Establishing links between organizational climate, employee well-being and historical patient outcomes

This research undertaken in collaboration with Queensland Health analysed the links between dimensions of workplace climate/employee well-being contained in a number of Queensland Health databases, including the Patient Satisfaction Survey, the Clinical Incident database, the compliments and complaints database, the Variable Life Adjusted Display (VLAD) Database and the Better Workplaces Staff Opinion Survey database. Queensland Health sought to identify in what ways workplace climate is related to patient outcomes using existing datasets collected within the Queensland Health Centre for Healthcare Improvement. The process of establishing links involved matching aggregated data for specific facilities (where possible), or failing that, larger facilities (e.g. Hospital), or the Health Service District. Once the datasets had been matched on location or facility, correlations were calculated between the aggregated scores. The results demonstrated links between the data sets. These links showed that a better workplace climate is associated with greater reported numbers of clinical incidents, especially “no harm” clinical incidents. There was also a link between workplace climate and patient compliments/complaints which show that unsolicited compliments received from patients and their families are clearly related to a number of positive aspects of workplace climate (workplace morale, role clarity, and appraisal and recognition) and individual morale. The results linking workplace climate and patient satisfaction showed that there is a strong positive relationship between overall patient satisfaction and role clarity, and a negative relationship between overall patient satisfaction and both workplace distress and excessive work demands. While these results relate to historical data and therefore should not be construed to reflect the current state of operation within Queensland Health, they are still indicative of some very important relationships. This is the first study to demonstrate that more positive clinical management practices, better perceptions of the workplace climate and better employee well-being are a reflection of a better incident reporting and learning culture in a health care organization, ultimately resulting in improved patient outcomes

Bridging length and time scales in sheared demixing systems: from the Cahn-Hilliard to the Doi-Ohta model

We develop a systematic coarse-graining procedure which establishes the connection between models of mixtures of immiscible fluids at different length and time scales. We start from the Cahn-Hilliard model of spinodal decomposition in a binary fluid mixture under flow from which we derive the coarse-grained description. The crucial step in this procedure is to identify the relevant coarse-grained variables and find the appropriate mapping which expresses them in terms of the more microscopic variables. In order to capture the physics of the Doi-Ohta level, we introduce the interfacial width as an additional variable at that level. In this way, we account for the stretching of the interface under flow and derive analytically the convective behavior of the relevant coarse-grained variables, which in the long wavelength limit recovers the familiar phenomenological Doi-Ohta model. In addition, we obtain the expression for the interfacial tension in terms of the Cahn-Hilliard parameters as a direct result of the developed coarse-graining procedure. Finally, by analyzing the numerical results obtained from the simulations on the Cahn-Hilliard level, we discuss that dissipative processes at the Doi-Ohta level are of the same origin as in the Cahn-Hilliard model. The way to estimate the interface relaxation times of the Doi-Ohta model from the underlying morphology dynamics simulated at the Cahn-Hilliard level is established.Comment: 29 pages, 2 figures, accepted for publication in Phys. Rev.

Analysis of permanent magnets as elasmobranch bycatch reduction devices in hook-and-line and longline trials

Previous studies indicate that elasmobranch fishes (sharks, skates and rays) detect the Earth’s geomagnetic field by indirect magnetoreception through electromagnetic induction, using their ampullae of Lorenzini. Applying this concept, we evaluated the capture of elasmobranchs in the presence of permanent magnets in hook-and-line and inshore longline fishing experiments. Hooks with neodymium-iron-boron magnets significantly reduced the capture of elasmobranchs overall in comparison with control and procedural control hooks in the hook-and-line experiment. Catches of Atlantic sharpnose shark (Rhizoprionodon terraenovae) and smooth dogfish (Mustelus canis) were signif icantly reduced with magnetic hook-and-line treatments, whereas catches of spiny dogfish (Squalus acanthias) and clearnose skate (Raja eglanteria) were not. Longline hooks with barium-ferrite magnets significantly reduced total elasmobranch capture when compared with control hooks. In the longline study, capture of blacktip sharks (Carcharhinus limbatus) and southern stingrays (Dasyatis americana) was reduced on magnetic hooks, whereas capture of sandbar shark (Carcharhinus plumbeus) was not affected. Teleosts, such as red drum (Sciaenops ocellatus), Atlantic croaker (Micropogonias undulatus), oyster toadfish (Opsanus tau), black sea bass (Centropristis striata), and the bluefish (Pomatomas saltatrix), showed no hook preference in either hook-and-line or longline studies. These results indicate that permanent magnets, although eliciting species-specific capture trends, warrant further investigation in commercial longline and recreational fisheries, where bycatch mortality is a leading contributor to declines in elasmobranch populations

Challenges in Modeling the Effects of Trade Agreements on the Agricultural Sector

Major issues and challenges encountered in modeling and analyzing agricultural and trade policy reforms are reviewed. We focus on the modeling approach and pay special attention to the type and scope of the models, the calibration of a realistic baseline scenario, the representation of the reform agreement, the use of extra-model information, the choice of metrics to measure reform impacts, and emerging issues in policy modeling. Existing solutions and unresolved issues are examined. We stress the complementarity of various modeling approaches in assessing policy reforms and the importance of helping users understand the limitations of the chosen approach. Keywords: agricultural policy, economic modeling, trade agreements. JEL classification: Q17, Q18, F13

Cryogenic Insulation System

This invention relates to reusable, low density, high temperature cryogenic foam insulation systems and the process for their manufacture. A pacing technology for liquid hydrogen fueled, high speed aircraft is the development of a fully reusable, flight weight cryogenic insulation system for propellant tank structures. In the invention cryogenic foam insulation is adhesively bonded to the outer wall of the fuel tank structure. The cryogenic insulation consists of square sheets fabricated from an array of abutting square blocks. Each block consists of a sheet of glass cloth adhesively bonded between two layers of polymethacrylimide foam. Each block is wrapped in a vapor impermeable membrane, such as Kapton(R) aluminum Kapton(R), to provide a vapor barrier. Very beneficial results can be obtained by employing the present invention in conjunction with fibrous insulation and an outer aeroshell, a hot fuselage structure with an internal thermal protection system

Financial interests of patient organisations contributing to technology appraisal at England's National Institute for Health and Care Excellence (NICE): a policy review

Objectives: To investigate the prevalence of financial interests among patient organisations contributing to health technology assessment at the National Institute for Health and Care Excellence (NICE) in England, and the extent to which current disclosure policy ensures decision-making committees are aware of these interests. Design: Policy review using annual accounts, reports and websites of patient organisations, a database of payments declared by pharmaceutical manufacturers (Disclosure UK), other manufacturer declarations, responses from patient organisations, and declarations of interests by nominated representatives of patient organisations. Setting: Appraisals of medicines and treatments for use in the English and Welsh National Health Service. Participants: 53 patient organisations contributing to 41 NICE technology appraisals published in 2015 and 2016, with 117 separate occasions that a patient organisation contributed to the appraisal of a technology. Main outcome measures: (i) Prevalence of specific interests, i.e. funding from manufacturer(s) of a technology under appraisal or competitor products; (ii) Proportion of specific interests of which NICE decision-making committees were aware; (iii) Proportion of specific interests for which disclosure was not required by current NICE policy. Results: 38/53 (71.7%) patient organisations had accepted funding from the manufacturer(s) of a technology or a competitor product in the same or previous year that they had contributed to the appraisal of that technology. Specific interests were 46 present on 92 out of 117 (78.6%) occasions that patient organisations contributed to appraisals in 2015 and 2016. NICE decision-making committees were aware of less than a third of specific interests (36/115, 31.3%). For over half of the specific interests of which committees were unaware (42/79, 53.2%), disclosure by patient organisations was not required by current NICE policy. Conclusions: Specific interests are highly prevalent among patient organisations contributing to health technology assessment. NICE is reviewing its disclosure policy to ensure that decision-making committees are aware of all relevant interests

An analytically linearized helicopter model with improved modeling accuracy

An analytically linearized model for helicopter flight response including rotor blade dynamics and dynamic inflow, that was recently developed, was studied with the objective of increasing the understanding, the ease of use, and the accuracy of the model. The mathematical model is described along with a description of the UH-60A Black Hawk helicopter and flight test used to validate the model. To aid in utilization of the model for sensitivity analysis, a new, faster, and more efficient implementation of the model was developed. It is shown that several errors in the mathematical modeling of the system caused a reduction in accuracy. These errors in rotor force resolution, trim force and moment calculation, and rotor inertia terms were corrected along with improvements to the programming style and documentation. Use of a trim input file to drive the model is examined. Trim file errors in blade twist, control input phase angle, coning and lag angles, main and tail rotor pitch, and uniform induced velocity, were corrected. Finally, through direct comparison of the original and corrected model responses to flight test data, the effect of the corrections on overall model output is shown