Are We Practicing What We Are Taught in Health Professions’ Education? Coproducing Health Care

Health-care providers and educators are inherently empathetic, compassionate, experienced professionals who entered their profession to assure the complementary missions of public health and health care. These missions work to ensure conditions in which people can be healthy via disease and injury prevention, health promotion, and timely, effective, coordinated care (1). The skills necessary to achieve these crucial outcomes (ie, listening to the patient and their family, exhibiting empathy, and understanding the significance of the social determinants of health, etc) are routinely taught in health professions’ education. To highlight the necessity for these representative competencies covered throughout the course of health professions’ education, the personal experience of one of the author’s children is reported as a narration. The purpose of communicating this patient experience is to remind health-care providers: (a) about the importance of not only listening but hearing the parents of our patients and the patients themselves, (b) to actively practice the art and skill of empathy as the health-care setting can be overwhelming for patients and their families, and (c) to consider the impact of the social determinants of health on one’s health status to date. This 5-part patient experience serves to strengthen our commitment to assure that we practice what we are taught with the goal to coproduce health with our patients and their families

Alien Registration- Caron, Stanley O. (Greenville, Piscataquis County)

https://digitalmaine.com/alien_docs/9926/thumbnail.jp

Alien Registration- Caron, Joseph O. (Lewiston, Androscoggin County)

https://digitalmaine.com/alien_docs/29235/thumbnail.jp

A Reinvestigation of Moving Punctured Black Holes with a New Code

We report on our code, in which the moving puncture method is applied and an adaptive/fixed mesh refinement is implemented, and on its preliminary performance on black hole simulations. Based on the BSSN formulation, up-to-date gauge conditions and the modifications of the formulation are also implemented and tested. In this work we present our primary results about the simulation of a single static black hole, of a moving single black hole, and of the head-on collision of a binary black hole system. For the static punctured black hole simulations, different modifications of the BSSN formulation are applied. It is demonstrated that both the currently used sets of modifications lead to a stable evolution. For cases of a moving punctured black hole with or without spin, we search for viable gauge conditions and study the effect of spin on the black hole evolution. Our results confirm previous results obtained by other research groups. In addition, we find a new gauge condition, which has not yet been adopted by any other researchers, which can also give stable and accurate black hole evolution calculations. We examine the performance of the code for the head-on collision of a binary black hole system, and the agreement of the gravitational waveform it produces with that obtained in other works. In order to understand qualitatively the influence of matter on the binary black hole collisions, we also investigate the same head-on collision scenarios but perturbed by a scalar field. The numerical simulations performed with this code not only give stable and accurate results that are consistent with the works by other numerical relativity groups, but also lead to the discovery of a new viable gauge condition, as well as clarify some ambiguities in the modification of the BSSN formulation.Comment: 17 pages, 8 figures, accepted for publication in PR

Quantum Chaos Versus Classical Chaos: Why is Quantum Chaos Weaker?

We discuss the questions: How to compare quantitatively classical chaos with quantum chaos? Which one is stronger? What are the underlying physical reasons

Iron Displacements and Magnetoelastic Coupling in the Spin-Ladder Compound BaFe2Se3

We report long-range ordered antiferromagnetism concomitant with local iron displacements in the spin-ladder compound BaFe$_2$Se$_3$. Short-range magnetic correlations, present at room temperature, develop into long-range antiferromagnetic order below T$_N$ = 256 K, with no superconductivity down to 1.8 K. Built of ferromagnetic Fe$_4$ plaquettes, the magnetic ground state correlates with local displacements of the Fe atoms. These iron displacements imply significant magnetoelastic coupling in FeX$_4$-based materials, an ingredient hypothesized to be important in the emergence of superconductivity. This result also suggests that knowledge of these local displacements is essential for properly understanding the electronic structure of these systems. As with the copper oxide superconductors two decades ago, our results highlight the importance of reduced dimensionality spin ladder compounds in the study of the coupling of spin, charge, and atom positions in superconducting materials

Construction of gridshells composed of elastically bent elements and covered by a stretched three-dimensional membrane

This document deals with the gridshells built by the Navier laboratory in the last ten years. The numerical conception is developed, from the draft made by architects up to the final structure. To design a gridshell several numerical tasks have to be performed. The geometry of the gridshell is first considered. Then, an iterative step mixing geometry and mechanical considerations is important. In particular, it is explained how the naturally straight beams are bent to form the final shape. This active bending provides many interests like high stiffness for a light weight structure. After the numerical design of the grid, the geometry of the membrane is drawn from the numerical final geometry of the gridshell. The improvements of gridshells, including safety considerations as well as practical considerations are then developed, trough the four gridshells recently built

0 Espaço Cenográfico do Espetáculo - presença na cidade e no edifício

This work tries to stablish a stage design definition as exclusive of the scenic environment planning of theatre activity. We verify the existence of a double space, part of it physical and efficient and part an immaginary product of complicity. Through scenic action significative elements analysis we can stablish a stage-public relationship, in an immaginary field. Then w e verify in which way this kind of environment intervenes into physical space, both urban or inside a building. In the sequence we describe a dramatic intervention (just promoted by color lighting) into an architectural place known by the public, and the public reaction facing it0 trabalho procura estabelecer uma definição para cenário como exclusivo do planejamento do ambiente cênico do espetáculo. Verifica-se uma duplicidade de espaços, um físico e eficiente, outro imaginário e cúmplice. Através da análise dos elementos significativos da ação cênica pode se estabelecer uma relação entre o público e a cena, no âmbito do imaginário. Verifica-se de que maneira este ambiente intervém no espaço físico, tanto urbano quanto edificado. Descreve-se, a seguir, uma intervenção com uma linha dramática (promovida por luzes coloridas) em um ambiente arquitetônico conhecido pelo público, e suas reações diante da intervençã

How a plantar pressure-based, tongue-placed tactile biofeedback modifies postural control mechanisms during quiet standing

The purpose of the present study was to determine the effects of a plantar pressure-based, tongue-placed tactile biofeedback on postural control mechanisms during quiet standing. To this aim, sixteen young healthy adults were asked to stand as immobile as possible with their eyes closed in two conditions of No-biofeedback and Biofeedback. Centre of foot pressure (CoP) displacements, recorded using a force platform, were used to compute the horizontal displacements of the vertical projection the centre of gravity (CoGh) and those of the difference between the CoP and the vertical projection of the CoG (CoP-CoGv). Altogether, the present findings suggest that the main way the plantar pressure-based, tongue-placed tactile biofeedback improves postural control during quiet standing is via both a reduction of the correction thresholds and an increased efficiency of the corrective mechanism involving the CoGh displacements