WorldWideScience

Sample records for unit skill mix

  1. Effects of nursing care and staff skill mix on patient outcomes within acute care nursing units.

    Science.gov (United States)

    Hart, Patricia; Davis, Nancy

    2011-01-01

    This article presents the findings from a study that evaluates the relationships between staffing indicators and patient outcomes at the hospital unit level. Nursing administrators should not only evaluate the impact staffing decisions have on patient outcomes at the hospital level but also examine these relationships at the unit level. The findings from this study have implications for nursing practice in the areas of staff orientation, education, and patient outcome monitoring.

  2. Hospital and unit characteristics associated with nursing turnover include skill mix but not staffing level: an observational cross-sectional study.

    Science.gov (United States)

    Staggs, Vincent S; Dunton, Nancy

    2012-09-01

    Nursing turnover is expensive and may have adverse effects on patient care. Little is known about turnover's association with most hospital and nursing unit characteristics, including nurse staffing level and registered nurse skill mix. To explore associations between nursing unit turnover rates and several hospital- and unit-level variables, including staffing level and skill mix. Observational cross-sectional study of longitudinal data. 1884 nursing units in 306 U.S. acute care hospitals. During a 2-year period units reported monthly data on staffing and turnover. Total nursing staff turnover and registered nurse turnover rates were modeled as dependent variables in hierarchical Poisson regression models. The following hospital characteristics were considered as predictors: Magnet(®) status, ownership (government or non-government), teaching status, locale (metropolitan, micropolitan, or rural), and size (average daily census). The U.S. state in which the hospital was located was included as a covariate. Unit-level variables included total nursing hours per patient day, size of nursing staff, registered nurse skill mix, population age group (neonatal, pediatric, or adult), and service line (critical care, step-down, medical, surgical, medical/surgical, psychiatric, or rehabilitation). Government ownership, Magnet designation, and higher skill mix were associated with lower total turnover and registered nurse turnover. Neonatal units had lower total and registered nurse turnover than pediatric units, which had lower total and registered nurse turnover than adult units. Unit service line was associated only with total turnover. Psychiatric, critical care, and rehabilitation units had the lowest mean turnover rates, but most differences between service lines were not significant. The other explanatory variables considered were not significant. Several hospital and unit characteristic variables have significant associations with nursing turnover; these associations

  3. Nursing Skill Mix, Nurse Staffing Level, and Physical Restraint Use in US Hospitals: a Longitudinal Study.

    Science.gov (United States)

    Staggs, Vincent S; Olds, Danielle M; Cramer, Emily; Shorr, Ronald I

    2017-01-01

    Although it is plausible that nurse staffing is associated with use of physical restraints in hospitals, this has not been well established. This may be due to limitations in previous cross-sectional analyses lacking adequate control for unmeasured differences in patient-level variables among nursing units. To conduct a longitudinal study, with units serving as their own control, examining whether nurse staffing relative to a unit's long-term average is associated with restraint use. We analyzed 17 quarters of longitudinal data using mixed logistic regression, modeling quarterly odds of unit restraint use as a function of quarterly staffing relative to the unit's average staffing across study quarters. 3101 medical, surgical, and medical-surgical units in US hospitals participating in the National Database of Nursing Quality Indicators during 2006-2010. Units had to report at least one quarter with restraint use and one quarter without. We studied two nurse staffing variables: staffing level (total nursing hours per patient day) and nursing skill mix (proportion of nursing hours provided by RNs). Outcomes were any use of restraint, regardless of reason, and use of restraint for fall prevention. Nursing skill mix was inversely correlated with restraint use for fall prevention and for any reason. Compared to average quarters, odds of fall prevention restraint and of any restraint were respectively 16 % (95 % CI: 3-29 %) and 18 % (95 % CI: 8-29 %) higher for quarters with very low skill mix. In this longitudinal study there was a strong negative correlation between nursing skill mix and physical restraint use. Ensuring that skill mix is consistently adequate should reduce use of restraint.

  4. Communication skills in ICU and adult hospitalisation unit nursing staff.

    Science.gov (United States)

    Ayuso-Murillo, D; Colomer-Sánchez, A; Herrera-Peco, I

    In this study researchers are trying to analyse the personality factors related to social skills in nurses who work in: Intensive Care Units, ICU, and Hospitalisation units. Both groups are from the Madrid Health Service (SERMAS). The present investigation has been developed as a descriptive transversal study, where personality factors in ICU nurses (n=29) and those from Hospitalisation units (n=40) were compared. The 16PF-5 questionnaire was employed to measure the personality factors associated with communication skills. The comparison of the personality factors associated to social skills, communication, in both groups, show us that nurses from ICU obtain in social receptivity: 5,6 (A+), 5,2 (C-), 6,2 (O+), 5,1 (H-), 5,3 (Q1-), and emotional control: 6,1 (B+), 5,9 (N+). Meanwhile the data doesn't adjust to the expected to emotional and social expressiveness, emotional receptivity and social control, there are not evidence. The personality factors associated to communication skills in ICU nurses are below those of hospitalisation unit nurses. The present results suggest the necessity to develop training actions, focusing on nurses from intensive care units to improve their communication social skills. Copyright © 2016 Sociedad Española de Enfermería Intensiva y Unidades Coronarias (SEEIUC). Publicado por Elsevier España, S.L.U. All rights reserved.

  5. Skills mix for young entrepreneurs: The right way to go

    OpenAIRE

    Ibrahim, Kasirye; Madina, Guloba; Gemma, Ahaibwe; Elizabeth, Birabwa

    2015-01-01

    Provision of skills training has been identified by Government of Uganda as one of the major initiatives to be undertaken to make youth more enterprising and address the skills mismatch employers are grappling with. A review of evidence on skills provision shows that a combination of skills training yield higher impacts on labour market outcomes than training in a single skill alone. In addition, training targeted at every stage of entrepreneurial development (mind-set, incubation, start-up, ...

  6. Non-technical skills in the intensive care unit.

    Science.gov (United States)

    Reader, T; Flin, R; Lauche, K; Cuthbertson, B H

    2006-05-01

    In high-risk industries such as aviation, the skills not related directly to technical expertise, but crucial for maintaining safety (e.g. teamwork), have been categorized as non-technical skills. Recently, research in anaesthesia has identified and developed a taxonomy of the non-technical skills requisite for safety in the operating theatre. Although many of the principles related to performance and safety within anaesthesia are relevant to the intensive care unit (ICU), relatively little research has been done to identify the non-technical skills required for safe practice within the ICU. This review focused upon critical incident studies in the ICU, in order to examine whether the contributory factors identified as underlying the critical incidents, were associated with the skill categories (e.g. task management, teamwork, situation awareness and decision making) outlined in the Anaesthetists' Non-technical Skills (ANTS) taxonomy. We found that a large proportion of the contributory factors underlying critical incidents could be attributed to a non-technical skill category outlined in the ANTS taxonomy. This is informative both for future critical incident reporting, and also as an indication that the ANTS taxonomy may provide a good starting point for the development of a non-technical skills taxonomy for intensive care. However, the ICU presents a range of unique challenges to practitioners working within it. It is therefore necessary to conduct further non-technical skills research, using human factors techniques such as root-cause analyses, observation of behaviour, attitudinal surveys, studies of cognition, and structured interviews to develop a better understanding of the non-technical skills important for safety within the ICU. Examples of such research highlight the utility of these techniques.

  7. Adaptation of Professional Skills in the Unit Operations Laboratory

    Science.gov (United States)

    Rende, Deniz; Rende, Sevinc; Baysal, Nihat

    2012-01-01

    We introduce the design of three consecutive unit operations laboratory (UOL) courses that retain the academic rigor of the course while incorporating skills essential for professional careers, such as ability to propose ideas, develop practical solutions, participate in teamwork, meet deadlines, establish communication between technical support…

  8. Laminated microchannel devices, mixing units and method of making same

    Science.gov (United States)

    Bennett, Wendy D [Kennewick, WA; Hammerstrom, Donald J [West Richland, WA; Martin, Peter M [Kennewick, WA; Matson, Dean W [Kennewick, WA

    2002-10-17

    A laminated microchannel device is described in which there is a unit operation process layer that has longitudinal channel. The longitudinal channel is cut completely through the layer in which the unit process operation resides. Both the device structure and method of making the device provide significant advantages in terms of simplicity and efficiency. A static mixing unit that can be incorporated in the laminated microchannel device is also described.

  9. Reading screening mammograms - Attitudes among radiologists and radiographers about skill mix

    DEFF Research Database (Denmark)

    Johansen, Lena Westphal; Brodersen, John

    2011-01-01

    of managers, and improved working relations. Organization related obstacles: shortage of radiographers and negative attitudes of managers. Professional related possibilities: positive experience with skill mix. Professional related obstacles: worries about negative consequences for the training...... do routinely measure the performance quality, radiographers obtain sufficient reading qualifications, and skill mix improves quality. Quality related obstacles: radiologists do not routinely measure performance quality. Organization related possibilities: shortage of radiologists, positive attitudes...... performance level but routine measurement of performance quality is essential. Resistance against skill mix may be caused by an emotionally conditioned fear of losing demarcations. The main motive for skill mix is improvement of the utilization of resources. No evidence was found regarding the organisational...

  10. A professional challenge: the development of skill-mix in UK primary care dentistry.

    Science.gov (United States)

    Bullock, Alison; Firmstone, Vickie

    2011-11-01

    The future health-care workforce and the changing skill-mix within occupational teams is a current topic of discussion. This paper contributes to the skill-mix debate by focusing on UK primary care dentistry, revealing unintended as well as intended consequences of a modularized, technocratic view of dentistry. In part one, relevant literature about dental therapists and skill-mix in dentistry is organized into a framework used to review factors operating at macro, meso and micro levels. Part two considers the role that education and training may play in realizing skill-mix change. Part three synthesizes conditions required for modifying skill-mix in UK primary dental care and sets out the dimensions of seven factors: funding focus, the profession's response, workforce, the practice, dentist's knowledge, dental therapist's motivations and patient attitude. A review of these factors could be used to inform the policy decisions of managers operating at the macro level, as well as more local staffing decisions. Without consideration of the complex interplay of these factors, skill-mix in dentistry will be slow to develop and could bring unwelcome consequences.

  11. A graphical formalism for mixed multi-unit combinatorial auctions

    NARCIS (Netherlands)

    Gionvannucci, A.; Cerquides, J.; Endriss, U.; Rodríguez-Aguilar, J.A.

    2010-01-01

    Mixed multi-unit combinatorial auctions are auctions that allow participants to bid for bundles of goods to buy, for bundles of goods to sell, and for transformations of goods. The intuitive meaning of a bid for a transformation is that the bidder is offering to produce a set of output goods after h

  12. Objective evaluation of oral presentation skills using Inertial Measurement Units.

    Science.gov (United States)

    Sessa, Salvatore; Kong, Weisheng; Zhang, Di; Cosentino, Sarah; Manawadu, Udara; Kawasaki, Motoji; Thomas, George Thuruthel; Suzuki, Tomohiro; Tsumura, Ryosuke; Takanishi, Atsuo

    2015-01-01

    Oral presentation is considered as one of the most sought after skills by companies and professional organizations and program accreditation agencies. However, both learning process and evaluation of this skill are time demanding and complex tasks that need dedication and experience. Furthermore, the role of the instructor is fundamental during the presentation assessment. The instructor needs to consider several verbal and nonverbal communications cues sent in parallel and this kind of evaluation is often subjective. Even if there are oral presentation rubrics that try to standardize the evaluation, they are not an optimal solution because they do not provide the presenter a real-time feedback. In this paper, we describe a system for behavioral monitoring during presentations. We propose an ecological measurement system based on Inertial Measurement Units to evaluate objectively the presenter's posture through objective parameters. The system can be used to provide a real-time feedback to the presenters unobtrusively.

  13. Race-mixing and science in the United States.

    Science.gov (United States)

    Farber, Paul

    2003-12-01

    Scientific racism was widely used as a justification to oppose race-mixing in the United States. Historians have justly criticized this abuse of science, but have overlooked some of the important ways in which science was used in the 1930s and 1940s to overturn scientific racism and opposition to race-mixing. Of particular importance was the cultural anthropology of Franz Boas and the evolutionary biology of Theodosius Dobzhansky, which supplied arguments against racism and fundamentally altered the scientific understanding of race.

  14. Personnel planning in general practices: development and testing of a skill mix analysis method.

    Science.gov (United States)

    von Eitzen-Strassel, Juliane; Vrijhoef, Hubertus J M; Derckx, Emmy W C C; de Bakker, Dinny H

    2014-09-18

    General practitioners (GPs) have to match patients' demands with the mix of their practice staff's competencies. However, apart from some general principles, there is little guidance on recruiting new staff. The purpose of this study was to develop and test a method which would allow GPs or practice managers to perform a skill mix analysis which would take into account developments in local demand. The method was designed with a stepwise method using different research strategies. Literature review took place to detect available methods that map, predict, or measure patients' demands or needs and to fill the contents of the skill mix analysis. Focus groups and expert interviews were held both during the design process and in the first test stage. Both secondary data analysis as primary data collection took place to fill the contents of the tool. A pilot study in general practices tested the feasibility of the newly-developed method. The skill mix analysis contains both a quantitative and a qualitative part which includes the following sections: (i) an analysis of the current and the expected future demand; (ii) an analysis of the need to adjust skill mix; (iii) an overview about the functions of different provider disciplines; and (iv) a system to assess the input, assumed or otherwise, of each function concerning the 'catching up demand', the connection between supply and demand, and the introduction of new opportunities. The skill mix analysis shows an acceptable face and content validity and appears feasible in practice. The skill mix analysis method can be used as a basis to analyze and match, systematically, the demand for care and the supply of practice staff.

  15. Is skill mix profitable in the current NHS dental contract in England?

    Science.gov (United States)

    Brocklehurst, P R; Tickle, M

    2011-04-09

    The use of skill mix in medicine is now widespread, yet it appears that its use in dentistry is not as prominent. Unlike doctors, dentists are required to mitigate the financial risk produced by their capital investment and ensure an adequate cash flow to cover their annual running costs. Examining the financial incentives for employing dental care professionals is therefore an important step to understand why dentistry appears to lag behind medicine in skill mix. It is also apposite, given the announcement of the coalition government to develop a new contract, which could introduce incentives for the use of dental care professionals in this way. The purpose of this short paper is to examine whether skill mix is profitable for general dental practices under the existing NHS contract in England.

  16. Turnover, staffing, skill mix, and resident outcomes in a national sample of US nursing homes.

    Science.gov (United States)

    Trinkoff, Alison M; Han, Kihye; Storr, Carla L; Lerner, Nancy; Johantgen, Meg; Gartrell, Kyungsook

    2013-12-01

    The authors examined the relationship of staff turnover to selected nursing home quality outcomes, in the context of staffing and skill mix. Staff turnover is a serious concern in nursing homes as it has been found to adversely affect care. When employee turnover is minimized, better care quality is more likely in nursing homes. Data from the National Nursing Home Survey, a nationally representative sample of US nursing homes, were linked to Nursing Home Compare quality outcomes and analyzed using logistic regression. Nursing homes with high certified nursing assistant turnover had significantly higher odds of pressure ulcers, pain, and urinary tract infections even after controlling for staffing, skill mix, bed size, and ownership. Nurse turnover was associated with twice the odds of pressure ulcers, although this was attenuated when staffing was controlled. This study suggests turnover may be more important in explaining nursing home (NH) outcomes than staffing and skill mix and should therefore be given greater emphasis.

  17. A multi-phase study of contemporary policy and practice in determining nursing skill mix in acute hospitals in Ireland.

    OpenAIRE

    Shannon, Michael

    2012-01-01

    The profession of nursing has undergone significant changes in Ireland in the last decade, within the wider health service reform context. Determining the optimal nursing skill mix for acute hospitals is perceived as important to ensure the efficient use of the nursing workforce in the provision of safe and high quality care. However, the term nursing skill mix, though widely used, is contested, and practices to determine skill mix in acute hospitals in Ireland are poorly understood. The ...

  18. The Effect of English Language Learning on Creative Thinking Skills: A Mixed Methods Case Study

    Science.gov (United States)

    Sehic, Sandro

    2017-01-01

    The purpose of this sequential explanatory mixed-methods case study was to investigate the effects of English language learning on creative thinking skills in the domains of fluency, flexibility, originality, and elaboration as measured with the Alternate Uses Test. Unlike the previous research studies that investigated the links between English…

  19. An ideal-typical model for comparing interprofessional relations and skill mix in health care.

    Science.gov (United States)

    Schönfelder, Walter; Nilsen, Elin Anita

    2016-11-08

    Comparisons of health system performance, including the regulations of interprofessional relations and the skill mix between health professions are challenging. National strategies for regulating interprofessional relations vary widely across European health care systems. Unambiguously defined and generally accepted performance indicators have to remain generic, with limited power for recognizing the organizational structures regulating interprofessional relations in different health systems. A coherent framework for in-depth comparisons of different models for organizing interprofessional relations and the skill mix between professional groups is currently not available. This study aims to develop an ideal-typical framework for categorizing skill mix and interprofessional relations in health care, and to assess the potential impact for different ideal types on care coordination and integrated service delivery. A document analysis of the Health Systems in Transition (HiT) reports published by the European Observatory on Health Systems and Policies was conducted. The HiT reports to 31 European health systems were analyzed using a qualitative content analysis and a process of meaning condensation. The educational tracks available to nurses have an impact on the professional autonomy for nurses, the hierarchy between professional groups, the emphasis given to negotiating skill mix, interdisciplinary teamwork and the extent of cooperation across the health and social service interface. Based on the results of the document analysis, three ideal types for regulating interprofessional relations and skill mix in health care are delimited. For each ideal type, outcomes on service coordination and holistic service delivery are described. Comparisons of interprofessional relations are necessary for proactive health human resource policies. The proposed ideal-typical framework provides the means for in-depth comparisons of interprofessional relations in the health care

  20. Critical Thinking Skills of United States Dental Hygiene Students

    Science.gov (United States)

    Notgarnie, Howard M.

    2011-01-01

    The complexity of decision-making in dental hygienists' practice requires critical thinking skills. Interest in raising educational standards for entry into the dental hygiene profession is a response to the demand for enhanced professional skills, including critical thinking skills. No studies found in the course of literature review compared…

  1. Critical Thinking Skills of United States Dental Hygiene Students

    Science.gov (United States)

    Notgarnie, Howard M.

    2011-01-01

    The complexity of decision-making in dental hygienists' practice requires critical thinking skills. Interest in raising educational standards for entry into the dental hygiene profession is a response to the demand for enhanced professional skills, including critical thinking skills. No studies found in the course of literature review compared…

  2. Non-technical skills in the intensive care unit

    NARCIS (Netherlands)

    Reader, T; Flin, R; Lauche, K; Cuthbertson, B.H.

    2006-01-01

    In high-risk industries such as aviation, the skills not related directly to technical expertise, but crucial for maintaining safety (e.g. teamwork), have been categorized as non-technical skills. Recently, research in anaesthesia has identified and developed a taxonomy of the non-technical skills r

  3. Non-technical skills in the intensive care unit

    NARCIS (Netherlands)

    Reader, T; Flin, R; Lauche, K; Cuthbertson, B.H.

    2006-01-01

    In high-risk industries such as aviation, the skills not related directly to technical expertise, but crucial for maintaining safety (e.g. teamwork), have been categorized as non-technical skills. Recently, research in anaesthesia has identified and developed a taxonomy of the non-technical skills r

  4. Critical Skills of Marine Corps Infantry Small Unit Leaders

    Science.gov (United States)

    2008-11-17

    skills, leadership skills, assertiveness, adaptability, and time management skills, were rated by all 6 raters with the maximum possible rating. All...adaptability 5.00 0.00 - - 1.00 p<.05 0.00 p<.05 and Prac. Sig. 47 time management skills 5.00 0.00 - - 1.00 p<.05 0.00 p<.05 and Prac. Sig. 9...tasks efficiently; to keep one’s work space neat and tidy. 14.2 Time Management Skills - To manage one’s own time and the time of others to accomplish

  5. The relationship between nursing staff levels, skill mix, and deficiencies in Maryland nursing homes.

    Science.gov (United States)

    Lerner, Nancy B

    2013-01-01

    The objective of this data analysis was to explore whether nurse staffing levels and skill mix influenced the number and severity of nursing home deficiencies in Maryland nursing homes. Nursing staff levels and skill mix in relation to quality outcomes in nursing homes have been explored with inconsistent results. Two multiple regression analyses were done to explore factors influencing deficiencies and the severity of the deficiencies found during the annual survey process. The factors influencing the number of deficiencies were the number of nursing home beds (β = .29), nursing assistant hours per patient-day (β = -.206), and the location of the nursing home (β = -.138). The only factor influencing the severity of the deficiencies was RN hours per patient-day (β = -.199). In conclusion, it was determined that RN staffing, although not associated with the number of deficiencies, is associated with deficiency severity.

  6. Graphemes as Motor Units in the Acquisition of Writing Skills

    Science.gov (United States)

    Kandel, Sonia; Soler, Olga; Valdois, Sylviane; Gros, Celine

    2006-01-01

    This study examined whether the graphemic structure of words modulates the timing of handwriting production during the acquisition of writing skills. This is particularly important during the acquisition period because phonological recoding skills are determinant in the elaboration of orthographic representations. First graders wrote seven-letter…

  7. Communication Skills in Employment Ads of Major United States Newspapers.

    Science.gov (United States)

    Casady, Mona; Wayne, F. Stanford

    1993-01-01

    All employment ads in 20 U.S. newspapers were analyzed 3 times in a year for percentage specifying communication skills. A total of 10% required communication skills, most in the eastern region; percentage increased during the year. Most frequently requested were telephone, report/technical writing, international communication, negotiation,…

  8. Health workforce skill mix and task shifting in low income countries: a review of recent evidence

    Directory of Open Access Journals (Sweden)

    Auh Erica

    2011-01-01

    Full Text Available Abstract Background Health workforce needs-based shortages and skill mix imbalances are significant health workforce challenges. Task shifting, defined as delegating tasks to existing or new cadres with either less training or narrowly tailored training, is a potential strategy to address these challenges. This study uses an economics perspective to review the skill mix literature to determine its strength of the evidence, identify gaps in the evidence, and to propose a research agenda. Methods Studies primarily from low-income countries published between 2006 and September 2010 were found using Google Scholar and PubMed. Keywords included terms such as skill mix, task shifting, assistant medical officer, assistant clinical officer, assistant nurse, assistant pharmacist, and community health worker. Thirty-one studies were selected to analyze, based on the strength of evidence. Results First, the studies provide substantial evidence that task shifting is an important policy option to help alleviate workforce shortages and skill mix imbalances. For example, in Mozambique, surgically trained assistant medical officers, who were the key providers in district hospitals, produced similar patient outcomes at a significantly lower cost as compared to physician obstetricians and gynaecologists. Second, although task shifting is promising, it can present its own challenges. For example, a study analyzing task shifting in HIV/AIDS in sub-Saharan Africa noted quality and safety concerns, professional and institutional resistance, and the need to sustain motivation and performance. Third, most task shifting studies compare the results of the new cadre with the traditional cadre. Studies also need to compare the new cadre's results to the results from the care that would have been provided--if any care at all--had task shifting not occurred. Conclusions Task shifting is a promising policy option to increase the productive efficiency of the delivery of health

  9. Effects of a Social Skills Intervention Administered in Mixed Diagnostic Groups for Children with Peer Relationship Problems

    Science.gov (United States)

    Lefler, Elizabeth K.; Hartung, Cynthia M.; Scambler, Douglas J.; Page, Melanie C.; Sullivan, Maureen A.; Armendariz, Monica L.; Isenberg, Jill C.; Warner, Christina M.

    2009-01-01

    Research on social skills interventions has been mixed. This study evaluates a group-administered, manualized social skills intervention program. Twenty-three boys and 9 girls between the ages of 7 and 13 participated. Participants were included in the groups based on peer relationship difficulties rather than diagnostic status, resulting in a…

  10. Using a computer simulation for teaching communication skills: A blinded multisite mixed methods randomized controlled trial.

    Science.gov (United States)

    Kron, Frederick W; Fetters, Michael D; Scerbo, Mark W; White, Casey B; Lypson, Monica L; Padilla, Miguel A; Gliva-McConvey, Gayle A; Belfore, Lee A; West, Temple; Wallace, Amelia M; Guetterman, Timothy C; Schleicher, Lauren S; Kennedy, Rebecca A; Mangrulkar, Rajesh S; Cleary, James F; Marsella, Stacy C; Becker, Daniel M

    2017-04-01

    To assess advanced communication skills among second-year medical students exposed either to a computer simulation (MPathic-VR) featuring virtual humans, or to a multimedia computer-based learning module, and to understand each group's experiences and learning preferences. A single-blinded, mixed methods, randomized, multisite trial compared MPathic-VR (N=210) to computer-based learning (N=211). Primary outcomes: communication scores during repeat interactions with MPathic-VR's intercultural and interprofessional communication scenarios and scores on a subsequent advanced communication skills objective structured clinical examination (OSCE). Multivariate analysis of variance was used to compare outcomes. student attitude surveys and qualitative assessments of their experiences with MPathic-VR or computer-based learning. MPathic-VR-trained students improved their intercultural and interprofessional communication performance between their first and second interactions with each scenario. They also achieved significantly higher composite scores on the OSCE than computer-based learning-trained students. Attitudes and experiences were more positive among students trained with MPathic-VR, who valued its providing immediate feedback, teaching nonverbal communication skills, and preparing them for emotion-charged patient encounters. MPathic-VR was effective in training advanced communication skills and in enabling knowledge transfer into a more realistic clinical situation. MPathic-VR's virtual human simulation offers an effective and engaging means of advanced communication training. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

  11. Leadership skills for nursing unit managers to decrease intention to leave

    Directory of Open Access Journals (Sweden)

    Roche MA

    2015-05-01

    Full Text Available Michael A Roche,1 Christine Duffield,1,2 Sofia Dimitrelis,1 Belinda Frew1 1Centre for Health Services Management, Faculty of Health, University of Technology, Sydney, NSW, 2Clinical Nursing and Midwifery Research Centre, School of Nursing and Midwifery, Edith Cowan University, Joondalup, WA, Australia Aim: To examine specific elements of nursing leadership linked to intention to leave, in public acute care hospitals. Background: Nurse turnover is a global issue receiving widespread attention due to prolonged and projected workforce shortages. Nurse management and leadership qualities have been associated with intention to leave and turnover of nurses. The role of the nurse unit managers in the retention of nurses is becoming increasingly important, particularly because of their strong influence on the quality and stability of the work environment. Methods: Data were collected from 62 medical, surgical, and mixed units across eleven public acute care hospitals in three Australian states (September 2008 to August 2010. A total of 1,673 nurses completed a nurse survey that included measures of intention to leave and leadership aspects of the practice environment. Analyses explored specific leadership characteristics that were associated with turnover intent. Results: The role of nursing unit managers was confirmed to be a major factor in nurses’ intention to remain or leave their current workplace. Nurses valued “human” skills more highly than other leadership characteristics, including their manager’s connection with nurses’ concerns, clarity, participation in decisions, and encouragement. Conclusion: Strong leadership qualities in the nursing unit manager have been associated with greater job satisfaction, reduced turnover intention among nursing staff, and improved patient outcomes. Nurse leaders need to be supported in an effort to retain nurses given ongoing workforce issues and to ensure high-quality patient care. Keywords: nurse

  12. Addressing inequalities in oral health in India: need for skill mix in the dental workforce.

    Science.gov (United States)

    Mathur, Manu Raj; Singh, Ankur; Watt, Richard

    2015-01-01

    Dentistry has always been an under-resourced profession. There are three main issues that dentistry is facing in the modern era. Firstly, how to rectify the widely acknowledged geographical imbalance in the demand and supply of dental personnel, secondly, how to provide access to primary dental care to maximum number of people, and thirdly, how to achieve both of these aims within the financial restraints imposed by the central and state governments. The trends of oral diseases have changed significantly in the last 20 years. The two of the most common oral diseases that affect a majority of the population worldwide, namely dental caries and periodontitis, have been proved to be entirely preventable. Even for life-threatening oral diseases like oral cancer, the best possible available treatment is prevention. There is a growing consensus that appropriate skill mix can prove very beneficial in providing these preventive dental care services to the public and aid in achieving the goal of universal oral health coverage. Professions complementary to dentistry (PCD) have been found to be effective in reducing inequalities in oral health, improving access and spreading the messages of health promotion across entire spectrum of socio-economic hierarchy in various studies conducted globally. This commentary provides a review of the effectiveness of skill mix in dentistry and a reflection on how this can be beneficial in achieving universal oral health care in India.

  13. Addressing inequalities in oral health in India: need for skill mix in the dental workforce

    Directory of Open Access Journals (Sweden)

    Manu Raj Mathur

    2015-01-01

    Full Text Available Dentistry has always been an under-resourced profession. There are three main issues that dentistry is facing in the modern era. Firstly, how to rectify the widely acknowledged geographical imbalance in the demand and supply of dental personnel, secondly, how to provide access to primary dental care to maximum number of people, and thirdly, how to achieve both of these aims within the financial restraints imposed by the central and state governments. The trends of oral diseases have changed significantly in the last 20 years. The two of the most common oral diseases that affect a majority of the population worldwide, namely dental caries and periodontitis, have been proved to be entirely preventable. Even for life-threatening oral diseases like oral cancer, the best possible available treatment is prevention. There is a growing consensus that appropriate skill mix can prove very beneficial in providing these preventive dental care services to the public and aid in achieving the goal of universal oral health coverage. Professions complementary to dentistry (PCD have been found to be effective in reducing inequalities in oral health, improving access and spreading the messages of health promotion across entire spectrum of socio-economic hierarchy in various studies conducted globally. This commentary provides a review of the effectiveness of skill mix in dentistry and a reflection on how this can be beneficial in achieving universal oral health care in India.

  14. Development of a skill mix and study planning tool for research teams.

    Science.gov (United States)

    Tacchi, Paula

    2017-01-30

    There are various tools available in acute and primary care settings to support decision making about safe-staffing levels. Calculating safe staffing levels is about more than just the number of people on duty. It must reflect skill mix and tasks, and this is more complex outside traditional nursing roles. It is essential that research nurses, who work in multidisciplinary teams collecting the evidence that underpins safe and effective healthcare, are equipped to practise safely, but staffing level tools do not take their unique roles into account. This article describes University Hospitals Bristol Research Work Plan Tool (BRIS-TOOL), developed to enable research managers to identify skill mix in their teams and support effective study planning. It also discusses how the tool accurately reflects research teams' productivity. Finally, the article suggests that the tool can be used to profile research posts, illustrate the breadth of work undertaken in these posts, inform study design and help clinical colleagues to understand research roles better.

  15. A model linking clinical workforce skill mix planning to health and health care dynamics

    Directory of Open Access Journals (Sweden)

    McDonnell Geoff

    2010-04-01

    Full Text Available Abstract Background In an attempt to devise a simpler computable tool to assist workforce planners in determining what might be an appropriate mix of health service skills, our discussion led us to consider the implications of skill mixing and workforce composition beyond the 'stock and flow' approach of much workforce planning activity. Methods Taking a dynamic systems approach, we were able to address the interactions, delays and feedbacks that influence the balance between the major components of health and health care. Results We linked clinical workforce requirements to clinical workforce workload, taking into account the requisite facilities, technologies, other material resources and their funding to support clinical care microsystems; gave recognition to productivity and quality issues; took cognisance of policies, governance and power concerns in the establishment and operation of the health care system; and, going back to the individual, gave due attention to personal behaviour and biology within the socio-political family environment. Conclusion We have produced the broad endogenous systems model of health and health care which will enable human resource planners to operate within real world variables. We are now considering the development of simple, computable national versions of this model.

  16. Healthcare assistants in general practice: practical and conceptual issues of skill-mix change.

    Science.gov (United States)

    Bosley, Sara; Dale, Jeremy

    2008-02-01

    The emergence of healthcare assistants (HCAs) in general practice raises questions about roles and responsibilities, patients' acceptance, cost-effectiveness, patient safety and delegation, training and competence, workforce development, and professional identity. There has been minimal research into the role of HCAs and their experiences, as well as those of other staff working with HCAs in general practice. Lessons may be learned from their role and evidence of their effectiveness in hospital settings. Such research highlights blurred and contested role boundaries and threats to professional identity, which have implications for teamwork, quality of patient care, and patient safety. In this paper it is argued that transferability of evidence from hospital settings to the context of general practice cannot be assumed. Drawing on the limited research in general practice, the challenges and benefits of developing the HCA role in general practice are discussed. It is suggested that in the context of changing skill-mix models, viewing roles as fluid and dynamic is more helpful and reflective of individuals' experiences than endeavouring to impose fixed role boundaries. It is concluded that HCAs can make an increasingly useful contribution to the skill mix in general practice, but that more research and evaluation are needed to inform their training and development within the general practice team.

  17. IT-supported skill-mix change and standardisation in integrated eyecare: lessons from two screening projects in The Netherlands

    Directory of Open Access Journals (Sweden)

    Marleen de Mul

    2007-05-01

    Full Text Available Introduction: Information Technology (IT has the potential to significantly support skill-mix change and, thereby, to improve the efficiency and effectiveness of integrated care. Theory and methods: IT and skill-mix change share an important precondition: the standardisation of work processes. Standardisation plays a crucial role in IT-supported skill-mix change. It is not a matter of more or less standardisation than in the ‘old’ situation, but about creating an optimal fit. We used qualitative data from our evaluation of two integrated-care projects in Dutch eyecare to identify domains where this fit is important. Results: While standardisation was needed to delegate screening tasks from physicians to non-physicians, and to assure the quality of the integrated-care process as a whole, tensions arose in three domains: the performance of clinical tasks, the documentation, and the communication between professionals. Unfunctional standardisation led to dissatisfaction and distrust between the professionals involved in screening. Discussion and conclusion: Although the integration seems promising, much work is needed to ensure a synergistic relationship between skill-mix change and IT. Developing IT-supported skill-mix change by means of standardisation is a matter of tailoring standardisation to fit the situation at hand, while dealing with the local constraints of available technology and organisational context.

  18. Development of a Self-Rated Mixed Methods Skills Assessment: The National Institutes of Health Mixed Methods Research Training Program for the Health Sciences.

    Science.gov (United States)

    Guetterman, Timothy C; Creswell, John W; Wittink, Marsha; Barg, Fran K; Castro, Felipe G; Dahlberg, Britt; Watkins, Daphne C; Deutsch, Charles; Gallo, Joseph J

    2017-01-01

    Demand for training in mixed methods is high, with little research on faculty development or assessment in mixed methods. We describe the development of a self-rated mixed methods skills assessment and provide validity evidence. The instrument taps six research domains: "Research question," "Design/approach," "Sampling," "Data collection," "Analysis," and "Dissemination." Respondents are asked to rate their ability to define or explain concepts of mixed methods under each domain, their ability to apply the concepts to problems, and the extent to which they need to improve. We administered the questionnaire to 145 faculty and students using an internet survey. We analyzed descriptive statistics and performance characteristics of the questionnaire using the Cronbach alpha to assess reliability and an analysis of variance that compared a mixed methods experience index with assessment scores to assess criterion relatedness. Internal consistency reliability was high for the total set of items (0.95) and adequate (≥0.71) for all but one subscale. Consistent with establishing criterion validity, respondents who had more professional experiences with mixed methods (eg, published a mixed methods article) rated themselves as more skilled, which was statistically significant across the research domains. This self-rated mixed methods assessment instrument may be a useful tool to assess skills in mixed methods for training programs. It can be applied widely at the graduate and faculty level. For the learner, assessment may lead to enhanced motivation to learn and training focused on self-identified needs. For faculty, the assessment may improve curriculum and course content planning.

  19. Research of chemical induction unit on mixing effect and chlorine saving

    Institute of Scientific and Technical Information of China (English)

    Jiao Zhongzhi; Chen Zhonglin; Li ZuoLiang; Xue Zhu; Yuan Xing; Li Guibai

    2007-01-01

    Rapid mixing and chlorine saving are two important problems that most drinking water industries ale focus on, and this paper adopts chemical induction unit to compare with water jet injector to study what merits chemical induction unit has. The experiment chose coefficient of variability of chlorine concentration to evaluate the mix effect and used chlorine consumption to compare the two equipments. Distribution reservoir experiments show that chemical induction unit can completely mix chlorine less than 6. 2 seconds and water jet injector can not completely mix in 3 minutes. Mixing pool experiments show that chemical induction unit can save chlorine compared with water jet injector, and Can save mole if mole chlorine is consumed.

  20. Getting it right in the mix: Teaching social work practice skills inclusively to diverse student groups

    Directory of Open Access Journals (Sweden)

    Sophie Jennifer Goldingay

    2012-06-01

    Full Text Available Social work has traditionally attracted a diverse mix of students with varying levels of academic preparedness and practice skill experience. Current trends in higher education indicate the possibility of further challenges for academic staff in social work as universities seek to both widen participation from university graduates and, at the same time, prioritise practice and academic excellence among students. Drawing on reflective journal entries by the author, this paper examines the challenges that social work academics might face in teaching social work practice skills effectively to the increasingly diverse student cohorts enrolled across Bachelor and Masters of Social Work (Qualifying degrees. The reflective process adopted in this study explores the gaps between the author’s intentions and the reality of the classroom experience. Key observations included language barriers impeding engagement with the material and cultural differences in relating to others and conceptualising practice. These problems were apparent in both the process of delivery (pedagogy and content (curriculum. The reflective process highlighted the need for further research in order to optimally respond to the diversity in social work education.

  1. Aggression on Haemodialysis units: a mixed methods study

    NARCIS (Netherlands)

    Jones, J.; Nijman, H.L.I.; Ross, J.; Ashman, N.; Callaghan, P.

    2014-01-01

    Background Aggression on haemodialysis units is a growing problem internationally that has received little research attention to date. Aggressive behaviour by patients or their relatives can compromise the safety and well-being of staff and other patients sharing a haemodialysis session. Objectives

  2. International student mobility and highly skilled migration: a comparative study of Canada, the United States, and the United Kingdom.

    Science.gov (United States)

    She, Qianru; Wotherspoon, Terry

    2013-12-01

    Against the backdrop of demographic change and economic reconfiguration, recruiting international students, especially those at tertiary level, has drawn growing attention from advanced economies as part of a broad strategy to manage highly skilled migration. This comparative study focuses on three English speaking countries receiving international students: Canada, the United States, and the United Kingdom. International student policies, in particular entry and immigration regulations, and the trends in student mobility since the late 1990s are examined drawing on secondary data. By exploring the issue from the political economy perspectives, this study identifies distinct national strategies for managing student mobility, determines key factors shaping the environment of student migration in each nation, and addresses the deficiency of human capital theory in the analysis of global competition for high skills.

  3. Cumulative Advantage in the Skill Development of STEM Graduate Students: A Mixed-Methods Study

    Science.gov (United States)

    Feldon, David F.; Maher, Michelle A.; Roksa, Josipa; Peugh, James

    2016-01-01

    Studies of skill development often describe a process of cumulative advantage, in which small differences in initial skill compound over time, leading to increasing skill gaps between those with an initial advantage and those without. We offer evidence of a similar phenomenon accounting for differential patterns of research skill development in…

  4. Early Maternal Employment and Children's Academic and Behavioral Skills in Australia and the United Kingdom

    Science.gov (United States)

    Lombardi, Caitlin McPherran; Coley, Rebekah Levine

    2017-01-01

    This study assessed the links between early maternal employment and children's later academic and behavioral skills in Australia and the United Kingdom. Using representative samples of children born in each country from 2000 to 2004 (Australia N = 5,093, U.K. N = 18,497), OLS regression models weighted with propensity scores assessed links between…

  5. Early Maternal Employment and Children's Academic and Behavioral Skills in Australia and the United Kingdom

    Science.gov (United States)

    Lombardi, Caitlin McPherran; Coley, Rebekah Levine

    2017-01-01

    This study assessed the links between early maternal employment and children's later academic and behavioral skills in Australia and the United Kingdom. Using representative samples of children born in each country from 2000 to 2004 (Australia N = 5,093, U.K. N = 18,497), OLS regression models weighted with propensity scores assessed links between…

  6. Restructuring supervision and reconfiguration of skill mix in community pharmacy: Classification of perceived safety and risk.

    Science.gov (United States)

    Bradley, Fay; Willis, Sarah C; Noyce, Peter R; Schafheutle, Ellen I

    2016-01-01

    Broadening the range of services provided through community pharmacy increases workloads for pharmacists that could be alleviated by reconfiguring roles within the pharmacy team. To examine pharmacists' and pharmacy technicians (PTs)' perceptions of how safe it would be for support staff to undertake a range of pharmacy activities during a pharmacist's absence. Views on supervision, support staff roles, competency and responsibility were also sought. Informed by nominal group discussions, a questionnaire was developed and distributed to a random sample of 1500 pharmacists and 1500 PTs registered in England. Whilst focused on community pharmacy practice, hospital pharmacy respondents were included, as more advanced skill mix models may provide valuable insights. Respondents were asked to rank a list of 22 pharmacy activities in terms of perceived risk and safety of these activities being performed by support staff during a pharmacist's absence. Descriptive and comparative statistic analyses were conducted. Six-hundred-and-forty-two pharmacists (43.2%) and 854 PTs (57.3%) responded; the majority worked in community pharmacy. Dependent on agreement levels with perceived safety, from community pharmacists and PTs, and hospital pharmacists and PTs, the 22 activities were grouped into 'safe' (n = 7), 'borderline' (n = 9) and 'unsafe' (n = 6). Activities such as assembly and labeling were considered 'safe,' clinical activities were considered 'unsafe.' There were clear differences between pharmacists and PTs, and sectors (community pharmacy vs. hospital). Community pharmacists were most cautious (particularly mobile and portfolio pharmacists) about which activities they felt support staff could safely perform; PTs in both sectors felt significantly more confident performing particularly technical activities than pharmacists. This paper presents novel empirical evidence informing the categorization of pharmacy activities into 'safe,' 'borderline' or 'unsafe

  7. ETHNICITY AND THE IMMIGRATION OF HIGHLY SKILLED WORKERS TO THE UNITED STATES.

    Science.gov (United States)

    Jasso, Guillermina

    2009-01-01

    This paper examines ethnicity among highly skilled immigrants to the United States. The paper focuses on five classic components of ethnicity - country of birth, race, skin color, language, and religion - among persons admitted to legal permanent residence in the United States in 2003 in the three main employment categories (EB-1, EB-2, and EB-3), using data collected in the U.S. New Immigrant Survey. Initial findings include: (1) The visa categories have distinctive ethnic configurations. India dominates EB-2 and European countries EB-1. (2) The ethnicity portfolio contains more languages than religions. (3) Language is shed before religion, and religion may not be shed at all, except among the ultra highly skilled of EB-1. (4) Highly skilled immigrants are mostly male; they are not immune from lapsing into illegality; they have a shorter visa process than their cohortmates; smaller proportions than in the cohort overall intend to remain in the United States. (5) Larger proportions in EB-2 and EB-3 sent remittances than in the cohort overall. (6) A little measure of assimilation - using dollars to describe earnings in the country of last residence, even when requested to use the country's currency - suggests that highly skilled immigrants are more likely to "think in dollars" than their cohortmates. Further work is taking a deeper look at these patterns in a multivariate context, attentive to selectivity processes and the Globalista impulse.

  8. Skill mix, roles and remuneration in the primary care workforce: who are the healthcare professionals in the primary care teams across the world?

    Science.gov (United States)

    Freund, Tobias; Everett, Christine; Griffiths, Peter; Hudon, Catherine; Naccarella, Lucio; Laurant, Miranda

    2015-03-01

    World-wide, shortages of primary care physicians and an increased demand for services have provided the impetus for delivering team-based primary care. The diversity of the primary care workforce is increasing to include a wider range of health professionals such as nurse practitioners, registered nurses and other clinical staff members. Although this development is observed internationally, skill mix in the primary care team and the speed of progress to deliver team-based care differs across countries. This work aims to provide an overview of education, tasks and remuneration of nurses and other primary care team members in six OECD countries. Based on a framework of team organization across the care continuum, six national experts compare skill-mix, education and training, tasks and remuneration of health professionals within primary care teams in the United States, Canada, Australia, England, Germany and the Netherlands. Nurses are the main non-physician health professional working along with doctors in most countries although types and roles in primary care vary considerably between countries. However, the number of allied health professionals and support workers, such as medical assistants, working in primary care is increasing. Shifting from 'task delegation' to 'team care' is a global trend but limited by traditional role concepts, legal frameworks and reimbursement schemes. In general, remuneration follows the complexity of medical tasks taken over by each profession. Clear definitions of each team-member's role may facilitate optimally shared responsibility for patient care within primary care teams. Skill mix changes in primary care may help to maintain access to primary care and quality of care delivery. Learning from experiences in other countries may inspire policy makers and researchers to work on efficient and effective teams care models worldwide. Copyright © 2014 The Authors. Published by Elsevier Ltd.. All rights reserved.

  9. Identifying strategies to assist final semester nursing students to develop numeracy skills: a mixed methods study.

    Science.gov (United States)

    Ramjan, Lucie M; Stewart, Lyn; Salamonson, Yenna; Morris, Maureen M; Armstrong, Lyn; Sanchez, Paula; Flannery, Liz

    2014-03-01

    It remains a grave concern that many nursing students within tertiary institutions continue to experience difficulties with achieving medication calculation competency. In addition, universities have a moral responsibility to prepare proficient clinicians for graduate practice. This requires risk management strategies to reduce adverse medication errors post registration. To identify strategies and potential predictors that may assist nurse academics to tailor their drug calculation teaching and assessment methods. This project builds on previous experience and explores students' perceptions of newly implemented interventions designed to increase confidence and competence in medication calculation. This mixed method study surveyed students (n=405) enrolled in their final semester of study at a large, metropolitan university in Sydney, Australia. Tailored, contextualised interventions included online practice quizzes, simulated medication calculation scenarios developed for clinical practice classes, contextualised 'pen and paper' tests, visually enhanced didactic remediation and 'hands-on' contextualised workshops. Surveys were administered to students to determine their perceptions of interventions and to identify whether these interventions assisted with calculation competence. Test scores were analysed using SPSS v. 20 for correlations between students' perceptions and actual performance. Qualitative open-ended survey questions were analysed manually and thematically. The study reinforced that nursing students preferred a 'hands-on,' contextualised approach to learning that was 'authentic' and aligned with clinical practice. Our interventions assisted with supporting students' learning and improvement of calculation confidence. Qualitative data provided further insight into students' awareness of their calculation errors and preferred learning styles. Some of the strongest predictors for numeracy skill performance included (1) being an international student, (2

  10. Solving a mixed-integer linear programming model for a multi-skilled project scheduling problem by simulated annealing

    Directory of Open Access Journals (Sweden)

    H Kazemipoor

    2012-04-01

    Full Text Available A multi-skilled project scheduling problem (MSPSP has been generally presented to schedule a project with staff members as resources. Each activity in project network requires different skills and also staff members have different skills, too. This causes the MSPSP becomes a special type of a multi-mode resource-constrained project scheduling problem (MM-RCPSP with a huge number of modes. Given the importance of this issue, in this paper, a mixed integer linear programming for the MSPSP is presented. Due to the complexity of the problem, a meta-heuristic algorithm is proposed in order to find near optimal solutions. To validate performance of the algorithm, results are compared against exact solutions solved by the LINGO solver. The results are promising and show that optimal or near-optimal solutions are derived for small instances and good solutions for larger instances in reasonable time.

  11. Comparing winner determination algorithms for mixed multi-unit combinatorial auctions

    NARCIS (Netherlands)

    Ottens, B.; Endriss, U.; Padgham, L.; Parkes, D.; Müller, J.; Parsons, S.

    2008-01-01

    Mixed multi-unit combinatorial auctions are combinatorial auctions in which the auctioneer and the bidders negotiate over transformations rather than over simple goods. By proposing a transformation a bidder is offering to produce a certain set of output goods after having received the specified inp

  12. Radiology residents as teachers: Current status of teaching skills training in United States residency programs.

    Science.gov (United States)

    Donovan, Andrea

    2010-07-01

    Radiology residents often teach medical students and other residents. Workshops developed with the goal of improving resident teaching skills are becoming increasingly common in various fields of medicine. The purpose of this study was to determine the prevalence and structure of resident-teacher training opportunities within radiology programs in the United States. Program directors with membership in the Association of Program Directors in Radiology (APDR) were surveyed to determine views on a panel of topics related to resident-teacher training programs. A total of 114 (56%) of 205 APDR members completed an online survey. Approximately one-third (32%) stated that their program provided instruction to residents on teaching skills. The majority of these programs (72%) were established within the last 5 years. Residents provided teaching to medical students (94%) and radiology residents (90%). The vast majority of program directors agreed that it is important for residents to teach (98%) and that these teaching experiences helped residents become better radiologists (85%). Ninety-four percent of program directors felt that the teaching skills of their residents could be improved, and 85% felt that residents would benefit from instruction on teaching methods. Only one-third of program directors felt their program adequately recognized teaching provided by residents. Program directors identified residents as being active contributors to teaching in most programs. Although teaching was viewed as an important skill to develop, few programs had instituted a resident-teacher curriculum. Program directors felt that residents would benefit from structured training to enhance teaching skills. Future studies are needed to determine how best to provide teaching skills training for radiology trainees. 2010 AUR. Published by Elsevier Inc. All rights reserved.

  13. Online video in clinical skills education of oral medication administration for undergraduate student nurses: a mixed methods, prospective cohort study.

    Science.gov (United States)

    Holland, Agi; Smith, Fiona; McCrossan, Gill; Adamson, Elizabeth; Watt, Susan; Penny, Kay

    2013-06-01

    Improvements in the safety of the prescribing, dispensing and administration of medicines are identified as a priority across international healthcare systems. It is therefore essential that higher education institutions play their part in helping to meet this patient safety objective. New developments in clinical skills education which are aligned to emerging educational theory are available, but evaluations and supportive evidence are limited. To evaluate the use of an online best practice exemplar as an adjunct to the clinical skills teaching of oral medication administration to undergraduate student nurses. Mixed-methods prospective cohort design. Two intakes of undergraduate nursing students (n=168, n=154) undertaking a first year clinical skills based module at a British university. The Control group received standard teaching using lectures and skills classes facilitated by experienced clinical skills lecturers. The Intervention group received the standard teaching and unlimited access to an online video clip of medication administration. Performance and satisfaction were measured using module assessment results and a satisfaction questionnaire. Qualitative data were gathered using focus groups (n=16, n=20). The Intervention group was significantly (p=0.021) more likely to pass the assessment and rate their satisfaction with the teaching significantly higher (p<0.05) on more than half of the items from the Student Satisfaction Survey. Two Categories were identified from focus group data; Classroom Learning and Transfer to Practice. Classroom Learning included four themes of Peers, Self, Teaching and Time and when Classroom Learning was positive, the Transfer to Practice of the clinical skill was enhanced. An online video of a best practice exemplar as an adjunct to taught clinical skills sessions improves student assessment results and satisfaction ratings. The video was also reported to positively influence all themes identified in Classroom Learning and

  14. The health workforce crisis in Bangladesh: shortage, inappropriate skill-mix and inequitable distribution

    Directory of Open Access Journals (Sweden)

    RajaChowdhury Ahmed

    2011-01-01

    areas. Other data revealed the number of faith/traditional healers, homeopaths (qualified and non-qualified and basic care providers. Conclusions Bangladesh is suffering from a severe HRH crisis--in terms of a shortage of qualified providers, an inappropriate skills-mix and inequity in distribution--which requires immediate attention from policy makers.

  15. A review of changes in composition of hot mix asphalt in the United States.

    Science.gov (United States)

    Mundt, Diane J; Marano, Kristin M; Nunes, Anthony P; Adams, Robert C

    2009-11-01

    This review researched the materials, methods, and practices in the hot mix asphalt industry that might impact future exposure assessments and epidemiologic research on road paving workers. Since World War II, the U.S. interstate highway system, increased traffic volume, transportation speeds, and vehicle axle loads have necessitated an increase in demand for hot mix asphalt for road construction and maintenance, while requiring a consistent road paving product that meets state-specific physical performance specifications. We reviewed typical practices in hot mix asphalt paving in the United States to understand the extent to which materials are and have been added to hot mix asphalt to meet specifications and how changes in practices and technology could affect evaluation of worker exposures for future research. Historical documents were reviewed, and industry experts from 16 states were interviewed to obtain relevant information on industry practices. Participants from all states reported additive use, with most being less than 2% by weight. Crumb rubber and recycled asphalt pavement were added in concentrations approximately 10% per unit weight of the mix. The most frequently added materials included polymers and anti-stripping agents. Crumb rubber, sulfur, asbestos, roofing shingles, slag, or fly ash have been used in limited amounts for short periods of time or in limited geographic areas. No state reported using coal tar as an additive to hot mix asphalt or as a binder alternative in hot mix pavements for high-volume road construction. Coal tar may be present in recycled asphalt pavement from historical use, which would need to be considered in future exposure assessments of pavers. Changes in hot mix asphalt production and laydown emission control equipment have been universally implemented over time as the technology has become available to reduce potential worker exposures. This work is a companion review to a study undertaken in the petroleum refining

  16. Unit physics performance of a mix model in Eulerian fluid computations

    Energy Technology Data Exchange (ETDEWEB)

    Vold, Erik [Los Alamos National Laboratory; Douglass, Rod [Los Alamos National Laboratory

    2011-01-25

    In this report, we evaluate the performance of a K-L drag-buoyancy mix model, described in a reference study by Dimonte-Tipton [1] hereafter denoted as [D-T]. The model was implemented in an Eulerian multi-material AMR code, and the results are discussed here for a series of unit physics tests. The tests were chosen to calibrate the model coefficients against empirical data, principally from RT (Rayleigh-Taylor) and RM (Richtmyer-Meshkov) experiments, and the present results are compared to experiments and to results reported in [D-T]. Results show the Eulerian implementation of the mix model agrees well with expectations for test problems in which there is no convective flow of the mass averaged fluid, i.e., in RT mix or in the decay of homogeneous isotropic turbulence (HIT). In RM shock-driven mix, the mix layer moves through the Eulerian computational grid, and there are differences with the previous results computed in a Lagrange frame [D-T]. The differences are attributed to the mass averaged fluid motion and examined in detail. Shock and re-shock mix are not well matched simultaneously. Results are also presented and discussed regarding model sensitivity to coefficient values and to initial conditions (IC), grid convergence, and the generation of atomically mixed volume fractions.

  17. Closure of hazardous and mixed radioactive waste management units at DOE facilities. [Contains glossary

    Energy Technology Data Exchange (ETDEWEB)

    1990-06-01

    This is document addresses the Federal regulations governing the closure of hazardous and mixed waste units subject to Resource Conservation and Recovery Act (RCRA) requirements. It provides a brief overview of the RCRA permitting program and the extensive RCRA facility design and operating standards. It provides detailed guidance on the procedural requirements for closure and post-closure care of hazardous and mixed waste management units, including guidance on the preparation of closure and post-closure plans that must be submitted with facility permit applications. This document also provides guidance on technical activities that must be conducted both during and after closure of each of the following hazardous waste management units regulated under RCRA.

  18. Integration of virtual reality and conventional skills trainers: a mixed resource model.

    Science.gov (United States)

    Seagull, F Jacob; Moses, Gerald; Park, Adrian E

    2008-01-01

    Training surgical skills in virtual reality (VR) trainers holds promise for successful skill acquisition. VR can simulate complex procedures, present varied physiology, and provide detailed performance feedback. However, VR trainers have not gained wide acceptance as a dominant training modality. Simple mechanical "box trainers" are still used more widely for training basic skills, with the possibility of training more complex skills using more sophisticated physical models of physiology. Combining both VR and mechanical box trainers in a unified curriculum can capitalize on the strengths of VR and the strengths of simple mechanical trainers in an integrated program of practice and feedback. Diagnostics from performance on VR trainers can be used to develop a personalized curriculum for practice on box trainers, with detailed feedback provided through intermittent VR sessions. This integrated approach can increase resource utilization, improve training efficiency, and may lead to better transfer of training to the patient-care environment.

  19. DERIVATIVES OF HARMONIC MIXED NORM AND BLOCH-TYPE SPACES IN THE UNIT BALL OF Rn

    Institute of Scientific and Technical Information of China (English)

    Tang Xiaomin; Hu Zhangjian; Lu Xiaofen

    2011-01-01

    Let H(B) be the set of all harmonic functions f on the unit ball B of Rn.For 0 < p,q ≤ ∞ and a normal weight φ, the mixed norm space Hp,q,φ(B) consists of all functions f in H(B) for which the mixed norm ||·||p,q,φ < ∞. In this article, we obtain some characterizations in terms of radial, tangential, and partial derivative norms in Hp,q,φ(B).The parallel results for the Bloch-type space are also obtained. As an application, the analogous problems for polyharmonic functions are discussed.

  20. Confident to seek help: the development of skill and judgement in nurse practitioners. A mixed methods study.

    Science.gov (United States)

    Fotheringham, Diane

    2013-07-01

    Healthcare is undergoing a transformation in terms of traditional role and skill assignations of staff, with an attendant blurring of boundaries. Expert judgement is used in order to develop and assess learners as they prepare for these new roles. To determine factors related to the perceived usefulness of feedback, to find out how participants use expert judgement, to develop skill and to examine how the context of learning affects the development of judgement. Four NHS Health Board areas within Scotland. 95 nurse practitioners who had successfully completed a specified course of skills based education between September 2008 and August 2010. 10 participants agreed to follow up interview. Survey and follow-up semi-structured interviews. Mixed methods. 20 item, internet based questionnaire (n = 85) and semi-structured interviews (n = 10), collected between September 2010 and February 2011. Response rate was 55%-confidence level of 99%, this sample yields a confidence interval of 12.9%. The results demonstrate that the demonstration of skill and the perception of expertise of the supervisor are related to the perceived usefulness of feedback (p develop skill and judgement, although the mining of the tacit knowledge of medical colleagues, reference to associated theory and peer support and learning strategies are also seen to be important. The development of judgement is restricted by the tightly controlled learning environment. Identification of participants with the expertise of the supervisory group reveals a group who are highly aspirational and for whom the governance of learning leads the participants to be confident to seek help and not the confidence to identify learning needs. Learning is seen to be dominated by the context in which it is set and as the participants learn motor skills, they learn to fit in and manage a brittle working environment. Copyright © 2013 Elsevier Ltd. All rights reserved.

  1. THE RELATIONSHIP BETWEEN MARKETING MIX AND PATIENT LOYALTY IN INTENSIVE CARE UNIT, ANUTAPURA PUBLIC HOSPITAL PALU

    Directory of Open Access Journals (Sweden)

    Muh. Ryman Napirah

    2016-09-01

    Full Text Available Background: The problem generally faced by hospital is unable to provide something really needed by the customers. One of the main factors is the poor marketing mix of hospital that impacts to low quality and influences the patients loyality. Objective: The research aims to investigate the relationship between marketing mix and patient loyalty in intensive care unit at Anutapura Public Hospital Palu. Methods: This was a cross sectional study involving 97 persons who were randomly selected without considering the level of population. The data were analyzed thought univariat and bivariat on the significance level 95% (p<0,05. The marketing mix concept of 7P (product, price, place, promotion, people, process, dan physical evidence. Was used to guide this study. Results: The result of chi-square test indicated that there was a relationship of marketing mix product (p= 0,01, price (p= 0,00, promotion (p= 0,04, people (p= 0,00; and no relationship of marketing mix place (p= 0,21, process (p= 1,00, dan physical evidence (p= 1,00 with patient loyalty. Conclusion: It is expected tht the hospital of Anutapura Palu could increase the strategy of marketing mix for the sake of keeping the patients loyalty as the profit value of the hospital, especially for marketing place, process, and physical evidence.

  2. The Best Adders of Opportunity Government Skills Initiatives in the United Kingdom

    Directory of Open Access Journals (Sweden)

    J. Simmons

    2010-11-01

    Full Text Available The focus of this paper is United Kingdom (UK govern¬ment initiatives over the last thirty years, or so, which have been designed to both up-skill the workforce and to improve the country’s international com¬petitive position. It also considers the impact which these educational inter¬ventions have had on the economic and human capital of the various stake¬holders including the government, employers and learners. It comes to the conclusion that, whilst some progress has been made in developing the human capital and the economic capital of the stakeholders these interventions have not significantly improved the United Kingdom’s global competitive position. The paper also points to the current political uncertainty in that country.

  3. Regional health workforce monitoring as governance innovation: a German model to coordinate sectoral demand, skill mix and mobility.

    Science.gov (United States)

    Kuhlmann, E; Lauxen, O; Larsen, C

    2016-11-28

    As health workforce policy is gaining momentum, data sources and monitoring systems have significantly improved in the European Union and internationally. Yet data remain poorly connected to policy-making and implementation and often do not adequately support integrated approaches. This brings the importance of governance and the need for innovation into play. The present case study introduces a regional health workforce monitor in the German Federal State of Rhineland-Palatinate and seeks to explore the capacity of monitoring to innovate health workforce governance. The monitor applies an approach from the European Network on Regional Labour Market Monitoring to the health workforce. The novel aspect of this model is an integrated, procedural approach that promotes a 'learning system' of governance based on three interconnected pillars: mixed methods and bottom-up data collection, strong stakeholder involvement with complex communication tools and shared decision- and policy-making. Selected empirical examples illustrate the approach and the tools focusing on two aspects: the connection between sectoral, occupational and mobility data to analyse skill/qualification mixes and the supply-demand matches and the connection between monitoring and stakeholder-driven policy. Regional health workforce monitoring can promote effective governance in high-income countries like Germany with overall high density of health workers but maldistribution of staff and skills. The regional stakeholder networks are cost-effective and easily accessible and might therefore be appealing also to low- and middle-income countries.

  4. Improving Patient Outcomes: Effectively Training Healthcare Staff in Psychological Practice Skills: A Mixed Systematic Literature Review.

    Science.gov (United States)

    Garzonis, Katherine; Mann, Eryn; Wyrzykowska, Aleksandra; Kanellakis, Pavlo

    2015-08-01

    Training is an important part of modern European healthcare services and is often cited as a way to improve care quality. To date, various training methods have been used to impart skills relevant to psychological practice in a variety of mental health professionals. However, patient outcomes are rarely used in evaluating the effectiveness of the different training methods used, making it difficult to assess true utility. In the present review, we consider methods of training that can effectively impact trainee and patient outcomes. To do so, PubMed, PsycNET, Scopus, CENTRAL and ERIC were searched for studies on training of healthcare staff in psychological practice approaches. In total, 24 studies were identified (16 quantitative and 8 qualitative). For the most part, group, individual, and web-based training was used. A variety of health professionals were trained in skills including 'communication', 'diagnosis', and 'referral' to name but a few. In the majority of studies staff skill level improved. These findings hold implications for the design, implementation, and evaluation of training for mental healthcare staff.

  5. Personnel planning in general practices: development and testing of a skill mix analysis method.

    NARCIS (Netherlands)

    Eitzen-Strassel, J. von; Vrijhoef, H.J.M.; Derckx, E.W.C.C.; Bakker, D.H. de

    2014-01-01

    Background: General practitioners (GPs) have to match patients’ demands with the mix of their practice staff’s competencies. However, apart from some general principles, there is little guidance on recruiting new staff. The purpose of this study was to develop and test a method which would allow GPs

  6. Personnel planning in general practices : Development and testing of a skill mix analysis method

    NARCIS (Netherlands)

    von Eitzen-Strassel, J.; Vrijhoef, H.J.M.; Derckx, E.W.C.C.; de Bakker, D.H.

    2014-01-01

    Background General practitioners (GPs) have to match patients’ demands with the mix of their practice staff’s competencies. However, apart from some general principles, there is little guidance on recruiting new staff. The purpose of this study was to develop and test a method which would allow GPs

  7. Obesity and motor skills among 4 to 6-year-old children in the United States: nationally-representative surveys.

    Science.gov (United States)

    Castetbon, Katia; Andreyeva, Tatiana

    2012-03-15

    Few population-based studies have assessed relationships between body weight and motor skills in young children. Our objective was to estimate the association between obesity and motor skills at 4 years and 5-6 years of age in the United States. We used repeated cross-sectional assessments of the national sample from the Early Childhood Longitudinal Survey-Birth Cohort (ECLS-B) of preschool 4-year-old children (2005-2006; n = 5 100) and 5-6-year-old kindergarteners (2006-2007; n = 4 700). Height, weight, and fine and gross motor skills were assessed objectively via direct standardized procedures. We used categorical and continuous measures of body weight status, including obesity (Body Mass Index (BMI) ≥ 95th percentile) and BMI z-scores. Multivariate logistic and linear models estimated the association between obesity and gross and fine motor skills in very young children adjusting for individual, social, and economic characteristics and parental involvement. The prevalence of obesity was about 15%. The relationship between motor skills and obesity varied across types of skills. For hopping, obese boys and girls had significantly lower scores, 20% lower in obese preschoolers and 10% lower in obese kindergarteners than normal weight counterparts, p skills and fine motor skills of young children were not consistently related to BMI z-scores and obesity. Based on objective assessment of children's motor skills and body weight and a full adjustment for confounding covariates, we find no reduction in overall coordination and fine motor skills in obese young children. Motor skills are adversely associated with childhood obesity only for skills most directly related to body weight.

  8. Assessing and developing critical-thinking skills in the intensive care unit.

    Science.gov (United States)

    Swinny, Betsy

    2010-01-01

    A lot of resources are spent on the development of new staff in the intensive care unit (ICU). These resources are necessary because the environment in the ICU is complex and the patients are critically ill. Nurses need an advanced knowledge base, the ability to accurately define and change priorities rapidly, good communication and teamwork skills, and the ability to work in a stressful environment in order to succeed and give their patients quality care. Critical thinking helps the nurse to navigate the complex and stressful environment of the ICU. Critical thinking includes more than just nursing knowledge. It includes the ability to think through complex, multifaceted problems to anticipate needs, recognize potential and actual complications, and to expertly communicate with the team. A nurse who is able to think critically will give better patient care. Various strategies can be used to develop critical thinking in ICU nurses. Nurse leaders are encouraged to support the development of critical-thinking skills in less experienced staff with the goal of improving the nurse's ability to work in the ICU and improving patient outcomes.

  9. Resilience skills as emergent phenomena: A study of emergency departments in Brazil and the United States.

    Science.gov (United States)

    Wachs, Priscila; Saurin, Tarcisio Abreu; Righi, Angela Weber; Wears, Robert Lewis

    2016-09-01

    Although the use of resilience skills (RSs) by emergency department (ED) front-line staff is ubiquitous, the nature and origin of these skills tend to be taken for granted. This study investigates the research question "where do RSs come from"? Case studies in two EDs were undertaken in order to answer the research question: one in Brazil and the other in the United States. The case studies adopted the same data collection and analysis procedures, involving interviews, questionnaires, observations, and analysis of documents. A model for describing RSs as emergent phenomena is proposed. The model indicates that RSs arise from interactions between: work constraints, hidden curriculum, gaps in standardized operating procedures, organizational support for resilience, and RSs themselves. An instantiation of the model is illustrated by a critical event identified from the American ED. The model allows the identification of leverage points for influencing the development of RSs, instead of leaving their evolution purely to chance. Copyright © 2016 Elsevier Ltd. All rights reserved.

  10. Dementia skills for all: a core competency framework for the workforce in the United Kingdom.

    Science.gov (United States)

    Tsaroucha, Anna; Benbow, Susan Mary; Kingston, Paul; Le Mesurier, Nick

    2013-01-01

    One of the biggest challenges facing health and social care in the United Kingdom is the projected increase in the number of older people who require dementia care. The National Dementia Strategy (Department of Health, 2009) emphasizes the critical need for a skilled workforce in all aspects of dementia care. In the West Midlands, the Strategic Health Authority commissioned a project to develop a set of generic core competencies that would guide a competency based curriculum to meet the demands for improved dementia training and education. A systematic literature search was conducted to identify relevant frameworks to assist with this work. The core competency framework produced and the methods used for the development of the framework are presented and discussed.

  11. A longitudinal investigation of oral narrative skills in children with mixed reading disability.

    Science.gov (United States)

    Westerveld, Marleen F; Gillon, Gail T; Moran, Catherine

    2008-01-01

    This 2-year longitudinal study investigated oral narrative ability in 14 children with mixed reading disability and their age-matched peers with typical development. The children were aged between 6;4 and 7;8 at the commencement of the study and assessments were administered individually to the children on three occasions over a 2-year period. Oral narratives were elicited in a personal narrative context (i.e., the child was encouraged to relate personal experiences in response to photo prompts) and a story retelling context. Oral narrative comprehension was assessed in a fictional story context through questions relating to story structure elements. Results indicated that the children with mixed reading disability demonstrated inferior oral narrative production and oral narrative comprehension performance compared to children with typical reading development at each assessment occasion. To further explore these children's difficulties in oral narrative ability, their performance was compared to a reading comprehension-age match control group at the third assessment trial. The results suggested the children with mixed reading disability had a specific deficit in oral narrative comprehension.

  12. Mixed

    Directory of Open Access Journals (Sweden)

    Pau Baya

    2011-05-01

    Full Text Available Remenat (Catalan (Mixed, "revoltillo" (Scrambled in Spanish, is a dish which, in Catalunya, consists of a beaten egg cooked with vegetables or other ingredients, normally prawns or asparagus. It is delicious. Scrambled refers to the action of mixing the beaten egg with other ingredients in a pan, normally using a wooden spoon Thought is frequently an amalgam of past ideas put through a spinner and rhythmically shaken around like a cocktail until a uniform and dense paste is made. This malleable product, rather like a cake mixture can be deformed pulling it out, rolling it around, adapting its shape to the commands of one’s hands or the tool which is being used on it. In the piece Mixed, the contortion of the wood seeks to reproduce the plasticity of this slow heavy movement. Each piece lays itself on the next piece consecutively like a tongue of incandescent lava slowly advancing but with unstoppable inertia.

  13. Cardiotocography interpretation skills and the association with size of maternity unit, years of obstetric work experience and healthcare professional background

    DEFF Research Database (Denmark)

    Thellesen, Line; Sorensen, Jette Led; Hedegaard, Morten

    2017-01-01

    INTRODUCTION: We aimed to examine whether cardiotocography (CTG) knowledge, interpretation skills and decision-making measured by a written assessment were associated with size of maternity unit, years of obstetric work experience and healthcare professional background. MATERIAL AND METHODS.......007; >20 years experience: mean difference -0.9, passociated with working in large maternity units and having......-choice question test. Associations between mean test score and work conditions were analyzed using multivariable robust regression, in which the three variables were mutually adjusted. RESULTS: Participants from units with >3000 deliveries/year scored higher on the test than participants from units with

  14. Financial management skills are associated with food insecurity in a sample of households with children in the United States.

    Science.gov (United States)

    Gundersen, Craig G; Garasky, Steven B

    2012-10-01

    Food insecurity is one of the leading public health challenges facing children in the United States today. Reducing food insecurity and its attendant consequences requires an understanding of the determinants of food insecurity. Although previous work has greatly advanced our understanding of these determinants, the role of one of the oft-speculated important determinants of food insecurity, household financial management skills, has not been considered. To address this research lacuna, we use a recently conducted survey, the Survey of Household Finances and Childhood Obesity, that has information on specific financial management practices, impressions of financial management skills, and households' food insecurity. The sample included 904 households with children. Within this sample, 19.3% were food insecure and, for our central financial management skill variable, the mean value was 3.55 on a 5-point scale. Probit regression models estimated the probability of a household being food insecure as conditional on financial management skills and other covariates. We found a large and significant inverse relationship between a respondent's use of specific financial management practices and food insecurity and between a respondent's confidence in his or her financial management skills and food insecurity. That is, households with greater financial management abilities are less likely to be food insecure. This finding also holds when the sample is restricted to households with incomes poverty line. These results suggest that improving households' financial management skills has the potential to reduce food insecurity in the United States.

  15. Obesity and motor skills among 4 to 6-year-old children in the united states: nationally-representative surveys

    Directory of Open Access Journals (Sweden)

    Castetbon Katia

    2012-03-01

    Full Text Available Abstract Background Few population-based studies have assessed relationships between body weight and motor skills in young children. Our objective was to estimate the association between obesity and motor skills at 4 years and 5-6 years of age in the United States. We used repeated cross-sectional assessments of the national sample from the Early Childhood Longitudinal Survey-Birth Cohort (ECLS-B of preschool 4-year-old children (2005-2006; n = 5 100 and 5-6-year-old kindergarteners (2006-2007; n = 4 700. Height, weight, and fine and gross motor skills were assessed objectively via direct standardized procedures. We used categorical and continuous measures of body weight status, including obesity (Body Mass Index (BMI ≥ 95th percentile and BMI z-scores. Multivariate logistic and linear models estimated the association between obesity and gross and fine motor skills in very young children adjusting for individual, social, and economic characteristics and parental involvement. Results The prevalence of obesity was about 15%. The relationship between motor skills and obesity varied across types of skills. For hopping, obese boys and girls had significantly lower scores, 20% lower in obese preschoolers and 10% lower in obese kindergarteners than normal weight counterparts, p p Conclusions Based on objective assessment of children's motor skills and body weight and a full adjustment for confounding covariates, we find no reduction in overall coordination and fine motor skills in obese young children. Motor skills are adversely associated with childhood obesity only for skills most directly related to body weight.

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

    Science.gov (United States)

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

    2006-09-01

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

  17. The Implications of the National Minimum Wage for Training Practices and Skill Utilisation in the United Kingdom Hospitality Industry

    Science.gov (United States)

    Norris, Gill; Williams, Steve; Adam-Smith, Derek

    2003-01-01

    Two key issues thrown up by the 1999 introduction of the National Minimum Wage (NMW) in the United Kingdom are its likely impact on employers' training practices in low paying sectors of the economy and the implications for skills. Based on a study of the hospitality industry, this article assesses the limited significance of the differential,…

  18. Black carbon aerosol mixing state, organic aerosols and aerosol optical properties over the United Kingdom

    Science.gov (United States)

    McMeeking, G. R.; Morgan, W. T.; Flynn, M.; Highwood, E. J.; Turnbull, K.; Haywood, J.; Coe, H.

    2011-09-01

    Black carbon (BC) aerosols absorb sunlight thereby leading to a positive radiative forcing and a warming of climate and can also impact human health through their impact on the respiratory system. The state of mixing of BC with other aerosol species, particularly the degree of internal/external mixing, has been highlighted as a major uncertainty in assessing its radiative forcing and hence its climate impact, but few in situ observations of mixing state exist. We present airborne single particle soot photometer (SP2) measurements of refractory BC (rBC) mass concentrations and mixing state coupled with aerosol composition and optical properties measured in urban plumes and regional pollution over the United Kingdom. All data were obtained using instrumentation flown on the UK's BAe-146-301 large Atmospheric Research Aircraft (ARA) operated by the Facility for Airborne Atmospheric Measurements (FAAM). We measured sub-micron aerosol composition using an aerosol mass spectrometer (AMS) and used positive matrix factorization to separate hydrocarbon-like (HOA) and oxygenated organic aerosols (OOA). We found a higher number fraction of thickly coated rBC particles in air masses with large OOA relative to HOA, higher ozone-to-nitrogen oxides (NOx) ratios and large concentrations of total sub-micron aerosol mass relative to rBC mass concentrations. The more ozone- and OOA-rich air masses were associated with transport from continental Europe, while plumes from UK cities had higher HOA and NOx and fewer thickly coated rBC particles. We did not observe any significant change in the rBC mass absorption efficiency calculated from rBC mass and light absorption coefficients measured by a particle soot absorption photometer despite observing significant changes in aerosol composition and rBC mixing state. The contributions of light scattering and absorption to total extinction (quantified by the single scattering albedo; SSA) did change for different air masses, with lower SSA

  19. Black carbon aerosol mixing state, organic aerosols and aerosol optical properties over the United Kingdom

    Directory of Open Access Journals (Sweden)

    G. R. McMeeking

    2011-09-01

    Full Text Available Black carbon (BC aerosols absorb sunlight thereby leading to a positive radiative forcing and a warming of climate and can also impact human health through their impact on the respiratory system. The state of mixing of BC with other aerosol species, particularly the degree of internal/external mixing, has been highlighted as a major uncertainty in assessing its radiative forcing and hence its climate impact, but few in situ observations of mixing state exist. We present airborne single particle soot photometer (SP2 measurements of refractory BC (rBC mass concentrations and mixing state coupled with aerosol composition and optical properties measured in urban plumes and regional pollution over the United Kingdom. All data were obtained using instrumentation flown on the UK's BAe-146-301 large Atmospheric Research Aircraft (ARA operated by the Facility for Airborne Atmospheric Measurements (FAAM. We measured sub-micron aerosol composition using an aerosol mass spectrometer (AMS and used positive matrix factorization to separate hydrocarbon-like (HOA and oxygenated organic aerosols (OOA. We found a higher number fraction of thickly coated rBC particles in air masses with large OOA relative to HOA, higher ozone-to-nitrogen oxides (NOx ratios and large concentrations of total sub-micron aerosol mass relative to rBC mass concentrations. The more ozone- and OOA-rich air masses were associated with transport from continental Europe, while plumes from UK cities had higher HOA and NOx and fewer thickly coated rBC particles. We did not observe any significant change in the rBC mass absorption efficiency calculated from rBC mass and light absorption coefficients measured by a particle soot absorption photometer despite observing significant changes in aerosol composition and rBC mixing state. The contributions of light scattering and absorption to total extinction (quantified by the single scattering albedo; SSA did change for

  20. Changes in Second-Language Learners' Oral Skills and Socio-Affective Profiles Following Study Abroad: A Mixed-Methods Approach

    Science.gov (United States)

    Hardison, Debra M.

    2014-01-01

    Research on the effectiveness of short-term study-abroad (SA) programs for improving oral skills has shown mixed results. In this study, 24 L2 German learners (L1 English) provided pre- and post-SA speech samples addressing a hypothetical situation and completed surveys on cross-cultural interest and adaptability; L2 communication affect,…

  1. Grade 11 Students' Interconnected Use of Conceptual Knowledge, Procedural Skills, and Strategic Competence in Algebra: A Mixed Method Study of Error Analysis

    Science.gov (United States)

    Egodawatte, Gunawardena; Stoilescu, Dorian

    2015-01-01

    The purpose of this mixed-method study was to investigate grade 11 university/college stream mathematics students' difficulties in applying conceptual knowledge, procedural skills, strategic competence, and algebraic thinking in solving routine (instructional) algebraic problems. A standardized algebra test was administered to thirty randomly…

  2. Changing HIV clinical knowledge and skill in context: the impact of longitudinal training in the Southeast United States.

    Science.gov (United States)

    Culyba, Rebecca J; McGee, Blake Tyler; Weyer, Dianne

    2011-01-01

    In the Southeast United States, HIV care is provided in a context of disproportionate HIV prevalence and barriers to care, including rural locales, higher proportions of African American and uninsured patients, and inadequate health care workforce and infrastructure. The authors describe a regional on-site longitudinal training program developed to target multidisciplinary teams providing HIV primary care at clinical sites in the region. The effect of this training program was evaluated using pre- and 3-month post-program knowledge and skills tests, a post-training evaluation questionnaire, and a post-program focus group. The authors found desired effects, with increases in knowledge and skills and improved capacity of providers to meet patient care needs across all clinical sites despite variations in terms of HIV-infected patient loads. However, the lack of enabling factors present in clinic environments may attenuate the application of new knowledge and skills, underscoring the relevance of teamwork training in HIV care settings.

  3. The effect of preceptor behavior on the critical thinking skills of new graduate nurses in the intensive care unit.

    Science.gov (United States)

    Kaddoura, Mahmoud A

    2013-11-01

    Little research has been conducted to examine the effect of preceptor behaviors on the critical thinking of new graduate nurses in the intensive care unit (ICU). This study explored the perceptions of new graduates on the effect of preceptor behaviors and strategies on the development of their critical thinking skills, using a qualitative exploratory descriptive design. Data were collected with demographic surveys and semistructured interviews. Data were analyzed with a qualitative content analysis approach. The study showed that relationships between new graduates and their preceptors played a key role in the development of critical thinking skills in new graduate nurses, and specific practical implications were suggested. The study data are useful for critical care nurses, preceptors, nurse educators, and clinical nurse specialists. The findings contribute to efforts to enhance the preceptor-preceptee relationship and develop critical thinking skills in new graduates.

  4. Effects of Fair Play Instruction on Student Social Skills during a Middle School Sport Education Unit

    Science.gov (United States)

    Vidoni, Carla; Ward, Philip

    2009-01-01

    Background: Research on social skills in physical education has shown that students' fair play behaviors remain underdeveloped unless teachers include social skills instruction into the curriculum. Fair play behaviors are learned behaviors that are specific to the context of physical education and sport, and may generalize to other settings. One…

  5. Cognitive Skills Development among International Students at Research Universities in the United States

    Science.gov (United States)

    Kim, Young K.; Edens, David; Iorio, Michael F.; Curtis, Christie J.; Romero, Edwin

    2015-01-01

    Set in the context of a statewide research university system, this study attempted to improve our understanding of cognitive skills development among international students. Specifically, this study examined how the patterns and predictors of cognitive skills development among this population differ from their domestic counterparts. The study…

  6. Impact of Lane Width of Road on Passenger Car Unit Capacity under Mix Traffic Condition in Cities on Congested Highways

    Directory of Open Access Journals (Sweden)

    A.R. Khanorkar

    2014-04-01

    Full Text Available Passenger car units are used to represent the effects of varying mixed vehicle types on traffic stream. The traffic volume information about roads which is important for, design and planning analysis for that roadway system. Traffic on congested highways is of the mixed nature to assess the different types of vehicles on highways. This study is concerned with determine the PCU values of vehicles in under mixed nature traffic flow at on congested highways. PCU is the different types of vehicles offer different degree of interference to the other traffic it necessary to bring all types to a common unit. The common unit adopted is expressing the volume as Passenger Car Unit (PCU per hour. In this paper the required data is collected at five main highways around and in Nagpur City using a digital video recorder. During recent years traffic on road has been grow up at rapid rate which causes congestion on the roads. Speeds of vehicle reduced due to congestion and vehicle operating cost is high on such highways. Accident rate is also usually high. Our aim is to work out the passenger car unit PCU for different types of vehicles under mixed nature traffic conditions.

  7. Skills-O-Mat: Computer Supported Interactive Motion- and Game-Based Training in Mixing Alginate in Dental Education

    Science.gov (United States)

    Hannig, Andreas; Lemos, Martin; Spreckelsen, Cord; Ohnesorge-Radtke, Ulla; Rafai, Nicole

    2013-01-01

    The training of motor skills is a crucial aspect of medical education today. Serious games and haptic virtual simulations have been used in the training of surgical procedures. Otherwise, however, a combination of serious games and motor skills training is rarely used in medical education. This article presents Skills-O-Mat, an interactive serious…

  8. Skills-O-Mat: Computer Supported Interactive Motion- and Game-Based Training in Mixing Alginate in Dental Education

    Science.gov (United States)

    Hannig, Andreas; Lemos, Martin; Spreckelsen, Cord; Ohnesorge-Radtke, Ulla; Rafai, Nicole

    2013-01-01

    The training of motor skills is a crucial aspect of medical education today. Serious games and haptic virtual simulations have been used in the training of surgical procedures. Otherwise, however, a combination of serious games and motor skills training is rarely used in medical education. This article presents Skills-O-Mat, an interactive serious…

  9. Health facility and skilled birth deliveries among poor women with Jamkesmas health insurance in Indonesia: a mixed-methods study.

    Science.gov (United States)

    Brooks, Mohamad I; Thabrany, Hasbullah; Fox, Matthew P; Wirtz, Veronika J; Feeley, Frank G; Sabin, Lora L

    2017-02-02

    The growing momentum for quality and affordable health care for all has given rise to the recent global universal health coverage (UHC) movement. As part of Indonesia's strategy to achieve the goal of UHC, large investments have been made to increase health access for the poor, resulting in the implementation of various health insurance schemes targeted towards the poor and near-poor, including the Jamkesmas program. In the backdrop of Indonesia's aspiration to reach UHC is the high rate of maternal mortality that disproportionally affects poor women. The objective of this study was to evaluate the association of health facility and skilled birth deliveries among poor women with and without Jamkesmas and explore perceived barriers to health insurance membership and maternal health service utilization. We used a mixed-methods design. Utilizing data from the 2012 Indonesian Demographic and Health Survey (n = 45,607), secondary analysis using propensity score matching was performed on key outcomes of interest: health facility delivery (HFD) and skilled birth delivery (SBD). In-depth interviews (n = 51) were conducted in the provinces of Jakarta and Banten among poor women, midwives, and government representatives. Thematic framework analysis was performed on qualitative data to explore perceived barriers. In 2012, 63.0% of women did not have health insurance; 19.1% had Jamkesmas. Poor women with Jamkesmas were 19% (OR = 1.19 [1.03-1.37]) more likely to have HFD and 17% (OR = 1.17 [1.01-1.35]) more likely to have SBD compared to poor women without insurance. Qualitative interviews highlighted key issues, including: lack of proper documentation for health insurance registration; the preference of pregnant women to deliver in their parents' village; the use of traditional birth attendants; distance to health facilities; shortage of qualified health providers; overcrowded health facilities; and lack of health facility accreditation. Poor women with

  10. EVALUASI KINERJA UNIT BISNIS ASPHALT MIXING PLANT PT PRAYOGA PERTAMBANGAN DAN ENERGI

    Directory of Open Access Journals (Sweden)

    Raden Isma Anggraini

    2016-05-01

    Full Text Available Currently, the mining sector is still one of the main sectors driving the economy of Indonesia and is in demand by both indigenous and foreign investors. Asphalt mixing plant business unit (AMP BU is currently the main priority scale of PT Prayoga. The AMP UB excellent performance of PT Prayoga enable itself to be able to contribute to the company's revenue and accelerate development of infrastructure in Bogor. The objectives of the research were to identify key performance indicator (KPI that is applied in the financial and non-financial perspectives as well as to evaluate the performance of UB AMP of PT Prayoga in terms of financial and non-financial aspects based on the vision, mission and strategy of the company. The method used in this research was the balanced scorecard as a management tool to maintain a balance between the financial (financial perspective and non-financial (customer perspective, business processes, learning and growth indicators. The results showed that the KPI applied in the evaluation of the performance of AMP BU of PT Prayoga consists of 19 indicators including 5 KPI of financial perspective, 5 KPI of customer perspective, 5 KPI of business process perspective, and 4 KPI of learning and growth perspective. The assessment results indicate this business unit obtained the performance index of 78.42% included in the criterion of very good or excellent, thus it has shown its best performance according to the vision, mission and strategy of the company.Keywords: balanced scorecard, performance assessment, performance index, KPI, mining

  11. Physician self-disclosure in primary care: a mixed methods study of GPs' attitudes, skills, and behaviour.

    Science.gov (United States)

    Allen, Emily-Charlotte Frances; Arroll, Bruce

    2015-09-01

    There is a debate in medicine about the use and value of self-disclosure by the physician as a communication tool. There is little empirical evidence about GPs and self-disclosure. To explore what GPs' attitudes, skills, and behaviour are with regard to self-disclosure during a clinical consultation and whether there is a need for the development of training resources. Mixed methods using open-ended and semi-structured interviews in Auckland, New Zealand, and the surrounding districts. Sixteen GPs were interviewed on the issue of self-disclosure in clinical practice. A general inductive approach was used for data analysis. Self-disclosure was common in this group of GPs, contrary to training in some of the groups, and was seen as a potentially positive activity. Family and physical topics were most common, yet psychological and relationship issues were also discussed. Knowing patients made self-disclosure more likely, but a GP's intuition played the main role in determining when to self-disclose, and to whom. GPs have developed their own guidelines, shaped by years of experience; however, there was a consensus that training would be helpful. Self-disclosure is common and, in general, seen as positive. Major personal issues were acceptable for some GPs to self-disclose, especially to known patients. Although participants had developed their own guidelines, exposure of trainees to the issue of self-disclosure would be of value to prevent future mistakes and to protect both doctor and patient from any unintended harm, for example, developing a dependent relationship. © British Journal of General Practice 2015.

  12. Physician self-disclosure in primary care: a mixed methods study of GPs’ attitudes, skills, and behaviour

    Science.gov (United States)

    Allen, Emily-Charlotte Frances; Arroll, Bruce

    2015-01-01

    Background There is a debate in medicine about the use and value of self-disclosure by the physician as a communication tool. There is little empirical evidence about GPs and self-disclosure. Aim To explore what GPs’ attitudes, skills, and behaviour are with regard to self-disclosure during a clinical consultation and whether there is a need for the development of training resources. Design and setting Mixed methods using open-ended and semi-structured interviews in Auckland, New Zealand, and the surrounding districts. Method Sixteen GPs were interviewed on the issue of self-disclosure in clinical practice. A general inductive approach was used for data analysis. Results Self-disclosure was common in this group of GPs, contrary to training in some of the groups, and was seen as a potentially positive activity. Family and physical topics were most common, yet psychological and relationship issues were also discussed. Knowing patients made self-disclosure more likely, but a GP’s intuition played the main role in determining when to self-disclose, and to whom. GPs have developed their own guidelines, shaped by years of experience; however, there was a consensus that training would be helpful. Conclusion Self-disclosure is common and, in general, seen as positive. Major personal issues were acceptable for some GPs to self-disclose, especially to known patients. Although participants had developed their own guidelines, exposure of trainees to the issue of self-disclosure would be of value to prevent future mistakes and to protect both doctor and patient from any unintended harm, for example, developing a dependent relationship. PMID:26324497

  13. Mixed-Status Immigrant Families in the United States: The Role of Social Justice in Intervention Research.

    Science.gov (United States)

    Whipps, Mackenzie D M; Yoshikawa, Hirokazu

    2016-01-01

    More than 4 million unauthorized parents of legal status children currently reside in the United States (Capps, Fix, & Zong, 2016). Developmental scientists and intervention researchers hoping to work with these mixed-status families face a myriad of challenges, largely generated from the population's policy-driven social exclusion. Despite the challenges, there is a moral imperative to work with and support parents and children currently living in mixed-status households. This chapter applies a social justice perspective, largely stemming from Prilleltensky's critical community psychological framework, to improve the relevance and usefulness of research on mixed-status families (Prilleltensky & Nelson, 1997). We discuss the utility of this social justice perspective in theory building, study design and implementation, and dissemination of findings regarding mixed-status families, with exemplars from recent research.

  14. Assessment of University External Internships. Towards a Mixed Model for Measuring the Acquisition of Skills and the Satisfaction of Parties Involved

    OpenAIRE

    Ruiz Callado, Raúl

    2011-01-01

    The continuous improvement of management and assessment processes for curricular external internships has led a group of university teachers specialised in this area to develop a mixed model of measurement that combines the verification of skill acquisition by those students choosing external internships with the satisfaction of the parties involved in that process. They included academics, educational tutors of companies and organisations and administration and services personnel in the latt...

  15. Using a smart wheelchair as a gaming device for floor-projected games: a mixed-reality environment for training powered-wheelchair driving skills.

    Science.gov (United States)

    Secoli, R; Zondervan, D; Reinkensmeyer, D

    2012-01-01

    For children with a severe disability, such as can arise from cerebral palsy, becoming independent in mobility is a critical goal. Currently, however, driver's training for powered wheelchair use is labor intensive, requiring hand-over-hand assistance from a skilled therapist to keep the trainee safe. This paper describes the design of a mixed reality environment for semi-autonomous training of wheelchair driving skills. In this system, the wheelchair is used as the gaming input device, and users train driving skills by maneuvering through floor-projected games created with a multi-projector system and a multi-camera tracking system. A force feedback joystick assists in steering and enhances safety.

  16. REHABILITATION IN SKILLED NURSING CENTRES FOR ELDERLY PEOPLE WITH LOWER LIMB AMPUTATIONS : A MIXED-METHODS, DESCRIPTIVE STUDY

    NARCIS (Netherlands)

    Fortington, Lauren V.; Rommers, Gerardus M.; Wind-Kral, Anne; Dijkstra, Pieter U.; Geertzen, Jan H. B.

    2013-01-01

    Objectives: To describe the current set-up, barriers and potential for providing rehabilitation to people with lower limb amputation in skilled nursing centres. Design: Survey and interviews. Subjects/participants: Elderly care physicians, physiotherapists. Methods: In 2011, clinicians from 34 skill

  17. Finance Graduates' Knowledge and Skills Development: Graduate and Employer Perceptions in United Arab Emirates

    Science.gov (United States)

    Al Shayeb, Abdulrahman Mohamed

    2013-01-01

    There has been considerable debate over the past decades concerning the extent to which finance education has fulfilled employers' and graduates' expectations related to knowledge and skills needed in a changing and challenging business environment. This study seeks to examine whether there are significant differences in expectations between…

  18. Finance Graduates' Knowledge and Skills Development: Graduate and Employer Perceptions in United Arab Emirates

    Science.gov (United States)

    Al Shayeb, Abdulrahman Mohamed

    2013-01-01

    There has been considerable debate over the past decades concerning the extent to which finance education has fulfilled employers' and graduates' expectations related to knowledge and skills needed in a changing and challenging business environment. This study seeks to examine whether there are significant differences in expectations between…

  19. Skills Inequality, Adult Learning and Social Cohesion in the United Kingdom

    Science.gov (United States)

    Janmaat, Jan Germen; Green, Andy

    2013-01-01

    In this article we argue that the legitimacy and stability of the social and political order in Britain is undermined by persistent inequalities of skills and opportunities. We first contend that British society is characterised by a liberal regime of social cohesion. Crucial to such a regime is the belief in individual opportunity and rewards…

  20. Finance Graduates' Knowledge and Skills Development: Graduate and Employer Perceptions in United Arab Emirates

    Science.gov (United States)

    Al Shayeb, Abdulrahman Mohamed

    2013-01-01

    There has been considerable debate over the past decades concerning the extent to which finance education has fulfilled employers' and graduates' expectations related to knowledge and skills needed in a changing and challenging business environment. This study seeks to examine whether there are significant differences in expectations…

  1. Making Skills Everyone's Business: A Call to Transform Adult Learning in the United States

    Science.gov (United States)

    Strawn, Julie

    2015-01-01

    To address the need to connect Americans with learning opportunities, the Office of Career, Technical, and Adult Education released the present report. Grounded in evidence and informed by effective and emerging practices, "Making Skills Everyone's Business" offers seven strategies that hold great promise for improving the conditions…

  2. Grade 8 Spanish Math Skills Sharpeners and La Calculadora. Hojas de ejercicios (Calculator Unit. Exercise Sheets.)

    Science.gov (United States)

    Milwaukee Public Schools, WI.

    This workbook contains "skill sharpening" math problems presented in Spanish. These problems have been designed as supplementary work for students at the eighth grade level. Functions and topics such as addition, subtraction, division, multiplication, decimals, scientific notation (exponents), fractions, symmetry, angles, the metric…

  3. Health Occupations Curriculum. Skills and Theory for Health Assistant. Volume I, Units 1-4.

    Science.gov (United States)

    Arizona State Dept. of Education, Phoenix.

    This volume consists of the first four units of a basic core curriculum that is intended for all health workers. The units deal with the following topics: (1) the health care facility, the long-term care facility, the health team, and the nursing team; (2) verbal and nonverbal communication, written communication, human behavior, ethical behavior,…

  4. Health Occupations Curriculum. Skills and Theory for Health Assistant. Volume 2, Units 5-7.

    Science.gov (United States)

    Arizona State Dept. of Education, Phoenix.

    This volume consists of three units of a basic core curriculum that is intended for all health workers. Covered in the units are the following topics: (1) the body's need for food, the effect of food on the body, the five food groups, the six nutrients, and therapeutic diets; (2) general principles of asepsis, specific methods of maintaining…

  5. Health Occupations Curriculum. Skills and Theory for Practical Nurse. Units 18, 19, and 20.

    Science.gov (United States)

    Arizona State Dept. of Education, Phoenix.

    Part of a health occupations program, these instructional units consist of materials for use by those who are studying to become practical nurses. Covered in the units are the following: the nursing care of mothers and newborns (obstetrics, prenatal care and complications, patient needs, care of the newborn, prematurity, medications, and cultural…

  6. Identification of Combat Unit Leader Skills and Leader-Group Interaction Processes

    Science.gov (United States)

    1980-01-01

    David L. Hannaraan, Peter B. Wylie, and Edgar L. Shriver Kinton, Inc. I !• and Bruce W. Hamill and Robert H. Sulzen Army Research Institute...LEADER SKILLS AND LEADER-GROUP INTERACTION PROCESSES Kermit F. Henriksen, Donald R. Jones, Jr., David L. Hannaman, Peter B. Wylie, and Edgar 1. Shrlver...depends upon how well group members reuspond to cues and other sources of information regarding the enemy’s movement. Berlo (1974) [ ~has shown that

  7. Strategi Marketing Mix Baitul Mal wa Tamwil (BMT) Unit Gabungan Terpadu (UGT) Sidogiri Pasuruan

    OpenAIRE

    Cihwanul Kirom

    2016-01-01

    Within the business realm, marketing is a key factor which determines the success of distribution. Therefore, strategy and innovation are a necessity. Marketing activity would ensure whether a certain product is delivered to the costumers. In order to achieve the desired goals of marketing, it is important to manufacturers to follow a set of marketing processes, which comprise market overview, marketing strategy, marketing mix, and evaluation. Marketing mix is a set of strategies consist of p...

  8. Sizing personnel: evaluation of nursing in obstetric and mixed pediatric intensive care units

    OpenAIRE

    Mendes,Rodrigo Nonato Coelho; Carmo, Amanda de Figueirôa Silva; Salum, Rosana Dourado Loula; Gusmão-filho,Fernando Antônio Ribeiro de; Vidal, Suely Arruda; Santos, Viviane Euzébia Perreira

    2013-01-01

    Objectives: To assess the adequacy of nursing staff and understand how these professionals perceive this issue. Methods: evaluative, exploratory, descriptive, quantitative and qualitative study, developed in Obstetric and Mixed Pediatric ICUs for the Hospital Don Malan / IMIP in Petrolina-PE. Was calculated the scaling nursing and 13 semistructured interviews were conducted, analyzed according to Bardin. Results: Mixed Pediatric ICU has correct number of staff and Obstetric decrea...

  9. Strategi Marketing Mix Baitul Mal wa Tamwil (BMT) Unit Gabungan Terpadu (UGT) Sidogiri Pasuruan

    OpenAIRE

    Cihwanul Kirom

    2016-01-01

    Within the business realm, marketing is a key factor which determines the success of distribution. Therefore, strategy and innovation are a necessity. Marketing activity would ensure whether a certain product is delivered to the costumers. In order to achieve the desired goals of marketing, it is important to manufacturers to follow a set of marketing processes, which comprise market overview, marketing strategy, marketing mix, and evaluation. Marketing mix is a set of strategies consist of p...

  10. Nursing skill mix in European hospitals: cross-sectional study of the association with mortality, patient ratings, and quality of care

    Science.gov (United States)

    Aiken, Linda H; Rafferty, Anne Marie; Bruyneel, Luk; McHugh, Matthew; Maier, Claudia B; Moreno-Casbas, Teresa; Ball, Jane E; Ausserhofer, Dietmar; Sermeus, Walter

    2017-01-01

    Objectives To determine the association of hospital nursing skill mix with patient mortality, patient ratings of their care and indicators of quality of care. Design Cross-sectional patient discharge data, hospital characteristics and nurse and patient survey data were merged and analysed using generalised estimating equations (GEE) and logistic regression models. Setting Adult acute care hospitals in Belgium, England, Finland, Ireland, Spain and Switzerland. Participants Survey data were collected from 13 077 nurses in 243 hospitals, and 18 828 patients in 182 of the same hospitals in the six countries. Discharge data were obtained for 275 519 surgical patients in 188 of these hospitals. Main outcome measures Patient mortality, patient ratings of care, care quality, patient safety, adverse events and nurse burnout and job dissatisfaction. Results Richer nurse skill mix (eg, every 10-point increase in the percentage of professional nurses among all nursing personnel) was associated with lower odds of mortality (OR=0.89), lower odds of low hospital ratings from patients (OR=0.90) and lower odds of reports of poor quality (OR=0.89), poor safety grades (OR=0.85) and other poor outcomes (0.80nurses is associated with an 11% increase in the odds of death. In our hospital sample, there were an average of six caregivers for every 25 patients, four of whom were professional nurses. Substituting one nurse assistant for a professional nurse for every 25 patients is associated with a 21% increase in the odds of dying. Conclusions A bedside care workforce with a greater proportion of professional nurses is associated with better outcomes for patients and nurses. Reducing nursing skill mix by adding nursing associates and other categories of assistive nursing personnel without professional nurse qualifications may contribute to preventable deaths, erode quality and safety of hospital care and contribute to hospital nurse shortages. PMID:28626086

  11. Strategi Marketing Mix Baitul Mal wa Tamwil (BMT Unit Gabungan Terpadu (UGT Sidogiri Pasuruan

    Directory of Open Access Journals (Sweden)

    Cihwanul Kirom

    2016-11-01

    Full Text Available Within the business realm, marketing is a key factor which determines the success of distribution. Therefore, strategy and innovation are a necessity. Marketing activity would ensure whether a certain product is delivered to the costumers. In order to achieve the desired goals of marketing, it is important to manufacturers to follow a set of marketing processes, which comprise market overview, marketing strategy, marketing mix, and evaluation. Marketing mix is a set of strategies consist of product, price, promotion, and distribution, which guarantee the success of marketing activities. All of these aspects are intended to attain responses from the targeted market. The article seeks to discuss the marketing mix strategy implemented by BMT UGT Sidogiri Pasuruan based on four “Ps”, namely product, price, place, and promotion. The study finds that the marketing mix strategy employed by BMT UGT has met the costumers’ needs in terms of product strategy, pricing strategy, distribution strategy, and promotion strategy. The study also concludes that the proper implementation of marketing mix strategy and its compatibility with Islamic sharîʻah as well as the organization’s obedience towards Islamic business ethics are among pivotal factors that have significantly influenced the development of BMT UGT Sidogiri

  12. A mixed-age science collaborative between elementary and high school physics students: A study of attitude toward school science and inquiry skill

    Science.gov (United States)

    Blain, Mary Perron

    Grade three students had significant improvements in inquiry ability and attitude toward school science as a function of their participation in mixed-age dyads completing inquiry-based science experiments with a high school physics partner. The social interaction between the 'more capable other' (Vygotsky, 1978) with the grade three student in the mixed-age problem solving team indicates a contributing factor in this improvement. This study employed a quasi-experimental design with intact groups of non-random assignment. The non-parametric Wilcoxon test (p = 0.025) was used to analyze scores for each academic achievement group for significant differences pre- and post-collaborative in "Inquiry" skill and "Attitude" toward school science scores. Three grade three classrooms from one elementary school and one high school physics class from the same school district were involved in the study. The high school physics class teamed with one intact grade three class as the mixed-age dyad performing the "hands-on" experiments (treatment). The two grade three classes teamed as same-age peer dyads (comparison group) to perform the same experiments on the same day. Using methods patterned after the way scientists investigate their world, the dyads performed experiments considered for future grade three national assessments (NAEP, 1994), i.e. "Which paper towel holds the most water?"; "Which magnet is stronger?"; "Which type of sugar, cubed or loose, dissolves best in warm water?" Trained raters scored the written lab reports using standardized scoring guides and characteristic benchmark responses to determine the "Inquiry" skill score for each subject. The "Attitude" toward school science score for each subject was determined from the Likert scale survey, Individual and Group Attitudes Toward Science and the open-ended Sentence Completion Test (SCT) (Piburn & Sidlick, 1992). Three raters scored the SCT survey for each subject. This study showed that for a grade three student

  13. Penjadwalan Perencanaan Produksi Produk Mixed Model Pada Refrigerator Business Unit Di Perusahaan Elektronik Jakarta

    OpenAIRE

    Rinaldi, Dendi

    2011-01-01

    Perusahaan elektronik di Jakarta merupakan salah satu perusahaan yang memiliki enam business unit yaitu Refrigerator, Audio, Electric Fan, Air Conditioner, Water Pump, dan Loundry System. Dalam menjalankan produksi khususnya pada Refrigerator Business Unit, perusahaan mengalami permasalahan pada penjadwalan produksinya karena terdapat 30 model yang diproduksi sesuai permintaan menyebabkan perusahaan sulit untuk melakukan penjadwalan. Salah satu penjadwalan yang dipakai dalam sistem produks...

  14. A Study to Determine the Effects of Sustainment Training and Unit Assignment on Skill Retention

    Science.gov (United States)

    1984-07-01

    units. ARI has been able to develop a mathematical model to Predict Perforinmance, task by task in the Soldier’s Manuals, considering a variety of...personniel in the sustainlent of a readiii-ess posture has lbeen qucstione(l. by the Chief Dietitian, COL 1--r-mcib A. Licojooli, A\\rmy Vedical

  15. Climate change influences on crop mix shifts in the United States

    Science.gov (United States)

    Cho, Sung Ju; McCarl, Bruce A.

    2017-01-01

    We examine the impact of current and future climate on crop mixes over space in the US. We find using historical data that temperature and precipitation are among the causal factors for shits in crop production location and mixes, with some crops being more sensitive than others. In particular, we find that when temperature rises, cotton, rice, sorghum and winter wheat are more likely to be chosen. We also find that barley, sorghum, winter wheat, spring wheat and hay are more likely to be chosen as regions become drier, and corn, cotton, rice and soybeans are more likely to be selected in wetter regions. Additionally, we assess how much of the observed crop mix shifts between 1970 and 2010 were contributed to by climate change. There we find climate explains about 7–50% of the shift in latitude, 20–36% in longitude and 4–28% of that in elevation. Finally, we estimate climate change impacts on future crop mix under CMIP5 scenarios. There we find shifts in US production regions for almost all major crops with the movement north and east. The estimates describe how the farmers respond to altering climate and can be used for planning future crop allocations.

  16. Climate change influences on crop mix shifts in the United States

    Science.gov (United States)

    Cho, Sung Ju; McCarl, Bruce A.

    2017-01-01

    We examine the impact of current and future climate on crop mixes over space in the US. We find using historical data that temperature and precipitation are among the causal factors for shits in crop production location and mixes, with some crops being more sensitive than others. In particular, we find that when temperature rises, cotton, rice, sorghum and winter wheat are more likely to be chosen. We also find that barley, sorghum, winter wheat, spring wheat and hay are more likely to be chosen as regions become drier, and corn, cotton, rice and soybeans are more likely to be selected in wetter regions. Additionally, we assess how much of the observed crop mix shifts between 1970 and 2010 were contributed to by climate change. There we find climate explains about 7–50% of the shift in latitude, 20–36% in longitude and 4–28% of that in elevation. Finally, we estimate climate change impacts on future crop mix under CMIP5 scenarios. There we find shifts in US production regions for almost all major crops with the movement north and east. The estimates describe how the farmers respond to altering climate and can be used for planning future crop allocations. PMID:28098198

  17. What evidence is there to support skill mix changes between GPs, pharmacists and practice nurses in the care of elderly people living in the community?

    Science.gov (United States)

    Dennis, Sarah; May, Jenny; Perkins, David; Zwar, Nicholas; Sibbald, Bonnie; Hasan, Iqbal

    2009-09-11

    Workforce shortages in Australia are occurring across a range of health disciplines but are most acute in general practice. Skill mix change such as task substitution is one solution to workforce shortages. The aim of this systematic review was to explore the evidence for the effectiveness of task substitution between GPs and pharmacists and GPs and nurses for the care of older people with chronic disease. Published, peer reviewed (black) and non-peer reviewed (grey) literature were included in the review if they met the inclusion criteria. Forty-six articles were included in the review. Task substitution between pharmacists and GPs and nurses and GPs resulted in an improved process of care and patient outcomes, such as improved disease control. The interventions were either health promotion or disease management according to guidelines or use of protocols, or a mixture of both. The results of this review indicate that pharmacists and nurses can effectively provide disease management and/or health promotion for older people with chronic disease in primary care. While there were improvements in patient outcomes no reduction in health service use was evident. When implementing skill mix changes such as task substitution it is important that the health professionals' roles are complementary otherwise they may simply duplicate the task performed by other health professionals. This has implications for the way in which multidisciplinary teams are organised in initiatives such as the GP Super Clinics.

  18. Asia-Pacific Missile Defense Cooperation and the United States 2004-2005: A Mixed Bag

    Science.gov (United States)

    2005-02-01

    in cooperating with the United States on various missile defense -related programs. Such close friends and allies as South Korea and Taiwan have made...many local opponents of missile defense argue that the missile threat to Australia is quite low, particularly as North Korea does not yet possess any...2004 in cooperating with the United States. Overall, South Korea does not appear to regard the North Korean missile threat as very likely. Based on

  19. Contribution of the North Atlantic subtropical high to regional climate model (RCM) skill in simulating southeastern United States summer precipitation

    Science.gov (United States)

    Li, Laifang; Li, Wenhong; Jin, Jiming

    2015-07-01

    This study assesses the skill of advanced regional climate models (RCMs) in simulating southeastern United States (SE US) summer precipitation and explores the physical mechanisms responsible for the simulation skill at a process level. Analysis of the RCM output for the North American Regional Climate Change Assessment Program indicates that the RCM simulations of summer precipitation show the largest biases and a remarkable spread over the SE US compared to other regions in the contiguous US. The causes of such a spread are investigated by performing simulations using the Weather Research and Forecasting (WRF) model, a next-generation RCM developed by the US National Center for Atmospheric Research. The results show that the simulated biases in SE US summer precipitation are due mainly to the misrepresentation of the modeled North Atlantic subtropical high (NASH) western ridge. In the WRF simulations, the NASH western ridge shifts 7° northwestward when compared to that in the reanalysis ensemble, leading to a dry bias in the simulated summer precipitation according to the relationship between the NASH western ridge and summer precipitation over the southeast. Experiments utilizing the four dimensional data assimilation technique further suggest that the improved representation of the circulation patterns (i.e., wind fields) associated with the NASH western ridge substantially reduces the bias in the simulated SE US summer precipitation. Our analysis of circulation dynamics indicates that the NASH western ridge in the WRF simulations is significantly influenced by the simulated planetary boundary layer (PBL) processes over the Gulf of Mexico. Specifically, a decrease (increase) in the simulated PBL height tends to stabilize (destabilize) the lower troposphere over the Gulf of Mexico, and thus inhibits (favors) the onset and/or development of convection. Such changes in tropical convection induce a tropical-extratropical teleconnection pattern, which modulates the

  20. Using Mixed Methods Research to Examine the Benefits of Culturally Relevant Instruction on Latino Students' Writing Skills

    Science.gov (United States)

    Murphy, Joel P.; Murphy, Shirley A.

    2016-01-01

    A convergent mixed methods research design addressed the extent of benefit obtained from reading culturally inclusive prompts (i.e., four brief essays written by Latino authors) to improve essay writing in a developmental (pre-college) English course. Participants were 45 Latino students who provided quantitative data. Chi square analysis showed…

  1. Nursing skill mix in European hospitals: cross-sectional study of the association with mortality, patient ratings, and quality of care.

    Science.gov (United States)

    Aiken, Linda H; Sloane, Douglas; Griffiths, Peter; Rafferty, Anne Marie; Bruyneel, Luk; McHugh, Matthew; Maier, Claudia B; Moreno-Casbas, Teresa; Ball, Jane E; Ausserhofer, Dietmar; Sermeus, Walter

    2017-07-01

    To determine the association of hospital nursing skill mix with patient mortality, patient ratings of their care and indicators of quality of care. Cross-sectional patient discharge data, hospital characteristics and nurse and patient survey data were merged and analysed using generalised estimating equations (GEE) and logistic regression models. Adult acute care hospitals in Belgium, England, Finland, Ireland, Spain and Switzerland. Survey data were collected from 13 077 nurses in 243 hospitals, and 18 828 patients in 182 of the same hospitals in the six countries. Discharge data were obtained for 275 519 surgical patients in 188 of these hospitals. Patient mortality, patient ratings of care, care quality, patient safety, adverse events and nurse burnout and job dissatisfaction. Richer nurse skill mix (eg, every 10-point increase in the percentage of professional nurses among all nursing personnel) was associated with lower odds of mortality (OR=0.89), lower odds of low hospital ratings from patients (OR=0.90) and lower odds of reports of poor quality (OR=0.89), poor safety grades (OR=0.85) and other poor outcomes (0.80skill mix by adding nursing associates and other categories of assistive nursing personnel without professional nurse qualifications may contribute to preventable deaths, erode quality and safety of hospital care and contribute to hospital nurse

  2. Cardiotocography interpretation skills and the association with size of maternity unit, years of obstetric work experience and healthcare professional background: a national cross-sectional study.

    Science.gov (United States)

    Thellesen, Line; Sorensen, Jette L; Hedegaard, Morten; Rosthoej, Susanne; Colov, Nina P; Andersen, Kristine S; Bergholt, Thomas

    2017-09-01

    We aimed to examine whether cardiotocography (CTG) knowledge, interpretation skills and decision-making measured by a written assessment were associated with size of maternity unit, years of obstetric work experience and healthcare professional background. A national cross-sectional study in the setting of a CTG teaching intervention involving all 24 maternity units in Denmark. Participants were midwives (n = 1260) and specialists (n = 269) and residents (n = 142) in obstetrics and gynecology who attended a 1-day CTG course and answered a 30-item multiple-choice question test. Associations between mean test score and work conditions were analyzed using multivariable robust regression, in which the three variables were mutually adjusted. Participants from units with > 3000 deliveries/year scored higher on the test than participants from units with 4000 deliveries/year: mean difference 0.5, p = 0.006). Participants with 15 years of experience (15-20 years of experience: mean difference - 0.6, p = 0.007; > 20 years experience: mean difference - 0.9, p skills and decision-making measured by a written assessment were positively associated with working in large maternity units and having skills in small units and among experienced staff but could also reflect different levels of motivation, test familiarity and learning culture. Whether the findings are transferable to the clinical setting was not examined. © 2017 Nordic Federation of Societies of Obstetrics and Gynecology.

  3. The Impact of a Hybrid Sport Education-Invasion Games Competence Model Soccer Unit on Students' Decision Making, Skill Execution and Overall Game Performance

    Science.gov (United States)

    Mesquita, Isabel; Farias, Claudio; Hastie, Peter

    2012-01-01

    The purpose of this study was to examine the impact of a hybrid Sport Education-Invasion Games Competence Model (SE-IGCM) unit application on students' improvements in decision making, skill execution and overall game performance, during a soccer season. Twenty-six fifth-grade students from a Portuguese public elementary school participated in a…

  4. LiDAR-derived snowpack data sets from mixed conifer forests across the Western United States

    Science.gov (United States)

    Harpold, A. A.; Guo, Q.; Molotch, N.; Brooks, P. D.; Bales, R.; Fernandez-Diaz, J. C.; Musselman, K. N.; Swetnam, T. L.; Kirchner, P.; Meadows, M. W.; Flanagan, J.; Lucas, R.

    2014-03-01

    Airborne-based Light Detection and Ranging (LiDAR) offers the potential to measure snow depth and vegetation structure at high spatial resolution over large extents and thereby increase our ability to quantify snow water resources. Here we present airborne LiDAR data products at four Critical Zone Observatories (CZO) in the Western United States: Jemez River Basin, NM, Boulder Creek Watershed, CO, Kings River Experimental Watershed, CA, and Wolverton Basin, CA. We make publicly available snow depth data products (1 m2 resolution) derived from LiDAR with an estimated accuracy of <30 cm compared to limited in situ snow depth observations.

  5. Older Adults and Emerging Digital Service Delivery: A Mixed Methods Study on Information and Communications Technology Use, Skills, and Attitudes.

    Science.gov (United States)

    Siren, Anu; Knudsen, Sine Grønborg

    2017-01-01

    Based on data from a survey (n = 3291) and 14 qualitative interviews among Danish older adults, this study investigated the use of, and attitudes toward, information communications technology (ICT) and the digital delivery of public services. While age, gender, and socioeconomic status were associated with use of ICT, these determinants lost their explanatory power when we controlled for attitudes and experiences. We identified three segments that differed in their use of ICT and attitudes toward digital service delivery. As nonuse of ICT often results from the lack of willingness to use it rather than from material or cognitive deficiencies, policy measures for bridging the digital divide should focus on skills and confidence rather than on access or ability.

  6. Three case studies involving Leptospira interrogans serovar pomona infection in mixed farming units.

    Science.gov (United States)

    Gummow, B; Myburgh, J G; Thompson, P N; van der Lugt, J J; Spencer, B T

    1999-03-01

    Three case studies involving Leptospira interrogans serovar pomona outbreaks within mixed farming systems in South Africa are described. On 2 farms, pigs constituted the main enterprise with cattle and sheep of secondary importance. On each of these 2 farms, abortion due to L. pomona in sows was confirmed by culture, and antibody titres to pomona were detected in cattle, sheep, horses and dogs. On the 3rd farm, a piggery was of secondary importance to cattle farming. Abortion and death in cows occurred on this farm and serology showed titres to various serovars, including pomona. L. pomona was also isolated from bovine urine, an aborted bovine foetus and kidneys from slaughtered pigs. This particular case study was regarded as clinically atypical in that adult Jersey cattle died of acute leptospirosis in a semiarid region of South Africa. In all 3 case studies, the poor management of pig effluent and of the drinking water and its sources played a pivotal role in the transmission of the disease. Inadequate vaccination of animals against Leptospira and poor record-keeping within the secondary farming enterprises were also contributing factors to the spread of leptospirosis.

  7. Three case studies involving Leptospira interrogans serovar pomona infection in mixed farming units : case report

    Directory of Open Access Journals (Sweden)

    B. Gummow

    1999-07-01

    Full Text Available Three case studies involving Leptospira interrogans serovar pomona outbreaks within mixed farming systems in South Africa are described. On 2 farms, pigs constituted the main enterprise with cattle and sheep of secondary importance. On each of these 2 farms, abortion due to L. pomona in sows was confirmed by culture, and antibody titres to pomona were detected in cattle, sheep, horses and dogs. On the 3rd farm, a piggery was ofsecondary importance to cattle farming. Abortion and death in cows occurred on this farmand serology showed titres to various serovars, including pomona. L. pomona was also isolated from bovine urine, an aborted bovine foetus and kidneys from slaughtered pigs. This particular case study was regarded as clinically atypical in that adult Jersey cattle died of acute leptospirosis in a semiarid region of South Africa. In all 3 case studies, the poor management of pig effluent and of the drinking water and its sources played a pivotal role in the transmission of the disease. Inadequate vaccination of animals against Leptospira and poor record-keeping within the secondary farming enterprises were also contributing factors to the spread of leptospirosis.

  8. The menthol marketing mix: targeted promotions for focus communities in the United States.

    Science.gov (United States)

    Cruz, Tess Boley; Wright, La Tanisha; Crawford, George

    2010-12-01

    This study analyzes tobacco industry menthol marketing strategies aimed at urban predominantly Black populations. Data are drawn from an interview with a former Brown & Williamson Tobacco Company trade marketing manager, tobacco industry documents on Kool promotions in urban areas, and public health literature on tobacco marketing. Tobacco companies recognize the growth potential for the menthol segment in these urban communities. They have higher levels of price discounts and signage, exert tight controls over the retail environment, and use hip-hop lifestyle to associate menthol products with urban nightlife, music, fame, and cultural edginess among younger smokers. Tobacco companies regard the urban Black menthol segment as one of the few markets in which they can grow sales despite declines elsewhere in the United States. Consequently, this population is surrounded by intense and integrated levels of marketing. We need strong monitoring, regulation, and enforcement efforts that will counter the industry's use of menthol at multiple levels in urban environments.

  9. Longshore Sediment Transport on a Macrotidal Mixed Sediment Beach, Birling Gap, United Kingdom.

    Science.gov (United States)

    Curoy, J.; Moses, C. A.; Robinson, D. A.

    2012-04-01

    Mixed beaches (MBs), with sediment sizes ranging over three orders of magnitude, are an increasingly important coastal defence on > 1/3 of the shoreline of England and Wales. In East Sussex, the combined effect of coastal defence management schemes (extensive groyning and sea wall construction) has reduced beach sediment supply. Local authorities counteract the increased flood risk by recycling or artificially recharging beaches on the most vulnerable and populated areas. Beaches lose sediment predominantly via longshore transport (LST) whose accurate quantification is critical to calculating recharge amounts needed for effective beach management. Industry does this by using sediment transport modelling which depends on reliable input data and modelling assumptions. To improve understanding of processes and quantification of LST on MBs, this study has accurately measured sediment transport on a natural, macrotidal, MB. The 1.2 km natural MB at Birling Gap, East Sussex here is located on the downdrift end of an 80 km long sub-sedimentary cell and is oriented WNW-ESE. The beach lies on a low gradient chalk shore platform backed by sub-vertical chalk cliffs. It is composed primarily of flint gravel with a peak grain size distribution of 30 to 50 mm, and a sand content of up to 30%. Sediment transport was measured using pebble tracers and GPS surface surveys during three survey periods of three to five consecutive days in March, May and December 2006. Tracer pebbles, matching the beach pebbles' D50, were made of an epoxy resin with a copper core allowing their detection and recovery to a depth of 40 cm using a metal detector. Tracers were deployed on the upper, middle and lower beach, from the surface into the beach to depths of up to 40 cm. They were collected on the low tide following deployment. The wave conditions were recorded on a Valeport DWR wave recorder located seaward of the beach on the chalk platform. Over the three study periods a large spectrum of wave

  10. Dental service mix among older adults aged 65 and over, United States, 1999 and 2009.

    Science.gov (United States)

    Manski, Richard J; Cohen, Leonard A; Brown, Erwin; Carper, Kelly V; Vargas, Clemencia; Macek, Mark D

    2014-01-01

    The oral health of older Americans will assume increasing importance because of their increasing numbers and the evolving connections between oral health and general health. To establish a baseline and provide data for oral health workforce models, this report describes the types of dental procedures received by US adults 65 years and older in 2009 and looks at trends since 1999. Data for this analysis came from the 1999 and 2009 Medical Expenditure Panel Survey. The primary outcome variable represented the types of dental procedures that were received during a dental visit in the preceding year. Descriptive variables included dental insurance and poverty status. Analysis was restricted to adults aged 65 and over. In 2009, diagnostic and preventive procedures accounted for almost three-quarters of all services. Compared with services received by those with private insurance, there were significantly fewer diagnostic and endodontic procedures among those with public coverage. Between 1999 and 2009, the proportion of preventive services significantly increased, whereas the proportion of restorative and endodontic services significantly decreased. Also, the likelihood of receiving preventive procedures increased, whereas the probability of receiving restorative or endodontic services decreased. Findings point to a shift in the mix of dental services received by older adults during the two periods. The predominance of diagnostic and preventive procedures has important access and workforce implications. An expanded role for dental hygienists in helping to meet the oral health needs of older adults is possible given a hygienist's current scope of practice. Published 2014. This article has been contributed to by U.S. Government employees and their work is in the public domain in the USA.

  11. Measurement properties and implementation of a checklist to assess leadership skills during interdisciplinary rounds in the intensive care unit.

    Science.gov (United States)

    Ten Have, Elsbeth C M; Nap, Raoul E; Tulleken, Jaap E

    2015-01-01

    The implementation of interdisciplinary teams in the intensive care unit (ICU) has focused attention on leadership behavior. A daily recurrent situation in ICUs in which both leadership behavior and interdisciplinary teamwork are integrated concerns the interdisciplinary rounds (IDRs). Although IDRs are recommended to provide optimal interdisciplinary and patient-centered care, there are no checklists available for leading physicians. We tested the measurement properties and implementation of a checklist to assess the quality of leadership skills in interdisciplinary rounds. The measurement properties of the checklist, which included 10 essential quality indicators, were tested for interrater reliability and internal consistency and by factor analysis. The interrater reliability among 3 raters was good (κ, 0.85) and the internal consistency was acceptable (α, 0.74). Factor analysis showed all factor loadings on 1 domain (>0.65). The checklist was further implemented during videotaped IDRs which were led by senior physicians and in which 99 patients were discussed. Implementation of the checklist showed a wide range of "no" and "yes" scores among the senior physicians. These results may underline the need for such a checklist to ensure tasks are synchronized within the team.

  12. Measurement Properties and Implementation of a Checklist to Assess Leadership Skills during Interdisciplinary Rounds in the Intensive Care Unit

    Directory of Open Access Journals (Sweden)

    Elsbeth C. M. Ten Have

    2015-01-01

    Full Text Available The implementation of interdisciplinary teams in the intensive care unit (ICU has focused attention on leadership behavior. A daily recurrent situation in ICUs in which both leadership behavior and interdisciplinary teamwork are integrated concerns the interdisciplinary rounds (IDRs. Although IDRs are recommended to provide optimal interdisciplinary and patient-centered care, there are no checklists available for leading physicians. We tested the measurement properties and implementation of a checklist to assess the quality of leadership skills in interdisciplinary rounds. The measurement properties of the checklist, which included 10 essential quality indicators, were tested for interrater reliability and internal consistency and by factor analysis. The interrater reliability among 3 raters was good (κ, 0.85 and the internal consistency was acceptable (α, 0.74. Factor analysis showed all factor loadings on 1 domain (>0.65. The checklist was further implemented during videotaped IDRs which were led by senior physicians and in which 99 patients were discussed. Implementation of the checklist showed a wide range of “no” and “yes” scores among the senior physicians. These results may underline the need for such a checklist to ensure tasks are synchronized within the team.

  13. Grand Junction projects office mixed-waste treatment program, VAC*TRAX mobile treatment unit process hazards analysis

    Energy Technology Data Exchange (ETDEWEB)

    Bloom, R.R.

    1996-04-01

    The objective of this report is to demonstrate that a thorough assessment of the risks associated with the operation of the Rust Geotech patented VAC*TRAX mobile treatment unit (MTU) has been performed and documented. The MTU was developed to treat mixed wastes at the US Department of Energy (DOE) Albuquerque Operations Office sites. The MTU uses an indirectly heated, batch vacuum dryer to thermally desorb organic compounds from mixed wastes. This process hazards analysis evaluated 102 potential hazards. The three significant hazards identified involved the inclusion of oxygen in a process that also included an ignition source and fuel. Changes to the design of the MTU were made concurrent with the hazard identification and analysis; all hazards with initial risk rankings of 1 or 2 were reduced to acceptable risk rankings of 3 or 4. The overall risk to any population group from operation of the MTU was determined to be very low; the MTU is classified as a Radiological Facility with low hazards.

  14. Music Listening Among Postoperative Patients in the Intensive Care Unit: A Randomized Controlled Trial with Mixed-Methods Analysis

    Directory of Open Access Journals (Sweden)

    Nancy Ames

    2017-07-01

    Full Text Available Background: Music listening may reduce the physiological, emotional, and mental effects of distress and anxiety. It is unclear whether music listening may reduce the amount of opioids used for pain management in critical care, postoperative patients or whether music may improve patient experience in the intensive care unit (ICU. Methods: A total of 41 surgical patients were randomized to either music listening or controlled non-music listening groups on ICU admission. Approximately 50-minute music listening interventions were offered 4 times per day (every 4-6 hours during the 48 hours of patients’ ICU stays. Pain, distress, and anxiety scores were measured immediately before and after music listening or controlled resting periods. Total opioid intake was recorded every 24 hours and during each intervention. Results: There was no significant difference in pain, opioid intake, distress, or anxiety scores between the control and music listening groups during the first 4 time points of the study. However, a mixed modeling analysis examining the pre- and post-intervention scores at the first time point revealed a significant interaction in the Numeric Rating Scale (NRS for pain between the music and the control groups ( P  = .037. The Numeric Rating Score decreased in the music group but remained stable in the control group. Following discharge from the ICU, the music group’s interviews were analyzed for themes. Conclusions: Despite the limited sample size, this study identified music listening as an appropriate intervention that improved patients’ post-intervention experience, according to patients’ self-report. Future mixed methods studies are needed to examine both qualitative patient perspectives and methodology to improve music listening in critical care units.

  15. Music Listening Among Postoperative Patients in the Intensive Care Unit: A Randomized Controlled Trial with Mixed-Methods Analysis

    Science.gov (United States)

    Ames, Nancy; Shuford, Rebecca; Yang, Li; Moriyama, Brad; Frey, Meredith; Wilson, Florencia; Sundaramurthi, Thiruppavai; Gori, Danelle; Mannes, Andrew; Ranucci, Alexandra; Koziol, Deloris; Wallen, Gwenyth R

    2017-01-01

    Background: Music listening may reduce the physiological, emotional, and mental effects of distress and anxiety. It is unclear whether music listening may reduce the amount of opioids used for pain management in critical care, postoperative patients or whether music may improve patient experience in the intensive care unit (ICU). Methods: A total of 41 surgical patients were randomized to either music listening or controlled non-music listening groups on ICU admission. Approximately 50-minute music listening interventions were offered 4 times per day (every 4-6 hours) during the 48 hours of patients’ ICU stays. Pain, distress, and anxiety scores were measured immediately before and after music listening or controlled resting periods. Total opioid intake was recorded every 24 hours and during each intervention. Results: There was no significant difference in pain, opioid intake, distress, or anxiety scores between the control and music listening groups during the first 4 time points of the study. However, a mixed modeling analysis examining the pre- and post-intervention scores at the first time point revealed a significant interaction in the Numeric Rating Scale (NRS) for pain between the music and the control groups (P = .037). The Numeric Rating Score decreased in the music group but remained stable in the control group. Following discharge from the ICU, the music group’s interviews were analyzed for themes. Conclusions: Despite the limited sample size, this study identified music listening as an appropriate intervention that improved patients’ post-intervention experience, according to patients’ self-report. Future mixed methods studies are needed to examine both qualitative patient perspectives and methodology to improve music listening in critical care units.

  16. Dental service mix among working-age adults in the United States, 1999 and 2009.

    Science.gov (United States)

    Manski, Richard J; Macek, Mark D; Brown, Erwin; Carper, Kelly V; Cohen, Leonard A; Vargas, Clemencia

    2014-01-01

    In the United States, health-care costs are increasing while state and federal budgets contract. In order to establish a baseline and provide data for alternative oral health workforce models, this report describes the types of dental procedures received by US working-age adults in 2009 and looks at trends since 1999. Data for this analysis came from the 1999 and 2009 Medical Expenditure Panel Surveys. The primary outcome variable represented the types of dental procedures undergone during a dental visit in the preceding year. Descriptive variables included dental insurance coverage and income. Analysis was restricted to adults aged 21-64 years. In 2009, diagnostic and preventive procedures accounted for >75 percent of all dental services received by working-age adults. Those with public insurance and those who were uninsured, as well as those with lower income, were less likely to receive these services than their peers. Between 1999 and 2009, small but statistically significant increases in the proportion of preventive and diagnostic procedures received occurred in the nation. The likelihood that a preventive service would be received during a visit also increased during this period, while the probability that a restorative procedure would be undergone went down. Preventive-type procedures represented the vast majority of dental services received by working-age adults in 2009. Between 1999 and 2009, receipt of preventive-type procedures generally increased while receipt of surgical-type procedures decreased. These findings emphasize the health-promoting role of the dental team and provide a baseline for the measurement of future trends. Published 2013. This article has been contributed to by U.S. Government employees and their work is in the public domain in the US.

  17. United States Program for Technical assistance to IAEA Standards. Concept Paper: Knowledge Acquisition, Skills training for enhanced IAEA safeguards inspections

    Energy Technology Data Exchange (ETDEWEB)

    Morris, F.A.; Toquam, J.L.

    1993-11-01

    This concept paper explores the potential contribution of ``Knowledge Acquisition Skills`` in enhancing the effectiveness of international safeguards inspections by the International Atomic energy Agency (IAEA, or Agency) and identifies types of training that could be provided to develop or improve such skills. For purposes of this concept paper, Knowledge Acquisition Skills are defined broadly to include all appropriate techniques that IAEA safeguards inspectors can use to acquire and analyze information relevant to the performance of successful safeguards inspections. These techniques include a range of cognitive, analytic, judgmental, interpersonal, and communications skills that have the potential to help IAEA safeguards inspectors function more effectively.

  18. United States Program for Technical assistance to IAEA Standards. Concept Paper: Knowledge Acquisition, Skills training for enhanced IAEA safeguards inspections

    Energy Technology Data Exchange (ETDEWEB)

    Morris, F.A.; Toquam, J.L.

    1993-11-01

    This concept paper explores the potential contribution of ``Knowledge Acquisition Skills`` in enhancing the effectiveness of international safeguards inspections by the International Atomic energy Agency (IAEA, or Agency) and identifies types of training that could be provided to develop or improve such skills. For purposes of this concept paper, Knowledge Acquisition Skills are defined broadly to include all appropriate techniques that IAEA safeguards inspectors can use to acquire and analyze information relevant to the performance of successful safeguards inspections. These techniques include a range of cognitive, analytic, judgmental, interpersonal, and communications skills that have the potential to help IAEA safeguards inspectors function more effectively.

  19. Transferable skills of incoming medical students and their development over the first academic year: The United Arab Emirates experience.

    Science.gov (United States)

    McLean, Michelle; Shaban, Sami; Murdoch-Eaton, Deborah

    2011-01-01

    Increasingly, it is being recognised in higher and medical education that learners should be adequately prepared for the unpredictable nature of professional practice. Several generic or transferable skills or capabilities (e.g., communication, information handling) that will enable graduates to function in an ever-changing professional world have been identified. Using a validated inventory comprising six categories of transferable skills, three cohorts of incoming male and female medical students at a Gulf university documented their level of practice and confidence for 31 skills. The exercise was repeated a year later. New medical students identified computer and organisational skills and the ability to manage their learning as strengths, but scores for technical and numeracy, information handling and presentation and communication skills suggested that learners generally required guidance. A year later, despite considerable self-reported information handling and communication skills development, learners generally did not consider themselves self-sufficient. A significant gender difference emerged, with incoming males reporting less experience and confidence in many skills. This gap was reduced but did not disappear over the first academic year. An audit such as this may be useful for identifying individual skills levels as well as providing insight into shortcomings in the academic programme in terms of opportunities for transferable skills development.

  20. Characteristics of Mexican American Elders Admitted to Skilled Nursing Facilities in the United States: Data from the Hispanic EPESE Study

    Science.gov (United States)

    Espino, David V.; Angel, Jaqueline L.; Wood, Robert C.; Finely, M. Rosina; Ye, Y.

    2013-01-01

    Objectives The purpose of the current study is to describe the factors associated with Mexican American elders who have spent time in a SNF compared to those who have not in the Southwestern United States. Design Data were collected on the Mexican American elders who reported a SNF stay within 10 years of baseline. Participants A probability sample of 3050 Mexican American elders from five Southwestern states followed from 1993 to 2005 were examined. Measures Variables examined included socio-demographics, language of interview, disabilities with Instrumental Activities of Daily Living (IADLs), Activities of Daily Living (ADLs), selfreported health, cognitive status and depression. Results A total of 78 (3.9%) out of 2020 subjects resided in SNF’s. Using univariate analyses older age, English-language interview, poorer cognitive status, and functional disabilities were independently associated with Skilled Nursing Facility (SNF) admissions. Logistic regression analyses controlling for age reveal that SNF patients were older (OR =1.08, p=0.001), have an ADL disability (OR=4.94, p<0.001), scored in the Geriatric Depression Scale depressed range (OR=2.72, p=0.001) and were more likely to interview in English (OR=1.95, p=0.042), when compared to community counterparts. Conclusions Mexican American elders resided in a SNF at some point in the previous ten years were older and more likely to be functionally impaired. They also were more likely to prefer English as their primary language indicating they were more likely to agree to a SNF stay than their Spanish speaking counterparts. PMID:23352979

  1. Embedding Transferable Skills and Enhancing Student Learning in a Political Science Research Methods Module: Evidence from the United Kingdom

    Science.gov (United States)

    Clark, Alistair

    2011-01-01

    U.K. government policy is placing a heavy emphasis on "essential" and "employability" skills in an effort to help individuals cope with changing social and economic circumstances. Delivery of these skills falls to a range of education providers. This is a particular difficulty for university lecturers who teach non-vocational…

  2. Pushing Typists Back on the Learning Curve: Contributions of Multiple Linguistic Units in the Acquisition of Typing Skill

    Science.gov (United States)

    Yamaguchi, Motonori; Logan, Gordon D.

    2014-01-01

    The present study investigated the way people acquire and control skilled performance in the context of typewriting. Typing skill was degraded by changing the location of a key (target key) while retaining the locations of other keys to disable an association between the letter and the key. We conducted 4 experiments: Experiment 1 demonstrated…

  3. Embedding Transferable Skills and Enhancing Student Learning in a Political Science Research Methods Module: Evidence from the United Kingdom

    Science.gov (United States)

    Clark, Alistair

    2011-01-01

    U.K. government policy is placing a heavy emphasis on "essential" and "employability" skills in an effort to help individuals cope with changing social and economic circumstances. Delivery of these skills falls to a range of education providers. This is a particular difficulty for university lecturers who teach non-vocational…

  4. Bilingual Lexical Skills of School-Age Children with Chinese and Korean Heritage Languages in the United States

    Science.gov (United States)

    Jia, Gisela; Chen, Jennifer; Kim, HyeYoung; Chan, Phoenix-Shan; Jeung, Changmo

    2014-01-01

    This cross-sectional study investigated the bilingual lexical skills of 175 US school-age children (5 to 18 years old) with Cantonese, Mandarin, or Korean as their heritage language (HL), and English as their dominant language. Primary study goals were to identify potential patterns of development in bilingual lexical skills over the elementary to…

  5. Individual tree diameter increment model for managed even-aged stands of ponderosa pine throughout the western United States using a multilevel linear mixed effects model

    Science.gov (United States)

    Fabian C.C. Uzoh; William W. Oliver

    2008-01-01

    A diameter increment model is developed and evaluated for individual trees of ponderosa pine throughout the species range in the United States using a multilevel linear mixed model. Stochastic variability is broken down among period, locale, plot, tree and within-tree components. Covariates acting at tree and stand level, as breast height diameter, density, site index...

  6. The Structure of Matter in the Unit of 4E Model and Its Impact on Science Process Skills

    Directory of Open Access Journals (Sweden)

    Sevilay KARAMUSTAFAOĞLU

    2014-07-01

    Full Text Available This research with four-stage model is enriched with activities supported by the scientific process skills of teachers to develop guidance material and this material is carried out to determine the effectiveness of the process of teaching science process skills. For this purpose, scientific process skills test developed by Enger and Yager and applied on 48 students. Iteman program and 5 item with low reliability are removed. The final status is 31 items. The test result of the analysis of the collected data indicated that the test scores of students’ science process skills are significantly different and they were in favour of the experimental group. Primary education is the first stage of the education and this sort of research is extremely good for teacher candidates. By the help of this research, teacher candidates can receive a very good science education.

  7. Implementation of infection control best practice in intensive care units throughout Europe: a mixed-method evaluation study

    Directory of Open Access Journals (Sweden)

    Sax Hugo

    2013-02-01

    Full Text Available Abstract Background The implementation of evidence-based infection control practices is essential, yet challenging for healthcare institutions worldwide. Although acknowledged that implementation success varies with contextual factors, little is known regarding the most critical specific conditions within the complex cultural milieu of varying economic, political, and healthcare systems. Given the increasing reliance on unified global schemes to improve patient safety and healthcare effectiveness, research on this topic is needed and timely. The ‘InDepth’ work package of the European FP7 Prevention of Hospital Infections by Intervention and Training (PROHIBIT consortium aims to assess barriers and facilitators to the successful implementation of catheter-related bloodstream infection (CRBSI prevention in intensive care units (ICU across several European countries. Methods We use a qualitative case study approach in the ICUs of six purposefully selected acute care hospitals among the 15 participants in the PROHIBIT CRBSI intervention study. For sensitizing schemes we apply the theory of diffusion of innovation, published implementation frameworks, sensemaking, and new institutionalism. We conduct interviews with hospital health providers/agents at different organizational levels and ethnographic observations, and conduct rich artifact collection, and photography during two rounds of on-site visits, once before and once one year into the intervention. Data analysis is based on grounded theory. Given the challenge of different languages and cultures, we enlist the help of local interpreters, allot two days for site visits, and perform triangulation across multiple data sources. Qualitative measures of implementation success will consider the longitudinal interaction between the initiative and the institutional context. Quantitative outcomes on catheter-related bloodstream infections and performance indicators from another work package of the

  8. A MODEL TO EVALUATE 100-YEAR ENERGY-MIX SCENARIOS TO FACILITATE DEEP DECARBONIZATION IN THE SOUTHEASTERN UNITED STATES

    Energy Technology Data Exchange (ETDEWEB)

    Adkisson, Mary A [ORNL; Qualls, A L [ORNL

    2016-08-01

    The Southeast United States consumes approximately one billion megawatt-hours of electricity annually; roughly two-thirds from carbon dioxide (CO2) emitting sources. The balance is produced by non-CO2 emitting sources: nuclear power, hydroelectric power, and other renewables. Approximately 40% of the total CO2 emissions come from the electric grid. The CO2 emitting sources, coal, natural gas, and petroleum, produce approximately 372 million metric tons of CO2 annually. The rest is divided between the transportation sector (36%), the industrial sector (20%), the residential sector (3%), and the commercial sector (2%). An Energy Mix Modeling Analysis (EMMA) tool was developed to evaluate 100-year energy mix strategies to reduce CO2 emissions in the southeast. Current energy sector data was gathered and used to establish a 2016 reference baseline. The spreadsheet-based calculation runs 100-year scenarios based on current nuclear plant expiration dates, assumed electrical demand changes from the grid, assumed renewable power increases and efficiency gains, and assumed rates of reducing coal generation and deployment of new nuclear reactors. Within the model, natural gas electrical generation is calculated to meet any demand not met by other sources. Thus, natural gas is viewed as a transitional energy source that produces less CO2 than coal until non-CO2 emitting sources can be brought online. The annual production of CO2 and spent nuclear fuel and the natural gas consumed are calculated and summed. A progression of eight preliminary scenarios show that nuclear power can substantially reduce or eliminate demand for natural gas within 100 years if it is added at a rate of only 1000 MWe per year. Any increases in renewable energy or efficiency gains can offset the need for nuclear power. However, using nuclear power to reduce CO2 will result in significantly more spent fuel. More efficient advanced reactors can only marginally reduce the amount of spent fuel generated in

  9. The role of HIV-related stigma in utilization of skilled childbirth services in rural Kenya: a prospective mixed-methods study.

    Directory of Open Access Journals (Sweden)

    Janet M Turan

    Full Text Available Childbirth with a skilled attendant is crucial for preventing maternal mortality and is an important opportunity for prevention of mother-to-child transmission of HIV. The Maternity in Migori and AIDS Stigma Study (MAMAS Study is a prospective mixed-methods investigation conducted in a high HIV prevalence area in rural Kenya, in which we examined the role of women's perceptions of HIV-related stigma during pregnancy in their subsequent utilization of maternity services.From 2007-2009, 1,777 pregnant women with unknown HIV status completed an interviewer-administered questionnaire assessing their perceptions of HIV-related stigma before being offered HIV testing during their first antenatal care visit. After the visit, a sub-sample of women was selected for follow-up (all women who tested HIV-positive or were not tested for HIV, and a random sample of HIV-negative women, n = 598; 411 (69% were located and completed another questionnaire postpartum. Additional qualitative in-depth interviews with community health workers, childbearing women, and family members (n = 48 aided our interpretation of the quantitative findings and highlighted ways in which HIV-related stigma may influence birth decisions. Qualitative data revealed that health facility birth is commonly viewed as most appropriate for women with pregnancy complications, such as HIV. Thus, women delivering at health facilities face the risk of being labeled as HIV-positive in the community. Our quantitative data revealed that women with higher perceptions of HIV-related stigma (specifically those who held negative attitudes about persons living with HIV at baseline were subsequently less likely to deliver in a health facility with a skilled attendant, even after adjusting for other known predictors of health facility delivery (adjusted odds ratio = 0.44, 95% CI 0.22-0.88.Our findings point to the urgent need for interventions to reduce HIV-related stigma, not only for improving quality of

  10. Promoting sustainable research partnerships: a mixed-method evaluation of a United Kingdom-Africa capacity strengthening award scheme.

    Science.gov (United States)

    Dean, Laura; Njelesani, Janet; Smith, Helen; Bates, Imelda

    2015-12-23

    Research partnerships between high-income countries (HICs) and low- or middle-income countries (LMICs) are a leading model in research capacity strengthening activities. Although numerous frameworks and guiding principles for effective research partnerships exist, few include the perspective of the LMIC partner. This paper draws out lessons for establishing and maintaining successful research collaborations, based on partnership dynamics, from the perspectives of both HIC and LMIC stakeholders through the evaluation of a research capacity strengthening partnership award scheme. A mixed-method retrospective evaluation approach was used. Initially, a cross-sectional survey was administered to all award holders, which focused on partnership outputs and continuation. Fifty individuals were purposively selected to participate in interviews or focus group discussions from 12 different institutions in HICs and LMICs; the sample included the research investigators, research assistants, laboratory scientists and post-doctoral students. The evaluation collected data on critical elements of research partnership dynamics such as research outputs, nature of the partnership, future plans and research capacity. Quantitative data were analysed descriptively and qualitative data were analysed using an iterative framework approach. The majority of United Kingdom and African award holders stated they would like to pursue future collaborations together. Key aspects within partnerships that appeared to influence this were; the perceived benefits of the partnership at the individual and institutional level such as publication of papers or collaborative grants; ability to influence 'research culture' and instigate critical thinking among mid-career researchers; previous working relationships, for example supervisor-student relationships; and equity within partnerships linked to partnership formation and experience of United Kingdom partners within LMICs. Factors which may hinder

  11. RCRA Part A and Part B Permit Application for Waste Management Activities at the Nevada Test Site: Proposed Mixed Waste Disposal Unit (MWSU)

    Energy Technology Data Exchange (ETDEWEB)

    NSTec Environmental Management

    2010-07-19

    The proposed Mixed Waste Storage Unit (MWSU) will be located within the Area 5 Radioactive Waste Management Complex (RWMC). Existing facilities at the RWMC will be used to store low-level mixed waste (LLMW). Storage is required to accommodate offsite-generated LLMW shipped to the Nevada Test Site (NTS) for disposal in the new Mixed Waste Disposal Unit (MWDU) currently in the design/build stage. LLMW generated at the NTS (onsite) is currently stored on the Transuranic (TRU) Pad (TP) in Area 5 under a Mutual Consent Agreement (MCA) with the Nevada Division of Environmental Protection, Bureau of Federal Facilities (NDEP/BFF). When the proposed MWSU is permitted, the U.S. Department of Energy (DOE) will ask that NDEP revoke the MCA and onsite-generated LLMW will fall under the MWSU permit terms and conditions. The unit will also store polychlorinated biphenyl (PCB) waste and friable and non-friable asbestos waste that meets the acceptance criteria in the Waste Analysis Plan (Exhibit 2) for disposal in the MWDU. In addition to Resource Conservation and Recovery Act (RCRA) requirements, the proposed MWSU will also be subject to Department of Energy (DOE) orders and other applicable state and federal regulations. Table 1 provides the metric conversion factors used in this application. Table 2 provides a list of existing permits. Table 3 lists operational RCRA units at the NTS and their respective regulatory status.

  12. Opportunities to Improve Skills and to Teach and Train Others: Employee Outcomes in the United States and Japan

    Science.gov (United States)

    Lee, HaeNim; McNamara, Tay K.; Pitt-Catsouphes, Marcie; Lee, Jungui

    2014-01-01

    Opportunities to improve skills and opportunities to teach or train others may be associated with job satisfaction, work engagement and organizational commitment. The analysis reported in this paper used a subsample of 823 employees within two Japanese and three American worksites. We tested not only the direct relationships of each type of…

  13. Opportunities to Improve Skills and to Teach and Train Others: Employee Outcomes in the United States and Japan

    Science.gov (United States)

    Lee, HaeNim; McNamara, Tay K.; Pitt-Catsouphes, Marcie; Lee, Jungui

    2014-01-01

    Opportunities to improve skills and opportunities to teach or train others may be associated with job satisfaction, work engagement and organizational commitment. The analysis reported in this paper used a subsample of 823 employees within two Japanese and three American worksites. We tested not only the direct relationships of each type of…

  14. Genetic and Environmental Influences on Prereading Skills and Early Reading and Spelling Development in the United States, Australia, and Scandinavia

    Science.gov (United States)

    Samuelsson, Stefan; Olson, Richard; Wadsworth, Sally; Corley, Robin; DeFries, John C.; Willcutt, Erik; Hulslander, Jacqueline; Byrne, Brian

    2007-01-01

    Genetic and environmental influences on prereading skills in preschool and on early reading and spelling development at the end of kindergarten were compared among samples of identical and fraternal twins from the U.S. (Colorado), Australia, and Scandinavia. Mean comparisons revealed significantly lower preschool print knowledge in Scandinavia,…

  15. Culture and mixed emotions: co-occurrence of positive and negative emotions in Japan and the United States.

    Science.gov (United States)

    Miyamoto, Yuri; Uchida, Yukiko; Ellsworth, Phoebe C

    2010-06-01

    Previous cross-cultural comparisons of correlations between positive and negative emotions found that East Asians are more likely than Americans to feel dialectical emotions. However, not much is known about the co-occurrence of positive and negative emotions in a given situation. When asked to describe situations in which they felt mixed emotions, Japanese and American respondents listed mostly similar situations. By presenting these situations to another group of respondents, we found that Japanese reported more mixed emotions than Americans in the predominantly pleasant situations, whereas there were no cultural differences in mixed emotions in the predominantly unpleasant situations or the mixed situations. The appraisal of self-agency mediated cultural differences in mixed emotions in the predominantly pleasant situations. Study 2 replicated the findings by asking participants to recall how they felt in their past pleasant, unpleasant, and mixed situations. The findings suggest that both Americans and Japanese feel mixed emotions, but the kinds of situation in which they typically do so depends on culture.

  16. Concepts and Skills in High School Calculus: An Examination of a Special Case in Japan and the United States

    Science.gov (United States)

    Judson, Thomas W.; Nishimori, Toshiyuki

    2005-01-01

    In this study we investigated above-average high school calculus students from Japan and the United States in order to determine any differences in their conceptual understanding of calculus and their ability to use algebra to solve traditional calculus problems. We examined and interviewed 18 Calculus BC students in the United States and 26…

  17. The performance of customised APACHE II and SAPS II in predicting mortality of mixed critically ill patients in a Thai medical intensive care unit.

    Science.gov (United States)

    Khwannimit, B; Bhurayanontachai, R

    2009-09-01

    The aim of this study was to evaluate and compare the performance of customised Acute Physiology and Chronic Health Evaluation HII (APACHE II) and Simplified Acute Physiology Score HII (SAPS II) in predicting hospital mortality of mixed critically ill Thai patients in a medical intensive care unit. A prospective cohort study was conducted over a four-year period. The subjects were randomly divided into calibration and validation groups. Logistic regression analysis was used for customisation. The performance of the scores was evaluated by the discrimination, calibration and overall fit in the overall group and across subgroups in the validation group. Two thousand and forty consecutive intensive care unit admissions during the study period were split into two groups. Both customised models showed excellent discrimination. The area under the receiver operating characteristic curve of the customised APACHE II was greater than the customised SAPS II (0.925 and 0.892, P APACHE II in overall populations and various subgroups but insufficient calibration for the customised SAPS II. The customised SAPS II showed good calibration in only the younger, postoperative and sepsis patients subgroups. The overall performance of the customised APACHE II was better than the customised SAPS II (Brier score 0.089 and 0.109, respectively). Our results indicate that the customised APACHE II shows better performance than the customised SAPS II in predicting hospital mortality and could be used to predict mortality and quality assessment in our unit or other intensive care units with a similar case mix.

  18. Measurement properties and implementation of a checklist to assess leadership skills during interdisciplinary rounds in the intensive care unit

    NARCIS (Netherlands)

    Ten Have, Elsbeth C M; Nap, Raoul E; Tulleken, Jaap E

    2015-01-01

    The implementation of interdisciplinary teams in the intensive care unit (ICU) has focused attention on leadership behavior. A daily recurrent situation in ICUs in which both leadership behavior and interdisciplinary teamwork are integrated concerns the interdisciplinary rounds (IDRs). Although IDRs

  19. A comparison of CFD-simulations and measurements of the temperature stratification in a mixing box of an air-handling unit

    Energy Technology Data Exchange (ETDEWEB)

    Carling, Paer; Yue Zou [KTH, Dept. of Building Sciences, Stockholm (Sweden)

    2001-07-01

    This paper presents a comparison between CFD-simulations and measurements of the temperature stratification in a mixing box of an air-handling unit. We have used data from field measurements during a period of over a year for different outside temperatures. We performed two-dimensional CFD-simulations for four different outside temperatures with commercially available software. The measurements as well as the simulations show that the temperature difference between the upper part and the lower part of the duct downstream of the mixing box is considerable. It increases, as the outside temperature decreases. However, the discrepancies between the measurements and the simulation are large. The reasons for this are uncertain boundary conditions and modelling errors leading to an inaccurate simulation result. The stratification downstream of the mixing box implies large sensor errors and the use of the mixed air temperature for control and fault detection must therefore be questioned. Averaging sensors, which take a mean value over the duct section, can be used but do not consider differences in velocities and are therefore not accurate either. In order to, for example, use CFD as a tool to decide the optimal sensor location a more accurate model and more information regarding the boundary conditions is needed. (Author)

  20. Evaluation of the Productive Skills in the Second Language: The Work of the Assessment of Performance Unit (APU).

    Science.gov (United States)

    Dickson, Peter

    The work in second language education of the Assessment of Performance Unit, established by the Department of Education and Science of England and Wales to monitor certain areas of the public education curriculum is described. The focus is on the development of a rationale for testing, the elicitation procedures used in the assessment of speaking…

  1. Lasting Effects on Literacy Skills with a Computer-Assisted Learning Using Syllabic Units in Low-Progress Readers

    Science.gov (United States)

    Ecalle, Jean; Magnan, Annie; Calmus, Caroline

    2009-01-01

    This study examines the effects of a computer-assisted learning (CAL) program in which syllabic units were highlighted inside words in comparison with a CAL program in which the words were not segmented, i.e. one requiring whole word recognition. In a randomised control trial design, two separate groups of French speaking poor readers (2 * 14) in…

  2. Developing a situational judgment test blueprint for assessing the non-cognitive skills of applicants to the University of Utah School of Medicine, the United States

    Directory of Open Access Journals (Sweden)

    Jorie M. Colbert-Getz

    2015-10-01

    Full Text Available Purpose: The situational judgment test (SJT shows promise for assessing the non-cognitive skills of medical school applicants, but has only been used in Europe. Since the admissions processes and education levels of applicants to medical school are different in the United States and in Europe, it is necessary to obtain validity evidence of the SJT based on a sample of United States applicants. Methods: Ninety SJT items were developed and Kane’s validity framework was used to create a test blueprint. A total of 489 applicants selected for assessment/interview day at the University of Utah School of Medicine during the 2014-2015 admissions cycle completed one of five SJTs, which assessed professionalism, coping with pressure, communication, patient focus, and teamwork. Item difficulty, each item’s discrimination index, internal consistency, and the categorization of items by two experts were used to create the test blueprint. Results: The majority of item scores were within an acceptable range of difficulty, as measured by the difficulty index (0.50-0.85 and had fair to good discrimination. However, internal consistency was low for each domain, and 63% of items appeared to assess multiple domains. The concordance of categorization between the two educational experts ranged from 24% to 76% across the five domains. Conclusion: The results of this study will help medical school admissions departments determine how to begin constructing a SJT. Further testing with a more representative sample is needed to determine if the SJT is a useful assessment tool for measuring the non-cognitive skills of medical school applicants.

  3. Dynamics of lithium ions in borotellurite mixed former glasses: Correlation between the characteristic length scales of mobile ions and glass network structural units

    Energy Technology Data Exchange (ETDEWEB)

    Shaw, A.; Ghosh, A., E-mail: sspag@iacs.res.in [Department of Solid State Physics, Indian Association for the Cultivation of Science, Jadavpur, Kolkata 700032 (India)

    2014-10-28

    We have studied the mixed network former effect on the dynamics of lithium ions in borotellurite glasses in wide composition and temperature ranges. The length scales of ion dynamics, such as characteristic mean square displacement and spatial extent of sub-diffusive motion of lithium ions have been determined from the ac conductivity and dielectric spectra, respectively, in the framework of linear response theory. The relative concentrations of different network structural units have been determined from the deconvolution of the FTIR spectra. A direct correlation between the ion dynamics and the characteristic length scales and the relative concentration of BO{sub 4} units has been established for different compositions of the borotellurite glasses.

  4. International Counseling Trainees' Experiences and Perceptions of Their Multicultural Counseling Training in the United States: A Mixed Method Inquiry

    Science.gov (United States)

    Smith, Shannon D.; Ng, Kok-Mun

    2009-01-01

    This study examined international counseling students' (ICTs) experiences and perceptions of their multicultural counseling training (MCT) in the United States. The focus was on (a) relevance of the training, (b) effectiveness of the training methods, and (c) development of cross-cultural competence as trainees. Major findings indicated that ICTs…

  5. Perceptions and Use of Social Networking Sites in the United States and Ecuador: A Mixed-Methods Approach

    Science.gov (United States)

    Pumper, Megan A.; Yaeger, Jeffery P.; Moreno, Megan A.

    2013-01-01

    Social networking sites are globally popular. In the United States, these types of sites are perceived positively by users and used at high rates, which has likely yielded personal health behavior displays such as substance abuse and depression. Due to possible cultural influence present on these sites, it remains unknown if SNS could be utilized…

  6. Ostomy Home Skills Program

    Medline Plus

    Full Text Available ... Education Patients Medical Professionals Skills Programs Find a Treatment Center Patient Safety Resources About the Patient Education ... Surgeons (ASCRS), American Urological Association (AUA), Certified Enterostomal Therapy Nurses (CETN), and the United Ostomy Associations of ...

  7. Ostomy Home Skills Program

    Medline Plus

    Full Text Available ... Education Cancer Education Cancer Programs Conference: Creating a Culture of Quality CoC Events Quality Education Quality Education ... Nurses (CETN), and the United Ostomy Associations of America (UOAA). The skills kit contains: A booklet with ...

  8. Assessment of Geographic Information System (GIS Skills Employed by Graduates from Three Forestry Programs in the United States

    Directory of Open Access Journals (Sweden)

    Krista Merry

    2016-12-01

    Full Text Available This research evaluates the current use of geographic information systems (GIS by forestry program graduates employed in the United States who graduated from university in the past five years. The purpose was to understand what geospatial processes and databases are typically used by field foresters. A survey was designed and sent to recent forestry graduates from Mississippi State University, Oregon State University, and the University of Georgia, with 30% of those surveyed choosing to participate. The majority of forestry graduates surveyed use GIS at least once a week, and the most frequently employed tasks included editing tabular data, adjusting polygon boundaries, buffering and splitting polygons, and querying for spatial and tabular information. Very few overlay or advance spatial analysis tools were noted as used in regular work efforts. Most respondents use digital aerial photographs as reference, along with satellite images. LiDAR is increasingly being used by these foresters, but to a lesser extent. ArcMap and Google Earth were noted as the most commonly used software packages. Most foresters rely on an organization’s technical support staff for assistance. The study results can be used as a guide for academic programs in their efforts to provide timely and effective knowledge on geospatial topics to forestry undergraduate students.

  9. Impact of Industry Guest Speakers on Business Students' Perceptions of Employability Skills Development

    Science.gov (United States)

    Riebe, L.; Sibson, R.; Roepen, D.; Meakins, K.

    2013-01-01

    This study provides insights into the perceptions and expectations of Australian undergraduate business students (n=150) regarding the incorporation of guest speakers into the curriculum of a leadership unit focused on employability skills development. The authors adopted a mixed methods approach. A survey was conducted, with quantitative results…

  10. Impact of Industry Guest Speakers on Business Students' Perceptions of Employability Skills Development

    Science.gov (United States)

    Riebe, L.; Sibson, R.; Roepen, D.; Meakins, K.

    2013-01-01

    This study provides insights into the perceptions and expectations of Australian undergraduate business students (n=150) regarding the incorporation of guest speakers into the curriculum of a leadership unit focused on employability skills development. The authors adopted a mixed methods approach. A survey was conducted, with quantitative results…

  11. An outbreak of low pathogenic avian influenza in a mixed-species aviculture unit in Dubai in 2005.

    Science.gov (United States)

    Kent, Jo; Bailey, Tom; Silvanose, Christu-Das; McKeown, Sean; Wernery, Ulrich; Kinne, Joerg; Manvell, Ruth

    2006-09-01

    This case describes an outbreak of low pathogenic hemagglutinin 9 neuraminidase 2 avian influenza virus (AIV) in two white-bellied bustards (Eupodotis senegalensis), one stone curlew (Burhinus oedicnemius), and a blacksmith plover (Antibyx armatus) in a private zoologic collection in Dubai, United Arab Emirates. The four birds showed signs of respiratory disease, and all died as a result of disease or euthanasia. Attention has been paid to the diagnostic process and common differential diagnosis for upper respiratory tract disease in bustards, curlews, and plovers. To the knowledge of the authors, AIV has not been previously described in these species.

  12. Grooming and cultural socialization: a mixed method study of caregiving practices in Burma (Myanmar) and the United States.

    Science.gov (United States)

    Thein-Lemelson, Seinenu M

    2015-02-01

    Grooming behaviours are thought to be a crucial aspect of parenting and integral to the sociality of non-human mammals, but there have been few empirical studies on how grooming might be relevant to parenting and socialization processes in humans. Study 1 is a quantitative cross-cultural comparison of grooming practices in two cultural settings: an urban centre in Burma (Myanmar) and an urban centre in the United States. The study uses naturalistic video data of 57 families to analyse grooming behaviours directed at children. A broad range of ages was sampled in each culture to examine the developmental trajectory of grooming behaviours. Results indicate that significant cultural differences exist between Burma and the United States, with Burmese children being groomed by their caregivers more often than U.S. children. Results also indicate that cultural differences in grooming practices begin early and remain constant across age. An unexpected finding was that Burmese families were more variable in their behaviour than U.S. families. Study 2 attempts to explain this variability by using ethnography to describe how sociodemographic changes in Burma are leading to changes in parental values and socialization practices in the schools, but how embodied primary care in the homes appear resistant to change.

  13. Guidelines for mixed waste minimization

    Energy Technology Data Exchange (ETDEWEB)

    Owens, C.

    1992-02-01

    Currently, there is no commercial mixed waste disposal available in the United States. Storage and treatment for commercial mixed waste is limited. Host States and compacts region officials are encouraging their mixed waste generators to minimize their mixed wastes because of management limitations. This document provides a guide to mixed waste minimization.

  14. Investigation on nursing soft skills among intensive care unit in Harbin%哈尔滨市ICU护士护理软技能现状的调查

    Institute of Scientific and Technical Information of China (English)

    赵伟娣

    2012-01-01

    Objective To investigate the status and influencing factors of nursing soft skills among Intensive Care Unit in Harbin.Methods The nursing soft skills scale was used to investigate 245 ICU nurses from grade A hospitals between April and July 2011.Results The total of nursing soft skills of ICU nurses was (145.40 ± 15.43),lower than that of national norms,with the item of highest score was self-management skills (43.76±4.32),the item of lowest score was professional sentiment (26.17 ±2.54).Univariate analysis showed that nurses with different age,gender,education degree,marital status,hire form,and professional tide had different nursing soft skills scores,and the difference was statistically significant (F/t =13.28,6.14,4.22,6.85,2.34,5.24;P < 0.05).Multiple linear regression analysis indicated that education degree,age,marital status had significant effect on nurses' nursing soft skills (R2 =0.202).Conclusions The level of nursing soft skills of ICU Nurses should to be improved.The nurse managers should focus on nursing soft skills intervention and training of low education degree,married nurses and older nurses so as to improve nurse - patient relationship and quality of care.%目的 调查哈尔滨市重症监护室(ICU)护士护理软技能现状及其影响因素.方法 2011年4-7月采用整群随机抽样方法,在哈尔滨市抽取3家三甲医院ICU的护士为调查对象,采用护理软技能测评量表对300名ICU护士进行调查,评价其护理软技能情况并分析影响因素.结果 共发放问卷300份,回收275份,有效问卷245份,有效回收率为89.09%.哈尔滨市ICU护士护理软技能的总均分为(145.40 ±15.43)分,低于全国常模.得分最高的项目为自我管理技能(43.76±4.32)分,最低得分为职业情操(26.17±2.54)分.对影响ICU护士护理软技能得分的因素进行单因素分析,发现不同年龄、性别、学历、婚姻状态、聘用形式及职称的护士软技能得分不同,差异具有

  15. The effectiveness of a mixed methodology implemented in a Beginner’s Spanish Course to develop the four language skills: a quasi-experimental study

    Directory of Open Access Journals (Sweden)

    Kerwin Anthony Livingstone

    2011-11-01

    Full Text Available Normal 0 21 false false false ES X-NONE X-NONE MicrosoftInternetExplorer4 This present article seeks to provide a mixed methodological model for the development and implementation of a Teaching Module for Spanish as a Foreign Language in the face-to-face environment. The primary objective is to portray how methodological principles from different language teaching approaches (such as task based language teaching and cooperative learning can be combined effectively in designing activities for face-to-face contexts. In this regard, empirical evidence is analysed in order to determine the effectiveness of the mixed methodology in the teaching-learning of Spanish as a Foreign Language in the said settings, in a study based on a longitudinal experimental design with pre-test and post-test, but without control group. The results show an increase in the acquisition of specific knowledge in Spanish as a Foreign Language. It is therefore proposed that mixed methodological models be integrated and implemented when designing Teaching Modules for Language Learning, since they are the most suited for Second and Foreign Language Acquisition.

  16. European mixed forests

    DEFF Research Database (Denmark)

    Bravo-Oviedo, Andres; Pretzsch, Hans; Ammer, Christian;

    2014-01-01

    Aim of study: We aim at (i) developing a reference definition of mixed forests in order to harmonize comparative research in mixed forests and (ii) review the research perspectives in mixed forests. Area of study: The definition is developed in Europe but can be tested worldwide. Material...... and Methods: Review of existent definitions of mixed forests based and literature review encompassing dynamics, management and economic valuation of mixed forests. Main results: A mixed forest is defined as a forest unit, excluding linear formations, where at least two tree species coexist at any...... density in mixed forests, (iii) conversion of monocultures to mixed-species forest and (iv) economic valuation of ecosystem services provided by mixed forests. Research highlights: The definition is considered a high-level one which encompasses previous attempts to define mixed forests. Current fields...

  17. Creating advantages with franchising in healthcare: an explorative mixed methods study on the role of the relationship between the franchisor and units.

    Directory of Open Access Journals (Sweden)

    Karlijn Jojanneke Nijmeijer

    Full Text Available Franchising is a promising and increasingly used organizational form to improve strategic, organizational, professional and client-related results in healthcare. However, evidence is scarce regarding how franchises should be operated to actualize such results. This paper aimed to explore the association between the results achieved by healthcare franchises and the working relationships among actors in these franchises.A sequential mixed methods approach was used to obtain both in-depth and broader quantifiable insights into a little-investigated phenomenon. We first employed a qualitative multiple embedded case study. Data were collected through observations, document analyses, and 96 in-depth semi-structured interviews in three Dutch healthcare franchises. Within-case and cross-case comparative analyses were conducted. Subsequently, a cross-sectional survey was developed based on the qualitative study and disseminated among 19 healthcare franchises. 40 franchisors and 346 unit actors filled in the questionnaire.It seems important to have open, committed, cooperative franchise relationships in which professional franchisees and unit managers feel and trust that they have the opportunity to introduce ideas and articulate their needs to the franchisor. Such relationships help ensure satisfaction, survival, and quality of care, because they serve to foster synergy realization and local fit and prevent reinventing the wheel and professional resistance.

  18. Creating Advantages with Franchising in Healthcare: An Explorative Mixed Methods Study on the Role of the Relationship between the Franchisor and Units

    Science.gov (United States)

    Nijmeijer, Karlijn Jojanneke; Fabbricotti, Isabelle Natalina; Huijsman, Robbert

    2015-01-01

    Background Franchising is a promising and increasingly used organizational form to improve strategic, organizational, professional and client-related results in healthcare. However, evidence is scarce regarding how franchises should be operated to actualize such results. This paper aimed to explore the association between the results achieved by healthcare franchises and the working relationships among actors in these franchises. Methods A sequential mixed methods approach was used to obtain both in-depth and broader quantifiable insights into a little-investigated phenomenon. We first employed a qualitative multiple embedded case study. Data were collected through observations, document analyses, and 96 in-depth semi-structured interviews in three Dutch healthcare franchises. Within-case and cross-case comparative analyses were conducted. Subsequently, a cross-sectional survey was developed based on the qualitative study and disseminated among 19 healthcare franchises. 40 franchisors and 346 unit actors filled in the questionnaire. Findings It seems important to have open, committed, cooperative franchise relationships in which professional franchisees and unit managers feel and trust that they have the opportunity to introduce ideas and articulate their needs to the franchisor. Such relationships help ensure satisfaction, survival, and quality of care, because they serve to foster synergy realization and local fit and prevent reinventing the wheel and professional resistance. PMID:25664581

  19. Effectiveness of Self Instructional Module on Knowledge and Skills Regarding Use of Glasgow Coma Scale in Neurological Assessment of Patients among Nurses Working in Critical Care Units of KLE Dr. Prabhakar Kore Hospital and Medical Research Centre, Belgaum

    Directory of Open Access Journals (Sweden)

    Milka Madhale

    2013-01-01

    Full Text Available Background: The brain is the central unit that controls all the functions of our body. The brain cannot function all by its self without the neurons. The proper functioning of the brain and its relationship with the world is known as consciousness. The level of consciousness is the sensitive and reliable indicator of the patient’s neurological status. The alteration in the consciousness helps to determine if there is any damage in the nervous system that can occur even without visible damage to the head. There are numerous tools used to determine level of consciousness. The most common tool used to determine level of consciousness is the Glasgow Coma Scale (GCS. It was used with ease and helped to standardize clinical observations of the patients with impaired consciousness. A proper neurological assessment using the Glasgow Coma Scale is the essential part of nursing care. It is very essential for the nurse to have knowledge and skills about neurological assessment and the Glasgow Coma Scale.Hence the present study to evaluate the effectiveness of Self Instructional Module (SIM on knowledge and skill regarding Glasgow Coma Scale was undertaken. Aim and Objectives: 1]To assess the knowledge and skills regarding the use of Glasgow Coma Scale in neurological assessment of patients among the staff nurses. 2] To determine the effectiveness of the Self Instructional Module on knowledge and skills regarding the GCS in neurological assessment of patients. 3] To find association between the pre test knowledge and skills scores and demographic variables. 4] To find the correlation between the knowledge score sand the skills scores regarding the GCS in neurological assessment of patients. Material and Methods: The study was evaluative in nature. A purposive sampling technique was used for the study. A total of 55 staff nurses working in Critical Care Units of KLES Hospital and MRC,Belgaum were selected for the study. A structured questionnaire and an

  20. Epistemic beliefs of middle and high school students in a problem-based, scientific inquiry unit: An exploratory, mixed methods study

    Science.gov (United States)

    Gu, Jiangyue

    Epistemic beliefs are individuals' beliefs about the nature of knowledge, how knowledge is constructed, and how knowledge can be justified. This study employed a mixed-methods approach to examine: (a) middle and high school students' self-reported epistemic beliefs (quantitative) and epistemic beliefs revealed from practice (qualitative) during a problem-based, scientific inquiry unit, (b) How do middle and high school students' epistemic beliefs contribute to the construction of students' problem solving processes, and (c) how and why do students' epistemic beliefs change by engaging in PBL. Twenty-one middle and high school students participated in a summer science class to investigate local water quality in a 2-week long problem-based learning (PBL) unit. The students worked in small groups to conduct water quality tests at in their local watershed and visited several stakeholders for their investigation. Pretest and posttest versions of the Epistemological Beliefs Questionnaire were conducted to assess students' self-reported epistemic beliefs before and after the unit. I videotaped and interviewed three groups of students during the unit and conducted discourse analysis to examine their epistemic beliefs revealed from scientific inquiry activities and triangulate with their self-reported data. There are three main findings from this study. First, students in this study self-reported relatively sophisticated epistemic beliefs on the pretest. However, the comparison between their self-reported beliefs and beliefs revealed from practice indicated that some students were able to apply sophisticated beliefs during the unit while others failed to do so. The inconsistency between these two types of epistemic beliefs may due to students' inadequate cognitive ability, low validity of self-report measure, and the influence of contextual factors. Second, qualitative analysis indicated that students' epistemic beliefs of the nature of knowing influenced their problem

  1. Mixed Methods Research in Strategic Management:Design Strategies and Skills%战略管理学的混合方法研究:设计策略与技巧

    Institute of Scientific and Technical Information of China (English)

    原长弘; 章芬

    2014-01-01

    Mixed methods research is becoming an increasingly popular approach in strategic management during two de-cades. As the third methodological movement, the mixed methods combine qualitative with quantitative research approaches and can help develop rich insights phenomena of interest that cannot be fully understood only using qualitative or quantita-tive methods. Based on the related literature and typical articles published in the Strategic Management Journal from 1980-2012, this paper analyses the selected typical MMR papers from four research stages and aspects such as research ques-tions, design strategy selection, data collection and analysis and integrating discussion, and get some conclusions about de-sign strategies and application skills of mixed research methods in strategic management.%近二十年来混合方法研究在战略管理学领域中日益增长。混合方法作为第三次研究方法运动,将定性与定量研究方法相结合,能够帮助研究工作者对各种现象产生丰富的理论洞见,这是单独使用定性或定量方法难以企及的。基于相关文献和1980-2012年间发表在战略管理学报(SMJ)上的典型论文,从选取的典型MMR论文研究问题的确定、设计策略的选取、数据收集与分析、整合讨论等四个研究阶段和环节上展开剖析,总结了战略管理学研究中混合研究方法的设计策略及其应用技巧。

  2. PIAAC Skills and Economic Inequality

    Science.gov (United States)

    Pena, Anita Alves

    2016-01-01

    Mixed findings characterize the literature on skills and economic distributions within and across countries. The Programme for the International Assessment of Adult Competencies (PIAAC) offers new, internationally comparable data on literacy, numeracy, and digital problem-solving skills that can be combined with wage information. This paper…

  3. A methodological proposal to contribute to the development of research skills in science education to start the design of a didactic unit built on foundations of scientific and technological literacy

    Directory of Open Access Journals (Sweden)

    Andrés Felipe Velásquez Mosquera

    2013-10-01

    Full Text Available This paper seeks to promote a discussion of the need to promote the training of investigative skills in students of natural sciences from a methodology structured from the design of the plan of course, including a didactic unit, based on scientific and technological literacy to. It is the result of several years of experience in teaching and research of the author in the field of the didactics of the sciences. 

  4. A methodological proposal to contribute to the development of research skills in science education to start the design of a didactic unit built on foundations of scientific and technological literacy

    OpenAIRE

    Andrés Felipe Velásquez Mosquera; Eduardo Augusto López

    2013-01-01

    This paper seeks to promote a discussion of the need to promote the training of investigative skills in students of natural sciences from a methodology structured from the design of the plan of course, including a didactic unit, based on scientific and technological literacy to. It is the result of several years of experience in teaching and research of the author in the field of the didactics of the sciences. 

  5. Closure Report for the 92-Acre Area and Corrective Action Unit 111: Area 5 WMD Retired Mixed Waste Pits, Nevada National Security Site, Nevada

    Energy Technology Data Exchange (ETDEWEB)

    NSTec Environmental Restoration

    2012-02-21

    This Closure Report (CR) presents information supporting closure of the 92-Acre Area, which includes Corrective Action Unit (CAU) 111, 'Area 5 WMD Retired Mixed Waste Pits.' This CR provides documentation supporting the completed corrective actions and confirmation that the closure objectives were met. This CR complies with the requirements of the Federal Facility Agreement and Consent Order (FFACO) (FFACO, 1996 [as amended March 2010]). Closure activities began in January 2011 and were completed in January 2012. Closure activities were conducted according to Revision 1 of the Corrective Action Decision Document/Corrective Action Plan (CADD/CAP) for the 92-Acre Area and CAU 111 (U.S. Department of Energy, National Nuclear Security Administration Nevada Site Office [NNSA/NSO], 2010). The following closure activities were performed: (1) Construct an engineered evapotranspiration cover over the boreholes, trenches, and pits in the 92-Acre Area; (2) Install use restriction (UR) warning signs, concrete monuments, and subsidence survey monuments; and (3) Establish vegetation on the covers. UR documentation is included as Appendix C of this report. The post-closure plan is presented in detail in Revision 1 of the CADD/CAP for the 92-Acre Area and CAU 111, and the requirements are summarized in Section 5.2 of this document. When the next request for modification of Resource Conservation and Recovery Act Permit NEV HW0101 is submitted to the Nevada Division of Environmental Protection (NDEP), the requirements for post-closure monitoring of the 92-Acre Area will be included. NNSA/NSO requests the following: (1) A Notice of Completion from NDEP to NNSA/NSO for closure of CAU 111; and (2) The transfer of CAU 111 from Appendix III to Appendix IV, Closed Corrective Action Units, of the FFACO.

  6. Female condom skill and attitude: results from a NIDA Clinical Trials Network gender-specific HIV risk reduction study.

    Science.gov (United States)

    Campbell, Aimee N C; Tross, Susan; Hu, Mei-Chen; Pavlicova, Martina; Kenney, Jennifer; Nunes, Edward V

    2011-08-01

    The female condom is effective in reducing unprotected sexual acts; however, it remains underutilized in the United States. This study examined whether a five-session HIV prevention intervention (Safer Sex Skills Building [SSB]), including presentation, discussion, and practice with female condoms, improved female condom skills and attitude among women in outpatient substance abuse treatment. Mixed-effects modeling was used to test the effect of SSB on skills and attitude over 3- and 6-month posttreatment among 515 randomized women. SSB was significantly associated with increases in skills and attitude, and the female condom demonstration session was primarily responsible for skills improvement. Attitude was a partial mediator of the intervention effect in reducing unprotected sex. Findings emphasize the utility of integrating female condom messages targeting proximal behavioral outcomes into HIV prevention. The study supports the use of female condom skill instruction via brief, hands-on exercises, as well as further research to enhance attitudinal change to reduce sexual risk.

  7. A study of the kinetics and the effect of trace elements on mixed anaerobic fermentative biogas production by ternary quadratic general rotary unitized design

    Directory of Open Access Journals (Sweden)

    Chenxiao Zhang

    2016-01-01

    Full Text Available In this study the effect of trace elements on methanogenesis was investigated during mixed anaerobic fermentation using a single-factor experiment in the present study. The most effective concentrations of Fe0, Fe2+, Co2+ and Ni2+ that were added were 1500, 250, 0.3 and 0.6 mg/L, respectively. The optimal trace element combination was 0.58 mg/L Ni2+, 1200 mg/L Fe0 and 0.34 mg/L Co2+ by the ternary quadratic general rotary unitized design method. The degree of influence exerted by trace elements on the cumulative methane yields decreased in the order of Ni2+, Fe0 and Co2+, and the maximum CH4 yield was 241.6 mL/g volatile solids (VS, according to a regression equation. The non-dissolved organic carbon hydrolytic process showed a good fit with the first-order kinetic model. The maximum value of CH4 was 312.87 mL/g VS. Compared to the control, the bioconversion efficiencies of CH4 and CO2 production increased by 36.76% and 74.50%, respectively, at the optimal trace element combination. The obtained results provide new knowledge for improvements in the efficiency of anaerobic fermentation biogas production.

  8. Communication skills training of undergraduates.

    Science.gov (United States)

    Ali, Abrar Ashraf

    2013-01-01

    To assess the adequacy or deficiency of relevant communication skills needed in clinical practice among students of King Edward Medical University and identify the need of developing curriculum for communication skills. Sequential mixed method design using survey questionnair and in-depth interviews. King Edward Medical University, Lahore, from March - September 2010. Final year students consented to participate in the survey questionnaire regarding communication skills needed in clinical practice selected on the basis of random stratified sampling technique. The questioned aspects include communication skills, supervised training, breaking bad news, counselling and written communication skills. In the second qualitative phase, volunteers who had passed final year were selected on the basis of non-probability purposive sampling technique for recording in-depth interviews. Qualitative data was analyzed with content analysis after identifying themes and trends from the data. Only 20% students had clarity of communication skills training, 28% believed that their learning was supervised, 20% believed training was structured, 28% were confident about handling difficult situations, 15% could effectively break bad news, and 22% were confident in written communication skills. In the interviews 70% felt that their peers had average skills in handling difficult situations like breaking bad news and counselling, 60% believed that communication skills program was non-existent and 100% agreed that patient turnover is a strength for the institute and structured training would improve their communication skills performance. The communication skills of the studied group were inadequate to address special situations. This presses need for developing a communication skills training program.

  9. Interpersonal Skills

    Directory of Open Access Journals (Sweden)

    Barakat NG

    2007-01-01

    Full Text Available INTRODUCTIONInterpersonal skills are becoming more and more a necessity in the medical profession. The expectation from health care professionals is beyond just knowledge of the medical facts. To practice medicine effectively, doctors need to develop interpersonal skills in communication, leadership, management, teaching and time management. All of these are vital tools and are becoming increasingly essential subjects in teaching both undergraduate students and postgraduate doctors. However, a degree of self-motivation and personal initiative is needed to develop these skills. In this article, I will give an overview on interpersonal skills and will be follow this by a series of articles, in future issues, dealing with these skills.

  10. Parental engagement and early interactions with preterm infants during the stay in the neonatal intensive care unit: protocol of a mixed-method and longitudinal study

    Science.gov (United States)

    Stefana, Alberto; Lavelli, Manuela

    2017-01-01

    Introduction The preterm infants' developmental outcomes depend on biological and environmental risk factors. The environmental factors include prolonged parental separation, less exposure to early mother/father–infant interactions and the parents' ability to respond to the trauma of premature birth. In the case of premature birth, the father's ability to take an active part in the care of the infant from the start is essential. The parents' emotional closeness to the preterm infant hospitalised in the neonatal intensive care unit (NICU) may be crucial to the well-being of the newborn, the development of mutual regulation, the establishment of a functioning parent–infant affective relationship and the parents' confidence in their ability to provide care for their baby. Methods and analysis This is a mixed-method, observational and longitudinal study. The methodological strategy will include: (1) ethnographic observation in a level III NICU located in Italy for a duration of 18 months; (2) 3-minute video recordings of mother–infant and father–infant interaction in the NICU; (3) a semistructured interview with fathers during the infants' hospital stay; (4) 3-minute video recordings of mother–infant and father–infant face-to-face interaction in the laboratory at 4 months of corrected age; (5) self-report questionnaires for parents on depression and quality of the couple relationship at the approximate times of the video recording sessions. Ethics and dissemination The study protocol was approved by the Ethical Committee for Clinical Trials of the Verona and Rovigo Provinces. Results aim to be published in international peer-reviewed journals, and presented at relevant national and international conferences. This research project will develop research relevant to (1) the quality and modalities of maternal and paternal communication with the preterm infant in the NICU; (2) the influence of maternal/paternal social stimulation on the infant behavioural

  11. Parental engagement and early interactions with preterm infants during the stay in the neonatal intensive care unit: protocol of a mixed-method and longitudinal study.

    Science.gov (United States)

    Stefana, Alberto; Lavelli, Manuela

    2017-02-02

    The preterm infants' developmental outcomes depend on biological and environmental risk factors. The environmental factors include prolonged parental separation, less exposure to early mother/father-infant interactions and the parents' ability to respond to the trauma of premature birth. In the case of premature birth, the father's ability to take an active part in the care of the infant from the start is essential. The parents' emotional closeness to the preterm infant hospitalised in the neonatal intensive care unit (NICU) may be crucial to the well-being of the newborn, the development of mutual regulation, the establishment of a functioning parent-infant affective relationship and the parents' confidence in their ability to provide care for their baby. This is a mixed-method, observational and longitudinal study. The methodological strategy will include: (1) ethnographic observation in a level III NICU located in Italy for a duration of 18 months; (2) 3-minute video recordings of mother-infant and father-infant interaction in the NICU; (3) a semistructured interview with fathers during the infants' hospital stay; (4) 3-minute video recordings of mother-infant and father-infant face-to-face interaction in the laboratory at 4 months of corrected age; (5) self-report questionnaires for parents on depression and quality of the couple relationship at the approximate times of the video recording sessions. The study protocol was approved by the Ethical Committee for Clinical Trials of the Verona and Rovigo Provinces. Results aim to be published in international peer-reviewed journals, and presented at relevant national and international conferences. This research project will develop research relevant to (1) the quality and modalities of maternal and paternal communication with the preterm infant in the NICU; (2) the influence of maternal/paternal social stimulation on the infant behavioural states; (3) the quality and modalities of paternal support to the partner

  12. Process Improvement by Eliminating Mixing of Whole Blood Units after an Overnight Hold Prior to Component Production Using the Buffy Coat Method

    OpenAIRE

    Cherie Mastronardi; Peter Schubert; Elena Levin; Varsha Bhakta; Qi-Long Yi; Adele Hansen; Tamiko Stewart; Craig Jenkins; Wanda Lefresne; William Sheffield; Acker, Jason P.

    2013-01-01

    The elimination of a thorough manual mixing of whole blood (WB) which takes place following the overnight hold, but before the first centrifugation step, during buffy coat component production at Canadian Blood Services (CBS) was investigated. WB was pooled after donation and split. Pairs of platelet, red blood cell (RBC), and plasma components were produced, with half using the standard method and half using a method in which the mixing step was eliminated. Quality assessments included yiel...

  13. Mixing audio concepts, practices and tools

    CERN Document Server

    Izhaki, Roey

    2013-01-01

    Your mix can make or break a record, and mixing is an essential catalyst for a record deal. Professional engineers with exceptional mixing skills can earn vast amounts of money and find that they are in demand by the biggest acts. To develop such skills, you need to master both the art and science of mixing. The new edition of this bestselling book offers all you need to know and put into practice in order to improve your mixes. Covering the entire process --from fundamental concepts to advanced techniques -- and offering a multitude of audio samples, tips and tricks, this boo

  14. Process Improvement by Eliminating Mixing of Whole Blood Units after an Overnight Hold Prior to Component Production Using the Buffy Coat Method

    Directory of Open Access Journals (Sweden)

    Cherie Mastronardi

    2013-01-01

    Full Text Available The elimination of a thorough manual mixing of whole blood (WB which takes place following the overnight hold, but before the first centrifugation step, during buffy coat component production at Canadian Blood Services (CBS was investigated. WB was pooled after donation and split. Pairs of platelet, red blood cell (RBC, and plasma components were produced, with half using the standard method and half using a method in which the mixing step was eliminated. Quality assessments included yield, pH, CD62P expression and morphology for platelets, hemoglobin, hematocrit, hemolysis, and supernatant K+ for RBCs, and volume and factor VIII activity levels for plasma. All components, produced using either method, met CBS quality control criteria. There were no significant differences in platelet yield between components produced with and without mixing. A significant difference was seen for RBC hemolysis at expiry (P=0.03, but for both groups, levels met quality control requirements. Noninferiority of components produced without mixing was confirmed for all parameters. Manual mixing is laborious and has a risk of repetitive strain for production staff and its significance is unclear. Elimination of this step will improve process efficiencies without compromising quality.

  15. A multivariate mixed model system for wood specific gravity and moisture content of planted loblolly pine stands in the southern United States

    Science.gov (United States)

    Finto Antony; Laurence R. Schimleck; Alex Clark; Richard F. Daniels

    2012-01-01

    Specific gravity (SG) and moisture content (MC) both have a strong influence on the quantity and quality of wood fiber. We proposed a multivariate mixed model system to model the two properties simultaneously. Disk SG and MC at different height levels were measured from 3 trees in 135 stands across the natural range of loblolly pine and the stand level values were used...

  16. Epistemic Beliefs of Middle and High School Students in a Problem-Based, Scientific Inquiry Unit: An Exploratory, Mixed Methods Study

    Science.gov (United States)

    Gu, Jiangyue

    2016-01-01

    Epistemic beliefs are individuals' beliefs about the nature of knowledge, how knowledge is constructed, and how knowledge can be justified. This study employed a mixed-methods approach to examine: (a) middle and high school students' self-reported epistemic beliefs (quantitative) and epistemic beliefs revealed from practice (qualitative) during a…

  17. Analysis and Countermeasures for 1 000 MW Unit Condensate Polishing Mixed-bed Resin Running during Commissioning and Outage%1000MW机组凝结水精处理混床投停时跑树脂分析

    Institute of Scientific and Technical Information of China (English)

    黄校春

    2012-01-01

    凝结水精处理混床在投退过程中发生跑树脂的问题严重影响混床的安全、经济、稳定运行。文章简要介绍了某1 000 MW超超临界机组凝结水精处理混床系统,分析了凝结水精处理混床投退过程中发生的跑树脂问题及产生的原因,提出了相应对策,为大型电厂凝结水精处理系统解决类似问题提供了参考。%Condensate polishing mixed bed resin running during commissioning and outage seriously affect the safe, economic and stable operation of mixed bed. This paper briefly introduced the 1 000 MW ultra-supercritical units condensate polishing mixed bed system, analyzed the problem and cause of condensate polishing mixed-bed resin running cecurred during commissioning and outage, proposed countermeasures, and provided reference to large power plants to solve similar problems of condensate polishing system.

  18. Sneutrino Mixing

    OpenAIRE

    Grossman, Yuval

    1997-01-01

    In supersymmetric models with nonvanishing Majorana neutrino masses, the sneutrino and antisneutrino mix. The conditions under which this mixing is experimentally observable are studied, and mass-splitting of the sneutrino mass eigenstates and sneutrino oscillation phenomena are analyzed.

  19. Organisational skills and tools.

    Science.gov (United States)

    Wicker, Paul

    2009-04-01

    While this article mainly applies to practitioners who have responsibilities for leading teams or supervising practitioners, many of the skills and tools described here may also apply to students or junior practitioners. The purpose of this article is to highlight some of the main points about organisation, some of the organisational skills and tools that are available, and some examples of how these skills and tools can be used to make practitioners more effective at organising their workload. It is important to realise that organising work and doing work are two completely different things and shouldn't be mixed up. For example, it would be very difficult to start organising work in the middle of a busy operating list: the organisation of the work must come before the work starts and therefore preparation is often an important first step in organising work. As such, some of the tools and skills described in this article may need to be used hours or even days prior to the actual work taking place.

  20. A Cross-Cultural Study of the Effect of a Graph-Oriented Computer-Assisted Project-Based Learning Environment on Middle School Students' Science Knowledge and Argumentation Skills

    Science.gov (United States)

    Hsu, P.-S.; Van Dyke, M.; Chen, Y.; Smith, T. J.

    2016-01-01

    The purpose of this mixed-methods study was to explore how seventh graders in a suburban school in the United States and sixth graders in an urban school in Taiwan developed argumentation skills and science knowledge in a project-based learning environment that incorporated a graph-oriented, computer-assisted application (GOCAA). A total of 42…

  1. A Cross-Cultural Study of the Effect of a Graph-Oriented Computer-Assisted Project-Based Learning Environment on Middle School Students' Science Knowledge and Argumentation Skills

    Science.gov (United States)

    Hsu, P.-S.; Van Dyke, M.; Chen, Y.; Smith, T. J.

    2016-01-01

    The purpose of this mixed-methods study was to explore how seventh graders in a suburban school in the United States and sixth graders in an urban school in Taiwan developed argumentation skills and science knowledge in a project-based learning environment that incorporated a graph-oriented, computer-assisted application (GOCAA). A total of 42…

  2. Training Teachers for Mixed Ability Classes

    Science.gov (United States)

    Wragg, E. C.

    1978-01-01

    Discusses the preparation of student teachers for mixed ability classes, based on the Nottingham/Leicester project. Outlines a ten-point attack highlighting the areas in which young teachers need to acquire professional skills. (Author/RK)

  3. Contradicting fears, California's nurse-to-patient mandate did not reduce the skill level of the nursing workforce in hospitals.

    Science.gov (United States)

    McHugh, Matthew D; Kelly, Lesly A; Sloane, Douglas M; Aiken, Linda H

    2011-07-01

    When California passed a law in 1999 establishing minimum nurse-to-patient staffing ratios for hospitals, it was feared that hospitals might respond by disproportionately hiring lower-skill licensed vocational nurses. This article examines nurse staffing ratios for California hospitals for the period 1997-2008. It compares staffing levels to those in similar hospitals in the United States. We found that California's mandate did not reduce the nurse workforce skill level as feared. Instead, California hospitals on average followed the trend of hospitals nationally by increasing their nursing skill mix, and they primarily used more highly skilled registered nurses to meet the staffing mandate. In addition, we found that the staffing mandate resulted in roughly an additional half-hour of nursing per adjusted patient day beyond what would have been expected in the absence of the policy. Policy makers in other states can look to California's experience when considering similar approaches to improving patient care.

  4. Identification of Tomato mosaic virus (ToMV) and Potato latent virus (PotLV) as mixed infection in Chinese lantern (Physalis alkekengi) in the United States

    Science.gov (United States)

    Chinese lantern (Physalis alkekengi L., family Solanaceae) is a popular ornamental plant in the United State because of its colorful inflated calyx (similar to a paper lantern). On the other hand, Chinese lantern can spread aggressively, becoming a weedy plant and pathogen reservoir. During the summ...

  5. Leadership Skills

    Science.gov (United States)

    Parish, Thomas S.

    2006-01-01

    While this may not be a "complete list" of what leadership skills one needs to effectively lead in any/every situation, it should provide a great overview of many of the things s/he needs to do, at least initially.

  6. Coping Skills.

    Science.gov (United States)

    Library of Congress, Washington, DC. National Library Service for the Blind and Physically Handicapped.

    This annotated bibliography lists approximately 150 braille books and 300 audiocassettes of books which address coping skills for people in a variety of situations. All items listed are available in the network library collections provided by the National Library Service for the Blind and Physically Handicapped of the Library of Congress.…

  7. Effect of regional grid mix, driving patterns and climate on the comparative carbon footprint of gasoline and plug-in electric vehicles in the United States

    Science.gov (United States)

    Yuksel, Tugce; Tamayao, Mili-Ann M.; Hendrickson, Chris; Azevedo, Inês M. L.; Michalek, Jeremy J.

    2016-04-01

    We compare life cycle greenhouse gas (GHG) emissions from several light-duty passenger gasoline and plug-in electric vehicles (PEVs) across US counties by accounting for regional differences due to marginal grid mix, ambient temperature, patterns of vehicle miles traveled (VMT), and driving conditions (city versus highway). We find that PEVs can have larger or smaller carbon footprints than gasoline vehicles, depending on these regional factors and the specific vehicle models being compared. The Nissan Leaf battery electric vehicle has a smaller carbon footprint than the most efficient gasoline vehicle (the Toyota Prius) in the urban counties of California, Texas and Florida, whereas the Prius has a smaller carbon footprint in the Midwest and the South. The Leaf is lower emitting than the Mazda 3 conventional gasoline vehicle in most urban counties, but the Mazda 3 is lower emitting in rural Midwest counties. The Chevrolet Volt plug-in hybrid electric vehicle has a larger carbon footprint than the Prius throughout the continental US, though the Volt has a smaller carbon footprint than the Mazda 3 in many urban counties. Regional grid mix, temperature, driving conditions, and vehicle model all have substantial implications for identifying which technology has the lowest carbon footprint, whereas regional patterns of VMT have a much smaller effect. Given the variation in relative GHG implications, it is unlikely that blunt policy instruments that favor specific technology categories can ensure emission reductions universally.

  8. Communication skills training in orthopaedics.

    Science.gov (United States)

    Lundine, Kristopher; Buckley, Richard; Hutchison, Carol; Lockyer, Jocelyn

    2008-06-01

    Communication skills play a key role in many aspects of both medical education and clinical patient care. The objectives of this study were to identify the key components of communication skills from the perspectives of both orthopaedic residents and their program directors and to understand how these skills are currently taught. This study utilized a mixed methods design. Quantitative data were collected with use of a thirty-item questionnaire distributed to all Canadian orthopaedic residents. Qualitative data were collected through focus groups with orthopaedic residents and semistructured interviews with orthopaedic program directors. One hundred and nineteen (37%) of 325 questionnaires were completed, twelve residents participated in two focus groups, and nine of sixteen program directors from across the country were interviewed. Both program directors and residents identified communication skills as being the accurate and appropriate use of language (i.e., content skills), not how the communication was presented (i.e., process skills). Perceived barriers to effective communication included time constraints and the need to adapt to the many personalities and types of people encountered daily in the hospital. Residents rarely have explicit training in communication skills. They rely on communication training implicitly taught through observation of their preceptors and clinical experience interacting with patients, peers, and other health-care professionals. Orthopaedic residents and program directors focus on content and flexibility within communication skills as well as on the importance of being concise. They value the development of communication skills in the clinical environment through experiential learning and role modeling. Education should focus on developing residents' process skills in communication. Care should be taken to avoid large-group didactic teaching sessions, which are perceived as ineffective.

  9. Evidence from the Tanzania Enterprise Skills Survey, 2015

    OpenAIRE

    Tan, Hong; Bashir, Sajitha; Tanaka, Nobuyuki

    2016-01-01

    Inadequacies in Tanzania's education and training systems compromise the quality of workforce skills, giving rise to skill shortages, and constraining the operations and growth of formal sector firms in the country. This study addressed these concerns using data from a unique Enterprise Skills Survey that asked Tanzanian employers about the education, training, and occupational mix of thei...

  10. Influence of Dynamics and Chemistry on the Diurnal Variation of VOCs in the Planetary Boundary Layer above a Mixed Forest Canopy in the Southeastern United States

    Science.gov (United States)

    Guenther, A. B.; Su, L.; Patton, E. G.; Vila-Guerau Arellano, J.; Mak, J. E.

    2014-12-01

    The planetary boundary layer (PBL) is a region of inherent interest because reactive VOCs emitted from the forest canopy are mixed with the residual and free tropospheric air masses, oxidized, and/or otherwise removed in this region. The characterization of diurnal variation of VOCs in the PBL is limited due to the lack of appropriate sampling platforms that are able to probe all the regions of interest: from the surface to the entrainment zone. Here we present the application of the Whole Air Sample Profiler (WASP) system during the 2013 Southeast Atmosphere Study (SAS) campaign. A total of 41 research flights (RFs) were carried out during the 2013 SAS campaign between June 1 and June 14 over the Alabama Aquatic Biodiversity Center (AABC) site and the SEARCH site. During each RF, ambient air sampling started from 50-100 m above the canopy top and stopped at ~1200 m above the mean sea level (a.m.s.l). The air samples were subsequently analyzed by using a proton-transfer-reaction time-of-flight mass spectrometry (PTR-TOF-MS). Here we analyze the vertical profiles and averaged diurnal variation of the mixing ratios of several reactive VOC species, including isoprene, the sum of monoterpenes, and first generation oxidation products of isoprene: methyl vinyl ketone and methacrolein (MVK+MACR). A MiXed Layer Chemistry (MXLCH) model, guided by the meteorological and chemical observations during the SAS campaign, is used to study the influence of boundary layer dynamics and new isoprene oxidation mechanism on the diurnal variation of major biogenic VOCs emitted from the forest canopy. The new scheme includes OH recycling through two pathways under low-NOx regime: (1) hydroxyl peroxy radicals (HOC5H8OO•; ISOPO2) unimolecular isomerization, and (2) ISOPO2+HO2. The model is able to reproduce the evolution of the boundary layer dynamics (including potential temperature, and boundary layer height) during the selected simulation dates. Based on the model results, budget

  11. Racial Reorganization and the United States Census 1850–1930: Mulattoes, Half-Breeds, Mixed Parentage, Hindoos, and the Mexican Race

    OpenAIRE

    Powell, Brenna; Hochschild, Jennifer L.

    2008-01-01

    Between 1850 and 1930, demographic upheaval in the United States was connected to reorganization of the racial order. Socially and politically recognized boundaries between groups shifted, new groups emerged, others disappeared, and notions of who belonged in which category changed. All recognized racial groups—blacks, whites, Indians, Asians, Mexicans and others—were affected. This article investigates how and why census racial classification policies changed during this period, only to stab...

  12. Mixing Ventilation

    DEFF Research Database (Denmark)

    Kandzia, Claudia; Kosonen, Risto; Melikov, Arsen Krikor;

    In this guidebook most of the known and used in practice methods for achieving mixing air distribution are discussed. Mixing ventilation has been applied to many different spaces providing fresh air and thermal comfort to the occupants. Today, a design engineer can choose from large selection of ...

  13. Insects: An Interdisciplinary Unit

    Science.gov (United States)

    Leger, Heather

    2007-01-01

    The author talks about an interdisciplinary unit on insects, and presents activities that can help students practice communication skills (interpersonal, interpretive, and presentational) and learn about insects with hands-on activities.

  14. Negotiating skills.

    Science.gov (United States)

    Hughes, G

    1996-01-01

    The Collins English Dictionary defines negotiation as "a discussion set up or intended to produce a "settlement or agreement." It is a skill everyone uses on a regular basis in daily life; often without realising. A plan to meet friends fo an evening meal for example involves agreeing a time and venue--this is negotiation. As it is the the process of coming to terms with the "other side" and trying to get the best deal possible it is necessary to accept the fact that a conflict of interest does exist. There is an atmosphere of uncertainty until the deal is completed and one side may gain and one may lose relative to their opening position. For this skill to be successfully applied when working with clinical management colleagues, a formal set of guidelines is necessary. In this article I highlight some of the problems which can arise and offer a systematic approach to this difficult but rewarding management activity. PMID:9091105

  15. Leadership skills?

    Science.gov (United States)

    2016-09-01

    Senior executive leaders might be interested in applying for the NHS Leadership Academy's director programme, which is designed to 'stretch and challenge' those with an 'existing level of complex leadership skills'. The programme also offers an opportunity for participants to work with other leaders and other parts of the system to enhance inclusiveness. There are three cohorts a year, and the programme runs for a 12 months. Closing dates for applicants are 4 September 2016, 22 January 2017 and 21 May 2017.

  16. Executive Function Buffers the Association between Early Math and Later Academic Skills

    Directory of Open Access Journals (Sweden)

    Andrew D. Ribner

    2017-05-01

    Full Text Available Extensive evidence has suggested that early academic skills are a robust indicator of later academic achievement; however, there is mixed evidence of the effectiveness of intervention on academic skills in early years to improve later outcomes. As such, it is clear there are other contributing factors to the development of academic skills. The present study tests the role of executive function (EF (a construct made up of skills complicit in the achievement of goal-directed tasks in predicting 5th grade math and reading ability above and beyond math and reading ability prior to school entry, and net of other cognitive covariates including processing speed, vocabulary, and IQ. Using a longitudinal dataset of N = 1292 participants representative of rural areas in two distinctive geographical parts of the United States, the present investigation finds EF at age 5 strongly predicts 5th grade academic skills, as do cognitive covariates. Additionally, investigation of an interaction between early math ability and EF reveals the magnitude of the association between early math and later math varies as a function of early EF, such that participants who have high levels of EF can “catch up” to peers who perform better on assessments of early math ability. These results suggest EF is pivotal to the development of academic skills throughout elementary school. Implications for further research and practice are discussed.

  17. A novel marketing mix and choice architecture framework to nudge restaurant customers toward healthy food environments to reduce obesity in the United States.

    Science.gov (United States)

    Kraak, V I; Englund, T; Misyak, S; Serrano, E L

    2017-08-01

    This review identified and adapted choice architecture frameworks to develop a novel framework that restaurant owners could use to promote healthy food environments for customers who currently overconsume products high in fat, sugar and sodium that increase their risk of obesity and diet-related non-communicable diseases. This review was conducted in three steps and presented as a narrative summary to demonstrate a proof of concept. Step 1 was a systematic review of nudge or choice architecture frameworks used to categorize strategies that cue healthy behaviours in microenvironments. We searched nine electronic databases between January 2000 and December 2016 and identified 1,244 records. Inclusion criteria led to the selection of five choice architecture frameworks, of which three were adapted and combined with marketing mix principles to highlight eight strategies (i.e. place, profile, portion, pricing, promotion, healthy default picks, prompting or priming and proximity). Step 2 involved conducting a comprehensive evidence review between January 2006 and December 2016 to identify U.S. recommendations for the restaurant sector organized by strategy. Step 3 entailed developing 12 performance metrics for the eight strategies. This framework should be tested to determine its value to assist restaurant owners to promote and socially normalize healthy food environments to reduce obesity and non-communicable diseases. © 2017 The Authors. Obesity Reviews published by John Wiley & Sons Ltd on behalf of World Obesity Federation.

  18. Skills for future university librarians

    Institute of Scientific and Technical Information of China (English)

    Steve; O’Connor; LI; Mei

    2008-01-01

    The purpose of this paper is to examine present librarian skills in academic libraries and to propose possible directions of future libraries on skill requirements.This study provides a valuable methodology to understand the current demands of employers for library staff.It also begins to highlight trends in how the skill set and outlook for future employees are currently being viewed.There has been a combination of these understandings with the scenario planning technique to draw threads anticipating skill requirements in three to five years.These approaches create a powerful analysis.An examination of recent library position advertisements and job descriptions in five countries and regions showed broad communication and technology skills required in academic libraries.The key terms of skills were ranked according to the frequencies used in the advertisements and descriptions.Original research based on data from the United States,Australia,the United Kingdom,New Zealand and Hong Kong,SAR,China.The results are harmonized with predicted future trends from scenario planning exercises.

  19. A Mixed-Methods Examination of Physical Activity and Sedentary Time in Overweight and Obese South Asian Men Living in the United Kingdom.

    Science.gov (United States)

    Emadian, Amir; Thompson, Janice

    2017-03-27

    South Asian men living in the UK have higher rates of central obesity and Type 2 Diabetes Mellitus (T2DM) compared with their white British counterparts. Physical activity (PA) and sedentary time (ST) are important risk factors for the development of T2DM. The purpose of this study was to objectively measure PA, ST, and to explore the factors influencing these behaviours in this high-risk population. A mixed-methods cross-sectional research design was employed, including the quantification of PA and ST using the self-report International Physical Activity Questionnaire (IPAQ)-long form and accelerometry in overweight and obese UK South Asian men (n = 54), followed by semi-structured interviews in a purposive sub-sample to explore the factors influencing PA and ST (n = 31). Accelerometer-derived moderate-to-vigorous PA (MVPA) and ST were 298.9 ± 186.6 min/week and 551.4 ± 95.0 min/day, respectively. IPAQ-derived MVPA was significantly lower than accelerometer-derived MVPA (p physically active, with group exercise identified as an important facilitator to being more active. A cultural norm of focusing on promoting education over sport participation during childhood was identified as an important factor influencing long-term PA behaviours. Work commitments and predominantly sedentary jobs were identified as the main barriers to reducing ST. Healthcare professionals and researchers need to consider the socio-cultural factors which affect PA engagement in overweight and obese South Asian men living in the UK, to ensure that advice and future interventions are tailored to address the needs of this population.

  20. 600MW空冷机组凝结水精处理加装混床技术改造%Technological transformation of 600 MW indirect air-cooling unit condensate polishing system by installing a mixed bed

    Institute of Scientific and Technical Information of China (English)

    焦传宝; 刘龙龙

    2011-01-01

    The running situation and existing problems of the powder resin covered filter in the advanced treatment of condensate of 2x600 MW indirect air cooling unit are introduced. The desalinization capacity of the powder filter is low. After the high-speed mixed bed is installed to the system,its running effect gets obvious,the quality of steam and water is remarkably improved and running cost is saved.%介绍了阳城电厂2x600 MW间接空冷机组凝结水精处理系统粉末树脂覆盖过滤器的运行状况,其存在的问题是除盐能力低.系统增加高速混床后,运行效果明显提高,汽水品质得到极大改善,节约了运行成本.

  1. Marketing mix

    OpenAIRE

    Fatrdlová, Adéla

    2016-01-01

    Bachelor thesis is focused on the evaluation of the marketing mix for company HET, analyzing every individual instruments and the subsequently for the improvements. This thesis is composed of two parts,literature reviewed and with personal advice for solution, which falls under subchapter suggestions and recommendations. The first part of thesis are basic concepts associated, included with marketing and marketing mix with a focus on four basic marketing tools. The second part describes the co...

  2. Marketing mix

    OpenAIRE

    Dvořák, Michael

    2016-01-01

    The subject of this thesis, with the official name Marketing mix, is to analyse the actual and future marketing mix in selected company, propose for its improvements and strategy for re-launching traditional footwear company and their products on the Czech market. The theoretical section focuses on the basic concepts of marketing, its history, actual trends and its principles. The theoretical findings are used in the following practical part. The practical section describes the curre...

  3. Enhancing undergraduate students’ communications skills

    DEFF Research Database (Denmark)

    Jørgensen, Merete; Witt, Klaus; Fridorff-Jens, Peter Kindt

    2014-01-01

    19729 Abstract Title: Enhancing undergraduate students communications skills Abstract Authors: •Merete Jorgensen, Copenhagen University , Family Medicine , Copenhagen •Klaus Witt, Research Unit , Family Medicine , Copenhagen •Peter Kindt Fridorff-Jens, Copenhagen University , IT-unit , Copenhagen...... the Consultation Logic (CL) and Consultation Analysis (CA), based on the Patient-Centred Consultation. To investigate the effect of various teaching methods in communication skills we have developed a scientific tool (DanSCORE) based on CL and CA to measure the students analysing ability Summary of work It has...... and they alternate with five plus four hour’s sessions of assessing, analyzing and discussion the videos in small groups with a peer (university teacher) and fellow students.We focus in our project on communication skills. 600 medical students are enrolled in the project. Changes in analyzing ability...

  4. Social Skill Development through Math

    Science.gov (United States)

    Walker, Zachary M.; Hunt, Jessica H.

    2011-01-01

    According to the U.S. Department of Education, 90% of the future jobs in the United States will require a college degree, and many of these jobs will be in the service industry (Spellings 2006). Service jobs that require people skills may be more difficult for adults with disabilities. Although many students with disabilities included in general…

  5. Illinois Occupational Skill Standards: Machining Skills Cluster.

    Science.gov (United States)

    Illinois Occupational Skill Standards and Credentialing Council, Carbondale.

    This document of skill standards for the machining skills cluster serves as a guide to workforce preparation program providers in defining content for their programs and to employers to establish the skills and standards necessary for job acquisition. These 67 occupational skill standards describe what people should know and be able to do in an…

  6. On the Problem of Motor Skill Development

    Science.gov (United States)

    Clark, Jane E.

    2007-01-01

    As a way to address the serious obesity epidemic in the United States, many physical education classes have become fitness centers designed to raise heart rates and burn calories. An unintended consequence of this emphasis on fitness, however, is the lack of attention to motor skill development. Motor skills do not develop miraculously from one…

  7. Mixed-Valence Molecular Unit for Quantum Cellular Automata: Beyond the Born-Oppenheimer Paradigm through the Symmetry-Assisted Vibronic Approach.

    Science.gov (United States)

    Clemente-Juan, Juan Modesto; Palii, Andrew; Coronado, Eugenio; Tsukerblat, Boris

    2016-08-09

    In this article, we focus on the electron-vibrational problem of the tetrameric mixed-valence (MV) complexes proposed for implementation as four-dot molecular quantum cellular automata (mQCA).1 Although the adiabatic approximation explored in ref 2 is an appropriate tool for the qualitative analysis of the basic characteristics of mQCA, like vibronic trapping of the electrons encoding binary information and cell-cell response, it loses its accuracy providing moderate vibronic coupling and fails in the description of the discrete pattern of the vibronic levels. Therefore, a precise solution of the quantum-mechanical vibronic problem is of primary importance for the evaluation of the shapes of the electron transfer optical absorption bands and quantitative analysis of the main parameters of tetrameric quantum cells. Here, we go beyond the Born-Oppenheimer paradigm and present a solution of the quantum-mechanical pseudo Jahn-Teller (JT) vibronic problem in bielectronic MV species (exemplified by the tetra-ruthenium complexes) based on the recently developed symmetry-assisted approach.3,4 The mathematical approach to the vibronic eigenproblem takes into consideration the point symmetry basis, and therefore, the total matrix of the JT Hamiltonian is blocked to the maximum extent. The submatrices correspond to the irreducible representations (irreps) of the point group. With this tool, we also extend the theory of the mQCA cell beyond the limit of prevailing Coulomb repulsion in the electronic pair (adopted in ref 2), and therefore, the general pseudo-JT problems for spin-singlet ((1)B1g, 2(1)A1g, (1)B2g, (1)Eu) ⊗ (b1g + eu) and spin-triplet states ((3)A2g, (3)B1g, 2(3)Eu) ⊗ (b1g + eu) in a square-planar bielectronic system are solved. The obtained symmetry-adapted electron-vibrational functions are employed for the calculation of the profiles (shape functions) of the charge transfer absorption bands in the tetrameric MV complexes and for the discussion of the

  8. Mixed-valence molecular four-dot unit for quantum cellular automata: Vibronic self-trapping and cell-cell response

    Energy Technology Data Exchange (ETDEWEB)

    Tsukerblat, Boris, E-mail: tsuker@bgu.ac.il, E-mail: andrew.palii@uv.es [Ben-Gurion University of the Negev, Beer-Sheva (Israel); Palii, Andrew, E-mail: tsuker@bgu.ac.il, E-mail: andrew.palii@uv.es [Institute of Applied Physics, Academy of Sciences of Moldova, Kishinev (Moldova, Republic of); Clemente-Juan, Juan Modesto; Coronado, Eugenio [Instituto de Ciencia Molecular (ICMol), Universidad de Valencia, Paterna (Spain)

    2015-10-07

    Our interest in this article is prompted by the vibronic problem of charge polarized states in the four-dot molecular quantum cellular automata (mQCA), a paradigm for nanoelectronics, in which binary information is encoded in charge configuration of the mQCA cell. Here, we report the evaluation of the electronic levels and adiabatic potentials of mixed-valence (MV) tetra-ruthenium (2Ru(II) + 2Ru(III)) derivatives (assembled as two coupled Creutz-Taube complexes) for which molecular implementations of quantum cellular automata (QCA) was proposed. The cell based on this molecule includes two holes shared among four spinless sites and correspondingly we employ the model which takes into account the two relevant electron transfer processes (through the side and through the diagonal of the square) as well as the difference in Coulomb energies for different instant positions of localization of the hole pair. The combined Jahn-Teller (JT) and pseudo JT vibronic coupling is treated within the conventional Piepho-Krauzs-Schatz model adapted to a bi-electronic MV species with the square-planar topology. The adiabatic potentials are evaluated for the low lying Coulomb levels in which the antipodal sites are occupied, the case just actual for utilization in mQCA. The conditions for the vibronic self-trapping in spin-singlet and spin-triplet states are revealed in terms of the two actual transfer pathways parameters and the strength of the vibronic coupling. Spin related effects in degrees of the localization which are found for spin-singlet and spin-triplet states are discussed. The polarization of the cell is evaluated and we demonstrate how the partial delocalization caused by the joint action of the vibronic coupling and electron transfer processes influences polarization of a four-dot cell. The results obtained within the adiabatic approach are compared with those based on the numerical solution of the dynamic vibronic problem. Finally, the Coulomb interaction between

  9. Materials Centered Science and Manipulative Skill

    Science.gov (United States)

    Struve, Nancy L.; And Others

    1974-01-01

    Evaluated were effects of experience with two physical science units adapted for use by the visually impaired on the manipulative skills of 14 visually impaired low income students from 9 to 19 years of age. (DB)

  10. 注塑机螺杆混炼元件混炼性能对比研究%Comparative Study on Plasticizing Properties of Screw Mixing Units for Injection Machine

    Institute of Scientific and Technical Information of China (English)

    柳天磊; 王建鸿; 杜遥雪

    2013-01-01

    Based on production process,three kinds of screw mixing units were designed:pin mixer,barrier mixer and pineapple mixer.Numerical simulation was carried out on the three mixing sections in the metering section based on the CFD software POLYFLOW,and comparative study was performed on the mixing properties and plasticizing quality among them.The results show that the differential pressure of exit and entrance in the barrier runner is minimum,that in the pin runner is maximum and the pressure dropdown in the pineapple between them.Moreover,the rate of stretching is larger in the pineapple mixer than in the other two mixers which are haply similar in curves.For the mixing index,the pineapple behaves best,the pin better and the barrier mixer worst.These conclusions provide a reference for the configuration of injection molding machine,selection of screws and their application.%根据生产实际设计销钉型、屏障型及菠萝型三种螺杆混炼元件,并借助于计算流体动力学软件POLYFLOW分别对位于计量段末端的三种类型混炼段进行数值仿真,对比分析其混炼性能和塑化质量。结果表明,三种构型混炼元件中,屏障型混炼元件出入口压力降最小,销钉型压力降最大,菠萝型压力降介于两者之间;菠萝型混炼元件拉伸速率最大,销钉型与屏障型相似;菠萝型混炼元件混合指数最大,销钉型次之,屏障型最小。

  11. Forecasting Skill

    Science.gov (United States)

    1981-01-01

    indicated that forecasting experience has little relationship to forecasting performance. In the latter three studies, neophyte forecasters became... Europe . Within a few months after a new commander was assigned, this unit’s performance rose to first place in the theater and remained there

  12. Mixed Movements

    DEFF Research Database (Denmark)

    Brabrand, Helle

    2010-01-01

    Mixed Movements is a research project engaged in performance-based architectural drawing. Architectonic implementation questions relations between the human body and a body of architecture by the different ways we handle drawing materials. A drawing may explore architectonic problems at other...... levels than those related to building, and this exploration is a special challenge and competence implicit artistic development work. The project Mixed Movements generates drawing-material, not primary as representation, but as a performance-based media, making the body being-in-the-media felt and appear...... as possible operational moves....

  13. 基于混合整数二元规划的机组启动次序策略研究%Generator unit startup sequence strategy based on mixed integer dual programming

    Institute of Scientific and Technical Information of China (English)

    罗宗杰

    2012-01-01

    When the power grid blackout, making the power system restore normal operation quickly and efficiently can not only reduce the equipment damage of the power generation side, but also improve the load restoration speed of the power side. This paper focuses on the ability of the units which have not self-starting time limit, total system capacity constraints, start power limit, and the constraints of unit restoration priority, and gets the unit start sequence strategy for system restoration process through the mixed binary integer programming algorithm. It is concluded that: in a given recovery time, this strategy can get the optimal order of the system unit startup under the premise of ensuring the safe operation of the unit and the maximum generation capacity of system, and can reduce the post-reconstruction and load restoration time directly.%当电网大停电之后,运行人员快速高效地把电力系统恢复到正常运行状态,不仅可以降低发电侧的设备损害程度,还可提高用电侧负荷的恢复速度.重点分析了没有自启动能力的机组时间限制、系统总容量限制、启动功率限制、机组恢复优先权限制等条件,通过混合二元整数规划算法得到系统恢复过程中机组启动次序的策略.结论表明:在给定恢复时间内,采用这种策略能在保证机组的安全运行和系统的最大发电容量的前提下,得到系统机组启动的最优次序,可直接减少后期系统重构和负荷恢复的时间.

  14. Mixed parentage

    DEFF Research Database (Denmark)

    Bang Appel, Helene; Singla, Rashmi

    2016-01-01

    Despite an increase in cross border intimate relationships and children of mixed parentage, there is little mention or scholarship about them in the area of childhood and migrancy in the Nordic countries. The international literature implies historical pathologisation, contestation and current...

  15. Retrospective study on prognostic importance of serum procalcitonin and amino - terminal pro - brain natriuretic peptide levels as compared to Acute Physiology and Chronic Health Evaluation IV Score on Intensive Care Unit admission, in a mixed Intensive Care Unit population

    Directory of Open Access Journals (Sweden)

    Chitra Mehta

    2016-01-01

    Full Text Available Background: Timely decision making in Intensive Care Unit (ICU is very essential to improve the outcome of critically sick patients. Conventional scores like Acute Physiology and Chronic Health Evaluation (APACHE IV are quite cumbersome with calculations and take minimum 24 hours. Procalcitonin has shown to have prognostic value in ICU/Emergency department (ED in disease states like pneumonia, sepsis etc. NTproBNP has demonstrated excellent diagnostic and prognostic importance in cardiac diseases. It has also been found elevated in non-cardiac diseases. We chose to study the prognostic utility of these markers on ICU admission. Settings and Design: Retrospective observational study. Materials and Methods: A Retrospective analysis of 100 eligible patients was done who had undergone PCT and NTproBNP measurements on ICU admission. Their correlations with all cause mortality, length of hospital stay, need for ventilator support, need for vasopressors were performed. Results: Among 100 randomly selected ICU patients, 28 were non-survivors. NTproBNP values on admission significantly correlated with all cause mortality (P = 0.036, AUC = 0.643 and morbidity (P = 0.000, AUC = 0.763, comparable to that of APACHE-IV score. PCT values on admission did not show significant association with mortality, but correlated well with morbidity and prolonged hospital length of stay (AUC = 0.616, P = 0.045. Conclusion: The current study demonstrated a good predictive value of NTproBNP, in terms of mortality and morbidity comparable to that of APACHE-IV score. Procalcitonin, however, was found to have doubtful prognostic importance. These findings need to be confirmed in a prospective larger study.

  16. Evaluating the impact of Mexico's drug policy reforms on people who inject drugs in Tijuana, B.C., Mexico, and San Diego, CA, United States: a binational mixed methods research agenda.

    Science.gov (United States)

    Robertson, Angela M; Garfein, Richard S; Wagner, Karla D; Mehta, Sanjay R; Magis-Rodriguez, Carlos; Cuevas-Mota, Jazmine; Moreno-Zuniga, Patricia Gonzalez; Strathdee, Steffanie A

    2014-02-12

    Policymakers and researchers seek answers to how liberalized drug policies affect people who inject drugs (PWID). In response to concerns about the failing "war on drugs," Mexico recently implemented drug policy reforms that partially decriminalized possession of small amounts of drugs for personal use while promoting drug treatment. Recognizing important epidemiologic, policy, and socioeconomic differences between the United States-where possession of any psychoactive drugs without a prescription remains illegal-and Mexico-where possession of small quantities for personal use was partially decriminalized, we sought to assess changes over time in knowledge, attitudes, behaviors, and infectious disease profiles among PWID in the adjacent border cities of San Diego, CA, USA, and Tijuana, Baja California, Mexico. Based on extensive binational experience and collaboration, from 2012-2014 we initiated two parallel, prospective, mixed methods studies: Proyecto El Cuete IV in Tijuana (n = 785) and the STAHR II Study in San Diego (n = 575). Methods for sampling, recruitment, and data collection were designed to be compatible in both studies. All participants completed quantitative behavioral and geographic assessments and serological testing (HIV in both studies; hepatitis C virus and tuberculosis in STAHR II) at baseline and four semi-annual follow-up visits. Between follow-up assessment visits, subsets of participants completed qualitative interviews to explore contextual factors relating to study aims and other emergent phenomena. Planned analyses include descriptive and inferential statistics for quantitative data, content analysis and other mixed-methods approaches for qualitative data, and phylogenetic analysis of HIV-positive samples to understand cross-border transmission dynamics. Investigators and research staff shared preliminary findings across studies to provide feedback on instruments and insights regarding local phenomena. As a result, recruitment and data

  17. Evaluating the impact of Mexico’s drug policy reforms on people who inject drugs in Tijuana, B.C., Mexico, and San Diego, CA, United States: a binational mixed methods research agenda

    Science.gov (United States)

    2014-01-01

    Background Policymakers and researchers seek answers to how liberalized drug policies affect people who inject drugs (PWID). In response to concerns about the failing “war on drugs,” Mexico recently implemented drug policy reforms that partially decriminalized possession of small amounts of drugs for personal use while promoting drug treatment. Recognizing important epidemiologic, policy, and socioeconomic differences between the United States—where possession of any psychoactive drugs without a prescription remains illegal—and Mexico—where possession of small quantities for personal use was partially decriminalized, we sought to assess changes over time in knowledge, attitudes, behaviors, and infectious disease profiles among PWID in the adjacent border cities of San Diego, CA, USA, and Tijuana, Baja California, Mexico. Methods Based on extensive binational experience and collaboration, from 2012–2014 we initiated two parallel, prospective, mixed methods studies: Proyecto El Cuete IV in Tijuana (n = 785) and the STAHR II Study in San Diego (n = 575). Methods for sampling, recruitment, and data collection were designed to be compatible in both studies. All participants completed quantitative behavioral and geographic assessments and serological testing (HIV in both studies; hepatitis C virus and tuberculosis in STAHR II) at baseline and four semi-annual follow-up visits. Between follow-up assessment visits, subsets of participants completed qualitative interviews to explore contextual factors relating to study aims and other emergent phenomena. Planned analyses include descriptive and inferential statistics for quantitative data, content analysis and other mixed-methods approaches for qualitative data, and phylogenetic analysis of HIV-positive samples to understand cross-border transmission dynamics. Results Investigators and research staff shared preliminary findings across studies to provide feedback on instruments and insights regarding local

  18. Ostomy Home Skills Program

    Medline Plus

    Full Text Available ... and Skills Resources Educational Resources Educational Resources E-Learning Evidence-Based Decisions in Surgery Medical Student Resources ... Skills Kit supports patients with educational and simulation materials to learn and practice the skills needed for ...

  19. Communal Learning versus Individual Learning: An Exploratory Convergent Parallel Mixed-Method Study to Describe How Young African American Novice Programmers Learn Computational Thinking Skills in an Informal Learning Environment

    Science.gov (United States)

    Hatley, Leshell April Denise

    2016-01-01

    Today, most young people in the United States (U.S.) live technology-saturated lives. Their educational, entertainment, and career options originate from and demand incredible technological innovations. However, this extensive ownership of and access to technology does not indicate that today's youth know how technology works or how to control and…

  20. Movement skills and physical activity in obese children: randomized controlled trial.

    Science.gov (United States)

    Cliff, Dylan P; Okely, Anthony D; Morgan, Philip J; Steele, Julie R; Jones, Rachel A; Colyvas, Kim; Baur, Louise A

    2011-01-01

    The purpose of this study was to evaluate the Hunter Illawarra Kids Challenge Using Parent Support physical activity program in overweight children. A multisite randomized controlled trial was conducted with three intervention arms: 1) child-centered physical activity skill development program (Activity), 2) parent-centered dietary modification program (DIET), or 3) both programs combined (PA+DIET). Movement skill proficiency, perceived athletic competence, accelerometer-assessed physical activity, and parent-reported time spent in screen behaviors were assessed at baseline, 6 months, and 12 months in 165 prepubertal children aged 5.5-9 yr (59% girls, 78% obese). Differences in changes in outcomes between groups were assessed using linear mixed models. Compared with the diet group, the activity group (mean (95% confidence interval): +7.7 units (3.8-11.6 units)) and the activity + diet group (+6.7 units (2.9-10.5 units)) displayed 11%-13% greater improvement in overall movement skill proficiency (gross motor quotient) at 6 months. Perceived athletic competence increased across groups at follow-up (across groups: 6 months = +0.21 units (0.11-0.31 units), 12 months = +0.21 units (0.07-0.35 units)). Groups did not differ statistically for change in physical activity outcomes. Total screen time (min·wk(-1)) decreased in all groups at 6 months (across groups: -385.4 (-501.0 to -269.8)) and in the activity group (-261.8 (-470.5 to -53.1)) and activity + diet group (-340.5 (-534.6 to -146.4)) at 12 months. The diet group reported greater reductions in TV or DVD viewing time at 6 months compared with the activity group (248.6 (24.0-473.3)). The activity and the activity + diet programs were efficacious in improving overweight children's movement skill proficiency. All programs were efficacious in reducing time spent in screen behaviors. Other correlates may need to be targeted in addition to movement skills to increase physical activity among overweight children.

  1. Case mix, outcome and activity for patients with severe acute kidney injury during the first 24 hours after admission to an adult, general critical care unit: application of predictive models from a secondary analysis of the ICNARC Case Mix Programme database.

    Science.gov (United States)

    Kolhe, Nitin V; Stevens, Paul E; Crowe, Alex V; Lipkin, Graham W; Harrison, David A

    2008-01-01

    This study pools data from the UK Intensive Care National Audit and Research Center (ICNARC) Case Mix Programme (CMP) to evaluate the case mix, outcome and activity for 17,326 patients with severe acute kidney injury (AKI) occurring during the first 24 hours of admission to intensive care units (ICU). Severe AKI admissions (defined as serum creatinine >/=300 mumol/l and/or urea >/=40 mmol/l during the first 24 hours) were extracted from the ICNARC CMP database of 276,326 admissions to UK ICUs from 1995 to 2004. Subgroups of oliguric and nonoliguric AKI were identified by daily urine output. Data on surgical status, survival and length of stay were also collected. Severity of illness scores and mortality prediction models were compared (UK Acute Physiology and Chronic Health Evaluation [APACHE] II, Stuivenberg Hospital Acute Renal Failure [SHARF] T0, SHARF II0 and the Mehta model). Severe AKI occurred in 17,326 out of 276,731 admissions (6.3%). The source of admission was nonsurgical in 83.7%. Sepsis was present in 47.3% and AKI was nonoliguric in 63.9% of cases. Admission to ICU with severe AKI accounted for 9.3% of all ICU bed-days. Oliguric AKI was associated with longer length of stay for survivors and shorter length of stay for nonsurvivors compared with nonoliguric AKI. Oliguric AKI was associated with significantly greater ICU and hospital mortality (55.8% and 77.3%, respectively) compared with nonoliguric AKI (33.4% and 49.3%, respectively). Surgery during the 1 week before admission or during the first week in the CMP unit was associated with decreased odds of mortality. UK APACHE II and the Mehta scores under-predicted the number of deaths, whereas SHARF T0 and SHARF II0 over-predicted the number of deaths. Severe AKI accounts for over 9% of all bed-days in adult, general ICUs, representing a considerable drain on resources. Although nonoliguric AKI continues to confer a survival benefit, overall survival from AKI in the ICU and survival to leave hospital

  2. I. SPATIAL SKILLS, THEIR DEVELOPMENT, AND THEIR LINKS TO MATHEMATICS.

    Science.gov (United States)

    Verdine, Brian N; Golinkoff, Roberta Michnick; Hirsh-Pasek, Kathy; Newcombe, Nora S

    2017-03-01

    Understanding the development of spatial skills is important for promoting school readiness and improving overall success in STEM (science, technology, engineering, and mathematics) fields (e.g., Wai, Lubinski, Benbow, & Steiger, 2010). Children use their spatial skills to understand the world, including visualizing how objects fit together, and can practice them via spatial assembly activities (e.g., puzzles or blocks). These skills are incorporated into measures of overall intelligence and have been linked to success in subjects like mathematics (Mix & Cheng, 2012) and science (Pallrand & Seeber, 1984; Pribyl & Bodner, 1987). This monograph sought to answer four questions about early spatial skill development: 1) Can we reliably measure spatial skills in 3- and 4-year-olds?; 2) Do spatial skills measured at 3 predict spatial skills at age 5?; 3) Do preschool spatial skills predict mathematics skills at age 5?; and 4) What factors contribute to individual differences in preschool spatial skills (e.g., SES, gender, fine-motor skills, vocabulary, and executive function)? Longitudinal data generated from a new spatial skill test for 3-year-old children, called the TOSA (Test of Spatial Assembly), show that it is a reliable and valid measure of early spatial skills that provides strong prediction to spatial skills measured with established tests at age 5. New data using this measure finds links between early spatial skill and mathematics, language, and executive function skills. Analyses suggest that preschool spatial experiences may play a central role in children's mathematical skills around the time of school entry. Executive function skills provide an additional unique contribution to predicting mathematical performance. In addition, individual differences, specifically socioeconomic status, are related to spatial and mathematical skill. We conclude by exploring ways of providing rich early spatial experiences to children.

  3. Mixed segmentation

    DEFF Research Database (Denmark)

    Bonde, Anders; Aagaard, Morten; Hansen, Allan Grutt

    This book is about using recent developments in the fields of data analytics and data visualization to frame new ways of identifying target groups in media communication. Based on a mixed-methods approach, the authors combine psychophysiological monitoring (galvanic skin response) with textual...... content analysis and audience segmentation in a single-source perspective. The aim is to explain and understand target groups in relation to, on the one hand, emotional response to commercials or other forms of audio-visual communication and, on the other hand, living preferences and personality traits...

  4. Mixed Signals

    Institute of Scientific and Technical Information of China (English)

    2010-01-01

    The Chinese and the U.S. central banks are sending out two completely different messages to the global market. China, with looming inflation, is raising interest rates and the reserve requirement ratio to curb runaway consumer prices. The United States, on the other hand,

  5. Teaching intubation skills using newly deceased infants.

    Science.gov (United States)

    Benfield, D G; Flaksman, R J; Lin, T H; Kantak, A D; Kokomoor, F W; Vollman, J H

    1991-05-08

    This prospective study was designed to (1) test the hypothesis that the majority of families of newly dead infants in a tertiary neonatal intensive care unit would consent to their infants' being intubated for teaching purposes, (2) determine factors related to family consent, and (3) determine the effects of participation on resident physicians and respiratory therapists. Family consent for intubation was requested following 44 (80%) of the 55 deaths that occurred during the 10-month study period. Of these requests, 32 (73%) were granted. Proportionately more white than black families consented and consent was positively related to autopsy permission. Fifty-three (75%) of 71 trainees completed a mailed questionnaire after their first intubation experience. Although each respondent found the experience helpful, many reported mixed feelings categorized as doubt about participating, apprehension and discomfort, respect for the body, appreciation for the opportunity, a sense of achievement, and feelings of comfort knowing that consent had been obtained. These findings confirm our initial hypothesis and suggest that (1) newly dead infants can be a valuable resource for teaching intubation skills, and (2) others considering a similar approach need to be aware of and sensitive to trainees' feelings.

  6. Undergraduates' Text Messaging Language and Literacy Skills

    Science.gov (United States)

    Grace, Abbie; Kemp, Nenagh; Martin, Frances Heritage; Parrila, Rauno

    2014-01-01

    Research investigating whether people's literacy skill is being affected by the use of text messaging language has produced largely positive results for children, but mixed results for adults. We asked 150 undergraduate university students in Western Canada and 86 in South Eastern Australia to supply naturalistic text messages and to complete…

  7. Accounting Majors' Perceptions of Future Career Skills: An Exploratory Analysis

    Science.gov (United States)

    Parham, Abbie Gail; Noland, Thomas G.; Kelly, Julia Ann

    2012-01-01

    Business education is often criticized for its failure to develop lifelong skills. This study examines the opinions of 205 students to determine what skills they deem to be important for their future careers. The study then compares the opinions of accounting students against other business disciplines. The results of the study are mixed for the…

  8. Combining tower mixing ratio and community model data to estimate regional-scale net ecosystem carbon exchange by boundary layer inversion over four flux towers in the United States

    Science.gov (United States)

    Dang, Xuerui; Lai, Chun-Ta; Hollinger, David Y.; Schauer, Andrew J.; Xiao, Jingfeng; Munger, J. William; Owensby, Clenton; Ehleringer, James R.

    2011-09-01

    We evaluated an idealized boundary layer (BL) model with simple parameterizations using vertical transport information from community model outputs (NCAR/NCEP Reanalysis and ECMWF Interim Analysis) to estimate regional-scale net CO2 fluxes from 2002 to 2007 at three forest and one grassland flux sites in the United States. The BL modeling approach builds on a mixed-layer model to infer monthly average net CO2 fluxes using high-precision mixing ratio measurements taken on flux towers. We compared BL model net ecosystem exchange (NEE) with estimates from two independent approaches. First, we compared modeled NEE with tower eddy covariance measurements. The second approach (EC-MOD) was a data-driven method that upscaled EC fluxes from towers to regions using MODIS data streams. Comparisons between modeled CO2 and tower NEE fluxes showed that modeled regional CO2 fluxes displayed interannual and intra-annual variations similar to the tower NEE fluxes at the Rannells Prairie and Wind River Forest sites, but model predictions were frequently different from NEE observations at the Harvard Forest and Howland Forest sites. At the Howland Forest site, modeled CO2 fluxes showed a lag in the onset of growing season uptake by 2 months behind that of tower measurements. At the Harvard Forest site, modeled CO2 fluxes agreed with the timing of growing season uptake but underestimated the magnitude of observed NEE seasonal fluctuation. This modeling inconsistency among sites can be partially attributed to the likely misrepresentation of atmospheric transport and/or CO2 gradients between ABL and the free troposphere in the idealized BL model. EC-MOD fluxes showed that spatial heterogeneity in land use and cover very likely explained the majority of the data-model inconsistency. We show a site-dependent atmospheric rectifier effect that appears to have had the largest impact on ABL CO2 inversion in the North American Great Plains. We conclude that a systematic BL modeling approach

  9. Soft Skills in Online Job Advertisements: An Analysis of British Online Job Ads for Project Managers and System Engineers

    OpenAIRE

    Grandjean, Noémie

    2017-01-01

    In the working world, soft skills are nowadays considered as important as hard skills. Whereas hard skills are technical skills, soft skills are personal attributes that enable someone to work better. Job advertisements are one medium by which employers communicate which skills they expect from candidates. This thesis aims at identifying and analysing soft skills in 120 online job-advertisements. It focuses on one country, the United Kingdom, and four positions, namely non-senior / senior Pro...

  10. Nurse manager characteristics and skills: curriculum implications.

    Science.gov (United States)

    Dienemann, J; Shaffer, C

    1993-01-01

    If one accepts the premise that all nurses need knowledge of management and leadership, then schools of nursing need to design their curriculum to provide administrative content and learning experiences to adequately prepare nurses for leadership positions. This study assays the opinions of nurse unit managers about the relative importance of different characteristics and skills in effective job performance. A sample of 73 unit managers from six hospitals and two community health agencies ranked human relations and communication skills as most important. Nursing knowledge and clinical skills were ranked second. Experienced managers thought political savvy and business or management skills were more important than did novice managers. The results of this study are discussed in relation to curriculum issues in nursing management at both the baccalaureate and the graduate level.

  11. Instructional Alignment of Workplace Readiness Skills in Career and Technical Education

    Science.gov (United States)

    Martin, Sarah Jane

    2009-01-01

    The United States faces a skills shortage that goes beyond academic and technical skills. Employers report entry-level workers lack the necessary "soft" skills, also referred to as workplace readiness skills, needed for success in the workforce; thus, calling on educational institutions to make improvements in high school curriculum in…

  12. Hybrid Learning in Enhancing Communicative Skill in English

    Science.gov (United States)

    Singaravelu, G.

    2010-01-01

    The present study highlights the effectiveness of Hybrid-Learning in enhancing communicative skill in English among the Trainees of Bachelor of education of School of Distance Education, Bharathiar University,Coimbatore. Hybrid learning refers to mixing of different learning methods or mixing two more methods for teaching learning process. It…

  13. Mixed cryoglobulinemia

    Directory of Open Access Journals (Sweden)

    Ferri Clodoveo

    2008-09-01

    Full Text Available Abstract Mixed cryoglobulinemia (MC, type II and type III, refers to the presence of circulating cryoprecipitable immune complexes in the serum and manifests clinically by a classical triad of purpura, weakness and arthralgias. It is considered to be a rare disorder, but its true prevalence remains unknown. The disease is more common in Southern Europe than in Northern Europe or Northern America. The prevalence of 'essential' MC is reported as approximately 1:100,000 (with a female-to-male ratio 3:1, but this term is now used to refer to a minority of MC patients only. MC is characterized by variable organ involvement including skin lesions (orthostatic purpura, ulcers, chronic hepatitis, membranoproliferative glomerulonephritis, peripheral neuropathy, diffuse vasculitis, and, less frequently, interstitial lung involvement and endocrine disorders. Some patients may develop lymphatic and hepatic malignancies, usually as a late complication. MC may be associated with numerous infectious or immunological diseases. When isolated, MC may represent a distinct disease, the so-called 'essential' MC. The etiopathogenesis of MC is not completely understood. Hepatitis C virus (HCV infection is suggested to play a causative role, with the contribution of genetic and/or environmental factors. Moreover, MC may be associated with other infectious agents or immunological disorders, such as human immunodeficiency virus (HIV infection or primary Sjögren's syndrome. Diagnosis is based on clinical and laboratory findings. Circulating mixed cryoglobulins, low C4 levels and orthostatic skin purpura are the hallmarks of the disease. Leukocytoclastic vasculitis involving medium- and, more often, small-sized blood vessels is the typical pathological finding, easily detectable by means of skin biopsy of recent vasculitic lesions. Differential diagnoses include a wide range of systemic, infectious and neoplastic disorders, mainly autoimmune hepatitis, Sjögren's syndrome

  14. A Programmatic Description of a Social Skills Group for Young Children with Autism

    Science.gov (United States)

    Leaf, Justin B.; Dotson, Wesley H.; Oppenheim-Leaf, Misty L.; Sherman, James A.; Sheldon, Jan B.

    2012-01-01

    Deficits in social skills are a common problem for children with autism. One method of developing appropriate social skills in children with autism has been group instruction. To date, however, group instruction has produced mixed results. The purpose of this article is to describe a promising method of teaching social skills to children in small…

  15. A Programmatic Description of a Social Skills Group for Young Children with Autism

    Science.gov (United States)

    Leaf, Justin B.; Dotson, Wesley H.; Oppenheim-Leaf, Misty L.; Sherman, James A.; Sheldon, Jan B.

    2012-01-01

    Deficits in social skills are a common problem for children with autism. One method of developing appropriate social skills in children with autism has been group instruction. To date, however, group instruction has produced mixed results. The purpose of this article is to describe a promising method of teaching social skills to children in small…

  16. Outdoorsman, Unit III.

    Science.gov (United States)

    Alberta Dept. of Agriculture, Edmonton.

    The third and final unit of the 4-H Outdoorsman Program covers the most advanced and challenging campcraft skills for 4-H members in British Columbia, Alberta, Saskatchewan and Manitoba. Survival camping (including building shelters and finding food), in-depth map-reading and orienteering, game management, hiking themes and recordkeeping are all…

  17. Ostomy Home Skills Program

    Medline Plus

    Full Text Available ... Legislation Tracked by the College Quality Quality Quality Electronic Health Records (EHR) Incentive Program Physician Quality Reporting ... Skills Kit supports patients with educational and simulation materials to learn and practice the skills needed for ...

  18. Ostomy Home Skills Program

    Science.gov (United States)

    ... Surgery Resident Skills Curriculum ACS/APDS/ASE Resident Prep Curriculum ACS/ASE Medical Student Core Curriculum ACS/ ... Registry Trauma Education Trauma Education Trauma Education Achieving Zero Preventable Deaths Trauma Systems Conference Advanced Surgical Skills ...

  19. Ostomy Home Skills Program

    Medline Plus

    Full Text Available ... Surgery Resident Skills Curriculum ACS/APDS/ASE Resident Prep Curriculum ACS/ASE Medical Student Core Curriculum ACS/ ... Registry Trauma Education Trauma Education Trauma Education Achieving Zero Preventable Deaths Trauma Systems Conference Advanced Surgical Skills ...

  20. Teaching Reading Skills

    Institute of Scientific and Technical Information of China (English)

    刘恒

    2014-01-01

    Reading skills are very important part in language teaching and learning. This paper is written after attending lectures given by an Australian teacher named Rod Ellis focusing on how to teach reading skills using authentic materials.

  1. Ostomy Home Skills Program

    Medline Plus

    Full Text Available ... skills such as emptying and changing a pouch, problem solving, and home management. A DVD with demonstration of each skill Stoma Practice Model Stoma supplies (measurement guide, marking ...

  2. Ostomy Home Skills Program

    Medline Plus

    Full Text Available ... You Want to Be a Surgeon Resident Resources Teaching Resources Online Guide to Choosing a Surgical Residency ... Skills Kit supports patients with educational and simulation materials to learn and practice the skills needed for ...

  3. Ostomy Home Skills Program

    Medline Plus

    Full Text Available ... You Want to Be a Surgeon Resident Resources Teaching Resources Online Guide to Choosing a Surgical Residency ... Ostomy Home Skills Program Ostomy Home Skills Program Adult Ostomy Pediatric Ostomy Programa de Destrezas para manejo ...

  4. Ostomy Home Skills Program

    Medline Plus

    Full Text Available ... Stay Up to Date with ACS Association Management Jobs Events Find a Surgeon Patients and Family Contact My Profile Shop/Donate ( 0 ) Items American College of Surgeons Education Patients and Family Skills Programs Ostomy Home Skills ...

  5. Ostomy Home Skills Program

    Medline Plus

    Full Text Available ... Trauma and EMS Cancer and Research Health Information Technology Scope of Practice Pediatric Issues Other Federal Legislative ... Skills Kit supports patients with educational and simulation materials to learn and practice the skills needed for ...

  6. Ostomy Home Skills Program

    Medline Plus

    Full Text Available ... kit contains: A booklet with information on the operation, home skills such as emptying and changing a pouch, problem solving, and home management. A DVD with demonstration of each skill Stoma ...

  7. Ostomy Home Skills Program

    Medline Plus

    Full Text Available ... AEI Consortium Quarterly ACS Chapter News The CoC Source Committee on Trauma News The Cutting Edge NAPBC ... login or create account first) Skills Kits Broadcast Rights for Hospitals Ostomy Home Skills Hospital Quality Improvement ...

  8. Ostomy Home Skills Program

    Medline Plus

    Full Text Available ... About SSC SSC Membership Directory 2016 Annual Meeting Women's Committee Mentorship Program Outside Activities ACS Archives Contact ... login or create account first) Skills Kits Broadcast Rights for Hospitals Ostomy Home Skills Hospital Quality Improvement ...

  9. Into the Curriculum: Reading/Language Arts/Art: Using Amelia Bedelia Books to Teach Figurative and Literal Meanings [and] Reading/Language Arts/Mathematics: Create an Internet Pizza Cafe that Serves Pizza, Poetry, Technology, and More! [and] Reading/Language Arts: Finding Secret Words: Beginning Dictionary Skills [and] Science: What Big Teeth You Have! Alligators All Around [and] Science: Rube Goldberg and Simple Machines [and] Social Studies: Folklore--An Integrated Unit.

    Science.gov (United States)

    Wood, Eve; Maggi, Barbara Hall; Napier, Marion; Troisi, Andrea; Heiser, Pam; Rinehart, Sharon

    1998-01-01

    Provides six fully developed library media activities that are designed for use with specific curriculum units in reading and language arts, art, mathematics, science, and social studies. Library media skills, objectives, grade levels, instructional roles, evaluation, and follow-up are described for each activity. (LRW)

  10. Ostomy Home Skills Program

    Medline Plus

    Full Text Available ... Ostomy Home Skills Program Ostomy Home Skills Program Adult Ostomy Pediatric Ostomy Programa de Destrezas para manejo Doméstico de Ostomía Ostomy Home Skills Program Adult Ostomy Pediatric Ostomy Programa de Destrezas para manejo ...

  11. School Leadership Skill Development

    Science.gov (United States)

    Weigel, Richard A.

    2013-01-01

    The purpose of this study was to investigate the relationship between what is currently understood about skills for school leadership and the need for a greater understanding of those skills. The importance of developing leadership skills to improve school performance and effectiveness is great. In the field of school leadership, most leaders…

  12. Assessing Skill Development

    Science.gov (United States)

    Mueller, Jon

    2008-01-01

    Most educators are familiar with instances of authentic assessment of "content" within the disciplines or of authentic assessment of "discipline-specific skills." In such authentic assessments, students apply the knowledge and skills of the discipline to situations or tasks that replicate real world challenges. The measurement of skills is…

  13. School Leadership Skill Development

    Science.gov (United States)

    Weigel, Richard A.

    2013-01-01

    The purpose of this study was to investigate the relationship between what is currently understood about skills for school leadership and the need for a greater understanding of those skills. The importance of developing leadership skills to improve school performance and effectiveness is great. In the field of school leadership, most leaders…

  14. Ostomy Home Skills Program

    Medline Plus

    Full Text Available ... SSC About SSC SSC Membership Directory Annual Meeting ... Ostomy Pediatric Ostomy Ostomía Adulto Order Today Ostomy Home Skills Kit (login or create account first) Skills Kits Broadcast Rights for Hospitals Ostomy Home Skills Hospital Quality Improvement ...

  15. Ageing and skills

    DEFF Research Database (Denmark)

    Desjardins, Richard; Warnke, Arne Jonas

    of countries. Specifically, repeated measures will enable an analysis of whether there is skill gain and skill loss over the lifespan of cohorts and overtime between cohorts. This is especially important because age-skill profiles observed on the basis of a single cross-section are difficult to interpret...... the lifespan and over time....

  16. Corrective Action Decision Document/Corrective Action Plan for the 92-Acre Area and Corrective Action Unit 111: Area 5 WMD Retired Mixed Waste Pits, Nevada Test Site, Nevada

    Energy Technology Data Exchange (ETDEWEB)

    NSTec Environmental Restoration

    2009-07-31

    This Corrective Action Decision Document/Corrective Action Plan (CADD/CAP) has been prepared for the 92-Acre Area, the southeast quadrant of the Radioactive Waste Management Site, located in Area 5 of the Nevada Test Site (NTS). The 92-Acre Area includes Corrective Action Unit (CAU) 111, 'Area 5 WMD Retired Mixed Waste Pits.' Data Quality Objectives (DQOs) were developed for the 92-Acre Area, which includes CAU 111. The result of the DQO process was that the 92-Acre Area is sufficiently characterized to provide the input data necessary to evaluate corrective action alternatives (CAAs) without the collection of additional data. The DQOs are included as Appendix A of this document. This CADD/CAP identifies and provides the rationale for the recommended CAA for the 92-Acre Area, provides the plan for implementing the CAA, and details the post-closure plan. When approved, this CADD/CAP will supersede the existing Pit 3 (P03) Closure Plan, which was developed in accordance with Title 40 Code of Federal Regulations (CFR) Part 265, 'Interim Status Standards for Owners and Operators of Hazardous Waste Treatment, Storage, and Disposal Facilities.' This document will also serve as the Closure Plan and the Post-Closure Plan, which are required by 40 CFR 265, for the 92-Acre Area. After closure activities are complete, a request for the modification of the Resource Conservation and Recovery Act Permit that governs waste management activities at the NTS will be submitted to the Nevada Division of Environmental Protection to incorporate the requirements for post-closure monitoring. Four CAAs, ranging from No Further Action to Clean Closure, were evaluated for the 92-Acre Area. The CAAs were evaluated on technical merit focusing on performance, reliability, feasibility, safety, and cost. Based on the evaluation of the data used to develop the conceptual site model; a review of past, current, and future operations at the site; and the detailed and comparative

  17. Corrective Action Decision Document/Corrective Action Plan for the 92-Acre Area and Corrective Action Unit 111: Area 5 WMD Retired Mixed Waste Pits, Nevada National Security Site, Nevada

    Energy Technology Data Exchange (ETDEWEB)

    NSTec Environmental Restoration

    2010-11-22

    This Corrective Action Decision Document/Corrective Action Plan (CADD/CAP) has been prepared for the 92-Acre Area, the southeast quadrant of the Radioactive Waste Management Site, located in Area 5 of the Nevada National Security Site (NNSS). The 92-Acre Area includes Corrective Action Unit (CAU) 111, 'Area 5 WMD Retired Mixed Waste Pits.' Data Quality Objectives (DQOs) were developed for the 92-Acre Area, which includes CAU 111. The result of the DQO process was that the 92-Acre Area is sufficiently characterized to provide the input data necessary to evaluate corrective action alternatives (CAAs) without the collection of additional data. The DQOs are included as Appendix A of this document. This CADD/CAP identifies and provides the rationale for the recommended CAA for the 92-Acre Area, provides the plan for implementing the CAA, and details the post-closure plan. When approved, this CADD/CAP will supersede the existing Pit 3 (P03) Closure Plan, which was developed in accordance with Title 40 Code of Federal Regulations (CFR) Part 265, 'Interim Status Standards for Owners and Operators of Hazardous Waste Treatment, Storage, and Disposal Facilities.' This document will also serve as the Closure Plan and the Post-Closure Plan, which are required by 40 CFR 265, for the 92-Acre Area. After closure activities are complete, a request for the modification of the Resource Conservation and Recovery Act Permit that governs waste management activities at the NNSS will be submitted to the Nevada Division of Environmental Protection to incorporate the requirements for post-closure monitoring. Four CAAs, ranging from No Further Action to Clean Closure, were evaluated for the 92-Acre Area. The CAAs were evaluated on technical merit focusing on performance, reliability, feasibility, safety, and cost. Based on the evaluation of the data used to develop the conceptual site model; a review of past, current, and future operations at the site; and the detailed

  18. Empowering Workers to Rebuild America's Economy and Longer-Term Competitiveness: Green Skills Training for Workers. Hearing of the Committee on Health, Education, Labor, and Pensions, United States Senate, One Hundred Eleventh Congress, First Session on Examining Empowering Workers to Rebuild America's Economy and Longer-Term Competitiveness, Focusing on Green Skills Training for Workers (April 21, 2009). Senate Hearing 111-813

    Science.gov (United States)

    US Senate, 2011

    2011-01-01

    Among the topics discussed in this hearing were: what constitutes green energy, how workers can best be provided the skills to thrive in green industries, and the future of America's energy and environmental policies. Statements were presented by: Honorable Patty Murray, a U.S. Senator from the State of Washington, opening statement; Honorable…

  19. Elments constintute teachers’ teaching skills

    OpenAIRE

    Hoa, H.; Lам, P.

    2014-01-01

    Teachers’ pedagogical activities are constituted by many skills such as teaching skills, education skills, and skills of performing varied pedagogical ac- tivities. Each skill is formed from a variety of specifi c skills. Approaching teachers’ teaching skills based on pedagogical operation base can help us establish methods and develop skills for teachers. By doing so, we can assist teachers to enhance their teaching competence contributing to teaching quality improvement in schools

  20. Perceived importance of pharmacy management skills.

    Science.gov (United States)

    Faris, Richard J; MacKinnon, George E; MacKinnon, Neil J; Kennedy, Pamela L

    2005-05-15

    U.S. and Canadian health-system pharmacists' perceptions of the importance of managerial skills and self-ratings of skills were studied. A questionnaire asking recipients to rate the importance of 61 pharmacy management skills and to rate their own skill levels was prepared. The instrument was mailed in 2000 to pharmacy managers in Canada. Participants in the Leadership in Healthcare Administration for Pharmacists conference in Phoenix, Arizona, received the survey at the end of the 2001 and 2002 conferences. Participants in the 2002 Department of Veterans Affairs pharmacists' conference in Memphis, Tennessee, received the survey eight weeks before the conference. The net response rates for the Canadian, Arizona, and Tennessee surveys were 52.7%, 56.9%, and 38.4%, respectively. The five skills rated most important in each of the three surveys were all practice foundation skills and tended to be required by all health care managers. Skills rated least important were also generally similar among the surveys. Only five skills demonstrated a significant mean difference in perceived importance among the surveys. In all three surveys, demonstrating ethical conduct was rated the most important skill and was judged by participants to be their greatest strength. Using an organized system for staying current with managerial literature was cited as the greatest weakness by the Tennessee sample and the second greatest weakness by the Canadian sample. Surveys in the United States and Canada found differences and similarities in pharmacy managers' opinions of the importance of managerial skills and in self-rated managerial strengths. Also identified were gaps in training.

  1. Cognitive Skill in Medicine: An Introduction

    NARCIS (Netherlands)

    Cnossen, Fokie; Lanzer, Peter

    2015-01-01

    Cognition encompasses all processes from perception to action including attention and memory, reasoning, and decision making. Therefore, all skills (perceptual skills, motor skills, diagnosing skill, medical skills) are cognitive skills. Cognitive skills are supported by two types of knowledge:

  2. Improving Nurses' Peripheral Intravenous Catheter Insertion Knowledge, Confidence, and Skills Using a Simulation-Based Blended Learning Program

    Science.gov (United States)

    Keleekai, Nowai L.; Schuster, Catherine A.; Murray, Connie L.; King, Mary Anne; Stahl, Brian R.; Labrozzi, Laura J.; Gallucci, Susan; LeClair, Matthew W.; Glover, Kevin R.

    2016-01-01

    Introduction Peripheral intravenous catheter (PIVC) insertion is one of the most common invasive procedures performed in a hospital, but most nurses receive little formal training in this area. Blended PIVC insertion training programs that incorporate deliberate simulated practice have the potential to improve clinical practice and patient care. Methods The study was a randomized, wait-list control group with crossover using nurses on three medical/surgical units. Baseline PIVC knowledge, confidence, and skills assessments were completed for both groups. The intervention group then received a 2-hour PIVC online course, followed by an 8-hour live training course using a synergistic mix of three simulation tools. Both groups were then reassessed. After crossover, the wait-list group received the same intervention and both groups were reassessed. Results At baseline, both groups were similar for knowledge, confidence, and skills. Compared with the wait-list group, the intervention group had significantly higher scores for knowledge, confidence, and skills upon completing the training program. After crossover, the wait-list group had similarly higher scores for knowledge, confidence, and skills than the intervention group. Between the immediate preintervention and postintervention periods, the intervention group improved scores for knowledge by 31%, skills by 24%, and decreased confidence by 0.5%, whereas the wait-list group improved scores for knowledge by 28%, confidence by 16%, and skills by 15%. Conclusions Results demonstrate significant improvements in nurses' knowledge, confidence, and skills with the use of a simulation-based blended learning program for PIVC insertion. Transferability of these findings from a simulated environment into clinical practice should be further explored. PMID:27504890

  3. Enabling performance skills: Assessment in engineering education

    Science.gov (United States)

    Ferrone, Jenny Kristina

    Current reform in engineering education is part of a national trend emphasizing student learning as well as accountability in instruction. Assessing student performance to demonstrate accountability has become a necessity in academia. In newly adopted criterion proposed by the Accreditation Board for Engineering and Technology (ABET), undergraduates are expected to demonstrate proficiency in outcomes considered essential for graduating engineers. The case study was designed as a formative evaluation of freshman engineering students to assess the perceived effectiveness of performance skills in a design laboratory environment. The mixed methodology used both quantitative and qualitative approaches to assess students' performance skills and congruency among the respondents, based on individual, team, and faculty perceptions of team effectiveness in three ABET areas: Communications Skills. Design Skills, and Teamwork. The findings of the research were used to address future use of the assessment tool and process. The results of the study found statistically significant differences in perceptions of Teamwork Skills (p teamwork, among freshman engineering students; (2) incorporate feedback into the learning process; (3) strengthen the assessment process with a follow-up plan that specifically targets performance skill deficiencies, and (4) integrate the assessment instrument and practice with ongoing curriculum development. The findings generated by this study provides engineering departments engaged in assessment activity, opportunity to reflect, refine, and develop their programs as it continues. It also extends research on ABET competencies of engineering students in an under-investigated topic of factors correlated with team processes, behavior, and student learning.

  4. Mixed Stroke

    Institute of Scientific and Technical Information of China (English)

    HuangRuxun(黄如训); Zeng Jinsheng(曾进胜)

    2000-01-01

    Purpose To summarize the chnical, autoptic and animal experimental dala of stroke, propose the concept of mixed stroke (MS) and demonstrate the enoiogy, pathogenesis, clinical mainfestations, prophylaxis and treatment of MS Background At present. stroke still is classified in the national and international academic fields as two main groups: hemorrhage and ischema In fact, thc cerebral vascular disease with hemorrhage forus and ischema focus at the same time is not rare moreover, this type of stroke has special etiology, pathogenesis and clinical manifestations. But it is always made a main dagnosis and neglected the other nature of coexistent focus on either clinical or pathological diagnosis according to traditional classification of stroke Data sources and methods Mort of pablished originsl articles about MS in our department and laboralory wcre reviewed. Resulta The clinical autoptic and animal experimental dats all prcved that hemorrhage and infarction could occur in the course of a stroke simultaneously or in suecession during a short time, which demonstrated the existence of MS It was found clinically that MS patients all had the hustory of hypcrtension and in the autoptic data the MS patients dying of stroke all had typical hypertensive changes in the heart and kidney. and had hypertensive arteriosclerosis in the cerebral arteriole and small artery. MS was cas lily thdueed in stroke-prone renovascular hypertensivc rats This kind of rats are free from genetic deficiency and arc not affected by senile factor, so their cerebral vascular foci are mainly induced by the single factor -hypertension. TThese indicate definitely that hypertensive cerebral vascular lesion is the basis inducing MS. The main lesions of hypertensive cerebral arteriole and small artery were hyalinosis and fibrinoid of the walls, and the formation of microaneurysms or hyperplasla of iniernal and external layers The math lcsions of hypertensive cerebral capillaries were increasing vascular

  5. Lecturing skills as predictors of tutoring skills in a problem-based medical curriculum

    Directory of Open Access Journals (Sweden)

    Kassab SE

    2016-01-01

    Full Text Available Salah Eldin Kassab,1 Nahla Hassan,1 Marwan F Abu-Hijleh,2 Reginald P Sequeira3 1Department of Medical Education, Faculty of Medicine, Suez Canal University, Ismailia, Egypt; 2College of Medicine, Qatar University, Doha, Qatar; 3College of Medicine and Medical Sciences, Arabian Gulf University, Manama, Kingdom of Bahrain Purpose: Recruitment of tutors to work in problem-based learning (PBL programs is challenging, especially in that most of them are graduated from discipline-based programs. Therefore, this study aims at examining whether lecturing skills of faculty could predict their PBL tutoring skills. Methods: This study included evaluation of faculty (n=69 who participated in both tutoring and lecturing within particular PBL units at the College of Medicine and Medical Sciences (CMMS, Arabian Gulf University, Bahrain. Each faculty was evaluated by medical students (n=45±8 for lecturing and 8±2 for PBL tutoring using structured evaluation forms based on a Likert-type scale (poor to excellent. The prediction of tutoring skills using lecturing skills was statistically analyzed using stepwise linear regression. Results: Among the parameters used to judge lecturing skills, the most important predictor for tutoring skills was subject matter mastery in the lecture by explaining difficult concepts and responding effectively to students' questions. Subject matter mastery in the lecture positively predicted five tutoring skills and accounted for 25% of the variance in overall effectiveness of the PBL tutors (F=22.39, P=0.000. Other important predictors for tutoring skills were providing a relaxed class atmosphere and effective use of audiovisual aids in the lecture. Conclusion: Predicting the tutoring skills based on lecturing skills could have implications for recruiting tutors in PBL medical programs and for tutor training initiatives. Keywords: PBL, tutor, tutoring skills, lecturing skills

  6. Comparability of nurse staffing measures in examining the relationship between RN staffing and unit-acquired pressure ulcers: a unit-level descriptive, correlational study.

    Science.gov (United States)

    Choi, JiSun; Staggs, Vincent S

    2014-10-01

    Various staffing measures have been used in examining the relationship between nurse staffing and patient outcomes. Little research has been conducted to compare these measures based on their explanatory power as predictors of nursing-sensitive outcomes. In this study, both administrative and nurse-reported measures were examined. Administrative measures included registered nurse (RN) skill mix and three versions of nursing hours per patient day (HPPD); nurse-reported measures included RN-reported number of assigned patients and RN-perceived staffing adequacy. To examine correlations among six nurse staffing measures and to compare their explanatory power in relation to unit-acquired pressure ulcers (UAPUs). Descriptive, correlational study. 2397 nursing units in 409 U.S. acute care hospitals. Random-intercept logistic regression analyses were performed using 2011 data from a national database. Relationships between nurse staffing measures and UAPU occurrences were examined in eight models, each with one or more staffing measures as predictors. Characteristics of nursing units (RN workgroup education level and RN workgroup unit tenure) and hospitals (size, teaching status, and Magnet status) were included as control variables. Two versions of HPPD (total nursing HPPD and RN HPPD) and RN skill mix were significantly correlated with RN-reported number of assigned patients (r range=-0.87 to -0.75). These staffing measures had weaker correlations with RN-perceived staffing adequacy (r range=0.16 to 0.23). Of the six staffing variables, only RN-perceived staffing adequacy and RN skill mix were significantly associated with UAPU odds, the former being the better predictor. Although RN-perceived staffing adequacy was not highly correlated with administrative measures of HPPD and RN skill mix, it was the strongest predictor of UAPU occurrences. RN-perceived staffing adequacy can serve as a more appropriate measure of staffing for nursing-sensitive outcomes research than

  7. The effect of short simulation training on critical care unit physicians' management skills%高仿真模拟平台短期培训对重症医学科医师抢救组织能力的影响

    Institute of Scientific and Technical Information of China (English)

    王涛; 熊建琼; 张雷; 张永辉

    2012-01-01

    Objective To evaluate whether the human patient simulator-based training would improve the leadership and management skills in critical care unit physicians.Methods The 40 physicians was completed 1/2 day of training on the human patient simulator. Each subject participated in four scenarios in the rescue team and two experts scored emergency care skills and teamwork leadership/interpersonal skills. A multiple choice question examination and training effectiveness questionnaire were completed before and after training.Results The training effectiveness had more advantages than traditional teaching.Improvement was seen in participants' scores in leadership skills ( 34.8% ),interpersonal ability ( 36.5% ) and self-confidence ( 29.9% ).Conclusion Human patient simulator training may be useful for leadership,teamwork,and self-confidence skills in critical care unit physicians.%目的 了解高仿真模拟平台短期培训对重症医学科医师抢救组织能力的影响.方法 利用高仿真模拟平台,对即将从事重症医学临床工作的40名医师进行为期半天的培训;每组4人,分别轮流担任抢救组织领导、实施、监护和护士角色,培训全程录像;抢救结束后参加培训人员观看录像,由两名高年资主治医师以上人员进行点评;通过调查问卷,评价教学效果.结果 调查问卷回收率为100%,认为该培训方式优于传统方式的占97.5%.参与者抢救组织能力、协作意识、自信心分别提高了34.8%、36.5%、29.9%,其中对低年资医师提高更加明显.结论 利用高仿模拟平台对重症医学医师进行短期培训,可提高抢救组织能力.

  8. Communication skills of nurses: Samsun sample

    Directory of Open Access Journals (Sweden)

    Hatice Kumcağız

    2011-03-01

    Full Text Available The aim of this study was to investigate communication skills of nurses with different variables in Samsun province. This study is planned in a descriptive and a cross-sectional manner.Materials and methods: This study includes 741 nurses working at different hospitals in Samsun. These participants were asked to complete “Personal Information Form” and “Communication Skills Scale” questionnaires. The data analysis methods used in the study were percentage distribution, t-test, one-way variance analysis, and Kruskal-Wallis analysis.Results: Communication skills of nurses graduated university had significant differences in behavioral communication sub scale. A significant difference was found between the years of employment. Communication skills levels of nurses working 20 and over years were higher than the others. Behavioral communication skills of nurses working at outpatient polyclinic were higher than the other nurses working at the other units.Conclusion: Levels of communication skills of nurses were low in some sub-scales and the findings of the study leaded to various suggestions to develop communication skills in nurses.

  9. Capital-Skill Complementarity and Rigid Relative Wages

    DEFF Research Database (Denmark)

    Rose Skaksen, Jan; Sørensen, Anders

    2004-01-01

    be countercyclical. The labor market is competitivein the United States and therefore relative wages of skilled labor are expected to becountercyclical. We find that the business cycle development of the two economiesis consistent with capital-skill complementarity.Keywords: capital-skill complementarity, relative......The relative demand for skills has increased considerably in many OECD countriesduring recent decades. This development is potentially explained by capital-skillcomplementarity and high growth rates of capital equipment. When productionfunctions are characterized by capital-skill complementarity......, relative wages and employmentof skilled labor are countercyclical because capital equipment is a quasi-fixed factor in the short run. The exact behavior of the two variables depends onrelative wage flexibility. Relative wages are rigid in Denmark, implying that the employmentshare of skills should...

  10. Decreasing Plagiarism Using Critical Thinking Skills.

    Science.gov (United States)

    Hall, Ann W.

    A practicum project emphasizing critical thinking skills was undertaken in an eighth grade history class to make students aware of the nature and seriousness of plagiarism. The 10-week unit was preceded by a reading comprehension test and an essay assignment on a major Civil War battle. Plagiarized portions of the essays were highlighted and the…

  11. Skills Governance and the Workforce Development Programme

    Science.gov (United States)

    Hordern, Jim

    2013-01-01

    In the United Kingdom higher education environment, government may make efforts to encourage institutions to engage in governance structures to secure policy objectives through a steering approach. In this article connections between skills governance structures and the recent Higher Education Funding Council for England workforce development…

  12. Mixed plastics recycling technology

    CERN Document Server

    Hegberg, Bruce

    1995-01-01

    Presents an overview of mixed plastics recycling technology. In addition, it characterizes mixed plastics wastes and describes collection methods, costs, and markets for reprocessed plastics products.

  13. Music Experience Influences Laparoscopic Skills Performance

    OpenAIRE

    Boyd, Tanner; Jung, Inkyung; Van Sickle, Kent; Schwesinger, Wayne; Michalek, Joel; Bingener, Juliane

    2008-01-01

    Background: Music education affects the mathematical and visuo-spatial skills of school-age children. Visuo-spatial abilities have a significant effect on laparoscopic suturing performance. We hypothesize that prior music experience influences the performance of laparoscopic suturing tasks. Methods: Thirty novices observed a laparoscopic suturing task video. Each performed 3 timed suturing task trials. Demographics were recorded. A repeated measures linear mixed model was used to examine the ...

  14. A-Gendering Skill. Conversations around Women, Work and Skill: An Australian Perspective. EEE703 Project Development Plan 2.

    Science.gov (United States)

    Butler, Elaine, Ed.; Brown, Mike, Ed.

    These 12 papers are part of the study materials for the one-semester distance education unit, Project Development Plan 2, in the Open Campus Program at Deakin University (Australia). They examine the breadth and depth of the actions and debates around the social construction of skill and the critical role played by the concept of skill in the…

  15. Teacher's communication skills

    OpenAIRE

    ZIKLOVÁ, Hana

    2010-01-01

    This diploma thesis concerns the area of self-presentation of a teacher and effective use of his communication skills. The thesis is divided into two parts. The first part is theoretical and presents basic concepts of social communication and defines communication skills essential for effective teaching. The practical part is partly based on the output of a questionnaire survey where the author probes knowledge of communication skills of students of pedagogical faculty and how they evaluate t...

  16. Neutronics Benchmarks for the Utilization of Mixed-Oxide Fuel: Joint U.S./Russian Progress Report for Fiscal Year 1997 Volume 2-Calculations Performed in the United States

    Energy Technology Data Exchange (ETDEWEB)

    Primm III, RT

    2002-05-29

    This volume of the progress report provides documentation of reactor physics and criticality safety studies conducted in the US during fiscal year 1997 and sponsored by the Fissile Materials Disposition Program of the US Department of Energy. Descriptions of computational and experimental benchmarks for the verification and validation of computer programs for neutron physics analyses are included. All benchmarks include either plutonium, uranium, or mixed uranium and plutonium fuels. Calculated physics parameters are reported for all of the computational benchmarks and for those experimental benchmarks that the US and Russia mutually agreed in November 1996 were applicable to mixed-oxide fuel cycles for light-water reactors.

  17. Ostomy Home Skills Program

    Medline Plus

    Full Text Available ... CME Accreditation CME Joint Providership Program Verification of Knowledge and Skills ... Practice Management Workshops Patients and Family Patient Education Patient Education ...

  18. Ostomy Home Skills Program

    Medline Plus

    Full Text Available ... Verification of Knowledge and Skills Resources Educational Resources Educational Resources E-Learning ... Practice Management Workshops Patients and Family Patient Education Patient Education ...

  19. Portable Presentation And Instruction Unit

    Science.gov (United States)

    Christman, L.; Hoang, N.

    1994-01-01

    Proposed electronic display unit reminiscent of kiosk serves as portable, interactive, multimedia information terminal. Used as traveling science exhibit, aid for teaching science in schools, or training and skill-refresher device for space flight crews. Provides interactive video and audio displays, including three-dimensional-appearing video simulations. Speeds learning and improves retention by applying principles of scientific visualization. Also helps previously trained but recently unpracticed personnel relearn special skills and procedures quickly.

  20. Ostomy Home Skills Program

    Medline Plus

    Full Text Available ... de Destrezas para manejo Doméstico de Ostomía Ostomy Home Skills Program Adult Ostomy Pediatric Ostomy Programa de Destrezas para manejo Doméstico de Ostomía The Ostomy Home Skills Kit supports patients with educational and simulation ...

  1. learning and soft skills

    DEFF Research Database (Denmark)

    Rasmussen, Lauge Baungaard

    2000-01-01

    Learning of soft skills are becoming more and more necessary due to the complexe development of modern companies and their environments. However, there seems to be a 'gap' between intentions and reality regarding need of soft skills and the possiblities to be educated in this subject in particular...

  2. learning and soft skills

    DEFF Research Database (Denmark)

    Rasmussen, Lauge Baungaard

    2000-01-01

    Learning of soft skills are becoming more and more necessary due to the complexe development of modern companies and their environments. However, there seems to be a 'gap' between intentions and reality regarding need of soft skills and the possiblities to be educated in this subject in particular...

  3. Development in teaching skills

    NARCIS (Netherlands)

    van de Grift, W.; van der Wal, M.; Torenbeek, M.

    2011-01-01

    Teaching skills are observed in samples of primary schools in the Netherlands, Belgium, Germany, Slowakia, Croatia and Scotland. A sequential level of difficulty in teaching skills has been observed. Activities in the domains 'ensuring a safe and stimulating environment' and 'efficient lesson organi

  4. Testing Skills in Vertebrates

    Science.gov (United States)

    Funk, Mildred Sears; Tosto, Pat

    2007-01-01

    In this article, the authors present a project that gives students examples of basic skills that many vertebrate species develop as they grow and function in their ecosystem. These activities involve information gathering about surroundings, learning how to use objects, and tracking and searching skills. Different vertebrate species may acquire…

  5. Your skills are important

    CERN Document Server

    2004-01-01

    An ambitious project to compile a skills database, known as the Skills and Talents Inventory (STI), was launched at the beginning of this year. The STI is a vital tool for various aspects of human resources management. The Weekly Bulletin has interviewed Mr Andre John Naudi, CERN's Director of Finance and Human Resources, who was the initiator of the project.

  6. Development in teaching skills

    NARCIS (Netherlands)

    van de Grift, W.; van der Wal, M.; Torenbeek, M.

    2011-01-01

    Teaching skills are observed in samples of primary schools in the Netherlands, Belgium, Germany, Slowakia, Croatia and Scotland. A sequential level of difficulty in teaching skills has been observed. Activities in the domains 'ensuring a safe and stimulating environment' and 'efficient lesson

  7. On Range of Skill

    DEFF Research Database (Denmark)

    Hansen, Thomas Dueholm; Miltersen, Peter Bro; Sørensen, Troels Bjerre

    2008-01-01

    size (and doubly exponential in its depth). We also provide techniques that yield concrete bounds for unbalanced game trees and apply these to estimate the Range of Skill of Tic-Tac-Toe and Heads-Up Limit Texas Hold'em Poker. In particular, we show that the Range of Skill of Tic-Tac-Toe is more than...

  8. Electromechanical Technician Skills Questionnaire.

    Science.gov (United States)

    Anoka-Hennepin Technical Coll., Minneapolis, MN.

    This document contains test items to measure the job skills of electromechanical technicians. Questions are organized in four sections that cover the following topics: (1) shop math; (2) electricity and electronics; (3) mechanics and machining; and (4) plumbing, heating, ventilation and air conditioning, and welding skills. Questions call for…

  9. Measuring internet skills

    NARCIS (Netherlands)

    Deursen, van A.J.A.M.; Dijk, van J.A.G.M.

    2010-01-01

    Research that considers Internet skills often lacks theoretical justifications and does not go beyond basic button knowledge. There is a strong need for a measurement framework that can guide future research. In this article, operational definitions for measuring Internet skills are proposed, applie

  10. Ostomy Home Skills Program

    Medline Plus

    Full Text Available ... with educational and simulation materials to learn and practice the skills needed for optimal postoperative recovery. The kit supports ... home management. A DVD with demonstration of each skill Stoma Practice Model Stoma supplies (measurement guide, marking pen, scissors, ...

  11. Testing Skills in Vertebrates

    Science.gov (United States)

    Funk, Mildred Sears; Tosto, Pat

    2007-01-01

    In this article, the authors present a project that gives students examples of basic skills that many vertebrate species develop as they grow and function in their ecosystem. These activities involve information gathering about surroundings, learning how to use objects, and tracking and searching skills. Different vertebrate species may acquire…

  12. Development in teaching skills

    NARCIS (Netherlands)

    van de Grift, W.; van der Wal, M.; Torenbeek, M.

    2011-01-01

    Teaching skills are observed in samples of primary schools in the Netherlands, Belgium, Germany, Slowakia, Croatia and Scotland. A sequential level of difficulty in teaching skills has been observed. Activities in the domains 'ensuring a safe and stimulating environment' and 'efficient lesson organi

  13. Ostomy Home Skills Program

    Medline Plus

    Full Text Available ... and Workforce Trauma and EMS Cancer and Research Health Information Technology Scope of Practice Pediatric Issues Other Federal ... UOAA). The skills kit contains: A booklet with information on the ... and home management. A DVD with demonstration of each skill Stoma ...

  14. Innovation and Academic Skills

    DEFF Research Database (Denmark)

    Nielsen, René Nesgaard

    2006-01-01

    Literature on skill-biased technological and organisational change has established that these kinds of changes are positively related with demand for highly skilled (and highly educated) labour. Most of the literature is based on the hypothesis that technological and organisational change cause...... a larger demand for highly skilled labour (see e.g. Abramovitz and David 1996; Bresnahan 1999), but it has also been argued that ample supply of highly skilled labour may affect technological change (Acemoglu 2002), and that the relationship is likely to be complementary and interdependent (Caroli and Van...... will be written on an assumption of a positive relationship between innovation and use of academic skills subject to a continuing importance of practical know-how and non-formal learning processes. Confronting this assumption with Danish empirics, interesting research questions arise. Danish empirics thus show...

  15. Teaching Professional Engineering Skills

    DEFF Research Database (Denmark)

    Andersson, Niclas; Andersson, Pernille Hammar

    2010-01-01

    Engineering education aims at providing students with sufficient disciplinary knowledge of science and engineering principles in order for them to become successful engineers. However, to fulfil their roles as professional engineers, students also need to develop personal and interpersonal skills......, as well as professional skills, in order to implement and apply their theoretical and technical knowledge in a real context. CDIO constitutes a comprehensive approach to engineering education in which these additional skills represent fundamental principles besides the predominant technical knowledge....... The implementation of professional skills as well as personal and interpersonal skills in engineering teaching must be done, however, without reducing the existing curriculum of technical disciplines and still allow for the continuous acquisition of new technical knowledge. The general purpose of this study...

  16. Ageing and skills

    DEFF Research Database (Denmark)

    Desjardins, Richard; Warnke, Arne Jonas

    The relationship between ageing and skills is becoming an important policy issue, not least in the context of population ageing. Data from the Programme for the International Assessment of Adult Competencies (PIAAC) will potentially add considerably to the understanding of the relationship between...... ageing and foundation skills. In particular, the fact that data from the 1994-1998 International Adult Literacy Survey (IALS) and the 2003-2007 Adult Literacy and Lifeskills Survey (ALL) will be linked with PIAAC offers a unique opportunity to examine trends over time at the cohort level for a wide range...... of countries. Specifically, repeated measures will enable an analysis of whether there is skill gain and skill loss over the lifespan of cohorts and overtime between cohorts. This is especially important because age-skill profiles observed on the basis of a single cross-section are difficult to interpret...

  17. Teaching Communication Skills to Radiology Residents.

    Science.gov (United States)

    Itri, Jason N; Yacob, Sammy; Mithqal, Ayman

    2017-01-17

    The transition of health care in the United States from volume to value requires a systems-based approach aligning clinical services across the continuum of care. The ability to communicate effectively and resolve conflict is a critical skill within the systems-based model. Recognizing the essential role of communication in medicine, the Accreditation Council of Graduate Medical Education has designated interpersonal and communication skills a core competency for all residents regardless of specialty. Yet, communication skills are often developed through on-the-job training or not at all. Traditional educational curricula use a predominantly didactic approach without opportunities for trainees to observe, actively experiment, or reflect on what is learned as a part of the learning process. In this article, we describe a 1-day experiential communication skills workshop customized for radiology residents that consists of Myers-Briggs Type Indicator and conflict management sessions designed to develop interpersonal, communication, and conflict management skills through group discussion, role-play, and simulation. The purpose of this educational initiative was to determine the perceived value of an experiential communication skills workshop designed for radiology trainees.

  18. LVC interaction within a mixed-reality training system

    Science.gov (United States)

    Pollock, Brice; Winer, Eliot; Gilbert, Stephen; de la Cruz, Julio

    2012-03-01

    The United States military is increasingly pursuing advanced live, virtual, and constructive (LVC) training systems for reduced cost, greater training flexibility, and decreased training times. Combining the advantages of realistic training environments and virtual worlds, mixed reality LVC training systems can enable live and virtual trainee interaction as if co-located. However, LVC interaction in these systems often requires constructing immersive environments, developing hardware for live-virtual interaction, tracking in occluded environments, and an architecture that supports real-time transfer of entity information across many systems. This paper discusses a system that overcomes these challenges to empower LVC interaction in a reconfigurable, mixed reality environment. This system was developed and tested in an immersive, reconfigurable, and mixed reality LVC training system for the dismounted warfighter at ISU, known as the Veldt, to overcome LVC interaction challenges and as a test bed for cuttingedge technology to meet future U.S. Army battlefield requirements. Trainees interact physically in the Veldt and virtually through commercial and developed game engines. Evaluation involving military trained personnel found this system to be effective, immersive, and useful for developing the critical decision-making skills necessary for the battlefield. Procedural terrain modeling, model-matching database techniques, and a central communication server process all live and virtual entity data from system components to create a cohesive virtual world across all distributed simulators and game engines in real-time. This system achieves rare LVC interaction within multiple physical and virtual immersive environments for training in real-time across many distributed systems.

  19. Cognitive Skills in Medicine: An Introduction

    NARCIS (Netherlands)

    Cnossen, Fokie

    2015-01-01

    Cognition encompasses all processes from perception to action including attention and memory, reasoning, and decision making. Therefore, all skills (perceptual skills, motor skills, diagnosing skill, medical skills) are cognitiveskills. Cognitive skills are supported by two types of knowledge:

  20. Partnering with Employers to Promote Job Advancement for Low-Skill Individuals

    Science.gov (United States)

    Martinson, Karin

    2010-01-01

    The current economic climate in the United States and the difficulty employers face in hiring and maintaining a skilled workforce in an increasingly competitive and global economy have generated interest in developing and promoting policies and programs that can most effectively help low-skill individuals gain job skills and move up the economic…

  1. Readers in Adult Basic Education: Component Skills, Eye Movements, and Fluency

    Science.gov (United States)

    Barnes, Adrienne E.; Kim, Young-Suk; Tighe, Elizabeth L.; Vorstius, Christian

    2017-01-01

    The present study explored the reading skills of a sample of 48 adults enrolled in a basic education program in northern Florida, United States. Previous research has reported on reading component skills for students in adult education settings, but little is known about eye movement patterns or their relation to reading skills for this…

  2. Readers in Adult Basic Education: Component Skills, Eye Movements, and Fluency

    Science.gov (United States)

    Barnes, Adrienne E.; Kim, Young-Suk; Tighe, Elizabeth L.; Vorstius, Christian

    2017-01-01

    The present study explored the reading skills of a sample of 48 adults enrolled in a basic education program in northern Florida, United States. Previous research has reported on reading component skills for students in adult education settings, but little is known about eye movement patterns or their relation to reading skills for this…

  3. United Kingdom Shadow Secretary of State for Universities and Skills David Willetts MP (centre) in front of the CMS detector with (from left to right) A. Barr, Partner and Founder, Matterhorn Investment Management LLP P. Bate, S. Harper, M. Willetts, T. Virdee, J. Ellis, CMS Spokesperson G. Tonelli, CMS Technical Coordinator A. Ball and (front) Partner, Caravel Capital H. Hsueh and P. Wells. Monday 4th January 2010

    CERN Multimedia

    Maximilien Brice; Point 5

    2010-01-01

    United Kingdom Shadow Secretary of State for Universities and Skills David Willetts MP (centre) in front of the CMS detector with (from left to right) A. Barr, Partner and Founder, Matterhorn Investment Management LLP P. Bate, S. Harper, M. Willetts, T. Virdee, J. Ellis, CMS Spokesperson G. Tonelli, CMS Technical Coordinator A. Ball and (front) Partner, Caravel Capital H. Hsueh and P. Wells. Monday 4th January 2010

  4. The potential of online technologies and social media in 21st century teacher professional development & practice: a mixed methods study exploring teachers’ personal, professional development and/or classroom use of online technologies in Ireland and United States of America.

    OpenAIRE

    Hagan, Teresa

    2013-01-01

    This research study employed a mixed methods approach to explore connections between teachers’ use of online technologies in their personal lives, for professional development and/ or within classroom practice in Ireland and the USA. In phase 1 of this study, over 80 Irish primary school teachers’ experiences of online Continuing Professional Development (CPD) were examined, through the deployment of interviews, focus groups and an online survey. Almost half of the Irish teachers felt that en...

  5. Wages and Skills Utilization: Effect of Broad Skills and Generic Skills on Wages in Singapore

    Science.gov (United States)

    Ramos, Catherine R.; Ng, Michael Chi Man; Sung, Johnny; Loke, Fiona

    2013-01-01

    Many people go for training to upgrade their skills which is hoped to pave the way for better pay. But what are the kinds of skills that really affect wages? Employers have emphasized the value of generic skills such as interpersonal and communication skills, teamwork and problem solving. Does possession of these skills translate to at least the…

  6. Culinary Life Skills Recipe Guide

    OpenAIRE

    Seberry, Dermot

    2010-01-01

    A book of recipes designed to teach men in rehab, the life skills to cook in their home. Designed to develop domestic skills, social skills and achievement of a FETAC accredited award towards a culinary qualification.

  7. Floorball game skills (evaluation criteria)

    OpenAIRE

    Chlumský, Marek

    2013-01-01

    Title: Playing skills in floorball (evaluation criteria). Target: To create a list of playing skills which an ideal player should demonstrate. Find and verify the evaluation criteria of these skills and inspire trainers to develop these skills in the best way. Methods: Informal interviews, individually structured interviews, analysis and verification of data, pilot testing. Results: Defined playing skills in floorball, developed scale of values of floorball playing skills, creation of exercis...

  8. What is Skilled Coping?

    DEFF Research Database (Denmark)

    Høffding, Simon

    2014-01-01

    The paper uses a phenomenological analysis of interviews with a professional string quartet to critique the notion of ‘skilled coping’ as used by Hubert Dreyfus. According to Dreyfus, skilled coping is a way of being and acting in which one is immersed in one’s actions such that one is not thinking......-called skilled coping, rather than a distinct phenomenon, is a series of connected mental phenomena that span highly reflective stances as well as trance-like states of absorption. Therefore, I point out that Dreyfus’s problematic usage in fact prevents us from appreciating the phenomenological complexity...

  9. Presentation skills for nurses.

    Science.gov (United States)

    Foulkes, Mark

    2015-02-20

    This article emphasises the importance of effective presentation skills. Such skills allow nurses to share knowledge and expertise and to communicate clearly in a range of workplace scenarios. Nurses are increasingly being asked to present in formal and informal situations, such as conferences, poster presentations, job interviews, case reports and ward-based teaching. This article explores the principles underpinning the development of these skills, discusses the situations in which they could be applied and demonstrates how nurses might improve and develop as presenters.

  10. Rethinking generic skills

    Directory of Open Access Journals (Sweden)

    Roy Canning

    2013-10-01

    Full Text Available The paper provides a critical analysis of the notion of generic or transversal skillscontained with European Union policy discourses. The author presents a conceptualframework that challenges the idea that generic skills are universal, transferable andautonomous. An alternative analysis is put forward that argues the case forcontextualising skills and knowledge within particular understandings and cultures thatare more collective than individualistic in nature. The arguments are framed withinwider cross-disciplinary debates in linguistics, geosemiotics and social-cultural theoryand build upon an earlier paper exploring core skills in the UK (Canning, 2007.

  11. Improve your communication skills

    CERN Document Server

    Barker, Alan

    2016-01-01

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

  12. Skill development in experimental courses

    National Research Council Canada - National Science Library

    Bagán, Héctor; Sayós, Rosa; García, José Francisco

    2015-01-01

    ..., promoting reflexive learning and developing generic skills. This study presents different ways of developing and evaluating some important general skills, settle on four specific objectives: 1...

  13. Mixing in explosions

    Energy Technology Data Exchange (ETDEWEB)

    Kuhl, A.L.

    1993-12-01

    Explosions always contain embedded turbulent mixing regions, for example: boundary layers, shear layers, wall jets, and unstable interfaces. Described here is one particular example of the latter, namely, the turbulent mixing occurring in the fireball of an HE-driven blast wave. The evolution of the turbulent mixing was studied via two-dimensional numerical simulations of the convective mixing processes on an adaptive mesh. Vorticity was generated on the fireball interface by baroclinic effects. The interface was unstable, and rapidly evolved into a turbulent mixing layer. Four phases of mixing were observed: (1) a strong blast wave phase; (2) and implosion phase; (3) a reshocking phase; and (4) an asymptotic mixing phase. The flowfield was azimuthally averaged to evaluate the mean and r.m.s. fluctuation profiles across the mixing layer. The vorticity decayed due to a cascade process. This caused the corresponding enstrophy parameter to increase linearly with time -- in agreement with homogeneous turbulence calculations of G.K. Batchelor.

  14. THE MARKETING MIX OPTIMIZATION

    OpenAIRE

    SABOU FELICIA

    2014-01-01

    The paper presents the marketing mix and the necessity of the marketing mix optimization. In the marketing mix a particularly important issue is to choose the best combination of its variables, this lead to the achievement objectives, in time. Choosing the right marketing mix is possible only by reporting information to some clear benchmarks, these criteria a related to the objective of the company at the time of analyze. The study shows that the companies must give a great importance to opti...

  15. SPORT MARKETING MIX STRATEGIES

    OpenAIRE

    Alexandru Lucian MIHAI

    2013-01-01

    This paper presents a brief overview of a significant element of the sport marketing management model called the marketing mix. The marketing mix is crucial because it defines the sport business, and much of the sport marketer’s time is spent on various functions within the marketing mix. The marketing mix is the strategic combination of the product, price, place and promotion elements. These elements are typically called the four Ps of marketing. Decisions and strategies for each are importa...

  16. Information Technology Skills Development for Accounting Graduates: Intervening Conditions

    Science.gov (United States)

    Senik, Rosmila; Broad, Martin

    2011-01-01

    This paper discusses the findings on factors perceived to mitigate educators from incorporating IT skills in their taught unit(s). The factors are discussed under three main categories, which are academic staff-based barriers, environmental-based barriers and student-based barriers. These barriers should be considered in order to encourage the…

  17. Library Media Skills Cook with Family and Consumer Sciences

    Science.gov (United States)

    McCormack, Bunnie

    2005-01-01

    Cooking, sewing, baby-sitting, and storytelling are all units included in Family and Consumer Science classes. This article describes a lesson designed by a consumer science teacher to incorporate media skills into some of these units. The library media specialist and the classroom teacher collaborated on the development of the instructional…

  18. A-level skills

    Science.gov (United States)

    Downie, Neil A.

    2016-12-01

    In reply to the Graduate Careers article "Taking the long view" (October 2016 pp48–50), in which Patrick White and Emma Smith suggest that talk of a skills shortage in science, technology, engineering and mathematics (STEM) is overblown.

  19. Ostomy Home Skills Program

    Medline Plus

    Full Text Available ... and Skills Resources Educational Resources Educational Resources E-Learning Evidence-Based Decisions in Surgery Medical Student Resources ... Scholars in Residence Clinical Trials Methods Course Health Services Research Methods Course Surgeon Specific Registry Trauma Education ...

  20. Ostomy Home Skills Program

    Medline Plus

    Full Text Available ... Safety Resources About the Patient Education Program The Recovery Room Choosing Wisely Educational Programs Educational Programs Educational ... and practice the skills needed for optimal postoperative recovery. The kit supports the entire surgical team with ...

  1. Ostomy Home Skills Program

    Medline Plus

    Full Text Available ... and Skills Resources Educational Resources Educational Resources E-Learning Evidence-Based Decisions in Surgery Medical Student Resources ... College of Surgeons Collections Highlights Research Surgical History Group Icons in Surgery Archives Catalog Contact Us Careers ...

  2. Ostomy Home Skills Program

    Medline Plus

    Full Text Available ... and Skills Resources Educational Resources Educational Resources E-Learning Evidence-Based Decisions in Surgery Medical Student Resources ... Emergency Preparedness Rural Trauma Team Development Course Trauma Evaluation and Management Trauma CME Nora Institute Nora Institute ...

  3. Ostomy Home Skills Program

    Medline Plus

    Full Text Available ... and Skills Resources Educational Resources Educational Resources E-Learning Evidence-Based Decisions in Surgery Medical Student Resources So You Want to Be a Surgeon Resident Resources Teaching Resources Online Guide to Choosing a Surgical Residency ...

  4. Ostomy Home Skills Program

    Medline Plus

    Full Text Available ... Life Support Advanced Trauma Operative Management Basic Endovascular Skills for Trauma Disaster Management and Emergency Preparedness Rural Trauma Team Development Course Trauma Evaluation and Management Trauma CME Nora ...

  5. Ostomy Home Skills Program

    Medline Plus

    Full Text Available ... Online Guide to Choosing a Surgical Residency Practice Management Workshops Patients and Family Patient Education Patient Education ... Trauma Advanced Trauma Life Support Advanced Trauma Operative Management Basic Endovascular Skills for Trauma Disaster Management and ...

  6. On English Reading Skills

    Institute of Scientific and Technical Information of China (English)

    钱芬

    2008-01-01

    Reading is one of the four important skills in English learning.It is also a skill that the students need to possess to support independent and self-directed learning.With the development of society,science and technology develop at hish speed and the competition in the society become sharp.Reading is a way for students to be more knowledgeable and successful.So,it becomes more and more important to speed up their reading in order to acquire as much information as possible.Thus,fostering a good English reading habit is essential,and being able to adopt different reading skills for different reading materials and purposes will also help to read more effectively.The paper mainly concenls some basic English reading skills.

  7. Ostomy Home Skills Program

    Medline Plus

    Full Text Available ... Resources in Surgical Education ACS Fundamentals of Surgery Curriculum Transition to Practice Program ACS/APDS Surgery Resident Skills Curriculum ACS/APDS/ASE Resident Prep Curriculum ACS/ASE ...

  8. Ostomy Home Skills Program

    Medline Plus

    Full Text Available ... Surgical Patient Safety Nora Institute for Surgical Patient Safety Advanced Skills Course for Rural Surgeons Support the Work of the Nora Institute Featured Articles Nora Institute ...

  9. On Range of Skill

    DEFF Research Database (Denmark)

    Hansen, Thomas Dueholm; Miltersen, Peter Bro; Sørensen, Troels Bjerre

    2008-01-01

    is a small number, but only gave heuristic arguments for this. In this paper, we provide the first methods for rigorously estimating the Range of Skill of a given game. We provide some general, asymptotic bounds that imply that the Range of Skill of a perfectly balanced game tree is almost exponential in its...... size (and doubly exponential in its depth). We also provide techniques that yield concrete bounds for unbalanced game trees and apply these to estimate the Range of Skill of Tic-Tac-Toe and Heads-Up Limit Texas Hold'em Poker. In particular, we show that the Range of Skill of Tic-Tac-Toe is more than...

  10. Ostomy Home Skills Program

    Medline Plus

    Full Text Available ... CME Accreditation CME Joint Providership Program Verification of Knowledge and Skills Resources Educational Resources Educational Resources E-Learning Evidence-Based Decisions in Surgery Medical Student Resources So You Want to Be a Surgeon ...

  11. Ostomy Home Skills Program

    Medline Plus

    Full Text Available ... SESAP SESAP Sampler SRGS ACS Fundamentals of Surgery Curriculum Transition to Practice Program ACS/APDS Surgery Resident Skills Curriculum ACS/APDS/ASE Resident Prep Curriculum Medical Student ...

  12. Ostomy Home Skills Program

    Medline Plus

    Full Text Available ... Liability Surgeons as Advocates Surgeons and Bundled Payment Models Surgeons as Institutional Employees Our Changing Health Care ... DVD with demonstration of each skill Stoma Practice Model Stoma supplies (measurement guide, marking pen, scissors, sample ...

  13. Ostomy Home Skills Program

    Medline Plus

    Full Text Available ... Online Guide to Choosing a Surgical Residency Practice Management Workshops Patients and Family Patient Education Patient Education ... Trauma Advanced Trauma Life Support Advanced Trauma Operative Management Basic Endovascular Skills for Trauma Disaster Management and ...

  14. Ostomy Home Skills Program

    Medline Plus

    Full Text Available ... Improvement Program Mentoring for Excellence in Trauma Surgery Advanced Trauma Life Support Verification, Review, and Consultation Program ... Education Achieving Zero Preventable Deaths Trauma Systems Conference Advanced Surgical Skills for Exposure in Trauma Advanced Trauma ...

  15. Skilled Nursing Facility PPS

    Data.gov (United States)

    U.S. Department of Health & Human Services — Section 4432(a) of the Balanced Budget Act (BBA) of 1997 modified how payment is made for Medicare skilled nursing facility (SNF) services. Effective with cost...

  16. Ostomy Home Skills Program

    Medline Plus

    Full Text Available ... and changing a pouch, problem solving, and home management. A DVD with demonstration of each skill Stoma Practice Model Stoma supplies (measurement guide, marking pen, scissors, sample ...

  17. Missional Imaginations for Theological Education: Mixed Model, Exploratory, Action-Oriented Research Mapping the Theological Identity and Organizational Readiness for Change of Five Theological School Systems in the United States Originating after 1945

    Science.gov (United States)

    Small, Kyle J. A.

    2009-01-01

    This dissertation explores the formal theologies and organizational readiness for change with a view towards adopting missional prototypes for theological education across a school's (system's) tradition, curriculum, and structure. The research assessed five theological schools in the United States through an exploratory, action-oriented,…

  18. Mixed methods research.

    Science.gov (United States)

    Halcomb, Elizabeth; Hickman, Louise

    2015-04-08

    Mixed methods research involves the use of qualitative and quantitative data in a single research project. It represents an alternative methodological approach, combining qualitative and quantitative research approaches, which enables nurse researchers to explore complex phenomena in detail. This article provides a practical overview of mixed methods research and its application in nursing, to guide the novice researcher considering a mixed methods research project.

  19. Optimal Mixing Evolutionary Algorithms

    NARCIS (Netherlands)

    Thierens, D.; Bosman, P.A.N.; Krasnogor, N.

    2011-01-01

    A key search mechanism in Evolutionary Algorithms is the mixing or juxtaposing of partial solutions present in the parent solutions. In this paper we look at the efficiency of mixing in genetic algorithms (GAs) and estimation-of-distribution algorithms (EDAs). We compute the mixing probabilities of

  20. Neutrino Mixing and Cosmology

    OpenAIRE

    Bell, Nicole F.

    2003-01-01

    We review the consequences of neutrino mixing in the early universe. For both active-sterile mixing or mixing between three active neutrinos only, the consequences of oscillations depend crucially upon the size of the universe's lepton number (relic neutrino asymmetry.)

  1. European mixed forests

    DEFF Research Database (Denmark)

    Bravo-Oviedo, Andres; Pretzsch, Hans; Ammer, Christian

    2014-01-01

    Aim of study: We aim at (i) developing a reference definition of mixed forests in order to harmonize comparative research in mixed forests and (ii) review the research perspectives in mixed forests. Area of study: The definition is developed in Europe but can be tested worldwide. Material and Met...

  2. Entrepreneurial Integration Skills

    DEFF Research Database (Denmark)

    Bauer, Florian; Schriber, Svante; King, David R.

    2016-01-01

    effect relationships by investigating the effect of integration related decisions on intermediate goals. Additionally, we argue that entrepreneurial integration skills, or proactivity under ambiguity, are needed to keep pace with the dynamism inherent in acquisition integration. Based on primary data...... on 116 acquisitions, we find that entrepreneurial integration skills can display both advantages and disadvantages. While it helps to realize expected and serendipitous synergies, it can also trigger employee uncertainty due to decreased transparency. In supplementary analysis, we show measures...

  3. Interpersonal Skills Summary Report

    Science.gov (United States)

    2013-08-01

    training . Behavior Therapy, 8(2), 222-228. 2 2 Meloy, J. R. (1980). The effect of assertiveness training on the personality construct extraversion ...guidelines for the relative effectiveness of different training methods for acquiring and transferring skills involved in complex task domains. Broadly...the current report seeks to provide an update regarding the current state of the science on interpersonal skills (IPS) training . Specifically, this

  4. Teaching Receptive Skills

    Institute of Scientific and Technical Information of China (English)

    Russell Stannard

    2005-01-01

    @@ Many ELT practitioners believe that listening is one of the most important skills that can be developed. The argument is that if students can develop their listening skills they can begin to learn themselves, they can become autonomous and learn in the way many native speakers learn their first language through hearing. When I teach listening in the class I think there are six main considerations that underpin my approach.

  5. Designing a Mixed Reality Intergenerational Entertainment System

    Science.gov (United States)

    Khoo, Eng Tat; Merritt, Tim; Cheok, Adrian David

    This chapter presents steps for designing an intergenerational mixed reality entertainment system, which focuses on physical and social interactions using a mixed reality floor system. The main design goals include the following: facilitating interactions between users with varied levels of skill in utilizing technology, utilizing the familiar physical motions from other activities to make an intuitive physical interface, and encouraging social interactions among families and friends. Detailed implementation of these steps is presented in the design of our intergenerational entertainment system, Age Invaders. Our design process is based on user-centered design. The results of the study help to focus the refinements of the existing platform from a usability standpoint and also aid in the development of new physical entertainment and interactive applications. This study provides insights into user issues including how users interact in a complex mixed reality experience.

  6. Open knot-tying skills: residents skills assessed

    NARCIS (Netherlands)

    van Empel, P.J.; Verdam, M.G.E.; Huirne, J.A.; Bonjer, H.J.; Meijerink, W.J.; Scheele, F.

    2013-01-01

    Aim: Open knot-tying and suturing skills are fundamental surgical skills, founding many alternative knot-tying techniques. It is therefore mandatory for residents to possess adequate basic open knot-tying skills. The aim of this study was to compare an objective assessment of open knot-tying skills

  7. Contribution of Oral Language Skills, Linguistic Skills, and Transcription Skills to Chinese Written Composition among Fourth-Grade Students

    Science.gov (United States)

    Yeung, Pui-sze; Ho, Connie Suk-han; Chan, David Wai-ock; Chung, Kevin Kien-hoa

    2013-01-01

    The present study aimed to investigate the contribution of oral language skills, linguistic skills, and transcription skills to Chinese written composition among Grade 4 students in Hong Kong. Measures assessing verbal working memory, oral language skills, linguistic skills (i.e., syntactic skills and discourse skills), transcription skills (i.e.,…

  8. Contribution of Oral Language Skills, Linguistic Skills, and Transcription Skills to Chinese Written Composition among Fourth-Grade Students

    Science.gov (United States)

    Yeung, Pui-sze; Ho, Connie Suk-han; Chan, David Wai-ock; Chung, Kevin Kien-hoa

    2013-01-01

    The present study aimed to investigate the contribution of oral language skills, linguistic skills, and transcription skills to Chinese written composition among Grade 4 students in Hong Kong. Measures assessing verbal working memory, oral language skills, linguistic skills (i.e., syntactic skills and discourse skills), transcription skills (i.e.,…

  9. Skills required of dairy veterinarians in western Canada: A survey of practicing veterinarians

    OpenAIRE

    Luby, Christopher D.; McIntyre, Katelyn; Jelinski, Murray D.

    2013-01-01

    This study determined skills required of entry-level veterinarians for dairy practice in western Canada and compared mixed and dairy practitioners in the skills that they perform. We surveyed western Canadian veterinarians involved in dairy practice, focusing primarily on clinical activity of respondents. Response rate was 39.4% (281/714). Respondents were classified as either mixed practitioners ( 75% time in dairy practice). For both gr...

  10. Skills required of dairy veterinarians in western Canada: a survey of practicing veterinarians.

    Science.gov (United States)

    Luby, Christopher D; McIntyre, Katelyn; Jelinski, Murray D

    2013-03-01

    This study determined skills required of entry-level veterinarians for dairy practice in western Canada and compared mixed and dairy practitioners in the skills that they perform. We surveyed western Canadian veterinarians involved in dairy practice, focusing primarily on clinical activity of respondents. Response rate was 39.4% (281/714). Respondents were classified as either mixed practitioners ( 75% time in dairy practice). For both groups, individual animal medicine and surgery skills were performed more commonly than herd health skills. The most important skills identified were those required for basic theriogenology, physical examination, treatment of common disorders, and general surgery. These results underscore the continued importance of individual animal skills in food animal practice in western Canada.

  11. Let your communication skills equal your clinical skills.

    Science.gov (United States)

    Demarais, Ann; Baum, Neil

    2012-01-01

    Relating effectively with patients is among the most valued skills of clinical care. Honing your communication skills is an art that every physician needs to learn and understand. In this era of increased volume of patients there is a tendency to lose sight of the importance of having good communication skills. This article will review 11 suggestions for letting your communication skills equal your clinical skills.

  12. Foundations of chaotic mixing.

    Science.gov (United States)

    Wiggins, Stephen; Ottino, Julio M

    2004-05-15

    The simplest mixing problem corresponds to the mixing of a fluid with itself; this case provides a foundation on which the subject rests. The objective here is to study mixing independently of the mechanisms used to create the motion and review elements of theory focusing mostly on mathematical foundations and minimal models. The flows under consideration will be of two types: two-dimensional (2D) 'blinking flows', or three-dimensional (3D) duct flows. Given that mixing in continuous 3D duct flows depends critically on cross-sectional mixing, and that many microfluidic applications involve continuous flows, we focus on the essential aspects of mixing in 2D flows, as they provide a foundation from which to base our understanding of more complex cases. The baker's transformation is taken as the centrepiece for describing the dynamical systems framework. In particular, a hierarchy of characterizations of mixing exist, Bernoulli --> mixing --> ergodic, ordered according to the quality of mixing (the strongest first). Most importantly for the design process, we show how the so-called linked twist maps function as a minimal picture of mixing, provide a mathematical structure for understanding the type of 2D flows that arise in many micromixers already built, and give conditions guaranteeing the best quality mixing. Extensions of these concepts lead to first-principle-based designs without resorting to lengthy computations.

  13. Project scheduling and staffing with a multi-skilled workforce

    OpenAIRE

    Maenhout, Broos; Vanhoucke, Mario

    2011-01-01

    When scheduling projects assumptions are made with respect to the personnel resource availability. In personnel scheduling problems assumptions are made with respect to the staffing requirements. We explore how to integrate these two scheduling problems for making strategic project staffing decisions. More precisely, we determine the number of personnel and required skill mix to complete a project.

  14. Auto Body Repair. Supplementary Units. Instructor Key and Student Units.

    Science.gov (United States)

    Daniel, Linda; Muench, James F., Ed.

    These supplementary units are designed to help students with special needs learn and apply auto body repair skills. The material specifically supplements the Auto Body Repair Curriculum Guide (University of Missouri-Columbia 1988), and is intended for instructors serving the occupational needs of various categories of disadvantaged and handicapped…

  15. Employability Skills Assessment Tool Development

    Science.gov (United States)

    Rasul, Mohamad Sattar; Rauf, Rose Amnah Abd; Mansor, Azlin Norhaini; Puvanasvaran, A. P.

    2012-01-01

    Research nationally and internationally found that technical graduates are lacking in employability skills. As employability skills are crucial in outcome-based education, the main goal of this research is to develop an Employability Skill Assessment Tool to help students and lecturers produce competent graduates in employability skills needed by…

  16. Mathematical Skills and Motor Life Skills in Toddlers: Do Differences in Mathematical Skills Reflect Differences in Motor Skills?

    Science.gov (United States)

    Reikerås, Elin; Moser, Thomas; Tønnessen, Finn Egil

    2017-01-01

    This study examines possible relations between early mathematical skills and motor life skills in 450 toddlers aged two years and nine months. The study employs baseline data from the longitudinal Stavanger Project--The Learning Child. The children's mathematical skills and motor life skills were assessed by structured observation in the natural…

  17. Digital literacy and safety skills

    NARCIS (Netherlands)

    Sonck, N.; Livingstone, S.; Kuiper, E.; de Haan, J.

    2011-01-01

    Children’s digital skills were assessed by asking 25,000 European 9-16 year old internet users about their online activities, skills and self-efficacy. The range of digital skills and online activities are linked. But many younger (11-13 year old) children lack key critical and safety skills. Also,

  18. Digital literacy and safety skills

    NARCIS (Netherlands)

    Sonck, N.; Livingstone, S.; Kuiper, E.; de Haan, J.

    2011-01-01

    Children’s digital skills were assessed by asking 25,000 European 9-16 year old internet users about their online activities, skills and self-efficacy. The range of digital skills and online activities are linked. But many younger (11-13 year old) children lack key critical and safety skills. Also,

  19. Interpretation of Radiological Images: Towards a Framework of Knowledge and Skills

    Science.gov (United States)

    van der Gijp, A.; van der Schaaf, M. F.; van der Schaaf, I. C.; Huige, J. C. B. M.; Ravesloot, C. J.; van Schaik, J. P. J.; ten Cate, Th. J.

    2014-01-01

    The knowledge and skills that are required for radiological image interpretation are not well documented, even though medical imaging is gaining importance. This study aims to develop a comprehensive framework of knowledge and skills, required for two-dimensional and multiplanar image interpretation in radiology. A mixed-method study approach was…

  20. Interpretation of Radiological Images: Towards a Framework of Knowledge and Skills

    Science.gov (United States)

    van der Gijp, A.; van der Schaaf, M. F.; van der Schaaf, I. C.; Huige, J. C. B. M.; Ravesloot, C. J.; van Schaik, J. P. J.; ten Cate, Th. J.

    2014-01-01

    The knowledge and skills that are required for radiological image interpretation are not well documented, even though medical imaging is gaining importance. This study aims to develop a comprehensive framework of knowledge and skills, required for two-dimensional and multiplanar image interpretation in radiology. A mixed-method study approach was…

  1. Student Development of Information Literacy Skills during Problem-Based Organic Chemistry Laboratory Experiments

    Science.gov (United States)

    Shultz, Ginger V.; Li, Ye

    2016-01-01

    Problem-based learning methods support student learning of content as well as scientific skills. In the course of problem-based learning, students seek outside information related to the problem, and therefore, information literacy skills are practiced when problem-based learning is used. This work describes a mixed-methods approach to investigate…

  2. Student Development of Information Literacy Skills during Problem-Based Organic Chemistry Laboratory Experiments

    Science.gov (United States)

    Shultz, Ginger V.; Li, Ye

    2016-01-01

    Problem-based learning methods support student learning of content as well as scientific skills. In the course of problem-based learning, students seek outside information related to the problem, and therefore, information literacy skills are practiced when problem-based learning is used. This work describes a mixed-methods approach to investigate…

  3. Exploring Alignment of Community College Students for Preparedness and Achievement of Basic Skills

    Science.gov (United States)

    Jeffcoat, Kendra; Weisblat, Irina A.; Bresciani, Marilee J.; Sly, Robert W.; Tucker, Mark; Herrin, Bridget; Cao, LiuHui

    2014-01-01

    This mixed-method study explored the alignment of expected student learning outcomes (SLOs) and expected student entrance skills, as stated within "course outlines of record" (CORs), for basic skills courses in one California community college district. Researchers evaluated consistencies and discrepancies in course alignment. There were…

  4. Mixed Heritage in Young Adult Literature. Scarecrow Studies in Young Adult Literature #32

    Science.gov (United States)

    Reynolds, Nancy Thalia

    2009-01-01

    Mixed-heritage people are one of the fastest-growing groups in the United States, yet culturally they have been largely invisible, especially in young adult literature. "Mixed Heritage in Young Adult Literature" is a critical exploration of how mixed-heritage characters (those of mixed race, ethnicity, religion, and/or adoption) and real-life…

  5. European Mixed Forests: definition and research perspectives

    Directory of Open Access Journals (Sweden)

    Andres Bravo-Oviedo

    2014-12-01

    Full Text Available Aim of study: We aim at (i developing a reference definition of mixed forests in order to harmonize comparative research in mixed forests and (ii review the research perspectives in mixed forests.Area of study: The definition is developed in Europe but can be tested worldwide.Material and Methods: Review of existent definitions of mixed forests based and literature review encompassing dynamics, management and economic valuation of mixed forests.Main results: A mixed forest is defined as a forest unit, excluding linear formations, where at least two tree species coexist at any developmental stage, sharing common resources (light, water, and/or soil nutrients. The presence of each of the component species is normally quantified as a proportion of the number of stems or of basal area, although volume, biomass or canopy cover as well as proportions by occupied stand area may be used for specific objectives. A variety of structures and patterns of mixtures can occur, and the interactions between the component species and their relative proportions may change over time.The research perspectives identified are (i species interactions and responses to hazards, (ii the concept of maximum density in mixed forests, (iii conversion of monocultures to mixed-species forest and (iv economic valuation of ecosystem services provided by mixed forests.Research highlights: The definition is considered a high-level one which encompasses previous attempts to define mixed forests. Current fields of research indicate that gradient studies, experimental design approaches, and model simulations are key topics providing new research opportunities.Keywords: COST Action; EuMIXFOR; mixed-species forests; admixtures of species.

  6. Teacher’s Interpersonal skills

    Institute of Scientific and Technical Information of China (English)

    孙雪莲

    2011-01-01

    Teacher’s interpersonal skills play a significant role in the teaching quality and students’ improvement.Interpersonal skill is complicate and involves a great deal of skills.Due to the limited space,the paper only gives a description of the core skills which are key to teachers in the teaching and learning process.This paper is divided into three parts:what interpersonal skills are important to teachers,why these skills are important and how teachers can develop these skills to improve their teaching and students’ learning.In the first part,understanding others,self-presentation,communicating,and influencing by persuading or power were found to be the most important skills in related research and literature.The second part discusses the importance of interpersonal skills both from teacher’s teaching quality and students’ learning outcome.The last part of the paper lists some suggestions on how to improve teacher’s interpersonal skills.

  7. Soft skills and dental education.

    Science.gov (United States)

    Gonzalez, M A G; Abu Kasim, N H; Naimie, Z

    2013-05-01

    Soft skills and hard skills are essential in the practice of dentistry. While hard skills deal with technical proficiency, soft skills relate to a personal values and interpersonal skills that determine a person's ability to fit in a particular situation. These skills contribute to the success of organisations that deal face-to-face with clients. Effective soft skills benefit the dental practice. However, the teaching of soft skills remains a challenge to dental schools. This paper discusses the different soft skills, how they are taught and assessed and the issues that need to be addressed in their teaching and assessment. The use of the module by the Faculty of Dentistry, University of Malaya for development of soft skills for institutions of higher learning introduced by the Ministry of Higher Education, Malaysia.

  8. Mixing of solids in different mixing devices

    Indian Academy of Sciences (India)

    Ingrid Bauman; Duška Ćurić; Matija Boban

    2008-12-01

    Mixing of powders is a common operation in any industry. Most powders are known to be cohesive, many agglomerate spontaneously when exposed to humid atmosphere or elevated storage temperature. Agitation of the powder (especially powders with different bulk densities) may result in migration of smaller particles downwards and of larger ones upwards. Another problem is segregation whose main cause is the difference in particle size, density shape and resilience. There are standard mixing devices, such as drum tumblers or Turbula mixers. Alternate device type used is the static mixer of Kenics type. Static mixers save energy, disable segregation and effect particle migration. In this paper, static mixers, as devices for powder mixing, are tested as well as Turbula and V-shaped drum mixer, since those devices are commonly used for powder blending in industry. Mixtures that were blended by means of those three devices were made out of the model material, quartz sand, in different component ratios (20:80 and 30:70). The results were statistically calculated and graphically presented. Cohesion indexes were measured with Powder Flow Analyser to see the effect of material flow on the mixture quality. The results obtained by those three devices, the particle size effect and cohesion indexes, bring us to the conclusion that static mixers could be used for mixing of powders, but their shape, number of mixing elements and the mixer length should be adapted for each mixture separately, experimentally and mathematically, through modelling of the system.

  9. National photonics skills standards for technicians

    Science.gov (United States)

    Hull, Darrell M.

    1995-10-01

    Photonics is defined as the generation, manipulation, transport, detection, and use of light information and energy whose quantum unit is the photon. The range of applications of phonics extends from energy generation to detection to communication and information processing. Photonics is at the heart of today's communication systems, from the laser that generates the digital information transported along a fiber- optic cable to the detector that decodes the information. Whether the transmitted information is a phone call from across the street or across the globe, photonics brings it to you. Where your health is concerned, photonics allows physicians to do minimally invasive surgery using fiber-optic endoscopes and lasers. Researches using spectroscopy and microscopy are pushing the frontiers of biotechnology in activities as widespread as diagnosing disease and probing the mysteries of the genetic code. Advanced sensing and imaging techniques monitor the environment, gathering data on crops and forests, analyzing the ocean's currents and contents, and probing the atmosphere of pollutants. Transportation needs are being impacted by photonic sensors and laser rangefinders that will soon monitor and control the traffic on our nation's highways. In our factories, photonics provides machine vision systems that give a level of quality control human inspectors could never achieve. In manufacturing, lasers are replacing a variety of cutting, welding, and marking techniques, while imaging systems teamed with neural networks are producing intelligent robots. In short, photonics is paving our way into the new millennium. The skill standard is intended to define the knowledge and capabilities - the skills - that workers in the phonics industry need. Phonics will be one of the primary battlefields of the world economic conflict, and it is imperative that U.S. photonics technicians be skilled enough to allow the United States to remain competitive in a global marketplace. The

  10. EVALUATING AND IMPROVING THE PERFORMANCE OF COLD ASPHALT EMULSION MIXES

    Directory of Open Access Journals (Sweden)

    I Nyoman Arya Thanaya

    2007-01-01

    Full Text Available This paper describes investigation on the performances of cold asphalt emulsion mixes (CAEMs. The type of emulsion used was a cationic asphalt emulsion. The investigation was carried out at Leeds University, United Kingdom (UK. The objective of the experiments was to evaluate and to improve the performances of cold mixes and compared with hot mixes. For optimising the performances of the cold mixes, a target porosity of five to ten percent and indirect tensile stiffness modulus (ITSM value of 2000 MPa was selected, suitable for low to medium trafficked roads. A simplified mix design procedure was used for producing the cold mixes. It was found that when properly designed, at full curing conditions, the stiffness (ITSM of CAEMs were found to be very comparable to those of hot mixes. Test results also show that the addition of cement in the amount of one to two percent by mass of aggregates significantly improved the mechanical performance of cold asphalt mixes.

  11. Skills for life of rural teenagers: cognitive and social skills

    Directory of Open Access Journals (Sweden)

    Marisol Morales Rodríguez

    2013-12-01

    Full Text Available A life skills-based approach allows to develop psychosocial skills in adolescents; specifically, cognitive and social skills play a fundamental role. Thus arises the objective of the present study, strengthen self-efficacy and coping, cognitive skills and social skills in high school adolescents in rural area, through the implementation of two programs of psycho-educational intervention. It is based on a quantitative methodology, pre-experimental design of descriptivo-correlacional scope; participating 96 adolescents. The results highlight an improvement in social skills; In addition to finding partnership between advanced social skills and self-efficacy, as well as active coping with social skills; there were changes in self-efficacy and coping. It is concluded that the program was effective in improving social skills of teenagers; however, it requires more time for the improvement of cognitive abilities, given the conditions of a rural area.

  12. Skill Gap Analysis for Improved Skills and Quality Deliverables

    Directory of Open Access Journals (Sweden)

    Mallikarjun Koripadu

    2014-10-01

    Full Text Available With a growing pressure in identifying the skilled resources in Clinical Data Management (CDM world of clinical research organizations, to provide the quality deliverables most of the CDM organizations are planning to improve the skills within the organization. In changing CDM landscape the ability to build, manage and leverage the skills of clinical data managers is very critical and important. Within CDM to proactively identify, analyze and address skill gaps for all the roles involved. In addition to domain skills, the evolving role of a clinical data manager demands diverse skill sets such as project management, six sigma, analytical, decision making, communication etc. This article proposes a methodology of skill gap analysis (SGA management as one of the potential solutions to the big skill challenge that CDM is gearing up for bridging the gap of skills. This would in turn strength the CDM capability, scalability, consistency across geographies along with improved productivity and quality of deliverables

  13. MIXED AND MIXING SYSTEMS WORLDWIDE: A PREFACE

    Directory of Open Access Journals (Sweden)

    Seán Patrick Donlan

    2012-09-01

    Full Text Available This issue of the Potchefstroom Electronic Law Journal (South Africa sees thepublication of a selection of articles derived from the Third International Congress ofthe World Society of Mixed Jurisdiction Jurists (WSMJJ. That Congress was held atthe Hebrew University of Jerusalem, Israel in the summer of 2011. It reflected athriving Society consolidating its core scholarship on classical mixed jurisdictions(Israel, Louisiana, the Philippines, Puerto Rico, Quebec, Scotland, and South Africawhile reaching to new horizons (including Cyprus, Hong Kong and Macau, Malta,Nepal, etc. This publication reflects in microcosm the complexity of contemporaryscholarship on mixed and plural legal systems. This complexity is, of course, wellunderstoodby South African jurists whose system is derived both from the dominantEuropean traditions as well as from African customary systems, including both thosethat make up part of the official law of the state as well as those non-state norms thatcontinue to be important in the daily lives of many South Africans.

  14. Robot skills for manufacturing

    DEFF Research Database (Denmark)

    Pedersen, Mikkel Rath; Nalpantidis, Lazaros; Andersen, Rasmus Skovgaard

    2016-01-01

    Due to a general shift in manufacturing paradigm from mass production towards mass customization, reconfigurable automation technologies, such as robots, are required. However, current industrial robot solutions are notoriously difficult to program, leading to high changeover times when new...... products are introduced by manufacturers. In order to compete on global markets, the factories of tomorrow need complete production lines, including automation technologies that can effortlessly be reconfigured or repurposed, when the need arises. In this paper we present the concept of general, self......-asserting robot skills for manufacturing. We show how a relatively small set of skills are derived from current factory worker instructions, and how these can be transferred to industrial mobile manipulators. General robot skills can not only be implemented on these robots, but also be intuitively concatenated...

  15. Innovation and Academic Skills

    DEFF Research Database (Denmark)

    Nielsen, René Nesgaard

    2006-01-01

    , different authors within systems of innovation literature emphasise the continuing relevance of practical know-how and non-formal learning processes based on learning-by-doing, -using, and -interacting (see e.g. Lundvall 1992). Combining insights from these two streams of literature, my thesis...... will be written on an assumption of a positive relationship between innovation and use of academic skills subject to a continuing importance of practical know-how and non-formal learning processes. Confronting this assumption with Danish empirics, interesting research questions arise. Danish empirics thus show......Literature on skill-biased technological and organisational change has established that these kinds of changes are positively related with demand for highly skilled (and highly educated) labour. Most of the literature is based on the hypothesis that technological and organisational change cause...

  16. Skills, Stakes, and Clout

    DEFF Research Database (Denmark)

    Vanhuysse, Pieter

    2015-01-01

    but no longer Central Europe. Reviewing decade-long evidence on subsidized, high-quality early childhood education pilot programs, I argue that such programs are a tested tool for marrying economic efficiency with social justice (equality of opportunity). I conclude by reflecting on which human skills...... are likely to be valued in the Second Machine Age. And I recommend policies, including new schemes to compensate for the way in which Europe's existing core-periphery divide is being (self-)perpetuated through periphery-to-core brain drain of highly skilled young Europeans....

  17. Engineering and design skills

    DEFF Research Database (Denmark)

    Schrøder, Anne Lise

    2006-01-01

    In various branches of society there is focus on the need for design skills and innovation potential as a means of communicating and handling constant change. In this context, the traditional idea of the engineer as a poly-technician inventing solutions by understanding the laws of nature....... This leads to considering the fundamental skills of the engineering practice as basic abilities to see the structures and dynamics of the world, to model it, and to create new solutions concerning practical as well as theoretical matters. Finally, it is assumed that the essence of engineering “bildung...

  18. TEACHING INTERPERSONAL SKILLS

    DEFF Research Database (Denmark)

    Andersson, Niclas

    2009-01-01

    knowledge and skills in teamwork, leadership, and communications are highly required. Thus, the practice of interpersonal skills need to be implemented in engineering teaching, not only in terms of learning objectives, but realised in practical teaching activities and as an integrated part...... of the social interaction in a small group of students and thus facilitates communication and teamwork operation. Students find the Social Risk Analysis being easy to apprehend and meaningful in engineering teaching, and most significantly, they perceive that the Social Risk Analysis facilitates the work...

  19. Hard skills or soft skills? Findings about importance of various skills in work

    OpenAIRE

    Niva, Anu

    2016-01-01

    Getting a job requires many things: hard skills, soft skills, the right attitude and motivation. To develop the degree programme in Business Information Systems in Oulu university of Applied Sciences (Oulu UAS), three surveys were conducted, to study importance of skills and knowledge in professional life: a graduate career survey in 2013, an employer survey in 2014, and a student survey in 2015. According to the results, readiness for change, learning skills and basic ICT skills seem to be t...

  20. MARKETING MIX THEORETICAL ASPECTS

    OpenAIRE

    Margarita Išoraitė

    2016-01-01

    Aim of article is to analyze marketing mix theoretical aspects. The article discusses that marketing mix is one of the main objectives of the marketing mix elements for setting objectives and marketing budget measures. The importance of each element depends not only on the company and its activities, but also on the competition and time. All marketing elements are interrelated and should be seen in the whole of their actions. Some items may have greater importance than others; it depends main...

  1. Marketingový mix

    OpenAIRE

    Kosová, Michaela

    2016-01-01

    Bachelor thesis, entitled The marketing mix, is engaged in the marketing mix of a company which offers services, and its seven components, which are product, price, distribution, promotion, physical environment, people and processes. In the first, theoretical part, they are based on the study of scientific literature discussed in more detail the concepts of marketing and marketing mix. The second part represents the company Podbaba Fitness Centre, which is under investigation. This sect...

  2. Mixing through shear instabilities

    CERN Document Server

    Brüggen, M

    2000-01-01

    In this paper we present the results of numerical simulations of the Kelvin-Helmholtz instability in a stratified shear layer. This shear instability is believed to be responsible for extra mixing in differentially rotating stellar interiors and is the prime candidate to explain the abundance anomalies observed in many rotating stars. All mixing prescriptions currently in use are based on phenomenological and heuristic estimates whose validity is often unclear. Using three-dimensional numerical simulations, we study the mixing efficiency as a function of the Richardson number and compare our results with some semi-analytical formalisms of mixing.

  3. Increased Stroop interference with better second-language reading skill.

    Science.gov (United States)

    Braet, Wouter; Noppe, Nele; Wagemans, Johan; Op de Beeck, Hans

    2011-03-01

    Skilled readers demonstrate remarkable efficiency in processing written words, unlike beginning readers for whom reading occurs more serially and places higher demands on visual attention. In the present study, we used the Stroop paradigm to investigate the relationship between reading skill and automaticity, in individuals learning a second language with a different orthographic system. Prior studies using this paradigm have presented a mixed picture, finding a positive, a negative, or no relationship between the size of Stroop interference and reading skills. Our results show that Stroop interference in the second language was positively related to reading skill (when controlled for interference in the first language). Furthermore, interference was positively related to objective but not subjective indices of the amount of exposure to the second language. We suggest that the lack of consistency in the results of earlier studies may be due, at least in part, to these studies looking at Stroop interference in isolation, rather than comparing interference between languages.

  4. Leader–Member Skill Distance, Team Cooperation, and Team Performance

    DEFF Research Database (Denmark)

    Tian, Longwei; Li, Yuan; Li, Peter Ping

    2015-01-01

    performance. Building upon input-process-output framework from the perspective of individualist and collectivist cultures, we propose that the association between leader–member skill distance and team performance has an inverted-U shape in individualist cultures. Further, in such cultures, team cooperation...... can augment the positive effect of leader–member skill distance on team performance. In contrast, in collectivist cultures, the association between leader–member skill distance and team performance has a monotonic and positive shape, and team cooperation will attenuate the positive effect of leader......–member skill distance on team performance. We find the empirical support for our views with a mixed-methods design: a qualitative study interviewing informants in different cultures to clarify the psychological mechanisms, and also a quantitative study analyzing the data from US’s National Basketball...

  5. The Effect of Mixed-Age Classes in Sweden

    Science.gov (United States)

    Lindstrom, Elly-Ann; Lindahl, Erica

    2011-01-01

    Mixed-aged (MA) classes are a common phenomenon around the world. In Sweden, these types of classes increased rapidly during the 1980s and 1990s, despite the fact that existing empirical support for MA classes is weak. In this paper, the effect of attending an MA class during grades 4-6 on students' cognitive skills is estimated. Using a unique…

  6. Liquid–Liquid Mixing Studies in Annular Centrifugal Contactors Comparing Stationary Mixing Vane Options

    Energy Technology Data Exchange (ETDEWEB)

    Wardle, Kent E.

    2015-11-10

    Comparative studies of multiphase operation of annular centrifugal contactors showing the impact of housing stationary mixing vane configuration. A number of experimental results for several different mixing vane options are reported with selected measurements in a lab-scale 5 cm contactor and 12.5 cm engineering-scale unit. Fewer straight vanes give greater mixingzone hold-up compared to curved vanes. Quantitative comparison of droplet size distribution also showed a significant decrease in mean diameter for four straight vanes versus eight curved vanes. This set of measurements gives a compelling case for careful consideration of mixing vane geometry when evaluating hydraulic operation and extraction process efficiency of annular centrifugal contactors.

  7. Library Skills Workbook.

    Science.gov (United States)

    Miller, Constance; And Others

    This self-paced library skills workbook provides incoming students with an introduction to the physical arrangement and use of the university libraries. Divided into two sections, the first contains explanations of the catalogs, classification system, and various library resources. The second consists of practical exercises keyed to the…

  8. State Skill Standards: Photography

    Science.gov (United States)

    Howell, Frederick; Reed, Loretta; Jensen, Capra; Robison, Gary; Taylor, Susan; Pavesich, Christine

    2007-01-01

    The Department of Education has undertaken an ambitious effort to develop statewide skill standards for all content areas in career and technical education. The standards in this document are for photography programs and are designed to clearly state what the student should know and be able to do upon completion of an advanced high-school program.…

  9. Measuring Skills and Behavior.

    Science.gov (United States)

    Ludeman, Kate

    1991-01-01

    Customized skills assessments can perform a number of functions: help training departments demonstrate their effectiveness; provide a foundation for career development programs; reinforce company values; add feedback from the bottom up for performance evaluation; provide a concentrated focus for customer service improvement; and serve as a…

  10. Competing Auctions of Skills

    DEFF Research Database (Denmark)

    Kennes, John; le Maire, Christian Daniel

    The model of competing sellers McAfee (1993) is applied to a labor market environment with heterogeneous workers, who differ by outside option and skill type, and heterogeneous firms, who differ by the amount of output produced when matched to each possible worker tyoe. We derive both a static...

  11. Hearing poorly with skill

    DEFF Research Database (Denmark)

    Day, Dennis

    2012-01-01

    This paper offers an account of ongoing research into hearing. I offer a characterization of 'skil- led practitioners' from an Ethnomethodological perspective. The skilled practitioner in question is a generic 'hard of hearing' person. The ambition is that such a characterization, both in its...

  12. Develop your presentation skills

    CERN Document Server

    Theobald, Theo

    2016-01-01

    Going beyond handling nerves and presenting PowerPoint slides, the third edition of "Develop Your Presentation Skills "offers practical advice on developing a captivating presentation, constructing compelling content, and boosting self-confidence. The book includes three new chapters on delivering a "stripped down"presentation, using new media to engage with the audience, and handling being asked to present on short notice."

  13. Improving Teachers' Verbal Skills.

    Science.gov (United States)

    Albrecht, Kay

    1992-01-01

    Suggests strategies center directors can use to improve teachers' verbal interactions with children. Directors can help teachers (1) understand child growth and development; (2) understand that what they say matters; (3) hear themselves talking to children; and (4) develop their observation skills. Directors can also share good models with…

  14. Competing Auctions of Skills

    DEFF Research Database (Denmark)

    Kennes, John; le Maire, Christian Daniel

    The model of competing sellers McAfee (1993) is applied to a labor market environment with heterogeneous workers, who differ by outside option and skill type, and heterogeneous firms, who differ by the amount of output produced when matched to each possible worker tyoe. We derive both a static...

  15. EMBODIMENT OF CAPOEIRA SKILLS

    Directory of Open Access Journals (Sweden)

    Urska Habjan

    2015-09-01

    Full Text Available This article is the result of twenty-one months of fieldwork among the capoeiristas in Brazil, primarily in the city of Salvador, between 2003 and 2013. The fieldwork methodology was based on participant observation. It also included conducting interviews and informal conversations, listening to life stories of locals, and writing a diary. My personal experiences within capoeira and the improvement of my own skills enabled me to better grasp what capoeira is about. By participating, I more fully understood the corporeal strain and pleasure involved in this particular embodied practice. The socio-economic situation of Brazilian society based on racial and gender discrimination enhances the cultivation of capoeiristic habitus and dictates the need for the acquisition of capoeiristic skills and attitudes in order to cope with, understand, and live within an unequal world. Capoeiristic habitus consists of knowledge, attitudes and skills enabling capoeiristas to stay in tune with the environment of lurking danger, to face with an ambiguous, unstable and uncertain environment. Capoeiristic habitus can be embodied early in life or learnt and acquired as a by-product of capoeira training. But it remains important whether the environment in which a capoeirista practises tolerates or inhibits the cultivation of capoeiristic skills.

  16. Hearing poorly with skill

    DEFF Research Database (Denmark)

    Day, Dennis

    2012-01-01

    This paper offers an account of ongoing research into hearing. I offer a characterization of 'skil- led practitioners' from an Ethnomethodological perspective. The skilled practitioner in question is a generic 'hard of hearing' person. The ambition is that such a characterization, both in its...... making and its final state, may be an intrinsic part of design practices concerning the development of hearing aids....

  17. Ostomy Home Skills Program

    Medline Plus

    Full Text Available ... in Residence Clinical Trials Methods Course Health Services Research Methods Course Surgeon Specific Registry Trauma Education Trauma Education Trauma Education Achieving Zero Preventable Deaths Trauma Systems Conference Advanced Surgical Skills for Exposure in ... Scope of Practice Pediatric Issues ...

  18. Thinking-Skills Strategy.

    Science.gov (United States)

    Cummings, Alysa

    1991-01-01

    Describes discovery learning, a teaching method that encourages students to use inductive reasoning. Students explore and experiment using the skill or idea being taught; they determine rules, make generalizations, and discover concepts. The teacher acts as coach, advisor, and reinforcer. A student page offers a discovery learning game on capital…

  19. Teaching Presentation Skills

    Science.gov (United States)

    Baker, William H.; Thompson, Michael P.

    2004-01-01

    Effective teaching of presentation skills focuses on the most important element of the presentation--the message itself. Some instructors place the heaviest emphasis on the messenger (the presenter) and focus their presentation feedback on all the presenter is doing wrong--saying "um," gesturing awkwardly, and so forth. When students receive this…

  20. Negotiation Skill Development Exercise

    Science.gov (United States)

    Benson, Gregory E.; Chau, Ngan N.

    2017-01-01

    Conflict occurs naturally in all marketing related activities. When such conflict is handled well through proper negotiation, it helps solve problems and build stronger, deeper relationships between the negotiating parties. Nevertheless, many students feel uneasy about negotiating, yet they know it is a crucial skill that needs to be developed.…

  1. Scaffolding Reading Comprehension Skills

    Science.gov (United States)

    Salem, Ashraf Atta Mohamed Safein

    2017-01-01

    The current study investigates whether English language teachers use scaffolding strategies for developing their students' reading comprehension skills or just for assessing their comprehension. It also tries to demonstrate whether teachers are aware of these strategies or they use them as a matter of habit. A questionnaire as well as structured…

  2. Ostomy Home Skills Program

    Medline Plus

    Full Text Available ... ASE Medical Student Core Curriculum ACS/ASE Medical Student Simulation-Based Surgical Skills Curriculum Cancer Education Cancer Education Cancer Education Cancer Programs Conference: Creating a Culture of Quality CoC Events Quality Education Quality Education ...

  3. Building Science Process Skills

    Science.gov (United States)

    DeFina, Anthony V.

    2006-01-01

    A well-designed and executed field trip experience serves not only to enrich and supplement course content, but also creates opportunities to build basic science process skills. The National Science Education Standards call for science teachers "to design and manage learning environments that provide students with the time, space, and resources…

  4. Counseling Skills for Teachers

    Science.gov (United States)

    Kottler, Jeffrey A.; Kottler, Ellen

    2006-01-01

    By necessity, today's teachers do much more than deliver instruction. In the classroom, on the playground, or even in the parking lot, teachers are often called upon to respond quickly and appropriately to students' social and emotional needs, drawing from instinct more than anything else. In this second edition of "Counseling Skills for…

  5. Ostomy Home Skills Program

    Medline Plus

    Full Text Available ... in Residence Clinical Trials Methods Course Health Services Research Methods Course Surgeon Specific Registry Trauma Education Trauma Education Trauma Education Achieving Zero Preventable Deaths Trauma Systems Conference Advanced Surgical Skills for Exposure in ... Scope of Practice Pediatric Issues ...

  6. Skill in Expert Dogs

    Science.gov (United States)

    Helton, William S.

    2007-01-01

    The motor control of novice participants is often cognitively demanding and susceptible to interference by other tasks. As people develop expertise, their motor control becomes less susceptible to interference from other tasks. Researchers propose a transition in human motor skill from active control to automaticity. This progression may also be…

  7. Listening Skills Handbook.

    Science.gov (United States)

    Decatur Public Schools District 61, IL.

    Defining listening as the active and conscious process of hearing, recognizing, and interpreting or comprehending language, this guide provides numerous activities to promote the listening skills of primary and intermediate grade students. Specifically, the activities described seek to develop (1) the ability of young students to listen…

  8. Maine's Employability Skills Program

    Science.gov (United States)

    McMahon, John M.; Wolffe, Karen E.; Wolfe, Judy; Brooker, Carrie

    2013-01-01

    This Practice Report describes the development and implementation of the "Maine Employability Skills Program," a model employment program developed by the Maine Division for the Blind and Visually Impaired (DBVI). The program was designed to support the efforts of the chronically unemployed or underemployed. These consumers were either…

  9. Otologic Skills Training

    DEFF Research Database (Denmark)

    Wiet, Gregory J; Sørensen, Mads Sølvsten; Andersen, Steven Arild Wuyts

    2017-01-01

    This article presents a summary of the current simulation training for otologic skills. There is a wide variety of educational approaches, assessment tools, and simulators in use, including simple low-cost task trainers to complex computer-based virtual reality systems. A systematic approach...

  10. Integrating Geospatial Technologies in an Energy Unit

    Science.gov (United States)

    Kulo, Violet A.; Bodzin, Alec M.

    2011-01-01

    This article presents a design-based research study of the implementation of an energy unit developed for middle school students. The unit utilized Google Earth and a geographic information system (GIS) to support student understanding of the world's energy resources and foster their spatial thinking skills. Findings from the prototype study…

  11. The Mixed language Debate

    DEFF Research Database (Denmark)

    A range of views on mixed languages and their connections to phenomena such as secret languages, massive borrowing, codeswitching and codemixing, and thier origin.......A range of views on mixed languages and their connections to phenomena such as secret languages, massive borrowing, codeswitching and codemixing, and thier origin....

  12. Mixed Ability Teaching.

    Science.gov (United States)

    Skov, Poul

    1986-01-01

    As a basis for taking a position on the future school structure in grades 8-10 in Denmark, an extensive study was carried out on mixed ability teaching (teaching in heterogeneous classes) on these grade levels. Results showed that mixed ability teaching gave at least as good results as teaching in differentiated classes. (Author/LMO)

  13. The need to address poor numeracy skills in the emergency department environment.

    Science.gov (United States)

    Eley, Robert; Sinnott, Michael; Steinle, Vicki; Trenning, Leeanne; Boyde, Mary; Dimeski, Goce

    2014-06-01

    Substantial evidence exists for lack of numerical skills among many health professionals. Although poor numeracy has long been recognised as a contributor to medication error, other activities for which numerical literacy are required, such as interpretation of diagnostic results, have been largely ignored. Poor self-awareness of lack of numerical literacy increases the risk, especially in the busy and hurried emergency environment. System changes, such as standardising units and improving number presentation, reduce the potential for misinterpretation; however system changes do not address the underlying deficiencies in mathematical skills. The training of doctors in numeracy has been largely ignored. In contrast, education for nurses frequently occurs during both pre- and post-registration programmes. Interventions have had mixed success, although additional emphasis in increasing conceptual understanding of numbers is encouraging. The consequences of poor numerical literacy should be addressed in all clinical staff, not only by practice change to remove the potential for errors to be made, but also complemented by self-awareness and education.

  14. CORRELATIVE ANALYSIS OF TOEFL iBT SCORES OF LISTENING SKILL VERSUS SCORES OF BUSINESS ENGLISH SPEAKING SKILL AMONG BINUS UNIVERSITY SOPHOMORES

    Directory of Open Access Journals (Sweden)

    Almodad Biduk Asmani

    2014-11-01

    Full Text Available Article found out whether BINUS university sophomore’s TOEFL iBT scores of Listening skill are correlated with those of speaking skill. The research project was expected to result in the best teaching technique of delivering conversational tasks at BINUS University by using alternative approaches of integrated, isolated, or mixed skills. The research project applied the descriptive approach of quantitative method, and thus depends on numerical data. The research project examined the set of data under two skills of the same class groups, which were to compare the listening scores with the speaking ones. Then, the degree of correlation of the two skills was tested so as to find its significance. Interpretation and explanation of data was made based on the statistical results by using correlation research analysis. Based on the statistical results, the listening scores significantly correlated with those of the speaking skill, and there is a moderately linear relationship between these paired scores.

  15. CORRELATIVE ANALYSIS OF TOEFL iBT SCORES OF LISTENING SKILL VERSUS SCORES OF BUSINESS ENGLISH SPEAKING SKILL AMONG BINUS UNIVERSITY SOPHOMORES IN ACADEMIC YEAR

    Directory of Open Access Journals (Sweden)

    Almodad Biduk Asmani

    2015-04-01

    Full Text Available Article found out whether BINUS university sophomores TOEFL iBT scores of Listening skill are correlated with those of speaking skill. The research project was expected to result in the best teaching technique of delivering conversational tasks at BINUS University by using alternative approaches of integrated, isolated, or mixed skills. The research project applied the descriptive approach of quantitative method, and thus depends on numerical data. The research project examined the set of data under two skills of the same class groups, which were to compare the listening scores with the speaking ones. Then, the degree of correlation of the two skills was tested so as to find its significance. Interpretation and explanation of data was made based on the statistical results by using correlation research analysis. Based on the statistical results, the listening scores significantly correlated with those of the speaking skill, and there is a moderately linear relationship between these paired scores.

  16. Theory for Neutrino Mixing

    Science.gov (United States)

    He, Xiao-Gang

    2016-07-01

    Since the discovery of neutrino oscillations, for which Takaaki Kajita and Arthur B. McDonald were awarded the 2015 Nobel prize in physics, tremendous progresses have been made in measuring the mixing angles which determine the oscillation pattern. A lot of theoretical efforts have been made to understand how neutrinos mix with each other. Present data show that in the standard parameterization of the mixing matrix, θ23 is close to π/4 and the CP violating phase is close to - π/2. In this talk I report results obtained in arXiv:1505.01932 (Phys. Lett. B750(2015)620) and arXive:1404.01560 (Chin. J. Phys.53(2015)100101) and discuss some implications for theoretical model buildings for such mixing pattern. Specific examples for neutrino mixing based on A4 family symmetry are given.

  17. High-mix insulins

    Directory of Open Access Journals (Sweden)

    Sanjay Kalra

    2015-01-01

    Full Text Available Premix insulins are commonly used insulin preparations, which are available in varying ratios of different molecules. These drugs contain one short- or rapid-acting, and one intermediate- or long-acting insulin. High-mix insulins are mixtures of insulins that contain 50% or more than 50% of short-acting insulin. This review describes the clinical pharmacology of high-mix insulins, including data from randomized controlled trials. It suggests various ways, in which high-mix insulin can be used, including once daily, twice daily, thrice daily, hetero-mix, and reverse regimes. The authors provide a rational framework to help diabetes care professionals, identify indications for pragmatic high-mix use.

  18. Employment Social Skills: What Skills Are Really Valued?

    Science.gov (United States)

    Agran, Martin; Hughes, Carolyn; Thoma, Colleen A.; Scott, LaRon A.

    2016-01-01

    Although social skills have long been recognized as essential in promoting employees' employability (e.g., maintaining employment), there has been little research about work-related social skills for the last two decades. A systematic replication of Salzberg, Agran, and Lignugaris/Kraft's investigation of critical social skills was conducted.…

  19. Illinois Occupational Skill Standards: Metal Stamping Skills Cluster.

    Science.gov (United States)

    Illinois Occupational Skill Standards and Credentialing Council, Carbondale.

    These skill standards, developed through a consortium of educational and industry partners in Illinois, serve as guides to workforce preparation program providers to define content for their programs and to employers to establish the skills and standards necessary for job acquisition and performance. The skill standards include the following…

  20. Inhibitory Control in Preschool Predicts Early Math Skills in First Grade: Evidence from an Ethnically Diverse Sample

    Science.gov (United States)

    Ng, Florrie Fei-Yin; Tamis-LeMonda, Catherine; Yoshikawa, Hirokazu; Sze, Irene Nga-Lam

    2015-01-01

    Preschoolers' inhibitory control and early math skills were concurrently and longitudinally examined in 255 Chinese, African American, Dominican, and Mexican 4-year-olds in the United States. Inhibitory control at age 4, assessed with a peg-tapping task, was associated with early math skills at age 4 and predicted growth in such skills from age 4…

  1. ADVANCED MIXING MODELS

    Energy Technology Data Exchange (ETDEWEB)

    Lee, S; Richard Dimenna, R; David Tamburello, D

    2008-11-13

    The process of recovering the waste in storage tanks at the Savannah River Site (SRS) typically requires mixing the contents of the tank with one to four dual-nozzle jet mixers located within the tank. The typical criteria to establish a mixed condition in a tank are based on the number of pumps in operation and the time duration of operation. To ensure that a mixed condition is achieved, operating times are set conservatively long. This approach results in high operational costs because of the long mixing times and high maintenance and repair costs for the same reason. A significant reduction in both of these costs might be realized by reducing the required mixing time based on calculating a reliable indicator of mixing with a suitably validated computer code. The work described in this report establishes the basis for further development of the theory leading to the identified mixing indicators, the benchmark analyses demonstrating their consistency with widely accepted correlations, and the application of those indicators to SRS waste tanks to provide a better, physically based estimate of the required mixing time. Waste storage tanks at SRS contain settled sludge which varies in height from zero to 10 ft. The sludge has been characterized and modeled as micron-sized solids, typically 1 to 5 microns, at weight fractions as high as 20 to 30 wt%, specific gravities to 1.4, and viscosities up to 64 cp during motion. The sludge is suspended and mixed through the use of submersible slurry jet pumps. To suspend settled sludge, water is added to the tank as a slurry medium and stirred with the jet pump. Although there is considerable technical literature on mixing and solid suspension in agitated tanks, very little literature has been published on jet mixing in a large-scale tank. If shorter mixing times can be shown to support Defense Waste Processing Facility (DWPF) or other feed requirements, longer pump lifetimes can be achieved with associated operational cost and

  2. Skills Labs: workshop EMERGO toolkit

    NARCIS (Netherlands)

    Kurvers, Hub; Slootmaker, Aad

    2009-01-01

    Kurvers, H. J., & Slootmaker, A. (2009). Skills Labs: workshop EMERGO toolkit. Presentation given at project members of Skills Labs. March, 31, 2009 and April, 24, 2009, Heerlen, The Netherlands: Open University of the Netherlands.

  3. Skilled nursing or rehabilitation facilities

    Science.gov (United States)

    ... page: //medlineplus.gov/ency/patientinstructions/000435.htm Skilled nursing or rehabilitation facilities To use the sharing features ... facility. Who Needs to go to a Skilled Nursing or Rehabilitation Facility? Your health care provider may ...

  4. Some Educational Benefits of Freely Chosen Age Mixing among Children and Adolescents.

    Science.gov (United States)

    Feldman, Jay; Gray, Peter

    1999-01-01

    Observation of 200 children ages 4 to 19 attending a Massachusetts nongraded alternative school disclosed substantial age mixing. Younger children used older children to develop skills and acquire knowledge. Age mixing encouraged opportunities for creativity, helped match abilities, and fostered older children's sense of responsibility for younger…

  5. Mixed Methods: Incorporating multiple learning styles into a measurements course

    Science.gov (United States)

    Pallone, Arthur

    2010-03-01

    The best scientists and engineers regularly combine creative and critical skill sets. As faculty, we are responsible to provide future scientists and engineers with those skills sets. EGR 390: Engineering Measurements at Murray State University is structured to actively engage students in the processes that develop and enhance those skills. Students learn through a mix of traditional lecture and homework, active discussion of open-ended questions, small group activities, structured laboratory exercises, oral and written communications exercises, student chosen team projects, and peer evaluations. Examples of each of these activities, the skill set addressed by each activity, outcomes from and effectiveness of each activity and recommendations for future directions in the EGR 390 course as designed will be presented.

  6. From Communication Skills to Skillful Communication: A Longitudinal Integrated Curriculum for Critical Care Medicine Fellows.

    Science.gov (United States)

    Roze des Ordons, Amanda L; Doig, Christopher J; Couillard, Philippe; Lord, Jason

    2017-04-01

    Communication with patients and families in critical care medicine (CCM) can be complex and challenging. A longitudinal curricular model integrating multiple techniques within classroom and clinical milieus may facilitate skillful communication across diverse settings. In 2014-2015, the authors developed and implemented a curriculum for CCM fellows at the Cumming School of Medicine, University of Calgary, to promote the longitudinal development of skillful communication. A departmental needs assessment informed curriculum development. Five 4-hour classroom sessions were developed: basic communication principles, family meetings about goals and transitions of care, discussing patient safety incidents, addressing conflict, and offering organ donation. Teaching methods-including instructor-led presentations incorporating a consistent framework for approaching challenging conversations, simulation and clinical practice, and feedback from peers, trained facilitators, family members, and clinicians-supported integration of skills into the clinical setting and longitudinal development of skillful communication. Seven fellows participated during the first year of the curriculum. CCM fellows engaged enthusiastically in the program, commented that the framework provided was helpful, and highly valued the opportunity to practice challenging communication scenarios, learn from observing their peers, and receive immediate feedback. More detailed accounts of fellows', patients', and family members' experiences will be obtained to guide curricular development. The curriculum will be expanded to involve other members of the multidisciplinary intensive care unit team, and faculty education initiatives will be offered to enhance the quality of the feedback provided. The impact of the curriculum on initial skill development, retention, and progression will be assessed.

  7. ADVANCED MIXING MODELS

    Energy Technology Data Exchange (ETDEWEB)

    Lee, S; Dimenna, R; Tamburello, D

    2011-02-14

    The process of recovering and processing High Level Waste (HLW) the waste in storage tanks at the Savannah River Site (SRS) typically requires mixing the contents of the tank with one to four mixers (pumps) located within the tank. The typical criteria to establish a mixed condition in a tank are based on the number of pumps in operation and the time duration of operation. To ensure that a mixed condition is achieved, operating times are typically set conservatively long. This approach results in high operational costs because of the long mixing times and high maintenance and repair costs for the same reason. A significant reduction in both of these costs might be realized by reducing the required mixing time based on calculating a reliable indicator of mixing with a suitably validated computer code. The focus of the present work is to establish mixing criteria applicable to miscible fluids, with an ultimate goal of addressing waste processing in HLW tanks at SRS and quantifying the mixing time required to suspend sludge particles with the submersible jet pump. A single-phase computational fluid dynamics (CFD) approach was taken for the analysis of jet flow patterns with an emphasis on the velocity decay and the turbulent flow evolution for the farfield region from the pump. Literature results for a turbulent jet flow are reviewed, since the decay of the axial jet velocity and the evolution of the jet flow patterns are important phenomena affecting sludge suspension and mixing operations. The work described in this report suggests a basis for further development of the theory leading to the identified mixing indicators, with benchmark analyses demonstrating their consistency with widely accepted correlations. Although the indicators are somewhat generic in nature, they are applied to Savannah River Site (SRS) waste tanks to provide a better, physically based estimate of the required mixing time. Waste storage tanks at SRS contain settled sludge which varies in

  8. Life skills and children's characterstrengths

    DEFF Research Database (Denmark)

    Ledertoug, Mette Marie; Linder, Anne

    Psychologist Anne Linder and Psychologist and PhDstudent Mette Marie Ledertoug focus in ‘Life skills and Childrens’ Character Strengths’ on improving life skills for children and adolescents by adopting a strengths-based approach combining a theoretical foundation based on VIA strengths...... a combination of characterstrengths and these strategies can improve life skills....

  9. Stochastic Reinforcement Benefits Skill Acquisition

    Science.gov (United States)

    Dayan, Eran; Averbeck, Bruno B.; Richmond, Barry J.; Cohen, Leonardo G.

    2014-01-01

    Learning complex skills is driven by reinforcement, which facilitates both online within-session gains and retention of the acquired skills. Yet, in ecologically relevant situations, skills are often acquired when mapping between actions and rewarding outcomes is unknown to the learning agent, resulting in reinforcement schedules of a stochastic…

  10. Training of Component Reading Skills.

    Science.gov (United States)

    Fiedorowicz, Christina A. M.

    1986-01-01

    Eight reading-disabled boys with subskill deficits in either oral reading, associative skills, or sequential skills received skill specific computer-assisted instruction emphasizing accuracy and speed of response for two and a half months. Comparison with controls indicated marked improvement which generalized to achievement measures of word…

  11. Physical Attractiveness and Counseling Skills.

    Science.gov (United States)

    Vargas, Alice M.; Borkowski, John G.

    1982-01-01

    Searched for interaction between quality of counseling skills (presence or absence of empathy, genuineness, and positive regard) and physical attractiveness as determinants of counseling effectiveness. Attractiveness influenced perceived effectiveness of counselor's skill. Analyses of expectancy data revealed that only with good skills did…

  12. Computational Skills for Biology Students

    Science.gov (United States)

    Gross, Louis J.

    2008-01-01

    This interview with Distinguished Science Award recipient Louis J. Gross highlights essential computational skills for modern biology, including: (1) teaching concepts listed in the Math & Bio 2010 report; (2) illustrating to students that jobs today require quantitative skills; and (3) resources and materials that focus on computational skills.

  13. Physical Attractiveness and Counseling Skills.

    Science.gov (United States)

    Vargas, Alice M.; Borkowski, John G.

    1982-01-01

    Searched for interaction between quality of counseling skills (presence or absence of empathy, genuineness, and positive regard) and physical attractiveness as determinants of counseling effectiveness. Attractiveness influenced perceived effectiveness of counselor's skill. Analyses of expectancy data revealed that only with good skills did…

  14. Employability Skills. At a Glance

    Science.gov (United States)

    Wibrow, Bridget

    2011-01-01

    In a competitive workforce it is not just having the right qualification or technical skills that will land an individual a job; it could very well be their interpersonal skills. How someone communicates is often the first impression an employer has of a possible worker. Yet, it is precisely communication skills that employers feel applicants are…

  15. THE MARKETING MIX OPTIMIZATION

    Directory of Open Access Journals (Sweden)

    SABOU FELICIA

    2014-02-01

    Full Text Available ing mix a particularly important issue is to choose the best combination of its variables, this lead to the achievement objectives, in time. Choosing the right marketing mix is possible only by reporting information to some clear benchmarks, these criteria a related to the objective of the company at the time of analyze. The study shows that the companies must give a great importance to optimize the marketing mix, because of how its combines and integrates company policies relating to the product, price, distribution and promotion, depends the success or the failure on its market. The practice has shown that if an element of the marketing mix is wrong implemented, marketing strategies and programs do not achieve their objectives, and the company can not generate the expected profit. To optimize the marketing mix, companies should consider the following issues: the resources (materials, financial and human, which will be properly allocated to all the elements of the marketing mix, the specific marketing tools and the relationship of interdependence of all the methods and tools used to optimize the marketing mix.

  16. On Thanslation Skill

    Institute of Scientific and Technical Information of China (English)

    贾艳

    2010-01-01

    @@ 1.Introduction Before state doing a thanslation job,what comes to your mind?yes,It's the principle of thanslation If som cone wants to become a good thanslator or to thanslate an ariticle,It's the most important thing that you should keep in mind all the time.It will help you thanslate the article better.If not you will not thanslate the article best.And also you need to know the thanslation skills,it will help you thanslate the article without too much barriers.then how you should make these skills into practice.the more you use them,the better you article will be!Now let us first talk the principles.

  17. Language as skill

    DEFF Research Database (Denmark)

    Chater, Nick; McCauley, Stewart M.; Christiansen, M. H.

    2016-01-01

    occurs on-line. These properties are difficult to reconcile with the 'abstract knowledge' viewpoint, and crucially suggest that language comprehension and production are facets of a unitary skill. This viewpoint is exemplified in the Chunk-Based Learner, a computational acquisition model that processes...... incrementally and learns on-line. The model both parses and produces language; and implements the idea that language acquisition is nothing more than learning to process. We suggest that the Now-or-Never bottleneck also provides a strong motivation for unified perception-production models in other domains......Are comprehension and production a single, integrated skill, or are they separate processes drawing on a shared abstract knowledge of language? We argue that a fundamental constraint on memory, the Now-or-Never bottleneck, implies that language processing is incremental and that language learning...

  18. Engineering and design skills

    DEFF Research Database (Denmark)

    Schrøder, Anne Lise

    2006-01-01

    In various branches of society there is focus on the need for design skills and innovation potential as a means of communicating and handling constant change. In this context, the traditional idea of the engineer as a poly-technician inventing solutions by understanding the laws of nature...... concept of diagrammatic reasoning to some extent incarnates the very method of engineering and design. On this background, it is argued how the work field and techniques of the engineer and the engineering scientist could be characterized in a broader creative context of learning and communication....... This leads to considering the fundamental skills of the engineering practice as basic abilities to see the structures and dynamics of the world, to model it, and to create new solutions concerning practical as well as theoretical matters. Finally, it is assumed that the essence of engineering “bildung...

  19. Skills, Stakes, and Clout

    DEFF Research Database (Denmark)

    Vanhuysse, Pieter

    2015-01-01

    I ask why and how early human capital investment may boost the future foundations of European welfare states. Regarding the material circumstances of young adults and very young children, and educational outcomes such as PISA results in mathematics, reading, writing and problem solving, the years...... but no longer Central Europe. Reviewing decade-long evidence on subsidized, high-quality early childhood education pilot programs, I argue that such programs are a tested tool for marrying economic efficiency with social justice (equality of opportunity). I conclude by reflecting on which human skills...... are likely to be valued in the Second Machine Age. And I recommend policies, including new schemes to compensate for the way in which Europe's existing core-periphery divide is being (self-)perpetuated through periphery-to-core brain drain of highly skilled young Europeans....

  20. Training generalized spatial skills.

    Science.gov (United States)

    Wright, Rebecca; Thompson, William L; Ganis, Giorgio; Newcombe, Nora S; Kosslyn, Stephen M

    2008-08-01

    Spatial transformation skills are an essential aspect of cognitive ability. These skills can be improved by practice, but such improvement has usually been specific to tasks and stimuli. The present study investigated whether intensive long-term practice leads to change that transcends stimulus and task parameters. Thirty-one participants (14 male, 17 female) were tested on three cognitive tasks: a computerized version of the Shepard-Metzler (1971) mental rotation task (MRT), a mental paper-folding task (MPFT), and a verbal analogies task (VAT). Each individual then participated in daily practice sessions with the MRT or the MPFT over 21 days. Postpractice comparisons revealed transfer of practice gains to novel stimuli for the practiced task, as well as transfer to the other, nonpracticed spatial task. Thus, practice effects were process based, not instance based. Improvement in the nonpracticed spatial task was greater than that in the VAT; thus, improvement was not merely due to greater ease with computerized testing.

  1. NEW SKILL DEVELOPMENT POLICY ‘SKILL INDIA’ -POSSIBILITY AND ISSUES-

    Directory of Open Access Journals (Sweden)

    Yukiko Hashimoto

    2017-06-01

    Full Text Available In India, the new skill development policy has started and expectations from stakeholders including multi-national companies, non-governmental organizations, and people who suffer from unemployment are mixed towards the training policy ‘Skill India (SI’.The government expects the country to have a drastic change to skilled nation. Corporate Social Responsibility (CSR investments in the country tend to shift from philanthropy to create new social values, e.g. skill development and social business (SB promotions with appropriate trainings for young people. The aim of this article is to find out what exactly the tendencies of Indian Corporate Social Responsibility investments regarding the new policy and issues are based on the interview data. And also it tries to find out some possibilities to make the policy work better. The author will explain and analyze the results of the survey conducted to companies and schools who are main actors to carry out the mission and discuss possible solutions based on suggestions made by CSR personnel, student trainees, school teachers, staffs including social workers

  2. Cultivating strategic thinking skills.

    Science.gov (United States)

    Shirey, Maria R

    2012-06-01

    This department highlights change management strategies that may be successful in strategically planning and executing organizational change initiatives. With the goal of presenting practical approaches helpful to nurse leaders advancing organizational change, content includes evidence-based projects, tools, and resources that mobilize and sustain organizational change initiatives. In this article, the author presents an overview of strategic leadership and offers approaches for cultivating strategic thinking skills.

  3. Intermediate Family Therapy Skills

    OpenAIRE

    2001-01-01

    The field of marriage and family therapy (MFT) has prospered since its beginnings nearly 50 years ago. In order to keep the field current and competitive with other related professions, empirical research is necessary. Although there has been an upsurge of research on the effectiveness and specialty areas of MFT, one area has been overlooked: skills. THe empirical research that has been performed has focused its attention on beginning therapists. The current research took the next step in...

  4. Develop your leadership skills

    CERN Document Server

    Adair, John

    2016-01-01

    "Develop Your Leadership Skills "is John Adair s most accessible title on leadership. Full of exercises and checklists, it can help boost confidence levels and guide and inspire anyone on their journey to becoming a leader of excellence. Acknowledged as a world expert, John Adair offers stimulating insights into recognizing and developing individual leadership qualities, acquiring personal authority, and mastering core leadership functions such as planning, communicating and motivating. The new edition includes summary points for each chapter.

  5. BUILD UP Skills Danmark

    DEFF Research Database (Denmark)

    Forsingdal, Charlotte Vartou; Lauridsen, Vagn Holk; Hougaard, Karsten Frøhlich

    opfyldelsen af 2020-målene, skal de rette kompetencer inden for energief-fektivitet og brug af vedvarende energi være til stede blandt de udførende i bygge- og an-lægsbranchen. Det er på denne baggrund, at Europa-Kommissionen har igangsat Build Up Skills projektet på tværs af Europa. Formålet med denne...

  6. NONTECHNICAL SKILLS IN ANAESTHESIOLOGY

    Directory of Open Access Journals (Sweden)

    D.S.DIVEKAR

    2009-06-01

    Full Text Available Crucial role of Non technical skills (NTS in the dynamic environment of day to day anaesthetic practice is emerging. Rather than mere acceptance, efforts are being made world over to identify & assess them to overcome their negative effects by structured taxonomy both in real time & simulated conditions. Reduction in anaesthetic accidental mishaps & near misses is the prime concern from the point of patient safety & towards that end training & education have a pivotal role.

  7. Communication and presentation skills

    OpenAIRE

    Lorencová, Ivana

    2014-01-01

    This bachelor thesis deals with individual factors of communication and basic presentations skills. The theoretical part specifies the basic elements of verbal and non-verbal communication and basic factors connected with preparation and realisation of a presentation. The practical part of the thesis comprises an analysis of impacts of speaker's visual and other communication influences over an audience. The results are applied to a Multimedia Display exhibition taking place during the bachel...

  8. Arabic Learning Skill

    OpenAIRE

    Muh. Barid Nizaruddin Wajdi

    2016-01-01

    There are some factors influencing teaching and learning of foreign language. In teaching Arabic, for example, linguistic factors, such as Phonology, Grammatical rules, Morphology, and Vocabulary. Non linguistic factor also influences teaching and learning Arabic, for example, teaching aids, teaching method, age and environment. Teaching method in Arabic is one of the important factor. This article discusses about the Arabic learning skills, and how influenced Arabic teaching

  9. Arabic Learning Skill

    Directory of Open Access Journals (Sweden)

    Muh Barid Nizaruddin Wajdi

    2016-07-01

    Full Text Available There are some factors influencing teaching and learning of foreign language. In teaching Arabic, for example, linguistic factors, such as Phonology, Grammatical rules, Morphology, and Vocabulary. Non linguistic factor also influences teaching and learning Arabic, for example, teaching aids, teaching method, age and environment. Teaching method in Arabic is one of the important factor. This article discusses about the Arabic learning skills, and how influenced Arabic teaching

  10. RH Mixing observable?

    CERN Document Server

    Achiman, Yoav

    1999-01-01

    Asymmetric mass matrices can induce large RH mixings. Those are non -measurable in the SM but are there and play an important role in its extensions. The RH rotations are in particular relevant for the proton decay, neutrino properties and baryon asymmetry. E.g. large RH mixings lead to kaon dominated proton decay even without SUSY and could be the reason for a large neutrino mixing. By studying those phenomena one can learn about the RH rotation matrices and this can reduce considerably the arbitrariness in the present fermionic mass study.

  11. Facilitation skills for trainers

    Directory of Open Access Journals (Sweden)

    F. Cilliers

    2000-06-01

    Full Text Available This research aims to develop the facilitation skills of trainers. Facilitation is defined form the Person-Centered approach, as providing an opportunity for the trainee to experience personal growth and learning. A facilitation skills workshop was presented to 40 trainers, focussing on enhancing selfactualisation, its intra and inter personal characteristics, and attending and responding behaviour. Measurement with the Personal Orientation Inventory and Carkhuff scales, indicate enhanced cognitive, affective and conative sensitivity and interpersonal skills. A post-interview indicates the trainers experienced empowerment in dealing with the providing of opportunities for growth amongst trainees, in all kinds of training situations. Recommendations are made to enhance facilitation development amongst trainers. Opsomming Hierdie navorsing poog om die fasiliteringsvaardighede van opieiers te ontwikkel. Fasilitering word gedefinieer vanuit die Persoonsgesentreerde benadering as die beskikbaarstelling van 'n geleentheid om persoonlike groei en leer te ervaar. 'n Fasiliteringsvaardighede werkswinkel is aangebied vir 40 opieiers, met die fokus op die stimulering van selfaktualisering, die intra en interpersoonlike kenmerke daarvan, en aandagskenk- en responderings- gedrag. Meting met die Persoonlike Orientasievraelys en die Carkhuff skale, dui op n toename in kognitiewe, affektiewe en konatiewe sensitiwiteit en interpersoonlike vaardighede. n Post-onderhoud dui op die opleier se ervaarde bemagtiging in die beskikbaarstelling van groeigeleenthede vir opleidelinge, in all tipe opleidingsituasies. Aanbevelings word gemaak om die ontwikkeling van fasiliteringsvaardighede by opleiers te verhoog.

  12. Facilitation skills for nurses

    Directory of Open Access Journals (Sweden)

    F Cilliers

    2000-09-01

    Full Text Available Using the pcrson-centered approach, facilitation in this study was conceptualised as providing opportunities for personal growth in the patient, and operationalised in a skills workshop for 40 nurses from different hospitals in Gauteng. The first objective was to evaluate the workshop and the second to ascertain its effect on the participant’s experienced performance. A combined quantitative and qualitative research design was used. The quantitative measurement (Personal Orientation Inventory, Carkhuff scales indicated that the workshop stimulated self-actualisation in terms of intrapersonal awareness, and the interpersonal skills of respect, realness, concreteness, empathy, as well as in terms of attending and responding behaviour. The qualitative measurement (a semi-structured interview indicated that the participants were able to empower patients to find their own answers to difficult personal questions. The alternative hypothesis was accepted, namely that this workshop in facilitations skills significantly enhanced the intra- and interpersonal characteristics associated with self-actualisation and the facilitation of growth in patients. The findings highlighted the difference between the two roles of instructor and facilitator, and recommendations to this effect were formulated.

  13. Surgeons' non-technical skills.

    Science.gov (United States)

    Yule, Steven; Paterson-Brown, Simon

    2012-02-01

    The importance of non-technical skills to surgical performance is gaining wide acceptance. This article discusses the core cognitive and social skills categories thought to underpin medical knowledge and surgical expertise, and describes the rise of non-technical skill models of assessment in surgery. Behavior rating systems such as NOTSS (Non-Technical Skills for Surgeons) have been developed to support education and assessment in this regard. We now understand more about these critical skills and how they impact surgery. The challenge in the future is to incorporate them into undergraduate teaching, postgraduate training, workplace assessment, and perhaps even selection.

  14. Essential Math Skills for Engineers

    CERN Document Server

    Paul, Clayton R

    2011-01-01

    Just the math skills you need to excel in the study or practice of engineering Good math skills are indispensable for all engineers regardless of their specialty, yet only a relatively small portion of the math that engineering students study in college mathematics courses is used on a frequent basis in the study or practice of engineering. That's why Essential Math Skills for Engineers focuses on only these few critically essential math skills that students need in order to advance in their engineering studies and excel in engineering practice. Essential Math Skills for Engineers features con

  15. Mixed-Media Owls

    Science.gov (United States)

    Schultz, Kathy

    2010-01-01

    The fun of creating collages is there are unlimited possibilities for the different kinds of materials one can use. In this article, the author describes how her eighth-grade students created an owl using mixed media.

  16. Business Students' Perceptions of Necessary Skills.

    Science.gov (United States)

    Davis, Lajuan; Riley, Monica; Fisher, Diane J.

    2003-01-01

    Business education students (n=100) rated 14 job skills identified by the Secretary's Commission on Necessary Skills. The top characteristic identified was interpersonal skills followed by critical thinking. Other skills included teamwork, problem solving, computer literacy, and multitasking. (JOW)

  17. Music Mixing Surface

    DEFF Research Database (Denmark)

    Gelineck, Steven; Büchert, Morten; Andersen, Jesper

    2013-01-01

    This paper presents a multi-touch based interface for mixing music. The goal of the interface is to provide users with a more intuitive control of the music mix by implementing the so-called stage metaphor control scheme, which is especially suitable for multi-touch surfaces. Specifically, we...... discuss functionality important for the professional music technician (main target user) - functionality, which is especially challenging to integrate when implementing the stage metaphor. Finally we propose and evaluate solutions to these challenges....

  18. The health marketing mix

    OpenAIRE

    Pralea, A. R.

    2011-01-01

    The well-known marketing mix of the commercial sector has found its application and has been developing in the non-profit sector. In most of the cases, the techniques and tools of commercial marketing are used to change behaviours in order to achieve social good. The targeted behaviours range widely from environmental ones to health related behaviours. The aim of the current paper is to highlight some of the characteristics of the marketing mix when applied to change health related behaviours...

  19. Quantifying mixing using magnetic resonance imaging.

    Science.gov (United States)

    Tozzi, Emilio J; McCarthy, Kathryn L; Bacca, Lori A; Hartt, William H; McCarthy, Michael J

    2012-01-25

    Mixing is a unit operation that combines two or more components into a homogeneous mixture. This work involves mixing two viscous liquid streams using an in-line static mixer. The mixer is a split-and-recombine design that employs shear and extensional flow to increase the interfacial contact between the components. A prototype split-and-recombine (SAR) mixer was constructed by aligning a series of thin laser-cut Poly (methyl methacrylate) (PMMA) plates held in place in a PVC pipe. Mixing in this device is illustrated in the photograph in Fig. 1. Red dye was added to a portion of the test fluid and used as the minor component being mixed into the major (undyed) component. At the inlet of the mixer, the injected layer of tracer fluid is split into two layers as it flows through the mixing section. On each subsequent mixing section, the number of horizontal layers is duplicated. Ultimately, the single stream of dye is uniformly dispersed throughout the cross section of the device. Using a non-Newtonian test fluid of 0.2% Carbopol and a doped tracer fluid of similar composition, mixing in the unit is visualized using magnetic resonance imaging (MRI). MRI is a very powerful experimental probe of molecular chemical and physical environment as well as sample structure on the length scales from microns to centimeters. This sensitivity has resulted in broad application of these techniques to characterize physical, chemical and/or biological properties of materials ranging from humans to foods to porous media (1, 2). The equipment and conditions used here are suitable for imaging liquids containing substantial amounts of NMR mobile (1)H such as ordinary water and organic liquids including oils. Traditionally MRI has utilized super conducting magnets which are not suitable for industrial environments and not portable within a laboratory (Fig. 2). Recent advances in magnet technology have permitted the construction of large volume industrially compatible magnets suitable for

  20. Detection of mixed microbial biofilms on central venous catheters removed from Intensive care Unit Patients Detecção de biofilmes microbianos mistos em cateters venosos de pacientes de Unidades de Terapia Intensiva

    Directory of Open Access Journals (Sweden)

    Anisio Storti

    2005-09-01

    Full Text Available Central venous catheters from intensive care unit patients were subjected to microbiological methods (semiquantitative culture and scanning electron microscopy in order to assess microbial attachment and correlate it with blood cultures. During the period of the survey, 59 patients with inserted central venous catheters were studied. The type of catheter used was nontunneled, noncuffed, single lumen, made of polyurethane. Blood samples for cultures were collected at the moment of catheter removal. Data on the patient's age, gender, catheter insertion site, and duration of catheterization were also obtained. From 63 catheters tips analysed, 30 (47.6% showed microbial colonization. Infection proved to be more prevalent in 26 (41.3% patients with catheters inserted via subclavia vein than in 2 (3.2% inserted via the jugular vein. Infection was observed more frequently in catheters which were kept in place more than seven days. A. baumannii, Citrobacter freundii, E. aerogenes, P. aeruginosa and S. saprohyticus were isolated as causal agents of catheter-related bloodstream infections. The antimicrobial agent with greater in vitro activity against Gram-negative bacteria was imipenen and against Gram-positive were vancomycin, cefepime, penicillin, rifampin and tetracycline. The SEM analyses revealed biofilms on surfaces of all the catheters examined.Cateteres venosos centrais inseridos em pacientes internados em unidade de terapia intensiva foram avaliados por métodos microbiológicos (cultura semi-quantitativa e microscopia eletrônica de varredura a fim de detectar adesão microbiana e correlacionar com a cultura de sangue. Durante o período de estudo, foram avaliados 59 pacientes com cateter venoso central. A idade dos pacientes, sexo, sítio de inserção e tempo de permanência do cateter foram anotados. O cateter era de poliuretano não tunelizado e de único lúmen. O sangue para cultura foi coletado no momento da remoção do cateter. De 63

  1. Endotracheal intubation skill acquisition by medical students

    Directory of Open Access Journals (Sweden)

    Henry E. Wang MD MS

    2011-08-01

    Full Text Available During the course of their training, medical students may receive introductory experience with advanced resuscitation skills. Endotracheal intubation (ETI – the insertion of a breathing tube into the trachea is an example of an important advanced resuscitation intervention. Only limited data characterize clinical ETI skill acquisition by medical students. We sought to characterize medical student acquisition of ETI procedural skill.11Presented as a poster discussion on 17 October 2007 at the annual meeting of the American Society of Anesthesiologists in San Francisco, CA.The study included third-year medical students participating in a required anesthesiology clerkship. Students performed ETI on operating room patients under the supervision of attending anesthesiologists. Students reported clinical details of each ETI effort, including patient age, sex, Mallampati score, number of direct laryngoscopies and ETI success. Using mixed-effects regression, we characterized the adjusted association between ETI success and cumulative ETI experience.ETI was attempted by 178 students on 1,646 patients (range 1–23 patients per student; median 9 patients per student, IQR 6–12. Overall ETI success was 75.0% (95% CI 72.9–77.1%. Adjusted for patient age, sex, Mallampati score and number of laryngoscopies, the odds of ETI success improved with cumulative ETI encounters (odds ratio 1.09 per additional ETI encounter; 95% CI 1.04–1.14. Students required at least 17 ETI encounters to achieve 90% predicted ETI success.In this series medical student ETI proficiency was associated with cumulative clinical procedural experience. Clinical experience may provide a viable strategy for fostering medical student procedural skills.

  2. AQA A2 Chemistry Student Unit Guide

    CERN Document Server

    Cross, Margaret

    2010-01-01

    Student Unit Guides are perfect for revision. Each guide is written by an examiner and explains the unit requirements, summarises the relevant unit content and includes a series of specimen questions and answers. There are three sections to each guide:. Introduction - includes advice on how to use the guide, an explanation of the skills being tested by the assessment objectives, an outline of the unit or module and, depending on the unit, suggestions for how to revise effectively and prepare for the examination questions. Content Guidance - provides an examiner's overview of the module's key t

  3. Edexcel AS Physics Student Unit Guide

    CERN Document Server

    Benn, Mike

    2009-01-01

    Student Unit Guides are perfect for revision. Each guide is written by an examiner and explains the unit requirements, summarises the relevant unit content and includes a series of specimen questions and answers. There are three sections to each guide:. Introduction - includes advice on how to use the guide, an explanation of the skills being tested by the assessment objectives, an outline of the unit or module and, depending on the unit, suggestions for how to revise effectively and prepare for the examination questions. Content Guidance - provides an examiner's overview of the module's key t

  4. Edexcel A2 Physics Student Unit Guide

    CERN Document Server

    Benn, Mike

    2010-01-01

    Student Unit Guides are perfect for revision. Each guide is written by an examiner and explains the unit requirements, summarises the relevant unit content and includes a series of specimen questions and answers. There are three sections to each guide:. Introduction - includes advice on how to use the guide, an explanation of the skills being tested by the assessment objectives, an outline of the unit or module and, depending on the unit, suggestions for how to revise effectively and prepare for the examination questions. Content Guidance - provides an examiner's overview of the module's key t

  5. 77 FR 1497 - Notice of Proposed Information for Public Comment for: Public/Private Partnerships for the Mixed...

    Science.gov (United States)

    2012-01-10

    ... closing and committing HUD public housing funds to the development of a Mixed-Finance project. Most of the... for the Mixed-Finance Development of Public Housing Units AGENCY: Office of the Chief Information... Reform Act allowed the Mixed-Finance development of public housing units. This meant that Public Housing...

  6. Mixed alkaline earth effect in sodium aluminosilicate glasses

    DEFF Research Database (Denmark)

    Kjeldsen, Jonas; Smedskjær, Morten Mattrup; Mauro, John C.

    2013-01-01

    While the mixed alkali effect has received significant attention in the glass literature, the mixed alkaline earth effect has not been thoroughly studied. Here, we investigate the latter effect by partial substitution of magnesium for calcium in sodium aluminosilicate glasses. We use Raman and NMR...... spectroscopies to obtain insights into the structural and topological features of these glasses, and hence into the mixed alkaline earth effect. We demonstrate that the mixed alkaline earth effect manifests itself as a maximum in the amount of bonded tetrahedral units and as a minimum in liquid fragility index...

  7. Can virtual science foster real skills? A study of inquiry skills in a virtual world

    Science.gov (United States)

    Dodds, Heather E.

    Online education has grown into a part of the educational market answering the demand for learning at the learner's choice of time and place. Inquiry skills such as observing, questioning, collecting data, and devising fair experiments are an essential element of 21st-century online science coursework. Virtual immersive worlds such as Second Life are being used as new frontiers in science education. There have been few studies looking specifically at science education in virtual worlds that foster inquiry skills. This quantitative quasi-experimental nonrandomized control group pretest and posttest study explored what affect a virtual world experience had on inquiry skills as measured by the TIPS (Test of Integrated Process Skills) and TIPS II (Integrated Process Skills Test II) instruments. Participants between the ages of 18 and 65 were recruited from educator mailing lists and Second Life discussion boards and then sorted into the experimental group, which received instructions to utilize several displays in Mendelian genetics at the Genome Island location within Second Life, or the control group, which received text-based PDF documents of the same genetics course content. All participants, in the form of avatars, were experienced Second Life residents to reduce any novelty effect. This study found a greater increase in inquiry skills in the experimental group interacting using a virtual world to learn science content (0.90 points) than a control group that is presented only with online text-based content (0.87 points). Using a mixed between-within ANOVA (analysis of variance), with an alpha level of 0.05, there was no significant interaction between the control or experimental groups and inquiry skills, F (1, 58) = .783, p = .380, partial eta squared = .013, at the specified .05 alpha level suggesting no significant difference as a result of the virtual world exercise. However, there is not enough evidence to state that there was no effect because there was a

  8. Pisa Question and Reasoning Skill

    Directory of Open Access Journals (Sweden)

    Ersoy Esen

    2017-01-01

    Full Text Available The objective of the study is to determine the level of the reasoning skills of the secondary school students. This research has been conducted during the academic year of 2015-2016 with the participation of 51 students in total, from a province in the Black Sea region of Turkey by using random sampling method. Case study method has been used in this study, since it explains an existing situation. In this study, content analysis from the qualitative research methods was carried out. In order to ensure the validity of the scope, agreement percentage formula was used and expert opinions were sought.The problem named Holiday from the Chapter 1 of the normal units in Problem Solving Questions from PISA (Program for International Student Assessments [35] are used as the data collection tool for the study. The problem named Holiday consists of two questions. Applied problems were evaluated according to the mathematical reasoning stages of TIMSS (2003. The findings suggest that the students use proportional reasoning while solving the problems and use the geometric shapes to facilitate the solution of the problem. When they come across problems related to each other, it is observed that they create connections between the problems based on the results of the previous problem. In conclusion, the students perform crosscheck to ensure that their solutions to the problems are accurate.

  9. Retrospective study on prognostic importance of serum procalcitonin and amino-terminal pro-brain natriuretic peptide levels as compared to Acute Physiology and Chronic Health Evaluation IV Score on Intensive Care Unit admission, in a mixed Intensive Care Unit population

    OpenAIRE

    2016-01-01

    Background: Timely decision making in Intensive Care Unit (ICU) is very essential to improve the outcome of critically sick patients. Conventional scores like Acute Physiology and Chronic Health Evaluation (APACHE IV) are quite cumbersome with calculations and take minimum 24 hours. Procalcitonin has shown to have prognostic value in ICU/Emergency department (ED) in disease states like pneumonia, sepsis etc. NTproBNP has demonstrated excellent diagnostic and prognostic importance in cardiac d...

  10. Pre-Service Teachers’ Opinions on Teaching Thinking Skills

    Directory of Open Access Journals (Sweden)

    Orhan Akınoğlu

    2016-08-01

    Full Text Available The purpose of the present study is to determine pre-service teachers‟ opinions on teaching thinking skills. 134 senior pre-service pre-school, English and mathematics teachers studying at a state university in Istanbul participated in the study which is designed based on survey model. A questionnaire which was developed by the researchers was used in data collection and percentage and frequency values were calculated for the data analysis. The results showed that preservice teachers thought that thinking skills could be taught and teaching thinking skills should begin in pre-school level. They regarded the mixed approach as the most effective approach in teaching thinking skills. They considered that teachers‟ and administrators‟ modeling were considerably important in thinking-friendly classrooms and schools. They believed that being open to different opinions was the most important attribute of teachers who promote thinking. Pre-service teachers perceive themselves partially competent in developing students‟ thinking skills in the future. However, they emphasized the need for training in teaching thinking skills at schools

  11. Generating Units

    Data.gov (United States)

    Department of Homeland Security — Generating Units are any combination of physically connected generators, reactors, boilers, combustion turbines, and other prime movers operated together to produce...

  12. Teaching Skills through Literature

    Directory of Open Access Journals (Sweden)

    Saleh Ahmed Saif Abdulmughni

    2016-03-01

    Full Text Available This study tries to investigate the contributory factors in the success and failure in teaching of the four language skills through teaching of literature because literature is critically and crucially relevant to the evolution of a literary sensibility. The basic end of literature is to read which develops reading skills and to reinterpret the dynamics of a given society. In this process the language skills are actually manifested. Literature, if we deconstruct the term involves two stages of reading; one that is the text, and second; the subsequent evaluation which entails the ability to break the text and trace the possibilities of meanings. This cannot be done without a proper perspective of the literary and linguistic mind, and the very act of interpretation amply appropriates reading skills. Literature fundamentally helps to develop the spirit of inquiry and the variety of thoughts involved in the representation of the text and; therefore, the study of literature enhances the ability to think beyond what you have been provided with and also to be equipped with a quizzical bent of mind that seeks to establish the competence to question what is read as a matter of literary text. This makes the learner naturally acquire the language from the literary context and consequently develop the language skills. Teaching of language through literature has been a tested method as literary texts are so complete with vocabulary, the terrain of thoughts, the diversity of human encounters and the complexity of experiences. In the process of deconstructing a text, one comes across umpteen shades of thoughts conceived and delivered in a compressed form. Also the decoding of the language given its symbolic structure greatly enhances the prospects of independent thinking and writing. In this way the written skills are widely developed. A text is a bundle of thoughts clad in a complicated web of linguistic sophistication, and the sophistry alone suffices to

  13. The MIXED framework: A novel approach to evaluating mixed-methods rigor.

    Science.gov (United States)

    Eckhardt, Ann L; DeVon, Holli A

    2017-02-09

    Evaluation of rigor in mixed-methods (MM) research is a persistent challenge due to the combination of inconsistent philosophical paradigms, the use of multiple research methods which require different skill sets, and the need to combine research at different points in the research process. Researchers have proposed a variety of ways to thoroughly evaluate MM research, but each method fails to provide a framework that is useful for the consumer of research. In contrast, the MIXED framework is meant to bridge the gap between an academic exercise and practical assessment of a published work. The MIXED framework (methods, inference, expertise, evaluation, and design) borrows from previously published frameworks to create a useful tool for the evaluation of a published study. The MIXED framework uses an experimental eight-item scale that allows for comprehensive integrated assessment of MM rigor in published manuscripts. Mixed methods are becoming increasingly prevalent in nursing and healthcare research requiring researchers and consumers to address issues unique to MM such as evaluation of rigor. © 2017 John Wiley & Sons Ltd.

  14. Mixed phases during the phase transitions

    CERN Document Server

    Tatsumi, Toshitaka; Maruyama, Toshiki

    2011-01-01

    Quest for a new form of matter inside compact stars compels us to examine the thermodynamical properties of the phase transitions. We closely consider the first-order phase transitions and the phase equilibrium on the basis of the Gibbs conditions, taking the liquid-gas phase transition in asymmetric nuclear matter as an example. Characteristic features of the mixed phase are figured out by solving the coupled equations for mean-fields and densities of constituent particles self-consistently within the Thomas-Fermi approximation. The mixed phase is inhomogeneous matter composed of two phases in equilibrium; it takes a crystalline structure with a unit of various geometrical shapes, inside of which one phase with a characteristic shape, called "pasta", is embedded in another phase by some volume fraction. This framework enables us to properly take into account the Coulomb interaction and the interface energy, and thereby sometimes we see the mechanical instability of the geometric structures of the mixed phase...

  15. The healthcare experiences of Koreans living in North Carolina: a mixed methods study.

    Science.gov (United States)

    De Gagne, Jennie C; Oh, Jina; So, Aeyoung; Kim, Suk-Sun

    2014-07-01

    This study examined the healthcare experiences of Korean immigrants aged 40-64 living in the North Carolina Triangle area of the Southeastern United States. Using a mixed methods design, we collected quantitative data via a questionnaire from 125 participants and conducted a focus group with 10 interviewees from December 2010 to February 2011. The quantitative data were analysed using t-tests and chi-square tests, and a thematic analysis was used for the focus group study. Questionnaire findings showed that only 27.2% had sufficient English skills to communicate adequately. Participants with insurance were significantly more likely to be employed (P ii) facilitators of utilisation of healthcare services; and (iii) social support seeking for health management. Our mixed methods study findings indicate that healthcare disparities exist among Korean immigrants and that a number of factors, including health literacy, may contribute to their poor health outcomes. Continued collaboration among community members, healthcare professionals and academicians is needed to discuss the community's health concerns and to develop sustainable programmes that will ensure meaningful access to care for those with limited English proficiency and medically underserved populations. © 2014 John Wiley & Sons Ltd.

  16. Information Literacy in Postsecondary Education in the United Kingdom, the United States, Australia, and New Zealand

    Science.gov (United States)

    Folk, Amanda L.

    2016-01-01

    This comparison seeks to determine if the three documents addressing information literacy skills and competence developed by professional library associations for postsecondary education in four predominantly English-speaking countries--the United Kingdom, the United States, Australia, and New Zealand--have similar or varying conceptions of…

  17. Information Literacy in Postsecondary Education in the United Kingdom, the United States, Australia, and New Zealand

    Science.gov (United States)

    Folk, Amanda L.

    2016-01-01

    This comparison seeks to determine if the three documents addressing information literacy skills and competence developed by professional library associations for postsecondary education in four predominantly English-speaking countries--the United Kingdom, the United States, Australia, and New Zealand--have similar or varying conceptions of…

  18. Mixing of Supersonic Streams

    Science.gov (United States)

    Hawk, C. W.; Landrum, D. B.; Muller, S.; Turner, M.; Parkinson, D.

    1998-01-01

    The Strutjet approach to Rocket Based Combined Cycle (RBCC) propulsion depends upon fuel-rich flows from the rocket nozzles and turbine exhaust products mixing with the ingested air for successful operation in the ramjet and scramjet modes. It is desirable to delay this mixing process in the air-augmented mode of operation present during low speed flight. A model of the Strutjet device has been built and is undergoing test to investigate the mixing of the streams as a function of distance from the Strutjet exit plane during simulated low speed flight conditions. Cold flow testing of a 1/6 scale Strutjet model is underway and nearing completion. Planar Laser Induced Fluorescence (PLIF) diagnostic methods are being employed to observe the mixing of the turbine exhaust gas with the gases from both the primary rockets and the ingested air simulating low speed, air augmented operation of the RBCC. The ratio of the pressure in the turbine exhaust duct to that in the rocket nozzle wall at the point of their intersection is the independent variable in these experiments. Tests were accomplished at values of 1.0, 1.5 and 2.0 for this parameter. Qualitative results illustrate the development of the mixing zone from the exit plane of the model to a distance of about 10 rocket nozzle exit diameters downstream. These data show the mixing to be confined in the vertical plane for all cases, The lateral expansion is more pronounced at a pressure ratio of 1.0 and suggests that mixing with the ingested flow would be likely beginning at a distance of 7 nozzle exit diameters downstream of the nozzle exit plane.

  19. Designing Journalism Capstone Units That Demonstrate Student Skills

    Science.gov (United States)

    Cullen, Trevor

    2016-01-01

    There are considerable differences in the structure, content, and delivery of tertiary journalism degrees in Australia as identified in a 2014 Office for Learning and Teaching (OLT) Innovation and Development Project report on graduate qualities and journalism curriculum renewal. To address this situation, the author argues for journalism capstone…

  20. The Use of Science Inquiry and Its Effect on Critical Thinking Skills and Dispositions in Third Grade Students

    Science.gov (United States)

    Burns, Eeva

    2009-01-01

    Many students reach the middle school level without appropriate critical thinking skills. This has important implications for educators and the future workforce. This mixed methods quasi-experimental design study investigated the use of a science inquiry kit and its effect on the critical thinking skills and dispositions of elementary students.…