242 research outputs found

    Australian coder workforce survey 2002 - managers’ responses

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    In 1994–5, the Health Information Management Association of Australia (HIMAA) Ltd conducted a nation-wide survey of clinical coders working in Australian hospitals. The survey (National Coder Workforce Issues Project (NCWIP) funded by the then Commonwealth Department of Human Services and Health) provided baseline data about the coder workforce in terms of its size, the educational backgrounds of coders, circumstances relating to their employment and their needs in terms of continuing support and training. Importantly, the survey was conducted before casemix-based classification and funding had been implemented by all states and territories. It has now been nearly eight years since the original survey was conducted and casemix is in use in some form in all states and territories

    Gefährdungsbeurteilung bei Exposition gegenüber mehreren krebserzeugenden Arbeitsstoffen

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    We analyzed the validity of simple summation formulae with which a common effect of different occupational exposures could be mapped to the same cancer endpoint. Our paper published in this journal relied on the assumptions of a deterministic response and binary exposures. The German Federal Environmental Agency organized an external review of our paper. Although the reviewers agreed with our main conclusion that simple summation formulae cannot have a general validity, they raised questions that we would like to inform the scientific public about and are addressed in this addendum. We demonstrate that the main statements in Morfeld and Spallek 2015 remain valid even if the exposures are defined on an interval scale, the binary response is probabilistic or if the analyzed response types are restricted to adverse types. We clarify that excess risks and differences in excess risks are not probabilities according to the Kolmogorov axioms. Simple summation formulae are therefore not justified, not even to estimate the lower bounds for excess risks

    Use of remotely-derived bathymetry for modelling biomass in marine environments

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    The paper presents results on the influence of geometric attributes of satellite-derived raster bathymetric data, namely the General Bathymetric Charts of the Oceans, on spatial statistical modelling of marine biomass. In the initial experiment, both the resolution and projection of the raster dataset are taken into account. It was found that, independently of the equal-area projection chosen for the analysis, the calculated areas are very similar, and the differences between them are insignificant. Likewise, any variation in the raster resolution did not change the computed area. Although the differences were shown to be insignificant, for the subsequent analysis we selected the cylindrical equal area projection, as it implies rectangular spatial extent, along with the automatically derived resolution. Then, in the second experiment, we focused on demersal fish biomass data acquired from trawl samples taken from the western parts of ICES Sub-area VII, near the sea floor. The aforementioned investigation into processing bathymetric data allowed us to build various statistical models that account for a relationship between biomass, sea floor topography and geographic location. We fitted a set of generalised additive models and generalised additive mixed models to combinations of trawl data of the roundnose grenadier (Coryphaenoides rupestris) and bathymetry. Using standard statistical techniques—such as analysis of variance, Akaike information criterion, root mean squared error, mean absolute error and cross-validation—we compared the performance of the models and found that depth and latitude may serve as statistically significant explanatory variables for biomass of roundnose grenadier in the study area. However, the results should be interpreted with caution as sampling locations may have an impact on the biomass–depth relationship

    Putative fishery-induced changes in biomass and population size structures of demersal deep-sea fishes in ICES Sub-area VII, Northeast Atlantic Ocean

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    This work was supported by a series of NERC grants to the principal investigators including NE/C512961/1. The results of the early joint SAMS and IOS surveys were digitized with support from EU MAST Contract MAS2-CT920033 1993–1995, and data analyses was supported by EU FP7 Projects HERMES and HERMIONE. We thank Alain Zuur from Highland Statistics Ltd. for advice with the statistical analyses and Odd Aksel Bergstad for valuable comments that helped to improve the manuscript. We thank the ships’ companies of the RRS Challenger and RRS Discovery.Peer reviewedPublisher PD

    Modular Palladium Bipyrazoles for the Isomerization of Allylbenzenes - Mechanistic Considerations and Insights into Catalyst Design and Activity, Role of Solvent, and Additive Effects

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    The catalytic activity of novel bidentate N,N-chelated palladium complexes derived from electron excessive, backbone fused 3,3′-bipyrazoles in the selective isomerization of terminal arylpropenoids and 1-alkenes is described. The catalysts are easily modified by appropriate wing tip substitution, while maintaining the same bulky, rigid unreactive aliphatic backbone. Eleven novel palladium complexes with different electronic and steric properties were investigated. Their performance in the palladium(II)-catalyzed isomerization of a series of substituted allylbenzenes was evaluated in terms of electronic as well as steric effects. Besides the clear finding of a general trend towards higher catalyst activity with more electron-donating properties of the coordinated N,N-bidentate ligands, we found that the catalytic process strongly depends on the choice of solvents and additives. Extensive solvent screening revealed that reactions run best in a 2:1 toluene-methanol mixture, with the alcohol employed being a crucial factor in terms of electronic and steric factors. A reaction mechanism involving a hydride addition–elimination mechanism starting with a palladium hydride species generated in situ in alcoholic solutions, as corroborated by experiments using deuterium labeled allylbenzene, seems to be most likely. The proposed mechanism is also supported by the observed reaction rate orders of κobs[cat.]≈1 (0.94), κobs [substrate]=0.20→1.0 (t→∞) and κobs [methanol]=−0.51 for the isomerization of allylbenzene. Furthermore, the influence of acid and base, as well as the role of the halide coordinated to the catalyst, are discussed. The system catalyzes the isomerization of allylbenzenes very efficiently yielding high E:Z selectivities under very mild conditions (room temperature) and at low catalyst loadings of 1 mol% palladium even in unpurified solvents. The integrity and stability of the catalyst system were confirmed by multiple addition reaction cycles, successive filtration and isolation experiments, and the lack of palladium black formation

    Magnetocaloric properties of (RE)3_3Ga5_5O12_{12} (RE=Tb,Gd,Nd,Dy)

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    We report the characteristic magnetic properties of several members of the rare earth garnet family, Gd3_3Ga5_5O12_{12} (GGG), Dy3_3Ga5_5O12_{12} (DGG), Tb3_3Ga5_5O12_{12} (TGG), and Nd3_3Ga5_5O12_{12} (NGG), and compare their relative potential utility for magnetocaloric cooling, including their minimal adiabatic demagnetisation refrigeration (ADR) temperatures and relative cooling parameters. A main objective of this work was to find potential improvements over the magnetocaloric properties of GGG for use in low temperature ADR cryostats. Using Tb+3^{+3} and Dy+3^{+3} in the RE-site offers in principle higher saturation magnetisation and Nd+3^{+3} gives a lower de Gennes factor and therefore potentially low transition temperature. Our results show that Dy3_3Ga5_5O12_{12} yields an optimal relative cooling parameter (RCPRCP) at low applied fields and a low transition temperature, which would allow for the design of more efficient ADR cryostats.Comment: 10 pages, 10 figures, submitted to Physical Review Applie

    Are dentists interested in the oral-systemic disease connection? A qualitative study of an online community of 450 practitioners

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    Background: Dentists in the US see an increasing number of patients with systemic conditions. These patients are challenging to care for when the relationship between oral and systemic disease is not well understood. The prevalence of professional isolation exacerbates the problem due to the difficulty in finding expert advice or peer support. This study aims to identify whether dentists discuss the oral-systemic connection and what aspects they discuss; to understand their perceptions of and attitudes toward the connection; and to determine what information they need to treat patients with systemic conditions.Methods: We retrieved 14,576 messages posted to the Internet Dental Forum from April 2008 to May 2009. Using natural language processing and human classification, we identified substantive phrases and keywords and used them to retrieve 141messages on the oral-systemic connection. We then conducted coding and thematic analysis to identify recurring themes on the topic.Results: Dentists discuss a variety of topics on oral diseases and systemic health, with the association between periodontal and systemic diseases, the effect of dental materials or procedures on general health, and the impact of oral-systemic connection on practice behaviors as the leading topics. They also disseminate and share research findings on oral and systemic health with colleagues online. However, dentists are very cautious about the nature of the oral-systemic linkage that may not be causal. Nonetheless, they embrace the positive association as a motivating point for patients in practice. When treating patients with systemic conditions, dentists enquire about the cause of less common dental diseases potentially in relation to medical conditions in one-third of the cases and in half of the cases seek clinical guidelines and evidence-based interventions on treating dental diseases with established association with systemic conditions.Conclusions: Dentists' unmet information needs call for more research into the association between less studied dental conditions and systemic diseases, and more actionable clinical guidelines for well-researched disease connections. To improve dissemination and foster behavioral change, it is imperative to understand what information clinicians need and in which situations. Leveraging peer influence via social media could be a useful strategy to achieve the goal. © 2013 Song et al.; licensee BioMed Central Ltd

    Are Estimates of Wind Characteristics Based on Measurements with Pitot Tubes and GNSS Receivers Mounted on Consumer-grade Unmanned Aerial Vehicles Applicable in Meteorological Studies?

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    The objective of this paper is to empirically show that estimates of wind speed and wind direction based on measurements carried out using the Pitot tubes and GNSS receivers, mounted on consumer-grade unmanned aerial vehicles (UAVs), may accurately approximate true wind parameters. The motivation for the study is that a growing number of commercial and scientific UAV operations may soon become a new source of data on wind speed and wind direction, with unprecedented spatial and temporal resolution. The feasibility study was carried out within an isolated mountain meadow of Polana Izerska located in the Izera Mountains (SW Poland) during an experiment which aimed to compare wind characteristics measured by several instruments: three UAVs (swinglet CAM, eBee, Maja) equipped with the Pitot tubes and GNSS receivers, wind speed and direction meters mounted at 2.5 m and 10 m (mast), conventional weather station and vertical sodar. The three UAVs performed seven missions along spiral-like trajectories, most reaching 130 m above take-off location. The estimates of wind speed and wind direction were found to agree between UAVs. The time series of wind speed measured at 10 m were extrapolated to flight altitudes recorded at a given time so that a comparison was made feasible. It was found that the wind speed estimates provided by the UAVs on a basis of the Pitot tube/GNSS data are in agreement with measurements carried out using dedicated meteorological instruments. The discrepancies were recorded in the first and last phases of UAV flights
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