A board game to enhance teaching and learning in the Radiographic Technique module: A pilot study

Gamification is used encourage the learner to participate in a competitive activity, to encourage engagement and desire to learn. In the Radiographic Practice module, students learn three core radiography performance standards; professionalism, technique and clinical performance. To address these standards, a pilot radiography board game was developed to determine its effectiveness at improving engagement and interest with learning material and its use as a teaching and learning tool. A qualitative, explorative descriptive research design was used, involving focus group interviews with the radiography students. The students recommended some changes and adjustments on the game design and dynamics. They further described the board game as a fun activity and demonstrated that it was possible to learn whilst engaging with the subject material and group discussions. The board game enabled the students to apply critical thinking skills and be introduced the concept of professionalism in the clinical setting

Rural HIV Prevalence and Service Availability in the United States: A Chartbook

This chartbook examines 2016 HIV prevalence and the availability of HIV prevention, testing, and treatment services across the rural-urban continuum and by US Census region. Publicly available county-level HIV prevalence data from the CDC and state-produced HIV surveillance reports were used to estimate HIV prevalence across the rural-urban continuum. HIV prevalence data include all diagnoses of HIV infection, with or without a stage 3 (AIDS) diagnosis. Geocoded data on organizations that provide prevention, testing, and treatment services related to HIV were obtained from the National Prevention Information Network. HIV prevalence is higher in urban counties than rural counties (399 per 100,000 compared with 149 per 100,000, respectively), with prevalence decreasing with increasing level of rurality. HIV prevalence in urban counties is higher than HIV prevalence in rural counties in all but two states (South Carolina and Hawaii). The Northeast has the highest HIV prevalence (485 per 100,000) followed by the South (429 per 100,000), West (302 per 100,000), and Midwest (205 per 100,000). Analyses of the availability of HIV-related services show that compared with urban counties, a smaller proportion of rural counties have organizations that provided HIV prevention, testing, and treatment services. The findings of this study may help inform policies that augment rural HIV prevention, diagnosis, treatment, and outbreak response efforts

Rural-Urban Residence and Mortality among Three Cohorts of U.S. Adults

Though U.S. life expectancy has increased over the past 50 years, this benefit has not been geographically uniform and certain rural persons and communities face a mortality gap. Rural residents experience a shorter life expectancy than urban residents, with higher mortality rates from specific causes such as chronic obstructive pulmonary diseases, coronary heart disease, and lung cancer. Overall, there are higher mortality rates among rural residents for all five leading causes of death – heart disease, stroke, cancer, unintentional injury, and chronic lower respiratory disease – as compared to urban residents. We sought to close gaps in our understanding of the rural-urban mortality disparity by conducting a time-to-event cohort analysis using the National Health Interview Survey linked to national death certificate data. We found the risk of death at any point in time was 10 percent higher for rural as compared with urban residents and increased over time. Also, leading causes of death and rural-urban differences shifted between birth cohorts. Our findings generally suggest that the overall mortality penalty in rural areas between 1997 and 2011 may have been driven by social determinants of health. The findings from our study may help to identify potential policy and practice interventions that may reduce the rural-urban mortality gap and lead to longer, healthier lives for rural populations. For more information about this study, please contact Dr. Erika Ziller ([email protected]

The Northern Border Region: A Health-Focused Landscape Analysis

The Northern Border Regional Commission State and Region Chartbooks compile county- and state-level data related to health and health care access for the Northern Border Region and the individual states of Maine, New Hampshire, New York, and Vermont. Topics covered in the chartbooks include demographic and socioeconomic characteristics, access to care, health outcomes, mortality rates, Health Professional Shortage Areas, and the location of Rural Health Clinics, Federally Qualified Health Centers, hospitals, and substance use treatment facilities. When data allow, we highlight the counties with the worse performance on a measure, compared with the rest of the counties in the Northern Border Region. These data are intended to inform initiatives to support health and health care, particularly in rural counties and counties served by the Northern Border Regional Commission. For more information, please contact Katherine Ahrens, Ph

Vermont: A Health-Focused Landscape Analysis

The Northern Border Regional Commission State and Region Chartbooks compile county- and state-level data related to health and health care access for the Northern Border Region and the individual states of Maine, New Hampshire, New York, and Vermont. Topics covered in the chartbooks include demographic and socioeconomic characteristics, access to care, health outcomes, mortality rates, Health Professional Shortage Areas, and the location of Rural Health Clinics, Federally Qualified Health Centers, hospitals, and substance use treatment facilities. When data allow, we highlight the counties with the worse performance on a measure, compared with the rest of the counties in the Northern Border Region. These data are intended to inform initiatives to support health and health care, particularly in rural counties and counties served by the Northern Border Regional Commission. For more information, please contact Katherine Ahrens, Ph

New Hampshire: A Health-Focused Landscape Analysis

The Northern Border Regional Commission State and Region Chartbooks compile county- and state-level data related to health and health care access for the Northern Border Region and the individual states of Maine, New Hampshire, New York, and Vermont. Topics covered in the chartbooks include demographic and socioeconomic characteristics, access to care, health outcomes, mortality rates, Health Professional Shortage Areas, and the location of Rural Health Clinics, Federally Qualified Health Centers, hospitals, and substance use treatment facilities. When data allow, we highlight the counties with the worse performance on a measure, compared with the rest of the counties in the Northern Border Region. These data are intended to inform initiatives to support health and health care, particularly in rural counties and counties served by the Northern Border Regional Commission. For more information, please contact Katherine Ahrens, Ph

The first multi-model ensemble of regional climate simulations at kilometer-scale resolution, part I: Evaluation of precipitation

Here we present the first multi-model ensemble of regional climate simulations at kilometer-scale horizontal grid spacing over a decade long period. A total of 23 simulations run with a horizontal grid spacing of ∼ 3 km, driven by ERA-Interim reanalysis, and performed by 22 European research groups are analysed. Six different regional climate models (RCMs) are represented in the ensemble. The simulations are compared against available high-resolution precipitation observations and coarse resolution (∼ 12 km) RCMs with parameterized convection. The model simulations and observations are compared with respect to mean precipitation, precipitation intensity and frequency, and heavy precipitation on daily and hourly timescales in different seasons. The results show that kilometer-scale models produce a more realistic representation of precipitation than the coarse resolution RCMs. The most significant improvements are found for heavy precipitation and precipitation frequency on both daily and hourly time scales in the summer season. In general, kilometer-scale models tend to produce more intense precipitation and reduced wet-hour frequency compared to coarse resolution models. On average, the multi-model mean shows a reduction of bias from ∼ −40% at 12 km to ∼ −3% at 3 km for heavy hourly precipitation in summer. Furthermore, the uncertainty ranges i.e. the variability between the models for wet hour frequency is reduced by half with the use of kilometer-scale models. Although differences between the model simulations at the kilometer-scale and observations still exist, it is evident that these simulations are superior to the coarse-resolution RCM simulations in the representing precipitation in the present-day climate, and thus offer a promising way forward for investigations of climate and climate change at local to regional scales.Fil: Ban, Nikolina. Universidad de Innsbruck; AustriaFil: Caillaud, Cécile. Université de Toulouse; FranciaFil: Coppola, Erika. The Abdus Salam. International Centre for Theoretical Physics; Italia. The Abdus Salam; ItaliaFil: Pichelli, Emanuela. The Abdus Salam; Italia. The Abdus Salam. International Centre for Theoretical Physics; ItaliaFil: Sobolowski, Stefan. Norwegian Research Centre; NoruegaFil: Adinolfi, Marianna. Fondazione Centro Euro-Mediterraneo sui cambiamenti climatici; ItaliaFil: Ahrens, Bodo. Goethe Universitat Frankfurt; AlemaniaFil: Alias, Antoinette. Université de Toulouse; FranciaFil: Anders, Ivonne. German Climate Computing Center; AlemaniaFil: Bastin, Sophie. Universite Paris-Saclay;Fil: Belušić, Danijel. Swedish Meteorological and Hydrological Institute; SuizaFil: Berthou, Ségolène. Met Office Hadley Centre; Reino UnidoFil: Brisson, Erwan. Université de Toulouse; FranciaFil: Cardoso, Rita M.. Universidade Nova de Lisboa; PortugalFil: Chan, Steven C.. University of Newcastle; Reino UnidoFil: Christensen, Ole Bøssing. Danish Meteorological Institute; DinamarcaFil: Fernández, Jesús. Universidad de Cantabria; EspañaFil: Fita Borrell, Lluís. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Ciudad Universitaria. Centro de Investigaciones del Mar y la Atmósfera. Universidad de Buenos Aires. Facultad de Ciencias Exactas y Naturales. Centro de Investigaciones del Mar y la Atmósfera; Argentina. Instituto Franco-Argentino sobre Estudios del Clima y sus Impactos; ArgentinaFil: Frisius, Thomas. Helmholtz Gemeinschaft; AlemaniaFil: Gaparac, Goran. Croatia Control Ltd.; CroaciaFil: Giorgi, Filippo. The Abdus Salam. International Centre for Theoretical Physics; Italia. The Abdus Salam; ItaliaFil: Goergen, Klaus. Centre for High-Performance Scientific Computing in Terrestrial Systems; Alemania. Helmholtz Gemeinschaft. Forschungszentrum Jülich; AlemaniaFil: Haugen, Jan Erik. Norwegian Meteorological Institute; NoruegaFil: Hodnebrog, Øivind. Center for International Climate and Environmental Research-Oslo; NoruegaFil: Kartsios, Stergios. Aristotle University Of Thessaloniki; GreciaFil: Katragkou, Eleni. Aristotle University Of Thessaloniki; GreciaFil: Kendon, Elizabeth J.. Met Office Hadley Centre; Reino UnidoFil: Keuler, Klaus. Brandenburg University of Technology Cottbus-Senftenberg; AlemaniaFil: Lavin Gullon, Alvaro. Universidad de Cantabria; EspañaFil: Lenderink, Geert. Royal Netherlands Meteorological Institute; Países Bajo

The worldwide C3S CORDEX grand ensemble: A major contribution to assess regional climate change in the IPCC AR6 Atlas

peer reviewedAbstract The collaboration between the Coordinated Regional Climate Downscaling Experiment (CORDEX) and the Earth System Grid Federation (ESGF) provides open access to an unprecedented ensemble of Regional Climate Model (RCM) simulations, across the 14 CORDEX continental-scale domains, with global coverage. These simulations have been used as a new line of evidence to assess regional climate projections in the latest contribution of the Working Group I (WGI) to the IPCC Sixth Assessment Report (AR6), particularly in the regional chapters and the Atlas. Here, we present the work done in the framework of the Copernicus Climate Change Service (C3S) to assemble a consistent worldwide CORDEX grand ensemble, aligned with the deadlines and activities of IPCC AR6. This work addressed the uneven and heterogeneous availability of CORDEX ESGF data by supporting publication in CORDEX domains with few archived simulations and performing quality control. It also addressed the lack of comprehensive documentation by compiling information from all contributing regional models, allowing for an informed use of data. In addition to presenting the worldwide CORDEX dataset, we assess here its consistency for precipitation and temperature by comparing climate change signals in regions with overlapping CORDEX domains, obtaining overall coincident regional climate change signals. The C3S CORDEX dataset has been used for the assessment of regional climate change in the IPCC AR6 (and for the interactive Atlas) and is available through the Copernicus Climate Data Store (CDS)

Risk and safety requirements for diagnostic and therapeutic procedures in allergology : World Allergy Organization Statement

Peer reviewe