A qualitative exploration of the client experience of inter-professional practice in the delivery of ActivePlus: a combined smoking cessation and physical activity intervention

Abstract Background Research investigating interprofessional practice (IPP) frameworks has predominately focused on the service delivery of IPP or educating practitioners through interprofessional education. Minimal research has addressed client outcomes or the experience of clients with IPP in real world contexts. In this paper, we explore the experience of seven participants in the ActivePlus program, an IPP-based smoking cessation intervention combined with physical activity promotion. Methods Participants informed on their program experiences through post-program in-depth interviews. A thematic analysis drew out themes pertaining to participant experiences of the joint practice element of the IPP model of care. Results Analysis identified two major themes: the joint practice experience, and the client-centered approach of the IPP model of care. Participants reflected on the ways that having two health practitioners in joint sessions benefited their intervention experience, as well as providing some critical feedback. Participants also reported observing and valuing aspects of client-centered practice that strengthened the rapport within the practitioner-client team and aided their behaviour change progress. The client-centered practice was instrumental in overcoming initial teething issues with joint session delivery and alleviating pre-program participant concerns about being outnumbered by multiple practitioners. Conclusion Despite some early teething issues, participants reported a positive acceptance of the IPP and joint session delivery model, which added value to the overall ActivePlus program. Results from this research can provide practitioners with a client perspective on the key aspects they perceive as important in IPP joint session delivery. Further investigation into the client perception in similar interventions is recommended with larger samples and non-clinical groups

Influence de deux douvicides à base de tétrachlorure de carbone sur l’évolution de l’ornithine-carbamyl-transférase et de la phosphatase alcaline sériques chez le mouton infesté avec Fasciola hepatica

Influence of two flukicides based on carbon tetrachloride on serum O. C. T. and phosphatase alcaline changes in Fasciola hepatica infested sheep. Phamalogical effects of carbon tetrachloride in artificially Fasciola hepatica infested sheep are compared with those observed with C. 1372, a preparation containing CCI, plus an antioxydant, NN' Diphenyl-p-phenylene Diamine (DppD). The inclusion of DppD in the preparation avoids hepatic dysfunction observed with carbon tetrachloride alone and enables a prompt return to normal hepatic function previously disturbed by the flukes. Anthelmintic activity of the two preparations are equivalent.Les effets pharmacologiques du tétrachlorure de carbone chez le mouton artificiellement infesté avec Fasciola hepatica sont comparés à ceux d’une préparation, le C. 1372 contenant le CCI, et un antioxydant, la NN' Diphényl-p-phénylène Diamine (DppD). L’addition de DppD permet d’éviter l’atteinte hépatique constatée avec le CCI, seul et permet une récupération rapide de la fonction hépatique perturbée par les douves. L’activité fasciolicide est la même pour les deux préparations.Le Bars Henri, Laistre Banting Alan de. Influence de deux douvicides à base de tétrachlorure de carbone sur l’évolution de l’omithine-carbamyl-transférase et de la phosphatase alcaline sériques chez le mouton infesté avec Fasciola hepatica. In: Bulletin de l'Académie Vétérinaire de France tome 128 n°4-5, 1975. pp. 221-227

Reflections on the Arts, Environment, and Culture After Ten Years of The Goose

To mark the tenth anniversary of The Goose, we asked prominent ecologically-minded scholars, writers, artists, and educators from across Canada to reflect on the relationship between the arts, culture, and the environment. Their comments illuminate a wide range of triumphs and tensions, from the politics and practices of environmentalist writing and art, to the connections between the environment and matters of diversity and justice, to the past and future of ALECC (Association for Literature, Environment, and Culture in Canada), to the world of a single poem

A Three-Site Mechanism for Agonist/Antagonist Selective Binding to Vasopressin Receptors

Molecular-dynamics simulations with metadynamics enhanced sampling reveal three distinct binding sites for arginine vasopressin (AVP) within its V2 -receptor (V2 R). Two of these, the vestibule and intermediate sites, block (antagonize) the receptor, and the third is the orthosteric activation (agonist) site. The contacts found for the orthosteric site satisfy all the requirements deduced from mutagenesis experiments. Metadynamics simulations for V2 R and its V1a R-analog give an excellent correlation with experimental binding free energies by assuming that the most stable binding site in the simulations corresponds to the experimental binding free energy in each case. The resulting three-site mechanism separates agonists from antagonists and explains subtype selectivity

A three-site mechanism for agonist/antagonist selective binding to vasopressin receptors

International audienc

An Experimental Study of Coconut Shell with Sugarcane Bagasse Ash as Partial Replacement of Coarse Aggregates and Cement to Concrete

High building material costs and demand can be a significant disadvantage for builders and contractors. The cost of raw materials such as wood, steel, and concrete is always growing, increasing the cost of projects. Due to the high demand for certain materials, they can be difficult to get on time, causing project delays. This is especially true when working on large-scale projects with short deadlines. This research presents an idea to minimize the problem by partially replacing the cement and coarse aggregates with sugarcane bagasse ash and coconut shell. The study has 3 main objectives: (1) To determine the effects of workability (slump cone test) and durability (water absorption test) of concrete when Coconut Shell and Sugarcane Bagasse Ash are used as partial replacements of cement and coarse aggregates after 7, 14, and 28 days of curing.The samples were tested using a Universal Testing Machine (UTM) and the outcomes of the experiment revealed that CS and SCBA have a positive result on the properties of standard concrete

SmartEx: a case study on user profiling and adaptation in exhibition booths

An investigation into user profiling and adaptation with exhibition booth as a case study is reported. First a review of the field of exhibitions and trade fairs and a summary introduction to adaptation and profiling are given. We then introduce three criteria for the evaluation of exhibition booth: effectiveness, efficiency and affect. Effectiveness is related the amount of information collected, efficiency is a measurement of the time taken to collect the information, and affect is the perception of the experience and the mood booth visitors have during and after their visit. We have selected these criteria to assess adaptive and profiled exhibition booths, we call smart exhibition (SmartEx). The assessment is performed with an experiment with three test conditions (non-profiled/non adaptive, profiled/non-adaptive and profiled adaptive presentations). Results of the experiment are presented along discussion. While there is significant improvements of effectiveness and efficiency between the two-first test conditions, the improvement is not significant for the last test condition, for reasons explained. As for the affect, the results show that it has an under-estimated importance in people minds and that it should be addressed more carefully

Snooping Around: Observation Planning for the Signals of Opportunity P-Band Investigation (SNOOPI)

Launching October 2022, the SigNals Of Opportunity P-band Investigation (SNOOPI) is a 6U CubeSat dedicated to demonstrating spaceborne remote sensing of root zone soil moisture and snow water equivalent using signals of opportunity. P-band (240-500 MHz) frequencies are required to penetrate dense vegetation or snow and into the top 200 cm of soil, but this band is heavily subscribed. Rather than transmitting its own signal SNOOPI will observe reflected signals from the U.S. Navy’s Mobile User Objective System satellites. This makes planning observations challenging. The point of reflection is a function of both the transmitter and receiver satellite positions as well as terrain. The direct signal must be observed simultaneously on the same antenna pattern with sufficient gain. Ionospheric delay must also be accounted for. To satisfy these requirements and maintain a cadence of one observation per day, the SNOOPI science operations center at Purdue University has developed custom software for scheduling activities onboard the satellite. The software is highly automated, involving the user only in the definition of observation targets, priorities, and giving final approval to the proposed schedule. Orbit, attitude, power, communication, memory, and observation constraints are handled by a combination of linear programming and pattern search optimization methods. The purpose of this paper is to describe the challenges of scheduling observations for a signals of opportunity mission and illustrate how they were solved for SNOOPI