An evaluation of Te Rau Puawai workforce 100: Stakeholder perspectives

To evaluate the Te Rau Puawai programme, the Ministry of Health commissioned the Maori and Psychology Research Unit of the University of Waikato in July 2001. The overall aim of the evaluation was to provide the Ministry with a clearer understanding of the programme including: the perceived critical success factors, the barriers if any regarding Te Rau Puawai, the impact of the programme, the extent to which the programme may be transferable, gaps in the programme, and suggested improvements. There are a number of stakeholders who do not have a direct role in the provision of Te Rau Puawai. These people are not involved in the day to day running of Te Rau Puawai (as do, for example, the coordinator, support team or academic mentors), nevertheless they play an important role, contributing in a variety of ways to the programme

Coming in Warm: Qualitative Study and Concept Map to Cultivate Patient‐Centered Empathy in Emergency Care

Background Increased empathy may improve patient perceptions and outcomes. No training tool has been derived to teach empathy to emergency care providers. Accordingly, we engaged patients to assist in creating a concept map to teach empathy to emergency care providers. Methods We recruited patients, patient caretakers and patient advocates with emergency department experience to participate in three separate focus groups (n = 18 participants). Facilitators guided discussion about behaviors that physicians should demonstrate in order to rapidly create trust, enhance patient perception that the physician understood the patient's point of view, needs, concerns, fears, and optimize patient/caregiver understanding of their experience. Verbatim transcripts from the three focus groups were read by the authors and by consensus, 5 major themes with 10 minor themes were identified. After creating a codebook with thematic definitions, one author reviewed all transcripts to a library of verbatim excerpts coded by theme. To test for inter‐rater reliability, two other authors similarly coded a random sample of 40% of the transcripts. Authors independently chose excerpts that represented consensus and strong emotional responses from participants. Results Approximately 90% of opinions and preferences fell within 15 themes, with five central themes: Provider transparency, Acknowledgement of patient's emotions, Provider disposition, Trust in physician, and Listening. Participants also highlighted the need for authenticity, context and individuality to enhance empathic communication. For empathy map content, patients offered example behaviors that promote perceptions of physician warmth, respect, physical touch, knowledge of medical history, explanation of tests, transparency, and treating patients as partners. The resulting concept map was named the “Empathy Circle”. Conclusions Focus group participants emphasized themes and tangible behaviors to improve empathy in emergency care. These were incorporated into the “Empathy Circle”, a novel concept map that can serve as the framework to teach empathy to emergency care providers

Development of aluminum alloy compounds for electroluminescent light sources

Aluminum alloy compounds as wide band gap semiconductors for electroluminescent light source

Meltwater Intrusions Reveal Mechanisms for Rapid Submarine Melt at a Tidewater Glacier

Submarine melting has been implicated as a driver of glacier retreat and sea level rise, but to date melting has been difficult to observe and quantify. As a result, melt rates have been estimated from parameterizations that are largely unconstrained by observations, particularly at the near-vertical termini of tidewater glaciers. With standard coefficients, these melt parameterizations predict that ambient melting (the melt away from subglacial discharge outlets) is negligible compared to discharge-driven melting for typical tidewater glaciers. Here, we present new data from LeConte Glacier, Alaska, that challenges this paradigm. Using autonomous kayaks, we observe ambient meltwater intrusions that are ubiquitous within 400 m of the terminus, and we provide the first characterization of their properties, structure, and distribution. Our results suggest that ambient melt rates are substantially higher (×100) than standard theory predicts and that ambient melting is a significant part of the total submarine melt flux. We explore modifications to the prevalent melt parameterization to provide a path forward for improved modeling of ocean-glacier interactions.This work was funded by NSF OPP Grants 1503910, 1504191, 1504288, and 1504521 and National Geographic Grant CP4-171R-17. Additionally, this research was supported by the NOAA Climate and Global Change Postdoctoral Fellowship Program, administered by UCAR’s Cooperative Programs for the Advancement of Earth System Science (CPAESS) under award #NA18NWS4620043B. These observations would not be possible without the skilled engineering team who developed the autonomous kayaks—including Jasmine Nahorniak, June Marion, Nick McComb, Anthony Grana, and Corwin Perren—and also the Captain and crew of the M/V Amber Anne. We thank Donald Slater and an anonymous reviewer for valuable feedback that improved this manuscript. Data availability: All of the oceanographic data collected by ship and kayak have been archived with the National Centers for Environmental Information (Accession 0189574, https://accession.nodc.noaa.gov/ 0189574). The glacier data have been archived at the Arctic Data Center (https://doi.org/10.18739/A22G44).Ye

Exemptions for Firearms in Bankruptcy

The U.S. Supreme Court's decisions regarding the nature of the people's right to "keep and bear arms," as guaranteed in the Second Amendment to the U.S. Constitution, has focused some interest on the extent to which firearms are protected from the reach of creditors under either federal or state laws. State laws protecting certain property from creditors' claims may be used both in and outside of the bankruptcy context. Federal law may also protect certain property from creditors' claims in bankruptcy

Exemptions for Firearms in Bankruptcy

This report is categorized into three categories: (I) Federal Exemption Under the U.S. Bankruptcy Code, (II) States' Exemption for Firearms and (III) Legislation Proposed in Earlier Congresses

Final report on feasibility of real-time geochemical analysis at Yucca Mountain, Nevada, using LIBS technology

Laser-induced breakdown spectroscopy (LIBS) is an analytic method whereby an intense laser pulse is used to vaporize and excite a small volume of material into atomic emission. Calibrated spectral analysis of the laser spark light provides detection and quantification of the elemental composition of the target material. We performed laboratory and field tests to assess the feasibility of developing field-portable LIBS-based instruments for real-time analyses of Yucca Mountain rocks in conjunction with Yucca Mountain Project drilling, coring, sampling, and characterization tasks. We developed one prototype instrument designed to analyze air core drilling dust and another prototype instrument designed to analyze rock and fracture surfaces. In realistic field tests at the Exploratory Studies Facility at Yucca Mountain, Nevada, we demonstrated that the LIBS prototypes are capable of measuring major, minor, and some trace elements in real time. Laboratory LIBS analyses show that we can identify characteristic element ratios in a range of manganese oxide minerals present at Yucca Mountain as fracture surface coatings and matrix grains. Preliminary LIBS analyses also indicate that the U/Na ratio may distinguish tuffs containing the hazardous zeolite mineral erionite from non-erionite bearing tuffs, and that a LIBS-based instrument may be useful to detect in real time the probable presence of erionite encountered in core drilling and other operations at Yucca Mountain

Cluster Analysis of Thermal Icequakes Using the Seismometer to Investigate Ice and Ocean Structure (SIIOS): Implications for Ocean World Seismology

Ocean Worlds are of high interest to the planetary community due to the potential habitability of their subsurface oceans. Over the next few decades several missions will be sent to ocean worlds including the Europa Clipper, Dragonfly, and possibly a Europa lander. The Dragonfly and Europa lander missions will carry seismic payloads tasked with detecting and locating seismic sources. The Seismometer to Investigate Ice and Ocean Structure (SIIOS) is a NASA PSTAR funded project that investigates ocean world seismology using terrestrial analogs. The goals of the SIIOS experiment include quantitatively comparing flight-candidate seismometers to traditional instruments, comparing single-station approaches to a small-aperture array, and characterizing the local seismic environment of our field sites. Here we present an analysis of detected local events at our field sites at Gulkana Glacier in Alaska and in Northwest Greenland approximately 80 km North of Qaanaaq, Greenland. Both field sites passively recorded data for about two weeks. We deployed our experiment on Gulkana Glacier in September 2017 and in Greenland in June 2018. At Gulkana there was a nearby USGS weather station which recorded wind data. Temperature data was collected using the MERRA satellite. In Greenland we deployed our own weather station to collect temperature and wind data. Gulkana represents a noisier and more active environment. Temperatures fluctuated around 0C, allowing for surface runoff to occur during the day. The glacier had several moulins, and during deployment we heard several rockfalls from nearby mountains. In addition to the local environment, Gulkana is located close to an active plate boundary (relative to Greenland). This meant that there were more regional events recorded over two weeks, than in Greenland. Greenlands local environment was also quieter, and less active. Temperatures remained below freezing. The Greenland ice was much thicker than Gulkana (~850 m versus ~100 m) and our stations were above a subglacial lake. Both conditions can reduce event detections from basal motion. Lastly, we encased our Greenland array in an aluminum vault and buried it beneath the surface unlike our array in Gulkana where the instruments were at the surface and covered with plastic bins. The vault further insulated the array from thermal and atmospheric events

Republicanism and the political economy of democracy

Europe is experiencing rapidly accelerating poverty and social exclusion, following half a decade of financial crisis and austerity politics. The key problem behind Europe's malaise, in our view, is the economic disenfranchisement of large parts of its population in the winner-takes-all-society. This article proposes that we examine the contribution of republican political theory as a distinctive approach that provides us with the conceptual and normative resources to reclaim what we call the political economy of democracy, the constellation of political and economic institutions aimed at promoting broad economic sovereignty and individuals' capacities to govern their own lives. This article identifies three key ideas that together constitute a distinctively republican approach to political economy: (1) establish an economic floor; (2) impose an economic ceiling to counter excess economic inequality; and (3) democratize the governance and regulation of the main economic institutions