4,934 research outputs found
Cue-Based Feeding to Support Oral Feeding Success for Preterm Infants in a Neonatal Intensive Care Unit
Deathucation: On Childhood Bereavement and Drama Therapy
This literature review is on childhood bereavement and drama therapy. The author examines current theories of childhood bereavement, including the chronic sorrow model, the duel process coping model, the tasks of grieving, and a three-part model that looks at significant mitigating factors relating to the death of a loved one. Efficacy of bereavement interventions is discussed. An in-depth look the current literature shows what children need from bereavement interventions. The history of drama therapy and childhood bereavement is also discussed. This paper concludes with a discussion on themes that are identified in the research as being helpful to bereavement including psychoeducation, communication, expression, support, reinvestment in life, continuing connection, opportunity to say goodbye, inclusion of trauma interventions, and joy
Effect of carbohydrate intake on pacing in endurance cycling
PURPOSE: To study the influences of carbohydrate intake (CHO) on pacing in endurance cycling, as well as the effects of wearing metabolic headgear (HG) on power output. METHODS: Eight male endurance trained cyclists completed 120 min of constant load cycling at 55% Wmax, immediately followed by a simulated 30 km time trial, on two occasions. On one occasion, subjects consumed a CHO solution at regular intervals throughout the trial, while a placebo (PL) was consumed during the other trial (in a randomly counterbalanced design). For statistical analysis, the 30 km time trial was divided into 4 segments (S1 = 0-7.5 km, S2 = 7.5-15 km, S3 = 15-22.5 km, and S4 = 22.5-30 km), with each segment immediately preceded by a beverage feeding. Further, each of these segments was sub-divided into early (EP) and late phases (LP). Power output (PO) was averaged for three-minute periods in each phase. In addition, PO was calculated for two five-minute periods during the time trial, when HG was worn (starting at 12 km) and not worn (starting at 20 km). RESULTS: In the 30 km time trial (both CHO and PL conditions), PO decreased significantly between S1 (240 ± 13) and S2 (227 ± 11) (p = 0.019), and decreased further during S3 (216 ± 11) (p = 0.017). Subsequently, PO increased between S3 and S4 (234 ± 12) (p = 0.001), resulting in values in S4 which were not significantly different from S1 (p = 0.302). CHO ingestion resulted in significantly greater PO during the trial, versus PL (242 ± 10 W vs 217 ± 14 W; p = 0.044). In the CHO trial, PO did not decrease significantly across the four time segments (p\u3e0.05), whereas in the PL trial PO decreased significantly from S1 to S2 (p = 0.008) and from S2 to S3 (p = 0.009), followed by a subsequent increase in PO between S3 and S4 (p = 0.001). PO was not significantly different between the early and late phase following beverage consumption (230 ± 12 W vs 229 ± 12 W; p = 0.709). There was no significant effect of HG on PO (HG = 216 ± 10 W, no HG = 221 ± 11 W; p = 0.299). CONCLUSION: CHO ingestion improved endurance performance and influenced pacing in a general manner, by preventing decreases in PO over the first three quarters of the time trial. However, the ergogenic effects of CHO were not systematically different between early and late periods following each feeding. In addition, wearing headgear to measure metabolic measurements during exercise did not affect PO
Perceptions of IUPUI Faculty and Staff Regarding the Center for Service and Learning Faculty/Staff Development Programs
The purpose of this evaluation was to understand perceptions of IUPUI faculty and staff regarding the influence of the Center for Service and Learning’s (CSL) programs and resources on respondents. Specifically, the evaluation was intended to deepen CSL’s understanding of respondents’ experiences as community-engaged professionals at IUPUI. Additionally, the evaluation sought to gather input on new ideas to strengthen CSL services and programming going forward. IUPUI faculty and staff who have participated in CSL workshops, trainings, and/or requested information from CSL were emailed during the fall of 2018 and asked to participate in the Qualtrics survey. The survey was anonymous. This report shares overall findings from the survey and provides general recommendations
Notes on Phelps County ores
In conclusion, summing up the evidence both field and theoretic, there are very good reasons for believing that the deposits which have been worked and are not being worked are not the only deposits of magnitude in the county but by intelligent prospecting along lines already suggested other large and valuable deposits will be found. From the manner of the ores concentration it is not to be expected that every deposit will have a surface outcrop neither is it probable that every depression will be found to contain an ore deposit but when these phenomena occur, together with other evidences of mineralization, the condition at least warrents sic the expense of prospecting by pits or otherwise --page 17
Provider connectedness and communication patterns: extending continuity of care in the context of the circle of care
BACKGROUND: Continuity is an important aspect of quality of care, especially for complex patients in the community. We explored provider perceptions of continuity through a system’s lens. The circle of care was used as the system. METHODS: Soft systems methodology was used to understand and improve continuity for end of life patients in two communities. Participants: Physicians, nurses, pharmacists in two communities in British Columbia, involved in end of life care. Two debates/discussion groups were completed after the interviews and initial analysis to confirm findings. Interview recordings were qualitatively analyzed to extract components and enablers of continuity. RESULTS: 32 provider interviews were completed. Findings from this study support the three types of continuity described by Haggerty and Reid (information, management, and relationship continuity). This work extends their model by adding features of the circle of care that influence and enable continuity: Provider Connectedness the sense of knowing and trust between providers who share care of a patient; a set of ten communication patterns that are used to support continuity across the circle of care; and environmental factors outside the circle that can indirectly influence continuity. CONCLUSIONS: We present an extended model of continuity of care. The components in the model can support health planners consider how health care is organized to promote continuity and by researchers when considering future continuity research
Unattended network operations technology assessment study. Technical support for defining advanced satellite systems concepts
The results are summarized of an unattended network operations technology assessment study for the Space Exploration Initiative (SEI). The scope of the work included: (1) identified possible enhancements due to the proposed Mars communications network; (2) identified network operations on Mars; (3) performed a technology assessment of possible supporting technologies based on current and future approaches to network operations; and (4) developed a plan for the testing and development of these technologies. The most important results obtained are as follows: (1) addition of a third Mars Relay Satellite (MRS) and MRS cross link capabilities will enhance the network's fault tolerance capabilities through improved connectivity; (2) network functions can be divided into the six basic ISO network functional groups; (3) distributed artificial intelligence technologies will augment more traditional network management technologies to form the technological infrastructure of a virtually unattended network; and (4) a great effort is required to bring the current network technology levels for manned space communications up to the level needed for an automated fault tolerance Mars communications network
The Speculative Influence of Academic Research on the Making of Communications Policy: Reflections, Recollections and Informal Perspectives
This informal collection is designed to further a dialogue about the relationship between communications research and policy making. In particular it focuses on the impact of academic research on communications policy, and whether, and how, policy draws upon research (if at all). As quasi-editors (and commissioners of these essays) we have been highlighting various assumptions in the process. These assumptions mark every stage of the question (of the relevance of what academics do to what policy makers do). They mark an idealized mode of thinking about policy-making—an idealized mode sometimes articulated in legislation or judicial decision (or agency practice). The assumptions include the following: Good and democratic policy making should be based upon an informed deliberation, and include relevant research findings. Policy making involves problem solving, guided change and conflict resolution. Communications research should be (designed to be) an important input into policy making. Policy makers have an appetite for (or can be compelled to have an appetite) research There is room for “disinterested research” and possibly academic research has that quality Academic research has a kind of methodological purity or excellence or at least strives for that There is a disconnect between the demand and supply of policy relevant communications research. In part, this is a problem of access to research and data (although with the Internet, this has become more a “translation” and “communications” problem, i.e. researchers fail to communicate timely and for a broader audience). In part, the disconnect is a result of the difference between academic research and policymaking with regard to: Incentives (e.g. tenure/peer review vs political viability) Timetables (e.g. journal deadlines vs immediately) Format preferences (lengthy vs succinct) Agenda and relevance (old vs new challenges and technologies) Quality and validity standards (neutral vs political) Information about demand and supply In part, the problem is related with the ignorance and capacity of policy makers vis-à -vis using research.
What this effort hopes to do is to deepen and challenge these assumptions, as they relate to communications research and policy
The genetic basis of energy conservation in the sulfate-reducing bacterium Desulfovibrio alaskensis G20.
Sulfate-reducing bacteria play major roles in the global carbon and sulfur cycles, but it remains unclear how reducing sulfate yields energy. To determine the genetic basis of energy conservation, we measured the fitness of thousands of pooled mutants of Desulfovibrio alaskensis G20 during growth in 12 different combinations of electron donors and acceptors. We show that ion pumping by the ferredoxin:NADH oxidoreductase Rnf is required whenever substrate-level phosphorylation is not possible. The uncharacterized complex Hdr/flox-1 (Dde_1207:13) is sometimes important alongside Rnf and may perform an electron bifurcation to generate more reduced ferredoxin from NADH to allow further ion pumping. Similarly, during the oxidation of malate or fumarate, the electron-bifurcating transhydrogenase NfnAB-2 (Dde_1250:1) is important and may generate reduced ferredoxin to allow additional ion pumping by Rnf. During formate oxidation, the periplasmic [NiFeSe] hydrogenase HysAB is required, which suggests that hydrogen forms in the periplasm, diffuses to the cytoplasm, and is used to reduce ferredoxin, thus providing a substrate for Rnf. During hydrogen utilization, the transmembrane electron transport complex Tmc is important and may move electrons from the periplasm into the cytoplasmic sulfite reduction pathway. Finally, mutants of many other putative electron carriers have no clear phenotype, which suggests that they are not important under our growth conditions, although we cannot rule out genetic redundancy
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