5,430 research outputs found

    Microhematuria in Postmenopausal Women: Adherence to Guidelines in a Tertiary Care Setting

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    In 2012, the American Urological Association released a revision of their asymptomatic microscopic hematuria (AMH) guidelines. Our objectives were to assess adherence to these guidelines and to describe the prevalence of urinary tract malignancy in postmenopausal women at our institution

    An absolutely calibrated survey of polarized emission from the northern sky at 1.4 GHz

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    A new polarization survey of the northern sky at 1.41 GHz is presented. The observations were carried out using the 25.6m telescope at the Dominion Radio Astrophysical Observatory in Canada, with an angular resolution of 36 arcmin. The data are corrected for ground radiation to obtain Stokes U and Q maps on a well-established intensity scale tied to absolute determinations of zero levels, containing emission structures of large angular extent, with an rms noise of 12 mK. Survey observations were carried out by drift scanning the sky between -29 degr and +90 degr declination. The fully sampled drift scans, observed in steps of 0.25 degr to 2.5 degr in declination, result in a northern sky coverage of 41.7% of full Nyquist sampling. The survey surpasses by a factor of 200 the coverage, and by a factor of 5 the sensitivity, of the Leiden/Dwingeloo polarization survey (Spoelstra 1972) that was until now the most complete large-scale survey. The temperature scale is tied to the Effelsberg scale. Absolute zero-temperature levels are taken from the Leiden/Dwingeloo survey after rescaling those data by the factor of 0.94. The paper describes the observations, data processing, and calibration steps. The data are publicly available at http://www.mpifr-bonn.mpg.de/div/konti/26msurvey or http://www.drao.nrc.ca/26msurvey.Comment: 18 pages, 11 figures, accepted for publication in Astronomy and Astrophysic

    How do Tanzanian hospital nurses perceive their professional role? A qualitative study

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    Aim To describe the experiences of Tanzanian nurses, how they perceive their role as a professional nurse and their experience with nursing care in a general hospital. Design This study is explorative, descriptive and qualitative. Methods The data were collected in 2015 by means of 10 semi‐structured interviews and was analysed using qualitative content analysis. Results The data analysis revealed two themes with corresponding sub‐themes related to Tanzanian nurses' perception with their professional role and experiences with nursing care: (1) Feeling professional pride; (2) Experiencing limitations and inadequacy. The findings indicate that the Tanzanian nurses possess a strong professional pride and commitment to serve and care for their patients. The nurses do their best to provide high quality nursing care but are faced with staffing shortages and limited materials that are beyond their control. Such limitations leave them feeling unable to fulfil their role and responsibilities.publishedVersio

    A Community-based Boxing Program is Associated with Improved Balance in Individuals with Parkinson’s Disease

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    International Journal of Exercise Science 14(3): 876-884, 2021. In alignment with efforts to mitigate the negative health consequences of Parkinson’s Disease (PD), the purpose of this investigation was to examine if participation in a community-based boxing program (CBP) was associated with improvements in balance and fall risk reduction among individuals with PD. In this retrospective cross-sectional study, de-identified data from 12 individuals with PD participating in a CBP was examined. Participants included those with a Hoehn and Yahr stage between 1 and 3, averaging 2.8 ± 0.8 CBP sessions per week for 6.1 ± 0.8 months between testing. Baseline and re-evaluation testing included the Fullerton Advanced Balance (FAB) Scale and Timed Up and Go (TUG) to quantify balance and fall risk. Sessions were 90-minutes in length involving a warm-up, boxing drills, strength and endurance exercises, and cool down. Sessions included multiple bouts of 30-60 second high-intensity exercise intervals (RPE between 15/20 to 17/20). Paired t-tests were used to determine if differences existed between the FAB and TUG from baseline to re-evaluation, with statistical significance accepted at p \u3c 0.05 and \u3e 0.8 interpreted as a large effect using Cohen’s d. Results indicated a statistically significant increase and large effect in FAB performance, with a mean increase in score above previously reported minimal detectable change (MDC). While participation in CBP was associated with a statistically significant improvement and medium effect in the TUG, this did not demonstrate a population specific MDC. This study found that participation in a CBP was associated with improved balance among clients with PD

    Multipoint Variable Cycle Engine Design Using Gradient-based Optimization

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    Supersonic aircraft are challenging to optimally design due to the widely varying constraints and flight conditions they experience. Additionally, a large number of disciplinary subsystems must be considered due to highly complex design requirements. One subsystem that has a major effect on overall performance is the engine. In this work, we construct a supersonic mixed-flow variable cycle engine and perform multipoint gradient-based optimization using this model. We see that the operational variables allow the optimizer to tailor performance at each individual flight condition, leading to better overall performance. To simulate airframe integration constraints, we run successive optimizations with increasingly restrictive inlet areas and see decreases in engine performance. This work is part of a larger effort to incorporate engine design into aero-thermal-mission optimization of a supersonic aircraft

    Creative and credible evaluation for arts, health and wellbeing: opportunities and challenges of co-production.

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    ABSTRACT\ud Background: This paper reports findings from a one-year UK\ud knowledge exchange (KE) project completed in 2015. Stakeholders’ experiences of evaluation were explored in order to develop online resources to strengthen knowledge and capacity within the arts and health sector (www.creativeandcredible.co.uk).\ud Methods: The project used mixed methods, including a survey,\ud interviews and focus groups, guided by a Stakeholder Reference Group comprised of 26 leading UK evaluators, researchers, artists, health professionals, commissioners and funders.\ud Results: The project identified opportunities for arts arising from current health and social care policy agendas. It also identified challenges including the lack of agreed evaluation frameworks and difficulties in evaluation practice.\ud Conclusions: Co-production between stakeholders is needed to\ud strengthen evaluation practice and support the development of the arts and health sector. Effective co-production can be undermined by structural and cultural barriers as well as unequal stakeholder relationships. The paper discusses recent initiatives designed to support best practice
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