Medication Assessment in the Older Adult: Using the Beer\u27s List

Describe appropriate pharmacologic principles of medication use in older adults Review Beer\u27s List Criteria (American Geriatric Society) Identify inappropriate and/or overlooked medication for the older adult Share with BH Unit staff, patients, familieshttps://digitalcommons.centracare.com/nursing_posters/1103/thumbnail.jp

The Educational Training of Storm Chasers and Storm Spotters in Relation to Geographical Dispersion Across the United States

When severe weather strikes, storm chasers and storm spotters confirm that what forecasters and meteorologists are seeing on a radar screen is actually occurring in the field. While some documenters are classically trained (i.e. they have a background in atmospheric science and or meteorology attained from a 4 year university) many others are not. There are currently two organizations available for the weather enthusiast to be a part of, SKYWARN and SpotterNetwork. These organizations give weather enthusiasts a background knowledge into severe weather; however, many weather enthusiasts are not classically trained and most have not taken any formal education in the fields of atmospheric science. By creating a survey questionnaire the differences in educational training, as well as an analysis of the numerous aspects and characteristics of a severe weather observer, was documented to discern if this training had any effect on their geographic distribution during severe weather events. Using the statistical tests Chi-Squared, ANOVA (Analysis of Variance), and Correlation Analysis, the results from the survey questionnaire were analyzed. Chi-Squared analysis was used to examine if any of the variables (questions asked on the survey) were relatable to a severe weather documenter having a four year degree in atmospheric science and or meteorology. ANOVA examined the statistical relationship between a severe weather documenter\u27s confidence level in his or her background knowledge in atmospheric science versus their educational background. Correlation analysis examined if a severe weather documenter\u27s confidence in their background of atmospheric science knowledge, as well as their education level, influenced their range of travel during severe weather events

Relationships among learning community participation, student self-efficacy, confidence, outcome expectations, and commitment

This study brings together research on learning communities and student self-efficacy, confidence, outcome expectations, and commitment. Participation in learning communities has been proven to increase retention rates and success. Similarly, high levels of self-efficacy, confidence, and outcome expectations are correlated with increased retention rates and success. 356 students enrolled in the undeclared engineering orientation course were surveyed at the beginning of fall semester. Of these students, 130 completed a follow-up survey at the end of spring semester. About half of the students completing the initial survey were enrolled in a course-clustered Undeclared Engineering Learning Community, which was comprised of an orientation course, a math course, and a weekly peer-facilitated math session during fall semester. The students also met regularly with a peer mentor during fall semester. The survey measured math and science self-efficacy, general academic confidence, math and science outcome expectations, and commitment to engineering. Demographic and academic performance data were also collected from the Office of the Registrar.;Based on the surveys and demographic data, significant results include the following: (1) There was a difference between the students electing to participate in the learning community and those electing not to participate in the learning community, with those not participating having better academic preparation (as measured by ACT) and higher self-efficacy in their individual skills, (2) Students participating in the learning community were retained in engineering at higher rate, and (3) All students experienced a significant decline in self-efficacy and confidence from fall to spring semester; however, students retained in engineering experienced a significantly lower drop. Participation in this moderately integrated learning community did not have a significant effect on academic performance, self-efficacy, confidence, or outcome expectations. Recommendations as a result of this research include: (1) The need to re-evaluate the structure of the community in relation to math performance as measured by grade point averages, (2) A need to investigate why students elect to participate and the marketing of the learning community, and (3) Expansion to include qualitative measures, a longitudinal analysis, and additional types/structures of learning communities

Trace metal dynamics in floodplain soils: a case study with the river Elbe in Germany

Since river-floodplain ecosystems are threatened by multiple stressors, the loss of these ecosystems still continues as does the loss of a multitude of ecosystem functions and services that are of great economic value to society (Oppermann et al. 2010). Some major threats to riparian ecosystems around the world include altered hydrological regimes due to river regulation and water extraction, the clearance of vegetation for agriculture and other developments, livestock grazing, the development of human settlements and infrastructure, pollution and mining (Tockner and Stanford 2002, Naiman et al. 2005). Global climate change is another threat that could impact river-floodplain ecosystems that are very vulnerable in this respect (Erwin 2009, Capon et al. 2013). To preserve river-floodplain ecosystems and their ecosystem functions and services, not only re-vitalisation measures but also sustainable management strategies as well as approaches for climate change adaptation and mitigation are absolutely imperative. This thesis aims to extend the existing knowledge on how river-floodplain ecosystems may be impacted by trace metal pollution and also covers aspects of climate change scenarios in floodplains, especially about the possibility that floodplain soils may shift from sinks to sources of potentially harmful solutes. For this, a floodplain segment along the lower Middle Elbe River was used as a model region. With a literature review on trace metal dynamics in floodplain soils, field measurements conducted over a three-year period to cope with seasonal changes in trace metal dynamics and a laboratory analysis to simulate a climate change scenario referring to stronger fluctuation between anaerobic and aerobic conditions in soils and related trace metal dynamics, the thesis covers several aspects of the recent discussion on this topic

Floodplain management in temperate regions : is multifunctionality enhancing biodiversity?

Background: Floodplains are among the most diverse, dynamic, productive and populated but also the most threatened ecosystems on Earth. Threats are mainly related to human activities that alter the landscape and disrupt fluvial processes to obtain benefits related to multiple ecosystem services (ESS). Floodplain management therefore requires close coordination among interest groups with competing claims and poses multi-dimensional challenges to policy-makers and project managers. The European Commission proposed in its recent Biodiversity Strategy to maintain and enhance European ecosystems and their services by establishing green infrastructure (GI). GI is assumed to provide multiple ecosystem functions and services including the conservation of biodiversity in the same spatial area. However, evidence for biodiversity benefits of multifunctional floodplain management is scattered and has not been synthesised. Methods/design: This protocol specifies the methods for conducting a systematic review to answer the following policy-relevant questions: a) what is the impact of floodplain management measures on biodiversity; b) how does the impact vary according to the level of multifunctionality of the measures; c) is there a difference in the biodiversity impact of floodplain management across taxa; d) what is the effect of the time since implementation on the impact of the most important measures; and e) are there any other factors that significantly modify the biodiversity impact of floodplain management measures? Within this systematic review we will assess multifunctionality in terms of ESS that are affected by an implemented intervention. Biodiversity indicators included in this systematic review will be related to the diversity, richness and abundance of species, other taxa or functional groups. We will consider if organisms are typical for and native to natural floodplain ecosystems. Specific inclusion criteria have been developed and the wide range of quality of primary literature will be evaluated with a tailor-made system for assessing susceptibility to bias and the reliability of the studies. The review is intended to bridge the science-policy interface and will provide a useful synthesis of knowledge for decision-makers at all governance levels