Vinson & Elkins

Skilled Nursing Facilities (SNFs) provide ongoing care to the elderly and chronically ill. To maximize the quality of this care, SNF staff must be trained to respond to patient care crises and communicate across departments. Although researchers have studied the leadership styles, strategies, and interactions of facility administrators and nursing directors, little was known about the leadership styles and strategies employed by the directors of social services (DSSs). The aim of this phenomenological study was to explore how DSSs influenced leadership policies, prepared subordinates for crisis intervention and management, perceived that social workers influenced patient care decisions, and believed that communication amongst SNF staff about patient care could be improved. The conceptual framework was based on the multilevel leadership model construct, the situational leadership model construct, and the complex adaptive leadership model construct. Participants included a purposive sample of 10 DSSs working in a large, corporate SNFs in Virginia. Data were collected via in-person, semi structured interviews consisting of open-ended questions. Data were analyzed via Hycner's phenomenological approach. Findings from this investigation helped clarify roles and responsibilities of DSSs, thereby improving the leadership they provide to subordinate social workers. Findings may be used to improve communication across professionals within SNFs and their roles in patient care decisions.

This book can be described as an 'oblique memoir'. The central underlying and repeated themes of the book are exile and displacement; lives (and deaths) during the Third Reich; mother-daughter and sibling relationships; the generational transmission of trauma and experience; transatlantic reflections; and the struggle for creative expression. Stories mobilised, and people encountered, in the course of the narrative include: the internment of aliens in Britain during the Second World War; cultural life in Rochester, New York, in the 1920s; the social and personal meanings of colour(s). It also includes the industrialist and philanthropist, Henry Simon of Manchester, including his relationship with the Norwegian explorer, Fridtjof Nansen; the liberal British campaigner and MP of the 1940s, Eleanor Rathbone; reflections on the lives and images of spinsters. The text is supplemented and interrupted throughout by images (photographs, paintings, facsimile documents), some of which serve to illustrate the story, others engaging indirectly with the written word. The book also explains how forced exile persists through generations through a family history. It showcases the differences between English and American cultures. The book focuses on the incidence of cancers caused by exposure to radioactivity in England, and the impact it had on Anglo-American relations.

In this Article, the recently developed multimodel and NLP-based operability approaches are reviewed and further developed in terms of theory, application, and software infrastructure. Classical process operability concepts are also revisited and contrasted with new extensions present in both approaches. A focus is given on the comparison between distinct measures of the operability index and the handling of infeasible portions of the desired operating region. For the software infrastructure outcome, a framework for the development of process operability algorithms is provided. In particular, generated codes from the studied approaches are included in an open-source platform that will grant access of the algorithms to researchers from academia and industry. This platform has the purpose of dissemination and future improvement of process operability algorithms and methods. For the development of a versatile process operability tool, the considered approaches are adapted to support process models of generic dimensionalities. New contributions are also incorporated such as the conventional operability index calculation and other methods to find optimal design regions. Nonlinear energy systems of different input × output dimensionalities (6 × 3, 7 × 3, and 3 × 3) are addressed to demonstrate the applicability of the features available in the developed software tool to process achievability analysis, intensification, and modularization.

The effects of dilute H2SO4 concentration, forage:sulfuric acid ratio, digestion time, and digestion temperature were evaluated to determine effects on ethanol yield of Triarrhena sacchariflora (Maxim.) Nakai. Twenty single factor experiments were conducted to evaluate H2SO4 concentration (0.5, 1.0, 1.5, 2.0, and 2.5%, w/w), forage:sulfuric acid ratio (1∶6, 1∶8, 1∶10, 1∶12, and 1∶14, g/ml), digestion time (15, 30, 45, 60, and 90, min), digestion temperature (80, 100, 110, 120, and 125 °C) for 3 replicates of the 5 levels of each factor. Based on results of the single factor experiments, an incomplete factorial was designed to evaluate ethanol yield from the best combinations of single factors. Finally, the best combination was tested by enzymatic hydrolysis and fermentation experiment in selected combinations according to pretreatment results. Percentage cellulose, hemicellulose, and lignin contents of forage residue after pretreatment, and glucose and xylose concentrations of the filtrate were analyzed prior to enzymatic hydrolysis, and percentage crystallinity was observed in untreated grass and pretreated residue. In addition, the solid residues were then hydrolysed and fermented by cellulase and yeast, the concentrations of glucose and ethanol being monitored for 96 h. Results showed that the order of the effect of main effect factors was as follows: digestion temperature > dilute H2SO4 concentration > digestion time > forage:sulfuric acid ratio. The best process parameters evaluated were sulfuric acid concentration of 1.5%, forage:sulfuric acid ratio of 1∶6, digestion time of 15 min, and digestion temperature of 120°C. With this combination of factors, 80% of the cellulose was hydrolysed in 96 h, and 78% converted to ethanol. The findings identified that hemicelluloses were the key deconstruction barrier for pretreatment of Triarrhena sacchariflora (Maxim.) Nakai for ethanol production. The results of this research provide evidence of appropriate combinations of processing factors for production of ethanol from Triarrhena sacchariflora (Maxim.) Nakai.

Antifibrinolytika jsou preventivně používána pro redukci perioperačních krevních ztrát a snížení transfuzních nároků v kardiochirurgii od 80. let minulého století. Článek popisuje historii uvedení aprotininu do praxe a zabývá se okolnostmi jeho nedávného stažení z lékového trhu. Stručně shrnuje současný pohled na syntetická analoga lysinu v kardiochirurgii i v dalších chirurgických oborech.

Natural GasVolume 9, Issue 3 p. 25-27 Litigation Retroactive surcharges and the filed-rate doctrine Michael J. Henke, Michael J. Henke Michael J. Henke is a partner in the Washington, D.C., office of Vinson & Elkins, L.L.P., and has specialized in litigation, with emphasis on energy and antitrust cases, throughout his twenty-five years in practice. He chairs the ABA Litigation Section's Committee on Energy Litigation and teaches a course in federal regulation of energy at the University of Virginia Law School.Search for more papers by this author Michael J. Henke, Michael J. Henke Michael J. Henke is a partner in the Washington, D.C., office of Vinson & Elkins, L.L.P., and has specialized in litigation, with emphasis on energy and antitrust cases, throughout his twenty-five years in practice. He chairs the ABA Litigation Section's Committee on Energy Litigation and teaches a course in federal regulation of energy at the University of Virginia Law School.Search for more papers by this author First published: October 1992 https://doi.org/10.1002/gas.3410090309 AboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinkedInRedditWechat Volume9, Issue3October 1992Pages 25-27 RelatedInformation

Dirschl, Douglas R. MD1; Goodroe, Joane2; Thornton, D. McCarty3; Eiland, Gary W.4 Author Information

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