Motivational orientations of participants in Elderhostels

The purpose was to determine the motivational orientations of older adults attending Elderhostels at universities in Iowa and Nebraska. Objectives were to determine reasons given by older adults participating in Elderhostels; determine the relationship of variables such as age, sex, marital status, income, educational level, occupation, previous participation in Elderhostels, subject enrolled in, and place of residence; develop a model of motives for participation of older adults in Elderhostel and compare results of this study to those of previous studies;Older adults attending the University of Northern Iowa Elderhostel participated in the study. In addition, a small random sample of Iowa Elderhostel participants (not included in the University of Northern Iowa sample) was drawn. Older adults attending the Creighton University Elderhostel also participated;The Education Participation Scale developd by Roger Boshier (1971) was used to assess motivational orientations. Usable data was obtained from 154 of the older adults participating in the study. The Education Participation Scale was administered by program directors at the universities and by mail to the random sample;Data were analyzed using frequency counts to determine the general characteristics of the respondents, factor analysis to determine the motivational orientations, analysis of variance to determine the influence of the variables on the factors, step-wise regression analysis to determine the effects of the variables, and path analysis to measure the direct and indirect influence of each variable on each separate factor in the system. Five factors emerged as a result of the factor analysis: Cluster A, Other-Directed; Cluster B, Social Welfare; Cluster C, Escape/Stimulation; Cluster D, Cognitive Interest; and Cluster E, Social Relationships. Higher mean scores were found for Cluster D, Cognitive Interest, and Cluster E, Social Welfare;Significant differences were found for sex, marital status, and previous participation with Cluster A. Significant differences were also found for Cluster C and the variable residence; Cluster D and the variables marital status, age, sex, and educational level, and Cluster E and the variable marital status

Avoiding Misdiagnosis in Patients with Neurological Emergencies

Approximately 5% of patients presenting to emergency departments have neurological symptoms. The most common symptoms or diagnoses include headache, dizziness, back pain, weakness, and seizure disorder. Little is known about the actual misdiagnosis of these patients, which can have disastrous consequences for both the patients and the physicians. This paper reviews the existing literature about the misdiagnosis of neurological emergencies and analyzes the reason behind the misdiagnosis by specific presenting complaint. Our goal is to help emergency physicians and other providers reduce diagnostic error, understand how these errors are made, and improve patient care

Mismatch between obesogenic intrauterine environment and low-fat postnatal diet may confer offspring metabolic advantage

Objective: Mismatch between a depleted intrauterine environment and a substrate-rich postnatal environment confers an increased risk of offspring obesity and metabolic syndrome. Maternal diet-induced obesity (MATOB) is associated with the same outcomes. These experiments tested the hypothesis that a mismatch between a nutrient-rich intrauterine environment and a low-fat postnatal environment would ameliorate offspring metabolic morbidity

Training community resource center and clinic personnel to prompt patients in listing questions for doctors: Follow-up interviews about barriers and facilitators to the implementation of consultation planning

BackgroundVisit preparation interventions help patients prepare to meet with a medical provider. Systematic reviews have found some positive effects, but there are no reports describing implementation experiences. Consultation Planning (CP) is a visit preparation technique in which a trained coach or facilitator elicits and documents patient questions for an upcoming medical appointment. We integrated CP into a university breast cancer clinic beginning in 1998. Representatives of other organizations expressed interest in CP, so we invited them to training workshops in 2000, 2001, and 2002.ObjectivesIn order to learn from experience and generate hypotheses, we asked: 1) How many trainees implemented CP? 2) What facilitated implementation? 3) How have trainees, patients, physicians, and administrative leaders of implementing organizations reacted to CP? 4) What were the barriers to implementation?MethodsWe attempted to contact 32 trainees and scheduled follow-up, semi-structured, audio-recorded telephone interviews with 18. We analyzed quantitative data by tabulating frequencies and qualitative data by coding transcripts and identifying themes.ResultsTrainees came from two different types of organizations, clinics (which provide medical care) versus resource centers (which provide patient support services but not medical care). We found that: 1) Fourteen of 21 respondents, from five of eight resource centers, implemented CP. Four of the five implementing resource centers were rural. 2) Implementers identified the championing of CP by an internal staff member as a critical success factor. 3) Implementers reported that modified CP has been productive. 4) Four respondents, from two resource centers and two clinics, did not implement CP, reporting resource limitations or conflicting priorities as the critical barriers.ConclusionCP training workshops have been associated with subsequent CP implementations at resource centers but not clinics. We hypothesize that CP workshops combined with an internal champion and adequate program resources may be sufficient for some patient support organizations to implement CP

COINS: A composites information database system

An automated data abstraction form (ADAF) was developed to collect information on advanced fabrication processes and their related costs. The information will be collected for all components being fabricated as part of the ACT program and include in a COmposites INformation System (COINS) database. The aim of the COINS development effort is to provide future airframe preliminary design and fabrication teams with a tool through which production cost can become a deterministic variable in the design optimization process. The effort was initiated by the Structures Technology Program Office (STPO) of the NASA LaRC to implement the recommendations of a working group comprised of representatives from the commercial airframe companies. The principal working group recommendation was to re-institute collection of composite part fabrication data in a format similar to the DOD/NASA Structural Composites Fabrication Guide. The fabrication information collection form was automated with current user friendly computer technology. This work in progress paper describes the new automated form and features that make the form easy to use by an aircraft structural design-manufacturing team

Disclosure checklists for state and local governmental units : a financial reporting practice aid, Spring 1988 edition

https://egrove.olemiss.edu/aicpa_indev/1922/thumbnail.jp

JOSA: Joint surface-based registration and atlas construction of brain geometry and function

Surface-based cortical registration is an important topic in medical image analysis and facilitates many downstream applications. Current approaches for cortical registration are mainly driven by geometric features, such as sulcal depth and curvature, and often assume that registration of folding patterns leads to alignment of brain function. However, functional variability of anatomically corresponding areas across subjects has been widely reported, particularly in higher-order cognitive areas. In this work, we present JOSA, a novel cortical registration framework that jointly models the mismatch between geometry and function while simultaneously learning an unbiased population-specific atlas. Using a semi-supervised training strategy, JOSA achieves superior registration performance in both geometry and function to the state-of-the-art methods but without requiring functional data at inference. This learning framework can be extended to any auxiliary data to guide spherical registration that is available during training but is difficult or impossible to obtain during inference, such as parcellations, architectonic identity, transcriptomic information, and molecular profiles. By recognizing the mismatch between geometry and function, JOSA provides new insights into the future development of registration methods using joint analysis of the brain structure and function.Comment: A. V. Dalca and B. Fischl are co-senior authors with equal contribution. arXiv admin note: text overlap with arXiv:2303.0159