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Patients’experiences with‘sludge’(administrative burden)in the cancer screening process and its relationship with screening completion,experience and health system distrust

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Family Medicine and Community Health 2024年第S2期12卷 8-17页

作者： Michelle S rockwell Brianna Chang Vivian Zagarese Jamie K Turner Ally Southworth YingXing Wu Paul Yeaton Li Li Jeffrey S Stein Sarah H Parker John W Epling Department of Family and Community Medicine Virginia Tech Carilion School of MedicineRoanokeVirginiaUSA Department of Family and Community Medicine Carilion ClinicRoanokeVirginiaUSA Virginia Tech Carilion School of Medicine RoanokeVirginiaUSA Department of Health Systems and Implementation Science Virginia Tech Carilion School of MedicineRoanokeVirginiaUSA Graduate Program in Translational Biology Medicineand HealthVirginia TechRoanokeVirginiaUSA Health Analytics Research Team Carilion ClinicRoanokeVirginiaUSA Division of Gastroenterology Department of Internal MedicineCarilion ClinicRoanokeVirginiaUSA Department of Family Medicine University of Virginia School of MedicineCharlottesvilleVirginiaUSA Center for Health Behaviors Research Fralin Biomedical Research Institute at VTCRoanokeVirginiaUSA

Objective‘Sludge’refers to administrative burdens or frictions that preclude people from getting what they want or need(eg,duplicative forms,complicated instructions,long waiting times).This mixed methods study evaluated patients’perceptions of sludge in the colorectal cancer(CRC)screening process and some impacts of this *** We employed an exploratory sequential mixed methods study design that comprised patient interviews and a patient *** interviews informed final survey revisions and captured contextual data about patients’experiences with *** transcripts were inductively and deductively analysed to identify overarching *** survey quantified sludge,delayed or forgone screenings,screening experience(Net Promoter Score)and health system distrust(Health System Distrust Scale).We usedχ2 or t-tests for univariable comparisons and logistic or linear regressions to evaluate the association between cumulative sludge score and delayed or forgone screenings,screening experience and health system *** were integrated for *** Southeastern United *** Patients who were 45–75 years of age,at average risk for CRC and had either completed or been referred for CRC screening(colonoscopy or stool-based test)within the previous 12 *** 22 interview participants and 255 survey participants completed the study.38(15%)survey participants rated their screening experience as poor(Net Promoter Score=0–7 out of 10).The mean(SD)Health System Distrust Scale score was 22.4(6.3)out of 45 possible points(higher score=greater distrust).Perceptions of sludge in the CRC screening process varied,with long waiting times and burdensome communication being the most common sources(58%and 35%of participants,respectively).Sludge was positively associated with delayed or forgone screenings(OR=1.42,95%CI 1.28,1.57,p<0.001),poor screening experience(OR=1.15,95%CI 1.04,1.28,p=0.009)and health system distrust(β=0.47,p

关键词： sludge screening burden

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重现遗失的文明纽约Bathhouse浴场

室内设计与装修 2024年第4期 12-15页

作者： [美国]rockwell GROUP 麦子(编译) rockwell GROUP

Bathhouse浴场位于美国纽约曼哈顿,是一个面积达3252 m2的豪华水疗中心和浴室。这是Bathhouse在曼哈顿的首家分店,它时尚和现代设计为焦点,将当代最好的康复实践融入社交环境,为客人提供轻松高雅的体验。设计团队为该项目的设计提出了... 详细信息

Bathhouse浴场位于美国纽约曼哈顿,是一个面积达3252 m2的豪华水疗中心和浴室。这是Bathhouse在曼哈顿的首家分店,它时尚和现代设计为焦点,将当代最好的康复实践融入社交环境,为客人提供轻松高雅的体验。设计团队为该项目的设计提出了“英雄之旅”的概念,这是神话中常见的比喻,涉及英雄踏上史诗般的旅程,遇到挑战,最后在个人成长的冒险中涅槃。从接待区域到理疗室,设计师一直都在讲述这个故事,最终帮助客人走上“康复”之路。为实现这一点,设计团队通过戏剧性地光影效果,融合了包括石材、玻璃、混凝土、瓷砖和带有古铜色饰面的金属等材料,营造出柔和与忧郁的色调。

关键词：光影效果纽约曼哈顿个人成长理疗室设计团队

Too Much Information and the KWIC

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Fudan Journal of the Humanities and Social Sciences 2018年第4期11卷 443-452页

作者： Geoffrey rockwell Stefan Sinclair University of Alberta EdmontonCanada McGill University MontrealCanada

This paper takes a media archaeology look at the development of the Keyword-in-Context (KWIC)display by Peter Luhn and how the KWIC helped automate ways of disseminating information about *** paper takes the development of the KWIC as an example of the development of a knowledge technology that frames knowledge in a certain *** KWIC and other information technologies transform knowledge into information *** be quantified and processed,Developments like the KWIC are the beginning ,of language engineering-a new way of conceiving of text as information to be ***, the paper proposes a way of reflecting on developments like the KWIC by replicating these early *** can take the form of demonstration devices or knowledge things that expose the processes in our infrastructure.

关键词： KWIC Keyword-in-Context History of computing Digital humanities Peter luhn Knowledge society

Norman rockwell, 1894-1978

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Norman Rockwell, 1894-1978

Full band Monte Carlo simulation of AlInAsSb digital alloys

作者： Karal ann Marling.

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InfoMat 2020年第6期2卷 1236-1240页

作者： Jiyuan Zheng Sheikh Z.Ahmed Yuan Yuan Andrew Jones Yaohua Tan ann K.rockwell Stephen D.March Seth R.Bank Avik W.Ghosh Joe C.Campbell Electrical and Computer Engineering Department University of VirginiaCharlottesvilleVirginia Department of Physics University of VirginiaCharlottesvilleVirginia Synopsys Inc SunnyvaleCalifornia Microelectronics Research Center University of TexasAustinTexas

Avalanche photodiodes fabricated from AlInAsSb grown as a digital alloy exhibit low excess *** this article,we investigate the band structurerelated mechanisms that influence impact ***-structures calculated using an empirical tight-binding method and Monte Carlo simulations reveal that the mini-gaps in the conduction band do not inhibit electron impact *** agreement between the full band Monte Carlo simulations and measured noise characteristics is demonstrated.

关键词： AlInAsSb avalanche photodiode digital alloy first principle study

Male Burmese pythons follow female scent trails and show sex-specific behaviors

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Integrative Zoology 2019年第5期14卷 460-469页

作者： Shannon A.RICHARD Eric A.TILLMAN John S.HUMPHREY Michael L.AVERY M.rockwell PARKER Department of Biology James Madison UniversityHarrisonburgVirginiaUSA National Wildlife Research Center Florida Field StationU.S.Department of AgricultureGainesvilleFloridaUSA

Animals communicate with potential mates using species-specific signals,and pheromones are powerful sexual signals that modify conspecific behavior to facilitate mate *** the vertebrates,snakes are especially adept in mate searching via chemical trailing,which is particularly relevant given that many snake species are invasive outside their native *** signals used in mate choice are,thus,potentially valuable tools for management of invasive snake *** Burmese python(Python bivittatus)is an invasive snake in the Florida Everglades where it is negatively impacting native *** this study,we sought to:(i)determine if males can follow conspecific chemical trails in a Y-maze;and(ii)describe the mate searching behaviors exhibited by males while *** males consistently followed a single female scent trail in the maze,but when only a male scent trail was present they did not discriminate between the male and blank *** of tongue-flicking,a proxy for chemosensory sampling,was also marginally higher when males were following female versus male scent ***,when both female and male scent trails were simultaneously present in the Y-maze,males did not show a preference for the female arm,although the tongue-flick rate was higher in the female-only trial compared to female versus *** of multiple male behaviors individually and using an ethogram revealed that behaviors were more frequent and complex in the female-only trials compared to male-only *** behavioral trials are needed to determine if an effective pheromonal approach to Burmese python management is possible.

关键词： chemical ecology invasive species pheromone snake trailing

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美国联合广场咖啡厅

现代装饰 2017年第4期 126-131页

作者： David rockwell 彭佳 rockwell Group

位于美国纽约联合广场的这间咖啡厅已有三十年的历史，一直深受大众的喜爱。由于店面搬迁转移，所以经营者Danny Meyer委托建筑设计事务所rockwell Group对其进行重新设计。原来的咖啡厅是业主Meye睡径营的第一间餐厅，设计随意，甚至... 详细信息

位于美国纽约联合广场的这间咖啡厅已有三十年的历史，一直深受大众的喜爱。由于店面搬迁转移，所以经营者Danny Meyer委托建筑设计事务所rockwell Group对其进行重新设计。原来的咖啡厅是业主Meye睡径营的第一间餐厅，设计随意，甚至有些粗糙。Meyer希望新的咖啡厅在延续原餐厅亲切感的同时增添一些新鲜的设计，以吸引更多的顾客。鉴于这一考虑，rockwell Group保留了原餐厅受人喜爱的设计元素，并在其基础上融入了一些新的、当代的餐厅设计美学。

关键词：咖啡厅广场美国 rockwell Meyer 建筑设计设计元素设计美学

维普期刊数据库博看期刊

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时·空--纽约时代广场时间酒店

室内设计与装修 2017年第4期 54-59页

作者： David rockwell 小麦

自从1999年时间酒店（timehotel）开业以来，一直深受创意工作者和旅人们的喜爱，对于当地人而言，时间酒店更是喧嚣的纽约时代广场周边一处不可多得的安静栖息地。在经营了十多年后，业主再次邀请酒店的原设计师为酒店进行翻新设计，... 详细信息

自从1999年时间酒店（timehotel）开业以来，一直深受创意工作者和旅人们的喜爱，对于当地人而言，时间酒店更是喧嚣的纽约时代广场周边一处不可多得的安静栖息地。在经营了十多年后，业主再次邀请酒店的原设计师为酒店进行翻新设计，希望创建一个现代的，跳脱周围环境的酒店，对time（时间）的概念做一次全新的解释。

关键词：酒店时间广场纽约周围环境设计师工作者栖息地

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浮光掠影苏州W酒店

室内设计与装修 2018年第1期 78-83页

作者： rockwell Group[美]

苏州W酒店坐落于苏州工业园区内的金鸡湖畔,酒店巧妙运用现代设计理念诠释苏式传统建筑风格,并融合苏州自然地理环境,打造出＂悬浮园林＂的全新设计理念。酒店入口设计运用现代摩登的艺术设计理念诠释文化底蕴浓厚的传统苏州。W潮堂是W... 详细信息

苏州W酒店坐落于苏州工业园区内的金鸡湖畔,酒店巧妙运用现代设计理念诠释苏式传统建筑风格,并融合苏州自然地理环境,打造出＂悬浮园林＂的全新设计理念。酒店入口设计运用现代摩登的艺术设计理念诠释文化底蕴浓厚的传统苏州。W潮堂是W品牌对酒店大堂的全新诠释,这里错落有致地摆放着鹅卵石状的座椅,设计灵感来源于苏州著名的传统园林。

关键词：苏州工业园区酒店现代设计理念传统建筑风格自然地理环境传统园林文化底蕴设计灵感