scholarly journals Reporting and Second-Order Problem Solving can Turn Short-Term Fixes into Long-Term Remedies; Fifty Hospital Employees Given Insulin Instead of Influenza Vaccine; Reminder: Eliminating Ratio Expressions; Strength Confusion

2016 ◽  
Vol 51 (10) ◽  
pp. 799-804 ◽  
Author(s):  
Michael R. Cohen ◽  
Judy L. Smetzer
Keyword(s):  
Problem Solving ◽  
Influenza Vaccine ◽  
Second Order ◽  
Short Term ◽  
Order Problem ◽  
Hospital Employees

Application of Skills to Procrastination (optional)

2017 ◽  
pp. 109-118
Author(s):  
Steven A. Safren ◽  
Susan E. Sprich ◽  
Carol A. Perlman ◽  
Michael W. Otto
Keyword(s):  
Problem Solving ◽  
Cognitive Restructuring ◽  
Case Vignette ◽  
Negative Consequences ◽  
Short Term ◽  
Pros And Cons ◽  
Short Term Effects

This chapter outlines an optional session for clients with ADHD that focuses on procrastination. It describes how the therapist can discuss the attractive aspects of procrastination and how the client can learn to identify the negative consequences of procrastination. An exercise is presented where the client goes over the pros and cons of procrastination using a specific example. The chapter includes a discussion of how previously taught skills of problem-solving, adaptive thinking, and cognitive restructuring can be applied to procrastination. A case vignette illustrates the process of identifying the long-term and short-term effects of procrastination.

Long-Term Area Statistics for Maximum Crest Height Under a Fixed Platform Deck

2018 ◽  
Author(s):  
Øistein Hagen ◽  
Jørn Birknes-Berg ◽  
Ida Håøy Grue ◽  
Gunnar Lian ◽  
Kjersti Bruserud ◽  
...  
Keyword(s):  
Time Series ◽  
North Sea ◽  
Extreme Values ◽  
Second Order ◽  
Irregular Waves ◽  
Scatter Diagram ◽  
Short Term ◽  
Wave Impact ◽  
Crest Height

As offshore reservoirs are depleted, the seabed may subside. Furthermore, the extreme crests estimates are now commonly higher than obtained previously due to improved understanding of statistics of non-linear irregular waves. Consequently, bottom fixed installations which have previously had sufficient clearance between the deck and the sea surface may be in a situation where wave impact with the deck must be considered at relevant probability levels. In the present paper, we investigate the long-term area statistics for maximum crest height under a fixed platform deck for 2nd order short crested and long crested sea based on numerical simulations as a function of platform deck dimension for jackets. The results are for one location in the northern North Sea, but some key results are also reported and verified for a more benign southern North Sea location. Time domain simulations for long crested and short crested waves over a spatial domain with dimension of a platform deck are performed, and relevant statistics for airgap assessment determined. Second order waves are simulated for the different cells in the (Hs, Tp) scatter diagram for Torsethaugen two-peak wave spectrum for long-crested and short-crested sea. A total of 1000 3-hour sea states are generated per cell, and time series generated for 160 spatial points under a platform deck. Short-term and long-term statistics are established for the maximum crest height as function of platform dimension; inline and transverse to the wave direction, and over the area. Results are given for the linear sea and for the second order time series. The annual q-probability estimates for the maximum crest height over area as a function of platform dimension is determined for a location at the Norwegian Continental Shelf by weighting the short-term statistics for the individual cells in the scatter diagram with the long-term probability of occurrence of the sea state. To reduce the number of numerical second order simulations, the effect of excluding cells that have a negligible effect on the long term extreme crest estimate is discussed. The percentiles in the distribution of maximum crest (over area) in design sea states that corresponds to the extreme values obtained from the long-term analysis are determined for long crested and short crested sea. The increase in the extreme crest over an area compared to the point in space estimate is estimated for both linear and second order surface elevation.

The Potential Use of the Microcomputer with Patients Suffering from Cerebral Vascular Accident and Head Injury

1985 ◽  
Vol 48 (6) ◽  
pp. 163-166 ◽  
Author(s):  
Ruth Stoneman
Keyword(s):  
Head Injury ◽  
Problem Solving ◽  
Current Treatment ◽  
Cerebral Vascular Accident ◽  
Therapeutic Tool ◽  
Short Term ◽  
Treatment Approaches ◽  
Potential Use ◽  
Cerebral Vascular

This paper analyses the microcomputer as a therapeutic tool and discusses its potential use in the treatment of the multiple problems of patients suffering from cerebral vascular accident and head injury. Consideration is given to the theories underlying current treatment approaches in order to evaluate the microcomputer's effectiveness. A problem-solving approach is taken to look at both the short-term and long-term problems that can arise and how this tool can be used to solve them.

scholarly journals Role of lean leadership in the lean maturity—second-order problem-solving relationship: a mixed methods study

BMJ Open ◽  
2019 ◽  
Vol 9 (6) ◽  
pp. e026737
Author(s):  
Arie Bijl ◽  
Kees Ahaus ◽  
Gwenny Ruël ◽  
Paul Gemmel ◽  
Bert Meijboom
Keyword(s):  
Quality Improvement ◽  
Mixed Methods ◽  
Problem Solving ◽  
Leadership Practices ◽  
Second Order ◽  
Strengthening Effect ◽  
Order Problem ◽  
Quality Improvement Programme ◽  
Improvement Programme ◽  
Nursing Teams

ObjectivesTo investigate the relationship between lean adoption and problem-solving behaviour in nursing teams, and to explore the practices of lean leaders on nursing wards to reveal how they can stimulate second-order problem-solving within their teams.DesignA mixed-methods retrospective multiple case study using semistructured interviews. Interview data were used to assess the level of lean maturity (based on a customised validated instrument) and the level of second-order problem-solving (based on scenarios). Within-case and cross-case analyses were employed to identify lean leadership practices.Setting14 nursing teams, with different levels of lean maturity, in a Dutch hospital.ParticipantsThree members of each nursing team were interviewed: the team leader, one nurse from the ward’s core team for the lean-based quality improvement programme and one nurse outside the core team.InterventionsThe nursing teams were in various phases of a lean-based quality improvement programme: ‘The Productive Ward – Releasing Time to Care’.ResultsA strongly significant positive relationship between lean maturity and second-order problem-solving was found: β=0.68, R2=0.46, p<0.001. Further, the results indicated a potential strengthening effect of lean leadership on this relationship. Seven lean leadership practices emerged from the data collected in a nursing ward setting: (1) convincing and setting an example; (2) unlocking individual and team potential; (3) solving problems systematically; (4) enthusing, actively participating and visualising; (5) developing self-managing teams; (6) sensing, as orchestrator, what is needed for change; and (7) listening, sharing information and appreciating. These practices have a strong link with transformational leadership.ConclusionsAs lean matures, nursing teams reach a higher level of second-order problem-solving. In later stages, lean leaders increasingly relinquish responsibility by developing self-managing teams.

scholarly journals Nucleoside-modified mRNA vaccination partially overcomes maternal antibody inhibition of de novo immune responses in mice

2020 ◽  
Vol 12 (525) ◽  
pp. eaav5701 ◽  
Author(s):  
Elinor Willis ◽  
Norbert Pardi ◽  
Kaela Parkhouse ◽  
Barbara L. Mui ◽  
Ying K. Tam ◽  
...  
Keyword(s):  
Influenza Virus ◽  
Immune Responses ◽  
Influenza Vaccine ◽  
De Novo ◽  
Influenza Virus Infection ◽  
Antibody Responses ◽  
Maternal Antibodies ◽  
Short Term ◽  
Antibody Inhibition

Maternal antibodies provide short-term protection to infants against many infections. However, they can inhibit de novo antibody responses in infants elicited by infections or vaccination, leading to increased long-term susceptibility to infectious diseases. Thus, there is a need to develop vaccines that are able to elicit protective immune responses in the presence of antigen-specific maternal antibodies. Here, we used a mouse model to demonstrate that influenza virus–specific maternal antibodies inhibited de novo antibody responses in mouse pups elicited by influenza virus infection or administration of conventional influenza vaccines. We found that a recently developed influenza vaccine, nucleoside-modified mRNA encapsulated in lipid nanoparticles (mRNA-LNP), partially overcame this inhibition by maternal antibodies. The mRNA-LNP influenza vaccine established long-lived germinal centers in the mouse pups and elicited stronger antibody responses than did a conventional influenza vaccine approved for use in humans. Vaccination with mRNA-LNP vaccines may offer a promising strategy for generating robust immune responses in infants in the presence of maternal antibodies.

scholarly journals 8D Problem Solving Methodology: Continuous Improvement in Automation Organization

2021 ◽  
Vol 2129 (1) ◽  
pp. 012017
Author(s):  
S Elangovan ◽  
M S Jusoh ◽  
D H Muhd Yusuf ◽  
M S Ismail ◽  
M S Hj Din
Keyword(s):  
Problem Solving ◽  
Average Rate ◽  
Short Term ◽  
Pareto Analysis ◽  
Wiring Harness ◽  
Wire Harness ◽  
Root Cause ◽  
The Wire ◽  
Cause And Effect Diagram

Abstract The Eight Disciplines (8D) is a problem-solving technique methodology to identify the root cause of a problem, devise a short-term fix and implement a long-term solution to prevent recurring problems. 8D is a remarkable first step to enhancing Quality and Reliability when the product is defective or not satisfying the customer. The study was conducted in a manufacturing company producing and assembly wire harness. The data was collected for a period of Three months from July 2020 to September 2020, to identify defective percentage of wire harness and they were found to be high at the average rate of 51.39%. In this work the objective was set to investigates quality issues and provides a solution to reduce the rejection of wiring harness mainly in crimping process. In order to achieve this, 8D problem solving technique was used to analyze and solve the problem. Then, Pareto analysis was done to identify vital causes contributing defectives. From the Pareto analysis, it was found that functioning contact crimp condition with percentage 66.67% is the major cause for rejection. Further brainstorming sessions was held to identify the root causes. After the brainstorming session, cause and effect diagram was constructed and it was found to be variation in the that the connector near cable chain is moving area. Thus, the wire assembly with too high radius may caused external force to the wires when machine running with speed and the end of wire may break off when the wire stretched. The suggestions to reduce the rejection percentage were to install mounting bracket prevent wires shaking when machine running and use proper crimp tools. After implementing the suggestion, the total rejection for wire harness particularly contact crimp condition was reduced to 0.93% in December 2020, from average rejection of 66.67%. (3 months data).

Long-Term Extreme Response of Marine Structures Considering the Combination of First and Second Order Wave Effects

2013 ◽  
Author(s):  
Luis Volnei Sudati Sagrilo ◽  
Fernando Jorge Mendes de Sousa ◽  
José Antonio Vargas Bazán ◽  
Zhen Gao ◽  
Arvid Naess
Keyword(s):  
Hermite Polynomials ◽  
Second Order ◽  
Short Term ◽  
Marine Structure ◽  
Slow Drift ◽  
Extreme Response ◽  
Wave Effects ◽  
Speed Up ◽  
Non Gaussian

In this paper, the long-term extreme response of a floating marine structure subjected to first and second order (slow-drift) wave effects is addressed. The proposed formulation is based on the long-term up-crossing rate, which is obtained by integrating the contribution of all short-term sea states. In order to speed up the evaluation of the long-term integral, an analytical expression for the short-term responses up-crossing rates was adopted. This expression is based on Hermite polynomials, and considers the response as a second order Volterra stochastic process. This formulation was applied to evaluate the 1-yr, 10-yr and 100-yr lateral motions of a circular-shaped monocolumn platform, and the non-Gaussian (nonlinear) results are compared with those obtained by assuming the response as a Gaussian process.

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