scholarly journals Northern Tornadoes Project. Northern Tornadoes Flyover Project: Summary Technical Report of the Year 1 Pilot Study

2018 ◽  
Author(s):  
Gregory A. Kopp ◽  
◽  
David Sills ◽  
Emilio S. Hong ◽  
Joanne Kennell
Keyword(s):  
Pilot Study ◽  
Pilot Project ◽  
Radar Data ◽  
Research Quality ◽  
Quality Data ◽  
Summary Table ◽  
Northern Ontario ◽  
Aerial Surveys ◽  
Technical Report ◽  
High Resolution Satellite Imagery

12 January 2018 The objectives of the Year 1 Pilot Study were to (i) develop a methodology for determining tornado occurrence in Northern Ontario, and (ii) obtain research quality data for at least one event. Because of the isolation of many regions, the approach assumed the use of radar data analysis combined with aerial surveys. These objectives were achieved. Aerial surveys were conducted for a total of seven events in Ontario and southern Quebec and 15 confirmed or probable tornadoes identified. Archival geo-tagged imagery was obtained for six of these events. Ten confirmed or probable tornadoes were identified in Ontario, five of which were not in the OSPC database. In addition, 5 tornadoes were confirmed in Quebec. For the 2017 season, the OSPC had a list of 10 verified tornadoes, as of December 21, 2017. The pilot project raises this number to 15. In total, 4 EF2 tornadoes and 1 EF3 tornado were identified via aerial photography. The remainder were EF1 or EF0. UPDATE – 23 April 2018 Based on the analysis of newly available Planet.com high-resolution satellite imagery and related tools, several events were reassessed and a number of additional tornadoes were discovered. Overall, an additional three tornadoes were added to 2017 count. The updated events are listed in a revised 2017 summary table appended at the end of this document.

Lessons Learned From a Pilot Project on Telemedicine Advance Care Planning in an Urban Geriatric Primary Care Office

2021 ◽  
pp. 104990912110369
Author(s):  
Olivia M. Seecof ◽  
Molly Allanoff ◽  
John Liantonio ◽  
Susan Parks
Keyword(s):  
Primary Care ◽  
Pilot Study ◽  
Medical Record ◽  
Advance Care Planning ◽  
Pilot Project ◽  
Lessons Learned ◽  
Care Planning ◽  
Geriatric Population ◽  
Advance Care ◽  
Primary Care Office

Purpose: There is a dearth of literature regarding the documentation of advance care planning (ACP) in the geriatric population, despite the controversial, yet well-studied need for ACP. The purpose of this pilot study was to provide an update to a prior study from our institution that outlined the need for increased documentation of advance care planning (ACP) in an urban geriatric population. Methods: Our study involved using telemedicine to conduct dedicated ACP visits and an electronic medical record (EMR) note-template specifically designed for these visits in an attempt to increase the amount of documented ACP in the EMR in this population. Results: The study did not yield significant results due to the inability to schedule enough patients for these dedicated visits. Discussion: While our study was ultimately unsuccessful, 3 crucial lessons were identified that will inform and fuel future interventions by the authors to further the study of documentation of ACP.

scholarly journals The improvements of the ships of opportunity program in MFS-TEP

Ocean Science ◽  
2007 ◽  
Vol 3 (2) ◽  
pp. 245-258 ◽  
Author(s):  
G. M. R. Manzella ◽  
F. Reseghetti ◽  
G. Coppini ◽  
M. Borghini ◽  
A. Cruzado ◽  
...  
Keyword(s):  
Mediterranean Sea ◽  
Pilot Project ◽  
Quality Data ◽  
Dense Water ◽  
Short Period ◽  
Water Formation ◽  
Dense Water Formation ◽  
Forecasting System ◽  
Opportunity Program ◽  
The Mediterranean

Abstract. The Ships Of Opportunity Program in the Mediterranean Sea was established at the end of 1999, in the framework of the Mediterranean Forecasting System – Pilot Project (MFS-PP). Many improvements have been made in data collection, transmission and management. Calibration of selected XBTs and a comparison of XBTs vs. CTDs during some research cruises have assured the quality of the data. Transmission now allows receiving data in full resolution by using GSM or satellite telecommunication services; management is offering access to high quality data and view services. The effects of technological and methodological improvements in the observing system are assessed in terms of capability to represent the most important circulation features. The improved methodologies have been tested during the Mediterranean Forecasting System – Toward Environmental Prediction (MFS-TEP) – Targeted Operational Period (MFS-TOP), lasting from September 2004 to February 2005. In spite of the short period of measurements, several important aspects of the Mediterranean Sea circulation have been verified, such as eddies and gyres in the various sub-basins, and dense water formation processes in some of them (vertical homogeneous profiles of about 13°C down to ~800 m in the Provençal, and of about 14.9°C down to ~300 m in the Levantine have allowed defining an index of dense water formation).

A rural approach to quality improvement for small rural hospitals: Lessons from rural Texas

2019 ◽  
Vol 33 (2) ◽  
pp. 75-79
Author(s):  
Robert S. Steele ◽  
Elizabeth F. Wenghofer ◽  
Tammy Wagner ◽  
Peter Yu ◽  
Nancy W. Dickey
Keyword(s):  
Rural Areas ◽  
Effective Means ◽  
Medical Knowledge ◽  
Continuing Professional Development ◽  
Pilot Project ◽  
Quality And Safety ◽  
Northern Ontario ◽  
Professional Isolation ◽  
Survey Responses ◽  
Rural Physician

This article describes the Rural Physician Peer Review Program (RPPR©) developed by the Texas A&M Rural and Community Health Institute and presents it as an example of a program that could be implemented in rural Canada as an effective means of continuing professional development (CPD) for rural Canadian physicians. RPPR© post review survey responses from 574 physician participants across rural Texas indicate that they are highly satisfied with RPPR© and that their competency in medical knowledge and patient care improves as a result of participation. A pilot project with two to four northern Ontario hospitals would enable RPPR© to be modified to ensure applicability and feasibility in the northern Ontario context to create an RPPR© “North.” New and innovative approaches to CPD for rural northern physicians need to be continually explored to decrease professional isolation, improve recruitment and retention, and ultimately improve the quality and safety of healthcare in rural areas.

scholarly journals 4541 Harnessing the Power of the Electronic Medical Record in Interstitial Lung Disease

2020 ◽  
Vol 4 (s1) ◽  
pp. 48-49
Author(s):  
Erica Farrand ◽  
Eric Vittinghoff ◽  
Harold Collard
Keyword(s):  
Interstitial Lung Disease ◽  
Clinical Research ◽  
Lung Disease ◽  
Clinical Information ◽  
Demographic Variables ◽  
Data Capture ◽  
Research Quality ◽  
Quality Data ◽  
Research Database ◽  
Consensus Statements

OBJECTIVES/GOALS: Harnessing the EHR to support clinical research is critical for the study of rare diseases such as interstitial lung disease (ILD). However no studies have compared EHR and research-quality data in the ILD population. Our objectives were to (1) identify ILD patients and extract clinical data from an EHR system and (2) assess the performance of ILD data capture. METHODS/STUDY POPULATION: Case validated algorithms were implemented to identify patients from the University of California San Francisco EHR and extract key ILD clinical information including, demographic variables, process measures and patient outcomes. Key clinical information were defined based on consensus statements and ILD clinical trials. A subset of ILD patients, had variables recorded in both the EHR and a separate ILD longitudinal research database. The completeness of EHR data capture and level of agreement were compared between three data collection methods: (1) data manually and systematically collected for an ILD research database (gold standard), (2) data automatically extracted from structured fields in the EHR, and (3) data extracted from unstructured data sources. RESULTS/ANTICIPATED RESULTS: We identified 5857 ILD patients in the EHR, of which 2100 patients had data available in the both the EHR and research database. Baseline demographic variables, co-morbidities, use of diagnostic testing, pharmacotherapy were accurately extracted from structured fields. Outcome measures, including lung physiology, radiographic patterns, pathology results, and health related quality of life (HRQoL) were unevenly extracted from structured fields alone. With the exception of HRQoL, these measures were accurately captured in unstructured EHR sources. Notably, certain metrics were better defined in the EHR, including health care resource utilization metrics, acute exacerbations, medication side effects, supplemental oxygen use and specialty care referrals (rheumatology, lung transplant, palliative care, etc). DISCUSSION/SIGNIFICANCE OF IMPACT: A large real-world ILD cohort can be algorithmically extracted from the EHR along with key clinical variables with accuracy comparable to protocol-driven research databases. Rigorous assessment of the types of disease-specific variables that are present in EHR-derived data will inform future interventions to improve the fidelity, accessibility and use of the EHR in clinical research.

The Impact of an Escape Room Simulation to Improve Nursing Teamwork, Leadership and Communication Skills: A Pilot Project

2020 ◽  
pp. 104687812097273
Author(s):  
Beatriz Valdes ◽  
Mary Mckay ◽  
Jill S. Sanko
Keyword(s):  
Pilot Study ◽  
Situational Awareness ◽  
Teaching Method ◽  
Leadership Skills ◽  
Pilot Project ◽  
Management Tool ◽  
Critical Skills ◽  
Post Test ◽  
Reflective Questions ◽  
The Impact

Background. Commercial escape room simulation-based educational experiences were piloted on a cohort of ten RN-BSN students to determine the effect on mastery of communication, leadership, and teamwork skills. Methods. Pre-test/post-test research design and qualitative questions were used to measure the impact of an escape room simulation activity on teamwork, communication, and leadership skills. The Team Strategies and Tools to Enhance Performance and Patient Safety® Teamwork Attitudes Questionnaire, and self reported levels of confidence and competence questionnaire were administered pre/post escape room simulation to measure communication, team structure and leadership skills. The University of Miami-Crisis Resource Management tool was utilized to measure observed teamwork. Additionally, four open-ended qualitative self-reflective questions were asked following the escape room. Results. Data from the analysis of the pre and post observations of simulation encounters found statistically significant time dependent differences noting improvements in observed teamwork and leadership, p <.001, pre-mean 18.5, post-mean 35.0. Qualitative data revealed the participants found the escape room simulation to be an engaging teaching method to master teamwork and leadership skills. Conclusion. This pilot study sets the foundation for future use and exploration of escape room experiences to teach teamwork, communication, leadership and situational awareness. Following the escape room simulation, observed improvements in teamwork and leadership were found. Participants found the escape room activity to be an engaging experiential teaching method to promote attainment of critical skills needed to work as an effective member of a team. Study findings suggest that the use of an escape room can impart experiential learning with critical skills needed to work as an effective member of a team. As a result of this pilot study, nursing faculty developed an escape room simulation experience that was initiated the following semester.

scholarly journals Critical evaluation of stability constants of metal complexes of complexones for biomedical and environmental applications* (IUPAC Technical Report)

2005 ◽  
Vol 77 (8) ◽  
pp. 1445-1495 ◽  
Author(s):  
Giorgio Anderegg ◽  
Francoise Arnaud-Neu ◽  
Rita Delgado ◽  
Judith Felcman ◽  
Konstantin Popov
Keyword(s):  
Experimental Data ◽  
Stability Constant ◽  
Metal Complexes ◽  
Stability Constants ◽  
Critical Evaluation ◽  
Iminodiacetic Acid ◽  
Quality Data ◽  
Tetraacetic Acid ◽  
Diacetic Acid ◽  
Technical Report

Available experimental data on stability constants of proton (hydron) and metal complexes for seven complexones of particular biomedical and environmental interest: iminodiacetic acid [2,2'-azanediyldiacetic acid, IDA], (methylimino)diacetic acid [2,2'-(methylazanediyl)diacetic acid, MIDA]; 2,2',2'',2'''-{[(carboxymethyl)azanediyl]bis[(ethane-1,2-diyl)nitrilo]}tetraacetic acid (DTPA), 3,6,9,12-tetrakis(carboxymethyl)-3,6,9,12-tetraazatetradecanedioic acid (TTHA); 2,2',2''-(1,4,7-triazonane-1,4,7-triyl)triacetic acid (NOTA); 2,2',2'',2'''-(1,4,7,10-tetraazacyclododecane-1,4,7,10-tetrayl)tetraacetic acid (DOTA); 2,2',2'',2'''-(1,4,8,11-tetraazacyclotetradecane-1,4,8,11-tetrayl)tetraacetic acid (TETA), published in 1945-2000, have been critically evaluated. Some typical errors in stability constant measurements for particular complexones are summarized. Higher quality data are selected and presented as “Recommended” or “Provisional”.

scholarly journals Barriers to the Influence of Research

2021 ◽  
Author(s):  
L. Anne Clyde
Keyword(s):  
Decision Making ◽  
Pilot Study ◽  
Research Quality ◽  
Research Articles ◽  
Small Scale ◽  
International Forum ◽  
School Librarianship ◽  
The Relationship ◽  
Published Research

This paper for the Seventh International Forum on Research in School Librarianship describes a small-scale pilot study that is part of a much larger longitudinal study of “Research and Researchers in School Librarianship”. The pilot study is a preliminary attempt to address issues associated with determining the quality of the published research in the field of school librarianship. The main aims are first, to test the extent to which experienced evaluators agreed in their rankings of research articles on the basis of quality; and secondly, to investigate the ways in which experienced evaluators evaluate research articles. A qualitative, naturalistic research design is used. The data collection was still proceeding at the time the paper was being written; the conference presentation will therefore provide further information about the results of the data analysis and draw some conclusions from the analysis. However, it is already clear from the literature review that the relationship between research quality and the adoption of the results of that research in decision making is more complex than we have supposed.

scholarly journals Synthesis of High-Resolution Research-Quality MRI Data from Clinical MRI Data in Patients with COVID-19

2021 ◽  
Author(s):  
Ryan J Cali ◽  
Holly J Freeman ◽  
Benjamin Billot ◽  
Megan E Barra ◽  
David Fischer ◽  
...  
Keyword(s):  
White Matter ◽  
High Resolution ◽  
Neurological Disorders ◽  
Grey Matter ◽  
Brain Lesion ◽  
Research Quality ◽  
Quality Data ◽  
Focal Lesions ◽  
Mri Scans ◽  
Clinical Mri

Pathophysiological mechanisms of neurological disorders in patients with coronavirus disease 2019 (COVID-19) are poorly understood, partly because of a lack of high-resolution neuroimaging data. We applied SynthSR, a convolutional neural network that synthesizes high-resolution isotropic research-quality data from thick-slice clinical MRI data, to a cohort of 11 patients with severe COVID-19. SynthSR successfully synthesized T1-weighted MPRAGE data at 1 mm spatial resolution for all 11 patients, each of whom had at least one brain lesion. Correlations between volumetric measures derived from synthesized and acquired MPRAGE data were strong for the cortical grey matter, subcortical grey matter, brainstem, hippocampus, and hemispheric white matter (r=0.84 to 0.96, p≤0.001), but absent for the cerebellar white matter and corpus callosum (r=0.04 to 0.17, p>0.61). SynthSR creates an opportunity to quantitatively study clinical MRI scans and elucidate the pathophysiology of neurological disorders in patients with COVID-19, including those with focal lesions.

scholarly journals 2017 EULAR recommendations for a core data set to support observational research and clinical care in rheumatoid arthritis

2018 ◽  
Vol 77 (4) ◽  
pp. 476-479 ◽  
Author(s):  
Helga Radner ◽  
Katerina Chatzidionysiou ◽  
Elena Nikiphorou ◽  
Laure Gossec ◽  
Kimme L Hyrich ◽  
...  
Keyword(s):  
Rheumatoid Arthritis ◽  
Clinical Practice ◽  
Data Collection ◽  
Personalised Medicine ◽  
Research Quality ◽  
Quality Data ◽  
Observational Research ◽  
Common Data Model ◽  
Data Set ◽  
Core Set

Personalised medicine, new discoveries and studies on rare exposures or outcomes require large samples that are increasingly difficult for any single investigator to obtain. Collaborative work is limited by heterogeneities, both what is being collected and how it is defined. To develop a core set for data collection in rheumatoid arthritis (RA) research which (1) allows harmonisation of data collection in future observational studies, (2) acts as a common data model against which existing databases can be mapped and (3) serves as a template for standardised data collection in routine clinical practice to support generation of research-quality data. A multistep, international multistakeholder consensus process was carried out involving voting via online surveys and two face-to-face meetings. A core set of 21 items (‘what to collect’) and their instruments (‘how to collect’) was agreed: age, gender, disease duration, diagnosis of RA, body mass index, smoking, swollen/tender joints, patient/evaluator global, pain, quality of life, function, composite scores, acute phase reactants, serology, structural damage, treatment and comorbidities. The core set should facilitate collaborative research, allow for comparisons across studies and harmonise future data from clinical practice via electronic medical record systems.

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