The Development of Coping Skills for Science, Technology, Engineering, and Mathematics Students: Transitioning From Minority to Majority Environments

Urban Ills: Twenty First Century Complexities of Urban Living in Global Contexts is a collection of original research focused on critical challenges and dilemmas to living in cities. Volume 1 examines both the economic impact of urban life and the social realities of urban living. The editors define the ecology of urban living as the relationship and adjustment of humans to a highly dense, diverse, and complex environment. This approach examines the nexus between the distribution of human groups with reference to material resources and the consequential social, political, economic, and cultural patterns which evolve as a result of the sufficiency or insufficiency of those material resources. They emphasize the most vulnerable populations suffering during and after the recession in the United States and around the world. The chapters seek to explore emerging issues and trends affecting the lives of the poor, minorities, immigrants, women, and children

Detekcija i klasifikacija kvarova na bespilotnoj ronilici uporabom T2 statistike

Failure detection and classification are crucial steps in the implementation of reconfigurable control. This paper describes the application of the Hotelling T2 statistic to the detection and classification of stern plane and rudder jams in underwater vehicles. Simulation results with and without measurement noise are presented. Results indicate that this method is capable of providing rapid and reliable detection and classification of these faults.Detekcija i klasifikacija kvarova kritični su koraci kod primjene upravljanja s promjenjivom strukturom. Članak opisuje Hottelig T2 statistiku koja je primijenjena na detekciju i klasifikaciju zaglavljenja krmenih zakrilaca i kormila kod bespilotnih ronilica. Prikazani su simulacijski rezultati sa i bez šuma mjerenja. Rezultati pokazuju da je predloženi postupak sposoban brzo i pouzdano detektirati i klasificirati ove kvarove

Research on an expert system for database operation of simulation-emulation math models. Volume 2, Phase 1: Results

A reference manual is provided for NESS, a simulation expert system. This manual gives user information regarding starting and operating NASA expert simulation system (NESS). This expert system provides an intelligent interface to a generic simulation program for spacecraft attitude control problems. A menu of the functions the system can perform is provided. Control repeated returns to this menu after executing each user request

Research on an expert system for database operation of simulation-emulation math models. Volume 1, Phase 1: Results

The results of the first phase of Research on an Expert System for Database Operation of Simulation/Emulation Math Models, is described. Techniques from artificial intelligence (AI) were to bear on task domains of interest to NASA Marshall Space Flight Center. One such domain is simulation of spacecraft attitude control systems. Two related software systems were developed to and delivered to NASA. One was a generic simulation model for spacecraft attitude control, written in FORTRAN. The second was an expert system which understands the usage of a class of spacecraft attitude control simulation software and can assist the user in running the software. This NASA Expert Simulation System (NESS), written in LISP, contains general knowledge about digital simulation, specific knowledge about the simulation software, and self knowledge

Sertoli Cell Adenylyl Cyclase Is Stimulated by a Factor Associated with Germ Cells

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/74745/1/j.1749-6632.1984.tb38341.x.pd

Pelletizing

DURING the last 15 or 20 years we have witnessed an extra-ordinary increase in the quantity of artificial agglomera-tes used in blast-furnace burdens. This expansion has occurred in two fields, the first being sintering, a technique applied particularly to the agglomeration of low grade 'earthy' ores and to screenings from high quality Jump

Archetype-based conversion of EHR content models: pilot experience with a regional EHR system

<p>Abstract</p> <p>Background</p> <p>Exchange of Electronic Health Record (EHR) data between systems from different suppliers is a major challenge. EHR communication based on archetype methodology has been developed by openEHR and CEN/ISO. The experience of using archetypes in deployed EHR systems is quite limited today. Currently deployed EHR systems with large user bases have their own proprietary way of representing clinical content using various models. This study was designed to investigate the feasibility of representing EHR content models from a regional EHR system as openEHR archetypes and inversely to convert archetypes to the proprietary format.</p> <p>Methods</p> <p>The openEHR EHR Reference Model (RM) and Archetype Model (AM) specifications were used. The template model of the Cambio COSMIC, a regional EHR product from Sweden, was analyzed and compared to the openEHR RM and AM. This study was focused on the convertibility of the EHR semantic models. A semantic mapping between the openEHR RM/AM and the COSMIC template model was produced and used as the basis for developing prototype software that performs automated bi-directional conversion between openEHR archetypes and COSMIC templates.</p> <p>Results</p> <p>Automated bi-directional conversion between openEHR archetype format and COSMIC template format has been achieved. Several archetypes from the openEHR Clinical Knowledge Repository have been imported into COSMIC, preserving most of the structural and terminology related constraints. COSMIC templates from a large regional installation were successfully converted into the openEHR archetype format. The conversion from the COSMIC templates into archetype format preserves nearly all structural and semantic definitions of the original content models. A strategy of gradually adding archetype support to legacy EHR systems was formulated in order to allow sharing of clinical content models defined using different formats.</p> <p>Conclusion</p> <p>The openEHR RM and AM are expressive enough to represent the existing clinical content models from the template based EHR system tested and legacy content models can automatically be converted to archetype format for sharing of knowledge. With some limitations, internationally available archetypes could be converted to the legacy EHR models. Archetype support can be added to legacy EHR systems in an incremental way allowing a migration path to interoperability based on standards.</p

Timing of palliative care referral and aggressive cancer care toward the end-of-life in pancreatic cancer: A retrospective, single-center observational study

Background: Pancreatic cancer is noted for its late presentation at diagnosis, limited prognosis and physical and psychosocial symptom burden. This study examined associations between timing of palliative care referral (PCR) and aggressive cancer care received by pancreatic cancer patients in the last 30 days of life through a single health service. Method: A retrospective cohort analysis of end-of-life (EOL) care outcomes of patients with pancreatic cancer who died between 2012 and 2016. Key indicators of aggressive cancer care in the last 30 days of life used were: ≥1 emergency department (ED) presentations, acute inpatient/intensive care unit (ICU) admission, and chemotherapy use. We examined time from PCR to death and place of death. Early and late PCR were defined as \u3e 90 and ≤ 90 days before death respectively. Results: Out of the 278 eligible deaths, 187 (67.3%) were categorized as receiving a late PCR and 91 (32.7%) an early PCR. The median time between referral and death was 48 days. Compared to those receiving early PCR, those with late PCR had: 18.1% (95% CI 6.8–29.4%) more ED presentations; 12.5% (95% CI 1.7–24.8%) more acute hospital admissions; with no differences in ICU admissions. Pain and complications of cancer accounted for the majority of overall ED presentations. Of the 166 patients who received chemotherapy within 30 days of death, 23 (24.5%) had a late PCR and 12 (16.7%) an early PCR, with no association of PCR status either unadjusted or adjusted for age or gender. The majority of patients (55.8%) died at the inpatient palliative care unit. Conclusion: Our findings reaffirm the benefits of early PCR for pancreatic cancer patients to avoid inappropriate care toward the EOL. We suggest that in modern cancer care, there can sometimes be a need to reconsider the use of the term ‘aggressive cancer care’ at the EOL when the care is appropriately based on an individual patient’s presenting physical and psychosocial needs. Pancreatic cancer patients warrant early PCR but the debate must thus continue as to how we best achieve and benchmark outcomes that are compatible with patient and family needs and healthcare priorities