A treatment components analysis in positive peer reporting for socially withdrawn children

Socially withdrawn children who do not receive intervention are at risk for struggling in their coursework and having trouble with future psychological adjustment. In spite of these facts, children who act out in the classroom have traditionally received much more attention from teachers and from researchers in the literature. In recent years, there have been many replications of Positive Peer Reporting (PPR) as a quick, effective, and accepted method to help these children overcome their withdrawn status. The extant literature supports the efficacy of PPR. However, there remain several important unanswered questions with regard to PPR. For example, do children differentially benefit from being the recipient or teller of positive peer reports? Thus, the purpose of this study was to conduct a treatment components analysis to identify the active treatment components in PPR as an intervention for withdrawn children. These results indicate that the greatest gains in positive social interactions occur when the child is the recipient of positive comments from classmates

A Shared Medical Appointment Program for the UNC Lipid Clinic

The purpose of developing this shared medical appointment (SMA) is to provide an alternative clinic visit option that will improve the delivery and quality of preventive health care services for patients with cardiovascular disease or risk factors for disease. This paper will provide an overview, outline, and rationale for the SMA plan and the steps that need to be taken to evaluate this program in the future.Master of Public Healt

Distribution and relative abundance of caribou in the Hudson Plains Ecozone of Ontario

To determine past distribution and relative abundance of caribou (Rangifer tarandus caribou) in the Hudson Plains Ecozone (HPE) of Ontario, we reviewed past HPE-wide winter systematic aerial surveys, partial winter systematic surveys, summer photographic surveys, incidental observations of caribou, and other sources of information from the period 1950—2003. We conducted new HPE-wide aerial surveys in February 2003 and 2004 to evaluate current distribution patterns. From this information, we defined 9 core wintering areas in the HPE and differentiated between 3 catego¬ries of relative abundance. Wintering areas for the January—March period have changed relatively little over the past 45 years. Summer distribution of caribou along the Hudson Bay coast apparently shifted or expanded from the area west of the Severn River to the central and eastern portions of the coast since the 1980s, and caribou observations have become much more common in the area east of the Winisk River since 1998. Because major resource development activities in the HPE are proposed and some are imminent, we recommend additional caribou surveys to document current caribou population identity, size, and distribution, and research projects to better define caribou wintering areas, calving areas, and movement patterns in the HPE

Using Implementation Mapping to increase Uptake and Use of Salud En Mis Manos: a Breast and Cervical Cancer Screening and Hpv Vaccination intervention For Latinas

BACKGROUND: Despite CDC recommendations for breast and cervical cancer screening and HPV vaccination, cancer control behaviors are underutilized among low-income Latinas. METHODS: We used Implementation Mapping to create SEMM-Dissemination and Implementation Assistance (SEMM-DIA), a set of implementation strategies designed to support implementation and maintenance of SEMM in clinic settings. Specifically, we used Implementation Mapping\u27s five iterative tasks to guide the use of theories and frameworks, evidence, new data, and stakeholder input to develop strategies to accelerate and improve implementation fidelity, reach, and maintenance of the SEMM intervention. The resulting implementation mapping logic model also guides the SEMM-DIA evaluation plan to assess reach, effectiveness, implementation, and maintenance. DISCUSSION: Increased use of implementation planning frameworks is necessary to accelerate the translation of EBIs to public health practice. This work demonstrates the application of Implementation Mapping to develop SEMM-DIA, providing a model for the development of other implementation strategies to support translation of evidence-based health promotion interventions into clinic settings

Archives, Paratexts and Life Writing in the First World War

The chapters in this collection have demonstrated a range of ways the phrase 'medical paratext' can be conceptualised, and particularly the interactions between medical practice, medical texts, and their writers and readers. Focusing on the diaries of Canadian nurse-writers in the First World War (particularly the work of nursing sister Clare Gass and VAD Alice Lighthall), this chapter proposes that paratext can demonstrate the contemporary archiving and historiography of the authors' experience, and support their claims to authoritative writing - as military histories, as medical practitioners, and as women operating within male-dominated environments

An ATP and Oxalate Generating Variant Tricarboxylic Acid Cycle Counters Aluminum Toxicity in Pseudomonas fluorescens

Although the tricarboxylic acid (TCA) cycle is essential in almost all aerobic organisms, its precise modulation and integration in global cellular metabolism is not fully understood. Here, we report on an alternative TCA cycle uniquely aimed at generating ATP and oxalate, two metabolites critical for the survival of Pseudomonas fluorescens. The upregulation of isocitrate lyase (ICL) and acylating glyoxylate dehydrogenase (AGODH) led to the enhanced synthesis of oxalate, a dicarboxylic acid involved in the immobilization of aluminum (Al). The increased activity of succinyl-CoA synthetase (SCS) and oxalate CoA-transferase (OCT) in the Al-stressed cells afforded an effective route to ATP synthesis from oxalyl-CoA via substrate level phosphorylation. This modified TCA cycle with diminished efficacy in NADH production and decreased CO2-evolving capacity, orchestrates the synthesis of oxalate, NADPH, and ATP, ingredients pivotal to the survival of P. fluorescens in an Al environment. The channeling of succinyl-CoA towards ATP formation may be an important function of the TCA cycle during anaerobiosis, Fe starvation and O2-limited conditions

Technology assessment and resource allocation for predictive genetic testing: A study of the perspectives of Canadian genetic health care providers

<p>Abstract</p> <p>Background</p> <p>With a growing number of genetic tests becoming available to the health and consumer markets, genetic health care providers in Canada are faced with the challenge of developing robust decision rules or guidelines to allocate a finite number of public resources. The objective of this study was to gain Canadian genetic health providers' perspectives on factors and criteria that influence and shape resource allocation decisions for publically funded predictive genetic testing in Canada.</p> <p>Methods</p> <p>The authors conducted semi-structured interviews with 16 senior lab directors and clinicians at publically funded Canadian predictive genetic testing facilities. Participants were drawn from British Columbia, Alberta, Manitoba, Ontario, Quebec and Nova Scotia. Given the community sampled was identified as being relatively small and challenging to access, purposive sampling coupled with snowball sampling methodologies were utilized.</p> <p>Results</p> <p>Surveyed lab directors and clinicians indicated that predictive genetic tests were funded provincially by one of two predominant funding models, but they themselves played a significant role in how these funds were allocated for specific tests and services. They also rated and identified several factors that influenced allocation decisions and patients' decisions regarding testing. Lastly, participants provided recommendations regarding changes to existing allocation models and showed support for a national evaluation process for predictive testing.</p> <p>Conclusion</p> <p>Our findings suggest that largely local and relatively ad hoc decision making processes are being made in relation to resource allocations for predictive genetic tests and that a more coordinated and, potentially, national approach to allocation decisions in this context may be appropriate.</p

Finishing the euchromatic sequence of the human genome

The sequence of the human genome encodes the genetic instructions for human physiology, as well as rich information about human evolution. In 2001, the International Human Genome Sequencing Consortium reported a draft sequence of the euchromatic portion of the human genome. Since then, the international collaboration has worked to convert this draft into a genome sequence with high accuracy and nearly complete coverage. Here, we report the result of this finishing process. The current genome sequence (Build 35) contains 2.85 billion nucleotides interrupted by only 341 gaps. It covers ∼99% of the euchromatic genome and is accurate to an error rate of ∼1 event per 100,000 bases. Many of the remaining euchromatic gaps are associated with segmental duplications and will require focused work with new methods. The near-complete sequence, the first for a vertebrate, greatly improves the precision of biological analyses of the human genome including studies of gene number, birth and death. Notably, the human enome seems to encode only 20,000-25,000 protein-coding genes. The genome sequence reported here should serve as a firm foundation for biomedical research in the decades ahead