230 research outputs found

    Horse, a Composition for Solo Snare Drum and Live Electronics

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    Preparing Teacher Candidates for Success in Diverse Settings

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    Field experiences and clinical practice are essential elements in the preparation of teacher candidates. The College of Education (COE) at Columbus State University (CSU) understands the important role these components play in the development of successful teachers. Field experiences and clinical practice must adhere to the guidelines set forth by the governing bodies that accredit educator preparation programs. They must also reflect the philosophy of the individual institution

    Sound propagation over uneven ground and irregular topography

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    The development of theoretical, computational, and experimental techniques for predicting the effects of irregular topography on long range sound propagation in the atmosphere is discussed. Irregular topography here is understood to imply a ground surface that (1) is not idealizable as being perfectly flat or (2) that is not idealizable as having a constant specific acoustic impedance. The study focuses on circumstances where the propagation is similar to what might be expected for noise from low-altitude air vehicles flying over suburban or rural terrain, such that rays from the source arrive at angles close to grazing incidence

    Spatial-Distance Cues Influence Economic Decision-Making in a Social Context

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    Social distance (i.e., the degree of closeness to another person) affects the way humans perceive and respond to fairness during financial negotiations. Feeling close to someone enhances the acceptance of monetary offers. Here, we explored whether this effect also extends to the spatial domain. Specifically, using an iterated version of the Ultimatum Game in a within-subject design, we investigated whether different visual spatial distance-cues result in different rates of acceptance of otherwise identical monetary offers. Study 1 found that participants accepted significantly more offers when they were cued with spatial closeness than when they were cued with spatial distance. Study 2 replicated this effect using identical procedures but different spatial- distance cues in an independent sample. Importantly, our results could not be explained by feelings of social closeness. Our results demonstrate that mere perceptions of spatial closeness produce analogous–but independent–effects to those of social closeness

    Atwoods Distributing LP: Exterior layout enhancement

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    Atwoods Distributing LP in Enid, Oklahoma, is one of two distribution centers (DC) for ranch and home goods. Both DCs in Enid, OK and in Tyler, Texas, service 60 Atwoods stores in Texas, Oklahoma, Kansas, Missouri, and Arkansas. The Enid Atwoods DC recently expanded their exterior facility by adding a concrete slab area of 8.8 acres that includes a new entrance on the southwest corner of the property.The Atwoods Team has requested the Industrial Engineering and Management (IEM) Senior Design Team (SDT) at Oklahoma State University to use this opportunity to design a new layout that improves the flow of inventory in and out of their DC. Their objectives were to improve the flow of incoming and outgoing trucks, maximize storage capacity of outside product, or picks, and improve the overall organization of outside picks.In the following report, the SDT has provided the Atwoods Team with their methodology, analysis of the current situation, and several solution alternatives. They conclude the report with a list of final recommendations along with an explanation of the value added on how to effectively utilize the expanded area by:reducing congestion with new vendor parking lots and a new truck route through the facilityminimizing forklift travel with an optimized, labeled product layoutrelocating pallets, recyclables, and the propane tank away from the outside picksmaximizing overnight vendor parking within the bottleneck area outside of the new entrance

    Building clinical trials capacity for tuberculosis drugs in high-burden countries

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    The long duration of TB therapy, the high prevalence of HIV coinfection, and the growing prevalence of drug-resistant TB underscore the urgent need for more effective treatments

    Sexually Transmitted Infections Among HIV-Infected Individuals in the District of Columbia and Estimated HIV Transmission Risk: Data From the DC Cohort

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    Background Washington, DC, has one of the highest rates of HIV infection in the United States. Sexual intercourse is the leading mode of HIV transmission, and sexually transmitted infections (STIs) are a risk factor for HIV acquisition and transmission. Methods We evaluated the incidence and demographic factors associated with chlamydia, gonorrhea, and syphilis among HIV-infected persons enrolled at 13 DC Cohort sites from 2011 to 2015. Using Poisson regression, we assessed covariates of risk for incident STIs. We also examined HIV viral loads (VLs) at the time of STI diagnosis as a proxy for HIV transmission risk. Results Six point seven percent (451/6672) developed an incident STI during a median follow-up of 32.5 months (4% chlamydia, 3% gonorrhea, 2% syphilis); 30% of participants had 2 or more STI episodes. The incidence rate of any STIs was 3.8 cases per 100 person-years (95% confidence interval [CI], 3.5–4.1); age 18–34 years, 10.8 (95% CI, 9.7–12.0); transgender women, 9.9 (95% CI, 6.9–14.0); Hispanics, 9.2 (95% CI, 7.2–11.8); and men who have sex with men (MSM), 7.7 (95% CI, 7.1–8.4). Multivariate Poisson regression showed younger age, Hispanic ethnicity, MSM risk, and higher nadir CD4 counts to be strongly associated with STIs. Among those with an STI, 41.8% had a detectable VL within 1 month of STI diagnosis, and 14.6% had a VL ≥1500 copies/mL. Conclusions STIs are highly prevalent among HIV-infected persons receiving care in DC. HIV transmission risk is considerable at the time of STI diagnosis. Interventions toward risk reduction, antiretroviral therapy adherence, and HIV virologic suppression are critical at the time of STI evaluation

    True durability: HIV virologic suppression in an urban clinic and implications for timing of intensive adherence efforts and viral load monitoring

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    Although the majority of HIV-infected patients who begin potent antiretroviral therapy should expect long-term virologic suppression, the realities in practice are less certain. Durability of viral suppression was examined to define the best timing of targeted adherence strategies and intensive viral load monitoring in an urban clinic population with multiple challenges to ART adherence. We examined the risk of viral rebound for patients who achieved two consecutive viral loads lower than the lower limit of quantification (LLOQ) within 390 days. For 791 patients with two viral loads below the LLOQ, viral rebound \u3eLLOQ from the first viral load was 36.9 % (95 % CI 32.2–41.6) in the first year, 26.9 % (95 % CI 21.7–32.1) in the year following one year of viral suppression, and 24.6 % (95 % CI 18.4–30.9) in the year following 2 years of viral suppression. However, for patients with CD4 ≥300 cells/µl who had 3–6 years of virologic suppression, the risk of viral rebound was very low. At the population level, the risk of viral rebound in a complex urban clinic population is surprisingly high even out to 3 years. Intensified monitoring and adherence efforts should target this high risk period. Thereafter, confidence in truly durable virologic suppression is improved

    True durability: HIV virologic suppression in an urban clinic and implications for timing of intensive adherence efforts and viral load monitoring.

    Get PDF
    Although the majority of HIV-infected patients who begin potent antiretroviral therapy should expect long-term virologic suppression, the realities in practice are less certain. Durability of viral suppression was examined to define the best timing of targeted adherence strategies and intensive viral load monitoring in an urban clinic population with multiple challenges to ART adherence. We examined the risk of viral rebound for patients who achieved two consecutive viral loads lower than the lower limit of quantification (LLOQ) within 390 days. For 791 patients with two viral loads below the LLOQ, viral rebound \u3eLLOQ from the first viral load was 36.9 % (95 % CI 32.2-41.6) in the first year, 26.9 % (95 % CI 21.7-32.1) in the year following one year of viral suppression, and 24.6 % (95 % CI 18.4-30.9) in the year following 2 years of viral suppression. However, for patients with CD4 ≥300 cells/µl who had 3-6 years of virologic suppression, the risk of viral rebound was very low. At the population level, the risk of viral rebound in a complex urban clinic population is surprisingly high even out to 3 years. Intensified monitoring and adherence efforts should target this high risk period. Thereafter, confidence in truly durable virologic suppression is improved
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