46 research outputs found
Interview with Bob Tier
Molly McNamara recounts her interview with Bob Tier.https://digital.kenyon.edu/elfs_interviews/1067/thumbnail.jp
Ariel - Volume 10 Number 5
Executive Editors
Madalyn Schaefgen
David Reich
Business Manager
David Reich
News Editors
Medical College
Edward Zurad
CAHS
John Guardiani
World
Mark Zwanger
Features Editors
Meg Trexler
Jim O\u27Brien
Editorials Editor
Jeffrey Banyas
Photography and Sports Editor
Stuart Singer
Commons Editor
Brenda Peterso
Caring International Research Collaborative: A Five-Country Partnership to Measure Perception of Nursing Staffsâ Compassion Fatigue, Burnout, and Caring for Self
Partnering in research across disciplines and across countries can be challenging due to differing contexts of practice and culture. This study sought to demonstrate how central constructs that have application across disciplines and countries can be studied while concurrently considering context. Groups of nurses from Botswana, Ireland, Israel, New Zealand, and Spain partnered to identify how to measure the constructs of caring for self, burnout, and compassion fatigue, replicating a study by Johnson (2012), who found that caring for self had a moderately strong negative relationship with both compassion fatigue and burnout. While these constructs were of interest to all five groups, the conversation of contextual influences varied. All five groups used the same instruments to measure the central constructs. Levels of burnout and compassion fatigue varied by country but were moderated by caring for self. Partnering across countries made it possible to understand that caring for self moderates the negative impact of burnout and compassion fatigue in all five countries. This study gives insight into methods for partnering across disciplines and contexts
Caring international research collaborative: A five-country partnership to measure perception of nursing staffs' compassion fatigue, burnout, and caring for self
Partnering in research across disciplines and across countries can be challenging due to differing contexts of practice and culture. This study sought to demonstrate how central constructs that have application across disciplines and countries can be studied while concurrently considering context. Groups of nurses from Botswana, Ireland, Israel, New Zealand, and Spain partnered to identify how to measure the constructs of caring for self, burnout, and compassion fatigue, replicating a study by Johnson (2012), who found that caring for self had a moderately strong negative relationship with both compassion fatigue and burnout. While these constructs were of interest to all five groups, the conversation of contextual influences varied. All five groups used the same instruments to measure the central constructs. Levels of burnout and compassion fatigue varied by country but were moderated by caring for self. Partnering across countries made it possible to understand that caring for self moderates the negative impact of burnout and compassion fatigue in all five countries. This study gives insight into methods for partnering across disciplines and contexts
CfA3: 185 Type Ia Supernova Light Curves from the CfA
We present multi-band photometry of 185 type-Ia supernovae (SN Ia), with over
11500 observations. These were acquired between 2001 and 2008 at the F. L.
Whipple Observatory of the Harvard-Smithsonian Center for Astrophysics (CfA).
This sample contains the largest number of homogeneously-observed and reduced
nearby SN Ia (z < 0.08) published to date. It more than doubles the nearby
sample, bringing SN Ia cosmology to the point where systematic uncertainties
dominate. Our natural system photometry has a precision of 0.02 mag or better
in BVRIr'i' and roughly 0.04 mag in U for points brighter than 17.5 mag. We
also estimate a systematic uncertainty of 0.03 mag in our SN Ia standard system
BVRIr'i' photometry and 0.07 mag for U. Comparisons of our standard system
photometry with published SN Ia light curves and comparison stars, where
available for the same SN, reveal agreement at the level of a few hundredths
mag in most cases. We find that 1991bg-like SN Ia are sufficiently distinct
from other SN Ia in their color and light-curve-shape/luminosity relation that
they should be treated separately in light-curve/distance fitter training
samples. The CfA3 sample will contribute to the development of better
light-curve/distance fitters, particularly in the few dozen cases where
near-infrared photometry has been obtained and, together, can help disentangle
host-galaxy reddening from intrinsic supernova color, reducing the systematic
uncertainty in SN Ia distances due to dust.Comment: Accepted to the Astrophysical Journal. Minor changes from last
version. Light curves, comparison star photometry, and passband tables are
available at http://www.cfa.harvard.edu/supernova/CfA3
Effect of angiotensin-converting enzyme inhibitor and angiotensin receptor blocker initiation on organ support-free days in patients hospitalized with COVID-19
IMPORTANCE Overactivation of the renin-angiotensin system (RAS) may contribute to poor clinical outcomes in patients with COVID-19.
Objective To determine whether angiotensin-converting enzyme (ACE) inhibitor or angiotensin receptor blocker (ARB) initiation improves outcomes in patients hospitalized for COVID-19.
DESIGN, SETTING, AND PARTICIPANTS In an ongoing, adaptive platform randomized clinical trial, 721 critically ill and 58 nonâcritically ill hospitalized adults were randomized to receive an RAS inhibitor or control between March 16, 2021, and February 25, 2022, at 69 sites in 7 countries (final follow-up on June 1, 2022).
INTERVENTIONS Patients were randomized to receive open-label initiation of an ACE inhibitor (nâ=â257), ARB (nâ=â248), ARB in combination with DMX-200 (a chemokine receptor-2 inhibitor; nâ=â10), or no RAS inhibitor (control; nâ=â264) for up to 10 days.
MAIN OUTCOMES AND MEASURES The primary outcome was organ supportâfree days, a composite of hospital survival and days alive without cardiovascular or respiratory organ support through 21 days. The primary analysis was a bayesian cumulative logistic model. Odds ratios (ORs) greater than 1 represent improved outcomes.
RESULTS On February 25, 2022, enrollment was discontinued due to safety concerns. Among 679 critically ill patients with available primary outcome data, the median age was 56 years and 239 participants (35.2%) were women. Median (IQR) organ supportâfree days among critically ill patients was 10 (â1 to 16) in the ACE inhibitor group (nâ=â231), 8 (â1 to 17) in the ARB group (nâ=â217), and 12 (0 to 17) in the control group (nâ=â231) (median adjusted odds ratios of 0.77 [95% bayesian credible interval, 0.58-1.06] for improvement for ACE inhibitor and 0.76 [95% credible interval, 0.56-1.05] for ARB compared with control). The posterior probabilities that ACE inhibitors and ARBs worsened organ supportâfree days compared with control were 94.9% and 95.4%, respectively. Hospital survival occurred in 166 of 231 critically ill participants (71.9%) in the ACE inhibitor group, 152 of 217 (70.0%) in the ARB group, and 182 of 231 (78.8%) in the control group (posterior probabilities that ACE inhibitor and ARB worsened hospital survival compared with control were 95.3% and 98.1%, respectively).
CONCLUSIONS AND RELEVANCE In this trial, among critically ill adults with COVID-19, initiation of an ACE inhibitor or ARB did not improve, and likely worsened, clinical outcomes.
TRIAL REGISTRATION ClinicalTrials.gov Identifier: NCT0273570
Climate Change and Tourism in the Asia Pacific
Climate change will exert an enormous impact on all societies in the medium to long term. Tourism, as both a commercial activity and social phenomenon is not immune. To date, industry has been slow to recognise the scale of the threat posed by a changing climate on its operations and consumers have been extremely reluctant to modify their travel behaviours. The Asia Pacific region is well on the way to being the 21st Century powerhouse of tourism, however the manner in which it develops will, in part, be determined by how the global community responds to climate change. This book examines climate change issues related to tourism in the Asia Pacific region. Chapters discuss demand and supply side issues, explore government policy responses and introduce several new adaptation models. The book also calls for a more effective linking of social science research with the scientific discourse to create long term resolution of and adaptation to this issue.\ud
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This book was published as a special issue of Asia Pacific Journal of Tourism Research