The effectiveness of interventions which promote self-management for people with End Stage Renal Disease undergoing haemodialysis (Systematic Review Protocol)

Review Objectives: This systematic review seeks to establish what best practice is for: Interventions which promote self-management for patients with End Stage Renal Disease (ERSD) undergoing Haemodialysis. Review questions: 1) Do education interventions improve self-management for patients with end stage renal disease? 2) Do psychosocial interventions such as Cognitive Behavioural Therapy, behavioural therapy or other counselling therapies and social support, improve self-management for patients with end stage renal disease? Criteria for considering studies for this review: Types of participants: This component of the review will consider studies with: • All adults over the age of 18 years • Patients with end stage renal disease • Undergoing haemodialysis Types of interventions/Phenomena of Interest: All studies evaluating the following interventions will be considered for inclusion in the review such as: Interventions which promote self management including: • Education interventions. • Psychosocial interventions such as cognitive behavioural therapy and other behavioural therapies, counselling and social support. Types of outcome measures/anticipated outcomes: This component of the review will consider studies that include the following outcomes: • Adherence with haemodialysis treatment, • Depression and/or anxiety, • Quality of life, • Carer burnout, • Social support • Patient satisfaction • Adverse events potentially attributable to the intervention or control treatment • Cost effectiveness of home haemodialysis Keywords chronic kidney failure; renal failure; end stage renal disease; chronic kidney diseas

Reservoir Safety in Scotland: An Analysis of Consultation Responses

The Scottish Government plans to amend reservoir safety legislation, and this report sets out the views and opinions of parties who responded to the consultation document and its proposals for new Reservoir Safety Legislation. The new legislation would contribute to the Scottish Government’s Safer and stronger strategic objective, one of five which seek to underpin the Scottish Government’s purpose and describe the kind of Scotland we all want to live in. The new legislation would: • Introduce a more risk-based approach to the reservoir safety regime; • Include Regulations to take forward the implementation of Part 7 of the Flood Risk Management (Scotland) Act 2009, hereafter referred to as the 2009 Act; and • Provide greater security for people, property and critical infrastructure from the risk of flooding from reservoirs. The consultation ran from 25 January to 18 April 2010. Sixty-seven written responses to the consultation were received, and in combination with data from four public workshops, this report considers the views of cross-sectoral representatives to produce an independent analysis of responses from the consultation process

Surface Offset and Slip Rates for the Winter Rim Fault System in the Summer Lake Basin, Oregon

The 66-km-long Winter Rim Fault (WRF) system, located in the northwestern Basin and Range Province, encompasses several Holocene fault scarps within the Summer Lake basin that include the WRF system, a normal fault divided into three segments: Slide Mountain (SMF), Winter Ridge, and Ana River (ARF), and the newly-mapped Thousand Springs fault (TSF). The current least-compressive stress field is oriented ~264° (Crider, 2001). The USGS estimates a slip rate of 0.43 mm/yr, earthquake magnitudes of 6.5-7.19, and recurrence interval of 3.1 ka (Crone et al., 2009). However, these estimates are only based upon ARF and the unfavorably slip-oriented SMF. With high-resolution LiDAR, means to calculate a more inclusive slip rate estimate is possible, with fault scarps that cut radiocarbon-dateable tufa-coated paleoshorelines from Pleistocene Pluvial Lake Chewaucan. The faults have been active since the lake receded, and paleoshorelines are offset and no longer continuous. Twenty-four shoreline tufa samples were measured and calibrated, however 17 samples were eliminated, mostly due to discordant duplicate ages and unacceptable d13C ranges. Results revealed Pluvial Lake Chewaucan’s most recent highstand at ~1,340 m is 13.4 ± 0.1 to 13.7 ± 0.5 ka BP, with an average age of 13.5 ka BP, along with an earlier and higher highstand approximately 26.2 ± 0.2 to 34.3 ± 0.3ka at ~1,380 m. Comparing fault scarp-based slip distribution data with four historical events, it is reasonable to estimate that there have been approximately three to six surface-rupturing events since the earlier higher highstand along the Winter Ridge and SMF segments, two to three events for the ARF segment since the most recent highstand, and one to two events on the TSF between 2.12­-4 and 12-15 ka BP. The USGS estimated the WRF system to have a slip rate of 0.43 mm/yr. From this study, I presented slip rates that ranged between 0.18 to 0.74 mm/yr, which lie squarely in the middle of Crone et al (2009) published range. This method provided the opportunity for obtaining slip rates through means other than trenching

A Program Evaluation: Implementing a Dual Language Immersion Program

The research study evaluated the implementation of a kindergarten Spanish dual language immersion program (DLI) using Stufflebeam’s (2003) context, input, process, and product (CIPP) model of program evaluation. The study aimed to determine specific strategies to best implement a learning initiative not just in a stable year but also in a time of duress such as COVID-19. Interviews with the superintendent, chief academic officer, director of global studies, principal, teacher, and teacher assistant and head of household surveys informed the following research questions. Context: What factors were considered when the district implemented the DLI program? Input: What specific resources were needed to implement the DLI classroom? Process: What strategies were employed to initiate the DLI with kindergarten students? Product: How effective was the implementation of the DLI classroom during the initial year? Crisis Leadership: How does a school district program implement change during a crisis? District administration, teachers, and heads of households agreed that the implementation was successful. All stakeholders emphasized the goals for the program were met, which included student growth toward biliteracy, bilingualism, and cultural appreciation. Stakeholder perceptions of the first year were positive, expressing an overall benefit for the students. District administration and teachers highlighted academic data growth. Implications for improvement include strengthening communication, monitoring and feedback, authentic resources, and professional learning

Mathematical Representations in Magazine Advertisements: Have the Messages Changed in a Decade?

Although people\u27s ideas about mathematics and mathematicians often develop from their school and home experiences, such ideas also are influenced by interactions with popular media. In this article, I report on findings from a study in which I analyzed magazine advertisements for representations of mathematics and mathematicians. Data collection took place in two phases, approximately a decade apart. In each phase, I reviewed a year’s worth of issues in each of six diverse, popular magazines for mathematical representations in advertisements. The frequency of mathematical advertisements decreased from Phase 1 to Phase 2, but the initial frequency was already extremely low, indicating mathematics’ invisibility in popular media. This lack of representation may be due to mathematics not being seen as a “cool” way to sell a product or service since mathematics is linked to many negative stereotypes. The representations were similar in the two phases, with mathematics often depicted in stereotypical ways, such as being difficult or stressful. People rarely featured in the mathematical advertisements, which serves to further dehumanize mathematics. Generally, the findings were consistent with those from studies of other popular media, such as movies and books

Global public health training in the UK: preparing for the future.

BACKGROUND: Many major public health issues today are not confined by national boundaries. However, the global public health workforce appears unprepared to confront the challenges posed by globalization. We therefore sought to investigate whether the current UK public health training programme adequately prepares its graduates to operate in a globalized world. METHODS: We used mixed methods involving an online cross-sectional survey of UK public health trainees on the international content of the Faculty of Public Health's written examination, a qualitative review of the Faculty's 2007 training curriculum and a questionnaire survey of all training deaneries in the UK. RESULTS: We found that global health issues are not addressed by the current training curriculum or in the written examination despite trainee interest for this. Many of the deaneries were also unreceptive to international placements. CONCLUSIONS: Despite the recognized educational legitimacy of global health placements and the favourable UK policy context, the opportunities and international content of public health training remain limited. In order to retain its position as a leader in the field of public health, the UK needs to adapt its training programme to better reflect today's challenges

Interactive Art and the Action of Behavioral Aesthetics in Embodied Philosophy

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Structural Estrangement: How Political and Legal Cultures Dictate Transatlantic Divergence and Convergence of Climate Change Policy.

The international issue of climate change is appearing on domestic agendas with increasing regularity. More than one hundred nations have now ratified the Kyoto Protocol to the United Nations Framework Convention on Climate Change (the Kyoto Protocol), which entered into force on the 16th of February 2005. The importance of the domestic climate change policy process of developed countries is therefore increasing. Reduction of emissions must take place at the national or sub-national level. International negotiations cannot make reductions; they can only direct that reductions take place. Therefore any international agreement must be enacted into national law for its objectives to be met. An understanding of the factors that influence policy selection will help us to identify what makes an international treaty successful on the national front. Governments, including the United States, are agreed that climate change is an important issue. While each has the same range of policy instruments at their disposal, each chooses to address the problem in different ways. This thesis focuses on the influence that differing political and legal cultures exert on the development and selection of climate change policies in the United Kingdom and California. It draws on qualitative data collected through interviews with key players in the policy process in the subject jurisdictions in conjunction with analysis of relevant documents, official and otherwise. The study suggests that the political and legal culture of a jurisdiction plays a major role in the determination of policy, providing new and valuable insights into the policy-making process in the subject jurisdictions. Its findings constitute an argument for giving greater consideration to political and legal cultural issues during international negotiations with the aim of framing international agreements with a greater potential for adoption into domestic law. This thesis covers the period up to December 2004. Any significant developments between December 2004 and August 2007 affecting the research or the conclusions reached herein have been noted in footnotes