Increasing Enrollment of Cardiac Rehabilitation for Eligible Patients in the Outpatient Setting: A Toolkit

Background: Heart disease is the leading cause of death worldwide. It is responsible for serious cardiac events that can be fatal. When a patient experiences one cardiac event, they are more likely to have a second event. Therefore, secondary prevention programs such as cardiac rehabilitation (CR) have been proven to reduce mortality in these patients and enhance quality of life; however, they are severely underutilized. Purpose: The purpose of this integrative review and DNP project was to educate outpatient providers about the immense value of cardiac rehabilitation to eligible patients and develop a toolkit targeted to help providers recognize eligible patients, educate them and expedite enrollment. Methods: An educational intervention was virtually presented with a pre- and post-survey completed by 9 staff members of an outpatient cardiology office. Feedback was collected to determine efficacy of the presentation, change in provider perceptions, and the utility of the toolkit. Data was input into Excel and SPSS to determine statistical significance and organization of feedback. Results: By using the Health Belief Model as a framework, the Wilcoxon Signed Ranks Test determined that there was statistically significant (p=0.026) increase in perceived seriousness, susceptibility, and benefit after the educational intervention indicating that participants’ attitudes and beliefs about the importance of cardiac rehabilitation (CR) and can be affected with education, leading to the increased interest in improving referral rates for eligible patients. Conclusion: This project should serve as a tool to continue to educate outpatient providers of the value of CR, while the toolkit may be utilized to expedite enrollment and help reach national goals of increasing cardiac rehabilitation participation to 70%

Distribution, movements, and habitat use of small striped bass (Morone saxatilis) across multiple spatial scales

Distribution, movements, and habitat use of small (<46 cm, juveniles and individuals of unknown maturity) striped bass (Morone saxatilis) were investigated with multiple techniques and at multiple spatial scales (surveys and tag-recapture in the estuary and ocean, and telemetry in the estuary) over multiple years to determine the frequency and duration of use of non-natal estuaries. These unique comparisons suggest, at least in New Jersey, that smaller individuals (<20 cm) may disperse from natal estuaries and arrive in non-natal estuaries early in life and take up residence for several years. During this period of estuarine residence, individuals spend all seasons primarily in the low salinity portions of the estuary. At larger sizes, they then leave these non-natal estuaries to begin coastal migrations with those individuals from nurseries in natal estuaries. These composite observations of frequency and duration of habitat use indicate that non-natal estuaries may provide important habitat for a portion of the striped bass population

Fish telemetry and positioning from an autonomous underwater vehicle (AUV)

We explored telemetry of transmitter tagged fishes from an autonomous underwater vehicle with a hydrophone/ datalogger processing code-division-multiple- access acoustic signals. Geolocation estimates used synthetic aperture and relative sound strength mapping. Signal reception patterns from tagged Atlantic sturgeon were similar to that of moored reference tags but those from tagged winter flounder were reduced in range due to burying behavior.Peer Reviewe

Investigation of historic, constructive, spatial and pathological aspects regarding the IBC (Instituto Brasileiro do Café) in Presidente Prudente, Brazil

[EN] In this case study the building of the Brazilian Institute of Coffee (IBC) in Presidente Prudente, Brazil, will be presented. The building was built in the 1940s for the usage of storing coffee. The timber construction is more than 70 years old, which make the shed a historically important heritage to the city. After the revitalization process the building is used as an event center nowadays. The special thing about the architecture of the IBC consists in the construction as a series of wooden latticed porticos. These porticos are still functional and visually appealing, but after so many years of use, they suffer from pathological manifestations. To gain more knowledge about which problems are common in the wooden construction all the porticos were examined in detail. The investigation process revealed, that every portico is affected by at least one of the anomalies studied, even though the degree varies from portico to portico. In addition to the research about the interior of the buGrothues Karin, L.; Fioriti, CF. (2019). Investigation of historic, constructive, spatial and pathological aspects regarding the IBC (Instituto Brasileiro do Café) in Presidente Prudente, Brazil. VITRUVIO - International Journal of Architectural Technology and Sustainability. 4(2):31-45. https://doi.org/10.4995/vitruvio-ijats.2019.12240OJS314542Ache Tudo e Região, Historia de Presidente Prudente. (2019), accessible on: (https://www.achetudoeregiao.com.br/sp/presidente_prudente/historia.htm) accessed in July 2019Botelho, Y. (2013), IBC-muito além de um barracao antigo. Casa Vintrine, P. 314-316Botelho Junior, J. A. (2006), Avaliação não destrutiva da capacidade resistente de estruturas de madeira de edifícios antigos. Dissertação (Mestrado em Reabilitação do Patrimônio Edificado) - Faculdade de Engenharia da Universidade do Porto, Porto, Portugal, 208p.Correia, A. Centro de Eventos IBC - um reduto que tem muitas histórias, (2014), accessible on: (http://altinocorreia.blogspot.com/2014/03/centro-de-eventos-ibc-um-reduto-que-em.html) accessed in July 2019Correia, A. IBC - Centro de Eventos - reformado, restaurado e reativado para grandes festas, (2015), accessible on: (http://altinocorreia.blogspot.com/2015/11/ibc-centro-de-eventos-reformado.html) accessed in July 2019Governo de Presidente Prudente: Ampliado e revitalizado, prefeito inaugura IBC Centro de Eventos e inicia Salão do Livro, (2015), accessible on: (http://presidenteprudente.sp.gov.br/site/noticias.xhtml?cod=31771) accessed on July 2019Governo do Estado São Paulo: Perfil Municipal do Presidente Prudente. Sao Paulo, (2011), accessible on: (https://web.archive.org/web/20110823080724/http://www.seade.gov.br/produtos/perfil/perfilMunEstado.php) accessed in July 2019Governo de Presidente Prudente: Apresentado projeto de modernização do antigo prédio IBC, (2008), accessible on: (http://www.presidenteprudente.sp.gov.br/site/noticias.xhtml?od=987) accessed on July 2019Governo de Presidente Prudente: IBC, (2019), accessible on: (http://www.culturapp.com.br/index.php/equipamento/ibc/) accessed in July 2019Martins, J. F. A.; Fioriti, C. F. (2015) Manifestações patológicas identificadas nas estruturas em madeira de uma edificação pública: Centro de eventos IBC (Instituto Brasileiro do Café). In: CONPAT - XIII Congresso Latino-Americano de Patologia da Construção, Lisboa, PortugalMartins, J. F. A.; Fioriti, C. F. (2017) Manifestações patológicas nas estruturas em madeira do Centro de eventos IBC (Instituto Brasileiro do Café): Estudo de caso em edifição pública. Maringá, Revista Tecnológica, 35-48p.NRW Stiftung, Ein Ring für das Welterbe, (2012), accessible on: (https://www.nrw-stiftung.de/projekte/projekt.php?pid=675) accessed in August 2019Périco, A. L.; Baron, C. M. P. O (2015), Instituto Brasileiro do Café: Uma História sobre o patrimônio industrial. Colloquium Humanarum, Presidente Prudente, v. 12, n. 1, p.105-118. https://doi.org/10.5747/ch.2015.v12.n1.h192Reis, F. J. G. dos., Patrimônio cultural: Revitalização e utilização, (2004), accessible on: (http://www.lo.unisal.br/nova/publicacoes/patrimoniocultural.doc) accessed in July 2019Stiftung Zollverein, Standortentwicklung - Erhalt durch Umnutzung, (2019), accessible on: (https://www.zollverein.de/ueber-zollverein/aktuelle-entwicklung/) accessed in August 2019Tonhon, D. (2009), Revitalização do edifício do antigo IBC - Instituto Brasileiro do Café. Trabalho Final de Graduação em Arquitetura e Urbanismo, UNESP, Presidente PrudenteUniversität Essen, Zeche Zollverein - Die Geschichte, (2000), accessible on: (https://www.uni-due.de/~gpo202/denkmal/zeche.htm) accessed in August 201

Synthese zweier Diastereomere des Poliketids Caylobolid A

Im Rahmen der vorliegenden Arbeit wird der erste totalsynthetische Zugang zu zwei diastereomeren Verbindungen des 36-gliedrigen Makrolactons Caylobolid A beschrieben. Das Polyketid wurde im Jahr 2002 aus dem marinen Cyanobakterium Lyngbya majuscula von Molinski und MacMillan isoliert und zeichnet sich unter anderem durch seine zytoxische Aktivität gegenüber der Dickdarmkrebszellinie HCT-116 (IC 50 = 9.9 μM) aus. Die Darstellung der Zielverbindung erfolgte auf einer hoch konvergenten Syntheseplanung

Leben und Lernen in der Sekundarstufe II – Eine komparative Studie zum (in-) formellen Lernen von Schülern in einer Regel- und einer Reformschule

Für die vorliegende Untersuchung wurden Schülerinnen und Schüler an zwei gymnasialen Oberstufen über einen Zeitraum von drei Jahren mehrfach befragt. Im Fokus stehen die inner- und außerschulischen Lernprozesse der Jugendlichen sowie die Gestaltungen des Verhältnisses von Schule und Lebenswelt, die im interschulischen Vergleich kontrastiert werden. Neben Schülerinnen und Schülern einer Regelschule nehmen Lernende des Oberstufen-Kollegs Bielefeld an der Studie teil. Auf Basis der qualitativen Interviewstudie zeigt sich, dass sowohl die Befragten der Regel- als auch die Schülerinnen und Schüler der Reformschule außerhalb des institutionalisierten Bildungswesens zahlreiche Lernprozesse initiieren. Als besonders relevante Lernorte in der Freizeit kristallisieren sich die Handlungsfelder der Peers, der Partnerschaften, des Sports, des Nebenjobbens und der Medien heraus. Das Lernen in informellen Zusammenhängen erfolgt häufig nebenbei zur Bewältigung alltäglicher Handlungsproblematiken und wird als subjektiv sinnhaft erlebt. Im strukturierten Bildungsraum Schule lernen die Jugendlichen anders und Anderes: Hier werden sie mit neuen, alltagsfernen, wissenschaftspropädeutischen Inhalten konfrontiert, die in strukturierter Weise von speziell hierfür ausgebildeten Pädagogen vermittelt werden. Es zeichnet sich ab, dass die Befragten ihre Bildungsbiografien aus diesem Zusammenspiel unterschiedlicher Lernerfahrungen konstruieren, dass formales und informelles Lernen einander ergänzen und voneinander profitieren (können). Hinsichtlich des Verhältnisses von Schule und Lebenswelt ergeben sich deutliche Unterschiede zwischen den Regel- und den Reformschülerinnen und Schülern. Während die Regelschülerinnen und Schüler zur Trennung von Leben und Lernen tendieren, verschmelzen Inner- und Außerschulisches in der Gruppe der Kollegiatinnen und Kollegiaten des Oberstufen-Kollegs. Besonders deutlich wird der differente Umgang mit Schule und Lebenswelt auf der Inhaltsebene. Während schulische Themen den Regelschülerinnen und Schülern außerhalb des Unterrichts irrelevant erscheinen und gleichzeitig persönliche Interessen aus dem Unterricht ausgeklammert werden, beschäftigen sich die Lernenden des Oberstufen-Kollegs auch nach dem Pausenklingeln mit curricularen Inhalten und gestalten den Unterricht aktiv mit. Die Verflüssigung der Grenzen zwischen Schule und Leben, wie in der Gruppe der Kollegiatinnen und Kollegiaten zu betrachten, konvergiert mit der Konzeption dieser Einrichtung, die bewusst auf die Gestaltung der Schule als Lebensraum setzt. Analog zu weiteren Untersuchungen zur Schülerklientel an Reformschulen im Allgemeinen und am Oberstufen-Kolleg im Besonderen, lässt sich zudem eine selektive Schülerschaft attestieren: Trotz eines Aufnahmeschlüssels besuchen vor allem Jugendliche aus bildungsnahen Familien das Oberstufen-Kolleg. Weitere Abgrenzungsmerkmale zu anderen Schülergruppen sind auf der einen Seite die hohe Motivation zum und die starke Identifikation mit dem Besuch dieser Einrichtung. Auf der anderen Seite besitzen überdurchschnittlich viele Lernende fragmentierte Bildungsbiografien, berichten viele Jugendliche an dieser Einrichtung von negativen Schulerfahrungen. Aus diesem Zusammenspiel von alternativer Schulkonzeption und besonderer Schülerklientel entsteht eine Gestaltung von Schule, die konträr zu traditionellen Schulkonzepten steht

NGC 3310, a galaxy merger?

The HI structure and kinematics of the peculiar starburst galaxy NGC 3310 (Arp 217, UGC 5786) are discussed. New evidence bearing on the origin of the starburst is presented. The bulk of HI coincides with the bright optical disk and shows differential rotation. Its velocity dispersion is, however, unusually large for a spiral galaxy (up to 40 km/s), suggesting that the disk is highly perturbed as already indicated by optical emission line spectroscopy. There are, in addition, two prominent HI tails, one extending to the north-west and the other, somewhat patchy, to the south. These HI tails, the perturbed kinematics and the peculiar optical morphology strongly suggest a recent merger between two gas-rich galaxies. This seems to have been a major merger in which most of the gas in the inner parts has been preserved in neutral atomic form and either one of the progenitor disks has survived or a new disk has formed.Comment: 10 pages, 11 figures, accepted for publication in A&

Screening Questionnaires for Problem Drinking in Adolescents: Performance of AUDIT, AUDIT-C, CRAFFT and POSIT

Background/Aims: Only rather few data on the validity of screening questionnaires to detect problem drinking in adolescents exist. The aim of this study was to compare the performance of the Alcohol Use Disorders Identification Test (AUDIT), its short form AUDIT-C, the Substance Module of the Problem Oriented Screening Instrument for Teenagers (POSIT), and CRAFFT (acronym for car, relax, alone, forget, family, and friends). Methods: The questionnaires were filled in by 9th and 10th graders from two comprehensive schools. All students received an interview using the alcohol section of the Composite International Diagnostic Interview. Alcohol abuse and alcohol dependence according to DSM-IV as well as episodic heavy drinking served as criteria to validate the screening instruments. Results: All 9th and 10th graders (n = 225) of both schools participated. No significant differences were found for areas under the receiver operating characteristic curves ranging from 0.810 to 0.872. Cronbach’s alpha was satisfactory (0.77–0.80) but poor for CRAFFT (0.64). Different cut-offs are discussed. Conclusions: Considering validity as well as reliability, AUDIT, AUDIT-C and POSIT performed well; however, the POSIT is quite lengthy. AUDIT-C showed good psychometric properties and has clear advantages because of its brevity

High-frequency side-scan sonar fish reconnaissance by autonomous underwater vehicles

Author Posting. © The Author(s), 2016. This is the author's version of the work. It is posted here by permission of NRC Research Press for personal use, not for redistribution. The definitive version was published in Canadian Journal of Fisheries and Aquatic Sciences 74 (2017): 240-255, doi:10.1139/cjfas-2015-0301.A dichotomy between depth penetration and resolution as a function of sonar frequency, draw resolution, and beam spread challenges fish target classification from sonar. Moving high-frequency sources to depth using autonomous underwater vehicles (AUVs) mitigates this and also co-locates transducers with other AUV-mounted short-range sensors to allow a holistic approach to ecological surveys. This widely available tool with a pedigree for bottom mapping is not commonly applied to fish reconnaissance and requires the development of an interpretation of pelagic reflective features, revisitation of count methods, image-processing rather than wave-form recognition for automation, and an understanding of bias. In a series of AUV mission test cases, side-scan sonar (600 and 900 kHz) returns often resolved individual school members, spacing, size, behavior, and (infrequently) species from anatomical features and could be intuitively classified by ecologists — but also produced artifacts. Fish often followed the AUV and thus were videographed, but in doing so removed themselves from the sonar aperture. AUV-supported high-frequency side-scan holds particular promise for survey of scarce, large species or for synergistic investigation of predators and their prey because the spatial scale of observations may be similar to those of predators.AUV missions were funded by an Office of Naval Research grant to the Woods Hole Oceanographic Institution and Rutgers University. The field work was supported by the Office of Naval Research under grant N00014-11-1-0160

Absolute-Magnitude Distributions and Light Curves of Stripped-Envelope Supernovae

The absolute visual magnitudes of three Type IIb, 11 Type Ib and 13 Type Ic supernovae (collectively known as stripped-envelope supernovae) are studied by collecting data on the apparent magnitude, distance, and interstellar extinction of each event. Weighted and unweighted mean absolute magnitudes of the combined sample as well as various subsets of the sample are reported. The limited sample size and the considerable uncertainties, especially those associated with extinction in the host galaxies, prevent firm conclusions regarding differences between the absolute magnitudes of supernovae of Type Ib and Ic, and regarding the existence of separate groups of overluminous and normal-luminosity stripped-envelope supernovae. The spectroscopic characteristics of the events of the sample are considered. Three of the four overluminous events are known to have had unusual spectra. Most but not all of the normal luminosity events had typical spectra. Light curves of stripped-envelope supernovae are collected and compared. Because SN 1994I in M51 was very well observed it often is regarded as the prototypical Type Ic supernova, but it has the fastest light curve in the sample. Light curves are modeled by means of a simple analytical technique that, combined with a constraint on E/M from spectroscopy, yields internally consistent values of ejected mass, kinetic energy, and nickel mass.Comment: 39 pages, 14 figures, 7 tables; Accepted to A