5,875 research outputs found
Statistics of Lyapunov exponent in one-dimensional layered systems
Localization of acoustic waves in a one dimensional water duct containing
many randomly distributed air filled blocks is studied. Both the Lyapunov
exponent and its variance are computed. Their statistical properties are also
explored extensively. The results reveal that in this system the single
parameter scaling is generally inadequate no matter whether the frequency we
consider is located in a pass band or in a band gap. This contradicts the
earlier observations in an optical case. We compare the results with two
optical cases and give a possible explanation of the origin of the different
behaviors.Comment: 6 pages revtex file, 6 eps figure
Infrequent Use of Isolation Precautions in Nursing Homes: Implications for an Evolving Population
Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/136499/1/jgs14781_am.pdfhttps://deepblue.lib.umich.edu/bitstream/2027.42/136499/2/jgs14781.pd
Stability analysis of impulsive stochastic CohenāGrossberg neural networks with mixed time delays
This is the post print version of the article. The official published version can be obtained from the link - Copyright 2008 Elsevier LtdIn this paper, the problem of stability analysis for a class of impulsive stochastic CohenāGrossberg neural networks with mixed delays is considered. The mixed time delays comprise both the time-varying and infinite distributed delays. By employing a combination of the M-matrix theory and stochastic analysis technique, a sufficient condition is obtained to ensure the existence, uniqueness, and exponential p-stability of the equilibrium point for the addressed impulsive stochastic CohenāGrossberg neural network with mixed delays. The proposed method, which does not make use of the Lyapunov functional, is shown to be simple yet effective for analyzing the stability of impulsive or stochastic neural networks with variable and/or distributed delays. We then extend our main results to the case where the parameters contain interval uncertainties. Moreover, the exponential convergence rate index is estimated, which depends on the system parameters. An example is given to show the effectiveness of the obtained results.This work was supported by the Natural Science Foundation of CQ CSTC under grant 2007BB0430, the Scientific Research Fund of Chongqing Municipal Education Commission under Grant KJ070401, an International Joint Project sponsored by the Royal Society of the UK and the National Natural Science Foundation of China, and the Alexander von Humboldt Foundation of Germany
Emergency Care Handover (ECHO study) across care boundaries : the need for joint decision making and consideration of psychosocial history
Background: Inadequate handover in emergency care is a threat to patient safety. Handover across care boundaries poses particular problems due to different professional, organisational and cultural backgrounds. While there have been many suggestions for standardisation of handover content, relatively little is known about the verbal behaviours that shape handover conversations. This paper explores both what is communicated (content) and how this is communicated (verbal behaviours) during different types of handover conversations across care boundaries in emergency care.
Methods: Three types of interorganisational (ambulance service to emergency department (ED) in āresuscitationā and āmajorsā areas) and interdepartmental handover conversations (referrals to acute medicine) were audio recorded in three National Health Service EDs. Handover conversations were segmented into utterances. Frequency counts for content and language forms were derived for each type of handover using Discourse Analysis. Verbal behaviours were identified using Conversation Analysis.
Results: 203 handover conversations were analysed. Handover conversations involving ambulance services were predominantly descriptive (60%ā65% of utterances), unidirectional and focused on patient presentation (75%ā80%). Referrals entailed more collaborative talk focused on the decision to admit and immediate care needs. Across all types of handover, only 1.5%ā5% of handover conversation content related to the patient's social and psychological needs.
Conclusions: Handover may entail both descriptive talk aimed at information transfer and collaborative talk aimed at joint decision-making. Standardisation of handover needs to accommodate collaborative aspects and should incorporate communication of information relevant to the patient's social and psychological needs to establish appropriate care arrangements at the earliest opportunity
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