GPs’ strategies in exploring the preschool child’s wellbeing in the paediatric consultation

Background: Although General Practitioners (GPs) are uniquely placed to identify children with emotional, social, and behavioural problems, they succeed in identifying only a small number of them. The aim of this article is to explore the strategies, methods, and tools employed by GPs in the assessment of the preschool child’s emotional, mental, social, and behavioural health. We look at how GPs address parental care of the child in general and in situations where GPs have a particular awareness of the child. Method: Twenty-eight Danish GPs were purposively selected to take part in a qualitative study which combined focus-group discussions, observation of child consultations, and individual interviews with GPs. Results: Analysis of the data suggests that GPs have developed a set of methods, and strategies to assess the preschool child and parental care of the child. They look beyond paying narrow attention to the physical health of the child and they have expanded their practice to include the relations and interactions in the consultation room. The physical examination of the child continues to play a central role in doctor-child communication. Conclusion: The participating GPs’ strategies helped them to assess the wellbeing of the preschool child but they often find it difficult to share their impressions with parents

An Experimental Study of Unsteady Flows Generated in Kojima Lake

The global positioning system (GPS) is utilized for analysis of flows in the water environment. A float equipped with a GPS unit is designed to drift on the surface of the water. Its driving force is the fluid resistance exerted on a pair of rectangular plates. While it travels over the surface, the GPS unit evaluates its position every second, and spatiotemporal data that specify its motion are transmitted to be recorded. Results of experiments conducted to study unsteady flows generated in Kojima Lake are introduced

Health and well-being implications surrounding the use of wearable GPS devices in professional rugby league: A Foucauldian disciplinary analysis of the normalised use of a common surveillance aid

Wearable GPS tracking devices have become commonplace coaching aids across professional field sports to enhance sports performances and reduce injury rates, despite the implications of the technology being poorly understood. This study looked at how GPS devices are used and the impact constant surveillance has upon the physical, psychological, and emotional health of rugby football workers. The disciplinary analysis of Michel Foucault was used to investigate how British Super League teams use wearable GPS technology, to investigate the dominant 'truth' that promotes surveillance technologies as 'universally beneficial' to athlete sports performance, health and well-being. Data was drawn from semi-structured interviews with three performance analysts/strength and conditioning coaches at three different Super League clubs across the North of England. Participants confessed data generated from wearable GPS is often totally ignored, despite being specifically produced to protect athlete health and wellbeing. When used, GPS data can become a 'disciplinary tool' to normalise and coerce players to comply with potentially unhealthy physical and psychological demands of a professional playing career. Importantly, regardless of how GPS data was used, the employment of wearable GPS devices was constantly and rigorously implemented. The constant surveillance experience by working players, when mismanaged or adopted as a coercive disciplinary tool, magnifies the uncertainty and fear of failure central to the predominant challenges that arise during a working football career. This leads to the acceptance of problematic norms damaging to physical, psychological, and emotional health. If GPS or other surveillance based performance analysis technologies are to be used in sport, coaches need to regulate or re-think their day-to-day use to avoid creating new harms to athlete health and well-being

Linking Smartphone GPS Data with Transport Planning: A Framework of Data Aggregation and Anonymization for a Journey Planning App

With the proliferation of GPS tracking data provided by smartphone apps, it is desirable to develop a data processing and anonymizing framework to transform raw GPS data into a suitable format for transport planning models. The paper aims to describe the effort to address such issues by map matching and aggregating the GPS information derived from a journey planning app. The effectiveness and flexibility of such a framework is demonstrated by an analysis of speeding and waiting time patterns in England and Wales by tracking 120 users for a year

Relation of Federal Taxation to the Financing of Small Business

Aims. To explore general practitioners’ (GPs’) descriptions of their thoughts and action when prescribing cardiovascular preventive drugs. Methods. Qualitative content analysis of transcribed group interviews with 14 participants from two primary health care centres in the southeast of Sweden. Results. GPs’ prescribing of cardiovascular preventive drugs, from their own descriptions, involved “the patient as calculated” and “the inclination to prescribe,” which were negotiated in the interaction with “the patient in front of me.” In situations with high cardiovascular risk, the GPs reported a tendency to adopt a directive consultation style. In situations with low cardiovascular risk and great uncertainty about the net benefit of preventive drugs, the GPs described a preference for an informed patient choice. Conclusions. Our findings suggest that GPs mainly involve patients at low and uncertain risk of cardiovascular disease in treatment decisions, whereas patient involvement tends to decrease when GPs judge the cardiovascular risk as high. Our findings may serve as a memento for clinicians, and we suggest them to be considered in training in communication skills

How and Why to do VLBI on GPS

In order to establish the position of the center of mass of the Earth in the International Celestial Reference Frame, observations of the Global Positioning Satellite (GPS) constellation using the IVS network are important. With a good frame-tie between the coordinates of the IVS telescopes and nearby GPS receivers, plus a common local oscillator reference signal, it should be possible to observe and record simultaneously signals from the astrometric calibration sources and the GPS satellites. The standard IVS solution would give the atmospheric delay and clock offsets to use in analysis of the GPS data. Correlation of the GPS signals would then give accurate orbital parameters of the satellites {\bf in the ICRF reference frame}, i.e. relative to the positions of the astrometric sources. This is particularly needed to determine motion of the center of mass of the earth along the rotation axis.Comment: 5 pages, 2 figures, Conference Proceedings - International Very Long Baseline Service General Meeting 201

GPS monitoring of a steel box girder viaduct

Structural performance monitoring of bridges has increased as major infrastructure ages and is required to sustain loads that are significantly greater than those predicted during design. Structural stiffness and/or mass distribution can change over the lifespan of a bridge structure. Resulting changes in profile or resonant frequency provide key indicators of change, and may identify structural defects. Field tests using GPS for monitoring relatively small deformations were carried out on a steel box girder viaduct bridge in the UK. The configuration consisted of five GPS receivers located at key locations on the viaduct and two reference GPS receivers. GPS data was collected at either 10 Hz or 20 Hz and post-processed using proprietary software, along with appropriate filtering and spectral analysis. Three main frequencies were clearly detected by the GPS in the vertical component. A previously reported frequency of approximately 0.56 Hz was identified along with two other frequencies. The peak vertical deflections lie in the range of ± 50 mm, while lateral and longitudinal deflections of much smaller magnitude - in the order of a few mm - are also measured. The use of GPS leads to readily obtained and useful engineering data for continued monitoring of structures

Physicians self selection of a payment mechanism: Capitation versus fee-for-service

The main question raised in this paper is whether GPs should self select their paymentmechanism or not. To answer it, we model GPs' behavior under the most commonpayment schemes (capitation and fee-for-service) and when GPs can select one amongthose. Our analysis considers GPs heterogeneity in terms of both ability and sense ofprofessional duty. We conclude that when savings on specialists costs are the mainconcern of a regulator, GPs should be paid on a fee-for-service basis. Instead, whenfailures to identify severe conditions are the main concern, then payment self selection byGPs can be optimal.GPs; gatekeeping; payment scheme; self selection; ability; professional duty

Reliability analysis of assisted-GPS technologies for post-flight analysis

This research analysed the reliability of an assisted-GPS mobile phone in tracking several flight parameters during a typical flight. The reliability was assessed against that of a GPS-based remote tracking device of common use in aviation. The results suggest that the reliability of both devices is similar, which may prove advantageous to those pilots with lesser resources or less interested on a dedicated tracking device