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Sample records for providing practical astronomical

  1. The Practical Astronomer

    Science.gov (United States)

    Koester, Jack

    "The Practical Astronomer" by Thomas Dick, LLD, E.C. & J. Biddle, Philadelphia, 1849, is reviewed. Information on telescope makers and astronomers can be found. Mentioned are: Fraunhofer; John Herschel; Lawson; Dollond; Tulley; W. & S. Jones; and S.W. Burnham.

  2. Providing comprehensive and consistent access to astronomical observatory archive data: the NASA archive model

    Science.gov (United States)

    McGlynn, Thomas; Fabbiano, Giuseppina; Accomazzi, Alberto; Smale, Alan; White, Richard L.; Donaldson, Thomas; Aloisi, Alessandra; Dower, Theresa; Mazzerella, Joseph M.; Ebert, Rick; Pevunova, Olga; Imel, David; Berriman, Graham B.; Teplitz, Harry I.; Groom, Steve L.; Desai, Vandana R.; Landry, Walter

    2016-07-01

    Since the turn of the millennium a constant concern of astronomical archives have begun providing data to the public through standardized protocols unifying data from disparate physical sources and wavebands across the electromagnetic spectrum into an astronomical virtual observatory (VO). In October 2014, NASA began support for the NASA Astronomical Virtual Observatories (NAVO) program to coordinate the efforts of NASA astronomy archives in providing data to users through implementation of protocols agreed within the International Virtual Observatory Alliance (IVOA). A major goal of the NAVO collaboration has been to step back from a piecemeal implementation of IVOA standards and define what the appropriate presence for the US and NASA astronomy archives in the VO should be. This includes evaluating what optional capabilities in the standards need to be supported, the specific versions of standards that should be used, and returning feedback to the IVOA, to support modifications as needed. We discuss a standard archive model developed by the NAVO for data archive presence in the virtual observatory built upon a consistent framework of standards defined by the IVOA. Our standard model provides for discovery of resources through the VO registries, access to observation and object data, downloads of image and spectral data and general access to archival datasets. It defines specific protocol versions, minimum capabilities, and all dependencies. The model will evolve as the capabilities of the virtual observatory and needs of the community change.

  3. This Month in Astronomical History: Providing Context for the Advancement of Astronomy

    Science.gov (United States)

    Wilson, Teresa

    2018-01-01

    This Month in Astronomical History is a short (~500 word) illustrated column hosted on the AAS website (https://had.aas.org/resources/astro-history). Its mission is to highlight people and events that have shaped the development of astronomy to convey a historical context to current researchers, to provide a resource for education and public outreach programs seeking to incorporate a historical perspective, and to share the excitement of astronomy with the public. Knowing how the astronomical journey has proceeded thus far allows current professionals to map where to go next and how to get there. The column charts the first part of this journey by celebrating anniversaries of births, discoveries, and deaths, and the technological advances that made discoveries possible. A new “Further Reading” section encourages readers to pursue subjects in greater depth and strengthens the articles as classroom resources.In the months preceding the 21 August 2017 solar eclipse, the column featured astronomical bodies that come between Earth and the Sun: 2004 Venus transit, the 1878 solar eclipse, and the search for the hypothetical planet Vulcan. Venusian transits were an early but technically challenging way to measure the astronomical unit, now easily done with radar-ranging. Like this year’s event, eclipse chasing and citizen science were part of the 1878 experience. Newton’s Laws seemed to require a planet inside Mercury’s orbit, but General Relativity explained the behavior of Mercury without it. Studying each of these transiting bodies has expanded our knowledge and understanding of the universe differently. Transiting extrasolar planets remain to be explored in a future column. In September, an article on the discovery of Neptune followed the discussion of the non-existent Vulcan quite naturally and expanded on the brief mention of this event in relation to the discovery of Pluto. Suggestions for additional topics are always welcome.The Dudley Observatory

  4. Astronomers Anonymous Getting Help with the Puzzles and Pitfalls of Practical Astronomy

    CERN Document Server

    Ringwood, Steve

    2010-01-01

    In this entertaining parody of letters to a typical “lonely hearts” columnist, real-life expert and long-time astronomy columnist Steve Ringwood presents a sweeping overview of common questions and problems practical and amateur astronomers face, compiled from Ringwood's own experiences in the world of astronomy. His screamingly funny comments will keep you laughing out loud throughout, so be careful of reading this book in public! Written especially for troubled astronomers, but also accessible to anyone with an interest in space or astronomy, readers will easily recognize the difficulties they face and enjoy the humor being directed at them and their science.

  5. The Code of Ethics and Editorial Code of Practice of the Royal Astronomical Society

    Science.gov (United States)

    Murdin, Paul

    2013-01-01

    Whilst the Royal Astronomical Society has got by for more than 100 years without a written code of ethics, modern standards of governance suggested that such a code could be useful in the resolution of disputes. In 2005, the RAS adopted the Universal Code of Ethics for Science that had been formulated by the Royal Society of London. At the same time and for similar reasons the RAS adopted an Editorial Code of Practice.

  6. How Do Astronomers Share Data? Reliability and Persistence of Datasets Linked in AAS Publications and a Qualitative Study of Data Practices among US Astronomers

    Science.gov (United States)

    Pepe, Alberto; Goodman, Alyssa; Muench, August; Crosas, Merce; Erdmann, Christopher

    2014-08-01

    We analyze data sharing practices of astronomers over the past fifteen years. An analysis of URL links embedded in papers published by the American Astronomical Society reveals that the total number of links included in the literature rose dramatically from 1997 until 2005, when it leveled off at around 1500 per year. The analysis also shows that the availability of linked material decays with time: in 2011, 44% of links published a decade earlier, in 2001, were broken. A rough analysis of link types reveals that links to data hosted on astronomers' personal websites become unreachable much faster than links to datasets on curated institutional sites. To gauge astronomers' current data sharing practices and preferences further, we performed in-depth interviews with 12 scientists and online surveys with 173 scientists, all at a large astrophysical research institute in the United States: the Harvard-Smithsonian Center for Astrophysics, in Cambridge, MA. Both the in-depth interviews and the online survey indicate that, in principle, there is no philosophical objection to data-sharing among astronomers at this institution. Key reasons that more data are not presently shared more efficiently in astronomy include: the difficulty of sharing large data sets; over reliance on non-robust, non-reproducible mechanisms for sharing data (e.g. emailing it); unfamiliarity with options that make data-sharing easier (faster) and/or more robust; and, lastly, a sense that other researchers would not want the data to be shared. We conclude with a short discussion of a new effort to implement an easy-to-use, robust, system for data sharing in astronomy, at theastrodata.org, and we analyze the uptake of that system to-date.

  7. How do astronomers share data? Reliability and persistence of datasets linked in AAS publications and a qualitative study of data practices among US astronomers.

    Science.gov (United States)

    Pepe, Alberto; Goodman, Alyssa; Muench, August; Crosas, Merce; Erdmann, Christopher

    2014-01-01

    We analyze data sharing practices of astronomers over the past fifteen years. An analysis of URL links embedded in papers published by the American Astronomical Society reveals that the total number of links included in the literature rose dramatically from 1997 until 2005, when it leveled off at around 1500 per year. The analysis also shows that the availability of linked material decays with time: in 2011, 44% of links published a decade earlier, in 2001, were broken. A rough analysis of link types reveals that links to data hosted on astronomers' personal websites become unreachable much faster than links to datasets on curated institutional sites. To gauge astronomers' current data sharing practices and preferences further, we performed in-depth interviews with 12 scientists and online surveys with 173 scientists, all at a large astrophysical research institute in the United States: the Harvard-Smithsonian Center for Astrophysics, in Cambridge, MA. Both the in-depth interviews and the online survey indicate that, in principle, there is no philosophical objection to data-sharing among astronomers at this institution. Key reasons that more data are not presently shared more efficiently in astronomy include: the difficulty of sharing large data sets; over reliance on non-robust, non-reproducible mechanisms for sharing data (e.g. emailing it); unfamiliarity with options that make data-sharing easier (faster) and/or more robust; and, lastly, a sense that other researchers would not want the data to be shared. We conclude with a short discussion of a new effort to implement an easy-to-use, robust, system for data sharing in astronomy, at theastrodata.org, and we analyze the uptake of that system to-date.

  8. How do astronomers share data? Reliability and persistence of datasets linked in AAS publications and a qualitative study of data practices among US astronomers.

    Directory of Open Access Journals (Sweden)

    Alberto Pepe

    Full Text Available We analyze data sharing practices of astronomers over the past fifteen years. An analysis of URL links embedded in papers published by the American Astronomical Society reveals that the total number of links included in the literature rose dramatically from 1997 until 2005, when it leveled off at around 1500 per year. The analysis also shows that the availability of linked material decays with time: in 2011, 44% of links published a decade earlier, in 2001, were broken. A rough analysis of link types reveals that links to data hosted on astronomers' personal websites become unreachable much faster than links to datasets on curated institutional sites. To gauge astronomers' current data sharing practices and preferences further, we performed in-depth interviews with 12 scientists and online surveys with 173 scientists, all at a large astrophysical research institute in the United States: the Harvard-Smithsonian Center for Astrophysics, in Cambridge, MA. Both the in-depth interviews and the online survey indicate that, in principle, there is no philosophical objection to data-sharing among astronomers at this institution. Key reasons that more data are not presently shared more efficiently in astronomy include: the difficulty of sharing large data sets; over reliance on non-robust, non-reproducible mechanisms for sharing data (e.g. emailing it; unfamiliarity with options that make data-sharing easier (faster and/or more robust; and, lastly, a sense that other researchers would not want the data to be shared. We conclude with a short discussion of a new effort to implement an easy-to-use, robust, system for data sharing in astronomy, at theastrodata.org, and we analyze the uptake of that system to-date.

  9. Using commercial amateur astronomical spectrographs

    CERN Document Server

    Hopkins, Jeffrey L

    2014-01-01

    Amateur astronomers interested in learning more about astronomical spectroscopy now have the guide they need. It provides detailed information about how to get started inexpensively with low-resolution spectroscopy, and then how to move on to more advanced  high-resolution spectroscopy. Uniquely, the instructions concentrate very much on the practical aspects of using commercially-available spectroscopes, rather than simply explaining how spectroscopes work. The book includes a clear explanation of the laboratory theory behind astronomical spectrographs, and goes on to extensively cover the practical application of astronomical spectroscopy in detail. Four popular and reasonably-priced commercially available diffraction grating spectrographs are used as examples. The first is a low-resolution transmission diffraction grating, the Star Analyser spectrograph. The second is an inexpensive fiber optic coupled bench spectrograph that can be used to learn more about spectroscopy. The third is a newcomer, the ALPY ...

  10. Biographical encyclopedia of astronomers

    CERN Document Server

    Trimble, Virginia; Williams, Thomas; Bracher, Katherine; Jarrell, Richard; Marché, Jordan; Palmeri, JoAnn; Green, Daniel

    2014-01-01

    The Biographical Encyclopedia of Astronomers is a unique and valuable resource for historians and astronomers alike. It includes approx. 1850 biographical sketches on astronomers from antiquity to modern times. It is the collective work of 430 authors edited by an editorial board of 8 historians and astronomers. This reference provides biographical information on astronomers and cosmologists by utilizing contemporary historical scholarship. The fully corrected and updated second edition adds approximately 300 biographical sketches. Based on ongoing research and feedback from the community, the new entries will fill gaps and provide expansions. In addition, greater emphasis on Russo phone astronomers and radio astronomers is given. Individual entries vary from 100 to 1500 words, including the likes of the super luminaries such as Newton and Einstein, as well as lesser-known astronomers like Galileo's acolyte, Mario Guiducci.

  11. Astronomical optics

    CERN Document Server

    Schroeder, Daniel J

    1988-01-01

    Written by a recognized expert in the field, this clearly presented, well-illustrated book provides both advanced level students and professionals with an authoritative, thorough presentation of the characteristics, including advantages and limitations, of telescopes and spectrographic instruments used by astronomers of today.Key Features* Written by a recognized expert in the field* Provides both advanced level students and professionals with an authoritative, thorough presentation of the characteristics, including advantages and limitations, of telescopes and spectrographic i

  12. Creating and enhancing digital astro images a guide for practical astronomers

    CERN Document Server

    Privett, Grant

    2007-01-01

    This book clearly examines how to create the best astronomical images possible with a digital camera. It reveals the astonishing images that can be obtained with simple equipment, the right software, and knowledge of how to use it.

  13. Astronomical Spectroscopy for Amateurs

    CERN Document Server

    Harrison, Ken M

    2011-01-01

    Astronomical Spectroscopy for Amateurs is a complete guide for amateur astronomers who are looking for a new challenge beyond astrophotography. The book provides a brief overview of the history and development of the spectroscope, then a short introduction to the theory of stellar spectra, including details on the necessary reference spectra required for instrument testing and spectral comparison. The various types of spectroscopes available to the amateur are then described. Later sections cover all aspects of setting up and using various types of commercially available and home-built spectroscopes, starting with basic transmission gratings and going through more complex models, all the way to the sophisticated Littrow design. The final part of the text is about practical spectroscope design and construction. This book uniquely brings together a collection of observing, analyzing, and processing hints and tips that will allow the amateur to build skills in preparing scientifically acceptable spectra data. It...

  14. Dental practice satisfaction with preferred provider organizations

    Directory of Open Access Journals (Sweden)

    Schilling Elizabeth A

    2007-11-01

    Full Text Available Abstract Background Despite their increasing share of the dental insurance market, little is known about dental practices' satisfaction with preferred provider organizations (PPOs. This analysis examined practice satisfaction with dental PPOs and the extent to which satisfaction was a function of communications from the plan, claims handling and compensation. Methods Data were collected through telephone surveys with dental practices affiliated with MetLife between January 2002 and December 2004. Each respondent was asked a series of questions related to their satisfaction with a systematically selected PPO with which they were affiliated. Six different PPO plans had sufficient observations to allow for comparative analysis (total n = 4582. Multiple imputation procedures were used to adjust for item non-response. Results While the average level of overall satisfaction with the target plan fell between "very satisfied" and "satisfied," regression models revealed substantial differences in overall satisfaction across the 6 PPOs (p Conclusion Results demonstrate the importance of compensation to dental practice satisfaction with PPOs. However, these results also highlight the critical role of service-related factors in differentiating plans and suggest that there are important non-monetary dimensions of PPO performance that can be used to recruit and retain practices.

  15. Solar-Terrestrial and Astronomical Research Network (STAR-Network) - A Meaningful Practice of New Cyberinfrastructure on Space Science

    Science.gov (United States)

    Hu, X.; Zou, Z.

    2017-12-01

    For the next decades, comprehensive big data application environment is the dominant direction of cyberinfrastructure development on space science. To make the concept of such BIG cyberinfrastructure (e.g. Digital Space) a reality, these aspects of capability should be focused on and integrated, which includes science data system, digital space engine, big data application (tools and models) and the IT infrastructure. In the past few years, CAS Chinese Space Science Data Center (CSSDC) has made a helpful attempt in this direction. A cloud-enabled virtual research platform on space science, called Solar-Terrestrial and Astronomical Research Network (STAR-Network), has been developed to serve the full lifecycle of space science missions and research activities. It integrated a wide range of disciplinary and interdisciplinary resources, to provide science-problem-oriented data retrieval and query service, collaborative mission demonstration service, mission operation supporting service, space weather computing and Analysis service and other self-help service. This platform is supported by persistent infrastructure, including cloud storage, cloud computing, supercomputing and so on. Different variety of resource are interconnected: the science data can be displayed on the browser by visualization tools, the data analysis tools and physical models can be drived by the applicable science data, the computing results can be saved on the cloud, for example. So far, STAR-Network has served a series of space science mission in China, involving Strategic Pioneer Program on Space Science (this program has invested some space science satellite as DAMPE, HXMT, QUESS, and more satellite will be launched around 2020) and Meridian Space Weather Monitor Project. Scientists have obtained some new findings by using the science data from these missions with STAR-Network's contribution. We are confident that STAR-Network is an exciting practice of new cyberinfrastructure architecture on

  16. Working data together: the accountability and reflexivity of digital astronomical practice.

    Science.gov (United States)

    Hoeppe, Götz

    2014-04-01

    Drawing on ethnomethodology, this article considers the sequential work of astronomers who combine observations from telescopes at two observatories in making a data set for scientific analyses. By witnessing the induction of a graduate student into this work, it aims at revealing the backgrounded assumptions that enter it. I find that these researchers achieved a consistent data set by engaging diverse evidential contexts as contexts of accountability. Employing graphs that visualize data in conventional representational formats of observational astronomy, experienced practitioners held each other accountable by using an 'implicit cosmology', a shared (but sometimes negotiable) characterization of 'what the universe looks like' through these formats. They oriented to data as malleable, that is, as containing artifacts of the observing situation which are unspecified initially but can be defined and subsequently removed. Alternating between reducing data and deducing astronomical phenomena, they ascribed artifacts to local observing conditions or computational procedures, thus maintaining previously stabilized phenomena reflexively. As researchers in data-intensive sciences are often removed from the instruments that generated the data they use, this example demonstrates how scientists can achieve agreement by engaging stable 'global' data sets and diverse contexts of accountability, allowing them to bypass troubling features and limitations of data generators.

  17. Astronomical chemistry.

    Science.gov (United States)

    Klemperer, William

    2011-01-01

    The discovery of polar polyatomic molecules in higher-density regions of the interstellar medium by means of their rotational emission detected by radioastronomy has changed our conception of the universe from essentially atomic to highly molecular. We discuss models for molecule formation, emphasizing the general lack of thermodynamic equilibrium. Detailed chemical kinetics is needed to understand molecule formation as well as destruction. Ion molecule reactions appear to be an important class for the generally low temperatures of the interstellar medium. The need for the intrinsically high-quality factor of rotational transitions to definitively pin down molecular emitters has been well established by radioastronomy. The observation of abundant molecular ions both positive and, as recently observed, negative provides benchmarks for chemical kinetic schemes. Of considerable importance in guiding our understanding of astronomical chemistry is the fact that the larger molecules (with more than five atoms) are all organic.

  18. The amateur astronomer

    CERN Document Server

    Moore, Patrick

    2006-01-01

    Introduces astronomy and amateur observing together. This edition includes photographs and illustrations. The comprehensive appendices provide hints and tips, as well as data for every aspect of amateur astronomy. This work is useful for amateur astronomers

  19. Astronomical Cybersketching

    CERN Document Server

    Grego, Peter

    2009-01-01

    Outlines the techniques involved in making observational sketches and more detailed 'scientific' drawings of a wide variety of astronomical subjects using modern digital equipment; primarily PDAs and tablet PCs. This book also discusses about choosing hardware and software

  20. Providing Feedback: Practical Skills and Strategies.

    Science.gov (United States)

    Sarkany, David; Deitte, Lori

    2017-06-01

    Feedback is an essential component of education. It is designed to influence, reinforce, and change behaviors, concepts, and attitudes in learners. Although providing constructive feedback can be challenging, it is a learnable skill. The negative consequences of destructive feedback or lack of feedback all together are far-reaching. This article summarizes the components of constructive feedback and provides readers with tangible skills to enhance their ability to give effective feedback to learners and peers. Copyright © 2017 The Association of University Radiologists. Published by Elsevier Inc. All rights reserved.

  1. Astronomical Research Using Virtual Observatories

    Directory of Open Access Journals (Sweden)

    M Tanaka

    2010-01-01

    Full Text Available The Virtual Observatory (VO for Astronomy is a framework that empowers astronomical research by providing standard methods to find, access, and utilize astronomical data archives distributed around the world. VO projects in the world have been strenuously developing VO software tools and/or portal systems. Interoperability among VO projects has been achieved with the VO standard protocols defined by the International Virtual Observatory Alliance (IVOA. As a result, VO technologies are now used in obtaining astronomical research results from a huge amount of data. We describe typical examples of astronomical research enabled by the astronomical VO, and describe how the VO technologies are used in the research.

  2. UKRVO Astronomical WEB Services

    Directory of Open Access Journals (Sweden)

    Mazhaev, O.E.

    2017-01-01

    Full Text Available Ukraine Virtual Observatory (UkrVO has been a member of the International Virtual Observatory Alliance (IVOA since 2011. The virtual observatory (VO is not a magic solution to all problems of data storing and processing, but it provides certain standards for building infrastructure of astronomical data center. The astronomical databases help data mining and offer to users an easy access to observation metadata, images within celestial sphere and results of image processing. The astronomical web services (AWS of UkrVO give to users handy tools for data selection from large astronomical catalogues for a relatively small region of interest in the sky. Examples of the AWS usage are showed.

  3. Astronomical Ecosystems

    Science.gov (United States)

    Neuenschwander, D. E.; Finkenbinder, L. R.

    2004-05-01

    Just as quetzals and jaguars require specific ecological habitats to survive, so too must planets occupy a tightly constrained astronomical habitat to support life as we know it. With this theme in mind we relate the transferable features of our elementary astronomy course, "The Astronomical Basis of Life on Earth." Over the last five years, in a team-taught course that features a spring break field trip to Costa Rica, we have introduced astronomy through "astronomical ecosystems," emphasizing astronomical constraints on the prospects for life on Earth. Life requires energy, chemical elements, and long timescales, and we emphasize how cosmological, astrophysical, and geological realities, through stabilities and catastrophes, create and eliminate niches for biological life. The linkage between astronomy and biology gets immediate and personal: for example, studies in solar energy production are followed by hikes in the forest to examine the light-gathering strategies of photosynthetic organisms; a lesson on tides is conducted while standing up to our necks in one on a Pacific beach. Further linkages between astronomy and the human timescale concerns of biological diversity, cultural diversity, and environmental sustainability are natural and direct. Our experience of teaching "astronomy as habitat" strongly influences our "Astronomy 101" course in Oklahoma as well. This "inverted astrobiology" seems to transform our student's outlook, from the universe being something "out there" into something "we're in!" We thank the SNU Science Alumni support group "The Catalysts," and the SNU Quetzal Education and Research Center, San Gerardo de Dota, Costa Rica, for their support.

  4. Getting Astronomers Involved in the IYA: Astronomer in the Classroom

    Science.gov (United States)

    Koenig, Kris

    2008-05-01

    The Astronomer in the Classroom program provides professional astronomers the opportunity to engage with 3rd-12th grade students across the nation in grade appropriate discussions of their recent research, and provides students with rich STEM content in a personalized forum, bringing greater access to scientific knowledge for underserved populations. 21st Century Learning and Interstellar Studios, the producer of the 400 Years of the Telescope documentary along with their educational partners, will provide the resources necessary to facilitate the Astronomer in the Classroom program, allowing students to interact with astronomers throughout the IYA2009. PROGRAM DESCRIPTION One of hundreds of astronomers will be available to interact with students via live webcast daily during Spring/Fall 2009. The astronomer for the day will conduct three 20-minute discussions (Grades 3-5 /6-8/9-12), beginning with a five-minute PowerPoint on their research or area of interest. The discussion will be followed by a question and answer period. The students will participate in real-time from their school computer(s) with the technology provided by 21st Century Learning. They will see and hear the astronomer on their screen, and pose questions from their keyboard. Teachers will choose from three daily sessions; 11:30 a.m., 12:00 p.m., 12:30 p.m. Eastern Time. This schedule overlaps all US time zones, and marginalizes bandwidth usage, preventing technological barriers to web access. The educational partners and astronomers will post materials online, providing easy access to information that will prepare teachers and students for the chosen discussion. The astronomers, invited to participate from the AAS and IAU, will receive a web cam shipment with instructions, a brief training and conductivity test, and prepaid postage for shipment of the web cam to the next astronomer on the list. The anticipated astronomer time required is 3-hours, not including the time to develop the PowerPoint.

  5. ASURV: Astronomical SURVival Statistics

    Science.gov (United States)

    Feigelson, E. D.; Nelson, P. I.; Isobe, T.; LaValley, M.

    2014-06-01

    ASURV (Astronomical SURVival Statistics) provides astronomy survival analysis for right- and left-censored data including the maximum-likelihood Kaplan-Meier estimator and several univariate two-sample tests, bivariate correlation measures, and linear regressions. ASURV is written in FORTRAN 77, and is stand-alone and does not call any specialized libraries.

  6. Attitude and practice of health care providers towards autopsies in ...

    African Journals Online (AJOL)

    Background: Attitude and practice of health care professionals toward autopsy are important as they will give information regarding factors that contribute to the low rate of autopsies in children under five years. Objective: To evaluate the attitude and practice of health care providers towards autopsies in children under five ...

  7. Steve Jobs provides lessons for any medical practice.

    Science.gov (United States)

    Ornstein, Hal; Baum, Neil

    2013-01-01

    Steve Jobs is inarguably the greatest inventor and creative genius since Thomas Edison. He provided technology that enhances communication on a global level. Jobs also provided ideas and suggestions that could work in any medical practice regardless of the size of the practice, the location of the practice, or the employment model. His advice can be transferred from a high-tech business that employs thousands to a high-touch medical practice that has only a few employees. This article will list a few of Jobs leadership characteristics and how they might apply to physicians, their teams, and their practices. Wouldn't you like to be the Steve Jobs of healthcare? If so, read on!

  8. HIV testing and counseling: test providers' experiences of best practices.

    Science.gov (United States)

    Myers, Ted; Worthington, Catherine; Haubrich, Dennis J; Ryder, Karen; Calzavara, Liviana

    2003-08-01

    Although education is central to HIV testing and counseling, little is known about the educational processes within the testing experience. This study investigated test providers' understandings of testing and counseling best practices. Interviews with a purposive sample of 24 test providers were thematically analyzed. Analysis revealed five best practices specific to HIV education and public health--ensuring information and education for HIV risk reduction, individualization of risk assessment, ensuring test results are given in person, providing information and referrals, and facilitating partner notification--and six practices not specific to HIV counseling relationship building. The latter were building trust and rapport; maintaining professional boundaries; ensuring a comfortable, safe environment; ensuring confidentiality; imparting nonjudgmntal attitude; and self-determination. The identified best practices demonstrated remarkable consistency across respondent subgroups. Although counseling was seen as largely educational and with a preventive focus, it included individualized messages based on assessments of risk, knowledge, and social and cultural characteristics.

  9. Spectroscopy for amateur astronomers recording, processing, analysis and interpretation

    CERN Document Server

    Trypsteen , Marc F M

    2017-01-01

    This accessible guide presents the astrophysical concepts behind astronomical spectroscopy, covering both the theory and the practical elements of recording, processing, analysing and interpreting your spectra. It covers astronomical objects, such as stars, planets, nebulae, novae, supernovae, and events such as eclipses and comet passages. Suitable for anyone with only a little background knowledge and access to amateur-level equipment, the guide's many illustrations, sketches and figures will help you understand and practise this scientifically important and growing field of amateur astronomy, up to the level of Pro-Am collaborations. Accessible to non-academics, it benefits many groups from novices and learners in astronomy clubs, to advanced students and teachers of astrophysics. This volume is the perfect companion to the Spectral Atlas for Amateur Astronomers, which provides detailed commented spectral profiles of more than 100 astronomical objects.

  10. Providing services to trafficking survivors: Understanding practices across the globe.

    Science.gov (United States)

    Steiner, Jordan J; Kynn, Jamie; Stylianou, Amanda M; Postmus, Judy L

    2018-01-01

    Human trafficking is a global issue, with survivors representing all genders, ages, races, ethnicities, religions, and countries. However, little research exists that identifies effective practices in supporting survivors of human trafficking. The research that does exist is Western-centric. To fill this gap in the literature, the goal of this research was to understand practices used throughout the globe with adult human trafficking survivors. A qualitative approach was utilized. Providers from 26 countries, across six different continents, were interviewed to allow for a comprehensive and multi-faceted understanding of practices in working with survivors. Participants identified utilizing an empowerment-based, survivor, and human life-centered approach to working with survivors, emphasized the importance of engaging in community level interventions, and highlighted the importance of government recognition of human trafficking. Findings provide information from the perspective of advocates on best practices in the field that can be used by agencies to enhance human trafficking programming.

  11. Integrating advanced practice providers into medical critical care teams.

    Science.gov (United States)

    McCarthy, Christine; O'Rourke, Nancy C; Madison, J Mark

    2013-03-01

    Because there is increasing demand for critical care providers in the United States, many medical ICUs for adults have begun to integrate nurse practitioners and physician assistants into their medical teams. Studies suggest that such advanced practice providers (APPs), when appropriately trained in acute care, can be highly effective in helping to deliver high-quality medical critical care and can be important elements of teams with multiple providers, including those with medical house staff. One aspect of building an integrated team is a practice model that features appropriate coding and billing of services by all providers. Therefore, it is important to understand an APP's scope of practice, when they are qualified for reimbursement, and how they may appropriately coordinate coding and billing with other team providers. In particular, understanding when and how to appropriately code for critical care services (Current Procedural Terminology [CPT] code 99291, critical care, evaluation and management of the critically ill or critically injured patient, first 30-74 min; CPT code 99292, critical care, each additional 30 min) and procedures is vital for creating a sustainable program. Because APPs will likely play a growing role in medical critical care units in the future, more studies are needed to compare different practice models and to determine the best way to deploy this talent in specific ICU settings.

  12. VET Providers Planning to Deliver Degrees: Good Practice Guide

    Science.gov (United States)

    National Centre for Vocational Education Research (NCVER), 2015

    2015-01-01

    This good practice guide is intended to assist public and private registered training organisations (RTOs) planning to commence higher education (HE) delivery. The guide is based on research undertaken by Victor Callan and Kaye Bowman, who completed case studies with six providers currently delivering higher education qualifications in addition to…

  13. Theory in Practice: Helping Providers Address Depression in Diabetes Care

    Science.gov (United States)

    Osborn, Chandra Y.; Kozak, Cindy; Wagner, Julie

    2010-01-01

    Introduction: A continuing education (CE) program based on the theory of planned behavior was designed to understand and improve health care providers' practice patterns in screening, assessing, and treating and/or referring patients with diabetes for depression treatment. Methods: Participants completed assessments of attitudes, confidence,…

  14. Providers' Attitudes Toward Evidence-Based Practices: Is it Just About Providers, or do Practices Matter, Too?

    Science.gov (United States)

    Reding, Michael E. J.; Chorpita, Bruce F.; Lau, Anna S.; Innes-Gomberg, Debbie

    2014-01-01

    Evidence-based practice (EBP) attitudes were measured in a sample of Los Angeles County mental health service providers. Three types of data were collected: provider demographic characteristics, attitudes toward EBP in general, and attitudes toward specific EBPs being implemented in the county. Providers could reliably rate characteristics of specific EBPs, and these ratings differed across interventions. Preliminary implementation data indicate that appealing features of an EBP relate to the degree to which providers use it. These findings suggest that assessing EBP-specific attitudes is feasible and may offer implementation-relevant information beyond that gained solely from providers' general attitudes toward EBP. PMID:24166077

  15. Astronomical Instrumentation System Markup Language

    Science.gov (United States)

    Goldbaum, Jesse M.

    2016-05-01

    The Astronomical Instrumentation System Markup Language (AISML) is an Extensible Markup Language (XML) based file format for maintaining and exchanging information about astronomical instrumentation. The factors behind the need for an AISML are first discussed followed by the reasons why XML was chosen as the format. Next it's shown how XML also provides the framework for a more precise definition of an astronomical instrument and how these instruments can be combined to form an Astronomical Instrumentation System (AIS). AISML files for several instruments as well as one for a sample AIS are provided. The files demonstrate how AISML can be utilized for various tasks from web page generation and programming interface to instrument maintenance and quality management. The advantages of widespread adoption of AISML are discussed.

  16. Brief Mindfulness Practices for Healthcare Providers - A Systematic Literature Review.

    Science.gov (United States)

    Gilmartin, Heather; Goyal, Anupama; Hamati, Mary C; Mann, Jason; Saint, Sanjay; Chopra, Vineet

    2017-10-01

    Mindfulness practice, where an individual maintains openness, patience, and acceptance while focusing attention on a situation in a nonjudgmental way, can improve symptoms of anxiety, burnout, and depression. The practice is relevant for health care providers; however, the time commitment is a barrier to practice. For this reason, brief mindfulness interventions (eg, ≤ 4 hours) are being introduced. We systematically reviewed the literature from inception to January 2017 about the effects of brief mindfulness interventions on provider well-being and behavior. Studies that tested a brief mindfulness intervention with hospital providers and measured change in well-being (eg, stress) or behavior (eg, tasks of attention or reduction of clinical or diagnostic errors) were selected for narrative synthesis. Fourteen studies met inclusion criteria; 7 were randomized controlled trials. Nine of 14 studies reported positive changes in levels of stress, anxiety, mindfulness, resiliency, and burnout symptoms. No studies found an effect on provider behavior. Brief mindfulness interventions may be effective in improving provider well-being; however, larger studies are needed to assess an impact on clinical care. Published by Elsevier Inc.

  17. Primary care providers' lived experiences of genetics in practice.

    Science.gov (United States)

    Harding, Brittany; Webber, Colleen; Ruhland, Lucia; Dalgarno, Nancy; Armour, Christine M; Birtwhistle, Richard; Brown, Glenn; Carroll, June C; Flavin, Michael; Phillips, Susan; MacKenzie, Jennifer J

    2018-04-26

    To effectively translate genetic advances into practice, engagement of primary care providers (PCPs) is essential. Using a qualitative, phenomenological methodology, we analyzed key informant interviews and focus groups designed to explore perspectives of urban and rural PCPs. PCPs endorsed a responsibility to integrate genetics into their practices and expected advances in genetic medicine to expand. However, PCPs reported limited knowledge and difficulties accessing resources, experts, and continuing education. Rural practitioners' additional concerns included cost, distance, and poor patient engagement. PCPs' perspectives are crucial to develop relevant educational and systems-based interventions to further expand genetic medicine in primary care.

  18. IAU Public Astronomical Organisations Network

    Science.gov (United States)

    Canas, Lina; Cheung, Sze Leung

    2015-08-01

    The Office for Astronomy Outreach has devoted intensive means to create and support a global network of public astronomical organisations around the world. Focused on bringing established and newly formed amateur astronomy organizations together, providing communications channels and platforms for disseminating news to the global community and the sharing of best practices and resources among these associations around the world. In establishing the importance that these organizations have for the dissemination of activities globally and acting as key participants in IAU various campaigns social media has played a key role in keeping this network engaged and connected. Here we discuss the implementation process of maintaining this extensive network, the processing and gathering of information and the interactions between local active members at a national and international level.

  19. Optimizing Team Dynamics: An Assessment of Physician Trainees and Advanced Practice Providers Collaborative Practice.

    Science.gov (United States)

    Foster, Cortney B; Simone, Shari; Bagdure, Dayanand; Garber, Nan A; Bhutta, Adnan

    2016-09-01

    The presence of advanced practice providers has become increasingly common in many ICUs. The ideal staffing model for units that contain both advanced practice providers and physician trainees has not been described. The objectives of this study were to evaluate ICU staffing models that include physician trainees and advanced practice providers and their effects on patient outcomes, resident and fellow education, and training experience. A second aim was to assess strategies to promote collaboration between team members. PubMed, CINAHL, OVID MEDLINE, and Cochrane Review from 2002 to 2015. Experimental study designs conducted in an ICU setting. Two reviewers screened articles for eligibility and independently abstracted data using the identified search terms. We found 21 articles describing ICU team structure and outcomes. Four articles were found describing the impact of advanced practice providers on resident or fellow education. Two articles were found discussing strategies to promote collaboration between advanced practice providers and critical care fellows or residents. Several articles were identified describing the utilization of advanced practice providers in the ICU and the impact of models of care on patient outcomes. Limited data exist describing the impact of advanced practice providers on resident and fellow education and training experience. In addition, there are minimal data describing methods to enhance collaboration between providers. Future research should focus on determining the optimal ICU team structure to improve patient outcomes, education of trainees, and job satisfaction of team members and methods to promote collaboration between advanced practice providers and physicians in training.

  20. Hand Washing Practices Among Emergency Medical Services Providers

    Directory of Open Access Journals (Sweden)

    Joshua Bucher

    2015-10-01

    Full Text Available Introduction: Hand hygiene is an important component of infection control efforts. Our primary and secondary goals were to determine the reported rates of hand washing and stethoscope cleaning in emergency medical services (EMS workers, respectively. Methods: We designed a survey about hand hygiene practices. The survey was distributed to various national EMS organizations through e-mail. Descriptive statistics were calculated for survey items (responses on a Likert scale and subpopulations of survey respondents to identify relationships between variables. We used analysis of variance to test differences in means between the subgroups. Results: There were 1,494 responses. Overall, reported hand hygiene practices were poor among pre-hospital providers in all clinical situations. Women reported that they washed their hands more frequently than men overall, although the differences were unlikely to be clinically significant. Hygiene after invasive procedures was reported to be poor. The presence of available hand sanitizer in the ambulance did not improve reported hygiene rates but improved reported rates of cleaning the stethoscope (absolute difference 0.4, p=0.0003. Providers who brought their own sanitizer were more likely to clean their hands. Conclusion: Reported hand hygiene is poor amongst pre-hospital providers. There is a need for future intervention to improve reported performance in pre-hospital provider hand washing.

  1. Hand Washing Practices Among Emergency Medical Services Providers.

    Science.gov (United States)

    Bucher, Joshua; Donovan, Colleen; Ohman-Strickland, Pamela; McCoy, Jonathan

    2015-09-01

    Hand hygiene is an important component of infection control efforts. Our primary and secondary goals were to determine the reported rates of hand washing and stethoscope cleaning in emergency medical services (EMS) workers, respectively. We designed a survey about hand hygiene practices. The survey was distributed to various national EMS organizations through e-mail. Descriptive statistics were calculated for survey items (responses on a Likert scale) and subpopulations of survey respondents to identify relationships between variables. We used analysis of variance to test differences in means between the subgroups. There were 1,494 responses. Overall, reported hand hygiene practices were poor among pre-hospital providers in all clinical situations. Women reported that they washed their hands more frequently than men overall, although the differences were unlikely to be clinically significant. Hygiene after invasive procedures was reported to be poor. The presence of available hand sanitizer in the ambulance did not improve reported hygiene rates but improved reported rates of cleaning the stethoscope (absolute difference 0.4, p=0.0003). Providers who brought their own sanitizer were more likely to clean their hands. Reported hand hygiene is poor amongst pre-hospital providers. There is a need for future intervention to improve reported performance in pre-hospital provider hand washing.

  2. Astronomical Symbolism in Australian Aboriginal Rock Art

    Science.gov (United States)

    Norris, Ray P.; Hamacher, Duane W.

    2011-05-01

    Traditional Aboriginal Australian cultures include a significant astronomical component, perpetuated through oral tradition and ceremony. This knowledge has practical navigational and calendrical functions, and sometimes extends to a deep understanding of the motion of objects in the sky. Here we explore whether this astronomical tradition is reflected in the rock art of Aboriginal Australians. We find several plausible examples of depictions of astronomical figures and symbols, and also evidence that astronomical observations were used to set out stone arrangements. However, we recognise that the case is not yet strong enough to make an unequivocal statement, and describe our plans for further research.

  3. Does social marketing provide a framework for changing healthcare practice?

    Science.gov (United States)

    Morris, Zoë Slote; Clarkson, Peter John

    2009-07-01

    We argue that social marketing can be used as a generic framework for analysing barriers to the take-up of clinical guidelines, and planning interventions which seek to enable this change. We reviewed the literature on take-up of clinical guidelines, in particular barriers and enablers to change; social marketing principles and social marketing applied to healthcare. We then applied the social marketing framework to analyse the literature and to consider implications for future guideline policy to assess its feasibility and accessibility. There is sizeable extant literature on healthcare practitioners' non-compliance with clinical guidelines. This is an international problem common to a number of settings. The reasons for poor levels of take up appear to be well understood, but not addressed adequately in practice. Applying a social marketing framework brings new insights to the problem." We show that a social marketing framework provides a useful solution-focused framework for systematically understanding barriers to individual behaviour change and designing interventions accordingly. Whether the social marketing framework provides an effective means of bringing about behaviour change remains an empirical question which has still to be tested in practice. The analysis presented here provides strong motivation to begin such testing.

  4. The Stars Belong to Everyone: The rhetorical practices of astronomer and science writer Dr. Helen Sawyer Hogg (1905--1993)

    Science.gov (United States)

    Cahill, Maria J.

    Astronomer and science writer Dr. Helen Sawyer Hogg (University of Toronto) reached a variety of audiences through different rhetorical forms. She communicated to her colleagues through her scholarly writings; she reached out to students and the public through her Toronto Star newspaper column entitled "With the Stars," which she authored for thirty years; she wrote The Stars Belong to Everyone , a book that speaks to a lay audience; she hosted a successful television series entitled Ideas ; and she delivered numerous speeches at scientific conferences, professional women's associations, school programs, libraries, and other venues. Adapting technical information for different audiences is at the heart of technical communication, and Sawyer Hogg's work exemplifies adaptation as she moves from writing for the scientific community (as in her articles on globular cluster research) to science writing for lay audiences (as in her newspaper column, book, and script for her television series). Initially she developed her sense of audience through a male perspective informed largely by her scholarly work with two men (Harlow Shapley and her husband, Frank Hogg) as well as the pervasive masculine culture of academic science. This dissertation situates Sawyer Hogg in what is slowly becoming a canon of technical communication scholarship on female scientists. Toward this end, I discuss how she rhetorically engaged two different audiences, one scholarly and one popular, how Sawyer Hogg translated male dominated scientific rhetoric to writing for the public, and how science writing helped her achieve her professional goals. Complementing the archival research in addressing the questions of this study, I employ social construction analysis (also known as the social perspective) for my research methodology. She was ahead of her time and embodied the social perspective years before its definition as a rhetorical concept. In short, my study illuminates one scientific woman's voice

  5. Explanatory supplement to the astronomical almanac

    CERN Document Server

    Urban, Sean E

    2013-01-01

    The Explanatory Supplement to the Astronomical Almanac offers explanatory material, supplemental information and detailed descriptions of the computational models and algorithms used to produce The Astronomical Almanac, which is an annual publication prepared jointly by the US Naval Observatory and Her Majesty's Nautical Almanac Office in the UK. Like The Astronomical Almanac, The Explanatory Supplement provides detailed coverage of modern positional astronomy. Chapters are devoted to the celestial and terrestrial reference frames, orbital ephemerides, precession, nutation, Earth rotation, and coordinate transformations. These topics have undergone substantial revisions since the last edition was published. Astronomical positions are intertwined with timescales and relativity in The Astronomical Almanac, so related chapters are provided in The Explanatory Supplement. The Astronomical Almanac also includes information on lunar and solar eclipses, physical ephemerides of solar system bodies, and calendars, so T...

  6. Choosing and using astronomical eyepieces

    CERN Document Server

    Paolini, William

    2013-01-01

    This valuable reference fills a number of needs in the field of astronomical eyepieces, including that of a buyer's guide, observer's field guide and technical desk reference. It documents the past market for eyepieces and its evolution right up to the present day. In addition to appealing to practical astronomers - and potentially saving them money - it is useful both as a historical reference and as a detailed review of the current market place for this bustling astronomical consumer product. What distinguishes this book from other publications on astronomy is the involvement of observers from all aspects of the astronomical community, and also the major manufacturers of equipment. It not only catalogs the technical aspects of the many modern eyepieces but also documents amateur observer reactions and impressions of their utility over the years, using many different eyepieces. Eyepieces are the most talked-about accessories and collectible items available to the amateur astronomer. No other item of equi...

  7. Provider Agency Practices as a Source of Social Work EBP.

    Science.gov (United States)

    Blakely, Thomas J; Dziadosz, Gregory M

    2016-01-01

    Through this article the authors propose that agency service provider systems may be a source of evidence-based practices (EBP). One agency's design and implementation of a program entitled Community Treatment and Rehabilitation is presented as an example. The elements of this program conform to the creation of EBPs. It was formulated with consideration of clients' values and judgments through their participation at every step in the assessment and treatment process. Staff clinicians were trained in established EBP interventions, such as cognitive therapy, embedded in a system of ordered assessment, treatment, and outcome evaluation. A controlled research design was used to gather outcome data to inform clinicians' decisions about interventions that were then systematically applied with clients. The delivery system was organized for clinical supervisors to guide staff clinical practices so that all were operating on the same set of guidelines allowing for similar outcomes to occur with similar interventions. This method of developing EBPs makes them available for application immediately and successfully eliminates the delay between development and implementation that usually occurs with other sources of EBPs.

  8. FITSManager: Management of Personal Astronomical Data

    Science.gov (United States)

    Cui, Chenzhou; Fan, Dongwei; Zhao, Yongheng; Kembhavi, Ajit; He, Boliang; Cao, Zihuang; Li, Jian; Nandrekar, Deoyani

    2011-07-01

    With the increase of personal storage capacity, it is easy to find hundreds to thousands of FITS files in the personal computer of an astrophysicist. Because Flexible Image Transport System (FITS) is a professional data format initiated by astronomers and used mainly in the small community, data management toolkits for FITS files are very few. Astronomers need a powerful tool to help them manage their local astronomical data. Although Virtual Observatory (VO) is a network oriented astronomical research environment, its applications and related technologies provide useful solutions to enhance the management and utilization of astronomical data hosted in an astronomer's personal computer. FITSManager is such a tool to provide astronomers an efficient management and utilization of their local data, bringing VO to astronomers in a seamless and transparent way. FITSManager provides fruitful functions for FITS file management, like thumbnail, preview, type dependent icons, header keyword indexing and search, collaborated working with other tools and online services, and so on. The development of the FITSManager is an effort to fill the gap between management and analysis of astronomical data.

  9. Enthusiastic Little Astronomers

    Science.gov (United States)

    Novak, Ines

    2016-04-01

    Younger primary school students often show great interest in the vast Universe hiding behind the starry night's sky, but don't have a way of learning about it and exploring it in regular classes. Some of them would search children's books, Internet or encyclopedias for information or facts they are interested in, but there are those whose hunger for knowledge would go unfulfilled. Such students were the real initiators of our extracurricular activity called Little Astronomers. With great enthusiasm they would name everything that interests them about the Universe that we live in and I would provide the information in a fun and interactive yet acceptable way for their level of understanding. In our class we learn about Earth and its place in the Solar System, we learn about the planets and other objects of our Solar System and about the Sun itself. We also explore the night sky using programs such as Stellarium, learning to recognize constellations and name them. Most of our activities are done using a PowerPoint presentation, YouTube videos, and Internet simulations followed by some practical work the students do themselves. Because of the lack of available materials and funds, most of materials are hand made by the teacher leading the class. We also use the school's galileoscope as often as possible. Every year the students are given the opportunity to go to an observatory in a town 90 km away so that they could gaze at the sky through the real telescope for the first time. Our goal is to start stepping into the world of astronomy by exploring the secrets of the Universe and understanding the process of rotation and revolution of our planet and its effects on our everyday lives and also to become more aware of our own role in our part of the Universe. The hunger for knowledge and enthusiasm these students have is contagious. They are becoming more aware of their surroundings and also understanding their place in the Universe that helps them remain humble and helps

  10. The New Amateur Astronomer

    Science.gov (United States)

    Mobberley, Martin

    Amateur astronomy has changed beyond recognition in less than two decades. The reason is, of course, technology. Affordable high-quality telescopes, computer-controlled 'go to' mountings, autoguiders, CCD cameras, video, and (as always) computers and the Internet, are just a few of the advances that have revolutionized astronomy for the twenty-first century. Martin Mobberley first looks at the basics before going into an in-depth study of what’s available commercially. He then moves on to the revolutionary possibilities that are open to amateurs, from imaging, through spectroscopy and photometry, to patrolling for near-earth objects - the search for comets and asteroids that may come close to, or even hit, the earth. The New Amateur Astronomer is a road map of the new astronomy, equally suitable for newcomers who want an introduction, or old hands who need to keep abreast of innovations. From the reviews: "This is one of several dozen books in Patrick Moore's "Practical Astronomy" series. Amid this large family, Mobberley finds his niche: the beginning high-tech amateur. The book's first half discusses equipment: computer-driven telescopes, CCD cameras, imaging processing software, etc. This market is changing every bit as rapidly as the computer world, so these details will be current for only a year or two. The rest of the book offers an overview of scientific projects that serious amateurs are carrying out these days. Throughout, basic formulas and technical terms are provided as needed, without formal derivations. An appendix with useful references and Web sites is also included. Readers will need more than this book if they are considering a plunge into high-tech amateur astronomy, but it certainly will whet their appetites. Mobberley's most valuable advice will save the book's owner many times its cover price: buy a quality telescope from a reputable dealer and install it in a simple shelter so it can be used with as little set-up time as possible. A poor

  11. Amateur Astronomers: Secret Agents of EPO

    Science.gov (United States)

    Berendsen, M.; White, V.; Devore, E.; Reynolds, M.

    2008-06-01

    Amateur astronomers prime the public to be more interested, receptive, and excited about space science, missions, and programs. Through recent research and targeted programs, amateur astronomy outreach is being increasingly recognized by professional astronomers, educators, and other amateurs as a valued and important service. The Night Sky Network program, administered by the ASP, is the first nationwide research-based program specifically targeted to support outreach by amateur astronomers. This Network of trained and informed amateur astronomers can provide a stimulating introduction to your EPO programs as Network members share the night sky with families, students, and youth groups.

  12. Choosing and using astronomical filters

    CERN Document Server

    Griffiths, Martin

    2014-01-01

    As a casual read through any of the major amateur astronomical magazines will demonstrate, there are filters available for all aspects of optical astronomy. This book provides a ready resource on the use of the following filters, among others, for observational astronomy or for imaging: Light pollution filters Planetary filters Solar filters Neutral density filters for Moon observation Deep-sky filters, for such objects as galaxies, nebulae and more Deep-sky objects can be imaged in much greater detail than was possible many years ago. Amateur astronomers can take

  13. The role of advanced practice providers in pediatric otolaryngology academic practices.

    Science.gov (United States)

    Reilly, Brian K; Brandon, Gretchen; Shah, Rahul; Preciado, Diego; Zalzal, George

    2013-01-01

    The goal of this study was to examine the roles of Physician Assistants (PAs) and Nurse Practitioners (NPs) in pediatric academic otolaryngology programs to provide a better understanding of their scope of practice, levels of autonomy, clinical duties, teaching opportunities and research participation. An anonymous web-based electronic survey tool was sent to all pediatric otolaryngology fellowship program directors in the United States. Nurse Practitioners and Physician Assistants are utilized in approximately 3 out of every 4 pediatric otolaryngology practices. The top three job activities of both the PA and NP were: (1) seeing patients independently, (2) working alongside doctors in clinic, and (3) answering phone lines/parental calls. A higher percentage of PAs (83%), worked alongside doctors in clinic, as compared to NPs, where only 55% work alongside MDs. Over half of PAs round with the in-patient team and see consults as compared to just over one third of NPs who participate in such activities. Twenty-five percent of practices reported that PAs cover call and assist in the OR. Most PAs/NPs saw between 11 and 15 patients per clinic which provides a clear productivity advantage when looking to screen patients, provide medical care, generate surgical cases, and maximize billings. NPs and PAs have complimentary skill sets ideal for the pediatric otolaryngology workplace, although job activities and "best fit" are hospital and practice dependent. Our study suggests that the use of PAs and NPs will continue to grow to meet increased demand for services in the field of pediatric otolaryngology. Employing advanced practice providers enables academic centers to improve access, provide additional financial remuneration, reduce wait times for new patients, and allow attending physicians to meet increased practice demands. Copyright © 2012 Elsevier Ireland Ltd. All rights reserved.

  14. Health care providers' knowledge and practice of focused antenatal ...

    African Journals Online (AJOL)

    ... observational checklist were the instruments for data collection. Findings revealed poor knowledge of concept, components, timing of visits on focused antenatal care and non compliance with the guidelines for the practice of focused antenatal care, because of health workers lack of knowledge on focused antenatal care.

  15. An investigation into e-learning practices: Implications for providers ...

    African Journals Online (AJOL)

    The last decade has seen a considerable growth in the application of e-learning courses in most higher education institutions and in companies that provide inhouse training for employees. Hereby recognition is given that modern information and telecommunication technologies can help educators to meet the dual

  16. An astronomical murder?

    Science.gov (United States)

    Belenkiy, Ari

    2010-04-01

    Ari Belenkiy examines the murder of Hypatia of Alexandria, wondering whether problems with astronomical observations and the date of Easter led to her becoming a casualty of fifth-century political intrigue.

  17. Basic Optics for the Astronomical Sciences

    CERN Document Server

    Breckinridge, James

    2012-01-01

    This text was written to provide students of astronomy and engineers an understanding of optical science - the study of the generation, propagation, control, and measurement of optical radiation - as it applies to telescopes and instruments for astronomical research in the areas of astrophysics, astrometry, exoplanet characterization, and planetary science. The book provides an overview of the elements of optical design and physical optics within the framework of the needs of the astronomical community.

  18. Super resolution for astronomical observations

    Science.gov (United States)

    Li, Zhan; Peng, Qingyu; Bhanu, Bir; Zhang, Qingfeng; He, Haifeng

    2018-05-01

    In order to obtain detailed information from multiple telescope observations a general blind super-resolution (SR) reconstruction approach for astronomical images is proposed in this paper. A pixel-reliability-based SR reconstruction algorithm is described and implemented, where the developed process incorporates flat field correction, automatic star searching and centering, iterative star matching, and sub-pixel image registration. Images captured by the 1-m telescope at Yunnan Observatory are used to test the proposed technique. The results of these experiments indicate that, following SR reconstruction, faint stars are more distinct, bright stars have sharper profiles, and the backgrounds have higher details; thus these results benefit from the high-precision star centering and image registration provided by the developed method. Application of the proposed approach not only provides more opportunities for new discoveries from astronomical image sequences, but will also contribute to enhancing the capabilities of most spatial or ground-based telescopes.

  19. Research and Practice Communications Between Oral Health Providers and Prenatal Health Providers: A Bibliometric Analysis.

    Science.gov (United States)

    Skvoretz, John; Dyer, Karen; Daley, Ellen; Debate, Rita; Vamos, Cheryl; Kline, Nolan; Thompson, Erika

    2016-08-01

    Objectives We aimed to examine scholarly collaboration between oral health and prenatal providers. Oral disease is a silent epidemic with significant public health implications for pregnant women. Evidence linking poor oral health during pregnancy to adverse pregnancy and birth outcomes requires oral health and prenatal providers to communicate on the prevention, treatment and co-management matters pertaining to oral health issues among their pregnant patients. The need for inter-professional collaboration is highlighted by guidelines co-endorsed by the American College of Obstetricians and Gynecologists and the American Dental Association, stressing the importance of oral health care during pregnancy. Methods To assess if interdisciplinary communication occurs between oral health and prenatal disciplines, we conducted a network analysis of research on pregnancy-related periodontal disease. Results Social Network analysis allowed us to identify communication patterns between communities of oral health and prenatal professionals via scientific journals. Analysis of networks of citations linking journals in different fields reveals a core-periphery pattern dominated by oral health journals with some participation from medicine journals. However, an analysis of dyadic ties of citation reveals statistically significant "inbreeding" tendencies in the citation patterns: both medical and oral health journals tend to cite their own kind at greater-than-chance levels. Conclusions Despite evidence suggesting that professional collaboration benefits patients' overall health, findings from this research imply that little collaboration occurs between these two professional groups. More collaboration may be useful in addressing women's oral-systemic health concerns that result in adverse pregnancy outcomes.

  20. Astronomical optics and elasticity theory

    CERN Document Server

    Lemaitre, Gerard Rene

    2008-01-01

    Astronomical Optics and Elasticity Theory provides a very thorough and comprehensive account of what is known in this field. After an extensive introduction to optics and elasticity, the book discusses variable curvature and multimode deformable mirrors, as well as, in depth, active optics, its theory and applications. Further, optical design utilizing the Schmidt concept and various types of Schmidt correctors, as well as the elasticity theory of thin plates and shells are elaborated upon. Several active optics methods are developed for obtaining aberration corrected diffraction gratings. Further, a weakly conical shell theory of elasticity is elaborated for the aspherization of grazing incidence telescope mirrors. The very didactic and fairly easy-to-read presentation of the topic will enable PhD students and young researchers to actively participate in challenging astronomical optics and instrumentation projects.

  1. Atlas of Astronomical Discoveries

    CERN Document Server

    Schilling, Govert

    2011-01-01

    Four hundred years ago in Middelburg, in the Netherlands, the telescope was invented. The invention unleashed a revolution in the exploration of the universe. Galileo Galilei discovered mountains on the Moon, spots on the Sun, and moons around Jupiter. Christiaan Huygens saw details on Mars and rings around Saturn. William Herschel discovered a new planet and mapped binary stars and nebulae. Other astronomers determined the distances to stars, unraveled the structure of the Milky Way, and discovered the expansion of the universe. And, as telescopes became bigger and more powerful, astronomers delved deeper into the mysteries of the cosmos. In his Atlas of Astronomical Discoveries, astronomy journalist Govert Schilling tells the story of 400 years of telescopic astronomy. He looks at the 100 most important discoveries since the invention of the telescope. In his direct and accessible style, the author takes his readers on an exciting journey encompassing the highlights of four centuries of astronomy. Spectacul...

  2. Simon Newcomb: America's Unofficial Astronomer Royal

    Science.gov (United States)

    Graham, John

    2007-10-01

    Bill Carter and Merri Sue Carter Mantazas; xiii + 213 pp.; ISBN 1-59113-803-5 2006; $26.95 This book introduced me to a commanding figure in American science from the late nineteenth century: Simon Newcomb. Newcomb has been called the nineteenth-century equivalent of Carl Sagan and Albert Einstein. He rose from humble beginnings to be the preeminent American astronomer of his generation. He made basic, far-reaching, and enduring contributions to positional astronomy and planetary dynamics. On the more practical side, he determined a remarkably accurate value for the velocity of light, one within 0.01% of the value accepted today. His work provided an experimental grounding for the special and general theories of relativity to be formulated by Einstein in the coming twentieth century.

  3. Astronomical publications of Melbourne Observatory

    Science.gov (United States)

    Andropoulos, Jenny Ioanna

    2014-05-01

    During the second half of the 19th century and the first half of the 20th century, four well-equipped government observatories were maintained in Australia - in Melbourne, Sydney, Adelaide and Perth. These institutions conducted astronomical observations, often in the course of providing a local time service, and they also collected and collated meteorological data. As well, some of these observatories were involved at times in geodetic surveying, geomagnetic recording, gravity measurements, seismology, tide recording and physical standards, so the term "observatory" was being used in a rather broad sense! Despite the international renown that once applied to Williamstown and Melbourne Observatories, relatively little has been written by modern-day scholars about astronomical activities at these observatories. This research is intended to rectify this situation to some extent by gathering, cataloguing and analysing the published astronomical output of the two Observatories to see what contributions they made to science and society. It also compares their contributions with those of Sydney, Adelaide and Perth Observatories. Overall, Williamstown and Melbourne Observatories produced a prodigious amount of material on astronomy in scientific and technical journals, in reports and in newspapers. The other observatories more or less did likewise, so no observatory of those studied markedly outperformed the others in the long term, especially when account is taken of their relative resourcing in staff and equipment.

  4. Observatory Sponsoring Astronomical Image Contest

    Science.gov (United States)

    2005-05-01

    and to provide a showcase for a broad range of astronomical research and celestial objects," Adams added. In addition, NRAO is developing enhanced data visualization techniques and data-processing recipes to assist radio astronomers in making quality images and in combining radio data with data collected at other wavelengths, such as visible-light or infrared, to make composite images. "We encourage all our telescope users to take advantage of these techniques to showcase their research," said Juan Uson, a member of the NRAO scientific staff and the observatory's EPO scientist. "All these efforts should demonstrate the vital and exciting roles that radio telescopes, radio observers, and the NRAO play in modern astronomy," Lo said. "While we want to encourage images that capture the imagination, we also want to emphasize that extra effort invested in enhanced imagery also will certainly pay off scientifically, by revealing subtleties and details that may have great significance for our understanding of astronomical objects," he added. Details of the NRAO Image Contest, which will become an annual event, are on the observatory's Web site. The observatory will announce winners on October 15. The National Radio Astronomy Observatory is a facility of the National Science Foundation, operated under cooperative agreement by Associated Universities, Inc.

  5. Methods in Astronomical Image Processing

    Science.gov (United States)

    Jörsäter, S.

    A Brief Introductory Note History of Astronomical Imaging Astronomical Image Data Images in Various Formats Digitized Image Data Digital Image Data Philosophy of Astronomical Image Processing Properties of Digital Astronomical Images Human Image Processing Astronomical vs. Computer Science Image Processing Basic Tools of Astronomical Image Processing Display Applications Calibration of Intensity Scales Calibration of Length Scales Image Re-shaping Feature Enhancement Noise Suppression Noise and Error Analysis Image Processing Packages: Design of AIPS and MIDAS AIPS MIDAS Reduction of CCD Data Bias Subtraction Clipping Preflash Subtraction Dark Subtraction Flat Fielding Sky Subtraction Extinction Correction Deconvolution Methods Rebinning/Combining Summary and Prospects for the Future

  6. Korean Astronomical Calendar, Chiljeongsan

    Science.gov (United States)

    Lee, Eun Hee

    In fifteenth century Korea, there was a grand project for the astronomical calendar and instrument making by the order of King Sejong 世宗 (1418-1450). During this period, many astronomical and calendrical books including Islamic sources in Chinese versions were imported from Ming 明 China, and corrected and researched by the court astronomers of Joseon 朝鮮 (1392-1910). Moreover, the astronomers and technicians of Korea frequently visited China to study astronomy and instrument making, and they brought back useful information in the form of new published books or specifications of instruments. As a result, a royal observatory equipped with 15 types of instrument was completed in 1438. Two types of calendar, Chiljeongsan Naepyeon 七政算內篇 and Chiljeongsan Oepyeon 七政算外篇, based on the Chinese and Islamic calendar systems, respectively, were published in 1444 with a number of calendrical editions such as corrections and example supplements (假令) including calculation methods and results for solar and lunar eclipses.

  7. Focus on astronomical predictable events

    DEFF Research Database (Denmark)

    Jacobsen, Aase Roland

    2006-01-01

    At the Steno Museum Planetarium we have for many occasions used a countdown clock to get focus om astronomical events. A countdown clock can provide actuality to predictable events, for example The Venus Transit, Opportunity landing on Mars and The Solar Eclipse. The movement of the clock attracs...... the public and makes a point of interest in a small exhibit area. A countdown clock can be simple, but it is possible to expand the concept to an eye-catching part of a museum....

  8. Dentist-Perceived Barriers and Attractors to Cognitive-Behavioral Treatment Provided by Mental Health Providers in Dental Practices.

    Science.gov (United States)

    Heyman, R E; Wojda, A K; Eddy, J M; Haydt, N C; Geiger, J F; Slep, A M Smith

    2018-02-01

    Over 1 in 5 dental patients report moderate to severe dental fear. Although the efficacy of cognitive-behavioral treatment (CBT) for dental fear has been examined in over 20 randomized controlled trials-with 2 meta-analyses finding strong average effect sizes ( d > 1)-CBT has received almost no dissemination beyond the specialty clinics that tested it. The challenge, then, is not how to treat dental fear but how to disseminate and implement such an evidence-based treatment in a way that recognizes the rewards and barriers in the US health care system. This mixed-method study investigated the potential of disseminating CBT through care from a mental health provider from within the dental home, a practice known as evidence-based collaborative care (EBCC). Two preadoption studies were conducted with practicing dentists drawn from a self-organized Practice-Based Research Network in the New York City metropolitan area. The first comprised 3 focus groups ( N = 17), and the second involved the administration of a survey ( N = 46). Focus group participants agreed that CBT for dental fear is worthy of consideration but identified several concerns regarding its appeal, feasibility, and application in community dental practices. Survey participants indicated endorsement of factors promoting the use of EBCC as a mechanism for CBT dissemination, with no factors receiving less than 50% support. Taken together, these findings indicate that EBCC may be a useful framework through which an evidence-based treatment for dental fear treatment can be delivered.

  9. Astronomers Without Borders: A Global Astronomy Community

    Science.gov (United States)

    Simmons, M.

    2011-10-01

    Astronomers Without Borders (AWB) brings together astronomy enthusiasts of all types - amateur astronomers, educators, professionals and "armchair" astronomers for a variety of online and physicalworld programs. The AWB web site provides social networking and a base for online programs that engage people worldwide in astronomy activities that transcend geopolitical and cultural borders. There is universal interest in astronomy, which has been present in all cultures throughout recorded history. Astronomy is also among the most accessible of sciences with the natural laboratory of the sky being available to people worldwide. There are few other interests for which people widely separated geographically can engage in activities involving the same objects. AWB builds on those advantages to bring people together. AWB also provides a platform where projects can reach a global audience. AWB also provides unique opportunities for multidisciplinary collaboration in EPO programs. Several programs including The World at Night, Global Astronomy Month and others will be described along with lessons learned.

  10. South African Astronomical Observatory

    International Nuclear Information System (INIS)

    1987-01-01

    Work at the South African Astronomical Observatory (SAAO) in recent years, by both staff and visitors, has made major contributions to the fields of astrophysics and astronomy. During 1986 the SAAO has been involved in studies of the following: galaxies; celestial x-ray sources; magellanic clouds; pulsating variables; galactic structure; binary star phenomena; nebulae and interstellar matter; stellar astrophysics; open clusters; globular clusters, and solar systems

  11. Practical Astronomical Activities during Daytime. (Spanish Title: Actividades Astronómicas Prácticas Diurnas.) Atividades Astronômicas Práticas Diurnas

    Science.gov (United States)

    Jackson, Eric

    2009-12-01

    These daytime astronomy activities arose from research done in New Zealand by a group of teachers and astronomers into the problems of teaching astronomy. This showed that it was generally regarded as a difficult subject to take, traditionally relying on books, films and models. The fortunate may have had a visit to an observatory or planetarium, the adventurous may have attempted an outdoor evening viewing session, which sometimes had weather-related difficulties. The problem of not having many 'hands-on' activities, the feelings of inadequate knowledge, the felt need for astronomical equipment and expertise become too daunting for many teachers to do the subject justice. If astronomy was to be taught then a way around these difficulties needed to be found. Our group, working with teachers and children using the constructivism teaching approach, found that the principles of astronomy could be discovered during the day when the students are at school. Working co-operatively they measured and recorded observations of their shadows caused by the motions and interactions of the nearest star, the Sun (Sol), and our planet, Earth. Because children were involved so personally they were much more interested in the results of the study. Astronomy became enthralling and challenging for both teacher and class after applying their daytime experiences to night time viewing at home and reporting back to class. Estas actividades astronómicas diurnas surgieron de una investigación hecha en NuevaZelandia por un grupo de maestros y astrónomos sobre los problemas de la enseñanza de la Astronomía. Este trabajo mostró que la Astronomía es generalmente considerada una disciplina difícil de enseñar, y tradicionalmente basada en libros, filmes y modelos. Los más afortunados pueden haber efectuado alguna visita a un observatorio o planetario, y los más aventajados pueden tal vez haber intentado una sesión de observación nocturna, las cuales sufren a veces de dificultades

  12. Procurement risk management practices and supply chain performance among mobile phone service providers in Kenya

    OpenAIRE

    Emily Adhiambo Okonjo; Peterson Obara Magutu; Richard Bitange Nyaoga

    2016-01-01

    The aim of this study was to establish the relationship between procurement risk management practices and supply chain performance among mobile phone service providers in Kenya. The study specifically set out to establish the extent to which mobile phone service providers have implemented procurement risk management practices and to determine the relationship between procurement risk management practices and supply chain performance. The study adopted a descriptive study design by collecting ...

  13. Training Young Astronomers in EPO: An Update on the AAS Astronomy Ambassadors Program

    Science.gov (United States)

    Fraknoi, A.; Fienberg, R. T.; Gurton, S.; Schmitt, A. H.; Schatz, D.; Prather, E. E.

    2014-07-01

    The American Astronomical Society, with organizations active in EPO, has launched professional-development workshops and a community of practice to help improve early-career astronomers' ability to communicate effectively. Called “Astronomy Ambassadors,” the program provides mentoring and training for participants, from advanced undergraduates to beginning faculty. By learning to implement effective EPO strategies, Ambassadors become better teachers, meeting presenters, and representatives of our science to the public and government. Because young astronomers are a more diverse group than those who now do most outreach, they help the astronomy community present a more multicultural and gender-balanced face to the public, enabling underserved groups to see themselves as scientists. Ambassadors are given a library of outreach activities and materials, including many developed by cooperating organizations such as the ASP, plus some that have been created by Andrew Fraknoi specifically for this program.

  14. Effectiveness of Amateur Astronomers as Informal Science Educators

    Science.gov (United States)

    Gibbs, Michael G.; Berendsen, Margaret

    2007-01-01

    The Astronomical Society of the Pacific (ASP) conducted a national survey of in-service teachers participating in Project ASTRO. The survey results document (1) the value that teachers place on supplemental astronomy education provided by professional and amateur astronomers, and (2) the difference that teachers perceive in the value provided by…

  15. SAADA: Astronomical Databases Made Easier

    Science.gov (United States)

    Michel, L.; Nguyen, H. N.; Motch, C.

    2005-12-01

    Many astronomers wish to share datasets with their community but have not enough manpower to develop databases having the functionalities required for high-level scientific applications. The SAADA project aims at automatizing the creation and deployment process of such databases. A generic but scientifically relevant data model has been designed which allows one to build databases by providing only a limited number of product mapping rules. Databases created by SAADA rely on a relational database supporting JDBC and covered by a Java layer including a lot of generated code. Such databases can simultaneously host spectra, images, source lists and plots. Data are grouped in user defined collections whose content can be seen as one unique set per data type even if their formats differ. Datasets can be correlated one with each other using qualified links. These links help, for example, to handle the nature of a cross-identification (e.g., a distance or a likelihood) or to describe their scientific content (e.g., by associating a spectrum to a catalog entry). The SAADA query engine is based on a language well suited to the data model which can handle constraints on linked data, in addition to classical astronomical queries. These constraints can be applied on the linked objects (number, class and attributes) and/or on the link qualifier values. Databases created by SAADA are accessed through a rich WEB interface or a Java API. We are currently developing an inter-operability module implanting VO protocols.

  16. LGBT Workplace Issues for Astronomers

    Science.gov (United States)

    Kay, Laura E.; Danner, R.; Sellgren, K.; Dixon, V.; GLBTQastro

    2011-01-01

    Federal Equal Employment Opportunity laws and regulations do not provide protection from discrimination on the basis of sexual orientation or gender identity or gender expression. Sexual minority astronomers (including lesbian, gay, bisexual and transgender people; LGBT) can face additional challenges at school and work. Studies show that LGBT students on many campuses report experiences of harassment. Cities, counties, and states may or may not have statutes to protect against such discrimination. There is wide variation in how states and insurance plans handle legal and medical issues for transgender people. Federal law does not acknowledge same-sex partners, including those legally married in the U.S. or in other countries. Immigration rules in the U.S. (and many other, but not all) countries do not recognize same-sex partners for visas, employment, etc. State `defense of marriage act' laws have been used to remove existing domestic partner benefits at some institutions, or benefits can disappear with a change in governor. LGBT astronomers who change schools, institutions, or countries during their career may experience significant differences in their legal, medical, and marital status.

  17. On astronomical drawing [1846

    Science.gov (United States)

    Smyth, Charles Piazzi

    Reprinted from the Memoirs of the Royal Astronomical Society 15, 1846, pp. 71-82. With annotations and illustrations added by Klaus Hentschel. The activities of the Astronomer Royal for Scotland, Charles Piazzi Smyth (1819-1900), include the triangulation of South African districts, landscape painting, day-to-day or tourist sketching, the engraving and lithographing of prominent architectural sites, the documentary photography of the Egyptian pyramids or the Tenerife Dragon tree, and `instant photographs' of the clouds above his retirement home in Clova, Ripon. His colorful records of the aurora polaris, and solar and terrestrial spectra all profited from his trained eye and his subtle mastery of the pen and the brush. As his paper on astronomical drawing, which we chose to reproduce in this volume, amply demonstrates, he was conversant in most of the print technology repertoire that the 19th century had to offer, and carefully selected the one most appropriate to each sujet. For instance, he chose mezzotint for the plates illustrating Maclear's observations of Halley's comet in 1835/36, so as to achieve a ``rich profundity of shadows, the deep obscurity of which is admirably adapted to reproduce those fine effects of chiaroscuro frequently found in works where the quantity of dark greatly predominates.'' The same expertise with which he tried to emulate Rembrandt's chiaroscuro effects he applied to assessing William and John Herschel's illustrations of nebulae, which appeared in print between 1811 and 1834. William Herschel's positive engraving, made partly by stippling and partly by a coarse mezzotint, receives sharp admonishment because of the visible ruled crossed lines in the background and the fact that ``the objects, which are also generally too light, [have] a much better definition than they really possess.'' On the other hand, John Herschel's illustration of nebulae and star clusters, given in negative, ``in which the lights are the darkest part of the

  18. Astronomical Instruments in India

    Science.gov (United States)

    Sarma, Sreeramula Rajeswara

    The earliest astronomical instruments used in India were the gnomon and the water clock. In the early seventh century, Brahmagupta described ten types of instruments, which were adopted by all subsequent writers with minor modifications. Contact with Islamic astronomy in the second millennium AD led to a radical change. Sanskrit texts began to lay emphasis on the importance of observational instruments. Exclusive texts on instruments were composed. Islamic instruments like the astrolabe were adopted and some new types of instruments were developed. Production and use of these traditional instruments continued, along with the cultivation of traditional astronomy, up to the end of the nineteenth century.

  19. Decoding the mechanisms of Antikythera astronomical device

    CERN Document Server

    Lin, Jian-Liang

    2016-01-01

    This book presents a systematic design methodology for decoding the interior structure of the Antikythera mechanism, an astronomical device from ancient Greece. The historical background, surviving evidence and reconstructions of the mechanism are introduced, and the historical development of astronomical achievements and various astronomical instruments are investigated. Pursuing an approach based on the conceptual design of modern mechanisms and bearing in mind the standards of science and technology at the time, all feasible designs of the six lost/incomplete/unclear subsystems are synthesized as illustrated examples, and 48 feasible designs of the complete interior structure are presented. This approach provides not only a logical tool for applying modern mechanical engineering knowledge to the reconstruction of the Antikythera mechanism, but also an innovative research direction for identifying the original structures of the mechanism in the future. In short, the book offers valuable new insights for all...

  20. Procurement risk management practices and supply chain performance among mobile phone service providers in Kenya

    Directory of Open Access Journals (Sweden)

    Emily Adhiambo Okonjo

    2016-02-01

    Full Text Available The aim of this study was to establish the relationship between procurement risk management practices and supply chain performance among mobile phone service providers in Kenya. The study specifically set out to establish the extent to which mobile phone service providers have implemented procurement risk management practices and to determine the relationship between procurement risk management practices and supply chain performance. The study adopted a descriptive study design by collecting data from the four (4 mobile telecommunication companies in Kenya using a self-administered questionnaire. Means, standard deviation, and regression analysis were used to analyze the data collected. The study established that most of the mobile phone service providers in Kenya had implemented procurement risk management practices. It was also clear that there was a very significant relationship between procurement risk management practices and supply chain performance.

  1. Early results from the Infrared Astronomical Satellite

    International Nuclear Information System (INIS)

    Neugebauer, G.; Beichman, C.A.; Soifer, B.T.

    1984-01-01

    For 10 months the Infrared Astronomical Satellite (IRAS) provided astronomers with what might be termed their first view of the infrared sky on a clear, dark night. Without IRAS, atmospheric absorption and the thermal emission from both the atmosphere and Earthbound telescopes make the task of the infrared astronomer comparable to what an optical astronomer would face if required to work only on cloudy afternoons. IRAS observations are serving astronomers in the same manner as the photographic plates of the Palomar Observatory Sky Survey; just as the optical survey has been used by all astronomers for over three decades, as a source of quantitative information about the sky and as a roadmap for future observations, the results of IRAS will be studied for years to come. IRAS has demonstrated the power of infrared astronomy from space. Already, from a brief look at a miniscule fraction of the data available, we have learned much about the solar system, about nearby stars, about the Galaxy as a whole and about distant extragalactic systems. Comets are much dustier than previously thought. Solid particles, presumably the remnants of the star-formation process, orbit around Vega and other stars and may provide the raw material for planetary systems. Emission from cool interstellar material has been traced throughout the Galaxy all the way to the galactic poles. Both the clumpiness and breadth of the distribution of this material were previously unsuspected. The far-infrared sky away from the galactic plane has been found to be dominate by spiral galaxies, some of which emit more than 50% and as much as 98% of their energy in the infrared - an exciting and surprising revelation. The IRAS mission is clearly the pathfinder for future mission that, to a large extent, will be devoted to the discoveries revealed by IRAS. 8 figures

  2. Grigor Narekatsi's astronomical insights

    Science.gov (United States)

    Poghosyan, Samvel

    2015-07-01

    What stand out in the solid system of Gr. Narekatsi's naturalistic views are his astronomical insights on the material nature of light, its high speed and the Sun being composed of "material air". Especially surprising and fascinating are his views on stars and their clusters. What astronomers, including great Armenian academician V. Ambartsumian (scattering of stellar associations), would understand and prove with much difficulty thousand years later, Narekatsi predicted in the 10th century: "Stars appear and disappear untimely", "You who gather and scatter the speechless constellations, like a flock of sheep". Gr. Narekatsti's reformative views were manifested in all the spheres of the 10th century social life; he is a reformer of church life, great language constructor, innovator in literature and music, freethinker in philosophy and science. His ideology is the reflection of the 10th century Armenian Renaissance. During the 9th-10th centuries, great masses of Armenians, forced to migrate to the Balkans, took with them and spread reformative ideas. The forefather of the western science, which originated in the period of Reformation, is considered to be the great philosopher Nicholas of Cusa. The study of Gr. Narekatsti's logic and naturalistic views enables us to claim that Gr. Narekatsti is the great grandfather of European science.

  3. Organizational Culture and Climate and Mental Health Provider Attitudes Toward Evidence-Based Practice.

    Science.gov (United States)

    Aarons, Gregory A; Sawitzky, Angelina C

    2006-02-01

    Mental health provider attitudes toward adopting evidence-based practice (EBP) are associated with organizational context and provider individual differences. Organizational culture and climate are contextual factors that can affect staff acceptance of innovation. This study examined the association of organizational culture and climate with attitudes toward adopting EBP. Participants were 301 public sector mental health service providers from 49 programs providing mental health services for youths and families. Correlation analyses and multilevel hierarchical regressions, controlling for effects of provider characteristics, showed that constructive culture was associated with more positive attitudes toward adoption of EBP and poor organizational climates with perceived divergence of usual practice and EBP. Behavioral health organizations may benefit from consideration of how culture and climate affect staff attitudes toward change in practice.

  4. An astronomical observatory for Peru

    Science.gov (United States)

    del Mar, Juan Quintanilla; Sicardy, Bruno; Giraldo, Víctor Ayma; Callo, Víctor Raúl Aguilar

    2011-06-01

    Peru and France are to conclude an agreement to provide Peru with an astronomical observatory equipped with a 60-cm diameter telescope. The principal aims of this project are to establish and develop research and teaching in astronomy. Since 2004, a team of researchers from Paris Observatory has been working with the University of Cusco (UNSAAC) on the educational, technical and financial aspects of implementing this venture. During an international astronomy conference in Cusco in July 2009, the foundation stone of the future Peruvian Observatory was laid at the top of Pachatusan Mountain. UNSAAC, represented by its Rector, together with the town of Oropesa and the Cusco regional authority, undertook to make the sum of 300,000€ available to the project. An agreement between Paris Observatory and UNSAAC now enables Peruvian students to study astronomy through online teaching.

  5. Asteroids astronomical and geological bodies

    CERN Document Server

    Burbine, Thomas H

    2016-01-01

    Asteroid science is a fundamental topic in planetary science and is key to furthering our understanding of planetary formation and the evolution of the Solar System. Ground-based observations and missions have provided a wealth of new data in recent years, and forthcoming missions promise further exciting results. This accessible book presents a comprehensive introduction to asteroid science, summarising the astronomical and geological characteristics of asteroids. The interdisciplinary nature of asteroid science is reflected in the broad range of topics covered, including asteroid and meteorite classification, chemical and physical properties of asteroids, observational techniques, cratering, and the discovery of asteroids and how they are named. Other chapters discuss past, present and future space missions and the threat that these bodies pose for Earth. Based on an upper-level course on asteroids and meteorites taught by the author, this book is ideal for students, researchers and professional scientists ...

  6. Organizational Culture and Climate and Mental Health Provider Attitudes Toward Evidence-Based Practice

    OpenAIRE

    Aarons, Gregory A.; Sawitzky, Angelina C.

    2006-01-01

    Mental health provider attitudes toward adopting evidence-based practice (EBP) are associated with organizational context and provider individual differences. Organizational culture and climate are contextual factors that can affect staff acceptance of innovation. This study examined the association of organizational culture and climate with attitudes toward adopting EBP. Participants were 301 public sector mental health service providers from 49 programs providing mental health services for ...

  7. BOOK REVIEW: The Wandering Astronomer

    Science.gov (United States)

    Swinbank, Elizabeth

    2000-09-01

    Fans of Patrick Moore will like this book. I enjoyed it more than I expected, having anticipated a collection of personal anecdotes of the type favoured by certain tedious after-dinner speakers. Some of the 41 short items it contains do tend towards that category, but there are also some nuggets which might enliven your physics teaching. For example, did you know that, in a murder trial in 1787, the defendant's belief that the Sun was inhabited was cited as evidence of his insanity? This was despite his views being shared by many astronomers of the day including William Herschel. Or that Clyde Tombaugh had a cat called Pluto after the planet he discovered, which was itself named by an eleven-year-old girl? Another gem concerns a brief flurry, in the early 1990s, over a suspected planet orbiting a pulsar; variations in the arrival time of its radio pulses indicated the presence of an orbiting body. These shifts were later found to arise from an error in a computer program that corrected for the Earth's motion. The programmer had assumed a circular orbit for the Earth whereas it is actually elliptical. The book is clearly intended for amateur astronomers and followers of Patrick Moore's TV programmes. There is plenty of astronomy, with an emphasis on the solar system, but very little astrophysics. The author's metricophobia means that quantities are given in imperial units throughout, with metric equivalents added in brackets (by an editor, I suspect) which can get irritating, particularly as powers-of-ten notation is avoided. It is quite a novelty to see the temperature for hydrogen fusion quoted as 18 000 000 °F (10 000 000 °C). By way of contrast, astronomical terms are used freely - ecliptic, first-magnitude star, and so on. Such terms are defined in a glossary at the end, but attention is not drawn to this and I only stumbled across it by chance. Patrick Moore obviously knows his public, and this book will serve them well. For physics teachers and students

  8. Developmental Surveillance and Screening Practices by Pediatric Primary Care Providers: Implications for Early Intervention Professionals

    Science.gov (United States)

    Porter, Sallie; Qureshi, Rubab; Caldwell, Barbara Ann; Echevarria, Mercedes; Dubbs, William B.; Sullivan, Margaret W.

    2016-01-01

    This study used a survey approach to investigate current developmental surveillance and developmental screening practices by pediatric primary care providers in a diverse New Jersey county. A total of 217 providers were contacted with a final sample size of 57 pediatric primary care respondents from 13 different municipalities. Most providers…

  9. A Guide to Providing Social Support for Apprentices. Good Practice Guide

    Science.gov (United States)

    National Centre for Vocational Education Research (NCVER), 2016

    2016-01-01

    The main purpose of this guide is to provide some ideas for employers of apprentices to provide an environment in which strong informal bases of support can succeed. Formal mentoring is an important aspect of apprenticeships; however, it is also informal mentoring--practices that are difficult to formally nurture--that plays a significant and…

  10. Psychosis screening practices in schools: A survey of school-based mental health providers.

    Science.gov (United States)

    Kline, Emily R; Chokran, Cole; Rodenhiser-Hill, Janine; Seidman, Larry J; Woodberry, Kristen A

    2018-05-04

    Many school districts in the United States employ mental health professionals to provide assessment, counselling and crisis interventions within the school setting; however, little is known about actual clinical practices of psychosis screening in schools. The aim of the present study is to examine attitudes and practices regarding psychosis screening among school mental health providers in metropolitan Boston, Massachusetts. School-based mental health clinicians (N = 100) completed an anonymous survey assessing familiarity, screening, and involvement with psychosis and psychosis risk prior to attending trainings on psychosis. Providers reported screening for psychosis less often than other mental health problems and rated themselves as less confident treating psychosis relative to other mental health concerns. Frequency of screening for psychosis was significantly associated with familiarity with psychosis assessment and case management, confidence providing treatment for individuals experiencing psychosis, and the number of students with or at risk for psychosis with whom providers had been involved. Frequency of screening for psychosis was not associated with years of practice, suggesting that both novice and experienced school-based providers may benefit from training on this issue. Community outreach via school-based provider training on assessment and management of psychosis may help to increase providers' understanding of psychosis and increase the practice of verbal or written screening for psychosis and psychosis risk within schools. © 2018 John Wiley & Sons Australia, Ltd.

  11. Obesity prevention, screening, and treatment: practices of pediatric providers since the 2007 expert committee recommendations.

    Science.gov (United States)

    Rausch, John Conrad; Perito, Emily Rothbaum; Hametz, Patricia

    2011-05-01

    This study surveyed pediatric primary care providers at a major academic center regarding their attitudes and practices of obesity screening, prevention, and treatment. The authors compared the care providers' reported practices to the 2007 American Medical Association and Centers for Disease Control and Prevention Expert Committee Recommendations to evaluate their adherence to the guidelines and differences based on level of training and specialty. Of 96 providers surveyed, less than half used the currently recommended criteria for identifying children who are overweight (24.7%) and obese (34.4%), with attendings more likely to use the correct criteria than residents (P obesity, the majority felt their counseling was not effective. There was considerable variability in reported practices of lab screening and referral patterns of overweight and obese children. More efforts are needed to standardize providers' approach to overweight and obese children.

  12. Astronomical Data in Undergraduate courses

    Science.gov (United States)

    Clarkson, William I.; Swift, Carrie; Hughes, Kelli; Burke, Christopher J. F.; Burgess, Colin C.; Elrod, Aunna V.; Howard, Brittany; Stahl, Lucas; Matzke, David; Bord, Donald J.

    2016-06-01

    We present status and plans for our ongoing efforts to develop data analysis and problem-solving skills through Undergraduate Astronomy instruction. While our initiatives were developed with UM-Dearborn’s student body primarily in mind, they should be applicable for a wide range of institution and of student demographics. We focus here on two strands of our effort.Firstly, students in our Introductory Astronomy (ASTR 130) general-education course now perform several “Data Investigations”, in which they interrogate the Hubble Legacy Archive to illustrate important course concepts. This was motivated in part by the realization that typical public data archives now include tools to interrogate the observations that are sufficiently accessible that introductory astronomy students can use them to perform real science, albeit mostly at a descriptive level. We are continuing to refine these investigations, and, most importantly, to critically assess their effectiveness in terms of the student learning outcomes we wish to achieve. This work is supported by grant HST-EO-13758, provided by NASA through a grant from the Space Telescope Science Institute, which is operated by the Association of Universities for Research in Astronomy, Inc., under NASA contract NAS 5-26555.Secondly, at the advanced-undergraduate level, students taking courses in our Astronomy minor are encouraged to gain early experience in techniques of astronomical observation and analysis that are used by professionals. We present two example projects from the Fall 2015 iteration of our upper-division course ASTR330 (The Cosmic Distance Ladder), one involving Solar System measurements, the second producing calibrated aperture photometry. For both projects students conducted, analysed, and interpreted observations using our 0.4m campus telescope, and used many of the same analysis tools as professional astronomers. This work is supported partly from a Research Initiation and Seed grant from the

  13. Scope of practice review: providers for triage and assessment of spine-related disorders

    Directory of Open Access Journals (Sweden)

    Boakye O

    2016-05-01

    Full Text Available Omenaa Boakye,1 Arden Birney,1 Esther Suter,1 Leah Adeline Phillips,2 Victoria YM Suen3 1Workforce Research and Evaluation, Alberta Health Services, Calgary, 2College of Licensed Practical Nurses of Alberta, Edmonton, 3Addiction and Mental Health SCN, Alberta Health Services, Edmonton, AB, Canada Purpose: This study explored which health care providers could be involved in centralized intake for patients with nonspecific low back pain to enhance access, continuity, and appropriateness of care. Methods: We reviewed the scope of practice regulations for a range of health care providers. We also conducted telephone interviews with 17 individuals representing ten provincial colleges and regulatory bodies to further understand providers' legislated scopes of practice. Activities relevant to triaging and assessing patients with low back pain were mapped against professionals' scope of practice. Results: Family physicians and nurse practitioners have the most comprehensive scopes and can complete all restricted activities for spine assessment and triage, while the scope of registered nurses and licensed practical nurses are progressively narrower. Chiropractors, occupational therapists, physiotherapists, and athletic therapists are considered experts in musculoskeletal assessments and appear best suited for musculoskeletal specific assessment and triage. Other providers may play a complementary role depending on the individual patient needs. Conclusion: These findings indicate that an interprofessional assessment and triage team that includes allied health professionals would be a feasible option to create a centralized intake model. Implementation of such teams would require removing barriers that currently prevent providers from delivering on their full scope of practice. Keywords: scope of practice review, low back pain, integrated service model, centralized intake, interprofessional team

  14. Knowledge, attitudes, and practices of private sector immunization service providers in Gujarat, India.

    Science.gov (United States)

    Hagan, José E; Gaonkar, Narayan; Doshi, Vikas; Patni, Anas; Vyas, Shailee; Mazumdar, Vihang; Kosambiya, J K; Gupta, Satish; Watkins, Margaret

    2018-01-02

    India is responsible for 30% of the annual global cohort of unvaccinated children worldwide. Private practitioners provide an estimated 21% of vaccinations in urban centers of India, and are important partners in achieving high vaccination coverage. We used an in-person questionnaire and on-site observation to assess knowledge, attitudes, and practices of private immunization service providers regarding delivery of immunization services in the urban settings of Surat and Baroda, in Gujarat, India. We constructed a comprehensive sampling frame of all private physician providers of immunization services in Surat and Baroda cities, by consulting vaccine distributors, local branches of physician associations, and published lists of private medical practitioners. All providers were contacted and asked to participate in the study if they provided immunization services. Data were collected using an in-person structured questionnaire and directly observing practices; one provider in each practice setting was interviewed. The response rate was 82% (121/147) in Surat, and 91% (137/151) in Baroda. Of 258 participants 195 (76%) were pediatricians, and 63 (24%) were general practitioners. Practices that were potential missed opportunities for vaccination (MOV) included not strictly following vaccination schedules if there were concerns about ability to pay (45% of practitioners), and not administering more than two injections in the same visit (60%). Only 22% of respondents used a vaccination register to record vaccine doses, and 31% reported vaccine doses administered to the government. Of 237 randomly selected vaccine vials, 18% had expired vaccine vial monitors. Quality of immunization services in Gujarat can be strengthened by providing training and support to private immunization service providers to reduce MOVs and improve quality and safety; other more context specific strategies that should be evaluated may involve giving feedback to providers on quality of services

  15. Utilisation of evidence-based practices by ASD early intervention service providers.

    Science.gov (United States)

    Paynter, Jessica M; Ferguson, Sarah; Fordyce, Kathryn; Joosten, Annette; Paku, Sofia; Stephens, Miranda; Trembath, David; Keen, Deb

    2017-02-01

    A number of autism intervention practices have been demonstrated to be effective. However, the use of unsupported practices persists in community early intervention settings. Recent research has suggested that personal, professional and workplace factors may influence intervention choices. The aim of this research was to investigate knowledge and use of strategies, organisational culture, individual attitudes, sources of information and considerations informing intervention choices by early intervention providers. An online survey was completed by 72 early intervention providers from four organisations across Australia. Providers reported high levels of trust and access of information from internal professional development, therapists and external professional development. A range of considerations including child factors, family values and research were rated as important in informing intervention choices. Participants reported greater knowledge and use of evidence-based and emerging practices than unsupported. Levels of use were linked to levels of knowledge, as well as some organisational and attitudinal factors. Areas for future research and implications are discussed.

  16. Knowledge, attitudes, and practices regarding Rocky Mountain spotted fever among healthcare providers, Tennessee, 2009.

    Science.gov (United States)

    Mosites, Emily; Carpenter, L Rand; McElroy, Kristina; Lancaster, Mary J; Ngo, Tue H; McQuiston, Jennifer; Wiedeman, Caleb; Dunn, John R

    2013-01-01

    Tennessee has a high incidence of Rocky Mountain spotted fever (RMSF), the most severe tick-borne rickettsial illness in the United States. Some regions in Tennessee have reported increased illness severity and death. Healthcare providers in all regions of Tennessee were surveyed to assess knowledge, attitudes, and perceptions regarding RMSF. Providers were sent a questionnaire regarding knowledge of treatment, diagnosis, and public health reporting awareness. Responses were compared by region of practice within the state, specialty, and degree. A high proportion of respondents were unaware that doxycycline is the treatment of choice in children ≤ 8 years of age. Physicians practicing in emergency medicine, internal medicine, and family medicine; and nurse practitioners, physician assistants, and providers practicing for < 20 years demonstrated less knowledge regarding RMSF. The gaps in knowledge identified between specialties, designations, and years of experience can help target education regarding RMSF.

  17. Comparison of Quality Oncology Practice Initiative (QOPI) Measure Adherence Between Oncology Fellows, Advanced Practice Providers, and Attending Physicians.

    Science.gov (United States)

    Zhu, Jason; Zhang, Tian; Shah, Radhika; Kamal, Arif H; Kelley, Michael J

    2015-12-01

    Quality improvement measures are uniformly applied to all oncology providers, regardless of their roles. Little is known about differences in adherence to these measures between oncology fellows, advance practice providers (APP), and attending physicians. We investigated conformance across Quality Oncology Practice Initiative (QOPI) measures for oncology fellows, advance practice providers, and attending physicians at the Durham Veterans Affairs Medical Center (DVAMC). Using data collected from the Spring 2012 and 2013 QOPI cycles, we abstracted charts of patients and separated them based on their primary provider. Descriptive statistics and the chi-square test were calculated for each QOPI measure between fellows, advanced practice providers (APPs), and attending physicians. A total of 169 patients were reviewed. Of these, 31 patients had a fellow, 39 had an APP, and 99 had an attending as their primary oncology provider. Fellows and attending physicians performed similarly on 90 of 94 QOPI metrics. High-performing metrics included several core QOPI measures including documenting consent for chemotherapy, recommending adjuvant chemotherapy when appropriate, and prescribing serotonin antagonists when prescribing emetogenic chemotherapies. Low-performing metrics included documentation of treatment summary and taking action to address problems with emotional well-being by the second office visit. Attendings documented the plan for oral chemotherapy more often (92 vs. 63%, P=0.049). However, after the chart audit, we found that fellows actually documented the plan for oral chemotherapy 88% of the time (p=0.73). APPs and attendings performed similarly on 88 of 90 QOPI measures. The quality of oncology care tends to be similar between attendings and fellows overall; some of the significant differences do not remain significant after a second manual chart review, highlighting that the use of manual data collection for QOPI analysis is an imperfect system, and there may

  18. Provider Attitudes and Practices toward Sexual and Reproductive Health Care for Young Women with Cystic Fibrosis.

    Science.gov (United States)

    Kazmerski, Traci M; Borrero, Sonya; Sawicki, Gregory S; Abebe, Kaleab Z; Jones, Kelley A; Tuchman, Lisa K; Weiner, Daniel J; Pilewski, Joseph M; Orenstein, David M; Miller, Elizabeth

    2017-10-01

    To investigate the attitudes and practices of cystic fibrosis (CF) providers toward sexual and reproductive health (SRH) care in young women with CF. Adult and pediatric US CF providers were sent an online survey exploring their attitudes toward SRH importance, SRH care practices, and barriers/facilitators to SRH care in adolescent and/or young adult women. Descriptive statistics and logistic regression were used to analyze results. Attitudes toward the importance of SRH care in patients with CF and self-report of practice patterns of SRH discussion. Respondents (n = 196) were 57% pediatric (111/196) and 24% adult physicians (48/196) and 19% nurse practitioners (NPs)/physician assistants (PAs) (37/196). Ninety-four percent of respondents believed SRH was important for female patients with CF (184/196). More than 75% believed SRH care should be standardized within the CF care model (147/196) and 41% believed the CF team should have the primary role in SRH discussion and care (80/196). For many CF-specific SRH topics, discrepancies emerged between how important respondents believed these were to address and how often they reported discussing these topics in practice. Significant differences in SRH attitudes and practices were present between adult and pediatric physicians. The most significant barriers to SRH care identified were lack of time (70%, 137/196) and the presence of family in clinic room (54%, 106/196). Potential facilitators included training materials for providers (68%, 133/196) and written (71%, 139/196) or online (76%, 149/196) educational resources for patients. CF providers perceive SRH topics as important to discuss, but identify barriers to routine discussion in current practice. Providers endorsed provider training and patient educational resources as means to improve SRH delivery. Copyright © 2017 North American Society for Pediatric and Adolescent Gynecology. Published by Elsevier Inc. All rights reserved.

  19. Providers perspectives on self-regulation impact their use of responsive feeding practices in child care.

    Science.gov (United States)

    Dev, Dipti A; Speirs, Katherine E; Williams, Natalie A; Ramsay, Samantha; McBride, Brent A; Hatton-Bowers, Holly

    2017-11-01

    Supporting children's self-regulation in eating through caregivers' practice of responsive feeding is paramount to obesity prevention, and while much attention has been given to supporting children's self-regulation in eating through parents' responsive feeding practices in the home setting, little attention has been given to this issue in childcare settings. This qualitative study examines childcare providers' perspectives on using responsive feeding practices with young children (2-5years). Individual semi-structured interviews were conducted with providers until saturation was reached. Data was analyzed using thematic analysis. The final sample included 18 providers who were employed full-time in Head Start or state-licensed center-based childcare programs, cared for children (2-5y), and were directly responsible for serving meals and snacks. Providers were primarily (67%) employed in childcare programs that served children from low-income families and received reimbursement for meals and snacks from the US Department of Agriculture's Child and Adult Care Food Program. Three factors emerged that shaped childcare providers' experiences using responsive feeding practices: the providers' perspectives about whether or not young children can self-regulate food intake, their understanding of Child and Adult Care Food Program (CACFP) portion size regulations, and the availability of food at the center where they worked. Future research should examine how childcare providers' understanding of children's ability to self-regulate their food intake, the appropriate use of the CACFP regulations in relationship to serving sizes, and having food available to offer seconds promotes providers' use of responsive feeding practices in center-based childcare programs and children's dietary behaviors. Copyright © 2017 Elsevier Ltd. All rights reserved.

  20. Closing remarks: astronomical

    International Nuclear Information System (INIS)

    Pecker, J.-C.

    1990-01-01

    During the discussions we have covered many facets of the basic interactions between solar activity and the Earth's climate. Solar activity is not the only astronomical or astrophysical phenomenon to influence physical conditions in the biosphere. Over timescales an order of magnitude less, the location of the Solar System in the Galaxy may have influenced life on Earth. The Sun is a complex generator of radiation, particles and magnetic fields sent far into space. Even if the total radiation emitted is constant, the amount of radiation received by the Earth changes with time: this change is complex and involved with a redistribution of energy emitted at different solar latitudes than to a real change in solar luminosity. These changes in the Earth's illumination may be a function of the wavelength, and have various effects in different layers of the Earth's atmosphere. The Sun also emits particles of all energies. Some of them find their way through the magnetopause, giving rise to auroras, to magnetic storms, to ionospheric disturbances and the like. The possible climatological effects are yet obscure. To understand the solar terrestrial relations better, regular, routine observations from ground-based stations and from space of solar phenomena must be continued. The sensitivity of human life to small changes in climatic conditions is very large. A good knowledge of solar-physics is therefore important and relevant. (author)

  1. Vertical integration of teaching in Australian general practice--a survey of regional training providers.

    Science.gov (United States)

    Stocks, Nigel P; Frank, Oliver; Linn, Andrew M; Anderson, Katrina; Meertens, Sarah

    2011-06-06

    To examine vertical integration of teaching and clinical training in general practice and describe practical examples being undertaken by Australian general practice regional training providers (RTPs). A qualitative study of all RTPs in Australia, mid 2010. All 17 RTPs in Australia responded. Eleven had developed some vertical integration initiatives. Several encouraged registrars to teach junior doctors and medical students, others encouraged general practitioner supervisors to run multilevel educational sessions, a few coordinated placements, linkages and support across their region. Three RTPs provided case studies of vertical integration. Many RTPs in Australia use vertical integration of teaching in their training programs. RTPs with close associations with universities and rural clinical schools seem to be leading these initiatives.

  2. Medical Providers' Oral Health Knowledgeability, Attitudes, and Practice Behaviors: An Opportunity for Interprofessional Collaboration.

    Science.gov (United States)

    Shimpi, Neel; Schroeder, Dixie; Kilsdonk, Joseph; Chyou, Po-Huang; Glurich, Ingrid; Penniman, Eric; Acharya, Amit

    2016-03-01

    Evaluation of current knowledgeability, attitudes, and practice behaviors of medical providers from a large health care system toward oral health was undertaken as a pilot effort to better understand and integrate oral health into the overall health care delivery. Invitations to complete a 28-question survey, designed in a web-based platform (SurveyMonkey(®)), were emailed to 1407 medical multispecialty physicians, residents, and nurses within the health system. The questionnaire included sections on provider demographics, oral health knowledgeability and attitudes, and current practice conducting oral health screenings. A 14% (n = 199/1407) response rate was achieved for survey completion. There were 16% who reported good coverage of oral/dental health topics in their medical training curriculum. Competency level was practice, while >80% answered knowledge-based questions correctly. Frequency rates for dental referral by the medical providers were 32% 'frequently' and 68% 'infrequently.' Perceptions of optimal frequency for conducting oral health assessment in their professional practices ranged from 69% indicating 'frequently' to 25% indicating 'infrequently.' Overall, positive attitudes were observed toward incorporation of oral health examination into medical practice. The study identified lack of oral health treatment and infrequent referral by medical providers to dental providers. Results support likelihood for acceptance of care models that incorporate a medical/dental team-based approach complemented by oral health training for medical providers to enhance holistic health care delivery. Limitations of this pilot study include potential selection bias and lack of generalizability beyond our institution; further studies are planned in additional settings statewide to validate findings. Copyright © 2016 Elsevier Inc. All rights reserved.

  3. Measuring Provider Attitudes Toward Evidence-Based Practice: Consideration of Organizational Context and Individual Differences

    OpenAIRE

    Aarons, Gregory A.

    2005-01-01

    Mental health provider attitudes toward adoption of innovation in general, and toward evidence-based practice (EBP) in particular, are important in considering how best to disseminate and implement EBPs. This article first explores the role of attitudes in acceptance of innovation and proposes a model of organizational and individual factors that may affect or be affected by attitudes toward adoption of EBP. Next, a recently developed measure of mental health provider attitudes toward adoptio...

  4. Student-selected components in surgery: providing practical experience and increasing student confidence.

    LENUS (Irish Health Repository)

    Falk, G A

    2009-09-01

    Reviews of the medical school curriculum in the UK and Ireland have recommended the introduction of student-selected components (SSCs). The Department of Surgery in The Royal College of Surgeons in Ireland (RCSI) has introduced a 6-week surgical SSC, which aims to develop practical clinical skills, provide mentorship and prepare students for internship.

  5. Provider Strategies and the Greening of Consumption Practices: Exploring the Role of Companies in Sustainable Consumption

    NARCIS (Netherlands)

    Spaargaren, G.; Koppen, van C.S.A.

    2009-01-01

    Making consumption practices more sustainable means incorporating new ideas, information and products into existing consumption routines of citizen-consumers. For a successful incorporation process it is crucial that companies, as main providers of new products and services, develop an active

  6. The Relationship between Practices and Child Care Providers' Beliefs Related to Child Feeding and Obesity Prevention

    Science.gov (United States)

    Lanigan, Jane D.

    2012-01-01

    Objective: To examine the association between child care practices and child care provider knowledge and beliefs about their role in supporting children's healthful eating. Design: Longitudinal design using survey and observation data from baseline and year 1 of the Encouraging Healthy Activity and Eating in Childcare Environments (ENHANCE) pilot…

  7. Practice nurses mental health provide space to patients to discuss unpleasant emotions.

    Science.gov (United States)

    Griep, E C M; Noordman, J; van Dulmen, S

    2016-03-01

    WHAT IS KNOWN ON THE SUBJECT?: A core skill of practice nurses' mental health is to recognize and explore patients' unpleasant emotions. Patients rarely express their unpleasant emotions directly and spontaneously, but instead give indirect signs that something is worrying them. WHAT THIS PAPER ADDS TO EXISTING KNOWLEDGE?: Patients with mild psychosocial and psychological problems provide signs of worrying or express a clear unpleasant emotion in 94% of consultations with a practice nurse mental health. Nurses' responses to patients' signs of worrying or clear unpleasant emotions were mostly characterized by providing space for patients to talk about these emotions, by using minimal responses. WHAT ARE THE IMPLICATIONS FOR PRACTICE?: Practice nurses' mental health have passive listening skills, and to a lesser extent, use active listening techniques. Accurate emotion detection and the ability to pick out emotional signs during consultations must also be considered as an important skill for health providers to improve patient-centred communication. Patients with physical problems are known to express their emotional concerns in an implicit way only. Whether the same counts for patients presenting mental health problems in primary care is unknown. This study aims to examine how patients with mild psychosocial and psychological complaints express their concerns during consultations with the practice nurse mental health and how practice nurses respond to these expressions. Fifteen practice nurses mental health working in Dutch general practices participated in the study. Their consultations with 116 patients with mild psychosocial or psychological complaints were video recorded. patients' explicitly expressed emotional concerns and more implicit expressions of underlying emotional problems (cues) as well as nurses' responses to these expressions were rated using the Verona Coding Definition of Emotional Sequences. Almost all consultations contained at least one cue or

  8. Holistic health care: Patients' experiences of health care provided by an Advanced Practice Nurse.

    Science.gov (United States)

    Eriksson, Irene; Lindblad, Monica; Möller, Ulrika; Gillsjö, Catharina

    2018-02-01

    Advanced Practice Nurse (APN) is a fairly new role in the Swedish health care system. To describe patients' experiences of health care provided by an APN in primary health care. An inductive, descriptive qualitative approach with qualitative open-ended interviews was chosen to obtain descriptions from 10 participants regarding their experiences of health care provided by an APN. The data were collected during the spring 2012, and a qualitative approach was used for analyze. The APNs had knowledge and skills to provide safe and secure individual and holistic health care with high quality, and a respectful and flexible approach. The APNs conveyed trust and safety and provided health care that satisfied the patients' needs of accessibility and appropriateness in level of care. The APNs way of providing health care and promoting health seems beneficial in many ways for the patients. The individual and holistic approach that characterizes the health care provided by the APNs is a key aspect in the prevailing change of health care practice. The transfer of care and the increasing number of older adults, often with a variety of complex health problems, call for development of the new role in this context. © 2017 The Authors. International Journal of Nursing Practice Published by John Wiley & Sons Australia, Ltd.

  9. The Educational Activities of the Astronomical Society of the Pacific.

    Science.gov (United States)

    Fraknoi, Andrew

    1981-01-01

    Describes educational activities of the Astronomical Society of the Pacific including learning packets on various astronomy concepts, Morrison lectures, newspaper columns, teacher workshops, cosponsoring astronomy oriented lectures, and providing speakers for various groups. (DS)

  10. Predictors of relational continuity in primary care: patient, provider and practice factors.

    Science.gov (United States)

    Kristjansson, Elizabeth; Hogg, William; Dahrouge, Simone; Tuna, Meltem; Mayo-Bruinsma, Liesha; Gebremichael, Goshu

    2013-05-31

    Continuity is a fundamental tenet of primary care, and highly valued by patients; it may also improve patient outcomes and lower cost of health care. It is thus important to investigate factors that predict higher continuity. However, to date, little is known about the factors that contribute to continuity. The purpose of this study was to analyse practice, provider and patient predictors of continuity of care in a large sample of primary care practices in Ontario, Canada. Another goal was to assess whether there was a difference in the continuity of care provided by different models of primary care. This study is part of the larger a cross-sectional study of 137 primary care practices, their providers and patients. Several performance measures were evaluated; this paper focuses on relational continuity. Four items from the Primary Care Assessment Tool were used to assess relational continuity from the patient's perspective. Multilevel modeling revealed several patient factors that predicted continuity. Older patients and those with chronic disease reported higher continuity, while those who lived in rural areas, had higher education, poorer mental health status, no regular provider, and who were employed reported lower continuity. Providers with more years since graduation had higher patient-reported continuity. Several practice factors predicted lower continuity: number of MDs, nurses, opening on weekends, and having 24 hours a week or less on-call. Analyses that compared continuity across models showed that, in general, Health Service Organizations had better continuity than other models, even when adjusting for patient demographics. Some patients with greater health needs experience greater continuity of care. However, the lower continuity reported by those with mental health issues and those who live in rural areas is concerning. Furthermore, our finding that smaller practices have higher continuity suggests that physicians and policy makers need to consider

  11. General practice integration in Australia. Primary health services provider and consumer perceptions of barriers and solutions.

    Science.gov (United States)

    Appleby, N J; Dunt, D; Southern, D M; Young, D

    1999-08-01

    To identify practical examples of barriers and possible solutions to improve general practice integration with other health service providers. Twelve focus groups, including one conducted by teleconference, were held across Australia with GPs and non GP primary health service providers between May and September, 1996. Focus groups were embedded within concept mapping sessions, which were used to conceptually explore the meaning of integration in general practice. Data coding, organising and analysis were based on the techniques documented by Huberman and Miles. Barriers to integration were perceived to be principally due to the role and territory disputes between the different levels of government and their services, the manner in which the GP's role is currently defined, and the system of GP remuneration. Suggestions on ways to improve integration involved two types of strategies. The first involves initiatives implemented 'top down' through major government reform to service structures, including the expansion of the role of divisions of general practice, and structural changes to the GP remuneration systems. The second type of strategy suggested involves initiatives implemented from the 'bottom up' involving services such as hospitals (e.g. additional GP liaison positions) and the use of information technology to link services and share appropriate patient data. The findings support the need for further research and evaluation of initiatives aimed at achieving general practice integration at a systems level. There is little evidence to suggest which types of initiatives improve integration. However, general practice has been placed in the centre of the health care debate and is likely to remain central to the success of such initiatives. Clarification of the future role and authority of general practice will therefore be required if such integrative strategies are to be successful at a wider health system level.

  12. Astronomical databases of Nikolaev Observatory

    Science.gov (United States)

    Protsyuk, Y.; Mazhaev, A.

    2008-07-01

    Several astronomical databases were created at Nikolaev Observatory during the last years. The databases are built by using MySQL search engine and PHP scripts. They are available on NAO web-site http://www.mao.nikolaev.ua.

  13. The South African astronomical observatory

    International Nuclear Information System (INIS)

    Feast, M.

    1985-01-01

    A few examples of the activities of the South African Astronomical Observatory are discussed. This includes the studying of stellar evolution, dust around stars, the determination of distances to galaxies and collaboration with space experiments

  14. Sixteenth Century Astronomical Telescopy

    Science.gov (United States)

    Usher, P. D.

    2001-12-01

    Ophelia in Shakespeare's Hamlet is named for the ``moist star" which in mythology is the partner of Hamlet's royal Sun. Together the couple seem destined to rule on earth just as their celestial counterparts rule the heavens, but the tragedy is that they are afflicted, just as the Sun and Moon are blemished. In 1.3 Laertes lectures Ophelia on love and chastity, describing first Cytherean phases (crescent to gibbous) and then Lunar craters. Spots mar the Sun (1.1, 3.1). Also reported are Jupiter's Red Spot (3.4) and the resolution of the Milky Way into stars (2.2). These interpretations are well-founded and support the cosmic allegory. Observations must have been made with optical aid, probably the perspective glass of Leonard Digges, father of Thomas Digges. Notably absent from Hamlet is mention of the Galilean moons, owing perhaps to the narrow field-of-view of the telescope. That discovery is later celebrated in Cymbeline, published soon after Galileo's Siderius Nuncius in 1610. In 5.4 of Cymbeline the four ghosts dance ``in imitation of planetary motions" and at Jupiter's behest place a book on the chest of Posthumus Leonatus. His name identifies the Digges father and son as the source of data in Hamlet since Jupiter's moons were discovered after the deaths of Leonard (``leon+hart") and Thomas (the ``lion's whelp"). Lines in 5.4 urge us not to read more into the book than is contained between its covers; this is understandable because Hamlet had already reported the other data in support of heliocentricism and the cosmic model discussed and depicted by Thomas Digges in 1576. I conclude therefore that astronomical telescopy began in England before the last quarter of the sixteenth century.

  15. Astronomical Photometry Past, Present, and Future

    CERN Document Server

    Milone, Eugene F

    2011-01-01

    This book brings together experts in the field of astronomical photometry to discuss how their subfields provide the precision and accuracy in astronomical energy flux measurements that are needed to permit tests of astrophysical theories. Differential photometers and photometry, improvements in infrared precision, the improvements in precision and accuracy of CCD photometry, the absolute calibration of flux, the development of the Johnson UBVRI photometric system and other passband systems to measure and precisely classify specific types of stars and astrophysical quantities, and the current capabilities of spectrophotometry and polarimetry to provide precise and accurate data, are all discussed in this volume. The discussion of `differential’ or `two-star’ photometers ranges from early experiments in visual photometry through the Harvard and Princeton polarizing photometers to the pioneering work of Walraven and differential photometers designed to minimize effects of atmospheric extinction and to count...

  16. AstroWeb -- Internet Resources for Astronomers

    Science.gov (United States)

    Jackson, R. E.; Adorf, H.-M.; Egret, D.; Heck, A.; Koekemoer, A.; Murtagh, F.; Wells, D. C.

    AstroWeb is a World Wide Web (WWW) interface to a collection of Internet accessible resources aimed at the astronomical community. The collection currently contains more than 1000 WWW, Gopher, Wide Area Information System (WAIS), Telnet, and Anonymous FTP resources, and it is still growing. AstroWeb provides the additional value-added services: categorization of each resource; descriptive paragraphs for some resources; searchable index of all resource information; 3 times daily search for ``dead'' or ``unreliable'' resources.

  17. Adherence to best practice guidelines in dyspepsia: a survey comparing dyspepsia experts, community gastroenterologists and primary-care providers

    NARCIS (Netherlands)

    Spiegel, B. M. R.; Farid, M.; van Oijen, M. G. H.; Laine, L.; Howden, C. W.; Esrailian, E.

    2009-01-01

    Although 'best practice' guidelines for dyspepsia management have been disseminated, it remains unclear whether providers adhere to these guidelines. To compare adherence to 'best practice' guidelines among dyspepsia experts, community gastroenterologists and primary-care providers (PCPs). We

  18. Adherence to best practice guidelines in dyspepsia: a survey comparing dyspepsia experts, community gastroenterologists and primary-care providers.

    NARCIS (Netherlands)

    Spiegel, B.M.; Farid, M.; Oijen, M.G.H. van; Laine, L.; Howden, C.W.; Esrailian, E.

    2009-01-01

    BACKGROUND: Although 'best practice' guidelines for dyspepsia management have been disseminated, it remains unclear whether providers adhere to these guidelines. AIM: To compare adherence to 'best practice' guidelines among dyspepsia experts, community gastroenterologists and primary-care providers

  19. Ways of Doing: Restorative Practices, Governmentality, and Provider Conduct in Post-Apartheid Health Care.

    Science.gov (United States)

    Harris, Bronwyn; Eyles, John; Goudge, Jane

    2016-01-01

    In this article, we consider the conduct of post-apartheid health care in a policy context directed toward entrenching democracy, ensuring treatment-adherent patients, and creating a healthy populace actively responsible for their own health. We ask how tuberculosis treatment, antiretroviral therapy, and maternal services are delivered within South Africa's health system, an institutional site of colonial and apartheid injustice, and democratic reform. Using Foucauldian and post-Foucauldian notions of governmentality, we explore provider ways of doing to, for, and with patients in three health subdistricts. Although restorative provider engagements are expected in policy, older authoritarian and paternalistic norms persist in practice. These challenge and reshape, even 'undo' democratic assertions of citizenship, while producing compliant, self-responsible patients. Alongside the need to address pervasive structural barriers to health care, a restorative approach requires community participation, provider accountability, and a health system that does with providers as much as providers who do with patients.

  20. Current Knowledge and Practice of Pediatric Providers in Umbilical Cord Blood Banking.

    Science.gov (United States)

    Armstrong, Amy E; Fonstad, Rachel; Spellman, Stephen; Tullius, Zoe; Chaudhury, Sonali

    2018-02-01

    More than 35 000 umbilical cord blood (UCB) transplants have been performed worldwide, prompting the development of private and public banks to collect and store UCB cells. We hypothesized that pediatricians, who are uniquely poised to discuss UCB banking (UCBB) during prenatal or sibling visits, rarely do so. Through distribution of a 26-question electronic survey to general and subspecialty pediatric providers, we assessed baseline knowledge and conversations about UCBB. A total of 473 providers completed the survey; only 22% of physicians ever discussed UCBB with expectant parents. The majority responded that autologous UCB transplants were indicated in malignant (73%) and nonmalignant (61%) conditions; however, these are rare indications. Providers practicing >10 years were more likely to address UCBB ( P ≤ .001), whereas younger and female general pediatric providers were significantly less likely ( P < .001). Overall, pediatric providers rarely speak to families about UCBB, and we believe that they can be better informed to its current clinical utility.

  1. Attitudes About and Practices of Health Promotion and Prevention Among Primary Care Providers.

    Science.gov (United States)

    Luquis, Raffy R; Paz, Harold L

    2015-09-01

    The Patient Protection and Affordable Care Act's emphasis on health promotion and prevention activities required an examination of the current practices of primary care providers in these areas. A total of 196 primary care providers completed a survey to assess current health promotion and prevention attitudes, practices, and barriers. Results of this study showed that family physicians in Pennsylvania recognize the importance of and their role in providing health promotion and prevention and offer advice in key behavioral and disease prevention areas. Results from the study suggest that their ability to provide these services is hindered by a lack of time and the heavy workload. Although most family physicians provided advice to patients in several health promotion and prevention areas, few participants reported that they referred patients to other health professionals. Finally, when it comes to preventive services, participants ranked blood pressure screening, tobacco use screening, and tobacco use cessation interventions as the most important services. Effective implementation of the Patient Protection and Affordable Care Act will require necessary resources and support of primary care providers to help patients achieve healthier lives. © 2014 Society for Public Health Education.

  2. Oncology healthcare providers' knowledge, attitudes, and practice behaviors regarding LGBT health.

    Science.gov (United States)

    Shetty, Gina; Sanchez, Julian A; Lancaster, Johnathan M; Wilson, Lauren E; Quinn, Gwendolyn P; Schabath, Matthew B

    2016-10-01

    There are limited data on lesbian, gay, bisexual, and transgender (LGBT) healthcare experiences and interactions with the providers. This study assessed knowledge, attitudes, and practice behaviors of oncology providers regarding LGBT health. A 32-item web-based survey was emailed to 388 oncology providers at a single institution. The survey assessed: demographics, knowledge, attitudes, and practice behaviors. 108 providers participated in the survey (28% response rate). LGBT cultural competency at the institution. Results from the open comments section identified multiple misconceptions. This study revealed knowledge gaps about LGBT health risks. Cultural competency training may aid oncology providers to understand the need to inquire about patients' gender identity and sexual orientation. Health care providers who incorporate the routine collection of gender identity and sexual orientation (SOGI) in their patient history taking may improve patient care by offering tailored education and referrals. While identifying as LGBT does not in itself increase risk for adverse health outcomes, this population tends to have increased risk behaviors. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

  3. School health promotion providers' roles in practice and theory: results from a case study.

    Science.gov (United States)

    Teutsch, Friedrich; Gugglberger, Lisa; Dür, Wolfgang

    2015-01-01

    Implementation is critical to the success of health promotion (HP) in schools, but little is known about how schools can best be assisted during this process. This article focuses on Austrian HP providers and aspects their roles incorporate. To investigate the providers' role in the practice of HP implementation and how it differs from its official description. On the basis of these findings, implications are suggested. The data were gathered within the framework of an explorative case study of complex HP interventions. We draw on four interviews with HP organisation staff, five documents from the providers' organisations and seven interviews with school staff from three schools. In practice, providers took up different responsibilities, e.g., acting as emotional support to school staff and supporting the documentation of projects, guided more by the schools' needs than by the programmes they are helping to implement. Providers focused mostly on the implementation of single activities and did little to emphasize the necessity of organisational change. Our findings suggest that providers' background in health should be complemented by a deeper understanding of the importance of organisational change to further support HP implementation. Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.

  4. TPCs in high-energy astronomical polarimetry

    International Nuclear Information System (INIS)

    Black, J K

    2007-01-01

    High-energy astrophysics has yet to exploit the unique and important information that polarimetry could provide, largely due to the limited sensitivity of previously available polarimeters. In recent years, numerous efforts have been initiated to develop instruments with the sensitivity required for astronomical polarimetry over the 100 eV to 10 GeV band. Time projection chambers (TPCs), with their high-resolution event imaging capability, are an integral part of some of these efforts. After a brief overview of current astronomical polarimeter development efforts, the role of TPCs will be described in more detail. These include TPCs as photoelectric X-ray polarimeters and TPCs as components of polarizationsensitive Compton and pair-production telescopes

  5. Statistical methods for astronomical data analysis

    CERN Document Server

    Chattopadhyay, Asis Kumar

    2014-01-01

    This book introduces “Astrostatistics” as a subject in its own right with rewarding examples, including work by the authors with galaxy and Gamma Ray Burst data to engage the reader. This includes a comprehensive blending of Astrophysics and Statistics. The first chapter’s coverage of preliminary concepts and terminologies for astronomical phenomenon will appeal to both Statistics and Astrophysics readers as helpful context. Statistics concepts covered in the book provide a methodological framework. A unique feature is the inclusion of different possible sources of astronomical data, as well as software packages for converting the raw data into appropriate forms for data analysis. Readers can then use the appropriate statistical packages for their particular data analysis needs. The ideas of statistical inference discussed in the book help readers determine how to apply statistical tests. The authors cover different applications of statistical techniques already developed or specifically introduced for ...

  6. Healthcare Provider Views on Transitioning From Task Shifting to Advanced Practice Nursing in Tanzania.

    Science.gov (United States)

    Mboineki, Joanes Faustine; Zhang, Weihong

    The Tanzanian health sector suffers from shortages of healthcare workers as well as uneven distribution of healthcare workers in urban and rural areas. Task shifting-delegation of tasks from professionals to other healthcare team members with less training, such as medical attendants-is practiced, compromising quality of care. Advanced practice nursing is underutilized. The purpose of this study was to explore the views of nurses and physicians on current responses to shortages of healthcare workers and the potential for utilization of advanced practice nurses. A descriptive, qualitative design was used. Purposeful sampling was used to select 20 participants. An in-depth interview guide was used to obtain information. Interviews were conducted in Swahili or English. Content analysis was used to identify themes. Shortage of human resources in rural primary healthcare facilities was identified as a major rationale for implementation of the advanced practice nurse practitioner role because the current health providers in rural health facilities are less trained and doctors are not ready to work in these settings. Opposition from physicians is expected during the course of implementing the nurse practitioner role. Professional bodies and government should reach consensus before the implementation of this role in such a way that they should agree on scope and standards of practice of nurse practitioners in Tanzania. Shortage of human resources for health is greater in rural primary healthcare facilities. Task shifting in Tanzania is neither effective nor legally recognized. Transition to advanced practice nursing roles-particularly the nurse practitioner role-can facilitate provision of optimal care. Nurse practitioners should be prepared to work in rural primary healthcare facilities.

  7. Preserving and Archiving Astronomical Photographic Plates

    Science.gov (United States)

    Castelaz, M. W.; Cline, J. D.

    2005-05-01

    Astronomical objects change with time. New observations complement past observations recorded on photographic plates. Analyses of changes provide essential routes to information about an object's formation, constitution and evolution. Preserving a century of photographic plate observations is thus of paramount importance. Plate collections are presently widely dispersed; plates may be stored in poor conditions, and are effectively inaccessible to both researchers and historians. We describe a planned project at Pisgah Astronomical Research Institute to preserve the collections of astronomical plates in the United States by gathering them into a single storage location. Collections will be sorted, cleaned, and cataloged on-line so as to provide access to researchers. Full scientific and historic use of the material then requires the observations themselves to be accessible digitally. The project's goal will be the availability of these data as a unique, fully-maintained scientific and educational resource. The new archive will support trans-disciplinary research such as the chemistry of the Earth's atmosphere, library information science, trends in local weather patterns, and impacts of urbanization on telescope use, while the hand-written observatory logs will be a valuable resource for science historians and biographers.

  8. Engineering practice variation through provider agreement: a cluster-randomized feasibility trial.

    Science.gov (United States)

    McCarren, Madeline; Twedt, Elaine L; Mansuri, Faizmohamed M; Nelson, Philip R; Peek, Brian T

    2014-01-01

    Minimal-risk randomized trials that can be embedded in practice could facilitate learning health-care systems. A cluster-randomized design was proposed to compare treatment strategies by assigning clusters (eg, providers) to "favor" a particular drug, with providers retaining autonomy for specific patients. Patient informed consent might be waived, broadening inclusion. However, it is not known if providers will adhere to the assignment or whether institutional review boards will waive consent. We evaluated the feasibility of this trial design. Agreeable providers were randomized to "favor" either hydrochlorothiazide or chlorthalidone when starting patients on thiazide-type therapy for hypertension. The assignment applied when the provider had already decided to start a thiazide, and providers could deviate from the strategy as needed. Prescriptions were aggregated to produce a provider strategy-adherence rate. All four institutional review boards waived documentation of patient consent. Providers (n=18) followed their assigned strategy for most of their new thiazide prescriptions (n=138 patients). In the "favor hydrochlorothiazide" group, there was 99% adherence to that strategy. In the "favor chlorthalidone" group, chlorthalidone comprised 77% of new thiazide starts, up from 1% in the pre-study period. When the assigned strategy was followed, dosing in the recommended range was 48% for hydrochlorothiazide (25-50 mg/day) and 100% for chlorthalidone (12.5-25.0 mg/day). Providers were motivated to participate by a desire to contribute to a comparative effectiveness study. A study promotional mug, provider information letter, and interactions with the site investigator were identified as most helpful in reminding providers of their study drug strategy. Providers prescribed according to an assigned drug-choice strategy most of the time for the purpose of a comparative effectiveness study. This simple design could facilitate research participation and behavior change

  9. What is a good health check? An interview study of health check providers' views and practices.

    Science.gov (United States)

    Stol, Yrrah H; Asscher, Eva C A; Schermer, Maartje H N

    2017-10-02

    Health checks identify (risk factors for) disease in people without symptoms. They may be offered by the government through population screenings and by other providers to individual users as 'personal health checks'. Health check providers' perspective of 'good' health checks may further the debate on the ethical evaluation and possible regulation of these personal health checks. In 2015, we interviewed twenty Dutch health check providers on criteria for 'good' health checks, and the role these criteria play in their practices. Providers unanimously formulate a number of minimal criteria: Checks must focus on (risk factors for) treatable/preventable disease; Tests must be reliable and clinically valid; Participation must be informed and voluntary; Checks should provide more benefits than harms; Governmental screenings should be cost-effective. Aspirational criteria mentioned were: Follow-up care should be provided; Providers should be skilled and experienced professionals that put the benefit of (potential) users first; Providers should take time and attention. Some criteria were contested: People should be free to test on any (risk factor for) disease; Health checks should only be performed in people at high risk for disease that are likely to implement health advice; Follow up care of privately funded tests should not drain on collective resources. Providers do not always fulfil their own criteria. Their reasons reveal conflicts between criteria, conflicts between criteria and other ethical values, and point to components in the (Dutch) organisation of health care that hinder an ethical provision of health checks. Moreover, providers consider informed consent a criterion that is hard to establish in practice. According to providers, personal health checks should meet the same criteria as population screenings, with the exception of cost-effectiveness. Providers do not always fulfil their own criteria. Results indicate that in thinking about the ethics of health

  10. Primary Care Providers' Knowledge and Practices of Diabetes Management During Ramadan.

    Science.gov (United States)

    Ali, Mujtaba; Adams, Alexandra; Hossain, Md Anwar; Sutin, David; Han, Benjamin Hyun

    2016-01-01

    There are an estimated 3.5 million Muslims in North America. During the holy month of Ramadan, healthy adult Muslims are to fast from predawn to after sunset. While there are exemptions for older and sick adults, many adults with diabetes fast during Ramadan. However, there are risks associated with fasting and specific management considerations for patients with diabetes. We evaluated provider practices and knowledge regarding the management of patients with diabetes who fast during Ramadan. A 15-question quality improvement survey based on a literature review and the American Diabetes Association guidelines was developed and offered to providers at the outpatient primary care and geriatric clinics at an inner-city hospital in New York City. Forty-five providers completed the survey. Most respondents did not ask their Muslim patients with diabetes if they were fasting during the previous Ramadan. Knowledge of fasting practices during Ramadan was variable, and most felt uncomfortable managing patients with diabetes during Ramadan. There is room for improvement in educating providers about specific cultural and medical issues regarding fasting for patients with diabetes during Ramadan. © The Author(s) 2015.

  11. Intimate partner and sexual violence screening practices of college health care providers.

    Science.gov (United States)

    Sutherland, Melissa A; Hutchinson, M Katherine

    2018-02-01

    Female college students experience higher rates of intimate partner violence (IPV) and sexual violence (SV) compared to men of all ages, older women and young women who are not attending college. Experts and medical organizations have issued recommendations that health care providers should routinely screen women for IPV and SV. However, most female college students report they are not being screened for IPV and SV at college health centers. This exploratory study sought to examine the IPV and SV screening practices of college health care providers and identify individual and organizational influences using a cross-sectional, quantitative survey design. Sixty-four health care providers (physicians, nurse practitioners and registered nurses) from five colleges and universities in the northeastern U.S. were invited to participate in an anonymous, web-based survey about their IPV/SV-related screening practices and beliefs, and organizational characteristics of their college health centers. Twenty-six health care providers completed surveys (56% response rate). The median reported IPV/SV screening rate was 15%. More IPV/SV screening was reported by nurse practitioners, providers at state colleges, and by those in health centers that prioritized IPV/SV screening and had greater organizational capacity for change. College health centers represent unique, yet often missed, opportunities to screen for IPV/SV in a high-risk population. Provider- and organization-level influences should be incorporated into future interventions to improve IPV/SV screening in college health centers. Future studies with larger numbers of colleges and providers are needed to better understand organizational influences and identify mediators and moderators of effects. Copyright © 2017 Elsevier Inc. All rights reserved.

  12. Amateur astronomers in support of observing campaigns

    Science.gov (United States)

    Yanamandra-Fisher, P.

    2014-07-01

    The Pro-Am Collaborative Astronomy (PACA) project evolved from the observational campaign of C/2012 S1 or C/ISON. The success of the paradigm shift in scientific research is now implemented in other comet observing campaigns. While PACA identifies a consistent collaborative approach to pro-am collaborations, given the volume of data generated for each campaign, new ways of rapid data analysis, mining access, and storage are needed. Several interesting results emerged from the synergistic inclusion of both social media and amateur astronomers: - the establishment of a network of astronomers and related professionals that can be galvanized into action on short notice to support observing campaigns; - assist in various science investigations pertinent to the campaign; - provide an alert-sounding mechanism should the need arise; - immediate outreach and dissemination of results via our media/blogger members; - provide a forum for discussions between the imagers and modelers to help strategize the observing campaign for maximum benefit. In 2014, two new comet observing campaigns involving pro-am collaborations have been identified: (1) C/2013 A1 (C/Siding Spring) and (2) 67P/Churyumov-Gerasimenko (CG). The evolving need for individual customized observing campaigns has been incorporated into the evolution of PACA (Pro-Am Collaborative Astronomy) portal that currently is focused on comets: from supporting observing campaigns for current comets, legacy data, historical comets; interconnected with social media and a set of shareable documents addressing observational strategies; consistent standards for data; data access, use, and storage, to align with the needs of professional observers. The integration of science, observations by professional and amateur astronomers, and various social media provides a dynamic and evolving collaborative partnership between professional and amateur astronomers. The recent observation of comet 67P, at a magnitude of 21.2, from Siding

  13. Frequent attenders in general practice: problem solving treatment provided by nurses [ISRCTN51021015

    Directory of Open Access Journals (Sweden)

    van Oppen P

    2005-10-01

    Full Text Available Abstract Background There is a need for assistance from primary care mental health workers in general practice in the Netherlands. General practitioners (GPs experience an overload of frequent attenders suffering from psychological problems. Problem Solving Treatment (PST is a brief psychological treatment tailored for use in a primary care setting. PST is provided by nurses, and earlier research has shown that it is a treatment at least as effective as usual care. However, research outcomes are not totally satisfying. This protocol describes a randomized clinical trial on the effectiveness of PST provided by nurses for patients in general practice. The results of this study, which currently being carried out, will be presented as soon as they are available. Methods/design This study protocol describes the design of a randomized controlled trial to investigate the effectiveness and cost-effectiveness of PST and usual care compared to usual care only. Patients, 18 years and older, who present psychological problems and are frequent attenders in general practice are recruited by the research assistant. The participants receive questionnaires at baseline, after the intervention, and again after 3 months and 9 months. Primary outcome is the reduction of symptoms, and other outcomes measured are improvement in problem solving skills, psychological and physical well being, daily functioning, social support, coping styles, problem evaluation and health care utilization. Discussion Our results may either confirm that PST in primary care is an effective way of dealing with emotional disorders and a promising addition to the primary care in the UK and USA, or may question this assumption. This trial will allow an evaluation of the effects of PST in practical circumstances and in a rather heterogeneous group of primary care patients. This study delivers scientific support for this use and therefore indications for optimal treatment and referral.

  14. Bedside resource stewardship in disasters: a provider's dilemma practicing in an ethical gap.

    Science.gov (United States)

    Daniel, Michelle

    2012-01-01

    During disasters, clinicians may be forced to play dual roles, as both a provider and an allocator of scarce resources. At present, a clear framework to govern resource stewardship at the bedside is lacking. Clinicians who find themselves practicing in this ethical gap between clinical and public health ethics can experience significant moral distress. One provider describes her experience allocating an oxygen tank in the intensive care unit at a hospital in Port-au-Prince, Haiti, immediately following the 2010 earthquake. Using a clinical vignette and reflective narrative she attempts to identify the factors that influenced her allocation decision, opening up the factors for commentary and debate by an ethicist. A better paradigm for the ethical care of patients during disasters is needed to better guide provider choices in the future.

  15. Cultural Diversity Training: The Necessity of Cultural Competence for Health Care Providers and in Nursing Practice.

    Science.gov (United States)

    Young, Susan; Guo, Kristina L

    2016-01-01

    The purpose of this article is to discuss the need to provide culturally sensitive care to the growing number of diverse health care consumers. A literature review of national standards and research on cultural competency was conducted and specifically focused on the field of nursing. This study supports the theory that cultural competence is learned over time and is a process of inner reflection and awareness. The domains of awareness, skill, and knowledge are essential competencies that must be gained by health care providers and especially for nurses. Although barriers to providing culturally sensitive care exist, gaining a better understanding of cultural competence is essential to developing realistic education and training techniques, which will lead to quality professional nursing practice for increasingly diverse populations.

  16. Astronomical Image and Data Analysis

    CERN Document Server

    Starck, J.-L

    2006-01-01

    With information and scale as central themes, this comprehensive survey explains how to handle real problems in astronomical data analysis using a modern arsenal of powerful techniques. It treats those innovative methods of image, signal, and data processing that are proving to be both effective and widely relevant. The authors are leaders in this rapidly developing field and draw upon decades of experience. They have been playing leading roles in international projects such as the Virtual Observatory and the Grid. The book addresses not only students and professional astronomers and astrophysicists, but also serious amateur astronomers and specialists in earth observation, medical imaging, and data mining. The coverage includes chapters or appendices on: detection and filtering; image compression; multichannel, multiscale, and catalog data analytical methods; wavelets transforms, Picard iteration, and software tools. This second edition of Starck and Murtagh's highly appreciated reference again deals with to...

  17. AESoP: Astronomical Extinction Spectrophotometer

    Science.gov (United States)

    Linford, Justin; McGraw, J.; Zimmer, P.; Ackermann, M.; Fitch, J.

    2009-01-01

    The Earth's atmosphere is a major obstruction to the precision and accuracy of ground-based photometry. The atmosphere removes light from astronomical objects both by absorption and scattering by constituent molecules, aerosols and clouds. These effects can change significantly over short time periods and over modest angles on the sky. To further understand these effects, the UNM Measurement Astrophysics Group has designed, built and recently deployed the Astronomical Extinction Spectrophotometer (AESoP), a 100mm objective grating spectrometer. By monitoring bright stars in sensibly the same direction as a larger photometric telescope is observing, AESoP will measure the wavelength-dependent extinction due to the Earth's atmosphere from 450nm to 900nm on time scales of approximately one minute. The collocated Astronomical LIDAR for Extinction (ALE) provides a high-precision monochromatic extinction measurement at 527nm. Knowing the extinction at a single wavelength allows us to pin the relative spectra generated by AESoP. These extinction spectra can then be integrated over the bandpass of the photometric telescope system to create real time corrections of observations. We present the design and construction of AESoP along with the preliminary results of our first combined observing campaign. This effort is our first step toward breaking the 1% photometry barrier. This project is funded by AFRL Grant FA9451-04-2-0355

  18. AWOB: A Collaborative Workbench for Astronomers

    Science.gov (United States)

    Kim, J. W.; Lemson, G.; Bulatovic, N.; Makarenko, V.; Vogler, A.; Voges, W.; Yao, Y.; Kiefl, R.; Koychev, S.

    2015-09-01

    We present the Astronomers Workbench (AWOB1), a web-based collaboration and publication platform for a scientific project of any size, developed in collaboration between the Max-Planck institutes of Astrophysics (MPA) and Extra-terrestrial Physics (MPE) and the Max-Planck Digital Library (MPDL). AWOB facilitates the collaboration between geographically distributed astronomers working on a common project throughout its whole scientific life cycle. AWOB does so by making it very easy for scientists to set up and manage a collaborative workspace for individual projects, where data can be uploaded and shared. It supports inviting project collaborators, provides wikis, automated mailing lists, calendars and event notification and has a built in chat facility. It allows the definition and tracking of tasks within projects and supports easy creation of e-publications for the dissemination of data and images and other resources that cannot be added to submitted papers. AWOB extends the project concept to larger scale consortia, within which it is possible to manage working groups and sub-projects. The existing AWOB instance has so far been limited to Max-Planck members and their collaborators, but will be opened to the whole astronomical community. AWOB is an open-source project and its source code is available upon request. We intend to extend AWOB's functionality also to other disciplines, and would greatly appreciate contributions from the community.

  19. Astronomy Legacy Project - Pisgah Astronomical Research Institute

    Science.gov (United States)

    Barker, Thurburn; Castelaz, Michael W.; Rottler, Lee; Cline, J. Donald

    2016-01-01

    Pisgah Astronomical Research Institute (PARI) is a not-for-profit public foundation in North Carolina dedicated to providing hands-on educational and research opportunities for a broad cross-section of users in science, technology, engineering and math (STEM) disciplines. In November 2007 a Workshop on a National Plan for Preserving Astronomical Photographic Data (2009ASPC,410,33O, Osborn, W. & Robbins, L) was held at PARI. The result was the establishment of the Astronomical Photographic Data Archive (APDA) at PARI. In late 2013 PARI began ALP (Astronomy Legacy Project). ALP's purpose is to digitize an extensive set of twentieth century photographic astronomical data housed in APDA. Because of the wide range of types of plates, plate dimensions and emulsions found among the 40+ collections, plate digitization will require a versatile set of scanners and digitizing instruments. Internet crowdfunding was used to assist in the purchase of additional digitization equipment that were described at AstroPlate2014 Plate Preservation Workshop (www.astroplate.cz) held in Prague, CZ, March, 2014. Equipment purchased included an Epson Expression 11000XL scanner and two Nikon D800E cameras. These digital instruments will compliment a STScI GAMMA scanner now located in APDA. GAMMA will be adapted to use an electroluminescence light source and a digital camera with a telecentric lens to achieve high-speed high-resolution scanning. The 1μm precision XY stage of GAMMA will allow very precise positioning of the plate stage. Multiple overlapping CCD images of small sections of each plate, tiles, will be combined using a photo-mosaic process similar to one used in Harvard's DASCH project. Implementation of a software pipeline for the creation of a SQL database containing plate images and metadata will be based upon APPLAUSE as described by Tuvikene at AstroPlate2014 (www.astroplate.cz/programs/).

  20. Childhood obesity: knowledge, attitudes, and practices of European pediatric care providers.

    Science.gov (United States)

    Mazur, Artur; Matusik, Pawel; Revert, Krista; Nyankovskyy, Sergey; Socha, Piotr; Binkowska-Bury, Monika; Grzegorczyk, Joanna; Caroli, Margherita; Hassink, Sandra; Telega, Grzegorz; Malecka-Tendera, Ewa

    2013-07-01

    To determine and compare attitudes, skills, and practices in childhood obesity management in 4 European countries with different obesity prevalence, health care systems, and economic situations. A cross-sectional survey was distributed to primary health care providers from France, Italy, Poland, and Ukraine. The questionnaire was returned by 1119 participants with a response rate of 32.4%. The study revealed that most of the primary health care providers were convinced of their critical role in obesity management but did not feel sufficiently competent to perform effectively. The adherence to recommended practices such as routine weight and height measurements, BMI calculation, and plotting growth parameters on recommended growth charts was poor. Most primary health care providers recognized the need for continuing professional education in obesity management, stressing the importance of appropriate dietary counseling. The study underlines insufficient implementation of national guidelines for management of obesity regardless of the country and its health system. It also makes clear that the critical problem is not elaboration of guidelines but rather creating support systems for implementation of the medical standards among the primary care practitioners.

  1. A Systematic Review of Research Studies Examining Telehealth Privacy and Security Practices Used By Healthcare Providers

    Directory of Open Access Journals (Sweden)

    Valerie J.M. Watzlaf

    2017-11-01

    Full Text Available The objective of this systematic review was to systematically review papers in the United States that examine current practices in privacy and security when telehealth technologies are used by healthcare providers. A literature search was conducted using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Protocols (PRISMA-P. PubMed, CINAHL and INSPEC from 2003 – 2016 were searched and returned 25,404 papers (after duplications were removed. Inclusion and exclusion criteria were strictly followed to examine title, abstract, and full text for 21 published papers which reported on privacy and security practices used by healthcare providers using telehealth.  Data on confidentiality, integrity, privacy, informed consent, access control, availability, retention, encryption, and authentication were all searched and retrieved from the papers examined. Papers were selected by two independent reviewers, first per inclusion/exclusion criteria and, where there was disagreement, a third reviewer was consulted. The percentage of agreement and Cohen’s kappa was 99.04% and 0.7331 respectively. The papers reviewed ranged from 2004 to 2016 and included several types of telehealth specialties. Sixty-seven percent were policy type studies, and 14 percent were survey/interview studies. There were no randomized controlled trials. Based upon the results, we conclude that it is necessary to have more studies with specific information about the use of privacy and security practices when using telehealth technologies as well as studies that examine patient and provider preferences on how data is kept private and secure during and after telehealth sessions. Keywords: Computer security, Health personnel, Privacy, Systematic review, Telehealth

  2. Error identification, disclosure, and reporting: practice patterns of three emergency medicine provider types.

    Science.gov (United States)

    Hobgood, Cherri; Xie, Jipan; Weiner, Bryan; Hooker, James

    2004-02-01

    To gather preliminary data on how the three major types of emergency medicine (EM) providers, physicians, nurses (RNs), and out-of-hospital personnel (EMTs), differ in error identification, disclosure, and reporting. A convenience sample of emergency department (ED) providers completed a brief survey designed to evaluate error frequency, disclosure, and reporting practices as well as error-based discussion and educational activities. One hundred sixteen subjects participated: 41 EMTs (35%), 33 RNs (28%), and 42 physicians (36%). Forty-five percent of EMTs, 56% of RNs, and 21% of physicians identified no clinical errors during the preceding year. When errors were identified, physicians learned of them via dialogue with RNs (58%), patients (13%), pharmacy (35%), and attending physicians (35%). For known errors, all providers were equally unlikely to inform the team caring for the patient. Disclosure to patients was limited and varied by provider type (19% EMTs, 23% RNs, and 74% physicians). Disclosure education was rare, with error to a patient. Error discussions are widespread, with all providers indicating they discussed their own as well as the errors of others. This study suggests that error identification, disclosure, and reporting challenge all members of the ED care delivery team. Provider-specific education and enhanced teamwork training will be required to further the transformation of the ED into a high-reliability organization.

  3. The South African Astronomical Observatory

    International Nuclear Information System (INIS)

    1989-01-01

    The research work discussed in this report covers a wide range, from work on the nearest stars to studies of the distant quasars, and the astronomers who have carried out this work come from universities and observatories spread around the world as well as from South African universities and from the South African Astronomical Observatory (SAAO) staff itself. A characteristic of much of this work has been its collaborative character. SAAO studies in 1989 included: supernovae 1987A; galaxies; ground-based observations of celestial x-ray sources; the Magellanic Clouds; pulsating variables; galactic structure; binary star phenomena; the provision of photometric standards; nebulous matter; stellar astrophysics, and astrometry

  4. Astronomical dating in the 19th century

    Science.gov (United States)

    Hilgen, Frederik J.

    2010-01-01

    Today astronomical tuning is widely accepted as numerical dating method after having revolutionised the age calibration of the geological archive and time scale over the last decades. However, its origin is not well known and tracing its roots is important especially from a science historic perspective. Astronomical tuning developed in consequence of the astronomical theory of the ice ages and was repeatedly used in the second half of the 19th century before the invention of radio-isotopic dating. Building upon earlier ideas of Joseph Adhémar, James Croll started to formulate his astronomical theory of the ice ages in 1864 according to which precession controlled ice ages occur alternatingly on both hemispheres at times of maximum eccentricity of the Earth's orbit. The publication of these ideas compelled Charles Lyell to revise his Principles of Geology and add Croll's theory, thus providing an alternative to his own geographical cause of the ice ages. Both Croll and Lyell initially tuned the last glacial epoch to the prominent eccentricity maximum 850,000 yr ago. This age was used as starting point by Lyell to calculate an age of 240 million years for the beginning of the Cambrium. But Croll soon revised the tuning to a much younger less prominent eccentricity maximum between 240,000 and 80,000 yr ago. In addition he tuned older glacial deposits of late Miocene and Eocene ages to eccentricity maxima around 800,000 and 2,800,000 yr ago. Archibald and James Geikie were the first to recognize interglacials during the last glacial epoch, as predicted by Croll's theory, and attempted to tune them to precession. Soon after Frank Taylor linked a series of 15 end-moraines left behind by the retreating ice sheet to precession to arrive at a possible age of 300,000 yr for the maximum glaciation. In a classic paper, Axel Blytt (1876) explained the scattered distribution of plant groups in Norway to precession induced alternating rainy and dry periods as recorded by the

  5. Development of software to provide practical guidance in the managing of a radiological emergency

    International Nuclear Information System (INIS)

    Ferreira Filho, Alfredo L.; Lima, Fernando R.A.; Loureiro, Eduardo C.M.

    2008-01-01

    One of the most important aspects of managing a radiological emergency is the ability to promptly and adequately determine and take actions to protect members of public and emergency workers. This work brings up to date a computer software program in Delphi, with the tools, generic procedures and the data necessary to support the Incident Commander, the Radiological Assessor and other members of a generic response organization in case of radiological accident. The aim is also to provide practical guidance for the first responders who will respond during the first few hours to a radiological emergency and for the national officials who would support this early response. Software is now based on the Manual for First Responders to a Radiological Emergency (EPR-First Responders), published in 2006 as part of the IAEA Emergency Preparedness and Response Series, as well as in the IAEA technical document, Generic Procedures for Assessment and Response during a Radiological Emergency, the IAEA-TECDOC-1162, taking account of the lessons learned from using this last document in the area of early response and first responders' actions. The proposed procedures provide action criteria that are clear, concise and predetermined, based on the present knowledge and the accumulated experiences, allowing the immediate decision-making. The objective is to provide, through a portable computer, practical guidance, in the form of action guides, instructions, and supporting data for emergency response that, if implemented, will provide a basic assessment and the response capability needed to protect public and workers in case of different types of radiological emergencies. In addition to appropriate protective action recommendations, it will also provide, when it is necessary, general guidance on the recovery of radioactive sources and initial cleanup operations. The philosophy is to keep the process simple and fast, yet effective. Software is available in Spanish, English and Portuguese

  6. Contraception Initiation in the Emergency Department: A Pilot Study on Providers' Knowledge, Attitudes, and Practices.

    Science.gov (United States)

    Liles, Iyanna; Haddad, Lisa B; Lathrop, Eva; Hankin, Abigail

    2016-05-01

    Almost half of all pregnancies in the United States are unintended; these pregnancies are associated with adverse outcomes. Many reproductive-age females seek care in the emergency department (ED), are at risk of pregnancy, and are amenable to contraceptive services in this setting. Through a pilot study, we sought to assess ED providers' current practices; attitudes; and knowledge of emergency contraception (EC) and nonemergency contraception (non-EC), as well as barriers with respect to contraception initiation. ED physicians and associate providers in Georgia were e-mailed a link to an anonymous Internet questionnaire using state professional databases and contacts. The questionnaire included Likert scales with multiple-choice questions to assess study objectives. Descriptive statistics were generated as well as univariate analyses using χ(2) and Fisher exact tests. A total of 1232 providers were e-mailed, with 119 questionnaires completed. Participants were predominantly physicians (80%), men (59%), and individuals younger than 45 years (59%). Common practices were referrals (96%), EC prescriptions (77%), and non-EC prescriptions (40%). Common barriers were perceived as low likelihood for follow-up (63%), risk of complications (58%), and adverse effects (51%). More than 70% of participants correctly identified the highly effective contraceptive methods, 3% identified the correct maximum EC initiation time, and 42% correctly recognized pregnancy as a higher risk than hormonal contraception use for pulmonary embolism. Most ED providers in this pilot study referred patients for contraception; however, there was no universal contraceptive counseling and management. Many ED providers in this study had an incorrect understanding of the efficacy, risks, and eligibility associated with contraceptive methods. This lack of understanding may affect patient access and be a barrier to patient care.

  7. `Learning Experience' Provided by Science Teaching Practice in a Classroom and the Development of Students' Competences

    Science.gov (United States)

    Lopes, J. Bernardino; Branco, Julia; Jimenez-Aleixandre, Maria Pilar

    2011-11-01

    According to the literature, there is a very important corpus of knowledge that allows for the investigation of some dimensions of `learning experience' provided to students, in relation to epistemic, pedagogical and meta-cognitive practices. However, in the literature, there is little investigation into the invariance (or not) of the characteristics of students' learning experience while being taught a scientific subject by the same teacher. This paper suggests that the relationship between the learning experience provided and the competences developed is not properly highlighted. This paper analyses the learning experience provided to students in epistemic, pedagogical and meta-cognitive terms. The students were taught the proprieties and applications of light by one teacher, in three classes, over 7 weeks. We analysed the data in each referred learning experience, using a pre-defined category system. The students' competences were evaluated by a competence test. The epistemic demand of each item and the students' performances were also analysed. Our findings point to the non invariance of learning experiences provided to students and the influence of some dimensions of learning experiences provided in the development of certain competences. These findings and their implications are contextualized and discussed.

  8. Integration of Health Coaching Concepts and Skills into Clinical Practice Among VHA Providers: A Qualitative Study.

    Science.gov (United States)

    Collins, David A; Thompson, Kirsten; Atwood, Katharine A; Abadi, Melissa H; Rychener, David L; Simmons, Leigh Ann

    2018-01-01

    Although studies of health coaching for behavior change in chronic disease prevention and management are increasing, to date no studies have reported on what concepts and skills providers integrate into their clinical practice following participation in health coaching courses. The purpose of this qualitative study was to assess Veterans Health Administration (VHA) providers' perceptions of the individual-level and system-level changes they observed after participating with colleagues in a 6-day Whole Health Coaching course held in 8 VHA medical centers nationwide. Data for this study were from the follow-up survey conducted with participants 2 to 3 months after completing the training. A total of 142 responses about individual-level changes and 99 responses about system-level changes were analyzed using content analysis. Eight primary themes emerged regarding individual changes, including increased emphasis on Veterans' values, increased use of listening and other specific health coaching skills in their clinical role, and adding health coaching to their clinical practice.Four primary themes emerged regarding system-level changes, including leadership support, increased staff awareness/support/learning and sharing, increased use of health coaching skills or tools within the facility, and organizational changes demonstrating a more engaged workforce, such as new work groups being formed or existing groups becoming more active. Findings suggest that VHA providers who participate in health coaching trainings do perceive positive changes within themselves and their organizations. Health coaching courses that emphasize patient-centered care and promote patient-provider partnerships likely have positive effects beyond the individual participants that can be used to promote desired organizational change.

  9. Narrative in interprofessional education and practice: implications for professional identity, provider-patient communication and teamwork.

    Science.gov (United States)

    Clark, Phillip G

    2014-01-01

    Health and social care professionals increasingly use narrative approaches to focus on the patient and to communicate with each other. Both effective interprofessional education (IPE) and practice (IPP) require recognizing the various values and voices of different professions, how they relate to the patient's life story, and how they interact with each other at the level of the healthcare team. This article analyzes and integrates the literature on narrative to explore: self-narrative as an expression of one's professional identity; the co-creation of the patient's narrative by the professional and the patient; and the interprofessional multi-vocal narrative discourse as co-constructed by members of the healthcare team. Using a narrative approach to thinking about professional identity, provider-patient communication, and interprofessional teamwork expands our thinking about both IPE and IPP by providing new insights into the nature of professional practice based on relationships to oneself, the patient, and others on the team. How professionals define themselves, gather and present information from the patient, and communicate as members of a clinical team all have important dimensions that can be revealed by a narrative approach. Implications and conclusions for the further development of the narrative approach in IPE and IPP are offered.

  10. Breastfeeding knowledge, attitudes, and practices among providers in a medical home.

    Science.gov (United States)

    Szucs, Kinga A; Miracle, Donna J; Rosenman, Marc B

    2009-03-01

    Breastfeeding offers numerous health advantages to children, mothers, and society. From obstetrics to pediatrics, breastfeeding dyads come in contact with a wide range of healthcare providers. The American Academy of Pediatrics (AAP) calls for pediatricians to support breastfeeding enthusiastically and for all children to have a medical home. We studied an inner-city healthcare system with a Dyson Community Pediatrics Training Initiative Model Medical Home clinic, to explore how a breastfeeding/baby-friendly medical home might be built upon this framework. We describe breastfeeding knowledge, attitudes, and practices among a full range of providers and healthcare system-level barriers to effective and coordinated breastfeeding services. We conducted eight focus groups using semistructured interviews: (1) pediatricians; (2) obstetricians; (3) pediatric nurses and allied health professionals; (4) obstetric nurses and allied health professionals; (5) 24-hour telephone triage answering service nurses; (6) public health nurses; (7) Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) personnel; and (8) lactation consultants and peer counselors. We identified gaps in providers' breastfeeding knowledge, counseling skills, and professional education and training. Providers' cultures and attitudes affect breastfeeding promotion and support. Providers used their own breastfeeding experiences to replace evidence-based knowledge and AAP policy statement recommendations for breastfeeding dyads. There were communication disconnects between provider groups. Providers underestimated their own, and overestimated others', influence on breastfeeding. The system lacked a coordinated breastfeeding mission. This study illuminated key disconnectedness challenges (and, hence, opportunities) for a model medical home in fostering continuous, comprehensive, coordinated, culturally effective, and evidence-based breastfeeding promotion and support.

  11. Surgery and trauma care providers' perception of the impact of dual-practice employment on quality of care provided in an Andean country.

    Science.gov (United States)

    LaGrone, L N; Isquith-Dicker, L N; Huaman Egoavil, E; Herrera-Matta, J J; Fuhs, A K; Ortega Checa, D; Revoredo, F; Rodriguez Castro, M J A; Mock, C N

    2017-05-01

    Dual-practice, simultaneous employment by healthcare workers in the public and private sectors is pervasive worldwide. Although an estimated 30 per cent of the global burden of disease is surgical, the implications of dual practice on surgical care are not well understood. Anonymous in-depth individual interviews on trauma quality improvement practices were conducted with healthcare providers who participate in the care of the injured at ten large hospitals in Peru's capital city, Lima. A grounded theory approach to qualitative data analysis was employed to identify salient themes. Fifty interviews were conducted. A group of themes that emerged related to the perceived negative and positive impacts of dual practice on the quality of surgical care. Participants asserted that the majority of physicians in Lima working in the public sector also worked in the private sector. Dual practice has negative impacts on physicians' time, quality of care in the public sector, and surgical education. Dual practice positively affects patient care by allowing physicians to acquire management and quality improvement skills, and providing incentives for research and academic productivity. In addition, dual practice provides opportunities for clinical innovations and raises the economic status of the physician. Surgeons in Peru report that dual practice influences patient care negatively by creating time and human resource conflicts. Participants assert that these conflicts widen the gap in quality of care between rich and poor. This practice warrants redirection through national-level regulation of physician schedules and reorganization of public investment in health via physician remuneration. © 2017 BJS Society Ltd Published by John Wiley & Sons Ltd.

  12. Astronomical Spectroscopy A Short History

    Indian Academy of Sciences (India)

    Home; Journals; Resonance – Journal of Science Education; Volume 3; Issue 5. Astronomical Spectroscopy A Short History. J C Bhattacharyya. General Article Volume 3 Issue 5 May 1998 pp 24-29. Fulltext. Click here to view fulltext PDF. Permanent link: https://www.ias.ac.in/article/fulltext/reso/003/05/0024-0029 ...

  13. Interprofessional Oral Health Education Improves Knowledge, Confidence, and Practice for Pediatric Healthcare Providers

    Directory of Open Access Journals (Sweden)

    Devon Cooper

    2017-08-01

    Full Text Available Dental caries is the most prevalent chronic childhood disease in the United States. Dental caries affects the health of 60–90% of school-aged children worldwide. The prevalence of untreated early childhood dental caries is 19% for children 2–5 years of age in the U.S. Some factors that contribute to the progression of dental caries include socioeconomic status, access to dental care, and lack of anticipatory guidance. The prevalence of dental caries remains highest for children from specific ethnic or racial groups, especially those living in underserved areas where there may be limited access to a dentist. Although researchers have acknowledged the various links between oral health and overall systemic health, oral health care is not usually a component of pediatric primary health care. To address this public health crisis and oral health disparity in children, new collaborative efforts among health professionals is critical for dental disease prevention and optimal oral health. This evaluation study focused on a 10-week interprofessional practice and education (IPE course on children’s oral health involving dental, osteopathic medical, and nurse practitioner students at the University of California, San Francisco. This study’s objective was to evaluate changes in knowledge, confidence, attitude, and clinical practice in children’s oral health of the students completed the course. Thirty-one students participated in the IPE and completed demographic questionnaires and four questionnaires before and after the IPE course: (1 course content knowledge, (2 confidence, (3 attitudes, and (4 clinical practice. Results showed a statistically significant improvement in the overall knowledge of children’s oral health topics, confidence in their ability to provide oral health services, and clinical practice. There was no statistically significant difference in attitude, but there was an upward trend toward positivity. To conclude, this IPE

  14. Health Care providers and Teen Driving Safety: Topics Discussed and Educational Resources Used in Practice.

    Science.gov (United States)

    Dellinger, Ann M; West, Bethany A

    2015-11-01

    Traffic crashes are the leading cause of death among teens. Health care providers have an opportunity to address what works to keep teens safe on the road during the patient visit. An online survey was conducted of 1088 health care providers who saw patients at or near driving age. The survey assessed which road safety topics were discussed and which types of educational products were used most often. Family and general practice physicians represented 44.3% of the sample, followed by pediatricians (22.5%), nurse practitioners (17.6%), and internists (15.5%). Nearly all respondents (92.9%) reported addressing one or more driving safety factors (seat belt use, nighttime driving, fatigue, teen passengers, alcohol/drug use, speeding/reckless driving, and cell phone use/texting) with adolescent patients and/or their parents. Seat belt use was reported more often (83.7%) than other topics. The use of parent-teen driving agreements, a known effective intervention, was reported by less than 10% of respondents. Since health care providers expressed interest in receiving written resource materials, distribution of parent-teen driving agreements to health care providers might encourage greater uptake and use of this effective intervention.

  15. Child Welfare, Juvenile Justice, Mental Health, and Education Providers' Conceptualizations of Trauma-Informed Practice.

    Science.gov (United States)

    Donisch, Katelyn; Bray, Chris; Gewirtz, Abigail

    2016-05-01

    This study systematically examined child-service providers' conceptualizations of trauma-informed practice (TIP) across service systems, including child welfare, juvenile justice, mental health, and education. Eleven focus groups and nine individual interviews were conducted, totaling 126 child-service providers. Conventional content analysis was used to analyze the qualitative data with interrater reliability analyses indicating near perfect agreement between coders. Qualitative analysis revealed that child-service providers identified traumatic stress as an important common theme among children and families served as well as the interest in TIP in their service systems. At the same time, child-service providers generally felt knowledgeable about what they define TIP to be, although they articulated wide variations in the degree to which they are taught skills and strategies to respond to their traumatized clients. The results of this study suggest a need for a common lexicon and metric with which to advance TIP within and across child-service systems. © The Author(s) 2016.

  16. Providing Students with Foundational Field Instruction within a 50 Minute Class Period: A Practical Example

    Science.gov (United States)

    Percy, M.

    2014-12-01

    There is a growing recognition among secondary educators and administrators that students need to have a science education that provides connections between familiar classes like biology, chemistry, and physics. Because of this waxing interest in an integrative approach to the sciences, there is a broader push for school districts to offer classes geared towards the earth sciences, a field that incorporates knowledge and skills gleaned from the three core science subjects. Within the contexts of a regular secondary school day on a traditional schedule (45- to 50-minute long classes), it is challenging to engage students in rigorous field-based learning, critical for students to develop a deeper understanding of geosciences content, without requiring extra time outside of the regular schedule. We suggest instruction using common, manmade features like drainage retention ponds to model good field practices and provide students with the opportunity to calculate basic hydrologic budgets, take pH readings, and, if in an area with seasonal rainfall, make observations regarding soils by way of trenching, and near-surface processes, including mass wasting and the effects of vegetation on geomorphology. Gains in student understanding are discussed by analyzing the difference in test scores between exams provided to the students after they had received only in-class instruction, and after they had received field instruction in addition to the in-class lectures. In an advanced setting, students made measurements regarding ion contents and pollution that allowed the classes to practice lab skills while developing a data set that was analyzed after field work was completed. It is posited that similar fieldwork could be an effective approach at an introductory level in post-secondary institutions.

  17. Latin American astronomers and the International Astronomical Union

    Science.gov (United States)

    Torres-Peimbert, S.

    2017-07-01

    Selected aspects of the participation of the Latin American astronomers in the International Astronomical Union are presented: Membership, Governing bodies, IAU meetings, and other activities. The Union was founded in 1919 with 7 initial member states, soon to be followed by Brazil. In 1921 Mexico joined, and in 1928 Argentina also formed part of the Union, while Chile joined in 1947. In 1961 Argentina, Brazil, Chile, Mexico and Venezuela were already member countries. At present (October 2016) 72 countries contribute financially to the Union. The Union lists 12,391 professional astronomers as individual members; of those, 692 astronomers work in Latin America and the Caribbean, from 13 member states (Argentina, Bolivia , Brazil, Chile, Colombia, Costa Rica, Cuba, Honduras, Mexico, Panamá, Perú, Uruguay and Venezuela) as well as from Ecuador and Puerto Rico. This group comprises 5.58% of the total membership, a figure somewhat lower than the fraction of the population in the region, which is 8.6% of the world population. Of the Latin American members, 23.4% are women and 76.6% are men; slightly higher than the whole membership of Union, which is of 16.9%. In the governing bodies it can be mentioned that there have been 2 Presidents of the Union (Jorge Sahade and Silvia Torres-Peimbert), 7 VicePresidents (Guillermo Haro, Jorge Sahade, Manuel Peimbert Claudio Anguita, Silvia Torres-Peimbert, Beatriz Barbuy, and Marta G. Rovira). The IAU meetings held in the region, include 2 General Assemblies (the 1991 XXI GA took place in Buenos Aires, Argentina and the 2009 XXVIII GA, in Rio de Janeiro, Brazil), 15 Regional Meetings (in Argentina, Brazil, Chile, Colombia, Mexico, Venezuela and Uruguay), 29 Symposia (in Argentina, Brazil, Chile, Colombia, Costa Rica, Ecuador, Peru and Mexico), 5 Colloquia (in Argentina and Mexico), 8 International Schools for Young Astronomers (in Argentina, Brazil, Cuba, Honduras and Mexico), and 11 projects sponsored by the Office of Astronomy

  18. The knowledge, efficacy, and practices instrument for oral health providers: a validity study with dental students.

    Science.gov (United States)

    Behar-Horenstein, Linda S; Garvan, Cyndi W; Moore, Thomas E; Catalanotto, Frank A

    2013-08-01

    Valid and reliable instruments to measure and assess cultural competence for oral health care providers are scarce in the literature, and most published scales have been contested due to a lack of item analysis and internal estimates of reliability. The purposes of this study were, first, to develop a standardized instrument to measure dental students' knowledge of diversity, skills in culturally competent patient-centered communication, and use of culture-centered practices in patient care and, second, to provide preliminary validity support for this instrument. The initial instrument used in this study was a thirty-six-item Likert-scale survey entitled the Knowledge, Efficacy, and Practices Instrument for Oral Health Providers (KEPI-OHP). This instrument is an adaption of an initially thirty-three-item version of the Multicultural Awareness, Knowledge, and Skills Scale-Counselor Edition (MAKSS-CE), a scale that assesses factors related to social justice, cultural differences among clients, and cross-cultural client management. After the authors conducted cognitive and expert interviews, focus groups, pilot testing, and item analysis, their initial instrument was reduced to twenty-eight items. The KEPI-OHP was then distributed to 916 dental students (response rate=48.6 percent) across the United States to measure its reliability and assess its validity. Both exploratory and confirmatory factor analyses were conducted to test the scale's validity. The modification of the survey into a sensible instrument with a relatively clear factor structure using factor analysis resulted in twenty items. A scree test suggested three expressive factors, which were retained for rotation. Bentler's comparative fit and Bentler and Bonnett's non-normed indices were 0.95 and 0.92, respectively. A three-factor solution, including efficacy of assessment, knowledge of diversity, and culture-centered practice subscales, comprised of twenty-items was identified. The KEPI-OHP was found to

  19. Astronomers Unveiling Life's Cosmic Origins

    Science.gov (United States)

    2009-02-01

    clearer with ALMA. "Both the detail of the images and the ability to find molecular spectral lines will improve by a factor of at least 25 with ALMA," she said. In addition, the increased power of the EVLA will give astronomers a far better look into the inner regions of the disks around young stars -- regions obscured to telescopes operating at shorter wavelengths. "We know that complex chemicals exist in interstellar space before stars and planets form. With the new research tools coming in the next few years, we're on the verge of learning how the chemistry of the interstellar clouds, the young stars and their environments, and the disks from which planets are formed is all linked together to provide the chemical basis for life on those planets," Remijan explained. Astrophysicist Neil deGrasse Tyson of the American Museum of Natural History noted, "Like no other science, astrophysics cross-pollinates the expertise of chemists, biologists, geologists and physicists, all to discover the past, present, and future of the cosmos -- and our humble place within it."

  20. The astronomical tables of Giovanni Bianchini

    CERN Document Server

    Chabas, Jose

    2009-01-01

    This book describes and analyses, for the first time, the astronomical tables of Giovanni Bianchini of Ferrara (d. after 1469), explains their context, inserts them into an astronomical tradition that began in Toledo, and addresses their diffusion.

  1. Knowledge, attitudes, and practice of travelers' diarrhea management among frontline providers.

    Science.gov (United States)

    Hayat, Aatif M; Tribble, David R; Sanders, John W; Faix, Dennis J; Shiau, Danny; Armstrong, Adam W; Riddle, Mark S

    2011-01-01

    Many studies have found acute gastrointestinal infections to be among the most likely reason for clinic visits among forward deployed soldiers and are considered a significant contributor to morbidity in this population. This occurs despite the controlled food and water distribution systems under which military populations operate. Furthermore, recent studies have indicated that providers often fail to appropriately identify and treat the typical causes of these infections. To adequately address this issue, an assessment of gaps in knowledge, practice, and management of acute diarrhea in deployed troops was conducted. A multiple-choice survey was developed by clinical researchers with expertise in travelers' diarrhea (TD) and provided to a convenience sample of clinical providers with a broad range of training and operational experience. The survey evaluated provider's knowledge of TD along with their ability to identify etiologies of various syndromic categories of acute gastrointestinal infections. Providers were also queried on selection of treatment approaches to a variety of clinical-based scenarios. A total of 117 respondents completed the survey. Most were aware of the standard definition of TD (77%); however, their knowledge about the epidemiology was lower, with less than 24% correctly answering questions on etiology of diarrhea, and 31% believing that a viral pathogen was the primary cause of watery diarrhea during deployment. Evaluation of scenario-based responses showed that 64% of providers chose not to use antibiotics to treat moderate TD. Furthermore, 19% of providers felt that severe inflammatory diarrhea was best treated with hydration only while 25% felt hydration was the therapy of choice for dysentery. Across all provider types, three practitioner characteristics appeared to be related to better scores on responses to the nine management scenarios: having a Doctor of Medicine or Doctor of Osteopathy degree, greater knowledge of TD epidemiology

  2. Adoption of Evidence-Based Practices Among Substance Abuse Treatment Providers*

    Science.gov (United States)

    Haug, Nancy A.; Shopshire, Michael; Tajima, Barbara; Gruber, Valerie; Guydish, Joseph

    2009-01-01

    This research was conducted at a Substance Abuse Forum designed to address local community needs by focusing on Evidence-Based Practices (EBPs) in addiction treatment. The purpose of the study was to assess substance abuse treatment professionals’ readiness to adopt EBPs, experience with EBPs, and attitudes toward EBPs, as well as agency support for EBPs. A total of 119 addiction treatment providers completed pre-test measures, and 82% completed a post-test. Eighty-three percent of participants reported using some EBPs in the past year, and 75% reported currently using EBPs. Participants who were currently licensed or certified in addictions had less negative attitudes toward EBPs than those without credentials. While respondents reported agency support for EBPs, most expressed interest in further training. This study underscores the movement toward EBPs in addiction treatment and the need for effective dissemination and training in this area. PMID:18724657

  3. Curriculum providing cognitive knowledge and problem-solving skills for anesthesia systems-based practice.

    Science.gov (United States)

    Wachtel, Ruth E; Dexter, Franklin

    2010-12-01

    Residency programs accredited by the ACGME are required to teach core competencies, including systems-based practice (SBP). Projects are important for satisfying this competency, but the level of knowledge and problem-solving skills required presupposes a basic understanding of the field. The responsibilities of anesthesiologists include the coordination of patient flow in the surgical suite. Familiarity with this topic is crucial for many improvement projects. A course in operations research for surgical services was originally developed for hospital administration students. It satisfies 2 of the Institute of Medicine's core competencies for health professionals: evidence-based practice and work in interdisciplinary teams. The course lasts 3.5 days (eg, 2 weekends) and consists of 45 cognitive objectives taught using 7 published articles, 10 lectures, and 156 computer-assisted problem-solving exercises based on 17 case studies. We tested the hypothesis that the cognitive objectives of the curriculum provide the knowledge and problem-solving skills necessary to perform projects that satisfy the SBP competency. Standardized terminology was used to define each component of the SBP competency for the minimum level of knowledge needed. The 8 components of the competency were examined independently. Most cognitive objectives contributed to at least 4 of the 8 core components of the SBP competency. Each component of SBP is addressed at the minimum requirement level of exemplify by at least 6 objectives. There is at least 1 cognitive objective at the level of summarize for each SBP component. A curriculum in operating room management can provide the knowledge and problem-solving skills anesthesiologists need for participation in projects that satisfy the SBP competency.

  4. Astronomical Heritage in the National Culture

    Science.gov (United States)

    Harutyunian, H. A.; Mickaelian, A. M.; Parsamian, E. S.

    2014-10-01

    The book contains Proceedings of the Archaeoastronomical Meeting "Astronomical Heritage in the National Culture" Dedicated to Anania Shirakatsi's 1400th Anniversary and XI Annual Meeting of the Armenian Astronomical Society. It consists of 3 main sections: "Astronomical Heritage", "Anania Shirakatsi" and "Modern Astronomy", as well as Literature about Anania Shirakatsi is included. The book may be interesting for astronomers, historians, archaeologists, linguists, students and other readers.

  5. Collaboration of midwives in primary care midwifery practices with other maternity care providers.

    Science.gov (United States)

    Warmelink, J Catja; Wiegers, Therese A; de Cock, T Paul; Klomp, Trudy; Hutton, Eileen K

    2017-12-01

    interactions with physicians (GPs, obstetricians and paediatricians). Midwives with more work experience were more satisfied with their collaboration with GPs. Midwives from the southern region of the Netherlands were more satisfied with collaboration with GPs and obstetricians. Compared to the urban areas, in the rural or mixed areas the midwives were more satisfied regarding their collaboration with MCA(O)s and clinical midwives. Midwives from non-Dutch origin were less satisfied with the collaboration with paediatricians. No relations were found between the overall mean satisfaction of collaboration and work-related and personal characteristics and attitude towards work. Inter-professionals relations in maternity care in the Netherlands can be enhanced, especially the primary care midwives' interactions with physicians and with maternity care providers in the northern and central part of the Netherlands, and in urban areas. Future exploratory or deductive research may provide additional insight in the collaborative practice in everyday work setting. Copyright © 2017 Elsevier Ltd. All rights reserved.

  6. Penn State astronomical image processing system

    International Nuclear Information System (INIS)

    Truax, R.J.; Nousek, J.A.; Feigelson, E.D.; Lonsdale, C.J.

    1987-01-01

    The needs of modern astronomy for image processing set demanding standards in simultaneously requiring fast computation speed, high-quality graphic display, large data storage, and interactive response. An innovative image processing system was designed, integrated, and used; it is based on a supermicro architecture which is tailored specifically for astronomy, which provides a highly cost-effective alternative to the traditional minicomputer installation. The paper describes the design rationale, equipment selection, and software developed to allow other astronomers with similar needs to benefit from the present experience. 9 references

  7. The Treatment of Cutaneous Abscesses: Comparison of Emergency Medicine Providers' Practice Patterns

    Directory of Open Access Journals (Sweden)

    Schmitz, Gillian R

    2013-02-01

    Full Text Available AbstractObjectives: Cutaneous abscesses are commonly treated in the emergency department (ED. Although incision and drainage (I&D remains the standard treatment, there is little high quality evidence to support additional interventions such as pain control, type of incision, and use of irrigation, wound cultures, and packing. Although guidelines exist to support clinician management of abscesses, they do not clearly specify these additional interventions. This study sought to describe the ED treatments administered to adults with uncomplicated superficial cutaneous abscesses, defined as purulent lesions requiring incision and drainage, that could be managed in an ED or outpatient setting.Methods: Four hundred and seventy four surveys were distributed to 15 EDs across the United States. Participants were queried about their level of training and practice environment as well as specific questions regarding their management of cutaneous abscesses in the ED.Results: In total, 350 providers responded to the survey (74%. One hundred eighty nine respondents (54% were attending physicians, 135 (39% were residents and 26 (7% were mid-level providers. Most providers (76% used narcotics for pain management, 71% used local anesthetic over the roof of the abscess, and 60% used local anesthetic in a field block for pain control. Only 48% of responders routinely used irrigation after I&D. Eighty-five percent of responders used a linear incision to drain the abscess and 91% used packing in the wound cavity. Thirty two percent routinely sent wound cultures and 17% of providers routinely prescribed antibiotics. Most providers (73% only prescribed antibiotics if certain historical factors or physical findings were present on exam. Antibiotic treatment, if used, favored a combination of 2 or more drugs to cover both Streptococcus and methicillin-resistant Staphylococcal aureus (47%. Follow up visits were most frequently recommended at 48 hours unless wound was

  8. Shared Decision-Making in Oncology - A Qualitative Analysis of Healthcare Providers' Views on Current Practice.

    Science.gov (United States)

    Frerichs, Wiebke; Hahlweg, Pola; Müller, Evamaria; Adis, Christine; Scholl, Isabelle

    2016-01-01

    Despite an increased awareness of shared decision-making (SDM) and its prominent position on the health policy agenda, its implementation in routine care remains a challenge in Germany. In order to overcome this challenge, it is important to understand healthcare providers' views regarding SDM and to take their perspectives and opinions into account in the development of an implementation program. The present study aimed at exploring a) the attitudes of different healthcare providers regarding SDM in oncology and b) their experiences with treatment decisions in daily practice. A qualitative study was conducted using focus groups and individual interviews with different healthcare providers at the University Cancer Center Hamburg, Germany. Focus groups and interviews were audio-recorded, transcribed and analyzed using conventional content analysis and descriptive statistics. N = 4 focus groups with a total of N = 25 participants and N = 17 individual interviews were conducted. Attitudes regarding SDM varied greatly between the different participants, especially concerning the definition of SDM, the attitude towards the degree of patient involvement in decision-making and assumptions about when SDM should take place. Experiences on how treatment decisions are currently made varied. Negative experiences included time and structural constraints, and a lack of (multidisciplinary) communication. Positive experiences comprised informed patients, involvement of relatives and a good physician-patient relationship. The results show that German healthcare providers in oncology have a range of attitudes that currently function as barriers towards the implementation of SDM. Also, their experiences on how decision-making is currently done reveal difficulties in actively involving patients in decision-making processes. It will be crucial to take these attitudes and experiences seriously and to subsequently disentangle existing misconceptions in future implementation programs.

  9. The Expanding Role of Advanced Practice Providers in Urologic Procedural Care.

    Science.gov (United States)

    Langston, Joshua P; Duszak, Richard; Orcutt, Venetia L; Schultz, Heather; Hornberger, Brad; Jenkins, Lawrence C; Hemingway, Jennifer; Hughes, Danny R; Pruthi, Raj S; Nielsen, Matthew E

    2017-08-01

    To understand the role of Advanced Practice Providers (APPs) in urologic procedural care and its change over time. As the population ages and the urologic workforce struggles to meet patient access demands, the role of APPs in the provision of all aspects of urologic care is increasing. However, little is currently known about their role in procedural care. Commonly performed urologic procedures were linked to Current Procedural Terminology (CPT) codes from 1994 to 2012. National Medicare Part B beneficiary claims frequency was identified using Physician Supplier Procedure Summary Master Files. Trends were studied for APPs, urologists, and all other providers nationally across numerous procedures spanning complexity, acuity, and technical skill set requirements. Between 1994 and 2012, annual Medicare claims for urologic procedures by APPs increased dramatically. Cystoscopy increased from 24 to 1820 (+7483%), transrectal prostate biopsy from 17 to 834 (+4806%), complex Foley catheter placement from 471 to 2929 (+522%), urodynamics testing from 41 to 9358 (+22,727%), and renal ultrasound from 18 to 4500 (+24,900%) CONCLUSION: We found dramatic growth in the provision of urologic procedural care by APPs over the past 2 decades. These data reinforce the known expansion of the APP role in urology and support the timeliness of ongoing collaborative multidisciplinary educational efforts to address unmet needs in education, training, and guideline formation to maximize access to urologic procedural services. Copyright © 2017 Elsevier Inc. All rights reserved.

  10. USDA food and nutrient databases provide the infrastructure for food and nutrition research, policy, and practice.

    Science.gov (United States)

    Ahuja, Jaspreet K C; Moshfegh, Alanna J; Holden, Joanne M; Harris, Ellen

    2013-02-01

    The USDA food and nutrient databases provide the basic infrastructure for food and nutrition research, nutrition monitoring, policy, and dietary practice. They have had a long history that goes back to 1892 and are unique, as they are the only databases available in the public domain that perform these functions. There are 4 major food and nutrient databases released by the Beltsville Human Nutrition Research Center (BHNRC), part of the USDA's Agricultural Research Service. These include the USDA National Nutrient Database for Standard Reference, the Dietary Supplement Ingredient Database, the Food and Nutrient Database for Dietary Studies, and the USDA Food Patterns Equivalents Database. The users of the databases are diverse and include federal agencies, the food industry, health professionals, restaurants, software application developers, academia and research organizations, international organizations, and foreign governments, among others. Many of these users have partnered with BHNRC to leverage funds and/or scientific expertise to work toward common goals. The use of the databases has increased tremendously in the past few years, especially the breadth of uses. These new uses of the data are bound to increase with the increased availability of technology and public health emphasis on diet-related measures such as sodium and energy reduction. Hence, continued improvement of the databases is important, so that they can better address these challenges and provide reliable and accurate data.

  11. Best Practices in Physics Program Assessment: Should APS Provide Accreditation Standards for Physics?

    Science.gov (United States)

    Hodapp, Theodore

    The Phys21 report, ``Preparing Physics Students for 21st Century Careers,'' provides guidance for physics programs to improve their degree programs to make them more relevant for student career choices. Undertaking such changes and assessing impact varies widely by institution, with many departments inventing assessments with each periodic departmental or programmatic review. American Physical Society has embarked on a process to integrate information from Phys21, the results of other national studies, and educational research outcomes to generate a best-practices guide to help physics departments conduct program review, assessment, and improvement. It is anticipated that departments will be able to use this document to help with their role in university-level accreditation, and in making the case for improvements to departmental programs. Accreditation of physics programs could stem from such a document, and I will discuss some of the thinking of the APS Committee on Education in creating this guide, and how they are advising APS to move forward in the higher education landscape that is increasingly subject to standards-based evaluations. I will describe plans for the design, review, and dissemination of this guide, and how faculty can provide input into its development. This material is based upon work supported by the National Science Foundation under Grant No. 1540570. Opinions expressed do not necessarily reflect those of the NSF.

  12. Mapping allied health evidence-based practice: providing a basis for organisational realignment.

    Science.gov (United States)

    Ziviani, Jenny; Wilkinson, Shelley A; Hinchliffe, Fiona; Feeney, Rachel

    2015-06-01

    Ahead of the convergence of two major paediatric services, we examined evidence-based practice (EBP) self-efficacy, outcome expectance, knowledge and use among allied health (AH) staff in two major Queensland (Qld) paediatric services. This was to determine whether any differences existed based on organisational affiliation, profession and any previous training to inform a strategy to enhance AH EBP within the new organisational setting. All AH staff from the two Brisbane (Qld) tertiary paedritic hospitals were invited to participate in the survey. Using a cross-sectional design EBP self-efficacy, outcome expectancy, knowledge and use, as well as previous EBP training, were assessed with an online survey. Background demographic information obtained included professional discipline and hospital. One hundreD and thirty-eight health practitioners completed the survey (37% respone rate). Most practioners had accessed EBP training. Mean scores for EBP attitudes (self-efficacy and outcome expectancy) and knowledge were higher than for EBP use scores. Greater variation was observed across professional disciplines than organisations. Training impacted positively on EBP measures but explained a small proportion of total variance in regression models. The results underscore the need to provide organisational supports to AH staff ro EBP implementation. Strategies other than training are requred to maximally enhance EBP attitudes. The new organisational structure provides an oppotunity for this cultural shift to occur.

  13. NASN membership survey: Developing and providing leadership to advance the school nursing practice.

    Science.gov (United States)

    Monsalve, Lina

    2010-07-01

    The NASN membership is fairly consistent. The majority of NASN members are female; NASN members share a common interest in the specialty of school nursing. The majority of members are involved in one of the following areas: school nurse services, school nurse administration or supervision, and regional or state nurse consultant within the educational system. School nursing practice varies among survey participants; there are school nurses who have spent as little as one year specifically practicing school nursing and those who have spent as much as 36 years or more. Eighty-three percent (83%) of NASN members are employed by public school districts, salaries among members vary between $19,000 or less per year and $129,999 or more per year. NASN members serve students in different geographical areas; school nurses may care for students in urban, suburban, rural, reservations, and overseas (DOD, military) areas. Nonetheless, some school nurses may care for students in more than one geographical area. Twenty-eight percent (28%) of NASN members provide school nursing services to students in elementary school. Student-to-school nurse ratios vary among members; in some areas school nurses may care for 125 students or fewer to as many as 5,100 students or more. NASN members spend most of their time caring for episodic minor illness and injury (headache, pain, hay fever, pm medication, etc.), acute injury and illness, health screenings (vision, hearing, body mass index), and chronic health (case management, care plans, emergency plans, and 504). In addition, there is a consensus on the resources that would most allow school nurses to deliver safer care to their students to include assistance with administrative tasks, lowering student-to-school nurse ratios, and funding for projects. NASN members place a high priority in continuing education programs, especially in topics pertaining to direct student services, such as mental health, chronic health care, and acute illness

  14. National Astronomical Observatory of Japan

    CERN Document Server

    Haubold, Hans J; UN/ESA/NASA Workshop on the International Heliophysical Year 2007 and Basic Space Science, hosted by the National Astronomical Observatory of Japan

    2010-01-01

    This book represents Volume II of the Proceedings of the UN/ESA/NASA Workshop on the International Heliophysical Year 2007 and Basic Space Science, hosted by the National Astronomical Observatory of Japan, Tokyo, 18 - 22 June, 2007. It covers two programme topics explored in this and past workshops of this nature: (i) non-extensive statistical mechanics as applicable to astrophysics, addressing q-distribution, fractional reaction and diffusion, and the reaction coefficient, as well as the Mittag-Leffler function and (ii) the TRIPOD concept, developed for astronomical telescope facilities. The companion publication, Volume I of the proceedings of this workshop, is a special issue in the journal Earth, Moon, and Planets, Volume 104, Numbers 1-4, April 2009.

  15. Astronomical Data and Information Visualization

    Science.gov (United States)

    Goodman, Alyssa A.

    2010-01-01

    As the size and complexity of data sets increases, the need to "see" them more clearly increases as well. In the past, many scientists saw "fancy" data and information visualization as necessary for "outreach," but not for research. In this talk, I wlll demonstrate, using specific examples, why more and more scientists--not just astronomers--are coming to rely upon the development of new visualization strategies not just to present their data, but to understand it. Principal examples will be drawn from the "Astronomical Medicine" project at Harvard's Initiative in Innovative Computing, and from the "Seamless Astronomy" effort, which is co-sponsored by the VAO (NASA/NSF) and Microsoft Research.

  16. Knowledge, attitude & practice on human papillomavirus vaccination: A cross-sectional study among healthcare providers.

    Science.gov (United States)

    Chawla, P Cheena; Chawla, Anil; Chaudhary, Seema

    2016-11-01

    Cervical cancer is a major health problem and a leading cause of death among women in India. Of all the associated risk factors, high-risk human papillomavirus (HPV) infections being the principal aetiologic agent, two HPV vaccines are in use for the control of cervical cancer. The present study was undertaken to explore the knowledge, attitude and practice (KAP) on HPV vaccination among the healthcare providers in India. A cross-sectional study was conducted among 590 healthcare professionals from 232 hospitals and 80 PHCs of nine districts of Delhi-NCR (National Capital Region). A total of 590 (526 female, 64 male) healthcare providers were surveyed. Only 47 per cent of respondents recommended young women to get vaccinated against HPV. Majority of respondents (81%) were found to be aware about the existence of vaccines for cervical cancer prevention. District-wise, highest (88.3%) awareness about the existence of vaccines against HPV was reported from Gautam Budh Nagar and lowest (64%) in Faridabad. Although 86 per cent of gynaecologists were aware about the names of HPV vaccines available in the market, only 27 per cent of paramedical staff had this knowledge. There was a significant difference between the respondents from government and private sectors regarding their awareness about HPV vaccines. Lack of awareness about the principal cause, risk factors and symptoms for cervical cancer and HPV vaccination was significantly (P< 0.05) reported in the respondents from paramedical staff category. The findings reinforce continued medical education of healthcare providers, particularly those from the government sector on HPV vaccination for cervical cancer prevention. Public education is also pertinent for a successful HPV vaccination programme in the country.

  17. [Practical chemistry education provided by team-based learning (TBL) and peer evaluation].

    Science.gov (United States)

    Yasuhara, Tomohisa; Konishi, Motomi; Nishida, Takahiro; Kushihata, Taro; Sone, Tomomichi; Kurio, Wasako; Yamamoto, Yumi; Nishikawa, Tomoe; Yanada, Kazuo; Nakamura, Mitsutaka

    2014-01-01

    Learning chemistry is cumulative: basic knowledge and chemical calculation skills are required to gain understanding of higher content. However, we often suffer from students' lack of learning skills to acquire these concepts. One of the reasons is the lack of adequate training in the knowledge and skills of chemistry, and one of the reasons for this lack is the lack of adequate evaluation of training procedures and content. Team-based learning (TBL) is a strong method for providing training in the knowledge and skills of chemistry and reaffirms the knowledge and skills of students of various levels. In our faculty, TBL exercises are provided for first-year students concurrently with lectures in physical chemistry and analytical chemistry. In this study, we researched the adoption of a peer evaluation process for this participatory learning model. Questionnaires taken after TBL exercises in the previous year showed a positive response to TBL. Further, a questionnaire taken after TBL exercises in the spring semester of the current year also yielded a positive response not only to TBL but also to peer evaluation. In addition, a significant correlation was observed between the improvement of students' grades in chemistry classes and the feeling the percentage (20%) of peer evaluation in overall evaluation low (logistic regression analysis, p=0.022). On the basis of the findings, we argue that TBL provides a generic, practical learning environment including an effective focus on learning strategy and evaluation of knowledge, skills, and attitudes, and studies on the educational effects of TBL and peer evaluation.

  18. Astronomical Research Institute Photometric Results

    Science.gov (United States)

    Linder, Tyler R.; Sampson, Ryan; Holmes, Robert

    2013-01-01

    The Astronomical Research Institute (ARI) conducts astrometric and photometric studies of asteroids with a concentration on near-Earth objects (NEOs). A 0.76-m autoscope was used for photometric studies of seven asteroids of which two were main-belt targets and five were NEOs, including one potentially hazardous asteroid (PHA). These objects are: 3122 Florence, 3960 Chaliubieju, 5143 Heracles, (6455) 1992 HE, (36284) 2000 DM8, (62128) 2000 SO1, and 2010 LF86.

  19. The South African Astronomical Observatory

    International Nuclear Information System (INIS)

    1988-01-01

    The geographical position, climate and equipment at the South African Astronomical Observatory (SAAO), together with the enthusiasm and efforts of SAAO scientific and technical staff and of visiting scientists, have enabled the Observatory to make a major contribution to the fields of astrophysics and cosmology. During 1987 the SAAO has been involved in studies of the following: supernovae; galaxies, including Seyfert galaxies; celestial x-ray sources; magellanic clouds; pulsating variables; galatic structure; binary star phenomena; nebulae; interstellar matter and stellar astrophysics

  20. Supporting Aboriginal Women to Quit Smoking: Antenatal and Postnatal Care Providers' Confidence, Attitudes, and Practices.

    Science.gov (United States)

    Tzelepis, Flora; Daly, Justine; Dowe, Sarah; Bourke, Alex; Gillham, Karen; Freund, Megan

    2017-05-01

    Tobacco use during pregnancy is substantially higher among Aboriginal women compared to non-Aboriginal women in Australia. However, no studies have investigated the amount or type of smoking cessation care that staff from Aboriginal antenatal and postnatal services provide to clients who smoke or staff confidence to do so. This study examined Aboriginal antenatal and postnatal staff confidence, perceived role and delivery of smoking cessation care to Aboriginal women and characteristics associated with provision of such care. Staff from 11 Aboriginal Maternal and Infant Health Services and eight Aboriginal Child and Family Health services in the Hunter New England Local Health District in Australia completed a cross-sectional self-reported survey (n = 67, response rate = 97.1%). Most staff reported they assessed clients' smoking status most or all of the time (92.2%). However, only a minority reported they offered a quitline referral (42.2%), provided follow-up support (28.6%) or provided nicotine replacement therapy (4.7%) to most or all clients who smoked. Few staff felt confident in motivating clients to quit smoking (19.7%) and advising clients about using nicotine replacement therapy (15.6%). Staff confident with talking to clients about how smoking affected their health had significantly higher odds of offering a quitline referral [OR = 4.9 (1.7-14.5)] and quitting assistance [OR = 3.9 (1.3-11.6)] to clients who smoke. Antenatal and postnatal staff delivery of smoking cessation care to pregnant Aboriginal women or mothers with young Aboriginal children could be improved. Programs that support Aboriginal antenatal and postnatal providers to deliver smoking cessation care to clients are needed. Aboriginal antenatal and postnatal service staff have multiple opportunities to assist Aboriginal women to quit smoking during pregnancy and postpartum. However, staff confidence and practices of offering various forms of smoking cessation support to pregnant Aboriginal

  1. Adherence to best practice guidelines in dyspepsia: a survey comparing dyspepsia experts, community gastroenterologists and primary-care providers.

    Science.gov (United States)

    Spiegel, B M R; Farid, M; van Oijen, M G H; Laine, L; Howden, C W; Esrailian, E

    2009-04-15

    Although 'best practice' guidelines for dyspepsia management have been disseminated, it remains unclear whether providers adhere to these guidelines. To compare adherence to 'best practice' guidelines among dyspepsia experts, community gastroenterologists and primary-care providers (PCPs). We administered a vignette survey to elicit knowledge and beliefs about dyspepsia including a set of 16 best practices, to three groups: (i) dyspepsia experts; (ii) community gastroenterologists and (iii) PCPs. The expert, community gastroenterologist and PCP groups endorsed 75%, 73% and 57% of best practices respectively. Gastroenterologists were more likely to adhere with guidelines than PCPs (P guideline adherence (P = 0.04). Gastroenterologists are more likely than PCPs to comply with best practices in dyspepsia, although compliance remains incomplete in both groups. PCPs harbour more concerns regarding long-term PPI use and these concerns may affect therapeutic decision making. This suggests that best practices have not been uniformly adopted and persistent guideline-practice disconnects should be addressed.

  2. Assessment of Barriers to Providing Introductory Pharmacy Practice Experiences (IPPEs in the Hospital Setting

    Directory of Open Access Journals (Sweden)

    Matthew J Gibson

    2016-07-01

    Full Text Available Objectives: The primary objective of the study is to identify the barriers to providing Introductory Pharmacy Practice Experiences (IPPEs in the hospital setting. Methods: Potential barriers to IPPEs were identified via literature review and interviews with current IPPE preceptors from various institutions. Based on this information, an electronic survey was developed and distributed to IPPE preceptors in order to assess student, preceptor, logistical and college or school of pharmacy related barriers that potentially exist for providing IPPE in the hospital setting. Results: Sixty-eight of the 287 eligible survey respondents (24% completed the electronic survey. Seventy-six percent of respondents agreed or strongly agreed that available time was a barrier to precepting IPPE students even though a majority of respondents reported spending a third or more of their day with an IPPE student when on rotation. Seventy-three percent of respondents disagreed or strongly disagreed that all preceptors have consistent performance expectations for students, while just 46% agreed or strongly agreed that they had adequate training to precept IPPEs. Sixty-five percent of respondents agreed that IPPE students have the ability to be a participant in patient care and 70% of preceptors believe that IPPE students should be involved in patient care. Conclusions: Conducting IPPEs in the institutional setting comes with challenges. Based on the results of this study, experiential directors and colleges/schools of pharmacy could make a positive impact on the quality and consistency of IPPEs by setting student expectations and training preceptors on appropriate and consistent expectations for students.   Type: Original Research

  3. Standards - the common element in providing the safety, quality and performance of the medical practice

    Science.gov (United States)

    Greabu, Mihai

    2009-01-01

    Knowing and applying standards is an opportunity of the years 2007-2008 in any kind of field where a successful activity is intended and this assures a certain way towards competence and quality. The most recent German studies highlighted, to the surprise of the specialists, that standardization holds the second place, after the material means, in the row of the elements considered to be decisive for the success of a business. The existence of standards and the concern for their implementation in the activity provides a high technical and quality level of the products services offered to the clients and the increase in the level of competence of the personnel, who will be able to cope with all the challenges. This need comes from the process of Romania’s accession to the European Union. There are a lot of reasons why standards represent a fundamental part of our daily life. Practically, we are surrounded by standards. Everything is „working” well and it is efficient if the standards used as a base for manufacturing „things” have been correctly developed and applied. Standards open communication channels and commercial channels, promote the understanding of technical products, the compatibility of products and services, facilitate mass production and, most importantly, they are the necessary base for the achievement of the objectives in the fields of health and safety and a better quality of life. The transition towards the global market needs an instrument for the removal of the barriers to the application of the latest discoveries in the field of medical instruments, materials and manual labor. Each medical device, equipment and material used in the Dental and General Medicine is standardized, in fact that leads to their better knowing and provides controllable treatment for manual labor with predictable and repeatable results. This presentation intends to make a survey of some general aspects on standardization as well as a review of the standards in

  4. Injectable loop recorder implantation in an ambulatory setting by advanced practice providers: Analysis of outcomes.

    Science.gov (United States)

    Kipp, Ryan; Young, Natasha; Barnett, Anne; Kopp, Douglas; Leal, Miguel A; Eckhardt, Lee L; Teelin, Thomas; Hoffmayer, Kurt S; Wright, Jennifer; Field, Michael

    2017-09-01

    Implantable loop recorder (ILR) insertion has historically been performed in a surgical environment such as the electrophysiology (EP) lab. The newest generation loop recorder (Medtronic Reveal LINQ™, Minneapolis, MN, USA) is injectable with potential for implantation in a non-EP lab setting by advanced practice providers (APPs) facilitating improved workflow and resource utilization. We report the safety and efficacy of injectable ILR placement in the ambulatory care setting by APPs. A retrospective review was performed including all patients referred for injectable ILR placement from March 2014 to November 2015. All device placement procedures were performed in an ambulatory care setting using the standard manufacturer deployment kit with sterile technique and local anesthetic following a single dose of intravenous antibiotics. Acute procedural success and complication rates following injectable ILR placement in the ambulatory setting were reviewed. During the study period, 125 injectable ILRs were implanted. Acute procedural success with adequate sensing (R-waves ≥ 0.2 mV) occurred in 100% of patients. There were no acute procedural complications. Subacute complications occurred in two patients (1.6% of implantations), including one possible infection treated with oral antibiotics and one device removal due to pain at the implant site. In this retrospective single-center study, implantation of injectable ILR in an ambulatory care setting by APPs following a single dose of intravenous antibiotics and standard manufacturer technique yielded a low complication rate with high acute procedural success. Use of this implantation strategy may improve EP lab workflow while providing a safe and effective technique for device placement. © 2017 Wiley Periodicals, Inc.

  5. A Comprehensive Onboarding and Orientation Plan for Neurocritical Care Advanced Practice Providers.

    Science.gov (United States)

    Langley, Tamra M; Dority, Jeremy; Fraser, Justin F; Hatton, Kevin W

    2018-06-01

    As the role of advanced practice providers (APPs) expands to include increasingly complex patient care within the intensive care unit, the educational needs of these providers must also be expanded. An onboarding process was designed for APPs in the neurocritical care service line. Onboarding for new APPs revolved around 5 specific areas: candidate selection, proctor assignment, 3-phased orientation process, remediation, and mentorship. To ensure effective training for APPs, using the most time-conscious approach, the backbone of the process is a structured curriculum. This was developed and integrated within the standard orientation and onboarding process. The curriculum design incorporated measurable learning goals, objective assessments of phased goal achievements, and opportunities for remediation. The neurocritical care service implemented an onboarding process in 2014. Four APPs (3 nurse practitioners and 1 physician assistant) were employed by the department before the implementation of the orientation program. The length of employment ranged from 1 to 4 years. Lack of clinical knowledge and/or sufficient training was cited as reasons for departure from the position in 2 of the 4 APPs, as either self-expression or peer evaluation. Since implementation of this program, 12 APPs have completed the program, of which 10 remain within the division, creating an 83% retention rate. The onboarding process, including a 3-phased, structured orientation plan for neurocritical care, has increased APP retention since its implementation. The educational model, along with proctoring and mentorship, has improved clinical knowledge and increased nurse practitioner retention. A larger-scale study would help to support the validity of this onboarding process.

  6. Translating sickle cell guidelines into practice for primary care providers with Project ECHO

    Directory of Open Access Journals (Sweden)

    Lisa M. Shook

    2016-11-01

    Full Text Available Background: Approximately 100,000 persons with sickle cell disease (SCD live in the United States, including 15,000 in the Midwest. Unfortunately, many patients experience poor health outcomes due to limited access to primary care providers (PCPs who are prepared to deliver evidence-based SCD care. Sickle Treatment and Outcomes Research in the Midwest (STORM is a regional network established to improve care and outcomes for individuals with SCD living in Indiana, Illinois, Michigan, Minnesota, Ohio, and Wisconsin. Methods: STORM investigators hypothesized that Project ECHO® methodology could be replicated to create a low-cost, high-impact intervention to train PCPs in evidence-based care for pediatric and young adult patients with SCD in the Midwest, called STORM TeleECHO. This approach utilizes video technology for monthly telementoring clinics consisting of didactic and case-based presentations focused on the National Heart, Lung and Blood Institute (NHLBI evidence-based guidelines for SCD. Results: Network leads in each of the STORM states assisted with developing the curriculum and are recruiting providers for monthly clinics. To assess STORM TeleECHO feasibility and acceptability, monthly attendance and satisfaction data are collected. Changes in self-reported knowledge, comfort, and practice patterns will be compared with pre-participation, and 6 and 12 months after participation. Conclusions: STORM TeleECHO has the potential to increase implementation of the NHLBI evidence-based guidelines, especially increased use of hydroxyurea, resulting in improvements in the quality of care and outcomes for children and young adults with SCD. This model could be replicated in other pediatric chronic illness conditions to improve PCP knowledge and confidence in delivering evidence-based care.

  7. Doctors' attitudes and confidence towards providing nutrition care in practice: Comparison of New Zealand medical students, general practice registrars and general practitioners.

    Science.gov (United States)

    Crowley, Jennifer; Ball, Lauren; Han, Dug Yeo; McGill, Anne-Thea; Arroll, Bruce; Leveritt, Michael; Wall, Clare

    2015-09-01

    Improvements in individuals' nutrition behaviour can improve risk factors and outcomes associated with lifestyle-related chronic diseases. This study describes and compares New Zealand medical students, general practice registrars and general practitioners' (GPs') attitudes towards incorporating nutrition care into practice, and self-perceived skills in providing nutrition care. A total of 183 New Zealand medical students, 51 general practice registrars and 57 GPs completed a 60-item questionnaire investigating attitudes towards incorporating nutrition care into practice and self-perceived skills in providing nutrition care. Items were scored using a 5-point Likert scale. Factor analysis was conducted to group questionnaire items and a generalised linear model compared differences between medical students, general practice registrars and GPs. All groups indicated that incorporating nutrition care into practice is important. GPs displayed more positive attitudes than students towards incorporating nutrition in routine care (ppractice registrars were more positive than students towards performing nutrition recommendations (p=0.004), specified practices (p=0.037), and eliciting behaviour change (p=0.024). All groups displayed moderate confidence towards providing nutrition care. GPs were more confident than students in areas relating to wellness and disease (pmedical students, general practice registrars and GPs have positive attitudes and moderate confidence towards incorporating nutrition care into practice. It is possible that GPs' experience providing nutrition care contributes to greater confidence. Strategies to facilitate medical students developing confidence in providing nutrition care are warranted.

  8. Remote observatories for amateur astronomers using high-powered telescopes from home

    CERN Document Server

    Hubbell, Gerald R; Billard, Linda M

    2015-01-01

    Amateur astronomers who want to enhance their capabilities to contribute to science need look no farther than this guide to using remote observatories.  The contributors cover how to build your own remote observatory as well as the existing infrastructure of commercial networks of remote observatories that are available to the amateur. They provide specific advice on which programs to use based on your project objectives and offer practical project suggestions. Remotely controlled observatories have many advantages—the most obvious that the observer does not have to be physically present to carry out observations. Such an observatory can also be used more fully because its time can be scheduled and usefully shared among several astronomers working on different observing projects. More and more professional-level observatories are open to use by amateurs in this way via the Internet, and more advanced amateur astronomers can even build their own remote observatories for sharing among members of a society ...

  9. Healthcare providers balancing norms and practice: challenges and opportunities in providing contraceptive counselling to young people in Uganda - a qualitative study.

    Science.gov (United States)

    Paul, Mandira; Näsström, Sara B; Klingberg-Allvin, Marie; Kiggundu, Charles; Larsson, Elin C

    2016-01-01

    Pregnancies among young women force girls to compromise education, resulting in low educational attainment with subsequent poverty and vulnerability. A pronounced focus is needed on contraceptive use, pregnancy, and unsafe abortion among young women. This study aims to explore healthcare providers' (HCPs) perceptions and practices regarding contraceptive counselling to young people. We conducted 27 in-depth interviews with doctors and midwives working in seven health facilities in central Uganda. Interviews were open-ended and allowed the participant to speak freely on certain topics. We used a topic guide to cover areas topics of interest focusing on post-abortion care (PAC) but also covering contraceptive counselling. Transcripts were transcribed verbatim and data were analysed using thematic analysis. The main theme, HCPs' ambivalence to providing contraceptive counselling to sexually active young people is based on two sub-themes describing the challenges of contraceptive counselling: A) HCPs echo the societal norms regarding sexual practice among young people, while at the same time our findings B) highlights the opportunities resulting from providers pragmatic approach to contraceptive counselling to young women. Providers expressed a self-identified lack of skill, limited resources, and inadequate support from the health system to successfully provide appropriate services to young people. They felt frustrated with the consultations, especially when meeting young women seeking PAC. Despite existing policies for young people's sexual and reproductive health in Uganda, HCPs are not sufficiently equipped to provide adequate contraceptive counselling to young people. Instead, HCPs are left in between the negative influence of social norms and their pragmatic approach to address the needs of young people, especially those seeking PAC. We argue that a clear policy supported by a clear strategy with practical guidelines should be implemented alongside in

  10. The Victorian Amateur Astronomer: Independent Astronomical Research in Britain 1820-1920

    Science.gov (United States)

    Chapman, Allan

    1999-01-01

    This is the first book to look in detail at amateur astronomy in Victorian Britain. It deals with the technical issues that were active in Victorian astronomy, and reviews the problems of finance, patronage and the dissemination of scientific ideas. It also examines the relationship between the amateur and professional in Britain. It contains a wealth of previously unpublished biographical and anecdotal material, and an extended bibliography with notes incorporating much new scholarship. In The Victorian Amateur Astronomer, Allan Chapman shows that while on the continent astronomical research was lavishly supported by the state, in Britain such research was paid for out of the pockets of highly educated, wealthy gentlemen the so-called Grand Amateurs . It was these powerful individuals who commissioned the telescopes, built the observatories, ran the learned societies, and often stole discoveries from their state-employed colleagues abroad. In addition to the Grand Amateurs , Victorian Britain also contained many self-taught amateurs. Although they belonged to no learned societies, these people provide a barometer of the popularity of astronomy in that age. In the late 19th century, the comfortable middle classes clergymen, lawyers, physicians and retired military officers took to astronomy as a serious hobby. They formed societies which focused on observation, lectures and discussions, and it was through this medium that women first came to play a significant role in British astronomy. Readership: Undergraduate and postgraduate students studying the history of science or humanities, professional historians of science, engineering and technology, particularly those with an interest in astronomy, the development of astronomical ideas, scientific instrument makers, and amateur astronomers.

  11. Current attitudes and practices of obesity counselling by health care providers.

    Science.gov (United States)

    Petrin, Christine; Kahan, Scott; Turner, Monique; Gallagher, Christine; Dietz, William H

    Relatively few patients receive obesity counselling consistent with the USPSTF guidelines, and many health care professionals (HCPs) are biased in their attitudes towards obesity management. A national sample of family physicians, internists, OB/GYN physicians, and nurse practitioners (NPs) completed a web-based survey of beliefs, practice, and knowledge regarding obesity management. A majority of HCPs believe that it is both the patient's and the provider's responsibility to ensure that the patient is counselled about obesity. Obesity (77%), obesity-related diseases (79%), or obesity-related risk factors (71%) prompt HCPs to offer obesity counselling; 59% of HCPs wait for the patient to broach the subject of their weight. Increased blood pressure (89%) and heart disease risks (90%) are the most common themes in counselling. Across all HCPs except NPs "exercise" is discussed more frequently than "physical activity" (85% vs 81%), "diet" more frequently than "eating habits" (77% vs 75%), and "obesity" more frequently than "unhealthy weight" (60% vs 45%). NPs are more likely to discuss physical activity, eating habits, and unhealthy weight instead. To improve counselling for obesity, HCPs reported needing more time (70%), training in obesity management (53%), improved reimbursement (53%), and better tools to help patients recognise obesity risks (50%). Obesity-related diseases, risk factors, or obesity alone predict obesity counselling amongst HCPs. Better training in weight management and tools to help patients recognise risks appear to be key elements in helping patients compare the risks of what they may consider invasive therapy against the risks of continued obesity. Copyright © 2016 Asia Oceania Association for the Study of Obesity. Published by Elsevier Ltd. All rights reserved.

  12. Healthcare providers balancing norms and practice: challenges and opportunities in providing contraceptive counselling to young people in Uganda – a qualitative study

    Directory of Open Access Journals (Sweden)

    Mandira Paul

    2016-05-01

    Full Text Available Background: Pregnancies among young women force girls to compromise education, resulting in low educational attainment with subsequent poverty and vulnerability. A pronounced focus is needed on contraceptive use, pregnancy, and unsafe abortion among young women. Objective: This study aims to explore healthcare providers’ (HCPs perceptions and practices regarding contraceptive counselling to young people. Design: We conducted 27 in-depth interviews with doctors and midwives working in seven health facilities in central Uganda. Interviews were open-ended and allowed the participant to speak freely on certain topics. We used a topic guide to cover areas topics of interest focusing on post-abortion care (PAC but also covering contraceptive counselling. Transcripts were transcribed verbatim and data were analysed using thematic analysis. Results: The main theme, HCPs' ambivalence to providing contraceptive counselling to sexually active young people is based on two sub-themes describing the challenges of contraceptive counselling: A HCPs echo the societal norms regarding sexual practice among young people, while at the same time our findings B highlights the opportunities resulting from providers pragmatic approach to contraceptive counselling to young women. Providers expressed a self-identified lack of skill, limited resources, and inadequate support from the health system to successfully provide appropriate services to young people. They felt frustrated with the consultations, especially when meeting young women seeking PAC. Conclusions: Despite existing policies for young people's sexual and reproductive health in Uganda, HCPs are not sufficiently equipped to provide adequate contraceptive counselling to young people. Instead, HCPs are left in between the negative influence of social norms and their pragmatic approach to address the needs of young people, especially those seeking PAC. We argue that a clear policy supported by a clear strategy

  13. Provider insight on surmounting specialty practice challenges to improve Tdap immunization rates among pregnant women

    Directory of Open Access Journals (Sweden)

    Arpita Mehrotra

    2018-05-01

    Conclusions: Findings indicate while most ob-gyns recognize the benefits of Tdap and recommend vaccination during pregnancy, barriers such as insurance reimbursement and financial concerns for the practice can outweigh the perceived benefits. This resulted in some ob-gyns reporting choosing not to stock and administer the vaccine in their practice. Recommendations to address these concerns include 1 structural support for Tdap vaccine administration in ob-gyns practices; 2 Continuing medical education-equivalent educational interventions that address management techniques, vaccine coding, and other relevant information; and 3 interventions to assist physicians in communicating the importance of Tdap vaccination during pregnancy.

  14. Large Astronomical Surveys, Catalogs and Databases

    Directory of Open Access Journals (Sweden)

    Mickaelian A. M.

    2012-09-01

    Full Text Available We review the status of all-sky and large astronomical surveys and their catalogued data over the whole range of electromagnetic spectrum, from gamma-ray to radio, such as ROSAT in X-ray, GALEX in UV, SDSS and several POSS1/2 based catalogs (APM, MAPS, USNO, GSC in optical, 2MASS and WISE in NIR, IRAS and AKARI in MIR/FIR, NVSS and FIRST in radio range and others. Present astronomical archives contain billions of objects, Galactic as well as extragalactic, and the vast amount of data in them permit new studies and discoveries. Cross-correlations result in revealing new objects and new samples. Very often, dozens of thousands of sources hide a few very interesting ones that are needed to be discovered by comparison of various physical characteristics. Most of the modern databases currently provide VO access to the stored information. This permits not only open access but also fast analysis and managing of these data.

  15. Teachers' Accounts of Their Perceptions and Practices of Providing Written Feedback to Nursing Students on Their Assignments

    Science.gov (United States)

    Iqbal, Sajid; Gul, Raisa; Lakhani, Arusa; Rizvi, Nusrat Fatima

    2014-01-01

    Written feedback can facilitate students' learning in several ways. However, the teachers' practices of written feedback may be affected by various factors. This study aimed to explore the nurse teachers' accounts of their perceptions and practices of providing written feedback. A descriptive exploratory design was employed in the study. A…

  16. Visualizing Astronomical Data with Blender

    Science.gov (United States)

    Kent, Brian R.

    2014-01-01

    We present methods for using the 3D graphics program Blender in the visualization of astronomical data. The software's forte for animating 3D data lends itself well to use in astronomy. The Blender graphical user interface and Python scripting capabilities can be utilized in the generation of models for data cubes, catalogs, simulations, and surface maps. We review methods for data import, 2D and 3D voxel texture applications, animations, camera movement, and composite renders. Rendering times can be improved by using graphic processing units (GPUs). A number of examples are shown using the software features most applicable to various kinds of data paradigms in astronomy.

  17. Strasbourg Astronomical Data Center (CDS

    Directory of Open Access Journals (Sweden)

    F Genova

    2013-01-01

    Full Text Available The Centre de Donnees astronomiques de Strasbourg (CDS, created in 1972, has been a pioneer in the dissemination of digital scientific data. Ensuring sustainability for several decades has been a major issue because science and technology evolve continuously and the data flow increases endlessly. The paper briefly describes CDS activities, major services, and its R&D strategy to take advantage of new technologies. The next frontiers for CDS are the new Web 2.0/3.0 paradigm and, at a more general level, global interoperability of astronomical on-line resources in the Virtual Observatory framework.

  18. astroplan: Observation Planning for Astronomers

    Science.gov (United States)

    Morris, Brett

    2016-03-01

    Astroplan is an observation planning package for astronomers. It is an astropy-affiliated package which began as a Google Summer of Code project. Astroplan facilitates convenient calculation of common observational quantities, like target altitudes and azimuths, airmasses, and rise/set times. Astroplan also computes when targets are observable given various extensible observing constraints, for example: within a range of airmasses or altitudes, or at a given separation from the Moon. Astroplan is taught in the undergraduate programming for astronomy class, and enables observational Pre- MAP projects at the University of Washington. In the near future, we plan to implement scheduling capabilities in astroplan on top of the constraints framework.

  19. ``Orion, I Don't Love You'': The Astronomical Legacy of Carl Sandburg

    Science.gov (United States)

    Ricca, B.

    2013-04-01

    Can poetry provide an accurate means of representing the scientific universe? This paper looks at the astronomical poetry of Carl Sandburg and how the poet employs a scientific framework to deepen his work. Sandburg's method is then compared to a class project of middle school students who use his poetry (and their own) to learn and understand astronomical facts.

  20. Support for the Astronomically Calibrated 40Ar/39Ar Age of Fish Canyon Sanidine

    DEFF Research Database (Denmark)

    Rivera, Tiffany; Storey, Michael; Zeeden, Christian

    2011-01-01

    al. (2008) determined an astronomically calibrated 40Ar/39Ar age of 28.201 0.046 Ma (2), relative to the indirect astronomically tuned Moroccan Melilla Basin Messâdit section. Here, we provide independent verification for the Kuiper, et al. (2008) FCs age using sanidines extracted from the A1 tephra...

  1. Extracting meaning from astronomical telegrams

    Science.gov (United States)

    Graham, Matthew; Conwill, L.; Djorgovski, S. G.; Mahabal, A.; Donalek, C.; Drake, A.

    2011-01-01

    The rapidly emerging field of time domain astronomy is one of the most exciting and vibrant new research frontiers, ranging in scientific scope from studies of the Solar System to extreme relativistic astrophysics and cosmology. It is being enabled by a new generation of large synoptic digital sky surveys - LSST, PanStarrs, CRTS - that cover large areas of sky repeatedly, looking for transient objects and phenomena. One of the biggest challenges facing these is the automated classification of transient events, a process that needs machine-processible astronomical knowledge. Semantic technologies enable the formal representation of concepts and relations within a particular domain. ATELs (http://www.astronomerstelegram.org) are a commonly-used means for reporting and commenting upon new astronomical observations of transient sources (supernovae, stellar outbursts, blazar flares, etc). However, they are loose and unstructured and employ scientific natural language for description: this makes automated processing of them - a necessity within the next decade with petascale data rates - a challenge. Nevertheless they represent a potentially rich corpus of information that could lead to new and valuable insights into transient phenomena. This project lies in the cutting-edge field of astrosemantics, a branch of astroinformatics, which applies semantic technologies to astronomy. The ATELs have been used to develop an appropriate concept scheme - a representation of the information they contain - for transient astronomy using aspects of natural language processing. We demonstrate that it is possible to infer the subject of an ATEL from the vocabulary used and to identify previously unassociated reports.

  2. Astronomical Signatures of Dark Matter

    Directory of Open Access Journals (Sweden)

    Paul Gorenstein

    2014-01-01

    Full Text Available Several independent astronomical observations in different wavelength bands reveal the existence of much larger quantities of matter than what we would deduce from assuming a solar mass to light ratio. They are very high velocities of individual galaxies within clusters of galaxies, higher than expected rotation rates of stars in the outer regions of galaxies, 21 cm line studies indicative of increasing mass to light ratios with radius in the halos of spiral galaxies, hot gaseous X-ray emitting halos around many elliptical galaxies, and clusters of galaxies requiring a much larger component of unseen mass for the hot gas to be bound. The level of gravitational attraction needed for the spatial distribution of galaxies to evolve from the small perturbations implied by the very slightly anisotropic cosmic microwave background radiation to its current web-like configuration requires much more mass than is observed across the entire electromagnetic spectrum. Distorted shapes of galaxies and other features created by gravitational lensing in the images of many astronomical objects require an amount of dark matter consistent with other estimates. The unambiguous detection of dark matter and more recently evidence for dark energy has positioned astronomy at the frontier of fundamental physics as it was in the 17th century.

  3. The League of Astronomers: Outreach

    Science.gov (United States)

    Paat, Anthony; Brandel, A.; Schmitz, D.; Sharma, R.; Thomas, N. H.; Trujillo, J.; Laws, C. S.; Astronomers, League of

    2014-01-01

    The University of Washington League of Astronomers (LOA) is an organization comprised of University of Washington (UW) undergraduate students. Our main goal is to share our interest in astronomy with the UW community and with the general public. The LOA hosts star parties on the UW campus and collaborates with the Seattle Astronomical Society (SAS) on larger Seattle-area star parties. At the star parties, we strive to teach our local community about what they can view in our night sky. LOA members share knowledge of how to locate constellations and use a star wheel. The relationship the LOA has with members of SAS increases both the number of events and people we are able to reach. Since the cloudy skies of the Northwest prevent winter star parties, we therefore focus our outreach on the UW Mobile Planetarium, an inflatable dome system utilizing Microsoft’s WorldWide Telescope (WWT) software. The mobile planetarium brings astronomy into the classrooms of schools unable to travel to the UW on-campus planetarium. Members of the LOA volunteer their time towards this project and we make up the majority of the Mobile Planetarium volunteers. Our outreach efforts allow us to connect with the community and enhance our own knowledge of astronomy.

  4. Astronomers in the Chemist's War

    Science.gov (United States)

    Trimble, Virginia L.

    2012-01-01

    World War II, with radar, rockets, and "atomic" bombs was the physicists' war. And many of us know, or think we know, what our more senior colleagues did during it, with Hubble and Hoffleit at Aberdeen; M. Schwarzschild on active duty in Italy; Bondi, Gold, and Hoyle hunkered down in Dunsfeld, Surrey, talking about radar, and perhaps steady state; Greenstein and Henyey designing all-sky cameras; and many astronomers teaching navigation. World War I was The Chemists' War, featuring poison gases, the need to produce liquid fuels from coal on one side of the English Channel and to replace previously-imported dyesstuffs on the other. The talke will focus on what astronomers did and had done to them between 1914 and 1919, from Freundlich (taken prisoner on an eclipse expedition days after the outbreak of hostilities) to Edwin Hubble, returning from France without ever having quite reached the front lines. Other events bore richer fruit (Hale and the National Research Council), but very few of the stories are happy ones. Most of us have neither first nor second hand memories of The Chemists' War, but I had the pleasure of dining with a former Freundlich student a couple of weeks ago.

  5. The impact of new forms of large-scale general practice provider collaborations on England's NHS: a systematic review.

    Science.gov (United States)

    Pettigrew, Luisa M; Kumpunen, Stephanie; Mays, Nicholas; Rosen, Rebecca; Posaner, Rachel

    2018-03-01

    Over the past decade, collaboration between general practices in England to form new provider networks and large-scale organisations has been driven largely by grassroots action among GPs. However, it is now being increasingly advocated for by national policymakers. Expectations of what scaling up general practice in England will achieve are significant. To review the evidence of the impact of new forms of large-scale general practice provider collaborations in England. Systematic review. Embase, MEDLINE, Health Management Information Consortium, and Social Sciences Citation Index were searched for studies reporting the impact on clinical processes and outcomes, patient experience, workforce satisfaction, or costs of new forms of provider collaborations between general practices in England. A total of 1782 publications were screened. Five studies met the inclusion criteria and four examined the same general practice networks, limiting generalisability. Substantial financial investment was required to establish the networks and the associated interventions that were targeted at four clinical areas. Quality improvements were achieved through standardised processes, incentives at network level, information technology-enabled performance dashboards, and local network management. The fifth study of a large-scale multisite general practice organisation showed that it may be better placed to implement safety and quality processes than conventional practices. However, unintended consequences may arise, such as perceptions of disenfranchisement among staff and reductions in continuity of care. Good-quality evidence of the impacts of scaling up general practice provider organisations in England is scarce. As more general practice collaborations emerge, evaluation of their impacts will be important to understand which work, in which settings, how, and why. © British Journal of General Practice 2018.

  6. Storing Astronomical Information on the Romanian Territory

    Science.gov (United States)

    Stavinschi, M.; Mioc, V.

    2004-12-01

    Romanian astronomy has a more than 2000-year old tradition, which is, however, little known abroad. The first known archive of astronomical information is the Dacian sanctuary at Sarmizegetusa Regia, erected in the first century AD, having similarities with that of Stonehenge. After a gap of more than 1000 years, more sources of astronomical information become available, mainly records of astronomical events. Monasteries were the safest storage places of these genuine archives. We present a classification of the ways of storing astronomical information, along with characteristic examples.

  7. Relationship of Evidence-Based Practice and Treatments: A Survey of Community Mental Health Providers

    Science.gov (United States)

    DiMeo, Michelle A.; Moore, G. Kurt; Lichtenstein, Carolyn

    2012-01-01

    Evidence-based treatments (EBTs) are "interventions" that have been proven effective through rigorous research methodologies. Evidence-based practice (EBP), however, refers to a "decision-making process" that integrates the best available research, clinician expertise, and client characteristics. This study examined community mental health service…

  8. Knowledge and Use of Intervention Practices by Community-Based Early Intervention Service Providers

    Science.gov (United States)

    Paynter, Jessica M.; Keen, Deb

    2015-01-01

    This study investigated staff attitudes, knowledge and use of evidence-based practices (EBP) and links to organisational culture in a community-based autism early intervention service. An EBP questionnaire was completed by 99 metropolitan and regionally-based professional and paraprofessional staff. Participants reported greater knowledge and use…

  9. Practice nurses mental health provide space to patients to discuss unpleasant emotions

    NARCIS (Netherlands)

    Griep, E.C.; Noordman, J.; Dulmen, S. van

    2016-01-01

    WHAT IS KNOWN ON THE SUBJECT?: A core skill of practice nurses' mental health is to recognize and explore patients' unpleasant emotions. Patients rarely express their unpleasant emotions directly and spontaneously, but instead give indirect signs that something is worrying them. WHAT THIS PAPER ADDS

  10. Practice nurses mental health provide space to patients to discuss unpleasant emotions.

    NARCIS (Netherlands)

    Griep, E.C.M.; Noordman, J.; Dulmen, A.M. van

    2016-01-01

    WHAT IS KNOWN ON THE SUBJECT? A core skill of practice nurses' mental health is to recognize and explore patients' unpleasant emotions. Patients rarely express their unpleasant emotions directly and spontaneously, but instead give indirect signs that something is worrying them.

  11. Knowledge of Child Abuse and Reporting Practices among Early Care and Education Providers

    Science.gov (United States)

    Dinehart, Laura; Kenny, Maureen C.

    2015-01-01

    This study sought to assess child abuse knowledge and reporting practices of a diverse sample of early care and education (ECE) practitioners. One hundred and thirty-seven practitioners in the state of Florida completed the "Early Childhood Educators Child Abuse Questionnaire." Results revealed that only a minority of participants have…

  12. Qatar pharmacists' understanding, attitudes, practice and perceived barriers related to providing pharmaceutical care.

    Science.gov (United States)

    El Hajj, Maguy Saffouh; Al-Saeed, Hassna Sohil; Khaja, Maryam

    2016-04-01

    Pharmaceutical care (PC) is the philosophy of practice that includes identifying and resolving medication therapy problems to improve patient outcomes. The study objectives were to examine the extent of pharmaceutical care practice and the barriers to pharmaceutical care provision as perceived by Qatar pharmacists and to assess their level of understanding of pharmaceutical care and their attitudes about pharmaceutical care provision. Setting Qatar pharmacies. A cross sectional survey of all pharmacists in Qatar was made. Consenting pharmacists were given the option to complete the survey either online using an online software or as paper by fax or by hand. 1. Extent of pharmaceutical care practice in Qatar. 2. Barriers to pharmaceutical care provision in Qatar. 3. Qatar pharmacists' level of understanding of pharmaceutical care. 4. Qatar pharmacists' attitudes toward pharmaceutical care provision. Over 8 weeks, 274 surveys were collected (34 % response rate). More than 80 % of respondents had correct understanding of the aim of PC and of the pharmacist role in PC. However, only 47 % recognized the patient role in PC and only 35 % were aware of the differences between clinical pharmacy and PC. Yet, more than 80 % believed that they could be advocates when it comes to patients' medications and health matters. Concerning their practice, respondents reported spending little time on PC activities. Offering feedback to the physician about the patient progress was always or most of the time performed by 21 % of respondents. The top perceived barriers for PC provision included inconvenient access to patient medical information (78 %) and lack of staff and time (77 and 74 % respectively). Although PC is not incorporated into pharmacy practice, Qatar pharmacists showed positive attitudes toward PC provision. Further work should focus on improving their PC understanding and on overcoming all barriers.

  13. Astrophysics is easy! an introduction for the amateur astronomer

    CERN Document Server

    Inglis, Mike

    2007-01-01

    With some justification, many amateur astronomers believe astrophysics is a very difficult subject, requiring at least degree-level mathematics to understand it properly. This isn’t necessarily the case. Mike Inglis' quantitative approach to the subject explains all aspects of astrophysics in simple terms and cuts through the incomprehensible mathematics with which this fascinating subject is all too often associated. Astrophysics is Easy! begins by looking at the H-R diagram and other basic tools of astrophysics, then ranges across the universe, from a first look at the interstellar medium and nebulae, through the birth, evolution and death of stars, to the physics of galaxies and clusters of galaxies. A unique feature of this book is the way that Dr. Inglis lists example objects for practical observation at every stage, so that practical astronomers can go and look at the object or objects under discussion – using only easily-available commercial amateur equipment.

  14. Lipid management in contemporary community practice: Results from the Provider Assessment of Lipid Management (PALM) Registry.

    Science.gov (United States)

    Navar, Ann Marie; Wang, Tracy Y; Li, Shuang; Robinson, Jennifer G; Goldberg, Anne C; Virani, Salim; Roger, Veronique L; Wilson, Peter W F; Elassal, Joseph; Lee, L Veronica; Peterson, Eric D

    2017-11-01

    The latest cholesterol guidelines have shifted focus from achieving low-density lipoprotein cholesterol (LDL-C) targets toward statin use and intensity guided by atherosclerotic cardiovascular disease (ASCVD) risk. Statin use and intensity were evaluated in 5,905 statin-eligible primary or secondary prevention patients from 138 PALM Registry practices. Overall, 74.7% of eligible adults were on statins; only 42.4% were on guideline-recommended intensity. Relative to primary prevention patients, ASCVD patients were more likely to be on a statin (83.6% vs 63.4%, Pcontemporary practice, 1 in 4 guideline-eligible patients was not on a statin; less than half were on the recommended statin intensity. Untreated and undertreated patients had significantly higher LDL-C levels than those receiving guideline-directed statin treatment. Copyright © 2017 Elsevier Inc. All rights reserved.

  15. Practice development: providing benefits for both managers and older patients with delerium and dementia.

    Science.gov (United States)

    Bezzant, Kim

    2008-03-01

    This article describes the ways in which practice development can aid Nurse Managers to enhance both efficiency and effectiveness, focussing particularly on the care of older people with delerium and dementia. Practitioners caring for this group of patients in acute general hospitals need specialist skills, particularly skills in working with the unusual ('challenging') behaviours that these patients often exhibit. These skills are rarely present at the point of registration but practice development techniques can facilitate the acquisition of appropriate skills with resultant benefits for both patients and organization. The study contains an outline of the ways in which a practice development approach can be delivered and appraised: the theories are outlined, strategies for delivery of the techniques are described and methods of evaluation are suggested. These theories and techniques are being applied in a project in Portsmouth called 'Rise to the Challenge', which has the specific aim of improving the care of people with delerium and dementia in an acute hospital setting. This project is currently running and will be evaluated in the summer of 2008.

  16. Preparing Colorful Astronomical Images and Illustrations

    Science.gov (United States)

    Levay, Z. G.; Frattare, L. M.

    2001-12-01

    We present techniques for using mainstream graphics software, specifically Adobe Photoshop and Illustrator, for producing composite color images and illustrations from astronomical data. These techniques have been used with numerous images from the Hubble Space Telescope to produce printed and web-based news, education and public presentation products as well as illustrations for technical publication. While Photoshop is not intended for quantitative analysis of full dynamic range data (as are IRAF or IDL, for example), we have had much success applying Photoshop's numerous, versatile tools to work with scaled images, masks, text and graphics in multiple semi-transparent layers and channels. These features, along with its user-oriented, visual interface, provide convenient tools to produce high-quality, full-color images and graphics for printed and on-line publication and presentation.

  17. Astronomical knowledge transmission through illustrated Aratea manuscripts

    CERN Document Server

    Dolan, Marion

    2017-01-01

    This carefully researched monograph is a historical investigation of the illustrated Aratea astronomical manuscript and its many interpretations over the centuries. Aratus' 270 B.C.E. Greek poem describing the constellations and astrological phenomena was translated and copied over 800 years into illuminated manuscripts that preserved and illustrated these ancient stories about the constellations. The Aratea survives in its entirety due to multiple translations from Greek to Latin and even to Arabic, with many illuminated versions being commissioned over the ages. The survey encompasses four interrelated disciplines: history of literature, history of myth, history of science, and history of art. Aratea manuscripts by their nature are a meeting place of these distinct branches, and the culling of information from historical literature and from the manuscripts themselves focuses on a wider, holistic view; a narrow approach could not provide a proper prospective. What is most essential to know about this work is...

  18. Home Care Pharmacy Practice in Canada: A Cross-Sectional Survey of Services Provided, Remuneration, Barriers, and Facilitators.

    Science.gov (United States)

    Houle, Sherilyn; MacKeigan, Linda

    2017-01-01

    As the population ages, and individuals desire to remain in their homes as long as possible, the need for in-home care is expected to increase. However, pharmacists have rarely been included in studies of in-home care, and little is known about the prevalence or effectiveness of pharmacists' home-based services in Canada. To identify pharmacy practices in Canada that regularly provide in-home patient care and to identify specific services provided, remuneration obtained, and barriers and facilitators influencing the provision of home-based care. A link to a web-based survey was posted in e-newsletters of provincial, territorial, and national pharmacy associations in Canada. In addition, pharmacists known to the researchers as providing in-home clinical services were contacted directly. The survey was open from October to December 2015. Practices or organizations that performed at least one home visit per week for clinical purposes, with documentation of the services provided, were eligible to participate. One response per practice or organization was allowed. Seventeen practices meeting the inclusion criteria were identified, representing community, hospital, and clinic settings. Home visits were most commonly performed for individuals with complex medication regimens or nonadherence to medication therapy. The most common services were conducting medication reconciliation and reviews and counselling patients about medication adherence. No practices or organizations billed patients for these services, yet lack of remuneration was an important barrier identified by many respondents. Although 12 (71%) of the respondents collected data for evaluative purposes, collection of clinical or health system outcome data was rare. Few Canadian pharmacy practices that provide in-home patient care at least once a week could be identified. Data collection suitable to establish an evidence base for this service was infrequently performed by practices and organizations providing

  19. Astronomical theory of climate change

    Energy Technology Data Exchange (ETDEWEB)

    Berger, A.; Loutre, M.F. [Universite Catholique de Louvain (UCL), Louvain-la-Neuve (Belgium). Inst. d' Astronomie et de Geophysique G. Lemaitre

    2004-12-01

    The astronomical theory of paleo-climates aims to explain the climatic variations occurring with quasi-periodicities lying between tens and hundreds of thousands of years. The origin of these quasi-cycles lies in the astronomically driven changes in the latitudinal and seasonal distributions of the energy that the Earth receives from the Sun. These changes are then amplified by the feedback mechanisms which characterize the natural behaviour of the climate system like those involving the albedo-, the water vapor-, and the vegetation- temperature relationships. Climate models of different complexities are used to explain the chain of processes which finally link the long-term variations of three astronomical parameters to the long-term climatic variations at time scale of tens to hundreds of thousands of years. In particular, sensitivity analysis to the astronomically driven insolation changes and to the CO{sub 2} atmospheric concentrations have been performed with the 2-dimension climate model of Louvain-la-Neuve. It could be shown that this model simulates more or less correctly the entrance into glaciation around 2.75 million year (Myr) BP (before present), the late Pliocene-early Pleistocene 41-kyr (thousand years) cycle, the emergence of the 100-kyr cycle around 850 kyr BP and the glacial-interglacial cycles of the last 600 kyr. During the Late Pliocene (in an ice-free - warm world) ice sheets can only develop during times of sufficiently low summer insolation. This occurs during large eccentricity times when climatic precession and obliquity combine to obtain such low values, leading to the 41-kyr period between 3 and 1 million years BP. On the contrary in a glacial world, ice sheets persist most of the time except when insolation is very high in polar latitudes, requiring large eccentricity again, but leading this time to interglacial and finally to the 100-kyr period of the last 1 Myr. Using CO{sub 2} scenarios, it has been shown that stage 11 and stage 1

  20. Preparing Colorful Astronomical Images II

    Science.gov (United States)

    Levay, Z. G.; Frattare, L. M.

    2002-12-01

    We present additional techniques for using mainstream graphics software (Adobe Photoshop and Illustrator) to produce composite color images and illustrations from astronomical data. These techniques have been used on numerous images from the Hubble Space Telescope to produce photographic, print and web-based products for news, education and public presentation as well as illustrations for technical publication. We expand on a previous paper to present more detail and additional techniques, taking advantage of new or improved features available in the latest software versions. While Photoshop is not intended for quantitative analysis of full dynamic range data (as are IRAF or IDL, for example), we have had much success applying Photoshop's numerous, versatile tools to work with scaled images, masks, text and graphics in multiple semi-transparent layers and channels.

  1. The National Astronomical Observatory of Japan and Post-war Japanese Optical Astronomy

    Science.gov (United States)

    Tajima, Toshiyuki

    This paper depicts some aspects of the formative process of the Japanese optical and infrared astronomical community in the post-war period, featuring the transition of the National Astronomical Observatory of Japan(NAOJ). We take up three cases of telescope construction, examining their background and their contribution to the Japanese astronomical community. Through these cases, the characteristics of traditions and cultures of optical and infrared astronomy in Japan are considered. Although the Tokyo Astronomical Observatory (TAO) of the University of Tokyo, the predecessor of NAOJ, was originally founded as an agency for practical astronomical observation such as time and almanac service, it has become an international centre for all types of astrophysical research. Research and development of telescopes and observational instruments have become an important part of the astronomers' practice. Now, however, a number of Japanese universities are planning to have their own large to middle-sized telescopes, and a new style of astronomical research is emerging involving astrophysical studies utilising data acquired from the Virtual Observatory, so there is a distinct possibility that the status of the NAOJ will change even further in the future.

  2. What is a good health check? An interview study of health check providers' views and practices

    NARCIS (Netherlands)

    Y. Stol (Yrrah); E.C.A. Asscher (Eva); M.H.N. Schermer (Maartje)

    2017-01-01

    markdownabstract__Background:__ Health checks identify (risk factors for) disease in people without symptoms. They may be offered by the government through population screenings and by other providers to individual users as 'personal health checks'. Health check providers' perspective of 'good'

  3. Guidance for health and social care providers, principles of good practice in medication reconciliation

    LENUS (Irish Health Repository)

    Ward, Marie

    2017-07-17

    Healthcare organisations have a responsibility for ensuring that the governance of workplace settings creates a culture that supports good professional practice. Encouraging such a culture needs to start from an understanding of the factors that make it difficult for health professionals to raise issues of concern in relation to patient safety. The focus of this study is to determine whether a customised education intervention, developed as part of the study, with interns and senior house officers (SHOs) can imbue a culture of medical professionalism in relation to patient safety and support junior doctors to raise issues of concern, while shaping a culture of responsiveness and learning.

  4. Activity-based funding model provides foundation for province-wide best practices in renal care.

    Science.gov (United States)

    Levin, Adeera; Lo, Clifford; Noel, Kevin; Djurdjev, Ogjnenka; Amano, Erlyn C

    2013-01-01

    British Columbia has a unique funding model for renal care in Canada. Patient care is delivered through six health authorities, while funding is administered by the Provincial Renal Agency using an activity-based funding model. The model allocates funding based on a schedule of costs for every element of renal care, excluding physician fees. Accountability, transparency of allocation and tracking of outcomes are key features that ensure successful implementation. The model supports province-wide best practices and equitable care and fosters innovation. Since its introduction, the outpatient renal services budget has grown less than the population, while maintaining or improving clinical outcomes. Copyright © 2013 Longwoods Publishing.

  5. Sustainable land management practices as providers of several ecosystem services under rainfed Mediterranean agroecosystems

    Science.gov (United States)

    Almagro, María; de Vente, Joris; Boix-Fayós, Carolina; García-Franco, Noelia; Melgares de Aguilar, Javier; González, David; Solé-Benet, Albert; Martínez-Mena, María

    2015-04-01

    Little is known about the multiple impacts of sustainable land management practices on soil and water conservation, carbon sequestration, mitigation of global warming, and crop yield productivity in semiarid Mediterranean agroecosystems. We hypothesized that a shift from intensive tillage to more conservative tillage management practices (reduced tillage optionally combined with green manure) leads to an improvement in soil structure and quality and will reduce soil erosion and enhance carbon sequestration in semiarid Mediterranean rainfed agroecosystems. To test the hypothesis, we assessed the effects of different tillage treatments (conventional (CT), reduced (RT), reduced tillage combined with green manure (RTG), and no tillage (NT)) on soil structure and soil water content, runoff and erosion control, soil CO2 emissions, crop yield and carbon sequestration in two semiarid agroecosystems with organic rainfed almond in the Murcia Region southeast Spain). It was found that reduction and suppression of tillage under almonds led to an increase in soil water content in both agroecosystems. Crop yields ranged from 775 to 1766 kg ha-1 between tillage 18 treatments, but we did not find a clear relation between soil water content and crop yield. RT and RTG treatments showed lower soil erosion rates and higher crop yields of almonds than under CT treatment. Overall, higher soil organic carbon contents and aggregate stability were observed under RTG treatment than under RT or CT treatment. It is concluded that conversion from CT to RTG is suitable to increase carbon inputs without enhancing soil CO2 emissions in semiarid Mediterranean agroecosystems.

  6. Communication practices about HPV testing among providers in Federally Qualified Health Centers

    Directory of Open Access Journals (Sweden)

    Lavinia Lin

    2015-01-01

    Conclusion: As HPV testing plays a more prominent role in cervical cancer screening, more attention should be given to communications between providers and patients about the benefits and harms of different screening options.

  7. Knowledge, attitude & practice on human papillomavirus vaccination: A cross-sectional study among healthcare providers

    Directory of Open Access Journals (Sweden)

    P Cheena Chawla

    2016-01-01

    Interpretation & conclusions: The findings reinforce continued medical education of healthcare providers, particularly those from the government sector on HPV vaccination for cervical cancer prevention. Public education is also pertinent for a successful HPV vaccination programme in the country.

  8. Knowledge, attitudes, and practices regarding dengue infection among public sector healthcare providers in Machala, Ecuador

    OpenAIRE

    Handel, Andrew S.; Ayala, Efra?n Beltr?n; Borbor-Cordova, Mercy J.; Fessler, Abigail G.; Finkelstein, Julia L.; Espinoza, Roberto Xavier Robalino; Ryan, Sadie J.; Stewart-Ibarra, Anna M.

    2016-01-01

    Background Dengue fever is a rapidly emerging infection throughout the tropics and subtropics with extensive public health burden. Adequate training of healthcare providers is crucial to reducing infection incidence through patient education and collaboration with public health authorities. We examined how public sector healthcare providers in a dengue-endemic region of Ecuador view and manage dengue infections, with a focus on the 2009 World Health Organization (WHO) Dengue Guidelines. Metho...

  9. Does Risk-Adjusted Payment Influence Primary Care Providers' Decision on Where to Set Up Practices?

    DEFF Research Database (Denmark)

    Dietrichson, Jens; Anell, Anders; Dackehag, Margareta

    Providing equal access to health care is an important objective in most health care systems. It is especially pertinent in systems like the Swedish primary care market, where providers are free to establish themselves in any part of the country. To improve equity in access to care, 15 out 21 county...... of private primary care centers in areas with unfavorable socioeconomic and demographic characteristics. More generally, this result indicates that risk-adjusted capitation can significantly affect private providers’ establishment decisions....

  10. Fluid resuscitation practices in cardiac surgery patients in the USA: a survey of health care providers

    Directory of Open Access Journals (Sweden)

    Solomon Aronson

    2017-10-01

    Full Text Available Abstract Background Fluid resuscitation during cardiac surgery is common with significant variability in clinical practice. Our goal was to investigate current practice patterns of fluid volume expansion in patients undergoing cardiac surgeries in the USA. Methods We conducted a cross-sectional online survey of 124 cardiothoracic surgeons, cardiovascular anesthesiologists, and perfusionists. Survey questions were designed to assess clinical decision-making patterns of intravenous (IV fluid utilization in cardiovascular surgery for five types of patients who need volume expansion: (1 patients undergoing cardiopulmonary bypass (CPB without bleeding, (2 patients undergoing CPB with bleeding, (3 patients undergoing acute normovolemic hemodilution (ANH, (4 patients requiring extracorporeal membrane oxygenation (ECMO or use of a ventricular assist device (VAD, and (5 patients undergoing either off-pump coronary artery bypass graft (OPCABG surgery or transcatheter aortic valve replacement (TAVR. First-choice fluid used in fluid boluses for these five patient types was requested. Descriptive statistics were performed using Kruskal-Wallis test and follow-up tests, including t tests, to evaluate differences among respondent groups. Results The most commonly preferred indicators of volume status were blood pressure, urine output, cardiac output, central venous pressure, and heart rate. The first choice of fluid for patients needing volume expansion during CPB without bleeding was crystalloids, whereas 5% albumin was the most preferred first choice of fluid for bleeding patients. For volume expansion during ECMO or VAD, the respondents were equally likely to prefer 5% albumin or crystalloids as a first choice of IV fluid, with 5% albumin being the most frequently used adjunct fluid to crystalloids. Surgeons, as a group, more often chose starches as an adjunct fluid to crystalloids for patients needing volume expansion during CPB without bleeding. Surgeons

  11. Social Media and the Practicing Hematologist: Twitter 101 for the Busy Healthcare Provider.

    Science.gov (United States)

    Thompson, Michael A; Majhail, Navneet S; Wood, William A; Perales, Miguel-Angel; Chaboissier, Mélanie

    2015-12-01

    Social media is a relatively new form of media that includes social networks for communication dissemination and interaction. Patients, physicians, and other users are active on social media including the microblogging platform Twitter. Many online resources are available to facilitate joining and adding to online conversations. Social media can be used for professional uses, therefore, we include anecdotes of physicians starting on and implementing social media successfully despite the limits of time in busy practices. Various applications demonstrating the utility of social media are explored. These include case discussions, patient groups, research collaborations, medical education, and crowdsourcing/crowdfunding. Social media is integrating into the professional workflow for some individuals and hematology/oncology societies. The potential for improving hematology care and research is just starting to be explored.

  12. Strategic Planning: A Practical Primer for the Healthcare Provider: Part I.

    Science.gov (United States)

    Baum, Neil; Brockmann, Erich N; Lacho, Kenneth J

    2016-01-01

    Entrepreneurs are known for opportunity recognition--that is, "How can I start a business to make money from this opportunity?" However, once a commercial entity is formed to take advantage of an opportunity, the leadership priority shifts from entrepreneurial to strategic. A strategic perspective leverages limited resources to position a business for future success relative to rivals in a competitive environment. Often, the talents needed for one priority are not the same as those needed for the other. This article, the first part of a two-part article, intends to simplify the transition from an entrepreneurial to a strategic focus. It walks an entrepreneur through the strategic management planning process using a fictional business. The various tasks in the process (i.e., mission, vision, internal analysis, external analysis) are illustrated with examples from a typical primary physician's private practice. The examples show how the strategic management tasks are interrelated and ultimately lead to a philosophical approach to managing a business.

  13. Copper intrauterine device for emergency contraception: clinical practice among contraceptive providers.

    Science.gov (United States)

    Harper, Cynthia C; Speidel, J Joseph; Drey, Eleanor A; Trussell, James; Blum, Maya; Darney, Philip D

    2012-02-01

    The copper intrauterine device (IUD) is the most effective emergency contraceptive available but is largely ignored in clinical practice. We examined clinicians' recommendations of the copper IUD for emergency contraception in a setting with few cost obstacles. We conducted a survey among clinicians (n=1,246; response rate 65%) in a California State family planning program, where U.S. Food and Drug Administration-approved contraceptives are available at no cost to low-income women. We used multivariable logistic regression to measure the association of intrauterine contraceptive training and evidence-based knowledge with having recommended the copper IUD for emergency contraception. The large majority of clinicians (85%) never recommended the copper IUD for emergency contraception, and most (93%) required two or more visits for an IUD insertion. Multivariable analyses showed insertion skills were associated with having recommended the copper IUD for emergency contraception, but the most significant factor was evidence-based knowledge of patient selection for IUD use. Clinicians who viewed a wide range of patients as IUD candidates were twice as likely to have recommended the copper IUD for emergency contraception. Although more than 93% of obstetrician-gynecologists were skilled in inserting the copper IUD, they were no more likely to have recommended it for emergency contraception than other physicians or advance practice clinicians. Recommendation of the copper IUD for emergency contraception is rare, despite its high efficacy and long-lasting contraceptive benefits. Recommendation would require clinic flow and scheduling adjustments to allow same-day IUD insertions. Patient-centered and high-quality care for emergency contraception should include a discussion of the most effective method. III.

  14. Providers' knowledge, attitude and dispensing practices of e-pills in government dispensaries of South district in delhi, India.

    Science.gov (United States)

    Kishore, Vertika; Misro, Man M; Nandan, Deoki

    2010-01-01

    South Delhi is one of the well developed districts in the capital with best public health care facilities. Knowledge, attitude and dispensing practices of emergency contraceptive pills (E-pills) were assessed among health care providers of government dispensaries in South Delhi. A descriptive epidemiological study. Both medical and paramedical (n = 428) providers in 63 government health care facilities were interviewed between August to December 2007 using a semi-structured interview schedule. Among the different categories of the providers, medical officers were observed to be most knowledgeable about E-pills and the pharmacists were the least. The correct prescribed dose of E-pill was known only to 32% of the providers while 49% knew about its right time of intake. Misconceptions and apprehensions for promoting its use were very much prevalent even among medical officers as majority felt that open access to E-pills would increase promiscuity. The dispensing practice of providers was found positively (P pills.

  15. Knowledge, attitudes, and practices of US practitioners who provide pre-travel advice.

    Science.gov (United States)

    Kogelman, Laura; Barnett, Elizabeth D; Chen, Lin H; Quinn, Emily; Yanni, Emad; Wilson, Mary E; Benoit, Christine; Karchmer, Adolf W; Ooi, Winnie W; Jentes, Emily S; Hamer, Davidson H

    2014-01-01

    As international travel increases, many health care professionals are being asked to provide pre-travel advice. We designed an anonymous web-based survey to assess the extent to which primary care providers (PCPs) provide travel medicine advice and how their understanding and delivery of itinerary-specific advice and management compare with that of travel medicine specialists. We surveyed randomly selected US PCPs registered in the Pri-Med Institute (now pmiCME) database and US travel medicine specialists from the International Society of Travel Medicine (ISTM), American Society of Tropical Medicine and Hygiene (ASTMH), and Centers for Disease Control and Prevention (CDC) yellow fever (YF) vaccine provider mailing lists. SAS software (SAS Institute, Cary, NC, USA) was used for all analyses. Of 14,932 e-mails sent to valid e-mail addresses, 902 yielded complete or partially completed surveys (6.0% response rate). Eighty percent of respondents personally provided pre-travel advice (95% of travel medicine specialists versus 73% of PCPs). About two thirds of PCPs (68%) providing pre-travel consultations saw travelers per year whereas 30% of travel medicine specialists saw travelers per year. More travel medicine specialists (59%) than PCPs (18%) saw >500 travelers per year. Familiarity with travel-specific vaccines (YF, Japanese encephalitis) and provision of written educational materials increased as volume of travelers increased. Familiarity with antimalarial side effects and malaria resistance patterns, and knowledge scores based on brief pre-travel scenarios were higher in travel medicine specialists, ASTMH or ISTM certificate holders, and respondents who saw more pre-travel patients. Many PCP survey participants provided pre-travel advice, but most saw few travelers. Volume of travelers and holding an ASTMH or ISTM certificate had the greatest influence on knowledge of travel medicine and provision of appropriate advice and recommendations. Creating easily

  16. A SURVEY OF ASTRONOMICAL RESEARCH: A BASELINE FOR ASTRONOMICAL DEVELOPMENT

    International Nuclear Information System (INIS)

    Ribeiro, V. A. R. M.; Russo, P.; Cárdenas-Avendaño, A.

    2013-01-01

    Measuring scientific development is a difficult task. Different metrics have been put forward to evaluate scientific development; in this paper we explore a metric that uses the number of peer-reviewed, and when available non-peer-reviewed, research articles as an indicator of development in the field of astronomy. We analyzed the available publication record, using the Smithsonian Astrophysical Observatory/NASA Astrophysics Database System, by country affiliation in the time span between 1950 and 2011 for countries with a gross national income of less than 14,365 USD in 2010. This represents 149 countries. We propose that this metric identifies countries in ''astronomical development'' with a culture of research publishing. We also propose that for a country to develop in astronomy, it should invest in outside expert visits, send its staff abroad to study, and establish a culture of scientific publishing. Furthermore, we propose that this paper may be used as a baseline to measure the success of major international projects, such as the International Year of Astronomy 2009

  17. Continuity and Change: Employers' Training Practices and Partnerships with Training Providers. Research Report

    Science.gov (United States)

    Smith, Erica; Smith, Andy; Tuck, Jacqueline; Callan, Victor

    2017-01-01

    A number of factors influence the motivations of employers to train their workforce and the ways in which they engage with the training system. This study combines a national survey and interviews with Australian employers and registered training organisations (RTOs) to provide a comprehensive picture of the way in which employers navigate the…

  18. Reggio Emilia, Vygotsky, and Family Childcare: Four American Providers Describe Their Pedagogical Practice

    Science.gov (United States)

    Freeman, Ramona

    2011-01-01

    This case study considers pedagogical techniques used in family childcare to promote children's learning experiences. Data extracted from an earlier study were used to inform this examination of four family childcare providers' pedagogy. In the current study, I use socio-cultural theory and the Reggio Emilia approach to address the following…

  19. On the Astronomical Knowledge and Traditions of Aboriginal Australians

    Science.gov (United States)

    Hamacher, Duane W.

    2011-12-01

    role and nature of eclipses, comets, meteors, impact events, and certain variable stars. I also test the hypothesis that certain types of stone arrangements have preferred orientations that probably relate to astronomical phenomena. This research shows that Aboriginal astronomical traditions explain the motions of celestial bodies and the relationship between events in the sky and events on Earth. I explore how Aboriginal people perceived and made use of particular astronomical phenomena, such as meteors and comets, and show that Aboriginal people made careful observations of the motions of celestial bodies. I provide evidence that Aboriginal people noticed the change in brightness of particular stars, described the kinematics of eclipses, explained how lunar phases are related to ocean tides, and acknowledged the relationship between meteors, meteorites, impact events, and impact craters. I then show that linear stone arrangements in New South Wales have a preferred orientation to the cardinal points and explore astronomical reasons for this. In the Appendix, I include biographical details of William Edward Stanbridge, one of the first people to write in depth about Aboriginal astronomical traditions, which were compiled from historic records.

  20. Continuous quality improvement programs provide new opportunities to drive value innovation initiatives in hospital-based radiology practices.

    Science.gov (United States)

    Steele, Joseph R; Schomer, Don F

    2009-07-01

    Imaging services constitute a huge portion of the of the total dollar investment within the health care enterprise. Accordingly, this generates competition among medical specialties organized along service lines for their pieces of the pie and increased scrutiny from third-party payers and government regulators. These market and political forces create challenge and opportunity for a hospital-based radiology practice. Clearly, change that creates or builds greater value for patients also creates sustainable competitive advantage for a radiology practice. The somewhat amorphous concept of quality constitutes a significant value driver for innovation in this scenario. Quality initiatives and programs seek to define and manage this amorphous concept and provide tools for a radiology practice to create or build more value. Leadership and the early adoption of these inevitable programs by a radiology practice strengthens relationships with hospital partners and slows the attrition of imaging service lines to competitors.

  1. KNOWLEDGE AND PRACTICES AMONGST HEALTH CARE PROVIDERS & CARE TAKERS REGARDING MANAGEMENT OF CHILDHOOD DIARRHOEA IN DEMONSTRATION DISTRICTS OF GUJARAT

    Directory of Open Access Journals (Sweden)

    Rupani Mihir

    2015-12-01

    Full Text Available Introduction:Diarrhoea Alleviation through Zinc and ORS Therapy (DAZT project was started in 6 demonstration districtsof Gujarat in 2011. Rationale: In addition to poor feeding/hygiene practices of caretakers, inappropriate prescription from providers and inadequate use of Zinc-ORS are challenges in diarrhoea management. Objectives:To understand prescription practices for childhood diarrhoea, assess knowledge about zinc therapy among health care providers & caretakers in the government/private sectors &assess knowledge about additional information to be provided to caretakersamong health care providers& its practice among care takers. Materials & Methods:Information was collected onstructured questionnaires by interviews of 127care providers&43 care takersin 6 districts.In addition, case records were reviewed for 228 prescriptions – all from government sector. Data collected was entered and analyzedusing Excel. Results:Based on records/interviews, government functionaries dispensed ORS in 97%& zinc in 90% cases of diarrhoea while, private providers prescribed itin 79% &71% respectively. Antibiotics were prescribed in 24% & 59%, anti-amoebic in 20.2% &64.7% in public& private sectors respectively.Knowledge of dosage and duration of zinc therapy was better among public sector providers than private sector ones. Amongst caretakers, 74.4% gave correct dose of zinc to their children but was given for 14 days in 67.4% of cases; common reasons for non-compliance were“improved condition”&“no need to continue”. Foradditional information, such as advice on continued feeding, giving more than usual fluid,hand washing& when to return back to health facility, the responses were better for government providers than private ones. Knowledge about this additional information was also poor amongst care takers. Conclusions:For all the parameters studied, responses were better amongst government providers than those from private sector. Demand

  2. Preparing for fieldwork: Students' perceptions of their readiness to provide evidence-based practice.

    Science.gov (United States)

    Evenson, Mary E

    2013-01-01

    The purpose of this study was to explore students' perceptions of their confidence to use research evidence to complete a client case analysis assignment in preparation for participation in fieldwork and future practice. A convenience sample of 42 entry-level occupational therapy Masters students, included 41 females and one male, ages 24 to 35. A quasi-experimental pretest-posttest design was used. Students participated in a problem-based learning approach supported by educational technology. Measures included a pre- and post-semester confidence survey, a post-semester satisfaction survey, and an assignment rubric. Based on paired t-tests and Wilcoxin Signed Ranks Tests, statistically significant differences in pre- and post-test scores were noted for all 18 items on the confidence survey (plearning methods were significantly associated with students' perceptions of their confidence to use research evidence to analyze a client case. These results cannot necessarily be generalized due to the limitations of using non-standardized measures with a convenience sample, without a control group, within the context of a single course as part of one academic program curriculum.

  3. Establishing best practices to improve usability of web interfaces providing atmospheric data

    Science.gov (United States)

    Oakley, N.; Daudert, B.

    2014-12-01

    Accessing scientific data through an online portal can be a frustrating task. The concept of making web interfaces easy to use known as "usability" has been thoroughly researched in the field of e-commerce but has not been explicitly addressed in the atmospheric sciences. As more observation stations are installed, satellite missions flown, models run, and field campaigns performed, large amounts of data are produced. Portals on the Internet have become the favored mechanisms to share this information and are ever increasing in number. Portals are often created without being tested for usability with the target audience though the expenses of testing are low and the returns high. To remain competitive and relevant in the provision of atmospheric data, it is imperative that developers understand design elements of a successful portal to make their product stand out among others. This presentation informs the audience of the benefits and basic principles of usability for web pages presenting atmospheric data. We will also share some of the best practices and recommendations we have formulated from the results of usability testing performed on two data provision web sites hosted by the Western Regional Climate Center.

  4. Nikolay N. Donitch - the astronomer

    Science.gov (United States)

    Gaina, Alex B.; Volyanskaya, M. Yu.

    1999-08-01

    The article is devoted to milestones of life and scientific activity of the eminent astronomer Nikolay Nikolaevich Donitch (Nicolae N. Donici) (1874-1956), a graduate from the Odessa (Novorossiski) university. He was a wellknown expert in the field of reseacrh of objects of Solar system. A person highly cultured, which built the first in Bessarabia (actually a part of the Republic of Moldova) observatory. He was borne in Kishinev (Chisinau) in a nobles family of notable Moldavian landersmen. N.D. graduated from the Richelieu lyceym in Odessa and afterwards, in 1897, graduated from the Odessa (Novorossiysky) University. A.K. Kononovich (1850-1910)headed the chair of astronomy and the Observatory at that time - a foremost authority in the field of astrophysics and stellar astronomy. Many of his disciples became eminent scientists of their time. N. Donitch was among them. N.D. worked till 1918 at Pulkovo Observatory and became a master in the field of studying of such phenomena as solar and lunar eclipses. To observe the Sun N.D., could afford to design and manufacture a spectroheliograph, the first in Russia, with the assistance of a famous Odessa mechanic J.A. Timchenko. This instrument enabled him to obtain topquality photos of the Sun's surface and prominences. It was mounted together with coelostat in the private observatory of N.D. , built in the village Staryie Doubossary in 1908. Besides the heliograoph, the observatory was equiped with a five inch refractor-equatorial with numerous instruments for various observations. Of the other instruments should be mentioned : "a comet triplet" - an instrument consisting of guiding refractor, a photographic camera and a spectrograph with an objective prism. N.D. was lucky enough to observe rare astronomical phenomena. He observed the transit of Mercury through the disk of the Sun on November 14, 1907 and showed the athmosphere absence around this planet, observed the Halley's comet in 1910, the bright Pons-Winneke comet

  5. First light and beyond making a success of astronomical observing

    CERN Document Server

    Jenkins, D A

    2015-01-01

    Amateur astronomers who have been disappointed by the results of an observing session can still gain useful experience in a seemingly “failed” night at the telescope. In a world with imperfect seeing conditions, incredible observing sessions are often mixed with less inspiring ones, discouraging the amateur observer. This book is designed to help novice observers take something worthwhile away each and every time they go out under the night sky, regardless of what was originally planned. Almost every observer remembers his first sight of Ringed Saturn, hanging majestically in the blackness of space. Practitioners agree that visual observing is special. Real-time observations at the eyepiece can provide fleeting yet intense feelings that connect us with the universe. But when expectations aren’t met at the eyepiece, there are other ways to profit from the practice of astronomy. These rewards, though less showy, are well worth cultivating. This book will help you see what constitutes a “successful” vi...

  6. Deconvolution of astronomical images using SOR with adaptive relaxation.

    Science.gov (United States)

    Vorontsov, S V; Strakhov, V N; Jefferies, S M; Borelli, K J

    2011-07-04

    We address the potential performance of the successive overrelaxation technique (SOR) in image deconvolution, focusing our attention on the restoration of astronomical images distorted by atmospheric turbulence. SOR is the classical Gauss-Seidel iteration, supplemented with relaxation. As indicated by earlier work, the convergence properties of SOR, and its ultimate performance in the deconvolution of blurred and noisy images, can be made competitive to other iterative techniques, including conjugate gradients, by a proper choice of the relaxation parameter. The question of how to choose the relaxation parameter, however, remained open, and in the practical work one had to rely on experimentation. In this paper, using constructive (rather than exact) arguments, we suggest a simple strategy for choosing the relaxation parameter and for updating its value in consecutive iterations to optimize the performance of the SOR algorithm (and its positivity-constrained version, +SOR) at finite iteration counts. We suggest an extension of the algorithm to the notoriously difficult problem of "blind" deconvolution, where both the true object and the point-spread function have to be recovered from the blurred image. We report the results of numerical inversions with artificial and real data, where the algorithm is compared with techniques based on conjugate gradients. In all of our experiments +SOR provides the highest quality results. In addition +SOR is found to be able to detect moderately small changes in the true object between separate data frames: an important quality for multi-frame blind deconvolution where stationarity of the object is a necesessity.

  7. Nicolas-Louis De La Caille astronomer and geodesist

    CERN Document Server

    Glass, I S

    2013-01-01

    La Caille was one of the observational astronomers and geodesists who followed Newton in developing ideas about celestial mechanics and the shape of the earth. He provided data to the great 18th-century mathematicians involved in understanding the complex gravitational effects that the heavenly bodies have on one another. Observing from the Cape of Good Hope, he made the first ever telescopic sky survey and gave many of the southern constellations their present-day names. He measured the paths of the planets and determined their distances by trigonometry. In addition, he made a controversial measurement of the radius of the earth that seemed to prove it was pear-shaped. On a practical level, La Caille developed the method of `Lunars' for determining longitudes at sea. He mapped the Cape. As an influential teacher he propagated Newton's theory of universal gravitation at a time when it was only beginning to be accepted on the European continent. This book gives the most comprehensive overview so far avail...

  8. Instrument Remote Control via the Astronomical Instrument Markup Language

    Science.gov (United States)

    Sall, Ken; Ames, Troy; Warsaw, Craig; Koons, Lisa; Shafer, Richard

    1998-01-01

    The Instrument Remote Control (IRC) project ongoing at NASA's Goddard Space Flight Center's (GSFC) Information Systems Center (ISC) supports NASA's mission by defining an adaptive intranet-based framework that provides robust interactive and distributed control and monitoring of remote instruments. An astronomical IRC architecture that combines the platform-independent processing capabilities of Java with the power of Extensible Markup Language (XML) to express hierarchical data in an equally platform-independent, as well as human readable manner, has been developed. This architecture is implemented using a variety of XML support tools and Application Programming Interfaces (API) written in Java. IRC will enable trusted astronomers from around the world to easily access infrared instruments (e.g., telescopes, cameras, and spectrometers) located in remote, inhospitable environments, such as the South Pole, a high Chilean mountaintop, or an airborne observatory aboard a Boeing 747. Using IRC's frameworks, an astronomer or other scientist can easily define the type of onboard instrument, control the instrument remotely, and return monitoring data all through the intranet. The Astronomical Instrument Markup Language (AIML) is the first implementation of the more general Instrument Markup Language (IML). The key aspects of our approach to instrument description and control applies to many domains, from medical instruments to machine assembly lines. The concepts behind AIML apply equally well to the description and control of instruments in general. IRC enables us to apply our techniques to several instruments, preferably from different observatories.

  9. Providing Nutritional Care in the Office Practice: Teams, Tools, and Techniques.

    Science.gov (United States)

    Kushner, Robert F

    2016-11-01

    Provision of dietary counseling in the office setting is enhanced by using team-based care and electronic tools. Effective provider-patient communication is essential for fostering behavior change: the key component of lifestyle medicine. The principles of communication and behavior change are skill-based and grounded in scientific theories and models. Motivational interviewing and shared decision making, a collaboration process between patients and their providers to reach agreement about a health decision, is an important process in counseling. The stages of change, self-determination, health belief model, social cognitive model, theory of planned behavior, and cognitive behavioral therapy are used in the counseling process. Copyright © 2016 Elsevier Inc. All rights reserved.

  10. Best Practices for Cloud Provider Connectivity for R&E Users

    CERN Document Server

    Bos, Erik-Jan; Kleist, Josva; Foster, David; CERN. Geneva. IT Department

    2016-01-01

    R&E Networks have been in the business of serving the needs of research and education for decades. A recent development is that more and more R&E Networks are required to support the overall business of research and education for their customers. As R&E institutes have felt the pressure from governments to become more efficient and cost-effective, their interest has turned to cloud solutions for scientific applications as well as back-end office systems. The use of clouds, both commercial and private, is increasing rapidly. Large scale connectivity with cloud providers is a rather new but important area, in which R&E Networks are trying to find their way to add value. Connectivity with commercial cloud providers nowadays is an important topic, and it is becoming crucial that advice to policy makers, decision makers and procurers is given so that over time it will lead to a coherent, scalable and increasingly cost-effective solution for connecting to cloud service providers.

  11. An Astronomer In The Classroom: Observatoire de Paris's Partnership Between Teachers and Astronomers

    Science.gov (United States)

    Doressoundiram, A.; Barban, C.

    2006-08-01

    The Observatoire de Paris is offering a partnership between teachers and astronomers. The principle is simple: any teacher wishing to undertake a pedagogical project in astronomy, in the classroom or involving the entire school, can request the help of a mentor. An astronomer from the Observatoire de Paris will then follow the teacher's project progress and offer advice and scientific support throughout the school year. The projects may take different forms: construction projects (models, instruments), lectures, posters, exhibitions, etc. The type of assistance offered is as varied as the projects: lecture(s) in class, telephone and e-mail exchanges, visits to the Observatoire; an almost made-to-measure approach that delighted the thirty or so groups that benefited such partnership in the 2005-2006 academic year. And this number is continuously growing. There was a rich variety of projects undertaken, from mounting a show and building a solar clock to visiting a high altitude observatory, or resolving the mystery of Jupiter's great red spot. The Universe and its mysteries fascinate the young (and the not so- young) and provide a multitude of scientific topics that can be exploited in class. Astronomy offers the added advantage of being a multidisciplinary field. Thus, if most projects are generally initiated by a motivated teacher, they are often taken over by teachers in other subjects: Life and Earth Sciences (SVT), history, mathematics, French, and so forth. The project may consist in an astronomy workshop or be part of the school curriculum. Whatever the case, the astronomer's task is not to replace the teacher or the textbooks, but to propose activities or experiments that are easy to implement. Representing the Solar system on a school-yard scale, for instance, is a perfect way to make youngsters realize that the Universe consists mostly of empty space. There is no shortage of topics, and the students' enthusiasm, seldom absent, is the best reward for the

  12. AskFuse Origins: System Barriers to Providing the Research That Public Health Practice and Policy Partners Say They Need

    Science.gov (United States)

    Rushmer, Rosemary; Shucksmith, Janet

    2018-01-01

    In this paper the development of askFuse is used as a case study to illustrate contextual and system barriers to universities providing useful, usable and timely research evidence in response to local practice and policy partners' stated public health research needs. Entrenched systems (research excellence framework, academic career pathways,…

  13. Social support in the practices of informal providers: The case of patent and proprietary medicine vendors in Nigeria.

    Science.gov (United States)

    Sieverding, Maia; Liu, Jenny; Beyeler, Naomi

    2015-10-01

    The social and institutional environments in which informal healthcare providers operate shape their health and business practices, particularly in contexts where regulatory enforcement is weak. In this study, we adopt a social capital perspective to understanding the social networks on which proprietary and patent medicine vendors (PPMVs) in Nigeria rely for support in the operation of their shops. Data are drawn from 70 in-depth interviews with PPMVs in three states, including interviews with local leaders of the PPMV professional association. We find that PPMVs primarily relied on more senior colleagues and formal healthcare professionals for informational support, including information about new medicines and advice on how to treat specific cases of illness. For instrumental support, including finance, start-up assistance, and intervention with regulatory agencies, PPMVs relied on extended family, the PPMVs with whom they apprenticed, and the leaders of their professional association. PPMVs' networks also provided continual reinforcement of what constitutes good PPMV practice through admonishments to follow scope of practice limitations. These informal reminders, as well as monitoring activities conducted by the professional association, served to reinforce PPMVs' concern with avoiding negative customer health outcomes, which were perceived to be detrimental to their business reputations. That PPMVs' networks both encouraged practices to reduce the likelihood of poor health outcomes, and provided advice regarding customers' health conditions, highlights the potential impact of informal providers' access to different forms of social capital on their delivery of health services, as well as their success as microenterprises. Copyright © 2015 Elsevier Ltd. All rights reserved.

  14. Provider-agency fit in substance abuse treatment organizations: implications for learning climate, morale, and evidence-based practice implementation.

    Science.gov (United States)

    Ramsey, Alex T; van den Berk-Clark, Carissa

    2015-05-12

    Substance abuse agencies have been slow to adopt and implement evidence-based practices (EBPs), due in part to poor provider morale and organizational climates that are not conducive to successful learning and integration of these practices. Person-organization fit theory suggests that alignment, or fit, between provider- and agency-level characteristics regarding the implementation of EBPs may influence provider morale and organizational learning climate and, thus, implementation success. The current study hypothesized that discrepancies, or lack of fit, between provider- and agency-level contextual factors would negatively predict provider morale and organizational learning climate, outcomes shown to be associated with successful EBP implementation. Direct service providers (n = 120) from four substance abuse treatment agencies responded to a survey involving provider morale, organizational learning climate, agency expectations for EBP use, agency resources for EBP use, and provider attitudes towards EBP use. Difference scores between combinations of provider- and agency-level factors were computed to model provider-agency fit. Quadratic regression analyses were conducted to more adequately and comprehensively model the level of the dependent variables across the entire "fit continuum". Discrepancies, or misfit, between agency expectations and provider attitudes and between agency resources and provider attitudes were associated with poorer provider morale and weaker organizational learning climate. For all hypotheses, the curvilinear model of provider-agency discrepancies significantly predicted provider morale and organizational learning climate, indicating that both directions of misfit (provider factors more favorable than agency factors, and vice-versa) were detrimental to morale and climate. However, outcomes were most negative when providers viewed EBPs favorably, but perceived that agency expectations and resources were less supportive of EBP use. The

  15. Getting fit for practice: an innovative paediatric clinical placement provided physiotherapy students opportunities for skill development.

    Science.gov (United States)

    Shields, Nora; Bruder, Andrea; Taylor, Nicholas F; Angelo, Tom

    2013-06-01

    Negative attitudes to disability among physiotherapy students in paediatric placements might be addressed by providing clinical placement opportunities for students early in their course. The aim of this qualitative research study was to explore what physiotherapy students reported learning from an innovative paediatric placement option. Qualitative research with in-depth interviews. Seventeen first and second year physiotherapy students (15 women, 2 men; mean age 19.9 (SD 1.4) years) who took part in the clinical education experience. The experience comprised a student-led progressive resistance training programme performed twice a week for 10 weeks at a community gymnasium with an adolescent with Down syndrome. In-depth interviews were completed after the 10-week programme and were audio-recorded, transcribed verbatim and independently coded by two researchers. Data were analysed using thematic analysis. Two themes emerged from the data, one about being a student mentor and the second about skill development and application. The physiotherapy students indicated the programme was a challenging yet rewarding experience, and that they gained an increased appreciation of disability. They reported developing and applying a range of communication, professional and physiotherapy specific skills. The results suggest that the clinical experience provided physiotherapy students with opportunities to learn clinical skills, generic professional skills, and better understand disability in young people. Many of the learning outcomes identified by the participating students align with desired graduate capabilities and required professional competencies. Copyright © 2012 Chartered Society of Physiotherapy. Published by Elsevier Ltd. All rights reserved.

  16. Understanding Teen Dating Violence: Practical screening and intervention strategies for pediatric and adolescent healthcare providers

    Science.gov (United States)

    Cutter-Wilson, Elizabeth; Richmond, Tracy

    2012-01-01

    Purpose of Review Teen Dating Violence (TDV) is a serious and potentially lethal form of relationship violence in adolescence. TDV is highly correlated with several outcomes related to poor physical and mental health. Although incidence and prevalence data indicates high rates of exposure to TDV among adolescents throughout the United States, significant confusion remains in healthcare communities concerning the definition and implications of TDV. Additionally, healthcare providers are uncertain about effective screening and intervention methods. The article will review the definition and epidemiology of TDV and discuss possible screening and intervention strategies. Recent Findings TDV research is a relatively new addition to the field of relationship violence. Although some confusion remains, the definition and epidemiology of TDV is better understood which has greatly lead to effective ways in which to screen and intervene when such violence is detected. Universal screening with a focus on high risk subgroups combined with referrals to local and national support services are key steps in reducing both primary and secondary exposure. Summary TDV is a widespread public health crisis with serious short and long-term implications. It is necessary for pediatric and adolescent healthcare providers to be aware of TDV, its potential repercussions, as well as possible methods for screening and intervention. More research is needed to better understand TDV as well as to further define effective screening and intervention protocol for the clinical environment. PMID:21670679

  17. Reporting Astronomical Discoveries: Past, Now, and Future

    Science.gov (United States)

    Yamaoka, Hitoshi; Green, Daniel W. E.; Samus, Nikolai N.; West, Richard

    2015-08-01

    Many new astronomical objects have been discovered over the years by amateur astronomers, and this continues to be the case. They have traditionally reported them (as have professional astronomers) to the Central Bureau for Astronomical Telegrams (CBAT), which was established in the 19th century. This procedure has worked very well throughout the 20th century, moving under the umbrella of the newly established IAU in 1920. The discoverers have been honored by the formal announcement of their discoveries in the publications of the CBAT.In recent years, some professional research groups have established other ways of announcing their discoveries of explosive objects such as novae and supernovae; some do not now report their discoveries or spectroscopic confirmations of the transients to the CBAT, including often spectroscopic reports of objects posted to the CBAT "Transient Objects Confirmation Page" -- the highly successful TOCP webpage, which assigns official positional designations to new transients posted there by approved, registered users. This leads to a delay in formal announcements of discoveries by amateur astronomers in many cases, as well as inconsistent designations being put into use by individual groups. Amateur astronomers are feeling frustrated about this situation, and they hope that the IAU will help to settle the situation.We have proposed the new IAU commission NC-52, which will treat these phenomena in a continuation of Commission 6, through the CBAT. We hope to continuously support the reporting of the discoveries by amateur astronomers, as well as professional astronomers, who all deserve and desire proper recognition. Our strategy will maintain the firm trust between the amateur and professional astronomers, which is necessary for true collaboration. The plan is for the CBAT to work with collaborators to assure that discoveries posted on the TOCP are promptly designated and announced by the CBAT, even when confirmations are made elsewhere

  18. VEGAS: VErsatile GBT Astronomical Spectrometer

    Science.gov (United States)

    Bussa, Srikanth; VEGAS Development Team

    2012-01-01

    The National Science Foundation Advanced Technologies and Instrumentation (NSF-ATI) program is funding a new spectrometer backend for the Green Bank Telescope (GBT). This spectrometer is being built by the CICADA collaboration - collaboration between the National Radio Astronomy Observatory (NRAO) and the Center for Astronomy Signal Processing and Electronics Research (CASPER) at the University of California Berkeley.The backend is named as VErsatile GBT Astronomical Spectrometer (VEGAS) and will replace the capabilities of the existing spectrometers. This backend supports data processing from focal plane array systems. The spectrometer will be capable of processing up to 1.25 GHz bandwidth from 8 dual polarized beams or a bandwidth up to 10 GHz from a dual polarized beam.The spectrometer will be using 8-bit analog to digital converters (ADC), which gives a better dynamic range than existing GBT spectrometers. There will be 8 tunable digital sub-bands within the 1.25 GHz bandwidth, which will enhance the capability of simultaneous observation of multiple spectral transitions. The maximum spectral dump rate to disk will be about 0.5 msec. The vastly enhanced backend capabilities will support several science projects with the GBT. The projects include mapping temperature and density structure of molecular clouds; searches for organic molecules in the interstellar medium; determination of the fundamental constants of our evolving Universe; red-shifted spectral features from galaxies across cosmic time and survey for pulsars in the extreme gravitational environment of the Galactic Center.

  19. Astronomical Surveys and Big Data

    Directory of Open Access Journals (Sweden)

    Mickaelian Areg M.

    2016-03-01

    Full Text Available Recent all-sky and large-area astronomical surveys and their catalogued data over the whole range of electromagnetic spectrum, from γ-rays to radio waves, are reviewed, including such as Fermi-GLAST and INTEGRAL in γ-ray, ROSAT, XMM and Chandra in X-ray, GALEX in UV, SDSS and several POSS I and POSS II-based catalogues (APM, MAPS, USNO, GSC in the optical range, 2MASS in NIR, WISE and AKARI IRC in MIR, IRAS and AKARI FIS in FIR, NVSS and FIRST in radio range, and many others, as well as the most important surveys giving optical images (DSS I and II, SDSS, etc., proper motions (Tycho, USNO, Gaia, variability (GCVS, NSVS, ASAS, Catalina, Pan-STARRS, and spectroscopic data (FBS, SBS, Case, HQS, HES, SDSS, CALIFA, GAMA. An overall understanding of the coverage along the whole wavelength range and comparisons between various surveys are given: galaxy redshift surveys, QSO/AGN, radio, Galactic structure, and Dark Energy surveys. Astronomy has entered the Big Data era, with Astrophysical Virtual Observatories and Computational Astrophysics playing an important role in using and analyzing big data for new discoveries.

  20. Astronomical Knowledge in Holy Books

    Science.gov (United States)

    Farmanyan, Sona V.; Mickaelian, Areg M.

    2015-08-01

    We investigate religious myths related to astronomy from different cultures in an attempt to identify common subjects and characteristics. The paper focuses on astronomy in religion. The initial review covers records from Holy books about sky related superstitious beliefs and cosmological understanding. The purpose of this study is to introduce sky related religious and national traditions (particularly based on different calendars; Solar or Lunar). We carried out a comparative study of astronomical issues contained in a number of Holy books: Ancient Egyptian Religion (Pyramid Texts), Zoroastrianism (Avesta), Hinduism (Vedas), Buddhism (Tipitaka), Confucianism (Five Classics), Sikhism (Guru Granth Sahib), Christianity (Bible), Islam (Quran), Druidism (Mabinogion) and Maya Religion (Popol Vuh). These books include various information on the creation of the Universe, Sun and Moon, the age of the Universe, Cosmic sizes, understanding about the planets, stars, Milky Way and description of the Heavens in different religions. We come to the conclusion that the perception of celestial objects varies from culture to culture, and from religion to religion and preastronomical views had a significant impact on humankind, particularly on religious diversities. We prove that Astronomy is the basis of cultures, and that national identity and mythology and religion were formed due to the special understanding of celestial objects.

  1. Providing patient information and education in practice: the role of the health librarian.

    Science.gov (United States)

    Truccolo, Ivana

    2016-06-01

    In this article, guest writer Ivana Truccolo presents an overview of her work at the Scientific and Patient Library of a Cancer Comprehensive Centre in Italy coordinating the patient education process. She discusses the historical evolution of the concept of patient education and how this has run alongside the role of the health librarian in the provision of consumer health information. Details are provided about various patient education programmes in place at the Centre. In particular, various activities are discussed including patient education classes, the development of patient education handouts and a narrative medicine programme which includes a literary competition. The article concludes with a specific outline of the role the health librarian can play in the provision of consumer health information and patient education. H.S. © 2016 Health Libraries Group.

  2. Healthcare Hackathons Provide Educational and Innovation Opportunities: A Case Study and Best Practice Recommendations.

    Science.gov (United States)

    Silver, Julie K; Binder, David S; Zubcevik, Nevena; Zafonte, Ross D

    2016-07-01

    Physicians and other healthcare professionals are often the end users of medical innovation; however, they are rarely involved in the beginning design stages. This often results in ineffective healthcare solutions with poor adoption rates. At the early design stage, innovation would benefit from input from healthcare professionals. This report describes the first-ever rehabilitation hackathon-an interdisciplinary and competitive team event aimed at accelerating and improving healthcare solutions and providing an educational experience for participants. Hackathons are gaining traction as a way to accelerate innovation by bringing together a diverse group of interdisciplinary professionals from different industries who work collaboratively in teams and learn from each other, focus on a specific problem ("pain point"), develop a solution using design thinking techniques, pitch the solution to participants, gather fast feedback and quickly alter the prototype design ("pivoting"). 102 hackers including 19 (18.6 %) physicians and other professionals participated, and over the course of 2 days worked in teams, pitched ideas and developed design prototypes. Three awards were given for prototypes that may improve function in persons with disabilities. 43 hackers were women (42.2 %) and 59 men (57.8 %); they ranged in age from 16 to 79 years old; and, of the 75 hackers who reported their age, 63 (84 %) were less than 40 years old and 12 (16 %) were 40 years or older. This report contributes to the emerging literature on healthcare hackathons as a means of providing interdisciplinary education and training and supporting innovation.

  3. Current knowledge attitudes, and practices of healthcare providers about leprosy in Assam, India

    Directory of Open Access Journals (Sweden)

    Sumit Kar

    2010-01-01

    Full Text Available Background: Leprosy is a chronic infectious disease that is associated with serious morbidity and is a disease of public health concern because of the case load and the social stigma attached to the disease. Aim: To understand the knowledge of, and attitudes towards, leprosy amongst healthcare providers in Assam, India. Settings and Design: This cross-sectional study was conducted during March to June 2007 in different health institutions of the Kamrup district of Assam. Results: Among the program managers interviewed, only half were organizing training sessions, and 37.5% were involved in supervision of the program activities at the periphery level. Among the program managers who were involved with leprosy elimination, only half were organizing training session and 37.5% were involved in supervision of the program activities at the periphery level. Medical officers consistently demonstrated higher knowledge about leprosy, followed by health supervisors and multipurpose workers (MPWs, including nursing staff. Regarding training status with regard to leprosy, 90% of medical officers, 80% of health supervisors and around 87% of MPWs (83% of male MPWs and 89% of female MPWs had attended training programs on leprosy. Regarding WHO MDT, 80% of health supervisors, 84.8% of male MPWs and 86.2% of female MPWs had an idea of MDT and treatment duration of various categories of patients. Conclusions: These observations suggest that there appear to be adequate knowledge and positive behavior among healthcare providers with regard to leprosy in this part of India. However, there is still a need to organize training programs at regular intervals to train new recruits, as well as reinforce and update the knowledge of those already trained.

  4. Radio Astronomers Set New Standard for Accurate Cosmic Distance Measurement

    Science.gov (United States)

    1999-06-01

    the distance to NGC 4258 as either 27 or 29 million light-years, depending on assumptions about the characteristics of this type of star in that galaxy. Other Cepheid-based galaxy distances were used to calculate the expansion rate of the universe, called the Hubble Constant, announced by a team of HST observers last week. "This difference could mean that there may be more uncertainty in Cepheid-determined distances than people have realized," said Moran. "Providing this directly-determined distance to one galaxy -- a distance that can serve as a milestone -- should be helpful in determining distances to other galaxies, and thus the Hubble Constant and the size and age of the universe" The VLBA is a system of ten radio-telescope antennas, each 25 meters (82 feet) in diameter, stretching some 5,000 miles from Mauna Kea in Hawaii to St. Croix in the U.S. Virgin Islands. Operated from NRAO's Array Operations Center in Socorro, NM, the VLBA offers astronomers the greatest resolving power of any telescope anywhere. The NRAO is a facility of the National Science Foundation, operated under cooperative agreement by Associated Universities, Inc. Background information: Determining Cosmic Distances Determining cosmic distances obviously is vital to understanding the size of the universe. In turn, knowing the size of the universe is an important step in determining its age. "The size puts a limit on how much expansion could have occurred since the Big Bang, and thus tells us something about the age," said Moran. However, determining cosmic distances has proven to be a particularly thorny problem for astronomers. In the third century, B.C., the Greek astronomer Aristarchus devised a method of using trigonometry to determine the relative distances of the Moon and Sun, but in practice his method was difficult to use. Though a great first step, he missed the mark by a factor of 20. It wasn't until 1761 that trigonometric methods produced a relatively accurate distance to Venus, thus

  5. Old Star's "Rebirth" Gives Astronomers Surprises

    Science.gov (United States)

    2005-04-01

    Astronomers using the National Science Foundation's Very Large Array (VLA) radio telescope are taking advantage of a once-in-a-lifetime opportunity to watch an old star suddenly stir back into new activity after coming to the end of its normal life. Their surprising results have forced them to change their ideas of how such an old, white dwarf star can re-ignite its nuclear furnace for one final blast of energy. Sakurai's Object Radio/Optical Images of Sakurai's Object: Color image shows nebula ejected thousands of years ago. Contours indicate radio emission. Inset is Hubble Space Telescope image, with contours indicating radio emission; this inset shows just the central part of the region. CREDIT: Hajduk et al., NRAO/AUI/NSF, ESO, StSci, NASA Computer simulations had predicted a series of events that would follow such a re-ignition of fusion reactions, but the star didn't follow the script -- events moved 100 times more quickly than the simulations predicted. "We've now produced a new theoretical model of how this process works, and the VLA observations have provided the first evidence supporting our new model," said Albert Zijlstra, of the University of Manchester in the United Kingdom. Zijlstra and his colleagues presented their findings in the April 8 issue of the journal Science. The astronomers studied a star known as V4334 Sgr, in the constellation Sagittarius. It is better known as "Sakurai's Object," after Japanese amateur astronomer Yukio Sakurai, who discovered it on February 20, 1996, when it suddenly burst into new brightness. At first, astronomers thought the outburst was a common nova explosion, but further study showed that Sakurai's Object was anything but common. The star is an old white dwarf that had run out of hydrogen fuel for nuclear fusion reactions in its core. Astronomers believe that some such stars can undergo a final burst of fusion in a shell of helium that surrounds a core of heavier nuclei such as carbon and oxygen. However, the

  6. "Great Job Cleaning Your Plate Today!" Determinants of Child-Care Providers' Use of Controlling Feeding Practices: An Exploratory Examination.

    Science.gov (United States)

    Dev, Dipti A; McBride, Brent A; Speirs, Katherine E; Blitch, Kimberly A; Williams, Natalie A

    2016-11-01

    National early childhood obesity prevention policies recommend that child-care providers avoid controlling feeding practices (CFP) (eg, pressure-to-eat, food as reward, and praising children for cleaning their plates) with children to prevent unhealthy child eating behaviors and childhood obesity. However, evidence suggests that providers frequently use CFP during mealtimes. Using the Academy of Nutrition and Dietetics (2011) benchmarks for nutrition in child care as a framework, researchers assessed child-care providers' perspectives regarding their use of mealtime CFP with young children (aged 2 to 5 years). Using a qualitative design, individual, face-to-face, semi-structured interviews were conducted with providers until saturation was reached. Providers were selected using maximum variation purposive sampling from varying child-care contexts (Head Start, Child and Adult Care Food Program [CACFP]-funded centers, non-CACFP programs). All providers were employed full-time in Head Start or state-licensed center-based child-care programs, cared for children (aged 2 to 5 years), and were directly responsible for serving meals and snacks. Child-care providers' perspectives regarding CFP. Thematic analysis using NVivo (version 9, 2010, QSR International Pty Ltd) to derive themes. Providers' perspectives showed barriers, motivators, and facilitators regarding their use of mealtime CFP. Providers reported barriers to avoiding CFP such as CFP were effective for encouraging desired behaviors, misconceptions that providers were encouraging but not controlling children's eating, and fear of parents' negative reaction if their child did not eat. Providers who did not practice CFP were motivated to avoid CFP because they were unnecessary for encouraging children to eat, and they resulted in negative child outcomes and obesity. Facilitators as an alternative to CFP included practicing healthful feeding practices such as role modeling, peer modeling, and sensory exploration of

  7. Cancer and the LGBTQ Population: Quantitative and Qualitative Results from an Oncology Providers' Survey on Knowledge, Attitudes, and Practice Behaviors.

    Science.gov (United States)

    Tamargo, Christina L; Quinn, Gwendolyn P; Sanchez, Julian A; Schabath, Matthew B

    2017-10-07

    Despite growing social acceptance, the LGBTQ population continues to face barriers to healthcare including fear of stigmatization by healthcare providers, and providers' lack of knowledge about LGBTQ-specific health issues. This analysis focuses on the assessment of quantitative and qualitative responses from a subset of providers who identified as specialists that treat one or more of the seven cancers that may be disproportionate in LGBTQ patients. A 32-item web-based survey was emailed to 388 oncology providers at a single institution. The survey assessed: demographics, knowledge, attitudes, and practice behaviors. Oncology providers specializing in seven cancer types had poor knowledge of LGBTQ-specific health needs, with fewer than half of the surveyed providers (49.5%) correctly answering knowledge questions. Most providers had overall positive attitudes toward LGBTQ patients, with 91.7% agreeing they would be comfortable treating this population, and would support education and/or training on LGBTQ-related cancer health issues. Results suggest that despite generally positive attitudes toward the LGBTQ population, oncology providers who treat cancer types most prevalent among the population, lack knowledge of their unique health issues. Knowledge and practice behaviors may improve with enhanced education and training on this population's specific needs.

  8. Impact of office-based intravenous deep sedation providers upon traditional sedation practices employed in pediatric dentistry.

    Science.gov (United States)

    Tarver, Michael; Guelmann, Marcio; Primosch, Robert

    2012-01-01

    This survey intended to determine how the implementation of office-based IV deep sedation by a third party provider (OIVSED) impacted the traditional sedation practices employed in pediatric dentistry private practice settings. A digital survey was e-mailed to 924 members of the American Academy of Pediatric Dentistry practicing in California, Florida, and New York, chosen because these states had large samples of practicing pediatric dentists in geographically disparate locations. 151 pediatric dentists using OIVSED responded to the survey. Improved efficiency, safety and quality of care provided, and increased parental acceptance were reported advantages of this service. Although less costly than hospital-based general anesthesia, the average fee for this service was a deterrent to some parents considering this option. Sixty-four percent of respondents continued to provide traditional sedation modalities, mostly oral sedation, in their offices, as parenteral routes taught in their training programs were less often selected. OIVSED users reported both a reduction in the use of traditional sedation modalities in their offices and use of hospital-based GA services in exchange for perceived improvements in efficiency, safety and quality of care delivered. Patient costs, in the absence of available health insurance coverage, inhibited accessing this service by some parents.

  9. Provider impressions of the use of a mobile crowdsourcing app in medical practice.

    Science.gov (United States)

    Sims, Max H; Fagnano, Maria; Halterman, Jill S; Halterman, Marc W

    2016-06-01

    In our prior work, we conducted a field trial of the mobile application DocCHIRP (Crowdsourcing Health Information Retrieval Protocol for Doctors), designed to help clinicians problem-solve at the point of care by crowdsourcing their peers. Here, we present the results of our post-trial survey that investigated the impressions of participating clinicians regarding the use of medical crowdsourcing and to identify factors influencing adoption of the technology. In all, 72 valid surveys were received from 85 registered users (85% response rate). The majority of clinicians (>80%) felt crowdsourcing would be useful to diagnose unusual cases, facilitate patient referrals, and problem-solve at the point of care. Perceived barriers to adoption included interruptions in workflow and the reluctance to publicly expose knowledge gaps. While considered a useful alternative to existing methods, future studies are needed to investigate whether the approach and application can be modified to effectively address these barriers, and to determine whether crowdsourcing will enhance provider performance and the quality of care delivered. © The Author(s) 2014.

  10. ISO Results Presented at International Astronomical Union

    Science.gov (United States)

    1997-08-01

    Some of the work being presented is collected in the attached ESA Information Note N 25-97, ISO illuminates our cosmic ancestry. A set of six colour images illustrating various aspects have also been released and are available at http://www.estec.esa.nl/spdwww/iso1808.htm or in hard copy from ESA Public Relations Paris (fax:+33.1.5369.7690). These pictures cover: 1. Distant but powerful infrared galaxies 2. A scan across the milky way 3. Helix nebula: the shroud of a dead star 4. Supernova remnant Cassiopeia A 5. Trifid nebula: a dusty birthplace of stars 6. Precursors of stars and planets The International Astronomical Union provides a forum where astronomers from all over the world can develop astronomy in all its aspects through international co-operation. General Assemblies are held every three years. It is expected that over 1600 astronomers will attend this year's meeting, which is being held in Kyoto, Japan from 18-30 August. Further information on the meeting can be found at: www.tenmon.or.jp/iau97/ . ISO illuminates our cosmic ancestry The European Space Agency's Infrared Space Observatory, ISO, is unmatched in its ability to explore and analyse many of the universal processes that made our existence possible. We are children of the stars. Every atom in our bodies was created in cosmic space and delivered to the Sun's vicinity in time for the Earth's formation, during a ceaseless cycle of birth, death and rebirth among the stars. The most creative places in the sky are cool and dusty, and opaque even to the Hubble Space Telescope. Infrared rays penetrating the dust reveal to ISO hidden objects, and the atoms and molecules of cosmic chemistry. "ISO is reading Nature's recipe book," says Roger Bonnet, ESA's director of science. "As the world's only telescope capable of observing the Universe over a wide range of infrared wavelengths, ISO plays an indispensable part in astronomical discoveries that help to explain how we came to exist." This Information Note

  11. Knowledge, Practices, and Barriers to HIV Pre-Exposure Prophylaxis (PrEP) Prescribing Among Washington State Medical Providers.

    Science.gov (United States)

    Wood, Brian R; McMahan, Vanessa M; Naismith, Kelly; Stockton, Jonathan B; Delaney, Lori A; Stekler, Joanne D

    2018-01-04

    We aimed to assess HIV pre-exposure prophylaxis (PrEP) awareness and prescribing practices among Washington State medical providers from diverse professional disciplines and practice types. In May 2016, we administered an anonymous online survey to licensed medical practitioners who provide primary, longitudinal, walk-in, emergency, obstetric, gynecologic, sexually transmitted infection (STI), or family planning care. Of 735 eligible providers, 64.8% had heard of PrEP. Younger providers and providers with a Doctor of Medicine (MD) degree were more likely to be aware of PrEP compared to older providers (p=0.0001) and providers of other training backgrounds (Advanced Registered Nurse Practitioner [ARNP], Doctor of Osteopathic Medicine [DO], or Physician Assistant [PA]) (p=0.04). Among providers aware of PrEP, most frequent reported concerns about prescribing were adherence (46.0%) and costs (42.9%). Providers felt very (20.1%) or somewhat (33.8%) comfortable discussing PrEP overall, but very (26.8%) or somewhat (44.7%) uncomfortable discussing cost and insurance issues. The 124 PrEP prescribers reported a median of 2 (range 1-175, total 1,142) patients prescribed PrEP. Prior authorizations and insurance denials had prevented prescriptions for 28.7% and 12.1% of prescribers, respectively. Interventions to improve PrEP access should include education to inform medical providers about PrEP, with particular attention to provider types less likely to be aware. Continued efforts to eliminate cost and insurance barriers and educate providers regarding financial resources would help improve PrEP access.

  12. Health Care Resource Utilization for Outpatient Cardiovascular Disease and Diabetes Care Delivery Among Advanced Practice Providers and Physician Providers in Primary Care.

    Science.gov (United States)

    Virani, Salim S; Akeroyd, Julia M; Ramsey, David J; Deswal, Anita; Nasir, Khurram; Rajan, Suja S; Ballantyne, Christie M; Petersen, Laura A

    2017-10-10

    Although effectiveness of diabetes or cardiovascular disease (CVD) care delivery between physicians and advanced practice providers (APPs) has been shown to be comparable, health care resource utilization between these 2 provider types in primary care is unknown. This study compared health care resource utilization between patients with diabetes or CVD receiving care from APPs or physicians. Diabetes (n = 1,022,588) or CVD (n = 1,187,035) patients with a primary care visit between October 2013 and September 2014 in 130 Veterans Affairs facilities were identified. Using hierarchical regression adjusting for covariates including patient illness burden, the authors compared number of primary or specialty care visits and number of lipid panels and hemoglobinA1c (HbA1c) tests among diabetes patients, and number of primary or specialty care visits and number of lipid panels and cardiac stress tests among CVD patients receiving care from physicians and APPs. Physicians had significantly larger patient panels compared with APPs. In adjusted analyses, diabetes patients receiving care from APPs received fewer primary and specialty care visits and a greater number of lipid panels and HbA1c tests compared with patients receiving care from physicians. CVD patients receiving care from APPs received more frequent lipid testing and fewer primary and specialty care visits compared with those receiving care from physicians, with no differences in the number of stress tests. Most of these differences, although statistically significant, were numerically small. Health care resource utilization among diabetes or CVD patients receiving care from APPs or physicians appears comparable, although physicians work with larger patient panels.

  13. A refined Astronomically Calibrated 40AR/39Ar age for Fish Canyon Sanidine

    NARCIS (Netherlands)

    Rivera, T.A.; Storey, M.; Zeeden, C.; Hilgen, F.J.; Kuiper, K.F.

    2011-01-01

    Intercalibration between the astronomical and radio-isotopic dating methods provides a means to improving accuracy and reducing uncertainty of an integrated, multi-chronometer geologic timescale. Here we report a high-precision

  14. Filling the Astronomical Void - A Visual Medium for a Visual Subject

    Science.gov (United States)

    Ryan, J.

    1996-12-01

    Astronomy is fundamentally a visual subject. The modern science of astronomy has at its foundation the ancient art of observing the sky visually. The visual elements of astronomy are arguably the most important. Every person in the entire world is affected by visually-observed astronomical phenomena such as the seasonal variations in daylight. However, misconceptions abound and the average person cannot recognize the simple signs in the sky that point to the direction, the hour and the season. Educators and astronomy popularizers widely lament that astronomy is not appreciated in our society. Yet, there is a remarkable dearth of popular literature for teaching the visual elements of astronomy. This is what I refer to as *the astronomical void.* Typical works use illustrations sparsely, relying most heavily on text-based descriptions of the visual astronomical phenomena. Such works leave significant inferential gaps to the inexperienced reader, who is unequipped for making astronomical observations. Thus, the astronomical void remains unfilled by much of the currently available literature. I therefore propose the introduction of a visually-oriented medium for teaching the visual elements of Astronomy. To this end, I have prepared a series of astronomy "comic strips" that are intended to fill the astronomical void. By giving the illustrations the central place, the comic strip medium permits the depiction of motion and other sequential activity, thus effectively representing astronomical phenomena. In addition to the practical advantages, the comic strip is a "user friendly" medium that is inviting and entertaining to a reader. At the present time, I am distributing a monthly comic strip entitled *Starman*, which appears in the newsletters of over 120 local astronomy organizations and on the web at http://www.cyberdrive.net/ starman. I hope to eventually publish a series of full-length books and believe that astronomical comic strips will help expand the perimeter of

  15. Do Pain Medicine Fellowship Programs Provide Education in Practice Management? A Survey of Pain Medicine Fellowship Programs.

    Science.gov (United States)

    Przkora, Rene; Antony, Ajay; McNeil, Andrew; Brenner, Gary J; Mesrobian, James; Rosenquist, Richard; Abouleish, Amr E

    2018-01-01

    We hypothesized that there is a gap between expectations and actual training in practice management for pain medicine fellows. Our impression is that many fellowships rely on residency training to provide exposure to business education. Unfortunately, pain management and anesthesiology business education are very different, as the practice settings are largely office- versus hospital-based, respectively. Because it is unclear whether pain management fellowships are providing practice management education and, if they do, whether the topics covered match the expectations of their fellows, we surveyed pain medicine program directors and fellows regarding their expectations and training in business management. A survey. Academic pain medicine fellowship programs. After an exemption was obtained from the University of Texas Medical Branch Institutional Review Board (#13-030), an email survey was sent to members of the Association of Pain Program Directors to be forwarded to their fellows. Directors were contacted 3 times to maximize the response rate. The anonymous survey for fellows contained 21 questions (questions are shown in the results). Fifty-nine of 84 program directors responded and forwarded the survey to their fellows. Sixty fellows responded, with 56 answering the survey questions. The responder rate is a limitation, although similar rates have been reported in similar studies. The majority of pain medicine fellows receive some practice management training, mainly on billing documentation and preauthorization processes, while most do not receive business education (e.g., human resources, contracts, accounting/financial reports). More than 70% of fellows reported that they receive more business education from industry than from their fellowships, a result that may raise concerns about the independence of our future physicians from the industry. Our findings support the need for enhanced and structured business education during pain fellowship. Business

  16. Good, better, best? A comprehensive comparison of healthcare providers' performance: An application to physiotherapy practices in primary care.

    Science.gov (United States)

    Steenhuis, Sander; Groeneweg, Niels; Koolman, Xander; Portrait, France

    2017-12-01

    Most payment methods in healthcare stimulate volume-driven care, rather than value-driven care. Value-based payment methods such as Pay-For-Performance have the potential to reduce costs and improve quality of care. Ideally, outcome indicators are used in the assessment of providers' performance. The aim of this paper is to describe the feasibility of assessing and comparing the performances of providers using a comprehensive set of quality and cost data. We had access to unique and extensive datasets containing individual data on PROMs, PREMs and costs of physiotherapy practices in Dutch primary care. We merged these datasets at the patient-level and compared the performances of these practices using case-mix corrected linear regression models. Several significant differences in performance were detected between practices. These results can be used by both physiotherapists, to improve treatment given, and insurers to support their purchasing decisions. The study demonstrates that it is feasible to compare the performance of providers using PROMs and PREMs. However, it would take an extra effort to increase usefulness and it remains unclear under which conditions this effort is cost-effective. Healthcare providers need to be aware of the added value of registering outcomes to improve their quality. Insurers need to facilitate this by designing value-based contracts with the right incentives. Only then can payment methods contribute to value-based healthcare and increase value for patients. Copyright © 2017 Elsevier B.V. All rights reserved.

  17. Longwave Imaging for Astronomical Applications, Phase II

    Data.gov (United States)

    National Aeronautics and Space Administration — We propose to develop a compact portable longwave camera for astronomical applications. In Phase 1, we successfully developed the eye of the camera, i.e. the focal...

  18. Astronomers no longer in the dark

    CERN Multimedia

    MacMillan, L

    2002-01-01

    In a significant breakthrough, British and US astronomers have begun to pin down the most elusive material in the universe. They have made a map of dark matter - the heavy, invisible stuff that gives the galaxies their shape (1 page).

  19. Astronomers find distant planet like Jupiter

    CERN Multimedia

    2003-01-01

    Astronomers searching for planetary systems like our solar system have found a planet similar to Jupiter orbiting a nearby star similar to our Sun, about 90 light-years from Earth, according to researchers (1/2 page).

  20. The Soviet center of astronomical data

    International Nuclear Information System (INIS)

    Dluzhnevskaya, O.B.

    1982-01-01

    On the basis of the current French-Soviet cooperation in science and technology, the Astronomical Council of the U.S.S.R. Academy of Sciences and the Strasbourg Center signed in 1977 an agreement on setting up the Soviet Center of Astronomical Data as its filial branch. The Soviet Center was created on the basis of a computation center at the Zvenigorod station of the Astronomical Council of the U.S.S.R. Academy of Sciences, which had already had considerable experience of working with stellar catalogues. In 1979 the Center was equipped with a EC-1033 computer. In 1978-1979 the Soviet Center of Astronomical Data (C.A.D.) received from Strasbourg 96 of the most important catalogues. By September 1981 the list of catalogues available at the Soviet Center has reached 140 catalogues some of which are described. (Auth.)

  1. Different Categories of Astronomical Heritage: Issues and Challenges

    Science.gov (United States)

    Ruggles, Clive

    2012-09-01

    different forms of astronomical heritage, including its intangible aspects, that will help in the development of more integrated approaches to identification and cataloguing, protection and preservation; and 3. to increase global awareness of regional, national and local initiatives relating to astronomical heritage in all its forms. In pursuance of these aims, the meeting also recommended that the AWHWG, working in collaboration with the WGs on Astronomical Instruments and Archives, and other bodies as appropriate, should develop the following additional projects: 1. to establish guidelines to help in the identification and safeguarding of tangible and intangible astronomical heritage in all its forms; 2. to gather examples of existing best practice, and to make these available as case studies on their website; and 3. to develop the website of the Astronomy and World Heritage Initiative (AWHI) as a portal to existing on-line catalogues and thesauri. It also recommended that the WGs should work together to: 1. formulate recommendations about the ways in which links and common approaches should be developed in the future; and 2. organise a meeting of international experts in the historical and heritage aspects of astronomical structures, instruments, and archives, focussed specifically upon the task of developing more integrated approaches to identification and cataloguing, protection and preservation. This joint session will attempt to make headway on as many as possible of these issues. In this opening talk I will attempt to lay out some of the main challenges that we face, and outline what we hope to achieve in this session.

  2. In private practice, informed consent is interpreted as providing explanations rather than offering choices: a qualitative study.

    Science.gov (United States)

    Delany, Clare M

    2007-01-01

    How do physiotherapists working in private practice understand and interpret the meaning and significance of informed consent in everyday clinical practice? Qualitative study using semi-structured interviews. Seventeen physiotherapists purposefully recruited from metropolitan private practices where treatment was on a one-on-one basis. Therapists defined informed consent as an implicit component of their routine clinical explanations, rather than a process of providing explicit patient choices. Therapists' primary concern was to provide information that led to a (therapist-determined) beneficial therapeutic outcome, rather than to enhance autonomous patient choice. Explicit patient choice and explicit informed consent were defined as important only if patients requested information or therapists recognised risks associated with the treatment. Physiotherapists defined informed consent within a context of achieving therapeutic outcomes rather than a context of respect for patient autonomy and autonomous choice. Physiotherapy practice guidelines developed to ensure compliance with ethical and legal obligations may therefore be followed only if they fit with therapists' understanding and interpretation of a desired therapeutic outcome.

  3. Evaluation of knowledge, practices, and possible barriers among healthcare providers regarding medical waste management in Dhaka, Bangladesh.

    Science.gov (United States)

    Sarker, Mohammad Abul Bashar; Harun-Or-Rashid, Md; Hirosawa, Tomoya; Abdul Hai, Md Shaheen Bin; Siddique, Md Ruhul Furkan; Sakamoto, Junichi; Hamajima, Nobuyuki

    2014-12-09

    Improper handling of medical wastes, which is common in Bangladesh, could adversely affect the hospital environment and community at large, and poses a serious threat to public health. We aimed to assess the knowledge and practices regarding medical waste management (MWM) among healthcare providers (HCPs) and to identify possible barriers related to it. A cross-sectional study was carried out during June to September, 2012 including 1 tertiary, 3 secondary, and 3 primary level hospitals in Dhaka division, Bangladesh through 2-stage cluster sampling. Data were collected from 625 HCPs, including 245 medical doctors, 220 nurses, 44 technologists, and 116 cleaning staff who were directly involved in MWM using a self-administered (researcher-administered for cleaning staff), semi-structured questionnaire. Nearly one-third of medical doctors and nurses and two-thirds of technologists and cleaning staff had inadequate knowledge, and about half of medical doctors (44.0%) and cleaning staff (56.0%) had poor practices. HCPs without prior training on MWM were more likely to have poor practices compared to those who had training. Lack of personal protective equipment, equipment for final disposal, MWM-related staff, proper policy/guideline, and lack of incinerator were identified as the top 5 barriers. Strengthening and expansion of ongoing educational programs/training is necessary to improve knowledge and practices regarding MWM. The government should take necessary steps and provide financial support to eliminate the possible barriers related to proper MWM.

  4. Information seeking behavior of Greek astronomers

    OpenAIRE

    Brindesi, Hara; Kapidakis, Sarantos

    2011-01-01

    This study examines three aspects of information seeking behaviour of astronomers in Greece including a) the importance they place in keeping up- to-date with current developments b) the methods they depend on for keeping up-to-date and c) the information sources they mostly use. We adopted an intradisciplinary approach in order to investigate similarities and differences in information seeking behaviour among astronomers when examining them as groups bearing different characteristics, includ...

  5. Knowledge, Attitudes, and Clinical Practices for Patients With Dementia Among Mental Health Providers in China: City and Town Differences.

    Science.gov (United States)

    Hsiao, Hsin-Yi; Liu, Zhaorui; Xu, Ling; Huang, Yueqin; Chi, Iris

    2016-01-01

    Mental health providers are the major resource families rely on when experiencing the effects of dementia. However, mental health resources and manpower are inadequate and unevenly distributed between cities and towns in China. This study was conducted to examine similarities and differences in knowledge, attitudes, and clinical practices concerning dementia and working with family caregivers from mental health providers' perspectives in city versus town settings. Data were collected during focus group discussions with 40 mental health providers in the Xicheng (city) and Daxing (town) districts in Beijing, China in 2011. Regional disparities between providers' knowledge of early diagnosis of dementia and related counseling skills were identified. Regional similarities included training needs, dementia-related stigma, and low awareness of dementia among family caregivers. Culturally sensitive education specific to dementia for mental health providers and a specialized dementia care model for people with dementia and their family caregivers are urgently needed. Implications for geriatric practitioners and educators are discussed.

  6. A systematic review of HIV partner counseling and referral services: client and provider attitudes, preferences, practices, and experiences.

    Science.gov (United States)

    Passin, Warren F; Kim, Angela S; Hutchinson, Angela B; Crepaz, Nicole; Herbst, Jeffrey H; Lyles, Cynthia M

    2006-05-01

    The objectives of this study were to understand client and provider attitudes, experiences, and practices regarding HIV partner notification in the United States and to help identify future research and program needs. The goals of this study were to synthesize the literature reporting client and provider attitudes, experiences, and practices and to identify potential negative effects of HIV partner notification. This study consisted of a systematic qualitative review. Clients were willing to self-notify partners and participate in provider notification, and few reported negative effects. The majority of health care providers were in favor of HIV partner notification; however, they did not consistently refer index clients to HIV partner notification programs. Considering that clients have positive attitudes toward self- and provider referral, local HIV prevention programs need to ensure that all HIV-positive clients are offered partner notification services. Additional research is needed to assess the potential risks of notifying partners and to identify effective techniques to improve client and provider participation.

  7. The PACA Project: When Amateur Astronomers Become Citizen Scientists

    Science.gov (United States)

    Yanamandra-Fisher, P. A.

    2014-12-01

    The Pro-Am Collaborative Astronomy (PACA) project evolved from the observational campaign of C/2012 S1 or C/ISON in 2013. Following the success of the professional-amateur astronomer collaboration in scientific research via social media, it is now implemented in other comet observing campaigns. While PACA identifies a consistent collaborative approach to pro-am collaborations, given the volume of data generated for each campaign, new ways of rapid data analysis, mining access and storage are needed. Several interesting results emerged from the synergistic inclusion of both social media and amateur astronomers: (1) the establishment of a network of astronomers and related professionals, that can be galvanized into action on short notice to support observing campaigns; (2) assist in various science investigations pertinent to the campaign; (3) provide an alert-sounding mechanism should the need arise; (4) immediate outreach and dissemination of results via our media/blogger members; (5) provide a forum for discussions between the imagers and modelers to help strategize the observing campaign for maximum benefit. In 2014, two new comet observing campaigns involving pro-am collaborations have been initiated: (1) C/2013 A1 (C/SidingSpring) and (2) 67P/Churyumov-Gerasimenko (CG), target for ESA/Rosetta mission. The evolving need for individual customized observing campaigns has been incorporated into the evolution of PACA portal that currently is focused on comets: from supporting observing campaigns of current comets, legacy data, historical comets; interconnected with social media and a set of shareable documents addressing observational strategies; consistent standards for data; data access, use, and storage, to align with the needs of professional observers. The integration of science, observations by professional and amateur astronomers, and various social media provides a dynamic and evolving collaborative partnership between professional and amateur astronomers

  8. Translating knowledge into practice: An exploratory study of dementia-specific training for community-based service providers.

    Science.gov (United States)

    O'Sullivan, Grace; Hocking, Clare; McPherson, Kathryn

    2017-08-01

    Objective To develop, deliver, and evaluate dementia-specific training designed to inform service delivery by enhancing the knowledge of community-based service providers. Methods This exploratory qualitative study used an interdisciplinary, interuniversity team approach to develop and deliver dementia-specific training. Participants included management, care staff, and clients from three organizations funded to provide services in the community. Data on the acceptability, applicability, and perceived outcomes of the training were gathered through focus group discussions and individual interviews. Transcripts were analyzed to generate open codes which were clustered into themes and sub-themes addressing the content, delivery, and value of the training. Findings Staff valued up-to-date knowledge and "real stories" grounded in practice. Clients welcomed the strengths-based approach. Contractual obligations impact on the application of knowledge in practice. Implications The capacity to implement new knowledge may be limited by the legislative policies which frame service provision, to the detriment of service users.

  9. Pain relief in labor: a survey of awareness, attitude, and practice of health care providers in Zaria, Nigeria

    Directory of Open Access Journals (Sweden)

    Ogboli-Nwasor E

    2011-08-01

    Full Text Available E Ogboli-Nwasor1, SE Adaji2, SB Bature2, OS Shittu21Department of Anesthesia, 2Department of Obstetrics and Gynecology, Ahmadu Bello University Teaching Hospital, Zaria, NigeriaBackground: The purpose of this study was to assess the attitudes of maternal health care providers to pain relief during labor in Zaria, Nigeria.Methods: This was a multicenter, collaborative, cross-sectional pilot study of provider perspectives concerning pain relief during labor. A structured, self-administered, questionnaire was completed by 95 consenting maternal health care providers at three high-volume facilities in Zaria, an ancient northern Nigerian city. Descriptive statistics was performed on the data.Results: Most respondents (94.8% agreed that pain relief is needed during labor. Only 2.1% of respondents were undecided about the provision of pain relief during labor and 3.2% were of the opinion that pain relief was not necessary during labor. Most respondents (93.7% had attended a woman in labor in the 4 weeks preceding the survey. Of these, 56.8% had counseled a parturient in labor. Most of the counseling (42.1% took place during labor. Less than half of the respondents (48.4% had administered pain relief in labor in the preceding 4 weeks and systemic opioids was the most commonly form of pain relief. Among the respondents who did not offer pain relief agents in labor, the majority (54.5% had no reason for not offering it. Unavailability of methods, inability to afford the cost of pain relief, lack of knowledge and skills, as well as lack of essential equipment to provide the procedure were also given by respondents as reasons for not offering pain relief.Conclusion: Even though maternal health care providers in this environment have a positive attitude to pain relief in labor, most women go through labor without the benefit of analgesia. There exists a gap between provider attitudes to pain relief in labor and practice of the same, with many providers

  10. NRAO Astronomer Wins Prestigious Guggenheim Fellowship

    Science.gov (United States)

    2010-04-01

    Dr. Dale Frail, an astronomer at the National Radio Astronomy Observatory (NRAO) in Socorro, New Mexico, has been awarded a prestigious Guggenheim Fellowship, according to the John Simon Guggenheim Memorial Foundation. The Guggenheim Foundation describes its fellowships as "mid-career" awards "intended for men and women who have already demonstrated exceptional capacity for productive scholarship or exceptional creative ability in the arts." Frail, 48, has worked at the NRAO for more than 20 years, first as a postdoctoral fellow, and then as a staff scientist. He received his bachelor's degree in physics from Acadia University in Nova Scotia, and his Ph.D in astronomy from the University of Toronto. Frail is best known for his landmark contributions to the understanding of gamma ray bursts, making critical measurements that provided key insights into the mechanisms of these superenergetic and once-mysterious explosions. He also has made important contributions to the understanding of other astronomical phenomena, including pulsars and their neighborhoods, supernova remnants, and magnetars. In 1992, he was the co-discoverer, with Alex Wolszczan, of the first planets outside our own solar system. "We congratulate Dale on this well-deserved honor that recognizes not only his past achievements but also his potential for exciting scientific work in the future," said Dr. Fred K.Y. Lo, NRAO Director. "We're very proud to see one of our scientists receive such a great honor," Lo added. Frail is one of 180 recipients of this year's Guggenheim Fellowships, chosen from some 3,000 applicants. The fellowships were established in 1925 and past recipients include photographer Ansel Adams, author Saul Bellow, former Secretary of State Henry Kissinger, and chemist Linus Pauling. 102 Guggenheim Fellows have subsequently won Nobel Prizes, and others have received Pulitzer Prizes and other honors. As a Guggenheim Fellow, Frail intends to intensify his research in the areas of pulsars

  11. Providing for energy efficiency in homes and small buildings. Part III. Determining which practices are most effective and installing materials

    Energy Technology Data Exchange (ETDEWEB)

    None

    1980-06-01

    The training program is designed to educate students and individuals in the importance of conserving energy and to provide for developing skills needed in the application of energy-saving techniques that result in energy-efficient buildings. A teacher guide and student workbook are available to supplement the basic manual. Subjects covered in Part III are: determining which practices are most efficient and economical; installing energy-saving materials; and improving efficiency of equipment.

  12. Health Care Providers' Knowledge and Practice Gap towards Joint Zoonotic Disease Surveillance System: Challenges and Opportunities, Gomma District, Southwest Ethiopia.

    Science.gov (United States)

    Gemeda, Desta Hiko; Sime, Abiot Girma; Hajito, Kifle Woldemichael; Gelalacha, Benti Deresa; Tafese, Wubit; Gebrehiwot, Tsegaye Tewelde

    2016-01-01

    Background. Health care providers play a crucial role for realization of joint zoonotic diseases surveillance by human and animal health sectors, yet there is limited evidence. Hence, this study aimed to determine knowledge and practice gap of health care providers towards the approach for Rabies and Anthrax in Southwest Ethiopia. Methods. A cross-sectional survey was conducted from December 16, 2014, to January 14, 2015. Eligible health care providers were considered for the study. Data were entered in to Epi-data version 3.1 and analyzed using SPSS version 20. Results. A total of 323 (92.02%) health care providers participated in the study. Three hundred sixteen (97.8%) of participants reported that both human and animal health sectors can work together for zoonotic diseases while 96.9% of them replied that both sectors can jointly conduct surveillance. One hundred seventeen (36.2%) of them reported that their respective sectors had conducted joint surveillance for zoonotic diseases. Their involvement was, however, limited to joint outbreak response. Conclusion. There is good opportunity in health care providers' knowledge even though the practice was unacceptably low and did not address all surveillance components. Therefore, formal joint surveillance structure should be in place for optimal implementation of surveillance.

  13. ASSESSMENT OF KNOWLEDGE, ATTITUDE AND PRACTICE TOWARDS CONSANGUINEOUS MARRIAGES AMONG A COHORT OF MULTIETHNIC HEALTH CARE PROVIDERS IN SAUDI ARABIA.

    Science.gov (United States)

    Alnaqeb, Dhekra; Hamamy, Hanan; Youssef, Amira M; Al-Rubeaan, Khalid

    2018-01-01

    This study aimed to assess knowledge, attitude and practice related to consanguinity among multiethnic health care providers in the Kingdom of Saudi Arabia. Using a cross-sectional study design, a validated, self-administered close-ended questionnaire was randomly distributed to health care providers in different health institutions in the country between 1st August 2012 and 31st July 2013. A total of 1235 health care providers completed the study questionnaire. Of the 892 married participants (72.23% of total), 11.43% were married to a first cousin, and were predominantly Arabs, younger than 40 years and male. Only 17.80% of the patients seen by the health care providers requested consanguinity related counselling. A knowledge barrier was expressed by 27.49% of the participants, and 85.67% indicated their willingness to have more training in basic genetic counselling. A language barrier was expressed as a limiting factor to counselling for consanguinity among non-Arabs. The health care providers had a major dearth of knowledge that was reflected in their attitude and practice towards consanguinity counselling. This finding indicates the need for more undergraduate and postgraduate medical and nursing education and training in the counselling of consanguineous couples. It is recommended that consanguinity counselling is included in the current premarital screening and counselling programmes in the Kingdom.

  14. Evidence-based practice beliefs and behaviors of nurses providing cancer pain management: a mixed-methods approach.

    Science.gov (United States)

    Eaton, Linda H; Meins, Alexa R; Mitchell, Pamela H; Voss, Joachim; Doorenbos, Ardith Z

    2015-03-01

    To describe evidence-based practice (EBP) beliefs and behaviors of nurses who provide cancer pain management. Descriptive, cross-sectional with a mixed-methods approach. Two inpatient oncology units in the Pacific Northwest. 40 RNs.
 Data collected by interviews and web-based surveys. EBP beliefs, EBP implementation, evidence-based pain management. Nurses agreed with the positive aspects of EBP and their implementation ability, although implementation level was low. They were satisfied with their pain management practices. Oncology nursing certification was associated with innovativeness, and innovativeness was associated with EBP beliefs. Themes identified were (a) limited definition of EBP, (b) varied evidence-based pain management decision making, (c) limited identification of evidence-based pain management practices, and (d) integration of nonpharmacologic interventions into patient care. Nurses' low level of EBP implementation in the context of pain management was explained by their trust that standards of care and medical orders were evidence-based. Nurses' EBP beliefs and behaviors should be considered when developing strategies for sustaining evidence-based pain management practices. Implementation of the EBP process by nurses may not be realistic in the inpatient setting; therefore, hospital pain management policies need to be evidence-based and reinforced with nurses.

  15. Wide variations in blood product transfusion practices among providers who care for patients with acute leukemia in the United States.

    Science.gov (United States)

    Pine, Alexander B; Lee, Eun-Ju; Sekeres, Mikkael; Steensma, David P; Zelterman, Daniel; Prebet, Thomas; DeZern, Amy; Komrokji, Rami; Litzow, Mark; Luger, Selina; Stone, Richard; Erba, Harry P; Garcia-Manero, Guillermo; Lee, Alfred I; Podoltsev, Nikolai A; Barbarotta, Lisa; Kasberg, Stephanie; Hendrickson, Jeanne E; Gore, Steven D; Zeidan, Amer M

    2017-02-01

    Transfusion of blood products is a key component of the supportive management in patients with acute leukemia (AL). However high-quality trial evidence and clinical outcome data to support specific transfusion goals for blood products for patients with AL remain limited leading to diverse transfusion practices. The primary objective of this study was to determine the spectrum of transfusion patterns in a variety of care settings among providers who treat AL patients. A 31-question survey queried providers caring for AL patients about the existence of institutional guidelines for transfusion of blood products, transfusion triggers for hemoglobin (Hb), platelets (PLTs), and fibrinogen in various settings including inpatient and outpatient and before procedures. We analyzed 130 responses and identified divergent transfusion Hb goals in hospitalized and ambulatory patients, fibrinogen goals for cryoprecipitate transfusions, and variation in practice for use of certain PLTs and red blood cell products. The least variable transfusion patterns were reported for PLT goals in thrombocytopenia and in the setting of invasive procedures such as bone marrow biopsy and lumbar punctures. This survey confirmed wide variations in blood product transfusion practices across several clinical scenarios in patients with AL. The findings emphasized the need for large prospective randomized trials to develop standardized evidence-based guidelines for blood product transfusions in patients with AL with the goal of limiting unnecessary transfusions without compromising outcomes. © 2016 AABB.

  16. Understanding the drivers of interprofessional collaborative practice among HIV primary care providers and case managers in HIV care programmes.

    Science.gov (United States)

    Mavronicolas, Heather A; Laraque, Fabienne; Shankar, Arti; Campbell, Claudia

    2017-05-01

    Care coordination programmes are an important aspect of HIV management whose success depends largely on HIV primary care provider (PCP) and case manager collaboration. Factors influencing collaboration among HIV PCPs and case managers remain to be studied. The study objective was to test an existing theoretical model of interprofessional collaborative practice and determine which factors play the most important role in facilitating collaboration. A self-administered, anonymous mail survey was sent to HIV PCPs and case managers in New York City. An adapted survey instrument elicited information on demographic, contextual, and perceived social exchange (trustworthiness, role specification, and relationship initiation) characteristics. The dependent variable, perceived interprofessional practice, was constructed from a validated scale. A sequential block wise regression model specifying variable entry order examined the relative importance of each group of factors and of individual variables. The analysis showed that social exchange factors were the dominant drivers of collaboration. Relationship initiation was the most important predictor of interprofessional collaboration. Additional influential factors included organisational leadership support of collaboration, practice settings, and frequency of interprofessional meetings. Addressing factors influencing collaboration among providers will help public health programmes optimally design their structural, hiring, and training strategies to foster effective social exchanges and promote collaborative working relationships.

  17. Astronomers debate diamonds in space

    Science.gov (United States)

    1999-04-01

    This is not the first time the intriguing carbonaceous compound has been detected in space. A peculiar elite of twelve stars are known to produce it. The star now added by ISO to this elite is one of the best representatives of this exclusive family, since it emits a very strong signal of the compound. Additionally ISO found a second new member of the group with weaker emission, and also observed with a spectral resolution never achieved before other already known stars in this class. Astronomers think these ISO results will help solve the mystery of the true nature of the compound. Their publication by two different groups, from Spain and Canada, has triggered a debate on the topic, both in astronomy institutes and in chemistry laboratories. At present, mixed teams of astrophysicists and chemists are investigating in the lab compounds whose chemical signature or "fingerprint" matches that detected by ISO. Neither diamonds nor fullerenes have ever been detected in space, but their presence has been predicted. Tiny diamonds of pre-solar origin --older than the Solar System-- have been found in meteorites, which supports the as yet unconfirmed theory of their presence in interstellar space. The fullerene molecule, made of 60 carbon atoms linked to form a sphere (hence the name "buckyball"), has also been extensively searched for in space but never found. If the carbonaceous compound detected by ISO is a fullerene or a diamond, there will be new data on the production of these industrially interesting materials. Fullerenes are being investigated as "capsules" to deliver new pharmaceuticals to the body. Diamonds are commonly used in the electronics industry and for the development of new materials; if they are formed in the dust surrounding some stars, at relatively low temperatures and conditions of low pressure, companies could learn more about the ideal physical conditions to produce them. A textbook case The latest star in which the compound has been found is

  18. Knowledge and practice related to gestational diabetes among primary health care providers in Morocco: Potential for a defragmentation of care?

    Science.gov (United States)

    Utz, Bettina; Assarag, Bouchra; Essolbi, Amina; Barkat, Amina; Delamou, Alexandre; De Brouwere, Vincent

    2017-08-01

    The objective of this study was to assess knowledge and practices of general practitioners, nurses and midwives working at primary health care facilities in Morocco regarding screening and management of gestational diabetes (GDM). Structured interviews with 100 doctors, midwives and nurses at 44 randomly selected public health care centers were conducted in Marrakech and Al Haouz. All data were descriptively analyzed. Ethical approval for the study was granted by the institutional review boards in Belgium and Morocco. Public primary health care providers have a basic understanding of gestational diabetes but screening and management practices are not uniform. Although 56.8% of the doctors had some pre-service training on gestational diabetes, most nurses and midwives lack such training. After diagnosing GDM, 88.5% of providers refer patients to specialists, only 11.5% treat them as outpatients. Updating knowledge and skills of providers through both pre- and in-service-training needs to be supported by uniform national standards enabling first line health care workers to manage women with GDM and thus increase access and provide a continuity in care. Findings of this study will be used to pilot a model of GDM screening and initial management through the primary level of care. Copyright © 2017 The Author(s). Published by Elsevier Ltd.. All rights reserved.

  19. Diagnostic work-up of neurological syndromes in a rural African setting: knowledge, attitudes and practices of health care providers.

    Directory of Open Access Journals (Sweden)

    Alain Mpanya

    Full Text Available BACKGROUND: Neurological disorders of infectious origin are common in rural sub-Saharan Africa and usually have serious consequences. Unfortunately, these syndromes are often poorly documented for lack of diagnostic tools. Clinical management of these diseases is a major challenge in under-equipped rural health centers and hospitals. We documented health care provider knowledge, attitudes and practices related to this syndrome in two rural health zones in Bandundu Province, Democratic Republic of Congo. METHODS: We used a qualitative research approach combining observation, in-depth interviews and focus group discussions. We observed 20 patient-provider contacts related to a neurological syndrome, conducted 12 individual interviews and 4 focus group discussions with care providers. All interviews were audiotaped and the transcripts were analyzed with the software ATLAS.ti. RESULTS: Care providers in this region usually limit their diagnostic work-up to clinical examination primarily because of the financial hurdles in this entirely out-of-pocket payment system. The patients prefer to purchase drugs rather than diagnostic tests. Moreover the general lack of diagnostic tools and the representation of the clinician as a "diviner" do not enhance any use of laboratory or other diagnostic methods. CONCLUSION: Innovation in diagnostic technology for neurological disorders is badly needed in Central-Africa, but its uptake in clinical practice will only be a success if tools are simple, affordable and embedded in a patient-centered approach.

  20. Clean delivery practices in rural northern Ghana: a qualitative study of community and provider knowledge, attitudes, and beliefs

    Directory of Open Access Journals (Sweden)

    Moyer Cheryl A

    2012-06-01

    Full Text Available Abstract Background Knowledge, attitudes and practices of community members and healthcare providers in rural northern Ghana regarding clean delivery are not well understood. This study explores hand washing/use of gloves during delivery, delivering on a clean surface, sterile cord cutting, appropriate cord tying, proper cord care following delivery, and infant bathing and cleanliness. Methods In-depth interviews and focus group discussions were audiotaped, transcribed, and analyzed using NVivo 9.0. Results 253 respondents participated, including women with newborn infants, grandmothers, household and compound heads, community leaders, traditional birth attendants, and formally trained health care providers. There is widespread understanding of the need for clean delivery to reduce the risk of infection to both mothers and their babies during and shortly after delivery. Despite this understanding, the use of gloves during delivery and hand washing during and after delivery were mentioned infrequently. The need for a clean delivery surface was raised repeatedly, including explicit discussion of avoiding delivering in the dirt. Many activities to do with cord care involved non-sterile materials and practices: 1 Cord cutting was done with a variety of tools, and the most commonly used were razor blades or scissors; 2 Cord tying utilized a variety of materials, including string, rope, thread, twigs, and clamps; and 3 Cord care often involved applying traditional salves to the cord - including shea butter, ground shea nuts, local herbs, local oil, or “red earth sand.” Keeping babies and their surroundings clean was mentioned repeatedly as an important way to keep babies from falling ill. Conclusions This study suggests a widespread understanding in rural northern Ghana of the need for clean delivery. Nonetheless, many recommended clean delivery practices are ignored. Overarching themes emerging from this study included the increasing use of

  1. Astronomical Instrumentation Systems Quality Management Planning: AISQMP (Abstract)

    Science.gov (United States)

    Goldbaum, J.

    2017-12-01

    (Abstract only) The capability of small aperture astronomical instrumentation systems (AIS) to make meaningful scientific contributions has never been better. The purpose of AIS quality management planning (AISQMP) is to ensure the quality of these contributions such that they are both valid and reliable. The first step involved with AISQMP is to specify objective quality measures not just for the AIS final product, but also for the instrumentation used in its production. The next step is to set up a process to track these measures and control for any unwanted variation. The final step is continual effort applied to reducing variation and obtaining measured values near optimal theoretical performance. This paper provides an overview of AISQMP while focusing on objective quality measures applied to astronomical imaging systems.

  2. Beliefs and implementation of evidence-based practice among nurses and allied healthcare providers in the Valais hospital, Switzerland.

    Science.gov (United States)

    Verloo, Henk; Desmedt, Mario; Morin, Diane

    2017-02-01

    Evidence-based practice (EBP) is upheld as a means for patients to receive the most efficient care in a given context. Despite the available evidence and positive beliefs about it, implementing EBP as standard daily practice still faces many obstacles. This study investigated the beliefs about and implementation of EBP among nurses and allied healthcare providers (AHP) in 9 acute care hospitals in the canton of Valais, Switzerland. A cross-sectional descriptive survey was conducted. The target population was composed of 1899 nurses and 126 AHPs. Beliefs about and implementation of EBP were measured using EBP-Beliefs and EBP-Implementation scales of Melnyk et al. The initial sample consisted in 491 participants (overall response rate 24.2%): 421 nurses (22.4% response rate) and 78 AHPs (61.9% response rate). The final sample, composed only of those who declared previous exposure to EBP, included 391 participants (329 nurses and 62 AHPs). Overall, participants had positive attitudes towards EBP and were willing to increase their knowledge to guide practice. However, they acknowledged poor implementation of EBP in daily practice. A significantly higher level of EBP implementation was declared by those formally trained in it (P = 0.006) and by those occupying more senior professional functions (P = 0.004). EBP-Belief scores predicted 13% of the variance in the EBP-Implementation scores (R 2  = 0.13). EBP is poorly implemented despite positive beliefs about it. Continuing education and support on EBP would help to ensure that patients receive the best available care based on high-quality evidence, patient needs, clinical expertise, and a fair distribution of healthcare resources. This study's results will be used to guide institutional strategy to increase the use of EBP in daily practice. © 2016 John Wiley & Sons, Ltd.

  3. Book Review: Scientific Writing for Young Astronomers

    Science.gov (United States)

    Uyttenhove, Jos

    2011-12-01

    EDP Sciences, Les Ulis, France. Part 1 : 162 pp. € 35 ISBN 978-2-7598-0506-8 Part 2 : 298 pp. € 60 ISBN 978-2-7598-0639-3 The journal Astronomy & Astrophysics (A&A) and EDP Sciences decided in 2007 to organize a School on the various aspects of scientific writing and publishing. In 2008 and 2009 Scientific Writing for Young Astronomers (SWYA) Schools were held in Blankenberge (B) under the direction of Christiaan Sterken (FWO-VUB). These two books (EAS publication series, Vol. 49 and 50) reflect the outcome of these Schools. Part 1 contains a set of contributions that discuss various aspects of scientific publication; it includes A&A Editors' view of the peer review and publishing process. A very interesting short paper by S.R. Pottasch (Kapteyn Astronomical Institute, Groningen, and one of the two first Editors-in Chief of A&A) deals with the history of the creation of the journal Astronomy & Astrophysics. Two papers by J. Adams et al. (Observatoire de Paris) discuss language editing, including a detailed guide for any non-native user of the English language. In 2002 the Board of Directors decided that all articles in A&A must be written in clear and correct English. Part 2 consists of three very extensive and elaborated papers by Christiaan Sterken, supplying guidelines to PhD students and postdoctoral fellows to help them compose scientific papers for different forums (journals, proceedings, thesis, etc.). This part is of interest not only for young astronomers but it is very useful for scholars of all ages and disciplines. Paper I "The writing process" (60 pp.) copes with the preparation of manuscripts, with communicating with editors and referees and with avoiding common errors. Delicate problems on authorship, refereeing, revising multi-authored papers etc. are treated in 26 FAQ's. Paper II "Communication by graphics" (120 pp.) is entirely dedicated to the important topic of communication with images, graphs, diagrams, tables etc. Design types of graphs

  4. Examining clinicians’ experiences providing sexual health services for LGBTQ youth: considering social and structural determinants of health in clinical practice

    Science.gov (United States)

    Knight, R. E.; Shoveller, J. A.; Carson, A. M.; Contreras-Whitney, J. G.

    2014-01-01

    Although barriers related to lesbian, gay, bisexual, transgender and queer (LGBTQ) youth’s experiences accessing sexual health services have been examined in detail, research into the experiences and perceptions of clinicians providing these services has been conspicuously absent. The aim of this article is to explore the perceptions and experiences of clinicians providing sexual health services for LGBTQ youth. Drawing on in-depth, semi-structured interviews, this study examines 24 clinicians’ experiences providing sexual health services to LGBTQ youth in five communities in British Columbia, Canada. Our findings reveal how many clinicians provide services to LGBTQ youth with a lack of cultural competency—either implicitly (e.g. by describing heteronormative practices) or explicitly (e.g. by expressing frustration that they had not been sufficiently provided with appropriate training related to LGBTQ youth sexual health). Institutional norms and values were identified as the dominant barriers in the effective provision of LGBTQ-tailored services. Many clinicians find themselves unprepared to provide culturally competent sexual health services that have both the capacity to address individual-level issues (e.g. promoting condom use) while considering (and adapting services to) the broader socio-cultural and structural conditions that can render LGBTQ youth socially vulnerable. PMID:24412811

  5. Astronomical technology - the past and the future. Karl Schwarzschild Award Lecture 2015

    Science.gov (United States)

    Appenzeller, I.

    2016-07-01

    The past fifty years have been an epoch of impressive progress in the field of astronomical technology. Practically all the technical tools, which we use today, have been developed during that time span. While the first half of this period has been dominated by advances in the detector technologies, during the past two decades innovative telescope concepts have been developed for practically all wavelength ranges where astronomical observations are possible. Further important advances can be expected in the next few decades. Based on the experience of the past, some of the main sources of technological progress can be identified.

  6. Spectral atlas for amateur astronomers a guide to the spectra of astronomical objects and terrestrial light sources

    CERN Document Server

    Walker, Richard

    2017-01-01

    Featuring detailed commented spectral profiles of more than one hundred astronomical objects, in colour, this spectral guide documents most of the important and spectroscopically observable objects accessible using typical amateur equipment. It allows you to read and interpret the recorded spectra of the main stellar classes, as well as most of the steps from protostars through to the final stages of stellar evolution as planetary nebulae, white dwarfs or the different types of supernovae. It also presents integrated spectra of stellar clusters, galaxies and quasars, and the reference spectra of some terrestrial light sources, for calibration purposes. Whether used as the principal reference for comparing with your recorded spectra or for inspiring independent observing projects, this atlas provides a breathtaking view into our Universe's past. The atlas is accompanied and supplemented by Spectroscopy for Amateur Astronomers, which explains in detail the methods for recording, processing, analysing and interp...

  7. Astronomical Heritage and Aboriginal People: Conflicts and Possibilities

    Science.gov (United States)

    López, Alejandro Martín

    2016-10-01

    In this presentation we address issues relating to the astronomical heritage of contemporary aboriginal groups and other minorities. We deal specially with intangible astronomical heritage and its particularities. Also, we study (from ethnographic experience with Aboriginal groups, Creoles and Europeans in the Argentine Chaco) the conflicts referring to the different ways in which the natives' knowledge and practice are categorized by the natives themselves, by scientists, state politicians, professional artists and NGOs. Furthermore, we address several cases that illustrate these kinds of conflicts. We aim to analyze the complexities of patrimonial policies when they are applied to practices and representations of contemporary communities involved in power relations with national states and the global system. The essentialization of identities, the folklorization of representations and practices, and the fossilization of aboriginal peoples are some of the risks of applying the label ``cultural heritage'' without a careful consideration of each specific case. In particular we suggest possible ways in which the international scientific community could collaborate to improve the agenda of national states instead of reproducing colonial prejudices. In this way, we aim to contribute to the promotion of respect for ethnic and religious minorities.

  8. Thirteenth Joint European and National Astronomical Meeting

    CERN Document Server

    Iniesta, J C

    2006-01-01

    The book gathers the invited talks to the XIII JENAM conference, organized this time by the European Astronomical Society (EAS) and the Spanish Astronomical Society (SEA), and hosted by the Instituto de Astrofísica de Andalucía (CSIC). All branches of astrophysics are encompassed from the largest scales and cosmology to the solar system and the Sun, through the galaxies and the stars, including a section on astronomical instrumentation. Very relevant experts from all over the world speak in a single book about the most recent, exciting results from their fields in a way which is useful for both researchers in these fields and colleagues working in other disciplines. The book is accompanied by a CD-ROM including the remaining contributions of the meeting in PDF format, hence opening a wide panorama of what is going on in astrophysics nowadays.

  9. Science Initiatives of the US Virtual Astronomical Observatory

    Science.gov (United States)

    Hanisch, R. J.

    2012-09-01

    The United States Virtual Astronomical Observatory program is the operational facility successor to the National Virtual Observatory development project. The primary goal of the US VAO is to build on the standards, protocols, and associated infrastructure developed by NVO and the International Virtual Observatory Alliance partners and to bring to fruition a suite of applications and web-based tools that greatly enhance the research productivity of professional astronomers. To this end, and guided by the advice of our Science Council (Fabbiano et al. 2011), we have focused on five science initiatives in the first two years of VAO operations: 1) scalable cross-comparisons between astronomical source catalogs, 2) dynamic spectral energy distribution construction, visualization, and model fitting, 3) integration and periodogram analysis of time series data from the Harvard Time Series Center and NASA Star and Exoplanet Database, 4) integration of VO data discovery and access tools into the IRAF data analysis environment, and 5) a web-based portal to VO data discovery, access, and display tools. We are also developing tools for data linking and semantic discovery, and have a plan for providing data mining and advanced statistical analysis resources for VAO users. Initial versions of these applications and web-based services are being released over the course of the summer and fall of 2011, with further updates and enhancements planned for throughout 2012 and beyond.

  10. Skype Me! Astronomers, Students, and Cutting-Edge Research

    Science.gov (United States)

    Hickox, Ryan C.; Gauthier, Adrienne J.

    2014-06-01

    A primary goal of many university science courses is to promote understanding of the process of contemporary scientific inquiry. One powerful way to achieve this is for students to explore current research and then interact directly with the leading scientist, the feasibility of which has recently increased dramatically due to free online video communication tools. We report on a program implemented at Dartmouth College in which students connect with a guest astronomer through Skype (video chat). The Skype session is wrapped in a larger activity where students explore current research articles, interact with the astronomer, and then reflect on the experience. The in-class Skype discussions require a small time commitment from scientists (20-30 minutes, with little or no need for preparation) while providing students direct access to researchers at the cutting edge of modern astronomy. We outline the procedures used to implement these discussions, and present qualitative assessments of student's understanding of the process of research, as well as feedback from the guest astronomers.

  11. Automatic astronomical coordinate determination using digital zenith cameras

    Directory of Open Access Journals (Sweden)

    S Farzaneh

    2009-12-01

    Full Text Available Celestial positioning has been used for navigation purposes for many years. Stars as the extra-terrestrial benchmarks provide unique opportunity in absolute point positioning. However, astronomical field data acquisition and data processing of the collected data is very time-consuming. The advent of the Global Positioning System (GPS nearly made the celestial positioning system obsolete. The new satellite-based positioning system has been very popular since it is very efficient and convenient for many daily life applications. Nevertheless, the celestial positioning method is never replaced by satellite-based positioning in absolute point positioning sense. The invention of electro-optical devices at the beginning of the 21st century was really a rebirth in geodetic astronomy. Today, the digital cameras with relatively high geometric and radiometric accuracy has opened a new insight in satellite attitude determination and the study of the Earth's surface geometry and physics of its interior, i.e., computation of astronomical coordinates and the vertical deflection components. This method or the so-called astrogeodetic vision-based method help us to determine astronomical coordinates with an accuracy better than 0.1 arc second. The theoretical background, an innovative transformation approach and the preliminary numerical results are addressed in this paper.

  12. Science Initiatives of the US Virtual Astronomical Observatory

    Directory of Open Access Journals (Sweden)

    Hanisch Robert J.

    2012-09-01

    Full Text Available The United States Virtual Astronomical Observatory program is the operational facility successor to the National Virtual Observatory development project. The primary goal of the US VAO is to build on the standards, protocols, and associated infrastructure developed by NVO and the International Virtual Observatory Alliance partners and to bring to fruition a suite of applications and web-based tools that greatly enhance the research productivity of professional astronomers. To this end, and guided by the advice of our Science Council (advisory committee, we are focusing on five science initiatives in the first two years of VAO operations: (1 scalable cross-comparisons between astronomical source catalogs, (2 dynamic spectral energy distribution construction, visualization, and model fitting, (3 integration and periodogram analysis of time series data from the Harvard Time Series Center and NASA Star and Exoplanet Database, (4 integration of VO data discovery and access tools into the IR AF data analysis environment, and (5 a web-based portal to VO data discovery, access, and display tools. We are also developing tools for data linking and semantic discovery, and have a plan for providing data mining and advanced statistical analysis resources for VAO users. Initial versions of these applications and web-based services are being released over the course of the summer and fall of 2011, with further updates and enhancements planned for throughout 2012 and beyond.

  13. Coronagraph for astronomical imaging and spectrophotometry

    Science.gov (United States)

    Vilas, Faith; Smith, Bradford A.

    1987-01-01

    A coronagraph designed to minimize scattered light in astronomical observations caused by the structure of the primary mirror, secondary mirror, and secondary support structure of a Cassegrainian telescope is described. Direct (1:1) and reducing (2.7:1) imaging of astronomical fields are possible. High-quality images are produced. The coronagraph can be used with either a two-dimensional charge-coupled device or photographic film camera. The addition of transmission dispersing optics converts the coronagraph into a low-resolution spectrograph. The instrument is modular and portable for transport to different observatories.

  14. A Brief History of Manchester Astronomical Society

    Science.gov (United States)

    Kilburn, K. J.

    Manchester Astronomical Society celebrated its centenary in September 2003. But that centenary was of a hundred years as the MAS: the history of the society goes back much further, and can be traced directly to that great era of.public awareness of astronomy and amateur interest in Victorian England in the last half of the nineteenth century. Allan Chapman has discussed this period in detail, so the present paper concentrates on the MAS's particular influence on Manchester astronomers and recent work on the history of the society.

  15. Astronomers gossip about the (cosmic) neighborhood.

    Science.gov (United States)

    Jayawardhana, R

    1994-09-09

    The Hague, Netherlands, last month welcomed 2000 astronomers from around the world for the 22nd General Assembly of the International Astronomical Union (IAU). From 15 to 27 August, they participated in symposia and discussions on topics ranging from the down-to-Earth issue of light and radio-frequency pollution to the creation of elements at the farthest reaches of time and space, in the big bang. Some of the most striking news, however, came in new findings from our galaxy and its immediate surroundings.

  16. Novel Algorithms for Astronomical Plate Analyses

    Czech Academy of Sciences Publication Activity Database

    Hudec, René; Hudec, L.

    2011-01-01

    Roč. 32, 1-2 (2011), s. 121-123 ISSN 0250-6335. [Conference on Multiwavelength Variability of Blazars. Guangzhou, 22,09,2010-24,09,2010] R&D Projects: GA ČR GA205/08/1207 Grant - others:GA ČR(CZ) GA102/09/0997; MŠMT(CZ) ME09027 Institutional research plan: CEZ:AV0Z10030501 Keywords : astronomical plates * plate archives archives * astronomical algorithms Subject RIV: BN - Astronomy, Celestial Mechanics, Astrophysics Impact factor: 0.400, year: 2011

  17. Astronomers celebrate a year of new Hubble results

    Science.gov (United States)

    1995-02-01

    "We are beginning to understand that because of these observations we are going to have to change the way we look at the Universe," said ESA's Dr Duccio Macchetto, Associate Director for Science Programs at the Space Telescope Science Institute (STScI), Baltimore, Maryland, USA. The European Space Agency plays a major role in the Hubble Space Telescope programme. The Agency provided one of the telescope's four major instruments, called the Faint Object Camera, and two sets of electricity-generating solar arrays. In addition, 15 ESA scientific and technical staff work at the STScI. In return for this contribution, European astronomers are entitled to 15 percent of the telescope's observing time, although currently they account for 20 percent of all observations. "This is a testimony to the quality of the European science community", said Dr Roger Bonnet, Director of Science at ESA. "We are only guaranteed 15 percent of the telescope's use, but consistently receive much more than that." Astronomers from universities, observatories and research institutes across Europe lead more than 60 investigations planned for the telescope's fifth observing cycle, which begins this summer. Many more Europeans contribute to teams led by other astronomers. Looking back to the very start of time European astronomer Dr Peter Jakobsen used ESA's Faint Object Camera to confirm that helium was present in the early Universe. Astronomers had long predicted that 90 percent of the newly born Universe consisted of hydrogen, with helium making up the remainder. Before the refurbished Hubble came along, it was easy to detect the hydrogen, but the primordial helium remained elusive. The ultraviolet capabilities of the telescope, combined with the improvement in spatial resolution following the repair, made it possible for Dr Jakobsen to obtain an image of a quasar close to the edge of the known Universe. A spectral analysis of this picture revealed the quasar's light, which took 13 billion years

  18. Variation in hepatitis B immunization coverage rates associated with provider practices after the temporary suspension of the birth dose

    Directory of Open Access Journals (Sweden)

    Mullooly John P

    2006-11-01

    Full Text Available Abstract Background In 1999, the American Academy of Pediatrics and U.S. Public Health Service recommended suspending the birth dose of hepatitis B vaccine due to concerns about potential mercury exposure. A previous report found that overall national hepatitis B vaccination coverage rates decreased in association with the suspension. It is unknown whether this underimmunization occurred uniformly or was associated with how providers changed their practices for the timing of hepatitis B vaccine doses. We evaluate the impact of the birth dose suspension on underimmunization for the hepatitis B vaccine series among 24-month-olds in five large provider groups and describe provider practices potentially associated with underimmunization following the suspension. Methods Retrospective cohort study of children enrolled in five large provider groups in the United States (A-E. Logistic regression was used to evaluate the association between the birth dose suspension and a child's probability of being underimmunized at 24 months for the hepatitis B vaccine series. Results Prior to July 1999, the percent of children who received a hepatitis B vaccination at birth varied widely (3% to 90% across the five provider groups. After the national recommendation to suspend the hepatitis B birth dose, the percent of children who received a hepatitis B vaccination at birth decreased in all provider groups, and this trend persisted after the policy was reversed. The most substantial decreases were observed in the two provider groups that shifted the first hepatitis B dose from birth to 5–6 months of age. Accounting for temporal trend, children in these two provider groups were significantly more likely to be underimmunized for the hepatitis B series at 24 months of age if they were in the birth dose suspension cohort compared with baseline (Group D OR 2.7, 95% CI 1.7 – 4.4; Group E OR 3.1, 95% CI 2.3 – 4.2. This represented 6% more children in Group D and 9

  19. Mothers’ Use of Social Media to Inform Their Practices for Pumping and Providing Pumped Human Milk to Their Infants

    Directory of Open Access Journals (Sweden)

    Rei Yamada

    2016-10-01

    Full Text Available Despite U.S. mothers’ wide adoption of pumps and bottles to provide human milk (HM to their infants, mothers lack comprehensive, evidence-based guidelines for these practices. Thus, some women use online sources to seek information from each other. We aimed to characterize the information women sought online about pumping. We used data provided by ~25,000 women in an open cohort within a discussion forum about parenting. We examined 543 posts containing questions about providing pumped HM cross-sectionally and longitudinally in three time intervals: prenatal, 0 through 1.5 months postpartum, and 1.5 to 4.5 months postpartum. We used thematic analysis with Atlas.ti to analyze the content of posts. During pregnancy, women commonly asked questions about how and where to obtain pumps, both out-of-pocket and through insurance policies. Between 0–1.5 months postpartum, many mothers asked about how to handle pumped HM to ensure its safety as fed. Between 1.5–4.5 months postpartum, mothers sought strategies to overcome constraints to pumping both at home and at work and also asked about stopping pumping and providing their milk. Women’s questions related to ensuring the safety of pumped HM represent information women need from health professionals, while their questions related to obtaining pumps suggest that women may benefit from clearer guidelines from their insurance providers. The difficulties women face at home and at work identify avenues through which families and employers can support women to meet their goals for providing HM.

  20. Opportunities for improved diabetes care among patients of safety net practices: a safety net providers' strategic alliance study.

    Science.gov (United States)

    Reichsman, Ann; Werner, James; Cella, Peggi; Bobiak, Sarah; Stange, Kurt C

    2009-01-01

    To identify barriers and opportunities for quality diabetes care in safety net practices. In 3 federally qualified health centers and 1 free clinic, 19 primary care clinicians profiled patient and visit characteristics and quality of care measures for 181 consecutive visits by adult type 2 diabetic patients. Open-ended questions assessed patient and clinician perception of barriers to diabetes care and patient report of enabling factors. A multidisciplinary team identified themes from open-ended responses. Logistic regression analyses assessed the association of the identified barriers/enablers with 2 measures of quality care: glycosylated hemoglobin and prophylactic aspirin use. Ranked barriers noted by patients included adherence (40%), financial/insurance (23%), and psychosocial (13%) factors. Clinicians ranked systemic factors, including financial/ insurance (32%) and cultural/psychosocial (29%) factors, as important to adherence (29%) in determining quality diabetes care. Patients reported dietary and medical adherence (37%) and family/health care worker support (17%) as helpful factors. Among 175 patients with available data, glycosylated hemoglobin levels were associated with patient report of financial/insurance factors both as a barrier when visits and medications were unaffordable and as an opportunity when free or low-cost medications and services were provided. Patients' adherence with aspirin prophylaxis was strongly associated with African American race, prior prescription of aspirin and distribution of aspirin at the practice site (p<.001). Patients were less likely than clinicians to identify systemic and contextual factors contributing to poor diabetes care. From the front line's perspective, enabling patient self-management and systemic support is a target for improving diabetes care in safety net practices.

  1. Hera: High Energy Astronomical Data Analysis via the Internet

    Science.gov (United States)

    Valencic, Lynne A.; Chai, P.; Pence, W.; Snowden, S.

    2011-09-01

    The HEASARC at NASA Goddard Space Flight Center has developed Hera, a data processing facility for analyzing high energy astronomical data over the internet. Hera provides all the software packages, disk space, and computing resources needed to do general processing of and advanced research on publicly available data from High Energy Astrophysics missions. The data and data products are kept on a server at GSFC and can be downloaded to a user's local machine. This service is provided for free to students, educators, and researchers for educational and research purposes.

  2. The Future is Hera! Analyzing Astronomical Over the Internet

    Science.gov (United States)

    Valencic, L. A.; Chai, P.; Pence, W.; Shafer, R.; Snowden, S.

    2008-01-01

    Hera is the data processing facility provided by the High Energy Astrophysics Science Archive Research Center (HEASARC) at the NASA Goddard Space Flight Center for analyzing astronomical data. Hera provides all the pre-installed software packages, local disk space, and computing resources need to do general processing of FITS format data files residing on the users local computer, and to do research using the publicly available data from the High ENergy Astrophysics Division. Qualified students, educators and researchers may freely use the Hera services over the internet of research and educational purposes.

  3. Teaching of Astronomy: Scenarios of Teaching Practice in Elementary Schools. (Spanish Title: Enseñanza de la Astronomía: Semblanzas de la Práctica Docente en Educación Primaria.) Ensino de Astronomia: Cenários da Prática Docente no Ensino Fundamental

    Science.gov (United States)

    Marchi Gonzatti, Sônia Elisa; Spessatto De Maman, Andréia; Fernandes Borragini, Eliana; Kerber, Júlia Cristina; Haetinger, Werner

    2013-12-01

    The present work presents the main results of a research carried out within the Astronomy Education field with Elementary School teachers from two regions of Rio Grande do Sul. The study aimed to show the regional panorama of teaching Astronomy compared to the national panorama already discussed in several studies in the area. It was divided into three main issues: identifying the main topics of Astronomy developed in class, verifying which were the methodological strategies used, and which were the difficulties teachers faced when developing their practice. Regarding the contents, it was found a wide range of covered topics although Earth motion and astronomical phenomena were cited by most participants. Concerning the strategies used in class, two-dimensional resources such as movies, texts, maps and web searching were mainly used. The most relevant difficulties were the lack of specific education related to Astronomy contents and abstraction level, which complicated the understanding for both students and teachers. In general, the indicators met the results already found in other studies that investigated Astronomy teaching practice, in which the teacher's original education deficiency - or even the lack of it - hampers the proper development of Astronomy contents in class. En este trabajo se presentan los principales resultados de una investigación hecha en el campo de la Educación en Astronomía, con profesores de la Enseñanza Fundamental de dos regiones de Rio Grande do Sul. El presente estudio tuvo como objetivo caracterizar el panorama regional de la enseñanza de Astronomía, estableciendo una comparación con el panorama nacional ya presentado en trabajos de referencia en el área. Ese estudio abordó tres cuestiones: identificar los principales temas de astronomía trabajados, las estrategias metodológicas y cuáles fueron las dificultades sufridas por los profesores al presentar su práctica. Con relación a los contenidos, se encontró una

  4. Diversity in eMental Health Practice: An Exploratory Qualitative Study of Aboriginal and Torres Strait Islander Service Providers.

    Science.gov (United States)

    Bird, Jennifer; Rotumah, Darlene; Bennett-Levy, James; Singer, Judy

    2017-05-29

    In Australia, mental health services are undergoing major systemic reform with eMental Health (eMH) embedded in proposed service models for all but those with severe mental illness. Aboriginal and Torres Strait Islander service providers have been targeted as a national priority for training and implementation of eMH into service delivery. Implementation studies on technology uptake in health workforces identify complex and interconnected variables that influence how individual practitioners integrate new technologies into their practice. To date there are only two implementation studies that focus on eMH and Aboriginal and Torres Strait Islander service providers. They suggest that the implementation of eMH in the context of Aboriginal and Torres Strait Islander populations may be different from the implementation of eMH with allied health professionals and mainstream health services. The objective of this study is to investigate how Aboriginal and Torres Strait Islander service providers in one regional area of Australia used eMH resources in their practice following an eMH training program and to determine what types of eMH resources they used. Individual semistructured qualitative interviews were conducted with a purposive sample of 16 Aboriginal and Torres Strait Islander service providers. Interviews were co-conducted by one indigenous and one non-indigenous interviewer. A sample of transcripts were coded and thematically analyzed by each interviewer and then peer reviewed. Consensus codes were then applied to all transcripts and themes identified. It was found that 9 of the 16 service providers were implementing eMH resources into their routine practice. The findings demonstrate that participants used eMH resources for supporting social inclusion, informing and educating, assessment, case planning and management, referral, responding to crises, and self and family care. They chose a variety of types of eMH resources to use with their clients, both culturally

  5. Knowledge, Attitudes, and Practices Regarding Epidemiology and Management of Travelers' Diarrhea: A Survey of Front-Line Providers in Iraq and Afghanistan

    National Research Council Canada - National Science Library

    Sanders, John W

    2005-01-01

    To evaluate the relationship between medical knowledge and clinical practice, a survey on travelers' diarrhea was administered to military health care providers attending a professional development...

  6. Evaluation of the Metered-Dose Inhaler Technique among Health Care Providers Practicing in Hamadan University of Medical Sciences

    Directory of Open Access Journals (Sweden)

    E. Nadi

    2004-07-01

    Full Text Available Poor inhaler technique is a common problem both in asthma patients and health care providers , which contributes to poor asthma control. The aim of this study was to evaluate the correctness of metered-dose inhaler (MDI technique in a sample of physicians , pharmacists and nurses practicing in Hamadan University hospitals. A total of 176 healthcare providers (35 internists and general physicians , 138 nurses and 3 pharmacists were participated voluntary in this study. After the participants answered a questionnaire aimed at identifying their involvement in MDI prescribing and counseling , a trained observer assessed their MDI technique using a checklist of ten steps.Of the 176 participants , 35(20% were physician , and 3 subjects (2% were pharmacists , and 138 (78% were nurses. However only 6 participants (3.4% performed all steps correctly. Physicians performed significantly better than non-physicians (8.6% vs. 2.13%.The majority of healthcare providers responsible for instructing patients on the correct MDI technique were unable to perform this technique correctly ‘indicating the need for regular formal training programmes on inhaler techniques.

  7. Emerging technology for astronomical optics metrology

    Science.gov (United States)

    Trumper, Isaac; Jannuzi, Buell T.; Kim, Dae Wook

    2018-05-01

    Next generation astronomical optics will enable science discoveries across all fields and impact the way we perceive the Universe in which we live. To build these systems, optical metrology tools have been developed that push the boundary of what is possible. We present a summary of a few key metrology technologies that we believe are critical for the coming generation of optical surfaces.

  8. Cosmological field theory for observational astronomers

    International Nuclear Information System (INIS)

    Zel'Dovich, Y.B.

    1987-01-01

    Theories of the very early Universe that use scalar fields (i.e., the so-called inflationary models of the Universe) have now come into wide use. The inflationary universe approach may perhaps solve some of the most difficult enigmas about the Universe as a whole. The inflationary universe forms a good bridge between the quantum theory of the birth of the Universe (which is still in the initial stages of development) and the standard hot Big Bang theory (which is well established, at least qualitatively). Therefore, an understanding of the basic ideas of inflation is a must for astronomers interested in the broad picture of the science. Astronomers are mathematically oriented enough (via celestial mechanics, electromagnetic theory, magnetohydrodynamics, nuclear reactions,etc.) that there is no negative attitude towards formulae in general. What the astronomer lacks is a knowledge of recent developments in particle physics and field theory. The astronomer should not be blamed for this, because these branches of physics are developing in a very peculiar fashion: some subfields of it are progressing comparatively slowly, with experimental verifications at each and every step, while other subfields progress rapidly

  9. Astronomía en la cultura

    Science.gov (United States)

    López, A.; Giménez Benitez, S.; Fernández, L.

    La Astronomía en la Cultura es el estudio interdisciplinario a nivel global de la astronomía prehistórica, antigua y tradicional, en el marco de su contexto cultural. Esta disciplina abarca cualquier tipo de estudios o líneas de investigación en que se relacione a la astronomía con las ciencias humanas o sociales. En ella se incluyen tanto fuentes escritas, relatos orales como fuentes arqueológicas, abarcando entre otros, los siguientes temas: calendarios, observación práctica, cultos y mitos, representación simbólica de eventos, conceptos y objetos astronómicos, orientación astronómica de tumbas, templos, santuarios y centros urbanos, cosmología tradicional y la aplicación ceremonial de tradiciones astronómicas, la propia historia de la astronomía y la etnoastronomía (Krupp, 1989) (Iwaniszewski, 1994). En nuestro trabajo abordamos la historia y situación actual de esta disciplina, sus métodos y sus relaciones con otras áreas de investigación.

  10. CONSUMER EXPECTATION ON SERVICE QUALITY PROVIDE BY PHARMACIST IN SELF MEDICATION PRACTICES AND ITS ASSOCIATED FACTORS IN BANDUNG, INDONESIA.

    Science.gov (United States)

    Alfian, Sofa D; Sinuraya, Rano K; Kautsar, Angga P; Abdulah, Rizky

    2016-11-01

    Self-medication is the use of medicines for therapeutic intent without a clinician’s advice or prescription. The National Socioeconomic Survey for Indonesia in 2009 found the percentage of the Indonesians engaging in self-medication is increasing. The objectives of this study were to assess consumers’ expectations regarding service quality provide by pharmacist in self-medication practices and determine the factors associated with self-medication in Bandung, Indonesia. We conduct a cross-sectional survey at eight randomly selected community pharmacies during July-November 2012 and purposely sampled 1,200 costumers purchasing medication at those sites. Subjects reported they understood the information about the medicines given by the pharmacist but still wanted more information and time to consult with the pharmacist about their medicines. Factors associated with self-medication were younger age, male gender, greater education and lower income. The intervention is needed to improve appropriate self-medication.

  11. The self-perceived knowledge, skills and attitudes of Australian practice nurses in providing nutrition care to patients with chronic disease.

    Science.gov (United States)

    Martin, Louise; Leveritt, Michael D; Desbrow, Ben; Ball, Lauren E

    2014-04-01

    Nutrition is important for the management of chronic diseases. While practice nurses have numerous roles in primary care, the expectations on practice nurses to provide nutrition care for chronic disease management are increasing. The self-perceived knowledge, skills and attitudes of practice nurses in providing nutrition care has not been widely investigated. The aim of the present study was to investigate the perceptions of Australian practice nurses on the provision of nutrition care for chronic disease management, including specific nutrition-related activities. A cross-sectional online survey was completed by 181 Australian practice nurses in 2013. Descriptive analyses were conducted on each survey item. The survey sample was tested for representation of the Australian practice nurse workforce, and associations between respondents' demographic characteristics and responses to survey items were explored. Almost all practice nurses (89%) felt it was important to address diet whenever they cared for a patient. Over half of practice nurses (61%) were unsure if their practices were effective in increasing patients' compliance with nutritional recommendations. Nearly all practice nurses (98%) perceived further education on nutrition would assist them in their role. Practice nurses perceive they have an important role and favourable attitudes towards providing nutrition care; however, further training and education to enhance their self-perceived effectiveness is warranted. Future research should clarify whether an increase in nutrition-focused training results in improved effectiveness of nutrition care provided by practice nurses in terms of patient health outcomes.

  12. Knowledge, Attitudes, Practices and Beliefs about Medical Male Circumcision (MMC among a Sample of Health Care Providers in Haiti.

    Directory of Open Access Journals (Sweden)

    Jessy G Dévieux

    Full Text Available Haiti has the highest number of people living with HIV infection in the Caribbean/Latin America region. Medical male circumcision (MMC has been recommended to help prevent the spread of HIV. We sought to assess knowledge, attitudes, practices and beliefs about MMC among a sample of health care providers in Haiti.A convenience sample of 153 health care providers at the GHESKIO Centers in Haiti responded to an exploratory survey that collected information on several topics relevant to health providers about MMC. Descriptive statistics were calculated for the responses and multivariable logistic regression was conducted to determine opinions of health care providers about the best age to perform MMC on males. Bayesian network analysis and sensitivity analysis were done to identify the minimum level of change required to increase the acceptability of performing MMC at age less than 1 year.The sample consisted of medical doctors (31.0%, nurses (49.0%, and other health care professionals (20.0%. Approximately 76% showed willingness to offer MMC services if they received training. Seventy-six percent believed that their male patients would accept circumcision, and 59% believed infancy was the best age for MMC. More than 90% of participants said that MMC would reduce STIs. Physicians and nurses who were willing to offer MMC if provided with adequate training were 2.5 (1.15-5.71 times as likely to choose the best age to perform MMC as less than one year. Finally, if the joint probability of choosing "the best age to perform MMC" as one year or older and having the mistaken belief that "MMC prevents HIV entirely" is reduced by 63% then the probability of finding that performing MMC at less than one year acceptable to health care providers is increased by 35%.Participants demonstrated high levels of knowledge and positive attitudes towards MMC. Although this study suggests that circumcision is acceptable among certain health providers in Haiti, studies

  13. New Life for Astronomical Instruments of the Past at the Astronomical Observatory of Taras Shevchenko

    Science.gov (United States)

    Kazantseva, Liliya

    2012-09-01

    Astronomical instruments of the past are certainly valuable artifacts of the history of science and education. Like other collections of scientific equipment, they also demonstrate i) development of scientific and technical ideas, ii) technological features of the historical period, iii) professional features of artists or companies -- manufacturers, and iv) national and local specificity of production. However, astronomical instruments are also devices made for observations of rare phenomena -- solar eclipses, transits of planets of the solar disk, etc. Instruments used to study these rare events were very different for each event, since the science changed quickly between events. The Astronomical Observatory of Kyiv National Taras Shevchenko University has a collection of tools made by leading European and local shops from the early nineteenth century. These include tools for optically observing the first artificial Earth satellites, photography, chronometry, and meteorology. In addition, it has assembled a library of descriptions of astronomical instruments and makers'price-lists. Of particular interest are the large stationary tools that are still active in their pavilions. Almost every instrument has a long interesting history. Museification of astronomical instruments gives them a second life, expanding educational programs and tracing the development of astronomy in general and scientific institution and region in particular. It would be advisable to first create a regional database of these rare astronomical instruments (which is already being done in Ukraine), then a common global database. By combining all the historical information about astronomical instruments with the advantages of the Internet, you can show the full evolution of an astronomical instrument with all its features. Time is relentless, and much is destroyed, badly kept and thrown in the garbage. We need time to protect, capture, and tell about it.

  14. Spiritual care competence for contemporary nursing practice: A quantitative exploration of the guidance provided by fundamental nursing textbooks.

    Science.gov (United States)

    Timmins, Fiona; Neill, Freda; Murphy, Maryanne; Begley, Thelma; Sheaf, Greg

    2015-11-01

    Spirituality is receiving unprecedented attention in the nursing literature. Both the volume and scope of literature on the topic is expanding, and it is clear that this topic is of interest to nurses. There is consensus that the spiritual required by clients receiving health ought to be an integrated effort across the health care team. Although undergraduate nurses receive some education on the topic, this is ad hoc and inconsistent across universities. Textbooks are clearly a key resource in this area however the extent to which they form a comprehensive guide for nursing students and nurses is unclear. This study provides a hitherto unperformed analysis of core nursing textbooks to ascertain spirituality related content. 543 books were examined and this provides a range of useful information about inclusions and omissions in this field. Findings revealed that spirituality is not strongly portrayed as a component of holistic care and specific direction for the provision of spiritual care is lacking. Fundamental textbooks used by nurses and nursing students ought to inform and guide integrated spiritual care and reflect a more holistic approach to nursing care. The religious and/or spiritual needs of an increasingly diverse community need to be taken seriously within scholarly texts so that this commitment to individual clients' needs can be mirrored in practice. Copyright © 2015 Elsevier Ltd. All rights reserved.

  15. The practice of commissioning healthcare from a private provider: learning from an in-depth case study.

    Science.gov (United States)

    Chambers, Naomi; Sheaff, Rod; Mahon, Ann; Byng, Richard; Mannion, Russell; Charles, Nigel; Exworthy, Mark; Llewellyn, Sue

    2013-01-01

    The direction of health service policy in England is for more diversification in the design, commissioning and provision of health care services. The case study which is the subject of this paper was selected specifically because of the partnering with a private sector organisation to manage whole system redesign of primary care and to support the commissioning of services for people with long term conditions at risk of unplanned hospital admissions and associated service provision activities. The case study forms part of a larger Department of Health funded project on the practice of commissioning which aims to find the best means of achieving a balance between monitoring and control on the one hand, and flexibility and innovation on the other, and to find out what modes of commissioning are most effective in different circumstances and for different services. A single case study method was adopted to explore multiple perspectives of the complexities and uniqueness of a public-private partnership referred to as the "Livewell project". 10 single depth interviews were carried out with key informants across the GP practices, the PCT and the private provider involved in the initiative. The main themes arising from single depth interviews with the case study participants include a particular understanding about the concept of commissioning in the context of primary care, ambitions for primary care redesign, the importance of key roles and strong relationships, issues around the adoption and spread of innovation, and the impact of the current changes to commissioning arrangements. The findings identified a close and high trust relationship between GPs (the commissioners) and the private commissioning support and provider firm. The antecedents to the contract for the project being signed indicated the importance of leveraging external contacts and influence (resource dependency theory). The study has surfaced issues around innovation adoption in the healthcare context

  16. Astronomers Detect Powerful Bursting Radio Source Discovery Points to New Class of Astronomical Objects

    Science.gov (United States)

    2005-03-01

    Astronomers at Sweet Briar College and the Naval Research Laboratory (NRL) have detected a powerful new bursting radio source whose unique properties suggest the discovery of a new class of astronomical objects. The researchers have monitored the center of the Milky Way Galaxy for several years and reveal their findings in the March 3, 2005 edition of the journal, “Nature”. This radio image of the central region of the Milky Way Galaxy holds a new radio source, GCRT J1745-3009. The arrow points to an expanding ring of debris expelled by a supernova. CREDIT: N.E. Kassim et al., Naval Research Laboratory, NRAO/AUI/NSF Principal investigator, Dr. Scott Hyman, professor of physics at Sweet Briar College, said the discovery came after analyzing some additional observations from 2002 provided by researchers at Northwestern University. “"We hit the jackpot!” Hyman said referring to the observations. “An image of the Galactic center, made by collecting radio waves of about 1-meter in wavelength, revealed multiple bursts from the source during a seven-hour period from Sept. 30 to Oct. 1, 2002 — five bursts in fact, and repeating at remarkably constant intervals.” Hyman, four Sweet Briar students, and his NRL collaborators, Drs. Namir Kassim and Joseph Lazio, happened upon transient emission from two radio sources while studying the Galactic center in 1998. This prompted the team to propose an ongoing monitoring program using the National Science Foundation’s Very Large Array (VLA) radio telescope in New Mexico. The National Radio Astronomy Observatory, which operates the VLA, approved the program. The data collected, laid the groundwork for the detection of the new radio source. “Amazingly, even though the sky is known to be full of transient objects emitting at X- and gamma-ray wavelengths,” NRL astronomer Dr. Joseph Lazio pointed out, “very little has been done to look for radio bursts, which are often easier for astronomical objects to produce

  17. Managing distributed software development in the Virtual Astronomical Observatory

    Science.gov (United States)

    Evans, Janet D.; Plante, Raymond L.; Boneventura, Nina; Busko, Ivo; Cresitello-Dittmar, Mark; D'Abrusco, Raffaele; Doe, Stephen; Ebert, Rick; Laurino, Omar; Pevunova, Olga; Refsdal, Brian; Thomas, Brian

    2012-09-01

    The U.S. Virtual Astronomical Observatory (VAO) is a product-driven organization that provides new scientific research capabilities to the astronomical community. Software development for the VAO follows a lightweight framework that guides development of science applications and infrastructure. Challenges to be overcome include distributed development teams, part-time efforts, and highly constrained schedules. We describe the process we followed to conquer these challenges while developing Iris, the VAO application for analysis of 1-D astronomical spectral energy distributions (SEDs). Iris was successfully built and released in less than a year with a team distributed across four institutions. The project followed existing International Virtual Observatory Alliance inter-operability standards for spectral data and contributed a SED library as a by-product of the project. We emphasize lessons learned that will be folded into future development efforts. In our experience, a well-defined process that provides guidelines to ensure the project is cohesive and stays on track is key to success. Internal product deliveries with a planned test and feedback loop are critical. Release candidates are measured against use cases established early in the process, and provide the opportunity to assess priorities and make course corrections during development. Also key is the participation of a stakeholder such as a lead scientist who manages the technical questions, advises on priorities, and is actively involved as a lead tester. Finally, frequent scheduled communications (for example a bi-weekly tele-conference) assure issues are resolved quickly and the team is working toward a common vision.

  18. Tribute to an Astronomer: The Work of Max Ernst on Wilhelm Tempel

    Science.gov (United States)

    Nazé, Yaël

    2016-05-01

    In 1964-1974, the German artist Max Ernst created, with the help of two friends, a series of works (books, movie, and paintings) related to the astronomer Wilhelm Tempel. Mixing actual texts by Tempel and artistic features, this series pays homage to the astronomer by recalling his life and discoveries. Moreover, the core of the project, the book Maximiliana or the Illegal Practice of Astronomy, actually depicts the way science works, making this work of art a most original tribute to a scientist.

  19. Available Tools and Challenges Classifying Cutting-Edge and Historical Astronomical Documents

    Science.gov (United States)

    Lagerstrom, Jill

    2015-08-01

    The STScI Library assists the Science Policies Division in evaluating and choosing scientific keywords and categories for proposals for the Hubble Space Telescope mission and the upcoming James Webb Space Telescope mission. In addition we are often faced with the question “what is the shape of the astronomical literature?” However, subject classification in astronomy in recent times has not been cultivated. This talk will address the available tools and challenges of classifying cutting-edge as well as historical astronomical documents. In at the process, we will give an overview of current and upcoming practices of subject classification in astronomy.

  20. Finding Hidden Treasures: Investigations in US Astronomical Plate Archives

    Czech Academy of Sciences Publication Activity Database

    Hudec, René; Hudec, L.

    2013-01-01

    Roč. 53, č. 1 (2013), s. 23-26 ISSN 1210-2709 R&D Projects: GA ČR GA205/08/1207 Institutional support: RVO:67985815 Keywords : astronomical data archives * astronomical photography * astronomical photographic archives Subject RIV: BH - Optics, Masers, Lasers

  1. New opportunities for astronomical polarimetry

    International Nuclear Information System (INIS)

    Hough, J.H.

    2007-01-01

    Polarimetry has played an important role in many areas of astronomy, through the direct production of polarized flux in synchrotron and cyclotron radiation and the polarized emission from a medium of aligned dust grains (dichroic emission), and its production in secondary processes such as scattering and selective absorption in a medium of aligned grains (dichroic absorption). Future polarimetry at optical and infrared wavelengths, with the new generation of large telescopes and the use of adaptive optics, will provide important advances from the nearby universe to very high redshifts

  2. The Iowa new practice model: Advancing technician roles to increase pharmacists' time to provide patient care services.

    Science.gov (United States)

    Andreski, Michael; Myers, Megan; Gainer, Kate; Pudlo, Anthony

    Determine the effects of an 18-month pilot project using tech-check-tech in 7 community pharmacies on 1) rate of dispensing errors not identified during refill prescription final product verification; 2) pharmacist workday task composition; and 3) amount of patient care services provided and the reimbursement status of those services. Pretest-posttest quasi-experimental study where baseline and study periods were compared. Pharmacists and pharmacy technicians in 7 community pharmacies in Iowa. The outcome measures were 1) percentage of technician verified refill prescriptions where dispensing errors were not identified on final product verification; 2) percentage of time spent by pharmacists in dispensing, management, patient care, practice development, and other activities; 3) the number of pharmacist patient care services provided per pharmacist hours worked; and 4) percentage of time that technician product verification was used. There was no significant difference in overall errors (0.2729% vs. 0.5124%, P = 0.513), patient safety errors (0.0525% vs. 0.0651%, P = 0.837), or administrative errors (0.2204% vs. 0.4784%, P = 0.411). Pharmacist's time in dispensing significantly decreased (67.3% vs. 49.06%, P = 0.005), and time in direct patient care (19.96% vs. 34.72%, P = 0.003), increased significantly. Time in other activities did not significantly change. Reimbursable services per pharmacist hour (0.11 vs. 0.30, P = 0.129), did not significantly change. Non-reimbursable services increased significantly (2.77 vs. 4.80, P = 0.042). Total services significantly increased (2.88 vs. 5.16, P = 0.044). Pharmacy technician product verification of refill prescriptions preserved dispensing safety while significantly increasing the time spent in delivery of pharmacist provided patient care services. The total number of pharmacist services provided per hour also increased significantly, driven primarily by a significant increase in the number of non

  3. ASTRONOMICAL PLATE ARCHIVES AND SUPERMASSIVE BLACK HOLE BINARIES

    Directory of Open Access Journals (Sweden)

    René Hudec

    2013-12-01

    Full Text Available The recent extensive digitisation of astronomical photographic plate archives, the development of new dedicated software and the use of powerful computers have for the first time enabled effective data mining in extensive plate databases, with wide applications in various fields of recent astrophysics. As an example, analyses of supermassive binary black holes (binary blazars require very long time intervals (50 years and more, which cannot be provided by other data sources. Examples of data obtained from data mining in plate archives are presented and briefly discussed.

  4. SPHEREx: Science Opportunities for the Astronomical Community

    Science.gov (United States)

    Cooray, Asantha; SPHEREx Science Team

    2018-01-01

    SPHEREx, a mission in NASA's Medium Explorer (MIDEX) program that was selected for Phase A study in August 2017, will perform an all-sky near-infrared spectral survey between 0.75 - 5.0 microns. The survey will reach 18.3 AB mag (5 sigma) in R=41 filters, with R=135 coverage between 4.2 - 5.0 microns. The key science topics of the SPHEREx team are: (a) primordial non-Gaussianity through 3-dimensional galaxy clustering; (b) extragalactic background light fluctuations; and (c) ices and biogenic molecules in the interstellar medium and towards protoplanetary environments.The large legacy dataset of SPHEREx will enable a large number of scientific studies and find interesting targets for follow-up observations with Hubble, JWST, ALMA, among other facilities. The SPHEREx catalog will include 1.4 billion galaxies, with redshifts secured for more than 10 and 120 million with fractional accuracies in error/(1+z) better than 0.3% and 3%, respectively. The spectral coverage and resolution provided by SPHEREx are adequate to determine redshifts for most WISE-detected sources with an accuracy better than 3%. The catalog will contain close to 1.5 million quasars including 300 bright QSOs at z > 7 during the epoch of reionization, based on observational extrapolations. The catalog will be adequate to obtain redshifts for all 25,000 galaxy clusters expected to be detected in X-rays with e-Rosita. SPHEREx produces all-sky maps of the Galactic emission lines, including hydrocarbon emission around 3 microns.In this poster, we will show example science studies the broader astronomical community will be able to lead using the SPHEREx database. We will also outline existing plans within the SPHEREx team to develop software tools to enable easy access to the data and to conduct catalog searches, and ways in which the community can provide input to the SPHEREx Science Team on scientific studies and data/software requirements for those studies. The team is eager to develop best software

  5. The first astronomical hypothesis based on cinematographical observations: Costa Lobo's 1912 evidence for polar flattening of the moon

    Science.gov (United States)

    Bonifácio, Vitor; Malaquias, Isabel; Fernandes, João

    2010-07-01

    Acceptance by the scientific community of results obtained with new technology can be a complex process. A particularly good example is provided by the unexpected hypothesis raised by Francisco Miranda da Costa Lobo upon examination of the cinematographic film obtained during the solar eclipse of 17 April 1912. Contrary to contemporary practice this eclipse was eagerly awaited in view of its astrometrical rather than astrophysical scientific interest. The observation of this hybrid eclipse provided, in theory, a good opportunity to improve several astrometric parameters, and in particular the Moon's apparent diameter. Observations were performed from Portugal to Russia and, for the first time, movie cameras were widely deployed to register astronomical phenomena. Upon analysing the film obtained at Ovar (Portugal), Costa Lobo realised that during totality Baily's Beads were not symmetrically distributed around the Moon. As an explanation and opposing current belief he proposed a lunar flattening in the range 1/1156 to 1/380. Initially other eclipse observers supported Costa Lobo's claim. In particular, Father Willaert obtained a flattening value of 1/2050 from his cinematographic film taken at Namur (Belgium). However, these results were quickly disregarded by the international astronomical community which favoured an explanation based upon the irregularities of the lunar profile. In this paper we recall the characteristics of the 17 April 1912 eclipse and the cinematographic observations, and review the results obtained. We conclude that the lack of attention paid by the astronomical community to the new cinematographical results and Camille Flammarion's superficial analysis of the data were instrumental in the rejection of Costa Lobo's hypothesis.

  6. AstroFrauenNetzwerk Survey Results - Career situation of female astronomers in Germany

    Science.gov (United States)

    Fohlmeister, J.; Helling, Ch.

    2012-04-01

    We survey the job situation of women in astronomy in Germany and of German women abroad and review indicators for their career development. Our sample includes women astronomers from all academic levels from doctoral students to professors, as well as female astronomers who have left the field. We find that networking and human support are among the most important factors for success. Experience shows that students should carefully choose their supervisor and collect practical knowledge abroad. We reflect the private situation of female German astronomers and find that prejudices are abundant, and are perceived as discriminating. We identify reasons why women are more likely than men to quit astronomy after they obtain their PhD degree. We give recommendations to young students on what to pay attention to in order to be on the successful path in astronomy.

  7. European practices of providing of efficiency of self-organizations institutions of population in the context of public services

    Directory of Open Access Journals (Sweden)

    T. V. Serohina

    2017-06-01

    level of financing carried out by persons with appropriate competence and qualifications. The example of Portugal discloses the status of self-organization institutions as public benefit organizations, which provides them of advantages, particularly in competition with private sector organizations. However, in the light of practical implementation of the principle of subsidiarity and other elements of decentralization is appropriate to introduce European experience in the domestic soil in the context of attracting self-organization institutions in the scope of public services delivery. The results of the study formulated the main components of a mechanism to ensure effectiveness of the self-organizations institutions in the provision of public services: subsidies of statutory activities; delegation of services; regulatory support; recognition of the status of self-organization institutions as public benefit organizations; limitation of agreements terms.

  8. Evolution of Hereditary Breast Cancer Genetic Services: Are Changes Reflected in the Knowledge and Clinical Practices of Florida Providers?

    Science.gov (United States)

    Cragun, Deborah; Scherr, Courtney; Camperlengo, Lucia; Vadaparampil, Susan T; Pal, Tuya

    2016-10-01

    We describe practitioner knowledge and practices related to hereditary breast and ovarian cancer (HBOC) in an evolving landscape of genetic testing. A survey was mailed in late 2013 to Florida providers who order HBOC testing. Descriptive statistics were conducted to characterize participants' responses. Of 101 respondents, 66% indicated either no genetics education or education through a commercial laboratory. Although 79% of respondents were aware of the Supreme Court ruling resulting in the loss of Myriad Genetics' BRCA gene patent, only 19% had ordered testing from a different laboratory. With regard to pretest counseling, 78% of respondents indicated they usually discuss 11 of 14 nationally recommended elements for informed consent. Pretest discussion times varied from 3 to 120 min, with approximately half spending 40% of respondents included (1) possibility of a variant of uncertain significance (VUS) and (2) issues related to life/disability insurance. With regard to genetic testing for HBOC, 88% would test an unaffected sister of a breast cancer patient identified with a BRCA VUS. Results highlight the need to identify whether variability in hereditary cancer service delivery impacts patient outcomes. Findings also reveal opportunities to facilitate ongoing outreach and education.

  9. Enhancing pediatric workforce diversity and providing culturally effective pediatric care: implications for practice, education, and policy making.

    Science.gov (United States)

    2013-10-01

    This policy statement serves to combine and update 2 previously independent but overlapping statements from the American Academy of Pediatrics (AAP) on culturally effective health care (CEHC) and workforce diversity. The AAP has long recognized that with the ever-increasing diversity of the pediatric population in the United States, the health of all children depends on the ability of all pediatricians to practice culturally effective care. CEHC can be defined as the delivery of care within the context of appropriate physician knowledge, understanding, and appreciation of all cultural distinctions, leading to optimal health outcomes. The AAP believes that CEHC is a critical social value and that the knowledge and skills necessary for providing CEHC can be taught and acquired through focused curricula across the spectrum of lifelong learning. This statement also addresses workforce diversity, health disparities, and affirmative action. The discussion of diversity is broadened to include not only race, ethnicity, and language but also cultural attributes such as gender, religious beliefs, sexual orientation, and disability, which may affect the quality of health care. The AAP believes that efforts must be supported through health policy and advocacy initiatives to promote the delivery of CEHC and to overcome educational, organizational, and other barriers to improving workforce diversity.

  10. Climate and carbon-cycle response to astronomical forcing over the last 35 Ma.

    Science.gov (United States)

    De Vleeschouwer, D.; Palike, H.; Vahlenkamp, M.; Crucifix, M.

    2017-12-01

    On a million-year time scale, the characteristics of insolation forcing caused by cyclical variations in the astronomical parameters of the Earth remain stable. Nevertheless, Earth's climate responded very differently to this forcing during different parts of the Cenozoic. The recently-published ∂18Obenthic megasplice (De Vleeschouwer et al., 2017) allowed for a clear visualization of these changes in global climate response to astronomical forcing. However, many open questions remain regarding how carbon-cycle dynamics influence Earth's climate sensitivity to astronomical climate forcing. To provide insight into the interaction between the carbon cycle and astronomical insolation forcing, we built a benthic carbon isotope (∂13Cbenthic) megasplice for the last 35 Ma, employing the same technique used to build the ∂18Obenthic megasplice. The ∂13Cbenthic megasplice exhibits a strong imprint of the 405 and 100-kyr eccentricity cycles throughout the last 35 Ma. This is intriguing, as the oxygen isotope megasplice looses its eccentricity imprint after the mid-Miocene climatic transition (MMCT; see Fig. 1 in De Vleeschouwer et al., 2017). In other words, the carbon cycle responded completely differently to astronomical forcing, compared to global climate during the late Miocene. We visualize this difference in response by the application of a Gaussian process, which renders the dependence of one variable (here ∂18Obenthic or ∂13Cbenthic) in a multidimensional space (here precession, obliquity and eccentricity). Together, the ∂13Cbenthic and ∂18Obenthic megasplices thus provide a unique tool for paleoclimatology, allowing for the quantification and visualization of the changing paleoclimate and carbon-cycle response to astronomical forcing throughout geologic time. References De Vleeschouwer, D., Vahlenkamp, M., Crucifix, M., Pälike, H., 2017. Alternating Southern and Northern Hemisphere climate response to astronomical forcing during the past 35 m

  11. Division B Commission 6: Astronomical Telegrams

    Science.gov (United States)

    Yamaoka, H.; Green, D. W. E.; Samus, N. N.; Aksnes, K.; Gilmore, A. C.; Nakano, S.; Sphar, T.; Tichá, J.; Williams, G. V.

    2016-04-01

    IAU Commission 6 ``Astronomical Telegrams'' had a single business meeting during Honolulu General Assembly of the IAU. It took place on Tuesday, 11 August 2015. The meeting was attended by Hitoshi Yamaoka (President), Daniel Green (Director of the Central Bureau for Astronomical Telegrams, CBAT, via Skype), Steven Chesley (JPL), Paul Chodas (JPL), Alan Gilmore (Canterbury University), Shinjiro Kouzuma (Chukyo University), Paolo Mazzali (Co-Chair of the Supernova Working Group), Elena Pian (Scuola Normale Superiore di Pisa), Marion Schmitz (chair IAU Working Group Designations + NED), David Tholen (University of Hawaii), Jana Ticha (Klet Observatory), Milos Tichy (Klet Observatory), Giovanni Valsecchi (INAF\\slash Italy), Gareth Williams (Minor Planet Center). Apologies: Nikolai Samus (General Catalogue of Variable Stars, GCVS).

  12. International Astronomical Union Sympoisum No.50

    CERN Document Server

    Westerlund, B

    1973-01-01

    Dr J. Landi Dessy, Director of the Astronomical Observatory, Cordoba, Argentina, invited the International Astronomical Union to hold a Symposium in Cordoba in connection with the celebration of the Centennial of the Cordoba Observatory; the date of foundation is October 24, 1871. He proposed that the Symposium should deal with Spectral Classification and Multicolour Photometry as seven years had elapsed since the Symposium No. 24 in Saltsj6baden, and much development had occurred in the field. The invitation and the proposal were accepted by the IAU, and the Symposium was held in Villa Carlos Paz, near Cordoba, between October 18 and October 24, 1971. It was attended by about 50 scientists representing Argentina, Canada, Chile, Den­ mark, France, Germany, Italy, Mexico, Sweden, Switzerland, U.K., U.S.A., Vatican City State and Venezuela. The Symposium was divided into four sessions: 1. Classification of slit spectra, 2. Classification of objective-prism spectra, 3. Photometric classification, 4. Catalogues ...

  13. Isaac Newton and the astronomical refraction.

    Science.gov (United States)

    Lehn, Waldemar H

    2008-12-01

    In a short interval toward the end of 1694, Isaac Newton developed two mathematical models for the theory of the astronomical refraction and calculated two refraction tables, but did not publish his theory. Much effort has been expended, starting with Biot in 1836, in the attempt to identify the methods and equations that Newton used. In contrast to previous work, a closed form solution is identified for the refraction integral that reproduces the table for his first model (in which density decays linearly with elevation). The parameters of his second model, which includes the exponential variation of pressure in an isothermal atmosphere, have also been identified by reproducing his results. The implication is clear that in each case Newton had derived exactly the correct equations for the astronomical refraction; furthermore, he was the first to do so.

  14. EDUCATIONAL ASTRONOMICAL OBSERVATIONS ON REMOTE ACCESS TELESCOPES

    Directory of Open Access Journals (Sweden)

    Ivan P. Kriachko

    2016-01-01

    Full Text Available The purpose of this article is to show the way of overcoming one of the major problems of astronomy teaching methods in upper secondary school – organization of educational astronomical observations. Nowadays it became possible to perform such observations on remote access telescopes. By using up-to-date informational and communicational technologies, having an opportunity to work with robotic telescopes allows us to organize a unique cognitive and research oriented activities for students while conducting their specialized astronomical studies. Below here is given a brief description of the most significant robotic telescopes and the way of the usage of open remote access telescopic network which was created by professors and scientists of Harvard-Smithsonian Center for Astrophysics, USA.

  15. Recruitment and Retention of LGBTIQ Astronomers

    Science.gov (United States)

    Dixon, William Van Dyke

    2012-01-01

    While lesbian, gay, bisexual, transgender, intersex, or questioning (LGBTIQ) astronomers face many of the same workplace challenges as women and racial/ethnic minorities, from implicit bias to overt discrimination, other challenges are unique to this group. An obvious example is the absence at many institutions of health insurance and other benefits for the same-sex domestic partners of their employees. More subtle is the psychological toll paid by LGBTIQ astronomers who remain "in the closet," self-censoring every statement about their personal lives. Paradoxically, the culture of the physical sciences, in which sexuality, gender identity, and gender expression are considered irrelevant, can discourage their discussion, further isolating LGBTIQ researchers. Addressing these challenges is not just a matter of fairness; it is an essential tool in the recruitment and retention of the brightest researchers and in assuring their productivity. We will discuss these issues and what individuals and departments can to make their institutions more welcoming to their LGBTIQ colleagues.

  16. Astronomía Mocoví

    Science.gov (United States)

    López, A.; Giménez Benitez, S.; Fernández, L.

    El presente trabajo, es una revisión crítica de la astronomía en la cultura Mocoví, aportando a lo realizado previamente por Lehmann Nistche (Lehmann Nistche, 1924 y 1927) el resultado de nuestro trabajo de campo. Un mayor conocimiento de las cosmovisiones de las etnias de esta área es fundamental para una mejor comprensión de la dispersión de las ideas cosmológicas entre los pueblos aborígenes americanos, dada la importancia del corredor chaqueño como conexión entre las altas culturas andinas, la mesopotamia y la región pampeana (Susnik, 1972). Para ello se realiza una comparación con otras cosmovisiones del área americana. Nuestro aporte se enmarca dentro de las actuales líneas de trabajo mundialmente en desarrollo en Astronomía en la Cultura.

  17. The data analysis facilities that astronomers want

    International Nuclear Information System (INIS)

    Disney, M.

    1985-01-01

    This paper discusses the need and importance of data analysis facilities and what astronomers ideally want. A brief survey is presented of what is available now and some of the main deficiencies and problems with today's systems are discussed. The main sources of astronomical data are presented incuding: optical photographic, optical TV/CCD, VLA, optical spectros, imaging x-ray satellite, and satellite planetary camera. Landmark discoveries are listed in a table, some of which include: our galaxy as an island, distance to stars, H-R diagram (stellar structure), size of our galaxy, and missing mass in clusters. The main problems at present are discussed including lack of coordinated effort and central planning, differences in hardware, and measuring performance

  18. The business end of health information technology. Can a fully integrated electronic health record increase provider productivity in a large community practice?

    Science.gov (United States)

    De Leon, Samantha; Connelly-Flores, Alison; Mostashari, Farzad; Shih, Sarah C

    2010-01-01

    Electronic health records (EHRs) are expected to transform and improve the way medicine is practiced. However, providers perceive many barriers toward implementing new health information technology. Specifically, they are most concerned about the potentially negative impact on their practice finances and productivity. This study compares the productivity of 75 providers at a large urban primary care practice from January 2005 to February 2009, before and after implementing an EHR system, using longitudinal mixed model analyses. While decreases in productivity were observed at the time the EHR system was implemented, most providers quickly recovered, showing increases in productivity per month shortly after EHR implementation. Overall, providers had significant productivity increases of 1.7% per month per provider from pre- to post-EHR adoption. The majority of the productivity gains occurred after the practice instituted a pay-for-performance program, enabled by the data capture of the EHRs. Coupled with pay-for-performance, EHRs can spur rapid gains in provider productivity.

  19. A website for astronomical news in Spanish

    Science.gov (United States)

    Ortiz-Gil, A.

    2008-06-01

    Noticias del Cosmos is a collection of web pages within the Astronomical Observatory of the University of Valencia's website where we publish short daily summaries of astronomical press releases. Most, if not all of, the releases are originally written in English, and often Spanish readers may find them difficult to understand because not many people are familiar with the scientific language employed in these releases. Noticias del Cosmos has two principal aims. First, we want to communicate the latest astronomical news on a daily basis to a wide Spanish-speaking public who would otherwise not be able to read them because of the language barrier. Second, daily news can be used as a tool to introduce the astronomical topics of the school curriculum in a more immediate and relevant way. Most of the students at school have not yet reached a good enough level in their knowledge of English to fully understand a press release, and Noticias del Cosmos offers them and their teachers this news in their mother tongue. During the regular programme of school visits at the Observatory we use the news as a means of showing that there is still a lot to be discovered. So far the visits to the website have been growing steadily. Between June 2003 and June 2007 we had more than 30,000 visits (excluding 2006). More than 50% of the visits come from Spain, followed by visitors from South and Central America. The feedback we have received from teachers so far has been very positive, showing the usefulness of news items in the classroom when teaching astronomy.

  20. Astronomical random numbers for quantum foundations experiments

    Science.gov (United States)

    Leung, Calvin; Brown, Amy; Nguyen, Hien; Friedman, Andrew S.; Kaiser, David I.; Gallicchio, Jason

    2018-04-01

    Photons from distant astronomical sources can be used as a classical source of randomness to improve fundamental tests of quantum nonlocality, wave-particle duality, and local realism through Bell's inequality and delayed-choice quantum eraser tests inspired by Wheeler's cosmic-scale Mach-Zehnder interferometer gedanken experiment. Such sources of random numbers may also be useful for information-theoretic applications such as key distribution for quantum cryptography. Building on the design of an astronomical random number generator developed for the recent cosmic Bell experiment [Handsteiner et al. Phys. Rev. Lett. 118, 060401 (2017), 10.1103/PhysRevLett.118.060401], in this paper we report on the design and characterization of a device that, with 20-nanosecond latency, outputs a bit based on whether the wavelength of an incoming photon is greater than or less than ≈700 nm. Using the one-meter telescope at the Jet Propulsion Laboratory Table Mountain Observatory, we generated random bits from astronomical photons in both color channels from 50 stars of varying color and magnitude, and from 12 quasars with redshifts up to z =3.9 . With stars, we achieved bit rates of ˜1 ×106Hz/m 2 , limited by saturation of our single-photon detectors, and with quasars of magnitudes between 12.9 and 16, we achieved rates between ˜102 and 2 ×103Hz /m2 . For bright quasars, the resulting bitstreams exhibit sufficiently low amounts of statistical predictability as quantified by the mutual information. In addition, a sufficiently high fraction of bits generated are of true astronomical origin in order to address both the locality and freedom-of-choice loopholes when used to set the measurement settings in a test of the Bell-CHSH inequality.

  1. International astronomical remote present observation on IRC.

    Science.gov (United States)

    Ji, Kaifan; Cao, Wenda; Song, Qian

    On March 6 - 7, 1997, an international astronomical remote present observation (RPO) was made on Internet Relay Chat (IRC) for the first time. Seven groups in four countries, China, United States, Canada and Great Britain, used the 1 meter telescope of Yunnan observatory together by the way of remote present observation. Within minutes, images were "On-line" by FTP, and every one was able to get them by anonymous ftp and discuss them on IRC from different widely separated sites.

  2. The Astronomical Pulse of Global Extinction Events

    Directory of Open Access Journals (Sweden)

    David F.V. Lewis

    2006-01-01

    Full Text Available The linkage between astronomical cycles and the periodicity of mass extinctions is reviewed and discussed. In particular, the apparent 26 million year cycle of global extinctions may be related to the motion of the solar system around the galaxy, especially perpendicular to the galactic plane. The potential relevance of Milankovitch cycles is also explored in the light of current evidence for the possible causes of extinction events over a geological timescale.

  3. Celestial delights the best astronomical events through 2020

    CERN Document Server

    Reddy, Francis

    2012-01-01

    Celestial Delights is the essential 'TV Guide' for the sky. Through extensive graphics integrated with an eight-year-long calendar of sky events, it provides a look at "don't miss" sky events, mostly for naked-eye and binocular observing. It is organized by ease of observation – lunar phases and the brighter planets come first, with solar eclipses, the aurora, and comets coming later. This third edition also includes a hefty dose of sky lore, astronomical history, and clear overviews of current science. It provides a handy reference to upcoming naked-eye events, with information broken out in clear and simple diagrams and tables that are cross-referenced against a detailed almanac for each year covered. This book puts a variety of information all in one place, presents it in a friendly way that does not require prior in-depth astronomical knowledge, and provides the context and historical background for understanding events that astronomy software or web sites lack.

  4. Elizabeth Brown (1830-1899), solar astronomer

    Science.gov (United States)

    Creese, M.

    1998-08-01

    Were it not for the fact that she was a woman, Elizabeth Brown might well be thought of as a fairly typical nineteenth-century British amateur astronomer. She has a place, although a relatively modest one, in the distinguished group of people who, with their own fortunes, carried out much of the astronomical research being done in the country at a time before extensive government support was forthcoming for the work.1 Her career in fact follows a pattern common to several of the nineteenth-century men astronomers in that her full productive period came only after she was freed from her primary responsibilities; she did not have to amass the necessary financial resources as did many of the men,2 but she had the time-consuming responsibility, not unusual for a Victorian woman, of caring for a parent through a lengthy old age. Only after her father died at the age of ninety-one, did Elizabeth, then in her early fifties, begin her sixteen years of remarkable public activity in astronomy.

  5. GalileoMobile: Astronomical activities in schools

    Science.gov (United States)

    Dasi Espuig, Maria; Vasquez, Mayte; Kobel, Philippe

    GalileoMobile is an itinerant science education initiative run on a voluntary basis by an international team of astronomers, educators, and science communicators. Our team's main goal is to make astronomy accessible to schools and communities around the globe that have little or no access to outreach actions. We do this by performing teacher workshops, activities with students, and donating educational material. Since the creation of GalileoMobile in 2008, we have travelled to Chile, Bolivia, Peru, India, and Uganda, and worked with 56 schools in total. Our activities are centred on the GalileoMobile Handbook of Activities that comprises around 20 astronomical activities which we adapted from many different sources, and translated into 4 languages. The experience we gained in Chile, Bolivia, Peru, India, and Uganda taught us that (1) bringing experts from other countries was very stimulating for children as they are naturally curious about other cultures and encourages a collaboration beyond borders; (2) high-school students who were already interested in science were always very eager to interact with real astronomers doing research to ask for career advice; (3) inquiry-based methods are important to make the learning process more effective and we have therefore, re-adapted the activities in our Handbook according to these; (4) local teachers and university students involved in our activities have the potential to carry out follow-up activities, and examples are those from Uganda and India.

  6. Astrobiology: An astronomer's perspective

    International Nuclear Information System (INIS)

    Bergin, Edwin A.

    2014-01-01

    In this review we explore aspects of the field of astrobiology from an astronomical viewpoint. We therefore focus on the origin of life in the context of planetary formation, with additional emphasis on tracing the most abundant volatile elements, C, H, O, and N that are used by life on Earth. We first explore the history of life on our planet and outline the current state of our knowledge regarding the delivery of the C, H, O, N elements to the Earth. We then discuss how astronomers track the gaseous and solid molecular carriers of these volatiles throughout the process of star and planet formation. It is now clear that the early stages of star formation fosters the creation of water and simple organic molecules with enrichments of heavy isotopes. These molecules are found as ice coatings on the solid materials that represent microscopic beginnings of terrestrial worlds. Based on the meteoritic and cometary record, the process of planet formation, and the local environment, lead to additional increases in organic complexity. The astronomical connections towards this stage are only now being directly made. Although the exact details are uncertain, it is likely that the birth process of star and planets likely leads to terrestrial worlds being born with abundant water and organics on the surface

  7. Astronomical Virtual Observatories Through International Collaboration

    Directory of Open Access Journals (Sweden)

    Masatoshi Ohishi

    2010-03-01

    Full Text Available Astronomical Virtual Observatories (VOs are emerging research environment for astronomy, and 16 countries and a region have funded to develop their VOs based on international standard protocols for interoperability. The 16 funded VO projects have established the International Virtual Observatory Alliance (http://www.ivoa.net/ to develop the standard interoperable interfaces such as registry (meta data, data access, query languages, output format (VOTable, data model, application interface, and so on. The IVOA members have constructed each VO environment through the IVOA interfaces. National Astronomical Observatory of Japan (NAOJ started its VO project (Japanese Virtual Observatory - JVO in 2002, and developed its VO system. We have succeeded to interoperate the latest JVO system with other VOs in the USA and Europe since December 2004. Observed data by the Subaru telescope, satellite data taken by the JAXA/ISAS, etc. are connected to the JVO system. Successful interoperation of the JVO system with other VOs means that astronomers in the world will be able to utilize top-level data obtained by these telescopes from anywhere in the world at anytime. System design of the JVO system, experiences during our development including problems of current standard protocols defined in the IVOA, and proposals to resolve these problems in the near future are described.

  8. Astrobiology: An astronomer's perspective

    Energy Technology Data Exchange (ETDEWEB)

    Bergin, Edwin A. [University of Michigan, Department of Astronomy, 500 Church Street, Ann Arbor, MI 48109 (United States)

    2014-12-08

    In this review we explore aspects of the field of astrobiology from an astronomical viewpoint. We therefore focus on the origin of life in the context of planetary formation, with additional emphasis on tracing the most abundant volatile elements, C, H, O, and N that are used by life on Earth. We first explore the history of life on our planet and outline the current state of our knowledge regarding the delivery of the C, H, O, N elements to the Earth. We then discuss how astronomers track the gaseous and solid molecular carriers of these volatiles throughout the process of star and planet formation. It is now clear that the early stages of star formation fosters the creation of water and simple organic molecules with enrichments of heavy isotopes. These molecules are found as ice coatings on the solid materials that represent microscopic beginnings of terrestrial worlds. Based on the meteoritic and cometary record, the process of planet formation, and the local environment, lead to additional increases in organic complexity. The astronomical connections towards this stage are only now being directly made. Although the exact details are uncertain, it is likely that the birth process of star and planets likely leads to terrestrial worlds being born with abundant water and organics on the surface.

  9. AAS Publishing News: Astronomical Software Citation Workshop

    Science.gov (United States)

    Kohler, Susanna

    2015-07-01

    Do you write code for your research? Use astronomical software? Do you wish there were a better way of citing, sharing, archiving, or discovering software for astronomy research? You're not alone! In April 2015, AAS's publishing team joined other leaders in the astronomical software community in a meeting funded by the Sloan Foundation, with the purpose of discussing these issues and potential solutions. In attendance were representatives from academic astronomy, publishing, libraries, for-profit software sharing platforms, telescope facilities, and grantmaking institutions. The goal of the group was to establish “protocols, policies, and platforms for astronomical software citation, sharing, and archiving,” in the hopes of encouraging a set of normalized standards across the field. The AAS is now collaborating with leaders at GitHub to write grant proposals for a project to develop strategies for software discoverability and citation, in astronomy and beyond. If this topic interests you, you can find more details in this document released by the group after the meeting: http://astronomy-software-index.github.io/2015-workshop/ The group hopes to move this project forward with input and support from the broader community. Please share the above document, discuss it on social media using the hashtag #astroware (so that your conversations can be found!), or send private comments to julie.steffen@aas.org.

  10. Astronomical Data Integration Beyond the Virtual Observatory

    Science.gov (United States)

    Lemson, G.; Laurino, O.

    2015-09-01

    "Data integration" generally refers to the process of combining data from different source data bases into a unified view. Much work has been devoted in this area by the International Virtual Observatory Alliance (IVOA), allowing users to discover and access databases through standard protocols. However, different archives present their data through their own schemas and users must still select, filter, and combine data for each archive individually. An important reason for this is that the creation of common data models that satisfy all sub-disciplines is fraught with difficulties. Furthermore it requires a substantial amount of work for data providers to present their data according to some standard representation. We will argue that existing standards allow us to build a data integration framework that works around these problems. The particular framework requires the implementation of the IVOA Table Access Protocol (TAP) only. It uses the newly developed VO data modelling language (VO-DML) specification, which allows one to define extensible object-oriented data models using a subset of UML concepts through a simple XML serialization language. A rich mapping language allows one to describe how instances of VO-DML data models are represented by the TAP service, bridging the possible mismatch between a local archive's schema and some agreed-upon representation of the astronomical domain. In this so called local-as-view approach to data integration, “mediators" use the mapping prescriptions to translate queries phrased in terms of the common schema to the underlying TAP service. This mapping language has a graphical representation, which we expose through a web based graphical “drag-and-drop-and-connect" interface. This service allows any user to map the holdings of any TAP service to the data model(s) of choice. The mappings are defined and stored outside of the data sources themselves, which allows the interface to be used in a kind of crowd-sourcing effort

  11. In the Jungle of Astronomical On--line Data Services

    Science.gov (United States)

    Egret, D.

    The author tried to survive in the jungle of astronomical on--line data services. In order to find efficient answers to common scientific data retrieval requests, he had to collect many pieces of information, in order to formulate typical user scenarios, and try them against a number of different data bases, catalogue services, or information systems. He discovered soon how frustrating treasure coffers may be when their keys are not available, but he realized also that nice widgets and gadgets are of no help when the information is not there. And, before long, he knew he would have to navigate through several systems because no one was yet offering a general answer to all his questions. I will present examples of common user scenarios and show how they were tested against a number of services. I will propose some elements of classification which should help the end-user to evaluate how adequate the different services may be for providing satisfying answers to specific queries. For that, many aspects of the user interaction will be considered: documentation, access, query formulation, functionalities, qualification of the data, overall efficiency, etc. I will also suggest possible improvements to the present situation: the first of them being to encourage system managers to increase collaboration between one another, for the benefit of the whole astronomical community. The subjective review I will present, is based on publicly available astronomical on--line services from the U.S. and from Europe, most of which (excepting the newcomers) were described in ``Databases and On-Line Data in Astronomy", (Albrecht & Egret, eds, 1991): this includes databases (such as NED and Simbad ), catalog services ( StarCat , DIRA , XCatScan , etc.), and information systems ( ADS and ESIS ).

  12. The Hunt for Pristine Cretaceous Astronomical Rhythms at Demerara Rise (Cenomanian-Coniacian)

    Science.gov (United States)

    Ma, C.; Meyers, S. R.

    2014-12-01

    Rhythmic Upper Cretaceous strata from Demerara Rise (ODP leg 207) preserve a strong astronomical signature, and this attribute has facilitated the development of continuous astrochronologies to refine the geologic time scale and calibrate Late Cretaceous biogeochemical events. While the mere identification of astronomical rhythms is a crucial first step in many deep-time paleoceanographic investigations, accurate evaluation of often subtle amplitude and frequency modulations are required to: (1) robustly constrain the linkage between climate and sedimentation, and (2) evaluate the plausibility of different theoretical astrodynamical models. The availability of a wide range of geophysical, lithologic and geochemical data from multiple sites drilled at Demerara Rise - when coupled with recent innovations in the statistical analysis of cyclostratigraphic data - provides an opportunity to hunt for the most pristine record of Cretaceous astronomical rhythms at a tropical Atlantic location. To do so, a statistical metric is developed to evaluate the "internal" consistency of hypothesized astronomical rhythms observed in each data set, particularly with regard to the expected astronomical amplitude modulations. In this presentation, we focus on how the new analysis yields refinements to the existing astrochronologies, provides constraints on the linkages between climate and sedimentation (including the deposition of organic carbon-rich sediments at Demerara Rise), and allows a quantitative evaluation of the continuity of deposition across sites at multiple temporal scales.

  13. The Physicist and Astronomer Christoper Scheiner - Biography Letters, Works

    Science.gov (United States)

    Daxecker, Franz

    The Jesuit priest Christopher Scheiner was one of the most influential astronomers of the first half of the 17th century. He was a creative and down-to-earth natural scientist who worked in the fields of astronomy, physics, optics and ophthalmology, while following his vocations as university lecturer, church builder and pastor. In scientific matters he was Galilei's opponent. Their dispute centred on the priority of discovery in regard to the sunspots. Scheiner was not the first to discover the sunspots, but he gave the most detailed account thereofin his main work "Rosa Ursina sive Sol". He was, however, ceaseless in his defense of the geocentric system. In 1891, Anton v.Braunmühl published a biography of Father Scheiner. Ever since then, new documents have come to light, justifying the publication of a new biography. Among the documents now available is Scheiner's hitherto unknown dissertation. Notes taken during his lectures in Ingolstadt provide valuable information on astronomy using the telescope, an invention of his lifetime. His exchange of letters with personalities like Archduke Leopold V of Austria-Tyrol, with scientists like Magini, Galilei, Gassendi, Kepler and confriars Rader, Guldin, Alber, Minutuli, Cysat und Kircher is a source of precious insights. Letters to Scheiner from the Father Generals of his order display evidence of his superiors' zero tolerance for the helincentric system. They also disclose Scheiner's wish to become a missionary in China, the financial difficulties he faced while trying to find a publisher for his "Rosa Ursina sive Sol" and his personal shortcomings. A Scheiner obituary from 1650 was found in Cracow in 2001. It contains information on the troublesome last years of his life and has finally allowed us to determine the year of his birth. Scheiner's personality has been praised as well as criticized by many authors - sometimes depending on their ideological backgrounds. This holds true especially regarding the argument

  14. Astronomy for older eyes a guide for aging backyard astronomers

    CERN Document Server

    Chen, James L

    2017-01-01

    This book is for the aging amateur astronomy population, including newcomers to astronomy in their retirement and hobbyists who loved peering through a telescope as a child. Whether a novice or an experienced observer, the practice of astronomy differs over the years. This guide will extend the enjoyment of astronomy well into the Golden Years by addressing topics such as eye and overall health issues, recommendations on telescope equipment, and astronomy-related social activities especially suited for seniors. Many Baby-Boomers reaching retirement age are seeking new activities, and amateur astronomy is a perfect fit as a leisure time activity. Established backyard astronomers who began their love of astronomy in their youth , meanwhile, may face many physical and mental challenges in continuing their lifelong hobby as they age beyond their 55th birthdays. That perfect telescope purchased when they were thirty years old now suddenly at sixty years old feels like an immovable object in the living room. The 20...

  15. Survival Strategies for African American Astronomers and Astrophysicists

    Science.gov (United States)

    Holbrook, Jarita C.

    2012-08-01

    The question of how to increase the number of women and minorities in astronomy has been approached from several directions in the United States including examination of admission policies, mentoring, and hiring practices. These point to departmental efforts to improve conditions for some of the students which has the overall benefit of improving conditions for all of the students. However, women and minority astronomers have managed to obtain doctorates even within the non-welcoming environment of certain astronomy and physics departments. I present here six strategies used by African American men and women to persevere if not thrive long enough to earn their doctorate. Embedded in this analysis is the idea of `astronomy culture' and experiencing astronomy culture as a cross-cultural experience including elements of culture shock. These survival strategies are not exclusive to this small subpopulation but have been used by majority students, too.

  16. A List of Astronomical Meetings Available via Mosaic

    Science.gov (United States)

    Bryson, E.; Crabtree, D.

    We have been making a list of astronomical and related meetings available electronically for a number of years. Recently, several meeting organizers have made information about their meetings available via anonymous ftp or even NCSA Mosaic. We have produced a new version of our electronic meeting list available via NCSA Mosaic which provides links to the information being provided electronically. Depending upon the amount of information being provided for an individual meeting, it may be possible for a user browsing the list of meetings to click on the meeting of interest, fill out a registration form, download maps, browse abstracts, etc. We hope the availability of this service will encourage other meeting organizers to make information about their meetings available electronically and to take advantage of new technology such as NCSA Mosaic. URL: http:// cadcwww.dao.nrc.calmeetings/meetings.html

  17. Polishers around the globe: an overview on the market of large astronomical mirrors

    Science.gov (United States)

    Döhring, Thorsten

    2014-07-01

    Astronomical mirrors are key elements in modern optical telescopes, their dimensions are usually large and their specifications are demanding. Only a limited number of skilled companies respectively institutions around the world are able to master the challenge to polish an individual astronomical mirror, especially in dimensions above one meter. This paper presents an overview on the corresponding market including a listing of polishers around the globe. Therefore valuable information is provided to the astronomical community: Polishers may use the information as a global competitor database, astronomers and project managers may get more transparency on potential suppliers, and suppliers of polishing equipment may learn about unknown potential customers in other parts of the world. An evaluation of the historical market demand on large monolithic astronomical mirrors is presented. It concluded that this is still a niche market with a typical mean rate of 1-2 mirrors per year. Polishing of such mirrors is an enabling technology with impact on the development of technical know-how, public relation, visibility and reputation of the supplier. Within a corresponding technical discussion different polishing technologies are described. In addition it is demonstrated that strategic aspects and political considerations are influencing the selection of the optical finisher.

  18. A buyer's and user's guide to astronomical telescopes and binoculars

    CERN Document Server

    Mullaney, James

    2014-01-01

    Amateur astronomers of all skill levels are always contemplating their next telescope, and this book points the way to the most suitable instruments. Similarly, those who are buying their first telescopes – and these days not necessarily a low-cost one – will be able to compare and contrast different types and manufacturers. This revised new guide provides an extensive overview of binoculars and telescopes. It includes detailed up-to-date information on sources, selection and use of virtually every major type, brand, and model on today’s market, a truly invaluable treasure-trove of information and helpful advice for all amateur astronomers. Originally written in 2006, much of the first edition is inevitably now out of date, as equipment advances and manufacturers come and go. This second edition not only updates all the existing sections but adds two new ones: Astro-imaging and Professional-Amateur collaboration. Thanks to the rapid and amazing developments that have been made in digital cameras it is...

  19. Astronomical Polarimetry with the RIT Polarization Imaging Camera

    Science.gov (United States)

    Vorobiev, Dmitry V.; Ninkov, Zoran; Brock, Neal

    2018-06-01

    In the last decade, imaging polarimeters based on micropolarizer arrays have been developed for use in terrestrial remote sensing and metrology applications. Micropolarizer-based sensors are dramatically smaller and more mechanically robust than other polarimeters with similar spectral response and snapshot capability. To determine the suitability of these new polarimeters for astronomical applications, we developed the RIT Polarization Imaging Camera to investigate the performance of these devices, with a special attention to the low signal-to-noise regime. We characterized the device performance in the lab, by determining the relative throughput, efficiency, and orientation of every pixel, as a function of wavelength. Using the resulting pixel response model, we developed demodulation procedures for aperture photometry and imaging polarimetry observing modes. We found that, using the current calibration, RITPIC is capable of detecting polarization signals as small as ∼0.3%. The relative ease of data collection, calibration, and analysis provided by these sensors suggest than they may become an important tool for a number of astronomical targets.

  20. Astronomers, Transits of Venus, and the Birth of Experimental Psychology

    Science.gov (United States)

    Sheehan, William; Thurber, S.

    2012-01-01

    The eighteenth century transits of Venus were regarded as the most important astronomical events of their era. Halley's expectation was that by observing the contact points between the limbs of Venus and the Sun, this distance could be determined to an accuracy of one part in 500. But in the event, it proved otherwise. But, as the British historian Agnes Clerke wrote in 1902: "A transit of Venus seems, at first sight, full of promise for solving the problem of the sun's distance. For nothing would appear easier than to determine exactly either the duration of the passage of a small, dark orb across a large brilliant disc, or the instant of its entry upon or exit from it". But in that word `exactly' what snares and pitfalls lie hid!” In the post-mortem analysis of the disappointing results, astronomers devoted a great deal of effort to understand the sources of errors. They rehearsed their observational techniques by observing, under strictly controlled conditions, transits of artificial planets across artificial Suns, and studied such parameters as attention and reflex reaction. In the process, the transits of Venus provided an important impetus to the early development of experimental psychology.

  1. William Wales and the 1769 transit of Venus: puzzle solving and the determination of the astronomical unit

    Science.gov (United States)

    Metz, Don

    2009-05-01

    According to Thomas Kuhn, a significant part of “normal science” is the fact gathering, empirical work which is intended to illustrate an existing paradigm. Some of this effort focuses on the determination of physical constants such as the astronomical unit (AU). For Kuhn, normal science is also what prepares students for membership in a particular scientific community and is embodied in some form in our science textbooks. However, neither Kuhn nor the textbook says much about the individuals who practice normal science, especially those who had been relegated to the “hack” duties of long and arduous measurement and calculation. In this paper, to provide a context for students of astronomy, I will outline the story of the determination of the AU and in particular the contribution of William Wales, an obscure British astronomer. Wales, toiling in the shadow of Halley (of Halley’s comet fame), Mason and Dixon (of Mason and Dixon line fame) and the infamous Captain Cook endured a brutal winter in northern Canada for a brief glimpse of the 1769 transit of Venus. In the end, Wales supplied one small piece of the puzzle in the determination of the AU and he exemplified the human spirit and persistence of a Kuhnian “puzzle solver”.

  2. Algorithms for classification of astronomical object spectra

    Science.gov (United States)

    Wasiewicz, P.; Szuppe, J.; Hryniewicz, K.

    2015-09-01

    Obtaining interesting celestial objects from tens of thousands or even millions of recorded optical-ultraviolet spectra depends not only on the data quality but also on the accuracy of spectra decomposition. Additionally rapidly growing data volumes demands higher computing power and/or more efficient algorithms implementations. In this paper we speed up the process of substracting iron transitions and fitting Gaussian functions to emission peaks utilising C++ and OpenCL methods together with the NOSQL database. In this paper we implemented typical astronomical methods of detecting peaks in comparison to our previous hybrid methods implemented with CUDA.

  3. Far-infrared spectrophotometer for astronomical observations

    Science.gov (United States)

    Moseley, H.; Silverberg, R. F.

    1981-01-01

    A liquid-helium-cooled far infrared spectrophotometer was built and used to make low resolution observations of the continua of several kinds of astronomical objects using the Kuiper Airborne Observatory. This instrument fills a gap in both sensitivity to continuum sources and spectral resolution between the broadband photometers with lambda/Delta lambda approximately 1 and spectrometers with lambda/Delta lambda greater than 50. While designed primarily to study planetary nebulae, the instrument permits study of the shape of the continua of many weak sources which cannot easily be observed with high resolution systems.

  4. An infrared upconverter for astronomical imaging

    Science.gov (United States)

    Boyd, R. W.; Townes, C. H.

    1977-01-01

    An imaging upconverter has been constructed which is suitable for use in the study of the thermal 10-micron radiation from astronomical sources. The infrared radiation is converted to visible radiation by mixing in a 1-cm-long proustite crystal. The phase-matched 2-kayser bandpass is tunable from 9 to 11 microns. The conversion efficiency is 2 by 10 to the -7th power and the field of view of 40 arc seconds on the sky contains several hundred picture elements, approximately diffraction-limited resolution in a large telescope. The instrument has been used in studies of the sun, moon, Mercury, and VY Canis Majoris.

  5. Le Verrier magnificent and detestable astronomer

    CERN Document Server

    Lequeux, James

    2013-01-01

    Le Verrier was a superb scientist. His discovery of Neptune in 1846 made him the most famous astronomer of his time. He produced a complete theory of the motions of the planets which served as a basis for planetary ephemeris for a full century. Doing this, he discovered an anomaly in the motion of Mercury which later became the first proof of General Relativity. He also founded European meteorology. However his arrogance and bad temper created many enemies, and he was even fired from his position of Director of the Paris Observatory.

  6. The astronomical revolution Copernicus, Kepler, Borelli

    CERN Document Server

    Koyre, Alexandre

    2013-01-01

    Originally published in English in 1973. This volume traces the development of the revolution which so drastically altered man's view of the universe in the sixteenth and seventeenth centuries. The ""astronomical revolution"" was accomplished in three stages, each linked with the work of one man. With Copernicus, the sun became the centre of the universe. With Kepler, celestial dynamics replaced the kinematics of circles and spheres used by Copernicus. With Borelli the unification of celestial and terrestrial physics was completed by abandonment of the circle in favour the straight line to inf

  7. Astronomical Plate Archives and Binary Blazars Studies

    Czech Academy of Sciences Publication Activity Database

    Hudec, René

    2011-01-01

    Roč. 32, 1-2 (2011), s. 91-95 ISSN 0250-6335. [Conference on Multiwavelength Variability of Blazars. Guangzhou, 22,09,2010-24,09,2010] R&D Projects: GA ČR GA205/08/1207 Grant - others:GA ČR(CZ) GA102/09/0997; MŠMT(CZ) ME09027 Institutional research plan: CEZ:AV0Z10030501 Keywords : astronomical plates * plate archives archives * binary blazars Subject RIV: BN - Astronomy, Celestial Mechanics, Astrophysics Impact factor: 0.400, year: 2011

  8. Providing education on evidence-based practice improved knowledge but did not change behaviour: a before and after study

    Directory of Open Access Journals (Sweden)

    Lovarini Meryl

    2005-12-01

    Full Text Available Abstract Background Many health professionals lack the skills to find and appraise published research. This lack of skills and associated knowledge needs to be addressed, and practice habits need to change, for evidence-based practice to occur. The aim of this before and after study was to evaluate the effect of a multifaceted intervention on the knowledge, skills, attitudes and behaviour of allied health professionals. Methods 114 self-selected occupational therapists were recruited. The intervention included a 2-day workshop combined with outreach support for eight months. Support involved email and telephone contact and a workplace visit. Measures were collected at baseline, post-workshop, and eight months later. The primary outcome was knowledge, measured using the Adapted Fresno Test of Evidence-Based Practice (total score 0 to 156. Secondary outcomes were attitude to evidence-based practice (% reporting improved skills and confidence; % reporting barriers, and behaviour measured using an activity diary (% engaging/not engaging in search and appraisal activities, and assignment completion. Results Post-workshop, there were significant gains in knowledge which were maintained at follow-up. The mean difference in the Adapted Fresno Test total score was 20.6 points (95% CI, 15.6 to 25.5. The change from post-workshop to follow-up was small and non-significant (mean difference 1.2 points, 95% CI, -6.0 to 8.5. Fewer participants reported lack of searching and appraisal skills as barriers to evidence-based practice over time (searching = 61%, 53%, 24%; appraisal 60%, 65%, 41%. These differences were statistically significant (p = 0.0001 and 0.010 respectively. Behaviour changed little. Pre-workshop, 6% engaged in critical appraisal increasing to 18% post-workshop and 18% at follow-up. Nearly two thirds (60% were not reading any research literature at follow-up. Twenty-three participants (20.2% completed their assignment. Conclusion Evidence

  9. Young Astronomers' Observe with ESO Telescopes

    Science.gov (United States)

    1995-11-01

    characteristics are listed in great detail. Two are small and dense and the outermost is gaseous. It turns out that the distance to our Earth is 26 light-years and that it would be not be too easy to observe the Ikaros system from here. It is unlikely that life can develop in this planetary system during the relatively short lifetime of the central star. United Kingdom: Mr. Michael Ching, Mr. Richard Field (Teacher) (Oundle School, Peterborough) This project is directed towards variable stars of the pulsating type. It discusses the theory for these pulsations and the peculiar location of these types of stars in the HR-diagramme, as well as the technique to determine distances by means of measurements of the period. Once the period has been found observationally, the Period-Luminosity diagram makes is possible to find the luminosity and hence the distance to the star. The project also involved real measurements of an RR Lyr-type variable with a period of about 1/3 day. For this, a phototransitor and a registering device were used. The expected light variations were clearly seen. Addendum 2 A brief summary of the results obtained at ESO This brief description is based on the provisional data reduction and subsequent interpretation by the six teams, as presented during a final session on November 20, 1995. Further work will allow to quantify the results in greater detail. Each team was guided by a young ESO astronomer as Team Leader and was also provided support during the observations by ESO-astronomers Lex Kaper and Marcus Kissler, as well as by night assistants Vicente Reyes and Jesus Rodriguez (Garching), Hernan Nunez, Jorge Miranda and Victor Merino at (La Silla). For the data reduction, the teams used the MIDAS image processing system; the introduction was provided by Rein Warmels, one of ESO's experts on these matters. Since the teams that were observing during the last night (3A and 3B) had very little time to reduce and interpret their data, it was not possible to carry

  10. Care of astronomical telescopes and accessories a manual for the astronomical observer and amateur telescope maker

    CERN Document Server

    Pepin, M Barlow

    2005-01-01

    Commercially-made astronomical telescopes are better and less expensive than ever before, and their optical and mechanical performance can be superb. When a good-quality telescope fails to perform as well as it might, the reason is quite probably that it needs a little care and attention! Here is a complete guide for anyone who wants to understand more than just the basics of astronomical telescopes and accessories, and how to maintain them in the peak of condition. The latest on safely adjusting, cleaning, and maintaining your equipment is combined with thoroughly updated methods from the old masters. Here, too, are details of choosing new and used optics and accessories, along with enhancements you can make to extend their versatility and useful lifetime. This book is for you. Really. Looking after an astronomical telescope isn't only for the experts - although there are some things that only an expert should attempt - and every serious amateur astronomer will find invaluable information here, gleaned from ...

  11. 150th Anniversary of the Astronomical Observatory Library of Sciences

    Science.gov (United States)

    Solntseva, T.

    The scientific library of the Astronomical observatory of Kyiv Taras Shevchenko University is one of the oldest ones of such a type in Ukraine. Our Astronomical Observatory and its scientific library will celebrate 150th anniversary of their foundation. 900 volumes of duplicates of Olbers' private library underlay our library. These ones were acquired by Russian Academy of Sciences for Poulkovo observatory in 1841 but according to Struve's order were transmitted to Kyiv Saint Volodymyr University. These books are of great value. There are works edited during Copernicus', Kepler's, Galilei's, Newton's, Descartes' lifetime. Our library contains more than 100000 units of storage - monographs, periodical astronomical editions from the first (Astronomische Nachrichten, Astronomical journal, Monthly Notices etc.), editions of the majority of the astronomical observatories and institutions of the world, unique astronomical atlases and maps

  12. The re-definition of the astronomical unit of length:reasons and consequences

    Science.gov (United States)

    Capitaine, Nicole; Klioner, Sergei; McCarthy, Dennis

    2012-08-01

    The astronomical unit (au) is a unit of length approximating the Sun - Earth distance that is used mainly to express the scale of the solar system. Its current definition is based on the value of the Gaussian gravitational constant, k. This conveniently provided accurate relative distances (expressed in astronomical units) when absolute distances could not be estimated with high accuracy. The huge improvement achieved in solar system ephemerides during the last decade provides an opportunity to re - consider the definition and status of the au. This issue was discussed recently by Klioner (2008), Capitaine & Guinot (2009) and Capitaine et al. (2011), as well as within the IAU Working Group on "Numerical Standards for Fundamental astronomy". This resulted in a proposed IAU Resolution recommending that the astronomical unit be re - defined as a fixed number of Système International d ’ Unités (SI) metres through a defining constant. For continuity that constant should be the value of the current best estimate in metres as adopted by IAU 2009 Resolution B2 (i.e. 149 597 870 700 m). After reviewing the properties of the IAU 1976 astronomical unit and its status in the IAU 2009 System of Astronomical Constants, we explain the main reasons for a change; we present and discuss the proposed new definition as well as the advantages over the historical definition. One important consequence is that the heliocentric gravitational constant, GM(Sun), would cease to have a fixed value in astronomical units and will have to be determined experimentally. This would be compliant with modern dynamics of the solar system as it would allow

  13. High Energy Astronomical Data Processing and Analysis via the Internet

    Science.gov (United States)

    Valencic, Lynne A.; Snowden, S.; Pence, W.

    2012-01-01

    The HEASARC at NASA Goddard Space Flight Center and the US XMM-Newton GOF has developed Hera, a data processing facility for analyzing high energy astronomical data over the internet. Hera provides all the disk space and computing resources needed to do general processing of and advanced research on publicly available data from High Energy Astrophysics missions. The data and data products are kept on a server at GSFC and can be downloaded to a user's local machine. Further, the XMM-GOF has developed scripts to streamline XMM data reduction. These are available through Hera, and can also be downloaded to a user's local machine. These are free services provided to students, educators, and researchers for educational and research purposes.

  14. Practice and Perceived Importance of Advance Care Planning and Difficulties in Providing Palliative Care in Geriatric Health Service Facilities in Japan: A Nationwide Survey.

    Science.gov (United States)

    Yokoya, Shoji; Kizawa, Yoshiyuki; Maeno, Takami

    2018-03-01

    The provision of end-of-life (EOL) care by geriatric health service facilities (GHSFs) in Japan is increasing. Advance care planning (ACP) is one of the most important issues to provide quality EOL care. This study aimed to clarify the practice and perceived importance of ACP and the difficulties in providing palliative care in GHSFs. A self-report questionnaire was mailed to head nurses at 3437 GHSFs nationwide. We asked participants about their practices regarding ACP, their recognition of its importance, and their difficulties in providing palliative care. We also analyzed the relationship between these factors and EOL care education. Among 844 respondents (24.5% response rate), approximately 69% to 81% of head nurses confirmed that GHSF residents and their families understood disease conditions and goals of care. There was a large discrepancy between the actual practice of ACP components and the recognition of their importance (eg, asking residents about existing advance directive [AD; 27.5% practiced it, while 79.6% considered it important]; recommending completion of an AD [18.1% vs 68.4%], and asking for designation of a health-care proxy [30.4% vs 76.8%]). The EOL care education was provided at 517 facilities (61.3%). Head nurses working at EOL care education-providing GHSFs practiced ACP significantly more frequently and had significantly fewer difficulties in providing palliative care. A large discrepancy was found between GHSF nurses' practice of ACP and their recognition of its importance. Providing EOL care education in GHSFs may increase ACP practices and enhance respect for resident's preferences concerning EOL care.

  15. Harvey Butcher: a passion for astronomical instrumentation

    Science.gov (United States)

    Bhathal, Ragbir

    2014-11-01

    This paper covers some aspects of the scientific life of Harvey Butcher who was the Director of the Research School for Astronomy and Astrophysics at the Australian National University in Canberra from September 2007 to January 2013. He has made significant contributions to research on the evolution of galaxies, nucleosynthesis, and on the design and implementation of advanced astronomical instrumentation including LOFAR (Low Frequency Array Radio telescope). He is well known for his discovery of the Butcher-Oemler effect. Before coming to Australia he was the Director of the Netherlands Foundation for Research in Astronomy from September 1991 to January 2007. In 2005 he was awarded a Knighthood in the Order of the Netherlands Lion for contributions to interdisciplinary science, innovation and public outreach.This paper is based on an interview conducted by the author with Harvey Butcher for the National Project on Significant Australian Astronomers sponsored by the National Library of Australia. Except otherwise stated, all quotations used in this paper are from the Butcher interview which has been deposited in the Oral History Archives of the National Library.

  16. Powerful Radio Burst Indicates New Astronomical Phenomenon

    Science.gov (United States)

    2007-09-01

    Astronomers studying archival data from an Australian radio telescope have discovered a powerful, short-lived burst of radio waves that they say indicates an entirely new type of astronomical phenomenon. Region of Strong Radio Burst Visible-light (negative greyscale) and radio (contours) image of Small Magellanic Cloud and area where burst originated. CREDIT: Lorimer et al., NRAO/AUI/NSF Click on image for high-resolution file ( 114 KB) "This burst appears to have originated from the distant Universe and may have been produced by an exotic event such as the collision of two neutron stars or the death throes of an evaporating black hole," said Duncan Lorimer, Assistant Professor of Physics at West Virginia University (WVU) and the National Radio Astronomy Observatory (NRAO). The research team led by Lorimer consists of Matthew Bailes of Swinburne University in Australia, Maura McLaughlin of WVU and NRAO, David Narkevic of WVU, and Fronefield Crawford of Franklin and Marshall College in Lancaster, Pennsylvania. The astronomers announced their findings in the September 27 issue of the online journal Science Express. The startling discovery came as WVU undergraduate student David Narkevic re-analyzed data from observations of the Small Magellanic Cloud made by the 210-foot Parkes radio telescope in Australia. The data came from a survey of the Magellanic Clouds that included 480 hours of observations. "This survey had sought to discover new pulsars, and the data already had been searched for the type of pulsating signals they produce," Lorimer said. "We re-examined the data, looking for bursts that, unlike the usual ones from pulsars, are not periodic," he added. The survey had covered the Magellanic Clouds, a pair of small galaxies in orbit around our own Milky Way Galaxy. Some 200,000 light-years from Earth, the Magellanic Clouds are prominent features in the Southern sky. Ironically, the new discovery is not part of these galaxies, but rather is much more distant

  17. Astronomical Alignments in a Neolithic Chinese Site?

    Science.gov (United States)

    Nelson, S.; Stencel, R. E.

    1997-12-01

    In the Manchurian province of Liaoning, near 41N19' and 119E30', exist ruins of a middle Neolithic society (2500 to 4000 BC) known as the Hongshan culture. This location, called Niuheliang, is comprised of 16 locations with monumental structures scattered over 80 square kilometers of hills. Most are stone burial structures that contain jade artifacts implying wealth and power. One structure is unique in being unusually shaped and containing oversized effigies of goddess figures. This structure also has a commanding view of the surrounding landscape. The presence of decorated pottery, jade and worked copper suggests the Hongshan people were sophisticated artisans and engaged in long-distance trading. During 1997, we've conducted a course at Denver as part of our Core Curriculum program for upper division students, that has examined the astronomical and cultural aspects of the Niuheliang site, to attempt to determine whether these contemporaries of the builders of Stonehenge may have included astronomical alignments into their constructions. The preliminary result of our studies suggests that certain monuments have potential for lunar standstill observation from the "goddess temple". For updates on these results, please see our website: www.du.edu/ rstencel/core2103.html.

  18. Sketching the moon an astronomical artist's guide

    CERN Document Server

    Handy, Richard; McCague, Thomas; Rix, Erika; Russell, Sally

    2012-01-01

    Soon after you begin studying the sky through your small telescope or binoculars, you will probably be encouraged by others to make sketches of what you see. Sketching is a time-honored tradition in amateur astronomy and dates back to the earliest times, when telescopes were invented. Even though we have lots of new imaging technologies nowadays, including astrophotography, most observers still use sketching to keep a record of what they see, make them better observers, and in hopes of perhaps contributing something to the body of scientific knowledge about the Moon. Some even sketch because it satisfies their artistic side. The Moon presents some unique challenges to the astronomer-artist, the Moon being so fond of tricks of the light. Sketching the Moon: An Astronomical Artist’s Guide, by five of the best lunar observer-artists working today, will guide you along your way and help you to achieve really high-quality sketches. All the major types of lunar features are covered, with a variety of sketching te...

  19. A practical Hadamard transform spectrometer for astronomical application

    Science.gov (United States)

    Tai, M. H.

    1977-01-01

    The mathematical properties of Hadamard matrices and their application to spectroscopy are discussed. A comparison is made between Fourier and Hadamard transform encoding in spectrometry. The spectrometer is described and its laboratory performance evaluated. The algorithm and programming of inverse transform are given. A minicomputer is used to recover the spectrum.

  20. New astronomical references in two Catalonian late medieval documents.

    Science.gov (United States)

    Martínez, María José; Marco, Francisco J

    2014-01-01

    In 2008, after 13 years of preparation, the Generalitat of Catalunya finished the publication of the 10 volumes of the Dietaris de la Generalitat de Catalunya. The Dietaris, as well as a closely related source, the llibre de Jornades 1411/1484 de Jaume Safont, cover the period of 1411 to 1539. In this article, we examine astronomical references contained in these two sources, and place them in their historical context. Our main focus lies on astronomical phenomena that have not previously been published in the astronomical literature. In fact, relatively few astronomical records are accessible in Spanish medieval and early modern history, and our paper intends to fill this gap partially.

  1. The First Astronomical Observatory in Cluj-Napoca

    Science.gov (United States)

    Szenkovits, Ferenc

    2008-09-01

    One of the most important cities of Romania is Cluj-Napoca (Kolozsvár, Klausenburg). This is a traditional center of education, with many universities and high schools. From the second half of the 18th century the University of Cluj has its own Astronomical Observatory, serving for didactical activities and scientific researches. The famous astronomer Maximillian Hell was one of those Jesuits who put the base of this Astronomical Observatory. Our purpose is to offer a short history of the beginnings of this Astronomical Observatory.

  2. A refined astronomically calibrated 40Ar/39Ar age for Fish Canyon sanidine

    NARCIS (Netherlands)

    Rivera, T.A.; Storey, M.; Zeeden, C.; Hilgen, F.J.; Kuiper, K.

    2011-01-01

    Intercalibration between the astronomical and radio-isotopic dating methods provides a means to improving accuracy and reducing uncertainty of an integrated, multi-chronometer geologic timescale. Here we report a high-precision 40Ar/39Ar age for the FishCanyon sanidine (FCs) neutron fluence monitor,

  3. Finding and Visualizing Relevant Subspaces for Clustering High-Dimensional Astronomical Data Using Connected Morphological Operators

    NARCIS (Netherlands)

    Ferdosi, Bilkis J.; Buddelmeijer, Hugo; Trager, Scott; Wilkinson, Michael H.F.; Roerdink, Jos B.T.M.

    2010-01-01

    Data sets in astronomy are growing to enormous sizes. Modern astronomical surveys provide not only image data but also catalogues of millions of objects (stars, galaxies), each object with hundreds of associated parameters. Exploration of this very high-dimensional data space poses a huge challenge.

  4. The Astro-WISE approach to quality control for astronomical data

    NARCIS (Netherlands)

    Mc Farland, John; Helmich, Ewout M.; Valentijn, Edwin A.

    We present a novel approach to quality control during the processing of astronomical data. Quality control in the Astro-WISE Information System is integral to all aspects of data handing and provides transparent access to quality estimators for all stages of data reduction from the raw image to the

  5. Assessing healthcare providers' knowledge and practices relating to insecticide-treated nets and the prevention of malaria in Ghana, Laos, Senegal and Tanzania

    OpenAIRE

    Hoffman, Steven J; Guindon, G Emmanuel; Lavis, John N; Ndossi, Godwin D; Osei, Eric JA; Sidibe, Mintou Fall; Boupha, Boungnong

    2011-01-01

    Abstract Background Research evidence is not always being disseminated to healthcare providers who need it to inform their clinical practice. This can result in the provision of ineffective services and an inefficient use of resources, the implications of which might be felt particularly acutely in low- and middle-income countries. Malaria prevention is a particularly compelling domain to study evidence/practice gaps given the proven efficacy, cost-effectiveness and disappointing utilization ...

  6. A cost-effectiveness analysis of provider interventions to improve health worker practice in providing treatment for uncomplicated malaria in Cameroon: a study protocol for a randomized controlled trial

    Directory of Open Access Journals (Sweden)

    Wiseman Virginia

    2012-01-01

    Full Text Available Abstract Background Governments and donors all over Africa are searching for sustainable, affordable and cost-effective ways to improve the quality of malaria case management. Widespread deficiencies have been reported in the prescribing and counselling practices of health care providers treating febrile patients in both public and private health facilities. Cameroon is no exception with low levels of adherence to national guidelines, the frequent selection of non-recommended antimalarials and the use of incorrect dosages. This study evaluates the effectiveness and cost-effectiveness of introducing two different provider training packages, alongside rapid diagnostic tests (RDTs, designed to equip providers with the knowledge and practical skills needed to effectively diagnose and treat febrile patients. The overall aim is to target antimalarial treatment better and to facilitate optimal use of malaria treatment guidelines. Methods/Design A 3-arm stratified, cluster randomized trial will be conducted to assess whether introducing RDTs with provider training (basic or enhanced is more cost-effective than current practice without RDTs, and whether there is a difference in the cost effectiveness of the provider training interventions. The primary outcome is the proportion of patients attending facilities that report a fever or suspected malaria and receive treatment according to malaria guidelines. This will be measured by surveying patients (or caregivers as they exit public and mission health facilities. Cost-effectiveness will be presented in terms of the primary outcome and a range of secondary outcomes, including changes in provider knowledge. Costs will be estimated from a societal and provider perspective using standard economic evaluation methodologies. Trial Registration ClinicalTrials.gov: NCT00981877

  7. Knowledge, Beliefs and Practices Regarding Antiretroviral Medications for HIV Prevention: Results from a Survey of Healthcare Providers in New England.

    Directory of Open Access Journals (Sweden)

    Douglas S Krakower

    Full Text Available Antiretroviral treatment for HIV-infection before immunologic decline (early ART and pre-exposure chemoprophylaxis (PrEP can prevent HIV transmission, but routine adoption of these practices by clinicians has been limited.Between September and December 2013, healthcare practitioners affiliated with a regional AIDS Education and Training Center in New England were invited to complete online surveys assessing knowledge, beliefs and practices regarding early ART and PrEP. Multivariable models were utilized to determine characteristics associated with prescribing intentions and practices.Surveys were completed by 184 practitioners. Respondent median age was 44 years, 58% were female, and 82% were white. Among ART-prescribing clinicians (61% of the entire sample, 64% were aware that HIV treatment guidelines from the Department of Health and Human Services recommended early ART, and 69% indicated they would prescribe ART to all HIV-infected patients irrespective of immunologic status. However, 77% of ART-prescribing clinicians would defer ART for patients not ready to initiate treatment. Three-fourths of all respondents were aware of guidance from the U.S. Centers for Disease Control and Prevention recommending PrEP provision, 19% had prescribed PrEP, and 58% of clinicians who had not prescribed PrEP anticipated future prescribing. Practitioners expressed theoretical concerns and perceived practical barriers to prescribing early ART and PrEP. Clinicians with higher percentages of HIV-infected patients (aOR 1.16 per 10% increase in proportion of patients with HIV-infection, 95% CI 1.01-1.34 and infectious diseases specialists (versus primary care physicians; aOR 3.32, 95% CI 0.98-11.2 were more likely to report intentions to prescribe early ART. Higher percentage of HIV-infected patients was also associated with having prescribed PrEP (aOR 1.19, 95% CI 1.06-1.34, whereas female gender (aOR 0.26, 95% CI 0.10-0.71 was associated with having not

  8. Development and early experience from an intervention to facilitate teamwork between general practices and allied health providers: the Team-link study.

    Science.gov (United States)

    Harris, Mark F; Chan, Bibiana C; Daniel, Christopher; Wan, Qing; Zwar, Nick; Davies, Gawaine Powell

    2010-04-27

    This paper describes the development and implementation of an intervention to facilitate teamwork between general practice and outside allied and community health services and providers. A review of organizational theory and a qualitative study of 9 practices was used to design an intervention which was applied in four Divisions of General Practice and 26 urban practices. Clinical record review and qualitative interviews with participants were used to determine the key lessons from its implementation. Facilitating teamwork across organizational boundaries was very challenging. The quality of the relationship between professionals was of key importance. This was enabled by joint education and direct communication between providers. Practice nurses were key links between general practices and allied and community health services. Current arrangements for Team Care planning provide increased opportunities for access to allied health. However the current paper based system is insufficient to build relationships or effectively share roles as part of a patient care team. Facilitation is feasible but constrained by barriers to communication and trust.

  9. Assessing healthcare providers' knowledge and practices relating to insecticide-treated nets and the prevention of malaria in Ghana, Laos, Senegal and Tanzania

    Directory of Open Access Journals (Sweden)

    Hoffman Steven J

    2011-12-01

    Full Text Available Abstract Background Research evidence is not always being disseminated to healthcare providers who need it to inform their clinical practice. This can result in the provision of ineffective services and an inefficient use of resources, the implications of which might be felt particularly acutely in low- and middle-income countries. Malaria prevention is a particularly compelling domain to study evidence/practice gaps given the proven efficacy, cost-effectiveness and disappointing utilization of insecticide-treated nets (ITNs. Methods This study compares what is known about ITNs to the related knowledge and practices of healthcare providers in four low- and middle-income countries. A new questionnaire was developed, pilot tested, translated and administered to 497 healthcare providers in Ghana (140, Laos (136, Senegal (100 and Tanzania (121. Ten questions tested participants' knowledge and clinical practice related to malaria prevention. Additional questions addressed their individual characteristics, working context and research-related activities. Ordinal logistic regressions with knowledge and practices as the dependent variable were conducted in addition to descriptive statistics. Results The survey achieved a 75% response rate (372/497 across Ghana (107/140, Laos (136/136, Senegal (51/100 and Tanzania (78/121. Few participating healthcare providers correctly answered all five knowledge questions about ITNs (13% or self-reported performing all five clinical practices according to established evidence (2%. Statistically significant factors associated with higher knowledge within each country included: 1 training in acquiring systematic reviews through the Cochrane Library (OR 2.48, 95% CI 1.30-4.73; and 2 ability to read and write English well or very well (OR 1.69, 95% CI 1.05-2.70. Statistically significant factors associated with better clinical practices within each country include: 1 reading scientific journals from their own country (OR

  10. Assessing healthcare providers' knowledge and practices relating to insecticide-treated nets and the prevention of malaria in Ghana, Laos, Senegal and Tanzania.

    Science.gov (United States)

    Hoffman, Steven J; Guindon, G Emmanuel; Lavis, John N; Ndossi, Godwin D; Osei, Eric J A; Sidibe, Mintou Fall; Boupha, Boungnong

    2011-12-13

    Research evidence is not always being disseminated to healthcare providers who need it to inform their clinical practice. This can result in the provision of ineffective services and an inefficient use of resources, the implications of which might be felt particularly acutely in low- and middle-income countries. Malaria prevention is a particularly compelling domain to study evidence/practice gaps given the proven efficacy, cost-effectiveness and disappointing utilization of insecticide-treated nets (ITNs). This study compares what is known about ITNs to the related knowledge and practices of healthcare providers in four low- and middle-income countries. A new questionnaire was developed, pilot tested, translated and administered to 497 healthcare providers in Ghana (140), Laos (136), Senegal (100) and Tanzania (121). Ten questions tested participants' knowledge and clinical practice related to malaria prevention. Additional questions addressed their individual characteristics, working context and research-related activities. Ordinal logistic regressions with knowledge and practices as the dependent variable were conducted in addition to descriptive statistics. The survey achieved a 75% response rate (372/497) across Ghana (107/140), Laos (136/136), Senegal (51/100) and Tanzania (78/121). Few participating healthcare providers correctly answered all five knowledge questions about ITNs (13%) or self-reported performing all five clinical practices according to established evidence (2%). Statistically significant factors associated with higher knowledge within each country included: 1) training in acquiring systematic reviews through the Cochrane Library (OR 2.48, 95% CI 1.30-4.73); and 2) ability to read and write English well or very well (OR 1.69, 95% CI 1.05-2.70). Statistically significant factors associated with better clinical practices within each country include: 1) reading scientific journals from their own country (OR 1.67, 95% CI 1.10-2.54); 2) working

  11. Health care provider experience with canagliflozin in real-world clinical practice: favorability, treatment patterns, and patient outcomes

    Directory of Open Access Journals (Sweden)

    Bolge SC

    2017-06-01

    Full Text Available Susan C Bolge,1 Natalia M Flores,2 Shu Huang,3 Jennifer Cai1 1Janssen Scientific Affairs, LLC, Titusville, NJ, 2Kantar Health, Foster City, CA, 3Kantar Health, New York, NY, USA Purpose: This study describes how health care providers approach canagliflozin for the treatment of patients with type 2 diabetes mellitus (T2DM in the real world.Patients and methods: An Internet-based questionnaire was completed by 101 endocrinologists, 101 primary care physicians, and 100 nurse practitioners/physician assistants (NP/PAs. Health care providers were required to have experience prescribing or managing patients using canagliflozin to be included in the study. Health care providers compared canagliflozin with other T2DM medication classes on clinical characteristics, costs, and patient satisfaction. Confidence in canagliflozin was also measured. Health care providers reported their canagliflozin prescribing experience and good candidate characteristics for treatment. Finally, providers reported on patient outcomes among those receiving canagliflozin. All variables were compared across provider type.Results: Health care providers reported higher favorability for canagliflozin for blood pressure and body weight compared with dipeptidyl peptidase-4 (DPP-4 inhibitors and higher favorability for effect on blood pressure, body weight, treatment satisfaction, and glycosylated hemoglobin (HbA1c compared with sulfonylureas (SUs, with differences observed for effect on blood pressure. Health care providers reported being very/extremely confident (55%–74% with canagliflozin as a second- to fourth-line treatment. The top 3 characteristics reported by the providers, in terms of describing a good candidate for canagliflozin, include those concerned about their weight, insurance coverage/affordability, and avoiding injectable treatments. Finally, providers reported often/always observing patients’ lowering or controlling HbA1c (82%–88% and improvement in overall

  12. Adaptation and validation of the Evidence-Based Practice Belief and Implementation scales for French-speaking Swiss nurses and allied healthcare providers.

    Science.gov (United States)

    Verloo, Henk; Desmedt, Mario; Morin, Diane

    2017-09-01

    To evaluate two psychometric properties of the French versions of the Evidence-Based Practice Beliefs and Evidence-Based Practice Implementation scales, namely their internal consistency and construct validity. The Evidence-Based Practice Beliefs and Evidence-Based Practice Implementation scales developed by Melnyk et al. are recognised as valid, reliable instruments in English. However, no psychometric validation for their French versions existed. Secondary analysis of a cross sectional survey. Source data came from a cross-sectional descriptive study sample of 382 nurses and other allied healthcare providers. Cronbach's alpha was used to evaluate internal consistency, and principal axis factor analysis and varimax rotation were computed to determine construct validity. The French Evidence-Based Practice Beliefs and Evidence-Based Practice Implementation scales showed excellent reliability, with Cronbach's alphas close to the scores established by Melnyk et al.'s original versions. Principal axis factor analysis showed medium-to-high factor loading scores without obtaining collinearity. Principal axis factor analysis with varimax rotation of the 16-item Evidence-Based Practice Beliefs scale resulted in a four-factor loading structure. Principal axis factor analysis with varimax rotation of the 17-item Evidence-Based Practice Implementation scale revealed a two-factor loading structure. Further research should attempt to understand why the French Evidence-Based Practice Implementation scale showed a two-factor loading structure but Melnyk et al.'s original has only one. The French versions of the Evidence-Based Practice Beliefs and Evidence-Based Practice Implementation scales can both be considered valid and reliable instruments for measuring Evidence-Based Practice beliefs and implementation. The results suggest that the French Evidence-Based Practice Beliefs and Evidence-Based Practice Implementation scales are valid and reliable and can therefore be used to

  13. An Overview of X-Ray Polarimetry of Astronomical Sources

    Directory of Open Access Journals (Sweden)

    Martin C. Weisskopf

    2018-03-01

    Full Text Available We review the history of astronomical X-ray polarimetry based on the author’s perspective, beginning with early sounding-rocket experiments by Robert Novick at Columbia University and his team, of which the author was a member. After describing various early techniques for measuring X-ray polarization, we discuss the polarimeter aboard the Orbiting Solar Observatory 8 (OSO-8 and its scientific results. Next, we describe the X-ray polarimeter to have flown aboard the ill-fated original Spectrum-X mission, which provided important lessons on polarimeter design, systematic effects, and the programmatics of a shared focal plane. We conclude with a description of the Imaging X-ray Polarimetry Explorer (IXPE and its prospective scientific return. IXPE, a partnership between NASA and ASI, has been selected as a NASA Astrophysics Small Explorers Mission and is currently scheduled to launch in April of 2021.

  14. Parsley: a Command-Line Parser for Astronomical Applications

    Science.gov (United States)

    Deich, William

    Parsley is a sophisticated keyword + value parser, packaged as a library of routines that offers an easy method for providing command-line arguments to programs. It makes it easy for the user to enter values, and it makes it easy for the programmer to collect and validate the user's entries. Parsley is tuned for astronomical applications: for example, dates entered in Julian, Modified Julian, calendar, or several other formats are all recognized without special effort by the user or by the programmer; angles can be entered using decimal degrees or dd:mm:ss; time-like intervals as decimal hours, hh:mm:ss, or a variety of other units. Vectors of data are accepted as readily as scalars.

  15. 2015 ACC Health Policy Statement on Cardiovascular Team-Based Care and the Role of Advanced Practice Providers.

    Science.gov (United States)

    Brush, John E; Handberg, Eileen M; Biga, Cathleen; Birtcher, Kim K; Bove, Alfred A; Casale, Paul N; Clark, Michael G; Garson, Arthur; Hines, Jerome L; Linderbaum, Jane A; Rodgers, George P; Shor, Robert A; Thourani, Vinod H; Wyman, Janet F

    2015-05-19

    The mission of the American College of Cardiology is "to transform cardiovascular care and improve heart health." Cardiovascular team-based care is a paradigm for practice that can transform care, improve heart health, and help meet the demands of the future. One strategic goal of the College is to help members successfully transition their clinical practices to the future, with all its complexity, challenges, and opportunities. The ACC's strategic plan is aligned with the triple aim of improved care, improved population health, and lower costs per capita. The traditional understanding of quality, access, and cost is that you cannot improve one component without diminishing the others. With cardiovascular team-based care, it is possible to achieve the triple aim of improving quality, access, and cost simultaneously to also improve cardiovascular health. Striving to serve the best interests of patients is the true north of our guiding principles. Cardiovascular team-based care is a model that can improve care coordination and communication and allow each team member to focus more on the quality of care. In addition, the cardiovascular team-based care model increases access to cardiovascular care and allows expansion of services to populations and geographic areas that are currently underserved. This document will increase awareness of the important components of cardiovascular team-based care and create an opportunity for more discussion about the most creative and effective means of implementing it. We hope that this document will stimulate further discussions and activities within the ACC and beyond about team-based care. We have identified areas that need improvement, specifically in APP education and state regulation. The document encourages the exploration of collaborative care models that should enable team members to optimize their education, training, experience, and talent. Improved team leadership, coordination, collaboration, engagement, and efficiency

  16. Differences in Perceptions of and Practices Regarding Treatment of Alcohol Use Disorders Among VA Primary Care Providers in Urban and Rural Clinics.

    Science.gov (United States)

    Young, Jessica P; Achtmeyer, Carol E; Bensley, Kara M; Hawkins, Eric J; Williams, Emily C

    2018-01-23

    Effective behavioral and pharmacological treatments are available and recommended for patients with alcohol use disorders (AUD) but rarely received. Barriers to receipt and provision of evidence-based AUD treatments delivered by specialists may be greatest in rural areas. A targeted subanalysis of qualitative interview data collected from primary care providers at 5 Veterans Affairs clinics was conducted to identify differences in provider perceptions and practices regarding AUD treatment across urban and rural clinics. Key contacts were used to recruit 24 providers from 3 "urban" clinics at medical centers and 2 "rural" community-based outpatient clinics. Providers completed 30-minute semistructured interviews, which were recorded, transcribed, and analyzed using inductive content analysis. Thirteen urban and 11 rural providers participated. Urban and rural providers differed regarding referral practices and in perceptions of availability and utility of specialty addictions treatment. Urban providers described referral to specialty treatment as standard practice, while rural providers reported substantial barriers to specialty care access and infrequent specialty care referral. Urban providers viewed specialty addictions treatment as accessible and comprehensive, and perceived addictions providers as "experts" and collaborators, whereas rural providers perceived inadequate support from the health care system for AUD treatment. Urban providers desired greater integration with specialty addictions care while rural providers wanted access to local addictions treatment resources. Providers in rural settings view referral to specialty addictions treatment as impractical and resources inadequate to treat AUD. Additional work is needed to understand the unique needs of rural clinics and decrease barriers to AUD treatment. © 2018 National Rural Health Association.

  17. Thirty years of astronomical discovery with UKIRT

    CERN Document Server

    Davies, John; Robson, Ian; The Scientific Achievement of the United Kingdom InfraRed Telescope

    2013-01-01

    These are the proceedings of an international meeting hosted by the Royal Observatory, Edinburgh, to commemorate the 30th anniversary of the dedication of the UKIRT, the United Kingdom InfraRed Telescope. The volume comprises 31 professional level papers. The first part of the book has 10 thorough reviews of the conception, design and build of the telescope, as well as accounts of some its key instruments such as IRCAM (the common-user infrared camera), CGS4 (the fourth Cooled Grating Spectrometer) and the Wide Field Camera. The second part of the book comprises 14 reviews of scientific achievements during its twenty years of visitor mode operations. The final part of the book is a series of 7 reviews of the results from the multiple surveys being done as part of UKIDSS (UKIRT Infrared Deep Sky Survey). The authors are all experts in their respective fields, for example instrument scientists, operations staff and leading astronomers.

  18. Multinational History of Strasbourg Astronomical Observatory

    CERN Document Server

    Heck, André

    2005-01-01

    Strasbourg Astronomical Observatory is quite an interesting place for historians: several changes of nationality between France and Germany, high-profile scientists having been based there, big projects born or installed in its walls, and so on. Most of the documents circulating on the history of the Observatory and on related matters have however been so far poorly referenced, if at all. This made necessary the compilation of a volume such as this one, offering fully-documented historical facts and references on the first decades of the Observatory history, authored by both French and German specialists. The experts contributing to this book have done their best to write in a way understandable to readers not necessarily hyperspecialized in astronomy nor in the details of European history. After an introductory chapter by the Editor, contributions by Wolfschmidt and by Duerbeck respectively deal extensively with the German periods and review people and instrumentation, while another paper by Duerbeck is more...

  19. Shirakatsi Astronomical and Natural Philosophical Views

    Science.gov (United States)

    Mkrtchyan, Lilit

    2016-12-01

    Our work is aimed at presenting Shirakatsi astronomical and natural philosophical views. Karl Anania Shirakatsi is classified as one of the world-class intellectual geniuses. He was endowed with exceptional talent and analyzing scientific understanding of natural phenomena. He refers his philosophical works to almost all fields of science, cosmography, mathematics, calendarology, historiography, etc. Shirakatsy's earnings of natural science and natural philosophy in medieval is too big He was the first prominent scholar and thinker of his time, creating a unique, comprehensive gitapilisopayakan system that still feeds the human mind. The scientific value of Shirakatsi has great importance not only for Armenians but also for the whole world of science, history, culture and philosophy. Shirakatsi can be considered not only national but also universal greatness.

  20. From Casual Stargazer to Amateur Astronomer

    Science.gov (United States)

    Eagle, Dave

    The word amateur stems from the French word Amour, meaning "Lover Of". And there is a whole army of amateur astronomers around the world who just love doing astronomy. They don't get paid for the privilege of experiencing the sky in all its glory, but by making detailed observations they do make a very important contribution towards the Science. These observations are especially useful when organized as a collective effort. Citizen science has really taken off in the last few years and the GAIA project will soon be producing so much data, that the professionals just will not have enough manpower to tackle all the data. They will rely on amateurs sitting on their computers at home. But it is under a dark sky that astronomy really comes alive. The fact that you have picked up this book, must mean that you are interested in taking the hobby a step forward.

  1. Leslie Peltier, Amateur Astronomer and Observer Extraordinaire

    Science.gov (United States)

    Corbin, B. G.

    2003-12-01

    Leslie Copus Peltier, (Jan. 2, 1900-May 10, 1980) was called "the world's greatest non-professional astronomer" by none other than Harlow Shapley, and also referred to as the "the world's greatest living amateur astronomer". He began observing variable stars on March 1, 1918 with an observation of R. Leonis and at the time of his death had made a total of 132,123 observations of variable stars. These were reported to the AAVSO on a consecutive monthly basis stretching from 1918 to his death in 1980. As of October 2003, he was still on AAVSO's list of the top 25 observers in its history. Born on a farm near Delphos, Ohio, his parents were well read and their home was filled with books on different subjects, including nature guides. As a young man he studied the flora and fauna of the area and in 1915 began his study of the heavens with Vega being the first star he identified. After the purchase of a 2-inch spyglass, his observations of variable stars began to be noticed by professional astronomers and the AAVSO loaned him a 4-inch Mogey refractor; shortly thereafter Henry Norris Russell of Princeton loaned him via the AAVSO a 6-inch refractor, a comet seeker of short focus. He discovered 12 comets, 10 of which carry his name, and 6 novae or recurring novae. His design of the "Merry-Go-Round Observatory" was a novel approach with the whole observatory revolving around the observer while seated in his observing chair. Miami University (Ohio) later donated to him their 12-inch Clark refractor with its dome. His first book, Starlight Nights: The Adventures of a Star-Gazer, appeared in 1965. This autobiography, an ode to the joys of observing both the night sky and nature, was written in beautifully descriptive language that helped lead countless readers into astronomy. Departing from astronomy, in 1977 he published The Place on Jennings Creek. Written in the style of the 19th century naturalist, the book was devoted to his family's home, Brookhaven, and its natural

  2. Fundamental and applied aspects of astronomical seeing

    International Nuclear Information System (INIS)

    Coulman, C.E.

    1985-01-01

    It is pointed out that despite recent advances in the use of spacecraft as observatory platforms, much astronomy is still conducted from the surface of the earth. The literature on astronomical seeing and observatory site selection is widely scattered throughout journals and conference reports concerned with various disciplines. This survey has the objective to represent the state of the subject up to 1982. A description of the history and prospects of the considered subject is presented, and the optics of seeing are examined. The meteorology of seeing is discussed, taking into account aspects of micrometeorology and small-scale turbulence near the surface, the diurnal cycle in the planetary boundary layer, the temperature structure above the planetary boundary layer, and the effects of terrain. Attention is given to the calculation of system performance from microthermal data, optical methods for the measurement of seeing, and techniques for minimizing image-degrading effects of the atmosphere. 279 references

  3. Dacic Ancient Astronomical Research in Sarmizegetuza

    Directory of Open Access Journals (Sweden)

    Emanuel George Oprea

    2015-11-01

    Full Text Available The actual Romanian territory belongs to Carpatho-Danubian Space and to Ancient Europe. The Ancient European Society was a vast cultural entity based on a theocratic, matriarchal society, peaceful and art creating.Temples of Sarmizegetusa have given rise to several theories over time, proven by historians with the most diverse arguments. The largest complex of temples and sanctuaries was founded in Sarmizegetusa Regia, the Dacian’s main fortress and ancient capital of Dacia in the time of King Decebalus. The mysterious form of settlements has led researchers to the conclusion that the locations were astronomical observation shrines. Among the places of Dacian worship in Orastie Mountains the most impressive is the Great Circular Sanctuary, used to perform some celestial observations, and also as original solar calendar. This paper had the purpose to re-discover the Dacian Civilization and Dacian cosmogony based on the accumulated knowledge upon our country’s past.

  4. The Infrared Astronomical Satellite (IRAS) mission

    Science.gov (United States)

    Neugebauer, G.; Habing, H. J.; Van Duinen, R.; Aumann, H. H.; Beichman, C. A.; Baud, B.; Beintema, D. A.; Boggess, N.; Clegg, P. E.; De Jong, T.

    1984-01-01

    The Infrared Astronomical Satellite (IRAS) consists of a spacecraft and a liquid helium cryostat that contains a cooled IR telescope. The telescope's focal plane assembly is cooled to less than 3 K, and contains 62 IR detectors in the survey array which are arranged so that every source crossing the field of view can be seen by at least two detectors in each of four wavelength bands. The satellite was launched into a 900 km-altitude near-polar orbit, and its cryogenic helium supply was exhausted on November 22, 1983. By mission's end, 72 percent of the sky had been observed with three or more hours-confirming scans, and 95 percent with two or more hours-confirming scans. About 2000 stars detected at 12 and 25 microns early in the mission, and identified in the SAO (1966) catalog, have a positional uncertainty ellipse whose axes are 45 x 9 arcsec for an hours-confirmed source.

  5. Providing health information to the general public: a survey of current practices in academic health sciences libraries.

    Science.gov (United States)

    Hollander, S M

    2000-01-01

    A questionnaire was mailed to 148 publicly and privately supported academic health sciences libraries affiliated with Association of American Medical Colleges (AAMC-accredited medical schools in the United States and Canada to determine level of access and services provided to the general public. For purposes of this study, "general public" was defined as nonaffiliated students or health care professionals, attorneys and other nonhealth-related professionals, patients from affiliated or other hospitals or clinics, and general consumers. One hundred five (71%) libraries responded. Results showed 98% of publicly supported libraries and 88% of privately supported libraries provided access to some or all of the general public. Publicly supported libraries saw greater numbers of public patrons, often provided more services, and were more likely to circulate materials from their collections than were privately supported libraries. A significant number of academic health sciences libraries housed a collection of consumer-oriented materials and many provided some level of document delivery service, usually for a fee. Most allowed the public to use some or all library computers. Results of this study indicated that academic health sciences libraries played a significant role in serving the information-seeking public and suggested a need to develop written policies or guidelines covering the services that will be provided to minimize the impact of this service on primary clientele.

  6. Providing health information to the general public: a survey of current practices in academic health sciences libraries*

    Science.gov (United States)

    Hollander, Sue M.

    2000-01-01

    A questionnaire was mailed to 148 publicly and privately supported academic health sciences libraries affiliated with Association of American Medical Colleges (AAMC)–accredited medical schools in the United States and Canada to determine level of access and services provided to the general public. For purposes of this study, “general public” was defined as nonaffiliated students or health care professionals, attorneys and other nonhealth-related professionals, patients from affiliated or other hospitals or clinics, and general consumers. One hundred five (71%) libraries responded. Results showed 98% of publicly supported libraries and 88% of privately supported libraries provided access to some or all of the general public. Publicly supported libraries saw greater numbers of public patrons, often provided more services, and were more likely to circulate materials from their collections than were privately supported libraries. A significant number of academic health sciences libraries housed a collection of consumer-oriented materials and many provided some level of document delivery service, usually for a fee. Most allowed the public to use some or all library computers. Results of this study indicated that academic health sciences libraries played a significant role in serving the information-seeking public and suggested a need to develop written policies or guidelines covering the services that will be provided to minimize the impact of this service on primary clientele. PMID:10658965

  7. World's fastest and most sensitive astronomical camera

    Science.gov (United States)

    2009-06-01

    The next generation of instruments for ground-based telescopes took a leap forward with the development of a new ultra-fast camera that can take 1500 finely exposed images per second even when observing extremely faint objects. The first 240x240 pixel images with the world's fastest high precision faint light camera were obtained through a collaborative effort between ESO and three French laboratories from the French Centre National de la Recherche Scientifique/Institut National des Sciences de l'Univers (CNRS/INSU). Cameras such as this are key components of the next generation of adaptive optics instruments of Europe's ground-based astronomy flagship facility, the ESO Very Large Telescope (VLT). ESO PR Photo 22a/09 The CCD220 detector ESO PR Photo 22b/09 The OCam camera ESO PR Video 22a/09 OCam images "The performance of this breakthrough camera is without an equivalent anywhere in the world. The camera will enable great leaps forward in many areas of the study of the Universe," says Norbert Hubin, head of the Adaptive Optics department at ESO. OCam will be part of the second-generation VLT instrument SPHERE. To be installed in 2011, SPHERE will take images of giant exoplanets orbiting nearby stars. A fast camera such as this is needed as an essential component for the modern adaptive optics instruments used on the largest ground-based telescopes. Telescopes on the ground suffer from the blurring effect induced by atmospheric turbulence. This turbulence causes the stars to twinkle in a way that delights poets, but frustrates astronomers, since it blurs the finest details of the images. Adaptive optics techniques overcome this major drawback, so that ground-based telescopes can produce images that are as sharp as if taken from space. Adaptive optics is based on real-time corrections computed from images obtained by a special camera working at very high speeds. Nowadays, this means many hundreds of times each second. The new generation instruments require these

  8. The Undergraduate Research Resources at the Pisgah Astronomical Research Institute

    Science.gov (United States)

    Cline, J. Donald; Castelaz, Michael W.

    2016-01-01

    Pisgah Astronomical Research Institute (PARI), a former NASA tracking station located in western North Carolina, has been offering programs, campus, and instrument use for undergraduate research and learning experiences since 2000. Over these years, PARI has collaborated with universities and colleges in the Southeastern U.S. Sharing its campus with institutions of higher learning is a priority for PARI as part of its mission to "to providing hands-on educational and research opportunities for a broad cross-section of users in science, technology, engineering and math (STEM) disciplines."PARI is a 200 acre campus for environmental, earth, geological, physical, and astronomical sciences. For example, the PARI 26-m and 4.6-m radio telescopes are excellent for teaching electromagnetic theory, spectroscopy, atomic and molecular emission processes, and general physics and astronomy concepts. The PARI campus has lab and office space, data centers with high speed internet, distance learning capabilities, radio and optical telescopes, earth science sensors, housing and cafeteria.Also, the campus is in an excellent spot for environmental and biological sciences lab and classroom experiences for students. The campus has the capability to put power and Internet access almost anywhere on its 200 acre campus so experiments can be set up in a protected area of a national forest. For example, Earthscope operates a Plate Boundary Observatory sensor on campus to measure plate tectonic motion. And, Clemson University has an instrument measuring winds and temperatures in the Thermsophere. The use of thePARI campus is limited only by the creativity faculty to provide a rich educational environment for their students. An overview of PARI will be presented along with a summary of programs, and a summary of undergraduate research experiences over the past 15 years. Access to PARI and collaboration possibilities will be presented.

  9. Impact of an online medical internet site on knowledge and practice of health care providers: a mixed methods study of the Spinal Cord Injury Rehabilitation Evidence project.

    Science.gov (United States)

    Eng, Janice J; Noonan, Vanessa K; Townson, Andrea F; Higgins, Caroline E; Rogers, Jess; Wolfe, Dalton L

    2014-12-23

    It is not known whether ongoing access to a broad-based Internet knowledge resource can influence the practice of health care providers. We undertook a study to evaluate the impact of a Web-based knowledge resource on increasing access to evidence and facilitating best practice of health care providers. The objective of this study was to evaluate (1) the impact of the Spinal Cord Injury Rehabilitation Evidence (SCIRE) project on access to information for health care providers and researchers and (2) how SCIRE influenced health care providers' management of clients. A 4-part mixed methods evaluation was undertaken: (1) monitoring website traffic and utilization using Google Analytics, (2) online survey of users who accessed the SCIRE website, (3) online survey of targeted end-users, that is, rehabilitation health care providers known to work with spinal cord injury (SCI) clients, as well as researchers, and (4) focus groups with health care providers who had previously accessed SCIRE. The online format allowed the content for a relatively specialized field to have far reach (eg, 26 countries and over 6500 users per month). The website survey and targeted end-user survey confirmed that health care providers, as well as researchers perceived that the website increased their access to SCI evidence. Access to SCIRE not only improved knowledge of SCI evidence but helped inform changes to the health providers' clinical practice and improved their confidence in treating SCI clients. The SCIRE information directly influenced the health providers' clinical decision making, in terms of choice of intervention, equipment needs, or assessment tool. A Web-based knowledge resource may be a relatively inexpensive method to increase access to evidence-based information, increase knowledge of the evidence, inform changes to the health providers' practice, and influence their clinical decision making.

  10. Astronomers Gain Clues About Fundamental Physics

    Science.gov (United States)

    2005-12-01

    An international team of astronomers has looked at something very big -- a distant galaxy -- to study the behavior of things very small -- atoms and molecules -- to gain vital clues about the fundamental nature of our entire Universe. The team used the National Science Foundation's Robert C. Byrd Green Bank Telescope (GBT) to test whether the laws of nature have changed over vast spans of cosmic time. The Green Bank Telescope The Robert C. Byrd Green Bank Telescope CREDIT: NRAO/AUI/NSF (Click on image for GBT gallery) "The fundamental constants of physics are expected to remain fixed across space and time; that's why they're called constants! Now, however, new theoretical models for the basic structure of matter indicate that they may change. We're testing these predictions." said Nissim Kanekar, an astronomer at the National Radio Astronomy Observatory (NRAO), in Socorro, New Mexico. So far, the scientists' measurements show no change in the constants. "We've put the most stringent limits yet on some changes in these constants, but that's not the end of the story," said Christopher Carilli, another NRAO astronomer. "This is the exciting frontier where astronomy meets particle physics," Carilli explained. The research can help answer fundamental questions about whether the basic components of matter are tiny particles or tiny vibrating strings, how many dimensions the Universe has, and the nature of "dark energy." The astronomers were looking for changes in two quantities: the ratio of the masses of the electron and the proton, and a number physicists call the fine structure constant, a combination of the electron charge, the speed of light and the Planck constant. These values, considered fundamental physical constants, once were "taken as time independent, with values given once and forever" said German particle physicist Christof Wetterich. However, Wetterich explained, "the viewpoint of modern particle theory has changed in recent years," with ideas such as

  11. Radio Astronomers Get Their First Glimpse of Powerful Solar Storm

    Science.gov (United States)

    2001-08-01

    Astronomers have made the first radio-telescope images of a powerful coronal mass ejection on the Sun, giving them a long-sought glimpse of hitherto unseen aspects of these potentially dangerous events. "These observations are going to provide us with a new and unique tool for deciphering the mechanisms of coronal mass ejections and how they are related to other solar events," said Tim Bastian, an astronomer at the National Science Foundation's National Radio Astronomy Observatory (NRAO) in Charlottesville, Virginia. Radio image of coronal mass ejection; circle indicates the size and location of the Sun. White dots are where radio spectral measurements were made. Bastian, along with Monique Pick, Alain Kerdraon and Dalmiro Maia of the Paris Observatory, and Angelos Vourlidas of the Naval Research Laboratory in Washington, D.C., used a solar radio telescope in Nancay, France, to study a coronal mass ejection that occurred on April 20, 1998. Their results will be published in the September 1 edition of the Astrophysical Journal Letters. Coronal mass ejections are powerful magnetic explosions in the Sun's corona, or outer atmosphere, that can blast billions of tons of charged particles into interplanetary space at tremendous speeds. If the ejection is aimed in the direction of Earth, the speeding particles interact with our planet's magnetic field to cause auroral displays, radio-communication blackouts, and potentially damage satellites and electric-power systems. "Coronal mass ejections have been observed for many years, but only with visible-light telescopes, usually in space. While previous radio observations have provided us with powerful diagnostics of mass ejections and associated phenomena in the corona, this is the first time that one has been directly imaged in wavelengths other than visible light," Bastian said. "These new data from the radio observations give us important clues about how these very energetic events work," he added. The radio images show an

  12. Astronomical Books and Charts in the Book of Bibliographie Coreenne

    Directory of Open Access Journals (Sweden)

    Ki-Won Lee

    2008-06-01

    Full Text Available We investigate astronomical materials listed in the book of Bibliographie Coreenne written by Maurice Courant. He classified ancient Korean books into nine Divisions (部 and thirty six Classes (類, and published them as three volumes (ranging from 1894 to 1896 and one supplement (in 1901. In total, 3,821 books including astronomical ones are listed together with information on physical size, possessional place, bibliographical note, and so forth. Although this book is an essential one in the field of Korea bibliography and contains many astronomical materials such as Cheon-Mun-Ryu-Cho 天文類抄, Si-Heon-Seo 時憲書, and Cheon-Sang-Yeol-Cha-Bun-Ya-Ji-Do 天象列次分野之圖, it has not been well known to the public nor to astronomical society. Of 3,821 catalogues, we found that about 50 Items (種 are related to astronomy or astrology, and verified that most of them are located in the Kyujanggak Royal Library 奎章閣. We also found an unknown astronomical chart, Hon-Cheon-Chong-Seong-Yeol-Cha-Bun-Ya-Ji-Do 渾天總星列次分野之圖. Because those astronomical materials are not well known to international astronomical community and there have been few studies on the materials in Korea, we here introduce and review them, particularly with the astronomical viewpoint.

  13. Astronomical Books and Charts in the Book of Bibliographie Coreenne

    Science.gov (United States)

    Lee, Ki-Won; Yang, Hong-Jin; Park, Myeong-Gu

    2008-06-01

    We investigate astronomical materials listed in the book of Bibliographie Coréenne written by Maurice Courant. He classified ancient Korean books into nine Divisions (?) and thirty six Classes (?), and published them as three volumes (ranging from 1894 to 1896) and one supplement (in 1901). In total, 3,821 books including astronomical ones are listed together with information on physical size, possessional place, bibliographical note, and so forth. Although this book is an essential one in the field of Korea bibliography and contains many astronomical materials such as Cheon-Mun-Ryu-Cho ????, Si-Heon-Seo ??????, and Cheon-Sang-Yeol-Cha-Bun-Ya-Ji-Do ????????, it has not been well known to the public nor to astronomical society. Of 3,821 catalogues, we found that about 50 Items (?) are related to astronomy or astrology, and verified that most ! of them are located in the Kyujanggak Royal Library ???. We also found an unknown astronomical chart, Hon-Cheon-Chong-Seong-Yeol-Cha-Bun-Ya-Ji-Do ??????????. Because those astronomical materials are not well known to international astronomical community and there have been few studies on the materials in Korea, we here introduce and review them, particularly with the astronomical viewpoint.

  14. Education and Outreach Opportunities in New Astronomical Facilities

    Science.gov (United States)

    Mould, J. R.; Pompea, S.

    2002-12-01

    Astronomy presents extraordinary opportunities for engaging young people in science from an early age. The National Optical Astronomy Observatory (NOAO), supported by the National Science Foundation, leverages the attraction of astronomy with a suite of formal and informal education programs that engage our scientists and education and public outreach professionals in effective, strategic programs that capitalize on NOAO's role as a leader in science and in the design of new astronomical facilities. The core of the science education group at NOAO in Tucson consists of a group of Ph.D.-level scientists with experience in educational program management, curriculum and instructional materials development, teacher/scientist partnerships, and teacher professional development. This core group of scientist/educators hybrids has a strong background in earth and space science education as well as experience in working with and teaching about the technology that has enabled new astronomical discoveries. NOAO has a vigorous public affairs/media program and a history of effectively working locally, regionally, and nationally with the media, schools, science centers, and, planetaria. In particular, NOAO has created successful programs exploring how research data and tools can be used most effectively in the classroom. For example, the Teacher Leaders in Research Based Science Education explores how teachers can most effectively integrate astronomical research on novae, active galactic nuclei, and the Sun into classroom-based investigations. With immersive summer workshops at Kitt Peak National Observatory and the National Solar Observatory at Sacramento Peak, teachers learn research and instrumentation skills and how to encourage and maintain research activities in their classrooms. Some of the new facilities proposed in the recent decadal plan, Astronomy and Astrophysics in the New Millennium (National Academy Press), can provide extended opportunities for incorporating

  15. Astronomical Research with the MicroObservatory Net

    Science.gov (United States)

    Brecher, K.; Sadler, P.; Gould, R.; Leiker, S.; Antonucci, P.; Deutsch, F.

    1997-05-01

    We have developed a fully integrated automated astronomical telescope system which combines the imaging power of a cooled CCD, with a self-contained and weatherized 15 cm reflecting optical telescope and mount. The MicroObservatory Net consists of five of these telescopes. They are currently being deployed around the world at widely distributed longitudes. Remote access to the MicroObservatories over the Internet has now been implemented. Software for computer control, pointing, focusing, filter selection as well as pattern recognition have all been developed as part of the project. The telescopes can be controlled in real time or in delay mode, from a Macintosh, PC or other computer using Web-based software. The Internet address of the telescopes is http://cfa- www.harvard.edu/cfa/sed/MicroObservatory/MicroObservatory.html. In the real-time mode, individuals have access to all of the telescope control functions without the need for an `on-site' operator. Users can sign up for a specific period of ti me. In the batch mode, users can submit requests for delayed telescope observations. After a MicroObservatory completes a job, the user is automatically notified by e-mail that the image is available for viewing and downloading from the Web site. The telescopes were designed for classroom instruction, as well as for use by students and amateur astronomers for original scientific research projects. We are currently examining a variety of technical and educational questions about the use of the telescopes including: (1) What are the best approaches to scheduling real-time versus batch mode observations? (2) What criteria should be used for allocating telescope time? (3) With deployment of more than one telescope, is it advantageous for each telescope to be used for just one type of observation, i.e., some for photometric use, others for imaging? And (4) What are the most valuable applications of the MicroObservatories in astronomical research? Support for the Micro

  16. Examining Clinicians' Experiences Providing Sexual Health Services for LGBTQ Youth: Considering Social and Structural Determinants of Health in Clinical Practice

    Science.gov (United States)

    Knight, R. E.; Shoveller, J. A.; Carson, A. M.; Contreras-Whitney, J. G.

    2014-01-01

    Although barriers related to lesbian, gay, bisexual, transgender and queer (LGBTQ) youth's experiences accessing sexual health services have been examined in detail, research into the experiences and perceptions of clinicians providing these services has been conspicuously absent. The aim of this article is to explore the perceptions and…

  17. Women's Access and Provider Practices for the Case Management of Malaria during Pregnancy: A Systematic Review and Meta-Analysis

    NARCIS (Netherlands)

    Hill, Jenny; D'Mello-Guyett, Lauren; Hoyt, Jenna; van Eijk, Anna M.; ter Kuile, Feiko O.; Webster, Jayne

    2014-01-01

    Background: WHO recommends prompt diagnosis and quinine plus clindamycin for treatment of uncomplicated malaria in the first trimester and artemisinin-based combination therapies in subsequent trimesters. We undertook a systematic review of women's access to and healthcare provider adherence to WHO

  18. District health manager and mid-level provider perceptions of practice environments in acute obstetric settings in Tanzania: a mixed-method study.

    Science.gov (United States)

    Ng'ang'a, Njoki; Byrne, Mary Woods; Kruk, Margaret E; Shemdoe, Aloisia; de Pinho, Helen

    2016-08-08

    In sub-Saharan Africa, the capacity of human resources for health (HRH) managers to create positive practice environments that enable motivated, productive, and high-performing HRH is weak. We implemented a unique approach to examining HRH management practices by comparing perspectives offered by mid-level providers (MLPs) of emergency obstetric care (EmOC) in Tanzania to those presented by local health authorities, known as council health management teams (CHMTs). This study was guided by the basic strategic human resources management (SHRM) component model. A convergent mixed-method design was utilized to assess qualitative and quantitative data from the Health Systems Strengthening for Equity: The Power and Potential of Mid-Level Providers project. Survey data was obtained from 837 mid-level providers, 83 of whom participated in a critical incident interview whose aim was to elicit negative events in the practice environment that induced intention to leave their job. HRH management practices were assessed quantitatively in 48 districts with 37 members of CHMTs participating in semi-structured interviews. The eight human resources management practices enumerated in the basic SHRM component model were implemented unevenly. On the one hand, members of CHMTs and mid-level providers agreed that there were severe shortages of health workers, deficient salaries, and an overwhelming workload. On the other hand, members of CHMTs and mid-level providers differed in their perspectives on rewards and allocation of opportunities for in-service training. Although written standards of performance and supervision requirements were available in most districts, they did not reflect actual duties. Members of CHMTs reported high levels of autonomy in key HRH management practices, but mid-level providers disputed the degree to which the real situation on the ground was factored into job-related decision-making by CHMTs. The incongruence in perspectives offered by members of CHMTs

  19. Mind the gap: knowledge and practice of providers treating uncomplicated malaria at public and mission health facilities, pharmacies and drug stores in Cameroon and Nigeria.

    Science.gov (United States)

    Mangham-Jefferies, Lindsay; Hanson, Kara; Mbacham, Wilfred; Onwujekwe, Obinna; Wiseman, Virginia

    2015-11-01

    Artemisinin combination therapy (ACT) has been the first-line treatment for uncomplicated malaria in Cameroon since 2004 and Nigeria since 2005, though many febrile patients receive less effective antimalarials. Patients often rely on providers to select treatment, and interventions are needed to improve providers' practice and encourage them to adhere to clinical guidelines. Providers' adherence to malaria treatment guidelines was examined using data collected in Cameroon and Nigeria at public and mission facilities, pharmacies and drug stores. Providers' choice of antimalarial was investigated separately for each country. Multilevel logistic regression was used to determine whether providers were more likely to choose ACT if they knew it was the first-line antimalarial. Multiple imputation was used to impute missing data that arose when linking exit survey responses to details of the provider responsible for selecting treatment. There was a gap between providers' knowledge and their practice in both countries, as providers' decision to supply ACT was not significantly associated with knowledge of the first-line antimalarial. Providers were, however, more likely to supply ACT if it was the type of antimalarial they prefer. Other factors were country-specific, and indicated providers can be influenced by what they perceived their patients prefer or could afford, as well as information about their symptoms, previous treatment, the type of outlet and availability of ACT. Public health interventions to improve the treatment of uncomplicated malaria should strive to change what providers prefer, rather than focus on what they know. Interventions to improve adherence to malaria treatment guidelines should emphasize that ACT is the recommended antimalarial, and it should be used for all patients with uncomplicated malaria. Interventions should also be tailored to the local setting, as there were differences between the two countries in providers' choice of antimalarial

  20. Health knowledge, attitudes and practices of family planning service providers and clients in Akwapim North District of Ghana.

    Science.gov (United States)

    Atuahene, Margaret Duah; Afari, Esther Oku; Adjuik, Martin; Obed, Samuel

    2016-01-01

    Family planning services help save lives by reducing women's exposure to risks of child birth and abortion. While family planning services provide measures to prevent unintended pregnancies and time the formation of families, the acceptability and coverage is still very low worldwide. Some of the reasons for this include poor quality of service, unavailability of range of methods, fear of opposition from partners, side effects and health concerns among others.About 40 % of the world's 215,000 annual deaths in childbirth occur in the Sub-Saharan region. In Ghana, urban-rural fertility differences range from two to three children. The acceptability and coverage of family planning are still low and in the study area in particular. We sought to examine factors that contribute to low acceptability and coverage of family planning services in a sub-urban community with a design of quantitative cross-sectional. Ethical approval was given by the Ghana Health Service. Midwives and community health nurses who provide family planning services were interviewed. Exit-interview was also conducted with women receiving a variety of outpatient services. Most of the women in this study (48.7 %) were in the 25-34 age range and were either married (42.8 %) or cohabiting (40.5 %). Majority of these women (67.7 %) have middle/Junior high level of formal education with a modal parity of two. Sixty eight (68) clients were identified as current family planning users. About 6.0 % and 4.5 % were dissatisfied about auditory and visual privacy during counselling respectively. This was confirmed by providers who attributed it to inappropriate facility layout. Most of the clients (79.1 %) were not given educational materials although 88.8 % were talked to about family planning and this could be due to unavailability of these hand-outs.Though clients show satisfaction of services received, providers did not follow standard protocols with as much as 73.7 % faced with challenges in

  1. Equipping providers with principles, knowledge and skills to successfully integrate behaviour change counselling into practice: a primary healthcare framework.

    Science.gov (United States)

    Vallis, M; Lee-Baggley, D; Sampalli, T; Ryer, A; Ryan-Carson, S; Kumanan, K; Edwards, L

    2018-01-01

    There is an urgent need for healthcare providers and healthcare systems to support productive interactions with patients that promote sustained health behaviour change in order to improve patient and population health outcomes. Behaviour change theories and interventions have been developed and evaluated in experimental contexts; however, most healthcare providers have little training, and therefore low confidence in, behaviour change counselling. Particularly important is how to integrate theory and method to support healthcare providers to engage in behaviour change counselling competently. In this article, we describe a general training model developed from theory, evidence, experience and stakeholder engagement. This model will set the stage for future evaluation research on training needed to achieve competency, sustainability of competency, as well as effectiveness/cost-effectiveness of training in supporting behaviour change. A framework to support competency based training in behaviour change counselling is described in this article. This framework is designed to be integrative, sustainable, scalable and capable of being evaluated in follow-up studies. Effective training in behaviour change counselling is critical to meet the current and future healthcare needs of patients living with, or at risk of, chronic diseases. Increasing competency in establishing change-based relationships, assessing and promoting readiness to change, implementing behaviour modification and addressing psychosocial issues will be value added to the healthcare system. Copyright © 2017 The Royal Society for Public Health. Published by Elsevier Ltd. All rights reserved.

  2. Astronomers Discover Six-Image Gravitational Lens

    Science.gov (United States)

    2001-08-01

    An international team of astronomers has used the National Science Foundation's Very Long Baseline Array (VLBA) radio telescope and NASA's Hubble Space Telescope (HST) to discover the first gravitational lens in which the single image of a very distant galaxy has been split into six different images. The unique configuration is produced by the gravitational effect of three galaxies along the line of sight between the more-distant galaxy and Earth. Optical and Radio Images of Gravitational Lens "This is the first gravitational lens with more than four images of the background object that is produced by a small group of galaxies rather than a large cluster of galaxies," said David Rusin, who just received his Ph.D. from the University of Pennsylvania. "Such systems are expected to be extremely rare, so this discovery is an important stepping stone. Because this is an intermediate case between gravitational lenses produced by single galaxies and lenses produced by large clusters of galaxies, it will give us insights we can't get from other types of lenses," Rusin added. The gravitational lens, called CLASS B1359+154, consists of a galaxy more than 11 billion light-years away in the constellation Bootes, with a trio of galaxies more than 7 billion light-years away along the same line of sight. The more-distant galaxy shows signs that it contains a massive black hole at its core and also has regions in which new stars are forming. The gravitational effect of the intervening galaxies has caused the light and radio waves from the single, more-distant galaxy to be "bent" to form six images as seen from Earth. Four of these images appear outside the triangle formed by the three intermediate galaxies and two appear inside that triangle. "This lens system is a very interesting case to study because it is more complicated than lenses produced by single galaxies, and yet simpler than lenses produced by clusters of numerous galaxies," said Chris Kochanek of the Harvard

  3. Sports Stars: Analyzing the Performance of Astronomers at Visualization-based Discovery

    Science.gov (United States)

    Fluke, C. J.; Parrington, L.; Hegarty, S.; MacMahon, C.; Morgan, S.; Hassan, A. H.; Kilborn, V. A.

    2017-05-01

    In this data-rich era of astronomy, there is a growing reliance on automated techniques to discover new knowledge. The role of the astronomer may change from being a discoverer to being a confirmer. But what do astronomers actually look at when they distinguish between “sources” and “noise?” What are the differences between novice and expert astronomers when it comes to visual-based discovery? Can we identify elite talent or coach astronomers to maximize their potential for discovery? By looking to the field of sports performance analysis, we consider an established, domain-wide approach, where the expertise of the viewer (i.e., a member of the coaching team) plays a crucial role in identifying and determining the subtle features of gameplay that provide a winning advantage. As an initial case study, we investigate whether the SportsCode performance analysis software can be used to understand and document how an experienced Hi astronomer makes discoveries in spectral data cubes. We find that the process of timeline-based coding can be applied to spectral cube data by mapping spectral channels to frames within a movie. SportsCode provides a range of easy to use methods for annotation, including feature-based codes and labels, text annotations associated with codes, and image-based drawing. The outputs, including instance movies that are uniquely associated with coded events, provide the basis for a training program or team-based analysis that could be used in unison with discipline specific analysis software. In this coordinated approach to visualization and analysis, SportsCode can act as a visual notebook, recording the insight and decisions in partnership with established analysis methods. Alternatively, in situ annotation and coding of features would be a valuable addition to existing and future visualization and analysis packages.

  4. Mixed Methods Survey of Zoonotic Disease Awareness and Practice among Animal and Human Healthcare Providers in Moshi, Tanzania.

    Directory of Open Access Journals (Sweden)

    Helen L Zhang

    2016-03-01

    Full Text Available Zoonoses are common causes of human and livestock illness in Tanzania. Previous studies have shown that brucellosis, leptospirosis, and Q fever account for a large proportion of human febrile illness in northern Tanzania, yet they are infrequently diagnosed. We conducted this study to assess awareness and knowledge regarding selected zoonoses among healthcare providers in Moshi, Tanzania; to determine what diagnostic and treatment protocols are utilized; and obtain insights into contextual factors contributing to the apparent under-diagnosis of zoonoses.We conducted a questionnaire about zoonoses knowledge, case reporting, and testing with 52 human health practitioners and 10 livestock health providers. Immediately following questionnaire administration, we conducted semi-structured interviews with 60 of these respondents, using the findings of a previous fever etiology study to prompt conversation. Sixty respondents (97% had heard of brucellosis, 26 (42% leptospirosis, and 20 (32% Q fever. Animal sector respondents reported seeing cases of animal brucellosis (4, rabies (4, and anthrax (3 in the previous 12 months. Human sector respondents reported cases of human brucellosis (15, 29%, rabies (9, 18% and anthrax (6, 12%. None reported leptospirosis or Q fever cases. Nineteen respondents were aware of a local diagnostic test for human brucellosis. Reports of tests for human leptospirosis or Q fever, or for any of the study pathogens in animals, were rare. Many respondents expressed awareness of malaria over-diagnosis and zoonoses under-diagnosis, and many identified low knowledge and testing capacity as reasons for zoonoses under-diagnosis.This study revealed differences in knowledge of different zoonoses and low case report frequencies of brucellosis, leptospirosis, and Q fever. There was a lack of known diagnostic services for leptospirosis and Q fever. These findings emphasize a need for improved diagnostic capacity alongside healthcare

  5. Impact of the Provider and Healthcare team Adherence to Treatment Guidelines (PHAT-G) intervention on adherence to national obesity clinical practice guidelines in a primary care centre.

    Science.gov (United States)

    Barnes, Emily R; Theeke, Laurie A; Mallow, Jennifer

    2015-04-01

    Obesity is significantly underdiagnosed and undertreated in primary care settings. The purpose of this clinical practice change project was to increase provider adherence to national clinical practice guidelines for the diagnosis and treatment of obesity in adults. Based upon the National Institutes of Health guidelines for the diagnosis and treatment of obesity, a clinical change project was implemented. Guided by the theory of planned behaviour, the Provider and Healthcare team Adherence to Treatment Guidelines (PHAT-G) intervention includes education sessions, additional provider resources for patient education, a provider reminder system and provider feedback. Primary care providers did not significantly increase on documentation of diagnosis and planned management of obesity for patients with body mass index (BMI) greater than or equal to 30. Medical assistants increased recording of height, weight and BMI in the patient record by 13%, which was significant. Documentation of accurate BMI should lead to diagnosis of appropriate weight category and subsequent care planning. Future studies will examine barriers to adherence to clinical practice guidelines for obesity. Interventions are needed that include inter-professional team members and may be more successful if delivered separately from routine primary care visits. © 2015 John Wiley & Sons, Ltd.

  6. The application of artificial intelligence to astronomical scheduling problems

    Science.gov (United States)

    Johnston, Mark D.

    1992-01-01

    Efficient utilization of expensive space- and ground-based observatories is an important goal for the astronomical community; the cost of modern observing facilities is enormous, and the available observing time is much less than the demand from astronomers around the world. The complexity and variety of scheduling constraints and goals has led several groups to investigate how artificial intelligence (AI) techniques might help solve these kinds of problems. The earliest and most successful of these projects was started at Space Telescope Science Institute in 1987 and has led to the development of the Spike scheduling system to support the scheduling of Hubble Space Telescope (HST). The aim of Spike at STScI is to allocate observations to timescales of days to a week observing all scheduling constraints and maximizing preferences that help ensure that observations are made at optimal times. Spike has been in use operationally for HST since shortly after the observatory was launched in Apr. 1990. Although developed specifically for HST scheduling, Spike was carefully designed to provide a general framework for similar (activity-based) scheduling problems. In particular, the tasks to be scheduled are defined in the system in general terms, and no assumptions about the scheduling timescale are built in. The mechanisms for describing, combining, and propagating temporal and other constraints and preferences are quite general. The success of this approach has been demonstrated by the application of Spike to the scheduling of other satellite observatories: changes to the system are required only in the specific constraints that apply, and not in the framework itself. In particular, the Spike framework is sufficiently flexible to handle both long-term and short-term scheduling, on timescales of years down to minutes or less. This talk will discuss recent progress made in scheduling search techniques, the lessons learned from early HST operations, the application of Spike

  7. Oncology care provider perspectives on exercise promotion in people with cancer: an examination of knowledge, practices, barriers, and facilitators.

    Science.gov (United States)

    Nadler, Michelle; Bainbridge, Daryl; Tomasone, Jennifer; Cheifetz, Oren; Juergens, Rosalyn A; Sussman, Jonathan

    2017-07-01

    Despite the reported benefits of physical activity in alleviating the impact of cancer and its treatments, oncology care providers (OCPs) are not routinely discussing exercise with their patients, suggesting a knowledge to action gap. We sought to determine OCP's knowledge, beliefs, barriers, and facilitators to exercise discussion. A survey was administered to OCPs at the cancer center in Hamilton, Ontario. Questions comprised of demographics, knowledge and beliefs regarding exercise guidelines, and barriers and facilitators to exercise discussion. Analysis of survey responses was descriptive. Pearson's chi-squared test was used to examine select associations. There were 120 respondents (61% response rate) representing a diversity of professions. Approximately, 80% of OCPs were not aware of any exercise guidelines in cancer and self-reported poor knowledge on when, how, and which patients to refer to exercise programs. OCPs who reported meeting Canada's Physical Activity guidelines were significantly more likely to identify correct guidelines (p = 0.023) and to report good knowledge on how to provide exercise counseling (p = 0.014). Across OCP groups, barriers to exercise discussion included poor knowledge, lack of time, and safety concerns. Most felt that educational sessions and having an exercise specialist on the clinical team would be beneficial. OCPs have low knowledge regarding exercise counseling, but believe that discussing exercise is a multidisciplinary task and expressed a desire for further training. Interventions will require a multi-pronged approach including education for OCPs and guidance on assessment for exercise safety.

  8. General practice out-of-hours service in Ireland provides a new source of syndromic surveillance data on influenza.

    LENUS (Irish Health Repository)

    Brabazon, E D

    2010-01-01

    The use of routinely available electronic sources of healthcare data on the spread of influenza has the potential to enhance current surveillance activities. This study aimed to develop a method for identifying influenza-related records from general practitioner(GP) out-of-hours (OOH) services in Ireland. Data from one such service were interrogated for keywords relating to influenza-like illness (ILI) and a proxy measure of influenza activity in the community setting was developed. Comparison of this syndromic surveillance measure with national data on ILI consultation rates demonstrated a statistically significant temporal correlation.In five out of six influenza seasons investigated,peaks in the GP OOH influenza-related calls appeared at least one week ahead of peaks in the national ILI consultation rates. The method described in this paper has been extended to nine OOH services in Ireland (covering 70% of the Irish population) to provide weekly figures on self-reported illness for influenza in the community and its data have been incorporated into the national weekly influenza reports produced by the Health Protection Surveillance Centre. These data should provide early warnings of both seasonal and pandemic influenza in Ireland.

  9. Database-Driven Analyses of Astronomical Spectra

    Science.gov (United States)

    Cami, Jan

    2012-03-01

    Spectroscopy is one of the most powerful tools to study the physical properties and chemical composition of very diverse astrophysical environments. In principle, each nuclide has a unique set of spectral features; thus, establishing the presence of a specific material at astronomical distances requires no more than finding a laboratory spectrum of the right material that perfectly matches the astronomical observations. Once the presence of a substance is established, a careful analysis of the observational characteristics (wavelengths or frequencies, intensities, and line profiles) allows one to determine many physical parameters of the environment in which the substance resides, such as temperature, density, velocity, and so on. Because of this great diagnostic potential, ground-based and space-borne astronomical observatories often include instruments to carry out spectroscopic analyses of various celestial objects and events. Of particular interest is molecular spectroscopy at infrared wavelengths. From the spectroscopic point of view, molecules differ from atoms in their ability to vibrate and rotate, and quantum physics inevitably causes those motions to be quantized. The energies required to excite vibrations or rotations are such that vibrational transitions generally occur at infrared wavelengths, whereas pure rotational transitions typically occur at sub-mm wavelengths. Molecular vibration and rotation are coupled though, and thus at infrared wavelengths, one commonly observes a multitude of ro-vibrational transitions (see Figure 13.1). At lower spectral resolution, all transitions blend into one broad ro-vibrational molecular band. The isotope. Molecular spectroscopy thus allows us to see a difference of one neutron in an atomic nucleus that is located at astronomical distances! Since the detection of the first interstellar molecules (the CH [21] and CN [14] radicals), more than 150 species have been detected in space, ranging in size from diatomic

  10. Astronomers Discover Fastest-Spinning Pulsar

    Science.gov (United States)

    2006-01-01

    Astronomers using the National Science Foundation's Robert C. Byrd Green Bank Telescope have discovered the fastest-spinning neutron star ever found, a 20-mile-diameter superdense pulsar whirling faster than the blades of a kitchen blender. Their work yields important new information about the nature of one of the most exotic forms of matter known in the Universe. Pulsar Graphic Pulsars Are Spinning Neutron Stars CREDIT: Bill Saxton, NRAO/AUI/NSF (Click on image for larger version) "We believe that the matter in neutron stars is denser than an atomic nucleus, but it is unclear by how much. Our observations of such a rapidly rotating star set a hard upper limit on its size, and hence on how dense the star can be.," said Jason Hessels, a graduate student at McGill University in Montreal. Hessels and his colleagues presented their findings to the American Astronomical Society's meeting in Washington, DC. Pulsars are spinning neutron stars that sling "lighthouse beams" of radio waves or light around as they spin. A neutron star is what is left after a massive star explodes at the end of its "normal" life. With no nuclear fuel left to produce energy to offset the stellar remnant's weight, its material is compressed to extreme densities. The pressure squeezes together most of its protons and electrons to form neutrons; hence, the name "neutron star." "Neutron stars are incredible laboratories for learning about the physics of the fundamental particles of nature, and this pulsar has given us an important new limit," explained Scott Ransom, an astronomer at the National Radio Astronomy Observatory and one of Hessels' collaborators on this work. The scientists discovered the pulsar, named PSR J1748-2446ad, in a globular cluster of stars called Terzan 5, located some 28,000 light-years from Earth in the constellation Sagittarius. The newly-discovered pulsar is spinning 716 times per second, or at 716 Hertz (Hz), readily beating the previous record of 642 Hz from a pulsar

  11. "Movie Star" Acting Strangely, Radio Astronomers Find

    Science.gov (United States)

    1999-01-01

    Astronomers have used the National Science Foundation's Very Long Baseline Array (VLBA) radio telescope to make the first-ever time-lapse "movie" showing details of gas motions around a star other than our Sun. The study, the largest observational project yet undertaken using Very Long Baseline Interferometry, has produced surprising results that indicate scientists do not fully understand stellar atmospheres. The "movie" shows that the atmosphere of a pulsating star more than 1,000 light-years away continues to expand during a part of the star's pulsation period in which astronomers expected it to start contracting. Philip Diamond and Athol Kemball, of the National Radio Astronomy Observatory (NRAO) in Socorro, New Mexico, announced their findings at the American Astronomical Society's meeting in Austin, TX, today. "The continued expansion we're seeing contradicts current theoretical models for how these stars work," Diamond said. "The models have assumed spherical symmetry in the star's atmosphere, and our movie shows that this is not the case. Such models suggest that a shock wave passes outward from the star. Once it's passed, then the atmosphere should begin to contract because of the star's gravity. We've long passed that point and the contraction has not begun." The time-lapse images show that the gas motions are not uniform around the star. Most of the motion is that of gas moving directly outward from the star's surface. However, in about one-fourth of the ring, there are peculiar motions that do not fit this pattern. The scientists speculate that the rate of mass loss may not be the same from all parts of the star's surface. "A similar star behaved as predicted when studied a few years ago, so we're left to wonder what's different about this one," Diamond said. "Right now, we think that different rates of mass loss in the two stars may be the cause of the difference. This star is losing mass at 100 times the rate of the star in the earlier study." "This

  12. Providers as weight coaches: using practice guides and motivational interview to treat obesity in the pediatric office.

    Science.gov (United States)

    Tripp, Sandy Blizzard; Perry, Joan Templeton; Romney, Sharon; Blood-Siegfried, Jane

    2011-10-01

    Motivational interview techniques combined with an evidence-based guideline provide valuable tools for the treatment of childhood obesity. The National Association of Pediatric Nurse Practitioners' Healthy Eating and Activity Together guidelines were adopted in a rural pediatric office. After a 6-month pilot, effectiveness of treatment was evaluated with a retrospective chart review. The results suggest that children were motivated for healthy lifestyle changes but had difficulty maintaining motivation and compliance with healthy change choices after 1-2 months; however, with consistent use of motivational interviewing techniques combined with diet and exercise counseling, there was a trend toward lowered body mass index and waist measurements. Copyright © 2011 Elsevier Inc. All rights reserved.

  13. Conducting Original, Hands-On Astronomical Research in the Classroom

    Science.gov (United States)

    Corneau, M. J.

    2009-12-01

    Since 2007 I have been a Team Leader for the Tzec Maun Foundation, a non-profit foundation dedicated to providing free, research grade, Internet telescopes to students, teachers and researchers around the world. The name Tzec Maun (pronounced “Teh-Zeck-Moan”) comes from Mayan culture. Tzec Maun was the jovial messenger, laughed at adversity. Based on the challenges students, researchers and professional astronomers face with finances, equipment, and telescope access, the jovial mascot seems to fit. Hundreds of hours performing astronomical outreach as a NASA/JPL Solar System Ambassador and Astronomical League Master of outreach taught me that the best way to inspirationally teach astronomy and space science (and most subjects) is actually being at the eyepiece. I’m NOT a fan of the traditional planetarium experience as a teaching tool because it inhibits inspiration and the learning experience to a 2-D mat on a faux horizon with artificial representations. Once, a student at my dark sky observatory excitedly commented that the night sky was like a 3-D planetarium. I have hosted several classes at my own personal dark sky observatory, but this resource is impractical for all but a few lucky students. Experience has taught me that the next best thing to being at the eyepiece is to control a remote telescope via the Internet. Tzec Maun’s arsenal of telescopes is all research capable, linked to the Internet and positioned for round-the-clock dark skies. The final conditions described above, mean that I can enter an 8:30am science class, log onto the Tzec Maun telescope Portal and turn over control of an Australian system (where it is night) to a student or teacher. Working as a group, the class can either begin their investigations. My Tzec Maun science team (TARP) is engaged in searching for potentially hazardous asteroids (PHAs). PHA work excites student and teacher alike. Teaching from telescopes can unleash powerful attention-getting tools that enable

  14. Radio Astronomers Develop New Technique for Studying Dark Energy

    Science.gov (United States)

    2010-07-01

    Pioneering observations with the National Science Foundation's giant Robert C. Byrd Green Bank Telescope (GBT) have given astronomers a new tool for mapping large cosmic structures. The new tool promises to provide valuable clues about the nature of the mysterious "dark energy" believed to constitute nearly three-fourths of the mass and energy of the Universe. Dark energy is the label scientists have given to what is causing the Universe to expand at an accelerating rate. While the acceleration was discovered in 1998, its cause remains unknown. Physicists have advanced competing theories to explain the acceleration, and believe the best way to test those theories is to precisely measure large-scale cosmic structures. Sound waves in the matter-energy soup of the extremely early Universe are thought to have left detectable imprints on the large-scale distribution of galaxies in the Universe. The researchers developed a way to measure such imprints by observing the radio emission of hydrogen gas. Their technique, called intensity mapping, when applied to greater areas of the Universe, could reveal how such large-scale structure has changed over the last few billion years, giving insight into which theory of dark energy is the most accurate. "Our project mapped hydrogen gas to greater cosmic distances than ever before, and shows that the techniques we developed can be used to map huge volumes of the Universe in three dimensions and to test the competing theories of dark energy," said Tzu-Ching Chang, of the Academia Sinica in Taiwan and the University of Toronto. To get their results, the researchers used the GBT to study a region of sky that previously had been surveyed in detail in visible light by the Keck II telescope in Hawaii. This optical survey used spectroscopy to map the locations of thousands of galaxies in three dimensions. With the GBT, instead of looking for hydrogen gas in these individual, distant galaxies -- a daunting challenge beyond the technical

  15. Astronomers Reveal Extinct Extra-Terrestrial Fusion Reactor

    Science.gov (United States)

    2004-06-01

    improve our understanding of the life-cycle of stars.' The Chandra X-ray data also reveal the signatures of neon, an expected by-product of helium fusion. However, a big surprise was the presence of magnesium in similar quantities. This result may provide a key to the unique composition of H1504+65 and validate theoretical predictions that, if massive enough, some stars can extend their lives by tapping yet another energy source: the fusion of carbon into magnesium. However, as magnesium can also be produced by helium fusion, proof of the theory is not yet ironclad. The final link in the puzzle would be the detection of sodium, which will require data from yet another observatory: the Hubble Space Telescope. The team has already been awarded time on the Hubble Space Telescope to search for sodium in H1504+65 next year, and will, hopefully, discover the final answer as to the origin of this unique star. This work will be published in July in the 'Astronomy & Astrophysics' journal. The Chandra X-ray Observatory and the Far Ultraviolet Spectroscopic Explorer (FUSE) were both launched into orbit by NASA in 1999. Their instruments make use of a technique called spectroscopy, which spreads the light obtained from astronomical objects into its constituent X-ray and ultraviolet 'colours', in the same way visible light is dispersed into a rainbow naturally, by water droplets in the atmosphere, or artificially, by a prism. When studied in fine detail each spectrum is a unique 'fingerprint' which tells us what elements are present and reveals the physical conditions in the object being studied. Related Internet Address http://www.ras.org.uk/index.php?option=com_content&task=view&id=673&Itemid=2

  16. Integrating the IA2 Astronomical Archive in the VO: The VO-Dance Engine

    Science.gov (United States)

    Molinaro, M.; Laurino, O.; Smareglia, R.

    2012-09-01

    Virtual Observatory (VO) protocols and standards are getting mature and the astronomical community asks for astrophysical data to be easily reachable. This means data centers have to intensify their efforts to provide the data they manage not only through proprietary portals and services but also through interoperable resources developed on the basis of the IVOA (International Virtual Observatory Alliance) recommendations. Here we present the work and ideas developed at the IA2 (Italian Astronomical Archive) data center hosted by the INAF-OATs (Italian Institute for Astrophysics - Trieste Astronomical Observatory) to reach this goal. The core point is the development of an application that from existing DB and archive structures can translate their content to VO compliant resources: VO-Dance (written in Java). This application, in turn, relies on a database (potentially DBMS independent) to store the translation layer information of each resource and auxiliary content (UCDs, field names, authorizations, policies, etc.). The last token is an administrative interface (currently developed using the Django python framework) to allow the data center administrators to set up and maintain resources. This deployment, platform independent, with database and administrative interface highly customizable, means the package, when stable and easily distributable, can be also used by single astronomers or groups to set up their own resources from their public datasets.

  17. Astronomical calibration of the geological timescale: closing the middle Eocene gap

    Science.gov (United States)

    Westerhold, T.; Röhl, U.; Frederichs, T.; Bohaty, S. M.; Zachos, J. C.

    2015-09-01

    To explore cause and consequences of past climate change, very accurate age models such as those provided by the astronomical timescale (ATS) are needed. Beyond 40 million years the accuracy of the ATS critically depends on the correctness of orbital models and radioisotopic dating techniques. Discrepancies in the age dating of sedimentary successions and the lack of suitable records spanning the middle Eocene have prevented development of a continuous astronomically calibrated geological timescale for the entire Cenozoic Era. We now solve this problem by constructing an independent astrochronological stratigraphy based on Earth's stable 405 kyr eccentricity cycle between 41 and 48 million years ago (Ma) with new data from deep-sea sedimentary sequences in the South Atlantic Ocean. This new link completes the Paleogene astronomical timescale and confirms the intercalibration of radioisotopic and astronomical dating methods back through the Paleocene-Eocene Thermal Maximum (PETM, 55.930 Ma) and the Cretaceous-Paleogene boundary (66.022 Ma). Coupling of the Paleogene 405 kyr cyclostratigraphic frameworks across the middle Eocene further paves the way for extending the ATS into the Mesozoic.

  18. A Practical Guide to Lightcurve Photometry and Analysis

    CERN Document Server

    Warner, Brian D

    2006-01-01

    A Practical Guide to Lightcurve Photometry and Analysis provides, for those with access to even a modest telescope and CCD camera, all the information needed to take part in the scientific study of asteroids and variable stars. Using commercially available equipment, amateur astronomers can determine the rotation rate, size, and shape of asteroids. Similarly, it is possible to discover the size, temperature, and orbits of stars in binary systems by using this powerful technique. A Practical Guide to Lightcurve Photometry and Analysis contains all the material needed for readers to understand the theory, and avoid the practical pitfalls of lightcurve photometry. Detailed examples are given for obtaining data, and of course for the exciting and rewarding task of analyzing the data to determine the physical properties of the object. Any college student or amateur astronomer who wants to go beyond mere imaging with a CCD camera and enter the challenging world of "real science" via the lightcurves of asteroids and...

  19. Knowledge and Practices Relating to Acute Pesticide Poisoning Among Health Care Providers in Selected Regions of Tanzania

    Directory of Open Access Journals (Sweden)

    Elikana Lekei

    2017-02-01

    Full Text Available Background: Acute pesticide poisoning (APP is commonly underdiagnosed in Tanzania. Studies in developing countries suggest that a lack of diagnostic skills among health care providers (HCPs undermines surveillance for APP. This study aimed at characterizing experience and skills of Tanzanian HCPs regarding APP diagnosis and management. Methodology: The population included HCPs responsible for managing APP in Kilimanjaro and Arusha regions (n = 91. The resulting sample included 66 respondents (response rate: 73%. The data were collected in 2005 using a standardized questionnaire. Results: Half of all respondents (50% reported handling at least 1 APP case with 15% reporting handling more than 5 cases in the past. Reported experience of handling an APP case was marginally higher in respondents who reported ⩾4 years of work experience in the health sector compared with those with <4 years of work experience (odds ratio = 1.32; 95% confidence interval = 0.9-1.5. Most of the respondents had high knowledge of exposure routes, reporting awareness of oral (98.5%, inhalational (93.9%, and dermal (77% routes. The study revealed low awareness of pesticide classification by chemical groups (29% or World Health Organization hazard (0% and weak knowledge on pesticide label instructions (55%. Organophosphates accounted for 35% of the pesticide products reported by respondents as being responsible for poisoning. Some treatment options were incorrectly reported as first aid options, and some reported first aid options were wrong or inappropriate. Conclusions: The study revealed that HCPs in northern Tanzania lack adequate skills to diagnose and manage APP. For effective surveillance of APP, there is a need to include training on hazards, classification, diagnosis, and health effects in the training programmes for all HCPs in Tanzania.

  20. What Lies Behind NSF Astronomer Demographics? Subjectivities of Women, Minorities and Foreign-born Astronomers within Meshworks of Big Science Astronomy

    Science.gov (United States)

    Guillen, Reynal; Gu, D.; Holbrook, J.; Murillo, L. F.; Traweek, S.

    2011-01-01

    Our current research focuses on the trajectory of scientists working with large-scale databases in astronomy, following them as they strategically build their careers, digital infrastructures, and make their epistemological commitments. We look specifically at how gender, ethnicity, nationality intersect in the process of subject formation in astronomy, as well as in the process of enrolling partners for the construction of instruments, design and implementation of large-scale databases. Work once figured as merely technical support, such assembling data catalogs, or as graphic design, generating pleasing images for public support, has been repositioned at the core of the field. Some have argued that such databases enable a new kind of scientific inquiry based on data exploration, such as the "fourth paradigm" or "data-driven" science. Our preliminary findings based on oral history interviews and ethnography provide insights into meshworks of women, African-American, "Hispanic," Asian-American and foreign-born astronomers. Our preliminary data suggest African-American men are more successful in sustaining astronomy careers than Chicano and Asian-American men. A distinctive theme in our data is the glocal character of meshworks available to and created by foreign-born women astronomers working at US facilities. Other data show that the proportion of Asian to Asian American and foreign-born Latina/o to Chicana/o astronomers is approximately equal. Futhermore, Asians and Latinas/os are represented in significantly greater numbers than Asian Americans and Chicanas/os. Among professional astronomers in the US, each ethnic minority group is numbered on the order of tens, not hundreds. Project support is provided by the NSF EAGER program to University of California, Los Angeles under award 0956589.

  1. Statistics, data mining, and machine learning in astronomy a practical Python guide for the analysis of survey data

    CERN Document Server

    Ivezic, Željko; VanderPlas, Jacob T; Gray, Alexander

    2014-01-01

    As telescopes, detectors, and computers grow ever more powerful, the volume of data at the disposal of astronomers and astrophysicists will enter the petabyte domain, providing accurate measurements for billions of celestial objects. This book provides a comprehensive and accessible introduction to the cutting-edge statistical methods needed to efficiently analyze complex data sets from astronomical surveys such as the Panoramic Survey Telescope and Rapid Response System, the Dark Energy Survey, and the upcoming Large Synoptic Survey Telescope. It serves as a practical handbook for graduate s

  2. Provider performance in treating poor patients--factors influencing prescribing practices in lao PDR: a cross-sectional study.

    Science.gov (United States)

    Syhakhang, Lamphone; Soukaloun, Douangdao; Tomson, Göran; Petzold, Max; Rehnberg, Clas; Wahlström, Rolf

    2011-01-06

    Out-of-pocket payments make up about 80% of medical care spending at hospitals in Laos, thereby putting poor households at risk of catastrophic health expenditure. Social security schemes in the form of community-based health insurance and health equity funds have been introduced in some parts of the country. Drug and Therapeutics Committees (DTCs) have been established to ensure rational use of drugs and improve quality of care. The objective was to assess the appropriateness and expenditure for treatment for poor patients by health care providers at hospitals in three selected provinces of Laos and to explore associated factors. Cross-sectional study using four tracer conditions. Structured interviews with 828 in-patients at twelve provincial and district hospitals on the subject of insurance protection, income and expenditures for treatment, including informal payment. Evaluation of each patient's medical record for appropriateness of drug use using a checklist of treatment guidelines (maximum score=10). No significant difference in appropriateness of care for patients at different income levels, but higher expenditures for patients with the highest income level. The score for appropriate drug use in insured patients was significantly higher than uninsured patients (5.9 vs. 4.9), and the length of stay in days significantly shorter (2.7 vs. 3.7). Insured patients paid significantly less than uninsured patients, both for medicines (USD 14.8 vs. 43.9) and diagnostic tests (USD 5.9 vs. 9.2). On the contrary the score for appropriateness of drug use in patients making informal payments was significantly lower than patients not making informal payments (3.5 vs. 5.1), and the length of stay significantly longer (6.8 vs. 3.2), while expenditures were significantly higher both for medicines (USD 124.5 vs. 28.8) and diagnostic tests (USD 14.1 vs. 7.7). The lower expenditure for insured patients can help reduce the number of households experiencing catastrophic health

  3. Provider performance in treating poor patients - factors influencing prescribing practices in lao PDR: a cross-sectional study

    Directory of Open Access Journals (Sweden)

    Petzold Max

    2011-01-01

    Full Text Available Abstract Background Out-of-pocket payments make up about 80% of medical care spending at hospitals in Laos, thereby putting poor households at risk of catastrophic health expenditure. Social security schemes in the form of community-based health insurance and health equity funds have been introduced in some parts of the country. Drug and Therapeutics Committees (DTCs have been established to ensure rational use of drugs and improve quality of care. The objective was to assess the appropriateness and expenditure for treatment for poor patients by health care providers at hospitals in three selected provinces of Laos and to explore associated factors. Methods Cross-sectional study using four tracer conditions. Structured interviews with 828 in-patients at twelve provincial and district hospitals on the subject of insurance protection, income and expenditures for treatment, including informal payment. Evaluation of each patient's medical record for appropriateness of drug use using a checklist of treatment guidelines (maximum score = 10. Results No significant difference in appropriateness of care for patients at different income levels, but higher expenditures for patients with the highest income level. The score for appropriate drug use in insured patients was significantly higher than uninsured patients (5.9 vs. 4.9, and the length of stay in days significantly shorter (2.7 vs. 3.7. Insured patients paid significantly less than uninsured patients, both for medicines (USD 14.8 vs. 43.9 and diagnostic tests (USD 5.9 vs. 9.2. On the contrary the score for appropriateness of drug use in patients making informal payments was significantly lower than patients not making informal payments (3.5 vs. 5.1, and the length of stay significantly longer (6.8 vs. 3.2, while expenditures were significantly higher both for medicines (USD 124.5 vs. 28.8 and diagnostic tests (USD 14.1 vs. 7.7. Conclusions The lower expenditure for insured patients can help reduce

  4. Demographics of cleft care providers in Africa and reported experience in training and practice: direct analysis of continent-based practitioners.

    Science.gov (United States)

    Adetayo, Oluwaseun A; Martin, Mark C

    2012-05-01

    To elucidate the impact of several geographic, cultural, and socioeconomic variables on cleft care delivery in Africa, and to investigate the current status of cleft care delivery in Africa. Survey of practitioners attending the second Pan-African Congress on Cleft Lip and Palate (PACCLIP). The annual PACCLIP conference in Ibadan, Nigeria, West Africa, February 2007. To provide an analysis of the demographics and training experience of cleft care providers in Africa by collating information directly from the continent-based practitioners. Plastic surgeons and oral and maxillofacial surgeons provide the majority of cleft care. Most of the participants reported availability of formal training programs in their respective countries. The predominant practice settings were university and government-based. During training, half of the providers had encountered up to 30 cleft cases, and a quarter had managed more than 100 cases. Representation of visiting surgeons were equally distributed between African and non-African countries. This study provides initial and detailed analysis crucial to understanding the underlying framework of cleft care composition teams, demographics of providers, and training and practice experience. This awareness will further enable North American and other non-African plastic surgeons to effectively partner with African cleft care providers to have a further reaching impact in the region.

  5. Astronomical Content in Rongorongo Tablet Keiti

    DEFF Research Database (Denmark)

    Wieczorek, Rafal

    2011-01-01

    Th e fi eld of rongorongo research: the study of Easter Island’s native script is in a peculiar state at the moment. While relative progress has been made in structural and statistical analysis in the last decades, at the level of both single glyphs as well as entire texts, little to no advanceme...... has been achieved in the actual decipherment. To shed new light on rongorongo research, a hypothesis regarding the contents of tablet Keiti, one of the 25 obtained artifacts, is proposed. Th e content, as well as the meaning, of all but one of these 25 rongorongo texts is still unknown....... In this publication, an interpretation for the recto side of tablet Keiti is presented. It is argued that the tablet contains astronomical observations or instructions regarding the Rapa Nui lunar calendar, and is similar in content to the only other rongorongo text whose function has been partially ascertained......: tablet Mamari. If the calendrical contents of this artifact were confi rmed, this would be a major boost to our understanding of Oceania’s only native script....

  6. Conceptualizing Astronomical Distances for Urban Populations

    Science.gov (United States)

    Popinchalk, Mark; Olson, Kristen; Ingber, Jenny; O'Brien, Mariel

    2017-01-01

    Students living in urban environments may have a washed-out night sky, but their enthusiasm for astronomy can still shine bright. As an educator, it can sometimes be a challenge to see the opportunities afforded by city living to the teaching of astronomy; however, several benefits can be identified. For example, the intrinsic understanding children have of the distances and scales involved in their everyday life is enhanced when they live in a regimented urban structure. This existing understanding of scale is critical to building a foundation for later conceptualizing of the universe.Leveraging the assets of New York City and the resources found in the American Museum of Natural History, The Science and Nature Program offers students (PreK through 8th grade) robust science learning experiences. To address concepts important for studying astronomy, we present a novel twist on the classic lesson “Earth as a Peppercorn,” by scaling the solar system to the size of New York City. Using local landmarks and their distance in relation to the Museum to represent the planets, students can use their prior knowledge of their surroundings to appreciate the impressive scale of our neighborhood in space in the context of their own neighborhoods. We correlate the activity with NGSS standards, present preliminary feedback on it’s success, and discuss the opportunities to apply a similar model lesson to other astronomical systems.

  7. Electronic Publishing and The American Astronomical Society

    Science.gov (United States)

    Milkey, R. W.

    1999-12-01

    Electronic Publishing has created, and will continue to create, new opportunities and challenges for representing scientific work in new media and formats. The AAS will position itself to take advantage of these, both for newly created works and for improved representation of works already published. It is the view of the AAS that we hold the works that we publish in trust for our community and are obligated to protect the integrity of these works and to assure that they continue to be available to the research community. Assignment of copyright to the AAS by the author plays a central role in the preservation of the integrity and accessability of the literature published by the American Astronomical Society. In return for such assignment the AAS allows the author to freely use the work for his/her own purpose and to control the grant of permission to third parties to use such materials. The AAS retains the right to republish the work in whatever format or medium, and to retain the rights after the author's death. Specific advantages to this approach include: Assurance of the continued availability of the materials to the research and educational communities; A guarantee of the intellectual integrity of the materials in the archive; Stimulation of the development of new means of presentation or of access to the archival literature; and Provision of a uniformity of treatment for copyright issues and to relieve the individual authors of much of the administrative work.

  8. Is astronomical research appropriate for developing countries?

    Science.gov (United States)

    Snowden, Michael S.

    An unproductive 45-cm astronomical telescope, given by JICA (Japan) to Sri Lanka, raises general questions as to the reasons for unproductive pure science in developing countries. Before installation, site, maintenance, and scientific objectives were discussed. The facility was launched with a conference organised by the UN Office for Outer Space Affairs. Unfortunately, no research or significant education has resulted after four years. The annual operating cost is U.S. $5000 per year, including salary for a trainee, maintenance, and a modest promotional programme. Comparison with a similar installation in Auckland suggests lack of funding or technical competence do not explain the failure in Sri Lanka. The facility in New Zealand, on the roof of Auckland University's Physics Department, has a slightly smaller budget but has led to modest but useful research and teaching. Lack of financial backing and expertise are often blamed for weak science in developing countries, but examination shows most of these countries have adequately skilled people, and plenty of resources for religion and military. General lack of motivation for science appears to be the principal reason. This lack of interest and highly inefficient bureaucracies are common to scientifically unproductive countries. They mostly lack the cultural and philosophical base of the European Renaissance that motivate the pursuit of modern science, an activity that violates human preferences. There are excellent facilities (ESO, SAAO, Cerro Tololo, and GONG) in some of these same countries, when administered from the West.

  9. How does care coordination provided by registered nurses "fit" within the organisational processes and professional relationships in the general practice context?

    Science.gov (United States)

    Ehrlich, Carolyn; Kendall, Elizabeth; St John, Winsome

    2013-01-01

    The aim of this study was to develop understanding about how a registered nurse-provided care coordination model can "fit" within organisational processes and professional relationships in general practice. In this project, registered nurses were involved in implementation of registered nurse-provided care coordination, which aimed to improve quality of care and support patients with chronic conditions to maintain their care and manage their lifestyle. Focus group interviews were conducted with nurses using a semi-structured interview protocol. Interpretive analysis of interview data was conducted using Normalization Process Theory to structure data analysis and interpretation. Three core themes emerged: (1) pre-requisites for care coordination, (2) the intervention in context, and (3) achieving outcomes. Pre-requisites were adequate funding mechanisms, engaging organisational power-brokers, leadership roles, and utilising and valuing registered nurses' broad skill base. To ensure registered nurse-provided care coordination processes were sustainable and embedded, mentoring and support as well as allocated time were required. Finally, when registered nurse-provided care coordination was supported, positive client outcomes were achievable, and transformation of professional practice and development of advanced nursing roles was possible. Registered nurse-provided care coordination could "fit" within the context of general practice if it was adequately resourced. However, the heterogeneity of general practice can create an impasse that could be addressed through close attention to shared and agreed understandings. Successful development and implementation of registered nurse roles in care coordination requires attention to educational preparation, support of the individual nurse, and attention to organisational structures, financial implications and team member relationships.

  10. Astronomers Get Closest Look Yet At Milky Way's Mysterious Core

    Science.gov (United States)

    2005-11-01

    Astronomers have gotten their deepest glimpse into the heart of our Milky Way Galaxy, peering closer to the supermassive black hole at the Galaxy's core then ever before. Using the National Science Foundation's continent-wide Very Long Baseline Array (VLBA), they found that a radio-wave-emitting object at the Galaxy's center would nearly fit between the Earth and the Sun. This is half the size measured in any previous observation. "We're getting tantalizingly close to being able to see an unmistakable signature that would provide the first concrete proof of a supermassive black hole at a galaxy's center," said Zhi-Qiang Shen, of the Shanghai Astronomical Observatory and the Chinese Academy of Sciences. A black hole is a concentration of mass so dense that not even light can escape its powerful gravitational pull. Milky Way Nucleus The Milky Way's nucleus, as seen with the VLA. Sagittarius A* is the bright white dot at center. CREDIT: NRAO/AUI/NSF, Jun-Hui Zhao, W.M. Goss (Click on Image for Larger Version) The astronomers used the VLBA to measure the size of an object called Sagittarius A* (pronounced "A-star") that marks the exact center of our Galaxy. Last year, a different team announced that their measurements showed the object would fit inside the complete circle of Earth's orbit around the Sun. Shen and his team, by observing at a higher radio frequency, measured Sagittarius A* as half that size. A mass equal to four million Suns is known to lie within Sagittarius A*, and the new measurement makes the case for a black hole even more compelling than it was previously. Scientists simply don't know of any long-lasting object other than a black hole that could contain this much mass in such a small area. However, they would like to see even stronger proof of a black hole. "The extremely strong gravitational pull of a black hole has several effects that would produce a distinctive 'shadow' that we think we could see if we can image details about half as small as

  11. Serbian Astronomers in Science Citation Index in the XX Century

    Science.gov (United States)

    Dimitrijevic, Milan S.

    The book is written paralelly in Serbian and English. The presence of works of Serbian astronomers and works in astronomical journals published by other Serbian scientists, in Science Citation Index within the period from 1945 up to the end of 2000, has been analyzed. Also is presented the list of 38 papers which had some influence on the development of astronomy in the twentieth century. A review of the development of astronomy in Serbia in the last century is given as well. Particular attention is payed to the Astronomical Observatory, the principal astronomical institution in Serbia, where it is one of the oldest scientific organizations and the only autonomous astronomical institute. Its past development forms an important part of the history of science and culture in these regions. In the book is also considered and the history of the university teaching of astronomy in Serbia after the second world war. First of all the development of the Chair of Astronomy at the Faculty of Mathematics in Belgrade, but also the teaching of astronomy at University in Novi Sad, Ni and Kragujevac is discussed. In addition to professional Astronomy, well developed in Serbia is also the amateur Astronomy. In the review is first of all included the largest and the oldest organization of amateur-astronomers in Serbia, founded in 1934. Besides, here are the Astronomical Society "Novi Sad", ADNOS and Research Station "Petnica". In Valjevo, within the framework of the Society of researchers "Vladimir Mandic - Manda", there is active also the Astronomical Group. In Kragujevac, on the roof of the Institute of Physics of the Faculty of Sciences, there is the "Belerofont" Observatory. In Ni, at the close of the sixties and the start of the seventies, there was operating a branch of the Astronomical Society "Rudjer Bokovic", while at the Faculty of Philosophy there existed in the period 1976-1980 the "Astro-Geophysical Society". In the year 1996 there was founded Astronomical Society

  12. Astronomical Observatory of Belgrade from 1924 to 1955

    Science.gov (United States)

    Radovanac, M.

    2014-12-01

    History of the Astronomical Observatory in Belgrade, as the presentation is done here, become the field of interest to the author of the present monograph in early 2002. Then, together with Luka C. Popovic, during the Conference "Development of Astronomy among Serbs II" held in early April of that year, he prepared a paper entitled "Astronomska opservatorija tokom Drugog Svetskog rata" (Astronomical Observatory in the Second World War). This paper was based on the archives material concerning the Astronomical Observatory which has been professionally bearing in mind the author's position the subject of his work.

  13. Evidence-based obstetrics in four hospitals in China: An observational study to explore clinical practice, women's preferences and provider's views

    Directory of Open Access Journals (Sweden)

    Liang Ji

    2001-05-01

    Full Text Available Abstract Background Evidence-based obstetric care is widely promoted in developing countries, but the success of implementation is not known. Using selected childbirth care procedures in four hospitals in Shanghai, we compared practice against evidence-based information, and explored user and provider views about each procedure. Methods Observational study. Using the Cochrane Library, we identified six procedures that should be avoided as routine and two that should be encouraged. Procedure rate determined by exit interviews with women, verified using hospital notes. Views of women and providers explored with in depth interviews. The study sites were three hospitals in Shanghai and one in neighbouring province of Jiangsu. 150 women at each centre for procedure rate, and 48 in-depth interviews with women and providers. Results Vaginal births were 50% (303/599 of the total. Of the six practices where evidence suggests they should be avoided as routine, three were performed with rates above 70%: pubic shaving (3 hospitals, rectal examination (3 hospitals, and episiotomy (3 hospitals. Most women delivered lying down, pain relief was rarely given, and only in the urban district hospital did women routinely have a companion. Most women wanted support or companionship during labour and to be given pain relief; but current practice is insufficient to meet women's needs. Conclusion Obstetric practice is not following best available evidence in the hospitals studied. There is a need to adjust hospital policy to support the use of interventions proven to be of benefit to women during childbirth, and develop approaches that ensure clinical practice changes.

  14. Calcium and Vitamin D Supplement Prescribing Practices among Providers Caring for Children with Autism Spectrum Disorders: Are We Addressing Bone Health?

    Directory of Open Access Journals (Sweden)

    Shylaja Srinivasan

    2016-01-01

    Full Text Available Children with autism spectrum disorders (ASD have several risk factors for low bone mineral density. The gluten-free, casein-free (GFCF diet is a complementary therapy sometimes used in ASD that raises concerns for the adequacy of calcium and vitamin D intake. This study evaluated the prescribing practices of calcium and vitamin D supplements and the practice of checking 25-hydroxy vitamin D (25(OHD levels by providers in 100 children with ASD, 50 of whom were on the GFCF diet. Fifty-two percent and 46% of children on the GFCF diet were on some form of vitamin D and calcium supplements, respectively, compared to 18% and 14% of those not on this diet. Twenty-four percent of children in the GFCF group had a documented 25(OHD level compared to none in the non-GFCF group. The data highlight a gap in calcium and vitamin D supplement prescribing practices among providers caring for children with ASD as well as a gap in the practice of checking 25(OHD levels.

  15. TAU: a design for a thousand astronomical unit voyage

    International Nuclear Information System (INIS)

    Eubanks, D.; Alvis, J.; Bechler, E.; Lyon, W. III; McFarlane, D.; Palmrose, D.; Schmitz, P.

    1987-01-01

    The Jet Propulsion Lab. (JPL) has proposed a deep-space probe to travel to a distance of one thousand astronomical units -25 times further from the Sun than Pluto. In order to achieve this goal within the lifetime of the investigators, the mission time is set at a maximum of 50 yr. The JPL proposal postulates a design in which the probe is under powered thrust for the first 10 yr of the mission and coasts for the next 40 yr. A continuous high specific impulse, Isp (the ratio of thrust to propellant mass flow rate), low thrust propulsion system (either magnetoplasmadynamic (MPD) or ion thrusters) is required in order to achieve this goal. This in turn necessitates electrical power in the megawatt range. The only power source that is practical for this situation is a nuclear reactor. It was a this point that the Nuclear Engineering Dept. at Texas A and M Univ. began its ongoing work, looking into several areas of the proposal in which a more detailed description was needed. These areas of interest were power, propulsion, heavy lift launch capabilities, and trajectory analysis. In addition to all of the boundaries previously outlined, the technology level is assumed to be that of 1995, 8 yr from now

  16. Initiating Young Children into Basic Astronomical Concepts and Phenomena

    Science.gov (United States)

    Kallery, M.

    2010-07-01

    In the present study we developed and implemented three units of activities aiming at acquainting very young children with basic astronomical concepts and phenomena such as the sphericity of the earth, the earth’s movements and the day/night cycle. The activities were developed by a group composed of a researcher/facilitator and six early-years teachers. In the activities children were presented with appropriate for their age scientific information along with conceptual tools such as a globe and an instructional video. Action research processes were used to optimize classroom practices and to gather useful information for the final shaping of the activities and the instruction materials. In these activities the adopted approach to learning can be characterized as socially constructed. The results indicated awareness of concepts and phenomena that the activities dealt with in high percentages of children, storage of the new knowledge in the long term memory and easy retrieval of it, and children’s enthusiasm for the subject.

  17. "I think we've got too many tests!": Prenatal providers' reflections on ethical and clinical challenges in the practice integration of cell-free DNA screening.

    Science.gov (United States)

    Gammon, B L; Kraft, S A; Michie, M; Allyse, M

    2016-01-01

    The recent introduction of cell-free DNA-based non-invasive prenatal screening (cfDNA screening) into clinical practice was expected to revolutionize prenatal testing. cfDNA screening for fetal aneuploidy has demonstrated higher test sensitivity and specificity for some conditions than conventional serum screening and can be conducted early in the pregnancy. However, it is not clear whether and how clinical practices are assimilating this new type of testing into their informed consent and counselling processes. Since the introduction of cfDNA screening into practice in 2011, the uptake and scope have increased dramatically. Prenatal care providers are under pressure to stay up to date with rapidly changing cfDNA screening panels, manage increasing patient demands, and keep up with changing test costs, all while attempting to use the technology responsibly and ethically. While clinical literature on cfDNA screening has shown benefits for specific patient populations, it has also identified significant misunderstandings among providers and patients alike about the power of the technology. The unique features of cfDNA screening, in comparison to established prenatal testing technologies, have implications for informed decision-making and genetic counselling that must be addressed to ensure ethical practice. This study explored the experiences of prenatal care providers at the forefront of non-invasive genetic screening in the United States to understand how this testing changes the practice of prenatal medicine. We aimed to learn how the experience of providing and offering this testing differs from established prenatal testing methodologies. These differences may necessitate changes to patient education and consent procedures to maintain ethical practice. We used the online American Congress of Obstetricians and Gynecologists Physician Directory to identify a systematic sample of five prenatal care providers in each U.S. state and the District of Columbia. Beginning

  18. Impact of education and network for avian influenza H5N1 in human: knowledge, clinical practice, and motivation on medical providers in Vietnam.

    Science.gov (United States)

    Manabe, Toshie; Pham, Thi Phuong Thuy; Kudo, Koichiro; Vu, Thi Tuong Van; Takasaki, Jin; Nguyen, Dang Tuan; Dao, Xuan Co; Dang, Hung Minh; Izumi, Shinyu; Nguyen, Gia Binh; Ngo, Quy Chau; Tran, Thuy Hanh

    2012-01-01

    Knowledge, clinical practice, and professional motivation of medical providers relating to H5N1 infection have an important influence on care for H5N1 patients who require early diagnosis and early medical intervention. Novel educational programs including training and workshops for medical providers relating to H5N1 infection in Vietnam were originally created and implemented in 18 provincial hospitals in northern Vietnam between 2008 and 2010. A self-administered, structured questionnaire survey was conducted in 8 provincial hospitals where both educational training and workshops were previously provided. A total of 326 medical providers, including physicians, nurses, and laboratory technicians who attended or did not attend original programs were enrolled in the survey. Knowledge, clinical attitudes and practice (KAP), including motivation surrounding caring for H5N1 patients, were evaluated. The study indicated a high level of knowledge and motivation in all professional groups, with especially high levels in laboratory technicians. Conferences and educational programs were evaluated to be the main scientific information resources for physicians, along with information from colleagues. The chest radiographs and the initiation of antiviral treatment in the absence of RT-PCR result were identified as gaps in education. Factors possibly influencing professional motivation for caring for H5N1 patients included healthcare profession, the hospital where the respondents worked, age group, attendance at original educational programs and at educational programs which were conducted by international health-related organizations. Educational programs provide high knowledge and motivation for medical providers in Vietnam caring for H5N1 patients. Additional educational programs related to chest radiographs and an initiation of treatment in the absence of RT-PCR are needed. Networking is also necessary for sharing updated scientific information and practical experiences

  19. Obstetric care providers' knowledge, practice and associated factors towards active management of third stage of labor in Sidama Zone, South Ethiopia.

    Science.gov (United States)

    Tenaw, Zelalem; Yohannes, Zemenu; Amano, Abdela

    2017-09-07

    Active management of third stage of labor played a great role to prevent child birth related hemorrhage. However, maternal morbidity and mortality related to hemorrhage is high due to lack of knowledge and skill of obstetric care providers 'on active management of third stage of labor. Our study was aimed to assess knowledge, practice and associated factors of obstetric care providers (Midwives, Nurses and Health officers) on active management of third stage of labor in Sidama Zone, South Ethiopia. An institution based cross sectional study design was conducted from December 1-30 /2015 among midwives, nurses and health officers. Simple random sampling technique was used to get the total of 528 participants. Data entry was done using EPI Info 3.5.1 and exported to SPSS version 20.0 software package for analysis. The presence of association between independent and dependent variables was assessed using odds ratio with 97% confidence interval by applying logistic regression model. Of the 528 obstetric care providers 37.7% and 32.8% were knowledgeable and skilled to manage third stage of labor respectively. After controlling for possible confounding factors, the result showed that pre/in service training, being midwife and graduation year were found to be the major predictors of proper active management of third stage of labor. The knowledge and practice of obstetric care providers towards active management of third stage of labor can be improved with appropriate interventions like in-service trainings. This study also clearly showed that the level of knowledge and practice of obstetric care providers to wards active management of third stage of labor needs immediate attention of Universities and health science colleges better to revise their obstetrics course contents, health institutions and zonal health bureau should arrange trainings for their obstetrics care providers to enhance skill.

  20. Astronomers Trace Microquasar's Path Back in Time

    Science.gov (United States)

    2003-01-01

    Astronomers have traced the orbit through our Milky Way Galaxy of a voracious neutron star and a companion star it is cannibalizing, and conclude that the pair joined more than 30 million years ago and probably were catapulted out of a cluster of stars far from the Galaxy's center. Path of Microquasar and Sun Path of Microquasar (red) and Sun (yellow) through the Milky Way Galaxy for the past 230 million years. Animations: GIF Version MPEG Version CREDIT: Mirabel & Rodrigues, NRAO/AUI/NSF The pair of stars, called Scorpius X-1, form a "microquasar," in which material sucked from the "normal" star forms a rapidly-rotating disk around the superdense neutron star. The disk becomes so hot it emits X-rays, and also spits out "jets" of subatomic particles at nearly the speed of light. Using precise positional data from the National Science Foundation's Very Long Baseline Array (VLBA) and from optical telescopes, Felix Mirabel, an astrophysicist at the Institute for Astronomy and Space Physics of Argentina and French Atomic Energy Commission, and Irapuan Rodrigues, also of the French Atomic Energy Commission, calculated that Scorpius X-1 is not orbiting the Milky Way's center in step with most other stars, but instead follows an eccentric path far above and below the Galaxy's plane. Scorpius X-1, discovered with a rocket-borne X-ray telescope in 1962, is about 9,000 light-years from Earth. It is the brightest continuous source of X-rays beyond the Solar System. The 1962 discovery and associated work earned a share of the 2002 Nobel Prize in physics for Riccardo Giacconi. Mirabel and Rodrigues used a number of published observations to calculate the path of Scorpius X-1 over the past few million years. "This is the most accurate determination we have made of the path of an X-ray binary," said Mirabel. By tracing the object's path backward in time, the scientists were able to conclude that the neutron star and its companion have been traveling together for more than 30

  1. Astronomical sketching a step-by-step introduction

    CERN Document Server

    Handy, Richard; Perez, Jeremy; Rix, Erika; Robbins, Sol

    2007-01-01

    This book presents the amateur with fine examples of astronomical sketches and step-by-step tutorials in each medium, from pencil to computer graphics programs. This unique book can teach almost anyone to create beautiful sketches of celestial objects.

  2. Database retrieval systems for nuclear and astronomical data

    International Nuclear Information System (INIS)

    Suda, Takuma; Korennov, Sergei; Otuka, Naohiko; Yamada, Shimako; Katsuta, Yutaka; Ohnishi, Akira; Kato, Kiyoshi; Fujimoto, Masayuki Y.

    2006-01-01

    Data retrieval and plot systems of nuclear and astronomical data are constructed on a common platform. Web-based systems will soon be opened to the users of both fields of nuclear physics and astronomy. (author)

  3. PPARC: Grid technology helps astronomers keep pace with the Universe

    CERN Multimedia

    2003-01-01

    "Intelligent Agent" computer programs are roaming the Internet and watching the skies. These programs, using Grid computing technology, will help astronomers detect some of the most dramatic events in the universe, such as massive supernova explosions (1 page).

  4. High energy astrophysics in radio-astronomical form

    International Nuclear Information System (INIS)

    Laan, H. van der

    1980-01-01

    The application of high energy astrophysics in observational astronomy, and in particular in radioastronomy, is considered. The current situation of extragalactic HEA, as brought to light by radio-astronomical techniques, is sketched. (C.F.)

  5. Lessons from the masters current concepts in astronomical image processing

    CERN Document Server

    2013-01-01

    There are currently thousands of amateur astronomers around the world engaged in astrophotography at increasingly sophisticated levels. Their ranks far outnumber professional astronomers doing the same and their contributions both technically and artistically are the dominant drivers of progress in the field today. This book is a unique collaboration of individuals, all world-renowned in their particular area, and covers in detail each of the major sub-disciplines of astrophotography. This approach offers the reader the greatest opportunity to learn the most current information and the latest techniques directly from the foremost innovators in the field today.   The book as a whole covers all types of astronomical image processing, including processing of eclipses and solar phenomena, extracting detail from deep-sky, planetary, and widefield images, and offers solutions to some of the most challenging and vexing problems in astronomical image processing. Recognized chapter authors include deep sky experts su...

  6. The primary care provider and the patient living in poverty: Applying the Bridges to Health and Healthcare model to NP practice.

    Science.gov (United States)

    Wise, Barbara; Dreussi-Smith, Terie

    2018-04-01

    There is a much recent emphasis on the social determinants of health, and poverty is the most influential of these. It is not enough merely to understand the influence of poverty on health-the primary care provider must understand how to effectively treat patients who live in poverty. This article applies the Bridges to Health and Healthcare model for understanding poverty to primary care practice from an individual provider's perspective. The article walks the reader through the implications of generational poverty for the primary care clinician in a typical office visit from history taking to following up. Most primary care practitioners approach patients from a middle-class perspective. Awareness of the challenges and different perspectives of those in generational poverty can enhance care and outcomes. The individual provider can use the understanding of driving forces, resources, language and cognition, environment, and relationships provided by the Bridges to Health and Healthcare model to benefit patients in generational poverty.

  7. Astronomical fire: Richard Carrington and the solar flare of 1859.

    Science.gov (United States)

    Clark, Stuart

    2007-09-01

    An explosion on the Sun in 1859, serendipitously witnessed by amateur astronomer Richard Carrington, plunged telegraphic communications into chaos and bathed two thirds of the Earth's skies in aurorae. Explaining what happened to the Sun and how it could affect Earth, 93 million miles away, helped change the direction of astronomy. From being concerned principally with charting the stars to aid navigation, astronomers became increasingly concerned with what the celestial objects were, how they behaved and how they might affect life on Earth.

  8. Applying artificial intelligence to astronomical databases - a surveyof applicable technology.

    Science.gov (United States)

    Rosenthal, D. A.

    This paper surveys several emerging technologies which are relevant to astronomical database issues such as interface technology, internal database representation, and intelligent data reduction aids. Among the technologies discussed are natural language understanding, frame and object representations, planning, pattern analysis, machine learning and the nascent study of simulated neural nets. These techniques will become increasingly important for astronomical research, and in particular, for applications with large databases.

  9. ARNICA, the Arcetri near-infrared camera: Astronomical performance assessment.

    Science.gov (United States)

    Hunt, L. K.; Lisi, F.; Testi, L.; Baffa, C.; Borelli, S.; Maiolino, R.; Moriondo, G.; Stanga, R. M.

    1996-01-01

    The Arcetri near-infrared camera ARNICA was built as a users' instrument for the Infrared Telescope at Gornergrat (TIRGO), and is based on a 256x256 NICMOS 3 detector. In this paper, we discuss ARNICA's optical and astronomical performance at the TIRGO and at the William Herschel Telescope on La Palma. Optical performance is evaluated in terms of plate scale, distortion, point spread function, and ghosting. Astronomical performance is characterized by camera efficiency, sensitivity, and spatial uniformity of the photometry.

  10. Preservation and maintenance of the astronomical sites in Armenia

    Science.gov (United States)

    Mickaelian, A. M.

    2008-01-01

    Astronomy in Armenia was popular since ancient times. There are signs of astronomical observations coming from a few thousands years ago. Two ancient observatories, Karahunge and Metzamor are especially well known. Karahunge is the Armenian twin of the Stonehenge and is even older. However, there is no proper attention from the state authorities and efforts are needed for preservation of such historical-astronomical monuments. The Byurakan Astrophysical Observatory (BAO) is the modern famous Armenian observatory founded in 1946 by the outstanding scientist Victor Ambartsumian. It was one of the world astronomical centres in 1950-s to 1970-s, and at present is the largest observatory in the Middle East area. As the ancient astronomical sites, Byurakan also needs a proper attitude from the state authorities and corresponding international organizations to preserve its values and importance for the present and future astronomical activities in the region, including its rich observational archive, telescopes, and human resources. Despite all the difficulties, the Armenian astronomers keep high international level of research and display various activities organizing international meetings and schools, preparing new young generation for the future research. The Armenian Astronomical Society (ArAS) is an affiliated member of EAS. Armenia has its Virtual Observatory project (ArVO) as well. The next Joint European and National Astronomy Meeting (JENAM-2007) will be held in Yerevan, Armenia, in August 2007. There are plans to organize astronomical tours to Armenia for making observations from various sites, including the ancient observatories. The future of astronomy in Armenia strongly depends on all of this activities and the proper attention both from state authorities and society.

  11. Established Designs For Advanced Ground Based Astronomical Telescopes In The 1-meter To 4-meter Domain

    Science.gov (United States)

    Hull, Anthony B.; Barentine, J.; Legters, S.

    2012-01-01

    The same technology and analytic approaches that led to cost-effective unmitigated successes for the spaceborne Kepler and WISE telescopes are now being applied to meter-class to 4-meter-class ground telescopes, providing affordable solutions to ground astronomy, with advanced features as needed for the application. The range of optical and mechanical performance standards and features that can be supplied for ground astronomy shall be described. Both classical RC designs, as well as unobscured designs are well represented in the IOS design library, allowing heritage designs for both night time and day time operations, the latter even in the proximity of the sun. In addition to discussing this library of mature features, we will also describe a process for working with astronomers early in the definition process to provide the best-value solution. Solutions can include remote operation and astronomical data acquisition and transmission.

  12. Supporting students' scientific explanations: A case study investigating the synergy focusing on a teacher's practices when providing instruction and using mobile devices

    Science.gov (United States)

    Delen, Ibrahim

    Engage students in constructing scientific practices is a critical component of science instruction. Therefore a number of researchers have developed software programs to help students and teachers in this hard task. The Zydeco group, designed a mobile application called Zydeco, which enables students to collect data inside and outside the classroom, and then use the data to create scientific explanations by using claim-evidence-reasoning framework. Previous technologies designed to support scientific explanations focused on how these programs improve students' scientific explanations, but these programs ignored how scientific explanation technologies can support teacher practices. Thus, to increase our knowledge how different scaffolds can work together, this study aimed to portray the synergy between a teacher's instructional practices (part 1) and using supports within a mobile devices (part 2) to support students in constructing explanations. Synergy can be thought of as generic and content-specific scaffolds working together to enable students to accomplish challenging tasks, such as creating explanations that they would not normally be able to do without the scaffolds working together. Providing instruction (part 1) focused on understanding how the teacher scaffolds students' initial understanding of the claim-evidence-reasoning (CER) framework. The second component of examining synergy (part 2: using mobile devices) investigated how this teacher used mobile devices to provide feedback when students created explanations. The synergy between providing instruction and using mobile devices was investigated by analyzing a middle school teacher's practices in two different units (plants and water quality). Next, this study focused on describing how the level of synergy influenced the quality of students' scientific explanations. Finally, I investigated the role of focused teaching intervention sessions to inform teacher in relation to students' performance. In

  13. Astronomers Take the Measure of Dark Matter in the universe

    Science.gov (United States)

    2001-09-01

    Using NASA's Chandra X-ray Observatory, astronomers have obtained their most accurate determination to date of the amount of dark matter in galaxy clusters, the most massive objects in the universe. The results provide an important step towards a precise measurement of the total matter density of the universe. These results were presented today by Steven W. Allen of the Institute of Astronomy in Cambridge, UK at a press conference at the `Two Years of Science with Chandra' symposium in Washington, DC. Allen and his colleagues Robert W. Schmidt and Andrew C. Fabian at the Institute of Astronomy observed a carefully chosen sample of five of the largest clusters of galaxies known, whose distances range from 1.5 to 4 billion light years. The team made temperature maps of the hot multimillion-degree gas that fills the clusters. "The temperature maps can be used to determine the mass needed to prevent the hot gas from escaping the clusters" explained Allen. "We found that the stars in the galaxies and hot gas together contribute only about 13 percent of the mass. The rest must be in the form of dark matter." The nature of the dark matter is not known, but most astronomers think that it is in the form of an as yet unknown type of elementary particle that contributes to gravity through its mass but otherwise interacts weakly with normal matter. These dark matter particles are often called WIMPs, an acronym for `weakly interacting massive particles'. Clusters of galaxies are vast concentrations of galaxies, hot gas and dark matter spanning millions of light years, held together by gravity. Because of their size, clusters of galaxies are thought to provide a fair sample of the proportion of dark matter in the universe as a whole. "The implication of our results is that we live in a low-density universe" said Allen. "The total mass-density is only about thirty percent of that needed to stop the universe from expanding forever." The result reinforces recent findings from

  14. Silicon carbide optics for space and ground based astronomical telescopes

    Science.gov (United States)

    Robichaud, Joseph; Sampath, Deepak; Wainer, Chris; Schwartz, Jay; Peton, Craig; Mix, Steve; Heller, Court

    2012-09-01

    Silicon Carbide (SiC) optical materials are being applied widely for both space based and ground based optical telescopes. The material provides a superior weight to stiffness ratio, which is an important metric for the design and fabrication of lightweight space telescopes. The material also has superior thermal properties with a low coefficient of thermal expansion, and a high thermal conductivity. The thermal properties advantages are important for both space based and ground based systems, which typically need to operate under stressing thermal conditions. The paper will review L-3 Integrated Optical Systems - SSG’s (L-3 SSG) work in developing SiC optics and SiC optical systems for astronomical observing systems. L-3 SSG has been fielding SiC optical components and systems for over 25 years. Space systems described will emphasize the recently launched Long Range Reconnaissance Imager (LORRI) developed for JHU-APL and NASA-GSFC. Review of ground based applications of SiC will include supporting L-3 IOS-Brashear’s current contract to provide the 0.65 meter diameter, aspheric SiC secondary mirror for the Advanced Technology Solar Telescope (ATST).

  15. Online Training in Specific Meditation Practices Improves Gratitude, Well-Being, Self-Compassion, and Confidence in Providing Compassionate Care Among Health Professionals.

    Science.gov (United States)

    Rao, Nisha; Kemper, Kathi J

    2016-04-06

    Mind-body practices that intentionally generate positive emotion could improve health professionals' well-being and compassion. However, the feasibility and impact of clinician training in these practices is unknown. Data were analyzed from 3 online modules offered to health professionals: (a) Gratitude, (b) Positive Word, and (c) Loving-kindness/Compassion meditation. Pairedttests were used to assess pre- to posttraining changes in gratitude (Gratitude Questionnaire), well-being (World Health Organization