Public/community Health Education Professional Accreditation among Stand-alone Baccalaureate Programs

Background and Purpose: Formal training for health promotion practitioners often includes academic study in health education. Accreditation is an important quality assurance mechanism. One concern expressed during Council of Education for Public Health (CEPH) professional meetings is the capacity of stand-alone undergraduate programs in health education to meet the demands of accreditation. The purpose of this study was to determine the accreditation knowledge level among the program directors of stand-alone programs, and identify the perceived challenges, support for and value ascribed to accreditation among these programs operating without an affiliated graduate program. Methods: Thirtyfive undergraduate program coordinators identified via the 2009 American Association for Health Education (AAHE) directory completed a 21-item survey instrument. Results: Most program coordinators knew about undergraduate accreditation requirements (82.9%), but program coordinators of self-identified small programs had significantly more concerns about the availability of resources needed to successfully attain accreditation. Conclusion: It is important to consider and provide resources for successful attainment of accreditation among smaller undergraduate institutions. Information regarding this general concern will be important to both the CEPH and academic program coordinators as they move forward with the new stand-alone baccalaureate accreditation initiative

Benchmark Evaluation of True Single Molecular Sequencing to Determine Cystic Fibrosis Airway Microbiome Diversity

Cystic fibrosis (CF) is an autosomal recessive disease associated with recurrent lung infections that can lead to morbidity and mortality. The impact of antibiotics for treatment of acute pulmonary exacerbations on the CF airway microbiome remains unclear with prior studies giving conflicting results and being limited by their use of 16S ribosomal RNA sequencing. Our primary objective was to validate the use of true single molecular sequencing (tSMS) and PathoScope in the analysis of the CF airway microbiome. Three control samples were created with differing amounts of Burkholderia cepacia, Pseudomonas aeruginosa, and Prevotella melaninogenica, three common bacteria found in cystic fibrosis lungs. Paired sputa were also obtained from three study participants with CF before and \u3e6 days after initiation of antibiotics. Antibiotic resistant B. cepacia and P. aeruginosa were identified in concurrently obtained respiratory cultures. Direct sequencing was performed using tSMS, and filtered reads were aligned to reference genomes from NCBI using PathoScope and Kraken and unique clade-specific marker genes using MetaPhlAn. A total of 180-518K of 6-12 million filtered reads were aligned for each sample. Detection of known pathogens in control samples was most successful using PathoScope. In the CF sputa, alpha diversity measures varied based on the alignment method used, but similar trends were found between pre- and post-antibiotic samples. PathoScope outperformed Kraken and MetaPhlAn in our validation study of artificial bacterial community controls and also has advantages over Kraken and MetaPhlAn of being able to determine bacterial strains and the presence of fungal organisms. PathoScope can be confidently used when evaluating metagenomic data to determine CF airway microbiome diversity

Draft Final Report

The purpose of the investigation is to compare the economics of various electrical power generation options for the City of Galena. Options were assessed over a 30-year project period, beginning in 2010, and the final results were compared on the basis of residential customer electric rates ($/kWh). Galena’s electric utility currently generates power using internal combustion diesel engines and generator sets. Nearby, there is an exposed coal seam, which might provide fuel for a power plant. Contributions to the energy mix might come from solar, municipal solid waste, or wood. The City has also been approached by Toshiba, Inc., as a demonstration site for a small (Model 4S) nuclear reactor power plant. The Yukon River is possibly a site for in-river turbines for hydroelectric power. This report summarizes the comparative economics of various energy supply options.National Energy Technology Laboratory (U.S. Department of Energy); Arctic Energy Office Contract DE-AM26-99FT4057

A Global Forum on Ultramafic Ecosystems: From Ultramafic Ecology to Rehabilitation of Degraded Environments

The 9th International Conference on Serpentine Ecology (ICSE) was held in Tirana and Pogradec (Albania) from June 5 to 9, 2017. More than 100 delegates from 29 countries around the world gathered to present their research on recent advances in: (i) ultramafic soils, (ii) biogeochemistry, (iii) diversity of ultramafic flora, microflora and fauna, (iv) ecophysiology of ultramafic-adapted organisms, (v) interactions between ultramafic organisms and their ecology, (vi) nature rehabilitation of degraded ultramafic environments (resulting from mining activities), and (vii) the production of bio-based metals through agromining technology. Additionally, the ICSE featured the first symposium on ultramafic aquatic ecology and ecotoxicology. Albania has one of the most diverse ultramafic floras in Europe. During the conference delegates visited some of the most emblematic ultramafic sites in Albania as well as the first agromining field trial in Europe. Here, we present the major topics and provide some highlights of the 25 contributions in this Special Issue (Vol. 33 no.3 and 4)

The possible effect of high magnetic fields on the aqueous corrosion behaviour of Eurofer

In defining the corrosion control requirements for DEMO, the impact of the mixed Eurofer-97/AISI 316 steel system and plant specific effects should be considered throughout, in particular, the effect of the intense magnetic fields present. A substantial amount of data related to corrosion resistance of structural materials is available for industrial applications in fission, but applies to different materials and neutronic conditions. Experimental work is being carried out under the DEMO Breeding Blanket Project of the EUROfusion programme, which will further develop the understanding of irradiation effects. However, there is very limited information regarding magnetic field-assisted corrosion under conditions relevant for the fusion environment readily available in the literature. This work reviews current knowledge and progress in establishing the possible influence of the intense magnetic field on corrosion behaviour of the main structural material, Eurofer-97, in the breeding blanket. To support the relevance of this problem statement, preliminary corrosion experimental results of Eurofer-97 coupons, obtained by using a simple apparatus that allows exposure to a magnetic field intensity of 0.88 T and temperatures up to 80 °C in water at atmospheric pressure, are presented as an initial qualitative investigation of possible magnetic field related effects

‘Dominant ethnicity’ and the ‘ethnic-civic’ dichotomy in the work of A. D. Smith

This article considers the way in which the work of Anthony Smith has helped to structure debates surrounding the role of ethnicity in present-day nations. Two major lines of enquiry are evident here. First, the contemporary role of dominant ethnic groups within 'their' nations and second, the interplay between ethnic and civic elements in nationalist argument. The two processes are related, but maintain elements of distinctiveness. Smith's major contribution to the dominant ethnicity debate has been to disembed ethnicity from the ideologically-charged and/or anglo-centric discourse of ethnic relations and to place it in historical context, thereby opening up space for dominant group ethnicity to be considered as a distinct phenomenon. This said, Smith's work does not adequately account for the vicissitudes of dominant ethnicity in the contemporary West. Building on the classical works of Hans Kohn and Friedrich Meinecke, Anthony Smith has also made a seminal contribution to the debate on civic and ethnic forms of national identity and nationalist ideology. As well as freeing this debate from the strong normative overtones which it has often carried, he has continued to insist that the terms civic and ethnic should be treated as an ideal-typical distinction rather than a scheme of classification

Using Metabolic Potential Within the Airway Microbiome as Predictors of Clinical State in Persons With Cystic Fibrosis

Introduction: Pulmonary exacerbations (PEx) in persons with cystic fibrosis (CF) are primarily related to acute or chronic inflammation associated with bacterial lung infections, which may be caused by several bacteria that activate similar bacterial genes and produce similar by-products. The goal of our study was to perform a stratified functional analysis of bacterial genes at three distinct time points in the treatment of a PEx in order to determine the role that specific airway microbiome community members may play within each clinical state (i.e., PEx, end of antibiotic treatment, and follow-up). Our secondary goal was to compare the change between clinical states with the metabolic activity of specific airway microbiome community members. Methods: This was a prospective observational study of persons with CF treated with intravenous antibiotics for PEx between 2016 and 2020 at Children\u27s National Hospital. Demographic and clinical information as well as respiratory samples were collected at hospital admission for PEx, end of antibiotic treatment, and follow-up. Metagenomic sequencing was performed; MetaPhlAn3 and HUMANn3 were used to assign sequences to bacterial species and bacterial metabolic genes, respectively. Results: Twenty-two persons with CF, with a mean age of 14.5 (range 7-23) years, experienced 45 PEx during the study period. Two-hundred twenty-one bacterial species were identified in the respiratory samples from the study cohort. Ten bacterial species had differential gene abundance across changes in the clinical state including Staphylococcus aureus, Streptococcus salivarius, and Veillonella atypica (all padj \u3c 0.01 and log2FoldChange \u3e |2|). These corresponded to a differential abundance of bacterial genes, with S. aureus accounting for 81% of the genes more abundant in PEx and S. salivarius accounting for 83% of the genes more abundant in follow-up, all compared to the end of treatment. Lastly, 8,653 metabolic pathways were identified across samples, with again S. aureus and S. salivarius contributing to the differential abundance of pathways (106 in PEx vs. 66 in follow-up, respectively). V. atypica was associated with a single metabolic pathway (UDP-N-acetyl-D-glucosamine biosynthesis) increased in follow-up compared to PEx. Discussion: Taken together, these data suggest that the metabolic potential of bacterial species can provide more insight into changes across clinical states than the relative abundance of the bacteria alone

Ethical and policy issues in cluster randomized trials: rationale and design of a mixed methods research study

<p>Abstract</p> <p>Background</p> <p>Cluster randomized trials are an increasingly important methodological tool in health research. In cluster randomized trials, intact social units or groups of individuals, such as medical practices, schools, or entire communities – rather than individual themselves – are randomly allocated to intervention or control conditions, while outcomes are then observed on individual cluster members. The substantial methodological differences between cluster randomized trials and conventional randomized trials pose serious challenges to the current conceptual framework for research ethics. The ethical implications of randomizing groups rather than individuals are not addressed in current research ethics guidelines, nor have they even been thoroughly explored. The main objectives of this research are to: (1) identify ethical issues arising in cluster trials and learn how they are currently being addressed; (2) understand how ethics reviews of cluster trials are carried out in different countries (Canada, the USA and the UK); (3) elicit the views and experiences of trial participants and cluster representatives; (4) develop well-grounded guidelines for the ethical conduct and review of cluster trials by conducting an extensive ethical analysis and organizing a consensus process; (5) disseminate the guidelines to researchers, research ethics boards (REBs), journal editors, and research funders.</p> <p>Methods</p> <p>We will use a mixed-methods (qualitative and quantitative) approach incorporating both empirical and conceptual work. Empirical work will include a systematic review of a random sample of published trials, a survey and in-depth interviews with trialists, a survey of REBs, and in-depth interviews and focus group discussions with trial participants and gatekeepers. The empirical work will inform the concurrent ethical analysis which will lead to a guidance document laying out principles, policy options, and rationale for proposed guidelines. An Expert Panel of researchers, ethicists, health lawyers, consumer advocates, REB members, and representatives from low-middle income countries will be appointed. A consensus conference will be convened and draft guidelines will be generated by the Panel; an e-consultation phase will then be launched to invite comments from the broader community of researchers, policy-makers, and the public before a final set of guidelines is generated by the Panel and widely disseminated by the research team.</p