2,539 research outputs found

    Telemedicine strategic planning and implementation issues in the Navy Medical Department

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    Telemedicine is a system of health care delivery which combines image, video, sounds and text, enabling health care providers to consult one another and to examine patients at a distance through the use of telecommunications technology. There are currently a number of telemedicine initiatives within the Department of Defense (DoD) designed to improve the delivery of health care within the military health services system. Telemedicine demonstration projects and consultation sites have been deployed at Army, Navy, and Air Force medical treatment facilities. These initiatives have been driven by recent advances in telecommunications technology, digital imaging technology and video teleconferencing (VTC) technology, coupled with pressures to reduce health care costs and improve access to scarce medical specialist resources. This thesis provides a contextual framework for the analysis of the potential effects of telemedicine on the Navy health care delivery system. The analysis is developed through the review of current telemedicine and telecommunications technology, examination of strategic planning and implementation issues facing Navy telemedicine efforts, and an assessment of the merits and problems associated with implementing a telemedicine pilot project in a Navy medical treatment facility.http://archive.org/details/telemedicinestra1094535124NANAU.S. Navy (U.S.N.) author

    Harmonic assessment based adjusted current total harmonic distortion

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    Power systems suffer from harmonic distortion and extra ohmic losses associated with them. Moreover, all harmonic frequencies are mostly assumed to have the same effect on the system losses. However, the frequency-dependency of the resistances should be taken into account, so that the apparent power and the power factor have to considerably reflect power losses under nonsinusoidal conditions. In this paper, the difference between unweighted and weighted non-sinusoidal losses, is addressed. A new harmonic-adjusted total harmonic distortion definition is proposed for both voltage and current. Besides, a new formula that relates the proposed harmonic-adjusted total harmonic distortion and a generalised harmonic derating factor definition of the frequency dependent losses of the power transmission and distribution equipment, is derived. An optimal C-type passive filter design for harmonic mitigation and power factor correction based on the minimisation of the proposed harmonic-adjusted total harmonic distortion for a balanced nonsinusoidal system is introduced. A comparative study of the proposed filter design based on the new harmonic-adjusted definition, and a conventional filter design based on standard total harmonic distortion definition, is presented

    Gaps in Adolescent Tobacco Prevention and Counseling in Vermont

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    Introduction. Tobacco use remains the leading cause of preventable death in Vermont. While the Vermont Blueprint for Health includes compensation for adult tobacco counseling, it includes no specific mention of pediatric populations. Research questions: To what extent are tobacco assessment and cessation efforts occurring in the primary care setting with pediatric patients? What factors influence their practices?Methods. A 12-question electronic survey, modeled on an American Academy of Pediatrics survey, was distributed to primary care providers throughout Vermont; through the UVM departments of pediatrics, family medicine, the Vermont Medical Society and the Vermont Area Health Education Center. We received 70 completed surveys.Results. 70% of the surveyed primary care providers begin tobacco counseling at the age recommended (11 years) by the Vermont Department of Health. Only 45.71% of providers are confident in their understanding of the recommendations for adolescent health screening written in the Blueprint for Health. Additionally, only 67.1% of the providers expressed confidence in their ability to provide guidance regarding the harmful effects of E-cigarettes, compared to 92.8% feeling confident regarding conventional cigarettes. 70% of providers listed time restraints as a significant factor in their decision not to counsel adolescents on tobacco use.Discussion. The Blueprint for Health is a guiding document for provider practices that is not well understood and does not specifically include pediatric tobacco prevention. In an environment where youth E-cigarette use is rising, especially among adolescents, it is especially critical that physicians are confident in their counseling practices.https://scholarworks.uvm.edu/comphp_gallery/1237/thumbnail.jp

    Spotlight on Using Mentor Texts in Writing Instruction: Turning to Books for Ideas

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    Researchers have found a connection between reading and writing instruction and the benefits the instruction has on students’ reading comprehension and writing expression. The purpose of this action research study was to explore the effectiveness of the use of mentor texts on the writing of 22 students in grade 3. Curricular methodology consisted of selected trade books used as mentor texts to represent the various genres and natural language structures inherent within children’s books so that students had consistent models of good writing as they attempted to emulate various authors’ styles of writing. Data collection consisted of a teacher-made questionnaire and teacher-created pre and post writing assessments for sentence construction and paragraph writing. Additionally, rubrics evaluated the quality of student writing. The study indicated that the use of mentor texts for writing instruction, taken together with a writers’ workshop approach, was an effective means for supporting student writing in genres inclusive of opinion, informational, and narrative writing. As students acquired the tools for becoming proficient writers, they wrote with excitement, confidence, and independence. The findings confirmed the theory that the use of mentor texts increased the quality of student writing; subsequently, students made the transition from genre writing to apply the skills across the curriculum

    Effects of cognitive processing and cell phone use while driving

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    With 233 million cell phone subscribers in the United States at the end of the year 2006, and 73% of those subscribers talking on their cell phones while driving, the issue of safety on the roads has become a major one. While there has been widespread research on the causes of driver distraction, and comparisons among those causes, there has not been research conducted in order to evaluate the effects of visual imagery on driver performance. This research employed two types of programs to examine the response time to the presented stimuli, as well as missed targets among 16 subjects. For each program, subjects completed six tasks (Baseline, Mental Arithmetic, Directions, Synonyms, In Person Conversation, Cell Phone Conversation). In the stimulus-response program, subjects were asked to press certain keys on a keyboard, corresponding to the stimuli presented on the screen (The six trials in this program included simple response of space bar upon stimulus; selecting a, s, d, or f; selecting a, s, d, f, j, or k; selecting a, s, d, f, j, k, l, or ; ; selecting a, s, d, or f with a 75% more likely; selecting a, d, j, or k incompatible). In the driving video program, subjects were asked to press r or w when a red or white/silver car as soon as they perceived a car of that color to be approaching in the opposite lane. Upon analysis of the stimulus-response program, it was found that Task and Trial Type were significant, with three of the tasks (cell phone conversation, in-person conversation, and synonyms) were highly significantly different from the directions and mental arithmetic tasks. Upon analysis of the driving video program, it was found that Task was a significant factor for missed targets. In conclusion, it was found that tasks involving mental imagery were significantly different than tasks requiring simple communication
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