A Comparison of Three Rapid Evaluation Procedures for Pine Savanna Wetlands

Inception of the Clean Water Act in 1972 resulted in regulation of activities in wetlands through Section 404. Regulatory agencies like the Mississippi Department of Marine Resources (MDMR) have tried to find methods to rapidly evaluate wetlands. This study compares three rapid evaluation methods, Hydrogeomorphic Approach (HGM), Wetlands Rapid Assessment Procedure (WRAP), and Wetland Evaluation System (WES), based on their scoring of a group of reference and mitigation wetland sites. Repeatability was studied by scoring a group of sites twice. The non-parametric Spearman?s correlation was used to compare the three methods. In this study, HGM was most repeatable followed by WES and WRAP. Comparisons of overall scores using the Spearman correlation found the strongest correlation between HGM and WES, although all pairings were significantly correlated (p\u3c 0.05). This study determined HGM was the optimum method for the MDMR because due to repeatability and producing results similar to the other two methods

Alpha-2 agonists for sedation of mechanically ventilated adults in intensive care units : a systematic review

Funding The National Institute for Health Research Health Technology Assessment programme. The Health Services Research Unit is core funded by the Chief Scientist Office of the Scottish Government Health and Social Care Directorates.Peer reviewedPublisher PD

Targeted advertisement of chlamydia screening on social media: A mixed-methods analysis

Objective Chlamydia is one of the most common sexually transmitted infections in teenagers and young adults. This study used a mixed-methods analysis to investigate targeted promotion of chlamydia home-testing on social media. Methods Our first study, in which face-to-face interviews with young women were conducted, sought to explore their attitudes and preferences towards social media-based health promotion. Our second study used Facebook and Google analytics to examine visits to a chlamydia testing page (where chlamydia testing kits could be ordered online), both before and after a targeted Facebook-based health promotion campaign was conducted. Results The interviews revealed Facebook to be the preferred choice of social media, with participants perceiving it to be a powerful and far-reaching platform for social interaction. Participants also highlighted several aspects of promotional content to be important at increasing engagement with the target population, including appropriate use of colour, level of interactivity, use of humour and anonymity. The website analysis showed a 277% increase in the direct entrance on the chlamydia testing kit page and a 41% increase in chlamydia test kit orders, in comparison with the baseline period prior to the intervention. Conclusions The findings support social media as an engaging medium for the online promotion of chlamydia self-testing and implicate Facebook advertising as a useful tool in addition to community-based chlamydia screening services. Future research needs to identify whether targeted social media-based health promotion could lead to higher chlamydia diagnosis rate in comparison to traditional communication channels

Formation and control of nitrogenous DBPs from Western Australian source waters: Investigating the impacts of high nitrogen and bromide concentrations

We studied the formation of four nitrogenous DBPs (N-DBPs) classes (haloacetonitriles, halonitromethanes, haloacetamides, and N-nitrosamines), as well as trihalomethanes and total organic halogen (TOX), after chlorination or chloramination of source waters. We also evaluated the relative and additive toxicity of N-DBPs and water treatment options for minimisation of N-DBPs. The formation of halonitromethanes, haloacetamides, and N-nitrosamines was higher after chloramination and positively correlated with dissolved organic nitrogen or total nitrogen. N-DBPs were major contributors to the toxicity of both chlorinated and chloraminated waters. The strong correlation between bromide concentration and the overall calculated DBP additive toxicity for both chlorinated and chloraminated source waters demonstrated that formation of brominated haloacetonitriles was the main contributor to toxicity. Ozone–biological activated carbon treatment was not effective in removing N-DBP precursors. The occurrence and formation of N-DBPs should be investigated on a case-by-case basis, especially where advanced water treatment processes are being considered to minimise their formation in drinking waters, and where chloramination is used for final disinfection

Team Spirit: How Three Libraries Are Working to Support Health Sciences Libraries in Liberia

This poster presentation is a collaborative effort of librarians from Lamar Soutter Library, University of Massachusetts Medical School; Himmelfarb Health Sciences Library, The George Washington University; and Louis Stokes Health Sciences Library, Howard University. International medicine initiatives often occur through institution specific efforts. Yet information needs extend across borders and institutions. Three American health sciences libraries have united to support the development of health sciences libraries in Liberia. While separate schools will support undergraduate and graduate medical education initiatives, the libraries are working together to bring current information resources to all health care professionals

Principles of Nutrition (GHC)

This Grants Collection for Principles of Nutrition was created under a Round Nine ALG Textbook Transformation Grant. Affordable Learning Georgia Grants Collections are intended to provide faculty with the frameworks to quickly implement or revise the same materials as a Textbook Transformation Grants team, along with the aims and lessons learned from project teams during the implementation process. Documents are in .pdf format, with a separate .docx (Word) version available for download. Each collection contains the following materials: Linked Syllabus Initial Proposal Final Reporthttps://oer.galileo.usg.edu/health-collections/1007/thumbnail.jp

Principles of Nutrition Textbook, Second Edition

Update: The team has updated this course with a Round Twelve Mini-Grant for Ancillary Materials and Revisions, leading to a new twenty-chapter remix featuring content from a Kansas State University open textbook. Due to accessibility issues in the repository, a second copy of the PDF without a cover page is included in Additional Files. This file should retain all bookmarks and tags. First edition description: This Open Textbook for Principles of Nutrition was created under a Round Nine ALG Textbook Transformation Grant. Topics covered: Chapter 1: Nutrition Basics Chapter 2: Macronutrient Structures Chapter 3: Macronutrient Digestion Chapter 4: Macronutrient Uptake, Absorption, & Transport Chapter 5: Common Digestive Problems Chapter 6: Macronutrient Metabolism Chapter 7: Integration of Macronutrient Metabolism Chapter 8: Micronutrients Overview & Dietary Reference Intakes (DRIs) Chapter 9: Antioxidant Micronutrients Chapter 10: Macronutrient Metabolism Micronutrients Chapter 11: Carbon Metabolism Micronutrients Chapter 12: Blood, Bones & Teeth Micronutrients Chapter 13: Electrolyte Micronutrients Chapter 14: Achieving a Healthy Diet Chapter 15: Diet and Health- Chronic Disease Prevention Chapter 16: Pregnancy and Lactation Chapter 17: Nutrition Infancy through Adolescence Chapter 18: Adulthood and the Later Years Chapter 19: Nutrition and Fitness/Athletes Chapter 20: Nutrition and Society The original chapters are also available on a Georgia Highlands College LibGuide.https://oer.galileo.usg.edu/health-textbooks/1006/thumbnail.jp

Does Graded Prognostic Assessment outperform Recursive Partitioning Analysis in patients with moderate prognosis brain metastases?

AIM: To compare the clinical utility of the Recursive Partitioning Analysis (RPA) and Graded Prognostic Assessment (GPA) in predicting outcomes for moderate prognosis patients with brain metastases. METHODS & MATERIALS: We reviewed 101 whole brain radiotherapy cases. RPA and GPA were calculated. Overall survival was compared. RESULTS: Sixty-eight patients had moderate prognosis. RPA patient characteristics for increased death hazard were ≤10 WBRT fractions or no surgery/radiosurgery. GPA patients had increased death risk with no surgery/radiosurgery or lower Karnofsky Performance Status. CONCLUSION: The indices have similar predicted survival. Patients scored by RPA with longer radiation schedules had longer survival; patients scored by GPA did not. This indicates GPA is more clinically useful, leaving less room for subjective treatment choices