SEAFOOD SAFETY PERCEPTIONS AND THEIR EFFECTS ON ANTICIPATED CONSUMPTION UNDER VARYING INFORMATION TREATMENTS

This paper identifies factors that influence consumers' seafood safety perceptions and examines how these perceptions affect consumers' anticipated consumption when consumers are provided with additional information relevant to seafood. A recursive system of equations is specified describing consumers' safety perceptions as a function of past experience with seafood, recreational harvest activities, and risk-taking behavior, and describing the influence of safety perceptions on consumers' anticipated demand response to hypothetical information concerning seafood. A telephone survey of randomly selected Rhode Island consumers provided data for the analysis.Food Consumption/Nutrition/Food Safety,

The treatment of depression and simple phobia through an interpreter in the North East of England : a case study.

A 35-year-old Middle Eastern woman, experiencing moderate depression compounded by animal phobia was referred to an Improving Access to Psychological Therapies (IAPT) service. Shared understandings were gradually developed using written functional analyses translated in session. Activity scheduling was integrated with graded exposure to increase access to positive reinforcement. Questionnaires and subjective data indicated a reduction in phobic avoidance and functioning increased. Despite the complexity of working as a triad, a positive therapeutic relationship was achieved with increased mutual cultural understanding. Indirect communication led to difficulties maintaining guided discovery and focus. There is limited evidence to support CBT when delivered through an interpreter. IAPT recommendations suggest staff reflect the community; the North East has one of the lowest foreign-born populations in the UK indicating that IAPT services may be ill prepared to work with ethnic minorities. Learning points for the therapist were: maintain simplicity, take time to formulate incorporation of cultural difference, and use transcultural interventions. The interpreter brought advantages; providing means of communication and understanding of cultural differences. Disadvantages were the potential for bias or lost information, increased time and complexity of delivering therapy. This case indicates a deficit in high intensity training and lack of literature to support therapists

Coming in Warm: Qualitative Study and Concept Map to Cultivate Patient‐Centered Empathy in Emergency Care

Background Increased empathy may improve patient perceptions and outcomes. No training tool has been derived to teach empathy to emergency care providers. Accordingly, we engaged patients to assist in creating a concept map to teach empathy to emergency care providers. Methods We recruited patients, patient caretakers and patient advocates with emergency department experience to participate in three separate focus groups (n = 18 participants). Facilitators guided discussion about behaviors that physicians should demonstrate in order to rapidly create trust, enhance patient perception that the physician understood the patient's point of view, needs, concerns, fears, and optimize patient/caregiver understanding of their experience. Verbatim transcripts from the three focus groups were read by the authors and by consensus, 5 major themes with 10 minor themes were identified. After creating a codebook with thematic definitions, one author reviewed all transcripts to a library of verbatim excerpts coded by theme. To test for inter‐rater reliability, two other authors similarly coded a random sample of 40% of the transcripts. Authors independently chose excerpts that represented consensus and strong emotional responses from participants. Results Approximately 90% of opinions and preferences fell within 15 themes, with five central themes: Provider transparency, Acknowledgement of patient's emotions, Provider disposition, Trust in physician, and Listening. Participants also highlighted the need for authenticity, context and individuality to enhance empathic communication. For empathy map content, patients offered example behaviors that promote perceptions of physician warmth, respect, physical touch, knowledge of medical history, explanation of tests, transparency, and treating patients as partners. The resulting concept map was named the “Empathy Circle”. Conclusions Focus group participants emphasized themes and tangible behaviors to improve empathy in emergency care. These were incorporated into the “Empathy Circle”, a novel concept map that can serve as the framework to teach empathy to emergency care providers

Coupling the Biophysical and Social Dimensions of Wildfire Risk to Improve Wildfire Mitigation Planning

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/113114/1/risa12373.pd

Transthoracic repair of innominate and common carotid artery disease: Immediate and long-term outcome for 100 consecutive surgical reconstructions

AbstractPurpose: This is a review of 100 consecutive supraaortic trunk reconstructions (SAT) performed over 16 years. Methods: There were eight innominate endarterectomies and 92 bypass procedures based on the thoracic aorta (n = 86) or proximal innominate artery (n = 6) in 98 patients 24 to 79 years of age. Indications included cerebrovascular ischemia in 83 and upper extremity ischemia in four. Thirteen patients were asymptomatic. An innominate lesion was bypassed in 78 cases. The left common carotid and left subclavian arteries required reconstruction in 38 and nine patients, respectively. Multiple trunks were reconstructed by direct bypass grafting in 35. Approach was via median sternotomy in 92, partial sternotomy in six, and left thoracotomy in two. Seven patients underwent concomitant cardiac surgery. Results: Eight deaths and eight nonfatal strokes occurred, for a combined stroke/death rate of 16%. The operative mortality rate was 6% for SAT and 29% for SAT/cardiac operations. Perioperative complications included two asymptomatic graft occlusions, three nonfatal myocardial infarctions, seven significant pulmonary complications, three sternal wound infections, and one recurrent laryngeal nerve injury. Follow-up ranged from 1 to 184 months (mean, 51 ± 4.8 months). Eight patients were lost to follow-up. Twenty-one late deaths occurred. Two SATs required late revision. The cumulative primary patency rates at 5 and 10 years were 94% ± 3% and 88% ± 6%, respectively. The stroke-free survival rates at 5 and 10 years were 87% ± 4% and 81% ± 7%, respectively. Patients who survived beyond 30 days had a median stroke-free life expectancy of 10 years, 7 months (SE, 6%). Conclusions: Direct reconstruction of complex symptomatic SAT lesions can be performed with acceptable death/stroke rates and with long-term patient benefit. Asymptomatic lesions in patients who have significant concomitant conditions should be managed with a less-morbid cervical or endovascular approach, even if long-term outcome of the latter is inferior. (J Vasc Surg 1998;27:34-42.

Stochastic Model for Modulus of Elasticity of Lumber

A model was developed for generating the lengthwise variability in modulus of elasticity (MOE) of lumber. A limited grade selection of southern pine visual and machine stress-rated (MSR) grades formed the basic data base, A second-order Markov model was used to generate serially correlated MOE's along 30-inch segments for a piece of lumber. Modulus of elasticity indexes were obtained by dividing each correlated MOE by the average MOE of the piece of lumber. The MOE of each segment was obtained by multiplying the MOE indexes by a single random observation from a distribution of MOE. The distribution characteristics of the generated MOE values are preserved, and the first- and second-order lengthwise serial correlations are preserved

Differentiating Defects in Red Oak Lumber by Discriminant Analysis Using Color, Shape, and Density

Defect color, shape, and density measures aid in the differentiation of knots, bark pockets, stain/mineral streak, and clearwood in red oak, (Quercus rubra). Various color, shape, and density measures were extracted for defects present in color and X-ray images captured using a color line scan camera and an X-ray line scan detector. Analysis of variance was used to determine which color, shape, and density measures differed between defects. Discriminant classifiers were used to test which defect measures best discriminated between different defects in lumber.The ANOVA method of model measure selection was unable to provide a direct method of selecting the optimum combination of measures; however, it did provide insight as to which measure should be selected in cases of confusion between defects. No single sensor measure provided overall classification accuracy greater than 70%, indicating the need for multisensor and multimeasure information for defect classification. When used alone, color measures resulted in the highest overall defect classification accuracy (between 69 and 70%). Shape and density measures resulted in the lowest overall classification accuracy (between 32 and 53%); however, when used in combination with other measures, they contributed to a 5-10% increase in defect classification accuracy. It was determined that defect classification required multisensor information to obtain the highest accuracy. For classifying defects in red oak, sensor measures should include two color mean values and two standard deviation values, a shape measure, and a X-ray standard deviation value