1,436 research outputs found

    Letter from Dr. Walter D. Finucane, Former Chapter President of Phi Delta Kappa, to Geraldine Ferraro

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    Letter and handwritten note from Dr. Walter D. Finucane, former president of the St. John\u27s Chapter of Phi Delta Kappa, to Geraldine Ferraro. References Ferraro visiting Dr. Finucane\u27s chapter in 1979 and giving a presentation titled, Violence and Discipline in the Public Schools. Contains copy of a pamphlet published by Dr. Finucane\u27s chapter for Ferraro\u27s presentation. Contains data entry sheet.https://ir.lawnet.fordham.edu/vice_presidential_campaign_correspondence_1984_new_york/1020/thumbnail.jp

    Distribution, Seasonality and Abundance of King and Spanish Mackerel Larve in the Northwestern Gulf of Mexico (Pisces: Scombridae)

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    Larvae of king mackerel, Scomberomorus cavalla, and Spanish mackerel, S. maculatus were collected from 1975 through 1977 off the Texas coast. Both species were captured from May through October. S. cavalla was relatively more abundant of the two species and occurred most abundantly over the middle and outer continental shelf (35-183 m). At least 35% of the larvae were captured in September of each year. S. maculatus larvae occurred most abundantly over the inner continental shelf (12 to 50 m). S. cavalla spawned from May through September to early October, with the greatest spawning intensity occurring over the middle and outer continental shelf during September. S. maculatus spawned from May through September to early October over the inner continental shelf, but spawning was less intensive and more irregular than for S. cavalla. Comparisons with other larval studies of S. cavalla and S. maculatus suggest that the northwestern and northeastern Gulf of Mexico and the coast off the southeastern United Stales are important spawning areas for S. cavalla and that the eastern and northeastern Gulf of Mexico are important spawning areas for S. maculatus

    Participant recruitment to FiCTION, a primary dental care trial – survey of facilitators and barriers

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    Objective To identify reasons behind a lower than expected participant recruitment rate within the FiCTION trial, a multi-centre paediatric primary dental care randomised controlled trial (RCT). Subjects (materials) and methods An online survey, based on a previously published tool, consisting of both quantitative and qualitative responses, completed by staff in dental practices recruiting to FiCTION. Ratings from quantitative responses were aggregated to give overall scores for factors related to participant recruitment. Qualitative responses were independently grouped into themes. Results Thirty-nine anonymous responses were received. Main facilitators related to the support received from the central research team and importance of the research question. The main barriers related to low child eligibility rates and the integration of trial processes within routine workloads. Conclusions These findings have directed strategies for enhancing participant recruitment at existing practices and informed recruitment of further practices. The results help provide a profile of the features required of practices to successfully screen and recruit participants. Future trials in this setting should consider the level of interest in the research question within practices, and ensure trial processes are as streamlined as possible. Research teams should actively support practices with participant recruitment and maintain enthusiasm among the entire practice team

    Brief Engagement and Acceptance Coaching for Hospice Settings (the BEACHeS study): Results from a Phase I study of acceptability and initial effectiveness in people with non-curative cancer.

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    Objectives: Transitioning into palliative care is psychologically demanding for people with advanced cancer, and there is a need for acceptable and effective interventions to support this. We aimed to develop and pilot test a brief Acceptance and Commitment Therapy (ACT) based intervention to improve quality of life and distress. Methods: Our mixed-method design included: (i) quantitative effectiveness testing using Single Case Experimental Design (SCED), (ii) qualitative interviews with participants, and (iii) focus groups with hospice staff. The five-session, in-person intervention was delivered to 10 participants; five completed at least 80%. Results: At baseline, participants reported poor quality of life but low distress. Most experienced substantial physical health deterioration during the study. SCED analysis methods did not show conclusively significant effects, but there was some indication that outcome improvement followed changes in expected intervention processes variables. Quantitative and qualitative data together demonstrates acceptability, perceived effectiveness and safety of the intervention. Qualitative interviews and focus groups were also used to gain feedback on intervention content and to make design recommendations to maximise success of later feasibility trials. Conclusions: This study adds to the growing evidence base for ACT in people with advanced cancer. A number of potential intervention mechanisms, for example a distress-buffering hypothesis, are raised by our data and these should be addressed in future research using randomised controlled trial designs. Our methodological recommendations—including recruiting non-cancer diagnoses, and earlier in the treatment trajectory—likely apply more broadly to the delivery of psychological intervention in the palliative care setting

    An improved analysis of the lossy difference aggregator

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    An exploratory study on the contribution of graduate entry students personality to the diversity of medical student populations

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    Studies conducted in medical education show that personality influences undergraduate medical students academic and clinical performances and also their career interests. Our aims with this exploratory study were: to assess the contribution of graduate entry students to the diversity of personality in medical student populations; to assess whether eventual differences may be explained by programme structure or student age and sex. We performed a cross-sectional study underpinned by the five-factor model of personality, with students attending three medical schools in Portugal. The five personality dimensions were assessed with the Portuguese version of the NEO-Five Factor Inventory. MANOVA and MANCOVA analyses were performed to clarify the contributions of school, programme structure, age and sex. Student personality dimensions were significantly different between the three medical schools [F (10,1026)  = 3.159, p < .001, [Formula: see text] = 0.03, π = 0.987]. However, taking sex and age into account the differences became non-significant. There were institutional differences in personality dimensions. However, those were primarily accounted for by sex and age effects and not by the medical school attended. Diversifying age and sex of the admitted students will diversify the personality of the medical student population

    Quality indicators for Palliative Day Services: A modified Delphi study

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    BACKGROUND: The goal of Palliative Day Services is to provide holistic care that contributes to the quality of life of people with life threatening-illness and their families. Quality indicators provide a means by which to describe, monitor and evaluate the quality of Palliative Day Services provision, and act as a starting point for quality improvement. However, currently, there are no published quality indicators for Palliative Day Services. AIM: To develop and provide the first set of quality indicators that describe and evaluate the quality of Palliative Day Services. DESIGN AND SETTING: A modified Delphi technique was used to combine best available research evidence derived from a systematic scoping review with multi-disciplinary expert appraisal of the appropriateness and feasibility of candidate indicators. The resulting indicators were compiled into ‘toolkit’, and tested in five UK Palliative Day Service settings. RESULTS: A panel of experts independently reviewed evidence summaries for 182 candidate indicators and provided ratings on appropriateness, followed by a panel discussion and further independent ratings of appropriateness, feasibility, and necessity. This exercise resulted in the identification of 30 indicators which were used in practice testing. The final indicator set comprised 7 structural indicators, 21 process indicators, and 2 outcome indicators. CONCLUSIONS: The indicators fulfil a previously unmet need among Palliative Day Service providers by delivering an appropriate and feasible means to assess, review, and communicate the quality of care, and to identify areas for quality improvement
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