Beyond "one size fits all": Physician nonverbal adaptability to patients' need for paternalism and its positive consultation outcomes

In this study, we tested whether physicians' ability to adapt their nonverbal behavior to their patients' preferences for a paternalistic interaction style is related to positive consultation outcomes. We hypothesized that the more physicians adapt their nonverbal dominance behavior to match their patients' preferences for physician paternalism, the more positive the patients perceive the medical interaction. We assessed the actual nonverbal dominance behavior of 32 general practitioners when interacting with two of their patients and compared it with each of their patients' preferences for paternalism to obtain a measure of adaptability. Additionally, we measured patient outcomes with a questionnaire assessing patient satisfaction, trust in the physician, and evaluation of physician competence. Results show that the more nonverbal dominance the physician shows towards the patient who prefers a more paternalistic physician, as compared to towards the patient who prefers a less paternalistic physician (i.e., the more the physician shows nonverbal behavioral adaptability), the more positive the consultation outcomes are. This means that physicians' ability to adapt aspects of their nonverbal dominance behavior to their individual patients' preferences is related to better outcomes for patients. As this study shows, it is advantageous for patients when a physician behaves flexibly instead of showing the same behavior towards all patients. Physician training might want to focus more on teaching a diversity of different behavior repertoires instead of a given set of behaviors

Compilation of experimental burnout data for axial flow of water in rod bundles.

A compilation has been made of burnout (critical heat flux) data from the results of more thant 12000 tests on 321 electrically-heated water-cooled experimental assemblies each simulating to some extent the operating or postulated accident conditions in the fuel elements of water-cooled nuclear power reactors. The main geometric characteristics of the assemblies are listed and references are given for the sources of information from which the data were gathered

A framework for exploring gender equality outcomes from WASH programmes

This paper aims to assist practitioners and researchers in planning, identifying, and documenting gender outcomes associated with water, sanitation, and hygiene (WASH) programmes by proposing a conceptual framework for classifying gender equality changes. Gender outcomes that have been attributed to WASH initiatives encompass those directly related to improved services as well as outcomes that move into areas of relationships, power, and status. There is a growing body of literature identifying WASH-related gender outcomes; however the types of outcomes described vary considerably and further work is needed to inform a comprehensive picture of WASH and gender links. The framework proposed in this paper is based on a synthesis of outcomes reported in WASH literature to date, empirical research in Fiji and Vanuatu, and insights from gender and development literature. It is hoped that the framework will support practitioners to engage with the inherent complexity of gender inquiry, contributing to sector knowledge about the potential for WASH initiatives to advance gender equality. © Practical Action Publishing, 2013

Psychological distress trajectories in chronic physical health conditions

Objective: The onset of a chronic health condition (CHC) can have a severe impact on an individual’s life, affecting mental and physical health. This study’s goal was to investigate psychological distress trajectories starting from 1 year before to 4 years after the onset of a physical CHC. The specific aims were to identify the number and shape of longitudinal psychological distress trajectories and to test health-related, psychological, social, and demographic factors predicting these trajectories. Method: Two samples were drawn from the Swiss Household Panel data set: a CHC sample (n = 361) and a 1-to-1 matched comparison sample of healthy individuals. Latent growth mixture modeling was used to identify psychological distress trajectories over 6 years. Factors predicting trajectories were then tested using multinomial logistic regression. Results: Four psychological distress trajectories were identified in the CHC sample: resilience (53.9%), chronic (22.2%), delayed (15.0%), and recovery (8.9%). In the comparison sample, two trajectories were identified: low psychological distress (90%) and elevated psychological distress (10%). Protective factors associated with resilient trajectory membership in the CHC sample were higher emotional stability, higher relationship satisfaction, and male gender. Conclusion: Individuals living with a CHC had an increased risk of vulnerability compared with a sample of healthy individuals. This advocates awareness of mental health issues following the onset of a CHC. In this regard, biopsychosocial factors (gender, emotional stability, and relationship satisfaction) offer prevention and intervention opportunities for more vulnerable individuals

Review of water supply-demand options for South East Queensland

This independent review aims to assess the Queensland Government's proposed strategy for meeting the long-term water supply-demand balance for South East Queensland, of which the Traveston Crossing scheme is a major and controversial component. The review, conducted by a team from the ISF at the UTS and Cardno, concludes that a diverse portfolio of options can ensure supply security for South East Queensland (SEQ) well into the future, certainly to 2050. Such options include: increasing water supply availability (supply-side options); decreasing the demand for water (demand-side options); and meeting water supply needs during deep droughts (drought response options). A number of the elements of such a portfolio are already being implemented as part of the current Queensland Government strategy. With the extension and addition of low unit cost demand-side options and supply-side drought response readiness options, a clear conclusion of this study is that the proposed dam at Traveston Crossing on the Mary River is neither necessary nor desirable as a part of the portfolio for ensuring supply security to 2050. The increase in supply from this proposed dam will not assist in the short-term during the current severe drought in which water (from savings and supply) is needed over the next two to three years. Planned completion of the Traveston Crossing Dam Stage 1 is in 2012. Additional time will be needed for the dam to fill, which could take an additional two years, resulting in the yield from this source only potentially being available in 2014. Neither is the Traveston Crossing scheme needed for supply-demand balance in the longer term with the suite of other more appropriate drought response measures being implemented by the Queensland Government and strategy being proposed as part of this study. The proposed dam at Traveston Crossing on the Mary River represents a high total cost, high unit cost, high risk and high environmental and social impact option

Reaching all in rural sanitation: experiences from inclusive programming in five countries

© 2020, © 2020 Informa UK Limited, trading as Taylor & Francis Group. There is a need to reflect on approaches to reaching all in rural sanitation, given evidence that disadvantaged groups often miss out on benefits from programmes. This article presents approaches from area-wide rural sanitation programming undertaken by SNV across five countries. Analysis identified ten strategies used in combination to support inclusion. The article describes the strategies and their application, then presents four implications for the rural sanitation sector: the value of a “toolbox” approach; co-creation of strategies with stakeholders; recognition of local government as a driver of inclusive services; and the need to strengthen evidence on how strategies contribute to success

Collagen and Elastic Fibers in Odontogenic Entities: Analysis Using Light and Confocal Laser Microscopic Methods

Dentigerous cyst (DC) and keratocystic odontogenic tumor (KOT) are odontogenic lesions arising from epithelial elements, such as those observed in dental follicles (DF), that have been part of the tooth forming apparatus. These lesions show different clinical and histological characteristics, as well as distinct biological behavior. This study aimed to qualify and quantify collagen and elastic fibers by means of histochemical techniques with light and confocal laser microscopic methods in three odontogenic entities. Eleven DF, 13 DC (n=10 with inflammation, n=3 without inflammation) and 13 KOT were processed to the following techniques: Hematoxylin and Eosin, Masson’s Trichrome, Picrosirius, Direct Blue, and Orcein. DF and DC without inflammation exhibited collagen with similar characteristics: no parallel pattern of fiber orientation, thick fibers with dense arrangement, and absence of distinct layers. A comparison between DC with inflammation and KOT revealed similar collagen organization, showing distinct layers: thin collagen fibers with loose arrangement near the epithelium and thick fibers with dense arrangement in distant areas. The only difference found was that KOT exhibited a parallel collagen orientation in relation to the odontogenic epithelia. It may be suggested that the connective tissue of DC is a reactive tissue, inducing an expansive growth associated with fluid accumulation and inflammatory process, which in turn may be present as part of the lesion itself. In KOT, loosely arranged collagen may be associated with the behavior of the neoplastic epithelium

Large-scale production of cellulose-binding domains : adsorption studies using CBD-FITC conjugates

A method for the gram-scale production of cellulose-binding domains (CBD) through the proteolytic digestion of a commercial nzymatic preparation (Celluclast) was developed. The CBD obtained, isolated from Trichoderma reesei cellobiohydrolase I, is highly pure and heavily glycosylated. The purified peptide has a molecular weight of 8.43 kDa, comprising the binding module, a part of the linker, and about 30% glycosidic moiety. Its properties may thus be different from recombinant ones expressed in bacteria. CBDfluorescein isothiocyanate conjugates were used to study the CBD-cellulose interaction. The presence of fluorescent peptides adsorbed on crystalline and amorphous cellulose fibers suggests that amorphous regions have a higher concentration of binding sites. The adsorption is reversible, but desorption is a very slow process.Fundação para a Ciência e a Tecnologia (FCT