4,935 research outputs found
Estimation of Distance of Singing Conspecifics by the Carolina Wren
Measurements of the propagation of sound in a forest have shown that signal degradation is unavoidable but to some degree predictable. Carolina Wrens (Thryothorus ludovicianus) have a song structure suited for the estimation of distance by a comparison of the relative degradation of the components of the signal. Playback experiments using song recorded at two distances from a singing wren demonstrated that wrens can use cues other than the absolute attentuation of the sound for the estimation of the distance of the singer. The wrens responded to the near-sounding song by attack and to the far-sounding song by countersinging. The ability of the wrens to use the distance information in the song serves the same purpose as the recognition of familiar neighbors: conservation of time and energy used in territorial defense
A reactive nitrone-based organogel that self-assembles from its constituents in chloroform
The authors thank the EPSRC for funding (DTA studentship to JER, EP/K503162/1)The reversible reaction of an aldehyde with a hydroxylamine affords a nitrone which is capable of forming a stiff gel with chloroform at concentrations as low as 0.20 wt% (6 mM). The gelator forms dynamically from its constituents and the gel assembly can be degraded in a controlled manner through a recognition-mediated reaction that targets the nitrone component of the gel network.PostprintPeer reviewe
Millennials as potential creative tourists in South Africa:A CHAID approach to market segmentation
Creative tourism has recently emerged as an important area of tourism development, particularly in the Global North. In the Global South, studies of the profile of creative tourists and their motives for partaking in creative tourism are limited. This paper investigates creative tourism demand among South African millennials, analysing what motivates their participation and developing a descriptive consumer profile. CHAID analysis was used for segmentation, revealing a group with a high participation intention and a second group with a low probability of creative tourism participation. Creative tourism intentions were linked to knowledge acquisition, skills and escape motivations, and demographic characteristics including relationship status and gender. Respondents were more likely to participate in domestic rather than international creative tourism, indicating the potential for creative tourism development in South Africa. The findings could help managers and policymakers meet the needs of creative tourists, addressing shortfalls in product development, experience design and marketing
Prognostic Value of Computed Tomography : Measured Parameters of Body Composition in Primary Operable Gastrointestinal Cancers
Professor Graeme Murray, Department of Pathology, University of Aberdeen provided us access to the colorectal cancer pathology databases from which the colorectal component of the research was based. Conflict of interest There are no conflicts of interest.Peer reviewedPublisher PD
Identifying learning needs to enhance communication skills between doctors (MDs) and nurses (RNs) in long-term care facilities (LTCFs) to deliver safe care to residents
ABSTRACT
Identifying learning needs to enhance communication skills between doctors (MDs) and nurses (RNs) in long-term care facilities (LTCFs) to deliver safe care to residents
Marilyn Richards-Douglas
The purpose of the study was to understand how nurses working in LTCFs perceive their communication with doctors in order to give safe care to residents and to identify learning needs to enhance communication skill between doctors and nurses. This qualitative study was based on narratives obtained through interviews with six nurse Team Leaders working in the same LTCF. The interdisciplinary team they lead includes nursesâ aides, licenced practical nurses, the team leader, the head nurse and the doctor and they work with occupational therapists, social workers, ergo-therapists, pharmacists, kitchen aids and nutritionists. Other individuals present on the floor on a continual basis are the family members and companions of the residents. All six team leaders expressed their desire to continue to work in the role of Team Leader and helped better define the following areas of concerns and needs to improve communication in their setting especially with the doctors. The insights gained are discussed under the following titles:
A. Preparedness for Team Leadership in LTCs: Education and Practice as Team Leaders.
--Nursing Education
--Challenges encountered as Team Leader
--Autonomy in Nursing Practice
--The Need To Be Recognized
B. RN Perception/Narratives of Working Relationship with the MD
--Communicating with doctors in LTC
--Perceived Barriers to Effective Communication
--Developing the Skill of Communication
--Strategies for Collaborative Practic
âThereâs always going to be that political filteringâ: the emergence of Second Generation Surveillance for HIV/AIDS, data from Uganda, and the relationship between evidence and global health policy
Background: It is widely acknowledged that Uganda was the first country in
sub-Saharan Africa to experience a significant decline in HIV seroprevalence
in the 1990s. Framed as the initial âsuccess storyâ in the history of the global
HIV/AIDS pandemic, the behavioural mechanisms and policies accounting
for the Ugandan HIV decline have been extensively debated over the past 25
years. With reference to broader debates about the role of evidence in policy,
this thesis aims to examine contested explanations for the decline in HIV
prevalence in Uganda and the role of evidence in the development of global
HIV prevention policy in the 1990s.
The thesis examines diverse explanations for Ugandaâs HIV decline and how
these came to be framed in the context of the emergence of Second
Generation Surveillance (SGS), a global HIV/AIDS surveillance framework
introduced by UNAIDS/WHO in 2000. Official accounts describe SGS as
having been developed on the basis of Ugandan behavioural evidence
presented during a key meeting of HIV/AIDS policymakers which took
place in Nairobi in 1997. This meeting provides a focal point for examining
the role of evidence in global HIV prevention policy and the relationship
between evidence and policy pertaining to low income countries in the
1990s.
Methods: A review of UNAIDS/WHO documents and 29 in-depth
interviews with HIV/AIDS experts from Uganda and international
organisations were analysed.
Results: UNAIDS documents present SGS as a technocratic, problem-solving
response to limitations in established HIV surveillance approaches,
developed at a UNAIDS-sponsored workshop in Nairobi, Kenya, in 1997.
These official accounts present the emergence of SGS as evidence-based and
reflecting a clear consensus that developed during the Nairobi workshop.
While interview data suggest agreement around the need for improved HIV
surveillance systems, they indicate a more complex picture in terms of the
extent to which SGS was evidence-based and highlight contested
interpretations of this evidence among HIV experts.
Findings from interviews suggest that the introduction of SGS by
UNAIDS/WHO may be understood as serving both technical and broader
strategic purposes. As indicated in UNAIDS/WHO policy documentation,
SGS was intended to improve older global HIV surveillance methodologies
via the triangulation of multiple data sources. The introduction of SGS also
appears to have served two broader purposes, functioning as something akin
to a marketing tool to help promote the institutional identity of UNAIDS,
while also signalling a shift towards a âmultisectoralâ approach that aimed to
unify epidemiological and social scientific disciplinary approaches.
While intervieweesâ accounts coincide in describing a decline in HIV
prevalence during the 1990s, they present divergent interpretations of this
evidence which became significant in the development of SGS. One
interpretation focused on a reduction in multiple partnerships within the
Ugandan population as the key change driving the decline in HIV
prevalence, while a contrasting explanation focused on increased use of
condoms as the primary cause of this decline. Intervieweesâ accounts suggest
a process of competition, whereby different actors sought to secure the
primacy of their interpretation in institutional understandings of Ugandaâs
HIV decline and in the development of SGS. Claims of disciplinary bias and
institutional marginalisation appear to have contributed to the subordination
of explanations focused on a decline in multiple sexual partners, while the
policy entrepreneurship of one key actor appears influential in explaining
the ascendency of explanations focused on increased condom use. Despite
these contestations around the evidence used to inform the development of
SGS, UNAIDS documents and peer-reviewed publications from this period
emphasise one interpretation (that of increased condom uptake) which thus
appears as the official explanation for the success of HIV control in Uganda.
The transition from the WHOâs Global Programme on AIDS (GPA) to
UNAIDS, and the initiation of a multisectoral HIV prevention approach,
appear as important contextual and institutional influences in the
interpretation of evidence for Ugandaâs HIV decline. The failure of the
partnership reduction explanation to align with the evolving institutional
and political orthodoxy, and the potential for this explanation to challenge
UNAIDSâ new focus on multisectoral HIV prevention, may help to explain
why it did not inform subsequent HIV/AIDS policy and does not appear in
official accounts of SGSâs development. In contrast, explanations focused on
increased condom use were consistent with UNAIDSâ HIV prevention policy
agenda (including its emphasis on multisectoral approaches) and appeared
to reinforce the organisationâs need for increased financial resources to
mitigate HIV/AIDS via the distribution and promotion of condoms.
Discussion: This study demonstrates that the development of SGS, and the
politics of evidence supporting its introduction, are more complex than
existing UNAIDS/WHO accounts describe. Official explanations of the
development of SGS provide a simplistic account of how evidence informed
policy in a linear and rational way. In contrast, findings from this thesis
suggest that SGS served multiple policy functions (i.e. marketing, promotion
of institutional credibility, and a demonstration of disciplinary integration) in
the context of the recently-formed UNAIDS, and that the role and
interpretation of evidence in this context were highly contested. Consistent
with the work of Kingdon (1995) and more recently Stevens (2007), this study
suggests that personal, political and institutional factors play important roles
in shaping how evidence is presented and linked with policy. These findings
suggest that more nuanced understandings of the relationship between
evidence and policy are needed to explain HIV/AIDS policy development
within both sub-Saharan African and at a global level
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