exceptionally challenging when the patient and the dentist do not speak the same language, as is frequently the case in multicultural Australia. The aim of this study was to describe the issues involved in dealing with limited-English speaking patients in order to formulate recommendations on how to improve dental communication. A cross sectional study was performed using a postal survey to Australian Dental Association member dental practitioners in Western Australia. Responses were collated and data analysis was performed using SPSS 11.5 for Windows. Most respondents encounter language-related communication barriers weekly or monthly, and the most satisfactory method of communication is informal interpreters. Despite reporting satisfaction working with professional chairside interpreters or dental staff interpreters, most respondents did not use them. The most common alternative communication methods were diagrams and models. Endodontics and periodontics provided the greatest challenge in communication. Informed consent was reportedly compromised due to language barriers by 29 per cent of respondents. Recommendations to improve communication included access to interpretation services, dentist technique/attitude to communication and patient preparedness for English-speaking encounters. Many respondents do not utilize the preferential communication methods, creating a potential compromise to both informed consent and the patients' best interests. The use of professional interpreters is recommended, and discussion should be supplemented with means of non-verbal communication. Dentists require access to lists of multilingual dentists and greater awareness of interpretation services to improve multilingual dentist-patient communication.

Medical coverage of winter Nordic sports: an overview from the field.

PubMed

Gaul, Lawrence W

2010-01-01

Traveling with sports teams requires flexibility and a wide range of knowledge, as well as problem-solving abilities. Dominating the medical types of problems in the Nordic sports are the respiratory illnesses, especially asthma and upper respiratory infections (URI). Additionally, the team physician must have an awareness of antidoping issues. This overview highlights many of the issues encountered traveling domestically as well as internationally with high-level Nordic teams. Helpful links are included to facilitate the care of all levels of athletes. Additionally, a few side issues such as altitude illness and minor trauma are mentioned.

A method for communication analysis in prosthodontics.

PubMed

Sondell, K; Söderfeldt, B; Palmqvist, S

1998-02-01

Particularly in prosthodontics, in which the issues of esthetic preferences and possibilities are abundant, improved knowledge about dentist patient communication during clinical encounters is important. Because previous studies on communication used different methods and patient materials, the results are difficult to evaluate. There is, therefore, a need for methodologic development. One method that makes it possible to quantitatively describe different interaction behaviors during clinical encounters is the Roter Method of Interaction Process Analysis (RIAS). Since the method was developed in the USA for use in the medical context, a translation of the method into Swedish and a modification of the categories for use in prosthodontics were necessary. The revised manual was used to code 10 audio recordings of dentist patient encounters at a specialist clinic for prosthodontics. No major alterations of the RIAS manual were made during the translation and modification. The study shows that it is possible to distinguish patterns of communication in audio-recorded dentist patient encounters. The method also made the identification of different interaction profiles possible. These profiles distinguished well among the audio-recorded encounters. The coding procedures were tested for intra-rater reliability and found to be 97% for utterance classification and lambda = 0.76 for categorization definition. It was concluded that the revised RIAS method is applicable in communication studies in prosthodontics.

Does assisted driving behavior lead to safety-critical encounters with unequipped vehicles' drivers?

PubMed

Preuk, Katharina; Stemmler, Eric; Schießl, Caroline; Jipp, Meike

2016-10-01

With Intelligent Transport Systems (e.g., traffic light assistance systems) assisted drivers are able to show driving behavior in anticipation of upcoming traffic situations. In the years to come, the penetration rate of such systems will be low. Therefore, the majority of vehicles will not be equipped with these systems. Unequipped vehicles' drivers may not expect the driving behavior of assisted drivers. However, drivers' predictions and expectations can play a significant role in their reaction times. Thus, safety issues could arise when unequipped vehicles' drivers encounter driving behavior of assisted drivers. This is why we tested how unequipped vehicles' drivers (N=60) interpreted and reacted to the driving behavior of an assisted driver. We used a multi-driver simulator with three drivers. The three drivers were driving in a line. The lead driver in the line was a confederate who was followed by two unequipped vehicles' drivers. We varied the equipment of the confederate with an Intelligent Transport System: The confederate was equipped either with or without a traffic light assistance system. The traffic light assistance system provided a start-up maneuver before a light turned green. Therefore, the assisted confederate seemed to show unusual deceleration behavior by coming to a halt at an unusual distance from the stop line at the red traffic light. The unusual distance was varied as we tested a moderate (4m distance from the stop line) and an extreme (10m distance from the stop line) parameterization of the system. Our results showed that the extreme parametrization resulted in shorter minimal time-to-collision of the unequipped vehicles' drivers. One rear-end crash was observed. These results provided initial evidence that safety issues can arise when unequipped vehicles' drivers encounter assisted driving behavior. We recommend that future research identifies counteractions to prevent these safety issues. Moreover, we recommend that system developers discuss the best parameterizations of their systems to ensure benefits but also the safety in encounters with unequipped vehicles' drivers. Copyright © 2016 Elsevier Ltd. All rights reserved.

Basics of elder law and legal liabilities of negligence and malpractice for physicians as they apply to individuals with disabilities.

PubMed

Ullman, David; Zuller, Michael E

2005-02-01

This article provides information regarding the issues that physicians face when dealing with elderly patients with cognitive deficits. It includes a discussion of basic legal terms and concepts that medical personnel should understand, various difficulties encountered by patients and families in crisis situations, and how the legal system deals with these issues. It concludes with a general discussion of the legal liabilities of negligence and malpractice.

Global D-brane models with stabilised moduli and light axions

NASA Astrophysics Data System (ADS)

Cicoli, Michele

2014-03-01

We review recent attempts to try to combine global issues of string compactifications, like moduli stabilisation, with local issues, like semi-realistic D-brane constructions. We list the main problems encountered, and outline a possible solution which allows globally consistent embeddings of chiral models. We also argue that this stabilisation mechanism leads to an axiverse. We finally illustrate our general claims in a concrete example where the Calabi-Yau manifold is explicitly described by toric geometry.

Demographic differences in sport performers' experiences of organizational stressors.

PubMed

Arnold, R; Fletcher, D; Daniels, K

2016-03-01

Organizational stressors are particularly prevalent across sport performers' experiences and can influence their performance, health, and well-being. Research has been conducted to identify which organizational stressors are encountered by sport performers, but little is known about how these experiences vary from athlete to athlete. The purpose of this study was to examine if the frequency, intensity, and duration of the organizational stressors that sport performers encounter vary as a function of gender, sport type, and performance level. Participants (n = 1277) completed the Organizational Stressor Indicator for Sport Performers (OSI-SP; Arnold et al., 2013), and the resultant data were analyzed using multivariate analyses of covariance. The findings show that demographic differences are apparent in the dimensions of the goals and development, logistics and operations, team and culture, coaching, and selection organizational stressors that sport performers encounter. More specifically, significant differences were found between males and females, between team and individual-based performers, and between performers competing at national or international, regional or university, and county or club levels. These findings have important implications for theory and research on organizational stress, and for the development of stress management interventions with sport performers. © 2015 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

Geological Mapping of the Encounter Hemisphere on Pluto

NASA Astrophysics Data System (ADS)

White, O. L.; Moore, J. M.; Stern, S. A.; Weaver, H. A.; Olkin, C. B.; Ennico, K.; Young, L. A.; Cheng, A. F.; New Horizons GGI Theme Team

2016-06-01

We present mapping of Pluto's encounter hemisphere performed to date (focusing on Sputnik Planum and the immediately surrounding area) and offer preliminary descriptions of terrains further afield that will be the subject of future mapping.

Disrespect, harassment, and abuse: all in a day's work for family physicians.

PubMed

Miedema, Baukje; Easley, Julie; Fortin, Pierrette; Hamilton, Ryan; Tatemichi, Sue

2009-03-01

To examine harassment and abusive encounters between family physicians and their patients or colleagues in the workplace. Qualitative case study using semistructured interviews. Province of New Brunswick. Forty-eight family physicians from across the province. A collective case-study approach was developed, with 24 cases of 2 individuals per case. Cases were selected based on sex, location (urban or rural), language (French or English), and number of years since medical school graduation (< 10 years, 10 to 20 years, or > 20 years). Physicians were interviewed in either French or English. Participants were recruited using the College of Physicians and Surgeons of New Brunswick's physician directory. Based on the rates of response and participation, some cases were overrepresented, while others were not completed. All interviews were audiotaped, transcribed verbatim, and analyzed thematically using a categorical aggregation approach. A coding scheme for the thematic analysis was developed by the research team before the interviews were transcribed. Although the original intent of this study was to examine the work environment of family physicians in light of the increasing number of women entering the profession, harassment and abusive encounters in the workplace emerged as a main theme. These encounters ranged from minor to severe. Minor abusive encounters included disrespectful behaviour and verbal threats by patients, their families, and occasionally colleagues. More severe forms of harassment involved physical threats, physical encounters, and stalking. Demanding patients, such as heavy drug users, were often seen as threatening. Location of practice, years in practice, and sex of the physician seemed to affect abusive encounters--young, female, rural physicians appeared to experience such encounters most often. Abusive encounters in the workplace are concerning. It is essential to address these issues of workplace harassment and abuse in order to protect physician safety and avoid workplace dissatisfaction. Abusive encounters might push family physicians to leave clinical practice prematurely or refuse to work in higher-risk environments, such as emergency departments or rural areas.

MRI: unique costing and pricing issues.

PubMed

Schwartz, H W; Jarl, D F

1985-01-01

Acquisition of magnetic resonance imaging (MRI) involves a plethora of costs not traditionally encountered in radiology procedure cost accounting models. Experiences with MRI gained at the University of Minnesota Hospitals and Clinics during 1984 uncovered a wide variety of unique costing issues which were eventually identified at the time when the MRI hospital charge was being established. Our experience at UMHC can provide those radiology departments now acquiring MRI with an earlier awareness of these special costing issues, hopefully resulting in better and more timely data collection. Current reimbursement and pricing issues are also having a dramatic impact on MRI costs at each institution and must be assessed in terms of third-party payor intentions.

Transformative Theatre: A Promising Educational Tool for Improving Health Encounters With LGBT Older Adults.

PubMed

Hughes, Anne K; Luz, Clare; Hall, Dennis; Gardner, Penny; Hennessey, Chris Walker; Lammers, Lynn

2016-01-01

Lesbian, gay, bisexual, or transgender (LGBT) older adults are often unaware or fearful of aging services that contribute to greater vulnerability, isolation, and risk when services are needed. In addition, they may perceive or experience bias in health care encounters. Providers may not recognize their own biases or their impact on such encounters. In response, a group of LGBT community activists, aging professionals, researchers, and a theatre ensemble developed an interactive theatre experience, described herein, that portrays challenges faced by LGBT older adults needing services. Goals included raising awareness among LGBT older adults and providers about issues such as the limited legal rights of partners, limited family support, and fear of being mistreated as a result of homophobia. Evaluations and feedback reflected the potential of interactive theatre to engage people in sensitive discussions that can lead to increased awareness, reduced bias, practice change, and ultimately improved care for LGBT older adults.

The Visit-Data Warehouse: Enabling Novel Secondary Use of Health Information Exchange Data

PubMed Central

Fleischman, William; Lowry, Tina; Shapiro, Jason

2014-01-01

Introduction/Objectives: Health Information Exchange (HIE) efforts face challenges with data quality and performance, and this becomes especially problematic when data is leveraged for uses beyond primary clinical use. We describe a secondary data infrastructure focusing on patient-encounter, nonclinical data that was built on top of a functioning HIE platform to support novel secondary data uses and prevent potentially negative impacts these uses might have otherwise had on HIE system performance. Background: HIE efforts have generally formed for the primary clinical use of individual clinical providers searching for data on individual patients under their care, but many secondary uses have been proposed and are being piloted to support care management, quality improvement, and public health. Description of the HIE and Base Infrastructure: This infrastructure review describes a module built into the Healthix HIE. Healthix, based in the New York metropolitan region, comprises 107 participating organizations with 29,946 acute-care beds in 383 facilities, and includes more than 9.2 million unique patients. The primary infrastructure is based on the InterSystems proprietary Caché data model distributed across servers in multiple locations, and uses a master patient index to link individual patients’ records across multiple sites. We built a parallel platform, the “visit data warehouse,” of patient encounter data (demographics, date, time, and type of visit) using a relational database model to allow accessibility using standard database tools and flexibility for developing secondary data use cases. These four secondary use cases include the following: (1) tracking encounter-based metrics in a newly established geriatric emergency department (ED), (2) creating a dashboard to provide a visual display as well as a tabular output of near-real-time de-identified encounter data from the data warehouse, (3) tracking frequent ED users as part of a regional-approach to case management intervention, and (4) improving an existing quality improvement program that analyzes patients with return visits to EDs within 72 hours of discharge. Results/Lessons Learned: Setting up a separate, near-real-time, encounters-based relational database to complement an HIE built on a hierarchical database is feasible, and may be necessary to support many secondary uses of HIE data. As of November 2014, the visit-data warehouse (VDW) built by Healthix is undergoing technical validation testing and updates on an hourly basis. We had to address data integrity issues with both nonstandard and missing HL7 messages because of varied HL7 implementation across the HIE. Also, given our HIEs federated structure, some sites expressed concerns regarding data centralization for the VDW. An established and stable HIE governance structure was critical in overcoming this initial reluctance. Conclusions: As secondary use of HIE data becomes more prevalent, it may be increasingly necessary to build separate infrastructure to support secondary use without compromising performance. More research is needed to determine optimal ways of building such infrastructure and validating its use for secondary purposes. PMID:25848595

Impact of patients' religious and spiritual beliefs in pharmacy: from the perspective of the pharmacist.

PubMed

Daher, Moustafa; Chaar, Betty; Saini, Bandana

2015-01-01

Socio-cultural perspectives including religious and spiritual beliefs affect medicine use and adherence. Increasingly communities that pharmacists serve are diverse and pharmacists need to counsel medicine use issues with ethical and cultural sensitivity as well as pharmaceutical competence. There is very little research in this social aspect of pharmacy practice, and certainly none conducted in Australia, an increasingly multicultural, diverse population. The purpose of this study was to explore, from a pharmacy practitioner's viewpoint, the frequency and nature of cases where patients' articulated religious/spiritual belief affect medicine use; and pharmacist perspectives on handling these issues. Qualitative method employing semi-structured interviews with pharmacy practitioners, constructed around an interview guide. Pharmacist participants were recruited purposively from areas of linguistic diversity in Sydney, New South Wales, Australia. Verbatim transcription and thematic analyses were performed on the data. Thematic analyses of 21 semi-structured interviews depicted that scenarios where religious and spiritual belief and medication use intersect were frequently encountered by pharmacists. Patient concerns with excipients of animal origin and medication use while observing religious fasts were the main issues reported. Participants displayed scientific competence; however, aspects of ethical sensitivity in handling such issues could be improved. This novel study highlights the urgent need for more research, training and resource development for practitioners serving patients in multi-faith areas. Copyright © 2015 Elsevier Inc. All rights reserved.

Issues of health care under weightlessness.

PubMed

Sekiguchi, C

1994-01-01

This review will address issues of effects of space flights on the body. Cardiovascular deconditioning often induce symptoms like orthostatic intolerance after flight, and during flight there will be space motion sickness during the first few days with headache, malaise, nausea and eventually vomiting. These symptoms disappear and do not interfere with the performance of the astronauts after several days. During long-term flights, effects will be muscle atrophy and calcium loss from the skeleton. Radiation effects will be a significant issue, increasing with the length of the space flight. Also during long-term flights, psychological problems will become of increasing importance. Astronaut health care will be discussed related to Space Shuttle missions and Space Station missions. Furthermore, countermeasures for long-term space flights (up to 6 months) will be outlined. The NASA health care programme is reviewed, and the frequency of illnesses and injuries encountered in the NASA programme is discussed. There will be a need for setting up an international health care programme in view of the upcoming international cooperation in the Space Station era. It is emphasized that the Space Station is an international platform. Therefore, the health care team will be composed of international personnel, mainly from NASA with participation of Europe, Canada, Russia, and Japan. Specialized medical doctors will form the team and support the crew members from the ground. Some issues, such as medical licensing and responsibility, remain to be solved.

Unique Construction and Social Experiences in Residential Remediation Sites - 13423

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

Jung, Paul; Scarborough, Rebecca

2013-07-01

Sevenson Environmental Services, Inc., (Sevenson) has performed several radiological remediation projects located in residential urban areas. Over the course of these projects, there has been a wide variety of experiences encountered from construction related issues to unique social situations. Some of the construction related issues included the remediation of interior basements where contaminated material was located under the footers of the structure or was used in the mortar between cinder block or field stone foundations. Other issues included site security, maintaining furnaces or other utilities, underpinning, backfilling and restoration. In addition to the radiological hazards associated with this work theremore » were occupational safety and industrial hygiene issues that had to be addressed to ensure the safety and health of neighboring properties and residents. The unique social situations at these job sites have included arson, theft/stolen property, assault/battery, prostitution, execution of arrest warrants for residents, discovery of drugs and paraphernalia, blood borne pathogens, and unexploded ordnance. Some of these situations have become a sort of comical urban legend throughout the organization. One situation had historical significance, involving the demolition of a house to save a tree older than the Declaration of Independence. All of these projects typically involve the excavation of early 20. century items such as advertisement signs, various old bottles (milk, Listerine, perfume, whisky) and other miscellaneous common trash items. (authors)« less

Analysis, results and conclusion of magnetotelluric data acquired in northern Switzerland

NASA Astrophysics Data System (ADS)

Shah, Neeraj; Samrock, Friedemann; Grayver, Alexander; Saar, Martin O.

2017-04-01

In early 2016, a magnetotelluric (MT) survey of the Aargau region of northern Switzerland was performed in order to understand the potential of the magnetotelluric method to characterise the electrical resistivity properties of the subsurface in Switzerland, and more widely, in areas with high amounts of cultural electromagnetic (EM) noise. Subsurface electrical resisitivity properties are interesting as they can help identify underground aquifers or geothermal resources and possibly provide insight into the large-scale movement of fluid. The north of Switzerland is a challenging and representative environment, with significant EM infrastructure, including powerlines and numerous other sources of noise related to human activity and use of industrial equipment. Here, we present the results of the survey together with detailed analysis of the issues encountered and challenges faced when doing this survey. In particular, we concentrate on data quality issues in the raw time series, the impact of using a remote reference over single site processing and the distribution of transfer functions. The final set of transfer functions for the survey, which includes twelve successful sites, is shown to suffer from noise issues in certain frequency ranges. A 1-D inversion of SSQ averaged transfer functions and comparison to existing borehole data demonstrates that geologic data is captured in the MT data recorded in northern Switzerland. Further, 2-D forward modelling supports the idea that good geologic information exists in the data despite the noise issues, which for now, impede a robust multi-dimensional inversion. Finally, suggestions for future work and methods to improve the quality of data when surveying in high EM noise environments are offered with a view to being able to reliably perform MT surveys closer to urban environments.

EXTRAPOLATION MODELING: ADVANCEMENTS AND RESEARCH ISSUES IN LUNG DOSIMETRY

EPA Science Inventory

Many of the environmental pollutants to which humans are exposed are increasing rapidly, in terms of number, complexity, and concentration. ne of the great challenges in environmental medicine is to define more accurately the adverse health effects likely to be encountered by exp...

Everyday Ethics: Reflections on Practice

ERIC Educational Resources Information Center

Rossman, Gretchen B.; Rallis, Sharon F.

2010-01-01

This introductory article frames the contributions for this issue on everyday ethics--moments that demand moral considerations and ethical choices that researchers encounter. We discuss concerns raised within the research community about the tendency to observe merely obligatory ethical procedures as outlined in Human Subjects Review regulations.…

ENVIRONMENTAL TOXINS AND BEHAVIORAL DEVELOPMENT: A NEW ROLE FOR PSYCHOLOGICAL RESEARCH

EPA Science Inventory

Childhood exposure to chemicals routinely encountered in the environment has become an issue of scientific and public concern. Recent research has revealed the inadequacy of traditional notions in which chemically induced illness was likened to overt biological disease. The new m...

The Dyslexic Student and Mathematics in Higher Education

ERIC Educational Resources Information Center

Perkin, Glynis; Croft, Tony

2007-01-01

Difficulties that are encountered by dyslexic undergraduates with their learning and understanding of mathematics are explored. Specific consideration is given to issues arising through mathematical content, its delivery, the procedures and processes of doing mathematics, and its assessment. Particular difficulties, which have emerged through…

Alleviating the Common Confusion Caused by Polarity in Electrochemistry.

ERIC Educational Resources Information Center

Moran, P. J.; Gileadi, E.

1989-01-01

Discussed is some of the confusion encountered in electrochemistry due to misunderstandings of sign conventions and simple mathematical errors. Clarified are issues involving emf series, IUPAC sign conventions, calculation of cell potentials, reference electrodes, the polarity of electrodes in electrochemical devices, and overpotential. (CW)

Meeting the Challenge: Teaching Sensitive Subject Matter

ERIC Educational Resources Information Center

Crosby, Dorian B.

2012-01-01

When teaching diversity courses that discuss sensitive issues, such as racial, gender, sexuality, religious, and ethnic discrimination, it is possible to encounter student resistance, which can subsequently prevent students from comprehending the content. While teaching an introductory course on African American history in a Black Studies…

Making a Comeback

ERIC Educational Resources Information Center

Ramaswami, Rama

2008-01-01

As technology grows more pervasive in education, the data recovery issues that school systems encounter are becoming increasingly problematic, as districts work to accommodate a range of concerns that do not encumber commercial businesses. State and federal laws often require schools to report on student populations and educational progress…

Negotiating Sexuality and Masculinity in School Sport: An Autoethnography

ERIC Educational Resources Information Center

Carless, David

2012-01-01

This autoethnography explores challenging and ethically sensitive issues around sexual orientation, sexual identity and masculinity in the context of school sport. Through storytelling, I aim to show how sometimes ambiguous encounters with heterosexism, homophobia and hegemonic masculinity through sport problematise identity development for young…

High speed passenger trains in freight railroad corridors : operations and safety considerations

DOT National Transportation Integrated Search

1994-12-01

This report presents the results of a study into some operations and technical issues likely to be encountered when planning for high-speed rail passenger service on corridors that presently carry freight or commuter traffic. The study starts with a ...

Methodological and Ethical Challenges in a Web-Based Randomized Controlled Trial of a Domestic Violence Intervention

PubMed Central

Valpied, Jodie; Koziol-McLain, Jane; Glass, Nancy; Hegarty, Kelsey

2017-01-01

The use of Web-based methods to deliver and evaluate interventions is growing in popularity, particularly in a health care context. They have shown particular promise in responding to sensitive or stigmatized issues such as mental health and sexually transmitted infections. In the field of domestic violence (DV), however, the idea of delivering and evaluating interventions via the Web is still relatively new. Little is known about how to successfully navigate several challenges encountered by the researchers while working in this area. This paper uses the case study of I-DECIDE, a Web-based healthy relationship tool and safety decision aid for women experiencing DV, developed in Australia. The I-DECIDE website has recently been evaluated through a randomized controlled trial, and we outline some of the methodological and ethical challenges encountered during recruitment, retention, and evaluation. We suggest that with careful consideration of these issues, randomized controlled trials can be safely conducted via the Web in this sensitive area. PMID:28351830

Cyberdermatoethics I: ethical, legal, technologic, and clinical aspects of patient-physician e-mail.

PubMed

Luo, John; Logan, Christopher; Long, Thomas P; Bercovitch, Lionel

2009-01-01

As Internet access has become ubiquitous, electronic mail (e-mail) is becoming more widely used as a means of communication between patient and dermatologist. Dealing with the ethical, legal, and clinical consequences has lagged behind the technology. Privacy of e-mail cannot exist without security, and as a foundation for understanding e-mail security, the elements of e-mail technology are reviewed. One of the greatest risks of e-mail is compromise of privacy. Although self-documenting and convenient, e-mail lacks the emotional cues of face-to-face encounters, is asynchronous and not always read in timely fashion, and is not suitable for certain clinical concerns such as urgent matters and cancer diagnoses. Legal issues relating to federal privacy regulations, ethical issues such as autonomy and justice, and guidelines for the use of e-mail in clinical practice are reviewed. Case scenarios are used to present the pitfalls in clinical e-mail encounters, including establishment of the doctor-patient relationship, diagnosis and treatment over the Internet, and curbside consultations.

Can we improve the performance and reporting of investigator-initiated clinical trials? Rheumatoid arthritis as an example.

PubMed

Landewé, Robert B M; Smolen, Josef S; Weinblatt, Michael E; Emery, Paul; Dougados, Maxime; Fleischmann, Roy; Aletaha, Daniel; Kavanaugh, Arthur; van der Heijde, Désirée

2014-10-01

Investigator-initiated trials, some of which have been referred to as comparative effectiveness trials, pragmatic trials, or strategy trials, are sometimes considered to be of greater clinical importance than industry-driven trials, because they address important but unresolved clinical questions that differ from the questions asked in industry-driven trials. Regulatory authorities have provided methodological guidance for industry-driven trials for the approval of new treatments, but such guidance is less clear for investigator-initiated trials. The European League Against Rheumatism (EULAR) task force for the update of the recommendations for the management of rheumatoid arthritis has critically looked at the methodological quality and conduct of many investigator-initiated trials, and has identified a number of concerns. In this Viewpoint paper, we highlight commonly encountered issues that are discussed using examples of well-known investigator-initiated trials. These issues cover three themes: (1) design choice (superiority vs non-inferiority designs); (2) statistical power and (3) convenience reporting. Since we acknowledge the importance of investigator-initiated research, we also propose a shortlist of points-to-consider when designing, performing and reporting investigator-initiated trials. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

A diesel fuel processor for fuel-cell-based auxiliary power unit applications

NASA Astrophysics Data System (ADS)

Samsun, Remzi Can; Krekel, Daniel; Pasel, Joachim; Prawitz, Matthias; Peters, Ralf; Stolten, Detlef

2017-07-01

Producing a hydrogen-rich gas from diesel fuel enables the efficient generation of electricity in a fuel-cell-based auxiliary power unit. In recent years, significant progress has been achieved in diesel reforming. One issue encountered is the stable operation of water-gas shift reactors with real reformates. A new fuel processor is developed using a commercial shift catalyst. The system is operated using optimized start-up and shut-down strategies. Experiments with diesel and kerosene fuels show slight performance drops in the shift reactor during continuous operation for 100 h. CO concentrations much lower than the target value are achieved during system operation in auxiliary power unit mode at partial loads of up to 60%. The regeneration leads to full recovery of the shift activity. Finally, a new operation strategy is developed whereby the gas hourly space velocity of the shift stages is re-designed. This strategy is validated using different diesel and kerosene fuels, showing a maximum CO concentration of 1.5% at the fuel processor outlet under extreme conditions, which can be tolerated by a high-temperature PEFC. The proposed operation strategy solves the issue of strong performance drop in the shift reactor and makes this technology available for reducing emissions in the transportation sector.

A systematic review of religious beliefs about major end-of-life issues in the five major world religions

PubMed Central

CHAKRABORTY, RAJSHEKHAR; EL-JAWAHRI, AREEJ R.; LITZOW, MARK R.; SYRJALA, KAREN L; PARNES, ARIC D.; HASHMI, SHAHRUKH K.

2018-01-01

Objective The objective of this study was to examine the religious/spiritual beliefs of followers of the five major world religions about frequently encountered medical situations at the end of life (EoL). Method This was a systematic review of observational studies on the religious aspects of commonly encountered EoL situations. The databases used for retrieving studies were: Ovid MEDLINE In-Process & Other Non-Indexed Citations, Ovid MEDLINE, Ovid EMBASE, Ovid PsycINFO, Ovid Cochrane Central Register of Controlled Trials, Ovid Cochrane Database of Systematic Reviews, and Scopus. Observational studies, including surveys from healthcare providers or the general population, and case studies were included for review. Articles written from a purely theoretical or philosophical perspective were excluded. Results Our search strategy generated 968 references, 40 of which were included for review, while 5 studies were added from reference lists. Whenever possible, we organized the results into five categories that would be clinically meaningful for palliative care practices at the EoL: advanced directives, euthanasia and physician-assisted suicide, physical requirements (artificial nutrition, hydration, and pain management), autopsy practices, and other EoL religious considerations. A wide degree of heterogeneity was observed within religions, depending on the country of origin, level of education, and degree of intrinsic religiosity. Significance of results Our review describes the religious practices pertaining to major EoL issues and explains the variations in EoL decision making by clinicians and patients based on their religious teachings and beliefs. Prospective studies with validated tools for religiosity should be performed in the future to assess the impact of religion on EoL care. PMID:28901283

Cultural influences on the physician-patient encounter: The case of shared treatment decision-making.

PubMed

Charles, Cathy; Gafni, Amiram; Whelan, Tim; O'Brien, Mary Ann

2006-11-01

In this paper we discuss the influence of culture on the process of treatment decision-making, and in particular, shared treatment decision-making in the physician-patient encounter. We explore two key issues: (1) the meaning of culture and the ways that it can affect treatment decision-making; (2) cultural issues and assumptions underlying the development and use of treatment decision aids. This is a conceptual paper. Based on our knowledge and reading of the key literature in the treatment decision-making field, we looked for written examples where cultural influences were taken into account when discussing the physician-patient encounter and when designing instruments (decision aids) to help patients participate in making decisions. Our assessment of the situation is that to date, and with some recent exceptions, research in the above areas has not been culturally sensitive. We suggest that more research attention should be focused on exploring potential cultural variations in the meaning of and preferences for shared decision-making as well as on the applicability across cultural groups of decision aids developed to facilitate patient participation in treatment decision-making with physicians. Both patients and physicians need to be aware of the cultural assumptions underlying the development and use of decision aids and assess their cultural sensitivity to the needs and preferences of patients in diverse cultural groups.

The principles of Catholic social teaching: A guide for decision making from daily clinical encounters to national policy-making.

PubMed

Wright, Karen Shields

2017-02-01

Catholic social teaching (CST), a branch of moral theology, addresses contemporary issues within the political, economic, and cultural structures of society. The threefold cornerstone of CST contains the principles of human dignity, solidarity, and subsidiarity. It is the foundation on which to form our conscience in order to evaluate the framework of society and is the Catholic criteria for prudential judgment and direction in developing current policy-making. With knowledge of these social principles, in combination with our faith, we will be more armed and informed as to articulate the Catholic vision of reality, the truthful nature of the human person and society, to apply and integrate the social teachings in our everyday administrative and clinical encounters, and through the virtue of charity take action within the social, political, and economic spheres in which we have influence. Summary: The Church's social encyclicals are a reflection upon the issues of the day using the light of faith and reason. They offer commentary on the ways to evaluate and address particular social problems-also using natural law principles-in the areas of politics, economics, and culture. Quotes were selected from the encyclicals that define and expand upon the primary principles for the purpose of representing them for study, reflection, and use in everyday personal and business encounters and decision making for healthcare professionals.

The principles of Catholic social teaching: A guide for decision making from daily clinical encounters to national policy-making

PubMed Central

2017-01-01

Catholic social teaching (CST), a branch of moral theology, addresses contemporary issues within the political, economic, and cultural structures of society. The threefold cornerstone of CST contains the principles of human dignity, solidarity, and subsidiarity. It is the foundation on which to form our conscience in order to evaluate the framework of society and is the Catholic criteria for prudential judgment and direction in developing current policy-making. With knowledge of these social principles, in combination with our faith, we will be more armed and informed as to articulate the Catholic vision of reality, the truthful nature of the human person and society, to apply and integrate the social teachings in our everyday administrative and clinical encounters, and through the virtue of charity take action within the social, political, and economic spheres in which we have influence. Summary: The Church's social encyclicals are a reflection upon the issues of the day using the light of faith and reason. They offer commentary on the ways to evaluate and address particular social problems—also using natural law principles—in the areas of politics, economics, and culture. Quotes were selected from the encyclicals that define and expand upon the primary principles for the purpose of representing them for study, reflection, and use in everyday personal and business encounters and decision making for healthcare professionals. PMID:28392595

Thriving on Pressure: A Factor Mixture Analysis of Sport Performers' Responses to Competitive Encounters.

PubMed

Brown, Daniel J; Arnold, Rachel; Standage, Martyn; Fletcher, David

2017-12-01

Although considerable research exists on performers' responses to sporting encounters, little is known about thriving in sport contexts. The current study examined if distinct response patterns existed between sport performers who thrived in competitive encounters compared with those who did not. Participants were 535 sport performers (134 women; M age  = 23.60 years, SD age  = 8.08; M competing  = 11.84 years, SD competing  = 7.11). Results of factor mixture analysis supported a four-profile solution comprising a thriving group (n = 146), a low-functioning group (n = 38), and two groups characterized by scores marginally above (n = 131) and below (n = 209) the sample mean. Profile membership was found to be predicted by personal enablers (viz., personal resilient qualities, psychological skills use) and process variables (viz., basic psychological need satisfaction and frustration, challenge appraisal). This examination of thriving in sport performers offers significant implications for research and practice.

Age as a risk factor for the disruption of cognitive performance by exposure to the types of radiation encounted on exploratory class missions to other planets

USDA-ARS?s Scientific Manuscript database

Exposure to the types of radiation encountered in space (particles of high energy and charge [HZE particles]) produces changes in neurocognitive performance similar to those observed in the aged organism. As such, it is possible that there would be an interaction between the effects of exposure to ...

A survey of sports medicine physicians regarding psychological issues in patient-athletes.

PubMed

Mann, Barton J; Grana, William A; Indelicato, Peter A; O'Neill, Daniel F; George, Steven Z

2007-12-01

To determine the extent to which sports medicine physicians encounter and discuss psychological issues among athletes they treat and to evaluate physicians' perceptions of the availability and efficacy of sport psychologists and other mental health resources. Cross-sectional study. A survey was sent via e-mail to all physician members of 4 prominent sports medicine professional associations: the American Orthopaedic Society for Sports Medicine, American College of Sports Medicine, American Medical Society for Sports Medicine, and American Osteopathic Academy of Sports Medicine. The extent to which respondents discuss psychological issues with athletes varied by subspecialty and by specific issues assessed. Fears about reinjury, fears related to surgery, and lack of patience with recovery/rehabilitation were the 3 most common injury-related topics discussed with patient-athletes. The 3 most common non-injury-related topics discussed were stress/pressure, anxiety, and burnout. Family practitioners were more likely to discuss injury-related psychological issues than were orthopaedic surgeons. Orthopaedic surgeons reported the lowest frequencies of discussing non-injury-related psychological issues. Only 19% of all respondents indicated there were adequate numbers of sport psychologists and other mental health professionals in their geographical area to treat the needs of athletes. Three quarters of respondents reported they rarely or never referred athletes to sport psychologists for injury-related issues, and two thirds indicated they rarely or never referred athletes to sport psychologists for non-injury-related problems. Respondents rated sport psychologists and athletic trainers/physical therapists to be moderately effective in working with athletes regarding psychological problems. Sports medicine physicians frequently encounter psychological issues with patient-athletes. There is a need for tools to facilitate assessment of these problems as well as greater communication between the mental health community and sports medicine physicians. In addition, knowledge of and access to professionals who are specifically trained to deal with the sometimes unique psychological needs of athletes should be improved.

Reliability issues in PACS

NASA Astrophysics Data System (ADS)

Taira, Ricky K.; Chan, Kelby K.; Stewart, Brent K.; Weinberg, Wolfram S.

1991-07-01

Reliability is an increasing concern when moving PACS from the experimental laboratory to the clinical environment. Any system downtime may seriously affect patient care. The authors report on the several classes of errors encountered during the pre-clinical release of the PACS during the past several months and present the solutions implemented to handle them. The reliability issues discussed include: (1) environmental precautions, (2) database backups, (3) monitor routines of critical resources and processes, (4) hardware redundancy (networks, archives), and (5) development of a PACS quality control program.

Ethical Issues in Providing Online Psychotherapeutic Interventions

PubMed Central

2000-01-01

The Internet offers psychotherapists a new communication medium through which they can deliver psychotherapeutic interventions that are appropriate to the medium. Yet online psychotherapy also offers new ethical challenges for therapists interested in providing online psychotherapeutic services. The differences between interactive text-based communication and in-person verbal communication create new ethical challenges not previously encountered in face-to-face therapy. This article will examine the Internet's potential for providing online psychotherapeutic interventions and will review the ethical issues involved with providing interactive text-based psychotherapy. PMID:11720924

Turboprop aircraft performance response to various environmental conditions

NASA Astrophysics Data System (ADS)

Ashenden, Russell Allen

1997-10-01

This study evaluated aircraft and airfoil performance response to various environmental conditions. These conditions included clear air, warm rain, ice only, mixed phase and supercooled drops encountered during 19 separate flights. Supercooled droplets consisting of cloud, drizzle and rain sizes were the main focus of this study. Aircraft response was quantified by rates of change in aircraft rate-of-climb capability, lift and drag coefficients and lift over drag ratio. Airfoil degradation due to simulated ice shapes and drizzle ice roughness was measured in a wind tunnel for comparison. The aircraft performance parameters were compared to environmental hydrometeor parameters quantifying the environmental conditions. Results show that encounters with supercooled drizzle drops, or SCDD, resulted in maximum rates of performance degradation. These high rates of degradation forced the pilot to take evasive action within 5 minutes of entering these hazardous conditions. Encounters with supercooled cloud and rain sized drops resulted in minor to low rates of performance degradation whereas encounters with supercooled drops in low ice particle concentrations resulted in only minor rates of degradation. In addition, aircraft response to high ice particle concentrations and low liquid water, following an SCDD encounter, resulted in rapid performance recovery. The airfoil evaluations show similar results where the drizzle drop ice shape and simulated drizzle ice roughness resulted in the highest performance degradation. These evaluations also show that the most sensitive surface location is on the suction side between 6 and at least 11% of airfoil chord. Ice contaminations in this area are beyond the protective de-icing boots of most aircraft and lead to severe degradations in lift and drag characteristics. The results presented herein show a strong relationship between aircraft response and environmental parameters utilizing the larger drops in the hydrometeor distribution. The results suggest that the most severe icing is actually caused by drizzle sized drops as opposed to freezing rain. Furthermore, these results are similar to many twin-turboprop aircraft typically utilized by the commuter fleet.

The Rules of the Game

ERIC Educational Resources Information Center

Tay, Lee Yong; Lim, Cher Ping

2012-01-01

This response to Rachel Muehrer, Jennifer Jenson, Jeremy Friedberg and Nicole Husain's paper, "Challenges and opportunities: Using a science-based video game in secondary school settings," explores the issues encountered while a science-based video game is introduced in secondary school settings. It highlights the importance of the context, the…

Using Consultation to Support English Learners: The Experiences of Bilingual School Psychologists

ERIC Educational Resources Information Center

O'Bryon, Elisabeth C.; Rogers, Margaret R.

2016-01-01

Through semi-structured interviews, this study explored 11 bilingual school psychologists' (BSPs) consultation experiences with teachers of English learners (EL) to determine referral concerns, recommendations made, challenges encountered, preparation experiences, and skills most needed. The most common referral issue concerned students' academic…

The Brown University Child and Adolescent Behavior Letter, 1997.

ERIC Educational Resources Information Center

Lipsitt, Lewis P., Ed.

1997-01-01

These 12 monthly issues, one special report, and index from 1997 explore problems encountered by children and adolescents. Regular features include "Keep Your Eye On...," brief accounts of research into childhood and adolescent problems; "What's New in Research," summarizing research from recent publications and professional…

Encounters and Places: Project Negotiations in Galessa, Ethiopia

ERIC Educational Resources Information Center

Habermann, Birgit; Felt, Ulrike; Vogl, Christian R.; Bekele, Kassahun; Mekonnen, Kindu

2012-01-01

Purpose: Reflections on negotiation processes between farmers and scientists in research projects provide insights into issues of participation, power and equity. The purpose of this paper is to illustrate how actors chose places to meet, negotiate and represent technologies. Design/methodology/approach: The research involved semi-structured…

Mathematics Teacher Professional Development as a Virtual Boundary Encounter

ERIC Educational Resources Information Center

Matranga, Anthony Vincent

2017-01-01

Mathematics instruction in US schools is largely inconsistent with visions of research and policy, which suggest instruction should be student-centered, maintain high levels of cognitive demand, and support rich mathematical discussion and argumentation. Professional development (PD) figures prominently in addressing this issue, and studies have…

An Ethnographic Diary Study

ERIC Educational Resources Information Center

Hall, Graham

2008-01-01

This article examines a small-scale ethnographic survey of a single classroom. Drawing on the collected data, the discussion focuses on some of the problems encountered whilst collecting and interpreting data through self-report diaries. Amongst the issues considered are the perceptions of teachers and learners and their ability to articulate…

Internet and Computer Technology Hazards: Perspectives for Family Counselling.

ERIC Educational Resources Information Center

Oravec, Jo Ann

2000-01-01

Explores the social construction of the various computer hazards that households are encountering, such as computer addiction and children's access to on-line pornography. Discusses these issues in terms of constructivist counseling perspectives that are sensitive to cultural and environmental contexts. Outlines specific strategies for countering…

Interdisciplinarity within an Academic Career

ERIC Educational Resources Information Center

Blackmore, Paul; Kandiko, Camille B.

2011-01-01

This project identified academics who have been involved with interdisciplinary leadership initiatives and sought to find out what had motivated them, what issues they had encountered and how they had resolved them. A powerful message emerging is the central importance of motivation in interdisciplinary work. Interviewees spoke of leaving their…

Managing Curriculum Change and "Ontological Uncertainty" in Tertiary Education

ERIC Educational Resources Information Center

Keesing-Styles, Linda; Nash, Simon; Ayres, Robert

2014-01-01

Curriculum reform at institutional level is a challenging endeavour. Those charged with leading this process will encounter both enthusiasm and multiple obstacles to teacher engagement including the particularly complex issue of confronting existing teacher identities. At Unitec Institute of Technology (Unitec), the "Living Curriculum"…

Engineering Encounters: Building a Spaghetti Structure

ERIC Educational Resources Information Center

Llewellyn, Douglas; Pray, Sandra; DeRose, Rob; Ottman, William

2016-01-01

This column presents ideas and techniques to enhance science teaching. In this month's issue an upper elementary Science, technology, engineering, and math (STEM) challenge brings an engineer into the classroom while emphasizing cooperation, communication, and creativity. STEM activities come in various shapes and sizes. Some are quite involved…

Examining Dissatisfaction with an Online Doctoral Program

ERIC Educational Resources Information Center

Fenby, Frank

2006-01-01

Background: Online learning community based education is still new. As institutions implement new programs they can encounter learner satisfaction issues. Purpose: To investigate learner unhappiness during the second semester of a new online doctoral program and develop a substantive grounded theory concerning its cause(s). Setting: The Doctorado…

The Case of Jessica Chang.

ERIC Educational Resources Information Center

Chen, Stephen; Leong, Frederick T. L.

1997-01-01

Reports on a case study that explores the culture-related issues of Asian Americans in the workplace. Focuses on a young, second-generation, Chinese-American woman, Jessica Chang, and the employment challenges that Dr. Chang encountered. Discusses her job strategies and some of the ethical dilemmas that she faced. (RJM)

Management Training for Directors.

ERIC Educational Resources Information Center

Yaptinchay, Karen

1998-01-01

Describes a management program for Head Start directors called the Head Start-Johnson & Johnson Management Fellows program that focuses on issues and problems encountered by directors in implementing and operating programs at the local level. Notes that the management program represents a response to increasing need for cost-effective and…

War, Terrorism, and Children

ERIC Educational Resources Information Center

DeRanieri, Joseph T.; Clements, Paul T.; Clark, Kathleen; Kuhn, Douglas Wolcik; Manno, Martin S.

2004-01-01

Many caregivers are encountering the issue of communicating with children and adolescents about current world events, specifically war and terrorism. As health care providers, it is important to raise awareness of how children may understand, interpret, and respond to related fears and concerns. Although honesty and reassurance are clearly the…

Ionospheric observations using GPS radio occultation from a nanosat platform

NASA Astrophysics Data System (ADS)

Bishop, R. L.; Redding, M.; Straus, P. R.

2012-12-01

The Compact Total Electron Content Sensor (CTECS) is a GPS radio occultation instrument designed for cubesat platforms that utilizes a COTS receiver, modified firmware, and a custom designed antenna. CTECS was placed on the Pico Satellite Solar Cell Testbed 2 (PSSC2) nanosat that was installed on the Space Shuttle Atlantis (STS-135). PSSC2 was successfully released from the shuttle on 20 July 2011 near 380 km altitude. Because of attitude control and power issues, only 13.5 hours of data was collected during its approximately 5-month mission life. Total Electron Content (TEC) observations were obtained and this presentation will present a summary of all TEC data analyzed from the mission. We will discuss the instrument challenges encountered, data issues, and future planned improvements to CTECS. Two CTECS flight units were delivered in the spring of 2012 for integration on the SMC/XR Space Environment NanoSatellite Experiment (SENSE) spacecrafts that are scheduled for launch in the second half of 2013. We will present a summary of the SENSE mission, performance of the improved CTECS sensors, and the results of ground and day-in-the-life testing.

MOC Efficiency Improvements Using a Jacobi Inscatter Approximation

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

Stimpson, Shane; Collins, Benjamin; Kochunas, Brendan

2016-08-31

In recent weeks, attention has been given to resolving the convergence issues encountered with TCP 0 by trying a Jacobi (J) inscatter approach when group sweeping, where the inscatter source is constructed using the previous iteration flux. This is in contrast to a Gauss-Seidel (GS) approach, which has been the default to-date, where the scattering source uses the most up-to-date flux values. The former is consistent with CASMO, which has no issues with TCP 0 convergence. Testing this out on a variety of problems has demonstrated that the Jacobi approach does indeed provide substantially more stability, though can take moremore » outer iterations to converge. While this is not surprising, there are improvements that can be made to the MOC sweeper to capitalize on the Jacobi approximation and provide substantial speedup. For example, the loop over groups, which has traditionally been the outermost loop in MPACT, can be moved to the interior, avoiding duplicate modular ray trace and coarse ray trace setup (mapping coarse mesh surface indexes), which needs to be performed repeatedly when group is outermost.« less

An algorithmic framework for multiobjective optimization.

PubMed

Ganesan, T; Elamvazuthi, I; Shaari, Ku Zilati Ku; Vasant, P

2013-01-01

Multiobjective (MO) optimization is an emerging field which is increasingly being encountered in many fields globally. Various metaheuristic techniques such as differential evolution (DE), genetic algorithm (GA), gravitational search algorithm (GSA), and particle swarm optimization (PSO) have been used in conjunction with scalarization techniques such as weighted sum approach and the normal-boundary intersection (NBI) method to solve MO problems. Nevertheless, many challenges still arise especially when dealing with problems with multiple objectives (especially in cases more than two). In addition, problems with extensive computational overhead emerge when dealing with hybrid algorithms. This paper discusses these issues by proposing an alternative framework that utilizes algorithmic concepts related to the problem structure for generating efficient and effective algorithms. This paper proposes a framework to generate new high-performance algorithms with minimal computational overhead for MO optimization.

An Algorithmic Framework for Multiobjective Optimization

PubMed Central

Ganesan, T.; Elamvazuthi, I.; Shaari, Ku Zilati Ku; Vasant, P.

2013-01-01

Multiobjective (MO) optimization is an emerging field which is increasingly being encountered in many fields globally. Various metaheuristic techniques such as differential evolution (DE), genetic algorithm (GA), gravitational search algorithm (GSA), and particle swarm optimization (PSO) have been used in conjunction with scalarization techniques such as weighted sum approach and the normal-boundary intersection (NBI) method to solve MO problems. Nevertheless, many challenges still arise especially when dealing with problems with multiple objectives (especially in cases more than two). In addition, problems with extensive computational overhead emerge when dealing with hybrid algorithms. This paper discusses these issues by proposing an alternative framework that utilizes algorithmic concepts related to the problem structure for generating efficient and effective algorithms. This paper proposes a framework to generate new high-performance algorithms with minimal computational overhead for MO optimization. PMID:24470795

Resource recovery from end-of-life tyres in Greece: a field survey, state-of-art and trends.

PubMed

Karagiannidis, A; Kasampalis, T

2010-06-01

Lack of consistent and available information for the entire tyre industry has often hindered adequate understanding of current and future issues that need to be addressed for improving the sustainable end-of-life tyre management. The aim of this paper is to review related best available technologies and techniques for Greece, ranging from simple mechanical processing, up to complex multistep, mechanochemical and/or thermal treatment. End-of-life tyre management guidelines in the form of a manual for supporting future entrepreneurs in this field are also discussed. Extensive data mining, classification and inventorying was performed, both in the field via questionnaires and in the literature, for the purpose of accurately determining Hellenic conditions, in order to pinpoint encountered problems, propose interventions and determine new entrepreneurship opportunities.

Overset grid applications on distributed memory MIMD computers

NASA Technical Reports Server (NTRS)

Chawla, Kalpana; Weeratunga, Sisira

1994-01-01

Analysis of modern aerospace vehicles requires the computation of flowfields about complex three dimensional geometries composed of regions with varying spatial resolution requirements. Overset grid methods allow the use of proven structured grid flow solvers to address the twin issues of geometrical complexity and the resolution variation by decomposing the complex physical domain into a collection of overlapping subdomains. This flexibility is accompanied by the need for irregular intergrid boundary communication among the overlapping component grids. This study investigates a strategy for implementing such a static overset grid implicit flow solver on distributed memory, MIMD computers; i.e., the 128 node Intel iPSC/860 and the 208 node Intel Paragon. Performance data for two composite grid configurations characteristic of those encountered in present day aerodynamic analysis are also presented.

Underwater disaster victim identification: the process and the problems.

PubMed

Winskog, Calle

2012-06-01

An underwater disaster may involve a crime scene investigation which should be handled as if it were located above water and include a detailed description and documentation of items, belongings and findings. The environment, however, creates special circumstances, each with specific problems that are not encountered during land investigations. Risks associated with underwater recovery cannot be overestimated and underwater disaster recovery diving should not be performed without special training and careful pre-dive planning. Handling of cadavers in an underwater recovery operation also requires special training and a systematic approach to victim recovery. Environmental circumstances, local judicial requirements, religious and cultural issues and the scope of the disaster are only some of the factors that have to be considered before commencing any aquatic disaster victim recovery operation.

A stellar audit: the computation of encounter rates for 47 Tucanae and omega Centauri

NASA Astrophysics Data System (ADS)

Davies, Melvyn B.; Benz, Willy

1995-10-01

Using King-Mitchie models, we compute encounter rates between the various stellar species in the globular clusters omega Cen and 47 Tuc. We also compute event rates for encounters between single stars and a population of primordial binaries. Using these rates, and what we have learnt from hydrodynamical simulations of encounters performed earlier, we compute the production rates of objects such as low-mass X-ray binaries (LMXBs), smothered neutron stars and blue stragglers (massive main-sequence stars). If 10 per cent of the stars are contained in primordial binaries, the production rate of interesting objects from encounters involving these binaries is as large as that from encounters between single stars. For example, encounters involving binaries produce a significant number of blue stragglers in both globular cluster models. The number of smothered neutron stars may exceed the number of LMXBs by a factor of 5-20, which may help to explain why millisecond pulsars are observed to outnumber LMXBs in globular clusters.

An adaptive robust controller for time delay maglev transportation systems

NASA Astrophysics Data System (ADS)

Milani, Reza Hamidi; Zarabadipour, Hassan; Shahnazi, Reza

2012-12-01

For engineering systems, uncertainties and time delays are two important issues that must be considered in control design. Uncertainties are often encountered in various dynamical systems due to modeling errors, measurement noises, linearization and approximations. Time delays have always been among the most difficult problems encountered in process control. In practical applications of feedback control, time delay arises frequently and can severely degrade closed-loop system performance and in some cases, drives the system to instability. Therefore, stability analysis and controller synthesis for uncertain nonlinear time-delay systems are important both in theory and in practice and many analytical techniques have been developed using delay-dependent Lyapunov function. In the past decade the magnetic and levitation (maglev) transportation system as a new system with high functionality has been the focus of numerous studies. However, maglev transportation systems are highly nonlinear and thus designing controller for those are challenging. The main topic of this paper is to design an adaptive robust controller for maglev transportation systems with time-delay, parametric uncertainties and external disturbances. In this paper, an adaptive robust control (ARC) is designed for this purpose. It should be noted that the adaptive gain is derived from Lyapunov-Krasovskii synthesis method, therefore asymptotic stability is guaranteed.

Analyzing a 35-Year Hourly Data Record: Why So Difficult?

NASA Technical Reports Server (NTRS)

Lynnes, Chris

2014-01-01

At the Goddard Distributed Active Archive Center, we have recently added a 35-Year record of output data from the North American Land Assimilation System (NLDAS) to the Giovanni web-based analysis and visualization tool. Giovanni (Geospatial Interactive Online Visualization ANd aNalysis Infrastructure) offers a variety of data summarization and visualization to users that operate at the data center, obviating the need for users to download and read the data themselves for exploratory data analysis. However, the NLDAS data has proven surprisingly resistant to application of the summarization algorithms. Algorithms that were perfectly happy analyzing 15 years of daily satellite data encountered limitations both at the algorithm and system level for 35 years of hourly data. Failures arose, sometimes unexpectedly, from command line overflows, memory overflows, internal buffer overflows, and time-outs, among others. These serve as an early warning sign for the problems likely to be encountered by the general user community as they try to scale up to Big Data analytics. Indeed, it is likely that more users will seek to perform remote web-based analysis precisely to avoid the issues, or the need to reprogram around them. We will discuss approaches to mitigating the limitations and the implications for data systems serving the user communities that try to scale up their current techniques to analyze Big Data.

How patients want their doctor to communicate. A literature review on primary care patients' perspective.

PubMed

Deledda, Giuseppe; Moretti, Francesca; Rimondini, Michela; Zimmermann, Christa

2013-03-01

To review the literature on the communicative behaviours primary care patients want from a "good" physician. An electronic search used the key words doctor-patient relation AND patient desires OR patient expectations OR patient preferences (from now on referred to as expectations). The qualitative and quantitative articles meeting the selection criteria were analysed separately, comparing methods, definitions, measures and outcomes. The physician behaviours desirable from a patient perspective were grouped by linking them to the communicative functions of an effective medical encounter as defined from a professional perspective. Twenty-seven studies were included. Critical issues were the heterogeneity of definitions and measures and the lack of integration between quantitative and qualitative findings. Most of the expectations in qualitative studies were related to the function "Fostering the relationship". Similar expectations arose less often in quantitative studies. Patients do have concrete expectations regarding each of the functions to be met in the medical encounters. The research approach tends to bias the results. The collected expectations suggest how physicians may perform each of their tasks according to the patient perspective. Future research on patients' communicative expectations needs to overcome the gap between qualitative and quantitative findings. Copyright © 2012 Elsevier Ireland Ltd. All rights reserved.

Department of Energy's first waste determinations under section 3116: how did the process work?

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

Picha Jr, K.G.; Kaltreider, R.; Suttora, L.

2007-07-01

Congress passed the Ronald W. Reagan National Defense Authorization Act (NDAA) for Fiscal Year 2005 on October 9, 2004, and the President signed it into law on October 28, 2004. Section 3116(a) of the NDAA allows the Department of Energy (DOE) to, in consultation with the Nuclear Regulatory Commission (NRC), determine whether certain radioactive waste resulting from reprocessing of spent nuclear fuel at two DOE sites is not high-level radioactive waste, and dispose of that waste in compliance with the performance objectives set out in subpart C of 10 CFR part 61 for low-level waste. On January 17, 2006, themore » Department issued its first waste determination under the NDAA for salt waste disposal at the Savannah River Site. On November 19, 2006, the Department issued its second waste determination for closure of tanks at the Idaho Nuclear Technology and Engineering Center Tank Farm Facility. These two determinations and a third draft determination illustrate the range of issues that may be encountered in preparing a waste determination in accordance with NDAA Section 3116. This paper discusses the experiences associated with these first two completed waste determinations and an in-progress third waste determination, and discusses lessons learned from the projects that can be applied to future waste determinations. (authors)« less

Layout compliance for triple patterning lithography: an iterative approach

NASA Astrophysics Data System (ADS)

Yu, Bei; Garreton, Gilda; Pan, David Z.

2014-10-01

As the semiconductor process further scales down, the industry encounters many lithography-related issues. In the 14nm logic node and beyond, triple patterning lithography (TPL) is one of the most promising techniques for Metal1 layer and possibly Via0 layer. As one of the most challenging problems in TPL, recently layout decomposition efforts have received more attention from both industry and academia. Ideally the decomposer should point out locations in the layout that are not triple patterning decomposable and therefore manual intervention by designers is required. A traditional decomposition flow would be an iterative process, where each iteration consists of an automatic layout decomposition step and manual layout modification task. However, due to the NP-hardness of triple patterning layout decomposition, automatic full chip level layout decomposition requires long computational time and therefore design closure issues continue to linger around in the traditional flow. Challenged by this issue, we present a novel incremental layout decomposition framework to facilitate accelerated iterative decomposition. In the first iteration, our decomposer not only points out all conflicts, but also provides the suggestions to fix them. After the layout modification, instead of solving the full chip problem from scratch, our decomposer can provide a quick solution for a selected portion of layout. We believe this framework is efficient, in terms of performance and designer friendly.

Photochemical Phenomenology Model for the New Millennium

NASA Technical Reports Server (NTRS)

Bishop, James; Evans, J. Scott

2001-01-01

The "Photochemical Phenomenology Model for the New Millennium" project tackles the issue of reengineering and extension of validated physics-based modeling capabilities ("legacy" computer codes) to application-oriented software for use in science and science-support activities. While the design and architecture layouts are in terms of general particle distributions involved in scattering, impact, and reactive interactions, initial Photochemical Phenomenology Modeling Tool (PPMT) implementations are aimed at construction and evaluation of photochemical transport models with rapid execution for use in remote sensing data analysis activities in distributed systems. Current focus is on the Composite Infrared Spectrometer (CIRS) data acquired during the CASSINI flyby of Jupiter. Overall, the project has stayed on the development track outlined in the Year 1 annual report and most Year 2 goals have been met. The issues that have required the most attention are: implementation of the core photochemistry algorithms; implementation of a functional Java Graphical User Interface; completion of a functional CORBA Component Model framework; and assessment of performance issues. Specific accomplishments and the difficulties encountered are summarized in this report. Work to be carried out in the next year center on: completion of testing of the initial operational implementation; its application to analysis of the CASSINI/CIRS Jovian flyby data; extension of the PPMT to incorporate additional phenomenology algorithms; and delivery of a mature operational implementation.

Enhanced Damage-Resistant Optics for Spaceflight Laser Systems: Workshop findings and recommendations

NASA Technical Reports Server (NTRS)

Schulze, Norman; Cimolino, Marc; Guenther, Arthur; Mcminn, Ted; Rainer, Frank; Schmid, Ansgar; Seitel, Steven C.; Soileau, M. J.; Theon, John S.; Walz, William

1991-01-01

NASA has defined a program to address critical laser-induced damage issues peculiar to its remote sensing systems. The Langley Research Center (LaRC), with input from the Goddard Space Flight Center (GSFC), has developed a program plan focusing on the certification of optical materials for spaceflight applications and the development of techniques to determine the reliability of such materials under extended laser exposures. This plan involves cooperative efforts between NASA and optics manufacturers to quantify the performance of optical materials for NASA systems and to ensure NASA's continued application of the highest quality optics possible for enhanced system reliability. A review panel was organized to assess NASA's optical damage concerns and to evaluate the effectiveness of the LaRC proposed program plan. This panel consisted of experts in the areas of laser-induced damage, optical coating manufacture, and the design and development of laser systems for space. The panel was presented information on NASA's current and planned laser remote sensing programs, laser-induced damage problems already encountered in NASA systems, and the proposed program plan to address these issues. Additionally, technical presentations were made on the state of the art in damage mechanisms, optical materials testing, and issues of coating manufacture germane to laser damage.

Law and Marketing: Implications for the Secondary Curriculum.

ERIC Educational Resources Information Center

Beck-Dudley, Caryn L.; Stull, William A.

1990-01-01

Provides a basic understanding of some of the legal issues that should be included in a secondary education marketing curriculum. Teaching legal concepts in the areas of contract, antitrust, agency, employment law, and finance is an excellent way to introduce students to legal problems they may encounter in business. (Author)

A White Teacher Talks about Race.

ERIC Educational Resources Information Center

Landsman, Julie

In this book, a veteran teacher examines a typical day of teaching and reflects on her work with high school students from a variety of cultures, speaking honestly about issues of race, poverty, institutional responsibility, and white privilege by describing her experiences in the classroom. Throughout the day, she encounters bigotry, deals with…

Therapy with Law Enforcement Couples: Clinical Management of the "High-Risk Lifestyle."

ERIC Educational Resources Information Center

Borum, Randy; Philpot, Carol

1993-01-01

Reviews three primary ways in which law enforcement can affect relationships (organizational influences, peer/socialization influences, and police role influences). Identifies some common difficulties encountered by law enforcement couples and provides some basic goals and strategies for engaging them in treatment and addressing these issues in…

Rethinking What Is Entrepreneurship Education: A Macro Integrative Perspective

ERIC Educational Resources Information Center

Wu, Hongyun; Gu, Jibao

2017-01-01

Research on entrepreneurship education (EE) has encountered confusing ontological and methodological issues, such as definitional controversy, gaps between research and practice, and lack of theoretical foundations. These are factors holding back the further development of the research and practice in this field. This paper presents a whole…

Complementing Lecturing as Teaching Pedagogy and Students' Learning Styles in Universities in Tanzania: State of Issues

ERIC Educational Resources Information Center

Mbalamula, Yazidu Saidi

2017-01-01

Lecturing remains a popular and predominant teaching pedagogy in Higher Education Institutions and Tanzanian universities are no exception. However, due to increase in enrollments, lecturing encounters serious challenges as burgeoning diverse nature of students' learning needs associated with physiological, psychological, professional and…

Engineering Encounters: An Engineering Design Process for Early Childhood

ERIC Educational Resources Information Center

Lottero-Perdue, Pamela; Bowditch, Michelle; Kagan, Michelle; Robinson-Cheek, Linda; Webb, Tedra; Meller, Megan; Nosek, Theresa

2016-01-01

This column presents ideas and techniques to enhance your science teaching. This month's issue shares information about trying (again) to engineer an egg package. Engineering is an essential part of science education, as emphasized in the "Next Generation Science Standards" (NGSS Lead States 2013). Engineering practices and performance…

Methodological and Ethical Considerations in a Life History Study of Teacher Thinking.

ERIC Educational Resources Information Center

Muchmore, James A.

This paper discusses some of the methodological and ethical issues that one educational researcher encountered throughout his work, focusing on the importance of understanding teachers' thinking from their perspective (an insider looking out rather than an outsider looking in). It highlights a collaborative research relationship that the…

Mathematics & Economics: Connections for Life, Grades 6-8.

ERIC Educational Resources Information Center

Hoff, Jody; McCorkle, Sarapage; Suiter, Mary; Bettendorf, James; Breidenbach, Lisa; Cornwell, Pamela

This book contains a set of 12 lessons for middle school students that demonstrate how mathematical processes and concepts may be applied to the study of economics and personal finance. Mathematics educators can find lessons connecting mathematics instruction to practical problems and issues that students encounter throughout their life. The…

Designing for Learner Engagement with Computer Based Testing

ERIC Educational Resources Information Center

Walker, Richard; Handley, Zoe

2016-01-01

The issues influencing student engagement with high-stakes computer-based exams were investigated, drawing on feedback from two cohorts of international MA Education students encountering this assessment method for the first time. Qualitative data from surveys and focus groups on the students' examination experience were analysed, leading to the…

Enabling Integration in Sports for Adolescents with Intellectual Disabilities

ERIC Educational Resources Information Center

Grandisson, Marie; Tetreault, Sylvie; Freeman, Andrew R.

2012-01-01

Background: Promoting the health and social participation of adolescents with intellectual disability is important as they are particularly vulnerable to encountering difficulties in those areas. Integration of these individuals in integrated sports is one strategy to address this issue. Methods: The main objective of this study was to gain a…

Teacher Education With an Inquiry Emphasis.

ERIC Educational Resources Information Center

Wright, David P.

A program for prospective elementary and secondary teachers emphasizing inquiry and problem solving techniques for use in the classroom is described. In the conceptual framework of this program, a situation is defined as a set of circumstances that teachers commonly encounter, and an issue is a theoretical, ethical, or methodological question. A…

Confronting Globalisation: Learning from Intercontinental Collaboration

ERIC Educational Resources Information Center

Larsson, Staffan; Boud, David; Dahlgren, Madeleine Abrandt; Walters, Shirley; Sork, Tom

2005-01-01

Higher education institutions are responding to globalisation in various ways. This study describes and analyses challenges encountered in a recent case of global collaboration between four universities on different continents in developing a web-based master's program. The key issue was how to develop programs in a way that is fair for the…

Five Approaches to Avoid When Managing the Middle School Classroom

ERIC Educational Resources Information Center

Englehart, Joshua M.

2013-01-01

Too often, teachers encountering difficulties with classroom management focus only on the students rather than critically examining the influence of their own approaches on student behavior. Given the particular challenges that middle school students present, certain practices and expectations exacerbate management issues, and a lack of awareness…

Disrupting Qualitative Inquiry: Possibilities and Tensions in Educational Research. Critical Qualitative Research. Volume 10

ERIC Educational Resources Information Center

Brown, Ruth Nicole, Ed.; Carducci, Rozana, Ed.; Kuby, Candace R., Ed.

2014-01-01

"Disrupting Qualitative Inquiry" is an edited volume that examines the possibilities and tensions encountered by scholars who adopt disruptive qualitative approaches to the study of educational contexts, issues, and phenomena. It presents a collection of innovative and intellectually stimulating chapters which illustrate the potential…

School Reentry for the Child with Chronic Illness.

ERIC Educational Resources Information Center

Sexson, Sandra B.; Madan-Swain, Avi

1993-01-01

This article focuses on the issues of reintegrating the chronically ill child into the school setting, the types of school problems encountered, the process of school reentry, (including a successful school reentry plan), and the implications for the school and the family of returning the chronically ill child to school. (DB)

Ethical Challenges in the Teaching of Multicultural Course Work

ERIC Educational Resources Information Center

Fier, Elizabeth Boyer; Ramsey, MaryLou

2005-01-01

The authors explore the ethical issues and challenges frequently encountered by counselor educators of multicultural course work. Existing ethics codes are examined, and the need for greater specificity with regard to teaching courses of multicultural content is addressed. Options for revising existing codes to better address the challenges of…

Impact of Military Deployment and Distance Learning on Soldier-Students

ERIC Educational Resources Information Center

Murray, August T.

2013-01-01

Soldiers face complex challenges, issues, and decisions when pursuing distance learning while deployed. These challenges are encountered frequently while completing undergraduate and graduate degree programs on active duty overseas. Many learning programs and benefits are available and utilized by military online learners in a war zone. Education…

Poststructuralist Readings of the Pedagogical Encounter. Eruptions, Volume 14.

ERIC Educational Resources Information Center

Palermo, James

This book uses leading poststructuralist thinkers to expose the mechanisms that U.S. public schools employ to form subjectivity. Political issues that inform pedagogy such as cultural pluralism, the Deweyan legacy, and feminist classroom strategies are read applying constructs taken from philosophers such as Barthes, Derrida, Foucault, and…

Creating Education That is Multicultural in Preschool and Kindergarten Settings.

ERIC Educational Resources Information Center

Swadener, Elizabeth Blue; Jackson, Mollie M.

In recent years, strategies for multicultural education and human relations have been applied to progressively younger preschool children. This paper identifies five approaches to multicultural education, then goes on to discuss the strengths and weaknesses of the predominant human relations approach. Challenging issues encountered in applying…

Broadband for Public Libraries: Importance, Issues, and Research Needs

ERIC Educational Resources Information Center

Mandel, Lauren H.; Bishop, Bradley Wade; McClure, Charles R.; Bertot, John Carlo; Jaeger, Paul T.

2010-01-01

U.S. public libraries provide free public internet services to the communities that they serve, but require robust, high-speed broadband internet connections to continue meeting public demands. The 2008-2009 "Public Library Funding & Technology Access Study" ("PLFTAS") illustrates challenges that public libraries encounter in achieving broadband…

Encountering Complexity: Native Musics in the Curriculum.

ERIC Educational Resources Information Center

Boyea, Andrea

1999-01-01

Describes Native American musics, focusing on issues such as music and the experience of time, metaphor and metaphorical aspects, and spirituality and sounds from nature. Discusses Native American metaphysics and its reflection in the musics. States that an effective curriculum would provide a new receptivity to Native American musics. (CMK)

Interpersonal Skills Training in a Dental Setting: A Group Interaction Approach.

ERIC Educational Resources Information Center

Eigenbrode, Charles R.

1983-01-01

General curriculum emphases on behavioral science in the first- and second-year dental curriculum culminate in a course on doctor-patient relationships, preparatory to clinic activity. The course includes discussion and essay quizzes about videotape recordings of typical doctor-patient encounters. Topics and issues included are outlined. (MSE)

Engineering Encounters: Reverse Engineering

ERIC Educational Resources Information Center

McGowan, Veronica Cassone; Ventura, Marcia; Bell, Philip

2017-01-01

This column presents ideas and techniques to enhance your science teaching. This month's issue shares information on how students' everyday experiences can support science learning through engineering design. In this article, the authors outline a reverse-engineering model of instruction and describe one example of how it looked in our fifth-grade…

HIV-Positive Athletes. When Medicine Meets the Law.

ERIC Educational Resources Information Center

Mitten, Matthew, J.

1994-01-01

Though the risk of HIV transmission in sports is slight, physicians who treat active patients can encounter weighty legal issues. Mandatory testing, exclusion of HIV-positive athletes, and breaching of patient confidentiality can lead to lawsuits. Knowing the possible consequences can help physicians in setting effective, legal prevention…

Cloning, expression, and purification of a sesquiterpene cyclase from geosmin-producing Oscillatoria splendida

USDA-ARS?s Scientific Manuscript database

The aquaculture industry is a growing part of agriculture worldwide. Many of these systems, primarily closed ones, encounter serious issues with off-flavors. Cyanobacteria are the main producers of the two dominant off-flavor compounds, geosmin and 2-methylisoborneol. In an effort to begin to und...

Ethics in an Online Environment

ERIC Educational Resources Information Center

Mitchell, Regina L. Garza

2009-01-01

The blending of technology and education introduces ethical issues for colleges. In particular, those involved with online education may encounter unique dilemmas that have collegewide implications. In order for ethical decisions to be made in regard to online education, colleges must cultivate a culture of trust, define clearly the correct and…

Teaching Listening Skills to JFL Students in Australia.

ERIC Educational Resources Information Center

Danaher, Mike

1996-01-01

Examines issues affecting the teaching and learning of listening skills within the study of Japanese as a Foreign Language. Listening within foreign-language learning is a complex skill, and students encounter several difficulties in learning to listen for comprehension. Teachers face concerns ranging from resource availability to how to teach…

English Intonation and Computerized Speech Synthesis. Technical Report No. 287.

ERIC Educational Resources Information Center

Levine, Arvin

This work treats some of the important issues encountered in an attempt to synthesize natural sounding English speech from arbitrary written text. Details of the systems that interact in producing speech are described. The principal systems dealt with are phonology (intonation), phonetics, syntax, semantics, and text-view (discourse). Technical…

Helping the Grieving Child in School. Fastback 460.

ERIC Educational Resources Information Center

Goldman, Linda

This booklet provides short treatment options for educators, counselors and others on grief issues that today's youth often face. Children may encounter the trauma of fatal illness, accidents, suicide, homicide, and terrorism that they experience either directly or indirectly through the media. They can also face abuse, divorce, multiple moves,…

Encountering Student Texts: Interpretive Issues in Reading Student Writing.

ERIC Educational Resources Information Center

Lawson, Bruce, Ed.; And Others

Designed to raise the full range of hermeneutic concerns regarding evaluation of student writing, and to spur further research and discussion, this collection of essays focuses on a reconsideration of the interpretation and evaluation practices of writing teachers. Essays include: "A Reflective Conversation: 'Tempos of Meaning'"…

Counseling Older Women: Curriculum Guidelines and Strategies.

ERIC Educational Resources Information Center

Cavallaro, Marion L.

Since the population of older persons is predominantly female, counselor educators need to incorporate into their curriculum topics related to the unique issues faced by older women. Most counselors in their practice will be encountering at some point the problems of older women. Therefore, the preparation of counselors needs to incorporate…

Taking Flight: Using a Wind Tunnel to Teach Aeronautic Principles

ERIC Educational Resources Information Center

Zembal-Saul, Carla; Huckans, John H.; Walker, Dean C.; Hershberger, Kimber; Kurz, Nathan A.; Reed, Diane; Cole, Milton W.

2007-01-01

Several teachers from State College (Pennsylvania) Area School District became intrigued with helping their students better understand the science associated with a unit on air and aviation. In particular, they observed that students often encountered difficulty with abstract flight concepts, such as lift, thrust, and drag. Content issues became…

Get a Lawyer Before It's Too Late.

ERIC Educational Resources Information Center

Variety Club School, Honolulu, HI.

Lawyers are needed by schools for many more purposes than merely to execute legal documents. This set of notes for a conference presentation considers lawyers' roles in advising on the legal issues involved in the following: (1) business transactions typically encountered by schools (state contract review, state lease, pool lease, nonprofit…

An Introduction to Cost Sharing: Why Good Deeds Do Not Go Unpunished.

ERIC Educational Resources Information Center

Seligman, Richard P.

2000-01-01

Examines the concept of cost sharing between grantor agencies and grantee institutions and identifies problems encountered, including use of cost sharing to leverage funds by both funding agencies and grantee institutions; and various grantee institution costing, accounting, and auditing issues, such as effort reporting, the Cost Accounting…

A Constructivist Perspective for Integrating Spirituality into Counselor Training

ERIC Educational Resources Information Center

Shaw, Brian M.; Bayne, Hannah; Lorelle, Sonya

2012-01-01

Significant efforts have been made in recent years to integrate training in spirituality and religion into counselor training programs. This article highlights issues that may be encountered by some trainees and suggests that constructivist teaching principles be used to mitigate these concerns. The authors present recommendations and activities…

Applying Mediationist Theory to Communication about Terrorism and War.

ERIC Educational Resources Information Center

Coufal, Kathy L.

2002-01-01

This introductory article to a forum on contemporary issues discusses the importance of communication in the transmission of social values and attitudes and applies mediation theory to the role of parents and teachers in assisting children to understand the images and rhetoric they encounter. (Contains 3 references.) (Author/DB)

Phytophthora ramorum tissue colonization studied with fluorescense microscopy

Treesearch

M. Riedel; S. Wagner; M. Gotz; L. Belbahri; F. Lefort; S. Werres

2009-01-01

The proceeding worldwide spread and the expanding host spectrum of P. ramorum has become a serious threat to natural plant communities. To encounter this threat detailed knowledge about infection pathways and tissue colonization is essential. To analyze these issues, histological studies of infected tissue with epifluorescence microscopy have been...

Proactive Strategies to Safeguard Young Adolescents in the Cyberage

ERIC Educational Resources Information Center

Miller, Nicole C.; Thompson, Nicole L.; Franz, Dana Pomykal

2009-01-01

Schools should be proactive rather than reactive to issues of technology safety, and this requires careful planning and policy implementation. In this article, the authors provide information and recommendations that will help middle grades educators, students, and parents to safely and successfully manage the many technologies they encounter and…

Working with Nonsuicidal Self-Injurious Adolescents

ERIC Educational Resources Information Center

Nelson, Mark D.; Piccin, Rian

2016-01-01

Nonsuicidal self-injury (NSSI) has evolved into a serious issue for adolescents, and is encountered in school systems across the United States. The ability of school counselors and other professionals working in the school environment to understand and assist students who exhibit signs of NSSI is critically important. Research remains minimal on…

Case Studies in Wilderness Medicine.

ERIC Educational Resources Information Center

Gray, Melissa; Tarter, Shana Lee

Five case studies explore issues in wilderness medicine, with emphasis on evacuation decision making. The cases describe medical problems encountered during wilderness trips involving college or high school students. In each case, the situation and facts of the case are outlined, including the patient's medical history and vital signs, and at…

Determination of Bioethical Perceptions of Gifted Students

ERIC Educational Resources Information Center

Ceylan, Özge; Topsakal, Ünsal Umdu

2018-01-01

This research was carried out to reveal the bioethical values that special, talented students have about the socioscientific issues that they may encounter in everyday life. Scanning model was used in the research from quantitative research methods. The study's working group is composed of special talented fifth, sixth, seventh, eighth, ninth, and…

Bilingual Medical Phrase Book (In English and Vietnamese).

ERIC Educational Resources Information Center

Thuy, Vuong G.

This guide offers Vietnamese refugees and immigrants with limited English proficiency a short-cut, word-for-word bilingual reference tool for dealing with medical problems and situations in English-language environments. Seven chapters deal with different issues of the medical encounter and five appendixes present specialized terms and…

Bilingual Medical Phrase Book (In English and Laotian).

ERIC Educational Resources Information Center

Thuy, Vuong G.

This phrase book offers Laotian refugees and immigrants with limited English proficiency a short-cut, word-for-word bilingual reference tool for dealing with medical problems and situations in English-language environments. Seven chapters deal with different issues of the medical encounter and five appendixes present specialized terms and…

Bilingual Medical Phrase Book (In English and Cambodian (Khmer)).

ERIC Educational Resources Information Center

Thuy, Vuong G.

This guide offers Cambodian refugees and immigrants with limited English proficiency a short-cut, word-for-word bilingual reference tool for dealing with medical problems and situations in English-language environments. Seven chapters deal with different issues of the medical encounter and five appendixes present specialized terms and…

Students' Meaning Making in Classroom Discussions: The Importance of Peer Interaction

ERIC Educational Resources Information Center

Rudsberg, Karin; Östman, Leif; Aaro Östman, Elisabeth

2017-01-01

The aim is to investigate how encounters with peers affect an individual's meaning making in argumentation about socio-scientific issues, and how the individual's meaning making influences the argumentation at the collective level. The analysis is conducted using the analytical method "transactional argumentation analysis" (TAA) which…

Choosing and using a lawyer. What every medical practice administrator needs to know.

PubMed

Crow, N R

1994-01-01

Attorney Nancy Crow, J.D., L.L.M., writes about some of the legal issues encountered by medical groups, such as business law, real estate and land use, taxes and employee benefits, among many others, and what types of attorneys are more appropriate for particular concerns.

Foiling Cyberbullies in the New Wild West

ERIC Educational Resources Information Center

Franek, Mark

2006-01-01

The explosion of technology available to schools--and specifically, the ways in which students can misuse technology--has caught many educators off guard. School leaders are now being asked to protect students against potential harmful material they may encounter in cyberspace. The issue of cyberbullying--using technology to harass, intimidate,…

COMBINING EVIDENCE ON AIR POLLUTION AND DAILY MORTALITY FROM 20 LARGEST U.S. CITIES: A HIERARCHICAL MODELING STRATEGY

EPA Science Inventory

Environmental science and management are fed by individual studies of pollution effects, often focused on single locations. Data are encountered data, typically from multiple sources and on different time and spatial scales. Statistical issues including publication bias and m...

The Brown University Child and Adolescent Behavior Letter, 1996.

ERIC Educational Resources Information Center

Lipsitt, Lewis P., Ed.

1996-01-01

These 12 monthly newsletters from 1996 explore the many problems encountered by children and adolescents as they grow up. Regular departments in the newsletter issues include "Keep Your Eye On...," which briefly presents results of research into childhood and adolescent problems; "What's New in Research," summarizing research…

Teaching Controversial Materials: Teaching about the Nuclear Issue.

ERIC Educational Resources Information Center

Wall, Joseph

1986-01-01

Describes difficulties encountered in presenting a college course on nuclear weapons and disarmament. Maintains that such courses must strive for a fuller historical account of the arms race, in addition to stressing the humanistic and ethical questions involved. Warns that controversy will arise and concludes that even blind anger is preferable…

Learning to Understand Others through Relationally Oriented Reading

ERIC Educational Resources Information Center

Lysaker, Judith; Tonge, Clare

2013-01-01

Children with reading difficulties often face social and emotional challenges as well. These struggles may be particularly taxing for these children as classrooms increase in diversity and they encounter fewer people like themselves. In response to these issues, we developed an approach to teaching reading called Relationally Oriented Reading…

The Brown University Child and Adolescent Behavior Letter, 1995.

ERIC Educational Resources Information Center

Lipsitt, Lewis P., Ed.

1995-01-01

These 12 monthly newsletters from 1995 explore the myriad problems encountered by children and adolescents as they grow up. Regular departments in the newsletter issues include "Keep Your Eye On...," which briefly presents results of research into childhood and adolescent problems; "New Research," summarizing research from recent publications and…

Disrespect, harassment, and abuse

PubMed Central

Miedema, Baukje; Easley, Julie; Fortin, Pierrette; Hamilton, Ryan; Tatemichi, Sue

2009-01-01

ABSTRACT OBJECTIVE To examine harassment and abusive encounters between family physicians and their patients or colleagues in the workplace. DESIGN Qualitative case study using semistructured interviews. SETTING Province of New Brunswick. PARTICIPANTS Forty-eight family physicians from across the province. METHODS A collective case-study approach was developed, with 24 cases of 2 individuals per case. Cases were selected based on sex, location (urban or rural), language (French or English), and number of years since medical school graduation (< 10 years, 10 to 20 years, or > 20 years). Physicians were interviewed in either French or English. Participants were recruited using the College of Physicians and Surgeons of New Brunswick’s physician directory. Based on the rates of response and participation, some cases were overrepresented, while others were not completed. All interviews were audiotaped, transcribed verbatim, and analyzed thematically using a categorical aggregation approach. A coding scheme for the thematic analysis was developed by the research team before the interviews were transcribed. MAIN FINDINGS Although the original intent of this study was to examine the work environment of family physicians in light of the increasing number of women entering the profession, harassment and abusive encounters in the workplace emerged as a main theme. These encounters ranged from minor to severe. Minor abusive encounters included disrespectful behaviour and verbal threats by patients, their families, and occasionally colleagues. More severe forms of harassment involved physical threats, physical encounters, and stalking. Demanding patients, such as heavy drug users, were often seen as threatening. Location of practice, years in practice, and sex of the physician seemed to affect abusive encounters—young, female, rural physicians appeared to experience such encounters most often. CONCLUSION Abusive encounters in the workplace are concerning. It is essential to address these issues of workplace harassment and abuse in order to protect physician safety and avoid workplace dissatisfaction. Abusive encounters might push family physicians to leave clinical practice prematurely or refuse to work in higher-risk environments, such as emergency departments or rural areas. PMID:19282539

Performance in physical examination on the USMLE Step 2 Clinical Skills examination.

PubMed

Peitzman, Steven J; Cuddy, Monica M

2015-02-01

To provide descriptive information about history-taking (HX) and physical examination (PE) performance for U.S. medical students as documented by standardized patients (SPs) during the Step 2 Clinical Skills (CS) component of the United States Medical Licensing Examination. The authors examined two hypotheses: (1) Students perform worse in PE compared with HX, and (2) for PE, students perform worse in the musculoskeletal system and neurology compared with other clinical domains. The sample included 121,767 student-SP encounters based on 29,442 examinees from U.S. medical schools who took Step 2 CS for the first time in 2011. The encounters comprised 107 clinical presentations, each categorized into one of five clinical domains: cardiovascular, gastrointestinal, musculoskeletal, neurological, and respiratory. The authors compared mean percent-correct scores for HX and PE via a one-tailed paired-samples t test and examined mean score differences by clinical domain using analysis of variance techniques. Average PE scores (59.6%) were significantly lower than average HX scores (78.1%). The range of scores for PE (51.4%-72.7%) was larger than for HX (74.4%-81.0%), and the standard deviation for PE scores (28.3) was twice as large as the HX standard deviation (14.7). PE performance was significantly weaker for musculoskeletal and neurological encounters compared with other encounters. U.S. medical students perform worse on PE than HX; PE performance was weakest in musculoskeletal and neurology clinical domains. Findings may reflect imbalances in U.S. medical education, but more research is needed to fully understand the relationships among PE instruction, assessment, and proficiency.

Religion, Spirituality, and Medicine: Psychiatrists’ and Other Physicians’ Differing Observations, Interpretations, and Clinical Approaches

PubMed Central

Curlin, Farr A.; Lawrence, Ryan E.; Odell, Shaun; Chin, Marshall H.; Lantos, John D.; Koenig, Harold G.; Meador, Keith G.

2010-01-01

Objective This study compared the ways in which psychiatrists and nonpsychiatrists interpret the relationship between religion/spirituality and health and address religion/spirituality issues in the clinical encounter. Method The authors mailed a survey to a stratified random sample of 2,000 practicing U.S. physicians, with an oversampling of psychiatrists. The authors asked the physicians about their beliefs and observations regarding the relationship between religion/spirituality and patient health and about the ways in which they address religion/spirituality in the clinical setting. Results A total of 1,144 physicians completed the survey. Psychiatrists generally endorse positive influences of religion/spirituality on health, but they are more likely than other physicians to note that religion/spirituality sometimes causes negative emotions that lead to increased patient suffering (82% versus 44%). Compared to other physicians, psychiatrists are more likely to encounter religion/spirituality issues in clinical settings (92% versus 74% report their patients sometimes or often mention religion/spirituality issues), and they are more open to addressing religion/spirituality issues with patients (93% versus 53% say that it is usually or always appropriate to inquire about religion/spirituality). Conclusions This study suggests that the vast majority of psychiatrists appreciate the importance of religion and/or spirituality at least at a functional level. Compared to other physicians, psychiatrists also appear to be more comfortable, and have more experience, addressing religion/spirituality concerns in the clinical setting. PMID:18056237

An Excel Spreadsheet Model for States and Districts to Assess the Cost-Benefit of School Nursing Services.

PubMed

Wang, Li Yan; O'Brien, Mary Jane; Maughan, Erin D

2016-11-01

This paper describes a user-friendly, Excel spreadsheet model and two data collection instruments constructed by the authors to help states and districts perform cost-benefit analyses of school nursing services delivered by full-time school nurses. Prior to applying the model, states or districts need to collect data using two forms: "Daily Nurse Data Collection Form" and the "Teacher Survey." The former is used to record daily nursing activities, including number of student health encounters, number of medications administered, number of student early dismissals, and number of medical procedures performed. The latter is used to obtain estimates for the time teachers spend addressing student health issues. Once inputs are entered in the model, outputs are automatically calculated, including program costs, total benefits, net benefits, and benefit-cost ratio. The spreadsheet model, data collection tools, and instructions are available at the NASN website ( http://www.nasn.org/The/CostBenefitAnalysis ).

Effects of Inlet Distortion on Aeromechanical Stability of a Forward-Swept High-Speed Fan

NASA Technical Reports Server (NTRS)

Herrick, Gregory P.

2011-01-01

Concerns regarding noise, propulsive efficiency, and fuel burn are inspiring aircraft designs wherein the propulsive turbomachines are partially (or fully) embedded within the airframe; such designs present serious concerns with regard to aerodynamic and aeromechanic performance of the compression system in response to inlet distortion. Separately, a forward-swept high-speed fan was developed to address noise concerns of modern podded turbofans; however this fan encounters aeroelastic instability (flutter) as it approaches stall. A three-dimensional, unsteady, Navier-Stokes computational fluid dynamics code is applied to analyze and corroborate fan performance with clean inlet flow. This code, already validated in its application to assess aerodynamic damping of vibrating blades at various flow conditions, is modified and then applied in a computational study to preliminarily assess the effects of inlet distortion on aeroelastic stability of the fan. Computational engineering application and implementation issues are discussed, followed by an investigation into the aeroelastic behavior of the fan with clean and distorted inlets.

Stratification and sample selection for multicrop experiments. [Arkansas, Kentucky, Michigan, Missouri, Mississippi, Ohio, Wisconsin, Illinois, Indiana, Minnesota, Iowa, Louisiana, Nebraska, South Dakota, and North Dakota

NASA Technical Reports Server (NTRS)

Landgrebe, D. A. (Principal Investigator); Hixson, M. M.; Davis, B. J.; Bauer, M. E.

1978-01-01

The author has identified the following significant results. A stratification was performed and sample segments were selected for an initial investigation of multicrop problems in order to support development and evaluation of procedures for using LACIE and other technologies for the classification of corn and soybeans, to identify factors likely to affect classification performance, and to evaluate problems encountered and techniques which are applicable to the crop estimation problem in foreign countries. Two types of samples, low density and high density, supporting these requirements were selected as research data set for an initial evaluation of technical issues. Looking at the geographic location of the strata, the system appears to be logical and the various segments seem to represent different conditions. This result is supportive not only of the variables and the methodology employed in the stratification, but also of the validity of the data sets employed.

Quicker, slicker, and better? An evaluation of a web-based human resource management system

NASA Astrophysics Data System (ADS)

Gibb, Stephen; McBride, Andrew

2001-10-01

This paper reviews the design and development of a web based Human Resource Management (HRM) system which has as its foundation a 'capability profiler' tool for analysing individual or team roles in organisations. This provides a foundation for managing a set of integrated activities in recruitment and selection, performance and career management, and training and development for individuals, teams, and whole organisations. The challenges of representing and processing information about the human side of organisation encountered in the design and implementation of such systems are evident. There is a combination of legal, practical, technical and philosophical issues to be faced in the processes of defining roles, selecting staff, monitoring and managing the performance of employees in the design and implementation of such systems. The strengths and weaknesses of web based systems in this context are evaluated. This evaluation highlights both the potential, given the evolution of broader Enterprise Resource Planning (ERP) systems and strategies in manufacturing, and concerns about the migration of HRM processes to such systems.

Football for life versus antidoping for the masses: ethical antidoping issues and solutions based on the extenuating experiences of an elite footballer competing while undergoing treatment for metastatic testicular cancer.

PubMed

Weiler, Richard; Tombides, Dylan; Urwin, Jon; Clarke, Jane; Verroken, Michele

2014-05-01

It is thankfully rare for extenuating circumstances to fully test the processes and procedures enshrined in national and world antidoping authorities' rules and laws. It is also thankfully very rare that a failed drugs test can have some positive implications. Antidoping laws are undoubtedly focused on ensuring fair competition, however, there are occasions when honest athletes discover medical diagnoses through failed antidoping tests. The purpose of this paper is to broadly discuss antidoping considerations encountered, based on the four principles of medical ethics and to propose simple solutions to these problems. Unfortunately, extreme medical circumstances will often test the limits of antidoping and medical processes and with open channels for feedback, these systems can improve. Performance enhancement seems an illogical concept if an athlete's medical treatment and disease are more inherently performance harming than unintended potential doping, but needs to be carefully managed to maintain fair sport.

Recommendations for toxicological investigation of drug-impaired driving and motor vehicle fatalities.

PubMed

Logan, Barry K; Lowrie, Kayla J; Turri, Jennifer L; Yeakel, Jillian K; Limoges, Jennifer F; Miles, Amy K; Scarneo, Colleen E; Kerrigan, Sarah; Farrell, Laurel J

2013-10-01

This report describes the review and update of a set of minimum recommendations for the toxicological investigation of suspected alcohol and drug-impaired driving cases and motor vehicle fatalities involving drugs or alcohol. The recommendations have the goal of ensuring that a consistent set of data regarding the most frequently encountered drugs linked to driving impairment is collected for practical application in the investigation of these cases and to allow epidemiological monitoring and the development of evidence-based public policy on this important public safety issue. The recommendations are based on a survey of practices in US laboratories performing this kind of analysis, consideration of existing epidemiological crash and arrest data and practical considerations of widely available technology platforms in laboratories performing this work. The final recommendations were derived from a consensus meeting of experts recruited from survey respondents and the membership of the National Safety Council's Alcohol, Drug and Impairment Division (formerly known as the Committee on Alcohol and Other Drugs, CAOD).

Football for life versus antidoping for the masses: ethical antidoping issues and solutions based on the extenuating experiences of an elite footballer competing while undergoing treatment for metastatic testicular cancer

PubMed Central

Weiler, Richard; Tombides, Dylan; Urwin, Jon; Clarke, Jane; Verroken, Michele

2014-01-01

It is thankfully rare for extenuating circumstances to fully test the processes and procedures enshrined in national and world antidoping authorities’ rules and laws. It is also thankfully very rare that a failed drugs test can have some positive implications. Antidoping laws are undoubtedly focused on ensuring fair competition, however, there are occasions when honest athletes discover medical diagnoses through failed antidoping tests. The purpose of this paper is to broadly discuss antidoping considerations encountered, based on the four principles of medical ethics and to propose simple solutions to these problems. Unfortunately, extreme medical circumstances will often test the limits of antidoping and medical processes and with open channels for feedback, these systems can improve. Performance enhancement seems an illogical concept if an athlete’s medical treatment and disease are more inherently performance harming than unintended potential doping, but needs to be carefully managed to maintain fair sport. PMID:24668050

Improving the Retention of First Year Students

NASA Astrophysics Data System (ADS)

Bishop, Graham

The thesis compares student attrition rates in two UWS Schools for 2004 and 2005. It analyses possible reasons why students discontinue and identifies strategies and approaches to improving the quality of the teaching and learning environment for these students. The thesis focuses on the retention of first year students in the School of Engineering at the University of Western Sydney. Low retention rates are costly to the university, leading to inefficient use of resources, failure to fulfil student aspirations, and intervention between the university and the student. In each chapter, the thesis addresses student retention, satisfaction and performance and the interrelation between them and outlines the measures taken by the School of Engineering to improve these measurements for students commencing in 2006 and proposes many recommendations for further improvements in subsequent years. Each chapter addresses these issues by following the student pathway, commencing with the student leaving High School and entering their chosen university and course of study. At each stage, the relevant issues are addressed which have a direct or indirect impact on student retention, satisfaction and performance. Use is made of reports and papers published by universities and organisations, as outlined in the Literature Review. The research questions provide data through the results obtained from surveys. Typical Retention Rates are 75% for UWS, 81% for the Sector, 76% for the New Generation Universities (NGUs) and 62% for the School of Engineering on which this research is focussed. This thesis confirms the research from many countries that closely links student retention with the quality of teaching and learning. Key issues are: • a sound first year student orientation and welcome by staff; encountering efficient, effective and accurate student. The introduction of a more effective and tailored orientation program in 2007 attracted, at UWS School of Engineering, 92% attendance and greater awareness by the students of their study program and the available support services; • having student queries responded to promptly and effectively; The introduction of a First Year Coordinator in 2007 proved to be well received, with a significant number of students having prompt responses to their queries, as compared with previous years; clear expectations management about services and key academic issues like assessment; the marketing of UWS Engineering programs was addressed in 2006 and 2007, with an expansion of the marketing program operated for feeder schools and improved awareness of student expectations prior to entry: an ongoing exercise; having committed, accessible, responsive and capable teaching staff; the accessibility and responsiveness of teaching staff to first year student issues, as outlined in this thesis, is being addressed in 2007; receiving prompt and helpful feedback on their learning; an issue being addressed by the First Year Teaching Team as an essential element of the teaching and learning process; together with: effective use of an appropriate selection from a myriad of learning strategies and resources which give emphasis to active learning, practice oriented learning, peer supported learning and self-managed learning; supported by a reliable infrastructure and support systems; and consistently encountering staff that are responsive and committed to giving service to student support. (Abstract shortened by ProQuest.).

The way we encounter reading material influences how frequently we mind wander.

PubMed

Varao Sousa, Trish L; Carriere, Jonathan S A; Smilek, Daniel

2013-01-01

We examined whether different encounters of reading material influence the likelihood of mind wandering, memory for the material, and the ratings of interest in the material. In a within-subjects design participants experienced three different reading encounters: (1) reading a passage aloud, (2) listening to a passage being read to them, and (3) reading a passage silently. Throughout each reading encounter probes were given in order to identify mind wandering. After finishing the passage participants also rated how interesting it was and completed a content recognition test. Results showed that reading aloud led to the least amount of mind wandering, while listening to the passage led to the most mind wandering. Listening to the passage was also associated with the poorest memory performance and the least interest in the material. Finally, within the silent reading and listening encounters we observed negative relations between mind wandering and both memory performance and interest in the material, replicating previous findings. Taken together, the present findings improve our understanding of the nature of mind wandering while reading, and have potentially important implications for readers seeking to take advantage of the convenience of audiobooks and podcasts.

The way we encounter reading material influences how frequently we mind wander

PubMed Central

Varao Sousa, Trish L.; Carriere, Jonathan S. A.; Smilek, Daniel

2013-01-01

We examined whether different encounters of reading material influence the likelihood of mind wandering, memory for the material, and the ratings of interest in the material. In a within-subjects design participants experienced three different reading encounters: (1) reading a passage aloud, (2) listening to a passage being read to them, and (3) reading a passage silently. Throughout each reading encounter probes were given in order to identify mind wandering. After finishing the passage participants also rated how interesting it was and completed a content recognition test. Results showed that reading aloud led to the least amount of mind wandering, while listening to the passage led to the most mind wandering. Listening to the passage was also associated with the poorest memory performance and the least interest in the material. Finally, within the silent reading and listening encounters we observed negative relations between mind wandering and both memory performance and interest in the material, replicating previous findings. Taken together, the present findings improve our understanding of the nature of mind wandering while reading, and have potentially important implications for readers seeking to take advantage of the convenience of audiobooks and podcasts. PMID:24348444

Estimating the Probability of a Diffusing Target Encountering a Stationary Sensor.

DTIC Science & Technology

1985-07-01

7 RD-R1577 6- 44 ESTIMATING THE PROBABILITY OF A DIFFUSING TARGET i/i ENCOUNTERING R STATIONARY SENSOR(U) NAVAL POSTGRADUATE U SCHOOL MONTEREY CA...8217,: *.:.; - -*.. ,’.-,:;;’.’.. ’,. ,. .*.’.- 4 6 6- ..- .-,,.. : .-.;.- -. NPS55-85-013 NAVAL POSTGRADUATE SCHOOL Monterey, California ESTIMATING THE PROBABILITY OF A DIFFUSING TARGET...PROBABILITY OF A DIFFUSING Technical TARGET ENCOUNTERING A STATIONARY SENSOR S. PERFORMING ORG. REPORT NUMBER 7. AUTHOR(@) S. CONTRACT OR GRANT NUMBER(a

Work on Planetary Atmospheres and Planetary Atmosphere Probes

NASA Technical Reports Server (NTRS)

Seiff, Alvin; Lester, Peter

1999-01-01

A major objective of the grant was to complete the fabrication, test, and evaluation of the atmosphere structure experiment on the Galileo Probe, and to receive, analyze, and interpret data received from the spacecraft. The grantee was competitively selected to be Principal Investigator of Jupiter's atmosphere structure on the Galileo Probe. His primary motivation was to learn as much as possible about Jupiter's atmosphere by means of a successful atmosphere structure experiment, and to support the needs and schedule of the Galileo Project. After a number of launch delays, the Flight instrument was shipped to Kennedy Space Center 2 years after the start of this collaboration, on April 14, 1989, at which time it was determined from System level tests of the ASI on the Probe that the instrument was in good working order and ready for flight. The spacecraft was launched on October 18, 1989. Data analysis of test and calibration data taken over a period of years of instrument testing was continued in preparation for the encounter. The initial instrument checkout in space was performed on October 26, 1989. The data set received by telemetry was thoroughly analyzed, and a report of the findings was transmitted to the Probe Operations Office on Feb. 28, 1990. Key findings reported were that the accelerometer biases had shifted by less than 1 mg through launch and since calibration at Bell Aerospace in 1983; accelerometer scale factors, evaluated by means of calibration currents, fell on lines of variation with temperature established in laboratory calibrations; pressure sensor offsets, correlated as a function of temperature, fell generally within the limits of several years of ground test data; atmospheric and engineering temperature sensor data were internally consistent within a few tenths of a degree; and the instrument electronics performed all expected functions without any observable fault. Altogether, this checkout was highly encouraging of the prospects of instrument performance, although performed greater than 5 years prior to Jupiter encounter. Capability of decoding the science data from the Experiment Data Record to be provided at encounter was developed and exercised using the tape recording of the first Cruise Checkout data. A team effort was organized to program the selection and combination of data words defining pressure, temperature, acceleration, turbulence, and engineering quantities; to apply decalibration algorithms to convert readings from digital numbers to physical quantities; and to organize the data into a suitable printout. A paper on the Galileo Atmosphere Structure Instrument was written and submitted for publication in a special issue of Space Science Reviews. At the Journal editor's request, the grantee reviewed other Probe instrument papers submitted for this special issue. Calibration data were carefully taken for all experiment sensors and accumulated over a period of 10 years. The data were analyzed, fitted with algorithms, and summarized in a calibration report for use in analyzing and interpreting data returned from Jupiter's atmosphere. The sensors included were the primary science pressure, temperature, and acceleration sensors, and the supporting engineering temperature sensors. This report was distributed to experiment coinvestigators and the Probe Project Office.

Optical links in the angle-data assembly of the 70-meter antennas

NASA Technical Reports Server (NTRS)

Nelson, M. D.; Schroeder, J. R.; Tubbs, E. F.

1988-01-01

In the precision-pointing mode the 70 meter antennas utilize an optical link provided by an autocollimator. In an effort to improve reliability and performance, commercial instruments were evaluated as replacement candidates, and upgraded versions of the existing instruments were designed and tested. The latter were selected for the Neptune encounter, but commercial instruments with digital output show promise of significant performance improvement for the post-encounter period.

Operation and performance of the New Horizons Long-Range Reconnaissance Imager during the Pluto encounter

NASA Astrophysics Data System (ADS)

Conard, S. J.; Weaver, H. A.; Núñez, J. I.; Taylor, H. W.; Hayes, J. R.; Cheng, A. F.; Rodgers, D. J.

2017-09-01

The Long-Range Reconnaissance Imager (LORRI) is a high-resolution imaging instrument on the New Horizons spacecraft. LORRI collected over 5000 images during the approach and fly-by of the Pluto system in 2015, including the highest resolution images of Pluto and Charon and the four much smaller satellites (Styx, Nix, Kerberos, and Hydra) near the time of closest approach on 14 July 2015. LORRI is a narrow field of view (0.29°), Ritchey-Chrétien telescope with a 20.8 cm diameter primary mirror and a three-lens field flattener. The telescope has an effective focal length of 262 cm. The focal plane unit consists of a 1024 × 1024 pixel charge-coupled device (CCD) detector operating in frame transfer mode. LORRI provides panchromatic imaging over a bandpass that extends approximately from 350 nm to 850 nm. The instrument operates in an extreme thermal environment, viewing space from within the warm spacecraft. For this reason, LORRI has a silicon carbide optical system with passive thermal control, designed to maintain focus without adjustment over a wide temperature range from -100 C to +50 C. LORRI operated flawlessly throughout the encounter period, providing both science and navigation imaging of the Pluto system. We describe the preparations for the Pluto system encounter, including pre-encounter rehearsals, calibrations, and navigation imaging. In addition, we describe LORRI operations during the encounter, and the resulting imaging performance. Finally, we also briefly describe the post-Pluto encounter imaging of other Kuiper belt objects and the plans for the upcoming encounter with KBO 2014 MU69.

In "the Event" That Art and Teaching Encounter

ERIC Educational Resources Information Center

Garoian, Charles R.

2014-01-01

In this writing, I explore the performative correspondences between the complex, disparate, and disjunctive encounters, alliances, and movements that characterize the making of art and the making of teaching that--according to philosophers Deleuze and Guattari--are constituted by the "plane of consistency," "zone of…

Chest Trauma in Athletic Medicine.

PubMed

Phillips, Nicholas R; Kunz, Derek E

2018-03-01

While overall sports participation continues at high rates, chest injuries occur relatively infrequently. Many conditions of chest injury are benign, related to simple contusions and strains, but the more rare, severe injuries carry a much higher risk of morbidity and mortality than the typical issues encountered in athletic medicine. Missed or delayed diagnosis can prove to be catastrophic. Sports medicine providers must be prepared to encounter a wide range of traumatic conditions relating to the torso, varying from the benign chest wall contusion to the life-threatening tension pneumothorax. Basic field-side management should be rapid and focused, using the standardized approach of Advanced Traumatic Life Support protocol. Early and appropriate diagnosis and management can help allow safe and enjoyable sports participation.

[The heuristics of reaching a diagnosis].

PubMed

Wainstein, Eduardo

2009-12-01

Making a diagnosis in medicine is a complex process in which many cognitive and psychological issues are involved. After the first encounter with the patient, an unconscious process ensues to suspect the presence of a particular disease. Usually, complementary tests are requested to confirm the clinical suspicion. The interpretation of requested tests can be biased by the clinical diagnosis that was considered in the first encounter with the patient. The awareness of these sources of error is essential in the interpretation of the findings that will eventually lead to a final diagnosis. This article discusses some aspects of the heuristics involved in the adjudication of priory probabilities and provides a brief review of current concepts of the reasoning process.

Jewish physicians' beliefs and practices regarding religion/spirituality in the clinical encounter.

PubMed

Stern, Robert M; Rasinski, Kenneth A; Curlin, Farr A

2011-12-01

We used data from a 2003 survey of US physicians to examine differences between Jewish and other religiously affiliated physicians on 4-D of physicians' beliefs and practices regarding religion and spirituality (R/S) in the clinical encounter. On each dimension, Jewish physicians ascribed less importance to the effect of R/S on health and a lesser role for physicians in addressing R/S issues. These effects were partially mediated by lower levels of religiosity among Jewish physicians and by differences in demographic and practice-level characteristics. The study provides a salient example of how religious affiliation can be an important independent predictor of physicians' clinically-relevant beliefs and practices.

Jewish Physicians' Beliefs and Practices Regarding Religion/Spirituality in the Clinical Encounter

PubMed Central

Stern, Robert M.; Rasinski, Kenneth A.; Curlin, Farr A.

2013-01-01

We used data from a 2003 survey of US physicians to examine differences between Jewish and other religiously affiliated physicians on 4-D of physicians' beliefs and practices regarding religion and spirituality (R/S) in the clinical encounter. On each dimension, Jewish physicians ascribed less importance to the effect of R/S on health and a lesser role for physicians in addressing R/S issues. These effects were partially mediated by lower levels of religiosity among Jewish physicians and by differences in demographic and practice-level characteristics. The study provides a salient example of how religious affiliation can be an important independent predictor of physicians' clinically-relevant beliefs and practices. PMID:21706257

Common statistical and research design problems in manuscripts submitted to high-impact psychiatry journals: what editors and reviewers want authors to know.

PubMed

Harris, Alex H S; Reeder, Rachelle; Hyun, Jenny K

2009-10-01

Journal editors and statistical reviewers are often in the difficult position of catching serious problems in submitted manuscripts after the research is conducted and data have been analyzed. We sought to learn from editors and reviewers of major psychiatry journals what common statistical and design problems they most often find in submitted manuscripts and what they wished to communicate to authors regarding these issues. Our primary goal was to facilitate communication between journal editors/reviewers and researchers/authors and thereby improve the scientific and statistical quality of research and submitted manuscripts. Editors and statistical reviewers of 54 high-impact psychiatry journals were surveyed to learn what statistical or design problems they encounter most often in submitted manuscripts. Respondents completed the survey online. The authors analyzed survey text responses using content analysis procedures to identify major themes related to commonly encountered statistical or research design problems. Editors and reviewers (n=15) who handle manuscripts from 39 different high-impact psychiatry journals responded to the survey. The most commonly cited problems regarded failure to map statistical models onto research questions, improper handling of missing data, not controlling for multiple comparisons, not understanding the difference between equivalence and difference trials, and poor controls in quasi-experimental designs. The scientific quality of psychiatry research and submitted reports could be greatly improved if researchers became sensitive to, or sought consultation on frequently encountered methodological and analytic issues.

Commentary: On the wisdom and challenges of culturally attuned treatments for Latinos.

PubMed

Falicov, Celia Jaes

2009-06-01

In this commentary, I outline the common and distinctive components in the cultural adaptation studies in this special issue and compare cultural adaptations with universalistic and culture-specific perspectives. The term cultural attunement may be more reflective than cultural adaptation insofar as the cultural additions in these studies make the treatments more accessible by adding language translation, cultural values, and contextual stressors. These additions most likely enhance the level of engagement and retention in therapy for Latino families. The work ahead requires a deeper examination of the cultural theories of psychological distress and the cultural theories of change in therapy. A final proposal is made in this commentary for considering the bicultural aspects of the cultural adaptation or attunement enterprise, insofar as the clinical research encounters with immigrants are bicultural encounters. These encounters can reach beyond the notion of cultural "adaptation" of mainstream evidence-based treatments to ethnic minorities and present a unique opportunity for mutually enriching bicultural integration of theory, research, and practice.

Workplace discrimination and diabetes: the EEOC Americans with Disabilities Act research project.

PubMed

McMahon, Brian T; West, Steven L; Mansouri, Mehdi; Belongia, Lisa

2005-01-01

Using the Integrated Mission System of the Equal Employment Opportunity Commission, the employment discrimination experience of Americans with diabetes is documented. Researchers compare and contrast the key dimensions of workplace discrimination involving Americans with diabetes and persons with other physical, sensory, and neurological impairments. Specifically, the researchers examine demographic characteristics of the charging parties; the industry designation, location, and size of employers against whom complaints are filed; the nature of discrimination (i.e., type of adverse action) alleged to occur; and the legal outcome or resolution of these complaints. Findings indicate that persons with diabetes were more likely to encounter discrimination involving discharge, constructive discharge, discipline and suspension - all job retention issues. Persons with diabetes were less likely to encounter discrimination involving hiring, reasonable accommodation, non-pension benefits, and layoff. They were also more likely to encounter discrimination when they were older or from specific ethnic backgrounds, or when they worked for small employers or in the Southern United States. Implications for policy and advocacy are addressed.

Effect of first-encounter pretest on pass/fail rates of a clinical skills medical licensure examination.

PubMed

Roberts, William L; McKinley, Danette W; Boulet, John R

2010-05-01

Due to the high-stakes nature of medical exams it is prudent for test agencies to critically evaluate test data and control for potential threats to validity. For the typical multiple station performance assessments used in medicine, it may take time for examinees to become comfortable with the test format and administrative protocol. Since each examinee in the rotational sequence starts with a different task (e.g., simulated clinical encounter), those who are administered non-scored pretest material on their first station may have an advantage compared to those who are not. The purpose of this study is to investigate whether pass/fail rates are different across the sequence of pretest encounters administered during the testing day. First-time takers were grouped by the sequential order in which they were administered the pretest encounter. No statistically significant difference in fail rates was found between examinees who started with the pretest encounter and those who encountered the pretest encounter later in the sequence. Results indicate that current examination administration protocols do not present a threat to the validity of test score interpretations.

Training students with patient actors improves communication: a pilot study.

PubMed

Anderson, Heather A; Young, Jack; Marrelli, Danica; Black, Rudolph; Lambreghts, Kimberly; Twa, Michael D

2014-01-01

Effective patient communication is correlated with better health outcomes and patient satisfaction, but is challenging to train, particularly with difficult clinical scenarios such as loss of sight. In this pilot study, we evaluated the use of simulated patient encounters with actors to train optometric students. Students were recorded during encounters with actors and assigned to an enrichment group performing five interactions with instructor feedback (n = 6) or a no-enrichment group performing two interactions without feedback (n = 4). Student performance on first and last encounters was scored with (1) subjective rating of performance change using a visual analog scale (anchors: much worse/much better), (2) yes/no response: Would you recommend this doctor to a friend/relative?, and (3) average score on questions from the American Board of Internal Medicine (ABIM) assessment of doctor communication skills. Three clinical instructors, masked to student group assignments and the order of patient encounters they viewed, provided scores in addition to self-evaluation by students and patient-actors. Using the visual analog scale, students who received enrichment were rated more improved than the no-enrichment group by masked examiners (+18 vs. -11% p = 0.04) and self-evaluation (+79 vs. +27% p = 0.009), but not by actors (+31 vs. +43%). The proportion of students recommended significantly increased following enrichment for masked examiners (61% vs. 94%; p < 0.001), but not actors (100 vs. 83%). Average ABIM assessment scores were not significantly different by any rating group: masked instructors, actors, or self-ratings. The findings of this study suggest five simulated patient encounters with feedback result in measurable improvement in student-patient communication skills as rated by masked examiners.

Towards the development of day one competences in veterinary behaviour medicine: survey of veterinary professionals experience in companion animal practice in Ireland.

PubMed

Golden, Olwen; Hanlon, Alison J

2018-01-01

Veterinary behaviour medicine should be a foundation subject of the veterinary curriculum because of its wide scope of applications to veterinary practice. Private practitioners are likely to be the primary source of information on animal behaviour for most pet owners, however studies indicate that behavioural issues are not frequently discussed during companion animal consultations and many practitioners lack confidence in dealing with behavioural problems, likely due to poor coverage of this subject in veterinary education.There is a need to identify learning outcomes to support day one competences in veterinary behaviour medicine and these should be informed by practice-based evidence. This study aimed to investigate the nature and frequency of behavioural queries experienced by veterinary professionals in Ireland, the provision of behavioural services at companion animal practices, behaviour referral practices and challenges associated with providing a behaviour service. Two online surveys were developed, one for private veterinary practitioners (PVP) and one for veterinary nurses (VN). Invitations to participate were distributed using contact details from the Premises Accreditation Scheme database on the Veterinary Council of Ireland website. Thirty-eight PVPs and 69 VNs completed the survey. Results indicated that less than half of companion animal practices offer behavioural consults and under a third of practices provide training and socialization events. Over half of the practices surveyed have referred cases to a behavioural specialist.The majority of respondents encountered behavioural queries weekly. Ninety-eight percent reported receiving queries regarding dog behaviour. Toilet training and unruly behaviour were two issues encountered frequently. Behavioural issues in cats were also common. House soiling and destructive behaviour were the problems most frequently encountered by respondents.The two most commonly cited barriers to providing behavioural consultations were lack of in-house or personal expertise, and that clients were not willing to pay for these services.Furthermore over half of all veterinary professionals surveyed indicated that they had received inadequate undergraduate training in veterinary behaviour medicine. Behavioural problems in companion animals can affect the quality of life of pets and their owners. Our survey findings indicate that many veterinary professionals frequently encounter behavioural problems and identify an opportunity for improved provision in behaviour medicine in veterinary education.

"If there is a doctor aboard this flight. . .": issues and advice for the passenger-psychiatrist.

PubMed

Macleod, Sandy

2008-08-01

On several occasions, the author has responded to requests for medical assistance while travelling by air. This paper examines the various issues when a passenger-psychiatrist is confronted with an in-flight medical emergency. A range of medical problems can present during air travel. A review of the available literature on a doctor's obligations when confronted with an in-flight medical emergency is provided. Guidelines for the passenger psychiatrist,who at some stage is likely to encounter such a circumstance, are offered.

Practical lessons in remote connectivity.

PubMed Central

Kouroubali, A.; Starren, J.; Barrows, R. C.; Clayton, P. D.

1997-01-01

Community Health Information Networks (CHINs) require the ability to provide computer network connections to many remote sites. During the implementation of the Washington Heights and Inwood Community Health Management Information System (WHICHIS) at the Columbia-Presbyterian Medical Center (CPMC), a number of remote connectivity issues have been encountered. Both technical and non-technical issues were significant during the installation. We developed a work-flow model for this process which may be helpful to any health care institution attempting to provide seamless remote connectivity. This model is presented and implementation lessons are discussed. PMID:9357643

Optical Issues in Measuring Strabismus

PubMed Central

Irsch, Kristina

2015-01-01

Potential errors and complications during examination and treatment of strabismic patients can be reduced by recognition of certain optical issues. This articles reviews basic as well as guiding principles of prism optics and optics of the eye to equip the reader with the necessary know-how to avoid pitfalls that are commonly encountered when using prisms to measure ocular deviations (e.g., during cover testing), and when observing the corneal light reflex to estimate ocular deviations (e.g., during Hirschberg or Krimsky testing in patients who do not allow for cover testing using prisms). PMID:26180462

Optical Issues in Measuring Strabismus.

PubMed

Irsch, Kristina

2015-01-01

Potential errors and complications during examination and treatment of strabismic patients can be reduced by recognition of certain optical issues. This articles reviews basic as well as guiding principles of prism optics and optics of the eye to equip the reader with the necessary know-how to avoid pitfalls that are commonly encountered when using prisms to measure ocular deviations (e.g., during cover testing), and when observing the corneal light reflex to estimate ocular deviations (e.g., during Hirschberg or Krimsky testing in patients who do not allow for cover testing using prisms).

Organizational strategies for protection against back contamination

NASA Technical Reports Server (NTRS)

Mahoney, T. A.

1976-01-01

The organizational issues pertaining to the prevention of inbound contamination associated with possible Viking missions to Mars are considered. The completed Apollo missions, which returned samples from the moon, provide a convenient base for analysis of inbound contamination issues. Despite concern over the threat of inbound contamination from the moon and efforts to prevent back contamination, the back contamination efforts in the Apollo missions were considered ineffective had these missions encountered living organisms. Several alternatives for consideration in the design of future programs dealing with back contamination are examined and proposed for special consideration.

Renewing Audience Response in Study of Medieval Literature.

ERIC Educational Resources Information Center

Harrington, David V.

Although modern readers often find the interpretation of medieval literature difficult, they should be encouraged to use their imagination to resolve the dilemmas they encounter. Often, these are the same issues with which medieval audiences had to wrestle and which the poets intended to raise. W. Iser's and H. R. Jauss's principles of…

Perceptions of the Importance and Utilization of Clinical Supervision among Certified Rural School Counselors

ERIC Educational Resources Information Center

Duncan, Kelly; Brown-Rice, Kathleen; Bardhoshi, Gerta

2014-01-01

This study explored rural school counselors' perceptions of clinical supervision. School counselors working in rural communities commonly encounter issues that challenge their ability to provide competent counseling services to the students they serve. School counselors serving in these areas are often the only rural mental health provider in…

Ethnicity in Research with Young Children: Invitation/Barrier

ERIC Educational Resources Information Center

Jesuvadian, Mercy Karuniah; Wright, Susan

2014-01-01

This paper explores special issues that a novice, minority researcher encountered at a multi-racial research site. The first author's personal experiences as a female, Tamil-speaking Indian Singaporean shaped the research process and its reception at the research site. In this paper, she observes that, while her ethnic membership operated as a…

Teacher Learning in the In-Between: Encountering an "Invisible Barrier"

ERIC Educational Resources Information Center

Henderson, Linda

2014-01-01

Since early childhood has become the focus of national and supranational political spaces, issues around teacher learning have also gained a firm position in the debates. This has seen the literature on teacher learning largely being positioned within a managerial/alternative dichotomy, arising from a resistance to technical-rationalist discourses…

Teaching Jewish-Christian Relations in the University Classroom.

ERIC Educational Resources Information Center

Shermis, Michael, Ed.

1988-01-01

This special issue on "Teaching Jewish-Christian Relations in the University Classroom" is meant to be a resource for those involved in Jewish studies and who teach about Jewish-Christian relations. It offers an introduction to the topics of the Jewish-Christian encounter, Israel, anti-Semitism, Christian Scriptures, the works of Elie…

76 FR 9544 - Antidumping Methodologies in Proceedings Involving Non-Market Economies: Valuing the Factor of...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-02-18

... parties to comment on these methodological issues described above. Request for Comment on Interim Industry... comments. \\15\\ Indicator: GNI per capita, Atlas Method (current US$) is obtained from http://data.worldbank... methodology, the Department has encountered a number of methodological and practical challenges that must be...

Introduction to High-Impact Feminist Pedagogies: Points of Encounter, Tactics of Change

ERIC Educational Resources Information Center

Lidinsky, April; Jespersen, T. Christine; Stein, Rachel; Hogan, Katie

2014-01-01

This article introduces a four-paper cluster, included in this issue of "Feminist Teacher," in which the authors take up the challenge to dismantle the perceived dichotomy between feminism theory and practice. The authors analyze specific theory based feminist pedagogical practices, which are employed on four very different campuses with…

Language Issues in Teaching and Learning of Mathematics

ERIC Educational Resources Information Center

Nath, Baiju. K.; V., Vineesha

2009-01-01

Today as in the past, many students struggle with mathematics and become affected as they continually encounter obstacles to engagement. Mathematics is generally seen as a difficult subject and how this subject is communicated to pupils will influence how pupils learn the subject. Classroom routines play an important role in developing students'…

Reflections on measuring recreation and travel spending.

Treesearch

Daniel J. Stynes; Eric M. White

2006-01-01

This article reviews problems encountered in using visitor surveys to measure travel spending. Lack of consistency in question wording, spending categories, and units of analysis makes it difficult to compare results across studies. Spending results can be quite sensitive to a number of data-handling issues, in particular, the treatment of outliers, contaminants, and...

Methodological Complications of Matching Designs under Real World Constraints: Lessons from a Study of Deeper Learning

ERIC Educational Resources Information Center

Zeiser, Kristina; Rickles, Jordan; Garet, Michael S.

2014-01-01

To help researchers understand potential issues one can encounter when conducting propensity matching studies in complex settings, this paper describes methodological complications faced when studying schools using deeper learning practices to improve college and career readiness. The study uses data from high schools located in six districts…

Challenges faced and tactics used to integrate real-time state police CAD data with the VDOT Richmond District Smart Traffic Center : lessons learned document

DOT National Transportation Integrated Search

2005-01-01

This document discusses the significant issues encountered during the development effort of integrating the Transportation Management System (OpenTMS) deployed at the VDOT Richmond District Smart Traffic Center (STC) with the real time State Police d...

Working Papers in Educational Linguistics, Volume 9, Number 1, Spring 1993.

ERIC Educational Resources Information Center

Chen, Fred, Ed.; And Others

1993-01-01

This issue of a journal designed to serve as a forum for the exchange of ideas among students and scholars on various aspects of linguistics in education contains the following papers: "The Importance of Participant Role in Cooperative Learning" (Rebecca Freeman); "The Trap of Generalization: A Case of Encountering a New…

Coping with Memory Effect and Serial Correlation when Estimating Reliability in a Longitudinal Framework

ERIC Educational Resources Information Center

Laenen, Annouschka; Alonso, Ariel; Molenberghs, Geert; Vangeneugden, Tony; Mallinckrodt, Craig H.

2010-01-01

Longitudinal studies are permeating clinical trials in psychiatry. Therefore, it is of utmost importance to study the psychometric properties of rating scales, frequently used in these trials, within a longitudinal framework. However, intrasubject serial correlation and memory effects are problematic issues often encountered in longitudinal data.…

Reflection and Reflexivity in Practice versus in Theory: Challenges of Conceptualization, Complexity, and Competence

ERIC Educational Resources Information Center

Alexander, Patricia A.

2017-01-01

In this commentary, theoretical principles pertaining to the role of epistemic cognition in teaching and professional development, synthesized from the content of this special issue on reflection and reflexivity, are proffered. These theoretical notions are then followed with a critical analysis of specific challenges encountered in enacting these…

East-West Encounters: The Challenges of Directing a Program in Jordan.

ERIC Educational Resources Information Center

Sawaie, Mohammed

1995-01-01

The director of a University of Virginia Arabic language program in Jordan discusses issues, sometimes unfamiliar, with which the administrator must deal. In addition to logistical and administrative tasks, in this context these include the role of women in the Arab university and students' questions about the universality of social values. (MSE)

International Students and American University Culture: Adjustment Issues.

ERIC Educational Resources Information Center

Robinson, Jennifer

This paper discusses two types of adjustments that foreign students face when they encounter university culture in the United States. The central section lists and describes four key groups of underlying principles, values, and practices in American education and discusses the reasons why these may be difficult for foreign students to understand.…

Creative Chaos: Learning from the Yugoslavian War

ERIC Educational Resources Information Center

Roberson, Donald N., Jr.

2010-01-01

The aim of this paper was to understand more about the continued learning process of those who have experienced negative life experiences. This paper focuses on the various issues of learning and living through war, specifically encounters from the war in former Yugoslavia. Therefore, the purpose of the study was to understand lessons learned by…

Using Photography and Art in Concept Mapping Research with Adults with Dyslexia

ERIC Educational Resources Information Center

Williams Carawan, Lena; Nalavany, Blace

2010-01-01

Reflexive photography for individual interviews and the use of art with focus groups provides a valuable method for exploring the psychosocial issues encountered by adults with dyslexia. Reflexive photography and art is particularly appropriate when interviewing adults with dyslexia who may have difficulty expressing and focusing on what they want…

Expectations versus Realities of Higher Education: Gap Analysis and University Service Examination

ERIC Educational Resources Information Center

Yooyen, Ayooth; Pirani, Mohammed; Mujtaba, Bahaudin G.

2011-01-01

The university education providers are waking to student recruitment challenges, competition, and the realities of marketing. With these changes, a related and equally important issue has emerged; that is, the student service quality and evaluating of the educational encounter. Using university services as the primary study setting, the study…

From Symptom Recognition to Services: How South Asian Muslim Immigrant Families Navigate Autism

ERIC Educational Resources Information Center

Jegatheesan, Brinda; Fowler, Susan; Miller, Peggy J.

2010-01-01

This study examined the experiences of three South Asian Muslim immigrant families who have a young child with autism. It describes the early period of their child's disability as the families encountered four critical issues in their lives: a complex disability, the culturally diverse conceptualizations of the disability, family-professional…

Water Resources Research Institute | Mississippi State University

Science.gov Websites

Welcome The Mississippi Water Resources Research Institute provides a statewide center of expertise with water policy issues supports state water agencies' mission with research on problems encountered in water and associated land-use and serves as a repository of knowledge for use in education

Otherness in Pedagogical Theory and Practice: The Case of Roma

ERIC Educational Resources Information Center

Kirova, Anna; Prochner, Larry

2015-01-01

This paper addresses the topic of the inclusion of Roma children in education in Europe through an examination of theory and practice in relation to the issues of Otherness and foreignness. Roma children entering school encounter a vastly different world from their home culture, with different expectations for teaching and learning, for…

Methodological Issues and Practical Strategies in Research on Child Maltreatment Victims' Abilities and Experiences as Witnesses

ERIC Educational Resources Information Center

Chae, Yoojin; Goodman, Gail S.; Bederian-Gardner, Daniel; Lindsay, Adam

2011-01-01

Scientific studies of child maltreatment victims' memory abilities and court experiences have important legal, psychological, and clinical implications. However, state-of-the-art research on child witnesses is often hindered by methodological challenges. In this paper, we address specific problems investigators may encounter when attempting such…

Teen Violence Prevention. How to Make a Brief Encounter Make a Difference.

ERIC Educational Resources Information Center

Ginsburg, Kenneth R.

1997-01-01

With appropriate techniques, physicians interested in sports medicine can use their brief contacts with adolescents to address issues of violent behavior. Seizing the moment to gauge involvement and counsel appropriately can be done on any brief visit. The paper presents specific strategies for such teen violence prevention. (SM)

Migratory Birds. Issue Pac.

ERIC Educational Resources Information Center

Fish and Wildlife Service (Dept. of Interior), Washington, DC.

The materials in this educational packet are designed for use with students in grades 4 through 7. They consist of an overview, teaching guides and student data sheets for three activities, and a poster. The overview discusses why, how, where, and when birds migrate as well as problems birds encounter while migrating; the importance of research…

Empowering Aspects of Transition from Kindergarten to First Grade through Children's Voices

ERIC Educational Resources Information Center

Loizou, Eleni

2011-01-01

This study was designed to investigate the reflective comments of 55 first grade children regarding their experiences in kindergarten and first grade. Data collection involved a conversational interview during which children voiced their reflections and comparisons on specific issues (e.g. friends, teacher, learning) they had encountered during…

Students and Psychotropic Medication: The School's Role. A Resources Aid Packet.

ERIC Educational Resources Information Center

California Univ., Los Angeles. Center for Mental Health in Schools.

School professionals encountering students on medication are confronted with a variety of procedures and issues related to medication administration, monitoring, and effects. This resource aid is designed to provide a brief overview guide to this topic and some procedural tools. Section 1 provides an overview perspective, guidelines, and tools…

Internationalisation of Higher Education: Conceptualising the Antecedents and Outcomes of Cross-Cultural Adaptation

ERIC Educational Resources Information Center

Shafaei, Azadeh; Razak, Nordin Abd

2016-01-01

The increase in higher education internationalisation has called for finding possible ways to understand and improve its related issues. Despite the financial, cultural, and social benefits that international students bring to host countries' educational institutions, the challenges they encounter in a new environment are hard to deal with,…

Engineering Encounters: Building Technological Literacy with Philosophy and Nature of Technology

ERIC Educational Resources Information Center

Kruse, Jerrid; Wilcox, Jesse

2017-01-01

This column presents ideas and techniques to enhance your science teaching. In this issue the authors discuss a design project they have used with upper elementary students (grades 4-6). They note ways to engage students in thinking philosophically about technology to meet engineering design outcomes in the "Next Generation Science…

Web-Based Learning System for Developing and Assessing Clinical Diagnostic Skills for Dermatology Residency Program

ERIC Educational Resources Information Center

Kuo, Fan-Ray; Chin, Yi-Ying; Lee, Chao-Hsien; Chiu, Yu-Hsien; Hong, Chien-Hu; Lee, Kuang-Lieh; Ho, Wen-Hsien; Lee, Chih-Hung

2016-01-01

Few studies have explored the learning difficulties and misconceptions that students encounter when using information and communication technology for e-learning. To address this issue, this research developed a system for evaluating the learning efficiency of medical students by applying two-tier diagnosis assessment. The effectiveness of the…

TMF design considerations in turbine airfoils of advanced turbine engines

NASA Astrophysics Data System (ADS)

Date, C. G.; Zamrik, S. Y.; Adams, J. H.; Frani, N. E.

A review of thermal-mechanicalfatigue (TMF) in advanced turbine engines is presented. The review includes examples of typical thermal-mechnical loadings encountered in the design of hot section blades and vanes. Specific issues related to TMF behavior are presented and the associated impact on component life analysis and design is discussed.

Language Policy, Multilingual Encounters, and Transnational Families

ERIC Educational Resources Information Center

King, Kendall A.

2016-01-01

The study of what has come to be known as family language policy has evolved and expanded significantly over the last hundred years, from its early beginnings in the diary studies of Ronjat and Leopold, to the interdisciplinary and transnational research found in this thematic issue of the "Journal of Multilingual and Multicultural…

Toward the efficient implementation of expert systems in Ada

NASA Technical Reports Server (NTRS)

Lee, S. Daniel

1990-01-01

Here, the authors describe Ada language issues encountered during the development of ART-Ada, an expert system tool for Ada deployment. ART-Ada is being used to implement several expert system applications for the Space Station Freedom and the U.S. Air Force. Additional information is given on dynamic memory allocation.

Mathematics Undergraduates' Responses to Semantic Abbreviations, 'Geometric' Images and Multi-Level Abstractions in Group Theory.

ERIC Educational Resources Information Center

Nardi, Elena

2000-01-01

Identifies and explores the difficulties in the novice mathematician's encounter with mathematical abstraction. Observes 20 first-year mathematics undergraduates and extracts sets of episodes from the transcripts of the tutorials and interviews within five topics in pure mathematics. Discusses issues related to the learning of one mathematical…

Video Analysis in Cross-Cultural Environments and Methodological Issues

ERIC Educational Resources Information Center

Montandon, Christiane

2015-01-01

This paper addresses the use of videography combined with group interviews, as a way to better understand the informal learnings of 11-12 year old children in cross-cultural encounters during French-German school exchanges. The complete, consistent video data required the researchers to choose the most significant sequences to highlight the…

Regional assessments of stream ecological condition: Scientific challenges associated with the USA's national Wadeable Stream Assessment

EPA Science Inventory

In this special issue of J-NABS, we have compiled a series of papers that describe some of the major scientific challenges that were encountered during the national Wadeable Streams Assessment (WSA) and some of the lessons learned subsequent to the assessment. Our goal in produc...

Program Planning: The Embryonic Stage.

ERIC Educational Resources Information Center

Stone, Gwen

The document examines a number of sex education programs and reviews some of the problems and issues educators encounter in planning and initiating sex education programs. Included is a discussion of population background of Polk County, Iowa and a presentation by school administrators of five reasons which favor the teaching of sex education: (1)…

Teaching about Mechanical Waves and Sound with a Tuning Fork and the Sun

ERIC Educational Resources Information Center

Leccia, Silvio; Colantonio, Arturo; Puddu, Emanuella; Galano, Silvia; Testa, Italo

2015-01-01

Literature in "Physics Education" has shown that students encounter many difficulties in understanding wave propagation. Such difficulties lead to misconceptions also in understanding sound, often used as context to teach wave propagation. To address these issues, we present in this paper a module in which the students are engaged in…

Embracing and Harnessing Diversity in the US Workforce: What Have We Learned?

ERIC Educational Resources Information Center

Pope, Mark

2012-01-01

Cultural diversity in the US includes race, ethnicity, gender, disability, age, sexual orientation, religion, and other aspects of culture. American ethnic and racial minorities currently account for 31% of the US population, and growing. Their career development issues include the barriers they regularly encounter, such as discrimination;…

Ethical Tensions and Dilemmas Experienced in a Northern Ugandan Social Work Internship

ERIC Educational Resources Information Center

Corbin, Joanne

2012-01-01

This article explores the ethical tensions and dilemmas that arose for 2 U.S. social work students during an 8-month international clinical internship in northern Uganda. These students encountered cultural differences related to issues of confidentiality, autonomy, and self-determination. Student experiences were analyzed using the cultural…

Debates in English Teaching. The Debates in Subject Teaching Series

ERIC Educational Resources Information Center

Davison, Jon, Ed.; Daly, Caroline, Ed.; Moss, John, Ed.

2012-01-01

"Debates in English Teaching" explores the major issues all English teachers encounter in their daily professional lives. It engages with established and contemporary debates, promotes and supports critical reflection and aims to stimulate both novice and experienced teachers to reach informed judgements and argue their point of view with deeper…

Debates in Religious Education. The Debates in Subject Teaching Series

ERIC Educational Resources Information Center

Barnes, L. Philip, Ed.

2011-01-01

What are the key debates in Religious Education teaching today? "Debates in Religious Education" explores the major issues all RE teachers encounter in their daily professional lives. It encourages critical reflection and aims to stimulate both novice and experienced teachers to think more deeply about their practice, and link research…

Ethical Issues Encountered by Families in a High Tech Society.

ERIC Educational Resources Information Center

Inana, Marjorie

Until recently, technological advancement was an unquestioned societal goal. Today, however, controversy and public debate are beginning to arise over a wide variety of technologies, their development, and their use. As certain aspects of technology begin to be perceived as a possible threat to our health, privacy, environment, and safety,…

Statistics and Data Interpretation for Social Work

ERIC Educational Resources Information Center

Rosenthal, James A.

2011-01-01

Written by a social worker for social work students, this is a nuts and bolts guide to statistics that presents complex calculations and concepts in clear, easy-to-understand language. It includes numerous examples, data sets, and issues that students will encounter in social work practice. The first section introduces basic concepts and terms to…

Children Grow Up: Autism in Adolescents & Adults.

ERIC Educational Resources Information Center

Meyers, Kathleen; Griesman, Brenda

The booklet examines issues associated with autism in adolescents and adults. Teenagers with autism exhibit behaviors not unlike their nondisabled peers, and standard definitions of the syndrome may not be relevant at that age. Brief articles explore the range of emotions families may encounter with a young adult or adult who has autism, typical…

The Electronic Library and the Online Classroom: A Technical, Legal, Ethical, and Moral Perspective.

ERIC Educational Resources Information Center

Latimore, Ritchie R.

This paper addresses online classroom and electronic library issues which include the myriad of technical difficulties encountered, along with physical and intellectual property rights. It also makes a statistical comparison of two proportions of Internet access between city and rural schools. An inescapable time lag between the introduction of…

Comprehensive College Student Suicide Assessment: Application of the BASIC ID

ERIC Educational Resources Information Center

Paladino, Derrick; Minton, Casey A. Barrio

2008-01-01

Whether one knows someone who is thinking of suicide, has attempted suicide, or has completed suicide, nearly all individuals who encounter suicide are affected. The influence and residual affects of suicide are further amplified as the issue reaches across communities such as college or university campuses. College and university staff must…

Improving Student Comfort with Death and Dying Discussions through Facilitated Family Encounters

ERIC Educational Resources Information Center

Schillerstrom, Jason E.; Sanchez-Reilly, Sandra; O'Donnell, Louise

2012-01-01

Objective: The purpose of this study was to explore the educational potential for a collaboration between palliative medicine and psychiatry designed to improve first-year medical students' knowledge and comfort with end-of-life issues through a facilitated small-group discussion with family members of recently-deceased loved ones. Methods: A…

Campus-Based Practices for Promoting Student Success: Faculty Policy Issues. Research Brief

ERIC Educational Resources Information Center

Horn, Aaron S.; Reinert, Leah; Kamata, Takehito

2014-01-01

The academic profession has encountered significant change over the past several decades, such as a higher priority on research; increasing enrollment of non-traditional students; the need to manage, advise, and instruct larger student bodies; and greater expectations to use instructional technologies (Gappa & Leslie, 1993: Geiger, 2011;…

Homelessness "Here"? A District Administrator Encounters an Unexpected Challenge

ERIC Educational Resources Information Center

Miller, Peter; Pavlakis, Alexandra; Bourgeois, Alexis

2013-01-01

This case was developed for use in a variety of leadership courses from contemporary issues to policy analysis or school-community relations. A narrative is presented about a superintendent, Kenny, who is faced with two new cases of student homelessness in his affluent suburban community. Students must consider the federal policy context (the…

Women Teacher Militancy in the Workplace 1910-1922.

ERIC Educational Resources Information Center

Thomas, William B.; Moran, Kevin J.

1991-01-01

Describes the political struggles of the Teacher's Educational League in Buffalo, New York, and its founder, Mary A. O'Conner. Discusses the issues and problems women teachers encountered in attempts to reform teacher administrator relations. Traces the league's challenge to the Board of Education and the state of New York; explains that many of…

British-Tradition English in the American University. Lektos: Interdisciplinary Working Papers in Language Sciences, Special Issue.

ERIC Educational Resources Information Center

Dubois, Betty Lou

This paper describes the English language problems encountered by foreign students at New Mexico State University, students whose previous educational experiences have included extensive use of British English. Specifically dealt with are West African students having lived in a situation where "transplanted English" was introduced by…

Systematic Quality Development Work in a Swedish Leisure-Time Centre

ERIC Educational Resources Information Center

Lager, Karin; Sheridan, Sonja; Gustafsson, Jan

2016-01-01

There is increasing activity in the area of quality issues in education in Europe. Diverse discourses of policy for quality are encountered in daily practice. This article explores systematic quality development work in a Swedish educational setting: the leisure-time centre. By following 2 teachers' enactments of policy in planning, organising,…

Racial Microaggressions: A Primer with Implications for Counseling Practice

ERIC Educational Resources Information Center

Houshmand, Sara; Spanierman, Lisa B.; De Stefano, Jack

2017-01-01

Given their societal toll and ubiquitous nature, counselors and other mental health professionals inevitably will encounter clients who have experienced racial microaggressions in their practice. In this primer, we examine key issues relative to racial microaggressions and their impact on the lives of members of racial and ethnic minority groups.…

Improving the Communication Skills of IS Developers during Requirements Elicitation Using Experiential Learning

ERIC Educational Resources Information Center

Qurban, Mustafa H.; Austria, Richmond D.

2009-01-01

The improvement of communication skills among Information Systems (IS) developers can be considered as a strategy to mitigate the risk of project failure during IS design. This paper addresses issues on various communication barriers normally encountered during its requirements elicitation (RE) stage. This study aims to adopt experiential learning…

Outcome Assessment of a Management Program Using a Portfolio Approach: Lessons Learned

ERIC Educational Resources Information Center

Drost, Donald; Hanson, Lee; Molstady, Clark; Peake, Lloyd; Newman, Eric

2008-01-01

Over the past two decades the interest and use of student portfolios for assessing student learning outcomes has grown considerably. This paper presents an overview of the portfolio approach to outcome assessment adopted by the Department of Management at California State University, San Bernardino and discusses major issues encountered over six…

Ruptured Dreams: Female Students' Talk about Boys as Past "Lovers"

ERIC Educational Resources Information Center

Cassar, Joanne

2018-01-01

When romantic encounters come to an end they often evoke a plethora of feelings associated with "breaking up". This article explores this issue in relation to a number of adolescent girls' views on this topic which emerged during focus group discussions about Eminem's song "Foolish Pride." The lyrics of this song convey…

Outcomes of a service teaching module on ODEs for physics students

NASA Astrophysics Data System (ADS)

Hyland, Diarmaid; van Kampen, Paul; Nolan, Brien C.

2018-07-01

This paper reports on the first part of a multiphase research project that seeks to identify and address the difficulties encountered by physics students when studying differential equations. Differential equations are used extensively by undergraduate physics students, particularly in the advanced modules of their degree. It is, therefore, necessary that students develop conceptual understanding of differential equations in addition to procedural skills. We have investigated the difficulties encountered by third-year students at Dublin City University in an introductory differential equations module. We developed a survey to identify these difficulties and administered it to students who had recently completed the module. We found that students' mathematical ability in relation to procedural competence is an issue in their study of differential equations, but not as severe an issue as their conceptual understanding. Mathematical competence alone is insufficient if we expect our students to be able to recognize the need for differential equations in a physical context and to be able to set up, solve and interpret the solutions of such equations. We discuss the implications of these results for the next stages of the research project.

Sickness certification difficulties in Ireland--a GP focus group study.

PubMed

Foley, M; Thorley, K; Von Hout, M-C

2013-07-01

Sickness certification causes problems for general practitioners (GPs). Difficulty with the assessment of capacity to work, conflict with patients and other non-medical factors have been shown to influence GPs' decision-making. Inadequate leadership and management of certification issues add to GPs' difficulties. To explore problems associated with sickness certification, as part of a larger mixed method research project exploring GPs' experiences and perceptions of sickness certification in Ireland. A qualitative study in an urban region of Ireland. A focus group of four male and four female GPs explored problems encountered by GPs in certifying sickness absence. Thematic data analysis was used. Three major themes emerged: perception of the sickness certification system, organization of health care and cultural factors in sickness absence behaviour. Employment structures in public and private sectors and lack of communication with other health care providers and employers were identified as complicating sickness certification. GPs encounter a complexity of issues in sick certification and are dissatisfied with their role in certifying sickness absence. Our results open the debate for policy change and development in Ireland.

From Hippocrates to HIPAA: privacy and confidentiality in emergency medicine--Part II: Challenges in the emergency department.

PubMed

Moskop, John C; Marco, Catherine A; Larkin, Gregory Luke; Geiderman, Joel M; Derse, Arthur R

2005-01-01

Part I of this article reviewed the concepts of privacy and confidentiality and described the moral and legal foundations and limits of these values in health care. Part II highlights specific privacy and confidentiality issues encountered in the emergency department (ED). Discussed first are physical privacy issues in the ED, including problems of ED design and crowding, issues of patient and staff safety, the presence of visitors, law enforcement officers, students, and other observers, and filming activities. The article then examines confidentiality issues in the ED, including protecting medical records, the duty to warn, reportable conditions, telephone inquiries, media requests, communication among health care professionals, habitual patient files, the use of patient images, electronic communication, and information about minor patients.

NASA Composite Materials Development: Lessons Learned and Future Challenges

NASA Technical Reports Server (NTRS)

Tenney, Darrel R.; Davis, John G., Jr.; Pipes, R. Byron; Johnston, Norman

2009-01-01

Composite materials have emerged as the materials of choice for increasing the performance and reducing the weight and cost of military, general aviation, and transport aircraft and space launch vehicles. Major advancements have been made in the ability to design, fabricate, and analyze large complex aerospace structures. The recent efforts by Boeing and Airbus to incorporate composite into primary load carrying structures of large commercial transports and to certify the airworthiness of these structures is evidence of the significant advancements made in understanding and use of these materials in real world aircraft. NASA has been engaged in research on composites since the late 1960 s and has worked to address many development issues with these materials in an effort to ensure safety, improve performance, and improve affordability of air travel for the public good. This research has ranged from synthesis of advanced resin chemistries to development of mathematical analyses tools to reliably predict the response of built-up structures under combined load conditions. The lessons learned from this research are highlighted with specific examples to illustrate the problems encountered and solutions to these problems. Examples include specific technologies related to environmental effects, processing science, fabrication technologies, nondestructive inspection, damage tolerance, micromechanics, structural mechanics, and residual life prediction. The current state of the technology is reviewed and key issues requiring additional research identified. Also, grand challenges to be solved for expanded use of composites in aero structures are identified.

Impact evaluation to communicate and improve conservation non-governmental organization performance: the case of Conservation International.

PubMed

McKinnon, Madeleine C; Mascia, Michael B; Yang, Wu; Turner, Will R; Bonham, Curan

2015-11-05

The rising prominence of more rigorous approaches to measuring conservation outcomes has included greater adoption of impact evaluation by conservation non-governmental organizations (CNGOs). Within the scientific literature, however, little consideration has been given to the unique and specific roles of CNGOs in advancing impact evaluation. We explore these issues in the context of one CNGO-Conservation International (CI)-and its experiences producing, using and funding impact evaluations over the past decade. We examine the contributions of impact evaluation to CI's mission at three different stages of CI's strategy: innovation, demonstration and amplification. Furthermore, we review incentives and barriers encountered by CI in its 10+ years' experience in impact evaluation. More coordinated and strategic use of impact evaluation by CNGOs would facilitate learning and promote accountability across the conservation community. © 2015 The Author(s).

Impact evaluation to communicate and improve conservation non-governmental organization performance: the case of Conservation International

PubMed Central

McKinnon, Madeleine C.; Mascia, Michael B.; Yang, Wu; Turner, Will R.; Bonham, Curan

2015-01-01

The rising prominence of more rigorous approaches to measuring conservation outcomes has included greater adoption of impact evaluation by conservation non-governmental organizations (CNGOs). Within the scientific literature, however, little consideration has been given to the unique and specific roles of CNGOs in advancing impact evaluation. We explore these issues in the context of one CNGO—Conservation International (CI)—and its experiences producing, using and funding impact evaluations over the past decade. We examine the contributions of impact evaluation to CI's mission at three different stages of CI's strategy: innovation, demonstration and amplification. Furthermore, we review incentives and barriers encountered by CI in its 10+ years' experience in impact evaluation. More coordinated and strategic use of impact evaluation by CNGOs would facilitate learning and promote accountability across the conservation community. PMID:26460134

Bilayer Metasurfaces for Dual- and Broadband Optical Antireflection

DOE PAGES

Huang, Li; Chang, Chun-Chieh; Zeng, Beibei; ...

2017-08-09

Optical antireflection has long been pursued for a wide range of applications, but existing approaches encounter issues in the performance, bandwidth, and structure complexity, particularly in the long-wavelength infrared regime. Here we present the demonstration of bilayer metasurfaces that accomplish dual- and broadband optical antireflection in the terahertz and mid-infrared spectral ranges. Furthermore, by simply tailoring the structural geometry and dimensions, here we show that subwavelength metal/dielectric structures enable dramatic reduction of Fresnel reflection and significant enhancement of transmission at a substrate surface, operating either at two discrete narrow bands or over a broad bandwidth up to 28%. We alsomore » use a semianalytical interference model to interpret the obtained results, in which we find that the dispersion of the constituent structures plays a critical role in achieving the observed broadband optical antireflection.« less

Manufacturing the Gas Diffusion Layer for PEM Fuel Cell Using a Novel 3D Printing Technique and Critical Assessment of the Challenges Encountered

PubMed Central

Singamneni, Sarat; Ramos, Maximiano; Al-Jumaily, Ahmed M

2017-01-01

The conventional gas diffusion layer (GDL) of polymer electrolyte membrane (PEM) fuel cells incorporates a carbon-based substrate, which suffers from electrochemical oxidation as well as mechanical degradation, resulting in reduced durability and performance. In addition, it involves a complex manufacturing process to produce it. The proposed technique aims to resolve both these issues by an advanced 3D printing technique, namely selective laser sintering (SLS). In the proposed work, polyamide (PA) is used as the base powder and titanium metal powder is added at an optimised level to enhance the electrical conductivity, thermal, and mechanical properties. The application of selective laser sintering to fabricate a robust gas diffusion substrate for PEM fuel cell applications is quite novel and is attempted here for the first time. PMID:28773156

Manufacturing the Gas Diffusion Layer for PEM Fuel Cell Using a Novel 3D Printing Technique and Critical Assessment of the Challenges Encountered.

PubMed

Jayakumar, Arunkumar; Singamneni, Sarat; Ramos, Maximiano; Al-Jumaily, Ahmed M; Pethaiah, Sethu Sundar

2017-07-14

The conventional gas diffusion layer (GDL) of polymer electrolyte membrane (PEM) fuel cells incorporates a carbon-based substrate, which suffers from electrochemical oxidation as well as mechanical degradation, resulting in reduced durability and performance. In addition, it involves a complex manufacturing process to produce it. The proposed technique aims to resolve both these issues by an advanced 3D printing technique, namely selective laser sintering (SLS). In the proposed work, polyamide (PA) is used as the base powder and titanium metal powder is added at an optimised level to enhance the electrical conductivity, thermal, and mechanical properties. The application of selective laser sintering to fabricate a robust gas diffusion substrate for PEM fuel cell applications is quite novel and is attempted here for the first time.

Automated Reporting of Trainee Metrics Using Electronic Clinical Systems.

PubMed

Levin, Jonathan C; Hron, Jonathan

2017-06-01

The Accreditation Council for Graduate Medical Education has called for increased emphasis on reporting objective performance measures to trainees and programs. However, reporting of objective measures, including clinical volume, is largely omitted from training programs. To use automated electronic medical systems at a tertiary pediatric care hospital to create a dashboard that reports objective trainee and program metrics, including clinical volume and diagnoses in a pediatrics residency. We queried an enterprise data warehouse that aggregates data daily from multiple hospital systems to identify patient encounters during which senior pediatrics residents at Boston Children's Hospital had entered documentation over a 9-month period. From this query, we created a filterable dashboard to display clinical volume and diagnosis data by individual resident and in aggregate. A total of 44 of 45 senior residents (98%) in the program were included in analysis. We identified 12 198 patient encounters during which a senior pediatrics resident had entered documentation; these included a median of 332 inpatient encounters per resident, 122 emergency department encounters, and 84 outpatient encounters. The most common diagnoses stratified by clinical site were: inpatient - dehydration (median = 61); emergency department - long-term/current drug therapy (median = 16); and outpatient - encounter for immunization (median = 48). We used electronic health record systems to generate performance dashboards for trainees in a pediatrics residency across different sites of care with reported volume by diagnosis. Our dashboards provide feedback to program leadership regarding individual and aggregate trainee experience and allow individual trainees to compare their clinical exposure to peers.

An intelligent listening framework for capturing encounter notes from a doctor-patient dialog

PubMed Central

Klann, Jeffrey G; Szolovits, Peter

2009-01-01

Background Capturing accurate and machine-interpretable primary data from clinical encounters is a challenging task, yet critical to the integrity of the practice of medicine. We explore the intriguing possibility that technology can help accurately capture structured data from the clinical encounter using a combination of automated speech recognition (ASR) systems and tools for extraction of clinical meaning from narrative medical text. Our goal is to produce a displayed evolving encounter note, visible and editable (using speech) during the encounter. Results This is very ambitious, and so far we have taken only the most preliminary steps. We report a simple proof-of-concept system and the design of the more comprehensive one we are building, discussing both the engineering design and challenges encountered. Without a formal evaluation, we were encouraged by our initial results. The proof-of-concept, despite a few false positives, correctly recognized the proper category of single-and multi-word phrases in uncorrected ASR output. The more comprehensive system captures and transcribes speech and stores alternative phrase interpretations in an XML-based format used by a text-engineering framework. It does not yet use the framework to perform the language processing present in the proof-of-concept. Conclusion The work here encouraged us that the goal is reachable, so we conclude with proposed next steps. Some challenging steps include acquiring a corpus of doctor-patient conversations, exploring a workable microphone setup, performing user interface research, and developing a multi-speaker version of our tools. PMID:19891797

Self-reporting and measurement of body mass index in adolescents: refusals and validity, and the possible role of socioeconomic and health-related factors.

PubMed

Chau, Nearkasen; Chau, Kénora; Mayet, Aurélie; Baumann, Michèle; Legleye, Stéphane; Falissard, Bruno

2013-09-08

Body mass index assessment using self-reported height and weight (BMIsr) can encounter refusals and under/over-reporting while for assessment with measured data (BMIm) refusals can be more frequent. This could relate to socioeconomic and health-related factors. We explored these issues by investigating numerous potential factors: gender, age, family structure, father's occupation, income, physical/sports activity, subjective weight perception, school performance, unhealthy behaviours, physical/psychological health, social relationships, living environment, having sustained violence, sexual abuse, and involvement in violence. The sample included 1559 adolescents from middle schools in north-eastern France. They completed a questionnaire including socioeconomic and health-related data, self-reported height/weight, measured height/weight, and weight perception (participation rate 94%). Data were analysed using logistic regression models. BMIsr encountered under-reporting (with change in BMI category, 11.8%), over-reporting (6.0%), and reporting refusals (3.6%). BMIm encountered more numerous refusals (7.9%). Reporting refusal was related to living with a single parent, low school performance, lack of physical/sports activity, sustained violence, poor psychological health, and poor social relationships (gender/age-adjusted odds ratios 1.95 to 2.91). Further to these factors, measurement refusal was related to older age, having divorced/separated parents, a father being a manual worker/inactive, insufficient family income, tobacco/cannabis use, involvement in violence, poor physical health, and poor living environment (1.30 to 3.68). Under-reporting was related to male gender, involvement in violence, poor psychological health, and overweight/obesity (as assessed with BMIm) (1.52 to 11). Over-reporting was related to male gender, younger age, alcohol consumption, and underweight (1.30 to 5.35). Weight perception was linked to reporting refusals and under/over-reporting, but slightly linked to measurement refusal. The contributions of socioeconomic and health-related factors to the associations of weight perception with reporting refusal and under/over-reporting ranged from -82% to 44%. There were substantial discrepancies in the associations between socioeconomic/health-related factors and overweight/obesity assessed with BMIsr and BMIm. BMIsr and BMIm were affected by numerous biases related to vulnerability which were also obesity risk factors. BMIsr encountered under/over-reporting which were related to some socioeconomic and health-related factors, weight perception, and BMIm. BMIm was more affected by refusals than BMIsr due to socioeconomic and health-related factors. Further research is needed.

An online forum as a qualitative research method: practical issues.

PubMed

Im, Eun-Ok; Chee, Wonshik

2006-01-01

Despite the positive aspects of online forums as a qualitative research method, very little is known on the practical issues involved in using online forums for data collection, especially for a qualitative research project. The aim of this study was to describe the practical issues encountered in implementing an online forum as a qualitative component of a larger study on cancer pain experience. Throughout the study process, the research staff recorded issues ranging from minor technical problems to serious ethical dilemmas as they arose and wrote memos about them. The memos and written records of the discussions were reviewed and analyzed using content analysis. Two practical issues related to credibility were identified: (a) a high response and retention rate and (b) automatic transcripts. An issue related to dependability was the participants' forgetfulness. The issues related to confirmability were difficulties in theoretical saturation and unstandardized computer and Internet jargon. A security issue related to hacking attempts was noted as well. The analysis of these issues suggests several implications for future researchers who want to use online forums as a qualitative data collection method.

Patterns of antibiotic use in the community and challenges of antibiotic surveillance in a lower-middle-income country setting: a repeated cross-sectional study in Vellore, South India.

PubMed

Chandy, Sujith J; Thomas, Kurien; Mathai, Elizabeth; Antonisamy, Belavendra; Holloway, Kathleen A; Stalsby Lundborg, Cecilia

2013-01-01

There is considerable evidence linking antibiotic usage to bacterial resistance. Intervention strategies are needed to contain antibiotic use and thereby resistance. To plan appropriate strategies, it is imperative to undertake surveillance in the community to monitor antibiotic encounters and drivers of specific antibiotic misuse. Such surveillance is rarely in place in lower-middle-income countries (LMICs). This study describes antibiotic patterns and challenges faced while developing such surveillance systems in an LMIC. Surveillance of antibiotic encounters (prescriptions and dispensations) was carried out using a repeated cross-sectional design for 2 years in Vellore, south India. Every month, patients attending 30 health facilities (small hospitals, general practitioner clinics and pharmacy shops) were observed until 30 antibiotic encounters were attained in each. Antibiotic use was expressed as the percentage of encounters containing specific antibiotics and defined daily doses (DDDs)/100 patients. Bulk antibiotic sales data were also collected. Over 2 years, a total of 52,788 patients were observed and 21,600 antibiotic encounters (40.9%) were accrued. Fluoroquinolones and penicillins were widely used. Rural hospitals used co-trimoxazole more often and urban private hospitals used cephalosporins more often; 41.1% of antibiotic prescriptions were for respiratory infections. The main challenges in surveillance included issues regarding sampling, data collection, denominator calculation and sustainability. Patterns of antibiotic use varied across health facilities, suggesting that interventions should involve all types of health facilities. Although challenges were encountered, our study shows that it is possible to develop surveillance systems in LMICs and the data generated may be used to plan feasible interventions, assess impact and thereby contain resistance.

High-velocity runaway stars from three-body encounters

NASA Astrophysics Data System (ADS)

Gvaramadze, V. V.; Gualandris, A.; Portegies Zwart, S.

2010-01-01

We performed numerical simulations of dynamical encounters between hard, massive binaries and a very massive star (VMS; formed through runaway mergers of ordinary stars in the dense core of a young massive star cluster) to explore the hypothesis that this dynamical process could be responsible for the origin of high-velocity (≥ 200 - 400 km s-1) early or late B-type stars. We estimated the typical velocities produced in encounters between very tight massive binaries and VMSs (of mass of ≥ 200 M⊙) and found that about 3 - 4% of all encounters produce velocities ≥ 400 km s-1, while in about 2% of encounters the escapers attain velocities exceeding the Milky Ways's escape velocity. We therefore argue that the origin of high-velocity (≥ 200 - 400 km s-1) runaway stars and at least some so-called hypervelocity stars could be associated with dynamical encounters between the tightest massive binaries and VMSs formed in the cores of star clusters. We also simulated dynamical encounters between tight massive binaries and single ordinary 50 - 100 M⊙ stars. We found that from 1 to ≃ 4% of these encounters can produce runaway stars with velocities of ≥ 300 - 400 km s-1 (typical of the bound population of high-velocity halo B-type stars) and occasionally (in less than 1% of encounters) produce hypervelocity (≥ 700 km s-1) late B-type escapers.

Hospitalization and rehospitalization in Parkinson disease patients: Data from the National Parkinson Foundation Centers of Excellence.

PubMed

Shahgholi, Leili; De Jesus, Sol; Wu, Samuel S; Pei, Qinglin; Hassan, Anhar; Armstrong, Melissa J; Martinez-Ramirez, Daniel; Schmidt, Peter; Okun, Michael S

2017-01-01

Patients with Parkinson disease (PD) are at high risk of hospital encounters with increasing morbidity and mortality. This study aimed to determine the rate of hospital encounters in a cohort followed over 5 years and to identify associated factors. We queried the data from the International Multicenter National Parkinson Foundation Quality Improvement study. Multivariate logistic regression with backward selection was performed to identify factors associated with hospital encounter prior to baseline visit. Kaplan-Meier estimates were obtained and Cox regression performed on time to hospital encounter after the baseline visit. Of the 7,507 PD patients (mean age 66.5±9.9 years and disease duration 8.9±6.4 years at baseline visit), 1919 (25.6%) had a history of a hospital encounter prior to their baseline visit. Significant factors associated with a history of a hospital encounter prior to baseline included race (white race: OR 0.49), utilization of physical therapy (OR 1.47), history of deep brain stimulation (OR 1.87), number of comorbidities (OR 1.30), caregiver strain (OR 1.17 per standard deviation), and the standardized Timed Up and Go Test (OR 1.21). Patients with a history of hospitalization prior to the baseline were more likely to have a re-hospitalization (HR1.67, P<0.0001) compared to those without a prior hospitalization. In addition, the time to hospital encounter from baseline was significantly associated with age and number of medications. In patients with a history of hospitalization prior to the baseline visit, time to a second hospital encounter was significantly associated with caregiver strain and number of comorbidities. Hospitalization and re-hospitalization were common in this cohort of people with PD. Our results suggest addressing caregiver burden, simplifying medications, and emphasizing primary and multidisciplinary care for comorbidities are potential avenues to explore for reducing hospitalization rates.

Hospitalization and rehospitalization in Parkinson disease patients: Data from the National Parkinson Foundation Centers of Excellence

PubMed Central

De Jesus, Sol; Wu, Samuel S.; Pei, Qinglin; Hassan, Anhar; Armstrong, Melissa J.; Martinez-Ramirez, Daniel; Schmidt, Peter; Okun, Michael S.

2017-01-01

Background Patients with Parkinson disease (PD) are at high risk of hospital encounters with increasing morbidity and mortality. This study aimed to determine the rate of hospital encounters in a cohort followed over 5 years and to identify associated factors. Methods We queried the data from the International Multicenter National Parkinson Foundation Quality Improvement study. Multivariate logistic regression with backward selection was performed to identify factors associated with hospital encounter prior to baseline visit. Kaplan-Meier estimates were obtained and Cox regression performed on time to hospital encounter after the baseline visit. Results Of the 7,507 PD patients (mean age 66.5±9.9 years and disease duration 8.9±6.4 years at baseline visit), 1919 (25.6%) had a history of a hospital encounter prior to their baseline visit. Significant factors associated with a history of a hospital encounter prior to baseline included race (white race: OR 0.49), utilization of physical therapy (OR 1.47), history of deep brain stimulation (OR 1.87), number of comorbidities (OR 1.30), caregiver strain (OR 1.17 per standard deviation), and the standardized Timed Up and Go Test (OR 1.21). Patients with a history of hospitalization prior to the baseline were more likely to have a re-hospitalization (HR1.67, P<0.0001) compared to those without a prior hospitalization. In addition, the time to hospital encounter from baseline was significantly associated with age and number of medications. In patients with a history of hospitalization prior to the baseline visit, time to a second hospital encounter was significantly associated with caregiver strain and number of comorbidities. Conclusion Hospitalization and re-hospitalization were common in this cohort of people with PD. Our results suggest addressing caregiver burden, simplifying medications, and emphasizing primary and multidisciplinary care for comorbidities are potential avenues to explore for reducing hospitalization rates. PMID:28683150

Ethical challenges in mental health research among internally displaced people: ethical theory and research implementation

PubMed Central

2013-01-01

Millions of people undergo displacement in the world. Internally displaced people (IDP) are especially vulnerable as they are not protected by special legislation in contrast to other migrants. Research conducted among IDPs must be correspondingly sensitive in dealing with ethical issues that may arise. Muslim IDPs in Puttalam district in the North-Western province of Sri Lanka were initially displaced from Northern Sri Lanka due to the conflict in 1991. In the backdrop of a study exploring the prevalence of common mental disorders among the IDPs, researchers encountered various ethical challenges. These included inter-related issues of autonomy, non-maleficence, beneficence, confidentiality and informed consent, and how these were tailored in a culture-specific way to a population that has increased vulnerability. This paper analyses how these ethical issues were perceived, detected and managed by the researchers, and the role of ethics review committees in mental health research concerning IDPs. The relevance of guidelines and methodologies in the context of an atypical study population and the benefit versus risk potential of research for IDPs are also discussed. The limitations that were encountered while dealing with ethical challenges during the study are discussed. The concept of post-research ethical conduct audit is suggested to be considered as a potential step to minimize the exploitation of vulnerable populations such as IDPs in mental health research. PMID:23497333

Ethical challenges in mental health research among internally displaced people: ethical theory and research implementation.

PubMed

Siriwardhana, Chesmal; Adikari, Anushka; Jayaweera, Kaushalya; Sumathipala, Athula

2013-03-12

Millions of people undergo displacement in the world. Internally displaced people (IDP) are especially vulnerable as they are not protected by special legislation in contrast to other migrants. Research conducted among IDPs must be correspondingly sensitive in dealing with ethical issues that may arise. Muslim IDPs in Puttalam district in the North-Western province of Sri Lanka were initially displaced from Northern Sri Lanka due to the conflict in 1991. In the backdrop of a study exploring the prevalence of common mental disorders among the IDPs, researchers encountered various ethical challenges. These included inter-related issues of autonomy, non-maleficence, beneficence, confidentiality and informed consent, and how these were tailored in a culture-specific way to a population that has increased vulnerability. This paper analyses how these ethical issues were perceived, detected and managed by the researchers, and the role of ethics review committees in mental health research concerning IDPs. The relevance of guidelines and methodologies in the context of an atypical study population and the benefit versus risk potential of research for IDPs are also discussed. The limitations that were encountered while dealing with ethical challenges during the study are discussed. The concept of post-research ethical conduct audit is suggested to be considered as a potential step to minimize the exploitation of vulnerable populations such as IDPs in mental health research.

A flight-test and simulation evaluation of the longitudinal final approach and landing performance of an automatic system for a light wing loading STOL aircraft

NASA Technical Reports Server (NTRS)

Brown, S. C.; Hardy, G. H.; Hindson, W. S.

1983-01-01

As part of a comprehensive flight-test program of STOL operating systems for the terminal area, an automatic landing system was developed and evaluated for a light wing loading turboprop aircraft. The aircraft utilized an onboard advanced digital avionics system. Flight tests were conducted at a facility that included a STOL runway site with a microwave landing system. Longitudinal flight-test results were presented and compared with available (basically CTOL) criteria. These comparisons were augmented by results from a comprehensive simulation of the controlled aircraft which included representations of navigation errors that were encountered in flight and atmospheric disturbances. Acceptable performance on final approach and at touchdown was achieved by the autoland (automatic landing) system for the moderate winds and turbulence conditions encountered in flight. However, some touchdown performance goals were marginally achieved, and simulation results suggested that difficulties could be encountered in the presence of more extreme atmospheric conditions. Suggestions were made for improving performance under those more extreme conditions.

Nature and frequency of exchanges on medications during primary care encounters.

PubMed

Richard, Claude; Lussier, Marie-Thérèse

2006-12-01

To describe the exchanges, related to discussion of all medications during primary care medical consultations. Descriptive study of audio recordings of 422 medical encounters. Coding was done with MEDICODE, a validated instrument developed to analyse verbal exchanges on medications. The unit of analysis is the medication. An average of 3.9 medications (S.D.=2.8; range 1-21) are discussed per interview and 4.2 themes are broached for each drug (S.D.=2.6; range 1-17). "Active Discussed", "Represcribed" and "Newly Prescribed" drugs account for 43.1, 16.3 and 10.6%, respectively of all medications discussed. Themes most often discussed are Name, Instructions, Observed Main Effect, Class, Reasons for Taking the Drug, General Use of the Medication, Expected Effect on Symptoms, Form of the Medication, Indications Another Consultation Needed, and Alternative Medication. The least often discussed themes include clinically significant ones such as Possible Adverse Effects, Observed Adverse Effects, Expression of Attitudes and Emotions with regard to the medication, Compliance and Warnings. The average number of themes discussed differed between medications that were prescribed during the encounter, either New prescriptions or Represcribed drugs, compared to medications that were only discussed during the encounter. Our results show that medication discussions are heterogeneous and vary with the status of the medication and the theme. Also, the nature and extent of the discussions about medications do not support the shared-decision making model. Though it is too soon to make specific recommendations about discussions on medications, it seems clear that information-sharing about medications during medical encounters is a process that extends beyond any single encounter. Although communication skills are now part of most medical curriculums, there is an obvious need to put forth the concept of patient medication knowledge-building over multiple physician-patient encounters and to better prepare physicians to use the specific content and process skills necessary to revisit issues related to medications that seem necessary to support their patients' medication-taking practices.

SU-E-CAMPUS-J-04: Image Guided Radiation Therapy (IGRT): Review of Technical Standards and Credentialing in Radiotherapy Clinical Trials

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

Giaddui, T; Chen, W; Yu, J

2014-06-15

Purpose: To review IGRT credentialing experience and unexpected technical issues encountered in connection with advanced radiotherapy technologies as implemented in RTOG clinical trials. To update IGRT credentialing procedures with the aim of improving the quality of the process, and to increase the proportion of IGRT credentialing compliance. To develop a living disease site-specific IGRT encyclopedia. Methods: Numerous technical issues were encountered during the IGRT credentialing process. The criteria used for credentialing review were based on: image quality; anatomy included in fused data sets and shift results. Credentialing requirements have been updated according to the AAPM task group reports for IGRTmore » to ensure that all required technical items are included in the quality review process. Implementation instructions have been updated and expanded for recent protocols. Results: Technical issues observed during the credentialing review process include, but are not limited to: poor quality images; inadequate image acquisition region; poor data quality; shifts larger than acceptable; no soft tissue surrogate. The updated IGRT credentialing process will address these issues and will also include the technical items required from AAPM: TG 104; TG 142 and TG 179 reports. An instruction manual has been developed describing a remote credentialing method for reviewers. Submission requirements are updated, including images/documents as well as facility questionnaire. The review report now includes summary of the review process and the parameters that reviewers check. We have reached consensus on the minimum IGRT technical requirement for a number of disease sites. RTOG 1311(NRG-BR002A Phase 1 Study of Stereotactic Body Radiotherapy (SBRT) for the Treatment of Multiple Metastases) is an example, here; the protocol specified the minimum requirement for each anatomical sites (with/without fiducials). Conclusion: Technical issues are identified and reported. IGRT guidelines are updated, with the corresponding credentialing requirements. An IGRT encyclopedia describing site-specific implementation issues is currently in development.« less

Initial results on computational performance of Intel Many Integrated Core (MIC) architecture: implementation of the Weather and Research Forecasting (WRF) Purdue-Lin microphysics scheme

NASA Astrophysics Data System (ADS)

Mielikainen, Jarno; Huang, Bormin; Huang, Allen H.

2014-10-01

Purdue-Lin scheme is a relatively sophisticated microphysics scheme in the Weather Research and Forecasting (WRF) model. The scheme includes six classes of hydro meteors: water vapor, cloud water, raid, cloud ice, snow and graupel. The scheme is very suitable for massively parallel computation as there are no interactions among horizontal grid points. In this paper, we accelerate the Purdue Lin scheme using Intel Many Integrated Core Architecture (MIC) hardware. The Intel Xeon Phi is a high performance coprocessor consists of up to 61 cores. The Xeon Phi is connected to a CPU via the PCI Express (PICe) bus. In this paper, we will discuss in detail the code optimization issues encountered while tuning the Purdue-Lin microphysics Fortran code for Xeon Phi. In particularly, getting a good performance required utilizing multiple cores, the wide vector operations and make efficient use of memory. The results show that the optimizations improved performance of the original code on Xeon Phi 5110P by a factor of 4.2x. Furthermore, the same optimizations improved performance on Intel Xeon E5-2603 CPU by a factor of 1.2x compared to the original code.

Report of experiments and evidence for ASC L2 milestone 4467 : demonstration of a legacy application's path to exascale.

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

Curry, Matthew L.; Ferreira, Kurt Brian; Pedretti, Kevin Thomas Tauke

2012-03-01

This report documents thirteen of Sandia's contributions to the Computational Systems and Software Environment (CSSE) within the Advanced Simulation and Computing (ASC) program between fiscal years 2009 and 2012. It describes their impact on ASC applications. Most contributions are implemented in lower software levels allowing for application improvement without source code changes. Improvements are identified in such areas as reduced run time, characterizing power usage, and Input/Output (I/O). Other experiments are more forward looking, demonstrating potential bottlenecks using mini-application versions of the legacy codes and simulating their network activity on Exascale-class hardware. The purpose of this report is to provemore » that the team has completed milestone 4467-Demonstration of a Legacy Application's Path to Exascale. Cielo is expected to be the last capability system on which existing ASC codes can run without significant modifications. This assertion will be tested to determine where the breaking point is for an existing highly scalable application. The goal is to stretch the performance boundaries of the application by applying recent CSSE RD in areas such as resilience, power, I/O, visualization services, SMARTMAP, lightweight LWKs, virtualization, simulation, and feedback loops. Dedicated system time reservations and/or CCC allocations will be used to quantify the impact of system-level changes to extend the life and performance of the ASC code base. Finally, a simulation of anticipated exascale-class hardware will be performed using SST to supplement the calculations. Determine where the breaking point is for an existing highly scalable application: Chapter 15 presented the CSSE work that sought to identify the breaking point in two ASC legacy applications-Charon and CTH. Their mini-app versions were also employed to complete the task. There is no single breaking point as more than one issue was found with the two codes. The results were that applications can expect to encounter performance issues related to the computing environment, system software, and algorithms. Careful profiling of runtime performance will be needed to identify the source of an issue, in strong combination with knowledge of system software and application source code.« less

Chilled to the bone: embodied countertransference and unspoken traumatic memories.

PubMed

Zoppi, Luisa

2017-11-01

Starting from a deeply challenging experience of early embodied countertransference in a first encounter with a new patient, the author explores the issues it raised. Such moments highlight projective identification as well as what Stone (2006) has described as 'embodied resonance in the countertransference'. In these powerful experiences linear time and subject boundaries are altered, and this leads to central questions about analytic work. As well as discussing the uncanny experience at the very beginning of an analytic encounter and its challenges for the analytic field, the author considers 'the time horizon of analytic process' (Hogenson ), the relationship between 'moments of complexity and analytic boundaries' (Cambray ) and the role of mirror neurons in intersubjective experience. © 2017, The Society of Analytical Psychology.

Demonstration of PIV in a Transonic Compressor

NASA Technical Reports Server (NTRS)

Wernet, Mark P.

1997-01-01

Particle Imaging Velocimetry (PIV) is a powerful measurement technique which can be used as an alternative or complementary approach to Laser Doppler Velocimetry (LDV) in a wide range of research applications. PIV data are measured simultaneously at multiple points in space, which enables the investigation of the non-stationary spatial structures typically encountered in turbomachinery. Many of the same issues encountered in the application of LDV techniques to rotating machinery apply in the application of PIV. Preliminary results from the successful application of the standard 2-D PIV technique to a transonic axial compressor are presented. The lessons learned from the application of the 2-D PIV technique will serve as the basis for applying 3-component PIV techniques to turbomachinery.

[Problems encountered during the installation of an automated anesthesia documentation system (AIMS)].

PubMed

Müller, H; Naujoks, F; Dietz, S

2002-08-01

Problems encountered during the installation and introduction of an automated anaesthesia documentation system are discussed. Difficulties have to be expected in the area of staff training because of heterogeneous experience in computer usage and in the field of online documentation of vital signs. Moreover the areas of net administration and hardware configuration as well as general administrative issues also represent possible sources of drawbacks. System administration and reliable support provided by personnel of the department of anaesthesiology assuring staff motivation and reducing time of system failures require adequately staffed departments. Based on our own experiences, we recommend that anaesthesiology departments considering the future installation and use of an automated anaesthesia documentation system should verify sufficient personnel capacities prior to their decision.

Integration of Gamification into Course Design: A Noble Endeavor with Potential Pitfalls

ERIC Educational Resources Information Center

Moore-Russo, Deborah; Wiss, Andrew; Grabowski, Jeremiah

2018-01-01

In this article, we provide a commentary on the current state of gamification in higher education by reviewing the research literature, noting a lack of research focused on the design of gamified postsecondary courses. To address this issue, we discuss four potential pitfalls instructors may encounter when designing gamified learning activities.…

School Climate for Transgender Youth: A Mixed Method Investigation of Student Experiences and School Responses

ERIC Educational Resources Information Center

McGuire, Jenifer K.; Anderson, Charles R.; Toomey, Russell B.; Russell, Stephen T.

2010-01-01

Transgender youth experience negative school environments and may not benefit directly from interventions defined to support Lesbian, Gay and Bisexual (LGB) youth. This study utilized a multi-method approach to consider the issues that transgender students encounter in school environments. Using data from two studies, survey data (total n = 2260,…

Encountering Culture through Gender Norms in International Education: The Case of Volunteers in Ecuador

ERIC Educational Resources Information Center

McGivern, Martha

2012-01-01

Demonstrating how international education programs can be used to study theoretical issues relevant to comparative education, this article reports on a scholarly analysis of 83 handover letters written by US participants in a volunteer program in Ecuador to their incoming counterparts between 2006 and 2010. It applies Swidler's notion of…

Curriculum Reform with a School-Based Approach: Intellectual, Structural and Cultural Challenges

ERIC Educational Resources Information Center

Lee, Theodore; Cheng, Yin Cheong; Ko, James

2018-01-01

Curriculum reform with a school-based approach is often assumed to offer schools and teachers autonomy at the site level, thus enabling them to develop a school-based curriculum and pedagogies to better fit the needs of students. Over the past decade, school-based curriculum development in Hong Kong has encountered issues that deserve worldwide…

Development and Analyses of Privacy Management Models in Online Social Networks Based on Communication Privacy Management Theory

ERIC Educational Resources Information Center

Lee, Ki Jung

2013-01-01

Online social networks (OSNs), while serving as an emerging means of communication, promote various issues of privacy. Users of OSNs encounter diverse occasions that lead to invasion of their privacy, e.g., published conversation, public revelation of their personally identifiable information, and open boundary of distinct social groups within…

Recurring Issues Encountered by Distance Educators in Developing and Emerging Nations

ERIC Educational Resources Information Center

Wright, Clayton R.; Dhanarajan, Gajaraj; Reju, Sunday A.

2009-01-01

This article explores a number of challenges faced by e-learning or distance educators in developing and emerging countries, provides a context for many of the challenges, and outlines some measures devised to overcome them. These educators must determine a sound rationale for employing online learning, recognize that technology is only part of…

Behavioral aspects of children's sports.

PubMed

Pratt, Helen D; Patel, Dilip R; Greydanus, Donald E

2003-08-01

This article considers some of the numerous behavioral aspects that are related to children's sports. The pediatrician, during various encounters with the athlete and his or her parents in the office, or on the field, can positively influence the sport participation experience of the athlete, by screening and identifying potential problem areas as well as providing anticipatory guidance on various issues.

78 FR 2308 - Self-Regulatory Organizations; Chicago Board Options Exchange, Incorporated; Order Approving a...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-01-10

... Change To Address the Authority To Cancel Orders When a Technical or Systems Issue Occurs and To Describe... authority of the Exchange to cancel orders (or release routing-related orders) when a technical or systems... Exchange may encounter situations that make it necessary to cancel orders (or release routing- related...

The "Dance" of Communication: Counseling Families and Children with Asperger's Syndrome

ERIC Educational Resources Information Center

Lozzi-Toscano, Bettina

2004-01-01

Counselors are trained to deal with many issues within the realm of human experience; many specialize in helping families cope with a variety of internal and external stressors. However, counselors are seldom given all the tools to handle the myriad possible difficulties families may encounter. When counselors are asked to help families cope with…

Cognitive Difficulties in Struggling Comprehenders and Their Relation to Reading Comprehension: A Comparison of Group Selection and Regression-Based Models

ERIC Educational Resources Information Center

Barnes, Marcia A.; Stuebing, Karla K.; Fletcher, Jack M.; Barth, Amy E.; Francis, David J.

2016-01-01

Difficulties suppressing previously encountered but currently irrelevant information from working memory characterize less skilled comprehenders in studies in which they are matched to skilled comprehenders on word decoding and nonverbal IQ. These "extreme" group designs are associated with several methodological issues. When sample size…

A Figurational Analysis of How Indigenous Students Encounter Racialization in Physical Education and School Sport

ERIC Educational Resources Information Center

Williams, John

2018-01-01

The recently launched Australian Curriculum Health and Physical Education has five propositions, one of which is for students to adopt a critical inquiry approach within this subject area. In particular, students are encouraged to explore issues that relate to social power and taken-for-granted assumptions. This paper problematizes the concept of…

Researching Female Professors: The Difficulties of Representation, Positionality and Power in Feminist Research

ERIC Educational Resources Information Center

Hoskins, Kate

2015-01-01

This article draws on findings from my doctoral research to exemplify some of the difficulties I encountered when interviewing 20 female professors and subsequently writing about their life histories. In this article, I discuss how I addressed the issues of representing and positioning my participants, and I reflect on the power dynamics present…

Challenge of Engaging All Students via Self-Paced Interactive Electronic Learning Tutorials for Introductory Physics

ERIC Educational Resources Information Center

DeVore, Seth; Marshman, Emily; Singh, Chandralekha

2017-01-01

As research-based, self-paced electronic learning tools become increasingly available, a critical issue educators encounter is implementing strategies to ensure that all students engage with them as intended. Here, we first discuss the effectiveness of electronic learning tutorials as self-paced learning tools in large enrollment brick and mortar…

Increasing Equitable Care for Youth through Coordinated School Health

ERIC Educational Resources Information Center

Sanetti, Lisa M. Hagermoser

2017-01-01

Nearly a quarter of the students in the U.S. education system have a chronic health condition, disability, or special healthcare need. Students living in poverty and those at risk for or with disabilities have higher rates of health issues and encounter more barriers to accessing appropriate health care than their peers. The reciprocal influences…

Debates in History Teaching. The Debates in Subject Teaching Series

ERIC Educational Resources Information Center

Davies, Ian, Ed.

2010-01-01

"Debates in History Teaching" explores the major issues all history teachers encounter in their daily professional lives. It encourages critical reflection and aims to stimulate both novice and experienced teachers to think more deeply about their practice, and link research and evidence to what they have observed in schools. Written by a range of…

Black Box Thinking: Analysis of a Service Outsourcing Case in Insurance

ERIC Educational Resources Information Center

Witman, Paul D.; Njunge, Christopher

2016-01-01

Often, users of information systems (both automated and manual) must analyze those systems in a "black box" fashion, without being able to see the internals of how the system is supposed to work. In this case of business process outsourcing, an insurance industry customer encounters an ongoing stream of customer service issues, with both…

Perceptions of Women in Management: A Thematic Analysis of Razing the Glass Ceiling

ERIC Educational Resources Information Center

Baumgartner, Mindy S.; Schneider, David E.

2010-01-01

Despite advances that women have made in organizations over the past century, women continue to be underrepresented in upper management positions. Based on a review of literature, six issues that women face when encountering the glass ceiling were examined. The goal of the current study involved having women who have succeeded at breaking the…

Ethical Aspects of Professional Dilemmas in the First Year of Teaching

ERIC Educational Resources Information Center

Ulvik, Marit; Smith, Kari; Helleve, Ingrid

2017-01-01

Education is described as a moral enterprise and many of the professional dilemmas teachers encounter have an ethical aspect. Research on ethical situations that novice teachers experience, however, seems to be limited, and we know little about how teacher education can prepare student-teachers for dealing with ethical issues. In this article a…

On Mixed Methods: Approaches to Language and Literacy Research (An NCRLL Volume). Language & Literacy Series (NCRLL Collection)

ERIC Educational Resources Information Center

Calfee, Robert; Sperling, Melanie

2010-01-01

This book examines the use of mixed methods for conducting language and literacy research, defining how and why this approach is successful for solving problems and clarifying issues that researchers encounter. Using research findings, the authors explore how an intermingling of multiple methods expands the possibilities of observation and…

Puberty.

PubMed

Biro, Frank M

2007-12-01

Puberty consists of interrelated biological changes and occurs at a time when the individual also encounters cognitive and social changes. In this article we examine our current knowledge regarding the onset of puberty, the sequence and timing of puberty, and medical issues and physiologic changes that may arise with pubertal maturation. Figures included demonstrate the sexual maturation stages and interrelationships between the various parameters of puberty.

A Public School Cued Speech Program for Children with Hearing Loss and Special Learning Needs

ERIC Educational Resources Information Center

LeBlanc, Barbara M.

2004-01-01

The difficulties encountered by students with hearing loss and special learning needs are often attributed exclusively to hearing loss, particularly when there are no other obvious physical or sensory handicaps. A Louisiana public school system has addressed this issue for the past 9 years and has included both regular and special education…

An Automatic Caption Filtering and Partial Hiding Approach to Improving the English Listening Comprehension of EFL Students

ERIC Educational Resources Information Center

Hsu, Ching-Kun; Hwang, Gwo-Jen; Chang, Chih-Kai

2014-01-01

Fostering the listening comprehension of English as Foreign Language (EFL) learners has been recognized as an important and challenging issue. Videos have been used as one of the English listening learning resources; however, without effective learning supports, EFL students are likely to encounter difficulties in comprehending the video content,…

Computer-Supported Peer Commenting: A Promising Instructional Method to Promote Skill Development in Vocational Education

ERIC Educational Resources Information Center

Gavota, Monica Cristiana; Cattaneo, Alberto; Arn, Christoph; Boldrini, Elena; Motta, Elisa; Schneider, Daniel; Betrancourt, Mireille

2010-01-01

In vocational education, a challenging issue is to help apprentices build integrated knowledge from workplace training and school teaching. The present research proposes a learning design in which apprentices are required to write with a reciprocal peer-tutoring approach about situations they encountered in the workplace in order to help in…

Delicate Moments: Kids Talk about Socially Complicated Issues. Occasional Paper Series 19

ERIC Educational Resources Information Center

Bauman, Amy

2007-01-01

The author offers an analysis of the failures and insights she experienced working with adolescents at a progressive school while discussing how the students understood and experienced race and identity -- their own and that of others. While she encountered students who were willing to take her into their worlds, her efforts fell flat when her…

The Educational Use of Mass Media. World Bank Staff Working Paper No. 491.

ERIC Educational Resources Information Center

Courrier, Kathleen, Ed.

This 7-chapter volume presents 11 papers dealing with the issues commonly encountered by educators and decision-makers in less developed countries when they consider the use of mass media to further their country's education and development. Individual topics and their authors are (1) "Marshalling, Managing, and Evaluating the Mass Media for…

Improving Pedagogy through Action Learning and Scholarship of Teaching and Learning

ERIC Educational Resources Information Center

Albers, Cheryl

2008-01-01

This ASA Teaching Workshop explored the potential of Action Learning to use teachers' tacit knowledge to collaboratively confront pedagogical issues. The Action Learning model grows out of industrial management and is based on the notion that peers are a valuable resource for learning about how to solve the problems encountered in the workplace.…

Anxiety and Fear in Children's Films

ERIC Educational Resources Information Center

Senturk, Ridvan

2011-01-01

Children's movies bear so many significant features that it should be studied from many aspects. In fact, one of the issues very often encountered in researches and analyses done so far, is the element of terror exposed in children's movies. Nevertheless, first how the basic feelings such as fear and anxiety are produced and formed in children's…

Medication-Related Practice Roles: An Ethical and Legal Primer for School Psychologists

ERIC Educational Resources Information Center

Shahidullah, Jeffrey D.

2014-01-01

Given the prevalence of school-age children and adolescents who are prescribed with and are taking psychotropic medications, a critical issue that school psychologists may likely encounter in contemporary practice is providing both quality and continuity of care to these students in the context of relevant legal and ethical parameters. With a…

The Influence of Perceived Disgust on Students' Motivation and Achievement

ERIC Educational Resources Information Center

Randler, Christoph; Hummel, Eberhard; Wüst-Ackermann, Peter

2013-01-01

There are a wide range of student emotions in academic settings, but apart from emotions such as interest and well-being, disgust is a negative emotion which might be relevant in biology education, for instance, during dissection or when encountering living animals. This paper addresses the issue of situational disgust during a course at the…

Report of the final configuration of the Johnson Noise Thermometry System

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

Britton, Jr., Charles L.; Ezell, N. Dianne Bull; Roberts, Michael

This document is a report on the final box and software configuration of the Johnson Noise Thermometry System being developed at ORNL. Much of this has been reported previously so that this report will be a systems-level summary of those reports, In addition we will describe some of the issues encountered during development.

What Would Terri Want? On the Psychological Challenges of Surrogate Decision Making

ERIC Educational Resources Information Center

Ditto, Peter H

2006-01-01

The Terri Schiavo case was unique in the media attention it garnered, but the decision making challenges faced by Terri's family are common ones encountered by all families who must make choices about the use of life-sustaining medical treatment for an incapacitated loved one. This article highlights three key issues that were particularly…

Measurement Issues in Research on Shadow Education: Challenges and Pitfalls Encountered in TIMSS and PISA

ERIC Educational Resources Information Center

Bray, Mark; Kobakhidze, Magda Nutsa

2014-01-01

Expanding numbers of researchers are focusing on the scale and impact of private supplementary tutoring. Such tutoring is widely called shadow education, since much of its curriculum mimics that of regular schooling. Although shadow education has expanded significantly worldwide and is now recognized to have far-reaching significance, research…

Exploring First Responder Tactics in a Terrorist Chemical Attack

DTIC Science & Technology

2008-12-01

on the Prowl. TODAY Newspaper. Singapore: Mediacorp Publishing, January 4. Lucas, T . W., S. M. Sanchez, L. R. Sickinger, F. Martinez, and J . W...APPENDIX J . PYTHAGORAS 2.0.X ISSUES ENCOUNTERED.......................185 A. DRAWING DISPLAY BUG...in base case scenario. Bar graph shows the t ratio, with blue line showing the 0.05 significance level

The Hard Work of Education

ERIC Educational Resources Information Center

Jones, Edwin

2012-01-01

The author never thought he would succeed in college--and yet he is. This article presents the short story of who the author is, where he came from, his college experience, and the issues he encountered funding his college education. He is enrolled Northern Cheyenne. He graduated from Chief Dull Knife College (CDKC) in May 2011 with an associate's…

Engineering Encounters: Designing Healthy Ice Pops. A STEM Enrichment Project for Second Graders Incorporates Nutrition and Design Principles

ERIC Educational Resources Information Center

Bubnick, Laura; Enneking, Katie; Egbers, Julie

2016-01-01

Science, technology, engineering, and math (STEM) education piques students' innate curiosity and opens their eyes to hundreds of career possibilities. This column presents ideas and techniques to enhance your science teaching. This month's issue shares information about a STEM enrichment project for second graders that incorporates nutrition and…

Didactic and Technical Considerations When Developing e-Learning and CME

ERIC Educational Resources Information Center

te Pas, Ellen; Wieringa-de Waard, Margreet; Blok, Bernadette Snijders; Pouw, Henny; van Dijk, Nynke

2016-01-01

Several usability issues were encountered during the design of a blended e-learning program for a course in evidence-based medicine for general practice trainers. The program was developed in four steps. We focused in this article on step 2 and 3. Step 2 focused on which educational principles to apply, that is, which learning theories,…

Comparing Men's and Women's Perception of Modality of Teaching Business Ethics

ERIC Educational Resources Information Center

Mahdavi, Iraj

2010-01-01

This paper is the second report of a research project involving collecting information via e-survey about occasions in which graduates of a California private University have encountered ethical issues/dilemma after graduation and the role that they think their education and the ethics course they had taken played in recognition and resolution of…