Preliminary Concerns of PL 100-203 and Nursing Home Reform: Implications for Nurse Aide Training

Public Law 100-203, the “Omnibus Budget Reconciliation Act of 1987,” Subtitle C Nursing Home Reform has a dramatic impact on nursing homes and health occupations education. The requirements of the new law stipulate 75 hours of content specific preservice education for nurse aides employed in nursing homes. This stipulation impacts on existing health occupations education programs that prepare entry level workers for careers in the health industry

Public Law 100-203 and Nursing Home Reform: Nurse Aide Training, Curriculum Development, and Marketing

Public Law 100-203 provides that nurse aidea undergo a minimum of 75 hours of education to prepare chem to work with the elderly in the long-term care industry and in home health. Federal law suggests preparation of new curricula to meet the needs of this education requirement. The authors suggest that curricula currently available more than adequately meet the needs of this educational requirement; and it is more an issue of marketing current materials and health occupations education programs. This manuscript considers Public Law 100-203 Nursing Home Reform, curriculum development issues and suggestions for marketing health occupations education materials and programs

Flavor Ratios of Astrophysical Neutrinos: Implications for Precision Measurements

We discuss flavor-mixing probabilities and flavor ratios of high energy astrophysical neutrinos. In the first part of this paper, we expand the neutrino flavor-fluxes in terms of the small parameters U_{e3} and pi/4 - theta_{23}, and show that there are universal first and second order corrections. The second order term can exceed the first order term, and so should be included in any analytic study. We also investigate the probabilities and ratios after a further expansion around the tribimaximal value of sin^2 theta_{12} = 1/3. In the second part of the paper, we discuss implications of deviations of initial flavor ratios from the usually assumed, idealized flavor compositions for pion, muon-damped, and neutron beam sources, viz., (1 : 2 : 0), (0 : 1 : 0), and (1 : 0 : 0), respectively. We show that even small deviations have significant consequences for the observed flavor ratios at Earth. If initial flavor deviations are not taken into account in analyses, then false inferences for the values in the PMNS matrix elements (angles and phase) may result.Comment: 32 pages, 15 figures. Minor changes, matches version in JHE

Sources of Klebsiella and Raoultella species on dairy farms: Be careful where you walk

Klebsiella spp. are a common cause of mastitis, milk loss, and culling on dairy farms. Control of Klebsiella mastitis is largely based on prevention of exposure of the udder to the pathogen. To identify critical control points for mastitis prevention, potential Klebsiella sources and transmission cycles in the farm environment were investigated, including oro-fecal transmission, transmission via the indoor environment, and transmission via the outdoor environment. A total of 305 samples was collected from 3 dairy farms in upstate New York in the summer of 2007, and included soil, feed crops, feed, water, rumen content, feces, bedding, and manure from alleyways and holding pens. Klebsiella spp. were detected in 100% of rumen samples, 89% of water samples, and approximately 64% of soil, feces, bedding, alleyway, and holding pen samples. Detection of Klebsiella spp. in feed crops and feed was less common. Genotypic identification of species using rpoB sequence data showed that Klebsiella pneumoniae was the most common species in rumen content, feces, and alleyways, whereas Klebsiella oxytoca, Klebsiella variicola, and Raoultella planticola were the most frequent species among isolates from soil and feed crops. Random amplified polymorphic DNA-based strain typing showed heterogeneity of Klebsiella spp. in rumen content and feces, with a median of 4 strains per 5 isolates. Observational and bacteriological data support the existence of an oro-fecal transmission cycle, which is primarily maintained through direct contact with fecal contamination or through ingestion of contaminated drinking water. Fecal shedding of Klebsiella spp. contributes to pathogen loads in the environment, including bedding, alleyways, and holding pens. Hygiene of alleyways and holding pens is an important component of Klebsiella control on dairy farms

Study of an Alternate Mechanism for the Origin of Fermion Generations

In usual extended technicolor (ETC) theories based on the group ${\rm{SU}(N_{ETC}})_{ETC}$, the quarks of charge 2/3 and -1/3 and the charged leptons of all generations arise from ETC fermion multiplets transforming according to the fundamental representation. Here we investigate a different idea for the origin of SM fermion generations, in which quarks and charged leptons of different generations arise from ETC fermions transforming according to different representations of ${\rm{SU}(N_{ETC}})_{ETC}$. Although this mechanism would have the potential, {\it a priori}, to allow a reduction in the value of $N_{ETC}$ relative to conventional ETC models, we show that, at least in simple models, it is excluded by the fact that the technicolor sector is not asymptotically free or by the appearance of fermions with exotic quantum numbers which are not observed.Comment: 6 pages, late

Sea ice contribution to the air–sea CO₂ exchange in the Arctic and Southern Oceans

Although salt rejection from sea ice is a key process in deep-water formation in ice-covered seas, the concurrent rejection of CO2 and the subsequent effect on air–sea CO2 exchange have received little attention. We review the mechanisms by which sea ice directly and indirectly controls the air–sea CO2 exchange and use recent measurements of inorganic carbon compounds in bulk sea ice to estimate that oceanic CO2 uptake during the seasonal cycle of sea-ice growth and decay in ice-covered oceanic regions equals almost half of the net atmospheric CO2 uptake in ice-free polar seas. This sea-ice driven CO2 uptake has not been considered so far in estimates of global oceanic CO2 uptake. Net CO2 uptake in sea-ice–covered oceans can be driven by; (1) rejection during sea–ice formation and sinking of CO2-rich brine into intermediate and abyssal oceanic water masses, (2) blocking of air–sea CO2 exchange during winter, and (3) release of CO2-depleted melt water with excess total alkalinity during sea-ice decay and (4) biological CO2 drawdown during primary production in sea ice and surface oceanic waters

On the critical behavior of disordered quantum magnets: The relevance of rare regions

The effects of quenched disorder on the critical properties of itinerant quantum antiferromagnets and ferromagnets are considered. Particular attention is paid to locally ordered spatial regions that are formed in the presence of quenched disorder even when the bulk system is still in the paramagnetic phase. These rare regions or local moments are reflected in the existence of spatially inhomogeneous saddle points of the Landau-Ginzburg-Wilson functional. We derive an effective theory that takes into account small fluctuations around all of these saddle points. The resulting free energy functional contains a new term in addition to those obtained within the conventional perturbative approach, and it comprises what would be considered non-perturbative effects within the latter. A renormalization group analysis shows that in the case of antiferromagnets, the previously found critical fixed point is unstable with respect to this new term, and that no stable critical fixed point exists at one-loop order. This is contrasted with the case of itinerant ferromagnets, where we find that the previously found critical behavior is unaffected by the rare regions due to an effective long-ranged interaction between the order parameter fluctuations.Comment: 16 pp., REVTeX, epsf, 2 figs, final version as publishe

Candidates for membrane progestin receptors: past approaches and future challenges

Progestins have a broad range of functions in reproductive biology. Many rapid nongenomic actions of progestins have been identified, including induction of oocyte maturation, modulation of reproductive signaling in the brain, rapid activation of breast cancer cell signaling, induction of the acrosomal reaction and hypermotility in mammalian sperm. Currently, there are three receptor candidates for mediating rapid progestin actions: (1) membrane progestin receptors (mPRs); (2) progestin receptor membrane components (PGRMCs); and (3) nuclear progestin receptors (nPRs). The recently-described mPR family of proteins has seven integral transmembrane domains and mediates signaling via G-protein coupled pathways. The PGRMCs have a single transmembrane with putative Src homology domains for potential activation of second messengers. The classical nPRs, in addition to having well defined transcriptional activity, can also mediate rapid activation of intracellular signaling pathways. However, details of the mechanisms by which these three classes of progestin receptors mediate rapid intracellular signaling and their subcellular localization remain unclear. In addition, mPRs, nPRs and PGRMCs exhibit overlapping expression and functions in multiple tissues, implying potential interactions during oocyte maturation, parturition, and breast cancer signaling in individual cells. However, the overwhelming majority of studies to date have focused on the functions of one of these groups of receptors in isolation. This review will summarize recent findings on the three major progestin receptor candidates, emphasizing the different approaches used, some experimental pitfalls, and current controversies. We will also review evidence for the involvement of mPRs and nPRs in one of the most well-characterized nongenomic steroid actions in basal vertebrates, oocyte maturation, and conclude by suggesting some future areas of research. Clarification of the controversies surrounding the identities and localization of membrane progestin receptors may help direct future research that could advance our understanding of rapid actions of steroids.Animal science

A study of the surface areas of particulate microcrystalline silica and silica sand

Cover title.At head of title: State of Illinois Department of Registration and Education.Bibliography: p. 12