Using shared goal setting to improve access and equity: a mixed methods study of the Good Goals intervention

Background: Access and equity in children’s therapy services may be improved by directing clinicians’ use of resources toward specific goals that are important to patients. A practice-change intervention (titled ‘Good Goals’) was designed to achieve this. This study investigated uptake, adoption, and possible effects of that intervention in children’s occupational therapy services. Methods: Mixed methods case studies (n = 3 services, including 46 therapists and 558 children) were conducted. The intervention was delivered over 25 weeks through face-to-face training, team workbooks, and ‘tools for change’. Data were collected before, during, and after the intervention on a range of factors using interviews, a focus group, case note analysis, routine data, document analysis, and researchers’ observations. Results: Factors related to uptake and adoptions were: mode of intervention delivery, competing demands on therapists’ time, and leadership by service manager. Service managers and therapists reported that the intervention: helped therapists establish a shared rationale for clinical decisions; increased clarity in service provision; and improved interactions with families and schools. During the study period, therapists’ behaviours changed: identifying goals, odds ratio 2.4 (95% CI 1.5 to 3.8); agreeing goals, 3.5 (2.4 to 5.1); evaluating progress, 2.0 (1.1 to 3.5). Children’s LoT decreased by two months [95% CI −8 to +4 months] across the services. Cost per therapist trained ranged from £1,003 to £1,277, depending upon service size and therapists’ salary bands. Conclusions: Good Goals is a promising quality improvement intervention that can be delivered and adopted in practice and may have benefits. Further research is required to evaluate its: (i) impact on patient outcomes, effectiveness, cost-effectiveness, and (ii) transferability to other clinical contexts

Extending electron orbital precession to the molecular case: Can orbital alignment be used to observe wavepacket dynamics?

The complexity of ultrafast molecular photoionization presents an obstacle to the modelling of pump-probe experiments. Here, a simple optimized model of atomic rubidium is combined with a molecular dynamics model to predict quantitatively the results of a pump-probe experiment in which long range rubidium dimers are first excited, then ionized after a variable delay. The method is illustrated by the outline of two proposed feasible experiments and the calculation of their outcomes. Both of these proposals use Feshbach 87Rb2 molecules. We show that long-range molecular pump-probe experiments should observe spin-orbit precession given a suitable pump-pulse, and that the associated high-frequency beat signal in the ionization probability decays after a few tens of picoseconds. If the molecule was to be excited to only a single fine structure state state, then a low-frequency oscillation in the internuclear separation would be detectable through the timedependent ionization cross section, giving a mechanism that would enable observation of coherent vibrational motion in this molecule.Comment: 9 pages, 10 figures, PRA submissio

Low-cycle fatigue evaluation for regeneratively cooled panels

Design data for regeneratively cooled panels from low cycle fatigue evaluation of Hastelloy X and Inconel 625 sheet and sandwich panel specimen

Selective removal of organics for water reclamation

Electrooxidation is a means of removing organic solutes directly from waste waters without the use of chemical expendables. The feasibility of the concept for oxidation of organic impurities common to urine, shower waters and space habitat humidity condensates was demonstrated. Electrooxidation of urine and waste water ersatz was experimentally demonstrated. The electrooxidation principle, reaction kinetics, efficiency, power, size, experimental test results and water reclamation applications are described. Process operating potentials and the use of anodic oxidation potentials that are sufficiently low to avoid oxygen formation and chloride oxidation are also described. The design of a novel electrochemical system that incorporates a proton exchange membrane (PEM) electrolyte is presented based on parametric test data and current fuel cell technology

FINDCHIRP: an algorithm for detection of gravitational waves from inspiraling compact binaries

Matched-filter searches for gravitational waves from coalescing compact binaries by the LIGO Scientific Collaboration use the FINDCHIRP algorithm: an implementation of the optimal filter with innovations to account for unknown signal parameters and to improve performance on detector data that has nonstationary and non-Gaussian artifacts. We provide details on the FINDCHIRP algorithm as used in the search for subsolar mass binaries, binary neutron stars, neutron star-black hole binaries, and binary black holes.Comment: 19 pages, 1 figure, journal version with Creative Commons 4.0 open-access license adde

Resolving Exceptional Configurations

In lattice QCD with Wilson fermions, exceptional configurations arise in the quenched approximation at small quark mass. The origin of these large previously uncontrolled lattice artifacts is identified. A simple well-defined procedure (MQA) is presented which removes the artifacts while preserving the correct continuum limit.Comment: Talk presented by E. Eichten at Lattice 97, Edinburgh(UK), July97. 6 pages, LaTeX, 1 table, 5 figure

Manual prático para formação e capacitação de grupos comunitários em métodos de monitoramento de qualidade da água - Módulo II: avaliação bacteriológica da água.

O ambiente aquático; O meio ambiente e o mundo invisível dos micróbios; Poluição e padrões de qualidade de água; Desenvolvendo um plano de monitoramento; Material de amostragem; Metodologia; Manejo de dados e desenvolvimento de ações.bitstream/CNPAT-2010/12000/1/Doc-120.pdfTraduzido e adaptado de Alabama Water Watch - Bacteriological Monitoring, 2004 - Auburn University; Tradução Ivan Vieira

The (In)Stability of Planetary Systems

We present results of numerical simulations which examine the dynamical stability of known planetary systems, a star with two or more planets. First we vary the initial conditions of each system based on observational data. We then determine regions of phase space which produce stable planetary configurations. For each system we perform 1000 ~1 million year integrations. We examine upsilon And, HD83443, GJ876, HD82943, 47UMa, HD168443, and the solar system (SS). We find that the resonant systems, 2 planets in a first order mean motion resonance, (HD82943 and GJ876) have very narrow zones of stability. The interacting systems, not in first order resonance, but able to perturb each other (upsilon And, 47UMa, and SS) have broad regions of stability. The separated systems, 2 planets beyond 10:1 resonance, (we only examine HD83443 and HD168443) are fully stable. Furthermore we find that the best fits to the interacting and resonant systems place them very close to unstable regions. The boundary in phase space between stability and instability depends strongly on the eccentricities, and (if applicable) the proximity of the system to perfect resonance. In addition to million year integrations, we also examined stability on ~100 million year timescales. For each system we ran ~10 long term simulations, and find that the Keplerian fits to these systems all contain configurations which may be regular on this timescale.Comment: 37 pages, 49 figures, 13 tables, submitted to Ap