Assessing a Quality Improvement Project in a Georgia County Health Department

The study and evaluation of quality improvement among Georgia’s public health systems continues to be a major priority for the Georgia Public Health Practice Based Research Network (GAPH-PBRN). This article focuses on the application and evaluation of a Quality Improvement project in a Georgia County Health Department. The QI team sought to reduce the waiting time in the teen clinic; thereby, increasing the Quality Improvement culture one project at a time in this Health Department. The project revealed that Quality Improvement is a continuous process that requires change and adaptation by employees. This initial Quality Improvement project was the first step in helping to establish Quality Improvement culture in the County Health Department

Evaluating Quality Improvement to Improve HIV Reporting

The incorporation and evaluation of Quality Improvement into Georgia’s public health systems continues to be a focus of the Georgia Public Health Practice Based Research Network. This report describes the process, preliminary results and lessons learned from incorporating Quality Improvement into one of Georgia’s public health districts

Thermohaline structure in the California Current System : observations and modeling of spice variance

Author Posting. © American Geophysical Union, 2012. This article is posted here by permission of American Geophysical Union for personal use, not for redistribution. The definitive version was published in Journal of Geophysical Research 117 (2012): C02008, doi:10.1029/2011JC007589.Upper ocean thermohaline structure in the California Current System is investigated using sustained observations from autonomous underwater gliders and a numerical state estimate. Both observations and the state estimate show layers distinguished by the temperature and salinity variability along isopycnals (i.e., spice variance). Mesoscale and submesoscale spice variance is largest in the remnant mixed layer, decreases to a minimum below the pycnocline near 26.3 kg m−3, and then increases again near 26.6 kg m−3. Layers of high (low) meso- and submesoscale spice variance are found on isopycnals where large-scale spice gradients are large (small), consistent with stirring of large-scale gradients to produce smaller scale thermohaline structure. Passive tracer adjoint calculations in the state estimate are used to investigate possible mechanisms for the formation of the layers of spice variance. Layers of high spice variance are found to have distinct origins and to be associated with named water masses; high spice variance water in the remnant mixed layer has northerly origin and is identified as Pacific Subarctic water, while the water in the deeper high spice variance layer has southerly origin and is identified as Equatorial Pacific water. The layer of low spice variance near 26.3 kg m−3 lies between the named water masses and does not have a clear origin. Both effective horizontal diffusivity, κh, and effective diapycnal diffusivity, κv, are elevated relative to the diffusion coefficients set in the numerical simulation, but changes in κh and κv with depth are not sufficient to explain the observed layering of thermohaline structure.We gratefully acknowledge funding from the Gordon and Betty Moore Foundation, the Coastal Ocean Currents Monitoring Project (COCMP), and NOAA. R. E. Todd was partially supported by the Postdoctoral Scholar Program at the Woods Hole Oceanographic Institution, with funding provided by the Cooperative Institute for the North Atlantic Region.2012-08-0

Injuries to older users of public transport in the UK

Барнс Джо; Лоутон Клэр; Моррис Эндрю; Маршал Рус; Саммерскилл Стив; Кендрик Дениз; Логан Пип; Драмонд Аврил; Файлдс Брайан; Конрой Саймон; Белла Джули. Травмы для пожилых пользователей общественного транспорта в ВеликобританииThe increasing age of the United Kingdom (UK) population coupled with enhanced life expectancy impacts on transport-user demographics and will affect transport planning in the years ahead. Whist passenger car use is the ultimate means of personal independence, at some point the physiological and psychological impact of agerelated conditions will inevitably shift people out of their vehicles and onto public transport systems. Overall, public transport is seen to be vital for social inclusion (Lucas et al 2008, Rowntree Foundation) and it is considered a safe means of mobility. However, it is important that the public and in particular, the elderly perceive it to be so. Injuries (across a spectrum of severities) do occur during public transport use from time to time. In fact, over 5,000 people are injured on UK buses each year alone with over 300 bus-users killed/seriously injured (Department for Transport, 2012). This study was designed to examine the nature of injuries and their causes to older bus-users with the aim being to establish where design countermeasures may be indicated. The study uses linked (accident and injury) data involving a sample of older bus-users. Most incidents in the linked dataset were non-collisions (62 per cent) resulting in 1,381 recorded injuries in those aged 60+ years, of which 46 per cent were 'slight' and 54 per cent 'serious'

Thermomechanical Fatigue Behavior of a Silicon Carbide Fiber-Reinforced Calcium Aluminosilicate Composite

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/65874/1/j.1151-2916.1993.tb04022.x.pd

Injuries to older users of buses in the UK

This is an Open Access article licensed under a Creative Commons Attribution 4.0 Unported Licence.The increasing age of the United Kingdom (UK) population coupled with enhanced life expectancy impacts on transport-user demographics and will affect transport planning in the years ahead. Whilst passenger car use is the ultimate means of personal independence, at some point the physiological and psychological impact of age-related conditions will inevitably shift people out of their vehicles and onto public transport systems. Overall, public transport is seen to be vital for social inclusion (Lucas et al 2008) and it is considered a safe means of mobility. However, it is important that the public and, in particular, the elderly perceive it to be so. Injuries (across a spectrum of severities) do occur during public transport use from time to time. In fact, over 5,000 people are injured on UK buses each year alone with over 300 bus-users killed/seriously injured (Department for Transport, 2012). This study was designed to examine the nature of injuries and their causes to older bus-users with the aim being to establish where design countermeasures may be indicated. The study uses descriptive statistics to analyse linked (accident and injury) data involving a sample of older bus-users. Most incidents in the linked dataset were non-collisions (62 per cent) resulting in 1,381 recorded injuries in those aged 60+ years, of which 46 per cent were 'slight' and 54 per cent 'serious'