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Shane Tubbs</title> <meta name="description" content="Search results for: R. Shane Tubbs"> <meta name="keywords" content="R. Shane Tubbs"> <meta name="viewport" content="width=device-width, initial-scale=1, minimum-scale=1, maximum-scale=1, user-scalable=no"> <meta charset="utf-8"> <link href="https://cdn.waset.org/favicon.ico" type="image/x-icon" rel="shortcut icon"> <link href="https://cdn.waset.org/static/plugins/bootstrap-4.2.1/css/bootstrap.min.css" rel="stylesheet"> <link href="https://cdn.waset.org/static/plugins/fontawesome/css/all.min.css" rel="stylesheet"> <link href="https://cdn.waset.org/static/css/site.css?v=150220211555" rel="stylesheet"> </head> <body> <header> <div class="container"> <nav class="navbar navbar-expand-lg navbar-light"> <a class="navbar-brand" href="https://waset.org"> <img src="https://cdn.waset.org/static/images/wasetc.png" alt="Open Science Research Excellence" title="Open Science Research Excellence" /> </a> <button class="d-block d-lg-none navbar-toggler ml-auto" type="button" data-toggle="collapse" data-target="#navbarMenu" aria-controls="navbarMenu" aria-expanded="false" aria-label="Toggle navigation"> <span class="navbar-toggler-icon"></span> </button> <div class="w-100"> <div class="d-none d-lg-flex flex-row-reverse"> <form method="get" action="https://waset.org/search" class="form-inline my-2 my-lg-0"> <input class="form-control mr-sm-2" type="search" placeholder="Search Conferences" value="R. 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Shane Tubbs"> <input type="submit" class="btn_search" value="Search"> </div> </div> </form> </div> </div> <div class="row mt-3"> <div class="col-sm-3"> <div class="card"> <div class="card-body"><strong>Commenced</strong> in January 2007</div> </div> </div> <div class="col-sm-3"> <div class="card"> <div class="card-body"><strong>Frequency:</strong> Monthly</div> </div> </div> <div class="col-sm-3"> <div class="card"> <div class="card-body"><strong>Edition:</strong> International</div> </div> </div> <div class="col-sm-3"> <div class="card"> <div class="card-body"><strong>Paper Count:</strong> 23</div> </div> </div> </div> <h1 class="mt-3 mb-3 text-center" style="font-size:1.6rem;">Search results for: R. Shane Tubbs</h1> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">23</span> Extremely Large Sinus Pericranii with Involvement of the Torcular and Associated with Crouzon’s Syndrome </h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Felipe%20H.%20Sanders">Felipe H. Sanders</a>, <a href="https://publications.waset.org/abstracts/search?q=Bryan%20A.%20Edwards"> Bryan A. Edwards</a>, <a href="https://publications.waset.org/abstracts/search?q=Matthew%20Fusco"> Matthew Fusco</a>, <a href="https://publications.waset.org/abstracts/search?q=Rod%20J.%20Oskouian"> Rod J. Oskouian</a>, <a href="https://publications.waset.org/abstracts/search?q=R.%20Shane%20%20Tubbs"> R. Shane Tubbs</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Introduction: Sinus pericranii is a rare vascular malformation that connects the intracranial dural sinuses to the extracranial venous drainage system and is caused by either trauma or congenital defects. Although the majority of these vascular structures are due to trauma, some are congenital. Case report: Herein, we report a 5-month-old patient with a very large and fluctuating subcutaneous mass over the occiput and the diagnosis of Crouzon’s syndrome. The child presented with a large midline mass that on imaging, connected to the underlying torcular and was diagnosed as a sinus pericranii. At long-term follow up and without operative intervention, the sinus pericranii resolved. This uncommon relationship is reviewed. Conclusion: Premature closure of posterior fossa sutures as part of Crouzon syndrome can present with large sinus pericranii. Such subcutaneous swellings might resolve spontaneously. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=congenital" title="congenital">congenital</a>, <a href="https://publications.waset.org/abstracts/search?q=craniosynostosis" title=" craniosynostosis"> craniosynostosis</a>, <a href="https://publications.waset.org/abstracts/search?q=pediatric" title=" pediatric"> pediatric</a>, <a href="https://publications.waset.org/abstracts/search?q=vascular%20malformation" title=" vascular malformation"> vascular malformation</a> </p> <a href="https://publications.waset.org/abstracts/77300/extremely-large-sinus-pericranii-with-involvement-of-the-torcular-and-associated-with-crouzons-syndrome" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/77300.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">207</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">22</span> Comparison between Approaches Used in Two Walk About Projects </h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Derek%20O%20Reilly">Derek O Reilly</a>, <a href="https://publications.waset.org/abstracts/search?q=Piotr%20Milczarski"> Piotr Milczarski</a>, <a href="https://publications.waset.org/abstracts/search?q=Shane%20Dowdall"> Shane Dowdall</a>, <a href="https://publications.waset.org/abstracts/search?q=Artur%20H%C5%82oba%C5%BC"> Artur Hłobaż</a>, <a href="https://publications.waset.org/abstracts/search?q=Krzysztof%20Podlaski"> Krzysztof Podlaski</a>, <a href="https://publications.waset.org/abstracts/search?q=Hiram%20Bollaert"> Hiram Bollaert </a> </p> <p class="card-text"><strong>Abstract:</strong></p> Learning through creation of contextual games is a very promising way/tool for interdisciplinary and international group projects. During 2013 and 2014 we took part and organized two intensive students projects in different conditions. The projects enrolled 68 students and 12 mentors from 5 countries. In the paper we want to share our experience how to strengthen the chances to succeed in short (12-15 days long) student projects. In our case almost all teams prepared working prototype and the results were highly appreciated by external experts. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=contextual%20games" title="contextual games">contextual games</a>, <a href="https://publications.waset.org/abstracts/search?q=mobile%20games" title=" mobile games"> mobile games</a>, <a href="https://publications.waset.org/abstracts/search?q=GGULIVRR" title=" GGULIVRR"> GGULIVRR</a>, <a href="https://publications.waset.org/abstracts/search?q=walkabout" title=" walkabout"> walkabout</a>, <a href="https://publications.waset.org/abstracts/search?q=Erasmus%20intensive%20programme" title=" Erasmus intensive programme"> Erasmus intensive programme</a> </p> <a href="https://publications.waset.org/abstracts/20905/comparison-between-approaches-used-in-two-walk-about-projects" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/20905.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">502</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">21</span> A Study of the Influence of College Students’ Exercise and Leisure Motivations on the Leisure Benefits: Using Leisure Involvement as a Moderator</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Chiung-En%20Huang">Chiung-En Huang</a>, <a href="https://publications.waset.org/abstracts/search?q=Cheng-Yu%20Tsai"> Cheng-Yu Tsai</a>, <a href="https://publications.waset.org/abstracts/search?q=Shane-Chung%20Lee"> Shane-Chung Lee</a> </p> <p class="card-text"><strong>Abstract:</strong></p> This study aim at the influence of college students’ exercise and leisure motivations on the leisure benefits while using the leisure involvement as a moderator. Whereby, the research tools used in this study included the application of leisure motivation scale, leisure involvement scale and leisure benefits scale, and a hierarchical regression analysis was performed by using a questionnaire-based survey, in which, a total of 1,500 copies of questionnaires were administered and 917 valid questionnaires were obtained, achieving a response rate of 61.13%. Research findings explore that leisure involvement has a moderating effect on the relationship between the leisure motivation and leisure benefits. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=leisure%20motivation" title="leisure motivation">leisure motivation</a>, <a href="https://publications.waset.org/abstracts/search?q=leisure%20involvement" title=" leisure involvement"> leisure involvement</a>, <a href="https://publications.waset.org/abstracts/search?q=leisure%20benefits" title=" leisure benefits"> leisure benefits</a>, <a href="https://publications.waset.org/abstracts/search?q=moderator" title=" moderator"> moderator</a> </p> <a href="https://publications.waset.org/abstracts/7822/a-study-of-the-influence-of-college-students-exercise-and-leisure-motivations-on-the-leisure-benefits-using-leisure-involvement-as-a-moderator" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/7822.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">369</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">20</span> Gluteal Augmentation: A Historical Perspective on Society's Fascination with Buttock Size</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Shane%20R.%20Jackson">Shane R. Jackson</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Gluteal augmentation with fat grafting, commonly referred to as the Brazilian Butt Lift, is the fastest-growing cosmetic surgical procedure, despite the risks and controversy that surrounds it. While many commentators attribute this rise in popularity with current societal trends towards public sharing of private life, the fascination with buttock size is in fact a much older human trait. By searching beyond medical literature and delving into historical sources, from ancient civilisations, through the Renaissance and Victorian eras to the ‘Instagram generation’ of the present day, this paper examines the differences – and similarities – in society’s ideal buttock shape and size. Furthermore, the ways in which these various cultures have altered their appearance to achieve this ideal are also examined, looking at the influence of the broader historical context. A deeper understanding of the historical, cultural and psychosocial factors that influence a patient’s desire for buttock augmentation allows the clinician to formulate a well-rounded surgical plan. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=augmentation" title="augmentation">augmentation</a>, <a href="https://publications.waset.org/abstracts/search?q=Brazilian%20butt%20lift" title=" Brazilian butt lift"> Brazilian butt lift</a>, <a href="https://publications.waset.org/abstracts/search?q=buttock" title=" buttock"> buttock</a>, <a href="https://publications.waset.org/abstracts/search?q=fat%20graft" title=" fat graft"> fat graft</a>, <a href="https://publications.waset.org/abstracts/search?q=gluteal" title=" gluteal"> gluteal</a> </p> <a href="https://publications.waset.org/abstracts/124658/gluteal-augmentation-a-historical-perspective-on-societys-fascination-with-buttock-size" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/124658.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">197</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">19</span> Social and Economic Impact of Home Sharing in Metro Manila: Hosts' Perspective</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Ma.%20Karen%20Jimeno">Ma. Karen Jimeno</a>, <a href="https://publications.waset.org/abstracts/search?q=Erika%20Kate%20Co"> Erika Kate Co</a>, <a href="https://publications.waset.org/abstracts/search?q=Ma.%20Claudia%20Alexis%20Frani"> Ma. Claudia Alexis Frani</a>, <a href="https://publications.waset.org/abstracts/search?q=Shane%20Rosshel%20Guzman"> Shane Rosshel Guzman</a>, <a href="https://publications.waset.org/abstracts/search?q=Marie%20Jaye%20Constance%20Selga"> Marie Jaye Constance Selga</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Home sharing continues to gain traction in the Philippines at the expense of traditional lodging options, to which the hospitality industry has reacted in stages. This study aims to describe the social and economic impact of home sharing in Metro Manila from the perspective of hosts. A cross-sectional survey questionnaire consisting of five-point Likert items was administered to 120 hosts in Metro Manila. Kruskal-Wallis test, together with Dunn’s pairwise comparison, was used in the analysis of data. Results show that there is a significant difference in the median scores between increased awareness of Filipino food/heritage and the pursuit of enjoyable life in terms of social impact. Economic-wise, the respondents, did not perceive that their businesses as an additional source of income for the local government. These findings can be used for further exploratory studies and formulation of sustainable business policies conducive for the entrepreneurs and the hospitality industry alike. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=bed-and-breakfast" title="bed-and-breakfast">bed-and-breakfast</a>, <a href="https://publications.waset.org/abstracts/search?q=home%20sharing" title=" home sharing"> home sharing</a>, <a href="https://publications.waset.org/abstracts/search?q=marketing" title=" marketing"> marketing</a>, <a href="https://publications.waset.org/abstracts/search?q=tourism" title=" tourism"> tourism</a> </p> <a href="https://publications.waset.org/abstracts/52633/social-and-economic-impact-of-home-sharing-in-metro-manila-hosts-perspective" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/52633.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">323</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">18</span> A Case Study of Deep Learning for Disease Detection in Crops</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Felipe%20A.%20Guth">Felipe A. Guth</a>, <a href="https://publications.waset.org/abstracts/search?q=Shane%20Ward"> Shane Ward</a>, <a href="https://publications.waset.org/abstracts/search?q=Kevin%20McDonnell"> Kevin McDonnell</a> </p> <p class="card-text"><strong>Abstract:</strong></p> In the precision agriculture area, one of the main tasks is the automated detection of diseases in crops. Machine Learning algorithms have been studied in recent decades for such tasks in view of their potential for improving economic outcomes that automated disease detection may attain over crop fields. The latest generation of deep learning convolution neural networks has presented significant results in the area of image classification. In this way, this work has tested the implementation of an architecture of deep learning convolution neural network for the detection of diseases in different types of crops. A data augmentation strategy was used to meet the requirements of the algorithm implemented with a deep learning framework. Two test scenarios were deployed. The first scenario implemented a neural network under images extracted from a controlled environment while the second one took images both from the field and the controlled environment. The results evaluated the generalisation capacity of the neural networks in relation to the two types of images presented. Results yielded a general classification accuracy of 59% in scenario 1 and 96% in scenario 2. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=convolutional%20neural%20networks" title="convolutional neural networks">convolutional neural networks</a>, <a href="https://publications.waset.org/abstracts/search?q=deep%20learning" title=" deep learning"> deep learning</a>, <a href="https://publications.waset.org/abstracts/search?q=disease%20detection" title=" disease detection"> disease detection</a>, <a href="https://publications.waset.org/abstracts/search?q=precision%20agriculture" title=" precision agriculture"> precision agriculture</a> </p> <a href="https://publications.waset.org/abstracts/95339/a-case-study-of-deep-learning-for-disease-detection-in-crops" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/95339.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">259</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">17</span> Energy Efficiency Analysis of Discharge Modes of an Adiabatic Compressed Air Energy Storage System</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Shane%20D.%20Inder">Shane D. Inder</a>, <a href="https://publications.waset.org/abstracts/search?q=Mehrdad%20Khamooshi"> Mehrdad Khamooshi</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Efficient energy storage is a crucial factor in facilitating the uptake of renewable energy resources. Among the many options available for energy storage systems required to balance imbalanced supply and demand cycles, compressed air energy storage (CAES) is a proven technology in grid-scale applications. This paper reviews the current state of micro scale CAES technology and describes a micro-scale advanced adiabatic CAES (A-CAES) system, where heat generated during compression is stored for use in the discharge phase. It will also describe a thermodynamic model, developed in EES (Engineering Equation Solver) to evaluate the performance and critical parameters of the discharge phase of the proposed system. Three configurations are explained including: single turbine without preheater, two turbines with preheaters, and three turbines with preheaters. It is shown that the micro-scale A-CAES is highly dependent upon key parameters including; regulator pressure, air pressure and volume, thermal energy storage temperature and flow rate and the number of turbines. It was found that a micro-scale AA-CAES, when optimized with an appropriate configuration, could deliver energy input to output efficiency of up to 70%. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=CAES" title="CAES">CAES</a>, <a href="https://publications.waset.org/abstracts/search?q=adiabatic%20compressed%20air%20energy%20storage" title=" adiabatic compressed air energy storage"> adiabatic compressed air energy storage</a>, <a href="https://publications.waset.org/abstracts/search?q=expansion%20phase" title=" expansion phase"> expansion phase</a>, <a href="https://publications.waset.org/abstracts/search?q=micro%20generation" title=" micro generation"> micro generation</a>, <a href="https://publications.waset.org/abstracts/search?q=thermodynamic" title=" thermodynamic"> thermodynamic</a> </p> <a href="https://publications.waset.org/abstracts/80163/energy-efficiency-analysis-of-discharge-modes-of-an-adiabatic-compressed-air-energy-storage-system" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/80163.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">311</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">16</span> A Sensitivity Analysis on the Production of Potable Water, Green Hydrogen and Derivatives from South-West African Seawater</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Shane%20David%20van%20Zyl">Shane David van Zyl</a>, <a href="https://publications.waset.org/abstracts/search?q=A.%20J.%20Burger"> A. J. Burger</a> </p> <p class="card-text"><strong>Abstract:</strong></p> The global green energy shift has placed significant value on the production of green hydrogen and its derivatives. The study examines the impact on capital expenditure (CAPEX), operational expenditure (OPEX), levelized cost, and environmental impact, depending on the relationship between various production capacities of potable water, green hydrogen, and green ammonia. A model-based sensitivity analysis approach was used to determine the relevance of various process parameters in the production of potable water combined with green hydrogen or green ammonia production. The effects of changes on CAPEX, OPEX and levelized costs of the products were determined. Furthermore, a qualitative environmental impact analysis was done to determine the effect on the environment. The findings indicated the individual process unit contribution to the overall CAPEX and OPEX while also determining the major contributors to changes in the levelized costs of products. The results emphasize the difference in costs associated with potable water, green hydrogen, and green ammonia production, indicating the extent to which potable water production costs become insignificant in the complete process, which, therefore, can have a large social benefit through increased potable water production resulting in decreased water scarcity in the south-west African region. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=CAPEX%20and%20OPEX" title="CAPEX and OPEX">CAPEX and OPEX</a>, <a href="https://publications.waset.org/abstracts/search?q=desalination" title=" desalination"> desalination</a>, <a href="https://publications.waset.org/abstracts/search?q=green%20hydrogen%20and%20green%20ammonia" title=" green hydrogen and green ammonia"> green hydrogen and green ammonia</a>, <a href="https://publications.waset.org/abstracts/search?q=sensitivity%20analysis" title=" sensitivity analysis"> sensitivity analysis</a> </p> <a href="https://publications.waset.org/abstracts/186913/a-sensitivity-analysis-on-the-production-of-potable-water-green-hydrogen-and-derivatives-from-south-west-african-seawater" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/186913.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">39</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">15</span> Testing a Flexible Manufacturing System Facility Production Capacity through Discrete Event Simulation: Automotive Case Study</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Justyna%20Rybicka">Justyna Rybicka</a>, <a href="https://publications.waset.org/abstracts/search?q=Ashutosh%20Tiwari"> Ashutosh Tiwari</a>, <a href="https://publications.waset.org/abstracts/search?q=Shane%20Enticott"> Shane Enticott</a> </p> <p class="card-text"><strong>Abstract:</strong></p> In the age of automation and computation aiding manufacturing, it is clear that manufacturing systems have become more complex than ever before. Although technological advances provide the capability to gain more value with fewer resources, sometimes utilisation of the manufacturing capabilities available to organisations is difficult to achieve. Flexible manufacturing systems (FMS) provide a unique capability to manufacturing organisations where there is a need for product range diversification by providing line efficiency through production flexibility. This is very valuable in trend driven production set-ups or niche volume production requirements. Although FMS provides flexible and efficient facilities, its optimal set-up is key in achieving production performance. As many variables are interlinked due to the flexibility provided by the FMS, analytical calculations are not always sufficient to predict the FMS’ performance. Simulation modelling is capable of capturing the complexity and constraints associated with FMS. This paper demonstrates how discrete event simulation (DES) can address complexity in an FMS to optimise the production line performance. A case study of an automotive FMS is presented. The DES model demonstrates different configuration options depending on prioritising objectives: utilisation and throughput. Additionally, this paper provides insight into understanding the impact of system set-up constraints on the FMS performance and demonstrates the exploration into the optimal production set-up. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=discrete%20event%20simulation" title="discrete event simulation">discrete event simulation</a>, <a href="https://publications.waset.org/abstracts/search?q=flexible%20manufacturing%20system" title=" flexible manufacturing system"> flexible manufacturing system</a>, <a href="https://publications.waset.org/abstracts/search?q=capacity%20performance" title=" capacity performance"> capacity performance</a>, <a href="https://publications.waset.org/abstracts/search?q=automotive" title=" automotive"> automotive</a> </p> <a href="https://publications.waset.org/abstracts/43018/testing-a-flexible-manufacturing-system-facility-production-capacity-through-discrete-event-simulation-automotive-case-study" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/43018.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">327</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">14</span> Consortium Blockchain-based Model for Data Management Applications in the Healthcare Sector</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Teo%20Hao%20Jing">Teo Hao Jing</a>, <a href="https://publications.waset.org/abstracts/search?q=Shane%20Ho%20Ken%20Wae"> Shane Ho Ken Wae</a>, <a href="https://publications.waset.org/abstracts/search?q=Lee%20Jin%20Yu"> Lee Jin Yu</a>, <a href="https://publications.waset.org/abstracts/search?q=Burra%20Venkata%20Durga%20Kumar"> Burra Venkata Durga Kumar</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Current distributed healthcare systems face the challenge of interoperability of health data. Storing electronic health records (EHR) in local databases causes them to be fragmented. This problem is aggravated as patients visit multiple healthcare providers in their lifetime. Existing solutions are unable to solve this issue and have caused burdens to healthcare specialists and patients alike. Blockchain technology was found to be able to increase the interoperability of health data by implementing digital access rules, enabling uniformed patient identity, and providing data aggregation. Consortium blockchain was found to have high read throughputs, is more trustworthy, more secure against external disruptions and accommodates transactions without fees. Therefore, this paper proposes a blockchain-based model for data management applications. In this model, a consortium blockchain is implemented by using a delegated proof of stake (DPoS) as its consensus mechanism. This blockchain allows collaboration between users from different organizations such as hospitals and medical bureaus. Patients serve as the owner of their information, where users from other parties require authorization from the patient to view their information. Hospitals upload the hash value of patients’ generated data to the blockchain, whereas the encrypted information is stored in a distributed cloud storage. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=blockchain%20technology" title="blockchain technology">blockchain technology</a>, <a href="https://publications.waset.org/abstracts/search?q=data%20management%20applications" title=" data management applications"> data management applications</a>, <a href="https://publications.waset.org/abstracts/search?q=healthcare" title=" healthcare"> healthcare</a>, <a href="https://publications.waset.org/abstracts/search?q=interoperability" title=" interoperability"> interoperability</a>, <a href="https://publications.waset.org/abstracts/search?q=delegated%20proof%20of%20stake" title=" delegated proof of stake"> delegated proof of stake</a> </p> <a href="https://publications.waset.org/abstracts/145592/consortium-blockchain-based-model-for-data-management-applications-in-the-healthcare-sector" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/145592.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">138</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">13</span> Primary School Teacher's Perception of the Efficacy of Mother Tongue-Based Multilingual Education (MTB-MLE) in Saint Louis University, Laboratory Elementary School</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Villiam%20Ambong">Villiam Ambong</a>, <a href="https://publications.waset.org/abstracts/search?q=Kevin%20Banawag"> Kevin Banawag</a>, <a href="https://publications.waset.org/abstracts/search?q=Wynne%20Shane%20Bugatan"> Wynne Shane Bugatan</a>, <a href="https://publications.waset.org/abstracts/search?q=Mark%20Alvin%20Jay%20Carpio"> Mark Alvin Jay Carpio</a>, <a href="https://publications.waset.org/abstracts/search?q=Hwan%20Hee%20Choi"> Hwan Hee Choi</a>, <a href="https://publications.waset.org/abstracts/search?q=Moises%20Kevin%20Chungalao"> Moises Kevin Chungalao </a> </p> <p class="card-text"><strong>Abstract:</strong></p> This survey research investigated the perception of primary school teachers on the efficacy of MTB-MLE in SLU-LES, Baguio City. SLU-LES has a total of 21 primary school teachers who served as respondents of this study in an attempt to answer the major questions regarding the efficacy of MTB-MLE among primary school teachers. A questionnaire was used in collecting the data which were analyzed using weighted mean and ANOVA. The questionnaire was validated by a statistician and it was administered to a school which does not differ from the intended respondents for further validation of the items. Findings revealed from the intended respondents that they perceive MTB-MLE as effective; however, they do not prefer the use of Mother Tongue as a medium of instruction. A research on the same topic was conducted in Ibadan, Nigeria by Dr. David O. Fakeye and although his respondents were students; the results came out that the respondents do perceive MTB-MLE to be efficacious. The results of this study also showed that years of teaching experience and the number of languages spoken by the teachers have no bearing on the preference of the respondents between MT medium and English medium gave that the respondents are in melting pot community. Comparative studies between rural and urban schools are encouraged. Future researchers should include questions that elicit reasons of the respondents on the efficacy of mother tongue as well as their preference between mother tongue medium and English. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=mother%20tongue" title="mother tongue">mother tongue</a>, <a href="https://publications.waset.org/abstracts/search?q=primary%20teachers" title=" primary teachers"> primary teachers</a>, <a href="https://publications.waset.org/abstracts/search?q=perception" title=" perception"> perception</a>, <a href="https://publications.waset.org/abstracts/search?q=multilingual%20education" title=" multilingual education"> multilingual education</a> </p> <a href="https://publications.waset.org/abstracts/83870/primary-school-teachers-perception-of-the-efficacy-of-mother-tongue-based-multilingual-education-mtb-mle-in-saint-louis-university-laboratory-elementary-school" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/83870.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">276</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">12</span> Primary School Teachers’ Perception on the Efficacy of Mother Tongue-Based Multilingual Education (MTB-MLE) in Saint Louis University, Laboratory Elementary School</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Villiam%20C.%20Ambong">Villiam C. Ambong</a>, <a href="https://publications.waset.org/abstracts/search?q=Kevin%20G.%20Banawag"> Kevin G. Banawag</a>, <a href="https://publications.waset.org/abstracts/search?q=Wynne%20Shane%20B.%20Bugatan"> Wynne Shane B. Bugatan</a>, <a href="https://publications.waset.org/abstracts/search?q=Mark%20Alvin%20Jay%20R.%20Carpio"> Mark Alvin Jay R. Carpio</a>, <a href="https://publications.waset.org/abstracts/search?q=Hwan%20Hee%20Choi"> Hwan Hee Choi</a>, <a href="https://publications.waset.org/abstracts/search?q=Moses%20Kevin%20L.%20Chungalao"> Moses Kevin L. Chungalao</a> </p> <p class="card-text"><strong>Abstract:</strong></p> This survey research investigated the perception of primary school teachers on the efficacy of MTB-MLE in SLU-LES, Baguio City. SLU-LES has a total of 21 primary school teachers who served as the respondents of this study in an attempt to answer three major questions regarding the efficacy of MTB-MLE among primary school teachers. A questionnaire was used in collecting the data which were analyzed using weighted mean and ANOVA. The questionnaire was validated by a statistician and it was administered to a school which does not differ from the intended respondents for further validation of the items. Findings revealed from the intended respondents that they perceive MTB-MLE as effective; however, they do not prefer the use of Mother Tongue as medium of instruction. A research of the same topic was conducted in Ibadan, Nigeria by Dr. David O. Fakeye and although his respondents were students; the results came out that the respondents do perceive MTB-MLE to be efficacious. The results of this study also showed that years of teaching experience and number of languages spoken by the teachers have no bearing on the preference of the respondents between MT medium and English medium given that the respondents are in a melting pot community. Comparative studies between rural schools and urban schools are encouraged. Future researches should include questions that elicit reasons of the respondents on the efficacy of mother tongue as well as their preference between mother tongue medium and English. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=mother%20tongue" title="mother tongue">mother tongue</a>, <a href="https://publications.waset.org/abstracts/search?q=primary%20teachers" title=" primary teachers"> primary teachers</a>, <a href="https://publications.waset.org/abstracts/search?q=perception" title=" perception"> perception</a>, <a href="https://publications.waset.org/abstracts/search?q=multilingual%20education" title=" multilingual education"> multilingual education</a> </p> <a href="https://publications.waset.org/abstracts/9988/primary-school-teachers-perception-on-the-efficacy-of-mother-tongue-based-multilingual-education-mtb-mle-in-saint-louis-university-laboratory-elementary-school" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/9988.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">453</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">11</span> Disease Level Assessment in Wheat Plots Using a Residual Deep Learning Algorithm</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Felipe%20A.%20Guth">Felipe A. Guth</a>, <a href="https://publications.waset.org/abstracts/search?q=Shane%20Ward"> Shane Ward</a>, <a href="https://publications.waset.org/abstracts/search?q=Kevin%20McDonnell"> Kevin McDonnell</a> </p> <p class="card-text"><strong>Abstract:</strong></p> The assessment of disease levels in crop fields is an important and time-consuming task that generally relies on expert knowledge of trained individuals. Image classification in agriculture problems historically has been based on classical machine learning strategies that make use of hand-engineered features in the top of a classification algorithm. This approach tends to not produce results with high accuracy and generalization to the classes classified by the system when the nature of the elements has a significant variability. The advent of deep convolutional neural networks has revolutionized the field of machine learning, especially in computer vision tasks. These networks have great resourcefulness of learning and have been applied successfully to image classification and object detection tasks in the last years. The objective of this work was to propose a new method based on deep learning convolutional neural networks towards the task of disease level monitoring. Common RGB images of winter wheat were obtained during a growing season. Five categories of disease levels presence were produced, in collaboration with agronomists, for the algorithm classification. Disease level tasks performed by experts provided ground truth data for the disease score of the same winter wheat plots were RGB images were acquired. The system had an overall accuracy of 84% on the discrimination of the disease level classes. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=crop%20disease%20assessment" title="crop disease assessment">crop disease assessment</a>, <a href="https://publications.waset.org/abstracts/search?q=deep%20learning" title=" deep learning"> deep learning</a>, <a href="https://publications.waset.org/abstracts/search?q=precision%20agriculture" title=" precision agriculture"> precision agriculture</a>, <a href="https://publications.waset.org/abstracts/search?q=residual%20neural%20networks" title=" residual neural networks"> residual neural networks</a> </p> <a href="https://publications.waset.org/abstracts/95336/disease-level-assessment-in-wheat-plots-using-a-residual-deep-learning-algorithm" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/95336.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">331</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">10</span> An Automated Approach to the Nozzle Configuration of Polycrystalline Diamond Compact Drill Bits for Effective Cuttings Removal</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=R.%20Suresh">R. Suresh</a>, <a href="https://publications.waset.org/abstracts/search?q=Pavan%20Kumar%20Nimmagadda"> Pavan Kumar Nimmagadda</a>, <a href="https://publications.waset.org/abstracts/search?q=Ming%20Zo%20Tan"> Ming Zo Tan</a>, <a href="https://publications.waset.org/abstracts/search?q=Shane%20Hart"> Shane Hart</a>, <a href="https://publications.waset.org/abstracts/search?q=Sharp%20Ugwuocha"> Sharp Ugwuocha</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Polycrystalline diamond compact (PDC) drill bits are extensively used in the oil and gas industry as well as the mining industry. Industry engineers continually improve upon PDC drill bit designs and hydraulic conditions. Optimized injection nozzles play a key role in improving the drilling performance and efficiency of these ever changing PDC drill bits. In the first part of this study, computational fluid dynamics (CFD) modelling is performed to investigate the hydrodynamic characteristics of drilling fluid flow around the PDC drill bit. An Open-source CFD software – OpenFOAM simulates the flow around the drill bit, based on the field input data. A specifically developed console application integrates the entire CFD process including, domain extraction, meshing, and solving governing equations and post-processing. The results from the OpenFOAM solver are then compared with that of the ANSYS Fluent software. The data from both software programs agree. The second part of the paper describes the parametric study of the PDC drill bit nozzle to determine the effect of parameters such as number of nozzles, nozzle velocity, nozzle radial position and orientations on the flow field characteristics and bit washing patterns. After analyzing a series of nozzle configurations, the best configuration is identified and recommendations are made for modifying the PDC bit design. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=ANSYS%20Fluent" title="ANSYS Fluent">ANSYS Fluent</a>, <a href="https://publications.waset.org/abstracts/search?q=computational%20fluid%20dynamics" title=" computational fluid dynamics"> computational fluid dynamics</a>, <a href="https://publications.waset.org/abstracts/search?q=nozzle%20configuration" title=" nozzle configuration"> nozzle configuration</a>, <a href="https://publications.waset.org/abstracts/search?q=OpenFOAM" title=" OpenFOAM"> OpenFOAM</a>, <a href="https://publications.waset.org/abstracts/search?q=PDC%20dill%20bit" title=" PDC dill bit"> PDC dill bit</a> </p> <a href="https://publications.waset.org/abstracts/87978/an-automated-approach-to-the-nozzle-configuration-of-polycrystalline-diamond-compact-drill-bits-for-effective-cuttings-removal" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/87978.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">420</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">9</span> Online Monitoring of Airborne Bioaerosols Released from a Composting, Green Waste Site</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=John%20Sodeau">John Sodeau</a>, <a href="https://publications.waset.org/abstracts/search?q=David%20O%27Connor"> David O'Connor</a>, <a href="https://publications.waset.org/abstracts/search?q=Shane%20Daly"> Shane Daly</a>, <a href="https://publications.waset.org/abstracts/search?q=Stig%20Hellebust"> Stig Hellebust</a> </p> <p class="card-text"><strong>Abstract:</strong></p> This study is the first to employ the online WIBS (Waveband Integrated Biosensor Sensor) technique for the monitoring of bioaerosol emissions and non-fluorescing “dust” released from a composting/green waste site. The purpose of the research was to provide a “proof of principle” for using WIBS to monitor such a location continually over days and nights in order to construct comparative “bioaerosol site profiles”. Current impaction/culturing methods take many days to achieve results available by the WIBS technique in seconds.The real-time data obtained was then used to assess variations of the bioaerosol counts as a function of size, “shape”, site location, working activity levels, time of day, relative humidity, wind speeds and wind directions. Three short campaigns were undertaken, one classified as a “light” workload period, another as a “heavy” workload period and finally a weekend when the site was closed. One main bioaerosol size regime was found to predominate: 0.5 micron to 3 micron with morphologies ranging from elongated to elipsoidal/spherical. The real-time number-concentration data were consistent with an Andersen sampling protocol that was employed at the site. The number-concentrations of fluorescent particles as a proportion of total particles counted amounted, on average, to ~1% for the “light” workday period, ~7% for the “heavy” workday period and ~18% for the weekend. The bioaerosol release profiles at the weekend were considerably different from those monitored during the working weekdays. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=bioaerosols" title="bioaerosols">bioaerosols</a>, <a href="https://publications.waset.org/abstracts/search?q=composting" title=" composting"> composting</a>, <a href="https://publications.waset.org/abstracts/search?q=fluorescence" title=" fluorescence"> fluorescence</a>, <a href="https://publications.waset.org/abstracts/search?q=particle%20counting%20in%20real-time" title=" particle counting in real-time"> particle counting in real-time</a> </p> <a href="https://publications.waset.org/abstracts/24496/online-monitoring-of-airborne-bioaerosols-released-from-a-composting-green-waste-site" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/24496.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">355</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">8</span> Prep: Pause, Reset, Establish Expectations, and Proceed. A Practical Approach for Classroom Transitions</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Shane-Anthony%20Smith">Shane-Anthony Smith</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Teachers across grade levels and content areas face a myriad of challenges in the classroom. From inconsistent attendance to disruptive behaviors, these challenges can have a dire impact on the educational space, untimely leading to a loss of instructional time and student disenfranchisement from learning. While these challenges are not new to the educational landscape, the post-COVID classroom has, in many instances, been more severely impacted by behaviors that are not conducive to learning. Despite the mounting challenges, the role of the teacher remains unchanged - that is, to create and maintain a safe environment that is conducive to learning and promotes successful learning outcomes. Accomplishing this feat is no easy task. Yet, there are steps teachers can - indeed, must - take to better set themselves and their students up for success. The key to achieving this success is effective classroom transitions. This paper presents a four-step approach for teachers to engage in successful classroom transitions to promote meaningful student engagement and active positive learning outcomes. The transition strategy I will explore is called PREP (Pause, Reset, Establish Expectations, and Proceed). I developed this strategy in my work as a Residency Director for my university’s teacher residency program. In this role, I am tasked with coaching emerging teachers and their in-service teaching mentors in the field, as well as providing mentorship to special education resident teachers pursuing teaching degrees in the program. As a teacher educator, being in Middle and High school classrooms provides an intricate and critical understanding of the challenges, opportunities, and possibilities in the classroom. For this paper, I will explore how teachers can optimize the opportunities PREP provides to keep students engaged and, thus, improve student achievement. I will describe the approach, explain its use, and provide case-study examples of its classroom application. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=classroom%20management" title="classroom management">classroom management</a>, <a href="https://publications.waset.org/abstracts/search?q=teaching%20strategies" title=" teaching strategies"> teaching strategies</a>, <a href="https://publications.waset.org/abstracts/search?q=student%20engagement" title=" student engagement"> student engagement</a>, <a href="https://publications.waset.org/abstracts/search?q=classroom%20transition" title=" classroom transition"> classroom transition</a> </p> <a href="https://publications.waset.org/abstracts/163835/prep-pause-reset-establish-expectations-and-proceed-a-practical-approach-for-classroom-transitions" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/163835.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">79</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">7</span> Measuring Fundamental Growth Needs in a Youth Boatbuilding Context</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Shane%20Theunissen">Shane Theunissen</a>, <a href="https://publications.waset.org/abstracts/search?q=Rob%20Grandy"> Rob Grandy</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Historically and we would fairly conventionally within our formal schooling systems, we have convergent testing where all the students are expected to converge on the same answer, and that answer has been determined by an external authority that is reproducing knowledge of the hegemon. Many youths may not embody the cultural capital that's rewarded in formal schooling contexts as they aren't able to converge on the required answer that's being determined by the classroom teacher or the administrators. In this paper, we explore divergent processes that promote creative problem-solving. We embody this divergent process in our measurement of fundamental growth needs. To this end, we utilize the Mosaic Approach as a method for implementing the Outcomes That Matter framework. Outcomes That Matter is the name of the measurement tool built around the Circle of Courage framework, which is a way of identifying fundamental growth needs for young people. The Circle of Courage was developed by Martin-Broken-Leg and colleagues as a way to connect indigenous child-rearing philosophies with contemporary resilience and positive psychology research. The Outcomes that Matter framework puts forward four categories of growth needs for young people. These are: Belonging, which on a macro scale is acceptance into the greater community of practice, Mastery which includes a constellation of concepts including confidence, motivation, self-actualization, and self-determination, Independence refers to a sense of personal power into autonomy within a context where creativity and problem solving, and a personal voice can begin to emerge, and finally Generosity which includes interpersonal things like conflict resolution and teamwork. Outcomes of Matter puts these four domains into a measurement tool that facilitates collaborative assessment between the youth, teachers, and recreation therapists that allows for youth-led narratives pertaining to their fundamental growth outcomes. This application of the Outcomes That Matter framework is unique as it may be the first application of this framework in an educational boatbuilding context. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=collaboration" title="collaboration">collaboration</a>, <a href="https://publications.waset.org/abstracts/search?q=empowerment" title=" empowerment"> empowerment</a>, <a href="https://publications.waset.org/abstracts/search?q=outcomes%20that%20matter" title=" outcomes that matter"> outcomes that matter</a>, <a href="https://publications.waset.org/abstracts/search?q=mosaic%20approach" title=" mosaic approach"> mosaic approach</a>, <a href="https://publications.waset.org/abstracts/search?q=boat%20building" title=" boat building"> boat building</a> </p> <a href="https://publications.waset.org/abstracts/160365/measuring-fundamental-growth-needs-in-a-youth-boatbuilding-context" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/160365.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">96</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">6</span> Rural School Superintendent Perceptions of Rural Development in Three U.S. States: A Collective Case Study</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Jerry%20D.%20Johnson">Jerry D. Johnson</a>, <a href="https://publications.waset.org/abstracts/search?q=Jason%20A.%20LaFrance"> Jason A. LaFrance</a>, <a href="https://publications.waset.org/abstracts/search?q=Matthew%20A.%20Ohlson"> Matthew A. Ohlson</a>, <a href="https://publications.waset.org/abstracts/search?q=Shane%20C.%20Shope"> Shane C. Shope</a> </p> <p class="card-text"><strong>Abstract:</strong></p> The public school system is the largest employer and most impactful factor in the local economy for many rural communities in the United States. The relationship between the school system and the community is symbiotic—they thrive together or decline together. Understanding the perceptions of rural school superintendents (the titular head of the local school district) with regard to rural development is foundational to understanding how the school and community interact and collaborate in key areas like economic development, community development, and workforce development. To investigate those perceptions as they manifest among superintendents in thriving rural communities, a collective case study was designed and conducted to disclose and characterize superintendent perceptions about rural development in three diverse rural settings in the U.S.: Florida, Kansas, and Ohio. Appreciative Inquiry (AI) served as the conceptual framework and supported a focus on identifying and describing assets and strategies/activities that helped explain the positive results in the communities of interest. Implementation of a criterion-based purposive sampling process (using extant data and a nomination process to identify rural superintendents in communities with vibrant economies and recognized the contribution by the schools in rural development) resulted in two superintendents from each of these state settings who participated in semi-structured interviews. Interview transcripts and relevant extant documents were coded and analyzed to produce individual cases with representative themes, after which a cross-case analysis was conducted to generate overarching themes. The overarching themes were then scrutinized and tested through the application of appropriate credibility techniques to promote the trustworthiness of the results. Findings include the importance of building and maintaining relationships that extend beyond the immediate collaboration activity, the importance of collaboration skills, intentionality of practice, and organizational systems/structures as facilitators/affordances. The results offer potential guidance for leveraging the potential for public schools to contribute to their rural development in the communities they serve. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=collaboration" title="collaboration">collaboration</a>, <a href="https://publications.waset.org/abstracts/search?q=leadership" title=" leadership"> leadership</a>, <a href="https://publications.waset.org/abstracts/search?q=rural%20development" title=" rural development"> rural development</a>, <a href="https://publications.waset.org/abstracts/search?q=rural%20schools" title=" rural schools"> rural schools</a> </p> <a href="https://publications.waset.org/abstracts/132903/rural-school-superintendent-perceptions-of-rural-development-in-three-us-states-a-collective-case-study" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/132903.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">175</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">5</span> Characterization of Anisotropic Deformation in Sandstones Using Micro-Computed Tomography Technique</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Seyed%20Mehdi%20Seyed%20Alizadeh">Seyed Mehdi Seyed Alizadeh</a>, <a href="https://publications.waset.org/abstracts/search?q=Christoph%20Arns"> Christoph Arns</a>, <a href="https://publications.waset.org/abstracts/search?q=Shane%20Latham"> Shane Latham</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Geomechanical characterization of rocks in detail and its possible implications on flow properties is an important aspect of reservoir characterization workflow. In order to gain more understanding of the microstructure evolution of reservoir rocks under stress a series of axisymmetric triaxial tests were performed on two different analogue rock samples. In-situ compression tests were coupled with high resolution micro-Computed Tomography to elucidate the changes in the pore/grain network of the rocks under pressurized conditions. Two outcrop sandstones were chosen in the current study representing a various cementation status of well-consolidated and weakly-consolidated granular system respectively. High resolution images were acquired while the rocks deformed in a purpose-built compression cell. A detailed analysis of the 3D images in each series of step-wise compression tests (up to the failure point) was conducted which includes the registration of the deformed specimen images with the reference pristine dry rock image. Digital Image Correlation (DIC) technique based on the intensity of the registered 3D subsets and particle tracking are utilized to map the displacement fields in each sample. The results suggest the complex architecture of the localized shear zone in well-cemented Bentheimer sandstone whereas for the weakly-consolidated Castlegate sandstone no discernible shear band could be observed even after macroscopic failure. Post-mortem imaging a sister plug from the friable rock upon undergoing continuous compression reveals signs of a shear band pattern. This suggests that for friable sandstones at small scales loading mode may affect the pattern of deformation. Prior to mechanical failure, the continuum digital image correlation approach can reasonably capture the kinematics of deformation. As failure occurs, however, discrete image correlation (i.e. particle tracking) reveals superiority in both tracking the grains as well as quantifying their kinematics (in terms of translations/rotations) with respect to any stage of compaction. An attempt was made to quantify the displacement field in compression using continuum Digital Image Correlation which is based on the reference and secondary image intensity correlation. Such approach has only been previously applied to unconsolidated granular systems under pressure. We are applying this technique to sandstones with various degrees of consolidation. Such element of novelty will set the results of this study apart from previous attempts to characterize the deformation pattern in consolidated sands. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=deformation%20mechanism" title="deformation mechanism">deformation mechanism</a>, <a href="https://publications.waset.org/abstracts/search?q=displacement%20field" title=" displacement field"> displacement field</a>, <a href="https://publications.waset.org/abstracts/search?q=shear%20behavior" title=" shear behavior"> shear behavior</a>, <a href="https://publications.waset.org/abstracts/search?q=triaxial%20compression" title=" triaxial compression"> triaxial compression</a>, <a href="https://publications.waset.org/abstracts/search?q=X-ray%20micro-CT" title=" X-ray micro-CT "> X-ray micro-CT </a> </p> <a href="https://publications.waset.org/abstracts/79118/characterization-of-anisotropic-deformation-in-sandstones-using-micro-computed-tomography-technique" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/79118.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">189</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">4</span> Nanoparticle Exposure Levels in Indoor and Outdoor Demolition Sites</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Aniruddha%20Mitra">Aniruddha Mitra</a>, <a href="https://publications.waset.org/abstracts/search?q=Abbas%20Rashidi"> Abbas Rashidi</a>, <a href="https://publications.waset.org/abstracts/search?q=Shane%20Lewis"> Shane Lewis</a>, <a href="https://publications.waset.org/abstracts/search?q=Jefferson%20Doehling"> Jefferson Doehling</a>, <a href="https://publications.waset.org/abstracts/search?q=Alexis%20Pawlak"> Alexis Pawlak</a>, <a href="https://publications.waset.org/abstracts/search?q=Jacob%20Schwartz"> Jacob Schwartz</a>, <a href="https://publications.waset.org/abstracts/search?q=Imaobong%20Ekpo"> Imaobong Ekpo</a>, <a href="https://publications.waset.org/abstracts/search?q=Atin%20Adhikari"> Atin Adhikari</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Working or living close to demolition sites can increase risks of dust-related health problems. Demolition of concrete buildings may produce crystalline silica dust, which can be associated with a broad range of respiratory diseases including silicosis and lung cancers. Previous studies demonstrated significant associations between demolition dust exposure and increase in the incidence of mesothelioma or asbestos cancer. Dust is a generic term used for minute solid particles of typically <500 µm in diameter. Dust particles in demolition sites vary in a wide range of sizes. Larger particles tend to settle down from the air. On the other hand, the smaller and lighter solid particles remain dispersed in the air for a long period and pose sustained exposure risks. Submicron ultrafine particles and nanoparticles are respirable deeper into our alveoli beyond our body’s natural respiratory cleaning mechanisms such as cilia and mucous membranes and are likely to be retained in the lower airways. To our knowledge, how various demolition tasks release nanoparticles are largely unknown and previous studies mostly focused on course dust, PM2.5, and PM10. General belief is that the dust generated during demolition tasks are mostly large particles formed through crushing, grinding, or sawing of various concrete and wooden structures. Therefore, little consideration has been given to the generated submicron ultrafine and nanoparticles and their exposure levels. These data are, however, critically important because recent laboratory studies have demonstrated cytotoxicity of nanoparticles on lung epithelial cells. The above-described knowledge gaps were addressed in this study by a novel newly developed nanoparticle monitor, which was used for nanoparticle monitoring at two adjacent indoor and outdoor building demolition sites in southern Georgia. Nanoparticle levels were measured (n = 10) by TSI NanoScan SMPS Model 3910 at four different distances (5, 10, 15, and 30 m) from the work location as well as in control sites. Temperature and relative humidity levels were recorded. Indoor demolition works included acetylene torch, masonry drilling, ceiling panel removal, and other miscellaneous tasks. Whereas, outdoor demolition works included acetylene torch and skid-steer loader use to remove a HVAC system. Concentration ranges of nanoparticles of 13 particle sizes at the indoor demolition site were: 11.5 nm: 63 – 1054/cm³; 15.4 nm: 170 – 1690/cm³; 20.5 nm: 321 – 730/cm³; 27.4 nm: 740 – 3255/cm³; 36.5 nm: 1,220 – 17,828/cm³; 48.7 nm: 1,993 – 40,465/cm³; 64.9 nm: 2,848 – 58,910/cm³; 86.6 nm: 3,722 – 62,040/cm³; 115.5 nm: 3,732 – 46,786/cm³; 154 nm: 3,022 – 21,506/cm³; 205.4 nm: 12 – 15,482/cm³; 273.8 nm: <LOD – 8,405/cm³; and 365.2 nm: <LOD – 4,553/cm³. Concentration ranges of nanoparticles of 13 particle sizes at the outdoor demolition site were: 11.5 nm: 62 – 432/cm³; 15.4 nm: 342 – 732/cm³; 20.5 nm: 224 – 706/cm³; 27.4 nm: 370 – 923/cm³; 36.5 nm: 526 – 1127/cm³; 48.7 nm: 680 – 1,260/cm³; 64.9 nm: 759 – 1284/cm³; 86.6 nm: 716 – 1,245/cm³; 115.5 nm: 539 – 954/cm³; 154 nm: 294 – 445/cm³; 205.4 nm: 3 – 124/cm³; 273.8 nm: <LOD – 22/cm³; and 365.2 nm: <LOD – 32/cm³. Collected preliminary data indicated that concentration of nanoparticles of most categories was higher in indoor demolition sites when compared with outdoor demolition sites. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=demolition%20dust" title="demolition dust">demolition dust</a>, <a href="https://publications.waset.org/abstracts/search?q=industrial%20hygiene" title=" industrial hygiene"> industrial hygiene</a>, <a href="https://publications.waset.org/abstracts/search?q=aerosol" title=" aerosol"> aerosol</a>, <a href="https://publications.waset.org/abstracts/search?q=occupational%20exposure" title=" occupational exposure"> occupational exposure</a> </p> <a href="https://publications.waset.org/abstracts/84456/nanoparticle-exposure-levels-in-indoor-and-outdoor-demolition-sites" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/84456.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">423</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">3</span> Associations Between Pornography Use Motivations and Sexual Satisfaction in Gender Diverse and Cisgender Individuals in the 43-Country International Sex Survey</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Aur%C3%A9lie%20Michaud">Aurélie Michaud</a>, <a href="https://publications.waset.org/abstracts/search?q=%C3%89milie%20Gaudet"> Émilie Gaudet</a>, <a href="https://publications.waset.org/abstracts/search?q=M%C3%B3nika%20Ko%C3%B3s"> Mónika Koós</a>, <a href="https://publications.waset.org/abstracts/search?q=L%C3%A9na%20Nagy"> Léna Nagy</a>, <a href="https://publications.waset.org/abstracts/search?q=Zsolt%20Demetrovics"> Zsolt Demetrovics</a>, <a href="https://publications.waset.org/abstracts/search?q=Shane%20W.%20Kraus"> Shane W. Kraus</a>, <a href="https://publications.waset.org/abstracts/search?q=Marc%20N.%20Potenza"> Marc N. Potenza</a>, <a href="https://publications.waset.org/abstracts/search?q=Be%C3%A1ta%20B%C5%91the"> Beáta Bőthe</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Pornography use is prevalent among adults worldwide. Prior studies have assessed the associations between pornography use frequency and sexual satisfaction, in cisgender and heterosexual individuals, with mixed results. However, measuring pornography use solely by pornography use frequency is problematic, as it can lead to disregarding important contextual factors that may be related to pornography use’s potential effects. Pornography use motivations (PUMs) represent key predictors of sexual behaviors. Yet, their associations with different indicators of sexual wellbeing have yet to be extensively studied. This cross-cultural study examined the links between the eight PUMs most often reported in the general population (i.e. sexual pleasure, sexual curiosity, emotional distraction or suppression, fantasy, stress reduction, boredom avoidance, lack of sexual satisfaction, and self-exploration) and sexual satisfaction in gender diverse and cisgender individuals. Given the lack of scientific data on associations between individuals’ PUMs and sexual satisfaction, these links were examined in an exploratory manner. A total of 43 countries from five continents were included in the International Sex Survey (ISS). A secure online platform was used to collect self-report, anonymous data from 82,243 participants (39.6% men, 57% women, 3.4% gender diverse individuals; M = 32.4 years, SD = 12.5). Gender-based differences in levels of sexual pleasure, sexual curiosity, emotional distraction, fantasy, stress reduction, boredom avoidance, lack of sexual satisfaction, and self-exploration PUMs were examined using one-way ANOVAs. Then, for each gender group, the associations between each PUM and sexual satisfaction were examined using multiple linear regression, controlling for frequency of masturbation. One-way ANOVAs indicated significant differences between men, women, and gender diverse individuals on all PUMs. For sexual pleasure, sexual curiosity, fantasy, boredom avoidance, lack of sexual satisfaction, emotional distraction, and stress reduction PUMs, men showed the highest scores, followed by gender-diverse individuals, and women. However, for self-exploration, gender-diverse individuals had higher average scores than men. For all PUMs, women’s average scores were the lowest. After controlling for frequency of masturbation, for all genders, sexual pleasure, sexual curiosity and boredom avoidance were significant positive predictors of sexual satisfaction, while lack of sexual satisfaction PUM was a significant negative predictor. Fantasy, stress reduction and self-exploration PUMs were positive significant predictors of sexual satisfaction, and fantasy was a negative significant predictor, but only for women. Findings highlight important gender differences in regards to the main motivations underlying pornography use and their relations to sexual satisfaction. While men and gender diverse individuals show similar motivation profiles, woman report a particularly unique experience, with fantasy, stress reduction and self-exploration being associated to their sexual satisfaction. This work outlines the importance of considering the role of pornography use motivations when studying the links between pornography viewing and sexual well-being, and may provide basis for gender-based considerations when working with individuals seeking help for their pornography use or sexual satisfaction. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=pornography" title="pornography">pornography</a>, <a href="https://publications.waset.org/abstracts/search?q=sexual%20satifsaction" title=" sexual satifsaction"> sexual satifsaction</a>, <a href="https://publications.waset.org/abstracts/search?q=cross-cultural" title=" cross-cultural"> cross-cultural</a>, <a href="https://publications.waset.org/abstracts/search?q=gender%20diversity" title=" gender diversity"> gender diversity</a> </p> <a href="https://publications.waset.org/abstracts/159509/associations-between-pornography-use-motivations-and-sexual-satisfaction-in-gender-diverse-and-cisgender-individuals-in-the-43-country-international-sex-survey" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/159509.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">106</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">2</span> Wood Dust and Nanoparticle Exposure among Workers during a New Building Construction </h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Atin%20Adhikari">Atin Adhikari</a>, <a href="https://publications.waset.org/abstracts/search?q=Aniruddha%20Mitra"> Aniruddha Mitra</a>, <a href="https://publications.waset.org/abstracts/search?q=Abbas%20Rashidi"> Abbas Rashidi</a>, <a href="https://publications.waset.org/abstracts/search?q=Imaobong%20Ekpo"> Imaobong Ekpo</a>, <a href="https://publications.waset.org/abstracts/search?q=Jefferson%20Doehling"> Jefferson Doehling</a>, <a href="https://publications.waset.org/abstracts/search?q=Alexis%20Pawlak"> Alexis Pawlak</a>, <a href="https://publications.waset.org/abstracts/search?q=Shane%20Lewis"> Shane Lewis</a>, <a href="https://publications.waset.org/abstracts/search?q=Jacob%20Schwartz"> Jacob Schwartz</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Building constructions in the US involve numerous wooden structures. Woods are routinely used in walls, framing floors, framing stairs, and making of landings in building constructions. Cross-laminated timbers are currently being used as construction materials for tall buildings. Numerous workers are involved in these timber based constructions, and wood dust is one of the most common occupational exposures for them. Wood dust is a complex substance composed of cellulose, polyoses and other substances. According to US OSHA, exposure to wood dust is associated with a variety of adverse health effects among workers, including dermatitis, allergic respiratory effects, mucosal and nonallergic respiratory effects, and cancers. The amount and size of particles released as wood dust differ according to the operations performed on woods. For example, shattering of wood during sanding operations produces finer particles than does chipping in sawing and milling industries. To our knowledge, how shattering, cutting and sanding of woods and wood slabs during new building construction release fine particles and nanoparticles are largely unknown. General belief is that the dust generated during timber cutting and sanding tasks are mostly large particles. Consequently, little attention has been given to the generated submicron ultrafine and nanoparticles and their exposure levels. These data are, however, critically important because recent laboratory studies have demonstrated cytotoxicity of nanoparticles on lung epithelial cells. The above-described knowledge gaps were addressed in this study by a novel newly developed nanoparticle monitor and conventional particle counters. This study was conducted in a large new building construction site in southern Georgia primarily during the framing of wooden side walls, inner partition walls, and landings. Exposure levels of nanoparticles (n = 10) were measured by a newly developed nanoparticle counter (TSI NanoScan SMPS Model 3910) at four different distances (5, 10, 15, and 30 m) from the work location. Other airborne particles (number of particles/m3) including PM2.5 and PM10 were monitored using a 6-channel (0.3, 0.5, 1.0, 2.5, 5.0 and 10 µm) particle counter at 15 m, 30 m, and 75 m distances at both upwind and downwind directions. Mass concentration of PM2.5 and PM10 (µg/m³) were measured by using a DustTrak Aerosol Monitor. Temperature and relative humidity levels were recorded. Wind velocity was measured by a hot wire anemometer. Concentration ranges of nanoparticles of 13 particle sizes were: 11.5 nm: 221 – 816/cm³; 15.4 nm: 696 – 1735/cm³; 20.5 nm: 879 – 1957/cm³; 27.4 nm: 1164 – 2903/cm³; 36.5 nm: 1138 – 2640/cm³; 48.7 nm: 938 – 1650/cm³; 64.9 nm: 759 – 1284/cm³; 86.6 nm: 705 – 1019/cm³; 115.5 nm: 494 – 1031/cm³; 154 nm: 417 – 806/cm³; 205.4 nm: 240 – 471/cm³; 273.8 nm: 45 – 92/cm³; and 365.2 nm: <LOD – 58/cm³. Average concentration (No/m³) ranges for the particles of 0.3, 0.5, 1.0, 2.5, 5.0 and 10 µm sizes were: Upwind – 13,736 – 31,065; 2,706 – 12,872; 568 – 2,756; 99 – 658; 14 – 192; 8 – 110; Downwind – 12,129 – 12,449; 3,929 – 4,160; 601 – 1,049; 18 - 52; 8 – 36. Collected preliminary data indicated that workers were exposed to not only coarse wood dust particles but also very high levels of nanoparticles. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=wood%20dust" title="wood dust">wood dust</a>, <a href="https://publications.waset.org/abstracts/search?q=industrial%20hygiene" title=" industrial hygiene"> industrial hygiene</a>, <a href="https://publications.waset.org/abstracts/search?q=aerosol" title=" aerosol"> aerosol</a>, <a href="https://publications.waset.org/abstracts/search?q=occupational%20exposure" title=" occupational exposure"> occupational exposure</a> </p> <a href="https://publications.waset.org/abstracts/84455/wood-dust-and-nanoparticle-exposure-among-workers-during-a-new-building-construction" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/84455.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">189</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">1</span> Improving the Quality of Discussion and Documentation of Advance Care Directives in a Community-Based Resident Primary Care Clinic</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Jason%20Ceavers">Jason Ceavers</a>, <a href="https://publications.waset.org/abstracts/search?q=Travis%20Thompson"> Travis Thompson</a>, <a href="https://publications.waset.org/abstracts/search?q=Juan%20Torres"> Juan Torres</a>, <a href="https://publications.waset.org/abstracts/search?q=Ramanakumar%20Anam"> Ramanakumar Anam</a>, <a href="https://publications.waset.org/abstracts/search?q=Alan%20Wong"> Alan Wong</a>, <a href="https://publications.waset.org/abstracts/search?q=Andrei%20Carvalho"> Andrei Carvalho</a>, <a href="https://publications.waset.org/abstracts/search?q=Shane%20Quo"> Shane Quo</a>, <a href="https://publications.waset.org/abstracts/search?q=Shawn%20Alonso"> Shawn Alonso</a>, <a href="https://publications.waset.org/abstracts/search?q=Moises%20Cintron"> Moises Cintron</a>, <a href="https://publications.waset.org/abstracts/search?q=Ricardo%20C.%20Carrero"> Ricardo C. Carrero</a>, <a href="https://publications.waset.org/abstracts/search?q=German%20Lopez"> German Lopez</a>, <a href="https://publications.waset.org/abstracts/search?q=Vamsi%20Garimella"> Vamsi Garimella</a>, <a href="https://publications.waset.org/abstracts/search?q=German%20Giese"> German Giese</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Introduction: Advance directives (AD) are essential for patients to communicate their wishes when they are not able to. Ideally, these discussions should not occur for the first time when a patient is hospitalized with an acute life-threatening illness. There is a large number of patients who do not have clearly documented ADs, resulting in the misutilization of resources and additional patient harm. This is a nationwide issue, and the Joint Commission has it as one of its national quality metrics. Presented here is a proposed protocol to increase the number of documented AD discussions in a community-based, internal medicine residency primary care clinic in South Florida. Methods: The SMART Aim for this quality improvement project is to increase documentation of AD discussions in the outpatient setting by 25% within three months in medicare patients. A survey was sent to stakeholders (clinic attendings, residents, medical assistants, front desk staff, and clinic managers), asking them for three factors they believed contributed most to the low documentation rate of AD discussions. The two most important factors were time constraints and systems issues (such as lack of a standard method to document ADs and ADs not being uploaded to the chart) which were brought up by 25% and 21.2% of the 32 survey responders, respectively. Pre-intervention data from clinic patients in 2020-2021 revealed 17.05% of patients had clear, actionable ADs documented. To address these issues, an AD pocket card was created to give to patients. One side of the card has a brief explanation of what ADs are. The other side has a column of interventions (cardiopulmonary resuscitation, mechanical ventilation, dialysis, tracheostomy, feeding tube) with boxes patients check off if they want the intervention done, do not want the intervention, do not want to discuss the topic, or need more information. These cards are to be filled out and scanned into their electronic chart to be reviewed by the resident before their appointment. The interventions that patients want more information on will be discussed by the provider. If any changes are made, the card will be re-scanned into their chart. After three months, we will chart review the patients seen in the clinic to determine how many medicare patients have a pocket card uploaded and how many have advance directives discussions documented in a progress note or annual wellness note. If there is not enough time for an AD discussion, a follow-up appointment can be scheduled for that discussion. Discussion: ADs are a crucial part of patient care, and failure to understand a patient’s wishes leads to improper utilization of resources, avoidable litigation, and patient harm. Time constraints and systems issues were identified as two major factors contributing to the lack of advance directive discussion in our community-based resident primary care clinic. Our project aims at increasing the documentation rate for ADs through a simple pocket card intervention. These are self-explanatory, easy to read and allow the patients to clearly express what interventions they desire or what they want to discuss further with their physician. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=advance%20directives" title="advance directives">advance directives</a>, <a href="https://publications.waset.org/abstracts/search?q=community-based" title=" community-based"> community-based</a>, <a href="https://publications.waset.org/abstracts/search?q=pocket%20card" title=" pocket card"> pocket card</a>, <a href="https://publications.waset.org/abstracts/search?q=primary%20care%20clinic" title=" primary care clinic"> primary care clinic</a> </p> <a href="https://publications.waset.org/abstracts/150172/improving-the-quality-of-discussion-and-documentation-of-advance-care-directives-in-a-community-based-resident-primary-care-clinic" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/150172.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">164</span> </span> </div> </div> </div> </main> <footer> <div id="infolinks" class="pt-3 pb-2"> <div class="container"> <div style="background-color:#f5f5f5;" class="p-3"> <div class="row"> <div class="col-md-2"> <ul class="list-unstyled"> About <li><a href="https://waset.org/page/support">About Us</a></li> <li><a href="https://waset.org/page/support#legal-information">Legal</a></li> <li><a target="_blank" rel="nofollow" href="https://publications.waset.org/static/files/WASET-16th-foundational-anniversary.pdf">WASET celebrates its 16th foundational anniversary</a></li> </ul> </div> <div class="col-md-2"> <ul class="list-unstyled"> Account <li><a href="https://waset.org/profile">My Account</a></li> </ul> </div> <div class="col-md-2"> <ul class="list-unstyled"> Explore <li><a href="https://waset.org/disciplines">Disciplines</a></li> <li><a href="https://waset.org/conferences">Conferences</a></li> <li><a href="https://waset.org/conference-programs">Conference Program</a></li> <li><a href="https://waset.org/committees">Committees</a></li> <li><a href="https://publications.waset.org">Publications</a></li> </ul> </div> <div class="col-md-2"> <ul class="list-unstyled"> Research <li><a href="https://publications.waset.org/abstracts">Abstracts</a></li> <li><a href="https://publications.waset.org">Periodicals</a></li> <li><a href="https://publications.waset.org/archive">Archive</a></li> </ul> </div> <div class="col-md-2"> <ul class="list-unstyled"> Open Science <li><a target="_blank" rel="nofollow" href="https://publications.waset.org/static/files/Open-Science-Philosophy.pdf">Open Science Philosophy</a></li> <li><a target="_blank" rel="nofollow" href="https://publications.waset.org/static/files/Open-Science-Award.pdf">Open Science Award</a></li> <li><a target="_blank" rel="nofollow" href="https://publications.waset.org/static/files/Open-Society-Open-Science-and-Open-Innovation.pdf">Open Innovation</a></li> <li><a target="_blank" rel="nofollow" href="https://publications.waset.org/static/files/Postdoctoral-Fellowship-Award.pdf">Postdoctoral Fellowship Award</a></li> <li><a target="_blank" rel="nofollow" href="https://publications.waset.org/static/files/Scholarly-Research-Review.pdf">Scholarly Research Review</a></li> </ul> </div> <div class="col-md-2"> <ul class="list-unstyled"> Support <li><a href="https://waset.org/page/support">Support</a></li> <li><a href="https://waset.org/profile/messages/create">Contact Us</a></li> <li><a href="https://waset.org/profile/messages/create">Report Abuse</a></li> </ul> </div> </div> </div> </div> </div> <div class="container text-center"> <hr style="margin-top:0;margin-bottom:.3rem;"> <a href="https://creativecommons.org/licenses/by/4.0/" target="_blank" class="text-muted small">Creative Commons Attribution 4.0 International License</a> <div id="copy" class="mt-2">© 2024 World Academy of Science, Engineering and Technology</div> </div> </footer> <a href="javascript:" id="return-to-top"><i class="fas fa-arrow-up"></i></a> <div class="modal" id="modal-template"> <div class="modal-dialog"> <div class="modal-content"> <div class="row m-0 mt-1"> <div class="col-md-12"> <button type="button" class="close" data-dismiss="modal" aria-label="Close"><span aria-hidden="true">×</span></button> </div> </div> <div class="modal-body"></div> </div> </div> </div> <script src="https://cdn.waset.org/static/plugins/jquery-3.3.1.min.js"></script> <script src="https://cdn.waset.org/static/plugins/bootstrap-4.2.1/js/bootstrap.bundle.min.js"></script> <script src="https://cdn.waset.org/static/js/site.js?v=150220211556"></script> <script> jQuery(document).ready(function() { /*jQuery.get("https://publications.waset.org/xhr/user-menu", function (response) { jQuery('#mainNavMenu').append(response); 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