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At least 1,063 records · Page 59Linked to original sources
PubMed2003

Implementing a new health management information system in Uganda.

This paper reports on research investigating the health management information system (HMIS) implementation process in Uganda, utilizing the diffusion of innovation and dynamic equilibrium organizational change models. Neither perspective guided the HMIS development process. Instead, technological issues, rather than wider organizational issues, dominated the planned change. The need to consider the organizational context when changing information systems arises because the process is more complex than some practitioners have realized, when attempting to understand the causes of information management problems and developing HMIS in low-income countries. In particular, information system developers had not acknowledged that they were promoting an informational approach to management when they promoted a change from a centralized reporting system to a HMIS supporting use of information at the level of collection. Strategies to facilitate this approach were not advocated. Organizational theory can contribute to the diffusion of innovation framework. It has yielded an integration of Rogers's diffusion of innovation framework and Leavitt's concept of organizational forces in equilibrium. The diffusion framework describes the process, but the organizational model has given the context and reason for aspects of the process. The diffusion model does not predict what needs to change within the organization when a particular innovation is introduced, or how much. The addition of the organizational model has helped. These frameworks can facilitate the introduction of future information management innovations and allow practitioners to perceive their introduction as a staged process needing to be managed. Implications for practice are identified.

Diffusion of Innovation↗
PubMed1990

Developing the credibility of continuing education.

The paper begins by acknowledging both the need for nursing to be a research based profession, and the reasons for the well-documented theory-practice gap. It goes on to suggest that what is not so well-documented is an examination of the reasons for the commitment gap between basic and continuing education. The relevance of continuing education to clinical staff will be discussed in relation to the change in the content of nursing theory--from the unwieldy 'certainty-based' medical model, to a more flexible, thus perhaps 'uncertainty-based' medical model. The paper will explore the author's belief that clinical staff need to feel a sense of security in their knowledge base, which therefore leads them at times to reject nursing theory. The paper proposes that a legal framework for nurses practice gives the clinical staff the security in their practice to view the relevance of new nursing theory.

Communication↗
PubMed1996

Theory and simulation of the time-dependent rate coefficients of diffusion-influenced reactions.

A general formalism is developed for calculating the time-dependent rate coefficient k(t) of an irreversible diffusion-influenced reaction. This formalism allows one to treat most factors that affect k(t), including rotational Brownian motion and conformational gating of reactant molecules and orientation constraint for product formation. At long times k(t) is shown to have the asymptotic expansion k(infinity)[1 + k(infinity) (pie Dt)-1/2 /4 pie D + ...], where D is the relative translational diffusion constant. An approximate analytical method for calculating k(t) is presented. This is based on the approximation that the probability density of the reactant pair in the reactive region keeps the equilibrium distribution but with a decreasing amplitude. The rate coefficient then is determined by the Green function in the absence of chemical reaction. Within the framework of this approximation, two general relations are obtained. The first relation allows the rate coefficient for an arbitrary amplitude of the reactivity to be found if the rate coefficient for one amplitude of the reactivity is known. The second relation allows the rate coefficient in the presence of conformational gating to be found from that in the absence of conformational gating. The ratio k(t)/k(0) is shown to be the survival probability of the reactant pair at time t starting from an initial distribution that is localized in the reactive region. This relation forms the basis of the calculation of k(t) through Brownian dynamics simulations. Two simulation procedures involving the propagation of nonreactive trajectories initiated only from the reactive region are described and illustrated on a model system. Both analytical and simulation results demonstrate the accuracy of the equilibrium-distribution approximation method.

Algorithms↗
PubMed2006

Irregular parameter dependence of generalized diffusion coefficients based on large deviation statistical analysis.

The nonperturbative non-Gaussian characteristics of diffusive motion are examined in the framework of the large deviation statistical theory, where simple extended mapping models showing chaotic diffusion are taken as an example. Furthermore, by rigorously solving the large deviation statistical quantities, it is found that the same type of anomalous, complex control parameter dependence as that for the diffusion coefficient reported by Klages and Dorfman is also observed in the large deviation statistical quantities such as the weighted average, the generalized diffusion coefficient, and the generalized power spectrum densities.

Journal Article↗
PubMed2005

Model system for classical fluids out of equilibrium.

A model system for classical fluids out of equilibrium, referred to as a dissipative particles dynamics (DPD) solid, is studied by analytical and simulation methods. The time evolution of a DPD particle is described by a fluctuating heat equation. This DPD solid with transport based on collisional transfer (high-density mechanism) is complementary to the Lorentz gas with only kinetic transport (low-density mechanism). Combination of both models covers the qualitative behavior of transport properties of classical fluids over the full-density range. The heat diffusivity is calculated using a mean-field theory, leading to a linear-density dependence of this transport coefficient, which is exact at high densities. Subleading density corrections are obtained as well. At lower densities the model has a conductivity threshold below which heat conduction is absent. The observed threshold is explained in terms of percolation diffusion on a random proximity network. The geometrical structure of this network is the same as in continuum percolation of completely overlapping spheres, but the dynamics on this network differs from continuum percolation diffusion. Furthermore, the kinetic theory for DPD is extended to the generalized hydrodynamic regime, where the wave-number-dependent decay rates of the Fourier modes of the energy and temperature fields are calculated.

Journal Article↗
PubMed2004

Water dimer diffusion on Pd[111] assisted by an H-bond donor-acceptor tunneling exchange.

Based on the results of density functional theory calculations, a novel mechanism for the diffusion of water dimers on metal surfaces is proposed, which relies on the ability of H bonds to rearrange through quantum tunneling. The mechanism involves quasifree rotation of the dimer and exchange of H-bond donor and acceptor molecules. At appropriate temperatures, water dimers diffuse more rapidly than water monomers, thus providing a physical explanation for the experimentally measured high diffusivity of water dimers on Pd[111] [Science 297, 1850 (2002)]].

Journal Article↗
PubMed2001

Studies on the matched potential method for determining the selectivity coefficients of ion-selective electrodes based on neutral ionophores: experimental and theoretical verification.

A theory is presented that describes the matched potential method (MPM) for the determination of the potentiometric selectivity coefficients (KA,Bpot) of ion-selective electrodes for two ions with any charge. This MPM theory is based on electrical diffuse layers on both the membrane and the aqueous side of the interface, and is therefore independent of the Nicolsky-Eisenman equation. Instead, the Poisson equation is used and a Boltzmann distribution is assumed with respect to all charged species, including primary, interfering and background electrolyte ions located at the diffuse double layers. In this model, the MPM-selectivity coefficients of ions with equal charge (ZA = ZB) are expressed as the ratio of the concentrations of the primary and interfering ions in aqueous solutions at which the same amounts of the primary and interfering ions permselectively extracted into the membrane surface. For ions with unequal charge (ZA not equal to ZB), the selectivity coefficients are expressed as a function not only of the amounts of the primary and interfering ions permeated into the membrane surface, but also of the primary ion concentration in the initial reference solution and the delta EMF value. Using the measured complexation stability constants and single ion distribution coefficients for the relevant systems, the corresponding MPM selectivity coefficients can be calculated from the developed MPM theory. It was found that this MPM theory is capable of accurately and precisely predicting the MPM selectivity coefficients for a series of ion-selective electrodes (ISEs) with representative ionophore systems, which are generally in complete agreement with independently determined MPM selectivity values from the potentiometric measurements. These results also conclude that the assumption for the Boltzmann distribution was in fact valid in the theory. The recent critical papers on MPM have pointed out that because the MPM selectivity coefficients are highly concentration dependent, the determined selectivity should be used not as "coefficient", but as "factor". Contrary to such a criticism, it was shown theoretically and experimentally that the values of the MPM selectivity coefficient for ions with equal charge (ZA = ZB) never vary with the primary and interfering ion concentrations in the sample solutions even when non-Nernstian responses are observed. This paper is the first comprehensive demonstration of an electrostatics-based theory for the MPM and should be of great value theoretically and experimentally for the audience of the fundamental and applied ISE researchers.

Journal Article↗
PubMed2002

Estimating distributed anatomical connectivity using fast marching methods and diffusion tensor imaging.

A method is presented for determining paths of anatomical connection between regions of the brain using magnetic resonance diffusion tensor information. Level set theory, applied using fast marching methods, is used to generate three-dimensional time of arrival maps, from which connection paths between brain regions may be identified. The method is demonstrated in the normal brain and it is shown that major white matter tracts may be elucidated and that multiple connections and tract branching are allowed. Maps of connectivity between brain regions are also determined. Four options are described for estimating the degree of connectivity between regions.

Algorithms↗
PubMed1990

Theoretical basis for an anomalous temperature coefficient in swelling pressure of rabbit corneal stroma.

In the rabbit corneal stroma, the swelling pressure, P, has been reported to have an anomalous (negative) temperature coefficient, alpha P, contradicting traditional Donnan swelling theory. A parallel-plate, diffuse double layer Gouy-Chapman model was used to resolve this discrepancy. The present model incorporates the possibility that surface charge, sigma, is temperature dependent. It is shown that negative, zero, or positive coefficients of swelling pressure change with temperature are not mutually exclusive conditions, but can be attributed to the same underlying mechanism. For likely values of alpha P(range -7 x 10(-3) K-1 to +3.2 x 10(-3)K-1), the effective stromal charge has a negative temperature dependency, or dln sigma/dT less than 0. The present formalism is robust against variation in assumed alpha P, and is able to simultaneously satisfy the known values of swelling pressure, its thermal dependency, and stromal charge. These results implicate significant coulombic forces behind P. Predicted stromal surface charge is approximately 0.01 Cm-2. The predictions were confirmed with macrocontinuum Donnan swelling theory, suggesting that Donnan osmotic swelling is the principal macroscopic component of P.

Animals↗
PubMed1980

Application of cryosectioning to x-ray microanalysis of biological tissue.

Cryosectioning biological tissue is a critical and difficult step when applied to x-ray microanalysis of diffusible elements. Conventional metal machining theory can explain and predict results obtained by cryosectioning more consistantly than a freeze-thaw model. Temperature of a critical zone where shearing occurs is probably the most important factor for cryosectioning. This is presumed to be a result of thermally induced changes in tissue brittleness. Two other factors which may change effective cutting temperature are section thickness and cutting speed. Tissue brittleness also depends upon the extent of ice crystal damage from initial freezing which is largely determined by heat removal rate (freezing rate), water content, size, and composition. Antiroll plates are effective devices for counteracting bending forces which occur as the section is sheared from the block. Cryosectioning does not appear to affect elemental distribution or tissue morphology in either bounded or unbounded systems. Thus cryosectioning appears to be a predictable and controllable step which is suitable for x-ray microanalysis of diffusible elements in biological tissue. Deterioration of spatial and analytical resolution does not appear to occur through the process of cryosectioning; rather these limits are set by initial freezing.

Electron Probe Microanalysis↗
PubMed1996

Theoretical analysis of osmotic agents in peritoneal dialysis. What size is an ideal osmotic agent?

In this article the difference between osmotic fluid flow (ultrafiltration) as driven by osmotic pressure and diffusion through thin leaky membranes is discussed. It is pointed out that water transport induced by osmosis is fundamentally different from the process of water diffusion. Applying modern hydrodynamic pore theory, the molar solute concentration and the solute concentration in grams per 100 mL, exerting the same initial transmembrane osmotic pressure as a 1% glucose solution, was investigated as a function of solute molecular weight (MW). It was then assumed, base on experimental data, that the major pathway responsible for the peritoneal osmotic barrier characteristics is represented by pores of radius approximately 47 A. With increasing solute radius, the osmotic reflection coefficient (sigma) and, hence, the osmotic efficiency per mole of solute will increase. However, simultaneously, the molar concentration per unit solute weight will decrease. The balance point between these two events apparently occurs at a solute MW of approximately 1 kDa. An additional advantage of using solutes of high MW as osmotic agents during peritoneal dialysis (PD), rather than increased osmotic efficiency per se, lies in the fact that large solutes, due to their low peritoneal diffusion capacity, will maintain a sustained rate of ultrafiltration (osmosis) over a prolonged period. To illustrate this, we have performed computer simulations of peritoneal fluid transport according to the three-pore model of peritoneal permselectivity. According to these simulations, 4% of an 800 Da polymer solution (+50 mmol/L above isotonicity) will produce the same cumulative amount of intraperitoneal fluid volume ultrafiltered (UF) during 360-400 minutes as 4% of a 2 kDa polymer solution (+20 mmol/L) or 6.5% of a 10 kDa polymer solution (+6.5 mmol/L) having the same electrolyte concentration as dialysis solutions conventionally used for PD. Similar cumulative UF volumes (during 400 minutes) can be obtained by a 2.5% glycerol (+272 mmol/L) or a 3.2% glucose-containing dialysis solution (+177 mmol/L) with conventional electrolyte composition.

Dialysis Solutions↗
PubMed2003

A density-functional model for controlled release.

Polymer diffusion based on density-functional theory is applied to controlled release systems. These models explicitly treat the multiphase characteristics of biomolecule-polymer composites typical of drug delivery devices. Polymer diffusion was modeled using the modified Cahn-Hilliard equation with periodic boundary conditions in one dimension and near-zero concentration boundaries in the second dimension. The diffusional driving forces are differences in chemical potential based in part on the Flory-Huggins free energy of mixing in polymer systems rather than concentration gradients. Release rates from this model were compared to exponential models typically used in the drug delivery literature. Simulations based on this model showed that the diffusional exponent is 1/2; this exponent is consistent with Fickian models at early times. Particle growth, which also occurs in diffusing, dispersed systems, was observed. The particle growth exponent in these systems was 2/3, twice the value typical in bulk ripening systems. The increased growth rate was caused by the elimination of small particles due to diffusion out of the system, which removed the low particle size region of the distribution faster than ripening alone.

Delayed-Action Preparations↗
PubMed2001

Changes in apparent diffusion coefficients of metabolites in rat brain after middle cerebral artery occlusion measured by proton magnetic resonance spectroscopy.

Diffusion-weighted proton MR spectroscopy and imaging have been applied to a rat brain model of unilateral middle cerebral artery occlusion between 1 and 4 hr post occlusion. Similar apparent diffusion coefficients (ADC) of most metabolites were observed within each hemisphere. In the ischemic ipsilateral hemisphere, the ADCs were (0.083--0.116). 10(-3) mm(2)/sec for lactate (Lac), alanine (Ala), gamma-amino butyric acid (GABA), N-acetyl aspartate (NAA), glutamine (Gln), glutamate (Glu), total creatine (tCr), choline-containing compounds (Cho), and myo-inositol (Ins), in the contralateral hemisphere (0.138--0.158). 10(-3) mm(2)/sec for NAA, Glu, tCr, Cho, and Ins. Higher ADCs was determined for taurine (Tau) in the ipsilateral (0.144. 10(-3) mm(2)/sec) and contralateral (0.198. 10(-3) mm(2)/sec) hemisphere. In the ischemic hemisphere, a relative ADC decrease to 65--75% was observed for NAA, Glu, tCr, Cho, Ins and Tau, which was similar to the decrease of the water ADC (to 67%). The results suggest a common cause of the observed ADC changes and provide a broader experimental basis to evaluate theories of water and metabolite diffusion. Magn Reson Med 45:383-389, 2001.

Animals↗
PubMed1974

Probability of gene fixation in an expanding finite population.

A mathematical theory was developed, based on diffusion models, that enables us to compute the probability of a rare mutant allele eventually spreading through a population when the population size changes with time. In particular, we elaborated the case in which the mutant allele has a definite selective advantage and the population expands following the logistic law. In this case, the probability of ultimate fixation of a single mutant is given by u = 2s(Z/N), where s is the selective advantage and Z/N is a factor by which the probability of fixation is modified through population expansion. Analytical expression was obtained for Z/N, and the validity of the formula for u was checked by Monte Carlo experiments.

Alleles↗