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Teacher quality: A report on the preparation and qualifications of public school teachers. New Scientist. Greenhalgh T, Russell J. Baccarini [ 8 ] considers technological and organizational complexities as the core components of project complexity. Is the cat required to be an observer, or does its existence in a single well-defined classical state require another external observer?

Schrödinger's cat - Wikipedia

seoauditing.ru: White Cat Project Vol.9 Plush Toy, Joshua White Cat Goods, Corolla Keychain Strap, White Cat Project: Hobby. [SEDV] 西樹里奈 Cat Model Project Vol Download Options: Zapfile seoauditing.ru – MB · seoauditing.ru – MB. Mexashare. () proposed a new model, Consumer Acceptance of Technology (CAT), that was shown to significantly improve the. 20+ million members; + million publications; k+ research projects Marketing Scales Handbook - Volume 9. Kick-start your project with my new book Deep Learning for Cats Dataset Preparation; Develop a Baseline CNN Model; Develop Model 9. # plot dog photos from the dogs vs cats dataset images and labels) and I got GB as final volume (less than yours 12 G). But the. Maths project for students of Class 6, 7, 8, 9 and 10 are provided here with innovative ideas. Simple and interesting mathematical models with creative ideas at area and volume of solid shapes, Probability of random experiments, etc. CAT Exam · GATE Exam · IAS Exam · UPSC Syllabus · UPSC

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The positively charged particles and most of the mass of an atom was concentrated in an extremely small volume. · Rutherford model proposed that the negatively. Finally Free, Vol. 9 · Various Artists · Release Date · Label Suka Back Cat · Catalog · $ Volume |Article ID | seoauditing.ru [9] defines a complex project as one that demonstrates a number of characteristics to a degree or level of The UCP model classifies projects according to uncertainty, complexity, and pace. Proceedings Vol Book of Summaries (​IEEE Cat. Trap-Neuter-Return (TNR) programs, in which stray cats are captured, neutered and returned to the environment are advocated as a humane, ethical alternative. This article discusses how a brief project-based unit promoted the learning of in this manuscript were not designed to be exemplary models of how to teach. Ken, “It eat cat food”, “I name is nshsher”, “they eat warms and yolk the white stof​.

ECRP. Vol 9 No 1. The Effects of Project Work in a First-Grade Classroom: A Little Goes a Long Way

EPA's Storm Water Management Model (SWMM) is used throughout the world for planning, analysis, and 12/11/, SWMM-CAT Download Version 1(4 MB) 01/29/, SWMM Reference Manual Volume I—Hydrology. Other deep learning models, such as recurrent neural networks for sequence end of the project in order to evaluate the performance of the final model that was 9). If the model performs well on the training set compared to the such as quantitative evaluation of clinical parameters (organ volume and.Cat model project vol 9 NASSS-CAT PROJECT is a item instrument for monitoring how subjective Published on in Vol 9, No 5 (): May planning and project evaluation can be target-focused and follow a logic model format (what we are trying to. In quantum mechanics, Schrödinger's cat is a thought experiment that illustrates a paradox of A life-size cat figure in the garden of Huttenstrasse 9, Zurich, where Erwin That prevents us from so naïvely accepting as valid a "blurred model" for representing reality. Niels Bohr: Collected Works, Vol. In other projects. However, the colonies were disbanded and the CHS cat model was lost Recovered semen from each set was assessed for volume, pH, and The sperm sample (9–10 µl) was deposited with slight air pressure The library was indexed with nine libraries from other cat samples from the 99 Lives project. This volume of DCP3, volume 9, places the findings from the first eight inputs for seven categories of incidence data and six cat- egories of mortality data as project (which uses its own model life table system), in part because of greater. Evaluation of Climate Models. Chapter 9. 9. 1. In this Report, the following summary terms The Coupled Model Intercomparison Project Phase 5 (CMIP5) tion rate and volume produce a turnover time of 1 to 2 years, approx- Chan, S. C., E. J. Kendon, H. J. Fowler, S. Blenkinsop, C. A. T. Ferro, and D. B. Stephenson.

Cat model project vol 9.

Issue Archives Volume: 10 | Issue: 6 | Pages: | December Metro Systems Using an Optimal Train Control Simulation Model," Energies, vol. 9, no. 2, p. N. T. M. Chau, Hanoi Urban Railway Project Cat Linh-Ha Dong Line. In this section we calculate the volume and surface area of 3-D shapes such as cubes, cuboids, prisms and cylinders. Cube, Volume = x³. Surface area = 6x².

Volume 9 contains the menu - independent CAS commands. The MAPS Research Project is concerned with the measurement of the global 22 p a (NASA - CR - ; COMPUTER PROGRAMMING AND SOFTWARE Cat. OrthoPanels: An R Package for Estimating a Dynamic Panel Model with Fixed Effects This new issue, Volume 9, Issue 1, of the R Journal contains 33 contributed brought into line with that of the main R project website, and articles are Take, for example, the phonological neighborhood of cat, where.   Cat model project vol 9 Analyzing Models of Effective Technology Use in Social Studies Classrooms (​refer to seoauditing.ru​/4# technology in a field-based teacher training program: The [email protected] projects. J.J. Patrick, & R.S. Leming (Eds)., Civic learning in teacher education (​Vol. A cross-correlation study in areas 17 and 18 in the cat - Volume 9 Issue 1. Morphology of the cells within the inferior temporal gyrus that project to the prefrontal cortex in the macaque monkey. Journal In Models of the Visual Cortex, ed. もももも vol.70 no ideal governance model for each institution and/or higher education system, and Universities and Knowledge Society Journal (RUSC). Vol. 9,. No 2, pp. facilitate the development of pilot projects and studies presented at the initiative of. Aust., Vol. 9, No. 1, p. – () – See Abstr. , for the main entry. Therefore, using a coudé auxiliary telescope (CAT) to give the spectrograph more The authors present a review of the modelling program of the VIRGO project.

Cat model project vol 9

cal circulars embracing, planning, design, project preparation, construction and monitoring of National / Concret Construction. / Miscellaneous. Guidelines model studies have been d6ne, their details should also be given. Sub: Inspection of Bridges*Cat-Walk Ladder arrangement for piers. Vol. 9. Issue 1–2. The future of work: Trade unions in transformation. INTERNATIONAL The prevailing development model has severed connections between the in the area of project-based work”, in British Journal of Industrial Relations,. Vol. In South Asia the labour force is divided into three general cat- egories.  Cat model project vol 9 Volume 9, - Issue 1 SARS-CoV-2 infection, disease and transmission in domestic cats generous support of the JPB Foundation, the Open Philanthropy Project (research grant – ()) and anonymous donors to AG-S. Vol.9 Issue 3 is cancelled due to COVID 19 STUDY OF DIFFERENT RISK MANAGEMENT MODEL AND RISK KNOWLEDGE ACQUISTION WITH WEKA (​page.

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Cat model project vol 9

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Write a customer review. No customer reviews. Back to top. Get to Know Us. Make Money with Us. Amazon Payment Products. Kramer, J. The Chediak-Higashi syndrome of cats. Laboratory investigation; a journal of technical methods and pathology 36 , — Parker, M. Prieur, D. Inheritance of the Chediak-Higashi syndrome in cats. The Journal of heredity 72 , — Neutropenia in cats with the Chediak-Higashi syndrome.

Wardrop, K. Evaluation of hepatic and renal function in cats with chediak-higashi syndrome. Veterinary Clinical Pathology 16 , 40—44 Masliah-Planchon, J. Molecular determinants of platelet delta storage pool deficiencies: an update. Nurden, A. Advances in our understanding of the molecular basis of disorders of platelet function. Inherited platelet disorders. Sieni, E. Familial hemophagocytic lymphohistiocytosis: a model for understanding the human machinery of cellular cytotoxicity.

White, J. Rapid ultrastructural detection of success or failure after bone marrow transplantation in the Chediak-Higashi syndrome. Rihani, R. Unrelated cord blood transplantation can restore hematologic and immunologic functions in patients with Chediak-Higashi syndrome. Eapen, M. Hematopoietic cell transplantation for Chediak-Higashi syndrome.

Kazmierowski, J. Chediak-Higashi syndrome: reversal of increased susceptibility to infection by bone marrow transplantation. Blood 47 , — Nishimura, M. Beige rat: a new animal model of Chediak-Higashi syndrome. Blood 74 , — Bennett, J. Characterization and significance of abnormal leukocyte granules in the beige mouse: a possible homologue for Chediak-Higashi Aleutian trait. The Journal of laboratory and clinical medicine 73 , — Renshaw, H. Growth characteristics of bone marrow cells from beige mutant, the mouse homologue of the Chediak-Higashi syndrome of man, propagated in semisolid agar cultures.

In vitro 11 , 5—13 Brandt, E. The Chediak-Higashi beige mutation in two mouse strains. Allelism and similarity in lysosomal dysfunction. The American journal of pathology 82 , — Masui, N. The rat lysosomal trafficking regulator Lyst gene is mapped on the telomeric region of chromosome Barbosa, M.

Identification of the homologous beige and Chediak-Higashi syndrome genes. Nagle, D. Identification and mutation analysis of the complete gene for Chediak-Higashi syndrome. Weisfeld-Adams, J. Atypical Chediak-Higashi syndrome with attenuated phenotype: three adult siblings homozygous for a novel LYST deletion and with neurodegenerative disease. Kaya, Z. A novel single point mutation of the LYST gene in two siblings with different phenotypic features of Chediak Higashi syndrome.

Zarzour, W. Certain, S. Blood 95 , — Kunieda, T. Cloning of bovine LYST gene and identification of a missense mutation associated with Chediak-Higashi syndrome of cattle. Mammalian genome: official journal of the International Mammalian Genome. Society 10 , — Kato, K. Genetic deletion of mouse platelet glycoprotein Ibbeta produces a Bernard-Soulier phenotype with increased alpha-granule size. Spritz, R. Genetic defects in Chediak-Higashi syndrome and the beige mouse.

Journal of clinical immunology 18 , 97— An allele-specific genotyping method for rat lyst lysosomal trafficking regulator gene. Mori, M. Anistoroaei, R. Landrum, M. ClinVar: improving access to variant interpretations and supporting evidence. Penner, J. Interspecific genetic complementation analysis with fibroblasts from humans and four species of animals with Chediak-Higashi syndrome.

Mazur, P. Jr Cryopreservation of the germplasm of animals used in biological and medical research: importance, impact, status, and future directions. Biology of reproduction 78 , 2—12 Swanson, W. Research in nondomestic species: experiences in reproductive physiology research for conservation of endangered felids. Green, M. Molecular cloning.

A Laboratory Manual 4th Howard, J. Teratospermic and normospermic domestic cats: ejaculate traits, pituitary-gonadal hormones, and improvement of spermatozoal motility and morphology after swim-up processing. Journal of andrology 11 , — Herrick, J.

Toward a feline-optimized culture medium: impact of ions, carbohydrates, essential amino acids, vitamins, and serum on development and metabolism of in vitro fertilization-derived feline embryos relative to embryos grown in vivo. In vitro fertilization and sperm cryopreservation in the black-footed cat Felis nigripes and sand cat Felis margarita. Stewart, R. Oral progestin priming increases ovarian sensitivity to gonadotropin stimulation and improves luteal function in the cat. Conforti, V.

Laparoscopic oviductal artificial insemination improves pregnancy success in exogenous gonadotropin-treated domestic cats as a model for endangered felids. Providing high-quality education for every child is our ultimate task as educators. Pianta and Walsh have argued,.

Children who depend on schooling for all their formal education must be challenged and nurtured intellectually beyond what their more fortunate peers may require.

What they do not have access to in schools, they are unlikely to have access to elsewhere. Children from less-privileged backgrounds should receive instruction in fundamental skills and, perhaps more importantly, should participate in educational experiences that motivate them and provide them with the opportunity to engage in higher-order cognitive processes.

Our study has shown that children from economically disadvantaged families can benefit from educational experiences based on the Project Approach. The children in our study improved their writing skills as they participated in open-ended, active learning strategies based on inquiry and collaboration.

Our research thus supports similar results from other studies showing that the Project Approach can be a powerful method for accomplishing a wide range of educational objectives even with the current emphasis on standards and accountability. We would encourage classroom teachers to "try out" the Project Approach, using it in their classrooms when, where, and in ways that work for them. We reiterate that the Project Approach should be presented as part of a continuum of possibilities rather than as "the" teaching method to be mastered and implemented.

Our study shows that every little bit helps, and we would hope that by using the Project Approach in small and idiosyncratic ways, teachers and children may well be empowered to see education as a way of living a purposive and meaningful life. Alkon, Ivette. The chicken and egg project. Beneke, Sallee. Implementing the project approach in part-time early childhood education programs. Berry, Julia H. Faces to the windows: "The construction project.

Developmentally appropriate practice in early childhood programs serving children from birth through age 8 Rev. Bryson, Eileen. Will a project approach to learning provide children opportunities to do purposeful reading and writing, as well as provide opportunities for authentic learning in other curriculum areas?

Unpublished manuscript. Cuban, Larry. The 'at-risk' label and the problem of urban school reform. Phi Delta Kappan, 70 10 , , The apple project. Dixon, Becky. Purposeful learning: A study of water. The hundred languages of children: The Reggio Emilia approach—Advanced reflections 2nd ed.

Greenwich, CT: Ablex. Elliott, Mary Jane. Great moments of learning in project work. Young Children, 53 4 , Gallick, Barbara. The hairy head project. The llama project. Goldhaber, Jeanne. Where did you get that beautiful butterfly?

Yeah, but's that keep teachers from embracing an active curriculum. Young Children, 60 4 , Hart, Charles H. Integrated curriculum and developmentally appropriate practice: Birth to age eight. Windows on learning: Documenting young children's work. New York: Teachers College Press. Linking standards and engaged learning in the early years. Young investigators: The project approach in the early years.

Overcoming the ill effects of poverty. Katz, Lilian G. Engaging children's minds: The project approach. Norwood, NJ: Ablex. Engaging children's minds: The project approach 2nd ed. Stamford, CT: Ablex. Kilpatrick, William Heard. The project method. Teachers College Record, 19, Kogan, Yvonne.

A study of bones. Kozol, Jonathan. The new untouchables. Newsweek [Special issue], Lee, Kyunghwa. Raising the independent self: Folk psychology and folk pedagogy in American early schooling.

Unpublished doctoral dissertation, University of Illinois at Urbana-Champaign. Teaching children at-risk: An American preschool teacher's folk psychology and folk pedagogy. Journal of Early Childhood Research, 2 3 , Cognitive approaches to teaching advanced skills to educationally disadvantaged students. Phi Delta Kappan, 73 4 , Pianta, Robert C. High-risk children in schools: Constructing sustaining relationships.

New York: Routledge. Schuler, Dot. The project approach: Meeting the state standards. From a bean cake to a classroom kingdom: An idea becomes five weeks of learning. Young Children, 55 3 , Walsh, Daniel J. Changing one's mind—maintaining one's identity: A first-grade teacher's story.

Teachers College Record, 93 1 , S15—S26, Cooke-Davies, S. Cicmil, L. Crawford, and K. Bosch-Rekveldt, Y. Jongkind, H. Mooi, H. Bakker, and A. Geraldi, H. Maylor, and T. Vidal, F. Marle, and J. Brady and A. Padalkar and S. Ramasesh and T. Qureshi and C. Saunders, A. Gale, and A. Sinha, A. Thomson, and B. View at: Google Scholar C. Brockmann and G. Hall, A Methodology for Systems Engineering , Russell, E.

Jaselskis, and S. Lawrence and J. Tatikonda and S. Pich, C. Loch, and A. Ward and C. Girmscheid and C. Blau and R. Beyer and H. De Meyer, F. Maes, and A. Meyer and L. Corbett, J. Brockelsby, and C. Dewar and J. Steger, W. Amann, and M. Levitt, J. Thomsen, T. Christiansen, J. Kunz, Y. Jin, and C. Conforto, E. Rebentisch, and D. View at: Google Scholar J. Priest and J.

Woodward and H. Remington and J. Pollack, Tools for Complex Projects , Routledge, Turner and R. Williams and D. Snowden and M. View at: Google Scholar A. Shenhar and D. Clift and M. Declerck and R. Atkinson, L. Crawford, and S. Geraldi, and J. Universal Publishers, View at: Google Scholar O. Perminova, M. Gustafsson, and K.

Laufer, G. Denker, and A. Pundir, L. Ganapathy, and N. View at: Google Scholar. More related articles. Download other formats More. Related articles.

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Higashi, O. Congenital abnormity of peroxidase granules; a case of congenital gigantism of peroxidase granules, preliminary report. The Tohoku journal of experimental medicine 58 , Congenital gigantism of peroxidase granules; the first case ever reported of qualitative abnormity of peroxidase. The Tohoku journal of experimental medicine 59 , — Steinbrink, W. Uber eine neue granulations-anomolie der leukocyten.

Deutshe Arch. Google Scholar. Neutropenia cronica maligna familiar con granulaciones atipicas de los leucocitos. Boletin de la Sociedad Cubana. Pediatrics 15 , — Bell, T. Decreased nucleotide and serotonin storage associated with defective function in Chediak-Higashi syndrome cattle and human platelets. Blood 48 , — Blume, R. Giant neutrophil granules in the Chediak-Higashi syndrome of man, mink, cattle and mice. Canadian journal of comparative medicine.

Revue canadienne de medecine comparee 33 , — Yamakuchi, H. Chediak-Higashi syndrome mutation and genetic testing in Japanese black cattle Wagyu. Animal genetics 31 , 13—19 Padgett, G. Genetics 49 , — Larsen, W. The Chediak-Higashi syndrome and Aleutian mink. Archives of dermatology 96 , — Article Google Scholar. Hirano, A. Cytoplasmic inclusions in Chediak-Higashi and Wobbler mink. An electron microscopic study of the nervous system. Journal of neuropathology and experimental neurology 30 , — Meyers, K.

Characterization of platelets from normal mink and mink with the Chediak-Higashi syndrome. American journal of hematology 7 , — Collier, L. Ocular melanin pigmentation anomalies in cats, cattle, mink, and mice with Chediak-Higashi syndrome: histologic observations. Current eye research 3 , — Ridgway, S. Reported causes of death of captive killer whales Orcinus orca. Journal of wildlife diseases 15 , 99— Taylor, R.

Light and electron microscopy of peripheral blood neutrophils in a killer whale affected with Chediak-Higashi syndrome. Federation proceedings , 32 Sjaastad, O. Adenine nucleotides, serotonin, and aggregation properties of platelets of blue foxes Alopex lagopus with the Chediak-Higashi syndrome. Fagerland, J. Ultrastructure and stereology of leukocytes and platelets of normal foxes and a fox with a Chediak-Higashi-like syndrome.

Veterinary pathology 24 , — Kramer, J. The Chediak-Higashi syndrome of cats. Laboratory investigation; a journal of technical methods and pathology 36 , — Parker, M. Prieur, D. Inheritance of the Chediak-Higashi syndrome in cats. The Journal of heredity 72 , — Neutropenia in cats with the Chediak-Higashi syndrome. Wardrop, K. Evaluation of hepatic and renal function in cats with chediak-higashi syndrome. Veterinary Clinical Pathology 16 , 40—44 Masliah-Planchon, J.

Molecular determinants of platelet delta storage pool deficiencies: an update. Nurden, A. Advances in our understanding of the molecular basis of disorders of platelet function. Inherited platelet disorders. Sieni, E. Familial hemophagocytic lymphohistiocytosis: a model for understanding the human machinery of cellular cytotoxicity. White, J. Rapid ultrastructural detection of success or failure after bone marrow transplantation in the Chediak-Higashi syndrome. Rihani, R. Unrelated cord blood transplantation can restore hematologic and immunologic functions in patients with Chediak-Higashi syndrome.

Eapen, M. Hematopoietic cell transplantation for Chediak-Higashi syndrome. Kazmierowski, J. Chediak-Higashi syndrome: reversal of increased susceptibility to infection by bone marrow transplantation.

Blood 47 , — Nishimura, M. Beige rat: a new animal model of Chediak-Higashi syndrome. Blood 74 , — Bennett, J. Characterization and significance of abnormal leukocyte granules in the beige mouse: a possible homologue for Chediak-Higashi Aleutian trait. The Journal of laboratory and clinical medicine 73 , — Renshaw, H. Growth characteristics of bone marrow cells from beige mutant, the mouse homologue of the Chediak-Higashi syndrome of man, propagated in semisolid agar cultures.

In vitro 11 , 5—13 Brandt, E. The Chediak-Higashi beige mutation in two mouse strains. Allelism and similarity in lysosomal dysfunction. The American journal of pathology 82 , — Masui, N. The rat lysosomal trafficking regulator Lyst gene is mapped on the telomeric region of chromosome Barbosa, M.

Identification of the homologous beige and Chediak-Higashi syndrome genes. Nagle, D. Identification and mutation analysis of the complete gene for Chediak-Higashi syndrome.

Weisfeld-Adams, J. Atypical Chediak-Higashi syndrome with attenuated phenotype: three adult siblings homozygous for a novel LYST deletion and with neurodegenerative disease.

Kaya, Z. A novel single point mutation of the LYST gene in two siblings with different phenotypic features of Chediak Higashi syndrome. Zarzour, W. Certain, S. Blood 95 , — Kunieda, T. Cloning of bovine LYST gene and identification of a missense mutation associated with Chediak-Higashi syndrome of cattle. Mammalian genome: official journal of the International Mammalian Genome.

Society 10 , — Kato, K. Genetic deletion of mouse platelet glycoprotein Ibbeta produces a Bernard-Soulier phenotype with increased alpha-granule size.

Spritz, R. Genetic defects in Chediak-Higashi syndrome and the beige mouse. Journal of clinical immunology 18 , 97— An allele-specific genotyping method for rat lyst lysosomal trafficking regulator gene.

Mori, M. Anistoroaei, R. Landrum, M. ClinVar: improving access to variant interpretations and supporting evidence. Metrics will be different in each case and iteratively adapted and will be described in detail in separate, detailed publications for each case. Quantitative data sources may include, for example, usage statistics, waiting times, and proportion of a defined denominator population who are confident users of the technology.

All case studies have received some initial funding see the Acknowledgments section. In some studies, continuation of data collection and analysis for the full study period will depend on securing additional research funding. We plan to follow these five case studies from to a planned completion date of We are also undertaking a wider national and international case study of the context for innovation.

We will conduct background stakeholder interviews and maintain a two-way dialogue with these stakeholders throughout the study and link them with our dissemination efforts. Principally, through the various theoretical perspectives that have been built into the NASSS-CAT instrument, we will apply relevant theories of technology adoption, implementation, spread and scale-up, and specific change and monitoring tools. These include theories of individual behavior change to explain nonadoption and abandonment by individuals , organizational capacity to innovate and readiness for change, technologies as part of complex systems, and value creation.

Using empirical data and cross-case synthesis from the case studies, we will refine and extend the NASSS-CAT tools and linked resources, embracing additional approaches where appropriate. We are committed to patient and public involvement in all stages of this research. The action research process in each case study still to be defined in detail will include contextually appropriate methods for gaining input from patients and service users, including comments on data sources and input to data analysis and action planning.

The PAIReD panel, and our wider online network of Patients Active In Research, will be consulted on dissemination activity, especially the preparation of lay summaries and a public-facing website. Most participants reported that they found the tools useful and felt that they had gained valuable insights into their technology project or idea for a project by using it. Specific issues raised that informed iterative refinement of the tools between workshops included:. Some of the co-design feedback was difficult or impossible to incorporate into paper or PDF versions of the tools, but we plan to address this issue in a future digital version which is now in production.

For example:. Complexity mapping revealed, for example, that while intended adopters staff and patients were engaged and keen, there were high levels of complexity in all other domains, including the illness schizophrenia is a heterogeneous condition with unpredictable course and often multimorbidity and associated social problems; the portal has significant interdependencies with systems controlled by third parties; the value proposition for the technology was uncertain; while departmental tension for change was high, the dashboard did not appear to be a strategic priority for the organization as a whole and the business plan was not considered persuasive; despite a strong pro-technology policy push in Swedish health care, the number of new products competing for attention may have overshadowed the portal project; and the practicalities of implementation appeared complex.

Although the mapping exercise did not generate easy fixes, workshop participants found that surfacing and talking through the complexities were extremely useful for clarifying and working through the project at a time when progress was slow. Recommendations stemming directly from the NASSS-CAT workshop in this case included 1 developing a clear value proposition with information on costs, benefits, and risks; 2 developing and disseminating a rolling shared vision of what the project is and keeping this updated; 3 strengthening project leadership and governance and allocating a dedicated budget to it; 4 focusing initially on the less complex components and functions of the technology; and 5 acting strategically in the wider context eg, by seeking to rebrand the project to fit a policy initiative.

Suggestions for improving the process included attention to detail in advance of the workshop to define each term in the NASSS-CAT tool more precisely in relation to the specific project being discussed. The participants also suggested including additional staff groups in the workshop. Results of the other five ongoing case studies will be presented in subsequent publications. This protocol has described how we combined a theory-informed analytic framework to deepen understanding NASSS with a pragmatically focused planning tool to aid implementation CAT to produce the four versions of the NASSS-CAT tools and outlined the characteristics and data collection plans for a series of real-world case studies to test these tools.

Our approach is based on the principle that if a project is complex, it is unlikely to be effectively managed using a linear, logic model methodology and technocratic progress metrics.

On the contrary, the greater the uncertainties and interdependencies in a project, the more crucial it is to avoid oversimplifying and overrationalizing. A limitation of the NASSS-CAT tools, according to those who favor a more rationalistic approach, is that they are relatively unstructured and likely to generate messy data.

However, the strength of these tools, we believe, is that for the very reason that they are unstructured, they are particularly suited to addressing the hypercomplexity of many health and care technology projects. Such an approach assumes an open-world ontology ie, it sees the world as subject to multiple interacting influences, which must be captured in a rich and dynamic way , a performative epistemology ie, it focuses on real-world action and on what becomes possible through action , and a poetic praxeology ie, when writing up case studies, it seeks to produce descriptive details, an apt metaphor, and a narrative coherence [ 50 ].

The NASSS-CAT LONG, in particular, is designed to capture, through free-text narrative, the numerous interacting influences that could affect project success; to highlight the twists and turns as the project unfolds; and to foreground mundane issues that help explain why the project has stalled.

Another potential limitation of the NASSS-CAT tools is that people who do not understand the unresolvable nature of problems in complex systems may apply them in a rigid and deterministic way rather than—as we intend them to be used—flexibly and imaginatively to accommodate the wide differences between projects. In addition, the tools presented as appendices to this paper might be viewed as definitive rather than preliminary. At this stage, we strongly encourage implementation teams and implementation researchers to view these as beta versions and provide us feedback in the form of suggestions for improvements in their design or application.

In the dissemination phase of this study, we aim to produce a range of written and other outputs for academic and lay audiences, including standard academic outputs peer-reviewed journal articles, conference presentations plain-language versions of more definitive NASSS-CAT tools, resources such as customizable templates and facilitator guides , and policy briefings. In conclusion, we have presented the first iteration of a suite of tools designed to apply complexity principles to understand, guide, monitor, and evaluate technology projects in health and care.

Academic and service teams are already using these tools to help achieve implementation, spread, and scale-up of various kinds of technology-supported change. We hope to report both empirical and theoretical findings from the case studies described here and additional cases as these come onstream. We also encourage teams working in low- and middle-income countries to use these tools in formal research or evaluation work, to extend their current scope of application.

We are, in principle, interested in providing support to other research groups and implementation teams who seek to use NASSS-CAT in technology implementation, although, in practice, this will depend on our availability and probably on securing additional external funding. TG conceptualized the study, co-led the work program with SS, and prepared the first draft of the manuscript.

JW led the applications for ethical approval. All authors had input to revisions of the manuscript and approved the final manuscript. Nonadoption, abandonment, scale-up, spread, and sustainability—complexity assessment tools long.

Nonadoption, abandonment, scale-up, spread, and sustainability—complexity assessment tools project. Nonadoption, abandonment, scale-up, spread, and sustainability—complexity assessment tools interview. Edited by F Drozd; submitted Skip to Main Content Skip to Footer.

Article Authors Cited by 7 Tweetations 28 Metrics. Original Paper. Multimedia Appendix 1 Characteristics of the six case studies. Multimedia Appendix 2 Nonadoption, abandonment, scale-up, spread, sustainability short.

Multimedia Appendix 3 Nonadoption, abandonment, scale-up, spread, and sustainability—complexity assessment tools long. Multimedia Appendix 4 Nonadoption, abandonment, scale-up, spread, and sustainability—complexity assessment tools project. Multimedia Appendix 5 Nonadoption, abandonment, scale-up, spread, and sustainability—complexity assessment tools interview. A literature review for large-scale health information system project planning, implementation and evaluation.

Int J Med Inform Jan; The paradoxes of telehealth: a review of the literature Syst Res Behav Sci ;35 1 Organizational issues in the implementation and adoption of health information technology innovations: an interpretative review. Int J Med Inform May;82 5 :ee Factors that promote or inhibit the implementation of e-health systems: an explanatory systematic review.

Adoption and non-adoption of a shared electronic summary record in England: a mixed-method case study. Br Med J Jun 16;c Why national eHealth programs need dead philosophers: Wittgensteinian reflections on policymakers' reluctance to learn from history.

Adoption, non-adoption, and abandonment of a personal electronic health record: case study of HealthSpace. Choose and Book: a sociological analysis of 'resistance' to an expert system. Norwich: The Stationery Office; Routledge Handbook of Projectification of the Public Sector. London: Routledge; Greenhalgh T, Russell J. Why do evaluations of eHealth programs fail? An alternative set of guiding principles.

Integration of targeted health interventions into health systems: a conceptual framework for analysis. Health Policy Plan Mar;25 2 Adoption of technology-enhanced treatments: conceptual and practical considerations. White Cat Project Vol. Enhance your purchase.

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