Does IT Spending Matter on Hospital Financial Performance and Quality?

This research explored impacts of IT spending on hospital financial performance and hospital quality. We developed two research hypotheses accordingly. The first hypothesis was that IT spending would be positively related to the hospital financial performance, and the second hypothesis was that hospitals with higher IT spending would have better quality metrics. We used the 2017 American Hospital Association Survey data and the HCAHPS dataset from Medicare website. We tested three hospital financials and three quality measures. We employed T-Tests and ANOVA models to test the hypotheses. Results were inconclusive for both hypotheses. Evidence showed statistical significance on two out of seven tests

An MDL approach to the climate segmentation problem

This paper proposes an information theory approach to estimate the number of changepoints and their locations in a climatic time series. A model is introduced that has an unknown number of changepoints and allows for series autocorrelations, periodic dynamics, and a mean shift at each changepoint time. An objective function gauging the number of changepoints and their locations, based on a minimum description length (MDL) information criterion, is derived. A genetic algorithm is then developed to optimize the objective function. The methods are applied in the analysis of a century of monthly temperatures from Tuscaloosa, Alabama.Comment: Published in at http://dx.doi.org/10.1214/09-AOAS289 the Annals of Applied Statistics (http://www.imstat.org/aoas/) by the Institute of Mathematical Statistics (http://www.imstat.org

Preliminary Photomicrographic Studies of Fuel Sprays

Photomicrographs were taken of fuel sprays injected into air at various densities for the purpose of studying the spray structure and the stages in the atomization of the fuel. The photomicrographs were taken at magnifying powers of 2.5, 3.25, and 10, using a spark discharge of very short duration for illumination. The results indicate that the theory advanced by Dr. R. A. Castleman, Jr., on the atomization of fuel in carburetors may also be applied to the atomization of fuel sprays of the solid-injection type. The fuel leaves the nozzle as a solid column, is ruffled and then torn into small, irregular ligaments by the action of the air. These ligaments are then quickly broken up into drops by the surface tension of the fuel. The photomicrographs also show that the dispersion of a fuel spray at a given distance from the nozzle increases with an increase in the jet velocity or an increase in the air density. The first portions of fuel sprays injected from an automatic injection valve into air at atmospheric density have a much greater dispersion than the later portions, but this difference decreases rapidly as the air density is increased

First-principles study of the Young's modulus of Si <001> nanowires

We report the results of first-principles density functional theory calculations of the Young's modulus and other mechanical properties of hydrogen-passivated Si nanowires. The nanowires are taken to have predominantly {100} surfaces, with small {110} facets. The Young's modulus, the equilibrium length and the residual stress of a series of prismatic wires are found to have a size dependence that scales like the surface area to volume ratio for all but the smallest wires. We analyze the physical origin of the size dependence, and compare the results to two existing models.Comment: 5 pages, 3 figure

Trauma histories among justice-involved youth: findings from the National Child Traumatic Stress Network.

BackgroundUp to 90% of justice-involved youth report exposure to some type of traumatic event. On average, 70% of youth meet criteria for a mental health disorder with approximately 30% of youth meeting criteria for post-traumatic stress disorder (PTSD). Justice-involved youth are also at risk for substance use and academic problems, and child welfare involvement. Yet, less is known about the details of their trauma histories, and associations among trauma details, mental health problems, and associated risk factors.ObjectiveThis study describes detailed trauma histories, mental health problems, and associated risk factors (i.e., academic problems, substance/alcohol use, and concurrent child welfare involvement) among adolescents with recent involvement in the juvenile justice system.MethodThe National Child Traumatic Stress Network Core Data Set (NCTSN-CDS) is used to address these aims, among which 658 adolescents report recent involvement in the juvenile justice system as indexed by being detained or under community supervision by the juvenile court.ResultsAge of onset of trauma exposure was within the first 5 years of life for 62% of youth and approximately one-third of youth report exposure to multiple or co-occurring trauma types each year into adolescence. Mental health problems are prevalent with 23.6% of youth meeting criteria for PTSD, 66.1% in the clinical range for externalizing problems, and 45.5% in the clinical range for internalizing problems. Early age of onset of trauma exposure was differentially associated with mental health problems and related risk factors among males and females.ConclusionsThe results indicate that justice-involved youth report high rates of trauma exposure and that this trauma typically begins early in life, is often in multiple contexts, and persists over time. Findings provide support for establishing trauma-informed juvenile justice systems that can respond to the needs of traumatized youth

Real Estate Income and Value Cycles: A Model of Market Dynamics

We develop a theoretical real estate cycles model linking economic fundamentals to real estate income and value. We estimate and test an econometric model specification, based on the theoretical model, using MSA level data for twenty office markets in the United States. Our major conclusion is that cities that exhibit seemingly different cyclical office market behavior may be statistically characterized by our three-parameter econometric specification. The parameters are MSA-specific amplitude, through the CAP rate, cycle duration (peak-to-peak), via the rate of partial adjustments to changing expectations about stabilized NOI and the market trend.

Development of Training Scenarios in the Flight Training Device for Flight Courses at Embry-Riddle Aeronautical University

Embry-Riddle Aeronautical University’s (ERAU) Daytona Beach Campus operates as a certificated flight school under 14 Code of Federal Regulations (CFR) Part 141. Additionally, ERAU employs the use of Frasca Level 6 Flight Training Devices (FTD) for each of their flight courses. Scenario based training cross-country lessons are included in each of the private pilot, instrument rating, commercial pilot, and multi-engine additional rating courses. Each FTD is equipped with software that allows a programmable lesson plan to be created and replayed for each student. They allow for voice recognition from the student, real radio calls and background chatter, automatic dependent surveillance – broadcast (ADS-B), and visual traffic displays. While the student is flying, they will be presented with a situation that will force them to make a decision. The software will allow the scenario to branch off and allow the student to experience the result of that decision further and will allow multiple branches and decisions to be made, if needed, for the duration of the simulation. This form of decision-based scenario training using this software was created with the goal of training the flight students to the application or correlation level of learning. This paper describes the process that a team of flight instructors and support staff completed to use this software and their experience to create more realistic scenarios and a more immersive flight training experience