Relevant bibliographies by topics / Full scope of practice

Academic literature on the topic 'Full scope of practice'

Author: Grafiati
Published: 10 December 2022
Last updated: 28 January 2023

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Journal articles on the topic "Full scope of practice"

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Nguyen, Thuan. "Full scope of practice." Canadian Pharmacists Journal / Revue des Pharmaciens du Canada 149, no. 2 (March 2016): 66. http://dx.doi.org/10.1177/1715163516631479.

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Ganz, Freda DeKeyser, Orly Toren, and Yafit Fadlon. "Factors Associated With Full Implementation of Scope of Practice." Journal of Nursing Scholarship 48, no. 3 (March 22, 2016): 285–93. http://dx.doi.org/10.1111/jnu.12203.

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Adams, Alex, and Krystalyn Weaver. "Pharmacists’ Patient Care Process: A State “Scope of Practice” Perspective." INNOVATIONS in pharmacy 10, no. 2 (May 15, 2019): 7. http://dx.doi.org/10.24926/iip.v10i2.1389.

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Objective: Explore the intersection of the Pharmacists’ Patient Care Process (PPCP) and state laws in order to identify laws that may impede the delivery of optimal patient care. Summary: A review of the PPCP identified six areas in which state laws can limit full pharmacist engagement: 1) ordering and interpreting laboratory tests; 2) participating in a collaborative practice agreement; 3) independently prescribing certain medications; 4) independently adapting medications; 5) administering medications; and 6) effective delegation. A framework is put forth to organize how these scope of practice matters are interrelated. Conclusion: For pharmacists to fully engage in the PPCP, state laws must enable full participation. By unleashing pharmacists to fully engage in the process, patient care delivery and outcomes can be improved, and total health care costs can be reduced. Article Type: Commentary
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Hoke, Kathleen, and Sarah Hexem. "Expanding Access to Care: Scope of Practice Laws." Journal of Law, Medicine & Ethics 45, S1 (2017): 33–36. http://dx.doi.org/10.1177/1073110517703316.

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Allied health professionals play an integral role in providing safe, affordable care to communities in need. Laws that define the permissible scope of practice for these professionals may take full advantage of these providers and may unnecessarily restrict safe and effective care. Nurse practitioners in many states may provide care independent of a physician; research reveals that this care is safe, affordable and accessible. Yet hurdles exist that prevent communities from securing the full benefit of NPs in independent practice. The scope of independent practice for allied dental providers varies greatly across the country, often including stringent supervision requirements. Emerging approaches to allowing allied dental providers to practice independently in certain settings or with dentist supervision via telemedicine and creating the intermediate provider, the dental therapist, may increase access to safe, affordable dental care. Research on the impact of laws that allow broader independent practice by NPs to ferret out the hurdles to full implementation of the spirit of such laws is needed. That research could support expanded independent scope for allied dental providers and other allied health care providers.
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Hart, Laura, Rebecca Ferguson, and Azita Amiri. "Full Scope of Practice for Alabama Nurse Practitioners: Act Now." Journal for Nurse Practitioners 16, no. 2 (February 2020): 100–104. http://dx.doi.org/10.1016/j.nurpra.2019.10.016.

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Reitz, Randall, Kyle Horst, Maura Davenport, Shiela Klemmetsen, and Michael Clark. "Factors Influencing Family Physician Scope of Practice:." Family Medicine 50, no. 4 (April 6, 2018): 269–74. http://dx.doi.org/10.22454/fammed.2018.602663.

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Background and Objectives: Despite the efforts of many organizations to increase the volume of rural health care providers, rural communities continue to experience a shortage of physicians. To address this shortage, more information is needed as to how specific factors contribute to family physicians’ choice to purse rural full-spectrum practice. Methods: Interviews with 21 key informants guided a grounded theory analysis around the question of “What factors contribute to the decision to, and maintenance of, practicing full-spectrum rural medicine?” Results: Analysis revealed two categories of factors that influenced choice of scope and maintenance of scope across a career: contextual and developmental factors. Contextual factors included the national health care landscape, the local setting, and personal factors. The developmental factors pertained to the point in the physician’s career, and include preprofessional envisioned scope, current scope, and ideal future scope of practice. Conclusions: Results describe how a rural physician’s scope of practice generally narrows as her/his career progresses. The results elaborate on how the larger health care landscape, local community, and personal factors all intersect to inform a physician’s decision to pursue and/or continue practice. Results of the study were consistent with preexisting literature, but provide additional depth and suggest a theoretical relationship among factors.
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Gigli, Kristin H., and Grant R. Martsolf. "Implications of State Scope-of-Practice Regulations for Pediatric Intensive Care Unit Nurse Practitioner Roles." Policy, Politics, & Nursing Practice 22, no. 3 (June 15, 2021): 221–29. http://dx.doi.org/10.1177/15271544211021049.

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Nurse practitioner (NP) advocacy efforts often focus on attaining full practice authority. While the effects of full practice authority in primary care are well described, implications for hospital-based NPs are less clear and may differ because of hospitals’ team-based care and administrative structure. This study examines associations between state scope-of-practice (SSOP) and clinical roles of hospital-based pediatric intensive care unit (PICU) NPs. We conducted a national survey to assess clinical roles of PICU NPs including daily patient care, procedural, and consultation responsibilities as well as hospital-level administrative oversight practices. We classified SSOP as full or limited (reduced or restricted SSOP) practice. We present descriptive statistics and evaluate differences in clinical roles and hospital-level administrative oversight based on SSOP. The final sample included 55 medical directors and 58 lead (senior or supervisory) NPs from 93 of the 140 (66.4%) PICUs with NPs. There were no significant differences in daily patient care, procedural, or consultation responsibilities based on SSOP ( p > .05). However, NPs in full practice authority states were more likely to bill for care than those in limited practice states (66.7% vs. 31.8%, p = .003), while those in limited practice states were more likely to report to advanced practice managers (36.7% vs. 13%, p = .03). For PICU NPs, SSOP was not associated with variation in clinical responsibilities; conversely, there were differences in billing and reporting practices. Future work is needed to understand implications of variation in hospital-level administrative oversight.
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Hays, Catherine, Melanie Sparrow, Selina Taylor, Daniel Lindsay, and Beverley Glass. "Pharmacists’ “Full Scope of Practice”: Knowledge, Attitudes and Practices of Rural and Remote Australian Pharmacists." Journal of Multidisciplinary Healthcare Volume 13 (December 2020): 1781–89. http://dx.doi.org/10.2147/jmdh.s279243.

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Park, Jeongyoung, Erin Athey, Arlene Pericak, Joyce Pulcini, and Jessica Greene. "To What Extent Are State Scope of Practice Laws Related to Nurse Practitioners’ Day-to-Day Practice Autonomy?" Medical Care Research and Review 75, no. 1 (November 11, 2016): 66–87. http://dx.doi.org/10.1177/1077558716677826.

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We explore the extent to which state scope of practice laws are related to nurse practitioners (NPs)’ day-to-day practice autonomy. We found that NPs experienced greater day-to-day practice autonomy when they had prescriptive independence. Surprisingly, there were only small and largely insignificant differences in day-to-day practice autonomy between NPs in fully restricted states and those in states with independent practice but restricted prescription authority. The scope of practice effects were strong for primary care NPs. We also found that the amount of variation in day-to-day practice autonomy within the scope of practice categories existed, which suggests that factors other than state scope of practice laws may influence NP practice as well. Removing barriers at all levels that potentially prevent NPs from practicing to the full extent of their education and training is critical not only to increase primary care capacity but also to make NPs more efficient and effective providers.
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Cusack, Cheryl, Benita Cohen, Javier Mignone, Mariette J. Chartier, and Zana Lutfiyya. "Reorienting Public Health Nurses’ Practice With a Professional Practice Model." Canadian Journal of Nursing Research 49, no. 1 (January 4, 2017): 16–27. http://dx.doi.org/10.1177/0844562116686003.

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Purpose Documents articulating public health nurses’ (PHNs’) roles, including Canadian standards and competencies, depict a broad focus working at multiple levels to improve population outcomes through the promotion of health equity. Conversely, Canadian experts depict a looming crisis, based on the rising disconnect between daily activities and ideal practice. While perfectly positioned, PHNs’ skills and abilities are under-utilized and largely invisible. The intention of this study was to develop a model to support the full scope of equity-focused PHN practice. Method A participatory action research approach was used. Qualitative data were gathered using semistructured interview guides during audio-recorded meetings. The data were coded into central themes using content analysis and constant comparison. A researcher reflexive journal and field notes were kept. A significant feature was full participant involvement. Results The outcome was a professional practice model to reframe the PHN role to focus on population health and equity. The model was imperative in promoting full scope of practice, dealing with workload pressures, and describing PHNs’ value within the organization and broader health system. Conclusion Professional practice models hold promise as frameworks to depict autonomous practice activities, situated within organizations and healthcare systems, and underpinned by nursing knowledge.
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Dissertations / Theses on the topic "Full scope of practice"

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McTaggart, Elizabeth Sarah. "Nurses' experiences of full scope LPN practice in acute care." Thesis, University of British Columbia, 2007. http://hdl.handle.net/2429/32055.

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The practice of licensed practical nurses (LPNs) in acute care in British Columbia (BC) is undergoing a shift to incorporate the enhanced range of entry-level competencies introduced by the College of LPNs of British Columbia in 2000. The full range of new LPN competencies, which now constitute full scope, became a requirement for practical nurse licensure in BC in 2007 and are challenging LPNs and Registered Nurses (RNs) alike to reexamine and redefine the LPN role and LPN/RN relations in acute care. Research exploring the experiences of RNs and LPNs, in their own words, with full scope LPN practice in acute care staff mixes has not previously been conducted in BC. This qualitative descriptive study explored the perceptions of 5 RNs and 4 LPNs working in RN/LPN skill mixes, in various Lower Mainland acute care settings where the LPNs work to full scope. Conventional qualitative content analysis was used to analyze the data from one in-depth interview and 8 short-answer surveys. Analysis of one in-depth interview with an LPN yielded 3 categories: professionalism, receptivity, and appropriateness. Analysis of the 8 survey responses from RNs and LPNs yielded 3 categories as well, namely: defining the role, determining the impact and determining the fit of the role. Findings in this study indicate that overall, both RNs and LPNs report that clear communication, LPN role clarity, experience working together over time, and a supportive work environment contribute to positive experiences of the RN/LPN skill mix. Feelings of burden, inconsistent teamwork, lack of respect, concerns about patient acuity levels, and varied perceptions of the ability of LPNs and RNs to assume responsibility for patient care present areas of challenge in the workplace.
Applied Science, Faculty of
Nursing, School of
Graduate
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Cafasso, Mandi. "Advocacy: A Vital Step in Attaining Full Practice Authority for the Advanced Practice Registered Nurse." Otterbein University / OhioLINK, 2015. http://rave.ohiolink.edu/etdc/view?acc_num=otbn1429220363.

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Benson-Martin, Janine. "The scope of ECT practice in South Africa." Master's thesis, University of Cape Town, 2013. http://hdl.handle.net/11427/2793.

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Electroconvulsive therapy (ECT) involves the administration of an electrical current to the brain in order to produce a tonic-clonic seizure which is deemed therapeutic. It is an effective and safe procedure for the treatment of severe mental illnesses such as major depression, mania and schizophrenia. Currently little is known about the characteristics of ECT practice in South Africa. This study aims to determine current electroconvulsive therapy (ECT) practice and to compare it with reported ECT practice internationally. This is a retrospective, descriptive study, to determine the characteristics of ECT practice in South Africa; data was collected using a self-report questionnaire. The study population consisted of doctors and nurses who practiced ECT in any 12 month period between 2011 and 2012. Both private and state facilities were included in the study. Initially contact was made with hospital mental health facilities to ascertain whether an ECT machine was present on site. Once formal approval was obtained from the appropriate designated bodies, questionnaires were sent to clinical staff involved in ECT at active sites. The 36-item questionnaire covered relevant questions on: utilization rates, equipment, staffing, practice and monitoring parameters, and indications for use. Forty two institutions had an ECT machine on site, of which thirteen institutions reported non-use. Questionnaires were sent to the 29 active ECT sites. Facilities responding to the questionnaire amounted to 83% (n=24), but of these, 21 units responded to the ECT utilization questions. ECT is performed as a modified procedure in six provinces by psychiatrists, registrars, medical officers and general practitioners. In-and outpatient ECT is offered in 79% (n=19) of hospitals. The number of persons treated with ECT/10 000 population per year (ppy) is 0.22 while the number of ECT procedures/10 000 ppy is 1.19. More patients in the private sector receive ECT as a treatment modality than in the public sector (U = 22, p = 0.045). ECT is performed in a minor theatre/operating room in 79% of units, while the rest is performed in a treatment room. All but one unit had a separate recovery room. Informed consent or assent was used in all institutions. Pre-ECT work-up most commonly involved a physical examination (95.5%, n = 21) and basic blood work investigations (87%, n=20). Bilateral, unilateral and bifrontal electrode placements are used, while various dosage- determination and monitoring methods are employed. The vast majority of patients (89.22%, n=869) receiving ECT are between the ages of 18 and 59. The most common indication for ECT is depression (84.77%, n=796). The utilization rate in South Africa is similar to that of countries like Bulgaria, Poland and India, but less than that of some high-income countries. Even though ECT practices in South Africa generally follow international guidelines, standardisation of practice is still recommended.
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Usatine, Richard, Jim Holt, Miranda Lu, and Alexandra Verdieck. "Dermoscopy: Expanding ‘Scope’ of Practice and Preventing Skin Cancer Deaths." Digital Commons @ East Tennessee State University, 2019. https://dc.etsu.edu/etsu-works/6446.

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In this hands-on preconference workshop, we will introduce dermoscopy, a proven adjunctive tool that increases sensitivity and specificity of melanoma detection and improves diagnostic accuracy for basal and squamous cell carcinomas. Participants will learn how to use a dermatoscope in clinical practice and learn the two-step algorithm to diagnose unknown skin lesions and determine the need for biopsy. Biopsy techniques will be taught with a handson evidence-based approach that can be applied at one’s home institution. Participants will leave with fundamental competence in the use of dermoscopy for early skin cancer detection, improved understanding of biopsy techniques, tools to train others, free apps, Dermoscopedia, online resources, and online and in-person courses.
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Usatine, Richard, Jim Holt, Alex Verdieck-Devlaeminck, and Miranda Lu. "Dermoscopy: Expanding ‘Scope’ of Practice and Preventing Skin Cancer Deaths." Digital Commons @ East Tennessee State University, 2019. https://dc.etsu.edu/etsu-works/6449.

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Community health outreach workers (CHOWs) have been demonstrated to increase CRC screening patient education for vulnerable, medically underserved patients as well as increase CRC screening rates in rural populations.1,2 This project examined the effectiveness of CHOWs in increasing CRC screening rates among low-income, underserved ethnic minorities in Portland, Maine. Eligible patients were ages 50-75; due for CRC screening; enrolled in Medicaid or had no health insurance; and spoke Arabic, English, French, Kinyarwanda, Somali, Spanish or Vietnamese. Seven CHOWs were trained in CRC screening outreach and assigned to patients from their own ethnic communities where they employed culturally sensitive interventions to reduce barriers to CRC screening. CHOWs attempted contact with patients by phone four times prior to sending a language-specific letter to patients recommending CRC screening. CHOWs offered fecal immunochemical testing (FIT) or colonoscopy and provided tailored education and frequent reminders for colonoscopies, explanations about procedures for bowel preps, transportation to colonoscopies, reminders and instructions for FIT completion as well as assistance with health insurance and financial barriers. Upon completion of this session, participants should be able to: Define the role of a community health outreach worker (CHOW) in CRC screening. State three common sociocultural barriers patients experience for CRC screening. Identify the efficacy of CHOWs in increasing CRC screening rates.
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Hoppe, Elizabeth Susan. "Optometry's expanding scope of practice legislation, interprofessional relations, and risk." Ann Arbor, Mich. : University of Michigan, 1999. http://books.google.com/books?id=uxQvAAAAMAAJ.

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Nehring, Wendy M., American Nurses Association, and Nursing Division of the American Association on Mental Retardation. "Intellectual and Developmental Disabilities Nursing: Scope and Standards of Practice." Digital Commons @ East Tennessee State University, 2013. https://dc.etsu.edu/etsu_books/105.

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"Last published in 2004, this new second edition contains up-to-date information for practitioners committed to providing a continuum of services to individuals with intellectual and developmental disabilities (ID/D) across the lifespan." --nursebooks.org
https://dc.etsu.edu/etsu_books/1111/thumbnail.jpg
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Lucero, Samantha. "Defining the Scope of Practice for Nurse Practitioners in MIAM." ScholarWorks, 2017. https://scholarworks.waldenu.edu/dissertations/4074.

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Minimally invasive aesthetic medicine (MIAM) is a relatively new field, which lacks a clearly defined scope of practice. The purpose of this project was to clarify the scope of practice for nurse practitioners in MIAM in California. Without a clearly defined scope of practice, nurse practitioners are unable to practice to the full extent of their license which causes them to be underutilized and face liability issues. This project sought to answer the question: What is the scope of practice of the nurse practitioner in MIAM in the state of California? The model of professional nursing practice regulation was the model used to guide this project. Sources of evidence included case law that has emerged since 1983; reviewing documents from 3 state boards of nursing; and a survey of nurse practitioners who practice in the field of MIAM. The evidence was analyzed noting themes while determining what the legal backbone is for nurse practitioner's scope of practice in California. This project found that nurse practitioners in this field keep up to date in their knowledge, educate their patients, utilize methods to maintain competency, feel support in their environment, assess and refer to others when appropriate, and teach both staff and patients evidence-based practices. It also found that standardized procedures are the legal backbone to understanding the scope of practice in California. A scope of practice was developed based on the findings of this project which was then reviewed by an expert. It is recommended that nurse practitioners utilize their resources to obtain and maintain knowledge as well as learn what the standardized procedures are in their facility. The implications for clarifying the scope of practice will serve this population to fully utilize their capabilities and practice safely, as well as help to develop this relatively new field.
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Finnell, Deborah S., Elizabeth L. Thomas, Wendy M. Nehring, Kris A. McLoughlin, and Carol J. Bickford. "Best Practices for Developing Specialty Nursing Scope and Standards of Practice." Digital Commons @ East Tennessee State University, 2015. https://dc.etsu.edu/etsu-works/6707.

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Nursing specialization involves focusing on nursing practice in an identified specific area within the entire field of professional nursing. A defined specialty scope of practice statement and standards of professional practice, with accompanying competencies, are unique to each nursing specialty. These documents help assure continued understanding and recognition of nursing’s diverse professional contributions. The purpose of this article is to demystify the process for specialty nurses who are creating or revising their specialty nursing scope and standards of practice. We provide best practices for the developmental process based on our recently published scope and standards of specialty nursing practice. The conclusion provides strategies to disseminate scope and standards documents to appropriate stakeholders.
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Halliday, Richard. "The transferware engraver : training, practice and scope at the Spode Works." Thesis, Manchester Metropolitan University, 2018. http://e-space.mmu.ac.uk/620679/.

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This investigation focuses on the transferware engraver at the Spode Works. Transfer-printing on earthenware arose as an attempt to replicate the look of eastern ceramics. Spode Works began producing transferware in 1784, and made significant improvements to the process, widening the market across the classes. Transferware patterns could be derived from Chinese-export wares, extant printed images known as source prints, in-house designs or other transferware products. The designs were cut into copper-plates with simple hand-tools by skilled, trained engravers. Prints in underglaze colour were taken from the copper-plates, applied to the blank ware, glazed, and fired to form the product. The research aims were both historical and transformative. (1) To support the preservation of Britain’s largest and most complete archive of hand-engraved copper-plates used in the production of transferware: a repository of craft and design knowledge. The Spode archive contains most of the production plates spanning the factory’s life, 1784 to 2008, and representing all styles and techniques. Due to the intrinsic material value, such archives face rationalisation; the Minton case being known from publication. (2) To ascertain the scope of work undertaken by the engravers and define their role in image selection and adaptation as mediators at the interface between design and production, subjects hitherto insufficiently defined. (3) To define the engravers’ artistic status during key stages of the factory’s life, and to examine their degree of specialisation. (4) To investigate the nature and experience of apprenticeship training for transferware engraving through extant engravings and apprentice’s accounts. Connoisseurship study of archival copper-plates alongside source-work, ceramics and literature formed the basis of the multiple-aspect approach. Within the compass of this thesis, two in-depth case studies are presented that demonstrate surprising continuity in the industry with engraving processes remaining substantially the same over the course of two centuries. The role that the engraver played in working source images or designs into transferware patterns had been poorly understood; it has emerged that the transferware engraver is an intermediary translator of imagery rather than a designer, and authorship in a transferware pattern is multiple. Interviews with those who formerly worked in the industry, documentation of the engraving process from start to finish and a brief personal engraving apprenticeship experience provided detailed primary evidence of engraving from the perspective of the insider. An engravers’ apprenticeship is learning by observation and practice where coordination between tool, hand, eye and brain are internalised. This research expands knowledge of engraving techniques and practices in a specialist area hitherto ignored in the engraving literature. It offers new historical understanding of the role of the engraver as intermediary between design and production. The research points out diagnostic features for understanding the material evidence of copper-plates. Detailed comparisons including micrographic images demonstrate the stratified evidence contained within large object archives (Spode) and small design archives (Mountford tissue pulls), evidence threatened by selective rather than comprehensive retention. It provides thoroughgoing assessment of practical techniques for digitisation and replication of copper-plates so that archive originals can be spared routine handling and security risks. Finally, the research highlights the Spode copper-plate archive as a repository of major importance for the study of craft and design.
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Books on the topic "Full scope of practice"

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United Kingdom Central Council for Nursing, Midwifery and Health Visiting. Scope in practice. London: UKCC, 1997.

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Valenti, Claude A. The full scope of retinoscopy. Santa Ana, CA: Optometric Extension Program, 1990.

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Association, American Nurses. The scope of nursing practice. Kansas City, Mo: ANA, 1987.

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Nursing: Scope and Standards of Practice. 2nd ed. Silver Spring, Md: American Nurses Association, 2010.

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Association, American Nurses. Nursing: Scope and standards of practice. Washington, DC: Nursesbooks.org, 2007.

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Nursing: Scope and standards of practice. Washington, D.C: Nursesbooks.org, 2004.

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Building a High-Scope program: Full-day preschool programs. Ypsilanti, Mich: High/Scope Press, 2005.

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Association, American Nurses. Corrections nursing: Scope and standards of practice. Silver Spring, Md: American Nurses Association, 2007.

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Altranais, Bord. Scope of nursing and midwifery practice framework. Dublin: An Bord Altranais, 2000.

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American Association of Diabetes Educators. Scope and standards of diabetes nursing practice. 2nd ed. Washington, D.C: Nursesbooks.org, 2003.

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Book chapters on the topic "Full scope of practice"

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Dessinger, Joan C., and James L. Moseley. "Full-Scope Evaluation." In Handbook of Improving Performance in the Workplace: Measurement and Evaluation, 128–41. Hoboken, NJ, USA: John Wiley & Sons, Inc., 2010. http://dx.doi.org/10.1002/9780470587096.ch8.

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Dessinger, Joan C., and James L. Moseley. "Full-Scope Evaluation." In Handbook of Improving Performance in the Workplace: Volumes 1-3, 128–41. Hoboken, NJ, USA: John Wiley & Sons, Inc., 2010. http://dx.doi.org/10.1002/9780470592663.ch61.

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Wasylewicz, A. T. M., and A. M. J. W. Scheepers-Hoeks. "Clinical Decision Support Systems." In Fundamentals of Clinical Data Science, 153–69. Cham: Springer International Publishing, 2018. http://dx.doi.org/10.1007/978-3-319-99713-1_11.

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AbstractClinical decision support (CDS) includes a variety of tools and interventions computerized as well as non- computerized. High-quality clinical decision support systems (CDSS), computerized CDS, are essential to achieve the full benefits of electronic health records and computerized physician order entry. A CDSS can take into account all data available in the EHR making it possible to notice changes outside the scope of the professional and notice changes specific for a certain patient, within normal limits. However, to use of CDSS in practice, it is important to understand the basic requirements of these systems.This chapter shows in what way CDSS can support the use of clinical data science in daily clinical practice. Moreover, it explains what types of CDSS are available and how such systems can be used. However, to achieve high-quality CDSS which is effective in use requires thoughtful design, implementation and critical evaluation. Therefore, challenges surrounding implementation of a CDSS are discussed, as well as a strategies to develop and validate CDSS.
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Kontos, Pavlos. "Fully Virtuous Spectators without Practical Wisdom." In Aristotle on the Scope of Practical Reason, 13–52. New York: Routledge, 2021. http://dx.doi.org/10.4324/9781003165262-2.

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van Sinderen, Nick. "Maintaining the Quality Management Program." In Quality Management and Accreditation in Hematopoietic Stem Cell Transplantation and Cellular Therapy, 147–55. Cham: Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-64492-5_16.

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AbstractsEstablishing and maintaining a quality management program (QMP) is easy in theory but difficult in practice. It requires considerable time, energy, and the full commitment of everyone involved, starting with the program management. The time involved in establishing a QMP varies in terms of time, depending on the scope of your system and the starting point. The initial question you need to ask is, “What standards, knowledge, do we already have?” In almost every case, the answer is “a considerable amount!” These days many hospitals already have accreditations or certifications like Joint Commission International (JCI), International Organization for Standardization (ISO), standards issued by the government and institutions and professional organizations. The most important pool of knowledge, however, is the education and experience of staff. All standards are initially created by colleagues in the field and, at least for FACT-JACIE, also further developed in a 3-year review cycle.
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Wu, Te, and Estee Wu. "Full Practice Tests." In The Sensible Guide to Program Management Professional (PgMP)® Success, 193–280. Boca Raton: Auerbach Publications, 2021. http://dx.doi.org/10.1201/9781003145165-10.

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Richardson, Gary L., and Brad M. Jackson. "Scope Management." In Project Management Theory and Practice, 113–29. Third edition. | Boca Raton, FL : CRC Press, [2019]: Auerbach Publications, 2018. http://dx.doi.org/10.1201/9780429464140-14.

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Ventura, Christian, Edward Denton, and Emily Van Court. "Full-Length Practice Exam." In The Emergency Medical Responder, 159–73. Cham: Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-64396-6_20.

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Schellenberg, Rita. "Full-Length Practice Exam." In The School Counselor’s Desk Reference and Credentialing Examination Study Guide, 349–74. Second edition. | New York : Routledge, 2017. | Preceded by The: Routledge, 2017. http://dx.doi.org/10.4324/9781315545523-9.

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Nielsen, Klaus. "Full Practice Exam 1." In Mastering the PMI Risk Management Professional (PMI‑RMP) Exam, 129–78. New York: Productivity Press, 2022. http://dx.doi.org/10.4324/9781003304012-9.

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Conference papers on the topic "Full scope of practice"

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Bjelajac Mejia, Aleksandra, Lachmi Singh, Frank Fan, and Ryan Keay. "VIRTUAL IMMERSIVE SIMULATIONS TO PROMOTE PRACTICE READINESS TO FULL SCOPE FOR PHARMACY AND PHARMACY TECHNICIAN STUDENTS: A COLLABORATIVE APPROACH." In 14th International Conference on Education and New Learning Technologies. IATED, 2022. http://dx.doi.org/10.21125/edulearn.2022.1472.

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Fang, Likai, Xin Liu, and Guobao Shi. "Innovative Practice of Severe Accidents Measures in CAP1400." In 2017 25th International Conference on Nuclear Engineering. American Society of Mechanical Engineers, 2017. http://dx.doi.org/10.1115/icone25-66605.

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CAP1400 is GenIII passive PWR, which was developed based on Chinese 40 years of experience in nuclear power R&D, construction&operation, as well as introduction and assimilation of AP1000. Severe accidents prevention and mitigation measures were systematically considered during the design and analysis. In order to accommodate high power and further improve the safety of the plant, also considering feedback from Fukushima accident, some innovative measures and design requirements were also applied. Based on the probabilistic&deterministic analysis and engineering judgment, considerable severe accidents scenarios were considered. Both severe accidents initiated at power and shutdown condition were analyzed. Insights were also obtained to decide the challenge to the plant. All known severe accidents phenomena and their treatment were considered in the design. In vessel retention (IVR) was applied as one of the severe accident mitigation measures. To improve the margin of IVR success and verify the heat removal capability through reactor pressure vessel, both design innovative measures and experiments were used. The melt pool behavior and corium pool configuration were also studied by using CFD code and thermodynamic code. Hydrogen risk was mitigated by installation of hydrogen igniters, which were comprised of two serials, and were powered by multiple power sources. To further improve the safety, six extra hydrogen passive recombiners were also added in the containment. Hydrogen risk was analyzed both inside containment and outside containment considering leakage effect. Other severe accident phenomena were also considered by designed or analyzed to show the containment robustness to accommodate it. As one of the Fukushima accident feedback, full scope severe accident management guideline were developed by considering both power condition and shutdown condition, accident management for spent fuel pool was also considered. As the basis of accident management during severe accidents, survivability of equipments and instruments that are necessary in severe accident were assessed and will be further tested and/or analyzed. Such tests will consider severe accident conditions arised from hydrogen combustion.
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Korumaz, Saadet Armağan Güleç, and Büşra Kubiloğlu. "Evaluations on The Use Of 3d Terrestrial Laser Scanning Technology in Architectural Conservation Projects." In 4th International Conference of Contemporary Affairs in Architecture and Urbanism – Full book proceedings of ICCAUA2020, 6-8 May 2020. Alanya Hamdullah Emin Paşa University, 2021. http://dx.doi.org/10.38027/iccaua2021tr0060n21.

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3D Laser Scanning technologies have proven to be significant way to architectural documentation studies. Due to these facilities, the use of technology in architectural documentation have become widespread day by day. Thanks to these technologies it is possible to get high accuracy and intense data in a short time compared to conventional methods. Therefore, this technology has increased the content and quality of conservation practices. The technology is mainly aimed at obtaining a three-dimensional model or two-dimensional layouts from a dense and detailed point cloud. Terrestrial Laser Scanning (TLS) does not only support simple CAD-based conservation projects, but also allows obtaining high-resolution plane pictures, art tours, three-dimensional mesh models, and two-dimensional maps. Besides these possibilities, high accuracy data on the morphological properties of the documented object can be obtained as a result of the analyses including point cloud. On the other hand, the technology gives possibility data to be shared in different environments and filtered data can be used online. Thus, different disciplines are able to easily access information. These features of technology add a different dimension to the studies in the field of cultural heritage and contribute to the digitalization of the heritage. In the scope of this study, evaluations are made regarding the innovations and usage possibilities brought by TLS technology to architectural documentation field based on the cultural heritage samples. In addition, within the scope of the study, trials were made on field studies for parameters that will affect data quality, accuracy and speed. In addition, within the scope of the study, some tests were made on field studies for parameters affecting data quality, accuracy and speed. With the obtained results, evaluations have been made to increase the usage potential of the technology today.
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Ercan, Tuğçe Şimşekalp, and Gizem Günlü. "Risks of Construction Projects and Digital Practices in the COVID-19 Outbreak." In 4th International Conference of Contemporary Affairs in Architecture and Urbanism – Full book proceedings of ICCAUA2020, 20-21 May 2021. Alanya Hamdullah Emin Paşa University, 2021. http://dx.doi.org/10.38027/iccaua2021tr0054n10.

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As the COVID-19 outbreak affected the whole world, the epidemic had positive and negative effects on the construction industry. Epidemic; Information leakage with working from home conditions, problems of logistics chains for the transportation of materials to the construction site, has brought along special risks according to many new processes. Within the scope of this study, it is aimed to investigate the effects of the COVID-19 epidemic on construction projects, new risks that occur and applications used against these risks together with digital tools. In the literature, the importance of innovative digital technologies for risk management is emphasized. In this study; It reduces the epidemic-specific risks that occur in the construction projects of innovative digital applications; how, why and which actors were involved. In this context, one-to-one interviews and a survey field study were conducted with construction industry experts for data collection. This research; It will guide the future positions of the sector by identifying and classifying new risks that occur specific to the COVID-19 outbreak process in the construction sector, and analyzing which digital tools and methods to be used to cope with these risks. In line with the research, it will be ensured that construction companies are better prepared against the threats and opportunities posed by the risks.
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Bzymek, Zbigniew M., and Alicia Benjamin. "Design, Machining and Production Integration Problems in Manufacturing Automation." In ASME 2014 International Mechanical Engineering Congress and Exposition. American Society of Mechanical Engineers, 2014. http://dx.doi.org/10.1115/imece2014-38355.

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This paper describes the process of integrating engineering design, manufacturing, and production in the area of manufacturing automation. The work was done within the scope of a Mechanical Engineering senior course that’s objective was to introduce students to the processes of advanced manufacturing and to solving practical engineering problems in manufacturing automation. The students’ efforts at integration covered automation of conceptual and geometric designs, automation of machining process, and machine sequence optimization. The CAD/CAM software, CAMM3 Micromodeler, G-code, NX8, Solid Works, DELMIA/QUEST, and Mastercam were used successfully in a sequence. A survey of the students’ opinions about the effectiveness and user friendliness of the software was summarized at the end of the semester. The elements of the course were integrated in the Final Project. Full automation of integrated design and manufacturing data exchange were found to be too difficult to accomplish. However, the use of the automation software in a sequence, together with data export and import, marks a significant step forward towards integrated manufacturing automation. The research to accomplish this will continue and the results will be applied in order to reinforce the teaching and practice of Manufacturing Automation.
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Softaoğlu, Hidayet. "Unhuman Entities that Shaped a Century: Non- Anthropocentric Analysis of the Case of Great Stink and Pandemic, Victorian London." In 4th International Conference of Contemporary Affairs in Architecture and Urbanism – Full book proceedings of ICCAUA2020, 20-21 May 2021. Alanya Hamdullah Emin Paşa University, 2021. http://dx.doi.org/10.38027/iccaua2021268n5.

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The history of architectural and urban design has expanded its scope and started adopting new philosophical approaches from other disciplines to explore the built environment. Theorist discusses whether we still live in a humanist world where a human being has more priority over the unhuman things or not to answer that; should we design architecture and urban within an anthropocentric approach. As a recent pandemic show, things that are not human, like animals or viruses, could control and navigate a new style of living. This research will introduce Bruno Latour's ANT and Graham Harman's Object-Oriented Ontology (OOO) as a new constructive method to analyse how human and unhuman bodies are equally the affective actors of daily practices in the urban realm. 19th-century Great Stink and epidemic in Victorian London will be a case study to picture urban dwellers of London that shaped determined the destiny of health and hygiene of London in 1858.
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Yuan, Jiabei, Yucheng Hou, and Zhimin Tan. "Frequency Domain Fatigue Analysis for a Unbonded Flexible Riser: Damage Induced by Dynamic Tension." In ASME 2019 38th International Conference on Ocean, Offshore and Arctic Engineering. American Society of Mechanical Engineers, 2019. http://dx.doi.org/10.1115/omae2019-95118.

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Abstract Evaluation of fatigue damage of offshore flexible risers is critical in flexible riser system design. For deepwater application, irregular wave time domain approach is often adopted as the state of practice to avoid excessive conservatism due to its better representation of the stochastic offshore environment. The approach can indeed fully capture the non-linear behaviors of the system at a significant cost of computational time. For example, computational time typically takes over 3∼4 weeks for a deep water free hanging riser system with thousands of fatigue load-cases and the full 3-hour simulations. On the other hand, the same scope of simulation can be completed in frequency domain within day(s), which will enable the designer to accelerate the optimization of riser system design. This paper presents an analysis method in frequency domain for assessing the fatigue damage of tensile armour wires inside the top end fitting (EF), which is induced by dynamic tension variation and often governs the riser service life in deep water applications. A validation measurement is also implemented to ensure the accuracy and practicability of this frequency domain approach in riser system design.
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Sahney, Reena, Mike Reed, and Darren Skibinsky. "The Development of a Facilities Integrity Management Program Recommended Practice for Canadian Energy Pipelines." In 2014 10th International Pipeline Conference. American Society of Mechanical Engineers, 2014. http://dx.doi.org/10.1115/ipc2014-33746.

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The Canadian Energy Pipeline Association (CEPA) is a voluntary, non-profit industry association representing major Canadian transmission pipeline companies. With the advent of changes in both CSA Z6621 as well as the National Energy Board Onshore Pipeline Regulations (OPR)2, the membership determined a Recommended Practice regarding a Management Systems Approach for Facilities Integrity was needed. As such, the Pipeline Integrity Working Group (PIWG) within CEPA formed a task group to support the initiative. The outlined approach was intended to have two main philosophical underpinnings: it must comprehensively support safe pipeline system operations and it must provide a practical mechanism for implementing a management systems approach for Facilities Iintegrity. The main challenge in developing a framework for a Facilities Integrity Management System lies in the broad range of equipment and system types that the management system must encompass. That is, equipment, in the context of Facilities Integrity Management, must encompass not only station equipment (such as rotating equipment, valves, meters etc.,) but also categories such as high pressure station piping and fuel lines. Further, there was the recognition that Operators already have an array of tools, processes and techniques in place to manage their various equipment and systems. In light of these observations, the Recommended Practice describes a framework that uses major equipment types as a key differentiator. This is an approach that can be easily aligned with existing corporate computerized maintenance management systems (CMMS) such as SAP™ or Maximo™. Once the equipment categorization has been established, the Recommended Practice then provides guidance regarding the specific requirements that should be addressed for each equipment category based on the framework in CSA Z662-11 Annex N. Specific suggestions are provided in the areas of: alignment with corporate goals and objectives, scope, definitions, performance metrics, risk assessments, competency of personnel, change management as well as documentation. The approach also maximizes the opportunity to leverage existing systems and processes to the extent possible. Overall the Recommended Practice should provide operators with a practical way to achieve a greater degree of rigor and alignment of facilities integrity management while ensuring detailed study and analysis is focused in the most appropriate areas.
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Bijadi, Sachin, Erik de Bruijn, Erik Y. Tempelman, and Jos Oberdorf. "Application of Multi-Material 3D Printing for Improved Functionality and Modularity of Open Source Low-Cost Prosthetics: A Case Study." In 2017 Design of Medical Devices Conference. American Society of Mechanical Engineers, 2017. http://dx.doi.org/10.1115/dmd2017-3540.

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Low-cost 3D desktop printing, although still in its infancy, is rapidly maturing, with a wide range of applications. With its ease of production and affordability, it has led to development of a global maker culture, with the design and manufacture of artefacts by individuals as a collaborative & creative hobbyist practice. This has enabled mass customization of goods with the potential to disrupt conventional manufacturing, giving more people access to traditionally expensive products like prosthetics and medical devices [1], as is the case with e-NABLE, a global community providing open source prosthetics for people with upper limb deficiencies. However one of the major barriers to proliferation of 3D printing as a major manufacturing method is the limitation of compatible materials for use with the technology [2]. This places constraints on the design approach, as well as the complexity & functionality of artefacts that can be produced with 3D printing as compared to traditional manufacturing methods. As a result, devices like the e-NABLE Raptor Reloaded prosthetic hand, which is designed specifically to be produced via a single extruder FDM desktop 3D printer, have limited functionality as compared to conventional prosthetics, leading to low active use and prosthesis abandonment [3]. However, with the advent of multi-material desktop 3D printing, and increasing availability of a broader range of compatible materials (of varying characteristics) [2], there is scope for improving capabilities of low-cost prosthetics through the creation of more sophisticated multi-material functional integrated devices. This work documents the exploration of potential applications of multi-material 3D printing to improve production, capabilities and usability of low-cost open source prosthetics. Various material combinations were initially studied and functional enhancements for current 3D printed prosthetics were prototyped using key material combinations identified. Further, a user-centered design approach was utilized to develop a novel multi-material anthropomorphic prosthetic hand ‘ex_machina’ based on a modular platform architecture, to demonstrate the scope for reduced build complexity and improved dexterity & functional customization enabled by dual extrusion FDM desktop 3D printing. A full prototype was built & tested with a lead user, and results analyzed to determine scope for optimization.
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Muyskens, Sean M., Tareq I. Eddir, and Robert C. Goldstein. "3D Simulation of an Automotive Wheel Hub and Induction Hardening Coil to Solve Coil Lifetime Issues." In HT2021. ASM International, 2021. http://dx.doi.org/10.31399/asm.cp.ht2021exabp0044.

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Abstract This paper will revisit a case study originally done for ASM HTS Conference in 2009. The goal then was to solve an induction coil lifetime issue of an induction coil for heat treatment of an automotive wheel hub. At the time, computer simulation was beginning to allow for full virtual prototyping of heat treat applications as an alternative to experimental testing. While practical knowledge allowed for the successful determination of the cause of short coil life, and iterative simulation led to implementation of a longer lasting coil that met the required pattern, simulation was not used at the time to pinpoint the cause of failure. As faster computing becomes more widely available and finite element analysis (FEA) improves in scope and accuracy, virtual prototyping and detection of these failure modes are becoming faster and lower cost options compared to the traditional test and trial method. To highlight the leaps made in virtual prototyping, this case study that was previously done as an axisymmetric 2D model will be done in 3D electromagnetic plus thermal with rotation for the full part.
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Reports on the topic "Full scope of practice"

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Torres, Marissa, Michael-Angelo Lam, and Matt Malej. Practical guidance for numerical modeling in FUNWAVE-TVD. Engineer Research and Development Center (U.S.), October 2022. http://dx.doi.org/10.21079/11681/45641.

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This technical note describes the physical and numerical considerations for developing an idealized numerical wave-structure interaction modeling study using the fully nonlinear, phase-resolving Boussinesq-type wave model, FUNWAVE-TVD (Shi et al. 2012). The focus of the study is on the range of validity of input wave characteristics and the appropriate numerical domain properties when inserting partially submerged, impermeable (i.e., fully reflective) coastal structures in the domain. These structures include typical designs for breakwaters, groins, jetties, dikes, and levees. In addition to presenting general numerical modeling best practices for FUNWAVE-TVD, the influence of nonlinear wave-wave interactions on regular wave propagation in the numerical domain is discussed. The scope of coastal structures considered in this document is restricted to a single partially submerged, impermeable breakwater, but the setup and the results can be extended to other similar structures without a loss of generality. The intended audience for these materials is novice to intermediate users of the FUNWAVE-TVD wave model, specifically those seeking to implement coastal structures in a numerical domain or to investigate basic wave-structure interaction responses in a surrogate model prior to considering a full-fledged 3-D Navier-Stokes Computational Fluid Dynamics (CFD) model. From this document, users will gain a fundamental understanding of practical modeling guidelines that will flatten the learning curve of the model and enhance the final product of a wave modeling study. Providing coastal planners and engineers with ease of model access and usability guidance will facilitate rapid screening of design alternatives for efficient and effective decision-making under environmental uncertainty.
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McMichael, Benjamin, and Sara Markowitz. Toward a Uniform Classification of Nurse Practitioner Scope of Practice Laws. Cambridge, MA: National Bureau of Economic Research, December 2020. http://dx.doi.org/10.3386/w28192.

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Markowitz, Sara, and E. Kathleen Adams. The Effects of State Scope of Practice Laws on the Labor Supply of Advanced Practice Registered Nurses. Cambridge, MA: National Bureau of Economic Research, March 2020. http://dx.doi.org/10.3386/w26896.

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Markowitz, Sara, E. Kathleen Adams, Mary Jane Lewitt, PhD, and Anne Dunlop. Competitive Effects of Scope of Practice Restrictions: Public Health or Public Harm? Cambridge, MA: National Bureau of Economic Research, October 2016. http://dx.doi.org/10.3386/w22780.

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Ronald Boring, Julius Persensky, and Kenneth Thomas. Deployment of a Full-Scope Commercial Nuclear Power Plant Control Room Simulator at the Idaho National Laboratory. Office of Scientific and Technical Information (OSTI), September 2011. http://dx.doi.org/10.2172/1027918.

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Saldanha, Ian J., Andrea C. Skelly, Kelly Vander Ley, Zhen Wang, Elise Berliner, Eric B. Bass, Beth Devine, et al. Inclusion of Nonrandomized Studies of Interventions in Systematic Reviews of Intervention Effectiveness: An Update. Agency for Healthcare Research and Quality (AHRQ), September 2022. http://dx.doi.org/10.23970/ahrqepcmethodsguidenrsi.

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Introduction: Nonrandomized studies of interventions (NRSIs) are observational or experimental studies of the effectiveness and/or harms of interventions, in which participants are not randomized to intervention groups. There is increasingly widespread recognition that advancements in the design and analysis of NRSIs allow NRSI evidence to have a much more prominent role in decision making, and not just as ancillary evidence to randomized controlled trials (RCTs). Objective: To guide decisions about inclusion of NRSIs for addressing the effects of interventions in systematic reviews (SRs), this chapter updates the 2010 guidance on inclusion of NRSIs in Agency for Healthcare Research and Quality (AHRQ) Evidence-based Practice Center (EPC) SRs. The chapter focuses on considerations for decisions to include or exclude NRSIs in SRs. Methods: In November 2020, AHRQ convened a 20-member workgroup that comprised 13 members representing 8 of 9 AHRQ-appointed EPCs, 3 AHRQ representatives, 1 independent consultant with expertise in SRs, and 3 representatives of the AHRQ-appointed Scientific Resource Center. The workgroup received input from the full EPC Program regarding the process and specific issues through discussions at a virtual meeting and two online surveys regarding challenges with NRSI inclusion in SRs. One survey focused on current practices by EPCs regarding NRSI inclusion in ongoing and recently completed SRs. The other survey focused on the appropriateness, completeness, and usefulness of existing EPC Program methods guidance. The workgroup considered the virtual meeting and survey input when identifying aspects of the guidance that needed updating. The workgroup used an informal method for generating consensus about guidance. Disagreements were resolved through discussion. Results: We outline considerations for the inclusion of NRSIs in SRs of intervention effectiveness. We describe the strengths and limitations of RCTs, study design features and types of NRSIs, and key considerations for making decisions about inclusion of NRSIs (during the stages of topic scoping and refinement, SR team formation, protocol development, SR conduct, and SR reporting). We discuss how NRSIs may be applicable for the decisional dilemma being addressed in the SR, threats to the internal validity of NRSIs, as well as various data sources and advanced analytic methods that may be used in NRSIs. Finally, we outline an approach to incorporating NRSIs within an SR and key considerations for reporting. Conclusion: The main change from the previous guidance is the overall approach to decisions about inclusion of NRSIs in EPC SRs. Instead of recommending NRSI inclusion only if RCTs are insufficient to address the Key Question, this updated guidance handles NRSI evidence as a valuable source of information and lays out important considerations for decisions about the inclusion of NRSIs in SRs of intervention effectiveness. Different topics may require different decisions regarding NRSI inclusion. This guidance is intended to improve the utility of the final product to end-users. Inclusion of NRSIs will increase the scope, time, and resources needed to complete SRs, and NRSIs pose potential threats to validity, such as selection bias, confounding, and misclassification of interventions. Careful consideration must be given to both concerns.
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Treadwell, Jonathan R., Mingche Wu, and Amy Y. Tsou. Management of Infantile Epilepsies. Agency for Healthcare Research and Quality (AHRQ), October 2022. http://dx.doi.org/10.23970/ahrqepccer252.

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Objectives. Uncontrolled seizures in children 1 to 36 months old have serious short-term health risks and may be associated with substantial developmental, behavioral, and psychological impairments. We evaluated the effectiveness, comparative effectiveness, and harms of pharmacologic, dietary, surgical, neuromodulation, and gene therapy treatments for infantile epilepsies. Data sources. We searched Embase®, MEDLINE®, PubMed®, the Cochrane Library, and gray literature for studies published from January 1, 1999, to August 19, 2021. Review methods. Using standard Evidence-based Practice Center methods, we refined the scope and applied a priori inclusion criteria to the >10,000 articles identified. We ordered full text of any pediatric epilepsy articles to determine if they reported any data on those age 1 month to <36 months. We extracted key information from each included study, rated risk of bias, and rated the strength of evidence. We summarized the studies and outcomes narratively. Results. Forty-one studies (44 articles) met inclusion criteria. For pharmacotherapy, levetiracetam may cause seizure freedom in some patients (strength of evidence [SOE]: low), but data on other medications (topiramate, lamotrigine, phenytoin, vigabatrin, rufinamide, stiripentol) were insufficient to permit conclusions. Both ketogenic diet and the modified Atkins diet may reduce seizure frequency (SOE: low for both). In addition, the ketogenic diet may cause seizure freedom in some infants (SOE: low) and may be more likely than the modified Atkins diet to reduce seizure frequency (SOE: low). Both hemispherectomy/hemispherotomy and non-hemispheric surgical procedures may cause seizure freedom in some infants (SOE: low for both), but the precise proportion is too variable to estimate. For three medications (levetiracetam, topiramate, and lamotrigine), adverse effects may rarely be severe enough to warrant discontinuation (SOE: low). For topiramate, non-severe adverse effects include loss of appetite and upper respiratory tract infection (SOE: moderate). Harms of diets were sparsely reported. For surgical interventions, surgical mortality is rare for functional hemispherectomy/hemispherotomy and non-hemispheric procedures (SOE: low), but evidence was insufficient to permit quantitative estimates of mortality or morbidity risk. Hydrocephalus requiring shunt placement after multilobar, lobar, or focal resection is uncommon (SOE: low). No studies assessed neuromodulation or gene therapy. Conclusions. Levetiracetam, ketogenic diet, modified Atkins diet, and surgery all appear to be effective for some infants. However, the strength of the evidence is low for all of these modalities due to lack of control groups, low patient enrollment, and inconsistent reporting. Future studies should compare different pharmacologic treatments and compare pharmacotherapy with dietary therapy. Critical outcomes underrepresented in the literature include quality of life, sleep outcomes, and long-term development.
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Toloo, Sam, Ruvini Hettiarachchi, David Lim, and Katie Wilson. Reducing Emergency Department demand through expanded primary healthcare practice: Full report of the research and findings. Queensland University of Technology, January 2022. http://dx.doi.org/10.5204/rep.eprints.227473.

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Demand for public hospital emergency departments’ services and care is increasing, placing considerable restraint on their performance and threatens patient safety. Many factors influence such demand including individual characteristics (e.g. perceptions, knowledge, values and norms), healthcare availability, affordability and accessibility, population aging, and internal health system factors (e.g patient flow, discharge process). To alleviate demand, many initiatives have been trialled or suggested, including early identification of at-risk patients, better management of chronic disease to reduce avoidable ED presentation, expanded capacity of front-line clinician to manage sub-acute and non-urgent care, improved hospital flow to reduce access block, and diversion to alternate site for care. However, none have had any major or sustained impact on the growth in ED demand. A major focus of the public discourse on ED demand has been the use and integration of primary healthcare and ED, based on the assumption that between 10%–25% of ED presentations are potentially avoidable if patients’ access to appropriate primary healthcare (PHC) services were enhanced. However, this requires not only improved access but also appropriateness in terms of the patients’ preference and PHC providers’ capacity to address the needs. What is not known at the moment is the extent of the potential for diversion of non-urgent ED patients to PHC and the cost-benefits of such policy and funding changes required, particularly in the Australian context. There is a need to better understand ED patients’ needs and capacity constraint so as to effect delivery of accessible, affordable, efficient and responsive services. Jennie Money Doug Morel
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Ronald L. Boring, Vivek Agarwal, Kirk Fitzgerald, Jacques Hugo, and Bruce Hallbert. Digital Full-Scope Simulation of a Conventional Nuclear Power Plant Control Room, Phase 2: Installation of a Reconfigurable Simulator to Support Nuclear Plant Sustainability. Office of Scientific and Technical Information (OSTI), March 2013. http://dx.doi.org/10.2172/1070112.

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Nantung, Tommy E., Jusang Lee, John E. Haddock, M. Reza Pouranian, Dario Batioja Alvarez, Jongmyung Jeon, Boonam Shin, and Peter J. Becker. Structural Evaluation of Full-Depth Flexible Pavement Using APT. Purdue University, 2021. http://dx.doi.org/10.5703/1288284317319.

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The fundamentals of rutting behavior for thin full-depth flexible pavements (i.e., asphalt thickness less than 12 inches) are investigated in this study. The scope incorporates an experimental study using full-scale Accelerated Pavement Tests (APTs) to monitor the evolution of each pavement structural layer's transverse profiles. The findings were then employed to verify the local rutting model coefficients used in the current pavement design method, the Mechanistic-Empirical Pavement Design Guide (MEPDG). Four APT sections were constructed using two thin typical pavement structures (seven-and ten-inches thick) and two types of surface course material (dense-graded and SMA). A mid-depth rut monitoring and automated laser profile systems were designed to reconstruct the transverse profiles at each pavement layer interface throughout the process of accelerated pavement deterioration that is produced during the APT. The contributions of each pavement structural layer to rutting and the evolution of layer deformation were derived. This study found that the permanent deformation within full-depth asphalt concrete significantly depends upon the pavement thickness. However, once the pavement reaches sufficient thickness (more than 12.5 inches), increasing the thickness does not significantly affect the permanent deformation. Additionally, for thin full-depth asphalt pavements with a dense-graded Hot Mix Asphalt (HMA) surface course, most pavement rutting is caused by the deformation of the asphalt concrete, with about half the rutting amount observed within the top four inches of the pavement layers. However, for thin full-depth asphalt pavements with an SMA surface course, most pavement rutting comes from the closet sublayer to the surface, i.e., the intermediate layer. The accuracy of the MEPDG’s prediction models for thin full-depth asphalt pavement was evaluated using some statistical parameters, including bias, the sum of squared error, and the standard error of estimates between the predicted and actual measurements. Based on the statistical analysis (at the 95% confidence level), no significant difference was found between the version 2.3-predicted and measured rutting of total asphalt concrete layer and subgrade for thick and thin pavements.
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