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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 children’s therapy services may be improved by directing clinicians’ use of resources toward specific goals that are important to patients. A practice-change intervention (titled ‘Good Goals’) was designed to achieve this. This study investigated uptake, adoption, and possible effects of that intervention in children’s 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 ‘tools for change’. 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 researchers’ observations.
Results: Factors related to uptake and adoptions were: mode of intervention delivery, competing demands on therapists’ 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, therapists’ 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). Children’s LoT decreased by two months [95% CI −8 to +4 months] across the services. Cost per therapist trained ranged from £1,003 to £1,277, depending upon service size and therapists’ 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
Extending electron orbital precession to the molecular case: Can orbital alignment be used to observe wavepacket dynamics?
The complexity of ultrafast molecular photoionization presents an obstacle to
the modelling of pump-probe experiments. Here, a simple optimized model of
atomic rubidium is combined with a molecular dynamics model to predict
quantitatively the results of a pump-probe experiment in which long range
rubidium dimers are first excited, then ionized after a variable delay. The
method is illustrated by the outline of two proposed feasible experiments and
the calculation of their outcomes. Both of these proposals use Feshbach 87Rb2
molecules. We show that long-range molecular pump-probe experiments should
observe spin-orbit precession given a suitable pump-pulse, and that the
associated high-frequency beat signal in the ionization probability decays
after a few tens of picoseconds. If the molecule was to be excited to only a
single fine structure state state, then a low-frequency oscillation in the
internuclear separation would be detectable through the timedependent
ionization cross section, giving a mechanism that would enable observation of
coherent vibrational motion in this molecule.Comment: 9 pages, 10 figures, PRA submissio
Low-cycle fatigue evaluation for regeneratively cooled panels
Design data for regeneratively cooled panels from low cycle fatigue evaluation of Hastelloy X and Inconel 625 sheet and sandwich panel specimen
Selective removal of organics for water reclamation
Electrooxidation is a means of removing organic solutes directly from waste waters without the use of chemical expendables. The feasibility of the concept for oxidation of organic impurities common to urine, shower waters and space habitat humidity condensates was demonstrated. Electrooxidation of urine and waste water ersatz was experimentally demonstrated. The electrooxidation principle, reaction kinetics, efficiency, power, size, experimental test results and water reclamation applications are described. Process operating potentials and the use of anodic oxidation potentials that are sufficiently low to avoid oxygen formation and chloride oxidation are also described. The design of a novel electrochemical system that incorporates a proton exchange membrane (PEM) electrolyte is presented based on parametric test data and current fuel cell technology
FINDCHIRP: an algorithm for detection of gravitational waves from inspiraling compact binaries
Matched-filter searches for gravitational waves from coalescing compact
binaries by the LIGO Scientific Collaboration use the FINDCHIRP algorithm: an
implementation of the optimal filter with innovations to account for unknown
signal parameters and to improve performance on detector data that has
nonstationary and non-Gaussian artifacts. We provide details on the FINDCHIRP
algorithm as used in the search for subsolar mass binaries, binary neutron
stars, neutron star-black hole binaries, and binary black holes.Comment: 19 pages, 1 figure, journal version with Creative Commons 4.0
open-access license adde
Resolving Exceptional Configurations
In lattice QCD with Wilson fermions, exceptional configurations arise in the
quenched approximation at small quark mass. The origin of these large
previously uncontrolled lattice artifacts is identified. A simple well-defined
procedure (MQA) is presented which removes the artifacts while preserving the
correct continuum limit.Comment: Talk presented by E. Eichten at Lattice 97, Edinburgh(UK), July97. 6
pages, LaTeX, 1 table, 5 figure
Manual prático para formação e capacitação de grupos comunitários em métodos de monitoramento de qualidade da água - Módulo II: avaliação bacteriológica da água.
O ambiente aquático; O meio ambiente e o mundo invisÃvel dos micróbios; Poluição e padrões de qualidade de água; Desenvolvendo um plano de monitoramento; Material de amostragem; Metodologia; Manejo de dados e desenvolvimento de ações.bitstream/CNPAT-2010/12000/1/Doc-120.pdfTraduzido e adaptado de Alabama Water Watch - Bacteriological Monitoring, 2004 - Auburn University; Tradução Ivan Vieira
The (In)Stability of Planetary Systems
We present results of numerical simulations which examine the dynamical
stability of known planetary systems, a star with two or more planets. First we
vary the initial conditions of each system based on observational data. We then
determine regions of phase space which produce stable planetary configurations.
For each system we perform 1000 ~1 million year integrations. We examine
upsilon And, HD83443, GJ876, HD82943, 47UMa, HD168443, and the solar system
(SS). We find that the resonant systems, 2 planets in a first order mean motion
resonance, (HD82943 and GJ876) have very narrow zones of stability. The
interacting systems, not in first order resonance, but able to perturb each
other (upsilon And, 47UMa, and SS) have broad regions of stability. The
separated systems, 2 planets beyond 10:1 resonance, (we only examine HD83443
and HD168443) are fully stable. Furthermore we find that the best fits to the
interacting and resonant systems place them very close to unstable regions. The
boundary in phase space between stability and instability depends strongly on
the eccentricities, and (if applicable) the proximity of the system to perfect
resonance. In addition to million year integrations, we also examined stability
on ~100 million year timescales. For each system we ran ~10 long term
simulations, and find that the Keplerian fits to these systems all contain
configurations which may be regular on this timescale.Comment: 37 pages, 49 figures, 13 tables, submitted to Ap
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