Causes and Solutions for High Direct Care Staff Turnover

This quantitative research project explores the reasons and solutions for the high rates of direct care staff turnover. Emails were sent out to social service agency supervisors asking for their approval to allow their employees to participate in an online survey about direct care staff turnover. Agencies that agreed to participate were then emailed a script and a consent form with instructions to email both the script and the consent form to their employees. The ten question online survey explored the direct care staff\u27s opinions on topics such as compensation, support and training. Additionally, there was a qualitative question at the end of the survey asking for direct care staff\u27s input as to possible solutions to reduce direct care staff turnover. Twenty-six individuals participated in the survey. Answers were analyzed and entered into SPSS in order to find correlations in the data. Themes were identified amongst the responses to the qualitative question. A majority of the respondents did not feel they received adequate support from their supervisor or adequate compensation for the work that they do. Answers showed that direct care staff who participated in the survey attributed inadequate compensation as the largest contributor to the high rates of direct care staff turnover. The answers revealed no statistically significant data however, some correlations approached statistical significance. Results from this quantitative research project were consistent with pre-existing literature

La extensión en la provincia de La Pampa y el rol de la universidad

En el presente trabajo se trata de determinar cuáles han sido y cuáles son los agentes de extensión que se encuentran en la provincia de La Pampa y su estado de organización. Se analizan algunos de los proyectos implementados por estos agentes para tales fines y los organismos que capacitan a los extensionistas. Para poder concretar este trabajo se realizaron varias entrevistas a funcionarios provinciales y nacionales, y agentes de extensión del Instituto Nacional de Tecnología Agropecuaria. También se entrevistaron autoridades de la Universidad Nacional de La Pampa, así como a docentes, egresados y alumnos. Se realizó una corta descripción, basada en bibliografía específica sobre el tema en estudio, del concepto de extensión y sus implicancias en el medio rural, por considerar a este como el más necesitado de la extensión dada su importancia para la economía provincial.Evento también conocido bajo el nombre de "II Jornadas Platenses de Geografía"Facultad de Humanidades y Ciencias de la Educació

Can medio-lateral baseplate position and load sharing induce asymptomatic local bone resorption of the proximal tibia? A finite element study

info:eu-repo/semantics/publishe

Distal femoral bone mineral density decreases following patellofemoral arthroplasty: 1-year follow-up study of 14 patients

The bone mineral density (BMD) of the distal femur decreases by 16-36% within one year after total knee arthroplasty (TKA) because of the femoral component's stress-shielding effect. The aim of this prospective study was to determine the quantitative change from the baseline BMD in the distal femur 1 year after patellofemoral arthroplasty using dual-energy X-ray absorptiometry (DXA).Journal Articleinfo:eu-repo/semantics/publishe

Agroecossistemas e zonas de amortecimento vinculante. O caso da Reserva Provincial Parque Luro

Natural reserves are important to maintain natural heritage and endangered ecosystems. Therefore, there are specific environmental legislation, economic resource allocation and qualified personnel. In the case of Calden Forest these policies, based on Provincial Law N°2624, are efficient to counteract deforestation and fires but are not efficient enough to reduce the risk and environmental problems associated to the advance of agroecosystems, a process which has increased during the last decade. This is the reason why the area of Parque Luro Natural Reserve represents a situation of imminent risk in relation to the context. The aim of this research is to analyze the environmental changes caused by use of rural soil. The methodology applied consists in analyzing current legislation and the environmental management. It is carried out from a diagnosis based on students’ reports, interviews prepared by the faculty of Biogeography, contributions by the Environment Undersecretariat and production statistics for the reserve adjacent area. This comprehensive analysis, reflected in a problems tree, makes it possible to determine the need for creating a binding buffer zone.    Las áreas naturales protegidas son importantes para la preservación del patrimonio natural y de los ecosistemas en peligro. Por ello, existe una legislación específica, la asignación de recursos económicos y personal especializado. En el caso del bosque de caldén, estas políticas ambientales, sustentadas por la Ley Provincial Nº2624 son efectivas para contrarrestar las deforestaciones y los incendios, pero no tienen el mismo alcance para riesgos y problemas ambientales asociados al avance de los agroecosistemas en la provincia de La Pampa, proceso visibilizado en la última década. Es así como el área protegida de la Reserva Provincial Parque Luro, presenta una situación de inminente riesgo en relación al contexto.  El objetivo del trabajo es analizar los cambios ambientales provocados por los usos del suelo rural. Se utiliza una metodología que consiste en examinar las legislaciones vigentes y el plan de manejo ambiental. Se realiza a partir de la construcción de un diagnóstico confeccionado con reportes de estudiantes, entrevistas elaboradas por la cátedra de Biogeografía, aportes de la Subsecretaría de Ambiente y estadísticas de producción del área contigua a la reserva. Este análisis integral, plasmado en un árbol de problemas, posibilita determinar la necesidad de crear una zona de amortiguamiento vinculante.  As áreas naturais protegidas são importantes para a preservação do patrimônio natural e dos ecossistemas em perigo. Por isso, existe uma legislação específica, atribuição de recursos econômicos e pessoal especializado. No caso do bosque de Caldén, estas políticas ambientais, baseadas na Lei Provincial N° 2624 são efetivas para neutralizar as deflorestações e os incêndios; mas não tem o mesmo alcance para os riscos e problemas ambientais associados ao avanço dos agrossistemas, na província de La Pampa, cujo processo é visibilizado na última década. Como consequência, a área protegida da Reserva Provincial Parque Luro apresenta uma situação de iminente risco em relação a esse contexto. O objetivo do trabalho é analisar as mudanças ambientais provocadas pelo uso do solo rural. Utiliza-se uma metodologia que trata de examinar as legislações vigentes e o plano de direcionamento ambiental. Realiza-se a partir da construção de um diagnóstico elaborado com relatórios de estudantes, entrevistas elaboradas pela cátedra de Biogeografia, contribuições da Subsecretaria de Ambiente e estatísticas de produção da área adjacente à reserva. Esta análise integral, expressadas em uma quantidade de problemas, possibilita determinar a necessidade de criar uma zona de redução vinculante

Minimal versus specialist equipment for the delivery of pulmonary rehabilitation in COPD

Background: Evidence for pulmonary rehabilitation(PR)largely comes from trials where the intervention used specialist aerobic and/or resistance equipment.Limited data exist to demonstrate the efficacy of PR in community settings with minimal equipment. Aims: To compare completion rates and outcomes in COPD patients undergoing PR in a community setting with minimal equipment(PR-min)with a matched sample undergoing PR in a gym setting with specialist aerobic and resistance equipment(PR-gym). Methods: Using propensity score matching,318 patients with COPD referred for 8 weeks of PR-min were matched 1:1 with a control group of 318 patients who undertook 8 weeks of PR-gym. Completion rate(attendance≥8 supervised sessions)and changes in incremental shuttle walk(ISW),Chronic Respiratory Disease Questionnaire(CRQ)and quadriceps maximal voluntary contraction(QMVC)were compared. Results: Groups were matched for age(70.8v70.7years),FEV1%predicted(46.8v45.8),ISW(192v195m),%current smoking status(19v20)and depression scores(6.5v6.6).No between group differences were seen in ISW,CRQ or QMVC change. Completion rates were better in the PR-gym(73%)as opposed to the PR-min(64%);p=0.01. Conclusion: This case-control study shows that PR-min had similar benefits to PR-gym.A randomised non-inferiority trial is needed to confirm the findings of this study

Combining GPR and historical aerial photographs to investigate river channel morphodynamics, Oldman River, southern Alberta

River channels are dynamic landforms that play an important role in regulating riparian ecosystems. At a fundamental level, river erosion and deposition produce changes in the riparian zone that lead to the creation of new habitat or reworking of existing habitat. Despite considerable riparian research along the Oldman River in southern Alberta, little is known about historical channel dynamics and the resulting implications for riparian habitat. This research paper documents long term dynamics of a segment of the Oldman River at Fort Macleod, AB. Specifically, historical aerial photographs and a ground penetrating radar (GPR) were used to reconstruct how the river channel and bar features evolved over the last 70 years. Results from the aerial photographs indicate that the channel has undergone pronounced changes since 1938, with a trend of increasing meander curvature and decreasing wavelength. Channel bank reinforcement at Fort Macleod will likely constrict further meander development and force continued downstream meander migration. Subsurface imaging of a channel bar with GPR reveals a dominant mode of vertical accretion by bedload deposition at high flow stages, indicating a compound feature formed by overlapping unit bars. Observations of other bars along the Oldman River indicate similar modes of emplacement. Overall, results from this case study provide important context for assessing recent changes in riparian habitat. Application of this approach to other river segments will be of value in assessing whether similar patterns of channel and bar dynamics exist throughout the Oldman watershed