15,265 research outputs found

    Quality of Care Assessment at a Resident-based Primary Care HIV Clinic

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    A quality improvement study based in a primary care resident-based HIV clinic, the Kendig Clinic, was conducted within Jefferson Family Medicine Associates. The study objectives were to • Determine the percentage of the clinic patients meeting each quality measure • Compare these calculated clinic measures to known national averages • Use the data to determine areas to target for future quality improvement initiatives.https://jdc.jefferson.edu/cwicposters/1019/thumbnail.jp

    Engaging with the Dory Fleet: A Panel Discussion on a Collaborative College and Community Oral History Project

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    This peer-reviewed program was presented at the annual Northwest Communication Association Conference in Coeur d’Alene Idaho on April 15, 2016. The presentation features an overview of the Launching through the Surf: The Dory Fleet of Pacific City project and includes detailed notes from each speaker. Special thanks go to Mary Beth Jones and Brenda DeVore Marshall, who served as transcriber and editor for the detailed speaker notes

    Optimising nutrition in residential aged care: A narrative review

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    In developed countries the prevalence of protein-energy malnutrition increases with age and multi-morbidities increase nutritional risk in aged care residents in particular. This paper presents a narrative review of the current literature on the identification, prevalence, associated risk factors, consequences, and management of malnutrition in the <i>residential aged care (RAC)</i> setting. We performed searches of English-language publications on <i>Medline, PubMed, Ovid and the Cochrane Library</i> from January 1 1990 to November 25 2015. We found that, on average, half of all residents in aged care are malnourished as a result of factors affecting appetite, dietary intake and nutrient absorption. Malnutrition is associated with a multitude of adverse outcomes, including increased risk of infections, falls, pressure ulcers and hospital admissions, all of which can lead to increased health care costs and poorer quality of life. A number of food and nutrition strategies have demonstrated positive nutritional and clinical outcomes in the <i>RAC</i> setting. These strategies extend beyond simply enhancing the nutritional value of foods and hence necessitate the involvement of a range of committed stakeholders. Implementing a nutritional protocol in <i>RAC</i> facilities that comprises routine nutrition screening, assessment, appropriate nutrition intervention, including attention to food service systems, and monitoring by a multidisciplinary team can help prevent decline in residents’ nutritional status. Food and nutritional issues should be identified early and managed on admission and regularly in the <i>RAC</i> setting

    Polarization switching and induced birefringence in InGaAsP multiple quantum wells at 1.5 mu m

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    We analyze the 1.5mum wavelength operation of a room temperature polarization switch based on electron spin dynamics in InGaAsP multiple quantum wells. An unexpected difference in response for left and right circularly polarized pump light in pump-probe measurements was discovered and determined to be caused by an excess carrier induced birefringence. Transient polarization rotation and ellipticity were measured as a function of time delay. (C) 2002 American Institute of Physics.</p

    History and Philosophy of Science History

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    Science lies at the intersection of ideas and society, at the heart of the modern human experience. The study of past science should therefore be central to our humanistic attempt to know ourselves. Nevertheless, past science is not studied as an integral whole, but from two very different and divergent perspectives: the intellectual history of science, which focuses on the development of ideas and arguments, and the social history of science, which focuses on the development of science as a social undertaking within its broader contexts. There is almost universal agreement that this bifurcation of the field is lamentable, and nearly universal disagreement about where, exactly, the problem lies. In order to identify the difficulty, this paper examines the institutional histories and disciplinary philosophies that have constituted the study of past science. I argue that science history, eventually allied itself with either History or Philosophy in order to find institutional support, thereby suffering the artificial imposition of the disciplinary prejudices of its allied fields, which lead science historians to adopt either the intellectual or the social perspective. Science history must reconcile its distinctions on its own terms, as an integrated unity with its own disciplinary bounds, and apart from History and Philosophy. As a catalyst for rapprochement, the historical and philosophical examination also yields a mapping of the field of science history that can be used to locate the problematic divisions in present scholarship and to draw new disciplinary bounds

    Seeing and Believing: Galileo, Aristotelians, and the Mountains on the Moon

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    Galileo’s telescopic lunar observations, announced in Siderius Nuncius (1610), were a triumph of observational skill and ingenuity. Yet, unlike the Medicean stars, Galileo’s lunar “discoveries” were not especially novel. Indeed, Plutarch had noted the moon’s uneven surface in classical times, and many other renaissance observers had also turned their gaze moonward, even (in Harriot’s case) aided by telescopes of their own. Moreover, what Galileo and his contemporaries saw was colored by the assumptions they already had. Copernicans assumed the moon was a terrestrial satellite, thus Galileo saw its mountains and Kepler “saw” the dwellings of its inhabitants. Aristotelians assumed the moon was a perfect sphere, so they saw differences in density and rarity in the lunar body. Theory corrected the results of observation, so Galileo’s lunar observations, like those that had come before, proved nothing. Yet this failure contained the germ of Galileo’s success, since the Siderius Nuncius gave observation a rhetorical force it did not have before. Observers on all sides set out to see for themselves what Galileo reported. Hence, all parties now had to answer to what they saw, whatever they believed. Thus, the Siderius Nuncius ultimately changed the grounds upon which natural philosophical argument and debate was carried out. In this new empirical arena, the Galilean science would eventually prevail

    An analysis of changes in sweet potato prices

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