Civil protective orders effective in stopping or reducing partner violence: challenges remain in rural areas with access and enforcement

Civil protective orders are a low cost, effective solution in either stopping or significantly reducing partner violence for women. While all women benefit from civil protective orders, this brief finds there are greater obstacles to enforcement in rural places, which result in less benefit for rural than urban women. The authors suggest that policies and services should be tailored to address community-specific barriers and differences such as hours of access, time it takes to obtain or serve an order, and access to information about the process

An Invincible Army?: Reading 1 Samuel 4-6 and 2 Samuel 6 as a Deuteronomistic Corrective to Exilic Misconceptions of the Ark

The surprising nature of the events which surround the ark in 1 Samuel 4-6 and 2 Samuel 6 raises significant questions about the conflicting concepts of this central Israelite object. This study will consider these narratives in light of their wider contexts, silhouetting the presentation of the ark in these chapters against the understanding of the ark in the Deuteronomistic History and of divine statues in the ancient Near East. It will argue that the Deuteronomistic author used the events within these narratives are a means of dispelling and correcting the views surrounding the ark and the temple which were held by both the people of Israel and their enemies during the time of the Babylonian exile. The narratives of the ark offer a microcosm of the exile, providing both an explanation for Israel’s fate and a hope for their return

REQUIREMENTS FOR THE BACCALAUREATE DEGREE IN INDUSTRIAL ARTS EDUCATION IN TWENTY FIVE COLLEGES AND UNIVERSITIES

This study was planned to determine the requirements for the baccalaureate degree in industrial arts education in several teacher training institutions in the United States, to discover in what ways they were similar and how they differed. Data for this study were obtained through perusal of the catalogs of the institutions considered. The survey revealed wide differences in the various requirements. Total requirements for the degree and education were the only items in which the school requiring the maximum number of hours did not require more than double the number of hours required by the school with the minimum requirements. It was recommended that further studies be made to develop criteria by which these various curricula may be judged

Individual patient data meta-analysis of randomized controlled trials of community occupational therapy for stroke patients

<p><b>Background and Purpose:</b> Trials of occupational therapy for stroke patients living in the community have varied in their findings. It is unclear why these discrepancies have occurred.</p> <p><b>Methods:</b> Trials were identified from searches of the Cochrane Library and other sources. The primary outcome measure was the Nottingham Extended Activities of Daily Living (NEADL) score at the end of intervention. Secondary outcome measures included the Barthel Index or the Rivermead ADL (Personal ADL), General Health Questionnaire (GHQ), Nottingham Leisure Questionnaire (NLQ), and death. Data were analyzed using linear or logistic regression with a random effect for trial and adjustment for age, gender, baseline dependency, and method of follow-up. Subgroup analyses compared any occupational therapy intervention with control.</p> <p><b>Results:</b> We included 8 single-blind randomized controlled trials incorporating 1143 patients. Occupational therapy was associated with higher NEADL scores at the end of intervention (weighted mean difference [WMD], 1.30 points, 95% confidence intervals [CI], 0.47 to 2.13) and higher leisure scores at the end of intervention (WMD, 1.51 points; 95% CI, 0.24 to 2.79). Occupational therapy emphasizing activities of daily living (ADL) was associated with improved end of intervention NEADL (WMD, 1.61 points; 95% CI, 0.72 to 2.49) and personal activities of daily living (odds ratio [OR], 0.65; 95% CI, 0.46 to 0.91), but not NLQ. Leisure-based occupational therapy improved end of intervention NLQ (WMD, 1.96 points; 95% CI, 0.27 to 3.66) but not NEADL or PADL.</p> <p><b>Conclusions:</b> Community occupational therapy significantly improved personal and extended activities of daily living and leisure activity in patients with stroke. Better outcomes were found with targeted interventions.</p&gt

Individualised pelvic floor muscle training in women with pelvic organ prolapse: a multicentre randomised controlled trial

<br>Background: Pelvic organ prolapse is common and is strongly associated with childbirth and increasing age. Women with prolapsed are often advised to do pelvic floor muscle exercises, but supporting evidence is limited. Our aim was to establish if one-to-one individualised pelvic floor muscle training (PFMT) is effective in reducing prolapse symptoms.</br> <br>Methods: A parallel‐group multicentre randomised controlled trial (ISRCTN35911035) in female outpatients with newly-diagnosed, symptomatic stage I, II or III prolapse, comparing five PFMT appointments over 16 weeks (n=225) versus a lifestyle advice leaflet (n=222). Treatment allocation was by remote computer allocation using minimisation. Our primary endpoint was participants’ self-report of prolapsed symptoms at 12 months. Group assignment was masked from outcome assessors. We compared outcomes between trial groups in an intention-to-treat analysis. The cost of PFMT and savings on subsequent treatments were calculated to estimate cost-effectiveness.</br> <br>Findings: Compared to the control group, the intervention group reported fewer prolapse symptoms at 12 months (mean difference between groups in change score 1.52, 95% CI [0.46, 2.59], p=0.0053); reported their prolapse to be “better” more often (57.2% versus 44.7%, difference 12.6%, 95% CI [1.1%, 24.1%], p=0.0336); and had an increased but non-significant odds of having less severe stage of prolapse at their 6-month clinical examination, (OR 1.47, 95% CI [0.97, 2.27], p=0.07). The control group had a greater uptake of other prolapse treatment (49.6% versus 24.1%, difference 25.5%, 95% CI [14.5%, 36.0%], p <0.0001). Findings were robust to missing data. The net cost of the 25 intervention was £131.61 per woman and the cost per one-point reduction in the symptom score was £86.59, 95% CI [£50.81, £286.11]. </br&gt

Pengaruh Kompetensi dan Pengembangan Karir terhadap Kepuasan Kerja dengan Komitmen Organisasional sebagai Variabel Mediasi (Studi Pegawai Politeknik Ilmu Pelayaran ( Pip ) Semarang)

An organization would expect the productivity of its employees for the achievement of organizational goals. Work productivity is seen as the ability of employees to achieve the desired results, in achieving the desired results would require a positive work attitude of employees. Therefore it is expected for the organization must be aware and create a management system that takes into account the factors that affect the work attitude of employees in order to achieve the goals of the organization itself. The purpose of this study was to analyze the effect of competence and career development to organizational commitment in the EmployeeSeamanshipPolytechnicSemarang. To analyze the effect of competence, career development and organizational commitment to job satisfaction within the Employee Seamanship Polytechnic Semarang. To analyze the effect of competence and career development to job satisfaction and organizational commitment in environmental mediation Employee Seamanship Polytechnic Semarang.In this studytook thepopulationin this studywere employees ofthe PolytechnicSemarangSeamanship, amounting to 218 persons. Sampling with random samplingtechniquethatrandomlysampling142respondents. Keywords: competence, career development, organizational commitment and job satisfactio

Electro-extractive fermentation for efficient biohydrogen production

Electrodialysis, an electrochemical membrane technique, was found to prolong and enhance the production of biohydrogen and purified organic acids via the anaerobic fermentation of glucose by Escherichia coli. Through the design of a model electrodialysis medium using cationic buffer, pH was precisely controlled electrokinetically, i.e. by the regulated extraction of acidic products with coulombic efficiencies of organic acid recovery in the range 50–70% maintained over continuous 30-day experiments. Contrary to\ud previous reports, E. coli produced H2 after aerobic growth in minimal medium without inducers and with a mixture of organic acids dominated by butyrate. The selective separation of organic acids from fermentation provides a potential nitrogen-free carbon source for further biohydrogen production in a parallel photofermentation. A parallel study incorporated this fermentation system into an integrated biohydrogen refinery (IBR) for the conversion of organic waste to hydrogen and energy

Forest Composition Change and Biophysical Climate Feedbacks Across Boreal North America

Deciduous tree cover is expected to increase in North American boreal forests with climate warming and wildfire. This shift in composition has the potential to generate biophysical cooling via increased land surface albedo. Here we use Landsat-derived maps of continuous tree canopy cover and deciduous fractional composition to assess albedo change over recent decades. We find, on average, a small net decrease in deciduous fraction from 2000 to 2015 across boreal North America and from 1992 to 2015 across Canada, despite extensive fire disturbance that locally increased deciduous vegetation. We further find near-neutral net biophysical change in radiative forcing associated with albedo when aggregated across the domain. Thus, while there have been widespread changes in forest composition over the past several decades, the net changes in composition and associated post-fire radiative forcing have not induced systematic negative feedbacks to climate warming over the spatial and temporal scope of our study

Rare germline copy number variants (CNVs) and breast cancer risk

Germline copy number variants (CNVs) are pervasive in the human genome but potential disease associations with rare CNVs have not been comprehensively assessed in large datasets. We analysed rare CNVs in genes and non-coding regions for 86,788 breast cancer cases and 76,122 controls of European ancestry with genome-wide array data. Gene burden tests detected the strongest association for deletions in BRCA1 (P = 3.7E-18). Nine other genes were associated with a p-value < 0.01 including known susceptibility genes CHEK2 (P = 0.0008), ATM (P = 0.002) and BRCA2 (P = 0.008). Outside the known genes we detected associations with p-values < 0.001 for either overall or subtype-specific breast cancer at nine deletion regions and four duplication regions. Three of the deletion regions were in established common susceptibility loci. To the best of our knowledge, this is the first genome-wide analysis of rare CNVs in a large breast cancer case-control dataset. We detected associations with exonic deletions in established breast cancer susceptibility genes. We also detected suggestive associations with non-coding CNVs in known and novel loci with large effects sizes. Larger sample sizes will be required to reach robust levels of statistical significance. Dennis et al. investigate potential breast cancer associations with rare germline copy number variants (CNVs) by conducting a genome-wide analysis in a large breast cancer case-control dataset. The authors detected associations with exonic deletions in established breast cancer susceptibility genes and suggestive associations for a number of non-coding CNVs.Peer reviewe