Proposal for encoding the Old Turkic script in the SMP of the UCS

This is a proposal to encode the Old Turkic script in the international character encoding standard Unicode. The script was published in Unicode Standard version 5.2 in October 2009. Old Turkic appears in stone inscriptions from the early 8c CE near the Orkhon River in Mongolia, and a slightly different version is found near the Yenisei River in Siberia in the later 8c CE. By the 9c CE, the script had been replaced by the Uyghur script

Use of resources in special schools = Y defnydd o adnoddau mewn ysgolion arbennig

While special schools generally make good use of available funds, many councils’ funding and support arrangements do not reflect the changed context in which schools operate

COIN is dead - long live transformation

Donald Rumsfeld was right. Force transformation works. The techniques that led to the initial victories in Afghanistan in 2001 were precisely those that produced success in Libya in 2011.1 Small-scale deployments of special forces backed by precision strike and deep attack capabilities used to support an allied indigenous armed group proved an effective military tool for achieving specific strategic outcomes. In contrast, the results of large-scale troop deploy- ments as part of counterinsurgency (COIN), stabilization and nation-building activities over the past ten years in Iraq and Afghanistan have been less defini- tive. Despite intensive investment in blood, treasure, and military effort, the precise long-term outcomes of these two campaigns remain unclear and will be open to debate for years to come. This challenging operational experience has, however, highlighted some necessary and enduring truths about the use of military force. This paper explores those in light of the last ten years of counterinsurgenc

Not all suffering is pain: sources of patients' suffering in the emergency department call for improvements in communication from practitioners

Background Provision of prompt, effective analgesia is rightly considered as a standard of care in the emergency department (ED). However, much suffering is not ‘painful’ and may be under-recognised. We sought to describe the burden of suffering in the ED and explore how this may be best addressed from a patient centred perspective. Methods In a prospective cohort study, we included undifferentiated patients presenting to the ED. We undertook two face to face questionnaires with the first immediately following triage. We asked patients: (a) if they were ‘suffering’; (b) how they were suffering; and (c) what they hoped would be done to ease this. Prior to leaving the ED, we asked patients what had been done to ease their suffering. Data were analysed thematically. Results Of 125 patients included, 77 (61.6%) reported suffering on direct questioning and 92 (73.6%) listed at least one way in which they were suffering. 90 (72.0%) patients had a pain score >0/10 but only 37 (29.6%) reported that pain was causing suffering. Patients reported suffering from both physical symptoms (especially pain, nausea, vomiting and dizziness) and emotional distress (notably anxiety). Treatment (to ease physical and emotional symptoms), information (particularly diagnosis, reassurance and explanation), care (notably friendly staff) and closure (being seen, resolving the problem and going home) were the key themes identified as important for relief of suffering. Conclusions In seeking to ease suffering in the ED, clinicians must focus not only on providing analgesia but on treating Emotional distress, Physical symptoms, providing Information, Care and Closure (EPICC)

Feasibility of the Manchester Acute Coronary Syndromes (MACS) decision rule to safely reduce unnecessary hospital admissions: a pilot randomised controlled trial

Background Observational studies suggest that the Manchester Acute Coronary Syndromes (MACS) decision rule can effectively rule out' and rule in' acute coronary syndromes (ACS) following a single blood test. In a pilot randomised controlled trial, we aimed to determine whether a large trial is feasible. Methods Patients presenting to two EDs with suspected cardiac chest pain were randomised to receive care guided by the MACS decision rule (intervention group) or standard care (controls). The primary efficacy outcome was a successful discharge from the ED, defined as a decision to discharge within 4 hours of arrival providing that the patient did not have a missed acute myocardial infarction (AMI) or develop a major adverse cardiac event (MACE: death, AMI or coronary revascularisation) within 30 days. Feasibility outcomes included recruitment and attrition rates. Results In total, 138 patients were included between October 2013 and October 2014, of whom 131 (95%) were randomised (66 to intervention and 65 controls). Nine (7%) patients had prevalent AMI and six (5%) had incident MACE within 30 days. All 131 patients completed 30-day follow-up and were included in the final analysis with no missing data for the primary analyses. Compared with standard care, a significantly greater proportion of patients whose care was guided by the MACS rule were successfully discharged within 4 hours (26% vs 8%, adjusted OR 5.45, 95% CI 1.73 to 17.11, p=0.004). No patients in either group who were discharged within 4 hours had a diagnosis of AMI or incident MACE within 30 days (0.0%, 95% CI 0% to 20.0% in the intervention group). Conclusions In this pilot trial, use of the MACS rule led to a significant increase in safe discharges from the ED but a larger, fully powered trial remains necessary. Our findings seem to support the feasibility of that trial. Trial registration number ISRCTN 86818215. Research Ethics Committee reference 13/NW/0081. UKCRN registration ID 14334

RC load-bearing structure design of multipurpose-building

Cieľom diplomovej práce je návrh a posúdenie ŽB nosnej konštrukcie viacúčelového objektu založeného na základovej doske. Pre výpočet vnútorných síl je použitý program Scia Engineer 15. Dimenzované sú stropná doska, stĺpy a schodisko. Návrhová životnosť konštrukcie je 50 rokov.The aim of diploma thesis is design and appraise the structure of the spatial reinforced concrete object founded on foundation slab. The structure is without the cladding. To the calculation of internal forces is used computing software Scia Engineer 15. Roof slab, rung, beam and column are designed. Designed life of the structure is 50 years.

Mindfulness en educación

La práctica mindfulness tiene su origen en el budismo Hyland (2011) los define como la séptima fase de los ocho caminos que dirigen hacia el nirvana o el final del sufrimiento. Kabat-Zinn (2013) en Hyland (2011) afirma con respecto al origen budista de mindfulness que este revela una descripción coherente de la naturaleza de la mente, la emoción, el sufrimiento y su potencial alivio, y ese alivio del sufrimiento se consigue con la práctica y el entrenamiento sistemático, también cultivando la mente y el corazón a través de la atención. Tradicionalmente mindfulness se considera un paso fundamental hacia la meditación, la concentración y la aceptación del sufrimiento y el dolor. Esta práctica busca una manera de contrarrestar el dolor físico y mental, el sufrimiento y la adversidad. Por este motivo esta técnica está fuertemente asociada a tratamientos médicos y terapias psicológicas. Cuando se integra la técnica mindfulness en los programas educativos dirigidos hacia el desarrollo de las competencias sociales y emocionales, estas se ven reforzadas, como, por ejemplo: la autoconciencia adopta una nueva profundidad de exploración interior, la gestión emocional fortalece la capacidad para resolver conflictos y la empatía se convierte en la base del altruismo y la compasión (Lantieri y Zakrzewski, 2015). A través de tareas basadas en esta técnica y diseñadas específicamente para el alumnado de primaria, podrían promover en los alumnos habilidades relacionadas con el autocontrol, la gestión del estrés, el bienestar, la conducta prosocial y laaa mejora del rendimiento académico (Schonert-Reichl et al., 2015).Universidad de Málaga. Campus de Excelencia Internacional Andalucía Tech

Using Action Research To Identify Unexpected Factors Affecting CRM Implementation

No action research has been conducted regarding the status of CRM implementation in the public institution sector. This study aims to identify rare or unexpected contextual, organizational, and individual factors behind the CRM implementation at a state SBDC. For this purpose, interview data was collected from 19 consultants of the state SBDC. Surprisingly this CRM implementation is considered particularly successful even though it involved only internal user participation for the individual factors. To be successful, CRM implementation must involve internal and external user participation. Our findings about internal user participation contradict the previous research. During the progression of the qualitative analysis, other rare or unexpected factors to the CRM implementation literature were found. These are: accreditation review pressure for the contextual factors and legal and licensing agreement feasibility for the organizational factors.