Sample records for scrc study unit

  1. Molecular analysis of MLH1 variants in Chinese sporadic colorectal cancer patients.

    PubMed

    Peng, H X; Xu, X; Yang, R; Chu, Y M; Yang, D M; Xu, Y; Zhou, F L; Ma, W Z; Zhang, X J; Guan, M; Yang, Z H; Jin, Z D

    2016-04-26

    Single nucleotide polymorphisms (SNPs) in mismatch repair genes, especially in the MLH1 gene, are closely associated with susceptibility to hereditary nonpolyposis colorectal cancer. However, few relevant findings are available regarding the association between sporadic colorectal cancer (SCRC) and SNPs of MLH1 in Chinese patients. Therefore, the present study aimed to describe the pathogenic association between three important MLH1 polymorphisms and SCRC in the Chinese population. Peripheral blood samples from 156 SCRC patients and 311 healthy controls were collected. DNA was purified from peripheral blood, and the V384D, R217C, and I219V polymorphisms were evaluated using high-resolution melting analysis and direct sequencing. The association between the three important MLH1 polymorphisms and clinical pathological features of the SCRC patients was analyzed. In addition, PMS2-MLH1 protein interactions were determined by co-immunoprecipitation (Co-IP) to determine the protein functional alteration induced by these SNPs. Among the three polymorphisms, V384D was significantly associated with the risk of SCRC (OR = 31.36, P < 0.0001). The allele frequencies were 4.81 and 0.16% in the SCRC group. No association was found between SCRC and R217C, or between SCRC and I219V. Moreover, the allele frequency of R217C was significantly higher in the SCRC patients younger than 60 years than in those older than 60 years. Co-IP showed that the MLH1 R217C, V384D, and I219V variants had relative binding abilities with PMS2 of 0.59, 0.70, and 0.80, respectively, compared with the wild-type. These findings suggest that MLH1 V384D could be a promising genetic marker for susceptibility to SCRC.

  2. Groundwater-Quality Data in the South Coast Range-Coastal Study Unit, 2008: Results from the California GAMA Program

    USGS Publications Warehouse

    Mathany, Timothy M.; Burton, Carmen A.; Land, Michael; Belitz, Kenneth

    2010-01-01

    Groundwater quality in the approximately 766-square-mile South Coast Range-Coastal (SCRC) study unit was investigated from May to December 2008, as part of the Priority Basins Project of the Groundwater Ambient Monitoring and Assessment (GAMA) Program. The GAMA Priority Basins Project was developed in response to legislative mandates (Supplemental Report of the 1999 Budget Act 1999-00 Fiscal Year; and, the Groundwater Quality Monitoring Act of 2001 [Sections 10780-10782.3 of the California Water Code, Assembly Bill 599]) to assess and monitor the quality of groundwater in California, and is being conducted by the U.S. Geological Survey (USGS) in cooperation with the California State Water Resources Control Board (SWRCB). The SCRC study unit was the 25th study unit to be sampled as part of the GAMA Priority Basins Project. The SCRC study unit was designed to provide a spatially unbiased assessment of untreated groundwater quality in the primary aquifer systems and to facilitate statistically consistent comparisons of untreated groundwater quality throughout California. The primary aquifer systems (hereinafter referred to as primary aquifers) were defined as that part of the aquifer corresponding to the perforation interval of wells listed in the California Department of Public Health (CDPH) database for the SCRC study unit. The quality of groundwater in shallow or deep water-bearing zones may differ from the quality of groundwater in the primary aquifers; shallow groundwater may be more vulnerable to surficial contamination. In the SCRC study unit, groundwater samples were collected from 70 wells in two study areas (Basins and Uplands) in Santa Barbara and San Luis Obispo Counties. Fifty-five of the wells were selected using a spatially distributed, randomized grid-based method to provide statistical representation of the study unit (grid wells), and 15 wells were selected to aid in evaluation of specific water-quality issues (understanding wells). In addition to the 70 wells sampled, 3 surface-water samples were collected in streams near 2 of the sampled wells in order to better comprehend the interaction between groundwater and surface water in the area. The groundwater samples were analyzed for organic constituents (volatile organic compounds [VOC], pesticides and pesticide degradates, polar pesticides and metabolites, and pharmaceutical compounds), constituents of special interest (perchlorate, N-nitrosodimethylamine [NDMA], and 1,2,3-TCP), naturally occurring inorganic constituents (trace elements, nutrients, dissolved organic carbon [DOC], major and minor ions, silica, total dissolved solids [TDS], and alkalinity), and radioactive constituents (gross alpha and gross beta radioactivity). Naturally occurring isotopes (stable isotopes of hydrogen and oxygen in water, stable isotopes of nitrogen and oxygen in dissolved nitrate, stable isotopes of sulfur in dissolved sulfate, stable isotopes of carbon in dissolved inorganic carbon, activities of tritium, and carbon-14 abundance), and dissolved gases (including noble gases) also were measured to help identify the sources and ages of the sampled groundwater. In total, 298 constituents and field water-quality indicators were investigated. Three types of quality-control samples (blanks, replicates, and matrix-spikes) were collected at approximately 3 to 12 percent of the wells in the SCRC study unit, and the results for these samples were used to evaluate the quality of the data for the groundwater samples. Field blanks rarely contained detectable concentrations of any constituent, suggesting that contamination from sample collection procedures was not a significant source of bias in the data for the groundwater samples. Differences between replicate samples generally were less than 10 percent relative and/or standard deviation, indicating acceptable analytical reproducibility. Matrix-spike recoveries were within the acceptable range (70 to 130 percent) for approximately 84

  3. KRAS and TP53 mutations in inflammatory bowel disease-associated colorectal cancer: a meta-analysis

    PubMed Central

    Du, Lijun; Kim, John J.; Shen, Jinhua; Chen, Binrui; Dai, Ning

    2017-01-01

    Although KRAS and TP53 mutations are common in both inflammatory bowel disease-associated colorectal cancer (IBD-CRC) and sporadic colorectal cancer (S-CRC), molecular events leading to carcinogenesis may be different. Previous studies comparing the frequency of KRAS and TP53 mutations in IBD-CRC and S-CRC were inconsistent. We performed a meta-analysis to compare the presence of KRAS and TP53 mutations among patients with IBD-CRC, S-CRC, and IBD without dysplasia. A total of 19 publications (482 patients with IBD-CRC, 4,222 with S-CRC, 281 with IBD without dysplasia) met the study inclusion criteria. KRAS mutation was less frequent (RR=0.71, 95%CI 0.56-0.90; P=0.004) while TP53 mutation was more common (RR=1.24, 95%CI 1.10-1.39; P<0.001) in patients with IBD-CRC compared to S-CRC. Both KRAS (RR=3.09, 95%CI 1.47-6.51; P=0.003) and TP53 (RR=2.15, 95%CI 1.07-4.31 P=0.03) mutations were more prevalent in patients with IBD-CRC compared to IBD without dysplasia. In conclusion, IBD-CRC and S-CRC appear to have biologically different molecular pathways. TP53 appears to be more important than KRAS in IBD-CRC compared to S-CRC. Our findings suggest possible roles of TP53 and KRAS as biomarkers for cancer and dysplasia screening among patients with IBD and may also provide targeted therapy in patients with IBD-CRC. PMID:28077799

  4. Clinicopathological differences between familial colorectal cancer type X and sporadic cancer in an isolated area of spain.

    PubMed

    Medina-Arana, V; Rahy-Martín, A; Delgado-Plasencia, L; Martínez-Riera, A; León-Ayllón, D; Rodríguez-Castellano, D; Bravo-Gutiérrez, A; Fernández-Peralta, A; González-Aguilera, J J

    2016-11-01

    Very few studies have compared the epidemiological characteristics of patients with familial colorectal cancer Type X (FCCTX) with those of sporadic colorectal cancer (S-CRC). The aim of this study was to compare clinicopathological characteristics and survival between FCCTX and S-CRC in patients from a historically isolated geographical region. A retrospective study was carried out of patients with S-CRC and FCCTX treated in the Canary Islands. Family and personal history of colorectal cancer (CRC) were recorded, together with genetic (microsatellite instability), immunohistochemical and clinical variables. Forty-eight (10.6%) of 451 patients were classified as FCCTX and the remaining 403 (89.4%) as S-CRC. Age at the diagnosis of tumour was significantly lower in FCCTX than in S-CRC (64.06 ± 12.65 years vs 69.13 ± 10.80 years; P = 0.01; Z = -2.48). Patients with FCCTX had a larger number of synchronous tumours (P = 0.09). Recurrence was significantly higher in FCCTX than in S-CRC (18.7% vs 8.6%; P = 0.01). Survival correlated significantly with the number of first-degree and second-degree relatives with CRC (P = 0.04; OR: 1.368, 95% CI: 1.01-1.84, and P = 0.04; OR: 1.363, 95% CI: 1.08-1.65) and with the total number of cases of CRC in the immediate family (P < 0.01; OR: 1.377, 95% CI: 1.17-1.61). Recurrence-free time was significantly lower in patients with FCCTX (log-rank = 0.01). Significant differences were found in several demographic and clinicopathological variables between patients with FCCTX and patients with S-CRC. These included increased tumour presentation under the age of 50 years and a higher recurrence rate in patients with FCCTX, suggesting an increased risk of CRC in this group. Colorectal Disease © 2016 The Association of Coloproctology of Great Britain and Ireland.

  5. Status and understanding of groundwater quality in the South Coast Range-Coastal study unit, 2008: California GAMA Priority Basin Project

    USGS Publications Warehouse

    Burton, Carmen A.; Land, Michael; Belitz, Kenneth

    2013-01-01

    Groundwater quality in the South Coast Range–Coastal (SCRC) study unit was investigated from May through November 2008 as part of the Priority Basin Project of the Groundwater Ambient Monitoring and Assessment (GAMA) Program. The study unit is located in the Southern Coast Range hydrologic province and includes parts of Santa Barbara and San Luis Obispo Counties. The GAMA Priority Basin Project is conducted by the U.S. Geological Survey (USGS) in collaboration with the California State Water Resources Control Board and the Lawrence Livermore National Laboratory. The GAMA Priority Basin Project was designed to provide a statistically unbiased, spatially distributed assessment of untreated groundwater quality within the primary aquifer system. The primary aquifer system is defined as that part of the aquifer corresponding to the perforation interval of wells listed in the California Department of Public Health (CDPH) database for the SCRC study unit. The assessments for the SCRC study unit were based on water-quality and ancillary data collected in 2008 by the USGS from 55 wells on a spatially distributed grid, and water-quality data from the CDPH database. Two types of assessments were made: (1) status, assessment of the current quality of the groundwater resource, and (2) understanding, identification of the natural and human factors affecting groundwater quality. Water-quality and ancillary data were collected from an additional 15 wells for the understanding assessment. The assessments characterize untreated groundwater quality, not the quality of treated drinking water delivered to consumers by water purveyors. The first component of this study, the status assessment of groundwater quality, used data from samples analyzed for anthropogenic constituents such as volatile organic compounds (VOCs) and pesticides, as well as naturally occurring inorganic constituents such as major ions and trace elements. Although the status assessment applies to untreated groundwater, Federal and California regulatory and non-regulatory water-quality benchmarks that apply to drinking water are used to provide context for the results. Relative-concentrations (sample concentration divided by benchmark concentration) were used for evaluating groundwater. A relative-concentration greater than (>) 1.0 indicates a concentration greater than the benchmark and is classified as high. Inorganic constituents are classified as moderate if relative-concentrations are >0.5 and less than or equal to (≤) 1.0, or low if relative-concentrations are ≤0.5. For organic constituents, the boundary between moderate and low relative-concentrations was set at 0.1. Aquifer-scale proportion was used in the status assessment as the primary metric for evaluating regional-scale groundwater quality. High aquifer-scale proportion is defined as the areal percentage of the primary aquifer system with a high relative-concentration for a particular constituent or class of constituents. Moderate and low aquifer-scale proportions were defined as the areal percentage of the primary aquifer system with moderate and low relative-concentrations, respectively. Two statistical approaches—grid-based and spatially weighted—were used to evaluate aquifer-scale proportions for individual constituents and classes of constituents. Grid-based and spatially weighted estimates were comparable for the study (within 90 percent confidence intervals). For inorganic constituents with human-health benchmarks, relative-concentrations were high for at least one constituent for 33 percent of the primary aquifer system in the SCRC study unit. Arsenic, molybdenum, and nitrate were the primary inorganic constituents with human-health benchmarks that were detected at high relative-concentrations. Inorganic constituents with aesthetic benchmarks, referred to as secondary maximum contaminant levels (SMCLs), had high relative-concentrations for 35 percent of the primary aquifer system. Iron, manganese, total dissolved solids (TDS), and sulfate were the inorganic constituents with SMCLs detected at high relative-concentrations. In contrast to inorganic constituents, organic constituents with human-health benchmarks were not detected at high relative-concentrations in the primary aquifer system in the SCRC study unit. Of the 205 organic constituents analyzed, 21 were detected—13 with human-health benchmarks. Perchloroethene (PCE) was the only VOC detected at moderate relative-concentrations. PCE, dichlorodifluoromethane (CFC-12), and chloroform were detected in more than 10 percent of the primary aquifer system. Of the two special-interest constituents, one was detected; perchlorate, which has a human-health benchmark, was detected at moderate relative-concentrations in 29 percent of the primary aquifer system and had a detection frequency of 60 percent in the SCRC study unit. The second component of this study, the understanding assessment, identified the natural and human factors that may have affected groundwater quality in the SCRC study unit by evaluating statistical correlations between water-quality constituents and potential explanatory factors. The potential explanatory factors evaluated were land use, septic tank density, well depth and depth to top-of-perforations, groundwater age, density and distance to the nearest formerly leaking underground fuel tank (LUFT), pH, and dissolved oxygen (DO) concentration. Results of the statistical evaluations were used to explain the occurrence and distribution of constituents in the study unit. DO was the primary explanatory factor influencing the concentrations of many inorganic constituents. Arsenic, iron, and manganese concentrations increased as DO concentrations decreased, consistent with patterns expected as a result of reductive dissolution of iron and (or) manganese oxides in aquifer sediments. Molybdenum concentrations increased in anoxic conditions and in oxic conditions with high pH, reflecting two mechanisms for the mobilization of molybdenum—reductive dissolution and pH-dependent desorption under oxic conditions from aquifer sediments. Nitrate concentrations decreased as DO concentrations decreased which would be consistent with degradation of nitrate under anoxic conditions (denitrification). It also is possible that nitrate concentrations decreased in relation to increasing depth and groundwater age and not as a result of denitrification. Groundwater age was another explanatory factor frequently correlated to several inorganic constituents. Iron and manganese concentrations were higher in pre-modern (water recharged before 1952) or mixed-age groundwater. This correlation is one indication that iron and manganese are from natural sources. Nitrate, TDS, and sulfate concentrations were higher in modern groundwater (water recharged since 1952) and may indicate that human activities increase concentrations of nitrate, TDS, and sulfate. Land use was a third explanatory factor frequently correlated with inorganic constituents. Nitrate, TDS, and sulfate concentrations were higher in agricultural land-use areas than in natural land-use areas, indicating that increased concentrations may be a result of agricultural practices. Organic constituents usually were detected at low relative-concentrations; therefore, statistical analyses of relations to explanatory factors usually were done for classes of constituents (for example, pesticides or solvents) as well as for selected constituents. The number of VOCs detected in a well was not correlated to any of the explanatory factors evaluated. The number of pesticide and solvent detections and PCE and CFC-12 concentrations were higher in modern groundwater than in pre-modern groundwater. PCE and CFC-12 also were positively correlated to the density of LUFTs. PCE was negatively correlated to natural land use. Chloroform concentrations were positively correlated to the density of septic systems. Perchlorate concentrations were greater in agricultural areas than in urban or natural areas. Correlation of perchlorate with DO may indicate that perchlorate biodegradation under anoxic conditions may occur. Anthropogenic sources have contributed perchlorate to groundwater in the SCRC study unit, although low levels of perchlorate may occur naturally.

  6. Clinical outcomes of laparoscopic-assisted synchronous bowel anastomoses for synchronous colorectal cancer: initial clinical experience

    PubMed Central

    Wei, Yunwei; Liu, Peng; Xu, Jun

    2017-01-01

    The primary aim of this study was to explore the safety and feasibility of laparoscopic-assisted synchronous bowel anastomoses (LSBA) for synchronous colorectal cancer (SCRC). All patients who underwent LSBA for SCRC were retrospectively reviewed and analyzed for clinical and pathological features, technical feasibility and short-term as well as long-term oncological outcomes. Between July 2008 and January 2012, a series of 11 consecutive SCRC patients underwent LSBA. Six patients underwent laparoscopic-assisted right hemicolectomy and anterior resection. Five patients had laparoscopic-assisted right hemicolectomy and sigmoidectomy. There were no intraoperative complications that required open conversions. Mean operation time was 233 (range, 195–285) minutes, and mean estimated blood loss was 224 (range, 100–300) mL. The postoperative course of the patients was uneventful with the mean return to oral intake was 6.9 (range 5–12) days, and mean length of hospital stay was 12.6 (range 9–17) days. All surgical wounds showed good cosmetic outcome, and the mean incision length was 4.1 (range 3.5-5.0) cm. During a median follow-up period of 76 months, no local tumor recurrences were found. LSBA is a potentially feasible and safe procedure for SCRC when performed by an experienced surgeon. Further large clinical controlled trials are warranted to confirm the findings. PMID:27821798

  7. Evaluation of the 2006-2007 Students' Creative Response to Conflict Program

    ERIC Educational Resources Information Center

    Yungbluth, Stephen C.

    2008-01-01

    A quasi-experimental pre- and post-test design was used to evaluate the Students' Creative Response to Conflict (SCRC) program, which is based on the principles of conflict resolution education and social-emotional learning. It is predicted that SCRC will influence students to reduce their approval of aggression and associated problem behaviors…

  8. Methylation variable position profiles of hMLH1 promoter CpG islands in human sporadic colorectal carcinoma.

    PubMed

    Huang, Qing; Huang, Jun-Fu; Zhang, Bo; Baum, Larry; Fu, Wei-Ling

    2012-03-01

    Aberrant hypermethylation of CpG islands (CGIs) in hMLH1 promoter regions has been well known to play an important role in the tumorigenesis of human sporadic colorectal carcinoma (SCRC). In this study, bisulfite sequencing was performed to analyze the methylation variable positions (MVPs) profiles of hMLH1 promoter CGIs in 30 clinical SCRC patients, and further analysis was carried out to evaluate the associations between the CGI methylation and the clinicopathological features in SCRC. Among the 2 CGIs in the hMLH1 promoter, that is, CGI-I and CGI-II, 20% (6/30) and 13% (4/30) of the patients had methylated CGI-I and CGI-II, respectively. Suppressed expression of hMLH1was significantly correlated with methylation of CGI-I but not CGI-II. Further analysis of the MVP profiles of CGI-I showed that most of the MVPs were hypermethylated and others were poorly methylated or unmethylated. The profiles could be classified into at least 4 groups based on the methylation status of 3 MVPs at positions 21 to 23 in CGI-I. All 6 patients with methylated CGI-I belonged to group I. This result suggests that the above 3 MVPs in CGI-I should be a targeted region to further analyze the epigenetic features of hMLH1 in human SCRC. Our results further suggest that MVP profiling is useful for identifying the aberrantly methylated CGIs associated with suppressed gene expression.

  9. DNA methylation patterns in ulcerative colitis-associated cancer: a systematic review.

    PubMed

    Emmett, Ruth A; Davidson, Katherine L; Gould, Nicholas J; Arasaradnam, Ramesh P

    2017-07-01

    Evidence points to the role of DNA methylation in ulcerative colitis (UC)-associated cancer (UCC), the most serious complication of ulcerative colitis. A better understanding of the etiology of UCC may facilitate the development of new therapeutic targets and help to identify biomarkers of the disease risk. A search was performed in three databases following PRISMA protocol. DNA methylation in UCC was compared with sporadic colorectal cancer (SCRC), and individual genes differently methylated in UCC identified. While there were some similarities in the methylation patterns of UCC compared with SCRC, generally lower levels of hypermethylation in promoter regions of individual genes was evident in UCC. Certain individual genes are, however, highly methylated in colitis-associated cancer: RUNX3, MINT1, MYOD and p16 exon1 and the promoter regions of EYA4 and ESR. Patterns of DNA methylation differ between UCC and SCRC. Seven genes appear to be promising putative biomarkers.

  10. Bis-(3'-5')-cyclic dimeric GMP-linked quorum sensing controls swarming in Vibrio parahaemolyticus.

    PubMed

    Trimble, Michael J; McCarter, Linda L

    2011-11-01

    Movement over and colonization of surfaces are important survival strategies for bacteria, and many find it advantageous to perform these activities as a group, using quorum sensing to sample population size and synchronize behavior. It is puzzling however, that swarming-proficient and virulent strains of Vibrio parahaemolyticus are silenced for the vibrio archetypal pathway of quorum sensing. Here we describe the S-signal, a pheromone that can be communicated between cells in coculture to regulate surface colonization. This signal was harvested in cell-free supernatants and demonstrated to stimulate swarming gene expression at low cell density. The S-signal was generated by the pyridoxal phosphate-dependent aminotransferase ScrA; signal reception required the periplasmic binding protein ScrB and the membrane-bound GGDEF-EAL domain-containing protein ScrC. ScrC is a bifunctional enzyme that has the ability to form and degrade the second messenger bis-(3'-5') cyclic dimeric GMP (c-di-GMP). ScrA in neighboring cells was able to alter the activity of ScrC in a ScrB-dependent manner, transforming ScrC's repressing ability to inducing activity with respect to swarming. Conversely, cell-cell signaling repressed capsule gene expression. In summary, we report that quorum sensing can stimulate swarming in V. parahaemolyticus; it does so via an alternative pathway capable of generating an autoinducing signal that influences c-di-GMP, thereby expanding the lexicon and language of cell-cell communication.

  11. VizieR Online Data Catalog: The Sco-Cen Rotation Catalogue - SCRC (Mellon+ 2017)

    NASA Astrophysics Data System (ADS)

    Mellon, S. N.; Mamajek, E. E.; Oberst, T. E.; Pecaut, M. J.

    2017-09-01

    We report the results of a study of archival SuperWASP light curves for stars in Scorpius-Centaurus (Sco-Cen), the nearest OB association. We use SuperWASP time-series photometry to extract rotation periods for candidate members of the Sco-Cen complex. Our final sample contains 157 well-characterized pre-MS stars. (4 data files).

  12. Climate Literacy Ambassadors

    NASA Astrophysics Data System (ADS)

    Ackerman, S. A.; Mooney, M. E.

    2011-12-01

    The Climate Literacy Ambassadors program is a collaborative effort to advance climate literacy led by the Cooperative Institute of Meteorological Satellite Studies (CIMSS) at the University of Wisconsin-Madison. With support from NASA, CIMSS is coordinating a three-tiered program to train G6-12 teachers to be Ambassadors of Climate Literacy in their schools and communities. The complete training involves participation at a teacher workshop combined with web-based professional development content around Global and Regional Climate Change. The on-line course utilizes e-learning technology to clarify graphs and concepts from the 2007 Intergovernmental Panel on Climate Change Summary for Policy Makers with content intricately linked to the Climate Literacy: The Essential Principles of Climate Science. Educators who take the course for credit can develop lesson plans or opt for a project of their choosing. This session will showcase select lesson plans and projects, ranging from a district-wide action plan that engaged dozens of teachers to Ambassadors volunteering at the Aldo Leopold Climate Change Nature Center to a teacher who tested a GLOBE Student Climate Research Campaign (SCRC) learning project with plans to participate in the SCRC program. Along with sharing successes from the CIMSS Climate Literacy Ambassadors project, we will share lessons learned related to the challenges of sustaining on-line virtual educator communities.

  13. New Advances in Molecular Therapy for Muscle Repair After Diseases and Injuries

    DTIC Science & Technology

    2010-04-01

    in grey matter indicated small neuron and axon communication . Project # 5 Final Report** Inhibiting cell death and promoting muscle growth for...the treatment of other genetic and acquired causes of muscle wasting. We produced multiple AAV8 vectors with expression cassettes designed to... communication between the various investigators and institutions. The Administrative Core holds weekly/biweekly seminar series for SCRC

  14. Multiplexing and Filtering of Optical Signals.

    DTIC Science & Technology

    1977-06-01

    A0-A017 22« SPERRY RESEARCH CENTER SUOBURY MASS MULTIPLEXING ANO FILTERING OF OPTICAL SIGNALS.(U) JUN 77 A R NELSON UNCLASSIFIED SCRC-CR-77...0 F/G 20/6 Nil <r Research and Development Technical Report ECOM -76-1343-F MULTIPLEXING AND FILTERING OF OPTICAL SIGNALS A. R...Nelson SPERRY RESEARCH CENTER 100 North Road Sudbury, MA 01776 June 1977 Final Report for Period 29 April 1976 - 29 April 1977 DISTRIBUTION

  15. Landscape Heterogeneity mapping for Access to Tribal health care in Nilgiris District of Tamil Nadu, India

    NASA Astrophysics Data System (ADS)

    Brindha, B.; Prashanthi Devi, M.

    2014-11-01

    The Nilgiris district in Tamilnadu has a rich biodiversity in terms of flora, fauna and ethnic population. The district is basically a mountainous region, situated at an elevation of 2000 to 2,600 meters above MSL and constituting of several hill and Steep Mountain valleys. This region houses six tribes who are mainly forest dwellers and live in close settlements depending on the forest resources for their livelihood. The Tribes of Nilgiris have been diagnosed and monitored for Sickle cell Anemia which is a disease of major concern among these ethnic populations. This genetic disorder developed due to the sickling of Red Blood Cells has increased during the past few decades. The Tribes, as they live in close encounter with the forest regions and have strict social cultural barriers, face difficulty in availing treatment or counseling from the Sickle Cell Research Center (SCRC) and other NGOs like NAWA and AHWINI in the region. It was observed that many factors such as landscape terrain, climatic conditions and improper roads tend to hinder the access to appropriate health care. The SCRC in Gudalur region is a facility established to monitor the disease cases inspite of these influencing factors. On analyzing the year bound age wise classification among male and female patients, certain dropouts in cases were observed which may be due to inaccessible condition or migration of the patient. In our study, Landscape heterogeneity mapping for different climatic seasons was done in ArcGIS 10.1. For this, contour and terrain maps, road networks and villages were prepared and factors that determine Terrain Difficulty were assessed. Vegetation mapping using IRS satellite images for the study region was attempted and associated with the landscape map. A risk analysis was proposed based on terrain difficulty and access to the nearest Health care Center. Based on this, the above factors alternate routes were suggested to access the difficult areas.

  16. Assessing aquifer vulnerability from lumped parameter modeling of modern water proportions in groundwater mixtures - Application to nitrate pollution in California's South Coast Range

    NASA Astrophysics Data System (ADS)

    Hagedorn, B.; Ruane, M.; Clark, N.

    2017-12-01

    In California, the overuse of synthetic fertilizers and manure in agriculture have caused nitrate (NO3) to be one of the state's most widespread groundwater pollutants. Given that nitrogen fertilizer applications have steadily increased since the 1950s and given that soil percolation and recharge transit times in California can exceed timescales of decades, the nitrate impact on groundwater resources is likely a legacy for years and even decades to come. This study presents a methodology for groundwater vulnerability assessment that operates independently of difficult-to-constrain soil and aquifer property data (i.e., saturated thickness, texture, porosity, conductivity, etc.), but rather utilizes groundwater age and, more importantly, groundwater mixing information to illustrate actual vulnerability at the water table. To accomplish this, the modern (i.e., less than 60-year old) water proportion (MWP) in groundwater mixtures is computed via lumped parameter modeling of chemical tracer (i.e., 3H, 14C and 3Hetrit) data. These MWPs are then linked to groundwater dissolved oxygen (DO) values to describe the risk for soil zone-derived nitrate to accumulate in the saturated zone. Preliminary studies carried out for 71 wells in California's South Coast Range-Coastal (SCRC) study unit reveal MWP values derived from binary dispersion models of 3.24% to 21.8%. The fact that high MWPs generally coincide with oxic (DO ≥1.5 mg/L) groundwater conditions underscores the risk towards increased groundwater NO3 pollution for many of the tested wells. These results support the conclusion that best agricultural management and policy objectives should incorporate groundwater vulnerability models that are developed at the same spatial scale as the decision making.

  17. Photodynamic therapy mediates innate immune responses via fibroblast-macrophage interactions.

    PubMed

    Zulaziz, N; Azhim, A; Himeno, N; Tanaka, M; Satoh, Y; Kinoshita, M; Miyazaki, H; Saitoh, D; Shinomiya, N; Morimoto, Y

    2015-10-01

    Antibacterial photodynamic therapy (PDT) has come to attract attention as an alternative therapy for drug-resistant bacteria. Recent reports revealed that antibacterial PDT induces innate immune response and stimulates abundant cytokine secretion as a part of inflammatory responses. However, the underlying mechanism how antibacterial PDT interacts with immune cells responsible for cytokine secretion has not been well outlined. In this study, we aimed to clarify the difference in gene expression and cytokine secretion between combined culture of fibroblasts and macrophages and their independent cultures. SCRC-1008, mouse fibroblast cell line and J774, mouse macrophage-like cell line were co-cultured and PDT treatments with different parameters were carried out. After various incubation periods (1-24 h), cells and culture medium were collected, and mRNA and protein levels for cytokines were measured using real-time PCR and ELISA, respectively. Our results showed that fibroblasts and macrophages interact with each other to mediate the immune response. We propose that fibroblasts initially respond to PDT by expressing Hspa1b, which regulates the NF-κB pathway via Tlr2 and Tlr4. Activation of the NF-κB pathway then results in an enhanced secretion of pro-inflammatory cytokines (TNF-α, IL-6 and IL-1β) and neutrophil chemoattractant MIP-2 and KC from macrophages.

  18. Enhanced accumulation of copper and lead in amaranth (Amaranthus paniculatus), Indian mustard (Brassica juncea) and sunflower (Helianthus annuus).

    PubMed

    Rahman, Motior M; Azirun, Sofian M; Boyce, Amru N

    2013-01-01

    Soil contamination by copper (Cu) and lead (Pb) is a widespread environmental problem. For phytoextraction to be successful and viable in environmental remediation, strategies that can improve plant uptake must be identified. In the present study we investigated the use of nitrogen (N) fertilizer as an efficient way to enhance accumulation of Cu and Pb from contaminated industrial soils into amaranth, Indian mustard and sunflower. Plants were grown in a greenhouse and fertilized with N fertilizer at rates of 0, 190 and 380 mg kg⁻¹ soil. Shoots, roots and total accumulation of Cu and Pb, transfer factor (TF), translocation index were assessed to evaluate the transport and translocation ability of tested plants. Addition of N fertilizer acidified the industrial soil and caused the pH to decrease to 5.5 from an initial pH of 6.9. Industrial soil amended with N fertilizer resulted in the highest accumulation of Pb and Cu (for Pb 10.1-15.5 mg kg⁻¹, for Cu 11.6-16.8 mg kg⁻¹) in the shoots, which was two to four folds higher relative to the concentration in roots in all the three plants used. Sunflower removed significantly higher Pb (50-54%) and Cu (34-38%) followed by amaranth and Indian mustard from industrial soils with the application of N fertilizer. The TF was <1 while the shoot and root concentration (SC/RC) ratios of Pb and Cu were between 1.3-4.3 and 1.8-3.8, respectively, regardless of plant species. Sunflower is the best plant species to carry out phytoextraction of Pb and Cu. In contrast, Pb and Cu removal by Indian mustard and amaranth shows great potential as quick and short duration vegetable crops. The results suggest that the application of N fertilizer in contaminated industrial soil is an effective amendment for the phytoextraction of Pb and Cu from contaminated industrial soils.

  19. Enhanced Accumulation of Copper and Lead in Amaranth (Amaranthus paniculatus), Indian Mustard (Brassica juncea) and Sunflower (Helianthus annuus)

    PubMed Central

    Rahman, Motior M.; Azirun, Sofian M.; Boyce, Amru N.

    2013-01-01

    Background Soil contamination by copper (Cu) and lead (Pb) is a widespread environmental problem. For phytoextraction to be successful and viable in environmental remediation, strategies that can improve plant uptake must be identified. In the present study we investigated the use of nitrogen (N) fertilizer as an efficient way to enhance accumulation of Cu and Pb from contaminated industrial soils into amaranth, Indian mustard and sunflower. Methods/Principal Findings Plants were grown in a greenhouse and fertilized with N fertilizer at rates of 0, 190 and 380 mg kg−1 soil. Shoots, roots and total accumulation of Cu and Pb, transfer factor (TF), translocation index were assessed to evaluate the transport and translocation ability of tested plants. Addition of N fertilizer acidified the industrial soil and caused the pH to decrease to 5.5 from an initial pH of 6.9. Industrial soil amended with N fertilizer resulted in the highest accumulation of Pb and Cu (for Pb 10.1–15.5 mg kg−1, for Cu 11.6–16.8 mg kg−1) in the shoots, which was two to four folds higher relative to the concentration in roots in all the three plants used. Sunflower removed significantly higher Pb (50–54%) and Cu (34–38%) followed by amaranth and Indian mustard from industrial soils with the application of N fertilizer. The TF was <1 while the shoot and root concentration (SC/RC) ratios of Pb and Cu were between 1.3–4.3 and 1.8–3.8, respectively, regardless of plant species. Conclusions Sunflower is the best plant species to carry out phytoextraction of Pb and Cu. In contrast, Pb and Cu removal by Indian mustard and amaranth shows great potential as quick and short duration vegetable crops. The results suggest that the application of N fertilizer in contaminated industrial soil is an effective amendment for the phytoextraction of Pb and Cu from contaminated industrial soils. PMID:23667546

  20. Teachers Learning to Research Climate: Development of hybrid teacher professional development to support climate inquiry and research in the classroom

    NASA Astrophysics Data System (ADS)

    Odell, M. R.; Charlevoix, D. J.; Kennedy, T.

    2011-12-01

    The GLOBE Program is an international science and education focused on connecting scientists, teachers and students around relevant, local environmental issues. GLOBE's focus during the next two years in on climate, global change and understanding climate from a scientific perspective. The GLOBE Student Climate Research Campaign (SCRFC) will engage youth from around the world in understanding and researching climate through investigations of local climate challenges. GLOBE teachers are trained in implementation of inquiry in the classroom and the use of scientific data collection protocols to develop inquiry and research projects of the Earth System. In preparation for the SCRC, GLOBE teachers will need additional training in climate science, global change and communicating climate science in the classroom. GLOBE's reach to 111 countries around the world requires development of scalable models for training teachers. In June GLOBE held the first teacher professional development workshop (Learning to Research Summer Institute) in a hybrid format with two-thirds of the teachers participating face-to-face and the remaining teachers participating virtually using Adobe Connect. The week long workshop prepared teachers to integrate climate science inquiry and research projects in the classrooms in the 2011-12 academic year. GLOBE scientists and other climate science experts will work with teachers and their students throughout the year in designing and executing a climate science research project. Final projects and research results will be presented in May 2012 through a virtual conference. This presentation will provide the framework for hybrid teacher professional development in climate science research and inquiry projects as well as summarize the findings from this inaugural session. The GLOBE Program office, headquartered in Boulder, is funded through cooperative agreements with NASA and NOAA with additional support from NSF and the U.S. Department of State. GLOBE is supported in countries around the world through bi-lateral agreements between U.S. Department of state and national governments.

  1. Unique patterns of CpG island methylation in inflammatory bowel disease-associated colorectal cancers

    PubMed Central

    Olaru, Alexandru V.; Cheng, Yulan; Agarwal, Rachana; Yang, Jian; David, Stefan; Abraham, John M.; Yu, Wayne; Lazarev, Mark; Brant, Steven R.; Marohn, Michael R.; Hutcheon, David F.; Harpaz, Noam; Meltzer, Stephen J.; Mori, Yuriko

    2011-01-01

    Objective CpG island (CGI) hypermethylation at discrete loci is a prevalent cancer-promoting abnormality in sporadic colorectal carcinomas (S-CRCs). We investigated genome-wide CGI methylation in inflammatory bowel disease (IBD)-associated CRCs (IBD-CRCs). Design Methylation microarray analyses were conducted on 7 IBD-CRCs, 17 S-CRCs, and 8 normal control colonic tissues from patients without CRC or IBD. CGI methylator phenotype (CIMP), a surrogate marker for widespread cancer-specific CGI hypermethylation, was examined in 30 IBD-CRCs and 43 S-CRCs. Results The genome-wide CGI methylation pattern of IBD-CRCs was CIMP status-dependent. Based on methylation array data profiling of all autosomal loci, CIMP+ IBD-CRCs grouped together with S-CRCs, while CIMP− IBD-CRCs grouped together with control tissues. CIMP− IBD-CRCs demonstrated less methylation than did age-matched CIMP− S-CRCs at all autosomal CGIs (z-score −0.17 vs. 0.09, p=3×10−3) and CRC-associated hypermethylation target CGIs (z-score −0.43 vs. 0.68, p=1×10-4). Age-associated hypermethylation target CGIs were significantly overrepresented in CGIs that were hypermethylated in S-CRCs (p=1×10−192), but not in CGIs that were hypermethylated in IBD-CRCs (p=0.11). In contrast, KRAS mutation prevalence were similar between IBD-CRCs and S-CRCs. Notably, CIMP+ prevalence was significantly higher in older than in younger IBD-CRC cases (4.2% vs. 50.0%, p=0.02), but not in S-CRC cases (16.7% vs. 9.7%, p=0.92). Conclusions Cancer-specific CGI hypermethylation and age-associated CGI hypermethylation are diminished in IBD-CRCs relative to S-CRCs, while KRAS mutation rate is comparable between these cancers. CGI hypermethylation appears to play only a minor role in IBD-associated carcinogenesis. We speculate that aging, rather than inflammation per se, promotes CIMP+ CRCs in IBD patients. PMID:21830278

  2. Fundamentals of Refrigeration.

    ERIC Educational Resources Information Center

    Sutliff, Ronald D.; And Others

    This self-study course is designed to familiarize Marine enlisted personnel with the principles of the refrigeration process. The course contains five study units. Each study unit begins with a general objective, which is a statement of what the student should learn from the unit. The study units are divided into numbered work units, each…

  3. Marine Electrician--Fundamentals.

    ERIC Educational Resources Information Center

    Sutliff, Ronald D.; And Others

    This self-study course is designed to familiarize Marine Corps enlisted personnel with the principles of electricity, safety, and tools. The course contains three study units. Each study unit begins with a general objective, which is a statement of what the student should learn from the unit. The study units are divided into numbered work units,…

  4. Effects of Infrastructure on Ebola Viral Disease

    DTIC Science & Technology

    2016-06-10

    Qualitative Case Study Comparison examining information from the World Health Organization, the United Nations, US Army Africa Operation United...Sierra Leone since the EVD outbreaks of 2013 to 2015. The study is a Qualitative Case Study Comparison examining information from the World Health...United Nations US United States USAID United States Agency for International Development USARAF United States Army Africa WHO World Health

  5. The West. Grade Five (Unit V). Resource Unit. Project Social Studies.

    ERIC Educational Resources Information Center

    Minnesota Univ., Minneapolis. Project Social Studies Curriculum Center.

    This resource unit for 5th graders includes three case studies and a sub-unit on the West as a region. Three sequent occupance case studies which are suggestive, rather than prescriptive, comprise the first part of the unit. Teachers may decide to select only one for an in-depth study or may decide to design a case study modeled after this…

  6. Delaware River Basin

    USGS Publications Warehouse

    Fischer, Jeffrey M.

    1999-01-01

    Assessing the quality of water in every location of the Nation would not be practical. Therefore, NAWQA investigations are conducted within 59 selected areas called study units (fig. 1). These study units encompass important river and aquifer systems in the United States and represent the diverse geographic, waterresource, land-use, and water-use characteristics of the Nation. The Delaware River Basin is one of 15 study units in which work began in 1996. Water-quality sampling in the study unit will begin in 1999. This fact sheet provides a brief overview of the NAWQA program, describes the Delaware River Basin study unit, identifies the major water-quality issues in the basin, and documents the plan of study that will be followed during the study-unit investigation.

  7. The Nature and Requirements of Work in University-Based Telehealth Units: A Qualitative Study

    ERIC Educational Resources Information Center

    Seale, Deborah E.

    2013-01-01

    Telehealth units are one of many university administrative units created to foster innovation in universities over the last 40 years. Despite the proliferation of such units, few organizational studies have examined the work undertaken inside of these units. This qualitative study used a sequential two-part research design to understand the…

  8. Refrigeration Servicing.

    ERIC Educational Resources Information Center

    Hamilton, Donald L.; And Others

    This self-study course is designed to familiarize Marine enlisted personnel with the services required to be performed on refrigeration equipment. The course contains four study units. Each study unit begins with a general objective, which is a statement of what the student should learn from the unit. The study units are divided into numbered work…

  9. Water-quality assessment of the western Lake Michigan drainages; analysis of available information on nutrients and suspended sediment, water years 1971-90

    USGS Publications Warehouse

    Robertson, Dale M.; Saad, D.A.

    1996-01-01

    To fulfill the goals of the NAWQA program, the USGS plans to examine 60 areas (study units) across the United States during full implementation of the program. In 1991, the NAWQA program went into full implementation with the intensive investigation of 20 of these study units; one of these study units is the Western Lake Michigan Drainages (WMIC) study unit.

  10. The Nevada Study on The Holocaust.

    ERIC Educational Resources Information Center

    Crawford, Barbara; Metcalf, Sandra

    This study series on the Holocaust consists of four units designed for middle school/junior high and senior high students in United States and world history classes. The units may be self-contained or integrated into previous units of study. A 45-minute color video "Nevada Study on The Holocaust" accompanies this guide. The middle school…

  11. Solid-State Devices.

    ERIC Educational Resources Information Center

    Sutliff, Ronald D.; And Others

    This self-study course is designed to familiarize Marine Corps enlisted personnel with the principles of solid-state devices and their functions. The course contains four study units. Each study unit begins with a general objective, which is a statement of what the student should learn from the unit. The study units are divided into numbered work…

  12. Beginning Mapping Skills: A Unit of Study for Kindergarten Children. A Ten Day Unit of Study.

    ERIC Educational Resources Information Center

    Craycraft, Kenneth; Timme, Kay

    The purpose of this unit of study is to familiarize kindergarten children with the use of symbols to represent actual places or objects. The unit is primarily intended for kindergarten children, but can be modified for use with first grade students. Implementation of the unit should require between 10 and 12 class days. Provided are an outline of…

  13. 22 CFR 63.8 - Grants to United States participants to study.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 22 Foreign Relations 1 2013-04-01 2013-04-01 false Grants to United States participants to study... Grants to United States participants to study. A citizen of the United States who has been awarded a grant to study may be entitled to any or all of the following benefits when authorized by the Agency. (a...

  14. 22 CFR 63.8 - Grants to United States participants to study.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 22 Foreign Relations 1 2014-04-01 2014-04-01 false Grants to United States participants to study... Grants to United States participants to study. A citizen of the United States who has been awarded a grant to study may be entitled to any or all of the following benefits when authorized by the Agency. (a...

  15. 22 CFR 63.8 - Grants to United States participants to study.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 22 Foreign Relations 1 2011-04-01 2011-04-01 false Grants to United States participants to study... Grants to United States participants to study. A citizen of the United States who has been awarded a grant to study may be entitled to any or all of the following benefits when authorized by the Agency. (a...

  16. 22 CFR 63.8 - Grants to United States participants to study.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 22 Foreign Relations 1 2010-04-01 2010-04-01 false Grants to United States participants to study... Grants to United States participants to study. A citizen of the United States who has been awarded a grant to study may be entitled to any or all of the following benefits when authorized by the Agency. (a...

  17. 22 CFR 63.8 - Grants to United States participants to study.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 22 Foreign Relations 1 2012-04-01 2012-04-01 false Grants to United States participants to study... Grants to United States participants to study. A citizen of the United States who has been awarded a grant to study may be entitled to any or all of the following benefits when authorized by the Agency. (a...

  18. Investigation and management of gastro-oesophageal reflux in United Kingdom neonatal intensive care units.

    PubMed

    Rossor, Thomas; Andradi, Gwendolyn; Bhat, Ravindra; Greenough, Anne

    2018-01-01

    In 2004, wide variation in the investigation and management of gastro-oesophageal reflux (GOR) of infants on UK major neonatal units was demonstrated. Our aim was to resurvey neonatal practitioners to determine current practice and whether it was now evidence based. A questionnaire was sent to all 207 UK neonatal units. Responses were obtained from 84% of units. The most frequent 'investigation' was a trial of therapy (83% of units); pH studies were used in 38%, upper GI contrast studies in 19% and multichannel intraluminal impedance (MII)/pH studies in 5%. Only six units suggested a threshold for an abnormal pH study and two units for an abnormal MII study. Infants were commenced on antireflux medication without investigation always in 32% of units, often in 29%, occasionally in 19% and only never in 1%. Gaviscon was used as first line treatment in 60% of units, and other medications included ranitidine in 53%, thickening agents in 27%, proton pump inhibitors in 23%, domperidone in 22% and erythromycin in 6%. There remains a wide variation in diagnostic and treatment strategies for infants with suspected GOR on neonatal intensive care units, emphasising the need for randomised trials to determine appropriate GOR management. ©2017 Foundation Acta Paediatrica. Published by John Wiley & Sons Ltd.

  19. Social Studies for EMR Pupils: A Course of Study for Senior High Schools.

    ERIC Educational Resources Information Center

    Casler, Al; And Others

    Presented are 10 units of study for educable mentally retarded (EMR) senior high school students in the area of social studies. The outlined sequence and suggested time allotment for each unit covers grades 10-12. Subject matter content of each unit is outlined in detail; particular teaching methods and materials are not specified. Units cover the…

  20. Study Guide for Fundamentals of Solar Heating: A Correspondence Course for the Airconditioning Industry.

    ERIC Educational Resources Information Center

    Sheet Metal and Air Conditioning Contractors National Association, Vienna, VA.

    This study guide groups eleven lessons into four study units. The first unit discusses the development and basic concepts of solar heating. The second unit deals with the nomenclature of the solar heating system. The third study unit covers sizing of the solar heating system to meet demand and discusses the operation of the total system. The…

  1. Maximizing the Functional Status of Geriatric Patients in an Acute Community Hospital Setting.

    ERIC Educational Resources Information Center

    Meissner, Paul; And Others

    1989-01-01

    Compared patients (N=103) admitted to inpatient geriatric care unit focusing on restoration of functional status to control-unit patients (N=75). Found greater improvement in basic functional capabilities of study-unit than control-unit patients. Found mixed picture when length of stay and total charges of study- and control-unit patients were…

  2. On the Path to Better Living.

    ERIC Educational Resources Information Center

    Irvin, Jesse L.

    The purpose of this course of study is to improve economic citizenship through the study of the business and economic environment. Topics cover a wide range and are divided into twelve major units with lesson plans for each: Unit I--Our Economic World, Unit II--Our Economic System, Unit III--Economic Risks and Insurance, Unit IV--Money Management,…

  3. A Collection of Teaching Units about Japan for Secondary Social Studies Teachers.

    ERIC Educational Resources Information Center

    Barker, Bruce, Comp; Christian, Duane, Comp.

    This document contains a collection of eight selected secondary level units of study about Japan. Individual units were planned and written by teachers who participated in the first Southwest Program for Teaching about Japan (SPTAJ) study tour to that country during 1987. Unit topics include: (1) "An Introduction To Japanese Medicine"…

  4. The Executive Process, Grade Eight. Resource Unit (Unit III).

    ERIC Educational Resources Information Center

    Minnesota Univ., Minneapolis. Project Social Studies Curriculum Center.

    This resource unit, developed by the University of Minnesota's Project Social Studies, introduces eighth graders to the executive process. The unit uses case studies of presidential decision making such as the decision to drop the atomic bomb on Hiroshima, the Cuba Bay of Pigs and quarantine decisions, and the Little Rock decision. A case study of…

  5. World War II Unit. Using Primary Sources in the Classroom.

    ERIC Educational Resources Information Center

    Alabama Dept. of Archives and History, Montgomery.

    This teaching unit, "World War II Unit," is the ninth in a series of 10 units about Alabama state history, part of a project designed to help teachers integrate the use of primary source materials into their classrooms. Although the units are designed to augment the study of Alabama, they are useful in the study of U.S. history, world…

  6. Diggers to Divers, Geology K-6; Elementary Science Unit No. 2.

    ERIC Educational Resources Information Center

    Bethlehem Area Schools, PA.

    This curriculum guide, part of a series of science units, stresses concept-learning through the discovery approach and child-centered activities. It is intended that the unit will be studied in depth by grades 3, 4, 5, and 6. Kindergarten pupils will study the unit in less detail. "Our Useful Rocks" is studied in the kindergarten, "Rocks - Then…

  7. Social Studies: History. Latin American Curriculum Units for Junior and Community Colleges.

    ERIC Educational Resources Information Center

    Graham, Richard; Goldston, Angela

    These two self-contained units of study will help community college students learn about the history of Latin America. Each unit contains notes to the teachers and student readings. Students are expected to read and discuss the reading selections. In the first unit students are engaged in a comparative historical study of slavery in Brazil and in…

  8. Exploring a Community's Heritage through a Collaborative Unit of Study

    ERIC Educational Resources Information Center

    Bobetsky, Victor V.

    2005-01-01

    This article presents a model of an effective unit of study in which music played a vital role. The unit of study was created and implemented in a New York City middle school, and students examined an African American community in the borough of Brooklyn. The unit enabled students to explore the history, heritage, and culture of a local community…

  9. A Master Plan for Unit Cost Studies Among Community Junior Colleges.

    ERIC Educational Resources Information Center

    Sims, Howard D.

    The need for higher education programs is being challenged, and unit cost studies may become an integral part of the funding process for junior colleges. This paper describes the major tasks in a cost study and reviews the problems encountered in the unit costing efforts. The main tasks are: (1) identifying units of measurement (the language used…

  10. Non-Relative Value Unit-Generating Activities Represent One-Fifth of Academic Neuroradiologist Productivity.

    PubMed

    Wintermark, M; Zeineh, M; Zaharchuk, G; Srivastava, A; Fischbein, N

    2016-07-01

    A neuroradiologist's activity includes many tasks beyond interpreting relative value unit-generating imaging studies. Our aim was to test a simple method to record and quantify the non-relative value unit-generating clinical activity represented by consults and clinical conferences, including tumor boards. Four full-time neuroradiologists, working an average of 50% clinical and 50% academic activity, systematically recorded all the non-relative value unit-generating consults and conferences in which they were involved during 3 months by using a simple, Web-based, computer-based application accessible from smartphones, tablets, or computers. The number and type of imaging studies they interpreted during the same period and the associated relative value units were extracted from our billing system. During 3 months, the 4 neuroradiologists working an average of 50% clinical activity interpreted 4241 relative value unit-generating imaging studies, representing 8152 work relative value units. During the same period, they recorded 792 non-relative value unit-generating study reviews as part of consults and conferences (not including reading room consults), representing 19% of the interpreted relative value unit-generating imaging studies. We propose a simple Web-based smartphone app to record and quantify non-relative value unit-generating activities including consults, clinical conferences, and tumor boards. The quantification of non-relative value unit-generating activities is paramount in this time of a paradigm shift from volume to value. It also represents an important tool for determining staffing levels, which cannot be performed on the basis of relative value unit only, considering the importance of time spent by radiologists on non-relative value unit-generating activities. It may also influence payment models from medical centers to radiology departments or practices. © 2016 by American Journal of Neuroradiology.

  11. Strange and scary memories of the intensive care unit: a qualitative, longitudinal study inspired by Ricoeur's interpretation theory.

    PubMed

    Svenningsen, Helle; Egerod, Ingrid; Dreyer, Pia

    2016-10-01

    To describe the content of former intensive care unit patients' memories of delusions. Intensive care unit patients often have strange and frightening experiences during the critical stage of illness. Earlier studies have provided small-sample in-depth descriptions of patient experiences in intensive care unit, but large-scale studies are also needed to inform intensive care unit follow-up. The study had a qualitative design using phenomenological hermeneutic analysis inspired by Ricoeur's interpretive theory. Patients were assessed with Confusion Assessment Method of the Intensive Care Unit for delirium in intensive care unit, and after discharge, memories of delusions were described by 114 of 325 patients in face-to-face (after two weeks) and telephone interviews (after two and six months) using the Intensive Care Unit Memory Tool. Four themes emerged: the ever-present family, dynamic spaces, surviving challenges and constant motion. Memories of delusions were a vivid mix of fact and fiction, demonstrating dynamic shifts in time, place and motion, but not dependent on the presence of delirium assessed by Confusion Assessment Method of the Intensive Care Unit. Analysis based on Ricoeurian phenomenological hermeneutics provided insights into themes in intensive care unit patients' memories of delusions. More studies are needed to understand the meaning of memories of delusions, the commonality of themes and the association between delusions and delirium after an intensive care unit stay. Understanding patients' memories of delusions is beneficial to nurses caring for patients that are anxious, upset or agitated. It opens a window to the world of the patient who is unable to communicate due to intubation and general weakness. We recommend the provision of nurse-led intensive care unit follow-up enabling patients to describe and discuss their intensive care unit experiences. © 2016 John Wiley & Sons Ltd.

  12. The South: Birmingham Case Study, and The South as a Region. Grade Five (Unit IV). Resource Unit. Project Social Studies.

    ERIC Educational Resources Information Center

    Minnesota Univ., Minneapolis. Project Social Studies Curriculum Center.

    A case study on Birmingham is presented in the first part of this resource unit on regional studies designed for fifth graders. The objective of the sequent occupance unit is to illustrate the impact which the discovery and utilization of a large natural resource, namely, iron ore, can have on the development of a city, in the hope that students…

  13. Characteristics of unit-level patient safety culture in hospitals in Japan: a cross-sectional study.

    PubMed

    Fujita, Shigeru; Seto, Kanako; Kitazawa, Takefumi; Matsumoto, Kunichika; Hasegawa, Tomonori

    2014-10-22

    Patient safety culture (PSC) has an important role in determining safety and quality in healthcare. Currently, little is known about the status of unit-level PSC in hospitals in Japan. To develop appropriate strategies, characteristics of unit-level PSC should be investigated. Work units may be classified according to the characteristics of PSC, and common problems and appropriate strategies may be identified for each work unit category. This study aimed to clarify the characteristics of unit-level PSC in hospitals in Japan. In 2012, a cross-sectional study was conducted at 18 hospitals in Japan. The Hospital Survey on Patient Safety Culture questionnaire, developed by the United States Agency for Healthcare Research and Quality, was distributed to all healthcare workers (n =12,076). Percent positive scores for 12 PSC sub-dimensions were calculated for each unit, and cluster analysis was used to categorise the units according to the percent positive scores. A generalised linear mixed model (GLMM) was used to analyse the results of the cluster analysis, and odds ratios (ORs) for categorisation as high-PSC units were calculated for each unit type. A total of 9,124 respondents (75.6%) completed the questionnaire, and valid data from 8,700 respondents (72.0%) were analysed. There were 440 units in the 18 hospitals. According to the percent positive scores for the 12 sub-dimensions, the 440 units were classified into 2 clusters: high-PSC units (n =184) and low-PSC units (n =256). Percent positive scores for all PSC sub-dimensions for high-PSC units were significantly higher than those for low-PSC units. The GLMM revealed that the combined unit type of 'Obstetrics and gynaecology ward, perinatal ward or neonatal intensive care unit' was significantly more likely to be categorised as high-PSC units (OR =9.7), and 'Long-term care ward' (OR =0.2), 'Rehabilitation unit' (OR =0.2) and 'Administration unit' (OR =0.3) were significantly less likely to be categorised as high-PSC units. Our study findings demonstrate that PSC varies considerably among different unit types in hospitals in Japan. Factors contributing to low PSC should be identified and possible measures for improving PSC should be developed and initiated.

  14. Motor unit recruitment in human genioglossus muscle in response to hypercapnia.

    PubMed

    Nicholas, Christian L; Bei, Bei; Worsnop, Christopher; Malhotra, Atul; Jordan, Amy S; Saboisky, Julian P; Chan, Julia K M; Duckworth, Ella; White, David P; Trinder, John

    2010-11-01

    single motor unit recordings of the genioglossus (GG) muscle indicate that GG motor units have a variety of discharge patterns, including units that have higher discharge rates during inspiration (inspiratory phasic and inspiratory tonic), or expiration (expiratory phasic and expiratory tonic), or do not modify their rate with respiration (tonic). Previous studies have shown that an increase in GG muscle activity is a consequence of increased activity in inspiratory units. However, there are differences between studies as to whether this increase is primarily due to recruitment of new motor units (motor unit recruitment) or to increased discharge rate of already active units (rate coding). Sleep-wake state studies in humans have suggested the former, while hypercapnia experiments in rats have suggested the latter. In this study, we investigated the effect of hypercapnia on GG motor unit activity in humans during wakefulness. sleep research laboratory. sixteen healthy men. each participant was administered at least 6 trials with P(et)CO(2) being elevated 8.4 (SD = 1.96) mm Hg over 2 min following a 30-s baseline. Subjects were instrumented for GG EMG and respiratory measurements with 4 fine wire electrodes inserted subcutaneously into the muscle. One hundred forty-one motor units were identified during the baseline: 47% were inspiratory modulated, 29% expiratory modulated, and 24% showed no respiratory related modulation. Sixty-two new units were recruited during hypercapnia. The distribution of recruited units was significantly different from the baseline distribution, with 84% being inspiratory modulated (P < 0.001). Neither units active during baseline, nor new units recruited during hypercapnia, increased their discharge rate as P(et)CO(2) increased (P > 0.05 for all comparisons). increased GG muscle activity in humans occurs because of recruitment of previously inactive inspiratory modulated units.

  15. Comprehensive stroke units: a review of comparative evidence and experience.

    PubMed

    Chan, Daniel K Y; Cordato, Dennis; O'Rourke, Fintan; Chan, Daniel L; Pollack, Michael; Middleton, Sandy; Levi, Chris

    2013-06-01

    Stroke unit care offers significant benefits in survival and dependency when compared to general medical ward. Most stroke units are either acute or rehabilitation, but comprehensive (combined acute and rehabilitation) model (comprehensive stroke unit) is less common. To examine different levels of evidence of comprehensive stroke unit compared to other organized inpatient stroke care and share local experience of comprehensive stroke units. Cochrane Library and Medline (1980 to December 2010) review of English language articles comparing stroke units to alternative forms of stroke care delivery, different types of stroke unit models, and differences in processes of care within different stroke unit models. Different levels of comparative evidence of comprehensive stroke units to other models of stroke units are collected. There are no randomized controlled trials directly comparing comprehensive stroke units to other stroke unit models (either acute or rehabilitation). Comprehensive stroke units are associated with reduced length of stay and greatest reduction in combined death and dependency in a meta-analysis study when compared to other stroke unit models. Comprehensive stroke units also have better length of stay and functional outcome when compared to acute or rehabilitation stroke unit models in a cross-sectional study, and better length of stay in a 'before-and-after' comparative study. Components of stroke unit care that improve outcome are multifactorial and most probably include early mobilization. A comprehensive stroke unit model has been successfully implemented in metropolitan and rural hospital settings. Comprehensive stroke units are associated with reductions in length of stay and combined death and dependency and improved functional outcomes compared to other stroke unit models. A comprehensive stroke unit model is worth considering as the preferred model of stroke unit care in the planning and delivery of metropolitan and rural stroke services. © 2012 The Authors. International Journal of Stroke © 2012 World Stroke Organization.

  16. United States History: From Community to Society. Unit Four: Revolutionary America. Grade Six. Project Social Studies.

    ERIC Educational Resources Information Center

    Minnesota Univ., Minneapolis. Project Social Studies Curriculum Center.

    Revolution is the theme of this resource unit, which is the fourth in a social studies series designed for sixth grade students. In the first part of the unit, case studies are used to examine 18th century Boston, Williamsburg, and Philadelphia, contrasting them to 17th century Jamestown and Plymouth settlements. Emphasis is upon examining causes…

  17. A comparative study of patients' activities and interactions in a stroke unit before and after reconstruction-The significance of the built environment.

    PubMed

    Anåker, Anna; von Koch, Lena; Sjöstrand, Christina; Bernhardt, Julie; Elf, Marie

    2017-01-01

    Early mobilization and rehabilitation, multidisciplinary stroke expertise and comprehensive therapies are fundamental in a stroke unit. To achieve effective and safe stroke care, the physical environment in modern stroke units should facilitate the delivery of evidence-based care. Therefore, the purpose of this study was to explore patients' activities and interactions in a stroke unit before the reconstruction of the physical environment, while in a temporary location and after reconstruction. This case study examined a stroke unit as an integrated whole. The data were collected using a behavioral mapping technique at three different time points: in the original unit, in the temporary unit and in the new unit. A total of 59 patients were included. The analysis included field notes from observations of the physical environment and examples from planning and design documents. The findings indicated that in the new unit, the patients spent more time in their rooms, were less active, and had fewer interactions with staff and family than the patients in the original unit. The reconstruction involved a change from a primarily multi-bed room design to single-room accommodations. In the new unit, the patients' lounge was located in a far corner of the unit with a smaller entrance than the patients' lounge in the old unit, which was located at the end of a corridor with a noticeable entrance. Changes in the design of the stroke unit may have influenced the patients' activities and interactions. This study raises the question of how the physical environment should be designed in the future to facilitate the delivery of health care and improve outcomes for stroke patients. This research is based on a case study, and although the results should be interpreted with caution, we strongly recommend that environmental considerations be included in future stroke guidelines.

  18. Nations United: The United Nations, the United States, and the Global Campaign Against Terrorism. A Curriculum Unit & Video for Secondary Schools.

    ERIC Educational Resources Information Center

    Houlihan, Christina; McLeod, Shannon

    This curriculum unit and 1-hour videotape are designed to help students understand the purpose and functions of the United Nations (UN) and explore the relationship between the United Nations and the United States. The UN's role in the global counterterrorism campaign serves as a case study for the unit. The students are asked to develop a basic…

  19. STUDY OF HOME DEMONSTRATION UNITS IN A SAMPLE OF 27 COUNTIES IN NEW YORK STATE, NUMBER 3.

    ERIC Educational Resources Information Center

    ALEXANDER, FRANK D.; HARSHAW, JEAN

    AN EXPLORATORY STUDY EXAMINED CHARACTERISTICS OF 1,128 HOME DEMONSTRATION UNITS TO SUGGEST HYPOTHESES AND SCOPE FOR A MORE INTENSIVE STUDY OF A SMALL SAMPLE OF UNITS, AND TO PROVIDE GUIDANCE IN SAMPLING. DATA WERE OBTAINED FROM A SPECIALLY DESIGNED MEMBERSHIP CARD USED IN 1962. UNIT SIZE AVERAGED 23.6 MEMBERS BUT THE RANGE WAS FAIRLY GREAT. A NEED…

  20. Using Systems Theory to Examine Patient and Nurse Structures, Processes, and Outcomes in Centralized and Decentralized Units.

    PubMed

    Real, Kevin; Fay, Lindsey; Isaacs, Kathy; Carll-White, Allison; Schadler, Aric

    2018-01-01

    This study utilizes systems theory to understand how changes to physical design structures impact communication processes and patient and staff design-related outcomes. Many scholars and researchers have noted the importance of communication and teamwork for patient care quality. Few studies have examined changes to nursing station design within a systems theory framework. This study employed a multimethod, before-and-after, quasi-experimental research design. Nurses completed surveys in centralized units and later in decentralized units ( N = 26 pre , N = 51 post ). Patients completed surveys ( N = 62 pre ) in centralized units and later in decentralized units ( N = 49 post ). Surveys included quantitative measures and qualitative open-ended responses. Patients preferred the decentralized units because of larger single-occupancy rooms, greater privacy/confidentiality, and overall satisfaction with design. Nurses had a more complex response. Nurses approved the patient rooms, unit environment, and noise levels in decentralized units. However, they reported reduced access to support spaces, lower levels of team/mentoring communication, and less satisfaction with design than in centralized units. Qualitative findings supported these results. Nurses were more positive about centralized units and patients were more positive toward decentralized units. The results of this study suggest a need to understand how system components operate in concert. A major contribution of this study is the inclusion of patient satisfaction with design, an important yet overlooked fact in patient satisfaction. Healthcare design researchers and practitioners may consider how changing system interdependencies can lead to unexpected changes to communication processes and system outcomes in complex systems.

  1. Judicial Process, Grade Eight. Resource Unit (Unit V).

    ERIC Educational Resources Information Center

    Minnesota Univ., Minneapolis. Project Social Studies Curriculum Center.

    This resource unit, developed by the University of Minnesota's Project Social Studies, introduces eighth graders to the judicial process. The unit was designed with two major purposes in mind. First, it helps pupils understand judicial decision-making, and second, it provides for the study of the rights guaranteed by the federal Constitution. Both…

  2. National water quality assessment of the Georgia-Florida Coastal Plain study unit; water withdrawals and treated wastewater discharges, 1990

    USGS Publications Warehouse

    Marella, R.L.; Fanning, J.L.

    1996-01-01

    The Georgia-Florida Coastal Plain study unit covers nearly 62,600 square miles along the southeastern United States coast in Georgia and Florida. In 1990, the estimated population of the study unit was 9.3 million, and included all or part of the cities of Atlanta, Jacksonville, Orlando, Tampa, and St. Petersburg. Estimated freshwater withdrawn in the study unit in 1990 was nearly 5,075 million gallons per day. Ground-water accounted for more than 57 percent of the water withdrawn during 1990 and the Floridan aquifer system provided nearly 91 percent of the total ground-water withdrawn. Surface-water accounted for nearly 43 percent of the water withdrawn in the study unit in 1990 with large amounts of withdrawals from the Altamaha River, Hillsborough River, the Ocmulgee River, the Oconee River, the St. Johns River, and the Suwannee River. Water withdrawn for public supply in the Georgia-Florida Coastal Plain study unit in 1990 totaled 1,139 million gallons per day, of which 83 percent was ground water and 17 percent was surface water. Self-supplied domestic withdrawals in the Georgia-Florida Coastal Plain study unit in 1990 totaled nearly 230 million gallons per day. Ground water supplied over 80 percent of the study units population for drining water purposes; nearly 5.8 million people were served by public supply and 1.8 million people were served by self-supplied systems. Water withdrawn for self-supplied domestic use in Georgia and Florida is derived almost exclusively from ground water, primarily because this source can provide the quantity and quality of water needed for drinking purposes. Nearly 1.7 million people served by public supply utilized surface water for their drinking water needs. Water withdrawn for self-supplied commercial-industrial uses in the study unit in 1990 totaled 862 million gallons per day, of which 93 percent was ground water and 7 percent was surface water. Water withdrawn for agriculture purposes in the study unit in 1990 totaled 1,293 million gallons per day, of which 69 percent was ground water and 31 percent was surface water. An estimated 1.254 millon acres were irrigated within the study unit during 1990. Water withdrawn for thermoelectric power generation in the study unit in 1990 totaled 1,552 million gallons per day, of which 99 percent was surface water and 1 percent was ground water. An additional 6,919 million gallons per day of saline surface water were withdrawn for thermoelectric power generation in 1990, solely for cooling purposes. Treated wastewater discharged within the Georgia-Florida Coastal Plain study unit totaled nearly 1,187 million gallons per day in 1990. Of the total water discharged, 58 percent was discharged directly into surface water and the remaining 42 percent was discharged to ground water (through drain fields, injection wells, percolation ponds or spray fields). Domestic wastewater facilities discharged in the study unit totaled nearly 789 million gallons per day, industrial wastewater facilities discharged 213 million gallons per day, and releases from septic tanks was estimated at 185 million gallons per day. More than 1.3 million septic tanks were estimated in use within the study unit in 1990.

  3. EMAP WESTERN UNITED STATES LANDSCAPE CHARACTERIZATION SOUTHERN ROCKIES PILOT STUDY AREA DATA AND PRODUCT BROWSER

    EPA Science Inventory

    The United States Environmental Protection Agency's Environmental Monitoring and Assessment Program (EMAP) is conducting a pilot study in the western United States. This study will advance the science of ecological monitoring and demonstrate techniques for regional-scale assessme...

  4. EMAP WESTERN UNITED STATES LANDSCAPE CHARACTERIZATION NORTHWEST OREGON PILOT STUDY AREA DATA AND PRODUCT BROWSER

    EPA Science Inventory

    The United States Environmental Protection Agency's Environmental Monitoring and Assessment Program (EMAP) is conducting a pilot study in the western United States. This study will advance the science of ecological monitoring and demonstrate techniques for regional-scale assessme...

  5. Employee customer orientation in context: how the environment moderates the influence of customer orientation on performance outcomes.

    PubMed

    Grizzle, Jerry W; Zablah, Alex R; Brown, Tom J; Mowen, John C; Lee, James M

    2009-09-01

    This empirical study evaluated the moderating effects of unit customer orientation (CO) climate and climate strength on the relationship between service workers' level of CO and their performance of customer-oriented behaviors (COBs). In addition, the study examined whether aggregate COB performance influences unit profitability. Building on multisource, multilevel data, the study's results suggest that the influence of employee CO on employee COB performance is positive when the unit's CO climate is relatively high and that the constructs are unrelated when unit CO climate is relatively low. In addition, the data reveal that unit COB performance influences unit profitability by enhancing revenues without a concomitant increase in costs. The study's results underscore the theoretical importance of considering cross-level influencers of employee-level relationships and suggest that managers should focus on creating a climate that is supportive of COBs if their units are to profit from the recruitment, hiring, and retention of customer-oriented employees.

  6. Ethnic Heritage Studies Pertaining to Arabic Culture: Six Teaching Units for Secondary Schools.

    ERIC Educational Resources Information Center

    Swanson, Jon; Olson, Margarete

    Six social studies units are presented to help secondary school classroom teachers introduce students to Arab American culture. A major objective is to make students recognize the many contributions made by the Arabs to the development of the United States. In the introduction, Arab Americans are identified as people in the United States who…

  7. Teaching Presidential Elections. A Social Studies/Service Learning Teaching Unit for the Middle Grades.

    ERIC Educational Resources Information Center

    Greco, Lisa M.

    This curriculum unit on social studies and service learning was developed during the 1996 Presidential elections. In this unit middle school students not only learn about citizenship and democracy, they also practice civic action through voter registration and community surveying. The unit helps students develop critical thinking skills as they…

  8. Career Awareness Units, Magnolia Public Schools, Grades 1-7.

    ERIC Educational Resources Information Center

    Magnolia School District 14, AR.

    The guide contains career awareness units for grades one through seven. A chart for each grade level lists the unit titles with textbook references, resource speakers, and study trips. Some of the speakers and study trips suggested throughout the guide are specific to the local area. For each unit, concepts to be developed are coordinated in chart…

  9. Franco-American Ethnic Heritage Studies Program. Contributions of the French to America: Dissemination of Materials.

    ERIC Educational Resources Information Center

    Chasse, Paul P.

    The document contains 12 units suitable for use in junior and senior high school social studies classes on experiences and acculturation of first and second generation French people in the Northeastern United States. Each unit is presented in both the English and French language. Units are entitled "Education,""The…

  10. Japan: Land of the Rising Sun. A Twelve Day Unit of Study for Fourth Grade Students.

    ERIC Educational Resources Information Center

    Craycraft, Kenneth; Winters, Norm

    This unit of study on Japan contains the following content areas: Unit Focus/Motivation; Islands of Japan; Living on an Island; Buildings; Economics; Transportation; and Culminating Activities. The objectives of the unit include knowledge, skills, and attitudes. Suggested activities for each of the content areas are offered and explained to assist…

  11. Legislative Process, Grade Eight. Resource Unit (Unit IV).

    ERIC Educational Resources Information Center

    Minnesota Univ., Minneapolis. Project Social Studies Curriculum Center.

    This resource unit, developed by the University of Minnesota's Project Social Studies, introduces eighth graders to the legislative process. The unit uses case studies such as the Civil Rights Acts of 1960 and 1964 and attempts to change the Rules Committee in 1961. It also uses much data on background of congressmen and on distribution of…

  12. SUPERFUND TREATABILITY CLEARINGHOUSE: SOIL STABILIZATION PILOT STUDY, UNITED CHROME NPL SITE PILOT STUDY AND HEALTH AND SAFETY PROGRAM, UNITED CHROME NPL SITE PILOT STUDY

    EPA Science Inventory

    This document is a project plan for a pilot study at the United Chrome NPL site, Corvallis, Oregon and includes the health and safety and quality assurance/quality control plans. The plan reports results of a bench-scale study of the treatment process as iieasured by the ...

  13. [Costs and consumption of material resources in pediatric intensive and semi-intensive care units].

    PubMed

    Zuliani, Larissa Lenotti; Jericó, Marli de Carvalho; de Castro, Liliana Cristina; Soler, Zaida Aurora Sperli Geraldes

    2012-01-01

    Cost management of hospital material resources is a trendy research topic, especially in specialized health units. Nurses are pointed out as the main managers for costs and consumption of hospital materials resources. This study aimed to characterize Pediatric Intensive and Semi-Intensive Care Units of a teaching hospital and investigate costs and consumption of material resources used to treat patients admitted to these units. This is a descriptive exploratory study with retrospective data and quantitative approach. Data were obtained from a Hospital Information System and analyzed according to the ABC classification. The average expenditures were similar in both the neonatal and cardiac units, and lower in Pediatric Intensive and Semi-Intensive care units. There was a significant variation in the monthly consumption of materials. Higher cost materials had a greater impact on the budget of the studied units. The data revealed the importance of using a systematic method for the analysis of materials consumption and expenditure in pediatric units. They subsidize administrative and economic actions.

  14. Ground-water data collected in the Missouri River Basin units in Kansas during 1953

    USGS Publications Warehouse

    Mason, B.J.

    1954-01-01

    Ground-water studies in the Missouri River basin were begun by the United States Geological Survey during the fall of 1945 as a part of a program for the development of the resources of the basin by the United States Bureau of Reclamation and other Federal Agencies. The studies of the ground-water resources in the part of Kansas that lies within the Missouri River basin have been coordinated with the cooperative program of ground water studies which were already being made in Kansas by the U. S. Geological Survey, the State Geological Survey of Kansas, the Division of Sanitation of the Kansas State Board of Health, and the Division of Water Resources of the Kansas State Board of Agriculture.Areas in which ground-water data have been and are being collected are the following: Almena unit in Norton and Phillips Counties; Bostwick unit in Jewell, Republic, and Cloud Counties; Cedar Bluff unit in Ellis, Rush, and Trego Counties; Glen Elder unit in Mitchell County; Kanopolis unit in Ellsworth, McPherson, and Saline Counties; Kirwin unit in Phillips, Smiths and Osborne Counties; St. Francis unit in Cheyenne County; Webster unit in Osborne County; and Wilson unit in Lincoln County. (See fig. 1.) Data relating to the Ladder Creek project in Greeley, Gove, Lane, Logan, Scott, Wallace, and Wichita Counties will be published later in a separate report.

  15. 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.

  16. Business Students' Perception of Sales Careers: Differences between Students in Switzerland, Turkey, and the United States

    ERIC Educational Resources Information Center

    Karakaya, Fahri; Quigley, Charles; Bingham, Frank; Hari, Juerg; Nasir, Aslihan

    2014-01-01

    This research measures perceptual differences between sales and sales careers among business students studying in the United States, Switzerland, and Turkey. Earlier studies indicate that selling and a sales career are not viewed favorably by students in the United States and several other countries. This study expands on prior studies by…

  17. 76 FR 49826 - Bureau of Educational and Cultural Affairs (ECA) Request for Grant Proposals: Study of the United...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-11

    ... for Grant Proposals: Study of the United States Institute on U.S. National Security Policymaking... 11, 2011. Executive Summary: The Branch for the Study of the U.S., Office of Academic Exchange... design and implementation of the Study of the United States Institute on U.S. National Security...

  18. Additive Manufacturing (AM) in Expeditionary Operations: Current Needs, Technical Challenges, and Opportunities

    DTIC Science & Technology

    2016-06-01

    site customization of existing models. The author performed an empirical study centered around a survey of United States Marine Corps (USMC) and United...recommends that more studies be performed to determine the best way forward for AM within the USMC and USN. 14. SUBJECT TERMS 3D printing, additive...customization of existing models. The author performed an em- pirical study centered around a survey of United States Marine Corps (USMC) and United

  19. A Quasi-Experimental Study of Two Selected Units of the Industrial Arts Curriculum Project Materials to Determine the Measurable Additive Effects of a Unit on Design in Manfacturing Technology upon a Similar Unit on Design in Construction Technology.

    ERIC Educational Resources Information Center

    Kuwik, Paul David

    The purpose of the study was to determine whether exposing junior high school students to a unit on design in construction technology and to a unit on design in manufacturing technology significantly affects their achievement on a test measuring "Technological Principles of Design" when compared to a group of junior high school students exposed…

  20. Urban 5th Graders Conceptions during a Place-Based Inquiry Unit on Watersheds

    ERIC Educational Resources Information Center

    Endreny, Anna Henderson

    2010-01-01

    This study aimed to determine how 33 urban 5th grade students' science conceptions changed during a place-based inquiry unit on watersheds. Research on watershed and place-based education was used as a framework to guide the teaching of the unit as well as the research study. A teacher-researcher designed the curriculum, taught the unit and…

  1. GUIDANCE UNITS FOR THE LEARNING LABORATORY TO TEACH BASIC SKILLS IN A CULTURALLY DEPRIVED AREA.

    ERIC Educational Resources Information Center

    Dade County Public Schools, Miami, FL.

    THE PURPOSE OF THIS HANDBOOK IS TO PROVIDE GUIDANCE UNITS FOR THE LEARNING LABORATORY. THE 10 UNITS ARE STRUCTURED TO TEACH BASIC SKILLS TO CULTURALLY DISADVANTAGED STUDENTS. THE FOLLOWING AREAS ARE SUBJECTS FOR INSTRUCTIONAL UNITS OF STUDY--(1) EXPLORING THE SELF-CONCEPT, (2) ATTITUDES, (3) HOW TO STUDY, (4) HOW TO PASS EXAMINATIONS, (5) GROUP…

  2. The Aleuts of the Eighteenth Century. Social Studies Unit for Junior High School. Teacher's Manual.

    ERIC Educational Resources Information Center

    Partnow, Patricia H.

    This teaching guide presents lessons for a social studies unit dealing with 18th century culture of the inhabitants of the Aleutian Islands. The unit is designed for intermediate and junior-high school students. Rather than providing a predigested picture of Aleut culture, the unit presents remaining evidence of that culture. Students reconstruct…

  3. Asian Studies Unit One: Asian Man and His Environment, Pilot Program; [And] Asian Studies Unit Two: Cultural Patterns of Asian Man, Field Test.

    ERIC Educational Resources Information Center

    Chicago Board of Education, IL.

    Two units of Asian materials for secondary students comprise this document. The first unit presents a brief history of Asian man and his environment, including geography, climate, ethnic groups, resources, food, and population. Following the historical narrative are community references and various learning experiences and activities which further…

  4. Essential Living Skills: Welcome to the Real World.

    ERIC Educational Resources Information Center

    Needham, Dorothy L.

    Designed for use in the classroom, by counselors, or as a self-study unit, this curriculum guide is for the fifteen- to twenty-year-old considering moving from home for the first time who is considered a slow learner. It explores eight units of study for essential living skills, each in the form of an instructional unit. Each unit is divided into…

  5. Racial Conflict in the United States: What Should Be Done? Grade Twelve. [Resource Unit V.] Project Social Studies.

    ERIC Educational Resources Information Center

    Minnesota Univ., Minneapolis. Project Social Studies Curriculum Center.

    This is the fifth of seven resource units for a twelfth grade course on value conflicts and policy decisions. The topic for this unit is racial conflict in the United States. The introduction explains how this unit coincides with other units of the K-12 series which have treated intergroup relations. The objectives are listed as to…

  6. Effective communication network structures for hospital infection prevention: a study protocol.

    PubMed

    Rangachari, Pavani

    2013-01-01

    Many hospitals are unable to successfully implement "evidence-based practices" at the unit level. For example, consistent implementation of the central line bundle (CLB), proven to prevent catheter-related bloodstream infections (CRBSIs) is often difficult. This problem has been broadly characterized as "change implementation failure" in health care organizations. Several studies have used retrospective designs to examine the problem; however, there are few prospective studies examining communication dynamics underlying successful implementation of change (eg, evidence-based practices). This prospective study will be set in 2 intensive care units at an academic medical center. At baseline, both units have low compliance with CLB and higher-than-expected CRBSIs. Periodic quality improvement (QI) interventions will be conducted over a 52-week period to promote implementation of CLB in both units. Simultaneously, the following parameters will be examined: (1) Structure and content of communication related to CLB in both units through "communication logs" completed weekly by nurses, physicians, and managers; and (2) outcomes, that is, CLB adherence in both units through weekly chart review. Catheter utilization and CRBSI (infection) rates will serve as additional unit-level outcome measures. The aim is 2-fold: (1) to examine associations between QI interventions and structure and content of communication at the unit level; and (2) to examine associations between structure and content of communication and outcomes at the unit level. The periodic QI interventions are expected to increase CLB adherence and reduce CRBSIs through their influence on structure and content of communication. The prospective design would help examine dynamics in unit-level communication structure and content related to CLB, as well as unit-level outcomes. The study has potential to make significant contributions to theory and practice, particularly if interventions are found to be effective in enabling successful practice change at the unit level. To this effect, the study has potential to provide insights into communication structure and content associated with collective learning and culture change at the unit level. Results and insights are expected to lay a foundation for generating context-sensitive "evidence-based management" strategies for successful practice change at the unit level. An ultimate expected deliverable is the development of an "action-learning framework" for successful implementation of evidence-based practices in health care organizations.

  7. Nurse work environment and quality of care by unit types: A cross-sectional study.

    PubMed

    Ma, Chenjuan; Olds, Danielle M; Dunton, Nancy E

    2015-10-01

    Nursing unit is the micro-organization in the hospital health care system in which integrated patient care is provided. Nursing units of different types serve patients with distinct care goals, clinical tasks, and social structures and norms. However, empirical evidence is sparse on unit type differences in quality of care and its relation with nurse work environment. Nurse work environment has been found as an important nursing factor predicting nurse and patient outcomes. To examine the unit type differences in nurse-reported quality of care, and to identify the association between unit work environment and quality of care by unit types. This is a cross-sectional study using nurse survey data (2012) from US hospitals nationwide. The nurse survey collected data on quality of care, nurse work environment, and other work related information from staff nurses working in units of various types. Unit types were systematically classified across hospitals. The unit of analysis was the nursing unit, and the final sample included 7677 units of 14 unit types from 577 hospitals in 49 states in the US. Multilevel regressions were used to assess the relationship between nurse work environment and quality of care across and by unit types. On average, units had 58% of the nurses reporting excellent quality of care and 40% of the nurses reporting improved quality of care over the past year. Unit quality of care varied by unit types, from 43% of the nurses in adult medical units to 73% of the nurses in interventional units rating overall quality of care on unit as excellent, and from 35% of the nurses in adult critical care units to 44% of the nurses in adult medical units and medical-surgical combined units reporting improved quality of care. Estimates from regressions indicated that better unit work environments were associated with higher quality of care when controlling various hospital and unit covariates; and this association persisted among units of different types. Unit type differences exist in the overall quality of care as well as achievement in improving quality of care. The low rates of nurses reporting improvement in the quality of nursing care to patients suggest that further interventions focusing at the unit-level are needed for achieving high care quality. Findings from our study also suggest that improving nurse work environments can be an effective strategy to improve quality of care. Copyright © 2015 Elsevier Ltd. All rights reserved.

  8. Grand Forks - East Grand Forks Urban Water Resources Study. East Grand Forks Flood Fight Manual.

    DTIC Science & Technology

    1981-07-01

    wastewater management, and flood control) were identified, and a "plan of study" was developed. The plan of study outlined the general approach t~i -tiTd...three parts. Part 1 contains a general description and narrative on the need of the unit, Part 2 identifies the Unit Chief, Deputies, and Unit members...other units are discussed only in general terms. Future revisions will hopefully result in a happy medium between detailed specifics and generalities

  9. 75 FR 62169 - Bureau of Educational and Cultural Affairs (ECA) Request for Grant Proposals: Study of the United...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-10-07

    ... for Grant Proposals: Study of the United States Institutes for Student Leaders on U.S. History and..., 2012. Application Deadline: December 3, 2010. Executive Summary: The Branch for the Study of the United... proposal submissions for the design and implementation of six (6) Study of the U.S. Institutes for Student...

  10. 76 FR 71425 - Bureau of Educational and Cultural Affairs (ECA) Request for Grant Proposals: Study of the United...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-11-17

    ... for Grant Proposals: Study of the United States Institutes for Student Leaders on U.S. History and... Study of the United States, Office of Academic Exchange Programs, Bureau of Educational and Cultural Affairs (ECA), invites proposal submissions for the design and implementation of six (6) Study of the U.S...

  11. The Antebellum Women's Movement, 1820 to 1860. A Unit of Study for Grades 8-11.

    ERIC Educational Resources Information Center

    Leighow, Susan; Sterner-Hine, Rita

    Using primary source documents, this teaching unit focuses on changing women's roles, growing awareness of gender inequities, and activist responses to these conditions in the United States between 1820 and 1860. Teacher background materials include a unit overview, correlation to National Standards for United States History, unit objectives, a…

  12. Assessing and Maximizing the Acceptability of Global Positioning System Device Use for Studying the Role of Human Movement in Dengue Virus Transmission in Iquitos, Peru

    PubMed Central

    Paz-Soldan, Valerie A.; Stoddard, Steven T.; Vazquez-Prokopec, Gonzalo; Morrison, Amy C.; Elder, John P.; Kitron, Uriel; Kochel, Tadeusz J.; Scott, Thomas W.

    2010-01-01

    As use of global positioning system (GPS) technology to study disease transmission increases, it is important to assess possible barriers to its use from the perspective of potential study participants. Fifteen focus group discussions stratified by sex, age, and motherhood status were conducted in 2008 in Iquitos, Peru. All participants said they would accept using a GPS unit for study purposes for 2–4 weeks. Participants' main concerns included caring properly for the unit, whether the unit would audio/videotape them, health effects of prolonged use, responsibility for units, and confidentiality of information. A pilot study was then conducted in which 126 persons were asked to carry GPS units for 2–4 weeks; 98% provided consent. All persons used the units expressing minimal concerns, although 44% reported forgetting the device at least once. Our study is the first to highlight participant concerns related to use of GPS for long-term monitoring of individual behavior in a resource-limited setting. PMID:20348526

  13. Context matters: the impact of unit leadership and empowerment on nurses' organizational commitment.

    PubMed

    Laschinger, Heather K Spence; Finegan, Joan; Wilk, Piotr

    2009-05-01

    The aim of this study was to test a multilevel model linking unit-level leader-member exchange quality and structural empowerment to nurses' psychological empowerment and organizational commitment at the individual level of analysis. Few studies have examined the contextual effects of unit leadership on individual nurse outcomes. Workplace empowerment has been related to retention outcomes such as organizational commitment in several studies, but few have studied the impact of specific unit characteristics within which nurses work on these outcomes. We surveyed 3,156 nurses in 217 hospital units to test the multilevel model. A multilevel path analysis revealed significant individual and contextual effects on nurses' organizational commitment. Both unit-level leader-member exchange quality and structural empowerment had significant direct effects on individual-level psychological empowerment and organizational commitment. Psychological empowerment mediated the relationship between core self-evaluations and organizational commitment at the individual level of analysis. The contextual effects of positive supervisor relationships and their influence on empowering working conditions at the unit level and, subsequently, nurses' organizational commitment highlight the importance of leadership for creating conditions that result in a committed nursing workforce.

  14. Organizational effects on patient satisfaction in hospital medical-surgical units.

    PubMed

    Bacon, Cynthia Thornton; Mark, Barbara

    2009-05-01

    The purpose of this study was to examine the relationships between hospital context, nursing unit structure, and patient characteristics and patients' satisfaction with nursing care in hospitals. Although patient satisfaction has been widely researched, our understanding of the relationship between hospital context and nursing unit structure and their impact on patient satisfaction is limited. The data source for this study was the Outcomes Research in Nursing Administration Project, a multisite organizational study conducted to investigate relationships among nurse staffing, organizational context and structure, and patient outcomes. The sample for this study was 2,720 patients and 3,718 RNs in 286 medical-surgical units in 146 hospitals. Greater availability of nursing unit support services and higher levels of work engagement were associated with higher levels of patient satisfaction. Older age, better health status, and better symptom management were also associated with higher levels of patient satisfaction. Organizational factors in hospitals and nursing units, particularly support services on the nursing unit and mechanisms that foster nurses' work engagement and effective symptom management, are important influences on patient satisfaction.

  15. China Unit and Resource Packet. The China Project of the American Forum for Global Education.

    ERIC Educational Resources Information Center

    Larkin, Julie; Dowling, Seamus

    This unit of study focuses on belief systems from China. It is crucial that students understand there are different ways of viewing the world, all of which may be valid. The 20 lessons in the unit stem from the presumptions that place students in the role of "historian" for the duration of these China studies. The unit is divided into…

  16. Career Education Study Unit: Bridgeport's Exemplary Project in Career Education 1973-1974.

    ERIC Educational Resources Information Center

    Bridgeport Public Schools, CT.

    The study unit is intended for use by teachers in an exemplary project in career education in Bridgeport, Connecticut for the school year 1973-1974. It consists of three complete units each for the kindergarten through grade 8 levels with five career clusters identified for grades 6, 7, and 8. The units for use at the kindergarten level focus on…

  17. Image of the United States as a travel destination: a case study of United Kingdom college students

    Treesearch

    Sung Hee Park; Pavlina Latkova; Sarah Nicholls

    2007-01-01

    The youth travel market is a major growth segment of international tourism. The purpose of this study was to explore the travel behaviors and perceptions of United Kingdom college students with regards to the United States as a travel destination. Two objectives were formulated, to determine whether image dimensions differed based on (1) travel behavior, and (2) socio-...

  18. Efficacy of Thematic Units on Language and Literacy: A Collaborative Study of a Shelter Unit Intervention with Struggling First Graders

    ERIC Educational Resources Information Center

    Hale, Suzan L.

    2010-01-01

    The purpose of this study was to examine the efficacy of using thematic units in small group instructional settings for struggling readers to increase oral language in the areas of receptive, expressive, and written vocabulary. This research examined the efficacy of using thematic units in small group instructional settings for struggling readers…

  19. Work-unit social capital and long-term sickness absence: a prospective cohort study of 32 053 hospital employees.

    PubMed

    Török, Eszter; Clark, Alice Jessie; Jensen, Johan Høy; Lange, Theis; Bonde, Jens Peter; Bjorner, Jakob Bue; Rugulies, Reiner; Hvidtfeldt, Ulla Arthur; Hansen, Åse Marie; Ersbøll, Annette Kjær; Rod, Naja Hulvej

    2018-06-06

    There is a lack of studies investigating social capital at the workplace level in small and relatively homogeneous work-units. The aim of the study was to investigate whether work-unit social capital predicts a lower risk of individual long-term sickness absence among Danish hospital employees followed prospectively for 1 year. This study is based on the Well-being in HospitAL Employees cohort. The study sample consisted of 32 053 individuals nested within 2182 work-units in the Capital Region of Denmark. Work-unit social capital was measured with an eight-item scale covering elements of trust, justice and collaboration between employees and leaders. Social capital at the work-unit level was computed as the aggregated mean of individual-level social capital within each work-unit. Data on long-term sickness absence were retrieved from the employers' payroll system and were operationalised as ≥29 consecutive days of sickness absence. We used a 12-point difference in social capital as the metric in our analyses and conducted two-level hierarchical logistic regression analysis. Adjustments were made for sex, age, seniority, occupational group and part-time work at the individual level, and work-unit size, the proportion of female employees and the proportion of part-time work at the work-unit level. The OR for long-term sickness absence associated with a 12-point higher work-unit social capital was 0.73 (95% CI 0.68 to 0.78). Further, we found an association between higher work-unit social capital and lower long-term sickness absence across quartiles of social capital: compared with the lowest quartile, the OR for long-term sickness absence in the highest quartile was 0.51 (95% CI 0.44 to 0.60). Our study provides support for work-unit social capital being a protective factor for individual long-term sickness absence among hospital employees in the Capital Region of Denmark. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

  20. Effects of Hydrogen Peroxide on Dental Unit Biofilms and Treatment Water Contamination

    PubMed Central

    Lin, Shih-Ming; Svoboda, Kathy K.H.; Giletto, Anthony; Seibert, Jeff; Puttaiah, Raghunath

    2011-01-01

    Objectives: To study effects of various concentrations of hydrogen peroxide on mature waterline biofilms and in controlling planktonic (free-floating) organisms in simulated dental treatment water systems; and to study in vitro the effects of 2%, 3%, and 7% hydrogen peroxide on the removal of mature biofilms and inorganic compounds in dental waterlines. Methods: Four units of an automated dental unit water system simulation device was used for 12 weeks. All units were initially cleaned to control biofilms and inorganic deposits. H2O2 at concentrations of 1%, 2%, 3% was used weekly for periodic cleaning in three treatment group units (units 1, 2 & 3), with 0.05%, 0.15% and 0.25% H2O2 in municipal water used as irrigant respectively. The control unit (unit 4) did not have weekly cleanings and used municipal water as irrigant. Laser Scanning Confocal Microscopy and Scanning Electron Microscopy were used to study deposits on lines, and weekly heterotrophic plate counts done to study effluent water contamination. A 24 hour in vitro challenge test with 7%, 3% and 2% H2O2 on mature biofilms was conducted using harvested waterlines to study biofilm and inorganic deposit removal. Results: Heterotrophic plate counts of effluent water showed that the control unit reached contamination levels in excess of 400,000 CFU/mL while all treatment units showed contamination levels <500 CFU/mL through most of the 12 weeks. All treatment units showed varying levels of biofilm and inorganic deposit control in this short 12 week study. The in vitro challenge test showed although there was biofilm control, there was no eradication even when 7% H2O2 was used for 24 hours. Conclusions: 2% H2O2 used as a periodic cleaner, and diluted to 0.05% in municipal water for irrigation was beneficial in controlling biofilm and planktonic contamination in dental unit water systems. However, to remove well established biofilms, it may take more than 2 months when initial and multiple periodic cleanings are performed using H2O2. PMID:21228956

  1. EMAP WESTERN UNITED STATES LANDSCAPE CHARACTERIZATION NORTHERN CALIFORNIA DATA BROWSER

    EPA Science Inventory


    The United States Environmental Protection Agency's Environmental Monitoring and Assessment Program (EMAP) is conducting a pilot study in the western United States. This study will advance the science of ecological monitoring and demonstrate techniques for regional-scale asse...

  2. Designing occupancy studies: general advice and allocating survey effort

    USGS Publications Warehouse

    MacKenzie, D.I.; Royle, J. Andrew

    2005-01-01

    1. The fraction of sampling units in a landscape where a target species is present (occupancy) is an extensively used concept in ecology. Yet in many applications the species will not always be detected in a sampling unit even when present, resulting in biased estimates of occupancy. Given that sampling units are surveyed repeatedly within a relatively short timeframe, a number of similar methods have now been developed to provide unbiased occupancy estimates. However, practical guidance on the efficient design of occupancy studies has been lacking. 2. In this paper we comment on a number of general issues related to designing occupancy studies, including the need for clear objectives that are explicitly linked to science or management, selection of sampling units, timing of repeat surveys and allocation of survey effort. Advice on the number of repeat surveys per sampling unit is considered in terms of the variance of the occupancy estimator, for three possible study designs. 3. We recommend that sampling units should be surveyed a minimum of three times when detection probability is high (> 0.5 survey-1), unless a removal design is used. 4. We found that an optimal removal design will generally be the most efficient, but we suggest it may be less robust to assumption violations than a standard design. 5. Our results suggest that for a rare species it is more efficient to survey more sampling units less intensively, while for a common species fewer sampling units should be surveyed more intensively. 6. Synthesis and applications. Reliable inferences can only result from quality data. To make the best use of logistical resources, study objectives must be clearly defined; sampling units must be selected, and repeated surveys timed appropriately; and a sufficient number of repeated surveys must be conducted. Failure to do so may compromise the integrity of the study. The guidance given here on study design issues is particularly applicable to studies of species occurrence and distribution, habitat selection and modelling, metapopulation studies and monitoring programmes.

  3. Optimal Dose and Method of Administration of Intravenous Insulin in the Management of Emergency Hyperkalemia: A Systematic Review.

    PubMed

    Harel, Ziv; Kamel, Kamel S

    2016-01-01

    Hyperkalemia is a common electrolyte disorder that can result in fatal cardiac arrhythmias. Despite the importance of insulin as a lifesaving intervention in the treatment of hyperkalemia in an emergency setting, there is no consensus on the dose or the method (bolus or infusion) of its administration. Our aim was to review data in the literature to determine the optimal dose and route of administration of insulin in the management of emergency hyperkalemia. We searched several databases from their date of inception through February 2015 for eligible articles published in any language. We included any study that reported on the use of insulin in the management of hyperkalemia. We identified eleven studies. In seven studies, 10 units of regular insulin was administered (bolus in five studies, infusion in two studies), in one study 12 units of regular insulin was infused over 30 minutes, and in three studies 20 units of regular insulin was infused over 60 minutes. The majority of included studies were biased. There was no statistically significant difference in mean decrease in serum potassium (K+) concentration at 60 minutes between studies in which insulin was administered as an infusion of 20 units over 60 minutes and studies in which 10 units of insulin was administered as a bolus (0.79±0.25 mmol/L versus 0.78±0.25 mmol/L, P = 0.98) or studies in which 10 units of insulin was administered as an infusion (0.79±0.25 mmol/L versus 0.39±0.09 mmol/L, P = 0.1). Almost one fifth of the study population experienced an episode of hypoglycemia. The limited data available in the literature shows no statistically significant difference between the different regimens of insulin used to acutely lower serum K+ concentration. Accordingly, 10 units of short acting insulin given intravenously may be used in cases of hyperkalemia. Alternatively, 20 units of short acting insulin may be given as a continuous intravenous infusion over 60 minutes in patients with severe hyperkalemia (i.e., serum K+ concentration > 6.5 mmol/L) and those with marked EKG changes related to hyperkalemia (e.g., prolonged PR interval, wide QRS complex) as an alternative to 10 units of short acting insulin. Because the risk of hypoglycemia is increased with using large insulin doses, sufficient glucose (60 grams with the administration of 20 units of insulin and 50 grams with the administration of 10 units) should be given to prevent hypoglycemia, and plasma glucose should be frequently monitored.

  4. Protocols and Hospital Mortality in Critically ill Patients: The United States Critical Illness and Injury Trials Group Critical Illness Outcomes Study

    PubMed Central

    Sevransky, Jonathan E.; Checkley, William; Herrera, Phabiola; Pickering, Brian W.; Barr, Juliana; Brown, Samuel M; Chang, Steven Y; Chong, David; Kaufman, David; Fremont, Richard D; Girard, Timothy D; Hoag, Jeffrey; Johnson, Steven B; Kerlin, Mehta P; Liebler, Janice; O'Brien, James; O'Keefe, Terence; Park, Pauline K; Pastores, Stephen M; Patil, Namrata; Pietropaoli, Anthony P; Putman, Maryann; Rice, Todd W.; Rotello, Leo; Siner, Jonathan; Sajid, Sahul; Murphy, David J; Martin, Greg S

    2015-01-01

    Objective Clinical protocols may decrease unnecessary variation in care and improve compliance with desirable therapies. We evaluated whether highly protocolized intensive care units have superior patient outcomes compared with less highly protocolized intensive care units. Design Observational study in which participating intensive care units completed a general assessment and enrolled new patients one day each week. Setting and Patients 6179 critically ill patients across 59 intensive care units in the United States Critical Illness and Injury Trials Group Critical Illness Outcomes Study Interventions: None Measurements and Main Results The primary exposure was the number of intensive care unit protocols; the primary outcome was hospital mortality. 5809 participants were followed prospectively and 5454 patients in 57 intensive care units had complete outcome data. The median number of protocols per intensive care unit was 19 (IQR 15 to 21.5). In single variable analyses, there were no differences in intensive care unit and hospital mortality, length of stay, use of mechanical ventilation, vasopressors, or continuous sedation among individuals in intensive care units with a high vs. low number of protocols. The lack of association was confirmed in adjusted multivariable analysis (p=0.70). Protocol compliance with two ventilator management protocols was moderate and did not differ between intensive care units with high vs. low numbers of protocols for lung protective ventilation in ARDS (47% vs. 52%; p=0.28) and for spontaneous breathing trials (55% vs. 51%; p=0.27). Conclusions Clinical protocols are highly prevalent in United States intensive care units. The presence of a greater number of protocols was not associated with protocol compliance or patient mortality. PMID:26110488

  5. Water-quality, streamflow, and ancillary data for nutrients in streams and rivers across the nation, 1992-2001

    USGS Publications Warehouse

    Mueller, David K.; Spahr, Norman E.

    2005-01-01

    Introduction: This report is the companion data report for: Nutrients in Streams and Rivers Across the Nation - 1992-2001 (D.K. Mueller and N.E. Spahr, U.S. Geological Survey written commun., 2005). The data contained in this report were collected as part of the National Water-Quality Assessment (NAWQA) Program. Investigations were conducted in 51 large river basins and aquifer systems, which are referred to as 'study units.' Implementation of study-unit investigations were phased so that high-intensity sampling occurred in about one-third of the study units at a time. Investigations in the first 20 study units began in 1991, and stream sampling began in 1992; however, most samples were collected during water years 1993-95. (Water year is defined as the period from October through September and is identified by the year in which it ends.) A second group of 16 study-unit investigations began in 1994, with most of the sampling completed during water years 1996-98. A third group, consisting of 15 study units, began in 1997 with most of the data collected during water years 1999-2001. At some sites, additional sampling continued after the high-intensity time period. Gilliom and others (1995) provide additional information about study-unit sampling design. Additional information about the NAWQA program is available at http://water.usgs.gov/nawqa/index.html.

  6. The State of Social Studies Teacher Preparation: An Analysis of Program Requirements in the United States

    ERIC Educational Resources Information Center

    Bittman, Bonnie; Russell, William B., III; Kenna, Joshua; Beckles, Lloyd; Zandt, Carolyn V

    2017-01-01

    What is the current state of social studies Teacher Preparation Programs (TPPs) for licensure across the United States? The purpose of this research study is to fill the gap in the academic research, providing an overview of social studies TPPs across the United States. In order to best answer that question the researchers examined the required…

  7. Kongo: A Kingdom Divided. A Unit of Study for Grades 7-11.

    ERIC Educational Resources Information Center

    O'Roark, Ernest L.; Wood, Eileen E.

    This unit uses a case study of the Kingdom of the Kongo (Congo) to answer questions about the trans-Atlantic slave trade from an African perspective. The unit is appropriate for use in any study of the history of sub-Saharan Africa. Because it focuses on the African perspective of events surrounding the slave trade, it supports in-depth studies of…

  8. Nutritional status among older residents with dementia in open versus special care units in municipal nursing homes: an observational study

    PubMed Central

    2013-01-01

    Background Undernutrition is widespread among institutionalised elderly, and people suffering from dementia are at particularly high risk. Many elderly with dementia live in open units or in special care units in nursing homes. It is not known whether special care units have an effect on the nutritional status of the residents. The aim of this study was therefore to examine the nutritional status of residents with dementia in both open units and in special care units. Methods Among Oslo’s 29 municipal nursing homes, 21 participated with 358 residents with dementia or cognitive impairment, of which 46% lived in special care units. Nutritional status was assessed using the Malnutrition Universal Screening Tool and anthropometry. Results We found no differences (p > 0.05) in risk of undernutrition, body mass index, mid-upper arm muscle circumference or triceps skinfold thickness between residents in open units and those in special care units. Residents in special care units were significantly younger and stronger when measured with a hand-grip test. Conclusions We found no difference in nutritional status between nursing home residents with dementia/cognitive impairment in open units versus in special care units. PMID:23496975

  9. A Teaching Guide and Experience Units K-12. Social Studies. Grade Four.

    ERIC Educational Resources Information Center

    Arapahoe County School District 6, Littleton, CO.

    The unit experiences for the K-12 curriculum guide, including these for grade 4, are outlined in SO 001 139. These units initiate the study of geographic regions of the world. Emphasis in these area studies is placed on the regional topography, geographic factors, and people's economic, social, and cultural adjustment to their environment or…

  10. Nomenclature of regional hydrogeologic units of the Southeastern Coastal Plain aquifer system

    USGS Publications Warehouse

    Miller, J.A.; Renken, R.A.

    1988-01-01

    Clastic sediments of the Southeastern Coastal Plain aquifer system can be divided into four regional aquifers separated by three regional confining units. The four regional aquifers have been named for major rivers that cut across their outcrop areas and expose the aquifer materials. From youngest to oldest, the aquifers are called the Chickasawhay River, Pearl River, Chattahoochee River, and Black Warrior River aquifers, and the regional confining units separating them are given the same name as the aquifer they overlie. Most of the regional hydrogeologic units are subdivided within each of the four States that comprise the study area. Correlation of regional units is good with hydrogeologic units delineated by a similar regional study to the west and southwest. Because of complexity created by a major geologic structure to the northeast of the study area and dramatic facies change from clastic to carbonate strata to the southeast, correlation of regional hydrogeologic units is poor in these directions. (Author 's abstract)

  11. Online marketing strategies of plastic surgeons and clinics: a comparative study of the United Kingdom and the United States.

    PubMed

    Nassab, Reza; Navsaria, Harshad; Myers, Simon; Frame, James

    2011-07-01

    The cosmetic surgery market is a rapidly growing sector of healthcare, and the use of marketing strategies is now an integral part of any cosmetic surgery practice. In this study, the authors review 50 Web sites from practitioners in London and New York to quantify the utilization of online marketing, comparing results between the United Kingdom and the United States.

  12. The Design of Adult Acute Care Units in U.S. Hospitals

    PubMed Central

    Catrambone, Cathy; Johnson, Mary E.; Mion, Lorraine C.; Minnick, Ann F.

    2010-01-01

    Purpose To describe the current state of design characteristics determined to be desirable by the Agency for Health Research and Quality (AHRQ) in U.S. adult medical, surgical, and intensive care units (ICUs). Design Descriptive study of patient visibility; distance to hygiene, toileting, charting, and supplies; unit configuration; percentage of private rooms; and presence or absence of carpeting in 56 ICUs and 81 medical-surgical units in six metropolitan areas. Methods Data were collected via observation, measurement, and interviews. Unit configurations were classified via an iterative process. Descriptive data were analyzed according to ICU and non-ICU status using SPSS (Version 15). Findings Analysis of unit configurations indicated eight unit designs. Statistical analysis showed inter- and intrahospital variation in unit configurations, percentage private rooms, carpeting, visibility, and distance to supplies and charting. Few units met the AHRQ designated design elements studied. Conclusions A wide gap exists between desirable characteristics in ICUs and medical-surgical units. Future research is needed to explore operationalization of unit design elements as risk adjustments, how design elements contribute to patient outcomes, and how design elements influence one another. Clinical Relevance There is room for improvement on almost every design variable, particularly on medical-surgical units. Future planning should take into consideration the interaction of bed capacity and unit configuration. PMID:19335681

  13. Labour Studies Units.

    ERIC Educational Resources Information Center

    Holmes, Eric; And Others

    The nine units highlight the history, activities, values, and aspirations of the Canadian labor force. The program's purpose is to help secondary school social studies students develop a more objective appreciation of labor and of labor's role in Canadian social history. The first unit, "Union Today," analyzes contemporary union activity…

  14. Red cell storage in E-Sol 5 and Adsol additive solutions: paired comparison using mixed and non-mixed study designs.

    PubMed

    Radwanski, K; Thill, M; Min, K

    2014-05-01

    If transfusion of older stored red cells is found to negatively affect clinical outcome, one possible alternative to shortened outdate is the use of new additive solutions (AS) that ameliorate the storage lesion. Erythro-Sol (E-Sol), a previously developed next-generation AS, has been reformulated into E-Sol 5, which is compatible with current anticoagulants and AS volumes. The effect of E-Sol 5 on red cells during storage compared to current AS has not been reported. Paired, ABO-matched whole-blood units were collected into CPD anticoagulant, pooled, split and processed into plasma and red cell units with either 110 ml of Adsol or 105 ml of E-Sol 5 within 8 h of collection. In Study 1, paired units in E-Sol 5 and Adsol were sampled on Day 0 and every 7 days up to Day 42 (n = 10). In Study 2, paired units in E-Sol 5 and Adsol were sampled only on Day 0 and Day 42 (n = 10). In Study 1, 2,3 DPG levels were maintained until Day 28 in E-Sol 5 units and Day 14 in Adsol units. ATP levels were higher in E-Sol 5 units until Day 21, after which they were comparable between the two groups. In both studies, metabolic activity was greater in E-Sol 5 units with respect to glucose consumption and lactate production. Morphology scores were higher, and haemolysis and microparticles generated were lower in E-Sol 5 vs. Adsol units. Weekly mixing of units lowered haemolysis and microparticle levels and increased potassium content on Day 42 in both additive solutions. Regardless of whether units are mixed weekly or are stored non-mixed, E-Sol 5 slows the progression of the red cell storage lesion and improves the overall in vitro quality of RBC throughout storage. © 2013 International Society of Blood Transfusion.

  15. Going alone: the lived experience of female Arab-Muslim nursing students living and studying in the United States.

    PubMed

    McDermott-Levy, Ruth

    2011-01-01

    Since 2004, international student enrollment in the United States has increased. Middle Eastern students studying in the United States have been part of the increase. In 2008-2009 there were 29 140 Middle Eastern students, representing an 18% increase from the previous academic year. Despite these increases, there is limited research examining the experience of Arab-Muslim international students or international nursing students studying in the United States. Phenomenological inquiry was used to describe the experience of 12 female Omani nurses living in the United States while studying for their baccalaureate degrees in nursing. The women described the experience of going alone and being away from the support and presence of their large, extended families; this influenced their international student experience. They also described their religious, cultural, and educational adaptation. The experience of living and studying nursing in the United States was transformational as they became self-reliant, learned their capabilities, and adapted to cultural and educational expectations. Copyright © 2011 Elsevier Inc. All rights reserved.

  16. From spouse to caregiver and back: a grounded theory study of post-intensive care unit spousal caregiving.

    PubMed

    Ågård, Anne Sophie; Egerod, Ingrid; Tønnesen, Else; Lomborg, Kirsten

    2015-08-01

    To explore the challenges and caring activities of spouses of intensive care unit survivors during the first year of patient recovery. Every year, millions of people globally are discharged from an intensive care unit after critical illness to continue treatment, care and rehabilitation in general hospital wards, rehabilitation facilities and at home. Consequently, millions of spouses become informal caregivers. Little is known, however, about the concrete challenges spouses face in post-intensive care unit everyday life. Explorative, qualitative grounded theory study. Participants were spouses of intensive care unit survivors. The study was undertaken in Denmark in 2009-2010. Data consisted of 35 semi-structured dyad interviews at 3 and 12 months post-intensive care unit discharge, two group interviews with patients and two with spouses. 'Shifting their role from spouse to caregiver and back' was identified as the core category of the study. The role shifts progressed in a dynamic process involving four elements: (1) committing to caregiving; (2) acquiring caregiving skills; (3) negotiating level of caregiving and (4) gradually leaving the caregiver role. Post-ICU caregiving comprised five patient dimensions: observing, assisting, coaching, advocating and managing activities. Spouses play a vital and multifaceted role in post-intensive care unit recovery. The findings can inform healthcare professionals in their efforts to prepare intensive care unit patients' families for the time following intensive care unit and hospital discharge. Hospital staff, rehabilitation experts and primary care professionals must acknowledge spouses' important contribution from intensive care unit admission throughout recovery. © 2015 John Wiley & Sons Ltd.

  17. A Multicultural Guide to Thematic Units for Young Children. A Good Apple Early Childhood Learning Resource Book for Preschool-Grade 2.

    ERIC Educational Resources Information Center

    Carroll, Jeri A.; Kear, Dennis J.

    This book accompanies "A Multicultural Guide to Literature-Based Whole Language Activities" and provides a multicultural perspective to several units of study for young children. The units are based in the social studies or the sciences. Each study begins with topics familiar to the young child and expands the study to introduce the unfamiliar.…

  18. National Water-Quality Assessment (NAWQA) Program, Long Island-New Jersey (LINJ) Coastal Drainages Study Unit : Scope of the Long Island-New Jersey Coastal Drainages Study-Unit investigation

    USGS Publications Warehouse

    Ayers, Mark A.

    1994-01-01

    Scope of the Long Island-New Jersey Coastal Drainages Study-Unit InvestigationIn 1991, the U.S. Geological Survey (USGS) began a National Water-Quality Assessment (NAWQA) Program to document the status of and trends in quality of a large representative part of the Nation's water resources and to provide a sound scientific understanding of the primary natural and human factors that affect the quality of these resources. The program is designed to produce long-term, consistent water-quality information that will be useful to policymakers and managers at national, State, and local levels.Investigations of 60 hydrologic systems (study units), which include parts of most major river basins and aquifer systems in the United States, are the building blocks of NAWQA. A framework has been established to ensure nationwide consistency in the approach to each study--in field and laboratory methods, in water-quality measurements, and in the supporting data requirements. Twenty studies were started in 1991, 20 more have begun in 1994, and 20 are scheduled to begin in 1997.A major design feature of the program that will facilitate integration of water-quality information at national, regional, and local scales is coordination between the individual study-unit teams and the national synthesis effort at all stages of the investigations. Thus, results that relate to various topics addressed in the study-unit investigations will be integrated smoothly into NAWQA's national synthesis component. Teams have been developed to address the following topics of national importance: pesticides, nutrients, and volatile organic compounds. These teams are investigating the specific issues by means of comparative studies of a large set of hydrologic systems distributed over a wide range of environmental settings found in the 60 study-units.The information below summarizes the goals and scope of the NAWQA Program and the Long Island-New Jersey Coastal Drainages study, which began in 1994.

  19. Individual Characteristics and Unit Performance. A Review of Research and Methods.

    ERIC Educational Resources Information Center

    Kahan, James P.; And Others

    This report reviews existing studies of the determinants of group performance in an attempt to understand how personnel characteristics of units affect the effectiveness and efficiency with which those units perform their missions. As defined for this project, unit performance is the aggregate behavior of personnel in a unit. This review provides…

  20. ­­Estimating Forest Management Units from Road Network Maps in the Southeastern U.S.

    NASA Astrophysics Data System (ADS)

    Yang, D.; Hall, J.; Fu, C. S.; Binford, M. W.

    2015-12-01

    The most important factor affecting forest structure and function is the type of management undertaken in forest stands. Owners manage forests using appropriately sized areas to meet management objectives, which include economic return, sustainability, recreation, or esthetic enjoyment. Thus, the socio-environmental unit of study for forests should be the management unit. To study the ecological effects of different kinds of management activities, we must identify individual management units. Road networks, which provide access for human activities, are widely used in managing forests in the southeastern U.S. Coastal Plain and Piedmont (SEUS). Our research question in this study is: How can we identify individual forest management units in an entire region? To answer it, we hypothesize that the road network defines management units on the landscape. Road-caused canopy openings are not always captured by satellite sensors, so it is difficult to delineate ecologically relevant patches based only on remote sensing data. We used a reliable, accurate and freely available road network data, OpenStreetMap (OSM), and the National Land Cover Database (NLCD) to delineate management units in a section of the SEUS defined by Landsat Wprldwide Reference System (WRS) II footprint path 17 row 39. The spatial frequency distributions of forest management units indicate that while units < 0.5 Ha comprised 64% of the units, these small units covered only 0.98% of the total forest area. Management units ≥ 0.5 Ha ranged from 0.5 to 160,770 Ha (the Okefenokee National Wildlife Refuge). We compared the size-frequency distributions of management units with four independently derived management types: production, ecological, preservation, and passive management. Preservation and production management had the largest units, at 40.5 ± 2196.7 (s.d.) and 41.3 ± 273.5 Ha, respectively. Ecological and passive averaged about half as large at 19.2 ± 91.5 and 22.4 ± 96.0 Ha, respectively. This result supports the hypothesis that the road network defines management units in SEUS. If this way of delineating management units stands under further testing, it will provide a way of subdividing the landscape so that we can study the effects of different management on forest ecosystems.

  1. Kids in Germany: Comparing Students from Different Cultures.

    ERIC Educational Resources Information Center

    Fitzhugh, William P.

    This unit of study, intended for intermediate grade students, focuses on comparing students from different cultures: Germany and the United States. The unit addresses National Social Studies Standards (NCSS) standards; presents an introduction, such as purpose/rationale; cites a recommended grade level; states objectives; provides a time…

  2. Two if by Sea: America's Maritime Heritage and the Social Studies Teacher.

    ERIC Educational Resources Information Center

    Heitzmann, Wm. Ray

    In the first part of this document, teachers are urged to include United States' maritime history in planning social studies courses, units, and lessons. After a rationale for teaching the study of the sea, ways in which this topic can be used as content are briefly discussed. For example, units can be developed around the ship building industry,…

  3. Empirical Studies of Behavioural Patterns at the United Nations. Peace Research Reviews, Vol. VII, No. 4, May 1978 [And] Vol. VII, No. 5, May 1978.

    ERIC Educational Resources Information Center

    Newcombe, Alan G., Ed.; Newcombe, Hanna, Ed.

    These volumes present the findings of four studies of behavioral patterns of delegates at the United Nations (UN). UN voting records, delegate questionnaires, and national, political, social, and geographic variables were analyzed. The first study, "Exploring Delegate Attitudes at the United Nations," reports delegates' reactions to…

  4. Identifying and assessing strategies for evaluating the impact of mobile eye health units on health outcomes.

    PubMed

    Fu, Shiwan; Turner, Angus; Tan, Irene; Muir, Josephine

    2017-12-01

    To identify and assess strategies for evaluating the impact of mobile eye health units on health outcomes. Systematic literature review. Worldwide. Peer-reviewed journal articles that included the use of a mobile eye health unit. Journal articles were included if outcome measures reflected an assessment of the impact of a mobile eye health unit on health outcomes. Six studies were identified with mobile services offering diabetic retinopathy screening (three studies), optometric services (two studies) and orthoptic services (one study). This review identified and assessed strategies in existing literature used to evaluate the impact of mobile eye health units on health outcomes. Studies included in this review used patient outcomes (i.e. disease detection, vision impairment, treatment compliance) and/or service delivery outcomes (i.e. cost per attendance, hospital transport use, inappropriate referrals, time from diabetic retinopathy photography to treatment) to evaluate the impact of mobile eye health units. Limitations include difficulty proving causation of specific outcome measures and the overall shortage of impact evaluation studies. Variation in geographical location, service population and nature of eye care providers limits broad application. © 2017 National Rural Health Alliance Inc.

  5. Early resuscitation intensity as a surrogate for bleeding severity and early mortality in the PRospective, Observational, Multicenter, Major Trauma Transfusion (PROMMTT) Study

    PubMed Central

    Rahbar, Elaheh; Fox, Erin E.; del Junco, Deborah J.; Harvin, John A.; Holcomb, John B.; Wade, Charles E.; Schreiber, Martin A.; Rahbar, Mohammad H.; Bulger, Eileen M.; Phelan, Herb A.; Brasel, Karen J.; Alarcon, Louis H.; Myers, John G.; Cohen, Mitchell J.; Muskat, Peter; Cotton, Bryan A.

    2013-01-01

    Background The classic definition of MT, ≥10 units red blood cells (RBCs) in 24 hours, has never been demonstrated as a valid surrogate for severe hemorrhage and can introduce survival bias. In addition, the definition fails to capture other products that the clinician may have immediately available during the initial resuscitation. Assuming that units of resuscitative fluids reflect patient illness, our objective was to identify a rate of resuscitation intensity (RI) that could serve as an early surrogate of sickness for patients with substantial bleeding post-injury. Methods Adult patients surviving at least 30 minutes post-admission and receiving ≥1 RBC within 6 hours of admission from ten US Level 1 trauma centers were enrolled in the PRospective Observational Multicenter Major Trauma Transfusion study. Total fluid units were calculated as the sum of the number of crystalloid units (1 L=1 unit), colloids (0.5 L=1 unit) and blood products (1 RBC=1 unit, 1 plasma=1 unit, 6 pack platelets=1 unit). Univariable and multivariable logistic regressions were used to evaluate associations between RI and 6-hour mortality, adjusting for age, center, penetrating injury, weighted Revised Trauma Score, and Injury Severity Score. Results 1096 eligible patients received resuscitative fluids within 30 minutes, including 620 transfused with blood products. Despite varying products utilized, the total fluid RI was similar across all sites (3.2±2.5 units). Patients who received ≥4 units of any resuscitative fluid had a 6-hour mortality rate of 14.4% vs. 4.5% in patients who received <4 units. The adjusted odds ratio of 6-hour mortality for patients receiving ≥4 units within 30 minutes was 2.1 (95% Confidence Interval: 1.2–3.5). Conclusions Resuscitation with ≥4 units of any fluid was significantly associated with 6-hour mortality. This study suggests that early RI regardless of fluid type can be used as a surrogate for sickness and mortality in severely bleeding patients. Level of Evidence PROMMTT is a prospective observational study, Level II. PMID:23778506

  6. Rare disease surveillance: An international perspective

    PubMed Central

    Elliott, Elizabeth J; Nicoll, Angus; Lynn, Richard; Marchessault, Victor; Hirasing, Remy; Ridley, Greta

    2001-01-01

    BACKGROUND: The International Network of Paediatric Surveillance Units (INoPSU) was established in 1998 and met formally for the first time in Ottawa, Ontario in June 2000. OBJECTIVES: To document the methodology and activities of existing national paediatric surveillance units; the formation of INoPSU; the diseases studied by INoPSU members; and the impact of such studies on education, public health and paediatric practice. METHODS: Directors of paediatric surveillance units in Australia, Britain, Canada, Germany, the Netherlands, Latvia, Malaysia, Papua New Guinea, New Zealand and Switzerland were asked to provide information on each unit’s affiliations, funding and staffing; the method of case ascertainment, the mailing list and response rates; and diseases studied. Original articles that reported data derived from units were identified by a search of an electronic database (MEDLINE), and additional information was obtained from units’ annual reports. RESULTS: Worldwide, 10 units (established from 1986 to 1997), use active national surveillance of more than 8500 clinicians each month to identify cases of rare or uncommon diseases in a childhood population (younger than 15 years of age) of over 47 million (monthly response rate 73% to 98%). By January 1999, units had initiated 147 studies on 103 different conditions, and 63 studies were completed. CONCLUSION: INoPSU enhances collaboration among units from four continents, providing a unique opportunity for simultaneous cross-sectional studies of rare diseases in populations with diverse geographical and ethnic characteristics. It facilitates the sharing of ideas regarding current methodology, ethics, the most appropriate means of evaluating units and their potential application. PMID:20084246

  7. The factors affecting the institutionalisation of two policy units in Burkina Faso's health system: a case study.

    PubMed

    Zida, Andre; Lavis, John N; Sewankambo, Nelson K; Kouyate, Bocar; Moat, Kaelan

    2017-07-17

    This paper is one of three linked studies that attempts to understand the process of institutionalisation of policy units within Burkina Faso's health system. It examines the relationships between the existence of an institutional framework, data production capacity and other resource availability in the institutionalisation of policy units in health systems. It therefore contributes to our understanding of the dynamics linking the key drivers and indicators of institutionalisation. Additionally, it examines how factors within the managerial setting, including workplace environment, and budgetary and human resource availability, may influence the institutionalisation process. The study used an explanatory qualitative case study approach, examining two policy units in Burkina Faso's Ministry of Health, the first of which had been institutionalised successfully and the other less so. Data were collected from key policymakers, including 13 connected with the first policy unit and 10 with the second, plus two funders. We also conducted a documentary analysis of the National Program for Health Development, two mid-term strategic plans, 230 action plans, eight Ministry of Health state budgets, eight Ministry of Health annual statistics reports, 16 policy unit budgets and published literature. The framework within which the government gave the policy unit its mandate and policy focus had the strongest effect on the institutionalisation process. Institutionalisation depended on political will, in both the host government and any donors, and the priority given to the policy unit's focus. It was also affected by the leadership of the policy unit managers. These factors were influenced by human resource capacity, and our findings suggest that, for successful institutionalisation in Burkina Faso's health system, policy units need to be given sufficient human resources to achieve their objectives. Policy units' institutionalisation in Burkina Faso's health system depend on the leadership of the unit managers to implement relevant activities, mobilise funding, and recruit and maintain enough human resources, as well as the mandate given by the government.

  8. Environmental and hydrologic setting of the Ozark Plateaus study unit, Arkansas, Kansas, Missouri, and Oklahoma

    USGS Publications Warehouse

    Adamski, James C.; Petersen, James C.; Freiwald, David A.; Davis, Jerri V.

    1995-01-01

    The environmental and hydrologic setting of the Ozark Plateaus National Water-Quality Assessment (NAWQA) study unit and the factors that affect water quality are described in this report. The primary natural and cultural features that affect water- quality characteristics and the potential for future water-quality problems are described. These environmental features include climate, physio- graphy, geology, soils, population, land use, water use, and surface- and ground-water flow systems. The study-unit area is approximately 47,600 square miles and includes most of the Ozark Plateaus Province and parts of the adjacent Osage Plains and Mississippi Alluvial Plain in parts of Arkansas, Kansas, Missouri, and Oklahoma. The geology is characterized by basement igneous rocks overlain by a thick sequence of dolomites, limestones, sandstones, and shales of Paleozoic age. Land use in the study unit is predominantly pasture and forest in the southeastern part, and pasture and cropland in the northwestern part. All or part of the White, Neosho-lllinois, Osage, Gasconade, Meramec, St. Francis, and Black River Basins are within the study unit. Streams in the Boston Mountains contain the least mineralized water, and those in the Osage Plains contain the most mineralized water. The study unit contains eight hydrogeologic units including three major aquifers--the Springfield Plateau, Ozark, and St. Francois aquifers. Streams and aquifers in the study unit generally contain calcium or calcium-magnesium bicarbonate waters. Ground- and surface-water interactions are greatest in the Salem and Springfield Plateaus and least in the Boston Mountains and Osage Plains. Geology, land use, and population probably are the most important environmental factors that affect water quality.

  9. Land use and nutrient concentrations and yields in selected streams in the Albemarle-Pamlico drainage basin, North Carolina and Virginia

    USGS Publications Warehouse

    Woodside, M.D.; Simerl, B.R.

    1995-01-01

    Because nutrients can cause water-quaiity degradation, a major focus of NAWQA is to investigate effects of nutrients on surface- and ground-water quality. This report summarizes surface-water quality study design and land uses in the NAWQA Albemarle-Pamlico Drainage Basin study unit, one of 60 study units nationwide, and shows how nutrient concentrations are related to land uses at selected basins in the study unit. The study area encompasses about 28,000 square miles (mi2) in central and eastern North Carolina and southern Virginia. The major river basins in the Albemarle-Pamlico Drainage Basin are the Chowan, Roanoke, Tar, and Neuse. The barrier islands, estuaries, and the AlbemarIe, Pamlico, and associated sounds are not included in the study-unit area. The Albemarle-Pamlico Drainage Basin covers four physiographic provinces:Valley and Ridge, Blue Ridge, Piedmont, and Coastal Plain. About 50 percent of the land in the study areais forested, 30 percent is cropland, 15 percent is wetland, and 5 percent is developed. The population--of the study unit is about 3 million people.

  10. Learning Achievement Packages: Calexico Intercultural Design.

    ERIC Educational Resources Information Center

    Markatos, John

    Two social studies units highlight the origins and structure of government and the legislative activities of the United States government in particular. The units are part of a program designed to help 12th grade and adult education social studies teachers develop bilingual curriculum materials (English and Spanish languages) related to systems of…

  11. Marine and Environmental Studies Field Manual.

    ERIC Educational Resources Information Center

    Cranston School Dept., RI.

    This laboratory manual was developed for a field-oriented high school oceanology program. The organization of the units includes a selection of supplementary activities to allow students to explore ocean studies in more depth. Included are 19 units. The units include biological oceanography, physical oceanography, and some social science topics. A…

  12. Social Studies: United States. Grade 5.

    ERIC Educational Resources Information Center

    Kellogg, E. G.

    This teachers guide attempts to facilitate the study of the United States through a conceptual approach and multimedia instruction in a spiral curriculum. There are five units: 1) Natural Setting --location, climate, terrain, water, soil, and economic and esthetic value, and conservation; 2) Historial Development --North American Indian cultures,…

  13. Mexican Celebrations. Latin American Culture Studies Project.

    ERIC Educational Resources Information Center

    Garza-Lubeck, Maria; Salinas, Ana Maria

    Developed for elementary school children, this unit is designed to teach about Mexican American culture through the study of holidays celebrated throughout much of Latin America and the southwestern United States. The unit describes and provides background information about nine Mexican American holidays. Among the activities included are the…

  14. Nuclear Proliferation: A Unit for Study.

    ERIC Educational Resources Information Center

    Fernekes, William R.

    1990-01-01

    Using Argentina as a sample case study, presents a classroom unit designed to explain the implications for world peace of nuclear weapons development. Employs a policy analysis model to make an indepth examination of the values underlying all government policy decisions. Includes unit topics and procedures for the exercise. (NL)

  15. Optimal Dose and Method of Administration of Intravenous Insulin in the Management of Emergency Hyperkalemia: A Systematic Review

    PubMed Central

    Harel, Ziv; Kamel, Kamel S.

    2016-01-01

    Background and Objectives Hyperkalemia is a common electrolyte disorder that can result in fatal cardiac arrhythmias. Despite the importance of insulin as a lifesaving intervention in the treatment of hyperkalemia in an emergency setting, there is no consensus on the dose or the method (bolus or infusion) of its administration. Our aim was to review data in the literature to determine the optimal dose and route of administration of insulin in the management of emergency hyperkalemia. Design, Setting, Participants, & Measurements We searched several databases from their date of inception through February 2015 for eligible articles published in any language. We included any study that reported on the use of insulin in the management of hyperkalemia. Results We identified eleven studies. In seven studies, 10 units of regular insulin was administered (bolus in five studies, infusion in two studies), in one study 12 units of regular insulin was infused over 30 minutes, and in three studies 20 units of regular insulin was infused over 60 minutes. The majority of included studies were biased. There was no statistically significant difference in mean decrease in serum potassium (K+) concentration at 60 minutes between studies in which insulin was administered as an infusion of 20 units over 60 minutes and studies in which 10 units of insulin was administered as a bolus (0.79±0.25 mmol/L versus 0.78±0.25 mmol/L, P = 0.98) or studies in which 10 units of insulin was administered as an infusion (0.79±0.25 mmol/L versus 0.39±0.09 mmol/L, P = 0.1). Almost one fifth of the study population experienced an episode of hypoglycemia. Conclusion The limited data available in the literature shows no statistically significant difference between the different regimens of insulin used to acutely lower serum K+ concentration. Accordingly, 10 units of short acting insulin given intravenously may be used in cases of hyperkalemia. Alternatively, 20 units of short acting insulin may be given as a continuous intravenous infusion over 60 minutes in patients with severe hyperkalemia (i.e., serum K+ concentration > 6.5 mmol/L) and those with marked EKG changes related to hyperkalemia (e.g., prolonged PR interval, wide QRS complex) as an alternative to 10 units of short acting insulin. Because the risk of hypoglycemia is increased with using large insulin doses, sufficient glucose (60 grams with the administration of 20 units of insulin and 50 grams with the administration of 10 units) should be given to prevent hypoglycemia, and plasma glucose should be frequently monitored. PMID:27148740

  16. Settlement Unit. Using Primary Sources in the Classroom.

    ERIC Educational Resources Information Center

    Alabama Dept. of Archives and History, Montgomery.

    This teaching unit, "Settlement Unit,"which focuses on the settlement of Alabama's land, is the second in a series of 10 units about Alabama state history, part of a project designed to help teachers integrate the use of primary source materials into their classrooms. Although the units are designed to augment the study of Alabama, they…

  17. The Identification of Issues Serving as Barriers to Positive Educational Experiences for Saudi Arabian Students Studying in the State of Missouri

    ERIC Educational Resources Information Center

    Hofer, V. Jean

    2009-01-01

    The United States has experienced unrivaled success in attracting international students for higher education studies. Saudi Arabia has sponsored students for study in the United States since 1950, with the number of students on scholarship varying according to the fluctuation in oil prices. The cultures of Saudi Arabia and the United States…

  18. Green Power: Housing. Grade Two, Unit Two, 2.2. Comprehensive Social Studies Curriculum for the Inner City.

    ERIC Educational Resources Information Center

    Stroud, Marion

    As part of the second grade curriculum of introductory economics, this unit of the Focus on Inner City Social Studies (FICSS) series (See SO 008 271) explores housing and communities. The unit is an active study in which children explore and probe into community conditions. They experiment with methods of improving their own environment and…

  19. Examination of Self-Efficacy and Burnout Dynamics of Preschool Teachers in Turkey and the United States

    ERIC Educational Resources Information Center

    Orçan, Maide

    2013-01-01

    This study aimed to comparatively examine the self-efficacy and burnout levels of preschool teachers in Turkey and the United States. Of the general screening models, the study uses the relational screening model. A total of 90 teachers participated in the study. 32 of the participants were from the United States and 58 were from Turkey. The…

  20. A Case Study of School Principals in the United States and Japan: Metaphors of Fire and Water.

    ERIC Educational Resources Information Center

    McGee, Glenn W.

    In the United States in recent years there has been extensive concern about school reform and keen interest in Japanese business-management practices. This paper presents findings of a case study that examined the role and responsibilities of two middle school principals, one in Japan and one in the United States. The study is based on Krug's…

  1. Professional Development in the United States: Trends and Challenges. Phase II of a Three-Phase Study. Executive Summary

    ERIC Educational Resources Information Center

    Wei, Ruth Chung; Darling-Hammond, Linda; Adamson, Frank

    2010-01-01

    A new study that analyzes the status of professional learning in the United States reveals that the nation is making some progress in providing increased support and mentoring for new teachers. But the study also reveals that the United States has moved backward in providing the vast majority of teachers with the kind of ongoing, intensive…

  2. Applying Asynchronous Solutions to the Multi-Tasking Realities of a Teacher Education Faculty Unit: Case Study

    ERIC Educational Resources Information Center

    Moffett, David W.; Claxton, Melba S.; Jordan, Skye L.; Mercer, Patricia P.; Reid, Barbara K.

    2007-01-01

    The case study describes the early stages of building and using a learning management system (LMS) to aid in the productivity of an education faculty unit. Little to no research exists regarding teacher education units using LMSs to create an online web group for work purposes. The literature review preceding the case study illuminated some of the…

  3. A Comparative Study of Selected Secondary School Preservice Music Teacher Education Programs in the Republic of Korea and the United States

    ERIC Educational Resources Information Center

    Kim, Bo Yeon

    2015-01-01

    In this study, I investigated and compared secondary school preservice music teacher education programs in the Republic of Korea and in the United States of America. The purpose of this study was to identify similarities and differences between secondary school preservice music teacher education programs from Korea and the United States to…

  4. Destination bedside: using research findings to visualize optimal unit layouts and health information technology in support of bedside care.

    PubMed

    Watkins, Nicholas; Kennedy, Mary; Lee, Nelson; O'Neill, Michael; Peavey, Erin; Ducharme, Maria; Padula, Cynthia

    2012-05-01

    This study explored the impact of unit design and healthcare information technology (HIT) on nursing workflow and patient-centered care (PCC). Healthcare information technology and unit layout-related predictors of nursing workflow and PCC were measured during a 3-phase study involving questionnaires and work sampling methods. Stepwise multiple linear regressions demonstrated several HIT and unit layout-related factors that impact nursing workflow and PCC.

  5. Minding the gap: Children's difficulty conceptualizing spatial intervals as linear measurement units.

    PubMed

    Solomon, Tracy L; Vasilyeva, Marina; Huttenlocher, Janellen; Levine, Susan C

    2015-11-01

    Understanding measurement units is critical to mathematics and science learning, but it is a topic that American students find difficult. In 3 studies, we investigated the challenges underlying this difficulty in kindergarten and second grade by comparing performance on different versions of a linear measurement task. Children measured crayons that were either aligned or shifted relative to the left edge of either a continuous ruler or a row of discrete units. The alignment (aligned, shifted) and the measuring tool (ruler, discrete units) were crossed to form 4 types of problems. Study 1 showed good performance in both grades on both types of aligned problems as well as on the shifted problems with discrete units. In contrast, performance was at chance on the shifted ruler problems. Study 2 showed that performance on shifted discrete unit problems declined when numbers were placed on the units, particularly for kindergarteners, suggesting that on the shifted ruler problems, the presence of numbers may have contributed to children's difficulty. However, Study 3 showed that the difficulty on the shifted ruler problems persisted even when the numbers were removed from the ruler. Taken together, these findings suggest that there are multiple challenges to understanding measurement, but that a key challenge is conceptualizing the ruler as a set of countable spatial interval units. (c) 2015 APA, all rights reserved).

  6. The effect of nurse manager turnover on patient fall and pressure ulcer rates.

    PubMed

    Warshawsky, Nora; Rayens, Mary Kay; Stefaniak, Karen; Rahman, Rana

    2013-07-01

    The purpose of this study was to explore the effects of nurse manager turnover on the occurrence of adverse events. Nurse managers create professional nurse practice environments to support the provision of quality patient outcomes. Inconsistent findings were reported in the literature testing the relationship between nurse managers and patient outcomes. All prior studies assumed stable nursing management. A longitudinal quasi-experimental study of 23 nursing units in two hospitals was used to determine whether unit characteristics, including nurse manager turnover, have an effect on patient falls or pressure ulcers. Statistical analyses included repeated measures and hierarchical modelling. Patients in medical/surgical units experienced more falls than in intensive care units (F1,11 = 15.9, P = 0.002). Patients in units with a nurse manager turnover [odds ratio: 3.16; 95% confidence interval: 1.49-6.70] and intensive care units (odds ratio: 2.70; 95% confidence interval: 1.33-5.49) were more likely to develop pressure ulcers. Nurse manager turnover and intensive care unit status were associated with more pressure ulcers. Medical/surgical unit status was associated with more falls. The study was limited by a small sample size. Nurse manager turnover may negatively impact patient outcomes. Stable nursing management, strategic interim management and long-term succession planning may reduce adverse patient events. © 2013 John Wiley & Sons Ltd.

  7. Stroke treatment outcomes in hospitals with and without Stroke Units.

    PubMed

    Masjuan, J; Gállego Culleré, J; Ignacio García, E; Mira Solves, J J; Ollero Ortiz, A; Vidal de Francisco, D; López-Mesonero, L; Bestué, M; Albertí, O; Acebrón, F; Navarro Soler, I M

    2017-10-23

    Organisational capacity in terms of resources and care circuits to shorten response times in new stroke cases is key to obtaining positive outcomes. This study compares therapeutic approaches and treatment outcomes between traditional care centres (with stroke teams and no stroke unit) and centres with stroke units. We conducted a prospective, quasi-experimental study (without randomisation of the units analysed) to draw comparisons between 2 centres with stroke units and 4 centres providing traditional care through the neurology department, analysing a selection of agreed indicators for monitoring quality of stroke care. A total of 225 patients participated in the study. In addition, self-administered questionnaires were used to collect patients' evaluations of the service and healthcare received. Centres with stroke units showed shorter response times after symptom onset, both in the time taken to arrive at the centre and in the time elapsed from patient's arrival at the hospital to diagnostic imaging. Hospitals with stroke units had greater capacity to respond through the application of intravenous thrombolysis than centres delivering traditional neurological care. Centres with stroke units showed a better fit to the reference standards for stroke response time, as calculated in the Quick study, than centres providing traditional care through the neurology department. Copyright © 2017 Sociedad Española de Neurología. Publicado por Elsevier España, S.L.U. All rights reserved.

  8. Analysis of California Condor (Gymnogyps californianus) use of six management units using location data from global positioning system transmitters, southern California, 2004-09-Initial report

    USGS Publications Warehouse

    Johnson, Matthew; Kern, Jeffrey; Haig, Susan M.

    2010-01-01

    This report provides an analysis of California Condor (Gymnogyps californianus) space use of six management units in southern California (Hopper Mountain and Bitter Creek National Wildlife Refuges, Wildlands Conservancy-Wind Wolves Preserve, Tejon Mountain Village Specific Plan, California Condor Study Area, and the Tejon Ranch excluding Tejon Mountain Village Specific Plan and California Condor Study Area). Space use was analyzed to address urgent management needs using location data from Global Positioning System transmitters. The U.S. Fish and Wildlife Service provided the U.S. Geological Survey with location data (2004-09) for California Condors from Global Positioning System transmitters and Geographic Information System data for the six management units in southern California. We calculated relative concentration of use estimates for each management unit for each California Condor (n = 21) on an annual basis (n = 39 annual home ranges) and evaluated resource selection for the population each year using the individual as our sampling unit. The most striking result from our analysis was the recolonization of the Tejon Mountain Village Specific Plan, California Condor Study Area, and Tejon Ranch management units during 2008. During 2004-07, the home range estimate for two (25 percent) California Condors overlapped the Tejon Mountain Village Specific Plan, California Condor Study Area, and Tejon Ranch management units (n = 8), and use within the annual home range generally was bimodal and was concentrated on the Bitter Creek and Hopper Mountain National Wildlife Refuges. However, 10 (77 percent) California Condor home ranges overlapped the Tejon Mountain Village Specific Plan, California Condor Study Area, and Tejon Ranch management units during 2008 (n = 13), and by 2009, the home range of every condor carrying a Global Positioning System transmitter (n = 14) overlapped these management units. Space use was multimodal within the home range during 2008-09 and was concentrated on Hopper Mountain Refuge in the south, Bittercreek Refuge and the Wind Wolves Preserve in the northwest, and the Tejon Mountain Village Specific Plan, California Condor Study Area, and Tejon Ranch management units in the northeast. Recolonization of the Tejon Mountain Village Specific Plan, California Condor Study Area, and Tejon Ranch management units reestablished traditional condor movement and foraging patterns in southern California and provides the travel corridor (approximately 20 kilometers wide) for recolonization of the northeastern part of the species historical range.

  9. Inter- and intra-disciplinary collaboration and patient safety outcomes in U.S. acute care hospital units: A cross-sectional study.

    PubMed

    Ma, Chenjuan; Park, Shin Hye; Shang, Jingjing

    2018-05-02

    Collaboration among healthcare providers has been considered a promising strategy for improving care quality and patient outcomes. Despite mounting evidence demonstrating the impact of collaboration on outcomes of healthcare providers, there is little empirical evidence on the relationship between collaboration and patient safety outcomes, particularly at the patient care unit level. The purpose of this study is to identify the extent to which interdisciplinary collaboration between nurses and physicians and intradisciplinary collaboration among nurses on patient care units are associated with patient safety outcomes. This is a cross-sectional study using nurse survey data and patient safety indicators data from U.S. acute care hospital units. Collaboration at the unit level was measured by two 6-item scales: nurse-nurse interaction scale and nurse-physician interaction scale. Patient outcome measures included hospital-acquired pressure ulcers (HAPUs) and patient falls. The unit of analysis was the patient care unit, and the final sample included 900 units of 5 adult unit types in 160 hospitals in the U.S. Multilevel logistic and Poisson regressions were used to estimate the relationship between collaboration and patient outcomes. All models were controlled for hospital and unit characteristics, and clustering of units within hospitals was considered. On average, units had 26 patients with HAPUs per 1000 patients and 3 patient falls per 1000 patient days. Critical care units had the highest HAPU rate (50/1000 patients) and the lowest fall rate (1/1000 patient days). A one-unit increase in the nurse-nurse interaction scale score led to 31% decrease in the odds of having a HAPU (OR, 0.69; 95% CI, 0.56-0.82) and 8% lower patient fall rate (IRR, 0.92; 95% CI, 0.87-0.98) on a nursing unit. A one-unit increase in the nurse-physician interaction scale score was associated with 19% decrease in the odds of having a HAPU (OR, 0.81; 95% CI, 0.68-0.97) and 13% lower fall rates (IRR, 0.87; 95% CI, 0.82-0.93) on a unit. Both nurse-physician collaboration and nurse-nurse collaboration were significantly associated with patient safety outcomes. Findings from this study suggest that improving collaboration among healthcare providers should be considered as an important strategy for promoting patient safety and both interdisciplinary and intradisciplinary collaboration are critical for achieving better patient outcomes. Copyright © 2018 Elsevier Ltd. All rights reserved.

  10. Remodeling of motor units after nerve regeneration studied by quantitative electromyography.

    PubMed

    Krarup, Christian; Boeckstyns, Michel; Ibsen, Allan; Moldovan, Mihai; Archibald, Simon

    2016-02-01

    Peripheral nerve has the capacity to regenerate after nerve lesions; during reinnervation of muscle motor units are gradually reestablished. The aim of this study was to follow the time course of reestablishing and remodeling of motor units in relation to recovery of force after different types of nerve repair. Reinnervation of muscle was compared clinically and electrophysiologically in complete median or ulnar nerve lesions with short gap lengths in the distal forearm repaired with a collagen nerve conduit (11 nerves) or nerve suture (10 nerves). Reestablishment of motor units was studied by quantitative EMG and recording of evoked compound muscle action potential (CMAP) during a 24-month observation period after nerve repair. Force recovered partially to about 80% of normal. Denervation activity gradually decreased during reinnervation though it was still increased at 24 months. Nascent motor unit potentials (MUPs) at early reinnervation were prolonged and polyphasic. During longitudinal studies, MUPs remained prolonged and their amplitudes gradually increased markedly. Firing of MUPs was unstable throughout the study. CMAPs gradually increased and the number of motor units recovered to approximately 20% of normal. There was weak evidence of CMAP amplitude recovery after suture ahead of conduit repair but without treatment related differences at 2 years. Surgical repair of nerve lesions with a nerve conduit or suture supported recovery of force and of motor unit reinnervation to the same extent. Changes occurred at a higher rate during early regeneration and slower after 12 months but should be followed for at least 2 years to assess outcome. EMG changes reflected extensive remodeling of motor units from early nascent units to a mature state with greatly enlarged units due to axonal regeneration and collateral sprouting and maturation of regenerated nerve and reinnervated muscle fibers after both types of repair. Remodeling of motor units after peripheral nerve lesions provides the basis for better recovery of force than the number of motor axons and units. There were no differences after repair with a collagen nerve conduit and nerve suture at short nerve gap lengths. The reduced number of motor units indicates that further improvement of repair procedures and nerve environment is needed. Copyright © 2015 International Federation of Clinical Neurophysiology. Published by Elsevier Ireland Ltd. All rights reserved.

  11. National Water-Quality Assessment Program - Western Lake Michigan Drainage Basin

    USGS Publications Warehouse

    Setmire, J.O.

    1991-01-01

    A major component of the program is study-unit investigations, which comprise the princ ipal bui lding blocks of the program on which national-level asses ment activities a re based . The 60 study-unit in vestigations that make up the program are hydrologic systems that include parts of most major river bas ins and a qui fer systems. These study units cover areas of I ,200 to more than 65 ,000 square mi les and incorporate about 60 to 70 percent of the Nation's water use and popul ation e rved by public water supply. In 1991 , the Western Lake Michigan drainage basin was among the fir st 20 NA WQA study unit selected for study under the full -scale implementation plan.

  12. Model development of production management unit to enhance entrepreneurship attitude of vocational school students from fashion department

    NASA Astrophysics Data System (ADS)

    Sumaryani, Sri

    2018-03-01

    The purpose of this study is to develop a model of production management unit to enhance entrepreneurship attitude of vocational school students from fashion department. This study concerns in developing students' entrepreneurship attitude in management which includes planning, organizing, applying and evaluation. The study uses Research and Development (R & D) approach with three main steps; preliminary study, development step, and product validation. Research subject was vocational school teachers from fashion department in Semarang, Salatiga and Demak. This study yields a development model of production management unit that could enhance vocational school students' entrepreneurship attitude in fashion department. The result shows that research subjects have understood about of production management unit in Vocational School (SMK).

  13. Performance of low-cost monitors to assess household air pollution.

    PubMed

    Curto, A; Donaire-Gonzalez, D; Barrera-Gómez, J; Marshall, J D; Nieuwenhuijsen, M J; Wellenius, G A; Tonne, C

    2018-05-01

    Exposure to household air pollution is a leading cause of morbidity and mortality globally. However, due to the lack of validated low-cost monitors with long-lasting batteries in indoor environments, most epidemiologic studies use self-reported data or short-term household air pollution assessments as proxies of long-term exposure. We evaluated the performance of three low-cost monitors measuring fine particulate matter (PM 2.5 ) and carbon monoxide (CO) in a wood-combustion experiment conducted in one household of Spain for 5 days (including the co-location of 2 units of HAPEX and 3 units of TZOA-R for PM 2.5 and 3 units of EL-USB-CO for CO; a total of 40 unit-days). We used Spearman correlation (ρ) and Concordance Correlation Coefficient (CCC) to assess accuracy of low-cost monitors versus equivalent research-grade devices. We also conducted a field study in India for 1 week (including HAPEX in 3 households and EL-USB-CO in 4 households; a total of 49 unit-days). Correlation and agreement at 5-min were moderate-high for one unit of HAPEX (ρ = 0.73 / CCC = 0.59), for one unit of TZOA-R (ρ = 0.89 / CCC = 0.62) and for three units of EL-USB-CO (ρ = 0.82-0.89 / CCC = 0.66-0.91) in Spain, although the failure or malfunction rate among low-cost units was high in both settings (60% of unit-days in Spain and 43% in India). Low-cost monitors tested here are not yet ready to replace more established exposure assessment methods in long-term household air pollution epidemiologic studies. More field validation is needed to assess evolving sensors and monitors with application to health studies. Copyright © 2018 Elsevier Inc. All rights reserved.

  14. Facilitating the implementation of evidence- based practice through contextual support and nursing leadership.

    PubMed

    Kueny, Angela; Shever, Leah L; Lehan Mackin, Melissa; Titler, Marita G

    2015-01-01

    Nurse managers (NMs) play an important role promoting evidence-based practice (EBP) on clinical units within hospitals. However, there is a dearth of research focused on NM perspectives about institutional contextual factors to support the goal of EBP on the clinical unit. The purpose of this article is to identify contextual factors described by NMs to drive change and facilitate EBP at the unit level, comparing and contrasting these perspectives across nursing units. This study employed a qualitative descriptive design using interviews with nine NMs who were participating in a large effectiveness study. To stratify the sample, NMs were selected from nursing units designated as high or low performing based on implementation of EBP interventions, scores on the Meyer and Goes research use scale, and fall rates. Descriptive content analysis was used to identify themes that reflect the complex nature of infrastructure described by NMs and contextual influences that supported or hindered their promotion of EBP on the clinical unit. NMs perceived workplace culture, structure, and resources as facilitators or barriers to empowering nurses under their supervision to use EBP and drive change. A workplace culture that provides clear communication of EBP goals or regulatory changes, direct contact with CEOs, and clear expectations supported NMs in their promotion of EBP on their units. High-performing unit NMs described a structure that included nursing-specific committees, allowing nurses to drive change and EBP from within the unit. NMs from high-performing units were more likely to articulate internal resources, such as quality-monitoring departments, as critical to the implementation of EBP on their units. This study contributes to a deeper understanding of institutional contextual factors that can be used to support NMs in their efforts to drive EBP changes at the unit level.

  15. The physical environment and patients' activities and care: A comparative case study at three newly built stroke units.

    PubMed

    Anåker, Anna; von Koch, Lena; Sjöstrand, Christina; Heylighen, Ann; Elf, Marie

    2018-04-20

    To explore and compare the impact of the physical environment on patients' activities and care at three newly built stroke units. Receiving care in a stroke unit instead of in a general ward reduces the odds of death, dependency and institutionalized care. In stroke units, the design of the physical environment should support evidence-based care. Studies on patients' activities in relation to the design of the physical environment of stroke units are scarce. This work is a comparative descriptive case study. Patients (N = 55) who had a confirmed diagnosis of stroke were recruited from three newly built stroke units in Sweden. The units were examined by non-participant observation using two types of data collection: behavioural mapping analysed with descriptive statistics and field note taking analysed with deductive content analysis. Data were collected from April 2013 - December 2015. The units differed in the patients' levels of physical activity, the proportion of the day that patients spent with health professionals and family presence. Patients were more physically active in a unit with a combination of single and multi-bed room designs than in a unit with an entirely single-room design. Stroke units that were easy to navigate and offered variations in the physical environment had an impact on patients' activities and care. Patients' activity levels and interactions appeared to vary with the design of the physical environments of stroke units. Stroke guidelines focused on health status assessments, avoidance of bed-rest and early rehabilitation require a supportive physical environment. © 2018 The Authors. Journal of Advanced Nursing Published by John Wiley & Sons Ltd.

  16. Parental involvement and kangaroo care in European neonatal intensive care units: a policy survey in eight countries.

    PubMed

    Pallás-Alonso, Carmen R; Losacco, Valentina; Maraschini, Alice; Greisen, Gorm; Pierrat, Veronique; Warren, Inga; Haumont, Dominique; Westrup, Björn; Smit, Bert J; Sizun, Jacques; Cuttini, Marina

    2012-09-01

    To compare, in a large representative sample of European neonatal intensive care units, the policies and practices regarding parental involvement and holding babies in the kangaroo care position as well as differences in the tasks mothers and fathers are allowed to carry out. Prospective multicenter survey. Neonatal intensive care units in eight European countries (Belgium, Denmark, France, Italy, The Netherlands, Spain, Sweden, and the United Kingdom). Patients were not involved in this study. None. A structured questionnaire was mailed to 362 units (response rate 78%); only units with ≥50 very-low-birth-weight annual admissions were considered for this study. Facilities for parents such as reclining chairs near the babies' cots, beds, and a dedicated room were common, but less so in Italy and Spain. All units in Sweden, Denmark, the United Kingdom, and Belgium reported encouraging parental participation in the care of the babies, whereas policies were more restrictive in Italy (80% of units), France (73%), and Spain (41%). Holding babies in the kangaroo care position was widespread. However, in the United Kingdom, France, Italy, and Spain, many units applied restrictions regarding its frequency (sometimes or on parents request only, rather than routinely), method (conventional rather than skin-to-skin), and clinical conditions (especially mechanical ventilation and presence of umbilical lines) that would prevent its practice. In these countries, fathers were routinely offered kangaroo care less frequently than mothers (p < .001) and less often it was skin-to-skin (p < .0001). This study showed that, although the majority of units in all countries reported a policy of encouraging both parents to take part in the care of their babies, the intensity and ways of involvement as well as the role played by mothers and fathers varied within and between countries.

  17. Conformity of commercial oral single solid unit dose packages in hospital pharmacy practice.

    PubMed

    Thibault, Maxime; Prot-Labarthe, Sonia; Bussières, Jean-François; Lebel, Denis

    2008-06-01

    There are limited published data on the labelling of single unit dose packages in hospitals. The study was conducted in three large hospitals (two adult and one paediatric) in the metropolitan Montreal area, Quebec, Canada. The objective is to evaluate the labelling of commercial oral single solid unit dose packages available in Canadian urban hospital pharmacy practice. The study endpoint was the labelling conformity of each unit dose package for each criterion and overall for each manufacturer. Complete labelling of unit dose packages should include the following information: (1) brand name, (2) international non-proprietary name or generic name, (3) dosage, (4) pharmaceutical form, (5) manufacturer's name, (6) expiry date, (7) batch number and (8) drug identification number. We also evaluated the ease with which a single unit dose package is detached from a multiple unit dose package for quick, easy and safe use by pharmacy staff. Conformity levels were compared between brand-name and generic packages. A total of 124 different unit dose packages were evaluated. The level of conformity of each criterion varied between 19 and 50%. Only 43% of unit dose packages provided an easy-to-detach system for single doses. Among the 14 manufacturers with three or more unit dose packages evaluated, eight (57%) had a conformity level less than 50%. This study describes the conformity of commercial oral single solid unit dose packages in hospital pharmacy practice in Quebec. A large proportion of unit dose packages do not conform to a set of nine criteria set out in the guidelines of the American Society of Health-System Pharmacists and the Canadian Society of Hospital Pharmacists.

  18. Impact of Medicare Advantage penetration and hospital competition on technical efficiency of nursing care in US intensive care units.

    PubMed

    Min, Ari; Scott, Linda D; Park, Chang; Vincent, Catherine; Ryan, Catherine J; Lee, Taewha

    2018-04-10

    This study aimed to evaluate technical efficiency of US intensive care units and determine the effects of environmental factors on technical efficiency in providing quality of nursing care. Data were obtained from the 2014 National Database of Nursing Quality Indicators and the Centers for Medicare and Medicaid Services. Data envelopment analysis was used to estimate technical efficiency for each intensive care unit. Multilevel modeling was used to determine the effects of environmental factors on technical efficiency. Overall, Medicare Advantage penetration and hospital competition in a market did not create pressure for intensive care units to become more efficient by reducing their inputs. However, these 2 environmental factors showed positive influences on technical efficiency in intensive care units with certain levels of technical efficiency. The implications of the study results for management strategies and health policy may vary according to the levels of technical efficiency in intensive care units. Further studies are needed to examine why and how intensive care units with particular levels of technical efficiency are differently affected by certain environmental factors. Copyright © 2018 John Wiley & Sons, Ltd.

  19. Evaluation of proposed casemix criteria as a basis for costing patients in the adult general intensive care unit.

    PubMed

    Stevens, V G; Hibbert, C L; Edbrooke, D L

    1998-10-01

    This study analyses the relationship between the actual patient-related costs of care calculated for 145 patients admitted sequentially to an adult general intensive care unit and a number of factors obtained from a previously described consensus of opinion study. The factors identified in the study were suggested as potential descriptors for the casemix in an intensive care unit that could be used to predict the costs of care. Significant correlations between the costs of care and severity of illness, workload and length of stay were found but these failed to predict the costs of care with sufficient accuracy to be used in isolation to define isoresource groups in the intensive care unit. No associations between intensive care unit mortality, reason for admission and intensive and unit treatments and costs of care were found. Based on these results, it seems that casemix descriptors and isoresource groups for the intensive care unit that would allow costs to be predicted cannot be defined in terms of single factors.

  20. Buckling behavior of origami unit cell facets under compressive loads

    NASA Astrophysics Data System (ADS)

    Kshad, Mohamed Ali Emhmed; Naguib, Hani E.

    2018-03-01

    Origami structures as cores for sandwich structures are designed to withstand the compressive loads and to dissipate compressive energy. The deformation of the origami panels and the unit cell facets are the primary factors behind the compressive energy dissipation in origami structures. During the loading stage, the origami structures deform through the folding and unfolding process of the unit cell facets, and also through the plastic deformation of the facets. This work presents a numerical study of the buckling behavior of different origami unit cell elements under compressive loading. The studied origami configurations were Miura and Ron-Resch-like origami structures. Finite element package was used to model the origami structures. The study investigated the buckling behavior of the unit cell facets of two types of origami structures Miura origami and Ron-Resch-Like origami structures. The simulation was conducted using ANSYS finite element software, in which the model of the unit cell represented by shell elements, and the eigenvalues buckling solver was used to predict the theoretical buckling of the unit cell elements.

  1. Applying Quality Function Deployment Model in Burn Unit Service Improvement.

    PubMed

    Keshtkaran, Ali; Hashemi, Neda; Kharazmi, Erfan; Abbasi, Mehdi

    2016-01-01

    Quality function deployment (QFD) is one of the most effective quality design tools. This study applies QFD technique to improve the quality of the burn unit services in Ghotbedin Hospital in Shiraz, Iran. First, the patients' expectations of burn unit services and their priorities were determined through Delphi method. Thereafter, burn unit service specifications were determined through Delphi method. Further, the relationships between the patients' expectations and service specifications and also the relationships between service specifications were determined through an expert group's opinion. Last, the final importance scores of service specifications were calculated through simple additive weighting method. The findings show that burn unit patients have 40 expectations in six different areas. These expectations are in 16 priority levels. Burn units also have 45 service specifications in six different areas. There are four-level relationships between the patients' expectations and service specifications and four-level relationships between service specifications. The most important burn unit service specifications have been identified in this study. The QFD model developed in the study can be a general guideline for QFD planners and executives.

  2. Status and understanding of groundwater quality in the two southern San Joaquin Valley study units, 2005-2006 - California GAMA Priority Basin Project

    USGS Publications Warehouse

    Burton, Carmen A.; Shelton, Jennifer L.; Belitz, Kenneth

    2012-01-01

    Groundwater quality in the southern San Joaquin Valley was investigated from October 2005 through March 2006 as part of the Priority Basin Project of the Groundwater Ambient Monitoring and Assessment (GAMA) Program. The GAMA Priority Basin Project is conducted by the U.S. Geological Survey (USGS) in collaboration with the California State Water Resources Control Board and the Lawrence Livermore National Laboratory. There are two study units located in the southern San Joaquin Valley: the Southeast San Joaquin Valley (SESJ) study unit and the Kern County Subbasin (KERN) study unit. The GAMA Priority Basin Project in the SESJ and KERN study units was designed to provide a statistically unbiased, spatially distributed assessment of untreated groundwater quality within the primary aquifers. The status assessment is based on water-quality and ancillary data collected in 2005 and 2006 by the USGS from 130 wells on a spatially distributed grid, and water-quality data from the California Department of Public Health (CDPH) database. Data was collected from an additional 19 wells for the understanding assessment. The aquifer systems (hereinafter referred to as primary aquifers) were defined as that part of the aquifer corresponding to the perforation interval of wells listed in the CDPH database for the SESJ and KERN study units. The status assessment of groundwater quality used data from samples analyzed for anthropogenic constituents such as volatile organic compounds (VOCs) and pesticides, as well as naturally occurring inorganic constituents such as major ions and trace elements. The status assessment is intended to characterize the quality of untreated groundwater resources within the primary aquifers in the SESJ and KERN study units, not the quality of drinking water delivered to consumers. Although the status assessment applies to untreated groundwater, Federal and California regulatory and non-regulatory water-quality benchmarks that apply to drinking water are used to provide context for the results. Relative-concentrations (sample concentration divided by benchmark concentration) were used for evaluating groundwater. A relative-concentration greater than 1.0 indicates a concentration greater than the benchmark and is classified as high. The relative-concentration threshold for classifying inorganic constituents as moderate or low was 0.5; for organic constituents the threshold between moderate and low was 0.1. Aquifer-scale proportion was used as the primary metric for assessing the quality of untreated groundwater for the study units. High aquifer-scale proportion is defined as the areal percentage of the primary aquifers with a high relative-concentration for a particular constituent or class of constituents. Moderate and low aquifer-scale proportions were defined as the areal percentage of the primary aquifers with moderate and low relative-concentrations, respectively. Two statistical approaches—grid-based and spatially weighted—were used to evaluate aquifer-scale proportions for individual constituents and classes of constituents. Grid-based and spatially weighted estimates were comparable for the two study units in the southern San Joaquin Valley (within 90 percent confidence intervals). The status assessment showed that inorganic constituents were more prevalent than organic constituents and that relative-concentrations were higher for inorganic constituents than for organic constituents. For inorganic constituents with human-health benchmarks, the relative-concentration of at least one constituent in the SESJ study unit was high in 30 percent of the primary aquifers. In the KERN study unit, the relative-concentration of at least one constituent was high in 23 percent of the primary aquifers. In the SESJ and KERN study units, the inorganic constituents with human-health benchmarks detected at high relative-concentrations in more than 2 percent of the primary aquifers were arsenic, boron, vanadium, nitrate, uranium, and gross alpha radioactivity. Additional constituents with human-health benchmarks—antimony, radium, and fluoride—were detected at high relative-concentrations in the KERN study unit. For inorganic constituents with aesthetic benchmarks (secondary maximum contaminant levels, SMCLs), the relative-concentration of at least one constituent in the SESJ study unit was high in 6.6 percent of the primary aquifers. In the KERN study unit, the relative-concentration of at least one constituent was high in 22 percent of the primary aquifers. Inorganic constituents with aesthetic benchmarks detected at high relative-concentrations in the primary aquifers in the SESJ and KERN study units were iron and manganese. Additional constituents with aesthetic benchmarks—total dissolved solids (TDS), sulfate, and chloride—were detected at high relative-concentrations in the KERN study unit. In contrast, the status assessment for organic constituents with human-health benchmarks showed that relative-concentrations were high in 4.8 percent and 2.1 percent of the primary aquifers in the SESJ and KERN study units, respectively. The special-interest constituent, perchlorate, was detected at high relative-concentrations in 1.2 percent of the primary aquifers in the SESJ study unit. Twenty-eight of the 78 VOCs (not including fumigants) analyzed were detected. Of these 28 VOCs, benzene had high relative-concentrations in the SESJ study unit, and relative-concentrations for the other 27 VOCs were moderate and low. Five of the 10 fumigants were detected; 1,2-dibromo-3-chloropropane (DBCP) was the only fumigant with high relative-concentrations in the SESJ and KERN study units. Of the 136 pesticides and pesticide degradates analyzed, 33 were detected. Human-health benchmarks were established for eighteen of the detected pesticides. Dieldrin was detected at moderate relative-concentrations in the SESJ and KERN study units. All other pesticides detected with human-health benchmarks were present at low relative-concentrations. The detection frequencies for two of these pesticides—simazine and atrazine—were greater than or equal to 10 percent in the SESJ and KERN study units. The understanding assessment of groundwater quality included an analysis of correlations of selected water-quality constituents or classes of constituents with potential explanatory factors. The understanding assessment indicated that the concentrations of many trace elements and major ions were correlated to well depth, groundwater age, and/or geochemical conditions. Many trace elements were positively correlated with depth. Arsenic, boron, vanadium, fluoride, manganese, and iron concentrations increased with well depth or depth to top-of-perforations. The concentrations for these trace elements also were higher in older (pre-modern) groundwater. In contrast, uranium concentrations decreased with increasing depth and groundwater age. Most trace elements were correlated to geochemical conditions. Arsenic, antimony, boron, fluoride, manganese, and iron concentrations generally were higher wherever the pH of the groundwater was greater than 7.6. Concentrations for these constituents generally were higher at low concentrations of dissolved oxygen (DO). Uranium was the exception; uranium concentrations generally were lower at high pH and at high concentrations of DO. Nitrate concentrations generally were lower in deeper wells. Nitrate concentrations also were higher in groundwater with higher DO. Total dissolved solids, sulfate, and chloride concentrations were higher in the KERN study unit than in the SESJ study unit. Total dissolved solids were negatively correlated with pH in the KERN study unit. Total dissolved solids and sulfate were higher in areas with more agricultural land use. Chloride concentrations increased with depth to top-of-perforations in the KERN study unit. Organic constituents and constituents of special interest, like many inorganic constituents, were correlated with well depth, groundwater age, and DO. Unlike most trace elements, however, solvent and pesticide detections, and total trihalomethanes (THM), DBCP, and perchlorate concentrations decreased with increasing well depth. Volatile organic compound, solvent, and pesticide detections, and THM concentrations also were lower in older (pre-modern) groundwater than in modern-age groundwater. Solvent detections and total THM, DBCP, and perchlorate concentrations increased with increasing DO concentrations.

  3. Unit cost of healthcare services at 200-bed public hospitals in Myanmar: what plays an important role of hospital budgeting?

    PubMed

    Than, Thet Mon; Saw, Yu Mon; Khaing, Moe; Win, Ei Mon; Cho, Su Myat; Kariya, Tetsuyoshi; Yamamoto, Eiko; Hamajima, Nobuyuki

    2017-09-19

    Cost information is important for efficient allocation of healthcare expenditure, estimating future budget allocation, and setting user fees to start new financing systems. Myanmar is in political transition, and trying to achieve universal health coverage by 2030. This study assessed the unit cost of healthcare services at two public hospitals in the country from the provider perspective. The study also analyzed the cost structure of the hospitals to allocate and manage the budgets appropriately. A hospital-based cross-sectional study was conducted at 200-bed Magway Teaching Hospital (MTH) and Pyinmanar General Hospital (PMN GH), in Myanmar, for the financial year 2015-2016. The step-down costing method was applied to calculate unit cost per inpatient day and per outpatient visit. The costs were calculated by using Microsoft Excel 2010. The unit costs per inpatient day varied largely from unit to unit in both hospitals. At PMN GH, unit cost per inpatient day was 28,374 Kyats (27.60 USD) for pediatric unit and 1,961,806 Kyats (1908.37 USD) for ear, nose, and throat unit. At MTH, the unit costs per inpatient day were 19,704 Kyats (19.17 USD) for medicine unit and 168,835 Kyats (164.24 USD) for eye unit. The unit cost of outpatient visit was 14,882 Kyats (14.48 USD) at PMN GH, while 23,059 Kyats (22.43 USD) at MTH. Regarding cost structure, medicines and medical supplies was the largest component at MTH, and the equipment was the largest component at PMN GH. The surgery unit of MTH and the eye unit of PMN GH consumed most of the total cost of the hospitals. The unit costs were influenced by the utilization of hospital services by the patients, the efficiency of available resources, type of medical services provided, and medical practice of the physicians. The cost structures variation was also found between MTH and PMN GH. The findings provided the basic information regarding the healthcare cost of public hospitals which can apply the efficient utilization of the available resources.

  4. Associations among unit leadership and unit climates for implementation in acute care: a cross-sectional study.

    PubMed

    Shuman, Clayton J; Liu, Xuefeng; Aebersold, Michelle L; Tschannen, Dana; Banaszak-Holl, Jane; Titler, Marita G

    2018-04-25

    Nurse managers have a pivotal role in fostering unit climates supportive of implementing evidence-based practices (EBPs) in care delivery. EBP leadership behaviors and competencies of nurse managers and their impact on practice climates are widely overlooked in implementation science. The purpose of this study was to examine the contributions of nurse manager EBP leadership behaviors and nurse manager EBP competencies in explaining unit climates for EBP implementation in adult medical-surgical units. A multi-site, multi-unit cross-sectional research design was used to recruit the sample of 24 nurse managers and 553 randomly selected staff nurses from 24 adult medical-surgical units from 7 acute care hospitals in the Northeast and Midwestern USA. Staff nurse perceptions of nurse manager EBP leadership behaviors and unit climates for EBP implementation were measured using the Implementation Leadership Scale and Implementation Climate Scale, respectively. EBP competencies of nurse managers were measured using the Nurse Manager EBP Competency Scale. Participants were emailed a link to an electronic questionnaire and asked to respond within 1 month. The contributions of nurse manager EBP leadership behaviors and competencies in explaining unit climates for EBP implementation were estimated using mixed-effects models controlling for nurse education and years of experience on current unit and accounting for the variability across hospitals and units. Significance level was set at α < .05. Two hundred sixty-four staff nurses and 22 nurse managers were included in the final sample, representing 22 units in 7 hospitals. Nurse manager EBP leadership behaviors (p < .001) and EBP competency (p = .008) explained 52.4% of marginal variance in unit climate for EBP implementation. Leadership behaviors uniquely explained 45.2% variance. The variance accounted for by the random intercepts for hospitals and units (p < .001) and years of nursing experience in current unit (p < .05) were significant but level of nursing education was not. Nurse managers are significantly related to unit climates for EBP implementation primarily through their leadership behaviors. Future implementation studies should consider the leadership of nurse managers in creating climates supportive of EBP implementation.

  5. State behavior during the Ukrainian crisis: the perspectives of Romania, France, and the United States

    DTIC Science & Technology

    2016-05-26

    Four Leaders, Three Cease-Fires, and Two Summits.” Center for Strategic and International Studies , October 23, 2015. Accessed April 17, 2016. http...United States A Monograph By MAJ Valerică-Iulian Sărățeanu Romanian Army School of Advanced Military Studies United States Army Command...SPONSOR/MONITOR’S ACRONYM(S) School of Advanced Military Studies , Advanced Military Studies Program 11. SPONSOR/MONITOR’S REPORT NUMBER(S) 12

  6. Strength properties of interlocking compressed earth brick units

    NASA Astrophysics Data System (ADS)

    Saari, S.; Bakar, B. H. Abu; Surip, N. A.

    2017-10-01

    This study presents a laboratory investigation on the properties of interlocking compressed earth brick (ICEB) units. Compressive strength, which is one of the most important properties in masonry structures, is used to determine masonry performance. The compressive strength of the ICEB units was determined by applying a compressive strength test for 340 units from four types of ICEB. To analyze the strength of the ICEB units, each unit was capped by a steel plate at the top and bottom to create a flat surface, and then ICEB was loaded until failure. The average compressive strength of the corresponding ICEB units are as follows: wall brick, 19.15 N/mm2; beam brick, 16.99 N/mm2; column brick, 13.18 N/mm2; and half brick, 11.79 N/mm2. All the ICEB units had compressive strength of over 5 N/mm2, which is the minimum strength for a load-bearing brick. This study proves that ICEB units may be used as load-bearing bricks. The strength of ICEBs is equal to that of other common bricks and blocks that are currently available in the market.

  7. Supporting Knowledge Integration in Chemistry with a Visualization-Enhanced Inquiry Unit

    NASA Astrophysics Data System (ADS)

    Chiu, Jennifer L.; Linn, Marcia C.

    2014-02-01

    This paper describes the design and impact of an inquiry-oriented online curriculum that takes advantage of dynamic molecular visualizations to improve students' understanding of chemical reactions. The visualization-enhanced unit uses research-based guidelines following the knowledge integration framework to help students develop coherent understanding by connecting and refining existing and new ideas. The inquiry unit supports students to develop connections among molecular, observable, and symbolic representations of chemical reactions. Design-based research included a pilot study, a study comparing the visualization-enhanced inquiry unit to typical instruction, and a course-long comparison study featuring a delayed posttest. Students participating in the visualization-enhanced unit outperformed students receiving typical instruction and further consolidated their understanding on the delayed posttest. Students who used the visualization-enhanced unit formed more connections among concepts than students with typical textbook and lecture-based instruction. Item analysis revealed the types of connections students made when studying the curriculum and suggested how these connections enabled students to consolidate their understanding as they continued in the chemistry course. Results demonstrate that visualization-enhanced inquiry designed for knowledge integration can improve connections between observable and atomic-level phenomena and serve students well as they study subsequent topics in chemistry.

  8. [Cost of functioning of a centralised pharmaceutical unit: evaluation of mean costs of chemotherapy preparations according to the level of production of the unit].

    PubMed

    Galy, Guillaume; Bauler, Stéphanie; Buchi, Marjolaine; Pirot, Fabrice; Pivot, Christine

    2011-10-01

    The interest of centralization of preparations of chemotherapy drugs is in addition to its economic aspect, to secure drugs circuit. The aims of this study are to determine needs in employees and equipments of 11 theoretical levels of production from 1,000 to 50,000 preparations per year and to determine the cost of chemotherapy's preparation for each theoretical unit. The operating cost was divided in four areas of expenditure: employees (66-78%), investment (5-15%), maintenance (3-15%) and consumables (4-16%). If we consider the 11 units, the theoretical cost varies between 27.4 € for a unit with 50,000 preparations per year and 114.1 € for a unit with 1,000 preparations per year. This study shows the importance of setting up an optimal unit of preparations according to its activity and highlights the high cost's variation in relation to the activity of the unit.

  9. Communities Around the World. Our Community: Economic Aspects. Teacher's Resource Unit.

    ERIC Educational Resources Information Center

    Minnesota Univ., Minneapolis. Project Social Studies Curriculum Center.

    Teaching strategies for the study of the economic aspects of the student's own community are emphasized in this resource unit developed from materials produced by the Project Social Studies Curriculum Center. This unit should make progress toward teaching children the following: 1) concepts: consumer, producer, capital goods, durable goods,…

  10. World Foods. Good Food, Gift of German Cooking.

    ERIC Educational Resources Information Center

    White, Betty F.; And Others

    This teacher's guide contains materials to be used in a study of Germany and its cuisine. Unit 1 provides an overview of German geographic, political, economic, social, and cultural characteristics. Unit 2 studies German food habits, nutrition, food preparation, and meal patterns. Each unit contains a list of objectives (e.g., identify the type of…

  11. World Foods. The Flavor of France.

    ERIC Educational Resources Information Center

    Calhoun, Helen; And Others

    This teacher's guide contains materials to be used in a study of France and its cuisine. Unit 1 provides an overview of French geographic, political, economic, social, and cultural characteristics. Unit 2 studies French food habits, nutrition, food preparation, and meal patterns. Each unit contains a list of objectives (e.g., identify the type of…

  12. POSITION AND MOTION, A SCIENCE UNIT FOR THE UPPER ELEMENTARY GRADES, STUDENT MANUAL.

    ERIC Educational Resources Information Center

    BERGER, CARL; MONTGOMERY, MARSHALL

    THIS MANUAL IS DESIGNED FOR STUDENTS IN UPPER ELEMENTARY GRADES STUDYING THE SCIENCE CURRICULUM IMPROVEMENT STUDY (SCIS) UNIT "POSITION AND MOTION". THE OVERALL STRUCTURE OF THE UNIT FOLLOWS A CYCLE OF PRELIMINARY EXPLORATION, INVENTION OF SPECIFIC CONCEPTS RELATED TO REFERENCE FRAMES, AND DISCOVERY OF THE USEFULNESS OF THE CONCEPT.…

  13. Operations: A Comparative Study of the United States and Taiwan

    ERIC Educational Resources Information Center

    Lin, Cheng-Yao; Becker, Jerry; Byun, Mi-Ran; Yang, Der-Ching; Huang, Tsai-Wei

    2013-01-01

    This study examined (a) the differences in preservice teachers’ procedural knowledge in four areas of fraction operations in Taiwan and the United States, (b) the differences in preservice teachers’ conceptual knowledge in four areas of fraction operations in Taiwan and the United States, and (c) correlation in preservice teachers’ conceptual…

  14. Status of Participation in Physical Activity among International Students Attending Colleges and Universities in the United States

    ERIC Educational Resources Information Center

    Yoh, Taeho; Yang, Heewon; Gordon, Brian

    2008-01-01

    This study examined the status of participation in physical activity among international students attending colleges and universities in the United States. Participants for the study were 521 international students from five universities in the Midwestern part of the United States. Descriptive statistics revealed that international college…

  15. Qualitative Study on Chinese Students' Perception of U.S. University Life

    ERIC Educational Resources Information Center

    Tang, Xiaokang; Collier, Daniel A.; Witt, Allison

    2018-01-01

    This qualitative research was conducted on Chinese international students preparing to study in the United States about their expectation and perception of American universities. It explored motivation for pursuing degrees in the United States, expectations of life in the United States, and plans post-graduation. Findings suggest that these…

  16. Studying the Learning Unit "Microbiology:" Students' Motivation, Portfolio and Classroom Management

    ERIC Educational Resources Information Center

    Khalil, Mahmood

    2007-01-01

    In this study, a learning unit on microorganisms for ninth-grade students was developed based on the Science-Technology-Environment-Society (STES) approach. The learning unit contained 15 learning tasks, which were performed in individual and cooperative learning settings, using a variety of teaching/learning methods with an emphasis on the…

  17. Conserving Soil. Revised.

    ERIC Educational Resources Information Center

    Soil Conservation Service (USDA), Washington, DC.

    This book of enrichment materials is an interdisciplinary study of soil designed for students in grades 6-9. The materials are presented in three units. Unit 1 contains eight activities in which students investigate soil science and study the social impact of soil by examining the history of land use by local Native Americans. Unit 2 contains 10…

  18. Career Education: [Social Studies K-4.

    ERIC Educational Resources Information Center

    Cortland-Madison Board of Cooperative Educational Services, Cortland, NY.

    The second in a series of nine career education guides includes four social studies units for the K-4 level. In general, each of the units discusses goals, objectives, and career elements, and provides a wide variety of unit activities (including puzzles, games, and arts and crafts projects), a multimedia bibliography, and a teacher evaluation…

  19. Meteorology: Observing, Understanding, and Predicting Weather. Self-Directed Study Units for Grades K-8.

    ERIC Educational Resources Information Center

    Brown, Mary; Dickinson, Rosemary

    This book consists of two complete units on meteorology. The first unit is created for lower elementary students and the second one is for upper elementary grade levels. The units are designed for gifted students and encourage students to be responsible for their own education. Each unit is based on an interdisciplinary approach. Suggestions for…

  20. Dynamic action units slip in speech production errors ☆

    PubMed Central

    Goldstein, Louis; Pouplier, Marianne; Chen, Larissa; Saltzman, Elliot; Byrd, Dani

    2008-01-01

    In the past, the nature of the compositional units proposed for spoken language has largely diverged from the types of control units pursued in the domains of other skilled motor tasks. A classic source of evidence as to the units structuring speech has been patterns observed in speech errors – “slips of the tongue”. The present study reports, for the first time, on kinematic data from tongue and lip movements during speech errors elicited in the laboratory using a repetition task. Our data are consistent with the hypothesis that speech production results from the assembly of dynamically defined action units – gestures – in a linguistically structured environment. The experimental results support both the presence of gestural units and the dynamical properties of these units and their coordination. This study of speech articulation shows that it is possible to develop a principled account of spoken language within a more general theory of action. PMID:16822494

  1. Variations in Missed Care Across Oncology Nursing Specialty Units.

    PubMed

    Villamin, Colleen; Anderson, Jacqueline; Fellman, Bryan; Urbauer, Diana; Brassil, Kelly

    2018-04-19

    An opportunity was identified to compare perceptions of the occurrence and types of missed care at a comprehensive cancer center. The purpose was to evaluate the difference in perceived occurrence and types of missed care between medical, surgical, and hematologic oncology units in the context of a newly implemented patient care delivery system, Primary Team Nursing (PTN). A descriptive, repeated-measures design was used. The MISSCARE survey was distributed electronically to 580 staff members across 6 inpatient units. Frequently perceived elements of missed nursing care were ambulation, turning every 2 hours, and care conference attendance. At the time of study implementation, surgical units reported 0.24 higher scores than medical units (P = .017); hematology units reported 0.26 lower scores than surgical units (P = .005). PTN status did not affect MISSCARE scores (P = .525). Study findings suggest that perceived missed care in a comprehensive cancer center is similar to that in other hospital settings.

  2. Fifth-Graders' Ideas about the Westward Expansion of the United States Prior to the Civil War, Expressed before and after Studying the Topic within a U.S. History Course. Elementary Subjects Center Series No. 82.

    ERIC Educational Resources Information Center

    Brophy, Jere; And Others

    The study that is the subject of this document focused on how fifth-graders' knowledge and thinking about the westward expansion of the pre-Civil War United States was affected by students' participation in a curriculum unit on the topic. A stratified sample of 10 students was interviewed before and after they participated in the unit to…

  3. EDEX Educational Expansion and Labour Market: A Comparative Study of Five European Countries--France, Germany, Italy, Spain and the United Kingdom with Special Reference to the United States. CEDEFOP Reference Series.

    ERIC Educational Resources Information Center

    Beduwe, Catherine; Planas, Jordi

    The long-term economic and social impacts of the rise in levels of education on mechanisms of access to employment and on human resources management were examined in a comparative study of educational expansion and the labor markets of France, Germany, Italy, Spain, and the United Kingdom, with special reference to the United States. Five teams of…

  4. The United Nations Convention on the Law of the Sea: Is It Time for United States Participation

    DTIC Science & Technology

    1990-02-27

    CARLISLE BARRACKS, PA 17013-5050 USAWC MILITARY STUDIES PROGRAM PAPER THE UNITED NATIONS CONVENTION ON THE LAW OF THE SEA: IS IT TIME FOR UNITED STATES...Individual Study Froject -te: 27 February 1990 PAGES: 42 CLASSIFICATION: Unclassified he attempt to achieve an international consensus on law of the sea is a...restrictions of some deqree on navigation, was limited to twelve nautical miles. Finally, the U.S. got to eat its cake too: coastal states, of which

  5. Evaluation of the surface-water sampling design in the Western Lake Michigan Drainages in relation to environmental factors affecting water quality at base flow

    USGS Publications Warehouse

    Robertson, Dale M.

    1998-01-01

    The variability in water quality throughout the WMIC Study Unit during base-flow conditions could be described very well by subdividing the area into Relatively Homogeneous Units and sampling a few streams with drainage basins completely within these homogeneous units. This subdivision and sampling scheme enabled the differences in water quality to be directly related to the differences in the environmental characteristics that exist throughout the Study Unit.

  6. Time motion analysis of nursing work in ICU, telemetry and medical-surgical units.

    PubMed

    Schenk, Elizabeth; Schleyer, Ruth; Jones, Cami R; Fincham, Sarah; Daratha, Kenn B; Monsen, Karen A

    2017-11-01

    This study examined nurses' work, comparing nursing interventions and locations across three units in a United States hospital using Omaha System standardized terminology as the organizing framework. The differences in nurses' acute-care work across unit types are not well understood. Prior investigators have used time-motion methodologies; few have compared differences across units, nor used standardized terminology. Nurse-observers recorded locations and interventions of nurses on three acute-care units using hand-held devices and web-based TimeCaT ™ software. Nursing interventions were mapped to Omaha System terms. Unit-differences were analysed. Nurses changed locations approximately every 2 min, and averaged approximately one intervention/minute. Unit differences were found in both the interventions performed and the locations. Most interventions were case-management related, demonstrating the nurses' patient management/coordination role. Unit differences in nursing interventions and location were found among three unit types. Omaha System terminology, as well as the observational method used, were found to be feasible and practical. Nursing work varies by unit, yet managers have not been armed with empirical data with which to make more informed decisions about nurses' work priorities, clinical outcomes, patient satisfaction, staff satisfaction and cost. The results from this study will help them to do so. © 2017 John Wiley & Sons Ltd.

  7. Wzx flippases exhibiting complex O-unit preferences require a new model for Wzx-substrate interactions.

    PubMed

    Liu, Michael A; Morris, Paraskevi; Reeves, Peter R

    2018-06-10

    The Wzx flippase is a critical component of the O-antigen biosynthesis pathway, being responsible for the translocation of oligosaccharide O units across the inner membrane in Gram-negative bacteria. Recent studies have shown that Wzx has a strong preference for its cognate O unit, but the types of O-unit structural variance that a given Wzx can accommodate are poorly understood. In this study, we identified two Yersinia pseudotuberculosis Wzx that can distinguish between different terminal dideoxyhexose sugars on a common O-unit main-chain, despite both being able to translocate several other structurally-divergent O units. We also identified other Y. pseudotuberculosis Wzx that can translocate a structurally divergent foreign O unit with high efficiency, and thus exhibit an apparently relaxed substrate preference. It now appears that Wzx substrate preference is more complex than previously suggested, and that not all O-unit residues are equally important determinants of translocation efficiency. We propose a new "Structure-Specific Triggering" model in which Wzx translocation proceeds at a low level for a wide variety of substrates, with high-frequency translocation only being triggered by Wzx interacting with one or more preferred O-unit structural elements found on its cognate O unit(s). © 2018 The Authors. MicrobiologyOpen published by John Wiley & Sons Ltd.

  8. Transforming Care at the Bedside (TCAB): enhancing direct care and value-added care.

    PubMed

    Dearmon, Valorie; Roussel, Linda; Buckner, Ellen B; Mulekar, Madhuri; Pomrenke, Becky; Salas, Sheri; Mosley, Aimee; Brown, Stephanie; Brown, Ann

    2013-05-01

    The purpose of this study was to examine the effectiveness of a Transforming Care at the Bedside initiative from a unit perspective. Improving patient outcomes and nurses' work environments are the goals of Transforming Care at the Bedside. Transforming Care at the Bedside creates programs of change originating at the point of care and directly promoting engagement of nurses to transform work processes and quality of care on medical-surgical units. This descriptive comparative study draws on multiple data sources from two nursing units: a Transforming Care at the Bedside unit where staff tested, adopted and implemented improvement ideas, and a control unit where staff continued traditional practices. Change theory provided the framework for the study. Direct care and value-added care increased on Transforming Care at the Bedside unit compared with the control unit. Transforming Care at the Bedside unit decreased in incidental overtime. Nurses reported that the process challenged old ways of thinking and increased nursing innovations. Hourly rounding, bedside reporting and the use of pain boards were seen as positive innovations. Evidence supported the value-added dimension of the Transforming Care at the Bedside process at the unit level. Nurses recognized the significance of their input into processes of change. Transformational leadership and frontline projects provide a vehicle for innovation through application of human capital. © 2012 Blackwell Publishing Ltd.

  9. Coping with Catastrophe: The Black Death of the 14th Century. A Unit of Study for Grades 7-12.

    ERIC Educational Resources Information Center

    Chapman, Anne

    This unit of study explains the causes, course, characteristics, and results of the Black Death during the 14th century. The Black Death, also known as the bubonic plague, left virtually no one untouched in Europe, Asia, and Northern Africa. Europe lost a third or more of its population. In a broader context, study of the unit alerts students to…

  10. Transfusion Patterns in All Patients Admitted to the Intensive Care Unit and in Those Who Die in Hospital: A Descriptive Analysis.

    PubMed

    Shehata, Nadine; Forster, Alan J; Lawrence, Nadine; Ducharme, Robin; Fergusson, Dean A; Chassé, Michaël; Rothwell, Deanna M; Hébert, Paul C; Tinmouth, Alan T; Wilson, Kumanan

    2015-01-01

    While it is known that the use of health care resources increases at the end of life in patients admitted to the Intensive Care Unit (ICU), the allocation of blood products at the end of life has not been described. The objective of this study was to describe overall transfusion patterns in the ICU, and specifically in patients who die in hospital. We conducted a retrospective cohort study of adult patients admitted to the ICU of a university-affiliated hospital, who were discharged or died between November 1, 2006 and June 30, 2012. During the study period, 10,642 patients were admitted at least once to the ICU. Of these patients, 4079 (38.3%) received red blood cells (RBCs), plasma or platelets in the ICU. The ICU mortality rate was 28.1% and in-hospital mortality rate was 32.3%. Among 39,591 blood product units transfused over the course of the study in the ICU (18,144 RBC units, 16,920 plasma units and 4527 platelet units), 46.2% were administered to patients who later died within the same hospitalization (41.2% of RBCs, 50.4% of plasma and 50.8% of platelets). Of all blood product units (RBCs, plasma and platelets) administered in the ICU over the study period, 11% were given within the last 24 hours before death. A large proportion of blood products used in the ICU are administered to patients who ultimately succumb to their illness in hospital, and many of these blood units are given in close proximity to death.

  11. Time-series intervention analysis of pedestrian countdown timer effects.

    PubMed

    Huitema, Bradley E; Van Houten, Ron; Manal, Hana

    2014-11-01

    Pedestrians account for 40-50% of traffic fatalities in large cities. Several previous studies based on relatively small samples have concluded that Pedestrian Countdown Timers (PCT) may reduce pedestrian crashes at signalized intersections, but other studies report no reduction. The purposes of the present article are to (1) describe a new methodology to evaluate the effectiveness of introducing PCT signals and (2) to present results of applying this methodology to pedestrian crash data collected in a large study carried out in Detroit, Michigan. The study design incorporated within-unit as well as between-unit components. The main focus was on dynamic effects that occurred within the PCT unit of 362 treated sites during the 120 months of the study. An interrupted time-series analysis was developed to evaluate whether change in crash frequency depended upon of the degree to which the countdown timers penetrated the treatment unit. The between-unit component involved comparisons between the treatment unit and a control unit. The overall conclusion is that the introduction of PCT signals in Detroit reduced pedestrian crashes to approximately one-third of the preintervention level. The evidence for this reductionis strong and the change over time was shown to be a function of the extent to which the timers were introduced during the intervention period. There was no general drop-off in crash frequency throughout the baseline interval of over five years; only when the PCT signals were introduced in large numbers was consistent and convincing crash reduction observed. Correspondingly, there was little evidence of change in the control unit. Copyright © 2014. Published by Elsevier Ltd.

  12. Business-unit-level relationship between employee satisfaction, employee engagement, and business outcomes: a meta-analysis.

    PubMed

    Harter, James K; Schmidt, Frank L; Hayes, Theodore L

    2002-04-01

    Based on 7,939 business units in 36 companies, this study used meta-analysis to examine the relationship at the business-unit level between employee satisfaction-engagement and the business-unit outcomes of customer satisfaction, productivity, profit, employee turnover, and accidents. Generalizable relationships large enough to have substantial practical value were found between unit-level employee satisfaction-engagement and these business-unit outcomes. One implication is that changes in management practices that increase employee satisfaction may increase business-unit outcomes, including profit.

  13. Ground-water data collected in the Missouri River Basin units in Kansas during 1948

    USGS Publications Warehouse

    Berry, Delmar W.

    1950-01-01

    Ground-water studies in the Missouri River Basin were begun by the U.S. Geological Survey during the fall of 1945 as a part of the program for development of the resources of the basin by the U.S. Bureau of Reclamation and other Federal agencies. The studies of the ground-water resources in the part of Kansas that lies within the basin have been coordinated with the cooperative program of ground-water studies already being carried on in Kansas by the Federal Geological Survey and the Kansas State Geological Survey with the cooperation of the Division of Sanitation of the Kansas State Board of health and the Division of Water Resources of the Kansas State Board of Agriculture.Areas in which ground-water data have been collected under the Missouri Basin program include the Almena Unit in Norton and Phillips Counties; the Bostwick Unit in Jewell, Republic, and Cloud Counties; the Cedar Bluff Unit in Ellis and Trego Counties; the Glen Elder Unit in Mitchell County; the Kanopolis Unit in McPherson and Saline Counties; the Kirwin Unit in Phillips, Smith, and Osborne Counties; the St. Francis Unit in Cheyenne County; the Webster Unit in Osborne County; and the Wilson Unit in Lincoln County.Most of the ground-water data presented in this report were collected during 1948. Most of the data collected in these areas prior to the end of 1947 were presented in a report mimeographed in September 1948. This report and the previous report are the first two of a series of annual reports on ground-water studies in the Missouri Basin units in Kansas. These reports are a means of more promptly releasing for administrative use the data collected each year. Data for a given area that are included in the annual reports will be assembled later in a report on the geology and hydrology of that area.

  14. Eutrophication, A Natural Process.

    ERIC Educational Resources Information Center

    Monsour, William

    This environmental education learning unit deals with the topic of eutrophication. The unit is designed to allow secondary teachers of science, language arts, and social studies to use it as supplementary material in their classroom. Teacher information, unit objectives, the unit text, and appendices are included. The teacher information section…

  15. [Career Awareness Units. Grades K-6.

    ERIC Educational Resources Information Center

    Price, Peggy R.; And Others

    The 13 units outline activities focusing on particular occupations and skills integrated with language arts, mathematics, science, social studies, and other areas. Unit One, for the kindergarten level, contains 11 activities centering on helpers for the home. Unit Two examines restaurant occupations through 10 activities. The six activities in…

  16. Developing Career Education; K-2 Instructional Units.

    ERIC Educational Resources Information Center

    Nebraska State Dept. of Education, Lincoln. Div. of Vocational Education.

    The guide presents instructional units aimed at developing career education for grades K-2. Each unit provides detailed objectives, activities, resources, and evaluations, and in some units the objectives are further detailed in relationship to the following subjects: mathematics, language arts, social studies, guidance, music, physical education,…

  17. Can fast-twitch muscle fibres be selectively recruited during lengthening contractions? Review and applications to sport movements.

    PubMed

    Chalmers, Gordon R

    2008-01-01

    Literature examining the recruitment order of motor units during lengthening (eccentric) contractions was reviewed to determine if fast-twitch motor units can be active while lower threshold slow-twitch motor units are not active. Studies utilizing surface electromyogram (EMG) amplitude, single motor unit activity, spike amplitude-frequency analyses, EMG power spectrum, mechanomyographic, and phosphocreatine-to-creatine ratio (PCr/Cr) techniques were reviewed. Only single motor unit and PCr/Cr data were found to be suitable to address the goals of this review. Nine of ten single motor unit studies, examining joint movement velocities up to 225 degrees/s and forces up to 53% of a maximum voluntary contraction, found that the size principle of motor unit recruitment applied during lengthening contractions. Deviation from the size principle was demonstrated by one study examining movements within a small range of low velocities and modest forces, although other studies examining similar low forces and lengthening velocities reported size-ordered recruitment. The PCr/Cr data demonstrated the activation of all fibre types in lengthening maximal contractions. Most evidence indicates that for lengthening contractions of a wide range of efforts and speeds, fast-twitch muscle fibres cannot be selectively recruited without activity of the slow-twitch fibres of the same muscle.

  18. Method for estimating pesticide use for county areas of the conterminous United States

    USGS Publications Warehouse

    Thelin, Gail P.; Gianessi, Leonard P.

    2000-01-01

    Information on the amount and distribution of pesticide compounds used throughout the United States is essential to evaluate the relation between water quality and pesticide use. This information is the basis of the U.S. Geological Survey?s National Water-Quality Assessment (NAWQA) Program studies of the effects of pesticides on water quality in 57 major hydrologic systems, or study units, located throughout the conterminous United States. To support these studies, a method was devised to estimate county pesticide use for the conterminous United States by combining (1) state-level information on pesticide use rates available from the National Center for Food and Agricultural Policy, and (2) county-level information on harvested crop acreage from the Census of Agriculture. The average annual pesticide use, the total amount of pesticides applied (in pounds), and the corresponding area treated (in acres) were compiled for the 208 pesticide compounds that are applied to crops in the conterminous United States. Pesticide use was ranked by compound and crop on the basis of the amount of each compound applied to 86 selected crops. Tabular summaries of pesticide use for NAWQA study units and for the Nation were prepared, along with maps that show the distribution of selected pesticides to agricultural land.

  19. Physical and Visual Accessibilities in Intensive Care Units: A Comparative Study of Open-Plan and Racetrack Units.

    PubMed

    Rashid, Mahbub; Khan, Nayma; Jones, Belinda

    2016-01-01

    This study compared physical and visual accessibilities and their associations with staff perception and interaction behaviors in 2 intensive care units (ICUs) with open-plan and racetrack layouts. For the study, physical and visual accessibilities were measured using the spatial analysis techniques of Space Syntax. Data on staff perception were collected from 81 clinicians using a questionnaire survey. The locations of 2233 interactions, and the location and length of another 339 interactions in these units were collected using systematic field observation techniques. According to the study, physical and visual accessibilities were different in the 2 ICUs, and clinicians' primary workspaces were physically and visually more accessible in the open-plan ICU. Physical and visual accessibilities affected how well clinicians' knew their peers and where their peers were located in these units. Physical and visual accessibilities also affected clinicians' perception of interaction and communication and of teamwork and collaboration in these units. Additionally, physical and visual accessibilities showed significant positive associations with interaction behaviors in these units, with the open-plan ICU showing stronger associations. However, physical accessibilities were less important than visual accessibilities in relation to interaction behaviors in these ICUs. The implications of these findings for ICU design are discussed.

  20. A Comparison of the Health of Older Hispanics in the United States and Mexico

    PubMed Central

    Angel, Ronald J.; Angel, Jacqueline L.; Hill, Terrence D.

    2014-01-01

    Objectives This study compares various dimensions of physical and emotional health between older Mexican-origin individuals in the United States and in Mexico. Method The samples are drawn from the Mexican Health and Aging Study (MHAS) and the Hispanic Established Epidemiologic Study of the Elderly (H-EPESE) and include 3,875 Mexican residents with no history of residence in the United States and 2,734 Mexican-origin individuals 65 and older who live in the southwestern United States. Results Both immigrant and native-born Mexican-origin elders in the United States report more chronic conditions than elderly Mexicans, but they report fewer symptoms of psychological distress. Longer residence in the United States is associated with higher body mass index scores. Discussion The discussion addresses the possibility that access to care influences reports of diagnosed conditions and touches on issues of comparability in cross-cultural research and the difficulty in clearly distinguishing cultural and system-level factors in the production and measurement of health. PMID:18252935

  1. Unit Hydrograph Peaking Analysis for Goose Creek Watershed in Virginia: A Case Study

    DTIC Science & Technology

    2017-05-01

    ER D C/ CH L TR -1 7- 6 Unit Hydrograph Peaking Analysis for Goose Creek Watershed in Virginia: A Case Study Co as ta l a nd H yd ra...default. ERDC/CHL TR-17-6 May 2017 Unit Hydrograph Peaking Analysis for Goose Creek Watershed in Virginia: A Case Study Nawa Raj Pradhan and...confidence interval precipitation depths to the watershed in addition to the 50% value. This study concluded that a design event with a return period greater

  2. Digital elevations and extents of regional hydrogeologic units in the Northern Atlantic Coastal Plain aquifer system from Long Island, New York, to North Carolina

    USGS Publications Warehouse

    Pope, Jason P.; Andreasen, David C.; Mcfarland, E. Randolph; Watt, Martha K.

    2016-08-31

    Digital geospatial datasets of the extents and top elevations of the regional hydrogeologic units of the Northern Atlantic Coastal Plain aquifer system from Long Island, New York, to northeastern North Carolina were developed to provide an updated hydrogeologic framework to support analysis of groundwater resources. The 19 regional hydrogeologic units were delineated by elevation grids and extent polygons for 20 layers: the land and bathymetric surface at the top of the unconfined surficial aquifer, the upper surfaces of 9 confined aquifers and 9 confining units, and the bedrock surface that defines the base of all Northern Atlantic Coastal Plain sediments. The delineation of the regional hydrogeologic units relied on the interpretive work from source reports for New York, New Jersey, Delaware and Maryland, Virginia, and North Carolina rather than from re-analysis of fundamental hydrogeologic data. This model of regional hydrogeologic unit geometries represents interpolation, extrapolation, and generalization of the earlier interpretive work. Regional units were constructed from available digital data layers from the source studies in order to extend units consistently across political boundaries and approximate units in offshore areas.Though many of the Northern Atlantic Coastal Plain hydrogeologic units may extend eastward as far as the edge of the Atlantic Continental Shelf, the modeled boundaries of all regional hydrogeologic units in this study were clipped to an area approximately defined by the furthest offshore extent of fresh to brackish water in any part of the aquifer system, as indicated by chloride concentrations of 10,000 milligrams per liter. Elevations and extents of units that do not exist onshore in Long Island, New York, were not included north of New Jersey. Hydrogeologic units in North Carolina were included primarily to provide continuity across the Virginia-North Carolina State boundary, which was important for defining the southern edge of the Northern Atlantic Coastal Plain study area.

  3. Discharge Patterns of Human Tensor Palatini Motor Units During Sleep Onset

    PubMed Central

    Nicholas, Christian L.; Jordan, Amy S.; Heckel, Leila; Worsnop, Christopher; Bei, Bei; Saboisky, Julian P.; Eckert, Danny J.; White, David P.; Malhotra, Atul; Trinder, John

    2012-01-01

    Study Objectives: Upper airway muscles such as genioglossus (GG) and tensor palatini (TP) reduce activity at sleep onset. In GG reduced muscle activity is primarily due to inspiratory modulated motor units becoming silent, suggesting reduced respiratory pattern generator (RPG) output. However, unlike GG, TP shows minimal respiratory modulation and presumably has few inspiratory modulated motor units and minimal input from the RPG. Thus, we investigated the mechanism by which TP reduces activity at sleep onset. Design: The activity of TP motor units were studied during relaxed wakefulness and over the transition from wakefulness to sleep. Setting: Sleep laboratory. Participants: Nine young (21.4 ± 3.4 years) males were studied on a total of 11 nights. Intervention: Sleep onset. Measurements and Results: Two TP EMGs (thin, hooked wire electrodes), and sleep and respiratory measures were recorded. One hundred twenty-one sleep onsets were identified (13.4 ± 7.2/subject), resulting in 128 motor units (14.3 ± 13.0/subject); 29% of units were tonic, 43% inspiratory modulated (inspiratory phasic 18%, inspiratory tonic 25%), and 28% expiratory modulated (expiratory phasic 21%, expiratory tonic 7%). There was a reduction in both expiratory and inspiratory modulated units, but not tonic units, at sleep onset. Reduced TP activity was almost entirely due to de-recruitment. Conclusions: TP showed a similar distribution of motor units as other airway muscles. However, a greater proportion of expiratory modulated motor units were active in TP and these expiratory units, along with inspiratory units, tended to become silent over sleep onset. The data suggest that both expiratory and inspiratory drive components from the RPG are reduced at sleep onset in TP. Citation: Nicholas CL; Jordan AS; Heckel L; Worsnop C; Bei B: Saboisky JP; Eckert DJ; White DP; Malhotra A; Trinder J. Discharge patterns of human tensor palatini motor units during sleep onset. SLEEP 2012;35(5):699-707. PMID:22547896

  4. Professionalism in Public Relations Pedagogy: A Comparative Analysis of Public Relations Curricula among the United States, the United Kingdom, and South Korea

    ERIC Educational Resources Information Center

    Chung, Wonjun; Choi, Jinbong

    2012-01-01

    Based on a concept of professionalism, this study analyzed and compared current public relations curricula of higher education among the United States, the United Kingdom, and South Korea. In terms of three educational orientations, results indicated that public relations education in the United States is the most balanced among theoretical,…

  5. The Army Needs to Improve Individual Soldier Training in Its Units. Report to the Congress by the Comptroller General of the United States.

    ERIC Educational Resources Information Center

    Comptroller General of the U.S., Washington, DC.

    A study was conducted to determine whether unit level individual skill training is being provided to prepare Army enlisted personnel to perform critical job tasks within their military occupational specialty (MOS). The General Accounting Office reviewed the Army's skill training programs at 10 active units in the continental United States and five…

  6. In the Aftermath of War: Cultural Clashes of the Twenties. A Unit of Study for Grades 9-12.

    ERIC Educational Resources Information Center

    Gifford, Nina

    This unit is a collection of lessons for teaching about cultural clashes. Based on primary sources, the unit contains teacher background materials and three lesson plans with student resources. These lessons deal with the United States between World War I and World War II. The United States emerged from World War I with seismic faults in its…

  7. Current projects of the Application Technology Research Unit (ATRU) USDA-ARS, Wooster/Toledo, Ohio

    USDA-ARS?s Scientific Manuscript database

    The Application Technology Research Unit (ATRU) is the largest multidisciplinary research team in the United States Department of Agriculture, Agricultural Research Service, conducting studies on floricultural and nursery crops. On-farm research is a major approach to the mission of this Unit. The...

  8. Crop Farm Employee. Agricultural Cooperative Training. Vocational Agriculture. Revised.

    ERIC Educational Resources Information Center

    Boyd, Chester; And Others

    Designed for students enrolled in the Vocational Agricultural Cooperative Part-Time Training Program, this course of study contains 13 units for crop farm employees. Units include (examples of unit topics in parentheses): introduction (opportunities in farming, farming as a science, and farming in the United States), farm records (keeping farm…

  9. Ecology of Missouri Forests. Instructional Unit. Conservation Education Series.

    ERIC Educational Resources Information Center

    Jackson, Jim

    This unit is designed to help science, social studies, vocational agriculture, and other teachers incorporate forest ecology concepts into their subject matter. The unit includes: (1) topic outline; (2) unit objectives; (3) background information on climate and soils, levels of a deciduous forest, age classes, food and energy relationships, forest…

  10. Developing Career Education; Grades 3-6 Instructional Units.

    ERIC Educational Resources Information Center

    Nebraska State Dept. of Education, Lincoln. Div. of Vocational Education.

    The guide presents instructional units aimed at developing career education for grades 3-6. Each unit provides detailed objectives, activities, resources, and evaluations, and in some units the objectives are further detailed in relationship to the following subjects: mathematics, language arts, social studies, guidance, music, physical education,…

  11. Radiology Aide. Instructor's Guide.

    ERIC Educational Resources Information Center

    Hronek, Dennis

    This module was designed to assist educators in facilitating learning in health careers outside nursing. It may be used for classroom, on-the-job, or independent study. The module is oranized in 13 units. Each unit includes one or more lessons that contain the following components: scope of unit, unit objectives; student's information assignment,…

  12. Respiratory Therapy Aide. Instructor's Guide.

    ERIC Educational Resources Information Center

    Prewitt, Michael W.

    This module was designed to assist educators in facilitating learning in health careers outside nursing. It may be used for classroom, on-the-job, or independent study. The module is organized in nine units. Each unit contains the following components: scope of unit, unit objectives, student's information assignment, reference resources used by…

  13. Child Development (Grades 9-12).

    ERIC Educational Resources Information Center

    Barber, Marie; Hyer, Renee; Rollins, Jan; Seamons, Mary Lou; Siddoway, Kris; Wall, Cindy

    This curriculum guide on child development consists of six units for grades 9-12. A book list is provided. Each unit has 1-15 lessons. Unit 1, Overview of Child Development, teaches the value of studying children. Unit 2, Responsibilities Related to the Child, has four lessons: Parenting Responsibilities, Nurturing/Bonding, Self Concept, and…

  14. Edison Home Community Study Unit.

    ERIC Educational Resources Information Center

    Lee County School District, Ft. Myers, FL. Dept. of Environmental Education and Instructional Development Services.

    History is not merely events that occurred in the past. The past has influenced the present, as the present will influence the future. The purpose of this community study unit is to provide fourth grade students with an opportunity to investigate some of the history of Lee County, Florida. The unit's focus is on Thomas Edison, who built a home in…

  15. Profiles: The Foreign Student in the United States.

    ERIC Educational Resources Information Center

    Boyan, Douglas R., Ed.

    Results of a 1979-1980 survey of foreign students in the United States are presented. The survey, which accompanied the Annual Census of Foreign Students in the United States, studied country of origin, field of study, academic level, sex, and age of foreign students. Of the 2,651 institutions that reported foreign students, 1,961 or 74 percent…

  16. Profiles: The Foreign Student in the United States.

    ERIC Educational Resources Information Center

    Boyan, Douglas R., Ed.

    Results of a 1981-1982 survey of foreign students in the United States are presented. The survey, which accompanied the Annual Census of Foreign Students in the United States, studied country of origin, field of study, academic level, and sex of foreign students. Of the 2,454 institutions that reported foreign students, 1,845 or 75.2 percent…

  17. Social Studies: Economics, International Relations, and Political Science. Latin American Curriculum Units for Junior and Community Colleges.

    ERIC Educational Resources Information Center

    Glade, William P.; Baldwin, Emily

    These three self-contained units of study will help community college students learn about the economics, international relations, and politics of Latin America. Each unit can be used independently and contains introductory notes for instructors, student materials, and a bibliography. Students are expected to read and discuss the reading…

  18. Multilingual Literacies in Transnational Digitally Mediated Contexts: An Exploratory Study of Immigrant Teens in the United States

    ERIC Educational Resources Information Center

    Lam, Wan Shun Eva; Rosario-Ramos, Enid

    2009-01-01

    This study explores the literacy practices that are involved in transnational social and information networking among youths of immigrant backgrounds in the United States. In particular, it investigates the ways in which young migrants of diverse national origins in the United States are utilising digital media to organise social relationships…

  19. Nonbattle Injury Among Deployed Troops: An Epidemiologic Study

    DTIC Science & Technology

    2009-01-01

    Center, C/0 American Embassy- Peru Unit Number 3800, APO AA 34031-0008. §U. S. Naval Medical Research Unit No. 2, Box 3, Unit 8132, FPO AP 96520-8132... overweight and excessive BMI in males and LOD injuries.’^ Furthermore, a study by Bell et al., found that higher injury rates among females at Army

  20. What's Happening: Willowbrook Cinema Study Project.

    ERIC Educational Resources Information Center

    Amelio, Ralph J.

    A two-semester elective high school course in the study, evaluation, and appreciation of the cinema as an art form is outlined in this publication. An overview of the course--goals, approaches for the development of units, teaching activities and methods, and texts--precedes a listing of the 10 curriculum units. Subjects of the units are film and…

  1. Greater Perceived Age Discrimination in England than the United States: Results from HRS and ELSA

    PubMed Central

    Zaninotto, Paola; Steptoe, Andrew

    2015-01-01

    Objectives. We examined cross-national differences in perceptions of age discrimination in England and the United States. Under the premise that the United States has had age discrimination legislation in place for considerably longer than England, we hypothesized that perceptions of age discrimination would be lower in the United States. Methods. We analyzed data from two nationally representative studies of aging, the U.S. Health and Retirement Study (n = 4,818) and the English Longitudinal Study of Ageing (n = 7,478). Respondents aged 52 years and older who attributed any experiences of discrimination to their age were treated as cases of perceived age discrimination. We used multivariable logistic regression to estimate the odds ratios of experiencing perceived age discrimination in relation to selected sociodemographic factors. Results. Perceptions of age discrimination were significantly higher in England than the United States, with 34.8% of men and women in England reporting age discrimination compared with 29.1% in the United States. Associations between perceived age discrimination and older age and lower levels of household wealth were observed in both countries, but we found differences between England and the United States in the relationship between perceived age discrimination and education. Discussion. Our study revealed that levels of perceived age discrimination are lower in the United States than England and are less socially patterned. This suggests that differing social and political circumstances in the two countries may have an important role to play. PMID:26224759

  2. Dimensions of patient safety culture in family practice.

    PubMed

    Palacios-Derflingher, Luz; O'Beirne, Maeve; Sterling, Pam; Zwicker, Karen; Harding, Brianne K; Casebeer, Ann

    2010-01-01

    Safety culture has been shown to affect patient safety in healthcare. While the United States and United Kingdom have studied the dimensions that reflect patient safety culture in family practice settings, to date, this has not been done in Canada. Differences in the healthcare systems between these countries and Canada may affect the dimensions found to be relevant here. Thus, it is important to identify and compare the dimensions from the United States and the United Kingdom in a Canadian context. The objectives of this study were to explore the dimensions of patient safety culture that relate to family practice in Canada and to determine if differences and similarities exist between dimensions found in Canada and those found in previous studies undertaken in the United States and the United Kingdom. A qualitative study was undertaken applying thematic analysis using focus groups with family practice offices and supplementary key stakeholders. Analysis of the data indicated that most of the dimensions from the United States and United Kingdom are appropriate in our Canadian context. Exceptions included owner/managing partner/leadership support for patient safety, job satisfaction and overall perceptions of patient safety and quality. Two unique dimensions were identified in the Canadian context: disclosure and accepting responsibility for errors. Based on this early work, it is important to consider differences in care settings when understanding dimensions of patient safety culture. We suggest that additional research in family practice settings is critical to further understand the influence of context on patient safety culture.

  3. The effect of increased mobility on morbidity in the neurointensive care unit.

    PubMed

    Titsworth, W Lee; Hester, Jeannette; Correia, Tom; Reed, Richard; Guin, Peggy; Archibald, Lennox; Layon, A Joseph; Mocco, J

    2012-06-01

    The detrimental effects of immobility on intensive care unit (ICU) patients are well established. Limited studies involving medical ICUs have demonstrated the safety and benefit of mobility protocols. Currently no study has investigated the role of increased mobility in the neurointensive care unit population. This study was a single-institution prospective intervention trial to investigate the effectiveness of increased mobility among neurointensive care unit patients. All patients admitted to the neurointensive care unit of a tertiary care center over a 16-month period (April 2010 through July 2011) were evaluated. The study consisted of a 10-month (8025 patient days) preintervention observation period followed by a 6-month (4455 patient days) postintervention period. The intervention was a comprehensive mobility initiative utilizing the Progressive Upright Mobility Protocol (PUMP) Plus. Implementation of the PUMP Plus increased mobility among neurointensive care unit patients by 300% (p < 0.0001). Initiation of this protocol also correlated with a reduction in neurointensive care unit length of stay (LOS; p < 0.004), hospital LOS (p < 0.004), hospital-acquired infections (p < 0.05), and ventilator-associated pneumonias (p < 0.001), and decreased the number of patient days in restraints (p < 0.05). Additionally, increased mobility did not lead to increases in adverse events as measured by falls or inadvertent line disconnections. Among neurointensive care unit patients, increased mobility can be achieved quickly and safely with associated reductions in LOS and hospital-acquired infections using the PUMP Plus program.

  4. Against the odds: experiences of nurse leaders in Clinical Development Units (Nursing) in Australia.

    PubMed

    Atsalos, Christine; O'Brien, Louise; Jackson, Debra

    2007-06-01

    This paper is a report of a longitudinal study to develop an understanding of the phenomena of Clinical Development Unit (Nursing) leadership by exploring the experiences of the nurse leaders of nine Australian units as they attempted to develop their existing wards or units into recognized centres of nursing excellence. The concept of Clinical Development Unit (Nursing) in Australia originated in the British Nursing Development Unit movement, which has been widely credited with introducing innovative approaches to developing nurses and nursing. A network of nine Clinical Development Units (Nursing) was set up in a suburban area health service in Australia. The aim was to develop existing wards or units into centres of excellence by disseminating a new vision for Australian nurses that was based on the pioneering work of the British Nursing Development Unit movement. Principles of Heideggerian hermeneutic phenomenology provided a framework for the study. Nine Clinical Development Unit (Nursing) leaders participated in qualitative interviews from 1998 to 2002. These interviews were transcribed into text and thematically analysed. Despite attempts to implement a variety of measures to nurture these Clinical Development Units (Nursing) until they had become well established, the new Clinical Development Unit (Nursing) leaders were unable to maintain the Clinical Development Unit (Nursing) vision with which they had been entrusted. This paper discusses their reactions to the problems they faced and the new understandings they developed of their Clinical Development Unit (Nursing) role over time. The findings illuminate the difficulties involved in maintaining the commitment of all levels of staff and management when attempting to introduce new nursing projects.

  5. The care unit in nursing home research: evidence in support of a definition.

    PubMed

    Estabrooks, Carole A; Morgan, Debra G; Squires, Janet E; Boström, Anne-Marie; Slaughter, Susan E; Cummings, Greta G; Norton, Peter G

    2011-04-14

    Defining what constitutes a resident care unit in nursing home research is both a conceptual and practical challenge. The aim of this paper is to provide evidence in support of a definition of care unit in nursing homes by demonstrating: (1) its feasibility for use in data collection, (2) the acceptability of aggregating individual responses to the unit level, and (3) the benefit of including unit level data in explanatory models. An observational study design was used. Research (project) managers, healthcare aides, care managers, nursing home administrators and directors of care from thirty-six nursing homes in the Canadian prairie provinces of Alberta, Saskatchewan and Manitoba provided data for the study. A definition of care unit was developed and applied in data collection and analyses. A debriefing session was held with research managers to investigate their experiences with using the care unit definition. In addition, survey responses from 1258 healthcare aides in 25 of the 36 nursing homes in the study, that had more than one care unit, were analyzed using a multi-level modeling approach. Trained field workers administered the Alberta Context Tool (ACT), a 58-item self-report survey reflecting 10 organizational context concepts, to healthcare aides using computer assisted personal interviews. To assess the appropriateness of obtaining unit level scores, we assessed aggregation statistics (ICC(1), ICC(2), η², and ω²), and to assess the value of using the definition of unit in explanatory models, we performed multi-level modeling. In 10 of the 36 nursing homes, the care unit definition developed was used to align the survey data (for analytic purposes) to specific care units as designated by our definition, from that reported by the facility administrator. The aggregation statistics supported aggregating the healthcare aide responses on the ACT to the realigned unit level. Findings from the multi-level modeling further supported unit level aggregation. A significantly higher percentage of variance was explained in the ACT concepts at the unit level compared to the individual and/or nursing home levels. The statistical results support the use of our definition of care unit in nursing home research in the Canadian prairie provinces. Beyond research convenience however, the results also support the resident unit as an important Clinical Microsystem to which future interventions designed to improve resident quality of care and staff (healthcare aide) worklife should be targeted.

  6. Effect of 0.2% chlorhexidine on microbial and fungal contamination of dental unit waterlines

    PubMed Central

    Agahi, Raha Habib; Hashemipour, Maryam Alsadat; Kalantari, Mahsa; Ayatollah-Mosavi, Amin; Aghassi, Hossein; Nassab, Amir Hossein Gandjalikhan

    2014-01-01

    Background: It is known that dental unit waterline can be a source of infection. The aim of this study was to evaluate the efficacy of a mouthwash, chlorhexidine, in controlling microbial and fungal contamination of dental unit waterlines. Materials and Methods: In the present experimental study, the water in high-speed handpieces and air/water syringes of 35 dental units in a dental school was investigated microbiologically. Five of the units and one tap water served as controls; 100-200-mL water samples were collected aseptically in sterile containers in the morning after a 2-min purge. Water reservoir bottles were emptied and 50 mL of 0.2% chlorhexidine mouthwash was introduced into the tank. Then the water syringe was used to flush the waterline until the pink-colored chlorhexidine was observed to flow from the water syringe. Before the next day's session and before the students used the unit, two water samples from the water syringe and water turbine was collected. The samples were transferred to the laboratory. After 48 h at 37°C, the microbial colonies were counted. The number of these colonies was evaluated using colony forming unit CFU. Data were analyzed with Mann — Whitney U test and SPSS 13.5 statistical program. The statistical significance was defined at P ≤ 0.05. Results: All 35 units were contaminated before chlorhexidine use; no contamination was detected after adding chlorhexidine to the waterlines of the units. After week 1, 28 of the 30 treated dental unit waterlines (DUWLs) had values of CFU/mL less than 200. Conclusion: The present study showed that the use of chlorhexidine could reduce microbial counts in dental unit waterlines. PMID:25097645

  7. Quality and strength of patient safety climate on medical-surgical units.

    PubMed

    Hughes, Linda C; Chang, Yunkyung; Mark, Barbara A

    2009-01-01

    Describing the safety climate in hospitals is an important first step in creating work environments where safety is a priority. Yet, little is known about the patient safety climate on medical-surgical units. Study purposes were to describe quality and strength of the patient safety climate on medical-surgical units and explore hospital and unit characteristics associated with this climate. Data came from a larger organizational study to investigate hospital and unit characteristics associated with organizational, nurse, and patient outcomes. The sample for this study was 3,689 RNs on 286 medical-surgical units in 146 hospitals. Nursing workgroup and managerial commitment to safety were the two most strongly positive attributes of the patient safety climate. However, issues surrounding the balance between job duties and safety compliance and nurses' reluctance to reveal errors continue to be problematic. Nurses in Magnet hospitals were more likely to communicate about errors and participate in error-related problem solving. Nurses on smaller units and units with lower work complexity reported greater safety compliance and were more likely to communicate about and reveal errors. Nurses on smaller units also reported greater commitment to patient safety and participation in error-related problem solving. Nursing workgroup commitment to safety is a valuable resource that can be leveraged to promote a sense of personal responsibility for and shared ownership of patient safety. Managers can capitalize on this commitment by promoting a work environment in which control over nursing practice and active participation in unit decisions are encouraged and by developing channels of communication that increase staff nurse involvement in identifying patient safety issues, prioritizing unit-level safety goals, and resolving day-to-day operational problems the have the potential to jeopardize patient safety.

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

    Karayigit, A.I.; Bulut, Y.; Karayigit, G.

    A total of 48 samples, feed coals (FCs), fly ashes (FAs) and bottom ashes (BAs), which were systematically collected once a week over an eight-week period from boiler units, B1-4 with 660 MW and B5-6 with 330 MW capacity from Soma power plant, have been evaluated for major and trace elements (Al, Ca, Fe, K, Mg, Mn, Na, Ti, S, As, B, Ba, Be, Bi, Cd, Co, Cr, Cu, Cs, Ga, Ge, Hf, Hg, Li, Mo, Nb, Ni, P, Pb, Rb, Sb, Sc, Se, Sn, Sr, Ta, Th, Tl, U, V, Y, Zn, Zr, and REEs) to get information onmore » behavior during coal combustion. This study indicates that some elements such as Hg, Bi, Cd, As, Pb, Ge, Tl, Sn, Zn, Sb, B show enrichments in FAs relative to the BAs in both group boiler units. In addition to these, Cs, Lu, Tm, and Ga in Units B1-4 and S in Units B5-6 also have enrichments in FAs. Elements showing enrichments in BAs in both group boiler units are Ta, Mn, Nb. In addition to these, Se, Ca, Mg, Na, Fe in Units B1-4 and Cu in Units B5-6 also have enrichments in BAs. The remaining elements investigated in this study have no clear segregation between FAs and BAs. Mass balance calculations with the two methods show that some elements, S, Ta, Hg, Se, Zn, Na, Ca in Units B1-4, and Hg, S, Ta, Se, P in Units B5-6, have volatile behavior during coal combustion in the Soma power plant. This study also implies that some elements, Sb and Tb in Units B1-4 and Sb in Units B5-6, have relatively high retention effects in the combustion residues from the Soma power plant.« less

  9. Effect of 0.2% chlorhexidine on microbial and fungal contamination of dental unit waterlines.

    PubMed

    Agahi, Raha Habib; Hashemipour, Maryam Alsadat; Kalantari, Mahsa; Ayatollah-Mosavi, Amin; Aghassi, Hossein; Nassab, Amir Hossein Gandjalikhan

    2014-05-01

    It is known that dental unit waterline can be a source of infection. The aim of this study was to evaluate the efficacy of a mouthwash, chlorhexidine, in controlling microbial and fungal contamination of dental unit waterlines. In the present experimental study, the water in high-speed handpieces and air/water syringes of 35 dental units in a dental school was investigated microbiologically. Five of the units and one tap water served as controls; 100-200-mL water samples were collected aseptically in sterile containers in the morning after a 2-min purge. Water reservoir bottles were emptied and 50 mL of 0.2% chlorhexidine mouthwash was introduced into the tank. Then the water syringe was used to flush the waterline until the pink-colored chlorhexidine was observed to flow from the water syringe. Before the next day's session and before the students used the unit, two water samples from the water syringe and water turbine was collected. The samples were transferred to the laboratory. After 48 h at 37°C, the microbial colonies were counted. The number of these colonies was evaluated using colony forming unit CFU. Data were analyzed with Mann - Whitney U test and SPSS 13.5 statistical program. The statistical significance was defined at P ≤ 0.05. All 35 units were contaminated before chlorhexidine use; no contamination was detected after adding chlorhexidine to the waterlines of the units. After week 1, 28 of the 30 treated dental unit waterlines (DUWLs) had values of CFU/mL less than 200. The present study showed that the use of chlorhexidine could reduce microbial counts in dental unit waterlines.

  10. Strategy, Operational Art and MacArthur in the Southwest Pacific 1944

    DTIC Science & Technology

    2016-05-26

    Major James N Putnam III United States Marine Corps School of Advanced Military Studies United States Army Command and General Staff College...PROJECT NUMBER 5e. TASK NUMBER 5f. WORK UNIT NUMBER 7. PERFORMING ORGANIZATION NAME(S) AND ADDRESS(ES) School of Advanced Military Studies (SAMS...objective of liberating the Philippines . The study concludes that all the elements of operational art are evident throughout the tactical actions of

  11. The quality of intensive care unit nurse handover related to end of life: a descriptive comparative international study.

    PubMed

    Ganz, Freda DeKeyser; Endacott, Ruth; Chaboyer, Wendy; Benbinishty, Julie; Ben Nun, Maureen; Ryan, Helen; Schoter, Amanda; Boulanger, Carole; Chamberlain, Wendy; Spooner, Amy

    2015-01-01

    Quality ICU end-of-life-care has been found to be related to good communication. Handover is one form of communication that can be problematic due to lost or omitted information. A first step in improving care is to measure and describe it. The objective of this study was to describe the quality of ICU nurse handover related to end-of-life care and to compare the practices of different ICUs in three different countries. This was a descriptive comparative study. The study was conducted in seven ICUs in three countries: Australia (1 unit), Israel (3 units) and the UK (3 units). A convenience sample of 157 handovers was studied. Handover quality was rated based on the ICU End-of-Life Handover tool, developed by the authors. The highest levels of handover quality were in the areas of goals of care and pain management while lowest levels were for legal issues (proxy and advanced directives) related to end of life. Significant differences were found between countries and units in the total handover score (country: F(2,154)=25.97, p=<.001; unit: F(6,150)=58.24, p=<.001), for the end of life subscale (country: F(2, 154)=28.23, p<.001; unit: F(6,150)=25.25, p=<.001), the family communication subscale (country: F(2,154)=15.04, p=<.001; unit: F(6,150)=27.38, p=<.001), the family needs subscale (F(2,154)=22.33, p=<.001; unit: F(6,150)=42.45, p=<.001) but only for units on the process subscale (F(6,150)=8.98, p=<.001. The total handover score was higher if the oncoming RN did not know the patient (F(1,155)=6.51, p=<.05), if the patient was expected to die during the shift (F(1,155)=89.67, p=<.01) and if the family were present (F(1,155)=25.81, p=<.01). Practices of end-of-life-handover communication vary greatly between units. However, room for improvement exists in all areas in all of the units studied. The total score was higher when quality of care might be deemed at greater risk (if the nurses did not know the patient or the patient was expected to die), indicating that nurses were exercising some form of discretionary decision making around handover communication; thus validating the measurement tool. Copyright © 2014. Published by Elsevier Ltd.

  12. Evaluation of nano-technology-modified zirconia oral implants: a study in rabbits.

    PubMed

    Lee, Jaebum; Sieweke, Janet H; Rodriguez, Nancy A; Schüpbach, Peter; Lindström, Håkan; Susin, Cristiano; Wikesjö, Ulf M E

    2009-07-01

    The objective of this study was to screen candidate nano-technology-modified, micro-structured zirconia implant surfaces relative to local bone formation and osseointegration. Proprietary nano-technology surface-modified (calcium phosphate: CaP) micro-structured zirconia implants (A and C), control micro-structured zirconia implants (ZiUnite), and titanium porous oxide implants (TiUnite) were implanted into the femoral condyle in 40 adult male New Zealand White rabbits. Each animal received one implant in each hind leg; thus, 20 animals received A and C implants and 20 animals received ZiUnite and TiUnite implants in contralateral hind legs. Ten animals/group were euthanized at weeks 3 and 6 when biopsies of the implant sites were processed for histometric analysis using digital photomicrographs produced using backscatter scanning electron microscopy. The TiUnite surface demonstrated significantly greater bone-implant contact (BIC) (77.6+/-2.6%) compared with the A (64.6+/-3.6%) and C (62.2+/-3.1%) surfaces at 3 weeks (p<0.05). Numerical differences between ZiUnite (70.5+/-3.1%) and A and C surfaces did not reach statistical significance (p>0.05). Similarly, there were non-significant differences between the TiUnite and the ZiUnite surfaces (p>0.05). At 6 weeks, there were no significant differences in BIC between the TiUnite (67.1+/-4.2%), ZiUnite (69.7+/-5.7%), A (68.6+/-1.9%), and C (64.5+/-4.1%) surfaces (p>0.05). TiUnite and ZiUnite implant surfaces exhibit high levels of osseointegration that, in this model, confirm their advanced osteoconductive properties. Addition of CaP nano-technology to the ZiUnite surface does not enhance the already advanced osteoconductivity displayed by the TiUnite and ZiUnite implant surfaces.

  13. Altered glucose transport to utero-embryonic unit in relation to delayed embryonic development in the Indian short-nosed fruit bat, Cynopterus sphinx.

    PubMed

    Arnab, Banerjee; Amitabh, Krishna

    2011-02-10

    The aim of this study was to compare the changes in concentration of glucose and glucose transporters (GLUTs) in the utero-embryonic unit, consisting of decidua, trophoblast and embryo, during delayed and non-delayed periods to understand the possible cause of delayed embryonic development in Cynopterus sphinx. The results showed a significantly decreased concentration of glucose in the utero-embryonic unit due to decline in the expression of insulin receptor (IR) and GLUT 3, 4 and 8 proteins in the utero-embryonic unit during delayed period. The in vitro study showed suppressive effect of insulin on expression of GLUTs 4 and 8 in the utero-embryonic unit and a significant positive correlation between the decreased amount of glucose consumed by the utero-embryonic unit and decreased expression of GLUTs 4 (r=0.99; p<0.05) and 8 (r=0.98; p<0.05). The in vivo study showed expression of IR and GLUT 4 proteins in adipose tissue during November suggesting increased transport of glucose to adipose tissue for adipogenesis. This study showed increased expression of HSL and OCTN2 and increased availability of l-carnitine to utero-embryonic unit suggesting increased transport of fatty acid to utero-embryonic unit during the period of delayed embryonic development. Hence it appears that due to increased transport of glucose for adipogenesis prior to winter, glucose utilization by utero-embryonic unit declines and this may be responsible for delayed embryonic development in C. sphinx. Increased supply of fatty acid to the delayed embryo may be responsible for its survival under low glucose condition but unable to promote embryonic development in C. sphinx. Copyright © 2010 Elsevier Ireland Ltd. All rights reserved.

  14. Electrophysiological Correlates of Familiarity and Recollection in Associative Recognition: Contributions of Perceptual and Conceptual Processing to Unitization

    PubMed Central

    Li, Bingcan; Mao, Xinrui; Wang, Yujuan; Guo, Chunyan

    2017-01-01

    It is generally accepted that associative recognition memory is supported by recollection. In addition, recent research indicates that familiarity can support associative memory, especially when two items are unitized into a single item. Both perceptual and conceptual manipulations can be used to unitize items, but few studies have compared these two methods of unitization directly. In the present study, we investigated the effects of familiarity and recollection on successful retrieval of items that were unitized perceptually or conceptually. Participants were instructed to remember either a Chinese two-character compound or unrelated word-pairs, which were presented simultaneously or sequentially. Participants were then asked to recognize whether word-pairs were intact or rearranged. Event-related potential (ERP) recordings were performed during the recognition phase of the study. Two-character compounds were better discriminated than unrelated word-pairs and simultaneous presentation was found to elicit better discrimination than sequential presentation for unrelated word-pairs only. ERP recordings indicated that the early intact/rearranged effects (FN400), typically associated with familiarity, were elicited in compound word-pairs with both simultaneous and sequential presentation, and in simultaneously presented unrelated word-pairs, but not in sequentially presented unrelated word-pairs. In contrast, the late positive complex (LPC) effects associated with recollection were elicited in all four conditions. Together, these results indicate that while the engagement of familiarity in associative recognition is affected by both perceptual and conceptual unitization, conceptual unitization promotes a higher level of unitization (LOU). In addition, the engagement of recollection was not affected by unitized manipulations. It should be noted, however, that due to experimental design, the effects presented here may be due to semantic rather than episodic memory and future studies should take this into consideration when manipulating rearranged pairs. PMID:28400723

  15. Explaining direct care resource use of nursing home residents: findings from time studies in four states.

    PubMed

    Arling, Greg; Kane, Robert L; Mueller, Christine; Lewis, Teresa

    2007-04-01

    To explain variation in direct care resource use (RU) of nursing home residents based on the Resource Utilization Groups III (RUG-III) classification system and other resident- and unit-level explanatory variables. Primary data were collected on 5,314 nursing home residents in 156 nursing units in 105 facilities from four states (CO, IN, MN, MS) from 1998 to 2004. Study Design. Nurses and other direct care staff recorded resident-specific and other time caring for all residents on sampled nursing units. Care time was linked to resident data from the Minimum Data Set assessment instrument. Major variables were: RUG-III group (34-group), other health and functional conditions, licensed and other professional minutes per day, unlicensed minutes per day, and direct care RU (wage-weighted minutes). Resident- and unit-level relationships were examined through hierarchical linear modeling. Time study data were recorded with hand-held computers, verified for accuracy by project staff at the data collection sites and then merged into resident and unit-level data sets. Resident care time and RU varied between and within nursing units. RUG-III group was related to RU; variables such as length of stay and unit percentage of high acuity residents also were significantly related. Case-mix indices (CMIs) constructed from study data displayed much less variation across RUG-III groups than CMIs from earlier time studies. Results from earlier time studies may not be representative of care patterns of Medicaid and private pay residents. New RUG-III CMIs should be developed to better reflect the relative costs of caring for these residents.

  16. What Is the Unit of Visual Attention? Object for Selection, but Boolean Map for Access

    ERIC Educational Resources Information Center

    Huang, Liqiang

    2010-01-01

    In the past 20 years, numerous theories and findings have suggested that the unit of visual attention is the object. In this study, I first clarify 2 different meanings of unit of visual attention, namely the unit of access in the sense of measurement and the unit of selection in the sense of division. In accordance with this distinction, I argue…

  17. Learning about the Unit Cell and Crystal Lattice with Computerized Simulations and Games: A Pilot Study

    ERIC Educational Resources Information Center

    Luealamai, Sutha; Panijpan, Bhinyo

    2012-01-01

    The authors have developed a computer-based learning module on the unit cell of various types of crystal. The module has two components: the virtual unit cell (VUC) part and the subsequent unit cell hunter part. The VUC is a virtual reality simulation for students to actively arrive at the unit cell from exploring, from a broad view, the crystal…

  18. The Concept of Order in Ancient China: A Curriculum Unit for History and Social Studies, Grades 6-9.

    ERIC Educational Resources Information Center

    Chan, Adrian; Chu, Richard

    This unit addresses the questions of how and why people create order in a world whose randomness and order are for individuals to interpret. This unit uses the Han Dynasty of China as an example of one country's attempt to create such order and unite China successfully for over 400 years. The activities in this unit examine order in politics, in…

  19. The inpatient psychiatric unit as both a safe and unsafe place: implications for absconding.

    PubMed

    Muir-Cochrane, Eimear; Oster, Candice; Grotto, Jessica; Gerace, Adam; Jones, Julia

    2013-08-01

    Absconding from acute psychiatric inpatient units is a significant issue with serious social, economic, and emotional costs. A qualitative study was undertaken to explore the experiences of people (n = 12) who had been held involuntarily under the local mental health act in an Australian inpatient psychiatric unit, and who had absconded (or attempted to abscond) during this time. The aim of the study was to explore why people abscond from psychiatric inpatient units, drawing on published work from health geography on the significance of the person-place encounter, and in particular the concept of 'therapeutic landscapes'. The findings show that the inpatient unit is perceived as a safe or unsafe place, dependent on the dialectical relationship between the physical, individual, social, and symbolic aspects of the unit. Consumers absconded when the unit was perceived as unsafe. Forming a therapeutic relationship with staff, familiarity with the unit, a comfortable environment, and positive experiences with other consumers all supported perceptions that the unit was safe, decreasing the likelihood of absconding. Findings extend existing work on the person-place encounter within psychiatric inpatient units, and bring new knowledge about the reasons why consumers abscond. Implications for practice are discussed. © 2012 The Authors; International Journal of Mental Health Nursing © 2012 Australian College of Mental Health Nurses Inc.

  20. Unit cost of Mohs and Dermasurgery Unit.

    PubMed

    Wanitphakdeedecha, R; Nguyen, T H; Chen, T M

    2010-04-01

    Appropriate pricing for medical services of not-for-profit hospital is necessary. The prices should be fair to the public and should be high enough to cover the operative costs of the organization. The purpose of this study was to determine the cost and unit cost of medical services performed at the Mohs and Dermasurgery Unit (MDU), Department of Dermatology, The University of Texas-MD Anderson Cancer Center, Houston, TX from the healthcare provider's perspective. MDU costs were retrieved from the Financial Department for fiscal year 2006. The patients' statistics were acquired from medical records for the same period. Unit cost calculation was based on the official method of hospital accounting. The overall unit cost for each patient visit was $673.99 United States dollar (USD). The detailed unit cost of nurse visit, new patient visit, follow-up visit, consultation, Mohs and non-Mohs procedure were, respectively, $368.27, $580.09, $477.82, $585.52, $1,086.12 and $858.23 USD. With respect to a Mohs visit, the unit cost per lesion and unit cost per stage were $867.89 and $242.30 USD respectively. Results from this retrospective study provide information that may be used for pricing strategy and resource allocation by the administrative board of MDU.

  1. Hydrogeology of the Canal Creek area, Aberdeen Proving Ground, Maryland

    USGS Publications Warehouse

    Oliveros, J.P.; Vroblesky, D.A.

    1989-01-01

    Geologic and borehole geophysical logs made at 77 sites show that the hydrogeologic framework of the study area consists of a sequence of unconsolidated sediments typical of the Coastal Plain of Maryland. Three aquifers and two confining units were delineated within the study area. From the surface down, they are: (1) the surficial aquifer; (2) the upper confining unit; (3) the Canal Creek aquifer; (4) the lower confining unit; and (5) the lower confined aquifer. The aquifer materials range from fine sand to coarse sand and gravel. Clay lenses were commonly found interfingered with the sand, isolating parts of the aquifers. All the units are continuous throughout the study area except for the upper confining unit, which crops out within the study area but is absent in updip outcrops. The unit also is absent within a Pleistocene paleochannel, where it has been eroded. The surficial and Canal Creek aquifers are hydraulically connected where the upper confining unit is absent, and a substantial amount of groundwater may flow between the two aquifers. Currently, no pumping stresses are known to affect the aquifers within the study area. Under current conditions, downward vertical hydraulic gradients prevail at topographic highs, and upward gradients typically prevail near surface-water bodies. Regionally, the direction of groundwater flow in the confined aquifers is to the east and southeast. Significant water level fluctuations correspond with seasonal variations in rainfall, and minor daily fluctuations reflect tidal cycles. (USGS)

  2. ERP correlates of source memory: unitized source information increases familiarity-based retrieval.

    PubMed

    Diana, Rachel A; Van den Boom, Wijnand; Yonelinas, Andrew P; Ranganath, Charan

    2011-01-07

    Source memory tests typically require subjects to make decisions about the context in which an item was encoded and are thought to depend on recollection of details from the study episode. Although it is generally believed that familiarity does not contribute to source memory, recent behavioral studies have suggested that familiarity may also support source recognition when item and source information are integrated, or "unitized," during study (Diana, Yonelinas, and Ranganath, 2008). However, an alternative explanation of these behavioral findings is that unitization affects the manner in which recollection contributes to performance, rather than increasing familiarity-based source memory. To discriminate between these possibilities, we conducted an event-related potential (ERP) study testing the hypothesis that unitization increases the contribution of familiarity to source recognition. Participants studied associations between words and background colors using tasks that either encouraged or discouraged unitization. ERPs were recorded during a source memory test for background color. The results revealed two distinct neural correlates of source recognition: a frontally distributed positivity that was associated with familiarity-based source memory in the high-unitization condition only and a parietally distributed positivity that was associated with recollection-based source memory in both the high- and low-unitization conditions. The ERP and behavioral findings provide converging evidence for the idea that familiarity can contribute to source recognition, particularly when source information is encoded as an item detail. Copyright © 2010 Elsevier B.V. All rights reserved.

  3. Substantivity of hypochlorous acid-based disinfectant against biofilm formation in the dental unit waterlines

    PubMed Central

    Shajahan, Irfana Fathima; Kandaswamy, Deivanayagam; Lakshminarayanan, L.; Selvarajan, R.

    2017-01-01

    Objective: The purpose of the study was to examine the substantivity of a new disinfectant against biofilm formation in the dental unit waterlines. Materials and Methods: Twenty dental units were selected for the study and divided into two groups: Group A (dental unit waterlines treated with the disinfectant) and Group B (untreated dental unit waterlines). Biofilm formation was monitored in both groups by removing the one dental unit waterline from each group for the period of 10 days. One inch of the dental unit waterline tube was cut at random site, and the inner lumen of the cut sections was analyzed using the scanning electron microscope (SEM) (TESCAN VEGA3 SBU). Results: On examination, SEM images showed that there was no slime layer or bacterial cells seen in cut section for the period of 7 days in the treated dental waterlines, which means that there is no evident of biofilm formation. In the untreated dental unit waterline cut section, slime layer was observed from day 1. Conclusion: Disinfectant solution was proved to be effective for 7 days against biofilm formation. This technique could be used as a valid method for disinfection of dental unit waterlines. PMID:28761244

  4. The pervasive crisis of diminishing radiation therapy access for vulnerable populations in the United States-part 3: Hispanic-American patients.

    PubMed

    McClelland, Shearwood; Perez, Carmen A

    2018-01-01

    Health disparities have profoundly affected underrepresented minorities throughout the United States, particularly with regard to access to evidence-based interventions such as surgery or medication. The degree of disparity in access to radiation therapy (RT) for Hispanic-American patients with cancer has not been previously examined in an extensive manner. An extensive literature search was performed using the PubMed database to examine studies investigating disparities in RT access for Hispanic-Americans. A total of 34 studies were found, spanning 10 organ systems. Disparities in access to RT for Hispanic-Americans were most prominently studied in cancers of the breast (15 studies), prostate (4 studies), head and neck (4 studies), and gynecologic system (3 studies). Disparities in RT access for Hispanic-Americans were prevalent regardless of the organ system studied and were compounded by limited English proficiency and/or birth outside of the United States. A total of 26 of 34 studies (77%) involved analysis of a population-based database, such as Surveillance, Epidemiology and End Result (15 studies); Surveillance, Epidemiology and End Result-Medicare (4 studies); National Cancer Database (3 studies); or a state tumor registry (4 studies). Hispanic-Americans in the United States have diminished RT access compared with Caucasian patients but are less likely to experience concomitant disparities in mortality than other underrepresented minorities that experience similar disparities (ie, African-Americans). Hispanic-Americans who are born outside of the United States and/or have limited English proficiency may be more likely to experience substandard RT access. These results underscore the importance of finding nationwide solutions to address such inequalities that hinder Hispanic-Americans and other underrepresented minorities throughout the United States.

  5. Training adaptations in the behavior of human motor units.

    PubMed

    Duchateau, Jacques; Semmler, John G; Enoka, Roger M

    2006-12-01

    The purpose of this brief review is to examine the neural adaptations associated with training, by focusing on the behavior of single motor units. The review synthesizes current understanding on motor unit recruitment and rate coding during voluntary contractions, briefly describes the techniques used to record motor unit activity, and then evaluates the adaptations that have been observed in motor unit activity during maximal and submaximal contractions. Relatively few studies have directly compared motor unit behavior before and after training. Although some studies suggest that the voluntary activation of muscle can increase slightly with strength training, it is not known how the discharge of motor units changes to produce this increase in activation. The evidence indicates that the increase is not attributable to changes in motor unit synchronization. It has been demonstrated, however, that training can increase both the rate of torque development and the discharge rate of motor units. Furthermore, both strength training and practice of a force-matching task can evoke adaptations in the discharge characteristics of motor units. Because the variability in discharge rate has a significant influence on the fluctuations in force during submaximal contractions, the changes produced with training can influence motor performance during activities of daily living. Little is known, however, about the relative contributions of the descending drive, afferent feedback, spinal circuitry, and motor neuron properties to the observed adaptations in motor unit activity.

  6. Physical Activity Patterns of Acute Stroke Patients Managed in a Rehabilitation Focused Stroke Unit

    PubMed Central

    2013-01-01

    Background. Comprehensive stroke unit care, incorporating acute care and rehabilitation, may promote early physical activity after stroke. However, previous information regarding physical activity specific to the acute phase of stroke and the comprehensive stroke unit setting is limited to one stroke unit. This study describes the physical activity undertaken by patients within 14 days after stroke admitted to a comprehensive stroke unit. Methods. This study was a prospective observational study. Behavioural mapping was used to determine the proportion of the day spent in different activities. Therapist reports were used to determine the amount of formal therapy received on the day of observation. The timing of commencement of activity out of bed was obtained from the medical records. Results. On average, patients spent 45% (SD 25) of the day in some form of physical activity and received 58 (SD 34) minutes per day of physiotherapy and occupational therapy combined. Mean time to first mobilisation out of bed was 46 (SD 32) hours post-stroke. Conclusions. This study suggests that commencement of physical activity occurs earlier and physical activity is at a higher level early after stroke in this comprehensive stroke unit, when compared to studies of other acute stroke models of care. PMID:24024192

  7. A Systems Analysis View of the Vietnam War: 1965-1972 Volume 7. Republic of Vietnam Armed Forces (RVNAF)

    DTIC Science & Technology

    1975-02-18

    receiied frequent rebuttals or comments on our analyses which sharpened our studies and stimulated better analysis by other agencies. Second. it was...CONFIDENTIAL aI average rates in Tablt 2 show that 5 of the 15 units studied will have over half of their personnel desert in 19 6 9/. Only one unit, the...G8 directed RVNAP units to assist servicemen going on leave with transpQrtation. In two special "test cases " US units are assisting South Vietnamese

  8. The Making of a Citizen.

    ERIC Educational Resources Information Center

    Pickle, Catherine; And Others

    1987-01-01

    Two study units are offered: (1) a primary and intermediate unit entitled "What Are the Boundaries of Freedom of Speech"; and (2) an intermediate unit entitled "What Are the Challenges of Freedom of Religion?" (MT)

  9. Speech motor development: Integrating muscles, movements, and linguistic units.

    PubMed

    Smith, Anne

    2006-01-01

    A fundamental problem for those interested in human communication is to determine how ideas and the various units of language structure are communicated through speaking. The physiological concepts involved in the control of muscle contraction and movement are theoretically distant from the processing levels and units postulated to exist in language production models. A review of the literature on adult speakers suggests that they engage complex, parallel processes involving many units, including sentence, phrase, syllable, and phoneme levels. Infants must develop multilayered interactions among language and motor systems. This discussion describes recent studies of speech motor performance relative to varying linguistic goals during the childhood, teenage, and young adult years. Studies of the developing interactions between speech motor and language systems reveal both qualitative and quantitative differences between the developing and the mature systems. These studies provide an experimental basis for a more comprehensive theoretical account of how mappings between units of language and units of action are formed and how they function. Readers will be able to: (1) understand the theoretical differences between models of speech motor control and models of language processing, as well as the nature of the concepts used in the two different kinds of models, (2) explain the concept of coarticulation and state why this phenomenon has confounded attempts to determine the role of linguistic units, such as syllables and phonemes, in speech production, (3) describe the development of speech motor performance skills and specify quantitative and qualitative differences between speech motor performance in children and adults, and (4) describe experimental methods that allow scientists to study speech and limb motor control, as well as compare units of action used to study non-speech and speech movements.

  10. Characteristics of Occupational Injuries in a Pharmaceutical Company in Iran

    PubMed Central

    Rasouli, Abbas; Hosseini, Seyed Mojtaba; Bahadori, Mohammadkarim; Ravangard, Ramin

    2018-01-01

    Objective: To prioritize occupational hazards in a Pharmaceutical Company in Iran using the analytical hierarchy process (AHP). Methods: This was a cross-sectional study conducted in a Pharmaceutical Company in Iran in 2017. All employees working in the administrative, production, installations and facilities, and laboratory units were studied using the consensus method (N=n=130 employees). A data collection form was designed for identifying the hazards using the Nominal Group Technique (NGT) method, as well as a pair-wise questionnaire was used for collecting required data in the quantitative phase. The collected data were analyzed using Expert Choice 10.0 and SPSS 23.0. Results: The results showed that among hazards detected in the studied units, the highest and lowest weights and priorities were, respectively, related to "inhalation of toxic gases" (W=0.253) and “being exposed to radiation” (W=0.022) in the laboratory unit, "skin injuries" (W=0.205) and “bending and straightening for a long time” (W= 0.032) in the production unit, "falling down" (W=0.271) and “standing and sitting for a long time “ (W=0.037) in the installations and facilities unit, and "hand joint failure" (W=0.295) and “working in a low-light environment” (W=0.092) in the administrative unit. Conclusion: The results of the present study showed that there were hazards in all of the studied units. These results indicated a high level of hazards in the pharmaceutical company’s units. Due to the increased medication diversification and increased workload for these companies, paying attention to the preventive and corrective measures in order to reduce the risk of emerging hazards is essential. PMID:29719847

  11. Quest for Gold: Language Arts/Social Studies Curriculum Resource Units for Gifted and Talented Youngsters: Grades Four-Nine.

    ERIC Educational Resources Information Center

    Hayes, Donald G.; Dockery, Linda B., Ed.

    The book provides 13 model interdisciplinary teaching units for use with academically gifted students in grades four through nine. Each unit contains an introduction; objectives; introductory developmental culminating and evaluation activities; materials; and a bibliography. Topics of the teaching units include cemeteries, famous women, coastal…

  12. Overview of Our Political System, Grade Eight. Resource Unit (Unit I).

    ERIC Educational Resources Information Center

    Minnesota Univ., Minneapolis. Project Social Studies Curriculum Center.

    This resource unit, developed by the University of Minnesota's Project Social Studies, introduces eighth graders to an overview of the American political system. The unit analyzes political conflict, compromise, and the need for government and law. It examines American political ideals and contrasts them briefly with other political ideologies and…

  13. Unit 1203: The Social and Psychological Implications of Language.

    ERIC Educational Resources Information Center

    Minnesota Univ., Minneapolis. Center for Curriculum Development in English.

    Designed as a synthesis of concepts familiar to students having studied the earlier Minnesota Project English units or as an introduction for other students, this unit for grade 12 treats the role of language in the social and psychological development of man. Alternative introductions to the unit are provided: one concentrating on definitions of…

  14. Solid Waste/Energy Curriculum.

    ERIC Educational Resources Information Center

    Vivan, V. Eugene; And Others

    Provided are solid waste/energy curriculum materials for grades K-2, 3-4, 5-6, 7-9, and 10-12. Separate folders containing units of study (focusing on trash, litter, and recycling) are provided for kindergarten (four units), grade 1 (two units), and grade 2 (two units). Folders contain teachers' directions and activity cards which include picture…

  15. Pennies (Nickels and Dimes) from Heaven. Unit Plans.

    ERIC Educational Resources Information Center

    United States Mint (Dept. of Treasury), Washington, DC.

    This unit of study walks early elementary students through the basics of counting and using the smallest U.S. coin denominations (penny, nickel, and dime). The unit provides keywords; recommends subject areas and approximate length of time; poses an essential question or problem; provides a unit introduction; outlines five individual lessons ((1)…

  16. Physical Therapy Aide. Instructor's Guide.

    ERIC Educational Resources Information Center

    Martin, James A.

    This module was designed to assist educators in facilitating learning in health careers outside nursing. It may be used for classroom, on-the-job, or independent study. The module is organized in 10 units. Each unit includes one or more lessons that contain the following components: scope of unit, unit objectives, student's information assignment,…

  17. The Global Product: Internationalization of the Auto Industry.

    ERIC Educational Resources Information Center

    Stanford Univ., CA. Stanford Program on International and Cross Cultural Education.

    This secondary level unit, designed for use in a social studies or introductory economics course, has students participate in decision-making activities about global auto production. Although Japan-United States interaction is emphasized, the concepts, terms and activities employed in the unit apply to other countries as well. The unit includes 11…

  18. Creative Coin Combinations. Unit Plans.

    ERIC Educational Resources Information Center

    United States Mint (Dept. of Treasury), Washington, DC.

    This unit of study for grades K-2 focuses on counting coins and coin equivalencies up to 50 cents, making use of a literature connection. The unit provides key words; recommends subject areas and approximate length of time; poses an essential question or problem; provides a unit introduction; notes four individual lessons ((1) For Sale!; (2)…

  19. Pollution. Environmental Education Instructional Unit. Final Edition.

    ERIC Educational Resources Information Center

    North Carolina State Dept. of Public Instruction, Raleigh. Div. of Science Education.

    This unit on pollution is one in a series of three prepared for use in the classroom. An interdisciplinary approach encompassing mathematics, science, and social studies is utilized in these environmental units. The material is designed for middle grades and above. Many activities are open-ended with each activity in this unit emphasizing the…

  20. Situational and dispositional influences on nurses' workplace well-being: the role of empowering unit leadership.

    PubMed

    Spence Laschinger, Heather K; Finegan, Joan; Wilk, Piotr

    2011-01-01

    Unit-level leadership and structural empowerment play key roles in creating healthy work environments, yet few researchers have examined these contextual effects on nurses' well-being. The aim of this study was to test a multilevel model of structural empowerment examining the effect of nursing unit leadership quality and structural empowerment on nurses' experiences of burnout and job satisfaction and to examine the effect of a personal dispositional variable, core self-evaluation, on these nurse experiences. Nurses (n = 3,156) from 217 hospital units returned surveys that included measures of leader-member exchange, structural empowerment, burnout, core self-evaluation, and job satisfaction. Multilevel structural equation modeling was used to test the model. Nurses' shared perceptions of leader-member exchange quality on their units positively influenced their shared perceptions of unit structural empowerment (Level 2), which resulted in significantly higher levels of individual nurse job satisfaction (Level 1). Unit-level leader-member exchange quality also directly influenced individual nurse job satisfaction. Unit leader-member exchange quality and structural empowerment influenced emotional exhaustion and cynicism differentially. Higher unit-level leader-member exchange quality was associated with lower cynicism; higher unit-level structural empowerment was associated with lower emotional exhaustion. At Level 1, higher core self-evaluation was associated with lower levels of both emotional exhaustion and cynicism, both of which were associated with lower job satisfaction. This study provides a theoretical understanding of how unit leadership affects both unit- and individual-level outcomes.

  1. Motor unit recruitment for dynamic tasks: current understanding and future directions.

    PubMed

    Hodson-Tole, Emma F; Wakeling, James M

    2009-01-01

    Skeletal muscle contains many muscle fibres that are functionally grouped into motor units. For any motor task there are many possible combinations of motor units that could be recruited and it has been proposed that a simple rule, the 'size principle', governs the selection of motor units recruited for different contractions. Motor units can be characterised by their different contractile, energetic and fatigue properties and it is important that the selection of motor units recruited for given movements allows units with the appropriate properties to be activated. Here we review what is currently understood about motor unit recruitment patterns, and assess how different recruitment patterns are more or less appropriate for different movement tasks. During natural movements the motor unit recruitment patterns vary (not always holding to the size principle) and it is proposed that motor unit recruitment is likely related to the mechanical function of the muscles. Many factors such as mechanics, sensory feedback, and central control influence recruitment patterns and consequently an integrative approach (rather than reductionist) is required to understand how recruitment is controlled during different movement tasks. Currently, the best way to achieve this is through in vivo studies that relate recruitment to mechanics and behaviour. Various methods for determining motor unit recruitment patterns are discussed, in particular the recent wavelet-analysis approaches that have allowed motor unit recruitment to be assessed during natural movements. Directions for future studies into motor recruitment within and between functional task groups and muscle compartments are suggested.

  2. Water quality in the Albemarle-Pamlico drainage basin, North Carolina and Virginia, 1992-95

    USGS Publications Warehouse

    Spruill, Timothy B.; Harned, Douglas A.; Ruhl, Peter M.; Eimers, Jo Leslie; McMahon, Gerard; Smith, Kelly E.; Galeone, David R.; Woodside, Michael D.

    1998-01-01

    The NAWQA Program is assessing the water-quality conditions of more than 50 of the Nation's largest river basins and aquifers, known as Study Units. Collectively, these Study Units cover about one-half of the United States and include sources of drinking water used by about 70 percent of the U.S. population. Comprehensive assessments of about one-third of the Study Units are ongoing at a given time. Each Study Unit is scheduled to be revisited every decade to evaluate changes in water-quality conditions. NAWQA assessments rely heavily on existing information collected by the USGS and many other agencies as well as the use of nationally consistent study designs and methods of sampling and analysis. Such consistency simultaneously provides information about the status and trends in water-quality conditions in a particular stream or aquifer and, more importantly, provides the basis to make comparisons among watersheds and improve our understanding of the factors that affect water-quality conditions regionally and nationally. This report is intended to summarize major findings that emerged between 1992 and 1995 from the water-quality assessment of the Albemarle-Pamlico Drainage Study Unit and to relate these findings to water-quality issues of regional and national concern. The information is primarily intended for those who are involved in water-resource management. Indeed, this report addresses many of the concerns raised by regulators, water-utility managers, industry representatives, and other scientists, engineers, public officials, and members of stakeholder groups who provided advice and input to the USGS during this NAWQA Study-Unit investigation. Yet, the information contained here may also interest those who simply wish to know more about the quality of water in the rivers and aquifers in the area where they live.

  3. Explaining Direct Care Resource Use of Nursing Home Residents: Findings from Time Studies in Four States

    PubMed Central

    Arling, Greg; Kane, Robert L; Mueller, Christine; Lewis, Teresa

    2007-01-01

    Objective To explain variation in direct care resource use (RU) of nursing home residents based on the Resource Utilization Groups III (RUG-III) classification system and other resident- and unit-level explanatory variables. Data Sources/Study Setting Primary data were collected on 5,314 nursing home residents in 156 nursing units in 105 facilities from four states (CO, IN, MN, MS) from 1998 to 2004. Study Design Nurses and other direct care staff recorded resident-specific and other time caring for all residents on sampled nursing units. Care time was linked to resident data from the Minimum Data Set assessment instrument. Major variables were: RUG-III group (34-group), other health and functional conditions, licensed and other professional minutes per day, unlicensed minutes per day, and direct care RU (wage-weighted minutes). Resident- and unit-level relationships were examined through hierarchical linear modeling. Data Collection/Extraction Methods Time study data were recorded with hand-held computers, verified for accuracy by project staff at the data collection sites and then merged into resident and unit-level data sets. Principal Findings Resident care time and RU varied between and within nursing units. RUG-III group was related to RU; variables such as length of stay and unit percentage of high acuity residents also were significantly related. Case-mix indices (CMIs) constructed from study data displayed much less variation across RUG-III groups than CMIs from earlier time studies. Conclusions Results from earlier time studies may not be representative of care patterns of Medicaid and private pay residents. New RUG-III CMIs should be developed to better reflect the relative costs of caring for these residents. PMID:17362220

  4. An observational study of the temporal and spatial patterns of Marek's-disease-associated leukosis condemnation of young chickens in the United States of America

    USDA-ARS?s Scientific Manuscript database

    Marek's disease, a disease primarily affecting immature chickens, is a worldwide problem that has on at least three occasions threatened the poultry industry in the United States. A rich dataset to study the epidemiology of this disease is available because the United States Department of Agricultu...

  5. Perceptions towards Special Education of Japanese Parents of Children with Special Needs in the United States

    ERIC Educational Resources Information Center

    Ikezaki, Yuki; Myck-Wayne, Janice; Jung, Adrian W.

    2014-01-01

    The purpose of this study was to examine Japanese parents of children with disabilities' perceptions towards special education in the United States. This study included 40 participants who were born and raised in Japan and they are now living in the United States. The results revealed that most Japanese parents still maintained some negative…

  6. Social Studies Units: An Idea Becomes Law [and] The State; Forms of Government and Political Systems. English-Laotian.

    ERIC Educational Resources Information Center

    Markatos, John; Vongkhamdeng, Meng

    Two secondary level social studies units concerning two aspects of American democracy, the legislative function of Congress and the basic forms of government and political systems, are translated into Lao and adapted for intermediate and secondary instructional levels. These units had originally been produced in Spanish and English for the federal…

  7. Quality in Higher Education: Perspectives from Front-Line Faculty in the United States

    ERIC Educational Resources Information Center

    Hall, Molly Reas

    2015-01-01

    The purpose of this study was to explore perceptions of front-line faculty members in the United States related to quality and quality management in higher education. The study's three research questions were: (1) How do front-line faculty members in the United States define quality in higher education? (2) How do front-line faculty members in the…

  8. The Great Depression and the Arts. A Unit of Study for Grades 8-12.

    ERIC Educational Resources Information Center

    Gabrick, Robert; Markham, Barbara; Curtis, James

    This teaching unit is based on primary sources, taken from government documents, artifacts, magazines, newspapers, films, and literature from the U.S. historical period under study, which in this case, is the Great Depression of the 1930s and Franklin D. Roosevelt's response to it--the New Deal. The unit explains that the New Deal established the…

  9. Investigating the Effectiveness of MRM Instruction on Improving Comprehension of Paragraphs.

    ERIC Educational Resources Information Center

    Dwyer, Edward J.

    A study of the effects of using the MRM (message unit--verb unit--message unit) instructional system on reading comprehension was studied using 69 college freshmen, 37 in an experimental group and 32 in a control group. Both groups were engaged in a variety of activities designed to promote greater reading efficiency as a regular part of their…

  10. Mixing soil samples across experimental units ignores uncertainty and generates falsely precise estimates of soil biota effects on plants

    USDA-ARS?s Scientific Manuscript database

    A number of recent soil biota studies have deviated from the standard experimental approach of generating a distinct data value for each experimental unit (e.g. Yang et al., 2013; Gundale et al., 2014). Instead, these studies have mixed together soils from multiple experimental units (i.e. sites wi...

  11. The Development of a Socioscientific Issues-Based Curriculum Unit for Middle School Students: Global Warming Issue

    ERIC Educational Resources Information Center

    Atabey, Nejla; Topçu, Mustafa Sami

    2017-01-01

    In this study, we aimed at developing "Human and Environment" unit around SSI based instruction. We followed action research methodology in development and implementation of the unit. The participants of this study were 24 seventh graders students and the instruction was extended to eight and a half weeks, taking four hours in a week.…

  12. A Voyage to Economic Literacy: A Year Long Study Done by Fifth Grade Students at Warner Elementary School, Wilmington, Delaware.

    ERIC Educational Resources Information Center

    Morris, Doris

    Combining reading, language arts, and economics, this interdisciplinary project involved fifth grade students in studying three units dealing with (1) an auto liner named the Karinita; (2) the port of Wilmington (Delaware); and (3) international trade. Specific unit lesson plans are provided in this project description. In unit 1, students learned…

  13. Understanding Behavior Disorders: Their Perception, Acceptance, and Treatment--A Cross-Cultural Comparison between India and the United States

    ERIC Educational Resources Information Center

    Chakraborti-Ghosh, Sumita

    2008-01-01

    The purpose of this study was to explore the perceptions, identification and treatment of students with behavior problems or disorders in India and the United States. Participants in the study were students and teachers in the United States and India. A qualitative approach included in-depth interviews and participant observations. These were…

  14. Population Growth Rates: Connecting Mathematics to Studies of Society and the Environment

    ERIC Educational Resources Information Center

    Ninbet, Steven; Hurley, Gabrielle; Weldon, Elizabeth

    2006-01-01

    This article reports on the teaching of a unit of lessons which integrates mathematics with studies of society and the environment. The unit entitled "Population Growth Rates" was taught to a double class of Year 6 students by a team of three teachers. The objectives of the unit were: (1) to provide students with a real-world context in…

  15. Balancing Work with Study: Impact on Marketing Students' Experience of Group Work

    ERIC Educational Resources Information Center

    D'Alessandro, Steven; Volet, Simone

    2012-01-01

    Approximately 57% of students in the United States work while attending college. For most of these students (81%), this is more than 20 hours a week. There has been shown to be a negative relationship between hours worked and academic achievement in studies in the United States as well as the United Kingdom and Australia. There is, however, no…

  16. Give Peace a Chance: The Diminution of Peace in Global Education in the United States, United Kingdom, and Canada

    ERIC Educational Resources Information Center

    Cook, Sharon Anne

    2008-01-01

    This study surveyed the literature on peace and global education in secondary schools to explore the position of peace education within the global education field. To create a database from Canada, the United States, and Britain, this article includes secondary studies from professional and peer-reviewed periodicals, articles in published…

  17. A re-evaluation of a case-control model with contaminated controls for resource selection studies

    Treesearch

    Christopher T. Rota; Joshua J. Millspaugh; Dylan C. Kesler; Chad P. Lehman; Mark A. Rumble; Catherine M. B. Jachowski

    2013-01-01

    A common sampling design in resource selection studies involves measuring resource attributes at sample units used by an animal and at sample units considered available for use. Few models can estimate the absolute probability of using a sample unit from such data, but such approaches are generally preferred over statistical methods that estimate a relative probability...

  18. The Crusades from Medieval European and Muslim Perspectives. A Unit of Study for Grades 7-12.

    ERIC Educational Resources Information Center

    Aghaie, Kamran Scot

    This unit of study seeks to supplement the information presented in world history textbooks about the Crusades. The Crusades were instigated by the call for "holy war" against Muslims by Pope Urban II in 1095 and spanned several centuries. The unit notes that usually the depth and breadth of coverage varies substantially, and the…

  19. Know Your America: Suggested Study Course in Americanism. Revised Edition.

    ERIC Educational Resources Information Center

    American Legion, Indianapolis, IN. Americanism and Children's Youth Div.

    The purpose of this booklet is to increase understanding of fundamental U.S. documents, the U.S. flag, patriotic institutions, and of San Francisco (California), March 14-16, 1986 of U.S. residents. Unit 2 describes and interprets the code of displaying the U.S. flag and provides a suggested flag education unit of study. Units 3 and 4 offer…

  20. Basic Skills for Reflective Inquiry in the Social Studies. Bridges to the Future.

    ERIC Educational Resources Information Center

    Rodabaugh, Mary Jane; And Others

    The document consists of five social studies units for developing basic inquiry skills at the secondary level. Students read and analyze data through the construction of a table and a graph in Unit I, "Reading Graphs and Charts." Topics include a model of consumer demand, census information, and national budgeting. In Unit II, "Community Change,"…

  1. Cross-Cultural Study of Understanding of Scale and Measurement: Does the Everyday Use of US Customary Units Disadvantage US Students?

    ERIC Educational Resources Information Center

    Delgado, Cesar

    2013-01-01

    Following a sociocultural perspective, this study investigates how students who have grown up using the SI (Systeme International d'Unites) (metric) or US customary (USC) systems of units for everyday use differ in their knowledge of scale and measurement. Student groups were similar in terms of socioeconomic status, curriculum, native language…

  2. Water Quality Monitoring: An Environmental Studies Unit for Biology 20/30. Teacher's Guide.

    ERIC Educational Resources Information Center

    Alberta Environment, Edmonton. Environmental Education Resources Branch.

    The objective of this environmental studies unit is to establish a water quality monitoring project for high school students in Alberta while simultaneously providing a unit which meets the objectives of the Biology 20 program (and which may also be used in Biology 10 and 30). Through this project, students assist in the collection,…

  3. Water Quality Monitoring: An Environmental Studies Unit for Biology 20/30. Student Manual.

    ERIC Educational Resources Information Center

    Alberta Environment, Edmonton. Environmental Education Resources Branch.

    The objective of this environmental studies unit is to establish a water quality monitoring project for high school students in Alberta while simultaneously providing a unit which meets the objectives of the Biology 20 program (and which may also be used in Biology 10 and 30). Through this project, students assist in the collection,…

  4. Soil-transmitted Helminthiasis in the United States: a systematic review--1940-2010.

    PubMed

    Starr, Michelle C; Montgomery, Susan P

    2011-10-01

    The epidemiology of soil-transmitted helminth infections (hookworm, Trichuris trichiura, Ascaris lumbricoides, and Strongyloides stercoralis) in the United States is poorly understood. To gain understanding of the status of disease, a systematic review was performed to assess the prevalence of soil-transmitted helminth infections in the United States. Of all studies reviewed, 14 were designated as high-quality. High-quality studies were published from 1942 to 1982 and showed that infection was prevalent throughout the southern United States and Appalachia as recently as 1982, finding that hookworm (19.6%), T. trichiura (55.2%), A. lumbricoides (49.4%), and S. stercoralis (3.8%) affected significant percentages of the population. However, because the most recent high-quality studies were published over 25 years ago, the literature does not provide sufficient data to assess current endemic transmission. Because the status of disease remains unclear, there is a need for additional studies to determine if soil-transmitted helminths remain endemic in the United States.

  5. Studies and Application of Remote Sensing Retrieval Method of Soil Moisture Content in Land Parcel Units in Irrigation Area

    NASA Astrophysics Data System (ADS)

    Zhu, H.; Zhao, H. L.; Jiang, Y. Z.; Zang, W. B.

    2018-05-01

    Soil moisture is one of the important hydrological elements. Obtaining soil moisture accurately and effectively is of great significance for water resource management in irrigation area. During the process of soil moisture content retrieval with multiremote sensing data, multi- remote sensing data always brings multi-spatial scale problems which results in inconformity of soil moisture content retrieved by remote sensing in different spatial scale. In addition, agricultural water use management has suitable spatial scale of soil moisture information so as to satisfy the demands of dynamic management of water use and water demand in certain unit. We have proposed to use land parcel unit as the minimum unit to do soil moisture content research in agricultural water using area, according to soil characteristics, vegetation coverage characteristics in underlying layer, and hydrological characteristic into the basis of study unit division. We have proposed division method of land parcel units. Based on multi thermal infrared and near infrared remote sensing data, we calculate the ndvi and tvdi index and make a statistical model between the tvdi index and soil moisture of ground monitoring station. Then we move forward to study soil moisture remote sensing retrieval method on land parcel unit scale. And the method has been applied in Hetao irrigation area. Results show that compared with pixel scale the soil moisture content in land parcel unit scale has displayed stronger correlation with true value. Hence, remote sensing retrieval method of soil moisture content in land parcel unit scale has shown good applicability in Hetao irrigation area. We converted the research unit into the scale of land parcel unit. Using the land parcel units with unified crops and soil attributes as the research units more complies with the characteristics of agricultural water areas, avoids the problems such as decomposition of mixed pixels and excessive dependence on high-resolution data caused by the research units of pixels, and doesn't involve compromises in the spatial scale and simulating precision like the grid simulation. When the application needs are met, the production efficiency of products can also be improved at a certain degree.

  6. Meso to Neoproterozoic layered mafic-ultramafic rocks from the Virorco back-arc intrusion, Argentina

    NASA Astrophysics Data System (ADS)

    Ferracutti, Gabriela; Bjerg, Ernesto; Hauzenberger, Christoph; Mogessie, Aberra; Cacace, Francisco; Asiain, Lucía

    2017-11-01

    The Virorco layered mafic-ultramafic intrusion is part of a belt that extends over 100 km from NE to SW in the Eastern Sierras Pampeanas of San Luis, Argentina. The rocks of this belt carry a Fe-Cu-Ni sulphide mineralization in veins and as disseminated and massive ore. Platinum group minerals are associated with the sulphides. The Virorco intrusion exhibits modal, textural and cryptic layering. New results allow the characterization of six layered units (Modal Layered Unit, Pyroxenitic Macro-Layered Unit, Gabbroic Unit, Banded Unit, Hornblende Norite Unit and Gabbronorite Unit) present in three sectors of the intrusion (Eastern, Central and Western). The units from the Western Sector (Banded Unit, Hornblende Norite Unit and Gabbronorite Unit) and the Modal Layered Unit from the Eastern Sector belong to the Marginal Border Series of the intrusion. Meanwhile, the Central sector units (Pyroxenitic Macro-Layered Unit and Gabbroic Unit) are from the Layered Series. The presence of crescumulate texture (Modal Layered Unit) and colloform banding (Banded Unit) are evidences of "in situ" crystallization due to supercooling of a MgO-rich hydrated mafic magma, where cooling proceeded from the walls towards the interior of the magma chamber. In previous studies the mafic-ultramafic rocks have been considered to be Cambrian to Ordovician. Here we present a Sm-Nd whole rock isochron which shows that the formation age of these intrusions is 1002 ± 150 Ma and that the protolith age of the Pringles Metamorphic Complex metasedimentary rocks is 1289 ± 97 Ma. Our study also indicates that the San Luis mafic-ultramafic layered intrusives most probably formed in a back-arc tectonic setting, from an enriched sub-continental mantle, influenced by a subducting slab and/or crust injection into the Pampia Terrane prior to its collision with the Rio de la Plata Craton.

  7. Extraction of Carbon Dioxide and Hydrogen from Seawater by an Electrochemical Acidification Cell. Part 3. Scaled-up Mobile Unit Studies (Calendar Year 2011)

    DTIC Science & Technology

    2012-05-30

    Electrochemical Acidification Cell Part III: Scaled-up Mobile Unit Studies (Calendar Year 2011) May 30, 2012 Approved for public release; distribution is...Hydrogen from Seawater by an Electrochemical Acidification Cell Part III: Scaled-up Mobile Unit Studies (Calendar Year 2011) Heather D. Willauer, Dennis R...Unclassified Unlimited Unclassified Unlimited Unclassified Unlimited 41 Heather D. Willauer (202) 767-2673 Electrochemical acidification cell Carbon

  8. The Global Positioning System: Theory and operation

    NASA Astrophysics Data System (ADS)

    Tucker, Lester Plunkett

    Scope and method of study. The purpose of this study is to document the theory, development, and training needs of the United States Global Positioning System for the United States Air Force. This subject area had very little information and to assess the United States Air Force training needs required an investigation into existing training accomplished on the Global Positioning System. The United States Air Force has only one place to obtain the data at Headquarters Air Education and Training Command. Findings and conclusion. The United States Air Force, at the time of this study, does not have a theory and operations course dealing with the newest technology advancement in world navigation. Although this new technology is being provided on aircraft in the form of new navigation hardware, no official course of study is provided by the United States Air Force to it's pilots and navigators dealing with theory and operation. Based on the latest reports dealing with the Global Positioning System, a course on the Global Positioning System was developed in the Instructional Systems Design format to provide background information and understanding of this new technology. Readers of this study must be aware that the information contained in this study is very dynamic. Technology is advancing so fast in this area that it might make this information obsolete in a short amount of time.

  9. The compensatory interaction between motor unit firing behavior and muscle force during fatigue

    PubMed Central

    De Luca, Carlo J.; Kline, Joshua C.

    2016-01-01

    Throughout the literature, different observations of motor unit firing behavior during muscle fatigue have been reported and explained with varieties of conjectures. The disagreement amongst previous studies has resulted, in part, from the limited number of available motor units and from the misleading practice of grouping motor unit data across different subjects, contractions, and force levels. To establish a more clear understanding of motor unit control during fatigue, we investigated the firing behavior of motor units from the vastus lateralis muscle of individual subjects during a fatigue protocol of repeated voluntary constant force isometric contractions. Surface electromyographic decomposition technology provided the firings of 1,890 motor unit firing trains. These data revealed that to sustain the contraction force as the muscle fatigued, the following occurred: 1) motor unit firing rates increased; 2) new motor units were recruited; and 3) motor unit recruitment thresholds decreased. Although the degree of these adaptations was subject specific, the behavior was consistent in all subjects. When we compared our empirical observations with those obtained from simulation, we found that the fatigue-induced changes in motor unit firing behavior can be explained by increasing excitation to the motoneuron pool that compensates for the fatigue-induced decrease in muscle force twitch reported in empirical studies. Yet, the fundamental motor unit control scheme remains invariant throughout the development of fatigue. These findings indicate that the central nervous system regulates motor unit firing behavior by adjusting the operating point of the excitation to the motoneuron pool to sustain the contraction force as the muscle fatigues. PMID:27385798

  10. The compensatory interaction between motor unit firing behavior and muscle force during fatigue.

    PubMed

    Contessa, Paola; De Luca, Carlo J; Kline, Joshua C

    2016-10-01

    Throughout the literature, different observations of motor unit firing behavior during muscle fatigue have been reported and explained with varieties of conjectures. The disagreement amongst previous studies has resulted, in part, from the limited number of available motor units and from the misleading practice of grouping motor unit data across different subjects, contractions, and force levels. To establish a more clear understanding of motor unit control during fatigue, we investigated the firing behavior of motor units from the vastus lateralis muscle of individual subjects during a fatigue protocol of repeated voluntary constant force isometric contractions. Surface electromyographic decomposition technology provided the firings of 1,890 motor unit firing trains. These data revealed that to sustain the contraction force as the muscle fatigued, the following occurred: 1) motor unit firing rates increased; 2) new motor units were recruited; and 3) motor unit recruitment thresholds decreased. Although the degree of these adaptations was subject specific, the behavior was consistent in all subjects. When we compared our empirical observations with those obtained from simulation, we found that the fatigue-induced changes in motor unit firing behavior can be explained by increasing excitation to the motoneuron pool that compensates for the fatigue-induced decrease in muscle force twitch reported in empirical studies. Yet, the fundamental motor unit control scheme remains invariant throughout the development of fatigue. These findings indicate that the central nervous system regulates motor unit firing behavior by adjusting the operating point of the excitation to the motoneuron pool to sustain the contraction force as the muscle fatigues. Copyright © 2016 the American Physiological Society.

  11. Effects of iodine in microbial control of dental treatment water.

    PubMed

    Puttaiah, Raghunath; Seibert, Jeff; Spears, Robert

    2011-05-01

    To determine the effects of low levels of iodine constantly present in the dental unit water system on microbial control of dental treatment water and biofilm control. This study used a dental unit water system simulator with eight dental unit waterline systems built to scale and function, each controlled via computer. Each of the eight units was operated independently, four units supplied with self-contained water reservoirs and four units supplied with municipal water. Four units were precleaned to remove biofilm buildup. The study had a well-balanced design with equal representation (variables) of presence/absence of biofilms, selfcontained reservoirs for introduction of treatment water, source water directly connected to municipal water source and iodinated cartridges within the self-contained reservoirs and between municipal water and dental unit. Point-of-use iodinated resin cartridges (IRC) were retrofitted proximal to handpiece and air/ water syringe tip lines in four units, and iodinated resin water cartridges (IRSWC) were fitted to the other four units at the source water output. Heterotrophic plate counts were performed at baseline and twice weekly for a period of 6 weeks. One representative waterline sample was taken from each group at baseline and end-of-study to analyze changes in biofilm status using scanning electron microscopy. Waterlines not previously contaminated with biofilms did not show organization of biofilm matrix in units equipped with IRSWC. Constantly present low levels of iodine, demonstrated some disruption of biofilms in waterlines already contaminated with mature biofilms. All groups showed contamination levels < 500 cfu/ml (colony forming units per milliliter) consistent with the CDC and ADA guidelines. In this 6 weeks study, IRSWC equipped waterlines showed disruption of established biofilms, controlled formation of new biofilms in clean lines and rendered the dental treatment water < 500 cfu/ml. Point-of-use iodinated resin cartridges were also effective in controlling contamination in the dental treatment water. Dental unit water systems that are in use get contaminated with microbes and biofilms in weeks of being put into use. These biofilms contaminate the treatment water thereby putting patients and staff at risk of infection by predominantly gram-negative microbes. Biofilms in the water systems must be cleaned periodically with a strong decontaminant and the dental treatment source water needs to be modified with a low-grade antimicrobial that can preserve the water quality yet safe to humans. In this translational research study, we evaluate the effects of elemental iodine dissolved in water flowing through an iodine containing cartridge in controlling biofilm and dental treatment water contamination using a dental unit water system simulator, prior to clinical utilization.

  12. The Minicommunity Design to Assess Indirect Effects of Vaccination.

    PubMed

    Halloran, M Elizabeth

    2012-08-01

    We propose the minicommunity design to estimate indirect effects of vaccination. Establishing indirect effects of vaccination in unvaccinated subpopulations could have important implications for global vaccine policies. In the minicommunity design, the household or other small transmission unit serves as the cluster in which to estimate indirect effects of vaccination, similar to studies in larger communities to estimate indirect, total, and overall effects. Examples from the literature include studies in small transmission units to estimate indirect effects of pertussis, pneumococcal, influenza, and cholera vaccines. We characterize the minicommunity design by several methodologic considerations, including the assignment mechanism, ascertainment, the role of transmission outside the transmission unit, and the relation of the size of the transmission unit to number of people vaccinated. The minicommunity study for indirect effects is contrasted with studies to estimate vaccine effects on infectiousness and protective effects under conditions of household exposure within small transmission units. The minicommunity design can be easily implemented in individually randomized studies by enrolling and following-up members of households of the randomized individuals. The methodology for the minicommunity design for estimating indirect effects of vaccination deserves much future research.

  13. Multicentric analysis of performance after major lung resections by using the European Society Objective Score (ESOS).

    PubMed

    Brunelli, Alessandro; Varela, Gonzalo; Van Schil, Paul; Salati, Michele; Novoa, Nuria; Hendriks, Jeroen M; Jimenez, Marcelo F; Lauwers, Patrick

    2008-02-01

    Outcome endpoints are still the most widely used indicators of performance. However, they need to be risk-adjusted in order to be reliable instruments of audit. Recently, the European Society Objective Score (ESOS) was developed from the online European Thoracic Surgery Database as an audit tool. In this study, we applied for the first time the ESOS.01 to assess the performance of three European thoracic surgery units during three successive years of activity. This study is a retrospective analysis performed on prospective databases. We analysed 695 patients submitted to pneumonectomy (117) or lobectomy (578) for lung neoplasm at three European dedicated thoracic surgery units (unit A 264 patients, unit B 262, unit C 169) from January 2004 through December 2006. Qualified thoracic surgeons performed all the operations. No patients in this series were in the original ESOS development set. ESOS.01 was used to estimate the risk of in-hospital mortality in all patients. Observed and predicted mortality rates were then compared within each unit by the z-test. Cumulative observed mortality rates in units A, B and C were 2.3% (six cases), 2.7% (seven cases) and 4.1% (seven cases), respectively. We were not able to find statistically significant differences between observed and ESOS-predicted mortality rates. The comparison of risk-adjusted mortality rates between units did not show significant differences (unit A 3.9%, unit B 3.3%, unit C 5.6%). The use of ESOS.01 revealed that the performances of all units were in line with the predicted ones during each period under analysis and did not differ between each other. The results of our study warrant future efforts to refine the ESOS model and to develop other risk-adjusted outcome indicators with the aim to establish European benchmarks of performance.

  14. Effects of unit empowerment and perceived support for professional nursing practice on unit effectiveness and individual nurse well-being: a time-lagged study.

    PubMed

    Spence Laschinger, Heather K; Nosko, Amanda; Wilk, Piotr; Finegan, Joan

    2014-12-01

    Recruitment and retention strategies have emphasized the importance of positive work environments that support professional nursing practice for sustaining the nursing workforce. Unit leadership that creates empowering workplace conditions plays a key role in establishing supportive practice environments that increase work effectiveness, and, ultimately, improves job satisfaction. To test a multi-level model examining the effect of both contextual and individual factors on individual nurse job satisfaction. At the unit level, structural empowerment and support for professional nursing practice (organizational resources) were hypothesized to be predictors of unit level effectiveness. At the individual level, core self-evaluation, and psychological empowerment (intrapersonal resources) were modeled as predictors of nurse job satisfaction one year later. Cross-level unit effects on individual nurses' job satisfaction were also examined. This study employed a longitudinal survey design with 545 staff nurses from 49 hospital units in Ontario, Canada. Participants completed a survey at two points in time (response rate of 40%) with standardized measures of the major study variables in the hypothesized model. Multilevel structural equation modeling was used to test the model. Nurses shared perceptions of structural empowerment on their units indirectly influenced their shared perceptions of unit effectiveness (Level 2) through perceived unit support for professional nursing practice, which in turn, had a significant positive direct effect on unit effectiveness (Level 2). Unit effectiveness was also strongly related to individual nurse job satisfaction one year later. At Level 1, higher core self-evaluation had a direct and indirect effect on job satisfaction through increased psychological empowerment. The results suggest that nurses' job satisfaction is influenced by a combination of individual and contextual factors demonstrating utility in considering both sources of nurses' satisfaction with their work in creating effective nursing work environments. Copyright © 2014 Elsevier Ltd. All rights reserved.

  15. Comparison of Reasons for Nurse Turnover in Magnet® and Non-Magnet Hospitals.

    PubMed

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

    2016-05-01

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

  16. An electrophysiological investigation of the receptor apparatus of the duck's bill

    PubMed Central

    Gregory, J. E.

    1973-01-01

    1. The properties of receptors in the duck's bill have been studied by recording from units isolated by dissecting fine filaments from the maxillary and ophthalmic nerves. 2. The units studied were divisible into three groups, phasic mechanoreceptors responsive to vibration, thermoreceptive units, and high threshold mechanoreceptors. 3. Vibration-sensitive mechanoreceptors (113 units) had small receptive fields, showed a rapidly adapting discharge to mechanical stimulation of the bill, were sensitive to vibratory but not to thermal stimuli and showed no background discharge. 4. Temperature receptors (twenty-one units) were insensitive to mechanical stimulation and showed a temperature-dependent background discharge. Sudden cooling produced a transient increase in discharge frequency. 5. High threshold mechanosensitive units (eight units) gave a slowly adapting discharge to strong mechanical stimulation and were insensitive to vibratory and thermal stimulation. 6. It is concluded that the low-threshold, vibration-sensitive responses come from Herbst corpuscles. No specific function can yet be assigned to the Grandry corpuscles. PMID:4689962

  17. Investigation of Proprietary Air-Entraining Admixtures to Produce Frost- Resistant Concrete with Low Air Content

    DTIC Science & Technology

    1992-03-01

    LABORATORY rci-dr Civil Works Investigation Studies Work Unit 31138 92 4 22096 Best Avai~lable Copy ’ p ~ o) n< w : -c rnsu on’ ratur.- 𔃼t crrJ’ria’ cr...Low Air Investigation Content Studies 6. AUTHOR(S) Work Unit 31138 Billy D. Neeley, W. E. McDonald, Michael K. Lloyd 7. PERFORMING ORGANIZATION NAME(S...as a part of Civil Works Investigation Studies Work Unit 31138 , "New Technologies for Testing and Evaluating Concrete." The study was conducted under

  18. [Information for teenagers with cancer: current state in French pediatric oncology units].

    PubMed

    Toutenu, Pauline; Chauvin, Franck

    2007-04-01

    In France, teenagers with cancer are managed mainly in paediatric units, given that there are only few teenage cancer units. This situation leads to the following question: are teenagers with cancer provided with tailored patient education? The object of this study was to identify education programmes specifically designed for teenagers in French paediatric oncology units. This study was conducted first by questionnaires, second by interviews with health care providers in units where information programs had been implemented. Nine information programmes or projects were identified: 2 booklets, one log book, one Web chat, one video, one DVD, one educative muppet, one peer based education group project, one nursing education session project and one qualitative study project. Only 5 from these programmes or project were specifically designed for teenagers. Four approaches can be identified: conception of education materials, individual patient education, group patient education, informal patient education.

  19. [Organizational commitment and job satisfaction: an exploratory study in family health units in Portugal].

    PubMed

    Pereira, Isabel; Veloso, Ana; Silva, Isabel Soares; Costa, Patricio

    2017-05-18

    This study explored the relationship between organizational commitment and job satisfaction among workers in family health units. Six family health units in the North of Portugal participated, including 105 health professionals (physicians, nurses, and clinical secretaries). The study used the Portuguese adaptations of the Organizational Commitment Scale by Meyer & Allen (1997) and the Job Satisfaction Survey (Spector, 1985). The results suggest a positive association between organizational commitment and job satisfaction. The professionals are moderately satisfied and committed to the family health units; the most satisfactory aspects are the nature of the work, relationship to coworkers, and communication, while pay is the most unsatisfactory. The affective component of the commitment appears, highlighting the professionals' involvement in (and identification with) the family health units project. The linear regression model proved significant, and organizational commitment explains 22.7% of the variance in job satisfaction. For this sample, organizational commitment predicts job satisfaction.

  20. Dedicated education unit: nurse perspectives on their clinical teaching role.

    PubMed

    Nishioka, Vicki M; Coe, Michael T; Hanita, Makoto; Moscato, Susan R

    2014-01-01

    The study compared the perceptions of nurses who participated in the clinical education of students using traditional and dedicated education unit (DEU) models. In the traditional model, faculty are the primary clinical instructors for students. In a DEU, nurses provide clinical instruction with faculty support. This mixed-methods study used surveys and interviews. Compared to nurses on traditional units, DEU nurses were more likely to agree that their unit welcomed students, had a strong commitment to teaching, and received professional development from clinical faculty. The nurses rated the learning gains of students as greater on DEUs than traditional units and viewed the leadership of the nurse manager and the quality of patient care as similar. The study provides evidence that, from the nurses' perspective, the DEU faculty-nurse partnership provides students with superior clinical education experiences and may improve nurse work satisfaction.

  1. Say Hola: Crossing Borders, Enriching Lives.

    ERIC Educational Resources Information Center

    Gates, Michele; Farris, Pamela

    1998-01-01

    Describes a thematic unit of study, carried out in a kindergarten class, on traditional aspects of Mexican life. Describes class activities, unit objectives, and student responses in the unit involving geography, art, literacy, and Mexican culture. (SR)

  2. Relationship between unit cell type and porosity and the fatigue behavior of selective laser melted meta-biomaterials.

    PubMed

    Amin Yavari, S; Ahmadi, S M; Wauthle, R; Pouran, B; Schrooten, J; Weinans, H; Zadpoor, A A

    2015-03-01

    Meta-materials are structures when their small-scale properties are considered, but behave as materials when their homogenized macroscopic properties are studied. There is an intimate relationship between the design of the small-scale structure and the homogenized properties of such materials. In this article, we studied that relationship for meta-biomaterials that are aimed for biomedical applications, otherwise known as meta-biomaterials. Selective laser melted porous titanium (Ti6Al4V ELI) structures were manufactured based on three different types of repeating unit cells, namely cube, diamond, and truncated cuboctahedron, and with different porosities. The morphological features, static mechanical properties, and fatigue behavior of the porous biomaterials were studied with a focus on their fatigue behavior. It was observed that, in addition to static mechanical properties, the fatigue properties of the porous biomaterials are highly dependent on the type of unit cell as well as on porosity. None of the porous structures based on the cube unit cell failed after 10(6) loading cycles even when the applied stress reached 80% of their yield strengths. For both other unit cells, higher porosities resulted in shorter fatigue lives for the same level of applied stress. When normalized with respect to their yield stresses, the S-N data points of structures with different porosities very well (R(2)>0.8) conformed to one single power law specific to the type of the unit cell. For the same level of normalized applied stress, the truncated cuboctahedron unit cell resulted in a longer fatigue life as compared to the diamond unit cell. In a similar comparison, the fatigue lives of the porous structures based on both truncated cuboctahedron and diamond unit cells were longer than that of the porous structures based on the rhombic dodecahedron unit cell (determined in a previous study). The data presented in this study could serve as a basis for design of porous biomaterials as well as for corroboration of relevant analytical and computational models. Copyright © 2014 Elsevier Ltd. All rights reserved.

  3. Cross-cultural generality and specificity in self-regulation: avoidance personal goals and multiple aspects of well-being in the United States and Japan.

    PubMed

    Elliot, Andrew J; Sedikides, Constantine; Murayama, Kou; Tanaka, Ayumi; Thrash, Todd M; Mapes, Rachel R

    2012-10-01

    The authors examined avoidance personal goals as concurrent (Study 1) and longitudinal (Study 2) predictors of multiple aspects of well-being in the United States and Japan. In both studies, participants adopted more avoidance personal goals in Japan relative to the United States. Both studies also demonstrated that avoidance personal goals were significant negative predictors of the most relevant aspects of well-being in each culture. Specifically, avoidance personal goals were negative predictors of intrapersonal and eudaimonic well-being in the United States and were negative predictors of interpersonal and eudaimonic well-being in Japan. The findings clarify and extend puzzling findings from prior empirical work in this area, and raise provocative possibilities about the nature of avoidance goal pursuit.

  4. Approach/Avoidance Orientations Affect Self-Construal and Identification with In-group

    PubMed Central

    Nussinson, Ravit; Häfner, Michael; Seibt, Beate; Strack, Fritz; Trope, Yaacov

    2011-01-01

    Approach and avoidance are two basic motivational orientations. Their activation influences cognitive and perceptive processes: Previous work suggests that an approach orientation instigates a focus on larger units as compared to avoidance. Study 1 confirms this assumption using a paradigm that more directly taps a person’s tendency to represent objects as belonging to small or large units than prior studies. It was further predicted that the self should also be represented as belonging to larger units, and hence be more interdependent under approach than under avoidance. Study 2 supports this prediction. As a consequence of this focus on belonging to larger units, it was finally predicted that approach results in a stronger identification with one’s in-group than avoidance. Studies 3 and 4 support that prediction. PMID:22844229

  5. National Water-Quality Assessment Program - South-Central Texas

    USGS Publications Warehouse

    ,

    1994-01-01

    Studies of 60 hydrologic systems that include parts of most major river basins and aquifer systems (study-unit investigations) are the building blocks of the national assessment. Areas of the 60 study units range in size from less than 1,000 to more than 60,000 square miles (mi2) and represent 60 to 70 percent of the Nation's water use and population served by public water supplies. Twenty study-unit investigations were started in 1991, 20 additional started in 1994, and 20 are planned to start in 1997. Assessment activities in the South-Central Texas study area (see fig.) began in 1994.

  6. Neonatal Intensive Care Unit Nurses Working in an Open Ward: Stress and Work Satisfaction.

    PubMed

    Lavoie-Tremblay, Mélanie; Feeley, Nancy; Lavigne, Geneviève L; Genest, Christine; Robins, Stéphanie; Fréchette, Julie

    2016-01-01

    There is some research on the impact of open-ward unit design on the health of babies and the stress experienced by parents and nurses in neonatal intensive care units. However, few studies have explored the factors associated with nurse stress and work satisfaction among nurses practicing in open-ward neonatal intensive care units. The purpose of this study was to examine what factors are associated with nurse stress and work satisfaction among nurses practicing in an open-ward neonatal intensive care unit. A cross-sectional correlational design was used in this study. Participants were nurses employed in a 34-bed open-ward neonatal intensive care unit in a major university-affiliated hospital in Montréal, Quebec, Canada. A total of 94 nurses were eligible, and 86 completed questionnaires (91% response rate). Descriptive statistics were computed to describe the participants' characteristics. To identify factors associated with nurse stress and work satisfaction, correlational analysis and multiple regression analyses were performed with the Nurse Stress Scale and the Global Work Satisfaction scores as the dependent variables. Different factors predict neonatal intensive care unit nurses' stress and job satisfaction, including support, family-centered care, performance obstacles, work schedule, education, and employment status. In order to provide neonatal intensive care units nurses with a supportive environment, managers can provide direct social support to nurses and influence the culture around teamwork.

  7. Studies on the π-π stacking features of imidazole units present in a series of 5-amino-1-alkylimidazole-4-carboxamides

    NASA Astrophysics Data System (ADS)

    Ray, Sibdas; Das, Aniruddha

    2015-06-01

    Reaction of 2-ethoxymethyleneamino-2-cyanoacetamide with primary alkyl amines in acetonitrile solvent affords 1-substituted-5-aminoimidazole-4-carboxamides. Single crystal X-ray diffraction studies of these imidazole compounds show that there are both anti-parallel and syn-parallel π-π stackings between two imidazole units in parallel-displaced (PD) conformations and the distance between two π-π stacked imidazole units depends mainly on the anti/ syn-parallel nature and to some extent on the alkyl group attached to N-1 of imidazole; molecules with anti-parallel PD-stacking arrangements of the imidazole units have got vertical π-π stacking distance short enough to impart stabilization whereas the imidazole unit having syn-parallel stacking arrangement have got much larger π-π stacking distances. DFT studies on a pair of anti-parallel imidazole units of such an AICA lead to curves for 'π-π stacking stabilization energy vs. π-π stacking distance' which have got similarity with the 'Morse potential energy diagram for a diatomic molecule' and this affords to find out a minimum π-π stacking distance corresponding to the maximum stacking stabilization energy between the pair of imidazole units. On the other hand, a DFT calculation based curve for 'π-π stacking stabilization energy vs. π-π stacking distance' of a pair of syn-parallel imidazole units is shown to have an exponential nature.

  8. Organizations and Information Processing: A Field Study of Research and Development Units within the United States Air Force Systems Command.

    DTIC Science & Technology

    1984-08-01

    Requirements 63 3.3.1 Hypothesis 4: Relationship Between Unit Technology and Information Source Requirements..................64 3.3.2 Hypothesis 5... Relationship Between Environ- mental Uncertainty and Information Source Requirements..................65 3.3.3 Hypothesis 6: Relationship Between Inter-Unit...Sources. ............ 67 3.4.1 Hypothesis 1: Relationship Between Unit Structure and the Accessibility and Quality of Information Sources .. ........ 68

  9. Continuing Spanish in Grade Four: MLA Teacher's Guide. A Course of Study Including Methods, Materials, and Aids for Teaching Conversational Spanish to Fourth-Grade Children.

    ERIC Educational Resources Information Center

    Thompson, Mary P.; And Others

    This is the second volume in a series of texts in a conversational Spanish course for elementary school children. Fourteen basic units present introductory linguistic patterns and cultural insights into the lives of the Spanish people. They include: (1) Review Unit 1, (2) Review Unit 2, (3) Special Unit A--"Cristobal Colon," (4) Review Unit 3, (5)…

  10. Coordination within Peacebuilding Institutions: Three Case Studies from Reconstruction Efforts in Brcko, Bosnia

    DTIC Science & Technology

    2014-06-13

    5d. PROJECT NUMBER 5e. TASK NUMBER 5f. WORK UNIT NUMBER 7. PERFORMING ORGANIZATION NAME(S) AND ADDRESS(ES) U.S. Army Command and General Staff...Division-North NATO North Atlantic Treaty Organization NGO Non-Governmental Organization NSC National Security Council OHR Office of the High...for Iraq Reconstruction TF Task Force UK United Kingdom UN United Nations UNHCR United Nations High Commissioner for Refugees UNMIBH United

  11. Addressing the unit of analysis in medical care studies: a systematic review.

    PubMed

    Calhoun, Aaron W; Guyatt, Gordon H; Cabana, Michael D; Lu, Downing; Turner, David A; Valentine, Stacey; Randolph, Adrienne G

    2008-06-01

    We assessed the frequency that patients are incorrectly used as the unit of analysis among studies of physicians' patient care behavior in articles published in high impact journals. We surveyed 30 high-impact journals across 6 medical fields for articles susceptible to unit of analysis errors published from 1994 to 2005. Three reviewers independently abstracted articles using previously published criteria to determine the presence of analytic errors. One hundred fourteen susceptible articles were found published in 15 journals, 4 journals published the majority (71 of 114 or 62.3%) of studies, 40 were intervention studies, and 74 were noninterventional studies. The unit of analysis error was present in 19 (48%) of the intervention studies and 31 (42%) of the noninterventional studies (overall error rate 44%). The frequency of the error decreased between 1994-1999 (N = 38; 65% error) and 2000-2005 (N = 76; 33% error) (P = 0.001). Although the frequency of the error in published studies is decreasing, further improvement remains desirable.

  12. Semantic processing in connected speech at a uniformly early stage of autopsy-confirmed Alzheimer's disease.

    PubMed

    Ahmed, Samrah; de Jager, Celeste A; Haigh, Anne-Marie; Garrard, Peter

    2013-01-01

    The aim of the present study was to quantify the semantic content of connected speech produced by patients at a uniformly early stage of pathologically proven Alzheimer's disease (AD). A secondary aim was to establish whether semantic units were reduced globally, or whether there was a disproportionate reduction of specific classes of information. Discourse samples were obtained from 18 AD patients and 18 matched controls, all pathologically confirmed. Semantic unit identification was scored overall and for four subclasses: subjects, locations, objects, and actions. Idea density and efficiency were calculated. AD transcripts showed significantly reduced units overall, particularly actions and subjects, as well as reduced efficiency. Total semantic units and a combination of subject-, location-, and object-related units ("noun" units) correlated with the Expression subscore on the Cambridge Cognitive Examination (CAMCOG). Subject related units correlated with the CAMCOG Abstract Thinking scale. Logistic regression analyses confirmed that all measures that were lower in AD than controls were predictive of group membership. An exploratory comparison between units expressed mainly using nouns and those mainly using verbs showed that the latter was the stronger of these two predictors. The present study adds a lexico-semantic dimension to the linguistic profile based on discourse analysis in typical AD, recently described by the same authors. 2012, 83(11): 1056-1062). The suggestion of differential importance of verb and noun use in the present study may be related to the reduction in syntactic complexity that was reported, using the same set of discourse samples, in the earlier study.

  13. Greater Perceived Age Discrimination in England than the United States: Results from HRS and ELSA.

    PubMed

    Rippon, Isla; Zaninotto, Paola; Steptoe, Andrew

    2015-11-01

    We examined cross-national differences in perceptions of age discrimination in England and the United States. Under the premise that the United States has had age discrimination legislation in place for considerably longer than England, we hypothesized that perceptions of age discrimination would be lower in the United States. We analyzed data from two nationally representative studies of aging, the U.S. Health and Retirement Study (n = 4,818) and the English Longitudinal Study of Ageing (n = 7,478). Respondents aged 52 years and older who attributed any experiences of discrimination to their age were treated as cases of perceived age discrimination. We used multivariable logistic regression to estimate the odds ratios of experiencing perceived age discrimination in relation to selected sociodemographic factors. Perceptions of age discrimination were significantly higher in England than the United States, with 34.8% of men and women in England reporting age discrimination compared with 29.1% in the United States. Associations between perceived age discrimination and older age and lower levels of household wealth were observed in both countries, but we found differences between England and the United States in the relationship between perceived age discrimination and education. Our study revealed that levels of perceived age discrimination are lower in the United States than England and are less socially patterned. This suggests that differing social and political circumstances in the two countries may have an important role to play. © The Author 2015. Published by Oxford University Press on behalf of The Gerontological Society of America.

  14. School Improvement Change Grant Community Survey, Final Report. A Report to Toluca Community Unit School District #2, El Paso Community Unit School District #375, Lowpoint-Washburn Community Unit School District #21, Minonk-Dana-Rutland Community Unit School District #108, and Roanoke-Benson Community Unit School District #60.

    ERIC Educational Resources Information Center

    O'Connell, Patricia A.; And Others

    This report presents the results of a collaborative study undertaken by five rural, unit school districts in Illinois to provide data to be used in planning for school improvement. Information was gathered from on-site visits by teams of constituents from other districts and through a survey of perceptions of local community persons regarding…

  15. Developing a clinical trial unit to advance research in an academic institution.

    PubMed

    Croghan, Ivana T; Viker, Steven D; Limper, Andrew H; Evans, Tamara K; Cornell, Alissa R; Ebbert, Jon O; Gertz, Morie A

    2015-11-01

    Research, clinical care, and education are the three cornerstones of academic health centers in the United States. The research climate has always been riddled with ebbs and flows, depending on funding availability. During a time of reduced funding, the number and scope of research studies have been reduced, and in some instances, a field of study has been eliminated. Recent reductions in the research funding landscape have led institutions to explore new ways to continue supporting research. Mayo Clinic in Rochester, MN has developed a clinical trial unit within the Department of Medicine, which provides shared resources for many researchers and serves as a solution for training and mentoring new investigators and study teams. By building on existing infrastructure and providing supplemental resources to existing research, the Department of Medicine clinical trial unit has evolved into an effective mechanism for conducting research. This article discusses the creation of a central unit to provide research support in clinical trials and presents the advantages, disadvantages, and required building blocks for such a unit. Copyright © 2015 Mayo Clinic. Published by Elsevier Inc. All rights reserved.

  16. METHODS OF DETERMINING PUPIL READINESS FOR SPECIFIC UNITS OF INSTRUCTION PRESENTED THROUGH SIMULATED ENVIRONMENT MEDIA.

    ERIC Educational Resources Information Center

    PLUMPTON, RUSSEL A.

    THE METHODS FOR DETERMINING PUPIL READINESS WERE STUDIED TO DEVELOP CRITERIA FOR PUPIL PARTICIPATION IN SIMULATED ENVIRONMENT LEARNING UNITS. THE LEARNING UNITS WERE SUBPROJECTS OF COOPERATIVE RESEARCH PROJECT NUMBER 1948 (ED 003 024). EACH OF THREE UNITS IN THE PROJECT WAS EXAMINED FOR PUPIL READINESS. TEST BATTERIES WERE ASSEMBLED AND…

  17. The Changing Nature of Teaching and Unit Evaluations in Australian Universities

    ERIC Educational Resources Information Center

    Shah, Mahsood; Nair, Chenicheri Sid

    2012-01-01

    Purpose: Teaching and unit evaluations surveys are used to assess the quality of teaching and the quality of the unit of study. An analysis of teaching and unit evaluation survey practices in Australian universities suggests significant changes. One key change discussed in the paper is the shift from voluntary to mandatory use of surveys with the…

  18. Applying to University with Criminal Convictions: A Comparative Study of Admissions Policies in the United States and United Kingdom

    ERIC Educational Resources Information Center

    Custer, Bradley D.

    2018-01-01

    Higher education institutions in the United States and the United Kingdom increasingly require prospective students to disclose past criminal history on admissions applications. However, a social movement aimed at improving opportunities for people with criminal records may force higher education to reconsider this practice. This paper offers a…

  19. Thematic Unit Planning in Social Studies: Make It Focused and Meaningful

    ERIC Educational Resources Information Center

    Horton, Todd A.; Barnett, Jennifer A.

    2008-01-01

    Unit planning is perhaps the most difficult of the teacher duties to execute well. This paper offers suggestions for improving focus and increasing the meaningfulness of thematic unit content for students. Stressing the concept of a Big Understanding, it outlines 6 sequential steps in the creation of units which, when applied, not only establish a…

  20. Valuing the Leadership Role of University Unit Coordinators

    ERIC Educational Resources Information Center

    Pepper, Coral; Roberts, Susan

    2016-01-01

    In this paper we describe the experiences of 64 unit coordinators across 15 Australian universities, gathered during 2011/2012 as part of an Office for Learning and Teaching (OLT) project. Our intention was to gain insight into how unit coordinators (academics who coordinate a discrete unit of study) perceive their role as leaders of learning in…

  1. The United States and the British Commonwealth in Korea, 1950-53: A Critical Study of the Origins of Joint Publication 3-16, Multinational Operations

    DTIC Science & Technology

    2013-12-13

    common Anglo - Saxon heritage with the United States. Furthermore, Canada and the United States shared national borders and interdependent economies...sought and received French military assistance through an alliance during the American War for Independence. The United States joined the Anglo -French...

  2. Aviation. Fifth Grade. Anchorage School District Elementary Science Program.

    ERIC Educational Resources Information Center

    Defendorf, Jean, Ed.

    This unit of study is designed to teach the science of flight to students in the intermediate grades. Included are a list of materials for the unit, a discussion of the use of process skills, a list of unit objectives, vocabulary, teacher background information, 12 lessons, 5 quizzes, math problems, and a unit test. Lessons are oriented toward…

  3. Assessment of delirium using the PRE-DELIRIC model in an intensive care unit in Argentina

    PubMed Central

    Sosa, Fernando Ariel; Roberti, Javier; Franco, Margarita Tovar; Kleinert, María Mercedes; Patrón, Agustina Risso; Osatnik, Javier

    2018-01-01

    Objective To describe the incidence of and risk factors for delirium in the intensive care unit of a tertiary care teaching hospital in Argentina and to conduct the first non-European study exploring the performance of the PREdiction of DELIRium in ICu patients (PRE-DELIRIC) model. Methods Prospective observational study in a 20-bed intensive care unit of a tertiary care teaching hospital in Buenos Aires, Argentina. The PRE-DELIRIC model was applied to 178 consecutive patients within 24 hours of admission to the intensive care unit; delirium was assessed with the Confusion Assessment Method for the Intensive Care Unit (CAM-ICU). Results The mean age was 64.3 ± 17.9 years. The median time of stay in the intensive care unit was 6 (range, 2 - 56) days. Of the total number of patients, 49/178 (27.5%) developed delirium, defined as a positive CAM-ICU assessment, during their stay in the intensive care unit. Patients in the delirium group were significantly older and had a significantly higher Acute Physiological and Chronic Health Evaluation II (APACHE II) score. The mortality rate in the intensive care unit was 14.6%; no significant difference was observed between the two groups. Predictive factors for the development of delirium were increased age, prolonged intensive care unit stay, and opioid use. The area under the curve for the PRE-DELIRIC model was 0.83 (95%CI; 0.77 - 0.90). Conclusions The observed incidence of delirium highlights the importance of this problem in the intensive care unit setting. In this first study conducted outside Europe, PRE-DELIRIC accurately predicted the development of delirium. PMID:29742219

  4. Differences in nursing practice environment among US acute care unit types: a descriptive study.

    PubMed

    Choi, JiSun; Boyle, Diane K

    2014-11-01

    The hospital nursing practice environment has been found to be crucial for better nurse and patient outcomes. Yet little is known about the professional nursing practice environment at the unit level where nurses provide 24-hour bedside care to patients. To examine differences in nursing practice environments among 11 unit types (critical care, step-down, medical, surgical, combined medical-surgical, obstetric, neonatal, pediatric, psychiatric, perioperative, and emergency) and by Magnet status overall, as well as four specific aspects of the practice environment. Cross-sectional study. 5322 nursing units in 519 US acute care hospitals. The nursing practice environment was measured by the Practice Environment Scale of the Nursing Work Index. The Practice Environment Scale of the Nursing Work Index mean composite and four subscale scores were computed at the unit level. Two statistical approaches (one-way analysis of covariance and multivariate analysis of covariance analysis) were employed with a Tukey-Kramer post hoc test. In general, the nursing practice environment was favorable in all unit types. There were significant differences in the nursing practice environment among the 11 unit types and by Magnet status. Pediatric units had the most favorable practice environment and medical-surgical units had the least favorable. A consistent finding across all unit types except neonatal units was that the staffing and resource adequacy subscale scored the lowest compared with all other Practice Environment Scale of the Nursing Work Index subscales (nursing foundations for quality of care, nurse manager ability, leadership, and support, and nurse-physician relations). Unit nursing practice environments were more favorable in Magnet than non-Magnet hospitals. Findings indicate that there are significant variations in unit nursing practice environments among 11 unit types and by hospital Magnet status. Both hospital-level and unit-specific strategies should be considered to achieve an excellent nursing practice environment in all hospital units. Copyright © 2014 Elsevier Ltd. All rights reserved.

  5. The Crusades and Islam. Fulbright-Hays Summer Seminars Abroad, 1998 (Israel and Jordan).

    ERIC Educational Resources Information Center

    Serota, Laurie

    These two mini-units are designed to supplement the areas of study dictated by the Core Knowledge Sequence, a content-rich curriculum used in the educator/curriculum developer's school. The mini-units fall in the middle of a 6-month-long study of the Middle Ages and incorporate the depth of content required to support the larger unit on the Middle…

  6. DEVELOPMENT AND EVALUATION OF INSTRUCTIONAL UNITS FOR TEACHING PROFIT-MAXIMIZING PRINCIPLES IN VOCATIONAL AGRICULTURE. FINAL REPORT.

    ERIC Educational Resources Information Center

    BARKER, RICHARD L.

    THE WRITING, EVALUATION, AND REVISION OF THE INSTRUCTIONAL UNITS WERE COMPLETED ON SCHEDULE AND A SUMMARY OF THE STUDY WILL BE PUBLISHED IN THE LOCAL "RESEARCH SERIES IN AGRICULTURAL EDUCATION" TO BE SENT TO ALL STATES. THE DEVELOPMENT AND FINDINGS OF THE STUDY WILL BE INCLUDED IN "AGRICULTURAL EDUCATION MAGAZINE." SAMPLE COPIES OF THE UNIT WERE…

  7. The Role of Social Media in the Acculturation of South Asian Immigrants in the United States: A Phenomenological Study

    ERIC Educational Resources Information Center

    Dayani, Dilshad

    2017-01-01

    Some South Asian immigrants in the United States experience acculturative stress as a result of sociocultural differences. Social media is a tool that can facilitate the process of acculturation of some ethnic groups in the United States such as Hispanics. The specific problem that the researcher examined in this study was that the use of social…

  8. The Role of the Company in Generating Skills. The Learning Effects of Work Organization in the United Kingdom.

    ERIC Educational Resources Information Center

    Walsh, Kenneth; Green, Andy; Steedman, Hilary

    The impact of developments in work organizations on the skilling process in the United Kingdom was studied through a macro analysis of available statistical information about the development of workplace training in the United Kingdom and case studies of three U.K. firms. The macro analysis focused on the following: initial training arrangements;…

  9. An Analysis of a Typical Instructional Unit in Junior High School Science to Determine the Explicit and Implicit Concept Loading Involved. Final Report.

    ERIC Educational Resources Information Center

    Smith, Herbert A.

    This study involved examining an instructional unit with regard to its concept content and appropriateness for its target audience. The study attempted to determine (1) what concepts are treated explicitly or implicitly, (2) whether there is a hierarchical conceptual structure within the unit, (3) what level of sophistication is required to…

  10. What the United States Can Learn From Singapore's World-Class Mathematics System (and What Singapore Can Learn from the United States): An Exploratory Study

    ERIC Educational Resources Information Center

    Ginsburg, Alan; Leinwand, Steven; Anstrom, Terry; Pollock, Elizabeth

    2005-01-01

    This exploratory study compares key features of the Singapore and U.S. mathematics systems in the primary grades, when students need to build a strong mathematics foundation. It identifies major differences between the mathematics frameworks, textbooks, assessments, and teachers in Singapore and the United States. It also presents initial results…

  11. School Mathematics Study Group, Unit Number Two. Chapter 3 - Informal Algorithms and Flow Charts. Chapter 4 - Applications and Mathematics Models.

    ERIC Educational Resources Information Center

    Stanford Univ., CA. School Mathematics Study Group.

    This is the second unit of a 15-unit School Mathematics Study Group (SMSG) mathematics text for high school students. Topics presented in the first chapter (Informal Algorithms and Flow Charts) include: changing a flat tire; algorithms, flow charts, and computers; assignment and variables; input and output; using a variable as a counter; decisions…

  12. Introducing Africa in the Classroom. An Instructional Unit for Seventh Grade Social Studies. Part I. [And] Part II.

    ERIC Educational Resources Information Center

    McKenzie, Karen S.

    The document presents a seventh grade social studies unit on Africa. The unit is one of a number of products developed by a summer workshop for teachers on African curriculum development. The objective is to help students understand the concept of culture, how cultures develop, and how and why cultures change. The document is divided into two…

  13. Standing Out: Chinese Nationals in US Classrooms and the Work of Being "Best"

    ERIC Educational Resources Information Center

    Frkovich, Ann

    2017-01-01

    Chinese students are coming to study in the United States in record numbers, but our understanding as to why is limited. Through interviews conducted with Chinese students who have studied in both China and the United States, we examine why students are making the choice to come to the United States, what they hope to learn, and how they are…

  14. A Teaching Guide and Experience Units K-12. Social Studies. Grade Six.

    ERIC Educational Resources Information Center

    Arapahoe County School District 6, Littleton, CO.

    The unit experiences for the K-12 curriculum, including these for grade 6, are outlined in SO 001 139. These units include the study of the culture, history, geography, and economics of regions of Latin American and Canada. Again, the emphasis for both grade 5 and grade 6 is twofold: 1) to know his American heritage, as well as to become aware of…

  15. Viet Nam. Grade Six, Unit One. 6.1. Comprehensive Social Studies Curriculum for the Inner City.

    ERIC Educational Resources Information Center

    Thompson, Fred

    This sixth grade unit is one of a sequential learning series of the Focus On Inner City Social Studies (FICSS) project developed in accordance with the needs and problems of an urban society. A description of the project is provided in SO 008 271. The units are designed to help students investigate the conditions under which people in other…

  16. Evaluation of Iranian Students in the United States and Their Returnability to the Islamic Republic of Iran.

    ERIC Educational Resources Information Center

    Arasteh, Hamid

    This study focused on Iranian students in the United States and factors influencing their decision to stay in the United States or return to the Islamic Republic of Iran after completion of their studies. Data were gathered via a mail survey of 130 Iranian students. Results indicated that almost 70 percent of respondents expressed intentions to…

  17. Effective Teaching Factors and Student Reading Strategies as Predictors of Student Achievement in PISA 2009: The Case of China and the United States

    ERIC Educational Resources Information Center

    Meng, Lingqi; Muñoz, Marco; King Hess, Kristin; Liu, Shujie

    2017-01-01

    This study investigated effective teaching factors and student reading strategies as predictors of student reading achievement in the United States and China. Participants were 10,348 students in the 2009 Program for International Student Assessment (PISA) study, 5115 from China and 5233 from the United States. Exploratory factor analysis (EFA)…

  18. Inventory of Selected Freshwater-Ecology Studies From the New England Coastal Basins (Maine, New Hampshire, Massachusetts, Rhode Island), 1937-1997

    DTIC Science & Technology

    1999-01-01

    plains. The Atlantic Coastal Pine Barrens ecoregion is represented in the southeastern part of the study unit and includes Cape Cod and the islands...Providence, Washington 1The area of the NECB study unit within the Atlantic Coastal Pine Barrens ecoregion had previously been part of the Northeastern...Unit are the Northeastern Highlands, Northeastern Coastal Zone, and Atlantic Coastal Pine Barrens1 (U.S. Environ- mental Protection Agency-National

  19. Insights from a national survey into why substance abuse treatment units add prevention and outreach services

    PubMed Central

    Wells, Rebecca; Lemak, Christy Harris; D'Aunno, Thomas A

    2006-01-01

    Background Previous studies have found that even limited prevention-related interventions can affect health behaviors such as substance use and risky sex. Substance abuse treatment providers are ideal candidates to provide these services, but typically have little or no financial incentive to do so. The purpose of this study was therefore to explore why some substance abuse treatment units have added new prevention and outreach services. Based on an ecological framework of organizational strategy, three categories of predictors were tested: (1) environmental, (2) unit-level, and (3) unit leadership. Results A lagged cross-sectional logistic model of 450 outpatient substance abuse treatment units revealed that local per capita income, mental health center affiliation, and clinical supervisors' graduate degrees were positively associated with likelihood of adding prevention-related education and outreach services. Managed care contracts and methadone treatment were negatively associated with addition of these services. No hospital-affiliated agencies added prevention and outreach services during the study period. Conclusion Findings supported the study's ecological perspective on organizational strategy, with factors at environmental, unit, and unit leadership levels associated with additions of prevention and outreach services. Among the significant predictors, ties to managed care payers and unit leadership graduate education emerge as potential leverage points for public policy. In the current sample, units with managed care contracts were less likely to add prevention and outreach services. This is not surprising, given managed care's emphasis on cost control. However, the association with this payment source suggests that public managed care programs might affects prevention and outreach differently through revised incentives. Specifically, government payers could explicitly compensate substance abuse treatment units in managed care contracts for prevention and outreach. The effects of supervisor graduate education on likelihood of adding new prevention and outreach programs suggests that leaders' education can affect organizational strategy. Foundation and government officials may encourage prevention and outreach by funding curricular enhancements to graduate degree programs demonstrating the importance of public goods. Overall, these findings suggest that both money and professional education affect substance abuse treatment unit additions of prevention and outreach services, as well as other factors less amenable to policy intervention. PMID:16887037

  20. Insights from a national survey into why substance abuse treatment units add prevention and outreach services.

    PubMed

    Wells, Rebecca; Lemak, Christy Harris; D'Aunno, Thomas A

    2006-08-03

    Previous studies have found that even limited prevention-related interventions can affect health behaviors such as substance use and risky sex. Substance abuse treatment providers are ideal candidates to provide these services, but typically have little or no financial incentive to do so. The purpose of this study was therefore to explore why some substance abuse treatment units have added new prevention and outreach services. Based on an ecological framework of organizational strategy, three categories of predictors were tested: (1) environmental, (2) unit-level, and (3) unit leadership. A lagged cross-sectional logistic model of 450 outpatient substance abuse treatment units revealed that local per capita income, mental health center affiliation, and clinical supervisors' graduate degrees were positively associated with likelihood of adding prevention-related education and outreach services. Managed care contracts and methadone treatment were negatively associated with addition of these services. No hospital-affiliated agencies added prevention and outreach services during the study period. Findings supported the study's ecological perspective on organizational strategy, with factors at environmental, unit, and unit leadership levels associated with additions of prevention and outreach services. Among the significant predictors, ties to managed care payers and unit leadership graduate education emerge as potential leverage points for public policy. In the current sample, units with managed care contracts were less likely to add prevention and outreach services. This is not surprising, given managed care's emphasis on cost control. However, the association with this payment source suggests that public managed care programs might affects prevention and outreach differently through revised incentives. Specifically, government payers could explicitly compensate substance abuse treatment units in managed care contracts for prevention and outreach. The effects of supervisor graduate education on likelihood of adding new prevention and outreach programs suggests that leaders' education can affect organizational strategy. Foundation and government officials may encourage prevention and outreach by funding curricular enhancements to graduate degree programs demonstrating the importance of public goods. Overall, these findings suggest that both money and professional education affect substance abuse treatment unit additions of prevention and outreach services, as well as other factors less amenable to policy intervention.

  1. The moderating effect of employee hostility on the association of long-term elderly care unit's negative resident characteristics to employee stress and well-being.

    PubMed

    Heponiemi, Tarja; Elovainio, Marko; Pekkarinen, Laura; Noro, Anja; Finne-Soveri, Harriet; Sinervo, Timo

    2006-04-01

    This study examined the moderating effect of employee hostility on the association of unit-level resident characteristics (depression and behavioral problems) to individual-level employee's resident-related stress and psychological well-being during 1-year follow-up study among 501 employees in elderly care. Our results showed that employee hostility was associated with decreased psychological well-being. In addition, hostility moderated the association between unit-level proportion of depressive residents and resident-related stress experienced by the individual employees. Hostile employees reported increased resident-related stress irrespective of the proportion of depressed residents in the unit. Instead, nonhostile employees were sensitive to the depression in the unit. They reported low levels of stress when depression levels in the unit were low and increased stress when depression levels were high. (c) 2006 APA, all rights reserved.

  2. A closer look at associations between hospital leadership walkrounds and patient safety climate and risk reduction: a cross-sectional study.

    PubMed

    Schwendimann, René; Milne, Judy; Frush, Karen; Ausserhofer, Dietmar; Frankel, Allan; Sexton, J Bryan

    2013-01-01

    Leadership walkrounds (WRs) are widely used in health care organizations to improve patient safety. This retrospective, cross-sectional study evaluated the association between WRs and caregiver assessments of patient safety climate and patient safety risk reduction across 49 hospitals in a nonprofit health care system. Linear regression analyses using units' participation in WRs were conducted. Survey results from 706 hospital units revealed that units with ≥ 60% of caregivers reporting exposure to at least 1 WR had a significantly higher safety climate, greater patient safety risk reduction, and a higher proportion of feedback on actions taken as a result of WRs compared with those units with <60% of caregivers reporting exposure to WRs. WR participation at the unit level reflects a frequency effect as a function of units with none/low, medium, and high leadership WR exposure.

  3. The Non-innocent Phenalenyl Unit: An Electronic Nest to Modulate the Catalytic Activity in Hydroamination Reaction

    PubMed Central

    Mukherjee, Arup; Sen, Tamal K.; Ghorai, Pradip Kr; Mandal, Swadhin K.

    2013-01-01

    The phenalenyl unit has played intriguing role in different fields of research spanning from chemistry, material chemistry to device physics acting as key electronic reservoir which has not only led to the best organic single component conductor but also created the spin memory device of next generation. Now we show the non-innocent behaviour of phenalenyl unit in modulating the catalytic behaviour in a homogeneous organic transformation. The present study establishes that the cationic state of phenalenyl unit can act as an organic Lewis acceptor unit to influence the catalytic outcome of intermolecular hydroamination reaction of carbodiimides. For the present study, we utilized organoaluminum complexes of phenalenyl ligands in which the phenalenyl unit maintains the closed shell electronic state. The DFT calculation reveals that the energy of LUMO of the catalyst is mainly controlled by phenalenyl ligands which in turn determines the outcome of the catalysis. PMID:24084653

  4. The care unit in nursing home research: Evidence in support of a definition

    PubMed Central

    2011-01-01

    Background Defining what constitutes a resident care unit in nursing home research is both a conceptual and practical challenge. The aim of this paper is to provide evidence in support of a definition of care unit in nursing homes by demonstrating: (1) its feasibility for use in data collection, (2) the acceptability of aggregating individual responses to the unit level, and (3) the benefit of including unit level data in explanatory models. Methods An observational study design was used. Research (project) managers, healthcare aides, care managers, nursing home administrators and directors of care from thirty-six nursing homes in the Canadian prairie provinces of Alberta, Saskatchewan and Manitoba provided data for the study. A definition of care unit was developed and applied in data collection and analyses. A debriefing session was held with research managers to investigate their experiences with using the care unit definition. In addition, survey responses from 1258 healthcare aides in 25 of the 36 nursing homes in the study, that had more than one care unit, were analyzed using a multi-level modeling approach. Trained field workers administered the Alberta Context Tool (ACT), a 58-item self-report survey reflecting 10 organizational context concepts, to healthcare aides using computer assisted personal interviews. To assess the appropriateness of obtaining unit level scores, we assessed aggregation statistics (ICC(1), ICC(2), η2, and ω2), and to assess the value of using the definition of unit in explanatory models, we performed multi-level modeling. Results In 10 of the 36 nursing homes, the care unit definition developed was used to align the survey data (for analytic purposes) to specific care units as designated by our definition, from that reported by the facility administrator. The aggregation statistics supported aggregating the healthcare aide responses on the ACT to the realigned unit level. Findings from the multi-level modeling further supported unit level aggregation. A significantly higher percentage of variance was explained in the ACT concepts at the unit level compared to the individual and/or nursing home levels. Conclusions The statistical results support the use of our definition of care unit in nursing home research in the Canadian prairie provinces. Beyond research convenience however, the results also support the resident unit as an important Clinical Microsystem to which future interventions designed to improve resident quality of care and staff (healthcare aide) worklife should be targeted. PMID:21492456

  5. Establishment of a medium-scale mosquito facility: optimization of the larval mass-rearing unit for Aedes albopictus (Diptera: Culicidae).

    PubMed

    Zhang, Dongjing; Zhang, Meichun; Wu, Yu; Gilles, Jeremie R L; Yamada, Hanano; Wu, Zhongdao; Xi, Zhiyong; Zheng, Xiaoying

    2017-11-13

    Standardized larval rearing units for mosquito production are essential for the establishment of a mass-rearing facility. Two larval rearing units, developed respectively by the Guangzhou Wolbaki Biotech Co. Ltd. (Wolbaki) and Insect Pest Control Laboratory, Joint FAO/IAEA Division of Nuclear Techniques in Food and Agriculture (FAO/IAEA-IPCL), are tested to assess their potential uses to mass-rear the larval stages of Aedes albopictus in support of the establishment of a medium-scale mosquito facility for the application of mosquito genetic control strategies. The triple Wolbachia-infected Ae. albopictus strain (HC strain) was used in this study. The effects of larval densities of two larval rearing trays (corresponding to 2.4, 3.0 and 3.6 larvae/cm 2 ) and tray size/position (top, middle and bottom layers) on the pupae production and larval survival were assessed when trays were stacked within the larval rearing units. The male pupae production, female pupae contamination after sex separation, and male mating competitiveness were also studied by using both larval rearing units in their entirety. The optimal larval rearing density for Wolbaki-tray (Wol-tray) was 6,600 larvae (equal to 3.0 larvae/cm 2 ) and 18,000 larvae (3.6 larvae/cm 2 ) for the FAO/IAEA-IPCL tray (IAEA-tray). No significant difference in pupae production was observed when trays were stacked within top, middle or bottom layers for both units. At thirty-four hours after the first pupation, the average male pupae production was (0.89 × 10 5 ) for the Wol-unit and (3.16 × 10 5 ) for the IAEA-unit. No significant difference was observed in female pupae contamination between these two units. The HC males showed equal male mating competitiveness to wild type males for mating with wild type females in large cages, regardless of whether they were reared in the Wol-unit or IAEA-unit. The current study has indicated that both the Wol-unit and IAEA-unit are suitable for larvae mass-rearing for Ae. albopictus. However, the IAEA-unit, with higher male production and less space required compared to the Wol-unit, is recommended to be used in support of the establishment of a medium-sized mosquito facility.

  6. A Systematic Examination of Food Intake and Adaptation to the Food Environment by Refugees Settled in the United States1234

    PubMed Central

    Wang, Youfa; Min, Jungwon; Harris, Kisa; Khuri, Jacob; Anderson, Laura M

    2016-01-01

    The United States is the largest refugee resettlement country in the world. Refugees may face health-related challenges after resettlement in the United States, including higher rates of chronic diseases due to problems such as language barriers and difficulty adapting to new food environments. However, reported refugee diet challenges varied, and no systematic examination has been reported. This study examined refugee food intake pre- and postresettlement in the United States and differences in intake across various refugee groups. We systematically reviewed relevant studies that reported on refugee food intake and adaptation to the US food environment. We searched PubMed for literature published between January 1985 and April 2015, including cross-sectional and prospective studies. Eighteen studies met inclusion criteria. Limited research has been conducted, and most studies were based on small convenience samples. In general, refugees increased meat and egg consumption after resettling in the United States. Changes in refugee intake of vegetables, fruits, and dairy products varied by socioeconomic status, food insecurity, past food deprivation experience, length of stay in the United States, region of origin, and age. South Asians were more likely to maintain traditional diets, and increased age was associated with more conservative and traditional diets. Despite the abundance of food in the United States, postresettlement refugees reported difficulty in finding familiar or healthy foods. More research with larger samples and follow-up data are needed to study how refugees adapt to the US food environment and what factors may influence their food- and health-related outcomes. The work could inform future interventions to promote healthy eating and living among refugees and help to reduce health disparities. PMID:28140324

  7. A Systematic Examination of Food Intake and Adaptation to the Food Environment by Refugees Settled in the United States.

    PubMed

    Wang, Youfa; Min, Jungwon; Harris, Kisa; Khuri, Jacob; Anderson, Laura M

    2016-11-01

    The United States is the largest refugee resettlement country in the world. Refugees may face health-related challenges after resettlement in the United States, including higher rates of chronic diseases due to problems such as language barriers and difficulty adapting to new food environments. However, reported refugee diet challenges varied, and no systematic examination has been reported. This study examined refugee food intake pre- and postresettlement in the United States and differences in intake across various refugee groups. We systematically reviewed relevant studies that reported on refugee food intake and adaptation to the US food environment. We searched PubMed for literature published between January 1985 and April 2015, including cross-sectional and prospective studies. Eighteen studies met inclusion criteria. Limited research has been conducted, and most studies were based on small convenience samples. In general, refugees increased meat and egg consumption after resettling in the United States. Changes in refugee intake of vegetables, fruits, and dairy products varied by socioeconomic status, food insecurity, past food deprivation experience, length of stay in the United States, region of origin, and age. South Asians were more likely to maintain traditional diets, and increased age was associated with more conservative and traditional diets. Despite the abundance of food in the United States, postresettlement refugees reported difficulty in finding familiar or healthy foods. More research with larger samples and follow-up data are needed to study how refugees adapt to the US food environment and what factors may influence their food- and health-related outcomes. The work could inform future interventions to promote healthy eating and living among refugees and help to reduce health disparities. © 2016 American Society for Nutrition.

  8. Thickness of the Mississippi River Valley confining unit, eastern Arkansas

    USGS Publications Warehouse

    Gonthier, Gerard; Mahon, Gary L.

    1993-01-01

    Concern arose in the late 1980s over the vulnerability of the Mississippi Valley alluvial aquifer to contamination from potential surface sources related to pesticide or fertilizer use, industrial activity, landfills, or livestock operations. In 1990 a study was begun to locate areas in Arkansas where the groundwater flow system is susceptible to contamination by surface contaminants. As a part of that effort, the thickness of the clay confining unit overlying the alluvial aquifer in eastern Arkansas was mapped. The study area included all or parts of 27 counties in eastern Arkansas that are underlain by the alluvial aquifer and its overlying confining unit. A database of well attributes was compiled based on data from driller's logs and from published data and stored in computer files. A confining-unit thickness map was created from the driller's-log database using geographic information systems technology. A computer program was then used to contour the data. Where the confining unit is present, it ranges in thickness from 0 feet in many locations in the study area to 140 feet in northeastern Greene County and can vary substantially over short distances. Although general trends in the thickness of the confining unit are apparent, the thickness has great spatial variability. An apparent relation exists between thickness of the confining unit and spatial variability in thickness. In areas where the thickness of the confining unit is 40 feet or less, such as in Clay, eastern Craighead, northwestern Mississippi, and Woodruff Counties, thickness of the unit tends robe more uniform than in areas where the thickness of the unit generally exceeds 40 feet, such as in Arkansas, Lonoke, and Prairie Counties. At some sites the confining unit is very thick compared to its thickness in the immediate surrounding area. Locations of abandoned Mississippi River meander channels generally coincide with location of locally thick confining unit. Deposition of the confining unit onto the coarser alluvial aquifer deposits has reduced the relief of the land surface. Hence, the altitude of the top of the alluvial aquifer varies more than the altitude of the land surface and is indicative of a depositional setting.

  9. Discharge patterns of human tensor palatini motor units during sleep onset.

    PubMed

    Nicholas, Christian L; Jordan, Amy S; Heckel, Leila; Worsnop, Christopher; Bei, Bei; Saboisky, Julian P; Eckert, Danny J; White, David P; Malhotra, Atul; Trinder, John

    2012-05-01

    Upper airway muscles such as genioglossus (GG) and tensor palatini (TP) reduce activity at sleep onset. In GG reduced muscle activity is primarily due to inspiratory modulated motor units becoming silent, suggesting reduced respiratory pattern generator (RPG) output. However, unlike GG, TP shows minimal respiratory modulation and presumably has few inspiratory modulated motor units and minimal input from the RPG. Thus, we investigated the mechanism by which TP reduces activity at sleep onset. The activity of TP motor units were studied during relaxed wakefulness and over the transition from wakefulness to sleep. Sleep laboratory. Nine young (21.4 ± 3.4 years) males were studied on a total of 11 nights. Sleep onset. Two TP EMGs (thin, hooked wire electrodes), and sleep and respiratory measures were recorded. One hundred twenty-one sleep onsets were identified (13.4 ± 7.2/subject), resulting in 128 motor units (14.3 ± 13.0/subject); 29% of units were tonic, 43% inspiratory modulated (inspiratory phasic 18%, inspiratory tonic 25%), and 28% expiratory modulated (expiratory phasic 21%, expiratory tonic 7%). There was a reduction in both expiratory and inspiratory modulated units, but not tonic units, at sleep onset. Reduced TP activity was almost entirely due to de-recruitment. TP showed a similar distribution of motor units as other airway muscles. However, a greater proportion of expiratory modulated motor units were active in TP and these expiratory units, along with inspiratory units, tended to become silent over sleep onset. The data suggest that both expiratory and inspiratory drive components from the RPG are reduced at sleep onset in TP.

  10. Design to Improve Visibility: Impact of Corridor Width and Unit Shape.

    PubMed

    Hadi, Khatereh; Zimring, Craig

    2016-07-01

    This study analyzes 10 intensive care units (ICUs) to understand the associations between design features of space layout and nurse-to-patient visibility parameters. Previous studies have explored how different hospital units vary in their visibility relations and how such varied visibility relations result in different nurse behaviors toward patients. However, more limited research has examined the specific design attributes of the layouts that determine the varied visibility relations in the unit. Changes in size, geometry, or other attributes of design elements in nursing units, which might affect patient observation opportunities, require more research. This article reviews the literature to indicate evidence for the impact of hospital unit design on nurse/patient visibility relations and to identify design parameters shown to affect visibility. It further focuses on 10 ICUs to investigate how different layouts diverge regarding their visibility relations using a set of metrics developed by other researchers. Shape geometry and corridor width, as two selected design features, are compared. Corridor width and shape characteristics of ICUs are positively correlated with visibility. Results suggest that floor plans, which are repeatedly broken down into smaller convex (higher convex fragmentation values), or units, which have longer distances between their rooms or between their two opposite ends (longer relative grid distances), might have lower visibility levels across the unit. The findings of this study also suggest that wider corridors positively affect visibility of patient rooms. Changes in overall shape configuration and corridor width of nursing units may have important effects on patient observation and monitoring opportunities. © The Author(s) 2016.

  11. Timing of gamma irradiation and blood donor sex influences in vitro characteristics of red blood cells.

    PubMed

    de Korte, Dirk; Thibault, Louis; Handke, Wiebke; Harm, Sarah K; Morrison, Alex; Fitzpatrick, Aine; Marks, Denese C; Yi, Qi-Long; Acker, Jason P

    2018-04-01

    There are few studies investigating the effect of irradiation on red blood cells (RBCs) during storage. This study analyzed changes in in vitro quality of RBCs irradiated at several points during storage with the aim of providing evidence to support current maximum pre- and postirradiation storage limits. Each of seven participating centers produced four pools of 7 standard RBC units (SAGM, AS-3, or PAGGSM), which were then split back into 7 units. All units in a pool were from sex-matched blood donors. Every week during 6 weeks of refrigerated storage, 1 unit was irradiated, while 1 unit was not irradiated (control). Units were tested weekly for biochemical variables, morphology, and mechanical fragility. The earlier during storage that units were irradiated, the higher the hemolysis and K + at end of storage. Irrespective of the timing of irradiation, there was a rapid increase in extracellular K + , followed by a more gradual increase in hemolysis. ATP levels decreased faster in irradiated units and were reduced below accepted values if irradiated early. Irradiated female RBCs had an absolute lower hemolysis and K + level compared to male RBCs at all time points. The method of blood component manufacturing determined the absolute levels of hemolysis and potassium in irradiated and nonirradiated units, but did not influence the effect that timing of irradiation had on the in vitro quality characteristics. This study provides support for the current Council of Europe guidelines on the time limitations for the irradiation of RBCs. © 2017 AABB.

  12. How do strategic decisions and operative practices affect operating room productivity?

    PubMed

    Peltokorpi, Antti

    2011-12-01

    Surgical operating rooms are cost-intensive parts of health service production. Managing operating units efficiently is essential when hospitals and healthcare systems aim to maximize health outcomes with limited resources. Previous research about operating room management has focused on studying the effect of management practices and decisions on efficiency by utilizing mainly modeling approach or before-after analysis in single hospital case. The purpose of this research is to analyze the synergic effect of strategic decisions and operative management practices on operating room productivity and to use a multiple case study method enabling statistical hypothesis testing with empirical data. 11 hypotheses that propose connections between the use of strategic and operative practices and productivity were tested in a multi-hospital study that included 26 units. The results indicate that operative practices, such as personnel management, case scheduling and performance measurement, affect productivity more remarkably than do strategic decisions that relate to, e.g., units' size, scope or academic status. Units with different strategic positions should apply different operative practices: Focused hospital units benefit most from sophisticated case scheduling and parallel processing whereas central and ambulatory units should apply flexible working hours, incentives and multi-skilled personnel. Operating units should be more active in applying management practices which are adequate for their strategic orientation.

  13. Changes in patient safety culture after restructuring of intensive care units: Two cross-sectional studies.

    PubMed

    Vifladt, Anne; Simonsen, Bjoerg O; Lydersen, Stian; Farup, Per G

    2016-02-01

    Compare changes in registered nurses' perception of the patient safety culture in restructured and not restructured intensive care units during a four-year period. Two cross-sectional surveys were performed, in 2008/2009 (time 1) and 2012/2013 (time 2). During a period of 0-3 years after time 1, three of six hospitals merged their general and medical intensive care units (restructured). The other hospitals maintained their structure of the intensive care units (not restructured). Intensive care units in hospitals at one Norwegian hospital trust. The safety culture was measured with Hospital Survey on Patient Safety Culture. At times 1 and 2, 217/302 (72%) and 145/289 (50%) registered nurses participated. Restructuring was negatively associated with change in the safety culture, in particular, the dimensions of the safety culture within the unit level. The dimensions most vulnerable for restructuring were manager expectations and actions promoting safety, teamwork within hospital units and staffing. In this study, the restructuring of intensive care units was associated with a negative impact on the safety culture. When restructuring, the management should be particularly aware of changes in the safety culture dimensions manager expectations and actions promoting safety, teamwork within hospital units and staffing. Copyright © 2015 The Authors. Published by Elsevier Ltd.. All rights reserved.

  14. Optimal maintenance policy incorporating system level and unit level for mechanical systems

    NASA Astrophysics Data System (ADS)

    Duan, Chaoqun; Deng, Chao; Wang, Bingran

    2018-04-01

    The study works on a multi-level maintenance policy combining system level and unit level under soft and hard failure modes. The system experiences system-level preventive maintenance (SLPM) when the conditional reliability of entire system exceeds SLPM threshold, and also undergoes a two-level maintenance for each single unit, which is initiated when a single unit exceeds its preventive maintenance (PM) threshold, and the other is performed simultaneously the moment when any unit is going for maintenance. The units experience both periodic inspections and aperiodic inspections provided by failures of hard-type units. To model the practical situations, two types of economic dependence have been taken into account, which are set-up cost dependence and maintenance expertise dependence due to the same technology and tool/equipment can be utilised. The optimisation problem is formulated and solved in a semi-Markov decision process framework. The objective is to find the optimal system-level threshold and unit-level thresholds by minimising the long-run expected average cost per unit time. A formula for the mean residual life is derived for the proposed multi-level maintenance policy. The method is illustrated by a real case study of feed subsystem from a boring machine, and a comparison with other policies demonstrates the effectiveness of our approach.

  15. Technology and Thematic Units: A Primary Example (Technology Links to Literacy).

    ERIC Educational Resources Information Center

    Wepner, Shelley B.

    1992-01-01

    Uses a teacher's thematic unit on endangered species to share how technology can help to make meaningful connections across the curriculum. Shows how the unit includes science, social studies, mathematics, art, language arts, and music. (SR)

  16. Enrollment Management in Academic Units

    ERIC Educational Resources Information Center

    DeBiaso, Nick

    2012-01-01

    This study provides an understanding of how administrative leaders make decisions regarding enrollment management within academic units at a major research university in the southwestern United States. Key enrollment management functions of recruiting, admissions, marketing, orientation, financial aid/scholarships, academic advising, student…

  17. Ideas for Studying About the United States in Europe.

    ERIC Educational Resources Information Center

    Wright, David

    1986-01-01

    Suggests six activities for teaching United Kingdom students about the United States and vice versa. Ideas include word associations, map and globe work to discover climate and habitation patterns, exchange of student projects, and relevant textbook passages. (JDH)

  18. National Water-Quality Assessment Program: The Sacramento River Basin

    USGS Publications Warehouse

    Domagalski, Joseph L.; Brown, Larry R.

    1994-01-01

    In 1991, the U.S. Geological Survey (USGS) began to implement a full-scale National Water-Quality Assessment (NAWQA) program. The long-term goals of the NAWQA program are to describe the status of and trends in the quality of a large, representative part of the Nation's surface- and ground-water resources and to identify the major natural and human factors that affect the quality of those resources. In addressing these goals, the program will provide a wealth of water- quality information that will be useful to policy makers and managers at the national, State, and local levels. A major asset of the NAWQA program is that it will allow for the integration of water-quality information collected at several scales. A major component of the program is the study-unit investigation-the foundation of national- level assessment. The 60 study units of the NAWQA program are hydrologic systems that include parts of most major river basins and aquifer systems of the conterminous United States. These study units cover areas of 1,000 to more than 60,000 square miles and represent 60 to 70 percent of the Nation's water use and population served by public water supplies. Investigations of the first 20 study units began in 1991. In 1994, the Sacramento River Basin was among the second set of 20 NAWQA study units selected for investigation.

  19. Occupational therapy students' attitudes towards inclusion education in Australia, United Kingdom, United States and Taiwan.

    PubMed

    Mu, Keli; Brown, Ted; Peyton, Claudia G; Rodger, Sylvia; Huang, Yan-Hua; Wu, Chin-Yu; Watson, Callie; Stagnitti, Karen; Hutton, Eve; Casey, Jackie; Hong, Chia Swee

    2010-03-01

    This international, cross-cultural study investigated the attitudes of occupational therapy students from Australia, United Kingdom, United States and Taiwan towards inclusive education for students with disabilities. The possible impact of professional education on students' attitudes was also explored. A total of 485 students from 11 entry-level occupational therapy education programmes from Australia, the United Kingdom, the United States and Taiwan participated in the study. Among them, 264 were freshmen (first-year students) and 221 were seniors (final-year students). Data collected from a custom-designed questionnaire were analysed both quantitatively and qualitatively. In general, the occupational therapy students reported having positive attitudes towards inclusion. Considerable differences, however, existed among the student groups from the four countries. Professional education appeared to have a significant impact on students' attitudes towards inclusion from first year to senior year. Although students were in favour of inclusion, they also cautioned that their support for inclusive practices depended on various factors such as adequate preparation, support and assistance to students with disabilities. Limitations of the study included the small, convenience sample and different degree structures of the participating programmes. Future research studies need to compare occupational therapy students' attitudes with students from other health care professions. A longitudinal study on the impact of the professional education programme on students' attitudes towards inclusive education is warranted.

  20. Pirates in Historical Fiction and Nonfiction: A Twin-Text Unit of Study

    ERIC Educational Resources Information Center

    Frye, Elizabeth M.; Trathen, Woodrow; Wilson, Kelley

    2009-01-01

    In this article, the authors outline an interdisciplinary unit of study using quality children's literatures, and they describe several instructional strategies and activities for reading and responding to historical fiction and informational texts. This "piratical study" integrates social studies and the language arts. Several social…

  1. Ground-water data collected in the Missouri River basin units in Kansas during 1950

    USGS Publications Warehouse

    Berry, Delmar W.

    1951-01-01

    Ground-water studies in the Missouri River basin were begun by the United States Geological Survey during the fall of 1945 as a part of a program for the development of the resources of the basin by the United States Bureau of Reclamation and other Federal Agencies. The studies of the ground-water resources in the part of Kansas that lies within the basin have been coordinated with the cooperative program of ground-water studies already being carried on in Kansas by the United States Geological Survey, the State Geological Survey of Kansas,the Division of Sanitation of the Kansas State Board of Health, and the Division of Water Resources of the Kansas State Board of Agriculture.

  2. Indoor Tanning Is Not Safe

    MedlinePlus

    ... each year. Case-Control Studies Conducted in the United States A 2010 study by Lazovich and colleagues in ... is restricted in some areas, especially for minors.* United States California, Delaware, Hawaii, Illinois, Kansas, Louisiana, Massachusetts, Minnesota, ...

  3. Body dirt or liquid gold? How the 'safety' of donated breastmilk is constructed for use in neonatal intensive care.

    PubMed

    Carroll, Katherine

    2014-06-01

    When mothers of preterm infants are unable to produce sufficient volumes of breastmilk, neonatologists in many Western countries prescribe pasteurized donor breastmilk. Breastmilk has a paradoxical presence in the neonatal intensive care unit while it has therapeutic properties, it also has the potential to transmit disease. National health authorities and local neonatal intensive care unit policies each delimit the safety of donor milk by focusing on the presence or absence of pathogens. It is in this light that breastmilk from the human milk bank is both sought and legitimated to minimize safety concerns. This research uses data arising from an ethnographic study of two human milk banks and two neonatal intensive care units in the United States, and 73 interviews with milk donors, neonatal intensive care unit parents and clinicians. The primary research question framing the study was 'What are the underlying processes and practices that have enabled donor milk to be endorsed as a safe and legitimate feeding option in neonatal intensive care units?' This study is framed using three key principles of Latour's 'new critique', namely, adding to reality rather than debunking it, getting closer to data rather than turning away from fact and creating arenas in which to assemble. As a result, conceptions of donor milk's safety are expanded. This case study of donor milk demonstrates how Latour's new critique can inform science and technology studies approaches to the study of safety in health care.

  4. Are federal sustained yield units equitable? A case study of the Grays Harbor unit.

    Treesearch

    Con H Schallau; Wilbur R. Maki

    1986-01-01

    The Grays Harbor Federal Sustained Yield Unit (U.S. Department of Agriculture, Forest Service) was established in 1949 to enhance the economic stability of the forest products industry and dependent communities in Grays Harbor County, Washington. Provisions of the unit's charter require that all logs harvested from the Quinault Ranger District of the Olympic...

  5. Integrated Unit Deployments: Rethinking Air National Guard Fighter Mobilizations

    DTIC Science & Technology

    2016-06-01

    INTEGRATED UNIT DEPLOYMENTS: RETHINKING AIR NATIONAL GUARD FIGHTER MOBILIZATIONS BY MAJOR ANDREW P. JACOB A THESIS...This study comprises an analysis of the mobilization and deployment of Air National Guard fighter aircraft units in a search for an efficient and... mobilization . This thesis suggests that Integrated Unit Deployments will provide the balance between Air National Guard overseas deployments and

  6. Homestay Program Orientation Manual, Including Leader's Guides and Preparatory Readings, Plus Materials for Student Use.

    ERIC Educational Resources Information Center

    Grove, Cornelius Lee; Hansel, Bettina

    Developed as orientation materials for foreign students coming to the United States to study English, this manual contains six units to acquaint students with U.S. history, government, and culture. The first unit introduces students to the daily routines and interpersonal relationships of U.S. people. Unit 2 examines the origins and significance…

  7. Truth: Humanities Unit (Middle and Secondary Grade Levels). Programs for Gifted Students.

    ERIC Educational Resources Information Center

    Abbott, Barbara; Kolman, Peter

    One in a series of instructional units designed for gifted students, this booklet describes a humanities unit for students in middle and secondary grades. The specific focus of the unit is on truth as it is perceived and expressed in philosophy, literature, art, music, drama, and the social sciences. The study of truth and its surrounding concepts…

  8. An Exploration of Administrative Heuristics in the United States and the United Kingdom

    ERIC Educational Resources Information Center

    English, Fenwick W.; Bolton, Cheryl L.

    2008-01-01

    This article is a report on a study of the use of heuristics, shortcuts, and rules of thumb by middle-line managers in institutions of higher education in the United States and the United Kingdom. Using a nonprobability convenience sample, the coinvestigators interviewed 13 middle-line managers over 5 months from eight institutions. The results…

  9. An Examination of the Relationship between Acculturation Level and PTSD among Central American Immigrants in the United States

    ERIC Educational Resources Information Center

    Sankey, Sarita Marie

    2010-01-01

    The purpose of this study was to examine the relationship between acculturation level and posttraumatic stress disorder (PTSD) prevalence in Central American immigrants in the United States. Central American immigrants represent a population that is a part of the Latino/Hispanic Diaspora in the United States. By the year 2050 the United States…

  10. Global context for the United States Forest Sector in 2030

    Treesearch

    James Turner; Joseph Buongiorno; Shushuai Zhu; Jeffrey P. Prestemon

    2005-01-01

    The purpose of this study was to identify markets for, and competitors to, the United States forest industries in the next 30 years. The Global Forest Products Model was used to make predictions of international demand, supply, trade, and prices, conditional on the last RPA Timber Assessment projections for the United States. It was found that the United States, Japan...

  11. NASA education briefs for the classroom. Metrics in space

    NASA Technical Reports Server (NTRS)

    1982-01-01

    The use of metric measurement in space is summarized for classroom use. Advantages of the metric system over the English measurement system are described. Some common metric units are defined, as are special units for astronomical study. International system unit prefixes and a conversion table of metric/English units are presented. Questions and activities for the classroom are recommended.

  12. Toward a Nation-Building Operating Concept

    DTIC Science & Technology

    2010-04-13

    of United Nations intervention in Timor, argues that an interim protectorate is useful only if implemented by a multi -national coalition. However...to a franchise agreement or venture capital investment. The United States provides capital and expertise to indigenous group predicated on agreed...Toward a Nation-Building Operating Concept by Colonel John DeJarnette United States Army School of Advanced Military Studies United States

  13. Fighting Poverty: Attentive Policy Can Make a Huge Difference

    ERIC Educational Resources Information Center

    Smeeding, Timothy M.; Waldfogel, Jane

    2010-01-01

    This article discusses the implication of the implementation of anti-poverty policy in both the United Kingdom and the United States. International studies of child poverty usually find that the United States and United Kingdom are at the bottom of the league table in terms of child poverty. Indeed, the U.S. and U.K do not fare well in…

  14. The Ortho-Syllable as a Processing Unit in Handwriting: The Mute E Effect

    ERIC Educational Resources Information Center

    Lambert, Eric; Sausset, Solen; Rigalleau, François

    2015-01-01

    Some research on written production has focused on the role of the syllable as a processing unit. However, the precise nature of this syllable unit has yet to be elucidated. The present study examined whether the nature of this processing unit is orthographic (i.e., an ortho-syllable) or phonological. We asked French adults to copy three-syllable…

  15. Independent Learning Project for Advanced Chemistry (ILPAC). Teachers' and Technicians' Notes for First Year Units.

    ERIC Educational Resources Information Center

    Inner London Education Authority (England).

    The Independent Learning Project for Advanced Chemistry (ILPAC) has produced units of study for students in A-level chemistry. Students completing ILPAC units assume a greater responsibility for their own learning and can work, to some extent, at their own pace. By providing guidance, and detailed solutions to exercises in the units, supported by…

  16. NASA education briefs for the classroom. Metrics in space

    NASA Astrophysics Data System (ADS)

    The use of metric measurement in space is summarized for classroom use. Advantages of the metric system over the English measurement system are described. Some common metric units are defined, as are special units for astronomical study. International system unit prefixes and a conversion table of metric/English units are presented. Questions and activities for the classroom are recommended.

  17. Growing Old in Public: A Modular Teaching Unit on Stereotypes.

    ERIC Educational Resources Information Center

    Detzner, Daniel F.

    A college level unit which investigates stereotypes of aging in the United States is described. The three-class unit serves as an introduction to the study of social gerontology. Its purpose is to address issues of negative stereotypes of old age reinforced by the media and by our cultural roots; the lack of knowledge about the normal changes that…

  18. Changes in unit structures and infanticide observed in Arsi geladas.

    PubMed

    Mori, Akio; Belay, Gurja; Iwamoto, Toshitaka

    2003-07-01

    In 1989 a new gelada baboon ( Theropithecus gelada) population was found in Arsi, on the opposite side of the Rift Valley to that of the known gelada populations of Semien and Showa. Previous comparisons of units of the band at Gado Goro, Arsi, in the same season in consecutive years, indicated that unit structure is less stable among Arsi geladas as compared to the Semien population. Gelada units of the band at Gado-Goro were studied for 7 months in order to investigate the processes of social changes. Changes in unit structure were observed. Provisioning was carried out for 1.5 months at the beginning of the 7-month study period, in order to capture and obtain blood samples from the geladas. Following this, changes in male leadership of some units were observed, presumably as a consequence of the capture. However, natural changes also occurred. One change in unit structure occurred after a female gave birth, and changes in another unit occurred after the disappearance of the leader male. These changes involved female desertion of a unit, her subsequent transfer to a male unit, and culminated in the formation of a unit consisting of one female and one male. One successful and one attempted case of unification of units, and one case of change of a unit leader male are reported. These changes occurred among eight resident units in a period of 7 months (196 female months). Though the types of social changes were not much different from previous observations in Semien National Park, their frequencies seemed to be much higher. The characteristics of Arsi gelada social changes are proposed to be related to the small size of the units. We also describe a new confirmed case and one suspected case of infanticide, as well as one case of abortion at the time of male leader change.

  19. Automated extraction and classification of time-frequency contours in humpback vocalizations.

    PubMed

    Ou, Hui; Au, Whitlow W L; Zurk, Lisa M; Lammers, Marc O

    2013-01-01

    A time-frequency contour extraction and classification algorithm was created to analyze humpback whale vocalizations. The algorithm automatically extracted contours of whale vocalization units by searching for gray-level discontinuities in the spectrogram images. The unit-to-unit similarity was quantified by cross-correlating the contour lines. A library of distinctive humpback units was then generated by applying an unsupervised, cluster-based learning algorithm. The purpose of this study was to provide a fast and automated feature selection tool to describe the vocal signatures of animal groups. This approach could benefit a variety of applications such as species description, identification, and evolution of song structures. The algorithm was tested on humpback whale song data recorded at various locations in Hawaii from 2002 to 2003. Results presented in this paper showed low probability of false alarm (0%-4%) under noisy environments with small boat vessels and snapping shrimp. The classification algorithm was tested on a controlled set of 30 units forming six unit types, and all the units were correctly classified. In a case study on humpback data collected in the Auau Chanel, Hawaii, in 2002, the algorithm extracted 951 units, which were classified into 12 distinctive types.

  20. Recruitment of faster motor units is associated with greater rates of fascicle strain and rapid changes in muscle force during locomotion

    PubMed Central

    Lee, Sabrina S. M.; de Boef Miara, Maria; Arnold, Allison S.; Biewener, Andrew A.; Wakeling, James M.

    2013-01-01

    SUMMARY Animals modulate the power output needed for different locomotor tasks by changing muscle forces and fascicle strain rates. To generate the necessary forces, appropriate motor units must be recruited. Faster motor units have faster activation–deactivation rates than slower motor units, and they contract at higher strain rates; therefore, recruitment of faster motor units may be advantageous for tasks that involve rapid movements or high rates of work. This study identified motor unit recruitment patterns in the gastrocnemii muscles of goats and examined whether faster motor units are recruited when locomotor speed is increased. The study also examined whether locomotor tasks that elicit faster (or slower) motor units are associated with increased (or decreased) in vivo tendon forces, force rise and relaxation rates, fascicle strains and/or strain rates. Electromyography (EMG), sonomicrometry and muscle-tendon force data were collected from the lateral and medial gastrocnemius muscles of goats during level walking, trotting and galloping and during inclined walking and trotting. EMG signals were analyzed using wavelet and principal component analyses to quantify changes in the EMG frequency spectra across the different locomotor conditions. Fascicle strain and strain rate were calculated from the sonomicrometric data, and force rise and relaxation rates were determined from the tendon force data. The results of this study showed that faster motor units were recruited as goats increased their locomotor speeds from level walking to galloping. Slow inclined walking elicited EMG intensities similar to those of fast level galloping but different EMG frequency spectra, indicating that recruitment of the different motor unit types depended, in part, on characteristics of the task. For the locomotor tasks and muscles analyzed here, recruitment patterns were generally associated with in vivo fascicle strain rates, EMG intensity and tendon force. Together, these data provide new evidence that changes in motor unit recruitment have an underlying mechanical basis, at least for certain locomotor tasks. PMID:22972893

  1. Policies for management of postpartum haemorrhage: the HERA cross-sectional study in France.

    PubMed

    Vendittelli, Françoise; Barasinski, Chloé; Pereira, Bruno; Dreyfus, Michel; Lémery, Didier; Bouvier-Colle, Marie-Hélène

    2016-10-01

    The principal objective of this study was to describe the policies reported by French maternity units for the prevention and early management of postpartum haemorrhage (PPH). The second objective was to assess their variation according to hospital level and status. Cross-sectional observational study of French maternity units, from January 2010 to April 2011. The medical supervisor (obstetrician or midwife) of participating maternity wards completed a questionnaire designed to ascertain the unit's protocol for preventing and managing PPH after both vaginal and caesarean deliveries at a gestational age >22 weeks (or a birth weight >500g). The main outcome measure was the percentage of units reporting protocols adhering to the principal criteria for adequate management defined by the 2004 French guidelines for PPH. 252 maternity units participated in the survey. Almost all units had a written protocol for PPH (97.2%). For vaginal deliveries, 82.5% of units had a definition of PPH (>500ml) and 92.8% had a policy of preventive oxytocin use. For caesareans, only 23.8% defined PPH (as >1000ml), 68.8% used manual delivery of the placenta, and 76.9% recommended oxytocin injection immediately after the birth. The first-line medication for PPH was oxytocin (96.3%) and the second-line treatment a prostaglandin (97.5%). Level III maternity units had a definition of haemorrhage for vaginal deliveries more often than did other levels of care (P=0.04). Manual removal of the placenta after caesareans was significantly more frequent in level I than level III units (P=0.008) and in private than other types of maternity units. Medical management of haemorrhage did not differ according to level of care or maternity status. The responses by maternity unit supervisors showed significant improvement in the management of PPH accordingly to the 2004 French guidelines, especially for the third stage of labour. This improvement did not differ between hospitals by levels of care or legal status. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

  2. Recruitment of faster motor units is associated with greater rates of fascicle strain and rapid changes in muscle force during locomotion.

    PubMed

    Lee, Sabrina S M; de Boef Miara, Maria; Arnold, Allison S; Biewener, Andrew A; Wakeling, James M

    2013-01-15

    Animals modulate the power output needed for different locomotor tasks by changing muscle forces and fascicle strain rates. To generate the necessary forces, appropriate motor units must be recruited. Faster motor units have faster activation-deactivation rates than slower motor units, and they contract at higher strain rates; therefore, recruitment of faster motor units may be advantageous for tasks that involve rapid movements or high rates of work. This study identified motor unit recruitment patterns in the gastrocnemii muscles of goats and examined whether faster motor units are recruited when locomotor speed is increased. The study also examined whether locomotor tasks that elicit faster (or slower) motor units are associated with increased (or decreased) in vivo tendon forces, force rise and relaxation rates, fascicle strains and/or strain rates. Electromyography (EMG), sonomicrometry and muscle-tendon force data were collected from the lateral and medial gastrocnemius muscles of goats during level walking, trotting and galloping and during inclined walking and trotting. EMG signals were analyzed using wavelet and principal component analyses to quantify changes in the EMG frequency spectra across the different locomotor conditions. Fascicle strain and strain rate were calculated from the sonomicrometric data, and force rise and relaxation rates were determined from the tendon force data. The results of this study showed that faster motor units were recruited as goats increased their locomotor speeds from level walking to galloping. Slow inclined walking elicited EMG intensities similar to those of fast level galloping but different EMG frequency spectra, indicating that recruitment of the different motor unit types depended, in part, on characteristics of the task. For the locomotor tasks and muscles analyzed here, recruitment patterns were generally associated with in vivo fascicle strain rates, EMG intensity and tendon force. Together, these data provide new evidence that changes in motor unit recruitment have an underlying mechanical basis, at least for certain locomotor tasks.

  3. Selected aquatic biological investigations in the Great Salt Lake basins, 1875-1998, National Water-Quality Assessment Program

    USGS Publications Warehouse

    Giddings, Elise M.P.; Stephens, Doyle W.

    1999-01-01

    This report summarizes previous investigations of aquatic biological communities, habitat, and contaminants in streams and selected large lakes within the Great Salt Lake Basins study unit as part of the U.S. Geological Survey?s National Water-Quality Assessment Program (NAWQA). The Great Salt Lake Basins study unit is one of 59 such units designed to characterize water quality through the examination of chemical, physical, and biological factors in surface and ground waters across the country. The data will be used to aid in the planning, collection, and analysis of biological information for the NAWQA study unit and to aid other researchers concerned with water quality of the study unit. A total of 234 investigations conducted during 1875-1998 are summarized in this report. The studies are grouped into three major subjects: (1) aquatic communities and habitat, (2) contamination of streambed sediments and biological tissues, and (3) lakes. The location and a general description of each study is listed. The majority of the studies focus on fish and macroinvertebrate communities. Studies of algal communities, aquatic habitat, riparian wetlands, and contamination of streambed sediment or biological tissues are less common. Areas close to the major population centers of Salt Lake City, Provo, and Logan, Utah, are generally well studied, but more rural areas and much of the Bear River Basin are lacking in detailed information, except for fish populations..

  4. Does the United States’ Strategic Mobility Program Support the Needs of Operational Commanders

    DTIC Science & Technology

    2010-10-01

    Does the United States’ Strategic Mobility Program Support the Needs of Operational Commanders? A Monograph by MAJ Erik E. Hilberg United...inability to project certain capabilities? This monograph argues that the Department of Defense’s shortfalls in strategic sealift will limit a ground...quantitative research associated with this study goes through a qualitative analysis. The research results of this study then undergo an examination

  5. What Chinese Children and Youth Are Learning about the United States. Working Papers in Education.

    ERIC Educational Resources Information Center

    Gross, Richard E.

    This study examines history and social science textbooks used in China to see how the United States is presented in order to make inferences about what Chinese students are learning about the United States. The report also reflects the U.S. examination of Chinese textbooks. As part of the same study, U.S. K-12 textbooks were sent to China. The…

  6. Liquid Crystalline Polymers Containing Heterocycloalkane Mesogens. 2. Side-Chain Liquid Crystalline Polysiloxanes Containing 2,5-Disubstituted-1,3-Dioxane Mesogens.

    DTIC Science & Technology

    1986-10-01

    units and an aliphatic spacer containing eleven and respectively, ten methylene units were synthesized. Their phase behavior was studied by differential...scanning calorimetry and optical polarization microscopy, and compared with the phase behavior of the polysiloxanes and copolysiloxanes containing 4...containing eleven and respectively, ten methylene -units were synthesized. Their phase behavior was studied by differential * scanning calorimetry

  7. Seventh/Eighth Grade Social Studies. United States and New York State History. A Calendar of Lessons.

    ERIC Educational Resources Information Center

    Bromberg, Lloyd; And Others

    This calendar of lessons conforms to the New York State syllabus for grades 7-8, United States and New York History, which was officially implemented throughout the state in September 1987. It is a guide to the objectives of the state social studies program, not a prescription for day-to-day lesson plans. United States and New York State History…

  8. Drugs and You. Grade Five, Unit Three, 5.3. Comprehensive Social Studies Curriculum for the Inner City.

    ERIC Educational Resources Information Center

    Shalmo, Margaret

    This fifth grade unit is one of a sequential learning series of the Focus on Inner City Social Studies (FICSS) project developed in accordance with the needs and problems of an urban society. A description of the project is provided in SO 008 271. This specific unit examines the personal and social problems of drug abuse. The use of drugs is…

  9. Project CHOICE: #170. A Career Education Unit for Grades 1 and 2. We Work with Animals. (Agriculture and Ecological Studies Career Cluster).

    ERIC Educational Resources Information Center

    Kern County Superintendent of Schools, Bakersfield, CA.

    This teaching unit on working with animals is part of the Agriculture and Biological Studies Career Cluster included in a series of career guidebooks developed by Project CHOICE (Children Have Options in Career Education). The units are designed to provide the classroom teacher with a source of career-related activities linking first and second…

  10. Business, Industry and Labor. Grade Twelve, Unit Three, 12.3. Comprehensive Social Studies Curriculum for the Inner City.

    ERIC Educational Resources Information Center

    Remias, John

    The third unit of grade 12 of the FICSS series (Focus on Inner City Social Studies -- see SO 008 271) examines the role of business, industry, and labor and how they interact with the government and the military. The unit deals with the concepts of power theory, corporation, corporate power, unions, union power, and mass society. Power theory…

  11. Beliefs, Practical Knowledge, and Context: A Longitudinal Study of a Beginning Biology Teacher's 5E Unit

    ERIC Educational Resources Information Center

    Sickel, Aaron J.; Friedrichsen, Patricia

    2015-01-01

    The purpose of this three-year case study was to understand how a beginning biology teacher (Alice) designed and taught a 5E unit on natural selection, how the unit changed when she took a position in a different school district, and why the changes occurred. We examined Alice's developing beliefs about science teaching and learning,…

  12. Middle East. Grade Six, Unit Two, 6.2. Comprehensive Social Studies Curriculum for the Inner City.

    ERIC Educational Resources Information Center

    Trell, Pat

    This sixth grade unit is one of a sequential learning series of the Focus on Inner City Social Studies project developed in accordance with the needs and problems of an urban society. A description of the project is provided in SO 008 271. As part of the sixth grade curriculum focusing on world power, this six week unit examines the nations…

  13. TRAVELING EDUCATIONAL UNITS, A FEASIBILITY STUDY OF THE USE OF TRAVELING OR MOBILE EDUCATIONAL UNITS TO IMPROVE THE QUALITY OF EDUCATION IN APPALACHIA.

    ERIC Educational Resources Information Center

    WHEELER, C. HERBERT, JR.

    THIS STUDY WAS CONDUCTED TO DETERMINE THE FEASIBILITY OF USING TRAVELING OR MOBILE UNITS TO IMPROVE THE QUALITY OF EDUCATION IN THE APPALACHIA REGION. IT EXAMINED THE LITERATURE WRITTEN IN THE LAST TEN YEARS ON EDUCATIONAL PROJECTS USING SOME FORM OF MOBILE FACILITY. FROM THIS LITERATURE A LIST OF PLANNED MOBILE PROJECTS WAS COMPILED AND…

  14. Comparison of the Thermal Spread of Three Different Electrosurgical Generators on Rat Uterus: A Preliminary Experimental Study.

    PubMed

    Karacan, Tolga; Usta, Taner; Ozkaynak, Aysel; Onur Cakir, Omer; Kahraman, Aslı; Ozyurek, Eser

    2018-05-23

    The objective of this study was to compare the depth and width of thermal spread caused on rat uterine tissue after application of 3 different electrosurgical generators. Alsa Excell 350 MCDSe (Unit A), Meditom DT-400P (Unit M), and ERBE Erbotom VIO 300 D (Unit E) electrosurgical units (ESUs) were used. The number of Wistar Hannover rats required to obtain valid results was 10. The primary objective of the study was to compare the 3 ESUs using the same instrument and the same waveform. The secondary objective of the study was to compare the differences between monopolar and bipolar systems of each ESU separately using the same waveform. The thermal spread caused by each ESU using monopolar instruments with continuous and interrupted waveforms was significantly different. Among the 3 devices, Unit A caused the largest thermal uterine tissue spread. On the other hand, Unit E caused the most superficial thermal tissue spread, and the smallest thermal spread among all ESUs. Surgeons should note that different ESUs used with the same power output might create different thermal effects especially in the monopolar configuration within the same waveform, for the same duration, and with the same instrument. © 2018 S. Karger AG, Basel.

  15. The relationship between nurse staffing and failure to rescue: where does it matter most?

    PubMed

    Talsma, AkkeNeel; Jones, Katherine; Guo, Ying; Wilson, Deleise; Campbell, Darrell A

    2014-09-01

    This study further expands on the relationship between nurse staffing levels and patient outcomes, in particular, failure to rescue. Many studies are based on single-site hospitals or single-year data, thus limiting the generalizations of the findings. The purpose was to evaluate in a multisite multiyear study the relationship between unit-level nurse staffing and FTR mortality, for ICU and non-ICU patients. Using administrative and actual unit level nurse staffing data, we used AHRQ 2003 Patient Safety Indicator (2003) software and matched those with the patient's discharge month. Fixed effects multilevel logistic analyses were used to take into account the hierarchical structure of the database and patient clustering within units. We controlled for patient demographics, clinical conditions, and CCS categories. The majority (94%) of cases were discharged from general care units, ICUs reported higher nurse staffing levels based on patient complexity. Expired cases were 3 years older, male, and nonwhite. For general care discharges, the relationship between RN level HPPD approached significance (P = 0.07), suggesting increased odds of higher FTR mortality with higher staffing levels. We did not observe any of the expected associations between the nurse staffing variables and FTR for either general care unit or ICU discharges. The comprehensive risk adjustments provided adequate "leveling of the playing field" to evaluate the impact of unit-based nurse staffing levels on FTR mortality. Future studies should evaluate the influence of unit environment and patient risk.

  16. Acute hepatitis B virus window-period blood donations detected by individual-donation nucleic acid testing: a report on the first two cases found and interdicted in Spain.

    PubMed

    González, Rocio; Echevarria, José Manuel; Avellón, Ana; Barea, Luisa; Castro, Emma

    2006-07-01

    Mathematical models predict that, in Spain, a significant number of blood units will be obtained during the window period of the hepatitis B virus (HBV) infection. Routine nucleic acid testing (NAT) on individual blood units may provide experimental data to evaluate such a theoretical risk. Between February and July 2005, a total of 34,631 individual units were screened for HBV DNA by a multiplex transcription-mediated amplification (TMA) test. Units that repeatedly reacted in the test, but did not react for HBV surface antigen (HBsAg), were submitted to additional testing by both molecular and conventional assays, and the donors were recalled for follow-up studies and the collection of clinical and epidemiologic data. Confirmatory testing and follow-up studies identified 2 blood units donated during the HBV infection window period (1/17,316 units studied). Sequencing of amplification products obtained by nested polymerase chain reaction (n-PCR) revealed two HBV strains from genotypes D/ayw3 and F/adw4q-, but did not identify HBsAg mutants. The HBV DNA concentration in the index donations was estimated to be below the n-PCR detection level (180 IU/mL), in both cases. One donor developed acute hepatitis 2 months after donating blood, but the other remained asymptomatic and displayed normal alanine aminotransferase levels at follow-up. The HBV infection window period is a real issue in the setting of Spanish blood transfusions. NAT of individual units by TMA would make a significant contribution to improving the safety of the blood supply in Spain. Additional studies involving a larger number of units and longer periods of time are required, however, to ascertain the true incidence of the problem in this country.

  17. [Cost per capita in outpatients by gender].

    PubMed

    Villarreal-Ríos, Enrique; Campos Esparza, Maribel; Galicia Rodríguez, Liliana; Martínez González, Lidia; Vargas Daza, Emma Rosa; Torres Labra, Guadalupe; Patiño Vega, Adolfo; Rivera Martínez, María Teresa; Aparicio Rojas, Raúl; Juárez Durán, Martín

    2011-03-01

    The objective of this study is to identify the annual cost per capita by gender in first level of attention. It is a cost study in Family Physician Units in Mexico. The information corresponded to the year of 2004 and the study divided in the use profile and cost attention. USE PROFILE OF SERVICES: it was studied 1,585 clinical registries of patients, use profile defined by average and attention reasons by department, gender and age group. COST ATTENTION: considered in American dollars it included fixed unit cost (departmentalization adjusted by productivity), variable unit cost (micro cost technical), department unite cost by type attention, and department unit cost by age and gender. The life expectancy was of 73 years for men and 78 for women. Three scenes were identified. The annual cost per capita is superior among woman [US$73.24 (IC 95% $11.38 - $197.49)] than in man [$ 53.11 (IC 95% 2.51 - 207.71)]. The conclusion found that in the first level of attention the cost per capita is greater in woman than in man.

  18. The missing link? Testing a schema account of unitization.

    PubMed

    Tibon, Roni; Greve, Andrea; Henson, Richard

    2018-05-09

    Unitization refers to the creation of a new unit from previously distinct items. The concept of unitization has been used to explain how novel pairings between items can be remembered without requiring recollection, by virtue of new, item-like representations that enable familiarity-based retrieval. We tested an alternative account of unitization - a schema account - which suggests that associations between items can be rapidly assimilated into a schema. We used a common operationalization of "unitization" as the difference between two unrelated words being linked by a definition, relative to two words being linked by a sentence, during an initial study phase. During the following relearning phase, a studied word was re-paired with a new word, either related or unrelated to the original associate from study. In a final test phase, memory for the relearned associations was tested. We hypothesized that, if unitized representations act like schemas, then we would observe some generalization to related words, such that memory would be better in the definition than sentence condition for related words, but not for unrelated words. Contrary to the schema hypothesis, evidence favored the null hypothesis of no difference between definition and sentence conditions for related words (Experiment 1), even when each cue was associated with multiple associates, indicating that the associations can be generalized (Experiment 2), or when the schematic information was explicitly re-activated during Relearning (Experiment 3). These results suggest that unitized associations do not generalize to accommodate new information, and therefore provide evidence against the schema account.

  19. Thank you letters from patients in an intensive care unit: From the expression of gratitude to an applied ethic of care.

    PubMed

    Herbland, Alexandre; Goldberg, Michel; Garric, Nathalie; Lesieur, Olivier

    2017-12-01

    Patients' perception of an intensive care unit stay can lead to a better understanding of the expectations and needs of patients hospitalised in intensive care so that care for critically ill patients can be adapted and improved. Thank you letters are sources of original information which come directly and spontaneously from patients. The objective of this study was to analyse the thank you letters from patients who required intensive care treatment and to identify messages that could be intended for the intensive care unit team. We conducted a qualitative study according to a thematic analysis. The body of research consisted of 17 letters from patients hospitalised in intensive care unit. The study took place in the medical-surgical intensive care unit of a French general hospital. The intensive care unit is made up of 16 resuscitation beds and four continuous monitoring beds. Two main themes emerged: (i) expression of gratitude through a description of the caregivers' behaviour (humanity and professionalism) and recognition for surviving (ii) the narrative of the intensive care unit experience. Thank you letters give a rich insight into how the patients perceived their stay in intensive care unit. Letters from patients give direct feedback on the quality of care provided, contribute to give meaning to work and raise the question of what the core values of care should be for all concerned in the healthcare providers-patients relationship. Copyright © 2017 Elsevier Ltd. All rights reserved.

  20. Two decades (1993-2012) of adult intensive care unit design: a comparative study of the physical design features of the best practice examples.

    PubMed

    Rashid, Mahbub

    2014-01-01

    In 2006, Critical Care Nursing Quarterly published a study of the physical design features of a set of best practice example adult intensive care units (ICUs). These adult ICUs were awarded between 1993 and 2003 by the Society of Critical Care Medicine (SCCM), the American Association of Critical-Care Nurses, and the American Institute of Architects/Academy of Architecture for Health for their efforts to promote the critical care unit environment through design. Since 2003, several more adult ICUs were awarded by the same organizations for similar efforts. This study includes these newer ICUs along with those of the previous study to cover a period of 2 decades from 1993 to 2012. Like the 2006 study, this study conducts a systematic content analysis of the materials submitted by the award-winning adult ICUs. On the basis of the analysis, the study compares the 1993-2002 and 2003-2012 adult ICUs in relation to construction type, unit specialty, unit layout, unit size, patient room size and design, support and service area layout, and family space design. The study also compares its findings with the 2010 Guidelines for Design and Construction of Health Care Facilities of the Facility Guidelines Institute and the 2012 Guidelines for Intensive Care Unit Design of the SCCM. The study indicates that the award-winning ICUs of both decades used several design features that were associated with positive outcomes in research studies. The study also indicates that the award-winning ICUs of the second decade used more evidence-based design features than those of the first decades. In most cases, these ICUs exceeded the requirements of the Facility Guidelines Institute Guidelines to meet those of the SCCM Guidelines. Yet, the award-winning ICUs of both decades also used several features that had very little or no supporting research evidence. Since they all were able to create an optimal critical care environment for which they were awarded, having knowledge of the physical design of these award-winning ICUs may help design better ICUs.

  1. A scientifically based nationwide assessment of groundwater quality in the United States

    USGS Publications Warehouse

    Alley, W.M.; Cohen, P.

    1991-01-01

    Beginning in 1986, the U.S. Geological Survey began an effort to develop a National Water-Quality Assessment Program. The basic premise underlying this initiative is that a better understanding of the quality of water resources across the country, both surface- and groundwater, is needed to develop effective programs and policies to meet the nation's water-quality concerns. The program will focus on water-quality conditions that are prevalent or large in scale, such as occur from nonpoint sources of pollution or from a high density of point sources. The design of the program is substantially different from the traditional approach of a diffuse national monitoring network. The major activities of the assessment program will be clustered within a set of hydrologic systems (river basins and aquifer systems), referred to as study units. In aggregate, the study units will account for a large part of the nation's water use and represent a wide range of settings across the country. Unique attributes of the program include: (1) the use of consistent study approaches, field and laboratory methods, water-quality measurements, and ancillary data measurements for all study units; (2) the development of a progressive understanding of water-quality conditions and trends in each study unit through long-term studies that rotate periods of intensive data collection and analysis with periods during which the assessment activities are less intensive; and (3) the focus of considerable effort on synthesizing results from among the study units to provide information on regional and national water-quality issues. ?? 1991 Springer-Verlag New York Inc.

  2. Patient stress in intensive care: comparison between a coronary care unit and a general postoperative unit

    PubMed Central

    Dias, Douglas de Sá; Resende, Mariane Vanessa; Diniz, Gisele do Carmo Leite Machado

    2015-01-01

    Objective To evaluate and compare stressors identified by patients of a coronary intensive care unit with those perceived by patients of a general postoperative intensive care unit. Methods This cross-sectional and descriptive study was conducted in the coronary intensive care and general postoperative intensive care units of a private hospital. In total, 60 patients participated in the study, 30 in each intensive care unit. The stressor scale was used in the intensive care units to identify the stressors. The mean score of each item of the scale was calculated followed by the total stress score. The differences between groups were considered significant when p < 0.05. Results The mean ages of patients were 55.63 ± 13.58 years in the coronary intensive care unit and 53.60 ± 17.47 years in the general postoperative intensive care unit. For patients in the coronary intensive care unit, the main stressors were “being in pain”, “being unable to fulfill family roles” and “being bored”. For patients in the general postoperative intensive care unit, the main stressors were “being in pain”, “being unable to fulfill family roles” and “not being able to communicate”. The mean total stress scores were 104.20 ± 30.95 in the coronary intensive care unit and 116.66 ± 23.72 (p = 0.085) in the general postoperative intensive care unit. When each stressor was compared separately, significant differences were noted only between three items. “Having nurses constantly doing things around your bed” was more stressful to the patients in the general postoperative intensive care unit than to those in the coronary intensive care unit (p = 0.013). Conversely, “hearing unfamiliar sounds and noises” and “hearing people talk about you” were the most stressful items for the patients in the coronary intensive care unit (p = 0.046 and 0.005, respectively). Conclusion The perception of major stressors and the total stress score were similar between patients in the coronary intensive care and general postoperative intensive care units. PMID:25909309

  3. US metric study mission to the United Kingdom and the Federal Republic of Germany: Report of the NASA representative (Executive Summary)

    NASA Technical Reports Server (NTRS)

    Vlannes, P. N.

    1976-01-01

    The trip report is given of the NASA representative of the U.S. metric study mission to the United Kingdom and the Federal Republic of Germany. The mission was organized and conducted under the aegis of the American National Metric Council to learn at first hand the progress of metrication in the United Kingdom and the progress of metrication in the aerospace industry in both the United Kingdom and the Federal Republic of Germany. Representatives of the mission included a cross section of government, industry, labor, and other segments of the private sector. After general and special meetings in the United Kingdom, U.S. members with aerospace related interests met with aerospace representatives in the Federal Republic of Germany.

  4. NMR study of methane + ethane structure I hydrate decomposition.

    PubMed

    Dec, Steven F; Bowler, Kristen E; Stadterman, Laura L; Koh, Carolyn A; Sloan, E Dendy

    2007-05-24

    The thermally activated decomposition of methane + ethane structure I hydrate was studied with use of 13C magic-angle spinning (MAS) NMR as a function of composition and temperature. The observed higher decomposition rate of large sI cages initially filled with ethane gas can be described in terms of a model where a distribution of sI unit cells exists such that a particular unit cell contains zero, one, or two methane molecules in the unit cell; this distribution of unit cells is combined to form the observed equilibrium composition. In this model, unit cells with zero methane molecules are the least stable and decompose more rapidly than those populated with one or two methane molecules leading to the observed overall faster decomposition rate of the large cages containing ethane molecules.

  5. Terrestrial Ecology Guide.

    ERIC Educational Resources Information Center

    Morrison, James W., Ed.; Hall, James A., Ed.

    This collection of study units focuses on the study of the ecology of land habitats. Considered are such topics as map reading, field techniques, forest ecosystem, birds, insects, small mammals, soils, plant ecology, preparation of terrariums, air pollution, photography, and essentials of an environmental studies program. Each unit contains…

  6. Study on dynamic characteristics of hydraulic pumping unit on offshore platform

    NASA Astrophysics Data System (ADS)

    Chang, Zong-yu; Yu, Yan-qun; Qi, Yao-guang

    2017-12-01

    A new technology of offshore oil rod pumping production is developed for offshore heavy oil recovery. A new type of miniature hydraulic pumping unit with long-stroke, low pumping speed and compact structure is designed based on the spatial characteristics of offshore platforms. By combining the strengths of sinusoidal velocity curve and trapezoidal velocity curve, a kinematical model of the acceleration, the velocity and displacement of the pumping unit's hanging point is established. The results show that the pumping unit has good kinematic characteristics of smooth motion and small dynamic load. The multi-degree-of-freedom dynamic model of the single-well pumping unit is established. The first and second order natural frequencies of the sucker rod string subsystem and the pumping unit subsystem are studied. The results show that the first and the second order natural frequencies among the pumping rod string, pumping unit-platform subsystem and the dynamic excitation have differences over 5 times from each other, indicating that resonance phenomenon will not appear during the operation and the dynamic requirements for field use are met in the system.

  7. A Perspective on Third-Party Providers and Study Tour Programs: A Mixed Method Study

    ERIC Educational Resources Information Center

    Hains-Wesson, Rachael; Appleby, Mary

    2017-01-01

    This article presents an evaluation research outcome that used a mixed method approach. The study evaluated a short-term, study tour unit that was offered as an elective, credit-bearing, work-integrated learning experience for second year undergraduate students at Swinburne University of Technology, Melbourne, Australia. The unit of study offered…

  8. Managerial Finance. Unit Study Guides.

    ERIC Educational Resources Information Center

    Billingham, Carol J.

    This self-instructional study guide is part of the materials for a college-level programmed course in managerial finance. The study guide is intended for use by students in conjunction with a separate student manual and a series of instructional tape casettes. The study guide contains seven major units that focus in turn on the goal of financial…

  9. Women's Studies: A Resource Guide for Teachers.

    ERIC Educational Resources Information Center

    British Columbia Dept. of Education, Victoria.

    Designed to help secondary teachers in British Columbia (Canada) supplement the curriculum, the guide contains a series of units focusing on women's studies. The units can be integrated into English, social studies, and guidance courses or used as a resource for the development of a women's studies course. Topics covered are reflected in the unit…

  10. 45 CFR 2400.43 - Required courses of graduate study.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... study. (a) To be acceptable to the Foundation, those courses related to the Constitution referred to in... study of topics directly related to the United States Constitution. More than 12 semester hours or their... minimum of 12 semester hours or their credit hour equivalent of study of the United States Constitution...

  11. EMAP WESTERN UNITED STATES LANDSCAPE CHARACTERIZATION OREGON DATA AND PRODUCT BROWSER

    EPA Science Inventory

    The United States Environmental Protection Agency's Environmental Monitoring and Assessment Program (EMAP) is conducting a study in the western United States (EPA Regions 8, 9, and 10) that will advance the science of ecological monitoring and demonstrate techniques for regional-...

  12. Energy in Our Society.

    ERIC Educational Resources Information Center

    Philadelphia Electric Co., PA. Energy Education Advisory Council.

    This publication is a series of 13 original classroom instructional packets and an additional 4 units adapted from National Science Teachers Association units. Each packet is designed to supplement specific existing subject curricula. Units have been designed for physics, chemistry, English, mathematics, general science and studies. Packets…

  13. Case Studies of Internationalization in Adult and Higher Education: Inside the Processes of Four Universities in the United States and the United Kingdom

    ERIC Educational Resources Information Center

    Coryell, Joellen Elizabeth; Durodoye, Beth A.; Wright, Robin Redmon; Pate, P. Elizabeth; Nguyen, Shelbee

    2012-01-01

    This report outlines a method for learning about the internationalization processes at institutions of adult and higher education and then provides the analysis of data gathered from the researchers' own institution and from site visits to three additional universities in the United States and the United Kingdom. It was found that campus…

  14. Volcanology: Self-Directed Study Units for Grades K-3 and 4-8, Gifted. Easily Adapted for Regular Classroom Use. Zephyr Learning Project.

    ERIC Educational Resources Information Center

    Rassmusen, Bonnie

    Originally designed for gifted students, these reproducible volcanology units emphasize the use of higher order thinking skills and are appropriate for use in any classroom. Interdisciplinary in content, the units provide a broad view of volcanology. Included are two complete units, one created for the upper elementary gifted student and the other…

  15. The Model U.N. Program: Teaching Unreality. A United Nations Assessment Project Study. The Heritage Foundation Backgrounder No. 282.

    ERIC Educational Resources Information Center

    Gulick, Thomas G.; Merkle, Melanie L.

    An evaluation of the instructional materials used by high school and college students who participated in the Model United Nations Program showed that the program is uncritical of the United Nations (U.N.) and biased against the United States and the West in general. These materials are strongly promoted by many prominent educational professional…

  16. Journeys and Destinations: The Challenge of Change. A Language Arts Unit for Grades 2-3.

    ERIC Educational Resources Information Center

    Cawley, Carol; And Others

    This unit of study for high-ability language arts students in grades 2-3 uses an inquiry-based approach to investigate literature in an interdisciplinary curriculum. The guiding theme of the unit is the recognition of change as a concept that affects people and their relationships as well as the world around them. The unit provides the vehicle for…

  17. Selected Essays and Curriculum Units: Foreign Language Instruction through the Study of Literary Texts. French, German, Spanish.

    ERIC Educational Resources Information Center

    Silber, Ellen S., Ed.; Krug, Clara, Ed.

    This guide presents essays and curriculum units designed for use by secondary and college teachers of French, German, and Spanish as a foreign language. The first section of the work includes two essays, in French, and eight curriculum units based on the stories of Guy de Maupassant. The second section contains seven curriculum units that…

  18. Entomology: Self-Directed Study Units for Grades K-3 and 4-8, Gifted. Easily Adapted for Regular Classrrom Use. Zephyr Learning Project.

    ERIC Educational Resources Information Center

    Clements, Sue; And Others

    These reproducible entomology units are an introduction to a fascinating world within a world. Originally designed for gifted students, these units emphasize the use of higher order thinking skills and are appropriate for use in any classroom. Interdisciplinary in content, the units provide a broad view of entomology. Included are two complete…

  19. The Design, Implementation, and Evaluation of a Digital Interactive Globe System Integrated into an Earth Science Course

    ERIC Educational Resources Information Center

    Liou, Wei-Kai; Bhagat, Kaushal Kumar; Chang, Chun-Yen

    2018-01-01

    The aim of this study is to design and implement a digital interactive globe system (DIGS), by integrating low-cost equipment to make DIGS cost-effective. DIGS includes a data processing unit, a wireless control unit, an image-capturing unit, a laser emission unit, and a three-dimensional hemispheric body-imaging screen. A quasi-experimental study…

  20. Condoned or condemned: the situational affordance of anger and shame in the United States and Japan.

    PubMed

    Boiger, Michael; Mesquita, Batja; Uchida, Yukiko; Feldman Barrett, Lisa

    2013-04-01

    Two studies tested the idea that the situations that people encounter frequently and the situations that they associate most strongly with an emotion differ across cultures in ways that can be understood from what a culture condones or condemns. In a questionnaire study, N = 163 students from the United States and Japan perceived situations as more frequent to the extent that they elicited condoned emotions (anger in the United States, shame in Japan), and they perceived situations as less frequent to the extent that they elicited condemned emotions (shame in the United States, anger in Japan). In a second study, N = 160 students from the United States and Japan free-sorted the same situations. For each emotion, the situations could be organized along two cross-culturally common dimensions. Those situations that touched upon central cultural concerns were perceived to elicit stronger emotions. The largest cultural differences were found for shame; smaller, yet meaningful, differences were found for anger.

  1. The business of palliative medicine--part 4: Potential impact of an acute-care palliative medicine inpatient unit in a tertiary care cancer center.

    PubMed

    Walsh, Declan

    2004-01-01

    In this study, a hematology/oncology computerized discharge database was qualitatively and quantitatively reviewed using an empirical methodology. The goal was to identify potential patients for admission to a planned acute-care, palliative medicine inpatient unit. Patients were identified by the International Classifications of Disease (ICD-9) codes. A large heterogenous population, comprising up to 40 percent of annual discharges from the Hematology/Oncology service, was identified. If management decided to add an acute-care, palliative medicine unit to the hospital, these are the patients who would benefit. The study predicted a significant change in patient profile, acuity, complexity, and resource utilization in current palliative care services. This study technique predicted the actual clinical load of the acute-care unit when it opened and was very helpful in program development. Our model predicted that 695 patients would be admitted to the acute-care palliative medicine unit in the first year of operation; 655 patients were actually admitted during this time.

  2. [National survey of preoperative management and patient selection in ambulatory surgery centers].

    PubMed

    Papaceit, J; Olona, M; Ramón, C; García-Aguado, R; Rodríguez, R; Rull, M

    2003-01-01

    The objective of this study was to determine both the selection and preparation criteria in patients in various Spanish ambulatory surgery centers, as well as the impact of these criteria on their results. The results were compared according to the type of functional structure of the units (autonomous or integrated). We performed a cross sectional, descriptive study through postal survey. The survey contained the following items: type of unit, surgical procedures, selection criteria, preoperative assessment and management, and qualitative and quantitative indexes of the activity performed in 2000. A total of 123 units were included with a response rate of 39%. The selection criteria showed a high degree of consensus. The outpatient anesthesia clinic was used for preoperative assessment by 97.9% of the units. Most units routinely requested preoperative tests (hemostasis and hemogram by 89%; biochemical parameters by 72.9%) and to a lesser extent chest X-ray (33.3%) and electrocardiogram (35.4%). The introduction of procedures for the management of coexisting diseases was scarce (25-64.6%). Units using the outpatient anesthesia clinic in all patients had a lower cancellation rate (1.5% vs 4.4%). Autonomous units were significantly more likely to accept patients with high surgical-anesthetic risk than integrated units. Autonomous units also showed a significantly lower number of admissions (1.2% vs 1.9%, p = 0.003), mean stay (240 min vs 367 min, p = 0.002), and recovery time (150 min vs 212 min, p = 0.001) than integrated units. No statistically significant differences were found in the remaining parameters. Scientifically based protocols for patient selection, preoperative assessment and perioperative management of distinct processes and for the rational use of laboratory tests should be more widely used. The need for an outpatient anesthesia clinic for preoperative assessment was notable. The results of our survey indicate that better results in performance indexes are achieved in autonomous ambulatory surgery units than in integrated units. Given the possibility of defining and validating quality standards, further multicenter studies should be performed.

  3. Important questions asked by family members of intensive care unit patients.

    PubMed

    Peigne, Vincent; Chaize, Marine; Falissard, Bruno; Kentish-Barnes, Nancy; Rusinova, Katerina; Megarbane, Bruno; Bele, Nicolas; Cariou, Alain; Fieux, Fabienne; Garrouste-Orgeas, Maite; Georges, Hugues; Jourdain, Merce; Kouatchet, Achille; Lautrette, Alexandre; Legriel, Stephane; Regnier, Bernard; Renault, Anne; Thirion, Marina; Timsit, Jean-Francois; Toledano, Dany; Chevret, Sylvie; Pochard, Frédéric; Schlemmer, Benoît; Azoulay, Elie

    2011-06-01

    Relatives often lack important information about intensive care unit patients. High-quality information is crucial to help relatives overcome the often considerable situational stress and to acquire the ability to participate in the decision-making process, most notably regarding the appropriate level of care. We aimed to develop a list of questions important for relatives of patients in the intensive care unit. This was a multicenter study. Questions asked by relatives of intensive care unit patients were collected from five different sources (literature, panel of 28 intensive care unit nurses and physicians, 1-wk survey of nurses and 1-wk survey of physicians in 14 intensive care units, and in-depth interviews with 14 families). After a qualitative analysis (framework approach and thematic analysis), questions were rated by 22 relatives and 14 intensive care unit physicians, and the ratings were analyzed using principal component analysis and hierarchical clustering. The five sources produced 2,135 questions. Removal of duplicates and redundancies left 443 questions, which were distributed among nine predefined domains using a framework approach ("diagnosis," "treatment," "prognosis," "comfort," "interaction," "communication," "family," "end of life," and "postintensive care unit management"). Thematic analysis in each domain led to the identification of 46 themes, which were reworded as 46 different questions. Ratings by relatives and physicians showed that 21 of these questions were particularly important for relatives of intensive care unit patients. This study increases knowledge about the informational needs of relatives of intensive care unit patients. This list of questions may prove valuable for both relatives and intensive care unit physicians as a tool for improving communication in the intensive care unit.

  4. Change in Sediment Provenance Near the Current Estuary of Yellow River Since the Holocene Transgression

    NASA Astrophysics Data System (ADS)

    Song, Sheng; Feng, Xiuli; Li, Guogang; Liu, Xiao; Xiao, Xiao; Feng, Li

    2018-06-01

    Sedimentary sequence and sediment provenance are important factors when it comes to the studies on marine sedimentation. This paper studies grain size distribution, lithological characteristics, major and rare earth elemental compositions, micropaleontological features and 14C ages in order to examine sedimentary sequence and sediment provenance of the core BH6 drilled at the mouth of the Yellow River in Bohai Sea. According to the grain size and the micropaleontological compositions, 4 sedimentary units have been identified. Unit 1 (0-8.08 mbsf) is of the delta sedimentary facies, Unit 2 (8.08-12.08 mbsf) is of the neritic shelf facies, Unit 3 (12.08-23.85 mbsf) is of near-estuary beach-tidal facies, and Unit 4 (23.85 mbsf-) is of the continental lake facies. The deposits from Unit 1 to Unit 3 have been found to be marine strata formed after the Holocene transgression at about 10 ka BP, while Unit 4 is continental lacustrine deposit formed before 10 ka BP. The provenances of core BH6 sediments show properties of the continental crust and vary in different sedimentary periods. For Unit 4 sediments, the source regions are dispersed while the main provenance is not clear, although the parent rock characteristics of a few samples are similar to the Luanhe River sediments. For Unit 3, sediments at 21.1-23.85 mbsf have been mainly transported from the Liaohe River, while sediments above 21.1 mbsf are mainly from the Yellow River and partially from the Liaohe River. For Unit 2, the sediments have been mainly transported from the Yellow River, with a small amount from other rivers. For Unit 1, the provenance is mainly the Yellow River catchment. These results help in better understanding the evolution of the Yellow River Delta.

  5. Freestanding midwifery units: Maternal and neonatal outcomes following transfer.

    PubMed

    Monk, Amy R; Grigg, Celia P; Foureur, Maralyn; Tracy, Mark; Tracy, Sally K

    2017-03-01

    the viability of freestanding midwifery units in Australia is restricted, due to concerns over their safety, particularly for women and babies who, require transfer. to compare the maternal and neonatal birth outcomes of women who planned, to give birth at freestanding midwifery units and subsequently, transferred to a tertiary maternity unit to the maternal and neonatal, outcomes of a low-risk cohort of women who planned to give birth in, tertiary maternity unit. a descriptive study compared two groups of women with low-risk singleton, pregnancies who were less than 28 weeks pregnant at booking: women who, planned to give birth at a freestanding midwifery unit (n=494) who, transferred to a tertiary maternity unit during the antenatal, intrapartum or postnatal periods (n=260) and women who planned to give, birth at a tertiary maternity unit (n=3157). Primary outcomes were mode, of birth, Apgar score of less than 7 at 5minutes and admission to, special care nursery or neonatal intensive care. the proportion of women who experienced a caesarean section was lower, among the freestanding midwifery unit women who transferred during the, intrapartum/postnatal period compared to women in the tertiary maternity, unit group (16.1% versus 24.8% respectively). Other outcomes were, comparable between the cohorts. Rates of primary outcomes in relation to, stage of transfer varied when stratified by parity. these descriptive results support the provision of care in freestanding, midwifery units as an alternative to tertiary maternity units for women, with low risk pregnancies at the time of booking. A larger study, powered, to determine statistical significance of any differences in outcomes, is, required. Copyright © 2017 Elsevier Ltd. All rights reserved.

  6. Prevalence of health promotion programs in primary health care units in Brazil

    PubMed Central

    Ramos, Luiz Roberto; Malta, Deborah Carvalho; Gomes, Grace Angélica de Oliveira; Bracco, Mário M; Florindo, Alex Antonio; Mielke, Gregore Iven; Parra, Diana C; Lobelo, Felipe; Simoes, Eduardo J; Hallal, Pedro Curi

    2014-01-01

    OBJECTIVE Assessment of prevalence of health promotion programs in primary health care units within Brazil’s health system. METHODS We conducted a cross-sectional descriptive study based on telephone interviews with managers of primary care units. Of a total 42,486 primary health care units listed in the Brazilian Unified Health System directory, 1,600 were randomly selected. Care units from all five Brazilian macroregions were selected proportionally to the number of units in each region. We examined whether any of the following five different types of health promotion programs was available: physical activity; smoking cessation; cessation of alcohol and illicit drug use; healthy eating; and healthy environment. Information was collected on the kinds of activities offered and the status of implementation of the Family Health Strategy at the units. RESULTS Most units (62.0%) reported having in place three health promotion programs or more and only 3.0% reported having none. Healthy environment (77.0%) and healthy eating (72.0%) programs were the most widely available; smoking and alcohol use cessation were reported in 54.0% and 42.0% of the units. Physical activity programs were offered in less than 40.0% of the units and their availability varied greatly nationwide, from 51.0% in the Southeast to as low as 21.0% in the North. The Family Health Strategy was implemented in most units (61.0%); however, they did not offer more health promotion programs than others did. CONCLUSIONS Our study showed that most primary care units have in place health promotion programs. Public policies are needed to strengthen primary care services and improve training of health providers to meet the goals of the agenda for health promotion in Brazil. PMID:25372175

  7. SCB thermite igniter studies

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

    Bickes, R.W. Jr.; Wackerbarth, D.E.; Mohler, J.H.

    1996-12-31

    The authors report on recent studies comparing the ignition threshold of temperature cycled, SCB thermite devices with units that were not submitted to temperature cycling. Aluminum/copper-oxide thermite was pressed into units at two densities, 45% of theoretical maximum density (TMD) or 47% of TMD. Half of each of the density sets underwent three thermal cycles; each cycle consisted of 2 hours at 74 C and 2 hours at {minus}54 C, with a 5 minute maximum transfer time between temperatures. The temperature cycled units were brought to ambient temperature before the threshold testing. Both the density and the thermal cycling affectedmore » the all-fire voltage. Using a 5.34 {micro}F CDU (capacitor discharge unit) firing set, the all-fire voltage for the units that were not temperature cycled increased with density from 32.99 V (45% TMD) to 39.32 V (47% TMD). The all-fire voltages for the thermally cycled units were 34.42 V (45% TMD) and 58.1 V (47% TMD). They also report on no-fire levels at ambient temperature for two component designs; the 5 minute no-fire levels were greater than 1.2 A. Units were also subjected to tests in which 1 W of RF power was injected into the bridges at 10 MHz for 5 minutes. The units survived and fired normally afterwards. Finally, units were subjected to pin-to-pin electrostatic discharge (ESD) tests. None of the units fired upon application of the ESD pulse, and all of the tested units fired normally afterwards.« less

  8. Reducing time-to-unit among patients referred to an outpatient stroke assessment unit with a novel triage process: a prospective cohort study.

    PubMed

    Bibok, Maximilian B; Votova, Kristine; Balshaw, Robert F; Lesperance, Mary L; Croteau, Nicole S; Trivedi, Anurag; Morrison, Jaclyn; Sedgwick, Colin; Penn, Andrew M

    2018-02-27

    To evaluate the performance of a novel triage system for Transient Ischemic Attack (TIA) units built upon an existent clinical prediction rule (CPR) to reduce time to unit arrival, relative to the time of symptom onset, for true TIA and minor stroke patients. Differentiating between true and false TIA/minor stroke cases (mimics) is necessary for effective triage as medical intervention for true TIA/minor stroke is time-sensitive and TIA unit spots are a finite resource. Prospective cohort study design utilizing patient referral data and TIA unit arrival times from a regional fast-track TIA unit on Vancouver Island, Canada, accepting referrals from emergency departments (ED) and general practice (GP). Historical referral cohort (N = 2942) from May 2013-Oct 2014 was triaged using the ABCD2 score; prospective referral cohort (N = 2929) from Nov 2014-Apr 2016 was triaged using the novel system. A retrospective survival curve analysis, censored at 28 days to unit arrival, was used to compare days to unit arrival from event date between cohort patients matched by low (0-3), moderate (4-5) and high (6-7) ABCD2 scores. Survival curve analysis indicated that using the novel triage system, prospectively referred TIA/minor stroke patients with low and moderate ABCD2 scores arrived at the unit 2 and 1 day earlier than matched historical patients, respectively. The novel triage process is associated with a reduction in time to unit arrival from symptom onset for referred true TIA/minor stroke patients with low and moderate ABCD2 scores.

  9. United Kingdom: Medical Laboratory Science, Occupational Therapy, Physiotherapy. A Study of These Programs and a Guide to the Academic Placement of Students from These Programs in Educational Institutions of the United States.

    ERIC Educational Resources Information Center

    Margolis, Alan M.; Monahan, Thomas J.

    Medical laboratory science, occupational therapy, and physiotherapy programs in the United Kingdom (U.K.) are described, and guidelines concerning the academic placement of students from these programs who wish to study in U.S. institutions are provided. For each of the programs, attention is directed to the relevant professional bodies, career…

  10. A Guide to the Study of the United States of America. Representative Books Reflecting the Development of American Life and Thought. Supplement 1956-1965.

    ERIC Educational Resources Information Center

    Orr, Oliver H., Jr.; And Others

    This supplement to the 1960 edition of "A Guide to the Study of the United States of America" contains titles held by the Library of Congress that reflect the development of the United States and were published between 1956 and 1965. In some instances a few pre-1956 publications are entered. These include parts of series or multivolume…

  11. Design characteristics of acute care units in china.

    PubMed

    Lu, Yi; Wang, Yijia

    2014-01-01

    To describe the current state of design characteristics of acute care units in China's public hospitals and compare these with characteristics with acute care units in the United States. The healthcare construction industry in China is one of the fastest growing sectors in China and, arguably, in the world. Understanding the physical design of acute care units in China is of great importance because it will influence a large population. Descriptive study was performed of unit configuration, size, patient visibility, distance to nursing station and supplies, and lighting conditions in 25 units in 19 public hospitals built after 2003. Data and information were collected based on spatial and visibility analysis. The study identified major design characteristics of the recently built (from 2003 onward) acute care units in China, comparing them, where appropriate, with those in U.S. It found there are three dominant types of unit layout: single-corridor (52%), triangular (36%), and double-corridor (12%). The number of private rooms is very low (11%), compared with two- or three-bed rooms. Centralized nursing stations are the only type of nurses' working area. China also has a large unit size in terms of number of patient beds. The average number of patient beds in a unit is 40.6 in China (versus 32.9 in U.S.). The care units in China have longer walking distance from nursing station to patient bedside. The percentage of beds visible from a nursing station is lower in China than in the U.S. The access to natural light and direct sunlight in patient rooms is greater in China compared with those in U.S.-100% of patient rooms in China have natural lighting. A majority of them face south or southeast and thus receiving direct sunlight (91.4%). Because of the differences in economies and building codes, there are dramatic differences between the spatial characteristics of acute care units in China and the United States. © 2014 Vendome Group, LLC.

  12. Association of Resident Coverage with Cost, Length of Stay, and Profitability at a Community Hospital

    PubMed Central

    Shine, Daniel; Beg, Sumbul; Jaeger, Joseph; Pencak, Dorothy; Panush, Richard

    2001-01-01

    OBJECTIVE The effect of care by medical residents on hospital length of stay (LOS), indirect costs, and reimbursement was last examined across a range of illnesses in 1981; the issue has never been examined at a community hospital. We studied resource utilization and reimbursement at a community hospital in relation to the involvement of medical residents. DESIGN This nonrandomized observational study compared patients discharged from a general medicine teaching unit with those discharged from nonteaching general medical/surgical units. SETTING A 620-bed community teaching hospital with a general medicine teaching unit (resident care) and several general medicine nonteaching units (no resident care). PATIENTS All medical discharges between July 1998 and February 1999, excluding those from designated subspecialty and critical care units. MEASUREMENTS AND MAIN RESULTS Endpoints included mean LOS in excess of expected LOS, mean cost in excess of expected mean payments, and mean profitability (payments minus total costs). Observed values were obtained from the hospital's database and expected values from a proprietary risk–cost adjustment program. No significant difference in LOS between 917 teaching-unit patients and 697 nonteaching patients was demonstrated. Costs averaged $3,178 (95% confidencence interval (CI) ± $489) less than expected among teaching-unit patients and $4,153 (95% CI ± $422) less than expected among nonteaching-unit patients. Payments were significantly higher per patient on the teaching unit than on the nonteaching units, and as a result mean, profitability was higher: $848 (95% CI ± $307) per hospitalization for teaching-unit patients and $451 (95% CI ± $327) for patients on the nonteaching units. Teaching-unit patients of attendings who rarely admitted to the teaching unit (nonteaching attendings) generated an average profit of $1,299 (95% CI ± $613), while nonteaching patients of nonteaching attendings generated an average profit of $208 (95% CI ± $437). CONCLUSIONS Resident care at our community teaching hospital was associated with significantly higher costs but also with higher payments and greater profitability. PMID:11251744

  13. Developing a framework for implementing intensive care unit diaries: a focused review of the literature.

    PubMed

    Beg, Muna; Scruth, Elizabeth; Liu, Vincent

    2016-11-01

    Intensive care unit diaries have been shown to improve post-critical illness recovery, however, prior reports of diary implementation are heterogeneous. We sought to construct a common framework for designing and implementing Intensive Care Unit diaries based on prior studies. We conducted a focused review of the literature regarding intensive care diaries based on a systematic search of several databases. Two reviewers assessed 56 studies and data were abstracted from a total of 25 eligible studies conducted between 1990 and 2014. We identified key information regarding the development, design, and implementation of the journals. We then grouped elements that appeared consistently across these studies within three main categories: (1) diary target populations; (2) diary format and content; and (3) the manner of diary return and follow-up. Most studies were conducted in European countries in adult intensive care units and targeted patients in both medical and surgical units. The timing of diary initiation was based on the elapsed length of stay or duration of mechanical ventilation. We categorised diary format and content as: entry content, authors, use of standardised headings, type of language, initiation, frequency of entries, and physical location of diaries. Diaries were hand written and many studies found that photographs were an essential element in ICU diaries. We categorised the manner of diary return and follow-up. The context in which intensive care unit diaries were returned were felt to be important factors in improving the use of diaries in recovery. In conclusion, we describe a common framework for the future development of intensive care unit diaries that revolves around the target population for the diaries, their format and content, and the timing of their use. Future studies should address how these elements impact the mechanisms by which intensive are diaries exert beneficial effects. Copyright © 2016 Australian College of Critical Care Nurses Ltd. Published by Elsevier Ltd. All rights reserved.

  14. A review of ride comfort studies in the United Kingdom

    NASA Technical Reports Server (NTRS)

    Griffin, M. J.

    1975-01-01

    United Kingdom research which is relevant to the assessment of vehicle ride comfort was reviewed. The findings reported in approximately 80 research papers are outlined, and an index to the areas of application of these studies is provided. The data obtained by different research groups are compared, and it is concluded that, while there are some areas of general agreement, the findings obtained from previous United Kingdom research are insufficient to define a general purpose ride comfort evaluation procedure. The degree to which United Kingdom research supports the vibration evaluation procedure defined in the current International Standard on the evaluation of human exposure to whole-body vibration is discussed.

  15. Mapping Evapotranspiration Units in the Basin and Range Carbonate-Rock Aquifer System, White Pine County, Nevada, and Adjacent Areas in Nevada and Utah

    USGS Publications Warehouse

    Smith, J. LaRue; Laczniak, Randell J.; Moreo, Michael T.; Welborn, Toby L.

    2007-01-01

    Accurate estimates of ground-water discharge are crucial in the development of a water budget for the Basin and Range carbonate-rock aquifer system study area. One common method used throughout the southwestern United States is to estimate ground-water discharge from evapotranspiration (ET). ET is a process by which water from the Earth's surface is transferred to the atmosphere. The volume of water lost to the atmosphere by ET can be computed as the product of the ET rate and the acreage of vegetation, open water, and moist soil through which ET occurs. The procedure used in the study groups areas of similar vegetation, water, and soil conditions into different ET units, assigns an average annual ET rate to each unit, and computes annual ET from each ET unit within the outer extent of potential areas of ground-water discharge. Data sets and the procedures used to delineate the ET-unit map used to estimate ground-water discharge from the study area and a qualitative assessment of the accuracy of the map are described in this report.

  16. Speech intelligibility in hospitals.

    PubMed

    Ryherd, Erica E; Moeller, Michael; Hsu, Timothy

    2013-07-01

    Effective communication between staff members is key to patient safety in hospitals. A variety of patient care activities including admittance, evaluation, and treatment rely on oral communication. Surprisingly, published information on speech intelligibility in hospitals is extremely limited. In this study, speech intelligibility measurements and occupant evaluations were conducted in 20 units of five different U.S. hospitals. A variety of unit types and locations were studied. Results show that overall, no unit had "good" intelligibility based on the speech intelligibility index (SII > 0.75) and several locations found to have "poor" intelligibility (SII < 0.45). Further, occupied spaces were found to have 10%-15% lower SII than unoccupied spaces on average. Additionally, staff perception of communication problems at nurse stations was significantly correlated with SII ratings. In a targeted second phase, a unit treated with sound absorption had higher SII ratings for a larger percentage of time as compared to an identical untreated unit. Taken as a whole, the study provides an extensive baseline evaluation of speech intelligibility across a variety of hospitals and unit types, offers some evidence of the positive impact of absorption on intelligibility, and identifies areas for future research.

  17. Implementation of magnetic, gravity and resistivity data in identifying groundwater occurrences in El Qaa Plain area, Southern Sinai, Egypt

    NASA Astrophysics Data System (ADS)

    Selim, El Sayed; Abdel-Raouf, Osama; Mesalam, Mohamed

    2016-10-01

    El Qaa plain is one of the areas that have been proved to be promising as to its soil and groundwater resources in the southwestern part of Sinai. This study was carried out to study the lateral and vertical variations in the subsurface lithologic properties in El Qaa plain area and delineating the subsurface structure that affecting El Qaa plain depression. Gravity, magnetic data, fifty-one (51) vertical electrical sounding (Ves's) and Digital Elevation Model (DEM) map were used. Two-dimensional density modeling, analytical signal, tilt derivatives, Euler deconvolution techniques and interpretation of the resistivity data were applied on potential data. This study concluded that, El Qaa plain is a NE-SW depression confined by two normal faults and subdivided into five sedimentary units. Rock fragments and boulders derived to the plain from the surrounding highlands are the main components of the first surface unit that characterized by high resistivity values. This layer is overly another unit composed of gravelly sand with thickness ranging between 10 and 140 m. The third unit is composed mainly of sand with intercalations of clay with thickness ranging from 2 to 152 m. A Reefal limestone unit is a fourth unit interpreted from this study. The fifth unit is composed of clay. The water bearing formations in El Qaa Plain area are located principally in the second and the third layers. Finally, the depth to the basement surface ranges from 400 m to more than 1.5 km below sea level. Also, there are many minor structural trends interpreted from this study and affecting the El Qaa plain are striking in N-S, E-W and NE-SW directions.

  18. A placebo-controlled, double-blind, dose-escalation study to assess the safety, tolerability and pharmacokinetics/pharmacodynamics of single and multiple intravenous infusions of AZD9773 in patients with severe sepsis and septic shock

    PubMed Central

    2012-01-01

    Introduction Tumor necrosis factor-alpha (TNF-α), an early mediator in the systemic inflammatory response to infection, is a potential therapeutic target in sepsis. The primary objective of this study was to determine the safety and tolerability of AZD9773, an ovine, polyclonal, anti-human TNF-α Fab preparation, in patients with severe sepsis. Secondary outcomes related to pharmacokinetic (PK) and pharmacodynamic (PD) parameters. Methods In this double-blind, placebo-controlled, multicenter Phase IIa study, patients were sequentially enrolled into five escalating-dose cohorts (single doses of 50 or 250 units/kg; multiple doses of 250 units/kg loading and 50 units/kg maintenance, 500 units/kg loading and 100 units/kg maintenance, or 750 units/kg loading and 250 units/kg maintenance). In each cohort, patients were randomized 2:1 to receive AZD9773 or placebo. Results Seventy patients received AZD9773 (n = 47) or placebo (n = 23). Baseline characteristics were similar across cohorts. Mean baseline APACHE score was 25.9. PK data demonstrated an approximately proportional increase in concentration with increasing dose and a terminal half-life of 20 hours. For the multiple-dose cohorts, serum TNF-α concentrations decreased to near-undetectable levels within two hours of commencing AZD9773 infusion. This suppression was maintained in most patients for the duration of treatment. AZD9773 was well tolerated. Most adverse events were of mild-to-moderate intensity and considered by the reporting investigator as unrelated to study treatment. Conclusions The safety, PK and PD data support the continued evaluation of AZD9773 in larger Phase IIb/III studies. PMID:22340283

  19. Contribution from motor unit firing adaptations and muscle co-activation during fatigue.

    PubMed

    Contessa, Paola; Letizi, John; De Luca, Gianluca; Kline, Joshua C

    2018-03-14

    The control of motor unit firing behavior during fatigue is still debated in the literature. Most studies agree that the central nervous system increases the excitation to the motoneuron pool to compensate for decreased force contributions of individual motor units and sustain muscle force output during fatigue. However, some studies claim that motor units may decrease their firing rates despite increased excitation, contradicting the direct relationship between firing rates and excitation that governs the voluntary control of motor units. To investigate whether the control of motor units in fact changes with fatigue, we measured motor unit firing behavior during repeated contractions of the first dorsal interosseous (FDI) muscle while concurrently monitoring the activation of surrounding muscles - including the flexor carpi radialis, extensor carpi radialis, and pronator teres. Across all subjects, we observed an overall increase in FDI activation and motor unit firing rates by the end of the fatigue task. However, in some subjects we observed increases in FDI activation and motor unit firing rates only during the initial phase of the fatigue task, followed by subsequent decreases during the late phase of the fatigue task while the co-activation of surrounding muscles increased. These findings indicate that the strategy for sustaining force output may occasionally change leading to increases in the relative activation of surrounding muscles while the excitation to the fatiguing muscle decreases. Importantly, irrespective of changes in the strategy for sustaining force output, the control properties regulating motor unit firing behavior remain unchanged during fatigue.

  20. The influence of time units on the flexibility of the spatial numerical association of response codes effect.

    PubMed

    Zhao, Tingting; He, Xianyou; Zhao, Xueru; Huang, Jianrui; Zhang, Wei; Wu, Shuang; Chen, Qi

    2018-05-01

    The Spatial Numerical/Temporal Association of Response Codes (SNARC/STEARC) effects are considered evidence of the association between number or time and space, respectively. As the SNARC effect was proposed by Dehaene, Bossini, and Giraux in 1993, several studies have suggested that different tasks and cultural factors can affect the flexibility of the SNARC effect. This study explored the influence of time units on the flexibility of the SNARC effect via materials with Arabic numbers, which were suffixed with time units and subjected to magnitude comparison tasks. Experiment 1 replicated the SNARC effect for numbers and the STEARC effect for time units. Experiment 2 explored the flexibility of the SNARC effect when numbers were attached to time units, which either conflicted with the numerical magnitude or in which the time units were the same or different. Experiment 3 explored whether the SNARC effect of numbers was stable when numbers were near the transition of two adjacent time units. The results indicate that the SNARC effect was flexible when the numbers were suffixed with time units: Time units influenced the direction of the SNARC effect in a way which could not be accounted for by the mathematical differences between the time units and numbers. This suggests that the SNARC effect is not obligatory and can be easily adapted or inhibited based on the current context. © 2017 The Authors. British Journal of Psychology published by John Wiley & Sons Ltd on behalf of British Psychological Society.

  1. Impact of water quality on the bacterial populations and off-flavours in recirculating aquaculture systems.

    PubMed

    Auffret, Marc; Yergeau, Étienne; Pilote, Alexandre; Proulx, Émilie; Proulx, Daniel; Greer, Charles W; Vandenberg, Grant; Villemur, Richard

    2013-05-01

    A variety of factors affecting water quality in recirculating aquaculture systems (RAS) are associated with the occurrence of off-flavours. In this study, we report the impact of water quality on the bacterial diversity and the occurrence of the geosmin-synthesis gene (geoA) in two RAS units operated for 252 days. Unit 2 displayed a higher level of turbidity and phosphate, which affected the fresh water quality compared with unit 1. In the biofilter, nitrification is one of the major processes by which high water quality is maintained. The bacterial population observed in the unit 1 biofilter was more stable throughout the experiment, with a higher level of nitrifying bacteria compared with the unit 2 biofilter. Geosmin appeared in fish flesh after 84 days in unit 2, whereas it appeared in unit 1 after 168 days, but at a much lower level. The geoA gene was detected in both units, 28 days prior to the detection of geosmin in fish flesh. In addition, we detected sequences associated with Sorangium and Nannocystis (Myxococcales): members of these genera are known to produce geosmin. These sequences were observed at an earlier time in unit 2 and at a higher level than in unit 1. This study confirms the advantages of new molecular methods to understand the occurrence of geosmin production in RAS. © 2012 Federation of European Microbiological Societies. Published by Blackwell Publishing Ltd. All rights reserved.

  2. Adult mouse motor units develop almost all of their force in the subprimary range: a new all-or-none strategy for force recruitment?

    PubMed

    Manuel, Marin; Heckman, C J

    2011-10-19

    Classical studies of the mammalian neuromuscular system have shown an impressive adaptation match between the intrinsic properties of motoneurons and the contractile properties of their motor units. In these studies, the rate at which motoneurons start to fire repetitively corresponds to the rate at which individual twitches start to sum, and the firing rate increases linearly with the amount of excitation ("primary range") up to the point where the motor unit develops its maximal force. This allows for the gradation of the force produced by a motor unit by rate modulation. In adult mouse motoneurons, however, we recently described a regime of firing ("subprimary range") that appears at lower excitation than what is required for the primary range, a finding that might challenge the classical conception. To investigate the force production of mouse motor units, we simultaneously recorded, for the first time, the motoneuron discharge elicited by intracellular ramps of current and the force developed by its motor unit. We showed that the motor unit developed nearly its maximal force during the subprimary range. This was found to be the case regardless of the input resistance of the motoneuron, the contraction speed, or the tetanic force of the motor unit. Our work suggests that force modulation in small mammals mainly relies on the number of motor units that are recruited rather than on rate modulation of individual motor units.

  3. Organisational and environmental characteristics of residential aged care units providing highly person-centred care: a cross sectional study.

    PubMed

    Sjögren, Karin; Lindkvist, Marie; Sandman, Per-Olof; Zingmark, Karin; Edvardsson, David

    2017-01-01

    Few studies have empirically investigated factors that define residential aged care units that are perceived as being highly person-centred. The purpose of this study was to explore factors characterising residential aged care units perceived as being highly person-centred, with a focus on organisational and environmental variables, as well as residents' and staff' characteristics. A cross-sectional design was used. Residents ( n  = 1460) and staff ( n  = 1213) data from 151 residential care units were collected, as well as data relating to characteristics of the organisation and environment, and data measuring degree of person-centred care. Participating staff provided self-reported data and conducted proxy ratings on residents . Descriptive and comparative statistics, independent samples t-test, Chi 2 test, Eta Squared and Phi coefficient were used to analyse data. Highly person-centred residential aged care units were characterized by having a shared philosophy of care, a satisfactory leadership, interdisciplinary collaboration and social support from colleagues and leaders, a dementia-friendly physical environment, staff having time to spend with residents, and a smaller unit size. Residential aged care units with higher levels of person-centred care had a higher proportion of staff with continuing education in dementia care, and a higher proportion of staff receiving regular supervision, compared to units with lower levels of person-centred care. It is important to target organisational and environmental factors, such as a shared philosophy of care, staff use of time, the physical environment, interdisciplinary support, and support from leaders and colleagues, to improve person-centred care in residential care units. Managers and leaders seeking to facilitate person-centred care in daily practice need to consider their own role in supporting, encouraging, and supervising staff.

  4. How much does care in palliative care wards cost in Poland?

    PubMed Central

    Pokropska, Wieslawa; Łuczak, Jacek; Kaptacz, Anna; Stachowiak, Andrzej; Hurich, Krystyna; Koszela, Monika

    2016-01-01

    Introduction The main task of palliative care units is to provide a dignified life for people with advanced progressive chronic disease through appropriate symptom management, communication between medical specialists and the patient and his family, as well as the coordination of care. Many palliative care units struggle with low incomes from the National Health Fund (NHF), which causes serious economic problems. The aim of the study was to estimate of direct and administrative costs of care and the actual cost per patient per day in selected palliative care units and comparison of the results to the valuation of the NHF. Material and methods The study of the costs of hospitalization of 175 patients was conducted prospectively in five palliative care units (PCUs). The costs directly associated with care were recorded on the specially prepared forms in each unit and also personnel and administrative costs provided by the accounting departments. Results The total costs of analyzed units amounted to 209 002 EUR (898 712 PLN), while the payment for palliative care services from the NHF amounted to 126 010 EUR (541 844 PLN), which accounted for only 60% of the costs incurred by the units. The average cost per person per day of hospitalization, calculated according to the actual duration of hospitalization in the unit, was 83 EUR (357 PLN), and the average payment from the NHF was 52.8 EUR (227 PLN). Underpayment per person per day was approximately 29.2 EUR (125 PLN). Conclusions The study showed a significant difference between the actual cost of palliative care units and the level of refund from the NHF. Based on the analysis of costs, the application has been submitted to the NHF to change the reimbursement amount of palliative care services in 2013. PMID:27186194

  5. Preparing Social Studies Teachers for the Space Age

    ERIC Educational Resources Information Center

    Kirman, Joseph M.

    1975-01-01

    Describes a unit on aerospace education which can be presented in a social studies class. Outlined are the aims, materials and procedures for presenting a short unit on the impact of science and technology on society. (BR)

  6. Investigating young children's learning of mass measurement

    NASA Astrophysics Data System (ADS)

    Cheeseman, Jill; McDonough, Andrea; Ferguson, Sarah

    2014-06-01

    This paper reports results of a design experiment regarding young children's concepts of mass measurement. The research built on an earlier study in which a framework of "growth points" in early mathematics learning and a related, task-based, one-to-one interview to assess children's understanding of the measurement of mass were developed. Prompted by the results and recommendations from the earlier study, five lessons were developed that offered rich learning experiences regarding concepts of mass. The 119 Year 1 and 2 children participating in the study were interviewed using the same protocol before and after the teaching period. The assessment data showed that the majority of these children moved from using nonstandard units to using standard units and instruments for measuring mass. The findings from this study challenge the traditional approach of using informal units for an extended period before the introduction of standard units.

  7. Rehabilitative treatment of cleft lip and palate: experience of the Hospital for Rehabilitation of Craniofacial Anomalies/USP (HRAC/USP) - Part 5: institutional outcomes assessment and the role of the Laboratory of Physiology.

    PubMed

    Freitas, José Alberto de Souza; Trindade-Suedam, Ivy Kiemle; Garib, Daniela Gamba; Neves, Lucimara Teixeira das; Almeida, Ana Lúcia Pompéia Fraga de; Yaedú, Renato Yassukata Faria; Oliveira, Thaís Marchini; Soares, Simone; Lauris, Rita de Cássia Moura Carvalho; Yamashita, Renata Paciello; Trindade, Alceu Sergio; Trindade, Inge Elly Kiemle; Pinto, João Henrique Nogueira

    2013-01-01

    The Laboratory of Physiology provides support for the diagnosis of functional disorders associated with cleft lip and palate and also conducts studies to assess, objectively, the institutional outcomes, as recommended by the World Health Organization. The Laboratory is conceptually divided into three units, namely the Unit for Upper Airway Studies, Unit for Stomatognathic System Studies and the Unit for Sleep Studies, which aims at analyzing the impact of different surgical and dental procedures on the upper airways, stomatognathic system and the quality of sleep of individuals with cleft lip and palate. This paper describes the main goals of the Laboratory in the assessment of procedures which constitute the basis of the rehabilitation of cleft lip and palate, i.e., Plastic Surgery, Orthodontics and Maxillofacial Surgery and Speech Pathology.

  8. Quality of shallow ground water in alluvial aquifers of the Willamette Basin, Oregon, 1993-95

    USGS Publications Warehouse

    Hinkle, Stephen R.

    1997-01-01

    The current (1993?95) quality of shallow ground water (generally, <25 meters below land surface) in Willamette Basin alluvium is described using results from two studies. A Study-Unit Survey, or regional assessment of shallow groundwater quality in alluvium, was done from June through August 1993. During the Study-Unit Survey, data were collected from 70 domestic wells chosen using a random-selection process and located mostly in areas of agricultural land use. An urban Land-Use Study, which was a reconnaissance of shallow urban ground-water quality from 10 monitoring wells installed in areas of residential land use, was done in July 1995. Concentrations of nitrite plus nitrate (henceforth, nitrate, because nitrite concentrations were low) ranged from <0.05 to 26 mg N/L (milligrams nitrogen per liter) in ground water from 70 Study-Unit-Survey wells; concentrations exceeded the U.S. Environmental Protection Agency (USEPA) Maximum Contaminant Level (MCL) of 10 mg N/L in 9 percent of Study-Unit-Survey samples. Relationships were observed between nitrate concentrations and dissolved-oxygen concentrations, the amount of clay present within and overlying aquifers, overlying geology, and upgradient land use. Tritium (3H) data indicate that 21 percent of Study-Unit-Survey samples represented water recharged prior to 1953. Nitrogen-fertilizer application rates in the basin have increased greatly over the past several decades. Thus, some observed nitrate concentrations may reflect nitrogen loading rates that were smaller than those presently applied in the basin. Concentrations of phosphorus ranged from <0.01 to 2.2 mg/L in 70 Study-Unit-Survey wells and exceeded 0.10 mg/L in 60 percent of the samples. Phosphorus and nitrate concentrations were inversely correlated. From 1 to 5 pesticides and pesticide degradation products (henceforth, pesticides) were detected in ground water from each of 23 Study-Unit-Survey wells (33 percent of 69 wells sampled for pesticides) for a total of 51 pesticide detections. Thirteen different pesticides were detected; atrazine was the most frequently encountered pesticide. Although detections were widespread, concentrations were low (generally <1,000 ng/L [nanograms per liter]). (One ng/L is equal to 0.001 mg/L [micrograms per liter].) One detection (dinoseb, at 7,900 ng/L) exceeded a USEPA MCL. Relationships were observed between the occurrence of pesticides and the amount of clay present within and overlying aquifers, overlying geology, and land use. Between 1 and 5 volatile organic compounds (VOCs) were detected at each of 7 Study-Unit-Survey sites (11 percent of 65 sites evaluated), for a total of 14 VOC detections. One detection (tetrachloroethylene, at 29 mg/L) exceeded a USEPA MCL. Other detections were at low concentrations (0.2 to 2.0 mg/L). VOC detections generally were from sites associated with urban land use. Concentrations of arsenic ranged from <1 to 13 mg/L in 70 Study-Unit-Survey wells. Concentrations in 16 percent of samples exceeded the USEPA Risk-Specific-Dose Health Advisory of 2 mg/L. Radon concentrations ranged from 200 to 1,200 pCi/L (picocuries per liter) in 51 Study-Unit-Survey wells. All samples exceeded the USEPA Risk-Specific-Dose Health Advisory of 150 pCi/L. All urban Land-Use-Study samples were well oxygenated; thus, nitrate reduction probably did not affect these samples. Urban Land-Use-Study nitrate concentrations were similar to those of the well oxygenated, agricultural subset of Study-Unit-Survey samples. Pesticides were detected in samples from three urban Land-Use-Study sites, but concentrations were low (1 to 5 ng/L). In contrast, VOCs were detected in ground water from 80 percent of urban Land-Use-Study wells; concentrations ranged up to 7.6 mg/L. Trace-element concentrations in the urban Land-Use Study samples were low. Median concentrations consistently were <10 mg/L and frequently were <1 mg/L

  9. Self-Paced Studies.

    ERIC Educational Resources Information Center

    Faust, Norma Jean

    1995-01-01

    Discusses the use of self-paced units. Development suggestions include determining the form of the units, including goals, responsibilities, and definitions of terms; keeping them short; including a variety of activities; and requiring that all lessons be completed at school. Contains sample units on climatology and meteorology, the sun, and…

  10. Insulin therapy in the pediatric intensive care unit

    USDA-ARS?s Scientific Manuscript database

    Hyperglycemia is a major risk factor for increased morbidity and mortality in the intensive care unit. Insulin therapy has emerged in adult intensive care units, and several pediatric studies are currently being conducted. This review discusses hyperglycemia and the effects of insulin on metabolic a...

  11. Investigating Variation, Teacher's Edition. Probing the Natural World/3.

    ERIC Educational Resources Information Center

    Florida State Univ., Tallahassee. Dept. of Science Education.

    The teacher's edition for the unit entitled "Investigating Variation" in Intermediate Science Curriculum Study Level III, provides numerous suggestions for teaching specific activities included in the unit. The unit is aimed at selected aspects of measurement and analysis. The chapters included are "The Road…

  12. Injection safety practices in a main referral hospital in Northeastern Nigeria.

    PubMed

    Gadzama, G B; Bawa, S B; Ajinoma, Z; Saidu, M M; Umar, A S

    2014-01-01

    No adherence of safe injection policies remains a major challenge, and, worldwide, annually, it leads to 21 million new hepatitis B cases and 260,000 HIV infection cases. This descriptive observational survey was conducted to determine the level of adherence to universal precaution for safe injection practices in the hospital. The study units were selected using a simple random sampling of injection services provider/phlebotomist in 27 units/wards of the hospital. The study instruments were observation checklist and interviewer administered questionnaires. EPI info (version 3.5.2) software was used for data entry and generation of descriptive statistics was done with units of analysis (units/wards) on injection safety practices of health workers, availability of logistics and supplies, and disposal methods. Only 33.3% of the units (95% CI, 16-54) had non-sharps infectious healthcare waste of any type inside containers specific for non-sharps infectious waste and 17 (77.3%) of the observed therapeutic injections were prepared on a clean, dedicated table or tray, where contamination of the equipment with blood, body fluids, or dirty swabs was unlikely. Absence of recapping of needles was observed in 11 (50.0%) units giving therapeutic injections. Only 7.4% of units surveyed had separate waste containers for infectious non-sharps. This study depicts poor knowledge and a practice of injection safety, inadequate injection safety supplies, and non-compliance to injection safety policy and guidelines.

  13. Importance of Unit Cells in Accurate Evaluation of the Characteristics of Graphene

    NASA Astrophysics Data System (ADS)

    Sabzyan, Hassan; Sadeghpour, Narges

    2016-04-01

    Effects of the size of the unit cell on energy, atomic charges, and phonon frequencies of graphene at the Γ point of the Brillouin zone are studied in the absence and presence of an electric field using density functional theory (DFT) methods (LDA and DFT-PBE functionals with Goedecker-Teter-Hutter (GTH) and Troullier-Martins (TM) norm-conserving pseudopotentials). Two types of unit cells containing nC=4-28 carbon atoms are considered. Results show that stability of graphene increases with increasing size of the unit cell. Energy, atomic charges, and phonon frequencies all converge above nC=24 for all functional-pseudopotentials used. Except for the LDA-GTH calculations, application of an electric field of 0.4 and 0.9 V/nm strengths does not change the trends with the size of the unit cell but instead slightly decreases the binding energy of graphene. Results of this study show that the choice of unit cell size and type is critical for calculation of reliable characteristics of graphene.

  14. Tdp studies and tests for C. A. Energia Electrica de Venezuela (enelven) at planta ramon laguna, units RL-17 and RL-10. Volume 3. Unit RL-10 turbine generator condition assessment report and units RL-10 and RL-11 boiler feed pump conditon assessment report. Export trade information

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

    Not Available

    1991-03-28

    The study, conducted by Babcock and Wilcox, was funded by the U.S. Trade and Development agency on behalf of Enelven. In order to maximize generated power output and minimize operating costs at Planta Ramon Laguna, tests were done to evaluate the condition of equipment at the plant. In order to identify any damage and determine the operating output of each unit, assessments were done of the furnaces, boilers, generators and boiler feed pumps being used in the plant. The report presents the results of these tests. This is the last of three volumes and it is divided into the followingmore » sections: (1) Condition Assessment of Unit RL-10 Turbine-Generator; (2) Condition Assessment of Unit RL-10 and RL-11 Boiler Feed Pumps.« less

  15. [Structuro-functional units of the salivary and lacrimal glands].

    PubMed

    Kostilenko, Iu P; Mysliuk, I V; Deviatkin, E A

    1986-09-01

    By means of the multilayer graphic and plastic reconstruction methods using series of semithin sections, spatial tridimensional organization of the epithelial complexes and blood microcirculatory bed in the rat palatal salivary glands and the lacrimal gland of the human newborn have been studied. Since their ducts serve not only for discharging their secrete into the external medium, but also for accumulation (as collectors), the sublobular unit--adenomere should be referred to as a part of elementary level of organization of the epithelial complexes. The adenomere has in its composition a collecting centrally situating duct. However, while studying structure of the blood microcirculatory bed, it is found out that there is not any strict territorial correspondence between its functional units and structural units of the glandular epithelium. Nevertheless, giving a great importance to a tight syntopic connection of the collecting ducts of the adenomeres with the postcapillary venules (that belong to filtrating microvessels), these are sublobular units--adenomeres that are distinguished as structural-functional units in the glands.

  16. Making things happen through challenging goals: leader proactivity, trust, and business-unit performance.

    PubMed

    Crossley, Craig D; Cooper, Cecily D; Wernsing, Tara S

    2013-05-01

    Building on decades of research on the proactivity of individual performers, this study integrates research on goal setting and trust in leadership to examine manager proactivity and business unit sales performance in one of the largest sales organizations in the United States. Results of a moderated-mediation model suggest that proactive senior managers establish more challenging goals for their business units (N = 50), which in turn are associated with higher sales performance. We further found that employees' trust in the manager is a critical contingency variable that facilitates the relationship between challenging sales goals and subsequent sales performance. This research contributes to growing literatures on trust in leadership and proactivity by studying their joint effects at a district-unit level of analysis while identifying district managers' tendency to set challenging goals as a process variable that helps translate their proactivity into the collective performance of their units. PsycINFO Database Record (c) 2013 APA, all rights reserved.

  17. Changes in muscle fiber conduction velocity indicate recruitment of distinct motor unit populations.

    PubMed

    Houtman, C J; Stegeman, D F; Van Dijk, J P; Zwarts, M J

    2003-09-01

    To obtain more insight into the changes in mean muscle fiber conduction velocity (MFCV) during sustained isometric exercise at relatively low contraction levels, we performed an in-depth study of the human tibialis anterior muscle by using multichannel surface electromyogram. The results show an increase in MFCV after an initial decrease of MFCV at 30 or 40% maximum voluntary contraction in all of the five subjects studied. With a peak velocity analysis, we calculated the distribution of conduction velocities of action potentials in the bipolar electromyogram signal. It shows two populations of peak velocities occurring simultaneously halfway through the exercise. The MFCV pattern implies the recruitment of two different populations of motor units. Because of the lowering of MFCV of the first activated population of motor units, the newly recruited second population of motor units becomes visible. It is most likely that the MFCV pattern can be ascribed to the fatiguing of already recruited predominantly type I motor units, followed by the recruitment of fresh, predominantly type II, motor units.

  18. Comparison of competitive exclusion with classical cleaning and disinfection on bacterial load in pig nursery units.

    PubMed

    Luyckx, K; Millet, S; Van Weyenberg, S; Herman, L; Heyndrickx, M; Dewulf, J; De Reu, K

    2016-09-06

    Colonisation of the environment of nursery units by pathogenic micro-organisms is an important factor in the persistence and spread of endemic diseases in pigs and zoonotic pathogens. These pathogens are generally controlled by the use of antibiotics and disinfectants. Since an increasing resistance against these measures has been reported in recent years, methods such as competitive exclusion (CE) are promoted as promising alternatives. This study showed that the infection pressure in CE units after microbial cleaning was not reduced to the same degree as in control units. Despite sufficient administration of probiotic-type spores, the analysed bacteria did not decrease in number after 3 production rounds in CE units, indicating no competitive exclusion. In addition, no differences in feed conversion were found between piglets raised in CE and control units in our study. Also, no differences in faecal consistency (indicator for enteric diseases) was noticed. These results indicate that the CE protocol is not a valuable alternative for classical C&D.

  19. Clinical Features, Short-Term Mortality, and Prognostic Risk Factors of Septic Patients Admitted to Internal Medicine Units: Results of an Italian Multicenter Prospective Study.

    PubMed

    Mazzone, Antonino; Dentali, Francesco; La Regina, Micaela; Foglia, Emanuela; Gambacorta, Maurizia; Garagiola, Elisabetta; Bonardi, Giorgio; Clerici, Pierangelo; Concia, Ercole; Colombo, Fabrizio; Campanini, Mauro

    2016-01-01

    Only a few studies provided data on the clinical history of sepsis within internal Medicine units. The aim of the study was to assess the short-term mortality and to evaluate the prognostic risk factors in a large cohort of septic patients treated in internal medicine units. Thirty-one internal medicine units participated to the study. Within each participating unit, all admitted patients were screened for the presence of sepsis. A total of 533 patients were included; 78 patients (14.6%, 95%CI 11.9, 18.0%) died during hospitalization; mortality rate was 5.5% (95% CI 3.1, 9.6%) in patients with nonsevere sepsis and 20.1% (95%CI 16.2, 28.8%) in patients with severe sepsis or septic shock. Severe sepsis or septic shock (OR 4.41, 95%CI 1.93, 10.05), immune system weakening (OR 2.10, 95%CI 1.12, 3.94), active solid cancer (OR 2.14, 95% CI 1.16, 3.94), and age (OR 1.03 per year, 95% CI 1.01, 1.06) were significantly associated with an increased mortality risk, whereas blood culture positive for Escherichia coli was significantly associated with a reduced mortality risk (OR 0.46, 95%CI 0.24, 0.88). In-hospital mortality of septic patients treated in internal medicine units appeared similar to the mortality rate obtained in recent studies conducted in the ICU setting.

  20. Psychogeriatric inpatient unit design: a literature review.

    PubMed

    Dobrohotoff, John T; Llewellyn-Jones, Robert H

    2011-03-01

    In many parts of the world the provision of psychogeriatric inpatient units (PGUs) remains limited. More units will be required over coming decades given rapid population aging. Medline (1950-2010), psycINFO (1806-2009), EMBASE (1980-2009) and CINAHL (1982-2009) were searched for papers about PGU design. Selected non-peer reviewed literature such as government reports and unpublished academic dissertations were also reviewed. Data were also obtained from the literature related to general adult psychiatry inpatient units where there was limited information from studies of units designed for older people. Over 200 papers were reviewed and 130 were included. There are few good quality studies to guide the design of acute PGUs and much of the existing literature is based on opinion and anecdote or, at best, based on observational studies. Randomized controlled studies comparing different designs and assessing outcomes are virtually non-existent. Several studies have identified violence and trauma resulting from hospitalization as significant problems with current acute PGU care. Despite its limitations the available literature provides useful guidance on how PGU design can optimize patient and staff safety and improve clinical outcomes. There are significant problems with current acute PGUs, and patient mix on existing units is an important issue. Future research should examine patient and staff perceptions of different PGU ward environments, the relationship between ward design and clinical outcomes, the effects of segregating patients with challenging behaviors in dementia and the benefits or otherwise of gender segregation.

  1. Variation in child body mass index patterns by race/ethnicity and maternal nativity status in the United States and England.

    PubMed

    Martinson, Melissa L; McLanahan, Sara; Brooks-Gunn, Jeanne

    2015-02-01

    This paper examines body mass index (BMI) trajectories among children from different race/ethnic and maternal nativity backgrounds in the United States and England from early- to middle-childhood. This study is the first to examine race/ethnic and maternal nativity differences in BMI trajectories in both countries. We use two longitudinal birth cohort studies-The Fragile Families and Child Wellbeing Study (n = 3,285) for the United States and the Millennium Cohort Study (n = 6,700) for England to estimate trajectories in child BMI by race/ethnicity and maternal nativity status using multilevel growth models. In the United States our sample includes white, black, and Hispanic children; in England the sample includes white, black, and Asian children. We find significant race/ethnic differences in the initial BMI and BMI trajectories of children in both countries, with all non-white groups having significantly steeper BMI growth trajectories than whites. Nativity differences in BMI trajectories vary by race/ethnic group and are only statistically significantly higher for children of foreign-born blacks in England. Disparities in BMI trajectories are pervasive in the United States and England, despite lower overall BMI among English children. Future studies should consider both race/ethnicity and maternal nativity status subgroups when examining disparities in BMI in the United States and England. Differences in BMI are apparent in early childhood, which suggests that interventions targeting pre-school age children may be most effective at stemming childhood disparities in BMI.

  2. Time-related changes in firing rates are influenced by recruitment threshold and twitch force potentiation in the first dorsal interosseous.

    PubMed

    Miller, Jonathan D; Herda, Trent J; Trevino, Michael A; Sterczala, Adam J; Ciccone, Anthony B

    2017-08-01

    What is the central question of this study? The influences of motor unit recruitment threshold and twitch force potentiation on the changes in firing rates during steady-force muscular contractions are not well understood. What is the main finding and its importance? The behaviour of motor units during steady force was influenced by recruitment threshold, such that firing rates decreased for lower-threshold motor units but increased for higher-threshold motor units. In addition, individuals with greater changes in firing rates possessed greater twitch force potentiation. There are contradictory reports regarding changes in motor unit firing rates during steady-force contractions. Inconsistencies are likely to be the result of previous studies disregarding motor unit recruitment thresholds and not examining firing rates on a subject-by-subject basis. It is hypothesized that firing rates are manipulated by twitch force potentiation during contractions. Therefore, in this study we examined time-related changes in firing rates at steady force in relationship to motor unit recruitment threshold in the first dorsal interosseous and the influence of twitch force potentiation on such changes in young versus aged individuals. Subjects performed a 12 s steady-force contraction at 50% maximal voluntary contraction, with evoked twitches before and after the contraction to quantify potentiation. Firing rates, in relationship to recruitment thresholds, were determined at the beginning, middle and end of the steady force. There were no firing rate changes for aged individuals. For the young, firing rates decreased slightly for lower-threshold motor units but increased for higher-threshold motor units. Twitch force potentiation was greater for young than aged subjects, and changes in firing rates were correlated with twitch force potentiation. Thus, individuals with greater increases in firing rates of higher-threshold motor units and decreases in lower-threshold motor units possessed greater twitch force potentiation. Overall, changes in firing rates during brief steady-force contractions are dependent on recruitment threshold and explained in part by twitch force potentiation. Given that firing rate changes were measured in relationship to recruitment threshold, this study illustrates a more complete view of firing rate changes during steady-force contractions. © 2017 The Authors. Experimental Physiology © 2017 The Physiological Society.

  3. An exploration of influences on women’s birthplace decision-making in New Zealand: a mixed methods prospective cohort within the Evaluating Maternity Units study

    PubMed Central

    2014-01-01

    Background There is worldwide debate surrounding the safety and appropriateness of different birthplaces for well women. One of the primary objectives of the Evaluating Maternity Units prospective cohort study was to compare the clinical outcomes for well women, intending to give birth in either an obstetric-led tertiary hospital or a free-standing midwifery-led primary maternity unit. This paper addresses a secondary aim of the study – to describe and explore the influences on women’s birthplace decision-making in New Zealand, which has a publicly funded, midwifery-led continuity of care maternity system. Methods This mixed method study utilised data from the six week postpartum survey and focus groups undertaken in the Christchurch area in New Zealand (2010–2012). Christchurch has a tertiary hospital and four primary maternity units. The survey was completed by 82% of the 702 study participants, who were well, pregnant women booked to give birth in one of these places. All women received midwifery-led continuity of care, regardless of their intended or actual birthplace. Results Almost all the respondents perceived themselves as the main birthplace decision-makers. Accessing a ‘specialist facility’ was the most important factor for the tertiary hospital group. The primary unit group identified several factors, including ‘closeness to home’, ‘ease of access’, the ‘atmosphere’ of the unit and avoidance of ‘unnecessary intervention’ as important. Both groups believed their chosen birthplace was the right and ‘safe’ place for them. The concept of ‘safety’ was integral and based on the participants’ differing perception of safety in childbirth. Conclusions Birthplace is a profoundly important aspect of women’s experience of childbirth. This is the first published study reporting New Zealand women’s perspectives on their birthplace decision-making. The groups’ responses expressed different ideologies about childbirth. The tertiary hospital group identified with the ‘medical model’ of birth, and the primary unit group identified with the ‘midwifery model’ of birth. Research evidence affirming the ‘clinical safety’ of primary units addresses only one aspect of the beliefs influencing women’s birthplace decision-making. In order for more women to give birth at a primary unit other aspects of women’s beliefs need addressing, and much wider socio-political change is required. PMID:24951093

  4. 77 FR 40030 - Army Science Board Summer Study Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-07-06

    ...: Department of the Army, DoD. ACTION: Notice of open meeting. SUMMARY: Pursuant to the Federal Advisory... studies: Strategic Direction for Army Science and Technology and Small Unit Data to Decisions. Proposed... Technology and Small Unit Data to Decisions studies are presented to the ASB. The ASB will deliberate and...

  5. Plumbing and Sewage Disposal.

    ERIC Educational Resources Information Center

    Sutliff, Ronald D.; And Others

    This self-study course is designed to familiarize Marine enlisted personnel with the principles of plumbing and sewage disposal used by Marine Hygiene Equipment Operators to perform their mission. The course contains three study units. Each study unit begins with a general objective, which is a statement of what the student should learn from the…

  6. Chemical Case Studies: Science-Society "Bonding."

    ERIC Educational Resources Information Center

    Hofstein, Avi; Nae, Nehemia

    1981-01-01

    Describes a unit designed to illustrate the "science-society-technology connection," in which three case studies of the chemical industry in Israel are presented to high school chemistry students. Chosen for the unit are case studies on copper production in Timna, on plastics, and on life from the Dead Sea. (CS)

  7. "Faces" and Complexities of Continuing Higher Education Units: A Postmodern Approach

    ERIC Educational Resources Information Center

    Stephenson, Sandria S.

    2010-01-01

    This study examines the dynamics of continuing higher education units within the sociopolitical context of higher education institutions. A qualitative approach to data collection and analysis was the study's design, while the theoretical frame was a postmodern, symbolic, theoretical approach to organizational studies. Results show that continuing…

  8. Nature and incidence of severe limbal stem cell deficiency in Australia and New Zealand.

    PubMed

    Bobba, Samantha; Di Girolamo, Nick; Mills, Richard; Daniell, Mark; Chan, Elsie; Harkin, Damien G; Cronin, Brendan G; Crawford, Geoffrey; McGhee, Charles; Watson, Stephanie

    2017-03-01

    This study aimed to determine the nature and incidence of severe limbal stem cell deficiency (LSCD) in Australia and New Zealand. A 1-year pilot surveillance study with a 1-year follow-up period was conducted in association with the Australian and New Zealand Ophthalmic Surveillance Unit. The study included patients reported by practising ophthalmologists on the Surveillance Unit's database. Ophthalmologists were provided with a definition of severe limbal stem cell deficiency, contacted on a monthly basis by the Unit and asked to report newly diagnosed cases. Severe LSCD was defined as at least 6 clock hours of whorl-like epitheliopathy, an opaque epithelium arising from the limbus, late fluorescein staining of the involved epithelium and superficial corneal neovascularization or conjunctivalization. On average, 286 report cards were sent by the Surveillance Unit to practising ophthalmologists each month (total 3429 over 12 months) and the Unit received an average of 176 responses per month (total 2111; 62% response rate). During the 1-year study period from April 2013 to March 2014, 14 positive cases were reported to the Unit. A range of underlying aetiologies were implicated, with contact lens over-wear and cicatrizing conjunctivitis being the most common (n = 3). This surveillance study is the first worldwide to document the incidence of limbal stem cell deficiency; however, because of study design limitations, it is likely to have been under-reported. It provides novel data on the demographics, clinical conditions and management of patients with limbal stem cell deficiency as reported by treating ophthalmologists. © 2016 Royal Australian and New Zealand College of Ophthalmologists.

  9. Clamping characteristics study on different types of clamping unit

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

    Jiao, Zhiwei; Liu, Haichao; Xie, Pengcheng

    2015-05-22

    Plastic products are becoming more and more widely used in aerospace, IT, digital electronics and many other fields. With the development of technology, the requirement of product precision is getting higher and higher. However, type and working performance of clamping unit play a decisive role in product precision. Clamping characteristics of different types of clamping unit are discussed in this article, which use finite element numerical analysis method through the software ABAQUS to study the clamping uniformity, and detect the clamping force repeatability precision. The result shows that compared with toggled three-platen clamping unit, clamping characteristics of internal circulation two-platenmore » clamping unit are better, for instance, its mold cavity deformation and force that bars and mold parting surface suffered are more uniform, and its clamping uniformity and repeatability precision is also better.« less

  10. New studies disputing allegations of bacteriological warfare during the Korean War.

    PubMed

    Rolicka, M

    1995-03-01

    In the television series Korea the Unknown War produced jointly by Thames Television (London) and WGBH (Boston) in 1990, General Matthew Ridgway, Commander in Chief of United Nations forces during the Korean War, called the accusations that the United States waged bacteriological warfare "black propaganda." The charges discredited the United States and, despite denials and many international discussions, have not been completely refuted until new. Following studies in archives previously not available for research and after uncovering new sources, many specific examples of black propaganda were discovered that contained false information and lies discrediting the United States. The mechanism of lies, which convinced the Korean population that bacteriological warfare was going on and that the only way not to become victims of the United States' inhuman cruelty was to fight, are shown in this paper.

  11. Within-unit relationship quality mediates the association between military sexual trauma and posttraumatic stress symptoms in veterans separating from military service.

    PubMed

    Laws, Holly; Mazure, Carolyn M; McKee, Sherry A; Park, Crystal L; Hoff, Rani

    2016-09-01

    Few studies have examined the impact of military sexual trauma (MST) on social functioning during deployment. Yet consideration of unit relationships during deployment may be important, given that military unit cohesion and support can provide protective effects against the stress of combat, and reduce the likelihood of developing posttraumatic stress disorder. Although prior research has posited that depleted social resources are one pathway through which MST is associated with posttraumatic stress symptoms (PTSS), no studies have statistically tested this theory. This study examined the association of MST and PTSS and evaluated the potential mediating role of decreased unit relationship quality. Mediational analyses were conducted on a sample of veterans following discharge from military service (N = 818; 328 women, 490 men). Women were significantly more likely to experience MST than men. As hypothesized, experiences of MST during deployment were associated with higher PTSS. MST experiences were associated with less trust in and support from one's military unit, which partially mediated the association between MST and PTSS. The indirect effect of MST on PTSS through lower unit relationship quality accounted for 20.4% of the total effect of MST on PTSS. While the retrospective study design precludes tests of causality, mediational findings provided statistical evidence that lower unit relationship quality partially explains the association between MST and PTSS. This finding is consistent with interpersonal theories of trauma response suggesting that the deleterious effects of MST may be in part due to its erosion of social resources during deployment. (PsycINFO Database Record (c) 2016 APA, all rights reserved).

  12. Comparison of Unit-Level Patient Turnover Measures in Acute Care Hospital Settings.

    PubMed

    Park, Shin Hye; Dunton, Nancy; Blegen, Mary A

    2016-06-01

    High patient turnover is a critical factor increasing nursing workload. Despite the growing number of studies on patient turnover, no consensus about how to measure turnover has been achieved. This study was designed to assess the correlation among patient turnover measures commonly used in recent studies and to examine the degree of agreement among the measures for classifying units with different levels of patient turnover. Using unit-level data collected for this study from 292 units in 88 hospitals participating in the National Database of Nursing Quality Indicators®, we compared four patient turnover measures: the inverse of length of stay (1/LOS), admissions, discharges, and transfers per daily census (ADTC), ADTC with short-stay adjustment, and the number of ADTs and short-stay patients divided by the total number of treated patients, or Unit Activity Index (UAI). We assessed the measures' agreement on turnover quartile classifications, using percent agreement and Cohen's kappa statistic (weighted and unweighted). Pearson correlation coefficients also were calculated. ADTC with or without adjustment for short-stay patients had high correlations and substantial agreement with the measure of 1/LOS (κ = .62 to .91; r = .90 to .95). The UAI measure required data less commonly collected by participating hospital units and showed only moderate correlations and fair agreement with the other measures (κ = .23 to .39; r = .41 to .45). The UAI may not be comparable and interchangeable with other patient turnover measures when data are obtained from multiple units and hospitals. © 2016 Wiley Periodicals, Inc. © 2016 Wiley Periodicals, Inc.

  13. Russian and Soviet Studies in the United States: A Review.

    ERIC Educational Resources Information Center

    Starr, S. Frederick; Boisture, J. Bruce

    This study was prepared to provide a convenient compendium of data for those participating in a conference on "Russian and Soviet Studies in the United States" held at the Institute of Advanced Studies in Princeton, New Jersey, in May, 1972. The purpose of the conference and of the study was to assess the state of teaching and research…

  14. Urban Planning and Health Inequities: Looking in a Small-Scale in a City of Cape Verde.

    PubMed

    Gonçalves, Luzia; Santos, Zélia; Amado, Miguel; Alves, Daniela; Simões, Rui; Delgado, António Pedro; Correia, Artur; Cabral, Jorge; Lapão, Luís Velez; Craveiro, Isabel

    2015-01-01

    The lack of high-quality data to support evidence-based policies continues to be a concern in African cities, which present marked social, economic and cultural disparities that may differently impact the health of the groups living in different urban contexts. This study explores three urban units--formal, transition and informal--of the capital of Cape Verde, in terms of overweight/obesity, cardiometabolic risk, physical activity and other aspects related to the urban environment. Quantitative and qualitative research methods were used in this intra-urban study. A proportional stratified random sample (n = 1912 adults), based on geographical coordinates of private households, was selected to apply the UPHI-STAT questionnaire. In a second stage (n = 599), local nutritionists collected anthropometric measurements (e.g., height, waist circumference) and body composition by bioelectric impedance (e.g., body weight, body fat, muscle mass). In a third stage, pedometers were used to count study participants' steps on working and non-working days for one week (n = 118). After a preliminary statistical analysis, a qualitative study was developed to complement the quantitative approach. Generalized linear models, among others, were used in the multivariate analysis. Insecurity was the main concern among survey respondents in the three units, notwithstanding with significant differences (p < 0.001) among units. About three-quarters (76.6%) of the participants of the informal unit emphasised the need for more security. The formal unit presents an older age structure (61.3% above 40 years old) and the transition unit a younger age structure (only 30.5% above 40 years old). Some health-related variables were analysed in each unit, revealing an excess of chronic conditions reported by inhabitants of informal unit, compared with the formal unit despite the informal unit's younger age profile. The self-reported hypertension varied significantly among urban units (p < 0.001), with 19.3% in the formal unit, 11.4% in the transition unit and 22.5% in the informal unit. Women of the urban units present significant differences (5% level) for body mass index calculated from self-reported measures (p < 0.001), fat mass (p = 0.005), waist circumference (p = 0.046) and waist-to-height ratio (p = 0.017). For women, overall physical activity was 67.4% (95%CI [64.8,70.0]), with differences among urban units (p = 0.025). For men it was of 85.2% (95%CI [82.3,87.6]), without significant differences among urban units (p = 0.266). The percentage of women and men who reported physical activity in leisure time was discrepant, with 95%CI [22.6, 27.4] and [53.2, 60.2], respectively. The results of pedometers also indicated that men walk significantly more than women (p < 0.001), with a difference of approximately 2000 steps/day. The data collection process itself also gave us some clues on the involvement of local communities, exploring the potential of social capital of these settings and the role of the woman in family and society in Cape Verde. The higher participation of women and residents of informal unit (the most disadvantaged groups) suggests these as the priority target groups for health promotion campaigns. The link between health planning, urban planning and security of the city needs to be reinforced to minimize health, social and gender inequalities.

  15. Sharing the Costs of Higher Education. Student Financial Assistance in the United Kingdom, the Federal Republic of Germany, France, Sweden, and the United States.

    ERIC Educational Resources Information Center

    Johnstone, D. Bruce

    The educational and living costs of undergraduate studies and the ways these costs are shared among parents, students, taxpayers, and philanthropists/donors are considered for five countries: the United States, the United Kingdom, the Federal Republic of Germany, France, and Sweden. Five policy issues that are linked to how costs are shared by…

  16. The American Dream and the Gospel of Wealth in Nineteenth-Century American Society: A Unit of Study for Grades 9-12.

    ERIC Educational Resources Information Center

    Gifford, Nina; Ingersoll, Tom

    The material in this unit is designed to introduce students to the origin and role of ideas in history, especially their role in the lives of ordinary people, in the rapidly industrializing United States of the 19th century. These lessons concern Americans in the great age of industrialization, from 1850 to 1900. Unit objectives include: (1)…

  17. Marine Biology: Self-Directed Study Units for Grades K-3 and 4-8, Gifted. Easily Adapted for Regular Classroom Use. Zephyr Learning Project.

    ERIC Educational Resources Information Center

    Tanner, Joey

    Originally designed for the gifted student, these reproducible marine biology units emphasize the use of higher order thinking skills and are appropriate for use in any classroom. Interdisciplinary in content, the units provide a broad view of marine biology. Included are two complete units, one created for the upper elementary gifted student and…

  18. Designing and Implementing a Jointly-Planned Unit: Expanding Thematic Units beyond the Textbook.

    ERIC Educational Resources Information Center

    Anderson, Laurel M.

    A first-grade teacher included her students in her planning of a unit of study. The teacher explained to the students how she planned a unit and invited the students to volunteer ideas for the topic. The topic chosen was space and aliens. The teacher and students discussed what they already knew about the topic, what they wanted to learn about it,…

  19. Modeling of unit operating considerations in generating-capacity reliability evaluation. Volume 1. Mathematical models, computing methods, and results. Final report. [GENESIS, OPCON and OPPLAN

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

    Patton, A.D.; Ayoub, A.K.; Singh, C.

    1982-07-01

    Existing methods for generating capacity reliability evaluation do not explicitly recognize a number of operating considerations which may have important effects in system reliability performance. Thus, current methods may yield estimates of system reliability which differ appreciably from actual observed reliability. Further, current methods offer no means of accurately studying or evaluating alternatives which may differ in one or more operating considerations. Operating considerations which are considered to be important in generating capacity reliability evaluation include: unit duty cycles as influenced by load cycle shape, reliability performance of other units, unit commitment policy, and operating reserve policy; unit start-up failuresmore » distinct from unit running failures; unit start-up times; and unit outage postponability and the management of postponable outages. A detailed Monte Carlo simulation computer model called GENESIS and two analytical models called OPCON and OPPLAN have been developed which are capable of incorporating the effects of many operating considerations including those noted above. These computer models have been used to study a variety of actual and synthetic systems and are available from EPRI. The new models are shown to produce system reliability indices which differ appreciably from index values computed using traditional models which do not recognize operating considerations.« less

  20. Terrestrial Carbon Sequestration in National Parks: Values for the Conterminous United States

    USGS Publications Warehouse

    Richardson, Leslie A.; Huber, Christopher; Zhu, Zhi-Liang; Koontz, Lynne

    2015-01-01

    Lands managed by the National Park Service (NPS) provide a wide range of beneficial services to the American public. This study quantifies the ecosystem service value of carbon sequestration in terrestrial ecosystems within NPS units in the conterminous United States for which data were available. Combining annual net carbon balance data with spatially explicit NPS land unit boundaries and social cost of carbon estimates, this study calculates the net metric tons of carbon dioxide sequestered annually by park unit under baseline conditions, as well as the associated economic value to society. Results show that, in aggregate, NPS lands in the conterminous United States are a net carbon sink, sequestering more than 14.8 million metric tons of carbon dioxide annually. The associated societal value of this service is estimated at approximately $582.5 million per year. While this analysis provides a broad overview of the annual value of carbon sequestration on NPS lands averaged over a five year baseline period, it should be noted that carbon fluxes fluctuate from year to year, and there can be considerable variation in net carbon balance and its associated value within a given park unit. Future research could look in-depth at the spatial heterogeneity of carbon flux within specific NPS land units.

  1. A comparative study of occupancy and patient care quality in four different types of intensive care units in a children's hospital.

    PubMed

    Smith, Thomas J

    2012-01-01

    This paper reports a comparative study of occupancy and patient care quality in four types of intensive care units in a children's hospital,: an Infant Care Center (ICC), a Medical/Surgical (Med/Surg) unit, a Neonatal Intensive Care Unit (NICU), and a Pediatric Intensive Care Unit (PICU), each featuring a mix of multi-bed and private room (PR) patient care environments. The project is prompted by interest by the project sponsor in a pre-occupancy analysis, before the units are upgraded to exclusive PR designs. Methods comprised, for each unit: (1) observations of ergonomic design features; (2) task activity analyses of job performance of selected staff; and (3) use of a survey to collect perceptions by unit nursing and house staff (HS) of indicators of occupancy and patient care quality. (1) the five most common task activities are interaction with patients, charting, and interaction with equipment, co-workers and family members; (2) job satisfaction, patient care, work environment, job, patient care team interaction, and general occupancy quality rankings by ICC and/or NICU respondents are significantly higher than those by other staff respondents; and (3) ergonomic design shortcomings noted are excess noise, problems with equipment, and work environment, job-related health, and patient care quality issues.

  2. Cost-volume-profit analysis and expected benefit of health services: a study of cardiac catheterization services.

    PubMed

    Younis, Mustafa Z; Jabr, Samer; Smith, Pamela C; Al-Hajeri, Maha; Hartmann, Michael

    2011-01-01

    Academic research investigating health care costs in the Palestinian region is limited. Therefore, this study examines the costs of the cardiac catheterization unit of one of the largest hospitals in Palestine. We focus on costs of a cardiac catheterization unit and the increasing number of deaths over the past decade in the region due to cardiovascular diseases (CVDs). We employ cost-volume-profit (CVP) analysis to determine the unit's break-even point (BEP), and investigate expected benefits (EBs) of Palestinian government subsidies to the unit. Findings indicate variable costs represent 56 percent of the hospital's total costs. Based on the three functions of the cardiac catheterization unit, results also indicate that the number of patients receiving services exceed the break-even point in each function, despite the unit receiving a government subsidy. Our findings, although based on one hospital, will permit hospital management to realize the importance of unit costs in order to make informed financial decisions. The use of break-even analysis will allow area managers to plan minimum production capacity for the organization. The economic benefits for patients and the government from the unit may encourage government officials to focus efforts on increasing future subsidies to the hospital.

  3. A case study examination of structure and function in a state health department chronic disease unit.

    PubMed

    Alongi, Jeanne

    2015-04-01

    I explored the structural and operational practices of the chronic disease prevention and control unit of a state health department and proposed a conceptual model of structure, function, and effectiveness for future study. My exploratory case study examined 7 elements of organizational structure and practice. My interviews with staff and external stakeholders of a single chronic disease unit yielded quantitative and qualitative data that I coded by perspective, process, relationship, and activity. I analyzed these for patterns and emerging themes. Chi-square analysis revealed significant correlations among collaboration with goal ambiguity, political support, and responsiveness, and evidence-based decisions with goal ambiguity and responsiveness. Although my study design did not permit conclusions about causality, my findings suggested that some elements of the model might facilitate effectiveness for chronic disease units and should be studied further. My findings might have important implications for identifying levers around which capacity can be built that may strengthen effectiveness.

  4. A Case Study Examination of Structure and Function in a State Health Department Chronic Disease Unit

    PubMed Central

    2015-01-01

    Objectives. I explored the structural and operational practices of the chronic disease prevention and control unit of a state health department and proposed a conceptual model of structure, function, and effectiveness for future study. Methods. My exploratory case study examined 7 elements of organizational structure and practice. My interviews with staff and external stakeholders of a single chronic disease unit yielded quantitative and qualitative data that I coded by perspective, process, relationship, and activity. I analyzed these for patterns and emerging themes. Results. Chi-square analysis revealed significant correlations among collaboration with goal ambiguity, political support, and responsiveness, and evidence-based decisions with goal ambiguity and responsiveness. Conclusions. Although my study design did not permit conclusions about causality, my findings suggested that some elements of the model might facilitate effectiveness for chronic disease units and should be studied further. My findings might have important implications for identifying levers around which capacity can be built that may strengthen effectiveness. PMID:25689211

  5. Fueling the dragon: Alternative Chinese oil futures and their implications for the United States

    NASA Astrophysics Data System (ADS)

    Eberling, George G.

    This study examines how Chinese oil energy will likely shape future Sino-American relations under conditions of dependency and non-dependency. The study will list and describe three possible Chinese oil energy futures or scenarios (Competitive Dependency, Competitive Surplus and Cooperative Surplus) using Scenario Analysis to subsequently estimate their associated likelihoods using the PRINCE forecasting system and discuss and evaluate their strategic implications for the United States. Further, this study will determine the most likely oil energy future or scenario. Finally, the study will list and describe the most likely United States political, economic and/or military policy responses for each future or scenario. The study contributes to the literature on Chinese and United States energy security, foreign policy, political economy and political risk analysis by showing how China will most likely address its growing oil energy dependence and by determining what will be the most likely U.S. foreign policy consequences based on the most current literature available on energy security and foreign policy.

  6. Groundwater quality in the Santa Clara River Valley, California

    USGS Publications Warehouse

    Burton, Carmen A.; Landon, Matthew K.; Belitz, Kenneth

    2011-01-01

    The Santa Clara River Valley (SCRV) study unit is located in Los Angeles and Ventura Counties, California, and is bounded by the Santa Monica, San Gabriel, Topatopa, and Santa Ynez Mountains, and the Pacific Ocean. The 460-square-mile study unit includes eight groundwater basins: Ojai Valley, Upper Ojai Valley, Ventura River Valley, Santa Clara River Valley, Pleasant Valley, Arroyo Santa Rosa Valley, Las Posas Valley, and Simi Valley (California Department of Water Resources, 2003; Montrella and Belitz, 2009). The SCRV study unit has hot, dry summers and cool, moist winters. Average annual rainfall ranges from 12 to 28 inches. The study unit is drained by the Ventura and Santa Clara Rivers, and Calleguas Creek. The primary aquifer system in the Ventura River Valley, Ojai Valley, Upper Ojai Valley, and Simi Valley basins is largely unconfined alluvium. The primary aquifer system in the remaining groundwater basins mainly consists of unconfined sands and gravels in the upper portion and partially confined marine and nonmarine deposits in the lower portion. The primary aquifer system in the SCRV study unit is defined as those parts of the aquifers corresponding to the perforated intervals of wells listed in the California Department of Public Health (CDPH) database. Public-supply wells typically are completed in the primary aquifer system to depths of 200 to 1,100 feet below land surface (bls). The wells contain solid casing reaching from the land surface to a depth of about 60-700 feet, and are perforated below the solid casing to allow water into the well. Water quality in the primary aquifer system may differ from the water in the shallower and deeper parts of the aquifer. Land use in the study unit is approximately 40 percent (%) natural (primarily shrubs, grassland, and wetlands), 37% agricultural, and 23% urban. The primary crops are citrus, avocados, alfalfa, pasture, strawberries, and dry beans. The largest urban areas in the study unit are the cities of Ventura, Oxnard, Camarillo, Simi Valley, Newhall, and Santa Clarita. Currently, groundwater pumping for agricultural use accounts for the greatest amount of discharge from the aquifer system in the SCRV study unit, followed by municipal use. Recharge to the groundwater system is through stream-channel infiltration from the three main river systems and by direct infiltration of precipitation and irrigation. Recharge facilities in the Oxnard forebay play an important role in recharging the local aquifer systems.

  7. Burnout contagion among intensive care nurses.

    PubMed

    Bakker, Arnold B; Le Blanc, Pascale M; Schaufeli, Wilmar B

    2005-08-01

    This paper reports a study investigating whether burnout is contagious. Burnout has been recognized as a problem in intensive care units for a long time. Previous research has focused primarily on its organizational antecedents, such as excessive workload or high patient care demands, time pressure and intensive use of sophisticated technology. The present study took a totally different perspective by hypothesizing that--in intensive care units--burnout is communicated from one nurse to another. A questionnaire on work and well-being was completed by 1849 intensive care unit nurses working in one of 80 intensive care units in 12 different European countries in 1994. The results are being reported now because they formed part of a larger study that was only finally analysed recently. The questionnaire was translated from English to the language of each of these countries, and then back-translated to English. Respondents indicated the prevalence of burnout among their colleagues, and completed scales to assess working conditions and job burnout. Analysis of variance indicated that the between-unit variance on a measure of perceived burnout complaints among colleagues was statistically significant and substantially larger than the within-unit variance. This implies that there is considerable agreement (consensus) within intensive care units regarding the prevalence of burnout. In addition, the results of multilevel analyses showed that burnout complaints among colleagues in intensive care units made a statistically significant and unique contribution to explaining variance in individual nurses' and whole units' experiences of burnout, i.e. emotional exhaustion, depersonalization and reduced personal accomplishment. Moreover, for both emotional exhaustion and depersonalization, perceived burnout complaints among colleagues was the most important predictor of burnout at the individual and unit levels, even after controlling for the impact of well-known organizational stressors as conceptualized in the demand-control model. Burnout is contagious: it may cross over from one nurse to another.

  8. Comparison of Elementary Social Studies Curricula of Turkey and the United States on Values Education

    ERIC Educational Resources Information Center

    Merey, Zihni; Kus, Zafer; Karatekin, Kadir

    2012-01-01

    The purpose of this study is to compare the social studies teaching curricula of Turkey and the United States in terms of values education. The study is a model case study that relies upon one of the qualitative research methods. The data come from the elementary social studies curricula of both countries through the documents analysis method. The…

  9. Algae in the assessment of industrial effluents: case study in Southern Bengal, India.

    PubMed

    Sen Sarkar, Neera; Bandyopadhyaya, Tuli; Datta, Shilpa; Das, Swapna

    2013-01-01

    This article is an assessment of the diversity of scum and bloom algae encountered in different industrial effluents of Southern Bengal, India, analyzing their habitat and correlating the habitat ecology of each study site. The study was conducted during the period May 2009 to August 2010. The study sites include effluent release areas of the dairy industry, a distillery unit, the leather industry, and an herbal medicine unit. Habitat were analyzed for pH, dissolved oxygen, biological oxygen demand, salinity, alkalinity, and phosphate and nitrate levels. Correlation coefficients were calculated for habitat parameters and algae encountered, showing a significant positive correlation between the richness of dominant and subdominant species with biochemical oxygen demand and salinity and a significant negative correlation with alkalinity, phosphates, and the nitrate-to-phosphate ratio. The richness of dominant and subdominant species in the effluent discharge areas show average values of 9 and 5 in the distillery unit, 8 and 5 in the dairy industry, 7 and 8 in the leather industry, and 5 and 9 in the herbal medicine unit, respectively, with a few (ranging between 3 and 7) co-occurring species in each case. The algal groups encountered were cyanobacteria, euglenophytes, chlorophytes, and bacillariophytes, showing Palmer's Algal Pollution Index of 15 in the dairy industry, 20 in the distillery unit, 28 in the leather industry, and 8 in the herbal medicine unit.

  10. Introduction to Radiological Monitoring; A Programmed Home Study Course. Four Self-Study Units.

    ERIC Educational Resources Information Center

    Defense Civil Preparedness Agency (DOD), Battle Creek, MI.

    This progrmed course of study is designed to prepare local government officials and individual citizens to act in nuclear emergencies or disasters. Each of the four units has two lessons beginning with a brief overview and proceeding with self study frames. Line drawings are used to illustrate effects. Topics covered are the radiological monitor…

  11. A Study of Three Cultures: Germany, Japan and the United States--An Overview of the TIMSS Case Study Project.

    ERIC Educational Resources Information Center

    Stevenson, Harold W.

    1998-01-01

    Discusses case studies of the United States, Germany, and Japan included in the Third International Mathematics and Science Study (TIMSS). Highlights national standards, teacher training and working conditions, attitudes toward dealing with ability differences, and the place of school in adolescents' lives. Compared to Japanese and German…

  12. The Effectiveness of a Unit Study-Technology Approach within the High School Band Rehearsal Setting

    ERIC Educational Resources Information Center

    Gustafson-Hinds, Melissa A.

    2010-01-01

    The purpose of this research study was to investigate the usefulness of implementing a Comprehensive Musicianship (CMP)--Unit Study within a high school band rehearsal setting, using music technology as a supplementary tool. While previous studies have emphasized the many benefits of Comprehensive Musicianship, it is not clear how such an approach…

  13. Women's Studies in the United States: A Report to the Ford Foundation.

    ERIC Educational Resources Information Center

    Stimpson, Catherine R.; Cobb, Nina Kressner

    Revealing the amount of work that has been done in women's studies since 1970, the report presents a view of women's studies as it exists today in the United States. The report's broad vision reflects the intellectual vitality and diverse characteristics of the current state of women's studies research, the recommendations for broadening the…

  14. Factors contributing to the process of intensive care patient discharge: an ethnographic study informed by activity theory.

    PubMed

    Lin, Frances; Chaboyer, Wendy; Wallis, Marianne; Miller, Anne

    2013-08-01

    Patient flow from intensive care to acute care units is often problematic and many discharges from intensive care to acute care are unsuccessful on the first attempt. The aim of this study was to explore the factors that influence intensive care patient discharge. This ethnographic study was undertaken in an Australian metropolitan tertiary hospital that had a 14-bed level 3 intensive care unit. Intensive care and acute care unit medical and nursing staff, and other hospital staff who were involved in the intensive care patient discharge process participated in this study. A total of 28 discharges were observed, and 56 one on one interviews were conducted. Data collection techniques including direct observations, semi-structured interviews, and collection of existing documents were used. Activity theory was the theoretical framework that underpinned this study. Three patient activity systems were identified: intensive care patient discharge activity, acute care unit accepting patient activity, and hospital bed management activity. Analysis of the interactions among these activity systems revealed conflicting objects (goals), communication breakdowns, and teamwork issues. Discharge delay was found to be a significant problem, which was associated with limited acute care unit bed availability. Strategies to improve acute care unit bed availability are needed. Routine after-hours ICU discharge could raise patient safety concerns which need to be considered. All team members' input in discharge decision making should be encouraged. Problems identified in clinical handover call for actions to change the handover practice. Activity theory successfully guided the study by providing a practical and descriptive framework for the study, facilitating the understanding of the interrelationships among the activity systems. Copyright © 2012 Elsevier Ltd. All rights reserved.

  15. A qualitative study using the Theoretical Domains Framework to investigate why patients were or were not assessed for rehabilitation after stroke.

    PubMed

    Lynch, Elizabeth A; Luker, Julie A; Cadilhac, Dominique A; Fryer, Caroline E; Hillier, Susan L

    2017-07-01

    To explore the factors perceived to affect rehabilitation assessment and referral practices for patients with stroke. Qualitative study using data from focus groups analysed thematically and then mapped to the Theoretical Domains Framework. Eight acute stroke units in two states of Australia. Health professionals working in acute stroke units. Health professionals at all sites had participated in interventions to improve rehabilitation assessment and referral practices, which included provision of copies of an evidence-based decision-making rehabilitation Assessment Tool and pathway. Eight focus groups were conducted (32 total participants). Reported rehabilitation assessment and referral practices varied markedly between units. Continence and mood were not routinely assessed (4 units), and people with stroke symptoms were not consistently referred to rehabilitation (4 units). Key factors influencing practice were identified and included whether health professionals perceived that use of the Assessment Tool would improve rehabilitation assessment practices (theoretical domain 'social and professional role'); beliefs about outcomes from changing practice such as increased equity for patients or conversely that changing rehabilitation referral patterns would not affect access to rehabilitation ('belief about consequences'); the influence of the unit's relationships with other groups including rehabilitation teams ('social influences' domain) and understanding within the acute stroke unit team of the purpose of changing assessment practices ('knowledge' domain). This study has identified that health professionals' perceived roles, beliefs about consequences from changing practice and relationships with rehabilitation service providers were perceived to influence rehabilitation assessment and referral practices on Australian acute stroke units.

  16. "Units of Comparison" across Languages, across Time

    ERIC Educational Resources Information Center

    Thomas, Margaret

    2009-01-01

    Lardiere's keynote article adverts to a succession of "units of comparison" that have been employed in the study of cross-linguistic differences, including mid-twentieth-century structural patterns, generative grammar's parameters, and (within contemporary Minimalism) features. This commentary expands on the idea of units of cross-linguistic…

  17. NETL - Chemical Looping Reactor

    ScienceCinema

    None

    2018-02-14

    NETL's Chemical Looping Reactor unit is a high-temperature integrated CLC process with extensive instrumentation to improve computational simulations. A non-reacting test unit is also used to study solids flow at ambient temperature. The CLR unit circulates approximately 1,000 pounds per hour at temperatures around 1,800 degrees Fahrenheit.

  18. TREATABILITY STUDY BULLETIN: MOBILE VOLUME REDUCTION UNIT AT THE SAND CREEK SUPERFUND SITE

    EPA Science Inventory

    The Risk Reduction Engineering Laboratory (RREL) Releases Control Branch (RCB) has developed a pilot-scale Mobile Volume Reduction Unit (VRU) to determine the feasibility of soil washing for the remediation of contaminated soils. This mobile unit, mounted on two trailers, can pro...

  19. University-Industry Entrepreneurship: The Organization and Management of American University Technology Transfer Units.

    ERIC Educational Resources Information Center

    Dill, David D.

    1995-01-01

    A survey of 289 university technology transfer units investigated their organization, management, and perceived performance effectiveness. Unit types studied included licensing and patent offices, small business development centers, research and technology centers, business facility incubators, and entrepreneurial investment/endowment offices.…

  20. Infrared Spectral Signatures for Io's Dark and Green Spots

    NASA Technical Reports Server (NTRS)

    Granahan, J. C.; Fanale, F. P.; Carlson, R.; Smythe, W. D.

    2001-01-01

    This spectral study of Io identifies the infrared components of the visible spectral units (green and dark) as identified by Galileo. The green units possess sulfur dioxide and the dark units are associated with infrared thermal signatures. Additional information is contained in the original extended abstract.

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