8,406 research outputs found
Inverse airfoil design procedure using a multigrid Navier-Stokes method
The Modified Garabedian McFadden (MGM) design procedure was incorporated into an existing 2-D multigrid Navier-Stokes airfoil analysis method. The resulting design method is an iterative procedure based on a residual correction algorithm and permits the automated design of airfoil sections with prescribed surface pressure distributions. The new design method, Multigrid Modified Garabedian McFadden (MG-MGM), is demonstrated for several different transonic pressure distributions obtained from both symmetric and cambered airfoil shapes. The airfoil profiles generated with the MG-MGM code are compared to the original configurations to assess the capabilities of the inverse design method
A realistic evaluation : the case of protocol-based care
Background
'Protocol based care' was envisioned by policy makers as a mechanism for delivering on the service improvement agenda in England. Realistic evaluation is an increasingly popular approach, but few published examples exist, particularly in implementation research. To fill this gap, within this paper we describe the application of a realistic evaluation approach to the study of protocol-based care, whilst sharing findings of relevance about standardising care through the use of protocols, guidelines, and pathways.
Methods
Situated between positivism and relativism, realistic evaluation is concerned with the identification of underlying causal mechanisms, how they work, and under what conditions. Fundamentally it focuses attention on finding out what works, for whom, how, and in what circumstances.
Results
In this research, we were interested in understanding the relationships between the type and nature of particular approaches to protocol-based care (mechanisms), within different clinical settings (context), and what impacts this resulted in (outcomes). An evidence review using the principles of realist synthesis resulted in a number of propositions, i.e., context, mechanism, and outcome threads (CMOs). These propositions were then 'tested' through multiple case studies, using multiple methods including non-participant observation, interviews, and document analysis through an iterative analysis process. The initial propositions (conjectured CMOs) only partially corresponded to the findings that emerged during analysis. From the iterative analysis process of scrutinising mechanisms, context, and outcomes we were able to draw out some theoretically generalisable features about what works, for whom, how, and what circumstances in relation to the use of standardised care approaches (refined CMOs).
Conclusions
As one of the first studies to apply realistic evaluation in implementation research, it was a good fit, particularly given the growing emphasis on understanding how context influences evidence-based practice. The strengths and limitations of the approach are considered, including how to operationalise it and some of the challenges. This approach provided a useful interpretive framework with which to make sense of the multiple factors that were simultaneously at play and being observed through various data sources, and for developing explanatory theory about using standardised care approaches in practice
A case study evaluation of implementation of a care pathway to support normal birth in one English birth centre: anticipated benefits and unintended consequences
Background: The policy drive for the UK National Health Service (NHS) has focused on the need for high quality services informed by evidence of best practice. The introduction of care pathways and protocols to standardise care and support implementation of evidence into practice has taken place across the NHS with limited evaluation of their impact. A multi-site case study evaluation was undertaken to assess the impact of use of care pathways and protocols on clinicians, service users and service delivery. One of the five sites was a midwifery-led Birth Centre, where an adapted version of the All Wales Clinical Pathway for Normal Birth had been implemented.
Methods: The overarching framework was realistic evaluation. A case study design enabled the capture of data on use of the pathway in the clinical setting, use of multiple methods of data collection and opportunity to study and understand the experiences of clinicians and service users whose care was informed by the pathway. Women attending the Birth Centre were recruited at their 36 week antenatal visit. Episodes of care during labour were observed, following which the woman and the midwife who cared for her were interviewed about use of the pathway. Interviews were also held with other key stakeholders from the study site. Qualitative data were content analysed.
Results: Observations were undertaken of four women during labour. Eighteen interviews were conducted with clinicians and women, including the women whose care was observed and the midwives who cared for them, senior midwifery managers and obstetricians. The implementation of the pathway resulted in a number of anticipated benefits, including increased midwifery confidence in skills to support normal birth and promotion of team working. There were also unintended consequences, including concerns about a lack of documentation of labour care and negative impact on working relationships with obstetric and other midwifery colleagues. Women were unaware their care was informed by a care pathway.
Conclusion: Care pathways are complex interventions which generate a number of consequences for practice. Those considering introduction of pathways need to ensure all relevant stakeholders are engaged with this and develop robust evaluation strategies to accompany implementation
Decentralised Learning MACs for Collision-free Access in WLANs
By combining the features of CSMA and TDMA, fully decentralised WLAN MAC
schemes have recently been proposed that converge to collision-free schedules.
In this paper we describe a MAC with optimal long-run throughput that is almost
decentralised. We then design two \changed{schemes} that are practically
realisable, decentralised approximations of this optimal scheme and operate
with different amounts of sensing information. We achieve this by (1)
introducing learning algorithms that can substantially speed up convergence to
collision free operation; (2) developing a decentralised schedule length
adaptation scheme that provides long-run fair (uniform) access to the medium
while maintaining collision-free access for arbitrary numbers of stations
Evidence for nodal superconductivity in LaFePO
In several iron-arsenide superconductors there is strong evidence for a fully
gapped superconducting state consistent with either a conventional s-wave
symmetry or an unusual state where there the gap changes sign between
the electron and hole Fermi surface sheets. Here we report measurements of the
penetration depth in very clean samples of the related
iron-phosphide superconductor, LaFePO, at temperatures down to 100 mK.
We find that varies almost perfectly linearly with strongly
suggesting the presence of gap nodes in this compound. Taken together with
other data, this suggests the gap function may not be generic to all pnictide
superconductors
Endogenous fantasy and learning in digital games.
Many people believe that educational games are effective because they motivate children to actively engage in a learning activity as part of playing the game. However, seminal work by Malone (1981), exploring the motivational aspects of digital games, concluded that the educational effectiveness of a digital game depends on the way in which learning content is integrated into the fantasy context of the game. In particular, he claimed that content which is intrinsically related to the fantasy will produce better learning than that which is merely extrinsically related. However, this distinction between intrinsic and extrinsic (or endogenous and exogenous) fantasy is a concept that has developed a confused standing over the following years. This paper will address this confusion by providing a review and critique of the empirical and theoretical foundations of endogenous fantasy, and its relevance to creating educational digital games. Substantial concerns are raised about the empirical basis of this work and a theoretical critique of endogenous fantasy is offered, concluding that endogenous fantasy is a misnomer, in so far as the "integral and continuing relationship" of fantasy cannot be justified as a critical means of improving the effectiveness of educational digital games. An alternative perspective on the intrinsic integration of learning content is described, incorporating game mechanics, flow and representations
SPECTRAL PROCEDURES ENHANCE THE ANALYSIS OF THREE AGRICULTURAL TIME SERIES
Many agricultural and environmental variables are influenced by cyclic processes that occur naturally. Consequently their time series often have cyclic behavior. This study develops time series models for three different phenomena: (1) a 60 year-long state annual average crop yield record, (2) a four year-long daily stream flow record with values aggregated to weekly averages, and (3) a half-hour long wind speed record sampled at 10 hertz with values aggregated to 0.5 min averages. Trend tests, simple high pass filtering, and spectral analysis on original and detrended and residual data series are used to guide model development. Next, as a means to provide insight for researchers, nonlinear regression procedures are used to develop models in the time domain. The models considered may have a large scale trend, low to high frequency cycles, and, if need be, an autoregressive (AR) error structure. Selected models for all three sets included a trend component. The model for yield has a linear trend in time and includes two high frequency cycles of 2.3 and 2.5 years. The model for stream flow has a complicated trend consisting of splined polynomials in the square root of time. Cycles include an annual and approximately 8, 6, and 3 month periods. Also an AR1 error structure is added. Results suggest the wind speed can be modeled as a superposition of damped and undamped oscillations. A zero order fractional Bessel function models the trend, here a damped oscillation with a period of 10.5 min. Smaller scale regular cycles of 6.6, 3.3 and 2.2 min are added along with an AR1 error structure. The use of time series methods instead of the inverse transform on selected frequencies allows for simultaneous estimation of all components. Moreover it opens the door to the use of a much broader class of functions to model the trend, to the use of other kinds of periodic functions to model the cycles, and to the incorporation of structure in the error term. This approach may provide useful insight and a methodological approach for several ongoing and some future studies at the National Soil Tilth Laboratory
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