Provider documentation of patient education: a lean investigation

Purpose

The study evaluates how providers give patient education materials and identifies improvements to comply with Meaningful Use (MU) requirements.

Methods

Thirty-eight patient-provider interactions in two health care outpatient clinics were observed.

Results

Providers do not uniformly know MU patient education requirements. Providers have individual preferences and find gaps in what is available. Accessing and documenting patient education varies among providers. Embedded electronic health record (EHR) materials, while available, have technical access barriers.

Conclusions

Providers'' EHR skills and knowledge levels contribute to non-standardized patient education delivery.     

Visually Framing Press Freedom and Responsibility of a Massacre: Photographic and Graphic Images in Charlie Hebdo's Newspaper Front Pages Around the World

This research examines 441 front-page images published in 367 newspapers on the day following the shooting in Paris of 12 people at or near the Charlie Hebdo office. The aim of this study is to understand how mainstream media visually framed responsibility for the Charlie Hebdo massacre and how these visual frames coalesced to represent collective narratives about press freedom. Through a collaborative visual analysis, this study attempts to understand how the selected visual frames worked to communicate the causes, effects, and responses to the massacre and also to press freedom—an ideological construct that news media had a vested interest in advancing.     

Improved fast intra prediction algorithm of H.264/AVC

With advanced prediction modes of intra prediction, intra coding of H.264/AVC offers significant coding gains compared with previous video coding standards. It uses an important tool called Lagrangian rate-distortion optimization (RDO) technique to decide the best coding mode for a block, but the computational burden is extremely high. In this paper, we proposed an improved fast intra prediction algorithm including block type selection and mode decision algorithm based on analysis of edge feature of a block. Our algorithm filters out unlikely block type and candidate modes to reduce the RDO calculations. Experimental results showed that the proposed algorithm can reduce the computation complexity of intra prediction from 52.90% to 56.31%, with 0.04 dB PSNR degradation and 2% increase of bit rate.     

Triadic interaction in clinical task-based interviews with mathematics teachers

A clinical task-based interview can be seen as a situation where the interviewer–interviewee interaction on a task is regulated by a system of explicit and implicit norms, values, and rules. This paper describes how documenting and mapping triadic interaction among the interviewer, the interviewee, and the knowledge negotiated can be used to increase procedural replicability of the interview and accuracy of drawn conclusions about the interviewee’s thinking process. Excerpts from interviews with 25 inservice mathematics teachers working on a task to make up a problem whose solution requires division of two fractions are discussed. The excerpts illustrate the relationship between methodological decisions taken by the interviewer during the interview and the applicability of the interview output to the research questions. A divergent analysis of the interviews with these teachers, which spanned over two years and were conducted by four interviewers, is used to offer a framework for analyzing data collected in clinical task-based interviews.     

基于核密度估计多样性采集的背景建模算法

1IntroductionBackground subtraction methods are extensively ex-ploited for moving object detection in videos in manyapplications ,such as traffic monitoring[1],human mo-tion capture[2]and video surveillance[3]. The centralidea behind such methods is to segment foreground ini mage sequences taken from a fixed camera by com-paring each newframe to a model of the scene back-ground . Therefore , correctly and efficiently modelingand updating the background model is one of the mostchallenging aspec…     

Conversion of CO<Subscript>2</Subscript> to useful substances with composite iron,nickel, and copper catalysts

Composite materials of Fe/Al₂O₃, which consist of small particles of iron supported by thermally stable alumina even at 500–700 °C, have been widely used in the water-gas shift reaction for natural gas reforming. Therefore, Fe/Al₂O₃ is one of the promising candidates for re-transformation of exhausted CO₂ into fuels such as alcohols and hydrocarbons. The development of a CO₂ reforming system using the composite materials of Fe/Al₂O₃ through CO₂ reduction to CO, dissociation of water into hydrogen, and methanol synthesis has been investigated. It was found that dry and steam (i.e. wet) reforming of CO₂ produced almost the same amount of CO. At a temperature above 500 °C, maximal and saturated yields of CO and H₂ from CO₂ and water were obtained. However, this CO₂ reforming system requires higher-pressure conditions from several tens to hundreds standard atmospheric pressure in order to achieve high yield and selectivity for methanol production. In this study we developed the modified CO₂ reforming system by the utilization of Ni and/or Cu instead of Fe in order to obtain other types of useful products such as CO, CH₄, and carbon, more efficiently and selectively under atmospheric pressure. When Ni or Cu was used, conversion of CO₂ was reduced to 76%, while 9% of methane was detected in the case of Ni. On the other hand, though the CO₂ conversion reduced half of the Fe, the selectivity of CO from CO₂ increased to 95% in the case of Cu.     

Numerical investigation of cavitating flow behind the cone of a poppet valve in water hydraulic system

Computational Fluid Dynamics (CFD) simulations of cavitating flow through water hydraulic poppet valves were performed using advanced RNGk-epsilon turbulence model. The flow was turbulent, incompressible and unsteady, for Reynolds numbers greater than 43000. The working fluid was water, and the structure of the valve was simplified as a two dimensional axisymmetric geometrical model. Flow field visualization was numerically achieved. The effects of inlet velocity, outlet pressure, opening size as well as poppet angle on cavitation intensity in the poppet valve were numerically investigated. Experimental flow visualization was conducted to capture cavitation images near the orifice in the poppet valve with 30° poppet angle using high speed video camera. The binary cavitating flow field distribution obtained from digital processing of the original cavitation image showed a good agreement with the numerical result. Project supported by the National Natural Science Foundation of China (No. 59835160) and Scientific Research Foundation for Returned Overseas Chinese Scholars, State Education Ministry of China (No. 50175097)