Enabling inclusive sport participation: Effects of disability and support needs on constraints to sport participation

Framed by a social approach to disability and leisure constraints theory, this paper presents the results of a national study examining the constraints to sport participation for people with disability. Responses were obtained from a multi-platform questionnaire survey capturing data on constraints to participation, dimensions of disability, and level of support needs. The Exploratory Factor Analysis identified five structural together with intrapersonal and interpersonal constraint factors. While intrapersonal and interpersonal considerations were found to constrain sport participation and nonparticipation, the five structural factors had the most significant constraining impact on sport participation. The findings showed that disability type and level of support needs explain significant variations in constraints to participation and nonparticipation. When the 2-Way MANOVA included type of disability and level of support needs as contingent independent variables, the level of support needs was the most significant indicator of the likelihood of having constraints to participation or nonparticipation

Exploring the development of team identification.

The article discusses a study investigating the development of identification with sports teams, with particular focus given to the application of social identity theory and the psychological continuum model (PCM). The development of internal meaning attached to the team and external actions such as searching for team-related information and promoting the team to others is examined, and the influence of media on attitude formation is commented on. A review of previous literature on the topic is also provided

Predictors of Acute Liver Failure in Patients With Acute Hepatitis A: An Analysis of the 2016-2018 San Diego County Hepatitis A Outbreak.

Background:Between 2016 and 2018, San Diego County experienced a hepatitis A outbreak with a historically high mortality rate (3.4%) that highlighted the need for early recognition of those at risk of developing acute liver failure (ALF). Methods:A retrospective case series of adult hospitalized patients with acute hepatitis A. Results:One hundred six patients with hepatitis A were studied, of whom 11 (10.4%) developed ALF, of whom 7 (6.6%) died. A history of alcohol abuse, hyperbilirubinemia, hypoalbuminemia, hyponatremia, and anemia were associated with increased odds of developing ALF. Initial Maddrey's and Model of End-Stage Liver Disease Sodium (MELD-Na) scores were also associated with the development of ALF. Multivariable analysis showed that a higher initial MELD-Na score (odds ratio [OR], 1.205; 95% confidence interval [CI], 1.018-1.427) and a lower initial serum albumin concentration (OR, 9.35; 95% CI, 1.15-76.9) were associated with increased odds of developing ALF. Combining serum albumin and MELD-Na (SAM; C-statistic, 0.8878; 95% CI, 0.756-0.988) yielded a model that was not better than either serum albumin (C-statistic, 0.852; 95% CI, 0.675-0.976) or MELD-Na (C-statistic, 0.891; 95% CI, 0.784-0.968; P = .841). Finally, positive blood cultures were more common among patients with ALF compared with those without ALF (63.6% vs 4.3%; P < .00001). Conclusions:Hypoalbuminemia was associated with an increased risk of ALF in patients with acute hepatitis A. Positive blood cultures and septic shock as a cause of death were common among patients with ALF. Providers caring for patients with acute hepatitis A should monitor for early signs of sepsis and consider empiric antibiotics, especially in patients presenting with hypoalbuminemia

Increasing Collegiate Flight Training Fleet Utilization Through the Use of an Aircraft Assignment Algorithm

The operational efficiency of fleet aircraft employed for student flight training in collegiate aviation programs is strongly influenced by scheduling, among other factors. The average utilization rate for the fleet operated by the Purdue University School of Aviation and Transportation Systems was found to be 24% (Avery, 2014), and there is no data to suggest that that this rate is atypical in similar institutional programs. Mott and Bullock (2015) identified several means by which the utilization rate could be increased, and improvements in the dispatch and scheduling process were a key component of those recommendations. This article describes a scheduling algorithm that was implemented at Purdue University in the fall semester of 2015. The algorithm is a linear programming technique that incorporates optimization constraints unique to collegiate flight training operations. The resulting improvements in aircraft utilization will facilitate an increased matriculation rate of students into the flight program, thereby allowing the allocation of fixed costs over a wider user base and the reduction of overall program fees for all students. Those improvements are validated through measurement of the reduction of the cumulative turn times between aircraft operations

Unraveling phonological conspiracies: A case study

This paper focuses on three seemingly unrelated error patterns in the sound system of a child with a phonological delay, Child 218 (male, age 4 years; 6 months) and ascribes those error patterns to a larger conspiracy to eliminate fricatives from the phonetic inventory. Employing Optimality Theory for its advantages in characterizing conspiracies, our analysis offers a unified account of the observed repairs. The contextual restrictions on those repairs are, moreover, attributed to early developmental prominence effects, which are independently manifested in another error pattern involving rhotic consonants. Comparisons are made with a published case study involving a different implementation of the same conspiracy, the intent being to disambiguate the force behind certain error patterns. The clinical implications of the account are also considered.National Institutes of Health DC00433, RR703K, DC00076, DC001694 (PI: Gierut

The Value of Relevant, Project-Based Learning to Youth Development

Project Based Learning models present authentic learning opportunities with real-life situations, enabling students to set their own learning goals and forge their own relationships (Barab, et al., 2001). The autonomy inherent in this model allows youth to bring their skills and experiences to real situations and to be seen as valued community members. This article describes a project-based learning model involving “externs,” who developed and implemented sustainability projects in their communities. Externs worked with Cooperative Extension professionals on locally relevant community projects during the summer of 2011 in three Arizona counties. The project based learning experience had a positive impact on the lives of our three externs

The Value of Relevant, Project-Based Learning to Youth Development

Project Based Learning models present authentic learning opportunities with real-life situations, enabling students to set their own learning goals and forge their own relationships (Barab, et al., 2001). The autonomy inherent in this model allows youth to bring their skills and experiences to real situations and to be seen as valued community members. This article describes a project-based learning model involving “externs,” who developed and implemented sustainability projects in their communities. Externs worked with Cooperative Extension professionals on locally relevant community projects during the summer of 2011 in three Arizona counties. The project based learning experience had a positive impact on the lives of our three externs

Cyclodextrin-siRNA conjugates as versatile gene silencing agents

Functional siRNAs (luciferase and PLK1) have been conjugated to β-cyclodextrin and the ability of the conjugates to retain gene knockdown activity has been assessed by delivery to cancer cell lines using various formulations. Initially two formulations used complexation with polycations, namely Lipofectamine 2000 and an amphiphilic polycationic cyclodextrin. Gene knockdown results for human glioblastoma cells (U87) and prostate cancer cells (PC3, DU145) showed that conjugation to the cyclodextrin did not reduce gene silencing by the RNA. A third mode of delivery involved formation of targeted nanoparticles in which the conjugate was first complexed with adamantyl-PEG-ligands (targeting ligand RVG peptide or dianisamide) by adamantyl inclusion in the cyclodextrin cavities of the conjugates, followed by charge neutralisation with the cationic polymer chitosan. Enhanced knockdown was achieved by these ligand-targeted formulations. In summary, while this study illustrated the gene silencing efficacy of a simple cyclodextrin-siRNA conjugate it is envisaged that future studies will explore the use of conjugates with a modified cyclodextrin which would be self-delivering. Detailed data such as stability, lysosomal escape etc. will then be reported for each conjugate, since this will be appropriate for conjugates which are intended to exploit, rather than merely demonstrate, the concept. The present paper was intended to demonstrate the viability and generality of this novel concept

Atención De Calidad Y Satisfacción Del Usuario En El Servicio De Consulta Externa Del Hospital Regional De Huancavelica, Perú - 2018.

La tesis titulada, “Atención de Calidad y Satisfacción del Usuario en el Servicio de Consulta Externa del Hospital Regional de Huancavelica, Perú - 2018”, tuvo el objetivo de determinar la relación entre la atención de calidad y la Satisfacción del usuario, con la finalidad de conocer cuál es el nivel de calidad de la atención mediante el enfoque sistémico de estructura, proceso y resultado y con el único propósito de colaborar con el mejoramiento de los servicios que se brinda en consultorios externos del Hospital Regional de Huancavelica. La mencionada investigación tuvo un diseño de investigación no experimental de tipo correlacional, teniendo una muestra de 120 usuarios externo que acuden al Hospital Regional de Huancavelica, reconociendo las variables: Atención de Calidad y Satisfacción del Usuario Externo, la técnica usada para la recolección de datos fue la encuesta “Satisfacción del Usuario Externo” y el instrumento cuestionario, las cuales fueron diseñados por los investigadores. Teniendo como resultado que, de cada 130 usuarios que acuden a Consultorio Externo del Hospital regional, el 2.3% la atención fue muy desfavorable, el 6.2% manifiesta que la atención que recibió en consulta externa es desfavorable, el 76.9% recibió su atención favorable, indicando que estaban satisfechos con la atención recibida y el 14.6% de usuarios recibieron una atención muy favorable. Existe una relación positiva y significativa entre la atención de calidad y la Satisfacción del usuario externo en el Hospital Regional de Huancavelica, 2018; la correlación identificada es 0,87 que se tipifica como una correlación positiva considerable, la probabilidad asociada es P(t>19)=0,0<0,05 por lo que dicha correlación es significativa