Understanding communication networks in the emergency department

<p>Abstract</p> <p>Background</p> <p>Emergency departments (EDs) are high pressure health care settings involving complex interactions between staff members in providing and organising patient care. Without good communication and cooperation amongst members of the ED team, quality of care is at risk. This study examined the problem-solving, medication advice-seeking and socialising networks of staff working in an Australian hospital ED.</p> <p>Methods</p> <p>A social network survey (Response Rate = 94%) was administered to all ED staff (n = 109) including doctors, nurses, allied health professionals, administrative staff and ward assistants. Analysis of the network characteristics was carried out by applying measures of density (the extent participants are concentrated), connectedness (how related they are), isolates (how segregated), degree centrality (who has most connections measured in two ways, in-degree, the number of ties directed to an individual and out-degree, the number of ties directed from an individual), betweenness centrality (who is important or powerful), degree of separation (how many ties lie between people) and reciprocity (how bi-directional are interactions).</p> <p>Results</p> <p>In all three networks, individuals were more closely connected to colleagues from within their respective professional groups. The problem-solving network was the most densely connected network, followed by the medication advice network, and the loosely connected socialising network. ED staff relied on each other for help to solve work-related problems, but some senior doctors, some junior doctors and a senior nurse were important sources of medication advice for their ED colleagues.</p> <p>Conclusions</p> <p>Network analyses provide useful ways to assess social structures in clinical settings by allowing us to understand how ED staff relate within their social and professional structures. This can provide insights of potential benefit to ED staff, their leaders, policymakers and researchers.</p

New CUORICINO Results On the Way to CUORE

CUORE is a 0.75 ton experiment to search for neutrinoless double beta decay of Te130 using 988 TeO2 bolometers. It aims at reaching a sensitivity on the effective neutrino mass of the order of few tens of meV. CUORICINO, a single CUORE tower running since 2003, plays an important role as a stand alone experiment and for developing the future CUORE setup. Present results already achieved and studies that are underway are here presented and discussed

Conjectures on exact solution of three - dimensional (3D) simple orthorhombic Ising lattices

We report the conjectures on the three-dimensional (3D) Ising model on simple orthorhombic lattices, together with the details of calculations for a putative exact solution. Two conjectures, an additional rotation in the fourth curled-up dimension and the weight factors on the eigenvectors, are proposed to serve as a boundary condition to deal with the topologic problem of the 3D Ising model. The partition function of the 3D simple orthorhombic Ising model is evaluated by spinor analysis, by employing these conjectures. Based on the validity of the conjectures, the critical temperature of the simple orthorhombic Ising lattices could be determined by the relation of KK* = KK' + KK'' + K'K'' or sinh 2K sinh 2(K' + K'' + K'K''/K) = 1. For a simple cubic Ising lattice, the critical point is putatively determined to locate exactly at the golden ratio xc = exp(-2Kc) = (sq(5) - 1)/2, as derived from K* = 3K or sinh 2K sinh 6K = 1. If the conjectures would be true, the specific heat of the simple orthorhombic Ising system would show a logarithmic singularity at the critical point of the phase transition. The spontaneous magnetization and the spin correlation functions of the simple orthorhombic Ising ferromagnet are derived explicitly. The putative critical exponents derived explicitly for the simple orthorhombic Ising lattices are alpha = 0, beta = 3/8, gamma = 5/4, delta = 13/3, eta = 1/8 and nu = 2/3, showing the universality behavior and satisfying the scaling laws. The cooperative phenomena near the critical point are studied and the results obtained based on the conjectures are compared with those of the approximation methods and the experimental findings. The 3D to 2D crossover phenomenon differs with the 2D to 1D crossover phenomenon and there is a gradual crossover of the exponents from the 3D values to the 2D ones.Comment: 176 pages, 4 figure

Estimating the flux of the 14.4 keV solar axions

this paper we present a calculation of the expected flux of the mono-energetic 14.4 keV solar axions emitted by the M1 type nuclear transition of Fe-57 in the Sun. These axions can be detected, e.g., by inverse coherent Bragg-Prirnakoff conversion in single-crystal Teo(2) bolonteters. The ingredients of this calculation are i) the axion nucleon coupling, estimated in several popular axion models and ii)the nuclear spin matrix elements involving realistic shell model calculations with both proton and neutron excitations. For the benefit of the experiments we have also calculated the branching ratio involving axion and photon emission. We, find the solar axion flux on Earth to be Phi(a) = 0.703 x 10(9) cm(-2)s(-1) (10(7) GeV/f(a))(2) and the branching; ratio of axion to photon for the same model to be: omega(a)/omega(gamma) = 0.229 x 10(-15) approximate to 2 x 10(-16). (c) 2018 IOP Publishing Ltd and Sissa Medialab101sciescopu