The Role Of The Nurse Practitioner Regarding The Promotion Of Health In Childhood Obesity

Childhood obesity is a condition that is growing in epidemic proportions in the United States (U.S.). The prevalence of childhood obesity has doubled since the 1980’s. The Centers for Disease Control (CDC, 2002), stated that approximately 55 % o f the U.S. population is overweight. According to Moran (1999), preventing childhood obesity significantly decreases morbidity related to type II diabetes, hyperlipidemia, hypertension, hyperuricemia, and other chronic conditions. The purpose o f this Evidence Based Practice (EBP) project was to develop a nurse practitioner knowledgebase regarding health promotion in childhood obesity. The research questions asked: (a) What is the level o f healthcare knowledge regarding the role o f the nurse practitioner in promoting health in childhood obesity? (b) According to the literature, to what extent do nurse practitioners intervene in childhood obesity? and (c) According to the literature, how can nurse practitioners contribute to cost-effective, high-quality care by promoting health in childhood obesity? A Boolean computer search o f nursing and medical literature for theory-based, data-based, and randomized controlled trials for citations utilizing CINAHL, MEDLINE, and the COCHRANE Library was conducted for this systematic review. Nola Pender’s Health Promotion Model (1996) served as the theoretical foundation for this clinical project and guided the systematic review through data collection of the healthcare literature. Literature reviewed totaled 15 manuscripts, which represented reviews of another 384 references. The literature agreed that prevention and early recognition is the most effective process to decrease childhood obesity. Recommendations from the literature emphasize the necessity for treatment that is patient-specific. Evidence-based practice modalities that will utilize current perspectives in the prevention and management of childhood obesity are essential for nurse practitioners in primary care. Implications for nursing theory, nursing research, advanced practice nursing, education, and health policy are provided

Marshall system for aerospace system simulation (MARSYAS), user's manual

The capabilities of the Marshall system for aerospace system simulation (MARSYAS) and how to use it are described. MARSYAS is a software system that allows easy setup and control of the simulation of the dynamics of large physical systems on a digital computer. The physical systems are modeled in the form of block diagrams or equations. The blocks can have multiple inputs and multiple outputs, and they can be nested to form hierarchies. The block diagrams can contain transfer functions, nonlinear and logical functions, equations, analog computer elements and FORTRAN programs. The input format of the equations can be combinations of nonlinear, time-varying differential equations and algebraic equations in their original format. MARSYAS could also serve as a storage and retrieval system for models as a basis for a model configuration control system on a central time-shared computer. The outputs of the simulation system can be not only time-responses but also other analysis data such as frequency response, power spectrum and stability parameters. The MARSYAS translator is written in FORTRAN running on the Univac 1108 computer under the EXEC 8 operating system

The enigmatic young object : Walker 90/V590 Monocerotis

Aims. We assess the evolutionary status of the intriguing object Walker 90/V590 Mon, which is located about 20 arcmin northwest of the Cone Nebula near the center of the open cluster NGC 2264. This object, according to its most recent optical spectral type determination (B7), which we confirmed, is at least 3 mag too faint in V for the cluster distance, but it shows the classical signs of a young pre-main sequence object, such as highly variable H emission, Mg II emission, IR excess, UV continuum, and optical variability. Methods. We analyzed a collection of archival and original data on Walker 90, covering 45 years including photometry, imaging, and spectroscopic data ranging from ultraviolet to near-infrared wavelengths. Results. According to star formation processes, it is expected that, as this object clears its primordial surroundings, it should become optically brighter, show a weakening of its IR excess and present decreasing line emissions. This behavior is supported by our observations and analysis, but timescales are expected to be longer than the one observed here. Based on photometric data secured in 2007, we find Walker 90 at its brightest recorded optical magnitude √(12.47 ± 0.06). We document an evolution in spectral type over the past five decades (from A2/A3 to currently B7 and as early as B4), along with a decrease in the near-infrared K fluxes. From near-infrared VISIR images secured in 2004, Walker 90 appears as a point source placing an upper limit of < 0.1" for its diameter. Evidence of turbulent inflows is found in rapidly changing inverse P-Cygni profiles in the lower Balmer lines, with a broadening of ±400 km s-1 in Hα and a redshifted component in Hβ with a terminal velocity of ~600 km s-1. The measured steep UV continuum fluxes (mimicking a star as early as B4), added to a tentative identification of N V emission, suggest a strong non-photospheric component, typically of fluxes arising from a thermally inhomogeneous accretion disk. We detect a well defined 2200 Å bump, indicative of dense material in the line-of-sight. We conclude that many observational features are explained if W90 is a flared disk system, surrounded by an inclined optically thick accretion disk

Marshall system for aerospace simulation (MARSYAS)

System is simple flexible language which can be coded by users unfamiliar with computer programming. It is designed for engineers with little experience in simulation, who desire to simulate large physical systems. User has ability to mix differential equations with diagrams in his model. With few exceptions, there is no rigid statement-operator structure within given module

Income Earning Potential versus Consumptive Amenities in Determining Ranchland Values

The relative importance of income earning potential versus consumptive values in setting ranchland prices is examined using a truncated hedonic model. The market value of New Mexico ranches is related to annual income earning potential and other ranch characteristics including ranch size, location, elevation, terrain, and the amount of deeded, public, and state trust land on the ranch. We found ranch income to be a statistically important determinant of land value, but yet a relatively small percentage of ranch value was explained by income earnings. Ranch location, scenic view, and the desirable lifestyle influenced ranch value more than ranch income.consumptive value, grazing fees, grazing permit value, hedonic model, land value, lifestyle agriculture, public land grazing, voluntary grazing permit buyout, Land Economics/Use,

Thermoplastic coating of carbon fibers

A continuous powder coating system was developed for coating carbon fiber with LaRC-TPI (Langley Research Center-Thermoplastic Polyimide), a high-temperature thermoplastic polymide invented by NASA-Langley. The coating line developed used a pneumatic fiber spreader to separate the individual fibers. The polymer was applied within a recirculating powder coating chamber then melted using a combination of direct electrical resistance and convective heating to make it adhere to the fiber tow. The tension and speed of the line were controlled with a dancer arm and an electrically driven fiber wind-up and wind-off. The effects of heating during the coating process on the flexibility of the prepreg produced were investigated. The uniformity with which the fiber tow could be coated with polymer also was examined. Composite specimens were fabricated from the prepreg and tested to determine optimum process conditions. The study showed that a very uniform and flexible prepeg with up to 50 percent by volume polymer could be produced with this powder coating system. The coating line minimized powder loss and produced prepeg in lengths of up to 300 m. The fiber spreading was found to have a major effect on the coating uniformity and flexibility. Though test results showed low composite tensile strengths, analysis of fracture surfaces under scanning electron microscope indicated that fiber/matrix adhesion was adequate

A Quality Approach to Tacit Knowledge Capture: Effective Practice to Achieving Operational Excellence

Knowledge loss resulting from an aging workforce continues to be a management nightmare that has obliged many organizational leaders to develop strategies aimed at documenting mission-critical knowledge. Yet knowledge captured and stored in repositories continues to lack quality. The purpose of this study was to explore the impact of integrating quality management into the tacit knowledge capture process. Further studies on the effects of personality in the knowledge capture processes could lead to insights on reasons for diminished knowledge quality. From a social perspective, the implementation of a model that encompasses personality and quality management could improve decision-making processes

Development and climate policy synergies: insights from global modelling studies

India's approach to climate policy is based on amplifying synergies between sustainable development ad climate outcomes, or co-benefits. However, the evidence base for the magnitude of these synergies remains limited. This brief summarizes the result of global models, which provide strong evidence of complementarities between climate mitigation outcomes, reduced air pollution and enhanced energy security. These results are robust across a wide range of models. They suggest there are considerable gains across multiple objectives of development policy from pursuing India's stated co-benefits approach to climate policy

NASA Manned Launch Vehicle Lightning Protection Development

Historically, the National Aeronautics and Space Administration (NASA) relied heavily on lightning avoidance to protect launch vehicles and crew from lightning effects. As NASA transitions from the Space Shuttle to the new Constellation family of launch vehicles and spacecraft, NASA engineers are imposing design and construction standards on the spacecraft and launch vehicles to withstand both the direct and indirect effects of lightning. A review of current Space Shuttle lightning constraints and protection methodology will be presented, as well as a historical review of Space Shuttle lightning requirements and design. The Space Shuttle lightning requirements document, NSTS 07636, Lightning Protection, Test and Analysis Requirements, (originally published as document number JSC 07636, Lightning Protection Criteria Document) was developed in response to the Apollo 12 lightning event and other experiences with NASA and the Department of Defense launch vehicles. This document defined the lightning environment, vehicle protection requirements, and design guidelines for meeting the requirements. The criteria developed in JSC 07636 were a precursor to the Society of Automotive Engineers (SAE) lightning standards. These SAE standards, along with Radio Technical Commission for Aeronautics (RTCA) DO-160, Environmental Conditions and Test Procedures for Airborne Equipment, are the basis for the current Constellation lightning design requirements. The development and derivation of these requirements will be presented. As budget and schedule constraints hampered lightning protection design and verification efforts, the Space Shuttle elements waived the design requirements and relied on lightning avoidance in the form of launch commit criteria (LCC) constraints and a catenary wire system for lightning protection at the launch pads. A better understanding of the lightning environment has highlighted the vulnerability of the protection schemes and associated risk to the vehicle, which has resulted in lost launch opportunities and increased expenditures in manpower to assess Space Shuttle vehicle health and safety after lightning events at the launch pad. Because of high-percentage launch availability and long-term on-pad requirements, LCC constraints are no longer considered feasible. The Constellation vehicles must be designed to withstand direct and indirect effects of lightning. A review of the vehicle design and potential concerns will be presented as well as the new catenary lightning protection system for the launch pad. This system is required to protect the Constellation vehicles during launch processing when vehicle lightning effects protection might be compromised by such items as umbilical connections and open access hatches

Does Migration Make You Happy?:A Longitudinal Study of Internal Migration and Subjective Well-Being

The authors acknowledge financial support from the Economic and Social Research Council (ESRC) (RES-625-28-0001). This project is part of the ESRC Centre for Population Change (CPC). Financial support from the Marie Curie programme under the European Union's Seventh Framework Programme (FP/2007-2013) / Career Integration Grant n. PCIG10-GA-2011-303728 (CIG Grant NBHCHOICE, Neighbourhood choice, neighbourhood sorting, and neighbourhood effects).The majority of quantitative studies on the consequences of internal migration focus almost exclusively on the labour-market outcomes and the material well-being of migrants. We investigate whether individuals who migrate within the UK become happier after the move than they were before, and whether the effect is permanent or transient. Using life-satisfaction responses from twelve waves of the British Household Panel Survey and employing a fixed-effects model, we derive a temporal pattern of migrants’ subjective well-being around the time of the migration event. Our findings make an original contribution by revealing that, on average, migration is preceded by a period when individuals experience a significant decline in happiness for a variety of reasons, including changes in personal living arrangements. Migration itself causes a boost in happiness, and brings people back to their initial levels. The research contributes, therefore, to advancing an understanding of migration in relation to set-point theory. Perhaps surprisingly, long-distance migrants are at least as happy as short-distance migrants despite the higher social and psychological costs involved. The findings of this paper add to the pressure to retheorize migration within a conceptual framework that accounts for social well-being from a life-course perspective.PostprintPeer reviewe