6 research outputs found

    Constraints on the adjustment of tidal marshes to accelerating sea level rise

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    Much uncertainty exists about the vulnerability of valuable tidal marsh ecosystems to relative sea level rise. Previous assessments of resilience to sea level rise, to which marshes can adjust by sediment accretion and elevation gain, revealed contrasting results, depending on contemporary or Holocene geological data. By analyzing globally distributed contemporary data, we found that marsh sediment accretion increases in parity with sea level rise, seemingly confirming previously claimed marsh resilience. However, subsidence of the substrate shows a nonlinear increase with accretion. As a result, marsh elevation gain is constrained in relation to sea level rise, and deficits emerge that are consistent with Holocene observations of tidal marsh vulnerability

    Improving Quality of Life in Patients at Risk for Post–Intensive Care Syndrome

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    Objective: To improve quality of life (QOL) in patients at risk for post–intensive care syndrome (PICS). Patients and Methods: We conducted a mixed-method, prospective, observational, pre-post interventional study in an adult medical and mixed medical/surgical/transplant intensive care unit (ICU) at a tertiary academic hospital. Preintervention included patients admitted from October 1 through October 31, 2016, and postintervention included patients admitted from January 15 through February 14, 2017. First, a multidisciplinary team of stakeholders identified barriers associated with decreased QOL in patients at risk for PICS. Next, interventions were designed and implemented. The effect of interventions was assessed using a mixed-method analysis. The qualitative analysis used a modified grounded theory approach. The quantitative analysis included assessment of preexisting symptoms and risk factors associated with PICS. The 36-Item Short-Form Health Status Survey (SF-36), which surveys physical and mental composite scores, was used to assess QOL. Results: Barriers identified were lack of awareness and understanding of PICS. Interventions included educational videos, paper and online education and treatment materials, and online and in-person support groups for education and treatment. After interventions, the qualitative analysis found that patients who participated in the interventions after hospital discharge showed improved QOL, whereas education during hospitalization alone was not effective. The quantitative analysis did not find improvement in QOL, as defined by SF-36 physical or mental composite scores. Conclusion: Interventions targeted to patients after hospitalization may offer subjective improvement in QOL for those at risk for PICS

    A Uniting Force: The One Book, One City Program in Indianapolis

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    One Book, One City is a nation-wide program in which everyone in a community reads the same book. Typically an annual event, the program is intended to foster a sense of community, promote reading among adults, and celebrate literature. This paper evaluates the implementation of Indianapolis’s version of this program—One Book, One City: Indy Reads. In order to do this, the paper analyzes Indianapolis’s reaction to the program through book circulation, community involvement, and patron response

    The X-ray Absorption Spectroscopic Model of the Copper(II) Imidazole Complex Ion in Liquid Aqueous Solution: A Strongly Solvated Square Pyramid

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