957 resultados para Sojourner Truth Homes (Detroit, Mich.)


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Nursing home literature links poor management practices to poor quality of care and resident outcomes. Since Nursing Home Administrators (NHAs) require an array of skills to perform their role, it is important to explore what makes a NHA effective. This research fills a gap in the literature and provides a possible option to improve the quality of care in nursing homes. Purpose of the study. The study examines whether NHAs with advanced education (defined as a Masters degree or more) are associated with better quality of care in licensed nursing homes (NHs). Design and Methods. Data was derived from the CDC’s 2004 National Nursing Home Survey, which is a representative sample of NHs across the US. A Donabedian- inspired structure-process-outcomes study model was created to explain how education relates to quality of care. Quality of care was defined as onsite oral care, employee influenza vaccination rates and staff recognition programs. Statistical analyses included multivariate logistic regression; covariates included facility-level variables used in similar peer-reviewed research but also included select measures from the Area Resource File to control for county-level factors. Results. Descriptive and analytical analyses confirm that NHAs with a Bachelor’s degree, Associate degree or high school diploma perform less well than NHAs with a Masters degree or more. NHAs with advanced education are more likely to have onsite dental care and recognition programs for staff than NHAs with a Bachelor’s degree (or less). Also NHAs with less than graduate education are more likely to provide off-site dental care. Employee vaccination rates are not impacted by education. Adding certification, tenure or years of experience to a NHA with advanced education gives them an advantage. In fact, certification and experience alone do not have a positive relationship to care indicators; however adding these to advanced education produces a significant result. Implications. This research provides preliminary evidence that advanced education for the NHA is associated with better quality of care. If future research can confirm these findings, there is merit in revisiting the qualifications. Education can be a legitimate option to support quality improvement efforts in US nursing homes. ^

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In the present paper ground truth and remotely sensed datasets were used for the investigation and quantification of the impact of Saharan dust on microwave propagation, the verification of theoretical results, and the validation of wind speeds determined by satellite microwave sensors. The influence of atmospheric dust was verified in two different study areas by investigations of single dust storms, wind statistics, wind speed scatter plots divided by the strength of Saharan dust storms, and wind speed differences in dependence of microwave frequencies and dust component of aerosol optical depth. An increase of the deviations of satellite wind speeds to ground truth wind speeds with higher microwave frequencies, with stronger dust storms, and with higher amount of coarse dust aerosols in coastal regions was obtained. Strong Saharan dust storms in coastal areas caused mean relative errors in the determination of wind speed by satellite microwave sensors of 16.3% at 10.7 GHz and of 20.3% at 37 GHz. The mean relative errors were smaller in the open sea area with 3.7% at 10.7 GHz and with 11.9% at 37 GHz.

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Fil: Rubino, Atilio Raúl. Universidad Nacional de La Plata. Facultad de Humanidades y Ciencias de la Educación. Instituto de Investigaciones en Humanidades y Ciencias Sociales (UNLP-CONICET); Argentina.

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Calcareous nannofossils were studied in sedimentary successions recovered from two holes on the Detroit Seamount in the northwestern Pacific Ocean. Preservation of calcareous nannoflora assemblages varies from poor to good throughout the sediments recovered from both Holes 1203A and 1204A. Biostratigraphic investigation allowed the identification of 19 nannofossil zones in Hole 1203A and 7 in Hole 1204A. The sedimentary cover in Hole 1203A ranges from lower Eocene (Zone NP12) to upper Miocene (Zone NN9). The sedimentary interval investigated directly overlying the basalt recovered at Hole 1204A is late Campanian in age (Zones CC22-CC23), and the top of the section is middle Eocene (Zone NP15) in age. Major unconformities were observed in Hole 1204A between upper Campanian (Zones CC22-CC23) and lower Thanetian (Zone NP7) sediments and between upper Thanetian (Zone NP8) and upper Ypresian (Zone NP12) sediments.

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Fil: Rubino, Atilio Raúl. Universidad Nacional de La Plata. Facultad de Humanidades y Ciencias de la Educación. Instituto de Investigaciones en Humanidades y Ciencias Sociales (UNLP-CONICET); Argentina.

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Paleomagnetic data were measured from basaltic flows cored by the Ocean Drilling Program (ODP) at Site 883 on the summit of Detroit Seamount, located in the northernmost Emperor seamounts. These data are important because they reflect the paleolatitude of Hawaiian volcanism for the Late Cretaceous and bear upon geodynamic models of hotspot drift. A total of 143 samples were measured, from cores acquired at two ~20-30 m apart. Most samples gave apparently reliable magnetic directions that were analyzed in a tiered fashion to compute a composite inclination vs. depth curve. One hole gave 13 distinct inclination groups, the other 10, and the two were combined into nine groups thought to represent independent measurements of paleofield direction. These data indicate normal magnetic polarity and give a mean inclination of 61.5+10.6°/-6.4° and paleolatitude of 42.8+13.2°/-7.6° (95% confidence limits). This paleolatitude is 6.2° higher than results from another ODP site (884) drilled on the lower flank of the same seamount. The difference is thought to result partly from an age difference (1-3 Myr) and partly from incomplete averaging of paleosecular variation at both drill sites. Together, the data from the two sites reinforce the conclusion that the northern Emperor seamounts were formed far north of the present-day hotspot latitude (~19.5°N) and suggest prior estimates of the amount and rate of southward drift may have been low. This analysis also illustrates uncertainties in determining paleolatitude from a small number of lava flow units from a single drill site.

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Son pocas las ocasiones en que se cuenta con fuentes documentales que permitan analizar las relaciones entre planificación urbana y evolución industrial de una ciudad. Sin embargo, los informes y planes publicados por la Detroit City Plan Commission tras la Segunda Guerra Mundial proporcionan la oportunidad de estudiar estas implicaciones en una de las ciudades industriales más paradigmáticas. El objetivo de este artículo es valorar el papel de la planificación urbana de posguerra en la evolución de la estructura productiva de Detroit en la segunda mitad del siglo XX. El estudio de los documentos parece apuntar a que el planeamiento pudo contribuir a definir un modelo productivo rígido y excluyente que sentó las bases del posterior declive de la ciudad