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Present Practices (present + practice)
Selected AbstractsChemotherapy-related nausea and vomiting , past reflections, present practice and future managementEUROPEAN JOURNAL OF CANCER CARE, Issue 1 2004M. MILLER ba (hons), msc (cancer nursing), rgn research fellow Although much progress has occurred in the last decade regarding the management of chemotherapy-induced nausea and vomiting, these remain among the most intolerable side-effects of treatment and patients continue to report the negative impact such symptoms have on their ability to enjoy life. Inadequate control of nausea and vomiting reduces patients' quality of life and functional status and jeopardizes the delivery of optimal treatment, so making its management a priority for oncology health care workers. This article will reflect on past and present evidence regarding the management of chemotherapy-induced nausea and vomiting while highlighting some of the most recent scientific advances before drawing conclusions about the future management of this troublesome symptom for patients receiving chemotherapy. [source] Visuo-spatial play experience: forerunner of visuo-spatial achievement in preadolescent and adolescent boys and girls?INFANT AND CHILD DEVELOPMENT, Issue 1 2004Michèle Robert Abstract This cross-sectional study explored whether participation, from early childhood, in play involving different cognitive abilities predicts visuo-spatial achievement at ages 9, 12, and 15. Based on parental assessment, prior and present practice of spatial manipulation play was found to be consistently more frequent in boys than in girls; the reverse held true for verbal expression play. Whereas boys did not significantly outperform girls in three visuo-spatial tasks, girls were superior on a contrastive vocabulary task. In general, with IQ statistically controlled, regression analyses showed that estimated past and present spatial manipulation play predicted both genders' proficiency in the water-level task and Embedded Figures Test, as did mothers' socioeconomic status for Block Design performance. Contrastingly, a negative relation was established between spatial manipulation play and vocabulary scores. Similar to the activity-ability association often identified among adults, the relation established here between spatial play experience and visuo-spatial ability was only modest. Further research should aim at more definitive conclusions through augmenting both diversity in the visuo-spatial skills measured and sophistication in play behaviour appraisal. Copyright © 2003 John Wiley & Sons, Ltd. [source] Drainage and salinity assessment in the Huinong Canal Irrigation District, Ningxia, China,IRRIGATION AND DRAINAGE, Issue 2 2005Peter Hollanders irrigation; drainage; salinisation; développement durable Abstract In the Huinong Canal Irrigation District, Ningxia, China, annually almost half of the amount of irrigation water, which is supplied from the Yellow River, is drained back to the river through an open drainage system. Waterlogging and salinization occur in parts of the irrigated area and part of the water drains to the surrounding desert. While 85,90% of inflow to the area is irrigation water there are good possibilities for water saving. To analyse water movement at field level and resulting drainage needs, from autumn 1998 until spring 2001 observations were made in two experimental areas: Pingluo and Huinong. The data were used for the calibration and validation of three computer models: SWAP, MODFLOW and DUFLOW. Different scenarios of water and salt behaviour in the unsaturated and saturated zone were simulated, as well as the flow through one of the main drains. The effects of various irrigation amounts and groundwater tables on crop growth, percolation and drainage needs were analysed. The present average irrigation water application during the growing season is 630,mm. On average 15% of the supplied water (665 million m3,yr,1) remains in the area. This is mainly irrigation water that was not used by the crops and did not reach the drainage system. It was found that an irrigation level of 75% of the present practice with a groundwater table of 1.0,m below the surface during the growing season gave the best results. Under such a practice the soil salinity will fluctuate around 3,3.5,dS,m,1, resulting in a good growth of wheat and a yield reduction for maize of about 20%. When adequate amounts of irrigation water are supplied in combination with local drainage improvements, the areas with middle and low-yielding crops can be reduced, as well as the area of wasteland. Copyright © 2005 John Wiley & Sons, Ltd. Annuellement presque la moitié de la quantité d'eau d'irrigation dans le district d'irrigation du canal Huinong, Ningxia, Chine, alimenté par la Rivière Jaune, est retournée à la rivière par un système de drainage à ciel ouvert. Des cas de saturation d'eau et de salinisation surgissent dans certaines parties de la zone irriguée et une partie de l'eau suinte vers le désert environnant. Comme 85,90% de l'entrée de l'eau dans la zone est de l'eau d'irrigation il y a de bonnes possibilités pour économiser de l'eau. Pour analyser la circulation de l'eau au niveau du champ et la nécessité de drainage des observations ont été effectuées pendant la période d'automne 1998 jusqu'au printemps 2001 dans deux zones expérimentales, Pingluo et Huinong. Les données rassemblées ont servi pour le calibrage et la validation de trois modèles informatiques: SWAP, MODFLOW et DUFLOW. Ces modèles ont été employés pour simuler plusieurs scénarios de comportement de l'eau et du sel dans la zone non saturée et dans la zone saturée tout comme l'écoulement par un des tuyaux d'écoulement principaux: le cinquième tuyau d'écoulement. L'effet de l'apport de différentes quantités d'eau d'irrigation, de différents niveaux de la nappe phréatique sur la croissance des cultures, la percolation et la nécessité de drainage a été analysé. L'actuel apport d'eau d'irrigation est de 630,mm en moyenne pendant la saison de croissance. Quinze pour cent en moyenne de l'eau fournie (665 millions m3/année) reste dans la zone, principalement de l'eau d'irrigation qui n'a pas servi aux cultures et qui n'a pas atteint le système de drainage. Un niveau d'irrigation représentant 75% des valeurs actuelles et une surface de la nappe phréatique de 1.0,m sous la surface donnent les meilleurs résultats pendant la saison de croissance. De tels apports entretiennent une salinisation du sol qui fluctuera entre environ 3 et 3.5,dS,m,1, donnant un bon résultat de la croissance du blé et une diminution du rendement pour le maïs d'environ 20%. Lorsque l'alimentation par des quantités adéquates d'eau d'irrigation sera assurée en combinaison avec des améliorations du drainage local, la zone donnant des récoltes moyennes et basses peut être réduite ainsi que les zones incultes. Copyright © 2005 John Wiley & Sons, Ltd. [source] Homosexuality and the Church's Witness in the ELCA's Current StruggleDIALOG, Issue 2 2005By Marc Kolden Abstract:, The basis for holding the traditional Christian position against same-sex sexual intimacy is sufficiently well-supported by arguments from scripture and Christian traditions of moral reasoning to vote to continue the present ELCA policies and practices regarding sexual conduct. Also, arguments for revising the traditional view are flawed morally and theologically. Despite the momentum of secular culture in North America and Europe, the ELCA should resist any changes in its policies and any relaxation in its disciplining of those who disregard its present practices. This will be difficult, because many proponents for change have raised their position to the level of a de facto article of faith, that is, something that they consider to be necessary (particularly as it concerns ordination), and thus they will do everything possible to secure acceptance of their position. [source] Measures of adherence to epilepsy treatment: Review of present practices and recommendations for future directionsEPILEPSIA, Issue 7 2008Angelia M. Paschal Summary Epilepsy is one of the most common neurological disorders worldwide, and the majority of people with epilepsy who live in developed countries manage their condition with antiseizure medication. Surprisingly, therefore, the literature on epilepsy does not document a comprehensive investigation of patient adherence to medication treatment. This paper reviews existing literature on direct and indirect measures of adherence. Based on this review, areas in need for further research have been identified, including improvement of self-report instruments, consideration of cultural factors, attention to patient literacy or numeracy levels, and inclusion of patient-guided measures. While no single method of determining adherence has proved effective, combining direct and indirect measures in a patient-guided, culturally competent atmosphere may increase adherence to treatment, improving health outcomes for this population. [source] The Future of Regions: Why the Competitiveness Imperative Should not Prevail over Solidarity, Sustainability and DemocracyGEOGRAFISKA ANNALER SERIES B: HUMAN GEOGRAPHY, Issue 2 2000Riccardo Petrella The thesis here submitted for debate and criticism is as follows: if today's governing principles that inspire policy choices and priority setting in our societies (which claim to be "knowledge- based societies") are to remain in place in the course of the coming five to ten years, the relative position of the less developed regions (and cities) vis-à-vis the most developed ones will again deteriorate, even though per capita real purchasing power might also slightly increase in the less developed regions. The if-hypothesis, however, is not the only possible pattern of future developments. Because present economic and political leaders are, in general, the promoters and supporters of today's predominant principles, the only way to make possible alternative future developments based on solidarity, sustainability and democracy is that citizens themselves take the initiative, locally and globally, to modify present practices and define new goals and new priorities. In consideration of the results obtained in recent years by civil social movements and protests, one may reasonably consider it as a possible scenario. [source] Building on the indigenous: theory and method of marriage therapy in contemporary Eastern and Western AfricaJOURNAL OF FAMILY THERAPY, Issue 4 2000Augustine Nwoye This paper highlights the distinctive approach to marriage therapy in use by therapists in two regions of Africa. It illustrates that marital therapy in these two regions is based on role theory framework and follows, in its execution, the pattern of the judicial trial model. It traces adaptations made by contemporary marriage therapists to ensure that while building their present practices on this essentially indigenous/court-room trial model, they are able to remain open to outside influences from other models of marriage. [source] Anesthesia management of familial dysautonomiaPEDIATRIC ANESTHESIA, Issue 6 2006JENNIE NGAI MD Summary Familial dysautonomia (FD) is an autosomal recessive inherited disorder, predominantly affecting the Ashkenazi Jewish population that is characterized by sensory and autonomic neuropathy. The protean manifestations and perturbations result in high morbidity and mortality. However, as a result of supportive measures and centralized care, survival has improved. As surgical options are increasing to symptomatically treat FD, anesthesiologists need to be familiar with this disorder. Because the Dysautonomia Center at NYU Medical Center is a referral center for FD patients, we have attained considerable anesthetic experience with FD. This article reviews clinical features of FD that could potentially affect anesthetic management and outlines our present practices. [source] Re-imagining Relevance: A Response to Starkey and MadanBRITISH JOURNAL OF MANAGEMENT, Issue 2001Christopher Grey Starkey and Madan (2001) propose that changing conditions of knowledge production mean that business schools face an increasing relevance gap which, if they do not respond, will be filled by management consultants and corporate universities. In this response, I question the core assumptions of their analysis, suggesting that they misunderstand both the historical role and present practices of universities and business schools. In particular they fail to understand the complexities of knowledge production, its relationship to practice and the importance of ,independence' which is the unique contribution that universities make to society. I argue that their proposal to bridge the relevance gap would, if adopted, have the effect of leaving business schools with no defensible social role. Thus, ironically, their ,solution' to the challenges facing business schools would in fact exacerbate the problems they currently face. [source] | |||||||||||||