Removal of ANA Language to Increase Access to Vaccination Compliance

Background: In 2015, the American Nurses Association (ANA) revised their immunization and vaccine policy statement to address the culture of vaccines that was prevalent in 2015. Due to evolving climate and growth in vaccination noncompliance as evidenced by recent outbreaks of vaccine preventable illnesses. Purpose of Project: It is my recommendation that the ANA remove their endorsement of religious exemption from vaccinations in their policy statement, considering misapplications for which the exemption was not designed and that compromises the safety of the public. Additionally, annual medical exemption recertification signed by a qualified provider will become the recommended standard of practice. EBP Model/Frameworks: The Iowa Based Model’s intuitive architecture helped identify a knowledge gap during the 2019 measles crisis in the United States and triggered a research project of removing all but non-medical exemptions from vaccinations as a national initiative. Designed to manage the efforts of clinicians during research after a triggering event and facilitate question development, the Iowa Model proved most suitable for project development and implementation. The time-tested design of the Iowa Model evidenced by its repetitive utilization in the nursing construct ensured project success. Evidenced Based Interventions: Mississippi, Virginia, and California exists as evidence-based models for decreasing vaccination preventable illness after removing verbiage for religious exemptions to vaccinations at the state legislative levels demonstrating a marked decline in disease prevalence. Evaluation/Results: The measurable increase in vaccination rates corresponding to the decrease in vaccine preventable illnesses as reported by the number of national cases by the CDC. The correlation of vaccination rates in states that allow religious and personal vaccination exemptions compared with the occurrence of preventable illnesses. Nationally, there has been a 99% decrease in measles prevalence since project implementation. Implications for Practice: Vaccine preventable illnesses continue a downward trend until declared eradicated by the World Health Organization. Vaccination rates increase and incidence of preventable diseases decrease. Herd immunity develops to a threshold to safely protect those who cannot be vaccinated, i.e., immunocompromised individuals. Conclusions: Removal of ANA endorsement of religious exemptions to vaccinations will propagate a culture of vaccination compliance that ensures the safety of individual patients and that of the general populace and it protects those who exempt from vaccination because they cannot become vaccinated due only to medical contradictions

Care of the soul as a philosophical problem

Tato bakalářská práce se zabývá péčí o duši. Cílem práce bylo vyjádřit, co myslíme péčí o duši, a připomenout její důležitost a úlohu v lidském životě, především pak v mládí. Pojem duše a způsoby jejího rozvíjení velmi úzce souvisejí s řeckým pojmem paideia, který je podrobně rozpracován v Platónově díle a který předznamenává vznik pedagogiky jakožto vědy. Proto se bakalářská práce zaměřuje i na výchovu a vzdělávání a snaží se znovu upozornit na jejich smysl a podstatu. Práce vychází z Platónových dialogů a Patočkových textů, zejména z jeho obsáhlých spisů a přednášek na téma péče o duši. Práce byla vypracována metodou analýzy vybraných Platónových a Patočkových textů za využití české i zahraniční sekundární literatury. Práce je členěna na 5 kapitol, z nichž první dvě přibližují čtenáři prostředí antických myslitelů a uvádějí ho do problematiky péče o duši, čímž vytvářejí teoretický úvod. Třetí kapitola se soustřeďuje na Platónovo dílo. Zejména se věnuje naukovému kurikulu představenému v Ústavě s poukazem na podobenství s ním související. Čtvrtá kapitola se věnuje dílu Jana Patočky, který bývá považován za nejvýznamnějšího českého myslitele zabývajícího se touto problematikou. Poslední kapitola je věnována možnostem sebepoznání. V závěru je zdůrazněn význam péče o duši a nutnost v této činnosti...This bachelor thesis deals with the topic of the care of soul. The goal of the work is to express what is meant by care of the soul and to remind its importance and its role in human life, especially at young age. The concept of soul and the ways of its development are very closely connected with the Greek concept of paideia, which is elaborated on in Plato's work and which foreshadows the beginning of pedagogy as a science. Therefore, the bachelor thesis focuses also on education and tries to pay attention to its meaning and essence. The thesis is based on Plato's dialogues and Patočka's texts, especially on his extensive writings and lectures on the topic of the care of soul. This work is written, when the key method is the analysis of selected texts using Czech literature as primary and foreign as secondary. The work is divided into 5 chapters. First two form a theoretical introduction to the context of the age of ancient thinkers and the issue of care of soul. The third chapter focuses on Plato's work itself. It deals with the educational curriculum introduced in the Republic with reference to the parable related to it. The fourth chapter looks on the work of Jan Patočka, who is considered the most important Czech thinker focusing on this issue. The last chapter is devoted to the possibilities...Katedra občanské výchovy a filosofiePedagogická fakultaFaculty of Educatio

Innovation of lamp LV with LED technology

katedra: KST; přílohy: 1 CD ROM, 4 výkresy, 30 stran příloh; rozsah: 72 s. (75500 znaků)This diploma thesis is concerned with LED innovation of LV lamp, which currently has a challenging cooling issue. Whole process is planned by project management. Similar competitor?s designs are inspected for the design creation. Patent background research and customer demand is also taken into consideration. Using decision table, the best concept is chosen. During the detailed fabrication, optimizing methods of DFX and FMEA innovation engineering is used. This optimized solution is analysed for the cooling issues by ANSYS program, main stressed parts are checked and luminance curves are simulated. By this process, MODUS Company will be able to implement more efficient lamps.Diplomová práce se zabývá inovací stávajícího svítidla LV technologií LED, u které je zásadním problémem chlazení svítidla. Celý průběh práce je plánován pomocí projektového řízení. Pro tvorbu návrhů jsou prozkoumána obdobná konkurenční řešení, je provedena rešerše patentů a jsou zohledněny požadavky zákazníků. Z vytvořených návrhů je pomocí rozhodovacích tabulek vybrán nejlepší koncept, při jehož detailní konstrukci je využíváno optimalizačních metod inovačního inženýrství DFX a FMEA. Takto optimalizované řešení je analyzováno v oblasti chlazení programem ANSYS, jsou zkontrolovány hlavní namáhané části a je provedena simulace křivek svítivosti. Přínosem je možnost zavedení výkonnějších LED svítidel do sortimentu firmy MODUS

Planning Study of the Reconstruction Primary Schole Building „Schola Viva – Blok E“ in Šumperk

Import 27/01/2012Tato diplomová práce se zabývá návrhem rekonstrukce objektu základní školy pro žáky se specifickými poruchami učení. Objekt se nachází v Šumperku na ulici Erbenova č. 16 v katastrálním území Dolní Temenice. Teoretická část této práce se zabývá problematikou funkčního a dispozičního uspořádání základních a mateřských škol a z toho vyplývajících požadavků na konstrukce. Praktická část se zabývá samotným návrhem rekonstrukce a je zpracována v rozsahu dokumentace pro územní rozhodnutí. Při návrhu byl kladen důraz především na vhodné dispoziční uspořádání a navýšení kapacit školy. Výsledkem práce je návrh, který respektuje potřeby školy a všechny související právní předpisy.This diploma thesis is solving design of a reconstruction of primary school for schoolchildren with specific learning disorder. Building is located at Šumperk city, on the street Erbenova with a lot number 16 of land registry Dolní Temenice. Theoretical part deals with functional and dispositional arrangement of primary schools and kindergartens and the resulting requirements for construction. Practical part is about design of reconstruction and is processed in extend of documentation for zoning decision. In the process of design emphasis laid on correct dispositional arrangement and rise up of school capacity. Result of diploma thesis is design which respect schools needs and all other legal laws.Prezenční222 - Katedra městského inženýrstvívýborn

Field evaluation of a visual barrier to discourage gull nesting

Ring-billed Gull Larus delawarensis and California Gull L. californicus populations have increased throughout the western United States in close association with human settlement (Conover 1983; Ryder 1993). On Upper Nelson Island in the Columbia River, the number of Ring-billed and California Gull nests increased from 4 600 in 1978 to 21 000 in 1999 (Thompson and Tabor 1981; Pochop, this manuscript). Agriculture and landfills provided food sources, and construction of reservoirs increased island nest sites for gulls (Ryder 1993). Gulls gather below hydroelectric facilities in the spring to feed on migrating juvenile salmonids (Steuber et al. 1995). Also, increased gull populations present bird-aircraft strike hazards, create nuisances and potential threats to public health, and damage cherry orchards (Greenhalgh 1952; Blokpoel and Strugger 1988; Blokpoel and Tessier 1992; Gabrey and Dolbeer 1996; Hatch 1996)

Field evaluation of a visual barrier to discourage gull nesting

Expanding gull populations along the Columbia River have been implicated in depredations to threatened and endangered migrating salmon smolt, depredations to agriculture crops, bird-aircraft strike hazards, nuisance problems, and potential threats to public health. In an effort to develop management methods for controlling gull populations, we tested a visual barrier to discourage gulls from nesting on an island in the Columbia River. The barrier material is a woven black polypropylene fabric that we utilized to take advantage of the gulls\u27 innate predator avoidance mechanisms, by removing their line of sight to approaching terrestrial predators while providing no protection from aerial predators. The visual barrier was installed on Upper Nelson Island, Benton County, Washington, in a 70 x 70 m area composed of parallel rows spaced 5 m apart. Gulls used 87% of the 7.9 ha island as nesting habitat and we estimated \u3e21,000 gull nests, 80% Ring-billed Gull and 20% California Gull nests. However, Ring-billed Gulls occupied only 38% of the nesting territory, while California Gulls occupied the remainder. The treated and control zones occupied about 12.3% of the gull nesting habitat on the island. The area with fencing had 84% fewer nests than the control area. Silt fencing has potential as a nonlethal bird management technique in certain situations and should be further evaluated as a nesting deterrent

Field Evaluation of a Visual Barrier to Discourage Gull Nesting

Expanding gull populations along the Columbia River have been implicated in depredations to threatened and endangered migrating salmon smolt, depredations to agriculture crops, bird-aircraft strike hazards, nuisance problems, and potential threats to public health. In an effort to develop management methods for controlling gull populations, we tested a visual barrier to discourage gulls from nesting on an island in the Columbia River. The barrier material is a woven black polypropylene fabric that we utilized to take advantage of the gulls\u27 innate predator avoidance mechanisms, by removing their line of sight to approaching terrestrial predators while providing no protection from aerial predators. The visual barrier was installed on Upper Nelson Island, Benton County, Washington, in a 70 x 70 m area composed of parallel rows spaced 5 m apart. Gulls used 87% of the 7.9 ha island as nesting habitat and we estimated \u3e21,000 gull nests, 80% Ring-billed Gull and 20% California Gull nests. However, Ring-billed Gulls occupied only 38% of the nesting territory, while California Gulls occupied the remainder. The treated and control zones occupied about 12.3% of the gull nesting habitat on the island. The area with fencing had 84% fewer nests than the control area. Silt fencing has potential as a nonlethal bird management technique in certain situations and should be further evaluated as a nesting deterrent

Translocating Common Nighthawks at McConnell Air Force Base, Kansas to Reduce Aircraft Strikes

McConnell Air Force Base (MAFB) experiences a unique bird/aircraft hazard problem with migrating common nighthawks (Chordeiles minor) from August-October. Nighthawks are the most commonly struck species at MAFB, representing about 38% of total reported bird/aircraft strikes and 82% of the strikes from August-October. Factors that contribute to an over abundance of nighthawks on MAFB are: abundant foraging opportunities in close proximity to the airfield, available roosting habitat for nighthawks on and around the airfield, the lack of a Bird Aircraft Strike Hazard program to address nighthawks, and the location of MAFB on a nighthawk migration route. Approaches for managing nighthawks on and around airfields are limited because of their nocturnal behavior, logistics, and an incomplete understanding of nighthawk behavior. At MAFB, we determined the number of nighthawks using the airfield; their foraging, loafing and roosting areas; and their feeding habits. Based on this information, we developed a management strategy to reduce the nighthawk hazard to aircraft. From August-October in 1999 and 2000, we recorded 540 and 920 observations, respectively, of nighthawks using the airfield. The number of individuals increased rapidly during August and September, reaching a peak between 9-14 September in 1999 and 27-30 September in 2000. During one 2-hour survey period each in 1999 and 2000, 37 and 59 nighthawks, respectively, were flushed from the airfield. Most nighthawk foraging activity at the airfield occurred between 1800-2200. Nighthawks started roosting on the airfield about 1800 with a peak between 2200-0200. Thirty-seven nighthawks collected during the study period consumed a variety of insects, consisting mostly of corn earworm moths (Noctuidae—47% of stomach contents) and beetles (Scarabaeidae). Insect sweeps of the airfield indicated a low density of these species of insects, suggesting that most nighthawks foraging activity occurred away from the airfield. Management of nighthawks on MAFB has been difficult because commonly used hazing techniques seem to be ineffective. Furthermore, nighthawks have a behavior of returning to the same roosting location after being flushed which can present an even greater risk to aircraft. We developed and evaluated a unique live-capture technique for nighthawks using the airfield for the purpose of evaluating nighthawk relocation. During 1999 and 2000, 215 nighthawks were captured and relocated to sites 44 km north and 88 km south from MAFB. Only one nighthawk returned to MAFB after being relocated 44 km north. The nighthawk returned after 11 days to within 100 m of its capture location. Relocation of nighthawks from MAFB in 1999 and 2000 reduced nighthawk/aircraft strikes from 9 in 1998 when no relocation was conducted to 0 in 1999 and 3 in 2000

POTENTIAL BIRD REPELLENTS TO REDUCE BIRD DAMAGE TO LETTUCE SEED AND SEEDLINGS

The authors evaluated the effectiveness of ReJeX-iT® AG-145, Mesurol®, activated charcoal, lime, and fipronil to reduce homed lark damage to lettuce seeds and seedlings. In Experiment 1, homed larks consumed significantly more feed mixture (50:50 grains and lettuce seed) than untreated clay-coated lettuce seed in a three-day choice-test. In Experiment 2, where clay-coated lettuce seed was treated with ReJeX-iT® AG- 145, Mesurol®, activated charcoal, or lime, there was no significant difference in consumption of untreated clay-coated lettuce seed and treated clay-coated lettuce seed. Homed larks consumed insignificant amounts of all seed treatments including untreated coated lettuce seed. In this experiment homed larks lost an average of 28 % of their body weight over the three-day test period. It was concluded that the clay seed coating alone reduced damage significantly. In the aviary test, flats of sprouting lettuce seedlings were sprayed with Mesurol® (4 kg/ha), ReJeX-iT® AG-145 (64 kg/ha), lime (32 kg/ha), activated charcoal (32 kg/ha), and fipronil(4 kg/ha). Mesurol®, ReJeX-iT® AG-145, and lime significantly reduced consumption of lettuce seedlings over a four-day test period. Even though lime significantly reduced consumption, homed larks still consumed over 50% of the available lettuce seedlings. Field evaluations are warranted with Mesurol® and ReJeX-iT® AG-145