The teller\u27s tale : the role of the storyteller in the life of the story

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Using Engaged Teaching Methods to Help Livestock Producers Implement Emergency Spill Response

The use of engagement teaching and learning methods was employed as an alternative method to teach decision-making and implementing emergency spill response plans in contrast to traditional lecture. By offering participatory learning, producers can refine and hone decision-making skills, and measure responses against peers and an expert panel. Conversations become two-way and not traditional lecturer and listener. The attendees also have the chance to discuss and exchange ideas with fellow attendees. The implications are a better-prepared audience to deal with emergency response to manure spills and furthermore to protect surface waters

Manure Applicator Certification

Iowa State University Extension and Outreach, in collaboration with the Iowa Department of Natural Resources, has scheduled manure applicator certification training for 2014

Rapid Onset Hydralazine-induced Antineutrophil Cytoplasmic Antibody (ANCA) Associated Vasculitis Presenting with Hemoptysis and Kidney Failure: Case Report

Hydralazine-induced vasculitis can be challenging to recognize and diagnose as presenting symptoms vary and can mimic other conditions or diseases, however, swift intervention and treatment is key in halting progression of the disease and providing patients with the best possible outcomes. A 71-year-old African American female presented to the emergency department with weakness, fatigue, anemia, blood-streaked sputum, fever, chills, and severe myalgias. Hydralazine was prescribed to treat resistant hypertension eight months prior to presentation. Hydralazine was discontinued on hospital day (HD) 4. Pertinent laboratory values showed elevated inflammatory markers, positive antinuclear antibody (ANA), negative rheumatoid factor (RF), normal complement levels, and positive anti-histone, anti-proteinase 3, anti-myeloperoxidase, anti-double stranded DNA, and p-ANCA. Renal biopsy confirmed chronic vascular injury, likely related to long standing hypertension, contributing to the development of chronic renal injury and stage 4 kidney disease. The patient was discharged on mycophenolate mofetil (MMF) and atovaquone. The patient was later readmitted with progressive renal failure, and treatment transitioned to cyclophosphamide (CYC) and sodium 2-mercaptoethane sulfonate (MESNA), plasmapheresis, and hemodialysis. This case illustrates the challenging presentation and course that patients with drug-induced vasculitis can face on initial presentation to the hospital and after discharge. The onset to disease in this case was faster than the average time to disease presented in the literature

Marche et environnements urbains contrastés. Perspectives internationales et interdisciplinaires

International audienceEn moins de trente ans, les moyens de transport, les services à la mobilité et les manières de se déplacer n’ont cessé de se développer et de se diversifier, pérennisant l’image de la ville comme « espace des flux », modelant les paysages urbains, favorisant une injonction à « être mobile ». Dans ce contexte, la marche fait l’objet d’une attention renouvelée. Une approche ouverte au croisement de la géographie, de la santé publique, de la psychologie et de l’urbanisme s’impose. Si une telle approche permet l’ouverture à d’autres perspectives et la production de connaissances nouvelles issues de cette interdisciplinarité, ces connaissances peuvent également nous conduire à des interventions urbaines et architecturales appropriées, ciblées et sensibles. Ce sont autant de questions que nous désirons développer dans le cadre de ce numéro thématique interdisciplinaire sur le marcheur et son environnement. Trois axes sont proposés où, dans un premier temps, nous nous intéressons aux figures du marcheur d’aujourd’hui, dans une seconde partie, aux conditions de possibilités de la marche et, dans une troisième partie, aux manières d’évaluer la marche selon le point de vue du marcheur

Too Few Options: The Insurance Status of Widowed or Divorced Older Women

Explores the health insurance status of the 3.2 million women aged 55 to 64 who are widowed or divorced, and makes recommendations to improve the availability and/or affordability of coverage

Impact of a Community-Based Rock Steady Boxing Program for People with Parkinson\u27s Disease: A Pilot Study

Purpose/Hypothesis: High-intensity physical exercise has been shown to be beneficial in managing motor and nonmotor symptoms of Parkinson\u27s Disease (PD). Exercise may also have global effects on factors that influence brain health and cognition. Programs that incorporate goal-based motor skill learning have shown promise in being more effective than aerobic exercise alone. People with PD have a need for ongoing, continuous, community-based exercise programs that are engaging and accessible. The purpose of this study was to examine the effect of a community-based exercise program, Rock Steady Boxing, on improving quality of life and physical mobility skills in people with PD. Methods: Ten participants, five females and five males, mean age 69.6 years old (± 12 SD), clinically diagnosed with PD with a mean disease duration of 12.1 years (± 10 years) were recruited. Physical Therapist and Physical Therapy students collaborated with a local YMCA® to offer a Rock Steady boxing program (non-contact) to promote mobility, high intensity exercise, cognitive engagement, and transitional movements. Pre- and post-assessment at three months included gait speed, Parkinson\u27s Disease Questionnaire-39 (PDQ-39) for quality of life change, Mini BESTest to measure balance/mobility, Five Times Sit to Stand to measure strength, Four Square Step Test for agility, and the Six Minute Walk Test to measure endurance. Results: Five of the 10 participants reported an improvement in overall PDQ-39 scores. Of the 10 participants, 30% showed minimally clinically important change in cognition (MCID -1.8) and mobility (MCID -3.2), and 20% reported improvement in bodily discomfort (MCID -2.1). Post-test results of other measures were not statistically significant. Eight of the 10 participants attended the class, with a mean attendance of 6.7 visits (range 0-11), and indicated a plan to continue the exercise class. Statements from participants included: more confidence with walking and moving , more alert , and enjoy the social aspect. Three of the 10 also reported a reduction in falls, and one reported an increase in falls during the three-month timeframe. Conclusions: The outcomes of this pilot study show promise in improving quality of life and mobility in older adults with PD. Despite the progressive nature of PD, 30-50% of the participants in this study reported meaningful change in quality of life subscales while attending a three-month exercise program. More research is warranted to determine long-term benefits. Clinical Relevance: Community-based exercise programs tailored to people with PD appear beneficial in improving functional mobility and quality of life. Programs that incorporate a combination of high intensity exercise, skill-based training, cognitive engagement and social interaction are recommended. People with PD will benefit from consistent attendance at classes that are designed to be both physically and financially accessible, to minimize barriers and encourage long-term exercise participation

Public channel cryptography by synchronization of neural networks and chaotic maps

Two different kinds of synchronization have been applied to cryptography: Synchronization of chaotic maps by one common external signal and synchronization of neural networks by mutual learning. By combining these two mechanisms, where the external signal to the chaotic maps is synchronized by the nets, we construct a hybrid network which allows a secure generation of secret encryption keys over a public channel. The security with respect to attacks, recently proposed by Shamir et al, is increased by chaotic synchronization.Comment: 4 page

Relationships Among Thought Suppression, Intrusive Thoughts, and Psychological Symptoms

Although thought suppression is related to increases in psychological symptoms (Purdon, 1999), the mechanisms that may explain this relationship are not well understood. As a result, the current study examined the relationships among thought suppression, intrusive thoughts, and psychological symptoms assessed by the Personality Assessment Inventory (PAI) in a diverse sample of undergraduate students. Results suggested that, for women, utilizing thought suppression and experiencing unwanted intrusive thoughts were related to symptoms on the PAT. Findings further suggested that intrusive thoughts mediated the relationship between thought suppression and various psychological symptoms that may be experienced by women. In contrast, for men, intrusive thoughts mediated the relationship between thought suppression and psychological symptoms consistent with anxiety-related disorders. Results suggested that learning to accept the experience of unwanted thoughts and refraining from using thought suppression may promote more beneficial outcomes for individuals experiencing a variety of psychological symptoms