US national urban policy

There are moves in Victoria to centralise planning and reduce opportunities for public involvement. It is symptomatic of the nation turning outwards towards global activity and an emphasis on rational economic theory. It is argued that this is opposite to what is needed. Failure to get projects up and running is not the result of people or planning delaying decisions. It is the product of lackof strategic thinking, an important part of which is broadening, not narrowing the scope of ideas. Public involvement can and should affect public policy and decision making processes on significant issues. Examples of how communities have done this are discussed.     

A randomized trial of three diabetes registry implementation strategies in a community internal medicine practice

BACKGROUND: Disease registries are powerful tools with the potential to transform the way chronic diseases are managed. To date, however, little work has been done to determine how to optimize the implementation of a chronic disease registry in practice. METHODS: Twenty-nine physicians and their nurse teams in a large community internal medicine practice participated in this 6-month prospective randomized trial in 2000. Teams were assigned to one of three implementation strategies using information from a diabetes registry. Process and outcome measures for diabetes management were analyzed. Process measures included the percentage of patients completing glycosylated hemoglobin (Hgb) testing within 6 months and low-density lipoprotein (LDL) testing within 12 months. Outcome measures included the percentage of patients with a glycosylated Hgb > 9.3% (equivalent to a HgbA1c > 8.0%), the percentage of patients with an LDL cholesterol > 130 mg/dl, and the percentage of patients with controlled blood pressure, defined as < 130/85 millimeters of mercury. Mean change in LDL and glycosylated Hgb values was also measured. RESULTS: Teams randomized to an intervention strategy that included direct letters to patients showed significant improvement across a number of measures. The improvement was most apparent among patients without recent testing or with poorly controlled disease. The two interventions that did not include direct patient letters resulted in limited improvement. DISCUSSION: Disease registries can be used to improve outcomes in the management of diabetes and other chronic diseases. Better outcomes were seen in patients who received letters based on registry-generated data. This strategy should be included as part of a comprehensive chronic disease management plan. Further refinements in the use of registries should result in further incremental improvement.     

Threshold of stimulated Brillouin scattering by use of a solar pumped laser

What is to our knowledge the first stimulated Brillouin scattering experiment using a high-power low-gain solar pumped laser is presented. A threshold reflectivity of 0.23% was reached when a peak power of 20.7 kW was used at 7.6 GHz. A cw solar pumped laser was Q-switched with an acousto-optic modulator, and the bandwidth was narrowed with an intracavity etalon. A high polarization ratio (>99.4%) was achieved by use of an intracavity configuration. Higher reflectivity values were limited because of the lack of availability of optical switches.     

Perception and expectation gaps of information systems provider skills: the impact on user satisfaction

Abstract.  Past research indicates that expectations play a crucial role in the final satisfaction of users of information systems (IS). This includes expectations regarding the skill levels exhibited by the providers of the IS services and products. Typically, the expectations are examined as gaps from perceived performance or as gaps from realistic expectations. The interaction of these gaps has not been thoroughly explored in past research, although recent theories anticipate both gaps are crucial in meeting the desires of the users. A matched pair sample of IS users and IS providers is used to collect data on expected skill levels and perceived delivery of the skills demanded. Gaps, both between these two stakeholder groups regarding expectations and within the user group regarding perceived delivery, are found to impact user satisfaction in a two-way analysis. The results indicate that expectations should be managed to higher levels and commonly understood across the user and provider groups.     

Knowledge building in mathematics: Supporting collaborative learning in pattern problems

While it has been suggested that patterning activities support early algebra learning, it is widely acknowledged that the shift from perceiving patterns to understanding algebraic functions—and correspondingly, from reporting empirical patterns to providing explanations—is difficult. This paper reports on the collaborations of grade 4 students (n = 68) from three classrooms in diverse urban settings, connected through a knowledge-building environment (Knowledge Forum), when solving mathematical generalizing problems as part of an early algebra research project. The purpose of this study was to investigate the underlying principles of idea improvement and epistemic agency and the potential of knowledge building—as supported by Knowledge Forum—to support student work. Our analyses of student-generated collaborative workspaces revealed that students were able to find multiple rules for challenging problems and revise their own conjectures regarding those rules. Furthermore, the discourse was sustained over 8 weeks and students were able to find similarities across problem types without the support of teachers or researchers, suggesting that these grade-4 students had developed a disposition for evidence use and justification that eludes much older students.     

Junk Computing

Junk computing, the use of information systems in a way that does not directly advance organizational goals, can both diminish productivity and add value to a work environment. Results of a year-long study of the types and causes of junk computing can help managers reduce performance losses without stifling employee creativity.     

Neurophysiological development in premature infants following stimulation.

Tactile kinesthetic stimulation was given to 15 premature infants to determine effects on neurophysiological development. The mothers of the Ss were trained to administer the treatment for 15 min 4 times a day for 1 mo, beginning the day the S arrived home from the hospital. When Ss and 14 control Ss were 4 mo old (CA), they were examined by a pediatrician, a psychologist, and a pediatric nurse who had no knowledge of whether the S was experimental or control. The Ss' neurological development, weight, length, head circumference, and mental and motor development (as determined by the Bayley Scales of Infant Development) were assessed. Results indicate that experimental Ss made significant gains in neurological development, in weight gain, and in mental development. Findings suggest that the early and systematic stimulation provided by the mothers can enhance development of premature infants. (24 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Dependence of electrical properties of polycrystalline cvd si films on grain size and impurity doping concentrationa,b

The electrical properties of sets of simultaneously grown p-type polycrystalline Si films, deposited by SiH₄ pyrolysis on polycrystalline high-purity alumina substrates and B-doped during growth, were determined by Hall-effect measurements in the temperature range 77-420K as functions both of impurity doping concentration N (~10^l5 to ~10²⁰cm⁻³) and average grain size (≈1 to ≈125μm) in the film. Room temperature data showed rapidly increasing resistivities and rapidly decreasing free-carrier concentrations for doping below a critical concentration N_m and distinct mobility minima at that concentration, with the value of N_m being larger the smaller the average grain size. Measurements as a function of sample temperature showed the intergrain barrier height E_b, decreasing from a maximum value of ~0.4eV at the critical concentration to very small values (~0.01eV) for concentrations above 10¹⁹cm⁻³, with a functional dependence close to E_b ∝l/N^1/2 and E_b for any given concentration being larger the smaller the average grain size. Results are interpreted in terms of the grain-boundary trapping model. Trapped carrier densities in the grain boundaries were calculated to range from ~5×l0¹¹cm⁻² at N≈N_m to ~5×l0¹²cm⁻² for N>10¹⁹cm⁻³, the density being higher the smaller the grain size, and evidence was found for an energy distribution of traps in the Si bandgap, rather than a fixed density at a single discrete energy level. The observed relationship between N_m and average grain size nearly coincides with that of the model for films with ~lμm grain size but sharply departs from it for larger grain sizes, indicating probable applicability of the model for grain sizes up to that range. ^aThis work was supported by the U.S. Department of Energythrough its San Francisco Operations Office under Contract DE-AC03-79ET23045 and monitored by the Solar Energy Research Institute, Golden, CO. bThese results were first described at the 22nd Electronic Materials Conference, Ithaca, NY, June 21–27, 1980, Paper No. M4.