Factors Influencing Immunization Status in Primary Care Clinics

Background and Objectives: National standards and goals for childhood immunization rates are well established. Yet, despite clear standards and goals, physicians do not achieve the desired rate (90%) for immunization coverage. This study examined factors related to immunization status for 2-year-old children in pediatric and family practice settings. Methods: Specially trained personnel used computer software to audit 2,552 records from 42 practices in Northeast Florida throughout 1997–1999. Immunization records were judged as either complete or incomplete, and factors related to immunization status were studied. Clinic type and 18 immunization practice standards were reviewed for effect on immunization status. Results: The probability of complete immunization status for children in pediatric clinics was greater than for those in family practice clinics. Multivariate logistic regression revealed that use of semiannual audits (odds ratio [OR]=2.00, confidence interval [CI]=1.65–2.42) was the most important factor for immunization completion. This was followed by availability of discounted immunizations (OR=.44, CI=.27–.73) and the use of an immunization tracking system (OR=1.48, CI=1.18–1.70). Factors that were not found to contribute included clinic type and the remaining 15 practice standards. Conclusions: Considering the significant factors, immunization status was not affected by the type of clinic providing immunizations. Based on this analysis, family physicians should implement tracking systems and should perform semiannual audits to match the success of pediatricians in immunizing children. Neither group met nationally established goals for administration of immunizations for 2-year-old children

The Segment Ontology: Bridging Music-generic and Domain-specific

Existing semantic representations of music analysis encapsulate narrow sub-domain concepts and are frequently scoped by the context of a particular MIR task. Segmentation is a crucial abstraction in the investigation of phenomena which unfold over time; we present a Segment Ontology as the backbone of an approach that models properties from the musicological domain independently from MIR implementations and their signal processing foundations, whilst maintaining an accurate and complete description of the relationships that link them. This framework provides two principal advantages which are explored through several examples: a layered separation of concerns that aligns the model with the needs of the users and systems that consume and produce the data; and the ability to link multiple analyses of differing types through transforms to and from the Segment axis

A practical experience with independent verification and validation

One approach to reducing software cost and increasing reliability is the use of an independent verification and validation (IV & V) methodology. The Software Engineering Laboratory (SEL) applied the IV & V methodology to two medium-size flight dynamics software development projects. Then, to measure the effectiveness of the IV & V approach, the SEL compared these two projects with two similar past projects, using measures like productivity, reliability, and maintain ablilty. Results indicated that the use of the IV & V methodology did not help the overall process nor improve the product in these cases

Propfan experimental data analysis

A data reduction method, which is consistent with the performance prediction methods used for analysis of new aircraft designs, is defined and compared to the method currently used by NASA using data obtained from an Ames Res. Center 11 foot transonic wind tunnel test. Pressure and flow visualization data from the Ames test for both the powered straight underwing nacelle, and an unpowered contoured overwing nacelle installation is used to determine the flow phenomena present for a wind mounted turboprop installation. The test data is compared to analytic methods, showing the analytic methods to be suitable for design and analysis of new configurations. The data analysis indicated that designs with zero interference drag levels are achieveable with proper wind and nacelle tailoring. A new overwing contoured nacelle design and a modification to the wing leading edge extension for the current wind tunnel model design are evaluated. Hardware constraints of the current model parts prevent obtaining any significant performance improvement due to a modified nacelle contouring. A new aspect ratio wing design for an up outboard rotation turboprop installation is defined, and an advanced contoured nacelle is provided