Tester automatically checks insulation of individual conductors in multiple-strand cables

Insulation tester checks multiple-strand electrical cables in nuclear rocket reactors. It has both manual and automatic capabilities and can check the insulation of a cable with 200 or more conductors in a few minutes

Automated tester permits precise calibration of pressure transducers from 0 to 1050 psi

Automated portable checker allows last-minute calibration of pressure transducers before testing. It uses a pressure console and equipment that can produce test pressures of 0-1050 psi. The console can be connected to other apparatus for measurement and visual display of the electrical output

AN OPEN-SOURCE POPULATION INDIFFERENCE ZONE-BASED ALGORITHM FOR SIMULATION OPTIMIZATION

This paper proposes an open-source algorithm for simulation optimization. The intent is to permit many who use a variety of simulation software codes to be able to apply the proposed methods using an MS Excel-Visual Basic interface. First, I will begin by discussing simulation optimization and its usefulness. I will then discuss different methods that are commonly used for simulation optimization. Next, I will present the proposed Population Indifference Zone (PIZ) algorithm and related soft-ware code. I will discuss the properties of the proposed method and present the code that runs the Visual Basic program. I will then discuss the functionality of the Population Indifference Zone method with examples of problems to which it might be applied. I conclude with a description of topics for future research.No embarg

Justifying Coercion: Nurses\u27 Experiences Medicating Involuntary Psychiatric Patients

This grounded theory study delineates the process inpatient psychiatric nurses use to respond to the challenging nursing problem of medicating resistant involuntary patients. Since approximately one third of all admissions to psychiatric units in the United States are involuntary (Durham, 1996), caring for involuntary patients is a significant part of psychiatric nursing. Medication administration is a major treatment modality that is expected in caring effectively for psychiatric patients (American Psychiatric Association (APA), 1994; APA, 1997; Patel & Hardy, 2001). The process of getting the involuntary patient to accept medication is a major nursing function in a psychiatric unit that treats involuntary patients (Gutheil & Appelbaum, 2000; Susman, 1998). If the nurse is able to convince a patient to accept medication voluntarily, involuntary medication treatment can be avoided. If not, legal procedures will be initiated that may lead to the nurse administering medication without the consent of and/or over the protests of the mentally ill individual being treated. The need for psychiatric nurses to participate in forced involuntary medication constitutes a recurrent ethical problem in settings that accept involuntary patients. This study used grounded theory methodology to uncover the process of Justifying Coercion that participating California psychiatric nurses use to resolve this problem. The process consists of three stages: (a) Assessment of Need, (b) Interpersonal Negotiation, and if the negotiation reaches an impasse, (c) Justifying and Taking Coercive Action. There are two distinct “critical junctures,” Decision to Engage and Impasse, which define the transitions from one stage to the next. The process continues after each instance of forced medication with the goal of replacing coercion with voluntary acceptance of medication for subsequent doses. The nurses believe patient improvement will be the eventual outcome of the coercive action. This belief motivates their intensive efforts at negotiation and is one of the primary explanations for Justifying Coercion

Italian consensus statement (2020) on return to play after lower limb muscle injury in football (soccer)

Return to play (RTP) decisions in football are currently based on expert opinion. No consensus guideline has been published to demonstrate an evidence-based decision-making process in football (soccer). Our aim was to provide a framework for evidence-based decision-making in RTP following lower limb muscle injuries sustained in football. A 1-day consensus meeting was held in Milan, on 31 August 2018, involving 66 national and international experts from various academic backgrounds. A narrative review of the current evidence for RTP decision-making in football was provided to delegates. Assembled experts came to a consensus on the best practice for managing RTP following lower limb muscle injuries via the Delphi process. Consensus was reached on (1) the definitions of return to training' and return to play' in football. We agreed on return to training' and RTP in football, the appropriate use of clinical and imaging assessments, and laboratory and field tests for return to training following lower limb muscle injury, and identified objective criteria for RTP based on global positioning system technology. Level of evidence IV, grade of recommendation D