Where’s My Home? The Case of the Lost Digit – Place Value

This place value unit has been designed as a beginning of the year 3rd grade math unit. The purpose of the unit is to give students an understanding of numbers and how they are given a value. Students will understand that all numbers are made up of digits (0-9) and the position of the digits affect the value of the number. They will also understand that we order numbers to organize in everyday situations. Students will learn to read, write, and expand numbers. They will also learn to order numbers from least to greatest and greatest to least. They will then be asked to transfer their understanding of place value by imagining they have been hired as a librarian and completing their duties through organizing and ordering library books

Demand for hospital emergency departments: a conceptual understanding

BACKGROUND: Emergency departments (EDs) are critical to the management of acute illness and injury, and the provision of health system access. However, EDs have become increasingly congested due to increased demand, increased complexity of care and blocked access to ongoing care (access block). Congestion has clinical and organisational implications. This paper aims to describe the factors that appear to infl uence demand for ED services, and their interrelationships as the basis for further research into the role of private hospital EDs. DATA SOURCES: Multiple databases (PubMed, ProQuest, Academic Search Elite and Science Direct) and relevant journals were searched using terms related to EDs and emergency health needs. Literature pertaining to emergency department utilisation worldwide was identified, and articles selected for further examination on the basis of their relevance and significance to ED demand. RESULTS: Factors influencing ED demand can be categorized into those describing the health needs of the patients, those predisposing a patient to seeking help, and those relating to policy factors such as provision of services and insurance status. This paper describes the factors influencing ED presentations, and proposes a novel conceptual map of their interrelationship. CONCLUSION: This review has explored the factors contributing to the growing demand for ED care, the influence these factors have on ED demand, and their interrelationships depicted in the conceptual model

Evaluation of the Community Leadership Project 2.0: Midpoint Report

The Community Leadership Project (CLP) is a collaborative effort between the David and Lucile Packard Foundation, the James Irvine Foundation, and the William and Flora Hewlett Foundation to build the capacity of small, community-based organizations (community grantees) serving lowincome people and communities of color in the San Francisco Bay Area, the Central Coast, and the San Joaquin Valley regions of California. Now in its second phase, CLP 2.0 is specifically investing in increasing the sustainability of nearly 60 community-based organizations by focusing on common outcomes in three areas: resilient leadership, adaptive capacity, and financial stability. CLP 2.0 is characterized by integrated and intensive support for community grantees in the form of multi-year general operating support, selfdirected capacity building, coaching and mentoring, and a structured menu of leadership development and technical assistance options. These supports and opportunities are provided through partnerships with five regranting intermediaries and five technical assistance (TA)/leadership intermediaries

Age- and sex- specific all-cause mortality risk greatest in metabolic syndrome combinations with elevated blood pressure from 7 U.S. cohorts

Background The association between metabolic syndrome (MetS) and all-cause mortality is well established but it is unclear if there are differences in mortality risk among the 32 possible MetS combinations. Hence, the purpose of this study is to evaluate the associations between different MetS combinations and its individual components with all-cause mortality, and to examine differences in the association by age and sex. Methods A merged sample of 82,717 adults from 7 U.S. cohorts was used. Results In our sample, MetS was present in 32% of men, 34% of women, 28% of younger adults (18–65 years) and 62% of older adults (>65 years) with 14,989 deaths over 14.6 ± 7.4 years of follow-up. Risk of all-cause mortality was higher in younger individuals with a greater number of MetS factors present, but in older adults having all 5 MetS factors was the only combination significantly associated with mortality. Regardless of age or sex, elevated blood pressure was the MetS factor most consistently present in MetS combinations that were significantly and most strongly associated with mortality. In fact, elevated blood pressure in the absence of other risk factors was significantly associated with mortality in men (HR, 95% CI = 1.56, 1.33–1.84), women (HR = 1.62, 1.44–1.81) and younger adults (HR = 1.61, 1.45–1.79). Conversely, waist circumference, glucose and triglycerides in isolation were not associated with mortality (p>0.05). Conclusion In a large U.S. population, different combinations of MetS components vary substantially in their associations with all-cause mortality. Men, women and younger individuals with MetS combinations including elevated blood pressure had stronger associations with greater mortality risk, with minimal associations between MetS and mortality risk in older adults. Thus, we suggest that future algorithms may wish to consider differential weighting of these common metabolic risk factors, particularly in younger populations.York University Librarie

Improving Identification of SSI in SNF

Educational deficit in basic wound assessment can lead to failure to recognize early signs of infection or wound deterioration. Despite many challenges towards wound care, there are potential opportunities to reduce patient injury and clinical outcomes through continuing education. The purpose of this paper is to review literature on current wound care knowledge in nurses and assess existing wound care knowledge in nurses at a skilled nursing facility. A 10-question pre-test wound assessment quiz based on the Bates-Jensen Wound Assessment Tool (BWAT) selected by the Wound Care Coordinator (WCC)/Wound Care Specialist (WCS) was given to 22 nurses: 5 Registered Nurses (RN) and 17 Licensed Vocational Nurses (LVN) working at this SNF. Results showed that only 13% (3) scored higher than 75%. Additional clinical education was provided according to knowledge deficits. A post-test was then given with the same questions as the pre-test. Results showed that 77 percent (17) scored equal or higher than 97%, and 22.7 percent (5) scored 77 percent. There was an increase of 32 percent in correctly answered questions. This shows that education has a significant impact on enhancing clinical knowledge

屈折と吸収のモデル化による水中物体の３次元形状復元

京都大学新制・課程博士博士(情報学)甲第23543号情博第773号新制||情||132(附属図書館)京都大学大学院情報学研究科知能情報学専攻(主査)准教授 延原 章平, 教授 西野 恒, 教授 西田 眞也, 教授 佐藤 いまり(国立情報学研究所)学位規則第4条第1項該当Doctor of InformaticsKyoto UniversityDFA

Yielding and hardening of flexible fiber packings during triaxial compression

This paper examines the mechanical response of flexible fiber packings subject to triaxial compression. Short fibers yield in a manner similar to typical granular materials in which the deviatoric stress remains nearly constant with increasing strain after reaching a peak value. Interestingly, long fibers exhibit a hardening behavior, where the stress increases rapidly with increasing strain at large strains and the packing density continuously increases. Phase diagrams for classifying the bulk mechanical response as yielding, hardening, or a transition regime are generated as a function of the fiber aspect ratio, fiber-fiber friction coefficient, and confining pressure. Large fiber aspect ratio, large fiber-fiber friction coefficient, and large confining pressure promote hardening behavior. The hardening packings can support much larger loads than the yielding packings contributing to the stability and consolidation of the granular structure, but larger internal axial forces occur within fibers.Comment: 14 pages, 4 figure

On Numerical Methods for Solving Kinematic Wave Equation

Source: ICHE Conference Archive - https://mdi-de.baw.de/icheArchiv