Earth science data study

The research proposed in this contract concerning investigations of existing and planned Earth Science and Applications Division (ESAD) data management systems and research into utilities for the access and display of scientific data products was completed. A summary of this work is provided

Does yoga speed healing for patients with low back pain?

The use of yoga is consistent with recommendations for activity, as tolerated, for patients with low back pain. Literature evaluating the effectiveness of yoga for low back pain is scant, so it is unclear if yoga is equivalent to, or superior to, standard therapies (strength of recommendation: C, based on 1 randomized pilot study and limited case series)

An Inquiry Into the Informal Organization of Administrative Nurses in a Selected Community Hospital Which Has a Recently Established Psychiatric Division

General hospital care for the mentally ill is increasing. In this study, a community hospital that has recently established an open psychiatric unit was investigated on the dimension of informal organization among nurse administrators: director of nursing service, supervisors, head nurses, and charge nurses. Attitudes toward mental illness and the mentally ill held by general nurses are not, according to available studies, consonant with those of psychiatric nurses. The problem posed was the effect on attitudes of general nurses after they had worked in a psychiatric division as manifest by their integration (or isolation) in the informal organization described above. Sociometric measures revealed a spread from nearly complete isolation of some staff to nearly complete integration of others. Factors not related to work in the psychiatric division appeared to be significant in affecting inter—group structure. These were status in the formal hierarchy and, in accord with the hospital's religious and moral precepts, a passive acceptance of direction. Similarly, the negative aspects of informal organization and communication were well known, while the positive aspects relating to its use and function appeared outside the awareness of certain key persons in the test group

Global Hydrology Resource Center

No abstract availabl

Primitivist or moralist?: the biological ethos in Boris Piľniak's shorter prose

The so-called woman question raised by the nihilists of the 1860s and debated by the realist writers, notably Tolstoi, evolved into a revaluation of traditional sexual morality in the modernist movements of the twentieth century. In the wake of the dramatic social changes wrought by the 1905 and 1917 revolutions, there also arose a neo-nihilist reexamination of women's emancipation issues, represented by political and cultural public figures such as Aleksandra Kollontai. This dissertation examines approximately twenty stories and novellas written between 1914 and 1936 by Russian/Soviet writer Boris Andreevich Vogau (pseudonym Piľniak), and several units from his first novel, in order to present an interpretation of Piľniak's views on and position in that debate, based on close readings of the texts mentioned. This dissertation argues that Piľniak, considered by many commentators a champion of primitive man and instinctive behavior, in fact defines a biological morality based on pre-marital virginity, permanent sexual fidelity to a single mate, personal integrity and self-awareness, and a reproductive mandate. In Piľniak's ethos, which evolved over time, human mating is to be governed first of all by love, and sexual union is inseparable from the procreative purpose. The most basic human role is to be a loving mate and parent, and the overarching purpose of procreation is to rear children to become loving, humane, and authentic human beings, an activity that is best undertaken within the nuclear family. This dissertation further argues, by presenting the Tolstoian subtext of three of Piľniak's stories, that Piľniak's basic moral views, especially concerning the family and personal integrity, are essentially in harmony with those of Lev Tolstoi. The dissertation also explores Piľniak's evolution away from his early valorization of primitive human life uncorrupted by urban culture, an evolution that was virtually complete by the mid-1920s

Earth science and application

The University of Alabama in Huntsville (UAH) has completed the research proposed. The major tasks under this contract were: (1) research into visualization of scientific data sets (browse); (2) studies of standard data formatting procedures; and (3) investigations of approaches for submission of scientific data sets for archival. Summaries of each activity are presented along with travel reports and conclusions and recommendations

Resetting the compass: exploring the implicit messages of orientation to a community-engaged medical school

Background: Although students’ transition into medical school is a critical step in their professional journey, orientation has been relatively under-researched, particularly with regard to its intersections with schools’ social missions. This paper reports on a study looking at the implicit messages of orientation to the Northern Ontario School of Medicine’s undergraduate program.Methods: An extended mixed methods study was conducted to look at different aspects of the School’s Orientation Week. The term “hidden curriculum” was used to shape inquiry, both in its broad sense of implicit educational experiences and messages and in its more specific sense of the educational messages sent by a medical school’s culture and activities. Data were collected using participant surveys, focus groups, and interviews. Transcripts and free-text survey responses were analyzed to identify underlying themes.Results: Orientation Week was generally well received and was generally perceived by different stakeholders (such as students, school leaders, and community members) as a positive and necessary undertaking. However, there were points of contention and confusion that created a hidden curriculum with respect to participants’ identities, both as students and as future health professionals.Conclusion: Orientation to undergraduate medical training can be successfully linked to a school’s social mission, but in doing so it can send complex and unintended messages to the participants that may be perceived quite differently based on their circumstances and expectations

Pennsylvania Folklife Vol. 36, No. 3

• Die Farbarei: Bethlehem\u27s 18th Century Dye House • Daniel Sudermann, Schwenkfelder Hymn Writer • The Pernicious Effects of Witness upon Plain-Worldly Relations • Traditional Slovak Courtship and Wedding Customs • Aldes un Neies / Old & Newhttps://digitalcommons.ursinus.edu/pafolklifemag/1115/thumbnail.jp

Health service pathways for patients with chronic leg ulcers: identifying effective pathways for facilitation of evidence based wound care

Background: Chronic leg ulcers cause long term ill-health for older adults and the condition places a significant burden on health service resources. Although evidence on effective management of the condition is available, a significant evidence-practice gap is known to exist, with many suggested reasons e.g. multiple care providers, costs of care and treatments. This study aimed to identify effective health service pathways of care which facilitated evidence-based management of chronic leg ulcers. Methods: A sample of 70 patients presenting with a lower limb leg or foot ulcer at specialist wound clinics in Queensland, Australia were recruited for an observational study and survey. Retrospective data were collected on demographics, health, medical history, treatments, costs and health service pathways in the previous 12 months. Prospective data were collected on health service pathways, pain, functional ability, quality of life, treatments, wound healing and recurrence outcomes for 24 weeks from admission. Results: Retrospective data indicated that evidence based guidelines were poorly implemented prior to admission to the study, e.g. only 31% of participants with a lower limb ulcer had an ABPI or duplex assessment in the previous 12 months. On average, participants accessed care 2–3 times/week for 17 weeks from multiple health service providers in the twelve months before admission to the study clinics. Following admission to specialist wound clinics, participants accessed care on average once per week for 12 weeks from a smaller range of providers. The median ulcer duration on admission to the study was 22 weeks (range 2–728 weeks). Following admission to wound clinics, implementation of key indicators of evidence based care increased (p < 0.001) and Kaplan-Meier survival analysis found the median time to healing was 12 weeks (95% CI 9.3–14.7). Implementation of evidence based care was significantly related to improved healing outcomes (p < 0.001). Conclusions: This study highlights the complexities involved in accessing expertise and evidence based wound care for adults with chronic leg or foot ulcers. Results demonstrate that access to wound management expertise can promote streamlined health services and evidence based wound care, leading to efficient use of health resources and improved health