Adult Oral Health Access and Advocacy

Many adults lack adequate preventative oral healthcare due to multiple factors. Oral health is important due to its effects on systemic health as well as for quality of life issues.https://scholarworks.uvm.edu/fmclerk/1387/thumbnail.jp

Systematic innovation and the underlying principles behind TRIZ and TOC

Innovative developments in the design of product and manufacturing systems are often marked by simplicity, at least in retrospect, that has previously been shrouded by restrictive mental models or limited knowledge transfer. These innovative developments are often associated with the breaking of long established trade-off compromises, as in the paradigm shift associated with JIT & TQM, or the resolution of design contradictions, as in the case of the dual cyclone vacuum cleaner. The rate of change in technology and the commercial environment suggests the opportunity for innovative developments is accelerating, but what systematic support is there to guide this innovation process. This paper brings together two parallel, but independent theories on inventive problem solving; one in mechanical engineering, namely the Russian Theory of Inventive Problem Solving (TRIZ) and the other originating in manufacturing management as the Theory of Constraints (TOC). The term systematic innovation is used to describe the use of common underlying principles within these two approaches. The paper focuses on the significance of trade-off contradictions to innovation in these two fields and explores their relationship with manufacturing strategy development

The experience of adults with multimorbidity: a qualitative study

Background: Findings from several countries indicate that the prevalence of multimorbidity is very high among clients of primary healthcare. A deeper understanding of patients’ experiences from their own perspective can greatly enrich any intervention to help them live as well as possible with multimorbidity. Objective: To describe the fundamental structure of adults’ experience with multimorbidity. Design: A phenomenological study was undertaken to describe the experiences of 11 adults with multimorbidity. These adults participated in two semi-structured interviews, the content of which was rigorously analyzed. Results: At the core of the study participants’ multimorbidity experience are the impression of aging prematurely, difficulties with self-care management, and issues with access to the healthcare system, which contribute to the problem’s complexity. Despite these issues, participants with multimorbidity report attempting to take control of their situation and adjusting to daily living. Conclusions: The description of this experience, through the systemic vision of participants, provides a better understanding of the realities experienced by people with multimorbidity.Journal of Comorbidity 2014;4(1):11–2

GANIL D.C. power converters: improvements of the response to mains fluctuations. Mains voltage harmonic filtering

International audienc

Bref aperçu d’un modèle à forme réduite de prévision de la dépense nationale brute au Canada

This paper presents a critical evaluation of a St-Louis type monetarist reduced-form model for Canada. The model centres on two equations estimated over the 1957-1977 sample period. An expenditure equation relates the growth of nominal GNE to the rate of monetary expansion and to changes in autonomous expenditure. The split between real growth and inflation is modelled through a simple Phillips curve with adaptive expectations.The dynamic properties of the model are discussed, and illustrated with simulations of alternative monetary growth paths. The analysis reveals some disturbing characteristics of this type of model. For instance, the responses of GNE to money supply changes or to price shocks are not symmetrical though both represent the same shock to real money supply. The price response to a monetary shock, while more plausible than in most large macroeconomic models, remains inadequate since increased monetary expansion results in higher real money supply accompanying higher inflation. The author nevertheless leaves the impression that reduced form models are a useful starting point for econometric research; their limitations are only an invitation to further refinements

Challenges and Opportunities for Sharing Threat Information with Radioactive Materials Operators

Operators are required to implement security measures to address requirements set by the regulatory body or competent authority. These security requirements are generally based on the national threat level and information provided by the relevant law enforcement authority, intelligence agencies and other relevant stakeholders. However, not all States can share this information with radioactive materials holders (e.g., operators), especially if they take a more prescriptive approach to regulation on security. The same situation often exists when a performance-based approach is used because there are multiple barriers that restrict the competent authority from sharing threat information. For example, competent authorities need to protect confidentiality and comply with national laws, regulations and other information security considerations. In this paper, the author presents some challenges and opportunities relevant to exchanging threat information. The objective is to reflect on current practices including good practices at the State and operator levels to facilitate cooperation between regulatory bodies and operators. The purpose is to increase awareness about the threats and techniques used by the adversaries and to assist stakeholders in maintaining vigilance without compromising the security and confidentiality of the information

Alien Registration- Duguay, Andre (Lewiston, Androscoggin County)

https://digitalmaine.com/alien_docs/29575/thumbnail.jp