12
Capstone Project
Olivia Timmons
Department of Nursing. St. Johns River State College
NUR 4949: Nursing Capstone
Dr. C. Z. Velasco
November 14, 2021
Capstone Project
There is a saying that states one can only learn through doing it, practically and physically. It is the explanation as to why it is very important to implement the skills acquired in theory into practice to ascertain one’s competence. This is even more crucial in the medical field as they have no choice but just to be perfect at what they are doing, the only secret is through practice. Practicums connect the two worlds of theory and classwork, thus breaking the monotony alongside connecting what was taught in class with what happens in the field. They are important as apart from sharpening the student’s skills, they also open a window of opportunity and build up connections that will come in handy for the student later on. They will feel the experience and the pressure that comes with it thus preparing themselves accordingly.
Statement of the Problem
Timing is essential in the nursing field and the Emergency Room is notorious for its long wait times. The goal of a clinical laboratory is to deliver medically useful results for patients on a timely basis. This goal can be hindered by the new paradigm of the modern laboratory – “do more with less" (Lopez, 2020). When implementing new care models for patients, the patient perspective is critical. The objective of this study was to describe and develop an understanding of the information needs of patients in the ED waiting room concerning ED wait time notification (Calder, 2021). As a patient arrives at the ER waiting area, it's critical to have lab results for the provider to evaluate. I can give you an example of a patient that waited in the waiting room for over 3 hours, no labs were completed because they were waiting for the patient to go back into a room. The patient was suffering from a heart attack and his troponins were elevated and no one knew until 3 hours later. If POC labs were done on all patients as soon as they arrived, mistakes like these can be avoided. Completed POC blood can cut the wait times in half and the laboratory also won't be backed up on resulting lab specimens.
PICOT Question
Question: Is there a significant decrease in Emergency Department patient length of stay (LOS) for those whose blood was analyzed using POC testing versus those whose blood was analyzed using laboratory testing?
· P-Population= emergency room patients
· I-Intervention or Exposure= POC testing of blood specimens
· C-Comparison= Laboratory blood specimens
· O-Outcome= Decrease patient stay in the emergency room
· T-Time = N/A
History of the Issue
The length of patient stay in the emergency department (ED) is an issue that not only increases the severity of illnesses but also reduces the quality of patient care. Serious health conditions including diabetes and hypertension can worsen while patients are ...
Key Performance Indicator Assignment Capstone Written Case ConcepTatianaMajor22
Key Performance Indicator Assignment: Capstone Written Case Conceptualization (20 points) (The client selected should be a high school student. I did my intern at a high school) The student will select a client from their internship site and complete an 8-page (minimum) case conceptualization report detailing the following ten competencies,
1. Assessment Skills: Includes a summary of the DSM-5 diagnosis, biopsychosocial assessment, mental status exam, substance use, risk assessment, and any other assessment instruments used.
2. Intervention & Conceptualization Skills: Includes a summary of how the assessment informs treatment, treatment plan, goals, and interventions used. Incorporates any relevant cultural, racial, ethical, and legal (if applicable) issues related to the case, and reflects the intern’s personal theory of counseling.
3. Writing Skills and Document Organization: Paper clearly and succinctly communicates clinical impressions. Paper is organized, with appropriate grammar, spelling, and APA Style.
4. Use of Supervision: Includes a summary of how supervision impacted clinical decision making and case conceptualization.
5. Knowledge & Application of Site-Specific Information: Includes a description of how the site’s clinical services and structure affect the assessment, treatment, and conceptualization of the selected case. Any relevant policies, regulatory processes, and program evaluation measures associated with service delivery are included.
6. Professional Counseling Competencies: Includes a description of how the case was conceptualized from the professional counseling framework compared to other mental health professions (e.g., counseling promotes clients' optimal human development, wellness, and mental health through prevention, education, and advocacy activities, including advocacy for those with mental health issues.)
7. Personal Attributes & Self-Understanding: Includes a summary of 1. intern’s reactions, awareness of own emotional response, and effective countertransference management related to the client case, and 2. awareness of intern’s impact on client (i.e., intern’s race, gender, religion) and client’s transference responses.
8. Interpersonal Competencies: Includes a summary of how the intern’s interactions with supervisor, interdisciplinary team, and site colleagues informed the case. Describe how the use of Generated: 10/22/2021 Page 7 of 23 empathy, compassion, and respect for client’s autonomy were evident in the client’s treatment.
9. Student’s Strengths: Identify and describe at least three of the intern’s personal strengths that enhanced the client’s treatment.
10. Student’s Areas for Development: Identify and describe at least three of the intern’s areas for development that would further enhance the client’s treatment. This paper must be written in APA Style
Due date 11/13/21
Please see attached “final capstone correct” I have started the paper but I need help completing the rest. I have in ...
Scheduling Of Nursing Staff in Hospitals - A Case Studyinventionjournals
International Journal of Mathematics and Statistics Invention (IJMSI) is an international journal intended for professionals and researchers in all fields of computer science and electronics. IJMSI publishes research articles and reviews within the whole field Mathematics and Statistics, new teaching methods, assessment, validation and the impact of new technologies and it will continue to provide information on the latest trends and developments in this ever-expanding subject. The publications of papers are selected through double peer reviewed to ensure originality, relevance, and readability. The articles published in our journal can be accessed online.
College Writing II Synthesis Essay Assignment Summer Semester 2017.docxclarebernice
College Writing II Synthesis Essay Assignment Summer Semester 2017
Directions:
For this assignment you will be writing a synthesis essay. A synthesis is a combination of two or more summaries and sources. In a synthesis essay you will have three paragraphs, an introduction, a synthesis and a conclusion.
In the introduction you will give background information about your topic. You will also include a thesis statement at the end of the introduction paragraph. The thesis statement should describe the goal of your synthesis. (informative or argumentative)
The second paragraph is the synthesis. You will combine two summaries of two different articles on the same topic. You will follow all summary guidelines for these two paragraphs. The synthesis will most likely either argue or inform the reader about the topic.
The conclusion paragraph should summarize the points of your essay and restate the general ideas.
For this essay you will read two research articles on a similar topic to the previous critical review essay as you can use this research in your inquiry paper. You will summarize both articles in two paragraphs and combine the paragraphs for your synthesis. In the synthesis you must include the main ideas of the articles and the author, title, and general idea in the first sentences.
This essay will be three pages long and the first draft and peer review are due June 15. You must turn them in hardcopy in class so you can do a peer review.
Running head: THESIS DRAFT 1
THESIS DRAFT 3Thesis Draft
Katelyn B. Rhodes
D40375299
DeVry University
Point-of-Care Testing (PoCT) has dramatically taken over the field of clinical laboratory testing since it’s introduction approximately 45 years ago. The technologies utilized in PoCT have been refined to deliver accurate and expedient test results and will become even more sensitive and accurate in order to dominate the field of clinical laboratory testing. Furthermore, there will be a dramatic increase in the volume of clinical testing performed outside of the laboratory. New and emerging PoCT technologies utilize sophisticated molecular techniques such as polymerase chain reaction to aid in the treatment of major health problems worldwide, such as sexually transmitted infections (John & Price, 2014).
Historic Timeline
In the early-to-mid 1990’s, bench top analyzers entered the clinical laboratory scene. These analyzers were much smaller than the conventional analyzers being used, and utilized touch-screen PCs for ease of use. For this reason, they were able to be used closer to the patient’s bedside or outside of the laboratory environment. However, at this point in time, laboratory testing results were stored within the device and would have to then be sent to the main central laboratory for analysis.
Technology in the mid-to-late 1990’s permitted analyzers to be much smaller so that they may be easily carried to the patient’s location. Computers also became more ...
14Application 1 Identification of a Practice Issue for th.docxdrennanmicah
1
4
Application 1: Identification of a Practice Issue for the Evidence-Based Practice (EBP) Project
Note: Have an APA Level 1 header for Each Area Noted below in Blue (a level 1 header is centered, bolded, using upper and lower case letters—see APA manual area 3.03)
Grading Area
Points Possible
Points Earned
Potential areas for earning points:
Header: Summary of Practice Issue
Summary of practice issue. (Note: The issue you select must be suitable for completing the entire EBP Project in 8410.)
2
1.5
Header: Exploration of Research Literature
Exploration of the research literature on
this issue.
3
2.75
High level of scholarship commensurate with doctoral level evident
1
1
Potential areas for losing points:
Grammar, Spelling, and APA errors
Up to 2 pt. deduction
-0
Went Over Page Limit (2 pages max)
Up to 2 pt. deduction
-0
*Improper credit & citation issue
1-6 pt. deduction
-0
Sent back to re-do
1 pt deduction
-1
Late Submission
(posted X.XX.20XX, due X.XX.20XX )
20% deduction (1.2 pts) per day late (per syllabus)
n/a: posted on time
6 Total Points possible
4.25 Total Points Earned
In this assignment you were consider a practice issue at your practicum site, summarize that issue, and outline the research literature associated with it. Please see my edits/notes below. Good job!
Some things for ALL to remember/consider (you may have done this already-this is just a gentle reminder):
· Use a heading for each of the main areas noted in the assignment grading rubric for all assignments (I posted the rubrics in the announcement area-the headers to be used are in blue font).
· Related to your topic of interest, does the agency have a process/policy/clinical practice guideline/practice approach/nurse education/patient education in place already? All of them? Are they being implemented according to the best evidence? If not, could that be an appropriate focus for your project?
· How will you go about updating the processes/policies/education materials so they are more consistent with national recommendations/guidelines/research?
· What is your revised PICOT for this EBP (PICOT was not a mandatory part of the paper—but it is nice to tie this all together at the end of your paper with that information).
· *All students should review their Safe Assign reports regularly (use the draft folders to run a report prior to submitting your assignment). You should not have more than 3 words in a row that are the same as another source unless you use quotation marks and properly cite that source (with author, year, and page number). You need to reword your paper to avoid this. You should reserve using quotations for the rare instances wherein you cannot reword information without losing meaning. Also, you need to cite each sentence with information that a layperson would not know. There are many resources online that you can use to review proper citation and common plagiarism errors. All students should review the Walden Plagiarism Tutorial at h.
Key Performance Indicator Assignment Capstone Written Case ConcepTatianaMajor22
Key Performance Indicator Assignment: Capstone Written Case Conceptualization (20 points) (The client selected should be a high school student. I did my intern at a high school) The student will select a client from their internship site and complete an 8-page (minimum) case conceptualization report detailing the following ten competencies,
1. Assessment Skills: Includes a summary of the DSM-5 diagnosis, biopsychosocial assessment, mental status exam, substance use, risk assessment, and any other assessment instruments used.
2. Intervention & Conceptualization Skills: Includes a summary of how the assessment informs treatment, treatment plan, goals, and interventions used. Incorporates any relevant cultural, racial, ethical, and legal (if applicable) issues related to the case, and reflects the intern’s personal theory of counseling.
3. Writing Skills and Document Organization: Paper clearly and succinctly communicates clinical impressions. Paper is organized, with appropriate grammar, spelling, and APA Style.
4. Use of Supervision: Includes a summary of how supervision impacted clinical decision making and case conceptualization.
5. Knowledge & Application of Site-Specific Information: Includes a description of how the site’s clinical services and structure affect the assessment, treatment, and conceptualization of the selected case. Any relevant policies, regulatory processes, and program evaluation measures associated with service delivery are included.
6. Professional Counseling Competencies: Includes a description of how the case was conceptualized from the professional counseling framework compared to other mental health professions (e.g., counseling promotes clients' optimal human development, wellness, and mental health through prevention, education, and advocacy activities, including advocacy for those with mental health issues.)
7. Personal Attributes & Self-Understanding: Includes a summary of 1. intern’s reactions, awareness of own emotional response, and effective countertransference management related to the client case, and 2. awareness of intern’s impact on client (i.e., intern’s race, gender, religion) and client’s transference responses.
8. Interpersonal Competencies: Includes a summary of how the intern’s interactions with supervisor, interdisciplinary team, and site colleagues informed the case. Describe how the use of Generated: 10/22/2021 Page 7 of 23 empathy, compassion, and respect for client’s autonomy were evident in the client’s treatment.
9. Student’s Strengths: Identify and describe at least three of the intern’s personal strengths that enhanced the client’s treatment.
10. Student’s Areas for Development: Identify and describe at least three of the intern’s areas for development that would further enhance the client’s treatment. This paper must be written in APA Style
Due date 11/13/21
Please see attached “final capstone correct” I have started the paper but I need help completing the rest. I have in ...
Scheduling Of Nursing Staff in Hospitals - A Case Studyinventionjournals
International Journal of Mathematics and Statistics Invention (IJMSI) is an international journal intended for professionals and researchers in all fields of computer science and electronics. IJMSI publishes research articles and reviews within the whole field Mathematics and Statistics, new teaching methods, assessment, validation and the impact of new technologies and it will continue to provide information on the latest trends and developments in this ever-expanding subject. The publications of papers are selected through double peer reviewed to ensure originality, relevance, and readability. The articles published in our journal can be accessed online.
College Writing II Synthesis Essay Assignment Summer Semester 2017.docxclarebernice
College Writing II Synthesis Essay Assignment Summer Semester 2017
Directions:
For this assignment you will be writing a synthesis essay. A synthesis is a combination of two or more summaries and sources. In a synthesis essay you will have three paragraphs, an introduction, a synthesis and a conclusion.
In the introduction you will give background information about your topic. You will also include a thesis statement at the end of the introduction paragraph. The thesis statement should describe the goal of your synthesis. (informative or argumentative)
The second paragraph is the synthesis. You will combine two summaries of two different articles on the same topic. You will follow all summary guidelines for these two paragraphs. The synthesis will most likely either argue or inform the reader about the topic.
The conclusion paragraph should summarize the points of your essay and restate the general ideas.
For this essay you will read two research articles on a similar topic to the previous critical review essay as you can use this research in your inquiry paper. You will summarize both articles in two paragraphs and combine the paragraphs for your synthesis. In the synthesis you must include the main ideas of the articles and the author, title, and general idea in the first sentences.
This essay will be three pages long and the first draft and peer review are due June 15. You must turn them in hardcopy in class so you can do a peer review.
Running head: THESIS DRAFT 1
THESIS DRAFT 3Thesis Draft
Katelyn B. Rhodes
D40375299
DeVry University
Point-of-Care Testing (PoCT) has dramatically taken over the field of clinical laboratory testing since it’s introduction approximately 45 years ago. The technologies utilized in PoCT have been refined to deliver accurate and expedient test results and will become even more sensitive and accurate in order to dominate the field of clinical laboratory testing. Furthermore, there will be a dramatic increase in the volume of clinical testing performed outside of the laboratory. New and emerging PoCT technologies utilize sophisticated molecular techniques such as polymerase chain reaction to aid in the treatment of major health problems worldwide, such as sexually transmitted infections (John & Price, 2014).
Historic Timeline
In the early-to-mid 1990’s, bench top analyzers entered the clinical laboratory scene. These analyzers were much smaller than the conventional analyzers being used, and utilized touch-screen PCs for ease of use. For this reason, they were able to be used closer to the patient’s bedside or outside of the laboratory environment. However, at this point in time, laboratory testing results were stored within the device and would have to then be sent to the main central laboratory for analysis.
Technology in the mid-to-late 1990’s permitted analyzers to be much smaller so that they may be easily carried to the patient’s location. Computers also became more ...
14Application 1 Identification of a Practice Issue for th.docxdrennanmicah
1
4
Application 1: Identification of a Practice Issue for the Evidence-Based Practice (EBP) Project
Note: Have an APA Level 1 header for Each Area Noted below in Blue (a level 1 header is centered, bolded, using upper and lower case letters—see APA manual area 3.03)
Grading Area
Points Possible
Points Earned
Potential areas for earning points:
Header: Summary of Practice Issue
Summary of practice issue. (Note: The issue you select must be suitable for completing the entire EBP Project in 8410.)
2
1.5
Header: Exploration of Research Literature
Exploration of the research literature on
this issue.
3
2.75
High level of scholarship commensurate with doctoral level evident
1
1
Potential areas for losing points:
Grammar, Spelling, and APA errors
Up to 2 pt. deduction
-0
Went Over Page Limit (2 pages max)
Up to 2 pt. deduction
-0
*Improper credit & citation issue
1-6 pt. deduction
-0
Sent back to re-do
1 pt deduction
-1
Late Submission
(posted X.XX.20XX, due X.XX.20XX )
20% deduction (1.2 pts) per day late (per syllabus)
n/a: posted on time
6 Total Points possible
4.25 Total Points Earned
In this assignment you were consider a practice issue at your practicum site, summarize that issue, and outline the research literature associated with it. Please see my edits/notes below. Good job!
Some things for ALL to remember/consider (you may have done this already-this is just a gentle reminder):
· Use a heading for each of the main areas noted in the assignment grading rubric for all assignments (I posted the rubrics in the announcement area-the headers to be used are in blue font).
· Related to your topic of interest, does the agency have a process/policy/clinical practice guideline/practice approach/nurse education/patient education in place already? All of them? Are they being implemented according to the best evidence? If not, could that be an appropriate focus for your project?
· How will you go about updating the processes/policies/education materials so they are more consistent with national recommendations/guidelines/research?
· What is your revised PICOT for this EBP (PICOT was not a mandatory part of the paper—but it is nice to tie this all together at the end of your paper with that information).
· *All students should review their Safe Assign reports regularly (use the draft folders to run a report prior to submitting your assignment). You should not have more than 3 words in a row that are the same as another source unless you use quotation marks and properly cite that source (with author, year, and page number). You need to reword your paper to avoid this. You should reserve using quotations for the rare instances wherein you cannot reword information without losing meaning. Also, you need to cite each sentence with information that a layperson would not know. There are many resources online that you can use to review proper citation and common plagiarism errors. All students should review the Walden Plagiarism Tutorial at h.
Whitepaper: Hospital Operations Management reduces wait states and replaces d...GE Software
No Wait States … in pursuit of the frictionless patient experience. Electronic health records have fallen short. Patients continue to wait. Costs remain high. Why focusing on operational management can help hospitals make things right … starting now.
PausraCeMaAna Deb Dec Insd DeInternati.docxssuser562afc1
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International Journal of Nursing Studies 50 (2013) 1537–1549
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tient preference and satisfaction in hospital-at-home and
ual hospital care for COPD exacerbations: Results of a
ndomised controlled trial§,§§
cile M.A. Utens a,b,*, Lucas M.A. Goossens c, Onno C.P. van Schayck b,
ureen P.M.H. Rutten-van Mölken c, Walter van Litsenburg a, Annet Janssen a,
ouschka van der Pouw d, Frank W.J.M. Smeenk a
partment of Respiratory Medicine, Catharina Hospital, Eindhoven, The Netherlands
partment of General Practice, CAPHRI School for Public Health and Primary Care, Maastricht University, Maastricht, The Netherlands
titute for Medical Technology Assessment, Erasmus University, Rotterdam, The Netherlands
partment of Respiratory Medicine, Rijnstate Hospital, Arnhem, The Netherlands
What is already known about the topic?
� Patient satisfaction with hospital-at-home schemes is
high, but most schemes admit patients with various
conditions.
� Effectiveness and cost-effectiveness of hospital-at-home
and usual hospital care for COPD patients are not
T I C L E I N F O
le history:
ived 27 September 2012
ived in revised form 15 March 2013
pted 15 March 2013
ords:
pital-at-home
y assisted discharge
nic Obstructive Pulmonary Disease
ent preference
ent satisfaction
A B S T R A C T
Background: In the absence of clear differences in effectiveness and cost-effectiveness
between hospital-at-home schemes and usual hospital care, patient preference plays an
important role. This study investigates patient preference for treatment place, associated
factors and patient satisfaction with a community-based hospital-at-home scheme for
COPD exacerbations.
Methods: The study is part of a larger randomised controlled trial. Patients were
randomised to usual hospital care or early assisted discharge which incorporated
discharge at day 4 and visits by a home care nurse until day 7 of treatment (T + 4 days). The
hospital care group received care as usual and was discharged from hospital at day 7.
Patients were followed for 90 days (T + 90 days). Patient preference for treatment place
and patient satisfaction (overall and per item) were assessed quantitatively and
qualitatively using questionnaires at T + 4 days and T + 90 days. Factors associated with
patient preference were analysed in the early assisted discharge group.
Results: 139 patients were randomised. No difference was found in overall satisfaction. At
T + 4 days, patients in the early assisted discharge group were less satisfied with care at
night and were less able to resume normal daily activities. At T + 90 days there were no
differences for the separate items. Patient preference for home treatment at T + 4 days was
42% in the hospital care group and 86% in the early assisted discharge group and 35% and
59% at T + 90 days. Patients’ mental state was.
PausraCeMaAna Deb Dec Insd DeInternati.docxkarlhennesey
Pa
us
ra
Ce
Ma
An
a De
b De
c Ins
d De
International Journal of Nursing Studies 50 (2013) 1537–1549
A R
Artic
Rece
Rece
Acce
Keyw
Hos
Earl
Chro
Pati
Pati
§
dist
§§
*
Cath
002
http
tient preference and satisfaction in hospital-at-home and
ual hospital care for COPD exacerbations: Results of a
ndomised controlled trial§,§§
cile M.A. Utens a,b,*, Lucas M.A. Goossens c, Onno C.P. van Schayck b,
ureen P.M.H. Rutten-van Mölken c, Walter van Litsenburg a, Annet Janssen a,
ouschka van der Pouw d, Frank W.J.M. Smeenk a
partment of Respiratory Medicine, Catharina Hospital, Eindhoven, The Netherlands
partment of General Practice, CAPHRI School for Public Health and Primary Care, Maastricht University, Maastricht, The Netherlands
titute for Medical Technology Assessment, Erasmus University, Rotterdam, The Netherlands
partment of Respiratory Medicine, Rijnstate Hospital, Arnhem, The Netherlands
What is already known about the topic?
� Patient satisfaction with hospital-at-home schemes is
high, but most schemes admit patients with various
conditions.
� Effectiveness and cost-effectiveness of hospital-at-home
and usual hospital care for COPD patients are not
T I C L E I N F O
le history:
ived 27 September 2012
ived in revised form 15 March 2013
pted 15 March 2013
ords:
pital-at-home
y assisted discharge
nic Obstructive Pulmonary Disease
ent preference
ent satisfaction
A B S T R A C T
Background: In the absence of clear differences in effectiveness and cost-effectiveness
between hospital-at-home schemes and usual hospital care, patient preference plays an
important role. This study investigates patient preference for treatment place, associated
factors and patient satisfaction with a community-based hospital-at-home scheme for
COPD exacerbations.
Methods: The study is part of a larger randomised controlled trial. Patients were
randomised to usual hospital care or early assisted discharge which incorporated
discharge at day 4 and visits by a home care nurse until day 7 of treatment (T + 4 days). The
hospital care group received care as usual and was discharged from hospital at day 7.
Patients were followed for 90 days (T + 90 days). Patient preference for treatment place
and patient satisfaction (overall and per item) were assessed quantitatively and
qualitatively using questionnaires at T + 4 days and T + 90 days. Factors associated with
patient preference were analysed in the early assisted discharge group.
Results: 139 patients were randomised. No difference was found in overall satisfaction. At
T + 4 days, patients in the early assisted discharge group were less satisfied with care at
night and were less able to resume normal daily activities. At T + 90 days there were no
differences for the separate items. Patient preference for home treatment at T + 4 days was
42% in the hospital care group and 86% in the early assisted discharge group and 35% and
59% at T + 90 days. Patients’ mental state was ...
· 7 pages Answer questions in essay form· No plagiarism ( will .docxLynellBull52
· 7 pages Answer questions in essay form
· No plagiarism ( will use turn it in .com)
· 12 font and double spaced
· Must be Cited
· MSWord Format
Thesis: Your paper must have a thesis statement. A thesis statement is a sentence or two that summarizes the position you are taking in the paper.
Argument: You must provide an argument in support of your thesis. (In other words, don’t just tell me what you believe. Give me some kind of an argument. Try to convince me that you are right.) If you are writing an exegetical paper for me, your argument will be your interpretation of the text.
You can argue for (or against) any position regardless of whether I or anyone else agrees with you.
Do NOT use Wikipedia, SparkNotes, About.com, blogs, or any other subpar sources. Instead: (1) try to find print sources in the library, (2) find sources by using a Google books search, and/or (3) use the Stanford Encyclopedia of Philosophy (which is a legitimate academic source).
My Chosen topic:
Interpret the fragments of Heraclitus and explain his fundamental doctrines. What is “the doctrine of flux”? How should we interpret Heraclitus’ famous ‘River Fragment’: “One cannot step twice into the same river, nor can one grasp any mortal substance in a stable condition, but it scatters and again gathers; it forms and dissolves, and approaches and departs” (p.53 Fragment LI). What is Heraclitus’ theory of “the unity of opposites”? How does the unity of opposites relate to the doctrine of flux? What is the logos? What is the Heraclitean One? What is the role of “war” or “conflict” in Heraclitus’ fragments? Use direct references to the text to support your interpretation.
1
QUALITY IMPROVEMENT STUDENT PROJECT PROPOSAL
IMPROVING HANDOFFS IN SAN FRANCISCO GENERAL
HOSPTITAL’S EMERGENCY DEPARTMENT
Cherrelle Jones
MHA 616 Policy formation and leadership in Healthcare Organization
Dr. Jack Lazarre
December 1, 2014
1. BACKGROUND
The emergency department is a facility for medical treatment that is mostly concerned with care for patients who require urgent treatment. This patient’s mostly just pop in without any prior appointment. This is a very serious attendance, as these patients just come with life threatening illnesses, which needs emergency attendance. The emergency unit is very complex, and a place where people don’t understand how the next minute will be like. The difference between life and death is always a hair breadth away (Garcia, & Schaffer, 2010). The greatest concern of the emergency department, therefore, is to reduce the waiting time for the patients. Most of them can’t wait for long due to the conditions they come in. It’s so disheartening for these patients to come to the hospital and leave when they are not treated. This project will focus on the emergency departments in the county hospitals, specifically in San Francisco General Hospital. It serves a total of 1.5 million people but has only one Trauma center. This is very dan.
Assignment 1Part 1 Defining the ProblemProblem Identification.docxtrippettjettie
Assignment 1
Part 1: Defining the Problem
Problem Identification
According to Ludwick and Doucette (2009), one of the primary issues in healthcare is the reduced standard of patient care due to the continued non-integration of technology in medical-based facilities. The result is a poor entry of patient data, coupled with a system that cannot be relied upon in the long term. In this context, Black et al. (2011) are of the opinion that it is mandatory for all healthcare facilities to incorporate electronic health records systems and shift from the use of manual-based recording strategies.
Comment by Author: Use all of participating authors the first time listing
Problem Statement
The continued utilization of manual health-based recording system in the contemporary society leads to reduced efficiency. It also negatively affects the overall outcome of healthcare delivery at the expense of the patient.
Problem Description
The continued use of paper-based records in the modern society is inefficient as compared to hospices that use electronic-based recording system. First, the use of the latter focuses on patient-centered care whereby there it leads to reduced repetition of tests, as there is no scattering of test results in various hospitals. In addition, the paper-based recording system is redundant as the access to a patient’s records by a medical health provider is limited by the location of the doctor as well as the time they can access the hospital (Black et al. 2011). However, the latter is not limited by the mentioned entities since data can be sent electronically at any time and place to the doctor. The problem is directly related to my discipline since patients that undergo recording of their personal information through the manual-based recording system are prone to medical errors. According to Ludwick and Doucette (2009), such errors may involve poor drug administration, especially if a patient may prove allergic to various subscribedprescribed medications. Besides, the electronic-based records will result in increased monitoring of a patient, which leads to faster healthcare delivery, which is the objective of studying my discipline.
Purpose Statement
The reduced efficiency coupled with the adverse outcome caused by paper-based recording systems will be obliterated upon the incorporation of the electronic-based recording system. The objective related to the implementation of the project is increased efficiency and improved quality of healthcare delivery to the patients.
Part 2: Defining a Searchable, Answerable Question:
Population/Patient Problem:
1. What are the efficiency rates concerning number of patients that are bound to benefit from the incorporation of the electronic-based records?
Comment by Author: Needs to clarify what the rates are referring? Efficiency of what?
2. Does the electronic health recording provide any unique advantages over the manual recording system regarding the health status, of a patient?
Interventio ...
DASHBOARD BENCHMARK
Miatta Teasley
Capella University
Running Head: DASHBOARD BENCHMARK
DASHBOARD BENCHMARK
April 19,2022
DASHBOARD BENCHMARK
Second Quarter Hypertension Intervention Compliance at Med for adults presenting with Diabetes
Intervention
Needed
Completed
Compliance Percentage
Initial Lactate within 3 hours
30
30
100%
Blood cultures were drawn before antibiotics
22
17
77%
Antibiotics administered within 3 hours
22
20
91%
Fluid resuscitation if in septic shock within 2hours
19
12
63%
Vasopressors if hypertension persists after fluid or lactate >4mmoL/L within 6 hours
12
7
58%
Overall
105
86
82%
Second Quarter Dialysis Intervention
Compliance and Inpatient Mortality
Patient ID
Number of Interventions needed
Number of Interventions completed
Inpatient Mortality
2000
4
2
0
2014
3
3
1
2098
2
1
0
2134
5
4
0
2156
3
4
1
2245
4
2
0
2345
3
3
1
2567
5
4
1
2676
4
1
1
2935
3
2
0
Note: The Staffing benchmark for the nurse staffing unit is 3 patients per nurse. The average monthly staffing for the unit is 3 nurse workloads. The average number of patients in the unit per month in the third quarter was 5.75.
The data above is a review regarding the compliance of Dialysis measures and interventions compliance and the sample of the second quarter inpatient mortality. The information below entails evaluating the data, which indicates that various departments need to be improved, and a proposal for a specific area and target for improvement.
Evaluation of Dashboard Metrics
There are several inefficiencies in regards to dialysis measures at Med. From the dashboard concerning the compliance of executing the arranged measures and procedures, the two stand out at the 77% compliance rate on drawing blood cultures before running antibiotics and 58% compliance rate on administering vasopressors for those patients that require them. As per Medicare.Gov (n.d), the national average for meeting dialysis guidelines is 72%, and the state of Minnesota is 60% which indicates that Med is performing at 82% overall testing. Higher percentages are required to ensure the advanced quality of life for residents of the healthcare institution (Morfín et al., 2018).
Failure to complete blood draws for cultures before running broad-spectrum antibiotics; there will be an incapability to authorize contamination and the responsible pathogen. This can result in an inefficient or ineffective intervention for aiding a patient. Moreover, by failing to confirm infection from the start, unnecessary and wasteful care interventions could be performed or ordered for patients (Morfín et al., 2018). As per the failure to administer vasopressors, the institution is gambling with the patient's life. As the reinforcement for the dialysis unit states, vasopressor therapy is needed to sustain and uphold perfusion in the wake of life-threatening hypertension. The needed nature of compliance concerning administering this intervention can be seen in the samp.
In this case study, we delve into the crucial role of Business Process Management (BPM) in optimizing the efficiency and responsiveness of a Hospital's Emergency Department. We uncover how process modeling and automation, coupled with performance metrics, enhance patient care and throughput. We also discuss our unique KPI formula, designed to quantitatively evaluate improvements and steer towards evidence-based decision making. Join us as we explore the transformational power of BPM in the healthcare sector.
With almost half of oncology studies failing due to a lack of patient retention, there is a critical need to develop more efficient and patient focused strategies. Jessica Thilaganathan at CRF Health sits down with International Clinical Trials to explain why electronic clinical outcome solutions could be the answer. (Published with permission of International Clinical Trials).
You will submit your proposal as a text-based Word or PDF file. AnastaciaShadelb
You will submit your proposal as a text-based Word or PDF file.
Your research proposal should include the following:
Your selected global ethical dilemma
Background/explanation of why this is a global ethical issue
Make connections to issues of cultural diversity
Research question
Two scholarly, peer-reviewed sources connected to your selected topic (cited in current APA format)
***NOTE***
RESEARCH IS ON GENDER DISCRIMINATION
...
What is Family Resource Management and why is it important to tAnastaciaShadelb
"What is Family Resource Management and why is it important to today's American family?"
Goldsmith, E. B., & GOLDSMITH, E. B. (2003). Resource Management. In J. J. Ponzetti Jr. (Ed.),
International encyclopedia of marriage and family
(2nd ed.). Farmington, MI: Gale. Retrieved from
RESOURCE MANAGEMENT
from
International Encyclopedia of Marriage and Family
Resource management
is the process in which individuals and families use what they have to get what they want. It begins with thinking and planning and ends with the evaluation of actions taken. Three fundamental concepts in resource management are
values, goals
, and
decision making.
Values such as honesty and trust are principles that guide behavior. They are desirable or important and serve as underlying motivators. Values determine goals, which are sought-after end results. Goals can be implicit or explicit. They can be short-term, intermediate-, or long-term. Decisions are conclusions or judgments about some issue or matter.
Decision making
involves choosing between two or more alternatives and follows a series of steps from inception to evaluation.
Through choices, individuals and families define their lives and influence the lives of others. The study of resource management focuses on order, choices, and control, and how people use time, energy, money, physical space, and information. As an applied social science, it is an academic field that is fundamental to our understanding of human behavior. "The knowledge obtained through the study of management is evaluated in light of its ability to make an individual's or family's management practice more effective" (Goldsmith 2000, p. 5).
Individuals and families have characteristic ways of making decisions and acting called their
management style.
Although similar styles are exhibited within families (such as a tendency to be on time or to finish tasks to completion), there are also wide ranges of styles within families making the study of management intrinsically interesting, especially from a
socialization
point of view. Why do such differences exist and how does the individual's style mesh with that of the other members' styles in the family?
Measuring devices, techniques, or instruments that are used to make decisions and plan courses of action are called management tools. For example, time is a resource and a clock or stopwatch is a management tool.
Resources can be divided up into human and material resources, assets that people have at their disposal.
Material resources
(e.g., bridges, roads, houses) decline through use whereas
human resources
(e.g., the ability to read, ride a bicycle) improve or increase through use.
Human capital
describes the sum total of a person's abilities, knowledge, and skills. Education is one way to develop human capital. Related to this is the concept of social capital. The term
social capital
is gaining in importance in the family-relations field and management is considered ...
More Related Content
Similar to 12Capstone ProjectOlivia TimmonsDepartment of
Whitepaper: Hospital Operations Management reduces wait states and replaces d...GE Software
No Wait States … in pursuit of the frictionless patient experience. Electronic health records have fallen short. Patients continue to wait. Costs remain high. Why focusing on operational management can help hospitals make things right … starting now.
PausraCeMaAna Deb Dec Insd DeInternati.docxssuser562afc1
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International Journal of Nursing Studies 50 (2013) 1537–1549
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tient preference and satisfaction in hospital-at-home and
ual hospital care for COPD exacerbations: Results of a
ndomised controlled trial§,§§
cile M.A. Utens a,b,*, Lucas M.A. Goossens c, Onno C.P. van Schayck b,
ureen P.M.H. Rutten-van Mölken c, Walter van Litsenburg a, Annet Janssen a,
ouschka van der Pouw d, Frank W.J.M. Smeenk a
partment of Respiratory Medicine, Catharina Hospital, Eindhoven, The Netherlands
partment of General Practice, CAPHRI School for Public Health and Primary Care, Maastricht University, Maastricht, The Netherlands
titute for Medical Technology Assessment, Erasmus University, Rotterdam, The Netherlands
partment of Respiratory Medicine, Rijnstate Hospital, Arnhem, The Netherlands
What is already known about the topic?
� Patient satisfaction with hospital-at-home schemes is
high, but most schemes admit patients with various
conditions.
� Effectiveness and cost-effectiveness of hospital-at-home
and usual hospital care for COPD patients are not
T I C L E I N F O
le history:
ived 27 September 2012
ived in revised form 15 March 2013
pted 15 March 2013
ords:
pital-at-home
y assisted discharge
nic Obstructive Pulmonary Disease
ent preference
ent satisfaction
A B S T R A C T
Background: In the absence of clear differences in effectiveness and cost-effectiveness
between hospital-at-home schemes and usual hospital care, patient preference plays an
important role. This study investigates patient preference for treatment place, associated
factors and patient satisfaction with a community-based hospital-at-home scheme for
COPD exacerbations.
Methods: The study is part of a larger randomised controlled trial. Patients were
randomised to usual hospital care or early assisted discharge which incorporated
discharge at day 4 and visits by a home care nurse until day 7 of treatment (T + 4 days). The
hospital care group received care as usual and was discharged from hospital at day 7.
Patients were followed for 90 days (T + 90 days). Patient preference for treatment place
and patient satisfaction (overall and per item) were assessed quantitatively and
qualitatively using questionnaires at T + 4 days and T + 90 days. Factors associated with
patient preference were analysed in the early assisted discharge group.
Results: 139 patients were randomised. No difference was found in overall satisfaction. At
T + 4 days, patients in the early assisted discharge group were less satisfied with care at
night and were less able to resume normal daily activities. At T + 90 days there were no
differences for the separate items. Patient preference for home treatment at T + 4 days was
42% in the hospital care group and 86% in the early assisted discharge group and 35% and
59% at T + 90 days. Patients’ mental state was.
PausraCeMaAna Deb Dec Insd DeInternati.docxkarlhennesey
Pa
us
ra
Ce
Ma
An
a De
b De
c Ins
d De
International Journal of Nursing Studies 50 (2013) 1537–1549
A R
Artic
Rece
Rece
Acce
Keyw
Hos
Earl
Chro
Pati
Pati
§
dist
§§
*
Cath
002
http
tient preference and satisfaction in hospital-at-home and
ual hospital care for COPD exacerbations: Results of a
ndomised controlled trial§,§§
cile M.A. Utens a,b,*, Lucas M.A. Goossens c, Onno C.P. van Schayck b,
ureen P.M.H. Rutten-van Mölken c, Walter van Litsenburg a, Annet Janssen a,
ouschka van der Pouw d, Frank W.J.M. Smeenk a
partment of Respiratory Medicine, Catharina Hospital, Eindhoven, The Netherlands
partment of General Practice, CAPHRI School for Public Health and Primary Care, Maastricht University, Maastricht, The Netherlands
titute for Medical Technology Assessment, Erasmus University, Rotterdam, The Netherlands
partment of Respiratory Medicine, Rijnstate Hospital, Arnhem, The Netherlands
What is already known about the topic?
� Patient satisfaction with hospital-at-home schemes is
high, but most schemes admit patients with various
conditions.
� Effectiveness and cost-effectiveness of hospital-at-home
and usual hospital care for COPD patients are not
T I C L E I N F O
le history:
ived 27 September 2012
ived in revised form 15 March 2013
pted 15 March 2013
ords:
pital-at-home
y assisted discharge
nic Obstructive Pulmonary Disease
ent preference
ent satisfaction
A B S T R A C T
Background: In the absence of clear differences in effectiveness and cost-effectiveness
between hospital-at-home schemes and usual hospital care, patient preference plays an
important role. This study investigates patient preference for treatment place, associated
factors and patient satisfaction with a community-based hospital-at-home scheme for
COPD exacerbations.
Methods: The study is part of a larger randomised controlled trial. Patients were
randomised to usual hospital care or early assisted discharge which incorporated
discharge at day 4 and visits by a home care nurse until day 7 of treatment (T + 4 days). The
hospital care group received care as usual and was discharged from hospital at day 7.
Patients were followed for 90 days (T + 90 days). Patient preference for treatment place
and patient satisfaction (overall and per item) were assessed quantitatively and
qualitatively using questionnaires at T + 4 days and T + 90 days. Factors associated with
patient preference were analysed in the early assisted discharge group.
Results: 139 patients were randomised. No difference was found in overall satisfaction. At
T + 4 days, patients in the early assisted discharge group were less satisfied with care at
night and were less able to resume normal daily activities. At T + 90 days there were no
differences for the separate items. Patient preference for home treatment at T + 4 days was
42% in the hospital care group and 86% in the early assisted discharge group and 35% and
59% at T + 90 days. Patients’ mental state was ...
· 7 pages Answer questions in essay form· No plagiarism ( will .docxLynellBull52
· 7 pages Answer questions in essay form
· No plagiarism ( will use turn it in .com)
· 12 font and double spaced
· Must be Cited
· MSWord Format
Thesis: Your paper must have a thesis statement. A thesis statement is a sentence or two that summarizes the position you are taking in the paper.
Argument: You must provide an argument in support of your thesis. (In other words, don’t just tell me what you believe. Give me some kind of an argument. Try to convince me that you are right.) If you are writing an exegetical paper for me, your argument will be your interpretation of the text.
You can argue for (or against) any position regardless of whether I or anyone else agrees with you.
Do NOT use Wikipedia, SparkNotes, About.com, blogs, or any other subpar sources. Instead: (1) try to find print sources in the library, (2) find sources by using a Google books search, and/or (3) use the Stanford Encyclopedia of Philosophy (which is a legitimate academic source).
My Chosen topic:
Interpret the fragments of Heraclitus and explain his fundamental doctrines. What is “the doctrine of flux”? How should we interpret Heraclitus’ famous ‘River Fragment’: “One cannot step twice into the same river, nor can one grasp any mortal substance in a stable condition, but it scatters and again gathers; it forms and dissolves, and approaches and departs” (p.53 Fragment LI). What is Heraclitus’ theory of “the unity of opposites”? How does the unity of opposites relate to the doctrine of flux? What is the logos? What is the Heraclitean One? What is the role of “war” or “conflict” in Heraclitus’ fragments? Use direct references to the text to support your interpretation.
1
QUALITY IMPROVEMENT STUDENT PROJECT PROPOSAL
IMPROVING HANDOFFS IN SAN FRANCISCO GENERAL
HOSPTITAL’S EMERGENCY DEPARTMENT
Cherrelle Jones
MHA 616 Policy formation and leadership in Healthcare Organization
Dr. Jack Lazarre
December 1, 2014
1. BACKGROUND
The emergency department is a facility for medical treatment that is mostly concerned with care for patients who require urgent treatment. This patient’s mostly just pop in without any prior appointment. This is a very serious attendance, as these patients just come with life threatening illnesses, which needs emergency attendance. The emergency unit is very complex, and a place where people don’t understand how the next minute will be like. The difference between life and death is always a hair breadth away (Garcia, & Schaffer, 2010). The greatest concern of the emergency department, therefore, is to reduce the waiting time for the patients. Most of them can’t wait for long due to the conditions they come in. It’s so disheartening for these patients to come to the hospital and leave when they are not treated. This project will focus on the emergency departments in the county hospitals, specifically in San Francisco General Hospital. It serves a total of 1.5 million people but has only one Trauma center. This is very dan.
Assignment 1Part 1 Defining the ProblemProblem Identification.docxtrippettjettie
Assignment 1
Part 1: Defining the Problem
Problem Identification
According to Ludwick and Doucette (2009), one of the primary issues in healthcare is the reduced standard of patient care due to the continued non-integration of technology in medical-based facilities. The result is a poor entry of patient data, coupled with a system that cannot be relied upon in the long term. In this context, Black et al. (2011) are of the opinion that it is mandatory for all healthcare facilities to incorporate electronic health records systems and shift from the use of manual-based recording strategies.
Comment by Author: Use all of participating authors the first time listing
Problem Statement
The continued utilization of manual health-based recording system in the contemporary society leads to reduced efficiency. It also negatively affects the overall outcome of healthcare delivery at the expense of the patient.
Problem Description
The continued use of paper-based records in the modern society is inefficient as compared to hospices that use electronic-based recording system. First, the use of the latter focuses on patient-centered care whereby there it leads to reduced repetition of tests, as there is no scattering of test results in various hospitals. In addition, the paper-based recording system is redundant as the access to a patient’s records by a medical health provider is limited by the location of the doctor as well as the time they can access the hospital (Black et al. 2011). However, the latter is not limited by the mentioned entities since data can be sent electronically at any time and place to the doctor. The problem is directly related to my discipline since patients that undergo recording of their personal information through the manual-based recording system are prone to medical errors. According to Ludwick and Doucette (2009), such errors may involve poor drug administration, especially if a patient may prove allergic to various subscribedprescribed medications. Besides, the electronic-based records will result in increased monitoring of a patient, which leads to faster healthcare delivery, which is the objective of studying my discipline.
Purpose Statement
The reduced efficiency coupled with the adverse outcome caused by paper-based recording systems will be obliterated upon the incorporation of the electronic-based recording system. The objective related to the implementation of the project is increased efficiency and improved quality of healthcare delivery to the patients.
Part 2: Defining a Searchable, Answerable Question:
Population/Patient Problem:
1. What are the efficiency rates concerning number of patients that are bound to benefit from the incorporation of the electronic-based records?
Comment by Author: Needs to clarify what the rates are referring? Efficiency of what?
2. Does the electronic health recording provide any unique advantages over the manual recording system regarding the health status, of a patient?
Interventio ...
DASHBOARD BENCHMARK
Miatta Teasley
Capella University
Running Head: DASHBOARD BENCHMARK
DASHBOARD BENCHMARK
April 19,2022
DASHBOARD BENCHMARK
Second Quarter Hypertension Intervention Compliance at Med for adults presenting with Diabetes
Intervention
Needed
Completed
Compliance Percentage
Initial Lactate within 3 hours
30
30
100%
Blood cultures were drawn before antibiotics
22
17
77%
Antibiotics administered within 3 hours
22
20
91%
Fluid resuscitation if in septic shock within 2hours
19
12
63%
Vasopressors if hypertension persists after fluid or lactate >4mmoL/L within 6 hours
12
7
58%
Overall
105
86
82%
Second Quarter Dialysis Intervention
Compliance and Inpatient Mortality
Patient ID
Number of Interventions needed
Number of Interventions completed
Inpatient Mortality
2000
4
2
0
2014
3
3
1
2098
2
1
0
2134
5
4
0
2156
3
4
1
2245
4
2
0
2345
3
3
1
2567
5
4
1
2676
4
1
1
2935
3
2
0
Note: The Staffing benchmark for the nurse staffing unit is 3 patients per nurse. The average monthly staffing for the unit is 3 nurse workloads. The average number of patients in the unit per month in the third quarter was 5.75.
The data above is a review regarding the compliance of Dialysis measures and interventions compliance and the sample of the second quarter inpatient mortality. The information below entails evaluating the data, which indicates that various departments need to be improved, and a proposal for a specific area and target for improvement.
Evaluation of Dashboard Metrics
There are several inefficiencies in regards to dialysis measures at Med. From the dashboard concerning the compliance of executing the arranged measures and procedures, the two stand out at the 77% compliance rate on drawing blood cultures before running antibiotics and 58% compliance rate on administering vasopressors for those patients that require them. As per Medicare.Gov (n.d), the national average for meeting dialysis guidelines is 72%, and the state of Minnesota is 60% which indicates that Med is performing at 82% overall testing. Higher percentages are required to ensure the advanced quality of life for residents of the healthcare institution (Morfín et al., 2018).
Failure to complete blood draws for cultures before running broad-spectrum antibiotics; there will be an incapability to authorize contamination and the responsible pathogen. This can result in an inefficient or ineffective intervention for aiding a patient. Moreover, by failing to confirm infection from the start, unnecessary and wasteful care interventions could be performed or ordered for patients (Morfín et al., 2018). As per the failure to administer vasopressors, the institution is gambling with the patient's life. As the reinforcement for the dialysis unit states, vasopressor therapy is needed to sustain and uphold perfusion in the wake of life-threatening hypertension. The needed nature of compliance concerning administering this intervention can be seen in the samp.
In this case study, we delve into the crucial role of Business Process Management (BPM) in optimizing the efficiency and responsiveness of a Hospital's Emergency Department. We uncover how process modeling and automation, coupled with performance metrics, enhance patient care and throughput. We also discuss our unique KPI formula, designed to quantitatively evaluate improvements and steer towards evidence-based decision making. Join us as we explore the transformational power of BPM in the healthcare sector.
With almost half of oncology studies failing due to a lack of patient retention, there is a critical need to develop more efficient and patient focused strategies. Jessica Thilaganathan at CRF Health sits down with International Clinical Trials to explain why electronic clinical outcome solutions could be the answer. (Published with permission of International Clinical Trials).
Similar to 12Capstone ProjectOlivia TimmonsDepartment of (20)
You will submit your proposal as a text-based Word or PDF file. AnastaciaShadelb
You will submit your proposal as a text-based Word or PDF file.
Your research proposal should include the following:
Your selected global ethical dilemma
Background/explanation of why this is a global ethical issue
Make connections to issues of cultural diversity
Research question
Two scholarly, peer-reviewed sources connected to your selected topic (cited in current APA format)
***NOTE***
RESEARCH IS ON GENDER DISCRIMINATION
...
What is Family Resource Management and why is it important to tAnastaciaShadelb
"What is Family Resource Management and why is it important to today's American family?"
Goldsmith, E. B., & GOLDSMITH, E. B. (2003). Resource Management. In J. J. Ponzetti Jr. (Ed.),
International encyclopedia of marriage and family
(2nd ed.). Farmington, MI: Gale. Retrieved from
RESOURCE MANAGEMENT
from
International Encyclopedia of Marriage and Family
Resource management
is the process in which individuals and families use what they have to get what they want. It begins with thinking and planning and ends with the evaluation of actions taken. Three fundamental concepts in resource management are
values, goals
, and
decision making.
Values such as honesty and trust are principles that guide behavior. They are desirable or important and serve as underlying motivators. Values determine goals, which are sought-after end results. Goals can be implicit or explicit. They can be short-term, intermediate-, or long-term. Decisions are conclusions or judgments about some issue or matter.
Decision making
involves choosing between two or more alternatives and follows a series of steps from inception to evaluation.
Through choices, individuals and families define their lives and influence the lives of others. The study of resource management focuses on order, choices, and control, and how people use time, energy, money, physical space, and information. As an applied social science, it is an academic field that is fundamental to our understanding of human behavior. "The knowledge obtained through the study of management is evaluated in light of its ability to make an individual's or family's management practice more effective" (Goldsmith 2000, p. 5).
Individuals and families have characteristic ways of making decisions and acting called their
management style.
Although similar styles are exhibited within families (such as a tendency to be on time or to finish tasks to completion), there are also wide ranges of styles within families making the study of management intrinsically interesting, especially from a
socialization
point of view. Why do such differences exist and how does the individual's style mesh with that of the other members' styles in the family?
Measuring devices, techniques, or instruments that are used to make decisions and plan courses of action are called management tools. For example, time is a resource and a clock or stopwatch is a management tool.
Resources can be divided up into human and material resources, assets that people have at their disposal.
Material resources
(e.g., bridges, roads, houses) decline through use whereas
human resources
(e.g., the ability to read, ride a bicycle) improve or increase through use.
Human capital
describes the sum total of a person's abilities, knowledge, and skills. Education is one way to develop human capital. Related to this is the concept of social capital. The term
social capital
is gaining in importance in the family-relations field and management is considered ...
What can you do as a teacher to manage the dynamics of diversityAnastaciaShadelb
What can you do as a teacher to manage the dynamics of diversity in your classroom? How can you differentiate for the culturally diverse students in your classroom to ensure a safe, supportive, compassionate, and caring learning environment without compromising your personal values and spiritual beliefs?
...
Week 4 APN Professional Development Plan PaperPurpose The purAnastaciaShadelb
Week 4: APN Professional Development Plan Paper
Purpose
The purpose of this assignment is to provide the student with an opportunity to explore the nurse practitioner (NP) practice requirements in his/her state of practice, NP competencies and leadership skills to develop a plan to support professional development.
Activity Learning Outcomes
Through this assignment, the student will demonstrate the ability to:
1. Examine roles and competencies of advanced practice nurses essential to performing as leaders and advocates of holistic, safe, and quality care. (CO1)
2. Analyze essential skills needed to lead within the context of complex systems. (CO3)
3. Explore the process of scholarship engagement to improve health and healthcare outcomes in various settings. (CO4)
Due Date
Assignment should be submitted to the Week 4 Roles in APN Professional Development Plan dropbox by Sunday 11:59 p.m. MST at the end of Week 4.
When the assignment is placed in the dropbox, it will automatically be submitted to Turnitin. You may submit the assignment one additional time before the due date to lower the Turnitin score. If you choose to resubmit, the second submission will be considered final and subject to grading. Once the due date for the assignment passes, you may not resubmit to lower a Turnitin score.
This assignment will follow the late assignment policy specified in the course syllabus.
Students are expected to submit assignments by the time they are due. Assignments submitted after the due date and time will receive a deduction of 10% of the total points possible for that assignment for each day the assignment is late. Assignments will be accepted, with penalty as described, up to a maximum of three days late, after which point a zero will be recorded for the assignment.
In the event of a situation that prevents timely submission of an assignment, students may petition their instructor for a waiver of the late submission grade reduction. The instructor will review the student's rationale for the request and make a determination based on the merits of the student's appeal. Consideration of the student's total course performance to date will be a contributing factor in the determination. Students should continue to attend class, actively participate, and complete other assignments while the appeal is pending.
Total Points Possible: 200
Requirements
A
Week 4 Paper Template to be used for your assignment is required for this assignment.
1. The
APN Professional Development Plan paper is worth 200 points and will be graded on the quality of the content, use of citations, use of Standard English grammar, sentence structure, and overall organization based on the required components as summarized in the directions and grading criteria/rubric.
2. Submit the paper as a Microsoft Word Document, which is the required format at Chamberlain University. You are encouraged to use the APA Academic Writer and G ...
TopicTransitions of Care in Long- Term Care (LTC)Discuss CAnastaciaShadelb
Topic:
Transitions of Care in Long- Term Care (LTC):
Discuss Care Coordination, Subacute Care, Post-Acute care, and the impact of U.S Healthcare Policies and Regulations on transitions of care
Details:
·
2 pages
·
APA 7 th edition reference style with recent references within the last 5 years
·
3 references
Health Financial ManagementRead this article: Hirsch, J.A., Harvey, H.B., Barr, R. M., Donovan, W. D., Duszak, R., Nicola, G. N., ... & Manchikanti, L. (2016): ‘’Sustainable Growth Rate Repealed, MACRA Revealed: Historical Context and Analysis of Recent Changes in Medicare Physician Payment Methodologies’’
Once you have read the article, discuss the Medicare Sustainable Growth Rate. “The SGR target is calculated on the basis of projected changes in 4 factors:
1) fees for physicians’ services,
2) the number of Medicare beneficiaries,
3) US gross domestic product, and
4) service expenditures based on changing law or regulations (Hirsch, et al. 2016).”
How have these 4 factors been tied to fiscal performance? Find some additional sources and support your position in few paragraphs.
Details
- 2 pages
- 3 PARAGRAPHS ONLY
· Paragraph 1 – answer the question, supporting your answer by citing from the RELIABLE SOURCES using proper APA format. Terms need to be defined in order to receive as many points as possible.
· Paragraph 2 – expand your answer by including additional information and opinions
·
· Paragraph 3 – Summarize your answer, concluding with a thought or an opinion of your own.
- APA 7 th edition reference style with recent references within the last 5 years
- 3 references
...
Topic Hepatitis B infection Clinical Practice PresenAnastaciaShadelb
Topic: Hepatitis B infection
Clinical Practice Presentation . The focus of the presentation
must reflect current treatment recommendations from accepted professional organizations.
Clinical Standard of Practice Presentation
Students are expected to expand their use of resources for evidence-based practice beyond the required text and explore nursing and related literature to improve their understanding and application of advanced interventions. Each student will present a Clinical Practice Presentation. The focus of the presentation must reflect current treatment recommendations from accepted professional organizations. Presentations will be evaluated related to the criteria listed.
Presentations must be no more than twelve slides in a PowerPoint format with a Reference List in APA format which once done must be sent by email to me and/or posted on week of the due time frame. Topics will be listed, and students must sign up for presentation by the second week of the course..
image1.png
...
The Fresh Detergent CaseEnterprise Industries produces Fresh, AnastaciaShadelb
The Fresh Detergent Case
Enterprise Industries produces Fresh, a brand of liquid detergent. In order to more effectively manage its inventory, the company would like to better predict demand for Fresh. To develop a prediction model, the company has gathered data concerning demand for Fresh over the last 33 sales periods. Each sales period is defined as one month. The variables are as follows:
·
Period = Time period in month
·
Demand = Y = demand for a large size bottle of Fresh (in 100,000)
·
Price = the price of Fresh as offered by Ent. Industries
·
AIP = the Average Industry Price
·
ADV = Enterprise Industries Advertising Expenditure (in $100,000) to Promote Fresh in the sales period.
·
DIFF = AIP - Price = the "price difference" in the sales period
Only the trend of PRICE is negative. Other four variables have positive trends. However, the R2 values suggest that for ADV and DEMAND only the linear model is explained by the data points moderately (66% and 51% respectively). For all the other three variables, the R2 values are too poor to accept the models as adequates because very few percent of data points actually represents the linear model.
As expected, the Demand is negatively correlated with Price. But the regression line equation cannot be relied upon due to poor R2 value. For other three variables, there is a positive correlation. Out of these, for the ADV variable, the regression line can be adequate for the R2 value is moderately higher.
Interpretation
Strong positive correlation is found between
1. PERIOD and ADV
2. PERIOD and DEMAND
3. AIP and DIFF
4. DIFF and ADV
5. DIFF and DEMAND
6. ADV and DEMAND
Strong negative correlation exists between
1. PRICE and DIFF
2. PRICE and ADV
3. PRICE and DEMAND
PERIOD
DEMAND
Forecast
MA(3)
Forecast
MA(6)
Absotute Error - MA(3)
Absotute Error - MA(6)
1
9.4
2
10.3
3
11.5
4
11.1
10.4
0.7
5
11
11.0
0.0
6
10.5
11.2
0.7
7
10.2
10.9
10.6
0.7
0.4
8
8.9
10.6
10.8
1.7
1.9
9
8.3
9.9
10.5
1.6
2.2
10
8.12
9.1
10.0
1.0
1.9
11
8.8
8.4
9.5
0.4
0.7
12
9.8
8.4
9.1
1.4
0.7
13
10.1
8.9
9.0
1.2
1.1
14
11.3
9.6
9.0
1.7
2.3
15
12.5
10.4
9.4
2.1
3.1
16
12.4
11.3
10.1
1.1
2.3
17
12.1
12.1
10.8
0.0
1.3
18
11.8
12.3
11.4
0.5
0.4
19
11.5
12.1
11.7
0.6
0.2
20
11
11.8
11.9
0.8
0.9
21
10.2
11.4
11.9
1.2
1.7
22
10.3
10.9
11.5
0.6
1.2
23
10.9
10.5
11.2
0.4
0.2
24
11.2
10.5
11.0
0.7
0.2
25
12.5
10.8
10.9
1.7
1.7
26
13.4
11.5
11.0
1.9
2.4
27
14.7
12.4
11.4
2.3
3.3
28
14.1
13.5
12.2
0.6
1.9
29
14
14.1
12.8
0.1
1.2
30
13.5
14.3
13.3
0.8
0.2
31
13.5
13.9
13.7
0.4
0.2
32
13.1
13.7
13.9
0.6
0.8
33
12.5
13.4
13.8
0.9
1.3
34
13.0
13.5
MAD =
0.9
1.3
Since MAD of MA(3) is less than that of MA(6), we should be preferring MA(3) over MA(6). However, Moving average may not be a good choice for predicting the demand because there is a clear p ...
tables, images, research tools, mail merges, and much more. Tell us AnastaciaShadelb
tables, images, research tools, mail merges, and much more. Tell us how these features can help you collaborate and work with others? What feature surprised you the most? Do you think you can do better research documents after this week? Why are tools such as spelling and translation so important specially in the United States? Add a PowerPoint and a word document
...
TBSB NetworkThe Best Sports Broadcasting Network is home to alAnastaciaShadelb
TBSB Network
The Best Sports Broadcasting Network is home to all college football games, events, and updates. From Alabama and Clemson to Mount Union and Wheaton College, Division 1 to Division 3 top to bottom 24/7 college football. Being a college football athlete myself and having played at Clemson University and now here at University of Maryland I understand the different levels of exposure programs and athletes get even across power 5 conferences there is some exposure but different and some more than others. What my goal and plan for TBSB is that we bring the same amounts of awareness and exposure to their programs that the Clemson’s and Alabama’s receive to their programs.
After conducting many research experiments on former college athletes as well as parents, family members of student athletes, and fans I learned that they are not happy with not having the chance to always support and watch programs who aren’t top tier and do not have the same lime light as others. I also found that there is not one particular network that shows all power 5 conference football games on Saturdays, there are different networks you have to pay for monthly to keep up with all football games from different conferences. For example, you have ACC Network, Big 10 Network, and SEC Network for each of these networks you need a different subscription and or certain cable plan. With TBSB we are putting all of these networks under one station to give families, fans, and much more the best possible experience.
I feel like this network will be beneficial to many different people starting with the players. Giving all players who are not receiving a lot of exposure this prime television opportunity for family and friends to watch and cheer them on. Also giving these players opportunities to be evaluated, and scouted by the NFL for those who have that desire. This network will also be beneficial to the university itself, football programs have a chance to increase school’s revenue at any given time. Putting these different schools in the lime light will increase the chances to help up school’s revenue. Last but not least TBSB will be beneficial to families, friends, fans, and much more the people who are not able to make it to the games but would still love to support and cheer on these programs. With the click of a button all of their problems are solved with TBSB giving them the chance to watch not only the games of their loved ones but any other college football games of their choice.
Currently, I am in the process of finalizing the concept and sources of revenue, as of now my guaranteed sources of revenue will come from customers who sign up they will pay a monthly fee. My next source of revenue I want to work with television companies to have TBSB added to their channel listings and work with these different companies for another stream of revenue. These are my biggest “road blocks” at the moment. I also will have to find workers who are willing and dedica ...
SU_NSG6430_week2_A2_Pand
ey_R.docx
by Ram Pandey
Submission date: 04-Sep-2020 06:47PM (UTC-0400)
Submission ID: 1379955415
File name: SU_NSG6430_week2_A2_Pandey_R.docx (20.8K)
Word count: 685
Character count: 4114
89%
SIMILARITY INDEX
42%
INTERNET SOURCES
2%
PUBLICATIONS
89%
STUDENT PAPERS
1 89%
Exclude quotes Off
Exclude bibliography Off
Exclude matches Off
SU_NSG6430_week2_A2_Pandey_R.docx
ORIGINALITY REPORT
PRIMARY SOURCES
Submitted to South University
Student Paper
FINAL GRADE
/20
SU_NSG6430_week2_A2_Pandey_R.docx
GRADEMARK REPORT
GENERAL COMMENTS
Instructor
PAGE 1
PAGE 2
PAGE 3
PAGE 4
SU_NSG6430_week2_A2_Pandey_R.docxby Ram PandeySU_NSG6430_week2_A2_Pandey_R.docxORIGINALITY REPORTPRIMARY SOURCESSU_NSG6430_week2_A2_Pandey_R.docxGRADEMARK REPORTFINAL GRADEGENERAL COMMENTSInstructor
SOAP NOTE
Name: MT
Date:12/3/19
Time: 0930
Encounter 2
Age: 32
Sex: Female
SUBJECTIVE
CC:
“I need to start on birth control, I just don’t know which one to go on as there are so many to choose from.”
HPI:
30 -year-old Asian American female that presents to the clinic requesting to start birth control.
Medication: (list with reason for med)
PT is not taking any medication currently
PMH: None
Allergies: Does not have any food or drug allergies
Medication Intolerances: None
Chronic Illnesses/Major traumas:
Patient denies any medical trauma
Chronic Health Problems: No known chronic health problems
Hospitalization/Surgeries: None
Family History: Mother Healthy. Father HTN. Sister Healthy. Brother autism
Social History:
Social history is negative for ETOH and she denies past or present illicit drug use. Denies present use of tobacco. States she does exercise regularly, and is not on a specific diet. Pt is currently in school for accounting.
ROS
General:
Patient denies weight change, fatigue, fever, chills, night sweats, energy level
Cardiovascular:
Denies any episodes of chest pain, palpitations, syncope or orthopnea.
Skin:
Denies any skin lesions.
Respiratory:
Patient denies dyspnea. Denies cough
Eyes:
Patient states no changes in vision, no blurred or double vision.
Gastrointestinal:
Patient denies any change in appetite, denies nausea and vomiting. denies any bowel changes
Ears:
No recent hearing loss, tinnitus, denies any ear discharge or pressure.
Genitourinary/Gynecological:
Patient denies any itching, burning or discharge
Last PAP: 9/11/18
Mammogram: 11/2/18
Pregnancy: G4P3
Not on any contraception, is currently sex ...
1
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Final Project Topic
Final Project Topic
I selected the question: Analyze differences among research, evidence-based practice, practice-based evidence, comparative effectiveness research, outcomes research, and quality improvement. How do these practices affect nursing and patient outcomes?
Selected References
Davis, K., Gorst, S. L., Harman, N., Smith, V., Gargon, E., Altman, D. G., ... & Williamson, P. R. (2018). Choosing important health outcomes for comparative effectiveness research: An updated systematic review and involvement of low and middle-income countries. PloS one, 13(2), e0190695.
Davies, C., Lyons, C., & Whyte, R. (2019). Optimizing nursing time in a daycare unit: Quality improvement using Lean Six Sigma methodology. International Journal for Quality in Health Care, 31(Supplement_1), 22-28.
Eppley, K., Azano, A. P., Brenner, D. G., & Shannon, P. (2018). What counts as evidence in rural schools? Evidence-based practice and practice-based evidence for diverse settings. The Rural Educator, 39(2).
Fiset, V. J., Graham, I. D., & Davies, B. L. (2017). Evidence-based practice in clinical nursing education: A scoping review. Journal of Nursing Education, 56(9), 534-541.
Forsythe, L., Heckert, A., Margolis, M. K., Schrandt, S., & Frank, L. (2018). Methods and impact of engagement in research, from theory to practice and back again: early findings from the Patient-Centered Outcomes Research Institute. Quality of Life Research, 27(1), 17-31.
Gargon, E., Gorst, S. L., Harman, N. L., Smith, V., Matvienko-Sikar, K., & Williamson, P. R. (2018). Choosing important health outcomes for comparative effectiveness research: 4th annual update to a systematic review of core outcome sets for research. PloS one, 13(12), e0209869.
...
12
First Name Last Name
Plaza College
MGT1003 Section 8 – Supervisory Management
Professor Aicha Cesar
Spring 2022
1. Do you believe that Joe Trosh has the right to carry a concealed weapon in the hospitaldue to being harassed for visiting casinos?
Part IA: The Purpose of the Report and the Problem
The purpose of the report is to solve the problem of whether or not Joe Trosh has the right to carry a concealed weapon in the hospital as a reason for self-defense against discrimination and harassment from the staff of a rural hospital in Oklahoma. According to the U.S. Equal Employment Opportunity Commission, harassment is a form of employment that violates Title VII of the Civil Rights Act of 1964, Age Discrimination Employment Act of 1967, and Americans with Disabilities Act of 1990 ("Equal Employment Opportunity Commission," n.d.).
The Equal Employment Opportunity Commission outlined that “harassment’’ based on race/color discrimination means unwelcome conduct that is based on color, religious background, sex, national origin, older age, disability, or genetic information that is based on medical history ("U.S. Equal Employment Opportunity Commission," n.d.).
Hirsch (2018) stated that the impact of discrimination on racism often creates challenges that the human resource manager is responsible for overcoming. In a workplace, racism is evident through macroaggression, defined as indirect, subtle, and unintentional acts of discrimination against marginalized groups.
Harassment based on stereotypes can affect an organization’s decision-making process in many ways, such as making a quick judgment without looking at the consequences. It also makes people feel preconceptions about a specific group of people leading to harsh treatment.in addition, harassment of stereotypes leads to fixed beliefs about the place of women and men in society.
Managers need to know about the Second Amendment right to bear arms and U.S. Supreme Court Cases that examine this issue because it will protect the hospital from legal matters ("Cornell Law School," n.d.). The District of Columbia v. Heller case in which the supreme court held in 2008 on the second Amendment regarding firearm possession. It gives one the right to possess firearms, independent of service in state militia use the guns for self-defense.
A potential legal issue the Supervisor must consider is how to handle discipline decisions that involve employees who have experienced discrimination through harassment by co-workers. According to the Oklahoma Self-Defense Act, it is “not right for a person to identify themselves as a licensed handgun or as lawfully in possession of any other firemen if the law does not demand information."
Part 1B The Research Experience
To perform my research, I began with online research. I used Google and searched for articles rights of carrying weapons to work as a form of self-defense and discrimination and harassment in the place of work.
I have foun ...
12Epic EMR ImplementationComment by Author 2 Need a AnastaciaShadelb
1
2
Epic EMR Implementation
Comment by Author 2: Need a running head. Ex:
RUNING HEAD: Implementation of EMR
Implementation of Electronic Medical Records (EMR) Comment by Author 2: Your topic is very broad. You should have a unique identification of basically what you are trying to investigate with your research. Basically, you need to try to funnel it. For instance, The impact of the EMR on ...... Comment by Author 2: Also, the title doesn't tell the story of your research. Basically, the reader should be attracted to your topic just by reading the title. That is why is very broad and doesn't present an attractive meaning. Comment by Author 2: Example: The Implementation of EMR: Tjhe Role of Data in ... Comment by Author 2: Or, Barriers to Implementing the EMR in ....
HCIN 699-51 – B-2021/Summer
Applied Project in Healthcare Informatic
Dr. Chaza Abdul and Dr. Glenn Mitchell
Prepared by:
Name: Bolade Yusuf
Student ID: 273092
Harrisburg University
08/18/21
Table of Contents
INTRODUCTION 3
1.1 Background to research problem 3
1.1.1 Electronic Medical Records (EMR) 3
1.1.2 Patient’s Data 4
1.2 Problem Statement 4
1.3 Objectives 5
1.4 Research Questions 5
1.5 Significance of the Research 5
LITERATURE REVIEW 6
2.1 Introduction 6
2.2 Features of an Effective EMR 6
2.3 Barriers to adoption of EMR 8
2.4 Addressing EMR adoption barriers 9
2.5 Related Work 11
RESEARCH METHODOLOGY 12
3.0 Introduction 12
3.1 Research Philosophy 12
3.2 Research design 12
3.3 Study Population Sample 13
3.4 Sample Size and Sampling Procedure 13
3.5 Data Collection 14
DATA ANALYSIS AND FINDINGS 15
4.1 Data Analysis 15
4.2 Findings 15
4.3 Benefits of epic EMR 16
Conclusion 17
References 18
Appendix 1: Survey Questionnaire 20
Appendix 2:Survey Questions Response Analysis 21
INTRODUCTION1.1 Background to research problem
Health care is critical in any society. Managing patient’s data goes a long way in ensuring good treatment measures are taken. Health care information therefore must be collected correctly and stored in a manner which abides by the principled of confidentiality, integrity and accessibility (Kaushal et al., 2009). Data regarding a patient should be kept confidential as much as possible and only retrieved when needed. A good health records management system should be able to confidentially store patient’s data. Each patient should have an account within the system where their data is stored. Access to this data should be given on privileges basis and only to individuals who will use it for treatment of the patient. The patient’s data in a good health information management system should be of high integrity. Data should be collected from the source (the patient) and recorded during the collection process. Having an intermediary stage where data is recorded in in a secondary avenue before being transferred to the primary system could lead to errors thus compromising its integrity. A good health information management system should also ...
12Facebook WebsiteAdriana C. HernandezRasmussen UnAnastaciaShadelb
1
2
Facebook Website
Adriana C. Hernandez
Rasmussen University
COURSE#: MA242/BSC2087C
Jenessa Gerling
05/01/2022
Thesis Statement: Facebook, which emerged as a standalone website, is used worldwide. Facebook has emerged as one of the 21st century's largest companies, with a consumer base of people who understand the word internet.
Title of Paper: Facebook Website
I. Introduction
A. Attention grabbing sentence about topic
Facebook, which emerged as a standalone website, is used worldwide. Skyrocketing revenues' simplified version of the term perception is a way of perceiving or viewing things and refers to how the brain knows how things are or processes things (Mosquera et al.,2020).
B. Thesis statement
Facebook, which emerged as a standalone website, is used worldwide. Facebook has emerged as one of the 21st century's largest companies, with a consumer base of people who understand the word internet.
II. First paragraph main point – topic sentence
The case in this study involves deciphering the website perception elements and related responses to the same crucial points as follows:
A. Supporting details (in-text citation for outside resource used as support/evidence)
1. Details about the supporting details
Sensory response refers to the way we respond to specific website visual elements. The website contains both a design pattern and a logo which most individuals worldwide are aware of today.
2. Details about the supporting details
The image of the logo is a letter f-like. The most dominant colour in the ad on Facebook is blue and white shades used to design and highlight the tangible symbol.
B. Supporting details (in-text citation)
There are also lines and shapes in the logo, and as mentioned, the logo lines include lines and a square box forming a bold character, 'f' and highlighting the Facebook company name (Plantin et al.,2018). Contrast and balance are also incorporated. There is contrast present and light colours in the image that easily distinguish the Facebook symbol from other symbols such as WhatsApp and YouTube. The balance is indicated in the proper depiction of the 'F' symbol, highlighting everything around the same.
C. Transition sentence
On the other hand, perceptual response refers to the number of groups of persons attracted to the ad and those not attracted.
III. Second paragraph main point – topic sentence
Though perceptual response targets a potential user base involving many people from any age group, ethnicity, or age, it is more dominant among the youth, in my view.
A. Supporting details (in-text citation)
The aged have no more time in the Facebook like the youth who are in desire remain informed and have interest in sharing their feelings and information through the platform (Plantin et al.,2018).
1. Details about the supporting details
The technical response involves specific elements, including buttons and dropdowns worldwide, which technically impact the user.
2. Details about the supporting details
T ...
1
2
Experience
During my clinical placement in a neurosurgical unit, we would occasionalJy exa mine epilepsy
patients to document any seizures. These patients rarely require substantial nursing care, and
most are self-sufficient with only 1-2 prescriptions administered every six hours. I was working
an early shift, and my buddy nurse assigned me to three patients, one of whom was under
examination for a seizure. My buddy nurse handed me the drawer keys and indicated the
medication was in the side drawer when I went with my nurse to provide the patient medication.
Looking over the initial purchase, I began my safety check prior to dispensing the prescription
and discovered that it had expired in February 2019. I requested that my preceptor come over
and take a look at the package. She realized the medication was out of date when she noticed the
expiration date. She then went out of the room with the packaging. When she returned, she
indicated that she had reported the event to the NUM. I then inquired if there was anything else
we needed to do, but I was respectfully told to stay out of it. I took a set of vitals on the patient,
which were all normal, and the buddy nurse was given a new pack of medication that was still
usable. I felt accomplished at the end of my shift since I had followed the procedure for providing
the correct medication and had identified the problem. Being a part. of event reporting and alerting
the doctors, on the other hand, would have been a great experience. Overall, I followed NSHQS's
safety requirements and medication standards when performing my nursing responsibilities.
h
...
1
2
Dissertation Topic Approval
Dissertation Topic Approval
Topic
How can the fourth industrial revolution technologies be used to address the current climatic issues facing the world?
General Reasoning
I selected this research topic because climatic change has become a major concern today, with world leaders and researchers trying to develop ways to address this concern. There are several adverse impacts of climatic change on the world. One of the adverse effects is that humans and animals face new challenges for their survival due to the consequences of climatic change. Climatic change has resulted in increased temperature levels in the world, rising sea levels, shrinking glaciers, and increased ocean temperatures. It has resulted in frequent and intense droughts, storms, and heat waves threatening animals' lives. It has also resulted in biodiversity loss due to limited adaptability and the economic implications of these climatic changes. One of the ways that can be used to deal with climatic issues is through the use of technology which can help reduce greenhouse gas emissions. The fourth revolution technologies such as the internet of things, artificial intelligence, and cloud computing can play a vital role in addressing these climatic challenges.
Potential thesis
The fourth industrial revolution technologies such as the internet of things, artificial intelligence, and cloud computing can play a vital role in addressing these climatic challenges; therefore, it is important to determine how these technologies can be utilized to achieve the environmental objectives of the world.
Thesis map for your Literature Review
The literature review will consist of articles that have been published over the five years. It will consist of journals and articles that have researched fourth industrial revolutions that can be used to address climatic change.
The research topic I selected for my dissertation is related to the program goals and core courses by addressing the revolution of technology and its applications in addressing the world's challenges.
...
12Essay TitleThesis Statement I. This is the topicAnastaciaShadelb
1
2
Essay Title
Thesis Statement:
I. This is the topic sentence for your first opposing viewpoint.
A. Write a sentence of commentary.
B. Put in a quote or paraphrase. Remember to introduce it and to give a citation.
C. Write commentary sentence to help the reader understand.
D. Write a transitional statement to lead to your next opposing view.
II. This is the topic sentence for your second opposing viewpoint.
A. Write a sentence of commentary.
B. Put in a quote or paraphrase. Remember to introduce it and to give a citation.
C. Write commentary sentence to help the reader understand.
D. Write a transitional statement to lead to your next opposing view.
III. This is the topic sentence for your third opposing viewpoint.
A. Write a sentence of commentary.
B. Put in a quote or paraphrase. Remember to introduce it and to give a citation.
C. Write commentary sentence to help the reader understand.
D. Write a transitional statement to lead to the proponents’ point of view.
IV. This is the topic sentence for your first proponents’ paragraph.
A. Write a sentence of commentary.
B. Write a quote or paraphrase to support this point.
C. Write a sentence of commentary for understanding.
D. Write a transitional sentence into the next proponents’ paragraph.
V. This is the topic sentence for your second proponents’ paragraph.
A. Write a sentence of commentary.
B. Write a quote or paraphrase to support this point.
C. Write a sentence of commentary for understanding.
D. Write a transitional sentence into the next proponents’ paragraph.
VI. This is the topic sentence for your third proponents’ paragraph.
A. Write a sentence of commentary.
B. Write a quote or paraphrase to support this point.
C. Write a sentence of commentary for understanding.
D. Write a transitional sentence into the next proponents’ paragraph.
VII. A. This is the topic sentence for the compromise paragraph.
B. Explain the validity and merit of the compromise.
C. Show that you know all people will not agree, but this is the best for the majority
of people.
**Remember: one sentence per Roman numeral and letter! You will, however, will more sentences of support in the argument itself than in the outline!
Rogerian Argument Outline
General Information
Remember that a Rogerian argument looks at two sides of an issue to offer a compromise with the point of view that is opposite yours.
The introduction should state the problem you hope to resolve, explain the type of positive change you would like to see pertaining to this issue, and have a clear thesis statement. The introduction itself does not have to appear on the outline.
For each paragraph for opposing views, you will include the following information. Remember that the opposing viewpoints must be presented fairly.
1. A topic sentence explaining a reason why people disagree with your point of view (first opposing point)
2. A sentence using a quote or paraphrase from one of your sources th ...
1
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Cyber Research Proposal
Cybersecurity in business
Introduction
Because of today's international economy, securing a company's intellectual property, financial information, and good name is critical for the company's long-term survival and growth. However, with the rise in risks and cyber vulnerability, most businesses find it difficult to keep up with the competition. Since their inception, most companies have reported 16% fraud, 37.7% financial losses, and an average of over 11% share value loss, according to data compiled by the US security. Most corporations and governments are working hard to keep their customers and residents safe from harm. There are both physical and cybersecurity risks involved with these threats. According to a recent study, many company owners aren't aware of the full scope of cybersecurity. People who own their businesses must deal with various issues daily.
Nevertheless, steps are being taken to address these issues. Customers and the company are likely to be protected by the measures adopted. Cybersecurity is one of the most pressing issues facing organizations today. Leaks of a company's intellectual property and other secrets may have devastating effects on its operations, as competitors and rivals will do all in their power to stop them. is an excellent illustration of this. This is perhaps the most talked-about security compromise of the year [footnoteRef:3]. The firm was severely damaged because of this. [1: "Database security attacks and control methods."] [2:q "Comprehending the IoT cyber threat landscape: A data dimensionality reduction technique to infer and characterize Internet-scale IoT probing campaigns."] [3: "The Equifax data breach: What cpas and firms need to know now." ]
Some individuals take advantage of clients by stealing highly important information to profit financially from their actions. For example, if the wrong individuals get their hands on your credit card information, you're in serious trouble since you might lose money. Some families lose all their resources, while others are forced to declare bankruptcy after being financially stable for a long period. Many of the findings of this study will be focused on cybersecurity and the sources of cybersecurity risks. The paper outlines a few of the issues and solutions that organizations may use to keep their operations and consumers safe from exploiting dishonest individuals.
Research question
According to the most recent study, more than 1500 companies have been exposed to some cybersecurity assault[footnoteRef:4]. This research details the specific types of attacks that have occurred. Organizational operations are affected, as is corporate governance, and the internal management of financial status is rendered ineffective due to these assaults. The question that will be investigated during the study is: [4: "Towards blockchain-based identity and access management for internet of things in enterprises."]
How doe ...
2024.06.01 Introducing a competency framework for languag learning materials ...Sandy Millin
http://sandymillin.wordpress.com/iateflwebinar2024
Published classroom materials form the basis of syllabuses, drive teacher professional development, and have a potentially huge influence on learners, teachers and education systems. All teachers also create their own materials, whether a few sentences on a blackboard, a highly-structured fully-realised online course, or anything in between. Despite this, the knowledge and skills needed to create effective language learning materials are rarely part of teacher training, and are mostly learnt by trial and error.
Knowledge and skills frameworks, generally called competency frameworks, for ELT teachers, trainers and managers have existed for a few years now. However, until I created one for my MA dissertation, there wasn’t one drawing together what we need to know and do to be able to effectively produce language learning materials.
This webinar will introduce you to my framework, highlighting the key competencies I identified from my research. It will also show how anybody involved in language teaching (any language, not just English!), teacher training, managing schools or developing language learning materials can benefit from using the framework.
Synthetic Fiber Construction in lab .pptxPavel ( NSTU)
Synthetic fiber production is a fascinating and complex field that blends chemistry, engineering, and environmental science. By understanding these aspects, students can gain a comprehensive view of synthetic fiber production, its impact on society and the environment, and the potential for future innovations. Synthetic fibers play a crucial role in modern society, impacting various aspects of daily life, industry, and the environment. ynthetic fibers are integral to modern life, offering a range of benefits from cost-effectiveness and versatility to innovative applications and performance characteristics. While they pose environmental challenges, ongoing research and development aim to create more sustainable and eco-friendly alternatives. Understanding the importance of synthetic fibers helps in appreciating their role in the economy, industry, and daily life, while also emphasizing the need for sustainable practices and innovation.
How to Make a Field invisible in Odoo 17Celine George
It is possible to hide or invisible some fields in odoo. Commonly using “invisible” attribute in the field definition to invisible the fields. This slide will show how to make a field invisible in odoo 17.
Welcome to TechSoup New Member Orientation and Q&A (May 2024).pdfTechSoup
In this webinar you will learn how your organization can access TechSoup's wide variety of product discount and donation programs. From hardware to software, we'll give you a tour of the tools available to help your nonprofit with productivity, collaboration, financial management, donor tracking, security, and more.
Palestine last event orientationfvgnh .pptxRaedMohamed3
An EFL lesson about the current events in Palestine. It is intended to be for intermediate students who wish to increase their listening skills through a short lesson in power point.
The Roman Empire A Historical Colossus.pdfkaushalkr1407
The Roman Empire, a vast and enduring power, stands as one of history's most remarkable civilizations, leaving an indelible imprint on the world. It emerged from the Roman Republic, transitioning into an imperial powerhouse under the leadership of Augustus Caesar in 27 BCE. This transformation marked the beginning of an era defined by unprecedented territorial expansion, architectural marvels, and profound cultural influence.
The empire's roots lie in the city of Rome, founded, according to legend, by Romulus in 753 BCE. Over centuries, Rome evolved from a small settlement to a formidable republic, characterized by a complex political system with elected officials and checks on power. However, internal strife, class conflicts, and military ambitions paved the way for the end of the Republic. Julius Caesar’s dictatorship and subsequent assassination in 44 BCE created a power vacuum, leading to a civil war. Octavian, later Augustus, emerged victorious, heralding the Roman Empire’s birth.
Under Augustus, the empire experienced the Pax Romana, a 200-year period of relative peace and stability. Augustus reformed the military, established efficient administrative systems, and initiated grand construction projects. The empire's borders expanded, encompassing territories from Britain to Egypt and from Spain to the Euphrates. Roman legions, renowned for their discipline and engineering prowess, secured and maintained these vast territories, building roads, fortifications, and cities that facilitated control and integration.
The Roman Empire’s society was hierarchical, with a rigid class system. At the top were the patricians, wealthy elites who held significant political power. Below them were the plebeians, free citizens with limited political influence, and the vast numbers of slaves who formed the backbone of the economy. The family unit was central, governed by the paterfamilias, the male head who held absolute authority.
Culturally, the Romans were eclectic, absorbing and adapting elements from the civilizations they encountered, particularly the Greeks. Roman art, literature, and philosophy reflected this synthesis, creating a rich cultural tapestry. Latin, the Roman language, became the lingua franca of the Western world, influencing numerous modern languages.
Roman architecture and engineering achievements were monumental. They perfected the arch, vault, and dome, constructing enduring structures like the Colosseum, Pantheon, and aqueducts. These engineering marvels not only showcased Roman ingenuity but also served practical purposes, from public entertainment to water supply.
We all have good and bad thoughts from time to time and situation to situation. We are bombarded daily with spiraling thoughts(both negative and positive) creating all-consuming feel , making us difficult to manage with associated suffering. Good thoughts are like our Mob Signal (Positive thought) amidst noise(negative thought) in the atmosphere. Negative thoughts like noise outweigh positive thoughts. These thoughts often create unwanted confusion, trouble, stress and frustration in our mind as well as chaos in our physical world. Negative thoughts are also known as “distorted thinking”.
Read| The latest issue of The Challenger is here! We are thrilled to announce that our school paper has qualified for the NATIONAL SCHOOLS PRESS CONFERENCE (NSPC) 2024. Thank you for your unwavering support and trust. Dive into the stories that made us stand out!
1. 12
Capstone Project
Olivia Timmons
Department of Nursing. St. Johns River State College
NUR 4949: Nursing Capstone
Dr. C. Z. Velasco
November 14, 2021
Capstone Project
There is a saying that states one can only learn through
doing it, practically and physically. It is the explanation as to
why it is very important to implement the skills acquired in
theory into practice to ascertain one’s competence. This is even
2. more crucial in the medical field as they have no choice but just
to be perfect at what they are doing, the only secret is through
practice. Practicums connect the two worlds of theory and
classwork, thus breaking the monotony alongside connecting
what was taught in class with what happens in the field. They
are important as apart from sharpening the student’s skills, they
also open a window of opportunity and build up connections
that will come in handy for the student later on. They will feel
the experience and the pressure that comes with it thus
preparing themselves accordingly.
Statement of the Problem
Timing is essential in the nursing field and the Emergency
Room is notorious for its long wait times. The goal of a clinical
laboratory is to deliver medically useful results for patients on a
timely basis. This goal can be hindered by the new paradigm of
the modern laboratory – “do more with less" (Lopez, 2020).
When implementing new care models for patients, the patient
perspective is critical. The objective of this study was to
describe and develop an understanding of the information needs
of patients in the ED waiting room concerning ED wait time
notification (Calder, 2021). As a patient arrives at the ER
waiting area, it's critical to have lab results for the provider to
evaluate. I can give you an example of a patient that waited in
the waiting room for over 3 hours, no labs were completed
because they were waiting for the patient to go back into a
room. The patient was suffering from a heart attack and his
troponins were elevated and no one knew until 3 hours later. If
POC labs were done on all patients as soon as they arrived,
mistakes like these can be avoided. Completed POC blood can
cut the wait times in half and the laboratory also won't be
backed up on resulting lab specimens.
PICOT Question
Question: Is there a significant decrease in Emergency
Department patient length of stay (LOS) for those whose blood
was analyzed using POC testing versus those whose blood was
analyzed using laboratory testing?
3. · P-Population= emergency room patients
· I-Intervention or Exposure= POC testing of blood specimens
· C-Comparison= Laboratory blood specimens
· O-Outcome= Decrease patient stay in the emergency room
· T-Time = N/A
History of the Issue
The length of patient stay in the emergency department (ED) is
an issue that not only increases the severity of illnesses but also
reduces the quality of patient care. Serious health conditions
including diabetes and hypertension can worsen while patients
are still waiting to be tested through the conventional laboratory
approaches thereby leading to adverse events. Crowding in the
ED is a great threat to public health given that the number of
ED visits is more than 130 million and is increasing (Chang et
al., 2018). Many countries including the US and have reported
an alarming and unsustainable increase in ED visits in which
population growth is not enough to explain the trend (Chang et
al., 2018). Emergency department crowding is an obstacle to the
provision of timely patient care due to the backlog of work.
Additionally, it increases the likelihood of a rise in HAI due to
the prolonged length of patient stay in crowded ED waiting for
bays thereby exposing patients to infectious diseases (Chang et
al., 2018). The issue of ED crowding can be reduced by
adopting the point-of-care testing (POC) testing in place of the
conventional laboratory testing in which patients are required to
wait for lengthy durations of time in wait for laboratory test
results in crowded waiting bays.
Current Data on the Issue
Overcrowding in hospitals is measured by the occupancy rates.
Occupancy rate refers to the ratio between the number of
inpatients and the number of hospital beds (Jobé et al., 2018).
Similarly, the ED occupancy ratio that indicates overcrowding
is measured by the total number of ED visits and the number of
ongoing ED treatment beds (Jobé et al., 2018). According to the
4. Centers for Disease Control and Prevention (2021), 43.5% of
patients in the ED are seen within 15 minutes while the number
of ED visits is 16.2 million people annually. Given that 57.2%
of ED patients are seen in more than 15 minutes, the rate of
crowding in EDs is high at 9.72 million, which is rising with
increasing annual ED visits (CDC, 2021). In a study conducted
by Jobé et al. (2018), all the EDs of the three hospitals in the
study were found to be clinically crowded. During the day, the
hospitals were overcrowded especially the ones whose
subsidiaries were in urban settings and institutions.
The measure for clinical ED overcrowding was 100 or more
patients in the ED. Crowding was measured by the presence of
99 patients and below, who were waiting to be treated in the ED
(Jobé et al., 2018). A significant fraction of the patients in the
crowded ED were sitting in wait for laboratory test results and
waiting for their results to be provided. The average length of
time taken for the laboratory results to be produced was
between 30 minutes to 2 hours (Jobé et al., 2018). While most
laboratory results typically take minutes, delays in releasing
laboratory test results are a common but worrying trend that is
mainly caused by administrative formalities and procedures
(Chang et al., 2018). In another study conducted by Rowe et al.
(2020), all the EDs of the 16 hospitals in Alberta County,
Canada, that were included in the study were found to be
overcrowded during the day. In the study, overcrowding in the
ED was defined as the situation that occurs when patients
seeking treatment in the ED exceeds the number of patients
receiving treatment. Rowe et al. (2020) also found that 63% of
the ED presentation stayed longer than the recommended
median 1 hour in the EDs, which significantly contributed to
overcrowding in the EDs. Overcrowding was found to be at
alarming rates in teaching or academic settings and urban areas.
Current Organizational Practices or Activities
Different strategies have been applied by healthcare
organizations to manage the issue of crowding in ED depending
5. on the nature of the healthcare facilities. They include public
education initiatives on the appropriate use of ED (Morley et
al., 2018). While the backlog of work in hospitals significantly
contributes to crowding in EDs, patient behaviors can also lead
to crowding. Therefore, healthcare facilities often educate and
guide inpatients and the public at large on the proper use of EDs
including decongesting the waiting bays to avoid possibilities of
transfer of contagious diseases. Hospitals also manage ED
crowding by redirecting non-emergency visits to the ED to
appropriate departments. In this regard, healthcare facilities
have established units that are aimed at addressing ED visits
that are can be estimated to take less than four hours to examine
(Morley et al., 2018). Additionally, some healthcare facilities
have assigned senior nurses in EDs to continuously monitor the
EDs to intervene in situations in which patients have stayed in
the EDs for 2-3 hours. The assigned senior nurses identify the
cause of delays and facilitate treatment and departure of the
patients within 4 hours (Morley et al., 2018). Most of such
cases occur due to a backlog of work due to administrative
formalities that reduce the rate of patient care processes in the
EDs.
Another effective strategy that is currently being applied to ease
crowding in the ED is the performance of diagnostic testing
arrangements in the waiting bays for stable patients. Following
quick medical assessment upon arrival, patients can be tested
and referred to appropriate departments for further treatment
instead of overstaying in the ED (Morley et al., 2018). Further
afield, some hospitals have opened a monitored unit with an
appropriate number of beds and other medical resources located
in proximity to the ED (Morley et al., 2018). These facilities a re
meant to accommodate ED patients that need observation and
management for more than 4 hours and are staffed by ED
professionals.
Proposed Interventions and Implementations
The proposed intervention for reducing crowding in ED is to
6. introduce point-of-care testing (POCT) in addition to laboratory
testing. The POCT is an easy and effective method for testing
diseases using special machines that produce results rapidly
(Egilmezer et al., 2018). This method is simple and can be used
by medical professionals who are not laboratory technicians
including nurses. In this regard, nurses will be assigned the role
of testing ED patients using the POCT methods for patients with
the stable condition, and when the number of ED visitors is high
and likely to lead to crowding. The approach has the potential
to significantly manage to crowd in EDs, which will, in turn,
reduce patients’ length of stay (LOS) in hospitals thereby
increasing the quality of patient care and hospitals’
effectiveness regarding time management.
Relevant Nursing Theorist
Nurses are expected to be familiar with the following concepts
which will aid them in their daily analysis and decision making.
They include the person or patient in most cases, the
environment, health, and nursing. They make up the baseline of
the course as a clear analysis and interpretation of the same.
They are important tools that provide a guideline and roadmap
of what needs to be done where, when, and how. Based on the
context of the paper, the environmental concept best suits the
purpose.
As we are greatly affected by environmental factors, they also
contribute to either our health as well as illness, in fact, some if
not most of the infections are acquired based on the
environment. Our bodies are built differently in different
environments to adapt to the changes and the features, for
instance, those in high elevated areas are most likely to have
more blood cells to facilitate the low supply of oxygen in those
areas. Acclimation is the process the body goes through to adapt
to the environmental features, for instance, those living in cold
areas are most likely to have pale skin that easily traps vitamin
D from the sun, they are also hairy to help in thermo-regulation
in the bodies mechanism to combat the cold. Those from the
tropic regions are likely to have darker skin as the pigments
7. help in the prevention of sunburns. Therefore, nurses are
expected to understand the environmental patterns and how they
affect the patients, they also have to know the basic adjustments
one can make to the environment to favor the patient’s
conditions.
Literature Review
Method
Considering I had a great team who were willing to push limits
to make ends meet, the experience was relatively elementary
due to their enormous support. The collection of data was
therefore not complicated as had already established a
connection with the staff. Live interviews were the most
effective one as I could guarantee firsthand information and
there was minimal room for errors and misinformation as the
staff was well experienced and proficient in their fields of
operation. Using questionnaires is also effective as the quality
of the information is maintained. As there are many distinctive
methods to be used which individually fit the expectations, they
both have their advantages and limitations that qualify and at
the same time disqualify them in certain scenarios depending on
the nature of the research.
Discussion of Literature
The issue of overcrowding in hospitals has been an area of
interest for a long time with no effective strategies to tackle the
situation. This greatly influences the quality of the services
provided and on the other hand, worsens the conditions of the
patients as they wait. This incident connects to the matter of
population in the economy, however, various strategies can be
implemented in combating the crisis. Following the acquired
information, there are certain proposed strategies to approach
the issue which may be effective in not only reducing but also
curbing the whole issue.
Recommendations for Change
Following the condition of overcrowding and lack of enough
facilities to cater to the patients as they come in, there is room
for change if the proper strategies are well evaluated and
8. implemented. The following are the possible recommendati ons
that can curb the situation.
a) Expand the hospital capacity, this will increase the rate at
which the patients are admitted and cared for in the hospital to
meet the number of patients.
b) Focus on emergencies, by only admitting only patients that
are in critical conditions, will provide enough room to provide
care for more thus reducing the congestion.
c) The main solution, though not as easy as it sounds to
implement is to reduce injury and infections, this can be
achieved through the hospital hosting workshops in creating
awareness of how best to keep themselves healthy and avoid
infections.
Desired Outcomes from Practice Experience
The experience acquired while working there was important and
had a chance to work with the best, the preceptor being very
helpful and supportive in every aspect, had no choice but to
grab every concept with precision. With more practice, I
mastered skills that used to scare me but cannot comfortably
tackle them with ease. Among other important skills was I
learned was how to handle pressure and deal with intense cases,
it was not easy but through the support, it was made possible to
maintain my calm while attending to crucial cases while
working in the ICU.
Recommendations with Rationales
Based on the outlined recommendations of improving the
current situation in Memorial Healthcare, focusing on the
probability of them being implemented, weighing the odds, the
hospital would be better with the changes and talking of the
main issue of funds, it would be a huge investment as in the end
the institution would benefit. The extra funds can be allocated
to recruiting more staff to meet the demand and also motivate
the current staff to increase their productivity. On the point of
creating awareness, being the most powerful approach and at the
same time almost impossible to implement, is proven to be the
9. most effective, some of the cases in the hospital are because of
ignorance, or lack of knowledge, educating the members of
public will greatly impact the rate of patients admitted (Agueria
et al 2017).
Leadership Support
The leaders in the workstation also did their part in ensuring
they made the best out of us by proper and reasonable coaching,
they also provided meaningful tasks that had a great impact on
our skills acquisition (Ana et al 2020). The experience was
empowering as despite their normal duties they also led as
examples in other important sectors such as to conduct and
communication within the hospital, they portrayed high levels
of respect and commitment in working with us, this also
includes the preceptor.
Final Report on Practicum Experience
It was such a pleasure being given the chance to work with the
staff at the Memorial Hospital, the experience was eventful and
meaningful at the same time as I got the best out of their
coaching. The mentorship through the preceptor was one of a
kind as he took me through every step that was needed in the
completion of my knowledge hunt. I had a glimpse of what it
felt like to work in a real lie situation and handle real problems
unlike when I was used to tackling theories from classes. After
the session I ascertain myself to have what it entails to
officially work.
Logistical Requirements
Based on the schedules of the hospital concerning other
organizations, they were practically flexible to keep up with,
within the time we were present we ensured to have maximized
output to meet expectations. With normal labor hours ranging
from 8 to 10 hours, the organization had well organized their
routines that we only had to be in for 6 hours at most, this
reduced the negative attitude towards work and staff were fresh
and productive when it was their shift. Dealing with fatigue
reduces errors and increases the quality of the service, the staff
also had a window to work on their weaknesses and improve
10. their performance.
Recruiting, Training, and/or Orientation of Staff (level two
header)
Through the human resource office, the organization does its
best in making the recruits comfortable as possible. They also
provide meaningful coaching and training to familiarize them
with the organization and their culture to make things easier for
them. They also allocate mentors and preceptors that ensure one
has fully mastered what they need to know and the stay there is
exploited (Hage et al 2019). There are also random workshops
for not only the recruits but also their staff to maintain their
skills in retention of quality work output. This works as part of
employee motivation they are rewarded with more skills to
benefit both themselves and the organization.
Conclusion
The report is summed up of the working experience in Memorial
hospital for the internship program while serving noticed the
problems they face daily and tried to come up with possible
decisions, strategies, and recommendations to curb the
situations. The help from the institution has helped build up and
sharpen my skills and have a baseline on what it entails to work
in a real environment with real problems and have to solve them
on my own. Carried out analysis on the memorial hospital and
presented results of how things could be made even better, the
hospital is in good condition except for the fact that it faces
challenges with overcrowding of patients, this challenge is
critical as it originates from the external environment of the
firm as it is very difficult to easily neutralize it.
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remote sensing
Article
Detection and Avoidance of Atmospheric Aviation
Hazards Using Infrared Spectroscopic Imaging
Fred Prata 1,2
1 AIRES Pty Ltd., Mt Eliza, VIC 3930, Australia;
[email protected] or [email protected]
2 School of Electrical Engineering, Computing and
Mathematical Sciences, Curtin University,
Bentley, Perth, WA 6102, Australia
Received: 16 June 2020; Accepted: 11 July 2020; Published: 18
July 2020
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Abstract: Atmospheric aviation hazards due to turbulence, poor
visibility, high-altitude ice crystals
and volcanic ash and gases are known problems for aviation and
can cause both economic damage
to engines and airframes as well as having the potential to cause
14. the engines to stall in flight with
possible loss of the aircraft. Current space- and ground-based
assets allow observations of some of
these hazards and their detection and movement can be forecast
using modern computer weather
forecasting and dispersion models. These largely strategic
resources have proved very valuable but
somewhat limited in the tactical sense, where commercial
aviation must make rapid decisions in order
to avoid an undetected or un-forecast hazardous cloud or
atmospheric condition. Here we investigate
the use of multi-spectral (two channels or more) infrared
imaging from an aircraft perspective,
and show that it is possible to use this information to provide
tactical awareness tools for use by
aviators and other stakeholders. This study has a strong focus
on volcanic ash as an aviation hazard
but also includes applications to some forms of clear air
turbulence (CAT), to high-altitude ice crystals
(HAIC) and windblown desert dust. For volcanic ash detection,
the research shows that current
two-channel satellite-based infrared techniques provide
acceptable discrimination and quantification,
but two-channel infrared imaging airborne solutions have
significant drawbacks. Because of the
limitation of two-channel methods, infrared spectroscopic
techniques are investigated and it is
shown they can significantly reduce the confusion caused by
meteorological hydrometeors and
potentially provide information on other atmospheric hazards to
aviation, such as HAIC and some
forms of turbulence. Not only are these findings important for
on-going efforts to incorporate IR
imaging onto commercial aircraft, but they also have relevance
to the increasing use of drones for
hazard detection, research and monitoring. Uncooled infrared
15. bolometric imaging cameras with
spectroscopic capabilities are available and we describe one
such system for use on airborne platforms.
Keywords: airborne remote sensing; volcanic ash; aviation
hazards
1. Introduction
There are several important hazards that affect aviation due to
changing atmospheric conditions.
The most severe of these is clear air turbulence (CAT), which
can cause significant damage to airframes
and to impact passenger and crew safety. CAT is undetectable
by aircraft radar but can, in certain
favourable circumstances, be forecast by numerical weather
forecasting models (NWPs). High-altitude
ice crystals (HAIC) are also a significant threat to aviation
safety due to the potential for ice to
clog-up important avionics instruments and because small ice
crystals are invisible to current aircraft
radar systems.
It is well known that volcanic ash presents a significant hazard
to in-flight jet-powered commercial
and military aviation. A detailed up-to-date discussion of the
problem and relevant references to
prior work can be found in the 2nd Edition of the Encyclopedia
of Volcanoes [1]. The research work
Remote Sens. 2020, 12, 2309; doi:10.3390/rs12142309
www.mdpi.com/journal/remotesensing
http://www.mdpi.com/journal/remotesensing
http://www.mdpi.com
https://orcid.org/0000-0001-9285-9565X
16. http://dx.doi.org/10.3390/rs12142309
http://www.mdpi.com/journal/remotesensing
https://www.mdpi.com/2072-
4292/12/14/2309?type=check_update&version=2
Remote Sens. 2020, 12, 2309 2 of 31
described here stems from almost 30 years of investigating the
problem of detecting and discriminating
airborne volcanic ash using passive infrared observations that
are on satellite-based, ground-based
and airborne platforms. Other important and relevant work on
the volcanological, chemical-physical
properties of ash, effects on airframes and engines, modelling
perspectives, regulatory environment
and complementary observation systems are not discussed here
but details of these may be found in
some of the papers in Reference [2] and references therein.
There have been very few experimental programs devoted to the
use of infrared imaging systems
on board airborne platforms and so the work here must rely
largely on inferences from satellite
and ground-based measurements augmented by theoretical and
modelling studies. Smith et al. [3]
developed an infrared interferometer for probing the atmosphere
from the ground and have also
used the instrument on airborne and ship-borne platforms. The
Atmospheric Emitted Radiance
Interferometer (AERI) uses cooled detectors and can measure
the infrared (IR) spectrum from
3.3–19.2 µm in a single field-of-view [4–6]. Some studies [7–
10] have employed commercial IR thermal
cameras, mounted onto light aircraft for looking downwards to
measure upwelling radiation and infer
17. surface temperature and other factors related to it. Other uses of
thermal IR sensing from aircraft
include high resolution measurements of methane and ammonia
[11,12], chemical pollution [13],
for mapping aquatic environments [14] and for mapping
geological structures [15]. All of these
instruments are either looking upwards or downwards and for
the good reason that investigating
infrared radiation works well when either the feature of interest
is emitting (against a cold background)
or absorbing (against a warm background). Gimmestad et al.
and colleagues [3,16,17] used an airborne
interferometric instrument to look in the forward direction in
studies of atmospheric turbulence.
The problem of viewing the atmosphere along a horizontal path
or towards the horizon comprises
both emission and absorption processes and is thus complicated
and can lead to ambiguity.
In this work, the problem of viewing under different geometries
is addressed using a new radiative
transfer model that incorporates the widely used MODTRAN
[18] model, an infrared scattering
module, a database of refractive indices relevant to volcanic ash
and other airborne particulates and
a module that considers characteristics of the imaging camera.
This study reviews and investigates
multi-spectral infrared methods for measuring particulates and
gases as atmospheric aviation hazards.
The case for adopting a multi-spectral approach is made by
considering the limitations of two channel
systems and highlighting the need to optimise wavelength
selection depending on the altitude of
observation. To support these ideas, simulations using the new
radiative transfer model are provided
and extended to include other atmospheric hazards of interest to
18. aviation, including some forms of
clear air turbulence and high altitude ice crystals. Because of
the limited amount of airborne data
available, examples using high spectral resolution satellite
infrared measurements are used and the
configuration of a suitable airborne spectroscopic hazards
imager (ASHi) is described.
2. Observations
2.1. Satellite Observations
Passive multi-spectral (two-channel) infrared (IR) remote
sensing to detect and discriminate
volcanic clouds was first suggested by Prata [19]. The radiative
transfer theory and some observations
using the Advanced Very High Resolution Radiometer
(AVHRR) were described. Prior to that
study, Sawada [20] utilized single-channel infrared and visible
(daytime only) imagery from the
Japanese Geostationary Meteorological Satellite (GMS)
instruments to infer volcanic clouds from
meteorological clouds through differences in spatial and
temporal effects. Since these studies,
many improvements have been made and more sophisticated
approaches have been applied to
advanced satellite instruments, such as the MODerate
Resolution Imaging Spectrometer (MODIS),
the Along-Track Scanning Radiometers (ATSR, ATSR-2,
AATSR), the Spin-stabilised Enhanced Visible
and InfraRed Imager (SEVIRI), sensors on board the Japanese
geostationary platform series (GMS),
more recently Himawari-8, and the Suomi-NPP instrument on
board the NOAA Polar Platform (NPP),
19. Remote Sens. 2020, 12, 2309 3 of 31
among others. An illustration of the ability of IR satellite
instruments to detect ash clouds is shown in
Figure 1, where the optical depth (see later) at 10.8 µm is
shown for an ash cloud from an Eyjafjallajökull
eruption in May 2010 using MODIS imagery.
Version July 10, 2020 submitted to Atmosphere 3 of 35
and InfraRed Imager (SEVIRI), sensors on board the Japanese
geostationary platform series (GMS),83
more recently Himawari-8, and the Suomi-NPP instrument on
board the NOAA Polar Platform84
(NPP), among others. An illustration of the ability of IR
satellite instruments to detect ash clouds85
is shown in Figure 1, where the optical depth (see later) at 10.8
µm is shown for an ash cloud from an86
Eyjafjallajökull eruption in May 2010 using MODIS imagery.87
Figure 1. MODIS/Aqua optical depth retrieval
for the plume from the Eyjafjallajökull volcanic
eruption of 8 May, 2010 at 13:35 UTC.
In the earth observation satellite era (beginning in the 1970s)
studies of volcanic clouds had88
previously been detected using ultra-violet (UV) measurements
relying on absorption by sulphur89
dioxide gas, as elegantly first demonstrated by Arlin Krueger
[21] using Total Ozone Mapper90
Spectrometer (TOMS) data. Krueger et al. [22] provides an up-
to-date review of the satellite-based91
UV accomplishments in quantifying volcanic SO2 emissions.
While these types of data have proven92
extremely useful and remain invaluable, they have two
20. drawbacks: the measurements pertain to93
SO2 gas and they are only useful when there is sufficient
sunlight–monitoring during the nighttime94
and during high-latitude wintertime conditions is not possible or
is difficult. The first limitation is95
ameliorated somewhat by noting that quite often ash and SO2
are collocated [23], but not always [24]96
and so an indication of SO2 may be associated with potential
collocated ash. TOMS and its successor97
(the Ozone Monitoring Instrument–OMI) can also measure
absorbing aerosols. Thus when the UV98
sensors detect SO2 and anomalously high, collocated aerosol
absorption, confidence of positive ash99
detection is much higher. There is little that can be done during
low sunlight conditions.100
Satellite-based instruments most often orbit in two
configurations: polar orbits (usually101
sun-synchronous) with 1–16 day repeats, and geostationary
orbits that have a fixed view of the102
Earth’s surface and high temporal frequency (up to 5 minutes in
some cases, but more typically103
30–60 minutes). Polar instruments orbit ∼700–1000 km above
the Earth’s surface while geostationary104
instruments are located at ∼36,000 km above the Earth’s
surface. The Earth’s atmosphere is located105
between ∼0–18 km above the surface, but the large majority of
absorption within the IR window106
(8–13 µm) is due to water vapour and 99% of this is contained
in the first 5 km of the atmosphere.107
Clouds also strongly perturb IR radiation and these exist almost
from the surface to the very top108
of the atmosphere. Generally, an optically thick cloud will
conceal radiation from below it and109
restrict satellite observation of ash and gas below, accordingly.
IR instruments on both polar and110
21. geostationary platforms are able to see right down to the surface
when conditions allow (e.g. low111
water vapour concentrations and clear skies) and hence even at
distances of more than 1000 km,112
Figure 1. MODIS/Aqua optical depth retrieval for the plume
from the Eyjafjallajökull volcanic eruption
of 8 May 2010 at 13:35 UTC.
In the earth observation satellite era (beginning in the 1970s)
studies of volcanic clouds had
previously detected them using ultra-violet (UV) measurements
relying on absorption by sulphur
dioxide gas, as elegantly first demonstrated by Arlin Krueger
[21] using Total Ozone Mapper
Spectrometer (TOMS) data. Krueger et al. [22] provides an up-
to-date review of the satellite-based
UV accomplishments in quantifying volcanic SO2 emissions.
While these types of data have proven
extremely useful and remain invaluable, they have two
drawbacks: the measurements pertain to
SO2 gas and they are only useful when there is sufficient
sunlight–monitoring during the nighttime
and during high-latitude wintertime conditions is not possible or
is difficult. The first limitation is
ameliorated somewhat by noting that quite often ash and SO2
are collocated [23], but not always [24]
and so an indication of SO2 may be associated with potential
collocated ash. TOMS and its successor
(the Ozone Monitoring Instrument–OMI) can also measure
absorbing aerosols. Thus when the UV
sensors detect SO2 and anomalously high, collocated aerosol
absorption, confidence of positive ash
detection is much higher. There is little that can be done during
low sunlight conditions.
22. Satellite-based instruments most often orbit in two
configurations—polar orbits (usually
sun-synchronous) with 1–16 day repeats, and geostationary
orbits that have a fixed view of the
Earth’s surface and high temporal frequency (up to 5 min in
some cases, but more typically 30–60 min).
Polar instruments orbit ∼700–1000 km above the Earth’s
surface while geostationary instruments are
located at ∼36,000 km above the Earth’s surface. The Earth’s
atmosphere is located between ∼0–18 km
above the surface, but the large majority of absorption within
the IR window (8–13 µm) is due to water
vapour and 99% of this is contained in the first 5 km of the
atmosphere. Clouds also strongly perturb
IR radiation and these exist almost from the surface to the very
top of the atmosphere. Generally, an
Remote Sens. 2020, 12, 2309 4 of 31
optically thick cloud will conceal radiation from below it and
restrict satellite observation of ash and
gas below, accordingly. IR instruments on both polar and
geostationary platforms are able to see right
down to the surface when conditions allow (e.g., low water
vapour concentrations and clear skies)
and hence even at distances of more than 1000 km, micron-sized
ash particles can be detected if mass
loadings (mass per unit area) are sufficiently high. It has been
demonstrated that mass loadings as
small as 0.2 g m−2 are detectable by current IR satellite
instruments [25,26].
Of interest to aviators are particles and gases that intercept air -
routes and that remain in the
23. atmosphere for protracted periods of time (hours–10 s hours).
Volcanoes are capable of sending
particles and gases, principally SO2 up to and above the
tropopause and thus can affect aviation.
Aged particles from volcanic eruptions in the atmosphere tend
to be of low concentration and small
(<1 µm radius)—most of the larger particles have fallen out and
generally it is believed these aged
clouds are less hazardous to aviation. For SO2 gas it is less
clear. This is because the SO2 is transformed
chemically into sulfate aerosols that are acidic and can damage
airframes and windows. It has also
been suggested that the acid formed from oxidation and
hydration of volcanic SO2 can affect engine
parts and contaminate fuel [27,28]. At very high concentrations
SO2 is harmful to the respiratory
system and causes eye irritation so if sufficiently high amounts
of SO2 are circulated within the cabin of
a commercial aircraft there is potential for adverse effects on
passengers. Hence SO2 may be regarded
as an atmospheric hazard and importantly, because it is often
(but not always) accompanied by ash and
because detecting it is somewhat easier than detecting ash, SO2
may be regarded as an indicator of ash.
Since it is unlikely that an aircraft would encounter a cloud of
SO2 at low altitudes, the main concern
would be for an encounter at cruising altitudes and from a
drifting cloud that had not travelled far
from source. An interesting example of the potential for such an
encounter arose during the February
2000 Hekla (Iceland) eruptions when a NASA research aircraft
mistakenly flew through a cloud of
SO2 gas and was able to make concentration measurements
[29]. An illustration of the use of infrared
measurements made at a wavelength of ∼7.3 µm from MODIS
satellite data which clearly show good
24. detection and quantification of the Hekla SO2 cloud, is
provided in Section 4.3. It is not clear whether
there was significant ash in the plume [29] but the use of data at
7.3 µm for detecting the location of
the plume is demonstrated. A method for detecting SO2 from
aircraft is described in Section 4.3.
2.2. Ground-Based Observations
Passive IR instruments can also be utilized to monitor volcanic
emissions from the ground
[30,31] and when placed near a volcano can provide useful
warning of an ash eruption. There
are some attractive reasons for using passive IR sensing close to
volcanoes, not least from the
perspective of safe observation. Unlike the satellite instruments,
a ground-based instrument can
be customized to detect gases and particles of interest, for
example by using tailor made filters to
isolate absorption features of SO2 gas or ash particle effects.
Temporal and spatial resolutions also
greatly exceed those that can be achieved from an orbiting
satellite and because the instrument can
be placed where needed there is no latency in obtaining data.
Prata and Bernardo [30] demonstrated
that ash detection was possible provided that there were at least
three channels available and
preferably five. The instrument they built–the Ground-based
InfraRed Detector (GbIRD) has since
been improved but the fundamentals of the technique are the
same. Figure 2 illustrates the use
of GbIRD and some retrieval results when viewing ash clouds
from an erupting volcano a few
kilometres away. Because viewing from the surface entails
optical paths that contain most of the
water vapour, there is a severe constraint on how far an IR
25. instrument can “see” and most of the
ground-based measurements were made from just a few
kilometres from the source. Figure 3 shows
radiative transfer calculations for an IR instrument with a
relatively broad band (10–12 µm) viewing
upwards from the surface towards a target in the atmosphere. At
ranges in excess of 20 km the
atmosphere becomes so opaque that the signal from an ash cloud
or any other cloud is obscured,
making detection at these ranges unlikely or impossible. At
ranges of more than 50 km it is likely
that no detection is possible at all. This somewhat counter
intuitive situation, where detection from
Remote Sens. 2020, 12, 2309 5 of 31
space at 36,000 km is adequate but ground-based detection from
just 50 km is not possible, occurs
because 99% of the water vapour is contained in the first few
kilometres of the Earth’s atmosphere and
the long ground-based paths include all of the water vapour.
Infrared camera providers (e.g., FL-IR,
see http://www.flir-direct.com/content/thermal-imaging-how-
far-can-you-see-with-it) are quick
to point out the range limitations for detection, recognition and
identification when used from the
ground. Claims of detection ranges of 100 km from ground-
based trials must be treated with extreme
skepticism, see for example
https://nicarnicaaviation.com/successful-ground-trials-of-
volcanic-ash-
detection-with-elbit-systems-clearvision-evs-system/, which is
clearly an erroneous claim.
26. Version July 10, 2020 submitted to Atmosphere 5 of 35
and the long ground-based paths include all of the water vapour.
Infrared camera providers (e.g162
FL-IR, see http://www.flir-direct.com/content/thermal-imaging-
how-far-can-you-see-with-it) are163
quick to point out the range limitations for detection,
recognition and identification when used164
from the ground. Claims of detection ranges of 100 km from
ground-based trials must be treated165
with extreme skepticism, see for example
https://nicarnicaaviation.com/successful-ground-trials-166
of-volcanic-ash-detection-with-elbit-systems-clearvision-evs-
system/, which is clearly an erroneous167
claim.168
Figure 2. Left (a) and (b): The Ground-based Infra-Red Detector
(GbIRD)
with five filters used for detecting ash from the ground. Note
that at least
three wavelengths are required and four is preferable. A
calibration rig
is installed in front of the camera module to ensure accurate
temperature
readings. Lower right: GbIRD placed ∼1 km from Tavurvur
volcano, Rabaul,
PNG. Upper right: Ash mass retrieval from the ground-based
camera.
2.3. Airborne observations169
Prata [32] reported successful ash detection from the ground
using a two-channel single-pixel170
radiometer from distances of a few kilometers at Sakurajima
volcano, in southern Japan. Following171
this success the same instrument was flown on board a Cessna
27. light aircraft to assess whether the172
system could detect emissions from Sakurajima and a
neighbouring active volcano, Unzen. These173
experiments showed the limitations of using a single-pixel
radiometric device from an airborne174
platform, where fast-sampling and large spatial views (imagery)
are necessary. In 2003 further ground175
trials were conducted at Etna, Rabaul and Anatahan volcanoes
using a multi-spectral (5-channels)176
imaging device using state-of-the-science uncooled VOx
bolometric arrays. A helicopter-mounted177
imaging camera flying towards an ash plume from Anatahan
volcano, showed for the first time178
that volcanic ash detection using airborne passive IR imaging
was feasible. By mid-2010, following179
the April/May 2010 Eyjafjalljökull eruption, there was renewed
interest in airborne detection and180
easyJet PLC, together with AIRBUS funded a scientific
experiment in October 2013 demonstrating181
that ash detection was feasible from a range of ∼70 km at
10,000–12,000 ft1 altitude [33]. A feature182
1 The use of feet for specifying altitude is done here to be
consistent with aviation terminology. Wherever appropriate SI
units of m and km are used to denote altitudes.
Figure 2. Left (a) and (b): The Ground-based Infra-Red Detector
(GbIRD) with five filters used for
detecting ash from the ground. Note that at least three
wavelengths are required and four is preferable.
(c) A calibration rig is installed in front of the camera module
to ensure accurate temperature readings.
Lower right: GbIRD placed ∼1 km from Tavurvur volcano,
Rabaul, PNG. Upper right: Ash mass
retrieval from the ground-based camera.
28. 2.3. Airborne Observations
Prata [32] reported successful ash detection from the ground
using a two-channel single-pixel
radiometer from distances of a few kilometers at Sakurajima
volcano, in southern Japan. Following
this success the same instrument was flown on board a Cessna
light aircraft to assess whether
the system could detect emissions from Sakurajima and a
neighbouring active volcano, Unzen.
These experiments showed the limitations of using a single-
pixel radiometric device from an airborne
platform, where fast-sampling and large spatial views (imagery)
are necessary. In 2003 further ground
trials were conducted at Etna, Rabaul and Anatahan volcanoes
using a multi-spectral (5-channels)
imaging device using state-of-the-science uncooled VOx
bolometric arrays. A helicopter-mounted
imaging camera flying towards an ash plume from Anatahan
volcano, showed for the first time that
volcanic ash detection using airborne passive IR imaging was
feasible. By mid-2010, following the
April/May 2010 Eyjafjalljökull eruption, there was renewed
interest in airborne detection and easyJet
PLC, together with AIRBUS funded a scientific experiment in
October 2013 demonstrating that ash
detection was feasible from a range of ∼70 km at 10,000–
12,000 ft (The use of feet for specifying
altitude is done here to be consistent with aviation terminology.
Wherever appropriate SI units of m
http://www.flir-direct.com/content/thermal-imaging-how-far-
can-you-see-with-it
https://nicarnicaaviation.com/successful-ground-trials-of-
volcanic-ash-detection-with-elbit-systems-clearvision-evs-
system/
29. https://nicarnicaaviation.com/successful-ground-trials-of-
volcanic-ash-detection-with-elbit-systems-clearvision-evs-
system/
Remote Sens. 2020, 12, 2309 6 of 31
and km are used to denote altitudes. ) altitude [33]. A feature of
IR detection ahead of an aircraft
is that the only view of importance is the view aligned with the
aircrafts’ heading–essentially the
limb view to the horizon. This differs significantly from the
mostly nadir view obtained from a
satellite-based instrument and the upward view to space
obtained from a ground-based instrument.
It is not trivial to extrapolate measurements from satellite or
from the ground because of these different
viewing configurations. The successful AIRBUS/easyJet
experiment, as is often the case in science,
revealed some new and interesting problems as noted in
Reference [33]. The demonstration to 12,000 ft,
while a good first step, cannot be extrapolated to typical cruise
altitudes of 20,000 ft and higher.
At 38,000 ft the atmosphere is essentially transparent to IR
radiation and a detection range to the
horizon (∼300 km) is possible, in principle. If demonstrated
detection up to 38,000 ft could be achieved
then all cruise altitudes are included. However, while range is
no longer an issue, the extreme cold
(target temperatures of −50 ◦C or less) make sensitivity and
proper in-flight calibration essential.
The AIRBUS/easyJet trial used a pre- and post-calibrated
system, with no on-board calibration module.
This proved adequate for a scientific proof-of-concept
demonstration, but for an operational instrument,
such a system is likely to be extremely unreliable or at worst
30. unsafe. This is concluded because ash
detection algorithms rely on measuring temperature differences
precisely. Differences as small as
∼0.2 ◦C must be detectable and errors of this magnitude can
lead to the mis-identification of a potential
hazard and confusion with meteorological clouds–see the
following Sections.
Version July 10, 2020 submitted to Atmosphere 6 of 35
Figure 3. Transmission as a function of path distance for a
thermal IR imager sensing from the ground along a slant path
to an object–in this case a volcanic plume. Beyond 60 km
the transmission falls below 10% making imaging the plume
extremely difficult.
of IR detection ahead of an aircraft is that the only view of
importance is the view aligned with183
the aircrafts’ heading–essentially the limb view to the horizon.
This differs significantly from the184
mostly nadir view obtained from a satellite-based instrument
and the upward view to space obtained185
from a ground-based instrument. It is not trivial to extrapolate
measurements from satellite or186
from the ground because of these different viewing
configurations. The successful AIRBUS/easyJet187
experiment, as is often the case in science, revealed some new
and interesting problems as noted188
in [33] . The demonstration to 12,000 ft, while a good first step,
cannot be extrapolated to typical189
cruise altitudes of 20,000 ft and higher. At 38,000 ft the
atmosphere is essentially transparent to IR190
radiation and a detection range to the horizon (∼300 km) is
possible, in principle. If demonstrated191
detection up to 38,000 ft could be achieved then all cruise
altitudes are included. However, while192
31. range is no longer an issue, the extreme cold (target
temperatures of –50 ◦C or less) make sensitivity193
and proper in-flight calibration essential. The AIRBUS/easyJet
trial used a pre- and post-calibrated194
system, with no on-board calibration module. This proved
adequate for a scientific proof-of-concept195
demonstration, but for an operational instrument, such a system
is likely to be extremely unreliable or196
at worst unsafe. This is concluded because ash detection
algorithms rely on measuring temperature197
differences precisely. Differences as small as ∼0.2 ◦C must be
detectable and errors of this magnitude198
can lead to mis-identification of a potential hazard and
confusion with meteorological clouds–see the199
following Sections.200
Measurements were also made of various types of clouds and
for a low-level dust outbreak201
over the Atlantic ocean. The meteorological cloud
measurements are important because they provide202
information on false-positives and also help validate the
radiative transfer modelling. The detection203
of low-level windblown dust using multi-spectral infrared
measurements is anticipated from theory204
and has been verified through satellite detection [34]. Detection
by this method from an airborne205
platform at 10000 m is new and lends further support to the
usefulness of on-board IR imaging from206
commercial aircraft. The dust layer observation by the AIRBUS
A340 was made near the Canary207
Islands, off the coast of Western Sahara between 13:00–14:00
UT on 19 July 2012. At 13:55 UT on208
the same day the MODIS/Aqua satellite imaged the same region
and the presence and extent of the209
dust outbreak can be seen in true-colour visible imagery (Figure
5). The location of the A340 and210
32. approximate viewing direction is also shown on the figure.
Quantitative retrievals of dust loadings211
Figure 3. Transmission as a function of path distance for a
thermal IR imager sensing from the ground
along a slant path to an object–in this case a volcanic plume.
Beyond 60 km the transmission falls below
10% making imaging the plume extremely difficult.
Measurements were also made of various types of clouds and
for a low-level dust outbreak
over the Atlantic ocean. The meteorological cloud
measurements are important because they provide
information on false-positives and also help validate the
radiative transfer modelling.
The detection of low-level windblown dust using multi-spectral
infrared measurements is
anticipated from theory and has been verified through satellite
detection [34]. Detection by this
method from an airborne platform at 10,000 m is new and lends
further support to the usefulness
of on-board IR imaging from commercial aircraft. The dust
layer observation by the AIRBUS A340
Remote Sens. 2020, 12, 2309 7 of 31
(see Figure 4) was made near the Canary Islands, off the coast
of Western Sahara between 13:00–14:00
UT on 19 July 2012. At 13:55 UT on the same day the
MODIS/Aqua satellite imaged the same region
and the presence and extent of the dust outbreak can be seen in
true-colour visible imagery (Figure 5).
The location of the A340 and approximate viewing direction is
33. also shown on the figure. Quantitative
retrievals of dust loadings are, in principle, possible using these
data, but accurate knowledge of
viewing geometry and aircraft attitude are needed and these
were not logged during this flight.
However, proof-of-concept has been demonstrated.Version July
10, 2020 submitted to Atmosphere 7 of 35
Figure 4. Infrared image obtained from an A340 aircraft at
∼10000 m viewing clouds
and windblown dust off Western Sahara on 19 July 2012. Left:
Single-channel brightness
temperatures–note the low level clouds and haze layer. Right:
Dust index determined by
combining 11 and 12 µm images, and accounting for differential
gaseous absorption.
are, in principle, possible using these data, but accurate
knowledge of viewing geometry and aircraft212
attitude are needed and these were not logged during this flight.
However, proof-of-concept has been213
demonstrated.214
Several airborne campaigns were conducted using the AIRBUS
A340 aircraft in order to test215
on-board IR imaging cameras and collect data for
meteorological clouds and refine algorithms (to216
reduce false detections), culminating in an elaborate test with
an artificially-generated ash cloud over217
the Bay of Biscay, France, mentioned earlier. Details of the
experiment are described more fully in218
[33], so here just the important results and conclusions are
presented.219
Approximately 1000 kg of fine ash was sourced from recent
volcanic ashfalls in Iceland and220
34. transported to AIRBUS in Toulouse France where it was loaded
on to an AIRBUS A400 transport221
aircraft. A mechanism was developed to eject the ash into the
atmosphere in a controlled manner222
and a test flight was made to verify the system, in this case
using a non-toxic powder with particles223
of similar sizes to the Icelandic ash. Further flights were
conducted with the IR cameras mounted224
on to the side of an A340 to test the mechanical stability of the
mounting and check that the cameras225
could function correctly during accelerations, high vibrations
and the low temperates encountered226
at altitudes up to 25,000 ft. These test flights also afforded the
opportunity to collect data. The227
experiment itself consisted of a single flight campaign on 30
October 2013 that consisted of four228
main runs at different altitudes from 5,000 ft up to 12,000 ft.
The purpose of these was to observe229
the ash cloud close to its actual altitude, a horizontal view, and
from above and below. The ash was230
distributed into the atmosphere from the A400 by executing a
spiral flight path upwards. Figure 6231
shows the A400 while the ash was streaming into the
atmosphere and a view of the IR cameras232
mounted into a pod on the side of the AIRBUS A340 test
aircraft. Apart from these aircraft a233
smaller light aircraft (DA42) operated by the University of
Dusseldorf was used to measure the ash234
in situ using optical counters. Since this was a controlled
experiment the exact amount of ash, its235
composition and size distribution was known. The dispersion of
the ash could not be controlled but236
the conditions selected were favourable and the ash could be
detected up to 40 min after its release,237
although it was not easily perceptible by eye. The IR cameras
could detect the ash from ∼70 km238
35. and the best results were obtained when the aircraft was flying
below the ash cloud centred at about239
11,000 ft. For various reasons, explained later, poorer
detectability was found at other altitudes. The240
ash cloud remained more or less at the same location but some
layering did occur. The concentration241
of the ash was quite low ∼200 µg m−3, which is considered at
the low end of detectability from242
modern infrared satellite instruments.243
In summary, airborne detection using a two-channel imaging
system has been demonstrated to244
detect ash mass loadings (concentration x path length) down to
0.2 g m−2 and at flight altitudes to245
Figure 4. Infrared data obtained from an A340 aircraft at
∼10,000 m viewing clouds and windblown
dust off Western Sahara on 19 July 2012. Left: Single-channel
brightness temperatures–note the low
level clouds and haze layer. Right: Dust index determined by
combining 11 and 12 µm images,
and accounting for differential gaseous absorption.
Version July 10, 2020 submitted to Atmosphere 8 of 35
Figure 5. MODIS/Aqua true-colour image showing a dust
outbreak off the coast of Western
Sahara on 19 July 2012 at 13:55 UT. The location of the A340
is shown and the approximate
viewing direction of the IR cameras is indicated by the blue-
coloured lines.
Figure 5. MODIS/Aqua true-colour image showing a dust
outbreak off the coast of Western Sahara on
19 July 2012 at 13:55 UT. The location of the A340 is shown
and the approximate viewing direction of
36. the IR cameras is indicated by the blue-coloured lines.
Several airborne campaigns were conducted using the AIRBUS
A340 aircraft in order to test
on-board IR imaging cameras and collect data for
meteorological clouds and refine algorithms
(to reduce false detections), culminating in an elaborate test
with an artificially-generated ash cloud
over the Bay of Biscay, France, mentioned earlier. Details of
the experiment are described more fully in
Reference [33], so here just the important results and
conclusions are presented.
Approximately 1000 kg of fine ash was sourced from recent
volcanic ashfalls in Iceland and
transported to AIRBUS in Toulouse France where it was loaded
on to an AIRBUS A400 transport
aircraft. A mechanism was developed to eject the ash into the
atmosphere in a controlled manner and
Remote Sens. 2020, 12, 2309 8 of 31
a test flight was made to verify the system, in this case using a
non-toxic powder with particles of
similar sizes to the Icelandic ash. Further flights were
conducted with the IR cameras mounted on
to the side of an A340 to test the mechanical stability of the
mounting and check that the cameras
could function correctly during accelerations, high vibrations
and the low temperates encountered at
altitudes up to 25,000 ft. These test flights also afforded the
opportunity to collect data. The experiment
itself consisted of a single flight campaign on 30 October 2013
that consisted of four main runs at
37. different altitudes from 5000 ft up to 12,000 ft. The purpose of
these was to observe the ash cloud close
to its actual altitude, a horizontal view, and from above and
below. The ash was distributed into the
atmosphere from the A400 by executing a spiral flight path
upwards. Figure 6 shows the A400 while
the ash was streaming into the atmosphere and a view of the IR
cameras mounted into a pod on the
side of the AIRBUS A340 test aircraft. Apart from these aircraft
a smaller light aircraft (DA42) operated
by the University of Dusseldorf was used to measure the ash in
situ using optical counters. Since this
was a controlled experiment the exact amount of ash, its
composition and size distribution was known.
The dispersion of the ash could not be controlled but the
conditions selected were favourable and
the ash could be detected up to 40 min after its release, although
it was not easily perceptible by eye.
The IR cameras could detect the ash from ∼70 km and the best
results were obtained when the aircraft
was flying below the ash cloud centred at about 11,000 ft. For
various reasons, explained later, poorer
detectability was found at other altitudes. The ash cloud
remained more or less at the same location
but some layering did occur. The concentration of the ash was
quite low ∼200 µg m−3, which is
considered at the low end of detectability from modern infrared
satellite instruments.
Version July 10, 2020 submitted to Atmosphere 9 of 35
Figure 6. Top:AIRBUS A400 dispensing ash into the
atmosphere. Bottom: AIRBUS A340 in
flight with the IR cameras mounted in a pod and onto the
forward lefthand side of the aircraft.
38. Figure 6. Top: AIRBUS A400 dispensing ash into the
atmosphere. Bottom: AIRBUS A340 in flight with
the IR cameras mounted in a pod and onto the forward lefthand
side of the aircraft.
Remote Sens. 2020, 12, 2309 9 of 31
In summary, airborne detection using a two-channel imaging
system has been demonstrated
to detect ash mass loadings (concentration x path length) down
to 0.2 g m−2 and at flight altitudes
to 10,000 ft and ranges up to ∼70 km. The limb view case was
not investigated in any detail as the
artificial ash cloud remained at 12,000 ft while the aircraft
altitude was ∼5000–10,000 ft and so the
view was essentially a slant-path view through the ash cloud to
space. A schematic of the viewing
geometry from an aircraft is shown in Figure 7.
Version July 10, 2020 submitted to Atmosphere 10 of 35
10,000 ft and ranges up to ∼70 km. The limb view case was not
investigated in any detail as the246
artificial ash cloud remained at 12,000 ft while the aircraft
altitude was ∼5,000–10,000 ft and so the247
view was essentially a slant-path view through the ash cloud to
space. A schematic of the viewing248
geometry from an aircraft is shown in Figure 7.
Figure 7. Schematic showing an airborne instrument viewing
ahead of the aircraft. A wide
horizontal field of view is useful but the important view is
along the limb, indicated by the
dashed line. It is preferable to have a restricted vertical field of
39. view.
249
3. Analysis and results250
3.1. Limitations of two channel systems251
Two-channel systems, typically using ∼0.5–1 µm narrow band
channels centred at 11 and 12
µm have proved to be very useful from satellite-based
instruments. The actual choice of centre
wavelengths is driven by what is available from satellite and is
not optimal for ash detection (none
of the current or past IR sensors were designed specifically for
ash detection). The success of the
satellite two-channel technique relies on near nadir viewing and
more importantly works best for
ash that is high in the atmosphere over a warm surface, above
the clouds and where water vapour is
much less concentrated. Ash detection near the surface is much
less reliable from satellite instruments.
Experience with multi-spectral IR ground-based cameras
[30,35] shows that two-channel algorithms
fail because of water vapour interference and because quite
often there are other gases present, such as
SO2. Another problem for ground-based observation, which is
also relevant for airborne and satellite
sensing, is the problem of thermal contrast. A simple model for
the brightness temperature of a
non-scattering, homogeneous, planar cloud of particles may be
written:
Ti = ϵi Tc + (1 − ϵi)Tb, (1)
where ϵi is the emmisivity of the cloud in channel i (within
40. some small bandwidth) and Tc, Tb are
the cloud (brightness) temperature and background (brightness)
temperature, respectively. It can be
seen immediately that if Tc=Tb then this isothermal system
reveals nothing about the emissivity of
the target. The thermal contrast of this measurement setup is
defined as the temperature difference
between the cloud and the background. The larger this quantity
is, the greater is the sensitivity of
the measurement. In order to infer some compositional property
of the target, for example whether
it is ash, SiO2-based, or a meteorological cloud, H2O-based, the
target radiation must be absorbed or
scattered in some way. IR imagers or radiometers measure
radiance (or brightness temperature) that
Figure 7. Schematic showing an airborne instrument viewing
ahead of the aircraft. A wide horizontal
field of view is useful but the important view is along the limb,
indicated by the dashed line. It is
preferable to have a restricted vertical field of view.
3. Analysis and Results
3.1. Limitations of Two Channel Systems
Two-channel systems, typically using ∼0.5–1 µm narrow band
channels centred at 11 and 12 µm
have proved to be very useful from satellite-based instruments.
The actual choice of centre wavelengths
is driven by what is available from satellite and is not optimal
for ash detection (none of the current or
past IR sensors were designed specifically for ash detection).
The success of the satellite two-channel
technique relies on near nadir viewing and more importantly
works best for ash that is high in the
41. atmosphere over a warm surface, above the clouds and where
water vapour is much less concentrated.
Ash detection near the surface is much less reliable from
satellite instruments. Experience with
multi-spectral IR ground-based cameras [30,35] shows that two-
channel algorithms fail because of
water vapour interference and because quite often there are
other gases present, such as SO2. Another
problem for ground-based observation, which is also relevant
for airborne and satellite sensing, is the
problem of thermal contrast. A simple model for the brightness
temperature of a non-scattering,
homogeneous, planar cloud of particles may be written:
Ti = ei Tc + (1 − ei)Tb, (1)
where ei is the emmisivity of the cloud in channel i (within
some small bandwidth) and Tc, Tb are
the cloud (brightness) temperature and background (brightness)
temperature, respectively. It can be
seen immediately that if Tc = Tb then this isothermal system
reveals nothing about the emissivity of
the target. The thermal contrast of this measurement setup is
defined as the temperature difference
between the cloud and the background. The larger this quantity
is, the greater is the sensitivity of
the measurement. In order to infer some compositional property
of the target, for example whether it
is ash, SiO2-based, or a meteorological cloud, H2O-based, the
target radiation must be absorbed or
scattered in some way. IR imagers or radiometers measure
radiance (or brightness temperature) that is
wavelength dependent. A single channel can only tell you the
brightness temperature of the target.
42. Remote Sens. 2020, 12, 2309 10 of 31
If the emissivity of the target is known then it is possible to
infer more things (e.g., type of target).
The emissivity (wavelength dependent) cannot be inferred using
a single atmospheric measurement,
but if another measurement or several more measurements at
different wavelengths are available then
it is possible to infer more details of the target. No matter how
many spectral (wavelength dependent)
measurements are made it is not possible to uniquely determine
the temperature and emissivities of
the target–there is always one more unknown than
measurements available. For a perfect blackbody
where the emissivity is independent of wavelength and has a
value of one, a single measurement
provides an estimate of the temperature of the target (in this
ideal case the brightness temperature
and actual radiative temperature are the same). Departure from
blackbody behaviour is the norm
and in the case of atmospheric targets is generally caused by
decreased opacity of the target (a cloud).
Atmospheric scientists generally prefer to describe this
behaviour using transmittance (τ), where for
a non-scattering cloud,
τ = 1 − e. (2)
The transmittance can be related to the optical depth (opacity)
of the cloud through the relation:
τ = exp(−δ), (3)
δ = kLρ, (4)
where ρ is the ash concentration (g m−3), δ is optical depth, L
is the geometrical depth (in m) of the
43. cloud in the viewing direction and k is an absorption
coefficient, with units of m2 g−1. These equations
illustrate how the properties of a cloud of particles can be
inferred from measurements of the optical
depth. It can be seen that as δ increases the transmittance
decreases and the cloud becomes opaque.
In the limit of an infinite optical depth, the transmittance is zero
and the cloud acts like a blackbody
(e = 1). For small optical depths it is possible, in principle, to
determine the transmittances from a set
(e.g., two) brightness temperature measurements and then infer
the optical depth. It is important to note
that the optical depth includes the product of an absorption
coefficient and a length. The same cloud
of particles can have very different optical depths if the
geometrical path length is different. From two
independent IR measurements, two quantities can be inferred;
usually these are the transmittances at
the two wavelengths. By using a radiative transfer model
(adding more information to the system)
quantities such as the optical depth and the mean effecti ve
particle radius can be derived.
A corollary of the physics of this problem is that a laboratory
verification of the technique is
surprisingly difficult. There is the problem of suspending
micron-sized particles in a large chamber
(it must be large to achieve a reasonable optical depth) and
using optical components that are
transparent to IR radiation (Germanium and Zinc Selenide are
possible choices). The particles must
be continuously agitated and in a dry environment to prevent
aggregation. Most problematic of all
is that a large thermal contrast is needed, and for realism the
background temperature must be low
(at 38,000 ft the background temperature maybe be as cold as
44. −90 ◦C). No such laboratory trial has
been undertaken and its usefulness for the airborne problem is
doubtful, considering that it is difficult
to simulate the aircraft environment in this way.
As mentioned, the wavelengths used in the two-channel
technique are dictated by what is
available from satellite instruments. In ground-based studies it
has been found that other choices
might be better. When selecting wavelengths there are two
parameters to optimize. The first is
discrimination. There is a need to discriminate volcanic ash
from all other possible airborne substances,
and the most common of these are hydrometeors. Once this
condition is met it is then desirable
to optimize in terms of sensitivity to ash. It is not obvious that
both parameters can be optimized
simultaneously. For example, the optimal discriminator may not
yield the most sensitive wavelengths
for ash quantification, since discrimination may depend on
particle composition whereas quantification
may depend more on effective particle radius. It is more likely
that wavelengths for the best ash
quantification are similar to or the same as those for ice or
water cloud quantification. Beside these two
constraints, the IR window is not open to all narrow wavelength
band choices because of the ubiquitous
Remote Sens. 2020, 12, 2309 11 of 31
nature of water vapour absorption and other gases also have
absorption features (e.g., O3 and SO2).
With only two channels available the problem of optimization is
compromised.
45. 3.2. Discriminating Power for a Two-Channel Imager
In order to describe the problem in a mathematical framework
we introduce the concept of
discriminating power. The discriminating power (Dp) defines
the ability of a dual-camera imaging
system to distinguish two or more substances in the atmosphere.
A higher value of Dp implies
better discrimination.
Dp = 4
[
ka,λ1 (r)− ka,λ2 (r)
kn,λ1 (r)− kn,λ2 (r)
]
, (5)
where ka,λ(r) are absorption coefficients for ash as a function of
the effective radius r and wavelength λ
and kn,λ(r) are corresponding absorption coefficients for a
different substance denoted by the subscript
n. The factor 4 is a scaling value and contains no physical
meaning. In calculating Dp the absorption
coefficients are integrated over the filter response functions and
λ1 represents the centre-weighted
wavelength of the filter or channel. Likewise it is necessary to
calculate the absorption coefficients
at appropriate wavelength values to achieve sufficient accuracy
for the integrations. Dp is largest
when the difference between the absorption for ash at the two
selected wavelengths (λ1 and λ2) is
largest and the corresponding difference in absorption for the
second substance is smallest. Since the
46. absorption coefficients are strong functions of r, Dp cannot be
optimal at each effective radius but can
be tuned such that it is greatest over a range of radii. Figure 8
illustrates the discriminating power
against ice (n = ice) and water (n = water) for filters at 10.8 and
12 µm (the standard arrangement)
and an optimal pair chosen by analysing 1000 s of radiative
transfer simulations. It can be seen that
the standard filters are sub-optimal for radii above ∼3 µm,
which is the typical size range found in
dispersing ash clouds. The optimal filter pair (shown by the red-
coloured lines) have been tuned
to maximise the discriminating power for effective radii in the
range 1–10 µm. The standard set of
filters only work well for very small particle sizes, when the ash
has a low concentration. The optimal
filters on the other hand work much better up to radii of ∼15
µm or so and hence work best in higher
ash concentrations that are more hazardous to aircraft. Beyond
radii of 20 µm neither of the filter
pairs have good discrimination power. Clouds with larger
particle radii are likely also to have high
concentrations. Whilst discrimination is not possible,
identification of the cloud is. Whether this kind
of identification (without discrimination) is sufficient for
aircraft safety is not known.
Version July 10, 2020 submitted to Atmosphere 13 of 35
Discrimination with ice clouds
1 10 100
Effective radius (µm)
-2
53. (
%
)
Puyehue ash
Figure 8. Discriminating power as a function of effective radius
for two different pairs of filters
when the interfering substance is ice (left-hand side), and when
the interfering substance is
water (right-hand side). The black lines show the current sub-
optimal standard filters (used in
the AIRBUS experimemt) and the red-coloured lines show a
new pair of filters selected using
radiative transfer simulations. Also shown are size distributions
for ash used in the AIRBUS
experiment and for a sample from the recent Puyehue eruption
in Chile.
measures extremely low radiances, the radiometric model also
models noise sources and assumes a324
good calibration. An example of one simulation (1000s were
performed) is shown in Figure 9.325
The example shown uses a standard set of filters with central
wavelengths at 10.9 and 12.1 µm326
(it makes little difference if these are slightly different). An
aircraft is at a cruising altitude of 29,500327
ft and views a cloud ∼3000 ft above at a range of 100 km. The
top-left panel shows the brightness328
temperature difference image (∆T=T12.1-T10.9). The thin layer
of ash (layer depth of 1 km) is just329
visible in this difference image. An effective particle radius of
3 µm has been used. All parameters330
54. are typical of what is expected from a dispersing ash cloud
some distance from its source. The mass331
loading is 0.2 g m−2 which is the lower detection limit for a
satellite-based sensor. The simulated ash332
layer is assumed to be homogeneous but some random noise
(based on the NE∆T of the detector)333
has been added for realism. The two bottom panels show
brightness temperature in each of the334
channels. The top-right panel shows a vertical transect through
the image: the “normalised” transect335
is constructed by removing the profile mean. The greyed region
indicates the location of the ash layer.336
A mean anomaly (averaged over the ash layer) of –0.4 K is
found for this simulation. The NE∆T for337
the channels sensing at these cold high altitudes is of the same
order of magnitude as the ash signal.338
Because of noise and lack of sensitivity of this two-channel
combination, detection of the ash layer is339
very poor and in fact an automated system would not be able to
identify this layer.340
A second simulation is shown in Figure 10 for exactly the same
parameters except now an341
optimised filter choice is used. In this case it is seen that the
anomaly is easily detected with a mean342
of –1.9 K. The problem of accurately discriminating ash clouds
from ice and water clouds is essential343
before attempting to quantify the amount of ash (its mass
loading) in the cloud. In these examples the344
layer is prescribed as ash; in practice this is not known a priori.
Discrimination requires optimisation345
of the filter channels while quantification is a problem of
information content. For the second problem346
(quantification) at least five pieces of information are needed:
the temperature of the ash cloud, the347
background and foreground temperatures and the emissivities in
55. at least two wavelengths. This348
implies that at least five independent measurements are needed.
A two channel system does not349
meet these criteria.350
Figure 8. Discriminating power as a function of effective radius
for two different pairs of filters when
the interfering substance is ice (left-hand side), and when the
interfering substance is water (right-hand
side). The black lines show the current sub-optimal standard
filters (used in the AIRBUS experimemt)
and the red-coloured lines show a new pair of filters selected
using radiative transfer simulations.
Also shown are size distributions for ash used in the AIRBUS
experiment and for a sample from the
recent Puyehue eruption in Chile.
Remote Sens. 2020, 12, 2309 12 of 31
3.3. Simulations
A sophisticated radiative transfer model (ART–Ash Radiative
Transfer model) has been developed
to better understand the problem of sensing from an airborne
platform using a multi-spectral IR
imager. It is beyond the scope of this paper to describe the
model here, but the essential details are
that the model couples the MODTRAN radiative transfer code
with a detailed microphysical ash
cloud model that includes spectral refractive indices for ash,
realistic size distributions and scattering
effects. The scattering model uses the discrete ordinates method
and the scattering parameters are
determined from a Mie code for spherical particles and the T-
56. Matrix method for non-spherical particles.
A fast parametrisation scheme is used to calculate the complex
spectral refractive indices of ash
based on compositional measurements of fresh ash samples. A
new aspect of the model is that
non-spherical particles with sharp edges and asperities or
aggregations of smaller particles can be
considered. The model also incorporates a camera module that
traces the radiation through the camera,
considers aberrations and takes into account parasitic radiation.
Since the camera measures extremely
low radiances, the radiometric model also models noise sources
and assumes a good calibration.
An example of one simulation (1000 s were performed) is
shown in Figure 9.
Version July 10, 2020 submitted to Atmosphere 14 of 35
Brightness temperature (K). Filter: 10.9 µm
-5 0 5
Horizontal distance (km)
0
2
4
6
8
10
12
61. (
K
)
∆T(K): 12.1 µm- 10.9 µm
-10 -5 0 5 10 15 20
Temperature difference (K)
0
2
4
6
8
10
12
A
lti
tu
d
e
a
b
o
ve
62. a
ir
cr
a
ft
(
km
)
Normalised
-15 -10 -5 0 5
Temperature difference (K)
0
2
4
6
8
10
12
Figure 9. ART model simulation for an aircraft cruising at 9 km
(∼29,500 ft) and viewing an ash cloud slightly
above. Top-left: Temperature difference image (12.1-10.9 µm).
Top-right: Vertical profiles of the temperature
difference – the right-hand panel shows a normalised
63. temperature difference. Bottom panels: Individual
temperature images. The mean effective particle radius is 3 µm
typical of dispersing ash clouds in the
atmosphere and a mass loading of 0.2 g m−2 is assumed. The
mean anomaly is –0.40 K; the minimum anomaly
is –2.23 K and the maximum anomaly is 1.07 K. The aircraft
altitude is 9 km (29527 ft).
Figure 9. Ash Radiative Transfer (ART) model simulation for an
aircraft cruising at 9 km (∼29,500 ft)
and viewing an ash cloud slightly above. Top-left: Temperature
difference image (12.1–10.9 µm).
Top-right: Vertical profiles of the temperature difference—the
right-hand panel shows a normalised
temperature difference. Bottom panels: Individual temperature
images. The mean effective particle
radius is 3 µm typical of dispersing ash clouds in the
atmosphere and a mass loading of 0.2 g m−2 is
assumed. The mean anomaly is −0.40 K; the minimum anomaly
is −2.23 K and the maximum anomaly
is 1.07 K. The aircraft altitude is 9 km (29,527 ft).
Remote Sens. 2020, 12, 2309 13 of 31
The example shown uses a standard set of filters with central
wavelengths at 10.9 and 12.1 µm
(it makes little difference if these are slightly different). An
aircraft is at a cruising altitude of 29,500 ft
and views a cloud ∼3000 ft above at a range of 100 km. The
top-left panel shows the brightness
temperature difference image (∆T = T12.1 − T10.9). The thin
layer of ash (layer depth of 1 km) is just
visible in this difference image. An effective particle radius of
3 µm has been used. All parameters
64. are typical of what is expected from a dispersing ash cloud
some distance from its source. The mass
loading is 0.2 g m−2 which is the lower detection limit for a
satellite-based sensor. The simulated ash
layer is assumed to be homogeneous but some random noise
(based on the NE∆T of the detector)
has been added for realism. The two bottom panels show
brightness temperature in each of the
channels. The top-right panel shows a vertical transect through
the image: the “normalised” transect
is constructed by removing the profile mean. The greyed region
indicates the location of the ash layer.
A mean anomaly (averaged over the ash layer) of −0.4 K is
found for this simulation. The NE∆T for
the channels sensing at these cold high altitudes is of the same
order of magnitude as the ash signal.
Because of noise and lack of sensitivity of this two-channel
combination, detection of the ash layer is
very poor and in fact an automated system would not be able to
identify this layer.
A second simulation is shown in Figure 10 for exactly the same
parameters except now an
optimised filter choice is used. In this case it is seen that the
anomaly is easily detected with a mean
of −1.9 K.
Version July 10, 2020 submitted to Atmosphere 15 of 35
Brightness temperature (K). Filter: 1
-5 0 5
Horizontal distance (km)
0
70. b
o
ve
a
ir
cr
a
ft
(
km
)
Normalised
-15 -10 -5 0 5
Temperature difference (K)
0
2
4
6
8
10
12
Figure 10. As for Figure 9 but using an optimised channel
selection. The detection is superior and the
71. anomaly signal is above the noise level.
Figure 10. As for Figure 9 but using an optimised channel
selection. The detection is superior and the
anomaly signal is above the noise level.
Remote Sens. 2020, 12, 2309 14 of 31
The problem of accurately discriminating ash clouds from ice
and water clouds is essential before
attempting to quantify the amount of ash (its mass loading) in
the cloud. In these examples the layer
is prescribed as ash; in practice this is not known a priori.
Discrimination requires optimisation
of the filter channels while quantification is a problem of
information content. For the second
problem (quantification) at least five pieces of information are
needed: the temperature of the ash
cloud, the background and foreground temperatures and the
emissivities in at least two wavelengths.
This implies that at least five independent measurements are
needed. A two channel system does not
meet these criteria.
3.4. Confusion with Ice Clouds
Infrared imaging the atmosphere ahead of an aircraft will reveal
any cloud within the field of
view of the instrument, provided it is warmer or colder than the
background. Clouds usually inhabit
regions of the atmosphere below cruise altitudes, but in the
tropics convective clouds (ice clouds) can
reach up to the tropopause (∼18 km) and can therefore be
intercepted along the flight route. Most of
72. the time the imager will see clouds or clear skies—the lifetime
of ash particles with radii > 1 µm
is short, in the order of a few days to a few weeks following an
eruption. Small ice crystals within
convective clouds are also a hazard to aviation [36–38] and
detection of ice is therefore of some interest.
Here we show how two-channel systems perform in the presence
of ash and ice.
The ART model was used to investigate the altitude-
concentration space when both ash and ice
clouds were present. The ice parameters were taken from
References [39,40]. Figure 11 shows the
results for the standard filter set (as used on many satellite
instruments). The plot shows regions
of the atmosphere that are amenable to ash detection (green-
coloured), with areas where there is
ice confusion in blue. Red signifies no detection is possible.
The abscissa shows ash concentrations
on a logarithmic scale and the ordinate shows altitude in
kilometres. The dashed red-coloured
contour lines are isolines of constant NE∆T in K. The top-left
of the plot is a region of low ash
concentration and cold temperatures, while the bottom right is a
region of high concentrations and
warm temperatures. The current recommended concentration
limits of 0.2, 2 and 4 mg m−3 are shown
as vertical lines. Three flight levels are also indicated as are the
freezing levels for temperate and
tropical atmospheres. The plot shows that there is a region
where ash can be detected up to about
15,000 ft provided concentrations are between ∼0.4 and 1 mg
m−3. Detection at higher altitudes
fails because of confusion with ice and for optically thin ash
clouds no detection is possible below
0.4 mg m−3 and FL200. At all flight levels above FL200 the
73. standard filter set will not detect ash
because of confusion with ice. The AIRBUS experiment [33]
was conducted at flight altitudes below
10,000 ft and with mean ash concentrations < 1 mg m−3. The
region of the plot where the experiment
was conducted is indicated by two horizontal red lines. It is
apparent that the simulations suggest ash
detection is possible, in agreement with the experimental
results. It is possible to relax the detection
criterion (∆T = −5 K was used here) and this permits ash
detection at lower concentrations but at the
expense of larger noise. The NE∆T isolines suggest that the
camera must be very well characterised as
NE∆Ts in this regime are > 1 K.
An optimised filter set does much better (see Figure 12) and, in
particular, performs extremely
well at FL250 for moderate ash concentrations (<2 mg m−3).
There remains a region of the atmosphere
at high altitudes (FL200 and above) with ash concentrations > 2
mg m−3 where confusion with ice is
still a problem. The ART model simulations could not find any
combination of channels that optimised
quantitative ash detection without ice confusion, but using more
than two channels and having the
ability to change channels at different altitudes can provide
better discrimination. Something that is
not possible with a two channel system.
Remote Sens. 2020, 12, 2309 15 of 31
Version July 10, 2020 submitted to Atmosphere 17 of 35
0.1 1.0 10.0
81. n
N
o
d
e
te
ct
io
n
Freezing level (temperate)
Freezing level (tropical)
Figure 11. Discrimination against ice. r=3 µm; ∆T=-5 K. The
plot shows
ash concentration vs. altitude for the filters used on the
AIRBUS experiment
(10.9 µm and 12.1 µm). The red-coloured region shows where
no detection
is possible. The blue-coloured regions are parts of the
atmosphere where the
system is unable to discriminate ash from water, i.e. these
substances appear
the same. Green-coloured regions are where ash detection is
possible. The
red-coloured dashed contour lines indicate the calculated noise
temperatures
for the algorithm. A discrimination level of ∆T=-5 K has been
used (indicated
by the black-coloured contour line). Less stringent levels (∆T =-
3 K) improve
82. the detection range to lower concentrations but do not alter lack
of detection
with altitude; while more stringent levels compress the region
of good detection.
The solid red lines show the region of the atmosphere/ash
concentration space
sampled during the AIRBUS experiment. Three flight levels
(FL) are shown
and the locations of the freezing level is shown for a tropical
and temperate
atmosphere.
Figure 11. Discrimination against ice. r = 3 µm; ∆T = −5 K. The
plot shows ash concentration vs.
altitude for the filters used on the AIRBUS experiment (10.9 µm
and 12.1 µm). The red-coloured
region shows where no detection is possible. The blue-coloured
regions are parts of the atmosphere
where the system is unable to discriminate ash from water, that
is, these substances appear the same.
Green-coloured regions are where ash detection is possible. The
red-coloured dashed contour lines
indicate the calculated noise temperatures for the algorithm. A
discrimination level of ∆T = −5 K has
been used (indicated by the black-coloured contour line). Less
stringent levels (∆T = −3 K) improve
the detection range to lower concentrations but do not alter lack
of detection with altitude; while more
stringent levels compress the region of good detection. The
solid red lines show the region of the
atmosphere/ash concentration space sampled during the
AIRBUS experiment. Three flight levels (FL)
are shown and the locations of the freezing level is shown for a
tropical and temperate atmosphere.
It is concluded that a reliable ash detection system requires
83. more than two channels and preferably
10 s or even 100 s of channels in order to eliminate false
detections and avoid ice confusion.
Remote Sens. 2020, 12, 2309 16 of 31
Version July 10, 2020 submitted to Atmosphere 18 of 35
Figure 12. Discrimination against ice. r=3 µm, ∆T=-3 K. The
plot shows ash
concentration vs. altitude for the optimised (NF). The red-
coloured region
shows where no detection is possible. The blue-coloured regions
are parts
of the atmosphere where the system is unable to discriminate
ash from ice,
i.e. these substances appear the same. Green-coloured regions
are where
ash detection is possible. The red-coloured dashed contour lines
indicate the
calculated noise temperatures for the algorithm. The white-
coloured contours
are isolines of ∆T. A discrimination level of ∆T=-3 K has been
used (indicated by
the black-coloured contour line). Less stringent levels (∆T >-3
K) cause greater
confusion; while more stringent levels compress the region of
good detection.
The solid red lines show the region of the atmosphere/ash
concentration space
sampled during the AIRBUS experiment. Three flight levels
(FL) are shown
and the locations of the freezing level is shown for a tropical
and temperate
84. atmosphere.
Figure 12. Discrimination against ice. r = 3 µm, ∆T = −3 K. The
plot shows ash concentration
vs. altitude for the optimised (NF). The red-coloured region
shows where no detection is possible.
The blue-coloured regions are parts of the atmosphere where the
system is unable to discriminate ash
from ice, that is, these substances appear the same. Green-
coloured regions are where ash detection
is possible. The red-coloured dashed contour lines indicate the
calculated noise temperatures for the
algorithm. The white-coloured contours are isolines of ∆T. A
discrimination level of ∆T = −3 K has
been used (indicated by the black-coloured contour line). Less
stringent levels (∆T > −3 K) cause
greater confusion; while more stringent levels compress the
region of good detection. The solid red lines
show the region of the atmosphere/ash concentration space
sampled during the AIRBUS experiment.
Three flight levels (FL) are shown and the locations of the
freezing level is shown for a tropical and
temperate atmosphere.
3.5. Confusion with Water Clouds
ART model simulations were also conducted for a range of
water clouds, also using the data
of Stephens [39]. Similar problems arise when trying to
discriminate ash clouds from water clouds
given varying atmospheric conditions, altitudes, viewing
geometry and concentrations. Figure 13
illustrates the size of the problem for the standard filter set and
for an optimised set. While the
85. Remote Sens. 2020, 12, 2309 17 of 31
standard set fails–the anomaly is of similar size to that found
for ash, the optimised set performs better.
More research is required in order to better model these
complex situations. What can be concluded
here is that a two-channel imager using the standard set of
filters (or similar) will fail to discriminate
ash from ice cloud and water cloud in many situations.
Version July 10, 2020 submitted to Atmosphere 19 of 35
Brightness temperature (K). Filter: 10.9 µm
-5 0 5
Horizontal distance (km)
0
2
4
6
8
10
12
A
lti
tu
98. 8
10
12
Figure 13. Left: Simulations for the standard set of filters for a
water cloud ahead on an aircraft
flying at 7 km (∼23,000 ft). The mean anomaly is –3 K and is
of the same sign and magnitude as
the signal obtained from an ash cloud. Right: The same scenario
but using optimised filters. The
anomaly is now positive and can be discriminated from an ash
cloud.
Figure 13. Left: Simulations for the standard set of filters for a
water cloud ahead on an aircraft flying
at 7 km (∼23,000 ft). The mean anomaly is −3 K and is of the
same sign and magnitude as the signal
obtained from an ash cloud. Right: The same scenario but using
optimised filters. The anomaly is now
positive and can be discriminated from an ash cloud.
3.6. Calibration
The model simulations and experimental data suggest that any
IR imaging system used at aircraft
cruise altitudes will need careful and continuous calibration.
The AIRBUS experiment demonstrated
that calibration of the system was essential. For this experiment
the flight duration was <2 h and
the instrument was pre-calibrated. However, during the mission
real-time detection was difficult or
impossible because it was found that the instrument response
had drifted during the flight. The main
99. cause of this was the effect of the radiative environment around
the detector coupled with rapidly
changing scene temperatures. Without further processing and
post-calibration the experimental results
were inconclusive. Figure 14 shows pre-calibrated, uncorrected
imagery obtained during the AIRBUS
experiment for filters at 10.8 µm and a broadband channel (the
12 µm filter originally selected was
replaced with a broadband filter because of the large noise
sensitivity of the 12 µm filter)—the ash
signal is concealed by noise in this case. A vertical transect of
the temperature difference shows that
the ash anomaly signal is within the noise—the layer is
noticeable on the broadband image as a warm
temperature anomaly but is indistinguishable from the
meteorological cloud below. The ash anomaly
can only be inferred in the temperature difference image
through spatial pattern recognition.
Remote Sens. 2020, 12, 2309 18 of 31
Version July 10, 2020 submitted to Atmosphere 22 of 35
Aircraft Lon: -2.097o Lat: 44.990o Alt: 5006.0ft Pitch: 2.6904o
Heading= 9.946o
14 12 10 8 6
Azimuth (degrees)
0
2
4