ProActive Memory Services (United States)

Abstract Training direct care providers to care for individuals with dementia is challenging. Cultural differences, varying education levels, and high staff turnover further complicate consistent training. In our previous studies, direct care providers emphasized the need for training that is relevant, flexible and interactive. Our project aims to improve dementia care competencies through an innovative, flexible web-based platform that presents content in written and audio narration formats. We interviewed and tracked server data to identify preferences of 23 direct care providers (16 PCA, 7 ALC, 95.65% women, mean age 37.5) from personal care agencies (PCA) and assisted living communities (ALC) using training software an average of 1 hour per week for one month. Their use of audio versus written materials was tracked and analyzed to better understand learning preferences. All participants read the materials and 82% listened to the audio. We also captured the time windows of when the training was access to determine if integration of learning occurs within or outside of the work schedule. Highlights from the findings include 61% of participants accessed the training during traditional work hours, while 39% engaged the training outside of a traditional work schedule. This finding speaks to the challenges of integrating learning opportunities into the traditional work schedule. Direct care providers have diverse educational background, experience, and time constraints. To best meet their needs, content should be brief and presented in multiple formats for trainees to select as they believe will best fit their needs.

Abstract Ireland is committed to boosting active travel as a key part of its decarbonisation plan. The development of Active Travel Infrastructure (ATI) which facilitates walking, cycling, and other non-motorised forms of transportation, is a focal area of Ireland's substantial capital investment efforts aimed at advancing its sustainable transportation goals. While investing in the new ATI, the aspect of ongoing maintenance and renewal is frequently overlooked. However, to ensure the realisation of the benefits of active travel, it is essential to have a sustainable asset management system accompanied by sufficient funding to uphold a consistent level of service throughout the infrastructure’s lifespan. This paper highlights the importance of a systematic management, maintenance, and renewal strategy for ATI assets that includes planned asset renewal, routine maintenance activities, and winter operations. It also proposes the funding requirements for maintaining and preserving the lifespan of existing and new ATI.

A 2.5-year-old female kea (Nestor notabilis) weighing 711 g was presented for acute lethargy, pelvic limb paraparesis, and decreased appetite. Results from a complete blood count revealed a leukocytosis (67540 cells/µL [reference interval 4200 - 37880 cells/µL]). Radiographic images revealed a mass effect within the mid coelom. The patient was provided supportive care that included antifungal medication (voriconazole 15 mg/kg PO q12h x 6 months and 10 days) and antibiotic therapy (enrofloxacin 20 mg/kg PO q12h x 27 days). A discrete 2.3 × 2.7 × 2.6 cm soft tissue mass adjacent to multiple organs was identified on contrast computed tomographic images (IsoVue 370 at 4 mL/kg IV over 2 minutes). The mass was medial and dorsal to the proventriculus, cranial to the ventriculus, caudal to the liver, and ventral to the cranial renal divisions. The mass had an irregular vascularized wall with a poorly vascularized center. Ten days after initial presentation, exploratory coeliotomy and mass removal via left lateral coeliotomy were performed. Bacterial (aerobic and anaerobic) and fungal cultures were negative. Fourteen days postsurgery, the leukocytosis was resolved. Microscopic review of the submitted tissue mass found multinucleated giant cells, macrophages, and brown fungal hyphae with irregular internal septations and some branching, leading to a diagnosis of phaeohyphomycosis. Panfungal polymerase chain reaction testing and sequencing were unsuccessful at speciation. Treatment with voriconazole was continued until behavioral, hematologic, and computed tomographic assessments indicated resolution of the problem 6 months postsurgery. No recurrence of disease has been reported 20 months following mass removal.

ABSTRACT The drive to reduce cost, improve manufacturing processes and meet higher standards for quality are well-known conditions in the electronics industry. OEMs who have chosen to outsource core steps in the process increasingly look to their electronics manufacturing service (EMS) partners to help them meet these challenges. And as EMS companies develop systems and tools designed to address these needs, they are increasingly turning to software systems that measure yield, monitor work-in-process and enable reduced cycle time. This paper will examine one EMS company's experience in developing real-time, Web-based reporting tools for five specific areas: first pass yield, defect data, control charts, historical data retrieval and run rates. This paper will address the techniques and opportunities in implementing a fully integrated system for real-time control and monitoring of quality at various stages in the printed circuit board assembly process. It will explore various methods for collecting and delivering information in support of EMS operations, and will address strategies for applying Web based reporting at various integration points in the electronics manufacturing process. It will also review a technical architecture that has been affective in interfacing to the company ERP system and how Web reporting can provide detailed information concerning key events such as material movement and backflushing.