2,171 research outputs found

    Recharge and source‐water insights from the Galapagos Islands using noble gases and stable isotopes

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    Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/95657/1/wrcr13236.pd

    The 40 Ar‐ 39 Ar laser analysis of K‐feldspar: Constraints on the uplift history of the Grenville Province in Ontario and New York

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    Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/95104/1/jgrb13261.pd

    Noble gas composition in rainwater and associated weather patterns

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    This work represents the first comprehensive noble gas study in rainwater. It was carried out in southeast Michigan. Results show that all rainwater samples are in disequilibrium with surface conditions. Two noble gas patterns are identified. The first one, associated with low‐pressure systems, presence of fog and light rainfall, displays a relative Ar enrichment together with Ne, Kr, and Xe depletion. The second one, associated with the passage of frontal systems, displays a mass‐dependent depletion pattern. Precipitation is characterized by thunderstorms, heavy rainfall, and high cloud ceiling heights. A diffusion mass‐transfer model suggests that noble gas patterns originate from ice. Complete re‐equilibration with surface conditions should occur within hours. For the first time, this study establishes a direct correlation between the noble gas composition in rainwater and weather patterns and highlights their potential to identify timing and location of recharge in shallow aquifer systems where infiltration is rapid. Key Points Noble gases in rainwater are in disequilibrium with surface conditions Rainwater noble gas patterns are associated with weather conditions Ice is the starting point of rainwater formation in southeast MichiganPeer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/99103/1/FigureS12.pdfhttp://deepblue.lib.umich.edu/bitstream/2027.42/99103/2/FigureS5.pdfhttp://deepblue.lib.umich.edu/bitstream/2027.42/99103/3/Supplementary_Text_3_revised2_Trackchanges.pdfhttp://deepblue.lib.umich.edu/bitstream/2027.42/99103/4/FigureS1.pdfhttp://deepblue.lib.umich.edu/bitstream/2027.42/99103/5/FigureS8.pdfhttp://deepblue.lib.umich.edu/bitstream/2027.42/99103/6/TableS2.pdfhttp://deepblue.lib.umich.edu/bitstream/2027.42/99103/7/Supplementary_all.pdfhttp://deepblue.lib.umich.edu/bitstream/2027.42/99103/8/SuppText_2.pdfhttp://deepblue.lib.umich.edu/bitstream/2027.42/99103/9/FigureS4.pdfhttp://deepblue.lib.umich.edu/bitstream/2027.42/99103/10/FigureS9.pdfhttp://deepblue.lib.umich.edu/bitstream/2027.42/99103/11/TableS3.pdfhttp://deepblue.lib.umich.edu/bitstream/2027.42/99103/12/FigureS7.pdfhttp://deepblue.lib.umich.edu/bitstream/2027.42/99103/13/TableS4.pdfhttp://deepblue.lib.umich.edu/bitstream/2027.42/99103/14/SuppText_1.pdfhttp://deepblue.lib.umich.edu/bitstream/2027.42/99103/15/FigureS10.pdfhttp://deepblue.lib.umich.edu/bitstream/2027.42/99103/16/Supplementary_Text_3_revised2_NOhighlight.pdfhttp://deepblue.lib.umich.edu/bitstream/2027.42/99103/17/FigureS3.pdfhttp://deepblue.lib.umich.edu/bitstream/2027.42/99103/18/grl50610.pdfhttp://deepblue.lib.umich.edu/bitstream/2027.42/99103/19/FigureS6.pdfhttp://deepblue.lib.umich.edu/bitstream/2027.42/99103/20/FigureS11.pdfhttp://deepblue.lib.umich.edu/bitstream/2027.42/99103/21/TableS1.pdfhttp://deepblue.lib.umich.edu/bitstream/2027.42/99103/22/SuppText_4.pdfhttp://deepblue.lib.umich.edu/bitstream/2027.42/99103/23/FigureS2.pd

    A brief report on the development of a theoretically-grounded intervention to promote patient autonomy and self-management of physiotherapy patients: Face validity and feasibility of implementation

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    Background Clinical practice guidelines for the treatment of low back pain suggest the inclusion of a biopsychosocial approach in which patient self-management is prioritized. While many physiotherapists recognise the importance of evidence-based practice, there is an evidence practice gap that may in part be due to the fact that promoting self-management necessitates change in clinical behaviours. Evidence suggests that a patient’s motivation and maintenance of self-management behaviours can be positively influenced by the clinician’s use of an autonomy supportive communication style. Therefore, the aim of this study was to develop and pilot-test the feasibility of a theoretically derived implementation intervention to support physiotherapists in using an evidence-based autonomy supportive communication style in practice for promoting patient self-management in clinical practice. Methods A systematic process was used to develop the intervention and pilot-test its feasibility in primary care physiotherapy. The development steps included focus groups to identify barriers and enablers for implementation, the theoretical domains framework to classify determinants of change, a behaviour change technique taxonomy to select appropriate intervention components, and forming a testable theoretical model. Face validity and acceptability of the intervention was pilot-tested with two physiotherapists and monitoring their communication with patients over a three-month timeframe. Results Using the process described above, eight barriers and enablers for implementation were identified. To address these barriers and enablers, a number of intervention components were selected ranging from behaviour change techniques such as, goal-setting, self-monitoring and feedback to appropriate modes of intervention delivery (i.e. continued education meetings and audit and feedback focused coaching). Initial pilot-testing revealed the acceptability of the intervention to recipients and highlighted key areas for refinement prior to scaling up for a definitive trial. Conclusion The development process utilised in this study ensured the intervention was theory-informed and evidence-based, with recipients signalling its relevance and benefit to their clinical practice. Future research should consider additional intervention strategies to address barriers of social support and those beyond the clinician level
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