Home About us Contact
|
Home About us Contact | ||
|
|
||
Primary Source (primary + source)
Selected AbstractsThe Many Colors of Hinduism: A Thematic-Historical Introduction , By Carl Olson Hindu Primary Sources: A Sectarian Reader , By Carl OlsonRELIGIOUS STUDIES REVIEW, Issue 2 2009Frederick M. Smith No abstract is available for this article. [source] Authority and leadership: the evolution of nursing management in 19th century teaching hospitalsJOURNAL OF NURSING MANAGEMENT, Issue 1 2008CAROL HELMSTADTER BA (Hons), RN (Retd) Aim, This study shows why some 19th century nursing managers were successful and some were not. Background, With the exception of Florence Nightingale, almost nothing has been written about 19th century nursing managers. Method, Classical historical method is used. Extensive use is made of secondary sources. Primary sources are found in the archives of the 12 London teaching hospitals, the Radcliffe Infirmary, the Convents of St John the Divine and the All Saints Sisters, and 16 000 Nightingale documents in the Collected Works of Florence Nightingale. Results, Success in delivering a highly competent nursing service depended on the matron's leadership and legitimate authority but she also had to have the support of her hospital board to gain access to allocation of scarce resources. Implications for nursing management, While the 19th century hospital environment was very different, how nurses directed under different circumstances clarifies our knowledge of successful nursing management in 2007. [source] Silas Weir Mitchell's essential tremorMOVEMENT DISORDERS, Issue 9 2007Elan D. Louis MD Abstract Silas Weir Mitchell (1829,1914) is recognized as an important American neurologist. Biographers refer in brief to a tremor. The objective of this review was to characterize Mitchell's tremor using handwriting samples, to examine handwriting samples of family members to determine whether this tremor was familial, and study Mitchell's allusions to tremor in personal, scientific, and fictional writings. Primary sources were the Papers of S. Weir Mitchell, College of Physicians of Philadelphia, and Mitchell's scientific and fictional writings. Mitchell's early handwriting was tremor-free yet, by 1873, the writing was tremulous. Handwriting in the 1880s and 1890s shows clear oscillations of moderate-amplitude. By the first decade of the 20th century, his handwriting was virtually illegible. Letters written by two siblings, his mother, and maternal grandfather also reveal tremor. Tremor was not prominent in Mitchell's personal or scientific writings and Mitchell referred to tremor in only 4 of 27 fictional writings In conclusion, Mitchell had a familial action tremor that began when he was in his early 40's and worsened considerably with age. The likely diagnosis was essential tremor. Curiously, Mitchell rarely alluded to tremor in personal writings and tremor was not prominently featured in his scientific or fictional works. © 2007 Movement Disorder Society [source] Primary sources of cognate research in human performance technologyPERFORMANCE IMPROVEMENT QUARTERLY, Issue 1 2008Liz V. Johnsen This article is third in a series written to address questions regarding the need for more empirical research in the field of human performance technology (HPT) and the need to determine the future direction of HPT research. The call for more empirical research has been published in journals such as Performance Improvement Quarterly and Performance Improvement (formerly Performance and Instruction) for nearly 20 years. [source] Fleeting images: A new look at early emotion discriminationPSYCHOPHYSIOLOGY, Issue 2 2001Markus Junghöfer The visual brain quickly sorted stimuli for emotional impact despite high-speed presentation (3 or 5 per s) in a sustained, serial torrent of 700 complex pictures. Event-related potentials, recorded with a dense electrode array, showed selective discrimination of emotionally arousing stimuli from less affective content. Primary sources of this activation were over the occipital cortices, extending to right parietal cortex, suggesting a processing focus in the posterior visual system. Emotion discrimination was independent of formal pictorial properties (color, brightness, spatial frequency, and complexity). The data support the hypothesis of a very short-term conceptual memory store (M. C. Potter, 1999),shown here to include a fleeting but reliable assessment of affective meaning. [source] Public Health Nursing Competencies 1953,1966: Effective and EfficientPUBLIC HEALTH NURSING, Issue 5 2007Florence M. Weierbach ABSTRACT The Quad Council of Public Health Nursing Organizations developed public health nursing competencies in 2003. They are guides for determining skills at two levels, and they identify public health nurses as providing care to individuals and families or to populations and systems with the nurse having proficiency, awareness, or knowledge. The primary purpose of this paper is to discuss historical nursing roles and qualifications as judged by the 2003 competencies, including educational preparation and experience for the administrative and staff nurse. The historical exemplar for the nursing roles is a combination public/private nursing association, referred to as the partnership, that took place in 1953,1966. Primary sources include archived material from the Instructive Visiting Nurse Association, Richmond, VA. Administrative responsibilities were divided between the chief nurse and the nursing supervisors. Staff nurse responsibilities included clinic activities, home visitation, and referral coordination between health care organizations. The delineation of nursing roles demonstrates nurses' meeting the 2003 competencies. Based on the Quad Council's 2003 public health nursing competencies, the partnership nurses were competent. [source] The Quest for Distinction: A Reappraisal of the Rural Labor Process in Kheda District (Gujarat), India,ECONOMIC GEOGRAPHY, Issue 2 2000Vinay Gidwani Abstract: In this article I examine how the rural labor process is constitutive of social identity, particularly status, by harnessing empirical evidence from Kheda District, Gujarat, and other parts of India. Emphasis is on the labor practices of the dominant Lewa Patel caste, and only secondarily on the practices of other caste groups. My central claim is that the labor process is a primary arena in which the quest for social distinction occurs and that the primary source of distinction is the ability to withdraw family labor power from the commoditized labor circuit. In this paper I seek to deepen conventional understandings of the labor process within economic geography, agrarian studies, and mainstream economics. [source] Exposure and effects assessment of resident mink (Mustela vison) exposed to polychlorinated dibenzofurans and other dioxin-like compounds in the Tittabawassee River basin, Midland, Michigan, USA,ENVIRONMENTAL TOXICOLOGY & CHEMISTRY, Issue 10 2008Matthew J. Zwiernik Abstract Historically, sediments and floodplain soils of the Tittabawassee River (TR; MI, USA) have been contaminated with polychlorinated dibenzofurans (PCDFs), polychlorinated dibenzo- p -dioxins (PCDDs), and polychlorinatedbiphenyls (PCBs). Median concentrations of 2,3,7,8-tetrachlorodibenzo- p -dioxin equivalents (TEQs) based on 2006 World Health Organization tetrachloro-dibenzo- p -dioxin toxic equivalency factors (TEFs) in the diet of mink (Mustela vison) ranged from 6.8 × 10,1 ng TEQ/kg wet weight upstream of the primary source of PCDF to 3.1 × 101 ng TEQ/kg wet weight downstream. Estimates of toxicity reference values (TRVs) derived from laboratory studies with individual PCDDs/PCDFs and PCB congeners or mixtures of those congeners, as well as application of TEFs, were compared to site-specific measures of mink exposure. Hazard quotients based on exposures expressed as concentrations of TEQs in the 95th percentile of the mink diet or liver and the no-observable-adverse-effect TRVs were determined to be 1.7 and 8.6, respectively. The resident mink survey, however, including number of mink present, morphological measures, sex ratios, population age structure, and gross and histological tissue examination, indicated no observable adverse effects. This resulted for multiple reasons: First, the exposure estimate was conservative, and second, the predominantly PCDF congener mixture present in the TR appeared to be less potent than predicted from TEQs based on dose,response comparisons. Given this, there appears to be great uncertainty in comparing the measured concentrations of TEQs at this site to TRVs derived from different congeners or congener mixtures. Based on the lack of negative outcomes for any measurement endpoints examined, including jaw lesions, a sentinel indicator of possible adverse effects, and direct measures of effects on individual mink and their population, it was concluded that current concentrations of PCDDs/PCDFs were not causing adverse effects on resident mink of the TR. [source] Implication of polymer toxicity in a municipal wastewater effluentENVIRONMENTAL TOXICOLOGY & CHEMISTRY, Issue 8 2000Carolyn D. Rowland Abstract The use of cationic polymers as flocculants and coagulant aids to control suspended solid levels in the water and wastewater treatment industry is widespread in most developed countries. Today, the most frequently used clarification polymers, polyacrylamides, are often proprietary, and little information exists on the ecological impacts of these products. Following standard U.S. Environmental Protection Agency (U.S. EPA) whole effluent toxicity testing (WET) protocols, effluent toxicity can be detected via organism response, yet methods to positively characterize cationic polymers in effluents are not provided in U.S. EPA Phase I toxicity identification evaluation (TIE) protocols. Implication of cationic polymer toxicity in a municipal wastewater effluent was achieved through a series of Ceriodaphnia dubia toxicity testing with toxicant elimination steps that included extensive effluent characterization and effluent manipulation. Key in the identification was a discrepancy in effluent toxicity with respect to the type of container in which the effluents were stored. All effluent toxicity was lost within 48 h of storage in plastic containers, while on the contrary, effluent toxicity persisted in glass-contained samples for up to 4 weeks of 4°C storage. A weight-of-evidence approach suggested that the cationic polyacrilamide polymer, Hyperfloc®, was the primary source of acute toxicity in the effluent. Removal of this polymer significantly reduced effluent toxicity. This study suggests that cationic polymer-related toxicity might not be detected if effluent samples are stored in plastic containers. [source] Understanding herb and dietary supplement use in patients with epilepsyEPILEPSIA, Issue 8 2009Kitti Kaiboriboon Summary Objective:, To determine the prevalence of herb and dietary supplement use and to provide a comprehensive analysis of factors influencing the use of these products in patients with epilepsy. Methods:, We performed a cross-sectional study using self-administered questionnaires in a selected group of patients who were receiving care at a tertiary epilepsy center. Logistic regression was used to measure the association between the demographic variables and herb and dietary supplement use. In addition, we performed a MEDLINE search for each of the herb and dietary products used by our patients to determine the effect of these products on seizures and on their potential for interactions with other drugs metabolized by the liver. Results:, One hundred eighty-seven patients completed the survey. Fifty-six percent of this group of patients with epilepsy used herbs and dietary supplements at the time of the survey. A considerable portion (71%) of these patients reported the use of these products to their physician, and most of them relied on their physicians as the primary source of information. Most of the patients used dietary supplement for health promotion rather than to specifically benefit their epilepsy condition. Approximately one-third of patients used herb or dietary supplements that had the potential to increase seizures (16%) or to interact with hepatically metabolized drugs (19%). The most powerful independent predictors of herb and dietary supplement use were partial epilepsy [odds ratio (OR) 3.36; 95% confidence interval (CI) 1.27,8.88] and Caucasian race (OR 3.55; 95% CI 1.11,11.34). Conclusion:, Patients with epilepsy commonly used dietary supplements along with their antiepileptic medications. The majority of these patients used herb and dietary supplements for health promotion rather than because of dissatisfaction with conventional treatment. It is important that physicians involved in the care of patients with epilepsy routinely inquire about the use of dietary supplements and that they make use of reliable resources to assess the safety of these products with regard to modification of seizure risk and the potential for interactions with antiepileptic drugs. [source] Predator Inspection Behaviour in a Characin Fish: an Interaction between Chemical and Visual Information?ETHOLOGY, Issue 9 2003Grant E. Brown Recent evidence suggests that predator inspection behaviour by Ostariophysan prey fishes is regulated by both the chemical and visual cues of potential predators. In laboratory trials, we assessed the relative importance of chemical and visual information during inspection visits by varying both ambient light (visual cues) and predator odour (chemical cues) in a 2 × 2 experimental design. Shoals of glowlight tetras (Hemigrammus erythrozonus) were exposed to a live convict cichlid (Archocentrus nigrofasciatus) predator under low (3 lux) or high (50 lux) light levels and in the presence of the odour of a cichild fed tetras (with an alarm cue) or swordtails (Xiphophorus helleri, with an alarm cue not recognized by tetras). Tetras exhibited threat-sensitive inspection behaviour (increased latency to inspect, reduced frequency of inspection, smaller inspecting group sizes and increased minimum approach distance) towards a predator paired with a tetra-fed diet cue, regardless of light levels. Similar threat-sensitive inspection patterns were observed towards cichlids paired with a swordtail-fed diet cue only under high light conditions. Our data suggest that chemical cues in the form of prey alarm cues in the diet of the predator, are the primary source of information regarding local predation risk during inspection behaviour, and that visual cues are used when chemical information is unavailable or ambiguous. [source] Activation of afferents to the ventral tegmental area in response to acute amphetamine: a double-labelling studyEUROPEAN JOURNAL OF NEUROSCIENCE, Issue 4 2007Joyce Colussi-Mas Abstract The ventral tegmental area (VTA), primary source of the mesocorticolimbic dopaminergic system, is regarded as a critical site for initiation of behavioural sensitization to psychostimulants. The present study was undertaken to identify the neural pathways converging on the VTA that are potentially implicated in this process. Rats were sensitized by a single exposure to amphetamine (5 mg/kg, s.c.). The distribution of VTA-projecting neurons activated by amphetamine was examined by combining retrograde transport of the cholera toxin , subunit (CTb), injected into the VTA, with immunodetection of Fos. The quantitative analysis of CTb,Fos double labelling demonstrates that amphetamine induced a rapid activation of Fos in a large number of brain areas projecting to the VTA. More than half of the CTb,Fos double-labelled neurons were located in the prefrontal cortex, lateral preoptic area,lateral hypothalamus, pontomesencephalic tegmentum, dorsal raphe nucleus, ventral pallidum and nucleus accumbens. In addition, scattered CTb,Fos double-labelled cells were observed in many other VTA afferent structures, such as claustrum, lateral septum, diagonal band,magnocellular preoptic nucleus, deep mesencephalic nucleus, oral part of pontine reticular nucleus and dorsomedial tegmental area. This suggests that systemic amphetamine activates a wide population of neurons projecting to the VTA that may be important for the modulation of neurobehavioural plasticity produced by this psychostimulant. [source] Topographical projection from the superior colliculus to the nucleus of the brachium of the inferior colliculus in the ferret: convergence of visual and auditory informationEUROPEAN JOURNAL OF NEUROSCIENCE, Issue 12 2000Timothy P. Doubell Abstract The normal maturation of the auditory space map in the deeper layers of the ferret superior colliculus (SC) depends on signals provided by the superficial visual layers, but it is unknown where or how these signals influence the developing auditory responses. Here we report that tracer injections in the superficial layers label axons with en passant and terminal boutons, both in the deeper layers of the SC and in their primary source of auditory input, the nucleus of the brachium of the inferior colliculus (nBIC). Electron microscopy confirmed that biocytin-labelled SC axons form axodendritic synapses on nBIC neurons. Injections of biotinylated dextran amine in the nBIC resulted in anterograde labelling in the deeper layers of the SC, as well as retrogradely labelled superficial and deep SC neurons, whose distribution varied systematically with the rostrocaudal placement of the injection sites in the nBIC. Topographical order in the projection from the SC to the ipsilateral nBIC was confirmed using fluorescent microspheres. We demonstrated the existence of functional SC-nBIC connections by making whole-cell current-clamp recordings from young ferret slices. Both monosynaptic and polysynaptic EPSPs were generated by electrical stimulation of either the superficial or deep SC layers. In addition to unimodal auditory units, both visual and bimodal visual,auditory units were recorded in the nBIC in vivo and their incidence was higher in juvenile ferrets than in adults. The SC-nBIC circuit provides a potential means by which visual and other sensory or premotor signals may be delivered to the nBIC to calibrate the representation of auditory space. [source] Down-regulation of neurocan expression in reactive astrocytes promotes axonal regeneration and facilitates the neurorestorative effects of bone marrow stromal cells in the ischemic rat brainGLIA, Issue 16 2008Li Hong Shen Abstract The glial scar, a primarily astrocytic structure bordering the infarct tissue inhibits axonal regeneration after stroke. Neurocan, an axonal extension inhibitory molecule, is up-regulated in the scar region after stroke. Bone marrow stromal cells (BMSCs) reduce the thickness of glial scar wall and facilitate axonal remodeling in the ischemic boundary zone. To further clarify the role of BMSCs in axonal regeneration and its underlying mechanism, the current study focused on the effect of BMSCs on neurocan expression in the ischemic brain. Thirty-one adult male Wistar rats were subjected to 2 h of middle cerebral artery occlusion followed by an injection of 3 × 106 rat BMSCs (n = 16) or phosphate-buffered saline (n = 15) into the tail vein 24 h later. Animals were sacrificed at 8 days after stroke. Immunostaining analysis showed that reactive astrocytes were the primary source of neurocan, and BMSC-treated animals had significantly lower neurocan and higher growth associated protein 43 expression in the penumbral region compared with control rats, which was confirmed by Western blot analysis of the brain tissue. To further investigate the effects of BMSCs on astrocyte neurocan expression, single reactive astrocytes were collected from the ischemic boundary zone using laser capture microdissection. Neurocan gene expression was significantly down-regulated in rats receiving BMSC transplantation (n = 4/group). Primary cultured astrocytes showed similar alterations; BMSC coculture during reoxygenation abolished the up-regulation of neurocan gene in astrocytes undergoing oxygen-glucose deprivation (n = 3/group). Our data suggest that BMSCs promote axonal regeneration by reducing neurocan expression in peri-infarct astrocytes. © 2008 Wiley-Liss, Inc. [source] Recharge Through a Regional Till Aquitard: Three-Dimensional Flow Model Water Balance ApproachGROUND WATER, Issue 3 2000Richard E. Gerber In southern Ontario, vertical leakage through a regionally extensive till is the primary source of recharge to underlying aquifers used for domestic and municipal water supply. Since leakage is largely controlled by the bulk hydraulic conductivity (K) of the aquitard, accurate estimates of K are necessary to quantify the resource. Considerable controversy exists regarding estimates of K for this aquitard, which vary according to the scale of the test method. For the till matrix, estimates from core samples and slug tests consistently range from 10,11 to 10,10 m/s. Isotopic evidence (3H), on the other hand, indicates that nonmatrix structures such as sand lenses, erosional surfaces, joints, and fractures significantly enhance till permeability. This is confirmed by slug test, pump test, recharge, and water balance studies, which show that K varies over seven orders of magnitude (10,12 to 10,5 m/s). To provide a regional estimate of bulk K and a reliable estimate of vertical recharge through the Northern Till, a numerical ground water flow model was constructed for the Duffins and Petticoat Creek drainage hasin. The model was calibrated to measurements of hydraulic head and estimates and measurements of base flow throughout the basin. This model demonstrates that the vertical hydraulic conductivity (Kv) for the Northern Till ranges from 5 × 10,10 to 5 × 10,9 m/s, values that are up to 2.5 orders of magnitude greater than matrix K estimates. Regional recharge through the Northern Till is estimated to range from 30 to 35 mm/a. [source] Effectiveness of Supportive Educative Learning programme on the level of strain experienced by caregivers of stroke patients in ThailandHEALTH & SOCIAL CARE IN THE COMMUNITY, Issue 1 2010R. Oupra RN MSc MNS PhD Abstract In Thailand, the crude death rate from stroke is 10.9/100 000 population and increasing. Unlike Western countries where community rehabilitation programmes have been established to provide services following the acute stage of stroke recovery, there is no stroke rehabilitation team in the community in Thailand. Therefore, family caregivers are the primary source for ongoing care and support. While family members accompany patients during their hospitalisation, they receive little information about how to assist their relatives, and as a result feel inadequately trained, poorly informed and dissatisfied with the support that is available after discharge. Family caregivers report that they suffer both physically and psychologically and find themselves overwhelmed with strain, experiencing burden and exhaustion. This study aimed to develop and implement a nurse-led Supportive Educative Learning programme for family caregivers (SELF) of stroke survivors in Thailand and to evaluate the effect of the SELF programme on family caregiver's strain and quality of life. This was a non-randomised comparative study with concurrent controls, using a two-group pre-test and post-test design. A total of 140 stroke survivors and 140 family caregivers were recruited; 70 patients/caregiver pair in each group. Caregivers of patients admitted to the intervention hospital following an acute stroke received the intervention, while caregivers of patients admitted to the comparison hospital received the usual care provided at the hospital. The data were collected prior to discharge of the patients and after 3 months. The family caregivers in the intervention group had a significantly better quality of life than the comparison group (GHQ-28 at discharge t = 2.82, d.f. = 138, P = 0.006; and at 3 months t = 6.80, d.f. = 135, P < 0.001) and they also reported less strain (Caregiver Strain Index at discharge t = 6.73, d.f. = 138, P < 0.001; and at 3 months t = 7.67, d.f. = 135, P < 0.001). This research demonstrated that providing education and support to the family caregiver of stroke survivors can reduce caregiver strain and enhance their quality of life. [source] Toward a Continuous Quality Improvement Paradigm for Hemodialysis Providers with Preliminary Suggestions for Clinical Practice Monitoring and MeasurementHEMODIALYSIS INTERNATIONAL, Issue 1 2003Edmund G. Lowrie Background: Consensus processes using the clinical literature as the primary source for information generally drive projects to draft clinical practice guidelines (CPGs). Most such literature citations describe special projects that are not part of an organized quality management initiative, and the publication/review/consensus process tends to be long. This project describes an initiative to develop and explore a flexible and dedicated data-driven paradigm for deciding new CPGs that could be rapidly responsive to changing medical knowledge and practice. Methods: Candidate Clinical Practice Monitoring Measures (CPMM) were selected using a large, national database according to the natures and strengths of their associations with mortality risk among patients during 1994. Thresholds above or below which risk of death increased were evaluated for each CPMM using risk profile charts and spline functions. The fractions of patients outside of those thresholds in each dialysis unit (the %Var) were determined for the years 1993, 1994, and 1995. A standardized mortality ratio (SMR) was also determined for each year for each facility. The associations between the %Var and SMR were evaluated in several single-variable and multivariable statistical models. Results: Eleven CPMM were selected and evaluated based on their associations with death risk. These included the urea clearance x dialysis time product (Kt); the concentrations of albumin, potassium, phosphate, bicarbonate, hemoglobin, neutrophils, and lymphocytes in the blood; the body weight/height ratio; diastolic blood pressure; and vascular access type. Even though the CPMM were strongly associated with death risk among patients, the %Var were weakly and inconsistently associated with SMR among facilities. Conclusions: The paradigm was flexible, easy to implement, quickly executed, and potentially able to accommodate evolving medical practice assuming the availability of large database systems such as this. The primary associates of death risk were easily identified and the thresholds easily adopted. The SMR and %Var from the CPMM were only weakly associated, however, suggesting that one cannot be reliably predicted from the other. As such, quality management programs should likely monitor both the processes and outcomes of care among dialysis facilities. [source] Expression of matrix metalloproteinases MMP-2, MMP-9 and their tissue inhibitors TIMP-1 and TIMP-2 in the epithelium and stroma of salivary gland pleomorphic adenomasHISTOPATHOLOGY, Issue 3 2009Xiaojun Zhang Aims:, The balance between matrix metalloproteinases (MMPs) and their tissue inhibitors (TIMPs) is involved in the morphogenesis of normal salivary gland as well as in the mechanisms of tumour invasion and metastasis. The role of MMPs and TIMPs in pleomorphic adenoma has not been elucidated sufficiently. Our aim was to analyse the mRNA and protein expression of MMP-2, MMP-9, TIMP-1 and TIMP-2 in the epithelium and stroma of pleomorphic adenoma and to evaluate their roles. Methods and results:, In each sample from six patients, cells from the epithelium and stroma were obtained by laser microdissection. The mRNA expression of MMPs and TIMPs was determined by real-time quantitative reverse transcriptase-polymerase chain reaction and protein expression was confirmed by immunohistochemistry. Results showed that mRNA expression of MMPs and TIMPs was significantly higher in stroma than in epithelium in most patients. MMPs and TIMPs were immunoreactive mainly in epithelium rather than in stroma. Conclusions:, Our results provide preliminary evidence that stromal myoepithelium may be the primary source of MMPs and that the stroma has the potential to play a more important role than ductal epithelium in biological behaviour of pleomorphic adenomas. These findings seem worthy of further investigation. [source] Assessing damaged road verges as a suspended sediment source in the Hampshire Avon catchment, southern United KingdomHYDROLOGICAL PROCESSES, Issue 9 2010A. L. Collins Abstract Diffuse sediment pollution impairs water quality, exerts a key control on the transfer and fate of nutrients and contaminants and causes deleterious impacts on freshwater ecology. A variety of catchment sediment sources can contribute to such problems. Sediment control strategies and effective targeting of mitigation options therefore require robust quantitative information on the key sources of the sediment problem at catchment scale. Recent observations by Catchment Sensitive Farming Officers (CSFO's) in England have highlighted road verges damaged and eroded by passing vehicles, particularly large farm machinery, and livestock herd movement as visually important potential sources of local sediment problems. A study was therefore undertaken to assess the relative importance of damaged road verges as a suspended sediment source in three sub-catchments of the Hampshire Avon drainage basin, southern UK. Road verge sediment contributions were apportioned in conjunction with those from agricultural topsoils and channel banks/subsurface sources. Time-integrating isokinetic samplers were deployed to sample suspended sediment fluxes at the outlets of two control sub-catchments drained by the Rivers Chitterne and Till selected to characterize areas with a low road network density and limited visual evidence of verge damage, as well as the River Sem sub-catchment used to represent areas where road verge damage is more prevalent. The findings of a sediment source fingerprinting investigation based on a combination of intermittent sampling campaigns spanning the period 22/5/02,27/4/08 suggested that the respective overall mean relative sediment contributions from damaged road verges were 5 ± 3%, 4 ± 2% and 20 ± 2%. Relative inputs from damaged road verges for any specific sampling period in the River Sem sub-catchment were as high as 33 ± 2%. Reconstruction of historical sources in the same sub-catchment, based on the geochemical record stored in a floodplain depth profile, suggested that the significance of damaged road verges as a sediment source has increased over the past 15,20 years. The findings provide important information on damaged road verges as a primary source of suspended sediment and imply that catchment sediment control strategies and mitigation plans should consider such verges in addition to those agricultural and channel sources traditionally taken into account when attempting to reduce sediment pressures on aquatic resources. Copyright © 2010 John Wiley & Sons, Ltd. [source] Runoff and suspended sediment yields from an unpaved road segment, St John, US Virgin IslandsHYDROLOGICAL PROCESSES, Issue 1 2007Carlos E. Ramos-Scharrón Abstract Unpaved roads are believed to be the primary source of terrigenous sediments being delivered to marine ecosystems around the island of St John in the eastern Caribbean. The objectives of this study were to: (1) measure runoff and suspended sediment yields from a road segment; (2) develop and test two event-based runoff and sediment prediction models; and (3) compare the predicted sediment yields against measured values from an empirical road erosion model and from a sediment trap. The runoff models use the Green,Ampt infiltration equation to predict excess precipitation and then use either an empirically derived unit hydrograph or a kinematic wave to generate runoff hydrographs. Precipitation, runoff, and suspended sediment data were collected from a 230 m long, mostly unpaved road segment over an 8-month period. Only 3,5 mm of rainfall was sufficient to initiate runoff from the road surface. Both models simulated similar hydrographs. Model performance was poor for storms with less than 1 cm of rainfall, but improved for larger events. The largest source of error was the inability to predict initial infiltration rates. The two runoff models were coupled with empirical sediment rating curves, and the predicted sediment yields were approximately 0·11 kg per square meter of road surface per centimetre of precipitation. The sediment trap data indicated a road erosion rate of 0·27 kg m,2 cm,1. The difference in sediment production between these two methods can be attributed to the fact that the suspended sediment samples were predominantly sand and silt, whereas the sediment trap yielded mostly sand and gravel. The combination of these data sets yields a road surface erosion rate of 0·31 kg m,2 cm,1, or approximately 36 kg m,2 year,1. This is four orders of magnitude higher than the measured erosion rate from undisturbed hillslopes. The results confirm the importance of unpaved roads in altering runoff and erosion rates in a tropical setting, provide insights into the controlling processes, and provide guidance for predicting runoff and sediment yields at the road-segment scale. Copyright © 2006 John Wiley & Sons, Ltd. [source] Recent expansion of highly pathogenic avian influenza H5N1: a critical reviewIBIS, Issue 2 2007M. GAUTHIER-CLERC Wild birds, particularly waterfowl, are a key element of the viral ecology of avian influenza. Highly pathogenic avian influenza (HPAI) virus, subtype H5N1, was first detected in poultry in November 1996 in southeast China, where it originated. The virus subsequently dispersed throughout most of Asia, and also to Africa and Europe. Despite compelling evidence that the virus has been dispersed widely via human activities that include farming, and marketing of poultry, migratory birds have been widely considered to be the primary source of its global dispersal. Here we present a critical examination of the arguments both for and against the role of migratory birds in the global dispersal of HPAI H5N1. We conclude that, whilst wild birds undoubtedly contribute to the local spread of the virus in the wild, human commercial activities, particularly those associated with poultry, are the major factors that have determined its global dispersal. [source] Common sources of skin care education: a cross-sectional studyINTERNATIONAL JOURNAL OF DERMATOLOGY, Issue 5 2009Tina Bhutani MD Background, The resources used by the public to locate health information are important. Aim, To expose the sources from which the public gains a knowledge of dermatology. Methods, An anonymous, multiple-choice questionnaire was distributed to adults in college campuses, shopping malls, and community parks over a 4-month period. Results, Sixty-six percent of individuals stated that they felt physicians had the most authority for making recommendations regarding the skin. When questioned about the sources of skin care advice, however, there was a discrepancy, with only 35% stating that they actually consulted professionals. Indeed, 37% admitted to using family and friends as their primary source of information, and 28% used the media first. Conclusions, In our opinion, the best method to ensure healthy skin habits and early diagnosis of disease would be to combine the efforts of healthcare and the media. These public resources should make people aware of skin diseases and preventative measures, whilst encouraging regular check-ups with dermatologists and persuading patients to employ open conversation with their physicians regarding care of their skin. [source] Rural men and mental health: Their experiences and how they managedINTERNATIONAL JOURNAL OF MENTAL HEALTH NURSING, Issue 5 2007Don Gorman ABSTRACT:, There is a growing awareness that a primary source of information about mental health lies with the consumers. This paper reports on a study that interviewed rural men with the aim of exploring their mental health experiences within a rural environment. The results of the interviews are a number of stories of resilience and survival that highlight not only the importance of exploring the individuals' perspective of their issues, but also of acknowledging and drawing on their inner strengths. Rural men face a number of challenges that not only increase the risk of mental illness but also decrease the likelihood of them seeking and/or finding professional support. These men's stories, while different from each other, have a common thread of coping. Despite some support from family and friends, participants also acknowledged that seeking out professional support could have made the recovery phase easier. Mental health nurses need to be aware, not only of the barrier to professional support but also of the significant resilience that individuals have and how it can be used. [source] Passive patient or engaged expert?INTERNATIONAL JOURNAL OF MENTAL HEALTH NURSING, Issue 4 2007Using a Ptolemaic approach to enhance mental health nurse education, practice ABSTRACT:, This discussion paper seeks to explore an approach that metal health nurses can adopt that ensures the patient is at the centre of training and professional development opportunities. Although nurse training and education is shaped by practice and theory, the lived experiences of the patients as an educational resource often become lost in the milieu of ,doing' nursing. We argue that in addition to theoretical knowledge and practice knowledge, there is the need to harness the equally important patient experience knowledge. Drawing upon Ptolemaic concepts, this paper explores the potential tensions for mental health nurses resulting from the imbalance in power when engaging in therapeutic relationships with patients. It is argued that in order for mental health nurses to become more effective, they need to learn how to relinquish some of their power, even where this gives rise to uncomfortable tensions for the nurse. Such tensions result from the centrality afforded to theoretical knowledge and ritualized practice that underpins nursing and the difficulties this may cause for many nurses in accepting the value of patient experience as a primary source of knowledge. The difficulties of adopting this approach point to a need for mental health nurses and nurse educationalists to take a more reflexive approach to their patient encounters and within their encounters with each other. [source] Adapting Work Analysis to a Fast-Paced and Electronic Business WorldINTERNATIONAL JOURNAL OF SELECTION AND ASSESSMENT, Issue 4 2000Juan I. Sanchez The reliance of traditional job analysis on job incumbents as the primary source of work-analytic data is critically examined. It is argued that the sole use of incumbents is practically and theoretically unjustified. The incorporation of non-incumbents to the work analysis process is advocated, especially when abstract human attributes and strategic requirements are evaluated. The time and resource savings afforded by the use of mechanical estimation of work dimensions are also discussed. A revision of traditional formats of data collection in job analysis such as paper-and-pencil surveys and face-to-face interviews is proposed. Instead, the potential work-analytic uses of electronic records of work information nowadays available in electronic performance monitoring systems are outlined. [source] Rethinking UK small employers' skills policies and the role of workplace learningINTERNATIONAL JOURNAL OF TRAINING AND DEVELOPMENT, Issue 2 2008John Kitching Small business employers in the UK are widely perceived as adopting a reactive, ad hoc approach to employee skill formation. Employer reliance on workplace learning is often treated, explicitly or implicitly, as evidence of such an approach. Small employers' approaches to skill creation are investigated using data from two employer samples. Three main conclusions challenging these arguments are presented. First, small employers' skills policies are highly diverse: strategic, tactical and restrictive policies are distinguished. Second, employers perceive particular benefits in enabling workplace learning; simplistic views that a reliance on workplace learning necessarily constitutes an inferior last resort for those employers unable to provide access to external training are rejected. Third, enabling workplace learning is important to strategic employers, as well as to those attaching a lower value to skills. For some employers, the workplace is the primary source of new knowledge and skills because they are unavailable elsewhere. The prevalence, diversity and significance of workplace learning in small businesses require a reappraisal of UK small employers' skills policies. The implications for research, practice and policy are discussed. [source] The Role of Social Networks in Immigrant Women's Political IncorporationINTERNATIONAL MIGRATION REVIEW, Issue 4 2009Elisabeth Gidengil This article examines how immigrant women's social networks affect their propensity to vote and to participate in unconventional political activities, as well as their knowledge of politics and government services and programs. Our primary source of data is a telephone survey of women living in Canada's two largest metropolitan areas. Our findings show that contrary to the social capital literature, bonding ties do not exert strong negative effects on political incorporation, while bridging ties are not as helpful as hypothesized. What is important for immigrant women are the resources that are embedded in their social networks. [source] Parenting Stress in Mothers of Children With Autism Spectrum DisordersJOURNAL FOR SPECIALISTS IN PEDIATRIC NURSING, Issue 3 2009Supapak Phetrasuwan PURPOSE., The purpose of this paper is to describe the sources of parenting stress in mothers of children with Autism Spectrum Disorders (ASD) and examine the relationship between parenting stress and maternal psychological status (depression and well-being). DESIGN AND METHODS., A descriptive correlational design was used. Data were collected via mailed questionnaires. RESULTS., Behavioral symptoms were the primary source of parenting stress for mothers. There was no relationship between child characteristics and parenting stress. Mothers reporting more parenting stress had more depressive symptoms and lower levels of well-being. PRACTICE IMPLICATIONS., Our findings have implications for interventions with mothers to help them manage their children's behavior and focus on stress reduction and well-being. [source] Nursing diagnoses, interventions and outcomes , application and impact on nursing practice: systematic reviewJOURNAL OF ADVANCED NURSING, Issue 5 2006Maria Müller-Staub Head of Pflege PBS EdN MNS RN Aim., This paper reports a systematic review on the outcomes of nursing diagnostics. Specifically, it examines effects on documentation of assessment quality; frequency, accuracy and completeness of nursing diagnoses; and on coherence between nursing diagnoses, interventions and outcomes. Background., Escalating healthcare costs demand the measurement of nursing's contribution to care. Use of standardized terminologies facilitates this measurement. Although several studies have evaluated nursing diagnosis documentation and their relationship with interventions and outcomes, a systematic review has not been carried out. Method., A Medline, CINAHL, and Cochrane Database search (1982,2004) was conducted and enhanced by the addition of primary source and conference proceeding articles. Inclusion criteria were established and applied. Thirty-six articles were selected and subjected to thematic content analysis; each study was then assessed, and a level of evidence and grades of recommendations assigned. Findings., Nursing diagnosis use improved the quality of documented patient assessments (n = 14 studies), identification of commonly occurring diagnoses within similar settings (n = 10), and coherence among nursing diagnoses, interventions, and outcomes (n = 8). Four studies employed a continuing education intervention and found statistically significant improvements in the documentation of diagnoses, interventions and outcomes. However, limitations in diagnostic accuracy, reporting of signs/symptoms, and aetiology were also reported (14 studies). One meta-analysis of eight trials including 1497 patients showed no evidence that standardized electronic documentation of nursing diagnosis and related interventions led to better nursing outcomes. Conclusion., Despite variable results, the trend indicated that nursing diagnostics improved assessment documentation, the quality of interventions reported, and outcomes attained. The study reveals deficits in reporting of signs/symptoms and aetiology. Consequently, staff educational measures to enhance diagnostic accuracy are recommended. The relationships among diagnoses, interventions and outcomes require further evaluation. Studies are needed to determine the relationship between the quality of documentation and practice. [source] C-reactive protein in gingival crevicular fluid may be indicative of systemic inflammationJOURNAL OF CLINICAL PERIODONTOLOGY, Issue 9 2010Emma Megson Megson E, Fitzsimmons T, Dharmapatni K, Bartold PM. C-reactive protein in gingival crevicular fluid may be indicative of systemic inflammation. J Clin Periodontol 2010; 37: 797,804. doi: 10.1111/j.1600-051X.2010.01603.x. Abstract Background and Aim: Periodontitis is associated with elevated C-reactive protein (CRP) in both serum and gingival crevicular fluid (GCF). Although the liver is the primary source of CRP, extra-hepatic production of CRP has been reported. This study aimed to determine whether CRP in GCF is produced locally in the gingivae. Materials and Methods: Gingivae and GCF were collected from non-periodontitis and periodontitis sites. Presence of CRP in gingivae was assessed by immunohistochemistry. CRP in GCF was measured using ELISA. Gene expression for CRP in gingivae was determined using real-time polymerase chain reaction. Results: CRP was found in both the gingivae and GCF. No gingivae had detectable amounts of CRP mRNA. Not all patients with periodontitis had detectable levels of CRP in the GCF. Some non-periodontitis patients had detectable levels of CRP in the GCF. Conclusion: CRP in the GCF appears to be of systemic origin, and therefore may be indicative of systemic inflammation from either a periodontal infection or inflammatory disease elsewhere. The correlation between levels of CRP in GCF and serum requires validation in future studies. [source] | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||