scholarly journals Managing work flow in high enrolling trials: The development and implementation of a sampling strategy in the PREPARE trial

2021 ◽  
Vol 21 ◽  
pp. 100730
Author(s):  
David Pogorzelski ◽  
Uyen Nguyen ◽  
Paula McKay ◽  
Lehana Thabane ◽  
Megan Camara ◽  
...  
Keyword(s):  
2020 ◽  
Vol 27 (11) ◽  
pp. 2517-2522
Author(s):  
Saqib Bajwa ◽  
Aysha Butt ◽  
Nauman Mazhar ◽  
Shahid Warris ◽  
Muhammad Tariq ◽  
...  

Medical profession due to its vast diversity and sensitivity can exert great stress and exhaustion among working professionals. Objectives: The present research was aimed to explore the relationship between Work Flow and Burnout in medical professionals. Study Design: Correlational Research Design was used with convenient sampling strategy. Setting: Rashid Latif Medical Collage. Period: July to October 2019. Material & Methods: Work related Flow13 and Copenhagen Burnout Inventory15 were used to measure the variables. Correlation and Regression were used. Result: Significant inverse relationship between work flow and burnout. Similarly, Work enjoyment subscale of Work Flow come out to be the significant predictor of burnout and its subscale. Conclusion: research indicates that professionals who enjoy their work and keep their self-engaged in while working does not get easily exhausted.


2006 ◽  
Author(s):  
Dianne Davis ◽  
Gordon Tait ◽  
Cindy Bruce-Barrett
Keyword(s):  

Author(s):  
Sweta Pendyala ◽  
Dave Albert ◽  
Katherine Hawkins ◽  
Michael Tenney

Abstract Resistive gate defects are unusual and difficult to detect with conventional techniques [1] especially on advanced devices manufactured with deep submicron SOI technologies. An advanced localization technique such as Scanning Capacitance Imaging is essential for localizing these defects, which can be followed by DC probing, dC/dV, CV (Capacitance-Voltage) measurements to completely characterize the defect. This paper presents a case study demonstrating this work flow of characterization techniques.


2020 ◽  
Author(s):  
Nicholas Mark Stansbury ◽  
Erin Nelson

BACKGROUND Current workflow in GYN triage has medical students interviewing patients after triage by nursing staff. The optimal time to initiate patient contact is unclear. This confusion has led to duplication of questions to patients, interruptions for nurses and fewer patient encounters for students. OBJECTIVE Determine if a restaurant-style buzzer can streamline workflow in gynecology (GYN) triage. METHODS A Plan-Do-Study-Act approach was used. Stakeholders were medical students, nurses, Nurse Practitioners and physicians. Factors contributing to workflow slowdown: students re-asking questions of patients, interruption of nursing staff, confusion about optimal patient flow. The net result was fewer interviews completed by students. The project was introduced during clerkship orientation. Buzzers were provided on weeks 1, 3, 5 of the rotation. Weeks 2, 4, 6 no buzzers were provided as an internal control. After each clerkship, students received a survey assessing key areas of waste and workflow disruption. A focus group with ten nurses was also conducted. RESULTS From February-July 2019, 30/45 surveys were completed (66%) 1. Very difficult/difficult to know when to begin the encounter: 90% without; 21.4% with buzzer p<.001 2. Students re-asking questions: very often/often 96.7% without; 14.8% with buzzer p<.001 3. Nursing staff interruptions: 76.7% very often/often without; 18.5% with buzzer p<.001 4. The odds of interviewing 5 or more patients per shift are ~10X greater using the buzzer χ²=14.2; p<.001 CONCLUSIONS The 10 nurses interviewed unanimously favored the use of the buzzer. Introduction of a simple, low-cost restaurant-style buzzer improved triage work-flow, student and nursing experience.


Author(s):  
Jessica Schmidt ◽  
Viktoria Lindemann ◽  
Monica Olsen ◽  
Benedikt Cramer ◽  
Hans-Ulrich Humpf

AbstractA simple and effective approach for HPLC-MS/MS based multi-mycotoxin analysis in human urine samples was developed by application of dried urine spots (DUS) as alternative on-site sampling strategy. The newly developed method enables the detection and quantitation of 14 relevant mycotoxins and mycotoxin metabolites, including citrinin (CIT), dihydrocitrinone (DH-CIT), deoxynivalenol (DON), fumonisin B1 (FB1), T-2 Toxin (T-2), HT-2 Toxin (HT-2), ochratoxin A (OTA), 2′R-ochratoxin A (2′R-OTA), ochratoxin α (OTα), tenuazonic acid and allo-tenuazonic acid (TeA + allo-TeA), zearalenone (ZEN), zearalanone (ZAN), α-zearalenol (α-ZEL), and β-zearalenol (β-ZEL). Besides the spotting procedure, sample preparation includes enzymatic cleavage of glucuronic acid conjugates and stable isotope dilution analysis. Method validation revealed low limits of detection in the range of pg/mL urine and excellent apparent recovery rates for most analytes. Stability investigation of DUS displayed no or only slight decrease of the analyte concentration over a period of 28 days at room temperature. The new method was applied to the analysis of a set of urine samples (n = 91) from a Swedish cohort. The four analytes, DH-CIT, DON, OTA, and TeA + allo-TeA, could be detected and quantified in amounts ranging from 0.06 to 0.97 ng/mL, 3.03 to 136 ng/mL, 0.013 to 0.434 ng/mL and from 0.36 to 47 ng/mL in 38.5%, 70.3%, 68.1%, and 94.5% of the samples, respectively. Additional analysis of these urine samples with an established dilute and shoot (DaS) approach displayed a high consistency of the results obtained with both methods. However, due to higher sensitivity, a larger number of positive samples were observed using the DUS method consequently providing a suitable approach for human biomonitoring of mycotoxin exposure.


Atmosphere ◽  
2021 ◽  
Vol 12 (3) ◽  
pp. 384
Author(s):  
Yaroslav Bezyk ◽  
Izabela Sówka ◽  
Maciej Górka ◽  
Jan Blachowski

Understanding the magnitude and distribution of the mixes of the near-ground carbon dioxide (CO2) components spatially (related to the surface characteristics) and temporally (over seasonal timescales) is critical to evaluating present and future climate impacts. Thus, the application of in situ measurement approaches, combined with the spatial interpolation methods, will help to explore variations in source contribution to the total CO2 mixing ratios in the urban atmosphere. This study presents the spatial characteristic and temporal trend of atmospheric CO2 levels observed within the city of Wroclaw, Poland for the July 2017–August 2018 period. The seasonal variability of atmospheric CO2 around the city was directly measured at the selected sites using flask sampling with a Picarro G2201-I Cavity Ring-Down Spectroscopy (CRDS) technique. The current work aimed at determining the accuracy of the interpolation techniques and adjusting the interpolation parameters for estimating the magnitude of CO2 time series/seasonal variability in terms of limited observations during the vegetation and non-vegetation periods. The objective was to evaluate how different interpolation methods will affect the assessment of air pollutant levels in the urban environment and identify the optimal sampling strategy. The study discusses the schemes for optimization of the interpolation results that may be adopted in areas where no observations are available, which is based on the kriging error predictions for an appropriate spatial density of measurement locations. Finally, the interpolation results were extended regarding the average prediction bias by exploring additional experimental configurations and introducing the limitation of the future sampling strategy on the seasonal representation of the CO2 levels in the urban area.


2020 ◽  
Vol 8 (1) ◽  
Author(s):  
Alba Alvarez-Martin ◽  
John George ◽  
Emily Kaplan ◽  
Lauren Osmond ◽  
Leah Bright ◽  
...  

AbstractTwo mass spectrometry (MS) methods, solid-phase microextraction gas chromatography (SPME–GC–MS) and direct analysis in real time (DART-MS), have been explored to investigate widespread efflorescence observed on exhibited objects at the Smithsonian’s National Museum of the American Indian in New York (NMAI-NY). Both methods show great potential, in terms of speed of analysis and level of information, for identifying the organic component of the efflorescence as 2,2,6,6-tetramethyl-4-piperidinol (TMP-ol) emitted by the structural adhesive (Terostat MS 937) used for exhibit case construction. The utility of DART-MS was proven by detecting the presence of TMP-ol in construction materials in a fraction of the time and effort required for SPME–GC–MS analysis. In parallel, an unobtrusive SPME sampling strategy was used to detect volatile organic compounds (VOCs) accumulated in the exhibition cases. This sampling technique can be performed by collections and conservation staff at the museum and shipped to an off-site laboratory for analysis. This broadens the accessibility of MS techniques to museums without access to instrumentation or in-house analysis capabilities.


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