3,602 research outputs found

    Measurement and reporting of climate-smart agriculture: technical guidance for a countrycentric process

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    Given the extent of climate-smart agriculture (CSA) initiatives at project, national, regional and global levels, there is increasing interest in tracking progress in implementing CSA at national level. CSA is also expected to contribute to higher-level goals (e.g., the Paris Agreement, Africa Union’s Vision 25x25, and the Sustainable Development Goals [SDGs], etc.). Measurement and reporting of climate-smart agriculture (MR of CSA) provides intelligence on necessary the status, effectiveness, efficiency and impacts of interventions, which is critical for meeting stakeholders’ diverse management and reporting needs. In this paper, we build the case for a stakeholder-driven, country-centric framework for MR of CSA, which aims to increase coordination and coherence across stakeholders’ MR activities, while also aligning national reporting with reporting on international commitments. We present practical guidance on how to develop an integrated MR framework, drawing on findings from a multi-country assessment of needs, opportunities and capacities for national MR of CSA. The content of a unified MR framework is determined by stakeholders’ activities (how they promote CSA), needs (why MR is useful to them) and current capacities to conduct periodic monitoring, evaluation and reporting (how ready are institutions, staff and finances). Our analysis found that explicit demand for integration of data systems and active engagement of stakeholders throughout the entire process are key ingredients for building a MR system that is relevant, useful and acted upon. Based on these lessons, we identify a seven-step framework for stakeholders to develop a comprehensive information system for MR of progress in implementing CSA

    Discussing uncertainty and risk in primary care: recommendations of a multi-disciplinary panel regarding communication around prostate cancer screening.

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    BackgroundShared decision making improves value-concordant decision-making around prostate cancer screening (PrCS). Yet, PrCS discussions remain complex, challenging and often emotional for physicians and average-risk men.ObjectiveIn July 2011, the Centers for Disease Control and Prevention convened a multidisciplinary expert panel to identify priorities for funding agencies and development groups to promote evidence-based, value-concordant decisions between men at average risk for prostate cancer and their physicians.DesignTwo-day multidisciplinary expert panel in Atlanta, Georgia, with structured discussions and formal consensus processes.ParticipantsSixteen panelists represented diverse specialties (primary care, medical oncology, urology), disciplines (sociology, communication, medical education, clinical epidemiology) and market sectors (patient advocacy groups, Federal funding agencies, guideline-development organizations).Main measuresPanelists used guiding interactional and evaluation models to identify and rate strategies that might improve PrCS discussions and decisions for physicians, patients and health systems/society. Efficacy was defined as the likelihood of each strategy to impact outcomes. Effort was defined as the relative amount of effort to develop, implement and sustain the strategy. Each strategy was rated (1-7 scale; 7 = maximum) using group process software (ThinkTank(TM)). For each group, intervention strategies were grouped as financial/regulatory, educational, communication or attitudinal levers. For each strategy, barriers were identified.Key resultsHighly ranked strategies to improve value-concordant shared decision-making (SDM) included: changing outpatient clinic visit reimbursement to reward SDM; development of evidence-based, technology-assisted, point-of-service tools for physicians and patients; reframing confusing prostate cancer screening messages; providing pre-visit decision support interventions; utilizing electronic health records to promote benchmarking/best practices; providing additional training for physicians around value-concordant decision-making; and using re-accreditation to promote training.ConclusionsConference outcomes present an expert consensus of strategies likely to improve value-concordant prostate cancer screening decisions. In addition, the methodology used to obtain agreement provides a model of successful collaboration around this and future controversial cancer screening issues, which may be of interest to funding agencies, educators and policy makers

    Blob ejection from advection-dominated accretion flow: observational consequences

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    There is increasing evidence for the presence of an optically thin advection-dominated accretion flow (ADAF) in low luminosity active galactic nuclei and radio-loud quasars. The present paper is devoted to explore the fate of a blob ejected from an ADAF, and to discuss its observational consequences. It is inevitable for the ejected blob to drastically expand into its surroundings. Consequently, it is expected that a group of relativistic electrons should be accelerated, which may lead to nonthermal flares, since a strong shock will be formed by the interaction between the blob and its surroundings. Then the blob cools down efficiently, leading to the appearance of recombination lines about 10510^5s after its ejection from an ADAF. We apply this model to NGC 4258 for some observational prediction, and to PKS 2149--306 for the explanation of observational evidence. Future simultaneous observations of recombination X-ray lines and continuum emission are highly desired to test the present model.Comment: 4 pages in emulateapj.sty, no figure. Accepted by ApJ Letter

    A Model for Career Planning in Healthcare: Investing in a Career Development Program Will Retain Workers for Growth

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    Organizations face projected shortages in their workforces due to retirement compounded by the realized forecasted gap of skilled workers available to fill positions. The additional strain of tremendous growth in the healthcare industry adds to the workforce shortage to create vacancies that threaten survival for many hospitals. To prepare for this turbulent future, we suggest that hospitals create career development programs to retain key workers, build their existing workforce to meet future needs, and remain competitive. Healthcare organizations taking these proactive steps to promote career development will prepare their workforce for future growth, increase their ability to achieve organizational goals, and retain valued employees by focusing on their needs for continued development. We provide two models that HRD professionals can use to increase the likelihood of successful implementation of career development programs

    The development and evaluation of an alternative powder prepregging technique for use with LaRC-TPI/graphite composites

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    An alternative powder prepregging method for use with LaRC-TPI (a thermoplastic polyimide)/graphite composites is investigated. The alternative method incorporates the idea of moistening the fiber prior to powder coating. Details of the processing parameters are given and discussed. The material was subsequently laminated into small coupons which were evaluated for processing defects using electron microscopy. After the initial evaluation of the material, no major processing defects were encountered but there appeared to be an interfacial adhesion problem. As a result, prepregging efforts were extended to include an additional fiber system, XAS, and a semicrystalline form of the matrix. The semicrystalline form of the matrix was the result of a complex heat treating cycle. Using scanning electron microscopy (SEM), the fiber/matrix adhesion was evaluated in these systems relative to the amorphous/XAS coupons. Based on these results, amorphous and semicrystalline/AS-4 and XAS materials were prepregged and laminated for transverse tensile testing. The results of these tests are presented, and in an effort to obtain more information on the effect of the matrix, remaining semicrystalline transverse tensile coupons were transformed back to the amorphous state and tested. The mechanical properties of the transformed coupons returned to the values observed for the original amorphous coupons, and the interfacial adhesion, as observed by SEM, was better than in any previous sample

    The effects of solid rocket motor effluents on selected surfaces and solid particle size, distribution, and composition for simulated shuttle booster separation motors

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    A series of three tests was conducted using solid rocket propellants to determine the effects a solid rocket plume would have on thermal protective surfaces (TPS). The surfaces tested were those which are baselined for the shuttle vehicle. The propellants used were to simulate the separation solid rocket motors (SSRM) that separate the solid rocket boosters (SRB) from the shuttle launch vehicle. Data cover: (1) the optical effects of the plume environment on spacecraft related surfaces, and (2) the solid particle size, distribution, and composition at TPS sample locations

    Kinetics of the inner ring in the exciton emission pattern in GaAs coupled quantum wells

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    We report on the kinetics of the inner ring in the exciton emission pattern. The formation time of the inner ring following the onset of the laser excitation is found to be about 30 ns. The inner ring was also found to disappear within 4 ns after the laser termination. The latter process is accompanied by a jump in the photoluminescence (PL) intensity. The spatial dependence of the PL-jump indicates that the excitons outside of the region of laser excitation, including the inner ring region, are efficiently cooled to the lattice temperature even during the laser excitation. The ring formation and disappearance are explained in terms of exciton transport and cooling.Comment: 19 pages, 6 figure
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