2,047 research outputs found

    The Struggle for Sea Power: A Naval History of the American Revolution

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    Perry Center Supplemental Heating

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    Students will design a supplemental heat system to help increase the temperature of the fluid in the Geothermal heat system.  Currently the Geothermal system does not provide adequate heating for Perry Center during the winter.  A heat exchanger has been proposed by the Physical Plant to remedy the problem

    All Payer Hospital Regulations

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    Introduction: An all-payer system is a price setting system where rates of payment for healthcare services have not been negotiated between a hospital or health system or a payer but instead by a third party organization, such as Maryland’s Health Services Cost Review Commission (HSCRC), who sets most hospital rates that all payers agree to honor. All payer hospitals focus is on legislative principles in an effort to control costs. Methods: The methodology for this study was a literature review compiled with overview of All-payer hospital systems and its utilization in a hospital setting. All articles prior to 2000 were eliminated from the search. Twenty-eight references were examined and concluded to have mitigated the inclusion parameters along with benefits and disadvantages of the system. Results: Since 1976 Maryland has successfully kept hospital costs under control using an all-payer system. Additionally, improvements in length of stay and other health measures have improved. While an all payer system works for Maryland that has a large population in urban areas, other states may not see an improvement if they are larger or more rural. Even with lower controlled rates, Maryland still ranks less favorably in per capita health spending and regional variations than other states. Discussion/Conclusion: The majority of states are not utilizing the benefits of all payer systems. Implementation can improve healthcare in the US by impeding escalating costs, distinguishing fair payment systems, and increasing the access to care. This research study did not extensively compare other nations all payer systems to Maryland or how it could be implemented in the US. The all payer system has practical implications in the US healthcare system. If programs to cut spending are implemented too quickly, national healthcare could be compromised

    The Great Space Weather Event during February 1872 Recorded in East Asia

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    The study of historical great geomagnetic storms is crucial for assessing the possible risks to the technological infrastructure of a modern society, caused by extreme space-weather events. The normal benchmark has been the great geomagnetic storm of September 1859, the so-called "Carrington Event". However, there are numerous records of another great geomagnetic storm in February 1872. This storm, about 12 years after the Carrington Event, resulted in comparable magnetic disturbances and auroral displays over large areas of the Earth. We have revisited this great geomagnetic storm in terms of the auroral and sunspot records in the historical documents from East Asia. In particular, we have surveyed the auroral records from East Asia and estimated the equatorward boundary of the auroral oval to be near 24.3 deg invariant latitude (ILAT), on the basis that the aurora was seen near the zenith at Shanghai (20 deg magnetic latitude, MLAT). These results confirm that this geomagnetic storm of February 1872 was as extreme as the Carrington Event, at least in terms of the equatorward motion of the auroral oval. Indeed, our results support the interpretation of the simultaneous auroral observations made at Bombay (10 deg MLAT). The East Asian auroral records have indicated extreme brightness, suggesting unusual precipitation of high-intensity, low-energy electrons during this geomagnetic storm. We have compared the duration of the East Asian auroral displays with magnetic observations in Bombay and found that the auroral displays occurred in the initial phase, main phase, and early recovery phase of the magnetic storm.Comment: 28 pages, 5 figures, accepted for publication in the Astrophysical Journal on 31 May 201

    Obstacles to use of patient expertise to improve care: a co-produced longitudinal study of the experiences of young people with sickle cell disease in non-specialist hospital settings

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    Involving young people in their own healthcare is a global priority, yet we know little about how this might work in practice. In this paper, co-produced between academic researchers and people with lived experiences of sickle cell and its treatment, we examine how young people with sickle cell disease attempt to use their expertise in their own condition during emergency hospital admissions and through encounters with healthcare workers who are not sickle cell specialists. Our qualitative longitudinal research in England examined young people’s experiences of hospital encounters via repeat and one-off interviews. We show that young people’s expertise is sometimes undermined, including not being taken seriously when they report pain. They face barriers to care in non-specialist wards, particularly when they are alone with nobody to advocate for them. Although healthcare services use rhetoric that encourages young people to take control of their health and act as patient experts, in practice young people’s expertise is routinely ignored. To improve health service quality, and meet the needs of young people, young people’s own expertise must be better supported in routine interactions with healthcare providers

    Obstacles to use of patient expertise to improve care: a co-produced longitudinal study of the experiences of young people with sickle cell disease in non-specialist hospital settings

    Get PDF
    Involving young people in their own healthcare is a global priority, yet we know little about how this might work in practice. In this paper, co-produced between academic researchers and people with lived experiences of sickle cell and its treatment, we examine how young people with sickle cell disease attempt to use their expertise in their own condition during emergency hospital admissions and through encounters with healthcare workers who are not sickle cell specialists. Our qualitative longitudinal research in England examined young people’s experiences of hospital encounters via repeat and one-off interviews. We show that young people’s expertise is sometimes undermined, including not being taken seriously when they report pain. They face barriers to care in non-specialist wards, particularly when they are alone with nobody to advocate for them. Although healthcare services use rhetoric that encourages young people to take control of their health and act as patient experts, in practice young people’s expertise is routinely ignored. To improve health service quality, and meet the needs of young people, young people’s own expertise must be better supported in routine interactions with healthcare providers

    The Grizzly, February 14, 1986

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    Eckman Speaks on Corporate Takeovers • Students to Lose Booze? • Alcohol Restrictions Plague Neighboring Campuses • Campus Memo: Get and Stay Involved • Proposal Raises Serious Questions • Students Speak Out On Alcohol • Profile: Dr. Fago • Editorial: Drug Use Could Fill Vacuum • Letters: UC. Should Get Out of the Business; Alpha Chi Sigma Needs Support; Sauna Controversy Heats up; Fire Alarms are not Toys!; False Alarm Jeopardized Safety • Nursing Homes Part III: MCGRC\u27s Sordid Past • Bears Face Widener in the Big Game • Racich Praises Grapplers • Lady Swimmers Top Susquehanna • Women\u27s B-ball Finale • Confident \u27Mers\u27 Win Again • Track Records Set at Delaware • Heather Camp: Swimming\u27s Leading Lady • Forum: Human Rights in Latin America • Wenhold Awarded for Service • Ursinus in California • U.S. Trade Policy • A Peek at U.C.\u27s Favorite TVhttps://digitalcommons.ursinus.edu/grizzlynews/1157/thumbnail.jp
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