To Know Their Stories: Using Playbuilding to Develop a Training/Orientation Video on Person-Centered Care

This study explores the experiences of health care staff and family members who provide support for people living with dementia and traumatic brain injury. Using a playbuilding methodology (Belliveau, 2006; Norris, 2009; Perry, Wessels & Wager, 2013) in which theatre performers devised short vignettes based on focus group interviews with health care providers, an educational video was produced. The video will be shown to the focus group interviewees in order to generate further conversation—knowledge co-creation—on the supportive and resistive practices in person-centred care (Leplege, Gzil, Cammelli, Lefeve, Pachoud & Ville, 2007; Kadri, Rapaport, Livingston, Cooper, Robertson & Higgs, 2018; Santana, Manalili, Jolley, Zelinsky, Quan & Lu, 2018), a philosophical approach that privileges the holistic needs of the individual rather than the bio-medical and administrative urgencies of the medical system. I outline the process of developing vignettes, videoing them and editing the video using a constructivist approach and an application of narrative and film theory. This work adds to the discussion of how the health care system may benefit from arts-based methods of knowledge construction

Sedimentation, pedogenesis, and paleoclimate conditions in the Paleocene San Juan Basin, New Mexico, U.S.A.

This dissertation follows the hybrid format as defined by the Office of Graduate Studies at the University of New Mexico. The three chapters herein were prepared as manuscripts to be submitted for publication to peer-reviewed journals in the field of Earth sciences. Chapter 1 will be submitted to New Mexico Geology. Chapter 2 will be submitted to Geology. Chapter 3 will be submitted to the Geological Society of America Bulletin. The main theme of these works is an exploration of paleoenvironmental conditions recorded in the Paleocene siliciclastic sediments of the San Juan Basin, northwestern New Mexico. Chapter 1 is an investigation of the lithologic and stratigraphic properties of Cretaceous and Paleogene terrestrial siliciclastic rock units in the San Juan Basin. I used petrography, stratigraphy, and geochemistry to show that marked changes occurred in sedimentation styles, sedimentary sources, and regional landscape evolution in the study area during the Laramide Orogeny and that these changes caused observable trends in San Juan Basin rocks. Chapter 2 explores the enigmatic silcretes of the Nacimiento Formation. My work shows that these silcretes represent a product of silica diagenesis that cannot be explained using currently accepted models of silcrete genesis and that significant accumulation of volcanic ash occurred in the Paleocene San Juan Basin. Chapter 3 is an exploration of the paleosols preserved in the Nacimiento Formation. This work shows that widely used methods of estimating paleoclimate conditions based upon the geochemical composition of paleosols will produce inaccurate estimates in many realistic sedimentary basin environments. The major properties of Nacimiento Formation paleosols appear to be controlled by non-climate factors. I show that the evolution of a fluvial system can explain the observed trends

Ironless, Axial Flux, Electric BLDC Motor for Aircraft Electric Propulsion

3D printing has shown much promise as a method of rapidly manufacturing lightweight ironless motors to meet the growing demand that airlines have for more cost-effective products that reduce emissions and flight prices. 3D-printed ironless, axial flux, electric BLDC motors would meet these needs with both their high efficiency and power density. A Halbach array motor was designed and 3D-printed for the analysis of its magnetic properties to gain more insight about it performance. Fusion 360 was used to design the 3D drawings of the motor parts. The rotor, stator, and stator mount were designed to accommodate the sizes of the available materials. Printing was performed at NCREPT with a Raise3D Pro2 3D printer using ABS for the material. ANSYS Maxwell was used to perform simulated analyses on the magnetic properties of the motor, such as the magnetic flux density, as well as the force and torque on a singular magnet. The torque ranged from -5 N*m to 5 N*m and the force from 100 N to approximately 190 N, both with a period of 20°

THE CONSERVATIVE TREATMENT OF THE ACROMIOCLAVICULAR JOINT INJURY WITH SPECIAL RELATION TO PHYSIOTHERAPY TREATMENT1 1Received June, 1971

Injury to the acromioclavicular joint typically occurs when the point of the shoulder is speared into the ground. The clavicle tends to be displaced in the line of the action, resulting in a swelling in the acromioclavicular joint area, on the superior surface of the shoulder. The lateral and posterior section of the superior ligament is generally either strained or torn. It is probable the coraco-clavicular ligament is also strained, but it is not obvious

Temperature sensitivity of the pyloric neuromuscular system and its modulation by dopamine

We report here the effects of temperature on the p1 neuromuscular system of the stomatogastric system of the lobster (Panulirus interruptus). Muscle force generation, in response to both the spontaneously rhythmic in vitro pyloric network neural activity and direct, controlled motor nerve stimulation, dramatically decreased as temperature increased, sufficiently that stomach movements would very unlikely be maintained at warm temperatures. However, animals fed in warm tanks showed statistically identical food digestion to those in cold tanks. Applying dopamine, a circulating hormone in crustacea, increased muscle force production at all temperatures and abolished neuromuscular system temperature dependence. Modulation may thus exist not only to increase the diversity of produced behaviors, but also to maintain individual behaviors when environmental conditions (such as temperature) vary

Colored Indicator Undergloves Increase the Detection of Glove Perforations by Surgeons During Small Animal Orthopedic Surgery:A Randomized Controlled Trial

OBJECTIVE: To determine whether use of colored indicator gloves affects perforation detection rate and to identify risk factors for glove perforation during veterinary orthopedic surgery. STUDY DESIGN: Prospective randomized controlled trial. SAMPLE POPULATION: 574 double pairs of gloves worn during 300 orthopedic surgical procedures (2,296 gloves). METHODS: Primary and assistant surgeons double‐gloved for all orthopedic surgical procedures. Type of inner glove (standard or colored indicator) was randomized for the first 360 double pairs of gloves worn by surgeons during 180 procedures. Perforations detected by surgeons were recorded and gloves changed if requested. For a further 120 procedures, indicator gloves were used exclusively. All gloves were leak‐tested after surgery to identify perforations. Association between potential risk factors and perforation was explored using multivariate logistical regression analysis. RESULTS: Glove perforations occurred during 43% of surgeries with a mean of 2.3 holes/surgery. Inner gloves were intact in 63% of glove pairs where an outer perforation occurred. Intraoperative perforation detection was improved when colored indicator gloves were worn (83% sensitivity) vs. standard gloves (34% sensitivity; P<.001). Independent risk factors for perforation were placement of plates and/or screws (P=.001; OR=2.4; 95% CI, 1.4–4.0), placement of an external skeletal fixator (P=.002; OR=7.0; 95% CI, 2.1–23.8), use of orthopedic wire (P=.011; OR=2.4; 95% CI, 1.2–4.7), and primary surgeon being board‐certified (P=.016; OR=1.9; 95% CI, 1.1–3.1). CONCLUSION: Increased surgeon recognition of glove perforations through use of colored indicator gloves enables prompt change of gloves if perforation occurs and may reduce potential contamination of the surgical site

Analysis of San Francisco Bar Pilot Dispatch Records: Preliminary Report

Maritime pilots licensed by the San Francisco Board of Pilot Commissioners perform safety-critical tasks in a demanding environment, working in all weather and at all times of day and night. Since 1850, San Francisco maritime pilots have been known as Bar Pilots because their duties include guiding ships safely across the large sand bar that lies west of the Golden Gate. Schedules and Work Hours Records for San Francisco Bay Bar Pilots were analyzed to determine the minimum and maximum work periods, the frequency of extended work hours, the frequency of night work and the rotation of work hours. A mathematical model is being applied to predict fatigue in order to identify schedules that may have a high likelihood of fatigue. This presentation provides a progress report on the research thus far

Encroachment of Sills onto State-Owned Bottom: Design Guidelines for Chesapeake Bay

Recent efforts have sought to expand the use of “Living Shorelines” by waterfront property owners in Virginia and Maryland to combat tidal shoreline erosion. Living shorelines represent a shoreline management option that combines various erosion control methodologies and/or structures while at the same time restoring or preserving natural shoreline vegetation communities. Some regulatory agencies and non-governmental organizations prefer living shorelines over “traditional” shore hardening using bulkheads or stone revetments because these structures create a “barrier” or disconnect between the upland and marine environments. Typically, creation of a living shoreline involves the placement of sand, planting marsh flora, and, if necessary, construction of a rock structure on the shoreline or in the nearshore (Figure 1). When any type of material, sand and/or rock, is placed below/beyond mean high water (MHW) two situations could occur: 1) encroachment onto regulated lands necessitates a permit and 2) one habitat is traded for another -- non-vegetated wetlands and/or nearshore bottom for marsh fringe and rocky substrate. Encroachment beyond mean low water (MLW) in Virginia (MHW in Maryland) is onto state-owned bottom. This latter point is of concern to the Virginia Marine Resources Commission (VMRC) which manages this region. Its concern is the determination of how much encroachment onto public state bottom is necessary for a shore protection project. The Virginia Chesapeake Bay Local Assistance Program (CBLA) regulates the area above MHW and the landward limit of tidal wetlands. They are concerned about how much encroachment landward is required for bank stabilization. The goal of this report is to offer some guidance toward these concerns, most particularly as it pertains to state bottom. Specifically, it is the intent of this report to look at encroachment primarily bayward of MHW/MLW for sill-type systems installed for shore protection

Sonic Booms in Atmospheric Turbulence (SonicBAT): The Influence of Turbulence on Shaped Sonic Booms

The objectives of the Sonic Booms in Atmospheric Turbulence (SonicBAT) Program were to develop and validate, via research flight experiments under a range of realistic atmospheric conditions, one numeric turbulence model research code and one classic turbulence model research code using traditional N-wave booms in the presence of atmospheric turbulence, and to apply these models to assess the effects of turbulence on the levels of shaped sonic booms predicted from low boom aircraft designs. The SonicBAT program has successfully investigated sonic boom turbulence effects through the execution of flight experiments at two NASA centers, Armstrong Flight Research Center (AFRC) and Kennedy Space Center (KSC), collecting a comprehensive set of acoustic and atmospheric turbulence data that were used to validate the numeric and classic turbulence models developed. The validated codes were incorporated into the PCBoom sonic boom prediction software and used to estimate the effect of turbulence on the levels of shaped sonic booms associated with several low boom aircraft designs. The SonicBAT program was a four year effort that consisted of turbulence model development and refinement throughout the entire period as well as extensive flight test planning that culminated with the two research flight tests being conducted in the second and third years of the program. The SonicBAT team, led by Wyle, includes partners from the Pennsylvania State University, Lockheed Martin, Gulfstream Aerospace, Boeing, Eagle Aeronautics, Technical & Business Systems, and the Laboratory of Fluid Mechanics and Acoustics (France). A number of collaborators, including the Japan Aerospace Exploration Agency, also participated by supporting the experiments with human and equipment resources at their own expense. Three NASA centers, AFRC, Langley Research Center (LaRC), and KSC were essential to the planning and conduct of the experiments. The experiments involved precision flight of either an F-18A or F-18B executing steady, level passes at supersonic airspeeds in a turbulent atmosphere to create sonic boom signatures that had been distorted by turbulence. The flights spanned a range of atmospheric turbulence conditions at NASA Armstrong and Kennedy in order to provide a variety of conditions for code validations. The SonicBAT experiments at both sites were designed to capture simultaneous F-18A or F-18B onboard flight instrumentation data, high fidelity ground based and airborne acoustic data, surface and upper air meteorological data, and additional meteorological data from ultrasonic anemometers and SODARs to determine the local atmospheric turbulence and boundary layer height