1,979 research outputs found

    The Impact of Flexible Working Arrangements on Work-Life Conflict and Work Pressure in Ireland. ESRI WP192. April 2007

    Get PDF
    The impetus for this study arose from the need to upgrade the case mix measure of choice in use at the national level in Ireland. Since 1993, various versions of the DRG grouper supported by the Health Care Financing Administration (HCFA) had been in use in Ireland. With improvements in available data, together with developments in the range and quality of alternative groupers available, it was considered timely to test performance of the alternative options on discharge abstract data for Irish hospitals. The groupers selected for testing included four versions of the Australian Refined (AR) DRGs, the AP DRGs (V18.0), CMS DRGs (V20) and IR DRGs (V1.2). Results for the HCFA DRGS (V16.0) were also included for purposes of compariso

    Measuring hospital case mix: Evaluation of alternative approaches for the Irish hospital system

    Full text link
    The impetus for this study arose from the need to upgrade the case mix measure of choice in use at the national level in Ireland. Since 1993, various versions of the DRG grouper supported by the Health Care Financing Administration (HCFA) had been in use in Ireland. With improvements in available data, together with developments in the range and quality of alternative groupers available, it was considered timely to test performance of the alternative options on discharge abstract data for Irish hospitals. The groupers selected for testing included four versions of the Australian Refined (AR) DRGs, the AP DRGs (V18.0), CMS DRGs (V20) and IR DRGs (V1.2). Results for the HCFA DRGS (V16.0) were also included for purposes of comparison. The empirical analysis ranked the AR DRG Groupers highly relative to the alternatives. Additional factors favouring the AR DRG series of Groupers are the fact that they are the more widely used internationally, are updated regularly and supported by Australian government agencies. More support and training opportunities are also available for the use of these Groupers. Given these factors, together with the fact that the ICD-10-AM morbidity coding system is used in Ireland, the AR DRG classification system was recommended as the best option for use at the national level in Ireland

    Naturopathic Physician Attitudes and Practices for Vaccination and Primary Care in the State of Vermont

    Get PDF
    Introduction: Recent increase in measles cases has sparked vaccination controversy. Naturopathic physicians (NDs) have been recognized as primary care providers by VT since 2012. It is not well understood how NDs address vaccination with patients. Our goal was to determine how Vermont NDs address vaccines and preventative care with their patients.https://scholarworks.uvm.edu/comphp_gallery/1234/thumbnail.jp

    Second Set of Spaces

    Get PDF
    This document describes the Gloss infrastructure supporting implementation of location-aware services. The document is in two parts. The first part describes software architecture for the smart space. As described in D8, a local architecture provides a framework for constructing Gloss applications, termed assemblies, that run on individual physical nodes, whereas a global architecture defines an overlay network for linking individual assemblies. The second part outlines the hardware installation for local sensing. This describes the first phase of the installation in Strathclyde University

    Historical and contemporary perspectives on the sediments of Lake Rotorua

    Get PDF
    Lake Rotorua is probably the oldest continuously inundated lake in New Zealand, occupying a caldera formed by or closely associated with the eruption of the Mamaku ignimbrite and the collapse of the Rotorua caldera (Healy, 1975; Lowe and Green, 1991). The lake has undergone drastic changes in size and depth as a result of tectonics, volcanic activity and erosion. Since the Rotoehu eruption, (~60 kyr), the lake level has fluctuated between 120 m above present (280 m asl) and 10 m below present level. The modern lake covers an area of 79 km2 and has a mean depth of 10 m. Despite its long history of sedimentation, Lake Rotorua has an irregular bathymetry with features including faulted blocks, slumps, hydrothermal explosion craters, springs and large methane discharge pock marks

    MultiView-Merlin: An experiment in tool integration

    Get PDF
    The experiment described in this paper involved the integration of a process-centred software development environment (Merlin) and a multi-view integrated software development environment (MultiView). These two tools were developed separately from each other, with no expectation that they would ever be integrated into a single integrated software engineering environment. This paper first briefly presents the separate environments and then describes the technique used to integrate them. This technique centres on the development of an adaptor process to mediate between the environments. It was first necessary to identify the point at which to connect the two environments, and then to design and implement an appropriate process to pass commands between them. This work has resulted in enhancements to both of the individual tools and has created a combined environment which exploits the advantages of both of the original environments

    High eccentricity planets from the Anglo-Australian Planet Search

    Get PDF
    We report Doppler measurements of the stars HD187085 and HD20782 which indicate two high eccentricity low-mass companions to the stars. We find HD187085 has a Jupiter-mass companion with a ~1000d orbit. Our formal `best fit' solution suggests an eccentricity of 0.47, however, it does not sample the periastron passage of the companion and we find that orbital solutions with eccentricities between 0.1 and 0.8 give only slightly poorer fits (based on RMS and chi^2) and are thus plausible. Observations made during periastron passage in 2007 June should allow for the reliable determination of the orbital eccentricity for the companion to HD187085. Our dataset for HD20782 does sample periastron and so the orbit for its companion can be more reliably determined. We find the companion to HD20782 has M sin i=1.77+/-0.22M_JUP, an orbital period of 595.86+/-0.03d and an orbit with an eccentricity of 0.92+/-0.03. The detection of such high-eccentricity (and relatively low velocity amplitude) exoplanets appears to be facilitated by the long-term precision of the Anglo-Australian Planet Search. Looking at exoplanet detections as a whole, we find that those with higher eccentricity seem to have relatively higher velocity amplitudes indicating higher mass planets and/or an observational bias against the detection of high eccentricity systems.Comment: to appear in MNRA
    corecore