Usability of Urban Air Mobility: Quantitative and Qualitative Assessments of Usage in Emergency Situations

The purpose of these four studies was to determine participants’ willingness to support the use of urban air mobility (UAM) in response to natural disasters, along with the preferred locations to establish vertiports. Study 1 assessed the willingness to support using a mixed factorial design. The findings demonstrated strong, robust support for the use of UAM when responding to natural disasters. Study 2 worked to create and validate a scale that could assess vertiports\u27 current and proposed locations. The Vertiport Usability Scale was developed and shown to have strong psychometric properties to validly assess vertiport locations through a multi-stage process. Study 3 used the Vertiport Usability Scale to understand the most highly preferred locations for vertiports in three conditions from a multi-stage process: temporary disaster locations, permanent disaster locations, and permanent consumer locations. Study 4 was conducted using qualitative methods to complement the earlier quantitative approaches. Through an initial survey and follow-on interview, three themes emerged related to UAM in response to natural disasters and vertiports: 1) human involvement in UAM operations, 2) scenarios for usage, and 3) setup and deployment of vehicles

What Type of Collegiate Pilot is Likely to Experience Imposter Phenomenon?

Background: Imposter Syndrome (IS), also called Imposter Phenomenon (IP), has been studied in a variety of paradigms over the past few decades. However, IP is not a well-researched concept in the field of aviation, and no studies that we know of have examined this phenomenon with student pilots. Method: Two hundred and forty-one student pilots were interviewed from two southeastern universities with flight schools. Participants were asked a series of questions about demographics, flight training, personality measures, self-efficacy, self-handicapping, and perceived organizational support. In addition, they responded to the Clance IP scale. Results: A regression equation was created from the first dataset and tested for model fit with a second dataset. Four factors were found to be significant, including measures of self-handicapping, measures of self-efficacy, income, and the type of flight school, accounting for approximately 40% of the variance in the data. Model fit was strong, providing future researchers with a predictive model of IP for student pilots. Conclusion: These findings show that IP is prevalent in student pilots and correlates with self-handicapping. This is a concern that should be addressed in aviation programs

S17(0) Determined from the Coulomb Breakup of 83 MeV/nucleon 8B

A kinematically complete measurement was made of the Coulomb dissociation of 8B nuclei on a Pb target at 83 MeV/nucleon. The cross section was measured at low relative energies in order to infer the astrophysical S factor for the 7Be(p,gamma)8B reaction. A first-order perturbation theory analysis of the reaction dynamics including E1, E2, and M1 transitions was employed to extract the E1 strength relevant to neutrino-producing reactions in the solar interior. By fitting the measured cross section from Erel = 130 keV to 400 keV, we find S17(0) = 17.8 (+1.4, -1.2) eV b

Measurement of E2 Transitions in the Coulomb Dissociation of 8B

In an effort to understand the implications of Coulomb dissociation experiments for the determination of the 7Be(p,gamma)8B reaction rate, longitudinal momentum distributions of 7Be fragments produced in the Coulomb dissociation of 44 and 81 MeV/nucleon 8B beams on a Pb target were measured. These distributions are characterized by asymmetries interpreted as the result of interference between E1 and E2 transition amplitudes in the Coulomb breakup. At the lower beam energy, both the asymmetries and the measured cross sections are well reproduced by perturbation theory calculations, allowing a determination of the E2 strength.Comment: 8 pages, 3 figure

Enacting corporate governance of health care safety and quality: a dramaturgy of hospital boards in England

The governance of patient safety is a challenging concern for all health systems. Yet, while the role of executive Boards receives increased scrutiny, the area remains theoretically and methodologically underdeveloped. Specifically, we lack a detailed understanding of the performative aspects at play: what Board members say and do to discharge their accountabilities for patient safety. This article draws on qualitative data from overt non-participant observation of four NHS hospital Foundation Trust Boards in England. Applying a dramaturgical framework to explore scripting, setting, staging and performance, we found important differences between case study sites in the performative dimensions of processing and interpretation of infection control data. We detail the practices associated with these differences - the legitimation of current performance, the querying of data classification, and the naming and shaming of executives – to consider their implications

Effective board governance of safe care: a (theoretically underpinned) cross-sectioned examination of the breadth and depth of relationships through national quantitative surveys and in-depth qualitative case studies

Background: Recent high-profile reports into serious failings in the quality of hospital care in the NHS raise concerns over the ability of trust boards to discharge their duties effectively. Objectives: Our study aimed to generate theoretically grounded empirical evidence on the associations between board governance, patient safety processes and patient-centred outcomes. The specific aims were as follows: (1) to identify the types of governance activities undertaken by hospital trust boards in the English NHS with regard to ensuring safe care in their organisation; (2) in foundation trusts, to explore the role of boards and boards of governors with regards to the oversight of patient safety in their organisation; (3) to assess the association between particular hospital trust board oversight activities and patient safety processes and clinical outcomes; (4) to identify the facilitators and barriers to developing effective hospital trust board governance of safe care; and (5) to assess the impact of external commissioning arrangements and incentives on hospital trust board oversight of patient safety. Methods: The study comprised three distinct but interlocking strands: (1) a narrative systematic review in order to describe, interpret and synthesise key findings and debates concerning board oversight of patient safety; (2) in-depth mixed-methods case studies in four organisations to assess the impact of hospital board governance and external incentives on patient safety processes and outcomes; and (3) two national surveys exploring board management in NHS acute and specialist hospital trusts in England, and relating board characteristics to whole-organisation outcomes. Results: A very high proportion of trust boards reported the kinds of desirable characteristics and board-related processes that research says may be associated with higher performance. Our analysis of the symbolic aspects of board activities highlights the role and differences in local processes of organising the governance of patient safety. Most boards do allocate considerable amount of time to discussing patient safety and quality-related issues and were using a wide range of hard performance metrics and soft intelligence to monitor its organisation with regard to patient safety. Although the board of governors is generally perceived to be well-meaning, they were also considered to be being largely ineffective in helping to promote and deliver safer care for their organisations. We did not find any statistically significant relationship between board attributes (self-reported) and processes and any patient safety outcome measures. However, we did find a significant relationship between two dimensions of the Board Self-Assessment Questionnaire and two specific-and-related national staff survey organisational ‘process’ measures: (1) staff feeling safe to raise concerns about errors, near-misses and incidents and (2) staff feeling confident that their organisation would address their concerns, if raised. We also found that contracting and external financial incentives appeared to play only a relatively minor role in incentivising quality and safety improvement. Conclusions: Our research is the first large-scale mixed-methods study of hospital board activity and behaviour related to the oversight of patient safety in the English NHS and the key findings should be used to influence the design of future governance arrangements as well as the training and support of board. Funding: The National Institute for Health Research Health Services and Delivery Research programme

Day hospital versus admission for acute psychiatric disorders

Backgroun

Pre-replication complex proteins assemble at regions of low nucleosome occupancy within the Chinese hamster dihydrofolate reductase initiation zone

Genome-scale mapping of pre-replication complex proteins has not been reported in mammalian cells. Poor enrichment of these proteins at specific sites may be due to dispersed binding, poor epitope availability or cell cycle stage-specific binding. Here, we have mapped sites of biotin-tagged ORC and MCM protein binding in G1-synchronized populations of Chinese hamster cells harboring amplified copies of the dihydrofolate reductase (DHFR) locus, using avidin-affinity purification of biotinylated chromatin followed by high-density microarray analysis across the DHFR locus. We have identified several sites of significant enrichment for both complexes distributed throughout the previously identified initiation zone. Analysis of the frequency of initiations across stretched DNA fibers from the DHFR locus confirmed a broad zone of de-localized initiation activity surrounding the sites of ORC and MCM enrichment. Mapping positions of mononucleosomal DNA empirically and computing nucleosome-positioning information in silico revealed that ORC and MCM map to regions of low measured and predicted nucleosome occupancy. Our results demonstrate that specific sites of ORC and MCM enrichment can be detected within a mammalian intitiation zone, and suggest that initiation zones may be regions of generally low nucleosome occupancy where flexible nucleosome positioning permits flexible pre-RC assembly sites