19,315 research outputs found
A Remote Sensing Evaluation of Forest Resources in Indiana's Coastal Zone Management Area
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DEveloping a Complex Intervention for DEteriorating Patients using Theoretical Modelling (DECIDE study): study protocol
AIM: To develop a theory-based complex intervention (targeting nursing staff), to enhance enablers and overcome barriers to enacting expected behaviour when monitoring patients and responding to abnormal vital signs that signal deterioration.
DESIGN: A mixed method design including structured observations on hospital wards, field notes, brief, un-recorded interviews and semi-structured interviews to inform the development of an intervention to enhance practice.
METHODS: Semi-structured interviews will be conducted with nursing staff using a topic guide informed by the Theoretical Domains Framework. Semi-structured interviews will be transcribed verbatim and coded deductively into the 14 Theoretical Domains Framework domains and then inductively into 'belief statements'. Priority domains will be identified and mapped to appropriate behaviour change techniques. Intervention content and mode of delivery (how behaviour change techniques are operationalised) will be developed using nominal groups, during which participants (clinicians) will rank behaviour change techniques /mode of delivery combinations according to acceptability and feasibility. Findings will be synthesised to develop an intervention manual.
DISCUSSION: Despite being a priority for clinicians, researchers and policymakers for two decades, 'sub-optimal care' of the deteriorating ward patient persists. Existing interventions have been largely educational (i.e., targeting assumed knowledge deficits) with limited evidence that they change staff behaviour. Staff behaviour when monitoring and responding to abnormal vital signs is likely influenced by a range of mediators that includes barriers and enablers.
IMPACT: Systematically applying theory and evidence-based methods, will result in the specification of an intervention which is more likely to result in behaviour change and can be tested empirically in future research. This article is protected by copyright. All rights reserved
Life interrupted and life regained? Coping with stroke at a young age
Stroke is a leading cause of disability across the developed world, affecting an increasing number of younger people. In this article, we seek to understand the experience of stroke as a disabling life situation among young people and the strategies that they use to recover and cope. Directed content analysis was conducted from interviews with 17 community-dwelling stroke survivors aged 55 years and younger across the United Kingdom. The sample was drawn from a larger maximum variation sample of stroke survivors. Using the sociological concepts of biographical disruption and biographical repair as a guide, excerpts from the interviews pertaining to aspects of the patients’ life that were interrupted, in addition to how they coped with the changes, were selected and analysed. All individuals described an ‘‘altered sense of self,’’ a theme that included loss of identity, family disruption, and/or loss of valued activities. Individuals sought to adapt their sense of self by seeking external support, by restoring normality, and/or through positive reflection. Despite the adapted self that emerged, most individuals continued to experience impairments. While young stroke survivors adapt to their illness over time, they continue to experience impairments and disruptions in their personal and work lives.Aholistic model of rehabilitation that helps individuals regain the capacity for everyday activities related to work, family life, and leisure can begin to address the emotional ramifications of diseases such as stroke, restore wellness, and work towards minimizing the burden felt by family caregivers and children
Wong-Zakai approximation of solutions to reflecting stochastic differential equations on domains in Euclidean spaces II
The strong convergence of Wong-Zakai approximations of the solution to the
reflecting stochastic differential equations was studied in [2]. We continue
the study and prove the strong convergence under weaker assumptions on the
domain.Comment: To appear in "Stochastic Analysis and Applications 2014-In Honour of
Terry Lyons", Springer Proceedings in Mathematics and Statistic
Life interrupted and life regained? Coping with stroke at a young age
Stroke is a leading cause of disability across the developed world, affecting an increasing number of younger people. In this article, we seek to understand the experience of stroke as a disabling life situation among young people and the strategies that they use to recover and cope. Directed content analysis was conducted from interviews with 17 community-dwelling stroke survivors aged 55 years and younger across the United Kingdom. The sample was drawn from a larger maximum variation sample of stroke survivors. Using the sociological concepts of biographical disruption and biographical repair as a guide, excerpts from the interviews pertaining to aspects of the patients’ life that were interrupted, in addition to how they coped with the changes, were selected and analysed. All individuals described an ‘‘altered sense of self,’’ a theme that included loss of identity, family disruption, and/or loss of valued activities. Individuals sought to adapt their sense of self by seeking external support, by restoring normality, and/or through positive reflection. Despite the adapted self that emerged, most individuals continued to experience impairments. While young stroke survivors adapt to their illness over time, they continue to experience impairments and disruptions in their personal and work lives.Aholistic model of rehabilitation that helps individuals regain the capacity for everyday activities related to work, family life, and leisure can begin to address the emotional ramifications of diseases such as stroke, restore wellness, and work towards minimizing the burden felt by family caregivers and children
Standard Model Top Quark Asymmetry at the Fermilab Tevatron
Top quark pair production at proton-antiproton colliders is known to exhibit
a forward-backward asymmetry due to higher-order QCD effects. We explore how
this asymmetry might be studied at the Fermilab Tevatron, including how the
asymmetry depends on the kinematics of extra hard partons. We consider results
for top quark pair events with one and two additional hard jets. We further
note that a similar asymmetry, correlated with the presence of jets, arises in
specific models for parton showers in Monte Carlo simulations. We conclude that
the measurement of this asymmetry at the Tevatron will be challenging, but
important both for our understanding of QCD and for our efforts to model it.Comment: 26 p., 10 embedded figs., comment added, version to appear in PR
Scattering statistics of rock outcrops: Model-data comparisons and Bayesian inference using mixture distributions
The probability density function of the acoustic field amplitude scattered by
the seafloor was measured in a rocky environment off the coast of Norway using
a synthetic aperture sonar system, and is reported here in terms of the
probability of false alarm. Interpretation of the measurements focused on
finding appropriate class of statistical models (single versus two-component
mixture models), and on appropriate models within these two classes. It was
found that two-component mixture models performed better than single models.
The two mixture models that performed the best (and had a basis in the physics
of scattering) were a mixture between two K distributions, and a mixture
between a Rayleigh and generalized Pareto distribution. Bayes' theorem was used
to estimate the probability density function of the mixture model parameters.
It was found that the K-K mixture exhibits significant correlation between its
parameters. The mixture between the Rayleigh and generalized Pareto
distributions also had significant parameter correlation, but also contained
multiple modes. We conclude that the mixture between two K distributions is the
most applicable to this dataset.Comment: 15 pages, 7 figures, Accepted to the Journal of the Acoustical
Society of Americ
On small time asymptotics for rough differential equations driven by fractional Brownian motions
We survey existing results concerning the study in small times of the density
of the solution of a rough differential equation driven by fractional Brownian
motions. We also slightly improve existing results and discuss some possible
applications to mathematical finance.Comment: This is a survey paper, submitted to proceedings in the memory of
Peter Laurenc
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