181,278 research outputs found

    Developing a Just-in-Time Adaptive Mobile Platform for Family Medicine Education: Experiential Lessons Learned

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    EASEL is a platform designed to provide just-in-time adaptive support to students during experiential learning interviews conducted as part of required work in an online course in a family medicine education program in a Midwestern urban university setting EASEL considers the time and location of the student and provides questions and content before, during, and after the interviews take place EASEL will provide a new way to facilitate and support online family medicine students as they meet with patients and healthcare professionals This paper presents a look at the considerations, issues, and lessons learned during the development process of this interdisciplinary collaborative effort between the platform designers and family medicine faculty while working toward completion of the stud

    Physical activity counselling during pulmonary rehabilitation in patients with COPD : a randomised controlled trial

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    Background Pulmonary rehabilitation programs only modestly enhance daily physical activity levels in patients with chronic obstructive pulmonary disease (COPD). This randomised controlled trial investigates the additional effect of an individual activity counselling program during pulmonary rehabilitation on physical activity levels in patients with moderate to very severe COPD. Methods Eighty patients (66 +/- 7 years, 81% male, forced expiratory volume in 1 second 45 +/- 16% of predicted) referred for a six-month multidisciplinary pulmonary rehabilitation program were randomised. The intervention group was offered an additional eight-session activity counselling program. The primary outcomes were daily walking time and time spent in at least moderate intense activities. Results Baseline daily walking time was similar in the intervention and control group (median 33 [interquartile range 16-47] vs 29 [17-44]) whereas daily time spent in at least moderate intensity was somewhat higher in the intervention group (17[4-50] vs 12[2-26] min). No significant intervention*time interaction effects were observed in daily physical activity levels. In the whole group, daily walking time and time spent in at least moderate intense activities did not significantly change over time. Conclusions The present study identified no additional effect of eight individual activity counselling sessions during pulmonary rehabilitation to enhance physical activity levels in patients with COPD

    Using Project Management Techniques to Design a PMP Mathematics Study App for the Windows Universal Platform

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    Background As a late comer to the smartphone market, Microsoft has fallen behind the Apple and Google app ecosystems in the quantity and quality of apps offered. To attract developer talent, Microsoft released the Universal Windows Platform which enables apps to run across Windows devices with few additional modifications. Although the Windows app ecosystem has realized an increased number of available apps, few apps related to project management are currently available. About the project This project will design a PMP Certification Mathematics Study App for the Universal Windows Platform which will serve as a reference and study aid for the PMP certification exam. The app will be available to mobile and PC users who are utilizing the Microsoft Windows 10 and Windows 8 operating systems. Features of the app will include project management formula lookup, formula flashcards, and practice problems. At the completion of the project, the app will be submitted to the Windows Store for review and publishing to the Windows 10 application ecosystem. Approach The project scope will include the design of the app from requirements gathering to completion. Project deliverables will be aligned with Windows store applications evaluation criteria for responsiveness, reliability, and style. This project will conclude with submission of a completed application design to the project sponsor.Title Page / Table of Contents / List of Exhibits / Abstract / Background / About the project / Approach / Keywords / Introduction / Project Purpose / Project Approach / Research and Analysis / Research Approach / Research Analysis / Application Design Rating Verification / Research Objective 1: Investigate the preferred learning style of potential users / Research Objective 1: Design Conclusions and Implications / Flashcards Module / Formula Builder Module / Formula Reference Module / Research Objective 2: Investigate the most important aspect of user satisfaction / Research Objective 2: Design Conclusions and Implications / Research Conclusions / Requirements Gathering / User Interface Design / Project Deliverable Design / ViTech CORE / Input Application Requirements / Identify Application Components / Identify Component Functions / Identify Use Cases and Test Activities / Project Deliverables / Application Design Documents / Application Hierarchy / Conclusions and Recommendations / ViTech CORE Software Con/ lusions / Graphing Capabilities / Diagnostics Capabilities / Requirements Mapping and Verification / Final Project Deliverables / Recommendations for Further Research and Development / Application Publishing / Further Development and Product Updates / User Feedback Collection / Application Update Opportunities / Application Expansion Opportunitie

    Increasing Youth Safety and Responsible Behavior Online: Putting in Place Programs that Work.

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    Hundreds of programs are being developed to promote safe and responsible online behavior among youth. They are being successfully marketed and eagerly adopted because of their appealing content, exciting graphics, engaging games, catchy phrases and cool characters. But that is not enough. The bottom line for everyone to remember -- funders, program developers, communities, schools, and families -- is that these programs need to actually work. They need to change youth attitudes and inspire youth to make smart and ethical choices about how they behave online. If programs are not doing this, then no matter how beautiful the graphics or sophisticated the video production, time and money are being wasted. Children are not safer and parents and teachers may wrongly conclude that they have successfully addressed the problems. Unfortunately, right now, we have no information that Internet safety programs work. Or which ones are most likely to work. We see parents and schools excited about the material. We hear stories about kids who did something important after seeing a program. But prevention and education experts know that “feelings” and stories can be very misleading. We’ve made such mistakes before—particularly in trying to prevent youth drug and alcohol abuse. There are striking parallels in our eagerness to educate youth about Internet safety and the rushed and ultimately disastrous efforts to prevent drug problems in the 1970s and 80s (see Box 1). It is critical that we avoid making the same mistakes. Rigorous, scientific evaluation is necessary to tell us what works. And it is crucial to have this information before programs are disseminated widely. Those unfamiliar with program evaluation might be unsure about why it is so necessary or worry that it will stifle innovation. There can be confusion about how to organize an evaluation. Evaluation can be expensive and it does take time to complete. But lower costs and speedy dissemination are questionable benefits when there is no evidence whatsoever that a program is helping youth. With this paper, we hope to inspire the Internet safety field to make evaluation an integral part of program development, and consumers to insist on information about effectiveness. We make a case for evaluation, try to de-mystify the process, respond to common concerns or questions about evaluation, and propose some steps to ensure that our programs help youth stay safe online

    Keeping the Commitment: A Progress Report on Four Early Leaders in Patient Safety Improvement

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    Examines four healthcare systems' expansion of patient safety interventions over five years through the development of practical training methods, effective tools for minimizing errors, an emphasis on goal setting and accountability, and other approaches

    Innovation and R & D activities in virtual team

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    Innovation plays a central role in economic development, at the regional and national level. In the competitive environment companies are obliged to produce more rapidly, more effectively and more efficiently in new product development, which is a result of research and development (R&D) activities. It is necessary for them to put together different capabilities and services with the goal, through cooperation between suppliers and customers, service providers and scientific institutions to achieve innovations of high quality. Depending on the type of industry, the type of business, the type of innovation and the strategic objectives that have been set, firms will regularly have to modify the way in which their R\&D and innovation are organized. Nowadays, shift from serial to simultaneous and parallel working in innovation has become more commonplace. Literature's have shown that collaboration is as a meta-capability for innovation. By a comprehensive reviewing of literature this article after define virtual teams and its characteristics, addressing virtual environment innovation and the relationship to R&D activities. Finally conclude that innovation cannot be successful, unless the knowledge and information in the R&D project are effectively captured, shared and internalized by the R&D project?s virtual team members

    Cultural Transformation in Health Care

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    Describes the role of organizational culture in healthcare organizations. Recommends strategies for innovative approaches to improve the overall performance of the U.S. healthcare system

    Dancing on a Pin: Health Planning in Arizona

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    This publication challenges us to step back and reflect on the past, present and future of health systems. Take a deeper look at planning and how we got here, review the roles of competition and regulation, and learn about the health planning matrix along with the concept of health planning bridges. Discover for yourself if these thoughts and tools help the signal of quality health planning rise more clearly from out of the noise
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