CEO summit. Building the new health care delivery alliance, Part III. Roundtable discussion

In cooperation with McManis Associates, Hospitals & Health Networks recently convened a CEO summit on physician/hospital integration activities. In the third report of a three-part series on the summit, leading health care executives discuss investor capital needs, strategic information management needs, and the management competencies required for capitated managed care success.     

Water-soluble copolymers: 22. Copolymers of acrylamide with 2-acrylamido-2-methylpropanedimethylammonium chloride: Aqueous solution properties of a polycation

The viscometric, turbidimetric and potentiometric properties of copolymers of acrylamide (AM) with 2-acrylamido-2-methylpropanedimethylammonium chloride (AMPDAC) were studied in aqueous solutions. The AMPDAC polymers exhibit poor salt tolerance and large, negative viscosity/temperature coefficients. Furthermore, the polymers were found to be sensitive to changes in pH. The AMPDAC polymers undergo phase separation in the presence of dianions as a function of temperature and AMPDAC composition.     

Simultaneous design of membership functions and rule sets for fuzzycontrollers using genetic algorithms

This paper examines the applicability of genetic algorithms (GA's) in the simultaneous design of membership functions and rule sets for fuzzy logic controllers. Previous work using genetic algorithms has focused on the development of rule sets or high performance membership functions; however, the interdependence between these two components suggests a simultaneous design procedure would be a more appropriate methodology. When GA's have been used to develop both, it has been done serially, e.g., design the membership functions and then use them in the design of the rule set. This, however, means that the membership functions were optimized for the initial rule set and not the rule set designed subsequently. GA's are fully capable of creating complete fuzzy controllers given the equations of motion of the system, eliminating the need for human input in the design loop. This new method has been applied to two problems, a cart controller and a truck controller. Beyond the development of these controllers, we also examine the design of a robust controller for the cart problem and its ability to overcome faulty rules     

8-Gbit/s transmission experiment over 68 km of optical fiber using a Ti:LiNbO3external modulator

We describe the performance of an experimental 1.5-μm lightwave transmission system operating at 8 Gbit/s over 68.3 km of single-mode fiber. The dispersion penalty is limited to 1 dB through the use of external modulation and is attributable to the intrinsic information bandwidth.     

Capturing visual attention and the curve tracing operation.

The hypothesis that orienting visual attention is an important component of visual curve tracing was investigated. Ss examined a visual display and decided as quickly as possible whether 2 dots were on the same or different curves. The rate of tracing was determined by measuring the effects of curve distance on response time. Attention was directed to a curve by momentarily presenting it at a higher luminance. Directing attention to a curve that had 2 dots on it resulted in faster tracing rates with large benefits in overall response time. Directing attention to a distractor curve resulted in slower tracing rates and sizable costs in overall response times. Two alternative nonattentional explanations (eye movements and visible persistence) were examined and rejected. The role of attention in curve tracing is discussed in terms of the selective nature of curve tracing. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Intramuscular collagen characteristics of ram, wether, and zeranol-implanted ram lambs

Eighteen spring-born Columbia ram, wether, and zeranol-implanted ram lambs were studied to determine the influence of castration or zeranol implants on intramuscular collagen (IMC) properties and muscle shear force values. Warner-Bratzler shear force values for longissimus muscle were greatest for ram lambs, intermediate for implanted rams, and least for wethers (P < .05). Nonreducible collagen crosslink concentration was greater in IMC of rams and implanted rams (P < .05). The IMC from rams compared with that from wethers contained proportionately more Type III than Type I collagen (P < .05); values for implanted rams were intermediate. Heat-soluble muscle collagen concentration was greater for rams and implanted rams than for wethers (P < .05); however, insoluble collagen concentration did not differ by treatment. Muscle collagen concentrations were not different for rams, wethers, or implanted rams. Increased shear force values in rams were associated with elevated collagen crosslink concentration and increased proportion of Type III collagen. Greater concentration of soluble collagen in ram IMC neither diminished nor diluted IMC crosslinking. The proportion of heat-labile collagen in the fractions did not reflect the IMC crosslinking profile for ram and wether lambs. Zeranol implantation modified IMC characteristics of rams such that shear force values and some collagen properties were similar to those of wethers.     

Caring for dying children: nurses' experiences

Interviews with 25 nurses in this grounded theory study show that when nurses recognized that a child's death was inevitable, they struggled with both grief distress and moral distress. Their distress occurred within the context of the nurse-patient relationship. Nurses employed a range of strategies to manage their distress. Several conditions facilitated or constrained nurses' strategies, and resulted in far-reaching implications both professionally and personally.