An Investigation of the Youth Section in the Sunday Morning Bible Study Program of Two Protestant Parishes

The purpose of this study was to investigate the youth sections of the Sunday morning Bible study programs of two Protestant churches in St. Louis, Missouri, and draw general comparisons between the two. The one is Third Baptist Church, located at the corner of Grand and Washington; the other, Hope Lutheran Church, at Brannon and Neosho

Provision of health care for prisoners during the COVID-19 pandemic: an ethical analysis of challenges and summary of select best practices

Medical Schoolhttp://deepblue.lib.umich.edu/bitstream/2027.42/170704/1/AndreaBrelje_1.docxhttp://deepblue.lib.umich.edu/bitstream/2027.42/170704/2/AndreaBrelje_2.pdfhttp://deepblue.lib.umich.edu/bitstream/2027.42/170704/3/AndreaBrelje_3.pdfhttp://deepblue.lib.umich.edu/bitstream/2027.42/170704/4/AndreaBrelje_4.pd

The Religious History of Eastern Pennsylvania During the Colonial Period

The thesis proposes to give a survey of the religious history of eastern Pennsylvania during the colonial period. The scope of the subject presents a difficulty in its very Broadness. Extended perusal of the vast material relating to the subject has shown the writer that he must be satisfied to present at best only an overview

Multidisciplinary Design Optimization of Electric Aircraft Considering Systems Modeling and Packaging

Electric aircraft propulsion is an intriguing path towards sustainable aviation, but the technological challenges are significant. Bulky and heavy electrical components such as batteries create spatial integration and aircraft performance challenges, especially for longer-range aircraft. A common thread among all aircraft with electric propulsion is the close coupling of aircraft design disciplines, such as aerodynamics, structures, propulsion, controls, and thermal management. Multidisciplinary design optimization (MDO) is a promising technique for solving design problems with many closely-coupled physical disciplines. The first half of this dissertation focuses on MDO of electric aircraft considering systems modeling. First, design of electric aircraft is reviewed in detail from the perspective of the various disciplines. Next, methods and models for electric aircraft propulsion systems are introduced. A case study involving a general aviation airplane is explored in order to validate the performance of the methods and generate some insight into the tradespace for series hybrid aircraft. The systems modeling approach is then extended to include basic thermal management systems. The prior case study is revisisted while considering thermal constraints. Impact of thermal management on aircraft performance is assessed. The thermal management analysis methods are validated using flight test data from the Pipistrel Velis Electro, finding good agreement between experiment and simulation. Finally, an MDO model of a parallel hybrid electric transport aircraft with a liquid-cooled thermal management system is constructed. Sensitivities of aircraft performance with respect to important technologies parameters are computed. This first half introduces the first publicly-available simulation tool that can handle unsteady thermal states and that offers efficient and accurate gradients. The methods are very efficient, enabling users to perform dozens or hundreds of optimization runs in a short amount of time using modest computational resources. Other novel contributions include the first empirical validation of thermal management models for MDO against real flight test data, as well as the only comprehensive look so far at the unsteady thermal management of a transport-scale parallel hybrid aircraft. The second half of the dissertation introduces novel methods for performing high-fidelity shape optimization studies subject to packaging or spatial integration constraints. A new mathematical formulation for generalized packaging constraints is introduced. The constraint formulation is demonstrated on simple aerodynamic shape optimization test cases. Next, a wing design study involving optimal battery packaging is conducted in order to demonstrate the coupling of outer mold line design and propulsion system component design via spatial integration. Finally, a more complex aerostructural optimization involving the wing of a hydrogen aircraft is constructed and solved. These test cases demonstrate the interdisciplinary coupling introduced by packaging constraints, as well as the impact of spatial integration on aircraft performance. This latter half contributes a powerful new way for MDO engineers to pose realistic spatial constraints in their shape optimization problems, thus solving an important practical barrier to the industrial adoption of MDO for certain relevant problems. This work also represents the first time an MDO problem has been posed and solved for an aircraft using hydrogen fuel in the wing. Altogether, this dissertation significantly advances the state of the art in modeling, simulation, and optimization tools for aircraft with electric propulsion architectures and introduces new insights into the design spaces for several diverse aircraft configurations.PHDAerospace EngineeringUniversity of Michigan, Horace H. Rackham School of Graduate Studieshttp://deepblue.lib.umich.edu/bitstream/2027.42/169658/1/bbrelje_1.pd

Relevant decision criteria and their level of importance in consumers\u27 choice of hospital

As the health care industry becomes increasingly consumer-driven, it is crucial for hospitals to understand the considerations involved in their patients’ choice of health care institution. The purpose of this study was to determine the factors which most heavily influence consumers’ choice of hospital, as well as to make recommendations to health care marketers based upon the conclusions reached. This study also hoped to provide beneficial insights to public policy makers who desire to give consumers more control in the health care decision-making process. Very little research has been performed in recent years as to consumers’ choice of hospital decision process. As such, the significance of this study is not only that it produces findings which support decades-old conclusions, but that it also provides insights which are not presently in the literature

Weight loss, glycemic control, and cardiovascular disease risk factors in response to differential diet composition in a weight loss program in type 2 diabetes: a randomized controlled trial.

ObjectiveTo test whether a weight loss program promotes greater weight loss, glycemic control, and improved cardiovascular disease risk factors compared with control conditions and whether there is a differential response to higher versus lower carbohydrate intake.Research design and methodsThis randomized controlled trial at two university medical centers enrolled 227 overweight or obese adults with type 2 diabetes and assigned them to parallel in-person diet and exercise counseling, with prepackaged foods in a planned menu during the initial phase, or to usual care (UC; two weight loss counseling sessions and monthly contacts).ResultsRelative weight loss was 7.4% (95% CI 5.7-9.2%), 9.0% (7.1-10.9%), and 2.5% (1.3-3.8%) for the lower fat, lower carbohydrate, and UC groups (P < 0.001 intervention effect). Glycemic control markers and triglyceride levels were lower in the intervention groups compared with UC group at 1 year (fasting glucose 141 [95% CI 133-149] vs. 159 [144-174] mg/dL, P = 0.023; hemoglobin A1c 6.9% [6.6-7.1%] vs. 7.5% [7.1-7.9%] or 52 [49-54] vs. 58 [54-63] mmol/mol, P = 0.001; triglycerides 148 [134-163] vs. 204 [173-234] mg/dL, P < 0.001). The lower versus higher carbohydrate groups maintained lower hemoglobin A1c (6.6% [95% CI 6.3-6.8%] vs. 7.2% [6.8-7.5%] or 49 [45-51] vs. 55 [51-58] mmol/mol) at 1 year (P = 0.008).ConclusionsThe weight loss program resulted in greater weight loss and improved glycemic control in type 2 diabetes

Single-shot carrier-envelope-phase measurement in ambient air

The ability to measure and control the carrier envelope phase (CEP) of few-cycle laser pulses is of paramount importance for both frequency metrology and attosecond science. Here, we present a phase meter relying on the CEP-dependent photocurrents induced by circularly polarized few-cycle pulses focused between electrodes in ambient air. The new device facilitates compact single-shot, CEP measurements under ambient conditions and promises CEP tagging at repetition rates orders of magnitude higher than most conventional CEP detection schemes as well as straightforward implementation at longer wavelengths

¿Cómo influyen los estilos educativos parentales en la socialización primaria de los niños y niñas en la etapa de Educación Infantil?

Este trabajo de fin de grado es un proyecto de investigación. En él se analiza los diferentes estilos parentales existentes y su influencia en la educación del alumnado de Educación Infantil. Para llevar a cabo dicha investigación se ha utilizado un cuestionario para los familiares, en este caso concretamente a los progenitores de dicha etapa en el CEIP Tome Cano con el fin de observar y analizar la repercusión que posee la socialización primaria en los niños y niñas de estas edades, así como influyen los estilos parentales a ello. De igual manera se hace un análisis de los datos obtenidos a partir de los cuales se concluye el tipo de estilo educativo predominante en los padres y madres de este colectivo. Siendo este el estilo permisivo, siguiéndole el y por último el autoritario.This final degree project is a research project. It analyzes the different existing parenting styles and their influence on the education of Early Childhood Education students. To carry out this research, a questionnaire was used for relatives, in this case specifically for the parents of this stage in the CEIP Tome Cano in order to observe and analyze the impact that primary socialization has on the boys and girls of these ages, as well as parental styles influence it. In the same way, an analysis is made of the data obtained from which the predominant type of educational style in the fathers and mothers of this group is concluded. This being the permissive style, following him and finally the authoritarian

Logopedia Y Odontología en el tratamiento del Síndrome del Respirador Bucal

La imagen de la logopedia se encuentra cada vez más vinculada a los equipos multiprofesionales, donde el trabajo interdisciplinar resulta primordial para la eficacia en el tratamiento. Una de las colaboraciones más recientes la conforman profesionales de logopedia y odontología en el tratamiento conjunto de diversas alteraciones y patologías que afectan al sistema estomatognático (v.g. Síndrome de Respiración Bucal). El propósito de este trabajo es evidenciar la eficacia del trabajo conjunto entre logopedas y odontólogos en el tratamiento del Síndrome de Respiración Bucal e identificar distintas modalidades de tratamiento interdisciplinar, destacando entre ellas la Terapia Miofuncional. Para ello se realizó una revisión sistemática mediante las bases de datos SciElo, Scopus, Medline y Google Académico. De esta búsqueda, se seleccionaron 12 artículos conforme a los descriptores y criterios establecidos. Se concluye que la intervención interdisciplinar entre logopedia y odontología es esencial en la problemática que afecta al equilibrio de la cavidad oral en el Síndrome del Respirador Bucal. La literatura analizada señala la Terapia Miofuncional como el tratamiento logopédico más frecuente y efectivo.In recent times, speech therapy has been more and more involved in healthcare multidisciplinary teams, where interdisciplinary work is key in order to achieve the greatest treatment efficacy. One of the most recent collaborations to be formed is the one between speech therapists and odontologists, which work together in treating a wide range of alterations and pathologies affecting the stomatognatic system, such as the Mouth Breathing Syndrome (MBS). The goal of this project is to highlight the efficiency of the speech therapistsodontologists partnership when treating MBS. In addition, it is key to identify the state-ofthe-art interdisciplinary treatment strategies used nowadays in which these two professionals are involved, being the Miofunctional Therapy the most relevant. In order to write this review the SciElo, Scopus, Medline and Google Scholar databases have been used. From this search, 12 articles have been selected using the established descriptors and criteria. Finally, we can conclude from our research that the speech therapy-odontology relationship is essential when treating disequilibrium of the oral cavity in MBS. Moreover, literature highlights Miofunctional Therapy as the most frequent and effective treatment for MBS