A Case Study On Empowering A Non-Profit Organization To Better Help People With Disabilities Through M-Health

Local non-profit organizations are constrained in developing efficient methods for helping people with disabilities confined at their own homes. The cost of labor of physically serving such people is a continued issue at the organizations. This case study explores an entrepreneurial focus on best-in-class applications of m-Health devices for improving methods of home medication support furnished by a leading metropolitan non-profit organization. This study explores further the potential of hosted infrastructure-as-a-service (IaaS) m-Health remote monitoring systems technology. The findings of this study can benefit non-profit organizations considering economic entrepreneurial innovation in interactive managed care technology

Deliberate self-harm, substance use and negative affect in nonclinical samples: A systematic review

BACKGROUND AND METHOD: A systematic literature review was conducted to examine associations between self-harm, substance use, and negative affect in nonclinical samples. RESULTS: Forty-two articles describing 36 studies were identified that met the inclusion criteria. Findings indicated that individuals who engage in substance use are significantly more likely to engage in self-harm. It was also found that negative affective states such as depression and anxiety are consistently associated with self-harm. CONCLUSIONS: These findings provide some guidance in identifying those who are at increased risk of self-harm. Reducing these risk factors could be an important strategy in preventing self-harm behavior in the general population

Comprehensive cardiovascular risk management – what does it mean in practice?

The continued movement away from the treatment of individual cardiovascular (CV) risk factors to managing overall and lifetime CV risk is likely to have a significant impact on slowing the rate of increase in cardiovascular disease (CVD). However, the management of CVD is currently far from optimal even in parts of the world with well-developed and well-funded healthcare systems. Effective implementation of the knowledge, treatment guidelines, diagnostic tools, therapeutic interventions, and management programs that exist for CVD continues to evade us. A thorough understanding of the multifactorial nature of CVD is essential to its effective management. Improvements continue to be made to management guidelines, risk assessment tools, treatments, and care programs pertaining to CVD. Ultimately, however, preventing the epidemic of CVD will require a combination of both medical and public health approaches. In addition to improvements in the “high-risk” strategy, management, an increase in the utilization of population-based management strategies needs to be made to attempt to reduce the number of patients falling within the “at-risk” stratum for CVD. This review outlines how a comprehensive approach to CVD management might be achieved

Self-harm, substance use and psychological distress in the Australian general population

AIMS: To examine predictors of self-harm, especially substance use and psychological distress, in an Australian adult general population sample. DESIGN: Sequential-cohort design with follow-up every four years. SETTING: Australian general population. PARTICIPANTS: A random sample of adults aged 20-24 and 40-44 years (at baseline) living in and around the Australian Capital Territory. MEASUREMENTS: Self-report survey including items on four common forms of self-harm. Psychological distress was indexed by the combined Goldberg Anxiety and Depression scale scores and alcohol problems by the Alcohol Use Disorders Identification Test (AUDIT). FINDINGS: 4,160 people (84% of baseline) were re-interviewed at eight years: 4126 reported their self-harm status. Past year self-harm was reported by 8.2% (95% CI 7.4-9.0%) of participants (males: 9.3% (8.0-10.6%), females: 7.3% (6.2-8.4%)). Several forms of substance use – smoking (odds ratio = 1.52), marijuana use (odds ratio = 1.77), and drinking alcohol at a level likely to cause dependence (AUDIT score > 20) (odds ratio = 2.08) – were independently predictive of past year self-harm. Additional key risk factors for self-harm in the past year were childhood sexual abuse by a parent (odds ratio = 3.07), bisexual orientation (odds ratio = 2.65), younger age (odds ratio = 2.23) and male gender (odds ratio = 1.86). Other independent predictors were years of education, adverse life events, psychological distress and financial strain. CONCLUSIONS: Self-harm in young and middle-aged adults appears to be associated with current smoking, marijuana and “dependent†alcohol use. Other independent predictors include younger age, male gender, bisexual orientation, financial strain, education level, psychological distress, adverse life events and sexual abuse by a parent

Modelling chemistry in the nocturnal boundary layer above tropical rainforest and a generalised effective nocturnal ozone deposition velocity for sub-ppbv NOx conditions

Measurements of atmospheric composition have been made over a remote rainforest landscape. A box model has previously been demonstrated to model the observed daytime chemistry well. However the box model is unable to explain the nocturnal measurements of relatively high [NO] and [O3], but relatively low observed [NO2]. It is shown that a one-dimensional (1-D) column model with simple O3 -NOx chemistry and a simple representation of vertical transport is able to explain the observed nocturnal concentrations and predict the likely vertical profiles of these species in the nocturnal boundary layer (NBL). Concentrations of tracers carried over from the end of the night can affect the atmospheric chemistry of the following day. To ascertain the anomaly introduced by using the box model to represent the NBL, vertically-averaged NBL concentrations at the end of the night are compared between the 1-D model and the box model. It is found that, under low to medium [NOx] conditions (NOx <1 ppbv), a simple parametrisation can be used to modify the box model deposition velocity of ozone, in order to achieve good agreement between the box and 1-D models for these end-of-night concentrations of NOx and O3. This parametrisation would could also be used in global climate-chemistry models with limited vertical resolution near the surface. Box-model results for the following day differ significantly if this effective nocturnal deposition velocity for ozone is implemented; for instance, there is a 9% increase in the following day’s peak ozone concentration. However under medium to high [NOx] conditions (NOx > 1 ppbv), the effect on the chemistry due to the vertical distribution of the species means no box model can adequately represent chemistry in the NBL without modifying reaction rate constants

A study of CTD cables and lowering systems

This study first reviews both the electrical and mechanical modes and causes of failure of electromechanical (E/M) cables used to lower deep sea sensors, such as CTD instruments, from oceanographic ships. It then outlines measures or steps that could be taken to correct some of the deficiencies observed and improve the systems presently used. These measures include quality control, tests, operational limits, improved handling and maintenance, improved machinery. The study then surveys alternative cables for lowering the sensors and convey the information from the sensors back to the ship. These alternatives include strength members other than steel (Kevlar)and signal carriers other than conventional copper conductors (fiber optics). The final section - Conclusions - summarizes the recommendations, based on this study, for improving the reliability of present and future CTD lowering systems.Prepared for the Office of Naval Research under Contract N00014-7l6-C-0197; NR 083-400

Video counselling and psychotherapy:a critical commentary on the evidence base

Pre-pandemic research has suggested that video counselling is as effective as face-to-face practice. However, the mass migration of therapy to the online video domain as a result of the COVID-19 pandemic makes it essential to interrogate the evidence base. This paper provides a critical commentary on how video therapy is defined/labelled, the current evidence about whether video therapy is effective, and whether the working alliance and therapeutic relationship functions differently in video counselling. The paper concludes that while the evidence to date is promising, it is limited in quantity and applicability and hence generalisability. Lack of evidence is not evidence that video therapy is ineffective, but the large gaps in understanding highlight the importance, both ethically and empirically, of further research in this area.</p

First U-Pb zircon ages for late Miocene Ashfall \u3ci\u3eKonservat-Lagerstatte\u3c/i\u3e and Grove Lake ashes from eastern Great Plains, USA

This paper documents the first U-Pb zircon ages for Ashfall Fossil Beds (Nebraska, USA), a terrestrial Konservat-Lagerstatte mass-death assemblage that is arguably the most diverse of its type and age. The Ashfall tephra was correlated with ignimbrites from the Bruneau-Jarbidge volcanic field (12.7–10.5 Ma) in southwest Idaho based on geochemical analysis. The methods and geochemical data supporting the original age assessment of the ash bed, however, were never published, and there has been a persistent misconception that dateable heavy minerals (e.g., zircon) are absent. Notwithstanding, we recovered abundant zircons from Ashfall Fossil Beds, and from an ash bed ~6 km to the southeast at Grove Lake, Nebraska, and analyzed them through LA-ICP-MS. Our new zircon U-Pb age of 11.86 ± 0.13 Ma substantiates correlation of the Ashfall Fossil Beds deposit to tuffs originating from the Bruneau-Jarbidge caldera (~12.7–10.5 Ma). Our U-Pb zircon age of 6.42 ± 0.06 Ma for the Grove Lake ash bed coincides with supervolcanic activity in the Heise volcanic field (6.6–4.3 Ma) in eastern Idaho. These new dates improve age constraints of strata comprising the Ogallala Group and the important paleontological site. Moreover, we find that detrital and airfall zircons are unevenly distributed in the stratified ash beds we describe herein and presumably in similar deposits worldwide. Therefore, a higher-resolution sampling scheme is necessary in such cases

An acoustic navigation system

This report describes a system for underwater acoustic navigation developed, and in use, at the Woods Hole Oceanographic Institution. It includes a brief discussion of the electronic components, operation, mathematical analysis, and available computer programs. There is a series of supplementary Technical Memoranda containing more information on various aspects of the system. We believe that this kind of documentation is more flexible and better meets the needs of potential users than including all technical details in one large volume. These are not final or definitive reports; acoustic navigation capabilities will continue to evolve at W.H.O.I. for some time. Acoustic navigation provides a method of tracking a ship, and an underwater vehicle or instrument package (‘fish’), in the deep ocean. Acoustic devices attached to the ship and fish measure the length of time it takes a sound pulse to travel to acoustic transponders moored on the ocean floor. If the transponder positions and the average speed of sound are known, the ship or fish position can be found.Prepared for the Office of Naval Research under Contracts N00014-71-C0284; NR 293-008 N00014-70-C0205; NR 263-103 and the National Science Foundation/International Decade of Ocean Exploration Grant GX-36024 and the Applied Physics Laboratory of The Johns Hopkins University Contract 372111