Topoclimatological and snowhydrological survey of Switzerland

The author has identified the following significant results. Low temperature zones depend on the topography and the terrain coverage type (besides the meteorological situation). The usual pattern of cold zones at the bottom of the valleys, warmer belts along the valley slopes, and cold mountain tops is modified by the terrain coverage type. Rural and forested areas normally have different surface temperatures, but along a vertical profile the temperature decrease (or increase) is often of the same order of magnitude. Because there is also a close correlation between the topography and terrain coverage (high percentage of forested areas at the valley slopes up to the timber line, much less along the valley floors), the surface temperature of the warm slope zone is increased compared to a valley profile with uniform coverage

Physicians\u27 perceptions of the chaplain\u27s role in critical care

https://place.asburyseminary.edu/ecommonsatsdissertations/1300/thumbnail.jp

High School Educators’ Perceptions of Their Schools’ Conduciveness to English Language Learners’ Success

The purpose of this study was to investigate the perceptions of administrators, guidance counselors, and classroom teachers in the high schools of Northeast Tennessee regarding their schools’ academics, climate, culture, parent engagement, and their English Language Learners’ school experiences. The researcher sought to ascertain if significant differences exist between the perceptions of different groups of educational professionals in the school, with those groups to include school administrators, guidance counselors, and classroom teachers. Data were analyzed from 50 survey questions with 42 of those questions measured on a 5-point Likert scale, 5 questions as multiple choice, and 3 questions as open-ended. Data were collected through an online survey program, Survey Monkey. The survey was distributed to 12 school districts consisting of 39 high schools. There was a 23% response rate among administrators, a 29% response rate among counselors, and a nearly 10% response rate among teachers. There were no significant variations of the participants’ perceptions of their schools’ conduciveness to ELLs’ success with regard to classroom practice, student resilience, school climate, school culture, and the strength of home and school partnership

Evaluation of a Nurse Navigator Program on the 30-day Readmission Rate in Heart Failure Patients

PURPOSE: The purpose of this study was to evaluate the impact of a registered Nurse Navigator (NN) on hospital 30-day readmissions for patients with heart failure at Norton Healthcare (NHC) in Louisville, Kentucky. METHODS: This study involved two phases. Phase I was a retrospective descriptive design utilizing a medical record review of 159 patient charts. Group 1, 54 charts, included patients with heart failure who were discharged from NHC for heart failure related illnesses and were seen in a primary care clinic that utilized a NN after discharge from the hospital. Group 2, 105 charts, included patients with heart failure who were discharged from NHC for heart failure related illnesses who were seen in a primary care practice that did not utilize a Nurse Navigator after discharge from the hospital. The medical records reviewed included heart failure discharges from NHC facilities that took place between June 1, 2015 to May 31, 2017. Phase II was a focused interview with seven Norton Community Medical Associate (NCMA) Nurse Navigators. The interviews were used to gain, from a Registered Nurse Navigator, perspective into why 30-day readmissions are occurring and effective strategies to prevent 30-day readmissions. RESULTS: There was no statistically significant decrease in hospital readmission among those who were called by a NN and those who were not called by a NN (p=.22, see Table 2). There was no statistically significant difference in rehospitalization between patients followed by a NN versus no NN involvement. There was a trend in decreased rehospitalization rates in patients followed by a NN. CONCLUSION: The Nurse Navigator program demonstrated a trend toward decreased 30-day hospital readmission. The Nurse Navigator identified interventions such as NHC’s Heart Failure clinic, daily weight management, primary care provider (PCP) follow-up, and home health to improve patient self-management of heart failure. The NN program did not show statistically significant results, but the trends in hospital readmission for the group that received a NN call versus the group that did not receive a NN call show improvement

Topoclimatological survey of Switzerland

The application of Heat Capacity Mapping Mission data to subsynoptic climate analysis of Switzerland was examined. The data included the surface temperature distributions of urban heat islands and the Swiss Alps. Analog and digital data evaluation procedures are described as well as the ground truth acquisition and comparison program. The dependence of the temperature distributions on topography and surface coverage types is assessed. The results indicate that air temperature inversion zones are detectable

“Faith-Sensitive” Mental Health and Psychosocial Support in Pluralistic Settings: A Spiritual Care Perspective

Over the past two decades, in response to a growing awareness of the impacts of humanitarian crises on mental health and psychosocial well-being, leading UN agencies and international aid organisations have developed a comprehensive framework for Mental Health and Psychosocial Support (MHPSS). In more recent years, aid workers have further begun to consider religious life as a central factor in mental health and psychosocial well-being, viewing “faith” as an important, but often neglected, component of empowering and “locally appropriate” MHPSS. However, the attempt to deliver “faith-sensitive” MHPSS across the highly pluralistic settings of international humanitarian intervention has entailed protracted ethical and practical challenges. In this article, we argue that these challenges may be usefully understood in terms of three areas of concern: the lack of evidence on effective interventions; the risk of reproducing problematic power dynamics between MHPSS providers and receivers; and the challenge of articulating a cross-culturally relevant paradigm of “faith-sensitivity” comprehensible across a wide range of religiously diverse settings. This article contributes to these challenges by drawing on the field of professional spiritual care to suggest areas of potential contribution and interdisciplinary dialogue