494 research outputs found

    Mount Carmel Food Pantry Composting Project

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    Despite best efforts, food pantries do produce food waste. This can be from produce going bad before it can be distributed, personal preferences leading to certain foods not being distributed, or donated food being too close to spoilage, etc. This 21 page report investigates the issue of food waste at the Mount Carmel Area Food Pantry run by the Mount Carmel Area Ministerium and proposes composting as a solution. Composting will reduce the amount of garbage going to the landfill and keep the nutrients in the community by providing compost for home or community gardening, which can be part of a broader food security network. Students produced this report as part of Environmental Studies 411 (ENST 411), a senior capstone course taught by Prof. Andrew Stuhl. Funding to install the demonstration compost systems referenced in the report was provided by the Ekedahl fund through the Bucknell Center for Sustainability and the Environment

    The experience of living with adolescent idiopathic scoliosis: a qualitative evidence synthesis using meta-ethnography

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    Background Adolescent idiopathic scoliosis (AIS) is a common spinal deformity with physical and psychosocial implications for adolescents. The aim of this qualitative evidence synthesis (QES) was to systematically search for, identify, and synthesise qualitative research in order to improve our understanding of what it is like to live with AIS and to facilitate empathetic and effective healthcare. Methods We systematically searched 4 databases (Medline, EMBASE, PsycINFO and CINAHL) and used the 7 phases of meta-ethnography to synthesise qualitative evidence including studies with children and adolescents, and additional viewpoints from parents about the experience of AIS. Results We distilled 7 themes. (1) Diagnosis turned time on its head revolves around the AIS diagnosis and the uncertainty of the future that accompanied it. (2) Usual activities no longer the same explores how activities and participation in everyday life are impacted by AIS. (3) Hiding my body describes the pervasive struggle with self-image and appearance. (4) I want to feel normal again explores adolescents’ desire to return to ‘normality’ and challenges of feeling different. (5) Balancing isolation and support considers the relationships in the adolescents’ lives alongside their feelings of isolation. (6) Trying to keep control of treatment decisions explores how adolescents and their parents strive to feel in control. (7) Fearing surgery yet feeling hopeful focused on the apprehension and fear around spinal surgery and the beacon of hope it represented. Conclusions Our QES contributes to the understanding of the adolescent experience of living with AIS. From our findings, clinicians can better understand the physical and psychosocial obstacles and the challenges faced throughout the journey of AIS to inform their clinical interactions with these patients

    Physiotherapy rehabilitation for osteoporotic vertebral fracture (PROVE) : study protocol for a randomised controlled trial

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    Background: Osteoporosis and vertebral fracture can have a considerable impact on an individual’s quality of life. There is increasing evidence that physiotherapy including manual techniques and exercise interventions may have an important treatment role. This pragmatic randomised controlled trial will investigate the clinical and cost-effectiveness of two different physiotherapy approaches for people with osteoporosis and vertebral fracture, in comparison to usual care. Methods/Design: Six hundred people with osteoporosis and a clinically diagnosed vertebral fracture will be recruited and randomly allocated to one of three management strategies, usual care (control - A), an exercise-based physiotherapy intervention (B) or a manual therapy-based physiotherapy intervention (C). Those in the usual care arm will receive a single session of education and advice, those in the active treatment arms (B + C) will be offered seven individual physiotherapy sessions over 12 weeks. The trial is designed as a prospective, adaptive single-blinded randomised controlled trial. An interim analysis will be completed and if one intervention is clearly superior the trial will be adapted at this point to continue with just one intervention and the control. The primary outcomes are quality of life measured by the disease specific QUALLEFO 41 and the Timed Loaded Standing test measured at 1 year. Discussion: There are a variety of different physiotherapy packages used to treat patients with osteoporotic vertebral fracture. At present, the indication for each different therapy is not well defined, and the effectiveness of different modalities is unknown

    Physiotherapy exercise rehabilitation with tailored exercise adherence support for people with osteoporosis and vertebral fractures: protocol for a randomised controlled trial : the OsteoPorosis Tailored exercise adherence INtervention (OPTIN) study

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    Introduction. Vertebral fragility fractures affect at least 20% of the older population in the UK. Best practice guidelines recommend the use of exercise to slow the rate of bone loss, to maintain muscle strength and physical function, and to prevent falls and further fractures. However, treatment effects are often small and difficult to sustain and adherence, or the extent to which patients engage in treatment, has been identified as an important issue by many studies. Our hypothesis is that integrating adherence intervention strategies with an exercise intervention will be beneficial. We will compare physiotherapy exercise rehabilitation with adherence support versus physiotherapy exercise rehabilitation alone in terms of effects on (A) physical function, quality of life and fear of falling and (B) exercise self-efficacy and adherence. Methods and analysis. A multicentre, two-arm, parallel group, superiority randomised controlled trial with blinded assessments at baseline (0) and 4, 8 and 12 months, with a nested qualitative study and health economic analysis. 116 participants will be allocated to either (1) outpatient physiotherapy which will include a musculoskeletal assessment and treatment including balance, posture, strength training and low impact weight-bearing exercises over 16 weeks or (2) OsteoPorosis Tailored exercise adherence INtervention intervention. This includes standard physiotherapy as above plus an additional, integrated assessment interview (30 min) and 60 min of adherence support spread over the subsequent 16 weeks

    The interdisciplinary marine system of the Amundsen Sea, Southern Ocean: recent advances and the need for sustained observations

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    The Southern Ocean exerts a profound influence on the functioning of the Earth System, in part because its location and unique bathymetric configuration enable direct linkages to the other major ocean basins (Ganachaud and Wunsch, 2000 and Lumpkin and Speer, 2007). It is the site of the world׳s largest current system, the Antarctic Circumpolar Current (ACC), which transfers waters and climatically/ecologically-important tracers between the Atlantic, Indian and Pacific Oceans (Rintoul et al., 2001). In addition to the strong horizontal connectivity, the ACC is also characterized by a vigorous overturning circulation, which upwells warm, nutrient-rich waters from intermediate depth to the surface, where they are modified by interactions with the atmosphere and cryosphere to form new water masses, some of which are lighter and others more dense (Marshall and Speer, 2012). This overturning circulation structures the Southern Ocean both horizontally and vertically, dictates the levels of its communication with the rest of the global ocean, and is a fundamental control on the sequestration of carbon from the atmosphere into the ocean interior (Sallée et al., 2012). In some locations, the upwelled waters can intrude onto the Antarctic shelves, supplying heat and nutrients to the shallower regions. This is believed to be especially effective in west Antarctica, where the southern edge of the ACC moves close to the shelf break (Martinson, 2011, Orsi et al., 1995 and Thoma et al., 2008)

    Pitt Political Review: GSPIA Edition (Spring 2011, Volume 3)

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    This volume of the Pitt Political Review: GSPIA Edition includes "Legal and Societal Injustice: Gender Inequality and Land Rights in Tanzania" and "The Transformation of Philanthropy in Sub-Saharan Africa: from Traditional Practices to the Establishment of Grantmaking Foundations." The aim of "Legal and Societal Injustice: Gender Inequality and Land Rights in Tanzania" is to increase awareness of the problems surrounding land rights and gender inequality in Tanzania's Karagwe District. "The Transformation of Philanthropy in Sub-Saharan Africa: from Traditional Practices to the Establishment of Grantmaking Foundations" discusses the effectiveness of African foundations in development over the long-term

    The Southern Ocean Observing System (SOOS)

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    [in “State of the Climate in 2014” : Special Supplement to the Bulletin of the American Meteorological Society Vol. 96, No. 7, July 2015

    Moyo Vol. VIII N 1

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    Durica, Paul Editor\u27s Letter . 4. Thackeray, Alex. Postcard from the sXe . 5. Ward, Luc. Gods & Monsters (Hook-Up at Church) . 6. Anshuman, Karan. The India Nobody Knows (Mysticism and Misconceptions Revealed) . 8. Clements, Nina and Betsy Falconer. God as One of Us: Diverse Faiths Thrive at Denison . 10. Million, Chris. Splendor in the Fall (First Year Love Bittersweet) . 16. Grindstaff, Michelle. Beer by Night, Bed by Morning . 17. Hart, Madeline and Meredith Newman. Smoke Alarm: Reading This may Cause Lung Cancer, Heart Disease, Emphysema, and Complicate Pregnancy . 21. Almirall, Sara and Kirsten Werne. 20 Best Spots to Smoke on Campus . 22. Werne, Kirsten. An Interview with Painted Thin . 23. Burt, Kara. All in All, We\u27re Just Paper o the Wall (Dorm Art Clue to Denison Identity) . 25. Levine, Robert. Less Talk, Moore Rock (Thurston\u27 Sound Uplifts Soul) . 30. Almirall, R.R. Turtles . 31. Almirall, RR. The Warthog Feels He Has Much in Common With Paul Newman, Others Don\u27t . 20
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