Development of a Bundle for Hemodialysis Infection Control

Hemodialysis patients are at high risk of acquiring a blood stream infection (BSI), the second leading cause of death in this population. The purpose of this project was to create a clinical practice guideline (CPG) based on current evidence-based practice (EBP) that would bring a cohesiveness to the policies and provide an auditing tool to monitor infection control practices. Current literature supports the bundle approach, a small set of EBPs combined as a group of recommended interventions that apply to a specific patient population with the goal of improved delivery of care. The hemodialysis bundle project incorporated the theory of planned behavior to create a set of evidence-based interventions developed from an in-depth review of current, peer-reviewed studies. Three experts reviewed the CPG using the Appraisal of Guidelines for Research and Evaluation Instrument II; the scores from the 6 domains showed approval of the guideline as it was created with a score of greater than 90%. The three experts were chosen because they are responsible for updating and writing policies for the hemodialysis units. The creation of a CPG to improve infection control practices might benefit hemodialysis staff by providing an organized and cohesive method of following current policies. The new CPG might impact social change by applying current EBP to a clinical practice with end results of improving hemodialysis care and patient outcomes

Prejudice Toward Fat People: The development and Validation of the Antifat Attitudes Test

Although the stigma of obesity in our society is well documented, the measurement of antifat attitudes has been a difficult undertaking, Two studies were conducted to construct and validate the Antifat Attitudes Test (AFAT), In study 1, college students (110 men and 175 women) completed the preliminary 54-item AFAT and specific indices of body image and weight-related concerns, Psychometric and factor analysis revealed a 47-item composite scale and three internally consistent factors that were uncorrelated with social desirability: Social/Character Disparagement, Physical/Romantic Unattractiveness, and Weight Control/Blame. Several body image correlates of antifat prejudice were identified, and men expressed more negative attitudes than women, Study 2 experimentally examined the effects of information about the controllability of weight on the antifat attitudes of 120 participants, Exposure to information on behavioral vs. biogenetic control led to greater blame of persons who are fat for their body size, The implications of the findings and the potential utility of the AFAT are discussed

Diseño y construcción de un procesador de alimentos para elaboración de canastillas de patacón de diferentes tamaños

This article presents the design and construction process of a food processor made to prepare baskets of different sizes of patacón. The design considers the regulations for the processing of the raw material which, in this case, is pre-cooked plantain. The modeling and analysis of the pneumatic system was conducted to determine the force required to elaborate the patacón basket and all the pneumatic components of the prototype. The machine is controlled by a Mitsubishi brand PLC with reference FX1N-20MR. In the validation stage, the production capacity and the operating time of the machine were determined.El artículo presenta el diseño y construcción de un procesador de alimentos para la elaboración de canastas de patacón de distintos tamaños. El diseño tiene en cuenta la normativa para el procesamiento de la materia prima que, en este caso, es plátano precocido. Se realiza el modelamiento y análisis del sistema neumático para determinar la fuerza requerida para la elaboración de la canasta de patacón y todos los componentes neumáticos del prototipo. La máquina es controlada por un plc de la marca Mitsubishi con referencia FX1N-20MR. En la etapa de validación se estableció la capacidad de producción y el tiempo de operabilidad de la máquina

Urban blue space renovation and local resident and visitor well-being:A case study from Plymouth, UK

Observational studies have suggested that people with better access to attractive, safe, and inclusive blue spaces enjoy higher psychological well-being, with particular benefits for those living in deprived urban areas. However, intervention studies are scarce. To help bridge this gap we conducted a repeat cross-sectional study exploring local resident and visitor well-being before and after a small-scale intervention aimed at improving the quality of an urban beach area in a deprived neighbourhood in Plymouth, United Kingdom. Physical alterations were co-created with local stakeholders and residents, and accompanied by a series of on-site community events. Key outcomes were self-reported psychological well-being, satisfaction with personal safety and community belonging, and perceptions of site quality. Adjusted linear models showed that positive well-being (B = 7.42; 95% CI = 4.18–10.67) and life satisfaction (B = 0.40; 95% CI = 0.11–0.70) were both higher after the intervention compared to before, with associations for life satisfaction stronger among those who visited the site in the last four weeks. Associations with positive well-being were partially mediated by greater satisfaction with community belonging; and associations with life satisfaction were partially and independently mediated by greater satisfaction with personal safety and community belonging. Although caution needs to be taken due to the repeat cross-sectional design and the sampling of site visitors as well as local residents, the findings support the idea that environmental improvements to urban blue spaces can foster better psychological well-being, and underline the importance of community involvement in the process

The Grizzly, March 3, 1989

Quad Asbestos Cover-Up? • UC Lip-synching Talents Shown at Airband • Letters: Klee Clears Clutter; Fondots Tepid About Water; Students Concerned • Bond is Back! • Isaac\u27s Astounds Aussie • Men\u27s Indoor Ready for Mainstream • Youthful Bears Swim to 3rd • Senior Trio Leads Ursinus • McGowan\u27s Courage Inspiring • Bears End Season Upbeat • Send North Up The River?https://digitalcommons.ursinus.edu/grizzlynews/1231/thumbnail.jp

The Grizzly, April 14, 1989

Middle States: What To Look For At U.C. • Sorority Songfest Continues • Letters: Lack of MACLAS Coverage Disturbing; I.D. Hassles; We Smell a Rat! • Middle States Closing Offers Suggestions • Canterbury Corner too Costly • Lacrosse Braces for Traditional Rivalry • Outmanned, But Still Best • Tennis Turns Tables • Ursinus Sweeps • Men\u27s Lax Gets Physical • Cinders Burnin\u27 Down the House • Guess Who\u27s Coming to Dinner? • Branker Wins Jazz Fellowship • MACLAS Meeting Absolute Success • Sternal: Functional Art at U.C. • Cyclists Rolling to Victories • Pilgrim Continues U.C. Evaluation • Admissions Reception • Grant to Give Biology a Boost • The Music Scenehttps://digitalcommons.ursinus.edu/grizzlynews/1235/thumbnail.jp

Applying an ecosystem services framework on nature and mental health to recreational blue space visits across 18 countries

The effects of ‘nature’ on mental health and subjective well-being have yet to be consistently integrated into ecosystem service models and frameworks. To address this gap, we used data on subjective mental well-being from an 18-country survey to test a conceptual model integrating mental health with ecosystem services, initially proposed by Bratman et al. We analysed a range of individual and contextual factors in the context of 14,998 recreational visits to blue spaces, outdoor environments which prominently feature water. Consistent with the conceptual model, subjective mental well-being outcomes were dependent upon on a complex interplay of environmental type and quality, visit characteristics, and individual factors. These results have implications for public health and environmental management, as they may help identify the bluespace locations, environmental features, and key activities, that are most likely to impact well-being, but also potentially affect recreational demand on fragile aquatic ecosystems

The Grizzly, February 17, 1989

Malicious Arson Attempt Suspected In Fire • Board of Dirs. Calls for Big, but Beneficial Bucks • Letter: Let\u27s Keep Campbell! • WVOU Far From FM Waves • Glastnost Russian Roulette? • Freeman Displays Her Patchwork • Grim: No Meal Like a Home Meal • Drug Awareness a Downer • Title in Sight • Wrestlers Cruising at Unprecedented 21-2 • \u27Nasts O.K. • Intro. to Judaism Offered • Women\u27s Indoor Crushes \u27Em • Men\u27s Track \u27Sloshing\u27 Along • Aquabears Paddlin\u27 Wellhttps://digitalcommons.ursinus.edu/grizzlynews/1229/thumbnail.jp

Extensive Liquid Meltwater Storage in Firn Within the Greenland Ice Sheet

The accelerating loss of mass from the Greenland ice sheet is a major contribution to current sea level rise. Increased melt water runoff is responsible for half of Greenlands mass loss increase. Surface melt has been increasing in extent and intensity, setting a record for surface area melt and runoff in 2012. The mechanisms and timescales involved in allowing surface melt water to reach the ocean where it can contribute to sea level rise are poorly understood. The potential capacity to store this water in liquid or frozen form in the firn (multi-year snow layer) is significant, and could delay its sea-level contribution. Here we describe direct observation of water within a perennial firn aquifer persisting throughout the winter in the southern ice sheet,where snow accumulation and melt rates are high. This represents a previously unknown storagemode for water within the ice sheet. Ice cores, groundairborne radar and a regional climatemodel are used to estimate aquifer area (70 plue or minus 10 x 10(exp 3) square kilometers ) and water table depth (5-50 m). The perennial firn aquifer represents a new glacier facies to be considered 29 in future ice sheet mass 30 and energy budget calculations