Describing Pediatric Hospital Discharge Planning Care Processes Using the Omaha System

Purpose Although discharge planning (DP) is recognized as a critical component of hospital care, national initiatives have focused on older adults, with limited focus on pediatric patients. We aimed to describe patient problems and targeted interventions as documented by social workers or DP nurses providing specialized DP services in a children\u27s hospital. Methods Text from 67 clinical notes for 28 patients was mapped to a standardized terminology (Omaha System). Data were deductively analyzed. Results A total of 517 phrases were mapped. Eleven of the 42 Omaha System problems were identified. The most frequent problem was health care supervision (297/517; 57.4%). Three Omaha System intervention categories were used (teaching, guidance, and counseling; case management; and surveillance). Intervention targets are varied by role. Conclusion The findings provide a rich description of the nature of DP for complex pediatric patients and increase our understanding of the work of DP staff and the influence of the DP practice model

The role of the Initial Teacher Training Coordinator in the school based element of partnership: to what extent does the Co-ordinator undertake supervision of aspects of quality assurance?

Over the last 14 years, Universities and colleges have organised school placements and award qualifications whilst teachers, acting as mentors take the lead in guiding, supervising and assessing students on lengthy teaching placements. Partnership developed quickly in response to legislation and Sheffield Hallam University was among the first of the Universities to 'sign up' to the new partnership model in 1992. The Partnership Survey 2006 reported on in this paper has focussed on the Senior Liaison Tutor with a view to finding out their views on their role, and perceived contributions to the quality assurance of the partnership. The survey focussed on some of the key issues identified in previous studies and meetings of the Partnership Management Board.</p

The role of the initial teacher training co-ordinator: secondary headteachers' and ITT co-ordinators' perspectives

The roles of ITT co-ordinator (ITTC) and CPD co-ordinator have become well established in secondary schools in England. However there is usually a separation of responsibilities for these areas within schools. The introduction of a new Standards Framework and other government policies such as the remodelling of the workforce in schools (DfES, 2003, TDA, 2007a) provide schools with opportunity to revisit these roles. A consequence of remodelling has been a rapid expansion of support staff in schools to assist teachers and one aspect of this contractual change is that support staff are taking on administrative tasks, formerly done by teachers. A further aspect is that CPD Coordinators now have responsibility for staff development cross the wider workforce. During 2007, Schools have used remodelling as an opportunity to review their management structures throughout the school including the organisation of staff development and how the school is contributing to the training of new teachers. In this paper we consider how the role of the ITTC is changing using data from interviews with Head Teachers and ITTCs from a sample of secondary schools that are in partnership with Sheffield Hallam University. Data collection took place in April and May 2007.</p

Implications of Lorentz covariance for the guidance equation in two-slit quantum interference

It is known that Lorentz covariance fixes uniquely the current and the associated guidance law in the trajectory interpretation of quantum mechanics for spin particles. In the non-relativistic domain this implies a guidance law for the electron which differs by an additional spin-dependent term from that originally proposed by de Broglie and Bohm. In this paper we explore some of the implications of the modified guidance law. We bring out a property of mutual dependence in the particle coordinates that arises in product states, and show that the quantum potential has scalar and vector components which implies the particle is subject to a Lorentz-like force. The conditions for the classical limit and the limit of negligible spin are given, and the empirical sufficiency of the model is demonstrated. We then present a series of calculations of the trajectories based on two-dimensional Gaussian wave packets which illustrate how the additional spin-dependent term plays a significant role in structuring both the individual trajectories and the ensemble. The single packet corresponds to quantum inertial motion. The distinct features encountered when the wavefunction is a product or a superposition are explored, and the trajectories that model the two-slit experiment are given. The latter paths exhibit several new characteristics compared with the original de Broglie-Bohm ones, such as crossing of the axis of symmetry.Comment: 27 pages including 6 pages of figure

Vibrational branching ratios and hyperfine structure of 11^{11}BH and its suitability for laser cooling

The simple structure of the BH molecule makes it an excellent candidate for direct laser cooling. We measure the branching ratios for the decay of the ${\rm A}^{1}\Pi (v'=0)$ state to vibrational levels of the ground state, ${\rm X}^{1}\Sigma^{+}$, and find that they are exceedingly favourable for laser cooling. We verify that the branching ratio for the spin-forbidden transition to the intermediate ${\rm a}^{3}\Pi$ state is inconsequentially small. We measure the frequency of the lowest rotational transition of the X state, and the hyperfine structure in the relevant levels of both the X and A states, and determine the nuclear electric quadrupole and magnetic dipole coupling constants. Our results show that, with a relatively simple laser cooling scheme, a Zeeman slower and magneto-optical trap can be used to cool, slow and trap BH molecules.Comment: 7 pages, 5 figures. Updated analysis of A state hyperfine structure and other minor revision

HST/STIS Imaging of the Host Galaxy of GRB980425/SN1998bw

We present HST/STIS observations of ESO 184-G82, the host galaxy of the gamma-ray burst GRB 980425 associated with the peculiar Type Ic supernova SN1998bw. ESO 184-G82 is found to be an actively star forming SBc sub-luminous galaxy. We detect an object consistent with being a point source within the astrometric uncertainty of 0.018 arcseconds of the position of the supernova. The object is located inside a star-forming region and is at least one magnitude brighter than expected for the supernova based on a simple radioactive decay model. This implies either a significant flattening of the light curve or a contribution from an underlying star cluster.Comment: 12 pages, 2 figures, AASTeX v5.02 accepted for publication in ApJ Letter

Absence of evidence for pentaquarks on the lattice

We study the question of whether or not QCD predicts a pentaquark state. We use the improved, fixed point lattice QCD action which has very little sensitivity to the lattice spacing and also allows us to reach light quark masses. The analysis was performed on a single volume of size $(1.8 {\rm fm})^3\times 3.6 {\rm fm}$ with lattice spacing of $a=0.102$ fm. We use the correlation matrix method to identify the ground and excited states in the isospin 0, negative parity channel. In the quenched approximation where dynamical quark effects are omitted, we do not find any evidence for a pentaquark resonance in QCD.Comment: 17 pages, 5 figures replaced with revised versio

The development and evaluation of exercises for group response to word meaning for increasing the speed of word recognition in grade I

Thesis (Ed.M.)--Boston Universit

A varactor tuned branch-line hybrid coupler

This paper introduces a novel branch-line 90° hybrid coupler incorporating varactor diodes which allow tuning of the frequency response. A design covering the DCS, PCS and IMT2000 cellular frequency bands (1710-2170 MHz) is presented. Given a varactor tunability of 2.5:1, simulations suggest 20 dB return loss and 3±1 dB coupling is achievable across each transmit and receive sub-band by tuning the varactors. These results offer an improvement over a conventional single-section branch-line hybrid centred at 1950 MHz, and some miniaturisation is also achieved due to the capacitive loading. A prototype is constructed using commercially available varactor diodes, and reasonable agreement between the measured and simulated results is achieved