2,072 research outputs found
Defend America, Marching Song
https://digitalcommons.library.umaine.edu/mmb-vp/6063/thumbnail.jp
Homeland
Contains advertisements and/or short musical examples of pieces being sold by publisher.https://digitalcommons.library.umaine.edu/mmb-vp/6958/thumbnail.jp
The effect of exercise on venous gas emboli and decompression sickness in human subjects at 4.3 psia
The contribution of upper body exercise to altitude decompression sickness while at 4.3 psia after 3.5 or 4.0 hours of 100% oxygen prebreathing at 14.7 psia was determined by comparing the incidence and patterns of venous gas emboli (VGE), and the incidence of Type 1 decompression sickness (DCS) in 43 exercising male subjects and 9 less active male Doppler Technicians (DT's). Each subject exercised for 4 minutes at each of 3 exercise stations while at 4.3 psia. An additional 4 minutes were spent monitoring for VGE by the DT while the subject was supine on an examination cot. In the combined 3.5 and 4.0 hour oxygen prebreathe data, 13 subjects complained of Type 1 DCS compared to 9 complaints from DT's. VGE were detected in 28 subjects compared to 14 detections from DT's. A chi-square analysis of proportions showed no statistically significantly difference in the incidence of Type 1 DCS or VGE between the two groups; however, the average time to detect VGE and to report Tyep 1 DCS symptoms were statistically different. It was concluded that 4 to 6 hours of upper body exercise at metabolic rates simulating EVA metabolic rates hastens the initial detection of VGE and the time to report Type 1 DCS symptoms as compared to DT's
The Impact of Mental Illness Status on the Length of Jail Detention and the Legal Mechanism of Jail Release
Objective: This analysis investigated whether persons with serious mental
illnesses have longer jail detentions than other detainees and
whether they are released by different legal mechanisms. Methods: Jail
records and mental health service records from a Medicaid database
were matched for all admissions to the Philadelphia jail system in 2003.
Survival analysis techniques were used to compare length of jail stays of
persons with and without serious mental illnesses (N=24,290). Serious
mental illness was defined as a diagnosis either in the schizophrenia
spectrum (DSM-IV code 295.XX) or of a major affective disorder (DSMIV
code 296.XX) recorded in Medicaid records (2001–2003). Mechanisms
of release were also examined for those with release dates before
September 1, 2005 (N=20,573) Results: Just over 50% of the 1,457 persons
with serious mental illnesses were released from jail within 30 days
of incarceration, compared with 56% of the other detainees. Mental illness
status was not found to be a significant predictor of longer detentions.
Forty-nine percent of those with serious mental illnesses were released
from jails through unpredictable release mechanisms, such as
bail, release from court, or withdrawal of a bench warrant, whereas only
19% were released through mechanisms that had release dates that allowed
adequate time for discharge planning. Conclusions: The findings
suggest that reentry programs and other jail-based interventions for
persons with mental illnesses should ensure that they have the capacity
to rapidly identify and serve clients with shorter and more unpredictable
stays or risk not being responsive to the needs of a substantial
proportion of this population
2001-2002 Birthday Celebration Concert - Wolfgang Amadeus Mozart
https://spiral.lynn.edu/conservatory_otherseasonalconcerts/1093/thumbnail.jp
New England Intercollegiate Geological Excursion: Littleton, New Hampshire, October 10, 11 and 12, 1936
Trip A: Littleton quadrangle and northwest corner of the Moosilauke quadrangle; Trip B: Moosilauke quadrangle; Trip C: Mt. Hale, northeast corner of the Franconia quadrangl
Are General and Strategic Measures of Organizational Context and Leadership Associated with Knowledge and Attitudes toward Evidence-Based Practices in Public Behavioral Health Settings? A Cross-Sectional Observational Study
Background: Examining the role of modifiable barriers and facilitators is a necessary step toward developing effective implementation strategies. This study examines whether both general (organizational culture, organizational climate, and transformational leadership) and strategic (implementation climate and implementation leadership) organizational-level factors predict therapist-level determinants of implementation (knowledge of and attitudes toward evidence-based practices).
Methods: Within the context of a system-wide effort to increase the use of evidence-based practices (EBPs) and recovery-oriented care, we conducted an observational, cross-sectional study of 19 child-serving agencies in the City of Philadelphia, including 23 sites, 130 therapists, 36 supervisors, and 22 executive administrators. Organizational variables included characteristics such as EBP initiative participation, program size, and proportion of independent contractor therapists; general factors such as organizational culture and climate (Organizational Social Context Measurement System) and transformational leadership (Multifactor Leadership Questionnaire); and strategic factors such as implementation climate (Implementation Climate Scale) and implementation leadership (Implementation Leadership Scale). Therapist-level variables included demographics, attitudes toward EBPs (Evidence-Based Practice Attitudes Scale), and knowledge of EBPs (Knowledge of Evidence-Based Services Questionnaire). We used linear mixed-effects regression models to estimate the associations between the predictor (organizational characteristics, general and strategic factors) and dependent (knowledge of and attitudes toward EBPs) variables.
Results: Several variables were associated with therapists’ knowledge of EBPs. Clinicians in organizations with more proficient cultures or higher levels of transformational leadership (idealized influence) had greater knowledge of EBPs; conversely, clinicians in organizations with more resistant cultures, more functional organizational climates, and implementation climates characterized by higher levels of financial reward for EBPs had less knowledge of EBPs. A number of organizational factors were associated with the therapists’ attitudes toward EBPs. For example, more engaged organizational cultures, implementation climates characterized by higher levels of educational support, and more proactive implementation leadership were all associated with more positive attitudes toward EBPs.
Conclusions: This study provides evidence for the importance of both general and strategic organizational determinants as predictors of knowledge of and attitudes toward EBPs. The findings highlight the need for longitudinal and mixed-methods studies that examine the influence of organizational factors on implementation
Discussions and Reviews : Arms control and beyond : a review
Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/68088/2/10.1177_002200276100500308.pd
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