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Growing Recognition (growing + recognition)
Selected AbstractsMeasuring knowledge of natural selection: A comparison of the CINS, an open-response instrument, and an oral interviewJOURNAL OF RESEARCH IN SCIENCE TEACHING, Issue 10 2008Ross H. Nehm Abstract Growing recognition of the central importance of fostering an in-depth understanding of natural selection has, surprisingly, failed to stimulate work on the development and rigorous evaluation of instruments that measure knowledge of it. We used three different methodological tools, the Conceptual Inventory of Natural Selection (CINS), a modified version of Bishop and Anderson's (Bishop and Anderson [1990] Journal of Research in Science Teaching 27: 415,427) open-response test that we call the Open Response Instrument (ORI), and an oral interview derived from both instruments, to measure biology majors' understanding of and alternative conceptions about natural selection. We explored how these instruments differentially inform science educators about the knowledge and alternative conceptions their students harbor. Overall, both the CINS and ORI provided excellent replacements for the time-consuming process of oral interviews and produced comparable measures of key concept diversity and, to a lesser extent, key concept frequency. In contrast, the ORI and CINS produced significantly different measures of both alternative conception diversity and frequency, with the ORI results completely concordant with oral interview results. Our study indicated that revisions of both the CINS and ORI are necessary because of numerous instrument items characterized by low discriminability, high and/or overlapping difficulty, and mismatches with the sample. While our results revealed that both instruments are valid and generally reliable measures of knowledge and alternative conceptions about natural selection, a test combining particular components of both instruments,a modified version of the CINS to test for key concepts, and a modified version of the ORI to assess student alternative conceptions,should be used until a more approprite instrument is developed and rigorously evaluated. © 2008 Wiley Periodicals, Inc. J Res Sci Teach 45: 1131,1160, 2008 [source] RATS, We Should Have Used Clinton: Subliminal Priming in Political CampaignsPOLITICAL PSYCHOLOGY, Issue 5 2008Joel Weinberger Political strategists decide daily how to market their candidates. Growing recognition of the importance of implicit processes (processes occurring outside of awareness) suggests limitations to focus groups and polling, which rely on conscious self-report. Two experiments, inspired by national political campaigns, employed Internet-presented subliminal primes to study evaluations of politicians. In Experiment 1, the subliminal word "RATS" increased negative ratings of an unknown politician. In Experiment 2, conducted during former California Governor Gray Davis's recall referendum, a subliminal photo of Clinton affected ratings of Davis, primarily among Independents. Results showed that subliminal stimuli can affect ratings of well-known as well as unknown politicians. Further, subliminal studies can be conducted in a mass media outlet (the Internet) in real time and supplement voter self-report, supporting the potential utility of implicit measures for campaign decision making. [source] Promoting Stability and Development in Fragile and Failed StatesDEVELOPMENT POLICY REVIEW, Issue 2 2006Monika François There is a growing recognition of the threat to international security posed by failed and fragile states, often marred by serious internal conflict that also has the potential of destabilising neighbouring states and providing ungoverned territory that can provide safe haven for terrorists. The inability of their governments to provide basic services is considered a significant contributory factor. Considerable donor efforts have been mobilised in recent years to help with the post-conflict reconstruction of states emerging from failure, and to halt the slide of fragile states towards failure, but with mixed effect. The international community needs to focus much more squarely on strengthening the emerging state and increasing its domestic legitimacy, rather than on promoting democracy. [source] Screening for Novel Industrial BiocatalystsENGINEERING IN LIFE SCIENCES (ELECTRONIC), Issue 6 2004P. Lorenz Abstract Biocatalysis, the use of microbial cells or isolated enzymes in the production of fine chemicals, is steadily moving towards becoming accepted as an indispensable tool in the inventory of modern synthetic chemistry [1]. It is estimated that in 10,% of the cases biocatalysis will provide an overall superior synthetic strategy over traditional organic chemistry [2]. This remarkable development in a field coined "white biotechnology" is due to the growing recognition in the industry of the capabilities and performance of enzymes as exemplified in a growing number of implemented processes [3,,4], examples running at a scale of >1000 tons product/year. Breakthroughs in the key biotechnological areas of a) genetic resource access (explicitly the explorability of non-cultivated microorganisms), b) enzyme screening and discovery and c) in vitro evolution of proteins to find and optimize enzymes to become near-ideally suited biocatalysts have been instrumental in pushing industrial biocatalysis to where it stands today [5, 6]. With these technological options it seems that future use of biocatalysis is limited only by the availability of the biocatalyst [3], the screening for which is subject of this review. [source] Restricted parameter space models for testing gene-gene interactionGENETIC EPIDEMIOLOGY, Issue 5 2009Minsun Song Abstract There is a growing recognition that interactions (gene-gene and gene-environment) can play an important role in common disease etiology. The development of cost-effective genotyping technologies has made genome-wide association studies the preferred tool for searching for loci affecting disease risk. These studies are characterized by a large number of investigated SNPs, and efficient statistical methods are even more important than in classical association studies that are done with a small number of markers. In this article we propose a novel gene-gene interaction test that is more powerful than classical methods. The increase in power is due to the fact that the proposed method incorporates reasonable constraints in the parameter space. The test for both association and interaction is based on a likelihood ratio statistic that has a x,2 distribution asymptotically. We also discuss the definitions used for "no interaction" and argue that tests for pure interaction are useful in genome-wide studies, especially when using two-stage strategies where the analyses in the second stage are done on pairs of loci for which at least one is associated with the trait. Genet. Epidemiol. 33:386,393, 2009. © 2008 Wiley-Liss, Inc. [source] Advances in river ice hydrology 1999,2003HYDROLOGICAL PROCESSES, Issue 1 2005Brian Morse Abstract In the period 1999 to 2003, river ice has continued to have important socio-economic impacts in Canada and other Nordic countries. Concurrently, there have been many important advances in all areas of Canadian research into river ice engineering and hydrology. For example: (1) River ice processes were highlighted in two special journal issues (Canadian Journal of Civil Engineering in 2003 and Hydrological Processes in 2002) and at five conferences (Canadian Committee on River Ice Processes and the Environment in 1999, 2001 and 2003, and International Association of Hydraulic Research in 2000 and 2002). (2) A number of workers have clearly advanced our understanding of river ice processes by bringing together disparate information in comprehensive review articles. (3) There have been significant advances in river ice modelling. For example, both one-dimensional (e.g. RIVICE, RIVJAM, ICEJAM, HEC-RAS, etc.) and two-dimensional (2-D; www.river2d.ca) public-domain ice-jam models are now available. Work is ongoing to improve RIVER2D, and a commercial 2-D ice-process model is being developed. (4) The 1999,2003 period is notable for the number of distinctly hydrological and ecological studies. On the quantitative side, many are making efforts to determine streamflow during the winter period. On the ecological side, some new publications have addressed the link to water quality (temperature, dissolved oxygen, nutrients and pollutants), and others have dealt with sediment transport and geomorphology (particularly as it relates to break-up), stream ecology (plants, food cycle, etc.) and fish habitat. There is the growing recognition, that these types of study require collaborative efforts. In our view, the main areas requiring further work are: (1) to interface geomorphological and habitat models with quantitative river ice hydrodynamic models; (2) to develop a manager's toolbox (database management, remote sensing, forecasting, intervention methodologies, etc.) to enable agencies to intervene better at the time of ice-jam-induced floods; and (3) finalize ice-jam prevention methods on the St Lawrence River to safeguard its $2 billion commercial navigation industry. Copyright © 2005 John Wiley & Sons, Ltd. [source] Localization , an alternative to corporate-led globalizationINTERNATIONAL JOURNAL OF CONSUMER STUDIES, Issue 4 2003Caroline Lucas In the aftermath of 11 September, there has been a growing recognition that an increasingly unequal world is not only morally unacceptable but also deeply insecure. This paper defines globalization as economic, corporate-led globalization, a process that impacts every facet of our life. For illustrative purposes, this paper will briefly examine the role played by the globalization process in exacerbating the gap between rich and poor. It will make the case that, contrary to popular wisdom, there is nothing inevitable about this process. One such alternative is localization , a set of interrelated and self-reinforcing policies that actively discriminate in favour of the more local, whenever it is feasible and reasonable. [source] Physiological risk factors, early warning scoring systems and organizational changesNURSING IN CRITICAL CARE, Issue 5 2007Carolyn C Johnstone Abstract Currently, medical and surgical wards tend to have a higher number of sicker and more dependent patients. There is also a growing recognition that several indicators of acute deterioration are being missed, leading to adverse consequences for the patients. As a result, many initiatives have been designed to try to reduce these consequences, including the development of early warning scoring or track and trigger systems and medical response and critical care outreach teams. This paper briefly discusses the risk factors associated with acute deterioration, the use of early warning scoring or track and trigger systems and the role of outreach teams. The aim of this paper is to discuss the development and subsequent implementation of early warning scoring systems (EWS) or track and trigger systems. It will also discuss the associated organizational changes; the main organizational change discussed will be the introduction outreach teams. For this paper, a pragmatic search strategy was implemented using the following terms: early warning score and scoring, track and trigger systems, decision-making tools, critical care outreach and medical emergency teams. The databases used included CINHAL (1997,2007), Medline, Blackwell Synergy and Science Direct, as these would enable the retrieval of relevant literature in the area of triggering of response to acute deterioration in clinical condition. A 10-year limit was initially set, although review of the literature identified resulted in a widening of this to include some of the relevant (and occasionally more dated) literature referred to in these papers. A total of 645 were accessed; of these 135 were retrieved as they appeared to meet the inclusion criteria, but only 35 have been included in this review. The term decision-making tools accounted for the largest number (500), but most of these were irrelevant. EWS are not always used to their full potential, raising the question of their impact. The impact of outreach teams and medical emergency teams has yet to be fully defined. For clinical practice, this means that care must be taken when developing and implementing these changes. The rigour of the development process needs to be considered along with reflection upon how to best meet local requirements. [source] Current and emerging concepts in tumour metastasis,THE JOURNAL OF PATHOLOGY, Issue 1 2010Caroline Coghlin Abstract Disseminated cancer accounts for most deaths due to malignancy. Despite this, research has focused predominantly on tumour development and progression at the primary site. Recently, attention has shifted towards the field of tumour metastasis. Several new and exciting concepts that have emerged in the past few years may shed light on this complex area. The established canonical theory of tumour metastasis, as a process emerging from a stepwise accumulation of genetic events fuelled by clonal evolution, has been challenged. New evidence suggests that malignant cells can disseminate at a much earlier stage than previously recognized in tumourigenesis. These findings have direct relevance to clinical practice and shed new light on tumour biology. Gene-profiling studies support this theory, suggesting that metastatic ability may be an innate property shared by the bulk of cells present early in a developing tumour mass. There is a growing recognition of the importance of host factors outside the primary site in the development of metastatic disease. The role of the ,pre-metastatic niche' is being defined and with this comes a new understanding of the function of bone marrow-derived progenitor cells in directing the dissemination of malignant cells to distant sites. Current research has highlighted the crucial roles played by non-neoplastic host cells within the tumour microenvironment in regulating metastasis. These new concepts have wide-ranging implications for our overall understanding of tumour metastasis and for the development of cancer therapeutics. Copyright © 2010 Pathological Society of Great Britain and Ireland. Published by John Wiley & Sons, Ltd. [source] Financial Indicators for Critical Access HospitalsTHE JOURNAL OF RURAL HEALTH, Issue 3 2006George H. Pink PhD ABSTRACT:,Context: There is a growing recognition of the need to measure and report hospital financial performance. However, there exists little comparative financial indicator data specifically for critical access hospitals (CAHs). CAHs differ from other hospitals on a number of dimensions that might affect appropriate indicators of performance, including differences in Medicare reimbursement, limits on bed size and average length of stay, and relaxed staffing rules. Purpose: To develop comparative financial indicators specifically designed for CAHs using Medicare cost report data. Methods: A technical advisory group of individuals with extensive experience in rural hospital finance and operations provided advice to a research team from the University of North Carolina at Chapel Hill. Twenty indicators deemed appropriate for assessment of CAH financial condition were chosen and formulas determined. Issues 1 and 2 of the CAH Financial Indicators Report were mailed to the chief executive officers of 853 CAHs in the summer of 2004 and 1,092 CAHs in the summer of 2005, respectively. Each report included indicator values specifically for their CAH, indicator medians for peer groups, and an evaluation form. Findings: Chief executive officers found the indicators to be useful and the underlying formulas to be appropriate. The multiple years of data provide snapshots of the industry as a whole, rather than trend data for a constant set of hospitals. Conclusions: The CAH Financial Indicators Report is a useful first step toward comparative financial indicators for CAHs. [source] Comparative Performance Data for Critical Access HospitalsTHE JOURNAL OF RURAL HEALTH, Issue 4 2004George H. Pink PhD ABSTRACT: Context: Among small rural hospitals, there is a growing recognition of the need to measure and report on the use of resources and the safety and quality of the services provided. Dashboards, clinical value compasses, and balanced scorecards are approaches to performance measurement that have been adopted by many health care organizations. However, there exists very little comparative performance data specific for critical access hospitals. Purpose: To identify how comparative performance data for critical access hospitals (CPD-CAH) might facilitate performance and quality improvement, to assess the potential benefits and drawbacks of such data, and to identify some of the critical issues in the development and implementation of CPD-CAH. Methods: Assessment of discussions by participants at a rural hospital performance improvement summit and authors' analyses. Findings: CPD-CAH potentially could improve quality of care and patient outcomes, provide comparative data and benchmarks, inform policy development, facilitate collaboration, and enhance community relations. However, CPD-CAH could also impose an unaffordable cost, produce poor information, require complex coordination, induce a negative public reaction, and result in perverse hospital behavior. Development and implementation of CPD-CAH would require including stakeholders' assessment of its desirability and feasibility, setting objectives, establishing guiding principles, developing a method, collecting and analyzing data, and disseminating results. Conclusions: CPD-CAH could significantly advance CAH performance and quality improvement. However, development and implementation would be a complicated exercise requiring academic expertise and practitioner consultation. The potential value of CPD-CAH should be carefully weighed against its potential cost. [source] Advances in the basic and clinical science of migraine,ANNALS OF NEUROLOGY, Issue 5 2009Andrew Charles MD Migraine continues to be an elephant in the room of medicine: massively common and a heavy burden on patients and their healthcare providers, yet the recipient of relatively little attention for research, education, and clinical resources. Its visibility is gradually increasing, however, as advances in genetics, imaging, epidemiology, and pharmacology produce a more definitive understanding of the condition, and identify more specific and effective treatments. Rapid evolution of concepts regarding its prevalence, pathophysiology, and clinical management is leading to growing recognition of migraine as a fundamentally important disorder of the nervous system. Ann Neurol 2009;65:491,498 [source] Exit, Voice and Loyalty Reactions to Job Insecurity in Sweden: Do Unionized and Non-unionized Employees Differ?BRITISH JOURNAL OF INDUSTRIAL RELATIONS, Issue 2 2001Magnus Sverke Although job insecurity has received growing recognition in connection with the transformation of working life, little is known about how unionization affects its consequences. Data from Swedish health care employees indicate that job insecurity is related primarily to coping strategies in the exit and voice domains. Union members were less inclined to make use of the exit and voice options compared with their non-unionized co-workers, and more typically expressed loyalty to the organization. The collective support derived from union membership may make individual voice expressions less important, a finding that has to be replicated in countries with lower unionization rates. [source] Predictors of colorectal cancer screening from patients enrolled in a managed care health plan,CANCER, Issue 6 2008Melissa M. Farmer PhD Abstract BACKGROUND Despite the growing recognition of the importance of colorectal cancer (CRC) screening in reducing cancer mortality, national screening rates are low, indicating a critical need to understand the barriers and remedies for underutilization of CRC screening tests. METHODS Using results from independent cross-sectional telephone surveys with patients aged ,50 years performed before (2000; n = 498) and after (2003; n = 482) a quality improvement intervention for CRC screening within a large managed care health plan, the trends and predictors of CRC screening with fecal occult blood test (FOBT) and/or endoscopy (flexible sigmoidoscopy/colonoscopy) were examined from a patient perspective. RESULTS In 2000, patient reported screening rates within guidelines were 38% for any test, 23% for endoscopy, and 22% for FOBT. In 2003, screening rates increased to 50% for any test, 39% for endoscopy, and 24% for FOBT. Having discussed CRC with a doctor significantly increased the odds of being screened (FOBT: odds ratio [OR], 2.09 [95% confidence interval (95% CI), 1.47,2.96]; endoscopy: OR, 2.33 [95% CI, 1.67,3.26]; and any test: OR, 2.86 [95% CI, 2.06,3.96]), and reporting barriers to CRC in general decreased the odds of being screened (FOBT: OR, 0.76 [95% CI, 0.60,0.95]; endoscopy: OR, 0.74 [95% CI, 0.60,0.92]; and any test: OR, 0.66 [95% CI, 0.54,0.80]). CONCLUSIONS Although screening rates increased over the 3-year period, evidence was found of ongoing underutilization of CRC screening. The 2 strongest determinants of obtaining CRC screening were provider influence and patient barriers related to CRC screening in general, pointing to the need for multilevel interventions that target both the provider and patient. Cancer 2008. © 2008 American Cancer Society. [source] A practice framework to guide screening and assessment in the Australian Family Relationship Centres and Advice LineCHILD & FAMILY SOCIAL WORK, Issue 4 2009Gail Winkworth ABSTRACT In recent years, there has been a growing recognition of the reactive way in which policy is translated into practice on the front lines of child and family welfare organizations, particularly in how risk is assessed and responded to by staff at all levels in these organizations. Major reforms to family law in Australia and programmes set up to complement the existing Commonwealth-Funded Family Relationship Services Program provide an opportunity to rethink how staff can be provided with a systematic and research-based set of guidelines for screening and assessment. This paper examines the role of practice frameworks in general and the Australian family relationships screening and assessment practice framework in particular to demonstrate not only how this broader evidence-based approach encourages well-informed, professional and ethical practice but also how it leaves room for creativity and local, place-based responsiveness. [source] Self-reported and clinically determined oral health status predictors for quality of life in dentate older migrant adultsCOMMUNITY DENTISTRY AND ORAL EPIDEMIOLOGY, Issue 1 2008R. Mariño Abstract,,, Objective:, This paper reports the impact of oral health on the quality of life (QOL) of Southern European, dentate older adults, living independently in Melbourne, Australia. Participants were recruited through ethnic social clubs and interviewed about oral health, general health, socio-demographics, and QOL using the Medical Outcomes Study Short-Form 12 (SF-12). The SF-12's physical and mental health component summary scores (PCS and MCS, respectively) were computed. The Oral Health Impact Profile (OHIP-14) assessed the specific impact of oral health on QOL. Participants were also given a clinical oral examination. Results:, A total of 603 eligible older adults volunteered; 308 were from Greek background and 295 were from Italian background. Mean age was 67.7 years (SD 6.2), with 63.7% being female. The PCS score had a mean value of 45.8 (SD 11.8), and MCS had a mean of 47.8 (SD 5.7). PCS was associated with, periodontal status, chronic health condition, self-perceived oral health needs, self-assessed oral health status, oral health impact score and the interaction between gender and level of education [F(11 552) = 10.57; P < 0.0001]. These independent variables accounted for 16% of the variance in PCS. The multivariate model predicting MCS had only one significant variable (self-reported gingival bleeding), explaining 1.5% of the variance. The OHIP-14 ranged from 0 to 48 with a mean score of 5.6 (SD 9.3). The model predicting OHIP-14 contained four significant variables: perceived oral health treatment needs, number of missing natural teeth, reports of having to sip liquid to help swallow food, and gender [F(4576) = 33.39; P < 0.0001], and explained 18% of the variance. The results demonstrated a negative association between oral health indicators and both the oral health-related QOL and the physical component of the SF-12. Conclusion:, The present findings support a growing recognition of the importance of oral health as a mediator of QOL. However, the self-selected sample and modest predictive power of the multivariate models suggest that further research is needed to expand this explanatory model. [source] | |||||||||||||||||||