188 research outputs found

    Emergency Preparedness and Response Education in Aviation Management Programs in the United States

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    Aviation disasters are decreasing in number but remain impactful and require competent management. Aviation Management program department heads (N = 26) in the United States were surveyed regarding the extent of curricular inclusion of emergency preparedness and response in aviation management programs. The findings indicated that few aviation management programs offer elective or required courses solely focused on emergency preparedness and response (EPR) whereas just over one third of programs offer an elective or required course within which EPR is a planned topic. Department heads recognized the importance of additional coverage because a) students need the practical information and b) such education would enhance their marketability. They perceived obstacles regarding funding, faculty interest and expertise, and already overloaded curricula. However, the strongest quantitative predictors of curricular inclusion and integration within programs were department heads’ personal experiences in teaching on the topic of emergency preparedness and response and their attitude that such training “should” be included in curricula

    Nanostructured 3D Constructs Based on Chitosan and Chondroitin Sulphate Multilayers for Cartilage Tissue Engineering

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    Nanostructured three-dimensional constructs combining layer-by-layer technology (LbL) and template leaching were processed and evaluated as possible support structures for cartilage tissue engineering. Multilayered constructs were formed by depositing the polyelectrolytes chitosan (CHT) and chondroitin sulphate (CS) on either bidimensional glass surfaces or 3D packet of paraffin spheres. 2D CHT/CS multi-layered constructs proved to support the attachment and proliferation of bovine chondrocytes (BCH). The technology was transposed to 3D level and CHT/CS multi-layered hierarchical scaffolds were retrieved after paraffin leaching. The obtained nanostructured 3D constructs had a high porosity and water uptake capacity of about 300%. Dynamical mechanical analysis (DMA) showed the viscoelastic nature of the scaffolds. Cellular tests were performed with the culture of BCH and multipotent bone marrow derived stromal cells (hMSCs) up to 21 days in chondrogenic differentiation media. Together with scanning electronic microscopy analysis, viability tests and DNA quantification, our results clearly showed that cells attached, proliferated and were metabolically active over the entire scaffold. Cartilaginous extracellular matrix (ECM) formation was further assessed and results showed that GAG secretion occurred indicating the maintenance of the chondrogenic phenotype and the chondrogenic differentiation of hMSCs

    The impact of gatekeeper training for suicide prevention on university resident assistants

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    Abstract: Resident assistants (RAs) can serve as important suicide prevention gatekeepers. The purpose of the study was to determine if training improved RAs' crisis communications skills and suiciderelated knowledge and to determine if the knowledge elements predicted crisis communications skills. New RAs showed significant improvement in all areas from pretest to posttest, whereas returning RAs showed no significant increase in any of the areas. None of the knowledge areas predicted communications skills for either group

    Effectiveness of a complex intervention to improve participation and activities in nursing home residents with joint contractures (JointConEval): study protocol of a multicentre cluster-randomised controlled trial DRKS-ID:DRKS00015185

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    BACKGROUND Nursing home residents are frequently affected by joint contractures, which impacts their participation and daily activities. A complex intervention, the Participation Enabling Care in Nursing (PECAN), was previously developed and pilot tested~to address their needs. Its effectiveness and safety will be evaluated in the present study. METHODS/DESIGN This multicentre cluster-randomised controlled trial will be conducted in 32 nursing homes spread over two regions of Germany. A total of 578 residents over 65 years old with joint contractures will be included. To compare the effect of the PECAN intervention with optimised standard care (usual care and an information session), randomisation will take place at a cluster level. The individually tailored intervention was designed using the biopsychosocial model in the International Classification of Functioning, Disability and Health (ICF) to reduce activity limitations and participation restrictions resulting from existing joint contractures by addressing barriers and by strengthening supportive factors on an individual level and an organisational level. The implementation strategy comprises a facilitators' workshop, a peer mentoring approach including a peer mentor visit and telephone peer counselling, an in-house information event, an information session for the nursing team and a training session on~collegial consultation for the facilitators. The in-house information event will also take place in the nursing homes of the control group. The primary outcome is the residents' participation and activities after 12 months of follow-up as assessed using the PaArticular Scales. The secondary outcome is the residents' quality of life. A cost-effectiveness analysis (costs per additional resident who experienced a decrease of ten points in the participation or activities subscale of the PaArticular Scales) and a cost-utility analysis (costs per additional quality adjusted life year) will be conducted. We will investigate barriers and facilitators in a comprehensive process evaluation. DISCUSSION We expect a clinically relevant improvement of participation and activities in residents with joint contractures. Our findings will provide important insights regarding participation in the situation of the affected individuals. TRIAL REGISTRATION DRKS, DRKS00015185 . Registered on 1 August 2018. Universal Trial Number U1111-1218-1555. Registered on 26 July 2018

    Fourier Transform Infrared Spectroscopic Imaging and Multivariate Regression for Prediction of Proteoglycan Content of Articular Cartilage

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    Fourier Transform Infrared (FT-IR) spectroscopic imaging has been earlier applied for the spatial estimation of the collagen and the proteoglycan (PG) contents of articular cartilage (AC). However, earlier studies have been limited to the use of univariate analysis techniques. Current analysis methods lack the needed specificity for collagen and PGs. The aim of the present study was to evaluate the suitability of partial least squares regression (PLSR) and principal component regression (PCR) methods for the analysis of the PG content of AC. Multivariate regression models were compared with earlier used univariate methods and tested with a sample material consisting of healthy and enzymatically degraded steer AC. Chondroitinase ABC enzyme was used to increase the variation in PG content levels as compared to intact AC. Digital densitometric measurements of Safranin O –stained sections provided the reference for PG content. The results showed that multivariate regression models predict PG content of AC significantly better than earlier used absorbance spectrum (i.e. the area of carbohydrate region with or without amide I normalization) or second derivative spectrum univariate parameters. Increased molecular specificity favours the use of multivariate regression models, but they require more knowledge of chemometric analysis and extended laboratory resources for gathering reference data for establishing the models. When true molecular specificity is required, the multivariate models should be used

    Pyridoacridines in the 21st Century

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    This minireview summarizes the work developed during this Century with compounds containing the pyridoacridine scaffold in its different isomeric forms. The isolation of natural products, syntheses, bioactivities, chelation capacity, and other properties of compounds containing this framework are discussed. For reasons of length, only compounds containing a maximum of seven condensed rings have been considered, with a few exceptions

    Synthèse et étude d'édifices polynucléaires nanométriques de Ruthénium et de Cuivre basés sur des ligands polyazaaromatiques

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    Depuis les années quatre-vingt, la construction d’édifices supramoléculaires à base de complexes de coordination suscite un intérêt considérable dans la recherche de nouveaux nanomatériaux fonctionnels. L’utilisation de complexes métalliques permet non seulement l’obtention d’une multitude de supramolécules de géométrie et de dimensionnalité très variées, mais également l’introduction de processus remarquables au sein des entités nanométriques, comme par exemple le transfert d’énergie lumineuse, le transport d’électrons et la séparation photo-induite de charges. La recherche menée au cours de cette thèse s’est plus particulièrement focalisée sur l’étude de deux types d’édifices supramoléculaires polymétalliques de dimensions différentes, l’un tridimensionnel, construit au départ d’ions ruthénium (II), l’autre unidimensionnel, obtenu à partir d’ions cuivre (II) ou cuivre (I).Plus précisément, la première partie de ce travail a été consacrée à la synthèse d’un complexe hexanucléaire symétrique de Ru(II), à base de ligands pontants PHEHAT et TPAC, afin de développer de nouvelles antennes collectrices d’énergie lumineuse. Dans ce cadre, nos travaux se sont principalement concentrés sur la synthèse ainsi que sur l’étude électrochimique et photophysique de deux nouveaux composés précurseurs trinucléaires, le cis-{[(phen)2Ru(PHEHAT)]2Ru(CH3CN)2}6+ et le {[(phen)2Ru(PHEHAT)]2Ru(TPAC)}6+, pouvant également servir de bloc de construction pour l’élaboration d’entités de tailles encore plus importantes. Une analyse par spectrométrie de masse du produit obtenu par chélation de l’entité bis-CH3CN sur le composé trinucléaire à base de TPAC ne nous a pas permis de prouver la présence de l’entité hexanucléaire. La nature du composé identifié semble toutefois confirmer la formation de l’espèce souhaitée à un moment ou un autre. La seconde partie de notre travail a consisté à tester le TPAC ainsi que deux ligands dérivés du dipyrrométhène (m-DipyH et m-dpDipyH) comme agents pontants pour la construction de nouveaux complexes polynucléaires cuivrés unidimensionnels. D’une part, nous nous sommes penchés sur la synthèse des sous-unités monométalliques [Cu(II)(Dipy)2]0, [Cu(II)(dpDipy)2]0 et [Cu(I)(dpDipy)2]-. L’ensemble des études réalisées sur les deux composés mononucléaires de Cu(II) a permis la mise en évidence de propriétés extrêmement différentes de celles des complexes de Cu(II) polypyridiniques, tant du point de vue structural, qu’électrochimique et photophysique. Par ailleurs, les analyses consacrées à la caractérisation du [Cu(I)(dpDipy)2]- ont révélé de manière surprenante un comportement instable pour cette entité, à l’inverse des complexes de Cu(I) à base de phénanthrolines « encombrées ». Le recours à des calculs théoriques nous a permis de proposer une hypothèse pouvant expliquer cette différence de comportement. D’autre part, bien que des incertitudes subsistent toujours quant à la possibilité de former des entités polynucléaires à base de Cu(II) et de TPAC, les résultats obtenus par spectrométrie de masse ont clairement prouvé l’obtention d’espèces de Cu(II) de très haute nucléarité au départ du m-DipyH. Les ligands pontants dérivés du dipyrrométhène se révèlent donc être de très bons candidats pour l’élaboration d’entités unidimensionnelles de Cu(II). Celles-ci pourraient susciter un grand intérêt dans le cadre d’une application impliquant l’utilisation de la lumière, en raison des propriétés d’absorption et de luminescence intéressantes détectées pour les sous-unités monométalliques de Cu(II). Doctorat en Sciencesinfo:eu-repo/semantics/nonPublishe

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