2,321 research outputs found

    Percentage Leases and the Advantages of Regional Malls

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    The differences in the ownership structures of downtown retail districts and shopping centers may give rise to varying space allocations and rental contracts found in these markets. This article specifically examines the value-enhancing aspects of percentage leases and explores the mechanisms of tenant mix, risk sharing and rent discrimination through which this value is created. The use of percentage leases may lead to superior returns by allowing a rent structure that approaches perfect price discrimination. Risk sharing through the use of percentage leases may also create value for the property owner and lead to lower rents for tenants.

    Using Universal Periodic Review Recommendations in UK Courts

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    Predicting Climate-Driven Coastlines With a Simple and Efficient Multiscale Model

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    Ocean-basin-scale climate variability produces shifts in wave climates and water levels affecting the coastlines of the basin. Here we present a hybrid shoreline change?foredune erosion model (A COupled CrOss-shOre, loNg-shorE, and foreDune evolution model, COCOONED) intended to inform coastal planning and adaptation. COCOONED accounts for coupled longshore and cross-shore processes at different timescales, including sequencing and clustering of storm events, seasonal, interannual, and decadal oscillations by incorporating the effects of integrated varying wave action and water levels for coastal hazard assessment. COCOONED is able to adapt shoreline change rates in response to interactions between longshore transport, cross-shore transport, water level variations, and foredune erosion. COCOONED allows for the spatial and temporal extension of survey data using global data sets of waves and water levels for assessing the behavior of the shoreline at multiple time and spatial scales. As a case study, we train the model in the period 2004?2014 (11 years) with seasonal topographic beach profile surveys from the North Beach Sub-cell (NBSC) of the Columbia River Littoral Cell (Washington, USA).We explore the shoreline response and foredune erosion along 40 km of beach at several timescales during the period 1979?2014 (35 years), revealing an accretional trend producing reorientation of the beach, cross-shore accretional, and erosional periods through time (breathing) and alternating beach rotations that are correlated with climate indices.J. A. A. Antolínez and F. J. Méndez acknowledge the support of the Spanish “Ministerio de Economia y Competitividad” under Grant BIA2014-59643-R

    High-sensitivity troponin I concentrations are a marker of an advanced hypertrophic response and adverse outcomes in patients with aortic stenosis

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    Aims: High-sensitivity cardiac troponin I (cTnI) assays hold promise in detecting the transition from hypertrophy to heart failure in aortic stenosis. We sought to investigate the mechanism for troponin release in patients with aortic stenosis and whether plasma cTnI concentrations are associated with long-term outcome. Methods and results: Plasma cTnI concentrations were measured in two patient cohorts using a high-sensitivity assay. First, in the Mechanism Cohort, 122 patients with aortic stenosis (median age 71, 67% male, aortic valve area 1.0 Âą 0.4 cm2) underwent cardiovascular magnetic resonance and echocardiography to assess left ventricular (LV) myocardial mass, function, and fibrosis. The indexed LV mass and measures of replacement fibrosis (late gadolinium enhancement) were associated with cTnI concentrations independent of age, sex, coronary artery disease, aortic stenosis severity, and diastolic function. In the separate Outcome Cohort, 131 patients originally recruited into the Scottish Aortic Stenosis and Lipid Lowering Trial, Impact of REgression (SALTIRE) study, had long-term follow-up for the occurrence of aortic valve replacement (AVR) and cardiovascular deaths. Over a median follow-up of 10.6 years (1178 patient-years), 24 patients died from a cardiovascular cause and 60 patients had an AVR. Plasma cTnI concentrations were associated with AVR or cardiovascular death HR 1.77 (95% CI, 1.22 to 2.55) independent of age, sex, systolic ejection fraction, and aortic stenosis severity. Conclusions: In patients with aortic stenosis, plasma cTnI concentration is associated with advanced hypertrophy and replacement myocardial fibrosis as well as AVR or cardiovascular death

    Embracing a Competency-Based Specialty Curriculum for Community-Based Nursing Roles

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    The Quad Council competencies for public health nursing (PHN) provide guidance in developing curricula at both the generalist and specialist level. However, these competencies are based on nursing roles in traditional public health agencies and community/public health is defined more broadly than official agency practice. The question arises as to whether community-based specialties require largely the same knowledge and skill set as PHN. The purpose of the competency cross-mapping project reported here was to (a) assess the intersection of the Quad Council competencies with four community-based specialties and (b) ensure the appropriateness of a Quad Council-based curriculum to prepare graduates across these four specialties (home health, occupational health, environmental health, and school nursing). This article details the multistep cross-mapping process, including validation with practice leaders. Results indicate strong alignment of community-based specialty competencies with Quad Council competencies. Community-based specialty-specific content that did not align well is identified, along with examples of didactic and clinical strategies to address gaps. This work indicates that a Quad Council-based curriculum is appropriate to prepare graduates in community-based specialties when attention to the specialty-specific competencies in the clinical setting is included. This work guides the development of a doctorate of nursing practice curriculum in PHN, encompassing the four additional community-based specialties

    Community/Public Health Nursing Practice Leaders\u27 Views of the Doctorate of Nursing Practice

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    ABSTRACT Objectives: This paper presents thoughts of practice leaders in the community/public health nursing (C/PHN) specialty on advanced nursing practice (ANP) and the necessary educational preparation for such practice. Design and Sample: Practice leaders were engaged in conversations specifically focused on the Doctor of Nursing Practice (DNP) as preparation for ANP in their specialties, and asked to consider the benefits of, and challenges to, this educational program. Measures and Results: The resulting remarks were then assessed for themes by the interviewers and these are presented along with thoughts on the future of education for ANP. Conclusion: Overall, there was much agreement among the practice leaders interviewed about the importance of a broad skill set for ANP in the specialty. However, the practice leaders interviewed here also identified the practical challenges involved in educating nurses at the DNP level in the C/PHN specialty, as well as some concerns about the definitions of ANP for the future
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