250 research outputs found

    Are You Drowning In Personal Finance Papers? What To Keep And What To Toss

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    Is your file cabinet full, yet you still have additional boxes of receipts, bank statements, and other financial papers? Are you afraid to throw out financial documents? Or do you throw everything away? No matter what your circumstances, it is important to keep some documents and shred others. Simple organization takes a minimal amount of effort and will help keep the documents you need and get rid of the papers you don’t need. Here are a few guidelines that will help you organize your personal finance papers. Shred those unneeded documents Why shred your unwanted financial papers? Because identity theft is one of the fastest-growing crimes in the U.S. Every day we throw away paper

    Are You Drowning In Personal Finance Papers? What To Keep And What To Toss

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    An Analysis of the Effect of Orgnizational Placement on the Annual Budget of Special Libraries

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    This study surveyed a specific group of special librarians from across the United States known as one-person librarians or SOLO librarians. These librarians work alone in a special library setting. The study ascertained the organizational placement of SOLO libraries within their parent organizations and analyzed the effect of that placement on the annual budget allocated to each library. No uniformity of placement was found to exist amongst the libraries of the survey participants. However, despite the dissimilarities, the majority of respondents expressed satisfaction with their unique organizational placements. Satisfaction with organizational placement was found to be driven mainly by supervisory support and accessibility to users

    A Call for Change in the Public Education System in Nova Scotia

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    The United Nation’s International Decade for People of African Descent and Nova Scotia’s Ministry of African Nova Scotian Affairs recognize that students of African descent continue to experience inequities. As previous studies indicate, parents of Black learners identified that many educators lack knowledge and experience in understanding students of African descent.This study explored student achievement from the perspective of parents of children of African descent attending public schools in Nova Scotia. Participants included individual interviews and focus groups with parents from rural and urban areas. Based on Bronfenbrenner’s ecological theory framework, a thematic analysis of the data was conducted, a dominant storyline related to the families’ experiences in school and subsequent themes emerged: we are treated differently; we don’t feel connected; we know there are challenges: the resistance of parents; and we deal with injustices but persevere. These findings provide recommendations to improve the educational success for Black learners. Keywords: African Canadian, academic achievement and success, Black students, education, schooling challenges, students of African descentLa dĂ©claration des Nations Unies de la DĂ©cennie internationale des personnes d’ascendance africaine et le Ministre des affaires Afro-nĂ©o-Ă©cossaises reconnaissent que les Ă©lĂšves d’ascendance africaine continuent Ă  vivre des inĂ©galitĂ©s. Des Ă©tudes antĂ©rieures dĂ©montrent que les parents d’apprenants Noirs ont identifiĂ© que plusieurs Ă©ducateurs manquent de connaissances et d’expĂ©rience quant Ă  la comprĂ©hension d’élĂšves d’ascendance africaine. Cette Ă©tude explore la rĂ©ussite scolaire de la perspective des parents d’enfants d’ascendance africaine frĂ©quentant des Ă©coles publiques en Nouvelle-Écosse. Les participants incluent des entretiens individuels et des groupes de discussion avec des parents provenant de rĂ©gions rurales et urbaines en Nouvelle-Écosse. BasĂ©e sur le cadre thĂ©orique Ă©cologique de Bronfenbrenner, une analyse thĂ©matique des donnĂ©es a Ă©tĂ© entreprise, un fil conducteur dominant liĂ© aux expĂ©riences scolaires des familles, et des thĂšmes rĂ©solutoires ont Ă©mergĂ© : nous sommes traitĂ©s diffĂ©remment ; et nous ne nous sentons pas connectĂ©s ; nous sommes conscients qu’il y a des dĂ©fis ; la rĂ©sistance des parents ; et nous font face Ă  des injustices mais nous persistons. Ces constats fournissent des recommandations pour amĂ©liorer le succĂšs acadĂ©mique des apprenants Noirs. Mots-clĂ©s : Afro-canadiens, performance et succĂšs acadĂ©mique, Ă©lĂšves noirs, Ă©ducation, dĂ©fis scolaires, Ă©lĂšves d’ascendance Africain

    Xenobiotic metabolism: the effect of acute kidney injury on non-renal drug clearance and hepatic drug metabolism.

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    Acute kidney injury (AKI) is a common complication of critical illness, and evidence is emerging that suggests AKI disrupts the function of other organs. It is a recognized phenomenon that patients with chronic kidney disease (CKD) have reduced hepatic metabolism of drugs, via the cytochrome P450 (CYP) enzyme group, and drug dosing guidelines in AKI are often extrapolated from data obtained from patients with CKD. This approach, however, is flawed because several confounding factors exist in AKI. The data from animal studies investigating the effects of AKI on CYP activity are conflicting, although the results of the majority do suggest that AKI impairs hepatic CYP activity. More recently, human study data have also demonstrated decreased CYP activity associated with AKI, in particular the CYP3A subtypes. Furthermore, preliminary data suggest that patients expressing the functional allele variant CYP3A5*1 may be protected from the deleterious effects of AKI when compared with patients homozygous for the variant CYP3A5*3, which codes for a non-functional protein. In conclusion, there is a need to individualize drug prescribing, particularly for the more sick and vulnerable patients, but this needs to be explored in greater depth

    Changes in work habits of lifeguards in relation to Florida red tide

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    Author Posting. © The Author(s), 2010. This is the author's version of the work. It is posted here by permission of Elsevier B.V. for personal use, not for redistribution. The definitive version was published in Harmful Algae 9 (2010): 419-425, doi:10.1016/j.hal.2010.02.005.The marine dinoflagellate, Karenia brevis, is responsible for Florida red tides. Brevetoxins, the neurotoxins produced by K. brevis blooms, can cause fish kills, contaminate shellfish, and lead to respiratory illness in humans. Although several studies have assessed different economic impacts from Florida red tide blooms, no studies to date have considered the impact on beach lifeguard work performance. Sarasota County experiences frequent Florida red tides and staffs lifeguards at its beaches 365 days a year. This study examined lifeguard attendance records during the time periods of March 1 to September 30 in 2004 (no bloom) and March 1 to September 30 in 2005 (bloom). The lifeguard attendance data demonstrated statistically significant absenteeism during a Florida red tide bloom. The potential economic costs resulting from red tide blooms were comprised of both lifeguard absenteeism and presenteeism. Our estimate of the costs of absenteeism due to the 2005 red tide in Sarasota County is about 3,000.Onaverage,thecapitalizedcostsoflifeguardabsenteeisminSarasotaCountymaybeontheorderof3,000. On average, the capitalized costs of lifeguard absenteeism in Sarasota County may be on the order of 100,000 at Sarasota County beaches alone. When surveyed, lifeguards reported not only that they experienced adverse health effects of exposure to Florida red tide but also that their attentiveness and abilities to take preventative actions decrease when they worked during a bloom, implying presenteeism effects. The costs of presenteeism, which imply increased risks to beachgoers, arguably could exceed those of absenteeism by an order of magnitude. Due to the lack of data, however, we are unable to provide credible estimates of the costs of presenteeism or the potential increased risks to bathers.This research was supported by the National Science Foundation under The Research Experience for Undergraduate Program, grant number 0453955; the P01 ES 10594, DHHS NIH of the National Institute of Environmental Health Sciences; the Center for Oceans and Human Health at the Woods Hole Oceanographic Institution [National Science Foundation (NSF) OCE-0430724; National Institute of Environmental Health Sciences (NIEHS) P50 ES012742]; and the Ocean and Human Health Center at the University of Miami Rosenstiel School (NSF 0CE0432368; NIEHS 1 P50 ES12736)

    A large scale hearing loss screen reveals an extensive unexplored genetic landscape for auditory dysfunction

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    The developmental and physiological complexity of the auditory system is likely reflected in the underlying set of genes involved in auditory function. In humans, over 150 non-syndromic loci have been identified, and there are more than 400 human genetic syndromes with a hearing loss component. Over 100 non-syndromic hearing loss genes have been identified in mouse and human, but we remain ignorant of the full extent of the genetic landscape involved in auditory dysfunction. As part of the International Mouse Phenotyping Consortium, we undertook a hearing loss screen in a cohort of 3006 mouse knockout strains. In total, we identify 67 candidate hearing loss genes. We detect known hearing loss genes, but the vast majority, 52, of the candidate genes were novel. Our analysis reveals a large and unexplored genetic landscape involved with auditory function

    The state of the Martian climate

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    60°N was +2.0°C, relative to the 1981–2010 average value (Fig. 5.1). This marks a new high for the record. The average annual surface air temperature (SAT) anomaly for 2016 for land stations north of starting in 1900, and is a significant increase over the previous highest value of +1.2°C, which was observed in 2007, 2011, and 2015. Average global annual temperatures also showed record values in 2015 and 2016. Currently, the Arctic is warming at more than twice the rate of lower latitudes

    The impact of decision aids to enhance shared decision making for diabetes (the DAD study): protocol of a cluster randomized trial

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    Background. Shared decision making contributes to high quality healthcare by promoting a patientcentered approach. Patient involvement in selecting the components of a diabetes medication program that best match the patient's values and preferences may also enhance medication adherence and improve outcomes. Decision aids are tools designed to involve patients in shared decision making, but their adoption in practice has been limited. In this study, we propose to obtain a preliminary estimate of the impact of patient decision aids vs. usual care on measures of patient involvement in decision making, diabetes care processes, medication adherence, glycemic and cardiovascular risk factor control, and resource utilization. In addition, we propose to identify, describe, and explain factors that promote or inhibit the routine embedding of decision aids in practice. Methods. We will be conducting a mixed-methods study comprised of a cluster-randomized, practical, multicentered trial enrolling clinicians and their patients (n = 240) with type 2 diabetes from rural and suburban primary care practices (n = 8), with an embedded qualitative study to examine factors that influence the incorporation of decision aids into routine practice. The intervention will consist of the use of a decision aid (Statin Choice and Aspirin Choice, or Diabetes Medication Choice) during the clinical encounter. The qualitative study will include analysis of video recordings of clinical encounters and in-depth, semi-structured interviews with participating patients, clinicians, and clinic support staff, in both trial arms. Discussion. Upon completion of this trial, we will have new knowledge about the effectiveness of diabetes decision aids in these practices. We will also better understand the factors that promote or inhibit the successful implementation and normalization of medication choice decision aids in the care of chronic patients in primary care practices
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