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Abernethy A.P.,Duke University | Wheeler J.L.,Duke University | Bull J.,Flat Rock
American Journal of Preventive Medicine | Year: 2011

Background: Few hospice and palliative care organizations use health information technology (HIT) for data collection and management; the feasibility and utility of a HIT-based approach in this multi-faceted, interdisciplinary context is unclear. Purpose: To develop a HIT-based data infrastructure that serves multiple hospice and palliative care sites, meeting clinical and administrative needs with data, technical, and analytic support. Methods: Through a multi-site academic/community partnership, a data infrastructure was collaboratively developed, pilot-tested at a community-based site, refined, and demonstrated for data collection and preliminary analysis. Additional sites, which participated in system development, became prepared to contribute data to the growing aggregate database. Results: Electronic data collection proved feasible in community-based hospice and palliative care. The project highlighted "success factors" for implementing HIT in this field: engagement of site-based project "champions" to promote the system from within; involvement of stakeholders at all levels of the organization, to promote culture change and buy-in; attention to local needs (e.g., data for quality reporting) and requirements (e.g., affordable cost, efficiency); consideration of practical factors (e.g., potential to interfere with clinical flow); provision of adequate software, technical, analytic, and statistical support; availability of flexible HIT options (e.g., different data-collection platforms); and adoption of a consortium approach in which sites can support one another, learn from each others' experiences, pool data, and benefit from economies of scale. Conclusions: In hospice and palliative care, HIT-based data collection/management has potential to generate better understanding of populations and outcomes, support quality assessment/quality improvement, and prepare sites to participate in research. © 2011 American Journal of Preventive Medicine.

Dayton B.B.,Flat Rock
Physics Essays | Year: 2013

In a previous article, the author presented hydrodynamic models of electrons as sinks and positrons as sources for the continuous flow of an ideal incompressible primordial fluid circulating from sources to sinks creating the electrostatic field. In this article, hydrodynamic models of magnetic fields are described as due to linear vortices in the primordial fluid each with a finite cylindrical core about which the fluid has a component of velocity tangent to circular streamlines. Equations are presented for a uniform magnetic field and the corresponding magnetic attractive force between a north pole in one magnet and a south pole of a second magnet. The Lorentz force on an electron moving in a uniform magnetic field is explained in terms of hydrodynamic theory. © 2013 Physics Essays Publication.

Dayton B.B.,Flat Rock
Physics Essays | Year: 2013

In previous articles published in this journal, the author presented a hydrodynamic model of an electron as a sink and the positron as a source for the continuous flow of an ideal incompressible "primordial" fluid from source to sink in three-dimensional space and returning from a sink to a source through a "wormhole tube" in four-dimensional space-time. This tube was referred to as an "ether string" because it could serve as a medium for the transmission of wave energy with the speed of light. It was postulated that linear vortices could exist in the primordial fluid and that an electron core and a positron core linked by an ether string would always reside at the boundary surface of the cylindrical core of a linear vortex. The vortex field caused the ether string to be tightly wound into a helix referred to as an "ether spring." It was explained how the ether spring from the electron and the ether spring from the positron with antiparallel collinear spin vectors in a modified neutral pion could become intertwined into an "ether rope." In the present paper, it is explained how the force of gravity attracting one massive body towards a second massive body can be due to the axial tension and curvature of ether ropes linking the two bodies. The number of these ropes depends on the masses of the two bodies and their separation distance as well as the total mass of the rest of the bodies in a closed universe and their average distance (taken as the radius of the universe). The inertial reactive force on an accelerated massive body is due to the axial tension and curvature of the ether ropes linking the body to the rest of the universe. © 2013 Physics Essays Publication.

Dayton B.B.,Flat Rock
Physics Essays | Year: 2015

The wave/particle nature of the photon is explained as a wave motion in an elastic string or filament with axial tension T=lc2 and constant linear mass density l such that the speed of wave propagation is c, the speed of light in a vacuum. The string must link an excited potential emitter atom with a potential absorber atom in a lower level stationary state. A string with the necessary properties has been described in a previous article in Physics Essays. There are two types of strings. The first type is an internal ether string of low linear mass density linking the core of a shell electron with the core of the positron which was added to the neutron to form the proton during beta decay. The second type is an external ether string of large linear mass density linking an electron in the proton in the nucleus of a potential emitter atom with a positron in a proton in the nucleus of a potential absorber atom. Because the linear mass density of the external ether strings is much larger than that of an internal ether string, nearly 100% of the energy in a traveling wave on an internal ether string is reflected back toward the shell electron and only a small fraction is transmitted through the gas positron to the external ether strings in the form of very low amplitude. Equations are derived for the lifetime of stationary states and the wave patterns containing the energy of a photon involving the beat frequency generated by the superposition of two waves of different frequency on the same external ether string. © 2015 Physics Essays Publication.

Dayton B.B.,Flat Rock
Physics Essays | Year: 2011

In a groundbreaking article in Physical Review in 1961 it was suggested by Sternglass that the neutral pion consisted of an electron and a positron in a mutual orbit about the center of mass with velocity of magnitude near the speed of light so that the mass is increased by a Lorentz factor of about 274. The present author has developed a hydrodynamic theory of particles and fields, which removes the obvious problem with the Sternglass model that real orbital motion of charges should result in radiation of energy. The hydrodynamic theory explains the stability of the stationary states of atoms without the presence of real orbital motion. The author has calculated the mass of the neutral pion to be 264.07 times the rest mass of the electron in very close agreement with the experimental value 264.14 m0. While the experimental data appear to support the standard model of particles based on quarks and gluons, the same data also can be interpreted to support a model based on the assumption that the only fundamental elementary particles with mass are the electron and the positron. The asymptotic freedom of the partons in deep electron inelastic scattering from nucleons can be accounted for without assuming the existence of quarks and gluons with color charges. Similarly, the strong force is not necessarily due to the interaction of color charges on quarks and gluons, but may be better explained as the relativistic enhancement of the electrostatic attractive force between suitably oriented electrons and positrons in adjacent pions separated by short distances as originally suggested in 1965 by Sternglass. Heavy mesons are not necessarily formed from strange and charmed quarks and their antiparticles, but can be accounted for by the multiple-pion theory of hadrons proposed by Sternglass. A hydrodynamic model of the neutron involving six bound neutral pions and a positive muon and a negative muon (as partons) is presented. © 2011 Physics Essays Publication.

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