Formal nursing terminology systems: a means to an end

In response to the need to support diverse and complex information requirements, nursing has developed a number of different terminology systems. The two main kinds of systems that have emerged are enumerative systems and combinatorial systems, although some systems have characteristics of both approaches. Differences in the structure and content of terminology systems, while useful at a local level, prevent effective wider communication, information sharing, integration of record systems, and comparison of nursing elements of healthcare information at a more global level. Formal nursing terminology systems present an alternative approach. This paper describes a number of recent initiatives and explains how these emerging approaches may help to augment existing nursing terminology systems and overcome their limitations through mediation. The development of formal nursing terminology systems is not an end in itself and there remains a great deal of work to be done before success can be claimed. This paper presents an overview of the key issues outstanding and provides recommendations for a way forward

On eigenvalues of the Schr\"odinger operator with a complex-valued polynomial potential

In this paper, we generalize a recent result of A. Eremenko and A. Gabrielov on irreducibility of the spectral discriminant for the Schr\"odinger equation with quartic potentials. We consider the eigenvalue problem with a complex-valued polynomial potential of arbitrary degree d and show that the spectral determinant of this problem is connected and irreducible. In other words, every eigenvalue can be reached from any other by analytic continuation. We also prove connectedness of the parameter spaces of the potentials that admit eigenfunctions satisfying k>2 boundary conditions, except for the case d is even and k=d/2. In the latter case, connected components of the parameter space are distinguished by the number of zeros of the eigenfunctions.Comment: 23 page

Influence of the Local Food Environment on Hispanics’ Perceptions of Healthy Food Access in New York City

Introduction: Studies have characterized food environments and documented its impact on access and consumption of healthy foods as well as diet-related health conditions. This study aims to characterize the local food environment in New York City’s Washington Heights and Inwood community and to examine its influence on Hispanics’ perceptions of healthy food access. Methods: Person-level local food environments were created by spatially modeling food retailers selling fresh fruits and vege- tables or low-fat products within a participant’s 400- and 800-m residential radius buffers. Data were analyzed using multivariate binary logistic regression. Results: Fruit/vegetable markets significantly increased participants’ odds of perceiving the availability of a large selection as well as the high quality of fresh fruits and vegetables in their neighborhood. Medium-/large-size super- markets/groceries within 400-m radius significantly increased participants’ odds of perceiving the high quality of fresh fruits and vegetables in their neighborhood, whereas meat markets significantly lowered the odds. Fruit/vegetable markets and medium-/ large-size supermarkets/groceries significantly increased participants’ odds of perceiving the availability of a large selection of low- fat products in their neighborhood. Conclusion: Study findings advance our understanding of the relationships between local food environment and perceived healthy food access among urban Hispanics

On eigenvalues of the Schr\"odinger operator with an even complex-valued polynomial potential

In this paper, we generalize several results of the article "Analytic continuation of eigenvalues of a quartic oscillator" of A. Eremenko and A. Gabrielov. We consider a family of eigenvalue problems for a Schr\"odinger equation with even polynomial potentials of arbitrary degree d with complex coefficients, and k<(d+2)/2 boundary conditions. We show that the spectral determinant in this case consists of two components, containing even and odd eigenvalues respectively. In the case with k=(d+2)/2 boundary conditions, we show that the corresponding parameter space consists of infinitely many connected components

Measurement of Organizational Culture and Climate in Healthcare

Although there is increasing interest in the relationship between organizational constructs and health services outcomes, information on the reliability and validity of the instruments measuring these constructs is sparse. Twelve instruments were identified that may have applicability in measuring organizational constructs in the healthcare setting. The authors describe and characterize these instruments and discuss the implications for nurse administrators

Integrating Economics and Ecology

SupplementThis report documents the results from an analysis of policy measures to reduce losses of nitrogen, phosphorus and soil from the agricultural sector to the environment. These kinds of losses are nonpoint, and standard emission oriented policy measures like effluent taxes are prohibitively costly to use. The policy altematives are therefore to regulate the input of potentially polluting substances - in this case reduce the use of fertilizers, to prescribe changes in agronomic practices as conducted on the farm or to change product prices. Principally this study analyzes the effects of these types of regulations, their ability to reduce losses of nutrients and soil, and the private and social costs thereby invoked

Denitrification by bradyrhizobia under feast and famine and the role of the bc1 complex in securing electrons for N2O reduction.

acceptedVersio

Kontroll med vitamininnholdet i helmel fra Lysøsund Sildolje & Kraftforfabrik A/S, 1954

Fi-Kje-Te rapporte

Using games for teaching crisis communication in higher education and training

© 2016 IEEE. Terror actions and catastrophes are frequently described in media. As more and more countries experience terror actions and natural disasters, there has been a greater focus on learning how to handle and to manage them. In Norway on the 22nd of July 2011, Anders Behring Breivik placed a bomb in a car that exploded near the Governmental Offices killing 8 persons. He went on to an island where there was a political camp for youths killing another 67. The rescue operations unveiled an unprepared task force. The Gjrv-report provide a massive critique towards the call out services [1]. This kicked off a major work on updating safety routines in all municipalities. The municipalities are now obliged to have a plan for crisis preparedness [2]. This again triggered the need for education within the area of crisis preparedness, crisis training and crisis management. Hedmark University of Applied Science now offers different study programs, including a BA within these areas. It is, however, very expensive to train realistically and the need for different approaches regarding training has been discussed. One of the solutions that the University is currently working on, is the use of games. Game based learning, also called 'serious games', has become an academic genre and using games for learning and training has proven fruitful [3-12]. In the military, games have been used for simulation purposes [13] and spin offs from these have also reached a commercial market [14, 15]. Using games in education opens up a range of opportunities. One of them is within the area of Crisis Communication. Crisis Communication as a curriculum is about how to approach the area of crisis communication, understanding the key concepts and develop skills within the curriculum. Games that support communication between the gamers can for instance contribute towards a greater understanding of communication in a crisis situation. What is needed to communicate and how messages are received, in order to support handling a crisis, are amongst the concrete learning objectives one can attribute towards this type of training. To use games to support the hands on training can thus provide the learners with valuable know how, and support their learning outcome. The learning from this will be beneficial to the organizations they work in as they will have an experience that will aid them in the work on planning for and preparing for crisis in their own organizations