515 research outputs found

    Maximizing Resources to Make School Employee Wellness a Reality

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    Because of the large number of Americans employed within school districts, they are a prime target population for the development and implementation of employee wellness programs. Even with grant support, funding for these programs can be limited. Forming partnerships with universities who have health- and wellness-focused areas of study can be mutually beneficial; school districts can stretch their dollars further, while college students gain hands-on experience for effective employee wellness program implementation. This articles addresses a successful partnership between a local school district and nearby university department to provide an employee wellness program. Specific tips and ideas for implementation of an employee wellness program are provided

    The Genetic and Physiological Characteristics of the Symbiodinium spp. in the Endemic Anemone Anthopleura Aureoradiata

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    Photosynthetic dinoflagellates of the genus Symbiodinium form symbiotic relationships with many marine hosts, including cnidarian corals and sea anemones. This partnership is extremely successful in tropical waters leading to a great diversity of coral species and Symbiodinium types. Environmental condition in the tropics are stable, changes to which can lead to destabilization of the symbiotic interactions between the host and symbiont, which in turn can lead to total breakdown of the partnership and expulsion of the symbiont. Temperate symbiotic cnidarian species, especially sea anemones, are less common but locally abundant. Environmental conditions are highly variable with extreme differences in light and temperature. Adaptation to these conditions has led to the success of resilient partnerships, but also to less diversity of Symbiodinium types. This study looked at the relationship between the endemic New Zealand anemone, Anthopleura aureoradiata, and its symbiotic relationship with the Symbiodinium cells it harbours. The aim was to determine why and how this symbiotic relationship is so resilient to the temperate conditions by 1) determining the molecular identity of the Symbiodinium spp. within the anemone, throughout its latitudinal range and through the seasons, and whether any seasonal changes differed between two habitats, the rocky shore and mudflats; 2) comparing the identity of the Symbiodinium spp. in New Zealand with those from four species of anemones from Europe (Cereus pedunculatus, Anthopleura ballii and Anemonia viridis from the south-west of England and Aiptasia mutabilis from Brittany (France)) to establish any differences or similarities between the northern and southern hemispheres; 3) determining whether resilience to environmental conditions is attributed to the Symbiodinium photoprotective mechanisms. A. aureoradiata were collected in early autumn in five sites from the top (Parengarenga Harbour) to the bottom (Stewart Island) of New Zealand for the latitudinal study. Seasonal anemones were collected from a rocky shore in Wellington Harbour (Point Halswell, Kau Bay) and a mudflat at Pauatahanui Inlet. Symbiodinium types were identified to subcladal level using ITS2 sequencing. A low diversity of types was found, with all anemones harbouring algal cells identified as being similar, or identical to, Symbiodinium sp. Mediterranean clade A (Med clade A) and Symbiodinium sp. Amed (Amed). 96.55% of the anemones from the latitudinal study, all the winter anemones, 87.50% of the summer anemones and almost 78% of the autumn anemones harboured Symbiodinium cells most similar or identical to Med clade A. All Symbiodinium sequences from the European anemones also were identified as being similar or identical to Med clade A or Amed, suggesting that the Symbiodinium in A. aureoradiata are likely not endemic. It is not known whether anemones harbour both types simultaneously and whether a change in dominant symbiont type occurs with seasons within anemones by “shuffling”. The photophysiology of the Symbiodinium cells isolated from the anemones was studied using an Imaging-PAM fluorometer whilst being maintained in six light and temperature treatments. The photosynthetic rate of PSII, energy quenching by NPQ, and photosystem recovery were measured to determine whether the Symbiodinium cells had a strong capacity for photoprotection and were able to down-regulate quickly to reduce photodamage to the chloroplast. The main outcome of this study is that the Symbiodinium cells within A. aureoradiata are very effective in protecting themselves against photo-damage by activating an efficient NPQ system. Down-regulation of the quantum efficiency of PSII under high light conditions appeared to cease altogether. Whether this was a true measurement of down-regulation to stop photodamage, or whether these clade A types use an alternative electron transport that bypasses PSII, and can therefore not be measured with the I-PAM fluorometer technique used, needs to be addressed in future studies

    Interventions to improve healthcare workers’ hand hygiene compliance: a systematic review of systematic reviews

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    Objective: To synthesize the existing evidence base of systematic reviews of interventions to improve healthcare worker (HCW) hand hygiene compliance (HHC). Methods: PRISMA guidelines were followed, and 10 information sources were searched in September 2017, with no limits to language or date of publication, and papers were screened against inclusion criteria for relevance. Data were extracted and risk of bias was assessed. Results: Overall, 19 systematic reviews (n=20 articles) were included. Only 1 article had a low risk of bias. Moreover, 15 systematic reviews showed positive effects of interventions on HCW HHC, whereas 3 reviews evaluating monitoring technology did not. Findings regarding whether multimodal rather than single interventions are preferable were inconclusive. Targeting social influence, attitude, self-efficacy, and intention were associated with greater effectiveness. No clear link emerged between how educational interventions were delivered and effectiveness. Conclusions: This is the first systematic review of systematic reviews of interventions to improve HCW HHC. The evidence is sufficient to recommend the implementation of interventions to improve HCW HHC (except for monitoring technology), but it is insufficient to make specific recommendations regarding the content or how the content should be delivered. Future research should rigorously apply behavior change theory, and recommendations should be clearly described with respect to intervention content and how it is delivered. Such recommendations should be tested for longer terms using stronger study designs with clearly defined outcomes

    Public Perceptions of the Health Risks of Extreme Heat Across US States, Counties, and Neighborhoods

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    Extreme heat is the leading weather-related cause of death in the United States. Many individuals, however, fail to perceive this risk, which will be exacerbated by global warming. Given that awareness of one’s physical and social vulnerability is a critical precursor to preparedness for extreme weather events, understanding Americans’ perceptions of heat risk and their geographic variability is essential for promoting adaptive behaviors during heat waves. Using a large original survey dataset of 9,217 respondents, we create and validate a model of Americans’ perceived risk to their health from extreme heat in all 50 US states, 3,142 counties, and 72,429 populated census tracts. States in warm climates (e.g., Texas, Nevada, and Hawaii) have some of the highest heat-risk perceptions, yet states in cooler climates often face greater health risks from heat. Likewise, places with older populations who have increased vulnerability to health effects of heat tend to have lower risk perceptions, putting them at even greater risk since lack of awareness is a barrier to adaptive responses. Poorer neighborhoods and those with larger minority populations generally have higher risk perceptions than wealthier neighborhoods with more white residents, consistent with vulnerability differences across these populations. Comprehensive models of extreme weather risks, exposure, and effects should take individual perceptions, which motivate behavior, into account. Understanding risk perceptions at fine spatial scales can also support targeting of communication and education initiatives to where heat adaptation efforts are most needed

    The Influence of Political Ideology and Socioeconomic Vulnerability on Perceived Health Risks of Heat Waves in the Context of Climate Change

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    Vulnerability and resilience to extreme weather hazards are a function of diverse physical, social, and psychological factors. Previous research has focused on individual factors that influence public perceptions of hazards, such as politics, ideology, and cultural worldviews, as well as on socioeconomic and demographic factors that affect geographically based vulnerability, environmental justice, and community resilience. Few studies have investigated individual socioeconomic and racial/ethnic differences in public risk perceptions of the health hazards associated with extreme heat events, which are now increasing due to climate change. This study uses multilevel statistical modeling to investigate individual- and geographic-level (e.g., census tract level and regional) social, economic, and biophysical influences on public perceptions of the adverse health impacts associated with heat waves. Political orientation and climate change beliefs are the strongest predictors of heat wave health risk perceptions; household income also has a relatively strong and consistent effect. Contextual socioeconomic vulnerability, measured with a social vulnerability index at the census tract level, also significantly affects heat wave risk perceptions. The strong influence of political orientation and climate beliefs on perceptions of adverse health impacts from heat waves suggests that ideological predispositions can increase vulnerability to climate change

    How Will Climate Change Shape Climate Opinion?

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    As climate change intensifies, global publics will experience more unusual weather and extreme weather events. How will individual experiences with these weather trends shape climate change beliefs, attitudes, and behaviors? In this article, we review 73 papers that have studied the relationship between climate change experiences and public opinion. Overall, we find mixed evidence that weather shapes climate opinions. Although there is some support for a weak effect of local temperature and extreme weather events on climate opinion, the heterogeneity of independent variables, dependent variables, study populations, and research designs complicate systematic comparison. To advance research on this critical topic, we suggest that future studies pay careful attention to differences between self-reported and objective weather data, causal identification, and the presence of spatial autocorrelation in weather and climate data. Refining research designs and methods in future studies will help us understand the discrepancies in results, and allow better detection of effects, which have important practical implications for climate communication. As the global population increasingly experiences weather conditions outside the range of historical experience, researchers, communicators, and policymakers need to understand how these experiences shape-and are shaped by-public opinions and behaviors

    Utahns are Becoming More Likely to Say Human-Caused Climate Change is Happening

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    Scientists who study the earth’s climate overwhelmingly agree that human activities are causing rapid change1 . Most Americans also agree that global warming is happening (74%) and caused by humans (61%)2 . However, the same research finds that about one in eight (12%) of Americans do not think global warming is happening. This indicates that despite scientific consensus, some Americans remain skeptical about whether climate change is real and if humans are the cause
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