1,814 research outputs found
correction to comparing engagement by migrants in domestic and in country of origin political activities across european cities
The article Comparing engagement by migrants in domestic and in country-of-origin political activities across European cities, written by Katia Pilati and Barbara Herman, was originally published electronically on the publisher's internet portal on 16 July 2018 without open access. With the author(s)' decision to opt for Open Choice the copyright of the article changed on 21 November 2019 to © The Author(s) 2018 and the article is forthwith distributed under a Creative Commons Attribution 4.0 International License (https://creativecommons.org/licenses/by/4.0/), which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The original article has been corrected
Geriatric Enrichment: Guaranteeing A Place For Aging In the Curriculum.
Two years ago, the School of Social Work embarked upon a new and challenging initiative to create sustainable structural changes that enrich gerontological learning experiences for all our BSW and MSW students, faculty, fieldwork instructors and community practitioners. We envisioned that participation in this initiative would enable us to expand and embed geriatric content in the undergraduate and graduate curriculum, to increase our geriatric fieldwork placement opportunities, to evaluate and enhance our teaching and learning resources on aging, and to develop two new aging specific courses.
Having reached our third year of operation, we find ourselves reflecting on what have been our successes, what could we have done differently, and where do we go in the future. This article will describe our process of developing a model of curriculum change that will guarantee a place for aging in both our undergraduate and graduate curricula
Intratympanic steroids as a salvage therapy for severe to profound idiopathic sudden sensorineural hearing loss
Background: Idiopathic sudden sensorineural hearing loss (ISSNHL) is defined as a decline in hearing affecting three or more frequencies by 30 dB
Objective: The aim of this study was to evaluate the results of intratympanic steroids as a salvage treatment for severe ISSNHL.
Materials and methods: A regimen of three IT steroid injections was offered to patients who failed a 7-days intravenous steroid treatment. Eighty-four patients underwent IT salvage treatment (IT group). Their outcomes were compared with those of 255 patients with severe ISSNHL who received the same intravenous steroid regimen without salvage IT steroid therapy (Control group).
Results: 56% of the patients in the IT group had a hearing improvement of >15 dB after one month. The average hearing improvements were 26.5 ± 28 dB and 27.9 ± 24 dB in the IT group and the Control group, respectively (p ¼ .67). However, patients with a type E audiogram pattern (total deafness), displayed a substantial hearing gain.
Conclusion: Intratympanic steroids failed to show a global auditory benefit as a salvage treatment in patients with severe ISSNHL.
Significance: Our data suggest that a salvage treatment with intratympanic dexamethasone may be offered to patients with total deafness for whom the first systemic treatment has failed
La longue et sinueuse route vers l’emploi : les carrières d’insertion professionnelle des réfugiés sur le marché du travail en Belgique
Partout en Europe, l’insertion des immigrés sur le marché du travail tend à être inférieure à celle des citoyens natifs et ce, davantage en Belgique que dans les autres pays de l’OCDE (2009). Aucun déterminant unique ne semble être responsable de la situation. Cet article révèle toutefois certains facteurs clés de l’intégration au marché du travail des réfugiés. Les résultats, obtenus à partir de données administratives longitudinales en Belgique, mettent en évidence que le temps joue un rôle crucial et contribue grandement au changement de la position socioéconomique des nouveaux migrants. Plus la durée de la présence du réfugié est longue, plus la probabilité que le réfugié a de trouver un travail et de cesser d’être dépendant de l’aide sociale est élevée. Aussi, grâce à l’identification de carrières types d’insertion professionnelle, obtenue par le biais d’analyse séquentielle, les résultats démontrent qu’être présent sur le marché du travail à un stade précoce stimule la participation ultérieure à celui-ci. Néanmoins, certains réfugiés restent plus vulnérables. Le genre, l’âge et la situation familiale sont des facteurs à prendre en compte. Enfin, le contexte institutionnel et structurel joue un rôle très important dans les modalités d’intégration du marché du travail.All over Europe, immigrants’ labour market outcomes tend to lag behind those of the native-born and in Belgium even farther than in other OECD countries (2009). No single aspect seems to be responsible of this phenomenon. This article however reveals some key factors in the labour market integration of refugees. The results were obtained from longitudinal administrative data in Belgium and show that time plays a crucial role, greatly contributing to change new immigrants’ socio-economic position. The longer a person is present in the country, the more likely this person would find a job and cease dependence on social welfare. Moreover, the results show that being present on the labour market in an early stage stimulates further participation within the labour market. Results were obtained through sequential analysis that built the identification of socio-economic integration paths. Some groups remain more however vulnerable. Gender, age and family situation are factors to be taken into account. Finally, the institutional context plays a very important role for labour market integration.En toda la Europa, la inserción de inmigrantes en el mercado de trabajo tiende a ser inferior a la de los ciudadanos nativos, y sobre todo en Bélgica en comparación con otros paÃses de la OCDE (2009). Ningún determinante único parece ser responsable de esta situación. TodavÃa, esta contribución revela algunos de los factores llave de la integración de refugiados en el mercado de trabajo. Los resultados, obtenidos de datos administrativos longitudinales en Bélgica, evidencian que el tiempo desempeña un papel crucial y contribuye de forma significativa para cambiar la posición socioeconómica de los nuevos inmigrantes. Cuánto más larga es la duración de la presencia del refugiado en Bélgica, más elevada es la probabilidad que encuentre un trabajo y que deje de depender de una ayuda social. Además, los resultados de la identificación de carreras profesionales tÃpicas, construidas a partir de un análisis secuencial, demuestran que estar presente en el mercado de trabajo a un estado precoz estimula una participación futura. Sin embargo, algunos refugiados siguen más vulnerables. El género, la edad y la situación familiar son factores que se han de tener en cuenta. Por último, el contexto institucional y estructural desempeña una función muy importante en las modalidades de integración en el mercado de trabajo
Recovery of donor hearts after circulatory death with normothermic extracorporeal machine perfusion
OBJECTIVES A severe donor organ shortage leads to the death of a substantial number of patients who are listed for transplantation. The use of hearts from donors after circulatory death could significantly expand the donor organ pool, but due to concerns about their viability, these are currently not used for transplantation. We propose short-term ex vivo normothermic machine perfusion (MP) to improve the viability of these ischaemic donor hearts. METHODS Hearts from male Lewis rats were subjected to 25 min of global in situ warm ischaemia (WI) (37°C), explanted, reconditioned for 60 min with normothermic (37°C) MP with diluted autologous blood and then stored for 4 h at 0-4°C in Custodiol cold preservation solution. Fresh and ischaemic hearts stored for 4 h in Custodiol were used as controls. Graft function was assessed in a blood-perfused Langendorff circuit. RESULTS During reconditioning, both the electrical activity and contractility of the ischaemic hearts recovered rapidly. Throughout the Langendorff reperfusion, the reconditioned ischaemic hearts had a higher average heart rate and better contractility compared with untreated ischaemic controls. Moreover, the reconditioned ischaemic hearts had higher tissue adenosine triphosphate levels and a trend towards improved tissue redox state. Perfusate levels of troponin T, creatine kinase and lactate dehydrogenase were not significantly lower than those of untreated ischaemic controls. The micro- and macroscopic appearance of the reconditioned ischaemic hearts were improved compared with ischaemic controls, but in both groups myocardial damage and oedema were evident. CONCLUSIONS Our results indicate that functional recovery from global WI is possible during short-term ex vivo reperfusion, allowing subsequent cold storage without compromising organ viability. We expect that once refined and validated, this approach may enable safe transplantation of hearts obtained from donation after circulatory deat
Point-of-care versus central testing of hemoglobin during large volume blood transfusion.
BACKGROUND: Point-of-care (POC) hemoglobin testing has the potential to revolutionize massive transfusion strategies. No prior studies have compared POC and central laboratory testing of hemoglobin in patients undergoing massive transfusions.
METHODS: We retrospectively compared the results of our point-of-care hemoglobin test (EPOC®) to our core laboratory complete blood count (CBC) hemoglobin test (Sysmex XE-5000™) in patients undergoing massive transfusion protocols (MTP) for hemorrhage. One hundred seventy paired samples from 90 patients for whom MTP was activated were collected at a single, tertiary care hospital between 10/2011 and 10/2017. Patients had both an EPOC® and CBC hemoglobin performed within 30 min of each other during the MTP. We assessed the accuracy of EPOC® hemoglobin testing using two variables: interchangeability and clinically significant differences from the CBC. The Clinical Laboratory Improvement Amendments (CLIA) proficiency testing criteria defined interchangeability for measurements. Clinically significant differences between the tests were defined by an expert panel. We examined whether these relationships changed as a function of the hemoglobin measured by the EPOC® and specific patient characteristics.
RESULTS: Fifty one percent (86 of 170) of paired samples\u27 hemoglobin results had an absolute difference of ≤7 and 73% (124 of 170) fell within ±1 g/dL of each other. The mean difference between EPOC® and CBC hemoglobin had a bias of - 0.268 g/dL (p = 0.002). When the EPOC® hemoglobin was \u3c 7 g/dL, 30% of the hemoglobin values were within ±7, and 57% were within ±1 g/dL. When the measured EPOC® hemoglobin was ≥7 g/dL, 55% of the EPOC® and CBC hemoglobin values were within ±7, and 76% were within ±1 g/dL. EPOC® and CBC hemoglobin values that were within ±1 g/dL varied by patient population: 77% for cardiac surgery, 58% for general surgery, and 72% for non-surgical patients.
CONCLUSIONS: The EPOC® device had minor negative bias, was not interchangeable with the CBC hemoglobin, and was less reliable when the EPOC® value was \u3c 7 g/dL. Clinicians must consider speed versus accuracy, and should check a CBC within 30 min as confirmation when the EPOC® hemoglobin is \u3c 7 g/dL until further prospective trials are performed in this population
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AIDS-Related Services and Training in Outpatient Mental Health Care Agencies in New York
Directors of 471 outpatient mental health settings in New York State (82.1 percent of 574 settings located in counties with intermediate to high AIDS case rates) completed a survey about HIV and AIDS services, training needs, and barriers to care. Most of the sites served one to ten persons with HIV infection annually and had staff members who were trained in providing at least one HIV-related service. Nonetheless, 84 percent of the respondents reported
unmet needs for training. The likelihood of providing certain services was significantly increased in sites that were in urban locations, primarily served clients with comorbid alcohol or other drug use disorders, lacked funds for providing condoms, had staff members who were trained in HIV and AIDS services, identified particular HIV training needs, believed clients needed condoms, and viewed HIV-related services as very important
Tables and graphs of measurements made across four Cape Cod beaches 1957-1958
Originally issued as Reference No. 61-4, series later renamed WHOI-.The primary purpose of this report is to present tables of measurements
made across four Cape Cod beaches.The field work was supported entirely by the Geography Branch of the
Office of Naval Research under contract number Nonr-1254 (00) (NR-388 - 018)
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