BACKGROUND The implementation of innovations (i.e., new tools and practices) in healthcare organizations remains a significant challenge. The objective of this study was to examine the key interpersonal, organizational, and system level factors that influenced the implementation and use of synoptic reporting tools in three specific areas of cancer care. METHODS Using case study methodology, w...

We derive a multi-scale model of moist tropical dynamics which is valid on horizontal synoptic scales, zonal planetary scales, and synoptic and intraseasonal time scales. The Intraseasonal Multi-Scale Moist Dynamics (IMMD) framework builds on the IPESD framework of [A.J. Majda and R. Klein, J. Atmos. Sci., 60, 393–408, 2003]. It generalizes the latter by allowing for strong zonal winds (the Tra...

Updates to the Statistical Hurricane Intensity Prediction Scheme (SHIPS) for the Atlantic basin are described. SHIPS combines climatological, persistence, and synoptic predictors to forecast intensity changes using a multiple regression technique. The original version of the model was developed for the Atlantic basin and was run in near–real time at the Hurricane Research Division beginning in ...

Analysis of observational data suggests two-way interactions between the tropical intraseasonal oscillation (ISO) and synoptic-scale variability (SSV). On one hand, SSV is strongly modulated by the ISO; that is, a strengthened (weakened) SSV appears during the enhanced (suppressed) ISO phase. The northwest– southeast-oriented synoptic wave train is strengthened and well organized in the northwe...

The climatology of northern hemisphere blocking events is presented assessing the relative contributions of the planetary and synoptic scales to 500 hPa heights in order to determine the proportion of blocks dominated by a single-scale. The heights were averaged over a region encompassing the block, and then compared with corresponding monthly mean values. If planetaryscale or synoptic-scale he...

This paper investigates whether concurrent or subsequent meteotsunamis could happen at both the Balearic Islands and the Adriatic Sea as a consequence of either the simultaneous presence of the favourable synoptic pattern above both areas, or propagation of the pattern from one area to another. Meteotsunami events in sea level records from Dubrovnik (chosen to be the proxy for the occurrence of...

Anahtar Kelimeler Kömür atığı, Susuzlandırma, Tikiner, Flokülant, Çöktürme Özet: Bu çalışmada, Dereköy Lavvar Tesisi (Soma, Manisa) tikiner girişinden alınan numune üzerinde anyonik (Akkim Akua 5220, Brentag Brentamer A 2030, Brentag Brentamer A 2530, Bifloc An 254, Minefloc Lot X 4119, 3F Sedifloc 750 AHM), katyonik (Snf 5980 Sl ve 3f Sedifloc 408 C) ve noniyonik (Snf Fa 920) flokülantlar kull...

Correspondence: Anil v Parwani Shadyside Hospital, UPMC, 5230 Centre Ave, Suite wG02.10, Pittsburgh, PA 15232, USA Tel +1 412 623 1326 Fax +1 412 682 6450 email [email protected] Background: Synoptic reports in routine pathology practice provide composite documents that include information from morphology and molecular technologies. It is clear and accurate structured information and developed...