Evaluation of tourism

Evaluation of the East Midlands regional tourism programme. A quantitative and qualitative assessment of the contribution of the programme between 2004 and 2010, including recommendations as to how the visitor economy can more fully contribute to the aims and objectives of the Regional Economic Strategy. Reviews the Strategic Added Value (SAV) of the programme and benchmarks estimated net impact against other regions

Physical Therapy Management of a Patient with Post-Concussive Syndrome Following a mTBI: A Case Report

Background: Prolonged symptoms following a concussion, known as post-concussion syndrome (PCS) is beginning to gain relevance in recent literature. There is some evidence indicating the adverse effects of PCS on a patient’s life, the evaluation of PCS, and the treatment of PCS. Purpose: The purpose of this case study is to provide examples of interventions and progressions used to successfully treat a patient experiencing symptoms related to PCS following a mild traumatic brain injury (mTBI). Case Description: A 55-year-old male referred to therapy 2-weeks after experiencing a diagnosed mTBI. His pertinent medical history included 4 diagnosed mTBI in the past. He was experiencing symptoms including a constant headache, increased cervical stiffness and pain, dizziness, increased frustration, difficulty sleeping, and impaired balance and lower extremity coordination. Interventions: He received 14 physical therapy sessions over an eight-week period, while also receiving speech therapy. The physical therapy interventions included manual therapy and postural strengthening, vestibular and oculomotor training, balance interventions, and work simulated tasks. Outcomes: The patient was evaluated using certain parts of the vestibular/ocular motor screening (VOMS) exam as well as the concussion balance test (COBALT). The patient returned to his previous level of employment indicating an improvement in overall function. His reported pain levels decreased from 6/10 upon evaluation to 0/10 on the final day of therapy. Discussion: Throughout his episode of care, he demonstrated improvements in cervical stiffness and pain, lower extremity coordination, balance, and a large reduction in his experienced headache and dizziness. This case report outlines the interventions used in a specific patient aimed to resolve the experienced symptoms presumably due to PCS

Recommendations for burns care in mass casualty incidents: WHO Emergency Medical Teams Technical Working Group on Burns (WHO TWGB) 2017-2020

Health and logistical needs in emergencies have been well recognised. The last 7 years has witnessed improved professionalisation and standardisation of care for disaster affected communities – led in part by the World Health Organisation Emergency Medical Team (EMT) initiative. Mass casualty incidents (MCIs) resulting in burn injuries present unique challenges. Burn management benefits from specialist skills, expert knowledge, and timely availability of specialist resources. With burn MCIs occurring globally, and wide variance in existing burn care capacity, the need to strengthen burn care capability is evident. Although some high-income countries have well-established disaster management plans, including burn specific plans, many do not – the majority of countries where burn mass casualty events occur are without such established plans. Developing globally relevant recommendations is a first step in addressing this deficit and increasing preparedness to deal with such disasters. Global burn experts were invited to a succession of Technical Working Group on burns (TWGB) meetings to: 1) review literature on burn care in MCIs; and 2) define and agree on recommendations for burn care in MCIs. The resulting 22 recommendations provide a framework to guide national and international specialist burn teams and health facilities to support delivery of safe care and improved outcomes to burn patients in MCIs.publishedVersio

Review of Funding and Management Structures of Emergency Medical Teams (EMTs) and International Search and Rescue (ISAR) Teams

When disasters exceed the capacity of the affected country to cope within its own resources, assistance from external source teams is required and typically requested (Bartolucci et al., 2019). Assistance can be Emergency Medical Teams (EMTs - also known as Disaster Medical Teams [DMTs] or Disaster Medical Assistance Teams [DMATs]) and/or International Search and Rescue (ISAR) teams. However, as the structures of these teams differ greatly, their management is paramount to success. Also, the cost of international relief, and the belief that such deployment is cost-effective, has been questioned by the international community. Although overall management and centrally pooled funding is available for EMTs and ISAR teams, this rapid review focuses on organisation and funding at the country and/or regional level. As requested, EMT examples are taken from Australia, China, India, Israel, Malaysia, and the Caribbean. Data on ISAR teams is from Brazil, China, Germany, Indonesia, Scandinavia, and the United States (USA). The assessed ‘grey’ literature included: (i) external evaluations commissioned by funding agencies and/ or humanitarian EMT providers; (ii) institutional reviews of lessons learned; (iii) after-action reports, and (iv) formal reviews commissioned by the authorities of some of the sudden onset disaster (SOD) affected countries. Findings from response to natural disasters (de Ville de Goyet et al., 2003), and conclusions of five Tsunami Evaluation Coalition (TEC) thematic evaluations (de Ville de Goyet, 2007) were used extensively. However, since these publications, there still are few detailed data and evaluations available on EMTs and ISAR teams (Gerdin et al., 2013; Bartolucci et al., 2019). Experts consulted for this rapid review also confirmed this

SOAR (Support Office for Aerogeophysical Research) Annual Report 1996/1997

The Support Office for Aerogeophysical Research (SOAR) was a facility of the National Science Foundation's Office of Polar Programs whose mission is to make airborne geophysical observations available to the broad research community of geology, glaciology and other sciences. The central office of the SOAR facility is located in Austin, Texas within the University of Texas Institute for Geophysics. Other institutions with significant responsibilities are the Lamont­ Doherty Earth Observatory of Columbia University and the Geophysics Branch of the U.S . Geological Survey. This report summarizes the goals and accomplishments of the SOAR facility during 1996/1997 and plans for the next year.National Science Foundation's Office of Polar ProgramsInstitute for Geophysic

The role of teamwork and communication in the emergency department: A systematic review

Abstract The aim of this study was to develop a systematic review using international research to describe the role of teamwork and communication in the emergency department, and its relevance to physiotherapy practice in the emergency department. Searches were conducted of CINAHL, Academic Search Premier, Scopus, Cochrane, PEDro, Medline, Embase, Amed and PubMed. Selection criteria included full-text English language research papers related to teamwork and/or communication based directly in the emergency department, involvement of any profession in the emergency department, publication in peer-reviewed journals, and related to adult emergency services. Studies were appraised using a validated critical appraisal tool. Fourteen eligible studies, all of mid-range quality, were identified. They demonstrated high levels of staff satisfaction with teamwork training interventions and positive staff attitudes towards the importance of teamwork and communication. There is moderate evidence that the introduction of multidisciplinary teams to the ED may be successful in reducing access block, and physiotherapists may play a role in this. The need for teamwork and communication in the ED is paramount, and their roles are closely linked, with the common significant purposes of improving patient safety, reducing clinical errors, and reducing waiting times

A meta-analysis of corrosion studies for Maritime Patrol and Reconnaissance Aircraft (MPRA)

It is very important to find means and methods to reduce maritime patrol and reconnaissance aircraft (MPRA) corrosion costs. This thesis examines recent Department of Defense (DOD) and Government Accounting Office (GAO) corrosion studies to conduct meta-analysis and make recommendations based on correlated findings. The methods adopted for this thesis consist of a literature review, heuristic flow diagram, case study selections and meta-analysis. The conclusions are that the cost of MPRA corrosion treatment and prevention is detrimental in the consumption of manpower and resources, is a high readiness degrader, and diverts funding that could be used for future programs. Corrosion treatment and prevention processes of the past may not be environmentally acceptable today. This study recommends that HAZMAT material used to combat aircraft paint/corrosion be carefully monitored and reduced to a minimum as soon as possible. Further, man-hour reduction studies are needed to optimize a balance between corrosion prevention and treatment cost and man-hours. One recommendation is to establish an international naval corrosion working group to pool talent and resources with our naval allies toward developing common corrosion tactics. An additional recommendation is to fund a comprehensive MPRA wash interval optimization study to include all MPRA-type model series aircraft.http://archive.org/details/ametaanalysisofc1094550508Civilian, Department of the NavyApproved for public release; distribution is unlimited

Spatial-Temporal Recurrent Graph Neural Networks for Fault Diagnostics in Power Distribution Systems

Fault diagnostics are extremely important to decide proper actions toward fault isolation and system restoration. The growing integration of inverter-based distributed energy resources imposes strong influences on fault detection using traditional overcurrent relays. This paper utilizes emerging graph learning techniques to build a new temporal recurrent graph neural network models for fault diagnostics. The temporal recurrent graph neural network structures can extract the spatial-temporal features from data of voltage measurement units installed at the critical buses. From these features, fault event detection, fault type/phase classification, and fault location are performed. Compared with previous works, the proposed temporal recurrent graph neural networks provide a better generalization for fault diagnostics. Moreover, the proposed scheme retrieves the voltage signals instead of current signals so that there is no need to install relays at all lines of the distribution system. Therefore, the proposed scheme is generalizable and not limited by the number of relays installed. The effectiveness of the proposed method is comprehensively evaluated on the Potsdam microgrid and IEEE 123-node system in comparison with other neural network structures

University of Nebraska at Omaha Department of Biomechanics Annual Report Spring 2018

This report contains: A letter from the Director: Dr. Nick Stergiou Articles about Updates from the Center for research in Human Movement Variability Articles about Updates from the Department of Biomechanics Article about Other Exciting Events Articles about Beyond our Boarders Article about Outreach and Highlightshttps://digitalcommons.unomaha.edu/nbcfnewsletter/1016/thumbnail.jp