Letter from J.E. Downer [et al.] to [Louisiana] Strentzel, 1895 Feb 2.

[1]Martinez, Cala. Feb. 2, 1895To Mrs E. L. Strentzel,--At our regular monthly official board meeting held Friday Feb. 1st the following resolution was unanimously carried and signed.Whereas on Christmas last there was returned to the Trustees of the Methodist Episcopal Church of Martinez a Christmas Greeting from Santa Claus, a cancelled note of $1000.00 held by Mr. E. L. Strentzel against said Trustees,--Be it Resolved,That we the Official06386[2]Board extend our heartfelt appreciation for this noble gift, recognizing that back in the heart of the giver the Christlike sympathy, interest and love there is for the welfare of our church. Be pleased to accept our heartfelt appreciation, our good wishes for your better health and comfort in the remaining years of your life with us.Signed,J. C. DownesIda F. WestlakeM Y. Morrow.Mr C. [F?] DiehlHart A. Donner &Mrs G H Lyford0638

Cost Effectiveness of Bio-Gas Systems for Dairy Farms

Considerable attention has recently been focused on the development of farm management practices that utilize the total resource potential of animal wastes. In addition to the fertilizer value of manure, energy in the form of bio-gas can be generated from manure wastes by an anaerobic digestion process. The purpose of this economic analysis was to evaluate the feasibility of producing energy from the anaerobic digestion of dairy-cow manure. Anaerobic digestion systems were rationally designed for several farm management practices on Vermont dairy farms. These designs were sized to accommodate dairy herds of 20, 50, 100, and 200 cows for both free- and tie-stall arrangements. The realistic evaluation of the potential of any energy source must include a cost effectiveness analysis. This 1974 economic analysis, with selected 1977 cost updatings, included considerations of both the total annual financial investment and the unit cost of net energy production. Minimum unit costs of net energy production for 1977 prices are approximately $0.19 per kwh for the 20-cow operation, but these values decrease with increasing herd size to$0.05 per kwh for the 200-cow dairy farm. At the present time, the generation of bio-gas from the anaerobic digestion of dairy farm manures becomes economically feasible as an alternate source of energy for dairy farms in excess of 200 cows

Social and Leisure Activities Predict Transitions in Cognitive Functioning in Older Mexican Adults: A Latent Transition Analysis of the Mexican Health and Aging Study

OBJECTIVES: Mexico has a rapidly aging population at risk for cognitive impairment. Social and leisure activities may protect against cognitive decline in older adults. The benefits of these behaviors may vary by patterns of cognitive impairment. The objectives of this study were to identify latent states of cognitive functioning, model the incidence of transitions between these states, and investigate how social and leisure activities were associated with state transitions over a 6-year period in Mexican adults aged 60 and older. METHODS: We performed latent transition analyses to identify distinct cognitive statuses in the 2012 and 2018 waves of the Mexican Health and Aging Study (N = 9,091). We examined the transition probabilities between these states and their associations with social and leisure activities. RESULTS: We identified 4 cognitive statuses at baseline: normal cognition (43%), temporal disorientation (30%), perceptual-motor function impairment (7%), and learning and memory impairment (20%). Various social and leisure activities were associated with reduced odds of death and disadvantageous cognitive transitions, as well as increased odds of beneficial transitions. DISCUSSION: Mapping the effects of popular social and leisure activities onto common patterns in cognitive functioning may inform the development of more enjoyable and effective health-protective behavioral interventions

Plasma Channels And Laser Pulse Tailoring For Gev Laser-Plasma Accelerators

We have demonstrated distortion-free guiding of I TW pulses at near relativistic intensity (0.2 x 10(18) W/cm(2)) over 60 Rayleigh lengths at 20 Hz repetition rate in a preformed helium plasma channel. As steps toward efficient channeled Laser Wakefield Acceleration up to the dephasing limit, we have upgraded our laser system from I to 4 TW, adapted femtosecond interferometric diagnostics to probe plasma density fluctuations inside the channel, and developed detailed strategies for managing ionization distortions at the channel entrance and exit at the upgraded intensity. We also report simulations, and preliminary experiments, that explore a strategy for Raman-seeding laser pulses to coherently control both unchanneled and channeled LWFA in order to lower the laser energy threshold and increase the repetition rate of election pickup and acceleration.Physic

L'équipe d’aide et de sensibilisation aux opioïdes : un exemple novateur d'éducation médicale et de partenariat communautaire

Implication Statement  The Opioid Awareness and Support Team (OAST) at the Memorial University Faculty of Medicine is a novel student-led initiative designed to supplement medical student learning related to opioid use disorder and the opioids crisis. OAST has focused on grounding educational initiatives related to opioid use disorder in the local community context, working with community partners, and bringing in individuals with lived experience. We present initial findings from an Opioid Education Day that suggest student-led supplemental education for medical students can improve student knowledge surrounding opioid use.Énoncé des implications de la recherche L’équipe d’aide et de sensibilisation aux opioïdes (OAST) est une initiative des étudiants de la faculté de médecine de l’Université Memorial qui apporte un complément à la formation que reçoivent les étudiants sur le trouble lié à l’usage d’opioïdes. L'OAST s'est efforcée d’inscrire les initiatives éducatives liées à la crise des opïodes dans un contexte local en collaboration avec des partenaires communautaires et de faire participer des personnes ayant une expérience de terrain. Nous présentons les résultats préliminaires d'une journée de sensibilisation aux opioïdes qui suggèrent que cette activité éducative menée par les étudiants en médecine peut améliorer les connaissances des apprenants sur la consommation d’opioïdes

An Exploration of Community Palliative Care Clinical Nurse Specialists Experiences of Working as Independent Prescribers: Part 2

The Department of Health has recently reiterated its commitment to the improvement in the quality of end of life care and emphasized the importance of all patients having rapid access to medication. The aim of this study was to explore the lived experiences of clinical nurse specialists who are able to prescribe independently in their role in providing support for patients with palliative care needs within the community setting. Interpretive phenomenology was employed in order to understand and interpret the experiences of six nurse independent prescribes employed as community palliative care clinical nurse specialists. This purposive sampling was preferred with semi-structured interviews as the most appropriate data collection technique. Participants interviewed reported that being able to prescribe enabled them to provide seamless, holistic care which facilitated faster access to medicines for their patients. This was particularly apparent at weekends when the patient's usual general practitioner (GP) was unavailable. Several benefits of nurse independent prescribing were also highlighted. However, the main barrier identified by most participants was the difficulty in accessing the patient's records. The overwhelming conclusion was that independent prescribing by community nurse specialists is beneficial for patients in the palliative care phase of their life and those deemed important to them as they are being cared for at home. Such benefits can also impact on other aspects of the patient's life including prompt availability of medicines, effective symptom control and consequently, an improved or enhanced quality of life for the patients and job satisfaction for the prescribing specialists nurses