Increasing Comfort of MyChart Patient Messaging in an Outpatient Oncology Clinic

Increasing Comfort of MyChart Patient Messaging in an Outpatient Oncology Clinic Katherine Herdzik, BSN, RN Abstract Electronic patient portals have provided increased access to the electronic health record and patient information. A feature within the portal is a messaging system, creating a secure method of communication between and patient/family member and their care team. Scholarly literature has suggested that this method of communication helps to increase trust between the patient and providers, enhancing the healthcare experience. This study focuses on educational review to increase comfort with the MyChart messaging portal for care managers and nurse practitioners in an outpatient pediatric oncology clinic. The objectives were for staff to report increased comfort and understanding of the workflow of MyChart messaging and navigation of the messaging portal. After collecting baseline data across the hematology and oncology division, an educational PowerPoint was distributed to the thirteen nursing care managers and fifteen nurse practitioners in the outpatient oncology clinic. Post questionnaire analysis showed a 45% increase in comfort utilizing the message application, and a 91% satisfaction rate for the educational presentation. Similarly, 91% of staff verbalized comfort finding a previous MyChart message encounter within EPIC. Data results showed that the education assisted staff in recognizing their role with the portal messaging system, and their competency in navigating the application. The project outcomes illustrated further education benefits staff understanding, focusing on other interdisciplinary members of the MyChart messaging workflow process

Crystalline

Crystalline is a fast action arena shooter with a focus on gunplay. The core objective of this project was to create a fun multiplayer First Person Shooter. To achieve this goal as a team we had to best leverage the tools and technology available to us. As First Person Shooter games typically have teams far larger than our own, we had to work hard and smart on Crystalline. Unreal Engine 4 was used in lieu of Unity or an in-house engine, saving hours of development time and allowing us to focus on gameplay and assets more. Thanks to Unreal Engine 4, we were able to produce a game that, based on playtesting, appears to meet our core objective. Due to the limited time available for the project, there are still far more designed features to be implemented. However, the core gameplay has been completed leaving opportunity for expansion and future work. This document is divided into nine chapters and an appendix. Chapter 1 will introduce readers to the core concepts of Crystalline. Market analysis and background research are covered in Chapters 2 and 3 respectively. The prototypes and general process that took Crystalline from concept to game are outlined in Chapter 4. Chapters 5 and 6 outline the core design of the final iteration of Crystalline, technical or otherwise. Chapter 7 describes overall visual designs of the game, both 2D and 3D. Playtesting data is reported and assessed in Chapter 8, and a post mortem is detailed in Chapter 9. This document concludes with an appendix containing an asset bible

Application possibilities of electric driven propulsion of multi-mode ships

Abstract The ship propulsion solution based on unconventional thrusters driven by electric motors is most o ften Initial remarks Nowadays technology allows to create new constructions and to build unconventional marine thrusters, electrical driven propulsion as well. A chance for increasing sell gives a possibility extension of their application and reason of their use necessity. The demand for electric energy of ship industrial part is large, more often than for the propulsion part. The multi-mode ships need a flexible power plant because a mean load of less than 40% of maximum load on the propulsion system. In that case the electric energy is most flexible for all ship's purposes. This is a reason of increasing applications of electrical driven propulsion. Unconventional thrusters as main propulsion are sufficient attractive alternative in connection with tendency to increasing ship manoeuvrability and its independency Multi-mode ships requirements In many aspects, the design of a propulsion system for dynamic positioning (DP) applications varies from that of a conventional propulsion system. A conservative design philosophy must be used when designing a propulsion system intended for dynamic positioning. While the design objective for a conventional propulsion system places peak efficiency on or near the systems maximum continuous rating, a propulsion system designed for DP service should be selected and sized to meet the absolute survival requirements A DP vessel most often is designed to operate in and survive extreme sea environmental conditions, although statistically these conditions occur very rarely. The DP vessel runs at media

Perspective of Obtaining Rare Earth Elements in Poland

Along with the increasing development of electric and electronic industries, the demand for rare earth elements is also growing due to their high position in many applications. In Poland, there are minerals containing REE; however, the concentration of these elements in raw materials is rather low, so they do not have a big impact on the national economy. The potential source of REE is secondary materials; among them are phosphogypsum, uranium tailings, and the waste electrical and electronic equipment (WEEE). Lanthanides as accompanying metals of uranium in Polish uranium ores were leached in the technology of uranium recovery from these resources. The recovery of REE from pregnant liquors was conducted by solvent extraction and ion exchange. Novel apparatus solutions like membrane contactors in extraction stage were tested. Different types of matrices (uranium ore, phosphorites, etc.) were used

Performance of an A1C and Fasting Capillary Blood Glucose Test for Screening Newly Diagnosed Diabetes and Pre-Diabetes Defined by an Oral Glucose Tolerance Test in Qingdao, China

OBJECTIVE - The study's goal was to evaluate the performance of A] C and lasting capillary blood glucose (FCG) tests as mass screening tools for diabetes and pre-diabetes, as determined by the standard oral glucose tolerance test (OGTT). RESEARCH DESIGN AND METHODS - Data from 2,332 individuals aged 35-74 years who participated in a population-based cross-sectional diabetes survey in Qingdao, China, were analyzed. A 2-h 75-g OGTT was used to diagnose diabetes. The performance of A1C and FCG was evaluated against the results of the OGTTs by using receiver operating characteristic curve (ROC) analysis. RESULTS - The prevalence of newly diagnosed diabetes and pre-diabetes (impaired fasting glucose and/or impaired glucose tolerance) was 11.9 and 29.5%, respectively. For subjects with newly diagnosed diabetes, the area under the ROC curve was 0.67 for A1C and 0.77 for FCG (P < 0.01) in men and 0.67 and 0.75 (P < 0.01) in women, whereas for pre-diabetes, these values were 0.47 and 0.64 (P < 0.001) in men and 0.51 and 0.65 (P < 0.001.) in women. At the optimal A1C cutoff point of >= 5.6% for newly diagnosed diabetes, sensitivities (specificities) were 64.4% (61.6%) for men and 62.3% (63.3%) for women. CONCLUSIONS - As a screening tool for newly diagnosed diabetes and pre-diabetes, the FCG measurement performed better than A I C in this general Chinese population.http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000275562700018&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=8e1609b174ce4e31116a60747a720701Endocrinology & MetabolismSCI(E)57ARTICLE3545-5503

Evaluating criteria for DP vessels

The paper presents the evaluating criteria for DP vessels. A few persons tried to give a simple tool for comparing the station keeping capability between different ships. It was started in the seventies when most vessels claiming to have a DP system would be carried away by the current only (the limit was 1.5 up to 2 knots). Mainly DNV and ABS, next IMO prepared the calculating methods for DP system evaluation during the design process to receive the DP class 1, 2 or 3. The regulations may help but it’s still only rough estimate. One of them is the most popular. It is the capability plot presenting at preliminary the polar diagram with number envelops, showing the vessel’s capability to keep position or heading with a certain combination of thrusters in operation. The number, type, total power (or thrust) and location of thrusters are vital for estimating the DP capability from the propulsion system. The other equipment is only accessories assisting the DP system. At the end the sea trial may check and confirm the DP class of the vessel. The real capability for station keeping will be verified during normal operation, essentially during emergency situations like electric network faults, propulsion system failure up to damages and fire. It is needed some indexes or parameters during the design process to avoid serious faults. The paper is a probe of becoming familiar with chosen criteria