2,907 research outputs found
A randomized controlled trial of training in Motivational Interviewing for child protection.
There has been interest in developing more evidence-based approaches to child and family social work in the UK in recent years. This study examines the impact of a skills development package of training and supervision in Motivational Interviewing (MI) on the skills of social workers and the engagement of parents through a randomized controlled trial.
All workers in one local authority were randomly assigned to receive the package (nâŻ=âŻ28) or control (nâŻ=âŻ33). Families were then randomized to trained (nâŻ=âŻ67) or untrained (nâŻ=âŻ98) workers. Family meetings with the worker shortly after allocation were evaluated for MI skill. Research interviews gathered data including the WAI. Follow-up interviews 20âŻweeks later repeated the WAI, and other outcome measures including Goal Attainment Scaling (GAS) and rating of family life.
Between group analysis found statistically significant difference in MI skills, though these were not substantial (2.49 in control, 2.91 MI trained, pâŻ=âŻ.049). There was no statistically significant difference between groups in any other outcome measures.
The package of training and supervision did not create sufficient increase in MI skills to influence engagement or outcomes. Implications for understanding the relationship between skills, engagement and organizational change are discussed
Effects of Exogenous Yeast and Bacteria on the Microbial Population Dynamics and Outcomes of Olive Fermentations.
In this study, we examined Sicilian-style green olive fermentations upon the addition of Saccharomyces cerevisiae UCDFST 09-448 and/or Pichia kudriazevii UCDFST09-427 or the lactic acid bacteria (LAB) Lactobacillus plantarum AJ11R and Leuconostoc pseudomesenteroides BGM3R. Olives containing S. cerevisiae UCDFST 09-448, a strain able to hydrolyze pectin, but not P. kudriazevii UCDFST 09-427, a nonpectinolytic strain, exhibited excessive tissue damage within 4 weeks. DNA sequencing of fungal internal transcribed spacer (ITS) regions and comparisons to a yeast-specific ITS sequence database remarkably showed that neither S. cerevisiae UCDFST 09-448 nor P. kudriazevii UCDFST 09-427 resulted in significant changes to yeast species diversity. Instead, Candida boidinii constituted the majority (>90%) of the total yeast present, independent of whether S. cerevisiae or P. kudriazevii was added. By comparison, Lactobacillus species were enriched in olives inoculated with potential starter LAB L. plantarum AJ11R and L. pseudomesenteroides BGM3R according to community 16S rRNA gene sequence analysis. The bacterial diversity of those olives was significantly reduced and resembled control fermentations incubated for a longer period of time. Importantly, microbial populations were highly dynamic at the strain level, as indicated by the large variations in AJ11R and BGM3R cell numbers over time and reductions in the numbers of yeast isolates expressing polygalacturonase activity. These findings show the distinct effects of exogenous spoilage and starter microbes on indigenous communities in plant-based food fermentations that result in very different impacts on product quality. IMPORTANCE Food fermentations are subject to tremendous selective pressures resulting in the growth and persistence of a limited number of bacterial and fungal taxa. Although these foods are vulnerable to spoilage by unintended contamination of certain microorganisms, or alternatively, can be improved by the deliberate addition of starter culture microbes that accelerate or beneficially modify product outcomes, the impact of either of those microbial additions on community dynamics within the fermentations is not well understood at strain-specific or global scales. Herein, we show how exogenous spoilage yeast or starter lactic acid bacteria confer very different effects on microbial numbers and diversity in olive fermentations. Introduced microbes have long-lasting consequences and result in changes that are apparent even when levels of those inoculants and their major enzymatic activities decline. This work has direct implications for understanding bacterial and fungal invasions of microbial habitats resulting in pivotal changes to community structure and function
Xe Irradiation of Graphene on Ir(111): From Trapping to Blistering
Using X-ray photoelectron spectroscopy, thermal desorption spectroscopy, and
scanning tunneling microscopy we show that upon keV Xe + irradiation of
graphene on Ir(111), Xe atoms are trapped under the graphene. Upon annealing,
aggregation of Xe leads to graphene bulges and blisters. The efficient trapping
is an unexpected and remarkable phenomenon, given the absence of chemical
binding of Xe to Ir and to graphene, the weak interaction of a perfect graphene
layer with Ir(111), as well as the substantial damage to graphene due to
irradiation. By combining molecular dynamics simulations and density functional
theory calculations with our experiments, we uncover the mechanism of trapping.
We describe ways to avoid blister formation during graphene growth, and also
demonstrate how ion implantation can be used to intentionally create blisters
without introducing damage to the graphene layer. Our approach may provide a
pathway to synthesize new materials at a substrate - 2D material interface or
to enable confined reactions at high pressures and temperatures
Biobank resources for future patient care: developments, principles and concepts
The aim of the overview is to give a perspective of global biobank development is given in a view of positioning biobanking as a key resource for healthcare to identify new potential markers that can be used in patient diagnosis and complement the targeted personalized drug treatment. The fast progression of biobanks around the world is becoming an important resource for society where the patient benefit is in the focus, with a high degree of personal integrity and ethical standard. Biobanks are providing patient benefits by large scale screening studies, generating large database repositories. It is envisioned by all participating stakeholders that the biobank initiatives will become the future gateway to discover new frontiers within life science and patient care. There is a great importance of biobank establishment globally, as biobanks has been identified as a key area for development in order to speed up the discovery and development of new drugs and protein biomarker diagnostics. One of the major objectives in Europe is to establish concerted actions, where biobank networks are being developed in order to combine and have the opportunity to share and build new science and understanding from complex disease biology. These networks are currently building bridges to facilitate the establishments of best practice and standardizations
Correcting the z~8 Galaxy Luminosity Function for Gravitational Lensing Magnification Bias
We present a Bayesian framework to account for the magnification bias from
both strong and weak gravitational lensing in estimates of high-redshift galaxy
luminosity functions. We illustrate our method by estimating the UV
luminosity function using a sample of 97 Y-band dropouts (Lyman break galaxies)
found in the Brightest of Reionizing Galaxies (BoRG) survey and from the
literature. We find the luminosity function is well described by a Schechter
function with characteristic magnitude of ,
faint-end slope of , and number density of
. These
parameters are consistent within the uncertainties with those inferred from the
same sample without accounting for the magnification bias, demonstrating that
the effect is small for current surveys at , and cannot account for the
apparent overdensity of bright galaxies compared to a Schechter function found
recently by Bowler et al. (2014a,b) and Finkelstein et al. (2014). We estimate
that the probability of finding a strongly lensed source in our sample
is in the range depending on limiting magnitude. We identify one
strongly-lensed candidate and three cases of intermediate lensing in BoRG
(estimated magnification ) in addition to the previously known
candidate group-scale strong lens. Using a range of theoretical luminosity
functions we conclude that magnification bias will dominate wide field surveys
-- such as those planned for the Euclid and WFIRST missions -- especially at
. Magnification bias will need to be accounted for in order to derive
accurate estimates of high-redshift luminosity functions in these surveys and
to distinguish between galaxy formation models.Comment: Accepted for publication in ApJ. 20 pages, 13 figure
HOW IS THE VALUE OF REAL ESTATE AFFECTED BY THE DEPARTMENT OF DEFENSE BASE REALIGNMENT AND CLOSURE PROCESS?
This study examines the Department of Defense Base Realignment and Closure (BRAC) process as it relates to real estate prices in the communities surrounding the bases marked for closure and realignment. I examine the history of the BRAC process, detail the bases that have been marked for realignment and closure over the five âroundsâ of the BRAC process to date (1988, 1991, 1993, 1995, 2005), and present a model that tests the hypothesis that BRAC closure announcements are correlated with the value of real estate in the local communities surrounding the bases marked for closure. I find that there is a strong and statistically significant correlation between the BRAC process, particularly the series of announcements that occur within the BRAC timeline, and the value of real estate in the local communities affected by the BRAC process. I also discuss policy implications of these findings for the Department of Defense, as well as future research areas and opportunities that have arisen as a result of this study
Comparative assessment of content overlap between written documentation and verbal communication: An observational study of resident sign-outs
OBJECTIVE: Effective sign-outs involve verbal communication supported by written or electronic documentation. We investigated the clinical content overlap between sign-out documentation and face-to-face verbal sign-out communication.
METHODS: We audio-recorded resident verbal sign-out communication and collected electronically completed ( written ) sign-out documentation on 44 sign-outs in a General Medicine service. A content analysis framework with nine sign-out elements was used to qualitatively code both written and verbal sign-out content. A content overlap framework based on the comparative analysis between written and verbal sign-out content characterized how much written content was verbally communicated. Using this framework, we computed the full, partial, and no overlap between written and verbal content.
RESULTS: We found high a high degree of full overlap on patient identifying information [name (present in 100% of sign-outs), age (96%), and gender (87%)], past medical history [hematology (100%), renal (100%), cardiology (79%), and GI (67%)], and tasks to-do (97%); lesser degree of overlap for active problems (46%), anticipatory guidance (46%), medications/treatments (15%), pending labs/studies/procedures (7%); and no overlap for code status (\u3c1%), allergies (0%) and medical record number (0%).
DISCUSSION AND CONCLUSION: Three core functions of sign-outs are transfer of information, responsibility, and accountability. The overlap-highlighting what written content was communicated-characterizes how these functions manifest during sign-outs. Transfer of information varied with patient identifying information being explicitly communicated and remaining content being inconsistently communicated. Transfer of responsibility was explicit, with all pending and future tasks being communicated. Transfer of accountability was limited, with limited discussion of written contingency plans
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