How does reflection help to support workplace learning?

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The dentist's responsibility in the management of the patient with rheumatic heart disease

The management of the "cardiac" requires certain fundamental knowledge and the need for closer cooperation between the physician and dentist.This discussion limits consideration specifically to the management of the patient with rheumatic heart disease.Bacteremias have been shown frequently to follow manipulation and trauma of surgical procedures, especially following the extraction of teeth. From such a bacteremia the patient with valvular heart disease (usually resulting from rheumatic fever) may develop subacute bacterial endocarditis as a result of the localization of bacteria on previously damaged heart valves.The prophylactic use of sulfathiazole, if given in doses sufficient to raise the blood levels above 4 mg. per 100 c.c., reduces markedly the incidence of positive blood cultures.It is in a large part the dentist's responsibility to manage the patient with valvular heart disease by treatment with sulfonamides.It is thought that prophylactic premedication with sulfathiazole may prevent the individual with valvular heart disease from developing a subacute bacterial endocarditis.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/32579/1/0000708.pd

Unique Conference Design Showcases Small Towns, Highlights Entrepreneurs, and Strengthens Capacity

Michigan State University Extension (MSUE)’s annual conference, Connecting Entrepreneurial Communities (CEC), has served as a catalyst for entrepreneurial ecosystems across Michigan since 2012. Designed by MSUE for small towns, CEC has gained national interest as evidenced by the adoption of this conference model by four other Extension services. This article outlines the unique conference design, details the partnership between Extension and host communities, and explores conference evaluation data validating the need to continue this programming. Lessons learned and successes to date are provided to ensure readers learn the value this unique conference format has in Extension entrepreneurship programming nationally

A Strategic Plan for Introducing, Implementing, Managing, and Monitoring an Urban Extension Platform

Florida\u27s Strategic Plan for Extension in Metropolitan Regions reflects an adaptive management approach to the state\u27s urban Extension mission within the context of establishing essential elements, performance indicators, key outcomes, and suggested alternatives for action. Extension leadership has adopted the strategic plan, and implementation efforts are under way. The successful future of urban Extension in Florida lies in fully embracing and monitoring the plan and recommendations therein. In this article, we describe the course of developing the strategic plan, which included the use of a modified Delphi process and a strategic adaptive management format. We encourage others to adapt our methods to develop plans to meet their specific needs and desired outcomes

Position Measurements with Micro-Channel Plates and Transmission lines using Pico-second Timing and Waveform Analysis

The anodes of Micro-Channel Plate devices are coupled to fast transmission lines in order to reduce the number of electronics readout channels, and can provide two-dimension position measurements using two-ends delay timing. Tests with a laser and digital waveform analysis show that resolutions of a few hundreds of microns along the transmission line can be reached taking advantage of a few pico-second timing estimation. This technique is planned to be used in Micro-channel Plate devices integrating the transmission lines as anodes

Orally Administered P22 Phage Tailspike Protein Reduces Salmonella Colonization in Chickens: Prospects of a Novel Therapy against Bacterial Infections

One of the major causes of morbidity and mortality in man and economically important animals is bacterial infections of the gastrointestinal (GI) tract. The emergence of difficult-to-treat infections, primarily caused by antibiotic resistant bacteria, demands for alternatives to antibiotic therapy. Currently, one of the emerging therapeutic alternatives is the use of lytic bacteriophages. In an effort to exploit the target specificity and therapeutic potential of bacteriophages, we examined the utility of bacteriophage tailspike proteins (Tsps). Among the best-characterized Tsps is that from the Podoviridae P22 bacteriophage, which recognizes the lipopolysaccharides of Salmonella enterica serovar Typhimurium. In this study, we utilized a truncated, functionally equivalent version of the P22 tailspike protein, P22sTsp, as a prototype to demonstrate the therapeutic potential of Tsps in the GI tract of chickens. Bacterial agglutination assays showed that P22sTsp was capable of agglutinating S. Typhimurium at levels similar to antibodies and incubating the Tsp with chicken GI fluids showed no proteolytic activity against the Tsp. Testing P22sTsp against the three major GI proteases showed that P22sTsp was resistant to trypsin and partially to chymotrypsin, but sensitive to pepsin. However, in formulated form for oral administration, P22sTsp was resistant to all three proteases. When administered orally to chickens, P22sTsp significantly reduced Salmonella colonization in the gut and its further penetration into internal organs. In in vitro assays, P22sTsp effectively retarded Salmonella motility, a factor implicated in bacterial colonization and invasion, suggesting that the in vivo decolonization ability of P22sTsp may, at least in part, be due to its ability to interfere with motility… Our findings show promise in terms of opening novel Tsp-based oral therapeutic approaches against bacterial infections in production animals and potentially in humans

The roots of romantic cognitivism:(post) Kantian intellectual intuition and the unity of creation and discovery

During the romantic period, various authors expressed the belief that through creativity, we can directly access truth. To modern ears, this claim sounds strange. In this paper, I attempt to render the position comprehensible, and to show how it came to seem plausible to the romantics. I begin by offering examples of this position as found in the work of the British romantics. Each thinks that the deepest knowledge can only be gained by an act of creativity. I suggest the belief should be seen in the context of the post-Kantian embrace of “intellectual intuition.” Unresolved tensions in Kant's philosophy had encouraged a belief that creation and discovery were not distinct categories. The post-Kantians held that in certain cases of knowledge (for Fichte, knowledge of self and world; for Schelling, knowledge of the Absolute) the distinction between discovering a truth and creating that truth dissolves. In this context, the cognitive role assigned to acts of creativity is not without its own appeal

Foundation degree programmes in health: perspectives of leaders and contributors across the UK

Academics are at the forefront of the inception, design and delivery of Fds and therefore are responsible for ensuring the aims are met, but their views on the award and the delivery of curricula have not been sought. Foundation degrees (Fds) were introduced in 2000 and although courses have been evaluated, this has been from the employer or student perspective. Fds were created to meet a number of government agendas and were seen as unique, bringing together: life-long learning, widening participation, flexibility of delivery, employer engagement and work-experience. This research uses a mixed methods methodology. This includes: collating curriculum documents to explore commonalities and differences, a questionnaire sent out to academics across the UK, and semi-structured interviews of course teams from three Further Education colleges and three universities. Unexpected findings were that academics felt their own development had been enhanced through working with Fds. This had been transformative in relation to their career pathway or challenged them to develop their approaches to teaching. The other significant finding was that academics perceived Fd students as different or ‘other’ from those students on ‘traditional courses’. The students were described as hard working, motivated but also challenging and lacking self-confidence. A recurring theme was that Fds had provided a ‘second chance’. This led to discussions as to whether Fds are a bridge between a series of liminal states on a journey from affirmative to transformational learning. Other findings highlighted the complexity of developing and delivering Fds in collaboration with employers, other higher education providers and within institutions. The research found that Fds are complex and have no specific identity but consist of a family of awards. They meet widening participation and employers’ needs, but are not fully understood. The research has significance not only for Fds, but also future courses that aim to widen participation, include employer engagement and enable students to develop skills for specific work settings. The academics’ perspective adds to the existing views of employers and students of Fds about whether they have been successful