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Using total quality management principles within a shared governance framework, this case study discusses how to design and implement a plan to achieve independent nursing practice when an employee has unique needs. This experience demonstrates the importance of looking at root causes, separating ability and compliance issues, using all available resources creatively, and planning for success. 相似文献
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AR Reilein IS Tint NI Peunova GN Enikolopov VI Gelfand 《Canadian Metallurgical Quarterly》1998,142(3):803-813
We used melanophores, cells specialized for regulated organelle transport, to study signaling pathways involved in the regulation of transport. We transfected immortalized Xenopus melanophores with plasmids encoding epitope-tagged inhibitors of protein phosphatases and protein kinases or control plasmids encoding inactive analogues of these inhibitors. Expression of a recombinant inhibitor of protein kinase A (PKA) results in spontaneous pigment aggregation. alpha-Melanocyte-stimulating hormone (MSH), a stimulus which increases intracellular cAMP, cannot disperse pigment in these cells. However, melanosomes in these cells can be partially dispersed by PMA, an activator of protein kinase C (PKC). When a recombinant inhibitor of PKC is expressed in melanophores, PMA-induced pigment dispersion is inhibited, but not dispersion induced by MSH. We conclude that PKA and PKC activate two different pathways for melanosome dispersion. When melanophores express the small t antigen of SV-40 virus, a specific inhibitor of protein phosphatase 2A (PP2A), aggregation is completely prevented. Conversely, overexpression of PP2A inhibits pigment dispersion by MSH. Inhibitors of protein phosphatase 1 and protein phosphatase 2B (PP2B) do not affect pigment movement. Therefore, melanosome aggregation is mediated by PP2A. 相似文献
25.
VI Korol''kov VP Krotov V Konvertino P Le?tem EV Trambovetski? J Fanton R Krisman IuV Gordeev D Evert AM Nosovski? J Konnolli 《Canadian Metallurgical Quarterly》1998,32(3):30-37
Medical practice guidelines are being developed rapidly and advocated as a crucial component in transforming and improving the delivery of health care services. However, little is known about the ability of hospitals to institute guidelines outside of experimental settings. This article approaches guideline implementation from the viewpoint of process innovation assimilation and presents specific recommendations for organizational tactics leading to successful implementation of practice guidelines. 相似文献
26.
Shevtsova L. I. Korchagin M. A. Esikov M. A. Lozhkin V. S. Gavrilov A. I. Larichkin A. Yu. 《Metallurgist》2022,65(11-12):1273-1280
Metallurgist - The paper described the structure and mechanical properties of nickel aluminide (Ni3Al) obtained by spark plasma sintering of the two compositions of nickel and aluminum powder... 相似文献
27.
Conclusions By use of methods of nonstationary heat flow, thermophysical characteristics (thermal conductivity, , thermal diffusivity,a, and specific heat capacity, C) have been obtained and the character of the temperature dependence, =f(T), has been established for a yarn-air composite system with a parallel disposition of elementary filaments.The character of the temperature dependence, =f(T), is supported by the results of studies of PA yarn-air composite systems having an unordered disposition of the elementary filaments, which were obtained by the method of a stationary heat flux.The dependence of the change in specific heat capacity coefficient of a composite system with an unordered disposition of elementary filaments on temperature, C = f(T), has been determined by the nonstationary heat flux method.Equations for the temperature dependences of the coefficient of specific heat capacity and the thermal conductivity coefficient of PA complex yarns have been obtained in the temperature range from 300 to 423 K.Translated from Khimicheskie Volokna, No. 4, pp. 46–48, July–August, 1987. 相似文献
28.
GN Kremenchutski? ML Gorbunova LG Iurgel' VI Chu?ko SA Cherniaev 《Canadian Metallurgical Quarterly》1994,56(4):36-42
The paper deals with the data on biology of Aerococcus, a slightly studied group of microorganisms. Physiological-biochemical properties of Aerococcus are described, data of their distribution in nature are given. Peculiar attention is paid to the estimate of the role of Aerococcus in human microbiocenoses. As a result of the profound and all-round study of this group of microorganisms the authors have developed new bacterial drug "A-bakterin" based on the aerococcus strain. Data presented about the results of clinical tests of "A-bakterin" are presented, a possibility to use Aerococcus lysate in the elaboration of new drugs is discussed. 相似文献
29.
IuM Evdokimov SG Skuridin SV Semenov VI Salianov GB Lortkipanidze 《Canadian Metallurgical Quarterly》1998,43(2):240-252
Abnormal optical properties of liquid-crystalline dispersions (phases) formed as a result of phase exclusion of double-stranded DNA and RNA from water-salt poly(ethylene glycol) solutions and X-ray parameters of these phases are compared. It is shown that the cholesteric packing of nucleic acid molecules is realized at the certain osmotic pressure of a solvent only. A comparison of the optical properties of liquid-crystalline phases (dispersions) to their X-ray parameters allows one to put forward a suggestion on various hydratation (fluctuation) regimes of the nucleic acid behaviour under the condensed phases formation and factors, influencing the mode of packing of these molecules in phases formed. It is shown as well, that immobilization of DNA cholesteric liquid-crystalline particles in the content of polymeric matrix is accompanied by the stabilization of these particles and, hence, their specific abnormal optical activity as well as by formation of particles having a structure, which corresponds to the "optically isotropic ordered liquid" without abnormal optical activity. Data on stabilization of the cholesteric structure of liquid-crystalline DNA dispersions by creation of polymeric chelate bridges between the neighbouring DNA molecules, fixed in the structure of liquid-crystalline dispersions, are shown. 相似文献
30.
Sequences of fast-folding model proteins (48 residues long on a cubic lattice) were generated by an evolution-like selection toward fast folding. We find that fast-folding proteins exhibit a specific folding mechanism in which all transition state conformations share a smaller subset of common contacts (folding nucleus). Acceleration of folding was accompanied by dramatic strengthening of interactions in the folding nucleus whereas average energy of nonnucleus interactions remained largely unchanged. Furthermore, the residues involved in the nucleus are the most conserved ones within families of evolved sequences. Our results imply that for each protein structure there is a small number of conserved positions that are key determinants of fast folding into that structure. This conjecture was tested on two protein superfamilies: the first having the classical monophosphate binding fold (CMBF; 98 families) and the second having type-III repeat fold (47 families). For each superfamily, we discovered a few positions that exhibit very strong and statistically significant "conservatism of conservatism"-amino acids in those positions are conserved within every family whereas the actual types of amino acids varied from family to family. Those amino acids are in spatial contact with each other. The experimental data of Serrano and coworkers [Lopez-Hernandez, E. & Serrano, L. (1996) Fold. Des. (London) 1, 43-55]. for one of the proteins of the CMBF superfamily (CheY) show that residues identified this way indeed belong to the folding nucleus. Further analysis revealed deep connections between nucleation in CMBF proteins and their function. 相似文献