Way Of Checking Research Articles

1169 QUALITY IMPROVEMENT PROGRAMME ON NON-MEDICINAL MANAGEMENT OF POSTURAL HYPOTENSION AMONG MDT MEMBERS IN THE MEDICAL WARDS (COE)

Abstract Introduction Postural Hypotension is a very common presentation in the elderly population. Appropriate knowledge to record postural hypotension and non-medicinal management for this is very important among MDT members working in the care of the elderly wards. Method We set out a questionnaire to assess the knowledge among MDT (multidisciplinary) members. An educational programme was initiated to improve the knowledge among MDT members. A complete audit cycle was done and the knowledge was reassessed with the same questionnaire based on the principles of the PDSA (Plan, Do, Studt and Act) cycle. Results It showed that the correct way of checking for postural blood pressure improved from 52.4% to 92% in recording the blood pressure. Correct identification of postural blood pressure improved from 33.3% to 88%. Self-rating of confidence to identify correctly postural blood pressure improved from 47.6% to 64% among the MDT Members. It was difficult to compare the answers about non-medicinal methods and exercises to help postural hypotension as there was heterogeneity in answers. It was also not possible to compare the impact of individual interventions on the alleviation of postural blood pressure. Conclusion Good improvement in the recording and non-medicinal management of Postural hypotension was observed in both the wards among the MDT Members. It is very important to have good knowledge and understanding in the management of this common condition as it helps in the identification and better management.

AI Based Student’s Assignments Plagiarism Detector

Abstract: The increase in plagiarizing academic contents led to efficient plagiarism detectors. In the conventional plagiarism detection tools, we have to put the contents from our paper or assignment and paste it into the input box for checking plagiarism or we have to load our files separately. Software under the domain artificial intelligence is moving towards the creation of a systems that can make tasks hassle-free and it also saves the time. “Smart Assignment Plagiarism Detector” can provide easy and efficient way of checking plagiarised data for teachers just in a single click by uploading a folder. This paper explains how our system is solving the problem of plagiarism through the use of algorithm in artificial intelligence

Thinking Time, Shifting Goalposts and Ticking Time Bombs: Experiences of Waiting on the Gender Identity Development Service Waiting List.

LOGiC-Q is a prospective longitudinal qualitative study that explores the experiences of children and young people, and their families, who have been referred to the Gender Identity Development Service (GIDS) in the UK. This paper describes the experiences of children and young people and their parents while they are on the waiting list to be seen. Semi-structured interviews were undertaken with 39 families who had been referred to GIDS and were waiting for their first appointment with the service. Both parent and child/young person were interviewed. Analysis of the anonymised interview transcripts was informed by both narrative and thematic approaches, and three predominant narratives around waiting were identified: 1. Positive experiences attached to waiting; 2. Feelings of distress and stuckness; 3. Suggestions for support while waiting. Findings from this study indicate variations in how waiting is experienced depending on the age of the child, and how distressed their body makes them feel. Young people and their parents offered suggestions for how the service could support families on the waiting list. These suggestions related primarily to ways of checking in and providing reassurance that they were at least still on the list as well as ideas about how to make the wait less distressing, rather than necessarily making the wait shorter, which was more spoken about in terms of an ideal rather than a realistic option.

Enhancing talk with visual representations to understand children’s ideas about celestial phenomena

This article provides a snapshot of assessment for learning in action. It introduces the drawings made by children who had been studying “Planet Earth and Beyond”—Matariki as a context in science in a New Zealand primary school. The visual data are drawn from the Te Ao Hurihuri project (The Changing World) in which students were offered structured opportunities to represent their thinking with visual constructions. The wide range of constructions created by the students, as well as their associated talk, provided teachers with an effective way of checking on developing conceptual knowledge and understanding. Students became partners with their teachers, sharing power and responsibility for their learning and assessment. Such a partnership has the potential to assist teachers to navigate possible learning trajectories and next steps for the students.

P54 Evaluating capacity issues and safety of uveitis adolescent services at Moorfields Eye Hospital (MEH)

Introduction/BackgroundThe uveitis Young Adults Clinic (YAC) was implemented at MEH in 2019, with the aim of facilitating the transition from children's to adults' services. It receives new patients mainly from paediatric uveitis clinics at MEH and Great Ormond Street Hospital (GOSH), both reference centres, but also from multiple other paediatric services across London and the UK. The patients are seen from the age of 16 to 21 (or more in special circumstances). As this clinic runs only for one session weekly, it has been facing capacity issues with overbooking and backlog of patients waiting to be booked.Description/MethodA service evaluation audit was performed with the objectives of quantifying the Uveitis YAC capacity issues and evaluating its safety during the period from December 2020 to December 2021.1) Clinical capacity issues were quantified by checking clinic numbers per staff (new and follow-up patients) and comparing them to other uveitis clinics and the service’s template of 6 patients/doctor.2) Clinic safety was analysed by:- Checking the percentage of YAC patients that receive their hospital appointments within 25% of their intended follow-up period (25% follow-up delay target), following the Royal College of Ophthalmology key outcome measure (minimum standard of 85%).- Quantifying the backlog of new patients waiting to be booked into clinic for more than 18 weeks (RTT referral to treatment time 18 weeks - minimum standard of 85%).A total of 614 patient visits were identified during that time (with 202 unique patient IDs). The data sources used to extract the data were electronic medical records (PAS, Openeyes) and doctors' rota. Patient data were extracted in an automated way from EMR by a senior information analyst from the Service Improvement department. Data processing and analysis were done by two members of the clinical team independently with Excel and R.Discussion/ResultsA total of 421/614 visits had available intended follow-up times at PAS. Of these, 246 patients (58%) were seen within 25% of their requested follow-up.A total of 303 new patient appointment requests were retrieved from the YAC waiting list during that period (screenshot of first day/month). Of these, 94 were unique patients (patients stayed in the waiting list for more than one month). We excluded the patients added in the last month of December 2021 (total 18), as there was no way of checking when they left the waiting list. Out of the remaining 76 patients, 56.6% were not seen within 18 weeks of referral (43.4% were seen).There were 56 clinic dates during the period December 2020 to December 2021. From the first clinic in December 2020 to the last in June 2021, 191 patients were seen in YAC (178 follow-ups and 13 new). The mean number of patients per doctor was 6.8. From July to December 2021, 213 patients were seen (198 F/U and 15 news). The mean number of patients per doctor was 8.5. When comparing to the adult uveitis clinic which happens at the same dates and times, in the first 6 months, the number of patients per doctor was 4.3, compared to 5.8 in the second semester.The results show that the follow-up times are not reaching safety standards following RCO recommendations. New patient referrals are not being seen according to RTT standards. The number of patients per doctor exceeds service guidelines of 6 patients/doctor for complex uveitis patients.Key learning points/ConclusionThe YAC is a unique service that receives patients from major London uveitis services and works closely with UCLH Rheumatology Adolescent services to deal with complex and vulnerable cases. This audit shows that the clinic is working above this capacity and needs further support to be able to provide safe and high-quality care for adolescent patients. Possible improvements would involve increasing the clinical team, ideally with multidisciplinary members, and optimising scrutiny and booking of patients.

Constraints on cosmic birefringence using E-mode polarisation

A birefringent universe could show itself through a rotation of the plane of polarisation of the cosmic microwave background photons. This is usually investigated using polarisation B modes. Here we point out an independent method for extracting the birefringence angle using only temperature and E-mode signals. We forecast that, with an ideal cosmic-variance-limited experiment, we could constrain a birefringence angle of 0.3° with 3σ statistical significance, which is close to the current constraints using B modes. We explore how this method is affected by the systematic errors introduced by the polarisation efficiency. In the future, this could provide an additional way of checking any claimed B-mode derived birefringence signature.

Evaluating the impact of team formulation on client care in a rehabilitation hospital for individuals with learning disabilities

Team formulation helps staff understand people they work with better, and agree ideas to support them.Positive monitoring is a way of checking if staff are helping people in the ways agreed by the team.This evaluation aims to see if using team formulation and positive monitoring, has an impact on the care provided to adults with learning disabilities in a locked rehabilitation hospital.Staff found team formulation helpful in understanding the person they were working with better. The helpfulness of setting goals on staffing putting ideas into practice varied.Six out of Seven adults with learning disabilities had less incidents after we used positive monitoring charts

Relay selection in millimeter wave D2D communications through obstacle learning

There has been growing interest in device to device (D2D) millimeterwave (mmwave) communication, due to the promising high speeds and immense amounts of unused bandwidth available. However, mmwaves suffer from unusually high attenuation, through free space, and especially through obstacles. The accepted way to avoid such attenuation is to break up the transmission path into multiple short hops, such that there are no obstacles between nodes. We extend the possibility of using a global positioning system (GPS) based, location aware, centralized approach to the problem of relay selection. We propose a simple learning based approach to detect the presence of static as well as dynamic obstacles, without having access to any data regarding their location and sizes. We then use this knowledge to efficiently select an appropriate relay for a UE, lowering the chance of allocating an obstacle prone link. Our proposed algorithm works even for UEs inside vehicles. We also propose a smart way of checking whether a pair of UEs is likely to be blocked, in real time. Finally we compare our relay selection algorithm with an existing algorithm and show that there is a significant improvement in the quality of link allocation.

Best practice for verification of wind turbine numerical models

The analysis of wind turbines relies on aero-hydro-servo-elastic simulation tools. OC3, 4, 5, 6 projects showed that much effort is required to obtain consistency in numerical models set up and the agreement in the simulation results. To mitigate the uncertainty in the model setup and to reduce the time spent on its verification, a robust verification procedure is necessary. The presented verification procedure provides a structured and efficient way of checking and comparing aeroelastic wind turbine models. In case a discrepancy between the two models or the model and documentation is found, a procedure for finding the source of this discrepancy is suggested. During several successful applications of the presented verification procedure, it proved to reduce the effort, the number of iteration loops and thus the consumed time that is required to achieve a verified model.

Digitalized Drones in the Steel Industry: The Social Shaping of Technology

New digital technologies are often framed as an inevitable and determining force that presents the risk of technological unemployment and the end of work (Lloyd and Payne, 2019). In manufacturing specifically, digitalization is referred to asIndustry 4.0, a term that emerged in Germany as a central economic and industrial policy and has taken on a wider resonance across Europe (Pfeiffer, 2017). In this article, we explore the workplace implications of a specificIndustry 4.0innovation. We examine the insertion of drone technology—as a timely and topical example of industrial digital technological innovation—in the steel industry.The article brings to debates on the digital workplace a discussion of the relationship between the material forces of production and the social relations within which they are embedded (Edwards and Ramirez, 2016). Drawing on interview data from two European industrial sites, we suggest that the increasing use of drones is likely to be complicated by a number of social, economic and legal factors, the effects of which are, at best, extremely difficult to predict. Introduced for their potential as labour-saving devices, drones seemingly offer a safer and more efficient way of checking for defects in remote or inaccessible areas.However, whilst employers might imagine that digital technologies, like drones, might substitute, replace, or intensify labour, the workplace realities described by our interviewees make insertion highly contingent. We highlight several such contingencies, with examples of the ways that the steelworkers’ interests differ from those of their employers, to discuss how the insertion of digital technologies will ultimately be shaped by the power, interests, values and visions prevailing in the workplace, as well as in the wider polity and public culture.

Pedagogical technology of students’ negotiation in emergencies competence development at penal system institutions

The paper is devoted to the problem of professional and psychological training of employees of the penal system at university. The authors have developed a technology of teaching negotiations to students on the basis of competence-based approach while studying psychological disciplines. The authors define the concept of a negotiation competence of the penal system employee, which is understood as a professional and personal readiness to negotiate with convicts in emergency conditions. The negotiation competence is considered in the context of conflicts resolution in case of group disobedience and mass riots at institutions of the penal system. The structure of the negotiation competence: motivational value, cognitive, efficient, practical and reflective components, reflecting the nature of the negotiation activity. The technology of negotiation competence development consists of the target, substantive, procedural, criterial and assessment units. The paper describes the content of training on the basis of organizational, communicative, ethical, technological, information components of the competence. The list of the planned educational results is given. The authors consider a procedural part of negotiation skills development, reflecting the content and sequence of stages. Methodical techniques used for training are described, examples of tasks are given. A business game is presented as an interactive form of training at the practical stage. The ways of checking if the educational results are developed with the help of the current and final control are discussed.

Evasive Path Planning Under Surveillance Uncertainty

The classical setting of optimal control theory assumes full knowledge of the process dynamics and the costs associated with every control strategy. The problem becomes much harder if the controller only knows a finite set of possible running cost functions, but has no way of checking which of these running costs is actually in place. In this paper we address this challenge for a class of evasive path planning problems on a continuous domain, in which an evader needs to reach a target while minimizing his exposure to an enemy observer, who is in turn selecting from a finite set of known surveillance plans. Our key assumption is that both the evader and the observer need to commit to their (possibly probabilistic) strategies in advance and cannot immediately change their actions based on any newly discovered information about the opponent’s current position. We consider two types of evader behavior: in the first one, a completely risk-averse evader seeks a trajectory minimizing his worst-case cumulative observability, and in the second, the evader is concerned with minimizing the average-case cumulative observability. The latter version is naturally interpreted as a semi-infinite strategic game, and we provide an efficient method for approximating its Nash equilibrium. The proposed approach draws on methods from game theory, convex optimization, optimal control, and multiobjective dynamic programming. We illustrate our algorithm using numerical examples and discuss the computational complexity, including for the generalized version with multiple evaders.

POINT OF SALE SYSTEM WITH INVENTORY FOR ARM’S FOOD AND DELICACIES

A Point of Sale System is a enterprise solution primarily based on software program used to tune sales pastime and inventory simultaneously. Manufacturers and outlets can both benefit from a comprehensive answer the place single transaction entry records, quintessential client details, purchased products; rate and date are also updated. The gadget would be of awesome assist to the entire procedure due to the fact it serves as many customers as possible at a speedy tempo and helps to screen all kinds of data faster, less complicated and extra conveniently. The Inventory Point of Sale System may be a computer-based way of checking and reviewing the company's deals; it is speedier and additional dependable than physically. The machine can minimize upgrading botches and can be gotten to effortlessly. Management can effectively make consistent, reliable and timely determinations with the assistance of the System with Inventory. When it comes to getting get to records, a computerized record is plenty better than a direct framework, due to the truth the pace at which this could be performed is speedier. If documents are required, they can be gotten to in seconds by looking at the show for appropriate data. All the required insights necessary can be saved in a single record, as unfriendly to reams of paper and exceptional files for each item requiring screening within the manual framework.

Zero-Sum Stochastic Games over the Field of Real Algebraic Numbers

We consider a finite state, finite action, zero-sum stochastic games with data defining the game lying in the ordered field of real algebraic numbers. In both the discounted and the limiting average versions of these games, we prove that the value vector also lies in the same field of real algebraic numbers. Our method supplies finite construction of univariate polynomials whose roots contain these value vectors. In the case where the data of the game are rational, the method also provides a way of checking whether the entries of the value vectors are also rational.

Mallika Reflects on the Events of Discount Monday

Mallika Reflects on the Events of Discount Monday Annie Zaidi You know the greatest myth? "Mirror, Mirror, on the wall." World's biggest hoax. Yes or no? Because the mirror never says: "You, my queen! You are the fairest of them all." Never, ever. In the mirror, who is beautiful? Doesn't the queen know that dark spot, once a pimple filled up with pus? Doesn't the queen know hair so stubborn, it cannot be waxed off? She knows. Still. She looks at the mirror just to confirm. Yes or no? This knowledge is central to our line. You let the mirror tell the truth. Because if the mirror starts to lie, what is left for us to do? I have tried to educate my Trisha, but the girl hardly has a brain. Hard to believe she came out of my body. I catch her stealing looks at herself in the mirror while working on a customer. Not a professional glance, no. Not in the way of checking out the arch of her own brow or the sheen of her skin. She knows all that is perfect. If it wasn't, I would fix her myself. She's got to have clear skin. Her feet and hands have to be done. All my girls in Body Beautiful have good hair, clear skin, perfect nails. Otherwise, it ruins the parlor. Mallika and Mallika's girls: this is the only advertisement necessary. Other things I don't care for, but waxing, bleaching, hair color. Face, nails. The customer knows you do these things and that these things take a lot of doing. It costs. That's what Mallika is here for. But skin must be naturally healthy and clean, otherwise the customer will not trust us. That's why I don't let the girls do too much to themselves. Natural healthy looks. Some parlors have the opposite funda. Their girls are plastic dolls. Each hair plucked from everywhere. Hands, legs, cheeks, even forehead. Fully black eyes, tinsels glued on nails. None of that nonsense at Mallika's. Not allowed. It frightens the customer. She feels she can never do enough. That's when ladies let themselves go. Why do anything if you can never match up? You draw a clear line. You say, okay, enough. There has to be a [End Page 722] limit to beauty thirst. Mallika's fundas are simple. Do two or three things, bas! Do it regular. Arms-legs waxing. Threading eyebrows, fine. Manicure-pedicure, good. Head and shoulder massage, for relaxing days. If a lady is overstressed, she will ask for the full body massage. If she's getting married, she'll ask for waxing on her stomach and back, maybe downwards. Nowadays girls are stupid. My Trisha. Instead of watching the customer's face to see what to compliment, she will start criticizing. That's how it's done in parlors like Kirin and Vixen. They touch a lady's hair and call it limp. Then they say it needs a wash before they will deign to cut it. Then they prescribe a three-thousand-rupee cream to cure the hair. As if ladies were patients at a clinic instead of a parlor. Fifteen years, hundreds of bodies under my hands. Seven days a week. Now my daughter thinks she knows more about beauty. Skinny little fool. She's telling me the other day, we must start offering the Brazilian. Then she starts to explain it. I told her not to be oversmart. Bas! As if I don't read the same magazines! I don't like to scold her in front of the others. Still, she is not ready to take over. Just last week I was thinking maybe I should retire. But see now, what happened on Monday? ________ A girl came in late. Working type, new customer. It was past seven-thirty. The girls are overworked because of Monday discount, so I take a few customers myself. Arms and legs, she said. So I took her upstairs and tossed her a changing gown. I drew the curtain and went to put on an apron. I heard her rustling out of...

A Novel Methodology Developing an Integrated ANP: A Neutrosophic Model for Supplier Selection

In this research, the main objectives are to study the Analytic Network Process (ANP) technique in neutrosophic environment, to develop a new method for formulating the problem of Multi-Criteria Decision-Making (MCDM) in network structure, and to present a way of checking and calculating consistency consensus degree of decision makers.

Technology Enhanced Collaborative learning in Small Group Teaching sessions using Padlet Application-A Pilot Study

The Objectives of this paper were to determine whether collaborative learning during a small group teaching have significant effect on students’ engagement and learning and to evaluate the use of technology in collaborative learning. An actual small group teaching session of students was selected. Each group was given a case study to discuss. Group round was done so that everyone in the group is involved from the start as a way of checking on learning issues. About 60% of the students said that, they actively interacted by sharing their experiences and resources during collaborative learning. More than 70% of the students agreed that, technology (padlet) was an important factor in collaborative learning. Collaborative learning fosters the members actively interact by sharing experiences and take on asymmetry roles through discussion, clarification of ideas, and evaluation of others ’ideas.

Truthfulness Flooded Domains and the Power of Verification for Mechanism Design

In this work, we investigate the reasons that make symmetric partial verification essentially useless in virtually all domains. Departing from previous work, we consider any possible (finite or infinite) domain and general symmetric verification. We identify a natural property, namely, that the correspondence graph of a symmetric verification M is strongly connected by finite paths along which the preferences are consistent with the preferences at the endpoints, and prove that this property is sufficient for the equivalence of truthfulness and M -truthfulness. In fact, defining appropriate versions of this property, we obtain this result for deterministic and randomized mechanisms with and without money. Moreover, we show that a slightly relaxed version of this property is also necessary for the equivalence of truthfulness and M -truthfulness. Our conditions provide a generic and convenient way of checking whether truthful implementation can take advantage of any symmetric verification scheme in any (finite or infinite) domain. Since the simplest symmetric verification is the local verification, specific cases of our result are closely related, in the case without money, to the research about the equivalence of local truthfulness and global truthfulness. To complete the picture, we consider asymmetric verification and prove that a social choice function is M -truthfully implementable by some asymmetric verification M if and only if f does not admit a cycle of profitable deviations.

Valence-Length Correlations for Chemical Bonds from Atomic Orbital Exponents

Pauling’s empirical bond valence-length correlation has proven valuable because it offers a quick and convenient way of checking and evaluating molecular structures and determining oxidation states from measured bond lengths. In this study, a simplified quantum-mechanical approach was used to derive Pauling’s empirical bond valence-length relationship by considering overlap of hydrogen-like orbitals. An expression for the b “empirical” fitting parameter was derived in terms of atomic-orbital exponents. A new set of orbital exponents is presented using published atomic/covalent radii and a continuous function for the effective principal quantum. The b parameters calculated from the orbital exponents are consistent with bond valence-length data from crystallographic data. In general, atomic-orbital exponents may be used to determine bond valence- length relationships for any chemical bond regardless of state, oxidation number, or environment.

Testing Procedure for IEC 61131-3 Control Software

Control software often performs complex tasks in industry. Its proper operation is crucial for safety as well as efficient management of system resources and processes. However, testing of such a kind of software is usually less organized than in traditional business IT applications. In this paper, procedures and tools for control software testing are proposed. The modeling stage of project development involves SysML as a specification language for Program Organization Units and POU-oriented tests. Corresponding implementation is created in the languages defined in the IEC 61131-3 standard and can be verified using two testing methods, namely table and unit tests. The first option is an easy way of checking whether a function block, a function, or a program produces correct values of outputs for particular values of inputs. More advanced unit tests are specified in a dedicated test definition language, called CPTest+. The proposed procedure is described using the Pulse-Width-Modulator (PWM) example, which is common in the on-off PID control. The presented test tools have been introduced into the CPDev programming environment.