The Outdoor Fashion Industry is Not Sustainable

Outdoor fashion companies are responsible for a large amount of waste and pollution worldwide. I believe they are ethically bound to make changes in their manufacturing process to decrease their footprint because their products are used in outdoor environments that are impacted negatively by waste and pollution. The fashion industry as a whole is responsible for 10% of the carbon emissions worldwide. Research was conducted by first understanding what being sustainable means from the EPA, from individuals who work in the fashion industry, and from companies that advocate for more sustainable clothing. I then investigated what materials are the most and least sustainable. I looked at some specific companies and groups and what they are doing to make a change and emphasize how others should follow. I learned that while efforts are being taken there are still large amounts of clothing waste in landfills and only a small amount of these companies are carbon neutral and that needs to change. I think that all companies that are manufacturing goods need to set out a dated plan on when they will reach carbon neutrality and share the steps that they are going to take to achieve that

Improving Pediatric Asthma Care Through the Use of Pediatric-Specific Asthma Apps: A Quality Improvement Initiative

Asthma is the most common chronic disease of childhood. Clinicians frequently do not adhere to clinical practice guidelines for the management of asthma, despite evidence that doing so reduces asthma morbidity. This non-adherence leads to unnecessary emergency department visits, hospitalizations, millions of missed school days, and missed work and wages for parents. Asthma guidelines and recent evidence suggest that incorporating telehealth interventions into asthma management improves patient outcomes. Of the available telehealth interventions, pediatric-specific asthma apps show the most promise for improving patient outcomes. Pediatric primary care clinics are an ideal setting for initiatives aimed at incorporating telehealth interventions into asthma management. In a quality improvement initiative at the University of North Carolina Pediatric Primary Care Clinic, a team used academic detailing, audit and feedback, decision support, technology-based solutions, and the use of reminders and printed materials to increase provider recommendations of pediatric-specific asthma apps to patients as part of their asthma management plan. Provider recommendations of pediatric-specific asthma apps during asthma visits improved from 0% to 50% over a six-month period in 2021. Clinic processes for conducting comprehensive asthma visits and assessing patients’ asthma control over time were also standardized, improving this clinic’s adherence to asthma clinical practice guidelines.Doctor of Nursing Practic

Response of bone to mechanical load and alterations in circulating hormones.

SIGLEAvailable from British Library Document Supply Centre-DSC:DXN009634 / BLDSC - British Library Document Supply CentreGBUnited Kingdo

Improving Medical Student Placements in Psychiatry:Review of Literature And A Practical Example

The support of medical students during their placement in busy clinical settings is an important topic. Clinicians and other health professionals have a duty to provide teaching to medical students and supporting them to achieve their learning objectives. This paper reviews the literature on workplace learning and discusses the importance of providing a fruitful and welcoming clinical placement to medical students in Old Age Psychiatry. It then describes a local scheme to improve medical students placement and how the changes introduced in this scheme helped to enhance learning and satisfaction of the medical students. Although the paper discusses the students placement in Old Age Psychiatry, it is relevant to all other medical and surgical specialities where busy clinicians face many challenges in providing teaching to medical students. The scheme described in this paper to improve students placement used existing resources and encouraged the input from professionals working within the team (e.g., psychologists, nurses and support workers) to enrich the students placement. Using this multidisciplinary model of teaching and supervision helped to overcome many challenges in providing a positive and useful clinical placement to the medical students

Topological entropy and secondary folding

A convenient measure of a map or flow's chaotic action is the topological entropy. In many cases, the entropy has a homological origin: it is forced by the topology of the space. For example, in simple toral maps, the topological entropy is exactly equal to the growth induced by the map on the fundamental group of the torus. However, in many situations the numerically-computed topological entropy is greater than the bound implied by this action. We associate this gap between the bound and the true entropy with 'secondary folding': material lines undergo folding which is not homologically forced. We examine this phenomenon both for physical rod-stirring devices and toral linked twist maps, and show rigorously that for the latter secondary folds occur.Comment: 13 pages, 8 figures. pdfLaTeX with RevTeX4 macro

The parabola theorem on continued fractions

Using geometric methods borrowed from the theory of Kleinian groups, we interpret the parabola theorem on continued fractions in terms of sequences of Möbius transformations. This geometric approach allows us to relate the Stern–Stolz series, which features in the parabola theorem, to the dynamics of certain sequences of Möbius transformations acting on three-dimensional hyperbolic space. We also obtain a version of the parabola theorem in several dimensions

A comparison of career satisfaction amongst dental healthcare professionals across three health care systems: Comparison of data from the United Kingdom, New Zealand and Trinidad & Tobago

BACKGROUND: The aim of this study was to compare the expressed levels of career satisfaction of three groups of comparable dental healthcare professionals, working in Trinidad, the United Kingdom and New Zealand. METHODS: Three questionnaire surveys were carried out of comparable dental healthcare professionals. Dental nurses in Trinidad and dental therapists in the UK and New Zealand. Questionnaires were sent to all registered dental nurses or dental therapists. RESULTS: Career satisfaction was lowest amongst Dental Therapists working in Trinidad and Tobago. Approximately 59% of the Therapists working in New Zealand reported stated that they felt they were not a valued member of the dental team, the corresponding proportion in the United Kingdom was 32%, and for Trinidad 39%. CONCLUSION: Dental therapists working in different healthcare systems report different levels of satisfaction with their career

Peak strain magnitudes and rates in the tibia exceed greatly those in the skull: An in vivo study in a human subject

Bone mass and architecture are the result of a genetically determined baseline structure, modified by the effect of internal hormonal/biochemical regulators and the effect of mechanical loading. Bone strain is thought to drive a feedback mechanism to regulate bone formation and resorption to maintain an optimal, but not excessive mass and organisation of material at each skeletal location. Because every site in the skeleton has different functions, we have measured bone strains induced by physiological and more unusual activities, at two different sites, the tibia and cranium of a young human male in vivo. During the most vigorous activities, tibial strains were shown to exceed 0.2%, when ground reaction exceeded 5 times body weight. However in the skull the highest strains recorded were during heading a heavy medicine/exercise ball where parietal strains were up to 0.0192%. Interestingly parietal strains during more physiological activities were much lower, often below 0.01%. Strains during biting were not dependent upon bite force, but could be induced by facial contortions of similar appearance without contact between the teeth. Rates of strain change in the two sites were also very different, where peak tibial strain rate exceeded rate in the parietal bone by more than 5 fold. These findings suggest that the skull and tibia are subject to quite different regulatory influences, as strains that would be normal in the human skull would be likely to lead to profound bone loss by disuse in the long bones