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An adaptive multigrid numerical scheme is proposed for the deduction of three-dimensional Euler equations. The multigrid levels are generated by this h-refinement scheme, where the initial mesh production and refinement sections of the algorithm constitute only a small percentage of the total CPU time. This solution of adaptive multigrid scheme results in CPU decreases, consistent with that of a structured multigrid method.

Dietary deficiency of cobalamin resulting in tissue deficiency in white individuals is unusual. However, several patients with dietary deficiency who were neither vegan nor Hindu have been described. This report [...]

DISCUSSANTS: S. Stahl (NIA, Bethesda, MD), M. Calkins (IDEAs, Inc., Kirtland, OH). 'Culture Change' is the process through which an organization realigns its core systems and values. It has come to mean, for example, the replacement of an institutional mode with a personal, homelike mode, thus making a facility more attractive to its residents. Known to many, the Eden Alternative is one such attempt at culture change. But, what are the impacts of such programs? First is a consideration fo actually has become implemented. Then, what is the impact of the intervention, e.g., what are associated changes in Quality of Care and of Life? Having long been concerned with dementia care, the researchers and practitioners brought together in this group are in a unique position to comment on these issues, i.e, to define, and to assess the impact of culture change, in long-term care.