Implementation Of Reference Research Articles

Design of a Mixed-Reality Application to Reduce Pediatric Medication Errors in Prehospital Emergency Care

Children in prehospital emergency care are particularly vulnerable to medication errors, often with serious consequences. A prior study analyzing prehospital pediatric medication dosing errors, conducted after the implementation of a statewide pediatric drug-dosing reference for emergency medical services (EMS), identified an alarmingly high error rate. This significant finding led to the current study, which aims to develop technological interventions to reduce the frequency of medication errors for children during treatment by EMS. The current study focuses on the design and development of a safety strategy to automate medication administration using mixed-reality technology. Simulations were conducted to inform the design process, focusing on three scenarios: cardiac arrest, seizure, and burns. The design team included medical and engineering researchers, paramedics, and emergency medical technicians from multiple emergency medical service agencies. Root cause analysis (RCA) and failure mode and effects analysis (FMEA) were conducted after the simulations were completed. The RCA and FMEA were used to identify and prioritize failure points, which were then addressed in a mixed-reality solution using Microsoft HoloLens 2 to automate and enhance pediatric medication administration in prehospital emergency care. The resulting application will provide real-time assistance to guide paramedics through the complicated medication dosing and administration process using a detailed step-by-step guide, aiming to decrease medication errors and improve medication dosing accuracy.

HR analytics between ambition and reality

AbstractThis exploratory study in the Journal “Group. Interaction. Organization” investigated the degree of implementation and the benefits of HR Analytics in Switzerland. As part of the study, 133 companies were surveyed. In addition, 12 interviews were conducted to obtain more in-depth insights into the core results. The results show that the majority of companies are still primarily doing backward-looking descriptive data analytics. Furthermore, there is a gap between expectations and actual achievements associated with HR Analytics. The interviews make it clear that data quality and the necessary competences are key challenges in terms of implementation. In order to achieve greater benefits with HR Analytics, the insights gained should lead to the implementation of measures and clearer reference to business-relevant parameters. Therefore, fully realizing the high potential of HR Analytics will require additional effort. In the discussion section, we consider the current literature and, based on our results, derive practical implications for a better establishment of HR Analytics. We also discuss the potential of Work and Organizational Psychology to shape the rapidly growing field of HR Analytics.

SEMANTICS AND REFERENCE OF MODEL COMPONENTS N1 de N2

The phrases of the N1 de N2 model represent a polysemantic, internally fractional model with a number of meanings that are in oppositional or hyponymic relations to each other. The author attempts to analyze the phrases of the analyzed model on the basis of a set of criteria: the implementation of reference by the components of the model, semantic cohesion and consistency of N1 and N2, as well as their implementation of primary/ secondary meaning in order to identify and differentiate the ways of rethinking the components of N1 and N2 and their role in creating the semantic center of the model.

An Analysis of Prehospital Pediatric Medication Dosing Errors after Implementation of a State-Wide EMS Pediatric Drug Dosing Reference

Background Medication dosing errors are common in prehospital pediatric patients. Prior work has shown the overall medication error rate by emergency medical services (EMS) in Michigan was 34.7%. To reduce these errors, the state of Michigan implemented a pediatric dosing reference in 2014 listing medication doses and volume to be administered. Objective To examine changes in pediatric dosing errors by EMS in Michigan after implementation of the pediatric dosing reference. Methods We conducted a retrospective review of the Michigan Emergency Medical Services Information System of children ≤ 12 years of age from June 2016–May 2017 treated by 16 EMS agencies. Agencies were a mix of public, private, third-service, and fire-based. A dosing error was defined as >20% deviation from the weight-appropriate dose listed on the pediatric dosing reference. Descriptive statistics with confidence intervals and standard deviations are reported. Results During the study period, there were 9,247 pediatric encounters, of whom 727 (7.9%) received medications and are included in the study. There were 1078 medication administrations, with 380 dosing errors (35.2% [95% CI 25.3–48.4]). The highest error rates were for dextrose 50% (3/4 or 75% [95% CI 32.57–100.0]) and glucagon (3/4 or 75% [95% CI 32.57–100.0]). The next highest proportions of incorrect doses were opioids: intranasal fentanyl (11/16 or 68.8% [95% CI 46.04–91.46]) and intravenous fentanyl (89/130 or 68.5% [95% CI 60.47–76.45]). Morphine had a much lower error rate (24/51 or 47.1% [95% CI 33.36–60.76]). Midazolam had the third highest error rate, for intravenous (27/50 or 54.0% [95% CI (40.19–67.81]) and intramuscular (25/68 or 36.8% [95% CI 40.19–67.81]) routes. Epinephrine 1 mg/10 ml had an incorrect dosage rate of 35/119 (29.4% [95% CI 20.64–36.99]). Asthma medications had the lowest rate of incorrect dosing (albuterol sulfate 9/247 or 3.6% [95% CI 1.31–5.98]). Conclusions Medications administered to prehospital pediatric patients continue to demonstrate dosing errors despite pediatric dosing reference implementation. Although there have been improvements in error rates in asthma medications, the overall error rate has increased. Continued work to build patient safety strategies to reduce pediatric medication dosing errors by EMS is needed.

Development and implementation of a quick reference (QR) code linked online education tool in anaesthesiology practice

BackgroundWe conducted a feasibility study of an anaesthetic online educational tool that is accessed via quick reference (QR) codes. The primary objective of the study was to assess the feasibility...

Implementation and characterization of reference measuring system for the calibration of high voltage source at very low frequency (VLF)

Implementation and characterization of reference measuring system for the calibration of high voltage source at very low frequency (VLF)

Thyroid Function across the Lifespan: Do Age-Related Changes Matter?

Circulating concentrations of thyrotropin (TSH) and thyroxine (T4) are tightly regulated. Each individual has setpoints for TSH and free T4 which are genetically determined, and subject to environmental and epigenetic influence. Pituitary-thyroid axis setpoints are probably established in utero, with maturation of thyroid function continuing until late gestation. From neonatal life (characterized by a surge of TSH and T4 secretion) through childhood and adolescence (when free triiodothyronine levels are higher than in adults), thyroid function tests display complex, dynamic patterns which are sexually dimorphic. In later life, TSH increases with age in healthy older adults without an accompanying fall in free T4, indicating alteration in TSH setpoint. In view of this, and evidence that mild subclinical hypothyroidism in older people has no health impact, a strong case can be made for implementation of age-related TSH reference ranges in adults, as is routine in children.

Design, implementation, and qualification of high-performance time and frequency reference for the MeerKAT telescope (Erratum)

The <i>Journal of Astronomical Telescopes, Instruments, and Systems</i> (JATIS) publishes peer-reviewed papers reporting on original research in the development, testing, and application of telescopes, instrumentation, techniques, and systems for ground- and space-based astronomy.

Design, implementation, and qualification of high-performance time and frequency reference for the MeerKAT telescope

The details of the MeerKAT radio telescope’s time and frequency reference subsystem that enables sampling via low-jitter, low-drift microwave clock signals, and absolute timing (≤5 ns accurate) are discussed. The subsystem’s microwave and pulse per second transmission parts are now fully qualified and commissioned for the ultra high frequency (UHF) and L-bands and also provide for a 100-MHz interface and timing interfaces for S-band receivers that were installed. The subsystem includes a cable measurement system called the Karoo array timing system (KATS). Performance and differences on different bands and seasonal drift of the cable delay measurement of KATS are reported. A time scale called the Karoo Telescope Time (KTT) (which is estimated from tracking a few atomic clocks via new software) and the issuing of timing bulletins to users have been largely implemented and verified. Absolute timing calibration and linkage of KTT to the global positioning system time scale and to different UTC(k) realizations of the Coordinated Universal Time (UTC) instances are described. The subsystem uniquely enables high-fidelity sampling and stable tied array configuration. The latter configuration enables timing and transient science over time spans of 5 to 10 years. Simultaneous subarraying is supported. The backend is unique for radio telescopes in terms of being very deterministic as far as timing is concerned.

Teachers’ Perceptions on the Implementation of Common European Framework Reference (CEFR) in an ESL Classroom: The Malaysian Context

The change of the English curriculum in Malaysia is no longer foreign and has brought about mixed opinions from different parties. Teachers being the main executor of the new curriculum should be given more channels to have their opinions known. The implementation of CEFR is entering its Phase 3, where feedback from in-service teachers is need for feedback and documentation. Several studies were conducted; however those only covered teachers from West Malaysia. The importance of teachers’ voices of English teachers East Malaysia should not be over shadowed. This paper covers the teachers’ perceptions on the implementation of CEFR in the Malaysian ESL classroom. This study was conducted among 105 English teachers from Sibu, Sarawak. Sarawak is known for being the largest state in Malaysia. The Questionnaire is used as the tool for data collection with a 6 Likert scale through goggle form. SPSS version 23 was used to analyzed and tabulate the data. The result shows that English teachers are showing positive responses with the implementation of CEFR. However, teachers show challenges encountered during the administration of CEFR, including lack of materials, students’ familiarity and new approach familiarity. Suggestions for further research should focus on upper secondary English teachers as it was implemented in early 2020.

CEFR for Languages and Its Effective Implementation in Secondary Schools in Malaysia

The implementation and development of the Common European Framework of References (CEFR) have received recognition and enthusiasm in language learning globally. The purpose of the present study, therefore, is to investigate the effectiveness of the implementation of CEFR reference of language in other countries generally as well as in the Malaysian secondary schools specifically. The evaluation of Malaysian teachers’ perceptions toward the implementation of CEFR is substantially important to carry out the significant problems of implementing the framework. A systematic literature review was done to several research studies in Asian and especially Malaysia to achieve the fundamental research objectives. Despite the several challenges faced by English Second Language (ESL) teachers in implementing the framework. Therefore, it was found that CEFR has potentially improved in the language learning context.

Implementation of high-precision inertial reference for Taiji-1 satellite and its ground evaluation based on torsion pendulum system

As the key measurement load of Taiji-1 satellite, inertial sensor detects the acceleration disturbance of test mass (TM) under nonconservative force in line with the basic principle of capacitive sensing, while keeping the TM in equilibrium position through electrostatic drive. In order to ensure the smooth progress of the mission, it is necessary to test and evaluate the performance of inertial sensor on the ground. In this paper, a torsion pendulum system is designed to eliminate the influence of the Earth’s gravity so as to meet the requirements of ground test. The experimental results show that the inertial sensor in closed-loop control mode can stably keep the TM at equilibrium position. At the same time, the ground detection of acceleration resolution of inertial sensor is greatly affected by ground vibration noise. If the inertial sensor operates normally in space, its acceleration resolution can reach[Formula: see text], thus meeting the requirement of Taiji-1.

A low‐power native NMOS‐based bandgap reference operating from −55°C to 125°C with Li‐Ion battery compatibility

SummaryThe paper describes the implementation of a bandgap reference based on native‐MOSFET transistors for low‐power sensor node applications. The circuit can operate from −55°C to 125°C and with a supply voltage ranging from 1.5 to 4.2 V. Therefore, it is compatible with the temperature range of automotive and military‐aerospace applications, and for direct Li‐Ion battery attach. Moreover, the circuit can operate without any dedicated start‐up circuit, thanks to its inherent single operating point. A mathematical model of the reference circuit is presented, allowing simple portability across technology nodes, with current consumption and silicon area as design parameters. Implemented in a 55‐nm CMOS technology, the voltage reference achieves a measured average (maximum) temperature coefficient of 28 ppm/°C (43 ppm/°C) and a measured sample‐to‐sample variation within 57 mV, with a current consumption of 420 nA at 27°C.

La transition agro-écologique dans la mise en pratique des référentiels pédagogiques : le cas de deux BTS agricoles

Quelle est la place du référentiel professionnel des diplômes dans l’évolution de l’enseignement agricole en lien avec la transformation du monde agricole ? On analyse ici, de manière qualitative et comparée, le contenu des référentiels professionnels de deux BTS : « Agronomie productions végétales » et « Analyse, conduite et stratégie de l’entreprise agricole », ainsi que leur prise en compte par les enseignants. Les rénovations de référentiel, étapes primordiales dans l’évolution de l’enseignement agricole, ne suffisent pas à assurer le rapprochement entre formation et évolution des métiers, tant les pratiques agricoles changent.

Changes in Thyroid Function Across Adolescence: A Longitudinal Study.

There are no large, longitudinal studies of thyroid function across adolescence. The aims of this study were to examine longitudinal trends in thyrotropin (TSH), free triiodothyronine (fT3) and free thyroxine (fT4) and determine age-specific reference ranges. Thyroid function was assessed in 3415 participants in the Brisbane Longitudinal Twin Study at ages 12, 14, and 16, using the Abbott ARCHITECT immunoassay. Longitudinal analyses were adjusted for body mass index and puberty. In girls, mean fT4 (± SE) increased between age 12 and 14 (by 0.30 ± 0.08 pmol/L; P < 0.001), while remaining unchanged in boys; from age 14 to 16, fT4 increased in both girls (by 0.42 ± 0.07 pmol/L; P < 0.001) and boys (0.64 ± 0.07 pmol/L, P < 0.001). There was a slight increase in fT3 from age 12 to 14 years in girls (by 0.07 ± 0.03 pmol/L; P = 0.042), with a more marked increase in boys (0.29 ± 0.03 pmol/L; P < 0.001), followed by a decrease from age 14 to 16 in both sexes (girls, by 0.53 ± 0.02 pmol/L; P < 0.001; boys, by 0.62 ± 0.03 pmol/L; P < 0.001). From age 12 to 14, TSH showed no significant change in girls or boys, then levels increased from age 14 to 16 in both sexes (in girls, by 4.9%, 95% CI: 2.4%-10.3%, P = 0.020; in boys, by 7.2%, 95% CI: 3.0%-11.6%, P = 0.001). Reference ranges differed substantially from adults, particularly for fT4 and fT3. Thyroid function tests in adolescents display complex, sexually dimorphic patterns. Implementation of adolescence-specific reference ranges may be appropriate.

EVALUASI IMPLEMENTASI PROGRAM PAUD TERPADU DI TK NEGERI 1 PEMBINA SAMARINDA

This evaluation study aims to determine the effectiveness of the implementation program for the integration of early childhood in the 1 Trustees State Kindergarten in 2017/2018. The evaluation study was chosen as a research method, using the CIPPO Model from Daniel Stufflebeam developed by Gilbbert Sax. This study uses multi techniques and instruments to collect data and analyze data using descriptive statistics and qualitative techniques. The results of the study show: (1) Component Context: TK 1 Country Pembina Samarinda has several legal documents of all implementations. Parental and community support has been shown well, so the perspective of managers who register for implementation shows that they are developing programs. (2) Input Components: student groups are relevant to age. The qualifications and number of teachers are relevant to the criteria. TK Negeri 1 Pembina Samarinda has very complete resources, but does not have natural resources. Financial reports show good results from resource financing. Planning the implementation of the program shows the relevance of the criteria. (3) Process Components: Implementation of reference for children's development milestones and BCCT concepts. There are some disabled children who cannot adapt to learning. In the evaluation refer to Permendikbud Number 137, 146, and 31 of 2014 and a milestone in the development of children. (4) Product Components: Reports on research results indicate school development and readiness. (5). Component of Results (outcome): The perspective of elementary school teachers shows that graduates of Samarinda State 1 Kindergarten Kindergarten have adapted in the learning process in grade 1 elementary school.

Implementation of First Level Outpatient Reference of BPJS Health Insurance Participants at Community Health Centres in Maros Regency

This study aims to analyze implementation of first-level outpatients reference of social insurance administration organization (BPJS) health insurance participant at community health centers (Puskesmas) in Maros regency. This study was conducted in descriptive research type at two Puskesmas included Puskesmas Mandai and Puskesmas Turikale. The data was collected by interviews, observations and document study. The data were analyzed qualitatively and supported by quantitative data. The result showed implementation was good in term of human resources. Besides, there was good understanding among doctors about capitation system and medical indication as well as non-medical needs. However, there were lacking medical equipment facilities included medical equipment for single use (BMHP) and availability of drugs. Most of references from Puskesmas Mandai are for hypertension and diabetes mellitus while hypertension, rheumatism and diabetes mellitus for Puskesmas Turikale. The patients usually initiated for outpatient references without any medical indication due to patients already admitted in hospital. Other reasons included requested from doctor in the hospital, preference to have treatment from medical specialist and limitation of drugs, BMHP and medical equipment.

Downstream Impedance in Microfluidic Channels

Channel electrodes, in the wall of a microfluidic channel, allow generator-collector schemes with solution species generated at an upstream electrode and collected at a downstream electrode, possibly with homogenous reactions occurring during the mass transport between the electrodes. These are useful devices to study electrocatalytic reaction mechanisms, especially for oxidation of small organic molecules, where there are multiple pathways and multiple soluble intermediates and products. We briefly review our recent experimental and theoretical advances toward this goal, which include the implementation of a PdH reference in a side channel [1], a new semianalytical method for convective diffusion in rectangular channels [2], and a numerical investigation of the validity of the Lévêque approximation and neglect of axial diffusion for impedance at a single channel electrode [3]. The experimental and theoretical study of the double channel generator-sensor impedance are then described for a reversible solution redox couple (Ru(II/III) hexammine complex) [4]. By using galvanostatic generation of the ac signal at the upstream working electrode and the working sense connection to measure the ac potential at the downstream sensor electrode, we were able to implement a generator-sensor electrode scheme with a single potentiostat. We define the "downstream impedance" as the ratio of the ac potential measured downstream to the ac current measured upstream. The downstream impedance shows beautiful spirals. The phase may be interpreted simply in terms of the propagation time between the two electrodes relative to the period of the a.c. signal. This simple picture predicts that the phase is linear with the frequency. If there were no diffusive spread as the concentration wave moved downstream, the impedance would be a circle in the complex plane. However, diffusion across the channel during downstream propagation leads to a decreasing amplitude with frequency and therefore spirals rather than circles. The full solution of the convective-diffusion problem was solved numerically using COMSOL and showed spirals in good agreement with the experimental results. A dimensional analysis for the simplifying assumptions of the Lévêque approximation and neglect of axial diffusion shows that the impedance depends only on a single parameter, a dimensionless frequency Ω. An analytical solution of the downstream impedance under these assumptions was possible for the case of zero frequency, which was found to agree with the numerical solution within 10% except at the lowest flow rates. As predicted by this model, when normalized by the zero-frequency impedance, the complex plane plots for all flow rates fall on a common curve. Bode plots of the normalized impedance also fall on common curves. The slope of log(phase) vs log(Ω) plots is 1 for Ω<1 as predicted by the simplistic model. We thank the Research Council of Norway, the Natural Science and Engineering Research Council of Norway, and our respective institutions for financial support. [1] E.V. Fanavoll, D.A. Harrington, S. Sunde, G. Singh, F. Seland, Electrochim. Acta., 225, 69 (2017). [2] T. Holm, S. Sunde, F. Seland, D.A. Harrington, J. Electroanal. Chem., 745, 72 (2015). [3] T. Holm, M. Ingdal, E.V. Fanavoll, S. Sunde, F. Seland, D.A. Harrington, Electrochim. Acta., 202, 84 (2016). [4] T. Holm, M. Ingdal, J.R. Strobl, E.V. Fanavoll, S. Sunde, F. Seland, D.A. Harrington, Electrochim. Acta., 229, 452 (2017).

Innovative Research of Full Informational Teaching Mode Under Mobile Internet Cloud Teaching Platform

Under the background of information society ,the mobile Internet, cloud computing, big data, artificial intelligence and internet of things becoming more important, in response to the urgent need of the society for innovative talents, the traditional teaching mode is imparted by knowledge, Teachers as the center has not adapted to the practical teaching problems, through the research and practice application of the mobile Internet cloud teaching platform-Mosoteach of various functional sections, put forward a comprehensive framework of teachers and students based on mobile Internet cloud teaching platform Interactive teaching mode, this model is based on action-oriented task-driven innovation-based O2O (online to offline ) teaching mode, the purpose is to promote the cultivation of self- learning ability, selflearning ability is to cultivate innovative talents a factor. At the same time for the implementation of a comprehensive information technology teaching reference.

Design and Implementation of a Digital Secure Code-Shifted Reference UWB Transmitter and Receiver

This paper presents the first compact hardware implementation of a digital code-shifted reference (CSR) ultra-wideband (UWB) transceiver. The security of the transmission is based on changing the physical properties of the transmission without the use of higher level security options. The software models of the designed transceiver are simulated and verified in both floating-point and fixed-point numerical representations. The synthesizable Verilog description of the transceiver architecture is simulated and verified against its fixed-point simulation model. The secure transceiver is implemented on our custom-developed field-programmable gate array (FPGA) board. The characteristic and implementation results of the secure transceiver architecture on the FPGA are presented. The bit error rate performance of the transceiver is measured in real time on the FPGA using an accurate on-chip Gaussian noise generator and is compared with that of the software simulation model. An ASIC architecture of the CSR-UWB transceiver is estimated to occupy 0.019 mm2 and dissipate 0.63 mW from a 1.0 V supply while operating at 82 MHz in a standard 32-nm CMOS technology.