Development of a Bundle for Hemodialysis Infection Control

Hemodialysis patients are at high risk of acquiring a blood stream infection (BSI), the second leading cause of death in this population. The purpose of this project was to create a clinical practice guideline (CPG) based on current evidence-based practice (EBP) that would bring a cohesiveness to the policies and provide an auditing tool to monitor infection control practices. Current literature supports the bundle approach, a small set of EBPs combined as a group of recommended interventions that apply to a specific patient population with the goal of improved delivery of care. The hemodialysis bundle project incorporated the theory of planned behavior to create a set of evidence-based interventions developed from an in-depth review of current, peer-reviewed studies. Three experts reviewed the CPG using the Appraisal of Guidelines for Research and Evaluation Instrument II; the scores from the 6 domains showed approval of the guideline as it was created with a score of greater than 90%. The three experts were chosen because they are responsible for updating and writing policies for the hemodialysis units. The creation of a CPG to improve infection control practices might benefit hemodialysis staff by providing an organized and cohesive method of following current policies. The new CPG might impact social change by applying current EBP to a clinical practice with end results of improving hemodialysis care and patient outcomes

Prejudice Toward Fat People: The development and Validation of the Antifat Attitudes Test

Although the stigma of obesity in our society is well documented, the measurement of antifat attitudes has been a difficult undertaking, Two studies were conducted to construct and validate the Antifat Attitudes Test (AFAT), In study 1, college students (110 men and 175 women) completed the preliminary 54-item AFAT and specific indices of body image and weight-related concerns, Psychometric and factor analysis revealed a 47-item composite scale and three internally consistent factors that were uncorrelated with social desirability: Social/Character Disparagement, Physical/Romantic Unattractiveness, and Weight Control/Blame. Several body image correlates of antifat prejudice were identified, and men expressed more negative attitudes than women, Study 2 experimentally examined the effects of information about the controllability of weight on the antifat attitudes of 120 participants, Exposure to information on behavioral vs. biogenetic control led to greater blame of persons who are fat for their body size, The implications of the findings and the potential utility of the AFAT are discussed

Diseño y construcción de un procesador de alimentos para elaboración de canastillas de patacón de diferentes tamaños

This article presents the design and construction process of a food processor made to prepare baskets of different sizes of patacón. The design considers the regulations for the processing of the raw material which, in this case, is pre-cooked plantain. The modeling and analysis of the pneumatic system was conducted to determine the force required to elaborate the patacón basket and all the pneumatic components of the prototype. The machine is controlled by a Mitsubishi brand PLC with reference FX1N-20MR. In the validation stage, the production capacity and the operating time of the machine were determined.El artículo presenta el diseño y construcción de un procesador de alimentos para la elaboración de canastas de patacón de distintos tamaños. El diseño tiene en cuenta la normativa para el procesamiento de la materia prima que, en este caso, es plátano precocido. Se realiza el modelamiento y análisis del sistema neumático para determinar la fuerza requerida para la elaboración de la canasta de patacón y todos los componentes neumáticos del prototipo. La máquina es controlada por un plc de la marca Mitsubishi con referencia FX1N-20MR. En la etapa de validación se estableció la capacidad de producción y el tiempo de operabilidad de la máquina

Extensive Liquid Meltwater Storage in Firn Within the Greenland Ice Sheet

The accelerating loss of mass from the Greenland ice sheet is a major contribution to current sea level rise. Increased melt water runoff is responsible for half of Greenlands mass loss increase. Surface melt has been increasing in extent and intensity, setting a record for surface area melt and runoff in 2012. The mechanisms and timescales involved in allowing surface melt water to reach the ocean where it can contribute to sea level rise are poorly understood. The potential capacity to store this water in liquid or frozen form in the firn (multi-year snow layer) is significant, and could delay its sea-level contribution. Here we describe direct observation of water within a perennial firn aquifer persisting throughout the winter in the southern ice sheet,where snow accumulation and melt rates are high. This represents a previously unknown storagemode for water within the ice sheet. Ice cores, groundairborne radar and a regional climatemodel are used to estimate aquifer area (70 plue or minus 10 x 10(exp 3) square kilometers ) and water table depth (5-50 m). The perennial firn aquifer represents a new glacier facies to be considered 29 in future ice sheet mass 30 and energy budget calculations

Activation of Ventral Tegmental Area 5-HT2C Receptors Reduces Incentive Motivation

FUNDING AND DISCLOSURE The research was funded by Wellcome Trust (WT098012) to LKH; and National Institute of Health (DK056731) and the Marilyn H. Vincent Foundation to MGM. The University of Michigan Transgenic Core facility is partially supported by the NIH-funded University of Michigan Center for Gastrointestinal Research (DK034933). The remaining authors declare no conflict of interest. ACKNOWLEDGMENTS We thank Dr Celine Cansell, Ms Raffaella Chianese and the staff of the Medical Research Facility for technical assistance. We thank Dr Vladimir Orduña for the scientific advice and technical assistance.Peer reviewedPublisher PD

A high-resolution map of human evolutionary constraint using 29 mammals.

The comparison of related genomes has emerged as a powerful lens for genome interpretation. Here we report the sequencing and comparative analysis of 29 eutherian genomes. We confirm that at least 5.5% of the human genome has undergone purifying selection, and locate constrained elements covering ∼4.2% of the genome. We use evolutionary signatures and comparisons with experimental data sets to suggest candidate functions for ∼60% of constrained bases. These elements reveal a small number of new coding exons, candidate stop codon readthrough events and over 10,000 regions of overlapping synonymous constraint within protein-coding exons. We find 220 candidate RNA structural families, and nearly a million elements overlapping potential promoter, enhancer and insulator regions. We report specific amino acid residues that have undergone positive selection, 280,000 non-coding elements exapted from mobile elements and more than 1,000 primate- and human-accelerated elements. Overlap with disease-associated variants indicates that our findings will be relevant for studies of human biology, health and disease

Genome sequence of an Australian kangaroo, Macropus eugenii, provides insight into the evolution of mammalian reproduction and development.

BACKGROUND: We present the genome sequence of the tammar wallaby, Macropus eugenii, which is a member of the kangaroo family and the first representative of the iconic hopping mammals that symbolize Australia to be sequenced. The tammar has many unusual biological characteristics, including the longest period of embryonic diapause of any mammal, extremely synchronized seasonal breeding and prolonged and sophisticated lactation within a well-defined pouch. Like other marsupials, it gives birth to highly altricial young, and has a small number of very large chromosomes, making it a valuable model for genomics, reproduction and development. RESULTS: The genome has been sequenced to 2 × coverage using Sanger sequencing, enhanced with additional next generation sequencing and the integration of extensive physical and linkage maps to build the genome assembly. We also sequenced the tammar transcriptome across many tissues and developmental time points. Our analyses of these data shed light on mammalian reproduction, development and genome evolution: there is innovation in reproductive and lactational genes, rapid evolution of germ cell genes, and incomplete, locus-specific X inactivation. We also observe novel retrotransposons and a highly rearranged major histocompatibility complex, with many class I genes located outside the complex. Novel microRNAs in the tammar HOX clusters uncover new potential mammalian HOX regulatory elements. CONCLUSIONS: Analyses of these resources enhance our understanding of marsupial gene evolution, identify marsupial-specific conserved non-coding elements and critical genes across a range of biological systems, including reproduction, development and immunity, and provide new insight into marsupial and mammalian biology and genome evolution

Urban blue space renovation and local resident and visitor well-being:A case study from Plymouth, UK

Observational studies have suggested that people with better access to attractive, safe, and inclusive blue spaces enjoy higher psychological well-being, with particular benefits for those living in deprived urban areas. However, intervention studies are scarce. To help bridge this gap we conducted a repeat cross-sectional study exploring local resident and visitor well-being before and after a small-scale intervention aimed at improving the quality of an urban beach area in a deprived neighbourhood in Plymouth, United Kingdom. Physical alterations were co-created with local stakeholders and residents, and accompanied by a series of on-site community events. Key outcomes were self-reported psychological well-being, satisfaction with personal safety and community belonging, and perceptions of site quality. Adjusted linear models showed that positive well-being (B = 7.42; 95% CI = 4.18–10.67) and life satisfaction (B = 0.40; 95% CI = 0.11–0.70) were both higher after the intervention compared to before, with associations for life satisfaction stronger among those who visited the site in the last four weeks. Associations with positive well-being were partially mediated by greater satisfaction with community belonging; and associations with life satisfaction were partially and independently mediated by greater satisfaction with personal safety and community belonging. Although caution needs to be taken due to the repeat cross-sectional design and the sampling of site visitors as well as local residents, the findings support the idea that environmental improvements to urban blue spaces can foster better psychological well-being, and underline the importance of community involvement in the process

The Grizzly, March 3, 1989

Quad Asbestos Cover-Up? • UC Lip-synching Talents Shown at Airband • Letters: Klee Clears Clutter; Fondots Tepid About Water; Students Concerned • Bond is Back! • Isaac\u27s Astounds Aussie • Men\u27s Indoor Ready for Mainstream • Youthful Bears Swim to 3rd • Senior Trio Leads Ursinus • McGowan\u27s Courage Inspiring • Bears End Season Upbeat • Send North Up The River?https://digitalcommons.ursinus.edu/grizzlynews/1231/thumbnail.jp