2,095 research outputs found

    Benefits realisation for healthcare

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    Following the emergent importance of benefits realisation applied to healthcare infrastructure and service development programs, HaCIRIC has undertaken a research initiative targeting the development of a robust and comprehensive Benefits Realisation (BeReal©) process. The resulting model is focusing on how benefits should be elicited at the initial strategic stages, and how benefits should be deployed, managed and traced along the lifecycle of a programme so their realisation contributes to successful health outcomes. Subsequently BeReal© aspires to be an appropriate method to drive and control the programme plan; providing tools and techniques for defining specific benefits. It also allows the measurement and evaluation of the extent to which those benefits are delivered. We have set ourselves the objective of identifying current best practices and demonstrate how to improve benefits realisation in healthcare infrastructure provision. The HaCIRIC team in active collaboration with leading industry partners have undertaken various case and comparator studies not only to define a business critical process but to set out an ideology which places benefits realisation at the heart of securing wholly integrated (collective) change. We believe that to deliver consistent high quality infrastructure and services within an ever changing investment model requires a different level of thinking and understanding towards benefits realisation. The challenge of answering community needs through intelligent investment in infrastructure is complex and demands a deeper and inclusive awareness and appreciation of how to deliver benefits and effectively allocate resources. The BeReal© initiative seeks to contribute methodologically and intends to help spending money intelligently, working with programme and project related stakeholders, securing that the best possible benefits are obtained for the overall healthcare communities. This report highlights selected performed initiatives and summarises BeReal© process’s major characteristics, covering far more than the follow-up of a competitive tendering process and of the development of a traditional business case. BeReal© copes with a detailed definition of changing activities, breakdown of (needs into) benefits that drive the investment, supports decision-making, proposes the development of controlling initiatives and suggests major awareness to the implementation of corrective actions. We seek to continue innovating, stimulate learning, contributing to an increase of health and care performance that properly answers to community needs and intelligently invests public and private resources

    Murine adenoviruses: tools for studying adenovirus pathogenesis in a natural host

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    Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/153088/1/feb213699.pdfhttps://deepblue.lib.umich.edu/bitstream/2027.42/153088/2/feb213699_am.pd

    Andreev bound states in superconductor/ferromagnet point contact Andreev reflection spectra

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    As charge carriers traverse a single superconductor ferromagnet interface, they experience an additional spin-dependent phase angle that results in spin mixing and the formation of a bound state called the Andreev bound state. Here we explore whether point contact Andreev reflection can be used to detect the Andreev bound state and, within the limits of our experiment, we extract the resulting spin mixing angle. By examining spectra taken from L a 1.15 S r 1.85 M n 2 O 7 − Pb junctions, together with a compilation of literature data on highly spin polarized systems, we suggest that the existence of the Andreev bound state would resolve a number of long standing controversies in the literature of Andreev reflection, as well as defining a route to quantify the strength of spin mixing at superconductor-ferromagnet interfaces. Intriguingly, we find that for high transparency junctions, the spin mixing angle appears to take a relatively narrow range of values across all the samples studied. The ferromagnets we have chosen to study share a common property in terms of their spin arrangement, and our observations may point to the importance of this property in determining the spin mixing angle under these circumstances

    Signatures of filamentary superconductivity in antiferromagnetic BaFe2As2 single crystals

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    In this paper, we present ac susceptibility and magnetotransport measurements on aged single crystals of the ferropnictide parent compound, BaFe2As2 with a paramagnetic-to-antiferromagnetic transition temperature of 134 K. The ac susceptibility shows the clear onset of a partial diamagnetic response with an onset temperature, commensurate with a subtle downturn in resistivity at approximately 20 K. Below 20 K the magnetotransport shows in-plane anisotropy, magnetic-field history dependence and a hysteretic signature. Above 20 K the crystals show the widely reported high-field linear magnetoresistance. An enhanced noise signature in ac susceptibility is observed above 20 K, which varies in character with amplitude and frequency of the ac signal. The hysteresis in magnetoresistance and the observed sensitivity of the superconducting phase to the amplitude of the ac signal are indicative characteristics of granular or weakly linked filamentary superconductivity. These features taken together with the observed noise signature above TcT_{\mathrm{c}} suggests a link between the formation of the superconducting filamentary phase and the freezing of antiphase domain walls, known to exist in these materials

    The illusion of competency versus the desirability of expertise: Seeking a common standard for support professions in sport

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    In this paper we examine and challenge the competency-based models which currently dominate accreditation and development systems in sport support disciplines, largely the sciences and coaching. Through consideration of exemplar shortcomings, the limitations of competency-based systems are presented as failing to cater for the complexity of decision making and the need for proactive experimentation essential to effective practice. To provide a better fit with the challenges of the various disciplines in their work with performers, an alternative approach is presented which focuses on the promotion, evaluation and elaboration of expertise. Such an approach resonates with important characteristics of professions, whilst also providing for the essential ‘shades of grey’ inherent in work with human participants. Key differences between the approaches are considered through exemplars of evaluation processes. The expertise-focused method, although inherently more complex, is seen as offering a less ambiguous and more positive route, both through more accurate representation of essential professional competence and through facilitation of future growth in proficiency and evolution of expertise in practice. Examples from the literature are also presented, offering further support for the practicalities of this approach

    Early identification of first-year students at risk of dropping out of high-school entry medical school: the usefulness of teachers' ratings of class participation

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    Dropping out from undergraduate medical education is costly for students, medical schools, and society in general. Therefore, the early identification of potential dropout students is important. The contribution of personal features to dropout rates has merited exploration. However, there is a paucity of research on aspects of student experience that may lead to dropping out. In this study, underpinned by theoretical models of student commitment, involvement, and engagement, we explored the hypothesis of using inferior participation as an indicator of a higher probability of dropping out in year 1. Class participation was calculated as an aggregate score based on teachers' daily observations in class. The study used a longitudinal dataset of six cohorts of high-school entry students (N = 709, 67% females) in one medical school with an annual intake of 120 students. The findings confirmed the initial hypothesis and showed that lower scores of class participation in year 1 added predictive ability to pre-entry characteristics (Pseudo-R2 raised from 0.22 to 0.28). Even though the inclusion of course failure in year 1 resulted in higher explanatory power than participation in class (Pseudo-R2 raised from 0.28 to 0.63), ratings of class participation may be advantageous to anticipate dropout identification, as those can be collected prior to course failure. The implications for practice are that teachers' ratings of class participation can play a role in indicating medical students who may eventually drop out. We conclude that the scores of class participation can contribute to flagging systems for the early detection of student dropouts.(undefined)info:eu-repo/semantics/acceptedVersio
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