C. difficle surveillance quarterly report: July-September 2015

This quarterly report provides epidemiological data on�C. difficile�in Northern Ireland, and includes key points, a comprehensive�overview of all�C. diff�infections, rates, trends, age-specific information�and statistical process control charts.

Gender and the professional career of primary care physicians in Andalusia (Spain).

Background: Although the proportion of women in medicine is growing, female physicians continue to be disadvantaged in professional activities. The purpose of the study was to determine and compare the professional activities of female and male primary care physicians in Andalusia and to assess the effect of the health center on the performance of these activities. Methods: Descriptive, cross-sectional, and multicenter study. Setting: Spain. Participants: Population: urban health centers and their physicians. Sample: 88 health centers and 500 physicians. Independent variable: gender. Measurements: Control variables: age, postgraduate family medicine specialty (FMS), patient quota, patients/day, hours/day housework from Monday to Friday, idem weekend, people at home with special care, and family situation. Dependent variables: 24 professional activities in management, teaching, research, and the scientific community. Self-administered questionnaire. Descriptive, bivariate, and multilevel logistic regression analyses. Results: Response: 73.6%. Female physicians: 50.8%. Age: female physicians, 49.1 ± 4.3 yrs; male physicians, 51.3 ± 4.9 yrs (p < 0.001). Female physicians with FMS: 44.2%, male physicians with FMS: 33.3% (p < 0.001). Female physicians dedicated more hours to housework and more frequently lived alone versus male physicians. There were no differences in healthcare variables. Thirteen of the studied activities were less frequently performed by female physicians, indicating their lesser visibility in the production and diffusion of scientific knowledge. Performance of the majority of professional activities was independent of the health center in which the physician worked. Conclusions: There are gender inequities in the development of professional activities in urban health centers in Andalusia, even after controlling for family responsibilities, work load, and the effect of the health center, which was important in only a few of the activities under study.

"The 3/3 strategy": a successful multifaceted hospital wide hand hygiene intervention based on WHO and continuous quality improvement methodology.

BACKGROUND Only multifaceted hospital wide interventions have been successful in achieving sustained improvements in hand hygiene (HH) compliance. METHODOLOGY/PRINCIPAL FINDINGS Pre-post intervention study of HH performance at baseline (October 2007-December 2009) and during intervention, which included two phases. Phase 1 (2010) included multimodal WHO approach. Phase 2 (2011) added Continuous Quality Improvement (CQI) tools and was based on: a) Increase of alcohol hand rub (AHR) solution placement (from 0.57 dispensers/bed to 1.56); b) Increase in frequency of audits (three days every three weeks: "3/3 strategy"); c) Implementation of a standardized register form of HH corrective actions; d) Statistical Process Control (SPC) as time series analysis methodology through appropriate control charts. During the intervention period we performed 819 scheduled direct observation audits which provided data from 11,714 HH opportunities. The most remarkable findings were: a) significant improvements in HH compliance with respect to baseline (25% mean increase); b) sustained high level (82%) of HH compliance during intervention; c) significant increase in AHRs consumption over time; c) significant decrease in the rate of healthcare-acquired MRSA; d) small but significant improvements in HH compliance when comparing phase 2 to phase 1 [79.5% (95% CI: 78.2-80.7) vs 84.6% (95% CI:83.8-85.4), p<0.05]; e) successful use of control charts to identify significant negative and positive deviations (special causes) related to the HH compliance process over time ("positive": 90.1% as highest HH compliance coinciding with the "World hygiene day"; and "negative":73.7% as lowest HH compliance coinciding with a statutory lay-off proceeding). CONCLUSIONS/SIGNIFICANCE CQI tools may be a key addition to WHO strategy to maintain a good HH performance over time. In addition, SPC has shown to be a powerful methodology to detect special causes in HH performance (positive and negative) and to help establishing adequate feedback to healthcare workers.

High-resolution seismic images of potentially seismogenic structures beneath the northwest Canterbury Plains, New Zealand

The transpressional boundary between the Australian and Pacific plates in the central South Island of New Zealand comprises the Alpine Fault and a broad region of distributed strain concentrated in the Southern Alps but encompassing regions further to the east, including the northwest Canterbury Plains. Low to moderate levels of seismicity (e. g., 2 > M 5 events since 1974 and 2 > M 4.0 in 2009) and Holocene sediments offset or disrupted along rare exposed active fault segments are evidence for ongoing tectonism in the northwest plains, the surface topography of which is remarkably flat and even. Because the geology underlying the late Quaternary alluvial fan deposits that carpet most of the plains is not established, the detailed tectonic evolution of this region and the potential for larger earthquakes is only poorly understood. To address these issues, we have processed and interpreted high-resolution (2.5 m subsurface sampling interval) seismic data acquired along lines strategically located relative to extensive rock exposures to the north, west, and southwest and rare exposures to the east. Geological information provided by these rock exposures offer important constraints on the interpretation of the seismic data. The processed seismic reflection sections image a variably thick layer of generally undisturbed younger (i.e., < 24 ka) Quaternary alluvial sediments unconformably overlying an older (> 59 ka) Quaternary sedimentary sequence that shows evidence of moderate faulting and folding during and subsequent to deposition. These Quaternary units are in unconformable contact with Late Cretaceous-Tertiary interbedded sedimentary and volcanic rocks that are highly faulted, folded, and tilted. The lowest imaged unit is largely reflection-free Permian Triassic basement rocks. Quaternary-age deformation has affected all the rocks underlying the younger alluvial sediments, and there is evidence for ongoing deformation. Eight primary and numerous secondary faults as well as a major anticlinal fold are revealed on the seismic sections. Folded sedimentary and volcanic units are observed in the hanging walls and footwalls of most faults. Five of the primary faults represent plausible extensions of mapped faults, three of which are active. The major anticlinal fold is the probable continuation of known active structure. A magnitude 7.1 earthquake occurred on 4 September 2010 near the southeastern edge of our study area. This predominantly right-lateral strike-slip event and numerous aftershocks (ten with magnitudes >= 5 within one week of the main event) highlight the primary message of our paper: that the generally flat and topographically featureless Canterbury Plains is underlain by a network of active faults that have the potential to generate significant earthquakes.

An Experimental Validation of a Statistical-Based Damage Detection Approach, January 2011

In this work, a previously-developed, statistical-based, damage-detection approach was validated for its ability to autonomously detect damage in bridges. The damage-detection approach uses statistical differences in the actual and predicted behavior of the bridge caused under a subset of ambient trucks. The predicted behavior is derived from a statistics-based model trained with field data from the undamaged bridge (not a finite element model). The differences between actual and predicted responses, called residuals, are then used to construct control charts, which compare undamaged and damaged structure data. Validation of the damage-detection approach was achieved by using sacrificial specimens that were mounted to the bridge and exposed to ambient traffic loads and which simulated actual damage-sensitive locations. Different damage types and levels were introduced to the sacrificial specimens to study the sensitivity and applicability. The damage-detection algorithm was able to identify damage, but it also had a high false-positive rate. An evaluation of the sub-components of the damage-detection methodology and methods was completed for the purpose of improving the approach. Several of the underlying assumptions within the algorithm were being violated, which was the source of the false-positives. Furthermore, the lack of an automatic evaluation process was thought to potentially be an impediment to widespread use. Recommendations for the improvement of the methodology were developed and preliminarily evaluated. These recommendations are believed to improve the efficacy of the damage-detection approach.

Paperikoneen laatusäätöjärjestelmän uusinnan vaikutukset laatusäätöjen suorituskykyyn

Tutkimuksen kohteena olleen UPM-Kymmene Oyj Kajaanin tehtaan PK3:n laatusäätöjärjestelmä ja mittapalkki uusittiin, jolloin haluttiin selvittää uusinnan vaikutuksia laatusäätöjen suorituskykyyn ja paperin laatuun. Työn kirjallisessa osassa perehdyttiin paperinvalmistusprosessin osiin kyseisen sanomalehtipaperikoneen tapauksessa sekä keskeisimpiin paperin laatuominaisuuksiin liittyviin mittaus- ja säätölaitteisiin sekä niiden toimintaan. Seurattaviksi paperin laatusuureiksi valittiin neliömassa, kuivamassa, kosteus ja paksuus, jotka ovat sanomalehtipaperin tärkeimpiä online-mitattavia ominaisuuksia. Paperin laatusuureiden seurantaan käytetään erilaisia tunnuslukuja ja työkaluja, joita on esitelty tässä työssä. Laatusuureiden konesuuntaisen ja poikkisuuntaisen seurannan tunnusluvuksi valittiin yleisesti käytössä oleva 2σ-keskiarvohajonta. Säätöjen suorituskykyä seurattiin suorituskykykolmion ohjausmatkaindeksien (CTI) ja erosuureen integraalien (IAE) avulla. Kokeellisessa osassa kerättiin mittaustietoja sekä vanhan että uuden laatusäätöjärjestelmän aikana. Seurattavat ajotilanteet paperikoneella jaettiin stabiiliin ajoon ja muutostilanteisiin, jotka käsittävät katkot ja lajinvaihtotilanteet. Stabiilin ajon aikana selvitettiin laatusuureiden hajontojen ja säätöjen suorituskykyindeksien normaaleissa tasoissa tapahtuneet muutokset. Muutostilanteiden osalta haluttiin selvittää, nopeuttaako järjestelmäuusinta katkoista toipumista ja lajinvaihtoaikaa. Stabiilin ajon seurannasta saatujen tulosten perusteella neliömassan ja kuivamassan konesuuntaiset hajonnat kasvoivat järjestelmäuusinnan myötä, mutta kosteuden konesuuntaiset hajonnat pienenivät. Laatusuureiden poikkisuuntaisista hajonnoista neliömassan sekä kuivamassan hajonnat kasvoivat ja kosteuden sekä paksuuden hajonnat pienenivät joidenkin lajien osalta. Poikkisuuntaisten laatusuureiden, etenkin paksuuden, toipuminen katkon jälkeen nopeutui. Myös lajinvaihtoon kuluva aika lyheni poikkisuuntaisilla laatusuureilla. Muutostilanteiden konesuuntaisten hajontojen asettumisajat eivät juuri parantuneet.

Calculation analysis of energy saving tools for fan and pump applications

This thesis analyses the calculation of FanSave and PumpSave energy saving tools calculation. With these programs energy consumption of variable speed drive control for fans and pumps can be compared to other control methods. With FanSave centrifugal and axial fans can be examined and PumpSave deals with centrifugal pumps. By means of these programs also suitable frequency converter can be chosen from the ABB collection. Programs need as initial values information about the appliances like amount of flow and efficiencies. Operation time is important factor when calculating the annual energy consumption and information about it are the length and profile. Basic theory related to fans and pumps is introduced without more precise instructions for dimensioning. FanSave and PumpSave contain various methods for flow control. These control methods are introduced in the thesis based on their operational principles and suitability. Also squirrel cage motor and frequency converter are introduced because of their close involvement to fans and pumps. Second part of the thesis contains comparison between results of FanSave’s and PumpSave’s calculation and performance curve based calculation. Also laboratory tests were made with centrifugal and axial fan and also with centrifugal pump. With the results from this thesis the calculation of these programs can be adjusted to be more accurate and also some new features can be added.

Kinetic behavior of nitrification in the post-treatment of poultry wastewater in a sequential batch reactor

A sequential batch reactor with suspended biomass and useful volume of 5 L was used in the removal of nutrients and organic matter in workbench scale under optimal conditions obtained by central composite rotational design (CCRD), with cycle time (CT) of 16 h (10.15 h, aerobic phase, and 4.35 h, anoxic phase) and carbon: nitrogen ratio (COD/NO2--N+NO3--N) equal to 6. Complete cycles (20), nitrification followed by denitrification, were evaluated to investigate the kinetic behavior of degradation of organic (COD) and nitrogenated (NH4+-N, NO2--N and NO3--N) matter present in the effluent from a bird slaughterhouse and industrial processing facility, as well as to evaluate the stability of the reactor using Shewhart control charts of individual measures. The results indicate means total inorganic nitrogen (NH4+-N+NO2- -N+NO3--N) removal of 84.32±1.59% and organic matter (COD) of 53.65±8.48% in the complete process (nitrification-denitrification) with the process under statistical control. The nitrifying activity during the aerobic phase estimated from the determination of the kinetic parameters had mean K1 and K2 values of 0.00381±0.00043 min-1 and 0.00381±0.00043 min-1, respectively. The evaluation of the kinetic behavior of the conversion of nitrogen indicated a possible reduction of CT in the anoxic phase, since removals of NO2--N and NO3--N higher than 90% were obtained with only 1 h of denitrification.

Simulation de centres de contacts

Thèse numérisée par la Division de la gestion de documents et des archives de l'Université de Montréal

Le lien entre la stratégie d'affaires et la participation syndicale dans le secteur privé au Québec : le rôle médiateur de la satisfaction au travail

Thèse numérisée par la Division de la gestion de documents et des archives de l'Université de Montréal

Flächenhafte und funktionale Analyse kleinräumiger standortbedingter Variationen der Grünlandvegetation und -produktivität

Zur Abbildung heterogener Standorteigenschaften und Ertragspotenziale werden zunehmend flächenhafte Daten nachgefragt. Insbesondere für Grünland, das häufig durch ausgeprägte Standortheterogenität gekennzeichnet ist, ergeben sich hohe Anforderungen an die Wiedergabequalität, denn die realen Verhältnisse sollen in praktikabler Weise möglichst exakt abgebildet werden. Außerdem können flächenhafte Daten genutzt werden, um Zusammenhänge zwischen teilflächenspezifischen Standorteigenschaften und Grünlandaspekten detaillierter zu analysieren und bisher nicht erkannte Wechselbeziehungen nachzuweisen. Für mitteleuropäisches Grünland lagen zu Beginn dieser Arbeit derartige räumliche Untersuchungen nicht oder nur in Teilaspekten vor. Diese Arbeit befasste sich mit der Analyse von Wirkungsbeziehungen zwischen Standort- und Grünlandmerkmalen auf einer im Nordhessischen Hügelland (Deutschland) weitgehend praxisüblicher bewirtschafteten 20 ha großen Weidefläche. Erhoben wurden als Standortfaktoren die Geländemorphologie, die Bodentextur, die Grundnährstoffgehalten sowie als Parameter des Grünlandbestandes die botanische Zusammensetzung, der Ertrag und die Qualitätsparameter. Sie wurden sowohl in einem 50 m-Raster ganzflächig, als auch auf drei 50x50 m großen Teilflächen in erhöhter Beprobungsdichte (6,25 m-Rasterweite) aufgenommen. Die relevanten Fragestellungen zielen auf die räumliche und zeitliche Variabilität von Grünlandbestandesparametern innerhalb von Grünlandflächen sowie deren Abhängigkeit von den Standortfaktoren. Ein weiterer Schwerpunkt war die Überprüfung der Frage, ob die reale Variabilität der Zielvariablen durch die Interpolierung der punktuell erfassten Daten wiedergegeben werden kann. Die Beziehungen zwischen Standort- und Grünlandmerkmalen wurden mit monokausalen und multivariaten Ansätzen untersucht. Die Ergebnisse ließen, unabhängig vom Jahreseinfluss, bereits bestimmte Zusammenhänge zwischen botanischer Zusammensetzung und Standort, auch auf dem untersuchten kleinen Maßstab innerhalb der Grünlandfläche, finden. Demzufolge können unterschiedliche Areale abgegrenzt und charakterisiert werden, die als Grundlage für Empfehlungen zur Ausweisung von Arealen zur teilspezifischen Bewirtschaftung erarbeitet wurden. Die Validierung der interpolierten Daten zeigte, dass die 50-m Rasterbeprobung nur eine begrenzte Wiedergabe der räumlichen Variabilität ermöglicht. Inwieweit derartige Beziehungen quantitativ genauer beschreibbar sind, bleibt auf Grund der verbliebenen unerklärten Varianz im Datensatz dieser Studie offen.

Variables psicológicas implicadas en el estudio de las Matemáticas.

1) Buscar unas variables que hagan distintivas las características de los sujetos que prefieren o eligen Matemáticas. 2) Comprobar nuevos instrumentos de medida y la fiabilidad que puedan tener aplicados a un área específica. 123 alumnos de la Universidad de La Laguna de primer curso de Matemáticas, 33 mujeres y 28 varones, y 62 estudiantes de primer de Derecho, 34 mujeres y 28 varones, entre los 17 y 24 años. Proceso de la investigación variables independientes: carrera, sexo. Variables dependientes: puntuaciones de los sujetos en las siguientes pruebas: test de figuras ocultas, test de grupos de letras, cuestionario de locus de control, locus de control interno y de control externo. Variables covariantes: test de problemas aritméticos, edad. Variables controladas: tiempo de ejecución, voluntariedad de las pruebas, comunicación entre los sujetos, hora del dia, lugar, motivación hacia las Matemáticas. 1) Test de figuras ocultas. 2) Test de grupos de letras. 3) Cuestionario locus de control para adultos Lucam, Pelechano y Baguena, 1983. 4) Test de problemas aritméticos. 5) Cuestionario de datos personales. 1) Análisis discriminante con método 'Paso a paso','RAO', y otro con método directo. 2) ANOVAS de 2x2, carrera por sexo, y pruebas de diferencias de medias t-test. 1) Los estudiantes de Matemáticas resultaron más independientes de campo que los estudiantes de Derecho; 2) Se confirma la tendencia a elegir carreras congruentes con el estilo cognitivo; 3) En la variable locus de control interno, no se halló diferencias signifiativas entre las carreras. Para los varones, han resultado con un locus de control significativamente más interno aquellos que escogieron Matemáticas. La media de puntuación de las mujeres es prácticamente la misma, no importa la carrera elegida; 4) Los varones estudiantes de Matemáticas tienden a ser más responsables y autocríticos que los estudiantes de Derecho. Las mujeres son igualmente responsables, pero menos que los varones de Matemáticas. 5) Los varones de Derecho resultaron significativamente más externos que los de Matemáticas. Las mujeres menos externas que los varones de Derecho, pero más que los varones de Matemáticas. Conclusiones y prospectiva: en primer lugar la variable que alcanza un mayor poder de discriminación entre los grupos, es el razonamiento inductivo, característica más significativa de los estudiantes de Matemáticas; en segundo lugar se encuentra el factor 1 del locus de control, FPI= externo social, depresivo fatalista, con una función de 0,68; para este factor no hemos podido hallar una explicación; en tercer lugar, la dependencia-independencia de campo con 0,59 en su función discriminante para el grupo de Matemáticas.

Programa de diagnóstico y corrección de necesidades de orientación en alumnos de EGB y BUP : estudio comparativo y evaluación de un modelo teórico.

Averiguar las necesidades reales de orientación de alumnos de EGB y BUP para comprobar si el modelo teórico del profesor-orientador se adecúa a la situación. Conocer las necesidades de dichos alumnos, tanto en aspectos de madurez personal como de rendimiento académico. Evaluar el tipo de ayuda psicopedagógica planteada: modelo teórico de profesor-orientador. Adaptar instrumentos de evaluación de necesidades educativas para poblaciones escolares españolas. Comparar resultados de las muestras de las comunidades de Madrid y Cantabria, así como de diferentes tipos de centros con Departamento de Orientación o sin él. 1043 alumnos de EGB y 1232 de BUP de 35 centros de Madrid y Cantabria. Estudio dividido en 2 etapas. La primera es puramente descriptiva, mientras que en la segunda se realiza un diseño cuasi experimental para comprobar la eficacia del modelo. Las variables analizadas han sido el autoconcepto, el lugar de control y una información relativa a su situación dentro del centro. En BUP se utilizó en vez de la variable lugar de control otra que hace referencia al tipo de valores dominante. Dichas variables independientes se correlacionan con los resultados académicos y los datos obtenidos en el Cuestionario de Orientación Escolar.. Cuestionario de autoconcepto SEI de Coopersmith, Cuestionario de locus de control de Nowicki, Cuestionario de valores de Mischel y Cuestionario de Orientación Escolar de Martín. Se utilizan diversas técnicas de análisis multivariable como análisis correlacional, análisis factorial, análisis multivariable de la varianza, etc., todos ellos a través del paquete informático SPSS. Los resultados se presentan en 3 grupos: respecto a la muestra investigada, respecto a los instrumentos utilizados y respecto al modelo de orientación. De todo ello se desprende la necesidad de mejorar los instrumentos y perfilar el modelo de orientación utilizado, así como la necesidad de búsqueda de nuevas perspectivas teóricas y prácticas en lo relativo a la orientación de estos alumnos. Se debería generalizar en los centros educativos la aplicación de modelos de orientación que puedan ser desarrollados por el profesor en el aula. Hay que valorar positivamente el cambio histórico que se está produciendo en nuestro país en materia de orientación escolar, manifestado en una preocupación y constante esfuerzo por mejorar los niveles y la calidad de la oferta.

Determining nugget: sill ratios of standardized variograms from aerial photographs to krige sparse soil data

Maps of kriged soil properties for precision agriculture are often based on a variogram estimated from too few data because the costs of sampling and analysis are often prohibitive. If the variogram has been computed by the usual method of moments, it is likely to be unstable when there are fewer than 100 data. The scale of variation in soil properties should be investigated prior to sampling by computing a variogram from ancillary data, such as an aerial photograph of the bare soil. If the sampling interval suggested by this is large in relation to the size of the field there will be too few data to estimate a reliable variogram for kriging. Standardized variograms from aerial photographs can be used with standardized soil data that are sparse, provided the data are spatially structured and the nugget:sill ratio is similar to that of a reliable variogram of the property. The problem remains of how to set this ratio in the absence of an accurate variogram. Several methods of estimating the nugget:sill ratio for selected soil properties are proposed and evaluated. Standardized variograms with nugget:sill ratios set by these methods are more similar to those computed from intensive soil data than are variograms computed from sparse soil data. The results of cross-validation and mapping show that the standardized variograms provide more accurate estimates, and preserve the main patterns of variation better than those computed from sparse data.

Perdas de grãos e distribuição de palha na colheita mecanizada de soja

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)