Exploring parents' memories of their child's death related sensory experiences as a dimension of grieving

Little is known about how dying children and their parents experience death. Dying children have reported death related sensory experiences (DRSEs), defined as seeing or hearing someone or something not visible or audible to others, associated with dying. Although parents report that they and the dying child benefit from these experiences, healthcare providers often unknowingly dismiss them. The aims of this phenomenological inquiry were to describe children's DRSEs and their meaning from the parents' perspectives. Four fathers and six mothers of African American, Caucasian, or Hispanic ethnicity, all Christian, ranging in age from 35 to 59 years, whose child died 23 to 52 months prior and was treated at a children's cancer center, were interviewed in the home or hospital setting of their choice. Children's ages at the time of their death ranged from 4 to 13 years. A modification of van Kaarn's phenomenological method of analysis was used to analyze data. Themes emerging from the data for the first aim were: perceiving someone or something from a spiritual realm others could not, expressing awareness tempered by parental reactions, and embracing transcendence. Themes emerging from the data for the second aim were: spiritual beings prepared child; child revealed reality, preparing parents; and child transcended wholly, easing parents' grief. Post-interview surveys revealed that parents found participating in this study a "very positive" or "positive" experience, particularly being able to tell the story of their child. Children's DRSEs have clinical implications for all who provide care near the end of life. Informing parents of DRSEs, cautioning that not all dying children express them, may help parents to anticipate this phenomenon, which may decrease anxiety when their child expresses them, increasing the opportunity for open dialogue between parent and child about dying and death, and decrease regrets associated with being unreceptive to their child's expressions of death awareness. Validating a child's DRSE can have profound effects on bereaved parents. Examining DRSEs from the child's perspective and the influence of informing parents of DRSEs on the dying experience of the child and the parental grieving process are recommended. ^

Performance in healthcare organizations: The quality dimension

In the context of a healthcare organization, such as a hospital that provides medical care to its community, performance cannot be measured without special attention to quality. Indeed, quality is as important as finance not only in measuring performance for the organization, but also in securing the organization's viability and competitiveness in the long run.^ Yet quality today is not adequately understood and managed. An inductive framework for integrating finance and quality for purposes of organizational performance measurement as well as strategic planning is proposed in this dissertation. Future areas of research are discussed.^

Nonlinear dimension reduction in pathway-based genome-wide association analysis

Pathway based genome wide association study evolves from pathway analysis for microarray gene expression and is under rapid development as a complementary for single-SNP based genome wide association study. However, it faces new challenges, such as the summarization of SNP statistics to pathway statistics. The current study applies the ridge regularized Kernel Sliced Inverse Regression (KSIR) to achieve dimension reduction and compared this method to the other two widely used methods, the minimal-p-value (minP) approach of assigning the best test statistics of all SNPs in each pathway as the statistics of the pathway and the principal component analysis (PCA) method of utilizing PCA to calculate the principal components of each pathway. Comparison of the three methods using simulated datasets consisting of 500 cases, 500 controls and100 SNPs demonstrated that KSIR method outperformed the other two methods in terms of causal pathway ranking and the statistical power. PCA method showed similar performance as the minP method. KSIR method also showed a better performance over the other two methods in analyzing a real dataset, the WTCCC Ulcerative Colitis dataset consisting of 1762 cases, 3773 controls as the discovery cohort and 591 cases, 1639 controls as the replication cohort. Several immune and non-immune pathways relevant to ulcerative colitis were identified by these methods. Results from the current study provided a reference for further methodology development and identified novel pathways that may be of importance to the development of ulcerative colitis.^

Tab. 1: Approximate dimension of the pingos

A group of nine pingos occurs in the valley of a glacial meltwater river. The pingos rise from a plain of low-center polygons. Some pingos have a typical cone shape, but others are linear, apparently centered on ice wedges . The occurrence of most pingos at the junction of oversize ice wedge polygon ridges suggests that the injection of water and the segregation of ice occurred along pathways provided by the ice wedges.

Toiling children in India : the gender dimension

Child labour in several low income households is rather pursued for gaining experience and at times for meagre incomes, which are possibly spent on household food expenditure. Though the contribution made by the child labour to the overall wellbeing does not turn out to be substantial, without child labour these households would have been much worse off than the households which can afford not to have child labour. The probability of working is higher for a male child compared to a girl child. This is because the girl children are often engaged in household activities and even when they are engaged in income earning jobs they are shown as helpers. Parents' income as such may not be having a positive impact on child's education rather it is the educational level of the parents which matters in determining whether the child would go to school and continue her/his education. To substantiate the gender bias, the probability of falling ill among the girl children is found to be higher compared to the boys. Parents' educational attainments beyond a certain level again tend to reduce the probability of falling ill.

The environment dimension of food supply chain analysis

The paper reviews relevant literature studying the environmental impacts of food supply chain from production to each stage throughout the supply chain. With limited data and information, to better understand these impacts, a concrete example of the tea supply chain in China is provided. The tea supply chain is analyzed from the environmental prospective, with potential pollutants being identified at each stage of the supply chain. As an example of the food supply chain in a developing country, some unique features of the developing economies are taken into consideration when concluding the implications.

La geometría fractal en los sistemas agroambientales

La formación matemática que se imparte en los diferentes títulos de la ETSI Agrónomos presenta características comunes a otras ingenierías pero también algunos rasgos específicos. Como en otras ingenierías, esta formación está vinculada en parte a la utilización de modelos físicos altamente matematizados. Además, el ingeniero agrónomo debe dar respuesta a desafíos que ponen en juego otras disciplinas, como las ciencias biológicas o las ciencias de la naturaleza. Estas ciencias muchas veces requieren de nuevas teorías matemáticas para alcanzar sus objetivos, lo que representa nuevos retos para las matemáticas tanto en el campo de la docencia como en el de la investigación. A modo de ejemplo, vamos a centrarnos aquí en el uso de una teoría matemática con importantes aplicaciones a los sistemas agroambientales. Esta teoría matemática es la geometría fractal, nacida a principios del siglo pasado.

The PSE-3D instability analysis methodology for flows depending strongly on two and weakly on the third spatial dimension

The present contribution discusses the development of a PSE-3D instability analysis algorithm, in which a matrix forming and storing approach is followed. Alternatively to the typically used in stability calculations spectral methods, new stable high-order finitedifference-based numerical schemes for spatial discretization 1 are employed. Attention is paid to the issue of efficiency, which is critical for the success of the overall algorithm. To this end, use is made of a parallelizable sparse matrix linear algebra package which takes advantage of the sparsity offered by the finite-difference scheme and, as expected, is shown to perform substantially more efficiently than when spectral collocation methods are used. The building blocks of the algorithm have been implemented and extensively validated, focusing on classic PSE analysis of instability on the flow-plate boundary layer, temporal and spatial BiGlobal EVP solutions (the latter necessary for the initialization of the PSE-3D), as well as standard PSE in a cylindrical coordinates using the nonparallel Batchelor vortex basic flow model, such that comparisons between PSE and PSE-3D be possible; excellent agreement is shown in all aforementioned comparisons. Finally, the linear PSE-3D instability analysis is applied to a fully three-dimensional flow composed of a counter-rotating pair of nonparallel Batchelor vortices.

Fractal scaling of apparent soil moisture estimated from vertical planes of Vertisol pit images

Image analysis could be a useful tool for investigating the spatial patterns of apparent soil moisture at multiple resolutions. The objectives of the present work were (i) to define apparent soil moisture patterns from vertical planes of Vertisol pit images and (ii) to describe the scaling of apparent soil moisture distribution using fractal parameters.

Robust regression applied to fractal/multifractal analysis.

Fractal and multifractal are concepts that have grown increasingly popular in recent years in the soil analysis, along with the development of fractal models. One of the common steps is to calculate the slope of a linear fit commonly using least squares method. This shouldn?t be a special problem, however, in many situations using experimental data the researcher has to select the range of scales at which is going to work neglecting the rest of points to achieve the best linearity that in this type of analysis is necessary. Robust regression is a form of regression analysis designed to circumvent some limitations of traditional parametric and non-parametric methods. In this method we don?t have to assume that the outlier point is simply an extreme observation drawn from the tail of a normal distribution not compromising the validity of the regression results. In this work we have evaluated the capacity of robust regression to select the points in the experimental data used trying to avoid subjective choices. Based on this analysis we have developed a new work methodology that implies two basic steps: ? Evaluation of the improvement of linear fitting when consecutive points are eliminated based on R pvalue. In this way we consider the implications of reducing the number of points. ? Evaluation of the significance of slope difference between fitting with the two extremes points and fitted with the available points. We compare the results applying this methodology and the common used least squares one. The data selected for these comparisons are coming from experimental soil roughness transect and simulated based on middle point displacement method adding tendencies and noise. The results are discussed indicating the advantages and disadvantages of each methodology.

Comparison of fractal dimensions based on segmented NDVI fields obtained from different remote sensors.

Satellite image data have become an important source of information for monitoring vegetation and mapping land cover at several scales. Beside this, the distribution and phenology of vegetation is largely associated with climate, terrain characteristics and human activity. Various vegetation indices have been developed for qualitative and quantitative assessment of vegetation using remote spectral measurements. In particular, sensors with spectral bands in the red (RED) and near-infrared (NIR) lend themselves well to vegetation monitoring and based on them [(NIR - RED) / (NIR + RED)] Normalized Difference Vegetation Index (NDVI) has been widespread used. Given that the characteristics of spectral bands in RED and NIR vary distinctly from sensor to sensor, NDVI values based on data from different instruments will not be directly comparable. The spatial resolution also varies significantly between sensors, as well as within a given scene in the case of wide-angle and oblique sensors. As a result, NDVI values will vary according to combinations of the heterogeneity and scale of terrestrial surfaces and pixel footprint sizes. Therefore, the question arises as to the impact of differences in spectral and spatial resolutions on vegetation indices like the NDVI. The aim of this study is to establish a comparison between two different sensors in their NDVI values at different spatial resolutions.

Influencia de la maquinaria agrícola sobre la variabilidad espacial de la compactación del suelo. Aplicación de la metodología geoestadística-fractal

El cultivo de la caña de azúcar es uno de los más importantes en muchos países del mundo. Los suelos dedicados a este cultivo son usualmente compactados por el tránsito de la maquinaria en el proceso de cosecha. El uso combinado de la geoestadística con el análisis fractal ha demostrado ser útil para el estudio de los mismos. El objetivo del trabajo fue determinar los cambios espaciales de la resistencia a la penetración del suelo debido a la influencia del tránsito de la maquinaria en el proceso de cosecha de la caña de azúcar en un Vertisol, aplicando la metodología geoestadística-fractal. La investigación se llevó a cabo en el período de cosecha 2008-2009. Se evaluó la resistencia a la penetración en dos momentos, antes y después de la cosecha. El muestreo se realizó sistemáticamente en cuadrícula y en transecto, seleccionando 144 y 100 observaciones antes y después de la cosecha, respectivamente, y 221 para el transecto en diagonal. También se determinó el contenido de humedad del suelo por el método gravimétrico, para lo que se tomaron 288 muestras aleatorias en todo el campo. Los resultados demuestran que los valores de resistencia a la penetración (RP) presentaron una distribución normal a partir de los 5 cm de profundidad, el tránsito de la maquinaria agrícola para la cosecha de la caña de azúcar provocó concentración de la variabilidad espacial a escalas inferiores a la del muestreo (el efecto pepita aumentó), un aumento del rango de correlación espacial y una redistribución de las zonas de compactación (las variaciones de los mapas de Krigeaje). También indujo anti-persistencia y anisotropía en algunas direcciones horizontales. Se observó un comportamiento irregular de (RP) verticalmente en el transecto, donde no solamente influyó la maquinaria, sino que también otros factores influyeron como: la hilera, borde de la hilera y grietas. ABSTRACT The cultivation of the cane of sugar is one of the most important in many countries of the world. The soils dedicated to this cultivation are usually compacted by the traffic of the machinery in the harvest process. The combined use of the geostatistics with the fractal analysis has demonstrated to be useful for the study of the same ones. The objective of the work was to determine the space changes from the resistance to the penetration of the floor due to the influence of the traffic of the machinery in the harvest process of harvest of the cane of sugar in a Vertisol applying the geostatistic-fractal methodology. The investigation was carried out in the period of harvest 2008-2009. The resistance to the penetration at two moments was evaluated, before and after the harvest. The sampling was realized systematically in grid and transect, selecting 144 and 100 observations before and after the harvest, respectively, and 221 for transect in diagonal. Also the soil moisture content of the ground by the gravimetric method was determined, so 288 random samples in the entire field were taken. The results shown that resistance to penetration values presented a normal distribution deeper than 5 cm before and after harvest. The transit of the agricultural machinery for sugar cane harvest concentrated the space variability at lower distances than the sampling one, reflected an increase in the nugget effect. At the same time, an increase space correlation rank and a redistribution of compaction areas were observed studying the variations in kriging maps. Another effect of the agricultural machinery transit was to induce antipersistence and anisotropy in some horizontal directions. However, in vertical direction of the longest transect an irregular behaviour was induced not only by the machinery as by another factors such as soil cracks, crop rows and allocation.

Metodología del análisis de imágenes digitales para el estudio del contenido de humedad en vertisoles

Desde finales del siglo pasado, el procesamiento y análisis de imágenes digitales, se ha convertido en una poderosa herramienta para la investigación de las propiedades del suelo a múltiples resoluciones, sin embargo todavía no existen los mejores resultados en cuanto a estos trabajos. El principal problema para investigar el drenaje vertical a partir de la distribución de humedad en un perfil de vertisol es la búsqueda de métodos factibles que usen este procedimiento. El objetivo general es implementar una metodología para el procesamiento y análisis de imágenes digitales, que permita caracterizar la distribución del contenido de humedad de un perfil de vertisol. Para el estudio, doce calicatas fueron excavadas en un Mazic Pellic Vertisol, seis de ellas en mayo 13/2011 y el resto en mayo 19/2011 después de moderados eventos de lluvia. Las imágenes RGB de los perfiles fueron tomadas con una cámara Kodak™; con tamaños seleccionados de 1600 x 945 píxeles cada una fue procesada para homogeneizar el brillo y se aplicaron filtros suavizadores de diferentes tamaños de ventana, hasta obtener el óptimo. Cada imagen se dividió en sus matrices componentes, seleccionando los umbrales de cada una para ser aplicado y obtener el patrón digital binario. Este último fue analizado a través de la estimación de dos exponentes fractales: dimensión de conteo de cajas (DBC) y dimensión fractal de interfase húmedo seco (Di). Además, fueron determinados tres coeficientes prefractales a la máxima resolución: número total de cajas interceptados en el plano del patrón (A), la lagunaridad fractal (λ1) y la entropía de Shannon (S1). Para todas las imágenes obtenidas, basado en la entropía, los análisis de clúster y de histogramas, el filtro espacial de 9x9 resultó ser el de tamaño de ventana óptimo. Los umbrales fueron seleccionados a partir del carácter bimodal de los histogramas. Los patrones binarios obtenidos mostraron áreas húmedas (blancas) y secas (negras) que permitieron su análisis. Todos los parámetros obtenidos mostraron diferencias significativas entre ambos conjuntos de patrones espaciales. Mientras los exponentes fractales aportan información sobre las características de llenado del patrón de humedad, los coeficientes prefractales representan propiedades del suelo investigado. La lagunaridad fractal fue el mejor discriminador entre los patrones de humedad aparente del suelo. ABSTRACT From last century, digital image processing and analysis was converted in a powerful tool to investigate soil properties at multiple resolutions, however, the best final procedure in these works not yet exist. The main problem to study vertical drainage from the moisture distribution, on a vertisol profile, is searching for suitable methods using these procedures. Our aim was to design a digital image processing methodology and its analysis to characterize the moisture content distribution of a vertisol profile. In this research, twelve soil pits were excavated on a bare Mazic Pellic Vertisol, six of them in May 13/2011 and the rest in May 19/2011 after a moderate rainfall event. Digital RGB images were taken from each vertisol pit using a Kodak™ camera selecting a size of 1600x945 pixels. Each soil image was processed to homogenized brightness and then a spatial filter with several window sizes was applied to select the optimum one. The RGB image obtained were divided in each matrix color selecting the best thresholds for each one, maximum and minimum, to be applied and get a digital binary pattern. This one was analyzed by estimating two fractal scaling exponents: box counting dimension (DBC