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At least 163 records · Page 9

Medical Decision Making in the Physician Hierarchy: A Pilot Pedagogical Evaluation

Context: Recently, The American College of Graduate Medical Education (ACGME) has included the medical decision making as a core competency in several specialties. To date, the ability to demonstrate and measure a pedagogical evolution of medical judgment in a medical education program has been limited. Objective: In this study we hope to examine differences in medical decision making ability of different physicians across their various stages of post-graduate hierarchy. Method: Physcians spanning a wide spectrum of scientific disciplines were recruited for three catagories: administrative physicians(AP) representing physcians with the most experience but mostly practice administratively; resident physicians completing their postgraduate medical training (RP) and seasoned attending physicians with mastery level experience (MP). Participants completed four medical simulations focused on abdominal pain: cholecystitis (CH) and renal colic(RC) and chest pain; Cardiac ischemia (STEMI) and pneumothorax (PX). Simulation were ordered randomly so that there was no systematic bias due to learning or to fatigue. The Medical judgment metric (MJM) was used to evaluate medical decision-making. Results: There were no significant differences between the AP, RP, and MP groups in the gender, race, ethnicity, education, and baseline heart rate. There was a significant (p=0.002) interaction effect for simulation time and RP group, 6.2 minutes (+/-1.58); MP group, 8.7 minutes (+/-2.46); and AP group, 10.3 minutes (+/-2.78). The RC MJM scores were significantly (P=0.10) worse in the AP group 12.3 (+/-2.66) then the RP 14.7(+/-1.15) and MP17.7 (+/-1.15) groups. In every simulation, the AP group MJM scores were worse on average (no significantly) compared to the MP and RP groups. The AP group was significantly (P=0.040) less likely to stabilize the subject in the RC simulation than MP and RP groups. Conclusion: There remains significant variability in the medical education and skill retention influences medical decision making throughout a physician's career.

Rosasco, John↗

NASA’s Student Airborne Science Activation for Minority Serving Institutions: Inaugural Program, Educational Outcomes, and Lessons Learned

The NASA Student Airborne Science Activation (SaSa) for Minority Serving Institutions (MSIs) held its inaugural summer research program for early career undergraduates interested in the Geosciences. SaSa is a NASA Science Activation funded 8-week summer internship program. Twenty-four first- and second-year undergraduates from MSIs across the U.S. participated in the summer program - June 6 to July 29, 2022. Students had the opportunity to gain hands-on research experience in all components of an airborne science campaign including flying on-board a NASA research aircraft to collect atmospheric measurements. Students conducted independent research projects related to the atmosphere, ocean, and geosciences that feed into NASA’s broader Earth Science Division’s and Decadal Survey goals using air quality, meteorological, and oceanic measurements from surface, airborne, and satellite-based observations. The program split its time between partner institution, University of Maryland Baltimore County and NASA’s Wallops Flight Facility in Wallops Island, Virginia. Students also made site visits at partner institutions, including: Hampton University, University of Maryland Eastern Shore, Morgan State University, Howard University, and Coppin State University and attended lectures from visiting faculty and NASA Subject Matter Experts. Students were guided on their research projects by near-peer graduate mentors, SaSa program leadership, co-Is at partner institutions, and NASA scientists to address two major research themes: 1) how human-caused air pollution has human and environmental implications, and 2) how large-scale meteorological factors influence local weather conditions. Students sorted into research groups, based on sub-discipline areas in the Geosciences, including: “Clouds, Aerosols and Radiation”, “Meteorology and Planetary Boundary Layer”, “Air Quality: Particle Pollution and Trace Gases”, and “Air-Water-Land Interface”. Their research was presented as 3-minute lightning talks and in-person poster presentations at a close-out event at NASA Goddard Space Flight Center in Greenbelt, Maryland. The students’ inter- and trans-disciplinary research experiences centered in the use of multiple ground, airborne, and satellite remote sensing NASA Earth Science Division assets. Providing a unique experience aligned to recognize the societal benefits that NASA contributes in the areas of resource management, air quality monitoring and policy decisions, energy and weather predictions, and research on the Earth’s climate. The SaSa program aims to increase the number of students from MSIs that identify as underrepresented or underserved individuals in the Geosciences discipline, Earth System Science graduate programs, and the NASA workforce. A summary of the summer research program, educational, scientific, and programmatic outcomes, as well as lessons learned will be presented.

NASA↗

NASA's Heliophysics Flight Opportunities in Research and Technology Program

The Heliophysics Flight Opportunities in Research and Technology (H-FORT) program performs space and science and science-enabling investigations that use platforms including Small Satellites, CubeSats, Hosted Rideshare Payloads, and International Space Station (ISS) attached payloads. The H-FORT program encourages the development of technologies that will enable investigation of heliophysics science questions. The program also encourages the use of innovation, commercially available spaceflight hardware, rideshare launch opportunities, and high risk to drive the cost of achieving science to a fraction of what was previously possible. H-FORT missions also provide an opportunity for preparing future leaders of NASA spaceflight missions and most missions are supported by academic institutions and involve both graduate and under-graduate students. Since starting the program in 2013, 27 missions have been awarded, twelve missions and seventeen spacecraft have flown, three missions are waiting for launch, eleven missions are in development, and one mission was not completed as planned. This paper will provide an overview of the Heliophysics Flight Opportunities in Research and Technology (H-FORT) program and will provide a summary of the missions that have been awarded. This will include mission successes, challenges, failures, and lessons learned.

Thomas E. Johnson↗

Rotating filters permit wide range of optical pyrometry

Gear-driven dual filter disks of graduated density vary linearly with respect to rotation, allowing a wide range of photographic pyrometry. this technique is applicable in metallurgy, glass, plastics and refractory research, and crystallography.

Exton, R. J.↗

Superconductive thin film makes convenient liquid helium level sensor

Sensor consisting of superconductive film mounted on a dipstick measures the level of liquid helium in a Dewar flask. The sensor is made by depositing a thin film of niobium metal to a thickness of 2000 angstroms on a quartz substrate, which is then mounted on a graduated dipstick.

Becker, H. H.↗

Radiographic threshold detection levels of aluminum weld defects

Test program is used in the design and fabrication of special graduated aluminum penetrometers. The program evaluates the threshold detection capabilities of a fixed radiographic technique in detecting surface and subsurface cracks in one-quarter inch aluminum welds. The radiographic films were evaluated and the threshold detection capabilities defined.

Tryon, R. W.↗

Volume-checking tool

Tool, consisting of a graduated storage vessel and a control panel, can determine the amount of gas entrained by fluid in a closed system, the amount of fluid remaining in a dried system of known volume, or the volume of a container of unknown size.

Erbe, C. J.↗

Scale factor gage for fiber optics inspection device

Flexible wire device, fastened along outside of fiber bundle from viewing portion to tip, positions calibrated adjustable gage in field of view. Scale factor is determined from known magnification characteristics of fiber optics system or from graduations on gage tip.

Mcmahon, W.↗

Performance and Dynamics of Aerospace Vehicles

This publication consists of a series of lectures prepared by personnel of the NASA Langley Research Center. Collectively, they were presented as a graduate seminar at Rensselaer Polytechnic Institute, Troy, New York, under the auspices of Professor Robert E. Duffy. The lectures summarize theoretical and experimental work in a number of areas of current interest in the design of aeronautical and space vehicles and were intended as an extension of general academic studies toward applications to solutions of practical problems. The material presented is not intended to be a comprehensive survey of the state of the art but rather a series of resumes of work in several areas, some of which represent fairly recent developments and others in which the significant contributions are distributed in various publications. The material covered reflects the specialties and viewpoints of the individual lecturers and little effort has been made to provide continuity between the different papers. The topics are, nevertheless, grouped under three general headings, as follows: 1. Aerodynamics of vehicles in various speed ranges 2. Problems involving aeroelasticity and unsteady aerodynamics 3. Methods and application of analytical techniques in dynamic stability problems The material is considered suitable for providing aeronautical engineering students with background information and working knowledge in a number of specialized fields which are usually omitted or discussed only briefly in an undergraduate curriculum.

Source record↗

Physics in perspective: Recommendations and program emphases

Exerpted material from Physics in Perspective, Vol. 1, is presented on recommendations, priorities, and program emphases. The major recommendations are addressed to the Federal Government and support agencies, the physics community, and the educational community, including precollege, undergraduate, and graduate sectors. Approaches to the questions involved in establishing scientific priorities are discussed, and an approach is evolved which is based on the jury rating application of certain criteria to the program elements of a subfield. The question of national support level for the physics enterprise is also considered, and contingency alternatives are suggested such that whatever the level of available support, it may be used with maximum effectiveness.

Source record↗

Zero-gravity cloud physics.

The first results of an ongoing preliminary-concept and detailed-feasibility study of a zero-gravity earth-orbital cloud physics research facility are reviewed. Current planning and thinking are being shaped by two major conclusions of this study: (1) there is a strong requirement for and it is feasible to achieve important and significant research in a zero-gravity cloud physics facility; and (2) some very important experiments can be accomplished with 'off-the-shelf' type hardware by astronauts who have no cloud-physics background; the most complicated experiments may require sophisticated observation and motion subsystems and the astronaut may need graduate level cloud physics training; there is a large number of experiments whose complexity varies between these two extremes.

Hollinden, A. B.↗

The systematic evolution of a NASA software technology, Appendix C

A long range program is described whose ultimate purpose is to make possible the production of software in NASA within predictable schedule and budget constraints and with major characteristics such as size, run-time, and correctness predictable within reasonable tolerances. As part of the program a pilot NASA computer center will be chosen to apply software development and management techniques systematically and determine a set which is effective. The techniques will be developed by a Technology Group, which will guide the pilot project and be responsible for its success. The application of the technology will involve a sequence of NASA programming tasks graduated from simpler ones at first to complex systems in late phases of the project. The evaluation of the technology will be made by monitoring the operation of the software at the users' installations. In this way a coherent discipline for software design, production maintenance, and management will be evolved.

Deregt, M. P.↗

Science leadership for tomorrow: The role of schools of public affairs and universities in meeting needs of public science agencies

Recommendations and requirements for the preparation of personnel with some scientific or technological background to enter fields of public policy and administration are reported. University efforts to provide science administration graduate programs are outlined and increased cooperation between government and university resources is outlined.

Rosenthal, A. H.↗

ERTS-A data as a teaching and research tool in the Department of Geology

The author has identified the following significant results. The project was an attempt to integrate ERTS-1 data into teaching introductory, specialized, and graduate courses in the Department of Geology, University of Alaska. This data was to be utilized principally through a specially selected, high quality collection of black and white, and color 9.5 mosaics of the State of Alaska. In completing these tasks, the data accumulated has proved highly useful in a variety of ways including: (1) discussions of the uses and availability of ERTS imagery; (2) as a medium for talking about and showing various areas of Alaska; (3) in discussing geology in general; and (4) as an aid in doing research and as possible research topics themselves. Use of ERTS-1 imagery in geology proved highly successful and its use is now an integral part of many courses.

Grybeck, D.↗