809 research outputs found
Escaping the Summer Heat – Revival Potential and Challenge of Near-Metropolitan Tourism Areas
To be economically successful in the future, alpine tourism in Austria must develop appropriate strategies to
adapt to changing climate conditions. The revitalisation of the historic “Sommerfrische” represents one
potential strategy for low-lying mountain destination close to urban agglomeration to benefit by the increase
in urban heat days. Whether this potential exists on the demand side and how it can be tapped by the
respective destinations on the supply side will be investigated throughout this project. For this purpose, a
large scale survey will be conducted in Vienna. This paper focuses on the development process, which is
informed by a range of quantitative and qualitative methods at the pre-survey stage. First results indicate that
the potential exists, yet mainly for shorter, spontaneous trips, not necessarily labelled as “Sommerfrische”
Clientalstic Structures and Political Participation in Rural Turkey- A case study
The second of four issues, this volume covers social history in the Middle East. Contributors include: Khaled Fahmy, Peter gran, Joseph Massad, Martina Rieker, Judith E. Tucker, Horst Unbehaumhttps://fount.aucegypt.edu/faculty_book_chapters/2006/thumbnail.jp
Sexual Health History Screening Implementation for Providing Quality Clinical Services in Primary Care: A Quality Improvement Project
Abstract
Purpose: With the US reporting 20 million newly diagnosed STI/HIV cases annually, clinical guideline compliance and EBP recommendation implementation necessitate provider practice changes for high-quality routine sexual and reproductive health services. The project\u27s purpose was to improve sexual health history-taking (SHH) and documentation in a private primary care practice (PPCP) serving high-risk populations. The DNP project aims to determine the effect of conducting a 30-minute educational session and implementing the CDC\u27s 5Ps on a PCP\u27s clinical guideline adherence to SHH recommendations and documentation with patients presenting for annual wellness exams, well-woman exams, family/contraceptive counseling, or acute urogenital complaints in an urban, southeastern PPCP.
Methodology: The quality improvement (QI) project implemented a standardized clinical practice change using the Stetler model\u27s practitioner-oriented knowledge translation design. PPCP-employed NPs (n = 3) completed anonymous pre-/post-implementation surveys using SurveyMonkey, received educational resources, and implemented the CDC\u27s 5Ps SHH tool for clinically appropriate patient encounters identified by eligible ICD-10 codes. Athena\u27s Report Builder compiled data on SHH completion/EMR documentation and providers\u27 intervention compliance from 2-weeks before and 2-weeks after implementation.
Results: Over the four-week project period, a total of n = 1,031 EMR charts [pre-implementation (n = 513)/post-implementation (n = 518)] were reviewed for SHH completion/EMR documentation. Analysis of eligible encounters’ charts showed significant improvement in post-implementation SHH completion/EMR documentation rates (37% in pre-intervention; 82% in post-intervention). The chi-square test findings [X2 (1, N = 1031) = 43.637, p \u3c .01] displayed a significant relation between the variables, indicating an increased likelihood of sexual health history EMR documentation by implementing the CDC\u27S 5Ps SHH tool. Provider survey results indicated providers support implementation and routine clinical practice of the CDC\u27s 5Ps.
Limitations: Provider sample size (n =3), geographical location, demographics served, private ownership, and SUD treatment center association limit the study\u27s generalizability.
Implications for Practice: The PPCP’s SHH tool availability for clinically relevant encounters increased SHH EMR documentation completion and frequency rates––utilizing the brief, cost-effective intervention for evaluating sexual health risks and behaviors to decrease the likelihood of adverse outcomes. Through positive, nonjudgmental sexual health information acquisition, providers can better facilitate difficult conversations with patients, promote sexual health awareness, and improve STI/HIV screening/treatment rates in a private primary care practice setting.
Keywords: sexual health histor
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Position of Eukaryotic Translation Initiation Factor eIF1A on the 40S Ribosomal Subunit Mapped by Directed Hydroxyl Radical Probing
The universally conserved eukaryotic initiation factor (eIF), eIF1A, plays multiple roles throughout initiation: it stimulates eIF2/GTP/Met-tRNA_i^{Met} attachment to 40S ribosomal subunits, scanning, start codon selection and subunit joining. Its bacterial ortholog IF1 consists of an oligonucleotide/oligosaccharide-binding (OB) domain, whereas eIF1A additionally contains a helical subdomain, N-terminal tail (NTT) and C-terminal tail (CTT). The NTT and CTT both enhance ribosomal recruitment of eIF2/GTP/Met-tRNA_i^{Met}, but have opposite effects on the stringency of start codon selection: the CTT increases, whereas the NTT decreases it. Here, we determined the position of eIF1A on the 40S subunit by directed hydroxyl radical cleavage. eIF1A's OB domain binds in the A site, similar to IF1, whereas the helical subdomain contacts the head, forming a bridge over the mRNA channel. The NTT and CTT both thread under Met-tRNA_i^{Met} reaching into the P-site. The NTT threads closer to the mRNA channel. In the proposed model, the NTT does not clash with either mRNA or Met-tRNA_i^{Met}, consistent with its suggested role in promoting the ‘closed’ conformation of ribosomal complexes upon start codon recognition. In contrast, eIF1A-CTT appears to interfere with the P-site tRNA-head interaction in the ‘closed’ complex and is likely ejected from the P-site upon start codon recognition
QUEM SÃO OS ELEITORES QUE POSSIVELMENTE ELEGERAM BOLSONARO E LULA?
Luis Inácio Lula da Silva, from the Workers' Party (PT), was barred from running for the presidency in 2018 by the electoral court. Four years later, Lula won the presidential elections. The common element between both elections is the main opponent: Jair Bolsonaro. The 2022 election was highly contested, and it is possible that so-called "volatile" voters played a decisive role. Those who initially would have voted for Lula if he had been a candidate and later chose Bolsonaro in 2018 may have influenced the outcome of the fiercely contested 2022 election. This study focuses on understanding who these "bolsolulistas" are and examining their attributes and thoughts. We seek answers using post-election survey data from 2018, which investigated both the vote and attitudes towards Lula, in case his candidacy was not legally barred. Additionally, we compare these results with survey data from 2022. We find that bolsolulistas share significant similarities with voters who chose Bolsonaro in both 2018 and 2022, especially regarding religion. However, they are less distrustful of political parties, similar to voters of Lula in 2022. Furthermore, they tend to position themselves ideologically in the center and favor the presence of a strong leader who can solve problems, even if it means acting outside the law.Luís Inácio Lula da Silva, do Partido dos Trabalhadores (PT), foi impedido pela justiça eleitoral de concorrer à presidência em 2018. Quatro anos mais tarde, Lula venceu as eleições presidenciais. O elemento comum entre ambos os pleitos é o principal adversário: Jair Bolsonaro. A eleição de 2022 foi altamente disputada, e é possível que eleitores considerados "voláteis" tenham tido um papel decisivo. Aqueles que inicialmente votariam em Lula se ele fosse candidato e, posteriormente, optaram por Bolsonaro em 2018, podem ter influenciado o resultado do disputado pleito de 2022. Este estudo concentra-se em compreender quem são esses "bolsolulistas" e examinar seus atributos e pensamentos. Buscamos respostas utilizando dados de pesquisas pós-eleitorais de 2018, que investigaram tanto o voto quanto as atitudes em relação a Lula, no caso de sua candidatura não ser impedida legalmente. Além disso, comparamos esses resultados com dados de pesquisa de 2022. Descobrimos que os bolsolulistas apresentam semelhanças significativas com os eleitores que votaram em Bolsonaro tanto em 2018 quanto em 2022, especialmente em relação à religião. No entanto, eles são menos desconfiados em relação aos partidos políticos, de forma semelhante a dos eleitores de Lula em 2022. Além disso, tendem a se posicionar ideologicamente no centro e a favorecer a presença de um líder forte que resolva os problemas, mesmo que isso implique agir fora das leis
Artspeak. The Bullshit Language of Art
Pseudo-profound language is a stylistic means in many different contexts, like advertising, politics, economics, or even science. Contemporary visual art is notoriously known for its variant: artspeak. We develop a syntactical analysis and show how artspeak is constructed. We point out that it is “evocative” bullshit in that it aims at contextualizing art with traditional art myths (i.e., artists are, among other adjectives, autonomous, critical, or free). Furthermore, we argue that artspeak should be regarded as a particular type of bullshit as it features a unique relation to truth
Successful treatment of inoperable recurrent secondary hyperparathyroidism with cinacalcet HCl
Atenção básica na saúde pública municipal: a realidade de Blumenau, Santa Catarina
Dissertação (mestrado) - Universidade Federal de Santa Catarina, Centro de Filosofia e Ciências Humanas. Programa de Pós-Graduação em Sociologia Política.Propõe uma análise compreensiva da organização da atenção básica no cotidiano dos ambulatórios de uma rede municipal de saúde. Em decorrência, focalizou-se as inter-relações entre os profissionais de saúde e os usuários daquele ambiente, bem como a relação entre as ações realizadas nos ambulatórios e as concepções e políticas públicas de Atenção Básica no Brasil. O lócus foi a rede de ambulatórios gerais da Secretaria Municipal de Blumenau, Santa Catarina. Usou-se a metodologia qualitativa com aporte do método fenomenológico e no estudo de caso. Esta discussão se baseia nas concepções de Saúde e Atenção Básica da Organização Mundial de Saúde e da Constituição Federal do Brasil e em algumas categorias conceituais que se constituíram como norteadores no decorrer desta pesquisa, entre as quais: as de políticas sociais e políticas públicas, a de relações sociais, a de vida cotidiana, a de complexidade e de sistema, a de pesquisa qualitativa. Destaca-se a heterogeneidade de experiências culturais, sociais, políticas e técnicas dos atores envolvidos e explicita-se o espaço ocupado pela Atenção Básica no contexto pesquisado. As diversas inter-relações existentes sugerem a composição de um sistema de dimensão complexa responsável pela produção das condições de uma vida saudável. Neste sentido, a Atenção Básica em Saúde é uma questão repercutindo outras, que se encontram refletidas na especificidade dos ambulatórios gerais
An Introduction to the Process Theory of Causation
The process theory of causation represents one major account amongst all relevant causal theories
today. Its main idea is to give up on the “traditional view” of causation, spelled out roughly by
“event C causes event E” where the causal relation is then analyzed in terms of concepts involving
for example necessity, counterfactual dependence, or constant conjunction. Rather, “processes”
transmit causal influence even over long distances, sometimes interacting with other processes.
The main proponent of this idea was Wesley C. Salmon, and his version of it can be deemed the
core of the concept.
This text is an introduction to the topic for philosophers and students
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