Tennessee's failed managed care program for mental health and substance abuse services

In July 1996, Tennessee initiated a managed mental health and substance abuse program called TennCare Partners. This publicly funded "carve-out" experiment started chaotically and soon deteriorated into a crisis. Many patients did not receive care or lost continuity of care, and the traditional "safety net" mental health system nearly disintegrated. This qualitative case study sought to ascertain the impact of the TennCare Partners program. It points out that the program's difficulties stemmed directly from a flawed design that spread funds previously earmarked for severely mentally ill patients across the entire Medicaid population. States contemplating similar reforms should strive to protect vulnerable patients by risk-adjusting capitation payments and by focusing resources on care for severely mentally ill persons. States should also minimize program complexity and ensure the accountability of managed care networks for their patients' behavioral health care needs.     

Intelligent planning and the design of a new risk-based,intelligent flight plan

A safe flight starts with effective performance of the pre-flight flight planning and briefing task. However, several problems related to the execution of this task can be identified. Potentially, the introduction of an improved flight plan provides an opportunity to improve the quality and availability of information provided to Flight Crew, thereby enhancing the quality of crew briefings. The proposed risk-based, intelligent flight plan is designed from the perspective of the current operational concept (e.g. fixed routes and ATC managerial role for separation), and associated airline Flight Planning and Dispatch functions. In this case, the focus is sharing information across specific airline stakeholders (e.g. Flight Operations Management and Safety functions) and Maintenance, to support a safe and efficient flight operation. Overall, the introduction of this new flight plan will result in the definition of new operational and organisational processes, along with a new way of performing the pre-flight, planning and briefing task. It is anticipated that this will impact positively on the operational and safety outcome of the flight.     

Interactive video technology: Enhancing professional learning in initial teacher education

The University of Sussex In-School Teacher Education Project (InSTEP) uses interactive video technologies to enhance initial teacher education programmes for science trainee teachers. With four Internet Protocol cameras and mounted microphones in both school laboratories and the university teaching room, trainees and their tutors have access to live interaction with schools. This paper presents some of the findings of a 2 year evaluation of InSTEP aimed at identifying the benefits for trainee teachers. There has been an increase in the use of video material for teacher training purposes, however, trainee teachers are often intimidated by carefully selected extracts featuring experienced teachers. InSTEP activities are live and capitalise on all the opportunities associated with normal classroom practice. Literature points to InSTEP-type activities having the potential to enhance the development of trainees’ observation skills, develop reflective thinking, to provide authentic illustrations of classroom practice, enable remote observation and facilitate the coaching of trainees by mentors. A fourth generation model of evaluation was undertaken with data generated by semi-structured interviews with university tutors and mentors supported by a questionnaire and group interviews with the trainees. Our main findings point to InSTEP enhancing and accelerating the growth of trainee teachers’ professional knowledge through enabling reflective practice, facilitating collaborative learning and supporting the development of the language of pedagogy.     

SignMT: An alternative language learning tool

Learning a second language is very difficult, especially, for the disabled; the disability may be a barrier to learn and to utilize information written in text form. We present the SignMT, Thai sign to Thai machine translation system, which is able to translate from Thai sign language into Thai text. In the translation process, SignMT takes into account the differences between Thai and Thai sign language in terms of both syntax and semantic to ensure the accuracy of translation. SignMT was designed to be not only an automatic interpreter but also a language learning tool. It provides meaning of each word in both text and image forms which is easy to understand by the deaf. The grammar information and the order of the sentence are presented in order to help the deaf in learning Thai, their second language. With SignMT, deaf students are less dependent on a teacher, have more freedom to experiment with their own language, and improve their knowledge and learning skill.     

User acceptance of hedonic digital artifacts: A theory of consumption values perspective

Hedonic digital artifacts have become prevalent in today's society. Their users typically pay for them, and in exchange are generally provided with benefits involving enjoyment. Today's research on technology adoption and use, though, has focused mostly on organizational or personal aids that provide efficiency and effectiveness and are free of charge for users. To bridge this gap, we identified several value drivers of hedonic digital artifacts and measured them in the context of mobile phone ringtones using the theory of consumption values. Hypothesis testing was performed using PLS on data collected from 422 ringtone users. Results confirmed that the overall value of hedonic digital artifacts is a third-order composite assessment, which successfully predicted behavioral usage and positive word-of-mouth intentions. Theoretical and practical implications were discussed.     

DLEJena: A practical forward-chaining OWL 2 RL reasoner combining Jena and Pellet

This paper describes DLEJena, a practical reasoner for the OWL 2 RL profile that combines the forward-chaining rule engine of Jena and the Pellet DL reasoner. This combination is based on rule templates, instantiating at run-time a set of ABox OWL 2 RL/RDF Jena rules dedicated to a particular TBox that is handled by Pellet. The goal of DLEJena is to handle efficiently, through instantiated rules, the OWL 2 RL ontologies under direct semantics, where classes and properties cannot be at the same time individuals. The TBox semantics are treated by Pellet, reusing in that way efficient and sophisticated TBox DL reasoning algorithms. The experimental evaluation shows that DLEJena achieves more scalable ABox reasoning than the direct implementation of the OWL 2 RL/RDF rule set in the Jena’s production rule engine, which is the main target of the system. DLEJena can be also used as a generic framework for applying an arbitrary number of entailments beyond the OWL 2 RL profile.     

Using GPU Shaders for Visualization

GPU shaders seem used mostly for gaming and other forms of entertainment and simulation. But they have less-obvious visualization uses, for the same reasons that interest the gaming community: improved appearance and performance. This column looks at the use of shaders and the OpenGL shading language (GLSL) in two common visualization applications: point clouds and contour cutting planes.     

Accelerating geoscience and engineering system simulations on graphics hardware

Many complex natural systems studied in the geosciences are characterized by simple local-scale interactions that result in complex emergent behavior. Simulations of these systems, often implemented in parallel using standard central processing unit (CPU) clusters, may be better suited to parallel processing environments with large numbers of simple processors. Such an environment is found in graphics processing units (GPUs) on graphics cards.This paper discusses GPU implementations of three example applications from computational fluid dynamics, seismic wave propagation, and rock magnetism. These candidate applications involve important numerical modeling techniques, widely employed in physical system simulations, that are themselves examples of distinct computing classes identified as fundamental to scientific and engineering computing. The presented numerical methods (and respective computing classes they belong to) are: (1) a lattice-Boltzmann code for geofluid dynamics (structured grid class); (2) a spectral-finite-element code for seismic wave propagation simulations (sparse linear algebra class); and (3) a least-squares minimization code for interpreting magnetic force microscopy data (dense linear algebra class). Significant performance increases (between 10× and 30× in most cases) are seen in all three applications, demonstrating the power of GPU implementations for these types of simulations and, more generally, their associated computing classes.     

Problematic Internet use and psychosocial well-being among MMO players

The current study examined problematic Internet use (PIU) among people who play MMO games and sought to determine whether aspects of the MMO experience are useful predictors of PIU. The study sought to determine whether game-related variables could predict PIU scores after accounting for their relationships with psychosocial well-being. Novel methods allowed us, for the first time, to connect in-game behaviors with survey results of over 4000 MMO players. The results revealed that MMO gaming variables contributed a substantively small, but statistically significant amount of explained variance to PIU scores.