4,811 research outputs found

    The Cape San Blas Ecological Study

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    Eglin AFB on Cape San Blas consists of approximately 250 acres located about 180 miles east of the main Eglin reservation. This area lies on the S1. Joseph peninsula, part of a dynamic barrier island chain that extends across the northern Gulf of Mexico. Due to the natural forces that formed Cape San Blas and those that maintain this area, St. Joseph Peninsula has experienced severe land form change over time (see GIS land form change maps). These changes allow for fluctuations in habitat types along Cape San Blas (see GIS land cover change maps)that influence the floral and faunal species using this area. The dynamic environment along Cape San Blasincludes flatwoods, interdunal swale, rosemary scrub, and beachfront. These habitats support a wide array of species, including several threatened and endangered species such as the loggerhead sea turtle (Caretta caretta), PipingPlover (Charadnus melodus), Least Tern (Sterna antillarum), and Bald Eagle (Haliaeetus leucocephalus). Proper management of these species and their habitats require knowledge of their abundance and distribution, and the effects disturbances have on their survival. In addition to threatened and endangered flora and fauna, Cape San Blas also supports tourists and recreationists. Although Gulf County is sparsely populated, with approximately 13,000 inhabitants throughout 578 square miles, summer tourism and heavy recreational use of beaches for fishing, crabbing, and shelling place continued and increasing pressure on the natural resources of these areas (Rupert 1991). Gulf County is also one of the few remaining counties in Florida that permits vehicular traffic on its beaches, including Cape San Blas. In addition to recreational use of these habitats;EAFB also uses the area for military missions. Air Force property on Cape San Blas is primarily used for radar tracking of flying missions over the Gulf of Mexico, although in recent years it has been used for missile launchings and other various military activities. To allow continued military and public use of Air Force property while also protecting the unique flora and fauna of the area,EAFB proposed a characterization of the resources found along Cape San Blas. A complete inventory of the physical features of the area included investigating topography, soil chemistry, hydrology, archeology, and the dynamics of land mass and land cover change over time. Various thematic layers within a geographic information system (GIS) were used to spatially portray georeferenced data. Large scale changes over time were assessed using stereo aerial photography. Vegetation transects, soil samples, elevation transects, an archeological survey, freshwater wells, and a tidal monitor were used to investigate the remaining features. (247 page document

    Oxygen Toxicity in PARDS

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    Probiotics for patients with hepatic encephalopathy

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    Background Hepatic encephalopathy is a disorder of brain function as a result of liver failure and/or portosystemic shunt. Both hepatic encephalopathy (clinically overt) and minimal hepatic encephalopathy (not clinically overt) significantly impair patient’s quality of life and daily functioning and represent a significant burden on health care resources. Probiotics are live microorganisms, which when administered in adequate amounts may confer a health benefit on the host. Objectives To quantify the beneficial and harmful effects of any probiotic in any dosage, compared with placebo or no intervention, or with any other treatment for patients with any grade of acute or chronic hepatic encephalopathy as assessed from randomised trials. Search methods We searched the The Cochrane Hepato‐Biliary Group Controlled Trials Register, The Cochrane Central Register of Controlled Trials (CENTRAL) in The Cochrane Library, MEDLINE, EMBASE, Science Citation Index Expanded, conference proceedings, reference lists of included trials and the WHO international clinical trials registry until April 2011 registry platform to identify new and ongoing trials. Selection criteria We included randomised trials that compared probiotics in any dosage with placebo or no intervention, or with any other treatment in patients with hepatic encephalopathy. Data collection and analysis Three authors independently assessed the risk of bias of the included trials and extracted data on relevant outcomes, with differences resolved by consensus. We conducted random‐effects model meta‐analysis due to obvious heterogeneity of patients and interventions. A P value of 0.05 or less was defined as significant. Dichotomous outcomes are expressed as risk ratio (RR) and continuous outcomes as mean difference (MD) with 95% confidence intervals (CI). Main results We included seven trials of which 550 participants were randomised. Four of the seven trials compared a probiotic with placebo or no treatment in 245 participants, another trial compared a probiotic with lactulose in 40 participants , and the remaining two trials compared a probiotic with both placebo and lactulose in 265 participants. Each trial used different types of probiotics. Duration of administration of the experimental intervention varied from 10 days to 180 days. Two trials were industry funded, and five were unclear about origin of funding. All trials had high risk of bias. When probiotics were compared with no treatment, there was no significant difference in all‐cause mortality (2 trials, 105 participants; 1/57 (2%) versus 1/48 (2%): RR 0.72; 95% CI 0.08 to 6.60), lack of recovery (4 trials, 206 participants; 54/107 (50%) versus 68/99 (69%): RR 0.72; 95% CI 0.49 to 1.05), adverse events (3 trials, 145 participants; 2/77 (3%) versus 6/68 (9%): RR 0.34; 95% CI 0.08 to 1.42), quality of life (1 trial, 20 participants contributed to the physical quality of life measurement, 20 participants contributed to the mental quality of life: MD Physical 0.00; 95% CI ‐5.47 to 5.47; MD Mental 4.00; 95% CI ‐1.82 to 9.82), or change of/or withdrawal from treatment (3 trials, 175 participants; 11/92 (12%) versus 7/83 (8%): RR 1.28; 95% CI 0.52 to 3.19). No trial reported sepsis or duration of hospital stay as an outcome. Plasma ammonia concentration was significantly lower for participants treated with probiotic at one month (3 trials, 226 participants: MD ‐2.99 ÎŒmol/L; 95% CI ‐5.70 to ‐0.29) but not at two months (3 trials, 181 participants: MD ‐1.82 ÎŒmol/L; 95% CI ‐14.04 to 10.41). Plasma ammonia decreased the most in the participants treated with probiotic at three months (1 trial, 73 participants: MD ‐6.79 ÎŒmol/L; 95% CI ‐10.39 to ‐3.19). When probiotics were compared with lactulose no trial reported all‐cause mortality, quality of life, duration of hospital stay, or septicaemia. There were no significant differences in lack of recovery (3 trials, 173 participants; 47/87 (54%) versus 44/86 (51%): RR 1.05; 95% CI 0.75 to 1.47), adverse events (2 trials, 111 participants; 3/56 (5%) versus 6/55 (11%): RR 0.57; 95% CI 0.06 to 5.74), change of/or withdrawal from treatment at one month (3 trials, 190 participants; 8/95 (8%) versus 7/95 (7%): RR 1.10; 95% CI 0.40 to 3.03), plasma ammonia concentration (2 trials, 93 participants: MD ‐6.61 ÎŒmol/L; 95% CI ‐30.05 to 16.84), or change in plasma ammonia concentration (1 trial, 77 participants: MD 1.16 ÎŒmol/L; 95% CI ‐1.96 to 4.28). Authors' conclusions The trials we located suffered from a high risk of systematic errors ('bias') and high risk of random errors ('play of chance'). While probiotics appear to reduce plasma ammonia concentration when compared with placebo or no intervention, we are unable to conclude that probiotics are efficacious in altering clinically relevant outcomes. Demonstration of unequivocal efficacy is needed before probiotics can be endorsed as effective therapy for hepatic encephalopathy. Further randomised clinical trials are needed

    Ten myths about character, virtue and virtue education – plus three well-founded misgivings

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    Initiatives to cultivate character and virtue in moral education at school continue to provoke sceptical responses. Most of those echo familiar misgivings about the notions of character, virtue and education in virtue – as unclear, redundant, old-fashioned, religious, paternalistic, anti-democratic, conservative, individualistic, relative and situation dependent. I expose those misgivings as ‘myths’, while at the same time acknowledging three better-founded historical, methodological and practical concerns about the notions in question

    Transient x-ray diffraction used to diagnose shock compressed Si crystals on the Nova laser

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    Transient x-ray diffraction is used to record time-resolved information about the shock compression of materials. This technique has been applied on Nova shock experiments driven using a hohlraum x-ray drive. Data were recorded from the shock release at the free surface of a Si crystal, as well as from Si at an embedded ablator/Si interface. Modeling has been done to simulate the diffraction data incorporating the strained crystal rocking curves and Bragg diffraction efficiencies. Examples of the data and post-processed simulations are presented

    INTERNATIONAL JOURNAL FOR NUMERICAL METHODS IN FLUIDS

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    Implementation of semi-discrete, non-staggered central schemes in a colocated, polyhedral, finite volume framework, for high-speed viscous flow

    Part-time learners in open and distance learning: revisiting the critical importance of choice, flexibility and employability

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    In this article, we argue that, if open learning seeks to (re)assert a social justice mission, issues of openness and flexibility are more critical than ever. Drawing on qualitative data from a National Union of Students Wales/Open University study, which explored, in the voices of Welsh students, the identity, motivation and barriers faced by part-time distance learners, three key findings emerged. First, the chimaera of ‘choice’ – for part-time distance learners whose personal circumstances prevent any other mode of study; second, the vacuity of policy assertions around ‘flexibility’ in HE – what personalised learning means for part-time distance learners should be contested and re-examined; third, the mantra of ‘employability’ – for part-time distance learners, employability is a conundrum which needs to be understood in a far more inclusively nuanced way. We conclude that the voices of part-time distance learners need to be heard by policy makers and should inform open universities’ continuing efforts to enable vulnerable and marginalised learners to access HE

    Improving Practice Accessibility Through MyChart Utilization

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    Aims for Improvement Increase patient portal MyChart activation for a cohort of approximately 2,000 patients at JFMA by 1% from February to April 2021. Demonstrate evidence of utilization including appointment scheduling, results review, and communication with providers through MyChart after activation

    Developing User‐Friendly Habitat Suitability Tools from Regional Stream Fish Survey Data

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    We developed user‐friendly fish habitat suitability tools (plots) for fishery managers in Michigan; these tools are based on driving habitat variables and fish population estimates for several hundred stream sites throughout the state. We generated contour plots to show patterns in fish biomass for over 60 common species (and for 120 species grouped at the family level) in relation to axes of catchment area and low‐flow yield (90% exceedance flow divided by catchment area) and also in relation to axes of mean and weekly range of July temperatures. The plots showed distinct patterns in fish habitat suitability at each level of biological organization studied and were useful for quantitatively comparing river sites. We demonstrate how these plots can be used to support stream management, and we provide examples pertaining to resource assessment, trout stocking, angling regulations, chemical reclamation of marginal trout streams, indicator species, instream flow protection, and habitat restoration. These straightforward and effective tools are electronically available so that managers can easily access and incorporate them into decision protocols and presentations.Received April 9, 2010; accepted November 8, 2010Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/141005/1/nafm0041.pd
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