College Health Care Providers’ Student-Centered Care

Patient care in the university setting is indelibly connected to college health care providers. College health care providers adapt to a specific set of circumstances unique to the university context in their patient care roles. The authors therefore sought to investigate the patient care phenomenon from college health care providers’ lived experiences. The patient care phenomenon was explored via in-depth interviews with 11 college health care providers at universities in the Midwest and Northeast regions of the United States. The phenomenological theoretical framework of the study revealed five themes of patient care during data analysis: health education, behavioral health, student advocacy, relationship management, and reputation management. The authors designate the multi-dimensional nature of the patient care phenomenon “student-centered care” and consider practical implications for other providers who treat young university-age patients

Pathways of development of dynamic capabilities for servitization transformation: a longitudinal multi-case study

Servitization is a transformation process requiring manufacturers to develop dynamic capabilities to support the change process and overcome emerging challenges over time. In this paper, we study pathways of development of dynamic capabilities for servitization transformation (the sequence of the development of capabilities and how they work together over time) and how they relate to servitization transformation outcomes. We do so based on six longitudinal in-depth case studies of manufacturing firms which, having departed from similar servitization maturity starting points, followed different capability development pathways in their transformation processes and achieved different outcomes. We found that successful pathways of development of capabilities for servitization transformation are associated with (1) developing (first-order) dynamic service provision capabilities sequentially, following a specific order over time and (2) developing (second-order) dynamic reconfiguring capabilities to overcome challenges and sustain the development of service provision capabilities and the transformation process. Our study contributes to the literature by providing an in-depth understanding of how the pathways of development of dynamic capabilities over time influence the outcomes of the servitization transformation process. It is one of the first studies to unveil in detail mechanisms by which different reconfiguring and service provision capabilities work together over time to facilitate the servitization transformation process.info:eu-repo/semantics/publishedVersio

A Midsummer Night\u27s Dream Playbill

Providence College Department of Theatre, Dance & Film Blackfriar\u27s Theatre A Midsummer Night\u27s Dream by William Shakespeare October 15-17 & 22-24, 1982 Director, Mary G. Farrell Scenery and Lighting, Jim Eddy Choreography, Patricia Sharkey Stage Manager, Mark R. Molloy Costumes, Ms. Farrell Original Music Composer, Carl Sauerbrunn and Gary Heaslip Theatre Program Director, John Garrity Cast: Theseus, Duke of Athens, Oberon, King of the Fairies - Paul Morin; Egeus, father to Hermia, Robin Starveling, a tailor - James Lambert; Lysander, in love with Hermia - Steven Sion; Demetrius, in love with Hermia - Joe Henderson; Philostrate, Master to Theseus - Joe Mecca; Peter Quince, a carpenter - Mark Enright; Nick Bottom, a weaver - John Powers; Francis Flute, a bellows-mender - Jeffrey Scannell; Tom Snout, a tinker - David Clements; Snug, a joiner - Stan Spilecki; Hippolyta, Queen of the Amazons, betrothed to Theseus, Titania, Queen of the Fairies - Elizabeth Figlock; Hermia, daughter of Egeus, in love with Lysander - Julie Marrinucci; Helena, in love with Demetrius - Mary Donovan; Puck, or Robin Goodfellow - John Brewer; Peaseblossom, a fairy - Carol Caulfield; Cobweb, a fairy - Mary Tramonati; Moth, a fairy - Maureen St. Laurent; Mustardseed, a fairy - Tony Kubis; Fairies attending Oberon and Titania - Donna DePetro, Lisa Gould, Martina Flynn; Indian Boy - Catherine Farrellhttps://digitalcommons.providence.edu/midsummer_1982_pubs/1007/thumbnail.jp

Media industries and engagement: A dialogue across industry and academia

This article focuses on media engagement within the industry. The article takes the form of a dialogue between industry and academic researchers involved in a collaborative project on production and audience research on engagement (funded by the Wallenberg Foundation and in collaboration with Endemol Shine Group). Speakers from the film and television industry, and academic researchers working on media engagement, discuss how engagement is multifaceted, working across political and public spheres, policy and industry sectors, audiences and popular culture

Guidance for research on social isolation, loneliness, and participation among older people: Lessons from a mixed methods study

This article provides methodological guidance to researchers wishing to develop collaborative research projects with local governments and other agencies, by describing the process adopted in a mixed methods study conducted in the City of Wanneroo (the City), a local government area in Perth, Western Australia. The study explored factors related to older people’s (60+ years) participation in community-based activities and links between their participation and levels of social isolation, loneliness, and social connectedness. The research incorporated four interrelated stages: (1) an audit of existing programs in the City and program participant characteristics; (2) focus groups with program participants and interviews with nonparticipants; (3) a cross-sectional survey to assess factors associated with participation and links to social isolation, loneliness, and social connectedness; (4) face-to-face interviews with survey respondents screened at risk for loneliness. Methodological recommendations are provided to guide future collaborative research with local authorities, program developers, and administrators, aimed at minimizing social isolation and loneliness among older people. These include the need for clear communication and documentation of mutually agreed research objectives and responsibilities from project initiation to completion, identifying and working with local agencies to maximize recruitment among “hard to reach” groups, understanding the dimensions of loneliness addressed in the selected instrument used to screen for loneliness, and integrating innovative data collection techniques when working with vulnerable groups such as socially isolated older people

An evaluation of a multi-component adult weight management on referral intervention in a community setting

BACKGROUND: National Institute for Health and Care Excellence (NICE) guidance on adult weight management recommends interventions are multi-component. We aimed to assess the implementation and health benefits of a primary care referral to an adult multi-component weight management intervention in a community setting. The intervention was offered through Primary care in National Health Service (NHS) South Gloucestershire, UK, from Oct 2008 to Nov 2010, in partnership with statutory, community and commercial providers. The scheme offered 12 weeks’ community based concurrent support of dietary (Weight Watchers, WW), physical activity (Exercise on Prescription, EOP) and behavioural change (motivational interviewing) components to obese adults. Funding was available for 600 places. RESULTS: Five hundred and fifty nine participants engaged with the intervention, mean age 48 years, 88 % female. Mean weight loss for all engagers was 3.7 kg (95 % confidence interval 3.4, 4.1). Participants completing the intervention achieved the largest weight reduction (mean loss 5.9 kg; 5.3, 6.6). Achievement of 5 % weight loss was higher in completers (58 %; 50, 65) compared to non-completers (19 %; 12, 26) and people who only participated in one commercial component of the intervention (either WW or EOP; 19 %; 13, 24). CONCLUSION: A multi-component weight management programme may be beneficial for weight loss, but a randomized controlled trial is needed to establish effectiveness and to evaluate cost

Aging-like Phenotype and Defective Lineage Specification in SIRT1-Deleted Hematopoietic Stem and Progenitor Cells

Summary Aging hematopoietic stem cells (HSCs) exhibit defective lineage specification that is thought to be central to increased incidence of myeloid malignancies and compromised immune competence in the elderly. Mechanisms underlying these age-related defects remain largely unknown. We show that the deacetylase Sirtuin (SIRT)1 is required for homeostatic HSC maintenance. Differentiation of young SIRT1-deleted HSCs is skewed toward myeloid lineage associated with a significant decline in the lymphoid compartment, anemia, and altered expression of associated genes. Combined with HSC accumulation of damaged DNA and expression patterns of age-linked molecules, these have striking overlaps with aged HSCs. We further show that SIRT1 controls HSC homeostasis via the longevity transcription factor FOXO3. These findings suggest that SIRT1 is essential for HSC homeostasis and lineage specification. They also indicate that SIRT1 might contribute to delaying HSC aging

NGSLR's Measurement of the Retro-Reflector Array Response of Various LEO to GNSS Satellites

"NASA's Next Generation Satellite Laser Ranging System (NGSLR) has successfully demonstrated daylight and nighttime tracking this year to s atellites from LEO to GNSS orbits, using a 7-8 arcsecond beam divergence, a 43% QE Hamamatsu MCP-PMT with single photon detection, a narrow field of view (11 arcseconds), and a 1 mJ per pulse 2kHz repetition rate laser. We have compared the actual return rates we are getting against the theoretical link calculations, using the known system confi guration parameters, an estimate of the sky transmission using locall y measured visibility, and signal processing to extract the signal from the background noise. We can achieve good agreement between theory and measurement in most passes by using an estimated pOinting error. We will s~.()w the results of this comparison along with our conclusio ns.

CHILES: HI morphology and galaxy environment at z=0.12 and z=0.17

We present a study of 16 HI-detected galaxies found in 178 hours of observations from Epoch 1 of the COSMOS HI Large Extragalactic Survey (CHILES). We focus on two redshift ranges between 0.108 <= z <= 0.127 and 0.162 <= z <= 0.183 which are among the worst affected by radio frequency interference (RFI). While this represents only 10% of the total frequency coverage and 18% of the total expected time on source compared to what will be the full CHILES survey, we demonstrate that our data reduction pipeline recovers high quality data even in regions severely impacted by RFI. We report on our in-depth testing of an automated spectral line source finder to produce HI total intensity maps which we present side-by-side with significance maps to evaluate the reliability of the morphology recovered by the source finder. We recommend that this become a common place manner of presenting data from upcoming HI surveys of resolved objects. We use the COSMOS 20k group catalogue, and we extract filamentary structure using the topological DisPerSE algorithm to evaluate the \hi\ morphology in the context of both local and large-scale environments and we discuss the shortcomings of both methods. Many of the detections show disturbed HI morphologies suggesting they have undergone a recent interaction which is not evident from deep optical imaging alone. Overall, the sample showcases the broad range of ways in which galaxies interact with their environment. This is a first look at the population of galaxies and their local and large-scale environments observed in HI by CHILES at redshifts beyond the z=0.1 Universe.Comment: 23 pages, 12 figures, 1 interactive 3D figure, accepted to MNRA

Management of Chlamydia Cases in Australia (MoCCA): protocol for a non-randomised implementation and feasibility trial

INTRODUCTION: The sexually transmitted infection chlamydia can cause significant complications, particularly among people with female reproductive organs. Optimal management includes timely and appropriate treatment, notifying and treating sexual partners, timely retesting for reinfection and detecting complications including pelvic inflammatory disease (PID). In Australia, mainstream primary care (general practice) is where most chlamydia infections are diagnosed, making it a key setting for optimising chlamydia management. High reinfection and low retesting rates suggest partner notification and retesting are not uniformly provided. The Management of Chlamydia Cases in Australia (MoCCA) study seeks to address gaps in chlamydia management in Australian general practice through implementing interventions shown to improve chlamydia management in specialist services. MoCCA will focus on improving retesting, partner management (including patient-delivered partner therapy) and PID diagnosis. METHODS AND ANALYSIS: MoCCA is a non-randomised implementation and feasibility trial aiming to determine how best to implement interventions to support general practice in delivering best practice chlamydia management. Our method is guided by the Consolidated Framework for Implementation Research and the Normalisation Process Theory. MoCCA interventions include a website, flow charts, fact sheets, mailed specimen kits and autofills to streamline chlamydia consultation documentation. We aim to recruit 20 general practices across three Australian states (Victoria, New South Wales, Queensland) through which we will implement the interventions over 12–18 months. Mixed methods involving qualitative and quantitative data collection and analyses (observation, interviews, surveys) from staff and patients will be undertaken to explore our intervention implementation, acceptability and uptake. Deidentified general practice and laboratory data will be used to measure pre-post chlamydia testing, retesting, reinfection and PID rates, and to estimate MoCCA intervention costs. Our findings will guide scale-up plans for Australian general practice. ETHICS AND DISSEMINATION: Ethics approval was obtained from The University of Melbourne Human Research Ethics Committee (Ethics ID: 22665). Findings will be disseminated via conference presentations, peer-reviewed publications and study reports