Master Gardener Satisfaction and Intent to Remain After Training via Remote Delivery

One year after using remote delivery via video web conferencing (VWC) in training, we surveyed Delaware master gardeners to assess the remote delivery trainees\u27 satisfaction and intent to remain as compared to those characteristics in volunteers who had had face-to-face training. Although the remote delivery trainees were satisfied overall, they were significantly less satisfied than those who had participated in face-to-face trainings. A more positive perception of the VWC experience was associated with master gardeners\u27 increased satisfaction, suggesting the importance of VWC quality. However, volunteers trained via VWC did not report more or less of an intention to remain with the organization

The presence of a dog increases greetings: a study in social intervention

Pet dogs served many useful purposes, especially by provoking social interaction in the lives of their owners. The purpose of this study was to show that a person accompanied by a dog received more greetings from passersby than a person without a dog. This was a field study using a female confederate, a dog, and three observers. Subjects passing in front of the confederate were recorded as a greeter or a non-greeter. Results formulated by the Chi Square showed that when the confederate was with the dog, they were greeted significantly more than when they were not accompanied by the dog. This study had important applications for people who consider themselves lonely, shy, or socially inept

Interventions for trachoma trichiasis.

BACKGROUND: Trachoma is the leading infectious cause of blindness. The World Health Organization (WHO) recommends eliminating trachomatous blindness through the SAFE strategy: Surgery for trichiasis, Antibiotic treatment, Facial cleanliness and Environmental hygiene. This is an update of a Cochrane review first published in 2003, and previously updated in 2006. OBJECTIVES: To assess the effects of interventions for trachomatous trichiasis for people living in endemic settings. SEARCH METHODS: We searched CENTRAL (which contains the Cochrane Eyes and Vision Group Trials Register) (2015, Issue 4), Ovid MEDLINE, Ovid MEDLINE In-Process and Other Non-Indexed Citations, Ovid MEDLINE Daily, Ovid OLDMEDLINE (January 1946 to May 2015), EMBASE (January 1980 to May 2015), the ISRCTN registry (www.isrctn.com/editAdvancedSearch), ClinicalTrials.gov (www.clinicaltrials.gov) and the WHO International Clinical Trials Registry Platform (ICTRP) (www.who.int/ictrp/search/en). We did not use any date or language restrictions in the electronic searches for trials. We last searched the electronic databases on 7 May 2015. We searched the reference lists of included studies to identify further potentially relevant studies. We also contacted authors for details of other relevant studies. SELECTION CRITERIA: We included randomised trials of any intervention intended to treat trachomatous trichiasis. DATA COLLECTION AND ANALYSIS: Three review authors independently selected and assessed the trials, including the risk of bias. We contacted trial authors for missing data when necessary. Our primary outcome was post-operative trichiasis which was defined as any lash touching the globe at three months, one year or two years after surgery. MAIN RESULTS: Thirteen studies met the inclusion criteria with 8586 participants. Most of the studies were conducted in sub-Saharan Africa. The majority of the studies were of a low or unclear risk of bias.Five studies compared different surgical interventions. Most surgical interventions were performed by non-physician technicians. These trials suggest the most effective surgery is full-thickness incision of the tarsal plate and rotation of the terminal tarsal strip. Pooled data from two studies suggested that the bilamellar rotation was more effective than unilamellar rotation (OR 0.29, 95% CI 0.16 to 0.50). Use of a lid clamp reduced lid contour abnormalities (OR 0.65, 95% CI 0.44 to 0.98) and granuloma formation (OR 0.67, 95% CI 0.46 to 0.97). Absorbable sutures gave comparable outcomes to silk sutures (OR 0.90, 95% CI 0.68 to 1.20) and were associated with less frequent granuloma formation (OR 0.63, 95% CI 0.40 to 0.99). Epilation was less effective at preventing eyelashes from touching the globe than surgery for mild trichiasis, but had comparable results for vision and corneal change. Peri-operative azithromycin reduced post-operative trichiasis; however, the estimate of effect was imprecise and compatible with no effect or increased trichiasis (OR 0.85, 95% CI 0.63 to 1.14; 1954 eyes; 3 studies). Community-based surgery when compared to health centres increased uptake with comparable outcomes. Surgery performed by ophthalmologists and integrated eye care workers was comparable. Adverse events were typically infrequent or mild and included rare postoperative infections, eyelid contour abnormalities and conjunctival granulomas. AUTHORS' CONCLUSIONS: No trials were designed to evaluate whether the interventions for trichiasis prevent blindness as an outcome; however, several found modest improvement in vision following intervention. Certain interventions have been shown to be more effective at eliminating trichiasis. Full-thickness incision of the tarsal plate and rotation of the lash-bearing lid margin was found to be the best technique and is preferably delivered in the community. Surgery may be carried out by an ophthalmologist or a trained ophthalmic assistant. Surgery performed with silk or absorbable sutures gave comparable results. Post-operative azithromycin was found to improve outcomes where overall recurrence was low

Portuguese interest in settlement in sixteenth-century northeastern North America : a historiographical reassessment

iii, 176 leaves ; 28 cm.Includes abstract.Includes bibliographical references (leaves 167-175).Also available online.Microfiche. Ottawa : Library and Archives Canada = Bibliothèque et Archives Canada,Portuguese interest in settlement in northeastern North America in the sixteenth century is examined in the context of the existing historiographical literature which deals with settlement primarily in the seventeenth century and which assumes that Europeans were not interested in settlement in the region in the sixteenth century because the seasonal nature of the migratory fishery did not require it. The thesis questions this historiography by focusing on three separate instances of Portuguese interest in settlement between approximately 1520 and 1570. The Portuguese interest in permanent residency in northeastern North America emerged in part out of the pattern of settlement that had taken place in the Azores in the fifteenth century---an indication that Portuguese Atlantic activity was governed by different timelines and priorities from those of the French or English. The thesis concludes that the existing historiography is misleading with respect to the Portuguese, thus identifying a cloudy area in the historiography and pointing to the need for a re-examination of its explanatory power

Development of a bioavailability‐based risk assessment approach for nickel in freshwater sediments

To assess nickel (Ni) toxicity and behavior in freshwater sediments, a large‐scale laboratory and field sediment testing program was conducted. The program used an integrative testing strategy to generate scientifically based threshold values for Ni in sediments and to develop integrated equilibrium partitioning‐based bioavailability models for assessing risks of Ni to benthic ecosystems. The sediment testing program was a multi‐institutional collaboration that involved extensive laboratory testing, field validation of laboratory findings, characterization of Ni behavior in natural and laboratory conditions, and examination of solid phase Ni speciation in sediments. The laboratory testing initiative was conducted in 3 phases to satisfy the following objectives: 1) evaluate various methods for spiking sediments with Ni to optimize the relevance of sediment Ni exposures; 2) generate reliable ecotoxicity data by conducting standardized chronic ecotoxicity tests using 9 benthic species in sediments with low and high Ni binding capacity; and, 3) examine sediment bioavailability relationships by conducting chronic ecotoxicity testing in sediments that showed broad ranges of acid volatile sulfides, organic C, and Fe. A subset of 6 Ni‐spiked sediments was deployed in the field to examine benthic colonization and community effects. The sediment testing program yielded a broad, high quality data set that was used to develop a Species Sensitivity Distribution for benthic organisms in various sediment types, a reasonable worst case predicted no‐effect concentration for Ni in sediment (PNECsediment), and predictive models for bioavailability and toxicity of Ni in freshwater sediments. A bioavailability‐based approach was developed using the ecotoxicity data and bioavailability models generated through the research program. The tiered approach can be used to fulfill the outstanding obligations under the European Union (EU) Existing Substances Risk Assessment, EU Registration, Evaluation, Authorisation, and Regulation of Chemicals (REACH), and other global regulatory initiatives. Integr Environ Assess Manag 2016;12:735–746. © 2015 SETACKey PointsA comprehensive, representative sediment toxicity database is available to support risk assessment of Ni in freshwater sediments.Sediment Ni ecotoxicity data were gathered from studies that used spiking approaches that resulted in Ni‐enriched sediments resembling naturally contaminated sediments, thus increasing their relevance.Bioavailability of Ni in sediments, which is controlled by acid volatile sulfides (AVS), varies among different species, with actively bioturbating species showing a lower slope in the relationship between decreasing toxicity with increasing AVS.A bioavailability‐based, tiered approach is presented, where the first tier involves comparison of ambient total Ni concentrations with a RWC threshold value of 136 mg Ni/kg. Site‐specific AVS can be used to calculate a site‐specific threshold if ambient Ni is greater than 136 mg Ni/kg.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/134197/1/ieam1720.pdfhttp://deepblue.lib.umich.edu/bitstream/2027.42/134197/2/ieam1720_am.pd

Understanding the direct and indirect mechanisms of xylanase action on starch digestion in broilers

The objective of the current study was to investigate the mechanisms of xylanase action in a maize-soya diet and its effect on starch digestion. A total of 60 broilers were divided into 6 treatment groups; a control group without xylanase, and five other groups supplemented with xylanase (Econase XT 25; 100 g/t) from 1, 2, 3, 4 or 5 weeks before slaughter. At the end of the experiment, digesta was collected from the gizzard, upper and lower small intestine, and both caeca. Digesta pH ranged from pH 2.2-4.4, 5.9-6.6, 6.7-7.8 and 5.7-7.3 in the gizzard, upper small intestine, lower small intestine, and both caeca, respectively, with no effect of xylanase (P > 0.05). Scanning Electron Microscope (SEM) images along with total starch measurements showed the progression of starch digestion through the tract. The SEM did not show any greater disruption to cell wall material with xylanase supplementation. This suggests that xylanase was not working directly on the cell wall and provides evidence for the hypothesis that xylanase works through an indirect mechanism. Peptide YY (PYY) concentration in the blood was higher during the first few weeks of supplementation, with longer periods of supplementation nulling this effect, implying that xylanase may be acting through a prebiotic mechanism. The RT-q PCR results revealed a numerical increase in glucose transporter (GLUT2 and SGLT1) expression at 2 and 3 weeks of xylanase supplementation, respectively, which might suggest a greater absorption capacity of birds. From these results, a potential mechanism of xylanase action in maize-based diets has been proposed

Evaluation of Online Consumer Health Information for Idiopathic Scoliosis Identified by a Google Search

Introduction. This study sought to assess the quality of online consumerhealth information about idiopathic scoliosis. Previous studiesshowed that quality of online health information varies and oftenlacks adherence to expert recommendations and guidelines. Nevertheless,72% of internet users seek health information online. A 2005analysis of online scoliosis information found that the informationwas limited and of poor quality. Methods. Two reviewers vetted the top 10 websites resulting from aGoogleTM search for “scoliosis.” Content was organized into categoriesand rated by three physician evaluators using a 1 - 5 scale basedon quality, accuracy, completeness of information, readability, andwillingness to recommend. Additional information, such as numberof ads and Flesch-Kinkaid reading level, also was collected. Results. The average overall physician score was 47.6 (75 possible).All websites included content that was mostly accurate but varied incompleteness. Physicians unanimously recommended Mayo Clinic,MedicineNet, and Kids Health; none recommended the GoogleTMKnowledge Graph. The Scoliosis Research Society website reachedthe highest overall physician score. Readability ranged from 7th gradeto college level; only that of Kids Health was below 10th grade level. Conclusions. Most essential information provided by the websiteswas accurate and generally well rated by physicians. Website rankingby physicians was inconsistent with the ranking order by GoogleTM,indicating that health seekers reviewing the top GoogleTM-rankedwebsites may not be viewing the websites rated highest by physicians.Physicians should consider patient literacy in website recommendations,as many have an above average literacy level.Kans J Med 2018;11(4):95-101

An Agenda for Increasing Grant Funding of Emergency Medicine Education Research

Funding is a perennial challenge for medical education researchers. Through a consensus process, the authors developed a multifaceted agenda for increasing funding of education research in emergency medicine ( EM ). Priority agenda items include developing resources to increase the competitiveness of medical education research faculty in grant applications, identifying means by which departments may bolster their faculty's grant writing success, taking long‐term steps to increase the number of grants available to education researchers in the field, and encouraging a shift in cultural attitudes toward education research.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/95395/1/acem12041.pd