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Sample records for department discharge instructions

  1. Automated quality measurement in Department of the Veterans Affairs discharge instructions for patients with congestive heart failure.

    Science.gov (United States)

    Garvin, Jennifer H; Elkin, Peter L; Shen, Shuying; Brown, Steven; Trusko, Brett; Wang, Enlai; Hoke, Linda; Quiaoit, Ylenia; Lajoie, Joan; Weiner, Mark G; Graham, Pauline; Speroff, Theodore

    2013-01-01

    Quality measurement is an important issue for the United States Department of Veterans Affairs (VA). In this study, we piloted the use of an informatics tool, the Multithreaded Clinical Vocabulary Server (MCVS), which extracted automatically whether the VA Office of Quality and Performance measures of quality of care were met for the completion of discharge instructions for inpatients with congestive heart failure. We used a single document, the discharge instructions, from one section of the medical records for 152 patients and developed a reference standard using two independent reviewers to assess performance. When evaluated against the reference standard, MCVS achieved a sensitivity of 0.87, a specificity of 0.86, and a positive predictive value of 0.90. The automated process using the discharge instruction document worked effectively. The use of the MCVS tool for concept-based indexing resulted in mostly accurate data capture regarding quality measurement, but improvements are needed to further increase the accuracy of data extraction. © 2012 National Association for Healthcare Quality.

  2. Speak fast, use jargon, and don't repeat yourself: a randomized trial assessing the effectiveness of online videos to supplement emergency department discharge instructions.

    Directory of Open Access Journals (Sweden)

    Clare L Atzema

    Full Text Available BACKGROUND: Emergency department discharge instructions are variably understood by patients, and in the setting of emergency department crowding, innovations are needed to counteract shortened interaction times with the physician. We evaluated the effect of viewing an online video of diagnosis-specific discharge instructions on patient comprehension and recall of instructions. METHODS: In this prospective, single-center, randomized controlled trial conducted between November 2011 and January 2012, we randomized emergency department patients who were discharged with one of 38 diagnoses to either view (after they left the emergency department a vetted online video of diagnosis-specific discharge instructions, or to usual care. Patients were subsequently contacted by telephone and asked three standardized questions about their discharge instructions; one point was awarded for each correct answer. Using an intention-to-treat analysis, differences between groups were assessed using univariate testing, and with logistic regression that accounted for clustering on managing physician. A secondary outcome measure was patient satisfaction with the videos, on a 10-point scale. RESULTS: Among 133 patients enrolled, mean age was 46.1 (s.d.D. 21.5 and 55% were female. Patients in the video group had 19% higher mean scores (2.5, s.d. 0.7 than patients in the control group (2.1, s.d. 0.8 (p=0.002. After adjustment for patient age, sex, first language, triage acuity score, and clustering, the odds of achieving a fully correct score (3 out of 3 were 3.5 (95% CI, 1.7 to 7.2 times higher in the video group, compared to the control group. Among those who viewed the videos, median rating of the videos was 10 (IQR 8 to 10. CONCLUSIONS: In this single-center trial, patients who viewed an online video of their discharge instructions scored higher on their understanding of key concepts around their diagnosis and subsequent care. Those who viewed the videos found them to

  3. The Impact of Revised Discharge Instructions on Patient Satisfaction

    Directory of Open Access Journals (Sweden)

    Heather Markey Waniga RN, MSN

    2016-09-01

    Full Text Available Introduction: The impact of discharge instructions on a patient’s experience is not fully understood. This research explored whether nurse- and physician-generated discharge instructions had a positive effect on patient perceptions regarding their discharge experience. Methods: We compared Press Ganey discharge-related patient satisfaction scores for the year prior to and the year subsequent to implementing revised discharge instructions for all patients admitted to a 180-bed community-based hospital. Results: Following the implementation of our revised discharge instructions, patient satisfaction significantly improved (84.7% vs 83%, P < .01. Patients responded that they felt ready for discharge (86.6% vs 84.9%, P = .01 and were satisfied with instructions for home care (87.8% vs 85.3%, P < .01. Discussion: This study finds that a novel discharge instruction set produced by both the nursing and physician staff may improve patient perceptions with the discharge process.

  4. Efficacy of patient discharge instructions: A pointer toward caregiver friendly communication methods from pediatric emergency personnel

    Directory of Open Access Journals (Sweden)

    Nesrin Al-Harthy

    2016-01-01

    Full Text Available Background: Discharge instructions are vital in postemergency patient care to help the caregiver understand the diagnosis and identify symptoms which require prompt readmission. In general, oral or written instructions are provided on discharge. However, there is a dearth of information on the efficacy of discharge instructions provided by physicians in KSA. Objectives: To evaluate the efficacy of discharge instructions for postpediatrics emergency visit. Materials and Methods: This observational cross-sectional survey conducted in the Department of Paediatric Emergency at King Abdul Aziz Medical City, Riyadh, KSA, included 173 literate adult caregivers who had given their consent. Those who had been on admission earlier and been discharged from the emergency department were excluded. Demographic data and variables like knowledge of medicine and treatment follow-up were collected using a structured questionnaire and analyzed using SPSS version 16. Results: Verbal only, written only, or both verbal and written discharge instructions were provided. Written and verbal instructions, when provided together, were the most effective modes of communication with caregivers. The majority of the respondents were unaware of the follow-up plan (64.16%, unable to identify problems that would necessitate a follow-up (58.96%, and unable to identify the signs and symptoms that would require a revisit (62.43% irrespective of the mode of instruction. However, more attention is necessary because of the 34.68% of the subjects who left the hospital without discharge instructions. Conclusions: Instructions given both verbally and in writing were observed to be more effective than verbal only or written only. The effectiveness of discharge instructions was highly influenced by the level of education of the caregivers. Improved caregiver friendly methods of communication from the pediatric emergency health-care team are necessary for the delivery of discharge

  5. Family involvement in emergency department discharge education for older people.

    Science.gov (United States)

    Palonen, Mira; Kaunonen, Marja; Åstedt-Kurki, Päivi

    2016-11-01

    To report findings concerning family involvement in emergency department discharge education for older people. The current trend of population ageing in Western countries has caused an increase in emergency department visits. Due to the continuing improvement in the mental and physical status of older people, they are frequently discharged home. Proper discharge education enables older people and their families to better understand how they can cope with the medical issue at home. Given the lack of research, we know relatively little about the significance of family involvement in older people's emergency department discharge education. A descriptive qualitative design was used. Qualitative thematic interviews of seven older patients, five family members and fifteen nurses were conducted. Data were analysed using content analysis. Family involvement in discharge education was seen as turbulent. The experiences were twofold: family involvement was acknowledged, but there was also a feeling that family members were ostracised. Families were seen as a resource for nurses, but as obliged initiators of their own involvement. Our findings suggest that family members are not considered participants in emergency department care. For a family-friendly approach, actions should be taken on both individual and organisational levels. The findings support healthcare providers and organisation leaders in promoting family involvement in discharge education for older people. Families can be encouraged to be involved without feeling responsible for the interaction. © 2016 John Wiley & Sons Ltd.

  6. Structured nursing intervention to geriatric patients discharged from Emergency Department

    DEFF Research Database (Denmark)

    Rosted, Elizabeth Emilie

    2010-01-01

    Background: Geriatric patients recently discharged from hospital are at risk of unplanned readmissions and admission to nursing home. When discharged directly from Emergency Department (ED) the risk increases, as time pressure often requires focus on the presenting problem, although 80 % of geria......Background: Geriatric patients recently discharged from hospital are at risk of unplanned readmissions and admission to nursing home. When discharged directly from Emergency Department (ED) the risk increases, as time pressure often requires focus on the presenting problem, although 80...... % of geriatric patients have complex and often unresolved caring needs. Objective: To investigate a structured nursing intervention’s impact on geriatric patients’ unresolved problems and their use of help from the community health centre. Method: We conducted a prospective descriptive study of selected...... geriatric patients with nursing intervention and 1 and 6 months follow-up. Included were geriatric patients 70+ years planned to be discharged to their home from ED October 2006-June 2008. Intervention: After detecting the geriatric patients planned to be discharged, the geriatric nurse in the ED did...

  7. Effect of Pictograph-Based Discharge Instructions on Older Adults' Comprehension and Recall: A Pilot Study.

    Science.gov (United States)

    Choi, Jeungok

    2016-01-01

    Many older adults return home with limited comprehension of hospital discharge instructions because current text-based instructions are difficult to understand. To address this issue, the author developed discharge instructions using pictographs (i.e., simple line drawings showing step-by-step discharge actions) for older adults under care of hip replacement surgery. The purpose of the current study was to examine the effect of pictograph-based discharge instructions on comprehension and recall of older adults with low literacy skills. A posttest-only comparison group design was used to compare pictograph-based (n = 21) to text-only (n = 21) discharge instructions at 4 weeks after discharge instruction education. Significantly greater improvements in scores on comprehension and recall were demonstrated by the pictograph group than the text-only group. A follow-up, full-scale study is suggested to examine the effect of pictograph-based instructions on adherence to instructions and health outcomes.

  8. Language barriers and understanding of hospital discharge instructions.

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    Karliner, Leah S; Auerbach, Andrew; Nápoles, Anna; Schillinger, Dean; Nickleach, Dana; Pérez-Stable, Eliseo J

    2012-04-01

    Effective communication at hospital discharge is necessary for an optimal transition and to avoid adverse events. We investigated the association of a language barrier with patient understanding of discharge instructions. Spanish-speaking, Chinese-speaking, and English-speaking patients admitted to 2 urban hospitals between 2005 and 2008, comparing patient understanding of follow-up appointment type, and medication category and purpose between limited English-proficient (LEP) and English-proficient patients. Of the 308 patients, 203 were LEP. Rates of understanding were low overall for follow-up appointment type (56%) and the 3 medication outcomes (category 48%, purpose 55%, both 41%). In unadjusted analysis, LEP patients were less likely than English-proficient patients to know appointment type (50% vs. 66%; P=0.01), medication category (45% vs. 54%; P=0.05), and medication category and purpose combined (38% vs. 47%; P=0.04), but equally likely to know medication purpose alone. These results persisted in the adjusted models for medication outcomes: LEP patients had lower odds of understanding medication category (odds ratio 0.63; 95% confidence interval, 0.42-0.95); and category/purpose (odds ratio 0.59; 95% confidence interval, 0.39-0.89). Understanding of appointment type and medications after discharge was low, with LEP patients demonstrating worse understanding of medications. System interventions to improve communication at hospital discharge for all patients, and especially those with LEP, are needed.

  9. Discharge from an emergency department observation unit and a surgical assessment unit

    DEFF Research Database (Denmark)

    Schultz, Helen; Qvist, Niels; Backer Mogensen, Christian;

    2014-01-01

    To investigate the experiences of patients with acute abdominal pain at discharge from an emergency department observation unit compared with discharge from a surgical assessment unit.......To investigate the experiences of patients with acute abdominal pain at discharge from an emergency department observation unit compared with discharge from a surgical assessment unit....

  10. Improving patient comprehension and recall of discharge instructions by supplementing free texts with pictographs.

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    Zeng-Treitler, Qing; Kim, Hyeoneui; Hunter, Martha

    2008-11-06

    Inpatient discharge instructions provide critical information for patients to manage their own care. These instructions are typically free-text and not easy for patients to understand and remember. In this pilot study, we developed a set of pictographs through a participatory design process and used them to enhance two mock-up discharge instructions. Tested on 13 healthy volunteers, the pictograph enhancement resulted in statistically significant better recall rates (ppictographs.

  11. Older adults' perceptions of pictograph-based discharge instructions after hip replacement surgery.

    Science.gov (United States)

    Choi, Jeungok

    2013-07-01

    Current text-based discharge instructions are unsuitable for low-literate older adults who have difficulty following written action-based instructions. To address this issue, we developed discharge instructions for low-literate older adults after hip replacement surgery using pictographs (i.e., simple line drawings with stick figures showing explicit care actions). The aim of this focus group study was to examine the acceptability and comprehension of these instructions to 15 low-literate older adults. Participants perceived that the pictograph-based discharge instructions helped them understand the intended health care messages, especially for step-by-step procedures of discharge actions. The black-and-white line drawings were well received by all participants of various race/ethnicity. A pictograph-based approach is an effective strategy for developing discharge instructions not only for patients with low literacy skills in acute health care settings, but also for immigrants with significant communication challenges. Future research is suggested to compare the effects of pictograph-based and text-based instructions on adherence to instructions and health outcomes.

  12. Patient experience with discharge instructions in postdischarge recovery: a qualitative study

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    Horstman, Molly J; Mills, Whitney L; Herman, Levi I; Cai, Cecilia; Shelton, George; Qdaisat, Tareq; Berger, David H; Naik, Aanand D

    2017-01-01

    Objectives We examined the role of discharge instructions in postoperative recovery for patients undergoing colorectal surgery and report themes related to patient perceptions of discharge instructions and postdischarge experience. Design Semistructured interviews were conducted as part of a formative evaluation of a Project Re-Engineered Discharge intervention adapted for surgical patients. Setting Michael E. DeBakey VA Medical Center, a tertiary referral centre in Houston, Texas. Participants Twelve patients undergoing elective colorectal surgery. Interviews were conducted at the two-week postoperative appointment. Results Participants demonstrated understanding of the content in the discharge instructions. During the interviews, participants reported several positive roles for discharge instructions in their postdischarge care: a sense of security, a reminder of inhospital education, a living document and a source of empowerment. Despite these positive associations, participants reported that the instructions provided insufficient information to promote access to care that effectively addressed acute issues following discharge. Participants noted difficulty reaching providers after discharge, which resulted in the adoption of workarounds to overcome system barriers. Conclusions Despite concerted efforts to provide patient-centred instructions, the discharge instructions did not provide enough context to effectively guide postdischarge interactions with the healthcare system. Insufficient information on how to access and communicate with the most appropriate personnel in the healthcare system is an important barrier to patients receiving high-quality postdischarge care. Tools and strategies from team training programmes, such as team strategies and tools to enhance performance and patient safety, could be adapted to include patients and provide them with structured methods for communicating with healthcare providers post discharge. PMID:28228448

  13. Pediatric emergency department discharge prescriptions requiring pharmacy clarification.

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    Caruso, Michelle C; Gittelman, Michael A; Widecan, Michelle L; Luria, Joseph W

    2015-06-01

    The aims of the study were to analyze and classify reasons why retail pharmacies need to contact the pediatric emergency department (PED) for clarification on outpatient prescriptions generated using an electronic prescribing system and to categorize the severity of errors captured. A retrospective chart review was conducted at a PED that cares for approximately 92,000 patients annually. All pharmacy callbacks documented in the electronic medical record between August 1, 2008 and July 31, 2009 were included. A datasheet was used to capture patient demographics (age, sex, race, insurance), prescriptions written, and reason for callback. Each call was then assigned a severity level, and time to respond to all calls was estimated. Frequencies were used to analyze the data. A total of 731 errors for 695 callbacks were analyzed from 49,583 prescriptions written at discharge. The most common errors included administrative/insurance issues 342/731 (47%) and prescription writing errors 298/731 (41%). The errors were classified as insignificant (340/729 [47%]), problematic (288/729 [40%]), significant (77/729 [11%]), serious (12/729 [1.64%]), and severe (12/729 [1.64%]). Almost 96% of errant prescriptions were not able to be filled as originally written and required a change by the prescriber. These calls required approximately 127 hours to complete. Prescription errors requiring a pharmacy callback are typically insignificant. However, 13.8% of callbacks about an error were considered significant, serious, or severe. Automated dose checking and verifying insurance coverage of prescribed medications should be considered essential components of prescription writing in a PED.

  14. The Department-Wide Approach to Improving Faculty Instruction in Higher Education: A Qualitative Evaluation.

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    Hativa, Nira

    1995-01-01

    A Tel Aviv University (Israel) study applied qualitative methods to evaluate a model for improvement of university teaching. A departmental instruction specialist treats instructional quality issues comprehensively within a department. Two years of implementation in the physics department have resulted in increased instructional quality, faculty…

  15. Structured nursing intervention to geriatric patients discharged from Emergency Department

    DEFF Research Database (Denmark)

    Rosted, Elizabeth Emilie

    2010-01-01

    the nurse made relevant referrals to geriatric outpatient clinic, community health centre, primary physician or arrangements with next-of-kin. Results: 150 geriatric patients participated, mean age 81.7 (70-99). At discharge they had in mean 2 (0-9) unresolved problems, after 1 month 0.8 (0-5), and after 6...

  16. The Role of the State Department of Public Instruction in the Del Mod System.

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    Reiher, John F.

    This is one of a series of monographs providing information about the Delaware Model: A Systems Approach to Science Education (Del Mod System). The State Department of Public Instruction is the agency that represents the public schools of Delaware. The two branches of the state department with which Del Mod interacts are the Instructional Services…

  17. Lean intervention improves patient discharge times, improves emergency department throughput and reduces congestion.

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    Beck, Michael J; Okerblom, Davin; Kumar, Anika; Bandyopadhyay, Subhankar; Scalzi, Lisabeth V

    2016-12-01

    To determine if a lean intervention improved emergency department (ED) throughput and reduced ED boarding by improving patient discharge efficiency from a tertiary care children's hospital. The study was conducted at a tertiary care children's hospital to study the impact lean that changes made to an inpatient pediatric service line had on ED efficiency. Discharge times from the general pediatrics' service were compared to patients discharged from all other pediatric subspecialty services. The intervention was multifaceted. First, team staffing reconfiguration permitted all discharge work to be done at the patient's bedside using a new discharge checklist. The intervention also incorporated an afternoon interdisciplinary huddle to work on the following day's discharges. Retrospectively, we determined the impact this had on median times of discharge order entry, patient discharge, and percent of patients discharged before noon. As a marker of ED throughput, we determined median hour of day that admitted patients left the ED to move to their hospital bed. As marker of ED congestion we determined median boarding times. For the general pediatrics service line, the median discharge order entry time decreased from 1:43pm to 11:28am (p Lean principles implemented by one hospital service line improved patient discharge times enhanced patient ED throughput, and reduced ED boarding times.

  18. Usefulness of Videotape Instruction in an Academic Department of Neurology.

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    Kaufman, David M.; Kaufman, Rita G.

    1983-01-01

    Videotape instruction produced better performance in identification in only certain areas in a neurology clerkship: neuropsychologic phenomena, disorders with subtle or unique movements, and seizures. The choice and cost of equipment and some professional assurances are discussed. (Author/MLW)

  19. Usefulness of Videotape Instruction in an Academic Department of Neurology.

    Science.gov (United States)

    Kaufman, David M.; Kaufman, Rita G.

    1983-01-01

    Videotape instruction produced better performance in identification in only certain areas in a neurology clerkship: neuropsychologic phenomena, disorders with subtle or unique movements, and seizures. The choice and cost of equipment and some professional assurances are discussed. (Author/MLW)

  20. Nursing Assessment and Intervention to Geriatric Patients Discharged from Emergency Departments

    DEFF Research Database (Denmark)

    Rosted, Elizabeth Emilie; Poulsen, Ingrid; Hendriksen, Carsten

    2011-01-01

    Background: Geriatric patients recently discharged from hospital are at risk of unplanned readmissions and admission to nursing home. When discharged directly from Emergency Department (ED) the risk increases, as time pressure often requires focus on the presenting problem, although 80% of geriat......Background: Geriatric patients recently discharged from hospital are at risk of unplanned readmissions and admission to nursing home. When discharged directly from Emergency Department (ED) the risk increases, as time pressure often requires focus on the presenting problem, although 80......% of geriatric patients have complex and often unresolved caring needs. Objective: To investigate a structured nursing intervention’s impact on geriatric patients’ unresolved problems and their use of help from the community health centre. Method: We conducted a prospective descriptive study of selected...... geriatric patients with nursing intervention at discharge and 1 and 6 months follow-up. Included were geriatric patients 70+ years discharged to their home October 2006-June 2008. Intervention: After detecting the geriatric patients planned to be discharged, the geriatric nurse in the ED did a brief...

  1. Pediatric cardiac surgery Parent Education Discharge Instruction (PEDI) program: a pilot study.

    Science.gov (United States)

    Staveski, Sandra L; Zhelva, Bistra; Paul, Reena; Conway, Rosalind; Carlson, Anna; Soma, Gouthami; Kools, Susan; Franck, Linda S

    2015-01-01

    In developing countries, more children with complex cardiac defects now receive treatment for their condition. For successful long-term outcomes, children also need skilled care at home after discharge. The Parent Education Discharge Instruction (PEDI) program was developed to educate nurses on the importance of discharge teaching and to provide them with a structured process for conducting parent teaching for home care of children after cardiac surgery. The aim of this pilot study was to generate preliminary data on the feasibility and acceptability of the nurse-led structured discharge program on an Indian pediatric cardiac surgery unit. A pre-/post-design was used. Questionnaires were used to evaluate role acceptability, nurse and parent knowledge of discharge content, and utility of training materials with 40 nurses and 20 parents. Retrospective audits of 50 patient medical records (25 pre and 25 post) were performed to evaluate discharge teaching documentation. Nurses' discharge knowledge increased from a mean of 81% to 96% (P = .001) after participation in the training. Nurses and parents reported high levels of satisfaction with the education materials (3.75-4 on a 4.00-point scale). Evidence of discharge teaching documentation in patient medical records improved from 48% (12 of 25 medical records) to 96% (24 of 25 medical records) six months after the implementation of the PEDI program. The structured nurse-led parent discharge teaching program demonstrated feasibility, acceptability, utility, and sustainability in the cardiac unit. Future studies are needed to examine nurse, parent, child, and organizational outcomes related to this expanded nursing role in resource-constrained environments. © The Author(s) 2014.

  2. Nurse and parent perceptions associated with the Parent Education Discharge Instruction Programme in southern India.

    Science.gov (United States)

    Staveski, Sandra L; Parveen, V P; Madathil, Sai B; Kools, Susan; Franck, Linda S

    2016-08-01

    Introduction Parents of children with CHD require home care knowledge in order to ensure their child's health and safety, but there has been no research on how to achieve this in a resource-constrained environment. The aim of this investigation was to compare parent and nurse perceptions of parent readiness for discharge after a structured nurse-led parent discharge teaching programme in India. Materials and methods A pre-post design was used to compare parent and nurse perceptions of parental uncertainty and readiness for hospital discharge before and after introduction of the parent education discharge instruction programme in a paediatric cardiac surgery unit. Parents (n=68) and nurses (n=63) participated in this study. After the discharge programme implementation, parents had less uncertainty (M=93.3 SD=10.7 versus M=83.6 SD=4.9, p=0.001) and ambiguity (M=40.8 SD=6.8 versus M=33.4 SD=3.7, p=0.001) about their child's illness; however, they rated themselves as being less able to cope with the transition to home (M=24.3 SD=4.1 versus 23.1 SD=2.2, p=0.001) and as having less support at home than that required (M=31.5 SD=9.9 versus 30.9 SD=3.2, p=0.001). Parents' and nurses' perception of parental readiness for hospital discharge were more closely aligned after implementation of a nurse-led discharge programme (r=0.81, p=0.001). The results of this study suggest that the discharge programme had positive and negative effects on parental perceptions of uncertainty and readiness for discharge. Further examination is warranted to delineate these influences and to design methods for supporting parents during the transition to home care.

  3. Smoothing inpatient discharges decreases emergency department congestion: a system dynamics simulation model.

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    Wong, Hannah J; Wu, Robert C; Caesar, Michael; Abrams, Howard; Morra, Dante

    2010-08-01

    Timely access to emergency patient care is an important quality and efficiency issue. Reduced discharges of inpatients at weekends are a reality to many hospitals and may reduce hospital efficiency and contribute to emergency department (ED) congestion. To evaluate the daily number of ED beds occupied by inpatients after evenly distributing inpatient discharges over the course of the week using a computer simulation model. Simulation modelling study from an academic care hospital in Toronto, Canada. Daily historical data from the general internal medicine (GIM) department between 15 January and 15 December for two years, 2005 and 2006, were used for model building and validation, respectively. There was good agreement between model simulations and historical data for both ED and ward censuses and their respective lengths of stay (LOS), with the greatest difference being +7.8% for GIM ward LOS (model: 9.3 days vs historical: 8.7 days). When discharges were smoothed across the 7 days, the number of ED beds occupied by GIM patients decreased by approximately 27-57% while ED LOS decreased 7-14 hours. The model also demonstrated that patients occupying hospital beds who no longer require acute care have a considerable impact on ED and ward beds. Smoothing out inpatient discharges over the course of a week had a positive effect on decreasing the number of ED beds occupied by inpatients. Despite the particular challenges associated with weekend discharges, simulation experiments suggest that discharges evenly spread across the week may significantly reduce bed requirements and ED LOS.

  4. The HEART Pathway randomized trial: identifying emergency department patients with acute chest pain for early discharge.

    Science.gov (United States)

    Mahler, Simon A; Riley, Robert F; Hiestand, Brian C; Russell, Gregory B; Hoekstra, James W; Lefebvre, Cedric W; Nicks, Bret A; Cline, David M; Askew, Kim L; Elliott, Stephanie B; Herrington, David M; Burke, Gregory L; Miller, Chadwick D

    2015-03-01

    The HEART Pathway is a decision aid designed to identify emergency department patients with acute chest pain for early discharge. No randomized trials have compared the HEART Pathway with usual care. Adult emergency department patients with symptoms related to acute coronary syndrome without ST-elevation on ECG (n=282) were randomized to the HEART Pathway or usual care. In the HEART Pathway arm, emergency department providers used the HEART score, a validated decision aid, and troponin measures at 0 and 3 hours to identify patients for early discharge. Usual care was based on American College of Cardiology/American Heart Association guidelines. The primary outcome, objective cardiac testing (stress testing or angiography), and secondary outcomes, index length of stay, early discharge, and major adverse cardiac events (death, myocardial infarction, or coronary revascularization), were assessed at 30 days by phone interview and record review. Participants had a mean age of 53 years, 16% had previous myocardial infarction, and 6% (95% confidence interval, 3.6%-9.5%) had major adverse cardiac events within 30 days of randomization. Compared with usual care, use of the HEART Pathway decreased objective cardiac testing at 30 days by 12.1% (68.8% versus 56.7%; P=0.048) and length of stay by 12 hours (9.9 versus 21.9 hours; P=0.013) and increased early discharges by 21.3% (39.7% versus 18.4%; P<0.001). No patients identified for early discharge had major adverse cardiac events within 30 days. The HEART Pathway reduces objective cardiac testing during 30 days, shortens length of stay, and increases early discharges. These important efficiency gains occurred without any patients identified for early discharge suffering MACE at 30 days. URL: http://www.clinicaltrials.gov. Unique Identifier: NCT01665521. © 2015 American Heart Association, Inc.

  5. Nursing Assessment and Intervention to Geriatric Patients Discharged From Emergency Department

    DEFF Research Database (Denmark)

    Rosted, Elizabeth Emilie; Poulsen, Ingrid; Hendriksen, Carsten

    Background: Geriatric patients recently discharged from hospital are at risk of unplanned readmissions and admission to nursing home. When discharged directly from Emergency Department (ED) the risk increases, as time pressure often requires focus on the presenting problem, although 80 % of geria......Background: Geriatric patients recently discharged from hospital are at risk of unplanned readmissions and admission to nursing home. When discharged directly from Emergency Department (ED) the risk increases, as time pressure often requires focus on the presenting problem, although 80...... % of geriatric patients have complex and often unresolved caring needs. Objective: To examine the effect of a two-stage nursing assessment and intervention to address the patients uncompensated problems given just after discharge from ED and one and six months after. Method: We conducted a prospective...... nursing assessment comprising a checklist of 10 physical, mental, medical and social items. The focus was on unresolved problems which require medical intervention, new or different home care services, or comprehensive geriatric assessment. Following this the nurses made relevant referrals...

  6. Mobile Health Technology to Communicate Discharge and Follow-Up Information to Adolescents From the Emergency Department.

    Science.gov (United States)

    Ray, Margaret; Dayan, Peter S; Pahalyants, Vartan; Chernick, Lauren S

    2016-12-01

    Adolescents are the largest users of mobile technology; yet, there are little data regarding their receptivity to the use of mobile health technology (mHealth) from the emergency department (ED). The objective of this study was to determine adolescents' preferences for receiving ED discharge and follow-up information via mHealth and factors associated with those preferences. We administered an anonymous self-reporting survey to patients aged 14 to 19 years discharged from an urban pediatric ED. We conducted exploratory bivariate analyses to evaluate differences in communication preferences based on patient characteristics. We used multivariable logistic regression to determine whether preference for health information via mHealth is associated with frequent information technology (IT) use, adjusting for age, sex, ethnicity, and insurance status. Four hundred thirty-nine adolescents completed the survey. Most were female (n = 279, 64%), 14 to 17 years old (n = 247, 57%), Hispanic (n = 359, 86%), and insured (n = 388, 88%). Adolescents used IT often, texting more than 30 times a day (58%) and emailing more than once a day (61%). Most (n = 335, 78%) were interested in electronic communication from the ED. Teens expressed particular interest in using email for discharge instructions (n = 196, 47%), physician referrals (n = 197, 48%), and test results (n = 201, 48%) and using texting for medication (n = 155, 38%) and appointment reminders (n = 170, 41%). Individuals tended to prefer communication with IT modes that they typically used, although only email was independently associated with preference for this mode (adjusted odds ratio, 2.8; 95% confidence interval, 1.5-5.3). Adolescent patients are interested in receiving health information from the ED, mainly via email and texting. Future ED interventions should evaluate the effectiveness of these modalities to communicate with patients after discharge.

  7. Prospective Multicenter Study of Bronchiolitis: Predictors of an Unscheduled Visit After Discharge From the Emergency Department

    Science.gov (United States)

    Norwood, Agatha; Mansbach, Jonathan M.; Clark, Sunday; Waseem, Muhammad; Camargo, Carlos A.

    2012-01-01

    Objectives There is little evidence about which children with bronchiolitis will have worsened disease after discharge from the emergency department (ED). The objective of this study was to determine predictors of post-ED unscheduled visits. Methods The authors conducted a prospective cohort study of patients discharged from 2004 to 2006 at 30 EDs in 15 U.S. states. Inclusion criteria were diagnosis of bronchiolitis, age bronchiolitis within 2 weeks. Results Of 722 patients eligible for the current analysis, 717 (99%) had unscheduled visit data, of whom 121 (17%; 95% confidence interval [CI] = 14% to 20%) had unscheduled visits. Unscheduled visits were more likely for children age 0.10). Using multivariable logistic regression, independent predictors of unscheduled visits were age bronchiolitis, one of six children had unscheduled visits within 2 weeks of ED discharge. The three predictors of unscheduled visits were age under 2 months, male sex, and previous hospitalization. PMID:20370776

  8. Defining and Activating the Role of Department Chair as Instructional Leader

    Science.gov (United States)

    Kelley, Carolyn; Salisbury, Jason

    2013-01-01

    With strong connection to schoolwide policy and vision and to the realities of the daily life of teachers and students, the department chair is uniquely positioned to play an important role in advancing instructional effectiveness (Printy, 2008; Weller, 2001). This article provides an in-depth look at the efforts of three urban comprehensive high…

  9. Pictograph-based discharge instructions for low-literate older adults after hip replacement surgery: development and validation.

    Science.gov (United States)

    Choi, Jeungok

    2011-11-01

    Current forms of written text-based discharge instructions are not suitable for presenting lengthy, complex discharge home care actions, and are difficult for low-literate patients to follow precisely at home. The aims of this study were to develop and validate pictograph-based discharge instructions for older adults after hip replacement surgery. Once low-literacy text and pictographs were created, their appropriateness, accuracy, and relevance were reviewed and validated by five experts. The findings show that pictographs (i.e., simple line drawings showing explicit discharge care actions) using stick figures are well suited for presenting action-based discharge instructions. The experts perceived the pictographs as engaging and easy to understand. The pictograph-based approach can be an effective tool in developing health care instructions not only for patients with low-literate skills in acute health care settings, but also for immigrants and refugees who speak English as a second language and present significant communication challenges for health care providers.

  10. Early death after discharge from emergency departments: analysis of national US insurance claims data.

    Science.gov (United States)

    Obermeyer, Ziad; Cohn, Brent; Wilson, Michael; Jena, Anupam B; Cutler, David M

    2017-02-01

     To measure incidence of early death after discharge from emergency departments, and explore potential sources of variation in risk by measurable aspects of hospitals and patients.  Retrospective cohort study.  Claims data from the US Medicare program, covering visits to an emergency department, 2007-12.  Nationally representative 20% sample of Medicare fee for service beneficiaries. As the focus was on generally healthy people living in the community, patients in nursing facilities, aged ≥90, receiving palliative or hospice care, or with a diagnosis of a life limiting illnesses, either during emergency department visits (for example, myocardial infarction) or in the year before (for example, malignancy) were excluded.  Death within seven days after discharge from the emergency department, excluding patients transferred or admitted as inpatients.  Among discharged patients, 0.12% (12 375/10 093 678, in the 20% sample over 2007-12) died within seven days, or 10 093 per year nationally. Mean age at death was 69. Leading causes of death on death certificates were atherosclerotic heart disease (13.6%), myocardial infarction (10.3%), and chronic obstructive pulmonary disease (9.6%). Some 2.3% died of narcotic overdose, largely after visits for musculoskeletal problems. Hospitals in the lowest fifth of rates of inpatient admission from the emergency department had the highest rates of early death (0.27%)-3.4 times higher than hospitals in the highest fifth (0.08%)-despite the fact that hospitals with low admission rates served healthier populations, as measured by overall seven day mortality among all comers to the emergency department. Small increases in admission rate were linked to large decreases in risk. In multivariate analysis, emergency departments that saw higher volumes of patients (odds ratio 0.84, 95% confidence interval 0.81 to 0.86) and those with higher charges for visits (0.75, 0.74 to 0.77) had significantly fewer deaths. Certain

  11. Safely Discharging Infants with Bronchiolitis from an Emergency Department: A Five Step Guide for Pediatricians

    Science.gov (United States)

    Stollar, Fabiola; Gervaix, Alain; Argiroffo, Constance Barazzone

    2016-01-01

    Recent publications have established the pulse oxygen saturation (SpO2) threshold of 90% for the hospitalization and discharge of infant patients with bronchiolitis. However, there is no clear recommendation regarding the Emergency Department (ED) observation period necessary before allowing safe home discharge for patients with SpO2 above 90%-92%. Our primary aims were to evaluate the risk factors associated with delayed desaturation in infants with SpO2 ≥ 92% on arrival at the ED as well as the ED observation period necessary before allowing safe home discharge. A secondary aim was to identify the risk factors for ED readmission. Of 581 episodes of bronchiolitis in patients 6KPa) were risk factors for delayed desaturation with OR varying from 1.7 to 7.5. In patients bronchiolitis from the ED. By using the threshold of an 11 hour ED observation period for patients ≥ 3 months old and a 25 hour period for patients bronchiolitis who are at risk of delayed desaturation. PMID:27690359

  12. Ambulatory Cardiac Monitoring for Discharged Emergency Department Patients with Possible Cardiac Arrhythmias

    Directory of Open Access Journals (Sweden)

    Donald Scheiber

    2014-03-01

    Full Text Available Introduction: Many emergency department (ED patients have symptoms that may be attributed to arrhythmias, necessitating outpatient ambulatory cardiac monitoring. Consensus is lacking on the optimal duration of monitoring. We describe the use of a novel device applied at ED discharge that provides continuous prolonged cardiac monitoring. Methods: We enrolled discharged adult ED patients with symptoms of possible cardiac arrhythmia. A novel, single use continuous recording patch (Zio®Patch was applied at ED discharge. Patients wore the device for up to 14 days or until they had symptoms to trigger an event. They then returned the device by mail for interpretation. Significant arrhythmias are defined as: ventricular tachycardia (VT ≥4 beats, supraventricular tachycardia (SVT ≥4 beats, atrial fibrillation, ≥3 second pause, 2nd degree Mobitz II, 3rd degree AV Block, or symptomatic bradycardia. Results: There were 174 patients were enrolled and all mailed back their devices. The average age was 52.2 (± 21.0 years, and 55% were female. The most common indications for device placement were palpitations 44.8%, syncope 24.1% and dizziness 6.3%. Eighty-three patients (47.7% had ≥1 arrhythmias and 17 (9.8% were symptomatic at the time of their arrhythmia. Median time to first arrhythmia was 1.0 days (IQR 0.2-2.8 and median time to first symptomatic arrhythmia was 1.5 days (IQR 0.4-6.7. 93 (53.4% of symptomatic patients did not have any arrhythmia during their triggered events. The overall diagnostic yield was 63.2% Conclusion: The Zio®Patch cardiac monitoring device can efficiently characterize symptomatic patients without significant arrhythmia and has a higher diagnostic yield for arrhythmias than traditional 24-48 hour Holter monitoring. It allows for longer term monitoring up to 14 days. [West J Emerg Med. 2014;15(2:194–198.

  13. Parent education discharge instruction program for care of children at home after cardiac surgery in Southern India.

    Science.gov (United States)

    Staveski, Sandra L; Parveen, V P; Madathil, Sai B; Kools, Susan; Franck, Linda S

    2016-08-01

    Introduction In many developing countries, children with CHD are now receiving surgical repair or palliation for their complex medical condition. Consequently, parents require more in-depth discharge education programmes to enable them to recognise complications and manage their children's care after hospital discharge. This investigation evaluated the effectiveness of a structured nurse-led parent discharge teaching programme on nurse, parent, and child outcomes in India. Materials and methods A quasi-experimental investigation compared nurse and parent home care knowledge before and at two time points after the parent education discharge instruction program's implementation. Child surgical-site infections and hospital costs were compared for 6 months before and after the discharge programme's implementation. Both nurses (n=63) and parents (n=68) participated in this study. Records of 195 children who had undergone cardiac surgery were reviewed. Nurses had a high-level baseline home care knowledge that increased immediately after the discharge programme's implementation (T1=24.4±2.89; T2=27.4±1.55; p0.05) after the programme's implementation. Nurse, parent, and child outcomes were improved after implementation of the structured nurse-led parent discharge programme for parents in India. Structured nurse-led parent discharge programmes may help prepare parents to provide better home care for their children after cardiac surgery. Further investigation of causality and influencing factors is warranted.

  14. Risk Factors Associated With Emergency Department Return Visits Following Trauma System Discharge.

    Science.gov (United States)

    Ruttan, Timothy; Lawson, Karla A; Piper, Karen; Wilkinson, Matthew

    2017-06-06

    Little evidence exists in the pediatric trauma literature regarding what factors are associated with re-presentation to the hospital for patients discharged from the emergency department (ED). This was a retrospective cohort study of trauma system activations at a pediatric trauma center from June 30, 2007, through June 30, 2013, who were subsequently discharged from the ED or after a brief inpatient stay. Returns within 30 days were reviewed. χ, Student t test, and univariate logistical regression were used to compare predictive factors for those returning and not. One thousand eight hundred sixty-three patient encounters were included in the cohort. Seventy-two patients (3.9%) had at least 1 return visit that was related to the original trauma activation. Age, sex, language, race/ethnicity, ED length of stay, arrival mode, level of trauma activation, and transfer from an outside hospital did not vary significantly between the groups. Patients with public insurance were almost 2 times more likely to return compared with those with private insurance (odds ratio, 1.92; 95% confidence interval, 1.11-3.35). Income by zip code was associated with the risk of a return visit, with patients in neighborhoods at less than the 50th percentile income twice as likely to return to the ED (odds ratio, 2.15; 95% confidence interval, 1.30-3.54). Patients with public insurance and those from low-income neighborhoods were significantly more likely to return to the ED after trauma system activation. These data can be used to target interventions to decrease returns in high-risk trauma patients.

  15. Does Spanish instruction for emergency medicine resident physicians improve patient satisfaction in the emergency department and adherence to medical recommendations?

    Directory of Open Access Journals (Sweden)

    Stoneking LR

    2016-08-01

    Full Text Available LR Stoneking,1 AL Waterbrook,1 J Garst Orozco,2 D Johnston,1 A Bellafiore,1 C Davies,3 T Nuño,1 J Fatás-Cabeza,4 O Beita,5 V Ng,1 KH Grall,6 W Adamas-Rappaport7 1Department of Emergency Medicine, University of Arizona, Tucson, AZ, 2Department of Emergency Medicine, Sinai Health System, Chicago, IL, 3Department of Emergency Medicine, Maricopa Medical Center, Phoenix, AZ, 4Department of Spanish and Portuguese, University of Arizona, Tucson, AZ, 5Department of Family and Community Medicine, University of Arizona, Tucson, AZ, 6Department of Emergency Medicine, Regions Hospital, St Paul, MN, 7Department of Surgery, University of Arizona, Tucson, AZ, USA Background: After emergency department (ED discharge, Spanish-speaking patients with limited English proficiency are less likely than English-proficient patients to be adherent to medical recommendations and are more likely to be dissatisfied with their visit.Objectives: To determine if integrating a longitudinal medical Spanish and cultural competency curriculum into emergency medicine residency didactics improves patient satisfaction and adherence to medical recommendations in Spanish-speaking patients with limited English proficiency.Methods: Our ED has two Emergency Medicine Residency Programs, University Campus (UC and South Campus (SC. SC program incorporates a medical Spanish and cultural competency curriculum into their didactics. Real-time Spanish surveys were collected at SC ED on patients who self-identified as primarily Spanish-speaking during registration and who were treated by resident physicians from both residency programs. Surveys assessed whether the treating resident physician communicated in the patient’s native Spanish language. Follow-up phone calls assessed patient satisfaction and adherence to discharge instructions.Results: Sixty-three patients self-identified as primarily Spanish-speaking from August 2014 to July 2015 and were initially included in this pilot study

  16. Evaluation of Pharmacist Impact on Culture Review Process for Patients Discharged From the Emergency Department.

    Science.gov (United States)

    Santiago, Ruben D; Bazan, Jose A; Brown, Nicole V; Adkins, Eric J; Shirk, Mary Beth

    2016-10-01

    Background: Accurate and timely review of microbiological test results is a core component of antimicrobial stewardship. There is documented success of these programs in the inpatient setting; however, emergency department (ED) patients are typically not included in these initiatives. Objectives: To assess the impact of an emergency medicine pharmacist (EMP)-facilitated review process of positive microbiological test results from patients discharged from the ED as measured by time to positive result review and number of indicated interventions completed. Methods: This was a retrospective study that compared EMP-facilitated to ED charge nurse (CN)-facilitated physician review of randomly selected positive microbiological test results. Groups were compared concurrently within the time frame of July 1, 2012 through December 31, 2012. Results: One hundred seventy-eight positive microbiological test results were included (EMP, n = 91; CN, n = 87). The median (IQR) time to initial review was 3 (1.0-6.3) hours for the EMP and 2 (0.3-5.5) hours for the CN group (p = .35). Four percent (1/25) of indicated interventions were not completed in the EMP group versus 47% (14/30) in the CN group (p = .0004). Conclusion: An EMP was significantly less likely to miss an intervention when indicated with no difference in time to review of positive microbiological results. These findings support the role of the EMP in antimicrobial stewardship in the ED.

  17. Parental Language and Return Visits to the Emergency Department After Discharge.

    Science.gov (United States)

    Samuels-Kalow, Margaret E; Stack, Anne M; Amico, Kendra; Porter, Stephen C

    2017-06-01

    Return visits to the emergency department (ED) are used as a marker of quality of care. Limited English proficiency, along with other demographic and disease-specific factors, has been associated with increased risk of return visit, but the relationship between language, short-term return visits, and overall ED use has not been well characterized. This is a planned secondary analysis of a prospective cohort examining the ED discharge process for English- or Spanish-speaking parents of children aged 2 months to 2 years with fever and/or respiratory illness. At 1 year after the index visit, a standardized chart review was performed. The primary outcome was the number of ED visits within 72 hours of the index visit. Multivariable logistic regression was used to examine the relative importance of predictor variables and adjust for confounders. There were 202 parents eligible for inclusion, of whom 23% were Spanish speaking. In addition, 6.9% of the sample had a return visit within 72 hours. After adjustment for confounders, Spanish language was associated with return visit within 72 hours (odds ratio, 3.49; 95% confidence interval, 1.02-11.90) but decreased risk of a second visit within the year (odds ratio, 0.28; 95% confidence interval, 0.12-0.66). Spanish-speaking parents are at an increased risk of 72-hour return ED visit but do not seem to be at increased risk of ED use during the year after their ED visit.

  18. Risk for poor outcomes in older patients discharged from an emergency department: feasibility of four screening instruments.

    NARCIS (Netherlands)

    Buurman, B.M.; Berg, W. van den; Korevaar, J.C.; Milisen, K.; Haan, R.J. de; Rooij, S.E. de

    2011-01-01

    Objectives: To compare the prognostic value of four screening instruments used to detect the risk for poor outcomes [in terms of likelihood of recurrent emergency department (ED) visits, hospitalizations, or mortality] for older patients discharged home from an ED in the Netherlands. Methods: This i

  19. Risk for poor outcomes in older patients discharged from an emergency department: feasibility of four screening instruments

    NARCIS (Netherlands)

    B.M. Buurman; W. van den Berg; J.C. Korevaar; K. Milisen; R.J. de Haan; S.E. de Rooij

    2011-01-01

    To compare the prognostic value of four screening instruments used to detect the risk for poor outcomes [in terms of likelihood of recurrent emergency department (ED) visits, hospitalizations, or mortality] for older patients discharged home from an ED in the Netherlands. This is a prospective cohor

  20. A randomized trial exploring the effect of a telephone call follow-up on care plan compliance among older adults discharged home from the emergency department.

    Science.gov (United States)

    Biese, Kevin; Lamantia, Michael; Shofer, Frances; McCall, Brenda; Roberts, Ellen; Stearns, Sally C; Principe, Stephanie; Kizer, John S; Cairns, Charles B; Busby-Whitehead, Jan

    2014-02-01

    Older patients discharged from the emergency department (ED) have difficulty comprehending discharge plans and are at high risk of adverse outcomes. The authors investigated whether a postdischarge telephone call-mediated intervention by a nurse would improve discharge care plan adherence, specifically by expediting post-ED visit physician follow-up appointments and/or compliance with medication changes. The second objectives were to determine if this telephone call intervention would reduce return ED visits and/or hospitalizations within 35 days of the index ED visit and to determine potential cost savings of this intervention. This was a 10-week randomized, controlled trial among patients aged 65 and older discharged to home from an academic ED. At 1 to 3 days after each patient's index ED visit, a trained nurse called intervention group patients to review discharge instructions and assist with discharge plan compliance; placebo call group patients received a patient satisfaction survey call, while the control group patients were not called. Data collection calls occurred at 5 to 8 days and 30 to 35 days after the index ED visits for all three groups. Chi-square or Fisher's exact tests were performed for categorical data and the Kruskal-Wallis test examined group differences in time to follow-up. A total of 120 patients completed the study. Patients were 60% female and 72% white, with a mean age of 75 years (standard deviation [SD] ± 7.58 years). Intervention patients were more likely to follow up with medical providers within 5 days of their ED visits than either the placebo or the control group patients (54, 20, and 37%, respectively; p = 0.04). All groups performed well in medication acquisition and comprehension of medication indications and dosage. There were no differences in return visits to the ED or hospital within 35 days of the index ED visit for intervention patients, compared to placebo or control group patients (22, 33, and 27

  1. Availability of mobile phones for discharge follow-up of pediatric Emergency Department patients in western Kenya

    Directory of Open Access Journals (Sweden)

    Darlene R. House

    2015-03-01

    Full Text Available Objective. Mobile phones have been successfully used for Emergency Department (ED patient follow-up in developed countries. Mobile phones are widely available in developing countries and may offer a similar potential for follow-up and continued care of ED patients in low and middle-income countries. The goal of this study was to determine the percentage of families with mobile phones presenting to a pediatric ED in western Kenya and rate of response to a follow-up phone call after discharge.Methods. A prospective, cross-sectional observational study of children presenting to the emergency department of a government referral hospital in Eldoret, Kenya was performed. Documentation of mobile phone access, including phone number, was recorded. If families had access, consent was obtained and families were contacted 7 days after discharge for follow-up.Results. Of 788 families, 704 (89.3% had mobile phone access. Of those families discharged from the ED, successful follow-up was made in 83.6% of cases.Conclusions. Mobile phones are an available technology for follow-up of patients discharged from a pediatric emergency department in resource-limited western Kenya.

  2. Availability of mobile phones for discharge follow-up of pediatric Emergency Department patients in western Kenya.

    Science.gov (United States)

    House, Darlene R; Cheptinga, Philip; Rusyniak, Daniel E

    2015-01-01

    Objective. Mobile phones have been successfully used for Emergency Department (ED) patient follow-up in developed countries. Mobile phones are widely available in developing countries and may offer a similar potential for follow-up and continued care of ED patients in low and middle-income countries. The goal of this study was to determine the percentage of families with mobile phones presenting to a pediatric ED in western Kenya and rate of response to a follow-up phone call after discharge. Methods. A prospective, cross-sectional observational study of children presenting to the emergency department of a government referral hospital in Eldoret, Kenya was performed. Documentation of mobile phone access, including phone number, was recorded. If families had access, consent was obtained and families were contacted 7 days after discharge for follow-up. Results. Of 788 families, 704 (89.3%) had mobile phone access. Of those families discharged from the ED, successful follow-up was made in 83.6% of cases. Conclusions. Mobile phones are an available technology for follow-up of patients discharged from a pediatric emergency department in resource-limited western Kenya.

  3. Does Spanish instruction for emergency medicine resident physicians improve patient satisfaction in the emergency department and adherence to medical recommendations?

    Science.gov (United States)

    Stoneking, L R; Waterbrook, A L; Garst Orozco, J; Johnston, D; Bellafiore, A; Davies, C; Nuño, T; Fatás-Cabeza, J; Beita, O; Ng, V; Grall, K H; Adamas-Rappaport, W

    2016-01-01

    After emergency department (ED) discharge, Spanish-speaking patients with limited English proficiency are less likely than English-proficient patients to be adherent to medical recommendations and are more likely to be dissatisfied with their visit. To determine if integrating a longitudinal medical Spanish and cultural competency curriculum into emergency medicine residency didactics improves patient satisfaction and adherence to medical recommendations in Spanish-speaking patients with limited English proficiency. Our ED has two Emergency Medicine Residency Programs, University Campus (UC) and South Campus (SC). SC program incorporates a medical Spanish and cultural competency curriculum into their didactics. Real-time Spanish surveys were collected at SC ED on patients who self-identified as primarily Spanish-speaking during registration and who were treated by resident physicians from both residency programs. Surveys assessed whether the treating resident physician communicated in the patient's native Spanish language. Follow-up phone calls assessed patient satisfaction and adherence to discharge instructions. Sixty-three patients self-identified as primarily Spanish-speaking from August 2014 to July 2015 and were initially included in this pilot study. Complete outcome data were available for 55 patients. Overall, resident physicians spoke Spanish 58% of the time. SC resident physicians spoke Spanish with 66% of the patients versus 45% for UC resident physicians. Patients rated resident physician Spanish ability as very good in 13% of encounters - 17% for SC versus 5% for UC. Patient satisfaction with their ED visit was rated as very good in 35% of encounters - 40% for SC resident physicians versus 25% for UC resident physicians. Of the 13 patients for whom Spanish was the language used during the medical encounter who followed medical recommendations, ten (77%) of these encounters were with SC resident physicians and three (23%) encounters were with UC

  4. Nursing Assessment and Intervention to Geriatric Patients Discharged from Emergency Departments

    DEFF Research Database (Denmark)

    Rosted, Elizabeth Emilie; Poulsen, Ingrid; Hendriksen, Carsten

    2011-01-01

    relevant referrals to geriatric outpatient clinic, community health centre, primary physician or arrangements with next-of-kin. Findings: 150 geriatric patients participated, mean age 81.7 (70-99). At discharge they had in mean 2 164 (0-9) unresolved problems, after 1 month 0.8 (0-5), and after 6 months 0.......5 (0-4). Before baseline ED visit 85 % of the patients received home care services, 1 and 6 months after discharge it was 96 %. Relevance to clinical practice: Structured nursing assessment and intervention in the ED could be a way of discovering geriatric patients’ unresolved problems and preventing...

  5. Learning Styles of University Students Attending Department of Computer and Instructional Technologies Education

    Directory of Open Access Journals (Sweden)

    Gülcan NUMANOĞLU

    2007-12-01

    Full Text Available The aim of this research is to determine learning styles of students in Computer and Instructional Technologies Education Department of Educational Sciences Faculty of Ankara University. Research data was obtained by using Learning Styles Inventory developed by Kolb (1985 which was later translated and adapted to Turkish by Akkoyunlu and Aşkar (1993 (the reliability study of the inventory was also performed by these researchers and Personal Information Form developed for this research. In the analyses of the data, gathered by Personal Information Form and Inventory, frequency, percentage, one-way variance analysis, the least significant difference method among the multiple comparison methods and t-test have been carried out. At the end of these analyses, it was observed that 46,8% of students have converging learning styles and also there is statistical significance within their learning styles according to the ages of students. On the other hand, it was found out that there is no significant difference within their learning styles according to their genders and types and branches of high schools that they had graduated from.

  6. [Research on the influences that affect the physician's perception of discharge summaries. A survey of outpatient department physicians].

    Science.gov (United States)

    Zhou, S; Takayanagi, K; Kimura, T

    1999-08-01

    The object of this study was to improve the completion of discharge summaries. The purpose of this article is: 1. to describe the perceptions of outpatient department physicians as to whether incomplete discharge summaries affect outpatient medical care or not, and 2. to elucidate the factors contributing to their perceptions. The physicians were randomly selected from among "the National Certified Training Hospitals" and "Japan Society for Quality in Health Care", and the size of the hospitals, the medical record management system and the format of the discharge summary were chosen for analysis of the factors that affect physicians' perceptions. Of the 2,304 questionnaires sent, 935 (40.6%) were returned. The results showed that 832 (89.0%) of the physicians thought that outpatient medical care would be affected if discharge summaries were not completed. Based on the analysis of the factors affecting the perceptions of the physicians, there was a trend showing that the influence was lower in small hospitals (p management system for medical records had a higher influence (p affects physician's perceptions (p < 0.05).

  7. The Fast-Flow Discharge Reactor as an Undergraduate Instructional Tool.

    Science.gov (United States)

    Provencher, G. M.

    1981-01-01

    A fast-flow discharge reactor has been used in an analytical chemistry demonstration of gas phase titration, in inorganic preparative chemistry, and in physical chemistry as a "practice" vacuum line, kinetic reactor, and spectroscopic source as well as an undergraduate research tool. (SK)

  8. Department

    African Journals Online (AJOL)

    USER

    2016-09-20

    Sep 20, 2016 ... Department of Mathematics, Faculty of Science, Kibabii University. 2. Department .... be seen that average rainfall exhibited a cyclic pattern with a reducing trend under both scenarios .... Department of Meteorology, University.

  9. Availability of mobile phones for discharge follow-up of pediatric Emergency Department patients in western Kenya

    OpenAIRE

    Darlene R. House; Philip Cheptinga; Rusyniak, Daniel E.

    2015-01-01

    Objective. Mobile phones have been successfully used for Emergency Department (ED) patient follow-up in developed countries. Mobile phones are widely available in developing countries and may offer a similar potential for follow-up and continued care of ED patients in low and middle-income countries. The goal of this study was to determine the percentage of families with mobile phones presenting to a pediatric ED in western Kenya and rate of response to a follow-up phone call after discharge....

  10. An analysis of the initial decision process of organizing the Navy Medical Department's Executive Management Education module conversion to network-based instruction

    OpenAIRE

    Odvina, Cesar A.

    1998-01-01

    Approved for public release; distribution is unlimited This thesis examines the initial decision process of organizing to convert a course module from the Navy Medical Department Executive Management Education. The objective is to track and model the process used to integrate Network-Based Instruction technology into an existing traditional classroom course of instruction. This research include survey of Network-Based Instruction literature, and an assessment of the decision process involv...

  11. Depart

    African Journals Online (AJOL)

    USER

    2017-01-26

    Jan 26, 2017 ... Department of Urban and Regional Planning, Ladoke Akintola University of Technology, ... informal automobile workshops in virtually every open space in Nigerian cities that ..... plantation to encourage a green society and.

  12. European Society of Cardiology - Acute Cardiovascular Care Association position paper on safe discharge of acute heart failure patients from the emergency department.

    Science.gov (United States)

    Miró, Òscar; Peacock, Frank W; McMurray, John J; Bueno, Héctor; Christ, Michael; Maisel, Alan S; Cullen, Louise; Cowie, Martin R; Di Somma, Salvatore; Martín Sánchez, Francisco J; Platz, Elke; Masip, Josep; Zeymer, Uwe; Vrints, Christiaan; Price, Susanna; Mebazaa, Alexander; Mueller, Christian

    2017-06-01

    Heart failure is a global public health challenge frequently presenting to the emergency department. After initial stabilization and management, one of the most important decisions is to determine which patients can be safely discharged and which require hospitalization. This is a complex decision that depends on numerous subjective factors, including both the severity of the patient's underlying condition and an estimate of the acuity of the presentation. An emergency department observation period may help select the correct option. Ideally, during an observation period, risk stratification should be carried out using parameters specifically designed for use in the emergency department. Unfortunately, there is little objective literature to guide this disposition decision. An objective and reliable definition of low-risk characteristics to identify early discharge candidates is needed. Benchmarking outcomes in patients discharged from the emergency department without hospitalization could aid this process. Biomarker determinations, although undoubtedly useful in establishing diagnosis and predicting longer-term prognosis, require prospective validation for emergency department disposition guidance. The challenge of identifying emergency department acute heart failure discharge candidates will only be overcome by future multidisciplinary research defining the current knowledge gaps and identifying potential solutions.

  13. Department

    African Journals Online (AJOL)

    USER

    2017-05-25

    May 25, 2017 ... Department of Animal production Federal University of Technology Minna – Niger state,. Nigeria ... principles by poultry farmers in Kwara State, Nigeria. The ma .... usually incur by broiler and layer farmers ... A multi-stage sampling technique .... their birds under intensive care, which is ... husbandry system.

  14. Evaluating Instruction in the Foreign Language Classroom: A Guide for Department Chairmen.

    Science.gov (United States)

    Papalia, Anthony

    This guide is designed for use by foreign language department chairpersons. The following topics are discussed: (1) goals of supervision, (2) the attitude of a good evaluator, (3) basic principles and purposes of supervisory visits, (4) what to look for during the supervisory visit, (5) the followup conference, (6) how to use the instruments for…

  15. Promoting Instructional Change: Using Social Network Analysis to Understand the Informal Structure of Academic Departments

    Science.gov (United States)

    Quardokus, Kathleen; Henderson, Charles

    2015-01-01

    Calls for improvement of undergraduate science education have resulted in numerous initiatives that seek to improve student learning outcomes by promoting changes in faculty teaching practices. Although many of these initiatives focus on individual faculty, researchers consider the academic department to be a highly productive focus for creating…

  16. An Analysis of Department of Defense Instruction 8500.2 'Information Assurance (IA) Implementation.'

    Energy Technology Data Exchange (ETDEWEB)

    Campbell, Philip LaRoche

    2012-01-01

    The Department of Defense (DoD) provides its standard for information assurance in its Instruction 8500.2, dated February 6, 2003. This Instruction lists 157 'IA Controls' for nine 'baseline IA levels.' Aside from distinguishing IA Controls that call for elevated levels of 'robustness' and grouping the IA Controls into eight 'subject areas' 8500.2 does not examine the nature of this set of controls, determining, for example, which controls do not vary in robustness, how this set of controls compares with other such sets, or even which controls are required for all nine baseline IA levels. This report analyzes (1) the IA Controls, (2) the subject areas, and (3) the Baseline IA levels. For example, this report notes that there are only 109 core IA Controls (which this report refers to as 'ICGs'), that 43 of these core IA Controls apply without variation to all nine baseline IA levels and that an additional 31 apply with variations. This report maps the IA Controls of 8500.2 to the controls in NIST 800-53 and ITGI's CoBIT. The result of this analysis and mapping, as shown in this report, serves as a companion to 8500.2. (An electronic spreadsheet accompanies this report.)

  17. Feasibility and Acceptability of Utilizing a Smartphone Based Application to Monitor Outpatient Discharge Instruction Compliance in Cardiac Disease Patients around Discharge from Hospitalization

    Directory of Open Access Journals (Sweden)

    Aimee M. Layton

    2014-01-01

    Full Text Available The purpose of this study was to determine the feasibility and acceptability of utilizing a smartphone based application to monitor compliance in patients with cardiac disease around discharge. For 60 days after discharge, patients’ medication compliance, physical activity, follow-up care, symptoms, and reading of education material were monitored daily with the application. 16 patients were enrolled in the study (12 males, 4 females, age 55 ± 18 years during their hospital stay. Five participants were rehospitalized during the study and did not use the application once discharged. Seven participants completed 1–30 days and four patients completed >31 days. For those 11 patients, medication reminders were utilized 37% (1–30-day group and 53% (>31-day group of the time, education material was read 44% (1–30 and 53% (>31 of the time, and physical activity was reported 25% (1–30 and 42% (>31 of the time. Findings demonstrated that patients with stable health utilized the application, even if only minimally. Patients with decreased breath sounds by physical exam and who reported their health as fair to poor on the day of discharge were less likely to utilize the application. Acceptability of the application to report health status varied among the stable patients.

  18. Environmental Compliance Guide. Guidance manual for Department of Energy compliance with the Clean Water Act: National Pollutant Discharge Elimination System (NPDES)

    Energy Technology Data Exchange (ETDEWEB)

    1982-07-01

    This manual provides general guidance for Department of Energy (DOE) officials for complying with Sect. 402 of the Clean Water Act (CWA) of 1977 and amendments. Section 402 authorizes the US Environmental Protection Agency (EPA) or states with EPA approved programs to issue National Pollutant Discharge Elimination System (NPDES) permits for the direct discharge of waste from a point source into waters of the United States. Although the nature of a project dictates the exact information requirements, every project has similar information requirements on the environmental setting, type of discharge(s), characterization of effluent, and description of operations and wastewater treatment. Additional information requirements for projects with ocean discharges, thermal discharges, and cooling water intakes are discussed. Guidance is provided in this manual on general methods for collecting, analyzing, and presenting information for an NPDES permit application. The NPDES program interacts with many sections of the CWA; therefore, background material on pertinent areas such as effluent limitations, water quality standards, toxic substances, and nonpoint source pollutants is included in this manual. Modifications, variances, and extensions applicable to NPDES permits are also discussed.

  19. [The Health Department of Sicily "Regional recommendations for hospital discharge and communication with patients after admission due to a cardiologic event" decree].

    Science.gov (United States)

    Abrignani, Maurizio Giuseppe; De Luca, Giovanni; Gabriele, Michele; Tourkmani, Nidal

    2014-06-01

    Mortality and rehospitalizations still remain high after discharge for an acute cardiologic event. In this context, hospital discharge represents a potential pitfall for heart disease patients. In the setting of care transitions, the discharge letter is the main instrument of communication between hospital and primary care. Communication, besides, is an integral part of high-quality, patient-centered interventions aimed at improving the discharge process. Inadequate information at discharge significantly affects the quality of treatment compliance and the adoption of lifestyle modifications for an effective secondary prevention. The Health Department of Sicily, in 2013, established a task force with the aim to elaborate "Regional recommendations for hospital discharge and communication with patients after admission due to a cardiologic event", inviting to participate GICR-IACPR and many other scientific societies of cardiology and primary care, as discharge letter and communication are fundamental junctions of care transitions in cardiology. These recommendations have been published as a specific decree and contain: a structured model of discharge letter, which includes all of the parameters characterizing patients at high clinical risk, high thrombotic risk and low risk according to the Consensus document ANMCO/GICR-IACPR/GISE; is thus possible to identify these patients, choosing consequently the most appropriate follow-up pathways. A particular attention has been given to the "Medication Reconciliation" and to the identification of therapeutic targets; an educational Kit, with different forms on cardiac diseases, risk factors, drugs and lifestyle; a check-list about information given to the patient and caregivers. The "Recommendations" represent, in conclusion, the practical realization of the fruitful cooperation between scientific societies and political-administrative institutions that has been realized in Sicily in the last years.

  20. Cardiopulmonary resuscitation training of family members before hospital discharge using video self-instruction: a feasibility trial.

    Science.gov (United States)

    Blewer, Audrey L; Leary, Marion; Decker, Christopher S; Andersen, James C; Fredericks, Amanda C; Bobrow, Bentley J; Abella, Benjamin S

    2011-09-01

    Bystander cardiopulmonary resuscitation (CPR) is a crucial therapy for sudden cardiac arrest (SCA), yet rates of bystander CPR are low. This is especially the case for SCA occurring in the home setting, as family members of at-risk patients are often not CPR trained. To evaluate the feasibility of a novel hospital-based CPR education program targeted to family members of patients at increased risk for SCA. Prospective, multicenter, cohort study. Inpatient wards at 3 hospitals. Family members of inpatients admitted with cardiac-related diagnoses. Family members were offered CPR training via a proctored video-self instruction (VSI) program. After training, CPR skills and participant perspectives regarding their training experience were assessed. Surveys were conducted one month postdischarge to measure the rate of "secondary training" of other individuals by enrolled family members. At the 3 study sites, 756 subjects were offered CPR instruction; 280 agreed to training and 136 underwent instruction using the VSI program. Of these, 78 of 136 (57%) had no previous CPR training. After training, chest compression performance was generally adequate (mean compression rate 90 ± 26/minute, mean depth 37 ± 12 mm). At 1 month, 57 of 122 (47%) of subjects performed secondary training for friends or family members, with a calculated mean of 2.1 persons trained per kit distributed. The hospital setting offers a unique "point of capture" to provide CPR instruction to an important, undertrained population in contact with at-risk individuals. Copyright © 2010 Society of Hospital Medicine.

  1. Risk assessment Department of Energy Kansas City Plant (DOE/KCP) PCB discharge to Blue River Sewage Treatment Plant, Kansas City, Missouri

    Energy Technology Data Exchange (ETDEWEB)

    Chidambariah, Venkatesh; Garrett, J.K.; King, K.H.; Yambert, M.W.; Travis, C.C. (Oak Ridge National Lab., TN (USA))

    1989-09-29

    The Environmental Protection Department of the US Department of Energy Kansas City Plant (DOE/KCP) requested that a risk assessment be performed on the potential health effects of discharges of polychlorinated biphenyls (PCBs) from the DOE/KCP to the Blue River Sewage Treatment Plant, Kansas City's largest publicly owned treatment works facility (Kansas City POTW). The major objectives of this risk assessment are (1) to determine the potential health impacts of DOE/KCP's current discharges of PCBs to the Kansas City POTW via all reasonable exposure pathways and (2) to determine a health-based, safe'' discharge level for PCBs to the Kansas City POTW. The present risk assessment considers both occupational and public impacts of PCB discharges from the DOE/KCP. Two occupational exposure scenarios assessed are (1) risk to Kansas City POTW sewer line maintenance workers and (2) risk to Kansas City POTW workers during routine operations of the facility. Both types of workers may be dermally exposed to PCBs in sewage. Public risks considered include risk to populations living within 50 km of the Kansas City POTW via inhalation of PCBs from sludge incinerated at the facility. Additionally, risk to the general public associated with PCB releases from the Kansas City POTW to the Missouri River is assessed. These pathways include ingestion of PCBs in drinking water supplied by the Missouri River, dermal adsorption and accidental ingestion of PCBs while swimming in the Missouri River, and ingestion of PCBs through consumption of fish taken from the Missouri River. Risk to breastfed infants from ingestion of PCBs through mothers' milk is also assessed. 108 refs., 3 figs., 5 tabs.

  2. [Long-term outcome of patients discharged with fever of unknown origin in the Department of General Internal Medicine of Peking Union Medical College Hospital].

    Science.gov (United States)

    Li, Yuanjie; Zhu, Weiguo; Wang, Yu; Sha, Yue; Huang, Xiaoming; Huang, Chengjin; Jiao, Yang; Chen, Jialin; Fang, Weigang; Zeng, Xuejun

    2015-10-01

    To investigate the clinical characteristics and outcome of patients with undiagnosed fever of unknown origin (FUO). To retrospectively review the clinic data of patients discharged with FUO from the Department of General Internal Medicine, Peking Union Medical College Hospital during 2004 to 2008. Medical records and phone call follow-up data were collected until 2014. Among 758 in-patients diagnosed with FUO, 70 patients still discharged with FUO were enrolled in this study, including 23 males and 47 females. There were 14 missing patients. Finally, definite diagnoses were made in 20 patients by clinical reassessments, empirical therapy or repeated biopsies, in whom 3 patients dying from underlying diseases. A total of 36 patients did not get final diagnoses, while fever was relieved in 23 patients, including 10 treated with corticosteroids or non-steroid anti-inflammatory drugs (NSAIDs) from 1 month to 12 months due to suspected connective tissue diseases. Another 3 patients still had episodic fever. Seven patients died shortly after discharge. There were 3 dying in the long-term follow-up. The overall FUO-related mortality was 18.6%. Mortality was correlated with the number of dysfunctional organs, especially cytopenia, coagulation dysfunction, bleeding events, respiratory damage and acute renal failure with OR 2.1, 9.9, 3.3 and 6.6 (P < 0.05) respectively. Close follow-up, intermittent clinical reassessments, repeated biopsies will contribute to the diagnosis of patients discharged with FUO. Empirical therapy with corticosteroids, NSAIDs or anti-tubercular drugs in selected patients may be safe and effective. Mortality rates increased with impaired organs, especially the hematological, respiratory and renal systems.

  3. Intensive care unit occupancy after introduction of the emergency department 4-hour discharge rule at a tertiary referral hospital in Western Australia.

    Science.gov (United States)

    van Heerden, Peter V; Blott, John A; Pinder, Mary; Cameron, Peter D; Roberts, Brigit L; Brinkworth, Anne; Stav, Ilana; Sviri, Sigal

    2013-12-01

    The 4-hour rule has been introduced in Western Australia, requiring that emergency department (ED) patients be admitted to hospital or discharged from the ED within 4 hours of presentation. We hypothesised that this rule might have been associated with changes in medical emergency team (MET) calls and intensive care unit exit bed block. Hospital databases were examined to determine compliance with the 4-hour rule, the effect on ICU exit bed block, and the number of MET calls, in 2008 (before introduction of the 4-hour rule) and 2011 (after introduction of the 4-hour rule). We also measured background ICU and hospital activity in 2008 and 2011. Monthly compliance with the 4-hour rule ranged from 35%-46% in 2008 to 64%-75% in 2011 (P bed block days for patients in the ICU between 2008 (before introduction of the 4-hour rule) and 2011 (after introduction of the 4-hour rule) (P = 0.05). The increase in ICU bed block-days could not be explained by a difference in ICU occupancy, as there was a reduction in ICU bed-days between 2008 and 2011 (P = 0.014). There was a reduction in hospital mortality rate between 2008 and 2011 (P < 0.001). There was no significant increase in the number of MET calls from 2008 to 2011 (P = 0.221). Hospital activity (separations) increased from 2008 to 2011 (P < 0.0001). The introduction of the 4-hour rule was associated with increased exit block from the ICU, but not with increased MET calls to attend to unstable or deteriorating ward patients. Introduction of the 4-hour rule was associated with a small reduction in hospital mortality.

  4. Pancreatitis - discharge

    Science.gov (United States)

    Chronic pancreatitis - discharge; Pancreatitis - chronic - discharge; Pancreatic insufficiency - discharge; Acute pancreatitis - discharge ... You were in the hospital because you have pancreatitis. This is a swelling of the pancreas. You ...

  5. The revolving door syndrome in internal medicine: a study on 11,846 subjects discharged from all Internal Medicine Departments of Tuscany with diagnosis of heart failure and pneumonia

    Directory of Open Access Journals (Sweden)

    Matteo Tellini

    2015-05-01

    Full Text Available Rehospitalization is the return of a patient to a surgical or medical department within 30 days from discharge. We have limited information on the frequency and patterns of rehospitalization in Italy. Our purpose is to describe this phenomenon in Tuscany. We analyzed regional hospital discharge abstract data in Tuscany 2012, to describe 30-day all cause readmissions. We studied patients aged 18 or more (11,846 discharged with diagnoses of heart failure and pneumonia from Internal Medicine Departments. Relationships between 30-day readmission rates, demographic and clinical characteristics have been analyzed. 18% and 15% of subjects respectively discharged with diagnosis of heart failure and pneumonia were readmitted within 30 days. Risk factors significantly related to readmissions were longer length of stay, increasing number of different medications taken during the year preceding hospitalization and greater number of hospitalizations during the semester preceding admission. From the analysis of risk factors we found that frailty and complexity of patients (identified by long hospitalization stays, high number of drugs and previous admissions are the most important factors for unplanned readmissions.

  6. Stereotactic radiosurgery - discharge

    Science.gov (United States)

    Gamma knife - discharge; Cyberknife - discharge; Stereotactic radiotherapy - discharge; Fractionated stereotactic radiotherapy - discharge; Cyclotrons - discharge; Linear accelerator - discharge; Lineacs - ...

  7. Bronchiolitis - discharge

    Science.gov (United States)

    RSV bronchiolitis - discharge; Respiratory syncytial virus bronchiolitis - discharge ... Your child has bronchiolitis , which causes swelling and mucus to build up in the smallest air passages of the lungs. In the hospital, ...

  8. 32 CFR 724.117 - Discharge review.

    Science.gov (United States)

    2010-07-01

    ... 32 National Defense 5 2010-07-01 2010-07-01 false Discharge review. 724.117 Section 724.117 National Defense Department of Defense (Continued) DEPARTMENT OF THE NAVY PERSONNEL NAVAL DISCHARGE REVIEW BOARD Definitions § 724.117 Discharge review. A nonadversary administrative reappraisal at the level...

  9. NIPPLE DISCHARGE

    Directory of Open Access Journals (Sweden)

    T. N. Bukharova

    2008-01-01

    Full Text Available According to the data available in the literature, as high as 50% of women have benign breast tumors frequently accompanied by nip- ple discharge. Nipple discharge may be serous, bloody, purulent, and colostric. The most common causes are breast abscess, injury, drugs, prolactinoma, intraductal pappiloma, ductal ectasia, intraductal cancer (not more than 10%.

  10. HOspitals and patients WoRking in Unity (HOW R U?): protocol for a prospective feasibility study of telephone peer support to improve older patients' quality of life after emergency department discharge

    Science.gov (United States)

    Lowthian, Judy A; Lennox, Alyse; Curtis, Andrea; Dale, Jeremy; Browning, Colette; Smit, De Villiers; Wilson, Gillian; O'Brien, Debra; Rosewarne, Cate; Boyd, Lee; Garner, Cath; Cameron, Peter

    2016-01-01

    Introduction Older people presenting to an emergency department (ED) have a higher likelihood of social isolation, loneliness and depression; which are all associated with negative health outcomes and increased health service use, including higher rates of ED attendance. The HOW R U? study aims to ascertain the feasibility and acceptability of a postdischarge telephone support programme for older ED patients following discharge. The intervention, which aims to improve quality of life, will be delivered by hospital-based volunteers. Methods and analysis A multicentre prospective uncontrolled feasibility study will enrol 50 community-dwelling patients aged ≥70 years with symptoms of loneliness or depression who are discharged home within 72 hours from the ED or acute medical ward. Participants will receive weekly supportive telephone calls over a 3-month period from a volunteer-peer. Feasibility will be assessed in terms of recruitment, acceptability of the intervention to participants and level of retention in the programme. Changes in level of loneliness (UCLA-3 item Loneliness Scale), mood (Geriatric Depression Scale-5 item) and health-related quality of life (EQ-5D-5L and EQ-VAS) will also be measured postintervention (3 months). Ethics and dissemination Research ethics and governance committee approval has been granted for this study by each participating centre (reference: 432/15 and 12-09-11-15). Study findings will inform the design and conduct of a future multicentre randomised controlled trial of a postdischarge volunteer-peer telephone support programme to improve social isolation, loneliness or depressive symptoms in older patients. Results will be disseminated through peer-reviewed journal publication, and conference and seminar presentation. Trial registration number ACTRN12615000715572, Pre-results. PMID:27913561

  11. Short-term reconsultation, hospitalisation, and death rates after discharge from the emergency department in patients with acute heart failure and analysis of the associated factors. The ALTUR-ICA Study.

    Science.gov (United States)

    Miró, Òscar; Gil, Víctor; Martín-Sánchez, Francisco Javier; Herrero, Pablo; Jacob, Javier; Sánchez, Carolina; Xipell, Carolina; Aguiló, Sira; Llorens, Pere

    2017-07-20

    The aim of this study was to define the following in patients with acute heart failure (AHF) discharged directly from accident and emergency (A&E): rates of reconsultation to A&E and hospitalisation for AHF, and all-cause death at 30 days, rate of combined event at 7 days and the factors associated with these rates. The study included patients consecutively diagnosed with AHF during 2 months in 27 Spanish A&E departments who were discharged from A&E without hospitalisation. We collected 43 independent variables, monitored patients for 30 days and evaluated predictive factors for adverse events using Cox regression analysis. We evaluated 785 patients (78±9) years, 54.7% women). The rates of reconsultation, hospitalisation, and death at 30 days and the combined event at 7 days were: 26.1, 15.7, 1.7 and 10.6%, respectively. The independent factors associated with reconsultation were no endovenous diuretics administered in A&E (HR 2.86; 95% CI 2.01-4.04), glomerular filtration rate (GFR)<60ml/min/m(2) (1.94; 1.37-2.76) and previous AHF episodes (1.48; 1.02-2.13); for hospitalisation these factors were no endovenous diuretics in A&E (2.97; 1.96-4.48), having heart valve disease (1.61; 1.04-2.48), blood oxygen saturation at arrival to A&E<95% (1.60; 1.06-2.42); and for the combined event no endovenous diuretics in A&E (3.65; 2.19-6.10), GFR<60ml/min/m(2) (2.22; 1.31-3.25), previous AHF episodes (1.95; 1.04-3.25), and use of endovenous nitrates (0.13; 0.02-0.99). This is the first study in Spain to describe the rates of adverse events in patients with AHF discharged directly from A&E and define the associated factors. These data should help establish the most adequate approaches to managing these patients. Copyright © 2017 Elsevier España, S.L.U. All rights reserved.

  12. Discharge Dialogue

    DEFF Research Database (Denmark)

    Horsbøl, Anders

    2012-01-01

    less attention has been given to medical patients, who are often elderly and suffer from multiple diseases. This paper addresses the latter issue with a case study of a local initiative to improve transition from hospital to home (care) for medical patients at a Danish hospital, in which a discharge...... coordinator, employed at the hospital, is supposed to anticipate discharge and serve as mediator between the hospital and the municipal home care system. Drawing on methods from discourse and interaction analysis, the paper studies the practice of the discharge coordinator in two encounters between patients...

  13. Ileostomy - discharge

    Science.gov (United States)

    ... foods that may block your stoma are raw pineapple, nuts and seeds, celery, popcorn, corn, dried fruits ( ... ask your doctor Living with your ileostomy Low-fiber diet Small bowel resection - discharge Total colectomy or ...

  14. Gallstones - discharge

    Science.gov (United States)

    ... this page: //medlineplus.gov/ency/patientinstructions/000196.htm Gallstones - discharge To use the sharing features on this page, please enable JavaScript. You have gallstones. These are hard, pebble-like deposits that formed ...

  15. Interstitial lung disease - adults - discharge

    Science.gov (United States)

    Diffuse parenchymal lung disease - discharge; Alveolitis - discharge; Idiopathic pulmonary pneumonitis - discharge; IPP - discharge; Chronic interstitial lung - discharge; Chronic respiratory interstitial lung - discharge; Hypoxia - interstitial lung - discharge

  16. Discharge Dialogue

    DEFF Research Database (Denmark)

    Horsbøl, Anders

    2012-01-01

    For several years, efforts have been made to strengthen collaboration between health professionals with different specializations and to improve patient transition from hospital to home (care). In the Danish health care system, these efforts have concentrated on cancer and heart diseases, whereas...... less attention has been given to medical patients, who are often elderly and suffer from multiple diseases. This paper addresses the latter issue with a case study of a local initiative to improve transition from hospital to home (care) for medical patients at a Danish hospital, in which a discharge...... coordinator, employed at the hospital, is supposed to anticipate discharge and serve as mediator between the hospital and the municipal home care system. Drawing on methods from discourse and interaction analysis, the paper studies the practice of the discharge coordinator in two encounters between patients...

  17. Angioplasty and stent - heart - discharge

    Science.gov (United States)

    Drug-eluting stents - discharge; PCI - discharge; Percutaneous coronary intervention - discharge; Balloon angioplasty - discharge; Coronary angioplasty - discharge; Coronary artery angioplasty - discharge; Cardiac ...

  18. Overcoming Resistance to Instructional Technology.

    Science.gov (United States)

    Powers, William G.; Anderson, Susan; Love, Don

    2000-01-01

    Administrators must convince and motivate faculty to adopt instructional technology if departments are to remain on the cutting edge. Describes seven actions to promote the use of instructional technology: know your faculty; be aware of faculty concerns; use technology yourself; review potential barriers; explore and obtain resources; communicate…

  19. Ulcerative colitis - discharge

    Science.gov (United States)

    Inflammatory bowel disease - ulcerative colitis - discharge; Ulcerative proctitis - discharge; Colitis - discharge ... were in the hospital because you have ulcerative colitis. This is a swelling of the inner lining ...

  20. Students and Instructors Opinions about Piano Instruction

    Science.gov (United States)

    Kilic, Deniz Beste Çevik

    2016-01-01

    This study examined the opinions of the students and piano instructors in the Turkish Education Faculties' Fine Arts Instruction Departments' music instruction programs about piano instruction. The study data were collected using a questionnaire administered to the piano instructors and the students who took lessons from them. The study results…

  1. Pediatric heart surgery - discharge

    Science.gov (United States)

    ... discharge; Heart valve surgery - children - discharge; Heart surgery - pediatric - discharge; Heart transplant - pediatric - discharge ... Geme JW, Schor NF, eds. Nelson Textbook of Pediatrics . 20th ed. Philadelphia, PA: Elsevier; 2016:chap 434. ...

  2. Lung surgery - discharge

    Science.gov (United States)

    ... Lung biopsy - discharge; Thoracoscopy - discharge; Video-assisted thoracoscopic surgery - discharge; VATS - discharge ... milk) for 2 weeks after video-assisted thoracoscopic surgery and 6 to 8 weeks after open surgery. ...

  3. Refractive corneal surgery - discharge

    Science.gov (United States)

    Nearsightedness surgery - discharge; Refractive surgery - discharge; LASIK - discharge; PRK - discharge ... You had refractive corneal surgery to help improve your vision. This surgery uses a laser to reshape your cornea. It corrects mild-to-moderate nearsightedness, ...

  4. Los factores psicosociales determinan la aceptación de la hospitalización a domicilio directamente desde el servicio de urgencias Psychosocial factors determine patients' acceptance of emergency department discharge directly to hospital-at-home care

    Directory of Open Access Journals (Sweden)

    Sònia Jiménez

    2010-08-01

    ' acceptance of emergency department discharge directly to hospital-at-home care. Patients and methods: We performed a prospective observational cohort study of patients seen at the emergency department who met the following inclusion criteria: need for hospital admission, ability to be interviewed, and availability of an informal caregiver. The dependent variable was defined as the predisposition to accept or refuse hospital-at-home care. For each patient, the following independent variables were recorded: demographic characteristics, health-related factors, comorbidities, current illness and psychosocial perceptions related to hospital-at-home care. The associations among the variables were tested by means of logistic regression analysis. Results: We included 129 patients. Seventy-one percent would have accepted hospital-at-home care. Acceptance of hospital-at-home care was associated with psychosocial perceptions only, independently of demographic characteristics, current illness severity and comorbidities. These psychosocial perceptions included adequate conditions at home (OR: 4.31; 95% CI: 1.18-15.78, not being afraid of oxygen manipulation (OR: 5.99; 95% CI: 2.05-17.52, lack of fear of a poor outcome (OR: 6.07; 95% CI: 1.94-18.96 and the possibility of enjoying a more flexible schedule (OR: 12.61; 95% CI: 3.31-48.01. Conclusions: Hospital-at-home care would be well accepted by patients if offered in the emergency department as an alternative to conventional hospitalization. Acceptance depends on patients' psychosocial perceptions, which should be assessed before this mode of care is proposed.

  5. 32 CFR 724.221 - Scheduling of discharge reviews.

    Science.gov (United States)

    2010-07-01

    ... 32 National Defense 5 2010-07-01 2010-07-01 false Scheduling of discharge reviews. 724.221 Section 724.221 National Defense Department of Defense (Continued) DEPARTMENT OF THE NAVY PERSONNEL NAVAL DISCHARGE REVIEW BOARD Authority/Policy for Departmental Discharge Review § 724.221 Scheduling of...

  6. Paraprofessionals in the English Department.

    Science.gov (United States)

    Getz, Howard G.

    The use of paraprofessionals (lay readers, instructional aides, clerical aides, and homekeeping aides) in secondary English departments in a three-state area (Illinois, Indiana, and Michigan) is determined and evaluated. Chapter One reviews related literature, and Chapter Two surveys paraprofessionals in the English departments. Questionnaires…

  7. The association between guideline-based treatment instructions at the point of discharge and lower 1-year mortality in Medicare patients after acute myocardial infarction: the American College of Cardiology's Guidelines Applied in Practice (GAP) initiative in Michigan.

    Science.gov (United States)

    Rogers, Adam M; Ramanath, Vijay S; Grzybowski, Mary; Riba, Arthur L; Jani, Sandeep M; Mehta, Rajendra; De Franco, Anthony C; Parrish, Robert; Skorcz, Stephen; Baker, Patricia L; Faul, Jessica; Chen, Benrong; Roychoudhury, Canopy; Elma, Mary Anne C; Mitchell, Kristi R; Froehlich, James B; Montoye, Cecelia; Eagle, Kim A

    2007-09-01

    The American College of Cardiology's Guidelines Applied in Practice (GAP) initiative for acute myocardial infarction (AMI) has been shown to increase the use of guideline-based therapies and improve outcomes in patients with AMI. It is unknown whether hospitals that are more successful in using the standard discharge contract--a key component of GAP that emphasizes guideline-based medications, lifestyle modification, and follow-up planning--experience a proportionally greater improvement in patient outcomes. Medicare patients treated for AMI in all 33 participating GAP hospitals in Michigan were enrolled. We aggregated the hospitals into 3 tertiles based on the rates of discharge contract use: 0% to 8.4% (tertile 1), >8.4% to 38.0% (tertile 2), and >38.0% to 61.1% (tertile 3). We analyzed 1-year follow-up mortality both pre- and post-GAP and compared the mortality decline post-GAP with discharge contract use according to tertile. There were 1368 patients in the baseline (pre-GAP) cohort and 1489 patients in the post-GAP cohort. After GAP implementation, mortality at 1 year decreased by 1.2% (P = .71), 1.2% (P = .68), and 6.0% (P = .03) for tertiles 1, 2, and 3, respectively. After multivariate adjustment, discharge contract use was significantly associated with decreased 1-year mortality in tertile 2 (odds ratio 0.43, 95% CI 0.22-0.84) and tertile 3 (odds ratio 0.45, 95% CI 0.27-0.75). Increased hospital utilization of the standard discharge contract as part of the GAP program is associated with decreased 1-year mortality in Medicare patient populations with AMI. Hospital efforts to promote adherence to guideline-based care tools such as the discharge contract used in GAP may result in mortality reductions for their patient populations at 1 year.

  8. State Waste Discharge Permit application, 183-N Backwash Discharge Pond

    Energy Technology Data Exchange (ETDEWEB)

    1994-06-01

    As part of the Hanford Federal Facility Agreement and Consent Order negotiations (Ecology et al. 1994), the US Department of Energy, Richland Operations Office, the US Environmental Protection Agency, and the Washington State Department of Ecology agreed that liquid effluent discharges to the ground on the Hanford Site which affect groundwater or have the potential to affect groundwater would be subject to permitting under the structure of Chapter 173--216 (or 173--218 where applicable) of the Washington Administrative Code, the State Waste Discharge Permit Program. As a result of this decision, the Washington State Department of Ecology and the US Department of Energy, Richland Operations Office entered into Consent Order No. DE91NM-177, (Ecology and DOE-RL 1991). The Consent Order No. DE91NM-177 requires a series of permitting activities for liquid effluent discharges. Liquid effluents on the Hanford Site have been classified as Phase I, Phase II, and Miscellaneous Streams. The Consent Order No. DE91NM-177 establishes milestones for State Waste Discharge Permit application submittals for all Phase I and Phase II streams, as well as the following 11 Miscellaneous Streams as identified in Table 4 of the Consent Order No. DE91NM-177.

  9. Treatment Episode Data Set: Discharges (TEDS-D-2009)

    Data.gov (United States)

    U.S. Department of Health & Human Services — The Treatment Episode Data Set -- Discharges (TEDS-D) is a national census data system of annual discharges from substance abuse treatment facilities. TEDS-D...

  10. Treatment Episode Data Set: Discharges (TEDS-D-2010)

    Data.gov (United States)

    U.S. Department of Health & Human Services — The Treatment Episode Data Set -- Discharges (TEDS-D) is a national census data system of annual discharges from substance abuse treatment facilities. TEDS-D...

  11. Treatment Episode Data Set: Discharges (TEDS-D-2006)

    Data.gov (United States)

    U.S. Department of Health & Human Services — The Treatment Episode Data Set -- Discharges (TEDS-D) is a national census data system of annual discharges from substance abuse treatment facilities. TEDS-D...

  12. Treatment Episode Data Set: Discharges (TEDS-D-2007)

    Data.gov (United States)

    U.S. Department of Health & Human Services — The Treatment Episode Data Set -- Discharges (TEDS-D) is a national census data system of annual discharges from substance abuse treatment facilities. TEDS-D...

  13. Treatment Episode Data Set: Discharges (TEDS-D-2011)

    Data.gov (United States)

    U.S. Department of Health & Human Services — The Treatment Episode Data Set -- Discharges (TEDS-D) is a national census data system of annual discharges from substance abuse treatment facilities. TEDS-D...

  14. Treatment Episode Data Set: Discharges (TEDS-D-2008)

    Data.gov (United States)

    U.S. Department of Health & Human Services — The Treatment Episode Data Set -- Discharges (TEDS-D) is a national census data system of annual discharges from substance abuse treatment facilities. TEDS-D...

  15. Concussion - adults - discharge

    Science.gov (United States)

    Brain injury - concussion - discharge; Traumatic brain injury - concussion - discharge; Closed head injury - concussion - discharge ... Getting better from a concussion takes days to weeks or even months. ... have trouble concentrating, or be unable to remember things. ...

  16. Tennis elbow surgery - discharge

    Science.gov (United States)

    ... epicondylitis surgery - discharge; Lateral tendinosis surgery - discharge; Lateral tennis elbow surgery - discharge ... long as you are told. This helps ensure tennis elbow will not return. You may be prescribed a ...

  17. Asthma - child - discharge

    Science.gov (United States)

    Pediatric asthma - discharge; Wheezing - discharge; Reactive airway disease - discharge ... Your child has asthma , which causes the airways of the lungs to swell and narrow. In the hospital, the doctors and nurses helped ...

  18. Eye muscle repair - discharge

    Science.gov (United States)

    ... Lazy eye repair - discharge; Strabismus repair - discharge; Extraocular muscle surgery - discharge ... You or your child had eye muscle repair surgery to correct eye muscle ... term for crossed eyes is strabismus. Children most often ...

  19. Neck dissection - discharge

    Science.gov (United States)

    Radical neck dissection - discharge; Modified radical neck dissection - discharge; Selective neck dissection - discharge ... 659-665. Robbins KT, Samant S, Ronen O. Neck dissection. In: Flint PW, Haughey BH, Lund V, et ...

  20. Wind power wetland survey and duck pair count instructions

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — Initial Survey Instructions for wind power wetland survey and duck pair count instructions for Kulm Wetland Management District. This survey has two surveying...

  1. Discharge Planning in Chronic Conditions

    Science.gov (United States)

    McMartin, K

    2013-01-01

    Background Chronically ill people experience frequent changes in health status accompanied by multiple transitions between care settings and care providers. Discharge planning provides support services, follow-up activities, and other interventions that span pre-hospital discharge to post-hospital settings. Objective To determine if discharge planning is effective at reducing health resource utilization and improving patient outcomes compared with standard care alone. Data Sources A standard systematic literature search was conducted for studies published from January 1, 2004, until December 13, 2011. Review Methods Reports, randomized controlled trials, systematic reviews, and meta-analyses with 1 month or more of follow-up and limited to specified chronic conditions were examined. Outcomes included mortality/survival, readmissions and emergency department (ED) visits, hospital length of stay (LOS), health-related quality of life (HRQOL), and patient satisfaction. Results One meta-analysis compared individualized discharge planning to usual care and found a significant reduction in readmissions favouring individualized discharge planning. A second meta-analysis compared comprehensive discharge planning with postdischarge support to usual care. There was a significant reduction in readmissions favouring discharge planning with postdischarge support. However, there was significant statistical heterogeneity. For both meta-analyses there was a nonsignificant reduction in mortality between the study arms. Limitations There was difficulty in distinguishing the relative contribution of each element within the terms “discharge planning” and “postdischarge support.” For most studies, “usual care” was not explicitly described. Conclusions Compared with usual care, there was moderate quality evidence that individualized discharge planning is more effective at reducing readmissions or hospital LOS but not mortality, and very low quality evidence that it is more

  2. ACL reconstruction - discharge

    Science.gov (United States)

    Anterior cruciate ligament reconstruction - discharge; ACL reconstruction - discharge ... had surgery to reconstruct your anterior cruciate ligament (ACL). The surgeon drilled holes in the bones of ...

  3. 46 CFR 14.305 - Entries in continuous discharge book.

    Science.gov (United States)

    2010-10-01

    ... 46 Shipping 1 2010-10-01 2010-10-01 false Entries in continuous discharge book. 14.305 Section 14.305 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY MERCHANT MARINE OFFICERS AND SEAMEN SHIPMENT... discharge book. If the merchant mariner holds a continuous discharge book, the master or individual...

  4. Oil field produced water discharges into wetlands in Wyoming

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — Approximately 600 oil field produced water discharges are permitted in Wyoming by the State’s Department of Environmental Quality's (WDEQ) National Pollutant...

  5. Safety Instructions

    CERN Multimedia

    2003-01-01

    Please note that the Safety Instructions N0 37 rev. 3 (IS 37 rev. 3) entitled ""LEVEL-3" SAFETY ALARMS AND ALARM SYSTEMS" Is available on the web at the following URL: http://edms.cern.ch/document/335802 Paper copies can also be obtained from the TIS divisional secretariat, e-mail: tis.secretariat@cern.ch TIS Secretariat

  6. Instructional Coaching

    Science.gov (United States)

    Knight, Jim

    2006-01-01

    The number of school districts using instructional coaches is growing at a staggering rate. Coaching is becoming popular, in part, because many educational leaders recognize the old form of professional development, built around traditional in-service sessions for teachers, simply does not affect student achievement. By offering support, feedback,…

  7. Metallurgy Department

    DEFF Research Database (Denmark)

    Risø National Laboratory, Roskilde

    The activities of the Metallurgy Department at Risø during 1981 are described. The work is presented in three chapters: General Materials Research, Technology and Materials Development, Fuel Elements. Furthermore, a survey is given of the department's participation in international collaboration...

  8. Microcomputers and the Department Image.

    Science.gov (United States)

    Donaghy, William C.; Donaghy, Carole D.

    Ways in which various uses or applications of a microcomputer can help improve the image of a college or university department are discussed in this paper. The paper discusses applications such as instruction, word processing, management, programing, communications, statistics, and graphics, and audiences for these applications, such as department…

  9. Groundwater hydrology instructional system

    Science.gov (United States)

    Schmidt, Ronald G.

    Wright State University, Dayton, Ohio, is preparing for its third cycle of the Interactive Remote Instructional System (IRIS) in groundwater hydrology, beginning January 15, 1986. The first cycle finished with an impressive completion ratio for registered participants, and the second cycle has currently been underway since July. This comprehensive hydrogeology program was originally developed for the Soil Conservation Service (of the U.S. Department of Agriculture) to prepare their personnel for professional practice work. Since its evolution into IRIS, an 80% participant completion rate has been recorded for the first cycle, which is a significant departure from success rates traditionally recorded by correspondence courses. This excellent rate of success is the result of 2 years of refinement and demonstrates the progressive nature of the program. IRIS has met the needs of participants by developing a curriculum that reflects current trends in the groundwater industry and has provided a unique educational approach that ensures maximum interaction between the instructional staff and participants.

  10. Sources of Information for Instructional Technology.

    Science.gov (United States)

    Wiley, Ann L., Comp.

    This booklet is designed to help instructional technologists, students of instructional technology, faculty, and researchers in the field locate information quickly and easily. Information services described are libraries, the ERIC system, online information services, state education departments, regional education centers, and information…

  11. 14 CFR Section 22 - General Reporting Instructions

    Science.gov (United States)

    2010-01-01

    ... 14 Aeronautics and Space 4 2010-01-01 2010-01-01 false General Reporting Instructions Section 22 Section 22 Aeronautics and Space OFFICE OF THE SECRETARY, DEPARTMENT OF TRANSPORTATION (AVIATION... General Reporting Provisions-Large Certificated Air Carriers Section 22 General Reporting Instructions (a...

  12. Parental education on asthma severity in the emergency department and primary care follow-up rates.

    Science.gov (United States)

    Williams, Kelli W; Word, Carolyn; Streck, Maria R; Titus, M Olivia

    2013-07-01

    Asthma is the most prevalent chronic condition affecting children and a common chief complaint in emergency departments (EDs). We aimed to improve parents' understanding of their child's asthma severity on accessing our pediatric ED for an acute asthma exacerbation. A retrospective chart review was conducted to determine outpatient follow-up rates from our ED in 2010-2011. In an attempt to educate parents at ED discharge about their child's asthma severity at presentation, we included a visual severity scale on their discharge instructions. Postdischarge telephone interviews were completed to determine postintervention follow-up rates. Asthma follow-up rates at 1 week improved from 20.8% to 50% after intervention. This difference was statistically significant after controlling for age and clinical asthma score with logistic regression (P education about a child's initial asthma severity is a simple intervention that significantly improved follow-up rates for children seen in the ED for asthma exacerbation.

  13. Initial Survey Instructions for Targeted Waterfowl Monitoring

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — Initial Survey Instructions for refuge-wide waterfowl monitoring at Fish Springs National Wildlife Refuge, which occurs year-round on a bi-weekly basis. It contains...

  14. Parallel Operation of Microhollow Cathode Discharges

    Science.gov (United States)

    Stark, Robert H.; Shi, Wenhui; Schoenbach, Karl H.

    1998-10-01

    The dc current-voltage characteristics of microhollow cathode discharges has, in certain ranges of the discharge current, a positive slope [1]. In these current ranges it should be possible to operate multiple discharges in parallel without individual ballast, and be used as flat panel excimer lamps [2] or large area plasma cathodes. In order to verify this hypothesis we have studied the parallel operation of two microhollow cathode discharges of 100 micrometer hole diameter in argon at pressures from 100 Torr to 800 Torr. Stable dc operation of the two discharges, without individual ballast, was obtained if the voltage-current characteristics of the individual discharges had a positive slope greater than 10 V/mA over a voltage range of more than 5 to obtain parallel operation over the entire current range of the microhollow cathode discharges, which includes regions of negative differential conductivity, we have replaced the metal anode by a semi-insulating semiconductor, which serves as distributed resistive ballast. With this method, we were able to ignite and sustain an array of dc microhollow cathode discharges over a wide range of pressure and discharge current. [1] K.H.Schoenbach et al. Appl. Phys. Lett. 68, 13 (1996). [2] A.El-Habachi and K.H.Schoenbach, APL. 72, 1 (1998). This work was funded by the Department of Energy, Advanced Energy Division, and by the Air Force Office of Scientific Research (AFOSR) in cooperation with the DDR&E Air Plasma Ramparts MURI Program.

  15. Foot amputation - discharge

    Science.gov (United States)

    Amputation - foot - discharge; Trans-metatarsal amputation - discharge ... You have had a foot amputation. You may have had an accident, or your foot may have had an infection or disease and doctors could not save ...

  16. Department of

    African Journals Online (AJOL)

    USER

    2014-08-27

    Aug 27, 2014 ... Ethiopian Journal of Environmental Studies & Management 7(5): 468 – 477, 2014 ... Department of Planning, Kwame Nkrumah University of Science and Technology .... Anglican and Presbyterian schools have all been mined; exposing school children to dust and .... the district office of the National Disaster.

  17. Automated illustration of patients instructions.

    Science.gov (United States)

    Bui, Duy; Nakamura, Carlos; Bray, Bruce E; Zeng-Treitler, Qing

    2012-01-01

    A picture can be a powerful communication tool. However, creating pictures to illustrate patient instructions can be a costly and time-consuming task. Building on our prior research in this area, we developed a computer application that automatically converts text to pictures using natural language processing and computer graphics techniques. After iterative testing, the automated illustration system was evaluated using 49 previously unseen cardiology discharge instructions. The completeness of the system-generated illustrations was assessed by three raters using a three-level scale. The average inter-rater agreement for text correctly represented in the pictograph was about 66 percent. Since illustration in this context is intended to enhance rather than replace text, these results support the feasibility of conducting automated illustration.

  18. Chronic obstructive pulmonary disease - adults - discharge

    Science.gov (United States)

    COPD - adults - discharge; Chronic obstructive airways disease - adults - discharge; Chronic obstructive lung disease - adults - discharge; Chronic bronchitis - adults - discharge; Emphysema - adults - discharge; Bronchitis - ...

  19. 32 CFR 636.32 - Miscellaneous instructions.

    Science.gov (United States)

    2010-07-01

    ... 32 National Defense 4 2010-07-01 2010-07-01 true Miscellaneous instructions. 636.32 Section 636.32 National Defense Department of Defense (Continued) DEPARTMENT OF THE ARMY (CONTINUED) LAW ENFORCEMENT AND... towed with a chain or rope (vehicles may be towed by another privately owned vehicle by use of a...

  20. 42 CFR 136.3 - Administrative instructions.

    Science.gov (United States)

    2010-10-01

    ... 42 Public Health 1 2010-10-01 2010-10-01 false Administrative instructions. 136.3 Section 136.3 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES INDIAN HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES INDIAN HEALTH Purpose and Definitions § 136.3...

  1. Treatment Episode Data Set: Discharges (TEDS-D-2006-2011)

    Data.gov (United States)

    U.S. Department of Health & Human Services — The Treatment Episode Data Set -- Discharges (TEDS-D) is a national census data system of annual discharges from substance abuse treatment facilities. TEDS-D...

  2. Remote instruction in groundwater hydrology

    Science.gov (United States)

    staff of the Interactive Remote Instructional System

    Wright State University (Dayton, Ohio) is preparing for its fourth cycle of the Interactive Remote Instructional System (IRIS) in groundwater hydrology beginning July 15, 1986. The Department of Geological Sciences proudly announces that the first two cycles recorded an impressive 83% completion ratio for registered participants. This completion rate is a significant departure from success rates traditionally recorded by courses of this nature; it is the result of 2 years of implementation and refinement and demonstrates the progressive orientation of the program. The third cycle has been underway since January. This comprehensive hydrogeology program was originally developed for the U.S. Department of Agriculture Soil Conservation Service to prepare their personnel for professional practice work. As a result of that cooperative effort, the IRIS program has evolved to meet the needs of participants by developing a curriculum that reflects current trends in the groundwater industry and has provided a unique educational approach that ensures maximum interaction between the instructional staff and participants.

  3. Improving transitions of care at hospital discharge--implications for pediatric hospitalists and primary care providers.

    Science.gov (United States)

    Harlan, Gregory A; Nkoy, Flory L; Srivastava, Rajendu; Lattin, Gena; Wolfe, Doug; Mundorff, Michael B; Colling, Dayvalena; Valdez, Angelika; Lange, Shay; Atkinson, Sterling D; Cook, Lawrence J; Maloney, Christopher G

    2010-01-01

    Delays, omissions, and inaccuracy of discharge information are common at hospital discharge and put patients at risk for adverse outcomes. We assembled an interdisciplinary team of stakeholders to evaluate our current discharge process between hospitalists and primary care providers (PCPs). We used a fishbone diagram to identify potential causes of suboptimal discharge communication to PCPs. Opportunities for improvement (leverage points) to achieve optimal transfer of discharge information were identified using tally sheets and Pareto charts. Quality improvement strategies consisted of training and implementation of a new discharge process including: (1) enhanced PCP identification at discharge, (2) use of an electronic discharge order and instruction system, and (3) autofaxing discharge information to PCPs. The new discharge process's impact was evaluated on 2,530 hospitalist patient discharges over a 34-week period by measuring: (1) successful transfer of discharge information (proportion of discharge information sheets successfully faxed to PCPs), (2) timeliness (proportion of sheets faxed within 2 days of discharge), and (3) content (presence of key clinical elements in discharge sheets). Postintervention, success, and timeliness of discharge information transfer between pediatric hospitalists and PCPs significantly improved while content remained high.

  4. Predicting tile drainage discharge

    DEFF Research Database (Denmark)

    Iversen, Bo Vangsø; Kjærgaard, Charlotte; Petersen, Rasmus Jes;

    of the water load coming from the tile drainage system is therefore essential. This work aims at predicting tile drainage discharge using dynamic as well as a statistical predictive models. A large dataset of historical tile drain discharge data, daily discharge values as well as yearly average values were......More than 50 % of Danish agricultural areas are expected to be artificial tile drained. Transport of water and nutrients through the tile drain system to the aquatic environment is expected to be significant. For different mitigation strategies such as constructed wetlands an exact knowledge...... used in the analysis. For the dynamic modelling, a simple linear reservoir model was used where different outlets in the model represented tile drain as well as groundwater discharge outputs. This modelling was based on daily measured tile drain discharge values. The statistical predictive model...

  5. CO-AXIAL DISCHARGES

    Science.gov (United States)

    Luce, J.S.; Smith, L.P.

    1960-11-22

    A method and apparatus are given for producing coaxial arc discharges in an evacuated enclosure and within a strong, confining magnetic field. The arcs are maintained at a high potential difference. Electrons will diffuse to the more positive arc from the negative arc, and positive ions will diffuse from the more positive arc to the negative arc. Coaxial arc discharges have the advantage that ions which return to strike the positive arc discharge will lose no energy since they do not strike a solid wall or electrode. Those discharges are useful in confining an ionized plasma between the discharges, and have the advantage of preventing impurities from the walls of the enclosure from entering ihe plasma area because of the arc barrier set up bv the cylindrical outer arc.

  6. EFFECTIVE DISCHARGE CALCULATION GUIDE

    Institute of Scientific and Technical Information of China (English)

    D.S.BIEDENHARN; C.R.THORNE; P.J.SOAR; R.D.HEY; C.C.WATSON

    2001-01-01

    This paper presents a procedure for calculating the effective discharge for rivers with alluvial channels.An alluvial river adjusts the bankfull shape and dimensions of its channel to the wide range of flows that mobilize the boundary sediments. It has been shown that time-averaged river morphology is adjusted to the flow that, over a prolonged period, transports most sediment. This is termed the effective discharge.The effective discharge may be calculated provided that the necessary data are available or can be synthesized. The procedure for effective discharge calculation presented here is designed to have general applicability, have the capability to be applied consistently, and represent the effects of physical processes responsible for determining the channel, dimensions. An example of the calculations necessary and applications of the effective discharge concept are presented.

  7. Optimal Structures for Multimedia Instruction.

    Science.gov (United States)

    1985-07-01

    Pinker , Steven , Simcox, William, and Parker,Leon. Understanding Charts and Graphs: A Project in Applied Cognitive Science. Technical Report, Office of...Prancisco, CA 96503 Dr. Steven Pinker Dr. Judith Orasanu Department of Psychology Army Research Institute E1O-018 5001 Eisenhower Avenue M.I.T...understanding of the audience. Similarly, in a study of Navy instruction manuals, [ Stevens & * Steinberg 811 provide a typology of explanations which

  8. Designing the Instructional Interface.

    Science.gov (United States)

    Lohr, L. L.

    2000-01-01

    Designing the instructional interface is a challenging endeavor requiring knowledge and skills in instructional and visual design, psychology, human-factors, ergonomic research, computer science, and editorial design. This paper describes the instructional interface, the challenges of its development, and an instructional systems approach to its…

  9. Large bowel resection - discharge

    Science.gov (United States)

    ... large bowel). You may also have had a colostomy . This article describes what to expect after surgery ... have diarrhea. You may have problems with your colostomy. Self-care Follow your health care provider's instructions ...

  10. Radical prostatectomy - discharge

    Science.gov (United States)

    ... to 6 months. You will learn exercises (called Kegel exercises) that strengthen the muscles in your pelvis. ... Radical prostatectomy Retrograde ejaculation Urinary incontinence Patient Instructions Kegel exercises - self-care Suprapubic catheter care Urinary catheters - ...

  11. 34 CFR 685.216 - Unpaid refund discharge.

    Science.gov (United States)

    2010-07-01

    ... EDUCATION, DEPARTMENT OF EDUCATION WILLIAM D. FORD FEDERAL DIRECT LOAN PROGRAM Borrower Provisions § 685.216... reports the discharge of a portion of a loan under this section to all credit reporting agencies to which the Secretary previously reported the status of the loan. (c) Borrower qualification for discharge....

  12. Filament Discharge Phenomena in Fingerprint Acquisition by Dielectric Barrier Discharge

    Institute of Scientific and Technical Information of China (English)

    WENG Ming; XU Weijun; LIU Qiang

    2007-01-01

    In this paper, the dielectric barrier discharge fingerprint acquisition technique is introduced. The filament discharge phenomena were observed in the process of fingerprint acquisition. The filament discharge reduced the quality of fingerprint images. Obviously, it was necessary to eliminate streamer discharges in order to get good fingerprint images. The streamer discharge was considered to be the cause of the filament discharge in the experiment. The relationship between the critical electric field and the discharge gap was calculated with the Raether's model of streamer discharge. The calculated results and our experiment proved that it would be difficult for the streamer discharge to occur when the discharge gap was narrow. With a narrow discharge gap, the discharge was homogeneous, and the fingerprint images were clear and large in area. The images obtained in the experiment are very suitable for fingerprint identification as they contain more information.

  13. Post-Discharge Follow-Up Visits and Hospital Utilization

    Data.gov (United States)

    U.S. Department of Health & Human Services — Analysis reported in Post-Discharge Follow-Up Visits and Hospital Utilization by Medicare Patients, 2007-2010, published in Volume 4, Issue 2 of Medicare and...

  14. A quantification of discharge readiness after outpatient anaesthesia ...

    African Journals Online (AJOL)

    Adele

    ability to tolerate oral fluids, to void and walk unassisted.1 ... and, 3) time to discharge readiness according to nursing assessments. ... Department of Anaesthesia, Vancouver Hospital and Health Sciences Centre, University of British Columbia ...

  15. Measures of Rehospitalization, Emergency Room Visit, and Community Discharge

    Data.gov (United States)

    U.S. Department of Health & Human Services — Measures of the Rate of Rehospitalization, Emergency Room Visit, and Community Discharge for Medicare Beneficiaries. These rates are based on Medicare claims data.

  16. 75 FR 60745 - Availability of the Bonneville Purchasing Instructions (BPI) and Bonneville Financial Assistance...

    Science.gov (United States)

    2010-10-01

    ... From the Federal Register Online via the Government Publishing Office ] DEPARTMENT OF ENERGY Bonneville Power Administration Availability of the Bonneville Purchasing Instructions (BPI) and Bonneville... of document availability. SUMMARY: Copies of the Bonneville Purchasing Instructions (BPI),...

  17. Capacitor discharge engineering

    CERN Document Server

    Früngel, Frank B A

    1976-01-01

    High Speed Pulse Technology, Volume III: Capacitor Discharge Engineering covers the production and practical application of capacitor dischargers for the generation and utilization of high speed pulsed of energy in different forms. This nine-chapter volume discusses the principles of electric current, voltage, X-rays, gamma rays, heat, beams of electrons, neutrons and ions, magnetic fields, sound, and shock waves in gases and liquids. Considerable chapters consider the applications of capacitor discharges, such as impulse hardening of steel, ultrapulse welding of precision parts, X-ray flash t

  18. Abdominal radiation - discharge

    Science.gov (United States)

    Radiation - abdomen - discharge; Cancer - abdominal radiation; Lymphoma - abdominal radiation ... When you have radiation treatment for cancer, your body goes through changes. About 2 weeks after radiation treatment starts, you might notice changes ...

  19. Chest radiation - discharge

    Science.gov (United States)

    Radiation - chest - discharge; Cancer - chest radiation; Lymphoma - chest radiation ... When you have radiation treatment for cancer, your body goes through changes. About 2 weeks after your first treatment: It may be hard ...

  20. Breast radiation - discharge

    Science.gov (United States)

    Radiation - breast - discharge ... away around 4 to 6 weeks after the radiation treatment is over. You may notice changes in ... breast looks or feels (if you are getting radiation after a lumpectomy). These changes include: Soreness or ...

  1. Corneal transplant - discharge

    Science.gov (United States)

    ... page: //medlineplus.gov/ency/patientinstructions/000243.htm Corneal transplant - discharge To use the sharing features on this page, please enable JavaScript. You had a corneal transplant. Most of the tissue of your cornea (the ...

  2. Brain radiation - discharge

    Science.gov (United States)

    Radiation - brain - discharge; Cancer-brain radiation; Lymphoma - brain radiation; Leukemia - brain radiation ... Decadron) while you are getting radiation to the brain. It may make you hungrier, cause leg swelling ...

  3. Pneumonia - children - discharge

    Science.gov (United States)

    ... this page: //medlineplus.gov/ency/patientinstructions/000011.htm Pneumonia in children - discharge To use the sharing features ... this page, please enable JavaScript. Your child has pneumonia, which is an infection in the lungs. In ...

  4. Pneumonia - adults - discharge

    Science.gov (United States)

    ... this page: //medlineplus.gov/ency/patientinstructions/000017.htm Pneumonia in adults - discharge To use the sharing features on this page, please enable JavaScript. You have pneumonia, which is an infection in your lungs. In ...

  5. Inguinal hernia - discharge

    Science.gov (United States)

    ... page: //medlineplus.gov/ency/patientinstructions/000274.htm Inguinal hernia repair - discharge To use the sharing features on ... your child had surgery to repair an inguinal hernia caused by a weakness in the abdominal wall ...

  6. Cosmetic breast surgery - discharge

    Science.gov (United States)

    ... this page: //medlineplus.gov/ency/patientinstructions/000273.htm Cosmetic breast surgery - discharge To use the sharing features on this page, please enable JavaScript. You had cosmetic breast surgery to change the size or shape ...

  7. Pectus excavatum - discharge

    Science.gov (United States)

    ... this page: //medlineplus.gov/ency/patientinstructions/000298.htm Pectus excavatum - discharge To use the sharing features on this ... You or your child had surgery to correct pectus excavatum. This is a deformity of the front of ...

  8. Hip fracture - discharge

    Science.gov (United States)

    ... this page: //medlineplus.gov/ency/patientinstructions/000168.htm Hip fracture - discharge To use the sharing features on this page, please enable JavaScript. Hip fracture surgery is done to repair a break in ...

  9. Capacitor discharge pulse analysis.

    Energy Technology Data Exchange (ETDEWEB)

    Baker, Michael Sean; Griffiths, Stewart K.; Tanner, Danelle Mary

    2013-08-01

    Capacitors used in firing sets and other high discharge current applications are discharge tested to verify performance of the capacitor against the application requirements. Parameters such as capacitance, inductance, rise time, pulse width, peak current and current reversal must be verified to ensure that the capacitor will meet the application needs. This report summarizes an analysis performed on the discharge current data to extract these parameters by fitting a second-order system model to the discharge data and using this fit to determine the resulting performance metrics. Details of the theory and implementation are presented. Using the best-fit second-order system model to extract these metrics results in less sensitivity to noise in the measured data and allows for direct extraction of the total series resistance, inductance, and capacitance.

  10. Pelvic radiation - discharge

    Science.gov (United States)

    Radiation of the pelvis - discharge; Cancer treatment - pelvic radiation; Prostate cancer - pelvic radiation; Ovarian cancer - pelvic radiation; Cervical cancer - pelvic radiation; Uterine cancer - pelvic radiation; Rectal cancer - pelvic radiation

  11. Assessment of Curriculum and Instruction Department postgraduate educationEğitim Programları ve Öğretimi Anabilim Dalı lisansüstü eğitimin değerlendirilmesi

    Directory of Open Access Journals (Sweden)

    Selma Kaya

    2014-10-01

    Full Text Available This study assessed the process of postgraduate studies and subsequent career based developments based on the views of M.A and PhD students graduated from Curriculum and Instruction Postgraduate Programs. The study utilized qualitative research design and the working group was composed of 15 students identified via criterion sampling. Data were collected through semi-structured interview forms and data analysis included content and descriptive analyses. Research results are presented in three main headings: entrance to postgraduate studies, the process and the outcome. According to results, need for professional development and instructors’ encouragement were the most important influences in making decisions for entrance into postgraduate studies. Features of the field, building a career, enhancing competences and contributions to education were the primary goals in program preference. In terms of process, instructors were perceived as academically competent yet capricious and it was identified that instructors reflected these characteristics on students. Students assessed the use of discussions during the training process as positive whereas they perceived the use of overhead projectors negatively. Use of ojective criteria and the appropriateness of the physical environment were regarded to be positive in assessing student achievement. Time constraints, managing more than one task at a time and need to get permission from instructors (advisors were considered to be complications in the process. Results show that graduates were contended to be doing postgraduate work in their fields and the knowledge they have gained were functional yet most of them were not employed based on their attainments. ÖzetGerçekleştirilen çalışmada, lisansüstü eğitim yükseköğretimin bir alt sistemi olarak ele alınmış ve eğitim programları ve öğretimi ana bilim dalında verilen lisansüstü eğitim bu alandan mezun yüksek lisans ve doktora

  12. Identifying discharge practice training needs.

    Science.gov (United States)

    Lees, L; Emmerson, K

    A training needs analysis tool was developed to identify nurses' discharge training needs and to improve discharge practice. The tool includes 49 elements of discharge practice subdivided into four areas: corporate, operational, clinical and nurse-led discharge. The tool was disseminated to 15 wards on two hospital sites with assistance from the practice development team. Analysis of discharge training is important to assess discharge training needs and to identify staff who may assist with training.

  13. Orange County Littoral Cell CRSMP Wastewater and Power Plant Discharge Structures

    Data.gov (United States)

    California Department of Resources — Graphical depiction of wastewater and power plant discharge pipelines/outlets locations in Southern California.The shapefile was collected by Everest International...

  14. Orange County Littoral Cell CRSMP Wastewater and Power Plant Discharge Structures

    Data.gov (United States)

    California Department of Resources — Graphical depiction of wastewater and power plant discharge pipelines/outlets locations in Southern California.The shapefile was collected by Everest International...

  15. Medication problems occurring at hospital discharge among older adults with heart failure.

    Science.gov (United States)

    Foust, Janice B; Naylor, Mary D; Bixby, M Brian; Ratcliffe, Sarah J

    2012-01-01

    Medication reconciliation problems are common among older adults at hospital discharge and lead to adverse events. The purpose of this study was to examine the rates and types of medication reconciliation problems among older adults hospitalized for acute episodes of heart failure who were discharged home. This secondary analysis of data generated from a transitional care intervention included 198 hospital discharge medical records, representing 162 patients. A retrospective chart review comparing medication lists between hospital discharge summaries and patient discharge instructions was completed to identify medication reconciliation problems. Most hospital discharges (71.2%) had at least one type of reconciliation problem and frequently involved a high-risk medication (76.6%). Discrepancies were the most common problem (58.9%), followed by incomplete discharge summaries (52.5%) and partial patient discharge instructions (48.9%). More attention needs to be given to the quality of discharge instructions, and the problem of vague phrases (e.g., "take as directed") can be addressed by adding it to "do not use" lists to promote safer transitions in care.

  16. End-stage heart failure and mechanical circulatory support: feasibility of discharge from hospital.

    Science.gov (United States)

    Oosterom, A; de Jonge, N; Kirkels, J H; Rodermans, B F M; Sukkel, E; Klöpping, C; Ramjankhan, F; Lahpor, J R

    2007-01-01

    BACKGROUND.: Due to the shortage of donor hearts, mechanical circulatory support is increasingly being used as a bridge to transplantation. In order to allow for more widespread use of ventricular assist devices it is mandatory that patients are not continuously hospitalised. We present the results of our experience with patients with end-stage heart failure, discharged from hospital after implantation of a ventricular assist device and followed in an outpatient setting. METHODS.: After an intensive training and education programme, focusing on the management of the percutaneous driveline and instructions on how to handle in case of an alarm or malfunction of the device, patients were discharged. They were followed in the outpatient department. All regular and unplanned visits were registered, including readmissions. RESULTS.: Twenty-seven patients treated with a ventricular assist device were discharged from hospital. There were 37 extra visits, of these, 27 were device related resulting in 21 readmissions (0.78/patient). We treated eight infectious episodes in four patients, all device related. Furthermore seven thromboembolic episodes occurred in four patients. One patient died because of multiorgan failure seven weeks after he was readmitted with an urosepsis. In our experience of 11.4 patient years at home while on the device, only 5% of the time was spent in hospital for complications. In comparison with patients on an assist device who stayed in hospital until transplantation, there were no more complications. CONCLUSION.: This study demonstrates that patients with end-stage heart failure, treated with a ventricular assist device, can be safely discharged from hospital, with an acceptable rate of readmissions. It results in a fair quality of life, with a high degree of independence of the patient. (Neth Heart J 2007;15:45-50.).

  17. A Preliminary Report on the Anthropology Department Student Ratings Survey.

    Science.gov (United States)

    Gillmore, G. M.; Amoss, Panela

    The Department of Anthropology and the Educational Assessment Center (EAC) cooperated in a project to assess the effect of certain variables on student ratings of instruction. For this purpose, the entire teaching faculty of the department was requested by the department's Teaching Effectiveness committee to administer the EAC Student Ratings Form…

  18. State Waste Discharge Permit application: 400 Area Septic System

    Energy Technology Data Exchange (ETDEWEB)

    1994-06-01

    As part of the Hanford Federal Facility Agreement and Consent Order negotiations, the US Department of Energy, Richland Operations Office, the US Environmental Protection Agency, and the Washington State Department of Ecology agreed that liquid effluent discharges to the ground on the Hanford Site which affects groundwater or has the potential to affect groundwater would be subject to permitting under the structure of Chapter 173-216 (or 173-218 where applicable) of the Washington Administrative Code, the State Waste Discharge Permit Program. This document constitutes the State Waste Discharge Permit application for the 400 Area Septic System. The influent to the system is domestic waste water. Although the 400 Area Septic System is not a Public Owned Treatment Works, the Public Owned Treatment Works application is more applicable than the application for industrial waste water. Therefore, the State Waste Discharge Permit application for Public Owned Treatment Works Discharges to Land was used.

  19. State waste discharge permit application: Hydrotest, maintenance and construction discharges. Revision 0

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1995-11-01

    On December 23, 1991, the US DOE< Richland Operation Office (RL) and the Washington State Department of Ecology (Ecology) agreed to adhere to the provisions of the Department of Ecology Consent Order No. DE91NM-177 (216 Consent Order) (Ecology and US DOE 1991). The 216 Consent Order list regulatory milestones for liquid effluent streams at the Hanford Site and requires compliance with the permitting requirements of Washington Administrative Code. Hanford Site liquid effluent streams discharging to the soil column have been categorized on the 216 Consent Order as follows: Phase I Streams; Phase II Streams; Miscellaneous Streams. Phase I and Phase II Streams were initially addressed in two report. Miscellaneous Streams are subject to the requirements of several milestones identified in the 216 Consent Order. This document constitutes the Categorical State Waste Discharge Permit application for hydrotest,maintenance and construction discharges throughout the Hanford Site. This categorical permit application form was prepared and approved by Ecology.

  20. Investigating the Act of Design in Discharge Concept Using PMRI

    Directory of Open Access Journals (Sweden)

    Lestariningsih

    2015-07-01

    Full Text Available The goal of this research is to investigate the act of design in discharge concept using Pendidikan Matematika Realistik Indonesia (PMRI approach with Lapindo's Mud phenomenon as a context. Design research was chosen as method used in this research that consist of three phases, namely preparing for the experiment, teaching experiment, and retrospective analysis. Based on the result of investigating from findings and the data obtained in this research, it can be concluded that the use of instructional design using PMRI can support students' understanding in learning the concept of discharge. Observing activities Lapindo mud photos, watching videos Lapindo mud, observing miniature discharge of Lapindo mud, volume of water and time of data collection are needed, and finding discharge of Lapindo mud are conducted in this research.

  1. Speechreading Instruction for Children.

    Science.gov (United States)

    Yoshinaga-Itano, Christine

    1988-01-01

    This holistic approach to speechreading instruction proposes: enhancement of the child's self-motivation, strategy-based instruction, an interactive processing approach that focuses on meaning and psycholinguistic guessing, bisensory instruction, and a hierarchical continuum beginning with easy, successful activities that gradually increase in…

  2. Small bowel resection - discharge

    Science.gov (United States)

    ... that rubs against your wound while it is healing. Use a thin gauze pad over it to protect it if needed. If you have an ileostomy, follow care instructions from your provider. Diet Eat small amounts of food several times a day. DO NOT eat 3 ...

  3. Microwave Discharge Ion Sources

    CERN Document Server

    Celona, L

    2013-01-01

    This chapter describes the basic principles, design features and characteristics of microwave discharge ion sources. A suitable source for the production of intense beams for high-power accelerators must satisfy the requirements of high brightness, stability and reliability. The 2.45 GHz off-resonance microwave discharge sources are ideal devices to generate the required beams, as they produce multimilliampere beams of protons, deuterons and singly charged ions. A description of different technical designs will be given, analysing their performance, with particular attention being paid to the quality of the beam, especially in terms of its emittance.

  4. 46 CFR 169.817 - Master to instruct ship's company.

    Science.gov (United States)

    2010-10-01

    ... 46 Shipping 7 2010-10-01 2010-10-01 false Master to instruct ship's company. 169.817 Section 169.817 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) NAUTICAL SCHOOLS SAILING SCHOOL VESSELS Operations § 169.817 Master to instruct ship's company. The master shall conduct drills and...

  5. Flow Reactor Studies with Nanosecond Pulsed Discharges at Atmospheric Pressure and Higher

    Science.gov (United States)

    2013-10-01

    Image of Discharge Reactor with Viewport Inlet Cap • Modular plasma discharge reactor can be interchanged with redesigned pressure shell to perform...Flow Reactor Studies with Nanosecond Pulsed Discharges at Atmospheric Pressure and Higher Nicholas Tsolas, Kuni Togai and Richard Yetter...Department of Mechanical and Nuclear Engineering The Pennsylvania State University University Park, PA, 16801 Fourth Annual Review Meeting of the

  6. 76 FR 10913 - Agency Information Collection Activities: Application To Pay Off or Discharge an Alien Crewman

    Science.gov (United States)

    2011-02-28

    ... Off or Discharge an Alien Crewman AGENCY: U.S. Customs and Border Protection (CBP), Department of... requirement concerning the Application to Pay Off or Discharge an Alien Crewman (Form I-408). This request for...: Title: Application to Pay Off or Discharge an Alien Crewman. OMB Number: 1651-0106. Form Number:...

  7. 76 FR 27080 - Agency Information Collection Activities: Application To Pay Off or Discharge an Alien Crewman

    Science.gov (United States)

    2011-05-10

    ... Off or Discharge an Alien Crewman AGENCY: U.S. Customs and Border Protection, Department of Homeland... Discharge an Alien Crewman (Form I-408). This is a proposed extension of an information collection that was... techniques or other forms of information. Title: Application To Pay Off or Discharge an Alien Crewman....

  8. Improving Adolescent Pelvic Inflammatory Disease Follow-up From the Emergency Department: Randomized Controlled Trial With Text Messages.

    Science.gov (United States)

    Wolff, Margaret; Balamuth, Fran; Sampayo, Esther; Mollen, Cynthia

    2016-05-01

    Centers for Disease Control and Prevention guidelines recommend follow-up within 72 hours of diagnosis of pelvic inflammatory disease because patients with inadequate treatment are at increased risk of acute and chronic complications. Follow-up rates in adolescents after diagnosis range between 10% and 16%. The primary objective is to assess the effect of text message reminders to adolescent patients receiving a diagnosis of pelvic inflammatory disease on obtaining follow-up care within 72 hours of emergency department (ED) discharge. This was a single-blinded randomized controlled trial of adolescents receiving a diagnosis of pelvic inflammatory disease in the ED. Patients received standard discharge instructions or standard discharge instructions plus text message reminders. Patients in the text message group received daily, tailored text messages for 4 days, with a reminder to schedule and attend primary care provider follow-up. The primary outcome was follow-up within 72 hours of ED discharge. Ninety-five patients (48 standard; 47 text message) were randomized. Three patients were excluded, leaving 92 patients (46 standard; 46 text message) for analysis. Baseline characteristics were similar between treatment groups. Follow-up was 15.2% in the standard group and 43.5% in the text message group. Patients receiving text message reminders were more likely to follow up compared with the standard group (relative risk 2.9; 95% confidence interval [CI] 1.4 to 5.7). The absolute efficacy difference was 28.3% (95% CI 9.5% to 46.9%), yielding number needed to treat of 4 (95% CI 2.2 to 9.5). Personalized text message reminders were efficacious in improving follow-up for adolescents after ED diagnosis of pelvic inflammatory disease. Copyright © 2015 American College of Emergency Physicians. Published by Elsevier Inc. All rights reserved.

  9. Geodatabase of Groundwater Discharge Estimates to Streams in the Upper Colorado River Basin

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — The U.S. Geological Survey (USGS) as part of the Department of Interior WaterSmart Program compiled published estimates of groundwater discharge to streams in the...

  10. Initial Survey Instructions for Spring Water Monitoring : Quality

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — Initial survey instructions for 1.04 spring water monitoring (quality) and 1.06 management unit water monitoring (quality) at Fish Springs National Wildlife Refuge....

  11. Instructions for collection and shipment of avian and mammalian carcasses

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — Instructions for collecting and shipping wildlife carcasses, carcass parts, and samples extracted from animals to the USGS National Wildlife Health Center (NWHC) to...

  12. Initial Survey Instructions for Spring Water Monitoring : Flow

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — Initial survey instructions for the Spring Water Monitoring - Flow 1.02 survey at Fish Springs National Wildlife Refuge. This coop baseline monitoring survey has...

  13. Instructions for use of standardized pair count field forms

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — Standardized instructions of waterfowl pair count forms for use in the Four-Square Mile survey on Wetland Management Districts. These forms have been designed for...

  14. Initial Survey Instructions for Targeted Shorebird and Wading Bird Monitoring

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — Initial Survey Instructions for targeted shorebird and wading bird refuge-wide monitoring at Fish Springs National Wildlife Refuge, which occurs year-round on a...

  15. Initial Survey Instructions for management unit water monitoring : level

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — Initial survey instructions for 1.08 management unit water monitoring (level) survey on Fish Springs National Wildlife Refuge. This survey is conducted weekly and is...

  16. Initial Survey Instructions for Invasive Plant Species Mapping and Monitoring

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — Initial survey instructions for Invasive Plant Species Mapping, 1.01a, and Invasive Plant Species Monitoring, 1.01b, at Fish Springs National Wildlife Refuge. These...

  17. MANAGEMENT OF VAGINAL DISCHARGE

    African Journals Online (AJOL)

    Enrique

    Vaginal infection is one of the top 25 reasons for women to consult doctors in the. USA. The 3 most common ... VAGINAL DISCHARGE IN POSTMENOPAUSAL WOMEN. In this age group, the .... More than one host fac- tor may be involved and ...

  18. Novel Molecular Discharges

    NARCIS (Netherlands)

    Hilbig, R.; Koerber, A.; Schwan, S.; Hayashi, D.

    2011-01-01

    A systematic investigation into halides and ~oxides showed the high potential of transition metal oxides as visible radiators for highly efficient gas discharge light sources. Zirconium monoxide (ZrO) has been identified as most promising candidate combining highly attractive green and red emission

  19. Electrical Discharge Machining.

    Science.gov (United States)

    Montgomery, C. M.

    The manual is for use by students learning electrical discharge machining (EDM). It consists of eight units divided into several lessons, each designed to meet one of the stated objectives for the unit. The units deal with: introduction to and advantages of EDM, the EDM process, basic components of EDM, reaction between forming tool and workpiece,…

  20. Flight Model Discharge System

    Science.gov (United States)

    1988-06-01

    Dielectric Sensor ................................... 12 5 ESA S/N 001 ......................................... 24 6 Preliminary Test Sequence...71 28 Optical Transmission Loss of Contamination "Witness" Slide 3 .................................. 72 29 Apparatus used in FMDS Spectroscopic...Monitor ( TPU ). This sensor detects the electromagnetic pulses generated by the onset of arcing. (2) An active discharge device (plasma source). (3) A

  1. 7 CFR 900.403 - Instructions.

    Science.gov (United States)

    2010-01-01

    ... without advertising expense available media of public information (including, but not being limited to... 7 Agriculture 8 2010-01-01 2010-01-01 false Instructions. 900.403 Section 900.403 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (Marketing...

  2. Instructional Quality Assurance at Lansing Community College.

    Science.gov (United States)

    Herder, Dale M.; And Others

    Drawing from the experiences of Lansing Community College (LCC), this paper offers a rationale and model for measuring instructional quality. Section I offers background on LCC's efforts to assess the quality of its courses and curricula, and to introduce such quality assurance procedures as computer-based course syllabi, department and program…

  3. State waste discharge permit application, 200-E chemical drain field

    Energy Technology Data Exchange (ETDEWEB)

    1994-06-01

    As part of the Hanford Federal Facility Agreement and Consent Order negotiations (Ecology et al. 1994), the US Department of Energy, Richland Operations Office, the US Environmental Protection Agency, and the Washington State Department of Ecology agreed that liquid effluent discharges to the ground on the Hanford Site which affect groundwater or have the potential to affect ground would be subject to permitting under the structure of Chapter 173-216 (or 173-218 where applicable) of the Washington Administrative Code, the State Waste Discharge Permit Program. As a result of this decision, the Washington State Department of Ecology and the US Department of Energy, Richland Operations Office entered into Consent Order No. DE 91NM-177, (Ecology and DOE-RL 1991). The Consent Order No. DE 91NM-177 requires a series of permitting activities for liquid effluent discharges. This document presents the State Waste Discharge Permit (SWDP) application for the 200-E Chemical Drain Field. Waste water from the 272-E Building enters the process sewer line directly through a floor drain, while waste water from the 2703-E Building is collected in two floor drains, (north and south) that act as sumps and are discharged periodically. The 272-E and 2703-E Buildings constitute the only discharges to the process sewer line and the 200-E Chemical Drain Field.

  4. Discharge pulse phenomenology

    Science.gov (United States)

    Frederickson, A. R.

    1985-01-01

    A model was developed which places radiation induced discharge pulse results into a unified conceptual framework. Only two phenomena are required to interpret all space and laboratory results: (1) radiation produces large electrostatic fields inside insulators via the trapping of a net space charge density; and (2) the electrostatic fields initiate discharge streamer plasmas similar to those investigated in high voltage electrical insulation materials; these streamer plasmas generate the pulsing phenomena. The apparent variability and diversity of results seen is an inherent feature of the plasma streamer mechanism acting in the electric fields which is created by irradiation of the dielectrics. The implications of the model are extensive and lead to constraints over what can be done about spacecraft pulsing.

  5. Electrostatic Discharge Training Manual

    Science.gov (United States)

    1980-09-01

    NAVSEA SE 003-AA-TRN-OO LEYE V ELECTROSTATIC DISCHARGE TRAINING MANUAL s DTIC ,T OF I!ELECTE, ,4MA 0W\\R 9 981 E PUBLISHED BY DIRECTION OF COMMANDER...AS: F (QIQ2 . . . ................................................. (1) WHERE: F = FORCE ( NEWTONS ) Q, AND Q2 = MAGNITUDES OF THE CHARGES (COULOMB) R...RATIONALIZED MKS UNITS IN EQUATION (1), WE HAVE: & I 9(5 X 1 - )(lO ř I ’ 32 I I I I. & I = .5 NEWTON

  6. Electrochemical Discharge Machining Process

    Directory of Open Access Journals (Sweden)

    Anjali V. Kulkarni

    2007-09-01

    Full Text Available Electrochemical discharge machining process is evolving as a promising micromachiningprocess. The experimental investigations in the present work substantiate this trend. In the presentwork, in situ, synchronised, transient temperature and current measurements have been carriedout. The need for the transient measurements arose due to the time-varying nature of the dischargeformation and time varying circuit current. Synchronised and transient measurements revealedthe discrete nature of the process. It also helped in formulating the basic mechanism for thedischarge formation and the material removal in the process. Temperature profile on workpieceand in electrochemical discharge machining cell is experimentally measured using pyrometer,and two varieties of K-type thermocouples. Surface topography of the discharge-affected zoneson the workpiece has been carried out using scanning electron microscope. Measurements andsurface topographical studies reveal the potential use of this process for machining in micronregime. With careful experimental set-up design, suitable supply voltage and its polarity, theprocess can be applied for both micromachining and micro-deposition. It can be extended formachining and or deposition of wide range of materials.

  7. Microhollow cathode discharges

    Science.gov (United States)

    Schoenbach, K. H.; Moselhy, M.; Shi, W.; Bentley, R.

    2003-07-01

    By reducing the dimensions of hollow cathodes into the hundred micrometer range, stable, direct current, high (atmospheric) pressure glow discharges in rare gases, rare gas-halide mixtures and in air could be generated. The electron energy distribution in these microdischarges is non-Maxwellian, with a pronounced high-energy tail. The high electron energy together with the high gas density, which favors three-body collisions, is the reason for an efficient excimer generation in these microplasmas. Excimer efficiencies from 1% to 9% have been measured for argon, xenon, argon fluoride, and xenon chloride direct current excimer emitters, with a radiant excimer emittance of up to 2 W/cm2 for xenon. Adding small amounts of oxygen to argon has allowed us to generate vacuum ultraviolet line radiation at 130.5 nm with an efficiency approaching 1%. Pulsing xenon discharges with nanosecond electrical pulses has led to an increase in intensity to 15 W/cm2 and to a simultaneous increase in efficiency to more than 20%. Operating the discharges in an abnormal glow mode has allowed us to generate microdischarge arrays without individual ballast. Applications of these plasma arrays are excimer lamps and plasma reactors.

  8. Modeling electronegative plasma discharge

    Energy Technology Data Exchange (ETDEWEB)

    Lichtenberg, A.J.; Lieberman, M.A. [Univ. of California, Berkley, CA (United States)

    1995-12-31

    Macroscopic analytic models for a three-component electronegative gas discharge are developed. Assuming the negative ions to be in Boltzmann equilibrium, a positive ion ambipolar diffusion equation is derived. The discharge consists of an electronegative core and electropositive edges. The electron density in the core is nearly uniform, allowing a parabolic approximation to the plasma profile to be employed. The resulting equilibrium equations are solved analytically and matched to a constant mobility transport model of an electropositive edge plasma. The solutions are compared to a simulation of a parallel-plane r.f. driven oxygen plasma for p = 50 mTorr and n{sub eo}= 2.4 x 10{sup 15} m{sup -3}. The ratio {alpha}{sub o} of central negative ion density to electron density, and the electron temperature T{sub e}, found in the simulation, are in reasonable agreement with the values calculated from the model. The model is extended to: (1) low pressures, where a variable mobility model is used in the electropositive edge region; and (2) high {alpha}{sub o} in which the edge region disappears. The inclusion of a second positive ion species, which can be very important in describing electronegative discharges used for materials processing, is a possible extension of the model.

  9. Spleen removal - open - adults - discharge

    Science.gov (United States)

    Splenectomy - adult - discharge; Spleen removal - adult - discharge ... You had surgery to remove your spleen. This operation is called splenectomy . The surgeon made a cut (incision) in the middle of your belly or on the left side ...

  10. Theory of gas discharge plasma

    CERN Document Server

    Smirnov, Boris M

    2015-01-01

    This book presents the theory of gas discharge plasmas in a didactical way. It explains the processes in gas discharge plasmas. A gas discharge plasma is an ionized gas which is supported by an external electric field. Therefore its parameters are determined by processes in it. The properties of a gas discharge plasma depend on its gas component, types of external fields, their geometry and regimes of gas discharge. Fundamentals of a gas discharge plasma include elementary, radiative and transport processes which are included in its kinetics influence. They are represented in this book together with the analysis of simple gas discharges. These general principles are applied to stationary gas discharge plasmas of helium and argon. The analysis of such plasmas under certain conditions is theoretically determined by numerical plasma parameters for given regimes and conditions.

  11. Designing Instructional Systems

    Science.gov (United States)

    Furtado, Lorraine T.

    1974-01-01

    The author presents an instructional design model for teachers that evolves around a teacher-manager concept which recognizes management functions of: planning, organizing, leading, and controlling. (EA)

  12. Designing Instructional Systems

    Science.gov (United States)

    Furtado, Lorraine T.

    1974-01-01

    The author presents an instructional design model for teachers that evolves around a teacher-manager concept which recognizes management functions of: planning, organizing, leading, and controlling. (EA)

  13. Evolution of particle size in turbid discharge plumes

    Science.gov (United States)

    2016-06-07

    Evolution of particle size in turbid discharge plumes Paul S. Hill Department of Oceanography Dalhousie University Halifax, Nova Scotia, CANADA B3H...COVERED 00-00-1999 to 00-00-1999 4. TITLE AND SUBTITLE Evolution of particle size in turbid discharge plumes 5a. CONTRACT NUMBER 5b. GRANT...experiment was designed to explore the evolution of disaggregated grain size distribution in a flowing suspension. RESULTS Bulk effective settling

  14. Plasma Discharge Process in a Pulsed Diaphragm Discharge System

    Science.gov (United States)

    Duan, Jianjin; Hu, Jue; Zhang, Chao; Wen, Yuanbin; Meng, Yuedong; Zhang, Chengxu

    2014-12-01

    As one of the most important steps in wastewater treatment, limited study on plasma discharge process is a key challenge in the development of plasma applications. In this study, we focus on the plasma discharge process of a pulsed diaphragm discharge system. According to the analysis, the pulsed diaphragm discharge proceeds in seven stages: (1) Joule heating and heat exchange stage; (2) nucleated site formation; (3) plasma generation (initiation of the breakdown stage); (4) avalanche growth and plasma expansion; (5) plasma contraction; (6) termination of the plasma discharge; and (7) heat exchange stage. From this analysis, a critical voltage criterion for breakdown is obtained. We anticipate this finding will provide guidance for a better application of plasma discharges, especially diaphragm plasma discharges.

  15. Emergency department response to SARS, Taiwan.

    Science.gov (United States)

    Chen, Wei-Kung; Wu, Hong-Dar Isaac; Lin, Cheng-Chieh; Cheng, Yi-Chang

    2005-07-01

    How emergency departments of different levels and types cope with a large-scale contagious infectious disease is unclear. We retrospectively analyzed the response of 100 emergency departments regarding use of personal protective equipment (PPE) and implementation of infection control measures (ICMs) during the severe acute respiratory syndrome outbreak in Taiwan. Emergency department workers in large hospitals were more severely affected by the epidemic. Large hospitals or public hospitals were more likely to use respirators. Small hospitals implemented more restrictive ICMs. Most emergency departments provided PPE (80%) and implemented ICMs (66%) at late stages of the outbreak. Instructions to use PPE or ICMs more frequently originated by emergency department administrators. The difficulty of implementing ICMs was significantly negatively correlated with their effectiveness. Because ability to prepare for and respond to emerging infectious diseases varies among hospitals, grouping infectious patients in a centralized location in an early stage of infection may reduce the extent of epidemics.

  16. Foreign-Language Departments Bring Everyday Texts to Teaching

    Science.gov (United States)

    Bollag, Burton

    2008-01-01

    Recently, the Modern Language Association (MLA) called for a major reorganization of undergraduate academic programs and even the structure of foreign-language departments. Typically, the initial two years of language instruction are taught by non-tenure-track instructors with little or no voice in the department. Faculty members mainly teach the…

  17. MOTIVATIONAL MEASURE OF THE INSTRUCTION COMPARED: Instruction Based on the ARCS Motivation Theory V.S. Traditional Instruction in Blended Courses

    Directory of Open Access Journals (Sweden)

    Ozgur M. COLAKOGLU

    2010-04-01

    Full Text Available The ARCS Motivation Theory was proposed to guide instructional designers and teachers who develop their own instruction to integrate motivational design strategies into the instruction. There is a lack of literature supporting the idea that instruction for blended courses if designed based on the ARCS Motivation Theory provides different experiences for learners in terms of motivation than instruction developed following the standard instructional design procedure for blended courses. This study was conducted to compare the students’ motivational evaluation of blended course modules developed based on the ARCS Motivation Theory and students’ motivational evaluation of blended course modules developed following the standard instructional design procedure. Randomly assigned fifty junior undergraduate students studying at the department of Turkish Language and Literature participated in the study. Motivation Measure for the Blended Course Instruction (MMBCI instrument was used to collect data for the study after the Confirmatory Factor Analysis (CFA. Results of the study indicated that designing instruction in blended courses based on the ARCS Motivation Theory provides more motivational benefits for students and consequently contributes student learning.

  18. Compact Intracloud Discharges

    Energy Technology Data Exchange (ETDEWEB)

    Smith, David A. [Univ. of Colorado, Boulder, CO (United States)

    1998-11-01

    In November of 1993, mysterious signals recorded by a satellite-borne broadband VHF radio science experiment called Blackboard led to a completely unexpected discovery. Prior to launch of the ALEXIS satellite, it was thought that its secondary payload, Blackboard, would most often detect the radio emissions from lightning when its receiver was not overwhelmed by noise from narrowband communication carriers. Instead, the vast majority of events that triggered the instrument were isolated pairs of pulses that were one hundred times more energetic than normal thunderstorm electrical emissions. The events, which came to be known as TIPPs (for transionospheric pulse pairs), presented a true mystery to the geophysics community. At the time, it was not even known whether the events had natural or anthropogenic origins. After two and one half years of research into the unique signals, two ground-based receiver arrays in New Mexico first began to detect and record thunderstorm radio emissions that were consistent with the Blackboard observations. On two occasions, the ground-based systems and Blackboard even recorded emissions that were produced by the same exact events. From the ground based observations, it has been determined that TIPP events areproduced by brief, singular, isolated, intracloud electrical discharges that occur in intense regions of thunderstorms. These discharges have been dubbed CIDS, an acronym for compact intracloud discharges. During the summer of 1996, ground-based receiver arrays were used to record the electric field change signals and broadband HF emissions from hundreds of CIDS. Event timing that was accurate to within a few microseconds made possible the determination of source locations using methods of differential time of arrival. Ionospheric reflections of signals were recorded in addition to groundwave/line-of-sight signals and were used to determine accurate altitudes for the discharges. Twenty-four CIDS were recorded from three

  19. Pediatric Emergency Department Return: A Literature Review of Risk Factors and Interventions.

    Science.gov (United States)

    Tran, Quincy Khoi; Bayram, Jamil D; Boonyasai, Romsai T; Case, Meredith A; Connor, Christine; Doggett, David; Fawole, Oluwakemi A; Ijagbemi, O Mayowa; Levin, Scott; Wu, Albert W; Pham, Julius Cuong

    2016-08-01

    Children discharged from emergency departments (EDs) are often at risk for ED return. The objective was to identify risk factors and interventions to mitigate or prevent ED return among this patient population. Structured literature review of PubMed and clinicaltrials.gov was conducted to identify relevant studies. Inclusion criteria were studies evaluating ED returns by identifying risk factors and interventions in the pediatric population. Emergency department return was defined as returning to the ED within 1 year after initial visit. Abstract and full text articles were reviewed, and data were abstracted by 2 independent authors. A total of 963 articles were screened and yielded 42 potential relevant articles involving pediatric population. After full text review, a total of 12 articles were included in the final analysis (6 on risk factors and 6 on interventions). Risk factors for pediatric ED return included behavioral/psychiatric problems, younger age, acuity of illness, medical history of asthma, and social factors. Interventions included computer-generated instructions, postdischarge telephone coaching, ED-made appointments, case management, and home environment intervention. Emergency department-made appointments and postdischarge telephone coaching plus monetary incentive improved outpatient follow-up rate but not ED return. Home environment assessment coupled with case management reduced ED returns specifically among asthma patients. Several patient and visit characteristics can help predict children at risk for ED return. Although some interventions are successful at improving postdischarge follow-up, most did not reduce ED returns.

  20. Continuous pile discharging machine

    Science.gov (United States)

    Smith, Phillips P.

    1976-05-11

    A device for discharging cartridges from tubes under fluid pressure includes a cylindrical housing adapted to be seated in a leak-tight manner on the end of one of the tubes, a chute depending from the cylindrical housing near the end seated on the end of the tube, a rotatable piston having a wrench on the forward end thereof disposed in the cylindrical housing and adapted to manipulate a plug in the end of the tube, and a telescopic hydraulic ram adapted to move the piston toward the plug. In addition the wrench contains a magnet which prevents inadvertent uncoupling of the wrench and the plug.

  1. Foreign Language Instruction.

    Science.gov (United States)

    Birkmaier, Emma; Lange, Dale

    1967-01-01

    This review of research in foreign language instruction summarizes and interprets selected studies produced during the period 1963-66. Topics covered include the psychology of learning, comparisons o f methods, language skills, visual-auditory relationships, vocabulary, grammar, and FLES, as well as programed instruction, technological media,…

  2. Content-Based Instruction

    Science.gov (United States)

    DelliCarpini, M.; Alonso, O.

    2013-01-01

    DelliCarpini and Alonso's book "Content-Based Instruction" explores different approaches to teaching content-based instruction (CBI) in the English language classroom. They provide a comprehensive overview of how to teach CBI in an easy-to-follow guide that language teachers will find very practical for their own contexts. Topics…

  3. Presentation on Instructional Objectives

    Science.gov (United States)

    Naz, Bibi Asia

    2009-01-01

    "Learning can be defined as change in a student's capacity for performance as a result of experience" (Kenneth D. Moore). The intended changes should be specified in instructional objectives. Viewed in this context, an objective can be defined as a clear and unambiguous description of your instructional intent. An objective is not a…

  4. Content-Based Instruction

    Science.gov (United States)

    DelliCarpini, M.; Alonso, O.

    2013-01-01

    DelliCarpini and Alonso's book "Content-Based Instruction" explores different approaches to teaching content-based instruction (CBI) in the English language classroom. They provide a comprehensive overview of how to teach CBI in an easy-to-follow guide that language teachers will find very practical for their own contexts. Topics…

  5. Instructional Coaching. Issue Brief

    Science.gov (United States)

    Kowal, Julie; Steiner, Lucy

    2007-01-01

    Schools and districts invest a great deal of time and money in professional development for teachers through instructional coaching. With this effort comes the responsibility to design coaching programs that have the greatest potential to improve classroom instruction and, in turn, increase student learning. What research is available to help…

  6. Instructional Design Team

    Science.gov (United States)

    Bancroft, Judith A.; Collins, Keith

    1974-01-01

    An instructional design team, composed of experts in nursing, education, and media production, is used at the University of Wisconsin School of Nursing, Madison, to produce instructional units for a new curriculum. The authors summarize steps of team/faculty communications, team methodology, and factors influencing the team's effectiveness. (EA)

  7. Scientific Notation in Instructional Design.

    Science.gov (United States)

    Boutwell, Richard C.

    1978-01-01

    Discusses the adoption of a notation system that is generalizable to all instructional designers and will allow and encourage a common communication base. Ten instructional design models are discussed as systems approaches to instructional design. (JEG)

  8. Supplemental instruction in chemistry

    Science.gov (United States)

    Lundeberg, Mary A.

    This study was designed to measure some effects of supplemental instruction in chemistry. Supplemental instruction is a peer-led cooperative learning program that encourages students to develop conceptual understanding by articulating both understandings and misconceptions in a think-aloud fashion. Supplemental instruction was offered three hours weekly outside of class and lab time for students in four classes of General Organic and Biological Chemistry. Over a two-year period 108 students volunteered to participate in this program; 45 students did not participate. As measured by final grades in chemistry and responses to a questionnaire, supplemental instruction was effective in increasing students' achievement in chemistry. Further research is needed to determine the in-depth effects of supplemental instruction on students' learning, problem solving, and self-esteem.

  9. A survey of prosthetic eye wearers to investigate mucoid discharge

    Directory of Open Access Journals (Sweden)

    Pine K

    2012-05-01

    Full Text Available Keith Pine1, Brian Sloan2, Joanna Stewart3, Robert J Jacobs11Department of Optometry and Vision Science, 2Department of Ophthalmology, New Zealand National Eye Centre, 3Section of Epidemiology and Biostatistics, School of Population Health, University of Auckland, Auckland, New ZealandBackground: This study aimed to better understand the causes and treatments of mucoid discharge associated with prosthetic eye wear by reviewing the literature and surveying anophthalmic patients.Methods: An anonymous questionnaire was completed by 429 prosthetic eye wearers who used visual analog scales to self-measure their discharge experience for four discharge characteristics: frequency, color, volume, and viscosity. These characteristics were analyzed with age, ethnicity, years wearing a prosthesis, eye loss cause, removal and cleaning regimes, hand-washing behavior, age of current prosthesis, and professional repolishing regimes as explanatory variables. Eighteen ocularists’ Web sites containing comments on the cause and treatment of discharge were surveyed.Results: Associations were found between discharge frequency and cleaning regimes with more frequent cleaning accompanying more frequent discharge. Color was associated with years of wearing and age, with more years of wearing and older people having less colored discharge. Volume was associated with cleaning regimes with more frequent cleaners having more volume. Viscosity was associated with cleaning regimes and years of wearing with more frequent cleaning and shorter wearing time accompanying more viscous discharge. No associations were found between discharge characteristics and ethnicity, eye loss cause, hand washing, age of current prosthesis, or repolishing regimes. Forty-seven percent of ocularists’ Web sites advised that discharge was caused by surface deposits on the prosthesis, 29% by excessive handling of the prosthesis, and 24% by other causes.Conclusions: A standardized treatment

  10. Frequency of outpatient antibiotic prescription on discharge to hospice care.

    Science.gov (United States)

    Furuno, Jon P; Noble, Brie N; Horne, Kristi N; McGregor, Jessina C; Elman, Miriam R; Bearden, David T; Walsh, Eric W; Fromme, Erik K

    2014-09-01

    The use of antibiotics is common in hospice care despite limited evidence that it improves symptoms or quality of life. Patients receiving antibiotics upon discharge from a hospital may be more likely to continue use following transition to hospice care despite a shift in the goals of care. We quantified the frequency and characteristics for receiving a prescription for antibiotics on discharge from acute care to hospice care. This was a cross-sectional study among adult inpatients (≥18 years old) discharged to hospice care from Oregon Health & Science University (OHSU) from 1 January 2010 to 31 December 2012. Data were collected from an electronic data repository and from the Department of Care Management. Among 62,792 discharges, 845 (1.3%) patients were discharged directly to hospice care (60.0% home and 40.0% inpatient). Most patients discharged to hospice were >65 years old (50.9%) and male (54.6%) and had stayed in the hospital for ≤7 days (56.6%). The prevalence of antibiotic prescription upon discharge to hospice was 21.1%. Among patients discharged with an antibiotic prescription, 70.8% had a documented infection during their index admission. Among documented infections, 40.3% were bloodstream infections, septicemia, or endocarditis, and 38.9% were pneumonia. Independent risk factors for receiving an antibiotic prescription were documented infection during the index admission (adjusted odds ratio [AOR]=7.00; 95% confidence interval [95% CI]=4.68 to 10.46), discharge to home hospice care (AOR=2.86; 95% CI=1.92 to 4.28), and having a cancer diagnosis (AOR=2.19; 95% CI=1.48 to 3.23). These data suggest that a high proportion of patients discharged from acute care to hospice care receive an antibiotic prescription upon discharge.

  11. Using Principles of Programmed Instruction

    Science.gov (United States)

    Huffman, Harry

    1971-01-01

    Although programmed instruction in accounting is available, it is limited in scope and in acceptance. Teachers, however, may apply principles of programming to the individualizing of instruction. (Author)

  12. Registered Nurses and Discharge Planning in a Taiwanese ED: A Neglected Issue?

    Science.gov (United States)

    Chang, Wen; Goopy, Suzanne; Lin, Chun-Chih; Barnard, Alan; Liu, Hsueh-Erh; Han, Chin-Yen

    2016-10-01

    Published research on discharge planning is written from the perspective of hospital wards and community services. Limited research focuses on discharge planning in the emergency department (ED). The objective of this study was to identify ED nurses' perceptions of factors influencing the implementation of discharge planning. This qualitative study collected data from 25 ED nurses through in-depth interviews and a drawing task in which participants were asked to depict on paper the implementation of discharge planning in their practice. Factors influencing discharge planning were grouped into three categories: discharge planning as a neglected issue in the ED, heavy workload, and the negative attitudes of ED patients and their families. The study highlighted a need for effective discharge planning to be counted as an essential clinical competency for ED nurses and factored into their everyday workload. Nurses perceived that organizational culture, and parents' and relatives' attitudes were barriers to implementing discharge teaching in the ED.

  13. Instructing for Results

    Science.gov (United States)

    Peterson, Bob

    1978-01-01

    To illustrate the importance of clarity and precision in stating objectives for learning a particular job task, a training consultant provides answers to the previous issue's questionnaire on writing instructional objectives. (MF)

  14. Instructions for Authors

    Institute of Scientific and Technical Information of China (English)

    2004-01-01

    @@ GENERAL SUBMISSION INSTRUCTIONS These guidelines have been prepared in accordance with the Uniform Requirements for Manuscripts Submitted to Biomedical Journals.1 Authors should familiarize themselves with these requirements before submission.

  15. Reading Instruction Today.

    Science.gov (United States)

    Williams, Joanna

    1979-01-01

    Describes current achievement in the areas of reading theory and reading instruction. Reviews reading research in the fields of educational and cognitive psychology. Considers the overall role of formal education in the development of literacy. (GC)

  16. Designing Printed Instructional Materials.

    Science.gov (United States)

    Burbank, Lucille; Pett, Dennis

    1986-01-01

    Discusses the importance of identifying the audience and determining specific objectives when designing printed instructional materials that will communicate effectively and provides detailed guidelines for dealing with such design factors as content, writing style, typography, illustrations, and page organization. (MBR)

  17. Video Methods for Speechreading Instruction.

    Science.gov (United States)

    Sims, Donald G.

    1988-01-01

    Addressed are the history, methodology, and instructional benefits of self-instruction video as a component of speechreading instruction with adolescent and adult hearing-impaired individuals, focusing on: factors in video lesson design, advantages of various hardware alternatives and computer-assisted learning, instructional evaluation methods,…

  18. Security classification of information concerning high-energy lasers. Instruction

    Energy Technology Data Exchange (ETDEWEB)

    MacCallum, J.

    1981-09-18

    The Instruction reissues Department of Defense (DoD) Instruction 5210.61, April 7, 1977, to update policy and guidance, and establishes uniform criteria for the security classification of information concerning DoD programs and projects involving the research, development, test and evaluation (RDT E), application, production, and operational use of high-energy lasers (HEL), and their application for military purposes, whether as weapons or in other military systems.

  19. Discharge areas for the transient ground-water flow model, Death Valley regional ground-water flow system, Nevada and California

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — This digital data set represents discharge areas in the Death Valley regional ground-water flow system (DVRFS) transient model. Natural ground-water discharge occurs...

  20. Discharge areas for the transient ground-water flow model, Death Valley regional ground-water flow system, Nevada and California

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — This digital data set represents discharge areas in the Death Valley regional ground-water flow system (DVRFS) transient model. Natural ground-water discharge...

  1. An Algorithm for Opioid and Barbiturate Reduction in the Acute Management of Headache in the Emergency Department.

    Science.gov (United States)

    Ahmed, Zubair A; Nacopoulos, Dimitrios A; John, Seby; Papesh, Nancy; Levine, David; Bamford, Cynthia C

    2017-01-01

    To develop and implement an algorithm for the management of headaches presenting to the emergency department (ED) in order to decrease the frequency of opioid and barbiturate treatment both acutely as well as on discharge. Headache is the fifth leading cause of ED visits in the United States. In the case of primary headache, particularly migraine, treatment in the ED can be highly variable. Patients with migraine continue to be treated with opioids more commonly than nonopioid, migraine specific medications. In addition, discharge plans seldom include measures to prevent recurrence or instructions to re-treat if pain persists. At this time, there is no standardized management protocol directed at acute headaches presenting to the ED. An ED headache treatment algorithm with step-wise instructions for diagnosis, treatment, and discharge planning was piloted at Lakewood Hospital, a regional Cleveland Clinic affiliated hospital. This non-randomized interventional study compared outcomes after implementation of the algorithm to historical controls. Patient demographic data including age, gender, and payer mix was collected. Outcomes measured included the frequency of treatment with opioids or barbiturates, imaging, neurology consults, admissions, and a patient reported pain score. Data relevant to patient disposition and follow-up, including prescriptions for opioids or barbiturates given at discharge, and ensuring PCP or neurology follow-up appointments at discharge was also reviewed. Demographic data did not differ significantly between the pre- and post-algorithm groups. There was a significant decline in the number of patients treated with opioids and barbiturates from 66.0% pre-algorithm to 6.8% immediately after algorithm implementation (P <. 001), and to 28% (P < .001) one year after algorithm implementation, indicating both an immediate effect of the algorithm and a sustained effect. Similarly, pre-algorithm implementation, 37% of patients were discharged

  2. Electrosurgical Plasma Discharges

    Science.gov (United States)

    Stalder, K. R.; Woloszko, J.

    2002-10-01

    Electrosurgical instruments employing plasmas to volumetrically ablate tissue are now enjoying widespread use in medical applications. We have studied several commercially available instruments in which luminous plasma discharges are formed near electrodes immersed in saline solutions when sufficiently large amplitude bipolar voltage waveforms are applied. Different aqueous salt solutions have been investigated, including isotonic NaCl solution as well as solutions of KCl, and BaCl_2. With strong driving voltage applied, a vapor layer is formed as well as visible and UV optical emissions. Spectroscopic measurements reveal the predominant emissions are from the low ionization potential salt species, but significant emissions from electron impact dissociated water fragments such as OH and H-atoms also are observed. The emissions also coincide with negative bias on the active electrode. These optical emissions are consistent with an electron density of about 10^12cm-3 and an electron temperature of about 4 eV. Experimental results and model calculations of the vapor layer formation process and plasma formation in the high-field region will be discussed.

  3. YANGTZE DISCHARGE MEMORY

    Institute of Scientific and Technical Information of China (English)

    Klaus Fraedrich; Xiuhua Zhu

    2009-01-01

    We present a review on studies focusing on memories in hydrological time series in the Yangtze Basin based on observational and reconstructed historical data.Memory appears as scaling of power spectra,S(f)~f-β,with 0 <β≤ 1.The presence of scaling is noteworthy in daily river discharge time series:1)from weeks to a couple of years,power spectra follow flicker noise,that is β≈ 1;2)beyond years,spectral scaling appraaclTes β≈0.3.In historical time series of floods and draughts,power spectra also shows scaling with β≈ 0.38 ~0.52.Furthermore,a 70-year peak is detected in historical maritime events series,which also appears in other past climate indicators.Presence of memory in these hydrological time series implies clustering of extremes and scaling of their recurrence times,therefore,probabilistic forecast potential for extremes can be derived.On the other hand,although several physical processes,for example,soil moisture storage and high intermittency of precipitation,have been suggested to be the possible candidates contributing to the presence of long term memory,they remain open for future research.

  4. Modelling Discharge Inception in Thunderstorms

    NARCIS (Netherlands)

    Rutjes, Casper; Dubinova, Anna; Ebert, Ute; Buitink, Stijn; Scholten, Olaf; Trinh, Gia Thi Ngoc

    2015-01-01

    The electric fields in thunderstorms can exceed the breakdown value locally near hydrometeors. But are fields high enough and the regions large enough to initiate a streamer discharge? And where would a sufficient density of free electrons come from to start the discharge in the humid air that rapid

  5. [Redesigning the hospital discharge process].

    Science.gov (United States)

    Martínez-Ramos, M; Flores-Pardo, E; Uris-Sellés, J

    2016-01-01

    The aim of this article is to show that the redesign and planning process of hospital discharge advances the departure time of the patient from a hospital environment. Quasi-experimental study conducted from January 2011 to April 2013, in a local hospital. The cases analysed were from medical and surgical nursing units. The process was redesigned to coordinate all the professionals involved in the process. The hospital discharge improvement process improvement was carried out by forming a working group, the analysis of retrospective data, identifying areas for improvement, and its redesign. The dependent variable was the time of patient administrative discharge. The sample was classified as pre-intervention, inter-intervention, and post-intervention, depending on the time point of the study. The final sample included 14,788 patients after applying the inclusion and exclusion criteria. The mean discharge release time decreased significantly by 50 min between pre-intervention and post-intervention periods. The release time in patients with planned discharge was one hour and 25 min less than in patients with unplanned discharge. Process redesign is a useful strategy to improve the process of hospital discharge. Besides planning the discharge, it is shown that the patient leaving the hospital before 12 midday is a key factor. Copyright © 2015 SECA. Published by Elsevier Espana. All rights reserved.

  6. 77 FR 64033 - Discharge of Liens; Redemption by United States

    Science.gov (United States)

    2012-10-18

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF THE TREASURY Internal Revenue Service 26 CFR Part 301 Discharge of Liens; Redemption by United States CFR Correction In Title 26 of the Code of Federal Regulations, Parts 300 to 499, revised as of April 1, 2012, on page...

  7. 34 CFR 685.214 - Closed school discharge.

    Science.gov (United States)

    2010-07-01

    ... EDUCATION, DEPARTMENT OF EDUCATION WILLIAM D. FORD FEDERAL DIRECT LOAN PROGRAM Borrower Provisions § 685.214... the Act. (4) The Secretary reports the discharge of a loan under this section to all credit reporting agencies to which the Secretary previously reported the status of the loan. (c) Borrower qualification...

  8. Neonatal intensive care unit census influences discharge of moderately preterm infants.

    Science.gov (United States)

    Profit, Jochen; McCormick, Marie C; Escobar, Gabriel J; Richardson, Douglas K; Zheng, Zheng; Coleman-Phox, Kim; Roberts, Rebecca; Zupancic, John A F

    2007-02-01

    The timely discharge of moderately premature infants has important economic implications. The decision to discharge should occur independent of unit census. We evaluated the impact of unit census on the decision to discharge moderately preterm infants. In a prospective multicenter cohort study, we enrolled 850 infants born between 30 and 34 weeks' gestation at 10 NICUs in Massachusetts and California. We divided the daily census from each hospital into quintiles and tested whether discharges were evenly distributed among them. Using logistic regression, we analyzed predictors of discharge within census quintiles associated with a greater- or less-than-expected likelihood of discharge. We then explored parental satisfaction and postdischarge resource consumption in relation to discharge during census periods that were associated with high proportions of discharge. There was a significant correlation between unit census and likelihood of discharge. When unit census was in the lowest quintile, patients were 20% less likely to be discharged when compared with all of the other quintiles of unit census. In the lowest quintile of unit census, patient/nurse ratio was the only variable associated with discharge. When census was in the highest quintile, patients were 32% more likely to be discharged when compared with all of the other quintiles of unit census. For patients in this quintile, a higher patient/nurse ratio increased the likelihood of discharge. Conversely, infants with prolonged lengths of stay, an increasing Score for Neonatal Acute Physiology II, and minor congenital anomalies were less likely to be discharged. Infants discharged at high unit census did not differ from their peers in terms of parental satisfaction, emergency department visits, home nurse visits, or rehospitalization rates. Discharges are closely correlated with unit census. Providers incorporate demand and case mix into their discharge decisions.

  9. Neonatal Intensive Care Unit Census Influences Discharge of Moderately Preterm Infants

    Science.gov (United States)

    Profit, Jochen; McCormick, Marie C.; Escobar, Gabriel J.; Richardson, Douglas K.; Zheng, Zheng; Coleman-Phox, Kim; Roberts, Rebecca; Zupancic, John A. F.

    2011-01-01

    Objective The timely discharge of moderately premature infants has important economic implications. The decision to discharge should occur independent of unit census. We evaluated the impact of unit census on the decision to discharge moderately preterm infants. Design/Methods In a prospective multicenter cohort study, we enrolled 850 infants born between 30 and 34 weeks' gestation at 10 NICUs in Massachusetts and California. We divided the daily census from each hospital into quintiles and tested whether discharges were evenly distributed among them. Using logistic regression, we analyzed predictors of discharge within census quintiles associated with a greater- or less-than-expected likelihood of discharge. We then explored parental satisfaction and postdischarge resource consumption in relation to discharge during census periods that were associated with high proportions of discharge. Results There was a significant correlation between unit census and likelihood of discharge. When unit census was in the lowest quintile, patients were 20% less likely to be discharged when compared with all of the other quintiles of unit census. In the lowest quintile of unit census, patient/nurse ratio was the only variable associated with discharge. When census was in the highest quintile, patients were 32% more likely to be discharged when compared with all of the other quintiles of unit census. For patients in this quintile, a higher patient/nurse ratio increased the likelihood of discharge. Conversely, infants with prolonged lengths of stay, an increasing Score for Neonatal Acute Physiology II, and minor congenital anomalies were less likely to be discharged. Infants discharged at high unit census did not differ from their peers in terms of parental satisfaction, emergency department visits, home nurse visits, or rehospitalization rates. Conclusions Discharges are closely correlated with unit census. Providers incorporate demand and case mix into their discharge decisions

  10. State Waste Discharge Permit application, 100-N Sewage Lagoon

    Energy Technology Data Exchange (ETDEWEB)

    1994-06-01

    As part of the Hanford Federal Facility Agreement and Consent Order negotiations (Ecology et al. 1994), the US Department of Energy, Richland Operations Office, the US Environmental Protection Agency, and the Washington State Department of Ecology agreed that liquid effluent discharges to the ground on the Hanford Site which affect groundwater or have the potential to affect groundwater would be subject to permitting under the structure of Chapter 173--216 (or 173--218 where applicable) of the Washington Administrative Code, the State Waste Discharge Permit Program. As a result of this decision, the Washington State Department of Ecology and the US Department of Energy, Richland Operations Office entered into Consent Order No. DE 91NM-177, (Ecology and DOE-RL 1991). This document constitutes the State Waste Discharge Permit application for the 100-N Sewage Lagoon. Since the influent to the sewer lagoon is domestic waste water, the State Waste Discharge Permit application for Public Owned Treatment Works Discharges to Land was used. Although the 100-N Sewage Lagoon is not a Public Owned Treatment Works, the Public Owned Treatment Works application is more applicable than the application for industrial waste water. The 100-N Sewage Lagoon serves the 100-N Area and other Hanford Site areas by receiving domestic waste from two sources. A network of sanitary sewer piping and lift stations transfers domestic waste water from the 100-N Area buildings directly to the 100-N Sewage Lagoon. Waste is also received by trucks that transport domestic waste pumped from on site septic tanks and holding tanks. Three ponds comprise the 100-N Sewage Lagoon treatment system. These include a lined aeration pond and stabilization pond, as well as an unlined infiltration pond. Both piped-in and trucked-in domestic waste is discharged directly into the aeration pond.

  11. Applying learning theories and instructional design models for effective instruction.

    Science.gov (United States)

    Khalil, Mohammed K; Elkhider, Ihsan A

    2016-06-01

    Faculty members in higher education are involved in many instructional design activities without formal training in learning theories and the science of instruction. Learning theories provide the foundation for the selection of instructional strategies and allow for reliable prediction of their effectiveness. To achieve effective learning outcomes, the science of instruction and instructional design models are used to guide the development of instructional design strategies that elicit appropriate cognitive processes. Here, the major learning theories are discussed and selected examples of instructional design models are explained. The main objective of this article is to present the science of learning and instruction as theoretical evidence for the design and delivery of instructional materials. In addition, this article provides a practical framework for implementing those theories in the classroom and laboratory. Copyright © 2016 The American Physiological Society.

  12. The practice of terminal discharge.

    Science.gov (United States)

    Radha Krishna, Lalit Kumar; Murugam, Vengadasalam; Quah, Daniel Song Chiek

    2017-01-01

    'Terminal discharges' are carried out in Singapore for patients who wish to die at home. However, if due diligence is not exercised, parallels may be drawn with euthanasia. We present a theoretical discussion beginning with the definition of terminal discharges and the reasons why they are carried out in Singapore. By considering the intention behind terminal discharges and utilising a multidisciplinary team to deliberate on the clinical, social and ethical intricacies with a patient- and context-specific approach, euthanasia is avoided. It is hoped that this will provide a platform for professionals in palliative medicine to negotiate challenging issues when arranging a terminal discharge, so as to avoid the pitfall of committing euthanasia in a country such as Singapore where euthanasia is illegal. It is hoped that a set of guidelines for terminal discharges may someday be realised to assist professionals in Singapore and around the world.

  13. Age and weight at final discharge from an early discharge programme for stable but tube-fed preterm infants

    DEFF Research Database (Denmark)

    Ahnfeldt, A M; Stanchev, H.; Jørgensen, Henrik Løvendahl

    2015-01-01

    AIM: Preterm birth is often associated with prolonged hospitalisation, complicating the parent-child relationship and breastfeeding rates. As a result, an early discharge programme was implemented in the department of neonatology at Rigshospitalet. The infants were stable, but required tube feeding...

  14. Cross Cultural Instruction: An Instructional Design Case

    Directory of Open Access Journals (Sweden)

    Monica W. Tracey

    2010-01-01

    Full Text Available In an authentic example of linking design and development with learning and performance, an international real estate development firm defined a problem; implementing a cleaning system in the largest mall in the world with a cross-cultural unskilled work force in Dubai, UAE. Partnering with a university instructional design team employing a rapid prototyping methodology and the constructivist ID approach, Layers of Negotiation Model, a comprehensive curriculum was designed. This article describes the project background, initial design, the ID team's work in Dubai, illustrates the product, and summarizes the design experience.

  15. 33 CFR 157.12 - Oil discharge monitoring and control system.

    Science.gov (United States)

    2010-07-01

    ... control system. 157.12 Section 157.12 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND... system. (a) Each vessel must have an oil discharge monitoring and control system (monitoring system) that... incorporated by reference (see § 157.02). (c) Each oil discharge monitoring and control system on a U.S. vessel...

  16. 46 CFR 98.30-10 - Pipe connections, and filling and discharge openings.

    Science.gov (United States)

    2010-10-01

    ... 46 Shipping 4 2010-10-01 2010-10-01 false Pipe connections, and filling and discharge openings. 98.30-10 Section 98.30-10 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) CARGO AND... BULK Portable Tanks § 98.30-10 Pipe connections, and filling and discharge openings. No person may...

  17. 33 CFR 159.315 - Sewage and graywater discharge record book.

    Science.gov (United States)

    2010-07-01

    ... record book. 159.315 Section 159.315 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND... by Cruise Vessel Operations § 159.315 Sewage and graywater discharge record book. (a) While operating... and Graywater Discharge Record Book with the vessel's name and official number listed on the...

  18. NPDES (National Pollution Discharge & Elimination System) Minor Dischargers

    Data.gov (United States)

    U.S. Environmental Protection Agency — As authorized by the Clean Water Act, the National Pollutant Discharge Elimination System (NPDES) permit program controls water pollution by regulating point sources...

  19. "Can we just stop and talk?" patients value verbal communication about discharge care plans.

    Science.gov (United States)

    Shoeb, Marwa; Merel, Susan Eva; Jackson, Molly Blackley; Anawalt, Bradley D

    2012-01-01

    Studies show that hospitalized patients often do not understand their postdischarge care plan. There are few studies about patients' preferences regarding the content of discharge care plans. To identify what patients view as essential elements of a post-hospitalization plan. Anonymous written survey distributed on the second day of admission to internal medicine wards. An academic tertiary care hospital and an academic county hospital in Seattle, Washington. Two hundred English-speaking adult inpatients ≥ 18 years or their proxies. The majority of patients (64.5%) surveyed wanted verbal discharge instructions, with only 10.5% requesting written instructions (P communication between the inpatient provider and the outpatient primary care provider was "extremely important" or "essential." Patients uniformly placed high value on: 1) verbal communication about discharge care plans; 2) information about lifestyle changes for improved health; and 3) personal communication between inpatient and outpatient providers. Copyright © 2012 Society of Hospital Medicine.

  20. Point source nutrient discharges to surface water in the United States Pacific Northwest for 2002

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — This spatial data set was created by the U.S. Geological Survey (USGS) to represent the amount of total nitrogen and total phosphorus discharged to surface waters in...

  1. Outer boundary of major discharge areas of Death Valley regional flow system, Nevada and California

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — The digital data set delineates the outer boundary of each major discharge area evaluated as part of the study. These areas were used to refine estimates of...

  2. Classification of evapotranspiration units in major discharge areas of Death Valley regional

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — The raster-based classification of evapotranspiration (ET) units is for nine major discharge areas in the Death Valley regional flow system. The ET units delineate...

  3. Determining the rate of follow-up after hospital emergency department visits for dental conditions

    Directory of Open Access Journals (Sweden)

    Meyer B

    2016-03-01

    Full Text Available Beau Meyer,1,2 Eric Adkins,3,4 Nathan M Finnerty,4 Fonda G Robinson5 1Division of Pediatric Dentistry, College of Dentistry, The Ohio State University, Columbus, OH, 2Department of Pediatric Dentistry, School of Dentistry, University of North Carolina at Chapel Hill, Chapel Hill, NC, 3The Ohio State University Wexner Medical Center Emergency Department, 4Department of Emergency Medicine, College of Medicine, 5Clinic Administration and Patient Care, College of Dentistry, The Ohio State University, Columbus, OH, USA Background: Emergency department (ED visits for dental reasons continue to impact EDs nationwide. This investigation determined the rate of follow-up in an emergency dental clinic (EDC after hospital ED visits for nontraumatic dental conditions. Methods: This prospective investigation reports the number of patients who presented to an ED for nontraumatic dental conditions and the rate of follow-up at an EDC. Upon ED discharge, patients were provided instructions to follow-up for low-cost care at the EDC. Telephone contact was attempted following failed referrals. Descriptive statistics were reported for comparing referral sources and demographic trends. Results: Two hundred and forty-seven referrals were made and 31% followed up for definitive treatment at the EDC. More referrals were made on weekends than on weekdays. Failed referrals were unreachable by telephone in 75% of cases. Tooth extraction was the most common treatment rendered in the EDC. Of the ED patients who accessed EDC care, 14% became comprehensive patients in the EDC's regular dental clinic. Conclusion: Less than one-third of ED referrals to the EDC followed up for definitive care when provided an opportunity to do so, and 75% of referrals were unreachable by telephone in the week following the ED dental visit. Keywords: emergencies, dental health services, health services accessibility, access to care, dental emergency treatment

  4. HIGH ENERGY GASEOUS DISCHARGE DEVICES

    Science.gov (United States)

    Josephson, V.

    1960-02-16

    The high-energy electrical discharge device described comprises an envelope, a pair of main discharge electrodes supported in opposition in the envelope, and a metallic shell symmetrically disposed around and spaced from the discharge path between the electrodes. The metallic shell comprises a first element of spaced helical turns of metallic material and a second element of spaced helical turns of methllic material insulatedly supported in superposition outside the first element and with the turns overlapping the gap between the turns of the first element.

  5. An introduction to gas discharges

    CERN Document Server

    Howatson, A M

    2013-01-01

    An Introduction to Gas Discharges: Second Edition aims to provide a compact introduction to the subject of gas discharges, which continues to make both scientific and industrial progress. In this second edition, the author has made minor corrections, rewritten and expanded some sections, used SI units and modernized notions, in hopes of making the book more up to date. Included in the book is a short history of the subject, an introduction that enumerates the types of gas discharges, the fundamental processes, and then moves on to the more specific areas such as the breakdown, the self-sustai

  6. Snowfall induced by corona discharge

    CERN Document Server

    Ju, Jingjing; Li, Ruxin; Du, Shengzhe; Sun, Haiyi; Liu, Yonghong; Tian, Ye; Bai, Yafeng; Liu, Yaoxiang; Chen, Na; Wang, Jingwei; Wang, Cheng; Liu, Jiansheng; Chin, S L; Xu, Zhizhan

    2016-01-01

    We demonstrated for the first time the condensation and precipitation (or snowfall) induced by a corona discharge inside a cloud chamber. Ionic wind was found to have played a more significant role than ions as extra Cloud Condensation Nuclei (CCN). 2.25 g of net snow enhancement was measured after applying a 30 kV corona discharge for 25 min. In comparison with another newly emerging femtosecond laser filamentation method, the snow precipitation induced by the corona discharge has about 4 orders of magnitude higher wall-plug efficiency under similar conditions.

  7. Instruct coders' manual

    Science.gov (United States)

    Friend, J.

    1971-01-01

    A manual designed both as an instructional manual for beginning coders and as a reference manual for the coding language INSTRUCT, is presented. The manual includes the major programs necessary to implement the teaching system and lists the limitation of current implementation. A detailed description is given of how to code a lesson, what buttons to push, and what utility programs to use. Suggestions for debugging coded lessons and the error messages that may be received during assembly or while running the lesson are given.

  8. Instructions for authors

    Directory of Open Access Journals (Sweden)

    Editors Editorial Board

    2012-11-01

    Full Text Available

    INSTRUCTIONS FOR AUTHORS
    Author Guidelines
    Authors must submit their papers via email to brain@edusoft.ro (please! or they can create an account and submit their papers online, at www.brain.edusoft.ro. Submited papers must be written in DOC format (Microsoft Word document, in as clear and as simple as possible English. Preferred maximum paper length for the papers is 20 pages, including figures.
    The template for the paper is at this address:
    http://www.edusoft.ro/Template_for_BRAIN.docRAIN vol. 3, issue 3, Instructions for authors

  9. Research on the Optical Properties of Transformers Partial Discharge Based on Different Discharge Models

    Directory of Open Access Journals (Sweden)

    Wei Bengang

    2016-01-01

    Full Text Available In this paper, the different types of discharge in transformer were simulated based on the real transformer fault model. The optical partial discharge detection system was established based on optical sensors which were capturing partial discharge accompanied by optical effects. In this research, surface discharge and suspended discharge defect model was pressurized to generate partial discharge signal. The results showed that: Partial discharge optical signals could effectively respond the production and development process of transformer partial discharge. It was able to assess discharge level also. When the discharge phenomenon stabilized, the phase of surface discharge mainly between 60°~150°and 240°~330°, the phase of suspended discharge mainly between 260°~320°. According to the phase characteristic of discharge pattern, the creeping discharge and suspended discharge phenomenon of transformer can be distinguished. It laid the foundation for the application of transformer optical partial discharge detection technology.

  10. Rethinking of Instructional Short Movies and Videos: An Evaluation the Instructional Short Movie and Video Competition

    Directory of Open Access Journals (Sweden)

    Oktay AKBAŞ

    2015-04-01

    Full Text Available In this study; the short films and videos taking part in National Instructional Short Film and Video Contest held in Kırıkkale University are evaluated in terms of some variables such as; the departments of the teacher candidates, whether the product is video or film. Quantitative methods were used in the study. The research method of the study is descriptive method. Quantitative data was obtained by using Short Movie and Video Assessment Scale prepared by the researchers the rubric consists of four sub-titles, the usage of audio-visual elements, focusing the aims and objectives, selection and presentation of the content, taking target group into consideration. There are 20 items in the scale. Each item can be graded between 1 -10 and the arithmetic mean of the items gives the total point of the films. All of the 47 films taking part in the contest were evaluated. According to the results, these films and videos are graded as average. Besides this, there are no significant difference between instructional short film and videos in terms of technical aspects, content, aims and objectives; but for the target group/audience, videos are graded as more effective than short films. In addition, the scores of the instructional short films and videos prepared by the students in Department of Computer and Instructional Technologies are considerably higher than the other departments’ scores.

  11. Instructions and Manuals

    DEFF Research Database (Denmark)

    2009-01-01

    -Chihuahua (Productora) - John Lewis Departement Store (FOA) -Casa-Museo Barragàn (Luis Barragàn)......-Chihuahua (Productora) - John Lewis Departement Store (FOA) -Casa-Museo Barragàn (Luis Barragàn)...

  12. Pulsed discharge production Ar* metastables

    Science.gov (United States)

    Han, Jiande; Heaven, Michael C.; Emmons, Daniel; Perram, Glen P.; Weeks, David E.; Bailey, William F.

    2016-03-01

    The production of relatively high densities of Ar* metastables (>1012 cm-3) in Ar/He mixtures, at total pressures close to 1 atm, is essential for the efficient operation of an optically pumped Ar* laser. We have used emission spectroscopy and diode laser absorption spectroscopy measurements to observe the production and decay of Ar* in a parallel plate pulsed discharge. With discharge pulses of 1 μs duration we find that metastable production is dominated by processes occurring within the first 100 ns of the gas break-down. Application of multiple, closely spaced discharge pulses yields insights concerning conditions that favor metastable production. This information has been combined with time-resolved measurements of voltage and current. The experimental results and preliminary modeling of the discharge kinetics are presented.

  13. Circle Points Discharge Tube Current Controller

    Institute of Scientific and Technical Information of China (English)

    Meng Jinjia; Meng Lisheng

    2005-01-01

    Circle points discharge tube current controller is a new type device to limit theoutput of high voltage discharge current. Circle points uniform corona discharge to form airionization current in the discharge tube. On the outside, even if the discharge electrode is sparkdischarging or the two discharge electrodes are short circuited, the air ionization current in the tuberemains within a stable range, and there is no spark discharge. In this case, when the dischargecurrent only increases slightly, the requirement to limited current is obtained. By installing thecontroller at a discharge pole with a small power but high voltage supply, we can realize the shiftbetween the continuous spark line discharge and corona discharge. This provides a new simpledevice for spark discharge research and is a supplement to the Townsend discharge experiment.

  14. Discharge against medical advice at a general hospital in Catalonia.

    Science.gov (United States)

    Duñó, Rosó; Pousa, Esther; Sans, Jordi; Tolosa, Carles; Ruiz, Ada

    2003-01-01

    Some studies on discharge against medical advice (AMA) in general hospitals report a prevalence between 0.7-7% with 11-42% of this population identified as psychiatric patients. To study the sociodemographic and psychopathological features of patients who leave AMA, we performed a retrospective case-control comparison study of length of hospitalization and presence of psychiatric disturbances on patients who left AMA from the University General Hospital in Catalan Spain over a two-year period. An analysis of the hospital epidemiological discharge register and retrospective chart review for presence of psychiatric disturbances found that AMA prevalence was 0.34%, the total discharge number in the 2-year period being 41,648. AMA rates by medical department were 0.44% for the internal medicine department; 0.24% for surgery; 0.26% for orthopedic surgery, 0.32% for obstetrics-gynecology and 0.93% for rehabilitation. The mean age for AMA patients was 38.63 years, with a higher number of men (59.9%). A total of 45.8% AMA discharges were from the internal medicine department. No significant differences were found in the average length of hospitalization between the AMA and control groups. The presence of psychiatric pathology was significantly higher among the AMA group (Phistory of psychiatric pathology, mainly narcotic dependence.

  15. Risk assessment for produced water discharges to Louisiana open bays

    Energy Technology Data Exchange (ETDEWEB)

    Meinhold, A.F.; Holtzman, S.; DePhillips, M.P.

    1995-11-01

    Potential human health and environmental impacts from discharge of produced water to the Gulf of Mexico concern regulators at the State and Federal levels, environmental interest groups, industry and the public. Current regulations in the United States require or propose azero discharge limit for coastal facilities based primarily on studies performed in low energy,poorly flushed environments. Produced water discharges in coastal Louisiana, however,include a number located in open bays, where potential and impacts are likely to be larger than the minimal impacts associated with offshore discharges, but smaller than those demonstrated in low-energy canal environments. This paper summarizes results of a conservative screening-level health and ecological assessment for contaminants discharged in produced water to open bays in Louisiana, and reports results of a probabilistic human health risk assessment for radium and lead. The initial human health and ecological risk assessments consisted of conservative screening analyses that identified potentially important contaminants and excluded others from further consideration. A more quantitative probabilistic risk assessment was completed for the human health effects of the two contaminants identified in this screen: radium and lead. This work is part of a series of studies on the health and ecological risks from discharges of produced water to the Gulf of Mexico, supported by the United States Department of Energy (USDOE).

  16. Hospital occupancy and discharge strategies: a simulation-based study.

    Science.gov (United States)

    Qin, Shaowen; Thompson, Campbell; Bogomolov, Tim; Ward, Dale; Hakendorf, Paul

    2017-08-01

    Increasing demand for hospital services has resulted in more arrivals to emergency department (ED), increased admissions, and, quite often, access block and ED congestion, along with patients' dissatisfaction. Cost constraints limit an increase in the number of hospital beds, so alternative solutions need to be explored. To propose and test different discharge strategies, which, potentially, could reduce occupancy rates in the hospital, thereby improving patient flow and minimising frequency and duration of congestion episodes. We used a simulation approach using HESMAD (Hospital Event Simulation Model: Arrivals to Discharge) - a sophisticated simulation model capturing patient flow through a large Australian hospital from arrival at ED to discharge. A set of simulation experiments with a range of proposed discharge strategies was carried out. The results were tabulated, analysed and compared using common hospital occupancy indicators. Simulation results demonstrated that it is possible to reduce significantly the number of days when a hospital runs above its base bed capacity. In our case study, this reduction was from 281.5 to 22.8 days in the best scenario, and reductions within the above range under other scenarios considered. Some relatively simple strategies, such as 24-h discharge or discharge/relocation of long-staying patients, can significantly reduce overcrowding and improve hospital occupancy rates. Shortening administrative and/or some treatment processes have a smaller effect, although the latter could be easier to implement. © 2017 Royal Australasian College of Physicians.

  17. Secondary Dance Instructional Guide.

    Science.gov (United States)

    Montgomery County Public Schools, Rockville, MD. Dept. of Instructional Planning and Development.

    This manual provides guidelines for dance teachers in secondary schools. A brief statement is made on the purpose and philosophy of dance education, and activities and instructional suggestions are presented for various dance forms: (1) group dance--folk/ethnic, square dance, and social dance; (2) aerobic dance; (3) jazz dance; (4) modern dance;…

  18. Paratransit: An Instructional Module.

    Science.gov (United States)

    Scalici, Anthony

    A concept-based introduction to paratransit is provided in this instructional module for undergraduate and graduate transportation-related courses for disciplines such as engineering, business, marketing, and technology. The concept of paratransit generally refers to modes of transportation other than mass transit and solo-driven automobiles. The…

  19. Safety instruction no 50

    CERN Multimedia

    Secrétariat SC

    2004-01-01

    Please note that the safety instruction no 50 (IS 50) entitled 'Safety Coordination on CERN Worksites' is available on the web at the following url: https://edms.cern.ch/document/479454/LAST_RELEASED Paper copies can also be obtained from the SC unit Secretariat, email: sc.secretariat@cern.ch SC Secretariat

  20. Nuclear Energy. Instructional Materials.

    Science.gov (United States)

    Jordan, Kenneth; Thessing, Dan

    This document is one of five learning packets on alternative energy (see note) developed as part of a descriptive curriculum research project in Arkansas. The overall objectives of the learning packets are to improve the level of instruction in the alternative energies by vocational exploration teachers, and to facilitate the integration of new…

  1. Orwell's Instructive Errors

    Science.gov (United States)

    Julian, Liam

    2009-01-01

    In this article, the author talks about George Orwell, his instructive errors, and the manner in which Orwell pierced worthless theory, faced facts and defended decency (with fluctuating success), and largely ignored the tradition of accumulated wisdom that has rendered him a timeless teacher--one whose inadvertent lessons, while infrequently…

  2. Instructional Guidelines. Welding.

    Science.gov (United States)

    Fordyce, H. L.; Doshier, Dale

    Using the standards of the American Welding Society and the American Society of Mechanical Engineers, this welding instructional guidelines manual presents a course of study in accordance with the current practices in industry. Intended for use in welding programs now practiced within the Federal Prison System, the phases of the program are…

  3. Wind Power. Instructional Materials.

    Science.gov (United States)

    Jordan, Kenneth; Thessing, Dan

    This document is one of five learning packets on alternative energy developed as part of a descriptive curriculum research project in Arkansas (see note). The overall objectives of the learning packets are to improve the level of instruction in the alternative energies by vocational exploration teachers, and to facilitate the integration of new…

  4. Nuclear Energy. Instructional Materials.

    Science.gov (United States)

    Jordan, Kenneth; Thessing, Dan

    This document is one of five learning packets on alternative energy (see note) developed as part of a descriptive curriculum research project in Arkansas. The overall objectives of the learning packets are to improve the level of instruction in the alternative energies by vocational exploration teachers, and to facilitate the integration of new…

  5. Computer-assisted instruction

    NARCIS (Netherlands)

    Voogt, J.; Fisser, P.; Wright, J.D.

    2015-01-01

    Since the early days of computer technology in education in the 1960s, it was claimed that computers can assist instructional practice and hence improve student learning. Since then computer technology has developed, and its potential for education has increased. In this article, we first discuss th

  6. Wind Power. Instructional Materials.

    Science.gov (United States)

    Jordan, Kenneth; Thessing, Dan

    This document is one of five learning packets on alternative energy developed as part of a descriptive curriculum research project in Arkansas (see note). The overall objectives of the learning packets are to improve the level of instruction in the alternative energies by vocational exploration teachers, and to facilitate the integration of new…

  7. Instructional Guide for Cosmetology.

    Science.gov (United States)

    Virginia Polytechnic Inst. and State Univ., Blacksburg. Dept. of Education.

    Intended as a tool for cosmetology teachers in Virginia public and private schools, the document is an instructional guide which offers 12 units of study, arranged in a three year course. Materials covered help prepare students for licensure in the State of Virginia and the guide is designed to cover the 1,500 hours required to be spent in the…

  8. Gaze Interactive Building Instructions

    DEFF Research Database (Denmark)

    Hansen, John Paulin; Ahmed, Zaheer; Mardanbeigi, Diako

    We combine eye tracking technology and mobile tablets to support hands-free interaction with digital building instructions. As a proof-of-concept we have developed a small interactive 3D environment where one can interact with digital blocks by gaze, keystroke and head gestures. Blocks may be moved...

  9. Using Realia in Instruction.

    Science.gov (United States)

    Blanton, Lloyd H.; And Others

    1980-01-01

    Seven articles in this issue focus on the use of realia in instruction. Authors discuss reasons why realia effectively motivate students and enhance learning; the place of realia in supervised occupational experience programs; the importance of real-life experiences to vocational agriculture; and student teaching as a reality experience. (SK)

  10. Psychologism and Instructional Technology

    Science.gov (United States)

    Gur, Bekir S.; Wiley, David A.

    2009-01-01

    Little of the work in critical and hermeneutical psychology has been linked to instructional technology (IT). This article provides a discussion in order to fill the gap in this direction. The article presents a brief genealogy of American IT in relation to the influence of psychology. It also provides a critical and hermeneutical framework for…

  11. Sourcebook for Bibliographic Instruction.

    Science.gov (United States)

    Dusenbury, Carolyn, Ed.; And Others

    Direction and guidance are provided for establishing and maintaining bibliographic instruction (BI) programs. This document provides an overview of BI and BI programs and points readers to other sources of information. Five key topics were identified and the following papers are presented: (1) "An Introduction to Learning Theory" (Lori Arp); (2)…

  12. Grammar Instruction and Technology

    Science.gov (United States)

    Lacina, Jan

    2005-01-01

    Much of the research literature from the past 25 years has supported the importance of teaching grammar in the context of writing instruction (Calkins, 1980; DiStefano & Killion, 1984; Weaver, 1996,1998). Unlike other content areas, practice does not make perfect when learning grammar. While isolated drill and practice of grammatical concepts may…

  13. Job Instruction Training.

    Science.gov (United States)

    Pfau, Richard H.

    Job Instruction Training (JIT) is a step-by-step, relatively simple technique used to train employees on the job. It is especially suitable for teaching manual skills or procedures; the trainer is usually an employee's supervisor but can be a co-worker. The JIT technique consists of a series of steps that a supervisor or other instructor follows…

  14. Instructions for Sampling Particulates.

    Science.gov (United States)

    Ekman, Frank

    This technical report presents detailed instructions for sampling particulates. The table of contents includes sections on Introduction, Volume Determinations, Apparatus - Assembly and Operation, Sampling Techniques, and Acknowledgment. Six charts, 24 graphs, and one diagram are appended to facilitate sampling, as well as sections on Isokinetic…

  15. Characteristics of Instructional Technologists.

    Science.gov (United States)

    Gagne, Robert M.

    A thoroughly planned program for instructional technologists--one including selection, education, and on-the-job training--must take into consideration the competencies and characteristics desirable in such technologists. Such requirements fall into three categories: attitudes or values, specialized knowledge, and intellectual skills or…

  16. Safety Instruction No 43

    CERN Document Server

    2004-01-01

    Please note that the Safety Instruction No 43 (IS 43) entitled "ASBESTOS - DANGERS AND PRECAUTIONS" is available on the web at the following URL: https://edms.cern.ch/document/335809/LAST_RELEASED/ Paper copies can also be obtained from the SC secretariat, e-mail: tis.secretariat@cern.ch. SC Secretariat

  17. Scaffolding in Assisted Instruction

    Directory of Open Access Journals (Sweden)

    2007-01-01

    Full Text Available On-The-Job Training, developed as direct instruction, is one of the earliest forms of training. This method is still widely in use today because it requires only a person who knows how to do the task, and the tools the person uses to do the task. This paper is intended to be a study of the methods used in education in Knowledge Society, with more specific aspects in training the trainers; as a result of this approach, it promotes scaffolding in assisted instruction as a reflection of the digital age for the learning process. Training the trainers in old environment with default techniques and designing the learning process in assisted instruction, as an application of the Vygotskian concept of the zone of proximal development (ZPD to the area of computer literacy for the younger users, generate diversity in educational communities and requires standards for technology infrastructure, standards for the content, developed as a concepts map, and applications for personalized in-struction, based on ZPD theory.

  18. Study on the transition from filamentary discharge to diffuse discharge by using a dielectric barrier surface discharge device

    Institute of Scientific and Technical Information of China (English)

    2007-01-01

    Discharge characteristics have been investigated in different gases under different pressures using a dielectric barrier surface discharge device. Electrical measurements and optical emission spectroscopy are used to study the discharge,and the results obtained show that the discharges in atmospheric pressure helium and in low-pressure air are diffuse,while that in high-pressure air is filamentary. With decreasing pressure, the discharge in air can transit from filamentary to diffuse one. The results also indicate that corona discharge around the stripe electrode is important for the diffuse discharge. The spectral intensity of N2+ (391.4 nm) relative to N2 (337.1 nm) is measured during the transition from diffuse to filamentary discharge. It is shown that relative spectral intensity increases during the discharge transition. This phenomenon implies that the averaged electron energy in diffuse discharge is higher than that in the filamentary discharge.

  19. Classification of electrical discharges in DC Accelerators

    Energy Technology Data Exchange (ETDEWEB)

    Banerjee, Srutarshi, E-mail: sruban.stephens@gmail.com [Accelerator and Pulse Power Division, Bhabha Atomic Research Centre, Trombay, Mumbai 400085 (India); Deb, A.K. [Department of Electrical Engineering, Indian Institute of Technology Kharagpur, Kharagpur 721302 (India); Rajan, Rehim N. [Accelerator and Pulse Power Division, Bhabha Atomic Research Centre, Trombay, Mumbai 400085 (India); Kishore, N.K. [Department of Electrical Engineering, Indian Institute of Technology Kharagpur, Kharagpur 721302 (India)

    2016-08-11

    Controlled electrical discharge aids in conditioning of the system while uncontrolled discharges damage its electronic components. DC Accelerator being a high voltage system is no exception. It is useful to classify electrical discharges according to the severity. Experimental prototypes of the accelerator discharges are developed. Photomultiplier Tubes (PMTs) are used to detect the signals from these discharges. Time and Frequency domain characteristics of the detected discharges are used to extract features. Machine Learning approaches like Fuzzy Logic, Neural Network and Least Squares Support Vector Machine (LSSVM) are employed to classify the discharges. This aids in detecting the severity of the discharges.

  20. Classification of electrical discharges in DC Accelerators

    Science.gov (United States)

    Banerjee, Srutarshi; Deb, A. K.; Rajan, Rehim N.; Kishore, N. K.

    2016-08-01

    Controlled electrical discharge aids in conditioning of the system while uncontrolled discharges damage its electronic components. DC Accelerator being a high voltage system is no exception. It is useful to classify electrical discharges according to the severity. Experimental prototypes of the accelerator discharges are developed. Photomultiplier Tubes (PMTs) are used to detect the signals from these discharges. Time and Frequency domain characteristics of the detected discharges are used to extract features. Machine Learning approaches like Fuzzy Logic, Neural Network and Least Squares Support Vector Machine (LSSVM) are employed to classify the discharges. This aids in detecting the severity of the discharges.

  1. Individual Differences, Computers, and Instruction.

    Science.gov (United States)

    Ayersman, David J.; Minden, Avril von

    1995-01-01

    Provides a conceptual foundation for the development of hypermedia as an instructional tool for addressing individual differences in learning styles. Highlights include a literature review; computers and instruction; individual differences, computers, and instruction; cognitive controls; cognitive styles and learning; personality types; and future…

  2. Academic and Military Instructional Technology.

    Science.gov (United States)

    Branson, Robert K.

    This paper examines the practices and accomplishments of the military in the area of instructional technology. An examination of historical background is used to increase the precision of the definition of instructional technology. Specific contributions of the military are described and then uses of instructional technology in the military and…

  3. Interactive Instruction in Bayesian Inference

    DEFF Research Database (Denmark)

    Khan, Azam; Breslav, Simon; Hornbæk, Kasper

    2017-01-01

    An instructional approach is presented to improve human performance in solving Bayesian inference problems. Starting from the original text of the classic Mammography Problem, the textual expression is modified and visualizations are added according to Mayer’s principles of instruction...... that an instructional approach to improving human performance in Bayesian inference is a promising direction....

  4. Task-Based Writing Instruction

    Science.gov (United States)

    Bantis, Alexandros

    2010-01-01

    The purpose of this study was to investigate the impact of task-based writing instruction, a communicative language-teaching method, on second language acquisition and differentiation of instruction for English language learners during the independent work time instructional component of the Open Court Reading program. Through student-teacher…

  5. Student Models of Instructional Design

    Science.gov (United States)

    Magliaro, Susan G.; Shambaugh, Neal

    2006-01-01

    Mental models are one way that humans represent knowledge (Markman, 1999). Instructional design (ID) is a conceptual model for developing instruction and typically includes analysis, design, development, implementation, and evaluation (i.e., ADDIE model). ID, however, has been viewed differently by practicing teachers and instructional designers…

  6. Microhollow Cathode Discharge Excimer Lamps

    Science.gov (United States)

    Schoenbach, K. H.

    1999-11-01

    character. Reducing the diameter of the cathode hole in a hollow cathode discharge geometry to values on the order of 100 μm has allowed us to extend the pressure range of stable, direct current hollow cathode gas discharges up to atmospheric pressure. The large concentration of high-energy electrons generated in the cathode fall, in combination with the high neutral gas density favors three-body processes such as excimer formation. Excimer emission in xenon discharges peaking at 172 nm, was observed with efficiencies between 6% and 9% at pressures of several hundred Torr. Typical forward voltages are 200 V at dc currents up to 8 mA. Pulsed operation allowed us to extend the current range to 80 mA with corresponding linear increase in optical power. Spatially resolved measurements showed that the source of the excimer radiation at atmospheric pressure and currents of less than 8 mA is confined to the cathode opening. The radiative emittance at 8 mA and atmospheric pressure is approximately 20 W/cm^2. With reduced pressure and increased current, respectively, the excimer source extends into the area outside the cathode hole. Besides in xenon, excimer emission in argon at a peak wavelength of 128 nm has been recorded. In addition to operating the discharge in rare gases, we have also explored its use as rare gas-halide excimer source. In a gas mixture containing 1% ArF we were able to generate stable dc discharges in flowing gas at pressures ranging from 100 Torr to atmospheric pressure. The spectra of the high-pressure ArF discharges are dominated by excimer radiation peaking at 193 nm. The excimer emission of a single ArF discharge at 700 Torr was measured as 150 mW at an efficiency of 3%. Parallel operation of these discharges by means of a resistive anode, which has recently been demonstrated for argon discharges, offers the possibility to use microhollow cathode discharge arrays as dc-excimer lamps, with estimated power densities exceeding 10 W/cm^2. abstract

  7. Chairing a Small Department.

    Science.gov (United States)

    Bowker, Lee H.; Lynch, David M.

    Ten management problems for chairs of small departments in small colleges are discussed, along with problem-solving strategies for these administrators. Serious disagreements within a small and intimate department may create a country club culture in which differences are smoothed over and the personal idiosyncrasies of individual members are…

  8. Fire Department Emergency Response

    Energy Technology Data Exchange (ETDEWEB)

    Blanchard, A. [Westinghouse Savannah River Company, AIKEN, SC (United States); Bell, K.; Kelly, J.; Hudson, J.

    1997-09-01

    In 1995 the SRS Fire Department published the initial Operations Basis Document (OBD). This document was one of the first of its kind in the DOE complex and was widely distributed and reviewed. This plan described a multi-mission Fire Department which provided fire, emergency medical, hazardous material spill, and technical rescue services.

  9. Identifying the Computer Competency Levels of Recreation Department Undergraduates

    Science.gov (United States)

    Zorba, Erdal

    2011-01-01

    Computer-based and web-based applications are as major instructional tools to increase undergraduates' motivation at school. In the recreation field usage of, computer and the internet based recreational applications has become more prevalent in order to present visual and interactive entertainment activities. Recreation department undergraduates…

  10. Expert Graphics System Research in the Department of the Navy.

    Science.gov (United States)

    Duff, Jon M.

    1987-01-01

    Presents current trends in the development of expert systems within the Department of the Navy, particularly research into expert graphics systems intended to support the Authoring Instructional Methods (AIM) research project. Defines artificial intelligence and expert systems. Discusses the operations and functions of the Navy's intelligent…

  11. Water purification by electrical discharges

    Science.gov (United States)

    Arif Malik, Muhammad; Ghaffar, Abdul; Akbar Malik, Salman

    2001-02-01

    There is a continuing need for the development of effective, cheap and environmentally friendly processes for the disinfection and degradation of organic pollutants from water. Ozonation processes are now replacing conventional chlorination processes because ozone is a stronger oxidizing agent and a more effective disinfectant without any side effects. However, the fact that the cost of ozonation processes is higher than chlorination processes is their main disadvantage. In this paper recent developments targeted to make ozonation processes cheaper by improving the efficiency of ozone generation, for example, by incorporation of catalytic packing in the ozone generator, better dispersion of ozone in water and faster conversion of dissolved ozone to free radicals are described. The synthesis of ozone in electrical discharges is discussed. Furthermore, the generation and plasma chemical reactions of several chemically active species, such as H2O2, Obullet, OHbullet, HO2bullet, O3*, N2*, e-, O2-, O-, O2+, etc, which are produced in the electrical discharges are described. Most of these species are stronger oxidizers than ozone. Therefore, water treatment by direct electrical discharges may provide a means to utilize these species in addition to ozone. Much research and development activity has been devoted to achieve these targets in the recent past. An overview of these techniques and important developments that have taken place in this area are discussed. In particular, pulsed corona discharge, dielectric barrier discharge and contact glow discharge electrolysis techniques are being studied for the purpose of cleaning water. The units based on electrical discharges in water or close to the water level are being tested at industrial-scale water treatment plants.}

  12. 34 CFR 98.3 - Access to instructional material used in a research or experimentation program.

    Science.gov (United States)

    2010-07-01

    ... experimentation program. 98.3 Section 98.3 Education Office of the Secretary, Department of Education STUDENT... research or experimentation program. (a) All instructional material—including teachers' manuals, films, tapes, or other supplementary instructional material—which will be used in connection with any...

  13. 48 CFR 245.606-5 - Instructions for preparing and submitting schedules of contractor inventory.

    Science.gov (United States)

    2010-10-01

    ... Regulations System DEFENSE ACQUISITION REGULATIONS SYSTEM, DEPARTMENT OF DEFENSE CONTRACT MANAGEMENT...—Property that has no value except for its basic material content. (e) Instructions for completing specific... 48 Federal Acquisition Regulations System 3 2010-10-01 2010-10-01 false Instructions for...

  14. 22 CFR 66.4 - Availability of final opinions, orders, policies, interpretations, manuals and instructions.

    Science.gov (United States)

    2010-04-01

    ... identifying details when it makes available or publishes a statement of policy, interpretation, or staff..., policies, interpretations, manuals and instructions. 66.4 Section 66.4 Foreign Relations DEPARTMENT OF... § 66.4 Availability of final opinions, orders, policies, interpretations, manuals and instructions....

  15. CMS proposes prioritizing patient preferences, linking patients to follow-up care in discharge planning process.

    Science.gov (United States)

    2016-03-01

    Hospital providers voice concerns about a proposed rule by the Centers for Medicare and Medicaid Services (CMS) that would require providers to devote more resources to discharge planning. The rule would apply to inpatients as well as emergency patients requiring comprehensive discharge plans as opposed to discharge instructions. CMS states that the rule would ensure the prioritization of patient preferences and goals in the discharge planning process, and also would prevent avoidable complications and readmissions. However, hospital and emergency medicine leaders worry that community resources are not yet in place to facilitate the links and follow-up required in the proposed rule, and that the costs associated with implementation would be prohibitive. The proposed rule would apply to acute care hospitals, EDs, long-term care facilities, inpatient rehabilitation centers, and home health agencies. Regardless of the setting, though, CMS is driving home the message that patient preferences should be given more weight during the discharge planning process. Under the rule, hospitals or EDs would need to develop a patient-centered discharge plan within 24 hours of admission or registration, and complete the plan prior to discharge or transfer to another facility. Under the rule, emergency physicians would determine which patients require a comprehensive discharge plan. Both the American Hospital Association and the American College of Emergency Physicians worry that hospitals will have to take on more staff, invest in training, and make changes to their electronic medical record systems to implement the provisions in the proposed rule.

  16. Interactive radio instruction: developing instructional methods.

    Science.gov (United States)

    Friend, J

    1989-01-01

    The USAID has, since 1972, funded the development of a new methodology for educational radio for young children through 3 projects: the Radio Mathematics PRoject of Nicaragua, the Radio Language Arts Project of Kenya, and the Radio Science PRoject of Papua New Guinea. These projects developed math programs for grades 1-4 and English as a second language for grades 1-3; programs to teach science in grades 4-6 are now being developed. Appropriate techniques were developed to engage young children actively in the learning process. Lessons are planned as a "conversation" between the children and the radio; scripts are written as 1/2 of a dialogue, with pauses carefully timed so that written as 12 of a dialogue, with pauses carefully timed so that students can contribute their 1/2. Teaching techniques used in all 3 projects include choral responses, simultaneous individual seatwork, and activities using simple materials such as pebbles and rulers. Certain techniques were specific to the subject being taught, or to the circumstances in which the lessons were to be used. Patterned oral drill was used frequently in the English lessons, including sound-cued drills. "Deferred" oral responses were used often in the math lessons. In this method, the children are instructed to solve a problem silently, not giving the answer aloud until requested, thus allowing time for even the slower children to participate. "One-child" questions were used in both English and science: the radio asks a question to be answered by a single child, who is selected on the spot by the classroom teacher. This allows for open-ended questions, but also requires constant supervision of the classroom teacher. Songs and games were used in all programs, and extensively for didactic purposes in the teaching of English. Instructions for science activities are often more complex than in other courses, particularly when the children are using science apparatus, especially when they work in pairs to share scarce

  17. 76 FR 63289 - Advisory Commission on Accessible Instructional Materials in Postsecondary Education for Students...

    Science.gov (United States)

    2011-10-12

    ... in Postsecondary Education for Students With Disabilities AGENCY: U.S. Department of Education... Materials in Postsecondary Education for Students with Disabilities. ACTION: Correction; Notice of an open... Accessible Instructional Materials in Postsecondary Education for Students with Disabilities,...

  18. Initial Survey Instructions for the Waterfowl Migration Abundance and Chronology Survey

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — Initial Survey Instructions for the Waterfowl Migration Abundance and Chronology Survey at Quivira National Wildlife refuge. It is necessary to survey waterfowl...

  19. Initial Survey Instructions for North American breeding bird survey at Fish Springs National Wildlife Refuge

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — Initial Survey Instructions for the North American Breeding Bird Survey at Fish Springs National Wildlife Refuge. This survey is conducted annually between May 22nd...

  20. Initial Survey Instructions for Wind Energy Breeding Shorebird Survey at Kulm Wetland Management District

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — Initial survey instructions for conducting the wind breeding shorebird survey at Kulm Wetland Management District. This survey largely follows the protocol for...

  1. Instructional immediacy in elearning.

    Science.gov (United States)

    Walkem, Kerrie

    2014-01-01

    Instructor immediacy has been positively associated with many desirable academic outcomes including increased student learning. This study extends existing understanding of instructional immediacy behaviours in elearning by describing postgraduate nursing students' reflections on their own experience. An exploratory, descriptive survey design was used to collect qualitative data. Participants were asked what behaviours or activities help to create rapport or a positive interpersonal connection (immediacy) between students and their online teacher(s). Thematic analysis of the data revealed three main themes: acknowledging and affirming student's personal and professional responsibilities; providing clear and timely information; and utilising rich media. These findings give lecturers insight into instructional strategies they may adopt to increase immediacy in elearning and hence improve student learning outcomes.

  2. Safety instruction No. 36

    CERN Multimedia

    SC Secretariat

    2005-01-01

    Please note that a revised version of Safety Instruction No. 36 (IS 36), entitled "Safety rules for the use of static magnetic fields at CERN" is available on the Web at the following url: https://edms.cern.ch/document/335801/LAST_RELEASED Paper copies can also be obtained from the SC unit secretariat (e-mail : sc.secretariat@cern.ch) SC Secretariat

  3. Instructional Psychology 1976 - 1981,

    Science.gov (United States)

    1982-06-01

    phoneme analysis and blending is reviewed by Resnick (1981) and by Williams (1980), and is discussed in terms of an interactive theory of reading...academically oriented. In a study of student ratings of instruction, Williams & Ware (1976) show that college students who received the most substantive...Rosen et al, 1977; Rosen et al, 1978; Bargh & Schul, 1980). Peer tutoring has been employed as a component of many forms of Personalized Systems of

  4. Analysis of the Magnitude and Frequency of Peak Discharge and Maximum Observed Peak Discharge in New Mexico and Surrounding Areas

    Science.gov (United States)

    Waltemeyer, Scott D.

    2008-01-01

    Estimates of the magnitude and frequency of peak discharges are necessary for the reliable design of bridges, culverts, and open-channel hydraulic analysis, and for flood-hazard mapping in New Mexico and surrounding areas. The U.S. Geological Survey, in cooperation with the New Mexico Department of Transportation, updated estimates of peak-discharge magnitude for gaging stations in the region and updated regional equations for estimation of peak discharge and frequency at ungaged sites. Equations were developed for estimating the magnitude of peak discharges for recurrence intervals of 2, 5, 10, 25, 50, 100, and 500 years at ungaged sites by use of data collected through 2004 for 293 gaging stations on unregulated streams that have 10 or more years of record. Peak discharges for selected recurrence intervals were determined at gaging stations by fitting observed data to a log-Pearson Type III distribution with adjustments for a low-discharge threshold and a zero skew coefficient. A low-discharge threshold was applied to frequency analysis of 140 of the 293 gaging stations. This application provides an improved fit of the log-Pearson Type III frequency distribution. Use of the low-discharge threshold generally eliminated the peak discharge by having a recurrence interval of less than 1.4 years in the probability-density function. Within each of the nine regions, logarithms of the maximum peak discharges for selected recurrence intervals were related to logarithms of basin and climatic characteristics by using stepwise ordinary least-squares regression techniques for exploratory data analysis. Generalized least-squares regression techniques, an improved regression procedure that accounts for time and spatial sampling errors, then were applied to the same data used in the ordinary least-squares regression analyses. The average standard error of prediction, which includes average sampling error and average standard error of regression, ranged from 38 to 93 percent

  5. Helicon plasma thruster discharge model

    Energy Technology Data Exchange (ETDEWEB)

    Lafleur, T., E-mail: trevor.lafleur@lpp.polytechnique.fr [Laboratoire de Physique des Plasmas, CNRS, Sorbonne Universités, UPMC Univ Paris 06, Univ Paris-Sud, Ecole Polytechnique, 91128 Palaiseau, France and ONERA - The French Aerospace Lab, 91120 Palaiseau (France)

    2014-04-15

    By considering particle, momentum, and energy balance equations, we develop a semi-empirical quasi one-dimensional analytical discharge model of radio-frequency and helicon plasma thrusters. The model, which includes both the upstream plasma source region as well as the downstream diverging magnetic nozzle region, is compared with experimental measurements and confirms current performance levels. Analysis of the discharge model identifies plasma power losses on the radial and back wall of the thruster as the major performance reduction factors. These losses serve as sinks for the input power which do not contribute to the thrust, and which reduce the maximum plasma density and hence propellant utilization. With significant radial plasma losses eliminated, the discharge model (with argon) predicts specific impulses in excess of 3000 s, propellant utilizations above 90%, and thruster efficiencies of about 30%.

  6. Capillary Discharge XUV Radiation Source

    Directory of Open Access Journals (Sweden)

    M. Nevrkla

    2009-01-01

    Full Text Available A device producing Z-pinching plasma as a source of XUV radiation is described. Here a ceramic capacitor bank pulse-charged up to 100 kV is discharged through a pre-ionized gas-filled ceramic tube 3.2 mm in diameter and 21 cm in length. The discharge current has amplitude of 20 kA and a rise-time of 65 ns. The apparatus will serve as experimental device for studying of capillary discharge plasma, for testing X-ray optics elements and for investigating the interaction of water-window radiation with biological samples. After optimization it will be able to produce 46.9 nm laser radiation with collision pumped Ne-like argon ions active medium. 

  7. Stroke rehabilitation and discharge planning.

    Science.gov (United States)

    Kerr, Peter

    Nurses play a pivotal role in the rehabilitation and discharge planning process of patients who have had a stroke. The nurse's role in the wider stroke multidisciplinary team is complex and diverse and, as such, stroke nurses may find it hard to describe their role and how it fits into the rehabilitation and discharge planning process. A definition of the stroke nurse role in prominent publications such as those of the Scottish Intercollegiate Guidelines Network and the Royal College of Physicians is lacking. This article emphasises the role of the stroke nurse in the rehabilitation and discharge planning process in the stroke unit, while highlighting the complexity, diversity and importance of this role in providing holistic care and support for patients who have survived a stroke. The author draws on his clinical experience of stroke nursing practice in primary, secondary and tertiary care in west central Scotland.

  8. 14 CFR 147.17 - Instructional equipment requirements.

    Science.gov (United States)

    2010-01-01

    ... 14 Aeronautics and Space 3 2010-01-01 2010-01-01 false Instructional equipment requirements. 147.17 Section 147.17 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF TRANSPORTATION (CONTINUED) SCHOOLS AND OTHER CERTIFICATED AGENCIES AVIATION MAINTENANCE TECHNICIAN SCHOOLS...

  9. 14 CFR 147.38a - Quality of instruction.

    Science.gov (United States)

    2010-01-01

    ... 14 Aeronautics and Space 3 2010-01-01 2010-01-01 false Quality of instruction. 147.38a Section 147.38a Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF TRANSPORTATION (CONTINUED) SCHOOLS AND OTHER CERTIFICATED AGENCIES AVIATION MAINTENANCE TECHNICIAN SCHOOLS Operating Rules §...

  10. Enhancing Instruction through Constructivism, Cooperative Learning, and Cloud Computing

    Science.gov (United States)

    Denton, David W.

    2012-01-01

    Cloud computing technologies, such as Google Docs and Microsoft Office Live, have the potential to enhance instructional methods predicated on constructivism and cooperative learning. Cloud-based application features like file sharing and online publishing are prompting departments of education across the nation to adopt these technologies.…

  11. Enhancing Instruction through Constructivism, Cooperative Learning, and Cloud Computing

    Science.gov (United States)

    Denton, David W.

    2012-01-01

    Cloud computing technologies, such as Google Docs and Microsoft Office Live, have the potential to enhance instructional methods predicated on constructivism and cooperative learning. Cloud-based application features like file sharing and online publishing are prompting departments of education across the nation to adopt these technologies.…

  12. Department of Education (DOE)

    Data.gov (United States)

    Social Security Administration — The purpose of this agreement is to assist the U.S. Department of Education in its obligation to ensure that applicants for student financial assistance under Title...

  13. Department of Homeland Security

    Science.gov (United States)

    ... Content Official website of the Department of Homeland Security Contact Us Quick Links Site Map A-Z ... HP - 2016 CISRM HP - 2016 CISRM Critical Infrastructure Security HP - Surge Capacity Force HP - Surge Capacity Force ...

  14. Nebraska Department of Transportation

    Science.gov (United States)

    The EPA is providing notice of a proposed Administrative Penalty Assessment against the Nebraska Department of Transportation, a state agency located at 1500 Highway 2, Lincoln, NE 68509, for alleged violations of its municipal separate stormwater sewer sy

  15. Department of Anima

    African Journals Online (AJOL)

    USER

    2014-10-11

    Oct 11, 2014 ... Department of Animal Production, University of Ilorin, Ilorin, Nigeria. Abstract. A study was ... technologies are evolved (Power and Dick,. 2000). Dust, odours ... In addition to health issues, ammonia can also be a major source.

  16. Effective Multicultural Instruction

    Directory of Open Access Journals (Sweden)

    Franklin T. Thompson

    2014-02-01

    Full Text Available The reason why the Trayvon Martin murder trial and similar court cases create a philosophical rift in our nation is due in part to flaws in the delivery of multicultural education. Traditional multicultural instruction does not prepare citizens for the subtleties and complexities of race relations. This study investigates critical strategies and practices that address multicultural missing gaps. I also seek to fill a void in the literature created by a lack of student input regarding teaching strategies that encourage lifelong learning. Students (N = 337 enrolled at a Midwestern university were asked to rate the efficacy of selected instructional strategies. Utilizing a 9-point Likert-type scale, students gave themselves a personal growth rating of 7.15 (SD = 1.47. Variables important to predicting that growth (R2 = .56, p < .0005 were a six-factor variable known as a non-color-blind instructional approach (t = 10.509, p ≤ .0005, allowing students an opportunity to form their own opinions apart from the instructor (t = 4.797, p ≤ .0005, and a state law that mandated multicultural training (t = 3.234, p = .001. Results demonstrated that utilizing a 35% traditional and 65% critical pedagogy mixture when teaching multicultural education helped promote win/win scenarios for education candidates hoping to become difference makers.

  17. Department of Reactor Technology

    DEFF Research Database (Denmark)

    Risø National Laboratory, Roskilde

    The general development of the Department of Reactor Technology at Risø during 1981 is presented, and the activities within the major subject fields are described in some detail. Lists of staff, publications, and computer programs are included.......The general development of the Department of Reactor Technology at Risø during 1981 is presented, and the activities within the major subject fields are described in some detail. Lists of staff, publications, and computer programs are included....

  18. Transtrochanteric fractures: evaluation of data between hospital admission and discharge,

    Directory of Open Access Journals (Sweden)

    Christiano Saliba Uliana

    2014-04-01

    Full Text Available OBJECTIVE: to evaluate the data obtained from patients with transtrochanteric fractures who were attended at a tertiary-level trauma referral hospital, between admission and discharge, gathered prospectively by means of the SINPE(c software.METHODS: 109 consecutive patients who were admitted between April 2011 and January 2012 were evaluated using an electronic storage and analysis database in SINPE(c . The data were gathered prospectively, including evaluations on personal information about the patients, history-taking, fracture classification (Evans-Jensen, AO/OTA and Tronzo, treatment and discharge.RESULTS: the sample was composed of 43 men and 66 women. Their ages ranged from 20 to 105 years, with a mean of 69 years. Falling was the trauma mechanism for 92 patients and traffic accidents for 17. The most prevalent chronic diseases were systemic arterial hypertension and diabetes mellitus. According to the AO/OTA classification, the commonest fracture type was 31 A1. According to the Tronzo classification, type III was commonest. The fracture was fixed by means of a cephalomedullary nail in 64 cases and a sliding screw-plate in 44 cases. One fracture was fixed with a 95◦ screw-plate. Seven patients presented some form of clinical complication and three died during the hospital stay. All the patients who were discharged were instructed to only partially bear weight on the repair.CONCLUSION: through SINPE(c , it was possible to evaluate the personal information, history-taking, classification, treatment and discharge of patients with transtrochanteric fractures, from hospital admission to discharge.

  19. Compact monolithic capacitive discharge unit

    Science.gov (United States)

    Roesler, Alexander W.; Vernon, George E.; Hoke, Darren A.; De Marquis, Virginia K.; Harris, Steven M.

    2007-06-26

    A compact monolithic capacitive discharge unit (CDU) is disclosed in which a thyristor switch and a flyback charging circuit are both sandwiched about a ceramic energy storage capacitor. The result is a compact rugged assembly which provides a low-inductance current discharge path. The flyback charging circuit preferably includes a low-temperature co-fired ceramic transformer. The CDU can further include one or more ceramic substrates for enclosing the thyristor switch and for holding various passive components used in the flyback charging circuit. A load such as a detonator can also be attached directly to the CDU.

  20. Dielectric barrier discharges in analytical chemistry.

    Science.gov (United States)

    Meyer, C; Müller, S; Gurevich, E L; Franzke, J

    2011-06-21

    The present review reflects the importance of dielectric barrier discharges in analytical chemistry. Special about this discharge is-and in contrast to usual discharges with direct current-that the plasma is separated from one or two electrodes by a dielectric barrier. This gives rise to two main features of the dielectric barrier discharges; it can serve as dissociation and excitation device and as ionization mechanism, respectively. The article portrays the various application fields for dielectric barrier discharges in analytical chemistry, for example the use for elemental detection with optical spectrometry or as ionization source for mass spectrometry. Besides the introduction of different kinds of dielectric barrier discharges used for analytical chemistry from the literature, a clear and concise classification of dielectric barrier discharges into capacitively coupled discharges is provided followed by an overview about the characteristics of a dielectric barrier discharge concerning discharge properties and the ignition mechanism.

  1. From Teacher-Centered Instruction to Peer Tutoring in the Heterogeneous International Classroom: A Danish Case of Instructional Change

    Science.gov (United States)

    Lueg, Klarissa; Lueg, Rainer

    2014-01-01

    This case study documents a seminar redesign from a teacher-centered instruction format to collaborative "reciprocal peer tutoring" (RPT) at Aarhus University, Denmark. Departing from concepts by Bourdieu and Vertovec, we argue that teaching concepts should meet the needs of students within Higher Education (HE). Our student sample is…

  2. Investigation of electrolyte electric discharge characteristics

    Science.gov (United States)

    Kirko, D. L.; Savjolov, A. S.

    2016-09-01

    The most important electrical characteristics of electrolyte electric discharge were investigated. The electric burning discharge was obtained with the help of different electrolytes. The spectral composition of the electric discharge electromagnetic radiation was determined, the plasma temperature was determined. The spectrum of the electric discharge high-frequency oscillations was calculated in the region v=10 kHz-80 MHz. The most appropriate modes of the electric burning discharge in different electrolytes were proposed.

  3. The probability of readmission within 30 days of hospital discharge is positively associated with inpatient bed occupancy at discharge – a retrospective cohort study

    OpenAIRE

    Blom, Mathias C; Erwander, Karin; Gustafsson, Lars; Landin-Olsson, Mona; Jonsson, Fredrik; Ivarsson, Kjell

    2015-01-01

    Background Previous work has suggested that given a hospital’s need to admit more patients from the emergency department (ED), high inpatient bed occupancy may encourage premature hospital discharges that favor the hospital’s need for beds over patients’ medical interests. We argue that the effects of such action would be measurable as a greater proportion of unplanned hospital readmissions among patients discharged when the hospital was full than when not. In response, the present study test...

  4. Instructions and Manuals

    DEFF Research Database (Denmark)

    2007-01-01

    -Lamp + Table "Rizière" (Ronan and Erwan Bouroullec) -NYU Department of Philosophy (Steven Holl Architects) -Boxhome (Sami Rintala)......-Lamp + Table "Rizière" (Ronan and Erwan Bouroullec) -NYU Department of Philosophy (Steven Holl Architects) -Boxhome (Sami Rintala)...

  5. Adrenaline in anaphylaxis treatment and self-administration: experience from an inner city emergency department.

    Science.gov (United States)

    Mostmans, Y; Grosber, M; Blykers, M; Mols, P; Naeije, N; Gutermuth, J

    2017-03-01

    Anaphylaxis is a life-threatening emergency of which reliable epidemiological data are lacking. This study aimed to analyze how quickly patients presenting with anaphylaxis were treated in emergency and whether treatment followed the European Academy of Allergy and Clinical Immunology (EAACI) guidelines. Patient data were collected between April 2009 and April 2013. Emergency doctors completed a questionnaire for adult patients presenting at the emergency department (ED) of the St. Pierre hospital in Brussels with anaphylaxis. Inclusion criteria were based on the Sampson criteria of anaphylaxis. Data were analyzed using a Microsoft Excel database. About 0.04% (100/230878) of all emergency visits in adults presented with anaphylaxis. 64% of patients received their first medical help later than 30 min after symptom onset. 67% of patients received adrenaline, 85% oral antihistamines, and 89% received IV glucocorticosteroids. 46/100 patients were discharged directly from the ED, of which 87% received further medical prescriptions for self-administration: 67% corticosteroids, 83% antihistamines, and 9% intramuscular adrenaline. 74% were instructed to consult an allergologist for adequate diagnosis. 54/100 patients were hospitalized. The majority of patients were treated according to the EAACI guidelines for management of anaphylaxis, but only a minority received the recommended adrenaline auto-injector for self-administration at discharge. Because the majority of patients received medical help later than 30 min after symptom onset, adrenaline auto-injector prescription is a necessity. The low rate of doctors prescribing adrenaline auto-injectors in the ED setting underlines the need to train doctors of various backgrounds in prevention and treatment of anaphylaxis and the close collaboration with allergologists. © 2016 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

  6. AXIOLOGICAL MODEL OF INSTRUCTIONAL DESIGN

    Directory of Open Access Journals (Sweden)

    Takushevich I. A.

    2015-10-01

    Full Text Available The article presents instructional design as a new approach to the issue of developing value-oriented worldview. Scientific research and analysis led the author to summarize instructional design theory, broaden the definition of instructional design and apply it to instruction and learning in a new manner. The goal to build a pattern of instruction aimed at developing learners’ value-oriented worldview required the author to study the existing instructional design model, to analyse and generalize a number of monographs and articles devoted to the problem of building value systems and value orientations, and finally to investigate and apply the new knowledge to real life in the form of experiment. The work conducted brought the author to axiological model of instructional design, which consists of three dimensions: a linear sequence of the events from designing the instructional material to independent learning activities, interaction between a teacher and a learner, pace of learning and design. The article touches upon every dimension, level and stage of the model, describes and defines the procedures that take place on each of them, as well as suggests a possible way to visualize the model in a form of a sketch. The author also points out the advantages of using instructional design as an efficient and smart tool to organize learning and justifies the use of the new instructional design model in XXI century

  7. 28 CFR 50.7 - Consent judgments in actions to enjoin discharges of pollutants.

    Science.gov (United States)

    2010-07-01

    ... exception to this policy in a specific case where extraordinary circumstances require a period shorter than... discharges of pollutants. 50.7 Section 50.7 Judicial Administration DEPARTMENT OF JUSTICE (CONTINUED... established as the policy of the Department of Justice to consent to a proposed judgment in an action...

  8. Electronic Discharge Letter Mobile App

    NARCIS (Netherlands)

    Lezcano, Leonardo; Triana, Michel; Ternier, Stefaan; Hartkopf, Kathleen; Stieger, Lina; Schroeder, Hanna; Sopka, Sasa; Drachsler, Hendrik; Maher, Bridget; Henn, Patrick; Orrego, Carola; Marcus, Specht

    2014-01-01

    The electronic discharge letter mobile app takes advantage of Near Field Communication (NFC) within the PATIENT project and a related post-doc study. NFC enabled phones to read passive RFID tags, but can also use this short-range wireless technology to exchange (small) messages. NFC in that sense co

  9. Plasma Characteristics of Electrosurgical Discharges*

    Science.gov (United States)

    Stalder, Kenneth R.

    2003-10-01

    Surgical devices utilizing electrical discharges of ever increasing sophistication have been used for decades for numerous procedures. Cushing and Bovie in 1928, for example, developed high-frequency spark generators to cauterize blood vessels and remove unwanted tissue by a thermal ablation processes. Modern Bovies (named after their inventor) use a high-frequency discharge from an electrode to nearby tissue to thermally ablate tissue. Spectroscopic analysis shows that these discharges are hot and are well represented by a thermal equilibrium model, and temperatures near 2000 K are easily achieved. New electrosurgical devices utilizing repetitive electrical discharges in a conducting saline environment have recently been developed. Electron emission from an active electrode during certain portions of the voltage waveform causes the formation of a vapor layer surrounding the electrode and the subsequent ionization and dissociation of species in this region. Electron temperatures of approximately 4 eV are achieved during the plasma phase. Water molecules are dissociated into reactive fragments, and the salt species are also excited and ionized in this nonequilibrium plasma. It is thought that the reactive species interact with nearby tissue, causing localized tissue removal (ablation) which surgeons can exploit during surgical procedures. Flowing saline surrounding the plasma region cools untargeted tissue and removes the reaction products. This presentation will focus on experimental results of the plasma conditions and discuss our current efforts to understand the complex reactions of the various plasma species with tissue structures such as collagen. A short clip showing tissue removal will also be shown.

  10. Electrical discharge machining in dentistry.

    Science.gov (United States)

    Van Roekel, N B

    1992-01-01

    A brief history of electrical discharge machining (EDM) is given and the process is discussed. A description of the application of EDM for fabricating precision attachment removable partial dentures, fixed-removable implant prostheses, and titanium-ceramic crowns is presented. The advantages and disadvantages of the EDM process for the dental profession are evaluated. Although expensive, the procedure has merit.

  11. Rethinking emergency department visits.

    Science.gov (United States)

    Resar, Roger K; Griffin, Frances A

    2010-01-01

    Efforts to date have been unable to reverse the trend of increased emergency department utilization. The Institute for Healthcare Improvement has developed a framework for reducing avoidable emergency department visits on the basis of the formation of local coalitions. These coalitions include interested partners approaching improvement by integrating community resources and nonmedical solutions. Targeted patient populations are identified via homogeneous characteristics. Open-ended interview questions are used to identify possible community and nonmedical solutions to complement medical strategies. This article describes the framework and process of testing. If validated, this approach will have significant policy implications.

  12. USING GOOGLE+ FOR INSTRUCTION

    Directory of Open Access Journals (Sweden)

    Kevin YEE

    Full Text Available Introduced in July, 2011 in a beta test of invited users only, the new social media service Google+ (or G+ quickly spread by word of mouth, and Google leader Larry Page (2011 blogged that within sixteen days it had 10 million users. By August, it had 25 million users (Cashmore, 2011. Even with slower growth ahead (still with no marketing budget, the service looks likely to crest 100 million users perhaps as early as ten months, a feat that took Facebook three years. Other social networks, most notably Facebook and Twitter, have been used increasingly as instructional tools, since they are platforms with which students are already familiar (Maloney, 2007; McLoughlin & Lee, 2007. Selwyn (2009 found that students often eschew official channels for communication in favor of less formal community-based formats such as Facebook, implying a growing need for instructional communication tools that will be used willingly by students. The question is whether Google+ can be used like Twitter or Facebook to augment instruction, or even, perhaps, to improve upon those predecessors for academic purposes. Google+ is like Twitter in that anyone can follow a given user’s posts. There is no direct “friend” relationship required to read the posts written by others. However, it also approximates some features of Facebook. Rather than friends sorted into “lists” like in Facebook, Google+ allows users to place feeds into one or more “circles,” the better to monitor (or control the flow of information to and from different audiences. Circles are more intuitive, and more central to the experience, than the Facebook lists. They provide an explicit organizational structure, compared to the less-obvious listing functionality, which feels like an afterthought, found in Facebook.

  13. Instructional Use of Weblogs

    Directory of Open Access Journals (Sweden)

    Yavuz AKBULUT

    2007-07-01

    Full Text Available Web 2.0 can provide learners with increased interaction and online collaboration. Among its applications, weblogs have gained an increasing popularity as they allow bloggers to voice their own perspectives which can be delivered to a large audience through the Web. Weblogs can be integrated into teaching-learning process as they encourage learners to collaborate and freely voice their ideas. However, innovative technologies might not always lead to innovative distance education practices if timely adaptation lags behind. This study presents a review on instructional use of weblogs along with implications for open and distance learning.

  14. Discharge and infection in retinoblastoma post-enucleation sockets

    Directory of Open Access Journals (Sweden)

    Mourits DL

    2017-03-01

    Full Text Available Daphne L Mourits,1 Dyonne T Hartong,1 Andries E Budding,2 Machteld I Bosscha,1 H Stevie Tan,1 Annette C Moll1 1Department of Ophthalmology, VU University Medical Center, 2Department of Microbiology, Academic Medical Center, Amsterdam, the Netherlands Purpose: To investigate the causes and treatment options for socket discharge and infection in patients enucleated for retinoblastoma (Rb. Methods: A questionnaire was filled out by (parents of ocular prosthesis-wearing patients with a history of enucleation as treatment for Rb. We collected data on patients’ characteristics, cleaning habits of the prosthesis, frequency of socket irritation, discharge, and infection, and use of antibiotics. With ordinal logistic regression analysis, factors related to the outcome parameters (frequency of irritation, mucoid and purulent discharge were identified. In a subset of young asymptomatic and symptomatic patients, a swab culture of the socket was performed to determine the presence of microorganisms. Results: A total of 186 patients or their parents (mean age of the patients: 17.3 years, ranging from 0.8 to 88.3 years filled out the questionnaire. Irritation, mucoid discharge, and purulent discharge were frequently (once a month or more often experienced in 75 (39.5%, 127 (66.8%, and 15 (13.2% sockets, respectively. Younger age was associated with a higher frequency of mucoid and purulent discharge. Radiation therapy, chemotherapy, gender, age at surgery, cleaning frequency, and nocturnal wear were not associated with the outcome parameters. In a subgroup of 26 patients, the sockets were swabbed and cultured. All symptomatic patients had a positive bacterial culture versus 15% (2/13 of the asymptomatic patients (P<0.001. Common cold was correlated with both symptoms and presence of bacteria. Haemophilus influenzae and Staphylococcus aureus were the species most frequently cultured. Conclusion: Ocular prosthesis-wearing patients often experienced mucoid

  15. Short-term return visits of 'general internal medicine' patients to the emergency department: extent and risk factors.

    Science.gov (United States)

    Vanbrabant, P; Knockaert, D

    2009-01-01

    Although emergency department (ED) return visits are a significant problem universally, it has not been previously studied in our ED. The aim of this study was to determine the extent of the problem in our ED, to identify the relevant clinical predictor variables and to detect diagnostic errors. A retrospective observational study of ED return visits by patients managed by the General Internal Medicine (GIM) service was performed. The study was performed over a one year period at a tertiary hospital ED. Data are reported as relative risk (RR) and 95% confidence interval (CI). There were a total of 51.210 ED visits during the study period. The total number of ED return visits within 72 hours was 1.124 (2,19%; 95% CI 2,07 to 2,32). The total number of ED patients managed by the GIM service was 9.511. The percentage of patients treated by the GIM service who returned to the ED within 72 hours was 1,48% (95% CI 1,25 to 1,74) when calculated for the whole group and 2,9 % (95% CI 2,46-3,41) for those discharged home from the ED (n = 4.860). The majority (82,98%) of ED return visits by patients discharged from the GIM service were unscheduled and related to their index presenting complaint. Abdominal pain was the commonest initial presenting symptom in the patients who returned to the ED after discharge. Patients with diarrhoea as the initial initial presenting symptom had the highest relative risk of an ED return visit (RR = 4.07). The percentage ED return visits by patients discharged from the ED by the GIM service is 1,48%. Patients presenting with diarrhoea as the initial presenting symptom have the highest relative risk of an early ED return visit. Our main practical conclusion is that patients with abdominal pain need to be re-examined carefully and instructed about potential evolution before discharge.

  16. Evaluation of Performance Indexes of Emergency Department

    Directory of Open Access Journals (Sweden)

    Alireza Baratloo

    2015-02-01

    Full Text Available Introduction: The importance of evaluating performance indicators in the emergency department, as one of the most important departments of hospital, is obvious to everyone. Therefore, in this study we aimed to appraise the five performance indicators, approved by the ministry of health, in Shohadaye Tajrish hospital, Tehran, Iran. Methods: In a descriptive cross-sectional study based on the profiles of all the patients admitted to the emergency department, performance indicators in the emergency department were evaluated. The study was divided into 2 parts about the establishment of emergency medicine system and training the medical staff: the first 6 months of 1392 and the second. Then these 2 periods were compared using Mann-Whitney U test while P< 0.05 was considered as the level of significance. Results: Of the studied indicators, mean triage time was 6.04 minutes in the first 6 months which was reduced to 1.5 minutes in the second 6 months (p=0.016. In addition, the percentage of patients who moved out of the department in 12 hours was lowered from 97.3% in the first period to 90.4% in the second (p=0.004. While, the percentage of patients who were decided upon in 6 hours (p=0.2, unsuccessful CPR percentage (p=0.34 and patients discharged against medical advice (p=0.42 showed no significant difference. Conclusion: The results of this study showed that the establishment of the emergency medicine system in the emergency department could lead to more efficient triage. Due to the differences made after their establishment including: different pattern of the patients admitted, increased stay of the patients in the department due to their need for prolonged intensive care, a raise in patient referral to the hospital by pre-hospital services and a higher percentage of occupied hospital beds, other indicators have not shown a significant improvement.

  17. Discharge current distribution in stratified soil under impulse discharge

    Science.gov (United States)

    Eniola Fajingbesi, Fawwaz; Shahida Midi, Nur; Elsheikh, Elsheikh M. A.; Hajar Yusoff, Siti

    2017-06-01

    The mobility of charge particles traversing a material defines its electrical properties. Soil (earth) have long been the universal grounding before and after the inception of active ground systems for electrical appliance purpose due to it semi-conductive properties. The soil can thus be modelled as a single material exhibiting semi-complex inductive-reactive impedance. Under impulse discharge such as lightning strikes to soil this property of soil could result in electric potential level fluctuation ranging from ground potential rise/fall to electromagnetic pulse coupling that could ultimately fail connected electrical appliance. In this work we have experimentally model the soil and lightning discharge using point to plane electrode setup to observe the current distribution characteristics at different soil conductivity [mS/m] range. The result presented from this research indicate above 5% shift in conductivity before and after discharge which is significant for consideration when dealing with grounding designs. The current distribution in soil have also be successfully observed and analysed from experimental result using mean current magnitude in relation to electrode distance and location, current density variation with depth all showing strong correlation with theoretical assumptions of a semi-complex impedance material.

  18. Strengthening Science Departments

    Science.gov (United States)

    Campbell, Todd; Melville, Wayne; Bartley, Anthony

    2012-01-01

    Teachers do not work in a vacuum. They are, in most cases, part of a science department in which teachers and the chairperson have important roles in science education reform. Current reform is shaped by national standards documents that emphasize the pedagogical and conceptual importance of best practices framed by constructivism and focused on…

  19. Allocating instruction time: How language instruction can affect multiple skills

    NARCIS (Netherlands)

    Borghans, L.; Diris, R.E.M.

    2014-01-01

    There exists substantial variation in how schools allocate instruction time to school subjects. The effectiveness of that allocation depends on the immediate effect of instruction in one subject on achievement in the same subject, on how skills further develop over time, and on possible spillover

  20. Direct Instruction Revisited: A Key Model for Instructional Technology

    Science.gov (United States)

    Magliaro, Susan G.; Lockee, Barbara B.; Burton, John K.

    2005-01-01

    Rooted in behavioral theory, particularly the radical or selectivist behaviorism of B.F. Skinner (1953, 1954, 1966, 1968, 1974), the direct instruction (DI) approach to teaching is now well into its third decade of influencing curriculum, instruction, and research. It is also in its third decade of controversy. Our purpose is to present the DI…

  1. The Instructional Network: Using Facebook to Enhance Undergraduate Mathematics Instruction

    Science.gov (United States)

    Gregory, Peter; Gregory, Karen; Eddy, Erik

    2014-01-01

    Facebook is a website with over one billion users worldwide that is synonymous with social-networking. However, in this study, Facebook is used as an "instructional network". Two sections of an undergraduate calculus course were used to study the effects of participating in a Facebook group devoted solely to instruction. One section was…

  2. The Instructional Network: Using Facebook to Enhance Undergraduate Mathematics Instruction

    Science.gov (United States)

    Gregory, Peter; Gregory, Karen; Eddy, Erik

    2014-01-01

    Facebook is a website with over one billion users worldwide that is synonymous with social-networking. However, in this study, Facebook is used as an "instructional network". Two sections of an undergraduate calculus course were used to study the effects of participating in a Facebook group devoted solely to instruction. One section was…

  3. Allocating instruction time: How language instruction can affect multiple skills

    NARCIS (Netherlands)

    Borghans, L.; Diris, R.E.M.

    2014-01-01

    There exists substantial variation in how schools allocate instruction time to school subjects. The effectiveness of that allocation depends on the immediate effect of instruction in one subject on achievement in the same subject, on how skills further develop over time, and on possible spillover ef

  4. Effects of Instructional Events in Computer-Based Instruction

    Science.gov (United States)

    Martin, Florence; Klein, James; Sullivan, Howard

    2004-01-01

    Forty years ago, Robert Gagne published the first edition of his book The Conditions of Learning (1965) in which he proposed nine events of instruction that provide a sequence for organizing a lesson. These events remain the foundation of current instructional design practice (Reiser, 2002; Richey, 2000). They represent desirable conditions in an…

  5. A comparative study on continuous and pulsed RF argon capacitive glow discharges at low pressure by fluid modeling

    Science.gov (United States)

    Liu, Ruiqiang; Liu, Yue; Jia, Wenzhu; Zhou, Yanwen

    2017-01-01

    Based on the plasma fluid theory and using the drift-diffusion approximation, a mathematical model for continuous and pulsed radial frequency (RF) argon capacitive glow discharges at low pressure is established. The model is solved by a finite difference method and the numerical results are reported. Based on the systematic analysis of the results, plasma characteristics of the continuous and pulsed RF discharges are comparatively investigated. It is shown that, under the same condition for the peak value of the driving potential, the cycle-averaged electron density, the current density, and other essential physical quantities in the continuous RF discharge are higher than those from the pulsed RF discharge. On the other hand, similar plasma characteristics are obtained with two types of discharges, by assuming the same deposited power. Consequently, higher driving potential is needed in pulsed discharges in order to maintain the same effective plasma current. Furthermore, it is shown that, in the bulk plasma region, the peak value of the bipolar electric field from the continuous RF discharge is greater than that from the pulsed RF discharge. In the sheath region, the ionization rate has the shape of double-peaking and the explanation is given. Because the plasma input power depends on the driving potential and the plasma current phase, the phase differences between the driving potential and the plasma current are compared between the continuous and the pulsed RF discharges. It is found that this phase difference is smaller in the pulsed RF discharge compared to that of the continuous RF discharge. This means that the input energy coupling in the pulsed RF discharge is less efficient than the continuous counterpart. This comparative study, carried out also under other conditions, thus can provide instructive ideas in applications using the continuous and pulsed RF capacitive glow discharges.

  6. Microhollow cathode discharge excimer lamps

    Science.gov (United States)

    Schoenbach, Karl H.; El-Habachi, Ahmed; Moselhy, Mohamed M.; Shi, Wenhui; Stark, Robert H.

    2000-05-01

    Microhollow cathode discharges are high-pressure, nonequilibrium gas discharges between a hollow cathode and a planar or hollow anode with electrode dimensions in the 100 μm range. The large concentration of high-energy electrons, in combination with the high-gas density favors excimer formation. Excimer emission was observed in xenon and argon, at wavelengths of 128 and 172 nm, respectively, and in argon fluoride and xenon chloride, at 193 and 308 nm. The radiant emittance of the excimer radiation was found to increase monotonically with pressure. However, due to the decrease in source size with pressure, the efficiency (ratio of excimer radiant power to input electrical power), has for xenon and argon fluoride a maximum at ˜400 Torr. The maximum efficiency is between 6% and 9% for xenon, and ˜2% for argon fluoride.

  7. Current-induced membrane discharge

    CERN Document Server

    Andersen, M B; Mani, A; Bruus, H; Biesheuvel, P M; Bazant, M Z

    2012-01-01

    Possible mechanisms for over-limiting current (OLC) through aqueous ion-exchange membranes (exceeding diffusion limitation) have been debated for half a century. Flows consistent with electro-osmotic instability (EOI) have recently been observed in microfluidic experiments, but the existing theory neglects chemical effects and remains to be quantitatively tested. Here, we show that charge regulation and water self-ionization can lead to OLC by "current-induced membrane discharge" (CIMD), even in the absence of fluid flow. Salt depletion leads to a large electric field which expels water co-ions, causing the membrane to discharge and lose its selectivity. Since salt co-ions and water ions contribute to OLC, CIMD interferes with electrodialysis (salt counter-ion removal) but could be exploited for current-assisted ion exchange and pH control. CIMD also suppresses the extended space charge that leads to EOI, so it should be reconsidered in both models and experiments on OLC.

  8. Current-Induced Membrane Discharge

    DEFF Research Database (Denmark)

    Andersen, Mathias Bækbo; van Soestbergen, M.; Mani, A.;

    2012-01-01

    Possible mechanisms for overlimiting current (OLC) through aqueous ion-exchange membranes (exceeding diffusion limitation) have been debated for half a century. Flows consistent with electro-osmotic instability have recently been observed in microfluidic experiments, but the existing theory...... neglects chemical effects and remains to be quantitatively tested. Here, we show that charge regulation and water self-ionization can lead to OLC by "current-induced membrane discharge'' (CIMD), even in the absence of fluid flow, in ion-exchange membranes much thicker than the local Debye screening length....... Salt depletion leads to a large electric field resulting in a local pH shift within the membrane with the effect that the membrane discharges and loses its ion selectivity. Since salt co-ions, H+ ions, and OH- ions contribute to OLC, CIMD interferes with electrodialysis (salt counterion removal...

  9. [Ductoscopy for pathologic nipple discharge].

    Science.gov (United States)

    Waaijer, Laurien; van Diest, Paul J; van der Pol, Carmen C; Verolme, Berna; Hennink, Annelies; Witkamp, Arjen J

    2013-01-01

    Pathologic nipple discharge is a symptom that frequently causes female patients to visit the outpatient breast clinic. In the vast majority of cases, the symptom is caused by a benign intraductal laesion. The options for diagnosis and treatment have long been limited; surgery was not infrequently the treatment of choice. With the advent of breast ductoscopy, a micro-endoscopic procedure, it is possible to visualise abnormalities in the ductal system. Tissue for histopathological investigation can be retrieved from the duct and the condition can be treated. The patient with nipple discharge is consequently prevented from having to undergo an invasive and fairly 'blindly' executed procedure under general anaesthesia. The miniscule dimensions of the duct in which the technique is carried out pose the greatest challenge to the further development of the ductoscope.

  10. Improving hospital discharge time: a successful implementation of Six Sigma methodology.

    Science.gov (United States)

    El-Eid, Ghada R; Kaddoum, Roland; Tamim, Hani; Hitti, Eveline A

    2015-03-01

    Delays in discharging patients can impact hospital and emergency department (ED) throughput. The discharge process is complex and involves setting specific challenges that limit generalizability of solutions. The aim of this study was to assess the effectiveness of using Six Sigma methods to improve the patient discharge process. This is a quantitative pre and post-intervention study. Three hundred and eighty-six bed tertiary care hospital. A series of Six Sigma driven interventions over a 10-month period. The primary outcome was discharge time (time from discharge order to patient leaving the room). Secondary outcome measures included percent of patients whose discharge order was written before noon, percent of patients leaving the room by noon, hospital length of stay (LOS), and LOS of admitted ED patients. Discharge time decreased by 22.7% from 2.2 hours during the preintervention period to 1.7 hours post-intervention (P Six Sigma methodology can be an effective change management tool to improve discharge time. The focus of institutions aspiring to tackle delays in the discharge process should be on adopting the core principles of Six Sigma rather than specific interventions that may be institution-specific.

  11. Internal Electrostatic Discharge Monitor - IESDM

    Science.gov (United States)

    Kim, Wousik; Goebel, Dan M.; Jun, Insoo; Garrett, Henry B.

    2011-01-01

    A document discusses an innovation designed to effectively monitor dielectric charging in spacecraft components to measure the potential for discharge in order to prevent damage from internal electrostatic discharge (IESD). High-energy electrons penetrate the structural materials and shielding of a spacecraft and then stop inside dielectrics and keep accumulating. Those deposited charges generate an electric field. If the electric field becomes higher than the breakdown threshold (approx. =2 x 10(exp 5) V/cm), discharge occurs. This monitor measures potentials as a function of dielectric depth. Differentiation of potential with respect to the depth yields electric field. Direct measurement of the depth profile of the potential in a dielectric makes real-time electronic field evaluation possible without simulations. The IESDM has been designed to emulate a multi-layer circuit board, to insert very thin metallic layers between the dielectric layers. The conductors serve as diagnostic monitoring locations to measure the deposited electron-charge and the charge dynamics. Measurement of the time-dependent potential of the metal layers provides information on the amount of charge deposited in the dielectrics and the movement of that charge with time (dynamics).

  12. 75 FR 65460 - Renewal of Department of Defense Federal Advisory Committee; United States Military Academy Board...

    Science.gov (United States)

    2010-10-25

    ... Academy Board of Visitors AGENCY: Department of Defense (DoD). ACTION: Renewal of Federal advisory... Department of Defense gives notice that it is renewing the charter for the United States Military Academy... Academy, including the following: morale and discipline, curriculum, instruction, physical equipment...

  13. An Evaluative Survey of the Use of Auxiliary Personnel in Secondary School Departments of English.

    Science.gov (United States)

    Getz, Howard Gene

    In order (1) to determine how auxiliaries (lay readers and instructional, clerical, and housekeeping aides) were used in secondary English departments, (2) to determine the reasons for English departments discontinuing the use of auxiliaries, and (3) to evaluate the way auxiliaries were used, questionnaires were sent to two groups: schools using…

  14. Quantifying Construction Site Sediment Discharge Risk and Treatment Potential

    Science.gov (United States)

    Ferrell, L.; Beighley, R. E.

    2006-12-01

    Dealing with soil erosion and sediment transport can be a significant challenge during the construction process due to the potentially large spatial and temporal extent and conditions of bare soils. Best Management Practices (BMP) are commonly used to eliminate or reduce offsite discharge of sediment. However, few efforts have investigated the time varying risk of sediment discharge from construction sites, which often have dynamic soil conditions and the potential for less than optimal BMP installations. The goal of this research is to improve the design, implementation and effectiveness of sediment and erosion control at construction sites using site specific, temporal distributions of sediment discharge risk. Sediment risk is determined from individual factors leading to sediment expert, such as rainfall frequency, the adequacy of BMP installations, and the extent and duration of bare soil conditions. This research specifically focuses on quantifying: (a) the effectiveness of temporary sediment and control erosion control BMPs in preventing, containing, and/or treating construction site sediment discharge at varying levels of "proper" installation, and (b) sediment discharge potential from construction sites during different phases of construction, (ex., disturbed earth operations). BMPs are evaluated at selected construction sites in southern California and at the Soil Erosion Research Laboratory (SERL) in the Civil and Environmental Engineering department at San Diego State University. SERL experiments are performed on a 3-m by 10-m tilting soil bed with soil depths up to 1 meter, slopes ranging from 0 to 50 percent, and rainfall rates up to 150 mm/hr (6 in/hr). BMP performance is assessed based on experiments where BMPs are installed per manufacture specifications, potential less than optimal installations, and no treatment conditions. Soil conditions are also varied to represent site conditions during different phases of construction (i.e., loose lifts

  15. The Corporate Marketing Department

    DEFF Research Database (Denmark)

    Ritter, Thomas; Eggert, Andreas; Münkhoff, Eva

    it can best add value to the firm. Based on a qualitative study among B2B companies, we develop a conceptual framework highlighting the various parental roles through which corporate marketing can contribute to overall firm and business unit performance. In addition, we identify five gaps that restrain......Corporate marketing has been downsized or eliminated in many firms. At the same time, firms that still own a corporate marketing department struggle with organizing and positioning their commercial front‐end. The question arises whether firms need a corporate marketing department, and if so, how...... successful outcomes of corporate marketing activities. In sum, our framework provides important insights on how to successfully organize corporate marketing activities....

  16. RH Department Information Meeting

    CERN Multimedia

    HR Department

    2010-01-01

    Dear Colleagues, HR Department would like to invite you to an information meeting which will be held on Thursday 30 September 2010 at 9:30 am in the Main Auditorium (Building 500)* A welcome coffee will be available from 9:00 a.m. The presentation will cover the CERN Competency Model which consists of the technical and behavioral competencies that are intrinsic to our Organization and its application in the various HR processes. This presentation will be followed by a questions & answers session. We look forward to seeing you all on 30 September! Best regards, Anne-Sylvie Catherin Head, Human Resources Department *This meeting will be simultaneously retransmitted and thereafter available at the following address: http://webcast.cern.ch.

  17. 42 CFR 32.89 - Discharge.

    Science.gov (United States)

    2010-10-01

    ... PERSONS WITH HANSEN'S DISEASE AND OTHER PERSONS IN EMERGENCIES Persons with Hansen's Disease § 32.89 Discharge. Patients with Hansen's disease will be discharged when, in the opinion of the medical staff of...

  18. EPA Region 1 No Discharge Zones

    Data.gov (United States)

    U.S. Environmental Protection Agency — This dataset details No Discharge Zones (NDZ) for New England. Boaters may not discharge waste into these areas. Boundaries were determined mostly by Federal...

  19. Potential toxicities of sediments at point source discharge sites along the Upper Mississippi National Wildlife and Fish Refuge

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — Thirty-one sediment samples collected in the vicinity of twenty regulated discharge points within Pools 4 through 10 of the Upper Mississippi River National Wildlife...

  20. Estradiol and testosterone (11-KT) concentrations in catfish associated with wastewater discharges into Hollis Creek and the Noxubee River

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — Report discusses the findings concerning possible water contamination and endocrine disruption in catfish associated with discharge of tertiary treated wastewater...

  1. Analyzing Classroom Instruction in Reading.

    Science.gov (United States)

    Rutherford, William L.

    A method for analyzing instructional techniques employed during reading group instruction is reported, and the characteristics of the effective reading teacher are discussed. Teaching effectiveness is divided into two categories: (1) how the teacher acts and interacts with children on a personal level and (2) how the teacher performs his…

  2. Unpacking Corrections in Mobile Instruction

    DEFF Research Database (Denmark)

    Levin, Lene; Broth, Mathias; Cromdal, Jakob

    2017-01-01

    This article deals with the organisation of correction in mobile instructional settings. Five sets of video data (>250 h) documenting how learners were instructed to fly aeroplanes, drive cars and ride bicycles in real life traffic were examined to reveal some common features of correction exchan...

  3. Distance Education Instructional Model Applications.

    Science.gov (United States)

    Jackman, Diane H.; Swan, Michael K.

    1995-01-01

    A survey of graduate students involved in distance education on North Dakota State University's Interactive Video Network included 80 on campus and 13 off. The instructional models rated most effective were role playing, simulation, jurisprudential (Socratic method), memorization, synectics, and inquiry. Direct instruction was rated least…

  4. Instructional Strategies to Facilitate Learning

    Science.gov (United States)

    Lunenburg, Frederick C.; Irby, Beverly J.

    2011-01-01

    Teacher behavior research has shown that teacher behaviors, as well as specific teaching strategies, make a difference with regard to student achievement. Ten durable instructional strategies are discussed: set induction, stimulus variation, reinforcement, questioning, recognizing attending behavior, lecturing or direct instruction, planned…

  5. Instructional Analysis for Health Occupations.

    Science.gov (United States)

    East Texas State Univ., Commerce. Occupational Curriculum Lab.

    This instructional analysis centers on identifying the skills, related knowledge, teacher activities, and student activities that are central to teaching various topics included in the core curriculum for health occupations courses. Addressed in the volume are the following instructional areas: first aid; medical terminology; medical asepsis;…

  6. Adaptive instruction and pupil achievement

    NARCIS (Netherlands)

    Houtveen, A.A M; Booy, N; de Jong, Robert (Rob); van de Grift, W.J C M

    1999-01-01

    In this article the results are reported of a quasi-experiment on effects of adaptive instruction on reading results of children in the first year of reading instruction in Dutch primary schools. The research involved 456 pupils from 23 schools (12 experimental and 11 control group schools). Teacher

  7. Professional Cosmetology Practices. Instructional Units.

    Science.gov (United States)

    Hopcus, Sharron; Armstrong, Ivan J.

    This publication is designed to assist the instructor and students in understanding the latest concepts and techniques of the instructional phase of cosmetology programs. The instructional units are in five areas: (1) orientation, (2) professional practices: hair, (3) professional practices: skin and nails, (4) cosmetology science, and (5)…

  8. A Primer on Instructional Coaches

    Science.gov (United States)

    Knight, Jim

    2005-01-01

    The pressure to improve the quality of instruction in schools may be higher today than at any other time in the history of U.S. education. To respond to this urgent demand, schools across the nation are hiring instructional coaches (ICs), even though there is little published research that shows what works and what does not work when it comes to…

  9. Marketing Instructional Development Internally, Externally.

    Science.gov (United States)

    Lied, James

    This description of the marketing process as a practical way to manage the function of instruction development emphasizes the importance of the identification and evaluation of customer needs before developing objectives. To assist the instructional development agency in focusing on this aspect of planning, a check list of possible marketing…

  10. ROTI-OPERATIONAL INSTRUCTIONAL MODEL

    Directory of Open Access Journals (Sweden)

    H. Barker,

    2012-02-01

    Full Text Available The instructional model presented here is a combination of systems used by the United States Navy and R. F. Mager's Criteria Referenced Instruction Model for Analysis Design and Implementation. The author has taken what he believes is the best components from each system and established a working model.

  11. Capacitor discharges, magnetohydrodynamics, X-rays, ultrasonics

    CERN Document Server

    Früngel, Frank B A

    1965-01-01

    High Speed Pulse Technology, Volume 1: Capacitor Discharges - Magnetohydrodynamics - X-Rays - Ultrasonics deals with the theoretical and engineering problems that arise in the capacitor discharge technique.This book discusses the characteristics of dielectric material, symmetrical switch tubes with mercury filling, and compensation conductor forms. The transformed discharge for highest current peaks, ignition transformer for internal combustion engines, and X-ray irradiation of subjects in mechanical motion are also elaborated. This text likewise covers the transformed capacitor discharge in w

  12. Modeling High Pressure Micro Hollow Cathode Discharges

    Science.gov (United States)

    2007-11-02

    cathode discharge excimer lamps , Phys. Plasmas 7, 286 (2000). [3] RH Stark and KH Schoenbach, Direct high pressure glow discharges, J. Appl. Phys...temperature profiles in argon glow discharges, J. Appl. Phys. 88, 2234 (2000) [8] M. Moselhy, W. Shi, R. Stark, A flat glow discharge excimer radiation...MHCD acts as a plasma cathode for a third electrode (anode). Some experimental results in this geometry are available for argon and for air from the

  13. Dielectric barrier discharges applied for optical spectrometry

    Science.gov (United States)

    Brandt, S.; Schütz, A.; Klute, F. D.; Kratzer, J.; Franzke, J.

    2016-09-01

    The present review reflects the importance of dielectric barrier discharges for optical spectrometric detection in analytical chemistry. In contrast to usual discharges with a direct current the electrodes are separated by at least one dielectric barrier. There are two main features of the dielectric barrier discharges: they can serve as dissociation and excitation devices as well as ionization sources, respectively. This article portrays various application fields of dielectric barrier discharges in analytical chemistry used for elemental and molecular detection with optical spectrometry.

  14. Academic Service Quality and Instructional Quality.

    Science.gov (United States)

    Greiner, Keith; Westbrook, Thomas S.

    2002-01-01

    Examined the relationship between academic service quality and instructional quality in higher education. Found a high correlation between academic service and instructional quality, with academic service overlapping instructional quality in three dimensions: enthusiasm, organization, and rapport. (EV)

  15. The Challenge of Individualized Instruction in Corrections.

    Science.gov (United States)

    Clements, Carl B.; McKee, John M.

    2000-01-01

    Discusses 14 challenges to the use of individualized instruction in corrections. Emphasizes a systems approach, motivational tools, programmed instructional materials, and approaches such as Direct Instruction and Precision Teaching. (SK)

  16. Intelligent Educational Systems for Anchored Instruction?

    Science.gov (United States)

    Kumar, David D.

    1995-01-01

    Explores the potential for using Intelligent Educational Systems (IES) for anchoring instruction in macro contexts in science education. Topics include anchored instruction; situated cognition; problem solving; cognitivism; interactive video environments; and examples of combining IES and anchored instruction. (LRW)

  17. Intelligent Educational Systems for Anchored Instruction?

    Science.gov (United States)

    Kumar, David D.

    1995-01-01

    Explores the potential for using Intelligent Educational Systems (IES) for anchoring instruction in macro contexts in science education. Topics include anchored instruction; situated cognition; problem solving; cognitivism; interactive video environments; and examples of combining IES and anchored instruction. (LRW)

  18. Early discharge hospital at home.

    Science.gov (United States)

    Gonçalves-Bradley, Daniela C; Iliffe, Steve; Doll, Helen A; Broad, Joanna; Gladman, John; Langhorne, Peter; Richards, Suzanne H; Shepperd, Sasha

    2017-06-26

    Early discharge hospital at home is a service that provides active treatment by healthcare professionals in the patient's home for a condition that otherwise would require acute hospital inpatient care. This is an update of a Cochrane review. To determine the effectiveness and cost of managing patients with early discharge hospital at home compared with inpatient hospital care. We searched the following databases to 9 January 2017: the Cochrane Effective Practice and Organisation of Care Group (EPOC) register, Cochrane Central Register of Controlled Trials (CENTRAL), MEDLINE, Embase, CINAHL, and EconLit. We searched clinical trials registries. Randomised trials comparing early discharge hospital at home with acute hospital inpatient care for adults. We excluded obstetric, paediatric and mental health hospital at home schemes.   DATA COLLECTION AND ANALYSIS: We followed the standard methodological procedures expected by Cochrane and EPOC. We used the GRADE approach to assess the certainty of the body of evidence for the most important outcomes. We included 32 trials (N = 4746), six of them new for this update, mainly conducted in high-income countries. We judged most of the studies to have a low or unclear risk of bias. The intervention was delivered by hospital outreach services (17 trials), community-based services (11 trials), and was co-ordinated by a hospital-based stroke team or physician in conjunction with community-based services in four trials.Studies recruiting people recovering from strokeEarly discharge hospital at home probably makes little or no difference to mortality at three to six months (risk ratio (RR) 0.92, 95% confidence interval (CI) 0.57 to 1.48, N = 1114, 11 trials, moderate-certainty evidence) and may make little or no difference to the risk of hospital readmission (RR 1.09, 95% CI 0.71 to 1.66, N = 345, 5 trials, low-certainty evidence). Hospital at home may lower the risk of living in institutional setting at six months (RR 0.63, 96% CI

  19. Instream biological assessment of NPDES point source discharges at the Savannah River Site, 1997-1998

    Energy Technology Data Exchange (ETDEWEB)

    Specht, W.L.

    2000-02-28

    The Savannah River Site currently has 33 permitted NPDES outfalls that have been permitted by the South Carolina Department of Health an Environmental Control to discharge to SRS streams and the Savannah River. In order to determine the cumulative impacts of these discharges to the receiving streams, a study plan was developed to perform in-stream assessments of the fish assemblages, macroinvertebrate assemblages, and habitats of the receiving streams.

  20. A General Thermal Equilibrium Discharge Flow Model

    Institute of Scientific and Technical Information of China (English)

    ZHAO; Min-fu; ZHANG; Dong-xu; LV; Yu-feng

    2015-01-01

    In isentropic and thermal equilibrium assumptions,a discharge flow model was derived,which unified the rules of normal temperature water discharge,high temperature and high pressure water discharge,two-phase critical flow,saturated steam and superheated steam critical

  1. Continuous optical discharge in a laser cavity

    Science.gov (United States)

    Chivel', Yu. A.

    2016-08-01

    Optical discharge in a laser cavity is experimentally studied. A significant increase in the absorption of laser radiation (up to total absorption) is revealed. Optical schemes for initiation and maintaining of optical discharge in the cavity are proposed for technological applications of the optical discharge.

  2. Predictors of discharge in child psychoanalytic psychotherapy

    OpenAIRE

    Izabel Cristina Paez; Maria Lucia Tiellet Nunes; Vânia Naomi Hirakata

    2015-01-01

    Introduction: This empirical study was based on the analysis of the results of a study about dropout predictors among in child psychoanalytic psychotherapy. The objectives were to characterize the sample of children discharged from psychoanalytic psychotherapy, examine the association between sociodemographic/ clinical variables and child psychoanalytic psychotherapy discharge, and determine predictors of discharge in child psychoanalytic psychotherapy.Method: This quantitative, descriptive a...

  3. The probability of readmission within 30 days of hospital discharge is positively associated with inpatient bed occupancy at discharge--a retrospective cohort study.

    Science.gov (United States)

    Blom, Mathias C; Erwander, Karin; Gustafsson, Lars; Landin-Olsson, Mona; Jonsson, Fredrik; Ivarsson, Kjell

    2015-12-14

    Previous work has suggested that given a hospital's need to admit more patients from the emergency department (ED), high inpatient bed occupancy may encourage premature hospital discharges that favor the hospital's need for beds over patients' medical interests. We argue that the effects of such action would be measurable as a greater proportion of unplanned hospital readmissions among patients discharged when the hospital was full than when not. In response, the present study tested this hypothesis by investigating the association between inpatient bed occupancy at the time of hospital discharge and the 30-day readmission rate. The sample included all inpatient admissions from the ED at a 420-bed emergency hospital in southern Sweden during 2011-2012 that resulted in discharge before 1 December 2012. The share of unplanned readmissions within 30 days was computed for levels of inpatient bed occupancy of 105% at the hour of discharge. A binary logistic regression model was constructed to adjust for age, time of discharge, and other factors that could affect the outcome. In all, 32,811 visits were included in the study, 9.9% of which resulted in an unplanned readmission within 30 days of discharge. The proportion of readmissions was 9.0% for occupancy levels of occupancy, 10.8% for 100-105% occupancy, and 10.5% for >105% occupancy (p = 0.0001). Results from the multivariate models show that the OR (95% CI) of readmission was 1.11 (1.01-1.22) for patients discharged at 95-100% occupancy, 1.17 (1.06-1.29) at 100-105% occupancy, and 1.15 (0.99-1.34) at >105% occupancy. Results indicate that patients discharged from inpatient wards at times of high inpatient bed occupancy experience an increased risk of unplanned readmission within 30 days of discharge.

  4. Investigations about partial discharges in rotatory machines; Sobre las descargas parciales en maquinaria rotatoria

    Energy Technology Data Exchange (ETDEWEB)

    Valdenegro, Ariel; Toro, Wilibaldo; Segura, Miguel; Asenjo, Efrain [Universidad de Chile, Santiago (Chile). Dept. de Ingenieria Electrica

    2001-07-01

    this work presents a summary revision of the partial discharges measurement experience in alternators and great motors including the PDA test, developed by Ontario Hydro, for great hydro generators and the TGA test for smaller machines. The current trends for on-line tests are indicated.The first progresses obtained by electrical engineering department of Universidad de Chile also are indicated. These progresses are the analogical reading of partial discharges in insulated alternator coils, digital measurements, partial discharges localization through a searcher coil, discussions about the results.

  5. Discharge destination from an acute care for the elderly (ACE unit

    Directory of Open Access Journals (Sweden)

    Luis F Amador

    2007-10-01

    Full Text Available Luis F Amador1,2, Carlos A Reyes-Ortiz1,2, Diana Reed 3, Cheryl Lehman2,41Department of Internal Medicine, 2Sealy Center on Aging, 3Department Care Management, 4Department of Nursing, University of Texas Medical Branch at Galveston, TX, USA Abstract: Older adults age 65 and over account for a disproportional number of hospital stays and discharges compared to other age groups. The objective of this paper is to describe placement and characteristics of older patients discharged from an acute care for the elderly (ACE unit. The study sample consists of 1,351 men and women aged 65 years or older that were discharged from the ACE Unit during a 12-month period. The mean number of discharges per month was 109.2 ± 28.4. Most of the subjects were discharged home or home with home health 841, 62.3%. The oldest elderly and patients who had been admitted from long term care institutions or from skilled nursing facilities to the ACE unit were less likely to return to home.Keywords: hospitalization, geriatric, discharge disposition

  6. 32 CFR Attachment 3 to Part 855 - Landing Permit Application Instructions

    Science.gov (United States)

    2010-07-01

    ... 32 National Defense 6 2010-07-01 2010-07-01 false Landing Permit Application Instructions 3 Attachment 3 to Part 855 National Defense Department of Defense (Continued) DEPARTMENT OF THE AIR FORCE AIRCRAFT CIVIL AIRCRAFT USE OF UNITED STATES AIR FORCE AIRFIELDS Pt. 855, Att. 3 Attachment 3 to Part...

  7. Double discharges in unipolar-pulsed dielectric barrier discharge xenon excimer lamps

    Science.gov (United States)

    Liu, Shuhai; Neiger, Manfred

    2003-07-01

    Excitation of dielectric barrier discharge xenon excimer lamps by unipolar short square pulses is studied in this paper. Two discharges with different polarity are excited by each voltage pulse (double discharge phenomenon). The primary discharge occurs at the top or at the rising flank of the applied unipolar square pulse, which is directly energized by the external circuit. The secondary discharge with the reversed polarity occurs at the falling flank or shortly after the falling flank end (zero external voltage) depending on the pulse width, which is energized by the energy stored by memory charges deposited by the primary discharge. Fast-speed ICCD imaging shows the primary discharge has a conic discharge appearance with a channel broadening on the anode side. This channel broadening increases with increasing the pulse top level. Only the anode-side surface discharge is observed in the primary discharge. The surface discharge on the cathode side which is present in bipolar sine voltage excitation is not observed. On the contrary, the secondary discharge has only the cathode-side surface discharge. The surface discharge on the anode side is not observed. The secondary discharge is much more diffuse than the primary discharge. Time-resolved emission measurement of double discharges show the secondary discharge emits more VUV xenon excimer radiation but less infrared (IR) xenon atomic emission than the primary discharge. It was found that the IR xenon atomic emission from the secondary discharge can be reduced by shortening the pulse width. The energy efficiency of unipolar-pulsed xenon excimer lamps (the overall energy efficiency of double discharges) is much higher than that obtained under bipolar sine wave excitation. The output VUV spectrum under unipolar pulse excitation is found to be identical to that under sine wave excitation and independent of injected electric power.

  8. Department of Energy Technology.

    Science.gov (United States)

    1988-03-01

    I-AL95 6A4~LA 1 UWCL*SSZFZKD F/G LO/1 H?. . 12 113l2i 2 -lll 1 36 II IIlIg.- I1I25 11UG’-- 11.6 L 0 tRiso -R-559 Department of N Energy Technology...of neutron flux distribution and absolute thermal flux. - Neutron activation analysis . - Gamma spectroscopy with scintillation detector. - Measurements...Electric design, and a very detailed experimental program has been conduc’ed for the two first fuel cycles (General Electric, 1976 ), yielding a unique

  9. State waste discharge permit application for cooling water and condensate discharges

    Energy Technology Data Exchange (ETDEWEB)

    Haggard, R.D.

    1996-08-12

    The following presents the Categorical State Waste Discharge Permit (SWDP) Application for the Cooling Water and Condensate Discharges on the Hanford Site. This application is intended to cover existing cooling water and condensate discharges as well as similar future discharges meeting the criteria set forth in this document.

  10. Elementary processes in gas discharges

    CERN Document Server

    Bronold, Franz X

    2008-01-01

    This chapter presents, from a quantum-mechanical point of view, a tutorial discussion of elementary collision processes in the bulk of a gas discharge. Instead of merely listing kitchen-made cross section formulae and unrelated cross section data, emphasis has been given on an unified description of elementary processes based on general principles of quantum-mechanical multi-channel scattering theory. By necessity, the presentation is rather dense. Technical details left out, as well as cross section data, can be found, respectively, in the quoted original papers and the review articles, monographs, and web-sites mentioned in the introductory remarks to this chapter.

  11. 32 CFR Appendix A to Part 47 - Instructions for Submitting Group Applications Under Public Law 95-202

    Science.gov (United States)

    2010-07-01

    ... 32 National Defense 1 2010-07-01 2010-07-01 false Instructions for Submitting Group Applications Under Public Law 95-202 A Appendix A to Part 47 National Defense Department of Defense OFFICE OF THE... Pt. 47, App. A Appendix A to Part 47—Instructions for Submitting Group Applications Under Public...

  12. Interaction between Adjacent Lightning Discharges in Clouds

    Institute of Scientific and Technical Information of China (English)

    WANG Yanhui; ZHANG Guangshu; ZHANG Tong; LI Yajun; WU Bin; ZHANG Tinglong

    2013-01-01

    Using a 3D lightning radiation source locating system (LLS),three pairs of associated lightning discharges (two or more adjacent lightning discharges following an arbitrary rule that their space-gap was less than 10 km and their time-gap was less than 800 ms) were observed,and the interaction between associated lightning discharges was analyzed.All these three pairs of associated lightning discharges were found to involve three or more charge regions (the ground was considered as a special charge region).Moreover,at least one charge region involved two lightning discharges per pair of associated lightning discharges.Identified from electric field changes,the subsequent lightning discharges were suppressed by the prior lightning discharges.However,it is possible that the prior lightning discharge provided a remaining discharge channel to facilitate the subsequent lightning discharge.The third case provided evidence of this possibility.Together,the results suggested that,if the charges in the main negative charge region can be consumed using artificial lightning above the main negative charge regions,lightning accidents on the ground could be greatly reduced,on the condition that the height of the main negative charge region and the charge intensity of the lower positive charge region are suitable.

  13. Five departments recognized with 2008 University Exemplary Department Award

    OpenAIRE

    Owczarski, Mark

    2008-01-01

    The Department of Computer Science in the College of Engineering, the School of Architecture + Design in the College of Architecture and Urban Studies, the College of Liberal Arts and Human Sciences' Undergraduate Research Institute, and a pair of departments working together, the Department of History and the Department of Teaching and Learning in the School of Education, will all receive the 2008 University Exemplary Department Award at a ceremony to be held Tuesday, Dec. 2 at The Inn at Vi...

  14. Electromagnetic fields produced by simulated spacecraft discharges

    Science.gov (United States)

    Nonevicz, J. E.; Adamo, R. C.; Beers, B. L.; Delmer, T. N.

    1980-01-01

    The initial phase of a broader, more complete program for the characterization of electrical breakdowns on spacecraft insulating materials is described which consisted of the development of a discharge simulator and characterization facility and the performance of a limited number of discharge measurements to verify the operation of the laboratory setup and to provide preliminary discharge transient field data. A preliminary model of the electromagnetic characteristics of the discharge was developed. It is based upon the "blow off" current model of discharges, with the underlying assumption of a propagating discharge. The laboratory test facility and discharge characterization instrumentation are discussed and the general results of the "quick look" tests are described on quartz solar reflectors aluminized Kapton and silver coated Teflon are described.

  15. Tiered Instruction: An Effective Strategy to Differentiation of Instruction

    Directory of Open Access Journals (Sweden)

    Yahya BELER

    2011-08-01

    Full Text Available This study aimed to examine the effects of a tiered instructional design on classroom management, attitude and the learning level of students. The instructional program was prepared for an introductory science course for 3rd grade students. The case study research method was used. Observation form, teacher and student interview forms were used to collect data. The teaching program was planned using a tiered instruction method for nine subjects of the “Yesterday, Today, Tomorrow” curriculum theme. The teacher made a short presentation and then students were classified into ability groups. Finally, each group completed learning activity via individual and group tasks based on activities appropriate to their abilities. The results indicate that tiered instruction had positive effects on the learning outcomes of students. All groups completed the classroom activities easily, which increased their motivation. Students participated in activities voluntarily and enthusiastically.

  16. Feasibility of wear compensation in micro EDM milling based on discharge counting and discharge population characterization

    DEFF Research Database (Denmark)

    Bissacco, Giuliano; Hansen, Hans Nørgaard; Tristo, G.

    2011-01-01

    This paper investigates the applicability of real time wear compensation in micro EDM milling based on discharge counting and discharge population characterization. Experiments were performed involving discharge counting and tool electrode wear measurement in a wide range of process parameters...... settings involving different current pulse shapes. A strong correlation is found between average discharge energy of the populations and wear and material removal per discharge. A validation was carried out showing the feasibility of the proposed approach....

  17. Spent nuclear fuel discharges from US reactors 1993

    Energy Technology Data Exchange (ETDEWEB)

    1995-02-01

    The Energy Information Administration (EIA) of the U.S. Department of Energy (DOE) administers the Nuclear Fuel Data Survey, Form RW-859. This form is used to collect data on fuel assemblies irradiated at commercial nuclear reactors operating in the United States, and the current inventories and storage capacities of those reactors. These data are important to the design and operation of the equipment and facilities that DOE will use for the future acceptance, transportation, and disposal of spent fuels. The data collected and presented identifies trends in burnup, enrichment, and spent nuclear fuel discharged form commercial light-water reactor as of December 31, 1993. The document covers not only spent nuclear fuel discharges; but also site capacities and inventories; canisters and nonfuel components; and assembly type characteristics.

  18. Microtearing modes in tokamak discharges

    Energy Technology Data Exchange (ETDEWEB)

    Rafiq, T.; Kritz, A. H. [Department of Physics, Lehigh University, Bethlehem, Pennsylvania 18015 (United States); Weiland, J. [Department of Applied Physics, Chalmers University, S41296 Gothenburg (Sweden); Luo, L. [IBM Research, Oak Ridge, Tennessee 37831 (United States); Pankin, A. Y. [Tech-X Corporation, Boulder, Colorado 80308 (United States)

    2016-06-15

    Microtearing modes (MTMs) have been identified as a source of significant electron thermal transport in tokamak discharges. In order to describe the evolution of these discharges, it is necessary to improve the prediction of electron thermal transport. This can be accomplished by utilizing a model for transport driven by MTMs in whole device predictive modeling codes. The objective of this paper is to develop the dispersion relation that governs the MTM driven transport. A unified fluid/kinetic approach is used in the development of a nonlinear dispersion relation for MTMs. The derivation includes the effects of electrostatic and magnetic fluctuations, arbitrary electron-ion collisionality, electron temperature and density gradients, magnetic curvature, and the effects associated with the parallel propagation vector. An iterative nonlinear approach is used to calculate the distribution function employed in obtaining the nonlinear parallel current and the nonlinear dispersion relation. The third order nonlinear effects in magnetic fluctuations are included, and the influence of third order effects on a multi-wave system is considered. An envelope equation for the nonlinear microtearing modes in the collision dominant limit is introduced in order to obtain the saturation level. In the limit that the mode amplitude does not vary along the field line, slab geometry, and strong collisionality, the fluid dispersion relation for nonlinear microtearing modes is found to agree with the kinetic dispersion relation.

  19. Silo Collapse under Granular Discharge

    Science.gov (United States)

    Gutiérrez, G.; Colonnello, C.; Boltenhagen, P.; Darias, J. R.; Peralta-Fabi, R.; Brau, F.; Clément, E.

    2015-01-01

    We investigate, at a laboratory scale, the collapse of cylindrical shells of radius R and thickness t induced by a granular discharge. We measure the critical filling height for which the structure fails upon discharge. We observe that the silos sustain filling heights significantly above an estimation obtained by coupling standard shell-buckling and granular stress distribution theories. Two effects contribute to stabilize the structure: (i) below the critical filling height, a dynamical stabilization due to granular wall friction prevents the localized shell-buckling modes to grow irreversibly; (ii) above the critical filling height, collapse occurs before the downward sliding motion of the whole granular column sets in, such that only a partial friction mobilization is at play. However, we notice also that the critical filling height is reduced as the grain size d increases. The importance of grain size contribution is controlled by the ratio d /√{R t }. We rationalize these antagonist effects with a novel fluid-structure theory both accounting for the actual status of granular friction at the wall and the inherent shell imperfections mediated by the grains. This theory yields new scaling predictions which are compared with the experimental results.

  20. Microtearing modes in tokamak discharges

    Science.gov (United States)

    Rafiq, T.; Weiland, J.; Kritz, A. H.; Luo, L.; Pankin, A. Y.

    2016-06-01

    Microtearing modes (MTMs) have been identified as a source of significant electron thermal transport in tokamak discharges. In order to describe the evolution of these discharges, it is necessary to improve the prediction of electron thermal transport. This can be accomplished by utilizing a model for transport driven by MTMs in whole device predictive modeling codes. The objective of this paper is to develop the dispersion relation that governs the MTM driven transport. A unified fluid/kinetic approach is used in the development of a nonlinear dispersion relation for MTMs. The derivation includes the effects of electrostatic and magnetic fluctuations, arbitrary electron-ion collisionality, electron temperature and density gradients, magnetic curvature, and the effects associated with the parallel propagation vector. An iterative nonlinear approach is used to calculate the distribution function employed in obtaining the nonlinear parallel current and the nonlinear dispersion relation. The third order nonlinear effects in magnetic fluctuations are included, and the influence of third order effects on a multi-wave system is considered. An envelope equation for the nonlinear microtearing modes in the collision dominant limit is introduced in order to obtain the saturation level. In the limit that the mode amplitude does not vary along the field line, slab geometry, and strong collisionality, the fluid dispersion relation for nonlinear microtearing modes is found to agree with the kinetic dispersion relation.

  1. Motivational Measure of the Instruction Compared: Instruction Based on the ARCS Motivation Theory vs Traditional Instruction in Blended Courses

    Science.gov (United States)

    Colakoglu, Ozgur M.; Akdemir, Omur

    2012-01-01

    The ARCS Motivation Theory was proposed to guide instructional designers and teachers who develop their own instruction to integrate motivational design strategies into the instruction. There is a lack of literature supporting the idea that instruction for blended courses if designed based on the ARCS Motivation Theory provides different…

  2. Estimation of the Relationship Between Remotely Sensed Anthropogenic Heat Discharge and Building Energy Use

    Science.gov (United States)

    Zhou, Yuyu; Weng, Qihao; Gurney, Kevin R.; Shuai, Yanmin; Hu, Xuefei

    2012-01-01

    This paper examined the relationship between remotely sensed anthropogenic heat discharge and energy use from residential and commercial buildings across multiple scales in the city of Indianapolis, Indiana, USA. The anthropogenic heat discharge was estimated with a remote sensing-based surface energy balance model, which was parameterized using land cover, land surface temperature, albedo, and meteorological data. The building energy use was estimated using a GIS-based building energy simulation model in conjunction with Department of Energy/Energy Information Administration survey data, the Assessor's parcel data, GIS floor areas data, and remote sensing-derived building height data. The spatial patterns of anthropogenic heat discharge and energy use from residential and commercial buildings were analyzed and compared. Quantitative relationships were evaluated across multiple scales from pixel aggregation to census block. The results indicate that anthropogenic heat discharge is consistent with building energy use in terms of the spatial pattern, and that building energy use accounts for a significant fraction of anthropogenic heat discharge. The research also implies that the relationship between anthropogenic heat discharge and building energy use is scale-dependent. The simultaneous estimation of anthropogenic heat discharge and building energy use via two independent methods improves the understanding of the surface energy balance in an urban landscape. The anthropogenic heat discharge derived from remote sensing and meteorological data may be able to serve as a spatial distribution proxy for spatially-resolved building energy use, and even for fossil-fuel CO2 emissions if additional factors are considered.

  3. Geospatial database of estimates of groundwater discharge to streams in the Upper Colorado River Basin

    Science.gov (United States)

    Garcia, Adriana; Masbruch, Melissa D.; Susong, David D.

    2014-01-01

    The U.S. Geological Survey, as part of the Department of the Interior’s WaterSMART (Sustain and Manage America’s Resources for Tomorrow) initiative, compiled published estimates of groundwater discharge to streams in the Upper Colorado River Basin as a geospatial database. For the purpose of this report, groundwater discharge to streams is the baseflow portion of streamflow that includes contributions of groundwater from various flow paths. Reported estimates of groundwater discharge were assigned as attributes to stream reaches derived from the high-resolution National Hydrography Dataset. A total of 235 estimates of groundwater discharge to streams were compiled and included in the dataset. Feature class attributes of the geospatial database include groundwater discharge (acre-feet per year), method of estimation, citation abbreviation, defined reach, and 8-digit hydrologic unit code(s). Baseflow index (BFI) estimates of groundwater discharge were calculated using an existing streamflow characteristics dataset and were included as an attribute in the geospatial database. A comparison of the BFI estimates to the compiled estimates of groundwater discharge found that the BFI estimates were greater than the reported groundwater discharge estimates.

  4. Planning a Radiotherapy Department.

    Science.gov (United States)

    van der Merwe, D

    2017-02-01

    The master planning of new radiotherapy facilities requires the input and engagement of a range of highly specialised professionals, both in the construction and health sector. Although radiation protection and safety aspects of radiotherapy services are universal, low and middle income countries are often presented with unique challenges that also need to be considered, e.g. competing needs within the health sector, lack of financial and human resources, environmental factors like poor provision of transport or electrical power, inadequate regulatory infrastructure, etc. Efforts to establish, upgrade or expand radiotherapy services should therefore not only focus on the technology that is appropriate and sustainable, but also be mindful of the need for quality, safety and optimal utilisation of technology. The workflow in a radiotherapy department can be facilitated by strategic placement of the main functional areas into the concept design. Copyright © 2016 The Royal College of Radiologists. Published by Elsevier Ltd. All rights reserved.

  5. Measurement Control Workshop Instructional Materials

    Energy Technology Data Exchange (ETDEWEB)

    Gibbs, Philip [Brookhaven National Lab. (BNL), Upton, NY (United States); Crawford, Cary [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); McGinnis, Brent [Pacific Northwest National Lab. (PNNL), Richland, WA (United States) and Insolves LLC

    2014-04-01

    A workshop to teach the essential elements of an effective nuclear materials control and accountability (MC&A) programs are outlined, along with the modes of Instruction, and the roles and responsibilities of participants in the workshop.

  6. Hypermedia Environments and Adaptive Instruction.

    Science.gov (United States)

    Federico, Pat-Anthony

    1999-01-01

    Reviews relevant professional literature concerning hypermedia environments and adaptive instruction for online learning for distance education and continuing education. Highlights include aptitude-treatment interaction; cognitive processes; navigational paths; log files; and intelligent tutors. Contains 125 references. (LRW)

  7. Unpacking Corrections in Mobile Instruction

    DEFF Research Database (Denmark)

    Levin, Lena; Cromdal, Jakob; Broth, Mathias

    2017-01-01

    This article deals with the organisation of correction in mobile instructional settings. Five sets of video data (>250 h) documenting how learners were instructed to fly aeroplanes, drive cars and ride bicycles in real life traffic were examined to reveal some common features of correction...... exchanges. Through detailed multimodal analysis of participants’ actions, it is shown how instructors systematically elaborate their corrective instructions to include relevant information about the trouble and remedial action – a practice we refer to as unpacking corrections. It is proposed...... that the practice of unpacking the local particulars of corrections (i) provides for the instructional character of the interaction, and (ii) is highly sensitive to the relevant physical and mobile contingencies. These findings contribute to the existing literature on the interactional organisation of correction...

  8. Measurement control workshop instructional materials

    Energy Technology Data Exchange (ETDEWEB)

    Gibbs, Philip [Brookhaven National Lab. (BNL), Upton, NY (United States); Crawford, Cary [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); McGinnis, Brent [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Insolves LLC, Piketon, OH (United States)

    2014-04-01

    A workshop to teach the essential elements of an effective nuclear materials control and accountability (MC&A) programs are outlined, along with the modes of Instruction, and the roles and responsibilities of participants in the workshop.

  9. Zoology by Self-Instruction

    Science.gov (United States)

    Roach, Keith; Hammond, Roger

    1976-01-01

    A historical account is given of how a conventional university first-year undergraduate course in zoology has been replaced by a self-instructional one. Advantages and problems are weighed, and successful student achievement and interest are described. (LBH)

  10. A Fallibilistic Model for Instruction

    Science.gov (United States)

    Dawson, A. J.

    1971-01-01

    Discusses models in inquiry and of instruction based on critical Fallibilistic philosophy, developed by Karl R. Popper, which holds that all knowledge grows by conjecture and refutation. Classroom applications of strategies which result from the model are presented. (JP)

  11. Managing Motivation In Personalized Instruction

    Science.gov (United States)

    Wagner, G. R.; And Others

    1974-01-01

    addresses the topic of managing motivation in Keller's Personalized System of Instruction (PSI). Outlines the reinforcing features that are at the foundation of PSI theory, and examines methods used to ensure that these reinforcing properties are fu lly utilized. (JR)

  12. Expertise in Swiss mathematics instruction

    OpenAIRE

    2011-01-01

    This chapter draws on data and findings from several video studies to describe the quality of mathematics teaching in Switzerland. The focus is on features of instructional practice and quality as core components of classroom behavior that reflect the teacher’s expertise in creating optimal learning opportunities. The didactic triangle is used as the basis for describing the profile of expertise in Swiss mathematics instruction in terms of three interdependent dimensions of ins...

  13. Instructional Technology Must Contribute to Productivity

    Science.gov (United States)

    Molenda, Michael

    2009-01-01

    Those involved in instructional technology in higher education are urged to view instructional technology as a means of improving academic productivity. Instructional technology has been used for over forty years to analyze instructional problems and design solutions that reduce costs and improve learning outcomes. The Pew Program in Course…

  14. Colleague to Colleague: Deepening Instructional Practice

    Science.gov (United States)

    Gullen, Kristine; Chaffee, Martin

    2012-01-01

    Collaborative dialogue about instructional practices is essential to the growth of the education profession. To determine what effective instruction is and how to improve their own instructional practice, educators must clarify and publicly state their beliefs about instruction, teaching, and leadership. This is messy and complex work, and to…

  15. Professional Development: Identifying Effective Instructional Coaching Activities

    Science.gov (United States)

    Mannino, Gina

    2014-01-01

    The purpose of this study was to identify the instructional coaching activities most used by instructional coaches in southeast Texas school districts and to test if there was a relationship between the use of instructional coaching and perceived improvement in the instructional practices of teachers and student achievement. The participants for…

  16. Instructional Coaching: Leadership Styles and Practices

    Science.gov (United States)

    Pruett, Maurisa M.

    2013-01-01

    Principals are traditionally the instructional leaders of a school. However, instructional coaching moves the emphasis from principals to instructional coaches by charging instructional coaches with improving the effectiveness of teachers who are critical to ensuring the successful education of a student. This research analyzed the leadership…

  17. Key Instructional Design Elements for Distance Education.

    Science.gov (United States)

    Zheng, Lihua; Smaldino, Sharon

    2003-01-01

    Suggests that distance education instructors need to understand and apply important instructional design elements in order to successfully fulfill their role as instructional designers. Reviews the most recent literature pertaining to designing instruction in distance education. Identifies some key instructional design elements for teaching at a…

  18. Etiology of Shock in the Emergency Department

    DEFF Research Database (Denmark)

    Holler, Jon Gitz; Jensen, Helene Kildegaard; Henriksen, Daniel Pilsgaard

    2017-01-01

    INTRODUCTION: The knowledge of the etiology and associated mortality of undifferentiated shock in the emergency department (ED) is limited. We aimed to describe the etiology based proportions and incidence rates (IR) of shock, as well as the associated mortality in the ED. METHODS: Population......-based cohort study at an University Hospital ED in Denmark from January 1, 2000, to December 31, 2011. Patients aged ≥18 years living in the ED-catchment area (N = 225,000) with a first time ED presentation with shock (n = 1,646) defined as hypotension (systolic blood pressure ≤100 mmHg)) and ≥1 organ failures...... were included. Discharge diagnoses defined the etiology and were grouped as; distributive septic shock (SS), distributive non-septic shock (NS)), cardiogenic shock (CS), hypovolemic shock (HS), obstructive shock (OS) and other conditions (OC). Outcomes were etiology-based characteristics, annual IR per...

  19. The ILE project: a scalable option for customized information literacy instruction and assessment

    Directory of Open Access Journals (Sweden)

    Steve Borrelli

    2010-03-01

    Full Text Available With the vast amount of information available today, information literacy (IL education is a critical component of undergraduate education necessary to prepare students for tomorrow’s world. Instructors want students to demonstrate critical thinking skills and are often disappointed with student submissions resulting from undeveloped IL skills. Library Instruction programs are often tasked with addressing this educational need and often struggle to find a scalable method to provide IL instruction to the student body. The Information Literacy Education (ILE Project is an asynchronous learning environment tailored to deliver instruction and assessment. Posited as a customizable option to present IL instruction, this flexible learning environment can be tailored to develop skills not taught in the classroom setting, but often expected of the students as they complete their research projects. Applications of ILE at a major research institution are presented demonstrating the variety of ways the Library Instruction department has integrated ILE into its curriculum.

  20. Discharge processes of UV pre-ionized electric-discharge pulsed DF laser

    Science.gov (United States)

    Pan, Qikun; Xie, Jijiang; Shao, Chunlei; Wang, Chunrui; Shao, Mingzhen; Guo, Jin

    2016-03-01

    The discharge processes of ultraviolet (UV) pre-ionized electric-discharge pulsed DF laser operating with a SF6-D2 gas mixture are studied. A mathematical model based on continuity equation of electrons and Kirchhoff equations for discharge circuit is established to describe the discharge processes. Voltage and current waveforms of main discharge and voltage waveforms of pre-ionization are solved numerically utilizing the model. The calculations correctly display some physical processes, such as the delay time between pre-ionization and main discharge, breakdown of the main electrode and self-sustained volume discharge (SSVD). The results of theory are consistent with the experiments, which are performed in our non-chain pulsed DF laser. Then the delay inductance and peak capacitance are researched to analyze their influences on discharge processes, and the circuit parameters of DF laser are given which is useful to improve the discharge stability.

  1. Glow and pseudo-glow discharges in a surface discharge generator

    Institute of Scientific and Technical Information of China (English)

    Li Xue-Chen; Dong Li-Fang; Wang Long

    2005-01-01

    The glow discharge in flowing argon at one atmospheric pressure is realized in a surface discharge generator. The discharge current presents one peak per half-cycle of the applied voltage. The duration of the discharge pulse is more than 1μs when the frequency of the applied voltage is 60kHz. For the glow discharge in argon, the power consumption increases with the increase of voltage or the decrease of gas pressure.This relation is explained qualitatively based on the theory of the Townsend breakdown mechanism. In contrast, the discharge current in one atmospheric pressure air gives many spikes in each half-cycle, and correspondingly this kind of discharge is called pseudo-glow discharge. Every current spike oscillates with high-frequency damping. The pseudo-glow discharge in one atmospheric pressure air might result from the streamer breakdown mechanism.

  2. Instructional video for teaching venepuncture.

    Science.gov (United States)

    Pan, Michael; Harcharik, Sara; Moskalenko, Marina; Luber, Adam; Bernardo, Sebastian; Levitt, Jacob

    2014-10-01

    Safe venepuncture technique is a critical skill for health care professionals, to avoid accidental occupational injury. This study investigates whether watching an instructional video improves medical students' ability to perform venepuncture safely. This was a randomised, controlled, assessor-blinded trial that evaluated the utility of an instructional video, with the primary outcome of the ability to perform venepuncture safely. Forty-two second-year medical students were recruited and randomised to receive either video instruction (group A, n = 20) or no intervention (group B, n = 22). Prior to the study, all students attended an instructor-led workshop on venepuncture. During the study, students were paired and instructed to perform venepuncture on a partner. Performance was assessed using a points-based checklist. Pre- and post-study surveys were conducted to assess confidence with technique. The mean total checklist score was higher in group A than in group B, with values of 14.15 and 9.18, respectively (p instructional video performed venepuncture more effectively and reported greater confidence with the technique. Medical students can benefit from having access to an instructional video on venepuncture as an adjunct to the standard curriculum. Safe venepuncture technique is a critical skill for health care professionals. © 2014 John Wiley & Sons Ltd.

  3. Urgent Care Transfers to an Academic Pediatric Emergency Department.

    Science.gov (United States)

    McCarthy, Jennifer L; Clingenpeel, Joel M; Perkins, Amy M; Eason, Margaret K

    2017-10-02

    The aim of this study was to investigate the hypothesis that a significant percentage of urgent care center to pediatric ED transfers can be discharged home without emergency department (ED) resource utilization. A retrospective chart review was completed for a 6-month period on all patients transferred from urgent care centers. A data collection tool focusing on demographics, diagnoses, reason for transfer, ED resource utilization, ED disposition, and 72-hour ED return was used. Each encounter was classified as "urgent" or "nonurgent" based on resource utilization criteria. Descriptive statistics were reported for demographics, encounter data, and 72-hour ED return stratified by nonurgent versus urgent classification. Two-sample t, χ, and Fisher exact tests were used to assess differences in characteristics between the nonurgent and urgent groups. One hundred nine patients met inclusion criteria. Of these, 93 (85%) were discharged from the ED. Twenty nine (27%) of the transferred patients were discharged without ED resource utilization. Seventy-two-hour return was noted for only 1 patient who was again discharged at the subsequent encounter. A large proportion of patients transferred from urgent care centers were directly discharged from the ED without any ED resource utilization. Eliminating or reducing such transfers has the potential to limit the amount of nonurgent ED visits, thus producing cost savings and better patient care.

  4. Stability of atmospheric pressure glow discharges

    Science.gov (United States)

    Chirokov, Alexandre V.

    There has been a considerable interest in non-thermal atmospheric pressure discharges over the past decade due to increased number of industrial applications. Although non-thermal atmospheric pressure discharges have been intensively studied for the past century the clear physical picture of these discharges is far from being complete. Spontaneous transition of non-thermal atmospheric pressure discharges to thermal discharge and discharge filamentation are among least understood plasma phenomena. The discharge stability and reliable control of plasma parameters are highly desirable for numerous applications. This study focuses on stability of atmospheric pressure glow discharges with respect to filamentation and arcing. Atmospheric pressure glow discharge (APG) is the newest and the most promising addition to the family of non-thermal atmospheric pressure discharges. However this discharge is very susceptible to thermal instability which causes arcing, loss of uniformity and significant damage to electrodes. Suppression of thermal instability and effective control of discharge parameters is critical for industrial applications. A model was developed to understand transition to arc in atmospheric pressure glow discharges. APG discharges that operate in pure helium and in helium with addition of oxygen and nitrogen were considered in these studies. Simulation results indicate that arcing is the result of sheath breakdown rather than thermal instability. It was shown that although sheath breakdown is always followed by overheating the transition to arc in atmospheric glow discharges is not a result of thermal instability. In second part of this research interaction between plasma filaments in dielectric barrier discharges has been studied. This interaction is responsible for the formation of microdischarge patterns reminiscent of two-dimensional crystals. Depending on the application, microdischarge patterns may have a significant influence on DBD performance

  5. Relativistic Electrons in Electric Discharges

    DEFF Research Database (Denmark)

    Cinar, Deniz

    discharges as the source. The “Atmosphere-Space Interactions Monitor” (ASIM) for the International Space Station in 2016, led by DTU Space, and the French microsatellite TARANIS, also with launch in 2016, will identify with certainty the source of TGFs. In preparation for the missions, the Ph.D. project has...... developed a Monte Carlo module of a simulation code to model the formation of avalanches of electrons accelerated to relativistic energies, and the generation of bremsstrahlung through interactions with the neutral atmosphere. The code will be used in the analysis of data from the two space missions. We...... scattering. However, we only explored the properties of the complete number of photons reaching space, not the distribution at speci_c locations as in the case of a satellite. With this reservation we conclude that it is not possible to deduce much information from a satellite measurement of the photons...

  6. Modelling Of Chlorine Inductive Discharges

    Science.gov (United States)

    Chabert P.; Despiau-Pujo, E.

    2010-07-01

    III-V compounds such as GaAs, InP or GaN-based materials are increasingly important for their use in optoelectronic applications, especially in the telecommunications and light detection industries. Photonic devices including lasers, photodetectors or LEDs, require reliable etching processes characterized by high etch rate, profile control and low damage. Although many problems remain to be understood, inductively coupled discharges seem to be promising to etch such materials, using Cl2/Ar, Cl2/N2 and Cl2/H2 gas chemistries. Inductively coupled plasma (ICP) sources meet most of the requirements for efficient plasma processing such as high etch rates, high ion densities and low controllable ion energies. However, the presence of a negative ion population in the plasma alters the positive ion flux, reduces the electron density, changes the electron temperature, modifies the spatial structure of the discharge and can cause unstable operation. Several experimental studies and numerical simulation results have been published on inductively coupled Cl2/Ar plasmas but relatively few systematic comparisons of model predictions and experimental data have been reported in given reactor geometries under a wide range of op- erating conditions. Validation of numerical predictions is essential for chemically complex plasma processing and there is a need to benchmark the models with as many measurements as possible. In this paper, comparisons of 2D fluid simulations with experimental measurements of Ar/Cl2 plasmas in a low pressure ICP reactor are reported (Corr et al. 2008). The electron density, negative ion fraction and Cl atom density are investigated for various conditions of Ar/Cl2 ratio, gas pressure and applied RF power in H mode. Simulations show that the wall recombination coefficient of Cl atom (?) is a key parameter of the model and that neutral densities are very sensitive to its variations. The best agreement between model and experiment is obtained for ? = 0

  7. Determination of teacher candidates’ anxiety levels on using facebook for instructional purposes

    Directory of Open Access Journals (Sweden)

    Cansu Meryem Birinci

    2016-04-01

    Full Text Available In this study, candidate teachers’ anxiety levels were determined based on the use of Facebook for instructional purposes. The research is a clear sample of descriptive study. The research was held in the department of Computer Education and Instructional Technology of Near East University. With the aim of gathering data on this specific subject, a questionnaire was put to the participants. The sample was taken from 202 candidates between the ages of 20 and 32.

  8. Coordinated discharge of a collection of batteries

    Energy Technology Data Exchange (ETDEWEB)

    Sastry, Shivakumar; Gimdogmus, Omer; Hartley, Tom T.; Veillette, Robert J. [Department of Electrical and Computer Engineering, The University of Akron, Akron, OH 44325-3904 (United States)

    2007-03-30

    Collections of batteries are used to supply energy to a variety of applications. By utilizing the energy in such a collection efficiently, we can improve the lifetime over which energy can be supplied to the application. We say that the discharge of a collection of batteries is coordinated when, at the end of discharge, the difference in the remaining capacity of individual batteries is small. This paper presents a decision-maker based on a goal-seeking formulation that coordinates the discharge of a collection of batteries. This formulation allows us to use a simple battery model and simple decision-making algorithms. We present results from MATLAB simulations that demonstrate the performance of the decision-maker when energy is drawn out of the collection in three different discharge scenarios. The new decision-maker consistently improves the discharge efficiency obtained using scheduling methods. Our results show that when the discharge is coordinated, the lifetime of the collection is extended. (author)

  9. Numerical modeling of partial discharges parameters

    Directory of Open Access Journals (Sweden)

    Kartalović Nenad M.

    2016-01-01

    Full Text Available In recent testing of the partial discharges or the use for the diagnosis of insulation condition of high voltage generators, transformers, cables and high voltage equipment develops rapidly. It is a result of the development of electronics, as well as, the development of knowledge about the processes of partial discharges. The aim of this paper is to contribute the better understanding of this phenomenon of partial discharges by consideration of the relevant physical processes in isolation materials and isolation systems. Prebreakdown considers specific processes, and development processes at the local level and their impact on specific isolation material. This approach to the phenomenon of partial discharges needed to allow better take into account relevant discharge parameters as well as better numerical model of partial discharges.

  10. Discharge estimation based on machine learning

    Institute of Scientific and Technical Information of China (English)

    Zhu JIANG; Hui-yan WANG; Wen-wu SONG

    2013-01-01

    To overcome the limitations of the traditional stage-discharge models in describing the dynamic characteristics of a river, a machine learning method of non-parametric regression, the locally weighted regression method was used to estimate discharge. With the purpose of improving the precision and efficiency of river discharge estimation, a novel machine learning method is proposed:the clustering-tree weighted regression method. First, the training instances are clustered. Second, the k-nearest neighbor method is used to cluster new stage samples into the best-fit cluster. Finally, the daily discharge is estimated. In the estimation process, the interference of irrelevant information can be avoided, so that the precision and efficiency of daily discharge estimation are improved. Observed data from the Luding Hydrological Station were used for testing. The simulation results demonstrate that the precision of this method is high. This provides a new effective method for discharge estimation.

  11. Heating dominated inception of pulsed discharges

    Science.gov (United States)

    Agnihotri, Ashutosh; Hundsdorfer, Willem; Ebert, Ute

    2016-09-01

    We simulate the inception of pulsed discharges with heating as the driving agent that leads to spark formation. To understand the phenomenon, we developed a 2D-cylindrically symmetric model that couples the electric discharge dynamics with the background gas dynamics. To capture the ion dynamics well, we reduced the classical drift-diffusion-reaction model of electric discharges to the timescale of ion motion. Additionally, we include secondary emission of electrons from the cathode. We employed the model to study electrical breakdown in air at STP conditions between planar electrodes under the application of pulsed voltages. Our model captures space-charge effects, thermal shocks and induced pressure waves. We observe a cycle of discharge pulses heating the gas and the thermal expansion helping the discharge. This cycle might either lead to spark formation or to discharge decay.

  12. Mothers depart. Variations 2009

    Directory of Open Access Journals (Sweden)

    Agnieszka Czyżak

    2011-01-01

    Full Text Available This article proposes some considerations on a particular variation of the elegiac mood represented by and manifested in lyrical farewells of departing mothers. A review of the variants commences with an analysis of a particularly important work by Tadeusz Różewicz written at the beginning of this century — Matka odchodzi. The book was, at the time, a particular reference point for the following poetic volumes in which the theme of the death of the poet’s mother was paramount and significant. The article also focuses on volumes of poems, written by poets that belonged to different generations but shared the same date of publication, i.e. the year 2009. Both clear similarities and marked differences in the actual commitment in carrying out the theme and in creating the profiles of mothers that have passed away are to be found in the works of Piotr Sommer (Dni i noce, Jan Polkowski (Cantus and Eugeniusz Tkaczyszyn-Dycki (Piosenka o zależnościach i uzależnieniach.

  13. Role of secondary emission on discharge dynamics in an atmospheric pressure dielectric barrier discharge

    Energy Technology Data Exchange (ETDEWEB)

    Tay, W. H.; Kausik, S. S.; Yap, S. L.; Wong, C. S., E-mail: cswong@um.edu.my [Plasma Technology Research Centre, Department of Physics, Faculty of Science, University of Malaya, 50603 Kuala Lumpur (Malaysia)

    2014-04-15

    The discharge dynamics in an atmospheric pressure dielectric barrier discharge (DBD) is studied in a DBD reactor consisting of a pair of stainless steel parallel plate electrodes. The DBD discharge has been generated by a 50 Hz ac high voltage power source. The high-speed intensified charge coupled device camera is used to capture the images of filaments occurring in the discharge gap. It is observed that frequent synchronous breakdown of micro discharges occurs across the discharge gap in the case of negative current pulse. The experimental results reveal that secondary emissions from the dielectric surface play a key role in the synchronous breakdown of plasma filaments.

  14. Plasma spark discharge reactor and durable electrode

    Energy Technology Data Exchange (ETDEWEB)

    Cho, Young I.; Cho, Daniel J.; Fridman, Alexander; Kim, Hyoungsup

    2017-01-10

    A plasma spark discharge reactor for treating water. The plasma spark discharge reactor comprises a HV electrode with a head and ground electrode that surrounds at least a portion of the HV electrode. A passage for gas may pass through the reactor to a location proximate to the head to provide controlled formation of gas bubbles in order to facilitate the plasma spark discharge in a liquid environment.

  15. Investigations into electrical discharges in gases

    CERN Document Server

    Klyarfel'D, B N

    2013-01-01

    Investigations into Electrical Discharges in Gases is a compilation of scientific articles that covers the advances in the investigation of the fundamental processes occurring in electrical discharges in gases and vapors. The book details the different aspects of the whole life cycle of an arc, which include the initiation of a discharge, its transition into an arc, the lateral spread of the arc column, and the recovery of electric strength after extinction of an arc. The text also discusses the methods for the dynamic measurement of vapor density in the vicinity of electrical discharges, alon

  16. Surface water discharges from onshore stripper wells.

    Energy Technology Data Exchange (ETDEWEB)

    Veil, J. A.

    1998-01-16

    Under current US Environmental Protection Agency (EPA) rules, small onshore oil producers are allowed to discharge produced water to surface waters with approval from state agencies; but small onshore gas producers, however, are prohibited from discharging produced water to surface waters. The purpose of this report is to identify those states that allow surface water discharges from small onshore oil operations and to summarize the types of permitting controls they use. It is intended that the findings of this report will serve as a rationale to encourage the EPA to revise its rules and to remove the prohibition on surface water discharges from small gas operations.

  17. Device for generation of pulsed corona discharge

    Science.gov (United States)

    Gutsol, Alexander F [San Ramon, CA; Fridman, Alexander [Marlton, NJ; Blank, Kenneth [Philadelphia, PA; Korobtsev, Sergey [Moscow, RU; Shiryaevsky, Valery [Moscow, RU; Medvedev, Dmitry [Moscow, RU

    2012-05-08

    The invention is a method and system for the generation of high voltage, pulsed, periodic corona discharges capable of being used in the presence of conductive liquid droplets. The method and system can be used, for example, in different devices for cleaning of gaseous or liquid media using pulsed corona discharge. Specially designed electrodes and an inductor increase the efficiency of the system, permit the plasma chemical oxidation of detrimental impurities, and increase the range of stable discharge operations in the presence of droplets of water or other conductive liquids in the discharge chamber.

  18. Hypoglycemia in Emergency Department

    Institute of Scientific and Technical Information of China (English)

    Yu-Jang Su; Chia-Jung Liao

    2015-01-01

    Objective:To study the epidemiology, etiologies and prognostic factors of hypoglycemia. Methods:A retrospective chart review of hypoglycemic cases from December, 2009 to February, 2012 was conducted to gather the following patient data: age, gender, vital signs at triage, white blood cell count, serum glucose, C-reactive protein, glutamic oxaloacetic transaminase, creatinine, sodium, potassium, past history of liver cirrhosis, uremia, concomitant infection, concomitant cancer/malignancy, length of stay, lack of recent meal, status of acute renal failure and concomitant stroke. A total of 186 cases were enrolled in our study. We analyzed the data using commercial statistics software (SPSS for Windows, version 11.0, SPSS Inc., Chicago, IL). We used the Student's t-test andχ2 test for the statistical analyses, and significance was set at a P value less than 0.05. Results: Hypoglycemia is related to several co-morbidities. In total, 10.2%of the patients had liver cirrhosis and 7.0% had uremia. More than half (55.4%) were bacterial infection during hospitalization. Acute renal failure accounted for 26.3%of the hypoglycemic episodes. In addition to the etiology of infection, the lack of a recent meal accounted for 44.6%hypoglycemic episodes. A total of 2.2%of the cases resulted from an acute cerebrovascular accident. Approximately 8.6%were concomitant with malignancy. Conclusions: When hypoglycemic patients present in the emergency department, physicians should pay attention to the presence of infection, malignancy, liver diseases (liver cirrhosis and biliary tract infection), and acute renal failure.

  19. Students' rating as one of the methods for instruction evaluation.

    Science.gov (United States)

    Mares, J

    1990-01-01

    about factors which may affect or even bias the assessment, i. e. validity of the results, is summarized. Procedures enabling a statistical analysis of the reliability of results are discussed. A not very clear problem how teachers and departments react on results obtained from student evaluation is discussed here in detail as well as the form in which the results should be presented. Emphasis is laid on the fact that student evaluation is only one of many methods for instructional quality evaluation and that it has not only its merits but drawbacks as well. A warning is given not to use rating scales in an unqualified manner and not to overestimate the results obtained especially for a summative evaluation.(ABSTRACT TRUNCATED AT 400 WORDS)

  20. Survey of Departments of Physiology

    Science.gov (United States)

    Ganong, William F.

    1977-01-01

    Presents data of the 1976 survey of departments of physiology. Includes comparison to 1974 and 1975 data for number of academic positions available, department budgets, graduate students and post doctoral fellows, and salaries. (SL)

  1. BE Department Annual Report 2014

    CERN Document Server

    Collier, Paul; Billen, Ronny; Bruning, Oliver; Garoby, Roland; Hatziangeli, Eugenia; Jensen, Erk; Jones, Rhodri; Lamont, Mike; Mackney, Anna

    2015-01-01

    The Beams Department hosts the Groups responsible for the beam generation, acceleration, diagnostics, controls and performance optimization for the whole CERN accelerator complex. This Report describes the 2014 highlights for the BE Department.

  2. Survey of Departments of Physiology

    Science.gov (United States)

    Ganong, William F.

    1977-01-01

    Presents data of the 1976 survey of departments of physiology. Includes comparison to 1974 and 1975 data for number of academic positions available, department budgets, graduate students and post doctoral fellows, and salaries. (SL)

  3. Discharge Characteristics in Atmospheric Pressure Glow Surface Discharge in Helium Gas

    Institute of Scientific and Technical Information of China (English)

    LI Xue-Chen; WANG Long

    2005-01-01

    @@ Atmospheric pressure glow discharge is observed for the first time in a surface discharge generator in flowing helium. Electrical and optical methods are used to measure the characteristics of atmospheric pressure glow discharge for different voltages. The results show that discharge current waveforms are asymmetric for the different polarities of the applied voltage. A continuous discharge profile with a width of several microseconds appears for per half cycle of the applied voltage when the voltage is increased to a certain value. The short-pulsed discharge and the continuous current would result from the Townsend breakdown and glow discharge mechanisms respectively. The properties of surface discharge in stagnant helium are completely different from that in flowing helium.

  4. Students’ perceptions of the instructional quality of district hospital-based training

    Science.gov (United States)

    Memon, Shehla Jabbar; Louw, Jakobus Murray; Hugo, Jannie; Rauf, Waqar-un Nisa; Sandars, John Edward

    2016-01-01

    Background An innovative, three-year training programme, the Bachelor of Clinical Medical Practice (BCMP), for mid-level medical healthcare workers was started in 2009 by the Department of Family Medicine, University of Pretoria. Aim To measure the students’ perceptions of the instructional quality of district hospital-based training. Setting Training of students took place at clinical learning centres in rural district hospitals in the Mpumalanga and Gauteng provinces. Methods A survey using the MedEd IQ questionnaire was performed in 2010 and 2011 to measure BCMP second- and third-year students’ perceptions of instructional quality of district hospital-based training. The MedEd IQ questionnaire is composed of four subscales: preceptor activities, learning opportunities, learner involvement and the learning environment. Composite scores of instructional quality were used to present results. Results The preceptor activities, learning opportunities and the learning environment were considered by second- and third-year BCMP students to be of consistently high instructional quality. In the area of learner involvement, instructional quality increased significantly from second to third year. Conclusion Overall, instructional quality of district hospital-based training was high for both second- and third-year BCMP students, and the instructional quality of learner involvement being significantly higher in third year students. The MedEd IQ tool was a useful tool for measuring instructional quality and to inform programme quality improvement. PMID:27543282

  5. Effects of Gas Flow Rate on the Discharge Characteristics of a DC Excited Plasma Jet

    Science.gov (United States)

    Li, Xuechen; Jia, Pengying; Di, Cong; Bao, Wenting; Zhang, Chunyan

    2015-09-01

    A direct current (DC) source excited plasma jet consisting of a hollow needle anode and a plate cathode has been developed to form a diffuse discharge plume in ambient air with flowing argon as the working gas. Using optical and electrical methods, the discharge characteristics are investigated for the diffuse plasma plume. Results indicate that the discharge has a pulse characteristic, under the excitation of a DC voltage. The discharge pulse corresponds to the propagation process of a plasma bullet travelling from the anode to the cathode. It is found that, with an increment of the gas flow rate, both the discharge plume length and the current peak value of the pulsed discharge decrease in the laminar flow mode, reach their minima at about 1.5 L/min, and then slightly increase in the turbulent mode. However, the frequency of the pulsed discharge increases in the laminar mode with increasing the argon flow rate until the argon flow rate equals to about 1.5 L/min, and then slightly decreases in the turbulent mode. supported by National Natural Science Foundation of China (Nos. 10805013, 11375051), Funds for Distinguished Young Scientists of Hebei Province, China (No. A2012201045), Department of Education for Outstanding Youth Project of China (No. Y2011120), and Youth Project of Hebei University of China (No. 2011Q14)

  6. Moving upstream: why rehabilitative justice in military discharge proceedings serves a public health interest.

    Science.gov (United States)

    Seamone, Evan R; McGuire, James; Sreenivasan, Shoba; Clark, Sean; Smee, Daniel; Dow, Daniel

    2014-10-01

    The cultural divide between US military and civilian institutions amplifies the consequences of military discharge status on public health and criminal justice systems in a manner that is invisible to a larger society. Prompt removal of problematic wounded warriors through retributive justice is more expedient than lengthy mental health treatment. Administrative and punitive discharges usually preclude Department of Veterans Affairs eligibility, posing a heavy public health burden. Moving upstream--through military rehabilitative justice addressing military offenders' mental health needs before discharge--will reduce the downstream consequences of civilian maladjustment and intergenerational transmission of mental illness. The public health community can play an illuminating role by gathering data about community effect and by advocating for policy change at Department of Veterans Affairs and community levels.

  7. Impact of medication reconciliation at discharge on continuity of patient care in France.

    Science.gov (United States)

    Van Hollebeke, Mélanie; Talavera-Pons, Sarah; Mulliez, Aurélien; Sautou, Valérie; Bommelaer, Gilles; Abergel, Armand; Boyer, Anne

    2016-10-01

    Background Care transitions from hospital to community have been identified as risk points for the continuity of patient care. Without upstream information, the community pharmacist (CP) cannot ensure error-free drug dispensing. A hospital-to-community records transmission process would enable CPs to guarantee that all prescription drugs are ready to pick up at hospital discharge, and to improve their responses to patient health inquiries. Objective To evaluate the impact of a hospital-to-CP medication records scheme on post-discharge continuity of patient treatment. Setting A University Hospital Digestive Surgery Department. Method Prospective, single-center, randomized pilot study. Eligible adult Digestive Surgery department patients discharged home over a period of 4 months were included. The medication reconciliation procedure was the same in both arms of the study. For patients included in the intervention group, CPs were sent the discharge prescription, patient medication list, and clinical and biological data required for drug dispensing. At 7 ± 2 days post-discharge, the CPs were surveyed by questionnaire. Seamlessness of drug continuity, use of the discharge medication form, and CP satisfaction with the scheme were assessed. Main outcome measures Prevalence of medication shortages, i.e. CPs unable to supply the appropriate drugs at discharge, and CP satisfaction levels, analyzed using Chi squared test. Results 124 patients were included. Of 124 CPs surveyed, 104 returned a completed questionnaire. Analysis found medication shortage in 10 control-group patients and one intervention-group patient (p pharmacist time input required for this initiative was an estimated 21 min for the control group versus 35 min for the intervention group. Conclusion The results provide a strong rationale for embedding the process longer-term and extending it out to other healthcare services. A pre-project study is needed to define which service departments and patients

  8. Discharge lamp with reflective jacket

    Science.gov (United States)

    MacLennan, Donald A.; Turner, Brian P.; Kipling, Kent

    2001-01-01

    A discharge lamp includes an envelope, a fill which emits light when excited disposed in the envelope, a source of excitation power coupled to the fill to excite the fill and cause the fill to emit light, and a reflector disposed around the envelope and defining an opening, the reflector being configured to reflect some of the light emitted by the fill back into the fill while allowing some light to exit through the opening. The reflector may be made from a material having a similar thermal index of expansion as compared to the envelope and which is closely spaced to the envelope. The envelope material may be quartz and the reflector material may be either silica or alumina. The reflector may be formed as a jacket having a rigid structure which does not adhere to the envelope. The lamp may further include an optical clement spaced from the envelope and configured to reflect an unwanted component of light which exited the envelope back into the envelope through the opening in the reflector. Light which can be beneficially recaptured includes selected wavelength regions, a selected polarization, and selected angular components.

  9. The radiofrequency magnetic dipole discharge

    Science.gov (United States)

    Martines, E.; Zuin, M.; Marcante, M.; Cavazzana, R.; Fassina, A.; Spolaore, M.

    2016-05-01

    This paper describes a novel and simple concept of plasma source, which is able to produce a radiofrequency magnetized discharge with minimal power requirements. The source is based on the magnetron concept and uses a permanent magnet as an active electrode. The dipolar field produced by the magnet confines the electrons, which cause further ionization, thus producing a toroidally shaped plasma in the equatorial region around the electrode. A plasma can be ignited with such scheme with power levels as low as 5 W. Paschen curves have been built for four different working gases, showing that in Helium or Neon, plasma breakdown is easily obtained also at atmospheric pressure. The plasma properties have been measured using a balanced Langmuir probe, showing that the electron temperature is around 3-4 eV and higher in the cathode proximity. Plasma densities of the order of 1016 m-3 have been obtained, with a good positive scaling with applied power. Overall, the electron pressure appears to be strongly correlated with the magnetic field magnitude in the measurement point.

  10. KSC Electrostatic Discharge (ESD) Issues

    Science.gov (United States)

    Buhler, Charles

    2008-01-01

    Discussion of key electrostatic issues that have arisen during the past few years at KSC that the Electrostatics Laboratory has studied. The lab has studied in depth the Space Shuttle's Thermal Control System Blankets, the International Space Station Thermal Blanket, the Pan/Tilt Camera Blankets, the Kapton Purge Barrier Curtain, the Aclar Purge Barrier Curtain, the Thrust Vector Controller Blankets, the Tyvek Reaction Control System covers, the AID-PAK and FLU-9 pyro inflatable devices, the Velostat Solid Rocket Booster mats, and the SCAPE suits. In many cases these materials are insulating meaning that they might be a source of unsafe levels of electrostatic discharge (ESD). For each, the lab provided in-depth testing of each material within its current configuration to ensure that it does not cause an ESD concern that may violate the safety of the astronauts, the workers and equipment for NASA. For example the lab provides unique solutions and testing such as Spark Incendivity Testing that checks whether a material is capable of generating a spark strong enough to ignite a flammable gas. The lab makes recommendations to changes in specifications, procedures, and material if necessary. The lab also consults with a variety of non-safety related ESD issues for the agency.

  11. Correlation between level of serum prolactin and epileptic discharges of electroencephalogram from 24 to 36 hours after epileptic onset

    Institute of Scientific and Technical Information of China (English)

    Xiaowei Hu; Wanli Dong; Min Xu

    2006-01-01

    BACKGROUND: Researchers discovered that serum prolactin could rise following an epileptic seizure. The prolactin level might reach three times more than basic level within 30 minutes and decrease to the normal value 2 hours after the seizure occurred. The mechanism might result in an increase of serum prolactin concentrations with the activation of the hypothalamic-pituitary axis.OBJ ECTIVE:To probe into the correlation between changes of serum prolactin and incidence of epileptic discharges of electroencephalogram (EEG) at 24-36 hours after epileptic onset of patients with secondary epilepsy.DESIGN: Clinical observational study.SETTING: Department of Neurology, First Hospital affiliated to Soochow University.PARTICIPANTS: A total of 21 patients with secondary epilepsy were selected from the Department of Neurological Emergency or Hospital Room of the First Hospital affiliated to Soochow University from November 2005 to April 2006. There were 14 males and 7 females aged from 25 to 72 years. All patients met International League Anti-epileptic (ILAE) criteria in 1981 for secondary generalized tonic clonic seizure through CT or MRI and previous EEG. All patients were consent. Primary diseases included cerebral trauma (3 cases),tumor (2 cases), stroke (7 cases) and intracranial infeion (9 cases).METHODS: Venous blood of all patients was collected at 24-36 hours after epileptic onset. Serum prolactin kit (Beckman Coulter, Inc in USA) was used to measure value of serum prolactin according to kit instruction.Then, value of serum prolactin was compared with the normal value (male: 2.64-13.13 mg/L; female: 3.34-26.72 mg/L); meanwhile, EEG equipment (American Nicolet Incorporation) was used in this study.MAIN OUTCOME MEASURES: ① Abnormal rate of serum prolactin of patients with secondary epilepsy; ②Comparison between normal and abnormal level of serum prolactin and incidence of EEG epileptic discharge of patients with secondary epilepsy.RESULTS :All 21 patients with

  12. Arc discharge sliding over a conducting surface

    NARCIS (Netherlands)

    Goor, van F.A.; Mitko, S.V.; Ochkin, V.N.; Paramonov, A.P.; Witteman, W.J.

    1997-01-01

    Results of experimental and theoretical studies of the arc discharge which slides over the surface of a conductor are reported. Experiments were performed in air and argon ambients at various pressures. It is found that the velocity of the discharge plasma front depends linearly on the strength of t

  13. Pulse volume discharges in high pressure gases

    Science.gov (United States)

    Yamshchikov, V. A.

    2015-11-01

    New approach for suppression of plasma inhomogeneities and instabilities in the volume self-sustained discharge is offered. The physical model is offered and conditions of obtaining extremely homogeneous self-sustained discharge are defined (with full suppression of plasma inhomogeneity and instability). Results of calculations agree with experiments.

  14. Plasma discharge self-cleaning filtration system

    Science.gov (United States)

    Cho, Young I.; Fridman, Alexander; Gutsol, Alexander F.; Yang, Yong

    2014-07-22

    The present invention is directed to a novel method for cleaning a filter surface using a plasma discharge self-cleaning filtration system. The method involves utilizing plasma discharges to induce short electric pulses of nanoseconds duration at high voltages. These electrical pulses generate strong Shockwaves that disintegrate and dislodge particulate matter located on the surface of the filter.

  15. Generation of nanoparticles by spark discharge

    NARCIS (Netherlands)

    Tabrizi, N.S.; Ullmann, M.; Vons, V.A.; Lafont, U.; Schmidt-Ott, A.

    2008-01-01

    The production of nanoparticles by microsecond spark discharge evaporation in inert gas is studied systematically applying transmission electron microscopy, mobility analysis and BET surface area measurement. The method of spark discharge is of special interest, because it is continuous, clean, extr

  16. Aerated bunker discharge of fine dilating powders

    NARCIS (Netherlands)

    Ouwerkerk, C.E.D.; Molenaar, H.J.; Frank, M.J.W.

    1992-01-01

    The discharge rate of coarse powders (mean particle size 500 ¿m) from bunkers without aeration can be described by both empirical relations and theoretical models. In the case of small particles the discharge rate is largely overestimated. As the powder dilates during flow a negative pressure gradie

  17. Eddy correlation measurements of submarine groundwater discharge

    Science.gov (United States)

    Crusius, J.; Berg, P.; Koopmans, D.J.; Erban, L.

    2008-01-01

    This paper presents a new, non-invasive means of quantifying groundwater discharge into marine waters using an eddy correlation approach. The method takes advantage of the fact that, in virtually all aquatic environments, the dominant mode of vertical transport near the sediment-water interface is turbulent mixing. The technique thus relies on measuring simultaneously the fluctuating vertical velocity using an acoustic Doppler velocimeter and the fluctuating salinity and/or temperature using rapid-response conductivity and/or temperature sensors. The measurements are typically done at a height of 5-15??cm above the sediment surface, at a frequency of 16 to 64??Hz, and for a period of 15 to 60??min. If the groundwater salinity and/or temperature differ from that of the water column, the groundwater specific discharge (cm d- 1) can be quantified from either a heat or salt balance. Groundwater discharge was estimated with this new approach in Salt Pond, a small estuary on Cape Cod (MA, USA). Estimates agreed well with previous estimates of discharge measured using seepage meters and 222Rn as a tracer. The eddy correlation technique has several desirable characteristics: 1) discharge is quantified under in-situ hydrodynamic conditions; 2) salinity and temperature can serve as two semi-independent tracers of discharge; 3) discharge can be quantified at high temporal resolution, and 4) long-term records of discharge may be possible, due to the low power requirements of the instrumentation. ?? 2007 Elsevier B.V. All rights reserved.

  18. 33 CFR 151.67 - Operating requirements: Discharge of plastic prohibited.

    Science.gov (United States)

    2010-07-01

    ... plastic, including, but not limited to, synthetic ropes, synthetic fishing nets, and plastic garbage bags... of plastic prohibited. 151.67 Section 151.67 Navigation and Navigable Waters COAST GUARD, DEPARTMENT... Sewage § 151.67 Operating requirements: Discharge of plastic prohibited. No person on board any ship...

  19. 42 CFR 416.52 - Conditions for coverage-Patient admission, assessment and discharge.

    Science.gov (United States)

    2010-10-01

    ..., assessment and discharge. 416.52 Section 416.52 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICARE PROGRAM AMBULATORY SURGICAL SERVICES Specific... assessment. (1) Not more than 30 days before the date of the scheduled surgery, each patient must have...

  20. 46 CFR 32.50-3 - Cargo discharge-TB/ALL.

    Science.gov (United States)

    2010-10-01

    ... 46 Shipping 1 2010-10-01 2010-10-01 false Cargo discharge-TB/ALL. 32.50-3 Section 32.50-3 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY TANK VESSELS SPECIAL EQUIPMENT, MACHINERY, AND HULL REQUIREMENTS Pumps, Piping, and Hose for Cargo Handling § 32.50-3 Cargo discharge—TB/ALL. (a) Pumps or other...

  1. Computing discharge using the index velocity method

    Science.gov (United States)

    Levesque, Victor A.; Oberg, Kevin A.

    2012-01-01

    Application of the index velocity method for computing continuous records of discharge has become increasingly common, especially since the introduction of low-cost acoustic Doppler velocity meters (ADVMs) in 1997. Presently (2011), the index velocity method is being used to compute discharge records for approximately 470 gaging stations operated and maintained by the U.S. Geological Survey. The purpose of this report is to document and describe techniques for computing discharge records using the index velocity method. Computing discharge using the index velocity method differs from the traditional stage-discharge method by separating velocity and area into two ratings—the index velocity rating and the stage-area rating. The outputs from each of these ratings, mean channel velocity (V) and cross-sectional area (A), are then multiplied together to compute a discharge. For the index velocity method, V is a function of such parameters as streamwise velocity, stage, cross-stream velocity, and velocity head, and A is a function of stage and cross-section shape. The index velocity method can be used at locations where stage-discharge methods are used, but it is especially appropriate when more than one specific discharge can be measured for a specific stage. After the ADVM is selected, installed, and configured, the stage-area rating and the index velocity rating must be developed. A standard cross section is identified and surveyed in order to develop the stage-area rating. The standard cross section should be surveyed every year for the first 3 years of operation and thereafter at a lesser frequency, depending on the susceptibility of the cross section to change. Periodic measurements of discharge are used to calibrate and validate the index rating for the range of conditions experienced at the gaging station. Data from discharge measurements, ADVMs, and stage sensors are compiled for index-rating analysis. Index ratings are developed by means of regression

  2. Ultrasound-Guided Peripheral Intravenous Access in the Emergency Department: Patient-Centered Survey

    Directory of Open Access Journals (Sweden)

    Keith Boniface

    2011-05-01

    Full Text Available Introduction: To assess characteristics, satisfaction, and disposition of emergency department (ED patients who successfully received ultrasound (US-guided peripheral intravenous (IV access. Methods: This is a prospective observational study among ED patients who successfully received US-guided peripheral IV access by ED technicians. Nineteen ED technicians were taught to use US guidance to obtain IV access. Training sessions consisted of didactic instruction and hands-on practice. The US guidance for IV access was limited to patients with difficult access. After successfully receiving an US-guided peripheral IV, patients were approached by research assistants who administered a 10-question survey. Disposition information was collected after the conclusion of the ED visit by accessing patients’ electronic medical record. Results: In total, 146 surveys were completed in patients successfully receiving US-guided IVs. Patients reported an average satisfaction with the procedure of 9.2 of 10. Forty-two percent of patients had a body mass index (BMI of greater than 30, and 17.8% had a BMI of more than 35. Sixty-two percent reported a history of central venous catheter placement. This patient population averaged 3 ED visits per year in the past year. Fifty-three percent of the patients were admitted. Conclusion: Patients requiring US-guided IVs in our ED are discharged home at the conclusion of their ED visit about half of the time. These patients reported high rates of both difficult IV access and central venous catheter placement in the past. Patient satisfaction with US-guided IVs was very high. These data support the continued use of US-guided peripheral IVs in this patient population. [West J Emerg Med. 2011;12(4:475–477.

  3. Estimation of combined sewer overflow discharge

    DEFF Research Database (Denmark)

    Ahm, Malte; Thorndahl, Søren Liedtke; Nielsen, Jesper Ellerbæk;

    2016-01-01

    Combined sewer overflow (CSO) structures are constructed to effectively discharge excess water during heavy rainfall, to protect the urban drainage system from hydraulic overload. Consequently, most CSO structures are not constructed according to basic hydraulic principles for ideal measurement...... weirs. It can, therefore, be a challenge to quantify the discharges from CSOs. Quantification of CSO discharges are important in relation to the increased environmental awareness of the receiving water bodies. Furthermore, CSO discharge quantification is essential for closing the rainfall-runoff mass......-balance in combined sewer catchments. A closed mass-balance is an advantage for calibration of all urban drainage models based on mass-balance principles. This study presents three different software sensor concepts based on local water level sensors, which can be used to estimate CSO discharge volumes from hydraulic...

  4. Characterisation of pulsed discharge in water

    Science.gov (United States)

    Kocik, Marek; Dors, Miroslaw; Podlinski, Janusz; Mizeraczyk, Jerzy; Kanazawa, Seiji; Ichiki, Ryuta; Sato, Takehiko

    2013-10-01

    In this paper, Schlieren photography technique has been applied for the visualization of the pressure field of a single-shot underwater pulsed discharge. A needle-to-plane electrode configuration submerged in distilled water was used. The detailed time- and space-resolved images of both streamers and pressure waves were captured. As a result, several phenomena, such as the phase change prior to the initiation of the discharge, primary and secondary streamers propagation, shock wave generation, and the bubble formation, were observed. From these observations, a scenario of multiple events from prebreakdown to post-discharge was proposed. The gas bubbles generated in discharge were used to visualize the electrohydrodynamic flow induced by the discharge. This work was presented on the occasion of the 13th International Symposium on High Pressure Low Temperature Plasma Chemistry (Hakone XIII).

  5. Influence on discharge uniformity of electrodes configuration

    CERN Document Server

    Zheng Jian; Sui Zhan; Lu Jing Ping; Zheng Kui Xing; Zhang Xiong Jun; Dong Yun; Feng Bin

    2002-01-01

    Large area glow discharge plasma that is transparent and highly conductive can be used as electrodes in Pockels cell to extend the switch aperture. To investigate this technology, a glow discharging chamber with a clear aperture of 5 cm x 5 cm was constructed, and hollow cathode, button cathode, pin cathode, bar cathode and bar anode were designed and produced. Using CCD imaging system, the discharging uniformity of different cathodes was tested with bar anode and under the different pressure pre-ionization voltage and main discharging voltage. A uniform plasma can be obtained with a hollow cathode when the pre-ionization voltage is about 700 V, the pressure is about 30 Pa, and the main discharging voltage is about 4 kV, which can be used for the plasma electrode of Pockels cell

  6. Discharge coefficient of small sonic nozzles

    Directory of Open Access Journals (Sweden)

    Yin Zhao-Qin

    2014-01-01

    Full Text Available The purpose of this investigation is to understand flow characteristics in mini/micro sonic nozzles, in order to precisely measure and control miniscule flowrates. Experimental and numerical simulation methods have been used to study critical flow Venturi nozzles. The results show that the nozzle’s size and shape influence gas flow characteristics which leading the boundary layer thickness to change, and then impact on the discharge coefficient. With the diameter of sonic nozzle throat decreasing, the discharge coefficient reduces. The maximum discharge coefficient exits in the condition of the inlet surface radius being double the throat diameter. The longer the diffuser section, the smaller the discharge coefficient becomes. Diffuser angle affects the discharge coefficient slightly.

  7. Impact of Pharmacist Facilitated Discharge Medication Reconciliation

    Directory of Open Access Journals (Sweden)

    Todd M. Super

    2014-07-01

    Full Text Available Preventable adverse drug events occur frequently at transitions in care and are a problem for many patients following hospital discharge. Many of these problems can be attributed to poor medication reconciliation. The purpose of this study was to assess the impact that direct pharmacist involvement in the discharge medication reconciliation process had on medication discrepancies, patient outcomes, and satisfaction. A cohort study of 70 patients was designed to assess the impact of pharmacist facilitated discharge medication reconciliation at a 204-bed community hospital in Battle Creek, Michigan, USA. Discharge summaries were analyzed to compare patients who received standard discharge without pharmacist involvement to those having pharmacist involvement. The total number of discrepancies in the group without pharmacist involvement was significantly higher than that of the pharmacist facilitated group.

  8. Helium corona-assisted air discharge

    Energy Technology Data Exchange (ETDEWEB)

    Jiang Nan; Gao Lei; Ji Ailing; Cao Zexian [Institute of Physics, Chinese Academy of Sciences, Beijing 100190 (China)

    2011-10-15

    Operation of atmospheric discharge of electronegative gases including air at low voltages yet without consuming any inert gas will enormously promote the application of non-thermal plasmas. By taking advantage of the low onset voltage for helium corona, air discharge was successfully launched at much reduced voltages with a needle-plate system partly contained in a helium-filled glass bulb--for a needle-plate distance of 12 mm, 1.0 kV suffices. Ultraviolet emission from helium corona facilitates the discharging of air, and the discharge current manifests distinct features such as relatively broad Trichel pulses in both half periods. This design allows safe and economic implementation of atmospheric discharge of electronegative gases, which will find a broad palette of applications in surface modification, plasma medicine and gas treatment, etc.

  9. The making of local hospital discharge arrangements

    DEFF Research Database (Denmark)

    Burau, Viola; Bro, Flemming

    2015-01-01

    Background Timely discharge is a key component of contemporary hospital governance and raises questions about how to move to more explicit discharge arrangements. Although associated organisational changes closely intersect with professional interests, there are relatively few studies...... and involvement in the process of organisational change: whereas in the ‘add on’ model the professional groups remain at a distance, in the ‘embedded model’ they are closely engaged. Conclusions In terms of understanding the making of hospital discharge arrangements, the study contributes two sets of insights...... in the literature on hospital discharge that explicitly examine the role of professional groups. Recent contributions to the literature on organisational studies of the professions help to specify how professional groups in hospitals contribute to the introduction and routinisation of discharge arrangements...

  10. Numerical investigation of dielectric barrier discharges

    Science.gov (United States)

    Li, Jing

    1997-12-01

    A dielectric barrier discharge (DBD) is a transient discharge occurring between two electrodes in coaxial or planar arrangements separated by one or two layers of dielectric material. The charge accumulated on the dielectric barrier generates a field in a direction opposite to the applied field. The discharge is quenched before an arc is formed. It is one of the few non-thermal discharges that operates at atmospheric pressure and has the potential for use in pollution control. In this work, a numerical model of the dielectric barrier discharge is developed, along with the numerical approach. Adaptive grids based on the charge distribution is used. A self-consistent method is used to solve for the electric field and charge densities. The Successive Overrelaxation (SOR) method in a non-uniform grid spacing is used to solve the Poisson's equation in the cylindrically-symmetric coordinate. The Flux Corrected Transport (FCT) method is modified to solve the continuity equations in the non-uniform grid spacing. Parametric studies of dielectric barrier discharges are conducted. General characteristics of dielectric barrier discharges in both anode-directed and cathode-directed streamer are studied. Effects of the dielectric capacitance, the applied field, the resistance in external circuit and the type of gases (O2, air, N2) are investigated. We conclude that the SOR method in an adaptive grid spacing for the solution of the Poisson's equation in the cylindrically-symmetric coordinate is convergent and effective. The dielectric capacitance has little effect on the g-factor of radical production, but it determines the strength of the dielectric barrier discharge. The applied field and the type of gases used have a significant role on the current peak, current pulse duration and radical generation efficiency, discharge strength, and microstreamer radius, whereas the external series resistance has very little effect on the streamer properties. The results are helpful in

  11. Discussion on Form Focused Instruction

    Institute of Scientific and Technical Information of China (English)

    冯滢

    2007-01-01

    The pedagogy of language teaching has moved from one extreme-Grammar Translation Method to the other-Communicative Language Teaching.Today Form Focused Instruction(FFI) has emerged,intending to bring language forms instruction back to the communicative language classroom.Despite of the approval of this new approach,there is a hot dispute on its two types of application:Focus on Form or Focus on FormS.This article briefly analyzes FFI in recent research studies with focus on the choice between the two types ...

  12. Best practices in writing instruction

    CERN Document Server

    Fitzgerald, Jill; MacArthur, Charles A

    2014-01-01

    An indispensable teacher resource and course text, this book presents evidence-based practices for helping all K-12 students develop their skills as writers. Every chapter draws clear connections to the Common Core State Standards (CCSS). Leading authorities describe how to teach the skills and strategies that students need to plan, draft, evaluate, and revise multiple types of texts. Also addressed are ways for teachers to integrate technology into the writing program, use assessment to inform instruction, teach writing in the content areas, and tailor instruction for English language learner

  13. Individualized additional instruction for calculus

    Science.gov (United States)

    Takata, Ken

    2010-10-01

    College students enrolling in the calculus sequence have a wide variance in their preparation and abilities, yet they are usually taught from the same lecture. We describe another pedagogical model of Individualized Additional Instruction (IAI) that assesses each student frequently and prescribes further instruction and homework based on the student's performance. Our study compares two calculus classes, one taught with mandatory remedial IAI and the other without. The class with mandatory remedial IAI did significantly better on comprehensive multiple-choice exams, participated more frequently in classroom discussion and showed greater interest in theorem-proving and other advanced topics.

  14. Submittal of SWMU Assessment Report for Building 9960 Surface Discharge

    Energy Technology Data Exchange (ETDEWEB)

    Dotson, Patrick Wells [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States)

    2015-03-01

    Sandia National Laboratories is a multi-purpose engineering and science laboratory owned by the U.S. Department of Energy (DOE)/National Nuclear Security Administration and managed and operated by Sandia Corporation (Sandia), a wholly-owned subsidiary of Lockheed Martin Corporation. This Solid Waste Management Unit (SWMU) Assessment Report (SAR) for the Sandia National Laboratories, New Mexico (SNL/NM), Coyote Test Field, Building 9960 Surface Discharge, has been prepared in accordance with Section V of the Compliance Order on Consent (the Consent Order) between the New Mexico Environment Department (NMED), DOE, and Sandia (NMED April 2004). The DOE and Sandia formally notified the NMED of this newly identified or suspected SWMU or Area of Concern (AOC) by letter dated December 9, 2014. This SAR is being submitted in accordance with the NMED Hazardous Waste Bureau (HWB) letter dated February 16, 2015 letter (Kieling February 2015). This SAR presents the available information for the Building 9960 Surface Discharge, including location, designation of type and function, a general description, the operational dates, waste characteristics, and a summary of existing analytical wastewater and soil data

  15. Safety and efficiency of emergency department assessment of chest discomfort

    Science.gov (United States)

    Christenson, Jim; Innes, Grant; McKnight, Douglas; Boychuk, Barb; Grafstein, Eric; Thompson, Christopher R.; Rosenberg, Frances; Anis, Aslam H.; Gin, Ken; Tilley, Jessica; Wong, Hubert; Singer, Joel

    2004-01-01

    Background Most Canadian emergency departments use an unstructured, individualized approach to patients with chest pain, without data to support the safety and efficiency of this practice. We sought to determine the proportions of patients with chest discomfort in emergency departments who either had acute coronary syndrome (ACS) and were inappropriately discharged from the emergency department or did not have ACS and were held for investigation. Methods Consecutive consenting patients aged 25 years or older presenting with chest discomfort to 2 urban tertiary care emergency departments between June 2000 and April 2001 were prospectively enrolled unless they had a terminal illness, an obvious traumatic cause, a radiographically identifiable cause, severe communication problems or no fixed address in British Columbia or they would not be available for follow-up by telephone. At 30 days we assigned predefined explicit outcome diagnoses: definite ACS (acute myocardial infarction [AMI] or definite unstable angina) or no ACS. Results Of 1819 patients, 241 (13.2%) were assigned a 30-day diagnosis of AMI and 157 (8.6%), definite unstable angina. Of these 398 patients, 21 (5.3%) were discharged from the emergency department without a diagnosis of ACS and without plans for further investigation. The clinical sensitivity for detecting ACS was 94.7% (95% confidence interval [CI] 92.5%– 96.9%) and the specificity 73.8% (95% CI 71.5%– 76.0%). Of the patients without ACS or an adverse event, 71.1% were admitted to hospital or held in the emergency department for more than 3 hours. Interpretation The current individualized approach to evaluation and disposition of patients with chest discomfort in 2 Canadian tertiary care emergency departments misses 5.3% of cases of ACS while consuming considerable health care resources for patients without coronary disease. Opportunities exist to improve both safety and efficiency. PMID:15184334

  16. [Effectiveness of an early discharge program after normal childbirth].

    Science.gov (United States)

    Teulón González, M; Martínez Pillado, M; Cuadrado Martín, M M; Rivero Martín, M J; Cerezuela Requena, J F

    To implement a program of early hospital discharge after an uncomplicated birth, in order to improve the effectiveness, as well as ensuring clinical safety and patient acceptability. Descriptive study of the effectiveness of an early discharge program after uncomplicated delivery between February 2012 and September 2013. The populations are post-partum women and newborns admitted to the University Hospital of Fuenlabrada, with a duration of less than 24h after uncomplicated delivery that met the defined inclusion criteria. Satisfaction was assessed using a Likert scale. The effectiveness of the program was monitored by safety indicators, productivity, adaptation, and continuity of care. A total of 20% of cases capable of early discharge from Fuenlabrada University Hospital completed the program. Almost all (94%) were normal deliveries. The 188 cases included were from 911 patients with uncomplicated childbirth, accounting for 6.5% of the 2,857 total births. The mean stay of patients included showed a decrease of 50% (2.4 to 1.2 days). All patients received continuity of care after hospital discharge. The review consultation was reprogrammed for 4.8% of cases, with 2% of patients re-admitted within 96h. with no serious problems. Four newborns (2%) required attention in the emergency department (mother or newborn) before 96h. The assessment of patient satisfaction achieved a score of 4.5 out of 5. The program achieved a decrease in the average stay by 50%, favouring the autonomy of midwives. This acceptance level is in line with similar interventions. The deployment of the program may be useful for other changes in care processes. Copyright © 2016 SECA. Publicado por Elsevier España, S.L.U. All rights reserved.

  17. Techno-Instruction or Primitivism: Blended Instruction in Algebra I

    Science.gov (United States)

    McNeely, Silvia Ann

    2014-01-01

    Integrated technology within a learning environment has become a common instructional expectation in public schools. Many school officials are embracing constructivist views that students learn best within a blended learning environment that promotes active learning by anchoring skills and concepts affiliated to real-world activities. This…

  18. Aligning Business Needs and Instructional Assets (Recycling Instructional Assets)

    Science.gov (United States)

    Gendelman, Joel

    2009-01-01

    High-performing organizations and performance improvement professionals frequently speak about the alignment of their instructional curricula with the needs of the business. However, they often lack a systematic methodology for performing that alignment. This article presents such a method. The process provides the ability to better support…

  19. Extending Library Instruction: Using Blogger to Collaborate, Connect, and Instruct

    Science.gov (United States)

    Goss, Harold, Jr.

    2010-01-01

    The expectations placed on library instruction programs by the Association of College and Research Libraries are high. Many universities also include information literacy competencies as learning objectives to be assessed at the institutional level. With those standards in mind, it is becoming increasingly difficult to adequately educate students…

  20. Evaluating Instructional Effectiveness with the Instructional Improvement Questionnaire.

    Science.gov (United States)

    Pohlmann, John T.

    The Instructional Improvement Questionnaire (IIQ) is a four-part questionnaire designed to collect evaluative feedback from students on their instructors and courses. The class characteristics section collects data from the student on variables such as grade point average, sex, class level, grade expected, time spent studying for the course, etc.…

  1. Discharge analysis and electrical modeling for the development of efficient dielectric barrier discharge

    Science.gov (United States)

    Pal, U. N.; Kumar, M.; Tyagi, M. S.; Meena, B. L.; Khatun, H.; Sharma, A. K.

    2010-02-01

    Dielectric-barrier discharges (DBDs) are characterized by the presence of at least one insulating layer in contact with the discharge between two planar or cylindrical electrodes connected to an AC/pulse power supply. The dielectric layers covering the electrodes act as current limiters and prevent the transition to an arc discharge. DBDs exist usually in filamentary mode, based on the streamer nature of the discharges. The main advantage of this type of electrical discharges is that nonequilibrium and non-thermal plasma conditions can be established at atmospheric pressure. VUV/UV sources based on DBDs are considered as promising alternatives of conventional mercury-based discharge plasmas, producing highly efficient VUV/UV radiation. The experiments have been performed using two coaxial quartz double barrier DBD tubes, which are filled with Xe/Ar at different pressures. A sinusoidal voltage up to 2.4 kV peak with frequencies from 20 to 100 kHz has been applied to the discharge electrodes for the generation of microdischarges. A stable and uniform discharge is produced in the gas gap between the dielectric barrier electrodes. By comparisons of visual images and electrical waveforms, the filamentary discharges for Ar tube while homogeneous discharge for Xe tube at the same conditions have been confirmed. The electrical modeling has been carried out to understand DBD phenomenon in variation of applied voltage waveforms. The simulated discharge characteristics have been validated by the experimental results.

  2. Influence of Four Factors on Discharge Capacity and Self-Discharge Rate of Iron Electrode

    Institute of Scientific and Technical Information of China (English)

    Dongfeng LIN; Shihai YE; Rong CAI; Deying SONG; Panwen SHEN

    2003-01-01

    Ni-Fe rechargeable batteries possess the advantages of long cycle life, high theoretical specific energy, abundant raw material,Iow price and environmental friendship. It has a wide applied perspective. The advantages, disadvantages and preparation methods of iron electrodes were summarized. The influence of four factors on discharge capacity and self-discharge rate of iron electrode were discussed by means of orthogonal experiments, galvanostatic charges and discharges. The influences of graphite on the discharge capacity and self-discharge rate of iron electrode were the most remarkable, the most unapparent influences on the discharge capacity and self-discharge rate were HPMC (hydroxy propoxy methoxy cellulose) and sodium sulphide, respectively. The aim of the present research was to study the effects of graphite, HPMC and iron powder added in the electrodes, sodium sulphide added in the electrolytes on the discharge capacity and self-discharge rate of iron electrodes.The largest discharge capacity of the iron electrodes was 488.5 mAh/g-Fe at 66.4 mA/g-Fe in the first ten cycles, and the average self-discharge rate was 0.367% per hour.

  3. Understanding discharge communication behaviours in a pediatric emergency care context: a mixed methods observation study protocol.

    Science.gov (United States)

    Curran, Janet A; Bishop, Andrea; Plint, Amy; MacPhee, Shannon; Zemek, Roger; Chorney, Jill; Jabbour, Mona; Porter, Stephen; Sawyer, Scott

    2017-04-17

    One of the most important transitions in the continuum of care for children is discharge to home. Optimal discharge communication between healthcare providers and caregivers (e.g., parents or other guardians) who present to the emergency department (ED) with their children is not well understood. The lack of policies and considerable variation in practice regarding discharge communication in pediatric EDs pose a quality and safety risk for children and their parents. The aim of this mixed methods study is to better understand the process and structure of discharge communication in a pediatric ED context to contribute to the design and development of discharge communication interventions. We will use surveys, administrative data and real-time video observation to characterize discharge communication for six common illness presentations in a pediatric ED: (1) asthma, (2) bronchiolitis, (3) abdominal pain, (4) fever, (5) diarrhea and vomiting, and (6) minor head injury. Participants will be recruited from one of two urban pediatric EDs in Canada. Video recordings will be analyzed using Observer XT. We will use logistic regression to identify potential demographic and visit characteristic cofounders and multivariate logistic regression to examine association between verbal and non-verbal behaviours and parent recall and comprehension. Video recording of discharge communication will provide an opportunity to capture important data such as temporality, sequence and non-verbal behaviours that might influence the communication process. Given the importance of better characterizing discharge communication to identify potential barriers and enablers, we anticipate that the findings from this study will contribute to the development of more effective discharge communication policies and interventions.

  4. Mechanical engineering department technical review

    Energy Technology Data Exchange (ETDEWEB)

    Carr, R.B. Denney, R.M. (eds.)

    1981-01-01

    The Mechanical Engineering Department Technical Review is published to: (1) inform the readers of various technical activities within the department, (2) promote exchange of ideas, and (3) give credit to the personnel who are achieving the results. The report is formatted into two parts: technical acievements and publication abstracts. The first is divided into eight sections, one for each division in the department providing the reader with the names of the personnel and the division accomplishing the work.

  5. Mechanical Engineering Department. Technical review

    Energy Technology Data Exchange (ETDEWEB)

    Simecka, W.B.; Condouris, R.A.; Talaber, C. (eds.)

    1980-01-01

    The Mechanical Engineering Department Technical Review is published to (1) inform the readers of various technical activities within the Department, (2) promote exchange of ideas, and (3) give credit to the personnel who are achieving the results. The report is formatted into two parts: technical achievements and publication abstracts. The first is divided into eight sections, one for each Division in the Department providing the reader with the names of the personnel and the Division accomplishing the work.

  6. Mechanical Engineering Department technical abstracts

    Energy Technology Data Exchange (ETDEWEB)

    Denney, R.M. (ed.)

    1982-07-01

    The Mechanical Engineering Department publishes listings of technical abstracts twice a year to inform readers of the broad range of technical activities in the Department, and to promote an exchange of ideas. Details of the work covered by an abstract may be obtained by contacting the author(s). Overall information about current activities of each of the Department's seven divisions precedes the technical abstracts.

  7. High-pressure hollow cathode discharges

    Science.gov (United States)

    Schoenbach, Karl H.; El-Habachi, Ahmed; Shi, Wenhui; Ciocca, Marco

    1997-11-01

    Reducing the diameter of the cathode hole in a plane anode - hollow cathode geometry to 0963-0252/6/4/003/img1m has allowed us to generate direct current discharges in argon at atmospheric pressure. Up to pressure times cathode hole diameter (pD) values of approximately 5 Torr cm, and at sub-mA currents, glow discharges (predischarges) are observed with a shape which is determined by the vacuum electric field. In the same pD range, but at higher currents of up to approximately 4 mA, the discharges are of the hollow cathode discharge type. At pD values exceeding 5 Torr cm the predischarges turn into surface discharges along the mica spacer between the electrodes. At currents > 4 mA filamentary, pulsed discharges are observed. Qualitative information on the electron energy distribution in the microdischarges has been obtained by studying the VUV emission from ionized argon atoms and the argon excimer radiation at 130 nm. The results of the spectral measurements indicate the presence of a relatively large concentration of electrons with energies > 15 eV over the entire pressure range. The fact that the current - voltage characteristic of the microdischarges has a positive slope over much of the current range where excimer radiation is emitted indicates the possibility of forming arrays of these discharges and using them in flat panel excimer lamps.

  8. Understanding Medical Words Tutorial: Download Instructions

    Science.gov (United States)

    ... https://medlineplus.gov/medwords/medicalwordsdownload.html Understanding Medical Words Tutorial: Download Instructions To use the sharing features ... no Internet connection is available. Download: Understanding Medical Words [16MB zip file] Download instructions : Click on the ...

  9. Types of verbal interaction with instructable robots

    Science.gov (United States)

    Crangle, C.; Suppes, P.; Michalowski, S.

    1987-01-01

    An instructable robot is one that accepts instruction in some natural language such as English and uses that instruction to extend its basic repertoire of actions. Such robots are quite different in conception from autonomously intelligent robots, which provide the impetus for much of the research on inference and planning in artificial intelligence. Examined here are the significant problem areas in the design of robots that learn from vebal instruction. Examples are drawn primarily from our earlier work on instructable robots and recent work on the Robotic Aid for the physically disabled. Natural-language understanding by machines is discussed as well as in the possibilities and limits of verbal instruction. The core problem of verbal instruction, namely, how to achieve specific concrete action in the robot in response to commands that express general intentions, is considered, as are two major challenges to instructability: achieving appropriate real-time behavior in the robot, and extending the robot's language capabilities.

  10. Gagne's Learning Theory Applied to Technical Instruction

    Science.gov (United States)

    Lawson, Tom E.

    1974-01-01

    An overview of Robert M. Gagne's theoretical position of learning and instruction is presented with a discussion of possible applications and usefulness of the theory toward the development of technical instruction. (Author/AG)

  11. Learning Theory, Educational Media and Individualized Instruction

    Science.gov (United States)

    Gagne, Robert M.

    1970-01-01

    An examination of learning theory and its applicability to the design of effective individualized instruction. The article also discusses the need to consider learning objectives when choosing media to perform instructional functions. (AA)

  12. Computer Animation in an Instructional Environment.

    Science.gov (United States)

    Large, Andrew

    1996-01-01

    Reviews the effectiveness of animation in enhancing textual information for instructional purposes and identifies factors that determine effectiveness. Outlines methodological problems in the research and summarizes design criteria for multimedia instructional products. Contains 78 references. (PEN)

  13. Whiteboards and discharge traffic lights: visual management in acute care.

    Science.gov (United States)

    O'Brien, Lauri; Bassham, Jane; Lewis, Melissa

    2015-04-01

    Flinders Medical Centre was experiencing issues with timely discharge and knowing the potential discharges and in-patient bed capacity for the next day. This case study describes the application of 'visual management' theory to discharge processes. The solutions developed were 'patient journey boards' and 'discharge traffic lights'. The implementation of these visual management systems has enabled the hospital to improve its discharge processes.

  14. Modes of Homogeneous Barrier Discharge at Atmospheric Pressure in Helium

    Institute of Scientific and Technical Information of China (English)

    WANG Yan-Hui; WANG De-Zhen

    2004-01-01

    @@ The discharge modes of a homogeneous barrier discharge at atmospheric pressure in helium are investigated with a one-dimensional fluid model It is found that, either in single peak discharge or in multipeak discharge, there are two discharge modes: glow and Townsend modes. The structure and features of the two modes are compared.The conditions forming the two modes are discussed.

  15. Instruction Scheduling Across Control Flow

    Directory of Open Access Journals (Sweden)

    Martin Charles Golumbic

    1993-01-01

    Full Text Available Instruction scheduling algorithms are used in compilers to reduce run-time delays for the compiled code by the reordering or transformation of program statements, usually at the intermediate language or assembly code level. Considerable research has been carried out on scheduling code within the scope of basic blocks, i.e., straight line sections of code, and very effective basic block schedulers are now included in most modern compilers and especially for pipeline processors. In previous work Golumbic and Rainis: IBM J. Res. Dev., Vol. 34, pp.93–97, 1990, we presented code replication techniques for scheduling beyond the scope of basic blocks that provide reasonable improvements of running time of the compiled code, but which still leaves room for further improvement. In this article we present a new method for scheduling beyond basic blocks called SHACOOF. This new technique takes advantage of a conventional, high quality basic block scheduler by first suppressing selected subsequences of instructions and then scheduling the modified sequence of instructions using the basic block scheduler. A candidate subsequence for suppression can be found by identifying a region of a program control flow graph, called an S-region, which has a unique entry and a unique exit and meets predetermined criteria. This enables scheduling of a sequence of instructions beyond basic block boundaries, with only minimal changes to an existing compiler, by identifying beneficial opportunities to cover delays that would otherwise have been beyond its scope.

  16. Psychology of Learning for Instruction.

    Science.gov (United States)

    Driscoll, Marcy P.

    This cognitively-oriented book focuses on learning and instruction. Specific applications and implications of learning theories are discussed and examples are drawn from educational situations and educational problems. Theoretical concepts are illustrated in concrete terms and a wide variety of examples are provided. The text embodies a theme of…

  17. Aesthetic Principles for Instructional Design

    Science.gov (United States)

    Parrish, Patrick E.

    2009-01-01

    This article offers principles that contribute to developing the aesthetics of instructional design. Rather than describing merely the surface qualities of things and events, the concept of aesthetics as applied here pertains to heightened, integral experience. Aesthetic experiences are those that are immersive, infused with meaning, and felt as…

  18. Succession Planning for Library Instruction

    Science.gov (United States)

    Sobel, Karen; Drewry, Josiah

    2015-01-01

    Detailed succession planning helps libraries pass information from one employee to the next. This is crucial in preparing for hiring, turnover, retirements, training of graduate teaching assistants in academic libraries, and other common situations. The authors of this article discuss succession planning for instruction programs in academic…

  19. Safety instruction 51 (IS51)

    CERN Multimedia

    SC Secretariat

    2005-01-01

    Please note that Safety Instruction No. 51 (IS51) entitled 'Operational and Information Procedures in Response to Accidents' is available on the web at the following url: https://edms.cern.ch/document/502036/LAST_RELEASED Paper copies can also be obtained from the SC unit secretariat, e-mail : sc.secretariat@cern.ch SC Secretariat

  20. Health Instruction Packages: Cardiac Anatomy.

    Science.gov (United States)

    Phillips, Gwen; And Others

    Text, illustrations, and exercises are utilized in these five learning modules to instruct nurses, students, and other health care professionals in cardiac anatomy and functions and in fundamental electrocardiographic techniques. The first module, "Cardiac Anatomy and Physiology: A Review" by Gwen Phillips, teaches the learner to draw…