27,534 research outputs found
Long fluid filled bags suspended by line forces
A previous analysis of fluid filled storage bags is extended to the case of a long fluid filled cylindrical membrane supported by uniform line loads. Cross-sectional shape, stiffness of the support system and stress resultants in the membrane are determined. The application of the numerical results to problems arising in the design of nonrigid airships is discussed
The design and construction of the CAD-1 airship
The background history, design philosophy and Computer application as related to the design of the envelope shape, stress calculations and flight trajectories of the CAD-1 airship, now under construction by Canadian Airship Development Corporation are reported. A three-phase proposal for future development of larger cargo carrying airships is included
Effects of Participation in the WIC Food Assistance Program on Childrenâs Health and Development: Evidence from NLSY Children
This study investigates the effects of maternal participation in the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) on birth weight, motor and social skills, and temperament for a national sample of children born between 1990 and 1996 to women participating in the National Longitudinal Survey of Youth. Sibling fixed effect models are used to account for persistent differences in difficult to measure characteristics of mothers that affect participation in the program. Results indicate that prenatal WIC participation has positive effects on infant birth weight. Fixed effect, but not OLS, estimates suggest that prenatal WIC participation is associated with more positive child temperament.
Uncovering anorexia nervosa in a biofeedback clinic for bowel dysfunction
Biofeedback is a conservative treatment based on behavioural techniques, which can be used in the management of bowel dysfunction. This article reports the results of a retrospective review of the clinical notes of 87 female patients attending a biofeedback service at St Mark's Hospital, Harrow. The initial review was conducted to examine the incidence of polycystic ovary syndrome (PCOS) in patients attending this service. Seven percent were found to have PCOS, which is within the normal range. However, a significant proportion of patients (11.5%) had a current history of anorexia nervosa, a higher rate than in the general population, which prompted further investigation. In this article, Sonya Chelvanayagam, Julie Duncan, Brigitte Collins and Lorraine O'Brien report on the results of this review and discuss the significance of its findings. © Copyright Terms & conditions
A simplified PERT system
Modified PERT technique processes the input data and arranges it in familiar graphic form in a booklet which is issued at periodic intervals. The tabulated data provides readily available information to management personnel concerned with monitoring the progress of a program
An airborne remote sensing system for urban air quality
Several NASA sponsored remote sensors and possible airborne platforms were evaluated. Outputs of dispersion models for SO2 and CO pollution in the Washington, D.C. area were used with ground station data to establish the expected performance and limitations of the remote sensors. Aircraft/sensor support requirements are discussed. A method of optimum flight plan determination was made. Cost trade offs were performed. Conclusions about the implementation of various instrument packages as parts of a comprehensive air quality monitoring system in Washington are presented
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Using shared goal setting to improve access and equity: a mixed methods study of the Good Goals intervention
Background: Access and equity in childrenâs therapy services may be improved by directing cliniciansâ use of resources toward specific goals that are important to patients. A practice-change intervention (titled âGood Goalsâ) was designed to achieve this. This study investigated uptake, adoption, and possible effects of that intervention in childrenâs occupational therapy services.
Methods: Mixed methods case studies (n = 3 services, including 46 therapists and 558 children) were conducted. The intervention was delivered over 25 weeks through face-to-face training, team workbooks, and âtools for changeâ. Data were collected before, during, and after the intervention on a range of factors using interviews, a focus group, case note analysis, routine data, document analysis, and researchersâ observations.
Results: Factors related to uptake and adoptions were: mode of intervention delivery, competing demands on therapistsâ time, and leadership by service manager. Service managers and therapists reported that the intervention: helped therapists establish a shared rationale for clinical decisions; increased clarity in service provision; and improved interactions with families and schools. During the study period, therapistsâ behaviours changed: identifying goals, odds ratio 2.4 (95% CI 1.5 to 3.8); agreeing goals, 3.5 (2.4 to 5.1); evaluating progress, 2.0 (1.1 to 3.5). Childrenâs LoT decreased by two months [95% CI â8 to +4 months] across the services. Cost per therapist trained ranged from ÂŁ1,003 to ÂŁ1,277, depending upon service size and therapistsâ salary bands.
Conclusions: Good Goals is a promising quality improvement intervention that can be delivered and adopted in practice and may have benefits. Further research is required to evaluate its: (i) impact on patient outcomes, effectiveness, cost-effectiveness, and (ii) transferability to other clinical contexts
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