Echo and Meaning on Early Modern English Stages

This book examines the trope of echo in early modern literature and drama, exploring the musical, sonic, and verbal effects generated by forms of repetition on stage and in print. Focusing on examples where Echo herself appears as a character, this study shows how echoic techniques permeated literary, dramatic, and musical performance in the period, and puts forward echo as a model for engaging with sounds and texts from the past. Starting with sixteenth century translations of myths of Echo from Ovid and Longus, the book moves through the uses of echo in Elizabethan progress entertainments, commercial and court drama, Jacobean court masques, and prose romance. It places the work of well-known dramatists, such as Ben Jonson and John Webster, in the context of broader cultures of performance. The book will be of interest to scholars and students of early modern drama, music, and dance

Health System Performance for the High-Need Patient: A Look at Access to Care and Patient Care Experiences

Achieving a high-performing health system will require improving outcomes and reducing costs for high-need, high-cost patients—those who use the most health care services and account for a disproportionately large share of health care spending. Goal: To compare the health care experiences of adults with high needs—those with three or more chronic diseases and a functional limitation in the ability to care for themselves or perform routine daily tasks—to all adults and to those with multiple chronic diseases but no functional limitations. Methods: Analysis of data from the 2009–2011 Medical Expenditure Panel Survey. Key findings: High-need adults were more likely to report having an unmet medical need and less likely to report having good patient–provider communication. High-need adults reported roughly similar ease of obtaining specialist referrals as other adults and greater likelihood of having a medical home. While adults with private health insurance reported the fewest unmet needs overall, privately insured highneed adults reported the greatest difficulties having their needs met. Conclusion: The health care system needs to work better for the highest-need, most-complex patients. This study's findings highlight the importance of tailoring interventions to address their need

On queue audience--calculating reach and frequency for supermarket television

Thesis (M.S.)--Massachusetts Institute of Technology, Sloan School of Management, 1991.Includes bibliographical references (p. 78-81).by Susan M.L. Anderson.M.S

Vitamin D and Allergic Disease: Sunlight at the End of the Tunnel?

A role for vitamin D in the regulation of immune function was first proposed after the identification of Vitamin D Receptors in lymphocytes. It has since been recognized that the active form of vitamin D, 1α,25(OH)2D3, has direct affects on naïve and activated helper T cells, regulatory T cells, activated B cells and dendritic cells. There is a growing body of literature linking vitamin D (serum 25(OH)D, oral intake and surrogate indicators such as latitude) to various immune-related conditions, including allergy, although the nature of this relationship is still unclear. This review explores the findings of epidemiological, clinical and laboratory research, and the potential role of vitamin D in promoting the inappropriate immune responses which underpin the rise in a broad range of immune diseases

Guidance Document for Prepermit Bioassay Testing of Low-Level Radioactive Waste

In response to the mandate of Public Law 92-532, the Marine Protection, Research, and Sanctuaries Act (MPRSA) of 1972, as amended, the Environmental Protection Agency (EPA) has developed a program to promulgate regulations and criteria to control the ocean disposal of radioactive wastes. The EPA seeks to understand the mechanisms for biological response of marine organisms to the low levels of radioactivity that may arise from the release of these wastes as a result of ocean-disposal practices. Such information will play an important role in determining the adequacy of environmental assessments provided to the EPA in support of any disposal permit application. Although the EPA requires packaging of low-level radioactive waste to prevent release during radiodecay of the materials, some release of radioactive material into the deep-sea environment may occur when a package deteriorates. Therefore, methods for evaluating the impact on biota are being evaluated. Mortality and phenotypic responses are not anticipated at the expected low environmental levels that might occur if radioactive materials were released from the low-level waste packages. Therefore, traditional bioassay systems are unsuitable for assessing sublethal effects on biota in the marine environment. The EPA Office of Radiation Programs (ORP) has had an ongoing program to examine sublethal responses to radiation at the cellular level, using cytogenetic end points. This technical guidance report represents prepermit bioassay procedures that potentially may be applicable to the assessment of effects from a mixture of radionuclides that could be released from a point source at the ocean bottom. Methodologies along with rationale and a discussion of uncertainty are presented for the sediment benthic bioassay protocols identified in this report

Interprofessional Education: Graduate Students’ Perspectives

Background: This program evaluation used qualitative methodology to describestudents’ expectations, concerns, needed supports, and experiences in a yearlongInterprofessional Education program.Methods and Findings: Focus groups were used to obtain the views of nurse practitionerand Master of social work students. Students participated in focus groups atthe program beginning and completion. Interprofessional education competencies,expectations, and concerns were examined. Results showed that at the beginning,students indicated a desire to understand the other’s professional role. They alsoexpressed concerns. During the post-program interviews, students indicated adesire to have had more classes and work together in clinical practice. Limitationsincluded a lack of participation of all students in the final focus groups.Conclusions: Student input in a program is essential. Further research is needed.Keywords: Interprofessional education (IPE); Qualitative research; Student evaluation;Graduate educatio

Verification and Validation of Computational Models for Ultrasonic Testing

The Pacific Northwest National Laboratory (PNNL) is conducting confirmatory research for the U.S. Nuclear Regulatory Commission (NRC) for the verification and validation of computational models used in ultrasonic testing (UT). This paper discusses some of the findings obtained from simple geometrical reflectors in isotropic, fine-grained, homogeneous materials with conventional ultrasonic transducers. A total of 348 ultrasonic raster scans were acquired using pulse-echo conventional probes with different diameters, beam angles, wave modalities, and frequencies. The raster scans contained reflections from machined notches (flaws) of different sizes and orientations. High frequency pencil beam models, and flaw scattering models employing the Kirchhoff and geometric theory of diffraction approximations, were then used to simulate the corresponding experimental measurements. CIVA, a semi-analytical nondestructive evaluation (NDE) simulation platform developed by the French Commissariat à l’Energie Atomique (CEA), was used to run simulations based on the approximation models. The experimental measurements were compared to their modeled counterparts using quantitative metrics obtained from the C-scans, B-scans and A-scans. To address uncertainties in the input parameters to the computational model, parametric studies and sensitivity analyses were conducted on all the relevant inputs. Sources of discrepancies between the experiment and simulated results are discussed in terms of numerical model errors and uncertainties in the experiments and model input parameters

Ethnicity and the Writing of Medieval Scottish history

Historians have long tended to define medieval Scottish society in terms of interactions between ethnic groups. This approach was developed over the course of the long nineteenth century, a formative period for the study of medieval Scotland. At that time, many scholars based their analysis upon scientific principles, long since debunked, which held that medieval 'peoples' could only be understood in terms of 'full ethnic packages'. This approach was combined with a positivist historical narrative that defined Germanic Anglo-Saxons and Normans as the harbingers of advances of Civilisation. While the prejudices of that era have largely faded away, the modern discipline still relies all too often on a dualistic ethnic framework. This is particularly evident in a structure of periodisation that draws a clear line between the 'Celtic' eleventh century and the 'Norman' twelfth. Furthermore, dualistic oppositions based on ethnicity continue, particularly in discussions of the law, kingship, lordship and religion