State Record for Stenamma foveolocephalum (Hymenoptera: Formicidae) in Missouri

We report the first known collection of Stenamma foveolocephalum (Hymenoptera: Formicidae) from Missouri. Two specimens were collected in pitfall traps during a field study at Sand Prairie Conservation Area, Scott County, Missouri

Nurse Perceptions of Interactivity during Their Onboarding Orientation: Effect of an Audience Response System

Nurse educators must use effective teaching-learning tools to orient nurses hired into healthcare organizations. There is a vast amount of literature related to teaching-learning strategies such as audience response systems (ARS) in academia, but little research on ARS use in nursing classes outside of academia. The purpose of this research was to determine nurse perceptions of interactivity during lecture utilizing ARS versus lecture without ARS in an initial onboarding nursing orientation, using constructivism as the theoretical framework. A convenience sample of nurses attending an initial onboarding nursing orientation evaluated a PowerPoint based lecture using an interactivity instrument that included four 9-point Likert subscales: Individual Degree of Interactivity, Overall Degree of Interactivity, Perceived Usefulness, and Perceived Ease of Use. Thirty-four nurses evaluated their perception of interactivity of lecture without ARS, and 41 nurses evaluated their perception of interactivity of an identical lecture with ARS, and Perceived Usefulness (M=8.69, SD=0.05) and Perceived Ease of Use (M=8.89, SD=0.04) of ARS. Independent samples t-tests suggested significant differences between Individual Degree of Interactivity for lecture without ARS (M=7.33, SD=0.32) and lecture with ARS (M=7.94, SD=0.39); t (18) = -3.83, p = .001; and between Overall Degree of Interactivity for lecture without ARS (M=7.64, SD=0.22) and lecture with ARS (M=7.99, SD=0.16); t (18) = -4.014, p = .001. Findings from this research suggested ARS use during a PowerPoint presentation in an onboarding nursing orientation significantly increased both individual and overall interactivity in the classroom, and ARS was easy to use and useful in this setting

Motivational Interviewing in Primary Care to Improve Lifestyle Choices for School Age Children

Childhood obesity is an epidemic in the United States placing children at risk for immediate and long-term health problems. Primary care providers are optimally placed to address this high-priority health issue. The purpose of the project was to implement a practice change in the delivery of nutrition and physical activity information during well child visits. The 5-2-1-0 healthy habits message was delivered via motivational interviewing to the parent/guardian of overweight/obese children. A sample of seven parents/guardians participated in the educational program, which included an initial visit, two-week follow-up phone call, and one-month follow up visit. An initial assessment of family nutrition and physical activity was completed pre education. Change readiness was assessed at the end of the initial visit. Paired t-tests were conducted to assess means differences in family nutrition and physical activity behavior scores. Although there was no statistical significance, the magnitude of effect was large (eta squared .417). Mean differences for pre and post readiness rulers scores were -0.29 (p = 0.356). Although not statistically significance, the magnitude of effect was large (eta squared 0.143). Findings of this project suggest there is value in addressing obesigenic behaviors in primary care settings with parents/guardians of overweight and obese children

Building a Quality Child Care Business

This guide is a resource to help one through the steps of becoming a certified or licensed child care provider, and includes locations of child care resources and referral centers throughout Utah, contact information, writing a business plan, and obtaining a business license

State Record for Stenamma foveolocephalum (Hymenoptera: Formicidae) in Missouri

We report the first known collection of Stenamma foveolocephalum (Hymenoptera: Formicidae) from Missouri. Two specimens were collected in pitfall traps during a field study at Sand Prairie Conservation Area, Scott County, Missouri

Malnutrition and bilateral central retinal vein occlusion in a young woman: a case report

Introduction: Can vitamin B12 and folate deficiency cause central retinal vein occlusion? We conducted a literature search to find out whether nutritional deficiency of vitamin B12 and folate can lead to impaired vision. Case presentation: The patient in the article presented in an eye-casualty department in the North East of England with gradual painless visual loss over six weeks. She was found to have bilateral central retinal vein occlusion with significant anaemia and vitamin B12 and folate deficiency. Conclusion: Vitamin B12 and folate deficiency can lead to elevated levels of homocysteine. We found a large amount of published data relating central retinal vein occlusion to elevated homocysteine levels, but there was a lack of conclusive evidence for this association Patients should be asked about their dietary history where a thrombotic event is suspected or confirmed

The stability of food intake between adolescence and adulthood: a 21-year follow-up

Studies of the diet of adolescents in the UK demonstrate that dietary habits known to be detrimental to health in adulthood are evident at an early age. For example, Gregory et al (2000) found 4-18 year olds in the UK to have a frequent consumption of fatty and sugary foods and low consumption of fruit and vegetables. Concerns have therefore been expressed regarding the diet of children and adolescents and the continuation of these dietary habits into adulthood (HEA, 1995; Gaziano, 1998). This study aimed to investigate the extent to which these concerns may be justified by determining the stability of food intake of a group of adolescents followed up 21 years later in adulthood. The investigation involved 202 individuals from whom dietary data were collected in 1979-80 (mean age 11.6 years) (Hackett et al. 1984) and again in 2000-1 (mean age 32.5 years). Dietary data were collected at both time-points using two 3 d estimated food diaries followed by an interview to determine portion sizes using the method considered most appropriate at the time, i.e. calibrated food models in 1979-80 and a photographic food atlas (Nelson et al. 1997) in 2000-1. Foods consumed were allocated to one, or a combination of, the five food groups of the ‘Balance of Good Health’ food selection guide (HEA, 1994) according to Gatenby et al. (1995). The weight of food eaten from each of the five food groups was calculated (percentage of total weight of food consumed) and Pearson correlation coefficients generated to provide an estimate of the stability of food intake. The HEA guide advises that a balanced diet should consist of around 33% fruit and vegetables, 33% bread, other cereals and potatoes, 8% foods containing fat and/or sugar, 12% meat, fish and alternatives and 15% milk and dairy products (Gatenby et al. 1995). A shift in the group’s food intake towards the recommendations had occurred with age, most notably with a decrease in foods containing fat and/or sugar and an increase in fruit and vegetables. Nevertheless, at both ages, intakes of foods containing fat and/or sugar, meat, fish and alternatives were higher, and fruit, vegetables, bread, other cereals and potatoes lower than currently recommended. In addition, although there was significant evidence of tracking of relative intake of bread, cereals and potatoes (P<0.01), fruit and vegetables (P<0.01), and meat, fish and alternatives (P=0.02) between 11.6 and 32.5 years, the correlations were not strong. In conclusion, food intake patterns had changed considerably from early adolescence through to adulthood in a direction more in line with the current recommendations. The predictive value of an adolescent’s food intake of their intake in adulthood was found to be significant, but not strong. Further investigations will consider the extent to which this is influenced by factors such as social class, gender and educational level, as well as assessing tracking in terms of relative nutrient intakes

Light Vector Mesons in the Nuclear Medium

The light vector mesons (ρ,ω, and ϕ) were produced in deuterium, carbon, titanium, and iron targets in a search for possible in-medium modifications to the properties of the ρ meson at normal nuclear densities and zero temperature. The vector mesons were detected with the CEBAF Large Acceptance Spectrometer (CLAS) via their decays to e+e−. The rare leptonic decay was chosen to reduce final-state interactions. A combinatorial background was subtracted from the invariant mass spectra using a well-established event-mixing technique. The ρ-meson mass spectrum was extracted after the ω and ϕ signals were removed in a nearly model-independent way. Comparisons were made between the ρ mass spectra from the heavy targets (A\u3e2) with the mass spectrum extracted from the deuterium target. With respect to the ρ-meson mass, we obtain a small shift compatible with zero. Also, we measure widths consistent with standard nuclear many-body effects such as collisional broadening and Fermi motion

Absorption of the ω and ϕ Mesons in Nuclei

Because of their long lifetimes, the ω and ϕ mesons are the ideal candidates for the study of possible modifications of the in-medium meson-nucleon interaction through their absorption inside the nucleus. During the E01-112 experiment at the Thomas Jefferson National Accelerator Facility, the mesons were photoproduced from 2H, C, Ti, Fe, and Pb targets. This Letter reports the first measurement of the ratio of nuclear transparencies for the e+e− channel. The ratios indicate larger in-medium widths compared with what have been reported in other reaction channels. The absorption of the ω meson is stronger than that reported by the CBELSA-TAPS experiment and cannot be explained by recent theoretical models

The Integration of Mental and Physical Health Care in Northeastern North Carolina

Optimal mental health is achieved by not only being in a good mental state of mind, but achieving good physical health. Mental health care and physical health care are interrelated and one cannot be treated without the other. Many mental health illnesses have a co-morbidity with physical health disease states. Primary care providers are not feeling adequately skilled to manage mental health illness and mental health providers, likewise, are finding they are not prepared to manage the physical health problems in their patients. A Four Quadrant Clinical Integration Model defines how primary care providers and mental health providers can collaborate to care for patients with mental and physical health needs through a system of referrals and communication and when needed using a case manager. In low income, rural Northeastern North Carolina, there is a paucity of mental health providers. In this area, primary care providers are seeing more patients with low complexity mental illness in their practice and need the tools and training to diagnosis and manage their illness. For high complex mental illness, care needs to be transferred to mental health professionals and communication established between the primary care provider and the mental health provider so complete care of the patient can be established. A medical home is an effective way to provide health care in Northeastern North Carolina. This approach allows a patient to have both physical health and mental health care managed together by one lead primary care provider. It will be the responsibility of this lead provider to refer a patient with complex mental health illness to a mental health facility and to communicate with the mental health provider to provide total health care for the individual. Through these efforts, optimal physical and mental health can be attained.Master of Public Healt