Funding the utilization of community health workers in Texas

Community health workers (CHWs) are volunteers or paid members of communities that perform outreach, patient assistance, health education, and assist in navigation of healthcare system amongst other duties. The utilization of CHWs in hospital and community setting provides health benefits to their communities while reducing cost to the overall healthcare system. ^ The general population of Texas lacks adequate access to primary care. An important indicator of such a crisis is excessive usage of emergency department services in Texas, especially by the large minority population within the state. Also, unmanaged chronic diseases have been shown to be correlated with the excessive usage of emergency services. According to a recent survey of 25 Houston metropolitan area hospitals, almost 54% of the ER visits could have been resolved in primary care settings. A Galveston based study also indicated that the ER usage was higher amongst African-Americans and Latinos. Meanwhile, 28.5% of the total ER visits were made by Latinos from the surrounding areas (Begley et al., 2007). There is substantial evidence present which indicates enormous cost-savings that CHWs have produced in Texas and nationwide through reduction in unnecessary ER visits along with better management of chronic diseases (Fedder et al, 2003). ^ This paper provides an analysis regarding the need and importance for sustainable and stable sources of funding for Community health workers (CHWs) in Texas utilizing Kingdon's model of Agenda Setting as framework. The policy analysis is also aimed at reporting on the policy process and actions taken by Children at Risk to address this critical issue. Children at Risk, a Houston based advocacy organization, has created a legislative proposal that calls on the Texas Health and Human Commission to apply for a Medicaid §§1115 waiver to provide sustainable sources of funding for CHWs, Rep. John Zerwas sponsored HB 2244 bill and it was filed on March 3, 2011. The bill would affect the use of CHWs in Texas in two ways: 1) through the establishment and operation of a program designed to train and educate CHWs 2) by creating a statewide training and certification advisory committee. The advisory committee is required in the bill to submit recommendations for providing sustainable funding and employment for CHWs. The HB 2244 failed to move out of the House Public Health committee. However, HB2244 was amended into HB 2610 introduced by Representative Guillen. The House Bill 2610 is geared towards establishing a community-based navigator program in order to assist individuals applying for public assistance through the Internet. The House Bill 2610 was signed by the Governor and will be effective September 1, 2011.^

Radar en la tormenta : la problemática de la selección de textos literarios infantiles

Fil: Pujalde Ibarra, Carmen Patricia. Universidad Nacional del Nordeste

Aplicación práctica transceptor BGT24MTR11 : radar Doppler

En los últimos tiempos, los radares han dejado de ser instrumentos utilizados únicamente en aviación, defensa y detección de velocidad. El avance de la tecnología de radiofrecuencia ha permitido la reducción de coste, tamaño y consumo de los componentes radar. Esto ha permitido que cada sea más frecuente el uso del radar en elementos de nuestra vida cotidiana tales como la automoción, la seguridad, la medida de líquidos… Este proyecto se basa en uno de estos nuevos componentes de bajo coste y pequeño tamaño, el transceptor BGT24MTR11. El BGTR24MTR11 integra transmisor, VCO y receptor, los elementos principales para la creación de un radar Doppler en la banda de frecuencia ISM 24-24,25 GHz. A partir de la placa de evaluación de ese transceptor, se aborda el diseño de un prototipo/demostrador de radar Doppler CW en la banda de 24 GHz. Para la generación de frecuencia se utiliza la placa de evaluación del PLL HMC702 y se ha diseñado un PCB a medida cuyas funciones son las de alimentación, programación y amplificación de las señales recibidas por el prototipo. Por último, se comprueba el correcto funcionamiento del prototipo y se verifica su funcionamiento mediante la simulación de dos escenarios de prueba. ABSTRACT. In the recent times, radar systems have changed of being tools used only in aviation, defence and speed detection. Radiofrequency technology improvements have allowed a cost, size and power consumption of the radar components. This is the reason because each time is more frequent the use of radar in elements of our daily life such as automotive, security, liquid measurements… This Project is base don one of this low power and size components, the MMIC transceptor BGT24MTR11. This transceptor integrates the main components needed to make a Doppler radar in the ISM Band (24-24 GHz), the transmitter, the receiver with the low noise amplifier and the VCO. Using the evaluation board of this transceptor, this Project approach the design of a CW Doppler radar prototype/demonstrator in the frequency band of 24 GHz. The frequency generation is based on the use of the HMC702 PLL evaluation board. Moreover, it has been designed a custom PCB whose funcionts are the power supply, programation and amplification of the signals received by the prototype. At the end, the correct operation of the prototype is verified and it is tested simulating two different test scenarios.

In situ investigation of rapid subsurface flow : Temporal dynamics and catchment-scale implication

Non peer reviewed

Department of Transportation national plan for navigation /

Issued Nov. 1977.

The effects of traffic radar guns on law enforcement officers : hearing before the Ad Hoc Subcommittee on Consumer and Environmental Issues of the Committee on Governmental Affairs, United States Senate, One Hundred Second Congress, second session, August 10, 1992.

Includes bibliographical references.

Coastal Ocean Dynamics Applications Radar (CODAR) remote sensing demonstration program /

Mode of access: Internet.

A system for using radar to record wave direction /

"September 1979."

Individual differences and personality correlates of navigational performance in the virtual route learning task

Research on the mechanisms and processes underlying navigation has traditionally been limited by the practical problems of setting up and controlling navigation in a real-world setting. Thanks to advances in technology, a growing number of researchers are making use of computer-based virtual environments to draw inferences about real-world navigation. However, little research has been done on factors affecting human–computer interactions in navigation tasks. In this study female students completed a virtual route learning task and filled out a battery of questionnaires, which determined levels of computer experience, wayfinding anxiety, neuroticism, extraversion, psychoticism and immersive tendencies as well as their preference for a route or survey strategy. Scores on personality traits and individual differences were then correlated with the time taken to complete the navigation task, the length of path travelled,the velocity of the virtual walk and the number of errors. Navigation performance was significantly influenced by wayfinding anxiety, psychoticism, involvement and overall immersive tendencies and was improved in those participants who adopted a survey strategy. In other words, navigation in virtual environments is effected not only by navigational strategy, but also an individual’s personality, and other factors such as their level of experience with computers. An understanding of these differences is crucial before performance in virtual environments can be generalised to real-world navigational performance.

Do we need to rethink our waterways? Values of ageing waterways in current and future society

In the past canals were developed, and some rivers were heavily altered, driven by the need for good transportation infrastructure. Major investments were made in navigation locks, weirs and artificial embankments, and many of these assets are now reaching the end of their technical lifetime. Since then the concept of integrated water resource management (IWRM) emerged as a concept to manage and develop water-bodies in general. Two pressing problems arise from these developments: (1) major reinvestment is needed in order to maintain the transportation function of these waterways, and (2), it is not clear how the implementation of the concept of IWRM can be brought into harmony with such reinvestment. This paper aims to illustrate the problems in capital-intensive parts of waterway systems, and argues for exploring value-driven solutions that rely on the inclusion of multiple values, thus solving both funding problems and stakeholder conflicts. The focus on value in cooperative strategies is key to defining viable implementation strategies for waterway projects.

Convecção linearmente organizada na área de Petrolina, semi-árido do Nordeste do Brasil: aspectos em meso e grande escala

É apresentado um estudo sobre sistemas convectivos linearmente organizados e observados por um radar meteorológico banda-C na região semi-árida do Nordeste do Brasil. São analisados três dias (27 a 29) de março de 1985, com ênfase na investigação do papel desempenhado por fatores locais e de grande escala no desenvolvimento dos sistemas. No cenário de grande escala, a área de cobertura do radar foi influenciada por um cavado de ar superior austral no dia 27 e por um vórtice ciclônico de altos níveis no dia 29. A convergência de umidade próxima à superfície favoreceu a atividade convectiva nos dias 27 e 29, enquanto que divergência de umidade próxima à superfície inibiu a atividade convectiva no dia 28. No cenário de mesoescala, foi observado que o aquecimento diurno é um fator importante para a formação de células convectivas, somando-se a ele o papel determinante da orografia na localização dos ecos. De maneira geral, as imagens de radar mostram os sistemas convectivos linearmente organizados em áreas elevadas e núcleos convectivos intensos envolvidos por uma área de precipitação estratiforme. Os resultados indicam que convergência do fluxo de umidade em grande escala e aquecimento radiativo, são fatores determinantes na evolução e desenvolvimento dos ecos na área de estudo.

Utilização de métodos acústicos em estudos de dinâmica costeira: exemplo na desembocadura lagunar de cananéia

Em função de suas condições de interface entre águas doces e salinas, desembocaduras estuarinas e lagunares constituem sistemas geomorfológicos altamente complexos e dinâmicos. Como conseqüência da variabilidade espacial e temporal dos fluxos de maré, o leito responde com uma grande variabilidade nas características morfológicas e sedimentares. Neste sentido, é possível relacionar diretamente a circulação de fundo e o transporte sedimentar com as feições submersas geradas. Perfis de ecossondagem, sonar de varredura lateral e sísmica de alta resolução, executados na desembocadura lagunar de Cananéia, revelaram a existência de uma dinâmica de fundo extremamente complexa, caracterizada por marcas onduladas e ondas de areia de alturas métricas. As maiores ondas de areia, localizadas em uma depressão na desembocadura lagunar, apresentam inversão de polaridade em sua assimetria, com a presença de ondas simétricas de grande tamanho no ponto de inversão. Este padrão morfológico não apresenta variação temporal em escala anual, sugerindo a persistência de um padrão de fluxos sobre o leito. Esta dinâmica revela, também, a constância de fluxos convergentes que aparentemente independem das condições de maré enchente ou vazante. Os resultados permitiram o estabelecimento de um primeiro modelo qualitativo de circulação de fundo na área, com aplicações potenciais na navegação e estudos de proteção da costa.

FMRI 3D registration based on Fourier space subsets using neural networks

In this work, we present a neural network (NN) based method designed for 3D rigid-body registration of FMRI time series, which relies on a limited number of Fourier coefficients of the images to be aligned. These coefficients, which are comprised in a small cubic neighborhood located at the first octant of a 3D Fourier space (including the DC component), are then fed into six NN during the learning stage. Each NN yields the estimates of a registration parameter. The proposed method was assessed for 3D rigid-body transformations, using DC neighborhoods of different sizes. The mean absolute registration errors are of approximately 0.030 mm in translations and 0.030 deg in rotations, for the typical motion amplitudes encountered in FMRI studies. The construction of the training set and the learning stage are fast requiring, respectively, 90 s and 1 to 12 s, depending on the number of input and hidden units of the NN. We believe that NN-based approaches to the problem of FMRI registration can be of great interest in the future. For instance, NN relying on limited K-space data (possibly in navigation echoes) can be a valid solution to the problem of prospective (in frame) FMRI registration.

TIGRE - An autonomous ground robot for outdoor exploration

13th International Conference on Autonomous Robot Systems (Robotica), 2013

Anàlisi i tècniques de processat del senyal per a la generació de mapes eòlics

L’emplaçament del projecte es situa a un parc eòlic marítim, on es vol observar el vent a través del radar VAD, Velocity Azimuth Display, per poder controlar la velocitat de rotació dels aerogeneradors, i poder substituir els actuals anemòmetres. No ens centrarem en el control d’aquest, sinó que l’objectiu principal d’aquest projecte és analitzar el funcionament i processat de dades del VAD. Es proposaran, simularan i estudiaran noves tècniques d’estimació espectral per obtenir una millora important amb les mesures de velocitat, direcció i divergència del vent, per tal de construir un radar més robust a pertorbacions. A més a més, també il·lustrarem mapes eòlics obtinguts a partir de tot el processat.