1,053 research outputs found

    Maximal orders over Krull domains

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    The amalgamated duplication of a ring along a multiplicative-canonical ideal

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    After recalling briefly the main properties of the amalgamated duplication of a ring RR along an ideal II, denoted by R\JoinI, we restrict our attention to the study of the properties of R\JoinI, when II is a multiplicative canonical ideal of RR \cite{hhp}. In particular, we study when every regular fractional ideal of R⋈IR\Join I is divisorial

    An Evaluation of the Usability of a Computerized Decision Support System for Nursing Homes

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    Background: Computerized decision support systems (CDSSs) have the potential to significantly improve the quality of nursing care of older people by enhancing the decision making of nursing personnel. Despite this potential, health care organizations have been slow to incorporate CDSSs into nursing home practices. Objective: This study describes facilitators and barriers that impact the ability of nursing personnel to effectively use a clinical CDSS for planning and treating pressure ulcers (PUs) and malnutrition and for following the suggested risk assessment guidelines for the care of nursing home residents. Methods: We employed a qualitative descriptive design using varied methods, including structured group interviews, cognitive walkthrough observations and a graphical user interface (GUI) usability evaluation. Group interviews were conducted with 25 nursing personnel from four nursing homes in southern Norway. Five nursing personnel participated in cognitive walkthrough observations and the GUI usability evaluation. Text transcripts were analyzed using qualitative content analysis. Results: Group interview participants reported that ease of use, usefulness and a supportive work environment were key facilitators of CDSS use. The barriers identified were lack of training, resistance to using computers and limited integration of the CDSS with the facility’s electronic health record (EHR) system. Key findings from the usability evaluation also identified the difficulty of using the CDSS within the EHR and the poorly designed GUI integration as barriers. Conclusion: Overall, we found disconnect between two types of nursing personnel. Those who were comfortable with computer technology reported positive feedback about the CDSS, while others expressed resistance to using the CDSS for various reasons. This study revealed that organizations must invest more resources in educating nursing personnel on the seriousness of PUs and poor nutrition in the elderly, providing specialized CDSS training and ensuring that nursing personnel have time in the workday to use the CDSS

    Generic Invertibility of Multidimensional FIR Filter Banks and MIMO Systems

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    We study the invertibility of M-variate Laurent polynomial N × P matrices. Such matrices represent multidimensional systems in various settings such as filter banks, multiple-input multiple-output systems, and multirate systems. Given an N × P Laurent polynomial matrix H(z1,..., zM) of degree at most k, we want to find a P × N Laurent polynomial left inverse matrix G(z) of H(z) such that G(z)H(z) = I. We provide computable conditions to test the invertibility and propose algorithms to find a particular inverse. The main result of this paper is to prove that H(z) is generically invertible when N −P ≄ M; whereas when N −P < M, then H(z) is generically noninvertible. As a result, we propose an algorithm to find a particular inverse of a Laurent polynomial matrix that is faster than current algorithms known to us

    Low-degree multi-spectral p-mode fitting

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    We combine unresolved-Sun velocity and intensity observations at multiple wavelengths from the Helioseismic and Magnetic Imager and Atmospheric Imaging Array onboard the Solar Dynamics Observatory to investigate the possibility of multi-spectral mode-frequency estimation at low spherical harmonic degree. We test a simple multi-spectral algorithm using a common line width and frequency for each mode and a separate amplitude, background and asymmetry parameter, and compare the results with those from fits to the individual spectra. The preliminary results suggest that this approach may provide a more stable fit than using the observables separately

    Approximations for radiative cooling and heating in the solar chromosphere

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    Context. The radiative energy balance in the solar chromosphere is dominated by strong spectral lines that are formed out of LTE. It is computationally prohibitive to solve the full equations of radiative transfer and statistical equilibrium in 3D time dependent MHD simulations. Aims. To find simple recipes to compute the radiative energy balance in the dominant lines under solar chromospheric conditions. Methods. We use detailed calculations in time-dependent and 2D MHD snapshots to derive empirical formulae for the radiative cooling and heating. Results. The radiative cooling in neutral hydrogen lines and the Lyman continuum, the H and K and intrared triplet lines of singly ionized calcium and the h and k lines of singly ionized magnesium can be written as a product of an optically thin emission (dependent on temperature), an escape probability (dependent on column mass) and an ionization fraction (dependent on temperature). In the cool pockets of the chromosphere the same transitions contribute to the heating of the gas and similar formulae can be derived for these processes. We finally derive a simple recipe for the radiative heating of the chromosphere from incoming coronal radiation. We compare our recipes with the detailed results and comment on the accuracy and applicability of the recipes.Comment: accepted for publication in Astronomy & Astrophysic

    Teaching clinical reasoning and decision-making skills to nursing students: Design, development, and usability evaluation of a serious game

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    Background Serious games (SGs) are a type of simulation technology that may provide nursing students with the opportunity to practice their clinical reasoning and decision-making skills in a safe and authentic environment. Despite the growing number of SGs developed for healthcare professionals, few SGs are video based or address the domain of home health care. Aims This paper aims to describe the design, development, and usability evaluation of a video based SG for teaching clinical reasoning and decision-making skills to nursing students who care for patients with chronic obstructive pulmonary disease (COPD) in home healthcare settings. Methods A prototype SG was developed. A unified framework of usability called TURF (Task, User, Representation, and Function) and SG theory were employed to ensure a user-centered design. The educational content was based on the clinical decision-making model, Bloom’s taxonomy, and a Bachelor of Nursing curriculum. A purposeful sample of six participants evaluated the SG prototype in a usability laboratory. Cognitive walkthrough evaluations, a questionnaire, and individual interviews were used for the usability evaluation. The data were analyzed using qualitative deductive content analysis based on the TURF framework elements and related usability heuristics. Results The SG was perceived as being realistic, clinically relevant, and at an adequate level of complexity for the intended users. Usability issues regarding functionality and the user–computer interface design were identified. However, the SG was perceived as being easy to learn, and participants suggested that the SG could serve as a supplement to traditional training in laboratory and clinical settings. Conclusions Using video based scenarios with an authentic COPD patient and a home healthcare registered nurse as actors contributed to increased realism. Using different theoretical approaches in the SG design was considered an advantage of the design process. The SG was perceived as being useful, usable, and satisfying. The achievement of the desired functionality and the minimization of user–computer interface issues emphasize the importance of conducting a usability evaluation during the SG development process
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