Digital aspect clock

Digital clock precisely set and reset by pulses from a solar sensor, combined with a logic system, provides accurate time-sector division of spin-stabilized satellite. Integral times for viewing physical phenomena from various directions are equal and mean angles of viewing can be determined

Use of night-time positioning equipment in care home residents with postural asymmetry : a pilot study

Twenty four-hour postural care that includes the use of night-time positioning equipment (NTPE) is being increasingly recommended. However, because most of the published studies focus on children, there is a lack of evidence on the use of NTPE in adults. The aim of this pilot study was to assess the effect of NTPE use in UK care home residents with complex health conditions and postural asymmetry. Ten care home residents trialled NTPE over a 12-week period. Qualitative and quantitative data were collected before and after each trial using standardised assessment tools. Semi-structured interviews were conducted with participants and relatives after each trial. Staff's views were elicited via two focus groups at the end of the study. There were notable benefits of NTPE use in terms of participants' pain levels, sleep quality, risk of pressure ulcers, risk of choking, and weight. There was also evidence of improvements in participants' function, ability to undertake activities of daily living and quality of life. However, some equipment was abandoned during the trials because participants found it too hot or restrictive. This pilot study increases the evidence base for a personalised approach to 24-hour postural care that can support older people's health and well-being. Further empirical studies are required to determine how NTPE can be used to improve older people's quality of life. [Abstract copyright: © 2020 RCN Publishing Company Ltd. All rights reserved. Not to be copied, transmitted or recorded in any way, in whole or part, without prior permission of the publishers.

A digital system for accurate time sector division of a spin stabilized vehicle

Digital system for accurate time sector division of spin stabilized vehicle as used on Pioneer space probe

A Model for Career Planning in Healthcare: Investing in a Career Development Program Will Retain Workers for Growth

Organizations face projected shortages in their workforces due to retirement compounded by the realized forecasted gap of skilled workers available to fill positions. The additional strain of tremendous growth in the healthcare industry adds to the workforce shortage to create vacancies that threaten survival for many hospitals. To prepare for this turbulent future, we suggest that hospitals create career development programs to retain key workers, build their existing workforce to meet future needs, and remain competitive. Healthcare organizations taking these proactive steps to promote career development will prepare their workforce for future growth, increase their ability to achieve organizational goals, and retain valued employees by focusing on their needs for continued development. We provide two models that HRD professionals can use to increase the likelihood of successful implementation of career development programs

Evaluation of night time therapeutic positioning system for adults with complex postural problems

The purpose of this study is to evaluate the effect of night-time positioning sleep systems for adults using the Simple Stuff Works Limited® system. A combination of quantitative and qualitative methods were used to assess the impact on a variety of factors; pain, physiological observations, oxygen saturation, nutrition and fluid intake, weight, Waterlow risk score, sleep score, choke risk score, skin integrity, comfort and quality of life. The project objectives were to: Evaluate the knowledge and skills of care staff in the delivery of night-time positioning (with and without equipment). Evaluate the equipment used in night-time positioning. Assess the impact of night-time positioning on activities of daily living. Measure the difference between pain, sleep scores, physiological observations, oxygen saturation, nutrition and fluid intake, weight, Waterlow risk score, choke risk score, skin integrity, comfort and quality of life before and after the intervention. The role of the company in the study was to provide the equipment. An independent clinician assessed the participants sleep system equipment requirements, demonstrated the first fitting and drew up the plan of care when using the equipment. Ethical approval to conduct the study was sought and granted by the University of Salford Ethics committee (see appendices, for the letter of approval)

Procedure Models

This procedure establishes the responsibilities and process for documenting activities that constitute scientific investigation modeling. Planning requirements for conducting modeling are contained in LP-2.29Q-BSC, Planning for Science Activities

Physiotherapy in upper abdominal surgery - what is current practice in Australia?

Background: Upper abdominal surgery (UAS) has the potential to cause post-operative pulmonary complications (PPCs). In the absence of high-quality research regarding post-operative physiotherapy management, consensus-based best practice guidelines formulated by Hanekom et al. (2012) are available to clinicians providing recommendations for post-UAS treatment. Such best practice guidelines have recommended that physiotherapists should be using early mobilisation and respiratory intervention to minimise risk of PPCs. However, recent evidence supports the implementation of mobilisation as a standalone treatment in PPC prevention, though the diversity in literature poses questions regarding ideal current practice. This project aimed to document and report the assessment measures and interventions physiotherapists are utilising following UAS, establishing whether current management is reflective of best practice guidelines and recent evidence. Results: An online survey was completed by 57 experienced Australian physiotherapists working with patients following UAS (35% survey response rate, 63% completion rate). On day one following UAS, when a patient’s condition is not medically limited, most physiotherapists routinely mobilise. Additionally, routine chest treatment continues to be implemented, with only 23% (n = 11/47) of physiotherapists mobilising patients without accompanying specific respiratory intervention. Variability of screening tools used to identify post-operative patients at high risk of PPC development was evident. Patient-dependent factors such as ‘fatigue’ and ‘non-compliance’ were among those identified as barriers to treatment, all influencing the commencement of treatment. Conclusions: Physiotherapists indicated that early mobilisation away from the bedside was the preferred post-operative treatment within the UAS patient population. Many continue to perform routine respiratory interventions despite recent literature suggesting it may provide no additional benefit to preventing PPCs. Current intervention choice is reflective of guidelines [1], however, recent literature has called this into question and more research needs to be done to establish if these recommendations are the most effective at reducing PPCs. Continued research is necessary to promote translation of knowledge to ensure physiotherapists are mobilising patients day one post-UAS. Likewise, future work should focus on identification of barriers, the strategies used to overcome limitations and the creation of a reliable and validated screening tool to ensure appropriate prioritisation and allocation of physiotherapy resources within the UAS patient population