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

Flipped gaming-testing three simulation games

© 2018 IEEE. At the Inland Norway University of Applied Sciences 'flipped gaming' has been tested with two student groups (in 2017). This paper will present a newer version of the 'flipping' and also how a total of eight groups utilized tree different types of simulators to play the scenarios. The scenarios were developed by the student themselves as this was their mandatory assignment. The mandatory assignment was handed out in January. The assignment was about making a playable script for an incident, in addition to conduct the planning, execution and evaluation of a complete exercise in crisis management. They were given feedback once before the workshop where they presented and played the script. The tools that were used was Rayvn (https://rayvn.global/), Microsoft HoloLens (https://www.microsoft.com/nb-no/hololens) and a simulator based on a platform from Bohemia Interactive Solutions (https://bisimulations.com/)-the same platform as Virtual Battle Space 3 uses. Rayvn is an incident management tool, mainly for communication. The written messages can then be logged and stored for later reflections. Microsoft HoloLens is a tool for 3D vision, a tool that can show environments in 3D and allow the player to carry out operations using movements that are recorded and executed. This was a prototype. The game based simulator is computer based. The different views are 2D maps and 3D environments. The players use the keyboard and mouse to move the vehicles and avatars around. This in a 'disaster town', called 'Lyngvik', a very poor planned city centre with a large accident/crisis potential. The study is based on the previous study of the learning outcome from assignment that is based on student input. The mandatory assignment was to develop a playable scenario and they could choose in which of the three different simulation tools they were to play their scenario. Two by two, the groups are to play each other's scenario. They have received some supervision and the lecturers have remarked on that the students may lack insight in what a 'playable scenario' require. One of the groups operates as the exercise management staff(the ones that makes the incidents happen and 'play out') and the other group is the ones who man the different roles in handling the scenario e.g.,-different call out services. This group is also calledmain training audience (MTA). The students are in their 6th and last semester in their Bachelor in Crisis Management. The students have been subjected to diverse teaching methods, but this is the first time they have a simulation tool to work with in order to enhance their learning outcome. The preliminary reports from the reflections after the simulating are very positive. The students report on a learning outcome, both from making the scenarios and from simulating. There is also a final report to be written where the students are to reflect on their learning outcome from the simulation and the work on the assignment. The paper shows the results from the whole undertaking and presents further details from the different phases. We also present the theoretical backdrop and the methodological reasoning behind the data collection and analysis