WorldWideScience

Sample records for hf communications improvement

  1. General concepts of modern HF communications

    Science.gov (United States)

    Aarons, Jules

    Both conceptual and hardware advancements have led to substantial systems developments in military HF communications; the former encompass coding and error correction techniques for security, in order to minimize propagation and interference, while the latter prominently include digital equipment permitting the selection of a frequency for a particular path and propagation mode, as well as modulation selection. Propagation-related advancements involve better statistical models as well as advancements in short-term forecasting methods responsive to changes in solar-geophysical parameters. Adaptive HF systems have been developed for meteor-scatter radio communications.

  2. Improvements on Signal Processing for HF Radar

    Institute of Scientific and Technical Information of China (English)

    LIU Yongtan; SHEN Yiying

    2001-01-01

    In this paper improvements on signalprocessing are achieved to enhance the performancesof H-F radar system, being unobtainable by the con-ventional signal processing. Using the improved sig-nal processing both high range resolution and longcoherent integration time may be obtained for goodbenefit to the target resolution and weak signal de-tection. Modification to the unmatched correspon-dence between range delay samples and range resolu-tion ceils saves an additional accumulation loss in therange processing. Finally, comparisons between theimproved and the conventional signal processing aregiven by numerical simulation.

  3. Improving Communication in Design

    DEFF Research Database (Denmark)

    Maier, Anja; Doenmez, Denniz; Hepperle, Clemens

    2011-01-01

    Communication permeates every aspect of an engineer’s work – from clarifying product specifications to shaping social ties. This paper offers an overview of recommendations from literature to improve communication within and among engineering teams. We assume communication problems are often...

  4. Improving Pathologists' Communication Skills.

    Science.gov (United States)

    Dintzis, Suzanne

    2016-08-01

    The 2015 Institute of Medicine report on diagnostic error has placed a national spotlight on the importance of improving communication among clinicians and between clinicians and patients [1]. The report emphasizes the critical role that communication plays in patient safety and outlines ways that pathologists can support this process. Despite recognition of communication as an essential element in patient care, pathologists currently undergo limited (if any) formal training in communication skills. To address this gap, we at the University of Washington Medical Center developed communication training with the goal of establishing best practice procedures for effective pathology communication. The course includes lectures, role playing, and simulated clinician-pathologist interactions for training and evaluation of pathology communication performance. Providing communication training can help create reliable communication pathways that anticipate and address potential barriers and errors before they happen.

  5. Improve your communication skills

    CERN Document Server

    Barker, Alan

    2016-01-01

    Excellent communication skills are vital in today's workplace. Whether keeping the interest of a large audience, impressing a potential employer or simply winning the argument at an important meeting, sounding the part is key. This fourth edition of Improve Your Communication Skills is full of practical advice on all aspects of verbal and non-verbal communication. It gives vital tips on improving conversations and building rapport with colleagues, learning the skills of persuasion, and writing effective emails, letters and reports. This editionincludes new information focusing on communicating across borders and virtual teams and a new chapter on managing difficult conversations."

  6. Improving Family Communications

    Science.gov (United States)

    ... Spread the Word Shop AAP Find a Pediatrician Family Life Medical Home Family Dynamics Adoption & Foster Care ... Listen Español Text Size Email Print Share Improving Family Communications Page Content Article Body How can I ...

  7. HF Detecting Radar and Communication Frequency Selection System

    Institute of Scientific and Technical Information of China (English)

    2000-01-01

    Real time communication (RTC) frequency selecting system is used to the maximum usable frequency (MUF) between two communication points, then finds the best frequency between 0. 85 MUF and 1.0MUF. Determination of electric wave delay is mostly introduced, and of MUF values, the form of frequencycontrolling code and relative interface circuits in the frequency selecting system are introduced in detail.

  8. A new wideband HF technique for MHz-bandwidth spread-spectrum radio communications

    Science.gov (United States)

    Perry, B. D.

    1983-09-01

    The one-way results are seen as demonstrating that equalized MHz-bandwidth skywave HF channels can be achieved using long-range one-hop F-layer propagation paths. It has thus become possible to use direct-sequence pseudo-noise or coherent fast-frequency-hop signaling at HF with processing gains of several orders of magnitude for teletype data rates. Possibilities are seen for using the spread spectrum in covert and/or jam-resistant communications. What is more, the equalized wideband HF channel is not subject to the fading caused by multiple propagation modes; as a consequence, it is substantially more reliable than the traditional narrow-band HF channel. Conversely, reliability comparable to traditional HF can be attained at greatly reduced signal margins. Since the time stability of the wideband HF channel is of the order of 10 s, very little channel-transmission time is needed for initializing and maintaining the equalizer. It is noted that probe signals similar to the channel-measuring waveform described here or spread-spectrum training sequences at the beginning of each message are adequate. Results from the 1982 two-way experimentation show that N(omega) is not reciprocal between terminals 2000 km apart.

  9. Propagation Impact on Modern HF (High Frequency) Communications System Design

    Science.gov (United States)

    1986-03-01

    US Gvt Printing Office, Washington DC. Piggot, W.R., Rawer, K. (1972). URSI Handbook for lonogram Interpretation and... Handbook ", Communications Research Centre Report No. 1255, 1974. Widrow B., Mantey P.E., Griffiths L.J. and Goode B.B., "Adaptive Antenna Systems...implemented in modified form by the terminal node controller (TNC). In the U.S., Amateur Radio Relay League ( ARRL ) radio amateurs have held four annual

  10. Ozone Treatment Improved the Resistive Switching Uniformity of HfAlO2 Based RRAM Devices

    Directory of Open Access Journals (Sweden)

    Lifeng Liu

    2015-01-01

    Full Text Available HfAlO2 based resistive random access memory (RRAM devices were fabricated using atomic layer deposition by modulating deposition cycles for HfO2 and Al2O3. Effect of ozone treatment on the resistive switching uniformity of HfAlO2 based RRAM devices was investigated. Compared to the as-fabricated devices, the resistive switching uniformity of HfAlO2 based RRAM devices with the ozone treatment is significantly improved. The uniformity improvement of HfAlO2 based RRAM devices is related to changes in compositional and structural properties of the HfAlO2 resistive switching film with the ozone treatment.

  11. Research on Multi-Layer Distributed HF Radio Network Structure

    Institute of Scientific and Technical Information of China (English)

    Hui Dai; Chun-Jiang Wang; Quan Yu

    2008-01-01

    High frequency (HF) transmission is an important communication techniques. However, conventional point-to-point transmission can be easily destroyed, which limits its utilization in practice. HF networking communication has the capability against demolishment. The network structure is one of the key factors for HF networking communication. In this paper, a novel analysis method of the network connectedness based on the eigenvalue is derived, and a multi-layer distributed HF radio network structure is proposed. Both the theore tical analysis and the computer simulation results verify that the application of the proposed network structure in the HF radio communication can improve the anti demolishment ability of the HF network efficiently.

  12. Improving Communication in Design

    DEFF Research Database (Denmark)

    Maier, Anja; Doenmez, Denniz; Hepperle, Clemens

    2011-01-01

    the outcome of underlying factors and that it is fruitful to study and improve these influences. Having been empirically elicited in prior research, 24 factors considered in this paper include, e.g., availability of information about product specifications, roles and responsibilities, and overview of sequence...... of tasks. To improve these factors in order to enable effective communication, this paper collates more than hundred recommendations from journal articles and textbooks published in the fields of engineering design, management science, sociology, and psychology. Recommendations include, for example......, identify priorities through risk and bottleneck analysis, give clear descriptions and role expectations, and employ effective process modeling tools. Contributions of this paper are a list of recommendations for industry practitioners and an effort-benefit evaluation of individual recommendations....

  13. Improving Employee Communications

    Energy Technology Data Exchange (ETDEWEB)

    A. R. Pomplun; B. J. Kelley; B. L. Schrader; R. C. Christma; R. H. Tucker

    1999-01-01

    This report summarizes the findings and recommendation of the Sandia/California Site Communications Team based on activities during FY98. The important conclusions are that effective communications are everyone's business; careful planning and execution are required for effective communications; and communication planning can be described in steps easily understood by everyone. Included in this report is a quick reference (toolkit) for communication planning and implementation.

  14. Improving Internal Communication.

    Science.gov (United States)

    Bonus, Thaddeus, Ed.

    Guidelines for developing the internal communications of colleges and universities, researching internal communication needs, and increasing information flow through traditional and nontraditional media are provided in 11 articles. Titles and authors include the following: "Work for an Open Internal Communication Policy" (Thaddeus Bonus); "Five…

  15. Improving biotechnology communication.

    Science.gov (United States)

    Weitze, Marc-Denis; Pühler, Alfred

    2013-09-01

    Successful dialog between science and the public is vital for the development and introduction of new technologies. The National Academy of Science and Engineering in Germany has analysed experiences gained from controversies and communication strategies surrounding green genetic engineering and other fields of biotechnology, from a communications and social science viewpoint, as well as a historical perspective. From this, recommendations on how to communicate biotechnology in the future, with objectivity and balance, have been derived. Copyright © 2013 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim.

  16. Clinical trials update from the Heart Failure Society of America Meeting 2009: FAST, IMPROVE-HF, COACH galectin-3 substudy, HF-ACTION nuclear substudy, DAD-HF, and MARVEL-1.

    Science.gov (United States)

    Lainscak, Mitja; Coletta, Alison P; Sherwi, Nasser; Cleland, John G F

    2010-02-01

    This article presents findings and a commentary on late-breaking trials presented during the meeting of the Heart Failure Society of America in September 2009. Unpublished reports should be considered as preliminary, since analyses may change in the final publication. The FAST trial showed somewhat better performance of intrathoracic impedance for prediction of deterioration in patients with heart failure (HF) when compared with daily weighing. The IMPROVE-HF study reported the benefits of education on the management of patients with systolic HF. Galectin-3 appeared a useful method for improving risk stratification of patients with chronic HF in a substudy of the COACH trial. A nuclear substudy of the HF-ACTION trial failed to demonstrate that resting myocardial perfusion imaging, a measure of myocardial scar and viability, was clinically useful. A small randomized controlled trial (DAD-HF) suggested that the use of low-dose dopamine in patients with acutely decompensated HF was associated with less deterioration in renal function and less hypokalaemia. The MARVEL-1 trial raises further concerns about the safety of myoblast transplantation in ischaemic HF.

  17. Resistive switching characteristics of Pt/TaOx/HfNx structure and its performance improvement

    Directory of Open Access Journals (Sweden)

    Qigang Zhou

    2013-03-01

    Full Text Available The refractory transition metal nitride (TMN film Hafnium nitride (HfNx was successfully prepared on silicon-based substrates as bottom electrodes for resistive random access memory (RRAM cells in Pt (top/metal oxide/ HfNx (bottom sandwich structure. The reproducible resistive switching (RS characteristics of the memory cells were studied systematically for RRAM applications. The advantages of adopting HfNx instead of Pt as bottom electrode material were demonstrated, including the improvement of the low resistive state value, the RS endurance and the uniformity of RS parameters. The composition and chemical bonding states of the prepared HfNx was analyzed by X-ray photoelectron spectroscopy (XPS technique. The nitrogen content in the HfNx and the Gibbs free energy of the corresponding metal oxide formation has great influences on the RS properties. The oxygen reservoir ability and diffusion barrier effect of the HfNx play a key role in the RS performance improvement of the RRAM devices.

  18. Properties of Dopants in HfOx for Improving the Performance of Nonvolatile Memory

    Science.gov (United States)

    Duncan, Dan; Magyari-Köpe, Blanka; Nishi, Yoshio

    2017-03-01

    Doping is an increasingly popular technique for improving the characteristics of cutting-edge HfOx nonvolatile memory devices, but relatively few dopant species have been investigated. In this work, the properties of 50 different cation and anion dopants in HfOx are explored using density-functional theory and are corroborated with experimental data. Depending on the atomic species, dopants are found to preferentially form on either substitutional or interstitial lattice sites and to reduce the formation energy of oxygen vacancies in the surrounding oxide. The behavior of cation dopants in HfOx is also found to be well predicted by six properties: dopant valence, atomic radius, native-oxide enthalpy of formation, coordination number, magnetization, and charge transfer with the HfOx lattice. These results can be used to optimize dopant selection for tuning of the switching characteristics of HfOx -based resistance-change random-access-memory and conductive-bridge random-access-memory devices.

  19. Application of IRI-Plas in Ionospheric Tomography and HF Communication Studies with Assimilation of GPS-TEC

    Science.gov (United States)

    Arikan, Feza; Gulyaeva, Tamara; Sezen, Umut; Arikan, Orhan; Toker, Cenk; Hakan Tuna, MR.; Erdem, Esra

    2016-07-01

    International Reference Ionosphere is the most acknowledged climatic model of ionosphere that provides electron density profile and hourly, monthly median values of critical layer parameters of the ionosphere for a desired location, date and time between 60 to 2,000 km altitude. IRI is also accepted as the International Standard Ionosphere model. Recently, the IRI model is extended to the Global Positioning System (GPS) satellite orbital range of 20,000 km. The new version is called IRI-Plas and it can be obtained from http://ftp.izmiran.ru/pub/izmiran /SPIM/. A user-friendly online version is also provided at www.ionolab.org as a space weather service. Total Electron Content (TEC), which is defined as the line integral of electron density on a given ray path, is an observable parameter that can be estimated from earth based GPS receivers in a cost-effective manner as GPS-TEC. One of the most important advantages of IRI-Plas is the possible input of GPS-TEC to update the background deterministic ionospheric model to the current ionospheric state. This option is highly useful in regional and global tomography studies and HF link assessments. IONOLAB group currently implements IRI-Plas as a background model and updates the ionospheric state using GPS-TEC in IONOLAB-CIT and IONOLAB-RAY algorithms. The improved state of ionosphere allows the most reliable 4-D imaging of electron density profiles and HF and satellite communication link simulations.This study is supported by TUBITAK 115E915 and joint TUBITAK 114E092 and AS CR 14/001.

  20. Improving Navigation information for the Rotterdam Harbour access through a 3D Model and HF radar

    Science.gov (United States)

    Schroevers, Marinus

    2015-04-01

    The Port of Rotterdam is one of the largest harbours in the world and a gateway to Europe. For the access to Rotterdam harbour, information on hydrodynamic and meteorological conditions is of vital importance for safe and swift navigation. This information focuses on the deep navigation channel in the shallow foreshore, which accommodates large seagoing vessels. Due to a large seaward extension of the Port of Rotterdam area in 2011, current patterns have changed. A re-evaluation of the information needed, showed a need for an improved accuracy of the cross channel currents and swell, and an extended forecast horizon. To obtain this, new information system was designed based on a three dimensional hydrodynamic model which produces a 72 hour forecast. Furthermore, the system will assimilate HF radars surface current to optimize the short term forecast. The project has started in 2013 by specifying data needed from the HF radar. At the same time (temporary) buoys were deployed to monitor vertical current profiles. The HF radar will be operational in July 2015, while the model development starts beginning 2015. A pre operational version of the system is presently planned for the end of 2016. A full operational version which assimilates the HF radar data is planned for 2017.

  1. IMPROVED COMMUNICATION BETWEEN MANUFACTURING ROBOTS

    Directory of Open Access Journals (Sweden)

    R. Stopforth

    2012-01-01

    Full Text Available

    ENGLISH ABSTRACT: Communication between manufacturing robots and autonomous vehicles in the industrial environment is important, sinceinstructions and information are crucial for communication between the control station and the robot station. Information is required between different manufacturing robots for optimal performance and dedication to industrial tasks within the environment. Failures in communication could cause robots to be a safety hazard or to perform tasks that are not required. This article shows how communication was improved with the use of the Robotics Communication Protocol (RCP and an extension of this protocol.

    AFRIKAANSE OPSOMMING: Kommunikasie tussen vervaardigingsrobotte en outonome voertuie in ‘n industriële omgewing is belangrik, aangesien opdragte en inligting krities is vir kommunikasie tussen die beheerstasie en die robotstasie. Inligting word benodig tussen verskillende vervaardigingsrobotte vir optimale werkverrigting en toewyding aan take in die omgewing. Mislukte kommunikasie mag veroorsaak dat robotte ‘n veiligheidsrisiko word of veroorsaak dat onnodige take verrig word. Hierdie artikel toon hoe kommunikasie verbeter is deur die gebruik van die “robotika-kommunikasie-protokol” en ‘n uitbreiding van die protokol.

  2. Improved BLAST for wireless communications

    Institute of Scientific and Technical Information of China (English)

    Li Yongzhao; Liao Guisheng; Wang Feng

    2006-01-01

    Bell layered space-time architecture (BLAST) is a multi-antenna communication structure with high spectrum efficiency, and it has found wide applications in LANs and WLANs. However, its performance is much poorer than those of other space-time coding approaches. In order to improve its performance, an improved BLAST based on RAKE receiving is investigated. The new system introduces orthogonal spreading sequences (OSS) into the transmitter while retains the basic structure of BLAST. The proposed receiver suppresses interferences from other antennas by the orthogonality contained in the received signals, and extracts information from each receiving antenna by using RAKE receiving principle to construct efficient statistic decision. Simulation results show that the improved system performs well over both frequency-flat and frequency-selective fading channels.

  3. HF-based etching processes for improving laser damage resistance of fused silica optical surfaces

    Energy Technology Data Exchange (ETDEWEB)

    Suratwala, T I; Miller, P E; Bude, J D; Steele, R A; Shen, N; Monticelli, M V; Feit, M D; Laurence, T A; Norton, M A; Carr, C W; Wong, L L

    2010-02-23

    The effect of various HF-based etching processes on the laser damage resistance of scratched fused silica surfaces has been investigated. Conventionally polished and subsequently scratched fused silica plates were treated by submerging in various HF-based etchants (HF or NH{sub 4}F:HF at various ratios and concentrations) under different process conditions (e.g., agitation frequencies, etch times, rinse conditions, and environmental cleanliness). Subsequently, the laser damage resistance (at 351 or 355 nm) of the treated surface was measured. The laser damage resistance was found to be strongly process dependent and scaled inversely with scratch width. The etching process was optimized to remove or prevent the presence of identified precursors (chemical impurities, fracture surfaces, and silica-based redeposit) known to lead to laser damage initiation. The redeposit precursor was reduced (and hence the damage threshold was increased) by: (1) increasing the SiF{sub 6}{sup 2-} solubility through reduction in the NH4F concentration and impurity cation impurities, and (2) improving the mass transport of reaction product (SiF{sub 6}{sup 2-}) (using high frequency ultrasonic agitation and excessive spray rinsing) away from the etched surface. A 2D finite element crack-etching and rinsing mass transport model (incorporating diffusion and advection) was used to predict reaction product concentration. The predictions are consistent with the experimentally observed process trends. The laser damage thresholds also increased with etched amount (up to {approx}30 {micro}m), which has been attributed to: (1) etching through lateral cracks where there is poor acid penetration, and (2) increasing the crack opening resulting in increased mass transport rates. With the optimized etch process, laser damage resistance increased dramatically; the average threshold fluence for damage initiation for 30 {micro}m wide scratches increased from 7 to 41 J/cm{sup 2}, and the statistical

  4. IonRayTrace: An HF Propagation Model for Communications and Radar Applications

    Science.gov (United States)

    2014-12-01

    this report was performed by the Atmospheric Propagation Branch (Code 55280), Space and Naval Warfare Systems Center Pacific (SSC Pacific), San Diego...the 2- to 7-MHz (red), 7- to 12-MHz (green), and 12- to 17-MHz (blue) bands ..................... 9 1 1. OVERVIEW The Advanced Refractivity ...density of free electrons (102 to 104 cm-3) and has negligible refractive effect on electromagnetic waves in the HF band [5]. However, in general

  5. Improving Communication About Serious Illness

    Science.gov (United States)

    2017-01-07

    Critical Illness; Chronic Disease; Terminal Care; Palliative Care; Communication; Advance Care Planning; Neoplasm Metastasis; Lung Neoplasms; Pulmonary Disease, Chronic Obstructive; Heart Failure; End Stage Liver Disease; Kidney Failure, Chronic

  6. Electron Microprobe Analysis of Hf in Zircon: Suggestions for Improved Accuracy of a Difficult Measurement

    Science.gov (United States)

    Fournelle, J.; Hanchar, J. M.

    2013-12-01

    It is not commonly recognized as such, but the accurate measurement of Hf in zircon is not a trivial analytical issue. This is important to assess because Hf is often used as an internal standard for trace element analyses of zircon by LA-ICPMS. The issues pertaining to accuracy revolve around: (1) whether the Hf Ma or the La line is used; (2) what accelerating voltage is applied if Zr La is also measured, and (3) what standard for Hf is used. Weidenbach, et al.'s (2004) study of the 91500 zircon demonstrated the spread (in accuracy) of possible EPMA values for six EPMA labs, 2 of which used Hf Ma, 3 used Hf La, and one used Hf Lb, and standards ranged from HfO2, a ZrO2-HfO2 compound, Hf metal, and hafnon. Weidenbach, et al., used the ID-TIMS values as the correct value (0.695 wt.% Hf.), for which not one of the EPMA labs came close to that value (3 were low and 3 were high). Those data suggest: (1) that there is a systematic underestimation error of the 0.695 wt% Hf (ID-TIMS Hf) value if Hf Ma is used; most likely an issue with the matrix correction, as the analytical lines and absorption edges of Zr La, Si Ka and Hf Ma are rather tightly packed in the electromagnetic spectrum. Mass absorption coefficients are easily in error (e.g., Donovan's determination of the MAC of Hf by Si Ka of 5061 differs from the typically used Henke value of 5449 (Donovan et al, 2002); and (2) For utilization of the Hf La line, however, the second order Zr Ka line interferes with Hf La if the accelerating voltage is greater than 17.99 keV. If this higher keV is used and differential mode PHA is applied, only a portion of the interference is removed (e.g., removal of escape peaks), causing an overestimation of Hf content. Unfortunately, it is virtually impossible to apply an interference correction in this case, as it is impossible to locate Hf-free Zr probe standard. We have examined many of the combinations used by those six EPMA labs and concluded that the optimal EPMA is done with Hf

  7. Bidirectional communication in an HF hybrid organic/solution-processed metal-oxide RFID tag

    NARCIS (Netherlands)

    Myny, K.; Rockelé, M.; Chasin, A.; Pham, D.V.; Steiger, J.; Botnaras, S.; Weber, D.; Herold, B.; Ficker, J.; Van Putten, B.D.; Gelinck, G.H.; Genoe, J.; Dehaene, W.; Heremans, P.

    2014-01-01

    A bidirectional communication protocol allows radio-frequency identification (RFID) tags to have readout of multiple tags in the RF field without collision of data. In this paper, we realized bidirectional communication between a reader system and thin-film RFID tag by introducing a novel protocol f

  8. Bidirectional communication in an HF hybrid organic/solution-processed metal-oxide RFID tag

    NARCIS (Netherlands)

    Myny, K.; Rockelé, M.; Chasin, A.; Pham, D.V.; Steiger, J.; Botnaras, S.; Weber, D.; Herold, B.; Ficker, J.; Van Putten, B.D.; Gelinck, G.H.; Genoe, J.; Dehaene, W.; Heremans, P.

    2014-01-01

    A bidirectional communication protocol allows radio-frequency identification (RFID) tags to have readout of multiple tags in the RF field without collision of data. In this paper, we realized bidirectional communication between a reader system and thin-film RFID tag by introducing a novel protocol

  9. Bidirectional communication in an HF hybrid organic/solution-processed metal-oxide RFID tag

    NARCIS (Netherlands)

    Myny, K.; Rockelé, M.; Chasin, A.; Pham, D.V.; Steiger, J.; Botnaras, S.; Weber, D.; Herold, B.; Ficker, J.; Van Putten, B.D.; Gelinck, G.H.; Genoe, J.; Dehaene, W.; Heremans, P.

    2014-01-01

    A bidirectional communication protocol allows radio-frequency identification (RFID) tags to have readout of multiple tags in the RF field without collision of data. In this paper, we realized bidirectional communication between a reader system and thin-film RFID tag by introducing a novel protocol f

  10. Communication: Mode specific quantum dynamics of the F + CHD3 → HF + CD3 reaction.

    Science.gov (United States)

    Qi, Ji; Song, Hongwei; Yang, Minghui; Palma, Juliana; Manthe, Uwe; Guo, Hua

    2016-05-01

    The mode specific reactivity of the F + CHD3 → HF + CD3 reaction is investigated using an eight-dimensional quantum dynamical model on a recently developed ab initio based full-dimensional potential energy surface. Our results indicate prominent resonance structures at low collision energies and absence of an energy threshold in reaction probabilities. It was also found that excitation of the C-D stretching or CD3 umbrella mode has a relatively small impact on reactivity. On the other hand, the excitation of the C-H vibration (v1) in CHD3 is shown to significantly increase the reactivity, which, like several recent quasi-classical trajectory studies, is at odds with the available experimental data. Possible sources of the disagreement are discussed.

  11. Investigation and Development of Data-Driven D-Region Model for HF Systems Impacts

    Science.gov (United States)

    Eccles, J. V.; Rice, D.; Sojka, J. J.; Hunsucker, R. D.

    2002-01-01

    Space Environment Corporation (SEC) and RP Consultants (RPC) are to develop and validate a weather-capable D region model for making High Frequency (HF) absorption predictions in support of the HF communications and radar communities. The weather-capable model will assimilate solar and earth space observations from NASA satellites. The model will account for solar-induced impacts on HF absorption, including X-rays, Solar Proton Events (SPE's), and auroral precipitation. The work plan includes: I . Optimize D-region model to quickly obtain ion and electron densities for proper HF absorption calculations. 2. Develop indices-driven modules for D-region ionization sources for low, mid, & high latitudes including X-rays, cosmic rays, auroral precipitation, & solar protons. (Note: solar spectrum & auroral modules already exist). 3. Setup low-cost monitors of existing HF beacons and add one single-frequency beacon. 4. Use PENEX HF-link database with HF monitor data to validate D-region/HF absorption model using climatological ionization drivers. 5. Develop algorithms to assimilate NASA satellite data of solar, interplanetary, and auroral observations into ionization source modules. 6. Use PENEX HF-link & HF-beacon data for skill score comparison of assimilation versus climatological D-region/HF absorption model. Only some satellites are available for the PENEX time period, thus, HF-beacon data is necessary. 7. Use HF beacon monitors to develop HF-link data assimilation algorithms for regional improvement to the D-region/HF absorption model.

  12. Autonomous Learning and Improving Communicative Competence

    Institute of Scientific and Technical Information of China (English)

    李宝红; 孙晓黎

    2013-01-01

    Nowadays, English as a world language becomes more and more important. Consequently, English learning becomes more and more popular. As we know, an important object for English learners is to improve their communicative competence. So autonomous learning is a good way to improve communicative competence. In this paper, two terms, autonomous learning and communicative competence, and their relationship will be introduced from the perspective of English learning. Autonomous learning is self-managed learning, which is contrary to passive learning and mechanical learning, according to intrinsic property of language learning. Communicative competence is a concept introduced by Dell Hymes and is discussed and refined by many oth⁃er linguists. According to Hymes, communicative competence is the ability not only to apply the grammatical rules of language in order to form grammatically correct sentences but also to know when and where to use these sentences and to whom. Communi⁃cative competence includes 4 aspects: Possibility, feasibility, appropriateness and performance. Improving communicative compe⁃tence is the result of autonomous learning, autonomous learning is the motivation of improving communicative competence. English, of course, is a bridge connecting China to the world, and fostering students’communicative competence through auton⁃omous learning is the vital element of improving English learning in China.

  13. The Critical Care Communication project: improving fellows' communication skills.

    Science.gov (United States)

    Arnold, Robert M; Back, Anthony L; Barnato, Amber E; Prendergast, Thomas J; Emlet, Lillian L; Karpov, Irina; White, Patrick H; Nelson, Judith E

    2015-04-01

    The aim of this study was to develop an evidence-based communication skills training workshop to improve the communication skills of critical care fellows. Pulmonary and critical care fellows (N = 38) participated in a 3-day communication skills workshop between 2008 and 2010 involving brief didactic talks, faculty demonstration of skills, and faculty-supervised small group skills practice sessions with simulated families. Skills included the following: giving bad news, achieving consensus on goals of therapy, and discussing the limitations of life-sustaining treatment. Participants rated their skill levels in a pre-post survey in 11 core communication tasks using a 5-point Likert scale. Of 38 fellows, 36 (95%) completed all 3 days of the workshop. We compared pre and post scores using the Wilcoxon signed rank test. Overall, self-rated skills increased for all 11 tasks. In analyses by participant, 95% reported improvement in at least 1 skill; with improvement in a median of 10 of 11 skills. Ninety-two percent rated the course as either very good/excellent, and 80% recommended that it be mandatory for future fellows. This 3-day communication skills training program increased critical care fellows' self-reported family meeting communication skills. Copyright © 2014 Elsevier Inc. All rights reserved.

  14. Communication Opens the Door of Reading Improvement

    Science.gov (United States)

    Corlett, Donna

    1973-01-01

    Elaborates some of the communication techniques used in a reading laboratory for minority college students who have educational lags in their reading skills. The combination of improved classroom communication and effective reading practice have resulted in special success in reading achievement at the University of Portland, Portland, Oregon.…

  15. A study to improve communication between clinicians and patients with advanced heart failure: methods and challenges behind the working to improve discussions about defibrillator management trial.

    Science.gov (United States)

    Goldstein, Nathan E; Kalman, Jill; Kutner, Jean S; Fromme, Erik K; Hutchinson, Mathew D; Lipman, Hannah I; Matlock, Daniel D; Swetz, Keith M; Lampert, Rachel; Herasme, Omarys; Morrison, R Sean

    2014-12-01

    We report the challenges of the Working to Improve Discussions About Defibrillator Management trial, our novel, multicenter trial aimed at improving communication between cardiology clinicians and their patients with advanced heart failure (HF) who have implantable cardioverter defibrillators (ICDs). The study objectives are (1) to increase ICD deactivation conversations, (2) to increase the number of ICDs deactivated, and (3) to improve psychological outcomes in bereaved caregivers. The unit of randomization is the hospital, the intervention is aimed at HF clinicians, and the patient and caregiver are the units of analysis. Three hospitals were randomized to usual care and three to intervention. The intervention consists of an interactive educational session, clinician reminders, and individualized feedback. We enroll patients with advanced HF and their caregivers, and then we regularly survey them to evaluate whether the intervention has improved communication between them and their HF providers. We encountered three implementation barriers. First, there were institutional review board concerns at two sites because of the palliative nature of the study. Second, we had difficulty in creating entry criteria that accurately identified an HF population at high risk of dying. Third, we had to adapt our entry criteria to the changing landscape of ventricular assist devices and cardiac transplant eligibility. Here we present our novel solutions to the difficulties we encountered. Our work has the ability to enhance conduct of future studies focusing on improving care for patients with advanced illness.

  16. Improving risk communication through interactive training in communication skills

    Science.gov (United States)

    White, D. A.; White, R. K.

    1991-01-01

    This paper describes a workshop in communication and public speaking skills recently conducted for a group of public officials whose responsibilities include presenting risk information at public meetings associated with hazardous waste sites. We detail the development and execution of the 2(1/2)-day workshop, including the development and integration of a 45-min video of a simulated public meeting used to illustrate examples of good and bad communication behaviors. The workshop uses a mock public meeting video, participatory video exercises, role-playing, an instructor, and a resource text. This interactive approach to teaching communication skills can help sensitize scientists to the public's understanding of risk and improve scientists' confidence and effectiveness in communicating scientific information.

  17. Improving risk communication through interactive training in communication skills

    Energy Technology Data Exchange (ETDEWEB)

    White, D.A.; White, R.K.

    1990-01-01

    This paper describes a workshop in communication and public speaking skills recently conducted for a group of public officials whose responsibilities include presenting risk information at public meetings associated with hazardous waste sites. We detail the development and execution of the 2 1/2 day workshop, including the development and integration of a 45-minute video of a simulated public meeting used to illustrate examples of good and bad communication behaviors. The workshop uses a mock public meeting video, participatory video exercises, role-playing, and instructor, and a resource text. This interactive approach to teaching communication skills can help sensitize scientists to the public's understanding of risk and improve scientists' confidence and effectiveness in communicating scientific information. 10 refs., 1 fig.

  18. Improved Stress Reliability of Analog TiHfO Metal-Insulator-Metal Capacitors Using High-Work-Function Electrode

    Science.gov (United States)

    Cheng, Chun-Hu; Chiang, Kuo-Cheng; Pan, Han-Chang; Hsiao, Chien-Nan; Chou, Chang-Pin; McAlister, Sean P.; Chin, Albert

    2007-11-01

    We have studied the reliability of high-κ (κ ˜ 49) TixHf1-xO (x ˜ 0.67) metal-insulator-metal (MIM) capacitors after constant voltage stress induction. The use of a high-work-function Ni top electrode improves not only the leakage current, and temperature- and voltage-coefficients of capacitance, but also the long-term capacitance variation after stress induction.

  19. ExtraHF survey

    DEFF Research Database (Denmark)

    Piepoli, Massimo F; Binno, Simone; Corrà, Ugo

    2015-01-01

    AIMS: In heart failure (HF), exercise training programmes (ETPs) are a well-recognized intervention to improve symptoms, but are still poorly implemented. The Heart Failure Association promoted a survey to investigate whether and how cardiac centres in Europe are using ETPs in their HF patients...... of evidence on safety or benefit was cited. When implemented, an ETP was proposed to all HF patients in only 55% of the centres, with restriction according to severity or aetiology. CONCLUSIONS: With respect to previous surveys, there is evidence of increased availability of ETPs in HF in Europe, although too...

  20. Lessons Learned on Stage: How Improv Can Improve Science Communication

    Science.gov (United States)

    Wong, G. J.; Kohn, C.; McPeek, M. A.; Serrell, N.

    2014-12-01

    A challenge facing STEM graduate students is the daunting task of communicating their research to a non-specialist audience. Strategies that work well in lab group meetings, such as using acronyms and jargon, do not work in the real world. Ideally, scientists should directly connect with any audience, responding spontaneously and actively, distilling their messages into conversational morsels that resonate with that audience. Scientists should listen. This presentation highlights a 10-week, interdisciplinary graduate course at Dartmouth College that teaches methods for communicating science with clarity, vividness, and emotion. The course was developed in partnership with Stony Brook University's Alan Alda Center for Communicating Science, and emphasizes story-telling, two-way communication, active listening, and so much more. Effective message development and communication skills - spontaneity, authenticity, and connectivity - are honed through improvisational theater exercises. One might ask, "why improv?" As a co-developer/co-instructor of this graduate course and a Ph.D. candidate in Earth Sciences, my response is, "why not improv?" Improv is acting without a script. It is also underground rap battles, baking from scratch, and playing jazz flute. Improv is Macguyver. Improv is not any one particular thing so much as it is a process through which we do things. Improv can teach us a lot: how to play, how to feel comfortable and present even while flailing, and how to truly listen.

  1. Analysis of the Realization of HF Communication System Based on IP Technology%浅析基于IP技术的短波通信组网实现

    Institute of Scientific and Technical Information of China (English)

    郭奇锋

    2016-01-01

    HF communication with its communication distance, it is difficult to completely destroy, easy maintenance and other characteristics, has been widely used in China and other countries in the world communication field. But in the use process, HF communication is still exists for the problem using the narrow frequency band, the communication capacity is small, the channel quality is susceptible to electromagnetic interference and single business etc.. With the development of information technology and mature, the use of IP technology, HF communication can build a normal operation of the information transmission and exchange platform, formed "to network" security, "to network" blind compensation, multi point large range with in the shortwave communication network access.%短波通信以其通信距离远、难以彻底摧毁、便于维护等特点,在我国以及世界各国通信领域得到了广泛应用。但是在使用过程中,短波通信仍存在可供使用频段窄,通信容量小,信道质量易受电磁干扰,业务单一等问题。随着信息技术的发展和成熟,利用IP技术,短波通信可以构建一个常态化运行的信息传输和交换平台,形成以网保障,以网补盲,多点大范围随遇接入的短波通信网络。

  2. How can Doctors Improve their Communication Skills?

    Science.gov (United States)

    Ranjan, Piyush; Kumari, Archana; Chakrawarty, Avinash

    2015-03-01

    The process of curing a patient requires a holistic approach which involves considerations beyond treating a disease. It warrants several skills in a doctor along with technical expertise. Studies have shown that good communication skill in a doctor improve patient's compliance and overall satisfaction. There are certain basic principles of practicing good communication. Patient listening, empathy, and paying attention to the paraverbal and non verbal components of the communication are the important ones that are frequently neglected. Proper information about the nature, course and prognosis of the disease is important. Besides, patients and attendants should always be explained about the necessity and yield of expensive investigations and risks/benefits involved in invasive procedures. One should be extremely cautious while managing difficult encounters and breaking bad news. Formal training of the doctors in improving communication skills is necessary and has proven to improve overall outcome. The authors recommend inclusion of formal training in communication skills in medical curriculum and training of practising doctors in the form of CMEs and CPEs.

  3. Improving together: collaborative learning in science communication

    Science.gov (United States)

    Stiller-Reeve, Mathew

    2015-04-01

    Most scientists today recognise that science communication is an important part of the scientific process. Despite this recognition, science writing and communication are generally taught outside the normal academic schedule. If universities offer such courses, they are generally short-term and intensive. On the positive side, such courses rarely fail to motivate. At no fault of their own, the problem with such courses lies in their ephemeral nature. The participants rarely complete a science communication course with an immediate and pressing need to apply these skills. And so the skills fade. We believe that this stalls real progress in the improvement of science communication across the board. Continuity is one of the keys to success! Whilst we wait for the academic system to truly integrate science communication, we can test and develop other approaches. We suggest a new approach that aims to motivate scientists to continue nurturing their communication skills. This approach adopts a collaborative learning framework where scientists form writing groups that meet regularly at different institutes around the world. The members of the groups learn, discuss and improve together. The participants produce short posts, which are published online. In this way, the participants learn and cement basic writing skills. These skills are transferrable, and can be applied to scientific articles as well as other science communication media. In this presentation we reflect on an ongoing project, which applies a collaborative learning framework to help young and early career scientists improve their writing skills. We see that this type of project could be extended to other media such as podcasts, or video shorts.

  4. SOUND FILM RECORDINGS IN IMPROVING CLASSROOM COMMUNICATIONS.

    Science.gov (United States)

    MACCOBY, NATHAN; AND OTHERS

    THIS STUDY INVESTIGATED THE EXTENT TO WHICH SOUND FILM RECORDINGS OF PUPILS IN TEACHING-LEARNING SITUATIONS CAN BE USED AS A BASIS FOR TRAINING TEACHERS TO IMPROVE THEIR ACCURACY IN INTERPRETING NONVERBAL COMMUNICATIONS, AND THE EXTENT OF DIFFERENCES AMONG TEACHERS, NEW TEACHERS, AND NONTEACHERS IN THEIR ABILITY TO INTERPRET NONVERBAL…

  5. Investigating a TELEmedicine solution to improve MEDication adherence in chronic Heart Failure (TELEMED-HF: study protocol for a randomized controlled trial

    Directory of Open Access Journals (Sweden)

    Widdershoven Jos

    2011-10-01

    Full Text Available Abstract Background Frequent rehospitalisations and poorer survival chances in heart failure (HF patients may partly be explained by poor medication adherence. There are multiple medication-related reasons for suboptimal adherence, but psychological reasons may also be important. A novel TELEmonitoring device may improve MEDication adherence in HF patients (TELEMED-HF. TELEMED-HF is a randomized, controlled clinical intervention trial designed to examine (1 the efficacy and cost-efficiency of an electronic medication adherence support system in improving and monitoring HF patients' medication adherence; (2 the effect of medication adherence on hospitalizations and health care consumption; as well as on (3 clinical characteristics, and Quality of Life (QoL; and (4 clinical, sociodemographic, and psychological determinants of medication adherence. Methods/Design Consecutive patients with chronic, systolic HF presenting to the outpatient clinic of the TweeSteden Hospital, The Netherlands, will be approached for study participation and randomly assigned (1:1 following blocked randomization procedures to the intervention (n = 200 or usual care arm (n = 200. Patients in the intervention arm use the medication support device for six months in addition to usual care. Post-intervention, patients return to usual care only and all patients participate in four follow-up occasions over 12 months. Primary endpoints comprise objective and subjective medication adherence, healthcare consumption, number of hospitalizations, and cost-effectiveness. Secondary endpoints include disease severity, physical functioning, and QoL. Discussion The TELEMED-HF study will provide us a comprehensive understanding of medication adherence in HF patients, and will show whether telemonitoring is effective and cost-efficient in improving adherence and preventing hospitalization in HF patients. Trial registration number NCT01347528.

  6. Improvement on the electrical characteristics of Pd/HfO2/6H-SiC MIS capacitors using post deposition annealing and post metallization annealing

    Science.gov (United States)

    Esakky, Papanasam; Kailath, Binsu J.

    2017-08-01

    HfO2 as a gate dielectric enables high electric field operation of SiC MIS structure and as gas sensor HfO2/SiC capacitors offer higher sensitivity than SiO2/SiC capacitors. The issue of higher density of oxygen vacancies and associated higher leakage current necessitates better passivation of HfO2/SiC interface. Effect of post deposition annealing in N2O plasma and post metallization annealing in forming gas on the structural and electrical characteristics of Pd/HfO2/SiC MIS capacitors are reported in this work. N2O plasma annealing suppresses crystallization during high temperature annealing thereby improving the thermal stability and plasma annealing followed by rapid thermal annealing in N2 result in formation of Hf silicate at the HfO2/SiC interface resulting in order of magnitude lower density of interface states and gate leakage current. Post metallization annealing in forming gas for 40 min reduces interface state density by two orders while gate leakage current density is reduced by thrice. Post deposition annealing in N2O plasma and post metallization annealing in forming gas are observed to be effective passivation techniques improving the electrical characteristics of HfO2/SiC capacitors.

  7. Modern HF Communications.

    Science.gov (United States)

    1983-05-01

    vertically directed pulRe,’ radar , measures the delay time of the reflected siqnals in the frequency ranqe 1-20 MHz. This delay time is converted to a...qensitive and sophisticated iH or UHF- radars which detect weak reflections from plasma irregularit ies. There are ooil a few such installations in operation...terms of a few measurable parameeprs, so that the raytracing through the simplified model ionosphere yields realistic signal characteristics, for

  8. HF Interference, Procedures and Tools (Interferences HF, procedures et outils)

    Science.gov (United States)

    2007-06-01

    such sources. The existing HF background noise possibly may be increased via ground wave and/or sky wave propagation. Increase of the existing HF...télécommunications filaires à large bande. Les télécommunications via le réseau électrique courant, dites PowerLine Communications (PLT ou PLC) et diverses...cumulative de nombreuses sources de même type. Le bruit de fond HF existant risque d’être augmenté par propagation de l’onde terrestre et/ou aérienne

  9. Verbal communication improves laparoscopic team performance.

    Science.gov (United States)

    Shiliang Chang; Waid, Erin; Martinec, Danny V; Bin Zheng; Swanstrom, Lee L

    2008-06-01

    The impact of verbal communication on laparoscopic team performance was examined. A total of 24 dyad teams, comprised of residents, medical students, and office staff, underwent 2 team tasks using a previously validated bench model. Twelve teams (feedback groups) received instant verbal instruction and feedback on their performance from an instructor which was compared with 12 teams (control groups) with minimal or no verbal feedback. Their performances were both video and audio taped for analysis. Surgical backgrounds were similar between feedback and control groups. Teams with more verbal feedback achieved significantly better task performance (P = .002) compared with the control group with less feedback. Impact of verbal feedback was more pronounced for tasks requiring team cooperation (aiming and navigation) than tasks depending on individual skills (knotting). Verbal communication, especially the instructions and feedback from an experienced instructor, improved team efficiency and performance.

  10. SnO2 anode surface passivation by atomic layer deposited HfO2 improves li-ion battery performance

    KAUST Repository

    Yesibolati, Nulati

    2014-03-14

    For the first time, it is demonstrated that nanoscale HfO2 surface passivation layers formed by atomic layer deposition (ALD) significantly improve the performance of Li ion batteries with SnO2-based anodes. Specifically, the measured battery capacity at a current density of 150 mAg -1 after 100 cycles is 548 and 853 mAhg-1 for the uncoated and HfO2-coated anodes, respectively. Material analysis reveals that the HfO2 layers are amorphous in nature and conformably coat the SnO2-based anodes. In addition, the analysis reveals that ALD HfO2 not only protects the SnO2-based anodes from irreversible reactions with the electrolyte and buffers its volume change, but also chemically interacts with the SnO2 anodes to increase battery capacity, despite the fact that HfO2 is itself electrochemically inactive. The amorphous nature of HfO2 is an important factor in explaining its behavior, as it still allows sufficient Li diffusion for an efficient anode lithiation/delithiation process to occur, leading to higher battery capacity. © 2014 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim.

  11. Design for human factors (DfHF): a grounded theory for integrating human factors into production design processes.

    Science.gov (United States)

    Village, Judy; Searcy, Cory; Salustri, Filipo; Patrick Neumann, W

    2015-01-01

    The 'design for human factors' grounded theory explains 'how' human factors (HF) went from a reactive, after-injury programme in safety, to being proactively integrated into each step of the production design process. In this longitudinal case study collaboration with engineers and HF Specialists in a large electronics manufacturer, qualitative data (e.g. meetings, interviews, observations and reflections) were analysed using a grounded theory methodology. The central tenet in the theory is that when HF Specialists acclimated to the engineering process, language and tools, and strategically aligned HF to the design and business goals of the organisation, HF became a means to improve business performance. This led to engineers 'pulling' HF Specialists onto their team. HF targets were adopted into engineering tools to communicate HF concerns quantitatively, drive continuous improvement, visibly demonstrate change and lead to benchmarking. Senior management held engineers accountable for HF as a key performance indicator, thus integrating HF into the production design process. Practitioner Summary: Research and practice lack explanations about how HF can be integrated early in design of production systems. This three-year case study and the theory derived demonstrate how ergonomists changed their focus to align with design and business goals to integrate HF into the design process.

  12. Design and Experimental Investigation for Improving the High Frequency Radio Communication Links between Benghazi-Libya and Sfax-Tunisia.

    Directory of Open Access Journals (Sweden)

    Mohamed Yousef Ahmed Abou-Hussein

    2014-02-01

    Full Text Available In this study, we have experimentally planned to replicate the positive results of the application of ionospheric prediction method to design and improve the high frequency (HF radio communication links between Benghazi-Libya and Sfax-Tunisia. The central radio propagation laboratory (CRPL method of ionospheric prediction of the National Bureau of Standards (NBS in U.S.A was used in the calculations of the optimal working frequencies for reliable HF radio communication links between Benghazi-Libya and Sfax-Tunisia. The results were drawn in the form of curves by using the computer. The computer was used to measure the received signal level variation of a frequency 17.500 Megahertz (MHz, which was transmitted with a power of 100 Kilowatt (KW from the Tunis Republic Broadcasting station in SFAX city, directed to the east region. The measurements were taken during daytime's for winter (December, January& February and summer (June, July & August seasons.

  13. Facilitating communication with patients for improved migraine outcomes.

    Science.gov (United States)

    Buse, Dawn C; Lipton, Richard B

    2008-06-01

    Effective communication is integral to good medical care. Medical professional groups, regulatory agencies, educators, researchers, and patients recognize its importance. Quality of medical communication is directly related to patient satisfaction, improvement in medication adherence, treatment compliance, other outcomes, decreased risk of malpractice, and increase in health care providers' levels of satisfaction. However, skill level and training remain problematic in this area. Fortunately, research has shown that medical communication skills can be successfully taught and acquired, and that improvement in communication skills improves outcomes. The American Migraine Communication Studies I and II evaluated the current state of health care provider-patient communication in headache care and tested a simple educational intervention. They found problematic issues but demonstrated that these areas could be improved. We review theoretical models of effective communication and discuss strategies for improving communication, including active listening, interviewing strategies, and methods for gathering information about headache-related impairment, mood, and quality of life.

  14. Directional Navigation Improves Opportunistic Communication for Emergencies

    Directory of Open Access Journals (Sweden)

    Andras Kokuti

    2014-08-01

    Full Text Available We present a novel direction based shortest path search algorithm to guide evacuees during an emergency. It uses opportunistic communications (oppcomms with low-cost wearable mobile nodes that can exchange packets at close range of a few to some tens of meters without help of an infrastructure. The algorithm seeks the shortest path to exits which are safest with regard to a hazard, and is integrated into an autonomous Emergency Support System (ESS to guide evacuees in a built environment. The algorithm proposed that ESSs are evaluated with the DBES (Distributed Building Evacuation Simulator by simulating a shopping centre where fire is spreading. The results show that the directional path finding algorithm can offer significant improvements for the evacuees.

  15. Electronic communication channel within the patient data management system improves internal communication in the ICU.

    Science.gov (United States)

    Väisänen, Paula; Holopainen, Jaana

    2006-01-01

    The aim of this study was to improve the internal communication within the intensive care unit of the Kuopio University Hospital. We developed an intranet based internal communication channel within the patient data management system and studied the effectiveness of this system in improving communication in the ICU. The hypothesis was that the communication difficulties caused by the structure of the unit, large personnel and work schedule (three separate shifts) could be reduced by supplementing oral communication by this intranet based system. The results clearly indicate that this type of system can significantly improve communication within our unit.

  16. Improved thermal stability and electrical properties of atomic layer deposited HfO{sub 2}/AlN high-k gate dielectric stacks on GaAs

    Energy Technology Data Exchange (ETDEWEB)

    Cao, Yan-Qiang; Li, Xin; Zhu, Lin; Cao, Zheng-Yi; Wu, Di; Li, Ai-Dong, E-mail: adli@nju.edu.cn [National Laboratory of Solid State Microstructures and Department of Materials Science and Engineering, College of Engineering and Applied sciences, Collaborative Innovation Center of Advanced Microstructures, Nanjing University, Nanjing 210093 (China)

    2015-01-15

    The thermal stability and electrical properties of atomic layer deposited HfO{sub 2}/AlN high-k gate dielectric stacks on GaAs were investigated. Compared to HfO{sub 2}/Al{sub 2}O{sub 3} gate dielectric, significant improvements in interfacial quality as well as electrical characteristics after postdeposition annealing are confirmed by constructing HfO{sub 2}/AlN dielectric stacks. The chemical states were carefully explored by the x-ray photoelectron spectroscopy, which indicates the AlN layers effectively prevent from the formation of defective native oxides at elevated temperatures. In addition, it is found that NH{sub 3} plasma during AlN plasma-enhanced atomic layer deposition also has the self-cleaning effect as Al(CH{sub 3}){sub 3} in removing native oxides. The passivating AlN layers suppress the formation of interfacial oxide and trap charge, leading to the decrease of capacitance equivalent thickness after annealing. Moreover, HfO{sub 2}/AlN/GaAs sample has a much lower leakage current density of 2.23 × 10{sup −4} A/cm{sup 2} than HfO{sub 2}/Al{sub 2}O{sub 3}/GaAs sample of 2.58 × 10{sup −2} A/cm{sup 2}. For the HfO{sub 2}/AlN/GaAs sample annealed at 500 °C, it has a lowest interface trap density value of 2.11 × 10{sup 11} eV{sup −1} cm{sup −2}. These results indicate that adopting HfO{sub 2}/AlN dielectric stacks may be a promising approach for the realization of high quality GaAs-based transistor devices.

  17. Communication: Theoretical study of HfF+ cation to search for the T,P-odd interactions

    Science.gov (United States)

    Skripnikov, L. V.

    2017-07-01

    The combined all-electron and two-step approach is applied to calculate the molecular parameters which are required to interpret the ongoing experiment to search for the effects of manifestation of the T,P-odd fundamental interactions in the HfF+ cation by Loh et al. [Science 342, 1220 (2013)] and Ni et al. [J. Mol. Spectrosc. 300, 12 (2014)]. The effective electric field that is required to interpret the experiment in terms of the electron electric dipole moment is found to be 22.5 GV/cm. In the work of Pospelov and Ritz [Phys. Rev. D 89, 056006 (2014)], it was shown that another source of the T,P-odd interaction, the scalar-pseudoscalar nucleus-electron interaction with the dimensionless strength constant kT,P can dominate over the direct contribution from the electron electric dipole moment within the standard model and some of its extensions. Therefore, for the comprehensive and correct interpretation of the HfF+ experiment, one should also know the molecular parameter WT,P, the value of which is reported here to be 20.1 kHz.

  18. Improved interfacial and electrical properties of atomic layer deposition HfO{sub 2} films on Ge with La{sub 2}O{sub 3} passivation

    Energy Technology Data Exchange (ETDEWEB)

    Li Xuefei; Liu Xiaojie; Cao Yanqiang [National Laboratory of Solid State Microstructures, Department of Materials Science and Engineering, Nanjing University, Nanjing 210093 (China); Li Aidong, E-mail: adli@nju.edu.cn [National Laboratory of Solid State Microstructures, Department of Materials Science and Engineering, Nanjing University, Nanjing 210093 (China); Li Hui; Wu Di [National Laboratory of Solid State Microstructures, Department of Materials Science and Engineering, Nanjing University, Nanjing 210093 (China)

    2013-01-01

    Highlights: Black-Right-Pointing-Pointer La{sub 2}O{sub 3} IPLs were deposited on Ge substrates at 250 Degree-Sign C by ALD using La[N(SiMe{sub 3}){sub 2}]{sub 3} and H{sub 2}O as the precursors. Black-Right-Pointing-Pointer CET of 1.35 nm and leakage current of 8.3 Multiplication-Sign 10{sup -4} A/cm{sup 2} at V{sub g} = 1 V are observed for the HfO{sub 2}/La{sub 2}O{sub 3} gate stack on Ge substrate. Black-Right-Pointing-Pointer The improvement in the interfacial and electrical properties is related to the formation of a stable LaGeO{sub x} interfacial layer. - Abstract: We report the characteristics of HfO{sub 2} films deposited on Ge substrates with and without La{sub 2}O{sub 3} passivation at 250 Degree-Sign C by atomic layer deposition (ALD) using La[N(SiMe{sub 3}){sub 2}]{sub 3} and Hf[N(CH{sub 3})(C{sub 2}H{sub 5})]{sub 4} as the precursors. The HfO{sub 2} is observed to form defective HfGeO{sub x} at its interface during 500 Degree-Sign C postdeposition annealing. The insertion of an ultrathin La{sub 2}O{sub 3} interfacial passivation layer effectively prevents the Ge outdiffusion and improves interfacial and electrical properties. Capacitance equivalent thickness (CET) of 1.35 nm with leakage current density J{sub A} of 8.3 Multiplication-Sign 10{sup -4} A/cm{sup 2} at V{sub g} = 1 V is achieved for the HfO{sub 2}/La{sub 2}O{sub 3} gate stacks on Ge substrates.

  19. Barriers to Intercultural communication and strategies of Improving Intercultural communication competence

    Institute of Scientific and Technical Information of China (English)

    薛静

    2010-01-01

    As the development of intercultural communication, many scholars discuss or approach intercultural communication from verbal, nonverbal and other perspectives which all make great contribution to intercultural communication.This paper intends to examine the barriers to intercultural communication.Especially, I will put emphasis on prejudice, which is the personal attitude towards intercultural communication.It is also one of the main barriers to intercultural communication.Besides, the paper also explores some strategies of improving intercultural communication and overcoming the barriers.With these strategies,there will be more understanding and harmony between people from different cultures in the world.

  20. Improving electrical performance and bias stability of HfInZnO-TFT with optimizing the channel thickness

    Directory of Open Access Journals (Sweden)

    Jun Li

    2013-10-01

    Full Text Available RF magnetron sputtered HfInZnO film and atomic layer deposition (ALD Al2O3 film were employed for thin film transistors (TFTs as channel layer and gate insulator, respectively. To achieve HfInZnO-TFT with high performance and good bias stability, the thickness of HfInZnO active layer was optimized. The performance of HfInZnO-TFTs was found to be thickness dependent. As the HfInZnO active layer got thicker, the leakage current greatly increased from 1.73 × 10−12 to 2.54 × 10−8 A, the threshold voltage decreased from 7.4 to −4.7 V, while the subthreshold swing varied from 0.41 to 1.07 V/decade. Overall, the HfInZnO film showed superior performance, such as saturation mobility of 6.4 cm2/V s, threshold voltage of 4.2 V, subthreshold swing of 0.43 V/decade, on/off current ratio of 3 × 107 and Vth shift of 3.6 V under VGS = 10 V for 7200 s. The results demonstrate the possibility of fabricating TFTs using HfInZnO film as active layer and using ALD Al2O3 as gate insulator.

  1. Improving Science Communication with Responsive Web Design

    Science.gov (United States)

    Hilverda, M.

    2013-12-01

    the world use low-bandwidth connections. Communicating science effectively includes efficient delivery of the information to the reader. To meet this criteria, responsive designs should also incorporate "mobile first" elements such as serving ideal image sizes (a low resolution cell phone does not need to receive a large desktop image) and a focus on fast, readable content delivery. The technical implementation of responsive web design is constantly changing as new web standards and approaches become available. However, fundamental design principles such as grid layouts, clear typography, and proper use of white space should be an important part of content delivery within any responsive design. This presentation will discuss current responsive design approaches for improving scientific communication across multiple devices, operating systems, and bandwidth capacities. The presentation will also include example responsive designs for scientific papers and websites. Implementing a responsive design approach with a focus on content and fundamental design principles is an important step to ensuring scientific information remains clear and accessible as screens and devices continue to evolve.

  2. To demonstrate four ways to improve interpersonal communication

    Institute of Scientific and Technical Information of China (English)

    周丽

    2010-01-01

    @@ Interpersonal communication is one way in which an individual might meet their needs and assist others in meeting their needs.In the process of communication we have the opportunity to gain information,and delonstrate the ability to request things to be done.So it's very important to maintain a good interpersonal communication.There are four ways to improve interpersonal communication which are positivity,openness,assurances,and sharing tasks.

  3. Improving verbal communication in critical care medicine.

    Science.gov (United States)

    Brindley, Peter G; Reynolds, Stuart F

    2011-04-01

    Human errors are the most common reason for planes to crash, and of all human errors, suboptimal communication is the number 1 issue. Mounting evidence suggests the same for errors during short-term medical care. Strong verbal communication skills are key whether for establishing a shared mental model, coordinating tasks, centralizing the flow of information, or stabilizing emotions. However, in contrast to aerospace, most medical curricula rarely address communication norms during impending crises. Therefore, this article offers practical strategies borrowed from aviation and applied to critical care medicine. These crisis communication strategies include "flying by voice," the need to combat "mitigating language," the uses of "graded assertiveness" and "5-step advocacy," and the potential role of Situation, Background, Assessment, and Recommendation communication. We also outline the "step-back method," the concept of communication "below ten thousand feet," the impetus behind "closed-loop communication," and the closely related "repeat-back method." The goal is for critical care practitioners to develop a "verbal dexterity" to match their procedural dexterity and factual expertise. Copyright © 2011. Published by Elsevier Inc.

  4. Training improves inter-collegial communication

    DEFF Research Database (Denmark)

    Nørgaard, Birgitte; Ammentorp, Jette; Kofoed, Poul-Erik

    2012-01-01

    Good intercollegial communication is a relatively unstudied topic, although it is important for both health professionals and patients, contributing to enhanced well-being, self-awareness and integrity for health professionals, and positively affecting patient outcome and satisfaction....

  5. Fuzzy logic controller to improve powerline communication

    Science.gov (United States)

    Tirrito, Salvatore

    2015-12-01

    The Power Line Communications (PLC) technology allows the use of the power grid in order to ensure the exchange of data information among devices. This work proposes an approach, based on Fuzzy Logic, that dynamically manages the amplitude of the signal, with which each node transmits, by processing the master-slave link quality measured and the master-slave distance. The main objective of this is to reduce both the impact of communication interferences induced and power consumption.

  6. Do communication training programs improve students’ communication skills? - a follow-up study

    Science.gov (United States)

    2012-01-01

    Background Although it is taken for granted that history-taking and communication skills are learnable, this learning process should be confirmed by rigorous studies, such as randomized pre- and post-comparisons. The purpose of this paper is to analyse whether a communication course measurably improves the communicative competence of third-year medical students at a German medical school and whether technical or emotional aspects of communication changed differently. Method A sample of 32 randomly selected students performed an interview with a simulated patient before the communication course (pre-intervention) and a second interview after the course (post-intervention), using the Calgary-Cambridge Observation Guide (CCOG) to assess history taking ability. Results On average, the students improved in all of the 28 items of the CCOG. The 6 more technically-orientated communication items improved on average from 3.4 for the first interview to 2.6 in the second interview (p communication skills were not correlated (Pearson’s r = 0.03; n.s.). Conclusions Our communication course measurably improved communication skills, especially for female students. These improvements did not depend predominantly on an extension of the interview time. Obviously, “technical” aspects of communication can be taught better than “emotional” communication skills. PMID:22947372

  7. Evaluation of two communication strategies to improve udder health management

    NARCIS (Netherlands)

    Jansen, J.; Renes, R.J.; Lam, T.J.G.M.

    2010-01-01

    Worldwide, programs to improve udder health are implemented using communication tools and methods that inform and persuade dairy farmers. This study evaluated 2 communication strategies used in a mastitis control program in the Netherlands. To improve farmers’ udder health management, tools such as

  8. Evaluation of two communication strategies to improve udder health management

    NARCIS (Netherlands)

    Jansen, J.; Renes, R.J.; Lam, T.J.G.M.

    2010-01-01

    Worldwide, programs to improve udder health are implemented using communication tools and methods that inform and persuade dairy farmers. This study evaluated 2 communication strategies used in a mastitis control program in the Netherlands. To improve farmers’ udder health management, tools such as

  9. Cryptanalysis and improvement of quantum secure communication network protocol with entangled photons for mobile communications

    Science.gov (United States)

    Gao, Gan

    2014-12-01

    Recently, a communication protocol called controlled bidirectional quantum secret direct communication for mobile networks was proposed by Chou et al (2014 Mobile Netw. Appl. 19 121). We study the security of the proposed communication protocol and find that it is not secure. The controller, Telecom Company, may eavesdrop secret messages from mobile devices without being detected. Finally, we give a possible improvement of the communication protocol.

  10. Improved Techniques for Video Compression and Communication

    Science.gov (United States)

    Chen, Haoming

    2016-01-01

    Video compression and communication has been an important field over the past decades and critical for many applications, e.g., video on demand, video-conferencing, and remote education. In many applications, providing low-delay and error-resilient video transmission and increasing the coding efficiency are two major challenges. Low-delay and…

  11. Improving Superintendent-Business Manager Communication

    Science.gov (United States)

    Malinowski, Matthew J.

    2010-01-01

    Effective school business managers regularly assess themselves to ensure that they are "on top of their game" in the many facets of their jobs. One area they should not lose sight of, especially in the current economic situation, is their ability to communicate with their colleagues in the district. They may feel overwhelmed by the number of…

  12. Highly improved resistive switching performances of the self-doped Pt/HfO2:Cu/Cu devices by atomic layer deposition

    Science.gov (United States)

    Liu, Sen; Wang, Wei; Li, QingJiang; Zhao, XiaoLong; Li, Nan; Xu, Hui; Liu, Qi; Liu, Ming

    2016-12-01

    Metal-oxide electrochemical metallization (ECM) memory is a promising candidate for the next generation nonvolatile memory. But this memory suffers from large dispersion of resistive switching parameters due to the intrinsic randomness of the conductive filament. In this work, we have proposed a self-doping approach to improve the resistive switching characteristics. The fabricated Pt/HfO2:Cu/Cu device shows outstanding nonvolatile memory properties, including high uniformity, good endurance, long retention and fast switching speed. The results demonstrate that the self-doping approach is an effective method to improve the metal-oxide ECM memory performances and the self-doped Pt/HfO2:Cu/Cu device has high potentiality for the nonvolatile memory applications in the future.

  13. A leadership initiative to improve communication and enhance safety.

    Science.gov (United States)

    Donahue, Moreen; Miller, Matthew; Smith, Lisa; Dykes, Patricia; Fitzpatrick, Joyce J

    2011-01-01

    The EMPOWER project was a collaborative effort to promote a culture of patient safety at Danbury Hospital through an interdisciplinary leadership-driven communication program. The "EMPOWER" component includes Educating and Mentoring Paraprofessionals On Ways to Enhance Reporting of changes in patient status. Specifically, the EMPOWER program was designed to prepare paraprofessional staff (PPS) to communicate changes in patient status using SBAR (situation, background, assessment, recommendations) structured communication. The specific project goals included (a) translation of SBAR structured communication methods for use with PPS, (b) reduction of cultural and educational barriers to interdisciplinary communication, and (c) examination of the effect of the EMPOWER intervention on the PPS communication practices and perceptions of the patient safety culture. Results of the project indicate a change in the use of SBAR throughout the institution, with particular improvement in communication from PPS to professional staff.

  14. USING GAMES TO IMPROVE STUDENTS’ COMMUNICATIVE ABILITY

    Institute of Scientific and Technical Information of China (English)

    1996-01-01

    IntroductionIn recent years,more and more objections have been raised against the traditional English teachingmethod in China and English teachers have begun to try out a more communicative methodology.Inthis article,I intend to point out the disadvantages of the traditional teaching method and introduceone way to teach students effectively-using games in the English class,which is one useful techniqueof the communicative method.I propose to talk about the importance of using games and list eighttypes of games to practise students’ speaking and listening.Finally,I will put forward someconsideration on using games and state the success of using games based on a questionnaire given tothe students I have taught.

  15. Issues of therapeutic communication relevant for improving quality of care.

    Science.gov (United States)

    Popa-Velea, O; Purcărea, V L

    2014-01-01

    Communication issues are extensively considered a topic of high interest for improving the efficacy of the therapeutic act. This article aimed to overview several issues of therapeutic communication relevant for improving quality of care. A number of 15 bibliographic resources on these topics published in peer-reviewed journals between 1975 and 2010, and indexed in PubMed, ProQuest and EBSCO databases were examined, to seek for evidence regarding these data. Results highlight a number of communication problems commonly reported in the literature, such as the lack of physician communicational skills or their deterioration, the persistence of an asymmetric therapeutic communicational model, communication obstacles brought by the disease itself or by several variables pertaining to the patient, including specific demographic and psychological contexts. Equally, literature reports ways of improving therapeutic communication, such as optimizing the clinical interview, better time management techniques or assertiveness. Integration of communication training in the bio-psycho-social model of care and monitoring parameters like adherence and quality of life as tools reflecting also a good therapeutic communication can be valuable future approaches of obtaining better results in this area.

  16. Do Business Communication Courses Improve Student Performance in Introductory Marketing?

    Science.gov (United States)

    Marcal, Leah E.; Hennessey, Judith E.; Curren, Mary T.; Roberts, William W.

    2005-01-01

    In this study, the authors investigated whether completion of a business communications course improved student performance in an introductory marketing management course. Regression analysis indicated that students who completed the communications course received higher grades than the otherwise comparable students. In addition, marketing majors…

  17. Do Business Communication Courses Improve Student Performance in Introductory Marketing?

    Science.gov (United States)

    Marcal, Leah E.; Hennessey, Judith E.; Curren, Mary T.; Roberts, William W.

    2005-01-01

    In this study, the authors investigated whether completion of a business communications course improved student performance in an introductory marketing management course. Regression analysis indicated that students who completed the communications course received higher grades than the otherwise comparable students. In addition, marketing majors…

  18. Accounting Communication Considerations and Recommendations to improve it

    Directory of Open Access Journals (Sweden)

    Nicolaescu Cristina

    2012-06-01

    Full Text Available The present paper attempts a critical approach of the efficiency of accounting-financial communication, especially through the Synthesis financial reports. The paper identifies the communication problems, their causes, it defines and delimits the various aspects of informational efficiency and proposes ways of improving it.

  19. Using Newsletters to Improve Parents' Communication with Their Early Adolescents

    Science.gov (United States)

    Dworkin, Jodi; Gonzalez, Chris; Gengler, Colleen; Olson, Kathleen

    2011-01-01

    Two sets of newsletters designed to improve parent-teen communication were distributed at two different time points to 71 parents of seventh and eighth graders across five states. At both points, parents completed an evaluation assessing parent-child communication, parenting practices, the emotional experience of parenting, other parent education…

  20. Improved HF183 quantitative real-time PCR assay for characterization of human fecal pollution in ambient surface water samples

    Science.gov (United States)

    Real-time quantitative PCR assays that target the human-associated HF183 bacterial cluster have been found to be some of the top performing methods for the characterization of human fecal pollution in ambient surface waters. The United States Environmental Protection Agency is planning to conduct a ...

  1. China Hopes to Improve Textile Communications with USA and EU

    Institute of Scientific and Technical Information of China (English)

    2005-01-01

    @@ China hopes to improve its communications with the United States and European Union as textile manufacturers in both economies have expressed great concerns since the abolition of textile trade quotas on January 1.

  2. China Hopes to Improve Textile Communications with USA and EU

    Institute of Scientific and Technical Information of China (English)

    2005-01-01

      China hopes to improve its communications with the United States and European Union as textile manufacturers in both economies have expressed great concerns since the abolition of textile trade quotas on January 1.……

  3. Effective Interpersonal Communication: A Practical Guide to Improve Your Life.

    Science.gov (United States)

    Vertino, Kathleen A

    2014-09-30

    Use of effective interpersonal communication strategies by nurses in both personal and professional settings, may reduce stress, promote wellness, and therefore, improve overall quality of life. This article briefly explores the concept of interpersonal communication as it relates to Maslow's hierarchy of human needs; describes personal variables and the interaction of internal and external variables that can impact communication; and discusses possible causes and consequences of ineffective communication. Drawing on both the literature and experiences as a longtime provider of care in the mental health field, the author offers multiple practical strategies, with specific examples of possible responses for effective communication. Recommendations in this article are intended for nurses to consider as they seek healthy communication strategies that may be useful in both their personal and professional lives.

  4. A Proposal to Improve Communication between Distributed Development Teams

    Directory of Open Access Journals (Sweden)

    Mashael Saeed Alqhtani

    2014-11-01

    Full Text Available Distributed system development (DSD is implemented by distributed development teams that are separated by long distances and different time-zones. Communication between distributed development teams in distributed software development applies a major and critical role in the success of process. Conflicts between distributed teams bring high risks to fail a development project due to poor communication. Therefore, it is important for distributed teams to communicate effectively to complete a successful project. In this paper, the authors propose an improved solution for effective communication among distributed development team by integrating administrative and technical procedures to successfully complete a project. Survey is used as a research design to validate the proposed solution. The results show that the respondents support the proposed solution that it will solve the industry problem by providing an effective means of communication in a DSD environment.

  5. Practice improvement, part II: update on patient communication technologies.

    Science.gov (United States)

    Roett, Michelle A; Coleman, Mary Thoesen

    2013-11-01

    Patient portals (ie, secure web-based services for patient health record access) and secure messaging to health care professionals are gaining popularity slowly. Advantages of web portals include timely communication and instruction, access to appointments and other services, and high patient satisfaction. Limitations include inappropriate use, security considerations, organizational costs, and exclusion of patients who are uncomfortable with or unable to use computers. Attention to the organization's strategic plan and office policies, patient and staff expectations, workflow and communication integration, training, marketing, and enrollment can facilitate optimal use of this technology. Other communication technologies that can enhance patient care include automated voice or text reminders and brief electronic communications. Social media provide another method of patient outreach, but privacy and access are concerns. Incorporating telehealthcare (health care provided via telephone or Internet), providing health coaching, and using interactive health communication applications can improve patient knowledge and clinical outcomes and provide social support.

  6. Improved performance of pentacene OTFTs with HfLaO gate dielectric by using fluorination and nitridation

    OpenAIRE

    Choi, HW; Che, CM; Lai, PT; Deng, LF; Liu, YR

    2012-01-01

    Pentacene organic thin-film transistors (OTFTs) with fluorinated high-κ HfLaO as gate insulator were fabricated. The dielectrics were prepared by sputtering method and then annealed in N 2 or NH 3 at 400 °C. Subsequently, the dielectrics were treated by fluorine plasma for different durations (100, 300, and 900 s). The N 2 and NH 3-annealed OTFTs with a 100-s plasma treatment achieve a carrier mobility of 0.62 and 0.66 cm 2V̇s, respectively, which are higher than those of the OTFTs without pl...

  7. Improving Business Communication in the Field of Management in Education

    Directory of Open Access Journals (Sweden)

    Cvetka Peterlin

    2013-06-01

    Full Text Available Research Question (RQ: The topic area of this research study is to improve the quality of business communication in education.Purpose: This article presents a framework of procedures to improve business communication in a public institution in the field of education and its aim is to involve all fields of management. The added value relates to the field of business communication inside and outside a public institution.The focus of this research is based on the administrative management of the institution in relation to business communication and quality management with an emphasis on preparing the documentation to comply with the quality management system ISO 9001:2008.Method: Interview.Results: All employees whose work is related to administrative management of the institution will be considered as indicators to improve the quality management, communication excellence and ethical principles and are going to be informed in written form. The results of this research study will be evaluated at least once a year. Thefindings indicate a willingness to engage employees to improve thecurrent state of business communication.Organization: The institute carries out business communication among all employees involved in the implementation of basic education activities within the institution but also externally. Employees are aware that the equality of business communication is the basis for communication both in the business world, the workplace, at home, and abroad.Society: To ensure users satisfaction of the education services provided by the public education institution, it is necessary to create a user-friendly environment in business communication, which is trusted by users. Business excellence, good communication, and values will convince society to look at the institution as competitive, devoted to ethical values and professional work.Originality: The research is based on personal experience within the workplace and is currently limited to one

  8. Improving Communication Skills in Early Career Scientists

    Science.gov (United States)

    Saia, S. M.

    2013-12-01

    The AGU fall meeting is a time for scientists to share what we have been hard at work on for the past year, to share our trials and tribulations, and of course, to share our science (we hope inspirational). In addition to sharing, the AGU fall meeting is also about collaboration as it brings old and new colleagues together from diverse communities across the planet. By sharing our ideas and findings, we build new relationships with the potential to cross boundaries and solve complex and pressing environmental issues. With ever emerging and intensifying water scarcity, extreme weather, and water quality issues across the plant, it is especially important that scientists like us share our ideas and work together to put these ideas into action. My vision of the future of water sciences embraces this fact. I believe that better training is needed to help early career scientists, like myself, build connections within and outside of our fields. First and foremost, more advanced training in effective storytelling concepts and themes may improve our ability to provide context for our research. Second, training in the production of video for internet-based media (e.g. YouTube) may help us bring our research to audiences in a more personalized way. Third, opportunities to practice presenting at highly visible public events such as the AGU fall meeting, will serve to prepare early career scientists for a variety of audiences. We hope this session, ';Water Sciences Pop-Ups', will provide the first steps to encourage and train early career scientists as they share and collaborate with scientists and non-scientists around the world.

  9. Brief Survey of the Communicative Approach and the Strategy of Improving the Students' Communicative Competence

    Institute of Scientific and Technical Information of China (English)

    吴燕萍

    2012-01-01

      With the rapid development of economy and improvement position of English as an international lan-guage in our country,English teaching draw a lot of attention nowadays. In traditional English teaching,it's the teachers who manipulate everything in class,where students are seen as receivers of knowledge. Therefore,it lacks cooperation between teachers and students. Students have no opportunity to apply what they have learnt in class to practical com-munications. In this teachers-centered class,students are not able to bring themselves into ful play,which explains the low quality of English teaching in some schools and students fail to communicate with others after many years' learning. Based on the theory of Communicative Approach,the paper analyses its advantages and existing problems in application and proposes some strategy of improving students'Communicative Competence.

  10. Improving outpatient safety through effective electronic communication: a study protocol

    Directory of Open Access Journals (Sweden)

    Espadas Donna

    2009-09-01

    Full Text Available Abstract Background Health information technology and electronic medical records (EMRs are potentially powerful systems-based interventions to facilitate diagnosis and treatment because they ensure the delivery of key new findings and other health related information to the practitioner. However, effective communication involves more than just information transfer; despite a state of the art EMR system, communication breakdowns can still occur. 123 In this project, we will adapt a model developed by the Systems Engineering Initiative for Patient Safety (SEIPS to understand and improve the relationship between work systems and processes of care involved with electronic communication in EMRs. We plan to study three communication activities in the Veterans Health Administration's (VA EMR: electronic communication of abnormal imaging and laboratory test results via automated notifications (i.e., alerts; electronic referral requests; and provider-to-pharmacy communication via computerized provider order entry (CPOE. Aim Our specific aim is to propose a protocol to evaluate the systems and processes affecting outcomes of electronic communication in the computerized patient record system (related to diagnostic test results, electronic referral requests, and CPOE prescriptions using a human factors engineering approach, and hence guide the development of interventions for work system redesign. Design This research will consist of multiple qualitative methods of task analysis to identify potential sources of error related to diagnostic test result alerts, electronic referral requests, and CPOE; this will be followed by a series of focus groups to identify barriers, facilitators, and suggestions for improving the electronic communication system. Transcripts from all task analyses and focus groups will be analyzed using methods adapted from grounded theory and content analysis.

  11. 电离层信道特征参数对短波通信质量影响的试验分析%Experimental Study on the Impact of Ionospheric Channel Characteristic Parameters on HF Communication Quality

    Institute of Scientific and Technical Information of China (English)

    孙凤娟; 柳文; 李铁成

    2012-01-01

    Based on the experimental data measured by the platform which combines HF communication with ionospheric oblique sounding, the communication BER and the channel characteristic parameters are extracted. The impact of the channel characteristic parameters on the communication BER is statistically analyzed. An algorithm based on empirical mode is proposed to evaluate HF communication quality, and the results show the proposed algorithm is effective in the case of DPSK modulation.%基于新乡至青岛之间融短波通信和电离层斜向探测于一体的综合试验平台实录数据,提取了通信误码率及信道特征参数,统计分析了各信道参数对通信误码率的影响,并提出了一种基于经验模式的短波通信质量评估方法,该方法在DPSK编码形式下具有很高的实效性。

  12. Improving managerial communication: the role of regulatory fit

    NARCIS (Netherlands)

    Fransen, M.; ter Hoeven, C.

    2011-01-01

    The experiments presented here examine how managers and executives could improve the effectiveness of their (negative) written communications by incorporating the concept of fit into their message framing. By applying regulatory focus theory, the authors suggest that outcome-based fit between the

  13. Cryptanalysis and improvement of controlled secure direct communication

    Institute of Scientific and Technical Information of China (English)

    Kao Shih-Hung; Hwang Tzonelih

    2013-01-01

    This paper points out that,due to a flaw in the sender's encoding,the receiver in Gao et al.'s controlled quantum secret direct communication (CQSDC) protocol [Chin.Phys.14 (2005),No.5,p.893] can reveal the whole secret message without permission from the controller.An improvement is proposed to avoid this flaw.

  14. Appendix R. A Basic Communication Skill for Improving Interpersonal Relationships.

    Science.gov (United States)

    Wallen, John L.

    This appendix contains descriptions of three exercises designed to develop basic communications skills for improving interpersonal relations. Each exercise--designed to be engaged in by teachers in dyads, triads, quadruples, or similar groups without the presence of a skilled leader--includes a statement of the problem, description of the skill…

  15. Improvement in ferroelectricity of Hf x Zr1- x O2 thin films using ZrO2 seed layer

    Science.gov (United States)

    Onaya, Takashi; Nabatame, Toshihide; Sawamoto, Naomi; Ohi, Akihiko; Ikeda, Naoki; Chikyow, Toyohiro; Ogura, Atsushi

    2017-08-01

    The effect of crystallized ZrO2 (ZrO2-seed), amorphous Hf0.43Zr0.57O2 (HZO; HZO-seed), and amorphous Al2O3 (Al2O3-seed) seed layers on the ferroelectricity of HZO films was investigated. The remanent polarization (2P\\text{r} = P\\text{r} + - P\\text{r} - ) of a TiN-electroded capacitor with a ZrO2-seed layer was much larger than that of capacitors with a HZO-seed, Al2O3-seed, or no seed layer. Furthermore, the maximum 2P r was exhibited when the thickness of the ZrO2-seed layer was 2 nm. Large grain growth was observed, which satisfied the same lattice pattern between ZrO2 and HZO films, and indicates that the ZrO2 seed layer plays an important role in the nucleation of the HZO film.

  16. Improving oncology nurses' communication skills for difficult conversations.

    Science.gov (United States)

    Baer, Linda; Weinstein, Elizabeth

    2013-06-01

    When oncology nurses have strong communication skills, they play a pivotal role in influencing patient satisfaction, adherence to plans of care, and overall clinical outcomes. However, research studies indicate that nurses tend to keep communication with patients and families at a superficial, nontherapeutic level. Processes for teaching goals-of-care communication skills and for implementing skills into clinical practice are not clearly defined. Nurses at a large comprehensive cancer center recognized the need for help with this skill set and sought out communication experts to assist in providing the needed education. An educational project was developed to improve therapeutic communication skills in oncology nurses during goals-of-care discussions and giving bad news. The program was tailored to nurses and social workers providing care to patients in a busy, urban, academic, outpatient oncology setting. Program topics included exploring the patient's world, eliciting hopes and concerns, and dealing with conflict about goals. Sharing and discussing specific difficult questions and scenarios were encouraged throughout the program. The program was well attended and well received by oncology nurses and social workers. Participants expressed interest in the continuation of communication programs to further enhance skills.

  17. Improving communication during volcanic crises on small, vulnerable islands

    Science.gov (United States)

    McGuire, W. J.; Solana, M. C.; Kilburn, C. R. J.; Sanderson, D.

    2009-05-01

    Increased exposure to volcanic hazard, particularly at vulnerable small islands, is driving an urgent and growing need for improved communication between monitoring scientists, emergency managers and the media, in advance of and during volcanic crises. Information gathering exercises undertaken on volcanic islands (Guadeloupe, St. Vincent and Montserrat) in the Lesser Antilles (eastern Caribbean), which have recently experienced - or are currently experiencing - volcanic action, have provided the basis for the compilation and publication of a handbook on Communication During Volcanic Emergencies, aimed at the principal stakeholder groups. The findings of the on-island surveys point up the critical importance of (1) bringing together monitoring scientists, emergency managers, and representatives of the media, well in advance of a volcanic crisis, and (2), ensuring that procedures and protocols are in place that will allow, as far as possible, effective and seamless cooperation and coordination when and if a crisis situation develops. Communication During Volcanic Emergencies is designed to promote and encourage both of these priorities through providing the first source-book addressing working relationships and inter-linkages between the stakeholder groups, and providing examples of good and bad practice. While targeting the volcanic islands of the eastern Caribbean, the source-book and its content are largely generic, and the advice and guidelines contained therein have equal validity in respect of improving communication before and during crises at any volcano, and have application to the communication issue in respect of a range of other geophysical hazards.

  18. Improving Verbal Empathetic Communication for Adults with Autism Spectrum Disorder

    Science.gov (United States)

    Koegel, Lynn; Ashbaugh, Kristen; Navab, Anahita; Koegel, Robert

    2015-01-01

    The literature suggests that many individuals diagnosed with Autism Spectrum Disorder (ASD) experience challenges with recognizing and describing emotions in others, which may result in difficulties with the verbal expression of empathy during communication. Thus, there is a need for intervention techniques targeting this area. Using a multiple baseline across participants design, this study examined the effectiveness of a video-feedback intervention with a visual framework component to improve verbal empathetic statements and questions during conversation for adults with ASD. Following intervention, all participants improved in verbal expression of empathetic statements and empathetic questions during conversation with generalization and maintenance of gains. Furthermore, supplemental assessments indicated that each participant improved in their general level of empathy and confidence in communication skills. PMID:26520148

  19. Improving Empathic Communication Skills in Adults with Autism Spectrum Disorder.

    Science.gov (United States)

    Kern Koegel, Lynn; Ashbaugh, Kristen; Navab, Anahita; Koegel, Robert L

    2016-03-01

    The literature suggests that many individuals diagnosed with Autism Spectrum Disorder (ASD) experience challenges with recognizing and describing emotions in others, which may result in difficulties with the verbal expression of empathy during communication. Thus, there is a need for intervention techniques targeting this area. Using a multiple baseline across participants design, this study examined the effectiveness of a video-feedback intervention with a visual framework component to improve verbal empathetic statements and questions during conversation for adults with ASD. Following intervention, all participants improved in verbal expression of empathetic statements and empathetic questions during conversation with generalization and maintenance of gains. Furthermore, supplemental assessments indicated that each participant improved in their general level of empathy and confidence in communication skills.

  20. Effects of clinical communication interventions in hospitals: a systematic review of information and communication technology adoptions for improved communication between clinicians.

    Science.gov (United States)

    Wu, Robert C; Tran, Kim; Lo, Vivian; O'Leary, Kevin J; Morra, Dante; Quan, Sherman D; Perrier, Laure

    2012-11-01

    To conduct a systematic review of the literature to identify, describe and assess interventions of information and communication technology on the processes of communication and associated patient outcomes within hospital settings. Studies published from the years 1996 to 2010 were considered and were selected if they described an evaluation of information and communication technology interventions to improve clinical communication within hospitals. Two authors abstracted data from full text articles, and the quality of individual articles were appraised. Results of interventions were summarized by their effect. There were 18 identified studies that evaluated the use of interventions that included alphanumeric paging, hands-free communication devices, mobile phones, smartphones, task management systems and a display based paging system. Most quantitative studies used a before and after study design and were of lower quality. Of all the studies, there was only one prospective randomized study, but this study used only simulated communication events. Quantitative studies identified improved perceptions of communication and some improvement in communication metrics. Qualitative studies described improvements in efficiency of communication but also issues of loss of control and reliability. Despite the rapid advancement in information and communications technology over the last decade, there is limited evidence suggesting improvements in the ability of health professionals to communicate effectively. Given the critical nature of communication, we advocate further evaluation of information and communication technology designed to improve communication between clinicians. Outcome measures should include measures of patient-oriented outcomes and efficiency for clinicians. Copyright © 2012 Elsevier Ireland Ltd. All rights reserved.

  1. Improved orthogonal frequency division multiplexing communications through advanced coding

    Science.gov (United States)

    Westra, Jeffrey; Patti, John

    2005-08-01

    Orthogonal Frequency Division Multiplexing (OFDM) is a communications technique that transmits a signal over multiple, evenly spaced, discrete frequency bands. OFDM offers some advantages over traditional, single-carrier modulation techniques, such as increased immunity to inter-symbol interference. For this reason OFDM is an attractive candidate for sensor network application; it has already been included in several standards, including Digital Audio Broadcast (DAB); digital television standards in Europe, Japan and Australia; asymmetric digital subscriber line (ASDL); and wireless local area networks (WLAN), specifically IEEE 802.11a. Many of these applications currently make use of a standard convolutional code with Viterbi decoding to perform forward error correction (FEC). Replacing such convolutional codes with advanced coding techniques using iterative decoding, such as Turbo codes, can substantially improve the performance of the OFDM communications link. This paper demonstrates such improvements using the 802.11a wireless LAN standard.

  2. Information communication technology: new approach for rural cancer care improvement.

    Science.gov (United States)

    Maserat, Elham

    2008-01-01

    Cancer control aims to reduce the incidence, morbidity, and mortality of cancer and to improve the quality of life of cancer patients. For rural populations this presents particular problems. This article covers challenges of oncology care in rural areas and solutions via applying information communication technology with specialty telemedicine for overcoming problems in prevention, early diagnosis, treatment, and palliative care. In addition, telecommunications infrastructures and frameworks for implementation of telemedicine are described.

  3. Evaluation of three coding schemes designed for improved data communication

    Science.gov (United States)

    Snelsire, R. W.

    1974-01-01

    Three coding schemes designed for improved data communication are evaluated. Four block codes are evaluated relative to a quality function, which is a function of both the amount of data rejected and the error rate. The Viterbi maximum likelihood decoding algorithm as a decoding procedure is reviewed. This evaluation is obtained by simulating the system on a digital computer. Short constraint length rate 1/2 quick-look codes are studied, and their performance is compared to general nonsystematic codes.

  4. General consumer communication tools for improved image management and communication in medicine.

    Science.gov (United States)

    Rosset, Chantal; Rosset, Antoine; Ratib, Osman

    2005-12-01

    We elected to explore new technologies emerging on the general consumer market that can improve and facilitate image and data communication in medical and clinical environment. These new technologies developed for communication and storage of data can improve the user convenience and facilitate the communication and transport of images and related data beyond the usual limits and restrictions of a traditional picture archiving and communication systems (PACS) network. We specifically tested and implemented three new technologies provided on Apple computer platforms. (1) We adopted the iPod, a MP3 portable player with a hard disk storage, to easily and quickly move large number of DICOM images. (2) We adopted iChat, a videoconference and instant-messaging software, to transmit DICOM images in real time to a distant computer for conferencing teleradiology. (3) Finally, we developed a direct secure interface to use the iDisk service, a file-sharing service based on the WebDAV technology, to send and share DICOM files between distant computers. These three technologies were integrated in a new open-source image navigation and display software called OsiriX allowing for manipulation and communication of multimodality and multidimensional DICOM image data sets. This software is freely available as an open-source project at http://homepage.mac.com/rossetantoine/OsiriX. Our experience showed that the implementation of these technologies allowed us to significantly enhance the existing PACS with valuable new features without any additional investment or the need for complex extensions of our infrastructure. The added features such as teleradiology, secure and convenient image and data communication, and the use of external data storage services open the gate to a much broader extension of our imaging infrastructure to the outside world.

  5. 78 FR 21879 - Improving 9-1-1 Reliability; Reliability and Continuity of Communications Networks, Including...

    Science.gov (United States)

    2013-04-12

    ... From the Federal Register Online via the Government Publishing Office FEDERAL COMMUNICATIONS COMMISSION 47 CFR Chapter I Improving 9-1-1 Reliability; Reliability and Continuity of Communications Networks, Including Broadband Technologies AGENCY: Federal Communications Commission. ACTION: Notice...

  6. Using a Checklist to Improve Family Communication in Trauma Care.

    Science.gov (United States)

    Dennis, Bradley M; Nolan, Tracy L; Brown, Cecil E; Vogel, Robert L; Flowers, Kristin A; Ashley, Dennis W; Nakayama, Don K

    2016-01-01

    Modern concepts of patient-centered care emphasize effective communication with patients and families, an essential requirement in acute trauma settings. We hypothesized that using a checklist to guide the initial family conversation would improve the family's perception of the interaction. Institutional Review Board-approved, prospective pre/post study involving families of trauma patients admitted to our Level I trauma center for >24 hours. In the control group, families received information according to existing practices. In the study group, residents gave patient information to a first-degree family member using a checklist that guided the interaction. The checklist included a physician introduction, patient condition, list of known injuries, admission unit or intensive care unit, any consultants involved, plans for additional studies or operations, and opportunity for family to ask questions. An 11-item survey was administered 24 to 48 hours after admission to each group that evaluated the trauma team's communication in the areas of physician introduction, patient condition, ongoing treatment, and family perception of the interaction. Responses were on a Likert scale and analyzed using the Wilcoxon-Mann-Whitney test. There were 130 patients in each group. The study group had significantly (P family, physician introduction, understanding of their relative's injuries, admitting unit, consultants involved, urgent surgical procedures required, ongoing diagnostic studies, and understanding of the treatment plan. In conclusion, using a checklist improves the perception of the initial communication between the trauma team and family members of trauma patients, especially their understanding of the treatment plan.

  7. HF Communication Aid Decision-Making Model based on SNR Evaluation%基于信噪比估算的短波通信辅助决策模型研究

    Institute of Scientific and Technical Information of China (English)

    董航; 徐池; 易涛; 韩东

    2014-01-01

    In order to meet the communication commander’s demands on HF communication aid-decision-making in complicated battlefield, the field-intensity prediction model and noise model are simplified and parameter programmed, thus a situation-visualized model based on the evaluation of SNR is proposed,vi-sualization implementation is beneficial to communication commander in grasping the overall situation intui-tively. Meanwhile, HF aid-decision-making model based on the model function of SNR evaluation is con-structed and defined. According to the controllable factors of function, input parameter is reasonably allo-cated via mathematical analysis, thus the aid decision-making information is provided to achieve optimum communication. Rationality of the simulation model is verified through the comparison of between simula-tion prediction result and reference data, and the proposed model can serve as a reference for the research of HF communication aid decision-making.%为满足复杂战场条件下通信指挥员的短波通信决策需求,对场强预测模型和噪声模型进行简化和参数程序化,提出了以短波通信信噪比估算为基础的态势可视化模型,可视化的实现有利于通信指挥员直观地掌握短波通信的整体态势;构建和定义了以信噪比估算模型函数为基础的短波辅助决策模型,根据函数的可控因子,运用数学分析方法对输入参数进行合理配置,为最佳通信效果的实现提供辅助决策信息。通过仿真预测结果和参考数据的对比,验证了仿真模型的合理性,对短波通信的辅助决策研究有一定的参考价值。

  8. General consumer communication tools for improved image management and communication in medicine

    Science.gov (United States)

    Ratib, Osman M.; Rosset, Antoine; McCoy, J. Michael

    2005-04-01

    We elected to explore emerging consumer technologies that can be adopted to improve and facilitate image and data communication in medical and clinical environment. The wide adoption of new communication paradigm such as instant messaging, chatting and direct emailing can be integrated in specific applications. The increasing capacity of portable and hand held devices such as iPod music players offer an attractive alternative for data storage that exceeds the capabilities of traditional offline storage media such as CD or even DVD. We adapted medical image display and manipulation software called OSIRIX to integrate different innovative technologies facilitating the communication and data transfer between remote users. We integrated email and instant messaging features to the program allowing users to instantaneously email an image or a set of images that are displayed on the screen. Using iChat instant messaging application from Apple a user can share the content of his screen with a remote correspondent and communicate in real time using voice and video. To provide convenient mechanism for exchange of large data sets the program can store the data in DICOM format on CD or DVD, but was also extended to use the large storage capacity of iPod hard disks as well as Apple"s online storage service "dot Mac" that users can subscribe to benefit from scalable secure storage that accessible from anywhere on the internet. The adoption of these innovative technologies is likely to change the architecture of traditional picture archiving and communication systems and provide more flexible and efficient means of communication.

  9. Improving MILSATCOM (Military Satellite Communication) acquisition outcomes: Lease versus buy

    Science.gov (United States)

    Dinneen, P. M.; Quinn, T. H.

    1985-01-01

    This study was requested by the Director of Space Systems and Command, Control, and Communications, Office of the Deputy Chief of Staff (Research, Development, and Acquisition), Headquarters United States Air Force, to assist in improving the outcomes of military satellite communication (MILSATCOM) programs. In view of rapidly rising costs of military space systems, leasing has been suggested as one way of controlling these costs. The purpose of this study, therefore, was to identify and analyze the central considerations relevant to determining whether to lease or by MILSATCOM services. The results of this report should be of interest to members of MILSATCOM acquisition community and others concerned with making lease versus buy decisions in the public sector. The work was conducted under the MILSATCOM Acquisition Policy project of the Project Air Force Resource Management Program.

  10. Mitigating Doppler shift effect in HF multitone data modem

    Science.gov (United States)

    Sonlu, Yasar

    1989-09-01

    Digital communications over High Frequency (HF) radio channels are getting important in recent years. Current HF requirements are for data transmission at rates 2.4 kbps or more to accommodate computer data links and digital secure voice. HF modems which were produced to meet these speeds are, serial modems and parallel modems. On the other hand, the HF sky-wave communication medium, the ionosphere, has some propagation problems such as multipath and Doppler shift. The effect of Doppler shift in a parallel modem which employs Differential Quadrature Phase Shift Keying (DQPSK) modulation is considered and a correction method to mitigate the Doppler Shift effect is introduced.

  11. Reduced impurities and improved electrical properties of atomic-layer-deposited HfO{sub 2} film grown at a low temperature (100 °C) by Al{sub 2}O{sub 3} incorporation

    Energy Technology Data Exchange (ETDEWEB)

    Park, Tae Joo, E-mail: tjp@hanyang.ac.kr [Department of Materials Science and Engineering, University of Texas at Dallas, TX 75080 (United States); Department of Materials Science and Chemical Engineering, Hanyang University, Ansan 15588 (Korea, Republic of); Byun, Youngchol; Wallace, Robert M. [Department of Materials Science and Engineering, University of Texas at Dallas, TX 75080 (United States); Kim, Jiyoung, E-mail: jiyoung.kim@utdallas.edu [Department of Materials Science and Engineering, University of Texas at Dallas, TX 75080 (United States)

    2016-05-15

    Highlights: • Incorporation of Al{sub 2}O{sub 3} in small amounts effectively reduced the residual impurity concentration in atomic-layer-deposited HfO{sub 2} film (Al:HfO{sub 2}). • Al:HfO{sub 2} film grown at 100 °C showed the electrical properties comparable with those of HfO{sub 2} film grown at 250 °C due to low impurity concentration. • The electronic band structures of various films were reconstructed based on X-ray photoelectron spectroscopy result. - Abstract: The HfO{sub 2} films grown by atomic layer deposition (ALD) at a low temperature (100 °C) necessarily has a large amount of residual impurities due to lack of thermal energy for stable ALD reactions such as ligand removal and oxidation, which degrades various properties. However, Al{sub 2}O{sub 3} incorporation into the film significantly decreased the residual impurities despite of a low growth temperature. The decrease in C impurity is attributed to the reduced oxygen vacancies by the incorporated Al{sub 2}O{sub 3} phase or the high reactivity of Al precursor. Consequently, the electronic band structure of the film, and thereby the electrical properties were improved significantly.

  12. Huddles and Debriefings: Improving Communication on Labor and Delivery.

    Science.gov (United States)

    McQuaid-Hanson, Emily; Pian-Smith, May C M

    2017-03-01

    Interprofessional teams work together on the labor and delivery unit, where clinical care is often unscheduled, rapidly evolving, and fast paced. Effective communication is key for coordinated delivery of optimal care and for fostering a culture of community and safety in the workplace. The preoperative huddle allows for information sharing, cross-checking, and preparation before the start of surgery. Postoperative debriefings allow the operative team to engage in ongoing process improvement. Debriefings after adverse events allow for shared understanding, mutual healing, and help mitigating the harm to potential "second victims." Copyright © 2016 Elsevier Inc. All rights reserved.

  13. The Use of Communicative Approach to improve College English Teaching

    Institute of Scientific and Technical Information of China (English)

    安君君

    2014-01-01

    The English college entrance examination reform is a sign that communicative competence will be more concerned rather than scores. Based on the theory of communicative approach, this paper discusses the use of communicative approach in college English teaching.

  14. Improving flood risk management through risk communication strategies

    Science.gov (United States)

    Bodoque, Jose Maria; Diez Herrero, Andres; Amerigo, Maria; Garcia, Juan Antonio; Olcina, Jorge; Cortes, Beatriz

    2016-04-01

    A suitable level of social perception about flood risk and awareness of Civil Protection Plans are critical to minimize disasters and damages due to flash floods. In order to improve risk perception, awareness and, as a result, the effectiveness of Civil Protection Plans, it is often required the implementation of communication plans. This research proposes a guide recommendation framework to enhance local population preparedness, prevention and response when a flash flood occurs. The research setting was a village (Navaluenga) located in Central Spain with 2,027 inhabitants. It is crossed by the Alberche river and Chorreron stream (both tributaries of the Tagus river), which are prone to flash floods. In a first phase, we assessed citizens' flash-flood risk perception and level of awareness regarding some key variables of the Civil Protection Plan. To this end, a questionnaire survey was designed and 254 adults, a sample representing roughly 12% of the population census, were interviewed. Responses were analysed, comparing awareness regarding preparedness and response actions with those previously defined in the Civil Protection Plan. In addition, we carried out a latent class cluster analysis aimed at identifying the different groups present among the respondents. Next, a risk communication plan was designed and implemented. It aimed to improve the understanding of flood risk among local people; and it comprises briefings, quiz-answers, contests of stories and flood images and intergenerational workshops. Finally, participants in the first phase were reached again and a new survey was performed. The results derived from these second questionnaires were statistically treated using the same approach of the first phase. Additionally, a t-test for paired samples and Pearson Chi-Square test was implemented in order to detect possible improvements in the perception and awareness. Preliminary results indicate that in Navaluenga there is a low social perception of flood

  15. There Is No White Horse: A First Step toward Improving Communication in Business.

    Science.gov (United States)

    Smith, David H.

    1969-01-01

    Businessmen who are concerned about their own communication effectiveness and the general communication practices of their organizations must first realize that attempts to improve communication take hard work and involve frequent failure. Although most businessmen believe communication to be ordinary and simple, they are concerned by the fact…

  16. Improving Communication About Potentially Catastrophic Risks of Climate Change

    Science.gov (United States)

    Ward, R. E. T.; Stern, N. H.

    2014-12-01

    Scientific assessments of future climate change tend to focus on central estimates and may understate or ignore the significance of low probability outcomes that may have extremely severe consequences. This relative neglect of tail risks is partly a result of traditions in prediction and forecasting, and conservatism about phenomena for which few data and information exist. The misinterpretation of such scientific assessments can have adverse results. Even though the central estimates of high emissions scenarios present obvious dangers, the tails of lower emissions scenarios still contain very serious risks which may be overlooked by policy-makers. Economic analyses may omit the possibility of catastrophic impacts, leading to substantial under-estimates of damage caused by climate change. So how do we avoid these shortcomings and achieve more effective communication about the risks of climate change? The scientific assessments of climate change differ in significant ways from the formal risk assessment methods successfully employed in other fields. We outline a 'good practice' approach to the identification, assessment and communication of potentially catastrophic risks based on examples from sectors such as civil engineering, national security and insurance. We illustrate how this 'good practice' approach could be applied to provide a better presentation of some catastrophic tail risks that are outlined in the Fifth Assessment Report of the Intergovernmental Panel on Climate Change. The risks we consider include the possibility of 'extreme' rises in temperature and sea level lying outside the central projections described in the report, and the plausibility of significant releases of methane from the thawing of permafrost. Using these illustrations, we examine how scientific researchers can improve their communication about climate change to assist decision-making, and how policy-makers and politicians might respond differently to alternative presentations of

  17. Foreign accents: suggested competencies for improving communicative pronunciation.

    Science.gov (United States)

    Sikorski, Lorna D

    2005-05-01

    In the past 20 years, many speech-language pathologists (SLPs) have joined their English as a Second Language (ESL) colleagues to address the pronunciation skills of second language speakers of English. This paper introduces SLPs to the ESL term "communicative pronunciation" as the underpinning for the commonly accepted terms "accent modification" or "accent reduction." Initially, professionals in both speech pathology and ESL felt that accent intervention was outside the scope of speech pathology practice, though that stance is softening. If an essential part of our mission as speech pathologists is to improve communicative competence for all persons, then making pronunciation more intelligible falls under that heading. This article on foreign accents limits discussion to: (1) the rationale for intervening with foreign accented adults; (2) an outline of a broader scope and definition of effective instruction for this population; (3) suggestions for trainer preparation; (4) recommendations for productive literature searches; and (5) a brief discussion of principles guiding assessment and instruction planning. The article includes relevant research and references outside the field of speech pathology that should stimulate future productive research efforts as well as more in-depth papers on specific instruction and assessment issues. While this article is intended to stand alone, readers may benefit from the content and references in another article in this issue by the same author.

  18. Improving Climate Change Communication Skills through Community Outreach

    Science.gov (United States)

    Hanrahan, J.

    2015-12-01

    While many undergraduate Atmospheric Science departments are expanding their curriculums to focus on the science of climate change, often overlooked is the need to educate students about how this topic can be effectively communicated to others. It has become increasingly difficult for young scientists to comfortably discuss this polarizing topic with people outside of the classroom. To address this, Atmospheric Science faculty at Lyndon State College are providing undergraduate students the opportunity to practice this important skill by reaching out to the local community. Over the past year, students have been meeting regularly to discuss climate change and its impacts, and to present this information to the general public at local schools and organizations. The group was organized with the primary goal of teaching undergraduate students about effective ways to communicate basic climate science to nonscientists, but to also improve public understanding of anthropogenic climate change while starting a conversation among young people in the community. We will identify lessons learned after one year, discuss effective strategies, and summarize student feedback.

  19. Achieving quality improvement in the nursing home: influence of nursing leadership on communication and teamwork.

    Science.gov (United States)

    Vogelsmeier, Amy; Scott-Cawiezell, Jill

    2011-01-01

    Leadership, communication, and teamwork are essential elements of organizational capacity and are linked to organizational performance. How those organizations actually achieve improved performance, however, is not clearly understood. In this comparative case study, nursing leadership who facilitated open communication and teamwork achieved improvement while nursing leadership who impeded open communication and teamwork did not.

  20. Use of satellite natural vibrations to improve performance of free-space satellite laser communication.

    Science.gov (United States)

    Arnon, S

    1998-07-20

    In some of the future laser communication satellites, it is plausible to assume that tracking and communication receivers will use the same detector array. The reason for dual use of the detector is to design simpler and less expensive satellites. Satellites vibrate continually because of their subsystems and environmental sources. The vibrations cause nonuniform spreading of the received energy on the detector array. In view of this, the information from the tracking system is used to adapt individually the communication signal gain of each of the detectors in the array. This adaptation of the gains improves communication system performance. It is important to emphasize that the communication performance improvement is achieved only by gain adaptation. Any additional vibrations decrease the tracking and laser pointing system performances, which decrease the return communication performances (two-way communication). A comparison of practical communication systems is presented. The novelty of this research is the utilization of natural satellite vibrations to improve the communication system performance.

  1. On the Improvement of Middle School students’ English Communicative Competence

    Institute of Scientific and Technical Information of China (English)

    陈二茹

    2014-01-01

    The objective of English teaching is mainly to cultivate students’ communicative competence in English. However, during the real teaching, teachers always place great emphasis on students’ test ability and ignore their communicative competence.Thus,“dumb English”.

  2. Interventions to improve teamwork and communications among healthcare staff.

    Science.gov (United States)

    McCulloch, P; Rathbone, J; Catchpole, K

    2011-04-01

    Concern over the frequency of unintended harm to patients has focused attention on the importance of teamwork and communication in avoiding errors. This has led to experiments with teamwork training programmes for clinical staff, mostly based on aviation models. These are widely assumed to be effective in improving patient safety, but the extent to which this assumption is justified by evidence remains unclear. A systematic literature review on the effects of teamwork training for clinical staff was performed. Information was sought on outcomes including staff attitudes, teamwork skills, technical performance, efficiency and clinical outcomes. Of 1036 relevant abstracts identified, 14 articles were analysed in detail: four randomized trials and ten non-randomized studies. Overall study quality was poor, with particular problems over blinding, subjective measures and Hawthorne effects. Few studies reported on every outcome category. Most reported improved staff attitudes, and six of eight reported significantly better teamwork after training. Five of eight studies reported improved technical performance, improved efficiency or reduced errors. Three studies reported evidence of clinical benefit, but this was modest or of borderline significance in each case. Studies with a stronger intervention were more likely to report benefits than those providing less training. None of the randomized trials found evidence of technical or clinical benefit. The evidence for technical or clinical benefit from teamwork training in medicine is weak. There is some evidence of benefit from studies with more intensive training programmes, but better quality research and cost-benefit analysis are needed. Copyright © 2011 British Journal of Surgery Society Ltd. Published by John Wiley & Sons, Ltd.

  3. A communication strategy to improve nutrition in Indonesia.

    Science.gov (United States)

    Griffiths, M; Nobbe, E

    1985-01-01

    As an experimental project, the Nutrition Communication and Behavior Change Component (NCBC) of the Indonesian Nutrition Development Program (UPGK) showed how social marketing could further the national program's goal of significantly improving the nutrition of Indonesia's young children and pregnant and nursing women. The social marketing approach successfully developed nutrition communication materials that were responsive to the needs, desires, and resources of the communities, particularly of the mothers and volunteer nutrition workers. Between 1977-79 Dr. I.B. Mantra, NCBC Director, established administrative and community infrastructures modeled after UPGK in 5 culturally diverse areas in Indonesia. In mid-1979, with technical assistance from Manoff International, the project departed from the approach of the national plan and embarked upon an unprecedented course with the formative evaluation of educational messages and a communication strategy. The success of the NCBC Component was to be judged by whether education -- as the sole intervention -- could produce significant improvements in the nutritional status of children and the improved nutrient intake of pregnant and lactating women in project communities. The 1st step was to design and execute qualitative research on the health and nutritional problems of children under 3 and pregnant and nursing women, consisting of in-depth household interviews, concept testing with mothers, and focus group interviews with kaders and community opinion leaders. Surveying was based on issues identified earlier by the Ministry of Health as most severe for the population overall. The qualitative investigation identified the need for change or reinforcement in particular nutrition-related behaviors. The target audience of mothers was segmented according to their needs during designated maternal stages and by the age-related dietary needs of their children under 3 years of age. This meant that only the most useful

  4. [A workshop to improve written communication skills of medical students].

    Science.gov (United States)

    Bitran, Marcela; Zúñiga, Denisse; Flotts, Paulina; Padilla, Oslando; Moreno, Rodrigo

    2009-05-01

    Despite being among the best academically prepared of the country, many medical students have difficulties to communicate in writing. In 2005, the School of Medicine at the Pontificia Universidad Católica de Chile introduced a writing workshop in the undergraduate curriculum, to enhance the students' writing skills. To describe the workshop and its impact on the writing skills of 3 cohorts of students. This 30-h workshop used a participative methodology with emphasis on deliberate practice and feedback. Students worked in small groups with a faculty member specially trained in writing. The qualities of the essays written before and after the workshop were compared. Essays were rated by a professional team that used an analytic rubric to measure formal aspects of text writing as well as more complex thinking processes. There was a significant improvement in the quality of the texts written after the workshop; the main changes occurred in argumentation, and in paragraph and text structure. This improvement was inversely proportional to the initial level of performance, and independent of gender. A writing workshop based on deliberate practice and personalized feedback is effective to enhance the writing proficiency of medical students. Due to its design, this workshop could be useful for students of other careers and universities.

  5. Building effectiveness communication ratios for improved building life cycle management

    Energy Technology Data Exchange (ETDEWEB)

    Morrissey, E.; Keane, M.; McCarthy, J. [Ireland National Univ., Cork (Ireland). IRUSE; O' Donnell, J. [Lawrence Berkely National Laboratory, Berkeley, CA (United States)]|[Ireland National Univ., Cork (Ireland). IRUSE

    2005-07-01

    The construction and operation of buildings consumes 35 per cent of total U.S. energy production. Although the application of building energy simulation models in early design stages can significantly increase performance throughout the building life cycle, energy simulation modeling has not been widely adopted by the design community. The complexity and length of time needed to prepare energy models are considered to be barriers, as well as the lack of energy appraisal tools capable of modeling a wide spectrum of hybrid heating, ventilation and air conditioning (HVAC) systems. A performance-based strategy using building effectiveness communication ratios stored in Building Information Models (BIM) was presented in this paper. The strategy aimed to link currently fragmented stages within the building life cycle. It was suggested that the ability to share and exchange information will reduce the amount of user time required for building simulation models. The proposed Building Energy Monitoring Analyzing and Communication (BEMAC) framework is an integrated environment that allows users to share data with other applications through an integrated data model. The data models allow each participant to employ tools specific to their needs without compromising or corrupting project data. Data values elicited from the model act as best-possible values. It was anticipated that by assigning spaces within the simulation model with proposed HVAC systems, reproductions of the energy use by these mechanical systems can contribute to overall energy data representation and analysis. Idealized Effectiveness Ratios and Performance Effectiveness Ratios were discussed in relation to a case study of the Glucksman Art Gallery at the National University of Ireland. Results indicated that the Idealized Effectiveness Ratio is applicable across the entire building life cycle, while the Performance Effectiveness Ratio allows facility managers to investigate the energy saving potential of the

  6. Improved communication in post-ICU care by improving writing of ICU discharge letters: a longitudinal before-after study

    NARCIS (Netherlands)

    Medlock, S.; Eslami, S.; Askari, M.; van Lieshout, E.J.; Dongelmans, D.A.; Abu-Hanna, A.

    2011-01-01

    Background: The discharge letter is the primary means of communication at patient discharge, yet discharge letters are often not completed on time. A multifaceted intervention was performed to improve communication in patient hand-off from the intensive care unit (ICU) to the wards by improving the

  7. Organisational Communication, The Panacea For Improved Labour Relations

    OpenAIRE

    Dupe Adesubomi Abolade

    2015-01-01

    This paper examined the importance of organisational communication to overall effective labour relations. It looked at organisational communication and its role in labour relations between the parties involved in Labour relations for better business procedures and relationships. It explained the importance of organisational communication in enhancing better labour relations within the organisation and with people outside the organisation. It enumerated the various groups that are involved in ...

  8. Improving communication with patients with a hearing impairment

    OpenAIRE

    Seema Rupani Shah; Newton, Valerie E

    2013-01-01

    The main barrier to communication for people who are hearing impaired is the lack of consideration by others. These patients can face prolonged or unnecessary illnesses due to inadequate communication with their health care providers. However, by being prepared, and by preparing the patient, health workers can ensure good communication, thereby giving patients access to appropriate and effective health care. Please note that patients with both visual and hearing impairments require even more ...

  9. Improving communication with patients with a hearing impairment

    Directory of Open Access Journals (Sweden)

    Seema Rupani Shah

    2013-05-01

    Full Text Available The main barrier to communication for people who are hearing impaired is the lack of consideration by others. These patients can face prolonged or unnecessary illnesses due to inadequate communication with their health care providers. However, by being prepared, and by preparing the patient, health workers can ensure good communication, thereby giving patients access to appropriate and effective health care. Please note that patients with both visual and hearing impairments require even more consideration!

  10. IMPROVING CHANGE MANAGEMENT: HOW COMMUNICATION NATURE INFLUENCES RESISTANCE TO CHANGE

    OpenAIRE

    Matos Marques Simoes, Paula; Esposito, Mark

    2012-01-01

    Little has been studied yet in terms of how communication nature influences change process. This article explores a case study that takes part in a broader research project, aimed to contribute in this direction. It was applied a mix method approach to characterize resistance to change and communication nature within one organization under a radical change process. One main theoretical contribution is an instrumental grid to characterize dialogic communication nature. Findings of the case stu...

  11. The effect of a resident-led quality improvement project on improving communication between hospital-based and outpatient physicians.

    Science.gov (United States)

    Kalanithi, Lucy; Coffey, Charles E; Mourad, Michelle; Vidyarthi, Arpana R; Hollander, Harry; Ranji, Sumant R

    2013-01-01

    This article reports on a resident-led quality improvement program to improve communication between inpatient internal medicine residents and their patients' primary care physicians (PCPs). The program included education on care transitions, standardization of documentation, audit and feedback of documented PCP communication rates with public reporting of performance, rapid-cycle data analysis and improvement projects, and a financial incentive. At baseline, PCP communication was documented in 55% of patients; after implementation of the intervention, communication was documented in 89.3% (2477 of 2772) of discharges during the program period. The program was associated with a significant increase in referring PCP satisfaction with communication at hospital admission (baseline, 27.7% "satisfied" or "very satisfied"; postintervention, 58.2%; P importance of PCP communication for patient care and audit and feedback of their performance as the principal drivers of their engagement in the project.

  12. Improved Rate-Equivocation Regions for Secure Cooperative Communication

    CERN Document Server

    Marina, Ninoslav; Poor, H Vincent

    2011-01-01

    A simple four node network in which cooperation improves the information-theoretic secrecy is studied. The channel consists of two senders, a receiver, and an eavesdropper. One or both senders transmit confidential messages to the receiver, while the eavesdropper tries to decode the transmitted message. The main result is the derivation of a newly achievable rate-equivocation region that is shown to be larger than a rate-equivocation region derived by Lai and El Gamal for the relay-eavesdropper channel. When the rate of the helping interferer is zero, the new rate-equivocation region reduces to the capacity-equivocation region over the wire-tap channel, hence, the new achievability scheme can be seen as a generalization of a coding scheme proposed by Csiszar and Korner. This result can naturally be combined with a rate-equivocation region given by Tang et al. (for the interference assisted secret communication), yielding an even larger achievable rate-equivocation region.

  13. Implantation of Y- and Hf-ions into a F-doped Ni-base superalloy improving the oxidation resistance at high temperatures

    Energy Technology Data Exchange (ETDEWEB)

    Zschau, H.-E. [DECHEMA-Forschungsinstitut, Theodor-Heuss-Allee 25, D-60486 Frankfurt am Main (Germany); King, F. [Goethe-Universität Frankfurt am Main, Institut für Kernphysik, Max-von-Laue-Str. 1, D-60438 Frankfurt am Main (Germany); Galetz, M.C.; Schütze, M. [DECHEMA-Forschungsinstitut, Theodor-Heuss-Allee 25, D-60486 Frankfurt am Main (Germany)

    2015-12-15

    The surface modification of Ni-base alloys with low Al-contents (between 2 and 5 wt.%) with fluorine leads to the formation of a protective alumina scale under high temperature service conditions. The combined implantation of fluorine and reactive elements (Y, Hf) can increase the adherence of this alumina scale needed for technical applications.

  14. Education in patient-physician communication : How to improve effectiveness?

    NARCIS (Netherlands)

    Wouda, Jan C.; van de Wiel, Harry B. M.

    Objective: Despite educational efforts expertise in communication as required by the CanMEDS competency framework is not achieved by medical students and residents. Several factors complicate the learning of professional communication. Methods: We adapted the reflective impulsive model of social

  15. On the Improvement of Middle School students’ English Communicative Competence

    Institute of Scientific and Technical Information of China (English)

    陈二茹

    2014-01-01

    The objective of English teaching is mainly to cultivate students’communicative competence in English.However,during the real teaching,teachers always place great emphasis on students’test ability and ignore their communicative competence.Thus,"dumb English"

  16. 76 FR 18759 - Improving Communications Services for Native Nations

    Science.gov (United States)

    2011-04-05

    ..., communication adoption opportunities, and incentives for Native Nations. The Commission also seeks government-to... committed to ensuring that all Americans have access to emerging services and technologies, with Native... communications issues affecting Native Nations and Americans living on Tribal lands--the lands of...

  17. Education in patient-physician communication : How to improve effectiveness?

    NARCIS (Netherlands)

    Wouda, Jan C.; van de Wiel, Harry B. M.

    2013-01-01

    Objective: Despite educational efforts expertise in communication as required by the CanMEDS competency framework is not achieved by medical students and residents. Several factors complicate the learning of professional communication. Methods: We adapted the reflective impulsive model of social beh

  18. Education in patient-physician communication : How to improve effectiveness?

    NARCIS (Netherlands)

    Wouda, Jan C.; van de Wiel, Harry B. M.

    2013-01-01

    Objective: Despite educational efforts expertise in communication as required by the CanMEDS competency framework is not achieved by medical students and residents. Several factors complicate the learning of professional communication. Methods: We adapted the reflective impulsive model of social beh

  19. Barriers and strategies for improving communication between inpatient and outpatient mental health clinicians.

    Science.gov (United States)

    Stockdale, Susan E; Sherin, Jonathan E; Chan, Jeffrey A; Hermann, Richard C

    2011-11-01

    To explore hospital leaders' perceptions of organisational factors as barriers and/or facilitators in improving inpatient-outpatient (IP-OP) communication. Semistructured in-person interviews. Constant comparative method of qualitative data. Inpatient psychiatry units in 33 general medical/surgical and specialty psychiatric hospitals in California and Massachusetts (USA). Psychiatry chair/chief, service director or medical director. Importance to leadership, resources, organisational structure and culture. A majority of hospital leaders rated the IP-OP communication objective as highly or moderately important. Hospitals with good IP-OP communication had structures in place to support communication or had changed/implemented new procedures to enhance communication, and anticipated clinicians would 'buy in' to the goal of improved communication. Hospitals reporting no improvement efforts were less likely to have structures supporting IP-OP communication, anticipated resistance among clinicians and reported a need for technological resources such as electronic health records, integrated IT and secure online communication. Most leaders reported a need for additional staff time and information, knowledge or data. For many hospitals, successfully improving communication will require overcoming organisational barriers such as cultures not conducive to change and lack of resources and infrastructure. Creating a culture that values communication at discharge may help improve outcomes following hospitalisation, but changes in healthcare delivery in the past few decades may necessitate new strategies or changes at the systems level to address barriers to effective communication.

  20. Mid-Latitude Mobile Wideband HF- NVIS Channel Analysis: Part 1

    Science.gov (United States)

    2017-09-14

    communications (SATCOM) for beyond line-of- sight (LOS) links. However, standard HF systems operating over a 3-kHz bandwidth do not provide sufficient...wideband mid-latitude HF channel soundings and three-dimensional (3-D) ray-tracing simulations to develop a statistical model of a particular nearly...46 5 THE HF-NVIS CHANNEL SOUNDING SYSTEM ...................................................................... 47 5.1 TRANSMIT AND RECEIVE HF

  1. A MODEL FOR INTEGRATED SOFTWARE TO IMPROVE COMMUNICATION POLICY IN DENTAL TECHNICAL LABS

    Directory of Open Access Journals (Sweden)

    Minko M. Milev

    2017-06-01

    Full Text Available Introduction: Integrated marketing communications (IMC are all kinds of communications between organisations and customers, partners, other organisations and society. Aim: To develop and present an integrated software model, which can improve the effectiveness of communications in dental technical services. Material and Methods: The model of integrated software is based on recommendations of a total of 700 respondents (students of dental technology, dental physicians, dental technicians and patients of dental technical laboratories in Northeastern Bulgaria. Results and Discussion: We present the benefits of future integrated software to improve the communication policy in the dental technical laboratory that meets the needs of fast cooperation and well-built communicative network between dental physicians, dental technicians, patients and students. Conclusion: The use of integrated communications could be a powerful unified approach to improving the communication policy between all players at the market of dental technical services.

  2. Improving communication skills in the Southeast Asian health care context.

    Science.gov (United States)

    Claramita, Mora; Susilo, Astrid Pratidina

    2014-12-01

    The aim of these two PhD thesis are to develop a guideline on doctor-patient communication skills based on cultural characteristics of Southeast Asian context and to develop communication skills training for nurses to enhance their contribution to the informed consent and shared decision making process, in the same context. These studies started with qualitative methods; including grounded theory methodology, by exploring doctors', patients', medical students' and nurses' perceptions on the current and desired communication skills in which influenced by culture. Based on the results, we design communication skills training and evaluate the training with quantitative methods, using pre and post test studies. Southeast Asian desired ideal partnership style in communicating with their doctors. More emphasize on basic skills such as listening to subtle non-verbal cues are needed for doctors and nurses. A guideline on doctor-patient communication tailored to local culture was developed as well as training for nurses using 4CID design to enhance their contribution to the shared decision making process. To promote two-way interaction between doctors and patients and between health professionals require mastering basic skills in communicating with people, such as explorations on the unspoken concern. In a culturally hierarchical context of Indonesia, this two-way interaction is quite a challenge. To generalize our studies to other culture, more studies with rigorous methods should follow. To promote the use of basic skills in communicating with patients to approach the desired partnership communication style in Southeast Asian context, we need to use local evidences.

  3. Using design science and artificial intelligence to improve health communication: ChronologyMD case example.

    Science.gov (United States)

    Neuhauser, Linda; Kreps, Gary L; Morrison, Kathleen; Athanasoulis, Marcos; Kirienko, Nikolai; Van Brunt, Deryk

    2013-08-01

    This paper describes how design science theory and methods and use of artificial intelligence (AI) components can improve the effectiveness of health communication. We identified key weaknesses of traditional health communication and features of more successful eHealth/AI communication. We examined characteristics of the design science paradigm and the value of its user-centered methods to develop eHealth/AI communication. We analyzed a case example of the participatory design of AI components in the ChronologyMD project intended to improve management of Crohn's disease. eHealth/AI communication created with user-centered design shows improved relevance to users' needs for personalized, timely and interactive communication and is associated with better health outcomes than traditional approaches. Participatory design was essential to develop ChronologyMD system architecture and software applications that benefitted patients. AI components can greatly improve eHealth/AI communication, if designed with the intended audiences. Design science theory and its iterative, participatory methods linked with traditional health communication theory and methods can create effective AI health communication. eHealth/AI communication researchers, developers and practitioners can benefit from a holistic approach that draws from theory and methods in both design sciences and also human and social sciences to create successful AI health communication. Copyright © 2013 Elsevier Ireland Ltd. All rights reserved.

  4. Forum: Interpersonal Communication in Instructional Settings: Improving Situational Awareness for Instructional Communication Research: A Forum Response

    Science.gov (United States)

    Titsworth, Scott

    2017-01-01

    In this response, Scott Titsworth analyzes similarities among the forum essays and then offers ideas for how instructional communication scholars might adopt greater situational awareness in research, theory, and application of their work. [Other essays in this forum include: (1) FORUM: Interpersonal Communication in Instructional Settings: The…

  5. Forum: Interpersonal Communication in Instructional Settings: Improving Situational Awareness for Instructional Communication Research: A Forum Response

    Science.gov (United States)

    Titsworth, Scott

    2017-01-01

    In this response, Scott Titsworth analyzes similarities among the forum essays and then offers ideas for how instructional communication scholars might adopt greater situational awareness in research, theory, and application of their work. [Other essays in this forum include: (1) FORUM: Interpersonal Communication in Instructional Settings: The…

  6. Improving sexual risk communication with adolescents using event history calendars.

    Science.gov (United States)

    Martyn, Kristy K; Darling-Fisher, Cynthia; Pardee, Michelle; Ronis, David L; Felicetti, Irene L; Saftner, Melissa A

    2012-04-01

    This study was conducted to explore the effects of an event history calendar (EHC) approach on adolescent sexual risk communication and sexual activity. Adolescent school-linked health clinic patients (n = 30) who reported sexual activity self-administered the EHC that was used by nurse practitioners (NPs; n = 2) during a clinic visit. Immediately pre- and post-visit, and at 1 and 3 months, adolescents reported sexual risk behaviors and perceptions about EHC communication on questionnaires and by interview. NPs reported their perceptions of EHCs by questionnaire after the visit and poststudy interview. The EHC approach facilitated communication and adolescent awareness of their risk behaviors. Scores increased on Amount of Communication, t(29) = 8.174, p Communication, t(29) = 3.112, p = .004; Client Involvement in Decision Making, t(29) = 3.901, p = .001, and Client Satisfaction with Interpersonal Style, t(29) = 3.763, p = .001. Adolescents reported decreased sexual intercourse at 1 month, p = .031. School nurses could use the EHC approach to facilitate adolescent communication and tailoring of interventions.

  7. Evaluation of Student Reflection as a Route to Improve Oral Communication

    Science.gov (United States)

    Mineart, Kenneth P.; Cooper, Matthew E.

    2016-01-01

    This study describes the use of guided self-reflection and peer feedback activities to improve student oral communication in a large ChE class (n ~ 100) setting. Student performance tracked throughout an experimental semester indicated both reflection activities accelerated improvement in oral communication over control; student perception of the…

  8. Complementary and conventional providers in cancer care: experience of communication with patients and steps to improve communication with other providers.

    Science.gov (United States)

    Stub, Trine; Quandt, Sara A; Arcury, Thomas A; Sandberg, Joanne C; Kristoffersen, Agnete E

    2017-06-08

    Effective interdisciplinary communication is important to achieve better quality in health care. The aims of this study were to compare conventional and complementary providers' experience of communication about complementary therapies and conventional medicine with their cancer patients, and to investigate how they experience interdisciplinary communication and cooperation. This study analyzed data from a self-administrated questionnaire. A total of 606 different health care providers, from four counties in Norway, completed the questionnaire. The survey was developed to describe aspects of the communication pattern among oncology doctors, nurses, family physicians and complementary therapists (acupuncturists, massage therapists and reflexologists/zone-therapists). Between-group differences were analyzed using chi-square, ANOVA and Fisher's exact tests. Significance level was defined as p communication with their cancer patients regarding complementary therapies. While complementary therapists advised their patients to apply both complementary and conventional modalities, medical doctors were less supportive of their patients' use of complementary therapies. Of conventional providers, nurses expressed more positive attitudes toward complementary therapies. Opportunities to improve communication between conventional and complementary providers were most strongly supported by complementary providers and nurses; medical doctors were less supportive of such attempts. A number of doctors showed lack of respect for complementary therapists, but asked for more research, guidelines for complementary modalities and training in conventional medicine for complementary therapists. For better quality of care, greater communication about complementary therapy use is needed between cancer patients and their conventional and complementary providers. In addition, more communication between conventional and complementary providers is needed. Nurses may have a crucial role in

  9. A program to improve communication and collaboration between nurses and medical residents.

    Science.gov (United States)

    McCaffrey, Ruth G; Hayes, Rosemarie; Stuart, Wendy; Cassell, Asenath; Farrell, Cheryl; Miller-Reyes, Charmin; Donaldson, Audeanne

    2010-04-01

    A program was implemented for nurses and medical residents to improve communication and collaboration. It has been noted that communication and collaboration between members of the health care team improve patient outcomes and job satisfaction among nurses. Nurses on the unit where medical residents trained attended a 2-hour educational program that reviewed effective communication styles and positive aspects of collaboration, including role-playing examples. Medical residents received a self-learning packet with a posttest that was returned to researchers when completed. Focus groups, including both nurses and medical residents, were held twice a month for 6 months after the educational program. Overall improvements in communication, collaboration, patient outcomes, and job satisfaction were noted from the focus group data. The educational program proved to be successful in improving collaboration and communication between nurses and medical residents, which in turn improved patient care.

  10. Improving Communicative Ability in English Task-based Teaching in senior high school

    Institute of Scientific and Technical Information of China (English)

    熊洁

    2016-01-01

    Language is an important means of human communication. More and more people have realized that improving the English communicative competence, especially oral English communicative ability is very important. However, the senior high school students’ oral English communicative competence is not optimistic. This paper analyzes the problems existing in the high school students’ communication based on the study of the task-based teaching theory. Task-based teaching method gradually popularized in the high school English classroom teaching due to its emphasis on the change of students’ learning style and the way of teachers’ teaching.

  11. Improved nurse-parent communication in neonatal intensive care unit

    DEFF Research Database (Denmark)

    Weis, Janne; Zoffmann, Vibeke; Egerod, Ingrid

    2014-01-01

    family-centred care was developed to facilitate person-centred communication by bridging the gap between theory and practice in family-centred care. Main mechanisms of guided family-centred care are structured dialogue, reflection and person-centred communication. DESIGN: Qualitative and quantitative...... and nonguided-family-centred-care-trained nurses. CONCLUSIONS: An adjusted framework for guided family-centred care implementation was successful in overcoming barriers and promoting facilitators. RELEVANCE TO CLINICAL PRACTICE: Insights gained from our pioneering work might help nurses in a similar context...

  12. Improving communication with palliative care cancer patients at home - A pilot study of SAGE & THYME communication skills model.

    Science.gov (United States)

    Griffiths, Jane; Wilson, Charlotte; Ewing, Gail; Connolly, Michael; Grande, Gunn

    2015-10-01

    To pilot an evidence-based communication skills model (SAGE & THYME) with UK District Nurses (DNs) who visit patients with advanced cancer early in the dying trajectory. Evidence suggests that DNs lack confidence in communication skills and in assessing cancer patients' psycho-social needs; also that they lack time. SAGE & THYME is a highly structured model for teaching patient centred interactions. It addresses concerns about confidence and time. Mixed methods. 33 DNs were trained in SAGE & THYME in a three hour workshop and interviewed in focus groups on three occasions: pre-training, immediately post-training and two months post-training. Questionnaires measuring perceived outcomes of communication, confidence in communication and motivation to use SAGE & THYME were administered at the focus groups. SAGE & THYME provided a structure for conversations and facilitated opening and closing of interactions. The main principle of patient centeredness was reportedly used by all. Knowledge about communication behaviours helpful to patients improved and was sustained two months after training. Increased confidence in communication skills was also sustained. Motivation to use SAGE & THYME was high and remained so at two months, and some said the model saved them time. Challenges with using the model included controlling the home environment and a change in style of communication which was so marked some DNs preferred to use it with new patients. Training DNs in SAGE & THYME in a three hour workshop appears to be a promising model for improving communication skills when working with cancer patients. Crown Copyright © 2015. Published by Elsevier Ltd. All rights reserved.

  13. The programme benefits of improving project team communication through a contact centre

    Directory of Open Access Journals (Sweden)

    Bond-Barnard, T. J.

    2013-08-01

    Full Text Available A South African national programme to repair government infrastructure uses a contact centre (or call centre to facilitate and manage communication. An important question is: How does the contact centre benefit the programme and its projects? This study discusses the findings of a survey that quantified the benefits of the programme when the communication between team members in the programme was improved by using a contact centre. The results show that, by using a contact centre to improve the communication between project team members, their perception of communication effectiveness, quality of project deliverables, service delivery, and customer satisfaction of the programme dramatically increases.

  14. How do Australian Small and Medium Enterprises Communicate their Environmental Improvement Activities Online?

    Directory of Open Access Journals (Sweden)

    Craig Parker

    2011-03-01

    Full Text Available There have been calls in the IS/eBusiness literature for research on "green" IS/IT in a Small and Medium Enterprises (SMEs context. The Corporate Social Responsibility (CSR literature has neglected the issue of how SMEs can use websites to communicate their environmental improvement activities. This paper links these two previously separate disciplines by reporting on a content analysis of 443 Australian SME websites from four industry sectors to identify if and how they use websites to communicate their environmental improvement activities. The study found that 47 websites were communicating such activities in some form. A detailed analysis was undertaken of these 47 websites to identify emergent themes relating to how these SMEs were communicating their environmental improvement activities. These themes resulted in a reconceptualisation of the traditional "4 Ps" of marketing for online communication of environmental improvement activities by SMEs: profile; product; process and prominence.

  15. Improving Students' Critical Thinking, Creativity, and Communication Skills

    Science.gov (United States)

    Geissler, Gary L.; Edison, Steve W.; Wayland, Jane P.

    2012-01-01

    Business professors continue to face the challenge of truly preparing their students for the workplace. College students often lack skills that are valued by employers, such as critical thinking, creativity, communication, conflict resolution, and teamwork skills. Traditional classroom methods, such as lectures, may fail to produce adequate…

  16. Improving Intra-Organizational Communication: A Lesson from Japanese Management.

    Science.gov (United States)

    Hirokawa, Randy Y.

    1981-01-01

    Organizational scholars have consistently noted that organizations in Japan generally possess more effective systems of communication than U.S. firms. This article explains how the Japanese approach to management encourages and facilitates the exchange of information between organizational members. (PD)

  17. Improving Sexual Risk Communication with Adolescents Using Event History Calendars

    Science.gov (United States)

    Martyn, Kristy K.; Darling-Fisher, Cynthia; Pardee, Michelle; Ronis, David L.; Felicetti, Irene L.; Saftner, Melissa A.

    2012-01-01

    This study was conducted to explore the effects of an event history calendar (EHC) approach on adolescent sexual risk communication and sexual activity. Adolescent school-linked health clinic patients (n = 30) who reported sexual activity self-administered the EHC that was used by nurse practitioners (NPs; n = 2) during a clinic visit. Immediately…

  18. A Method to Improve Learning Analysing Communication in Team Working

    Science.gov (United States)

    Bermejo, Miren; Sanchez, Ana; Gutierrez, Julian; Perez, Tomas A.

    2011-01-01

    In recent years learning how to work in teams has become a common subject in higher education. Communication between student team members can be monitored using a bulletin board system, and hence, analyse individual and group role development. The composition and distribution of roles in a team are relevant characteristics that will considerably…

  19. Improving Employees' Interpersonal Communication Competencies: A Qualitative Study

    Science.gov (United States)

    Hynes, Geraldine E.

    2012-01-01

    Companies that recognize the relationship between employee engagement and business success will seek ways to foster and facilitate workers' emotional well-being. One way to encourage employee engagement is to provide training in interpersonal communication. This research analyzes what one U.S.-based company is doing to achieve that goal. The…

  20. Improving Employees' Interpersonal Communication Competencies: A Qualitative Study

    Science.gov (United States)

    Hynes, Geraldine E.

    2012-01-01

    Companies that recognize the relationship between employee engagement and business success will seek ways to foster and facilitate workers' emotional well-being. One way to encourage employee engagement is to provide training in interpersonal communication. This research analyzes what one U.S.-based company is doing to achieve that goal. The…

  1. Improving Empathic Communication Skills in Adults with Autism Spectrum Disorder

    Science.gov (United States)

    Koegel, Lynn Kern; Ashbaugh, Kristen; Navab, Anahita; Koegel, Robert L.

    2016-01-01

    The literature suggests that many individuals diagnosed with Autism Spectrum Disorder (ASD) experience challenges with recognizing and describing emotions in others, which may result in difficulties with the verbal expression of empathy during communication. Thus, there is a need for intervention techniques targeting this area. Using a multiple…

  2. The role of communication in improving udder health

    NARCIS (Netherlands)

    Jansen, J.; Lam, T.G.J.M.

    2012-01-01

    This article gives insight into farmers' behavior and mindset toward mastitis management and into the way these can be affected by communication strategies. Elements of farmer mindset are important determining factors in executing mastitis control, including perceived severity and perceived efficacy

  3. Improving Sexual Risk Communication with Adolescents Using Event History Calendars

    Science.gov (United States)

    Martyn, Kristy K.; Darling-Fisher, Cynthia; Pardee, Michelle; Ronis, David L.; Felicetti, Irene L.; Saftner, Melissa A.

    2012-01-01

    This study was conducted to explore the effects of an event history calendar (EHC) approach on adolescent sexual risk communication and sexual activity. Adolescent school-linked health clinic patients (n = 30) who reported sexual activity self-administered the EHC that was used by nurse practitioners (NPs; n = 2) during a clinic visit. Immediately…

  4. Improving Empathic Communication Skills in Adults with Autism Spectrum Disorder

    Science.gov (United States)

    Koegel, Lynn Kern; Ashbaugh, Kristen; Navab, Anahita; Koegel, Robert L.

    2016-01-01

    The literature suggests that many individuals diagnosed with Autism Spectrum Disorder (ASD) experience challenges with recognizing and describing emotions in others, which may result in difficulties with the verbal expression of empathy during communication. Thus, there is a need for intervention techniques targeting this area. Using a multiple…

  5. Improving Oral Communication Skills of Students in Food Science Courses

    Science.gov (United States)

    Reitmeier, C. A.; Svendsen, L. K.; Vrchota, D. A.

    2004-01-01

    Communication activities about food evaluation were incorporated into food preparation courses. Oral reports replaced quizzes and an oral presentation replaced the final exam. A rubric was developed to help students evaluate ingredient functions, procedures, techniques, temperatures, and sensory evaluation. Oral report scores, self-evaluations,…

  6. Data Communications and Networking. Curriculum Improvement Project. Region II.

    Science.gov (United States)

    Easter, Diane

    This course curriculum is intended for use by community college instructors and administrators in implementing a data communications networking course. A student course syllabus provides this information: credit hours, catalog description, prerequisites, required text, instructional process, objectives, student evaluation, and class schedule. A…

  7. Frederiksberg HF kursus

    DEFF Research Database (Denmark)

    Lindstrøm, Maria Duclos

    2008-01-01

    Notatet bygger på et interviewmateriale med dimitterede HF-kursister 3 måneder efter endt eksamen. Notatet undersøger dels, hvad der har hjulpet til at gennemføre, dels hvad der har været negativt og vanskeligt ved uddannelsen. Endvidere belyser notatet hvad kursisterne oplever at tage med fra de...

  8. [Measuring health literacy can improve communication in health care].

    Science.gov (United States)

    Nørgaard, Ole; Sørensen, Kristine; Maindal, Helle Terkildsen; Kayser, Lars

    2014-01-06

    A tool for measuring health literacy is desirable when tailoring health care services to individual patients. Existing tools measure the functional aspects of health literacy whereas newly developed tools have a broader scope and measure people's knowledge, motivation and competences to access, understand, appraise and apply health information. Two novel, international health literacy questionnaires have been translated and are being validated in a Danish context. The final questionnaires may assist Danish health professionals in shaping communication with patients and reduce health disparities.

  9. Improving Reliability of Communication in RS-485 Design

    Institute of Scientific and Technical Information of China (English)

    蒋小平; 刘晓辉

    2002-01-01

    Three aspects of RS-485 application, which affect the reliability of communication of data system are analyzed and discussed. In network configuration, it presents the optimal configuration for the bus of RS-485, the better rule for derivative line and the choice for termination. In hardware design, it presents three parts of driver's peripheral circuit. In control software design, it presents a method of using 75176's DE line to control the driver.

  10. Defense Satellite Communications: DOD Needs Additional Information to Improve Procurements

    Science.gov (United States)

    2015-07-01

    SECURITY CLASSIFICATION OF: 17. LIMITATION OF ABSTRACT Same as Report (SAR) 18. NUMBER OF PAGES 31 19a. NAME OF RESPONSIBLE PERSON a. REPORT...information available, DOD spent over $1 billion leasing commercial SATCOM. In prior work, GAO found that some major DOD users of commercial...Committee on Armed Services United States Senate The Department of Defense (DOD) leases commercial satellite communications (SATCOM) to support a variety

  11. Application of Majoritarian Element to Improve IoT Communication

    Directory of Open Access Journals (Sweden)

    Tornike Dvali

    2016-06-01

    Full Text Available The work introduces the circle of the basic ideas and methods of error-free recovery of the binary signal to the multichannel digital technology based on the model of formal (artificial neuron and aims to contribute to the further development of this theo-ry of reliability. The work is useful for reservation or for exchange of a highly valuable information. During communication be-tween machines, connection related problems could occur and this work will be of a great help for machines to choose right channel for connection. Work also is a successful attempt of figuring out binary signal error recovery probability of minimum highest value. Moreover, binary channels optimization problems addressed by using threshold model and exploring three differ-ent approaches. In the future, this work will be used in Internet of Things (IoT for the exact communication between machines. Work will be used with threshold model for minimizing errors in the communication between things.

  12. An Improved Conceptually-Based Method for Analysis of Communication Network Structure of Large Complex Organizations.

    Science.gov (United States)

    Richards, William D., Jr.

    Previous methods for determining the communication structure of organizations work well for small or simple organizations, but are either inadequate or unwieldy for use with large complex organizations. An improved method uses a number of different measures and a series of successive approximations to order the communication matrix such that…

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

    Science.gov (United States)

    Qurban, Mustafa H.; Austria, Richmond D.

    2009-01-01

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

  14. Debate: a teaching strategy to improve verbal communication and critical-thinking skills.

    Science.gov (United States)

    Garrett, M; Schoener, L; Hood, L

    1996-01-01

    Debate is presented as a valuable learning activity for teaching critical thinking and improving communication skills. Included in the discussion are a brief history of the use of debate as a teaching strategy, the responsibilities of the teacher and learner when using debate in the classroom, and its many advantages for developing competencies in communication and critical thinking.

  15. The Impact of Information and Communication Technology (ICT) on Educational Improvement

    Science.gov (United States)

    Ghaznavi, Mohammad Reza; Keikha, Alemeh; Yaghoubi, Nour-Mohammad

    2011-01-01

    Information and communication technology has become an inseparable part of human life and caused doing things more through the consumption of less time and cost. The present research aims to study the effect of information and communication technology on the educational improvement of third grade high school students in Khash-Iran. The research…

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

    Science.gov (United States)

    Qurban, Mustafa H.; Austria, Richmond D.

    2009-01-01

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

  17. Improving Empathy and Communication Skills of Visually Impaired Early Adolescents through a Psycho-Education Program

    Science.gov (United States)

    Yildiz, Mehmet Ali; Duy, Baki

    2013-01-01

    The purpose of this study was to investigate the effectiveness of an interpersonal communication skills psycho-education program to improve empathy and communication skills of visually impaired adolescents. Participants of the study were sixteen early adolescents schooling in an elementary school for visually impaired youth in Diyarbakir. The…

  18. Communication

    NARCIS (Netherlands)

    Sigafoos, J.; Lancioni, G.E.; O'Reilly, M.F.; Lang, R.; Singh, N.N.; Didden, H.C.M.; Green, V.A.; Marschik, P.B.

    2016-01-01

    Communication disorders are common among people with intellectual disabilities. Consequently, enhancing the communication skills of such individuals is a major intervention priority. This chapter reviews the nature and prevalence of the speech, language, and communication problems associated with

  19. Using single photons to improve fiber optic communication systems

    Science.gov (United States)

    Pinto, Armando N.; Silva, Nuno A.; Almeida, Álvaro J.; Muga, Nelson J.

    2014-08-01

    We show how to generate, encode, transmit and detect single photons. By using single photons we can address two of the more challenging problems that communication engineers face nowadays: capacity and security. Indeed, by decreasing the number of photons used to encode each bit, we can efficiently explore the full capacity to carry information of optical fibers, and we can guarantee privacy at the physical layer. We present results for single and entangled photon generation. We encode information in the photons polarization and after transmission we retrieve that information. We discuss the impact of fiber birefringence on the photons polarization.

  20. The Effects of Krashen’s Input Hypothesis on Improving Foreign Language Learners’ Communicative Competence

    Institute of Scientific and Technical Information of China (English)

    YANG Tian-jiao

    2014-01-01

    Nowadays, foreign language teaching is putting more and more attention on learners’ communicative competence. In today’s teaching process, communicative competence is often related to output practice, such as imitation, dril s, etc. This paper discusses the effects of Krashen’s Input Hypothesis on learners’ communicative competence through analyzing grammatical competence, sociolinguistic competence and strategic competence, and thus gives a further verification on effective input in foreign language teaching. Through the discussion, the study gives an implication not only for improving foreign language learners’ communicative competence, but also for the curriculum-construction and foreign language teaching and learning.

  1. The eDL mobile app - Improving communication between hospitals, patients and community physicians

    NARCIS (Netherlands)

    Lezcano, Leonardo; Drachsler, Hendrik; Ternier, Stefaan; Kalz, Marco; Specht, Marcus

    2013-01-01

    Lezcano, L., Drachsler, H., Ternier, S., Kalz, M., & Specht, M. (2012, October). The eDL mobile app - Improving communication between hospitals, patients and community physicians. Presentation at the kickoff meeting of the Patient project, Heerlen, The Netherlands.

  2. Improving Internal Communication, a Tool for Increasing Organizational Performance

    Directory of Open Access Journals (Sweden)

    Ioan Bordean

    2009-06-01

    Full Text Available Communication may be considered an important management tool. Internal communication is notan invention in management, but a basic need. Informing people - or even better, involving them – it is notonly in the employees’ best interest. The Company may take advantage of this state of affairs in several ways:informed employees know what they do, and especially why. They understand the company’s objectives andhow they can achieve them more effectively. A good working environment is in the best interest of everyresponsible employer, for that is a source of increased efficiency. Informed employees are generally morecontent with their professional status; they have a contextualized sense of their personal and professionalvalue and they show more responsibility. Their personal orientation is much better aligned with the companyand it may contribute significantly to achieving its business objectives. To inform people is a good thing, butto involve them it is even better. Involvement is the living proof of the difference between a good employerand a great one. This information can help in attracting good quality staff and it creates support fromemployees in terms of recruitment and sales, it generates passion, satisfaction at work and it reduces theabsenteeism; it provides opportunities for personal growth and development, it creates a sense of communityand an open and honest organizational culture.

  3. Multi-Level Steganography: Improving Hidden Communication in Networks

    CERN Document Server

    Fraczek, Wojciech; Szczypiorski, Krzysztof

    2011-01-01

    The paper presents Multi-Level Steganography (MLS), which defines a new concept for hidden communication. In MLS, at least two steganographic methods are utilised simultaneously, in such a way that one method (called the upper-level) serves as a carrier for the second one (called the lower-level). Such a relationship between two (or more) information hiding solutions has several potential benefits. The most important is that the lower-level method steganographic bandwidth can be utilised to make the steganogram unreadable even after the detection of the upper-level method: e.g., it can carry a cryptographic key that deciphers the steganogram carried by the upper-level one. It can also be used to provide the steganogram with integrity. Another important benefit is that the lower-layer method may be used as a signalling channel in which to exchange information that affects the way that the upper-level method functions, thus possibly making the steganographic communication harder to detect. MLS is presented in t...

  4. Determining Recommendations for Improvement of Communication Skills Training in Dental Education: A Scoping Review.

    Science.gov (United States)

    Ayn, Caitlyn; Robinson, Lynne; Nason, April; Lovas, John

    2017-04-01

    Professional communication skills have a significant impact on dental patient satisfaction and health outcomes. Communication skills training has been shown to improve the communication skills of dental students. Therefore, strengthening communication skills training in dental education shows promise for improving dental patient satisfaction and outcomes. The aim of this study was to facilitate the development of dental communication skills training through a scoping review with compilation of a list of considerations, design of an example curriculum, and consideration of barriers and facilitators to adoption of such training. A search to identify studies of communication skills training interventions and programs was conducted. Search queries were run in three databases using both text strings and controlled terms (MeSH), yielding 1,833 unique articles. Of these, 35 were full-text reviewed, and 17 were included in the final synthesis. Considerations presented in the articles were compiled into 15 considerations. These considerations were grouped into four themes: the value of communication skills training, the role of instructors, the importance of accounting for diversity, and the structure of communication skills training. An example curriculum reflective of these considerations is presented, and consideration of potential barriers and facilitators to implementation are discussed. Application and evaluation of these considerations are recommended in order to support and inform future communication skills training development.

  5. How to Improve Communicative Competence of EFL Teacher in the Classroom

    Institute of Scientific and Technical Information of China (English)

    蒙志珍

    2008-01-01

    The modem teaching principles regard teaching process as the one of teacher-student communication,interaction and development.Some scholars therefore suggest that communication is the essence of teaching.Classroom communication is of great practical significance for education.However,a present empirical study shows that the current situation of teacher-student rehtions and communication in the EFL classroom is not satisfied enough.The teachers'communicative competence in the classroom needsto be improved.Based on factors that affect the teacher-student communication and the suggestion of the present empirical study, this paper suggests 5 ways to improve the classroom communicative competence of EFL teachers:1)Teachers need to reconstruct and internalize the notion of modem educational communication;2)Teachers need tO apply appropriate teaching methods and teachingtechniques;3)Teachers need to well harmonize the relations between democracy and authority;4)Teachers need to equally tom- municate with all stndents and respect them;5)Teachers need to create a communicative teaching environment.In this way we can facilitate the overall development of students.

  6. Improving business to customer communication : Applying lean and information and communication technologies

    OpenAIRE

    Brandel, Mikael C; Syarif, Mohammad H

    2010-01-01

    In this current economical environment business are looking to become more efficient to lower the costs and provide a better service. New technological advances are quickly being integrated to automate or more rapidly perform the task. Most of these technological advances are in the field of information and communication technology (ICT). Nevertheless, the introduction of technologies is not enough, as better management strategies and organization structures are needed to develop the business...

  7. Reconciliation of the excess 176Hf conundrum in meteorites: Recent disturbances of the Lu-Hf and Sm-Nd isotope systematics

    Science.gov (United States)

    Bast, Rebecca; Scherer, Erik E.; Sprung, Peter; Mezger, Klaus; Fischer-Gödde, Mario; Taetz, Stephan; Böhnke, Mischa; Schmid-Beurmann, Hinrich; Münker, Carsten; Kleine, Thorsten; Srinivasan, Gopalan

    2017-09-01

    The long-lived 176Lu-176Hf and 147Sm-143Nd radioisotope systems are commonly used chronometers, but when applied to meteorites, they can reveal disturbances. Specifically, Lu-Hf isochrons commonly yield dates up to ∼300 Myr older than the solar system and varying initial 176Hf/177Hf values. We investigated this problem by attempting to construct mineral and whole rock isochrons for eucrites and angrites. Meteorites from different parent bodies exhibit similar disturbance features suggesting that a common process is responsible. Minerals scatter away from isochron regressions for both meteorite classes, with low-Hf phases such as plagioclase and olivine typically being most displaced above (or left of) reference isochrons. Relatively Hf-rich pyroxene is less disturbed but still to the point of steepening Lu-Hf errorchrons. Using our Lu-Hf and Sm-Nd data, we tested various Hf and Lu redistribution scenarios and found that decoupling of Lu/Hf from 176Hf/177Hf must postdate the accumulation of significant radiogenic 176Hf. Therefore early irradiation or diffusion cannot explain the excess 176Hf. Instead, disturbed meteorite isochrons are more likely caused by terrestrial weathering, contamination, or common laboratory procedures. The partial dissolution of phosphate minerals may predominantly remove rare earth elements including Lu, leaving relatively immobile and radiogenic Hf behind. Robust Lu-Hf (and improved Sm-Nd) meteorite geochronology will require the development of chemical or physical methods for removing unsupported radiogenic Hf and silicate-hosted terrestrial contaminants without disturbing parent-daughter ratios.

  8. Role-play using SBAR technique to improve observed communication skills in senior nursing students.

    Science.gov (United States)

    Kesten, Karen S

    2011-02-01

    Patients in the care of clinically expert professionals suffer medical errors with alarming frequency. The Joint Commission's National Patient Safety Goals strives to improve the effectiveness of communication among caregivers by recommending the implementation of a standardized tool known as SBAR (Situation, Background, Assessment, and Recommendation). This experimental study evaluated data from undergraduate nursing students (N = 115) on their performance using a standardized communication tool SBAR. The mean performance scores of the didactic plus role-play students were significantly higher than those who had didactic instruction alone (t = -2.6, p = 0.005). Findings suggest role-play may have a place in teaching communication skills in nursing schools as well as continuing education and training in hospitals and other health care settings. Interdisciplinary communication training may provide even more effective learning. The link between effective communication and improved patient outcomes also should be studied.

  9. A simulation-based training program improves emergency department staff communication.

    Science.gov (United States)

    Sweeney, Lynn A; Warren, Otis; Gardner, Liz; Rojek, Adam; Lindquist, David G

    2014-01-01

    The objectives of this study were to evaluate the effectiveness of Project CLEAR!, a novel simulation-based training program designed to instill Crew Resource Management (CRM) as the communication standard and to create a service-focused environment in the emergency department (ED) by standardizing the patient encounter. A survey-based study compared physicians' and nurses' perceptions of the quality of communication before and after the training program. Surveys were developed to measure ED staff perceptions of the quality of communication between staff members and with patients. Pretraining and posttraining survey results were compared. After the training program, survey scores improved significantly on questions that asked participants to rate the overall communication between staff members and between staff and patients. A simulation-based training program focusing on CRM and standardizing the patient encounter improves communication in the ED, both between staff members and between staff members and patients.

  10. Does the inclusion of 'professional development' teaching improve medical students' communication skills?

    Directory of Open Access Journals (Sweden)

    Kubacki Angela M

    2011-06-01

    Full Text Available Abstract Background This study investigated whether the introduction of professional development teaching in the first two years of a medical course improved students' observed communication skills with simulated patients. Students' observed communication skills were related to patient-centred attitudes, confidence in communicating with patients and performance in later clinical examinations. Methods Eighty-two medical students from two consecutive cohorts at a UK medical school completed two videoed consultations with a simulated patient: one at the beginning of year 1 and one at the end of year 2. Group 1 (n = 35 received a traditional pre-clinical curriculum. Group 2 (n = 47 received a curriculum that included communication skills training integrated into a 'professional development' vertical module. Videoed consultations were rated using the Evans Interview Rating Scale by communication skills tutors. A subset of 27% were double-coded. Inter-rater reliability is reported. Results Students who had received the professional development teaching achieved higher ratings for use of silence, not interrupting the patient, and keeping the discussion relevant compared to students receiving the traditional curriculum. Patient-centred attitudes were not related to observed communication. Students who were less nervous and felt they knew how to listen were rated as better communicators. Students receiving the traditional curriculum and who had been rated as better communicators when they entered medical school performed less well in the final year clinical examination. Conclusions Students receiving the professional development training showed significant improvements in certain communication skills, but students in both cohorts improved over time. The lack of a relationship between observed communication skills and patient-centred attitudes may be a reflection of students' inexperience in working with patients, resulting in 'patient-centredness' being

  11. Does the inclusion of 'professional development' teaching improve medical students' communication skills?

    Science.gov (United States)

    2011-01-01

    Background This study investigated whether the introduction of professional development teaching in the first two years of a medical course improved students' observed communication skills with simulated patients. Students' observed communication skills were related to patient-centred attitudes, confidence in communicating with patients and performance in later clinical examinations. Methods Eighty-two medical students from two consecutive cohorts at a UK medical school completed two videoed consultations with a simulated patient: one at the beginning of year 1 and one at the end of year 2. Group 1 (n = 35) received a traditional pre-clinical curriculum. Group 2 (n = 47) received a curriculum that included communication skills training integrated into a 'professional development' vertical module. Videoed consultations were rated using the Evans Interview Rating Scale by communication skills tutors. A subset of 27% were double-coded. Inter-rater reliability is reported. Results Students who had received the professional development teaching achieved higher ratings for use of silence, not interrupting the patient, and keeping the discussion relevant compared to students receiving the traditional curriculum. Patient-centred attitudes were not related to observed communication. Students who were less nervous and felt they knew how to listen were rated as better communicators. Students receiving the traditional curriculum and who had been rated as better communicators when they entered medical school performed less well in the final year clinical examination. Conclusions Students receiving the professional development training showed significant improvements in certain communication skills, but students in both cohorts improved over time. The lack of a relationship between observed communication skills and patient-centred attitudes may be a reflection of students' inexperience in working with patients, resulting in 'patient-centredness' being an abstract concept

  12. Does social media improve communication? Evaluating the NIOSH science blog.

    Science.gov (United States)

    Sublet, Virginia; Spring, Christina; Howard, John

    2011-05-01

    In 2007, NIOSH created the Science Blog as its first social media channel. The blog has more than 22,000 subscribers. The purpose of the evaluation was to identify the blog community of readers, its use as a two-way conversation channel and its effectiveness as an information resource. Seventy-five readers randomly participated in an online survey from July 2009 to September 2009 to evaluate the Science Blog. Responses indicated that the NIOSH Science Blog was a valued social media resource. Sixty percent of participants planned to continue using the blog in the next 6 months. A significant proportion of readers reported that they would make changes in the workplace based on information obtained from the Science Blog. The NIOSH Science Blog provides is a useful communication channel to provide workplace safety and health information and expand the Institute's reach to new consumers. Copyright © 2011 Wiley-Liss, Inc.

  13. Intelligent transportation systems dependable vehicular communications for improved road safety

    CERN Document Server

    Ferreira, Joaquim; Fonseca, José

    2016-01-01

    This book presents cutting-edge work on the most challenging research issues concerning intelligent transportation systems (ITS), introducing selected, highly relevant advanced research on scheduling and real-time communication for vehicular networks, as well as fault tolerance, test beds and simulations for ITS. The authors define new architectures that support cooperative sensing in ITS and offer guidance for the development of a reference end-to-end implementation. The presented results allow advanced traffic and travel management strategies to be formulated on the basis of reliable and real-time input data. The effectiveness of these new strategies, together with the proposed systems, is assessed in field trials and via simulations. The chapters in this book detail new research findings, algorithms, protocols, and the development of an implementation platform for ITS that merges and integrates heterogeneous data sources into a common system. In addition, they provide a set of advanced tools for the contro...

  14. Improving a Power Line Communications Standard with LDPC Codes

    Directory of Open Access Journals (Sweden)

    Hsu Christine

    2007-01-01

    Full Text Available We investigate a power line communications (PLC scheme that could be used to enhance the HomePlug 1.0 standard, specifically its ROBO mode which provides modest throughput for the worst case PLC channel. The scheme is based on using a low-density parity-check (LDPC code, in lieu of the concatenated Reed-Solomon and convolutional codes in ROBO mode. The PLC channel is modeled with multipath fading and Middleton's class A noise. Clipping is introduced to mitigate the effect of impulsive noise. A simple and effective method is devised to estimate the variance of the clipped noise for LDPC decoding. Simulation results show that the proposed scheme outperforms the HomePlug 1.0 ROBO mode and has lower computational complexity. The proposed scheme also dispenses with the repetition of information bits in ROBO mode to gain time diversity, resulting in 4-fold increase in physical layer throughput.

  15. An Improved Hybrid Mechanism for Secure Data Communication

    Directory of Open Access Journals (Sweden)

    Sangeeta Dhall

    2016-06-01

    Full Text Available The In today's era with increase in the use of internet and networking devices, there is an increase in demand for more secure data communication. This problem has led to development of hybrid security mechanisms. Various techniques are available in literature that makes use of different steganography and cryptographic mechanisms which has certain pros and cons. In this paper, we propose a new hybrid security mechanism that tries to choose the best cryptographic and steganography mechanism. In addition, to increase the embedding capacity of the proposed mechanism, Huffman encoding scheme is used. The proposed strategy is implemented in MATLAB-09. In order to check the efficacy of the proposed technique three types of analysis were performed named as: security, robustness and efficiency analysis. It is found from the simulation and results that the proposed scheme outperforms other techniques in literature in every aspect.

  16. A Novel Approach for Improving Communication by Wavelength Utilization

    Directory of Open Access Journals (Sweden)

    Shrangesh Dahat

    2012-06-01

    Full Text Available Optical networks using wavelength division multiplexing (WDM technology modulate multiple channels over a single fiber. The most common architecture utilized for establishing communication in WDM optical networks is wavelength routing, where the communication between a source and a destination node is performed by setting up optical channels between them, called light-paths from the network perspective. In optical WDM networks, transmission of information along optical lines is advantageous since it has high transmission capacity, scalability, feasibility and also high reliability. But since large amount of information is being carried, any problem during transmission can lead to severe damage to the data being carried. In this paper, we propose to develop a routing and wavelength utilization algorithm which considers two constraints for selecting the best path. The two constraints are based on the available free load and the number of wavelength used in the link. Based on these constraints, two cost functions on load and wavelength are determined, which yields a combined cost function. For each pair of source and destination, the path with the minimum combined cost function is selected as the primary path for data transmission, allocating the sufficient wavelength. This study paper proposes a RWU algorithm for the problem of establishing the set of efficient light paths for a given set of connection requests. The effectiveness of the proposed RWU algorithm is demonstrated by simulation. This study divides the routing and wavelength allocation process in two step problem with a goal of minimizing Number of wavelength channel and number of wavelength conversion required. This algorithm thus provides a reliable path for the data transmission.

  17. Towards improving client-contractor communication in industrialised building

    OpenAIRE

    Engström, Susanne; Sardén, Ylva; Stehn, Lars

    2009-01-01

    Criticism of the building sector in Sweden, concerning for example high cost and poor quality, has lead to a growing interest in industrialised building. However, the effect on the sector and the overall building market is still quite insignificant. One business challenge for industrialised building companies to face in order to become more competitive is to further improve client/market interaction, improve mutual understanding and to reduce uncertainties in client relations. In this ongoing...

  18. HfO2 Gate Dielectrics for Future Generation of CMOS Device Application

    Institute of Scientific and Technical Information of China (English)

    H.Y.Yu; J.F.Kang; Ren Chi; M.F.Li; D.L.Kwong

    2004-01-01

    The material and electrical properties of HfO2 high-k gate dielectric are reported.In the first part,the band alignment of HfO2 and (HfO2)x(Al2O3)1-x to (100)Si substrate and their thermal stability are studied by X-ray photoelectron spectroscopy and TEM.The energy gap of (HfO2)x(Al2O3)1-x,the valence band offset,and the conduction band offset between (HfO2)x(Al2O3)1-x and the Si substrate as functions of x are obtained based on the XPS results.Our XPS results also demonstrate that both the thermal stability and the resistance to oxygen diffusion of HfO2 are improved by adding Al to form Hf aluminates.In the second part,a thermally stable and high quality HfN/HfO2 gate stack is reported.Negligible changes in equivalent oxide thickness (EOT),gate leakage,and work function (close to Si mid-gap) of HfN/HfO2 gate stack are demonstrated even after 1000℃ post-metal annealing(PMA),which is attributed to the superior oxygen diffusion barrier of HfN as well as the thermal stability of the HfN/HfO2 interface.Therefore,even without surface nitridation prior to HfO2 deposition,the EOT of HfN/HfO2 gate stack has been successfully scaled down to less than 1nm after 1000℃ PMA with excellent leakage and long-term reliability.The last part demonstrates a novel replacement gate process employing a HfN dummy gate and sub-1nm EOT HfO2 gate dielectric.The excellent thermal stability of the HfN/HfO2 gate stack enables its use in high temperature CMOS processes.The replacement of HfN with other metal gate materials with work functions adequate for n- and p-MOS is facilitated by a high etch selectivity of HfN with respect to HfO2,without any degradation to the EOT,gate leakage,or TDDB characteristics of HfO2.

  19. Improving operating theatre communication between the orthopaedics surgeon and radiographer.

    Science.gov (United States)

    Yeo, Cheng Hong; Gordon, Robert; Nusem, Iulian

    2014-05-01

    This study was designed to assess the importance of communication between surgeons and radiographers in the operation of image intensifiers during orthopaedic surgery. This study was designed and conducted as single-centre, observational study. Fifteen medical officers and 15 radiographers were involved in this study. Each of the 15 radiographers was assigned to a medical officer. The 15 pairs were then each given a task to simulate achieving 'perfect circles' on fluoroscopy for distal locking of an intramedullary nail. The time taken for the surgeon to verbally instruct the radiographer how to position the image intensifier in order to achieve 'perfect circles' was recorded. The overall time taken to perform the task, and total number of images taken was recorded before and after a terminology system to manoeuvre image intensifier was introduced to the pairs. The mean time taken for the pairs to achieve perfect circles after the introduction of the manoeuvre terminology showed statistically significant reduction from 212 to 97 s (t = 4.212, df = 88, P radiographer, can reduce the time to acquire the desired images, and requires less radiation exposure in the process. © 2013 Royal Australasian College of Surgeons.

  20. Improving the reliability of verbal communication between primary care physicians and pediatric hospitalists at hospital discharge.

    Science.gov (United States)

    Mussman, Grant M; Vossmeyer, Michael T; Brady, Patrick W; Warrick, Denise M; Simmons, Jeffrey M; White, Christine M

    2015-09-01

    Timely and reliable verbal communication between hospitalists and primary care physicians (PCPs) is critical for prevention of medical adverse events but difficult in practice. Our aim was to increase the proportion of completed verbal handoffs from on-call residents or attendings to PCPs within 24 hours of patient discharge from a hospital medicine service to ≥90% within 18 months. A multidisciplinary team collaborated to redesign the process by which PCPs were contacted following patient discharge. Interventions focused on the key drivers of obtaining stakeholder buy-in, standardization of the communication process, including assigning primary responsibility for discharge communication to a single resident on each team and batching calls during times of maximum resident availability, reliable automated process initiation through leveraging the electronic health record (EHR), and transparency of data. A run chart assessed the impact of interventions over time. The percentage of calls initiated within 24 hours of discharge improved from 52% to 97%, and the percentage of calls completed improved to 93%. Results were sustained for 18 months. Standardization of the communication process through hospital telephone operators, use of the discharge order to ensure initiation of discharge communication, and batching of phone calls were associated with improvements in our measures. Reliable verbal discharge communication can be achieved through the use of a standardized discharge communication process coupled with the EHR. © 2015 Society of Hospital Medicine.

  1. Development and evaluation of an interprofessional communication intervention to improve family outcomes in the ICU.

    Science.gov (United States)

    Curtis, J Randall; Ciechanowski, Paul S; Downey, Lois; Gold, Julia; Nielsen, Elizabeth L; Shannon, Sarah E; Treece, Patsy D; Young, Jessica P; Engelberg, Ruth A

    2012-11-01

    The intensive care unit (ICU), where death is common and even survivors of an ICU stay face the risk of long-term morbidity and re-admissions to the ICU, represents an important setting for improving communication about palliative and end-of-life care. Communication about the goals of care in this setting should be a high priority since studies suggest that the current quality of ICU communication is often poor and is associated with psychological distress among family members of critically ill patients. This paper describes the development and evaluation of an intervention designed to improve the quality of care in the ICU by improving communication among the ICU team and with family members of critically ill patients. We developed a multi-faceted, interprofessional intervention based on self-efficacy theory. The intervention involves a "communication facilitator" - a nurse or social worker - trained to facilitate communication among the interprofessional ICU team and with the critically ill patient's family. The facilitators are trained using three specific content areas: a) evidence-based approaches to improving clinician-family communication in the ICU, b) attachment theory allowing clinicians to adapt communication to meet individual family member's communication needs, and c) mediation to facilitate identification and resolution of conflict including clinician-family, clinician-clinician, and intra-family conflict. The outcomes assessed in this randomized trial focus on psychological distress among family members including anxiety, depression, and post-traumatic stress disorder at 3 and 6 months after the ICU stay. This manuscript also reports some of the lessons that we have learned early in this study.

  2. Communicating Effectively about Organ Donation: A Randomized Trial of a Behavioral Communication Intervention to Improve Discussions about Donation.

    Science.gov (United States)

    Siminoff, Laura A; Traino, Heather M; Genderson, Maureen Wilson

    2015-03-01

    Families' refusal to authorize solid organ donation contributes to the organ deficit in the United States. The importance of communication to reducing refusal to requests for solid organ donation at the bedside and thus increasing the supply of transplantable organs cannot be overstated. This research compares two versions of an innovative communication skills training program for Organ Procurement Organization (OPO) request staff, Communicating Effectively About Donation (CEaD), designed to improve the quantity and quality of organ donation discussions with family decision makers (FDM) of deceased patients. We conducted a parallel-group randomized controlled trial of the CEaD intervention, comparing an online only version of the training (CEaD1) with the online version bolstered with in-person practice and feedback (CEaD2). Survey and interview data were collected from 1,603 FDMs and 273 requesters to assess the impact of both versions of the CEaD on requesters' communication skills and behaviors; the rate of family authorization to solid organ donation were obtained from administrative data provided by 9 OPOs. Results revealed higher rates of authorization for requesters with less tenure (78% to 89%, p organ donation, and the overall quality of the donation experience.

  3. Improving Communication Skills: A Course for Academic Medical Center Surgery Residents and Faculty.

    Science.gov (United States)

    Raper, Steven E; Gupta, Meera; Okusanya, Olugbenga; Morris, Jon B

    2015-01-01

    To improve physician/patient communication and familiarize surgeons with contemporary skills for and metrics assessing communication, courses were developed to provide academic general surgery residents and faculty with a toolkit of information, behaviors, and specific techniques. If academic faculty are expected to mentor residents in communication and residents are expected to learn good communication skills, then both should have the necessary education to accomplish such a goal. Didactic lectures introduced current concepts of physician-patient communication including information on better patient care, fewer malpractice suits, and the move toward transparency of communication metrics. Next, course participants viewed and critiqued "Surgi-Drama" videos, with actors simulating "before" and "after" physician-patient communication scenarios. Finally, participants were provided with a "toolkit" of techniques for improving physician-patient communication including "2-3-4"-a semiscripted short communication tool residents and other physicians can use in patient encounters-and a number of other acronymic approaches. Each participant was asked to complete an anonymous evaluation to assess course content satisfaction. Overall, 86% of residents participated (68/79), with a 52% response rate (35/68) for the evaluation tool. Overall, 88% of faculty participated (84/96), with an 84% response rate (71/84). Residents voiced satisfaction with all domains. For faculty, satisfaction was quantitatively confirmed (Likert score 4 or 5) in 4 of 7 domains, with the highest satisfaction in "communication of goals" and "understanding of the HCAHPS metric." The percentage of "top box" Doctor Communication Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) scores and national percentile ranking showed a sustained increase more than 1 and 2 years from the dates of the courses. The assessment of communication skills is increasing in importance in the practice of

  4. Improving the Survivability of a Stochastic Communication Network

    Science.gov (United States)

    1988-12-01

    algorithm is called a labelling algorithm, and it has been the basis for other researchers, such as Edmonds and Karp [15], for developing a more...15. Edmonds, J. and R. M. Karp . "Theoretical Improvements in Logorithmic Effi- ciency for Network Flow Problems," Jour. A CM, 19: 248-264 (April, 1972...Conference Proceedings, 41: 49-54 (1972). 19. Hillier, Frederick S. and Gerald J. Lievernan. Introduction to Opt rafio., R(- search (Fourth Edition). Oakland

  5. Investigation of Effects of Accreditation, Institutionalization and Data Communication on Quality Improvement and Employee Performance

    Directory of Open Access Journals (Sweden)

    Didem Rodoplu Şahin

    2014-03-01

    Full Text Available This paper develops a framework for the investigation of individual employee performance, in the light of recent developments in structural empowerment. The authors of this article propose corporate governance, knowledge management, organizational upward and downward communication that may predict employee performance by the mediating effect of quality improvement. The results suggest that upward and downward communication positively influences quality improvement, and is in turn positively influenced by knowledge management and corporate governance. Perceived quality improvement is also found to be a key variable between structural empowerment and employee perceptions.

  6. Comparison of HfAlO, HfO2/Al2O3, and HfO2 on n-type GaAs using atomic layer deposition

    Science.gov (United States)

    Lu, Bin; Lv, Hongliang; Zhang, Yuming; Zhang, Yimen; Liu, Chen

    2016-11-01

    Different high-permittivity (high-k) gate dielectric structures of HfO2, HfAlO, and HfO2/Al2O3 deposited on HF-etched n-GaAs using ALD have been investigated. It has been demonstrated that the stacked structure of HfO2/Al2O3 has the lowest interface state density of 8.12 × 1012eV-1 cm-2 due to the "self-cleaning" reaction process, but the sample of HfAlO shows much better frequency dispersion and much higher dielectric permittivity extracted from the C-V curves. The investigation reveals that the electrical properties of gate dielectrics are improved by introducing alumina into HfO2.

  7. Improving socially constructed cross-cultural communication in aged care homes: A critical perspective.

    Science.gov (United States)

    Xiao, Lily Dongxia; Willis, Eileen; Harrington, Ann; Gillham, David; De Bellis, Anita; Morey, Wendy; Jeffers, Lesley

    2017-06-14

    Cultural diversity between residents and staff is significant in aged care homes in many developed nations in the context of international migration. This diversity can be a challenge to achieving effective cross-cultural communication. The aim of this study was to critically examine how staff and residents initiated effective cross-cultural communication and social cohesion that enabled positive changes to occur. A critical hermeneutic analysis underpinned by Giddens' Structuration Theory was applied to the study. Data were collected by interviews with residents or their family and by focus groups with staff in four aged care homes in Australia. Findings reveal that residents and staff are capable of restructuring communication via a partnership approach. They can also work in collaboration to develop communication resources. When staff demonstrate cultural humility, they empower residents from culturally and linguistically diverse backgrounds to engage in effective communication. Findings also suggest that workforce interventions are required to improve residents' experiences in cross-cultural care. This study challenges aged care homes to establish policies, criteria and procedures in cross-cultural communication. There is also the challenge to provide ongoing education and training for staff to improve their cross-cultural communication capabilities. © 2017 John Wiley & Sons Ltd.

  8. Improving Hypertension Control in Diabetes Mellitus The Effects of Collaborative and Proactive Health Communication

    Science.gov (United States)

    Naik, Aanand D.; Kallen, Michael A.; Walder, Annette; Street, Richard L.

    2013-01-01

    Background Communication between patients and clinicians using collaborative goals and treatment plans may overcome barriers to achieving hypertension control in routine diabetes mellitus care. We assessed the interrelation of patient–clinician communication factors to determine their independent associations with hypertension control in diabetes care. Methods and Results We identified 566 older adults with diabetes mellitus and hypertension at the DeBakey VA Medical Center in Houston, Tex. Clinical and pharmacy data were collected, and a patient questionnaire was sent to all participants. A total of 212 individuals returned surveys. Logistic regression analyses were performed to assess the effect of patient characteristics, self-management behaviors, and communication factors on hypertension control. Three communication factors had significant associations with hypertension control. Two factors, patients' endorsement of a shared decision-making style (odds ratio 1.61, 95% confidence interval 1.01 to 2.57) and proactive communication with one's clinician about abnormal results of blood pressure self-monitoring (odds ratio 1.89, 95% confidence interval 1.10 to 3.26), had direct, independent associations in multivariate regression. Path analysis was used to investigate the direct and indirect effects of communication factors and hypertension control. Decision-making style (β=0.20, P<0.01) and proactive communication (β=0.50, P<0.0001) again demonstrated direct effects on hypertension control. A third factor, clinicians' use of collaborative communication when setting treatment goals, had a total effect on hypertension control of 0.16 (P<0.05) through its direct effects on decision-making style (β=0.28, P<0.001) and proactive communication (β=0.22, P<0.01). Conclusions Three communication factors were found to have significant associations with hypertension control. Patient–clinician communication that facilitates collaborative blood pressure goals and

  9. On improving the communication between models and data.

    Science.gov (United States)

    Dietze, Michael C; Lebauer, David S; Kooper, Rob

    2013-09-01

    The potential for model-data synthesis is growing in importance as we enter an era of 'big data', greater connectivity and faster computation. Realizing this potential requires that the research community broaden its perspective about how and why they interact with models. Models can be viewed as scaffolds that allow data at different scales to inform each other through our understanding of underlying processes. Perceptions of relevance, accessibility and informatics are presented as the primary barriers to broader adoption of models by the community, while an inability to fully utilize the breadth of expertise and data from the community is a primary barrier to model improvement. Overall, we promote a community-based paradigm to model-data synthesis and highlight some of the tools and techniques that facilitate this approach. Scientific workflows address critical informatics issues in transparency, repeatability and automation, while intuitive, flexible web-based interfaces make running and visualizing models more accessible. Bayesian statistics provides powerful tools for assimilating a diversity of data types and for the analysis of uncertainty. Uncertainty analyses enable new measurements to target those processes most limiting our predictive ability. Moving forward, tools for information management and data assimilation need to be improved and made more accessible.

  10. Scientific Utopia: An agenda for improving scientific communication (Invited)

    Science.gov (United States)

    Nosek, B.

    2013-12-01

    The scientist's primary incentive is publication. In the present culture, open practices do not increase chances of publication, and they often require additional work. Practicing the abstract scientific values of openness and reproducibility thus requires behaviors in addition to those relevant for the primary, concrete rewards. When in conflict, concrete rewards are likely to dominate over abstract ones. As a consequence, the reward structure for scientists does not encourage openness and reproducibility. This can be changed by nudging incentives to align scientific practices with scientific values. Science will benefit by creating and connecting technologies that nudge incentives while supporting and improving the scientific workflow. For example, it should be as easy to search the research literature for my topic as it is to search the Internet to find hilarious videos of cats falling off of furniture. I will introduce the Center for Open Science (http://centerforopenscience.org/) and efforts to improve openness and reproducibility such as http://openscienceframework.org/. There will be no cats.

  11. Pilot testing an educational intervention to improve communication with patients with dementia.

    Science.gov (United States)

    Weitzel, Tina; Robinson, Sherry; Mercer, Sandra; Berry, Tammy; Barnes, Mary; Plunkett, Dee; Vollmer, Charlene; Foster, Teresa; Friedrich, Lisa; Allen, Laurie; Holmes, Jennifer; Kirkbride, Geri

    2011-01-01

    Approximately one quarter of all hospitalized patients over age 75 years have a secondary diagnosis of dementia. A unique hospital-wide program to encourage appropriate communication techniques with patients who have dementia was provided to all departments of a hospital. Evaluation indicated improvement in some communication techniques. Additional education is needed to disperse the information to as many staff as possible and to sustain the change.

  12. Improving internal communication between marketing and technology functions for successful new food product development

    DEFF Research Database (Denmark)

    Jacobsen, Lina; Grunert, Klaus G; Søndergaard, Helle Alsted

    2014-01-01

    and technology experts within the NPD process from a food industry point of view. The review provides practical implications for improving internal communication in food companies and identifies knowledge gaps. By focusing on optimising organisational structure, team composition, management support......In order to increase the new product development (NPD) success for novel food products, it is crucial to understand how information can be optimally disseminated within companies. This systematic literature review concentrates on factors influencing internal communication between market...

  13. How to Improve Current Situation of the Communicative Approach in High School EFL Teaching

    Institute of Scientific and Technical Information of China (English)

    张丽芳

    2009-01-01

    The Communicative Approach has been used in EFL teaching of China for years; but still there are some problems centers around it when it is applied in high school English teaching. This paper explores the current situation of the Communicative Approach in Chinese high school EFL teaching by first looking at a simple case study, and then some suggestions are given as to how to improve this situation.

  14. An improved cooperative adaptive cruise control (CACC) algorithm considering invalid communication

    Science.gov (United States)

    Wang, Pangwei; Wang, Yunpeng; Yu, Guizhen; Tang, Tieqiao

    2014-05-01

    For the Cooperative Adaptive Cruise Control (CACC) Algorithm, existing research studies mainly focus on how inter-vehicle communication can be used to develop CACC controller, the influence of the communication delays and lags of the actuators to the string stability. However, whether the string stability can be guaranteed when inter-vehicle communication is invalid partially has hardly been considered. This paper presents an improved CACC algorithm based on the sliding mode control theory and analyses the range of CACC controller parameters to maintain string stability. A dynamic model of vehicle spacing deviation in a platoon is then established, and the string stability conditions under improved CACC are analyzed. Unlike the traditional CACC algorithms, the proposed algorithm can ensure the functionality of the CACC system even if inter-vehicle communication is partially invalid. Finally, this paper establishes a platoon of five vehicles to simulate the improved CACC algorithm in MATLAB/Simulink, and the simulation results demonstrate that the improved CACC algorithm can maintain the string stability of a CACC platoon through adjusting the controller parameters and enlarging the spacing to prevent accidents. With guaranteed string stability, the proposed CACC algorithm can prevent oscillation of vehicle spacing and reduce chain collision accidents under real-world circumstances. This research proposes an improved CACC algorithm, which can guarantee the string stability when inter-vehicle communication is invalid.

  15. Improving clinician competency in communication about schizophrenia: a pilot educational program for psychiatry trainees.

    Science.gov (United States)

    Loughland, Carmel; Kelly, Brian; Ditton-Phare, Philippa; Sandhu, Harsimrat; Vamos, Marina; Outram, Sue; Levin, Tomer

    2015-04-01

    Important gaps are observed in clinicians' communication with patients and families about psychiatric disorders such as schizophrenia. Communication skills can be taught, and models for education in these skills have been developed in other fields of medicine, such as oncology, providing a framework for training communication skills relevant to psychiatric practice. This study evaluated a pilot communication skills education program for psychiatry trainees, focusing on discussing schizophrenia diagnosis and prognosis. Communication skills training modules were developed based on an existing theoretical framework (ComSkil), adapted for discussing a schizophrenia diagnosis and prognosis. Pre-post training rating of self-reported confidence in a range of communication tasks was obtained, along with trainee views on the training methods. Thirty-eight participants completed the training. Significant improvements in confidence were reported post training for discussing schizophrenia prognosis, including an increased capacity to critically evaluate their own communication skills. Participants reported high levels of satisfaction with the program. This preliminary study provides support for the translation of a well-established educational model to psychiatric training addressing core clinical communication tasks and provides the foundation for the development of a more comprehensive evaluation and an extended curriculum regarding other aspects of care for patients with schizophrenia: ongoing management and recovery, dealing with conflict, and conducting a family interview.

  16. Pulsed inductive HF laser

    Energy Technology Data Exchange (ETDEWEB)

    Razhev, A M; Kargapol' tsev, E S [Institute of Laser Physics, Siberian Branch, Russian Academy of Sciences, Novosibirsk (Russian Federation); Churkin, D S; Demchuk, S V [Novosibirsk State University, Novosibirsk (Russian Federation)

    2016-03-31

    We report the results of experimentally investigated dependences of temporal, spectral and spatial characteristics of an inductive HF-laser generation on the pump conditions. Gas mixtures H{sub 2} – F{sub 2}(NF{sub 3} or SF6{sub 6}) and He(Ne) – H{sub 2} – F{sub 2}(NF{sub 3} or SF{sub 6}) were used as active media. The FWHM pulse duration reached 0.42 μs. This value corresponded to a pulsed power of 45 kW. For the first time, the emission spectrum of an inductive HF laser was investigated, which consisted of seven groups of bands with centres around the wavelengths of 2732, 2736, 2739, 2835, 2837, 2893 and 2913 nm. The cross section profile of the laser beam was a ring with a diameter of about 20 mm and width of about 5 mm. Parameters of laser operation in the repetitively pulsed regime were sufficiently stable. The amplitude instability of light pulses was no greater than 5% – 6%. (lasers)

  17. An intervention to improve nurse-physician communication in depression care.

    Science.gov (United States)

    Brown, Ellen L; Raue, Patrick J; Klimstra, Sibel; Mlodzianowski, Amy E; Greenberg, Rebecca L; Bruce, Martha L

    2010-06-01

    Depression in older adult home care recipients is frequently undetected and inadequately treated. Failed communication between home healthcare personnel and the patient's physician has been identified as a barrier for depression care. The purpose of this pilot intervention study was to improve nurse competency for communicating depression-related information to the physician. A single group pre-post experimental design. Two Medicare-certified home healthcare agencies serving an urban and suburban area in New York. Twenty-eight home care nurses, all female Registered Nurses. Two-hour skills training workshop. To evaluate the intervention, pre-post changes in effective nurse communication using Objective Structured Clinical Examinations and nurse survey reports. The intervention significantly improved the ability of the home care nurse to perform a case presentation in a complete and standard organized format pre versus postintervention. The intervention also increased nurse-reported certainty to communicate depression-related information to the physician. Our findings provide support for the ability of a brief, depression-focused communication skills training intervention to improve home care nurse competency for effectively communicating depression-related information to the physician.

  18. Ferroelectricity-modulated resistive switching in Pt/Si:HfO2/HfO2-x /Pt memory

    Science.gov (United States)

    Ran, Jiang; Xianghao, Du; Zuyin, Han

    2016-08-01

    It is investigated for the effect of a ferroelectric Si:HfO2 thin film on the resistive switching in a stacked Pt/Si:HfO2/highly-oxygen-deficient HfO2-x /Pt structure. Improved resistance performance was observed. It was concluded that the observed resistive switching behavior was related to the modulation of the width and height of a depletion barrier in the HfO2-x layer, which was caused by the Si:HfO2 ferroelectric polarization field effect. Reliable switching reproducibility and long data retention were observed in these memory cells, suggesting their great potential in non-volatile memories applications with full compatibility and simplicity. Project supported by the National Natural Science Foundation of China (No. 11374182), the Natural Science Foundation of Shandong Province (No. ZR2012FQ012), and the Jinan Independent Innovation Projects of Universities (No. 201303019).

  19. Effective MIMO Model Zero-Forcing Decoding for Multi-group Space-Time Coding in HF Communications%短波通信多组空时编码中等效MIMO模型ZF解码

    Institute of Scientific and Technical Information of China (English)

    康瑞琪; 葛利嘉; 张振宇

    2016-01-01

    面向短波通信提出了多组空时编码( MGSTC )的一种等效多输入多输出( MIMO )模型迫零( ZF)解码算法。该算法以降低运算复杂度为目的,将原多时隙MIMO系统拆分为多个多时隙单输入多输出( SIMO)系统并分别等效为多个新的单时隙MIMO系统模型,通过各自左乘等效信道矩阵的共轭转置后进行最大比合并( MRC)以及ZF解码获得发送信号估计值,避免了球形解码( SD)中对高阶矩阵的QR分解。仿真结果表明,与虚拟MIMO模型SD解码算法相比,等效MIMO模型ZF解码算法在误码率( BER)性能1 dB损耗的情况下,运算量降低一个数量级以上。%This paper proposes an effective multiple-input multiple-output( MIMO) model zero-forcing( ZF) decoding algorithm for multi-group space-time coding( MGSTC) in high frequency( HF) communications. To reduce the computation complexity,the algorithm divides the original multiple-time-slot MIMO system into some multiple time slot single-input multiple-output( SIMO) systems each of which is equivalent to new sin-gle-time-slot MIMO system model. After left multiplying transpose of effective channel matrix separately, maximal ratio combine( MRC) and ZF decoding are performed to obtain signal estimation,thus avoiding high-order matrix QR decomposition in sphere decoding(SD). The simulation results show that compared with virtual MIMO model SD decoding algorithm,the effective MIMO model ZF decoding has lower than one order of magnitude in computation complexity with 1 dB loss in bit error rate( BER) performance.

  20. Improving communication: a practical programme for teaching trainees about communication issues in the general practice consultation.

    Science.gov (United States)

    Boulton, M; Griffiths, J; Hall, D; McIntyre, M; Oliver, B; Woodward, J

    1984-07-01

    This paper describes a teaching programme, for use in general practice vocational training, which provides a theoretical and practical framework for exploring key aspects of the consultation with trainees. A particular emphasis is on the educational or 'cognitive' outcomes of the consultation and skills for improving them. The five stages of the programme are described and an example of experience of each stage is given. The paper concludes with an evaluation of the programme by the trainers, trainees and social scientist involved.

  1. Effective communication : satellite system poised to improve information flow

    Energy Technology Data Exchange (ETDEWEB)

    Macedo, R.

    2009-01-15

    This paper described a new satellite technology that can be used to transfer important information from offshore oil and gas facilities to decision-makers in distant onshore offices. Cascade Data Services (CDS), a subsidiary of British Columbia-based MDA Corporation, is developing a high-speed low-latency satellite information transfer service which has its roots in the Cascade Smallsat and Ionospheric Polar Explorer (CASSIOPE) mission scheduled for launch in 2009. The technology will enable customers to move thousands of gigabytes to and from anywhere on the planet on a daily basis. CASSIOPE received funding from the Canadian Space Agency and Technology Partnerships Canada. The first payload will be a suite of space science instruments known as the Enhanced Polar Outflow Probe (e-Pop) developed by researchers at the University of Calgary. The second payload will involve a demonstration of the digital courier service model and delivery of large digital data files. CDS has entered into an alliance with O3b Networks funded by Google Inc., Liberty Global Inc., and HSBC Principal Investments, among others. The technological development should improve the flow of information, making oil and gas operations in remote areas more efficient and help cut costs. 1 ref., 2 figs.

  2. Improving zero-error classical communication with entanglement

    CERN Document Server

    Cubitt, Toby S; Matthews, William; Winter, Andreas

    2009-01-01

    Given one or more uses of a classical channel, only a certain number of messages can be transmitted with zero probability of error. The study of this number and its asymptotic behaviour constitutes the field of classical zero-error information theory, the quantum generalisation of which has started to develop recently. We show that, given a single use of certain classical channels, entangled states of a system shared by the sender and receiver can be used to increase the number of (classical) messages which can be sent with no chance of error. In particular, we show how to construct such a channel based on any proof of the Bell-Kochen-Specker theorem. This is a new example of the use of quantum effects to improve the performance of a classical task. We investigate the connection between this phenomenon and that of ``pseudo-telepathy'' games. The use of generalised non-signalling correlations to assist in this task is also considered. In this case, a particularly elegant theory results and, remarkably, it is s...

  3. Improving Dairy Organizational Communication from the Veterinarian's Perspective: Results of a Continuing Veterinary Medical Education Pilot Program

    Science.gov (United States)

    Moore, Dale A.; Sischo, William M.; Kurtz, Suzanne; Siler, Julie D.; Pereira, Richard V.; Warnick, Lorin D.; Davis, Margaret A.

    2016-01-01

    The increasing size and complexity of US dairy farms could make it more difficult for a veterinary practitioner to effectively communicate protocol recommendations for prevention or treatment on the farm. A continuing education workshop was set up based on the results of research on dairy organizational communication on dairy farms, which resulted in a tool to assess dairy communication structure and flow. The workshop specifically focused on communication structure and whom to talk to when implementing health care changes in calf rearing. In addition, modern methods of veterinary–client communication knowledge and skills were provided. Primary outcomes of the workshops were to obtain feedback from participants about research findings and the communication model, to improve awareness about the complexity of communication structures on dairy farms, and to change participants' knowledge and skills associated with on-farm communication by providing communication theory and skills and an approach to evaluate and improve dairy organizational communication. Of the 37 participants completing the pre-program assessment, most recognized a need for themselves or their practice to improve communication with clients and farm employees. After the program, most participants were confident in their new communication skills and would consider using them. They highlighted specific new ideas they could apply in practice, such as conducting a “communication audit”. The results from the assessment of this communication workshop, focused on dairy veterinarians, highlighted the need for communication training in this sector of the profession and practitioners' desire to engage in this type of training. PMID:26751909

  4. Improving Dairy Organizational Communication from the Veterinarian's Perspective: Results of a Continuing Veterinary Medical Education Pilot Program.

    Science.gov (United States)

    Moore, Dale A; Sischo, William M; Kurtz, Suzanne; Siler, Julie D; Pereira, Richard V; Warnick, Lorin D; Davis, Margaret A

    2016-01-01

    The increasing size and complexity of US dairy farms could make it more difficult for a veterinary practitioner to effectively communicate protocol recommendations for prevention or treatment on the farm. A continuing education workshop was set up based on the results of research on dairy organizational communication on dairy farms, which resulted in a tool to assess dairy communication structure and flow. The workshop specifically focused on communication structure and whom to talk to when implementing health care changes in calf rearing. In addition, modern methods of veterinary-client communication knowledge and skills were provided. Primary outcomes of the workshops were to obtain feedback from participants about research findings and the communication model, to improve awareness about the complexity of communication structures on dairy farms, and to change participants' knowledge and skills associated with on-farm communication by providing communication theory and skills and an approach to evaluate and improve dairy organizational communication. Of the 37 participants completing the pre-program assessment, most recognized a need for themselves or their practice to improve communication with clients and farm employees. After the program, most participants were confident in their new communication skills and would consider using them. They highlighted specific new ideas they could apply in practice, such as conducting a "communication audit." The results from the assessment of this communication workshop, focused on dairy veterinarians, highlighted the need for communication training in this sector of the profession and practitioners' desire to engage in this type of training.

  5. Improving communication of diagnostic radiology findings through structured reporting.

    Science.gov (United States)

    Schwartz, Lawrence H; Panicek, David M; Berk, Alexandra R; Li, Yuelin; Hricak, Hedvig

    2011-07-01

    To compare the content, clarity, and clinical usefulness of conventional (ie, free-form) and structured radiology reports of body computed tomographic (CT) scans, as evaluated by referring physicians, attending radiologists, and radiology fellows at a tertiary care cancer center. The institutional review board approved the study as a quality improvement initiative; no written consent was required. Three radiologists, three radiology fellows, three surgeons, and two medical oncologists evaluated 330 randomly selected conventional and structured radiology reports of body CT scans. For nonradiologists, reports were randomly selected from patients with diagnoses relevant to the physician's area of specialization. Each physician read 15 reports in each format and rated both the content and clarity of each report from 1 (very dissatisfied or very confusing) to 10 (very satisfied or very clear). By using a previously published radiology report grading scale, physicians graded each report's effectiveness in advancing the patient's position on the clinical spectrum. Mixed-effects models were used to test differences between report types. Mean content satisfaction ratings were 7.61 (95% confidence interval [CI]: 7.12, 8.16) for conventional reports and 8.33 (95% CI: 7.82, 8.86) for structured reports, and the difference was significant (P < .0001). Mean clarity satisfaction ratings were 7.45 (95% CI: 6.89, 8.02) for conventional reports and 8.25 (95% CI: 7.68, 8.82) for structured reports, and the difference was significant (P < .0001). Grade ratings did not differ significantly between conventional and structured reports. Referring clinicians and radiologists found that structured reports had better content and greater clarity than conventional reports.

  6. A Scheme to Improve Throughput for ARQ-Protected Satellite Communication

    Science.gov (United States)

    Friedman, Daniel; Ephremides, Anthony

    1997-01-01

    Automatic-repeat-request (ARQ) error control is often employed to assure high fidelity information transmission. However, ARQ error control can provide poor throughput for satellite multicasting. The throughput in such communication may be improved by the combination of a terrestrial network parallel to the satellite network and a judiciously modified ARQ protocol. In particular, retransmitted ARQ frames can be sent terrestrially in such a hybrid network, allowing higher throughput than in a pure-satellite network. This work presents analytic results to establish the potential for improving the throughput of satellite multicast communication employing ARQ error control by the adoption of such a hybrid network architecture.

  7. 47 CFR 73.758 - System specifications for digitally modulated emissions in the HF broadcasting service.

    Science.gov (United States)

    2010-10-01

    ... emissions in the HF broadcasting service. 73.758 Section 73.758 Telecommunication FEDERAL COMMUNICATIONS... § 73.758 System specifications for digitally modulated emissions in the HF broadcasting service. (a... digital audio broadcasting and datacasting are authorized. The RF requirements for the DRM system...

  8. Crew Resource Management for Obstetric and Neonatal Teams to Improve Communication During Cesarean Births.

    Science.gov (United States)

    Mancuso, Mary P; Dziadkowiec, Oliwier; Kleiner, Catherine; Halverson-Carpenter, Katherine; Link, Terri; Barry, James

    2016-01-01

    To assess the effectiveness of crew resource management training and interventions on the quality and quantity of communication during cesarean births in a tertiary academic hospital's labor and birthing services. A prospective pre-post crew resource management training intervention. Tertiary academic hospital in the Western United States. All members of obstetric and neonatal teams that participated in cesarean births. Over a 5-month time period, all obstetric and neonatal staff were required to participate in team training in crew resource management critical language, communication, and team structure. Trained observers collected baseline data (n = 52) for 3 months on the quantity and quality of communications that occurred during cesarean births. Postintervention data (n = 50) were gathered for 3 months after team training. Analysis approach included use of Fisher's exact test, independent-samples t test, and multilevel generalized linear regression models with Poisson distribution. There was a statistically significant increase in quantity and quality of communication from pre- to postintervention assessment for obstetric and neonatal staff. Although the increase in quality was similarly great between both types of teams, increase in quantity was more substantial in obstetric staff. Principles of team communication training shown to be effective in increasing communication among team members in a variety of clinical areas were also effective in improving communication in the labor and birth setting during cesarean births. Copyright © 2016 AWHONN, the Association of Women's Health, Obstetric and Neonatal Nurses. Published by Elsevier Inc. All rights reserved.

  9. Moving Toward Improved Teamwork in Cancer Care: The Role of Psychological Safety in Team Communication.

    Science.gov (United States)

    Jain, Anshu K; Fennell, Mary L; Chagpar, Anees B; Connolly, Hannah K; Nembhard, Ingrid M

    2016-11-01

    Effective communication is a requirement in the teamwork necessary for improved coordination to deliver patient-centered, value-based cancer care. Communication is particularly important when care providers are geographically distributed or work across organizations. We review organizational and teams research on communication to highlight psychological safety as a key determinant of high-quality communication within teams. We first present the concept of psychological safety, findings about its communication effects for teamwork, and factors that affect it. We focus on five factors applicable to cancer care delivery: familiarity, clinical hierarchy-related status differences, geographic dispersion, boundary spanning, and leader behavior. To illustrate how these factors facilitate or hinder psychologically safe communication and teamwork in cancer care, we review the case of a patient as she experiences the treatment-planning process for early-stage breast cancer in a community setting. Our analysis is summarized in a key principle: Teamwork in cancer care requires high-quality communication, which depends on psychological safety for all team members, clinicians and patients alike. We conclude with a discussion of the implications of psychological safety in clinical care and suggestions for future research.

  10. Effects of an intervention aimed at improving nurse-patient communication in an oncology outpatient clinic

    DEFF Research Database (Denmark)

    Rask, Mette Trøllund; Jensen, Mette Lund; Andersen, Jørn

    2009-01-01

    skills training program in nursing cancer care. Twenty-four nurses in an oncology outpatient clinic participated and were randomly assigned to the intervention program or a control group. A total of 413 patients treated in the clinic during 2 recruitment periods (before and after the communication skills...... training) completed a questionnaire package assessing the nurse-patient relationship, psychological well-being, and cancer-related self-efficacy. Nurse group differences in change scores between time points (baseline, 1 week, and 3 months after the communication skills training) on measures related......In an ever more burdened healthcare system, there is an urgent need to investigate whether patients benefit from the resources allocated to nurses' communication skills training in terms of improved patient outcomes. This study aimed to evaluate a standardized two 2-day (33 hours) communication...

  11. Improving Scientific Communication and Publication Output in a Multidisciplinary Laboratory: Changing Culture Through Staff Development Workshops

    Energy Technology Data Exchange (ETDEWEB)

    Noonan, Christine F.; Stratton, Kelly G.

    2015-07-13

    Communication plays a fundamental role in science and engineering disciplines. However, many higher education programs provide little, if any, technical communication coursework. Without strong communication skills scientists and engineers have less opportunity to publish, obtain competitive research funds, or grow their careers. This article describes the role of scientific communication training as an innovative staff development program in a learning-intensive workplace – a national scientific research and development laboratory. The findings show that involvement in the workshop has increased overall participating staff annual publications by an average of 61 percent compared to their pre-workshop publishing performance as well as confidence level in their ability to write and publish peer-reviewed literature. Secondary benefits include improved information literacy skills and the development of informal communities of practice. This work provides insight into adult education in the workplace.

  12. Applying Communicative Language Teching to Improve English Teching Effectiveness in Higher Vocational Colleges

    Institute of Scientific and Technical Information of China (English)

    廖健

    2011-01-01

    Communicative language teaching (CLT),as a language teaching approach,aiming at teaching second languages for the ultimate goal of communication,has been known and widely practiced by Chinese teachers in their English teaching.But due to the limitations of both students and teachers,CLT is not executed successfully in quite a lot of higher vocational colleges.To carry it out successfully in English classrooms,the following important factors should be seriously taken into account:understanding communicative competence,class instruction in English pragmatics,teachers' role in CLT and assessment of communicative language ability.Hopefully,through discussion of these key aspects of CLT,guiding effect can be produced on improving teaching efficiency through CLT from the perspective of teachers.

  13. Improving the communication between teams managing boarded patients on a surgical specialty ward

    Science.gov (United States)

    Puvaneswaralingam, Shobitha; Ross, Daniella

    2016-01-01

    Transferring patients from the ward of their specialty or consultant is described as boarding. 1 Boarding patients is becoming increasingly prevalent due to greater pressure on hospital capacity. This practice compromises patient safety through delayed investigations, prolonged hospital stays, and increased risk of hospital-acquired infections. 1 2 We evaluated how regularly boarded patients were reviewed, and how effectively information regarding their management was communicated from their primary specialty to ward staff. We aimed to improve the frequency of patient reviews by ensuring that each patient was reviewed every weekday and increase communication between primary specialty, and medical and nursing teams by 20% from baseline during the data collection period. The project was based in the Otolaryngology ward in Ninewells Hospital, Dundee, where there was a high prevalence of boarded patients. Baseline data showed a clear deficit in communication between the primary specialty and ward staff with only 31% of patient reviews being communicated to ward doctors. We designed and implemented a communication tool, in the form of a sticker, to be inserted into patients' medical notes for use by the primary specialty. Implementation of the sticker improved communication between teams as stickers were completed in 93% of instances. In 88% of patient reviews, the junior doctor was informed of the management plan, showing a large increase from baseline. Through PDSA cycles, we aimed to increase the sustainability and reliability of the sticker; however, we faced challenges with sustainability of sticker insertion. We aim to engage more stakeholders to raise awareness of the problem, brainstorm solutions together, and review the production and implementation of stickers with senior hospital management to discuss the potential use of this tool within practice. There is potentially a large scope for utilisation of this communication tool on a local level, which we hope

  14. Improving the communication between teams managing boarded patients on a surgical specialty ward.

    Science.gov (United States)

    Puvaneswaralingam, Shobitha; Ross, Daniella

    2016-01-01

    Transferring patients from the ward of their specialty or consultant is described as boarding. 1 Boarding patients is becoming increasingly prevalent due to greater pressure on hospital capacity. This practice compromises patient safety through delayed investigations, prolonged hospital stays, and increased risk of hospital-acquired infections. 1 2 We evaluated how regularly boarded patients were reviewed, and how effectively information regarding their management was communicated from their primary specialty to ward staff. We aimed to improve the frequency of patient reviews by ensuring that each patient was reviewed every weekday and increase communication between primary specialty, and medical and nursing teams by 20% from baseline during the data collection period. The project was based in the Otolaryngology ward in Ninewells Hospital, Dundee, where there was a high prevalence of boarded patients. Baseline data showed a clear deficit in communication between the primary specialty and ward staff with only 31% of patient reviews being communicated to ward doctors. We designed and implemented a communication tool, in the form of a sticker, to be inserted into patients' medical notes for use by the primary specialty. Implementation of the sticker improved communication between teams as stickers were completed in 93% of instances. In 88% of patient reviews, the junior doctor was informed of the management plan, showing a large increase from baseline. Through PDSA cycles, we aimed to increase the sustainability and reliability of the sticker; however, we faced challenges with sustainability of sticker insertion. We aim to engage more stakeholders to raise awareness of the problem, brainstorm solutions together, and review the production and implementation of stickers with senior hospital management to discuss the potential use of this tool within practice. There is potentially a large scope for utilisation of this communication tool on a local level, which we hope

  15. 一种新的基于椭圆球面波函数的非正弦短波通信的均衡方案%A New Equalizer for Non-sinusodial HF Communication Based on Prolate Spheroidal Wave Function

    Institute of Scientific and Technical Information of China (English)

    潘耀宗; 孙小东; 钟佩琳; 刘传辉; 王红星

    2012-01-01

    针对基于椭圆球面波函数(Prolate Spheroidal Wave Function,PSWF)的非正弦通信技术在短波频段内受到多径时延,引起码间串扰导致系统可靠性下降的问题,在分析信道特性对基于PSWF非正弦调制信号影响和非正弦通信的特殊性的基础上,通过对均衡思路的分析,设计了一种新的均衡方案.此方案首先将码间串扰对正交性的影响转化为对判决数据信号质量的影响.进而,针对每一路判决数据信号采取均衡措施,提高判决数据的质量.最后,依据判决准则进行判决.仿真结果表明这种新的均衡方案是有效的,在给定的仿真条件下,信噪比为24 dB时,误码率约从10-2改善到10-3;针对PSWF脉冲两种不同的生成方法(单波道脉冲生成方法和多波道脉冲生成方法)生成脉冲组的特性,在基本均衡方案的基础上提出了参数共享式均衡和分组参数共享式均衡两种方法,并在最后给出了仿真结果,证明了这两种方法的有效性.%The multipath effects of the HF channel make the BER of non-sinusodial HF communication based on Prolate Spheroidal Wave Function (PSWF) increasing. An new equalizer scheme is proposed on the base of analysising the factors reducing the quality of decision dates and the particularity of the non-sinusodial communication systerm based on PSWF. This scheme transfer the effects of ISI to the quality of the decision date signals, and taking measures to equilibrium each path of decision date signals to improve its quality. Finally, the disicion will be made according to the judgement criterion. The results of the simulations show that the new equalizer is effective, and the BER can be reducing from 10-2 to 10-3, when the SNR is 24 dB. For the group of different characteristics of PSWF pulses which come from different pulse generating methods including constructing method of PSWF based on single-channel and constructing method of PSWF based on multi-channel, parameters

  16. Intelligibility improvement of analog communication systems using an amplitude control technique.

    Science.gov (United States)

    Wishna, S.

    1973-01-01

    An amplitude control technique has been employed for use with analog voice communication systems, which improves low-level phoneme reception and eliminates the received noise between words and syllables. Tests were conducted on a narrow-band frequency-modulation simplex voice communication channel employing the amplitude control technique. Presented for both the modified rhyme word tests and the phonetically balanced word tests are a series of graphical plots of the tests' score distribution, mean, and standard deviation as a function of received carrier-to-noise power density ratio. At low received carrier-to-noise power density ratios, a significant improvement in the intelligibility was obtained. A voice intelligibility improvement of more than 2 dB was obtained for the modified rhyme test words, and a voice intelligibility improvement in excess of 4 dB was obtained for the phonetically balanced word tests.

  17. [Recommendations to improve the scientific communication process in the Revista Médica del IMSS].

    Science.gov (United States)

    Álvarez, Ivón

    2016-01-01

    In order to improve the position of the Revista Médica del Instituto Mexicano del Seguro Social among the different journals, in this editorial we enumerate a series of recommendations to ameliorate the practices of the different actors who participate in the scientific communication process of this journal.

  18. Improving communication in crisis management by evaluating the relevance of messages

    NARCIS (Netherlands)

    Netten, N.; van Someren, M.

    2011-01-01

    Efficient communication is a major challenge for emergency responders during crisis management. Reports show that missing information and information overload are important factors that determine the success of crisis management. We propose a method as basis for a software system that improves text

  19. Improving Communicative Competence with "Clickers": Acceptance/Attitudes among Nigerian Primary School Teachers

    Science.gov (United States)

    Agbatogun, Alaba Olaoluwakotansibe

    2014-01-01

    This study examined the predictive power of teachers' perceived usefulness (PU), perceived ease of use (PEU), behavioural intention (BI) to use personal response system (PRS) and computer experience (CE) on teachers' acceptance and attitude towards using PRS in improving communicative competence in the classroom where English is taught as a second…

  20. SmartNursing - a mobile application to improve communication in home care

    DEFF Research Database (Denmark)

    Nyborg, Mads; Bashir, Khurram; Maknickaite, Asta

    2013-01-01

    This paper presents SmartNursing system and discusses how increasing capabilities of smartphone could benefit employees in working environment. A SmartNursing system is developed for home nurses working environment to fulfil their needs. The solution helps to improve communication among nurses...

  1. Chemistry Writing Instruction and Training: Implementing a Comprehensive Approach to Improving Student Communication Skills

    Science.gov (United States)

    Stewart, Alexander F.; Williams, Andrea L.; Lofgreen, Jennifer E.; Edgar, Landon J. G.; Hoch, Laura B.; Dicks, Andrew P.

    2016-01-01

    The ability of science undergraduate students to capably communicate course content and their understanding of scientific phenomena through writing has long been considered a problem. Effective methods for improving student writing skills are often fragmented and undertaken on a course-by-course basis rather than as a coordinated approach. This…

  2. Improving Communicative Competence with "Clickers": Acceptance/Attitudes among Nigerian Primary School Teachers

    Science.gov (United States)

    Agbatogun, Alaba Olaoluwakotansibe

    2014-01-01

    This study examined the predictive power of teachers' perceived usefulness (PU), perceived ease of use (PEU), behavioural intention (BI) to use personal response system (PRS) and computer experience (CE) on teachers' acceptance and attitude towards using PRS in improving communicative competence in the classroom where English is taught…

  3. Improving Communicative Competence with "Clickers": Acceptance/Attitudes among Nigerian Primary School Teachers

    Science.gov (United States)

    Agbatogun, Alaba Olaoluwakotansibe

    2014-01-01

    This study examined the predictive power of teachers' perceived usefulness (PU), perceived ease of use (PEU), behavioural intention (BI) to use personal response system (PRS) and computer experience (CE) on teachers' acceptance and attitude towards using PRS in improving communicative competence in the classroom where English is taught as a second…

  4. Improving word prediction for augmentative communication by using idiolects and sociolects

    NARCIS (Netherlands)

    Stoop, W.; Bosch, A.P.J. van den

    2014-01-01

    Word prediction, or predictive editing, has a long history as a tool for augmentative and assistive communication. Improvements in the state-of-the-art can still be achieved, for instance by training personalized statistical language models. We developed the word prediction system Soothsayer. The ma

  5. Proposing and Testing an Integrative Approach to Improve EFL Students' Communicative Skill

    Science.gov (United States)

    Alhussain, Aisha

    2009-01-01

    An experimental study was conducted to investigate the effectiveness of using an integrative approach to improve EFL students' communicative skill. This was done by comparing the oral performance of the subjects who were taught grammar, listening, reading and speaking integratively to that of the subjects who were taught the same skills…

  6. Visual Working Memory in Deaf Children with Diverse Communication Modes: Improvement by Differential Outcomes

    Science.gov (United States)

    Lopez-Crespo, Ginesa; Daza, Maria Teresa; Mendez-Lopez, Magdalena

    2012-01-01

    Although visual functions have been proposed to be enhanced in deaf individuals, empirical studies have not yet established clear evidence on this issue. The present study aimed to determine whether deaf children with diverse communication modes had superior visual memory and whether their performance was improved by the use of differential…

  7. Improved Student Writing in Business Communication Classes: Strategies for Teaching and Evaluation

    Science.gov (United States)

    Stowers, Robert H.; Barker, Randolph T.

    2003-01-01

    Students in business communication classes are expected to write various types of documents. Research has illustrated that undergraduate student writing skills have not improved even though most states have begun writing proficiency tests at the elementary, middle, and high school levels. By the time students enroll in college, students are…

  8. Improving intercultural communication skills: A challenge facing institutions of higher education in the 21st century

    OpenAIRE

    Kim, Chai K.

    1999-01-01

    Following discussion of the rationales for improving students' intercultural communication skills, this article described how the professors at the University of Rhode Island and their counterparts around the world use the Internet as a mechanism for improving a student's intercultural awareness and sensitivity. Using the Internet, students here and abroad debate on timely, relevant topics to become aware of how people of different cultures see things differently. In addition, they write and ...

  9. [Internationalized medical care services increase need of health care providers to improve English communication skills].

    Science.gov (United States)

    Yang, Chia-Ling

    2011-02-01

    English is the most important language used in international communication. Nurses today have significantly more opportunities to come into contact with clients of different nationalities. Therefore, English communication abilities are a critical to the effective care of foreign clients. Miscommunication due to language barriers can endanger the health and safety of foreign clients and hinder their access to healthcare resources. Basic English communicate skills allow nurses to better understand the feelings of foreign clients and to affect their satisfaction with healthcare services provided. The majority of clinical nurses in Taiwan are inadequately prepared to communicate with foreign clients or use English when delivering nursing care services. Although English is not an official language in Taiwan, strengthening English communication skills is necessary for Taiwan's healthcare service system. Faced with increasing numbers of foreign clients in their daily work, first-line nursing staffs need more training to improve English proficiency. In order to do so, support from the hospital director is the first priority. The second priority is to motivate nursing staffs to learn English; the third is to incorporate different English classes into the medical system and schedule class times to meet nurse scheduling needs; and the fourth is to establish international medical wards, with appropriate incentives in pay designed to attract and retain nursing staff proficient in English communication.

  10. A Mobile Device Software to Improve Construction Sites Communications "MoSIC"

    Directory of Open Access Journals (Sweden)

    Adel Khelifi

    2016-11-01

    Full Text Available Effective communication among project participants in construction sites is a real dilemma for construction projects productivity. To improve the efficiency of participants in construction projects and have a speedy delivery of these projects, this paper presents the development of a mobile application system to support construction site communication. The developed system is designed to enhance communication between home office employees, field office staff, and mobile users at the construction sites. It has two components: a mobile application and a website. The mobile application component provides users with valuable features such as, receive sites’ instructions, send requests for interpretations and retrieve information about projects. Whereas, the website component allows users, such as, home office employees to track projects’ progress and find projects’ location. The developed system is tested first on emulators and then on Android devices. After that the system was tested on a highway improvement project. Through their mobile phones, site users are able to interact with field office and home office personnel who use the web application to communicate with mobile users. It is expect that this work will contribute to facilitate communication in construction sites, which is much needed in this information intensive sector.

  11. Interprofessional Curbside Consults to Develop Team Communication and Improve Student Achievement of Learning Outcomes

    Science.gov (United States)

    Greenwood, Kristin Curry; Rico, Janet; Nalliah, Romesh; DiVall, Margarita

    2017-01-01

    Objective. To design and implement a series of activities focused on developing interprofessional communication skills and to assess the impact of the activities on students’ attitudes and achievement of educational goals. Design. Prior to the first pharmacy practice skills laboratory session, pharmacy students listened to a classroom lecture about team communication and viewed short videos describing the roles, responsibilities, and usual work environments of four types of health care professionals. In each of four subsequent laboratory sessions, students interacted with a different standardized health care professional role-played by a pharmacy faculty member who asked them a medication-related question. Students responded in verbal and written formats. Assessment. Student performance was assessed with a three-part rubric. The impact of the exercise was assessed by conducting pre- and post-intervention surveys and analyzing students’ performance on relevant Center for the Advancement of Pharmacy Education (CAPE) outcomes. Survey results showed improvement in student attitudes related to team-delivered care. Students’ performance on the problem solver and collaborator CAPE outcomes improved, while performance on the educator outcome worsened. Conclusions. The addition of an interprofessional communication activity with standardized health care professionals provided the opportunity for students to develop skills related to team communication. Students felt the activity was valuable and realistic; however, analysis of outcome achievement from the exercise revealed a need for more exposure to team communication skills. PMID:28289305

  12. Communication skills of health-care professionals working in oncology--can they be improved?

    Science.gov (United States)

    Schofield, Nicola G; Green, Claire; Creed, Francis

    2008-02-01

    Communication skills' training has been placed high on the agenda by the National Institute of Clinical Excellence guidelines and the National Health Service in the UK. The paper reviews the importance of good communication skills in cancer care for the patient and describes research that has identified ways in which health-care professionals (HCP) can improve their communication with patients. The evidence as to why there is a lack of facilitative skills is reviewed along with what skills are required in order to improve communication with patients. The paper describes evidence of increased facilitative skills post-training, discusses whether there is evidence of transfer of these skills into clinical practice and how this might be best achieved. To conclude, research evidence would support the fact that training in communication skills needs to provide the best possible outcomes for HCP and their patients. Patient concerns, needs and preferences need to be elicited and the impact of concerns identified, so that the HCP can appropriately tailor their information giving, advice, treatment and plan of care.

  13. Interprofessional Curbside Consults to Develop Team Communication and Improve Student Achievement of Learning Outcomes.

    Science.gov (United States)

    Kirwin, Jennifer; Greenwood, Kristin Curry; Rico, Janet; Nalliah, Romesh; DiVall, Margarita

    2017-02-25

    Objective. To design and implement a series of activities focused on developing interprofessional communication skills and to assess the impact of the activities on students' attitudes and achievement of educational goals. Design. Prior to the first pharmacy practice skills laboratory session, pharmacy students listened to a classroom lecture about team communication and viewed short videos describing the roles, responsibilities, and usual work environments of four types of health care professionals. In each of four subsequent laboratory sessions, students interacted with a different standardized health care professional role-played by a pharmacy faculty member who asked them a medication-related question. Students responded in verbal and written formats. Assessment. Student performance was assessed with a three-part rubric. The impact of the exercise was assessed by conducting pre- and post-intervention surveys and analyzing students' performance on relevant Center for the Advancement of Pharmacy Education (CAPE) outcomes. Survey results showed improvement in student attitudes related to team-delivered care. Students' performance on the problem solver and collaborator CAPE outcomes improved, while performance on the educator outcome worsened. Conclusions. The addition of an interprofessional communication activity with standardized health care professionals provided the opportunity for students to develop skills related to team communication. Students felt the activity was valuable and realistic; however, analysis of outcome achievement from the exercise revealed a need for more exposure to team communication skills.

  14. Improving medical students' written communication skills: design and evaluation of an educational curriculum.

    Science.gov (United States)

    Melvin, L; Connolly, K; Pitre, L; Dore, K L; Wasi, P

    2015-06-01

    Written and verbal communication skills are important skills for all physicians. While verbal skills are taught and assessed in medical school, medical students report limited instruction in written communication skills. This study examined the impact of a curriculum delivered during a 6-week clinical rotation in Internal Medicine on the objective assessment of medical students' written communication skills. The curriculum consisted of two educational programmes: a medical student communication tutorial and a resident feedback workshop. The study was conducted from March 2012 to January 2013 at McMaster University in Hamilton, Ontario, Canada. The study featured three arms: (1) control, (2) medical student communication tutorial alone and (3) student tutorial and resident feedback workshop. Data were collected on 126 students during 6-week Internal Medicine clerkship rotations. Students' written consultation notes were collected prior to the educational programmes and at 6 weeks. Blinded faculty assessors used an independently validated Assessment Checklist to evaluate consultation notes. Consultation note scores improved from week 1 to week 6 across all study arms. However, the change was statistically significant only in arm 3, featuring both the medical student tutorial and the resident feedback workshop, with mean scores improving from 4.75 (SD=1.496) to 5.56 (SD=0.984) out of 7. The mean difference between week 1 and week 6 was significantly different (0.806, p=0.002, 95% CI 0.306 to 1.058). The combination of a resident feedback workshop with medical student written communication tutorial improves objective evaluations of consultation note scores over student tutorial alone. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

  15. Science and Improv: Saying "YES" to Creative Collaboration and Scintillating Communication

    Science.gov (United States)

    Wong, G. J.

    2015-12-01

    Communicating research results to a non-specialist audience can be challenging. Strategies that work well in lab group meetings, such as using acronyms and jargon, may fall flat with 7th graders or Congressional staffers. Empowering real-world audiences with our stories helps raise awareness and inform decision-making, whether it's related to family food purchases or national policy. Ideally, we scientists, engineers and researchers directly connect with our audiences, responding spontaneously and actively, distilling our messages into conversational morsels that resonate with them. One tool that I have found useful is deeply rooted in the "tao" of improvisational theater. Why improv? Improv is dancing as if no one is watching, baking from scratch, and playing jazz flute. Improv is Iron Chef, MacGyver with a license to thrill, or the game-winning play. Research is inspired improvisation. And improv can teach us a lot about how to play, how to feel comfortable and present even while flailing, and how to truly listen. Effective science communicators listen. In fact, therein lies the power of "yes …", a building block of improvisational theater. "Yes …" is both collaborative ("yes, and …") and innovative ("yes, because …"), and investment in an attitude of saying "yes …" demonstrates an intent to listen. Improv is not any one specific thing so much as a process by which we do things. Skills that strengthen communication, such as spontaneity, authenticity and connectivity, are honed through philosophies inherent in improv. This presentation highlights improv-based activities that enhance science communication with purpose, vividness, and emotion.

  16. Improving effectiveness in e-marketing communication for Chinese SMEs: 2CCM

    OpenAIRE

    Zhao, Ying

    2014-01-01

    The purpose of this thesis was to come up with perspectives on improving effective-ness in e-marketing communication for Chinese SMEs. The aim of this thesis was to analyze Chinese e-marketing communication channels and message delivery. This thesis was done for 2CCM, which is an online store for selling fashionable and stylish high-end products. The thesis was roughly divided into two parts which were theoretical part and rec-ommendations. The theoretical part introduced the concept, Ch...

  17. Bidirectional Haptic Communication: Application to the Teaching and Improvement of Handwriting Capabilities

    Directory of Open Access Journals (Sweden)

    Nicolò Pedemonte

    2016-02-01

    Full Text Available The objective of this work is to study the relevance of haptic feedback in remote communication between people. The application is handwriting. A haptic device designed to help people to improve their writing skills is presented. Two experimental sessions are then proposed to a group of people. In the first test, two subjects communicate through a bilateral system by means of a haptic feedback to accomplish the task. Secondly, a blank test is performed. The results of the two tests are compared and analyzed in order to evaluate the importance of the haptic feedback in the context of collaboration between two people.

  18. Marburg Hemorrhagic Fever (Marburg HF)

    Science.gov (United States)

    ... CDC Cancel Submit Search The CDC Marburg hemorrhagic fever (Marburg HF) Note: Javascript is disabled or is ... first recognized in 1967, when outbreaks of hemorrhagic fever occurred simultaneously in laboratories in Marburg and Frankfurt, ...

  19. Investigation of new type Cu-Hf-Al bulk glassy alloys

    Science.gov (United States)

    Nagy, E.; Rontó, V.; Sólyom, J.; Roósz, A.

    2009-01-01

    In the last years new type Cu-Hf-Al ternary alloys were developed with high glass forming ability and ductility. The addition of Al to Cu-Hf alloys results in improvements in glass formation, thermal stability and mechanical properties of these alloys. We have investigated new Cu-based bulk amorphous alloys in Cu-Hf-Al ternary system. The alloys with Cu49Hf42Al9, Cu46Hf45Al9, Cu50Hf42.5Al7.5 and Cu50Hf45Al5 compositions were prepared by arc melting. The samples were made by centrifugal casting and were investigated by X-ray diffraction method. Thermodynamic properties were examined by differential scanning calorimetry and the structure of the crystallising phases by scanning electron microscopy. The determination of liquidus temperatures of alloys were measured by differential thermal analysis.

  20. A chaotic communication system of improved performance based on the Derivative-free nonlinear Kalman filter

    Science.gov (United States)

    Rigatos, Gerasimos

    2016-07-01

    The Derivative-free nonlinear Kalman Filter is used for developing a communication system that is based on a chaotic modulator such as the Duffing system. In the transmitter's side, the source of information undergoes modulation (encryption) in which a chaotic signal generated by the Duffing system is the carrier. The modulated signal is transmitted through a communication channel and at the receiver's side demodulation takes place, after exploiting the estimation provided about the state vector of the chaotic oscillator by the Derivative-free nonlinear Kalman Filter. Evaluation tests confirm that the proposed filtering method has improved performance over the Extended Kalman Filter and reduces significantly the rate of transmission errors. Moreover, it is shown that the proposed Derivative-free nonlinear Kalman Filter can work within a dual Kalman Filtering scheme, for performing simultaneously transmitter-receiver synchronisation and estimation of unknown coefficients of the communication channel.

  1. A Project-Based Language Learning Model for Improving the Willingness to Communicate of EFL Students

    Directory of Open Access Journals (Sweden)

    Ibrahim Farouck

    2016-04-01

    Full Text Available Anxiety and inadequate motivation due to misapplication of some language teaching methodologies and learning materials have been shown to affect the Willingness to Communicate of students in EFL programs. This study used a Project-Based Language Learning to improve learning motivation and content relevance. Students were grouped into pairs to conduct fieldwork activities on their chosen topics and learned the English language that was suitable for describing their activities and outcomes. They interacted with content and peers through Web 2.0 environments. In the classroom, they engaged in communicative tasks in a jigsaw format and presented their projects where their peers used an online rubric and forum to give feedback. They also participated in a speech contest with peers outside their class or from another university in order to broaden their confidence. Findings from this study show that students were able to develop the language and evaluation skills for presentation. Additionally, they indicated a reduction in communication anxiety.

  2. Cryptanalysis and improvement of a quantum communication-based online shopping mechanism

    Science.gov (United States)

    Huang, Wei; Yang, Ying-Hui; Jia, Heng-Yue

    2015-06-01

    Recently, Chou et al. (Electron Commer Res 14:349-367, 2014) presented a novel controlled quantum secure direct communication protocol which can be used for online shopping. The authors claimed that their protocol was immune to the attacks from both external eavesdropper and internal betrayer. However, we find that this protocol is vulnerable to the attack from internal betrayer. In this paper, we analyze the security of this protocol to show that the controller in this protocol is able to eavesdrop the secret information of the sender (i.e., the customer's shopping information), which indicates that it cannot be used for secure online shopping as the authors expected. Accordingly, an improvement of this protocol, which could resist the controller's attack, is proposed. In addition, we present another protocol which is more appropriate for online shopping. Finally, a discussion about the difference in detail of the quantum secure direct communication process between regular quantum communications and online shopping is given.

  3. Improving hazard communication through collaborative participatory workshops: challenges and opportunities experienced at Turrialba volcano, Costa Rica

    Science.gov (United States)

    van Manen, S. M.; Avard, G.; Martinez, M.; de Moor, M. J.

    2014-12-01

    Communication is key to disaster risk management before, during and after a hazardous event occurs. In this study we used a participatory design approach to increase disaster preparedness levels around Turrialba volcano (Costa Rica) in collaboration with local communities. We organised five participatory workshops in communities around Turrialba volcano, 2 in February 2014 and a further 3 in May 2014. A total of 101 people attended and participants included the general public, decision makers and relevant government employees. The main finding of the workshops was that people want more information, specifically regarding 1) the activity level at the volcano and 2) how to prepare. In addition, the source of information was identified as an important factor in communication, with credibility and integrity being key. This outcome highlights a communication gap between the communities at risk and the institutions monitoring the volcano, who publish their scientific results monthly. This strong and explicitly expressed desire for more information should be acknowledged and responded to. However, this gives rise to the challenge of how to communicate: how to change the delivery and/or content of the messages already disseminated for greater effectiveness. In our experience, participatory workshops provide a successful mechanism for effective communication. However, critically evaluating the workshops reveals a number of challenges and opportunities, with the former arising from human, cultural and resource factors, specifically the need to develop people's capacity to participate, whereas the latter is predominantly represented by participant empowerment. As disasters are mostly felt at individual, household and community levels, improving communication, not at but with these stakeholders, is an important component of a comprehensive disaster resilience strategy. This work provides an initial insight into the potential value of participatory design approaches for

  4. The Use of WhatsApp Smartphone Messaging Improves Communication Efficiency within an Orthopaedic Surgery Team.

    Science.gov (United States)

    Ellanti, Prasad; Moriarty, Andrew; Coughlan, Fionn; McCarthy, Thomas

    2017-02-18

    Effective and timely communication is important for any surgical specialty to function. The use of smartphones is prevalent amongst doctors. Numerous smartphone applications offer the potential for fast and cost-effective communication. WhatsApp is a commonly used application that is free, easy to use, and capable of text and multimedia messaging. We report on the use of WhatsApp over a six month period in our unit. WhatsApp communication between non-consultant members of an orthopaedic team over a six-month period was analysed. Both the phones and the WhatsApp application were password-protected, and patient details were anonymised. A series of 20 communications using the hospital pager system and the telephone system were also analysed. A total of 5,492 messages were sent during the six-month period and were part of 1,916 separate communication events. The vast majority of messages, 5,090, were related to patient care. A total of 195 multimedia messages were sent and these included images of radiographs and wounds. When using the hospital telephones, the length of time spent on a communication averaged 5.78 minutes and using the hospital pager system averaged 7.45 minutes. Using the WhatsApp messaging system has potentially saved up to 7,664 minutes over the study period. All participants found WhatsApp easy to use and found it to be more efficient than the traditional pager system Conclusion: Compared to the traditional pager systems, the use of WhatsApp is easy, inexpensive, and reliable and can help improve the efficiency of communication within a surgical team.

  5. We're on the same side: improving communication between nursing home and family.

    Science.gov (United States)

    Majerovitz, S Deborah; Mollott, Richard J; Rudder, Cynthia

    2009-01-01

    Good communication between families and care providers is central to quality care, providing valuable insight into medical history and preferences, increasing family involvement and satisfaction, and reducing complaints. Two studies offer insight into sources of family-staff miscommunication and conflict. The Nursing Home Family Study (Study 1) interviewed 103 family caregivers to nursing home residents. The Long Term Care Community Coalition (Study 2) conducted focus groups and surveys with staff in six facilities: 323 certified nurse's assistants, 52 licensed practical nurses, and 71 registered nurses. Qualitative and quantitative data from both studies identified multiple barriers to good communication associated with both nursing homes and family caregivers. Institutional barriers include understaffing, turnover, inadequate training, policies based in a medical model, rigid routines, poor intrastaff communication, and work schedules that do not coincide with family visits. Psychosocial factors that hinder family communication include guilt, role confusion, clashes of culture and values, unrealistic expectations, and conflicting responsibilities. Specific communication problems identified by families were: making them feel guilty, criticism of their involvement, lack of information, changes made without consultation, staff have too little time to talk, high turnover, rotating shifts, and poor intrastaff communication. Similar issues were raised by nursing staff, who valued trusting, respectful relationships with supervisors and families, being consulted prior to changes, support in addressing racist or abusive comments, adequate staffing, and teamwork. Certified nursing assistants noted that family members are quick to complain but seldom offer praise, and that their intimate knowledge of the resident is rarely acknowledged. These data are applied to develop educational interventions to improve family-staff communication.

  6. Hf Transition Probabilities and Abundances

    CERN Document Server

    Lawler, J E; Labby, Z E; Sneden, C; Cowan, J J; Ivans, I I

    2006-01-01

    Radiative lifetimes from laser-induced fluorescence measurements, accurate to about +/- 5 percent, are reported for 41 odd-parity levels of Hf II. The lifetimes are combined with branching fractions measured using Fourier transform spectrometry to determine transition probabilities for 150 lines of Hf II. Approximately half of these new transition probabilities overlap with recent independent measurements using a similar approach. The two sets of measurements are found to be in good agreement for measurements in common. Our new laboratory data are applied to refine the hafnium photospheric solar abundance and to determine hafnium abundances in 10 metal-poor giant stars with enhanced r-process abundances. For the Sun we derive log epsilon (Hf) = 0.88 +/- 0.08 from four lines; the uncertainty is dominated by the weakness of the lines and their blending by other spectral features. Within the uncertainties of our analysis, the r-process-rich stars possess constant Hf/La and Hf/Eu abundance ratios, log epsilon (Hf...

  7. Improving patient education by an in-service communication training for health care providers at a cancer ward: communication climate, patient satisfaction and the need of lasting implementation.

    Science.gov (United States)

    Visser, Adriaan; Wysmans, Michel

    2010-03-01

    To show the effects of an in-service communication training for health care providers at a cancer ward, to improve the quality and quantity of the patient education, and patient satisfaction with the care received. A 3-year in-service communication training was held at a cancer ward. Pre- and post-data were collected about the quality and quantity of the communication of nurses, physicians and other health care providers (HCPs) towards patients and colleagues (n=22) as well as the satisfaction of the patients with the quality of care (n=90). The communication training raised significantly the quality and quantity of the communication towards patients and with colleagues. Also patient satisfaction with the quality of care increased. However, the long-term implementation of the benefits was proved disappointing. In-service communication training is an important means for the long-term improvement of the quality of patient education at nursing departments in hospitals. Lasting implementation of the benefits however requires attention to organizational obstacles, budgetary conditions, leadership factors at the ward, and the application of an organizationally oriented theoretical framework. Improvement of patient education at nursing wards does not only require educational means, organizational facilities and professional training, but can be improved too by in-service communication training, which increases the quality of the patient-centered care. An organizational oriented change-strategy is needed to ensure the implementation produces lasting effects. Copyright 2010 Elsevier Ireland Ltd. All rights reserved.

  8. Improving flood risk communication by focusing on prevention-focused motivation.

    Science.gov (United States)

    de Boer, Joop; Botzen, W J Wouter; Terpstra, Teun

    2014-02-01

    This article proposes an approach to flood risk communication that gives particular emphasis to the distinction between prevention and promotion motivation. According to E. Tory Higgins, the promotion system and the prevention system are assumed to coexist in every person, but one or the other may be temporarily or chronically more accessible. These insights have far-reaching implications for our understanding of people's reasoning about risks. Flood risk communication framed in terms of prevention involves the notions of chance and harm, woven into a story about particular events that necessitate decisions to be more careful about safety issues and protect one's family and oneself from danger. The article describes how the insights worked out in practice, using a flood risk communication experiment among a sample from the general population in a highly populated river delta of the Netherlands. It had a posttest-only control group design (n = 2,302). The results showed that risk communication had a large effect on the participants' responses and that this effect was higher among chronic prevention-focused people than among others. Any information that increased the fit between a prevention-framed message and a person's chronic prevention motivation produced stronger situationally induced, prevention-focused responses. This may significantly improve communication about risks. In contrast, the notion of water city projects, featuring waterside living, had more appeal to promotion-focused people.

  9. Near-infrared LIF spectroscopy of HfF

    CERN Document Server

    Grau, Matt; Loh, Huanqian; Sinclair, Laura C; Stutz, Russel P; Yahn, Tylser S; Cornell, Eric A

    2012-01-01

    The molecular ion HfF$^+$ is the chosen species for a JILA experiment to measure the electron electric dipole moment (eEDM). Detailed knowledge of the spectrum of HfF is crucial to prepare HfF$^+$ in a state suitable for performing an eEDM measurement\\cite{Leanhardt}. We investigated the near-infrared electronic spectrum of HfF using laser-induced fluorescence (LIF) of a supersonic molecular beam. We discovered eight unreported bands, and assign each of them unambiguously, four to vibrational bands belonging to the transition $[13.8]0.5 \\leftarrow X1.5$, and four to vibrational bands belonging to the transition $[14.2]1.5 \\leftarrow X1.5$. Additionally, we report an improved measurement of vibrational spacing of the ground state, as well as anharmonicity $\\omega_e x_e$.

  10. Improving the physical layer security of wireless communication networks using spread spectrum coding and artificial noise approach

    CSIR Research Space (South Africa)

    Adedeji, K

    2016-09-01

    Full Text Available in progress on a proposed hybrid spread spectrum coding and artificial noise approach to improving the physical layer security of wireless communication channels. The authors are optimistic that, the proposed method will further improve the physical layer...

  11. The Picture Exchange Communication System (PECS): A Promising Method for Improving Communication Skills of Learners with Autism Spectrum Disorders

    Science.gov (United States)

    Ganz, Jennifer B.; Simpson, Richard L.; Lund, Emily M.

    2012-01-01

    Children and youth with autism spectrum disorders (ASD) and other developmental delays frequently experience deficits in functional communication. Identifying and using suitable communication enhancement and augmentative and alternative communication supports is essential to achievement of positive outcomes for these learners. This article…

  12. The Picture Exchange Communication System (PECS): A Promising Method for Improving Communication Skills of Learners with Autism Spectrum Disorders

    Science.gov (United States)

    Ganz, Jennifer B.; Simpson, Richard L.; Lund, Emily M.

    2012-01-01

    Children and youth with autism spectrum disorders (ASD) and other developmental delays frequently experience deficits in functional communication. Identifying and using suitable communication enhancement and augmentative and alternative communication supports is essential to achievement of positive outcomes for these learners. This article…

  13. A Nephrology Fellows' Communication Skills Course: An Educational Quality Improvement Report.

    Science.gov (United States)

    Cohen, Robert A; Jackson, Vicki A; Norwich, Diana; Schell, Jane O; Schaefer, Kristen; Ship, Amy N; Sullivan, Amy M

    2016-08-01

    Nephrology fellows need expertise navigating challenging conversations with patients throughout the course of advanced kidney disease. However, evidence shows that nephrologists receive inadequate training in this area. This study assessed the effectiveness of an educational quality improvement intervention designed to enhance fellows' communication with patients who have advanced kidney disease. Quality improvement project. Full-day annual workshops (2013-2014) using didactics, discussion, and practice with simulated patients. Content focused on delivering bad news, acknowledging emotion, discussing care goals in dialysis decision making when prognosis is uncertain, and addressing dialysis therapy withdrawal and end of life. Participants were first-year nephrology fellows from 2 Harvard-affiliated training programs (N=26). Study assessed the effectiveness of an intervention designed to enhance fellows' communication skills. Primary outcomes were changes in self-reported patient communication skills, attitudes, and behaviors related to discussing disease progression, prognostic uncertainty, dialysis therapy withdrawal, treatments not indicated, and end of life; responding to emotion; eliciting patient goals and values; and incorporating patient goals into recommendations. Surveys measured prior training, pre- and postcourse perceived changes in skills and values, and reported longer term (3-month) changes in communication behaviors, using both closed- and open-ended items. Response rates were 100% (pre- and postsurveys) and 68% (follow-up). Participants reported improvement in all domains, with an overall mean increase of 1.1 (summed average scores: precourse, 2.8; postcourse, 3.9 [1-5 scale; 5 = "extremely well prepared"]; Pskills taught, such as "Ask-Tell-Ask" and using open-ended questions. Self-reported data may overestimate actual changes; small sample size and the programs' affiliation with a single medical school may limit generalizability. A day

  14. Optimization of Fluorine Plasma Treatment for Interface Improvement on HfO2/In0.53Ga0.47As MOSFETs

    Directory of Open Access Journals (Sweden)

    Yen-Ting Chen

    2012-03-01

    Full Text Available This paper reports significant improvements in the electrical performance of In0.53Ga0.47As metal-oxide-semiconductor field-effect transistors (MOSFET by a post-gate CF4/O2 plasma treatment. The optimum condition of CF4/O2 plasma treatment has been systematically studied and found to be 30 W for 3–5 min. Approximately 5× reduction in interface trap density from 2.8 × 1012 to 4.9 × 1011 cm−2eV−1 has been demonstrated with fluorine (F incorporation. Subthreshold swing has been improved from 127 to 109 mV/dec. Effective channel mobility has been enhanced from 826 to 1,144 cm2/Vs.

  15. [The effect of a scenario-based simulation communication course on improving the communication skills of nurses].

    Science.gov (United States)

    Huang, Ya-Hsuan; Hsieh, Suh-Ing; Hsu, Li-Ling

    2014-04-01

    Limited disease knowledge is frequently the cause of disease-related anxiety in myocardial infarction patients. The ability to communicate effectively serves multiple purposes in the professional nursing practice. By communicating effectively with myocardial infarction patients, nurses may help reduce their anxiety by keeping them well informed about their disease and teaching them self-care strategies. This research evaluates the communication skills of nurses following scenario-based simulation education in the context of communication with myocardial infarction patients. This study used an experimental design and an educational intervention. The target population comprised nurses of medicine (clinical qualified level N to N2 for nursing) working at a municipal hospital in Taipei City, Taiwan. A total 122 participants were enrolled. Stratified block randomization divided participants into an experimental group and a control group. The experimental group received clinical scenario-based simulation education for communication. The control group received traditional class-based education for communication. Both groups received a pre-test and a Communication Skills Checklist post-test assessment. Results were analyzed using SPSS 17.0 for Windows software. A t-test showed significant increases in communication skills (p communication skills following the education intervention. The results indicate that clinical scenario-based simulation education for communication is significantly more effective than traditional class-based education in enhancing the ability of nurses to communicate effectively with myocardial infarction patients.

  16. Implementing and evaluating e-communication to improve intersectoral cooperation between hospitals and local communities

    DEFF Research Database (Denmark)

    Nicolaisen, Anne; Qvist, Peter

    2015-01-01

    Background: There has been an increased focus on how to improve the quality of care to patients, which receives services from more than one provider in the health care system. An important factor is rapid and timely exchange of communication between hospitals and municipalities that provides...... services for the patient. The Region of Southern Denmark has implemented e-communication to improve the cooperation across health care sectors. Communities and hospitals in the Region of Southern Denmark agreed to comply to specified quality standards for the content and timeliness of information exchange...... in-between the two health care sectors. The initiative was initiated in 2009 and the quality standards are continuously revised. Aim: To evaluate to which degree the specified quality standards have been complied. Method: An explicit audit performed in all local municipalities and at selected...

  17. [Training for real: simulation, team-training and communication to improve trauma management].

    Science.gov (United States)

    Happel, Oliver; Papenfuss, Tim; Kranke, Peter

    2010-06-01

    The focus on the role of non-technical skills such as communication, dynamic decision making, situational awareness and teamwork in emergency medicine has gained importance over the past few years. Especially during time-critical and complex treatment of severely injured patients in a multidisciplinary and interprofessional trauma-team these factors play an important role for patient-safety and process optimization and are a key factor influencing the perceived quality of a given scenario by the team members. Thus, apart from medical expertise and technical excellence of single actors within a trauma team, non-technical skills need to be incorporated in trainings for trauma management. For the improvement of non-technical skills, particularly team communication and teamwork, a simulator-based training represents a valuable tool. The technical performance of portable manikin-based simulators has improved tremendously during the last decade, which facilitates realistic and true-to-life multidisciplinary team-training in trauma management.

  18. Improving performance of optical fibre chaotic communication by dispersion compensation techniques

    Institute of Scientific and Technical Information of China (English)

    Zhang Jian-Zhong; Wang Yun-Cai; Wang An-Bang

    2008-01-01

    This paper numerically investigates the effects of dispersion on optical fibre chaotic communication,and proposes a dispersion compensation scheme to improve the performance of optical fibre chaotic communication system.The obtained results show that the transmitter-receiver synchronization progressively degrades and the signal-to-noise ratio of the recovered message deteriorates as the fibre length increases due to the dispersion accumulation.Two segments of 2.5-km dispersion-compensating fibres are symmetrically placed at both ends of a segment of 245-km nonzero dispersionshifted fibre with low dispersion in one compensation period.The numerical results show that the signal-to-noise ratio of the extracted 1 GHz sinusoidal message is improved from-2.92 dB to 15.38 dB by this dispemion compensation for the transmission distance of 500 km.

  19. Communications

    Science.gov (United States)

    Bailenson, Jeremy; Buzzanell, Patrice; Deetz, Stanley; Tewksbury, David; Thompson, Robert J.; Turow, Joseph; Bichelmeyer, Barbara; Bishop, M. J.; Gayeski, Diane

    2013-01-01

    Scholars representing the field of communications were asked to identify what they considered to be the most exciting and imaginative work currently being done in their field, as well as how that work might change our understanding. The scholars included Jeremy Bailenson, Patrice Buzzanell, Stanley Deetz, David Tewksbury, Robert J. Thompson, and…

  20. Improved communication with the laboratory for the fabrication of labial veneers.

    Science.gov (United States)

    Schwartzman, Aaron; Zweig, Alan E

    2015-04-01

    Advances in dental materials and adhesive technologies have changed the way we practice dentistry. Consequently, restorative dentistry has seen the adoption and almost exponential increase in usage of materials like zirconia and lithium disilicate. Unlike the incidence of ceramic failure in the past, these newer materials are paving the road to better looking dentistry. This paper focuses on lithium disilicate and predominantly glassy ceramics, as well as improving communication with the laboratory.

  1. How do Australian Small and Medium Enterprises Communicate their Environmental Improvement Activities Online?

    OpenAIRE

    Craig Parker; Bardo Fraunholz; Ambika Zutshi; Merete Crofts

    2011-01-01

    There have been calls in the IS/eBusiness literature for research on "green" IS/IT in a Small and Medium Enterprises (SMEs) context. The Corporate Social Responsibility (CSR) literature has neglected the issue of how SMEs can use websites to communicate their environmental improvement activities. This paper links these two previously separate disciplines by reporting on a content analysis of 443 Australian SME websites from four industry sectors to identify if and how they use websites to com...

  2. Customized Care: An intervention to Improve Communication and health outcomes in multimorbidity

    Science.gov (United States)

    Wittink, Marsha N.; Yilmaz, Sule; Walsh, Patrick; Chapman, Ben; Duberstein, Paul

    2016-01-01

    Introduction Many primary care patients with multimorbidity (two or more chronic conditions) and depression or anxiety have day-to-day challenges that affect health outcomes, such as having financial or housing concerns, or dealing with social or emotional stressors. Yet, primary care providers (PCPs) are often unaware of patients' daily challenges coping with chronic disease. We developed Customized Care, an intervention, to address the barriers to effective communication about patient's day-to-day challenges. Methods In this report we describe the rationale and design of a randomized clinical pilot study to examine the effect of Customized Care on patient-PCP communication and patient health outcomes, including depression, anxiety and functional outcomes. Customized Care comprises two components: (1) a computer-based discussion prioritization tool (DPT) designed to empower patients to communicate their health related priorities; and (2) a customized question prompt list (QPL) tailored to these priorities. Primary care clinic patients and PCPs participated in the study, which consisted of in-person patient assessments, audio recording and transcription of the patient-PCP office visit, and follow-up patient assessments by phone. Results We describe study participant demographics and development of a coding manual to assess communication within the office visit. Participants were recruited from an urban primary care clinic. Sixty patients and 12 PCPs were enrolled over six months. Conclusions With better communication about everyday challenges, patients and PCPs can have more informed discussions about health care options that positively influence patient outcomes. We expect that Customized Care will improve patient-PCP communication about day-to-day challenges, which can lead to better health outcomes. PMID:28191546

  3. Improvement of communication and interpersonal competence in telenursing--development of a self-assessment tool.

    Science.gov (United States)

    Johnson, Christina; Wilhelmsson, Susan; Börjeson, Sussanne; Lindberg, Malou

    2015-06-01

    The aim of this study was to develop a self-assessment tool aiming to raise telenurses' awareness of their communication and interpersonal competence, and highlight areas in need of improvement. Several studies have revealed the need for development of communication competence in telenursing. Structured analyses of conversations with patients/callers, is one way to increase telenurses' awareness of their unique communication and interpersonal competence. Instrument development, Validation assessment using the method Content Validity Index. The process to determine content validity was done in two stages; the development stage and the assessment stage. The development stage started with a literature search. The assessment stage was separated into two phases, assessment by an expert group and assessment and test by telenurses. The telenurses also participated in consensus discussions. A telenursing self-assessment tool with 58 items was developed. The items were sorted into five sections according to the nursing process. This study describes the thorough development process of the telenursing self-assessment tool to be used by telenurses in order to become aware of their unique communication and interpersonal competence when analysing their own conversations with patients/callers. As a formative tool it is meant to provide self-direction, feedback and coaching, and create learning opportunities. The self-assessment tool helps the telenurse to follow the nursing process, to be patient-centred, and it is meant to provide self-direction, feedback, and coaching, as well as create learning opportunities. The tool can contribute to the development of communication and interpersonal competence in telephone advice nursing. Further development of the tool may provide an objective scoring instrument for evaluating communication training and education in the field. © 2014 John Wiley & Sons Ltd.

  4. 'Communicate to vaccinate' (COMMVAC. building evidence for improving communication about childhood vaccinations in low- and middle-income countries: protocol for a programme of research

    Directory of Open Access Journals (Sweden)

    Lewin Simon

    2011-12-01

    Full Text Available Abstract Background Effective provider-parent communication can improve childhood vaccination uptake and strengthen immunisation services in low- and middle-income countries (LMICs. Building capacity to improve communication strategies has been neglected. Rigorous research exists but is not readily found or applicable to LMICs, making it difficult for policy makers to use it to inform vaccination policies and practice. The aim of this project is to build research knowledge and capacity to use evidence-based strategies for improving communication about childhood vaccinations with parents and communities in LMICs. Methods and design This project is a mixed methods study with six sub-studies. In sub-study one, we will develop a systematic map of provider-parent communication interventions for childhood vaccinations by screening and extracting data from relevant literature. This map will inform sub-study two, in which we will develop a taxonomy of interventions to improve provider-parent communication around childhood vaccination. In sub-study three, the taxonomy will be populated with trial citations to create an evidence map, which will also identify how evidence is linked to communication barriers regarding vaccination. In the project's fourth sub-study, we will present the interventions map, taxonomy, and evidence map to international stakeholders to identify high-priority topics for systematic reviews of interventions to improve parent-provider communication for childhood vaccination. We will produce systematic reviews of the effects of high-priority interventions in the fifth sub-study. In the sixth and final sub-study of the project, evidence from the systematic reviews will be translated into accessible formats and messages for dissemination to LMICs. Discussion This project combines evidence mapping, conceptual and taxonomy development, priority setting, systematic reviews, and knowledge transfer. It will build and share concepts, terms

  5. Improvement in Jc performance below liquid nitrogen temperature for SmBa2Cu3Oy superconducting films with BaHfO3 nano-rods controlled by low-temperature growth

    Directory of Open Access Journals (Sweden)

    S. Miura

    2016-01-01

    Full Text Available For use in high-magnetic-field coil-based applications, the critical current density (Jc of REBa2Cu3Oy (REBCO, where RE = rare earth coated conductors must be isotropically improved, with respect to the direction of the magnetic field; these improvements must be realized at the operating conditions of these applications. In this study, improvement of the Jc for various applied directions of magnetic field was achieved by controlling the morphology of the BaHfO3 (BHO nano-rods in a SmBCO film. We fabricated the 3.0 vol. % BHO-doped SmBCO film at a low growth temperature of 720 °C, by using a seed layer technique (Ts = 720 °C film. The low-temperature growth resulted in a morphological change in the BHO nano-rods. In fact, a high number density of (3.1 ± 0.1 × 103 μm−2 of small (diameter: 4 ± 1 nm, discontinuous nano-rods that grew in various directions, was obtained. In Jc measurements, the Jc of the Ts = 720 °C film in all directions of the applied magnetic field was higher than that of the non-doped SmBCO film. The Jcmin (6.4 MA/cm2 of the former was more than 6 times higher than that (1.0 MA/cm2 of the latter at 40 K, under 3 T. The aforementioned results indicated that the discontinuous BHO nano-rods, which occurred with a high number density, exerted a 3D-like flux pinning at the measurement conditions considered. Moreover, at 4.2 K and under 17 T, a flux pinning force density of 1.6 TN/m3 was realized; this value was comparable to the highest value recorded, to date.

  6. Improvement in Jc performance below liquid nitrogen temperature for SmBa2Cu3Oy superconducting films with BaHfO3 nano-rods controlled by low-temperature growth

    Science.gov (United States)

    Miura, S.; Yoshida, Y.; Ichino, Y.; Xu, Q.; Matsumoto, K.; Ichinose, A.; Awaji, S.

    2016-01-01

    For use in high-magnetic-field coil-based applications, the critical current density (Jc) of REBa2Cu3Oy (REBCO, where RE = rare earth) coated conductors must be isotropically improved, with respect to the direction of the magnetic field; these improvements must be realized at the operating conditions of these applications. In this study, improvement of the Jc for various applied directions of magnetic field was achieved by controlling the morphology of the BaHfO3 (BHO) nano-rods in a SmBCO film. We fabricated the 3.0 vol. % BHO-doped SmBCO film at a low growth temperature of 720 °C, by using a seed layer technique (Ts = 720 °C film). The low-temperature growth resulted in a morphological change in the BHO nano-rods. In fact, a high number density of (3.1 ± 0.1) × 103 μm-2 of small (diameter: 4 ± 1 nm), discontinuous nano-rods that grew in various directions, was obtained. In Jc measurements, the Jc of the Ts = 720 °C film in all directions of the applied magnetic field was higher than that of the non-doped SmBCO film. The Jcmin (6.4 MA/cm2) of the former was more than 6 times higher than that (1.0 MA/cm2) of the latter at 40 K, under 3 T. The aforementioned results indicated that the discontinuous BHO nano-rods, which occurred with a high number density, exerted a 3D-like flux pinning at the measurement conditions considered. Moreover, at 4.2 K and under 17 T, a flux pinning force density of 1.6 TN/m3 was realized; this value was comparable to the highest value recorded, to date.

  7. Closed-Loop Communication Improves Task Completion in Pediatric Trauma Resuscitation.

    Science.gov (United States)

    El-Shafy, Ibrahim Abd; Delgado, Jennifer; Akerman, Meredith; Bullaro, Francesca; Christopherson, Nathan A M; Prince, Jose M

    2017-08-02

    Pediatric trauma care requires effective and clear communication in a time-sensitive manner amongst a variety of disciplines. Programs such as Crew Resource Management in aviation have been developed to systematically prevent errors. Similarly, teamSTEPPS has been promoted in healthcare with a strong focus on communication. We aim to evaluate the ability of closed-loop communication to improve time-to-task completion in pediatric trauma activations. All pediatric trauma activations from January to September, 2016 at an American College of Surgeons verified level I pediatric trauma center were video recorded and included in the study. Two independent reviewers identified and classified all verbal orders issued by the trauma team leader for order audibility, directed responsibility, check-back, and time-to-task-completion. The impact of pre-notification and level of activation on time-to-task-completion was also evaluated. All analyses were performed using SAS® version 9.4(SAS Institute Inc., Cary, NC). In total, 89 trauma activation videos were reviewed, with 387 verbal orders identified. Of those, 126(32.6%) were directed, 372(96.1%) audible, and 101(26.1%) closed-loop. On average each order required 3.85 minutes to be completed. There was a significant reduction in time-to-task-completion when closed-loop communication was utilized (p communication were completed 3.6 times sooner as compared to orders with an open-loop [HR = 3.6 (95% CI: 2.5, 5.3)]. There was not a significant difference in time-to-task-completion with respect to pre-notification by emergency service providers (p team activation (p communication prevents medical errors, our study highlights the potential to increase the speed and efficiency with which tasks are completed in the setting of pediatric trauma resuscitation. Trauma drills and systems of communication that emphasize the use of closed-loop communication should be incorporated into the training of trauma team leaders. This is a

  8. Communication Strategies to Counter Stigma and Improve Mental Illness and Substance Use Disorder Policy.

    Science.gov (United States)

    McGinty, Emma; Pescosolido, Bernice; Kennedy-Hendricks, Alene; Barry, Colleen L

    2017-10-02

    Despite the high burden and poor rates of treatment associated with mental illness and substance use disorders, public support for allocating resources to improving treatment for these disorders is low. A growing body of research suggests that effective policy communication strategies can increase public support for policies benefiting people with these conditions. In October 2015, the Center for Mental Health and Addiction Policy Research at Johns Hopkins University convened an expert forum to identify what is currently known about the effectiveness of such policy communication strategies and produce recommendations for future research. One of the key conclusions of the forum was that communication strategies using personal narratives to engage audiences have the potential to increase public support for policies benefiting persons with mental illness or substance use disorders. Specifically, narratives combining personal stories with depictions of structural barriers to mental illness and substance use disorder treatment can increase the public's willingness to invest in the treatment system. Depictions of mental illness and violence significantly increase public stigma toward people with mental illness and are no more effective in increasing willingness to invest in mental health services than nonstigmatizing messages about structural barriers to treatment. Future research should prioritize development and evaluation of communication strategies to increase public support for evidence-based substance use disorder policies, including harm reduction policies-such as needle exchange programs-and policies expanding treatment.

  9. Utilisation and Improvement of the Initialisation of Project Communication Processes During the Management of Projects in Industrial Enterprises in Slovakia

    Science.gov (United States)

    Samáková, Jana; Šujanová, Jana; Špirková, Marta

    2016-06-01

    Nowadays, project communication is slowed due to the need for compliance with strict rules. Therefore the aim of this paper is to analyse the use of the communication environment as a basic part of the initialisation of project communication in industrial enterprises in Slovakia, and to propose measures to improve the process of initialisation of project communication in these enterprises. In this paper, theoretical and empirical research (quantitative and qualitative) approaches were chosen. On the basis of the research we can conclude, that communication as a basic part of the "Initialisation of project communication" is not adequately elaborated in international methodologies and standards of project management and in industrial enterprises. Industrial enterprises do not deal with processes of the communication environment and this results in negative consequences.

  10. Improving Students’ Vocabulary Mastery by Using Authentic Materials through Communicative Approach

    Directory of Open Access Journals (Sweden)

    Umar Umar

    2017-08-01

    Full Text Available The research aimed at finding out whether or not using of authentic materials through communicative approach improves the vocabulary of the students. This applied a pre-experimental method. The population of the research was the second grades students of a state high school comprising four classes and one of which chosen as the sample by using purposive sampling. The sample consisted of thirty two. The data were collected by using vocabulary test that consisted 20 items. The proce4 of collecting data was presented in chronological order as pre-test given before treatment and then post-test was giving after treatment as students’ achievement. The data analysis showed that there was significant difference of the students’ vocabulary achievement after giving treatment by using authentic materials through communicative approach. It was proved by the mean score of pre-test was 5.97 and the mean of post-test was 7.82. The data was analyzed by using t-test was higher than t-table value. The value of t-test was 9, while t-table value was 1.695 at the 0.05 level significance. Based on the result above, the writer concludes that the use of authentic material through communicative approach improves the students’ vocabulary mastery.

  11. Functions of retired GEO communication satellites in improving the PDOP value of CAPS

    Institute of Scientific and Technical Information of China (English)

    2009-01-01

    This paper briefly introduces the maneuverable feature of the slightly inclined geosynchronous orbit (SIGSO) satellites under a new control model degraded from the geosynchronous orbit (GEO) communication satellites which will retire as most of the fuel in these satellites has been consumed. Basing on the transmitting Chinese Area Positioning System (CAPS), the authors, by analyses, indicate that such satellites can make an improvement to CAPS constellation configuration, especially to the PDOP value from simulation. The results show that the use of SIGSO satellites can (1) actualize three-dimensional (3D) navigation and positioning compared with the situation, which, only using GEO satellites, cannot be carried out, and improve navigation and positioning accuracy to some extent; (2) reuse the communication services of these satellites for more years, and GEO communication satellites will be retired at a later time and delay their time to become space debris and reduce their pollution of the space environment, so that valuable space resources are maximally used. As for the use of these satellites in the transmitting positioning system, the authors present some views and suggestions in this work.

  12. Decreasing Health Disparities for People with Disabilities through Improved Communication Strategies and Awareness

    Directory of Open Access Journals (Sweden)

    Nancy Sharby

    2015-03-01

    Full Text Available Factors influencing access to health care among people with disabilities (PWD include: attitudes of health care providers and the public, physical barriers, miscommunication, income level, ethnic/minority status, insurance coverage, and lack of information tailored to PWD. Reducing health care disparities in a population with complex needs requires implementation at the primary, secondary and tertiary levels. This review article discusses common barriers to health care access from the patient and provider perspective, particularly focusing on communication barriers and how to address and ameliorate them. Articles utilized in this review were published from 2005 to present in MEDLINE and CINAHL and written in English that focused on people with disabilities. Topics searched for in the literature include: disparities and health outcomes, health care dissatisfaction, patient-provider communication and access issues. Ineffective communication has significant impacts for PWD. They frequently believe that providers are not interested in, or sensitive to their particular needs and are less likely to seek care or to follow up with recommendations. Various strategies for successful improvement of health outcomes for PWD were identified including changing the way health care professionals are educated regarding disabilities, improving access to health care services, and enhancing the capacity for patient centered care.

  13. Decreasing health disparities for people with disabilities through improved communication strategies and awareness.

    Science.gov (United States)

    Sharby, Nancy; Martire, Katharine; Iversen, Maura D

    2015-03-19

    Factors influencing access to health care among people with disabilities (PWD) include: attitudes of health care providers and the public, physical barriers, miscommunication, income level, ethnic/minority status, insurance coverage, and lack of information tailored to PWD. Reducing health care disparities in a population with complex needs requires implementation at the primary, secondary and tertiary levels. This review article discusses common barriers to health care access from the patient and provider perspective, particularly focusing on communication barriers and how to address and ameliorate them. Articles utilized in this review were published from 2005 to present in MEDLINE and CINAHL and written in English that focused on people with disabilities. Topics searched for in the literature include: disparities and health outcomes, health care dissatisfaction, patient-provider communication and access issues. Ineffective communication has significant impacts for PWD. They frequently believe that providers are not interested in, or sensitive to their particular needs and are less likely to seek care or to follow up with recommendations. Various strategies for successful improvement of health outcomes for PWD were identified including changing the way health care professionals are educated regarding disabilities, improving access to health care services, and enhancing the capacity for patient centered care.

  14. Functions of retired GEO communication satellites in improving the PDOP value of CAPS

    Institute of Scientific and Technical Information of China (English)

    HAN YanBen; MA LiHua; QIAO QiYuan; YIN ZhiQiang; SHI HuLi; AI GuoXiang

    2009-01-01

    This paper briefly Introduces the maneuverable feature of the slightly Inclined geosynchronous orbit (SlGSO) satellites under e new control model degraded from the geosynchronous orbit (GEO) communication satellites which will retire as most of the fuel in these satellites has been consumed.Basing on the transmitting Chinese Area Positioning System (CAPS),the authors,by analyses,indicate that such satellites can make an improvement to CAPS constellation configuration,especially to the PDOP value from simulation.The results show that the use of SIGSO satellites can (1) actualize three-dimensional (3D) navigation and positioning compared with the situation,which,only using GEO satellites,cannot be carried out,and improve navigation and positioning accuracy to some extent; (2) reuse the communication services of these satellites for more years,and GEO communication satellites will be retired at a later time and delay their time to become space debris and reduce their pollution of the apace environment,so that valuable space resources are maximally used.As for the use of these satellites in the transmitting positioning system,the authors present some views and suggestions in this work.

  15. Standardized Patient Training Programs: an Efficient Solution to the Call for Quality Improvement in Oncologist Communication Skills.

    Science.gov (United States)

    Ju, Melody; Berman, Abigail T; Vapiwala, Neha

    2015-09-01

    Several key medical and oncologic professional societies have endorsed the importance of physician communication as a quality improvement metric. Despite this clear message, there remain substantial barriers to communication skills training (CST) in oncologic specialties. Herein, we describe the major barriers to communications training and propose standardized patient (SP) programs as efficient and strategic starting points and as expansion opportunities for new and existing CSTs.

  16. Baltic Eye: Focusing on Science and Communication to Improve Policy Making for the Baltic Sea Environment

    Science.gov (United States)

    McCrackin, M. L.

    2016-12-01

    In order to better communicate relevant scientific knowledge to policy- and decision makers, Stockholm University and the Baltic Sea 2020 Foundation partnered to create Baltic Eye in 2014. Seven scientists and two communicators constitute the core team of this initiative. The team integrates communications with scientific analysis and synthesis of Baltic Sea environmental issues. In the past year, the team has focused on two main issues: fisheries management and microplastics. Baltic Sea cod stocks are in poor condition, with large numbers of small individuals. Baltic Eye recommended improvements to the European Union's multiannual fisheries plan to better align with ecosystem-based management principles: prioritization of cod stock recovery, greater consideration of natural variability of temperature and salinity (which affects cod spawning success), and inclusion of mechanisms to adjust quotas in the event of major environmental changes. Communications included policy briefs and debate articles targeted to the European Parliament, national government ministries, and non-governmental organizations. Every year, up to 40 tons of microplastics from personal care products are released in the Baltic Sea catchment. Baltic Eye raised awareness of the issue and made recommended ways to reduce microplastic emissions. Communications included a public presentation to journalists, politicians, and representatives of Swedish government ministries. A policy brief was provided Heads of Delegates of the Helsinki Commission (for protrection of the Baltic Sea environment) in advance of a meeting to develop a plan of action for marine litter. Researchers were interviewed for radio, TV, and print media in Sweden, Finland, and Germany. Next steps are to engage with multinational manufacturers about plans to voluntarily phase out microplastics in personal care products.

  17. Creating a Communicative Language Teaching Environment for Improving Students' Communicative Competence at EFL/EAP University Level

    Science.gov (United States)

    Farooq, Muhammad U.

    2015-01-01

    The present research focuses on teachers' perceptions and practices regarding Communicative Language Teaching (CLT) and its impact on communicative competency of the students. A questionnaire was used to collect the quantitative data from teachers. The results show that the EFL teachers are aware of the CLT characteristics, its implementation and…

  18. Improving Resident Communication in the Intensive Care Unit. The Proceduralization of Physician Communication with Patients and Their Surrogates.

    Science.gov (United States)

    Miller, David C; McSparron, Jakob I; Clardy, Peter F; Sullivan, Amy M; Hayes, Margaret M

    2016-09-01

    Effective communication between providers and patients and their surrogates in the intensive care unit (ICU) is crucial for delivery of high-quality care. Despite the identification of communication as a key education focus by the American Board of Internal Medicine, little emphasis is placed on teaching trainees how to effectively communicate in the ICU. Data are conflicting on the best way to teach residents, and institutions vary on their emphasis of communication as a key skill. There needs to be a cultural shift surrounding the education of medical residents in the ICU: communication must be treated with the same emphasis, precision, and importance as placing a central venous catheter in the ICU. We propose that high-stakes communications between physicians and patients or their surrogates must be viewed as a medical procedure that can be taught, assessed, and quality controlled. Medical residents require training, observation, and feedback in specific communication skill sets with the goal of achieving mastery. It is only through supervised training, practice in real time, observation, and feedback that medical residents can become skillful practitioners of communication in the ICU.

  19. Improvement of Engineering Students' Communication Skills in English through Extensive Reading

    Science.gov (United States)

    Nishizawa, Hitoshi; Yoshioka, Takayoshi; Itoh, Kazuaki

    The students' communication skills in English have improved after introducing Extensive Reading courses into the curriculum of Electrical and Electronic Engineering Department. The students' average TOEIC scores, which used to be far lower than the ones of students in other educational institutions, have increased in recent two years. The students who used to avoid learning English have welcomed extensive reading of graded readers for foreign learners and books for native children of English. This is because the extensive reading causes less stress and it is enjoyable. The students who have read more than 0.2 million words of English texts have faster reading speed and more confidence in reading. They seem to change their reading style from English-to-Japanese translation (and comprehension in Japanese) to direct comprehension in English. Their listening comprehension is also improved. Extensive reading is an effective educational method to improve English communication skills of engineering students, and it also becomes a useful method of continuous education for engineers in need of improving their skills.

  20. The Research on Improved Companding Transformation for Reducing PAPR in Underwater Acoustic OFDM Communication System

    Directory of Open Access Journals (Sweden)

    Jinqiu Wu

    2016-01-01

    Full Text Available To solve the problem of the high peak-to-average power ratio (PAPR in Orthogonal Frequency Division Multiplexing (OFDM for the underwater acoustic communication system, the paper offers a method of reducing PAPR which combines the amplitude limiting and the improved nonlinear transformation. Traditional amplitude limiting technique can reduce PAPR in OFDM system effectively, at the cost of reducing the bit error rate (BER. However the companding transformation has far less computation complexity than SLM or PTS technologies and can improve the BER performance compared to the amplitude limiting technique simultaneously. The paper combines these two kinds of techniques, takes full use of advantages of the two method, and puts forward a low-complexity scheme choosing parameters that are more appropriate to the underwater acoustic field, with the result of improved BER performance even in lower SNR. Both simulation and experiment results show that the new method which combines clipping and companding transformation can effectively reduce the PAPR in the underwater acoustic OFDM communication system and improve the BER performance simultaneously.

  1. Improving building life-cycle information management through documentation and communication of project objectives

    Energy Technology Data Exchange (ETDEWEB)

    Hitchcock, R.J.

    1995-08-01

    Most currently available computer tools for the building industry proffer little more than productivity improvement in the transmission of graphical drawings and textual specifications, without addressing more fundamental changes in building life-cycle information management. This paper describes preliminary research into the development of a framework for the documentation and communication of the project objectives of a building project. When implemented in an interactive networked environment, this framework is intended to promote multiple participant involvement in the establishment and use of a common set of explicit goals, from the earliest phase of a project throughout its life cycle. A number of potential applications for this framework are identified. The requirements for integrating this life-cycle information with a product model of the physical design of a building, in an attempt to document and communicate design intent, are also discussed.

  2. A Poster-Session Review to Reinforce Course Concepts and Improve Scientific Communication Skills

    Directory of Open Access Journals (Sweden)

    Julie Dangremond Stanton

    2013-02-01

    Full Text Available A poster-session review is a novel learning activity designed to help students master material, monitor understanding, and practice communicating scientific information.  For this strategy, each student is asked to become an expert on a randomly assigned topic from the semester.  They create small posters summarizing the most important concepts from their topic and predict likely exam questions from this material.  During lecture or lab, students present their work in a poster session and spend time viewing other students’ work.  Prior to a comprehensive final exam, undergraduate genetics students participated in a poster-session review and were surveyed about the perceived benefits.  They self-reported that the activity helped them understand a genetics topic, prepare for the final exam, and improve their scientific communication skills.  A poster-session review can be incorporated into any undergraduate biology course to help achieve these goals.

  3. Improving nursing home resident integrity by optimizing interpersonal communication skills in clinical staff.

    Science.gov (United States)

    Matusitz, Jonathan; Breen, Gerald-Mark; Zhang, Ning Jackie; Seblega, Binyam K

    2013-01-01

    In this article the authors discuss the prevalence of resident abuse and reported violations of care deficiencies and resident maltreatment in nursing homes in the United States. The number of nursing homes in the United States that are cited with abuse violations has increased in recent years. While the authors recognize that treatments (both positive and negative) received by residents are sometimes related to factors other than staff's lack of knowledge and poor attitudes, their purpose in this analysis is to enhance resident integrity through the improvement of staff interpersonal communication skills. In doing so, innovative strategies and specific interpersonal communication theories are examined as educational methods to confront and resolve care deficiencies and elevate and enrich residents' integrity, satisfaction, and outcomes.

  4. Improved achievable secrecy rate of visible light communication with cooperative jamming

    KAUST Repository

    Zaid, Hajar

    2016-02-25

    In this paper we study the problem of securing a visible light communication (VLC) link against passive eavesdropping, with the help of a (friendly) jammer. Differently from radio frequency (RF) communications, VLC imposes a peak amplitude constraint on the input distribution which renders Gaussian inputs not admissible. We provide an achievable secrecy rate that improves upon a recently established one in a concurrent work by Mostafa and Lampe. Our scheme follows from both the secrecy capacity result by Wyner and the artificial noise scheme by Goel and Negi, but using truncated Gaussian input distributions instead of uniform ones. Via numerical results, we show that our secrecy rate outperforms the concurrent rate in different settings. © 2015 IEEE.

  5. Improving medical student intensive care unit communication skills: a novel educational initiative using standardized family members.

    Science.gov (United States)

    Lorin, Scott; Rho, Lisa; Wisnivesky, Juan P; Nierman, David M

    2006-09-01

    To determine whether intensive care unit (ICU) communication skills of fourth-year medical students could be improved by an educational intervention using a standardized family member. Prospective study conducted from August 2003 to May 2004. Tertiary care university teaching hospital. All fourth-year students were eligible to participate during their mandatory four-week critical care medicine clerkship. The educational intervention focused on the initial meeting with the family member of an ICU patient and included formal teaching of a communication framework followed by a practice session with an actor playing the role of a standardized family member of a fictional patient. At the beginning of the critical care medicine rotation, the intervention group received the educational session, whereas students in the control group did not. At the end of each critical care medicine rotation, all students interacted with a different standardized family member portraying a different fictional scenario. Sessions were videotaped and were scored by an investigator blinded to treatment assignment using a standardized grading tool across four domains: a) introduction; b) gathering information; c) imparting information; and d) setting goals and expectations. A total of 106 (97% of eligible) medical students agreed to participate in the study. The total mean score as well as the scores for the gathering information, imparting information, setting goals, and expectations domains for the intervention group were significantly higher than for the control group (p communication skills of fourth-year medical students can be improved by teaching and then practicing a framework for an initial ICU communication episode with a standardized family member.

  6. COMMUNICATIONS

    CERN Document Server

    A. Petrilli

    2013-01-01

    The organisation of the Open Days at the end of September was the single biggest effort of the CMS Communications Group this year. We would like to thank all volunteers for their hard work to show our Point 5 facilities and explain science and technology to the general public. During two days more than 5,000 people visited the CMS detector underground and profited from the surface activities, which included an exhibition on CMS, a workshop on superconductivity, and an activity for our younger visitors involving wooden Kapla blocks. The Communications Group took advantage of the preparations to produce new CMS posters that can be reused at other venues. Event display images have been produced not just for this occasion but also for other exhibits, education purposes, publications etc. During the Open Days, Gilles Jobin, 2012 winner of CERN Collide@CERN prize, performed his Quantum show in Point 5, with the light installation of German artist Julius von Bismarck. Image 3: CERN Open Days at CMS wel...

  7. COMMUNICATIONS

    CERN Multimedia

    L. Taylor and D. Barney

    2010-01-01

    CMS Centres, Outreach and the 7 TeV Media Event The new CMS Communications group is now established and is addressing three areas that are critical to CMS as it enters the physics operations phase: - Communications Infrastructure, including almost 50 CMS Centres Worldwide, videoconferencing systems, and CERN meeting rooms - Information systems, including the internal and external Web sites as well as the document preparation and management systems - Outreach and Education activities, including working with print, radio and TV media, visits to CMS, and exhibitions. The group has been active in many areas, with the highest priority being accorded to needs of CMS operations and preparations for the major media event planned for 7 TeV collisions. Unfortunately the CMS Centre@CERN suffered a major setback when, on 21st December, a cooling water pipe froze and burst on the floor above the CMS Centre main room. Water poured through the ceiling, flooding the floor and soaking some of the consoles, before e...

  8. A Comparison of Case Study and Traditional Teaching Methods for Improvement of Oral Communication and Critical-Thinking Skills

    Science.gov (United States)

    Noblitt, Lynnette; Vance, Diane E.; Smith, Michelle L. DePoy

    2010-01-01

    This study compares a traditional paper presentation approach and a case study method for the development and improvement of oral communication skills and critical-thinking skills in a class of junior forensic science majors. A rubric for rating performance in these skills was designed on the basis of the oral communication competencies developed…

  9. A Comparison of Case Study and Traditional Teaching Methods for Improvement of Oral Communication and Critical-Thinking Skills

    Science.gov (United States)

    Noblitt, Lynnette; Vance, Diane E.; Smith, Michelle L. DePoy

    2010-01-01

    This study compares a traditional paper presentation approach and a case study method for the development and improvement of oral communication skills and critical-thinking skills in a class of junior forensic science majors. A rubric for rating performance in these skills was designed on the basis of the oral communication competencies developed…

  10. Improving safety culture on adult medical units through multidisciplinary teamwork and communication interventions: the TOPS Project.

    Science.gov (United States)

    Blegen, M A; Sehgal, N L; Alldredge, B K; Gearhart, S; Auerbach, A A; Wachter, R M

    2010-08-01

    The goal of this project was to improve unit-based safety culture through implementation of a multidisciplinary (pharmacy, nursing, medicine) teamwork and communication intervention. The Agency for Healthcare Research and Quality Hospital Survey on Patient Safety Culture was used to determine the impact of the training with a before-after design. Surveys were returned from 454 healthcare staff before the training and 368 staff 1 year later. Five of eleven safety culture subscales showed significant improvement. Nurses perceived a stronger safety culture than physicians or pharmacists. While it is difficult to isolate the effects of the team training intervention from other events occurring during the year between training and postevaluation, overall the intervention seems to have improved the safety culture on these medical units.

  11. Is it possible to improve radiotherapy team members' communication skills? A randomized study assessing the efficacy of a 38-h communication skills training program.

    Science.gov (United States)

    Gibon, Anne-Sophie; Merckaert, Isabelle; Liénard, Aurore; Libert, Yves; Delvaux, Nicole; Marchal, Serge; Etienne, Anne-Marie; Reynaert, Christine; Slachmuylder, Jean-Louis; Scalliet, Pierre; Van Houtte, Paul; Coucke, Philippe; Salamon, Emile; Razavi, Darius

    2013-10-01

    Optimizing communication between radiotherapy team members and patients and between colleagues requires training. This study applies a randomized controlled design to assess the efficacy of a 38-h communication skills training program. Four radiotherapy teams were randomly assigned either to a training program or to a waiting list. Team members' communication skills and their self-efficacy to communicate in the context of an encounter with a simulated patient were the primary endpoints. These encounters were scheduled at the baseline and after training for the training group, and at the baseline and four months later for the waiting list group. Encounters were audiotaped and transcribed. Transcripts were analyzed with content analysis software (LaComm) and by an independent rater. Eighty team members were included in the study. Compared to untrained team members, trained team members used more turns of speech with content oriented toward available resources in the team (relative rate [RR]=1.38; p=0.023), more assessment utterances (RR=1.69; pcommunicate increased (p=0.024 and p=0.008, respectively). The training program was effective in improving team members' communication skills and their self-efficacy to communicate in the context of an encounter with a simulated patient. Future study should assess the effect of this training program on communication with actual patients and their satisfaction. Moreover a cost-benefit analysis is needed, before implementing such an intensive training program on a broader scale. Copyright © 2013 Elsevier Ireland Ltd. All rights reserved.

  12. Using convolutional decoding to improve time delay and phase estimation in digital communications

    Energy Technology Data Exchange (ETDEWEB)

    Ormesher, Richard C. (Albuquerque, NM); Mason, John J. (Albuquerque, NM)

    2010-01-26

    The time delay and/or phase of a communication signal received by a digital communication receiver can be estimated based on a convolutional decoding operation that the communication receiver performs on the received communication signal. If the original transmitted communication signal has been spread according to a spreading operation, a corresponding despreading operation can be integrated into the convolutional decoding operation.

  13. An Improved Spatially Aware Routing Algorithm for Mobile Ad Hoc Network in Inter-Vehicle Communication

    Institute of Scientific and Technical Information of China (English)

    HAN Lu; ZHOU Man-li; TIAN Jing; KURT Rothermel

    2004-01-01

    A new algorithm called spatially aware routing algorithm with enhanced learning (SAREL) is proposed to guarantee the rationality of route selecting in inter-vehicle communication scenario. Firstly, the traffic model is discussed and set up by using Poisson distribution. Then we analyze the process of traffic evaluation with enhanced learning, and exploit movement estimation to assist state memorization. The improvement of algorithm is provided at last compared with our previous work. Simulation results show that SAREL algorithm could achieve better performance in packet delivery ratio, especially when network connection ratio is average.

  14. Wideband high frequency (HF) skywave channel parameters from narrowband measurements

    Science.gov (United States)

    Hausman, Cynthia L.; Uffelman, Donald R.; Walton, Thomas L.

    The HF wideband channel allow the use of spread-spectrum techniques to provide covert communications with low probability of intercept (LPI) and antijam protection. The objective of this work is to determine the extent to which oblique narrowband channel measurements can be used to infer effects in the wideband skywave channel. If oblique narrowband channel measurements can be used as a basis for developing wideband channel models, a large number of existing narrowband measurements can be made available for this task.

  15. Bringing technology to the bedside: using smartphones to improve interprofessional communication.

    Science.gov (United States)

    Whitlow, Malinda Lee; Drake, Emily; Tullmann, Dorothy; Hoke, George; Barth, Denise

    2014-07-01

    The purpose of this project was to evaluate the impact of using Smartphones at the bedside on the quality of interprofessional communication and measure the response time between nurses and physicians compared with the usual paging device. Smartphones were provided to nurses and physicians on a 26-bed medical unit during a 2-month study period. Data were collected using Nurse-Physician Communication Questionnaires and Time and Motion data collection tools. Baseline data gathered from a convenience sample of general medicine nurses (n=61) and physicians (n=44) indicated that both nurses and physicians were dissatisfied with the current one-way paging devices and were frequently interrupted during patient care (P=.000). Postimplementation data suggested that the use of Smartphones significantly reduced patient interruptions (P=.021), allowed nurses to stay with patients (P=.002), and reduced wait times for a returned call (P=.001). Nurse travel time to answer a telephone call and time spent on hold by nurses and physicians also decreased by 100% from a range of 8 to 79 minutes down to 0 minutes. Staff reported improvement in quality of communication, and significant workflow efficiency was noted. Further research on the impact on patient safety and satisfaction is needed and other nursing units should consider implementing Smartphones within their medical centers.

  16. Continuous practice quality improvement initiative for communication of critical findings in neuroradiology.

    Science.gov (United States)

    Babiarz, Lukasz S; Lewin, Jonathan S; Yousem, David M

    2015-01-01

    The authors examined faculty's compliance with a hospital-approved neuroradiology critical findings (CFs) policy, which requires urgent verbal communication with the clinical team when 17 specific critical pathologies are identified. During June 2011 to July 2013, 50 random neuroradiology reports were sampled monthly for the presence of CFs and appropriate action. Faculty were provided ongoing feedback, and at the end of 2 years, the medical records for cases with noncommunicated CFs were reviewed to identify potential adverse outcomes. Of the 1200 reviewed reports, 195 (16.3%) had and 1005 (83.8%) did not have a CF. A total of 176 of 195 (90.3%) cases with CFs were communicated, and compliance increased from 77.4% to 85.6% (P = .027) since the monthly sampling was instituted; 1 of 19 (5.3%) noncommunicated CFs resulted in a potential adverse event. The ongoing monthly feedback resulted in improved faculty compliance with the CF policy. However, a small number of cases with CFs are still not being communicated.

  17. Teamwork, communication and safety climate: a systematic review of interventions to improve surgical culture.

    Science.gov (United States)

    Sacks, Greg D; Shannon, Evan M; Dawes, Aaron J; Rollo, Johnathon C; Nguyen, David K; Russell, Marcia M; Ko, Clifford Y; Maggard-Gibbons, Melinda A

    2015-07-01

    To define the target domains of culture-improvement interventions, to assess the impact of these interventions on surgical culture and to determine whether culture improvements lead to better patient outcomes and improved healthcare efficiency. Healthcare systems are investing considerable resources in improving workplace culture. It remains unclear whether these interventions, when aimed at surgical care, are successful and whether they are associated with changes in patient outcomes. PubMed, Cochrane, Web of Science and Scopus databases were searched from January 1980 to January 2015. We included studies on interventions that aimed to improve surgical culture, defined as the interpersonal, social and organisational factors that affect the healthcare environment and patient care. The quality of studies was assessed using an adapted tool to focus the review on higher-quality studies. Due to study heterogeneity, findings were narratively reviewed. The 47 studies meeting inclusion criteria (4 randomised trials and 10 moderate-quality observational studies) reported on interventions that targeted three domains of culture: teamwork (n=28), communication (n=26) and safety climate (n=19); several targeted more than one domain. All moderate-quality studies showed improvements in at least one of these domains. Two studies also demonstrated improvements in patient outcomes, such as reduced postoperative complications and even reduced postoperative mortality (absolute risk reduction 1.7%). Two studies reported improvements in healthcare efficiency, including fewer operating room delays. These findings were supported by similar results from low-quality studies. The literature provides promising evidence for various strategies to improve surgical culture, although these approaches differ in terms of the interventions employed as well as the techniques used to measure culture. Nevertheless, culture improvement appears to be associated with other positive effects, including

  18. The effect of Cu doping concentration on resistive switching of HfO{sub 2} film

    Energy Technology Data Exchange (ETDEWEB)

    Guo, Tingting; Tan, Tingting, E-mail: tantt@nwpu.edu.cn; Liu, Zhengtang

    2015-10-01

    Graphical abstract: - Highlights: • The Cu doped and undoped HfO{sub 2} films were fabricated. • The improved RS behaviors were observed for Cu doped HfO{sub 2} film with BRS. • The 9.7% doped HfO{sub 2}:Cu film showed both BRS and URS behaviors. • The related switching mechanisms were illustrated. - Abstract: The Cu-doped and undoped HfO{sub 2} films were fabricated and the effect of Cu doping concentration on resistive switching (RS) of HfO{sub 2} film was demonstrated. The X-ray photoelectron spectroscopy (XPS) was carried out to investigate the chemical bonding states of Cu in HfO{sub 2}:Cu film. The improved RS behaviors in terms of ON/OFF ratio and switching parameters were observed for Cu-doped HfO{sub 2} film with bipolar resistive switching (BRS) behavior. With the increase of Cu doping concentration, the 9.7% Cu-doped HfO{sub 2} film showed both BRS and unipolar resistive switching (URS) behaviors with large operating voltages. The space charge limited current (SCLC) effect was proposed to interpret the switching mechanism of HfO{sub 2}:Cu films with BRS behavior and the URS behavior can be explained by the migration of Cu ions.

  19. Strategies to Help ESL Students Improve their Communicative Competence and Class Participation: A Study in a Middle School

    Directory of Open Access Journals (Sweden)

    Claudia Gómez Palacio

    2010-12-01

    Full Text Available This article examines a qualitative study carried out at a middle school in North Carolina, the United States of America. The main purpose of the study was to find effective strategies that teachers can use to help ESL students improve their speaking skills and class participation. Results indicated that both communicative and social strategies as well as exposure to independent reading help ESL students improve their communicative skills and class participation.

  20. Do physicians improve their communication skills between finishing medical school and completing internship? A nationwide prospective observational cohort study.

    Science.gov (United States)

    Gude, Tore; Vaglum, Per; Anvik, Tor; Baerheim, Anders; Fasmer, Ole Bernt; Grimstad, Hilde; Hjortdahl, Per; Holen, Are; Nordøy, Tone; Eide, Hilde

    2009-08-01

    To test whether young physicians improve their communication skills between graduating from medical school and completing clinical internship, and to explore contributing background and/or internship factors. Norwegian medical students graduating June 2004 were invited to take part in a videotaped standardized patient interview February 2004. Of the 111 students who originally participated, 62 completed a second interview February 2006. Observed communication skills were assessed with the Arizona Communication Interview Rating Scale (ACIR). The level of communication skills increased significantly during the period for participants overall; and for females but not males. General social skills reached significantly higher levels than specific professional skills, both types of skill improving during the study. Independent predictors were working in local hospitals, learning atmosphere and low stress. At school completion, 50% reached a level defined as 'advanced beginner'. Towards the end of the internship, 58% reached 'capable' and 27% 'competent' levels of communication skills. Female physicians improved most in communication skills, the gender difference being multivariate mediated through low stress levels and learning atmosphere. The findings support the division of communication skills into general social and specific professional skills. The relatively low proportion of young physicians, especially males, developing the capability to practise independently at internship completion indicates a need for more effective training in communication skills, during both medical school and internship.

  1. Outcomes of a randomised controlled trial of a complex genetic counselling intervention to improve family communication.

    Science.gov (United States)

    Hodgson, Jan; Metcalfe, Sylvia; Gaff, Clara; Donath, Susan; Delatycki, Martin B; Winship, Ingrid; Skene, Loane; Aitken, MaryAnne; Halliday, Jane

    2016-03-01

    When an inherited genetic condition is diagnosed in an individual it has implications for other family members. Privacy legislation and ethical considerations can restrict health professionals from communicating directly with other family members, and so it is frequently the responsibility of the first person in a family to receive the diagnosis (the proband) to share this news. Communication of genetic information is challenging and many at-risk family members remain unaware of important information that may be relevant to their or their children's health. We conducted a randomised controlled trial in six public hospitals to assess whether a specifically designed telephone counselling intervention improved family communication about a new genetic diagnosis. Ninety-five probands/parents of probands were recruited from genetics clinics and randomised to the intervention or control group. The primary outcome measure was the difference between the proportion of at-risk relatives who contacted genetics services for information and/or genetic testing. Audit of the family genetic file after 18 months revealed that 25.6% of intervention group relatives compared with 20.9% of control group relatives made contact with genetic services (adjusted odds ratio (OR) 1.30, 95% confidence interval 0.70-2.42, P=0.40). Although no major difference was detected overall between the intervention and control groups, there was more contact in the intervention group where the genetic condition conferred a high risk to offspring (adjusted OR 24.0, 95% confidence interval 3.4-168.5, P=0.001). The increasing sophistication and scope of genetic testing makes it imperative for health professionals to consider additional ways of supporting families in communicating genetic information.

  2. Speaker identification for the improvement of the security communication between law enforcement units

    Science.gov (United States)

    Tovarek, Jaromir; Partila, Pavol

    2017-05-01

    This article discusses the speaker identification for the improvement of the security communication between law enforcement units. The main task of this research was to develop the text-independent speaker identification system which can be used for real-time recognition. This system is designed for identification in the open set. It means that the unknown speaker can be anyone. Communication itself is secured, but we have to check the authorization of the communication parties. We have to decide if the unknown speaker is the authorized for the given action. The calls are recorded by IP telephony server and then these recordings are evaluate using classification If the system evaluates that the speaker is not authorized, it sends a warning message to the administrator. This message can detect, for example a stolen phone or other unusual situation. The administrator then performs the appropriate actions. Our novel proposal system uses multilayer neural network for classification and it consists of three layers (input layer, hidden layer, and output layer). A number of neurons in input layer corresponds with the length of speech features. Output layer then represents classified speakers. Artificial Neural Network classifies speech signal frame by frame, but the final decision is done over the complete record. This rule substantially increases accuracy of the classification. Input data for the neural network are a thirteen Mel-frequency cepstral coefficients, which describe the behavior of the vocal tract. These parameters are the most used for speaker recognition. Parameters for training, testing and validation were extracted from recordings of authorized users. Recording conditions for training data correspond with the real traffic of the system (sampling frequency, bit rate). The main benefit of the research is the system developed for text-independent speaker identification which is applied to secure communication between law enforcement units.

  3. Serpentinization Changes Nd, but not Hf Isotopes of Abyssal Peridotites

    Science.gov (United States)

    Bizimis, M.; Frisby, C. P.; Mallick, S.

    2015-12-01

    Serpentinization of the oceanic lithosphere is a known sink for fluid mobile elements (B, Cl, Li, Sr, etc.), while high field strength elements (HFSE: e.g., Hf, Zr, Ti, Nb) are thought to be unaffected by it. In contrast, the fate of REE during serpentinization is equivocal. Correlations between REE and HFSE concentrations in abyssal peridotites suggest control by magmatic processes (Niu, 2004, J. Pet), while some LREE enrichments in serpentinized peridotites compared to their clinopyroxene (cpx) and Nd, Sr isotope data (Delacour et al., 2008, Chem. Geol.) imply seawater-derived REE addition to the mantle protolith (Paulick et al., 2006, Chem. Geol). To further constrain peridotite-seawater interaction during serpentinization we compare bulk rock and cpx Hf and Nd isotope data in partially (up to ~70%) serpentinized abyssal peridotites (9-16°E South West Indian Ridge). We also present a new method that improves yields in Hf, Nd and Pb separations from depleted (90% of Hf, Zr, Ti are retained in the residue. LA-ICPMS data shows that serpentine after olivine typically has higher LREE/HREE ratios than cpx, pronounced negative Ce anomalies, high U, Sr concentrations and low HFSE, unlike the coexisting cpx. These data are consistent with some seawater-derived LREE addition to peridotite during serpentinization, localized in the serpentine and other secondary phases, while cpx retains the magmatic value. This process will lower the Sm/Nd relative to Lu/Hf ratio in the peridotite and can lead to decoupled radiogenic Hf and unradiogenic Nd isotopes upon recycling and aging. Our data further testifies to the fidelity of Hf isotopes in tracing mantle processes, even in serpentinized rocks.

  4. Performance improvement in managed long-term care: physician communication in managing community-dwelling older adults.

    Science.gov (United States)

    Kogan, Polina; Underwood, Susan; Desmond, Donna; Hayes, Marjorie; Lucien, Gina

    2010-02-01

    This performance improvement initiative focused on the nurse consultant's communication with the physician about care management of community-dwelling older adults. Three defined areas were measured: (1) changes in clinical setting, (2) reporting adverse effects from medications that can contribute to falls, and (3) HbA1c results >9. Physicians were informed of our quality initiative; nurse practitioners led workshops addressing barriers to effective communication; and portable reference cards were created to assist staff in organizing information prior to contacting a physician. The Project Goal of 10% improvement for all three indicators was achieved. Staff identified best practices for communicating with physicians.

  5. The Use of Post-Purchase Communication to Reduce Dissonance and Improve Direct Marketing Effectiveness.

    Science.gov (United States)

    Milliman, Ronald E.; Decker, Phillip J.

    1990-01-01

    Demonstrates the use and potentially positive effects of postpurchase communication on order refund requests and reorder rates. Finds that dissonance was effectively reduced through postpurchase communication. (MG)

  6. Hand-Drawn 'Weekly Information Sheets' Focus Teaching, Engage Students, and Improve Communication

    Science.gov (United States)

    Pound, K. S.

    2016-12-01

    Hand-drawn and lettered `Weekly Information Sheets' (WIS) were created on a weekly basis for an upper-level Sedimentology & Stratigraphy class. Use of these sheets resulted in improved work quality, attention to detail, communication skills, and overall engagement. The sheets were modeled on the work of Lynda Barry (https://www.drawnandquarterly.com/syllabus), and included a series of repeated elements: goofy/absurd newspaper clippings, marginally pertinent cartoon(s), a summary of the weeks activities / goals and lectures, as well as cartoon cat, mouse and penguin drawings with innane comments, quotes and general class reminders. The pedagogical aims for these weekly sheets were multifold. First, they were designed so that students could see the time and care I put in to the sheet - my hope was that this would show the time and care I expected them to put in to their work. Second, I wanted to create something students would take the time to read - despite this being a 400-level class, students are rarely diligent about reading a typewritten handout. Third, I wanted to have a vehicle for engaging them in the larger world, including ethical or moral dilemmas. Fourth, I wanted the students to reflectively consider the nature of communication in science. Finally, I wanted a mechanism to focus my thoughts on the teaching and learning for the upcoming week that went beyond simply reviewing my notes and activities. Student response to the WIS was positive; they read them, used them for organizing their class notes and exam review. Students arrived early for class on Mondays for the WIS - although I needed to give them time to read the sheet. Comparison with previous course offerings shows improvements in student communication skills (written reports, poster presentation) and overall achievement.

  7. The Drug Facts Box: Improving the communication of prescription drug information

    Science.gov (United States)

    Schwartz, Lisa M.; Woloshin, Steven

    2013-01-01

    Communication about prescription drugs ought to be a paragon of public science communication. Unfortunately, it is not. Consumers see $4 billion of direct-to-consumer advertising annually, which typically fails to present data about how well drugs work. The professional label—the Food and Drug Administration's (FDA) mechanism to get physicians information needed for appropriate prescribing—may also fail to present benefit data. FDA labeling guidance, in fact, suggests that industry omit benefit data for new drugs in an existing class and for drugs approved on the basis of unfamiliar outcomes (such as depression rating scales). The medical literature is also problematic: there is selective reporting of favorable trials, favorable outcomes within trials, and “spinning” unfavorable results to maximize benefit and minimize harm. In contrast, publicly available FDA reviews always include the phase 3 trial data on benefit and harm, which are the basis of drug approval. However, these reviews are practically inaccessible: lengthy, poorly organized, and weakly summarized. To improve accessibility, we developed the Drug Facts Box: a one-page summary of benefit and harm data for each indication of a drug. A series of studies—including national randomized trials—demonstrates that most consumers understand the Drug Facts Box and that it improves decision-making. Despite calls from their own Risk Communication Advisory Committee and Congress (in the Affordable Care Act) to consider implementing boxes, the FDA announced it needs at least 3–5 y more to make a decision. Given its potential public health impact, physicians and the public should not have to wait that long for better drug information. PMID:23942130

  8. Engage: The Science Speaker Series - A novel approach to improving science outreach and communication

    Science.gov (United States)

    Mitchell, R.; Hilton, E.; Rosenfield, P.

    2012-12-01

    Communicating the results and significance of basic research to the general public is of critical importance. Federal funding and university budgets are under substantial pressure, and taxpayer support of basic research is critical. Public outreach by ecologists is an important vehicle for increasing support and understanding of science in an era of anthropogenic global change. At present, very few programs or courses exist to allow young scientists the opportunity to hone and practice their public outreach skills. Although the need for science outreach and communication is recognized, graduate programs often fail to provide any training in making science accessible. Engage: The Science Speaker Series represents a unique, graduate student-led effort to improve public outreach skills. Founded in 2009, Engage was created by three science graduate students at the University of Washington. The students developed a novel, interdisciplinary curriculum to investigate why science outreach often fails, to improve graduate student communication skills, and to help students create a dynamic, public-friendly talk. The course incorporates elements of story-telling, improvisational arts, and development of analogy, all with a focus on clarity, brevity and accessibility. This course was offered to graduate students and post-doctoral researchers from a wide variety of sciences in the autumn of 2010 and 2011, and will be retaught in 2012. Students who participated in the Engage course were then given the opportunity to participate in Engage: The Science Speaker Series. This free, public-friendly speaker series has been hosted at the University of Washington campus and Seattle Town Hall, and has had substantial public attendance and participation. The growing success of Engage illustrates the need for such programs throughout graduate level science curricula. We present the impetus for the development of the program, elements of the curriculum covered in the Engage course, the

  9. Enhanced science-stakeholder communication to improve ecosystem model performances for climate change impact assessments

    DEFF Research Database (Denmark)

    Jonsson, Anna Maria; Anderbrant, Olle; Holmer, Jennie

    2015-01-01

    by pests, pathogens and extreme weather events. In addition, alternative management regimes may not be integrated in the models. A way to improve the quality of climate impact assessments is to increase the science–stakeholder collaboration, and in a two-way dialog link empirical experience and impact...... modelling with policy and strategies for sustainable management. In this paper we give a brief overview of different ecosystem modelling methods, discuss how to include ecological and management aspects, and highlight the importance of science–stakeholder communication. By this, we hope to stimulate...... a discussion among the science–stakeholder communities on how to quantify the potential for climate change adaptation by improving the realism in the models....

  10. Design and Evaluation of 10-Gbps Inter-satellite Optical Wireless Communication Link for Improved Performance

    Science.gov (United States)

    Gupta, Amit; Nagpal, Shaina

    2017-05-01

    Inter-satellite optical wireless communication (IsOWC) systems can be chosen over existing microwave satellite systems for deploying in space in the future due to their high bandwidth, small size, light weight, low power and low cost. However, the IsOWC system suffers from various attenuations due to weather conditions, turbulence or scintillations which limit its performance and decreases its availability. So, in order to improve the performance, IsOWC system using directly modulated laser source is proposed in this work. The system is designed and evaluated to be suitable for high data rate transmissions up to 10 Gbps. The performance of the system is investigated in order to reduce the cost and complexity of link and improving the quality of information signal. Further the proposed IsOWC system is analysed using BER analyser, power meter and oscilloscope Visualizer.

  11. Improving communication after ended adjuvant treatment - experiences of a coaching intervention

    DEFF Research Database (Denmark)

    Timmermann, Connie; Ammentorp, Jette; Birkelund, Regner

    illness. To improve the conditions for cancer survivors the objective of this study was to develop and evaluate a coaching intervention aimed to improve the communication with the patients. Methods & Materials: Three nurses participated in a two-day training program focusing on coaching methods. A total...... of 10 patients were included in the study after completion of their adjuvant treatment and approximately three month ahead. The intervention consisted of two personal conversations succeeded by two follow-up phone calls carried out by the specially trained nurses. The patients´ experiences...... of participating in the intervention were collected through qualitative interviews. Data were analyzed in accordance with the phenomenological-hermeneutic tradition. Results: The patients described a comprehensive process of regaining mental as well as physical strength and well-being after ended treatment...

  12. An Improved Fruit Fly Optimization Algorithm Inspired from Cell Communication Mechanism

    Directory of Open Access Journals (Sweden)

    Chuncai Xiao

    2015-01-01

    Full Text Available Fruit fly optimization algorithm (FOA invented recently is a new swarm intelligence method based on fruit fly’s foraging behaviors and has been shown to be competitive with existing evolutionary algorithms, such as particle swarm optimization (PSO algorithm. However, there are still some disadvantages in the FOA, such as low convergence precision, easily trapped in a local optimum value at the later evolution stage. This paper presents an improved FOA based on the cell communication mechanism (CFOA, by considering the information of the global worst, mean, and best solutions into the search strategy to improve the exploitation. The results from a set of numerical benchmark functions show that the CFOA outperforms the FOA and the PSO in most of the experiments. Further, the CFOA is applied to optimize the controller for preoxidation furnaces in carbon fibers production. Simulation results demonstrate the effectiveness of the CFOA.

  13. Effects of communication skills training and a Question Prompt Sheet to improve communication with older cancer patients: a randomized controlled trial.

    NARCIS (Netherlands)

    Weert, J.C.M. van; Jansen, J.; Spreeuwenberg, P.M.M.; Dulmen, S. van; Bensing, J.M.

    2011-01-01

    A randomized pre- and post-test control group design was conducted in 12 oncology wards to investigate the effectiveness of an intervention, existing of a communication skills training with web-enabled video feedback and a Question Prompt Sheet (QPS), which aimed to improve patient education to olde

  14. Effects of communication skills training and a Question Prompt Sheet to improve communication with older cancer patients: a randomized controlled trial.

    NARCIS (Netherlands)

    Weert, J.C.M. van; Jansen, J.; Spreeuwenberg, P.M.M.; Dulmen, S. van; Bensing, J.M.

    2011-01-01

    A randomized pre- and post-test control group design was conducted in 12 oncology wards to investigate the effectiveness of an intervention, existing of a communication skills training with web-enabled video feedback and a Question Prompt Sheet (QPS), which aimed to improve patient education to olde

  15. Effects of communication skills training and a Question Prompt Sheet to improve communication with older cancer patients: a randomized controlled trial.

    NARCIS (Netherlands)

    Weert, J.C.M. van; Jansen, J.; Spreeuwenberg, P.M.M.; Dulmen, S. van; Bensing, J.M.

    2011-01-01

    A randomized pre- and post-test control group design was conducted in 12 oncology wards to investigate the effectiveness of an intervention, existing of a communication skills training with web-enabled video feedback and a Question Prompt Sheet (QPS), which aimed to improve patient education to

  16. Effects of communication skills training and a Question Prompt Sheet to improve communication with older cancer patients: a randomized controlled trial

    NARCIS (Netherlands)

    van Weert, J.C.M.; Jansen, J.; Spreeuwenberg, P.M.M.; van Dulmen, S.; Bensing, J.M.

    2011-01-01

    A randomized pre- and post-test control group design was conducted in 12 oncology wards to investigate the effectiveness of an intervention, existing of a communication skills training with web-enabled video feedback and a Question Prompt Sheet (QPS), which aimed to improve patient education to

  17. Communicating Eco-Friendly Benefits: Why Accidental Improvements May Be Better Received by Consumers

    Directory of Open Access Journals (Sweden)

    Newman George E.

    2016-05-01

    Full Text Available Doing good does not necessarily imply doing well for a company. Ironically, in the case of green products it can even be quite the contrary. Deliberately enhancing a product with environmental benefits to make it more appealing may actually lead to a decrease in consumer interest because consumers suspect that quality was reduced on other dimensions. Even explicitly stating that the company cares about both the environment and quality is not sufficient to overcome consumers’ skepticism, according to our experiments. Fortunately, there are ways to communicate environmental improvements successfully. Companies improving a basic product feature like making something more eco-friendly should either position the improvement as unintended or emphasize that the primary goal is improving the quality of the product. Focusing on eco-conscious market segments also helps to avoid harm and might even be beneficial. Improvements on dimensions that are not inherent to a product’s composition, like fair trade or other social benefits, turned out to be less critical in the experiments.

  18. Prose Checklist: Strategies for Improving School-to-Home Written Communication

    Science.gov (United States)

    Nagro, Sarah A.

    2015-01-01

    Effective communication enhances school-family partnerships. Written communication is a common, efficient way of communicating with families, but potential barriers to effective communication include readability level, clarity of presentation, complexity of format, and structural components. The PROSE Checklist presented in this article can…

  19. Prose Checklist: Strategies for Improving School-to-Home Written Communication

    Science.gov (United States)

    Nagro, Sarah A.

    2015-01-01

    Effective communication enhances school-family partnerships. Written communication is a common, efficient way of communicating with families, but potential barriers to effective communication include readability level, clarity of presentation, complexity of format, and structural components. The PROSE Checklist presented in this article can…

  20. Implementing Tablet-Based Devices to Improve Communication Skills of Students with Autism

    Science.gov (United States)

    Alzrayer, Nouf M.; Banda, Devender R.

    2017-01-01

    Students with autism spectrum disorder (ASD) have difficulties in communication that limit their opportunities to participate in daily living and educational activities. Augmentative alternative communication is one of the strategies used to strengthen the communication skills of students with limited communication skills. Students with ASD…

  1. Commentary: improving the quality and effectiveness of IUHPE communications: work plan 2007--2010.

    Science.gov (United States)

    Perry, Martha W; Mittelmark, Maurice B

    2008-06-01

    The article presents the work plan of the IUHPE Communications portfolio during the present term of the Vice-President for communications in the IUHPE Board of Trustees (2007-10). The plan has been put together after a comprehensive review of the existing IUHPE communications areas. The result is a plan that aims to provide overarching support for the development of the organisation. In the plan, existing IUHPE communication tools are strengthened to respond better to today's communications' aims and objectives; while new tools are designed to make an impact through all communications' channels. The quality and effectiveness of these tools will contribute to shape a sustainable communications strategy and priorities.

  2. Environmentally friendly HF (DF) lasers

    Science.gov (United States)

    Apollonov, V. V.

    2016-08-01

    Dedicated to the 100th anniversary of the birth of Academician A M Prokhorov, this paper reviews the physics of self-sustained volume discharge without preionization—self-initiated volume discharge (SIVD)—in the working mixtures of non-chain hydrofluoride HF (deuterofluoride (DF)) lasers. The dynamics of SIVD in discharge gaps with different geometries is thoroughly described. The mechanisms for the restriction of current density in a diffuse channel in electric discharges in SF6 and SF6 based mixtures (which determines whether SIVD is possible) are proposed and analyzed using simple models. The most probable mechanisms are the electron impact dissociation of SF6 and other mixture components, electron-ion recombination and electron attachment to vibrationally excited SF6 molecules. Starting from a comparative analysis of the rate coefficients of these processes, it is shown that electron-ion recombination is capable of compensating for electron detachment from negative ions via electron impact. It is also established that SIVD is not only observed in SF6, but also in other strongly electronegative gases. The factors that determine the uniformity of the active medium in non-chain HF (DF) lasers are analyzed. Some special features of non-chain HF (DF) lasers with different apertures operating are carefully examined. Consideration is given to the problem of increasing the aperture and discharge volume of non-chain HF (DF) lasers. Based on our experimental results, the possibility of increasing the energy of such lasers to ~1 kJ and above is shown.

  3. [Simulation-based intervention to improve anesthesiology residents communication with families of critically ill patients--preliminary prospective evaluation].

    Science.gov (United States)

    Berkenstadt, Haim; Perlson, Daria; Shalomson, Orit; Tuval, Atalia; Haviv-Yadid, Yael; Ziv, Amitai

    2013-08-01

    Although effective communication with families of critically ill patients is a vital component of quality care, training in this field is neglected. The article aims to validate communication skills training program for anesthesiology residents in the intensive care set up. Ten anesthesia residents, following 3 months of Intensive Care Unit (ICU) rotation, had 4 hours of lectures and one day simulation-based communication skills training with families of critically ill patients. Participants completed an attitude questionnaire over 3 time periods--before training [t1], immediately following training (t2) and three months following training (t3). The participants' communication skills were assessed by two blinded independent observers using the SEGUE framework while performing a simulation-based scenario at t1 and t3. Seven participants finished the study protocol. Participants ndicated communication importance as 3.68 +/- 0.58 (t1), 4.05 +/- 0.59 (t2), 4.13 +/- 0.64 (t3); their communication ability as 3.09 +/- 0.90 (t1), 3.70 +/- 0.80 (t2), 3.57 +/- 0.64 (t3); the contribution of lecture to communication 3.04 +/- 0.43 (t1), 3.83 +/- 0.39 (t2), 3.87 +/- 0.51 (t3), and contribution of simulation training to communication 3.00 +/- 0.71 (t1), 4.04 +/- 0.52 (t2), 3.84 +/- 0.31 (t3). The differences did not reach statistical significance. Objective assessment of the communication skills using the SEGUE framework indicated that 6/7 participants improved their communication skills, with communication ability before training at 2.66 +/- 0.83 and 1 month following training it was 3.38 +/- 0.78 (p = 0.09). This preliminary study demonstrates the value of communication skills training in the intensive care environment.

  4. Experience measuring performance improvement in multiphase picture archiving and communications systems implementations.

    Science.gov (United States)

    Reed, G; Reed, D H

    1999-05-01

    When planning a picture archiving and communications system (PACS) implementation and determining which equipment will be implemented in earlier and later phases, collection and analysis of selected data will aid in setting implementation priorities. If baseline data are acquired relative to performance objectives, the same information used for implementation planning can be used to measure performance improvement and outcomes. The main categories of data to choose from are: (1) financial data; (2) productivity data; (3) operational parameters; (4) clinical data; and (5) information about customer satisfaction. In the authors' experience, detailed workflow data have not proved valuable in measuring PACS performance and outcomes. Reviewing only one category of data in planning will not provide adequate basis for targeting operational improvements that will lead to the most significant gains. Quality improvement takes into account all factors in production: human capacity, materials, operating capital and assets. Once we have identified key areas of focus for quality improvement in each phase, we can translate objectives into implementation requirements and finally into detailed functional and performance requirements. Here, Integration Resources reports its experience measuring PACS performance relative to phased implementation strategies for three large medical centers. Each medical center had its own objectives for overcoming image management, physical/geographical, and functional/technical barriers. The report outlines (1) principal financial and nonfinancial measures used as performance indicators; (2) implementation strategies chosen by each of the three medical centers; and (3) the results of those strategies as compared with baseline data.

  5. Effectiveness of a participatory ergonomics intervention in improving communication and psychosocial exposures.

    Science.gov (United States)

    Laing, A C; Cole, D C; Theberge, N; Wells, R P; Kerr, M S; Frazer, M B

    2007-07-01

    A participatory ergonomics programme was implemented in an automotive parts manufacturing factory in which an ergonomics change team was formed, composed of members from management, the organized labour union and the research team. It was hypothesized that the participatory nature of this change process would result in enhanced worker perceptions of workplace communication dynamics, decision latitude and influence, which in conjunction with anticipated mechanical exposure reductions would lead to reduced worker pain severity. Utilizing a sister plant in the corporation as a referent group, a quasi-experimental design was employed with a longitudinal, repeat questionnaire approach to document pre-post intervention changes. Nine participatory activities (psychosocial interventions) were implemented as part of the process. Communication dynamics regarding ergonomics were significantly enhanced at the intervention plant compared to the referent plant. However, there were no significantly different changes in worker perceptions of decision latitude or influence between the two plants, nor did pain severity change. Possible explanations for these results include limited intervention intensity, context and co-intervention differences between the two plants, high plant turnover reducing the statistical power of the study and lack of sensitivity and specificity in the psychosocial measures used. Further research should include the development of psychosocial tools more specific to participatory ergonomic interventions and the assessment of the extent of change in psychosocial factors that might be associated with improvements in pain.

  6. A system for improving the communication of emotion in music performance by feedback learning

    Science.gov (United States)

    Schoonderwaldt, Erwin; Friberg, Anders; Bresin, Roberto; Juslin, Patrik

    2002-05-01

    Expressivity is one of the most important aspects of music performance. However, in music education, expressivity is often overlooked in favor of technical abilities. This could possibly depend on the difficulty in describing expressivity, which makes it problematic to provide the student with specific feedback. The aim of this project is to develop a computer program, which will improve the students' ability in communicating emotion in music performance. The expressive intention of a performer can be coded in terms of performance parameters (cues), such as tempo, sound level, timbre, and articulation. Listeners' judgments can be analyzed in the same terms. An algorithm was developed for automatic cue extraction from audio signals. Using note onset-offset detection, the algorithm yields values of sound level, articulation, IOI, and onset velocity for each note. In previous research, Juslin has developed a method for quantitative evaluation of performer-listener communication. This framework forms the basis of the present program. Multiple regression analysis on performances of the same musical fragment, played with different intentions, determines the relative importance of each cue and the consistency of cue utilization. Comparison with built-in listener models, simulating perceived expression using a regression equation, provides detailed feedback regarding the performers' cue utilization.

  7. Systematic review of public-targeted communication interventions to improve antibiotic use.

    Science.gov (United States)

    Cross, Elizabeth Louise Anne; Tolfree, Robert; Kipping, Ruth

    2017-04-01

    Excessive use of antibiotics accelerates the acquisition/spread of antimicrobial resistance. A systematic review was conducted to identify the components of successful communication interventions targeted at the general public to improve antibiotic use. The databases MEDLINE, EMBASE, CINAHL, Web of Science and Cochrane Library were searched. Search terms were related to the population (public, community), intervention (campaign, mass media) and outcomes (antibiotic, antimicrobial resistance). References were screened for inclusion by one author with a random subset of 10% screened by a second author. No date restrictions were applied and only articles in the English language were considered. Studies had to have a control group or be an interrupted time-series. Outcomes had to measure change in antibiotic-related prescribing/consumption and/or the public's knowledge, attitudes or behaviour. Two reviewers assessed the quality of studies. Narrative synthesis was performed. Fourteen studies were included with an estimated 74-75 million participants. Most studies were conducted in the United States or Europe and targeted both the general public and clinicians. Twelve of the studies measured changes in antibiotic prescribing. There was quite strong ( P  antibiotic prescribing; the majority of these studies reported reductions of greater than -14% with the largest effect size reaching -30%. Multi-faceted communication interventions that target both the general public and clinicians can reduce antibiotic prescribing in high-income countries but the sustainability of reductions in antibiotic prescribing is unclear.

  8. Computer aided dispatch - a discussion of how communications technology is used to improve customer service

    Energy Technology Data Exchange (ETDEWEB)

    Swailes, J.B. [Canadian Western Natural Gas Ltd. , Calgary, AB (Canada)

    1995-11-01

    The use of Computer Aided Dispatch (CAD) for information exchange between the corporate information network and the field personnel of the CU Gas Group was described. CAD was described as two interconnected systems; a large mainframe software system which interfaces with the radio transmission system as well as the Customer Information System (CIS), and a mini computer system which consists of mobile data terminals (MDTs), the radio hardware and the software necessary to communicate with the MDTs. Further details were given on the functionality of both the mainframe, as well as the mini computer system. Some of the functions performed by the CAD include call taking, employee calendar, work assignment, filling work, dispatching, reporting, correcting errors, providing order status information, fleet monitoring, appointments, and many others. The implementation process, the challenges faced by the communications team and their interactions with the organization was also described. The most important benefit was claimed to be improved customer service. The significance of that to corporate strategy was stressed.

  9. Improving Environmental Health Literacy and Justice through Environmental Exposure Results Communication

    Directory of Open Access Journals (Sweden)

    Monica D. Ramirez-Andreotta

    2016-07-01

    Full Text Available Understanding the short- and long-term impacts of a biomonitoring and exposure project and reporting personal results back to study participants is critical for guiding future efforts, especially in the context of environmental justice. The purpose of this study was to evaluate learning outcomes from environmental communication efforts and whether environmental health literacy goals were met in an environmental justice community. We conducted 14 interviews with parents who had participated in the University of Arizona’s Metals Exposure Study in Homes and analyzed their responses using NVivo, a qualitative data management and analysis program. Key findings were that participants used the data to cope with their challenging circumstances, the majority of participants described changing their families’ household behaviors, and participants reported specific interventions to reduce family exposures. The strength of this study is that it provides insight into what people learn and gain from such results communication efforts, what participants want to know, and what type of additional information participants need to advance their environmental health literacy. This information can help improve future report back efforts and advance environmental health and justice.

  10. Empowering certified nurse's aides to improve quality of work life through a team communication program.

    Science.gov (United States)

    Howe, Erin E

    2014-01-01

    The purpose of this pilot study was to explore the impact of a certified nurse's aide (CNA)-led interdisciplinary teamwork and communication intervention on perceived quality of work environment and six-month job intentions. CNAs are frequently excluded from team communication and decision-making, which often leads to job dissatisfaction with high levels of staff turnover. Using a mixed quantitative and qualitative approach with pre- post-program design, the intervention utilized the strategy of debriefing from the national patient safety initiative, TeamSTEPPS. Inherent in the program design, entitled Long Term Care (LTC) Team Talk, was the involvement of the CNAs in the development of the intervention as an empowering process on two wings of a transitional care unit in a long-term care facility in upstate NY. CNAs' perceptions of work environment quality were measured using a Quality of Work Life (QWL) instrument. Additionally, job turnover intent within six months was assessed. Results indicated improved scores on nearly all QWL subscales anticipated to be impacted, and enhanced perceived empowerment of the CNAs on each wing albeit through somewhat different experiential processes. The program is highly portable and can potentially be implemented in a variety of long-term care settings.

  11. SEE: improving nurse-patient communications and preventing software piracy in nurse call applications.

    Science.gov (United States)

    Unluturk, Mehmet S

    2012-06-01

    Nurse call system is an electrically functioning system by which patients can call upon from a bedside station or from a duty station. An intermittent tone shall be heard and a corridor lamp located outside the room starts blinking with a slow or a faster rate depending on the call origination. It is essential to alert nurses on time so that they can offer care and comfort without any delay. There are currently many devices available for a nurse call system to improve communication between nurses and patients such as pagers, RFID (radio frequency identification) badges, wireless phones and so on. To integrate all these devices into an existing nurse call system and make they communicate with each other, we propose software client applications called bridges in this paper. We also propose a window server application called SEE (Supervised Event Executive) that delivers messages among these devices. A single hardware dongle is utilized for authentication and copy protection for SEE. Protecting SEE with securities provided by dongle only is a weak defense against hackers. In this paper, we develop some defense patterns for hackers such as calculating checksums in runtime, making calls to dongle from multiple places in code and handling errors properly by logging them into database.

  12. Atomoxetine improves communication in a girl with semantic-pragmatic disorder.

    Science.gov (United States)

    Inoko, Kayo; Kodaira, Kayano; Osawa, Makiko

    2012-08-01

    This report describes the case of an ADHD girl (hereafter referred to as K) with semantic-pragmatic disorder, she was treated with atomoxetine. K was a 9-year-old girl. She had difficulty understanding words or sentences, finding words, and producing sentences. K also displayed symptoms of severe inattentiveness. K was diagnosed with DSM-IV-defined(1) ADHD, predominantly the inattentive type. Her communication impairment was considered symptomatic of semantic-pragmatic disorder. K was started on atomoxetine, the dose was increased to 50 mg/day (dosage based on weight: 1.8 mg/kg). Her communication activities were improved a few weeks after atomoxetine 50 mg/day was administered. She was unable to organize information pertaining to words, and so could not use words in expressive language. These problems were mitigated through the administration of atomoxetine. Further prospective studies are needed to better understand the therapeutic effects of atomoxetine in patients with semantic-pragmatic disorder. © 2012 The Authors. Pediatrics International © 2012 Japan Pediatric Society.

  13. Improvements in self-efficacy for engaging in patient-centered communication following a course in peer-supervision and communication for medical students

    DEFF Research Database (Denmark)

    Lassesen, Berit; O Connor, Maja; Kjær, Louise Binow

    and Department of Psychology and Behavioral Science, Aarhus University, Aarhus, Denmark; 3Center for Medical Education, Aarhus University, Aarhus, Denmark.; belas@clu.au.dk Aim: The aim was to evaluate the outcome of a training course in peer-supervision and communication with the aim of improving medical...... student self-efficacy for engaging in patient-centered communication and examine the influence of course-related motivation to learn, course-related self-efficacy, and medical student well-being at baseline. Methods: A total of 127 graduate school medical students in clinical clerkship who participated...... in a course in peer-supervision and communication completed a pre-course questionnaire package including: 1) The Patient-Centeredness Self-Efficacy Questionnaire (PCSEQ), 2) Course-Related Motivation to Learn (CRML), 3) Course-Related Self-Efficacy (CRSE), and 4) the Medical Student Well-Being Index (MSWBI...

  14. Communication skills training for health care professionals improves the adult orthopaedic patient's experience of quality of care

    DEFF Research Database (Denmark)

    Nørgaard, Birgitte; Kofoed, Poul-Erik; Ohm Kyvik, Kirsten

    2012-01-01

    Scand J Caring Sci; 2012; Communication skills training for health care professionals improves the adult orthopaedic patient's experience of quality of care Rationale:  Despite the fact that communication has become a core topic in health care, patients still experience the information provided...... as insufficient or incorrect and a lack of involvement. Objective:  To investigate whether adult orthopaedic patients' evaluation of the quality of care had improved after a communication skills training course for healthcare professionals. Design and methods:  The study was designed as an intervention study...... limitation. Response rates were comparable to those of other studies. Conclusion:  Patients show increased satisfaction with the quality of health care after professionals have attended a communication skills training course, even when implemented in an entire department. Practice implications:  We recommend...

  15. Improved importance sampling technique for efficient simulation of digital communication systems

    Science.gov (United States)

    Lu, Dingqing; Yao, Kung

    1988-01-01

    A new, improved importance sampling (IIS) approach to simulation is considered. Some basic concepts of IS are introduced, and detailed evolutions of simulation estimation variances for Monte Carlo (MC) and IS simulations are given. The general results obtained from these evolutions are applied to the specific previously known conventional importance sampling (CIS) technique and the new IIS technique. The derivation for a linear system with no signal random memory is considered in some detail. For the CIS technique, the optimum input scaling parameter is found, while for the IIS technique, the optimum translation parameter is found. The results are generalized to a linear system with memory and signals. Specific numerical and simulation results are given which show the advantages of CIS over MC and IIS over CIS for simulations of digital communications systems.

  16. Improved importance sampling technique for efficient simulation of digital communication systems

    Science.gov (United States)

    Lu, Dingqing; Yao, Kung

    1988-01-01

    A new, improved importance sampling (IIS) approach to simulation is considered. Some basic concepts of IS are introduced, and detailed evolutions of simulation estimation variances for Monte Carlo (MC) and IS simulations are given. The general results obtained from these evolutions are applied to the specific previously known conventional importance sampling (CIS) technique and the new IIS technique. The derivation for a linear system with no signal random memory is considered in some detail. For the CIS technique, the optimum input scaling parameter is found, while for the IIS technique, the optimum translation parameter is found. The results are generalized to a linear system with memory and signals. Specific numerical and simulation results are given which show the advantages of CIS over MC and IIS over CIS for simulations of digital communications systems.

  17. Mobile phones as a health communication tool to improve skilled attendance at delivery in Zanzibar

    DEFF Research Database (Denmark)

    Lund, S; Hemed, M; Nielsen, Birgitte Bruun

    2012-01-01

    Please cite this paper as: Lund S, Hemed M, Nielsen B, Said A, Said K, Makungu M, Rasch V. Mobile phones as a health communication tool to improve skilled attendance at delivery in Zanzibar: a cluster-randomised controlled trial. BJOG 2012; DOI: 10.1111/j.1471-0528.2012.03413.x. Objective......  To examine the association between a mobile phone intervention and skilled delivery attendance in a resource-limited setting. Design  Pragmatic cluster-randomised controlled trial with primary healthcare facilities as the unit of randomisation. Setting  Primary healthcare facilities in Zanzibar. Population...... component. Main outcome measures  Skilled delivery attendance. Results  The mobile phone intervention was associated with an increase in skilled delivery attendance: 60% of the women in the intervention group versus 47% in the control group delivered with skilled attendance. The intervention produced...

  18. Using adaline neural network for performance improvement of smart antennas in TDD wireless communications.

    Science.gov (United States)

    Kavak, Adnan; Yigit, Halil; Ertunc, H Metin

    2005-11-01

    In time-division-duplex (TDD) mode wireless communications, downlink beamforming performance of a smart antenna system at the base station can be degraded due to variation of spatial signature vectors corresponding to mobile users especially in fast fading scenarios. To mitigate this, downlink beams must be controlled by properly adjusting their weight vectors in response to changing propagation dynamics. This can be achieved by modeling the spatial signature vectors in the uplink period and then predicting them to be used as beamforming weight vectors for the new mobile position in the downlink transmission period. We show that ADAptive LInear NEuron (ADALINE) network modeling based prediction of spatial signatures provides certain level of performance improvement compared to conventional beamforming method that employs spatial signature obtained in previous uplink interval. We compare the performance of ADALINE with autoregressive (AR) modeling based predictions under varying channel propagation (mobile speed, multipath angle spread, and number of multipaths), and filter order/delay conditions. ADALINE modeling outperforms AR modeling in terms of downlink SNR improvement and relative error improvement especially under high mobile speeds, i.e., V = 100 km/h.

  19. Improve disaster communication in online and offline communities using social media (Twitter) and Big Data

    Science.gov (United States)

    Dozier, Jessica Addison

    This research places disaster management into a geographic context in order to understand how people communicate during disasters and how to increase local community resilience to foster sustainability and lessen vulnerability. Analyzing communication that occurred over Twitter networks during the 2014 San Diego wildfires and the 2015 Nepal earthquake enabled temporal trends, spatiotemporal patterns, social network structures, socially disconnected communities, and hyperlocal relationships to be identified and measured. The temporal trends examined daily communication by day and by hour to see how well Twitter activity correlated to real world events. In both case studies, there were strong relationships between Twitter activity and real world events; their major peaks and falls reflected occurrences recorded in the After Action Reports provided by the County of San Diego and the Government of Nepal. The spatiotemporal analysis showed the spatial distribution of tweets, and measured changes in communication and movement patterns. The results from the two case studies were similar in that their data produced major hotspots not only in highly populated regions, but also areas who were either directly affected or nearby affected areas. The differential maps showed that when each disaster event occurred, there would be a spike in Twitter activity in or around the disaster. Methods in social network analysis were performed on the datasets to analyze the structure of the online communities from each case study and to identify their socially disconnected communities. Both San Diego and Nepal's online Twitter networks had similar structures and measurements of modularity, the measurement that forms online communities and indicates the connectedness of a network. The similar measurements are a sign that there are dense connections between people, but fewer connections between communities. This information suggests that methods to improve communication between communities

  20. Effects of HfB2 and HfN Additions on the Microstructures and Mechanical Properties of TiB2-Based Ceramic Tool Materials

    Directory of Open Access Journals (Sweden)

    Jing An

    2017-04-01

    Full Text Available The effects of HfB2 and HfN additions on the microstructures and mechanical properties of TiB2-based ceramic tool materials were investigated. The results showed that the HfB2 additive not only can inhibit the TiB2 grain growth but can also change the morphology of some TiB2 grains from bigger polygons to smaller polygons or longer ovals that are advantageous for forming a relatively fine microstructure, and that the HfN additive had a tendency toward agglomeration. The improvement of flexural strength and Vickers hardness of the TiB2-HfB2 ceramics was due to the relatively fine microstructure; the decrease of fracture toughness was ascribed to the formation of a weaker grain boundary strength due to the brittle rim phase and the poor wettability between HfB2 and Ni. The decrease of the flexural strength and Vickers hardness of the TiB2-HfN ceramics was due to the increase of defects such as TiB2 coarse grains and HfN agglomeration; the enhancement of fracture toughness was mainly attributed to the decrease of the pore number and the increase of the rim phase and TiB2 coarse grains. The toughening mechanisms of TiB2-HfB2 ceramics mainly included crack bridging and transgranular fracture, while the toughening mechanisms of TiB2-HfN ceramics mainly included crack deflection, crack bridging, transgranular fracture, and the core-rim structure.

  1. Improving communication between patients and providers using health information technology and other quality improvement strategies: focus on low-income children.

    Science.gov (United States)

    Ngo-Metzger, Quyen; Hayes, Gillian R; Yunan Chen; Cygan, Ralph; Garfield, Craig F

    2010-10-01

    Effective communication between providers and patients has been linked to improved outcomes. Previous reviews of quality improvement strategies, including health information technology (health IT), have not focused on the needs of low-income children. The authors conducted a systematic review of the literature on studies of communication surrounding the care of low-income children, with an emphasis on interventions and health IT.The search yielded six studies that focused on low-income children; three of the studies used health IT. Key informant interviews provided insight to the current use of health IT for provider-patient communication in geographically diverse, underresourced settings.The authors identify gaps between existing literature and clinical practice. Future research should focus on the specific impact of health IT in pediatric medicine, particularly in underresourced and safety net settings. These efforts should focus on the use of technological innovations to improve care for low-income children and their families.

  2. Long-term improvements in oral communication skills and quality of peer relations in children with cochlear implants: parental testimony.

    Science.gov (United States)

    Bat-Chava, Y; Martin, D; Imperatore, L

    2014-11-01

    Few research studies have examined longitudinal improvements in oral communication skills and quality of peer relationships of children with implants. Moreover, although the emerging literature suggests that improvement in social functioning follows improvement in oral communication, it is still unknown what factors enhance or impede the relations between these constructs. Based on parent interviews, the current study examined the long-term improvements in speech and oral language skills and relationships with hearing peers in 19 implanted children. Results demonstrate that on average, children continue to improve in oral communication skills and quality of peer relationships even years after implantation, especially those with initial poorer skills. While oral communication ability and quality of peer relationships are strongly associated at each time point, gains in these two variables are associated only for some of the children. Other factors, including self-confidence and peer acceptance, seem to moderate this relationship. Qualitative data are presented to illustrate these relations among variables and to assist in theory building. The results highlight the need for more specific examination of various developmental periods in combination with the progress of oral communication and peer relationships among children with implants. © 2013 John Wiley & Sons Ltd.

  3. Improving Medical Decision Making and Health Promotion through Culture-Sensitive Health Communication: An Agenda for Science and Practice.

    Science.gov (United States)

    Betsch, Cornelia; Böhm, Robert; Airhihenbuwa, Collins O; Butler, Robb; Chapman, Gretchen B; Haase, Niels; Herrmann, Benedikt; Igarashi, Tasuku; Kitayama, Shinobu; Korn, Lars; Nurm, Ülla-Karin; Rohrmann, Bernd; Rothman, Alexander J; Shavitt, Sharon; Updegraff, John A; Uskul, Ayse K

    2016-10-01

    This review introduces the concept of culture-sensitive health communication. The basic premise is that congruency between the recipient's cultural characteristics and the respective message will increase the communication's effectiveness. Culture-sensitive health communication is therefore defined as the deliberate and evidence-informed adaptation of health communication to the recipients' cultural background in order to increase knowledge and improve preparation for medical decision making and to enhance the persuasiveness of messages in health promotion. To achieve effective health communication in varying cultural contexts, an empirically and theoretically based understanding of culture will be indispensable. We therefore define culture, discuss which evolutionary and structural factors contribute to the development of cultural diversity, and examine how differences are conceptualized as scientific constructs in current models of cultural differences. In addition, we will explicate the implications of cultural differences for psychological theorizing, because common constructs of health behavior theories and decision making, such as attitudes or risk perception, are subject to cultural variation. In terms of communication, we will review both communication strategies and channels that are used to disseminate health messages, and we will discuss the implications of cultural differences for their effectiveness. Finally, we propose an agenda both for science and for practice to advance and apply the evidence base for culture-sensitive health communication. This calls for more interdisciplinary research between science and practice but also between scientific disciplines and between basic and applied research. © The Author(s) 2015.

  4. European coordination for coastal HF radar data in EMODnet Physics

    Science.gov (United States)

    Mader, Julien; Novellino, Antonio; Gorringe, Patrick; Griffa, Annalisa; Schulz-Stellenfleth, Johannes; Montero, Pedro; Montovani, Carlo; Ayensa, Garbi; Vila, Begoña; Rubio, Anna; Sagarminaga, Yolanda

    2015-04-01

    Historically, joint effort has been put on observing open ocean, organizing, homogenizing, sharing and reinforcing the impact of the acquired information based on one technology: ARGO with profilers Argo floats, EuroSites, ESONET-NoE, FixO3 for deep water platforms, Ferrybox for stations in ships of opportunities, and GROOM for the more recent gliders. This kind of networking creates synergies and makes easier the implementation of this source of data in the European Data exchange services like EMODnet, ROOSs portals, or any applied services in the Blue economy. One main targeted improvement in the second phase of EMODnet projects is the assembling of data along coastline. In that sense, further coordination is recommended between platform operators around a specific technology in order to make easier the implementation of the data in the platforms (4th EuroGOOS DATAMEQ WG). HF radar is today recognized internationally as a cost-effective solution to provide high spatial and temporal resolution current maps (depending on the instrument operation frequency, covering from a few kilometres offshore up to 200 km) that are needed for many applications for issues related to ocean surface drift or sea state characterization. Significant heterogeneity still exists in Europe concerning technological configurations, data processing, quality standards and data availability. This makes more difficult the development of a significant network for achieving the needed accessibility to HF Radar data for a pan European use. EuroGOOS took the initiative to lead and coordinate activities within the various observation platforms by establishing a number of Ocean Observing Task Teams such as HF-Radars. The purpose is to coordinate and join the technological, scientific and operational HF radar communities at European level. The goal of the group is on the harmonization of systems requirements, systems design, data quality, improvement and proof of the readiness and standardization of

  5. Communication channels in general internal medicine: a description of baseline patterns for improved interprofessional collaboration.

    Science.gov (United States)

    Conn, Lesley Gotlib; Lingard, Lorelei; Reeves, Scott; Miller, Karen-Lee; Russell, Ann; Zwarenstein, Merrick

    2009-07-01

    General internal medicine (GIM) is a communicatively complex specialty because of its diverse patient population and the number and diversity of health care providers working on a medicine ward. Effective interprofessional communication in such information-intensive environments is critical to achieving optimal patient care. Few empirical studies have explored the ways in which health professionals exchange patient information and the implications of their chosen communication forms. In this article, we report on an ethnographic study of health professionals' communication in two GIM wards through the lens of communication genre theory. We categorize and explore communication in GIM into two genre sets-synchronous and asynchronous-and analyze the relationship between them. Our findings reveal an essential relationship between synchronous and asynchronous modes of communication that has implications for the effectiveness of interprofessional collaboration in this and similar health care settings, and is intended to inform efforts to overcome existing interprofessional communication barriers.

  6. Performance Analysis of HF Band FB-MC-SS

    Energy Technology Data Exchange (ETDEWEB)

    Hussein Moradi; Stephen Andrew Laraway; Behrouz Farhang-Boroujeny

    2016-01-01

    Abstract—In a recent paper [1] the filter bank multicarrier spread spectrum (FB-MC-SS) waveform was proposed for wideband spread spectrum HF communications. A significant benefit of this waveform is robustness against narrow and partial band interference. Simulation results in [1] demonstrated good performance in a wideband HF channel over a wide range of conditions. In this paper we present a theoretical analysis of the bit error probably for this system. Our analysis tailors the results from [2] where BER performance was analyzed for maximum ration combining systems that accounted for correlation between subcarriers and channel estimation error. Equations are give for BER that closely match the simulated performance in most situations.

  7. Adaptive Communication as a Means toward better Performance : Can fit for purpose communication capability building activities help organizations in communicating to deliver strategy and to improve performance?

    NARCIS (Netherlands)

    M. Schipper (Mariska)

    2010-01-01

    textabstractExecutive Summary The focus on the success factors for excellent performance has been growing in the last decades. One of the factors that is generally believed to have a positive relationship with organizational performance, is the internal communication process. Even though many practi

  8. You Are What You Write: Improving the Quality of Your Written Communication

    Science.gov (United States)

    Robertson, Rachel

    2012-01-01

    Good and plentiful communication often lands high on the list of priorities for families participating in child care programs. Conversely, poor and scarce communication often lands high on the list of reasons parents leave a particular child care program. There are many types of communication to consider when meeting families' needs. While in most…

  9. Numerical modeling of HF skywave radiation from antennas in irregular terrain

    Energy Technology Data Exchange (ETDEWEB)

    Burke, G.J.

    1990-11-01

    The problem of computing the radiation pattern of an HF antenna sited in irregular terrain was investigated. The primary interest is in antennas for skywave communication, however ionospheric models were not considered. Several methods for modeling terrain effects are briefly reviewed. A geometrical optics model for arbitrary terrain is developed and results are compared with published results from solution of a Volterra integral equation for scattering by a Gaussian ridge. This report covers work on the first phase of a project for the US Navy to develop and apply models for terrain effects in HF communications involving skywave. 45 refs., 16 figs.

  10. Using communication skills to improve adherence in children with chronic disease: the adherence equation.

    Science.gov (United States)

    Brand, Paul L P; Klok, Ted; Kaptein, Adrian A

    2013-12-01

    Nonadherence to maintenance medication is common in paediatric chronic conditions. Despite the common belief that nonadherence is therapy-resistant, and the apparent lack of evidence for successful interventions to improve adherence, there is, in fact, a considerable body of evidence suggesting that adherence can be improved by applying specific communicative consultation skills. These can be summarized as the adherence equation: adherence=follow-up+dialogue+barriers and beliefs+empathy and education => concordance. Close follow-up of children with a chronic condition is needed to establish a therapeutic partnership with the family. Teaching self management skills is not a unidirectional process of providing information, but requires a constructive and collaborative dialogue between the medical team and the family. Identifying barriers to adherence can be achieved in a non-confrontational manner, by showing a genuine interest what the patient's views and preferences are. In particular, parental illness perceptions and medication beliefs should be identified, because they are strong drivers of nonadherence. Through empathic evidence-based education, such perceptions and beliefs can be modified. By applying these strategies, concordance between the child's family and the medical team can be achieved, resulting in optimal adherence to the jointly created treatment plan. Copyright © 2013 Elsevier Ltd. All rights reserved.

  11. RF-modulated pulsed fiber optic lidar transmitter for improved underwater imaging and communications

    Science.gov (United States)

    Kimpel, F.; Chen, Y.; Fouron, J.-L.; Akbulut, M.; Engin, D.; Gupta, S.

    2011-03-01

    We present results on the design, development and initial testing of a fiber-optic based RF-modulated lidar transmitter operating at 532nm, for underwater imaging application in littoral waters. The design implementation is based on using state-of-the-art high-speed FPGAs, thereby producing optical waveforms with arbitrary digital-RF-modulated pulse patterns with carrier frequencies >= 3GHz, with a repetition rate of 0.5-1MHz, and with average powers >=5W (at 532nm). Use of RF-modulated bursts above 500MHz, instead of single optical pulse lidar detection, reduces the effect of volumetric backscatter for underwater imaging application, leading to an improved signal-to-noise-ratio (SNR) and contrast, for a given range. Initial underwater target detection tests conducted at Patuxent River Naval Air Station, MD, in a large water-tank facility, validates the advantages of this hybrid-lidar-radar (HLR) approach for improved underwater imaging, over a wide range of turbidity levels and both white and black targets. The compact, robust and power-efficient fiber laser architecture lends very well to lidar sensor integration on unmanned-underwater-vehicle (UUV) platforms. HLR transmitters can also provide similar advantages in active-sensing situations dominated by continuous backscatter, e.g. underwater communications, imaging through smoke and fire environment, rotor-craft landing in degraded visual environment, and pointing-tracking of active-EO sensors through fog.

  12. Improving Students’ Speaking Skill through Communication Game, Recorded Role Play and Peer Feedback

    Directory of Open Access Journals (Sweden)

    Friska Arismayang

    2016-08-01

    Full Text Available This study aims to improve students’ speaking skills using the combined strategies of communication game, recorded role play and peer feedback activities. This action research took place at an English institution in Jakarta, Indonesia and collected the data by observing the learning process with the collaborator, analyzing the video during the class, making field notes, conducting tests (pretest and post test and interviewing students. There were three cycles in this study. Results of the tests showed that students’ speaking skills improved. The mean score of pre-test was 3.1, while the mean score of post-test in cycle one was 3.3, cycle two 3.5 and cycle three 3.6. Based on the interview, all students were interested in and excited about the use of the three strategies above. However, there was a problem with the implementation of peer feedback activities; it was time consuming. The results of this study can not only promote an idea for EFL teachers to use the strategies as an alternative approach to teaching speaking skills but also inspire EFL teachers to be more creative in using these three strategies

  13. Improving hospital care and collaborative communications for the 21st century: key recommendations for general internal medicine.

    Science.gov (United States)

    Wu, Robert C; Lo, Vivian; Rossos, Peter; Kuziemsky, Craig; O'Leary, Kevin J; Cafazzo, Joseph A; Reeves, Scott; Wong, Brian M; Morra, Dante

    2012-09-24

    Communication and collaboration failures can have negative impacts on the efficiency of both individual clinicians and health care system delivery as well as on the quality of patient care. Recognizing the problems associated with clinical and collaboration communication, health care professionals and organizations alike have begun to look at alternative communication technologies to address some of these inefficiencies and to improve interprofessional collaboration. To develop recommendations that assist health care organizations in improving communication and collaboration in order to develop effective methods for evaluation. An interprofessional meeting was held in a large urban city in Canada with 19 nationally and internationally renowned experts to discuss suitable recommendations for an ideal communication and collaboration system as well as a research framework for general internal medicine (GIM) environments. In designing an ideal GIM communication and collaboration system, attendees believed that the new system should possess attributes that aim to: a) improve workflow through prioritization of information and detection of individuals' contextual situations; b) promote stronger interprofessional relationships with adequate exchange of information; c) enhance patient-centered care by allowing greater patient autonomy over their health care information; d) enable interoperability and scalability between and within institutions; and e) function across different platforms. In terms of evaluating the effects of technology in GIM settings, participants championed the use of rigorous scientific methods that span multiple perspectives and disciplines. Specifically, participants recommended that consistent measures and definitions need to be established so that these impacts can be examined across individual, group, and organizational levels. Discussions from our meeting demonstrated the complexities of technological implementations in GIM settings

  14. A thirty second isomer in Hf-171

    NARCIS (Netherlands)

    Campbell, P; Billowes, J; Cochrane, ECA; Cooke, JL; Cooper, TG; Dendooven, P; Evans, DE; Grant, IS; Griffith, JAR; Honkanen, A; Huhta, M; Oinonen, M; Pearson, MR; Penttila, H; Persson, B.L.; Richardson, DS; Tungate, G; Wheeler, PD; Zybert, L; Aysto, J

    1997-01-01

    An isomer has been detected in Hf-171 with a half-life of T-1/2 = 29.5(9) s. The state was populated in the Yb-170(alpha,3n)Hf-171m reaction at a beam energy of E-alpha = 50 MeV in an on-line ion guide isotope separator. The isomeric Hf-17lm(+) beam was extracted from the ion guide, mass-analysed an

  15. Generic Algorithm with Varying Block Sizes to Improve the Capacity of a Wireless Communications Networks

    Directory of Open Access Journals (Sweden)

    Mahmoud Abdellaoui

    2009-01-01

    Full Text Available Problem statement: Channel capacity can be an essential parameter for wireless communication to improve the link quality. Until now, the channel capacity has been evaluated by utilizing Shannon capacity theory, but it presented many limitations and restrictions. The objectives of this study were to: (i Expose, quantify, present and to give a clear and concise exposition of the mathematical principles of the proposed generic algorithm and (ii Calculate and simulate the SNR, the BER and the channel capacity for wireless underwater transceiver and compare with the literature references. Approach: Contrary to the existing theory (Shannon capacity theory that required and needed of the exact channel state distribution and particularly the precisely estimation of cut-off threshold profile, so, the bad estimation allowed suspending transmission even for good channel conditions, the proposed generic algorithm was used to determine the channel capacity performance with varying block size input packet information (N was varied from 50-200 as a function of the optimum transmit power (from 3.5-7.0 w. This approach did not require the exact channel state distribution; but the channel was well modeled and the cut-off threshold profile had to be numerically solved. The iteration results of this algorithm were utilized to calculate and simulate the SNR, the BER and the channel capacity for wireless underwater transceiver performance. Results: The consultation performance of channel capacity wireless underwater communication, obtained with present approach, were significantly better in any transmission conditions (no suspending transmission because the proposed algorithm was well suited to obtain results about channel capacity. In the other hand, the amount of transmitted data per resource depended on the channel conditions was performed. Blocking is no longer critical if data traffic without or with sensitivity has to be served. Data rate results were allowed

  16. A Knowledge Management Model to Improve the Development of Bushfire Communication Products

    Directory of Open Access Journals (Sweden)

    Keith Koon Teng Toh

    2014-11-01

    Full Text Available This paper brings together two bodies of literature around knowledge management (KM as enterprise integration (EI and organisational ontology and epistemology as philosophy, in order to develop an extended KM approach to the development of bushfire preparedness material in the Australian context. Knowledge Management (KM in enterprise integration (EI practice manifests as process-centric electronic document and records management solutions. Knowledge creation and organisational epistemology is viewed as a social process, but this is often left unrepresented by KM processes. The body of literature on KM tends to focus on organisational functionality and organisational KM that is based on EI ontology tends to be restricted by organisational functionality and process models. We argue that developing the KM-Model using subjectivist epistemology has a significant role in KM and organisational studies for emergency and disaster agencies. As part of the Bushfire Cooperative Research Centre (CRC ‘Effective Communication and Communities’ project, bushfire communication materials were collected from all Australian States and Territories and analysed using NVivo, representing a knowledge base. Data sources including semi-structured interviews with bushfire agency staff, residents in bushfire-prone localities. Interview data was analysed using thematic analysis, and emergent themes were represented using UML as a platform independent representation of the extended knowledge domain that is capable of representation in a digital space. This work unites organisational ontology, organisational epistemology and EI; the different manifestations of KM. We theorise about how organisational epistemology itself forms as part of the knowledge, where currently there is a lacking of a satisfactory end-to-end framework. The KM lifecycle, therefore, is extended by incorporating the social research processes as part of organisational epistemology to include external

  17. Atomic scale engineering of HfO{sub 2}-based dielectrics for future DRAM applications

    Energy Technology Data Exchange (ETDEWEB)

    Dudek, Piotr

    2011-02-14

    Modern dielectrics in combination with appropriate metal electrodes have a great potential to solve many difficulties associated with continuing miniaturization process in the microelectronic industry. One significant branch of microelectronics incorporates dynamic random access memory (DRAM) market. The DRAM devices scaled for over 35 years starting from 4 kb density to several Gb nowadays. The scaling process led to the dielectric material thickness reduction, resulting in higher leakage current density, and as a consequence higher power consumption. As a possible solution for this problem, alternative dielectric materials with improved electrical and material science parameters were intensively studied by many research groups. The higher dielectric constant allows the use of physically thicker layers with high capacitance but strongly reduced leakage current density. This work focused on deposition and characterization of thin insulating layers. The material engineering process was based on Si cleanroom compatible HfO{sub 2} thin films deposited on TiN metal electrodes. A combined materials science and dielectric characterization study showed that Ba-added HfO{sub 2} (BaHfO{sub 3}) films and Ti-added BaHfO{sub 3} (BaHf{sub 0.5}Ti{sub 0.5}O{sub 3}) layers are promising candidates for future generation of state-of-the-art DRAMs. In especial a strong increase of the dielectric permittivity k was achieved for thin films of cubic BaHfO{sub 3} (k{proportional_to}38) and BaHf{sub 0.5}Ti{sub 0.5}O{sub 3} (k{proportional_to}90) with respect to monoclinic HfO{sub 2} (k{proportional_to}19). Meanwhile the CET values scaled down to 1 nm for BaHfO{sub 3} and {proportional_to}0.8 nm for BaHf{sub 0.5}Ti{sub 0.5}O{sub 3} with respect to HfO{sub 2} (CET=1.5 nm). The Hf{sup 4+} ions substitution in BaHfO{sub 3} by Ti{sup 4+} ions led to a significant decrease of thermal budget from 900 C for BaHfO{sub 3} to 700 C for BaHf{sub 0.5}Ti{sub 0.5}O{sub 3}. Future studies need to focus

  18. Telemonitoring Adherence to Medications in Heart Failure Patients (TEAM-HF): A Pilot Randomized Clinical Trial.

    Science.gov (United States)

    Gallagher, Benjamin D; Moise, Nathalie; Haerizadeh, Mytra; Ye, Siqin; Medina, Vivian; Kronish, Ian M

    2017-04-01

    Medication nonadherence contributes to hospitalizations in recently discharged patients with heart failure (HF). We aimed to test the feasibility of telemonitoring medication adherence in patients with HF. We randomized 40 patients (1:1) hospitalized for HF to 30 days of loop diuretic adherence monitoring with telephonic support or to passive adherence monitoring alone. Eighty-three percent of eligible patients agreed to participate. The median age of patients was 64 years, 25% were female, and 45% were Hispanic. Overall, 67% of patients were nonadherent (percentage of days that the correct number of doses were taken telemonitoring was acceptable to most patients with HF. Diuretic nonadherence was common even when patients knew they were being monitored. Future studies should assess whether adherence telemonitoring can improve adherence and reduce readmissions among patients with HF. Copyright © 2016 Elsevier Inc. All rights reserved.

  19. Recent progress in AMS measurement of 182Hf at the CIAE

    Institute of Scientific and Technical Information of China (English)

    LI Zhen-Yu; LI Heng; WU Shao-Yong; YUAN Jian; JIANG Shan; HE Ming; DONG Ke-Jun; HE Guo-Zhu; LI Chao-Li; HE Xian-Wen; ZHANG Wei; HU Hao; ZHENG Guo-Wen

    2012-01-01

    In order to improve the accuracy of accelerator mass spectrometry (AMS) measurement for 182Hf/180Hf,a series of measurements have been taken in the AMS laboratory at the China Institute of Atomic Energy (CIAE).The major ones include the instantaneous monitoring of 180HfF-5current,testing the stability of transmission,the alternate measurements of an unknown sample and standard,and the origin identification and minimization of background 182W.The experimental details and the improvement in the measurement accuracy,as well as some useful suggestions for better satisfying the requirements of certain practical applications,are presented in this paper.

  20. An interprofessional workshop for students to improve communication and collaboration skills in end-of-life care.

    Science.gov (United States)

    Erickson, Jeanne M; Blackhall, Leslie; Brashers, Valentina; Varhegyi, Nikole

    2015-12-01

    Interprofessional care is critical for patients at the end of life (EOL), but programs to teach communication skills to medical and nursing students are rare. The aims of this study were to determine whether an interprofessional workshop improves (1) student attitudes toward teamwork and (2) self-efficacy for communicating in difficult situations. Nursing and medical students attended a workshop with collaborative role play of an EOL conversation. Before the workshop, students showed different attitudes toward teamwork and collaboration and varying levels of confidence about communication skills. After the workshop, both groups reported more positive attitudes toward teamwork but a mixed picture of confidence in communication. Experiential interprofessional education workshops enhance perceptions about the benefits of teamwork, but further teaching and evaluation methods are needed to maximize the effectiveness.

  1. Enhancement of Endurance in HfO2-Based CBRAM Device by Introduction of a TaN Diffusion Blocking Layer

    KAUST Repository

    Chand, Umesh

    2017-08-05

    We propose a new method to improve resistive switching properties in HfO2 based CBRAM crossbar structure device by introducing a TaN thin diffusion blocking layer between the Cu top electrode and HfO2 switching layer. The Cu/TaN/HfO2/TiN device structure exhibits high resistance ratio of OFF/ON states without any degradation in switching during endurance test. The improvement in the endurance properties of the Cu/TaN/HfO2/TiN CBRAM device is thus attributed to the relatively low amount of Cu migration into HfO2 switching layer.

  2. The study of multilayers Fe/Hf and Ni/Hf by slow positron beam technique

    Science.gov (United States)

    Tashiro, Mutsumi; Nakajyo, Terunobu; Murashige, Yusuke; Koizumi, Tomoya; Kanazawa, Ikuzo; Komori, Fumio; Soe, We-Hyo; Yamamoto, Ryoichi; Ito, Yasuo

    1997-05-01

    The S-parameters versus the incident positron energy are measured in the Ni/Hf multilayer, thin Hf film, thin Fe film and the bilayer Fe/Hf. We have analyzed the change in vacancy-type defects in these multilayers and thin films with the deposition temperature in the MBE system.

  3. Communication in high technology product development projects:project personnel’s viewpoint for improvement

    OpenAIRE

    Väänänen, M. (Mirja)

    2010-01-01

    Abstract Product development plays a crucial role in the survival of high technology companies. High technology product development projects typically are multi-technical, multicultural, geographically dispersed, inter-connected and organized in a network of companies. These settings pose extra challenges for communication. In this qualitative multiple-case study, communication challenges and possible solutions for developing communication were studied. The empirical data were collect...

  4. Improved interface properties of atomic-layer-deposited HfO{sub 2} film on InP using interface sulfur passivation with H{sub 2}S pre-deposition annealing

    Energy Technology Data Exchange (ETDEWEB)

    Jin, Hyun Soo [Department of Materials Science & Engineering, Hanyang University, Ansan 426-791 (Korea, Republic of); Cho, Young Jin [Inorganic Material Lab., Samsung Advanced Institute of Technology, Suwon 443-803 (Korea, Republic of); Department of Materials Science & Engineering and Inter-university Semiconductor Research Center, Seoul National University, Seoul 151-742 (Korea, Republic of); Seok, Tae Jun; Kim, Dae Hyun; Kim, Dae Woong [Department of Materials Science & Engineering, Hanyang University, Ansan 426-791 (Korea, Republic of); Lee, Sang-Moon [Process Development Team, Semiconductor R& D Center, Samsung Electronics Co. Ltd, Hwasung 445-701 (Korea, Republic of); Park, Jong-Bong; Yun, Dong-Jin [Analytical Engineering Group, Platform Technology Lab., Samsung Advanced Institute of Technology, Suwon 443-803 (Korea, Republic of); Kim, Seong Keun [Center for Electronic Materials, Korea Institute of Science and Technology, Seoul 136-791 (Korea, Republic of); Hwang, Cheol Seong, E-mail: cheolsh@snu.ac.kr [Department of Materials Science & Engineering and Inter-university Semiconductor Research Center, Seoul National University, Seoul 151-742 (Korea, Republic of); Park, Tae Joo, E-mail: tjp@hanyang.ac.kr [Department of Materials Science & Engineering, Hanyang University, Ansan 426-791 (Korea, Republic of)

    2015-12-01

    Highlights: • ALD HfO{sub 2} films were grown on InP for III–V compound-semiconductor-based devices. • S passivation was performed with (NH{sub 4}){sub 2}S solution and annealing under a H{sub 2}S atmosphere. • The H{sub 2}S annealing provided similar S profiles at the interface without surface damage. • The H{sub 2}S annealing was more effective to suppress interface state density due to thermal energy. - Abstract: Surface sulfur (S) passivation on InP substrate was performed using a dry process – rapid thermal annealing under H{sub 2}S atmosphere for III–V compound-semiconductor-based devices. The electrical properties of metal-oxide-semiconductor capacitor fabricated with atomic-layer-deposited HfO{sub 2} film as a gate insulator were examined, and were compared with the similar devices with S passivation using a wet process – (NH{sub 4}){sub 2}S solution treatment. The H{sub 2}S annealing provided solid S passivation with the strong resistance against oxidation compared with the (NH{sub 4}){sub 2}S solution treatment, although S profiles at the interface of HfO{sub 2}/InP were similar. The decrease in electrical thickness of the gate insulator by S passivation was similar for both methods. However, the H{sub 2}S annealing was more effective to suppress interface state density near the valence band edge, because thermal energy during the annealing resulted in stronger S bonding and InP surface reconstruction. Moreover, the flatband voltage shift by constant voltage stress was lower for the device with H{sub 2}S annealing.

  5. The art of communication: strategies to improve patient and information flow. Radiology perspective

    Energy Technology Data Exchange (ETDEWEB)

    Slovis, Thomas L. [Children' s Hospital of Michigan, Department of Pediatric Imaging, Detroit, MI (United States)

    2008-11-15

    The art of communication involves understanding the needs of the person with whom one is interacting. The radiologist must be an expediter and a consultant. Face-to-face, eyeball-to-eyeball communication is almost always best. Nonverbal communication must be aligned with verbal principles. The radiologist must build trust to have successful communication and fulfill the role of a consultant who adds value to a child's health care. This occurs most easily by increased visibility and face-to-face discussion. (orig.)

  6. Improving epidemiologic surveillance and health promoter training in rural Latin America through information and communication technologies.

    Science.gov (United States)

    Martínez, Andrés; López, Diego M; Sáez, Alberto; Seoane, Joaquín; Rendón, Alvaro; Shoemaker, Richard; Fernández, Ignacio

    2005-08-01

    This paper presents two technological developments oriented to increase the efficiency of the epidemiologic surveillance system and to improve the diagnostic and therapeutic capabilities of the rural establishments with only e-mail connectivity through wireless systems. The Telematics Department of the University of Cauca has developed a computerized epidemiologic surveillance system for the collecting, sending, processing, visualization, and feedback of epidemiologic information at national level. The use of the system in a pilot area has solved the problems of subregister, increasing the volume of data collection in 15%. The complete epidemiologic system is currently being implemented in 22 health care establishments in the Department of Cauca in Colombia. Likewise, the Technical University and Carlos III University of Madrid have developed a distance training system with a high-usability interface both for students and teachers. The system includes authoring, distribution, tracking, and visualization of courses synchronized through electronic mail messages in a clear way for the user. Both systems use a creative combination of e-mail and XML (eXtensible Markup Language)-based technologies, ready to be used through slow, intermittent, and asynchronous communication systems.

  7. A neural-network-based exponential H∞ synchronisation for chaotic secure communication via improved genetic algorithm

    Science.gov (United States)

    Hsiao, Feng-Hsiag

    2016-10-01

    In this study, a novel approach via improved genetic algorithm (IGA)-based fuzzy observer is proposed to realise exponential optimal H∞ synchronisation and secure communication in multiple time-delay chaotic (MTDC) systems. First, an original message is inserted into the MTDC system. Then, a neural-network (NN) model is employed to approximate the MTDC system. Next, a linear differential inclusion (LDI) state-space representation is established for the dynamics of the NN model. Based on this LDI state-space representation, this study proposes a delay-dependent exponential stability criterion derived in terms of Lyapunov's direct method, thus ensuring that the trajectories of the slave system approach those of the master system. Subsequently, the stability condition of this criterion is reformulated into a linear matrix inequality (LMI). Due to GA's random global optimisation search capabilities, the lower and upper bounds of the search space can be set so that the GA will seek better fuzzy observer feedback gains, accelerating feedback gain-based synchronisation via the LMI-based approach. IGA, which exhibits better performance than traditional GA, is used to synthesise a fuzzy observer to not only realise the exponential synchronisation, but also achieve optimal H∞ performance by minimizing the disturbance attenuation level and recovering the transmitted message. Finally, a numerical example with simulations is given in order to demonstrate the effectiveness of our approach.

  8. Improved Automatic Filtered Power Control Pumping Method for Uniform Shortpass Band in Optical Fiber Communications

    Science.gov (United States)

    Shen, Jyi-Lai; Huang, Hau-Min; Lee, Yueh-Chien; Huang, Chia-Chih; Lin, Huang-Cuang; Lin, Chin-Yuan

    2009-01-01

    To form a low noise figure and uniform shortpass band in optical fiber communications an improved automatic filtered power control (AFPC) pumping method is proposed here. A modulated single laser signal was entered in a closed feedback loop, in which the erbium-doped fiber amplifier (EDFA) was used as a part of the AFPC loop. Owing to the constant filtered signal and the quadrature phase shift delay inside the feedback loop, an optical pass band was uniformly formed. This EDFA attains high performance with a low noise figure simultaneously. The method was successfully applied to the fabrication of practical 12.0 m length of erbium-doped fiber pumped at 980 nm wavelength and 20 dBm power. Experiments prove that the signal gain of the loop remain flat in the range of 18.2 to 22.4 dB with a worst case error of ±0.5 dB and the noise figure was reduced by 2.2 dB at optimal, which correspond to a shortpass range of 40 nm band pass from 1525 nm to 1565 nm in wavelength. Of course, it should be possible to extent the system performance to all pumping configurations for semiconductor optical amplifiers. This provides the simplest and most economical way to transmit a well-defined band of modulated laser signal and to reject all other unwanted radiation.

  9. Improved performance of hybrid error control techniques for real-time digital communications over noisy channels

    Science.gov (United States)

    Yang, Charlie Qing

    1993-06-01

    Delay-related performance characteristics are investigated for asynchronous time division multiplexing links. Two methods based on an imbedded Markov chain model are developed and applied to the system with a noisy feedback channel yielding analytical expressions for the buffer occupancy and the block delay. A recursive expression for packet loss probability for systems with a finite transmitter buffer is obtained. The concept of delay limited error control coding is introduced for real-time communications. Performance improvement by truncation of a type-2 hybrid automatic repeat-request (ARQ) protocol with one retransmission is examined showing that the truncated protocol has a bounded delay and bounded queue length under typical conditions. The error performance of the truncated protocol is further analyzed for various mobile fading channels. Matched rate hybrid error control coding for both adaptive and non-adaptive cases is also studied. A new adaptive error control protocol using Reed-Solomon codes is proposed using novel feedback transmissions to achieve faster estimation of channel states. Numerical optimization is carried out by introducing overall and modified throughput as efficiency criteria. Based on channel bit error rate measurement, optimum overall throughput is obtained with minimum implementation complexity.

  10. The supportive care plan: a tool to improve communication in end-of-life care.

    Science.gov (United States)

    Thompson-Hill, Jane; Hookey, Claire; Salt, Emily; O'Neill, Trish

    2009-05-01

    The End of Life Care Strategy (Department of Health, 2008a) states that acute hospitals need mechanisms in place to ensure that people who are approaching the end of life have their needs assessed, their wishes and preferences discussed, and an agreed set of actions reflecting these choices recorded in a care plan. The Supportive Care Plan was designed to encourage discussion of patients' preferences for end-of-life care, and to provide a tool for recording those preferences and communicating them to other healthcare professionals. Initial analysis of the results of a pre- and post-implementation audit of patient notes suggests that there has been an improvement in the documentation about preferred place of care and patient and family understanding of the illness. Fifty per cent of patients who died with a Supportive Care Plan in place died in their first choice of place of care and 22% in their second choice. Feedback from patients and relatives was positive. The main barriers to implementation were difficulties for staff in prognostication, especially for patients with a non-cancer diagnosis, and a reluctance from staff to initiate discussions that were perceived to be too time-consuming. There were also concerns about dealing with the emotions that such a discussion may generate in both patients and relatives.

  11. Around the ß-Turn: An Activity to Improve the Communication and Listening Skills of Biochemistry Students

    Science.gov (United States)

    Mittendorf, Isaac; Cox, James R.

    2013-01-01

    An active-learning activity has been designed to improve communication and listening skills of students in an upper-level biochemistry course. The activity was modeled after "Around the Horn", a popular television show that features a moderator asking questions to various sports reporters and assessing their answers in scored sessions.…

  12. Improving 10th Graders' English Communicative Competence through the Implementation of the Task-Based Learning Approach

    Science.gov (United States)

    Buitrago Campo, Ana Carolina

    2016-01-01

    This article reports the results of an action-research project focused on improving students' communicative competence in English through the task-based learning approach. This study was conducted in a co-educational public school in Medellín (Colombia) with thirty-four tenth graders. Actions implemented include the development of a series of…

  13. More service of public utilities. Mobile data communication to improve maintenance services; Meer service. Mobiele datacommunicatie verbetert inzet onderhoudsdienst

    Energy Technology Data Exchange (ETDEWEB)

    Koenis, F.T.C. [KEMA Connect, Arnhem (Netherlands)

    2000-03-01

    Efficient data exchange between the energy company and its maintenance crew is important to be able to rapidly repair urgent failures. Wireless data communication can lead to cost reduction for the company, while at the same time the service to customers improves. 2 refs.

  14. The Effectiveness of a Joint Attention Training Program on Improving Communication Skills of Children with Autism Spectrum Disorder

    Science.gov (United States)

    Eissa, Mourad Ali

    2015-01-01

    The purpose of this study was to explore the effect of a joint attention intervention program on improving joint attention and communication skills in children with autism disorder. Participants were ten children between the ages of five and seven who attended a school for children with developmental disabilities (Tarbya Fekrya ). A pre-post…

  15. Status Quo and Development of HF Token Ring Protocol%短波令牌环协议的研究现状与发展

    Institute of Scientific and Technical Information of China (English)

    贺骁; 李曼; 白翔; 刘芸江

    2014-01-01

    合适的多址接入协议是提升网络性能的关键。将无竞争的短波令牌环协议应用于短波数据通信网络,能有效避免数据冲突,提供较好的网络吞吐量和接入时延,更有利于发挥短波抗毁能力强、通信距离远的优点。总结了短波令牌环协议的基本概况,从令牌中继机制、病态网络拓扑结构、令牌环融合、节点状态转移等方面,归纳并分析了协议在运行机制方面的最新研究,并指出了需要解决的问题和今后的研究方向。%Appropriate multi-access( MAC) protocol is the key to improving the network performance. The application of contention-free high frequency ( HF) token ring protocol in the HF data communication net-work can effectively avoid data collision, offer better network throughput and access time-delaying, and thus is beneficial for HF to bringing its superiority of strong resistance and long communication distance in-to full play. This paper summarizes the basic profile of HF token ring protocol. From the aspects of relay mechanism, pathological topologies, merging process of token ring and node state transition, the latest re-search on operating mechanism of the protocol is highlighted and research direction for the future work also pointed out.

  16. Veterinarian-Client Communication Skills: Current State, Relevance, and Opportunities for Improvement.

    Science.gov (United States)

    McDermott, Michael P; Tischler, Victoria A; Cobb, Malcolm A; Robbé, Iain J; Dean, Rachel S

    2015-01-01

    Communication is increasingly recognized as a core skill for veterinary practitioners, and in recent years, attention to communication competency and skills training has increased. To gain an up-to-date assessment of the current state of veterinary communication skills and training, we conducted a survey among veterinary practitioners in the United Kingdom and United States in 2012/2013. The questionnaire was used to assess the current state, relevance, and adequacy of veterinary communication skills among veterinary practitioners, to assess interest in further training, and to understand perceived challenges in communicating with clients. There was an overall response rate of 29.6% (1,774 of 6,000 recipients), with a higher response rate for UK-based practitioners (39.7%) than practitioners in the US (19.5%). Ninety-eight percent of respondents agreed that communication skills were as important as or more important than clinical knowledge. Forty-one percent of respondents had received formal veterinary communication skills training during veterinary school, and 47% had received training post-graduation. Thirty-five percent said their veterinary communication skills training during veterinary school prepared them well or very well for communicating with clients about the health of their pets, compared to 61% of those receiving post-graduate training. Forty percent said they would be interested in further veterinary communication skills training, with the preferred methods being simulated consultations and online training. While there has been increased emphasis on communication skills training during and after veterinary school, there is a need for more relevant and accessible training.

  17. HF radiation emitted by chaotic leader processes

    Science.gov (United States)

    Mäkelä, J. S.; Edirisinghe, M.; Fernando, M.; Montaño, R.; Cooray, V.

    2007-04-01

    This paper presents direct measurements of narrowband 10 MHz HF radiation from so-called “chaotic leaders” associated with subsequent return strokes. Although the term is controversial and poorly defined, we find that more than 30% of subsequent strokes in close lightning flashes contain electric field characteristics that are best described as “chaotic”. In earlier studies, return strokes have consistently been observed to be the strongest sources of HF radiation, but the results for leader processes are less consistent. We also observe return strokes to be the main HF emitter, and the leaders before the first return stroke in a flash sequence also emit HF though somewhat less intensely. The leaders preceding subsequent strokes typically emit little or no HF radiation, whether they are dart or dart-stepped leaders. However, it was observed that the presence of a chaotic component increases the leader HF intensity dramatically Defining the HF intensity unequivocally can be problematic for processes like chaotic leaders which have a combination of continuous and impulsive phenomena. Two time-domain methods were used to measure the HF intensity, the peak energy and the RMS energy. In the frequency domain these correspond to the energy spectral density (ESD) and power spectral density (PSD), respectively. It was found that the methods are not necessarily compatible. Thus, it is suggested that to clarify future work, leader processes should be characterized by the PSD rather than the ESD.

  18. Ferroelectric-field-effect-enhanced resistance performance of TiN/Si:HfO2/oxygen-deficient HfO2/TiN resistive switching memory cells

    Science.gov (United States)

    Jiang, Ran; Wu, Zhengran; Du, Xianghao; Han, Zuyin; Sun, Weideng

    2015-07-01

    Greatly improved resistance performance, including high resistance ratio between the high resistance state and the low resistance state, long-time retention, and reliable endurance, was observed in TiN/Si:HfO2/oxygen-deficient HfO2/TiN memory cells. The enhanced resistance ratio is ascribed to the creation/elimination of an extra barrier in oxygen-deficient HfO2 layer in response to the polarization reversal in the ferroelectric Si:HfO2 layer. Along with the enhanced resistance ratio, the long retention and good endurance make the proposed device a promising candidate for non-volatile resistive memories.

  19. Innovative Resources Based on ICTs and Authentic Materials to Improve EFL Students' Communicative Needs

    Science.gov (United States)

    González Otero, Rebeca

    2016-01-01

    Our global society and our current communication needs have put a strain on English as a Foreign Language (EFL) teaching, since common resources such as textbooks may fail to adapt to the needs and interests of our students. The present action research study aims at identifying EFL students' communicative needs and developing their oral skills…

  20. Digital Games and Assistive Technology: Improvement of Communication of Children with Cerebral Palsy

    Science.gov (United States)

    Ferreira, Maria Inês Jesus; Travassos, Xisto Lucas; Sampaio, Renelson; Pereira-Guizzo, Camila de Sousa

    2013-01-01

    This paper aims to analyze the frequency of occurrence of different forms of communication in nonspeaking children during activities with digital games. The participants in this study were three children with multiple disabilities, whose limitations were due to cerebral palsy. All the children had severe oral communication disabilities. Three…

  1. The Importance of Oral Communication Skills and a Graduate Course to Help Improve These Skills

    Science.gov (United States)

    Wilkes, Garth L.

    2012-01-01

    This article addresses the importance of oral communication and many of its fundamental underlying principles. Emphasis is placed on oral presentations, particularly those used in science and engineering. Following this, the author provides a brief outline of an elective graduate level oral communications course that was developed and utilized to…

  2. Enhancing Parent-Teacher Communication Using Technology: A Reading Improvement Clinic Example

    Science.gov (United States)

    Merkley, Donna; Schmidt, Denise; Dirksen, Carrie; Fuhler, Carol

    2006-01-01

    Effective communication between homes and schools can be essential in helping students experience success in the classroom. Unfortunately, the topic of establishing mechanisms for meaningful parent-teacher communication is often slighted during the preparation of teachers. New teachers entering classrooms need the opportunity to interact and…

  3. Improving Communication Between Senior Air Force Leadership and Troops in the Field

    Science.gov (United States)

    2002-04-01

    leaders do not fill this void by transmitting it to them, (2) the fact that individuals will construe meaning from a lack of leadership communication , and...Transmitting a vision also helps by preventing members from attributing meaning to a void in leadership communication . If there is a lack of

  4. Improving the Effectiveness of Communication Headsets with Active Noise Reduction: Influence of Control Structure

    Science.gov (United States)

    2005-04-01

    for two circumaural communication headsets with similar passive, and active, noise reductions, one with an analog feedback control system and the...the feedback control system to maintain stability of the feedback loop, as well as the presence of communication sounds sensed by the control

  5. Conflict and Stress in Hospital Nursing: Improving Communicative Responses to Enduring Professional Challenges.

    Science.gov (United States)

    Moreland, Jennifer J; Apker, Julie

    2016-07-01

    Nurses function as central figures of health teams, coordinating direct care and communication between team members, patients, and their families. The importance of nurses to health care cannot be understated, but neither can the environmental struggles nurses routinely encounter in their jobs. Organizational communication and nursing scholarship show conflict and stress as two visible and ongoing challenges. This case study aims to (a) explore the ways conflict communication and communicative stress are experienced and endure in nursing and (b) understand how nurses discursively (mis)manage conflict and stress. Open-ended survey comments from nurses (N = 135) employed at a large teaching and research hospital were qualitatively analyzed. Weick's model of organizing, specifically his notion of communication cycles, emerged as a conceptual lens helpful for understanding cyclical conflict and stress. Results show that exclusionary communication, specifically nonparticipatory and unsupportive messages, contribute to nurse conflict and stress. Nurses tend to (mis)manage conflict and stress using respectful and disrespectful discourse. These communication patterns can facilitate or prohibit positive change. Metaphorically, nurse communicative conflict and stress can be depicted as fire. Relationships can go up in flames due to out-of-control fires in the form of destructive conflict. However, conflict and stress, like fire, can be harnessed for positive ends such as organizational decision making and innovation. Findings suggest conveying respect may help nurses manage and even avoid flames of conflict and stress. Solutions are offered to mitigate the effects of conflict and stress while developing respectful organizational cultures.

  6. The Importance of Oral Communication Skills and a Graduate Course to Help Improve These Skills

    Science.gov (United States)

    Wilkes, Garth L.

    2012-01-01

    This article addresses the importance of oral communication and many of its fundamental underlying principles. Emphasis is placed on oral presentations, particularly those used in science and engineering. Following this, the author provides a brief outline of an elective graduate level oral communications course that was developed and utilized to…

  7. Does local government staff perceive digital communication with citizens as improved service?

    DEFF Research Database (Denmark)

    Berger, Jesper B.; Hertzum, Morten; Schreiber, Trine Louise

    2016-01-01

    Digital communication between government and citizens is pivotal to e-government. The Danish e-government initiative Digital Post aims to digitize all communication between government and citizens. We surveyed local government staff about how Digital Post affects the service delivered to citizens...

  8. Improving the Business Communication Skills of Postgraduate Internal Audit Students: A South African Teaching Innovation

    Science.gov (United States)

    Plant, Kato; Slippers, Jana

    2015-01-01

    This article reports on the introduction of a business communication course in the curriculum of postgraduate internal audit students at a higher education institution in South Africa. Internal auditors should have excellent verbal and written communication skills in performing value-adding assurance and consulting services to their engagement…

  9. Improving the Business Communication Skills of Postgraduate Internal Audit Students: A South African Teaching Innovation

    Science.gov (United States)

    Plant, Kato; Slippers, Jana

    2015-01-01

    This article reports on the introduction of a business communication course in the curriculum of postgraduate internal audit students at a higher education institution in South Africa. Internal auditors should have excellent verbal and written communication skills in performing value-adding assurance and consulting services to their engagement…

  10. Research and Teaching: Encouraging Science Communication in an Undergraduate Curriculum Improves Students' Perceptions and Confidence

    Science.gov (United States)

    Train, Tonya Laakko; Miyamoto, Yuko J.

    2017-01-01

    The ability to effectively communicate science is a skill sought after by graduate and professional schools as well as by employers in science-related fields. Are content-heavy undergraduate science curricula able to incorporate opportunities to develop science communication skills, and is promoting these skills worth the time and effort? The…

  11. Designing Better Preschools: Improving Communication between Designers and Child Development Professionals

    Science.gov (United States)

    Beacham, Cindy V.

    2006-01-01

    This exploratory study examined communications between designers and child development professionals during the preschool design process. Qualitative interviews and focus groups were conducted to investigate the need for communication support between child development professionals, parents, and design professionals (n = 20) during the process of…

  12. Improving students' confidence levels in communicating with patients and introducing students to the importance of history taking

    Energy Technology Data Exchange (ETDEWEB)

    Halkett, Georgia K.B., E-mail: g.halkett@curtin.edu.a [WA Centre for Cancer and Palliative Care/Curtin Health Innovation Research Institute, Curtin University of Technology, Perth, Western Australia (Australia); Department of Imaging and Applied Physics, Curtin University of Technology, Perth, Western Australia (Australia); McKay, Janice [Department of Imaging and Applied Physics, Curtin University of Technology, Perth, Western Australia (Australia); Shaw, Therese [Child Health Promotion Research Centre, School of Exercise, Biomedical and Health Sciences, Edith Cowan University, Perth, Western Australia (Australia)

    2011-02-15

    Background: Radiographers can have a marked impact on the way patients deal with their illness because they are often one of the first health professionals that patients see. Therefore, it is essential that radiographers have effective communication skills and are able to provide patients with the information they require. The purpose of this study was to test whether the introduction of additional education on communication and history taking improved students' communication skills. Methods: A short program on communication skills and history taking was introduced to third year undergraduate students prior to a clinical placements period. Three workshops were run; the third included a role play exercise using professional actors as simulated patients. Students completed questionnaires at baseline, following the three workshops and after their subsequent clinical placement. Descriptive statistics were calculated and logistic regression Generalized Estimating Equations models were fitted to test for differences over time in students' confidence levels. Results: Twenty-seven out of 36 students completed the baseline and final surveys. Students indicated they were highly satisfied with the workshops provided. Statistically significant differences were observed for seven items relating to student's confidence levels in communicating with patients after they had participated in the workshops and their subsequent clinical placement. Conclusion: The use of communication skills workshops involving actor/patients is an effective method of assisting students to develop their communication and history taking skills. This program has now been implemented into the mentioned undergraduate course and it is recommended that radiography students at other institutions be provided with the opportunity to develop their communication and history taking skills.

  13. HfS, Hyperfine Structure Fitting Tool

    CERN Document Server

    Estalella, Robert

    2016-01-01

    HfS is a tool to fit the hyperfine structure of spectral lines, with multiple velocity components. The HfS_nh3 procedures included in HfS fit simultaneously the hyperfine structure of the NH$_3$ (J,K)= (1,1) and (2,2) transitions, and perform a standard analysis to derive $T_\\mathrm{ex}$, NH$_3$ column density, $T_\\mathrm{rot}$, and $T_\\mathrm{k}$. HfS uses a Monte Carlo approach for fitting the line parameters. Especial attention is paid to the derivation of the parameter uncertainties. HfS includes procedures that make use of parallel computing for fitting spectra from a data cube.

  14. Translating medical documents improves students' communication skills in simulated physician-patient encounters.

    Science.gov (United States)

    Bittner, Anja; Bittner, Johannes; Jonietz, Ansgar; Dybowski, Christoph; Harendza, Sigrid

    2016-02-27

    Patient-physician communication should be based on plain and simple language. Despite communication skill trainings in undergraduate medical curricula medical students and physicians are often still not aware of using medical jargon when communicating with patients. The aim of this study was to compare linguistic communication skills of undergraduate medical students who voluntarily translate medical documents into plain language with students who do not participate in this voluntary task. Fifty-nine undergraduate medical students participated in this study. Twenty-nine participants were actively involved in voluntarily translating medical documents for real patients into plain language on the online-platform https://washabich.de (WHI group) and 30 participants were not (non-WHI group). The assessment resembled a virtual consultation hour, where participants were connected via skype to six simulated patients (SPs). The SPs assessed participants' communication skills. All conversations were transcribed and assessed for communication skills and medical correctness by a blinded expert. All participants completed a self-assessment questionnaire on their communication skills. Across all raters, the WHI group was assessed significantly (p = .007) better than the non-WHI group regarding the use of plain language. The blinded expert assessed the WHI group significantly (p = .018) better regarding the use of stylistic devices of communication. The SPs would choose participants from the WHI group significantly (p = .041) more frequently as their personal physician. No significant differences between the two groups were observed with respect to the medical correctness of the consultations. Written translation of medical documents is associated with significantly more frequent use of plain language in simulated physician-patient encounters. Similar extracurricular exercises might be a useful tool for medical students to enhance their communication skills with

  15. THE IMPORTANCE OF PROJECT-BASED METHOD FOR FORMATION AND IMPROVING OF FOREIGN COMMUNICATIVE COMPETENCE IN BLENDED LEARNING

    Directory of Open Access Journals (Sweden)

    Alla O. Shcheglova

    2016-07-01

    Full Text Available Project-based method in teaching English is explored in the article. Its role for students' communicative competence development is defined. The study analyzes the factors affecting speaking skills. The article presents the detailed analysis of blended learning system, and project-based method with multimedia technology usage as a means of communication skills improving for students of non-linguistic specialties at the National University of Food Technologies. It has been proved that efficiency of speaking skills directly depends on students' engagement in the tasks, that is fully covered by project method, which is optimum in blended learning system.

  16. Integrating design science theory and methods to improve the development and evaluation of health communication programs.

    Science.gov (United States)

    Neuhauser, Linda; Kreps, Gary L

    2014-12-01

    Traditional communication theory and research methods provide valuable guidance about designing and evaluating health communication programs. However, efforts to use health communication programs to educate, motivate, and support people to adopt healthy behaviors often fail to meet the desired goals. One reason for this failure is that health promotion issues are complex, changeable, and highly related to the specific needs and contexts of the intended audiences. It is a daunting challenge to effectively influence health behaviors, particularly culturally learned and reinforced behaviors concerning lifestyle factors related to diet, exercise, and substance (such as alcohol and tobacco) use. Too often, program development and evaluation are not adequately linked to provide rapid feedback to health communication program developers so that important revisions can be made to design the most relevant and personally motivating health communication programs for specific audiences. Design science theory and methods commonly used in engineering, computer science, and other fields can address such program and evaluation weaknesses. Design science researchers study human-created programs using tightly connected build-and-evaluate loops in which they use intensive participatory methods to understand problems and develop solutions concurrently and throughout the duration of the program. Such thinking and strategies are especially relevant to address complex health communication issues. In this article, the authors explore the history, scientific foundation, methods, and applications of design science and its potential to enhance health communication programs and their evaluation.

  17. Aspects of HF radio propagation

    Directory of Open Access Journals (Sweden)

    Stephane Saillant

    2009-06-01

    Full Text Available

    radio systems. From the point of view Working Group 2 of the COST 296 Action, interest lies with effects associated

    with propagation via the ionosphere of signals within the HF band. Several aspects are covered in this paper:

    a The directions of arrival and times of flight of signals received over a path oriented along the trough have

    been examined and several types of propagation effects identified. Of particular note, combining the HF observations

    with satellite measurements has identified the presence of irregularities within the floor of the trough that

    result in propagation displaced from the great circle direction. An understanding of the propagation effects that

    result in deviations of the signal path from the great circle direction are of particular relevance to the operation

    of HF radiolocation systems.

    b Inclusion of the results from the above mentioned measurements into a propagation model of the northerly

    ionosphere (i.e. those regions of the ionosphere located poleward of, and including, the mid-latitude trough

    and the use of this model to predict the coverage expected from transmitters where the signals impinge on the

    northerly ionosphere

  18. Improving internal communication between marketing and technology functions for successful new food product development

    NARCIS (Netherlands)

    Jacobsen, L.F.; Grunert, K.G.; Søndergaard, H.A.; Steenbekkers, B.; Dekker, M.; Lähteenmäki, L.

    2014-01-01

    In order to increase the new product development (NPD) success for novel food products, it is crucial to understand how information can be optimally disseminated within companies. This systematic literature review concentrates on factors influencing internal communication between market and

  19. Learning from Mistakes in the Media to Improve the Communication of Wood Bioenergy Research

    Directory of Open Access Journals (Sweden)

    Brooks C. Mendell

    2013-11-01

    Full Text Available Successful applied research into wood bioenergy requires communication of meaningful insights to inform decision-makers and the general public. Effective communication strategies make such insights accessible. However, recent media reports often exhibit a near total absence of findings from peer-reviewed or quantitative research, highlighting a failure to communicate between applied researchers and reporters. As a result, the general public’s understanding of wood-based bioenergy remains incomplete. At a minimum, researchers can address three common lapses when communicating results of their research related to wood-based energy to increase the public’s access to technical results. First, provide context to give policymakers a sense, on a relative basis, of the importance of a given issue. Second, properly distinguish between “causal” relationships and mere happenstance or correlations. And finally, confirm facts and conclusions. Faulty assertions can cast doubts on the broader work and body of research.

  20. Bringing in the "CIA": A New Process to Improve Staff Communication.

    Science.gov (United States)

    Hunter, Rebecca; Mitchell, Jinjer; Loomis, Elena

    2015-01-01

    Nurses consistently express dissatisfaction with the overwhelming amount and rate of change in health care today. Nurse educators identified this as a problem at a 475-bed hospital and developed a process to present changes in information in a new and exciting method. This article reports on the identification and implementation of the new communication model and the lessons learned during the process. A new method for communication dissemination was designed utilizing a "Coordinator Information Advisory Group" concept.

  1. Personal advisors for business professionals: improving communication skills with online corpora

    OpenAIRE

    Vieira, Nataliya

    2014-01-01

    The business sphere is a multilingual world where foreign language communication skills are crucial in international relations. It makes employers look for business professionals who have a high level of linguistic competences. Language proficiency increases the chances of negotiation among partners. There are mainly two obstacles that make barriers in formal communication in a foreign language: lack of knowledge of specific linguistic structures or terminology and frequent transitions fro...

  2. Improved steady-state stability of power grids with a communication infrastructure

    OpenAIRE

    Gajduk, Andrej; Todorovski, Mirko; Kocarev, Ljupco

    2014-01-01

    Efficient control of power systems is becoming increasingly difficult as they gain in complexity and size. We propose an automatic control strategy that regulates the mechanical power output of the generators in a power grid based on information obtained via a communication infrastructure. An algorithm that optimizes steady-state stability of a power grid by iteratively adding communication links is presented. The proposed control scheme is successfully applied to the IEEE New England and IEE...

  3. Information and communication technology systems to improve quality of life and safety of Alzheimer's disease patients: a multicenter international survey.

    Science.gov (United States)

    Pilotto, Alberto; D'Onofrio, Grazia; Benelli, Edoardo; Zanesco, Antonio; Cabello, Ana; Margelí, M Carmen; Wanche-Politis, Sophia; Seferis, Kostas; Sancarlo, Daniele; Kilias, Dimitrios

    2011-01-01

    Within the frame of the European Commission funded Smart Home for Elderly People (HOPE) Project, relatives/caregivers of 223 Alzheimer's Disease (AD) patients were recruited in Italy, Spain, and Greece for a multicenter international survey on the potential role of Information and Communication Technology system (ICT-systems) for AD patients. A five-minute video on HOPE ICT-systems was shown, and all relatives/caregivers completed a 13-item questionnaire that evaluated the potential role of: A) ICT-systems in improving quality of life, care, and safety; B) devices for monitoring personal movements, medication use, and ambient environmental conditions; C) devices to improve communication, home-based rehabilitation, and reduction of specific risks; and D) possible agreement in using ICT-systems by AD patients. Relatives/caregivers reported that ICT-systems could be very useful to improve: A) quality of life (66.4%), care (56.1%), and safety (87.0%); B) monitoring bed rest and movements (80.7%), medication use (87.4%), and ambient environmental conditions (85.2%); and C) emergency communication (83.4%). Relatives/caregivers reported that ICT-systems could be significantly more useful for AD patients aged 75-84 than patients aged educational level considered ICT-systems more useful than relatives/caregivers aged educational level (p ICT-system could be useful to improve the management of AD patients.

  4. Computed tomographic coronary angiography for patients with heart failure (CTA-HF): a randomized controlled trial (IMAGE HF Project 1-C).

    Science.gov (United States)

    Chow, Benjamin J W; Green, Rachel E; Coyle, Doug; Laine, Mika; Hanninen, Helena; Leskinen, Hanna; Rajda, Miroslav; Larose, Eric; Hartikainen, Juha; Hedman, Marja; Mielniczuk, Lisa; O'Meara, Eileen; deKemp, Robert A; Klein, Ran; Paterson, Ian; White, James A; Yla-Herttuala, Seppo; Leber, Alex; Tandon, Vikas; Lee, Ting; Al-Hesayen, Abdul; Hessian, Renee; Dowsley, Taylor; Kass, Malek; Kelly, Cathy; Garrard, Linda; Tardif, Jean-Claude; Knuuti, Juhani; Beanlands, Rob S; Wells, George A

    2013-12-26

    The prevalence of heart failure (HF) is rising in industrialized and developing countries. Though invasive coronary angiography (ICA) remains the gold standard for anatomical assessment of coronary artery disease in HF patients, alternatives are being sought. Computed tomographic coronary angiography (CTA) has emerged as an accurate non-invasive diagnostic tool for coronary artery disease (CAD) and has been demonstrated to have prognostic value. Whether or not CTA can be used in HF patients is unknown. Acknowledging the aging population, the growing prevalence of HF and the increasing financial burden of healthcare, we need to identify non-invasive diagnostic tests that are available, safe, accurate and cost-effective. The proposed study aims to provide insight into the efficacy of CTA in HF patients. A multicenter randomized controlled trial will enroll 250 HF patients requiring coronary anatomical definition. Enrolled patients will be randomized to either CTA or ICA (n = 125 per group) as the first test to define coronary anatomy. The primary outcomes will be collected to determine downstream resource utilization. Secondary outcomes will include the composite clinical events and major adverse cardiac events. In addition, the accuracy of CTA for detecting coronary anatomy and obstruction will be assessed in patients who subsequently undergo both CTA and ICA. It is expected that CTA will be a more cost-effective strategy for diagnosis: yielding similar outcomes with fewer procedural risks and improved resource utilization. ClinicalTrials.gov, NCT01283659. Team grant #CIF 99470.

  5. Impact of a brief patient and provider intervention to improve the quality of communication about medication adherence among HIV patients.

    Science.gov (United States)

    Beach, Mary Catherine; Roter, Debra L; Saha, Somnath; Korthuis, P Todd; Eggly, Susan; Cohn, Jonathan; Sharp, Victoria; Moore, Richard D; Wilson, Ira B

    2015-09-01

    Medication adherence is essential in HIV care, yet provider communication about adherence is often suboptimal. We designed this study to improve patient-provider communication about HIV medication adherence. We randomized 26 providers at three HIV care sites to receive or not receive a one-hour communication skills training based on motivational interviewing principles applied to medication adherence. Prior to routine office visits, non-adherent patients of providers who received the training were coached to discuss adherence with their providers. Patients of providers who did not receive the training providers were not coached. We audio-recorded and coded patient-provider interactions using the roter interaction analysis system (RIAS). There was more dialogue about therapeutic regimen in visits with intervention patients and providers (167 vs 128, respectively, p=.004), with the majority of statements coming from providers. These visits also included more brainstorming solutions to nonadherence (41% vs. 22%, p=0.026). Intervention compared with control visit providers engaged in more positive talk (44 vs. 38 statements, p=0.039), emotional talk (26 vs. 18 statements, ppatient opinion (3 vs. 2 statements, p=0.009). A brief provider training combined with patient coaching sessions, improved provider communication behaviors and increased dialogue regarding medication adherence. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

  6. Improving 10th Graders’ English Communicative Competence Through the Implementation of the Task-Based Learning Approach

    Directory of Open Access Journals (Sweden)

    Ana Carolina Buitrago Campo

    2016-07-01

    Full Text Available This article reports the results of an action-research project focused on improving students’ communicative competence in English through the task-based learning approach. This study was conducted in a co-educational public school in Medellín (Colombia with thirty-four tenth graders. Actions implemented include the development of a series of tasks and the definition of four thematic units consistent with the syllabus and students’ interests and needs. The results evidence students’ significant improvements in their communicative competence in English. Findings also show that implementation of the task-based approach was affected by factors related to the teachers’ role and others related to students’ performance.

  7. Ergonomics action research II: a framework for integrating HF into work system design.

    Science.gov (United States)

    Neumann, W P; Village, J

    2012-01-01

    This paper presents a conceptual framework that can support efforts to integrate human factors (HF) into the work system design process, where improved and cost-effective application of HF is possible. The framework advocates strategies of broad stakeholder participation, linking of performance and health goals, and process focussed change tools that can help practitioners engage in improvements to embed HF into a firm's work system design process. Recommended tools include business process mapping of the design process, implementing design criteria, using cognitive mapping to connect to managers' strategic goals, tactical use of training and adopting virtual HF (VHF) tools to support the integration effort. Consistent with organisational change research, the framework provides guidance but does not suggest a strict set of steps. This allows more adaptability for the practitioner who must navigate within a particular organisational context to secure support for embedding HF into the design process for improved operator wellbeing and system performance. There has been little scientific literature about how a practitioner might integrate HF into a company's work system design process. This paper proposes a framework for this effort by presenting a coherent conceptual framework, process tools, design tools and procedural advice that can be adapted for a target organisation.

  8. Improving written and verbal communication skills for international medical graduates: a linguistic and medical approach.

    Science.gov (United States)

    Cross, Duncan; Smalldridge, Ann

    2011-01-01

    Adapting to UK communication styles can be difficult for International Medical Graduates (IMGs). Reache Northwest provides education, training and support for internationally trained refugee and asylum seeking health professionals who are looking to return to work in the UK. A Safe and Effective Communication Skills course was designed by a team of language teachers and clinicians to provide IMGs with an understanding of the written, verbal and summarisation skills required in the UK work environment. A series of language exercises adapted to clinical situations was developed. These increased in complexity to the practical application of language skills in clinical settings using simulated patients. The combination of language and clinical tutors meant that feedback could be given from a language teacher's perspective, the clinical perspective and the cultural context. The combination of language and clinical tutors meant that analysis of communication difficulties could be made from different perspectives and detailed, specific feedback could be given to each student in these areas. Using a combined linguistic and clinical approach can provide solutions to clinical communication problems that may otherwise be missed. This strategy could be extended to cover communication areas in other contexts.

  9. A System Design Requirements Tool for Satellite Communications through Nuclear-Induced Scintillation

    Science.gov (United States)

    1987-04-10

    34The [Improvement of Digital HF Comunications through Coding: I- Interleaved Cyclic Coding," IEEE Trans. Com., Vol. COM-16, Dec. 1968, pp. 771-. e S5...R860135-B 14. Natalie, "AFC Tracking Algorithms," IEEE Trans. Comm., Vol. COM-32, No. 8, August 1984, pp. 935-. 15. Proakis , Digital Communications...is reprocessed to format it as input to the second. An implicit consequence is that the output data from the first run must be digital symbol decisions

  10. HF radio systems and circuits

    CERN Document Server

    Sabin, William

    1998-01-01

    A comprehensive reference for the design of high frequency communications systems and equipment. This revised edition is loaded with practical data, much of which cannot be found in other reference books. Its approach to the subject follows the needs of an engineer from system definition and performance requirements down to the individual circuit elements that make up radio transmitters and receivers. The accompanying disk contains updated software on filters, matching networks and receiver analysis. SciTech Publishing also provides many other products related to Communication Systems Design.

  11. ANALYZING THE CONSUMER PROFILING FOR IMPROVING EFFORTS OF INTEGRATED MARKETING COMMUNICATION

    Directory of Open Access Journals (Sweden)

    Olimpia OANCEA

    2014-06-01

    Full Text Available In an economy with a strong concurential character, organizations must capitalize the integrated marketing communication in the most effective way, to ensure the creation and maintenance of long-term relationships with current and potential customers. Building and managing the relationships with customers can have a direct and favourable effect on the efficiency of an organization's communication efforts. The integrated marketing communication identifies with the nowadays market dynamics and learns the organizations how easy can be to prosper in an environment where changes occur in an alarming way. Therefore, the purpose of this paper is to analyze the socio-demographic profile of the consumers of bread in Arges County, as well as the preferences and purchasing behaviour at the level of the market segments identified using the K-Means Cluster Analysis method.

  12. ANALYZING THE CONSUMER PROFILING FOR IMPROVING EFFORTS OF INTEGRATED MARKETING COMMUNICATION

    Directory of Open Access Journals (Sweden)

    Olimpia OANCEA

    2014-06-01

    Full Text Available In an economy with a strong concurential character, organizations must capitalize the integrated marketing communication in the most effective way, to ensure the creation and maintenance of long-term relationships with current and potential customers. Building and managing the relationships with customers can have a direct and favourable effect on the efficiency of an organization's communication efforts. The integrated marketing communication identifies with the nowadays market dynamics and learns the organizations how easy can be to prosper in an environment where changes occur in an alarming way. Therefore, the purpose of this paper is to analyze the socio-demographic profile of the consumers of bread in Arges County, as well as the preferences and purchasing behaviour at the level of the market segments identified using the K-Means Cluster Analysis method.

  13. Does local government staff perceive digital communication with citizens as improved service?

    DEFF Research Database (Denmark)

    Berger, Jesper B.; Hertzum, Morten; Schreiber, Trine Louise

    2016-01-01

    Digital communication between government and citizens is pivotal to e-government. The Danish e-government initiative Digital Post aims to digitize all communication between government and citizens. We surveyed local government staff about how Digital Post affects the service delivered to citizens....... As much as 82% of the 448 respondents considered digital communication with citizens using Digital Post a good idea, yet 47% reported concrete incidents in which they perceived a decrease in service with Digital Post. This result shows the importance of distinguishing between the overall service...... relationship and the concrete incidents of which the service consists. We discuss interactions between the relationship level and the incident level of Digital Post on the basis of a content analysis of the respondents’ incident descriptions....

  14. HF Transverse Segmentation and Tagging Jet Capability

    CERN Document Server

    Doroshkevich, E A; Kuleshov, Sergey

    1998-01-01

    So called tagging jets and pile-up were simulated for the optimisation of the HF segmentation. The energy resolution, angular resolution and efficiency of jet reconstruction are defined for different calorimeter segmentation.

  15. Collisional quenching of highly rotationally excited HF

    CERN Document Server

    Yang, Benhui; Forrey, R C; Stancil, P C; Balakrishnan, N

    2015-01-01

    Collisional excitation rate coefficients play an important role in the dynamics of energy transfer in the interstellar medium. In particular, accurate rotational excitation rates are needed to interpret microwave and infrared observations of the interstellar gas for nonlocal thermodynamic equilibrium line formation. Theoretical cross sections and rate coefficients for collisional deexcitation of rotationally excited HF in the vibrational ground state are reported. The quantum-mechanical close-coupling approach implemented in the nonreactive scattering code MOLSCAT was applied in the cross section and rate coefficient calculations on an accurate 2D HF-He potential energy surface. Estimates of rate coefficients for H and H$_2$ colliders were obtained from the HF-He collisional data with a reduced-potential scaling approach. The calculation of state-to-state rotational quenching cross sections for HF due to He with initial rotational levels up to $j=20$ were performed for kinetic energies from 10$^{-5}$ to 15000...

  16. Microhardness evaluation alloys Hf-Si-B; Avaliacao de microdureza de ligas Hf-Si-B

    Energy Technology Data Exchange (ETDEWEB)

    Gigolotti, Joao Carlos Janio; Costa, Eliane Fernandes Brasil [Centro Universitario de Volta Redonda (UNIFOA), Volta Redonda, RJ (Brazil); Nunes, Carlos Angelo; Rocha, Elisa Gombio; Coelho, Gilberto Carvalho, E-mail: carlosjanio@uol.com.br, E-mail: eliane-costabrasi@hotmail.com, E-mail: cnunes@demar.eel.usp.br, E-mail: elisarocha@alunos.eel.usp.br, E-mail: coelho@demar.eel.usp.br [Universidade de Sao Paulo (USP), Lorena, SP (Brazil)

    2014-08-15

    The technological advance has generated increasing demand for materials that can be used under high temperature, what includes intermetallic MR-Si-B (MR = refractory metal) alloys with multiphase structures, that can also be applied in oxide environments. Thus, this work had for objective the micro hardness study of the Hf-Si-B system alloys, heat treated at 1600 deg C, in the Hf rich region. Hf-Si-B alloys had been produced with blades of Hf (min. 99.8%), Si (min. 99.998%) and B (min. 99.5%), in the voltaic arc furnace and heat treated at 1600 deg C under argon atmosphere. The relationship of the phases had been previously identified by X-ray diffraction and contrast in backscattered electron imaging mode. The alloys had their hardness analyzed by method Vickers (micro hardness) with load of 0.05 kgf and 0.2 kgf and application time of 20 s. The results, obtained from the arithmetic mean of measurements for each alloy on the heterogeneous region, showed a mean hardness of 11.08 GPA, with small coefficient of variation of 3.8%. The borides HfB2 (19.34 GPa) e HfB - 11.76 GPa, showed the hardness higher than the silicides Hf2Si (8.57 GPa), Hf5Si3 (9.63 GPa), Hf3Si2 (11.66 GPa), Hf5Si4 (10.00 GPa), HfSi (10.02 GPa) e HfSi2 (8.61 GPa). (author)

  17. Communication Impairment in Ultrasonic Vocal Repertoire during the Suckling Period of Cd157 Knockout Mice: Transient Improvement by Oxytocin.

    Science.gov (United States)

    Lopatina, Olga L; Furuhara, Kazumi; Ishihara, Katsuhiko; Salmina, Alla B; Higashida, Haruhiro

    2017-01-01

    Communication consists of social interaction, recognition, and information transmission. Communication ability is the most affected component in children with autism spectrum disorder (ASD). Recently, we reported that the CD157/BST1 gene is associated with ASD, and that CD157 knockout (Cd157(-/-)) mice display severe impairments in social behavior that are improved by oxytocin (OXT) treatment. Here, we sought to determine whether Cd157(-/-) mice can be used as a suitable model for communication deficits by measuring ultrasonic vocalizations (USVs), especially in the early developmental stage. Call number produced in pups due to isolation from dams was higher at postnatal day (PND) 3 in knockout pups than wild-type mice, but was lower at PNDs 7 and 10. Pups of both genotypes had similarly limited voice repertoires at PND 3. Later on, at PNDs 7 and 10, while wild-type pups emitted USVs consisting of six different syllable types, knockout pups vocalized with only two types. This developmental impairment in USV emission was rescued within 30 min by intraperitoneal OXT treatment, but quickly returned to control levels after 120 min, showing a transient effect of OXT. USV impairment was partially observed in Cd157(+/-) heterozygous mice, but not in Cd157(-/-) adult male mice examined while under courtship. These results demonstrate that CD157 gene deletion results in social communication insufficiencies, and suggests that CD157 is likely involved in acoustic communication. This unique OXT-sensitive developmental delay in Cd157(-/-) pups may be a useful model of communicative interaction impairment in ASD.

  18. Communication Impairment in Ultrasonic Vocal Repertoire during the Suckling Period of Cd157 Knockout Mice: Transient Improvement by Oxytocin

    Directory of Open Access Journals (Sweden)

    Olga L. Lopatina

    2017-05-01

    Full Text Available Communication consists of social interaction, recognition, and information transmission. Communication ability is the most affected component in children with autism spectrum disorder (ASD. Recently, we reported that the CD157/BST1 gene is associated with ASD, and that CD157 knockout (Cd157−/− mice display severe impairments in social behavior that are improved by oxytocin (OXT treatment. Here, we sought to determine whether Cd157−/− mice can be used as a suitable model for communication deficits by measuring ultrasonic vocalizations (USVs, especially in the early developmental stage. Call number produced in pups due to isolation from dams was higher at postnatal day (PND 3 in knockout pups than wild-type mice, but was lower at PNDs 7 and 10. Pups of both genotypes had similarly limited voice repertoires at PND 3. Later on, at PNDs 7 and 10, while wild-type pups emitted USVs consisting of six different syllable types, knockout pups vocalized with only two types. This developmental impairment in USV emission was rescued within 30 min by intraperitoneal OXT treatment, but quickly returned to control levels after 120 min, showing a transient effect of OXT. USV impairment was partially observed in Cd157+/− heterozygous mice, but not in Cd157−/− adult male mice examined while under courtship. These results demonstrate that CD157 gene deletion results in social communication insufficiencies, and suggests that CD157 is likely involved in acoustic communication. This unique OXT-sensitive developmental delay in Cd157−/− pups may be a useful model of communicative interaction impairment in ASD.

  19. Assessing the Use of Metaphors to Facilitate and Improve the Effectiveness of Climate Change Communication

    Science.gov (United States)

    Walsh-Thomas, J.; Maibach, E.

    2014-12-01

    Metaphors are sometimes used in science communication to explain unfamiliar scientific concepts and processes in more familiar terms. Empirical research has shown that metaphors can help audiences better understand complicated scientific concepts. A growing number of metaphors are used to explain various climate science concepts, but the only empirical evaluation of climate metaphors to date (van der Linden et al, 2014, Climatic Change) found that medical and bridge safety metaphors did not enhance the effectiveness of a simple corrective statement about the scientific consensus on human-caused climate change. Drawing on a recent meta-analysis by Sopory and Dillard (2002, Hum Commun. Res.), we will briefly review what is known about appropriate metaphor usage in communicating scientific concepts. We will also present preliminary findings from an experiment currently underway to further explain the conditions in which metaphors are likely to help in communicating climate science concepts. We hypothesize that metaphors will be more effective in communicating high complexity climate science concepts that are less easily understood by the public than more easily understood low complexity concepts (such as scientific consensus on climate change). We also hypothesize that the more familiar people are with the referent (performance enhancing drugs in baseball is a metaphor about "the climate system on steroids"), the more effective the metaphor will be. To test these hypotheses, we are randomly assigning ~1000 adults - approximately representative of the US adult population - to read one brief passage in which one of four relatively simple or complex climate concepts is presented and explained with or without a metaphor. The outcome measures will include climate change belief, concern, knowledge, and involvement. This study is intended to add to the knowledge base about use of metaphors in science communication, and provide practical advice to climate communicators.

  20. Interprofessional education in team communication: working together to improve patient safety.

    Science.gov (United States)

    Brock, Douglas; Abu-Rish, Erin; Chiu, Chia-Ru; Hammer, Dana; Wilson, Sharon; Vorvick, Linda; Blondon, Katherine; Schaad, Douglas; Liner, Debra; Zierler, Brenda

    2013-05-01

    Communication failures in healthcare teams are associated with medical errors and negative health outcomes. These findings have increased emphasis on training future health professionals to work effectively within teams. The Team Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS) communication training model, widely employed to train healthcare teams, has been less commonly used to train student interprofessional teams. The present study reports the effectiveness of a simulation-based interprofessional TeamSTEPPS training in impacting student attitudes, knowledge and skills around interprofessional communication. Three hundred and six fourth-year medical, third-year nursing, second-year pharmacy and second-year physician assistant students took part in a 4 h training that included a 1 h TeamSTEPPS didactic session and three 1 h team simulation and feedback sessions. Students worked in groups balanced by a professional programme in a self-selected focal area (adult acute, paediatric, obstetrics). Preassessments and postassessments were used for examining attitudes, beliefs and reported opportunities to observe or participate in team communication behaviours. One hundred and forty-nine students (48.7%) completed the preassessments and postassessments. Significant differences were found for attitudes toward team communication (pteam structure (p=0.002), situation monitoring (pcommunication (p=0.002). Significant shifts were reported for knowledge of TeamSTEPPS (pcommunicating in interprofessional teams (pEffective team communication is important in patient safety. We demonstrate positive attitudinal and knowledge effects in a large-scale interprofessional TeamSTEPPS-based training involving four student professions.

  1. Robustness of digitally modulated signal features against variation in HF noise model

    Directory of Open Access Journals (Sweden)

    Shoaib Mobien

    2011-01-01

    Full Text Available Abstract High frequency (HF band has both military and civilian uses. It can be used either as a primary or backup communication link. Automatic modulation classification (AMC is of an utmost importance in this band for the purpose of communications monitoring; e.g., signal intelligence and spectrum management. A widely used method for AMC is based on pattern recognition (PR. Such a method has two main steps: feature extraction and classification. The first step is generally performed in the presence of channel noise. Recent studies show that HF noise could be modeled by Gaussian or bi-kappa distributions, depending on day-time. Therefore, it is anticipated that change in noise model will have impact on features extraction stage. In this article, we investigate the robustness of well known digitally modulated signal features against variation in HF noise. Specifically, we consider temporal time domain (TTD features, higher order cumulants (HOC, and wavelet based features. In addition, we propose new features extracted from the constellation diagram and evaluate their robustness against the change in noise model. This study is targeting 2PSK, 4PSK, 8PSK, 16QAM, 32QAM, and 64QAM modulations, as they are commonly used in HF communications.

  2. Improving Synthetic Biology Communication: Recommended Practices for Visual Depiction and Digital Submission of Genetic Designs.

    Science.gov (United States)

    Hillson, Nathan J; Plahar, Hector A; Beal, Jacob; Prithviraj, Ranjini

    2016-06-17

    Research is communicated more effectively and reproducibly when articles depict genetic designs consistently and fully disclose the complete sequences of all reported constructs. ACS Synthetic Biology is now providing authors with updated guidance and piloting a new tool and publication workflow that facilitate compliance with these recommended practices and standards for visual representation and data exchange.

  3. Improving information dissemination in sparse vehicular networks by adding satellite communication

    NARCIS (Netherlands)

    Kloiber, Bernhard; Strang, Thomas; Spijker, Hanno; Heijenk, Geert

    2012-01-01

    Information dissemination in pure Vehicular Ad Hoc NETworks (VANETs) such as ITS-G5 becomes problematic when the network is sparse. In situations where the number of vehicles, that can act as a communication node, is insufficiently low, e.g. in rural areas, during night-time or because of a low mark

  4. Leveraging mobile smart devices to improve interprofessional communications in inpatient practice setting: A literature review.

    Science.gov (United States)

    Aungst, Timothy Dy; Belliveau, Paul

    2015-01-01

    As mobile smart device use has increased in society, the healthcare community has begun using these devices for communication among professionals in practice settings. The purpose of this review is to describe primary literature which reports on the experiences with interprofessional healthcare communication via mobile smart devices. Based on these findings, this review also addresses how these devices may be utilized to facilitate interprofessional education (IPE) in health professions education programs. The literature search revealed limited assessments of mobile smart device use in clinical practice settings. In available reports, communication with mobile smart devices was perceived as more effective and faster among interdisciplinary members. Notable drawbacks included discrepancies in the urgency labeling of messages, increased interruptions associated with constant accessibility to team members, and professionalism breakdowns. Recently developed interprofessional competencies include an emphasis on ensuring that health profession students can effectively communicate on interprofessional teams. With the increasing reliance on mobile smart devices in the absence of robust benefit and risk assessments on their use in clinical practice settings, use of these devices may be leveraged to facilitate IPE activities in health education professions programs while simultaneously educating students on their proper use in patient care settings.

  5. Improving flood risk communication by focusing on prevention-focused motivation

    NARCIS (Netherlands)

    Boer, de J.; Botzen, W.J.W.; Terpstra, T.

    2014-01-01

    This paper proposes an approach to flood risk communication that gives particular emphasis to the distinction between prevention and promotion motivation. According to E. Tory Higgins (2012), the promotion system and the prevention system are assumed to coexist in every person, but one or the other

  6. An Orwellian perspective on attempts to improve communication: From Basic English to semantic web

    Directory of Open Access Journals (Sweden)

    Roger BAUTIER

    2010-01-01

    Full Text Available The interest shown by George Orwell in Basic English, which he approved, and then sentenced, must be seen in the long history of the rationalization of communication. A story that is ongoing by the rise of semantic web, including developments that can generate, just as much, enthusiasm or criticism.

  7. Teachers and Facebook: Using Online Groups to Improve Students' Communication and Engagement in Education

    Science.gov (United States)

    Rezende da Cunha, Fernando, Jr.; van Kruistum, Claudia; van Oers, Bert

    2016-01-01

    This paper reports on how teachers, from different cities in Brazil, used groups on Facebook and how communication between teachers and students was affected by using such groups. This study is framed under the Cultural Historical Activity Theory (CHAT) perspective, and is conceived from a methodological background that invites participants to…

  8. Improving Courseware Development Efficiency: The Effects of Authoring Systems on Team Roles and Communication.

    Science.gov (United States)

    Faiola, Tony

    1989-01-01

    Discussion of courseware development for computer-based training (CBT) focuses on the effects of the use of authoring systems on courseware team roles and team communication. A team concept known as Team Integrated Productivity (TIP) is described and its possible effects on courseware development are discussed. (10 references) (LRW)

  9. Improving Communication Outcomes for Young Offenders: A Proposed Response to Intervention Framework

    Science.gov (United States)

    Snow, Pamela C.; Sanger, Dixie D.; Caire, Laura M.; Eadie, Patricia A.; Dinslage, Teagan

    2015-01-01

    Background: Speech, language and communication needs (SLCN) are strongly overrepresented in young offender populations, and there is growing commitment internationally to ensuring access to speech-language therapy services for such young people. However there is currently no framework in which such interventions might be conceptualized, delivered…

  10. Improving internal communication between marketing and technology functions for successful new food product development

    NARCIS (Netherlands)

    Jacobsen, L.F.; Grunert, K.G.; Søndergaard, H.A.; Steenbekkers, B.; Dekker, M.; Lähteenmäki, L.

    2014-01-01

    In order to increase the new product development (NPD) success for novel food products, it is crucial to understand how information can be optimally disseminated within companies. This systematic literature review concentrates on factors influencing internal communication between market and technolo

  11. Improving information dissemination in sparse vehicular networks by adding satellite communication

    NARCIS (Netherlands)

    Kloiber, Bernhard; Strang, Thomas; Spijker, Hanno; Heijenk, Geert

    Information dissemination in pure Vehicular Ad Hoc NETworks (VANETs) such as ITS-G5 becomes problematic when the network is sparse. In situations where the number of vehicles, that can act as a communication node, is insufficiently low, e.g. in rural areas, during night-time or because of a low

  12. Teachers and Facebook: Using Online Groups to Improve Students' Communication and Engagement in Education

    Science.gov (United States)

    Rezende da Cunha, Fernando, Jr.; van Kruistum, Claudia; van Oers, Bert

    2016-01-01

    This paper reports on how teachers, from different cities in Brazil, used groups on Facebook and how communication between teachers and students was affected by using such groups. This study is framed under the Cultural Historical Activity Theory (CHAT) perspective, and is conceived from a methodological background that invites participants to…

  13. Teaching with Animals: The Role of Animal Ambassadors in Improving Presenter Communication Skills

    Science.gov (United States)

    Fuhrman, Nicholas E.; Rubenstein, Eric D.

    2017-01-01

    Much is known about the benefits of interacting with animals for learners. However, little is known about the animals' potential influence on the communication ability of the presenter/educator. The purpose of this qualitative study was to describe the experience of undergraduate students who used live animals (baby chicks, turtles, salamanders,…

  14. Optimization lighting layout based on gene density improved genetic algorithm for indoor visible light communications

    Science.gov (United States)

    Liu, Huanlin; Wang, Xin; Chen, Yong; Kong, Deqian; Xia, Peijie

    2017-05-01

    For indoor visible light communication system, the layout of LED lamps affects the uniformity of the received power on communication plane. In order to find an optimized lighting layout that meets both the lighting needs and communication needs, a gene density genetic algorithm (GDGA) is proposed. In GDGA, a gene indicates a pair of abscissa and ordinate of a LED, and an individual represents a LED layout in the room. The segmented crossover operation and gene mutation strategy based on gene density are put forward to make the received power on communication plane more uniform and increase the population's diversity. A weighted differences function between individuals is designed as the fitness function of GDGA for reserving the population having the useful LED layout genetic information and ensuring the global convergence of GDGA. Comparing square layout and circular layout, with the optimized layout achieved by the GDGA, the power uniformity increases by 83.3%, 83.1% and 55.4%, respectively. Furthermore, the convergence of GDGA is verified compared with evolutionary algorithm (EA). Experimental results show that GDGA can quickly find an approximation of optimal layout.

  15. Communicative Approach: An Alternative Method Used in Improving Students' Academic Reading Achievement

    Science.gov (United States)

    Irmawati, Noer Doddy

    2012-01-01

    Academic reading is a difficult subject to be mastered. It is needed because most of books or references are written in English. The emphasis is on academic reading which becomes a compulsory subject that must be taught and understood in Faculty of Letters UAD Yogyakarta. Communicative approach is used and applied as an alternative method in the…

  16. Visualizing an Iterative, Dynamic Model for Improving Leadership-Employee Communication in the Organizational Change process

    DEFF Research Database (Denmark)

    Broillet, Alexandra; Barchilon, Marian; Kampf, Constance Elizabeth

    2012-01-01

    Change Management Literature addresses successful and unsuccessful change factors, but there is a conceptual gap that overlooks ways in which Leadership-Employee Communication can be operationalized. To deal with this concern, we address themes emerging from interviews focused on employees...

  17. New Roles for Scientists and Science Societies to Improve Science Communication

    Science.gov (United States)

    Schneider, S. H.

    2008-12-01

    Should North American Scientists and Science Societies continue with current communication programs or is there a need for expanded and or altered roles in Science Communication? If current practices are working, why is discourse outside of science societies so often misinformed and distorted on environmental change issues that are clearly defined and described within the science community? Climate change is one example there is virtual unanimity and overwhelming evidence from the scientific community that the Earth is warming rapidly and humans are an important cause, but there is confusion in the media and the public, in part due to disinformation campaigns by greenhouse gas polluters and privately funded "Think Tanks." A summary discussion will be presented that addresses many of the ideas and issues brought forward by colleagues in science, science communication and education. Scientists and Science Societies must re-establish objectivity in science information communication to educators, the media and the public. Recommendations on directions will be a key outcome of this presentation.

  18. Understanding and improving communication processes in an increasingly multicultural aged care workforce.

    Science.gov (United States)

    Nichols, Pam; Horner, Barbara; Fyfe, Katrina

    2015-01-01

    This study explored how culture shapes relationships in aged care and the extent to which the residential aged care sector supports a cohesive multicultural workforce. An exploratory methodology utilising semi-structured questionnaires collected data from 58 participants comprising: staff who provide direct care to residents; managers; and family members from six residential care facilities in Perth, Western Australia. Communication issues emerged as an over-arching theme, and included interpersonal communication, the effect of cultural norms on communication and the impact of informal and formal workplace policies relating to spoken and written language. Sixty percent of participants from a culturally and linguistically diverse (CaLD) background had experienced negative reactions from residents with dementia, linked to visible cultural difference. They used a range of coping strategies including ignoring, resilience and avoidance in such situations. CaLD participants also reported prejudicial treatment from non-CaLD staff. The findings highlight the need for organisations to incorporate explicit processes which address the multiple layers of influence on cross cultural communication: internalised beliefs and values; moderating effects of education, experience and social circumstance; and factors external to the individuals, including workplace culture and the broader political economy, to develop a cohesive multicultural workplace.

  19. Blending Functional Communication Training and Choice Making to Improve Task Engagement and Decrease Problem Behaviour

    Science.gov (United States)

    Peterson, Stephanie M. Peck; Caniglia, Cyndi; Royster, Amy Jo; Macfarlane, Emily; Plowman, Kristen; Baird, Sally Jo; Wu, Nadia

    2005-01-01

    This study evaluated the effects of choice making within functional communication training (FCT) to increase the task engagement of two participants with inappropriate behaviour. Pretreatment functional analyses indicated that both participants' inappropriate behaviour was maintained by escape. For one of the participants, inappropriate behaviour…

  20. Improving Pupils' Mathematical Communication Abilities through Computer-Supported Reciprocal Peer Tutoring

    Science.gov (United States)

    Yang, Euphony F. Y.; Chang, Ben; Cheng, Hercy N. H.; Chan, Tak-Wai

    2016-01-01

    This study examined how to foster pupils' mathematical communication abilities by using tablet PCs. Students were encouraged to generate math creations (including mathematical representation, solution, and solution explanation of word problems) as their teaching materials and reciprocally tutor classmates to increase opportunities for mathematical…

  1. Improving clinical communication of students with English as a second language (ESL) using online technology: a small scale evaluation study.

    Science.gov (United States)

    Rogan, Fran; San Miguel, Caroline

    2013-09-01

    Increasingly, students with English as a second language (ESL) are enrolled in nursing degrees in English speaking countries (Wang et al., 2008). However, they may be at risk of clinical practice failure due to communication difficulties associated with unfamiliar linguistic and cultural factors (Guhde, 2003). This paper describes and evaluates an innovation to assist ESL nursing students at an Australian university develop their clinical communication skills and practice readiness by providing online learning resources, using podcast and vodcast technology, that blend with classroom activities and facilitate flexible and independent learning. The innovation builds on an intensive clinical language workshop program called 'Clinically Speaking' which has evolved through a cyclical process of ongoing research to produce resources in response to students' learning needs. Whilst uptake of the resources was modest, students of ESL as well as English speaking backgrounds (ESB) found the resources improved their clinical preparation and confidence by increasing their understanding of expectations, clinical language and communication skills. The innovation, developed with a modest budget, shows potential in developing ESL and ESB students' readiness for clinical communication, enabling them to engage in clinical practice to develop competency standards required of nursing graduates and registration authorities.

  2. The use of information and communication technologies (ICT in school contexts and the improvement in the quality of education

    Directory of Open Access Journals (Sweden)

    Rosane Kreusburg Molina

    2011-06-01

    Full Text Available This article presents the outcomes of a research that aimed at analyzing the impact of educational policies for Information and Communication Technologies (ICT such as the National Program of Informatics in Schools (Programa Nacional de Informática na Escola – ProInfo in the routine of Elementary Schools in two towns of the Porto Alegre Metropolitan region, RS. The theoretical support is based on Peter McLaren, Stephen J. Ball and Berger and Luckmann. The data was collected from teachers working for more than 20 years and included documental analysis, interviews, narratives and group discussions. The study demonstrated that a positive effects in the quality of education through the use of Information and Communication Technologies which is the result of individual teachers´ effort are still unexpressive; b the experiences with Information and Communication Technologies are not present in Schools Political-Pedagogical Projects; c the training opportunities focus mainly on the technical training of the use of laboratories by teachers; d there is an uncomfortable feeling related to power structures, to the allocation of space-time and to the forms of communication. The research suggests that the improvement in the quality of education through the experiences with the use of ICT demands policies that take into consideration the teaching culture as well as the characteristics that match the micro policy school organization.

  3. Improving communication between health-care professionals and patients with limited English proficiency in the general practice setting.

    Science.gov (United States)

    Attard, Melanie; McArthur, Alexa; Riitano, Dagmara; Aromataris, Edoardo; Bollen, Chris; Pearson, Alan

    2015-01-01

    Quality service provision and patient safety and satisfaction in encounters with health-care professionals relies on effective communication between the practitioner and patient. This study aimed to identify effective practices for improving communication between clinical staff in general practice and patients with limited English proficiency, and to promote their implementation in general practice. Effective interventions and strategies were identified from a review of international research. Experiences with their use in practice were explored via focus group discussions with general practitioners and practice nurses. The results suggest that, wherever possible, communication in the patient's primary language is preferable; use of a qualified medical interpreter should be promoted, and practices should have a standardised and documented procedure for accessing interpreter services. General practice staff must increase their awareness about services that are available to facilitate communication with patients with limited English proficiency, and also develop attitudes, both individual and organisational, that will maximise the effectiveness of these strategies. These findings were used to develop brief, evidence-based practice guidelines that were disseminated to focus group participants for evaluation of utility and general feedback. This evidence-based guidance is now available to assist clinical and administrative general practice staff across regional and metropolitan South Australia.

  4. CIB: an improved communication architecture for real-time monitoring of aerospace materials, instruments, and sensors on the ISS.

    Science.gov (United States)

    Krasowski, Michael J; Prokop, Norman F; Flatico, Joseph M; Greer, Lawrence C; Jenkins, Phillip P; Neudeck, Philip G; Chen, Liangyu; Spina, Danny C

    2013-01-01

    The Communications Interface Board (CIB) is an improved communications architecture that was demonstrated on the International Space Station (ISS). ISS communication interfaces allowing for real-time telemetry and health monitoring require a significant amount of development. The CIB simplifies the communications interface to the ISS for real-time health monitoring, telemetry, and control of resident sensors or experiments. With a simpler interface available to the telemetry bus, more sensors or experiments may be flown. The CIB accomplishes this by acting as a bridge between the ISS MIL-STD-1553 low-rate telemetry (LRT) bus and the sensors allowing for two-way command and telemetry data transfer. The CIB was designed to be highly reliable and radiation hard for an extended flight in low Earth orbit (LEO) and has been proven with over 40 months of flight operation on the outside of ISS supporting two sets of flight experiments. Since the CIB is currently operating in flight on the ISS, recent results of operations will be provided. Additionally, as a vehicle health monitoring enabling technology, an overview and results from two experiments enabled by the CIB will be provided. Future applications for vehicle health monitoring utilizing the CIB architecture will also be discussed.

  5. Use of a structured migraine diary improves patient and physician communication about migraine disability and treatment outcomes.

    Science.gov (United States)

    Baos, V; Ester, F; Castellanos, A; Nocea, G; Caloto, M T; Gerth, W C

    2005-03-01

    Migraine is frequently undertreated, perhaps because impaired communication between patients and physicians underestimate the disability associated with migraine attacks. The purpose of this study was to evaluate the benefits of a structured migraine diary used during a prospective open-label study of triptan-naive patients in Spain for recording information on response to therapy for a pre-study migraine attack and three consecutive migraine attacks, the first and third treated with rizatriptan 10-mg wafer and the second with usual non-triptan therapy. Of 97 patients (83% women; mean age, 39 years) who completed the study, all reported moderate to severe pain, and two-thirds reported severe to total impairment during migraine attacks. At study end, 72% of patients reported that the migraine diary helped communication with their doctor about migraine, and 70% were more or much more satisfied than before the study with level of overall medical care provided by their doctor. Patients who reported the diary to be useful also reported higher overall satisfaction with medical care (p < 0.001). Most of the 22 physicians (91%) reported that the diary enabled them to better communicate with their patients about migraine, and all reported that it enabled them to assess differences in pain intensity and disability across patients. We conclude that a structured migraine diary can be a valuable aid for improving communication between physicians and patients regarding migraine disability and treatment outcomes.

  6. Improvements in self-efficacy for engaging in patient-centered communication following a course in peer-supervision and communication for medical students

    DEFF Research Database (Denmark)

    Lassesen, Berit; O Connor, Maja; Kjær, Louise Binow

    . Conclusion: The students’ motivation to learn the skills taught in the course emerged as a significant independent predictor of the desired learning outcome, supporting self-regulated learning theory stating that motivational factors are important predictors of learning outcome, suggesting the importance......ID: 170 Individual Paper Berit Lassesen1, Maja O’Connor2, Louise Binnow Kjær3, Anne-Mette Mørcke3, Robert Zachariae2, 1Aarhus Universitet, School of Business and Social Science, Denmark; 2Unit for Psychooncology and Health Psychology, Department of Oncology, Aarhus University Hospital...... and Department of Psychology and Behavioral Science, Aarhus University, Aarhus, Denmark; 3Center for Medical Education, Aarhus University, Aarhus, Denmark.; belas@clu.au.dk Aim: The aim was to evaluate the outcome of a training course in peer-supervision and communication with the aim of improving medical...

  7. Crisis Communication: The Business Communicator's Strategies for Communicating under Stress.

    Science.gov (United States)

    Vielhaber, Mary E.

    1990-01-01

    Uses the 1979 Three Mile Island nuclear plant accident to illustrate the communication problems embedded in a crisis. Describes the reactions created by the stress related to crisis. Suggests business communication strategies for improving communication to the public. (SR)

  8. Communication skills.

    Science.gov (United States)

    Ellison, Deborah

    2015-03-01

    The front-line nurse is responsible for providing direct patient care, patient satisfaction, care coordination, policy, safety, and communication during a 12-hour shift. Every nurse has the opportunity to make a positive impact on patient outcomes through day-to-day advocacy for patients, nurses, and the nursing profession. Communication is a means of advocacy that provides the avenue to which a positive impact can be made. There are multiple barriers to effective communication in the day-to-day communication of the front-line nurse. Interprofessional communication and shared governance models offer ways to improve communication within nursing and within a systems approach.

  9. Improved Climatological Characterization of Optical Turbulence for Space Optical Imaging and Communications

    Science.gov (United States)

    Alliss, R.; Felton, B.

    2010-09-01

    Optical turbulence (OT) acts to distort light in the atmosphere, degrading imagery from astronomical or other telescopes. In addition, the quality of service of a free space optical communications link may also be impacted. Some of the degradation due to turbulence can be corrected by adaptive optics. However, the severity of optical turbulence, and thus the amount of correction required, is largely dependent upon the turbulence at the location of interest. Therefore, it is vital to understand the climatology of optical turbulence at such locations. In many cases, it is impractical and expensive to setup instrumentation to characterize the climatology of OT, particularly for OCONUS locations, so simulations become a less expensive and convenient alternative. The strength of OT is characterized by the refractive index structure function Cn2, which in turn is used to calculate atmospheric seeing parameters. While attempts have been made to characterize Cn2 using empirical models, Cn2 can be calculated more directly from Numerical Weather Prediction (NWP) simulations using pressure, temperature, thermal stability, vertical wind shear, turbulent Prandtl number, and turbulence kinetic energy (TKE). In this work we use the Weather Research and Forecast (WRF) NWP model to generate Cn2 climatologies in the planetary boundary layer and free atmosphere, allowing for both point-to-point and ground-to-space seeing estimates of the Fried Coherence length (ro) and other seeing parameters. Simulations are performed using the Maui High Performance Computing Centers (MHPCC) Mana cluster. The WRF model is configured to run at 1km horizontal resolution over a domain covering several hundreds of kilometers. The vertical resolution varies from 25 meters in the boundary layer to 500 meters in the stratosphere. The model top is 20 km. We are interested in the variations in Cn2 and the Fried Coherence Length (ro). Nearly two years of simulations have been performed over various regions

  10. The Fukushima nuclear crisis reemphasizes the need for improved risk communication and better use of social media.

    Science.gov (United States)

    Ng, Kwan-Hoong; Lean, Mei-Li

    2012-09-01

    The potential of social media has expanded far beyond the initial function of social communication among a network of friends. It has become an increasingly important tool in risk communication to allow the dissemination of timely and accurate information to global citizens to make more informed choices regarding a particular crisis. The Fukushima nuclear crisis is an example where the potential of social media was not fully tapped. This caused undue stress and distrust of authorities. While the use of social media in this crisis could have altered significantly the level of trust in authorities and others, two additional points should be considered. One point is the use of plain language versus scientific language in order to reach a wider audience. The other is an urgent need to improve public information especially in the event of a nuclear emergency and to enhance educational efforts and action by improving radiological protection communication from regulatory bodies and international agencies. These are points that also play a large role in the use of social media.

  11. Ferroelectric HfO2 for Emerging Ferroelectric Semiconductor Devices

    Science.gov (United States)

    Florent, Karine

    The spontaneous polarization in ferroelectrics (FE) makes them particularly attractive for non-volatile memory and logic applications. Non-volatile FRAM memories using perovskite structure materials, such as Lead Zirconate Titanate (PZT) and Strontium Bismuth Tantalate (SBT) have been studied for many years. However, because of their scaling limit and incompatibility with CMOS beyond 130 nm node, floating gate Flash memory technology has been preferred for manufacturing. The recent discovery of ferroelectricity in doped HfO2 in 2011 has opened the door for new ferroelectric based devices compatible with CMOS technology, such as Ferroelectric Field Effect Transistor (FeFET) and Ferroelectric Tunnel Junctions (FTJ). This work began with developing ferroelectric hysteresis characterization capabilities at RIT. Initially reactively sputtered aluminum doped HfO 2 films were investigated. It was observed that the composition control using co-sputtering was not achievable within the existing capabilities. During the course of this study, collaboration was established with the NaMLab group in Germany to investigate Si doped HfO2 deposited by Atomic Layer Deposition (ALD). Metal Ferroelectric Metal (MFM) devices were fabricated using TiN as the top and bottom electrode with Si:HfO2 thickness ranging from 6.4 nm to 22.9 nm. The devices were electrically tested for P-E, C-V and I-V characteristics. Structural characterizations included TEM, EELS, XRR, XRD and XPS/Auger spectroscopy. Higher remanant polarization (Pr) was observed for films of 9.3 nm and 13.1 nm thickness. Thicker film (22.9 nm) showed smaller Pr. Devices with 6.4 nm thick films exhibit tunneling behavior showing a memristor like I-V characteristics. The tunnel current and ferroelectricity showed decrease with cycling indicating a possible change in either the structure or the domain configurations. Theoretical simulations using the improved FE model were carried out to model the ferroelectric behavior of

  12. Self-healing structural properties of thermoplastics in HF field

    Directory of Open Access Journals (Sweden)

    N. G. Filippenko

    2014-01-01

    Full Text Available The article concerns one of the possible ways for safe operation of polymer products with initiating a process of their self-healing. This is especially true for products from polymer materials, used in hard-to-reach areas and units of machines and mechanisms. In this regard, the aim of this study was to develop techniques for a self-healing process of the mechanical properties of products from polymer materials.To achieve this goal, the author has solved problems to define a complex method of HF self-healing of polymer material: damage detection in products from polymer materials, determination of signal initiating the recovery process, determining the efficiency of material regeneration. The present study uses proposed and developed by the author methods for the determination of necessary and sufficient indicators of the strength characteristics of products under realmeteorological and climatic conditions of their operation.To determine the practical results of the developed algorithm for self-healing the polymer products in the HF field, a series of experimental studies has been conducted to regenerate the polyamide cage fatigue destruction of the rolling stock axle equipment of Russian Railways JSC.The obtained results of the strength characteristics of the material under investigation prove the self-healing process of polymer materials in HF field.According to research results, the conclusion is drawn that it is required to provide a technological HF self-healing process of products from polymer materials. The created algorithm of regeneration enables a new approach to study the effects of electromagnetic fields on polymer and polymer-based composite materials when solving the practical tasks to improve the quality of repairing parts from thermoplastics.

  13. Performance improvement of OFDM-FSO multi-user communication system with combined transmit frequency diversity and receive space diversity

    Science.gov (United States)

    Kumar, Pravindra; Srivastava, Anand

    2016-05-01

    Orthogonal frequency division multiplexed (OFDM) based free space optical (FSO) communication link gives improved performance because of narrow-band interference, improved robustness against fading and high bandwidth efficiency. It is further improved using transmit frequency diversity and space diversity at the receiver. In this paper, we propose to use OFDM architecture combined with spreading code in electrical domain, referred as code division multiplexed-orthogonal frequency division multiplexing (CDM-OFDM) which provides frequency diversity at the transmitter and using more than one receiver to get receive diversity. Analytical model of CDM-OFDM-FSO communication system with photo-detector space diversity using maximal ratio combining (MRC) is analyzed in the presence of turbulent atmosphere, multi-user-interference (MUI) and timing jitter. The error performance is computed in terms of receiver sensitivity and bit-error-rate (BER). In the analysis, Gamma-Gamma distribution is considered for atmospheric turbulence. The performance of OFDM-FSO link and CDM-OFDM-FSO link is compared. It is seen that for multiple users, CDM-OFDM-FSO link with transmit and receive diversity gives improved performance as compared to OFDM-FSO link.

  14. Communicable diseases in rural and remote Australia: the need for improved understanding and action.

    Science.gov (United States)

    Quinn, Emma K; Massey, Peter D; Speare, Rick

    2015-01-01

    Rural and remote communities of Australia, particularly those including Aboriginal people, experience greater morbidity and mortality across a range of health outcomes compared to urban communities. Previous national data have demonstrated that rural and remote communities experience a disproportionate burden of communicable diseases compared to their urban counterparts. This systematic review was undertaken to describe the types of research that have explored the epidemiology of communicable diseases in rural and remote communities in Australia, with particular reference to the social determinants of health. We conducted a keyword search of several databases (EMBASE, MEDLINE/PubMed, RURAL, Aboriginal and Torres Strait Islander Health Database, Web of Science Core Collection, and Google and Google Scholar websites) for peer-reviewed and grey literature that described or analysed the epidemiology of communicable diseases in rural and/or remote communities of Australia from 2004 to 2013. Exclusion criteria were applied to keep the review focused on rural and/or remote communities and the population-level epidemiological analysis of communicable diseases. From 2287 retrieved articles, a total of 50 remained after applying exclusion criteria. The majority of included articles were descriptive studies (41/50). Seven of the total 50 articles contained analytical studies; one systematic literature review and one experimental study were also identified. Due to the diversity of approaches in measuring disease burden, we performed a narrative synthesis of the articles according to the review objectives. Most of the articles investigated the disease burden in remote (n=37/50) and Aboriginal communities only (n=21/50). The studies highlighted a high prevalence or incidence of skin, eye and respiratory infections for remote Aboriginal communities, particularly children over the past decade. There was emerging evidence to suggest that housing and social conditions play an

  15. Improving and validating children's nurses communication skills with standardized patients in end of life care.

    Science.gov (United States)

    Kenny, Gerard; Cargil, Jamie; Hamilton, Catherine; Sales, Rachel

    2016-06-01

    Children's nurse education is experiencing increases in recruitment targets at the same time that clinical placements are decreasing. With regard to end-of-life care, it is has become a challenge to ensure that all students come into contact with a satisfactory range of experience as part of the requirement for competency at the point of registration. The aim of our study was to find out if students at the end of their course were able to use communication skills acquired in their three years of training and adapt and transfer them to a specific palliative care context even if they had never worked in that area of care. Focus groups were conducted after the simulations which explored the students' experiences of being involved in the scenarios. Four themes emerged that students identified either inhibited or enabled their communication skills, which included anxiety and fear, the need for professional props, the experience of it being real and feeling empowered.

  16. Visualizing an Iterative, Dynamic Model for Improving Leadership-Employee Communication in the Organizational Change process

    DEFF Research Database (Denmark)

    Broillet, Alexandra; Barchilon, Marian; Kampf, Constance Elizabeth

    2012-01-01

    Change Management Literature addresses successful and unsuccessful change factors, but there is a conceptual gap that overlooks ways in which Leadership-Employee Communication can be operationalized. To deal with this concern, we address themes emerging from interviews focused on employees...... experiencing Change Management Implementation in Swiss organizations. We question whether the themes and guidelines can offer sound advice to leaders in organizations undergoing Change Management initiatives. We then explore the context in which change occurs, and discuss an approach to change using a designer....../user metaphor from the technical communication field. These perspectives broaden Change Management to include production and reception of messages about change through a link to 1) sensemaking, 2) Change Management ethos and 3) cultural resources for action available in the organization. We use a series...

  17. The use of Eriksonian Hypnosis to improve patient outcomes in pharmacy practice: A novel communication skill for pharmacists.

    Science.gov (United States)

    Lonie, John M; Tsingos-Lucas, Cherie

    2016-10-22

    Motivational Interviewing, pharmacist-based health coaching and traditional patient counseling techniques all show merit in improving communication between patients and health care providers. However, in order to effectively utilize these techniques one should have the ability to draw upon internal cognitive and psychological resources. Some patients have difficulty obtaining optimal health outcomes due to an unconscious inability to learn and connect with psychological resources. When this is the case, other methods of communication may need to be considered. With the appropriate training, Eriksonian Hypnosis or the use of techniques such as hypnotic language patterns (HLP) have the potential to be implemented into pharmacy practice settings and assist those patients who have previously failed to make positive behavior changes and act upon their health issues.

  18. Improving health care professionals' feedback on communication skills: Development of an on-line resource

    OpenAIRE

    Harrison, G; Hayden, S.; Cook, V.; Cushing, A

    2012-01-01

    Objective: This project aimed to develop an open-access on-line resource to assist health care professionals in providing effective feedback on patient-centered clinical and communication skills. The collaborative nature of the development of this learning resource is outlined and evaluation of its use is discussed. Methods: An inter-professional team of teaching staff from two London Universities employed a researcher to interview experienced clinical and academic health care professiona...

  19. Improved Stability Analysis of Nonlinear Networked Control Systems over Multiple Communication Links

    OpenAIRE

    Delavar, Rahim; Tavassoli, Babak; Beheshti, Mohammad Taghi Hamidi

    2015-01-01

    In this paper, we consider a nonlinear networked control system (NCS) in which controllers, sensors and actuators are connected via several communication links. In each link, networking effects such as the transmission delay, packet loss, sampling jitter and data packet miss-ordering are captured by time-varying delays. Stability analysis is carried out based on the Lyapunov Krasovskii method to obtain a condition for stability of the nonlinear NCS in the form of linear matrix inequality (LMI...

  20. Science Café Course: An Innovative Means of Improving Communication Skills of Undergraduate Biology Majors

    OpenAIRE

    Anna Goldina; Weeks, Ophelia I.

    2013-01-01

    To help bridge the increasing gap between scientists and the public, we developed an innovative two-semester course called Science Café. In this course, undergraduate biology majors learn to develop communication skills to be better able to explain science concepts and current developments in science to non-scientists. Students develop and host outreach events on various topics relevant to the community, thereby increasing interactions between budding scientists and the public. Such a Science...

  1. mHealth is an Innovative Approach to Address Health Literacy and Improve Patient-Physician Communication - An HIV Testing Exemplar.

    Science.gov (United States)

    Kumar, Disha; Arya, Monisha

    2015-01-01

    Low health literacy is a barrier for many patients in the U.S. Patients with low health literacy have poor communication with their physicians, and thus face worse health outcomes. Several government agencies have highlighted strategies for improving and overcoming low health literacy. Mobile phone technology could be leveraged to implement these strategies to improve communication between patients and their physicians. Text messaging, in particular, is a simple and interactive platform that may be ideal for patients with low health literacy. We provide an exemplar for improving patient-physician communication and increasing HIV testing through a text message intervention.

  2. Coding the Beams: Improving Beamforming Training in mmWave Communication System

    CERN Document Server

    Tsang, Y Ming; Addepalli, Sateesh

    2011-01-01

    The mmWave communication system is operating at a regime with high number of antennas and very limited number of RF analog chains. Large number of antennas are used to extend the communication range for recovering the high path loss while fewer RF analog chains are designed to reduce transmit and processing power and hardware complexity. In this regime, typical MIMO algorithms are not applicable. Before any communication starts, devices are needed to align their beam pointing angles towards each other. An efficient searching protocol to obtain the best beam angle pair is therefore needed. It is called BeamForming (BF) training protocol. This paper presents a fast BF training protocol called beam coding. Each beam angle is assigned unique signature code. By coding multiple beam angles and steering at their angles simultaneously in a training packet, the best beam angle pair can be obtained in a few packets. This faster BF training protocol not only shows the robustness in non-line-of-sight, multi-user and movi...

  3. Informing the network: Improving communication with interface communities during wildland fire

    Science.gov (United States)

    Taylor, J.G.; Gillette, S.C.; Hodgson, R.W.; Downing, J.L.; Burns, M.R.; Chavez, D.J.; Hogan, J.T.

    2007-01-01

    An interagency research team studied fire communications that took place during different stages of two wildfires in southern California: one small fire of short duration and one large fire of long duration. This "quick- response" research showed that pre-fire communication planning was particularly effective for smaller fire events and parts of that planning proved invaluable for the large fire event as well. Information seeking by the affected public relied on locally convenient sources during the small fire. During the large fire, widespread evacuations disrupted many of the local informal communication networks. Residents' needs were for "real-time, " place-specific information: precise location, severity, size, and direction of spread of the fires. Fire management agencies must contribute real-time, place-specific fire information when it is most needed by the affected public, as they try to make sense out of the chaos of a wildland fire. Disseminating fire information as broadly as possible through multiple pathways will maximize the probability of the public finding the information they need. ?? Society for Human Ecology.

  4. Science Café Course: An Innovative Means of Improving Communication Skills of Undergraduate Biology Majors

    Directory of Open Access Journals (Sweden)

    Anna Goldina

    2013-12-01

    Full Text Available To help bridge the increasing gap between scientists and the public, we developed an innovative two-semester course, called Science Café. In this course undergraduate biology majors learn to develop communication skills to be better able to explain science concepts and current developments in science to non-scientists. Students develop and host outreach events on various topics relevant to the community, thereby increasing interactions between budding scientists and the public. Such a Science Cafe course emphasizes development of science communication skills early, at the undergraduate level and empowers students to use their science knowledge in every day interactions with the public to increase science literacy, get involved in the local community and engage the public in a dialogue on various pressing science issues. We believe that undergraduate science majors can be great ambassadors for science and are often overlooked since many aspire to go on to medical/veterinary/pharmacy schools. However, science communication skills are especially important for these types of students because when they become healthcare professionals, they will interact with the public as part of their everyday jobs and can thus be great representatives for the field.

  5. Science café course: an innovative means of improving communication skills of undergraduate biology majors.

    Science.gov (United States)

    Goldina, Anna; Weeks, Ophelia I

    2014-05-01

    To help bridge the increasing gap between scientists and the public, we developed an innovative two-semester course called Science Café. In this course, undergraduate biology majors learn to develop communication skills to be better able to explain science concepts and current developments in science to non-scientists. Students develop and host outreach events on various topics relevant to the community, thereby increasing interactions between budding scientists and the public. Such a Science Café course emphasizes development of science communication skills early, at the undergraduate level, and empowers students to use their science knowledge in everyday interactions with the public to increase science literacy, get involved in the local community and engage the public in a dialogue on various pressing science issues. We believe that undergraduate science majors can be great ambassadors for science and are often overlooked since many aspire to go on to medical/veterinary/pharmacy schools. However, science communication skills are especially important for these types of students because when they become healthcare professionals, they will interact with the public as part of their everyday jobs and can thus be great representatives for the field.

  6. Computer Aided Antenna Design and Frequency Selection for HF Communications.

    Science.gov (United States)

    1984-06-01

    uency tak"le s.iiiar to thaz ZLowz 0 in table 19 would be provide,. in addition to the instruc- tions accom-azyin; it in the dijpo.’O sectIoL azove . 161...CA 93S43 * 172 28. i~ hn~cchaJ. )A dvlsc’x Develoent Cnter LCLiC Cuattico, VA 22134 29. Cajpt Warren Averill USBC Lept of Enqx. amd Weapciis U. S . Naval Academy ADDnJcl.Ls, M1D i114O2I 173 FILMED 3-85 * DTIC

  7. HF Communication Network Signals Using Channel Evaluation Data.

    Science.gov (United States)

    1981-11-01

    carrier acquisiton problems. Oscillator frequency drift and doppler shifts can also be handled using wider spacing between tones and wider tone filter...and Y Yx(n) /n (in4 mMZn/() - n)J/ (n) -P +j P1( (n) /x"T e nJ,] (46) k=(x (n (n) () -~ n x (n ____ 2yk~n j (48 k-* (n) 13 fene : 2. (n) ()2 Cu) 7(e

  8. Effect of Peripheral Arterial Disease on Functional and Clinical Outcomes in Patients with Heart Failure From HF-ACTION

    Science.gov (United States)

    Jones, W. Schuyler; Clare, Robert; Ellis, Stephen J.; Mills, James S.; Fischman, David L.; Kraus, William E.; Whellan, David J.; O'Connor, Christopher M.; Patel, Manesh R.

    2011-01-01

    Patients with peripheral arterial disease (PAD) have lower functional capacity and worse clinical outcomes than age and gender matched patients. Few data exist on the relationship of PAD with functional and clinical outcomes in heart failure (HF) patients. We sought to compare HF patients with and without PAD for baseline functional capacity, response to exercise training, and clinical outcomes. HF-ACTION was a randomized controlled trial comparing usual care to structured exercise training plus usual care in HF patients with an ejection fraction ≤ 35% and NYHA class II – IV heart failure symptoms. Cardiopulmonary exercise (CPX) testing occurred at enrollment, 3 months, and 1 year. Clinical follow-up occurred up to 4 years. Of the 2331 HF-ACTION patients, 157 (6.8%) had PAD. At baseline, HF patients with PAD had a lower exercise duration (8.0 vs. 9.8 minutes, p<0.001), lower peak oxygen consumption (VO2) (12.5 vs. 14.6 mL/kg/min, p<0.001), and shorter six minute walking distance (306 vs. 371 meters, p<0.001) compared to HF patients without PAD. At three months, HF patients with PAD had less improvement on CPX testing [exercise duration (0.5 vs. 1.1 minutes; p=0.002) and peak VO2 (mean change; 0.1 vs. 0.6 mL/kg/min; p=0.04)] compared to HF patients without PAD. PAD was an independent predictor of all-cause death or hospitalization [hazard ratio (95% CI); 1.31 (1.06 – 1.62), p=0.011]. PAD patients with HF have depressed baseline exercise capacity and decreased response to exercise training. In conclusion, PAD is an independent predictor of all-cause death or hospitalization in HF patients. PMID:21565325

  9. Republished paper: Improving safety culture on adult medical units through multidisciplinary teamwork and communication interventions: the TOPS Project.

    Science.gov (United States)

    Blegen, M A; Sehgal, N L; Alldredge, B K; Gearhart, S; Auerbach, A A; Wachter, R M

    2010-12-01

    The goal of this project was to improve unit-based safety culture through implementation of a multidisciplinary (pharmacy, nursing, medicine) teamwork and communication intervention. The Agency for Healthcare Research and Quality Hospital Survey on Patient Safety Culture was used to determine the impact of the training with a before-after design. Surveys were returned from 454 healthcare staff before the training and 368 staff 1 year later. Five of eleven safety culture subscales showed significant improvement. Nurses perceived a stronger safety culture than physicians or pharmacists. While it is difficult to isolate the effects of the team training intervention from other events occurring during the year between training and postevaluation, overall the intervention seems to have improved the safety culture on these medical units.

  10. Improving the quality of communication and service provision for renal patients of South Asian origin: the contribution of a cultural and health improvement officer.

    Science.gov (United States)

    Akhtar, Tahira; Hipkiss, Vicki; Stoves, John

    2014-09-01

    A large number of patients with advanced chronic kidney disease in Bradford, UK are of South Asian origin. Effective delivery of care for these patients demands a consistently high standard of communication between patients, their families and renal unit staff. Communication may be problematic for a number of reasons, including language barriers and an incomplete appreciation of important cultural or religious beliefs. In 2010, we received charitable funding for an Ethnic Liaison Support Worker, renamed Cultural and Health Improvement Officer (CHIO). The CHIO is able to engage with and support patients, relatives and other members of the multidisciplinary renal team. Core responsibilities include ensuring that patients and their families feel at ease whenever they are in communication with the renal services team in Bradford; contributing to formal discussion and explanation of important clinical issues in the patient's first language (typically Urdu or Punjabi), thereby encouraging patients to feel more involved in decisions about their care; listening to ad hoc patient queries and concerns and addressing these directly or indirectly through timely involvement of other members of the renal team; cultivating a greater awareness of and empathy towards the holistic needs of patients and their families within the renal MDT; and strengthening the links between renal and social care services. The involvement of the CHIO is especially important when discussing sensitive and complex issues such as conservative and end-of-life care with patients and their families, as communication needs to be detailed, precise and unequivocal. This is crucial to providing a bespoke supportive service for our all patients, especially those who have opted for conservative management. The significant contribution of the CHIO to the quality of renal services in Bradford has been recognised and a permanent CHIO post has now been established.

  11. Performance enhancement of GaN metal–semiconductor–metal ultraviolet photodetectors by insertion of ultrathin interfacial HfO{sub 2} layer

    Energy Technology Data Exchange (ETDEWEB)

    Kumar, Manoj, E-mail: panwarm72@yahoo.com, E-mail: aokyay@ee.bilkent.edu.tr [UNAM-National Nanotechnology Research Center and Institute of Materials Science and Nanotechnology, Bilkent University, 06800 Ankara (Turkey); Tekcan, Burak; Okyay, Ali Kemal, E-mail: panwarm72@yahoo.com, E-mail: aokyay@ee.bilkent.edu.tr [UNAM-National Nanotechnology Research Center and Institute of Materials Science and Nanotechnology, Bilkent University, 06800 Ankara, Turkey and Department of Electrical and Electronics Engineering, Bilkent University, 06800 Ankara (Turkey)

    2015-03-15

    The authors demonstrate improved device performance of GaN metal–semiconductor–metal ultraviolet (UV) photodetectors (PDs) by ultrathin HfO{sub 2} (UT-HfO{sub 2}) layer on GaN. The UT-HfO{sub 2} interfacial layer is grown by atomic layer deposition. The dark current of the PDs with UT-HfO{sub 2} is significantly reduced by more than two orders of magnitude compared to those without HfO{sub 2} insertion. The photoresponsivity at 360 nm is as high as 1.42 A/W biased at 5 V. An excellent improvement in the performance of the devices is ascribed to allowed electron injection through UT-HfO{sub 2} on GaN interface under UV illumination, resulting in the photocurrent gain with fast response time.

  12. Peer review as an educational strategy to improve academic work: an interdisciplinary collaboration between communication disorders and nursing.

    Science.gov (United States)

    Schlisselberg, Gloria; Moscou, Susan

    2013-01-01

    The Communication Disorders and Nursing Programs conducted a pilot study to examine the value of peer review as an educational strategy to improve graduate student writing and understanding of course assignments. Graduate students enrolled in a communication disorders diagnostic process course, a health policy course, or a philosophical foundations course (N=120). Students participated as a peer reviewer for their final assignment. The reviewer read the draft assignment and provided comments. Additionally, nursing students read their papers out loud to the peer reviewer. Students submitted their draft assignment to their professor. The nursing drafts were graded. Students revised and submitted the final assignment for a grade. Students completed a questionnaire at the end of the course to provide feedback about the value of peer review. A 65% response rate was obtained. Students (89.9%) felt that the draft was helpful, the partner was helpful (70.9%), and 78.5% incorporated the suggestions of the peer reviewer. Overall, grades improved from the draft version to the final version for each assignment. The pilot study showed that peer review was an effective educational strategy to improve student grades and conceptual understanding of the material.

  13. Improved hospital mortality with a low MET dose: the importance of a modified early warning score and communication tool.

    Science.gov (United States)

    Mullany, D V; Ziegenfuss, M; Goleby, M A; Ward, H E

    2016-11-01

    Rapid response systems have been mandated for the recognition and management of the deteriorating patient. Increasing medical emergency team (MET) dose may be associated with improved outcomes. Large numbers of MET calls may divert resources from the program providing the service unless additional personnel are provided. To describe the implementation and outcomes of a multifaceted rapid response system (RRS) in a teaching hospital, we conducted an observational study. The RRS consisted of the introduction of a MET together with 1) redesign of the ward observation chart with the vital sign variables colour-coded to identify variation from normal; 2) mandated minimum frequency of vital sign measurement; 3) three formal levels of escalation based on the degree of physiological instability as measured by a modified early warning score (MEWS); 4) COMPASS© education and e-learning package with a two-hour face-to-face small group tutorial; 5) practise in escalation and communication using the ISBAR (Identify, Situation, Background, Assessment, Response/Recommendation) communication tool. The primary outcome measures were all-cause hospital mortality rate and hospital standardised mortality ratio (HSMR) compared to peer hospitals calculated by the Health Round Table. There were 161,153 separations and 1,994 hospital deaths from July 2008 to December 2012. The MET call rate was 11.3 per 1000 separations in 2012. There was a decline in all-cause hospital mortality from 13.8 to 11 deaths/1000 separations. The HSMR decreased from 95.7 in 2008 to 66 in the second half of 2012 (below the three standard deviation control limit). A low MET dose may be associated with improved hospital mortality when combined with a MEWS and an intervention to improve communication.

  14. Lightweight Integrated Solar Array and Transceiver. [Improving Electrical Power and Communication Capabilities in Small Spacecraft

    Science.gov (United States)

    Carr, John; Martinez, Andres; Petro, Andrew

    2015-01-01

    The Lightweight Integrated Solar Array and Transceiver (LISA-T) project will leverage several existing and on-going efforts at Marshall Space Flight Center (MSFC) for the design, development, fabrication, and test of a launch stowed, orbit deployed structure on which thin-film photovoltaics for power generation and antenna elements for communication, are embedded. Photovoltaics is a method for converting solar energy into electricity using semiconductor materials. The system will provide higher power generation with a lower mass, smaller stowage volume, and lower cost than the state of the art solar arrays, while simultaneously enabling deployable antenna concepts.

  15. Improving Timely Resident Follow-Up and Communication of Results in Ambulatory Clinics Utilizing a Web-Based Audit and Feedback Module.

    Science.gov (United States)

    Boggan, Joel C; Swaminathan, Aparna; Thomas, Samantha; Simel, David L; Zaas, Aimee K; Bae, Jonathan G

    2017-04-01

    Failure to follow up and communicate test results to patients in outpatient settings may lead to diagnostic and therapeutic delays. Residents are less likely than attending physicians to report results to patients, and may face additional barriers to reporting, given competing clinical responsibilities. This study aimed to improve the rates of communicating test results to patients in resident ambulatory clinics. We performed an internal medicine, residency-wide, pre- and postintervention, quality improvement project using audit and feedback. Residents performed audits of ambulatory patients requiring laboratory or radiologic testing by means of a shared online interface. The intervention consisted of an educational module viewed with initial audits, development of a personalized improvement plan after Phase 1, and repeated real-time feedback of individual relative performance compared at clinic and program levels. Outcomes included results communicated within 14 days and prespecified "significant" results communicated within 72 hours. A total of 76 of 86 eligible residents (88%) reviewed 1713 individual ambulatory patients' charts in Phase 1, and 73 residents (85%) reviewed 1509 charts in Phase 2. Follow-up rates were higher in Phase 2 than Phase 1 for communicating results within 14 days and significant results within 72 hours (85% versus 78%, P audit and feedback quality improvement project can improve rates of resident follow-up and communication of results, although communication gaps remained.

  16. Cryptanalysis and Improvement on "Robust EPR-Pairs-Based Quantum Secure Communication with Authentication Resisting Collective Noise"

    Science.gov (United States)

    Yue, Qiu-Ling; Yu, Chao-Hua; Liu, Bin; Wang, Qing-Le

    2016-10-01

    Recently, Chang et al. [Sci Chin-Phys Mech Astron. 57(10), 1907-1912, 2014] proposed two robust quantum secure communication protocols with authentication based on Einstein-Podolsky-Rosen (EPR) pairs, which can resist collective noise. In this paper, we analyze the security of their protocols, and show that there is a kind of security flaw in their protocols. By a kind of impersonation attack, the eavesdropper can obtain half of the message on average. Furthermore, an improved method of their protocols is proposed to close the security loophole.

  17. Approach to improve beam quality of inter-satellite optical communication system based on diffractive optical elements.

    Science.gov (United States)

    Tan, Liying; Yu, Jianjie; Ma, Jing; Yang, Yuqiang; Li, Mi; Jiang, Yijun; Liu, Jianfeng; Han, Qiqi

    2009-04-13

    For inter-satellite optical communication transmitter with reflective telescope of two-mirrors on axis, a large mount of the transmitted energy will be blocked by central obscuration of the secondary mirror. In this paper, a novel scheme based on diffractive optical element (DOE) is introduced to avoid it. This scheme includes one diffractive beam shaper and another diffractive phase corrector, which can diffract the obscured part of transmitted beam into the domain unobscured by the secondary mirror. The proposed approach is firstly researched with a fixed obscuration ratio of 1/4. Numerical simulation shows that the emission efficiency of new figuration is 99.99%; the beam divergence from the novel inter-satellite optical communication transmitter is unchanged; and the peak intensity of receiver plane is increased about 31% compared with the typical configuration. Then the intensy patterns of receiver plane are analyzed with various obscuration ratio, the corresponding numerical modelling reveals that the intensity patterns with various obscuration ratio are nearly identical, but the amplify of relative peak intensity is getting down with the growth of obscuration ratio. This work can improve the beam quality of inter-satellite optical communication system without affecting any other functionality.

  18. Improving computer-mediated synchronous communication of doctors in rural communities through cloud computing: A case study of rural hospitals in South Africa

    CSIR Research Space (South Africa)

    Coleman, A

    2012-10-01

    Full Text Available This paper investigated how doctors in remote rural hospitals in South Africa use computer-mediated tool to communicate with experienced and specialist doctors for professional advice to improve on their clinical practices. A case study approach...

  19. Intercultural Communication Ethics and Communication Competence%Intercultural Communication Ethics and Communication Competence

    Institute of Scientific and Technical Information of China (English)

    时婷洁

    2012-01-01

    This paper investigates intercultural communication ethics is a vital element to promote intercultural communication competence. Firstly, it defines the concept of intercultural communication ethics; Secondly, it illustrates the relation between ethics and the key point of intercultural communication competence; and finally addresses how intercultural communication ethics can improve intercultural communication competence.

  20. Improving Continuous-Variable Measurement-Device-Independent Multipartite Quantum Communication with Optical Amplifiers*

    Science.gov (United States)

    Guo, Ying; Zhao, Wei; Li, Fei; Huang, Duan; Liao, Qin; Xie, Cai-Lang

    2017-08-01

    The developing tendency of continuous-variable (CV) measurement-device-independent (MDI) quantum cryptography is to cope with the practical issue of implementing scalable quantum networks. Up to now, most theoretical and experimental researches on CV-MDI QKD are focused on two-party protocols. However, we suggest a CV-MDI multipartite quantum secret sharing (QSS) protocol use the EPR states coupled with optical amplifiers. More remarkable, QSS is the real application in multipartite CV-MDI QKD, in other words, is the concrete implementation method of multipartite CV-MDI QKD. It can implement a practical quantum network scheme, under which the legal participants create the secret correlations by using EPR states connecting to an untrusted relay via insecure links and applying the multi-entangled Greenberger-Horne-Zeilinger (GHZ) state analysis at relay station. Even if there is a possibility that the relay may be completely tampered, the legal participants are still able to extract a secret key from network communication. The numerical simulation indicates that the quantum network communication can be achieved in an asymmetric scenario, fulfilling the demands of a practical quantum network. Additionally, we illustrate that the use of optical amplifiers can compensate the partial inherent imperfections of detectors and increase the transmission distance of the CV-MDI quantum system.