4,433 research outputs found

    Ecosystem Services Beyond Valuation, Regulation and Philanthropy: Integrating Consumer Values into the Economy

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    Environmental Markets, Ecosystem Service Markets, Payment For Ecosystem Services, Incentives, Nature's Services, Resource /Energy Economics and Policy, Q20, Q57, C93, H41,

    Exploring a School-University Model for Professional Development with Classroom Staff: Teaching Trauma-Informed Approaches

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    Schools serving communities with high rates of poverty face the profound challenge of meeting the needs of students who are often exposed to significant family and environmental stressors and trauma. Classroom staff are vital members of schoolcommunities who often work closely with students with the highest needs, but they are typically not provided with professionaldevelopment opportunities to develop skills for social-emotional learning intervention. This study, conducted in three parts, describes (1) a needs assessment with classroom staff to determine their learning needs, (2) the development and implementation of a series ofprofessional development workshops that incorporated findings from the needs assessment, and (3) post-workshop surveys and focus groups to assess the impact of the workshops and identify ongoing professional development needs. Findings include themes of continuing concern regarding learning, school climate, and the need to address stress and trauma in students\u27 lives. Additionally, findings point to the workplace environment as creating barriers for classroom staff to implement new strategies and make use of the knowledge and skills gained in the workshops. Implications for building or enhancing a trauma-informed school community are discussed

    Will d-amphetamine’s effect on impulsive choice be consistent when the environmental context changes by using decreasing delays to reinforcement?

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    Impulsivity (choosing a smaller, more immediate reward over a larger, more delayed reward) and substance abuse are positively correlated. It is important to understand how factors like delay to reward and drug effects determine impulsive choice, which can be studied using animal models. This study evaluated impulsive choice in rats, where delays to the larger reward (three food pellets) were presented in decreasing order versus one food pellet delivered immediately. Then, effects of d-amphetamine were assessed. It was found that in three of four rats, d-amphetamine increased impulsive choice when the larger option was presented with decreasing delays. This effect is contrary to what has generally been found with increasing delays. Thus, environmental context can influence drug effects on impulsive choice

    New proof-of-concept in viral inactivation: virucidal efficacy of 405 nm light against feline calicivirus as a model for norovirus decontamination

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    The requirement for novel decontamination technologies for use in hospitals is ever present. One such system uses 405 nm visible light to inactivate microorganisms via ROS-generated oxidative damage. Although effective for bacterial and fungal inactivation, little is known about the virucidal effects of 405 nm light. Norovirus (NoV) gastroenteritis outbreaks often occur in the clinical setting, and this study was designed to investigate potential inactivation effects of 405 nm light on the NoV surrogate, feline calicivirus (FCV). FCV was exposed to 405 nm light whilst suspended in minimal and organically-rich media to establish the virucidal efficacy and the effect biologically-relevant material may play in viral susceptibility. Antiviral activity was successfully demonstrated with a 4 Log10 (99.99%) reduction in infectivity when suspended in minimal media evident after a dose of 2.8 kJ cm−2. FCV exposed in artificial faeces, artificial saliva, blood plasma and other organically rich media exhibited an equivalent level of inactivation using between 50–85% less dose of the light, indicating enhanced inactivation when the virus is present in organically-rich biologically-relevant media. Further research in this area could aid in the development of 405 nm light technology for effective NoV decontamination within the hospital environment

    Perinatal Symptoms and Treatment Engagement in Female Veterans

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    INTRODUCTION: Women veterans using Veterans Health Care Administration maternity benefits have a high prevalence of mental health disorders, including depression, PTSD, and anxiety. Additionally, women with psychiatric histories often experience a relapse or worsening of symptoms during pregnancy and postpartum. Adequate perinatal mental healthcare engagement is critical to optimizing outcomes for mother and child. MATERIALS AND METHODS: This study evaluated psychiatric symptom severity and predictors of women veteran\u27s mental health treatment engagement during pregnancy and postpartum at the VA North Texas Health Care System. Seventy women using Veterans Health Administration were assessed longitudinally via chart review and interviews (including the Edinburgh Postnatal Depression Scale) during pregnancy and postpartum. A Friedman test was used to evaluate the change in symptom severity during (1) the 6 months before pregnancy, (2) pregnancy, and (3) postpartum. Multivariate logistic regressions were used to determine predictors of attending outpatient mental health appointments. Potential predictors examined included sociodemographic factors, symptoms of depression, history of military sexual assault, presence of a pre-pregnancy psychiatric diagnosis, and attendance of mental health appointments before pregnancy. RESULTS: Approximately 40% of participants demonstrated at least mild psychiatric symptoms before pregnancy, and symptom severity did not significantly change across the perinatal period (pre-pregnancy, pregnancy, and postpartum) X2 (2, n = 70) = 3.56, P = .17. Depressive symptoms during the 2nd or 3rd trimester were a significant predictor for attendance of mental health appointments during both pregnancy (OR = 1.18, 95% CI, 1.04 to 1.34) and postpartum (OR = 1.18, 95% CI, 1.02 to 1.36). An active psychiatric diagnosis during the 6 months before pregnancy was also a significant predictor of attendance following delivery (OR = 14.63, 95% CI, 1.55 to 138.51). CONCLUSION: Our results demonstrate that women with prior histories of mental health conditions will continue to be symptomatic, and this is a good predictor of mental health treatment engagement during the perinatal period. This work is written by (a) US Government employee(s) and is in the public domain in the US

    Impact of education and training on type of care provided by community-based breastfeeding counselors: a cross-sectional study

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    <p>Abstract</p> <p>Background</p> <p>Studies using community-based breastfeeding counselors (CBBCs) have repeatedly shown positive impact on breastfeeding initiation, exclusivity and duration, particularly among low-income mothers. To date, there has not been a comprehensive study to determine the impact of CBBC attributes such as educational background and training, on the type of care that CBBCs provide.</p> <p>Methods</p> <p>This was a cross-sectional study of a convenience sample of CBBCs to ascertain the influence of counselor education and type of training on type of support and proficiency of CBBCs in communities across the United States. Invitations to participate in this online survey of CBBCs were e-mailed to program coordinators of the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC), La Leche League, and other community-based health organizations, who in turn invited and encouraged their CBBCs to participate. Descriptive analysis was used to describe participants (N = 847), while bivariate analysis using χ<sup>2 </sup>test was used to examine the differences between CBBC education, training received and breastfeeding support skills used. Multivariate logistic regression was used to assess the independent determinants of specific breastfeeding support skills.</p> <p>Results</p> <p>The major findings from the research indicate that overall, educational attainment of CBBCs is not a significant predictor for the curriculum used in their training and type of support skills used during counseling sessions, but initial training duration was positively associated with the use of many breastfeeding support skills. Another major influence of counselor support to clients is the type of continuing education they receive after their initial training, with higher likelihood of use of desirable support skills associated with counselors continuing their breastfeeding education at conferences or trainings away from their job sites.</p> <p>Conclusions</p> <p>Our results show that different programs use different training curricula to train their CBBCs varying in duration and content. Counselor education is not a significant predictor of the type of training they receive. Continuing breastfeeding education is a significant determinant of type of counseling techniques used with clients. Further research is therefore needed to critically examine the content of the various training curricula of CBBC programs. This may show a need for a standardized training curriculum for all CBBC programs worldwide to make CBBCs more proficient and efficient, ensuring successful and optimum breastfeeding experiences for mothers and their newborns.</p

    Ecosystem Services beyond Valuation, Regulation, and Philanthropy: Integrating Consumer Values into the Economy

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    Ecosystem services have been identified as a central link between society, or human systems, and the structure and function of natural systems (e.g., U.S. LTER 2007, MEA 2005). A fundamental economic problem is that while almost everyone—environmental groups, policy makers, and broad segments of the general public—seems to believe ecosystem services are valuable, the available public policy tools and approaches for private action fall short, and often omit, a direct link to the real values of the people. If ecosystem services are of economic value, then a fundamental challenge concerns how to identify the link between ecosystem services and the quality of life of individual households, and how to use that link to integrate ecosystem service values into the decisions of businesses and individuals in society. Given current markets and policies decision–makers are unable to recognize the full value of services ecosystems provide. What can be done to integrate ecosystem service values into the economy? After reviewing a fundamental cause for why markets often overlook ecosystem services, and after considering some limitations of the often effective approaches of philanthropy and government, we consider the potential to leverage experimental economics to create and test approaches to integrate values at the individual level into markets addressing ecosystem services

    Grade 1 spondylolisthesis and interspinous device placement: removal in six patients and analysis of current data

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    This is the published version. Information that is created by or for the US government on this site is within the public domain. Public domain information on the National Library of Medicine (NLM) Web pages may be freely distributed and copied. However, it is requested that in any subsequent use of this work, NLM be given appropriate acknowledgment.In the treatment of patients with Grade 1 spondylolisthesis, the use of interspinous devices has been controversial for nearly a decade. Several authors have suggested that Grade 1 spondylolisthesis be considered a contraindication for interspinous device placement. Methods: We removed interspinous devices in six symptomatic Grade 1 spondylolisthesis patients and analyzed pertinent literature. Results: All six patients reported an improvement in symptoms following device removal and subsequent instrumented fusion. One patient who had not been able to walk due to pain regained the ability to walk. Several articles were identified related to spondylolisthesis and interspinous devices. Conclusions: Regarding patients receiving interspinous devices for symptomatic lumbar spinal stenosis, several high-quality studies have failed to demonstrate a statistical difference in outcomes between patients with or without Grade 1 spondylolisthesis. Nevertheless, surgeons should have a high degree of suspicion when considering use of interspinous devices in this patient population
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