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Sample records for understanding seasonal home

  1. Seasonal variation of radon concentrations in UK homes

    International Nuclear Information System (INIS)

    Miles, J C H; Howarth, C B; Hunter, N

    2012-01-01

    The patterns of seasonal variation of radon concentrations were measured in 91 homes in five regions of the UK over a period of two years. The results showed that there was no significant difference between the regions in the pattern or magnitude of seasonal variation in radon concentrations. The arithmetic mean variation was found to be close to that found previously in the UK national survey. Differences in the pattern between the two years of the study were not significant. Two-thirds of homes in the study followed the expected pattern of high radon in the winter and low radon in the summer. Most of the rest showed little seasonal variation, and a few showed a reversed seasonal pattern. The study does not provide any clear evidence for the recorded house characteristics having an effect on the seasonal variation in radon concentrations in UK homes, though the statistical power for determining such effects is limited in this study. The magnitude of the seasonal variation varied widely between homes. Analysis of the individual results from the homes showed that because of the wide variation in the amount of seasonal variation, applying seasonal correction factors to the results of three-month measurements can yield only relatively small improvements in the accuracy of estimates of annual mean concentrations.

  2. Seasonal Variability of Airborne Particulate Matter and Bacterial Concentrations in Colorado Homes

    Directory of Open Access Journals (Sweden)

    Nicholas Clements

    2018-04-01

    Full Text Available Aerosol measurements were collected at fifteen homes over the course of one year in Colorado (USA to understand the temporal variability of indoor air particulate matter and bacterial concentrations and their relationship with home characteristics, inhabitant activities, and outdoor air particulate matter (PM. Indoor and outdoor PM2.5 concentrations averaged (±st. dev. 8.1 ± 8.1 μg/m3 and 6.8 ± 4.5 μg/m3, respectively. Indoor PM2.5 was statistically significantly higher during summer compared to spring and winter; outdoor PM2.5 was significantly higher for summer compared to spring and fall. The PM2.5 I/O ratio was 1.6 ± 2.4 averaged across all homes and seasons and was not statistically significantly different across the seasons. Average indoor PM10 was 15.4 ± 18.3 μg/m3 and was significantly higher during summer compared to all other seasons. Total suspended particulate bacterial biomass, as determined by qPCR, revealed very little seasonal differences across and within the homes. The qPCR I/O ratio was statistically different across seasons, with the highest I/O ratio in the spring and lowest in the summer. Using one-minute indoor PM10 data and activity logs, it was observed that elevated particulate concentrations commonly occurred when inhabitants were cooking and during periods with elevated outdoor concentrations.

  3. Home in the heat: Dramatic seasonal variation in home range of desert golden eagles informs management for renewable energy development

    Science.gov (United States)

    Braham, Melissa A.; Miller, Tricia A.; Duerr, Adam E.; Lanzone, Michael J.; Fesnock, Amy; LaPre, Larry; Driscoll, Daniel; Katzner, Todd E.

    2015-01-01

    Renewable energy is expanding quickly with sometimes dramatic impacts to species and ecosystems. To understand the degree to which sensitive species may be impacted by renewable energy projects, it is informative to know how much space individuals use and how that space may overlap with planned development. We used global positioning system–global system for mobile communications (GPS-GSM) telemetry to measure year-round movements of golden eagles (Aquila chrysaetos) from the Mojave Desert of California, USA. We estimated monthly space use with adaptive local convex hulls to identify the temporal and spatial scales at which eagles may encounter renewable energy projects in the Desert Renewable Energy Conservation Plan area. Mean size of home ranges was lowest and least variable from November through January and greatest in February–March and May–August. These monthly home range patterns coincided with seasonal variation in breeding ecology, habitat associations, and temperature. The expanded home ranges in hot summer months included movements to cooler, prey-dense, mountainous areas characterized by forest, grasslands, and scrublands. Breeding-season home ranges (October–May) included more lowland semi-desert and rock vegetation. Overlap of eagle home ranges and focus areas for renewable energy development was greatest when eagle home ranges were smallest, during the breeding season. Golden eagles in the Mojave Desert used more space and a wider range of habitat types than expected and renewable energy projects could affect a larger section of the regional population than was previously thought.

  4. Home radon levels and seasonal correction factors for the Isle of Man

    International Nuclear Information System (INIS)

    Grainger, P.; Preece, A.W.; Goodfellow, S.A.

    2000-01-01

    Ionizing radiation dose levels due to home radon can rise to levels that would be illegal for workers in the nuclear industry. It is well known that radon levels within homes and from home to home, and also from month to month, vary considerably. To define an Isle of Man radon seasonal correction factor, readings were taken in eight homes over a 12 month period. An average island indoor exposure of 48 Bq m -3 (range 4-518 Bq m -3 ) was determined from 285 homes selected from a cohort of 1300 families participating in the European Longitudinal Study of Pregnancy and Childhood (ELSPAC) in the Isle of Man. This compares with a UK home average of 20 Bq m -3 and a European Union average (excluding UK) of 68 Bq m -3 . Ten homes of those measured were found to have radon levels above the National Radiological Protection Board 200 Bq m -3 action level. There are 29 377 homes on the Isle of Man, suggesting that there could be some 900 or more homes above the action level. No statistical difference was found between the NRPB and Isle of Man seasonal correction factors. (author)

  5. Linking seasonal home range size with habitat selection and movement in a mountain ungulate.

    Science.gov (United States)

    Viana, Duarte S; Granados, José Enrique; Fandos, Paulino; Pérez, Jesús M; Cano-Manuel, Francisco Javier; Burón, Daniel; Fandos, Guillermo; Aguado, María Ángeles Párraga; Figuerola, Jordi; Soriguer, Ramón C

    2018-01-01

    Space use by animals is determined by the interplay between movement and the environment, and is thus mediated by habitat selection, biotic interactions and intrinsic factors of moving individuals. These processes ultimately determine home range size, but their relative contributions and dynamic nature remain less explored. We investigated the role of habitat selection, movement unrelated to habitat selection and intrinsic factors related to sex in driving space use and home range size in Iberian ibex, Capra pyrenaica . We used GPS collars to track ibex across the year in two different geographical areas of Sierra Nevada, Spain, and measured habitat variables related to forage and roost availability. By using integrated step selection analysis (iSSA), we show that habitat selection was important to explain space use by ibex. As a consequence, movement was constrained by habitat selection, as observed displacement rate was shorter than expected under null selection. Selection-independent movement, selection strength and resource availability were important drivers of seasonal home range size. Both displacement rate and directional persistence had a positive relationship with home range size while accounting for habitat selection, suggesting that individual characteristics and state may also affect home range size. Ibex living at higher altitudes, where resource availability shows stronger altitudinal gradients across the year, had larger home ranges. Home range size was larger in spring and autumn, when ibex ascend and descend back, and smaller in summer and winter, when resources are more stable. Therefore, home range size decreased with resource availability. Finally, males had larger home ranges than females, which might be explained by differences in body size and reproductive behaviour. Movement, selection strength, resource availability and intrinsic factors related to sex determined home range size of Iberian ibex. Our results highlight the need to integrate

  6. Spatial and seasonal diversity of wild food plants in home gardens of Northeast Thailand

    NARCIS (Netherlands)

    Cruz Garcia, G.S.; Struik, P.C.

    2015-01-01

    Wild food plants (WFPs) are major components of tropical home gardens, constituting an important resource for poor farmers. The spatial and seasonal diversity of WFPs was analyzed across multi-species spatial configurations occurring within home gardens in a rice farming village in northeast

  7. Attributes of seasonal home range influence choice of migratory strategy in white-tailed deer

    Science.gov (United States)

    Henderson, Charles R.; Mitchell, Michael S.; Myers, Woodrow L.; Lukacs, Paul M.; Nelson, Gerald P.

    2018-01-01

    Partial migration is a common life-history strategy among ungulates living in seasonal environments. The decision to migrate or remain on a seasonal range may be influenced strongly by access to high-quality habitat. We evaluated the influence of access to winter habitat of high quality on the probability of a female white-tailed deer (Odocoileus virginianus) migrating to a separate summer range and the effects of this decision on survival. We hypothesized that deer with home ranges of low quality in winter would have a high probability of migrating, and that survival of an individual in winter would be influenced by the quality of their home range in winter. We radiocollared 67 female white-tailed deer in 2012 and 2013 in eastern Washington, United States. We estimated home range size in winter using a kernel density estimator; we assumed the size of the home range was inversely proportional to its quality and the proportion of crop land within the home range was proportional to its quality. Odds of migrating from winter ranges increased by 3.1 per unit increase in home range size and decreased by 0.29 per unit increase in the proportion of crop land within a home range. Annual survival rate for migrants was 0.85 (SD = 0.05) and 0.84 (SD = 0.09) for residents. Our finding that an individual with a low-quality home range in winter is likely to migrate to a separate summer range accords with the hypothesis that competition for a limited amount of home ranges of high quality should result in residents having home ranges of higher quality than migrants in populations experiencing density dependence. We hypothesize that density-dependent competition for high-quality home ranges in winter may play a leading role in the selection of migration strategy by female white-tailed deer.

  8. Seasonal Changes in Atmospheric Noise Levels and the Annual Variation in Pigeon Homing Performance

    Science.gov (United States)

    Hagstrum, J. T.; McIsaac, H. P.; Drob, D. P.

    2015-12-01

    The remarkable navigational ability of homing pigeons (Columba livia) is influenced by a number of factors, an unknown one of which causes the "Wintereffekt"1 or annual variation in homing performance. Minima in homeward orientation and return speeds have been observed in winter, with maxima in summer, during repetitive pigeon releases from single sites near experimental lofts in Wilhelmshaven, Göttingen, and Munich, Germany, and near Pisa, Italy1-4. Overall the annual variation is more pronounced in northern Germany than Italy4, and both mature and juvenile cohorts respond to this seasonal factor. Older, more experienced pigeons are better at compensating for its effects than naïve ones, but are still affected after numerous releases. The narrow low-frequency band of atmospheric background noise (microbaroms; 0.1-0.3 Hz) also varies with an annual cycle that generally has higher amplitudes in winter than in summer depending on location5. In addition, homing pigeons, and possibly other birds, apparently use infrasonic signals of similar frequency as navigational cues6, and a seasonal variation in background noise levels could cause corresponding changes in signal-to-noise ratios and thus in homing performance. The annual variation in homing performance, however, was not observed during long-term pigeon releases at two sites in eastern North America. The annual and geographic variability in homing performance in the northern hemisphere can be explained to a first order by seasonal changes in infrasonic noise sources related to ocean storm activity, and to the direction and intensity of stratospheric winds. In addition, increased dispersion in departure bearings of individual birds for some North American releases were likely caused by additional infrasonic noise associated with severe weather events during tornado and Atlantic hurricane seasons. 1Kramer, G. & von Saint Paul, U., J. Ornithol. 97, 353-370 (1956); 2Wallraff, H. G., Z. Tierpsychol. 17, 82-113 (1960

  9. Understanding Flood Seasonality and Its Temporal Shifts within the Contiguous United States

    Energy Technology Data Exchange (ETDEWEB)

    Ye, Sheng [Institute of Hydrology and Water Resources, School of Civil Engineering, Zhejiang University, Hangzhou, China; Li, Hong-Yi [Pacific Northwest National Laboratory, Richland, Washington; Leung, L. Ruby [Pacific Northwest National Laboratory, Richland, Washington; Guo, Jiali [College of Civil and Hydropower Engineering, China Three Gorges University, Yichang, China; State Key Laboratory of Water Resources and Hydropower Engineering Science, Wuhan University, Wuhan, China; Ran, Qihua [Institute of Hydrology and Water Resources, School of Civil Engineering, Zhejiang University, Hangzhou, China; Demissie, Yonas [Department of Civil and Environmental Engineering, Washington State University Tri-Cities, Richland, Washington; Sivapalan, Murugesu [Department of Geography and Geographic Information Science, University of Illinois at Urbana–Champaign, Champaign, Illinois; Department of Civil and Environmental Engineering, University of Illinois at Urbana–Champaign, Urbana, Illinois

    2017-07-01

    Understanding the causes of flood seasonality is critical for better flood management. This study examines the seasonality of annual maximum floods (AMF) and its changes before and after 1980 at over 250 natural catchments across the contiguous United States. Using circular statistics to define a seasonality index, our analysis focuses on the variability of the flood occurrence date. Generally, catchments with more synchronized seasonal water and energy cycles largely inherit their seasonality of AMF from that of annual maximum rainfall (AMR). In contrast, the seasonality of AMF in catchments with loosely synchronized water and energy cycles are more influenced by high antecedent storage, which is responsible for the amplification of the seasonality of AMF over that of AMR. This understanding then effectively explains a statistically significant shift of flood seasonality detected in some catchments in the recent decades. Catchments where the antecedent soil water storage has increased since 1980 exhibit increasing flood seasonality while catchments that have experienced increases in storm rainfall before the floods have shifted towards floods occurring more variably across the seasons. In the eastern catchments, a concurrent widespread increase in event rainfall magnitude and reduced soil water storage have led to a more variable timing of floods. Our findings of the role of antecedent storage and event rainfall on the flood seasonality provide useful insights for understanding future changes in flood seasonality as climate models projected changes in extreme precipitation and aridity over land.

  10. Pseudomonas putida and Pseudomonas fluorescens Species Group Recovery from Human Homes Varies Seasonally and by Environment.

    Directory of Open Access Journals (Sweden)

    Susanna K Remold

    Full Text Available By shedding light on variation in time as well as in space, long-term biogeographic studies can help us define organisms' distribution patterns and understand their underlying drivers. Here we examine distributions of Pseudomonas in and around 15 human homes, focusing on the P. putida and P. fluorescens species groups. We describe recovery from 10,941 samples collected during up to 8 visits per home, occurring on average 2.6 times per year. We collected a mean of 141 samples per visit, from sites in most rooms of the house, from the surrounding yards, and from human and pet occupants. We recovered Pseudomonas in 9.7% of samples, with the majority of isolates being from the P. putida and P. fluorescens species groups (approximately 62% and 23% of Pseudomonas samples recovered respectively. Although representatives of both groups were recovered from every season, every house, and every type of environment sampled, recovery was highly variable across houses and samplings. Whereas recovery of P. putida group was higher in summer and fall than in winter and spring, P. fluorescens group isolates were most often recovered in spring. P. putida group recovery from soils was substantially higher than its recovery from all other environment types, while higher P. fluorescens group recovery from soils than from other sites was much less pronounced. Both species groups were recovered from skin and upper respiratory tract samples from healthy humans and pets, although this occurred infrequently. This study indicates that even species that are able to survive under a broad range of conditions can be rare and variable in their distributions in space and in time. For such groups, determining patterns and causes of stochastic and seasonal variability may be more important for understanding the processes driving their biogeography than the identity of the types of environments in which they can be found.

  11. Effects of five-element music therapy on elderly people with seasonal affective disorder in a Chinese nursing home.

    Science.gov (United States)

    Liu, Xifang; Niu, Xin; Feng, Qianjin; Liu, Yaming

    2014-04-01

    To explore the effects of five-element music therapy on elderly patients with seasonal affective disorder in a Chinese nursing home. The patients (n = 50) were recruited from a Shijingshan district nursing home in Beijing, China. They were randomly assigned to two groups, a treatment group and a control group, with 25 participants in each group. The patients received music therapy for 1-2 h each week over an 8-week period. The music therapy involved four phases: introduction, activities, listening to the Chinese five-element music, and a concluding phase. The participants in the control group did not listen to the five-element music. This study consisted of two parts: (a) a qualitative study that used focus groups to understand the feelings of the patients with seasonal affective disorder; (b) a quantitative study that involved administration of the self-rating depression scale (SDS) and Hamilton depression scale (HAMD) before and after treatment. (a) Qualitative analysis results: strength derived from the five-element group music therapy and emotional adjustment. The five-element group music therapy can reduce patients' psychological distress and let them feel inner peace and enhance their life satisfaction. (b) No significant difference in SDS and HAMD scores was found between the two groups (P > 0.05) prior to treatment. After treatment, the mean SDS score of the control group was 49.9 +/- 18.8, while the treatment group's score was 40.2 +/- 18.1. The HAMD score of the control group was 11.2 +/-3.1, and the treatment group's score was 8.8 +/- 4.9. Following 8 weeks of music therapy, the SDS and HAMD scores of the treatment group were significantly lower than those for the control group (P music therapy alleviated the symptoms of seasonal affective disorder in the elderly patients.

  12. Frameworks for Understanding Challenging Behaviour in Out-of-Home Care

    Science.gov (United States)

    McLean, Sara; Kettler, Lisa; Delfabbro, Paul; Riggs, Damien

    2012-01-01

    Background: Challenging and disruptive behaviour is commonly reported among children placed in the out-of-home care sector. Little is known about how stakeholders in this sector understand or manage challenging behaviour. Method: Ninety-two stakeholders in the South Australian out-of-home care sector were interviewed about their approach to…

  13. Home-based Self-care: Understanding and Designing Pervasive Technology to Support Care Management Work at Home

    DEFF Research Database (Denmark)

    Verdezoto, Nervo

    the self-care management work at home. People need to know which care activities to perform, when to perform them, how to proceed and why these are important. While at home, an active lifestyle and comorbidity not only challenge self-care activities but also the use of self-care technologies in non...... that fit into people’s everyday life. Through a design research approach applying user-centered design methods and prototyping, the main focus of this dissertation is on exploring and providing a holistic understanding of the self-care work practices in non-clinical settings. Several home-based care...... practices are investigated to (a) further understand the self-care management work in nonclinical settings, and (b) inform future design of pervasive healthcare technology that accounts for people’s perspectives on self-care and everyday life. First, we explore two selfcare practices of medication...

  14. Understanding Smart Home Sensor Data for Ageing in Place Through Everyday Household Routines: A Mixed Method Case Study.

    Science.gov (United States)

    van Kasteren, Yasmin; Bradford, Dana; Zhang, Qing; Karunanithi, Mohan; Ding, Hang

    2017-06-13

    An ongoing challenge for smart homes research for aging-in-place is how to make sense of the large amounts of data from in-home sensors to facilitate real-time monitoring and develop reliable alerts. The objective of our study was to explore the usefulness of a routine-based approach for making sense of smart home data for the elderly. Maximum variation sampling was used to select three cases for an in-depth mixed methods exploration of the daily routines of three elderly participants in a smart home trial using 180 days of power use and motion sensor data and longitudinal interview data. Sensor data accurately matched self-reported routines. By comparing daily movement data with personal routines, it was possible to identify changes in routine that signaled illness, recovery from bereavement, and gradual deterioration of sleep quality and daily movement. Interview and sensor data also identified changes in routine with variations in temperature and daylight hours. The findings demonstrated that a routine-based approach makes interpreting sensor data easy, intuitive, and transparent. They highlighted the importance of understanding and accounting for individual differences in preferences for routinization and the influence of the cyclical nature of daily routines, social or cultural rhythms, and seasonal changes in temperature and daylight hours when interpreting information based on sensor data. This research has demonstrated the usefulness of a routine-based approach for making sense of smart home data, which has furthered the understanding of the challenges that need to be addressed in order to make real-time monitoring and effective alerts a reality. ©Yasmin van Kasteren, Dana Bradford, Qing Zhang, Mohan Karunanithi, Hang Ding. Originally published in JMIR Mhealth and Uhealth (http://mhealth.jmir.org), 13.06.2017.

  15. Beyond Self-Monitoring: Understanding Non-functional Aspects of Home-based Healthcare Technology

    DEFF Research Database (Denmark)

    Grönvall, Erik; Verdezoto, Nervo

    2013-01-01

    the appropriation of healthcare technologies and people with comorbidity may have diverse but co-existing monitoring needs. In this paper, we seek to understand home-based health monitoring practices to better design and integrate them into people’s everyday life. We perform an analysis of socio......-technical complexities in home-based healthcare technologies through three case studies of self-monitoring: 1) pre-eclampsia (i.e. pregnancy poisoning), 2) heart conditions, and 3) preventive care. Through the analysis seven themes emerged (people, resources, places, routines, knowledge, control and motivation) that can...... facilitate the understanding of home-based healthcare activities. We present three modes of self-monitoring use and provide a set of design recommendations for future Ubicomp designs of home-based healthcare technology....

  16. RFRP neurons - the doorway to understanding seasonal reproduction in mammals

    Directory of Open Access Journals (Sweden)

    Jo Beldring Henningsen

    2016-05-01

    Full Text Available Seasonal control of reproduction is critical for the perpetuation of species living in temperate zones that display major changes in climatic environment and availability of food resources. In mammals, seasonal cues are mainly provided by the annual change in the 24h light/dark ratio (i.e. photoperiod, which is translated into the nocturnal production of the pineal hormone melatonin. The annual rhythm in this melatonin signal acts as a synchronizer ensuring that breeding occurs when environmental conditions favor survival of the offspring. Although specific mechanisms might vary among seasonal species, the hypothalamic RF (Arg-Phe amide-related peptides (RFRP-1 and -3 are believed to play a critical role in the central control of seasonal reproduction and in all seasonal species investigated, the RFRP system is persistently inhibited in short photoperiod. Central chronic administration of RFRP-3 in short day-adapted male Syrian hamsters fully reactivates the reproductive axis despite photoinhibitory conditions, which highlights the importance of the seasonal changes in RFRP expression for proper regulation of the reproductive axis. The acute effects of RFRP peptides, however, depend on species, photoperiod and recent studies point towards a different role of RFRP in regulating female reproductive activity. In this review we summarize the recent advances made to understand the role and underlying mechanisms of RFRP in the seasonal control of reproduction, primarily focusing on mammalian species.

  17. A Theoretical Approach to Understanding Population Dynamics with Seasonal Developmental Durations

    Science.gov (United States)

    Lou, Yijun; Zhao, Xiao-Qiang

    2017-04-01

    There is a growing body of biological investigations to understand impacts of seasonally changing environmental conditions on population dynamics in various research fields such as single population growth and disease transmission. On the other side, understanding the population dynamics subject to seasonally changing weather conditions plays a fundamental role in predicting the trends of population patterns and disease transmission risks under the scenarios of climate change. With the host-macroparasite interaction as a motivating example, we propose a synthesized approach for investigating the population dynamics subject to seasonal environmental variations from theoretical point of view, where the model development, basic reproduction ratio formulation and computation, and rigorous mathematical analysis are involved. The resultant model with periodic delay presents a novel term related to the rate of change of the developmental duration, bringing new challenges to dynamics analysis. By investigating a periodic semiflow on a suitably chosen phase space, the global dynamics of a threshold type is established: all solutions either go to zero when basic reproduction ratio is less than one, or stabilize at a positive periodic state when the reproduction ratio is greater than one. The synthesized approach developed here is applicable to broader contexts of investigating biological systems with seasonal developmental durations.

  18. The Influence of Sex and Season on Conspecific Spatial Overlap in a Large, Actively-Foraging Colubrid Snake.

    Directory of Open Access Journals (Sweden)

    Javan M Bauder

    Full Text Available Understanding the factors influencing the degree of spatial overlap among conspecifics is important for understanding multiple ecological processes. Compared to terrestrial carnivores, relatively little is known about the factors influencing conspecific spatial overlap in snakes, although across snake taxa there appears to be substantial variation in conspecific spatial overlap. In this study, we described conspecific spatial overlap of eastern indigo snakes (Drymarchon couperi in peninsular Florida and examined how conspecific spatial overlap varied by sex and season (breeding season vs. non-breeding season. We calculated multiple indices of spatial overlap using 6- and 3-month utilization distributions (UD of dyads of simultaneously adjacent telemetered snakes. We also measured conspecific UD density values at each telemetry fix and modeled the distribution of those values as a function of overlap type, sex, and season using generalized Pareto distributions. Home range overlap between males and females was significantly greater than overlap between individuals of the same sex and male home ranges often completely contained female home ranges. Male home ranges overlapped little during both seasons, whereas females had higher levels of overlap during the non-breeding season. The spatial patterns observed in our study are consistent with those seen in many mammalian carnivores, in which low male-male overlap and high inter-sexual overlap provides males with greater access to females. We encourage additional research on the influence of prey availability on conspecific spatial overlap in snakes as well as the behavioral mechanisms responsible for maintaining the low levels of overlap we observed.

  19. "Dignity": A central construct in nursing home staff understandings of quality continence care.

    Science.gov (United States)

    Ostaszkiewicz, Joan; Tomlinson, Emily; Hutchinson, Alison M

    2018-02-03

    To explore nursing home staff members' beliefs and expectations about what constitutes "quality continence care" for people living in nursing homes. Most nursing home residents require assistance to maintain continence or manage incontinence. Best practice guidelines promote active investigation of incontinence, treatment of underlying potentially reversible causes, and initial conservative interventions to prevent, minimise and/or treat incontinence. Despite research showing the positive benefits of implementing active interventions, translating the findings of research into practice in nursing homes has been modest. Understanding the perspectives of individuals who provide continence care may help bridge the gap between evidence and practice. A qualitative exploratory descriptive design. Qualitative interviews were conducted with 19 nursing home staff: eight registered nurses, four enrolled nurses and seven personal care workers working in a nursing home in Australia between 2014-2015. Data were analysed inductively to identify themes and subthemes that described and explained staff beliefs about quality continence care in nursing homes. Participants' understanding and expectations about quality continence care were linked to beliefs about incontinence being an intractable and undignified condition in nursing homes. The key theme to emerge was "protecting residents' dignity" which was supported by the following six subthemes: (i) using pads, ii) providing privacy, (iii) knowing how to "manage" incontinence, (iv) providing timely continence care, (v) considering residents' continence care preferences and (vi) communicating sensitively. The findings provide new insight into the basis for continence care practices in nursing homes. Education about continence care should challenge beliefs that limit continence care practice to cleaning, containing and concealing incontinence. There is a need for a multidimensional framework that is informed by social, psychological

  20. Climate Prediction Center - Outlooks: CFS Forecast of Seasonal Climate

    Science.gov (United States)

    National Weather Service NWS logo - Click to go to the NWS home page Climate Prediction Center Home Site government Web resources and services. CFS Seasonal Climate Forecasts CFS Forecast of Seasonal Climate discontinued after October 2012. This page displays seasonal climate anomalies from the NCEP coupled forecast

  1. Understanding health decisions using critical realism: home-dialysis decision-making during chronic kidney disease.

    Science.gov (United States)

    Harwood, Lori; Clark, Alexander M

    2012-03-01

    Understanding health decisions using critical realism: home-dialysis decision-making during chronic kidney disease This paper examines home-dialysis decision making in people with Chronic Kidney Disease (CKD) from the perspective of critical realism. CKD programmes focus on patient education for self-management to delay the progression of kidney disease and the preparation and support for renal replacement therapy e.g.) dialysis and transplantation. Home-dialysis has clear health, societal and economic benefits yet service usage is low despite efforts to realign resources and educate individuals. Current research on the determinants of modality selection is superficial and insufficient to capture the complexities embedded in the process of dialysis modality selection. Predictors of home-dialysis selection and the effect of chronic kidney disease educational programmes provide a limited explanation of this experience. A re-conceptualization of the problem is required in order to fully understand this process. The epistemology and ontology of critical realism guides our knowledge and methodology particularly suited for examination of these complexities. This approach examines the deeper mechanisms and wider determinants associated with modality decision making, specifically who chooses home dialysis and under what circumstances. Until more is known regarding dialysis modality decision making service usage of home dialysis will remain low as interventions will be based on inadequate epistemology. © 2011 Blackwell Publishing Ltd.

  2. Incidence and seasonality of falls amongst old people receiving home help services in a municipality in northern Sweden.

    Science.gov (United States)

    Vikman, Irene; Nordlund, Anders; Näslund, Annika; Nyberg, Lars

    2011-04-01

    Falls among old people is a well-documented phenomenon; however, falls among people living in the community and receiving home help services have been under-researched. The aim of this study was to investigate the incidence, including possible seasonal variation, circumstances and injuries related to falls among community living home help receivers, and to investigate whether fall incidence is associated with the type and amount of home help services received. Prospective cohort study. All 614 persons aged 65 and over who were living in a particular northern Swedish community and receiving municipality home help were included. Data on age, sex and home help service use were collected from home help service records, and falls were reported by staff on report forms specifically designed for the study. Results. A total number of 264 falls were recorded among 122 participants. The overall fall incidence was 626 per 1,000 PY, and incidence rate ratios were significantly correlated to the total amount of services used (pfalls reported as resulting in injury was 33%. The monthly fall incidence was significantly associated to daylight photoperiod, however it was not associated to temperature. Fall incidence among home help receivers aged 65 and over seems correlated to the amount of services they receive. This is probably explained by the fact that impairments connected to ADL limitations and home help needs also are connected to an increased risk of falls. This implies that fall prevention should be considered when planning home help care for old people with ADL limitations. Further research on the connection between daylight photoperiod and fall incidence in populations at different latitudes is needed.

  3. Harry Potter and "the Landscape of Consciousness": Repeat Home Viewers' Understandings about Character

    Science.gov (United States)

    Finch, Brian

    2012-01-01

    Many children view favourite feature films repeatedly at home and develop understandings of them. This article discusses findings from a study which focused on the understandings that 9- and 10-year-old children showed about character in "Harry Potter and the Chamber of Secrets." These findings are reported in terms of a framework…

  4. End-of-season heating fuel report

    International Nuclear Information System (INIS)

    1992-01-01

    The year-end report notes that the 1991-92 heating season had lower average oil prices (retail home heating fuel) than the past two winters and prices remained relatively stable throughout the season. This year, the heating season average was $.87 per gallon, $1.05 for kerosene, and $1.33 for propane

  5. Seasonal influenza vaccination coverage and its determinants among nursing homes personnel in western France.

    Science.gov (United States)

    Elias, Christelle; Fournier, Anna; Vasiliu, Anca; Beix, Nicolas; Demillac, Rémi; Tillaut, Hélène; Guillois, Yvonnick; Eyebe, Serge; Mollo, Bastien; Crépey, Pascal

    2017-07-07

    Influenza-associated deaths is an important risk for the elderly in nursing homes (NHs) worldwide. Vaccination coverage among residents is high but poorly effective due to immunosenescence. Hence, vaccination of personnel is an efficient way to protect residents. Our objective was to quantify the seasonal influenza vaccination (IV) coverage among NH for elderly workers and identify its determinants in France. We conducted a cross-sectional study in March 2016 in a randomized sample of NHs of the Ille-et-Vilaine department of Brittany, in western France. A standardized questionnaire was administered to a randomized sample of NH workers for face-to-face interviews. General data about the establishment was also collected. Among the 33 NHs surveyed, IV coverage for the 2015-2016 season among permanent workers was estimated at 20% (95% Confidence Interval (CI) 15.3%-26.4%) ranging from 0% to 69% depending on the establishments surveyed. Moreover, IV was associated with having previously experienced a "severe" influenza episode in the past (Prevalence Ratio 1.48, 95% CI 1.01-2.17), and varied by professional categories (p benefits had a significant influence on the IV coverage (p communication tools may be required to be adapted to the various NH professionals to improve influenza prevention.

  6. 7 CFR Exhibit A to Subpart A of... - Memorandum of Understanding Between Commodity Credit Corporation and Farmers Home Administration...

    Science.gov (United States)

    2010-01-01

    ... Corporation and Farmers Home Administration or its successor agency under Public Law 103-354 A Exhibit A to... Understanding Between Commodity Credit Corporation and Farmers Home Administration or its successor agency under Public Law 103-354 IT IS HEREBY AGREED by and between the Farmers Home Administration or its successor...

  7. Home range and habitat use of Trumpeter Hornbills Bycanistes ...

    African Journals Online (AJOL)

    46 km2 (95% LoCoH). However, individual home range sizes varied monthly and seasonally. We found that all individuals tagged used mostly the indigenous forest and frequently utilised urban residential areas (gardens) with little or no use of cultivated land. Observed individual variations in monthly and seasonal home ...

  8. HOME ADVANTAGE ANALYSIS IN ACB LEAGUE IN SEASON 2007-2008

    Directory of Open Access Journals (Sweden)

    Javier Garc\\u00EDa

    2009-01-01

    Full Text Available Home advantage was defined as the fact that home teams win more than the 50% of their matches (Courneya & Carron, 1992. The aim of this work was to investigate the home advantage in the ACB league and identify the game-related statistics which best discriminate home and away teams. The data were obtained from the Spanish Basketball Association for the period 2007-2008 ACB league (n= 306. Game related statistics were normalized to 100 ball possessions. In order to compare game related statistics in home and away teams, a discriminative analysis was employed. This analysis identifies the game related statistics that best discriminate between home and away teams. The function obtained was interpreted with the structural canonical coefficients (SC, with values higher than |.30|. In the 2007-2008 ACB league, the home teams won the 55.22% (n=169 of the games. The analysis identifying the two-point field goals made, blocks made, dunks, the defensive rebounds and the assists as common to the mean vectors that discriminate home teams in all games. Blocks received contribute to discriminate away teams in ACB league. These results could be used by the psychologist who works with the team. They must design specific programs to decrease anxiety levels, and to improve motivation and concentration levels in basketball players before a competition.

  9. Titan 2D: Understanding Titan’s Seasonal Atmospheric Cycles

    Science.gov (United States)

    Wong, Michael; Zhang, X.; Li, C.; Hu, R.; Shia, R.; Newman, C.; Müller-Wodarg, I.; Yung, Y.

    2013-10-01

    understand the seasonal and meridional distribution of hydrocarbons as well as other atmospheric cycles on Titan.

  10. A cross-sectional study of factors affecting seasonality in bipolar ...

    African Journals Online (AJOL)

    Journal Home > Vol 20, No 2 (2014) >. Log in or ... To study seasonality in bipolar disorder (BD) patients and also the factors affecting this seasonality. ... Most of the patients were morning types but chronotype had no influence on seasonality.

  11. Feasibility, safety and effectiveness of combining home based malaria management and seasonal malaria chemoprevention in children less than 10 years in Senegal

    DEFF Research Database (Denmark)

    Tine, Roger C K; Ndour, Cheikh T; Faye, Babacar

    2014-01-01

    Home-based management of malaria (HMM) may improve access to diagnostic testing and treatment with artemisinin combination therapy (ACT). In the Sahel region, seasonal malaria chemoprevention (SMC) is now recommended for the prevention of malaria in children. It is likely that combinations...... of antimalarial interventions can reduce the malaria burden. This study assessed the feasibility, effectiveness and safety of combining SMC and HMM delivered by community health workers (CHWs)....

  12. Understanding Seasonal Changes to Improve Good Practices in Livestock Management

    Directory of Open Access Journals (Sweden)

    Francesco Martelli

    2018-06-01

    Full Text Available Background and Aim: Food quality control techniques based on process control methods are increasingly adopted in livestock production systems to fulfill increasing market's expectations toward competitiveness and issues linked to One Health pillars (environment, animal, and human health. Control Charts allow monitoring and systematic investigation of sources of variability in dairy production parameters. These parameters, however, may be affected by seasonal variations that render impractical, biased or ineffective the use statistical control charts. A possible approach to this problem is to adapt seasonal adjustment methods used for the analysis of economic and demographic seasonal time series. The aim of the present work is to evaluate a seasonal decomposition technique called X-11 on milk parameters routinely collected also in small farms (fat, protein, and lactose content, solids-not-fat, freezing point, somatic cell count, total bacterial count and to test the efficacy of different seasonal removal methods to improve the effectiveness of statistical control charting.Method: Data collection was carried out for 3 years on routinely monitored bulk tank milk parameters of a small farm. Seasonality presence was statistically assessed on milk parameters and, for those parameters showing seasonality, control charts for individuals were applied on raw data, on X-11 seasonally adjusted data, and on data smoothed with a symmetric moving average filter. Correlation of seasonally influenced parameters with daily mean temperature was investigated.Results: Presence of seasonality in milk parameters was statistically assessed for fat, protein, and solids-non-fat components. The X-11 seasonally-adjusted control charts showed a reduced number of violations (false alarms with respect to non-seasonally adjusted control chart (from 5 to 1 violation for fat, from 17 to 1 violation for protein, and from 9 to none violation for solids-non-fat.. This result was

  13. Home range establishment and utilization by reintroduced lions (Panthera leo) in a small South African wildlife reserve.

    Science.gov (United States)

    Yiu, Sze-Wing; Parrini, Francesca; Karczmarski, Leszek; Keith, Mark

    2017-07-01

    Understanding of animal spatial behavior is essential for informed management decisions. In southern Africa, reintroduction of lions (Panthera leo) to small reserves (lions reintroduced to Dinokeng Game Reserve, South Africa, during 2011 through 2014. Lions established home ranges close to their release sites and during the following 3 years their home range sizes continued to increase, but in each individual case the size remained smaller than half of the reserve area (60 separate visits) around the largest dam and along rivers suggest the importance of water and its surrounding vegetation in the lions' space utilization pattern. The home range size did not differ with season or sex of the individuals, whereas shifts in locations of home ranges revealed differences in the response of the 2 sexes to territorial conflicts and management interventions. Our study shows a dynamic home range utilization pattern and highlights the importance of both fine-scale space use patterns (frequency and duration of visits) and broad-scale home range changes in understanding the ranging behavior of reintroduced animals. © 2016 International Society of Zoological Sciences, Institute of Zoology/Chinese Academy of Sciences and John Wiley & Sons Australia, Ltd.

  14. Understanding the agency of home-based care volunteers ...

    African Journals Online (AJOL)

    In traditional Zulu communities, caregiving is rooted in compassionate and hardworking personal identity precepts and the traditional identity expectations of women. Home-based-care volunteerism in the community represents the performance of this identity. Data from a series of interviews with 15 home-based care ...

  15. Home range and travels

    Science.gov (United States)

    Stickel, L.F.; King, John A.

    1968-01-01

    The concept of home range was expressed by Seton (1909) in the term 'home region,' which Burr (1940, 1943) clarified with a definition of home range and exemplified in a definitive study of Peromyscus in the field. Burt pointed out the ever-changing characteristics of home-range area and the consequent absence of boundaries in the usual sense--a finding verified by investigators thereafter. In the studies summarized in this paper, sizes of home ranges of Peromyscus varied within two magnitudes, approximately from 0.1 acre to ten acres, in 34 studies conducted in a variety of habitats from the seaside dunes of Florida to the Alaskan forests. Variation in sizes of home ranges was correlated with both environmental and physiological factors; with habitat it was conspicuous, both in the same and different regions. Food supply also was related to size of home range, both seasonally and in relation to habitat. Home ranges generally were smallest in winter and largest in spring, at the onset of the breeding season. Activity and size also were affected by changes in weather. Activity was least when temperatures were low and nights were bright. Effects of rainfall were variable. Sizes varied according to sex and age; young mice remained in the parents' range until they approached maturity, when they began to travel more widely. Adult males commonly had larger home ranges than females, although there were a number of exceptions. An inverse relationship between population density and size of home range was shown in several studies and probably is the usual relationship. A basic need for activity and exploration also appeared to influence size of home range. Behavior within the home range was discussed in terms of travel patterns, travels in relation to home sites and refuges, territory, and stability of size of home range. Travels within the home range consisted of repeated use of well-worn trails to sites of food, shelter, and refuge, plus more random exploratory travels

  16. Ruddy Shelduck Tadorna ferruginea home range and habitat use during the non-breeding season in Assam, India

    Science.gov (United States)

    Namgail, T.; Takekawa, John Y.; Sivananinthaperumal, B.; Areendran, G.; Sathiyaselvam, P.; Mundkur, T.; Mccracken, T.; Newman, S.

    2011-01-01

    India is an important non-breeding ground for migratory waterfowl in the Central Asian Flyway. Millions of birds visit wetlands across the country, yet information on their distribution, abundance, and use of resources is rudimentary at best. Limited information suggests that populations of several species of migratory ducks are declining due to encroachment of wetland habitats largely by agriculture and industry. The development of conservation strategies is stymied by a lack of ecological information on these species. We conducted a preliminary assessment of the home range and habitat use of Ruddy Shelduck Tadorna ferruginea in the northeast Indian state of Assam. Seven Ruddy Shelducks were fitted with solar-powered Global Positioning System (GPS) satellite transmitters, and were tracked on a daily basis during the winter of 2009-2010. Locations from all seven were used to describe habitat use, while locations from four were used to quantify their home range, as the other three had too few locations (2 (range = 22-87 km2) and an average home range (95% contour) of 610 km2 (range = 222-1,550 km2). Resource Selection Functions (RSF), used to describe habitat use, showed that the birds frequented riverine wetlands more than expected, occurred on grasslands and shrublands in proportion to their availability, and avoided woods and cropland habitats. The core use areas for three individuals (75%) were on the Brahmaputra River, indicating their preference for riverine habitats. Management and protection of riverine habitats and nearby grasslands may benefit conservation efforts for the Ruddy Shelduck and waterfowl species that share these habitats during the non-breeding season.

  17. Field Evaluation of Highly Insulating Windows in the Lab Homes: Winter Experiment

    Energy Technology Data Exchange (ETDEWEB)

    Parker, Graham B.; Widder, Sarah H.; Bauman, Nathan N.

    2012-06-01

    This field evaluation of highly insulating windows was undertaken in a matched pair of 'Lab Homes' located on the Pacific Northwest National Laboratory (PNNL) campus during the 2012 winter heating season. Improving the insulation and solar heat gain characteristics of a home's windows has the potential to significantly improve the home's building envelope and overall thermal performance by reducing heat loss (in the winter), and cooling loss and solar heat gain (in the summer) through the windows. A high quality installation and/or window retrofit will also minimize or reduce air leakage through the window cavity and thus also contribute to reduced heat loss in the winter and cooling loss in the summer. These improvements all contribute to decreasing overall annual home energy use. Occupant comfort (non-quantifiable) can also be increased by minimizing or eliminating the cold 'draft' (temperature) many residents experience at or near window surfaces that are at a noticeably lower temperature than the room air temperature. Lastly, although not measured in this experiment, highly insulating windows (triple-pane in this experiment) also have the potential to significantly reduce the noise transmittance through windows compared to standard double-pane windows. The metered data taken in the Lab Homes and data analysis presented here represent 70 days of data taken during the 2012 heating season. As such, the savings from highly insulating windows in the experimental home (Lab Home B) compared to the standard double-pane clear glass windows in the baseline home (Lab Home A) are only a portion of the energy savings expected from a year-long experiment that would include a cooling season. The cooling season experiment will take place in the homes in the summer of 2012, and results of that experiment will be reported in a subsequent report available to all stakeholders.

  18. An ecological dynamics rationale to explain home advantage in professional football

    Science.gov (United States)

    Gama, José; Dias, Gonçalo; Couceiro, Micael; Passos, Pedro; Davids, Keith; Ribeiro, João

    2016-03-01

    Despite clear findings, research on home advantage in team sports lacks a comprehensive theoretical rationale for understanding why this phenomenon is so compelling. The aim of this study was to provide an explanatory theoretical rationale in ecological dynamics for the influence of home advantage observed in research on professional football. We recorded 30 competitive matches and analyzed 13958 passes, from one highly successful team in the Portuguese Premier League, during season 2010/2011. Performance data were analyzed using the Match Analysis Software—Amisco® (version 3.3.7.25), allowing us to characterize team activity profiles. Results were interpreted from an ecological dynamics perspective, explaining how task and environmental constraints of a competitive football setting required performers to continuously co-adapt to teammate behaviors. Despite slight differences in percentage of ball possession when playing home or away, the number of passes achieved by the team, while in possession of the ball, was quite different between home or away venues. When playing at home, the number of passes performed by the team was considerably higher than when playing away. The explanation proposed in this study for a home advantage effect can be understood from studying interpersonal coordination tendencies of team sports players as agents in a complex adaptive system.

  19. Family and home characteristics correlate with mold in homes.

    Science.gov (United States)

    Reponen, Tiina; Levin, Linda; Zheng, Shu; Vesper, Stephen; Ryan, Patrick; Grinshpun, Sergey A; LeMasters, Grace

    2013-07-01

    Previously, we demonstrated that infants residing in homes with higher Environmental Relative Moldiness Index were at greater risk for developing asthma by age seven. The purpose of this analysis was to identify the family and home characteristics associated with higher moldiness index values in infants' homes at age one. Univariate linear regression of each characteristic determined that family factors associated with moldiness index were race and income. Home characteristics associated with the moldiness index values were: air conditioning, carpet, age of the home, season of home assessment, and house dust mite allergen. Parental history of asthma, use of dehumidifier, visible mold, dog and cat allergen levels were not associated with moldiness index. Results of multiple linear regression showed that older homes had 2.9 units higher moldiness index (95% confidence interval [CI]=0.4, 5.4), whereas homes with central air conditioning had 2.5 units lower moldiness index (95% CI=-4.7, -0.4). In addition, higher dust mite allergen levels and carpeting were positively and negatively associated with higher moldiness index, respectively. Because older homes and lack of air conditioning were also correlated with race and lower income, whereas carpeting was associated with newer homes, the multivariate analyses suggests that lower overall socioeconomic position is associated with higher moldiness index values. This may lead to increased asthma risk in homes inhabited by susceptible, vulnerable population subgroups. Further, age of the home was a surrogate of income, race and carpeting in our population; thus the use of these factors should carefully be evaluated in future studies. Copyright © 2013 Elsevier Inc. All rights reserved.

  20. Preliminary data used to assess the accuracy of estimating female white-tailed deer diel birthing-season home ranges using only daytime locations

    Science.gov (United States)

    Barber-Meyer, Shannon M.; Mech, L. David

    2014-01-01

    Because many white-tailed deer (Odocoileus virginianus) home-range and habitat-use studies rely only on daytime radio-tracking data, we were interested in whether diurnal data sufficiently represented diel home ranges. We analyzed home-range and core-use size and overlap of 8 adult-female Global-Positioning-System-collared deer during May and June 2001 and 2002 in the Superior National Forest, Minnesota, USA. We used 2 traditional means of analysis: minimum-convex polygons (MCP) and fixed kernels (95% FK, home range and 50% FK, core use) and two methods to partition day and night location data: (1) daytime = 0800-2000 h versus nighttime = 2000-0800 h and (2) sunup versus sundown. We found no statistical difference in size of home-range and core-use areas across day and night comparisons; however, in terms of spatial overlap, approximately 30% of night-range areas on average were not accounted for using daytime locations, with even greater differences between core-use areas (on average approximately 50%). We conclude that diurnal data do not adequately describe diel adult-female-deer, May-June home-ranges due to differences in spatial overlap (location). We suggest research to determine (1) if our findings hold in other circumstances (e.g., exclusive of the parturition period, other age classes, etc.), (2) if our conclusions generalize under other conditions (e.g., across deer range, varying seasons, etc.), (3) if habitat-use conclusions are affected by the incomplete overlap between diurnal and diel data, (4) how many nocturnal locations must be included to generate sufficient overlap, and (5) the influence of using other kernel sizes (e.g., 75%, 90%).

  1. Hurricanes Katrina and Rita and the Department of Veterans Affairs: a conceptual model for understanding the evacuation of nursing homes.

    Science.gov (United States)

    Dobalian, Aram; Claver, Maria; Fickel, Jacqueline J

    2010-01-01

    Hurricanes Katrina and Rita exposed significant flaws in US preparedness for catastrophic events and the nation's capacity to respond to them. These flaws were especially evident in the affected disaster areas' nursing homes, which house a particularly vulnerable population of frail older adults. Although evacuation of a healthcare facility is a key preparedness activity, there is limited research on factors that lead to effective evacuation. Our review of the literature on evacuation is focused on developing a conceptual framework to study future evacuations rather than as a comprehensive assessment of prior work. This paper summarizes what is known thus far about disaster response activities of nursing homes following natural and human-caused disasters, describes a conceptual model to guide future inquiry regarding this topic, and suggests future areas of research to further understand the decision-making process of nursing home facilitators regarding evacuating nursing home residents. To demonstrate the utility of the conceptual model and to provide guidance about effective practices and procedures, this paper focuses on the responses of Veterans Health Administration (VHA) nursing homes to the 2 hurricanes. Quarantelli's conceptual framework, as modified by Perry and Mushkatel, is useful in guiding the development of central hypotheses related to the decision-making that occurred in VA nursing homes and other healthcare facilities following Hurricanes Katrina and Rita. However, we define evacuation somewhat differently to account for the fact that evacuation may, in some instances, be permanent. Thus, we propose modifying this framework to improve its applicability beyond preventive evacuation. We need to better understand how disaster plans can be adapted to meet the needs of frail elders and other residents in nursing homes. Moreover, we must address identified gaps in the scientific literature with respect to health outcomes by tracking outcomes over time

  2. 7 CFR Exhibit A to Subpart B of... - Memorandum of Understanding Between the Federal Emergency Management Agency and the Farmers Home...

    Science.gov (United States)

    2010-01-01

    ... 7 Agriculture 14 2010-01-01 2009-01-01 true Memorandum of Understanding Between the Federal Emergency Management Agency and the Farmers Home Administration or Its Successor Agency under Public Law 103... Emergency Management Agency and the Farmers Home Administration or Its Successor Agency under Public Law 103...

  3. Identity and home: Understanding the experience of people with advanced cancer.

    Science.gov (United States)

    Maersk, Jesper Larsen; Cutchin, Malcolm P; la Cour, Karen

    2018-05-01

    The purpose of this study was to explore how the identity of people with advanced cancer is influenced by their experiences of living at home. A total of 28 in-depth interviews were conducted with 22 people with advanced cancer and four spouses. Grounded theory guided the collection and analysis of data. Home tours and associated field notes augmented the interview data. The analysis revealed that support of participants' identity was reflected in their abilities to live and occupy the home during daily activities, and in the ways the home and objects functioned as referents to themselves and their past. Threats to their identity ensued as the home environment became unmanageable during daily activities and as homecare professionals and assistive devices entered the home. By supporting people with advanced cancer in maintaining daily activities in the home and reducing changes in the home caused by homecare it is possible to reduce loss of identity. Copyright © 2018 Elsevier Ltd. All rights reserved.

  4. Daily home measurements of exhaled nitric oxide in asthmatic children during natural birch pollen exposure

    DEFF Research Database (Denmark)

    Vahlkvist, Signe; Sinding, Marianne; Skamstrup, Kirsten

    2006-01-01

    the feasibility, repeatability, accuracy, sensitivity, and biologic plausibility of new handheld equipment for FENO measurements. We studied day-to-day home measurements of FENO during the birch pollen season in children with allergy to birch pollen and a history of mild asthma and rhinoconjunctivitis during...... this season, as well as in nonatopic children. METHODS: Eleven children with mild asthma and allergy to birch pollen, performed daily home measurements of FENO for 6 weeks before and during the birch pollen season by using a handheld FENO monitor (NIOX MINO). Additionally, FENO (chemiluminescence equipment...... of FENO to a wider group of asthma clinics and even home measurements....

  5. The Advantage of Playing Home in NBA: Microscopic, Team-Specific and Evolving Features.

    Science.gov (United States)

    Ribeiro, Haroldo V; Mukherjee, Satyam; Zeng, Xiao Han T

    2016-01-01

    The idea that the success rate of a team increases when playing home is broadly accepted and documented for a wide variety of sports. Investigations on the so-called "home advantage phenomenon" date back to the 70's and ever since has attracted the attention of scholars and sport enthusiasts. These studies have been mainly focused on identifying the phenomenon and trying to correlate it with external factors such as crowd noise and referee bias. Much less is known about the effects of home advantage in the "microscopic" dynamics of the game (within the game) or possible team-specific and evolving features of this phenomenon. Here we present a detailed study of these previous features in the National Basketball Association (NBA). By analyzing play-by-play events of more than sixteen thousand games that span thirteen NBA seasons, we have found that home advantage affects the microscopic dynamics of the game by increasing the scoring rates and decreasing the time intervals between scores of teams playing home. We verified that these two features are different among the NBA teams, for instance, the scoring rate of the Cleveland Cavaliers team is increased ≈0.16 points per minute (on average the seasons 2004-05 to 2013-14) when playing home, whereas for the New Jersey Nets (now the Brooklyn Nets) this rate increases in only ≈0.04 points per minute. We further observed that these microscopic features have evolved over time in a non-trivial manner when analyzing the results team-by-team. However, after averaging over all teams some regularities emerge; in particular, we noticed that the average differences in the scoring rates and in the characteristic times (related to the time intervals between scores) have slightly decreased over time, suggesting a weakening of the phenomenon. This study thus adds evidence of the home advantage phenomenon and contributes to a deeper understanding of this effect over the course of games.

  6. The Advantage of Playing Home in NBA: Microscopic, Team-Specific and Evolving Features.

    Directory of Open Access Journals (Sweden)

    Haroldo V Ribeiro

    Full Text Available The idea that the success rate of a team increases when playing home is broadly accepted and documented for a wide variety of sports. Investigations on the so-called "home advantage phenomenon" date back to the 70's and ever since has attracted the attention of scholars and sport enthusiasts. These studies have been mainly focused on identifying the phenomenon and trying to correlate it with external factors such as crowd noise and referee bias. Much less is known about the effects of home advantage in the "microscopic" dynamics of the game (within the game or possible team-specific and evolving features of this phenomenon. Here we present a detailed study of these previous features in the National Basketball Association (NBA. By analyzing play-by-play events of more than sixteen thousand games that span thirteen NBA seasons, we have found that home advantage affects the microscopic dynamics of the game by increasing the scoring rates and decreasing the time intervals between scores of teams playing home. We verified that these two features are different among the NBA teams, for instance, the scoring rate of the Cleveland Cavaliers team is increased ≈0.16 points per minute (on average the seasons 2004-05 to 2013-14 when playing home, whereas for the New Jersey Nets (now the Brooklyn Nets this rate increases in only ≈0.04 points per minute. We further observed that these microscopic features have evolved over time in a non-trivial manner when analyzing the results team-by-team. However, after averaging over all teams some regularities emerge; in particular, we noticed that the average differences in the scoring rates and in the characteristic times (related to the time intervals between scores have slightly decreased over time, suggesting a weakening of the phenomenon. This study thus adds evidence of the home advantage phenomenon and contributes to a deeper understanding of this effect over the course of games.

  7. The home concept in poetic texts: new ways of understanding

    Directory of Open Access Journals (Sweden)

    С А Радзиевская

    2010-03-01

    Full Text Available The article focuses on the analysis of the HOME concept in American poetic texts and on the description of the model of its content. Linguocognitive mechanisms of the formation of the images of home are revealed.

  8. HOME CARE NURSES’ ROLES IN ENHANCING QUALITY OF NURSING CARE FOR PATIENTS AT HOME: A PHENOMENOLOGICAL STUDY

    OpenAIRE

    Titan Ligita

    2017-01-01

    Background: Provision of health care service at home is one of the advanced forms of care for patients being discharged from hospitalization. Little is known about the experience of nurses providing home care services through a nursing home-care model especially in Indonesian context. Objective: This study aims to explore the experience in order to increase understanding on the form of home care provision, and consequently the nurses may understand the form of home care globally. Metho...

  9. Home Rx: The Health Benefits of Home Performance

    Energy Technology Data Exchange (ETDEWEB)

    Wilson, Jonathan [National Center for Healthy Housing (NCHH), Columbia, MD (United States); Jacobs, David [National Center for Healthy Housing (NCHH), Columbia, MD (United States); Reddy, Amanda [National Center for Healthy Housing (NCHH), Columbia, MD (United States); Tohn, Ellen [Tohn Environmental Strategies, Wayland, MA (United States); Cohen, Jonathan [Dept. of Energy (DOE), Washington DC (United States); Jacobsohn, Ely [Dept. of Energy (DOE), Washington DC (United States)

    2016-12-01

    Evidence in a new, groundbreaking U.S. Department of Energy report, Home Rx: The Health Benefits of Home Performance, shows that home performance upgrades can improve the quality of a home’s indoor environment by reducing the prevalence of harmful indoor air pollutants and contaminants. Until recently, no systematic review of this evidence had been conducted, limiting full understanding of the link between home performance and health. This new report summarizes current knowledge and identifies research gaps. The design characteristics and results of each of the 40 studies considered in the report are summarized in a searchable matrix.

  10. Vaccination against seasonal influenza

    CERN Multimedia

    GS Department

    2010-01-01

    This year, as usual, the Medical Service is helping to promote vaccination against seasonal influenza. Vaccination against seasonal flu is especially recommended for anyone who suffers from chronic pulmonary, cardio-vascular or kidney disease or diabetes, is recovering from a serious illness or major surgery, or is over 65 years of age. The flu virus is transmitted through the air and through contact with contaminated surfaces, so frequent hand-washing with soap and/or an antiseptic hand wash is of great importance. As soon as the first symptoms appear (fever above 38°, shivering, coughing, muscle and/or joint pains, generalised weakness), you are strongly recommended to stay at home to avoid spreading the virus. Anyone working on the CERN site who wishes to be vaccinated against seasonal flu should go to the Infirmary (Building 57, ground floor), with their dose of vaccine. The Medical Service will issue a prescription on the day of the vaccination for the purposes of reimbursement through UNIQA...

  11. Ohio Department of Health Home

    Science.gov (United States)

    Business Award Flu Season Media button unselected Media button selected Data Stats button unselected Data unselected Contact Us button selected Start Talking Help Me Grow WIC (Women, Infants & Children) Office , sleep-related deaths and birth defects. Makes it easier for Ohio families to identify lead-safe homes

  12. Understanding sharps injuries in home healthcare: The Safe Home Care qualitative methods study to identify pathways for injury prevention.

    Science.gov (United States)

    Markkanen, Pia; Galligan, Catherine; Laramie, Angela; Fisher, June; Sama, Susan; Quinn, Margaret

    2015-04-11

    Home healthcare is one of the fastest growing sectors in the United States. Percutaneous injuries from sharp medical devices (sharps) are a source of bloodborne pathogen infections among home healthcare workers and community members. Sharps use and disposal practices in the home are highly variable and there is no comprehensive analysis of the system of sharps procurement, use and disposal in home healthcare. This gap is a barrier to effective public health interventions. The objectives of this study were to i) identify the full range of pathways by which sharps enter and exit the home, stakeholders involved, and barriers for using sharps with injury prevention features; and ii) assess the leverage points for preventive interventions. This study employed qualitative research methods to develop two systems maps of the use of sharps and prevention of sharps injuries in home healthcare. Twenty-six in-depth interview sessions were conducted including home healthcare agency clinicians, public health practitioners, sharps device manufacturers, injury prevention advocates, pharmacists and others. Interview transcripts were audio-recorded and analyzed thematically using NVIVO qualitative research analysis software. Analysis of supporting archival material also was conducted. All findings guided development of the two maps. Sharps enter the home via multiple complex pathways involving home healthcare providers and home users. The providers reported using sharps with injury prevention features. However, home users' sharps seldom had injury prevention features and sharps were commonly re-used for convenience and cost-savings. Improperly discarded sharps present hazards to caregivers, waste handlers, and community members. The most effective intervention potential exists at the beginning of the sharps systems maps where interventions can eliminate or minimize sharps injuries, in particular with needleless treatment methods and sharps with injury prevention features

  13. Seasonal influenza vaccination coverage and its determinants among nursing homes personnel in western France

    Directory of Open Access Journals (Sweden)

    Christelle Elias

    2017-07-01

    Full Text Available Abstract Background Influenza-associated deaths is an important risk for the elderly in nursing homes (NHs worldwide. Vaccination coverage among residents is high but poorly effective due to immunosenescence. Hence, vaccination of personnel is an efficient way to protect residents. Our objective was to quantify the seasonal influenza vaccination (IV coverage among NH for elderly workers and identify its determinants in France. Methods We conducted a cross-sectional study in March 2016 in a randomized sample of NHs of the Ille-et-Vilaine department of Brittany, in western France. A standardized questionnaire was administered to a randomized sample of NH workers for face-to-face interviews. General data about the establishment was also collected. Results Among the 33 NHs surveyed, IV coverage for the 2015–2016 season among permanent workers was estimated at 20% (95% Confidence Interval (CI 15.3%–26.4% ranging from 0% to 69% depending on the establishments surveyed. Moreover, IV was associated with having previously experienced a “severe” influenza episode in the past (Prevalence Ratio 1.48, 95% CI 1.01–2.17, and varied by professional categories (p < 0.004 with better coverage among administrative staff. Better knowledge about influenza prevention tools was also correlated (p < 0.001 with a higher IV coverage. Individual perceptions of vaccination benefits had a significant influence on the IV coverage (p < 0.001. Although IV coverage did not reach a high rate, our study showed that personnel considered themselves sufficiently informed about IV. Conclusions IV coverage remains low in the NH worker population in Ille-et-Vilaine and also possibly in France. Strong variations of IV coverage among NHs suggest that management and working environment play an important role. To overcome vaccine “hesitancy”, specific communication tools may be required to be adapted to the various NH professionals to improve influenza prevention.

  14. Home in the Making

    DEFF Research Database (Denmark)

    Kreuzer, Maria; von Wallpach, Sylvia; Muehlbacher, Hans

    2016-01-01

    In a context of unprecedented migration home reaches high relevance. This study aims at understanding the (re-)construction of home by first generation consumer migrants. The findings provide insights into consumers’ (re-)construction of various dimensions of home and identify “inner home” as a n...

  15. On the seasonal transition from winter to spring in Europe and the "seasonal feeling" relating to "Fasnacht" in comparison with those in East Asia (Toward an interdisciplinary activity on climate and cultural understanding education)

    Science.gov (United States)

    Kato, Kuranoshin; Kato, Haruko; Hamaki, Tatsuya

    2016-04-01

    East Asia tends to disappear rapidly, the seasonal feeling there changes considerably also around the middle of February (in spite of the rather lower mean temperature than in early winter). Thus we will also compare with those around Japan. Deeper knowledge on the seasonal cycle would contribute greatly to considering the detailed response of the regional climate to the global-scale impacts such as the global warming, as well as the cultural understanding as mentioned above. Besides, we do think that the recognition of the delicacy of such seasonal feelings would often lead us to an essential insight into comprehending such detailed seasonal cycle of the climate systems. Finally, we will also discuss on the development of interdisciplinary study plan on climate and cultural understanding education, based on the above presentation.

  16. Genetics Home Reference

    Science.gov (United States)

    ... Page Search Home Health Conditions Genes Chromosomes & mtDNA Resources Help Me Understand Genetics Share: Email Facebook Twitter Genetics Home Reference provides consumer-friendly information about the effects of genetic variation on human health. Health Conditions More than 1,200 health ...

  17. Transformation of High School Students' Understanding about Household Work : Through Home Economics Lessons Focused on Relationships with One's Family

    OpenAIRE

    Kishi, Noriko; Suzuki, Akiko; Takahashi, Miyoko

    2008-01-01

    The objectives of this study were to clarify learners' understanding about household work and to see how the objectives of Home Economics lessons are achieved. Lessons about household work which were focused on relationships with one's family were given in a high school. 119 student descriptions on lesson worksheets were analyzed. From these data, the learners' understanding was categorized into four domains: feeling, utility, valuing, and social domains. These domains had a hierarchical stru...

  18. Ecology and social system of northern gibbons living in cold seasonal forests.

    Science.gov (United States)

    Guan, Zhen-Hua; Ma, Chang-Yong; Fei, Han-Lan; Huang, Bei; Ning, Wen-He; Ni, Qing-Yong; Jiang, Xue-Long; Fan, Peng-Fei

    2018-07-18

    Gibbons in China represent the northernmost margin of present day gibbon species distribution (around N25°). Compared to tropical habitats, northern gibbon habitats are characterized by low temperatures and remarkable seasonal variation in fruit abundance. How gibbons adapt to their cold and seasonal habitats and what ecological factors affect their sociality are key questions for understanding their ecology and social system evolution, the elucidation of which will contribute to the conservation of these special populations/species. According to preliminary short-term studies, northern gibbons consume more leaves and use larger home ranges than tropical gibbons. Interestingly, some Nomascus groups consist of more than one adult female. However, these preliminary results are not well understood or incorporated into current socio-ecological theories regarding gibbon species. To better understand northern gibbons, our team has systematically studied three habituated groups of Nomascus concolor, three groups of N. nasutus, and two habituated groups of Hoolock tianxing since 2002. In this paper, we stress the challenges facing gibbons living in northern habitats and summarize their behavioral adaptations to their harsh environments. We also describe the northern gibbon social system and discuss the potential relationships between their ecology and sociality. Finally, we highlight future research questions related to northern gibbons in China.

  19. Ecology and social system of northern gibbons living in cold seasonal forests

    Directory of Open Access Journals (Sweden)

    Zhen-Hua Guan

    2018-07-01

    Full Text Available Gibbons in China represent the northernmost margin of present day gibbon species distribution (around N25°. Compared to tropical habitats, northern gibbon habitats are characterized by low temperatures and remarkable seasonal variation in fruit abundance. How gibbons adapt to their cold and seasonal habitats and what ecological factors affect their sociality are key questions for understanding their ecology and social system evolution, the elucidation of which will contribute to the conservation of these special populations/species. According to preliminary short-term studies, northern gibbons consume more leaves and use larger home ranges than tropical gibbons. Interestingly, some Nomascus groups consist of more than one adult female. However, these preliminary results are not well understood or incorporated into current socio-ecological theories regarding gibbon species. To better understand northern gibbons, our team has systematically studied three habituated groups of Nomascus concolor, three groups of N. nasutus, and two habituated groups of Hoolock tianxing since 2002. In this paper, we stress the challenges facing gibbons living in northern habitats and summarize their behavioral adaptations to their harsh environments. We also describe the northern gibbon social system and discuss the potential relationships between their ecology and sociality. Finally, we highlight future research questions related to northern gibbons in China.

  20. Cherries: Calendar of Operations for Home Gardeners

    OpenAIRE

    Geisel, Pamela M; Unruh, Carolyn L; Vossen, Paul

    2002-01-01

    This series of handy guides for the home orchard gives a quick overview of major tasks that should be undertaken during the winter dormant, spring bloom, summer growing and harvest, and autumn seasons. This guide is for cherry.

  1. Reconciling top-down and bottom-up estimates of CO2 fluxes to understand increased seasonal exchange in Northern ecosystems

    Science.gov (United States)

    Bastos, A.; Ciais, P.; Zhu, D.; Maignan, F.; Wang, X.; Chevallier, F.; Ballantyne, A.

    2017-12-01

    Continuous atmospheric CO2 monitoring data indicate enhanced seasonal exchange in the high-latitudes in the Northern Hemisphere (above 40oN), mainly attributed to terrestrial ecosystems. Whether this enhancement is mostly explained by increased vegetation growth due to CO2 fertilization and warming, or by changes in land-use and land-management practices is still an unsettled question (e.g. Forkel et al. (2016) and Zeng et al. (2013)). Previous studies have shown that models present variable performance in capturing trends in CO2 amplitude at CO2 monitoring sites, and that Earth System Models present large spread in their estimates of such trends. Here we integrate data of atmospheric CO2 exchange in terrestrial ecosystems by a set of atmospheric CO2 inversions and a range of land-surface models to evaluate the ability of models to reproduce changes in CO2 seasonal exchange within the observation uncertainty. We then analyze the factors that explain the model spread to understand if the trend in seasonal CO2 amplitude may indeed be a useful metric to constrain future changes in terrestrial photosynthesis (Wenzel et al., 2016). We then compare model simulations with satellite and other observation-based datasets of vegetation productivity, biomass stocks and land-cover change to test the contribution of natural (CO2 fertilization, climate) and human (land-use change) factors to the increasing trend in seasonal CO2 amplitude. Forkel, Matthias, et al. "Enhanced seasonal CO2 exchange caused by amplified plant productivity in northern ecosystems." Science 351.6274 (2016): 696-699. Wenzel, Sabrina, et al. "Projected land photosynthesis constrained by changes in the seasonal cycle of atmospheric CO2." Nature 538, no. 7626 (2016): 499-501.Zeng, Ning, et al. "Agricultural Green Revolution as a driver of increasing atmospheric CO2 seasonal amplitude." Nature 515.7527 (2014): 394.

  2. Using Remotely Sensed Fluorescence and Soil Moisture to Better Understand the Seasonal Cycle of Tropical Grasslands

    Science.gov (United States)

    Smith, Dakota Carlysle

    Seasonal grasslands account for a large area of Earth's land cover. Annual and seasonal changes in these grasslands have profound impacts on Earth's carbon, energy, and water cycles. In tropical grasslands, growth is commonly water-limited and the landscape oscillates between highly productive and unproductive. As the monsoon begins, soils moisten providing dry grasses the water necessary to photosynthesize. However, along with the rain come clouds that obscure satellite products that are commonly used to study productivity in these areas. To navigate this issue, we used solar induced fluorescence (SIF) products from OCO-2 along with soil moisture products from the Soil Moisture Active Passive satellite (SMAP) to "see through" the clouds to monitor grassland productivity. To get a broader understanding of the vegetation dynamics, we used the Simple Biosphere Model (SiB4) to simulate the seasonal cycles of vegetation. In conjunction with SiB4, the remotely sensed SIF and soil moisture observations were utilized to paint a clearer picture of seasonal productivity in tropical grasslands. The remotely sensed data is not available for every place at one time or at every time for one place. Thus, the study was focused on a large area from 15° E to 35° W and from 8°S to 20°N in the African Sahel. Instead of studying productivity relative to time, we studied it relative to soil moisture. Through this investigation we found soil moisture thresholds for the emergence of grassland growth, near linear grassland growth, and maturity of grassland growth. We also found that SiB4 overestimates SIF by about a factor of two for nearly every value of soil moisture. On the whole, SiB4 does a surprisingly good job of predicting the response of seasonal growth in tropical grasslands to soil moisture. Future work will continue to integrate remotely sensed SIF & soil moisture with SiB4 to add to our growing knowledge of carbon, water, and energy cycling in tropical grasslands.

  3. Molecular phenology in plants: in natura systems biology for the comprehensive understanding of seasonal responses under natural environments.

    Science.gov (United States)

    Kudoh, Hiroshi

    2016-04-01

    Phenology refers to the study of seasonal schedules of organisms. Molecular phenology is defined here as the study of the seasonal patterns of organisms captured by molecular biology techniques. The history of molecular phenology is reviewed briefly in relation to advances in the quantification technology of gene expression. High-resolution molecular phenology (HMP) data have enabled us to study phenology with an approach of in natura systems biology. I review recent analyses of FLOWERING LOCUS C (FLC), a temperature-responsive repressor of flowering, along the six steps in the typical flow of in natura systems biology. The extensive studies of the regulation of FLC have made this example a successful case in which a comprehensive understanding of gene functions has been progressing. The FLC-mediated long-term memory of past temperatures creates time lags with other seasonal signals, such as photoperiod and short-term temperature. Major signals that control flowering time have a phase lag between them under natural conditions, and hypothetical phase lag calendars are proposed as mechanisms of season detection in plants. Transcriptomic HMP brings a novel strategy to the study of molecular phenology, because it provides a comprehensive representation of plant functions. I discuss future perspectives of molecular phenology from the standpoints of molecular biology, evolutionary biology and ecology. © 2015 The Author. New Phytologist © 2015 New Phytologist Trust.

  4. Theory! The missing link in understanding the performance of neonate/infant home-visiting programs to prevent child maltreatment: a systematic review.

    Science.gov (United States)

    Segal, Leonie; Sara Opie, Rachelle; Dalziel, Kim

    2012-03-01

    Home-visiting programs have been offered for more than sixty years to at-risk families of newborns and infants. But despite decades of experience with program delivery, more than sixty published controlled trials, and more than thirty published literature reviews, there is still uncertainty surrounding the performance of these programs. Our particular interest was the performance of home visiting in reducing child maltreatment. We developed a program logic framework to assist in understanding the neonate/infant home-visiting literature, identified through a systematic literature review. We tested whether success could be explained by the logic model using descriptive synthesis and statistical analysis. Having a stated objective of reducing child maltreatment-a theory or mechanism of change underpinning the home-visiting program consistent with the target population and their needs and program components that can deliver against the nominated theory of change-considerably increased the chance of success. We found that only seven of fifty-three programs demonstrated such consistency, all of which had a statistically significant positive outcome, whereas of the fifteen that had no match, none was successful. Programs with a partial match had an intermediate success rate. The relationship between program success and full, partial or no match was statistically significant. Employing a theory-driven approach provides a new way of understanding the disparate performance of neonate/infant home-visiting programs. Employing a similar theory-driven approach could also prove useful in the review of other programs that embody a diverse set of characteristics and may apply to diverse populations and settings. A program logic framework provides a rigorous approach to deriving policy-relevant meaning from effectiveness evidence of complex programs. For neonate/infant home-visiting programs, it means that in developing these programs, attention to consistency of objectives, theory

  5. Home range sizes for burchell's zebra equus burchelli antiquorum from the Kruger National Park

    Directory of Open Access Journals (Sweden)

    G.L. Smuts

    1975-07-01

    Full Text Available Annual home range sizes were determined for 49 marked zebra family groups in the Kruger National Park. Sizes varied from 49 to 566 sq. km, the mean for the Park being 164 square kilometre. Mean home range sizes for different zebra sub-populations and biotic areas were found to differ considerably. Present herbivore densities have not influenced intra- and inter-specific tolerance levels to the extent that home range sizes have increased. Local habitat conditions, and particularly seasonal vegetational changes, were found to have the most profound influence on the shape and mean size of home ranges. The large home range sizes obtained in the Kruger Park, when compared to an area such as the Ngorongoro Crater, can be ascribed to a lower carrying capacity with respect to zebra, large portions of the habitat being sub-optimal, either seasonally or annually.

  6. Free-Ranging Farm Cats: Home Range Size and Predation on a Livestock Unit In Northwest Georgia

    Science.gov (United States)

    Kitts-Morgan, Susanna E.; Caires, Kyle C.; Bohannon, Lisa A.; Parsons, Elizabeth I.; Hilburn, Katharine A.

    2015-01-01

    This study’s objective was to determine seasonal and diurnal vs. nocturnal home range size, as well as predation for free-ranging farm cats at a livestock unit in Northwest Georgia. Seven adult cats were tracked with attached GPS units for up to two weeks for one spring and two summer seasons from May 2010 through August 2011. Three and five cats were tracked for up to two weeks during the fall and winter seasons, respectively. Feline scat was collected during this entire period. Cats were fed a commercial cat food daily. There was no seasonal effect (P > 0.05) on overall (95% KDE and 90% KDE) or core home range size (50% KDE). Male cats tended (P = 0.08) to have larger diurnal and nocturnal core home ranges (1.09 ha) compared to female cats (0.64 ha). Reproductively intact cats (n = 2) had larger (P cats. Feline scat processing separated scat into prey parts, and of the 210 feline scats collected during the study, 75.24% contained hair. Of these 158 scat samples, 86 contained non-cat hair and 72 contained only cat hair. Other prey components included fragments of bone in 21.43% of scat and teeth in 12.86% of scat. Teeth were used to identify mammalian prey hunted by these cats, of which the Hispid cotton rat (Sigmodon hispidus) was the primary rodent. Other targeted mammals were Peromyscus sp., Sylvilagus sp. and Microtus sp. Invertebrates and birds were less important as prey, but all mammalian prey identified in this study consisted of native animals. While the free-ranging farm cats in this study did not adjust their home range seasonally, sex and reproductive status did increase diurnal and nocturnal home range size. Ultimately, larger home ranges of free-ranging cats could negatively impact native wildlife. PMID:25894078

  7. Free-ranging farm cats: home range size and predation on a livestock unit in Northwest Georgia.

    Science.gov (United States)

    Kitts-Morgan, Susanna E; Caires, Kyle C; Bohannon, Lisa A; Parsons, Elizabeth I; Hilburn, Katharine A

    2015-01-01

    This study's objective was to determine seasonal and diurnal vs. nocturnal home range size, as well as predation for free-ranging farm cats at a livestock unit in Northwest Georgia. Seven adult cats were tracked with attached GPS units for up to two weeks for one spring and two summer seasons from May 2010 through August 2011. Three and five cats were tracked for up to two weeks during the fall and winter seasons, respectively. Feline scat was collected during this entire period. Cats were fed a commercial cat food daily. There was no seasonal effect (P > 0.05) on overall (95% KDE and 90% KDE) or core home range size (50% KDE). Male cats tended (P = 0.08) to have larger diurnal and nocturnal core home ranges (1.09 ha) compared to female cats (0.64 ha). Reproductively intact cats (n = 2) had larger (P ranges as compared to altered cats. Feline scat processing separated scat into prey parts, and of the 210 feline scats collected during the study, 75.24% contained hair. Of these 158 scat samples, 86 contained non-cat hair and 72 contained only cat hair. Other prey components included fragments of bone in 21.43% of scat and teeth in 12.86% of scat. Teeth were used to identify mammalian prey hunted by these cats, of which the Hispid cotton rat (Sigmodon hispidus) was the primary rodent. Other targeted mammals were Peromyscus sp., Sylvilagus sp. and Microtus sp. Invertebrates and birds were less important as prey, but all mammalian prey identified in this study consisted of native animals. While the free-ranging farm cats in this study did not adjust their home range seasonally, sex and reproductive status did increase diurnal and nocturnal home range size. Ultimately, larger home ranges of free-ranging cats could negatively impact native wildlife.

  8. Home range utilisation and long-range movement of estuarine crocodiles during the breeding and nesting season.

    Directory of Open Access Journals (Sweden)

    Hamish A Campbell

    Full Text Available The estuarine crocodile (Crocodylus porosus is the apex-predator in waterways and coastlines throughout south-east Asia and Australasia. C. porosus pose a potential risk to humans, and management strategies are implemented to control their movement and distribution. Here we used GPS-based telemetry to accurately record geographical location of adult C. porosus during the breeding and nesting season. The purpose of the study was to assess how C. porosus movement and distribution may be influenced by localised social conditions. During breeding, the females (2.92 ± 0.013 metres total length (TL, mean ± S.E., n = 4 occupied an area<1 km length of river, but to nest they travelled up to 54 km away from the breeding area. All tagged male C. porosus sustained high rates of movement (6.49 ± 0.9 km d(-1; n = 8 during the breeding and nesting period. The orientation of the daily movements differed between individuals revealing two discontinuous behavioural strategies. Five tagged male C. porosus (4.17 ± 0.14 m TL exhibited a 'site-fidelic' strategy and moved within well-defined zones around the female home range areas. In contrast, three males (3.81 ± 0.08 m TL exhibited 'nomadic' behaviour where they travelled continually throughout hundreds of kilometres of waterway. We argue that the 'site-fidelic' males patrolled territories around the female home ranges to maximise reproductive success, whilst the 'nomadic' males were subordinate animals that were forced to range over a far greater area in search of unguarded females. We conclude that C. porosus are highly mobile animals existing within a complex social system, and mate/con-specific interactions are likely to have a profound effect upon population density and distribution, and an individual's travel potential. We recommend that impacts on socio-spatial behaviour are considered prior to the implementation of management interventions.

  9. Variability in Measured Space Temperatures in 60 Homes

    Energy Technology Data Exchange (ETDEWEB)

    Roberts, D.; Lay, K.

    2013-03-01

    This report discusses the observed variability in indoor space temperature in a set of 60 homes located in Florida, New York, Oregon, and Washington. Temperature data were collected at 15-minute intervals for an entire year, including living room, master bedroom, and outdoor air temperature (Arena, et. al). The data were examined to establish the average living room temperature for the set of homes for the heating and cooling seasons, the variability of living room temperature depending on climate, and the variability of indoor space temperature within the homes. The accuracy of software-based energy analysis depends on the accuracy of input values. Thermostat set point is one of the most influential inputs for building energy simulation. Several industry standards exist that recommend differing default thermostat settings for heating and cooling seasons. These standards were compared to the values calculated for this analysis. The data examined for this report show that there is a definite difference between the climates and that the data do not agree well with any particular standard.

  10. Near zero energy homes – What do users think?

    International Nuclear Information System (INIS)

    Berry, Stephen; Whaley, David; Davidson, Kathryn; Saman, Wasim

    2014-01-01

    With policy directions firmly moving towards net zero energy homes, what do we know about the perceptions and experiences of households who already live in homes at or near that standard? The research sets out to determine whether householders believe these buildings are thermally comfortable, and if they feel confident operating the smart technologies that help achieve the net zero energy outcome? Combining interviews from 25 households and monitored energy data from over 50 near zero energy homes, this paper examines the validity of this policy goal from the building user perspective. The evidence shows households attain high levels of thermal comfort, enjoy lower energy bills, and believe their behaviour has been influenced by the building and its energy systems. Yet many remain concerned that the building industry is unable to produce homes that maintain thermal comfort in all spaces and all seasons. The residents have also identified significant issues in the reliability and usability of the energy technologies. Whilst the policy appears valid from the end-user perspective, the case study highlights the substantial task ahead for policy makers to establish suitable commissioning and compliance processes, and develop effective energy rating tools on the path to zero energy homes. - Highlights: • The policy concept of zero energy homes is examined from the user perspective. • Evidence is collected from a near net zero energy housing estate. • Results show that the homes are highly comfortable and valued by households. • Seasonal differences in the delivery of thermal comfort are found. • Significant design problems and technology reliability issues are identified

  11. Free-ranging farm cats: home range size and predation on a livestock unit in Northwest Georgia.

    Directory of Open Access Journals (Sweden)

    Susanna E Kitts-Morgan

    Full Text Available This study's objective was to determine seasonal and diurnal vs. nocturnal home range size, as well as predation for free-ranging farm cats at a livestock unit in Northwest Georgia. Seven adult cats were tracked with attached GPS units for up to two weeks for one spring and two summer seasons from May 2010 through August 2011. Three and five cats were tracked for up to two weeks during the fall and winter seasons, respectively. Feline scat was collected during this entire period. Cats were fed a commercial cat food daily. There was no seasonal effect (P > 0.05 on overall (95% KDE and 90% KDE or core home range size (50% KDE. Male cats tended (P = 0.08 to have larger diurnal and nocturnal core home ranges (1.09 ha compared to female cats (0.64 ha. Reproductively intact cats (n = 2 had larger (P < 0.0001 diurnal and nocturnal home ranges as compared to altered cats. Feline scat processing separated scat into prey parts, and of the 210 feline scats collected during the study, 75.24% contained hair. Of these 158 scat samples, 86 contained non-cat hair and 72 contained only cat hair. Other prey components included fragments of bone in 21.43% of scat and teeth in 12.86% of scat. Teeth were used to identify mammalian prey hunted by these cats, of which the Hispid cotton rat (Sigmodon hispidus was the primary rodent. Other targeted mammals were Peromyscus sp., Sylvilagus sp. and Microtus sp. Invertebrates and birds were less important as prey, but all mammalian prey identified in this study consisted of native animals. While the free-ranging farm cats in this study did not adjust their home range seasonally, sex and reproductive status did increase diurnal and nocturnal home range size. Ultimately, larger home ranges of free-ranging cats could negatively impact native wildlife.

  12. Strategy Guideline: Demonstration Home

    Energy Technology Data Exchange (ETDEWEB)

    Savage, C.; Hunt, A.

    2012-12-01

    This guideline will provide a general overview of the different kinds of demonstration home projects, a basic understanding of the different roles and responsibilities involved in the successful completion of a demonstration home, and an introduction into some of the lessons learned from actual demonstration home projects. Also, this guideline will specifically look at the communication methods employed during demonstration home projects. And lastly, we will focus on how to best create a communication plan for including an energy efficient message in a demonstration home project and carry that message to successful completion.

  13. Strategy Guideline. Demonstration Home

    Energy Technology Data Exchange (ETDEWEB)

    Hunt, A.; Savage, C.

    2012-12-01

    This guideline will provide a general overview of the different kinds of demonstration home projects, a basic understanding of the different roles and responsibilities involved in the successful completion of a demonstration home, and an introduction into some of the lessons learned from actual demonstration home projects. Also, this guideline will specifically look at the communication methods employed during demonstration home projects. And lastly, we will focus on how to best create a communication plan for including an energy efficient message in a demonstration home project and carry that message to successful completion.

  14. Seasonal Patterns of Community Participation and Mobility of Wheelchair Users Over an Entire Year.

    Science.gov (United States)

    Borisoff, Jaimie F; Ripat, Jacquie; Chan, Franco

    2018-03-23

    To describe how people who use wheelchairs participate and move at home and in the community over an entire yearlong period, including during times of inclement weather conditions. Longitudinal mixed-methods research study. Urban community in Canada. People who use a wheelchair for home and community mobility (N=11). Not applicable. Use of a global positioning system (GPS) tracker for movement in community (number of trips per day), use of accelerometer for bouts of wheeling mobility (number of bouts per day, speed, distance, and duration), prompted recall interviews to identify supports and barriers to mobility and participation. More trips per day were taken during the summer (P= .03) and on days with no snow and temperatures above 0°C. Participants reliant on public transportation demonstrated more weather-specific changes in their trip patterns. The number of daily bouts of mobility remained similar across seasons; total daily distance wheeled, duration, and speed were higher on summer days, days with no snow, and days with temperatures above 0°C. A higher proportion of outdoor wheeling bouts occurred in summer (P=.02) and with temperatures above 0°C (P=.03). Inaccessible public environments were the primary barrier to community mobility and participation; access to social supports and private transportation were the primary supports. Objective support is provided for the influence of various seasonal weather conditions on community mobility and participation for people who use a wheelchair. Longitudinal data collection provided a detailed understanding of the patterns of, and influences on, wheelchair mobility and participation within wheelchair users' own homes and communities. Copyright © 2018 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.

  15. Understanding Nursing Home Worker Conceptualizations about Good Care

    Science.gov (United States)

    Chung, Gawon

    2013-01-01

    This study explored how direct care workers in nursing homes conceptualize good care and how their conceptualizations are influenced by external factors surrounding their work environment and the relational dynamics between them and residents. Study participants were drawn from a local service employees' union, and in-depth interviews were…

  16. Home range utilization by chacma baboon (Papio ursinus) troops on Suikerbosrand Nature Reserve, South Africa.

    Science.gov (United States)

    Slater, Kerry; Barrett, Alan; Brown, Leslie R

    2018-01-01

    Rapid urbanization coupled with decreasing areas of natural habitat are causing baboon populations to become scattered and isolated, often resulting in increased levels of human-baboon conflict. To implement baboon-human conflict management strategies, it is essential to formulate realistic conservation policies that deal with all stakeholder concerns and ensure the conservation of viable baboon populations. A study was initiated in response to complaints of perceived excessive baboon numbers and associated lack of food resources on Suikerbosrand Nature Reserve in South Africa. Data obtained from GPS tracking collars fitted to one baboon from each of 10 identified troops were analyzed to determine home range size and utilization. The spatial representation of home ranges generated from this study will allow reserve management to identify areas of potential high and low human-baboon conflict and will contribute to the development of a formal baboon management plan to reduce human-baboon conflict on and around the reserve. Home ranges were unevenly distributed and had a mean size of 26.72 km2 ± 13.91 SD in the cold/dry season and 26.54 km2 ± 12.76 SD in the warm/wet season. Troop home ranges overlapped to some degree and five troops utilized areas outside the reserve. Although no significant relationship between troop size and home range was found, there was a positive relationship between troop size and daily distance travelled. All troops had significantly longer mean daily distances during the warm/wet season than during the cold/dry season (P ≤ 0.02).

  17. In-home performance of residential cordwood stoves

    International Nuclear Information System (INIS)

    Houck, J.E.; Barnett, S.G.; Roholt, R.B.

    1991-01-01

    The air quality impacts of residential cordwood stoves have been of concern to regulators, energy planners, and members of the woodstove industry. In addition, the reliability of laboratory certification emission values in predicting 'real world' emissions has been questioned. In response to these concerns, particulate emissions from residential cordwood stoves under actual in-home use have been measured for 5 heating seasons as part of 12 separate studies in Oregon, New York, Vermont, and the Yukon Territory. Monitoring was conducted using an automated emission sampler (AES) system. The system has been deployed in nearly 100 individual homes. Typically, emissions from several 1-week-long integrated sampling periods over the course of the heating season were measured with the AES system at each home. Particulate emission rates in grams of particles per hour of stove operation, grams of particles per kilogram of dry wood burned, and grams of particles per million Joules were calculated. Ancillary data provided by the studies included wood burn rates, homeowner wood loading patterns, wood moisture content and species, hours of operation of auxiliary heating appliances in the study homes, room ambient, flue gas, catalyst, and pre-catalyst temperatures, and hours of catalyst operation. Conventional stoves, high-technology non-catalytic stoves, catalytic stoves, and stoves equipped with retrofit catalytic devices have been studied. In addition to the 12 cordwood stove studies, the AES system has been used in 2 pellet stove studies and 1 fireplace study

  18. Understanding organizational and cultural premises for quality of care in nursing homes: an ethnographic study.

    Science.gov (United States)

    Nakrem, Sigrid

    2015-11-13

    Internationally, there are concerns about the quality of care in nursing homes. The concept of 'corporate culture' as an internal variable could be seen as the means to improve quality of care and quality of life for the residents. The aim of this article was to describe the nursing home culture from the staff's perspective and to include how the residents describe quality of care. An ethnographic design was employed. A purposive sample of four municipal public nursing homes in Norway with long-term care residents was included in the study. Data were collected by participant observation including informal conversation with the staff, and in-depth interviews with 15 residents using a narrative approach. The main findings were that organizational cultures could be seen as relatively stable corporate cultures described as 'personalities' with characteristics that were common for all nursing homes (conformity) and typical traits that were present in some nursing homes, but that they were also like no other nursing home (distinctiveness). Conformity ('Every nursing home is like all other nursing homes') meant that nursing home organizations formed their services according to a perception of what residents in general need and expect. Trait ('Every nursing home is like some other nursing homes') expressed typologies of nursing homes: residency, medical, safeguard or family orientation. The distinctness of each nursing home ('Every nursing home is like no other nursing home') was expressed in unique features of the nursing home; the characteristics of the nursing home involved certain patterns of structure, cultural assumptions and interactions that were unique in each nursing home. Nursing home residents experienced quality of care as 'The nursing home as my home' and 'Interpersonal care quality'. The resident group in the different types of nursing homes were unique, and the experience of quality of care seemed to depend on whether their unique needs and expectations

  19. Elephant (Loxodonta africana home ranges in Sabi Sand Reserve and Kruger National Park: a five-year satellite tracking study.

    Directory of Open Access Journals (Sweden)

    Bindi Thomas

    Full Text Available During a five-year GPS satellite tracking study in Sabi Sand Reserve (SSR and Kruger National Park (KNP we monitored the daily movements of an elephant cow (Loxodonta africana from September 2003 to August 2008. The study animal was confirmed to be part of a group of seven elephants therefore her position is representative of the matriarchal group. We found that the study animal did not use habitat randomly and confirmed strong seasonal fidelity to its summer and winter five-year home ranges. The cow's summer home range was in KNP in an area more than four times that of her SSR winter home range. She exhibited clear park habitation with up to three visits per year travelling via a well-defined northern or southern corridor. There was a positive correlation between the daily distance the elephant walked and minimum daily temperature and the elephant was significantly closer to rivers and artificial waterholes than would be expected if it were moving randomly in KNP and SSR. Transect lines established through the home ranges were surveyed to further understand the fine scale of the landscape and vegetation representative of the home ranges.

  20. Elephant (Loxodonta africana) home ranges in Sabi Sand Reserve and Kruger National Park: a five-year satellite tracking study.

    Science.gov (United States)

    Thomas, Bindi; Holland, John D; Minot, Edward O

    2008-01-01

    During a five-year GPS satellite tracking study in Sabi Sand Reserve (SSR) and Kruger National Park (KNP) we monitored the daily movements of an elephant cow (Loxodonta africana) from September 2003 to August 2008. The study animal was confirmed to be part of a group of seven elephants therefore her position is representative of the matriarchal group. We found that the study animal did not use habitat randomly and confirmed strong seasonal fidelity to its summer and winter five-year home ranges. The cow's summer home range was in KNP in an area more than four times that of her SSR winter home range. She exhibited clear park habitation with up to three visits per year travelling via a well-defined northern or southern corridor. There was a positive correlation between the daily distance the elephant walked and minimum daily temperature and the elephant was significantly closer to rivers and artificial waterholes than would be expected if it were moving randomly in KNP and SSR. Transect lines established through the home ranges were surveyed to further understand the fine scale of the landscape and vegetation representative of the home ranges.

  1. HOME CARE NURSES’ ROLES IN ENHANCING QUALITY OF NURSING CARE FOR PATIENTS AT HOME: A PHENOMENOLOGICAL STUDY

    Directory of Open Access Journals (Sweden)

    Titan Ligita

    2017-08-01

    Full Text Available Background: Provision of health care service at home is one of the advanced forms of care for patients being discharged from hospitalization. Little is known about the experience of nurses providing home care services through a nursing home-care model especially in Indonesian context. Objective: This study aims to explore the experience in order to increase understanding on the form of home care provision, and consequently the nurses may understand the form of home care globally. Methods: This study employed a phenomenological design and performed interview in the process of data collection. Data were analysed by using content analysis. Results: The main contexts of home care nurse experiences were generated. There were definition and role of home care nurses, the involvement of family members in the provision of care, the facilitating and hindering factors contributed to home care provision as well as manual on providing home care nursing. Conclusion: The implication from this study is that nursing care should be given to the patients continuously and consequently the need for family involvement is important. Additionally, in providing the home care, a proper manual is needed by home care nurses as the guidance to give best quality of care to patients.

  2. Evaluation of Cellular Shades in the PNNL Lab Homes

    Energy Technology Data Exchange (ETDEWEB)

    Petersen, Joseph M. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Sullivan, Greg [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Cort, Katherine A. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Metzger, Cheryn E. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Merzouk, Massine [Pacific Northwest National Lab. (PNNL), Richland, WA (United States)

    2016-11-01

    This report examines the energy performance of cellular shade window coverings in a matched pair of all-electric, factory-built “Lab Homes” located on the Pacific Northwest National Laboratory (PNNL) campus in Richland, Washington. The 1500-square-foot homes were identical in construction and baseline performance, which allowed any difference in energy and thermal performance between the baseline home and the experimental home to be attributed to the retrofit technology installed in the experimental home. To assess the performance of high efficiency window attachments in a residential retrofit application, the building shell air leakage, energy use, and interior temperatures of each home were compared during the 2015 -2016 winter heating and summer cooling seasons. Hunter Douglas Duette® Architella® Trielle™ opaque honeycomb “cellular” shades were installed over double-pane clear-glass, aluminum-frame primary windows in the experimental home and were compared to identical primary windows with no window coverings and with standard typical white vinyl horizontal blind window coverings in the baseline home.

  3. Understanding influenza vaccine protection in the community: an assessment of the 2013 influenza season in Victoria, Australia.

    Science.gov (United States)

    Carville, Kylie S; Grant, Kristina A; Sullivan, Sheena G; Fielding, James E; Lane, Courtney R; Franklin, Lucinda; Druce, Julian; Kelly, Heath A

    2015-01-03

    The influenza virus undergoes frequent antigenic drift, necessitating annual review of the composition of the influenza vaccine. Vaccination is an important strategy for reducing the impact and burden of influenza, and estimating vaccine effectiveness (VE) each year informs surveillance and preventative measures. We aimed to describe the influenza season and to estimate the effectiveness of the influenza vaccine in Victoria, Australia, in 2013. Routine laboratory notifications, general practitioner sentinel surveillance (including a medical deputising service) data, and sentinel hospital admission surveillance data for the influenza season (29 April to 27 October 2013) were collated in Victoria, Australia, to describe influenza-like illness or confirmed influenza during the season. General practitioner sentinel surveillance data were used to estimate VE against medically-attended laboratory confirmed influenza. VE was estimated using the case test negative design as 1-adjusted odds ratio (odds of vaccination in cases compared with controls) × 100%. Cases tested positive for influenza while non-cases (controls) tested negative. Estimates were adjusted for age group, week of onset, time to swabbing and co-morbidities. The 2013 influenza season was characterised by relatively low activity with a late peak. Influenza B circulation preceded that of influenza A(H1)pdm09, with very little influenza A(H3) circulation. Adjusted VE for all influenza was 55% (95%CI: -11, 82), for influenza A(H1)pdm09 was 43% (95%CI: -132, 86), and for influenza B was 56% (95%CI: -51, 87) Imputation of missing data raised the influenza VE point estimate to 64% (95%CI: 13, 85). Clinicians can continue to promote a positive approach to influenza vaccination, understanding that inactivated influenza vaccines prevent at least 50% of laboratory-confirmed outcomes in hospitals and the community. Copyright © 2014 Elsevier Ltd. All rights reserved.

  4. Notice of release of Mountain Home germplasm Sandberg bluegrass (selected germplasm, natural track)

    Science.gov (United States)

    Scott M. Lambert; Stephen B. Monsen; Nancy Shaw

    2011-01-01

    Mountain Home germplasm Sandberg bluegrass is a small, densely tufted short-lived perennial bunchgrass adapted to low elevation, semi-arid sites with long, hot growing seasons. Mountain Home's drought tolerance, competitive nature, and ease of establishment make it an excellent choice for post-fire restoration of cheatgrass (Bromus tectorum L.) dominated...

  5. Seasonal fuel consumption, stoves, and end-uses in rural households of the far-western development region of Nepal

    Science.gov (United States)

    Lam, Nicholas L.; Upadhyay, Basudev; Maharjan, Shovana; Jagoe, Kirstie; Weyant, Cheryl L.; Thompson, Ryan; Uprety, Sital; Johnson, Michael A.; Bond, Tami C.

    2017-12-01

    Understanding how fuels and stoves are used to meet a diversity of household needs is an important step in addressing the factors leading to continued reliance on polluting devices, and thereby improving household energy programs. In Nepal and many other countries dependent on solid fuel, efforts to mitigate the impacts of residential solid fuel use have emphasized cooking while focusing less on other solid fuel dependent end-uses. We employed a four-season fuel assessment in a cohort of 110 households residing in two elevation regions of the Far-Western Development Region (Province 7) of Nepal. Household interviews and direct fuel weights were used to assess seasonality in fuel consumption and its association with stoves that met cooking and non-cooking needs. Per-capita fuel consumption in winter was twice that of other measured seasons, on average. This winter increase was attributed to greater prevalence of use and fuel consumption by supplemental stoves, not the main cooking stove. End-use profiles showed that fuel was used in supplemental stoves to meet the majority of non-meal needs in the home, notably water heating and preparation of animal food. This emphasis on fuels, stoves, and the satisfaction of energy needs—rather than just stoves or fuels—leads to a better understanding of the factors leading to device and fuel choice within households.

  6. Interactive application of a virtual smart home

    NARCIS (Netherlands)

    Allameh, E.; Heidari Jozam, M.; Vries, de B.; Timmermans, H.J.P.

    2014-01-01

    Smart Homes confront many challenges trying to move from vision to reality. Poor understanding of the concept of Smart Homes by both designers and end users causes many challenges in accepting smart homes by public. To overcome this problem, user participation in Smart Home design is advocated. On

  7. Seasonal and occupational trends of five organophosphate pesticides in house dust.

    Science.gov (United States)

    Smith, Marissa N; Workman, Tomomi; McDonald, Katie M; Vredevoogd, Melinda A; Vigoren, Eric M; Griffith, William C; Thompson, Beti; Coronado, Gloria D; Barr, Dana; Faustman, Elaine M

    2017-07-01

    Since 1998, the University of Washington's Center for Child Environmental Health Risks Research has followed a community-based participatory research strategy in the Lower Yakima Valley of Washington State to assess pesticide exposure among families of Hispanic farmworkers. As a part of this longitudinal study, house dust samples were collected from both farmworker and non-farmworker households, across three agricultural seasons (thinning, harvest and non-spray). The household dust samples were analyzed for five organophosphate pesticides: azinphos-methyl, phosmet, malathion, diazinon, and chlorpyrifos. Organophosphate pesticide levels in house dust were generally reflective of annual use rates and varied by occupational status and agricultural season. Overall, organophosphate pesticide concentrations were higher in the thinning and harvest seasons than in the non-spray season. Azinphos-methyl was found in the highest concentrations across all seasons and occupations. Farmworker house dust had between 5- and 9-fold higher concentrations of azinphos-methyl than non-farmworker house dust. Phosmet was found in 5-7-fold higher concentrations in farmworker house dust relative to non-farmworker house dust. Malathion and chlorpyriphos concentrations in farmworker house dust ranged between 1.8- and 9.8-fold higher than non-farmworker house dust. Diazinon showed a defined seasonal pattern that peaked in the harvest season and did not significantly differ between farmworker and non-farmworker house dust. The observed occupational differences in four out of five of the pesticide residues measured provides evidence supporting an occupational take home pathway, in which workers may bring pesticides home on their skin or clothing. Further, these results demonstrate the ability of dust samples to inform the episodic nature of organophosphate pesticide exposures and the need to collect multiple samples for complete characterization of exposure potential.

  8. Seasonality in ocean microbial communities.

    Science.gov (United States)

    Giovannoni, Stephen J; Vergin, Kevin L

    2012-02-10

    Ocean warming occurs every year in seasonal cycles that can help us to understand long-term responses of plankton to climate change. Rhythmic seasonal patterns of microbial community turnover are revealed when high-resolution measurements of microbial plankton diversity are applied to samples collected in lengthy time series. Seasonal cycles in microbial plankton are complex, but the expansion of fixed ocean stations monitoring long-term change and the development of automated instrumentation are providing the time-series data needed to understand how these cycles vary across broad geographical scales. By accumulating data and using predictive modeling, we gain insights into changes that will occur as the ocean surface continues to warm and as the extent and duration of ocean stratification increase. These developments will enable marine scientists to predict changes in geochemical cycles mediated by microbial communities and to gauge their broader impacts.

  9. Seasonal shifts in body temperature and use of microhabitats by Galapagos land iguanas (Conolophus pallidus)

    Energy Technology Data Exchange (ETDEWEB)

    Christian, K.; Tracy, C.R.; Porter, W.P.

    1983-06-01

    Seasonal differences in the body temperatures (T/sub b/) of free-ranging Galapagos land iguanas (Conolophus pallidus) were detected by temperature sensitive telemetry transmitters. Midday T/sub b/'s of iguanas average 4.4/sup 0/C lower in the Garua (cool) season than in the Hot season. Measured T/sub b/'s and those predicted from biophysical models permitted the following conclusions: (1) lower T/sub b/'s during the Garua season represent an active shift in thermoregulation by the iguanas rather than a passive result of a cooler season; (2) the average midday T/sub b/ selected by the iguanas in either season is the T/sub b/ that allows maintenance of a constant T/sub b/ for the longest possible portion of the day; (3) by exploiting the warmer microclimate created by a cliff face, the iguanas are able to maintain a constant T/sub b/ for a full hour longer than they could elsewhere in their home range. Census data demonstrated that the iguanas exploited the warmer microclimate created by the cliff extensively during the Garua season, and the cliff face was visited by the iguanas relatively infrequently during the Hot season. Thus, the exploitation of the microclimate created by the cliff results in seasonal differences in the pattern of space utilization within the home ranges of the iguanas. Within the Garua season the iguanas moved away from the cliff more often on sunny days than during cloudy days. It is concluded that the physical environment is an important determinant of patterns of space utilization both within and between seasons.

  10. Flu season and trehalose

    Directory of Open Access Journals (Sweden)

    Robbins RA

    2018-01-01

    Full Text Available Most of us who are practicing medicine know that we are in a very active flu season. This was brought home to me when last week trying to admit a patient to the hospital from the office. She was a bone marrow transplant patient who had severe diarrhea and dehydration probably secondary to C. difficile. Hospital admissions said the patient had to be sent to the Emergency Room because the hospital was full due to the flu epidemic. Nationwide there has been a dramatic increase in the number of hospitalizations due to influenza over the past week from 13.7 to 22.7 per 100,000 (1. Influenza A(H3N2 has been the most common form of influenza reported this season. These viruses are often linked to more severe illness, especially in children and people age 65 years and older. Fortunately, the CDC also says that the flu cases may be peaking. However, at ...

  11. Vaccination against seasonal influenza

    CERN Multimedia

    DG Unit

    2009-01-01

    As every year, the Medical Service is taking part in the campaign to promote vaccination against seasonal influenza. Vaccination against seasonal influenza is especially recommended for people suffering from chronic lung, cardio-vascular or kidney conditions or diabetes, for those recovering from a serious illness or surgical operation and for everyone over the age of 65. The influenza virus is transmitted by air and contact with contaminated surfaces, hence the importance of washing hands regularly with soap and / or disinfection using a hydro-alcoholic solution. From the onset of symptoms (fever> 38°, chills, cough, muscle aches and / or joint pain, fatigue) you are strongly recommended to stay at home to avoid spreading the virus. In the present context of the influenza A (H1N1) pandemic, it is important to dissociate these two illnesses and emphasise that the two viruses and the vaccines used to combat them are quite different and that protection against one will not pr...

  12. Vaccination against seasonal influenza

    CERN Multimedia

    SC Unit

    2009-01-01

    As every year, the Medical Service is taking part in the campaign to promote vaccination against seasonal influenza. Vaccination against seasonal influenza is especially recommended for people suffering from chronic lung, cardio-vascular or kidney conditions or diabetes, for those recovering from a serious illness or surgical operation and for everyone over the age of 65. The influenza virus is transmitted by air and contact with contaminated surfaces, hence the importance of washing hands regularly with soap and / or disinfection using a hydro-alcoholic solution. From the onset of symptoms (fever> 38°, chills, cough, muscle aches and / or joint pain, fatigue) you are strongly recommended to stay at home to avoid spreading the virus. In the present context of the influenza A (H1N1) pandemic, it is important to dissociate these two illnesses and emphasise that the two viruses and the vaccines used to combat them are quite different and that protection against one will not provide protection against the...

  13. Do Partial Home Smoking Bans Signal Progress toward a Smoke-Free Home?

    Science.gov (United States)

    Kegler, Michelle C.; Haardörfer, Regine; Bundy, Lucja T.; Escoffery, Cam; Berg, Carla J.; Fernandez, Maria; Williams, Rebecca; Hovell, Mel

    2016-01-01

    Understanding who establishes partial home smoking bans, what these bans cover, and whether they are an intermediate step in going smoke-free would help to inform smoke-free home interventions. Participants were recruited from United Way of Greater Atlanta's 2-1-1 contact center. Data were collected at baseline, 3 and 6 months via telephone…

  14. Changes in body composition and bone of female collegiate soccer players through the competitive season and off-season

    Science.gov (United States)

    Minett, M.M.; Binkley, T.B.; Weidauer, L.A.; Specker, B.L.

    2017-01-01

    Objectives: To assess body composition and bone changes pre- to post-season (pre-post) and post- to off-season (post-off) in female soccer athletes (SC). Methods: Outcomes were assessed using DXA and pQCT in 23 SC and 17 controls at three times throughout season. Results: SC, non-starters in particular, lost lean mass pre-post (-0.9±0.2 kg, pSoccer players lost lean mass over the competitive season that was not recovered during off-season. Bone size increased pre- to post-season. Female soccer athletes experience body composition and bone geometry changes that differ depending on the time of season and on athlete’s playing status. Evaluations of athletes at key times across the training season are necessary to understand changes that occur. PMID:28250243

  15. Predictors of Home Care Expenditures and Death at Home for Cancer Patients in an Integrated Comprehensive Palliative Home Care Pilot Program

    Science.gov (United States)

    Howell, Doris M.; Abernathy, Tom; Cockerill, Rhonda; Brazil, Kevin; Wagner, Frank; Librach, Larry

    2011-01-01

    Purpose: Empirical understanding of predictors for home care service use and death at home is important for healthcare planning. Few studies have examined these predictors in the context of the publicly funded Canadian home care system. This study examined predictors for home care use and home death in the context of a “gold standard” comprehensive palliative home care program pilot in Ontario where patients had equal access to home care services. Methods: Secondary clinical and administrative data sources were linked using a unique identifier to examine multivariate factors (predisposing, enabling, need) on total home care expenditures and home death for a cohort of cancer patients enrolled in the HPCNet pilot. Results: Subjects with gastrointestinal symptoms (OR: 1.64; p=0.03) and those with higher income had increased odds of dying at home (OR: 1.14; phome care expenditures. Conclusions: Predictors of home death found in earlier studies appeared less important in this comprehensive palliative home care pilot. An income effect for home death observed in this study requires examination in future controlled studies. Relevance: Access to palliative home care that is adequately resourced and organized to address the multiple domains of issues that patients/families experience at the end of life has the potential to enable home death and shift care appropriately from limited acute care resources. PMID:22294993

  16. Allergens and β-Glucans in Dutch Homes and Schools: Characterizing Airborne Levels

    Science.gov (United States)

    Krop, Esmeralda J. M.; Jacobs, José H.; Sander, Ingrid; Raulf-Heimsoth, Monika; Heederik, Dick J. J.

    2014-01-01

    Background Indoor air quality has an effect on respiratory health. Children are more vulnerable to a decreased indoor air quality as their lungs are still developing. We measured levels of allergens and β-(1,3)-glucans in 19 school buildings and determined whether measured levels could be reproduced. School levels were compared to those in 169 homes and the effect of building characteristics on both home and school exposure was explored. Methods Electrostatic Dust fall Collectors were placed in school buildings for 8 weeks and in homes for 2 weeks to collect settled airborne dust. Cat, dog, and mouse allergen levels, domestic mite antigen levels and β-(1,3)-glucans were measured in the extracts from the collectors. Results were corrected for sampling duration. Using questionnaire data, relations between measured levels and building and classroom characteristics were explored. Results In schools, exposure levels were highest in classrooms and were influenced by the socioeconomic status of the children, the season measurements were performed, moisture status of the building and pet ownership. Repeated measurements in different seasons and over the years showed significantly different levels. Home exposure was influenced by socioeconomic status, occupancy and pet ownership. Domestic mite antigen was found in higher levels in extracts from homes compared to schools while pet allergen levels were 13 times higher in schools compared to homes without pets. For mouse allergen overall levels of exposure were low but still two times higher in schools compared to homes. Levels of β-(1,3)-glucans were also approximately two times higher in schools than in homes. Conclusion Exposure levels of several allergens and β-(1,3)-glucans in schools differ over time and are higher than in homes. For children, exposure levels measured at school could contribute to their total exposure as especially animal allergen levels can be much higher in schools compared to homes. PMID:24551183

  17. The Meaning of Home for Runaway Girls

    Science.gov (United States)

    Peled, Einat; Muzicant, Amit

    2008-01-01

    This naturalistic qualitative study examines the concept of "home" for runaway girls. Through the "home story" of girls who run away from home, the authors hoped to understand the many facets of home, as well as broaden the existing knowledge-base about the phenomenon of adolescent runaway girls. Data consisted of in-depth interviews with 15 girls…

  18. Greenbelt Homes Pilot Program. Summary of Building Envelope Retrofits, Planned HVAC Equipment Upgrades, and Energy Savings

    Energy Technology Data Exchange (ETDEWEB)

    Wiehagen, J. [Home Innovation Research Labs, Marlboro, MD (United States); Del Bianco, M. [Home Innovation Research Labs, Marlboro, MD (United States); Mallay, D. [Home Innovation Research Labs, Marlboro, MD (United States)

    2015-05-22

    The U.S. Department of Energy Building America team Partnership for Home Innovation wrote a report on Phase 1 of the project that summarized a condition assessment of the homes and evaluated retrofit options within the constraints of the cooperative provided by GHI. Phase 2 was completed following monitoring in the 2013–2014 winter season; the results are summarized in this report. Phase 3 upgrades of heating equipment will be implemented in time for the 2014–2015 heating season and are not part of this report.

  19. Movement and Home Range of Nile Crocodiles in Ndumo Game Reserve, South Africa

    Directory of Open Access Journals (Sweden)

    Peter M. Calverley

    2015-09-01

    Full Text Available The study of movement patterns and home range is fundamental in understanding the spatial requirements of animals and is important in generating information for the conservation and management of threatened species. Ndumo Game Reserve, in north-eastern KwaZulu-Natal, bordering Mozambique, has the third largest Nile crocodile (Crocodylus niloticus population in South Africa. Movement patterns of 50 Nile crocodiles with a total length of between 202 cm and 472 cm were followed over a period of 18 months, using mark-resight, radio and satellite telemetry. The duration of radio transmitter attachment (131 ± 11.4 days was significantly and negatively related to total length and reproductive status. Satellite transmitters failed after an average of 15 ± 12.5 days. Home range was calculated for individuals with 10 or more radio locations, spanning a period of at least 6 months. There was a significant relationship between home range size and total length, with sub-adults (1.5 m – 2.5 m occupying smaller, more localised home ranges than adults (> 2.5 m. The largest home ranges were for adults (> 2.5 m. Home ranges overlapped extensively, suggesting that territoriality, if present, does not result in spatially discrete home ranges of Nile crocodiles in Ndumo Game Reserve during the dry season. Larger crocodiles moved farther and more frequently than smaller crocodiles. The reserve acts as a winter refuge and spring breeding site for an estimated 846 crocodiles, which also inhabit the Rio Maputo during the summer months. Nile crocodile movement out of the reserve and into the Rio Maputo starts in November and crocodiles return to the reserve as water levels in the floodplain recede in May. Conservation implications: Movement patterns of Nile crocodiles show the important role the reserve plays in the conservation of Nile crocodile populations within the greater Ndumo Game Reserve–Rio Maputo area.

  20. A 2-year study of seasonal indoor radon variations in northern Virginia

    International Nuclear Information System (INIS)

    Mose, D.G.; Mushrush, G.W.; Chrosniak, C.E.

    1991-01-01

    The concentrations of indoor radon in the basements of homes located in northern Virginia average about 1.4 times the first-floor radon concentrations. Basement indoor radon concentrations exhibit seasonal variations that can be related to home use patterns of the occupants. Little indoor radon difference was seen between homes that have concrete block basement walls and poured concrete basement walls, but homes that use oil or gas furnaces for heating have ∼ 25% lower indoor radon than homes that use electrical heating systems. Particular geological units seem to be associated with elevated indoor radon concentrations, and several units are associated with indoor radon concentrations that exceed 4 pCi/l (the U.S. Environmental Agency action level) at some time in more than 40% of the homes. Comparative studies between indoor radon and total gamma aeroradioactivity show that aeroradioactivity can be accurately used to estimate community radon hazards. When combined with information about the home heating system, geology and aeroradioactivity can be used to identify problem homes

  1. Determinants, reproducibility, and seasonal variation of ergosterol levels in house dust.

    Science.gov (United States)

    Leppänen, H K; Nevalainen, A; Vepsäläinen, A; Roponen, M; Täubel, M; Laine, O; Rantakokko, P; von Mutius, E; Pekkanen, J; Hyvärinen, A

    2014-06-01

    This study aimed to clarify the determinants that affect the concentrations of ergosterol and viable fungi in house dust and to examine the seasonal variation and reproducibility of ergosterol concentrations indoors. In studying the determinants, dust samples from living room floors and vacuum cleaner dust bags were collected from 107 farming and 105 non-farming homes. Ergosterol levels were determined with gas chromatography-mass spectrometry,and the dust bag dust was cultivated for enumeration of fungal genera. Lifestyle and environmental factors, for example using of the fireplace, and visible mold observations in homes, explained 20–26% of the variation of fungal concentrations. For the reproducibility study, samples were collected from five urban homes in four different seasons. The reproducibility of ergosterol determinations within a sample was excellent (ICC = 89.8) for floor dust and moderate (ICC = 63.8) for dust bag dust, but poor when sampling the same home throughout a year (ICC = 31.3 and 12.6, respectively) due to large temporal variation in ergosterol concentrations. In conclusion, environmental characteristics only partially predicted the variation of fungal concentrations. Based on these studies, we recommend repeated sampling of dust over time if one seeks to adequately describe overall fungal levels and exposure in a home. This study shows that levels of ergosterol and viable fungi in house dust are related to visible mold observations. Only 20% of the variation in fungal levels can be explained with questionnaires, and therefore, environmental samples need to be taken in addition. Reproducibility of ergosterol determination was excellent for floor dust, and thus, ergosterol measurements from floor dust samples could be suitable for assessing the fungal load in building investigations. The temporal variation needs to be taken into account when describing the ergosterol concentration of urban homes.

  2. Understanding unintentional childhood home injuries: pilot surveillance data from Karachi, Pakistan.

    Science.gov (United States)

    Zia, Nukhba; Khan, Uzma R; Razzak, Junaid A; Puvanachandra, Prasanthi; Hyder, Adnan A

    2012-01-19

    Childhood injuries, an important public health issue, globally affects more than 95% of children living in low-and middle-income countries. The objective of this study is to describe the epidemiology of childhood unintentional injuries in Karachi, Pakistan with a specific focus on those occurring within the home environment. This was a secondary analysis of a childhood unintentional injury surveillance database setup in the emergency department of the Aga Khan Hospital, Karachi, Pakistan for 3 months. The data was collected by interviewing caretakers of children under 12 years of age presenting with an unintentional injury to the emergency departments of the four major tertiary care hospitals of Karachi, Pakistan. The surveillance included 566 injured children of which 409 (72%) injuries had taken place at/around home. Of 409 children, 66% were males and mostly between 5 and 11 years of age. Injuries commonly occurred during play time (51%). Fall (59%), dog bites (11%) and burns (9%) were the commonest mechanisms of injury. The majority of the children (78%) were directly discharged from the emergency room with predicted short term disability (42%). There were 2 deaths in the emergency department both due to falls. Childhood injury surveillance system provides valuable in-depth information on child injuries. The majority of these unintentional childhood injuries occur at home; with falls, dog bites and burns being the most common types of unintentional childhood home injuries. Specific surveillance systems for child injuries can provide new and valuable information for countries like Pakistan.

  3. Palliative home care: A designer′s perspective

    Directory of Open Access Journals (Sweden)

    Tigmanshu Bhatnagar

    2015-01-01

    Full Text Available The purpose for this observational research was to understand how Can Support provides palliative care at home and analyze its strengths and weaknesses in various socioeconomic scenarios for future development. In the period of 2 weeks, patients and their caregivers were silently observed in their natural surroundings during home care visits in order to listen their problems, identify the pattern of questions for the home care team, their natural way of storytelling, organizational techniques for medicines and medical reports, care givers lives, patient journey, etc. Such observations have enabled the understanding of the phenomena of home palliative care and have led to the identification of certain influential variables of the practice.

  4. Energy comes home

    International Nuclear Information System (INIS)

    Aune, Margrethe

    2007-01-01

    The growth in private energy consumption is an increasing problem in western countries. From an environmental point of view, this consumption has to be reduced. On the basis of two Norwegian case studies, this article discusses private energy consumption and possibilities for reduction, with a special focus on the home. It argues against a rational economic view of the consumer and emphasizes the significance of a more subtle understanding of private energy use. The article approaches the challenges of reducing private energy consumption by analysing the domestication of the home and discusses everyday life activities as well as the phenomenon of rebuilding and redecorating. By using the concept of domestication, the article challenges the linear understanding of technological as well as behavioural change. Private energy consumption is part of a complex network and it is necessary to understand this network in order to achieve a more permanent reduction

  5. Home and Building Energy Management Systems | Grid Modernization | NREL

    Science.gov (United States)

    Home and Building Energy Management Systems Home and Building Energy Management Systems NREL researchers are developing tools to understand the impact of changes in home and building energy use and how researchers who received a record of invention for a home energy management system in a smart home laboratory

  6. Seasonal and year-round use of the Kushiro Wetland, Hokkaido, Japan by sika deer (Cervus nippon yesoensis

    Directory of Open Access Journals (Sweden)

    Hino Takafumi

    2017-10-01

    Full Text Available The sika deer (Cervus nippon yesoensis population in the Ramsar-listed Kushiro Wetland has increased in recent years, and the Ministry of the Environment of Japan has decided to take measures to reduce the impact of deer on the ecosystem. However, seasonal movement patterns of the deer (i.e., when and where the deer inhabit the wetland remain unclear. We examined the seasonal movement patterns of sika deer in the Kushiro Wetland from 2013 to 2015 by analyzing GPS location data for 28 hinds captured at three sites in the wetland. Seasonal movement patterns were quantitatively classified as seasonal migration, mixed, dispersal, nomadic, resident, or atypical, and the degree of wetland utilization for each individual was estimated. The area of overlap for each individual among intra-capture sites and inter-capture sites was calculated for the entire year and for each season. Our results showed that the movement patterns of these deer were classified not only as resident but also as seasonal migration, dispersal, and atypical. Approximately one-third of the individuals moved into and out of the wetland during the year as either seasonal migrants or individuals with atypical movement. Some of the individuals migrated to farmland areas outside the wetland (the farthest being 69.9 km away. Half of the individuals inhabited the wetland all or most of the year, i.e., 81–100% of their annual home range was within the wetland area. Even among individuals captured at the same site, different seasonal movement patterns were identified. The overlap areas of the home ranges of individuals from the same capture sites were larger than those for individuals from different capture sites (e.g., mean of annual home range overlap with intra-capture sites: 47.7% vs. inter-sites: 1.3%. To achieve more effective ecosystem management including deer management in the wetland, management plans should cover inside and outside of the wetland and separate the population

  7. Time Out-of-Home and Cognitive, Physical, and Emotional Wellbeing of Older Adults: A Longitudinal Mixed Effects Model.

    Directory of Open Access Journals (Sweden)

    Johanna Petersen

    Full Text Available Time out-of-home has been linked with numerous health outcomes, including cognitive decline, poor physical ability and low emotional state. Comprehensive characterization of this important health metric would potentially enable objective monitoring of key health outcomes. The objective of this study is to determine the relationship between time out-of-home and cognitive status, physical ability and emotional state.Participants included 85 independent older adults, age 65-96 years (M = 86.36; SD = 6.79 who lived alone, from the Intelligent Systems for Assessing Aging Changes (ISAAC and the ORCATECH Life Laboratory cohorts. Factors hypothesized to affect time out-of-home were assessed on three different temporal levels: yearly (cognitive status, loneliness, clinical walking speed, weekly (pain and mood or daily (time out-of-home, in-home walking speed, weather, and season. Subject characteristics including age, race, and gender were assessed at baseline. Total daily time out-of-home in hours was assessed objectively and unobtrusively for up to one year using an in-home activity sensor platform. A longitudinal tobit mixed effects regression model was used to relate daily time out-of-home to cognitive status, physical ability and emotional state. More hours spend outside the home was associated with better cognitive function as assessed using the Clinical Dementia Rating (CDR Scale, where higher scores indicate lower cognitive function (βCDR = -1.69, p<0.001. More hours outside the home was also associated with superior physical ability (βPain = -0.123, p<0.001 and improved emotional state (βLonely = -0.046, p<0.001; βLow mood = -0.520, p<0.001. Weather, season, and weekday also affected the daily time out-of-home.These results suggest that objective longitudinal monitoring of time out-of-home may enable unobtrusive assessment of cognitive, physical and emotional state. In addition, these results indicate that the factors affecting out-of-home

  8. Seasonal blood shortages can be eliminated.

    Science.gov (United States)

    Gilcher, Ronald O; McCombs, Suzanne

    2005-11-01

    This review is designed to help readers understand seasonal blood shortages and provide solutions through the use of technology that can increase the number of red blood cell units collected and the use of recruitment and marketing initiatives that appeal to the increasingly diverse donor base. Seasonal shortages are, in reality, mostly shortages of group O red blood cells and occur most commonly during midsummer and early winter. The shortages occur primarily from increased use of group O red blood cells at times of decreased donor availability. While reducing the disproportionate use of red cells will help, blood centers can more quickly reduce the seasonal deficits by using automated red cell technology to collect double red blood cell units; targeted marketing programs to provide effective messages; seasonal advertising campaigns; and recognition, benefits, and incentives to enhance the donor motivation donation threshold. A multi-level approach to increasing blood donations at difficult times of the year can ensure that donations are increased at a time when regular donor availability is decreased. Seasonal blood shortages can be eliminated by understanding the nature of the shortages, why and when they occur, and using more sophisticated recruitment and marketing strategies as well as automated collection technologies to enhance the blood supply.

  9. Summer and winter space use and home range characteristics of Golden Eagles (Aquila chrysaetos) in eastern North America

    Science.gov (United States)

    Miller, Tricia A.; Brooks, Robert P.; Lanzone, Michael J.; Cooper, Jeff; O'Malley, Kieran; Brandes, David; Duerr, Adam E.; Katzner, Todd

    2017-01-01

    Movement behavior and its relationship to habitat provide critical information toward understanding the effects of changing environments on birds. The eastern North American population of Golden Eagles (Aquila chrysaetos) is a genetically distinct and small population of conservation concern. To evaluate the potential responses of this population to changing landscapes, we calculated the home range and core area sizes of 52 eagles of 6 age–sex classes during the summer and winter seasons. Variability in range size was related to variation in topography and open cover, and to age and sex. In summer, eagle ranges that were smaller had higher proportions of ridge tops and open cover and had greater topographic roughness than did larger ranges. In winter, smaller ranges had higher proportions of ridge tops, hillsides and cliffs, and open cover than did larger ranges. All age and sex classes responded similarly to topography and open cover in both seasons. Not surprisingly, adult eagles occupied the smallest ranges in both seasons. Young birds used larger ranges than adults, and subadults in summer used the largest ranges (>9,000 km2). Eastern adult home ranges in summer were 2–10 times larger than those reported for other populations in any season. Golden Eagles in eastern North America may need to compensate for generally lower-quality habitat in the region by using larger ranges that support access to adequate quantities of resources (prey, updrafts, and nesting, perching, and roosting sites) associated with open cover and diverse topography. Our results suggest that climate change–induced afforestation on the breeding grounds and ongoing land cover change from timber harvest and energy development on the wintering grounds may affect the amount of suitable habitat for Golden Eagles in eastern North America.

  10. Modelling seasonal habitat suitability for wide-ranging species: Invasive wild pigs in northern Australia.

    Directory of Open Access Journals (Sweden)

    Jens G Froese

    Full Text Available Invasive wildlife often causes serious damage to the economy and agriculture as well as environmental, human and animal health. Habitat models can fill knowledge gaps about species distributions and assist planning to mitigate impacts. Yet, model accuracy and utility may be compromised by small study areas and limited integration of species ecology or temporal variability. Here we modelled seasonal habitat suitability for wild pigs, a widespread and harmful invader, in northern Australia. We developed a resource-based, spatially-explicit and regional-scale approach using Bayesian networks and spatial pattern suitability analysis. We integrated important ecological factors such as variability in environmental conditions, breeding requirements and home range movements. The habitat model was parameterized during a structured, iterative expert elicitation process and applied to a wet season and a dry season scenario. Model performance and uncertainty was evaluated against independent distributional data sets. Validation results showed that an expert-averaged model accurately predicted empirical wild pig presences in northern Australia for both seasonal scenarios. Model uncertainty was largely associated with different expert assumptions about wild pigs' resource-seeking home range movements. Habitat suitability varied considerably between seasons, retracting to resource-abundant rainforest, wetland and agricultural refuge areas during the dry season and expanding widely into surrounding grassland floodplains, savanna woodlands and coastal shrubs during the wet season. Overall, our model suggested that suitable wild pig habitat is less widely available in northern Australia than previously thought. Mapped results may be used to quantify impacts, assess risks, justify management investments and target control activities. Our methods are applicable to other wide-ranging species, especially in data-poor situations.

  11. Interprofessional collaboration in nursing homes (interprof): a grounded theory study of general practitioner experiences and strategies to perform nursing home visits.

    Science.gov (United States)

    Fleischmann, Nina; Tetzlaff, Britta; Werle, Jochen; Geister, Christina; Scherer, Martin; Weyerer, Siegfried; Hummers-Pradier, Eva; Mueller, Christiane A

    2016-08-30

    Interprofessionalism, considered as collaboration between medical professionals, has gained prominence over recent decades and evidence for its impact has grown. The steadily increasing number of residents in nursing homes will challenge medical care and the interaction across professions, especially nurses and general practitioners (GPs). The nursing home visit, a key element of medical care, has been underrepresented in research. This study explores GP perspectives on interprofessional collaboration with a focus on their visits to nursing homes in order to understand their experiences and expectations. This research represents an aspect of the interprof study, which explores medical care needs as well as the perceived collaboration and communication by nursing home residents, their families, GPs and nurses. This paper focusses on GPs' views, investigating in particular their visits to nursing homes in order to understand their experiences. Open guideline-interviews covering interprofessional collaboration and the visit process were conducted with 30 GPs in three study centers and analyzed with grounded theory methodology. GPs were recruited via postal request and existing networks of the research partners. Four different types of nursing home visits were found: visits on demand, periodical visits, nursing home rounds and ad-hoc-decision based visits. We identified the core category "productive performance" of home visits in nursing homes which stands for the balance of GPs´ individual efforts and rewards. GPs used different strategies to perform a productive home visit: preparing strategies, on-site strategies and investing strategies. We compiled a theory of GPs home visits in nursing homes in Germany. The findings will be useful for research, and scientific and management purposes to generate a deeper understanding of GP perspectives and thereby improve interprofessional collaboration to ensure a high quality of care.

  12. Patterns of activity and use of time in rural Bangladesh: class, gender, and seasonal variations.

    Science.gov (United States)

    Zaman, H

    1995-04-01

    Tarapur is a village in the district of Rajshahi, Bangladesh, covering an area of 821.05 acres. 342 households with a total population of 1981 were identified in the village by the 1985 census. The author investigated the use of time during 1984 and 1985 in busy, intermediate, and slack seasons among the village population to examine the variation in time use by gender and social class. Activity patterns were found to vary from one season to another, and also across social classes. The study highlights the need to refine some of the conceptual and methodological issues in the collection of data on women and work. The study also presents useful data on home-based production and market-oriented work. It could be useful to adopt an anthropological approach in order to understand the allocation of time by men and women from the perspective of household production and the local economy and culture. Study findings focus upon the following policy issues: the need for a better understanding and recognition of the significant role of women in field agriculture and postharvest processing, creation of further nontraditional employment and business opportunities for poor women in rural areas, and consciousness-raising and the challenge of cultural barriers affecting women. Rural women, especially those in need of employment and involved in market-oriented production, should be the target of mainstream development activities in future planning.

  13. Impact of severe climate variability on lion home range and movement patterns in the Amboseli ecosystem, Kenya

    Directory of Open Access Journals (Sweden)

    J.H. Tuqa

    2014-12-01

    Full Text Available In this study, we were interested in understanding if droughts influence the home range of predators such as lions, and if it does, in what ways the droughts influenced lions to adjust their home range, in response to prey availability. We monitored movements of ten lions fitted with GPS-GSM collars in order to analyze their home range and movement patterns over a six year period (2007–2012. We assessed the impact of a severe drought on the lion home range and movement patterns in the Amboseli ecosystem. There was a strong positive correlation between the home range size and distance moved in 24 h before and during the drought (2007–2009, while after the drought there was a significant negative correlation. A weak positive correlation was evident between the lion home range and rainfall amounts (2010–2012. The male and female home ranges varied over the study period. The home range size and movement patterns coincided with permanent swamps and areas of high prey density inside the protected area. Over the course of the dry season and following the drought, the ranges initially shrank and then expanded in response to decreasing prey densities. The lions spent considerable time outside the park boundaries, particularly after severe the drought. We conclude that under conditions of fragmented habitats, severe climate conditions create new challenges for lion conservation due to effects on prey availability and subsequent influences on carnivore species ranging patterns. Stochastic weather patterns can force wide-ranging species beyond current reserve boundaries, into areas where there will be greater conflicts with humans. Keywords: Climate change, African lion, Panthera leo

  14. Understanding attitudes toward information and communication technology in home-care: Information and communication technology as a market good within Norwegian welfare services.

    Science.gov (United States)

    Øyen, Karianne Røssummoen; Sunde, Olivia Sissil; Solheim, Marit; Moricz, Sara; Ytrehus, Siri

    2018-09-01

    The aim of this study was to better understand nurses' and other staff members' attitudes toward the usefulness of information and communication technology in home-care settings. Research has found that beliefs about the expected benefits of information and communication technology impact the use of technology. Furthermore, inexperience with using information and communication technology may cause negative attitudes. This article is based on a questionnaire to 155 nurses and other staff members in home-care in Sogn og Fjordane county in Norway. The results revealed minimal use of information and communication technology at work; however, participants had positive attitudes regarding the potential benefits of information and communication technology use in home-care. Individuals' extensive use of and familiarity with different solutions in private lives could be an important context for explaining employees' attitudes. Given that information and communication technology is both a welfare service and a market good, this may explain individuals' positive attitudes toward information and communication technology despite their lack of experience with it at work. Experiences with information and communication technology as a market good and the way new technologies can affect work routines will affect the implementation of information and communication technology in home-care.

  15. Helping Older Adults Improve Their Medication Experience (HOME) by Addressing Medication Regimen Complexity in Home Healthcare.

    Science.gov (United States)

    Sheehan, Orla C; Kharrazi, Hadi; Carl, Kimberly J; Leff, Bruce; Wolff, Jennifer L; Roth, David L; Gabbard, Jennifer; Boyd, Cynthia M

    In skilled home healthcare (SHHC), communication between nurses and physicians is often inadequate for medication reconciliation and needed changes to the medication regimens are rarely made. Fragmentation of electronic health record (EHR) systems, transitions of care, lack of physician-nurse in-person contact, and poor understanding of medications by patients and their families put patients at risk for serious adverse outcomes. The aim of this study was to develop and test the HOME tool, an informatics tool to improve communication about medication regimens, share the insights of home care nurses with physicians, and highlight to physicians and nurses the complexity of medication schedules. We used human computer interaction design and evaluation principles, automated extraction from standardized forms, and modification of existing EHR fields to highlight key medication-related insights that had arisen during the SHHC visit. Separate versions of the tool were developed for physicians/nurses and patients/caregivers. A pilot of the tool was conducted using 20 SHHC encounters. Home care nurses and physicians found the tool useful for communication. Home care nurses were able to implement the HOME tool into their clinical workflow and reported improved communication with physicians about medications. This simple and largely automated tool improves understanding and communication around medications in SHHC.

  16. Effect of home construction on indoor radon in Virginia and Maryland

    International Nuclear Information System (INIS)

    Mushrush, G.W.; Mose, D.G.

    1988-01-01

    The levels of indoor radon in approximately 500 homes located in two contiguous counties of northern Virginia and southern Maryland have been measured during four consecutive, three month seasonal intervals using alpha-track detectors. These two counties represent an area of about 700 square miles. Results from the winter period show that the indoor radon levels were about twice as high as anticipated. In some areas, more than 50% of the homes had winter indoor radon levels above 4 pCi/liter, the EPA's recommended action level. For the spring and fall periods, indoor radon levels showed a considerable drop with approximately 35% of the homes above 4 pCi/L. Summer values were even lower with approximately 25% of the homes above 4 pCi/L.Indoor radon can be related to the weather, but home construction demonstrably determines indoor radon levels

  17. Home range size and breeding dispersal of a common buzzard (Buteo buteo

    Directory of Open Access Journals (Sweden)

    Väli Ülo

    2017-12-01

    Full Text Available Telemetric studies have provided ample information on threatened raptors, but still little is known about space use and dispersal of common species. Here I describe the home range and breeding dispersal of a GPS-tracked adult male common buzzard, studied in south-eastern Estonia in 2014–16. This buzzard’s home range covered 8.3 km2 (kernel 95% estimate with the core range being 2.1 km2 (kernel 50%. The home range increased in the course of the breeding season but decreased again before migration. Surprisingly, the nests in the two successive breeding years were located in the opposite margins of the home range, 1.7 km from each other.

  18. [Animals' clever adaptation strategy for seasonal changes in environment].

    Science.gov (United States)

    Ikegami, Keisuke; Yoshimura, Takashi

    2015-08-01

    Organisms living outside of tropical zones experience seasonal changes in environment. Organisms are using day length as a calendar to change their physiology and behavior such as seasonal breeding, hibernation, migration, and molting. A comparative biology approach revealed underlying mechanisms of vertebrate seasonal reproduction. Here we review the current understanding of vertebrate seasonal reproduction. We Aso describe the involvement of tissue-specific post-translational modification in functional diversification of a hormone.

  19. Global Seasonality of Rotavirus Disease

    Science.gov (United States)

    Patel, Manish M.; Pitzer, Virginia; Alonso, Wladimir J.; Vera, David; Lopman, Ben; Tate, Jacqueline; Viboud, Cecile; Parashar, Umesh D.

    2012-01-01

    Background A substantial number of surveillance studies have documented rotavirus prevalence among children admitted for dehydrating diarrhea. We sought to establish global seasonal patterns of rotavirus disease before widespread vaccine introduction. Methods We reviewed studies of rotavirus detection in children with diarrhea published since 1995. We assessed potential relationships between seasonal prevalence and locality by plotting the average monthly proportion of diarrhea cases positive for rotavirus according to geography, country development, and latitude. We used linear regression to identify variables that were potentially associated with the seasonal intensity of rotavirus. Results Among a total of 99 studies representing all six geographical regions of the world, patterns of year-round disease were more evident in low- and low-middle income countries compared with upper-middle and high income countries where disease was more likely to be seasonal. The level of country development was a stronger predictor of strength of seasonality (P=0.001) than geographical location or climate. However, the observation of distinctly different seasonal patterns of rotavirus disease in some countries with similar geographical location, climate and level of development indicate that a single unifying explanation for variation in seasonality of rotavirus disease is unlikely. Conclusion While no unifying explanation emerged for varying rotavirus seasonality globally, the country income level was somewhat more predictive of the likelihood of having seasonal disease than other factors. Future evaluation of the effect of rotavirus vaccination on seasonal patterns of disease in different settings may help understand factors that drive the global seasonality of rotavirus disease. PMID:23190782

  20. Understanding influences and decisions of households with children with asthma regarding temperature and humidity in the home in winter: a qualitative study.

    Science.gov (United States)

    Tod, Angela Mary; Nelson, Peter; Cronin de Chavez, Anna; Homer, Catherine; Powell-Hoyland, Vanessa; Stocks, Amanda

    2016-01-06

    This study aimed to understand the influences and decisions of households with children with asthma regarding keeping warm and well at home in winter. Community settings in Rotherham and Doncaster, South Yorkshire, UK. Individuals from 35 families and 25 health, education and social care staff underwent interview. 5 group interviews were held, 1 with parents (n=20) and 4 with staff (n=25). This qualitative study incorporated in-depth, semistructured individual and group interviews, framework analysis and social marketing segmentation techniques. The research identifies a range of psychological and contextual influences on parents that may inadvertently place a child with asthma at risk of cold, damp and worsening health in a home. Parents have to balance a range of factors to manage fluctuating temperatures, damp conditions and mould. Participants were constantly assessing their family's needs against the resources available to them. Influences, barriers and needs interacted in ways that meant they made 'trade-offs' that drove their behaviour regarding the temperature and humidity of the home, including partial self-disconnection from their energy supply. Evidence was also seen of parents lacking knowledge and understanding while working their way through conflicting and confusing information or advice from a range of professionals including health, social care and housing. Pressure on parents was increased when they had to provide help and support for extended family and friends. The findings illustrate how and why a child with asthma may be at risk of a cold home. A 'trade-off model' has been developed as an output of the research to explain the competing demands on families. Messages emerge about the importance of tailored advice and information to families vulnerable to cold-related harm. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/

  1. Understanding children's sedentary behaviour: a qualitative study of the family home environment.

    Science.gov (United States)

    Granich, Joanna; Rosenberg, Michael; Knuiman, Matthew; Timperio, Anna

    2010-04-01

    Electronic media (EM) (television, electronic games and computer) use has been associated with overweight and obesity among children. Little is known about the time spent in sedentary behaviour (SB) among children within the family context. The aim of this study was to explore how the family home environment may influence children's electronic-based SB. Focus groups and family interviews were conducted with 11- to 12-year old children (n = 54) and their parents (n = 38) using a semi-structured discussion guide. Transcripts were analysed using a thematic content approach. A brief self-completed questionnaire was also used to measure leisure behaviour and electronic devices at home. Children incorporated both sedentary and physical activities into their weekly routine. Factors influencing children's EM use included parent and sibling modelling and reinforcement, personal cognitions, the physical home environment and household EM use rules and restrictions. Participants were not concerned about the excessive time children spent with EM. This under-recognition emerged as a personal influencing factor and was viewed as a major barrier to modifying children's electronic-based SB. Efforts to reduce SB in children should focus on the influencing factors that reciprocally interact within the family home. An emphasis on increasing awareness about the risks associated with spending excessive time in screen-based activities should be a priority when developing intervention strategies aimed at modifying the time children spend in SB.

  2. What Do They Do at Home? The Literacies of Children Living in Residential Care in Malaysia

    Science.gov (United States)

    Tan, Jennifer

    2015-01-01

    This paper presents an ethnographic study of the out of school literacy practices of children living in residential care in Malaysia. Although residential homes generate much publicity, especially during the festive seasons, not much is known about the children living within the confines of these homes. Even more lacking is research on their…

  3. Cardiovascular Disease Risk Factors Among Latino Migrant and Seasonal Farmworkers

    Science.gov (United States)

    Castañeda, Sheila F.; Rosenbaum, René P.; Holscher, Jessica T.; Madanat, Hala; Talavera, Gregory A.

    2015-01-01

    Migrant and seasonal (MS) farmworkers are an important component of the US economy. Their unique occupational health concerns have garnered research, but chronic disease research in this population is lacking. It is unclear whether health differences exist between migrant (those who migrate to and travel a distance from the home environment and thus live in temporary housing for the purpose of employment) and seasonal workers (those who work in the agricultural industry on a seasonal basis, whose long-term home environments are often near work locations and thus may be considered more “settled”), since most research presents MS farmworkers as a homogenous group. This study explored potential differences in cardiovascular disease risk factors, (i.e., diabetes, current smoking, obesity, hypertension, and hypercholesterolemia) by sex and MS status among a sample of 282 English- and Spanish- speaking Latino MS farmworkers in the Midwest using cross–sectional survey and clinical laboratory data. Results showed that in multivariate logistic regression analyses, migrant workers (odds ratio [OR] = 2.15) had a higher likelihood of being obese compared with seasonal workers (P < .05). MS farmworkers did not differ in likelihood of smoking, diabetes, hypertension, or hypercholesterolemia. In adjusted analyses, females were more likely to be obese (OR = 3.29) and have diabetes (OR = 4.74) compared with males (P < .05); and males were more likely to be current smokers (OR = 7.50) as compared with females (P < .05). This study provides insight into chronic health concerns among this predominantly Latino farmworker population and suggests that future prevention and intervention research may need to focus on sex differences rather than MS farmworker status. PMID:25906268

  4. Seasonal Variability in European Radon Measurements

    Science.gov (United States)

    Groves-Kirkby, C. J.; Denman, A. R.; Phillips, P. S.; Crockett, R. G. M.; Sinclair, J. M.

    2009-04-01

    In temperate climates, domestic radon concentration levels are generally seasonally dependent, the level in the home reflecting the convolution of two time-dependent functions. These are the source soil-gas radon concentration itself, and the principal force driving radon into the building from the soil, namely the pressure-difference between interior and exterior environment. While the meteorological influence can be regarded as relatively uniform on a European scale, its variability being defined largely by the influence of North-Atlantic weather systems, soil-gas radon is generally more variable as it is essentially geologically dependent. Seasonal variability of domestic radon concentration can therefore be expected to exhibit geographical variability, as is indeed the case. To compensate for the variability of domestic radon levels when assessing the long term radon health risks, the results of individual short-term measurements are generally converted to equivalent mean annual levels by application of a Seasonal Correction Factor (SCF). This is a multiplying factor, typically derived from measurements of a large number of homes, applied to the measured short-term radon concentration to provide a meaningful annual mean concentration for dose-estimation purposes. Following concern as to the universal applicability of a single SCF set, detailed studies in both the UK and France have reported location-specific SCF sets for different regions of each country. Further results indicate that SCFs applicable to the UK differ significantly from those applicable elsewhere in Europe and North America in both amplitude and phase, supporting the thesis that seasonal variability in indoor radon concentration cannot realistically be compensated for by a single national or international SCF scheme. Published data characterising the seasonal variability of European national domestic radon concentrations, has been collated and analysed, with the objective of identifying

  5. Understanding Alzheimer's

    Science.gov (United States)

    ... Navigation Bar Home Current Issue Past Issues Understanding Alzheimer's Past Issues / Fall 2007 Table of Contents For ... and brain scans. No treatment so far stops Alzheimer's. However, for some in the disease's early and ...

  6. Tactics for Homing in Mobile LifeTactics for Homing in Mobile Life

    DEFF Research Database (Denmark)

    Petersen, Marianne Graves; Borup Lynggaard, Aviaja; Winther, Ida Wentzel

    we argue that several of the tactics identified are currently not well supported. We discuss how technology design can learn from this study through pointing to the potential in designing mobile technologies to better support these unsupported tactics. We consider the tactics as a tool for deeper...... studies of extremely mobile people we identify general tactics for homing. We present the identified tactics and show how people deploy not only one but several tactics in their intention of making a homely feeling despite not being in their primary home. Reviewing the mobile technologies currently in use...... understanding of mobile practices and thus informing the design of more relevant future technologies for people engaged in a mobile lifestyle....

  7. Family caregivers' experiences in nursing homes

    DEFF Research Database (Denmark)

    Lohne, Vibeke; Høy, Bente; Wilhelm Rehnsfeldt, Arne

    2014-01-01

    This qualitative study is focusing on dignity in nursing homes from the perspective of family caregivers. Dignity is a complex concept and central to nursing. Dignity in nursing homes is a challenge, according to research. Family caregivers are frequently involved in their family members’ daily...... experiences at the nursing home. This Scandinavian application study has a descriptive and explorative design. Twenty-nine family caregivers were included. A phenomenological-hermeneutic approach was used to understand the meaning of the narrated text. The interpretations revealed two main themes: “One should......, but still important in nursing homes. It seems therefore important to further investigate experiences of family caregivers in the context of nursing homes....

  8. Bilinear modulation models for seasonal tables of counts

    NARCIS (Netherlands)

    B.D. Marx (Brian); P.H.C. Eilers (Paul); J. Gampe (Jutta); R. Rau (Roland)

    2010-01-01

    textabstractWe propose generalized linear models for time or age-time tables of seasonal counts, with the goal of better understanding seasonal patterns in the data. The linear predictor contains a smooth component for the trend and the product of a smooth component (the modulation) and a periodic

  9. Understanding the predictability of seasonal precipitation over northeast Brazil

    Science.gov (United States)

    Misra, Vasubandhu

    2006-05-01

    Using multiple long-term simulations of the Center for Ocean-Land-Atmosphere Studies (COLA) atmospheric general circulation model (AGCM) forced with observed sea surface temperature (SST), it is shown that the model has high skill in simulating the February-March-April (FMA) rainy season over northeast Brazil (Nordeste). Separate sensitivity experiments conducted with the same model that entails suppression of all variability except for the climatological annual cycle in SST over the Pacific and Atlantic Oceans reveal that this skill over Nordeste is sensitive to SST anomalies in the tropical Atlantic Ocean. However, the spatial pattern of SST anomalies in the tropical Atlantic Ocean that correlate with FMA Nordeste rainfall are in fact a manifestation of El Niño Southern Oscillation (ENSO) phenomenon in the Pacific Ocean. This study also analyzes the failure of the COLA AGCM in capturing the correct FMA precipitation anomalies over Nordeste in several years of the simulation. It is found that this failure occurs when the SST anomalies over the northern tropical Atlantic Ocean are large and not significantly correlated with contemporaneous SST anomalies over the eastern Pacific Ocean. In two of the relatively large ENSO years when the model failed to capture the correct signal of the interannual variability of precipitation over Nordeste, it was found that the meridional gradient of SST anomalies over the tropical Atlantic Ocean was inconsistent with the canonical development of ENSO. The analysis of the probabilistic skill of the model revealed that it has more skill in predicting flood years than drought. Furthermore, the model has no skill in predicting normal seasons. These model features are consistent with the model systematic errors.

  10. Comfort in High-Performance Homes in a Hot-Humid Climate

    Energy Technology Data Exchange (ETDEWEB)

    Poerschke, A. [IBACOS, Inc., Pittsburgh, PA (United States); Beach, R. [IBACOS, Inc., Pittsburgh, PA (United States)

    2016-01-01

    IBACOS monitored 37 homes during the late summer and early fall of 2014 in a hot and humid climate to better understand indoor comfort conditions. These homes were constructed in the last several years by four home builders that offered a comfort and performance guarantee for the homes. The homes were located in one of four cities: Tampa, Florida; Orlando, Florida; Houston, Texas; and San Antonio, Texas. Temperature and humidity data were collected from the thermostat and each room of the house using small, battery-powered data loggers. To understand system runtime and its impact on comfort, supply air temperature also was measured on a 1-minute interval. Overall, the group of homes only exceeded a room-to-room temperature difference of 6 degrees Fahrenheit for 5% of the time.

  11. Home economics in past and present

    DEFF Research Database (Denmark)

    Benn, Jette

    2012-01-01

    . Through the 100 years period thee roles and valuations of the teachers have changed. Why and how the subject has changed is essential to analyse in order to understand the present situation and to give proposals for the future. Teachers within home economics have been and are still mainly female. This can......, essential and important aspects of home economics, take these aspects up to present time and make perspectives for the future. As a start I will state some postulates to show some of the dilemmas and dialectics, which are at the agenda. • Home economics is a subject in a conflict between science (theory......) and everyday life experiences (practice) • Home economics is gendered • Home economics is culturally dependant, society determined, individually featured • Home economics holds potentials, possibilities, and difficulties These postulates are essential to bring to an open discussion for developing home...

  12. Factors associated with differential uptake of seasonal influenza immunizations among underserved communities during the 2009-2010 influenza season.

    Science.gov (United States)

    Vlahov, David; Bond, Keosha T; Jones, Kandice C; Ompad, Danielle C

    2012-04-01

    Influenza vaccination coverage remains low and disparities persist. In New York City, a community-based participatory research project (Project VIVA) worked to address this issue in Harlem and the South Bronx by supplementing existing vaccination programs with non-traditional venues (i.e., community-based organizations). We conducted a 10 min survey to assess access to influenza vaccine as well as attitudes and beliefs towards influenza vaccination that could inform intervention development for subsequent seasons. Among 991 participants recruited using street intercept techniques, 63% received seasonal vaccine only, 11% seasonal and H1N1, and 26% neither; 89% reported seeing a health care provider (HCP) during the influenza season. Correlates of immunization among those with provider visits during the influenza season included being US-born, interest in getting the vaccine, concern about self or family getting influenza, an HCP's recommendation and comfort with government. Among those without an HCP visit, factors associated with immunization included being US born, married, interest in getting the vaccine, understanding influenza information, and concern about getting influenza. Factors associated with lack of interest in influenza vaccine included being born outside the US, Black and uncomfortable with government. In medically underserved areas, having access to routine medical care and understanding the medical implications of influenza play an important role in enhancing uptake of seasonal influenza vaccination. Strategies to improve vaccination rates among Blacks and foreign-born residents need to be addressed. The use of non-traditional venues to provide influenza vaccinations in underserved communities has the potential to reduce health disparities.

  13. Children's Home Environments: Understanding the Role of Family Structure Changes

    Science.gov (United States)

    Kowaleski-Jones, Lori; Dunifon, Rachel

    2004-01-01

    Using data from the 1996 National Longitudinal Survey of Youth (NLSY79) merged mother-child sample, we investigate the impact of two family events, parental divorce and the birth of a sibling, on the cognitive stimulation and emotional support provided to children in the home. We use fixed-effect regression techniques to control for unmeasured…

  14. The home care teaching and learning process in undergraduate health care degree courses.

    Science.gov (United States)

    Hermann, Ana Paula; Lacerda, Maria Ribeiro; Maftum, Mariluci Alves; Bernardino, Elizabeth; Mello, Ana Lúcia Schaefer Ferreira de

    2017-07-01

    Home care, one of the services provided by the health system, requires health practitioners who are capable of understanding its specificities. This study aimed to build a substantive theory that describes experiences of home care teaching and learning during undergraduate degree courses in nursing, pharmacy, medicine, nutrition, dentistry and occupational therapy. A qualitative analysis was performed using the grounded theory approach based on the results of 63 semistructured interviews conducted with final year students, professors who taught subjects related to home care, and recent graduates working with home care, all participants in the above courses. The data was analyzed in three stages - open coding, axial coding and selective coding - resulting in the phenomenon Experiences of home care teaching and learning during the undergraduate health care degree courses. Its causes were described in the category Articulating knowledge of home care, strategies in the category Experiencing the unique nature of home care, intervening conditions in the category Understanding the multidimensional characteristics of home care, consequences in the category Changing thinking about home care training, and context in the category Understanding home care in the health system. Home care contributes towards the decentralization of hospital care.

  15. Challenge Students to Design an Energy-Efficient Home

    Science.gov (United States)

    Griffith, Jack

    2008-01-01

    This article presents an activity that gives students a practical understanding of how much energy the average home consumes and wastes, and shows how the construction technologies used in home design affect overall energy usage. In this activity, students will outline the cost of a home's electrical system, give a breakdown of how much power the…

  16. Seasonal temperature variation influences climate suitability for dengue, chikungunya, and Zika transmission.

    Science.gov (United States)

    Huber, John H; Childs, Marissa L; Caldwell, Jamie M; Mordecai, Erin A

    2018-05-01

    Dengue, chikungunya, and Zika virus epidemics transmitted by Aedes aegypti mosquitoes have recently (re)emerged and spread throughout the Americas, Southeast Asia, the Pacific Islands, and elsewhere. Understanding how environmental conditions affect epidemic dynamics is critical for predicting and responding to the geographic and seasonal spread of disease. Specifically, we lack a mechanistic understanding of how seasonal variation in temperature affects epidemic magnitude and duration. Here, we develop a dynamic disease transmission model for dengue virus and Aedes aegypti mosquitoes that integrates mechanistic, empirically parameterized, and independently validated mosquito and virus trait thermal responses under seasonally varying temperatures. We examine the influence of seasonal temperature mean, variation, and temperature at the start of the epidemic on disease dynamics. We find that at both constant and seasonally varying temperatures, warmer temperatures at the start of epidemics promote more rapid epidemics due to faster burnout of the susceptible population. By contrast, intermediate temperatures (24-25°C) at epidemic onset produced the largest epidemics in both constant and seasonally varying temperature regimes. When seasonal temperature variation was low, 25-35°C annual average temperatures produced the largest epidemics, but this range shifted to cooler temperatures as seasonal temperature variation increased (analogous to previous results for diurnal temperature variation). Tropical and sub-tropical cities such as Rio de Janeiro, Fortaleza, and Salvador, Brazil; Cali, Cartagena, and Barranquilla, Colombia; Delhi, India; Guangzhou, China; and Manila, Philippines have mean annual temperatures and seasonal temperature ranges that produced the largest epidemics. However, more temperate cities like Shanghai, China had high epidemic suitability because large seasonal variation offset moderate annual average temperatures. By accounting for seasonal

  17. Seasonal temperature variation influences climate suitability for dengue, chikungunya, and Zika transmission.

    Directory of Open Access Journals (Sweden)

    John H Huber

    2018-05-01

    Full Text Available Dengue, chikungunya, and Zika virus epidemics transmitted by Aedes aegypti mosquitoes have recently (reemerged and spread throughout the Americas, Southeast Asia, the Pacific Islands, and elsewhere. Understanding how environmental conditions affect epidemic dynamics is critical for predicting and responding to the geographic and seasonal spread of disease. Specifically, we lack a mechanistic understanding of how seasonal variation in temperature affects epidemic magnitude and duration. Here, we develop a dynamic disease transmission model for dengue virus and Aedes aegypti mosquitoes that integrates mechanistic, empirically parameterized, and independently validated mosquito and virus trait thermal responses under seasonally varying temperatures. We examine the influence of seasonal temperature mean, variation, and temperature at the start of the epidemic on disease dynamics. We find that at both constant and seasonally varying temperatures, warmer temperatures at the start of epidemics promote more rapid epidemics due to faster burnout of the susceptible population. By contrast, intermediate temperatures (24-25°C at epidemic onset produced the largest epidemics in both constant and seasonally varying temperature regimes. When seasonal temperature variation was low, 25-35°C annual average temperatures produced the largest epidemics, but this range shifted to cooler temperatures as seasonal temperature variation increased (analogous to previous results for diurnal temperature variation. Tropical and sub-tropical cities such as Rio de Janeiro, Fortaleza, and Salvador, Brazil; Cali, Cartagena, and Barranquilla, Colombia; Delhi, India; Guangzhou, China; and Manila, Philippines have mean annual temperatures and seasonal temperature ranges that produced the largest epidemics. However, more temperate cities like Shanghai, China had high epidemic suitability because large seasonal variation offset moderate annual average temperatures. By accounting

  18. Understanding the Home Math Environment and Its Role in Predicting Parent Report of Children's Math Skills.

    Science.gov (United States)

    Hart, Sara A; Ganley, Colleen M; Purpura, David J

    2016-01-01

    There is a growing literature concerning the role of the home math environment in children's math development. In this study, we examined the relation between these constructs by specifically addressing three goals. The first goal was to identify the measurement structure of the home math environment through a series of confirmatory factor analyses. The second goal was to examine the role of the home math environment in predicting parent report of children's math skills. The third goal was to test a series of potential alternative explanations for the relation between the home math environment and parent report of children's skills, specifically the direct and indirect role of household income, parent math anxiety, and parent math ability as measured by their approximate number system performance. A final sample of 339 parents of children aged 3 through 8 drawn from Mechanical Turk answered a questionnaire online. The best fitting model of the home math environment was a bifactor model with a general factor representing the general home math environment, and three specific factors representing the direct numeracy environment, the indirect numeracy environment, and the spatial environment. When examining the association of the home math environment factors to parent report of child skills, the general home math environment factor and the spatial environment were the only significant predictors. Parents who reported doing more general math activities in the home reported having children with higher math skills, whereas parents who reported doing more spatial activities reported having children with lower math skills.

  19. Understanding the Home Math Environment and Its Role in Predicting Parent Report of Children's Math Skills.

    Directory of Open Access Journals (Sweden)

    Sara A Hart

    Full Text Available There is a growing literature concerning the role of the home math environment in children's math development. In this study, we examined the relation between these constructs by specifically addressing three goals. The first goal was to identify the measurement structure of the home math environment through a series of confirmatory factor analyses. The second goal was to examine the role of the home math environment in predicting parent report of children's math skills. The third goal was to test a series of potential alternative explanations for the relation between the home math environment and parent report of children's skills, specifically the direct and indirect role of household income, parent math anxiety, and parent math ability as measured by their approximate number system performance. A final sample of 339 parents of children aged 3 through 8 drawn from Mechanical Turk answered a questionnaire online. The best fitting model of the home math environment was a bifactor model with a general factor representing the general home math environment, and three specific factors representing the direct numeracy environment, the indirect numeracy environment, and the spatial environment. When examining the association of the home math environment factors to parent report of child skills, the general home math environment factor and the spatial environment were the only significant predictors. Parents who reported doing more general math activities in the home reported having children with higher math skills, whereas parents who reported doing more spatial activities reported having children with lower math skills.

  20. When do predatory mites (Phytoseiidae) attack? Understanding their diel and seasonal predation patterns.

    Science.gov (United States)

    Pérez-Sayas, Consuelo; Aguilar-Fenollosa, Ernestina; Hurtado, Mónica A; Jaques, Josep A; Pina, Tatiana

    2017-06-16

    Predatory mites of the Phytoseiidae family are considered one of the most important groups of natural enemies used in biological control. The behavioral patterns of arthropods can differ greatly daily and seasonally; however, there is a lack of literature related to Phytoseiidae diel and seasonal predation patterns. The predatory activity of three phytoseiid species (two Tetranychidae-specialists, Phytoseiulus persimilis and Neoseiulus californicus, and one omnivore, Euseius stipulatus) that occur naturally in Spanish citrus orchards was observed under laboratory conditions in winter and summer. The temperature and photoperiod of the climatic chamber where the mites were reared did not change during the experiment. Our study demonstrates that phytoseiids can exhibit diel and seasonal predatory patterns when feeding on Tetranychus urticae (Acari: Tetranychidae). Neoseiulus californicus was revealed to be a nocturnal predator in summer but diurnal in winter. In contrast, P. persimilis activity was maximal during the daytime, and E. stipulatus showed no clear daily predation patterns. The predatory patterns described in this study should be taken into account when designing laboratory studies and also in field samplings, especially when applying molecular techniques to unveil trophic relationships. © 2017 Institute of Zoology, Chinese Academy of Sciences.

  1. Quality Assurance Strategy for Existing Homes: Final Quality Management Primer for High Performing Homes

    Energy Technology Data Exchange (ETDEWEB)

    Del Bianco, M.; Taggart, J.; Sikora, J.; Wood, A.

    2012-12-01

    This guide is designed to help Building America (BA) Teams understand quality management and its role in transitioning from conventional to high performance home building and remodeling. It explains what quality means, the value of quality management systems, the unique need for QMS when building high performing homes, and the first steps to a implementing a comprehensive QMS. This document provides a framework and context for BA teams when they encounter builders and remodelers.

  2. Quality Assurance Strategy for Existing Homes. Final Quality Management Primer for High Performing Homes

    Energy Technology Data Exchange (ETDEWEB)

    Del Bianco, M. [NAHB Research Center Industry Partnership, Upper Marlboro, MD (United States); Taggart, J. [NAHB Research Center Industry Partnership, Upper Marlboro, MD (United States); Sikora, J. [NAHB Research Center Industry Partnership, Upper Marlboro, MD (United States); Wood, A. [NAHB Research Center Industry Partnership, Upper Marlboro, MD (United States)

    2012-12-01

    This guide is designed to help Building America (BA) teams understand quality management and its role in transitioning from conventional to high performance home building and remodeling. It explains what quality means, the value of quality management systems, the unique need for QMS when building high performing homes, and the first steps to a implementing a comprehensive QMS. This document provides a framework and context for BA teams when they encounter builders and remodelers.

  3. Custodial Homes, Therapeutic Homes, and Parental Acceptance: Parental Experiences of Autism in Kerala, India and Atlanta, GA USA.

    Science.gov (United States)

    Sarrett, Jennifer C

    2015-06-01

    The home is a critical place to learn about cultural values of childhood disability, including autism and intellectual disabilities. The current article describes how the introduction of autism into a home and the availability of intervention options change the structure and meaning of a home and reflect parental acceptance of a child's autistic traits. Using ethnographic data from Kerala, India and Atlanta, GA USA, a description of two types of homes are developed: the custodial home, which is primarily focused on caring for basic needs, and the therapeutic home, which is focused on changing a child's autistic traits. The type of home environment is respondent to cultural practices of child rearing in the home and influences daily activities, management, and care in the home. Further, these homes differ in parental acceptance of their autistic children's disabilities, which is critical to understand when engaging in international work related to autism and intellectual disability. It is proposed that parental acceptance can be fostered through the use of neurodiverse notions that encourage autism acceptance.

  4. Seasonal changes in mood and behavior are linked to metabolic syndrome.

    Directory of Open Access Journals (Sweden)

    Reeta Rintamäki

    Full Text Available BACKGROUND: Obesity is a major public health problem worldwide. Metabolic syndrome is a risk factor to the cardiovascular diseases. It has been reported that disruptions of the circadian clockwork are associated with and may predispose to metabolic syndrome. METHODOLOGY AND PRINCIPAL FINDINGS: 8028 individuals attended a nationwide health examination survey in Finland. Data were collected with a face-to-face interview at home and during an individual health status examination. The waist circumference, height, weight and blood pressure were measured and samples were taken for laboratory tests. Participants were assessed using the ATP-III criteria for metabolic syndrome and with the Seasonal Pattern Assessment Questionnaire for their seasonal changes in mood and behavior. Seasonal changes in weight in particular were a risk factor of metabolic syndrome, after controlling for a number of known risk and potential confounding factors. CONCLUSIONS AND SIGNIFICANCE: Metabolic syndrome is associated with high global scores on the seasonal changes in mood and behavior, and with those in weight in particular. Assessment of these changes may serve as a useful indicator of metabolic syndrome, because of easy assessment. Abnormalities in the circadian clockwork which links seasonal fluctuations to metabolic cycles may predispose to seasonal changes in weight and to metabolic syndrome.

  5. Seasonality in consumption: An economic analysis of the alimentary patterns in Greece (1957-2005)

    NARCIS (Netherlands)

    Sotiropoulos, I.; Georgakopoulos, G.; Pendaraki, K.

    2010-01-01

    This paper attempts to explore financial expenditure of households in post-war Greece (1957-2005) in our endeavour to describe annual seasonality patterns of food consumption. Agricultural/industrial, animal/plant-based, in-house/away-from-home alimentation features are examined in an effort to

  6. Developing a Framework for Seamless Prediction of Sub-Seasonal to Seasonal Extreme Precipitation Events in the United States.

    Science.gov (United States)

    Rosendahl, D. H.; Ćwik, P.; Martin, E. R.; Basara, J. B.; Brooks, H. E.; Furtado, J. C.; Homeyer, C. R.; Lazrus, H.; Mcpherson, R. A.; Mullens, E.; Richman, M. B.; Robinson-Cook, A.

    2017-12-01

    Extreme precipitation events cause significant damage to homes, businesses, infrastructure, and agriculture, as well as many injures and fatalities as a result of fast-moving water or waterborne diseases. In the USA, these natural hazard events claimed the lives of more than 300 people during 2015 - 2016 alone, with total damage reaching $24.4 billion. Prior studies of extreme precipitation events have focused on the sub-daily to sub-weekly timeframes. However, many decisions for planning, preparing and resilience-building require sub-seasonal to seasonal timeframes (S2S; 14 to 90 days), but adequate forecasting tools for prediction do not exist. Therefore, the goal of this newly funded project is an enhancement in understanding of the large-scale forcing and dynamics of S2S extreme precipitation events in the United States, and improved capability for modeling and predicting such events. Here, we describe the project goals, objectives, and research activities that will take place over the next 5 years. In this project, a unique team of scientists and stakeholders will identify and understand weather and climate processes connected with the prediction of S2S extreme precipitation events by answering these research questions: 1) What are the synoptic patterns associated with, and characteristic of, S2S extreme precipitation evens in the contiguous U.S.? 2) What role, if any, do large-scale modes of climate variability play in modulating these events? 3) How predictable are S2S extreme precipitation events across temporal scales? 4) How do we create an informative prediction of S2S extreme precipitation events for policymaking and planing? This project will use observational data, high-resolution radar composites, dynamical climate models and workshops that engage stakeholders (water resource managers, emergency managers and tribal environmental professionals) in co-production of knowledge. The overarching result of this project will be predictive models to reduce of

  7. Understanding organizational and cultural premises for quality of care in nursing homes: an ethnographic study

    OpenAIRE

    Nakrem, Sigrid

    2015-01-01

    Background Internationally, there are concerns about the quality of care in nursing homes. The concept of ?corporate culture? as an internal variable could be seen as the means to improve quality of care and quality of life for the residents. The aim of this article was to describe the nursing home culture from the staff?s perspective and to include how the residents describe quality of care. Methods An ethnographic design was employed. A purposive sample of four municipal public nursing home...

  8. Business Solutions Case Study: Marketing Zero Energy Homes: LifeStyle Homes, Melbourne, Florida

    Energy Technology Data Exchange (ETDEWEB)

    None

    2015-06-01

    Building America research has shown that high-performance homes can potentially give builders an edge in the marketplace and can boost sales. But it doesn't happen automatically. It requires a tailored, easy to understand marketing campaign and sometimes a little flair. This case study highlights LifeStyle Homes’ successful marketing approach for their SunSmart home package, which has helped to boost sales for the company. SunSmart marketing includes a modified logo, weekly blog, social media, traditional advertising, website, and sales staff training. Marketing focuses on quality, durability, healthy indoor air, and energy efficiency with an emphasis on the surety of third-party verification and the scientific approach to developing the SunSmart package. With the introduction of SunSmart, LifeStyle began an early recovery, nearly doubling sales in 2010; SunSmart sales now exceed 300 homes, including more than 20 zero energy homes. Completed homes in 2014 far outpaced the national (19%) and southern census region (27%) recovery rates for the same period. As technology improves and evolves, this builder will continue to collaborate with Building America.

  9. Use of oseltamivir in Dutch nursing homes during the 2004-2005 influenza season.

    NARCIS (Netherlands)

    Sande, Marianne A B van der; Ruijs, Wilhelmina L M; Meijer, Adam; Cools, Herman J M; Plas, Simone M van der

    2006-01-01

    To assess the implementation of guidelines for using neuraminidase inhibitors in the control of influenza outbreaks in Dutch nursing homes, data were collected on prophylactic and therapeutic use of anti-viral medication, indications for use and criteria for prescribing, based on experiences during

  10. Cold-Season Tornadoes: Climatological, Meteorological, and Social Perspectives

    Science.gov (United States)

    Childs, Samuel J.

    Tornadoes that occur during the cold season, defined here as November-February (NDJF), pose many unique societal risks. For example, people can be caught off-guard because in general one does not expect severe weather and tornadoes during winter months. The public can also be unsuspecting of significant weather due to the bustle of major holidays like Thanksgiving, Christmas, and New Year's, when most people are concerned with family activities and not thinking about the weather. Cold-season tornadoes also have a propensity to be nocturnal and occur most frequently in the South and Southeastern U.S., where variable terrain, inadequate resources, and a relatively high mobile home density add additional social vulnerabilities. Over the period 1953-2015 within a study domain of (25-42.5°N, 75-100°W), some 937 people lost their lives as a result of NDJF tornadoes. Despite this enhanced societal risk of cold-season tornadoes in the South, very little attention has been given to their meteorological characteristics and climate patterns, and public awareness of their potential impacts is lacking. This thesis aims to greatly advance the current state of knowledge of NDJF tornadoes by providing an in-depth investigation from three different science perspectives. First, a climatology of all (E)F1-(E)F5 NDJF tornadoes is developed, spanning the period 1953-2015 within a domain of (25-42.5°N, 75-100°W), in order to assess frequency and spatial changes over time. A large increasing trend in cold-season tornado occurrence is found across much of the Southeastern U.S., with the greatest uptick in Tennessee, while a decreasing trend is found across eastern Oklahoma. Spectral analysis reveals a cyclic pattern of enhanced NDJF counts every 3-7 years, coincident with the known period for ENSO. Indeed, La Nina episodes are found to be correlated with NDJF tornado counts, although a stronger teleconnection correlation exists with the Arctic Oscillation (AO), which explains 25% of

  11. Understanding the evolution of the 2014–2016 summer rainfall seasons in southern Africa: Key lessons

    Directory of Open Access Journals (Sweden)

    Emma Rosa Mary Archer

    2017-01-01

    Full Text Available The recent 2015/16 summer rainfall season in the terrestrial Southern African Development Community (SADC region appears to be the most severe since the droughts of the early 1980s and 1990s; with well-publicized significant impacts on agriculture and food security. Impacts have been particularly concerning since the 2015/6 season followed a poor rainy season in 2014/15, in certain areas compounding already compromised production (total maize production was, for example, down 40% relative to the previous 5 year average. This paper reviews climate forecasts and observations of the two seasons, and presents examples of the resulting impacts on agriculture within the region. We conclude by considering what may be learnt from this experience, focussing on operational recommendations for early warning within SADC, as well as longstanding needs for awareness raising and capacity building.

  12. Building America Case Study: Whole-House Solutions for Existing Homes: Greenbelt Homes, Inc. Pilot Retrofit Program; Whole-House Solutions for Existing Homes, Energy Efficiency & Renewable Energy (EERE)

    Energy Technology Data Exchange (ETDEWEB)

    None

    2015-06-01

    In the fall of 2010, a multiyear pilot energy efficiency retrofit project was undertaken by Greenbelt Homes, Inc, (GHI) a 1,566 home cooperative of circa 1930 and 1940 homes in Greenbelt, Maryland. GHI established this pilot project to serve as a basis for decision making for the rollout of a decade-long community-wide upgrade program that will incorporate energy efficiency improvements to the building envelope and mechanical equipment. With the community upgrade fully funded by the cooperative through their membership without outside subsidies, this project presents a unique opportunity to evaluate and prioritize the wide-range of benefits of high-performance retrofits based on member experience with and acceptance of the retrofit measures implemented during the pilot project. Addressing the complex interactions between benefits, trade-offs, construction methods, project management implications, realistic upfront costs, financing, and other considerations, serves as a case study for energy retrofit projects to include high-performance technologies based on the long-term value to the homeowner. The pilot project focused on identifying the added costs and energy savings benefits of improvements. Phase 1: baseline evaluation for a representative set of 28 homes sited in seven buildings; Phase 2: installation of the building envelope improvements and continued monitoring of the energy consumption for the heating season and energy simulations supporting recommendations for HVAC and water heating upgrades to be implemented in Phase 3.

  13. Movement Patterns, Home Range Size and Habitat Selection of an Endangered Resource Tracking Species, the Black-Throated Finch (Poephila cincta cincta).

    Science.gov (United States)

    Rechetelo, Juliana; Grice, Anthony; Reside, April Elizabeth; Hardesty, Britta Denise; Moloney, James

    2016-01-01

    Understanding movement patterns and home range of species is paramount in ecology; it is particularly important for threatened taxa as it can provide valuable information for conservation management. To address this knowledge gap for a range-restricted endangered bird, we estimated home range size, daily movement patterns and habitat use of a granivorous subspecies in northeast Australia, the black-throated finch (Poephila cincta cincta; BTF) using radio-tracking and re-sighting of colour banded birds. Little is known about basic aspects of its ecology including movement patterns and home range sizes. From 2011-2014 we colour-banded 102 BTF and radio-tracked 15 birds. We generated home ranges (calculated using kernel and Minimum Convex Polygons techniques of the 15 tracked BTF). More than 50% of the re-sightings occurred within 200 m of the banding site (n = 51 out of 93 events) and within 100 days of capture. Mean home-range estimates with kernel (50%, 95% probability) and Minimum Convex Polygons were 10.59 ha, 50.79 ha and 46.27 ha, respectively. Home range size differed between two capture sites but no seasonal differences were observed. BTF home ranges overlapped four habitat types among eight available. Habitat selection was different from random at Site 1 (χ2 = 373.41, df = 42, pmovements may be related to resource bottleneck periods. Daily movement patterns differed between sites, which is likely linked to the fact that the sites differ in the spatial distribution of resources. The work provides information about home range sizes and local movement of BTF that will be valuable for targeting effective management and conservation strategies for this endangered granivore.

  14. Home care in Australia: an integrative review.

    Science.gov (United States)

    Palesy, Debra; Jakimowicz, Samantha; Saunders, Carla; Lewis, Joanne

    2018-01-01

    The home care sector comprises one of Australia's fastest growing workforces, yet few papers capture the overall landscape of Australian home care. This integrative review investigates home care with the aim of better understanding care recipients and their needs, funding, and regulation; care worker skills, tasks, demographics, employment conditions, and training needs. Over 2,700 pieces of literature were analyzed to inform this review. Results suggest sector fragmentation and a home care workforce who, although well-placed to improve outcomes for care recipients, are in need of better training and employment support. Suggestions for future research regarding Australian home care include studies that combine both aged and disability aspects of care, more research around care recipients, priority needs and strategies for addressing them, and how best to prepare home care workers for their roles.

  15. Factors Affecting Home Ranges of Red Foxes in Ikh Nart Nature Reserve, Mongolia

    Directory of Open Access Journals (Sweden)

    Tserendorj Munkhzul

    2012-12-01

    Full Text Available Changes in red fox home range size in relation to environmental and intrinsic factors were studied using radio-telemetry during 2006–2008 in Ikh Nart Nature Reserve, southeastern Mongolia. We captured a total of 12 red foxes (8 females and 4 males and fi tted them with VHF radio-collars. Marked animals were tracked up to fi ve times a week to estimate home ranges. We also trapped small mammal and insects in different biotopes for 3 years to estimate relative abundance of prey. Our results showed that mean individual home range sizes varied widely and differed among years. There was variation in home ranges between adults versus juveniles, but no signifi cant difference was found between males versus females. In addition, mean home range size did not differ seasonally for pooled years. Variation in home ranges was best explained by a model that included covariates of year and age. We suggest that spatiotemporal changes in resource availability across years infl uenced home range dynamics of red foxes in our study.

  16. A Third Reason to Home School: Leadership Development

    Science.gov (United States)

    Seago, Johnnie

    2012-01-01

    This article responds to Poutiatine's (2009) "What is Transformational?: Nine Principles Toward an Understanding Transformational Process for Transformational Leadership" by relating home schooling environments as lab schools for developing transformational leaders. Although many families select home schooling for improved academic progress or…

  17. Understanding the Seasonal Greenness Trends and Controls in South Asia Using Satellite Based Observations

    Science.gov (United States)

    Sarmah, S.; Jia, G.; Zhang, A.; Singha, M.

    2017-12-01

    South Asia (SA) is one of the most remarkable regions in changing vegetation greenness along with its major expansion of agricultural activity, especially irrigated farming. However, SA is predicted to be a vulnerable agricultural regions to future climate changes. The influence of monsoon climate on the seasonal trends and anomalies of vegetation greenness are not well understood in the region which can provide valuable information about climate-ecosystem interaction. This study analyzed the spatio-temporal patterns of seasonal vegetation trends and variability using satellite vegetation indices (VI) including AVHRR Normalized Difference Vegetation Index (NDVI) (1982-2013) and MODIS Enhanced Vegetation Index (EVI) (2000-2013) in summer monsoon (SM) (June-Sept) and winter monsoon (WM) (Dec-Apr) seasons among irrigated cropland (IC), rainfed cropland (RC) and natural vegetation (NV). Seasonal VI variations with climatic factors (precipitation and temperature) and LULC changes have been investigated to identify the forcings behind the vegetation trends and variability. We found that major greening occurred in the last three decades due to the increase in IC productivity noticeably in WM, however, recent (2000-2013) greening trends were lower than the previous decades (1982-1999) in both the IC and RC indicating the stresses on them. The browning trends, mainly concentrated in NV areas were prominent during WM and rigorous since 2000, confirmed from the moderate resolution EVI and LULC datasets. Winter time maximal temperature had been increasing tremendously whereas precipitation trend was not significant over SA. Both the climate variability and LULC changes had integrated effects on the vegetation changes in NV areas specifically in hilly regions. However, LULC impact was intensified since 2000, mostly in north east India. This study also revealed a distinct seasonal variation in spatial distribution of correlation between VI's and climate anomalies over SA

  18. Understanding and seasonal forecasting of hydrological drought in the Anthropocene

    Directory of Open Access Journals (Sweden)

    X. Yuan

    2017-11-01

    Full Text Available Hydrological drought is not only caused by natural hydroclimate variability but can also be directly altered by human interventions including reservoir operation, irrigation, groundwater exploitation, etc. Understanding and forecasting of hydrological drought in the Anthropocene are grand challenges due to complicated interactions among climate, hydrology and humans. In this paper, five decades (1961–2010 of naturalized and observed streamflow datasets are used to investigate hydrological drought characteristics in a heavily managed river basin, the Yellow River basin in north China. Human interventions decrease the correlation between hydrological and meteorological droughts, and make the hydrological drought respond to longer timescales of meteorological drought. Due to large water consumptions in the middle and lower reaches, there are 118–262 % increases in the hydrological drought frequency, up to 8-fold increases in the drought severity, 21–99 % increases in the drought duration and the drought onset is earlier. The non-stationarity due to anthropogenic climate change and human water use basically decreases the correlation between meteorological and hydrological droughts and reduces the effect of human interventions on hydrological drought frequency while increasing the effect on drought duration and severity. A set of 29-year (1982–2010 hindcasts from an established seasonal hydrological forecasting system are used to assess the forecast skill of hydrological drought. In the naturalized condition, the climate-model-based approach outperforms the climatology method in predicting the 2001 severe hydrological drought event. Based on the 29-year hindcasts, the former method has a Brier skill score of 11–26 % against the latter for the probabilistic hydrological drought forecasting. In the Anthropocene, the skill for both approaches increases due to the dominant influence of human interventions that have been implicitly

  19. Understanding Medical Words

    Science.gov (United States)

    ... Bar Home Current Issue Past Issues Understanding Medical Words Past Issues / Summer 2009 Table of Contents For ... Medicine that teaches you about many of the words related to your health care Do you have ...

  20. Variability of breath condensate pH may contribute to the better understanding of non-allergic seasonal respiratory diseases

    Science.gov (United States)

    Kullmann, Tamás; Szipőcs, Annamária

    2017-09-01

    The seasonal variability of certain non-allergic respiratory diseases is not clearly understood. Analysis of the breath condensate, the liquid that can be collected by breathing into a cold tube, has been proposed to bring closer to the understanding of airway pathologies. It has been assumed, that (1) airway lining fluid was a stable body liquid and (2) the breath condensate samples were representative of the airway lining fluid. Research was focussed on the identification of biomarkers indicative of respiratory pathologies. Despite 30 years of extended investigations breath condensate analysis has not gained any clinical implementation so far. The pH of the condensate is the characteristic that can be determined with the highest reproducibility. The present paper shows, that contrary to the initial assumptions, breath condensate is not a representative of the airway lining fluid, and the airway lining fluid is not a stable body liquid. Condensate pH shows baseline variability and it is influenced by drinking and by the ambient temperature. The changes in condensate pH are linked to changes in airway lining fluid pH. The variability of airway lining fluid pH may explain seasonal incidence of certain non-allergic respiratory diseases such as the catching of a common cold and the increased incidence of COPD exacerbations and exercise-induced bronchoconstriction in cold periods.

  1. Comfort in High-Performance Homes in a Hot-Humid Climate

    Energy Technology Data Exchange (ETDEWEB)

    Poerschke, A. [IBACOS, Inc., Pittsburgh, PA (United States); Beach, R. [IBACOS, Inc., Pittsburgh, PA (United States)

    2016-01-22

    "9IBACOS monitored 37 homes during the late summer and early fall of 2014 in a hot and humid climate to better understand indoor comfort conditions. These homes were constructed in the last several years by four home builders that offered a comfort and performance guarantee for the homes. The homes were located in one of four cities: Tampa, Florida; Orlando, Florida; Houston, Texas; and San Antonio, Texas. Temperature and humidity data were collected from the thermostat and each room of the house using small, battery-powered data loggers. To understand system runtime and its impact on comfort, supply air temperature also was measured on a 1-minute interval. Overall, the group of homes only exceeded a room-to-room temperature difference of 6 degrees F for 5% of the time. For 80% of the time, the rooms in each house were within 4 degrees F of each other. Additionally, the impact of system runtime on comfort is discussed. Finally, measurements made at the thermostat were used to better understand the occupant operation of each cooling system's thermostat setpoint. Builders were questioned on their perceived impact of offering a comfort and performance guarantee. Their feedback, which generally indicates a positive perception, has been summarized in the report.

  2. Survey about the climatic behaviour of mobile homes; Untersuchungen zum klimatischen Verhalten von Wohnmobilen

    Energy Technology Data Exchange (ETDEWEB)

    Leimer, H.P.; Stein, F. [Hochschule fuer Angewandte Wissenschaft und Kunst HAWK, Hildesheim (Germany). BBS Institut Forschungs- und Materialpruefinst. fuer Angewandte Bauphysik und Werkstoffe des Bauwesens

    2006-02-15

    Traveling with mobile homes gains more and more importance in the mobile world. Very dif-ferent regions are visited during any seasons. A basic premise is the maintenance of a comfortable climate in-side the vehicle. In the context of a research program the thermal and energetic behaviour of mobile homes and the thermal-hygric behaviour of the exterior building elements were investigated subject to the surrounding climate, the user's behaviour and the building elements. (orig.)

  3. Understanding the Home Math Environment and Its Role in Predicting Parent Report of Children’s Math Skills

    Science.gov (United States)

    Ganley, Colleen M.; Purpura, David J.

    2016-01-01

    There is a growing literature concerning the role of the home math environment in children’s math development. In this study, we examined the relation between these constructs by specifically addressing three goals. The first goal was to identify the measurement structure of the home math environment through a series of confirmatory factor analyses. The second goal was to examine the role of the home math environment in predicting parent report of children’s math skills. The third goal was to test a series of potential alternative explanations for the relation between the home math environment and parent report of children’s skills, specifically the direct and indirect role of household income, parent math anxiety, and parent math ability as measured by their approximate number system performance. A final sample of 339 parents of children aged 3 through 8 drawn from Mechanical Turk answered a questionnaire online. The best fitting model of the home math environment was a bifactor model with a general factor representing the general home math environment, and three specific factors representing the direct numeracy environment, the indirect numeracy environment, and the spatial environment. When examining the association of the home math environment factors to parent report of child skills, the general home math environment factor and the spatial environment were the only significant predictors. Parents who reported doing more general math activities in the home reported having children with higher math skills, whereas parents who reported doing more spatial activities reported having children with lower math skills. PMID:28005925

  4. Understanding green and sustainable construction in Lagos, Nigeria ...

    African Journals Online (AJOL)

    Ethiopian Journal of Environmental Studies and Management. Journal Home ... Journal Home > Vol 8, No 1 (2015) >. Log in or ... Understanding green and sustainable construction in Lagos, Nigeria: Principles, attributes and framework.

  5. The Impact of a Kinesthetic Approach to Teaching Earth's Seasons

    Science.gov (United States)

    Slater, Stephanie; Morrow, C. A.

    2010-01-01

    The AAAS Benchmarks and NRC National Science Education Standards clearly prescribe that all American middle school students should understand that Earth's seasons are caused by variations in the amount of sunlight that hits Earth's surface due to tilt. An explanation for the cause of the seasons that is consistent with a scientifically accurate viewpoint would involve how the amount of sunlight reaching Earth's surface at different latitudes and is directly related to the planet's tilt. However, the most common alternative explanation given is the changing distance between the Sun and Earth. Previous research, as well as common experience, indicates that conventional instructional approaches on the concept of seasons are rarely sufficient in achieving scientifically accurate or durable conceptual change. Given the highly spatial nature of the concept, and the highly socially nature of human beings, some curriculum developers have turned to kinesthetic instructional approaches as a means to develop students' spatial reasoning and problem solving skills while confronting misconceptions and allowing students to socially construct scientifically accurate models of the seasons. We report results from a quantitative study on the impact on understanding of ninth grade students using kinesthetic approach to instruction for the traditionally challenging topic of Earth's seasons. The guiding research question was: To what extent does the kinesthetic astronomy instructional approach assist students in correcting misconceptions about the cause of the seasons? Using a single-group, multiple measures quasi-experimental study design, data was collected pre- and post-instruction using written, student-supplied-response assessments. Additionally, a third assessment was conducted 8 weeks after instruction in an attempt to measure durability. The results showed that statistically significant conceptual change occurred across three subtopics supporting seasons and were stable over 8

  6. Skilful seasonal forecasts of streamflow over Europe?

    Science.gov (United States)

    Arnal, Louise; Cloke, Hannah L.; Stephens, Elisabeth; Wetterhall, Fredrik; Prudhomme, Christel; Neumann, Jessica; Krzeminski, Blazej; Pappenberger, Florian

    2018-04-01

    This paper considers whether there is any added value in using seasonal climate forecasts instead of historical meteorological observations for forecasting streamflow on seasonal timescales over Europe. A Europe-wide analysis of the skill of the newly operational EFAS (European Flood Awareness System) seasonal streamflow forecasts (produced by forcing the Lisflood model with the ECMWF System 4 seasonal climate forecasts), benchmarked against the ensemble streamflow prediction (ESP) forecasting approach (produced by forcing the Lisflood model with historical meteorological observations), is undertaken. The results suggest that, on average, the System 4 seasonal climate forecasts improve the streamflow predictability over historical meteorological observations for the first month of lead time only (in terms of hindcast accuracy, sharpness and overall performance). However, the predictability varies in space and time and is greater in winter and autumn. Parts of Europe additionally exhibit a longer predictability, up to 7 months of lead time, for certain months within a season. In terms of hindcast reliability, the EFAS seasonal streamflow hindcasts are on average less skilful than the ESP for all lead times. The results also highlight the potential usefulness of the EFAS seasonal streamflow forecasts for decision-making (measured in terms of the hindcast discrimination for the lower and upper terciles of the simulated streamflow). Although the ESP is the most potentially useful forecasting approach in Europe, the EFAS seasonal streamflow forecasts appear more potentially useful than the ESP in some regions and for certain seasons, especially in winter for almost 40 % of Europe. Patterns in the EFAS seasonal streamflow hindcast skill are however not mirrored in the System 4 seasonal climate hindcasts, hinting at the need for a better understanding of the link between hydrological and meteorological variables on seasonal timescales, with the aim of improving climate

  7. Quantitation of major allergens in dust samples from urban populations collected in different seasons in two climatic areas of the Basque region (Spain).

    Science.gov (United States)

    Echechipía, S; Ventas, P; Audícana, M; Urrutia, I; Gastaminza, G; Polo, F; Fernández de Corres, L

    1995-06-01

    We present the results of allergen content evaluation in 80 dust samples from 31 homes of atopic patients from two climatic areas (humid and subhumid), collected in two seasons of the year (autumn and winter). Monoclonal antibody-based immunoassays were used to quantify Der p 1, Der f 1, Der 2, Lep d 1, and Fel d 1. The results were compared according to climate, season, and the type of sensitization (Pyroglyphidae mites, storage mites, or grass pollens). We underline the predominance of Dermatophagoides pteronyssinus (89% of samples) over D. farinae (16% of samples) in our environment. Der p 1 rates were higher in the humid area (Mann-Whitney P < 0.001), especially in the autumn (Wilcoxon P < 0.05). Lep d 1 was detected in 23% of samples and Lep d 1 levels were higher in the homes of patients sensitized to storage mites (Mann-Whitney P < 0.05), whereas this allergen was not detected in the homes of pollen-allergic patients. Fel d 1 was detected in nine of the 31 homes (16% of samples) although there was a cat in only one home.

  8. Seasonal Variations of Indoor Microbial Exposures and Their Relation to Temperature, Relative Humidity, and Air Exchange Rate

    DEFF Research Database (Denmark)

    Frankel, Mika; Bekö, Gabriel; Timm, Michael

    2012-01-01

    with temperature, relative humidity, and air exchange rates in Danish homes. Airborne inhalable dust was sampled in five Danish homes throughout the four seasons of 1 year (indoors, n = 127; outdoors, n = 37). Measurements included culturable fungi and bacteria, endotoxin, N-acetyl-beta-d-glucosaminidase, total...... inflammatory potential, particles (0.75 to 15 μm), temperature, relative humidity, and air exchange rates. Significant seasonal variation was found for all indoor microbial exposures, excluding endotoxin. Indoor fungi peaked in summer (median, 235 CFU/m3) and were lowest in winter (median, 26 CFU/m3). Indoor...... of inhalable dust and number of particles. Temperature and air exchange rates were positively associated with fungi and N-acetyl-beta-d-glucosaminidase and negatively with bacteria and the total inflammatory potential. Although temperature, relative humidity, and air exchange rates were significantly...

  9. Seasonal and socio-economic variations in clinical and self-reported ...

    African Journals Online (AJOL)

    Seasonal and socio-economic variations in clinical and self-reported malaria in Accra, Ghana: Evidence from facility data and a community survey. ... Conclusions: Understanding these seasonal and geographic patterns have implications for both prevention and treatment of malaria-like morbidity in both children and adults ...

  10. Linking small-scale circulation dynamics with large-scale seasonal production (phytoplankton) in the Southern Ocean

    CSIR Research Space (South Africa)

    Nicholson, S

    2012-10-01

    Full Text Available Understanding the seasonal and intra-seasonal (daily to weekly) changes of the upper ocean and the impact on the primary production in the Southern Ocean is key to better understanding the sensitivities of the global carbon cycle....

  11. Extended season for northern butterflies.

    Science.gov (United States)

    Karlsson, Bengt

    2014-07-01

    Butterflies are like all insects in that they are temperature sensitive and a changing climate with higher temperatures might effect their phenology. Several studies have found support for earlier flight dates among the investigated species. A comparative study with data from a citizen science project, including 66 species of butterflies in Sweden, was undertaken, and the result confirms that most butterfly species now fly earlier during the season. This is especially evident for butterflies overwintering as adults or as pupae. However, the advancement in phenology is correlated with flight date, and some late season species show no advancement or have even postponed their flight dates and are now flying later in the season. The results also showed that latitude had a strong effect on the adult flight date, and most of the investigated species showed significantly later flights towards the north. Only some late flying species showed an opposite trend, flying earlier in the north. A majority of the investigated species in this study showed a general response to temperature and advanced their flight dates with warmer temperatures (on average they advanced their flight dates by 3.8 days/°C), although not all species showed this response. In essence, a climate with earlier springs and longer growing seasons seems not to change the appearance patterns in a one-way direction. We now see butterflies on the wings both earlier and later in the season and some consequences of these patterns are discussed. So far, studies have concentrated mostly on early season butterfly-plant interactions but also late season studies are needed for a better understanding of long-term population consequences.

  12. Understanding significant processes during work environment interventions to alleviate time pressure and associated sick leave of home care workers--a case study.

    Science.gov (United States)

    Andersen, Gunn Robstad; Westgaard, Rolf H

    2013-11-15

    Ergonomic and work stress interventions rarely show long-term positive effect. The municipality participating in this study received orders from the Norwegian Labour Inspectorate due to an identified unhealthy level of time pressure, and responded by effectuating several work environment interventions. The study aim is to identify critical factors in the interaction between work environment interventions and independent rationalization measures in order to understand a potential negative interfering effect from concurrent rationalizations on a comprehensive work environment intervention. The study, using a historic prospective mixed-method design, comprised 6 home care units in a municipality in Norway (138 respondents, response rate 76.2%; 17 informants). The study included quantitative estimations, register data of sick leave, a time line of significant events and changes, and qualitative descriptions of employee appraisals of their work situation gathered through semi-structured interviews and open survey responses. The work environment interventions were in general regarded as positive by the home care workers. However, all units were simultaneously subjected to substantial contextual instability, involving new work programs, new technology, restructurings, unit mergers, and management replacements, perceived by the home care workers to be major sources of stress. Findings suggest that concurrent changes induced through rationalization resulted in negative exposure effects that negated positive work environment intervention effects, causing an overall deteriorated work situation for the home care workers. Establishment and active utilization of communication channels from workers to managers are recommended in order to increase awareness of putative harmful and interruptive effects of rationalization measures.

  13. From understanding to participation

    DEFF Research Database (Denmark)

    Raudaskoski, Pirkko Liisa

    2013-01-01

    in which entities (for example, the world, culture, society, organization and identities) emerge through entangled, layered practices in concrete circumstances. Understanding is not treated as a philosophical puzzle or as a purely linguistic phenomenon. Rather, it is conceptualized as an embodied...... a residential home where mutual understanding is an everyday challenge, namely the Danish Acquired Brain Injury Centre North....

  14. Adopt a Care Home: An intergenerational initiative bringing children into care homes.

    Science.gov (United States)

    Di Bona, Laura; Kennedy, Sheila; Mountain, Gail

    2017-01-01

    Dementia friendly communities, in which people living with dementia actively participate and those around them are educated about dementia, may improve the wellbeing of those living with dementia and reduce the associated stigma. The Adopt a Care Home scheme aims to contribute towards this by teaching schoolchildren about dementia and linking them with people living with dementia in a local care home. Forty-one children, 10 people living with dementia and 8 school/care home staff participated in a mixed methods (questionnaires, observations, interviews and focus groups) evaluation to assess the scheme's feasibility and impact. Data were analysed statistically and thematically. The scheme was successfully implemented, increased children's dementia awareness and appeared enjoyable for most participants. Findings, therefore, demonstrate the scheme's potential to contribute towards dementia friendly communities by increasing children's knowledge and understanding of dementia and engaging people living with dementia in an enjoyable activity, increasing their social inclusion.

  15. Meaning creation and employee engagement in home health caregivers.

    Science.gov (United States)

    Nielsen, Mette Strange; Jørgensen, Frances

    2016-03-01

    The purpose of this study is to contribute to an understanding on how home health caregivers experience engagement in their work, and specifically, how aspects of home healthcare work create meaning associated with employee engagement. Although much research on engagement has been conducted, little has addressed how individual differences such as worker orientation influence engagement, or how engagement is experienced within a caregiving context. The study is based on a qualitative study in two home homecare organisations in Denmark using a think-aloud data technique, interviews and observations. The analysis suggests caregivers experience meaning in three relatively distinct ways, depending on their work orientation. Specifically, the nature of engagement varies across caregivers oriented towards being 'nurturers', 'professionals', or 'workers', and the sources of engagement differ for each of these types of caregivers. The article contributes by (i) advancing our theoretical understanding of employee engagement by emphasising meaning creation and (ii) identifying factors that influence meaning creation and engagement of home health caregivers, which should consequently affect the quality of services provided home healthcare patients. © 2015 Nordic College of Caring Science.

  16. Eldercare at Home: Communication Problems

    Science.gov (United States)

    ... Join our e-newsletter! Resources Eldercare at Home: Communication Problems Caregiving How Tos Understanding the Problem Communication ... when the older person is most alert. Talk face-to-face and maintain eye contact. A good way to ...

  17. NEW SEASON NEW HOPES: OFF-SEASON OPTIMISM

    Directory of Open Access Journals (Sweden)

    Oguz Ersan

    2017-12-01

    Full Text Available While literature on the relation between on-field sports performance and stock returns is ample, there is very limited evidence on off-season stage. Constituting around 3 months, off-seasons do not only occupy a significant part of the year but also represent totally different characteristics than on-seasons. They lack the periodic, unambiguous news events in on-seasons (match results, instead they are associated with highly uncertain transfer news and rumors. We show that this distinction has several impacts on the stock market performances of soccer clubs. Most notably, off-seasons generate substantially higher (excess returns. After controlling for other variables, the estimated effect of off-season periods is as high as 38.75%, annually. In line with several seminal studies, we link this fact to increased optimism and betting behavior through uncertain periods; and periods prior to the start of a new calendar (in our case, new season. For all of the examined 7 clubs (3 from Italy and 4 from Turkey, mean excess returns over the market are positive (negative in off-seasons (on-seasons. On-seasons are associated with increased trading activity due to more frequent news. Stocks of Italian clubs are evidently more volatile through off-seasons while volatility results for the stocks of Turkish clubs are not consistent.

  18. Influenza Seasonal Summary, 2014-2015 Season

    Science.gov (United States)

    2015-08-14

    Influenza Seasonal Summarv 2014-2015 Season EpiData Center Department Communicable Disease Division NMCPHC-EDC-TR-394-2015 REPORT DOCUMENTATION... Influenza Seasonal Summary, 2014-2015 Season Sb. GRANT NUMBER $c. PROGRAM ELEMENT NUMBER 6. AUTHORjS) Sd. PROJECT NUMBER Ashleigh K McCabe, Kristen R...SUPPLEMENTARY NOTES 1<l. ABSTRACT This report summartzes influenza activity among Department of Navy (DON) and Depar1ment of Defense (DOD

  19. Palliative care in home care: perceptions of occupational therapists

    Directory of Open Access Journals (Sweden)

    Séfora Gomez Portela

    2015-03-01

    Full Text Available This research aimed at understanding and reflecting on the perceptions of occupational therapists regarding the implementation of palliative care in home care. This is an exploratory, qualitative study, through semi-structured interviews, conducted in the second semester of 2012 with eight occupational therapists with experience in palliative care in the city of São Paulo. Content analysis identified four themes: characterization and professional trajectory in the field, understanding the concepts of palliative care, home care and palliative care, and occupational therapy and palliative care in home care. The results suggest that the role of the occupational therapist in this field has taken place at different levels of health care, being addressed to people with varying needs. The use of the concept of palliative care by the interviewees exceeds the notion of end of life, following the changes in the epidemiological transition. They understand that professional services follow the trend of national palliative care services with focus on specialized levels, but manifest the importance of its implementation in primary and home care. Among the barriers to practice, they identified the complexity of “being at home “, peculiarities of palliative care with high cost demands, lack of infrastructure and implementation of the current policy. Professional training and scientific roduction in the area were viewed as inadequate, although they identified a call for change. The interviewees recognized palliative care in home care as a strong professional field, but one still requiring study and discussions regarding its limits and conditions of implementation, especially in the Unified Health System.

  20. Neuroendocrine regulation of gonadotropin secretion in seasonally breeding birds

    Directory of Open Access Journals (Sweden)

    Takayoshi eUbuka

    2013-03-01

    Full Text Available Seasonally breeding birds detect environmental signals, such as light, temperature, food availability and presence of mates to time reproduction. Hypothalamic neurons integrate external and internal signals, and regulate reproduction by releasing neurohormones to the pituitary gland. The pituitary gland synthesizes and releases gonadotropins which in turn act on the gonads to stimulate gametogenesis and sex steroid secretion. Accordingly, how gonadotropin secretion is controlled by the hypothalamus is key to our understanding of the mechanisms of seasonal reproduction. A hypothalamic neuropeptide, gonadotropin-releasing hormone (GnRH, activates reproduction by stimulating gonadotropin synthesis and release. Another hypothalamic neuropeptide, gonadotropin-inhibitory hormone (GnIH, inhibits gonadotropin synthesis and release directly by acting on the pituitary gland or indirectly by decreasing the activity of GnRH neurons. Therefore, the next step to understand seasonal reproduction is to investigate how the activities of GnRH and GnIH neurons in the hypothalamus and their receptors in the pituitary gland are regulated by external and internal signals. It is possible that locally-produced triiodothyronine resulting from the action of type 2 iodothyronine deiodinase on thyroxine stimulates the release of gonadotropins, perhaps by action on GnRH neurons. The function of GnRH neurons is also regulated by transcription of the GnRH gene. Melatonin, a nocturnal hormone, stimulates the synthesis and release of GnIH and GnIH may therefore regulate a daily rhythm of gonadotropin secretion. GnIH may also temporally suppress gonadotropin secretion when environmental conditions are unfavorable. Environmental and social milieus fluctuate seasonally in the wild. Accordingly, complex interactions of various neuronal and hormonal systems need to be considered if we are to understand the mechanisms underlying seasonal reproduction.

  1. Affecting culture change and performance improvement in Medicaid nursing homes: the Promote Understanding, Leadership, and Learning (PULL) Program.

    Science.gov (United States)

    Eliopoulos, Charlotte

    2013-01-01

    A growing number of nursing homes are implementing culture change programming to create a more homelike environment in which residents and direct care staff are empowered with greater participation in care activities. Although nursing homes that have adopted culture change practices have brought about positive transformation in their settings that have improved quality of care and life, as well as increased resident and staff satisfaction, they represent a minority of all nursing homes. Nursing homes that serve primarily a Medicaid population without supplemental sources of funding have been limited in the resources to support such change processes. The purpose of this project was to gain insight into effective strategies to provide culture change and quality improvement programming to low-performing, under-resourced nursing homes that represent the population of nursing homes least likely to have implemented this programming. Factors that interfered with transformation were identified and insights were gained into factors that need to be considered before transformational processes can be initiated. Effective educational strategies and processes that facilitate change in these types of nursing homes were identified. Despite limitations to the study, there was evidence that the experiences and findings can be of value to other low-performing, under-resourced nursing homes. Ongoing clinical work and research are needed to refine the implementation process and increase the ability to help these settings utilize resources and implement high quality cost effective care to nursing home residents. Copyright © 2013 Mosby, Inc. All rights reserved.

  2. Drivers of change: Learning from the lived experiences of nursing home social workers.

    Science.gov (United States)

    Lee, Ahyoung Anna; Lee, Sharon Narae; Armour, Marilyn

    2016-01-01

    In response to the growing attention to integrated health care and the cultural change movement in nursing homes, this study examines the lived experiences of nursing home social workers to better understand their role perceptions, job satisfaction, and relationship with other staff members. Hermeneutic phenomenology was used in order to understand the lived experience of being a nursing home social worker. Ten nursing home social workers were recruited from a southern state and individual interviews were conducted. From the interviews, four themes emerged: challenge, coping, mattering, and rewarding. Guided by identity negotiation theory and social identity theory, these findings are discussed. Also, implications for social work education, nursing home administration, and policy is discussed.

  3. A four factor model for estimating human radiation exposure to radon daughters in the home

    International Nuclear Information System (INIS)

    McCullough, R.S.; Letourneau, E.G.; Waight, P.J.

    1981-01-01

    This model is intended to represent the exposure received by individuals who spend any part of their day in a private home. Variables are defined to represent (1) different human groups, (2) basement and other levels in a house, (3) the four seasons of the year, and (4) activities within the home. The model is extremely flexible and appears to be applicable to other exposure circumstances. The number and definition of each of the variables can be changed easily. (author)

  4. Learning energy literacy concepts from energy-efficient homes

    Science.gov (United States)

    Paige, Frederick Eugene

    The purpose of this study is to understand ways that occupants' and visitors' interaction with energy efficient home design affects Energy Literacy. Using a case study approach including interviews, surveys, and observations, I examined the potential for affordable energy efficient homes in the Greenville South Carolina area to "teach" concepts from an Energy Literacy framework developed by dozens of educational partners and federal agencies that comprise the U.S. Global Change Research Program Partners. I paid particular attention to concepts from the framework that are transferable to energy decisions beyond a home's walls. My research reveals ways that interaction with high efficiency homes can effect understanding of the following Energy Literacy concepts: human use of energy is subject to limits and constraints, conservation is one way to manage energy resources, electricity is generated in multiple ways, social and technological innovations effect the amount of energy used by society, and energy use can be calculated and monitored. Examples from my case studies show how the at-home examples can make lessons on energy more personally relevant, easy to understand, and applicable. Specifically, I found that: • Home occupants learn the limits of energy in relation to the concrete and constricting costs associated with their consumption. • Heating and cooling techniques showcase the limits and constraints on different sources of energy. • Relatable systems make it easier to understand energy's limits and constraints. • Indistinct and distant power utilities allow consumers to overlook the root of electricity sources. • Visible examples of electricity generation systems make it clear that electricity is generated in multiple ways. • Small and interactive may mean inefficient electricity generation, but efficient energy education. • Perceptions of expense and complexity create a disconnect between residential energy consumers and renewable electricity

  5. Thermometers: Understand the Options

    Science.gov (United States)

    ... the options Thermometers come in a variety of styles. Understand the different types of thermometers and how ... MA. Fever in infants and children: Pathophysiology and management. http://www.uptodate.com/home. Accessed July 23, ...

  6. Innovative approaches for understanding seasonal influenza vaccine declination in healthcare personnel support development of new campaign strategies.

    Science.gov (United States)

    Schult, Tamara M; Awosika, Ebi R; Hodgson, Michael J; Hirsch, Pamela R; Nichol, Kristin L; Dyrenforth, Sue R; Moore, Scott C

    2012-09-01

    The main objectives of our study were to explore reasons for seasonal influenza vaccine acceptance and declination in employees of a large integrated healthcare system and to identify underlying constructs that influence acceptance versus declination. Secondary objectives were to determine whether vaccine acceptance varied by hospital location and to identify facility-level measures that explained variability. A national health promotion survey of employees was conducted that included items on vaccination in the 2009-2010 influenza season. The survey was administered with two other institutional surveys in a stratified fashion: approximately 40% of participating employees were randomly assigned to complete the health promotion survey. National single-payer healthcare system with 152 hospitals. Employees of the healthcare system in 2010 who responded to the survey. Factor analysis was used to identify underlying constructs that influenced vaccine acceptance versus declination. Mean factor scores were examined in relation to demographic characteristics and occupation. Multilevel logistic regression models were used to determine whether vaccine acceptance varied by location and to identify facility-level measures that explained variability. Four factors were identified related to vaccine declination and were labeled as (1) "don't care," (2) "don't want," (3) "don't believe," and (4) "don't know." Significant differences in mean factor scores existed by demographic characteristics and occupation. Vaccine acceptance varied by location, and vaccination rates in the previous year were an important facility-level predictor. Results should guide interventions that tailor messages on the basis of particular reasons for declination. Occupation-specific and culturally appropriate messaging should be considered. Continued efforts will be taken to better understand how workplace context influences vaccine acceptance.

  7. Doing Fieldwork at Home: Some Personal Experiences among the ...

    African Journals Online (AJOL)

    My extended stay at home was interpreted differently by my own people and ... had nowhere to go apart from home) and someone who was after “their” women. ... did not understand why I had to stay in my research site, claiming that it must be ...

  8. A positive deviance approach to understanding key features to improving diabetes care in the medical home

    NARCIS (Netherlands)

    Gabbay, R.A.; Friedberg, M.W.; Miller-Day, M.; Cronholm, P.F.; Adelman, A.; Schneider, E.C.

    2013-01-01

    PURPOSE The medical home has gained national attention as a model to reorganize primary care to improve health outcomes. Pennsylvania has undertaken one of the largest state-based, multipayer medical home pilot projects. We used a positive deviance approach to identify and compare factors driving

  9. Infant's bed climate and bedding in the Japanese home.

    Science.gov (United States)

    Nakamura Ikeda, Rie; Fukai, Kiyoko; Okamoto Mizuno, Kazue

    2012-06-01

    to assess the bed climate of infants in their homes in Japan. descriptive, exploratory, non-experimental research design. the data were collected at the participants' homes under normal circumstances. nineteen healthy infants between the ages of two and five months. Their mothers, who joined a parenting class organised by a maternity clinic in Okayama, Japan, consented to participate in this study. we visited the infants' homes and interviewed their mothers concerning the types and use of bedding. The temperature and relative humidity of the bed climate at the back and foot of the bedding, and in the room were measured every minute for four consecutive days. Differences among the bed climates measured during three seasons (spring, summer, and autumn) were assessed by one-way analysis of variance. The bed temperature was higher for infants than for adults. No significant difference in temperature was noted among the three seasons. The bed temperature was about 36.0°C when waterproof sheets and futon mattresses for children or adult were used. The average relative humidity of the bed climate at the back was highest in summer, followed by that in spring and autumn; the differences were significant. The use of waterproof sheets and futon mattresses for children in summer increased the relative humidity to 80% or more. The use of infant beds, sunoko drainboards, and cotton futon mattresses in summer was effective in reducing the bed humidity. these results suggest that nurse-midwives should advise the parents on comfortable bed climates for their infants, as well as how to select and use bedding for them. Copyright © 2010 Elsevier Ltd. All rights reserved.

  10. Seasonal soil moisture patterns in contrasting habitats in the Willamette Valley, Oregon

    Science.gov (United States)

    Changing seasonal soil moisture regimes caused by global warming may alter plant community composition in sensitive habitats such as wetlands and oak savannas. To evaluate such changes, an understanding of typical seasonal soil moisture regimes is necessary. The primary objective...

  11. Brain Basics: Understanding Sleep

    Science.gov (United States)

    ... You are here Home » Disorders » Patient & Caregiver Education Brain Basics: Understanding Sleep Anatomy of Sleep Sleep Stages ... t form or maintain the pathways in your brain that let you learn and create new memories, ...

  12. Meanings of the Home and Living

    Directory of Open Access Journals (Sweden)

    Verônica Gonçalves Azeredo

    2016-10-01

    Full Text Available This study aims at making considerations about what homes mean to their residents, an an approach related to the socio-cultural processes underlying its spatiality. The article is essentially theoretical and based on the literature. Following this methodology, the research was conducted in order to explore ethnographic sources focused on the anthropology of space. Reflections were guided by the notion of homes as well as the relations established in them, with emphasis on the intersection between the territorial, architectural, cultural, sociodemographic and psychological aspects. In addition to conceptual abstractions, the investigation aims to understand the meaning of and in space, the importance of homes, and the relationships established between them and their residents.

  13. Business Solutions Case Study: Marketing Zero Energy Homes: Tommy Williams Homes, Gainesville, Florida

    Energy Technology Data Exchange (ETDEWEB)

    None

    2015-06-01

    Building America research has shown that high-performance homes can potentially give builders an edge in the marketplace and can boost sales, but it doesn't happen automatically. It requires a tailored, easy-to-understand marketing campaign, and sometimes a little flair. This case study highlights the successful marketing approach of Tommy Williams Homes, which devotes resources to advertising, targeted social media outlets and blogs, realtor education seminars, and groundbreaking and open house celebrations. As a result, in one community, 2013 property sales records show that TWH outsells the only other builder in the development at a higher price, with fewer days on the market.

  14. Influences of landscape heterogeneity on home-range sizes of brown bears

    Science.gov (United States)

    Mangipane, Lindsey S.; Belant, Jerrold L.; Hiller, Tim L.; Colvin, Michael E.; Gustine, David; Mangipane, Buck A.; Hilderbrand, Grant V.

    2018-01-01

    Animal space use is influenced by many factors and can affect individual survival and fitness. Under optimal foraging theory, individuals use landscapes to optimize high-quality resources while minimizing the amount of energy used to acquire them. The spatial resource variability hypothesis states that as patchiness of resources increases, individuals use larger areas to obtain the resources necessary to meet energetic requirements. Additionally, under the temporal resource variability hypothesis, seasonal variation in available resources can reduce distances moved while providing a variety of food sources. Our objective was to determine if seasonal home ranges of brown bears (Ursus arctos) were influenced by temporal availability and spatial distribution of resources and whether individual reproductive status, sex, or size (i.e., body mass) mediated space use. To test our hypotheses, we radio collared brown bears (n = 32 [9 male, 23 female]) in 2014–2016 and used 18 a prioriselected linear models to evaluate seasonal utilization distributions (UD) in relation to our hypotheses. Our top-ranked model by AICc, supported the spatial resource variability hypothesis and included percentage of like adjacency (PLADJ) of all cover types (P  0.17 for males, solitary females, and females with dependent young), and body mass (kg; P = 0.66). Based on this model, for every percentage increase in PLADJ, UD area was predicted to increase 1.16 times for all sex and reproductive classes. Our results suggest that landscape heterogeneity influences brown bear space use; however, we found that bears used larger areas when landscape homogeneity increased, presumably to gain a diversity of food resources. Our results did not support the temporal resource variability hypothesis, suggesting that the spatial distribution of food was more important than seasonal availability in relation to brown bear home range size.

  15. Exploring children's seasonal play to promote active lifestyles in Auckland, New Zealand.

    Science.gov (United States)

    Ergler, Christina R; Kearns, Robin; Witten, Karen

    2016-09-01

    Studies of seasonal barriers for outdoor activities seldom view families' play practices as grounded in the everyday experience of the natural elements. This paper brings 20 families' mundane outdoor play experiences in Auckland's temperate climate to the fore. Through drawings and interviews, families residing in both suburban detached houses and central city apartments revealed locally constituted beliefs about appropriate play spaces (e.g. garden, park). While the majority of participants retreated to indoor activities during winter, some children and their parents viewed the outdoors as the only opportunity for 'real fun'. We advocate the importance of a better understanding of children's seasonal outdoor play. In particular, we argue that in order to promote year-round healthy levels of outdoor activities it is necessary to understand variations in societal, neighbourhood and family values attributed to outdoor activities. Further, to develop a more nuanced understanding of the locational complexities of outdoor play it is important to understand the meanings of, and practices associated with, seasonal and weather conditions in different international locations. Copyright © 2016 Elsevier Ltd. All rights reserved.

  16. Seasonal variations of indoor microbial exposures and their relation to temperature, relative humidity, and air exchange rate.

    Science.gov (United States)

    Frankel, Mika; Bekö, Gabriel; Timm, Michael; Gustavsen, Sine; Hansen, Erik Wind; Madsen, Anne Mette

    2012-12-01

    Indoor microbial exposure has been related to adverse pulmonary health effects. Exposure assessment is not standardized, and various factors may affect the measured exposure. The aim of this study was to investigate the seasonal variation of selected microbial exposures and their associations with temperature, relative humidity, and air exchange rates in Danish homes. Airborne inhalable dust was sampled in five Danish homes throughout the four seasons of 1 year (indoors, n = 127; outdoors, n = 37). Measurements included culturable fungi and bacteria, endotoxin, N-acetyl-beta-d-glucosaminidase, total inflammatory potential, particles (0.75 to 15 μm), temperature, relative humidity, and air exchange rates. Significant seasonal variation was found for all indoor microbial exposures, excluding endotoxin. Indoor fungi peaked in summer (median, 235 CFU/m(3)) and were lowest in winter (median, 26 CFU/m(3)). Indoor bacteria peaked in spring (median, 2,165 CFU/m(3)) and were lowest in summer (median, 240 CFU/m(3)). Concentrations of fungi were predominately higher outdoors than indoors, whereas bacteria, endotoxin, and inhalable dust concentrations were highest indoors. Bacteria and endotoxin correlated with the mass of inhalable dust and number of particles. Temperature and air exchange rates were positively associated with fungi and N-acetyl-beta-d-glucosaminidase and negatively with bacteria and the total inflammatory potential. Although temperature, relative humidity, and air exchange rates were significantly associated with several indoor microbial exposures, they could not fully explain the observed seasonal variations when tested in a mixed statistical model. In conclusion, the season significantly affects indoor microbial exposures, which are influenced by temperature, relative humidity, and air exchange rates.

  17. Flexible Residential Test Facility: Impact of Infiltration and Ventilation on Measured Cooling Season Energy and Moisture Levels

    Energy Technology Data Exchange (ETDEWEB)

    Parker, Danny S. [BA-PIRC/Florida Solar Energy Center, Cocoa, FL (United States); Cummings, Jamie E. [BA-PIRC/Florida Solar Energy Center, Cocoa, FL (United States); Vieira, Robin K. [BA-PIRC/Florida Solar Energy Center, Cocoa, FL (United States); Fairey, III, Phillip W. [BA-PIRC/Florida Solar Energy Center, Cocoa, FL (United States); Sherwin, John S. [BA-PIRC/Florida Solar Energy Center, Cocoa, FL (United States); Withers, Jr., Charles [BA-PIRC/Florida Solar Energy Center, Cocoa, FL (United States); Hoak, David [BA-PIRC/Florida Solar Energy Center, Cocoa, FL (United States); Beal, David [BA-PIRC/Florida Solar Energy Center, Cocoa, FL (United States)

    2016-09-01

    Air infiltration and ventilation in residential buildings is a very large part of the heating loads, but empirical data regarding the impact on space cooling has been lacking. Moreover, there has been little data on how building tightness might relate to building interior moisture levels in homes in a hot and humid climate. To address this need, BA-PIRC has conducted research to assess the moisture and cooling load impacts of airtightness and mechanical ventilation in two identical laboratory homes in the hot-humid climate over the cooling season.

  18. Flexible Residential Test Facility: Impact of Infiltration and Ventilation on Measured Cooling Season Energy and Moisture Levels

    Energy Technology Data Exchange (ETDEWEB)

    Parker, D.; Kono, J.; Vieira, R.; Fairey, P.; Sherwin, J.; Withers, C.; Hoak, D.; Beal, D.

    2014-05-01

    Air infiltration and ventilation in residential buildings is a very large part of the heating loads, but empirical data regarding the impact on space cooling has been lacking. Moreover, there has been little data on how building tightness might relate to building interior moisture levels in homes in a hot and humid climate. To address this need, BA-PIRC has conducted research to assess the moisture and cooling load impacts of airtightness and mechanical ventilation in two identical laboratory homes in the hot-humid climate over the cooling season.

  19. Understanding the Response of Photosynthetic Metabolism in Tropical Forests to Seasonal Climate Variations. Final Report

    Energy Technology Data Exchange (ETDEWEB)

    Dye, Dennis [U.S. Geological Survey, Menlo Park, CA (United States); Ivanov, Valeriy [Univ. of Michigan, Ann Arbor, MI (United States); Saleska, Scott [Univ. of Arizona, Tucson, AZ (United States); Huete, Alfredo [Univ. of Arizona, Tucson, AZ (United States); Univ. of Technology, Sydney NSW (Australia)

    2017-03-31

    This U.S-Brazil collaboration for GOAmazon has investigated a deceptively simple question: what controls the response of photosynthesis in Amazon tropical forests to seasonal variations in climate? In the past this question has been difficult to answer with modern earth system process models. We hypothesized that observed dry season increases in photosynthetic capacity are controlled by the phenology of leaf flush and litter fall, from which the seasonal pattern of LAI emerges. Our results confirm this hypothesis (Wu et al., 2016). Synthesis of data collected throughout the 3-year project period continues through December 31, 2017 under no-cost extensions granted to the project teams at University of Michigan and University of Arizona (Award 2). The USGS component (Award 1) ceased on the final date of the project performance period, December 31, 2016. This report summarizes the overall activities and achievements of the project, and constitutes the final project report for the USGS component. The University of Michigan will submit a separate final report that includes additional results and deliverables achieved during the period of their and the University of Arizona’s no-cost extension, which will end on December 31, 2017.

  20. Air-to-Water Heat Pumps With Radiant Delivery in Low-Load Homes

    Energy Technology Data Exchange (ETDEWEB)

    Backman, C. [Alliance for Residential Building Innovation (ARBI), Davis, CA (United States); German, A. [Alliance for Residential Building Innovation (ARBI), Davis, CA (United States); Dakin, B. [Alliance for Residential Building Innovation (ARBI), Davis, CA (United States); Springer, D. [Alliance for Residential Building Innovation (ARBI), Davis, CA (United States)

    2013-12-01

    Space conditioning represents nearly 50% of average residential household energy consumption, highlighting the need to identify alternative cost-effective, energy-efficient cooling and heating strategies. As homes are better built, there is an increasing need for strategies that are particularly well suited for high performance, low load homes. ARBI researchers worked with two test homes in hot-dry climates to evaluate the in-situ performance of air-to-water heat pump systems, an energy efficient space conditioning solution designed to cost-effectively provide comfort in homes with efficient, safe, and durable operation. Two monitoring projects of test houses in hot-dry climates were initiated in 2010 to test this system. Both systems were fully instrumented and have been monitored over one year to capture complete performance data over the cooling and heating seasons. Results are used to quantify energy savings, cost-effectiveness, and system performance using different operating modes and strategies. A calibrated TRNSYS model was developed and used to evaluate performance in various climate regions. This strategy is most effective in tight, insulated homes with high levels of thermal mass (i.e. exposed slab floors).

  1. Air-to-Water Heat Pumps With Radiant Delivery in Low-Load Homes

    Energy Technology Data Exchange (ETDEWEB)

    Backman, C. [Alliance for Residential Building Innovation, Davis, CA (United States). Davis Energy Group; German, A. [Alliance for Residential Building Innovation, Davis, CA (United States). Davis Energy Group; Dakin, B. [Alliance for Residential Building Innovation, Davis, CA (United States). Davis Energy Group; Springer, D. [Alliance for Residential Building Innovation, Davis, CA (United States). Davis Energy Group

    2013-12-01

    Space conditioning represents nearly 50% of average residential household energy consumption, highlighting the need to identify alternative cost-effective, energy-efficient cooling and heating strategies. As homes are better built, there is an increasing need for strategies that are particularly well suited for high performance, low load homes. ARBI researchers worked with two test homes in hot-dry climates to evaluate the in-situ performance of air-to-water heat pump (AWHP) systems, an energy efficient space conditioning solution designed to cost-effectively provide comfort in homes with efficient, safe, and durable operation. Two monitoring projects of test houses in hot-dry climates were initiated in 2010 to test this system. Both systems were fully instrumented and have been monitored over one year to capture complete performance data over the cooling and heating seasons. Results are used to quantify energy savings, cost-effectiveness, and system performance using different operating modes and strategies. A calibrated TRNSYS model was developed and used to evaluate performance in various climate regions. This strategy is most effective in tight, insulated homes with high levels of thermal mass (i.e. exposed slab floors).

  2. Understanding Children's Sedentary Behaviour: A Qualitative Study of the Family Home Environment

    Science.gov (United States)

    Granich, Joanna; Rosenberg, Michael; Knuiman, Matthew; Timperio, Anna

    2010-01-01

    Electronic media (EM) (television, electronic games and computer) use has been associated with overweight and obesity among children. Little is known about the time spent in sedentary behaviour (SB) among children within the family context. The aim of this study was to explore how the family home environment may influence children's…

  3. CHEST: Home of the Clinician-Educator.

    Science.gov (United States)

    Kelly, William F; Niven, Alexander S

    2018-03-01

    Many hands can build a house; it takes trust to make that house a home. Trust has two main components: credibility (worthiness based on preparation and past performance) and empathy (the ability to understand and share another person's values). CHEST has maintained its credibility and empathy as the global leader in clinical pulmonary, critical care, and sleep medical education. It follows that the leader in chest clinical education would also be the home of the clinician-educator. You are that educator. Published by Elsevier Inc.

  4. Allocation of Rehabilitation Services for Older Adults in the Ontario Home Care System.

    Science.gov (United States)

    Armstrong, Joshua J; Sims-Gould, Joanie; Stolee, Paul

    Background: Physiotherapy and occupational therapy services can play a critical role in maintaining or improving the physical functioning, quality of life, and overall independence of older home care clients. Despite their importance, however, there is limited understanding of the factors that influence how rehabilitation services are allocated to older home care clients. The aim of this pilot study was to develop a preliminary understanding of the factors that influence decisions to allocate rehabilitation therapy services to older clients in the Ontario home care system, as perceived by three stakeholder groups. Methods: Semi-structured interviews were conducted with 10 key informants from three stakeholder groups: case managers, service providers, and health system policymakers. Results: Drivers of the allocation of occupational therapy and physiotherapy for older adults included functional needs and postoperative care. Participants identified challenges in providing home care rehabilitation to older adults, including impaired cognition and limited capacity in the home care system. Conclusions: Considering the changing demands for home care services, knowledge of current practices across the home care system can inform efforts to optimize rehabilitation services for the growing number of older adults. Further research is needed to advance the understanding of, and optimize rehabilitation service allocation to, older frail clients with multiple morbidities. Developing novel decision-support mechanisms and standardized clinical care pathways for older client populations may be beneficial.

  5. Planned home birth: the professional responsibility response.

    Science.gov (United States)

    Chervenak, Frank A; McCullough, Laurence B; Brent, Robert L; Levene, Malcolm I; Arabin, Birgit

    2013-01-01

    This article addresses the recrudescence of and new support for midwife-supervised planned home birth in the United States and the other developed countries in the context of professional responsibility. Advocates of planned home birth have emphasized patient safety, patient satisfaction, cost effectiveness, and respect for women's rights. We provide a critical evaluation of each of these claims and identify professionally appropriate responses of obstetricians and other concerned physicians to planned home birth. We start with patient safety and show that planned home birth has unnecessary, preventable, irremediable increased risk of harm for pregnant, fetal, and neonatal patients. We document that the persistently high rates of emergency transport undermines patient safety and satisfaction, the raison d'etre of planned home birth, and that a comprehensive analysis undermines claims about the cost-effectiveness of planned home birth. We then argue that obstetricians and other concerned physicians should understand, identify, and correct the root causes of the recrudescence of planned home birth; respond to expressions of interest in planned home birth by women with evidence-based recommendations against it; refuse to participate in planned home birth; but still provide excellent and compassionate emergency obstetric care to women transported from planned home birth. We explain why obstetricians should not participate in or refer to randomized clinical trials of planned home vs planned hospital birth. We call on obstetricians, other concerned physicians, midwives and other obstetric providers, and their professional associations not to support planned home birth when there are safe and compassionate hospital-based alternatives and to advocate for a safe home-birth-like experience in the hospital. Copyright © 2013 Mosby, Inc. All rights reserved.

  6. Habitat use and home range of the endangered gold-spotted pond frog (Rana chosenica).

    Science.gov (United States)

    Ra, Nam-Yong; Sung, Ha-Cheol; Cheong, Seokwan; Lee, Jung-Hyun; Eom, Junho; Park, Daesik

    2008-09-01

    Because of their complex life styles, amphibians and reptiles living in wetlands require both aquatic and terrestrial buffer zones in their protected conservation areas. Due to steep declines in wild populations, the gold-spotted pond frog (Rana chosenica) is listed as vulnerable by the IUCN. However, lack of data about its movements and use of habitat prevents effective conservation planning. To determine the habitat use and home range of this species, we radio-tracked 44 adult frogs for 37 days between 10 July and 4 Nov. 2007 to observe three different populations in the breeding season, non-breeding season, and late fall. The gold-spotted pond frog was very sedentary; its daily average movement was 9.8 m. Frogs stayed close to breeding ponds (within 6.6 m), and did not leave damp areas surrounding these ponds, except for dormancy migration to terrestrial sites such as dried crop fields. The average distance of dormancy migration of seven frogs from the edge of their breeding ponds was 32.0 m. The average size of an individual's home range was 713.8 m(2) (0.07 ha). The year-round population home range, which accounts for the home ranges of a population of frogs, was determined for two populations to be 8,765.0 m(2) (0.88 ha) and 3,700.9 m(2) (0.37 ha). Our results showed that to conserve this endangered species, appropriately sized wetlands and extended terrestrial buffer areas surrounding the wetlands (at least 1.33 ha, diameter 130 m) should be protected.

  7. Rainforest-initiated wet season onset over the southern Amazon.

    Science.gov (United States)

    Wright, Jonathon S; Fu, Rong; Worden, John R; Chakraborty, Sudip; Clinton, Nicholas E; Risi, Camille; Sun, Ying; Yin, Lei

    2017-08-08

    Although it is well established that transpiration contributes much of the water for rainfall over Amazonia, it remains unclear whether transpiration helps to drive or merely responds to the seasonal cycle of rainfall. Here, we use multiple independent satellite datasets to show that rainforest transpiration enables an increase of shallow convection that moistens and destabilizes the atmosphere during the initial stages of the dry-to-wet season transition. This shallow convection moisture pump (SCMP) preconditions the atmosphere at the regional scale for a rapid increase in rain-bearing deep convection, which in turn drives moisture convergence and wet season onset 2-3 mo before the arrival of the Intertropical Convergence Zone (ITCZ). Aerosols produced by late dry season biomass burning may alter the efficiency of the SCMP. Our results highlight the mechanisms by which interactions among land surface processes, atmospheric convection, and biomass burning may alter the timing of wet season onset and provide a mechanistic framework for understanding how deforestation extends the dry season and enhances regional vulnerability to drought.

  8. Indian adolescents' perceptions of the home food environment.

    Science.gov (United States)

    Rathi, Neha; Riddell, Lynn; Worsley, Anthony

    2018-01-22

    The home food environment has the potential to influence the eating behaviour of adolescents. This investigation aimed to understand Indian adolescents' perspectives of their home food environments. Adolescents aged 14-16 years (n = 1026, 65.3% girls) attending private secondary schools in Kolkata completed a paper-based questionnaire during school time which included questions about family food rules, availability and accessibility of foods at home, and domestic cooking responsibility. Boys' and girls' opinions and experiences were compared through cross-tabulation analyses. Almost all the adolescents reported that fruits (91.6%) and vegetables (95.7%) were always available in their homes. Approximately two-fifths reported that sugar-sweetened beverages (36.2%) and salty snack foods (38.0%) were readily available. In 56.1% households, adolescents were expected to follow certain food rules during mealtimes (e.g. not talking with my mouth full). The majority of the respondents (80.4%) identified mothers as the primary meal providers, only a minority reported that fathers (5.1%) were responsible for preparation of family meals. This understanding of the family-environmental determinants of adolescent dietary habits provides useful directions for nutrition promotion interventions. Health and educational professionals associated with adolescents could communicate about the development of healthy home food environments to provide positive health benefits for adolescents and their families.

  9. Seasonality in the Austrian Economy: Common Seasonals and Forecasting

    OpenAIRE

    Kunst, Robert M.

    1992-01-01

    Abstract: Seasonal cointegration generalizes the idea of cointegration to processes with unit roots at frequencies different from 0. Here, also the dual notion of common trends, "common seasonals", is adopted for the seasonal case. Using a five-variable macroeconomic core system of the Austrian economy, it is demonstrated how common seasonals and seasonal cointegrating vectors look in practice. Statistical tests provide clear evidence on seasonal cointegration in the system. However, it is sh...

  10. Home safe home: Evaluation of a childhood home safety program.

    Science.gov (United States)

    Stewart, Tanya Charyk; Clark, Andrew; Gilliland, Jason; Miller, Michael R; Edwards, Jane; Haidar, Tania; Batey, Brandon; Vogt, Kelly N; Parry, Neil G; Fraser, Douglas D; Merritt, Neil

    2016-09-01

    The London Health Sciences Centre Home Safety Program (HSP) provides safety devices, education, a safety video, and home safety checklist to all first-time parents for the reduction of childhood home injuries. The objective of this study was to evaluate the HSP for the prevention of home injuries in children up to 2 years of age. A program evaluation was performed with follow-up survey, along with an interrupted time series analysis of emergency department (ED) visits for home injuries 5 years before (2007-2013) and 2 years after (2013-2015) implementation. Spatial analysis of ED visits was undertaken to assess differences in home injury rates by dissemination areas controlling differences in socioeconomic status (i.e., income, education, and lone-parent status) at the neighborhood level. A total of 3,458 first-time parents participated in the HSP (a 74% compliance rate). Of these, 20% (n = 696) of parents responded to our questionnaire, with 94% reporting the program to be useful (median, 6; interquartile range, 2 on a 7-point Likert scale) and 81% learning new strategies for preventing home injuries. The median age of the respondent's babies were 12 months (interquartile range, 1). The home safety check list was used by 87% of respondents to identify hazards in their home, with 95% taking action to minimize the risk. The time series analysis demonstrated a significant decline in ED visits for home injuries in toddlers younger than2 years of age after HSP implementation. The declines in ED visits for home injuries remained significant over and above each socioeconomic status covariate. Removing hazards, supervision, and installing safety devices are key facilitators in the reduction of home injuries. Parents found the HSP useful to identify hazards, learn new strategies, build confidence, and provide safety products. Initial finding suggests that the program is effective in reducing home injuries in children up to 2 years of age. Therapeutic/care management study

  11. Understanding Pain and Pain Management in Elderly Nursing Home Patients Applying an Interprofessional Learning Activity in Health Care Students: A Norwegian Pilot Study.

    Science.gov (United States)

    Damsgård, Elin; Solgård, Hege; Johannessen, Karin; Wennevold, Katrine; Kvarstein, Gunnvald; Pettersen, Gunn; Garcia, Beate

    2018-05-17

    Pain is common among elderly patients in nursing homes. However, pain assessment and treatment are inadequate. Interprofessional treatment is recommended, and consequently interprofessional education in pain management is necessary. This pilot project aimed to describe how two interprofessional groups of students approached pain management in two nursing home patients. We formed two teams comprising one student from the nursing, physical therapy, pharmacy, and medical educations. Each team spent one day examining a patient with chronic pain at a nursing home and they developed pain management plans. We collected data through video recordings during teamwork before and after examining the patients and field notes during the patient examination. We analysed the video-recordings applying the seven-step model including 1) viewing the video data, 2) describing the video data, 3) identifying critical events, 4) transcribing, 5) coding, 6) constructing storyline and 7) composing a narrative. Field notes supplied the transcripts. Both teams succeeded in making a pain management plan for their patient. The common examination of the patient was crucial for the students' approaches to pain management and changed their pre-assumptions about the patients' pain. By sharing knowledge and reflecting together, the students reached a common consensus on suggestions for management of the patients' problems. Interprofessional collaboration fostered enthusiasm and a more holistic pain management approach. However,students' lack of knowledge limited their understanding of pain. Knowledge of pain management in nursing home patients and the practice of interprofessional cooperation should be included in pain curricula for health care professionals. Copyright © 2018 American Society for Pain Management Nursing. Published by Elsevier Inc. All rights reserved.

  12. Seasonality of Kawasaki Disease: A Global Perspective

    Science.gov (United States)

    Burns, Jane C.; Herzog, Lauren; Fabri, Olivia; Tremoulet, Adriana H.; Rodó, Xavier; Uehara, Ritei; Burgner, David; Bainto, Emelia; Pierce, David; Tyree, Mary; Cayan, Daniel

    2013-01-01

    Background Understanding global seasonal patterns of Kawasaki disease (KD) may provide insight into the etiology of this vasculitis that is now the most common cause of acquired heart disease in children in developed countries worldwide. Methods Data from 1970-2012 from 25 countries distributed over the globe were analyzed for seasonality. The number of KD cases from each location was normalized to minimize the influence of greater numbers from certain locations. The presence of seasonal variation of KD at the individual locations was evaluated using three different tests: time series modeling, spectral analysis, and a Monte Carlo technique. Results A defined seasonal structure emerged demonstrating broad coherence in fluctuations in KD cases across the Northern Hemisphere extra-tropical latitudes. In the extra-tropical latitudes of the Northern Hemisphere, KD case numbers were highest in January through March and approximately 40% higher than in the months of lowest case numbers from August through October. Datasets were much sparser in the tropics and the Southern Hemisphere extra-tropics and statistical significance of the seasonality tests was weak, but suggested a maximum in May through June, with approximately 30% higher number of cases than in the least active months of February, March and October. The seasonal pattern in the Northern Hemisphere extra-tropics was consistent across the first and second halves of the sample period. Conclusion Using the first global KD time series, analysis of sites located in the Northern Hemisphere extra-tropics revealed statistically significant and consistent seasonal fluctuations in KD case numbers with high numbers in winter and low numbers in late summer and fall. Neither the tropics nor the Southern Hemisphere extra-tropics registered a statistically significant aggregate seasonal cycle. These data suggest a seasonal exposure to a KD agent that operates over large geographic regions and is concentrated during winter

  13. Rules of performance in the nursing home: A grounded theory of nurse-CNA communication.

    Science.gov (United States)

    Madden, Connie; Clayton, Margaret; Canary, Heather E; Towsley, Gail; Cloyes, Kristin; Lund, Dale

    This study offers an initial theoretical understanding of nurse-CNA communication processes from the perspectives of nurses and CNAs who are providing direct care to residents in nursing homes. A grounded theory approach provided an understanding of nurse-CNA communication process within the complexities of the nursing home setting. Four themes (maintaining information flow, following procedure, fostering collegiality, and showing respect) describe the "rules of performance" that intertwine in nuanced relationships to guide nurse-CNA communication processes. Understanding how these rules of performance guide nurse-CNA communication processes, and how they are positively and negatively influenced, suggests that nurse-CNA communication during direct care of nursing home residents could be improved through policy and education that is specifically designed to be relevant and applicable to direct care providers in the nursing home environment. Copyright © 2016 Elsevier Inc. All rights reserved.

  14. Home as a health promotion setting for older adults

    DEFF Research Database (Denmark)

    Mahler, Marianne; Sarvimäki, Anneli; Clancy, Anne

    2014-01-01

    promotion care. As official guidelines in the Nordic countries state that home is the best place to grow old, it is essential that older persons keep their health and functional capacity in order to be able to live at home for as long as possible. As current policy emphasises living at home, home care......The number and the proportion of older persons is growing in the Nordic Countries. The growth in the older population has a clear impact on the care system for older persons. One trend is to prioritise home care instead of care in institutions. Another trend is to emphasise preventive and health......, preventive work and health promotion it becomes essential to study the home as a health promotion setting. Objective: The aim of this study was to reach a new understanding of home as a health promotion setting for older persons. Study design: The method used was a literature reflection and analysis...

  15. Oral temperatures of the elderly in nursing homes in summer and winter in relation to activities of daily living

    Science.gov (United States)

    Nakamura, K.; Tanaka, Masatoshi; Motohashi, Yutaka; Maeda, Akira

    This study was conducted to clarify the seasonal difference in body temperature in summer and winter, and to document the thermal environment of the elderly living in nursing homes. The subjects were 57 healthy elderly people aged >=63 years living in two nursing homes in Japan. One of the homes was characterized by subjects with low levels of activities of daily living (ADL). Oral temperatures were measured in the morning and afternoon, with simultaneous recording of ambient temperature and relative humidity. Oral temperatures in summer were higher than in winter, with statistically significant differences (Pchanges in ambient temperature.

  16. Seasonally asymmetric enhancement of northern vegetation productivity

    Science.gov (United States)

    Park, T.; Myneni, R.

    2017-12-01

    Multiple evidences of widespread greening and increasing terrestrial carbon uptake have been documented. In particular, enhanced gross productivity of northern vegetation has been a critical role leading to observed carbon uptake trend. However, seasonal photosynthetic activity and its contribution to observed annual carbon uptake trend and interannual variability are not well understood. Here, we introduce a multiple-source of datasets including ground, atmospheric and satellite observations, and multiple process-based global vegetation models to understand how seasonal variation of land surface vegetation controls a large-scale carbon exchange. Our analysis clearly shows a seasonally asymmetric enhancement of northern vegetation productivity in growing season during last decades. Particularly, increasing gross productivity in late spring and early summer is obvious and dominant driver explaining observed trend and variability. We observe more asymmetric productivity enhancement in warmer region and this spatially varying asymmetricity in northern vegetation are likely explained by canopy development rate, thermal and light availability. These results imply that continued warming may facilitate amplifying asymmetric vegetation activity and cause these trends to become more pervasive, in turn warming induced regime shift in northern land.

  17. Caring for home-based care workers | de Saxe Zerden | Southern ...

    African Journals Online (AJOL)

    care workers provide critical services, which include physical, psychosocial, and palliative care activities.1 A quantitative and qualitative study of home-based care workers in South Africa was conducted in 2005 to better understand the needs, fears and motivations of front-line care workers at Thembalethu Home Based ...

  18. The American Dark Ages and the Terrorist Witch in Season of the Witch

    Directory of Open Access Journals (Sweden)

    Tom Vercruysse

    2013-06-01

    Full Text Available In this article we argue that Season of the Witch (Sena, 2011 is not to be analyzed according to its faithfulness to the known historical sources, but only by understanding medievalist codes, traditions and (filmic intertextuality. When read from this perspective, Season of the Witch tried to create new meaning by combining a dominant interpretation of Ingmar Bergman’s The Seventh Seal, European traditions on representing medieval witchcraft, contemporary perspectives on the crusades and Susan Aronstein’s concept of “Hollywood Arthuriana”. However, as this demands a lot of medievalist capital to fully understand, Season of the Witch in the end may have lost its coherence for the audience.

  19. Seasonal isotope hydrology of a coffee agroforestry watershed in Costa Rica

    Science.gov (United States)

    Welsh Unwala, K.; Boll, J.; Roupsard, O.

    2014-12-01

    Improved information of seasonal variations in watershed hydrology in the tropics can strengthen models and understanding of hydrology of these areas. Seasonality in the tropics produces rainy seasons versus dry seasons, leading to different hydrologic and water quality processes throughout the year. We questioned whether stable isotopes in water can be used to trace the seasonality in this region, despite experiencing a "drier" season, such as in a Tropical Humid location. This study examines the fluctuations of stable isotope compositions (δ18O and δD) in water balance components in a small (deep groundwater system contributes significantly to baseflow, although a shallow, spring-driven system also contributes to stream water within the watershed. During storm events, precipitation contributes to stormflow in the short-term, confirming the role of superficial runoff. These results indicate that isotopes are helpful to partition the water balance even in a Tropical Humid situation where the rainfall seasonality is weak.

  20. Understanding Pregnancy and Birth Issues

    Science.gov (United States)

    ... Navigation Bar Home Current Issue Past Issues Understanding Pregnancy and Birth Issues Past Issues / Winter 2008 Table ... turn Javascript on. What is a High-Risk Pregnancy? All pregnancies involve a certain degree of risk ...

  1. Impacts of mesquite distribution on seasonal space use of lesser prairie-chickens

    Science.gov (United States)

    Boggie, Matthew A.; Strong, Cody R.; Lusk, Daniel; Carleton, Scott A.; Gould, William R.; Howard, Randy L.; Nichols, Clay T.; Falkowski, Michael J.; Hagen, Christian A.

    2017-01-01

    Loss of native grasslands by anthropogenic disturbances has reduced availability and connectivity of habitat for many grassland species. A primary threat to contiguous grasslands is the encroachment of woody vegetation, which is spurred by disturbances that take on many forms from energy development, fire suppression, and grazing. These disturbances are exacerbated by natural- and human-driven cycles of changes in climate punctuated by drought and desertification conditions. Encroachment of honey mesquite (Prosopis glandulosa) into the prairies of southeastern New Mexico has potentially limited habitat for numerous grassland species, including lesser prairie-chickens (Tympanuchus pallidicinctus). To determine the magnitude of impacts of distribution of mesquite and how lesser prairie-chickens respond to mesquite presence on the landscape in southeastern New Mexico, we evaluated seasonal space use of lesser prairie-chickens in the breeding and nonbreeding seasons. We derived several remotely sensed spatial metrics to characterize the distribution of mesquite. We then used these data to create population-level resource utilization functions and predict intensity of use of lesser prairie-chickens across our study area. Home ranges were smaller in the breeding season compared with the nonbreeding season; however, habitat use was similar across seasons. During both seasons, lesser prairie-chickens used areas closer to leks and largely avoided areas with mesquite. Relative to the breeding season, during the nonbreeding season habitat use suggested a marginal increase in mesquite within areas of low intensity of use, yet aversion to mesquite was strong in areas of medium to high intensity of use. To our knowledge, our study is the first to demonstrate a negative behavioral response by lesser prairie-chickens to woody encroachment in native grasslands. To mitigate one of the possible limiting factors for lesser prairie-chickens, we suggest future conservation

  2. Home-school Relations--An Exploration from the Perspective of Social Psychology.

    Science.gov (United States)

    Pang, I-wah

    2000-01-01

    Explores home-school relations by using three social psychology theories: (1) symbolic interactionism; (2) social exchange theory; and (3) reference group theory. States that these theories can contribute to the understanding and development of home-school relations in Hong Kong (China). (CMK)

  3. Model medication management process in Australian nursing homes using business process modeling.

    Science.gov (United States)

    Qian, Siyu; Yu, Ping

    2013-01-01

    One of the reasons for end user avoidance or rejection to use health information systems is poor alignment of the system with healthcare workflow, likely causing by system designers' lack of thorough understanding about healthcare process. Therefore, understanding the healthcare workflow is the essential first step for the design of optimal technologies that will enable care staff to complete the intended tasks faster and better. The often use of multiple or "high risk" medicines by older people in nursing homes has the potential to increase medication error rate. To facilitate the design of information systems with most potential to improve patient safety, this study aims to understand medication management process in nursing homes using business process modeling method. The paper presents study design and preliminary findings from interviewing two registered nurses, who were team leaders in two nursing homes. Although there were subtle differences in medication management between the two homes, major medication management activities were similar. Further field observation will be conducted. Based on the data collected from observations, an as-is process model for medication management will be developed.

  4. Seasonal malaria attack rates in infants and young children in northern Ghana.

    Science.gov (United States)

    Baird, J Kevin; Owusu Agyei, S; Utz, Gregory C; Koram, Kwadwo; Barcus, Mazie J; Jones, Trevor R; Fryauff, David J; Binka, Fred N; Hoffman, Stephen L; Nkrumah, Francis N

    2002-03-01

    The incidence density of infection and disease caused by Plasmodium falciparum in children aged six to 24 months living in the holoendemic Sahel of northern Ghana was measured during the wet and dry seasons of 1996 and 1997. At the beginning of each season, a cohort composed of 259 and 277 randomly selected children received supervised curative therapy with quinine and Fansidar and primaquine for those with normal glucose-6-phosphate dehydrogenase activity. The 20 weeks of post-therapy follow-up consisted of three home visits weekly and examination of Giemsa-stained blood films once every two weeks. Blood films were also taken from children brought to clinic with illness. The incidence density of parasitemia after radical cure was 4.7 infections/person-year during the dry season and 7.1 during the wet season (relative risk = 1.51, 95% confidence interval [CI] = 1.25-1.81; P = 0.00001). Although the mean parasitemia count at time of reinfection in the dry season (3,310/microl) roughly equaled that in the wet season (3,056/microl; P = 0.737), the risk ratio for parasitemia > 20,000/microl during the wet season was 1.71 (95% CI = 1.2-2.4; P = 0.0025). The risk ratio for parasitemia > 20,000/microl with fever during the wet season was 2.45 (95% CI = 1.5-4.1; P = 0.0002). The risk ratio for anemia (hemoglobin < 8 g/dl) at first post-radical cure parasitemia showed no difference between seasons (1.0; 95% CI = 0.73-1.4; P = 0.9915). We did not see seasonal differences in anemia known to exist in this region, probably because the longitudinal cohort design using first parasitemia as an end point prevented the subjects from developing the repeated or chronic infections required for anemia induction. These findings bear upon the design of malaria drug and vaccine trials in holoendemic areas.

  5. Quality of care in Norwegian nursing homes - typology of family perceptions.

    Science.gov (United States)

    Vinsnes, Anne G; Nakrem, Sigrid; Harkless, Gene E; Seim, Arnfinn

    2012-01-01

    This study aimed to elucidate the understandings and beliefs about quality held by family members of residents of Norwegian nursing homes. The objective reported in the study considers how family member judge factors that enhance or hamper high care quality. The percentage of those who will require care in a nursing home some time before the end of their lives will increase dramatically in the next 20 years. Therefore, anticipating this pressure to expand nursing home availability, it is urgent that these services are developed from a keen understanding of what creates the best value. Care quality from the family's perspective is just one piece of the nursing home experience that must be understood for optimal value in care to be realised. Qualitative methodology. Three focus group interviews; purposive sampling was used to recruit the 16 family members of residents in nursing homes. Three domains emerged that served as anchors for a typology of family perceptions of the quality care continuum: resident contentment, suitability of staff and environmental context. Each domain was developed with categories describing high- to low-quality markers, which were then clarified by enhancing and hindering factors. This typology provides a family perspective framework that may be useful to nursing leadership at all levels of the nursing home organisation to identify important quality of care strengths as well as markers of poor care. Overall, the typology is offered to expand nurses' understanding of quality, both practically and conceptually, to provide the best value in nursing care. © 2011 Blackwell Publishing Ltd.

  6. Understanding Seasonal Dynamics of the Photo-Protective Xanthophyll Cycle Improves Remote Detection of Photosynthetic Phenology in Deciduous Trees and Evergreen Conifers

    Science.gov (United States)

    Ensminger, I.; Wong, C. Y.; Junker, L. V.; Bathena, Y.; Arain, M. A.; D'Odorico, P.

    2017-12-01

    The ability of plants to sequester carbon is highly variable over the course of the year and reflects seasonal variation in photosynthetic efficiency. This seasonal variation is most prominent during autumn, when leaves of deciduous tree species undergo senescence, which is associated with the downregulation of photosynthesis and a change of leaf color and leaf optical properties. Vegetation indices derived from remote sensing of leaf optical properties using e.g. spectral reflectance measurements are increasingly used to monitor and predict growing season length and seasonal variation in carbon sequestration. Here we compare leaf-level, canopy-level and drone based observations of leaf spectral reflectance measurements. We demonstrate that some of the widely used vegetation indices such as the normalized difference vegetation index (NDVI) and photochemical reflectance index (PRI) vary in their ability to adequately track the seasonal variation in photosynthetic efficiency and chlorophyll content. We further show that monitoring seasonal variation of photosynthesis using NDVI or PRI is particularly challenging in evergreen conifers, due to little seasonal variation in foliage. However, there is remarkable seasonal variation in leaf optical properties associated with changes in pools of xanthophyll cycle pigments and carotenoids that provide a promising way of monitoring photosynthetic phenology in evergreen conifers via leaf reflectance measurements.

  7. Seasonal weather-related decision making for cattle production in the Northern Great Plains

    Science.gov (United States)

    High inter-annual variability of seasonal weather patterns can greatly affect forage and therefore livestock production in the Northern Great Plains. This variability can make it difficult for ranchers to set yearly stocking rates, particularly in advance of the grazing season. To better understand ...

  8. Older Adults' Perspectives on Home Exercise after Falls Rehabilitation: Understanding the Importance of Promoting Healthy, Active Ageing

    Science.gov (United States)

    Hawley, Helen

    2009-01-01

    Objective To explore what might encourage older people to exercise at home after falls rehabilitation. Design: Qualitative research methods were used based on a grounded theory approach, to provide insights into older adults' experiences following a fall, of both rehabilitation and home exercise. Setting: Community dwellings. Method: Nine…

  9. Work-Related Stressors Among Maternal, Infant, and Early Childhood Home Visiting (MIECHV) Home Visitors: A Qualitative Study.

    Science.gov (United States)

    Alitz, Paige J; Geary, Shana; Birriel, Pamela C; Sayi, Takudzwa; Ramakrishnan, Rema; Balogun, Omotola; Salloum, Alison; Marshall, Jennifer T

    2018-05-31

    Background The Florida Maternal, Infant, and Early Childhood Home Visiting (MIECHV) program delivers evidence-based home visiting services to over 1400 families each year. Home visitors are integral in providing resources for families to promote healthy pregnancy, child development, family wellness, and self-sufficiency. Due to the nature of this work, home visitors experience work-related pressures and stressors that can impact staff well-being and retention. Objectives The purpose of this study was to understand primary sources of work-related stress experienced by home visitors, subsequent effects on their engagement with program participants, and to learn of coping mechanisms used to manage stress. Methods In 2015, Florida MIECHV program evaluators conducted ten focus groups with 49 home visitors during which they ranked and discussed their top sources of work-related stress. Qualitative analysis was conducted to identify emergent themes in work-related stressors and coping/supports. Results Across all sites, the burden of paperwork and data entry were the highest ranked work-related stressors perceived as interfering with home visitors' engagement with participants. The second-highest ranked stressors included caseload management, followed by a lack of resources for families, and dangerous environments. Home visitors reported gratification in their helping relationships families, and relied on coworkers or supervisors as primary sources of workplace support along with self-care (e.g. mini-vacations, recreation, and counseling). Conclusions for practice Florida MIECHV home visitors across all ten focus groups shared similar work-related stressors that they felt diminished engagement with program participants and could impact participant and staff retention. In response, Florida MIECHV increased resources to support home visitor compensation and reduce caseloads, and obtained a competitive award from HRSA to implement a mindfulness-based stress reduction

  10. Understanding Mathematics-A Review

    Indian Academy of Sciences (India)

    Home; Journals; Resonance – Journal of Science Education; Volume 6; Issue 5. Understanding Mathematics – A Review. Shashidhar Jagadeeshan. Book Review Volume 6 Issue 5 May ... Author Affiliations. Shashidhar Jagadeeshan1. Centre for Learning, 469, 9th Cross, 1st Block, Jayanagar, Bangalore 560 011, India.

  11. Is higher nursing home quality more costly?

    Science.gov (United States)

    Giorgio, L Di; Filippini, M; Masiero, G

    2016-11-01

    Widespread issues regarding quality in nursing homes call for an improved understanding of the relationship with costs. This relationship may differ in European countries, where care is mainly delivered by nonprofit providers. In accordance with the economic theory of production, we estimate a total cost function for nursing home services using data from 45 nursing homes in Switzerland between 2006 and 2010. Quality is measured by means of clinical indicators regarding process and outcome derived from the minimum data set. We consider both composite and single quality indicators. Contrary to most previous studies, we use panel data and control for omitted variables bias. This allows us to capture features specific to nursing homes that may explain differences in structural quality or cost levels. Additional analysis is provided to address simultaneity bias using an instrumental variable approach. We find evidence that poor levels of quality regarding outcome, as measured by the prevalence of severe pain and weight loss, lead to higher costs. This may have important implications for the design of payment schemes for nursing homes.

  12. Private equity ownership and nursing home financial performance.

    Science.gov (United States)

    Pradhan, Rohit; Weech-Maldonado, Robert; Harman, Jeffrey S; Laberge, Alex; Hyer, Kathryn

    2013-01-01

    Private equity has acquired multiple large nursing home chains within the last few years; by 2009, it owned nearly 1,900 nursing homes. Private equity is said to improve the financial performance of acquired facilities. However, no study has yet examined the financial performance of private equity nursing homes, ergo this study. The primary purpose of this study is to understand the financial performance of private equity nursing homes and how it compares with other investor-owned facilities. It also seeks to understand the approach favored by private equity to improve financial performance-for instance, whether they prefer to cut costs or maximize revenues or follow a mixed approach. Secondary data from Medicare cost reports, the Online Survey, Certification and Reporting, Area Resource File, and Brown University's Long-term Care Focus data set are combined to construct a longitudinal data set for the study period 2000-2007. The final sample is 2,822 observations after eliminating all not-for-profit, independent, and hospital-based facilities. Dependent financial variables consist of operating revenues and costs, operating and total margins, payer mix (census Medicare, census Medicaid, census other), and acuity index. Independent variables primarily reflect private equity ownership. The study was analyzed using ordinary least squares, gamma distribution with log link, logit with binomial family link, and logistic regression. Private equity nursing homes have higher operating margin as well as total margin; they also report higher operating revenues and costs. No significant differences in payer mix are noted. Results suggest that private equity delivers superior financial performance compared with other investor-owned nursing homes. However, causes for concern remain particularly with the long-term financial sustainability of these facilities.

  13. Drivers of seasonality in Arctic carbon dioxide fluxes

    DEFF Research Database (Denmark)

    Mbufong, Herbert Njuabe

    , while there were no discernable drivers of CO2 fluxes in Stordalen, growing season length showed significant controls on net ecosystem exchange (NEE) in Zackenberg and with gross primary production (GPP) and ecosystem respiration (Re) in Daring Lake. This is important considering the recent observations...... compensates for the shorter growing season due to increase snow cover and duration. Other drivers of growing season CO2 fluxes were mainly air temperature, growing degree days and photosynthetic active radiation in a high and a low Arctic tundra ecosystem. Upscaling Arctic tundra NEE based on an acquired...... understanding of the drivers of NEE during this research venture, shows an estimation of reasonable fluxes at three independent sites in low Arctic Alaska. However, this later project is still ongoing and its findings are only preliminary....

  14. Family members' caregiving situations in palliative home care when sitting service is received: The understanding of multiple realities.

    Science.gov (United States)

    Wallerstedt, Birgitta; Andershed, Birgitta; Benzein, Eva

    2014-12-01

    To deepen the understanding of the variation of complexity in family members' caregiving situations, when the private home is the place for care, dying, and sitting service. Seven relatives to a deceased family member from four different families were interviewed twice. Data were analyzed by direct interpretation and categorical aggregation. Various patterns of becoming a caregiver were showed, but family members' willingness to become family caregivers was strongly related to fulfilling the dying persons' wishes to be cared for in their own homes. Important factors for coping with the caregiving situation were their needs of support, the possibility to prepare for death related to a need of communication and planning, the length and predictability of the illness trajectory, and experiences of losses and grief. Sitting service was experienced as supportive for family caregivers when they had possibility to hand over care responsibilities, but as non-supportive when expected help not was received. Family members' experiences of caregiving and their degree of vulnerability must be different, depending on whether it is a self-selected position or an imposed task. In general, family members in this study were willing to participate in caregiving for end-of life care, but subject to their own conditions. One way to decrease vulnerability is to assess the resources and competence in relation to the responsibility the person is expected to assume. The support and other efforts to help family caregivers must be related to their specific needs and reality, not only to what the care organization can offer as a standard solution.

  15. Seasonality of runoff and precipitation regimes along transects in Peru and Austria

    OpenAIRE

    Gaudry Maria M. Cárdenas; Gutknecht Dieter; Parajka Juraj; Perdigão Rui A.P.; Blöschl Günter

    2017-01-01

    The aim of this study is to understand the seasonalities of runoff and precipitation and their controls along two transects in Peru and one transect in Austria. The analysis is based on daily precipitation data at 111 and 61 stations in Peru and Austria, respectively, and daily discharge data at 51 and 110 stations. The maximum Pardé coefficient is used to quantify the strength of the seasonalities of monthly precipitation and runoff. Circular statistics are used to quantify the seasonalities...

  16. In-home performance of pellet stoves in Medford and Klamath Falls, Oregon

    International Nuclear Information System (INIS)

    Barnett, S.G.; Houck, J.E.; Roholt, R.B.

    1991-01-01

    Pollutant emissions, thermal efficiencies, and heat outputs of pellet stoves operating in homes located in Klamath Falls and Medford, Oregon were documented. Six stoves representing two commercially available, certified models were studied during the 1989-1990 heating season. Three models exempt from certification (a total of six stoves) were studied during the 1990-1991 heating season. An automated emission sampler (AES) system was used to conduct long-term, in-home monitoring of the stoves. The results of the studies have permitted an evaluation of the environmental and energy performance characteristics of the stoves. For the certified stoves, the average overall particulate emissions were 1.05 grams per hour (g/hr), which is about 75% lower than the best-performing cordwood stoves. The in-home particulate emission values were close to their laboratory certification values. Preliminary results for the exempt stoves produced an average particulate emission value of 2.02 g/hr. Also, for the certified stoves, altitude appeared to have little or no effect on particulate emissions and there appeared to be no differences in particulate emission rates between the two models studied. Polycyclic aromatic hydrocarbon (PAH) and carbon monoxide emissions were low. The carbon monoxide emission rates averaged 14 g/hr, the average net thermal efficiency of the stoves was 68%, and the average heat output was 8,747 Btu per hour. Similar data are currently being evaluated for the exempt stoves. Emission and energy performance data obtained for the pellet stoves assessed in this study demonstrated that pellet stoves offer a viable residential biomass-fueled heating option

  17. Seasonality of mood and behavior in the Old Order Amish.

    Science.gov (United States)

    Raheja, Uttam K; Stephens, Sarah H; Mitchell, Braxton D; Rohan, Kelly J; Vaswani, Dipika; Balis, Theodora G; Nijjar, Gagan V; Sleemi, Aamar; Pollin, Toni I; Ryan, Kathleen; Reeves, Gloria M; Weitzel, Nancy; Morrissey, Mary; Yousufi, Hassaan; Langenberg, Patricia; Shuldiner, Alan R; Postolache, Teodor T

    2013-05-01

    We examined seasonality and winter seasonal affective disorder (SAD) in the Old Order Amish of Lancaster County, Pennsylvania, a unique population that prohibits use of network electric light in their homes. We estimated SAD using the seasonal pattern assessment questionnaire (SPAQ) in 1306 Amish adults and compared the frequencies of SAD and total SAD (i.e., presence of either SAD or subsyndromal-SAD) between men and women, young and old, and awareness of (ever vs. never heard about) SAD. Heritability of global seasonality score (GSS) was estimated using the maximum likelihood method, including a household effect to capture shared environmental effects. The mean (±SD) GSS was 4.36 (±3.38). Prevalence was 0.84% (95% CI: 0.36-1.58) for SAD and 2.59% (95% CI: 1.69-3.73) for total SAD. Heritability of GSS was 0.14±0.06 (SE) (p=0.002) after adjusting for age, gender, and household effects. Limitations include likely overestimation of the rates of SAD by SPAQ, possible selection bias and recall bias, and limited generalizability of the study. In the Amish, GSS and SAD prevalence were lower than observed in earlier SPAQ-based studies in other predominantly Caucasian populations. Low heritability of SAD suggests dominant environmental effects. The effects of awareness, age and gender on SAD risk were similar as in previous studies. Identifying factors of resilience to SAD in the face of seasonal changes in the Amish could suggest novel preventative and therapeutic approaches to reduce the impact of SAD in the general population. Copyright © 2012 Elsevier B.V. All rights reserved.

  18. Remotely Sensed Northern Vegetation Response to Changing Climate: Growing Season and Productivity Perspective

    Science.gov (United States)

    Ganguly, S.; Park, Taejin; Choi, Sungho; Bi, Jian; Knyazikhin, Yuri; Myneni, Ranga

    2016-01-01

    Vegetation growing season and maximum photosynthetic state determine spatiotemporal variability of seasonal total gross primary productivity of vegetation. Recent warming induced impacts accelerate shifts on growing season and physiological status over Northern vegetated land. Thus, understanding and quantifying these changes are very important. Here, we first investigate how vegetation growing season and maximum photosynthesis state are evolved and how such components contribute on inter-annual variation of seasonal total gross primary productivity. Furthermore, seasonally different response of northern vegetation to changing temperature and water availability is also investigated. We utilized both long-term remotely sensed data to extract larger scale growing season metrics (growing season start, end and duration) and productivity (i.e., growing season summed vegetation index, GSSVI) for answering these questions. We find that regionally diverged growing season shift and maximum photosynthetic state contribute differently characterized productivity inter-annual variability and trend. Also seasonally different response of vegetation gives different view of spatially varying interaction between vegetation and climate. These results highlight spatially and temporally varying vegetation dynamics and are reflective of biome-specific responses of northern vegetation to changing climate.

  19. Survival during the Breeding Season: Nest Stage, Parental Sex, and Season Advancement Affect Reed Warbler Survival.

    Directory of Open Access Journals (Sweden)

    Kaja Wierucka

    Full Text Available Avian annual survival has received much attention, yet little is known about seasonal patterns in survival, especially of migratory passerines. In order to evaluate survival rates and timing of mortality within the breeding season of adult reed warblers (Acrocephalus scirpaceus, mark-recapture data were collected in southwest Poland, between 2006 and 2012. A total of 612 individuals (304 females and 308 males were monitored throughout the entire breeding season, and their capture-recapture histories were used to model survival rates. Males showed higher survival during the breeding season (0.985, 95% CI: 0.941-0.996 than females (0.869, 95% CI: 0.727-0.937. Survival rates of females declined with the progression of the breeding season (from May to August, while males showed constant survival during this period. We also found a clear pattern within the female (but not male nesting cycle: survival was significantly lower during the laying, incubation, and nestling periods (0.934, 95% CI: 0.898-0.958, when birds spent much time on the nest, compared to the nest building and fledgling periods (1.000, 95% CI: 1.00-1.000, when we did not record any female mortality. These data (coupled with some direct evidence, like bird corpses or blood remains found next to/on the nest may suggest that the main cause of adult mortality was on-nest predation. The calculated survival rates for both sexes during the breeding season were high compared to annual rates reported for this species, suggesting that a majority of mortality occurs at other times of the year, during migration or wintering. These results have implications for understanding survival variation within the reproductive period as well as general trends of avian mortality.

  20. Advancing Border Pedagogies: Understandings of Citizenship through Comparisons of Home to School Contexts

    Science.gov (United States)

    Salinas, Cinthia; Vickery, Amanda E.; Franquiz, Maria

    2016-01-01

    Border pedagogies recognize citizenship as a contentious privilege afforded to some but not others. In reconciling the multiple and often conflicting renditions of citizen/ citizenship, this qualitative single case study found that preservice teachers benefit from examining the great civic divide between home and school and in confronting spaces…

  1. Optimal joint scheduling of electrical and thermal appliances in a smart home environment

    International Nuclear Information System (INIS)

    Shirazi, Elham; Zakariazadeh, Alireza; Jadid, Shahram

    2015-01-01

    Highlights: • Thermal appliances are scheduled based on desired temperature and energy prices. • A discomfort index has been introduced within the home energy scheduling model. • Appliances are scheduled based on activity probability and desired options. • Starting probability depends on the social random factor and consumption behavior. - Abstract: With the development of home area network, residents have the opportunity to schedule their power usage in the home by themselves aiming at reducing electricity expenses. Moreover, as renewable energy sources are deployed in home, a home energy management system needs to consider both energy consumption and generation simultaneously to minimize the energy cost. In this paper, a smart home energy management model has been presented in which electrical and thermal appliances are jointly scheduled. The proposed method aims at minimizing the electricity cost of a residential customer by scheduling various type of appliances considering the residents consumption behavior, seasonal probability, social random factor, discomfort index and appliances starting probability functions. In this model, the home central controller receives the electricity price information, environmental factors data as well as the resident desired options in order to optimally schedule appliances including electrical and thermal. The scheduling approach is tested on a typical home including variety of home appliances, a small wind turbine, photovoltaic panel, combined heat and power unit, boiler and electrical and thermal storages over a 24-h period. The results show that the scheduling of different appliances can be reached simultaneously by using the proposed formulation. Moreover, simulation results evidenced that the proposed home energy management model exhibits a lower cost and, therefore, is more economical.

  2. Pig Farmers’ Homes Harbor More Diverse Airborne Bacterial Communities Than Pig Stables or Suburban Homes

    Directory of Open Access Journals (Sweden)

    Ditte V. Vestergaard

    2018-05-01

    themselves do not appear to directly contribute to the airborne bacterial communities in the homes of farmers. These findings improve our understanding of the role of airborne bacteria in the increasing prevalence of asthma and allergy.

  3. Pig Farmers’ Homes Harbor More Diverse Airborne Bacterial Communities Than Pig Stables or Suburban Homes

    Science.gov (United States)

    Vestergaard, Ditte V.; Holst, Gitte J.; Basinas, Ioannis; Elholm, Grethe; Schlünssen, Vivi; Linneberg, Allan; Šantl-Temkiv, Tina; Finster, Kai; Sigsgaard, Torben; Marshall, Ian P. G.

    2018-01-01

    to directly contribute to the airborne bacterial communities in the homes of farmers. These findings improve our understanding of the role of airborne bacteria in the increasing prevalence of asthma and allergy. PMID:29765370

  4. Pig Farmers' Homes Harbor More Diverse Airborne Bacterial Communities Than Pig Stables or Suburban Homes.

    Science.gov (United States)

    Vestergaard, Ditte V; Holst, Gitte J; Basinas, Ioannis; Elholm, Grethe; Schlünssen, Vivi; Linneberg, Allan; Šantl-Temkiv, Tina; Finster, Kai; Sigsgaard, Torben; Marshall, Ian P G

    2018-01-01

    directly contribute to the airborne bacterial communities in the homes of farmers. These findings improve our understanding of the role of airborne bacteria in the increasing prevalence of asthma and allergy.

  5. Changing seasonality of Arctic hydrology disrupts key biotic linkages in Arctic aquatic ecosystems.

    Science.gov (United States)

    Deegan, L.; MacKenzie, C.; Peterson, B. J.; Fishscape Project

    2011-12-01

    Arctic grayling (Thymallus arcticus) is an important circumpolar species that provide a model system for understanding the impacts of changing seasonality on arctic ecosystem function. Grayling serve as food for other biota, including lake trout, birds and humans, and act as top-down controls in stream ecosystems. In Arctic tundra streams, grayling spend their summers in streams but are obligated to move back into deep overwintering lakes in the fall. Climatic change that affects the seasonality of river hydrology could have a significant impact on grayling populations: grayling may leave overwintering lakes sooner in the spring and return later in the fall due to a longer open water season, but the migration could be disrupted by drought due to increased variability in discharge. In turn, a shorter overwintering season may impact lake trout dynamics in the lakes, which may rely on the seasonal inputs of stream nutrients in the form of migrating grayling into these oligotrophic lakes. To assess how shifting seasonality of Arctic river hydrology may disrupt key trophic linkages within and between lake and stream components of watersheds on the North Slope of the Brooks Mountain Range, Alaska, we have undertaken new work on grayling and lake trout population and food web dynamics. We use Passive Integrated Transponder (PIT) tags coupled with stream-width antenna units to monitor grayling movement across Arctic tundra watersheds during the summer, and into overwintering habitat in the fall. Results indicate that day length may prime grayling migration readiness, but that flooding events are likely the cue grayling use to initiate migration in to overwintering lakes. Many fish used high discharge events in the stream as an opportunity to move into lakes. Stream and lake derived stable isotopes also indicate that lake trout rely on these seasonally transported inputs of stream nutrients for growth. Thus, changes in the seasonality of river hydrology may have broader

  6. On the possibilities of reduction in emission caused by home tile stoves in Cracow

    Energy Technology Data Exchange (ETDEWEB)

    Szewczyk, W. [Academy of Mining and Metallurgy, Cracow (Poland)

    1995-12-31

    The coal-fired tile stoves are still very popular in Poland. The estimated total number of such home stoves operated in Cracow reaches ca. 100 000. Operation of these stoves during the heating season belongs to the most significant sources of air pollution. Type and scale of emission of the most important pollutants, caused by coal combustion in home stoves in Cracow has been determined basing upon the investigations carried out at the laboratory of the Department of Power Engineering Machines and Devices, Academy of Mining and Metallurgy, Cracow, Poland within the American-Polish Program of Elimination of Low Emission Sources in Cracow. Further experiments included in this Program allowed to estimate the attainable efficiency of home tile stoves and possible reduction in pollutant emission resulting from their operation. A short discussion of these data and capacities is presented in this lecture.

  7. Understanding Traumatic Stress in Children

    Science.gov (United States)

    ... content Experts Careers Contracting Contact Search form Search American Institutes for Research About Us Our Topics Client Services News & Events You are here Home 22 Apr 2013 Report Understanding Traumatic Stress in Children Supporting Children and Families After Traumatic ...

  8. Nursing home residents' views on dying and death: nursing home employee's perspective.

    Science.gov (United States)

    Dwyer, Lise-Lotte; Hansebo, Görel; Andershed, Birgitta; Ternestedt, Britt-Marie

    2011-12-01

    To reveal nursing home employees' views on dying and death among older people they cared for. Palliative care stakeholders recently included more groups in their definition of palliative care; older people constitute one such group. Consequently, palliative care systems, which will serve a large, aging cohort, will require new skills. The first stage in skills acquisition is to gather current views on dying and death. Qualitative descriptive study that uses focus group discussions for data collection; 20 employees in 4 Swedish nursing homes participated. Data were analysed using qualitative content analysis. The following categories were conceptualised: alleviating suffering and pain; finding meaning in everyday life; revealing thoughts and attitudes about death; taking care of the dead person's body; and coping with the gap between personal ideals and reality. A deeper understanding of the palliative care philosophy is needed to further develop and tailor care for the dying persons in nursing homes. To get public support for palliative care, the silence surrounding dying and death must be broken. Employees must receive education to prepare for all aspects of their work, and management must account for employees' situation when planning the care. © 2010 Blackwell Publishing Ltd.

  9. The Comfortable Home and Energy Consumption

    DEFF Research Database (Denmark)

    Madsen, Line Valdorff

    2017-01-01

    This paper investigates relations between notions of comfort and notions of home, aiming at a better understanding of residential comfort and the related energy consumption. Residential comfort is examined through a practice-theoretical lens and as something that appears in between the social...... and material structures of a home. The approach considers different elements of comfort in homemaking practices, such as the body, materials and social meanings. The paper examines how conceptions of comfort and homeliness interrelate through homemaking practices and thereby redefine comfort within a framework...... of the home and social practices. This implies focus on “the comfortable home” as made up of homemaking practices that include knowhow, sensations and social norms. The empirical basis comprises interviews and visual data from a field study on detached housing on the outskirts of a Danish city. The paper...

  10. The determinants of home healthcare robots adoption: an empirical investigation.

    Science.gov (United States)

    Alaiad, Ahmad; Zhou, Lina

    2014-11-01

    Home healthcare robots promise to make clinical information available at the right place and time, thereby reducing error and increasing safety and quality. However, it has been frequently reported that more than 40% of previous information technology (IT) developments have failed or been abandoned due to the lack of understanding of the sociotechnical aspects of IT. Previous home healthcare robots research has focused on technology development and clinical applications. There has been little discussion of associated social, technical and managerial issues that are arguably of equal importance for robot success. To fill this knowledge gap, this research aims to understand the determinants of home healthcare robots adoption from these aspects by applying technology acceptance theories. We employed both qualitative and quantitative methods. The participants were recruited from home healthcare agencies located in the U.S. (n=108), which included both patients and healthcare professionals. We collected data via a survey study to test a research model. The usage intention of home healthcare robots is a function of social influence, performance expectancy, trust, privacy concerns, ethical concerns and facilitating conditions. Among them, social influence is the strongest predictor. Monitoring vital signs and facilitating communication with family and medication reminders are the most preferable tasks and applications for robots. Sociotechnical factors play a powerful role in explaining the adoption intention for home healthcare robots. The findings provide insights on how home healthcare service providers and robot designers may improve the success of robot technologies. Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.

  11. Factors influencing home care nurse intention to remain employed.

    Science.gov (United States)

    Tourangeau, Ann; Patterson, Erin; Rowe, Alissa; Saari, Margaret; Thomson, Heather; MacDonald, Geraldine; Cranley, Lisa; Squires, Mae

    2014-11-01

    To identify factors affecting Canadian home care nurse intention to remain employed (ITR). In developed nations, healthcare continues to shift into community settings. Although considerable research exists on examining nurse ITR in hospitals, similar research related to nurses employed in home care is limited. In the face of a global nursing shortage, it is important to understand the factors influencing nurse ITR across healthcare sectors. A qualitative exploratory descriptive design was used. Focus groups were conducted with home care nurses. Data were analysed using qualitative content analysis. Six categories of influencing factors were identified by home care nurses as affecting ITR: job characteristics; work structures; relationships/communication; work environment; nurse responses to work; and employment conditions. Findings suggest the following factors influence home care nurse ITR: having autonomy; flexible scheduling; reasonable and varied workloads; supportive work relationships; and receiving adequate pay and benefits. Home care nurses did not identify job satisfaction as a single concept influencing ITR. Home care nursing management should support nurse autonomy, allow flexible scheduling, promote reasonable workloads and create opportunities for team building that strengthen supportive relationships among home care nurses and other health team members. © 2013 John Wiley & Sons Ltd.

  12. Understanding Public Responses to Domestic Threats

    National Research Council Canada - National Science Library

    Bruine de Bruin, Wandi; Florig, H. K; Fischhoff, Baruch; Downs, Julie S; Stone, Eric

    2007-01-01

    .... This project aims to understand the factors that affect people's decisions about how long to wait until returning to their homes, given the gradual decline in radiation levels resulting from radioactive decay...

  13. Late dry season habitat use of common opossum, Didelphis marsupialis (Marsupialia: Didelphidae in neotropical lower montane agricultural areas

    Directory of Open Access Journals (Sweden)

    Christopher S. Vaughan

    1999-06-01

    Full Text Available Three Didelphis marsupialis were radio tracked during late dry season (23 February-26 April, 1983 in agricultural area at 1500 m elevation in Central Valley, Costa Rica. All animals were nocturnally active, significantly more so between 2100-0300 h. Fifty diurnal den site locations were found, 96% inside tree cavities in living fence rows or abandoned squirrel nests in windbreaks. Two females occupied 3.4 and 3.1 ha 95% home ranges, moving an average 890 and 686 m nightly respectively. The male occupied a 5.6 ha 95% home range for 42 days overlapping 90% of females' home ranges. Over the next 15 days, he moved 1020 m south, establishing three temporary home ranges. During nocturnal movements, windbreaks and living fence rows were used in higher proportion than available, while pasture, roads and cultivated lands were used less then available within 100% home ranges. Abandoned coffee and spruce plantations, fruit orchards and overgrown pastures were used in equal proportions to availability in 100% home ranges. Opossum conservation techniques in coffee growing areas include promoting spruce windbreaks, living fence rows, and garbage dumps.

  14. Cold season emissions dominate the Arctic tundra methane budget

    Science.gov (United States)

    Zona, Donatella; Gioli, Beniamino; Commane, Róisín; Lindaas, Jakob; Wofsy, Steven C.; Miller, Charles E.; Dinardo, Steven J.; Dengel, Sigrid; Sweeney, Colm; Karion, Anna; Chang, Rachel Y.-W.; Henderson, John M.; Murphy, Patrick C.; Goodrich, Jordan P.; Moreaux, Virginie; Liljedahl, Anna; Watts, Jennifer D.; Kimball, John S.; Lipson, David A.; Oechel, Walter C.

    2016-01-01

    Arctic terrestrial ecosystems are major global sources of methane (CH4); hence, it is important to understand the seasonal and climatic controls on CH4 emissions from these systems. Here, we report year-round CH4 emissions from Alaskan Arctic tundra eddy flux sites and regional fluxes derived from aircraft data. We find that emissions during the cold season (September to May) account for ≥50% of the annual CH4 flux, with the highest emissions from noninundated upland tundra. A major fraction of cold season emissions occur during the "zero curtain" period, when subsurface soil temperatures are poised near 0 °C. The zero curtain may persist longer than the growing season, and CH4 emissions are enhanced when the duration is extended by a deep thawed layer as can occur with thick snow cover. Regional scale fluxes of CH4 derived from aircraft data demonstrate the large spatial extent of late season CH4 emissions. Scaled to the circumpolar Arctic, cold season fluxes from tundra total 12 ± 5 (95% confidence interval) Tg CH4 y-1, ∼25% of global emissions from extratropical wetlands, or ∼6% of total global wetland methane emissions. The dominance of late-season emissions, sensitivity to soil environmental conditions, and importance of dry tundra are not currently simulated in most global climate models. Because Arctic warming disproportionally impacts the cold season, our results suggest that higher cold-season CH4 emissions will result from observed and predicted increases in snow thickness, active layer depth, and soil temperature, representing important positive feedbacks on climate warming.

  15. Occupational Therapy Home Safety Intervention via Telehealth

    Directory of Open Access Journals (Sweden)

    Lori E. Breeden

    2016-07-01

    Full Text Available Photography can be an effective addition for education-based telehealth services delivered by an occupational therapist.  In this study, photography was used as antecedent to telehealth sessions delivered by an occupational therapist focused on narrative learning about home safety.  After taking photographs of past home safety challenges, six participants experienced three web-based occupational therapy sessions each.  Sessions were recorded and transcribed.  Data were examined using content analysis.  A content analysis identified the following themes as well as an understanding of the learning process.  Analyses yielded themes of: the value of photos to support learning, the value of narrative learning related to home safety education, abstract versus concrete learners.  Procedural findings are included to support future endeavors.  Findings indicate that within a wellness context, home safety education for older adults can be delivered effectively via telehealth when using photography as a part of an occupational therapy intervention.

  16. Embedding technology into inter-professional best practices in home safety evaluation.

    Science.gov (United States)

    Burns, Suzanne Perea; Pickens, Noralyn Davel

    2017-08-01

    To explore inter-professional home evaluators' perspectives and needs for building useful and acceptable decision-support tools for the field of home modifications. Twenty semi-structured interviews were conducted with a range of home modification professionals from different regions of the United States. The interview transcripts were analyzed with a qualitative, descriptive, perspective approach. Technology supports current best practice and has potential to inform decision making through features that could enhance home evaluation processes, quality, efficiency and inter-professional communication. Technological advances with app design have created numerous opportunities for the field of home modifications. Integrating technology and inter-professional best practices will improve home safety evaluation and intervention development to meet client-centred and societal needs. Implications for rehabilitation Understanding home evaluators technology needs for home safety evaluations contributes to the development of app-based assessments. Integrating inter-professional perspectives of best practice and technological needs in an app for home assessments improves processes. Novice and expert home evaluators would benefit from decision support systems embedded in app-based assessments. Adoption of app-based assessment would improve efficiency while remaining client-centred.

  17. Integrating Menstrual Cycle Data into The Smart Home

    DEFF Research Database (Denmark)

    Homewood, Sarah

    2017-01-01

    Menstrual cycle data gathered through self-tracking apps are increasingly used to understand, control and monitor bodies that menstruate. This work-in-progress explores the effects of representing menstrual cycle data within the smart home through critical design and planned fieldwork. Themes...... presented in this paper include the taboo of menstrual cycles, the question of what kinds of data do we represent in the smart home and menstrual cycle tracking technologies as examples of affective computing....

  18. Home setting after stroke, facilitators and barriers: A systematic literature review.

    Science.gov (United States)

    Marcheschi, Elizabeth; Von Koch, Lena; Pessah-Rasmussen, Hélène; Elf, Marie

    2018-07-01

    This paper seeks to improve the understanding of the interaction between patients with stroke and the physical environment in their home settings. Stroke care is increasingly performed in the patient's home. Therefore, a systematic review was conducted to identify the existing knowledge about facilitators and barriers in the physical environment of home settings for the stroke rehabilitation process. Based upon Arksey and O'Malley's framework, a Boolean search strategy was performed in the databases; CINAHL, Medline, Web of Science and Scopus. Fifteen articles were retained from the literature search conducted between August and November 2016, and two researchers independently assessed their quality based on the Swedish Council on Health Technology Assessment guidelines. The results suggest that despite the healthcare system's ongoing shift towards home-based rehabilitation, the role played by the physical environment of home settings is still considered a side finding. Moreover, the research appears to focus mainly on how this environment supports mobility and activities of daily living, whereas information regarding the psychosocial and emotional processes that mediate the interaction between stroke survivors and their home setting are missing. A lack of information was also found with regard to the influence of different geographic locations on the stroke rehabilitation process. Future investigations are therefore needed to advance the understanding of the role played by the physical environment of home settings in supporting stroke recovery. © 2017 The Authors. Health and Social Care in the Community Published by John Wiley & Sons Ltd.

  19. Attitude of senior citizens towards smart home technologies:a literature review

    OpenAIRE

    Hamal Mishra, Binisha

    2015-01-01

    Smart home can be of significant importance for positive ageing allowing elderly to maintain independence, functionality, well-being and higher quality of life. Aim: The aim of this thesis is to study attitude of senior citizens towards smart home technologies. Understanding senior citizen's attitude towards current smart home technol-ogies is an important aspect in optimization of the existing technologies as well as in the design of new technologies. The review will aim to find the answe...

  20. Quantifying parental preferences for interventions designed to improve home food preparation and home food environments during early childhood.

    Science.gov (United States)

    Virudachalam, Senbagam; Chung, Paul J; Faerber, Jennifer A; Pian, Timothy M; Thomas, Karen; Feudtner, Chris

    2016-03-01

    Though preparing healthy food at home is a critical health promotion habit, few interventions have aimed to improve parental cooking skills and behaviors. We sought to understand parents' preferences and priorities regarding interventions to improve home food preparation practices and home food environments during early childhood. We administered a discrete choice experiment using maximum difference scaling. Eighty English-speaking parents of healthy 1-4 year-old children rated the relative importance of potential attributes of interventions to improve home food preparation practices and home food environments. We performed latent class analysis to identify subgroups of parents with similar preferences and tested for differences between the subgroups. Participants were mostly white or black 21-45 year-old women whose prevalence of overweight/obesity mirrored the general population. Latent class analysis revealed three distinct groups of parental preferences for intervention content: a healthy cooking group, focused on nutrition and cooking healthier food; a child persuasion group, focused on convincing toddlers to eat home-cooked food; and a creative cooking group, focused on cooking without recipes, meal planning, and time-saving strategies. Younger, lower income, 1-parent households comprised the healthy cooking group, while older, higher income, 2-parent households comprised the creative cooking group (p cooked dinner regularly, unlike the other two groups (p food preparation practices. Such interventions are important for creating healthier home food environments and preventing obesity starting from early childhood. Copyright © 2015 Elsevier Ltd. All rights reserved.

  1. Evaluating the Effectiveness of a Commercial Portable Air Purifier in Homes with Wood Burning Stoves: A Preliminary Study

    Directory of Open Access Journals (Sweden)

    Julie F. Hart

    2011-01-01

    Full Text Available Wood burning for residential heating is prevalent in the Rocky Mountain regions of the United States. Studies have shown that wood stoves can be a significant source of PM2.5 within homes. In this study, the effectiveness of an electrostatic filter portable air purifier was evaluated (1 in a home where a wood stove was the sole heat source and (2 in a home where a wood stove was used as a supplemental heat source. Particle count concentrations in six particle sizes and particle mass concentrations in two particle sizes were measured for ten 12-hour purifier on and ten purifier off trials in each home. Particle count concentrations were reduced by 61–85 percent. Similar reductions were observed in particle mass concentrations. These findings, although limited to one season, suggest that a portable air purifier may effectively reduce indoor particulate matter concentrations associated with wood combustion during home heating.

  2. Particulate-bound polycyclic aromatic hydrocarbon sources and determinants in residential homes.

    Science.gov (United States)

    Cattaneo, Andrea; Fermo, Paola; Urso, Patrizia; Perrone, Maria Grazia; Piazzalunga, Andrea; Tarlassi, Jessica; Carrer, Paolo; Cavallo, Domenico Maria

    2016-11-01

    Human exposure to polycyclic aromatic hydrocarbons (PAHs) in indoor environments can be particularly relevant because people spend most of their time inside buildings, especially in homes. This study aimed to investigate the most important particle-bound PAH sources and exposure determinants in PM 2.5 samples collected in 19 homes located in northern Italy. Complementary information about ion content in PM 10 was also collected in 12 of these homes. Three methods were used for the identification of PAH sources and determinants: diagnostic ratios with principal component and hierarchical cluster analyses (PCA and HCA), chemical mass balance (CMB) and linear mixed models (LMMs). This combined and tiered approach allowed the infiltration of outdoor PAHs into indoor environments to be identified as the most important source in winter, with a relevant role played by biomass burning and traffic exhausts to be identified as a general source of PAHs in both seasons. Tobacco smoke exhibited an important impact on PAH levels in smokers' homes, whereas in the whole sample, cooking food and natural gas sources played a minor or negligible role. Nitrate, sulfate and ammonium were the main inorganic constituents of indoor PM 10 owing to the secondary formation of ammonium sulfates and nitrates. Copyright © 2016 Elsevier Ltd. All rights reserved.

  3. Safety of union home care aides in Washington State.

    Science.gov (United States)

    Schoenfisch, Ashley L; Lipscomb, Hester; Phillips, Leslie E

    2017-09-01

    A rate-based understanding of home care aides' adverse occupational outcomes related to their work location and care tasks is lacking. Within a 30-month, dynamic cohort of 43 394 home care aides in Washington State, injury rates were calculated by aides' demographic and work characteristics. Injury narratives and focus groups provided contextual detail. Injury rates were higher for home care aides categorized as female, white, 50 to working through an agency (versus individual providers). In addition to direct occupational hazards, variability in workload, income, and supervisory/social support is of concern. Policies should address the roles and training of home care aides, consumers, and managers/supervisors. Home care aides' improved access to often-existing resources to identify, manage, and eliminate occupational hazards is called for to prevent injuries and address concerns related to the vulnerability of this needed workforce. © 2017 Wiley Periodicals, Inc.

  4. Seasonal inter-relationships in atmospheric methane and companion delta13C values: effects of sinks and sources

    Energy Technology Data Exchange (ETDEWEB)

    Lassey, K. R.; Mikaloff Fletcher, S. E. (NIWA, Wellington (New Zealand)), e-mail: k.lassey@niwa.co.nz; Allan, W. (Allan Planning and Research Ltd., Petone (New Zealand))

    2011-07-15

    Recent developments in applying carbon-isotope information to better understand regional and global methane budgets infer a strong role by a highly fractionating seasonal sink such as atomic chlorine. Specifically, OH as the predominant seasonal sink cannot account for the 'phase ellipses' based on observed seasonal cycles of methane mixing ratio and isotope ratio, delta13C. Although a strong role by atomic chlorine is inferred empirically, open questions remain about the interplay between sources and sinks in determining the properties of phase ellipses. This paper employs a simple didactic model of the seasonal cycling of atmospheric methane to understand such interplay. We demonstrate that a single seasonal sink and seasonal source act together to imprint anti-phase seasonalities on atmospheric methane and delta13C, which lead to phase ellipses that collapse onto a straight line with slope characteristic of that sink. This explains empirical findings of these anti-phase relationships in three-dimensional modelling studies. We also demonstrate that multiple seasonal sinks acting with a seasonal source can yield surprising properties for the phase ellipse that not only explain some features of phase ellipses reported in modelling studies but also have the potential to explain marked inter-annual variation in phase ellipses based on observation

  5. Home drinking in the UK: trends and causes.

    Science.gov (United States)

    Foster, John H; Ferguson, Colin S

    2012-01-01

    To explore the trend in the UK to consume alcohol at home rather than at licensed premises. A Medline search entering the terms 'home drinking', 'alcohol' and 'adult' covering the period 2000-2011 yielded 48 articles, of which 6 met the criteria to be included in the review. Grey literature including survey and market research data were reviewed. In the UK, since 1970 there has been trend for beer to be consumed at home more often than in licensed premises and that the overall trend towards greater home drinking has increased since 2000. The main reasons given are convenience, cost, safety, autonomy and stress relief. There has also been an increase in the practice known as 'pre-loading' (drinking before going out). Adults who drink mainly at home report that they are aware that they run a risk of higher overall alcohol consumption but tend to play down the possibility that increased consumption may lead to longer-term harm. Home drinking trends may have long-term public health consequences. Greater understanding of the drivers of this trend will help policy-makers to respond to these societal changes.

  6. Comparison of Home Retrofit Programs in Wisconsin

    Energy Technology Data Exchange (ETDEWEB)

    Cunningham, Kerrie [Univ. of Minnesota, St. Paul, MN (United States). NorthernSTAR Building America Partnership; Hannigan, Eileen [Univ. of Minnesota, St. Paul, MN (United States). NorthernSTAR Building America Partnership

    2013-03-01

    To explore ways to reduce customer barriers and increase home retrofit completions, several different existing home retrofit models have been implemented in the state of Wisconsin. This study compared these programs' performance in terms of savings per home and program cost per home to assess the relative cost-effectiveness of each program design. However, given the many variations in these different programs, it is difficult to establish a fair comparison based on only a small number of metrics. Therefore, the overall purpose of the study is to document these programs' performance in a case study approach to look at general patterns of these metrics and other variables within the context of each program. This information can be used by energy efficiency program administrators and implementers to inform home retrofit program design. Six different program designs offered in Wisconsin for single-family energy efficiency improvements were included in the study. For each program, the research team provided information about the programs' approach and goals, characteristics, achievements and performance. The program models were then compared with performance results-program cost and energy savings-to help understand the overall strengths and weaknesses or challenges of each model.

  7. Comparison of Home Retrofit Programs in Wisconsin

    Energy Technology Data Exchange (ETDEWEB)

    Cunningham, K.; Hannigan, E.

    2013-03-01

    To explore ways to reduce customer barriers and increase home retrofit completions, several different existing home retrofit models have been implemented in the state of Wisconsin. This study compared these programs' performance in terms of savings per home and program cost per home to assess the relative cost-effectiveness of each program design. However, given the many variations in these different programs, it is difficult to establish a fair comparison based on only a small number of metrics. Therefore, the overall purpose of the study is to document these programs' performance in a case study approach to look at general patterns of these metrics and other variables within the context of each program. This information can be used by energy efficiency program administrators and implementers to inform home retrofit program design. Six different program designs offered in Wisconsin for single-family energy efficiency improvements were included in the study. For each program, the research team provided information about the programs' approach and goals, characteristics, achievements and performance. The program models were then compared with performance results -- program cost and energy savings -- to help understand the overall strengths and weaknesses or challenges of each model.

  8. Home ranges and satellite tactics of male green swordtails (Xiphophorus helleri) in nature.

    Science.gov (United States)

    Franck, D; Klamroth, B; Taebel-Hellwig, A; Schartl, M

    1998-05-01

    Dominance relationships were studied between marked or otherwise individually recognizable male green swordtails in a creek at Lake Catemaco and in a tributary of the Rio Atoyac (Veracruz, Mexico). The Atoyac population is unique because of a high degree of polymorphism, including both macromelanophore spotting and a micromelanophore tailspot pattern. During the dry season males living in the same area maintained a linear social hierarchy for periods of many days. The subordinate males settled down either in the same home ranges or in home ranges largely overlapping with that of dominant males. Although dominant males untiringly chased the subordinate males away, they returned persistently and achieved the status of non-tolerated satellites. Females were less stationary and presumably passed through many male home ranges during their feeding activities. The data clearly demonstrate that green swordtails live in complex social systems in which male-male competition and probably also female mate choice are likely to be essential factors for individual reproductive success.

  9. When a desired home death does not occur: the consequences of broken promises.

    Science.gov (United States)

    Topf, Lorrianne; Robinson, Carole A; Bottorff, Joan L

    2013-08-01

    Evidence shows that most people prefer to die at home; however, the majority of expected deaths occur away from home. Although home deaths require family caregiver (FCG) commitment and care, we understand very little about their experiences in this context. The study's aim was to gain a better understanding of the experiences of FCGs when circumstances prevented a desired home death for a family member with advanced cancer. An interpretive description approach was used. Data collection involved semistructured interviews. Field notes and reflective journaling aided interpretive and analytical processes. The study was conducted in western Canada and included 18 bereaved FCGs. FCGs were committed to the promises made to care for their family member at home until death. These promises were challenged by a lack of preparedness for caregiving, difficulty accessing professional support and information, and frustration with the inadequate help they received. The events that precipitated dying family members leaving their home for hospital or hospice were unexpected and often influenced by FCGs' lack of situation-specific knowledge and ability to cope with complex caregiving responsibilities. FCGs found it extremely challenging to reconcile with breaking their promise to care at home until death and many were unable to do so. FCGs' despair about not being able to keep their promise for a home death was related to complicated bereavement. Prospective studies of the experiences of FCGs who are aiming for home deaths are needed to identify both short- and long-term interventions to effectively support death at home.

  10. Seasonal Prediction of Taiwan's Streamflow Using Teleconnection Patterns

    Science.gov (United States)

    Chen, Chia-Jeng; Lee, Tsung-Yu

    2017-04-01

    Seasonal streamflow as an integrated response to complex hydro-climatic processes can be subject to activity of prevailing weather systems potentially modulated by large-scale climate oscillations (e.g., El Niño-Southern Oscillation, ENSO). To develop a seamless seasonal forecasting system in Taiwan, this study assesses how significant Taiwan's precipitation and streamflow in different seasons correlate with selected teleconnection patterns. Long-term precipitation and streamflow data in three major precipitation seasons, namely the spring rains (February to April), Mei-Yu (May and June), and typhoon (July to September) seasons, are derived at 28 upstream and 13 downstream catchments in Taiwan. The three seasons depict a complete wet period of Taiwan as well as many regions bearing similar climatic conditions in East Asia. Lagged correlation analysis is then performed to investigate how the precipitation and streamflow data correlate with predominant teleconnection indices at varied lead times. Teleconnection indices are selected only if they show certain linkage with weather systems and activity in the three seasons based on previous literature. For instance, the ENSO and Quasi-Biennial Oscillation, proven to influence East Asian climate across seasons and summer typhoon activity, respectively, are included in the list of climate indices for correlation analysis. Significant correlations found between Taiwan's precipitation and streamflow and teleconnection indices are further examined by a climate regime shift (CRS) test to identify any abrupt changes in the correlations. The understanding of existing CRS is useful for informing the forecasting system of the changes in the predictor-predictand relationship. To evaluate prediction skill in the three seasons and skill differences between precipitation and streamflow, hindcasting experiments of precipitation and streamflow are conducted using stepwise linear regression models. Discussion and suggestions for coping

  11. Understanding myxozoan infection dynamics in the sea: Seasonality and transmission of Ceratomyxa puntazzi

    Czech Academy of Sciences Publication Activity Database

    Alama-Bermejo, Gema; Šíma, Radek; Raga, J. A.; Holzer, Astrid S.

    2013-01-01

    Roč. 43, č. 9 (2013), s. 771-780 ISSN 0020-7519 R&D Projects: GA ČR GBP505/12/G112 Grant - others:Valencian Autonomous Government(ES) BFPI/2007/289; Valencian Autonomous Government(ES) GVPRE/2008/185; Valencian Autonomous Government(ES) PROTMETEO/2011/040; Valencian Autonomous Government(ES) ISIC/2012/003 Institutional support: RVO:60077344 Keywords : Ceratomyxa puntazzi * Myxozoa * Diplodus puntazzo * Sentinel fish * Seawater * qPCR * Seasonality * Transmission Subject RIV: EB - Genetics ; Molecular Biology Impact factor: 3.404, year: 2013

  12. Safety in home care: A research protocol for studying medication management

    Directory of Open Access Journals (Sweden)

    Easty Anthony

    2010-06-01

    Full Text Available Abstract Background Patient safety is an ongoing global priority, with medication safety considered a prevalent, high-risk area of concern. Yet, we have little understanding of the supports and barriers to safe medication management in the Canadian home care environment. There is a clear need to engage the providers and recipients of care in studying and improving medication safety with collaborative approaches to exploring the nature and safety of medication management in home care. Methods A socio-ecological perspective on health and health systems drives our iterative qualitative study on medication safety with elderly home care clients, family members and other informal caregivers, and home care providers. As we purposively sample across four Canadian provinces: Alberta (AB, Ontario (ON, Quebec (QC and Nova Scotia (NS, we will collect textual and visual data through home-based interviews, participant-led photo walkabouts of the home, and photo elicitation sessions at clients' kitchen tables. Using successive rounds of interpretive description and human factors engineering analyses, we will generate robust descriptions of managing medication at home within each provincial sample and across the four-province group. We will validate our initial interpretations through photo elicitation focus groups with home care providers in each province to develop a refined description of the phenomenon that can inform future decision-making, quality improvement efforts, and research. Discussion The application of interpretive and human factors lenses to the visual and textual data is expected to yield findings that advance our understanding of the issues, challenges, and risk-mitigating strategies related to medication safety in home care. The images are powerful knowledge translation tools for sharing what we learn with participants, decision makers, other healthcare audiences, and the public. In addition, participants engage in knowledge exchange

  13. Night-time activity forecast by season and weather in a longitudinal design - natural light effects on three years' rest-activity cycles in nursing home residents with dementia.

    Science.gov (United States)

    Wahnschaffe, Amely; Nowozin, Claudia; Rath, Andreas; Floessner, Theresa; Appelhoff, Stefan; Münch, Mirjam; Kunz, Dieter

    2017-12-01

    Backround: Night-time agitation is a frequent symptom of dementia. It often causes nursing home admission and has been linked to circadian rhythm disturbances. A positive influence of light interventions on night-time agitation was shown in several studies. The aim of our study was to investigate whether there is a long-term association between regional weather data (as indicator for daylight availability) and 24-hour variations of motor activity. Motor activity of 20 elderly nursing home residents living with dementia was analyzed using recordings of continuously worn wrist activity monitors over a three-year period. The average recording duration was 479 ± 206 days per participant (mean ± SD). Regional cloud amount and day length data from the local weather station (latitude: 52°56'N) were included in the analysis to investigate their effects on several activity variables. Nocturnal rest, here defined as the five consecutive hours with the least motor activity during 24 hours (L5), was the most predictable activity variable per participant. There was a significant interaction of night-time activity with day length and cloud amount (F 1,1174 = 4.39; p = 0.036). Night-time activity was higher on cloudy short days than on clear short days (p = 0.007), and it was also higher on cloudy short days than on cloudy long days (p = 0.032). The need for sufficient zeitgeber (time cue) strength during winter time, especially when days are short and skies are cloudy, is crucial for elderly people living with dementia. Activity forecast by season and weather might be a valuable approach to anticipate adequately complementary use of electrical light and thereby foster lower night-time activity.

  14. Home is where the head is: a distributed cognition account of personal health information management in the home among those with chronic illness.

    Science.gov (United States)

    Werner, Nicole E; Jolliff, Anna F; Casper, Gail; Martell, Thomas; Ponto, Kevin

    2018-08-01

    Managing chronic illness requires personal health information management (PHIM) to be performed by lay individuals. Paramount to understanding the PHIM process is understanding the sociotechnical system in which it frequently occurs: the home environment. We combined distributed cognition theory and the patient work system model to investigate how characteristics of the home interact with the cognitive work of PHIM. We used a 3D virtual reality CAVE that enabled participants who had been diagnosed with diabetes (N = 20) to describe how they would perform PHIM in the home context. We found that PHIM is distinctly cognitive work, and rarely performed 'in the head'. Rather, features of the physical environment, tasks, people, and tools and technologies present, continuously shape and are shaped by the PHIM process. We suggest that approaches in which the individual (sans context) is considered the relevant unit of analysis overlook the pivotal role of the environment in shaping PHIM. Practitioner Summary: We examined how Personal Health Information Management (PHIM) is performed in the homes of diabetic patients. We found that approaches to studying cognition that focus on the individual, to the exclusion of their context, overlook the pivotal role of environmental, social, and technological features in shaping PHIM.

  15. Sunlight mediated seasonality in canopy structure and photosynthetic activity of Amazonian rainforests

    International Nuclear Information System (INIS)

    Bi, Jian; Knyazikhin, Yuri; Choi, Sungho; Park, Taejin; Barichivich, Jonathan; Ciais, Philippe; Fu, Rong; Ganguly, Sangram; Hall, Forrest; Hilker, Thomas; Huete, Alfredo; Jones, Matthew; Kimball, John; Lyapustin, Alexei I; Mõttus, Matti; Nemani, Ramakrishna R; Piao, Shilong; Poulter, Benjamin; Saleska, Scott R

    2015-01-01

    Resolving the debate surrounding the nature and controls of seasonal variation in the structure and metabolism of Amazonian rainforests is critical to understanding their response to climate change. In situ studies have observed higher photosynthetic and evapotranspiration rates, increased litterfall and leaf flushing during the Sunlight-rich dry season. Satellite data also indicated higher greenness level, a proven surrogate of photosynthetic carbon fixation, and leaf area during the dry season relative to the wet season. Some recent reports suggest that rainforests display no seasonal variations and the previous results were satellite measurement artefacts. Therefore, here we re-examine several years of data from three sensors on two satellites under a range of sun positions and satellite measurement geometries and document robust evidence for a seasonal cycle in structure and greenness of wet equatorial Amazonian rainforests. This seasonal cycle is concordant with independent observations of solar radiation. We attribute alternative conclusions to an incomplete study of the seasonal cycle, i.e. the dry season only, and to prognostications based on a biased radiative transfer model. Consequently, evidence of dry season greening in geometry corrected satellite data was ignored and the absence of evidence for seasonal variation in lidar data due to noisy and saturated signals was misinterpreted as evidence of the absence of changes during the dry season. Our results, grounded in the physics of radiative transfer, buttress previous reports of dry season increases in leaf flushing, litterfall, photosynthesis and evapotranspiration in well-hydrated Amazonian rainforests. (letter)

  16. Adaptation to seasonality and the winter freeze

    Directory of Open Access Journals (Sweden)

    Jill Christine Preston

    2013-06-01

    Full Text Available Flowering plants initially diversified during the Mesozoic era at least 140 million years ago in regions of the world where temperate seasonal environments were not encountered. Since then several cooling events resulted in the contraction of warm and wet environments and the establishment of novel temperate zones in both hemispheres. In response, less than half of modern angiosperm families have members that evolved specific adaptations to cold seasonal climates, including cold acclimation, freezing tolerance, endodormancy, and vernalization responsiveness. Despite compelling evidence for multiple independent origins, the level of genetic constraint on the evolution of adaptations to seasonal cold is not well understood. However, the recent increase in molecular genetic studies examining the response of model and crop species to seasonal cold offers new insight into the evolutionary lability of these traits. This insight has major implications for our understanding of complex trait evolution, and the potential role of local adaptation in response to past and future climate change. In this review, we discuss the biochemical, morphological, and developmental basis of adaptations to seasonal cold, and synthesize recent literature on the genetic basis of these traits in a phylogenomic context. We find evidence for multiple genetic links between distinct physiological responses to cold, possibly reinforcing the coordinated expression of these traits. Furthermore, repeated recruitment of the same or similar ancestral pathways suggests that land plants might be somewhat pre-adapted to dealing with temperature stress, perhaps making inducible cold traits relatively easy to evolve.

  17. The specificity of host-bat fly interaction networks across vegetation and seasonal variation.

    Science.gov (United States)

    Zarazúa-Carbajal, Mariana; Saldaña-Vázquez, Romeo A; Sandoval-Ruiz, César A; Stoner, Kathryn E; Benitez-Malvido, Julieta

    2016-10-01

    Vegetation type and seasonality promote changes in the species composition and abundance of parasite hosts. However, it is poorly known how these variables affect host-parasite interaction networks. This information is important to understand the dynamics of parasite-host relationships according to biotic and abiotic changes. We compared the specialization of host-bat fly interaction networks, as well as bat fly and host species composition between upland dry forest and riparian forest and between dry and rainy seasons in a tropical dry forest in Jalisco, Mexico. Bat flies were surveyed by direct collection from bats. Our results showed that host-bat fly interaction networks were more specialized in upland dry forest compared to riparian forest. Bat fly species composition was different between the dry and rainy seasons, while host species composition was different between upland dry forest and riparian forest. The higher specialization in upland dry forest could be related to the differences in bat host species composition and their respective roosting habits. Variation in the composition of bat fly species between dry and rainy seasons coincides with the seasonal shifts in their species richness. Our study confirms the high specialization of host-bat fly interactions and shows the importance of biotic and abiotic factors to understand the dynamics of parasite-host interactions.

  18. Seasonal movements and multiscale habitat selection of Whooping Crane (Grus americana) in natural and agricultural wetlands

    Science.gov (United States)

    Pickens, Bradley A.; King, Sammy L.; Vasseur, Phillip L.; Zimorski, Sara E.; Selman, Will

    2017-01-01

    Eleven of 15 species of cranes (family: Gruidae) are considered vulnerable or endangered, and the increase of agriculture and aquaculture at the expense of natural wetlands and grasslands is a threat to Gruidae worldwide. A reintroduced population of Whooping Crane (Grus americana) was studied in coastal and agricultural wetlands of Louisiana and Texas, USA. The objectives were to compare Whooping Crane movements across seasons, quantify multiscale habitat selection, and identify seasonal shifts in selection. Whooping Cranes (n = 53) were tracked with satellite transmitters to estimate seasonal core-use areas (50% home range contours) via Brownian bridge movement models and assess habitat selection. Whooping Crane core-use areas (n = 283) ranged from 4.7 to 438.0 km2, and habitat selection changed seasonally as shallow water availability varied. Whooping Crane core-use areas were composed of more fresh marsh in spring/summer, but shifted towards rice and crawfish (Procambarus spp.) aquaculture in the fall/winter. Within core-use areas, aquaculture was most strongly selected, particularly in fall when fresh marsh became unsuitable. Overall, the shifting of Whooping Crane habitat selection over seasons is likely to require large, heterogeneous areas. Whooping Crane use of agricultural and natural wetlands may depend on spatio-temporal dynamics of water depth.

  19. PATIENT DEMOGRAPHIC, RISK FACTORS AND SEASONAL VARIATION IN ONSET OF STROKE

    Directory of Open Access Journals (Sweden)

    M. K. M. Kathyayani

    2016-10-01

    Full Text Available BACKGROUND Existence of particular chronobiological pattern in onset of acute cerebrovascular diseases characterised by circannual rhythms has been detected. India is a subtropical country with clear seasonal variations in weather conditions. Stroke causes death and disability worldwide. Seasons may influence stroke occurrence. The mechanisms underlying these seasonal variations of stroke are not fully understood, but a possible reason may include seasonal variation of biological factors such as arterial blood pressure, serum lipid levels and other blood components. Better understanding and controlling of risk factors associated with onset of stroke will improve the disease prevention. The objective of the present study is to examine the role of possible precipitating or triggering factors. This study reviews records of patients with stroke attending the Department of Medicine, KGH, Visakhapatnam. MATERIALS AND METHODS Patients with diagnosis of stroke attending the Department of Medicine, KGH, Visakhapatnam, were selected. Computed tomographic types of stroke, both ischaemic and haemorrhagic and risk factors associated were considered with tropical seasonal variation. RESULTS A total of 150 stroke patients were included in the study of which 93 (62% were males, 57 (38% were females and 46% in 50-65 years age group, 4% in 20-35 years, 28% in 35-50 years, 22% in 65-80 years and above age groups. Of the total, 93.33% presented with 1st attack and only 6.66% presented with recurrent stroke. The prevalence of types of stroke was: ischaemic stroke 54.66%, haemorrhagic stroke 45.33%. The prevalence of risk factors associated with stroke was - male gender 62%, smoking 56.66%, hypertension 56%, age >50 years 46%, alcohol consumption 43%, hyperlipidaemia 16.66%, consumption of alcohol and smoking together 13.33%, valvular heart diseases 6.66%. A high seasonal prevalence was observed in winter season (50.66%. CONCLUSION This study revealed that male

  20. Michigan residential heating oil and propane price survey: 1995-1996 heating season. Final report

    International Nuclear Information System (INIS)

    Moriarty, C.

    1996-05-01

    This report summarizes the results of a survey of residential No. 2 distillate fuel (home heating oil) and liquefied petroleum gas (propane) prices over the 1995--1996 heating season in Michigan. The Michigan's Public Service Commission (MPSC) conducted the survey under a cooperative agreement with the US Department of Energy's (DOE) Energy Information Administration (EIA). This survey was funded in part by a grant from the DOE. From October 1995 through March 1996, the MPSC surveyed participating distributors by telephone for current residential retail home heating oil and propane prices. The MPSC transmitted the data via a computer modem to the EIA using the Petroleum Electronic Data Reporting Option (PEDRO). Survey results were published in aggregate on the MPSC World Wide Web site at http://ermisweb.state.mi.us/shopp. The page was updated with both residential and wholesale prices immediately following the transmission of the data to the EIA. The EIA constructed the survey using a sample of Michigan home heating oil and propane retailers. The sample accounts for different sales volumes, geographic location, and sources of primary supply

  1. Home ranges of lions in the Kalahari, Botswana exhibit vast sizes and high temporal variability.

    Science.gov (United States)

    Zehnder, André; Henley, Stephen; Weibel, Robert

    2018-06-01

    The central Kalahari region in Botswana is one of the few remaining ecosystems with a stable lion population. Yet, relatively little is known about the ecology of the lions there. As an entry point, home range estimations provide information about the space utilization of the studied animals. The home ranges of eight lions in this region were determined to investigate their spatial overlaps and spatiotemporal variations. We found that, except for MCP, all home range estimators yielded comparable results regarding size and shape. The home ranges of all individuals were located predominantly inside the protected reserves. Their areas were among the largest known for lions with 1131 - 4314km 2 (95%), with no significant differences between males and females. Numerous overlaps between lions of different sexes were detected, although these originate from different groups. A distance chart confirmed that most of these lions directly encountered each other once or several times. Strong temporal variations of the home ranges were observed that did not match a seasonal pattern. The exceptionally large home ranges are likely to be caused by the sparse and dynamic prey populations. Since the ungulates in the study area move in an opportunistic way, too, strong spatiotemporal home range variations emerge. This can lead to misleading home ranges. We therefore recommend clarifying the stability of the home ranges by applying several levels of temporal aggregation. The lack of strict territoriality is likely an adaptation to the variable prey base and the high energetic costs associated with defending a large area. Copyright © 2018 Elsevier GmbH. All rights reserved.

  2. Quantitative Experiments to Explain the Change of Seasons

    Science.gov (United States)

    Testa, Italo; Busarello, Gianni; Puddu, Emanuella; Leccia, Silvio; Merluzzi, Paola; Colantonio, Arturo; Moretti, Maria Ida; Galano, Silvia; Zappia, Alessandro

    2015-01-01

    The science education literature shows that students have difficulty understanding what causes the seasons. Incorrect explanations are often due to a lack of knowledge about the physical mechanisms underlying this phenomenon. To address this, we present a module in which the students engage in quantitative measurements with a photovoltaic panel to…

  3. Autism and family home movies: a comprehensive review.

    Science.gov (United States)

    Palomo, Rubén; Belinchón, Mercedes; Ozonoff, Sally

    2006-04-01

    In this article, we focus on the early development of autism studied through family home movies. We review all investigations published in English that met specific methodological standards, including the use of comparison samples, coding blind to group membership, and adequate levels of interrater reliability. After discussing in detail the pros and cons of the home-movie methodology, we review the results of all empirical studies conducted to date. We then present a summary of the features found consistently across studies that differentiate autism from typical development and mental retardation in the first 2 years of life. How family home movies can contribute to our understanding of the regression phenomenon is also addressed. Finally, the results are interpreted from both a theoretical and clinical point of view.

  4. Low-cost measurement techniques to characterize the influence of home heating fuel on carbon monoxide in Navajo homes.

    Science.gov (United States)

    Casey, Joanna Gordon; Ortega, John; Coffey, Evan; Hannigan, Michael

    2018-06-01

    A large fraction of the global population relies on the inefficient combustion of solid fuels for cooking and home heating, resulting in household exposure to combustion byproducts. In the southwestern United States, unhealthy air quality has been observed in some homes that use solid fuels as a primary source of heat on the Navajo Nation. In order to better understand how home heating fuel choice can influence indoor air quality in this region, we used recently developed low-cost electrochemical sensors to measure carbon monoxide (CO) air mole fractions continuously inside and outside 41 homes in two communities on the Navajo Nation. Using low-cost sensors in this study, which don't require extensive training to operate, enabled collaboration with local Diné College students and faculty in the planning and implementation of home deployments. Households used natural gas, propane, pellets, wood, and/or coal for heating. We developed quantification methods that included uncertainty estimation for Alphasense CO-B4 sensors, for measurements both inside and outside homes. CO concentrations elevated above background were observed in homes in each heating fuel group, but the highest hourly concentrations were observed in wood and coal burning homes, some of which exceeded World Health Organization Guidelines on both an hourly and eight-hourly basis. In order to probe the many factors that can influence indoor pollutant concentrations, we developed and implemented methods that employ CO emission and decay time periods observed in homes during everyday activities to estimate air exchange rates as well as CO emission rates on the basis of a given well-mixed volume of air. The air quality measurement tools and methods demonstrated in this study can be readily extended to indoor air quality studies in other communities around the world to inform how home heating and cooking practices are influencing indoor air quality during normal daily activities. Copyright © 2018 Elsevier

  5. The moral geography of home care.

    Science.gov (United States)

    Liaschenko, J

    1994-12-01

    One result of the historical division of labor between nurses and physicians is that nurses became the eyes and ears of the physician, extending their perceptual capabilities across space and time. This "gaze of medicine" has evolved with the rise of technology, hospitals, and the medical profession to a sort of scientific totalitarianism. Protecting and enhancing patient agency, which is part of the moral work of nursing practice, can be difficult under such circumstances. Yet the geography of sickness is changing as patients move from the hospital back to the home. Because home is thought of as private, as the patient's domain, nurses may think that supporting patient agency will be easier with this transformation of health care. But that assumption may not be warranted since the gaze of medicine will follow patients and change the landscape of the home. The challenge for nursing will be to sharpen the "gaze of nursing," which is an antidote to the strictly biomedical understanding of disease.

  6. Influenza and pneumococcal vaccine uptake among nursing home residents in Nottingham, England: a postal questionnaire survey

    Directory of Open Access Journals (Sweden)

    Vivancos Roberto

    2008-05-01

    Full Text Available Abstract Background Previous studies have shown influenza vaccine uptake in UK nursing home residents to be low. Very little information exists regarding the uptake of pneumococcal vaccine in this population. The formulation of policies relating to the vaccination of residents has been proposed as a simple step that may help improve vaccine uptake in care homes. Methods A postal questionnaire was sent to matrons of all care homes with nursing within the Greater Nottingham area in January 2006. Non respondents were followed up with up to 3 phone calls. Results 30% (16/53 of respondents reported having a policy addressing influenza vaccination and 15% (8/53 had a policy addressing pneumococcal vaccination. Seasonal influenza vaccine coverage in care homes with a vaccination policy was 87% compared with 84% in care homes without a policy (p = 0.47. The uptake of pneumococcal vaccination was found to be low, particularly in care homes with no vaccination policy. Coverage was 60% and 32% in care homes with and without a vaccination policy respectively (p = 0.06. This result was found to be statistically significant on multivariate analysis (p = 0.03, R = 0.46 Conclusion The uptake of influenza vaccine among care home residents in the Nottingham region is relatively high, although pneumococcal vaccine uptake is low. This study shows that there is an association between pneumococcal vaccine uptake and the existence of a vaccination policy in care homes, and highlights that few care homes have vaccination policies in place.

  7. Improved understanding of drought controls on seasonal variation in Mediterranean forest canopy CO2 and water fluxes through combined in situ measurements and ecosystem modelling

    Directory of Open Access Journals (Sweden)

    S. Sabate

    2009-08-01

    Full Text Available Water stress is a defining characteristic of Mediterranean ecosystems, and is likely to become more severe in the coming decades. Simulation models are key tools for making predictions, but our current understanding of how soil moisture controls ecosystem functioning is not sufficient to adequately constrain parameterisations. Canopy-scale flux data from four forest ecosystems with Mediterranean-type climates were used in order to analyse the physiological controls on carbon and water flues through the year. Significant non-stomatal limitations on photosynthesis were detected, along with lesser changes in the conductance-assimilation relationship. New model parameterisations were derived and implemented in two contrasting modelling approaches. The effectiveness of two models, one a dynamic global vegetation model ("ORCHIDEE", and the other a forest growth model particularly developed for Mediterranean simulations ("GOTILWA+", was assessed and modelled canopy responses to seasonal changes in soil moisture were analysed in comparison with in situ flux measurements. In contrast to commonly held assumptions, we find that changing the ratio of conductance to assimilation under natural, seasonally-developing, soil moisture stress is not sufficient to reproduce forest canopy CO2 and water fluxes. However, accurate predictions of both CO2 and water fluxes under all soil moisture levels encountered in the field are obtained if photosynthetic capacity is assumed to vary with soil moisture. This new parameterisation has important consequences for simulated responses of carbon and water fluxes to seasonal soil moisture stress, and should greatly improve our ability to anticipate future impacts of climate changes on the functioning of ecosystems in Mediterranean-type climates.

  8. Home range characteristics of Mexican Spotted Owls in the Rincon Mountains, Arizona

    Science.gov (United States)

    Willey, David W.; van Riper, Charles

    2014-01-01

    We studied a small isolated population of Mexican Spotted Owls (Strix occidentalis lucida) from 1996–1997 in the Rincon Mountains of Saguaro National Park, southeastern Arizona, USA. All mixed-conifer and pine-oak forest patches in the park were surveyed for Spotted Owls, and we located, captured, and radio-tagged 10 adult birds representing five mated pairs. Using radio-telemetry, we examined owl home range characteristics, roost habitat, and monitored reproduction within these five territories. Breeding season (Mar–Sep) home range size for 10 adult owls (95% adaptive kernel isopleths) averaged 267 ha (±207 SD), and varied widely among owls (range 34–652 ha). Mean home range size for owl pairs was 478 ha (±417 ha SD), and ranged from 70–1,160 ha. Owls that produced young used smaller home ranges than owls that had no young. Six habitat variables differed significantly between roost and random sites, including: percent canopy cover, number of trees, number of vegetation layers, average height of trees, average diameter of trees, and tree basal area. Radio-marked owls remained in their territories following small prescribed management fires within those territories, exhibiting no proximate effects to the presence of prescribed fire.

  9. 'Holding on to life': An ethnographic study of living well at home in old age.

    Science.gov (United States)

    Bjornsdottir, Kristin

    2018-04-01

    In recent years, much attention has been paid to how older people living at home can remain independent and manage their illness themselves, while less attention has been given to those who have become frail and need assistance with challenges of everyday life. In this article, I drew on Latimer's formulation of care for frail older people as relational and world-making and on Foucault's work related to the care of the self in developing an understanding of how frail older persons manage to live well at home in the final years of their lives. I use data from an ethnographic study of home care nursing in the homes of 15 frail older people to develop an understanding of how their care at home can be developed. The participants were holding on to life, which reflected their vitality and vulnerability as well as agency in continuing to explore ways to preserve and build their world at home. With declining ability and stamina relations with material things, relatives and official care workers become of central importance in holding on to life. Home care services can be thought of as part of life, as world-forming, where workers contribute to daily activities that support living well at home. © 2017 John Wiley & Sons Ltd.

  10. Exploring the meaning of home and its implications for the care of older people.

    Science.gov (United States)

    Board, Michele; McCormack, Brendan

    2018-04-20

    To explore the meaning of home for six baby boomers and consider how this insight can be used when caring for older people in hospital or residential settings. Feeling at home is important to help retain a sense of autonomy, security and well-being, but home is a complex concept to understand. The baby boomers are a large cohort entering later life and understanding their sense of home is not only an example of anticipatory gerontology but it could also provide the tools to explore home with the current older population, who may be in a variety of care settings. A qualitative hermeneutic approach was adopted to explore the meaning of home of six baby boomers. The participants were asked to take photographs showing what home meant to them and interpret these in a recorded photo-elicitation interview. Small teams then reviewed the images to provide further insight. Finally, all the data was reviewed to provide an overall analysis of the revealed meaning of home. Having possessions or stuff was important for the meaning of home; being familiar with the local environment was also 'homely', as well as certain textures and familiar sounds and smells; relationships with others and the ability to have choice in where and how the participants live were also significant for their meaning of home. The meaning of home is complex. Nevertheless, in this study an evocative sense of home was revealed and these insights could be used in discussions with older people in care settings to help increase their sense of autonomy, security and well-being. Furthermore these insights could also be used to develop a framework to help nursing staff guide these discussions. This article is protected by copyright. All rights reserved. This article is protected by copyright. All rights reserved.

  11. Integrated working between residential care homes and primary care: a survey of care homes in England

    Directory of Open Access Journals (Sweden)

    Gage Heather

    2012-11-01

    Full Text Available Abstract Background Older people living in care homes in England have complex health needs due to a range of medical conditions, mental health needs and frailty. Despite an increasing policy expectation that professionals should operate in an integrated way across organisational boundaries, there is a lack of understanding between care homes and the National Health Service (NHS about how the two sectors should work together, meaning that residents can experience a poor "fit" between their needs, and services they can access. This paper describes a survey to establish the current extent of integrated working that exists between care homes and primary and community health and social services. Methods A self-completion, online questionnaire was designed by the research team. Items on the different dimensions of integration (funding, administrative, organisational, service delivery, clinical care were included. The survey was sent to a random sample of residential care homes with more than 25 beds (n = 621 in England in 2009. Responses were analysed using quantitative and qualitative methods. Results The survey achieved an overall response rate of 15.8%. Most care homes (78.7% worked with more than one general practice. Respondents indicated that a mean of 14.1 professionals/ services (other than GPs had visited the care homes in the last six months (SD 5.11, median 14; a mean of .39 (SD.163 professionals/services per bed. The most frequent services visiting were district nursing, chiropody and community psychiatric nurses. Many (60% managers considered that they worked with the NHS in an integrated way, including sharing documents, engaging in integrated care planning and joint learning and training. However, some care home managers cited working practices dictated by NHS methods of service delivery and priorities for care, rather than those of the care home or residents, a lack of willingness by NHS professionals to share information, and low

  12. Experiences to be a family caregiver of dependent elderly in the home environment

    Directory of Open Access Journals (Sweden)

    Alcimar Marcelo do Couto

    2016-02-01

    Full Text Available Objective: to understand the experience of caring for dependent elderly in the home environment, from the perspective of family caregivers that present burden and emotional distress. Methods: this is a qualitative research with a contribution in the Theory Grounded in Data. There were home visits for observation and semi-structured interviews with nine relatives of dependent elderly in self-care. Results: with the coding and analysis of empirical data, one can understand the daily cares in the care relationship with their elderly dependent relatives. The consolidated experiences underlie on positive experiences, such as solidarity by the established interaction and the maintenance of self-esteem, and negative as changes in daily routine and health, with stress identification related to the caregiver role. Conclusion: in the understanding of the family, their experiences as a caregiver in the home context varied between positive and negative aspects, which respectively minimize and maximize the feeling of burden and emotional distress.

  13. Production-Built Homes: The Cost Advantages of Smart Growth

    Science.gov (United States)

    This study identifies the components and techniques of home building in traditional versus conventional developments, and attempts to help production builders better understand the cost differences between the two types of developments.

  14. Visualization of uncertainties and forecast skill in user-tailored seasonal climate predictions for agriculture

    Science.gov (United States)

    Sedlmeier, Katrin; Gubler, Stefanie; Spierig, Christoph; Flubacher, Moritz; Maurer, Felix; Quevedo, Karim; Escajadillo, Yury; Avalos, Griña; Liniger, Mark A.; Schwierz, Cornelia

    2017-04-01

    Seasonal climate forecast products potentially have a high value for users of different sectors. During the first phase (2012-2015) of the project CLIMANDES (a pilot project of the Global Framework for Climate Services led by WMO [http://www.wmo.int/gfcs/climandes]), a demand study conducted with Peruvian farmers indicated a large interest in seasonal climate information for agriculture. The study further showed that the required information should by precise, timely, and understandable. In addition to the actual forecast, two complex measures are essential to understand seasonal climate predictions and their limitations correctly: forecast uncertainty and forecast skill. The former can be sampled by using an ensemble of climate simulations, the latter derived by comparing forecasts of past time periods to observations. Including uncertainty and skill information in an understandable way for end-users (who are often not technically educated) poses a great challenge. However, neglecting this information would lead to a false sense of determinism which could prove fatal to the credibility of climate information. Within the second phase (2016-2018) of the project CLIMANDES, one goal is to develop a prototype of a user-tailored seasonal forecast for the agricultural sector in Peru. In this local context, the basic education level of the rural farming community presents a major challenge for the communication of seasonal climate predictions. This contribution proposes different graphical presentations of climate forecasts along with possible approaches to visualize and communicate the associated skill and uncertainties, considering end users with varying levels of technical knowledge.

  15. Seasonal varability of the Canary Current

    Science.gov (United States)

    Vélez-Belchí, P.; Hernandez-Guerra, A.; Pérez-Hernández, M. D.

    2016-02-01

    Eastern Atlantic contribution to the AMOC, as measured by the RAPID array. To understand the relationship between the seasonal cycle found in the CC and CUC, and the amplitude of the seasonal cycle of the AMOC transport associated with Rossby waves, a sensitivity study of the Rossby wave model is included.

  16. Seasonal cycle of the Canary Current.

    Science.gov (United States)

    Vélez-Belchí, P.; Hernandez-Guerra, A.; Pérez-Hernández, M. D.

    2015-12-01

    Eastern Atlantic contribution to the AMOC, as measured by the RAPID array. To understand the relationship between the seasonal cycle found in the CC and CUC, and the amplitude of the seasonal cycle of the AMOC transport associated with Rossby waves, a sensitivity study of the Rossby wave model is included.

  17. Seasonal Patterns of Gastrointestinal Illness and Streamflow along the Ohio River

    Directory of Open Access Journals (Sweden)

    Elena N. Naumova

    2012-05-01

    Full Text Available Waterborne gastrointestinal (GI illnesses demonstrate seasonal increases associated with water quality and meteorological characteristics. However, few studies have been conducted on the association of hydrological parameters, such as streamflow, and seasonality of GI illnesses. Streamflow is correlated with biological contamination and can be used as proxy for drinking water contamination. We compare seasonal patterns of GI illnesses in the elderly (65 years and older along the Ohio River for a 14-year period (1991–2004 to seasonal patterns of streamflow. Focusing on six counties in close proximity to the river, we compiled weekly time series of hospitalizations for GI illnesses and streamflow data. Seasonal patterns were explored using Poisson annual harmonic regression with and without adjustment for streamflow. GI illnesses demonstrated significant seasonal patterns with peak timing preceding peak timing of streamflow for all six counties. Seasonal patterns of illness remain consistent after adjusting for streamflow. This study found that the time of peak GI illness precedes the peak of streamflow, suggesting either an indirect relationship or a more direct path whereby pathogens enter water supplies prior to the peak in streamflow. Such findings call for interdisciplinary research to better understand associations among streamflow, pathogen loading, and rates of gastrointestinal illnesses.

  18. Performance of small-scale dairy farms in the highlands of central Mexico during the dry season under traditional feeding strategies.

    Science.gov (United States)

    Martínez-García, Carlos Galdino; Rayas-Amor, Adolfo Armando; Anaya-Ortega, Juan Pablo; Martínez-Castañeda, Francisco Ernesto; Espinoza-Ortega, Angélica; Prospero-Bernal, Fernando; Arriaga-Jordán, Carlos Manuel

    2015-02-01

    In Mexico, small-scale dairy systems (SSDS) represent over 78 % of dairy farms and contribute with 37 % of national milk production; however, they face high feeding costs. The objective of this study was to assess the performance of SSDS during the dry season in terms of milk yields, milk composition and feeding costs under traditional feeding strategies, to identify areas of opportunity for improving their profitability. The information was collected from 22 SSDS every month during dry season. Feeds were classified in quality forages (QF), supplements (SU) and straws (ST). Two factors were identified: factor 1-a positive relationship among QF, SU, milk yield and ration cost and factor 2-represented straw usage. Four feeding strategies were identified: (1) low-cost feeding strategy; (2) home-grown feeding strategy; (3) high-cost feeding strategy; and (4) straw-based feeding strategy. There were differences (P  0.05) differences among feeding strategies for fat and protein contents in milk. It is concluded that to improve performance and profitability and enhance sustainability in SSDS, farmers should base feeding strategies on home-grown quality forages, as it was the case in group 2 which showed lower feeding cost and better milk yield. It is also recommended to increase the inclusion of quality forages like grazing pastures and maize silages during the dry season and to avoid the inclusion of straws.

  19. Clinical use of sensory gardens and outdoor environments in norwegian nursing homes: a cross-sectional e-mail survey.

    Science.gov (United States)

    Gonzalez, Marianne Thorsen; Kirkevold, Marit

    2015-01-01

    Gardens and outdoor environments offer multiple therapeutic possibilities for the residents in nursing homes. Web-based questionnaires were sent to 488 nursing home leaders and 121 leaders responded. The clinical impressions of the leaders and staff regarding the benefits of sensory gardens (SGs) to the residents were consistent with previous research. SGs facilitated taking residents outdoors, offered convenient topics for communication and facilitated social privacy for relatives. For improved clinical use of SGs and outdoor environments, systematic assessment of residents' interests, performance and experiences when outdoors, implementation of seasonal clinical programmes and educational programmes for leaders and staff are recommended.

  20. The adoption of children from out-of-home care: The understandings of key decision makers in Victoria, Australia.

    Science.gov (United States)

    Butlinski, Anna; Rowe, Heather; Goddard, Christopher; Freezer, Nicholas

    2017-10-01

    Adoption is one of a range of options that can provide children in out-of-home care with permanency when they are unable to be reunified with their birth parents. This paper reports on how the adoption of children from out-of-home care is understood by professionals involved in making decisions about the permanent placement of children in out-of-home care in Victoria, Australia, where adoption is rarely used. Data were collected through a single, face-to-face semi-structured interview with 21 professionals; eight child welfare specialists, eight adoption and permanent care specialists and five judicial officers. The adoption of children from out-of-home care was primarily understood as a child-centered practice that can afford children stability and a sense of belonging. Adoption was largely viewed as a voluntary process dependent upon the consent of a child's birth parents. Adoption and permanent care specialists were the only group to refer to the dispensation of parental consent as a means of obtaining an adoption order. Most decision makers understood that contact between children and their birth parents is possible following adoption, but this was not understood by all judicial officers or all child welfare specialists. Children's connection to their cultural heritage was viewed as important to the consideration of adoption for children in out-of-home care. This research provides insight into the foundations upon which decision makers may appraise adoption, within a hierarchy of options, as a potential outcome for children in need of permanency. Copyright © 2017 Elsevier Ltd. All rights reserved.

  1. Characterizing the occurrence, sources, and variability of radon in Pacific Northwest homes.

    Science.gov (United States)

    Turk, B H; Prill, R J; Grimsrud, D T; Moed, B A; Sextro, R G

    1990-04-01

    A compilation of data from earlier studies of 172 homes in the Pacific Northwest indicated that approximately 65 percent of the 46 homes tested in the Spokane River Valley/Rathdrum Prairie region of eastern Washington/northern Idaho had heating season indoor radon (222Rn) concentrations above the U. S. EPA guideline of 148 Bq m-3 (4 pCi L-1). A subset of 35 homes was selected for additional study. The primary source of indoor radon in the Spokane River Valley/Rathdrum Prairie was pressure-driven flow of soil gas containing moderate radon concentrations (geometric mean concentration of 16,000 Bq m-3) from the highly permeable soils (geometric mean permeability of 5 x 10(-11) m2) surrounding the house substructures. Estimated soil gas entry rates ranged from 0.4 to 39 m3h-1 and 1 percent to 21 percent of total building air infiltration. Radon from other sources, including domestic water supplies and building materials was negligible. In high radon homes, winter indoor levels averaged 13 times higher than summer concentrations, while in low radon homes winter levels averaged only 2.5 times higher. Short-term variations in indoor radon were observed to be dependent upon indoor-outdoor temperature differences, wind speed, and operation of forced-air furnace fans. Forced-air furnace operation, along with leaky return ducts and plenums, and openings between the substructure and upper floors enhanced mixing of radon-laden substructure air throughout the rest of the building.

  2. Characterizing the occurrence, sources, and variability of radon in pacific northwest homes

    International Nuclear Information System (INIS)

    Turk, B.H.; Prill, R.J.; Grimsrud, D.T.; Moed, B.A.; Sextro, R.G.

    1990-01-01

    A compilation of data from earlier studies of 172 homes in the Pacific Northwest indicated that approximately 65 percent of the 46 homes tested in the Spokane River Valley/Rathdrum Prairie region of eastern Washington/northern Idaho had heating season indoor radon ( 222 Rn) concentrations above the U.S. EPA guideline of 148 Bq m -3 (4 pCi L -1 ). A subset of 35 homes was selected for additional study. The primary source of indoor radon in the Spokane River Valley/Rathdrum Prairie was pressure-driven flow of soil gas containing moderate radon concentrations (geometric mean concentration of 16,000 Bq m -3 ) from the highly permeable soils (geometric mean permeability of 5 x 10 -11 m 2 ) surrounding the house substructures. Estimated soil gas entry rates ranged from 0.4 to 39 m 3 h -1 and 1 percent to 21 percent of total building air infiltration. Radon from other sources, including domestic water supplies and building materials was negligible. In high radon homes, winter indoor levels averaged 13 times higher than summer concentrations, while in low radon homes winter levels averaged only 2.5 times higher. Short-term variations in indoor radon were observed to be dependent upon indoor-outdoor temperature differences, wind speed, and operation of forced-air furnace fans. Forced-air furnace operations, along with leaky return ducts and plenums, and openings between the substructure and upper floors enhanced mixing of radon laden substructure air throughout the rest of the building

  3. Solar Energy in the Home. Revised.

    Science.gov (United States)

    Roeder, Allen A.; Woodland, James A.

    Recommended for grades 10-12 physical, earth, or general science classes, this 5-7 day unit is designed to give students a general understanding of solar energy and its use as a viable alternative to present energy sources. Along with this technology, students examine several factors of solar energy which influence the choice of solar home site…

  4. Challenges in the Implementation of Green Home Development in Malaysia: Perspective of Developers

    Science.gov (United States)

    Nordin, Rumaizah Mohd; Halim, Ahmad Hafizi Abd; Yunus, Julitta

    2017-12-01

    The construction industry is the main contributor to Malaysian economic growth. One of the main sectors to be highlighted by the Government is housing sector. The population in Malaysia is increasing year by year, thus the demand for houses also rises significantly. However, the fulfilment of basic needs for people normally gives the adverse impacts to the environment. Green home concept is introduced with a purpose to create an acceptable standard of living as well as to preserve nature from destruction, whilst to promote efficiency of energy, water and other natural resources. The study aims to identify current level of awareness and understanding regarding the Green Home concept, together with identifying the challenges that contribute to lack of initiatives in implementation of green home development. This study utilizes the qualitative methodology utilising interviews with housing developers operating in Klang Valley. 20 respondents were interviewed with a semi-structured interview. This study found that level of awareness and understanding on green home concept among construction players and public is low to moderate level. However, it shows improvement in terms of its implementation with all respondents agreed that cost factor is greatest challenge to its implementation. Other challenges identified from the study are low awareness and understanding among construction players and public, low demand for green home, and lack of Government enforcement and initiatives. The study is eventually intended to enhance and improve the sustainable practice in Malaysian’s construction industry.

  5. Iowa state heating oil and propane program: 1996--1997 winter heating season. Final report

    International Nuclear Information System (INIS)

    1997-05-01

    The objective of the Iowa State Heating Oil and Propane Program is to develop a state-level, company-specific data collection effort so that retail price information on fuel oil and propane is collected by the staff of the Iowa Department of Natural Resources during the winter heating season. The second objective is to provide specific volume and retail price information to the US Department of Energy's (DOE's) Energy Information Administration on No. 2 heating oil and propane on a semi-monthly basis. This report summarizes the results of the residential No. 2 distillate fuel (home heating oil) and liquefied petroleum gas (propane) price survey over the 1996--1997 winter heating season in Iowa. The Iowa Department of Natural Resources conducted the survey under a cooperative financial assistance grant with the DOE Energy Information Administration (EIA)

  6. Understanding the Independent and Joint Associations of the Home and Workplace Built Environments on Cardiorespiratory Fitness and Body Mass Index

    Science.gov (United States)

    Hoehner, Christine M.; Allen, Peg; Barlow, Carolyn E.; Marx, Christine M.; Brownson, Ross C.; Schootman, Mario

    2013-01-01

    This observational study examined the associations of built environment features around the home and workplace with cardiorespiratory fitness (CRF) based on a treadmill test and body mass index (BMI) (weight (kg)/height (m)2). The study included 8,857 adults aged 20–88 years who completed a preventive medical examination in 2000–2007 while living in 12 Texas counties. Analyses examining workplace neighborhood characteristics included a subset of 4,734 participants. Built environment variables were derived around addresses by using geographic information systems. Models were adjusted for individual-level and census block group–level demographics and socioeconomic status, smoking, BMI (in CRF models), and all other home or workplace built environment variables. CRF was associated with higher intersection density, higher number of private exercise facilities around the home and workplace, larger area of vegetation around the home, and shorter distance to the closest city center. Aside from vegetation, these same built environment features around the home were also associated with BMI. Participants who lived and worked in neighborhoods in the lowest tertiles for intersection density and the number of private exercise facilities had lower CRF and higher BMI values than participants who lived and worked in higher tertiles for these variables. This study contributes new evidence to suggest that built environment features around homes and workplaces may affect health. PMID:23942215

  7. Vigilant at the end of life: family advocacy in the nursing home.

    Science.gov (United States)

    Shield, Renee R; Wetle, Terrie; Teno, Joan; Miller, Susan C; Welch, Lisa C

    2010-05-01

    Increasing numbers of Americans die in nursing homes. Little is known about the roles and experiences of family members of persons who die in nursing homes. The authors conducted 54 qualitative telephone interviews of close family or friends of individuals who had spent at least 48 hours in the last month of life in a nursing home. Respondents had earlier participated in a national survey that found 587 of 1578 decedents (37.2%) received end-of-life nursing home care. In qualitative interviews respondents described the last year of life, focusing on the nursing home experience. Interviews were analyzed by a multidisciplinary team to identify key themes of areas of concern. An important interview theme revealed families often felt the need to advocate for their dying relative because of low expectations or experiences with poor quality nursing home care. They noted staff members who did not fully inform them about what to expect in the dying process. Respondents reported burden and gratification in care they themselves provided, which sometimes entailed collaboration with staff. Interviews also identified ways hospice care impacted families, including helping to relieve family burden. End-of-life advocacy takes on increased urgency when those close to the dying resident have concerns about basic care and do not understand the dying course. Enhancing communication, preparing families at the end of life, and better understanding of hospice are likely to increase family trust in nursing home care, improve the care of dying residents, and help reduce family burden.

  8. My Home Is My Stage: Restaurant Experiences in Two Estonian Lifestyle Enterprises

    Directory of Open Access Journals (Sweden)

    Ester Võsu

    2012-09-01

    Full Text Available This article discusses recent developments in the home-based lifestyle business featuring the example of two cases: Tammuri farm restaurant near Otepää in South Estonia, and home restaurant MerMer in Kolga-Aabla in North Estonia. We study the restaurants from a Goffmanian performance perspective, focusing on the lifestyle entrepreneur's viewpoint of creating a restaurant experience in their homes. Accordingly, the home and its surroundings are considered a setting in which food has an important role as a performance medium and multiple roles are enacted by a single entrepreneur as a performer. Freshness, quality and locality of food, homeliness and personalised service are used for creating a special home restaurant meal experience. The two cases also shed light on the dynamics of the concepts of home and lifestyle entrepreneurship in contemporary Estonia, challenging the understanding of restaurant cuisine and home cooking as oppositional practices of food preparation and consumption.

  9. My Home Is My Stage: Restaurant Experiences in Two Estonian Lifestyle Enterprises

    Directory of Open Access Journals (Sweden)

    Ester Võsu

    2011-12-01

    Full Text Available This article discusses recent developments in the home-based lifestyle business featuring the example of two cases: Tammuri farm restaurant near Otepää in South Estonia, and home restaurant MerMer in Kolga-Aabla in North Estonia. We study the restaurants from a Goffmanian performance perspective, focusing on the lifestyle entrepreneur's viewpoint of creating a restaurant experience in their homes. Accordingly, the home and its surroundings are considered a setting in which food has an important role as a performance medium and multiple roles are enacted by a single entrepreneur as a performer. Freshness, quality and locality of food, homeliness and personalised service are used for creating a special home restaurant meal experience. The two cases also shed light on the dynamics of the concepts of home and lifestyle entrepreneurship in contemporary Estonia, challenging the understanding of restaurant cuisine and home cooking as oppositional practices of food preparation and consumption.

  10. Developing and promoting hygiene in the home and community.

    Science.gov (United States)

    Bloomfield, S F; Signorelli, C; Fara, G

    2010-01-01

    The last two decades have seen infectious diseases (IDs) moving back up the health agenda. If the burden of ID is to be contained, the responsibility must be shared by the public. The International Scientific Forum on Home Hygiene (IFH) is working to raise awareness of the role of home hygiene, and promote understanding of hygiene practice. To develop a strategy for home hygiene, IFH has used the available scientific data to formulate a risk-based approach. This "targeted hygiene" approach maximises protection against infection, whilst minimising any impact on the environment from cleaning and disinfection products, minimising any risks associated antimicrobial resistance, and sustaining interaction with the microbial flora of the environment. IFH has developed a comprehensive range of materials which are being promoted through the IFH website and other channels. Analysis of website traffic indicates significant demand for home hygiene information including scientific material and information in "plain language".

  11. Optimizing medication safety in the home.

    Science.gov (United States)

    LeBlanc, Raeanne Genevieve; Choi, Jeungok

    2015-06-01

    Medication safety among community-dwelling older adults in the United States is an ongoing health issue impacting health outcomes, chronic disease management, and aging in place at home. This article describes a medication safety improvement project that aimed to: (1) Increase the ability of participants to manage medications, (2) Identify and make necessary medication changes, (3) Create an accurate up-to-date medication list to be available in the home, and (4) Provide communication between the primary care provider, participant, and case manager. An in-home medication assessment was completed for 25 participants using an evidence-based medication management software system. This process was used to review medications; identify medication-related problems; create a shared medication list; and convey this information to the primary care provider, case manager, and client while addressing needed medication changes. Educational interventions on management and understanding of medications were provided to participants to emphasize the correct use of medications and use of a personal medication record. Outcome improvements included provision of an accurate medication list, early identification of medication-related problems, identification of drug duplication, and identification of medication self-management challenges that can be useful for optimizing medication safety-related home healthcare and inform future interventions.

  12. Understanding the Longitudinal Variability of Equatorial Electrodynamics using integrated Ground- and Space-based Observations

    Science.gov (United States)

    Yizengaw, E.; Moldwin, M.; Zesta, E.

    2015-12-01

    The currently funded African Meridian B-Field Education and Research (AMBER) magnetometer array comprises more than thirteen magnetometers stationed globally in the vicinity of geomagnetic equator. One of the main objectives of AMBER network is to understand the longitudinal variability of equatorial electrodynamics as function of local time, magnetic activity, and season. While providing complete meridian observation in the region and filling the largest land-based gap in global magnetometer coverage, the AMBER array addresses two fundamental areas of space physics: first, the processes governing electrodynamics of the equatorial ionosphere as a function of latitude (or L-shell), local time, longitude, magnetic activity, and season, and second, ULF pulsation strength at low/mid-latitude regions and its connection with equatorial electrojet and density fluctuation. The global AMBER network can also be used to augment observations from space-based instruments, such us the triplet SWARM mission and the upcoming ICON missions. Thus, in coordination with space-based and other ground-based observations, the AMBER magnetometer network provides a great opportunity to understand the electrodynamics that governs equatorial ionosphere motions. In this paper we present the longitudinal variability of the equatorial electrodynamics using the combination of instruments onboard SWARM and C/NOFS satellites and ground-based AMBER network. Both ground- and pace-based observations show stronger dayside and evening sector equatorial electrodynamics in the American and Asian sectors compared to the African sector. On the other hand, the African sector is home to stronger and year-round ionospheric bubbles/irregularities compared to the American and Asian sectors. This raises the question if the evening sector equatorial electrodynamics (vertical drift), which is believed to be the main cause for the enhancement of Rayleigh-Taylor (RT) instability growth rate, is stronger in the

  13. Developing the Capacity of Farmers to Understand and Apply Seasonal Climate Forecasts through Collaborative Learning Processes

    Science.gov (United States)

    Cliffe, Neil; Stone, Roger; Coutts, Jeff; Reardon-Smith, Kathryn; Mushtaq, Shahbaz

    2016-01-01

    Purpose: This paper documents and evaluates collaborative learning processes aimed at developing farmer's knowledge, skills and aspirations to use seasonal climate forecasting (SCF). Methodology: Thirteen workshops conducted in 2012 engaged over 200 stakeholders across Australian sugar production regions. Workshop design promoted participant…

  14. Patient Hand Hygiene at Home Predicts Their Hand Hygiene Practices in the Hospital

    OpenAIRE

    Barker, Anna; Sethi, Ajay; Shulkin, Emily; Caniza, Rachell; Zerbel, Sara; Safdar, Nasia

    2014-01-01

    We examine factors associated with hand hygiene practices of hospital patients. Hygiene decreased compared to at home, and home practices were strongly associated with hospital practices. Understanding and leveraging the intrinsic value some patients associate with hand hygiene may be important for improving overall hospital hygiene and decreasing healthcare-associated infections.

  15. Learning in Home Care: A Digital Artifact as a Designated Boundary Object-in-Use

    Science.gov (United States)

    Islind, Anna Sigridur; Lundh Snis, Ulrika

    2017-01-01

    Purpose: The aim of this paper is to understand how the role of an mHealth artifact plays out in home care settings. An mHealth artifact, in terms of a mobile app, was tested to see how the quality of home care work practice was enhanced and changed. The research question is: In what ways does an mHealth artifact re-shape a home care practice and…

  16. Location, Location, Location: Characteristics and Services of Long-Stay Home Care Recipients in Retirement Homes Compared to Others in Private Homes and Long-Term Care Homes.

    Science.gov (United States)

    Poss, Jeffrey W; Sinn, Chi-Ling Joanna; Grinchenko, Galina; Blums, Jane; Peirce, Tom; Hirdes, John

    2017-02-01

    We examine recipients of publicly funded ongoing care in a single Ontario jurisdiction who reside in three different settings: long-stay home care patients in private homes and apartments, other patients in retirement homes and residents of long-term care homes, using interRAI assessment instruments. Among home care patients, those in retirement homes have higher proportions of dementia and moderate cognitive impairment, less supportive informal care systems as well as more personal care and nursing services above those provided by the public home care system, more frequent but shorter home support visits and lower than expected public home care expenditures. These lower expenditures may be because of efficiency of care delivery or by retirement homes providing some services otherwise provided by the public home care system. Although persons in each setting are mostly older adults with high degrees of frailty and medical complexity, long-term care home residents show distinctly higher needs. We estimate that 40% of retirement home residents are long-stay home care patients, and they comprise about one in six of this Community Care Access Centre's long-stay patients. Copyright © 2017 Longwoods Publishing.

  17. Levels of radon gas concentration and progeny in homes of Potosi City, Bolivia to 4000 m

    International Nuclear Information System (INIS)

    Mamani M, R.; Claros J, J.; Vasquez A, R.

    2015-10-01

    Full text: In this work the presence of radon gas was determined, which is a radioactive contaminant that comes from underground, able to penetrate the houses. The danger is that when mixed air and when inhaled can cause serious damage to the lungs, for the short life time that has radon and progeny for decay, damaging the pulmonary alveoli and reducing breathing capacity of the habitants, then causing polycythemia in some cases. The study was carried out in homes in the city of Potosi, Bolivia located at 4000 m. The quantification of radon gas and progeny was performed with the equipment Alpha-Zaeller-2 (Az-2), quantification was realized in 6 zones of the city of Potosi, chosen randomly. In each zone were carried out measurements in 40 homes (2 rooms more permanent), both day and night, for a period of 3 days in two different seasons and with concentrations of average humidity of 20, 50 and 80%. The values obtained for each period vary depending on the season and 30 to 50% of the allowable values given by the EPA and Who for housing. (Author)

  18. Understanding why women adopt and sustain home water treatment: insights from the Malawi antenatal care program.

    Science.gov (United States)

    Wood, Siri; Foster, Jennifer; Kols, Adrienne

    2012-08-01

    In many settings in Africa, social marketing has proven more successful in generating brand recognition for chlorine water treatment products than in promoting their use. To promote household use of one such product in Malawi, WaterGuard, the Ministry of Health (MOH) and Population Services International (PSI) distributed free hygiene kits that included WaterGuard to pregnant women attending antenatal clinics in 2007. Follow-up surveys documented a sustained increase in WaterGuard use three years after the initial intervention. In 2010, PATH (www.path.org) conducted qualitative research on the factors motivating women to adopt, sustain, or discontinue use. To provide context, interviews were also conducted with their friends, relatives, and husbands. Interviews revealed that sustained use of WaterGuard does not necessarily imply consistent use. Most respondents reported switching back and forth between WaterGuard and stock chlorine distributed for free by the government, and many treated water seasonally rather than year-round. Qualitative findings suggest that two program strategies strongly influenced women's decisions to adopt, purchase, and continue using WaterGuard. First, positive, ongoing contacts with health care workers, especially during home visits, raised awareness of the need to treat water, encouraged trial use, and supported continuing use. Second, an extended free trial of the product overcame initial cost barriers and allowed women and their families to experience the health benefits of WaterGuard, appreciate its value and relevance to their lives, and get used to its taste. Social support-from like-minded relatives, friends, neighbors, health care workers, husbands, and children-was also a critical factor that promoted consistent, ongoing use of WaterGuard. The findings confirm the importance of interpersonal communication in prompting adoption of household water treatment and suggest that consumers assess the perceived value of a product, not

  19. An experimental seasonal hydrological forecasting system over the Yellow River basin - Part 1: Understanding the role of initial hydrological conditions

    Science.gov (United States)

    Yuan, Xing; Ma, Feng; Wang, Linying; Zheng, Ziyan; Ma, Zhuguo; Ye, Aizhong; Peng, Shaoming

    2016-06-01

    The hydrological cycle over the Yellow River has been altered by the climate change and human interventions greatly during past decades, with a decadal drying trend mixed with a large variation of seasonal hydrological extremes. To provide support for the adaptation to a changing environment, an experimental seasonal hydrological forecasting system is established over the Yellow River basin. The system draws from a legacy of a global hydrological forecasting system that is able to make use of real-time seasonal climate predictions from North American Multimodel Ensemble (NMME) climate models through a statistical downscaling approach but with a higher resolution and a spatially disaggregated calibration procedure that is based on a newly compiled hydrological observation dataset with 5 decades of naturalized streamflow at 12 mainstream gauges and a newly released meteorological observation dataset including 324 meteorological stations over the Yellow River basin. While the evaluation of the NMME-based seasonal hydrological forecasting will be presented in a companion paper to explore the added values from climate forecast models, this paper investigates the role of initial hydrological conditions (ICs) by carrying out 6-month Ensemble Streamflow Prediction (ESP) and reverse ESP-type simulations for each calendar month during 1982-2010 with the hydrological models in the forecasting system, i.e., a large-scale land surface hydrological model and a global routing model that is regionalized over the Yellow River. In terms of streamflow predictability, the ICs outweigh the meteorological forcings up to 2-5 months during the cold and dry seasons, but the latter prevails over the former in the predictability after the first month during the warm and wet seasons. For the streamflow forecasts initialized at the end of the rainy season, the influence of ICs for lower reaches of the Yellow River can be 5 months longer than that for the upper reaches, while such a difference

  20. Implementation of Electronic Health Records in US Nursing Homes.

    Science.gov (United States)

    Bjarnadottir, Ragnhildur I; Herzig, Carolyn T A; Travers, Jasmine L; Castle, Nicholas G; Stone, Patricia W

    2017-08-01

    While electronic health records have emerged as promising tools to help improve quality of care, nursing homes have lagged behind in implementation. This study assessed electronic health records implementation, associated facility characteristics, and potential impact on quality indicators in nursing homes. Using national Centers for Medicare & Medicaid Services and survey data for nursing homes, a cross-sectional analysis was conducted to identify variations between nursing homes that had and had not implemented electronic health records. A difference-in-differences analysis was used to estimate the longitudinal effect of electronic health records on commonly used quality indicators. Data from 927 nursing homes were examined, 49.1% of which had implemented electronic health records. Nursing homes with electronic health records were more likely to be nonprofit/government owned (P = .04) and had a lower percentage of Medicaid residents (P = .02) and higher certified nursing assistant and registered nurse staffing levels (P = .002 and .02, respectively). Difference-in-differences analysis showed greater quality improvements after implementation for five long-stay and two short-stay quality measures (P = .001 and .01, respectively) compared with those who did not implement electronic health records. Implementation rates in nursing homes are low compared with other settings, and better-resourced facilities are more likely to have implemented electronic health records. Consistent with other settings, electronic health records implementation improves quality in nursing homes, but further research is needed to better understand the mechanism for improvement and how it can best be supported.

  1. Homing oneself

    DEFF Research Database (Denmark)

    Winther, Ida Wentzel

    2009-01-01

    What is home? A building, a physical and mental phenomenon, or a concept?  There are many homes and ways `to home oneself´. Many of us quite often dwell in other places than at home (as professional commuters between two places, as travellers staying in hotels, as children of divorced parents...

  2. Impacts of Land Cover and Seasonal Variation on Maximum Air Temperature Estimation Using MODIS Imagery

    Directory of Open Access Journals (Sweden)

    Yulin Cai

    2017-03-01

    Full Text Available Daily maximum surface air temperature (Tamax is a crucial factor for understanding complex land surface processes under rapid climate change. Remote detection of Tamax has widely relied on the empirical relationship between air temperature and land surface temperature (LST, a product derived from remote sensing. However, little is known about how such a relationship is affected by the high heterogeneity in landscapes and dynamics in seasonality. This study aims to advance our understanding of the roles of land cover and seasonal variation in the estimation of Tamax using the MODIS (Moderate Resolution Imaging Spectroradiometer LST product. We developed statistical models to link Tamax and LST in the middle and lower reaches of the Yangtze River in China for five major land-cover types (i.e., forest, shrub, water, impervious surface, cropland, and grassland and two seasons (i.e., growing season and non-growing season. Results show that the performance of modeling the Tamax-LST relationship was highly dependent on land cover and seasonal variation. Estimating Tamax over grasslands and water bodies achieved superior performance; while uncertainties were high over forested lands that contained extensive heterogeneity in species types, plant structure, and topography. We further found that all the land-cover specific models developed for the plant non-growing season outperformed the corresponding models developed for the growing season. Discrepancies in model performance mainly occurred in the vegetated areas (forest, cropland, and shrub, suggesting an important role of plant phenology in defining the statistical relationship between Tamax and LST. For impervious surfaces, the challenge of capturing the high spatial heterogeneity in urban settings using the low-resolution MODIS data made Tamax estimation a difficult task, which was especially true in the growing season.

  3. Restraint Use in Older Adults Receiving Home Care.

    Science.gov (United States)

    Scheepmans, Kristien; Dierckx de Casterlé, Bernadette; Paquay, Louis; Van Gansbeke, Hendrik; Milisen, Koen

    2017-08-01

    To determine the prevalence, types, frequency, and duration of restraint use in older adults receiving home nursing care and to determine factors involved in the decision-making process for restraint use and application. Cross-sectional survey of restraint use in older adults receiving home care completed by primary care nurses. Homes of older adults receiving care from a home nursing organization in Belgium. Randomized sample of older adults receiving home care (N = 6,397; mean age 80.6; 66.8% female). For each participant, nurses completed an investigator-constructed and -validated questionnaire collecting information demographic, clinical, and behavioral characteristics and aspects of restraint use. A broad definition of restraint was used that includes a range of restrictive actions. Restraints were used in 24.7% of the participants, mostly on a daily basis (85%) and often for a long period (54.5%, 24 h/d). The most common reason for restraint use was safety (50.2%). Other reasons were that the individual wanted to remain at home longer, which necessitated the use of restraints (18.2%) and to provide respite for the informal caregiver (8.6%). The latter played an important role in the decision and application process. The physician was less involved in the process. In 64.5% of cases, there was no evaluation after restraint use was initiated. Use of restraints is common in older adults receiving home care nursing in Belgium. These results contribute to a better understanding of the complexity of use of restraints in home care, a situation that may be even more complex than in nursing homes and acute hospital settings. © 2017, Copyright the Authors Journal compilation © 2017, The American Geriatrics Society.

  4. Uncovering the decision-making work of transferring dying patients home from critical care units: An integrative review.

    Science.gov (United States)

    Lin, Yanxia; Myall, Michelle; Jarrett, Nikki

    2017-12-01

    To understand how decisions are made to transfer dying patients home from critical care units. Many people prefer a home death, but a high proportion die in critical care units. Transferring dying patients home is recognized to be complex but transfer decision-making itself remains unclear. Integrative review. Seven bibliographic databases (origin-2015), grey literature and reference lists were searched. An integrative review method was used to synthesize data from diverse sources. Papers were selected through title and abstract screening and full-text reviewing, using inclusion and exclusion criteria derived from review questions. Following quality appraisal, data were extracted and synthesized using normalization process theory as a framework. The number of patients transferred home ranged from 1-346, with most papers reporting on the transfer of one or two patients. Four themes regarding transfer decision-making work were generated: divergent views and practice, multiple stakeholders' involvement in decision-making, collective work and limited understanding of individuals' experiences. The practice of transferring patients home to die and its decision-making varies internationally and is usually influenced by the care system, culture or religion. It is less common to transfer patients home to die from critical care units in western societies. A better understanding of the decision-making work was obtained but mainly from the perspective of hospital-based healthcare professionals. Further research is needed to develop decision-making practice guidance to facilitate patients' wishes to die at home. © 2017 John Wiley & Sons Ltd.

  5. Seasonal drivers of the epidemiology of arthropod-borne viruses in Australia.

    Directory of Open Access Journals (Sweden)

    Jemma L Geoghegan

    2014-11-01

    Full Text Available Arthropod-borne viruses are a major cause of emerging disease with significant public health and economic impacts. However, the factors that determine their activity and seasonality are not well understood. In Australia, a network of sentinel cattle herds is used to monitor the distribution of several such viruses and to define virus-free regions. Herein, we utilize these serological data to describe the seasonality, and its drivers, of three economically important animal arboviruses: bluetongue virus, Akabane virus and bovine ephemeral fever virus. Through epidemiological time-series analyses of sero-surveillance data of 180 sentinel herds between 2004-2012, we compared seasonal parameters across latitudes, ranging from the tropical north (-10°S to the more temperate south (-40°S. This analysis revealed marked differences in seasonality between distinct geographic regions and climates: seasonality was most pronounced in southern regions and gradually decreased as latitude decreased toward the Equator. Further, we show that both the timing of epidemics and the average number of seroconversions have a strong geographical component, which likely reflect patterns of vector abundance through co-varying climatic factors, especially temperature and rainfall. Notably, despite their differences in biology, including insect vector species, all three viruses exhibited very similar seasonality. By revealing the factors that shape spatial and temporal distributions, our study provides a more complete understanding of arbovirus seasonality that will enable better risk predictions.

  6. Seasonal photosynthetic activity in evergreen conifer leaves monitored with spectral reflectance

    Science.gov (United States)

    Wong, C. Y.; Gamon, J. A.

    2013-12-01

    Boreal evergreen conifers must maintain photosynthetic systems in environments where temperatures vary greatly across seasons from high temperatures in the summer to freezing levels in the winter. This involves seasonal downregulation and photoprotection during periods of extreme temperatures. To better understand this downregulation, seasonal dynamics of photosynthesis of lodgepole (Pinus contorta D.) and ponderosa pine (Pinus ponderosa D.) were monitored in Edmonton, Canada over two years. Spectral reflectance at the leaf and stand scales was measured weekly and the Photochemical Reflectance Index (PRI), often used as a proxy for chlorophyll and carotenoid pigment levels and photosynthetic light-use efficiency (LUE), was used to track the seasonal dynamics of photosynthetic activity. Additional physiological measurements included leaf pigment content, chlorophyll fluorescence, and gas exchange. All the metrics indicate large seasonal changes in photosynthetic activity, with a sharp transition from winter downregulation to active photosynthesis in the spring and a more gradual fall transition into winter. The PRI was a good indicator of several other variables including seasonally changing photosynthetic activity, chlorophyll fluorescence, photosynthetic LUE, and pigment pool sizes. Over the two-year cycle, PRI was primarily driven by changes in constitutive (chlorophyll:carotenoid) pigment levels correlated with seasonal photosynthetic activity, with a much smaller variation caused by diurnal changes in xanthophyll cycle activity (conversion between violaxanthin & zeaxanthin). Leaf and canopy scale PRI measurements exhibited parallel responses during the winter-spring transition. Together, our findings indicate that evergreen conifers photosynthetic system possesses a remarkable degree of resilience in response to large temperature changes across seasons, and that optical remote sensing can be used to observe the seasonal effects on photosynthesis and

  7. Out-of-season recollection of drug use for seasonal IgE-mediated rhinitis

    DEFF Research Database (Denmark)

    Bødtger, Uffe; Malling, Hans-Jørgen; Poulsen, Lars K

    2005-01-01

    in a double-blind study. Drug use was recorded daily during the season 2000 and out-seasonally 6 months after the seasons 1999 and 2000. The mean daily drug use was transformed into a 4-point categorical scale for simplicity and was calculated for the out-seasonal rating and for 6 in-seasonal periods...

  8. Civil conflict sensitivity to growing-season drought

    OpenAIRE

    von Uexkull, Nina; Croicu, Mihai; Fjelde, Hanne; Buhaug, Halvard

    2016-01-01

    Understanding the conflict potential of drought is critical for dealing effectively with the societal implications of climate change. Using new georeferenced ethnicity and conflict data for Asia and Africa since 1989, we present an actor-oriented analysis of growing-season drought and conflict involvement among ethnic groups. Results from naive models common in previous research suggest that drought generally has little impact. However, context-sensitive models accounting for the groups’ leve...

  9. Existing Whole-House Solutions Case Study: Greenbelt Homes, Inc. Pilot Retrofit Project

    Energy Technology Data Exchange (ETDEWEB)

    None

    2015-06-01

    In the fall of 2010, a multiyear pilot energy efficiency retrofit project was undertaken by Greenbelt Homes, Inc., (GHI) a 1,566 home cooperative of circa 1930 and 1940 homes in Greenbelt, Maryland. GHI established this pilot project to serve as a basis for decision making for the rollout of a community-wide upgrade program that will incorporate energy efficiency improvements to the building envelope and mechanical equipment. With the community upgrade fully funded by the cooperative through their membership without outside subsidies, this project presents a unique opportunity to evaluate and prioritize the wide range of benefits of high-performance retrofits based on member experience with and acceptance of the retrofit measures implemented during the pilot project. Addressing the complex interactions between benefits, trade-offs, construction methods, project management implications, realistic upfront costs, financing, and other considerations, serves as a case study for energy retrofit projects that include high-performance technologies based on the long-term value to the homeowner. The pilot project focused on identifying the added costs and energy-savings benefits of improvements. Phase 1—baseline evaluation for a representative set of 28 homes sited in seven buildings; Phase 2—installation of the building envelope improvements and continued monitoring of the energy consumption for the heating season; Phase 3—energy simulations supporting recommendations for HVAC and water heating upgrades.

  10. Age- and season-specific variation in local and long-distance movement behavior of golden eagles

    Science.gov (United States)

    Poessel, Sharon; Bloom, Peter H.; Braham, Melissa A.; Katzner, Todd E.

    2016-01-01

    Animal movements can determine the population dynamics of wildlife. We used telemetry data to provide insight into the causes and consequences of local and long-distance movements of multiple age classes of conservation-reliant golden eagles (Aquila chrysaetos) in the foothills and mountains near Tehachapi, California. We estimated size and habitat-related correlates of 324 monthly 95 % home ranges and 317 monthly 50 % core areas for 25 birds moving locally over 2.5 years. We also calculated daily, hourly, and total distances traveled for the five of these birds that engaged in long-distance movements. Mean (±SD) monthly home-range size was 253.6 ± 429.4 km2 and core-area size was 26.4 ± 49.7 km2. Consistent with expectations, space used by pre-adults increased with age and was season-dependent but, unexpectedly, was not sex-dependent. For all ages and sexes, home ranges and core areas were dominated by both forest & woodland and shrubland & grassland habitat types. When moving long distances, eagles traveled up to 1588.4 km (1-way) in a season at highly variable speeds (63.7 ± 69.0 km/day and 5.2 ± 10.4 km/h) that were dependent on time of day. Patterns of long-distance movements by eagles were determined by age, yet these movements had characteristics of more than one previously described movement category (migration, dispersal, etc.). Our results provide a context for differentiating among types of movement behaviors and their population-level consequences and, thus, have implications for management and conservation of golden eagle populations.

  11. Seasonal variation in the intensity of movements by the estuarine dolphin, Sotalia guianensis (Cetacea: Delphinidae, in the North Bay, Santa Catarina Island

    Directory of Open Access Journals (Sweden)

    Paulo César Simões-Lopes

    2004-05-01

    Full Text Available The resident population of estuarine dolphins (Sotalia guianensis in the North Bay, Santa Catarina Island, southern Brazil, was studied from September 2001 until July 2003 through periodical boat surveys. Using focal-group and sequential sampling, information such as geographical position and behavioral patterns were registered at 5-minute intervals. All the information collected was insert in a GIS database of the study area. Since patterns of seasonal variation concerning home range and behavior had been established in previous work, we aimed at evaluating the existence of seasonal intensity of movements, therefore strengthening the proposed hypothesis of higher spatial requirements when food resources are low. The daily mean speed of the dolphin’s group was used as an index of the intensity of movements, and its seasonal variation throughout the study period was analyzed. We found a statistically significant seasonal variation in the intensity of movement. The dolphins tended to move more in the cold seasons, in contrast with the hot seasons when the dolphins tended to move less. Thus, previous studies are corroborated, supporting the hypothesis og higher spatial requirements when there are fewer food resources.

  12. Productive Urban Landscape In Developing Home Garden In Yogyakarta City

    Science.gov (United States)

    Irwan, S. N. R.; Sarwadi, A.

    2017-10-01

    Home garden is one type of agroecosystem that supports ecosystem services even in the urban settlement. The studies involved literature references and field survey along with a framework of the productive urban landscape that support ecosystem services in home garden. Productive urban landscape provided environmentally, socially and economically benefits that contained in ecosystem services. Problems on limited space in the urban settlement have to be managed by modified home garden system in order to work for ecosystem service in developing productive landscape. This study aimed to assess home garden (Pekarangan) system in a cluster of high density settlement in Yogyakarta City. Structured interview and vegetation identification of home garden have been conducted on 80 samples in Rejowinangun Kotagede District, Yogyakarta City. People showed enthusiasm in ecosystem services provided by home garden “Pekarangan Produktif” through developing productive urban landscape. Some benefits on ecosystem services of home garden were revealed on this study consisted of food production for sale (4.7%), home industry (7.69%), aesthetics (22.65%), food (14.10%), biodiversity (10.68%), ecosystem (12.82%), education (2.56), social interaction (11.54%), recreation (4.70%), and others (8.55%). Nevertheless, vegetation and other elements of home gardens have been managed irregularly and in particularly, the planned home gardens were only 17.07%. Actually, home gardens provided a large set of ecosystem services including being cultural services those are the category most valued. The urban people almost hided the understanding of the cultural benefit of ecosystem services of home garden, even though Yogyakarta has known the cultural city. Thus, urban home garden, as way as “Pekarangan Produktif” in the limited space that managed and planned sustainably, provide many benefits of ecosystem services in a productive urban landscape.

  13. Making Introductory Quantum Physics Understandable and Interesting

    Indian Academy of Sciences (India)

    Home; Journals; Resonance – Journal of Science Education; Volume 10; Issue 1. Making Introductory Quantum Physics Understandable and Interesting. Ranjana Y Abhang. Classroom Volume 10 Issue 1 January 2005 pp 63-73. Fulltext. Click here to view fulltext PDF. Permanent link:

  14. 24 CFR 982.612 - Group home: State approval of group home.

    Science.gov (United States)

    2010-04-01

    ... 24 Housing and Urban Development 4 2010-04-01 2010-04-01 false Group home: State approval of group... Types Group Home § 982.612 Group home: State approval of group home. A group home must be licensed..., Retardation, or Social Services) as a group home for elderly persons or persons with disabilities. ...

  15. ThinkHome Energy Efficiency in Future Smart Homes

    OpenAIRE

    Christian Reinisch; Mario J. Kofler; Félix Iglesias; Wolfgang Kastner

    2011-01-01

    Abstract Smart homes have been viewed with increasing interest by both home owners and the research community in the past few years. One reason for this development is that the use of modern automation technology in the home or building promises considerable savings of energy, therefore, simultaneously reducing the operational costs of the building over its whole lifecycle. However, the full potential of smart homes still lies fallow, due to the complexity and diversity of the systems, badly ...

  16. Seasonal prolactin secretion and its role in seasonal reproduction: a review.

    Science.gov (United States)

    Curlewis, J D

    1992-01-01

    The majority of seasonally breeding mammals show a seasonal pattern of prolactin secretion with peak concentrations in spring or summer and a nadir in autumn or winter. Photoperiod influences prolactin secretion via its effects on the secretion of the pineal hormone melatonin. Preliminary evidence suggests that the effects of melatonin on both prolactin and gonadotrophin secretion are via a common target area, possibly within the anterior hypothalamus, and that differences in response to photoperiod may be due to differences in the processing and/or interpretation of the melatonin signal. In contrast to seasonal gonadotrophin secretion, the seasonal changes in prolactin are not due to changes in the sensitivity of a feedback loop and so must be due to direct effects on the hypothalamic pathways that control prolactin secretion. Little else can be said with confidence about the neuroendocrine mechanisms that lead to the seasonal changes in prolactin secretion. Dopamine and noradrenaline turnover in the arcuate nucleus and median eminence decrease under short daylength. If catecholamine turnover in these structures is positively correlated with catecholamine concentrations in the long or short hypophysial portal vessels, it is unlikely that the decrease in prolactin concentration in winter is due to the effects of increased concentrations of dopamine or noradrenaline in the portal vessels. There is, however, evidence for increased pituitary sensitivity to dopamine under short daylength, so increased dopamine concentrations may not be required for suppression of prolactin secretion at this time. In addition to the diminished secretion of prolactin under short daylength, rate of prolactin synthesis and pituitary content of prolactin also decline although the mechanisms that regulate these changes are poorly understood. Although all seasonal breeders show a seasonal change in prolactin secretion, there are continuously breeding species in which prolactin secretion is

  17. Cyber Security : Home User's Perspective

    OpenAIRE

    Ikonen, Mikko

    2014-01-01

    Cyber security is important to understand for home users. New technology allows for new cyber threats to emerge and new solutions must be considered to counter them. Nearly every device is connected to the Internet and this opens new possibilities and threats to cyber security. This Bachelor's thesis explores the different aspects of cyber security and suggests solutions to different cyber security issues found. The different aspects of cyber security under research here include personal ...

  18. Professional caregivers' work with the dying in nursing homes

    DEFF Research Database (Denmark)

    Nielsen, Karen Tind; Glasdam, Stinne

    2013-01-01

    International studies on the death of elderly nursing home residents show the complexity in the understanding of the professionals who care for the dying. The aim of this study is to explore the discourses about professional caregivers caring for those dying in Denmark in the last decade. A disco......International studies on the death of elderly nursing home residents show the complexity in the understanding of the professionals who care for the dying. The aim of this study is to explore the discourses about professional caregivers caring for those dying in Denmark in the last decade....... A discourse analysis inspired by Foucault was constructed. The material consists of different source documents: research articles, newspaper articles, theses, books, websites – 35 sources in total. There are constructed six positions of speech, five discourses and three themes: (1) ‘the work...

  19. [Patient safety in home care - A review of international recommendations].

    Science.gov (United States)

    Czakert, Judith; Lehmann, Yvonne; Ewers, Michael

    2018-06-08

    In recent years there has been a growing trend towards nursing care at home in general as well as towards intensive home care being provided by specialized home care services in Germany. However, resulting challenges for patient safety have rarely been considered. Against this background we aimed to explore whether international recommendations for patient safety in home care in general and in intensive home care in particular already exist and how they can stimulate further practice development in Germany. A review of online English documents containing recommendations for patient safety in intensive home care was conducted. Available documents were analyzed and compared in terms of their form and content. Overall, a small number of relevant documents could be identified. None of these documents exclusively refer to the intensive home care sector. Despite their differences, however, the analysis of four selected documents showed similarities, e. g., regarding specific topics of patient safety (communication, involvement of patients and their relatives, risk assessment, medication management, qualification). Furthermore, strengths and weaknesses of the documents became apparent: e. g., an explicit understanding of patient safety, a literature-based introduction to safety topics or an adaptation of the recommendations to the specific features of home care were occasionally lacking. This document analysis provides interesting input to the formal and content-related development of specific recommendations and to practice development in Germany to improve patient safety in home care. Copyright © 2018. Published by Elsevier GmbH.

  20. Michigan residential No. 2 fuel oil and propane price survey for the 1990/91 heating season

    International Nuclear Information System (INIS)

    1991-10-01

    This report summarizes the results of a survey of home heating oil and propane prices over the 1990/1991 heating season in Michigan. The survey was conducted under a cooperative agreement between the State of Michigan, Michigan Public Service Commission and the US Department of Energy (DOE), Energy Information Administration (EIA), and was funded by a grant from EIA. From October 1990 through May 1991, participating dealers/distributions were called and asked for their current residential retail prices of No. 2 home heating oil and propane. This information was then transmitted to the EIA, bi-monthly using an electronic reporting system called Petroleum Data Reporting Option (PEDRO). The survey was conducted using a sample provided by EIA of home heating oil and propane retailers which supply Michigan households. These retailers were contacted the first and third Mondays of each month. The sample was designed to account for distributors with different sales volumes, geographic distributions and sources of primary supply. It should be noted that this simple is different from the sample used in prior year surveys

  1. Seasonal dynamics of the cestode fauna in spiny dogfish, Squalus acanthias (Squaliformes: Squalidae).

    Science.gov (United States)

    Pickering, Maria; Caira, Janine N

    2014-06-01

    This study furthers understanding of cestode infections in a marine environment through time and space by following seasonal fluctuations in infection parameters of three cestode species (Gilquinia squali, Trilocularia gracilis and Phyllobothrium squali) parasitizing spiny dogfish (Squalus acanthias) in the northwest Atlantic and comparing them to work previously published from the northeast Atlantic on T. gracilis. For each cestode species, host size, season and presence of the other cestode species were analysed using generalized linear models to determine if they were good predictors of prevalence and intensity. Infection parameters differed across season for the three cestode species. However, within T. gracilis seasonal trends were found to be remarkably similar on both sides of the Atlantic, differing only in a somewhat delayed decline in prevalence in the northwest Atlantic. The differences seen in infection measures across cestode species likely reflect the unique life history strategies of different parasite species. While general trends appear to be maintained across disparate localities, variation seen is likely due to differences in accessibility to intermediate hosts and host diet across sites. The knowledge gained from understanding cestode infections in the vast ocean environment allows us to speculate about the factors driving fluctuations in parasite infections in elasmobranchs.

  2. Mathematics and science teachers' understanding and practices of ...

    African Journals Online (AJOL)

    Journal Home · ABOUT THIS JOURNAL · Advanced Search · Current Issue · Archives ... school level understand and implement learner-centered pedagogy. ... prove that teachers' knowledge and skills as regard learner-centred pedagogical ...

  3. Changing Seasonality and the Role of the Shoulder Season - Evidence from Denamrk

    DEFF Research Database (Denmark)

    Sørensen, Nils Karl

    2009-01-01

    the issue of the shoulder season in a time series framework. Departing from a discussion of the nature of types of seasonal variation, a test is set up in order to examine the impact of the shoulder season. The test examines the impact on the mean share of hotel nights in the shoulder season months in two...

  4. Variations of streambed vertical hydraulic conductivity before and after a flood season

    Science.gov (United States)

    Wu, Guangdong; Shu, Longcang; Lu, Chengpeng; Chen, Xunhong; Zhang, Xiao; Appiah-Adjei, Emmanuel K.; Zhu, Jingsi

    2015-11-01

    The change of vertical hydraulic conductivity ( K v) before and after a flood season is crucial in understanding the long-term temporal variation of streambed permeability. Therefore, in this study, a detailed K v field investigation was conducted at an in-channel site within the Dawen River, China, before and after a flood season. In-situ falling-head permeameter tests were performed for the determination of K v. The tests were conducted using a 10 × 10 grid, at five different depths. In total, 871 valid K v values from layers 1-5 were obtained. The Kruskal-Wallis test on these K v values before and after the flood season shows they belonged to different populations. The sediments before the flood season primarily consisted of sand and gravel, whereas after the flood season, patchy distribution of silt/clay occurred in the sandy streambed and silt/clay content increased with the increasing depth; under the losing condition during flooding, downward movement of water brought fine particles into the coarse sediments, partially silting the pores. Accordingly, the K v values after the flood season had a smaller mean and median, and a higher level of heterogeneity, compared to those before the flood season. Additionally, the distribution pattern in K v across the stream differed before and after flood season; after the flood season, there was an increasing trend in K v from the south bank to the north bank. Overall, the contrasts of K v before and after the flood season were predominantly subject to the infiltration of fine particles.

  5. Seasonal changes in the optical properties of dissolved organic matter (DOM) in large Arctic rivers

    DEFF Research Database (Denmark)

    Walker, S.A.; Amon, R.M.; Stedmon, Colin

    Arctic rivers deliver over 10% of the annual global river discharge yet little is known about the seasonal fluctuations in the quantity and quality of terrigenous dissolved organic matter (tDOM). A good constraint on such fluctuations is paramount to understand the role that climate change may have...... on tDOM input to the Arctic Ocean. To understand such changes the optical properties of colored tDOM (tCDOM) were studied. Samples were collected over several seasonal cycles from the six largest Arctic Rivers as part of the PARTNERS project. This unique dataset is the first of its kind capturing...

  6. Fine-scale assessment of home ranges and activity patterns for resident black vultures (Coragyps atratus and turkey vultures (Cathartes aura.

    Directory of Open Access Journals (Sweden)

    Amanda E Holland

    Full Text Available Knowledge of black vulture (Coragyps atratus and turkey vulture (Cathartes aura spatial ecology is surprisingly limited despite their vital ecological roles. Fine-scale assessments of space use patterns and resource selection are particularly lacking, although development of tracking technologies has allowed data collection at finer temporal and spatial resolution. Objectives of this study were to conduct the first assessment of monthly home range and core area sizes of resident black and turkey vultures with consideration to sex, as well as elucidate differences in monthly, seasonal, and annual activity patterns based on fine-scale movement data analyses. We collected 2.8-million locations for 9 black and 9 turkey vultures from June 2013 -August 2015 using solar-powered GSM/GPS transmitters. We quantified home ranges and core areas using the dynamic Brownian bridge movement model and evaluated differences as a function of species, sex, and month. Mean monthly home ranges for turkey vultures were ~50% larger than those of black vultures, although mean core area sizes did not differ between species. Turkey vulture home ranges varied little across months, with exception to a notable reduction in space-use in May, which corresponds with timing of chick-rearing activities. Black vulture home ranges and core areas as well as turkey vulture core areas were larger in breeding season months (January-April. Comparison of space use between male and female vultures was only possible for black vultures, and space use was only slightly larger for females during breeding months (February-May. Analysis of activity patterns revealed turkey vultures spend more time in flight and switch motion states (between flight and stationary more frequently than black vultures across temporal scales. This study reveals substantive variability in space use and activity rates between sympatric black and turkey vultures, providing insights into potential behavioral mechanisms

  7. Modeling users` work activities in a smart home

    NARCIS (Netherlands)

    Allameh, E.; Heidari Jozam, M.; Vries, de B.; Timmermans, H.J.P.; Masoud, M.; Mozaffar, F.

    2014-01-01

    Almost everyone would agree that teleworking is increasingly growing; but beyond this broad statement, we know little about how people behave when they work at home and how they balance their work and life. User comfort and productivity cannot be addressed properly, without a deep understanding of

  8. 'I try to make a net around each patient': home care nursing as relational practice.

    Science.gov (United States)

    Bjornsdottir, Kristin

    2018-03-01

    As a result of restructuring, home care is increasingly defined in a narrow, task-based way, undermining the holistic nature of practice. Recent practice theories can aid us in articulating the nature of this important, yet often invisible practice. My aim in this article was to enhance our knowledge and understanding of the nature of home care nursing practice. The approach was ethnographic, involving extensive fieldwork and formal interviews with members of five home care nursing teams and 15 older persons receiving care at home in a metropolitan area of Iceland. The study was approved by the National Bioethics Committee. As a net of services, home care was enacted through relational, but often invisible care practices, relating different actors - patient, family and health-care and social-care workers - in doing the work needed for the older persons to live comfortably at home. The work was collective in that it was shared by different actors and motivated by a common understanding that had developed and was preserved in conversations in the teams. Although the findings are limited in that they only reflect home care as practiced in one neighbourhood, they can be seen as providing important insights into what is needed for home care services to work. Home care practice can be understood as relational, aimed at creating a net of needed assistance. This work is a collective accomplishment of the teams and shaped by ideals and values shared among team members. © 2017 Nordic College of Caring Science.

  9. Why Hospitals and Payers are Recommending Home Care Upon Discharge Instead of SNF or Traditional Home Health Services--Alternative Payment Model Hospital Incentives Aligning with Patient Choice.

    Science.gov (United States)

    Luke, Josh

    2016-01-01

    Seniors and other hospital patients in the United States have traditionally had the option of being discharged to a skilled nursing facility (convalescent home) for post-acute services, or home with nursing and therapy services provided in the home setting. Traditionally, these home based services have been referred to as "home health." As more Americans have retired, home health services have expanded and are readily accessible. This growth put tremendous stress on the Medicare fund which pays for senior care services. However, "Home Care," which traditionally has been viewed as non-medical home based services, has also become a booming industry for the cost conscious in recent years as more Americans reach retirement age. With the passing of the Affordable Care Act in 2010, providers and payers are now finding themselves responsible for post-acute care and continuous patient health, so cost efficient solutions for post-acute care are thriving. For the first time in history, American hospitals and Insurers are recognizing Home Care as an effective model that achieves the Triple Aim of Health Care reform. Home Care, which is no longer completely non-medical services, has proven to be an integral part of the care continuum for seniors in recent years and is now becoming a viable solution for keeping patients well, while still honoring their desire to age and heal at home. This paper analyzes the benefits and risks of home care and provides a clear understanding as to why American hospitals are emphasizing SNF Avoidance and skipping home health, opting instead to refer patients directly to home care as the preferred discharge solution in a value based model.

  10. Women at Work and Men at Home: A Transition for Sustainable Development

    Directory of Open Access Journals (Sweden)

    Meeta Virmani

    2017-08-01

    Full Text Available The issue of women empowerment has picked up a great attention and pace in the recent years. Women stepped out of the homes and started working although they continue to juggle between paid work and unpaid work at workplace and home respectively. Even as workplaces for women have increasingly become promotive of their professional and personal development through provision of policies such as work from home, flexible shifts, maternity entitlements among others there is still time when inclusion of all women in the workforce and inclusion of all men in the “home-force” is achieved. Families have started placing value to women’s education and employment, instead of limiting them to only home-boundaries. However, it is essential to understand the ground reality. Are we in a position to say that employment is synonymous to empowerment? As women have stepped out of home in large numbers, have men stepped inside the home in an appreciable manner? This paper attempts to talk about such pressing issues, which even though not talked about seriously, confront women today.

  11. The seasonal factor at the prehistoric site of Shag River Mouth, New Zealand

    International Nuclear Information System (INIS)

    Higham, T.F.G.

    1997-01-01

    This paper addresses moa hunters' seasonality at the Shag River Mouth site. A two meters section in layer 4 of the SM/C: Dune site was left as a baulk in 1988 to enable the stratigraphic profile (∼2m) to be more carefully investigated. Within the baulk, detailed lensing and microstrata could be identified. Claassen (1991) has suggested that one of the most important variables in determining seasonal and prehistoric shell-bearing site formation more accurately is emphasizing finer stratigraphic resolution and more rigorous attention to retrieving midden components. At Shag River Mouth, seven sub-layers, or spits, were excavated within the 2m baulk to refine the precision of subsequent seasonal analyses and enable a detailed assessment of the components of each and their season of deposition. A variety of seasonal methods were utilised including 18 O analysis of blue mussel shell carbonate and growth ring analysis of estuarine bivalves. In addition, sagital otoliths of red cod excavated from the site were sectioned and the annual and seasonal growth rings formed during the fishes' life were analysed for seasonal information. This has enabled a detailed analysis of the seasonality of this discrete area of the Shag River Mouth site. The significance of the results for understanding the prehistoric seasonal round of activities within the site and its wider orbit is presented

  12. Seasonal changes in water metabolism of Sudan desert sheep and goats

    International Nuclear Information System (INIS)

    El Hadi, H.M.; Hassan, Y.M.

    1982-01-01

    Seasonal changes that occur in body weight, body temperature, total body water and water turnover were investigated in grazing sheep and goats at different times of the year to understand how different breeds adapt to the environmental conditions in Sudan. (author)

  13. Seasonal variation in the prevalence of sand flies infected with Leishmania donovani.

    Science.gov (United States)

    Tiwary, Puja; Kumar, Dinesh; Mishra, Mukesh; Singh, Rudra Pratap; Rai, Madhukar; Sundar, Shyam

    2013-01-01

    Visceral Leishmaniasis (VL) is a life threatening neglected infectious disease in the Indian subcontinent, transmitted by the bite of female sand flies. Estimation of the infectivity in the vector population, collected in different seasons, may be useful to better understanding the transmission dynamics of VL as well as to plan vector control measures. We collected sand flies from highly endemic regions of Bihar state, India for one year over three seasons. The species of the sand flies were confirmed by species-specific PCR-RFLP. Leishmania donovani infection was investigated in 1397 female Phlebotomus argentipes using PCR, targeting the Leishmania specific minicircle of the kDNA region. Further, the parasitic load in the infected sand flies was measured using quantitative PCR. Though sand flies were most abundant in the rainy season, the highest rate of infection was detected in the winter season with 2.84% sand flies infected followed by the summer and rainy seasons respectively. This study can help in vector elimination programmes and to reduce disease transmission.

  14. Small mammal use of native warm-season and non-native cool-season grass forage fields

    Science.gov (United States)

    Ryan L Klimstra,; Christopher E Moorman,; Converse, Sarah J.; Royle, J. Andrew; Craig A Harper,

    2015-01-01

    Recent emphasis has been put on establishing native warm-season grasses for forage production because it is thought native warm-season grasses provide higher quality wildlife habitat than do non-native cool-season grasses. However, it is not clear whether native warm-season grass fields provide better resources for small mammals than currently are available in non-native cool-season grass forage production fields. We developed a hierarchical spatially explicit capture-recapture model to compare abundance of hispid cotton rats (Sigmodon hispidus), white-footed mice (Peromyscus leucopus), and house mice (Mus musculus) among 4 hayed non-native cool-season grass fields, 4 hayed native warm-season grass fields, and 4 native warm-season grass-forb ("wildlife") fields managed for wildlife during 2 summer trapping periods in 2009 and 2010 of the western piedmont of North Carolina, USA. Cotton rat abundance estimates were greater in wildlife fields than in native warm-season grass and non-native cool-season grass fields and greater in native warm-season grass fields than in non-native cool-season grass fields. Abundances of white-footed mouse and house mouse populations were lower in wildlife fields than in native warm-season grass and non-native cool-season grass fields, but the abundances were not different between the native warm-season grass and non-native cool-season grass fields. Lack of cover following haying in non-native cool-season grass and native warm-season grass fields likely was the key factor limiting small mammal abundance, especially cotton rats, in forage fields. Retention of vegetation structure in managed forage production systems, either by alternately resting cool-season and warm-season grass forage fields or by leaving unharvested field borders, should provide refugia for small mammals during haying events.

  15. Motivators for physical activity among ambulatory nursing home older residents.

    Science.gov (United States)

    Chen, Yuh-Min; Li, Yueh-Ping

    2014-01-01

    The purpose of this study was to explore self-identified motivators for regular physical activity among ambulatory nursing home older residents. A qualitative exploratory design was adopted. Purposive sampling was performed to recruit 18 older residents from two nursing homes in Taiwan. The interview transcripts were analyzed by qualitative content analysis. Five motivators of physical activity emerged from the result of analysis: eagerness for returning home, fear of becoming totally dependent, improving mood state, filling empty time, and previously cultivated habit. Research on physical activity from the perspectives of nursing home older residents has been limited. An empirically grounded understanding from this study could provide clues for promoting and supporting lifelong engagement in physical activity among older residents. The motivators reported in this study should be considered when designing physical activity programs. These motivators can be used to encourage, guide, and provide feedback to support older residents in maintaining physical activity.

  16. Experienced Poor Lighting Contributes to the Seasonal Fluctuations in Weight and Appetite That Relate to the Metabolic Syndrome

    Directory of Open Access Journals (Sweden)

    Sharon Grimaldi

    2009-01-01

    Full Text Available We tested which environmental, social, lifestyle, and health related factors of the individual contribute to the seasonal variations in mood and behavior and whether these influence the risks of the metabolic syndrome and major depressive disorder, both conditions having a high prevalence in industrialized populations. 5480 individuals, representative of the general population aged 30 and over in Finland, were assessed for metabolic syndrome using the ATP-III criteria, gave a self-report of seasonal variations in mood and behavior, and were interviewed for mood, anxiety, and alcohol use disorders using the DSM-IV criteria. The seasonal variations in mood and behavior have a metabolic factor composed of weight and appetite, and greater loadings on this factor increased the risk of metabolic syndrome (odds ratio of 1.18, 95% confidence interval of 1.10 to 1.26. Self-reports of lighting experienced as poor at home contributed to scores on the metabolic factor (t=4.20,P<.0001. Lighting conditions and their dynamics may serve as a measure for intervention in order to influence the seasonal metabolic signals and in the end to prevent the metabolic syndrome.

  17. Experienced Poor Lighting Contributes to the Seasonal Fluctuations in Weight and Appetite That Relate to the Metabolic Syndrome

    International Nuclear Information System (INIS)

    Grimaldi, S.; Englund, A.; Partonen, T.

    2010-01-01

    We tested which environmental, social, lifestyle, and health related factors of the individual contribute to the seasonal variations in mood and behavior and whether these influence the risks of the metabolic syndrome and major depressive disorder, both conditions having a high prevalence in industrialized populations. 5480 individuals, representative of the general population aged 30 and over in Finland, were assessed for metabolic syndrome using the ATP-III criteria, gave a self-report of seasonal variations in mood and behavior, and were interviewed for mood, anxiety, and alcohol use disorders using the DSM-IV criteria. The seasonal variations in mood and behavior have a metabolic factor composed of weight and appetite, and greater loadings on this factor increased the risk of metabolic syndrome (odds ratio of 1.18, 95% confidence interval of 1.10 to 1.26). Self-reports of lighting experienced as poor at home contributed to scores on the metabolic factor (t=4.20,P<.0001). Lighting conditions and their dynamics may serve as a measure for intervention in order to influence the seasonal metabolic signals and in the end to prevent the metabolic syndrome.

  18. Energy renovation practices in Danish homes. The influence of energy labels on home renovation practices

    Energy Technology Data Exchange (ETDEWEB)

    Christensen, Toke Haunstrup; Gram-Hanssen, Kirsten [Danish Building Research Institute, Aalborg University, Dr. Neergaards Vej 15, DK-2970 Hoersholm (Denmark); Adjei, Afi [Building Research Establishment Ltd. BRE, Bucknalls Lane, Garston, WD25 9XX Watford (United Kingdom); De Best-Waldhober, Marjolein [Energy research Centre of the Netherlands ECN, Policy Studies, Amsterdam (Netherlands)

    2012-02-15

    Heating of dwellings represents a major policy challenge for the transition to a low carbon society. In Denmark, heating of dwellings represents about 25% of the total Danish final energy consumption and about 13% of the total CO2 emission. The majority of this is related to heating of older dwellings, and as the rate of replacement is low, the main potential for energy saving is to improve the energy efficiency of the existing dwelling stock through energy renovation. This paper provides an analysis of Danish experiences with energy labels (also known as the Energy Performance Certificate, EPC), which indicate the energy efficiency of buildings and include recommendations for improvements. The aim of the EPC is to motivate homeowners to do energy improvements. In Denmark, energy audit schemes date back to the early 1980s and energy rating of houses (energy labelling) was introduced in 1997. The long history of energy audit schemes and energy labelling makes Denmark an interesting case for the study of the experiences with and impact of this kind of policy measure. With the EU Energy Performance of Buildings Directive (EPBD) from 2002, an energy labelling scheme similar to the Danish scheme introduced in 1997 is now in use in all EU member states. The focus of this paper is on the homeowners' experience and use of the EPC and the key research questions are: How do the homeowners understand and use the EPC? Does the EPC have an influence on home energy renovation practices? The analysis is based on results from a survey of Danish homeowners who have purchased a home with an EPC within recent years. The Danish survey is part of the European project IDEAL EPBD, which was funded by the European Commission under the Intelligent Energy Europe programme and run from 2008 to 2011. The results indicate a rather limited influence of the EPC on Danish homeowners' home energy renovation practices. Also, the results show that even though most homeowners find the label

  19. Discrepancies in assessing home care workers' working conditions in a Norwegian home care service: differing views of stakeholders at three organizational levels.

    Science.gov (United States)

    Andersen, Gunn Robstad; Westgaard, Rolf H

    2015-07-25

    The present study is a follow-up study of factors contributing to an undesirable quality of work environment and sick leave rate in the home care services in a Norwegian municipality. The underlying assumption is that organizational discrepancies in the perceptions and appraisals of significant factors and processes in an organization have detrimental effects on the management of the organization and on work environment conditions. Thus, the study aim is to explore potential organizational discrepancies in the appraisals of factors relating to home care workers' working conditions. The study, using a mixed-methods design, comprised six home care units. It included survey responses of home care workers (80 respondents, response rate 54 %) and qualitative descriptions of stakeholders' appraisals of organizational issues gathered through semi-structured interviews (33 interviews with stakeholders at three organizational levels). Employees at different organizational levels in the home care services expressed divergent appraisals of factors related to the working conditions of home care workers, including impact of organizational measures (i.e. time pressure, work tasks, a new work program, organizational changes, budget model, budget allocation and coping strategies). Survey responses supported interview descriptions by home care workers. Results suggest that organizational discrepancy serve as an important barrier to a sustainable, well-functioning organization in general and to quality-enhancing changes to work procedures in particular. It is recommended to improve communication channels and facilitate the exchange of information across levels to ensure a common understanding of matters significant to the organization of the home care services and to the work environment of home care workers. The prevalence and impact of organizational discrepancy should be included in organization research, particularly when exploring explanatory factors of an unhealthy

  20. Nursing Homes

    Science.gov (United States)

    ... Home › Aging & Health A to Z › Nursing Homes Font size A A A Print Share Glossary Basic ... Reason For Living in A Nursing Home Some type of disability with activities of daily living (ADLs) ...

  1. Hacking the Natural Habitat: An in-the-wild study of smart homes, their development, and the people who live in them

    OpenAIRE

    Mennicken, Sarah; Huang, Elaine May

    2012-01-01

    Commercial home automation systems are becoming increasingly common, affording the opportunity to study technology-augmented homes in real world contexts. In order to understand how these technologies are being integrated into homes and their effects on inhabitants, we conducted a qualitative study involving smart home professionals who provide such technology, people currently in the process of planning or building smart homes, and people currently living in smart homes. We identified motiva...

  2. Variability in core areas of spider monkeys (Ateles geoffroyi) in a tropical dry forest in Costa Rica.

    Science.gov (United States)

    Asensio, Norberto; Schaffner, Colleen M; Aureli, Filippo

    2012-04-01

    Core areas are highly used parts of the home range on which the survival of solitary or group-living animals depends. We investigated the home range and core area size and area fidelity of a spider monkey community in a tropical dry forest over a 4-year period. Home ranges overlapped extensively across years, subgroup sizes, and seasons. In contrast, spider monkeys used core areas that varied in size and location across the study years, subgroup sizes, and seasons. These shifts in core areas suggest that the understanding of core areas, and thus the spatial requirements, of a species in a particular habitat may be limited if based on short-term studies. In this respect, our findings emphasize the importance of long-term studies of the spatial ecology of any species in a particular habitat. Our study also shows that the yearly home range basically includes all the core areas from different years, seasons, and subgroup sizes (i.e., the super-core area). This is conceptually important for territorial species, such as spider monkeys, which defend a stable home range as it contains not only the current, but also the future core areas.

  3. To sing or not to sing: seasonal changes in singing vary with personality in wild great tits

    NARCIS (Netherlands)

    Naguib, M.; van Rooij, E.P.; Snijders, L.; van Oers, K.

    Expression of sexually selected signals in many species varies over time of day and season. A key model system to study this variation in signal expression is birdsong. Yet, despite good ecological understanding of why song varies across time of day and season, much of the individual variation

  4. Home Care

    Science.gov (United States)

    ... are part of home healthcare agencies. You may benefit from home care if you are dealing with ... it will trigger an emergency response or checkup phone call. Newer technologies ... or mobile testing technology (home diagnostics), including x-rays and ...

  5. Seasonal Differences in Determinants of Time Location Patterns in an Urban Population: A Large Population-Based Study in Korea.

    Science.gov (United States)

    Lee, Sewon; Lee, Kiyoung

    2017-06-22

    Time location patterns are a significant factor for exposure assessment models of air pollutants. Factors associated with time location patterns in urban populations are typically due to high air pollution levels in urban areas. The objective of this study was to determine the seasonal differences in time location patterns in two urban cities. A Time Use Survey of Korean Statistics (KOSTAT) was conducted in the summer, fall, and winter of 2014. Time location data from Seoul and Busan were collected, together with demographic information obtained by diaries and questionnaires. Determinants of the time spent at each location were analyzed by multiple linear regression and the stepwise method. Seoul and Busan participants had similar time location profiles over the three seasons. The time spent at own home, other locations, workplace/school and during walk were similar over the three seasons in both the Seoul and Busan participants. The most significant time location pattern factors were employment status, age, gender, monthly income, and spouse. Season affected the time spent at the workplace/school and other locations in the Seoul participants, but not in the Busan participants. The seasons affected each time location pattern of the urban population slightly differently, but overall there were few differences.

  6. Seasonal Differences in Determinants of Time Location Patterns in an Urban Population: A Large Population-Based Study in Korea

    Directory of Open Access Journals (Sweden)

    Sewon Lee

    2017-06-01

    Full Text Available Time location patterns are a significant factor for exposure assessment models of air pollutants. Factors associated with time location patterns in urban populations are typically due to high air pollution levels in urban areas. The objective of this study was to determine the seasonal differences in time location patterns in two urban cities. A Time Use Survey of Korean Statistics (KOSTAT was conducted in the summer, fall, and winter of 2014. Time location data from Seoul and Busan were collected, together with demographic information obtained by diaries and questionnaires. Determinants of the time spent at each location were analyzed by multiple linear regression and the stepwise method. Seoul and Busan participants had similar time location profiles over the three seasons. The time spent at own home, other locations, workplace/school and during walk were similar over the three seasons in both the Seoul and Busan participants. The most significant time location pattern factors were employment status, age, gender, monthly income, and spouse. Season affected the time spent at the workplace/school and other locations in the Seoul participants, but not in the Busan participants. The seasons affected each time location pattern of the urban population slightly differently, but overall there were few differences.

  7. A Qualitative Study Among Mexican Americans to Understand Factors Influencing the Adoption and Enforcement of Home Smoking Bans.

    Science.gov (United States)

    Savas, Lara S; Mullen, Patricia Dolan; Hovell, Melbourne F; Escoffrey, Cam; Fernandez, Maria E; Jones, Jennifer A; Cavazos, Jazmine; Gutierrez Monroy, Jo Ann A; Kegler, Michelle C

    2017-11-07

    One-third of Mexican-American children, in addition to nonsmoker adults, are exposed to secondhand smoke at home, yet few interventions target Mexican-American households. An effective, brief English language program, tested with United Way 2-1-1 callers in Atlanta, increased home smoking bans (confirmed by air monitors). Two randomized controlled trials in North Carolina and Texas replicated those results. We explored factors determining adoption and enforcement of smoking bans in Mexican-American households to inform program linguistic and cultural adaptation to broaden program reach and relevance. Bilingual interviewers recruited convenience samples of Mexican-American smokers and nonsmokers living with at least one smoker in Houston and San Diego households and asked open-ended questions regarding conditions for implementing home and vehicle smoking bans and conditions for varying acceptance of bans. Investigators independently reviewed English transcripts and completed a descriptive analysis using ATLAS.ti. Participants (n = 43) were predominantly female (n = 31), current smokers (n = 26), interviewed in Spanish (n = 26), had annual household incomes less than $30000 (n = 24), and allowed smoking inside the home (n = 24). Themes related to difficulty creating and enforcing bans included courtesy, respect for guests and heads of household who smoke, and gender imbalances in decision making. Participants viewed protecting children's health as a reason for the ban but not protecting adult nonsmokers' health. A dual-language, culturally adapted intervention targeting multigenerational Mexican-American households should address household differences regarding language and consider influences of cultural values on family dynamics and interactions with guests that may weaken bans. Qualitative interviews suggested cultural and family considerations to address in adapting a brief evidence-based smoke-free homes intervention for Mexican Americans, including traditional

  8. Seasonal patterns of mixed species groups in large East African mammals.

    Science.gov (United States)

    Kiffner, Christian; Kioko, John; Leweri, Cecilia; Krause, Stefan

    2014-01-01

    Mixed mammal species groups are common in East African savannah ecosystems. Yet, it is largely unknown if co-occurrences of large mammals result from random processes or social preferences and if interspecific associations are consistent across ecosystems and seasons. Because species may exchange important information and services, understanding patterns and drivers of heterospecific interactions is crucial for advancing animal and community ecology. We recorded 5403 single and multi-species clusters in the Serengeti-Ngorongoro and Tarangire-Manyara ecosystems during dry and wet seasons and used social network analyses to detect patterns of species associations. We found statistically significant associations between multiple species and association patterns differed spatially and seasonally. Consistently, wildebeest and zebras preferred being associated with other species, whereas carnivores, African elephants, Maasai giraffes and Kirk's dik-diks avoided being in mixed groups. During the dry season, we found that the betweenness (a measure of importance in the flow of information or disease) of species did not differ from a random expectation based on species abundance. In contrast, in the wet season, we found that these patterns were not simply explained by variations in abundances, suggesting that heterospecific associations were actively formed. These seasonal differences in observed patterns suggest that interspecific associations may be driven by resource overlap when resources are limited and by resource partitioning or anti-predator advantages when resources are abundant. We discuss potential mechanisms that could drive seasonal variation in the cost-benefit tradeoffs that underpin the formation of mixed-species groups.

  9. Seasonal variation of bacterial endophytes in urban trees

    Directory of Open Access Journals (Sweden)

    Shu Yi eShen

    2015-05-01

    Full Text Available Bacterial endophytes, non-pathogenic bacteria residing within plants, contribute to the growth and development of plants and their ability to adapt to adverse conditions. In order to fully exploit the capabilities of these bacteria, it is necessary to understand the extent to which endophytic communities vary between species and over time. The endophytes of Acer negundo, Ulmus pumila and Ulmus parvifolia were sampled over three seasons and analyzed using culture dependent and independent methods (culture on two media, terminal restriction fragment length polymorphism, and tagged pyrosequencing of 16S ribosomal amplicons. The majority of culturable endophytes isolated were Actinobacteria, and all the samples harbored Bacillus, Curtobacterium, Frigoribacterium, Methylobacterium, Paenibacilllus and Sphingomonas species. Regardless of culture medium used, only the culturable communities obtained in the winter for A. negundo could be distinguished from those of Ulmus spp.. In contrast, the nonculturable communities were dominated by Proteobacteria and Actinobacteria, particularly Erwinia, Ralstonia and Sanguibacter spp.. The presence and abundance of various bacterial classes and phyla changed with the changing seasons. Multivariate analysis on the culture independent data revealed significant community differences between the endophytic communities of A. negundo and Ulmus spp., but overall season was the main determinant of endophytic community structure. This study suggests investigations of the studies ofendophytic populations of urban trees should expect to find significant seasonal and species-specific community differences and sampling should proceed accordingly.

  10. Exposures to radon in homes in Adana

    International Nuclear Information System (INIS)

    Yegingil, Z.

    1990-01-01

    Radon escaping from soil into homes appears to present the single greatest source of radiation exposure that most people will ever face. The use of solid state nuclear tracks detectors (SSNTD) is one of the most convenient techniques to assess the average radiation levels of alpha activities in the environment. By using CR-39 and LR-115 detectors long term alpha activities have been investigated to be noticeable the concentrations of natural radionuclides and Rn-222 exhalation rate under different environmental conditions in Adana. The radon distributions have been measured in soils an in single houses and apartment buildings in various floors in the summer and winter time. The seasonal variation of the radon concentration measured by CR-39 and LR-115 displayed a correlation. (author). 25 refs, 2 tabs

  11. Relations among work-home culture, the utilization of work-home arrangements, and work-home interference

    NARCIS (Netherlands)

    Dikkers, J.S.E.; Geurts, S.A.E.; Dulk, L. den; Peper, A.B.; Kompier, M.A.J.

    2004-01-01

    In the present study, we examined the associations among work-home culture (WHC), the utilization of work-home arrangements (WHAs), and work-home interference (WHI) among 638 workers from a Dutch financial consultancy firm. We (a) developed a typology of WHC, (b) examined whether the utilization of

  12. Helping Elementary Teachers Understand Children and Divorce.

    Science.gov (United States)

    Hrymak, Marilyn J.; Smart, Laura S.

    1984-01-01

    Describes a workshop designed to help elementary teachers understand the recent literature on the effects of divorce on children and help the children through the crisis. Indicates that secondary home economics teachers may have to deal with students who have not adjusted to divorce. (JOW)

  13. Associations Between Home Death and the Use and Type of Care at Home.

    Science.gov (United States)

    McEwen, Rebecca; Asada, Yukiko; Burge, Frederick; Lawson, Beverley

    2018-01-01

    Despite wishes for and benefits of home deaths, a discrepancy between preferred and actual location of death persists. Provision of home care may be an effective policy response to support home deaths. Using the population-based mortality follow-back study conducted in Nova Scotia, we investigated the associations between home death and formal care at home and between home death and the type of formal care at home. We found (1) the use of formal care at home at the end of life was associated with home death and (2) the use of formal home support services at home was associated with home death among those whose symptoms were well managed.

  14. Seasonality of primary and secondary production in an Arctic river

    Science.gov (United States)

    Kendrick, M.; Huryn, A.; Deegan, L.

    2011-12-01

    Rivers and streams that freeze solid for 8-9 months each year provide excellent examples of the extreme seasonality of arctic habitats. The communities of organisms inhabiting these rivers must complete growth and development during summer, resulting in a rapid ramp-up and down of production over the short ice-free period. The effects of recent shifts in the timing of the spring thaw and autumn freeze-up on the duration and pattern of the period of active production are poorly understood. We are currently investigating: 1) the response of the biotic community of the Kuparuk River (Arctic Alaska) to shifts in the seasonality of the ice-free period, and 2) the community response to increases in phosphorous (P) supply anticipated as the volume of the permafrost active-layer increases in response to climate warming. Here algal production supports a 2-tier web of consumers. We tracked primary and secondary production from the spring thaw through mid-August in a reference reach and one receiving low-level P fertilization. Gross primary production/community respiration (GPP/R) ratios for both reaches were increasing through mid-July, with higher GPP/R in response to the P addition. Understanding the degree of synchrony between primary and secondary production in this Arctic river system will enhance further understanding of how shifts in seasonality affect trophic dynamics.

  15. Modeling seasonal water balance based on catchments' hedging strategy on evapotranspiration for climate seasonality

    Science.gov (United States)

    Wu, S.; Zhao, J.; Wang, H.

    2017-12-01

    This paper develops a seasonal water balance model based on the hypothesis that natural catchments utilize hedging strategy on evapotranspiration for climate seasonality. According to the monthly aridity index, one year is split into wet season and dry season. A seasonal water balance model is developed by analogy to a two-stage reservoir operation model, in which seasonal rainfall infiltration, evapotranspiration and saturation-excess runoff is corresponding to the inflow, release and surplus of the catchment system. Then the optimal hedging between wet season and dry season evapotranspiration is analytically derived with marginal benefit principle. Water budget data sets of 320 catchments in the United States covering the period from 1980 to 2010 are used to evaluate the performance of this model. The Nash-Sutcliffe Efficiency coefficient for evapotranspiration is higher than 0.5 in 84% of the study catchments; while the runoff is 87%. This paper validates catchments' hedging strategy on evapotranspiration for climate seasonality and shows its potential application for seasonal water balance, which is valuable for water resources planning and management.

  16. Home

    Science.gov (United States)

    Military Commission Seal VWAP Login Home Go ABOUT US Organization Overview Organizational Chart Families VWAP Login CCTV Sites Travel Media MC News CCTV Sites Travel Today at OMC Home Today at OMC Daily

  17. Home hemodialysis

    DEFF Research Database (Denmark)

    Agar, John W; Perkins, Anthony; Heaf, James G

    2015-01-01

    We describe the infrastructure that is necessary for hemodialysis in the home focusing on physical requirements, the organization of plumbing and water, and the key features that should guide the selection of machines that are suitable for home use.......We describe the infrastructure that is necessary for hemodialysis in the home focusing on physical requirements, the organization of plumbing and water, and the key features that should guide the selection of machines that are suitable for home use....

  18. HomePort

    DEFF Research Database (Denmark)

    Madsen, Per Printz

    2009-01-01

    In the last couple of year's computer based home control systems are getting more and more common in modern homes. For instance these systems take care of light control, heat control and security systems.  The latest trend is to use wireless communication like Z-Wave and ZigBee to interconnect...... different components in these systems. One of the characteristics is that each system, like for instance heat and light, has their own specific way of using the communication system.   This paper describes a way to connect different home control systems through an intelligent gateway, called a Home......Port. The HomePort consists of a number of Subsystem communication drivers, a virtual communication layer, an interpreter and a PC- based compiler for a high level control language, called GIL (Gateway intelligence language). The focus in this paper will be on the upper two layers in the Home...

  19. A survey of patients with haemophilia to understand how they track product used at home.

    Science.gov (United States)

    Sholapur, N S; Barty, R; Wang, G; Almonte, T; Heddle, N M

    2013-09-01

    Record keeping among individuals who manage haemophilia at home is an essential tool of communication between patient and Haemophilia Treatment Center (HTC). Complete records help HTCs monitor patients, their use of factor and ensure treatment is optimal. HTCs provide patients with a number of methods to track infusion practices. The study objectives were to: [1] determine the current methods of record keeping; [2] identify previous methods of record keeping; [3] understand the strengths and weaknesses associated with each method; and [4] gather suggestions for improvement. Survey methods were used to address the research objectives. Of the 83 patients in the Hamilton-Niagara region who received the survey distributed through the local HTC, 51 returned surveys were included into the analysis. Descriptive statistics were used. Results indicate individuals with haemophilia record infusion practices using: paper diaries, excel spreadsheets, hand-held PDAs and/or the online EZ-Log Web Client. The most popular method of record keeping was EZ-Log (45.1%) followed by paper diaries (35.2%). Advantages to using paper methods include the visual tracking of information and retaining hardcopies. The disadvantage was the inconvenience of physically submitting the records monthly. Advantages to using the online EZ-Log Web Client included ease of use and improved accuracy. The primary disadvantage was technical errors that were difficult to troubleshoot. Record keeping practices among individuals with haemophilia seem to vary according to personal preference and convenience. Respondents suggested that saving infusion history, incorporating barcode scanners or a copy and paste function could improve electronic methods. © 2013 John Wiley & Sons Ltd.

  20. DOE Zero Energy Ready Home Case Study: Thrive Home Builders, Lowry Plan

    Energy Technology Data Exchange (ETDEWEB)

    Pacific Northwest National Laboratory

    2017-09-01

    Thrive Home Builders built this 4,119-ft2 home at the Lowry development in Denver, Colorado, to the high-performance criteria of the U.S. Department of Energy’s Zero Energy Ready Home Program. Despite the dense positioning of the homes, mono-plane roof designs afforded plenty of space for the 8.68 kW of photovoltaic panels. With the PV, the home achieves a Home Energy Rating System (HERS) score of 4 and the home owners should enjoy energy bills of about $-11 a year. Without the PV, the home would score a HERS 38 (far lower than the HERS 80 to 100 of typical new homes).

  1. Multidisciplinary nutritional support for undernutrition in nursing home and home-care

    DEFF Research Database (Denmark)

    Beck, Anne Marie; Gøgsig Christensen, Annette; Stenbæk Hansen, Birthe

    2016-01-01

    Objective To assess the effect of multidisciplinary nutritional support for undernutrition in older adults in nursing home and home-care identified with the validated Eating Validation Scheme (EVS). Methods An 11 wk cluster randomized trial with a home-care (3 clusters) or nursing home (3 clusters.......3] versus 1.3 [0.5], P = 0.021) was observed. There was a almost significant difference in mortality (2% versus 13%, P = 0.079). Conclusions Multidisciplinary nutritional support in older adults in nursing home and home-care could have a positive effect on quality of life, muscle strength, and oral care....... means of EuroQol-5D-3L), physical performance (30-seconds chair stand), nutritional status (weight and hand-grip strength), oral care, fall incidents, hospital admissions, rehabilitation stay, moving to nursing homes (participants from home-care), and mortality. Results Respectively, 55 (46 from 2 home...

  2. A comparison of arsenic exposure in young children and home water arsenic in two rural West Texas communities

    Directory of Open Access Journals (Sweden)

    Michelle Del Rio

    2017-10-01

    Full Text Available Abstract Background In a previously conducted Health Impact Assessment of a well-water dependent southwest community, arsenic (As levels greater than the EPA Maximum Contaminant Level (10 μg/L were identified in home water samples. The goals of this study were to test whether children from the previously studied well-water dependent community (Community 1 had higher blood As levels than children from a demographically similar and geographically nearby community dependent on a municipal water supply (Community 2; to test whether home water As levels predicted child As blood levels; and to examine how child As blood levels changed over time. Methods This was an observational study of 252 children aged 4 to 12 years from two communities. Children were recruited through elementary schools and tested during the school day; 204 children participated in follow-up testing. Home water samples were collected according to U.S. Environmental Protection agency recommended procedures. Child heavy metal blood levels and home water sample heavy metal levels were analyzed using inductively coupled plasma mass spectrometry. General linear regression analysis was used to test the influence of community on child As levels, and to examine the contribution of home water As levels to child blood As levels. Results Arsenic was detectable in all children tested. Blood levels ranged from 0.09–2.61 μg/dL; approximately 31% of children tested at Time I (79/252 had blood As values above the current acceptable limit (1.2 μg/dL. Approximately 8% of household water samples (6/76 had As levels higher than 10 μg/L. Community did not predict child blood As levels; seasonal effects differed by Community. At Time II, child blood As levels were higher in Community 2 than in Community 1. Conclusion A large proportion of children in the communities tested had As exposure. Home water As levels did not predict child blood As levels. Fluctuating child blood As levels by season

  3. Building control automation for retirement homes :a therapeutic opportunity for the elderly

    OpenAIRE

    Avila, Melinda Plaza

    1993-01-01

    The therapeutic opportunity for the elderly due to building control automation use in a retirement home was investigated. Previous research suggests that a basic understanding of elderly functional needs and building control automation capabilities is required Ifn order to secure the opportunity for maintaining existing elderly functional abilities. This study explores the extent to which building control automation can be applied in retirement homes. The research questions gen...

  4. The influence of season and living environment on children's urinary 1-hydroxypyrene levels in Ulaanbaatar, Mongolia.

    Science.gov (United States)

    Chen, Yi-Ting; Huang, Yu-Kai; Luvsan, Munkh-Erdene; Gombojav, Enkhjargal; Ochir, Chimedsuren; Bulgan, Jargal; Chan, Chang-Chuan

    2015-02-01

    Heating indoor living environments elevates air pollution in Ulaanbaatar, Mongolia. This study was conducted to investigate the influence of season and living environment on children's urinary 1-hydroxypyrene (1-OHP) levels in Ulaanbaatar, Mongolia. Our study subjects were 320 children aged 11-15 years living in gers, brick houses and apartments, in ger and non-ger areas of Ulaanbaatar. Spot urine samples and questionnaires were collected three times from each subject in three seasons, September (warm) and December (cold) in 2011 and March (moderate) in 2012. Urinary 1-OHP was analyzed by high-performance liquid chromatography with fluorescent detection (HPLC/FLD). Generalized estimating equation (GEE) models were applied to estimate the seasonal and residential effects on 1-OHP levels, adjusting for demographic and environmental factors. Children's urinary 1-OHP levels showed significant seasonal differences with 0.30 ± 0.57 μmol/mol creatinine in cold season, 0.14 ± 0.12 μmol/mol creatinine in moderate season, and 0.14 ± 0.21 μmol/mol creatinine in warm season. After controlling confounding factors, the GEE model showed that season, living area, and housing type had significant influence on children's urinary 1-OHP levels. Urinary 1-OHP levels in the cold and moderate seasons were, respectively 2.13 and 1.37 times higher than the warm season. Urinary 1-OHP levels for children living in ger areas were 1.27 times higher than those living in non-ger areas. Children who lived in gers or brick houses had 1.58 and 1.34 times higher 1-OHP levels, respectively, compared with those living in apartments. Children's urinary 1-OHP levels were associated with either estimated NO2 or SO2 concentrations at their home addresses in Ulaanbaatar. Mongolian children's urinary 1-OHP levels were significantly elevated during the cold season, and for those living in ger areas, gers, or brick houses in Ulaanbaatar. Children's urinary 1-OHP levels were associated PAH co

  5. The Medical Home

    Science.gov (United States)

    ... Videos for Educators Search English Español The Medical Home KidsHealth / For Parents / The Medical Home What's in ... for your child. What Does the Term "Medical Home" Mean? A medical home isn't a place ...

  6. From Fall to Spring, or Spring to Fall? Seasonal Cholera Transmission Cycles and Implications for Climate Change

    Science.gov (United States)

    Akanda, A. S.; Jutla, A. S.; Huq, A.; Colwell, R.; Islam, S.; WE Reason

    2010-12-01

    Cholera remains a major public health threat in many developing countries around the world. The striking seasonality and the annual recurrence of this infectious disease in endemic areas continues to be of considerable interest to scientists and public health workers. Despite major advances in the ecological, and microbiological understanding of Vibrio cholerae, the causative agent, the role of underlying macro-scale hydroclimatic processes in propagating the disease in different seasons and years is not well understood. The incidence of cholera in the Bengal Delta region, the ‘native homeland’ of cholera, shows distinct biannual peaks in the southern floodplains, as opposed to single annual peaks in coastal areas and the northern parts of Bangladesh, as well as other cholera-endemic regions in the world. A coupled analysis of the regional hydroclimate and cholera incidence reveals a strong association of the spatio-temporal variability of incidence peaks with seasonal processes and extreme events. At a seasonal scale, the cycles indicate a spring-fall transmission pattern, contrary to the prevalent notion of a fall-spring transmission cycle. We show that the asymmetric seasonal hydroclimatology affects regional cholera dynamics by providing a coastal growth environment for bacteria in spring, while propagating transmission to fall by flooding. This seasonal interpretation of the progression of cholera has important implications, for formulating effective cholera intervention and mitigation efforts through improved water management and understanding the impacts of changing climate patterns on seasonal cholera transmission. (Water Environental Research Education Actionable Solutions Network)

  7. Histaminergic regulation of seasonal metabolic rhythms in Siberian hamsters.

    Science.gov (United States)

    I'anson, Helen; Jethwa, Preeti H; Warner, Amy; Ebling, Francis J P

    2011-06-01

    We investigated whether histaminergic tone contributes to the seasonal catabolic state in Siberian hamsters by determining the effect of ablation of histaminergic neurons on food intake, metabolic rate and body weight. A ribosomal toxin (saporin) conjugated to orexin-B was infused into the ventral tuberomammillary region of the hypothalamus, since most histaminergic neurons express orexin receptors. This caused not only 75-80% loss of histaminergic neurons in the posterior hypothalamus, but also some loss of other orexin-receptor expressing cells e.g. MCH neurons. In the long-day anabolic state, lesions produced a transient post-surgical decrease in body weight, but the hamsters recovered and maintained constant body weight, whereas weight gradually increased in sham-lesioned hamsters. VO(2) in the dark phase was significantly higher in the lesioned hamsters compared to shams, and locomotor activity also tended to be higher. In a second study in short days, sham-treated hamsters showed the expected seasonal decrease in body weight, but weight remained constant in the lesioned hamsters, as in the long-day study. Lesioned hamsters consumed more during the early dark phase and less during the light phase due to an increase in the frequency of meals during the dark and decreased meal size during the light, and their cumulative food intake in their home cages was greater than in the control hamsters. In summary, ablation of orexin-responsive cells in the posterior hypothalamus blocks the short-day induced decline in body weight by preventing seasonal hypophagia, evidence consistent with the hypothesis that central histaminergic mechanisms contribute to long-term regulation of body weight. Copyright © 2011 Elsevier Inc. All rights reserved.

  8. The hidden seasonality of the rare biosphere in coastal marine bacterioplankton

    KAUST Repository

    Alonso-Sáez, Laura

    2015-04-08

    Summary: Rare microbial taxa are increasingly recognized to play key ecological roles, but knowledge of their spatio-temporal dynamics is lacking. In a time-series study in coastal waters, we detected 83 bacterial lineages with significant seasonality, including environmentally relevant taxa where little ecological information was available. For example, Verrucomicrobia had recurrent maxima in summer, while the Flavobacteria NS4, NS5 and NS2b clades had contrasting seasonal niches. Among the seasonal taxa, only 4 were abundant and persistent, 20 cycled between rare and abundant and, remarkably, most of them (59) were always rare (contributing <1% of total reads). We thus demonstrate that seasonal patterns in marine bacterioplankton are largely driven by lineages that never sustain abundant populations. A fewer number of rare taxa (20) also produced episodic \\'blooms\\', and these events were highly synchronized, mostly occurring on a single month. The recurrent seasonal growth and loss of rare bacteria opens new perspectives on the temporal dynamics of the rare biosphere, hitherto mainly characterized by dormancy and episodes of \\'boom and bust\\', as envisioned by the seed-bank hypothesis. The predictable patterns of seasonal reoccurrence are relevant for understanding the ecology of rare bacteria, which may include key players for the functioning of marine ecosystems. © 2015 Society for Applied Microbiology and John Wiley & Sons Ltd.

  9. Whole-Home Dehumidifiers: Field-Monitoring Study

    Energy Technology Data Exchange (ETDEWEB)

    Burke, Tom; Willem, Henry; Ni, Chun Chun; Stratton, Hannah; Whitehead, Camilla Dunham; Johnson, Russell

    2014-09-23

    Lawrence Berkeley National Laboratory (LBNL) initiated a WHD field-metering study to expand current knowledge of and obtain data on WHD operation and energy consumption in real-world applications. The field study collected real-time data on WHD energy consumption, along with information regarding housing characteristics, consumer behavior, and various outdoor conditions expected to affect WHD performance and efficiency. Although the metering study collected similar data regarding air conditioner operation, this report discusses only WHDs. The primary objectives of the LBNL field-metering study are to (1) expand knowledge of the configurations, energy consumption profiles, consumer patterns of use (e.g., relative humidity [RH] settings), and environmental parameters of whole-home dehumidification systems; and (2) develop distributions of hours of dehumidifier operation in four operating modes: off, standby, fan-only, and compressor (also called dehumidification mode). Profiling energy consumption entails documenting the power consumption, duration of power consumption in different modes, condensate generation, and properties of output air of an installed system under field conditions of varying inlet air temperature and RH, as well as system configuration. This profiling provides a more detailed and deeper understanding of WHD operation and its complexities. This report describes LBNL’s whole-home dehumidification field-metering study conducted at four homes in Wisconsin and Florida. The initial phase of the WHD field-metering study was conducted on one home in Madison, Wisconsin, from June to December of 2013. During a second phase, three Florida homes were metered from June to October of 2014. This report presents and examines data from the Wisconsin site and from the three Florida sites.

  10. The hierarchy of controls on snowmelt-runoff generation over seasonally-frozen hillslopes

    OpenAIRE

    Coles, Anna E.; Appels, Willemijn M.; McConkey, Brian G.; McDonnell, Jeffrey J.

    2016-01-01

    Understanding and modeling snowmelt-runoff generation in seasonally-frozen regions is a major challenge in hydrology. Partly, this is because the controls on hillslope-scale snowmelt-runoff generation are potentially extensive and their hierarchy is poorly understood. Understanding the relative importance of controls (e.g. topography, vegetation, land use, soil characteristics, and precipitation dynamics) on runoff response is necessary for model development, spatial extrapolation, and runoff...

  11. An integrated, indicator framework for assessing large-scale variations and change in seasonal timing and phenology (Invited)

    Science.gov (United States)

    Betancourt, J. L.; Weltzin, J. F.

    2013-12-01

    As part of an effort to develop an Indicator System for the National Climate Assessment (NCA), the Seasonality and Phenology Indicators Technical Team (SPITT) proposed an integrated, continental-scale framework for understanding and tracking seasonal timing in physical and biological systems. The framework shares several metrics with the EPA's National Climate Change Indicators. The SPITT framework includes a comprehensive suite of national indicators to track conditions, anticipate vulnerabilities, and facilitate intervention or adaptation to the extent possible. Observed, modeled, and forecasted seasonal timing metrics can inform a wide spectrum of decisions on federal, state, and private lands in the U.S., and will be pivotal for international efforts to mitigation and adaptation. Humans use calendars both to understand the natural world and to plan their lives. Although the seasons are familiar concepts, we lack a comprehensive understanding of how variability arises in the timing of seasonal transitions in the atmosphere, and how variability and change translate and propagate through hydrological, ecological and human systems. For example, the contributions of greenhouse warming and natural variability to secular trends in seasonal timing are difficult to disentangle, including earlier spring transitions from winter (strong westerlies) to summer (weak easterlies) patterns of atmospheric circulation; shifts in annual phasing of daily temperature means and extremes; advanced timing of snow and ice melt and soil thaw at higher latitudes and elevations; and earlier start and longer duration of the growing and fire seasons. The SPITT framework aims to relate spatiotemporal variability in surface climate to (1) large-scale modes of natural climate variability and greenhouse gas-driven climatic change, and (2) spatiotemporal variability in hydrological, ecological and human responses and impacts. The hierarchical framework relies on ground and satellite observations

  12. ThinkHome Energy Efficiency in Future Smart Homes

    Directory of Open Access Journals (Sweden)

    Reinisch Christian

    2011-01-01

    Full Text Available Abstract Smart homes have been viewed with increasing interest by both home owners and the research community in the past few years. One reason for this development is that the use of modern automation technology in the home or building promises considerable savings of energy, therefore, simultaneously reducing the operational costs of the building over its whole lifecycle. However, the full potential of smart homes still lies fallow, due to the complexity and diversity of the systems, badly engineered and configured installations, as well as the frequent problem of suboptimal control strategies. Summarized, these problems converge to two undesirable conditions in the "not-so-smart" home: energy consumption is still higher than actually necessary and users are unable to yield full comfort in their automated homes. This work puts its focus on alleviating the current problems by proposing a comprehensive system concept, that shall ensure that smart homes can keep their promise in the future. The system operates on an extensive knowledge base that stores all information needed to fulfill the goals of energy efficiency and user comfort. Its intelligence is implemented as and within a multiagent system that also caters for the system's openness to the outside world. As a first evaluation, a profile-based control strategy for thermal comfort is developed and verified by means of simulation.

  13. Facing aliens under globalization: changing meanings of home for Taiwanese employers of foreign domestics.

    Science.gov (United States)

    Cheng, Shu-Ju Ada

    2005-01-01

    This paper is concerned with changing meanings of home for Taiwanese employers of foreign domestics under globalization. Shifting sense of home occurs for Taiwanese employers as well as foreign domestics in the process of labor migration. The author argues that Taiwanese employers, facing aliens at home, have adopted various rhetorical strategies to redefine their relationships with foreign domestics and deployed diverse practices of management within their households. As foreign domestics do housework at home, Taiwanese employers also do their own "homework," struggling to understand and cope with the process of becoming and being household employers. Their "homework" is an integral part of the globalization of domestic service.

  14. Dignity and existential concerns among nursing homes residents from the perspective of their relatives

    DEFF Research Database (Denmark)

    Caspari., Synnøve; Høy, Bente; Lohne, Vibeke

    2014-01-01

    Aims and objectives: The aim of this cross-country Scandinavian study was to explore how residents in nursing homes experience that their dignity is promoted and attended to. This is one part of the Scandinavian project in which we interviewed residents, relatives and staff members. Background......: The main subject concerns the dignity of residents of nursing homes for older people. This article brings forward results from interviews of relatives on how they experience that the dignity is met, promoted and attended to for their next of kin. Design: The study was qualitative with a hermeneutic...... approach. Methods: Qualitative research interviews of 28 relatives of residents at six participating nursing homes in Scandinavia. The results derive from analysis of the interviews using Kvale’s three levels of interpretation; self-understanding, common sense and a theoretical understanding. Results...

  15. The Effect of Soil Temperature Seasonality on Climate Reconstructions from Paleosols

    Science.gov (United States)

    Gallagher, T. M.; Hren, M. T.; Sheldon, N. D.

    2017-12-01

    Accurate continental temperature reconstructions provide important constraints on climate sensitivity to changes in atmospheric pCO2, the timing and rates of tectonic uplift, and the driving mechanisms and feedbacks associated with major climate events. Temperature seasonality is an important variable to consider, because not only does it exert a strong control on the biosphere, but it can obfuscate changes in mean annual air temperature (MAAT) in the geologic record. In order to better understand the effect temperature seasonality has on paleosol temperature proxies, soil temperature data was compiled from over 200 stations that comprise the NCDC Soil Climate Analysis Network. Observed soil temperature variations were then compared to predicted soil temperature values based on normal seasonal air temperature trends. Approximately one quarter of sites record less temperature variation than predicted. This reduction in soil temperature seasonality is a result of warmer than predicted cold-season temperatures, driven by cold-season processes such as snow cover insulation. The reduction in soil temperature seasonality explains why pedo-transfer functions to break down below MAAT values of 6-8 °C. Greater than predicted soil temperature seasonality is observed at nearly half of the sites, driven primarily by direct heating of the soil surface by solar radiation. Deviations larger than 2 °C are not common until mean annual precipitation falls below 300 mm, suggesting that complications introduced by ground heating are primarily restricted to paleosols that formed in more arid environments. Clumped isotope measurements of pedogenic carbonate and bulk paleosol elemental data from a stacked series of paleosols spanning the Eocene-Oligocene in Northeastern Spain are also examined to demonstrate how the documented seasonal trends in modern soils can help inform paleo-applications.

  16. Designing, Building and Controlling of Home Appliances Unit Using PC

    Directory of Open Access Journals (Sweden)

    Saleh Ben Safar

    2017-12-01

    Full Text Available Smart home is a residential building that is usually new or modern equipped with necessary tools and wiring that enable its occupants to control a number of electrical devices and several household appliances through a suitable software. Recently, the development of home automation systems is accelerating rapidly as a result of the rapid intersection of modern technologies. Here we are talking about systems for home communication networks as well as entertainment, security, convenience, etc. These systems are controlled by sending signals through wires distributed throughout the house or Through wireless means to programmable keys or devices so that they understand these commands and deal with them as desired. In this paper, I will discuss how to design the circuit with appropriate components, build it in Printed Circuit Board and connect it to a personal computer by using programmable language in order to control all home appliances by just one click. 

  17. Air-To-Water Heat Pumps with Radiant Delivery in Low Load Homes: Tucson, Arizona and Chico, California (Fact Sheet)

    Energy Technology Data Exchange (ETDEWEB)

    None, None

    2013-11-01

    Space conditioning represents nearly 50% of average residential household energy consumption, highlighting the need to identify alternative cost-effective, energy-efficient cooling and heating strategies. As homes are better built, there is an increasing need for strategies that are particularly well suited for high performance, low load homes. ARBI researchers worked with two test homes in hot-dry climates to evaluate the in-situ performance of air-to-water heat pump (AWHP) systems, an energy efficient space conditioning solution designed to cost-effectively provide comfort in homes with efficient, safe, and durable operation. Two monitoring projects of test houses in hot-dry climates were initiated in 2010 to test this system. Both systems were fully instrumented and have been monitored over one year to capture complete performance data over the cooling and heating seasons. Results are used to quantify energy savings, cost-effectiveness, and system performance using different operating modes and strategies. A calibrated TRNSYS model was developed and used to evaluate performance in various climate regions. This strategy is most effective in tight, insulated homes with high levels of thermal mass (i.e. exposed slab floors).

  18. A learning progression based teaching module on the causes of seasons

    International Nuclear Information System (INIS)

    Galano, S.

    2016-01-01

    In this paper, we report about designing and validating a teaching learning module based on a learning progression and focused on the causes of seasons. An initial learning progression about the Celestial Motion big idea —causes of seasons, lunar and solar eclipse and Moon phases— was developed and validated. Existing curricula, research studies on alternative conceptions about these phenomena, and students’ answers to an open questionnaire were the starting point to develop initial learning progressions; then, a two-tier multiple-choice questionnaire was designed to validate and improve it. The questionnaire was submitted to about 300 secondary-school students whose answers were used to revise the hypothesized learning progressions. This improved version of the learning progression was used to design a module focused on the causes of seasons in which students were engaged in quantitative measurements with a photovoltaic panel to explain changes of the Sun rays’ flow on the Earth’s surface over the year. The efficacy of our module in improving students’ understanding of the phenomenon of the seasons was tested using our questionnaire as pre- and post-test.

  19. Unimaginable homes

    DEFF Research Database (Denmark)

    Møller, Kristian; Klausen, Maja

    2018-01-01

    The chapter draw from critical mediatization theory, critical intimacy theory, and cultural gerontology and asks: How do elderly people practice their mediatized homes? Which roles do media play in constituting and disturbing the flows of bodies into the home? Moreover: how do dominant...... in the making of the mediatized home space. We conclude by returning to the research questions and making explicit how researching flows of bodies that in many ways inhabit homes of the in-between contributes to both gerontological and geomediatization research agendas....

  20. Stroke and Nursing Home care: a national survey of nursing homes.

    LENUS (Irish Health Repository)

    Cowman, Seamus

    2010-01-01

    BACKGROUND: Although stroke is recognised as a major factor in admission to nursing home care, data is lacking on the extent and nature of the disabilities and dependency in nursing homes arising from stroke. A national study conducted in nursing homes can quantify the number of residents with stroke in nursing homes, their disability and levels of dependency. METHODS: A cross-sectional survey research design was used. A total of 572 public and private nursing homes were identified nationally and a stratified random selection of 60 nursing homes with 3,239 residents was made. In half of the nursing homes (n = 30) efforts were made to interview all residents with stroke Survey instruments were used to collect data from residents with stroke and nursing home managers on demography, patient disability, and treatment. RESULTS: Across all nursing homes (n = 60), 18% (n = 570) of the residents had previously had a stroke. In homes (n = 30), where interviews with residents with stroke (n = 257), only 7% (n = 18) residents were capable of answering for themselves and were interviewed. Data on the remaining 93% (n = 239) residents were provided by the nursing home manager. Nurse Managers reported that 73% of residents with stroke had a high level of dependency. One in two residents with stroke was prescribed antidepressants or sedative medication. Only 21% of stroke residents were prescribed anticoagulants, 42% antiplatelets, and 36% cholesterol lowering medications. Stroke rehabilitation guidelines were lacking and 68% reported that there was no formal review process in place. CONCLUSIONS: This study provides seminal findings on stroke and nursing home services in Ireland. We now know that one in six nursing home residents in a national survey are residents with a stroke, and have a wide range of disabilities. There is currently little or no structured care (beyond generic care) for stroke survivors who reside in nursing homes in Ireland.

  1. Social exchange as a framework for client-nurse interaction during public health nursing maternal-child home visits.

    Science.gov (United States)

    Byrd, Mary E

    2006-01-01

    The purpose of this paper was to develop a nursing-focused use of social exchange theory within the context of maternal-child home visiting. The nature of social exchange theory, its application to client-nurse interaction, and its fit with an existing data set from a field research investigation were examined. Resources exchanged between the nurse and clients were categorized and compared across the patterns of home visiting, nursing strategies based on exchange notions were identified, and variations in exchange were linked with client outcomes. The nurse provided resources within the categories of information, status, service, and goods. Clients provided time, access to the home, space within the home to conduct the visit, opportunities to observe maternal-child interaction, access to the infant, and information. The ease and breadth of resource exchange varied across the patterns of home visiting. The social exchange perspective was useful in categorizing resources, specifying and uncovering new resource categories, understanding nursing strategies to initiate and maintain the client-nurse relationship, and linking client-nurse interactive phenomena with client outcomes. Social exchange theory is potentially useful for understanding client-nurse interaction in the context of maternal-child home visits.

  2. Satellite view of seasonal greenness trends and controls in South Asia

    Science.gov (United States)

    Sarmah, Sangeeta; Jia, Gensuo; Zhang, Anzhi

    2018-03-01

    South Asia (SA) has been considered one of the most remarkable regions for changing vegetation greenness, accompanying its major expansion of agricultural activities, especially irrigated farming. The influence of the monsoon climate on the seasonal trends and anomalies of vegetation greenness is poorly understood in this area. Herein, we used the satellite-based Normalized Difference Vegetation Index (NDVI) to investigate various spatiotemporal patterns in vegetation activity during summer and winter monsoon (SM and WM) seasons and among irrigated croplands (IC), rainfed croplands (RC), and natural vegetation (NV) areas during 1982–2013. Seasonal NDVI variations with climatic factors (precipitation and temperature) and land use and cover changes (LUCC) have also been investigated. This study demonstrates that the seasonal dynamics of vegetation could improve the detailed understanding of vegetation productivity over the region. We found distinct greenness trends between two monsoon seasons and among the major land use/cover classes. Winter monsoons contributed greater variability to the overall vegetation dynamics of SA. Major greening occurred due to the increased productivity over irrigated croplands during the winter monsoon season; meanwhile, browning trends were prominent over NV areas during the same season. Maximum temperatures had been increasing tremendously during the WM season; however, the precipitation trend was not significant over SA. Both the climate variability and LUCC revealed coupled effects on the long term NDVI trends in NV areas, especially in the hilly regions, whereas anthropogenic activities (agricultural advancements) played a pivotal role in the rest of the area. Until now, advanced cultivation techniques have proven to be beneficial for the region in terms of the productivity of croplands. However, the crop productivity is at risk under climate change.

  3. Home Automation : Smart home technology and template house design

    OpenAIRE

    Zheng, Zeya

    2013-01-01

    In this thesis, home automation’s general knowledge, technology information and each component will be introduced to the reader in the first half of the whole thesis. In the second half, thesis includes the Home Automation template design and market competitiveness analysis. The author assumes that the reader is going to spend lots of money to have a smart home. In this situation, the author introduces the home automation to the reader at each component. So the reader in this thesis actu...

  4. Patient safety culture in care homes for older people: a scoping review

    Directory of Open Access Journals (Sweden)

    Emily Gartshore

    2017-11-01

    Full Text Available Abstract Background In recent years, there has been an increasing focus on the role of safety culture in preventing incidents such as medication errors and falls. However, research and developments in safety culture has predominantly taken place in hospital settings, with relatively less attention given to establishing a safety culture in care homes. Despite safety culture being accepted as an important quality indicator across all health and social care settings, the understanding of culture within social care settings remains far less developed than within hospitals. It is therefore important that the existing evidence base is gathered and reviewed in order to understand safety culture in care homes. Methods A scoping review was undertaken to describe the availability of evidence related to care homes’ patient safety culture, what these studies focused on, and identify any knowledge gaps within the existing literature. Included papers were each reviewed by two authors for eligibility and to draw out information relevant to the scoping review. Results Twenty-four empirical papers and one literature review were included within the scoping review. The collective evidence demonstrated that safety culture research is largely based in the USA, within Nursing Homes rather than Residential Home settings. Moreover, the scoping review revealed that empirical evidence has predominantly used quantitative measures, and therefore the deeper levels of culture have not been captured in the evidence base. Conclusions Safety culture in care homes is a topic that has not been extensively researched. The review highlights a number of key gaps in the evidence base, which future research into safety culture in care home should attempt to address.

  5. Seasonality, mobility, and livability.

    Science.gov (United States)

    2012-01-31

    Signature project 4a, Seasonality, Mobility, and Livability investigated the effects of weather, season, built environment, community amenities, attitudes, and demographics on mobility and quality of life (QOL). A four season panel survey exami...

  6. Working Together in a Deficit Logic: Home-School Partnerships with Somali Diaspora Parents

    Science.gov (United States)

    Matthiesen, Noomi Christine Linde

    2017-01-01

    Drawing on discursive psychology this article examines the understandings teachers and principals in Danish Public Schools have regarding Somali diaspora parenting practices. Furthermore, the article investigates what these understandings mean in interaction with children in the classrooms and with parents in home-school communication. It is…

  7. Seasonal and decadal information towards climate services: EUPORIAS

    Science.gov (United States)

    Buontempo, Carlo; Hewitt, Chris

    2013-04-01

    Societies have always faced challenges and opportunities arising from variations in climate, and have often flourished or collapsed depending on their ability to adapt to such changes. Recent advances in our understanding and ability to forecast climate variability and climate change have meant that skilful predictions are beginning to be routinely made on seasonal to decadal (s2d) timescales. Such forecasts have the potential to be of great value to a wide range of decision-making, where outcomes are strongly influenced by variations in the climate. The European Commission have recently commissioned a major four year long project (EUPORIAS) to develop prototype end-to-end climate impact prediction services operating on a seasonal to decadal timescale, and assess their value in informing decision-making. EUPORIAS commenced on 1 November 2012, coordinated by the UK Met Office leading a consortium of 24 organisations representing world-class European climate research and climate service centres, expertise in impacts assessments and seasonal predictions, two United Nations agencies, specialists in new media, and commercial companies in climate-vulnerable sectors such as energy, water and tourism. The paper describes the setup of the project, its main outcome and some of the very preliminary results.

  8. My home is my bazaar - A taxonomy and classification of current wireless home network protocols

    DEFF Research Database (Denmark)

    Torbensen, Rune; Hansen, Klaus Marius; Hjorth, Theis Solberg

    2011-01-01

    to considerable challenges for developers and integrators in understanding and choosing between the available wireless technologies. To further increase technology adoption and improve business risk assessments, it is necessary to determine the important properties of the technologies in order to compare them......, cost, security, etc. Third, a classification based on the taxonomy and the collected data is presented. In the final discussion, we identify a number of key aspects that could be important technology criteria for future development of home automation protocols....

  9. Seasonal patterns of mixed species groups in large East African mammals.

    Directory of Open Access Journals (Sweden)

    Christian Kiffner

    Full Text Available Mixed mammal species groups are common in East African savannah ecosystems. Yet, it is largely unknown if co-occurrences of large mammals result from random processes or social preferences and if interspecific associations are consistent across ecosystems and seasons. Because species may exchange important information and services, understanding patterns and drivers of heterospecific interactions is crucial for advancing animal and community ecology. We recorded 5403 single and multi-species clusters in the Serengeti-Ngorongoro and Tarangire-Manyara ecosystems during dry and wet seasons and used social network analyses to detect patterns of species associations. We found statistically significant associations between multiple species and association patterns differed spatially and seasonally. Consistently, wildebeest and zebras preferred being associated with other species, whereas carnivores, African elephants, Maasai giraffes and Kirk's dik-diks avoided being in mixed groups. During the dry season, we found that the betweenness (a measure of importance in the flow of information or disease of species did not differ from a random expectation based on species abundance. In contrast, in the wet season, we found that these patterns were not simply explained by variations in abundances, suggesting that heterospecific associations were actively formed. These seasonal differences in observed patterns suggest that interspecific associations may be driven by resource overlap when resources are limited and by resource partitioning or anti-predator advantages when resources are abundant. We discuss potential mechanisms that could drive seasonal variation in the cost-benefit tradeoffs that underpin the formation of mixed-species groups.

  10. Oral English Language Proficiency and Reading Mastery: The Role of Home Language and School Supports

    Science.gov (United States)

    Palacios, Natalia; Kibler, Amanda

    2016-01-01

    The analysis of 21,409 participants of the Early Childhood Longitudinal Study-Kindergarten cohort focused on home and school factors sought to understand the level of reading mastery that children experienced throughout elementary school and Grade 8 by relating home language use, timing of oral English language proficiency, and the provision of…

  11. Eldercare at Home: Choosing a Nursing Home

    Science.gov (United States)

    ... required, these services can be provided by a separate home health agency as directed by a doctor or ... complaints made by or on behalf of nursing home residents and work to resolve the problems. If they are unable ...

  12. Smart Home Hacking

    OpenAIRE

    Kodra, Suela

    2016-01-01

    Smart Home is an intelligent home equipped with devices and communications systems that enables the residents to connect and control their home appliances and systems. This technology has changed the way a consumer interacts with his home, enabling more control and convenience. Another advantage of this technology is the positive impact it has on savings on energy and other resources. However, despite the consumer's excitement about smart home, security and privacy have shown to be the strong...

  13. Analysis of Economic Burden of Seasonal Influenza: An Actuarial Based Conceptual Model

    Directory of Open Access Journals (Sweden)

    S. S. N. Perera

    2017-01-01

    Full Text Available Analysing the economic burden of the seasonal influenza is highly essential due to the large number of outbreaks in recent years. Mathematical and actuarial models can be considered as management tools to understand the dynamical behavior, predict the risk, and compute it. This study is an attempt to develop conceptual model to investigate the economic burden due to seasonal influenza. The compartment SIS (susceptible-infected-susceptible model is used to capture the dynamical behavior of influenza. Considering the current investment and future medical care expenditure as premium payment and benefit (claim, respectively, the insurance and actuarial based conceptual model is proposed to model the present economic burden due to the spread of influenza. Simulation is carried out to demonstrate the variation of the present economic burden with respect to model parameters. The sensitivity of the present economic burden is studied with respect to the risk of disease spread. The basic reproduction is used to identify the risk of disease spread. Impact of the seasonality is studied by introducing the seasonally varying infection rate. The proposed model provides theoretical background to investigate the economic burden of seasonal influenza.

  14. Seasonally-Dynamic Presence-Only Species Distribution Models for a Cryptic Migratory Bat Impacted by Wind Energy Development.

    Directory of Open Access Journals (Sweden)

    Mark A Hayes

    Full Text Available Understanding seasonal distribution and movement patterns of animals that migrate long distances is an essential part of monitoring and conserving their populations. Compared to migratory birds and other more conspicuous migrants, we know very little about the movement patterns of many migratory bats. Hoary bats (Lasiurus cinereus, a cryptic, wide-ranging, long-distance migrant, comprise a substantial proportion of the tens to hundreds of thousands of bat fatalities estimated to occur each year at wind turbines in North America. We created seasonally-dynamic species distribution models (SDMs from 2,753 museum occurrence records collected over five decades in North America to better understand the seasonal geographic distributions of hoary bats. We used 5 SDM approaches: logistic regression, multivariate adaptive regression splines, boosted regression trees, random forest, and maximum entropy and consolidated outputs to generate ensemble maps. These maps represent the first formal hypotheses for sex- and season-specific hoary bat distributions. Our results suggest that North American hoary bats winter in regions with relatively long growing seasons where temperatures are moderated by proximity to oceans, and then move to the continental interior for the summer. SDMs suggested that hoary bats are most broadly distributed in autumn-the season when they are most susceptible to mortality from wind turbines; this season contains the greatest overlap between potentially suitable habitat and wind energy facilities. Comparing wind-turbine fatality data to model outputs could test many predictions, such as 'risk from turbines is highest in habitats between hoary bat summering and wintering grounds'. Although future field studies are needed to validate the SDMs, this study generated well-justified and testable hypotheses of hoary bat migration patterns and seasonal distribution.

  15. Seasonally-Dynamic Presence-Only Species Distribution Models for a Cryptic Migratory Bat Impacted by Wind Energy Development.

    Science.gov (United States)

    Hayes, Mark A; Cryan, Paul M; Wunder, Michael B

    2015-01-01

    Understanding seasonal distribution and movement patterns of animals that migrate long distances is an essential part of monitoring and conserving their populations. Compared to migratory birds and other more conspicuous migrants, we know very little about the movement patterns of many migratory bats. Hoary bats (Lasiurus cinereus), a cryptic, wide-ranging, long-distance migrant, comprise a substantial proportion of the tens to hundreds of thousands of bat fatalities estimated to occur each year at wind turbines in North America. We created seasonally-dynamic species distribution models (SDMs) from 2,753 museum occurrence records collected over five decades in North America to better understand the seasonal geographic distributions of hoary bats. We used 5 SDM approaches: logistic regression, multivariate adaptive regression splines, boosted regression trees, random forest, and maximum entropy and consolidated outputs to generate ensemble maps. These maps represent the first formal hypotheses for sex- and season-specific hoary bat distributions. Our results suggest that North American hoary bats winter in regions with relatively long growing seasons where temperatures are moderated by proximity to oceans, and then move to the continental interior for the summer. SDMs suggested that hoary bats are most broadly distributed in autumn-the season when they are most susceptible to mortality from wind turbines; this season contains the greatest overlap between potentially suitable habitat and wind energy facilities. Comparing wind-turbine fatality data to model outputs could test many predictions, such as 'risk from turbines is highest in habitats between hoary bat summering and wintering grounds'. Although future field studies are needed to validate the SDMs, this study generated well-justified and testable hypotheses of hoary bat migration patterns and seasonal distribution.

  16. Seasonally-dynamic presence-only species distribution models for a cryptic migratory bat impacted by wind energy development

    Science.gov (United States)

    Hayes, Mark A.; Cryan, Paul M.; Wunder, Michael B.

    2015-01-01

    Understanding seasonal distribution and movement patterns of animals that migrate long distances is an essential part of monitoring and conserving their populations. Compared to migratory birds and other more conspicuous migrants, we know very little about the movement patterns of many migratory bats. Hoary bats (Lasiurus cinereus), a cryptic, wide-ranging, long-distance migrant, comprise a substantial proportion of the tens to hundreds of thousands of bat fatalities estimated to occur each year at wind turbines in North America. We created seasonally-dynamic species distribution models (SDMs) from 2,753 museum occurrence records collected over five decades in North America to better understand the seasonal geographic distributions of hoary bats. We used 5 SDM approaches: logistic regression, multivariate adaptive regression splines, boosted regression trees, random forest, and maximum entropy and consolidated outputs to generate ensemble maps. These maps represent the first formal hypotheses for sex- and season-specific hoary bat distributions. Our results suggest that North American hoary bats winter in regions with relatively long growing seasons where temperatures are moderated by proximity to oceans, and then move to the continental interior for the summer. SDMs suggested that hoary bats are most broadly distributed in autumn—the season when they are most susceptible to mortality from wind turbines; this season contains the greatest overlap between potentially suitable habitat and wind energy facilities. Comparing wind-turbine fatality data to model outputs could test many predictions, such as ‘risk from turbines is highest in habitats between hoary bat summering and wintering grounds’. Although future field studies are needed to validate the SDMs, this study generated well-justified and testable hypotheses of hoary bat migration patterns and seasonal distribution.

  17. Midwifery Provision of Home Birth Services: American College of Nurse-Midwives.

    Science.gov (United States)

    2016-01-01

    The number of women in the United States choosing to give birth at home has risen substantially in the past decade, creating an increased need for understanding of the evidence regarding the provision of midwifery care to women and families considering this option. The safety of home birth has been evaluated in observational studies in several industrialized nations, including the United States. Most studies find that women who are essentially healthy at term with a singleton fetus and give birth at home have positive outcomes and a lower rate of interventions during labor. Although some studies have found increased neonatal morbidity and mortality in newborns born at home when compared to newborns born in a hospital, the absolute numbers reported in both birth sites are very low. The purpose of this clinical bulletin is to review the evidence on provision of care to women and families who plan to give birth at home, including roles and responsibilities, shared decision making, informed consent, and ongoing assessment for birth site selection. © 2015 by the American College of Nurse-Midwives.

  18. Seasonal Allergies (Hay Fever)

    Science.gov (United States)

    ... Safe Videos for Educators Search English Español Seasonal Allergies (Hay Fever) KidsHealth / For Parents / Seasonal Allergies (Hay ... español Alergia estacional (fiebre del heno) About Seasonal Allergies "Achoo!" It's your son's third sneezing fit of ...

  19. Using benchmarking to assist the improvement of service quality in home support services for older people-IN TOUCH (Integrated Networks Towards Optimising Understanding of Community Health).

    Science.gov (United States)

    Jacobs, Stephen P; Parsons, Matthew; Rouse, Paul; Parsons, John; Gunderson-Reid, Michelle

    2018-04-01

    Service providers and funders need ways to work together to improve services. Identifying critical performance variables provides a mechanism by which funders can understand what they are purchasing without getting caught up in restrictive service specifications that restrict the ability of service providers to meet the needs of the clients. An implementation pathway and benchmarking programme called IN TOUCH provided contracted providers of home support and funders with a consistent methodology to follow when developing and implementing new restorative approaches for service delivery. Data from performance measurement was used to triangulate the personal and social worlds of the stakeholders enabling them to develop a shared understanding of what is working and what is not. The initial implementation of IN TOUCH involved five District Health Boards. The recursive dialogue encouraged by the IN TOUCH programme supports better and more sustainable service development because performance management is anchored to agreed data that has meaning to all stakeholders. Copyright © 2017 Elsevier Ltd. All rights reserved.

  20. Stroke and Nursing Home care: a national survey of nursing homes

    Directory of Open Access Journals (Sweden)

    McGee Hannah

    2010-01-01

    Full Text Available Abstract Background Although stroke is recognised as a major factor in admission to nursing home care, data is lacking on the extent and nature of the disabilities and dependency in nursing homes arising from stroke. A national study conducted in nursing homes can quantify the number of residents with stroke in nursing homes, their disability and levels of dependency. Methods A cross-sectional survey research design was used. A total of 572 public and private nursing homes were identified nationally and a stratified random selection of 60 nursing homes with 3,239 residents was made. In half of the nursing homes (n = 30 efforts were made to interview all residents with stroke Survey instruments were used to collect data from residents with stroke and nursing home managers on demography, patient disability, and treatment. Results Across all nursing homes (n = 60, 18% (n = 570 of the residents had previously had a stroke. In homes (n = 30, where interviews with residents with stroke (n = 257, only 7% (n = 18 residents were capable of answering for themselves and were interviewed. Data on the remaining 93% (n = 239 residents were provided by the nursing home manager. Nurse Managers reported that 73% of residents with stroke had a high level of dependency. One in two residents with stroke was prescribed antidepressants or sedative medication. Only 21% of stroke residents were prescribed anticoagulants, 42% antiplatelets, and 36% cholesterol lowering medications. Stroke rehabilitation guidelines were lacking and 68% reported that there was no formal review process in place. Conclusions This study provides seminal findings on stroke and nursing home services in Ireland. We now know that one in six nursing home residents in a national survey are residents with a stroke, and have a wide range of disabilities. There is currently little or no structured care (beyond generic care for stroke survivors who reside in nursing homes in Ireland.

  1. Seasonal reproduction of vampire bats and its relation to seasonality of bovine rabies.

    Science.gov (United States)

    Lord, R D

    1992-04-01

    Studies of pregnancy and lactation in vampire bats (Desmodus rotundus) in northern Argentina over a 4 yr period showed an inverse relationship between prevalence of pregnancy and lactation, the consequence of birth and onset of lactation, which was correlated with the wet season. The seasonal influx of young susceptibles into the vampire population in the wet season coincided with the well known increase in vampire transmitted rabies in that season.

  2. ‘Ekhaya: Human displacement and the yearning for familial homecoming. From Throne (Cathedra to Home (Oikos in a grassroots ecclesiology of place and space: Fides Quaerens Domum et Locum [Faith Seeking Home and Space

    Directory of Open Access Journals (Sweden)

    Daniel J. Louw

    2017-04-01

    Full Text Available The classical definition of theology is ‘faith-seeking understanding’ (fides quaerens intellectum. The focus is on the understanding/interpretation of the object of Christian faith: God. There is another root for the quest for understanding, namely the praxis situation of faith. People live in particular historical contexts that have their own distinctive problems and possibilities; thus, the focus on place and space in a theology of home. A praxis approach is to learn life and the gospel from below, thus the emphasis on a grassroots ecclesiology that is structured like an oikos, a familial dwelling place. This understanding of the dynamics of the fellowship of believers as  oikodomein is captured by the Zulu notion for the yearning for home (home sickness: Ekhaya. It is argued that Ekhaya thinking is an alternative route for an operative ecclesiology that caters for the need of marginalised, oppressed, displaced and homeless people. Practical theology is thus described as fides  quaerens domum et locum [faith-seeking home and place], namely to inhabit. An Ekhaya approach to practical theological ecclesiology is about critical reflection through the eyes of those who are weak and who don’t count for much by the standards of successful people and institutions.

  3. Seasonality in cholera dynamics: A rainfall-driven model explains the wide range of patterns in endemic areas

    Science.gov (United States)

    Baracchini, Theo; King, Aaron A.; Bouma, Menno J.; Rodó, Xavier; Bertuzzo, Enrico; Pascual, Mercedes

    2017-10-01

    Seasonal patterns in cholera dynamics exhibit pronounced variability across geographical regions, showing single or multiple peaks at different times of the year. Although multiple hypotheses related to local climate variables have been proposed, an understanding of this seasonal variation remains incomplete. The historical Bengal region, which encompasses the full range of cholera's seasonality observed worldwide, provides a unique opportunity to gain insights on underlying environmental drivers. Here, we propose a mechanistic, rainfall-temperature driven, stochastic epidemiological model which explicitly accounts for the fluctuations of the aquatic reservoir, and analyze with this model the historical dataset of cholera mortality in the Bengal region. Parameters are inferred with a recently developed sequential Monte Carlo method for likelihood maximization in partially observed Markov processes. Results indicate that the hydrological regime is a major driver of the seasonal dynamics of cholera. Rainfall tends to buffer the propagation of the disease in wet regions due to the longer residence times of water in the environment and an associated dilution effect, whereas it enhances cholera resurgence in dry regions. Moreover, the dynamics of the environmental water reservoir determine whether the seasonality is unimodal or bimodal, as well as its phase relative to the monsoon. Thus, the full range of seasonal patterns can be explained based solely on the local variation of rainfall and temperature. Given the close connection between cholera seasonality and environmental conditions, a deeper understanding of the underlying mechanisms would allow the better management and planning of public health policies with respect to climate variability and climate change.

  4. Community-Wide Zero Energy Ready Home Standard

    Energy Technology Data Exchange (ETDEWEB)

    Herk, A. [IBACOS, Inc., Pittsburght, PA (United States); Beggs, T. [IBACOS, Inc., Pittsburght, PA (United States)

    2016-02-05

    This report outlines the steps a developer can use when looking to create and implement higher performance standards such as the U.S. Department of Energy (DOE) Zero Energy Ready Home (ZERH) standards in a community. The report also describes the specific examples of how this process was followed by a developer, Forest City, in the Stapleton community in Denver, Colorado. IBACOS described the steps used to begin to bring the DOE ZERH standard to the Forest City Stapleton community based on 15 years of community-scale development work done by IBACOS. As a result of this prior IBACOS work, the team gained an understanding of the various components that a master developer needs to consider and created strategies for incorporating those components in the initial phases of development to achieve higher performance buildings in the community. An automated scoring system can be used to perform an internal audit that provides a detailed and consistent evaluation of how several homes under construction or builders' floor plans compare with the requirements of the DOE Zero Energy Ready Home program. This audit can be performed multiple times at specific milestones during construction to allow the builder to make changes as needed throughout construction for the project to meet Zero Energy Ready Home standards. This scoring system also can be used to analyze a builder's current construction practices and design.

  5. Building America Best Practices Series, Volume 6: High-Performance Home Technologies: Solar Thermal & Photovoltaic Systems

    Energy Technology Data Exchange (ETDEWEB)

    Baechler, Michael C.; Gilbride, Theresa L.; Ruiz, Kathleen A.; Steward, Heidi E.; Love, Pat M.

    2007-06-04

    This guide is was written by PNNL for the US Department of Energy's Building America program to provide information for residential production builders interested in building near zero energy homes. The guide provides indepth descriptions of various roof-top photovoltaic power generating systems for homes. The guide also provides extensive information on various designs of solar thermal water heating systems for homes. The guide also provides construction company owners and managers with an understanding of how solar technologies can be added to their homes in a way that is cost effective, practical, and marketable. Twelve case studies provide examples of production builders across the United States who are building energy-efficient homes with photovoltaic or solar water heating systems.

  6. Medicare home health utilization as a function of nursing home market factors.

    OpenAIRE

    Swan, J H; Benjamin, A E

    1990-01-01

    Rapid increases in the size and costs of the home health market, unknown impacts of Medicare's DRG hospital reimbursement on the posthospital market, and general lack of knowledge about factors that explain interstate variation in home health utilization all suggest the importance of developing and testing models of Medicare home health use. This article proposes and tests a model of state home health utilization as a function of the nursing home market. This model proposes that home health u...

  7. Seasonal Difference in Postthyroidectomy Hypocalcemia: A Montreal-Based Study.

    Science.gov (United States)

    Mascarella, Marco A; Forest, Véronique-Isabelle; Nhan, Carol; Leboeuf, Rébecca; Tamilia, Michael; Mlynarek, Alex M; Payne, Richard J

    2016-02-01

    Hypocalcemia following thyroidectomy often prolongs hospital stay and is potentially life-threatening. The objective of this study is to determine whether the season when thyroidectomy is performed is associated with postoperative hypocalcemia. Retrospective case series of patients undergoing thyroid surgery from 2009 to 2015. Tertiary care academic institution in Montreal, Canada. A consecutive sample of 823 patients undergoing thyroidectomy by a single high-volume otolaryngologist for a suspected or confirmed thyroid malignancy. Patient demographics, procedure type, calcium and vitamin D supplementation, and seasonal rate of hypocalcemia postthyroidectomy were calculated and compared. Average seasonal rates of postthyroidectomy hypocalcemia in the winter, spring, summer, and autumn were, respectively, 8.3% (8 of 216), 7.3% (12 of 165), 1.5% (3 of 201), and 3.5% (8 of 228; P operated in the winter were 5.6 times more likely to develop hypocalcemia as compared with those in the summer (P factoring in season when surgery was performed, procedure type, and preoperative vitamin D/calcium supplementation, surgery occurring in the winter predicted a hypocalcemia event (correlation coefficient [SE]: 0.72 [0.024], P = .026; 0.006 [0.025], P = .81; 0.004 [0.019], P = .82, respectively). In this study, patients undergoing thyroidectomy in the winter months were more likely to develop postoperative hypocalcemia when compared with those operated in the summer. Further studies are needed to understand the role of vitamin D in the observed seasonal difference in hypocalcemia rates. © American Academy of Otolaryngology—Head and Neck Surgery Foundation 2015.

  8. Home nurses' turnover intentions: the impact of informal supervisory feedback and self-efficacy.

    Science.gov (United States)

    Van Waeyenberg, Thomas; Decramer, Adelien; Anseel, Frederik

    2015-12-01

    To examine how home nurses' turnover intentions are affected by the quality and frequency of supervisory feedback and by their own self-efficacy. Little is known about effective retention strategies for the growing home healthcare sector that struggles to retain an adequate workforce. While the work environment and supervisors have been found to play a key-role in nurses' turnover intentions, home nurses mostly work autonomously and apart from their supervisors. These circumstances require a customized approach and need to be understood to ensure high-quality home health care. We used a correlational, cross-sectional survey design. A convenience sample of 312 home nurses was selected from a division of a large home health care organization in Flanders, Belgium. Data were collected in 2013 using structured questionnaires and analysed using descriptive statistics, structural equation modelling and relative weight analysis. The quality of feedback was related to lower levels of turnover intentions. This relationship was fully mediated by home nurses' self-efficacy. Frequent favourable feedback was directly related to lower turnover intentions while the relationship between frequent unfavourable feedback and turnover intentions was conditional on home nurses' level of self-efficacy. This study contributes to our understanding of home nurses' turnover intentions and the role of informal supervisory feedback and home nurses' self-efficacy. © 2015 John Wiley & Sons Ltd.

  9. Gerontechnology for demented patients: smart homes for smart aging.

    Science.gov (United States)

    Frisardi, Vincenza; Imbimbo, Bruno P

    2011-01-01

    In an aging world, maintaining good health and independence for as long as possible is essential. Instead of hospitalization or institutionalization, the elderly with chronic conditions, especially those with cognitive impairment, can be assisted in their own environment with numerous 'smart' devices that support them in their activity of daily living. A "smart home" is a residence equipped with technology that facilitates monitoring of residents to improve quality of life and promote physical independence, as well as to reduce caregiver burden. Several projects worldwide have been conducted, but some ethical and legal issues are still unresolved and, at present, there is no evidence of the effects of smart homes on health outcomes. Randomized controlled trials are needed to understand the plus and minuses of these projects, but this will only be possible with a widespread proliferation and penetration of smart homes in the social network.

  10. The Sweet-Home speech and multimodal corpus for home automation interaction

    OpenAIRE

    Vacher , Michel; Lecouteux , Benjamin; Chahuara , Pedro; Portet , François; Meillon , Brigitte; Bonnefond , Nicolas

    2014-01-01

    International audience; Ambient Assisted Living aims at enhancing the quality of life of older and disabled people at home thanks to Smart Homes and Home Automation. However, many studies do not include tests in real settings, because data collection in this domain is very expensive and challenging and because of the few available data sets. The SWEET-H OME multimodal corpus is a dataset recorded in realistic conditions in D OMUS, a fully equipped Smart Home with microphones and home automati...

  11. Smoke-Free Homes and Home Exposure to Secondhand Smoke in Shanghai, China

    Directory of Open Access Journals (Sweden)

    Pinpin Zheng

    2014-11-01

    Full Text Available Few studies have examined home exposure to secondhand smoke (SHS in China. This study aimed to document: (1 the prevalence and correlates of exposure to SHS in homes (in adult non-smokers in Shanghai, and (2 enforcement of rules, harm reduction behaviors, and self-efficacy for maintaining smoke-free homes in Shanghai. A total of 500 participants were recruited using a multistage proportional random sampling design in an urban and suburban district to complete a survey. Among the total 355 nonsmokers, 127 (35.8% participants reported being exposed to SHS in the past 7 days. Participants living with smokers in the home, with no smoking restriction at home, and having children younger than 18 were more likely to be exposed to SHS at home. Higher self-efficacy in maintaining a smoke-free home was negatively associated with home SHS exposure. Having visitors who smoke was the greatest policy enforcement challenge. Ineffective measures such as opening windows were more commonly used in homes with partial bans. Educational initiatives to protect against SHS exposure in the home should promote smoke-free homes, address challenges to implementing such policies, and address misconceptions regarding the effectiveness of supposed harm reduction behaviors.

  12. Fundamental elements in examining a child’s right to education: A study of home education research and regulation in Australia

    Directory of Open Access Journals (Sweden)

    Glenda JACKSON

    2010-07-01

    Full Text Available Home education provides valuable educational and developmental opportunities for children. An examination of Australia’s research indicates many best educational practices, including more informed mediation, contextualised learning, and opportunities to exercise autonomy. Key features include learning embedded in communities and program modification in response to students’ needs. Current state and territory legal requirements are examined within the context of this research and Australia’s obligations to international human rights treaties. All jurisdictions accept home education as one way to meet compulsory education requirements. The extent to which respective laws then reflect understanding of home education research and practice varies. Most jurisdictions allow for a varietyof educational approaches. Some oversight regulation could however be modified to reflect a better understanding of home education. Consultation with home educators and reference to research would assist the development of more uniform legislation and policy across Australia, and enable better regulatory practice.

  13. GloFAS-Seasonal: Operational Seasonal Ensemble River Flow Forecasts at the Global Scale

    Science.gov (United States)

    Emerton, Rebecca; Zsoter, Ervin; Smith, Paul; Salamon, Peter

    2017-04-01

    Seasonal hydrological forecasting has potential benefits for many sectors, including agriculture, water resources management and humanitarian aid. At present, no global scale seasonal hydrological forecasting system exists operationally; although smaller scale systems have begun to emerge around the globe over the past decade, a system providing consistent global scale seasonal forecasts would be of great benefit in regions where no other forecasting system exists, and to organisations operating at the global scale, such as disaster relief. We present here a new operational global ensemble seasonal hydrological forecast, currently under development at ECMWF as part of the Global Flood Awareness System (GloFAS). The proposed system, which builds upon the current version of GloFAS, takes the long-range forecasts from the ECMWF System4 ensemble seasonal forecast system (which incorporates the HTESSEL land surface scheme) and uses this runoff as input to the Lisflood routing model, producing a seasonal river flow forecast out to 4 months lead time, for the global river network. The seasonal forecasts will be evaluated using the global river discharge reanalysis, and observations where available, to determine the potential value of the forecasts across the globe. The seasonal forecasts will be presented as a new layer in the GloFAS interface, which will provide a global map of river catchments, indicating whether the catchment-averaged discharge forecast is showing abnormally high or low flows during the 4-month lead time. Each catchment will display the corresponding forecast as an ensemble hydrograph of the weekly-averaged discharge forecast out to 4 months, with percentile thresholds shown for comparison with the discharge climatology. The forecast visualisation is based on a combination of the current medium-range GloFAS forecasts and the operational EFAS (European Flood Awareness System) seasonal outlook, and aims to effectively communicate the nature of a seasonal

  14. Ageing out of place: The meaning of home among hispanic older persons living in the United States.

    Science.gov (United States)

    Curtin, Alicia; Martins, Diane C; Gillsjö, Catharina; Schwartz-Barcott, Donna

    2017-09-01

    To explore the meaning of home among older Hispanic immigrants who are "aging out of place." Emerging evidence supports the concept of older persons ageing in place. Nurse researchers have demonstrated that older person who age in place have better physical, psychological and cognitive outcomes. Less, however, is known about older persons who are "aging out of place," meaning out of their country of origin. With the growth of home health care, there is a need to understand the older immigrants' meaning of home when ageing out of their country of origin. An inductive, qualitative descriptive research design was used. Seventeen Hispanic participants, ranging in age from 65 to 83 years were interviewed using a semi-structured interview protocol. Two major finding of the study focused on participants' descriptions of home in their country of origin and in the USA. The majority of participants described their home in their native country as the community, countryside or town (pueblo) and in the U.S.A. as family. The level of social isolation and loneliness among participants was evident. Older Hispanic immigrants who are "aging out of place" integrate their past experiences of sense of place in their native country with their present experiences of home in the USA. The need to understand the role of the community and the family in the provision of nursing care in the home may be more important than the physical structure or setting in which it is delivered. Further intra- and cross-national studies are needed to provide a framework for understanding the issues of ageing and immigration globally. Gerontological nurses need to recognise the complexity of family relationships for older Hispanic persons who are ageing out of place of origin and their risk of depression, social isolation, and loneliness. © 2017 John Wiley & Sons Ltd.

  15. DOE Zero Energy Ready Home Case Study: Sterling Brook Custom Homes — Village Park Eco Home, Double Park, TX

    Energy Technology Data Exchange (ETDEWEB)

    none,

    2014-09-01

    This builder won a Custom Builder honor in the 2014 Housing Innovation Awards for this showcase home that serves as an energy-efficient model home for the custom home builder: 1,300 visitors toured the home, thousands more learned about the home’s advanced construction via the webpage, YouTube, Twitter, Facebook, Instagram, and Pinterest.

  16. Access to patient-centered medical home among Ohio's Children with Special Health Care Needs.

    Science.gov (United States)

    Conrey, Elizabeth J; Seidu, Dazar; Ryan, Norma J; Chapman, Dj Sam

    2013-06-01

    Medical homes deliver primary care that is accessible, continuous, comprehensive, family centered, coordinated, compassionate and culturally effective. Children with special health care needs (CSHCN) require a wide range of support to maintain health, making medical home access particularly important. We sought to understand independent risk factors for lacking access. We analyzed Ohio, USA data from the National Survey of Children with Special Health Care Needs (2005-2006). Among CSHCN, 55.6% had medical home access. The proportion achieving each medical home component was highest for having a personal doctor/nurse and lowest for receiving coordinated care, family-centered care and referrals. Specific subsets of CSHCN were significantly and independently more likely to lack medical home access: Hispanic (AOR=3.08), moderate/high severity of difficulty (AOR=2.84), and any public insurance (AOR=1.60). Efforts to advance medical home access must give special attention to these CSHCN populations and improvements must be made to referral access, family-centered care, and care coordination.

  17. HOME Grantee Areas

    Data.gov (United States)

    Department of Housing and Urban Development — The HOME Investment Partnership Program (HOME) is authorized under Title II of the Cranston-Gonzalez National Affordable Housing Act. HOME provides formula grants to...

  18. Seasonal Scale Convective-Stratiform Pricipitation Variabilities at Tropics

    Science.gov (United States)

    S, Sreekanth T.

    begin{center} Large Seasonal Scale Convective-Stratiform Pricipitation Variabilities at Tropics Sreekanth T S*, Suby Symon*, G. Mohan Kumar (1) and V Sasi Kumar (2) *Centre for Earth Science Studies, Akkulam, Thiruvananthapuram (1) D-330, Swathi Nagar, West Fort, Thiruvananthapuram 695023 (2) 32. NCC Nagar Peroorkada, Thiruvananthapuram ABSTRACT This study investigates the variabilities of convective and stratiform rainfall from 2011 to 2013 at a tropical coastal station in three seasons viz Pre-Monsoon (March-May), Monsoon (June-September) and Post-Monsoon (October-December). Understanding the climatological variability of these two dominant forms of precipitation and their implications in the total rainfall were the main objectives of this investigation. Variabilities in the frequency & duration of events, rain rate & total number of rain drops distribution in different events and the accumulated amount of rain water were analysed. Based on the ground & radar observations from optical & impact disdrometers, Micro Rain Radar and Atmospheric Electric Field Mill, precipitation events were classified into convective and stratiform in three seasons. Classification was done by the method followed by Testud et al (2001) and as an additional information electrical behaviour of clouds from Atmospheric Electric Field Mill is also used. Events which could not be included in both types were termed as 'mixed precipitation' and were included separately. Diurnal variability of the total rainfall in each seasons were also examined. For both convective and stratiform rainfall there exist distinct day-night differences. During nocturnal hours convective rain draged more attention. In all seasons almost 70% of rain duration and 60% of rain events of convective origin were confined to nocturnal hours. But stratiform rain was not affected by diurnal variations greatly because night time occurrences of stratiform duration and events were less than 50%. Also in Monsoon above 35% of

  19. Estimates of eddy turbulence consistent with seasonal variations of atomic oxygen and its possible role in the seasonal cycle of mesopause temperature

    Directory of Open Access Journals (Sweden)

    M. N. Vlasov

    2010-11-01

    Full Text Available According to current understanding, adiabatic cooling and heating induced by the meridional circulation driven by gravity waves is the major process for the cold summer and warm winter polar upper mesosphere. However, our calculations show that the upward/downward motion needed for adiabatic cooling/heating of the summer/winter polar mesopause simultaneously induces a seasonal variation in both the O maximum density and the altitude of the [O] peak that is opposite to the observed variables generalized by the MSISE-90 model. It is usually accepted that eddy turbulence can produce the [O] seasonal variations. Using this approach, we can infer the eddy diffusion coefficient for the different seasons. Taking these results and experimental data on the eddy diffusion coefficient, we consider in detail and estimate the heating and cooling caused by eddy turbulence in the summer and winter polar upper mesosphere. The seasonal variations of these processes are similar to the seasonal variations of the temperature and mesopause. These results lead to the conclusion that heating/cooling by eddy turbulence is an important component in the energy budget and that adiabatic cooling/heating induced by upward/downward motion cannot dominate in the mesopause region. Our study shows that the impact of the dynamic process, induced by gravity waves, on [O] distributions must be included in models of thermal balance in the upper mesosphere and lower thermosphere (MLT for a consistent description because (a the [O] distribution is very sensitive to dynamic processes, and (b atomic oxygen plays a very important role in chemical heating and infrared cooling in the MLT. To our knowledge, this is the first attempt to consider this aspect of the problem.

  20. SEASONAL DIFFERENCES IN PHYSICAL ACTIVITY AND SEDENTARY PATTERNS: THE RELEVANCE OF THE PA CONTEXT

    Directory of Open Access Journals (Sweden)

    Pedro Silva

    2011-03-01

    Full Text Available The aim of this pilot study was to characterize seasonal variation in the moderate to vigorous physical activity (MVPA and sedentary behavior of Portuguese school youth, and understand the influence of activity choices and settings. The participants in this study were 24 students, aged 10-13 years. Accelerometers measured daily PA over 7 consecutive days, in different seasons May - June and January - February. In summer, boys accumulated more minutes in MVPA (928 minutes/week than girls (793 minutes/week. In winter the pattern was reversed with girls accumulating more activity than boys (736 minutes/week vs. 598 minutes/week. The repeated measures ANOVA revealed significant effects for season (F = 5.98, p = 0.023 and in- school vs. out-of-school (F = 6.53, p = 0.018. Youth were more active in the summer and activity levels were higher after school than in school. Summer season provided relevant contexts for youth physical activity accumulation. Winter season may have been a significant barrier to boy's preferred PA context. Differences in choices of outdoor or indoor PA, after school, explained the gender differences in seasonal activity patterns

  1. The effect of seasonal changes and climatic factors on suicide attempts of young people.

    Science.gov (United States)

    Akkaya-Kalayci, Türkan; Vyssoki, Benjamin; Winkler, Dietmar; Willeit, Matthaeus; Kapusta, Nestor D; Dorffner, Georg; Özlü-Erkilic, Zeliha

    2017-11-15

    Seasonal changes and climatic factors like ambient temperature, sunlight duration and rainfall can influence suicidal behavior. This study analyses the relationship between seasonal changes and climatic variations and suicide attempts in 2131 young patients in Istanbul, Turkey. In our study sample, there was an association between suicide attempts in youths and seasonal changes, as suicide attempts occurred most frequently during summer in females as well as in males. Furthermore, there was a positive correlation between the mean temperature over the past 10 days and temperature at the index day and suicide attempts in females. After seasonality effects were mathematically removed, the mean temperature 10 days before a suicide attempt remained significant in males only, indicating a possible short-term influence of temperature on suicide attempts. This study shows an association between suicide attempts of young people and climatic changes, in particular temperature changes as well as seasonal changes. Therefore, the influence of seasonal changes and climatic factors on young suicide attempters should get more attention in research to understand the biopsychosocial mechanisms playing a role in suicide attempts of young people. As suicide attempts most frequently occur in young people, further research is of considerable clinical importance.

  2. Timing of Seasonal Sales.

    OpenAIRE

    Courty, Pascal; Li, Hao

    1999-01-01

    We present a model of timing of seasonal sales where stores choose several designs at the beginning of the season without knowing wich one, if any, will be fashionable. Fashionable designs have a chance to fetch high prices in fashion markets while non-fashionable ones must be sold in a discount market. In the beginning of the season, stores charge high prices in the hope of capturing their fashion market. As the end of the season approaches with goods still on the shelves, stores adjust down...

  3. Automated Cognitive Health Assessment Using Smart Home Monitoring of Complex Tasks.

    Science.gov (United States)

    Dawadi, Prafulla N; Cook, Diane J; Schmitter-Edgecombe, Maureen

    2013-11-01

    One of the many services that intelligent systems can provide is the automated assessment of resident well-being. We hypothesize that the functional health of individuals, or ability of individuals to perform activities independently without assistance, can be estimated by tracking their activities using smart home technologies. In this paper, we introduce a machine learning-based method for assessing activity quality in smart homes. To validate our approach we quantify activity quality for 179 volunteer participants who performed a complex, interweaved set of activities in our smart home apartment. We observed a statistically significant correlation (r=0.79) between automated assessment of task quality and direct observation scores. Using machine learning techniques to predict the cognitive health of the participants based on task quality is accomplished with an AUC value of 0.64. We believe that this capability is an important step in understanding everyday functional health of individuals in their home environments.

  4. Amazon forest structure generates diurnal and seasonal variability in light utilization

    Science.gov (United States)

    Douglas C. Morton; Jeremy Rubio; Bruce D. Cook; Jean-Philippe Gastellu-Etchegorry; Marcos Longo; Hyeungu Choi; Maria Hunter; Michael Keller

    2016-01-01

    The complex three-dimensional (3-D) structure of tropical forests generates a diversity of light environments for canopy and understory trees. Understanding diurnal and seasonal changes in light availability is critical for interpreting measurements of net ecosystem exchange and improving ecosystem models. Here, we used the Discrete Anisotropic Radiative Transfer (DART...

  5. Quantifying the influence of CO2 seasonality on future ocean acidification

    Science.gov (United States)

    Sasse, T. P.; McNeil, B. I.; Matear, R. J.; Lenton, A.

    2015-04-01

    Ocean acidification is a predictable consequence of rising atmospheric carbon dioxide (CO2), and is highly likely to impact the entire marine ecosystem - from plankton at the base to fish at the top. Factors which are expected to be impacted include reproductive health, organism growth and species composition and distribution. Predicting when critical threshold values will be reached is crucial for projecting the future health of marine ecosystems and for marine resources planning and management. The impacts of ocean acidification will be first felt at the seasonal scale, however our understanding how seasonal variability will influence rates of future ocean acidification remains poorly constrained due to current model and data limitations. To address this issue, we first quantified the seasonal cycle of aragonite saturation state utilizing new data-based estimates of global ocean surface dissolved inorganic carbon and alkalinity. This seasonality was then combined with earth system model projections under different emissions scenarios (RCPs 2.6, 4.5 and 8.5) to provide new insights into future aragonite under-saturation onset. Under a high emissions scenario (RCP 8.5), our results suggest accounting for seasonality will bring forward the initial onset of month-long under-saturation by 17 years compared to annual-mean estimates, with differences extending up to 35 ± 17 years in the North Pacific due to strong regional seasonality. Our results also show large-scale under-saturation once atmospheric CO2 reaches 486 ppm in the North Pacific and 511 ppm in the Southern Ocean independent of emission scenario. Our results suggest that accounting for seasonality is critical to projecting the future impacts of ocean acidification on the marine environment.

  6. A Swedish interview study: parents' assessment of risks in home births.

    Science.gov (United States)

    Lindgren, Helena; Hildingsson, Ingegerd; Rådestad, Ingela

    2006-03-01

    to describe home-birth risk assessment by parents. interviews using a semi-structured interview guide. Data were analysed using a phenomenological approach. independent midwifery practices in Sweden. five couples who had had planned home births. the parents had a fundamental trust that the birth would take place without complications, and they experienced meaningfulness in the event itself. Risks were considered to be part of a complex phenomenon that was not limited to births at home. This attitude seems to be part of a lifestyle that has a bearing on how risks experienced during the birth were handled. Five categories were identified as counterbalancing the risk of possible complications: (1) trust in the woman's ability to give birth; (2) trust in intuition; (3) confidence in the midwife; (4) confidence in the relationship; and (5) physical and intellectual preparation. although the parents were conscious of the risk of complications during childbirth, a fundamental trust in the woman's independent ability to give birth was central to the decision to choose a home birth. Importance was attached to the expected positive effects of having the birth at home. knowledge of parents' assessment can promote an increased understanding of how parents-to-be experience the risks associated with home birth.

  7. Home and Health in the Third Age — Methodological Background and Descriptive Findings

    Directory of Open Access Journals (Sweden)

    Maya Kylén

    2014-07-01

    Full Text Available Background: The understanding of the complex relationship between the home environment, well-being and daily functioning in the third age is currently weak. The aim of this paper is to present the methodological background of the Home and Health in the Third Age Study, and describe a sample of men and women in relation to their home and health situation. Methods and Design: The study sample included 371 people aged 67–70, living in ordinary housing in the south of Sweden. Structured interviews and observations were conducted to collect data about objective and perceived aspects of home and health. Results: The majority of the participants were in good health and had few functional limitations. Women had more functional limitations and reported more symptoms than men. Environmental barriers were found in every home investigated; the most were found in the kitchen and hygiene area. Environmental barriers were more common in multi-family than in one-family dwellings. Discussion: This study will increase our knowledge on home and health dynamics among people in the third age. The results have potential to contribute to societal planning related to housing provision, home care and social services for senior citizens.

  8. Parkinson’s Disease and Home Healthcare Use and Expenditures among Elderly Medicare Beneficiaries

    Directory of Open Access Journals (Sweden)

    Sandipan Bhattacharjee

    2015-01-01

    Full Text Available This study estimated excess home healthcare use and expenditures among elderly Medicare beneficiaries (age ≥ 65 years with Parkinson’s disease (PD compared to those without PD and analyzed the extent to which predisposing, enabling, need factors, personal health choice, and external environment contribute to the excess home healthcare use and expenditures among individuals with PD. A retrospective, observational, cohort study design using Medicare 5% sample claims for years 2006-2007 was used for this study. Logistic regressions and Ordinary Least Squares regressions were used to assess the association of PD with home health use and expenditures, respectively. Postregression nonlinear and linear decomposition techniques were used to understand the extent to which differences in home healthcare use and expenditures among elderly Medicare beneficiaries with and without PD can be explained by individual-level factors. Elderly Medicare beneficiaries with PD had higher home health use and expenditures compared to those without PD. 27.5% and 18% of the gap in home health use and expenditures, respectively, were explained by differences in characteristics between the PD and no PD groups. A large portion of the differences in home healthcare use and expenditures remained unexplained.

  9. Home and Health in the Third Age — Methodological Background and Descriptive Findings

    Science.gov (United States)

    Kylén, Maya; Ekström, Henrik; Haak, Maria; Elmståhl, Sölve; Iwarsson, Susanne

    2014-01-01

    Background: The understanding of the complex relationship between the home environment, well-being and daily functioning in the third age is currently weak. The aim of this paper is to present the methodological background of the Home and Health in the Third Age Study, and describe a sample of men and women in relation to their home and health situation. Methods and Design: The study sample included 371 people aged 67–70, living in ordinary housing in the south of Sweden. Structured interviews and observations were conducted to collect data about objective and perceived aspects of home and health. Results: The majority of the participants were in good health and had few functional limitations. Women had more functional limitations and reported more symptoms than men. Environmental barriers were found in every home investigated; the most were found in the kitchen and hygiene area. Environmental barriers were more common in multi-family than in one-family dwellings. Discussion: This study will increase our knowledge on home and health dynamics among people in the third age. The results have potential to contribute to societal planning related to housing provision, home care and social services for senior citizens. PMID:25019267

  10. Seasonal variation of carbon fluxes in a sparse savanna in semi arid Sudan.

    Science.gov (United States)

    Ardö, Jonas; Mölder, Meelis; El-Tahir, Bashir Awad; Elkhidir, Hatim Abdalla Mohammed

    2008-12-01

    Large spatial, seasonal and annual variability of major drivers of the carbon cycle (precipitation, temperature, fire regime and nutrient availability) are common in the Sahel region. This causes large variability in net ecosystem exchange and in vegetation productivity, the subsistence basis for a major part of the rural population in Sahel. This study compares the 2005 dry and wet season fluxes of CO2 for a grass land/sparse savanna site in semi arid Sudan and relates these fluxes to water availability and incoming photosynthetic photon flux density (PPFD). Data from this site could complement the current sparse observation network in Africa, a continent where climatic change could significantly impact the future and which constitute a weak link in our understanding of the global carbon cycle. The dry season (represented by Julian day 35-46, February 2005) was characterized by low soil moisture availability, low evapotranspiration and a high vapor pressure deficit. The mean daily NEE (net ecosystem exchange, Eq. 1) was -14.7 mmol d-1 for the 12 day period (negative numbers denote sinks, i.e. flux from the atmosphere to the biosphere). The water use efficiency (WUE) was 1.6 mmol CO2 mol H2O-1 and the light use efficiency (LUE) was 0.95 mmol CO2 mol PPFD-1. Photosynthesis is a weak, but linear function of PPFD. The wet season (represented by Julian day 266-273, September 2005) was, compared to the dry season, characterized by slightly higher soil moisture availability, higher evapotranspiration and a slightly lower vapor pressure deficit. The mean daily NEE was -152 mmol d-1 for the 8 day period. The WUE was lower, 0.97 mmol CO2 mol H2O-1 and the LUE was higher, 7.2 mumol CO2 mmol PPFD-1 during the wet season compared to the dry season. During the wet season photosynthesis increases with PPFD to about 1600 mumol m-2s-1 and then levels off. Based on data collected during two short periods, the studied ecosystem was a sink of carbon both during the dry and wet season

  11. Seasonal variation of carbon fluxes in a sparse savanna in semi arid Sudan

    Directory of Open Access Journals (Sweden)

    El-Tahir Bashir

    2008-12-01

    Full Text Available Abstract Background Large spatial, seasonal and annual variability of major drivers of the carbon cycle (precipitation, temperature, fire regime and nutrient availability are common in the Sahel region. This causes large variability in net ecosystem exchange and in vegetation productivity, the subsistence basis for a major part of the rural population in Sahel. This study compares the 2005 dry and wet season fluxes of CO2 for a grass land/sparse savanna site in semi arid Sudan and relates these fluxes to water availability and incoming photosynthetic photon flux density (PPFD. Data from this site could complement the current sparse observation network in Africa, a continent where climatic change could significantly impact the future and which constitute a weak link in our understanding of the global carbon cycle. Results The dry season (represented by Julian day 35–46, February 2005 was characterized by low soil moisture availability, low evapotranspiration and a high vapor pressure deficit. The mean daily NEE (net ecosystem exchange, Eq. 1 was -14.7 mmol d-1 for the 12 day period (negative numbers denote sinks, i.e. flux from the atmosphere to the biosphere. The water use efficiency (WUE was 1.6 mmol CO2 mol H2O-1 and the light use efficiency (LUE was 0.95 mmol CO2 mol PPFD-1. Photosynthesis is a weak, but linear function of PPFD. The wet season (represented by Julian day 266–273, September 2005 was, compared to the dry season, characterized by slightly higher soil moisture availability, higher evapotranspiration and a slightly lower vapor pressure deficit. The mean daily NEE was -152 mmol d-1 for the 8 day period. The WUE was lower, 0.97 mmol CO2 mol H2O-1 and the LUE was higher, 7.2 μmol CO2 mmol PPFD-1 during the wet season compared to the dry season. During the wet season photosynthesis increases with PPFD to about 1600 μmol m-2s-1 and then levels off. Conclusion Based on data collected during two short periods, the studied ecosystem

  12. Discrimination of chicken seasonings and beef seasonings using electronic nose and sensory evaluation.

    Science.gov (United States)

    Tian, Huaixiang; Li, Fenghua; Qin, Lan; Yu, Haiyan; Ma, Xia

    2014-11-01

    This study examines the feasibility of electronic nose as a method to discriminate chicken and beef seasonings and to predict sensory attributes. Sensory evaluation showed that 8 chicken seasonings and 4 beef seasonings could be well discriminated and classified based on 8 sensory attributes. The sensory attributes including chicken/beef, gamey, garlic, spicy, onion, soy sauce, retention, and overall aroma intensity were generated by a trained evaluation panel. Principal component analysis (PCA), discriminant factor analysis (DFA), and cluster analysis (CA) combined with electronic nose were used to discriminate seasoning samples based on the difference of the sensor response signals of chicken and beef seasonings. The correlation between sensory attributes and electronic nose sensors signal was established using partial least squares regression (PLSR) method. The results showed that the seasoning samples were all correctly classified by the electronic nose combined with PCA, DFA, and CA. The electronic nose gave good prediction results for all the sensory attributes with correlation coefficient (r) higher than 0.8. The work indicated that electronic nose is an effective method for discriminating different seasonings and predicting sensory attributes. © 2014 Institute of Food Technologists®

  13. Factors predisposing nursing home resident to inappropriate transfer to emergency department. The FINE study protocol

    Directory of Open Access Journals (Sweden)

    Amélie Perrin

    2017-09-01

    Full Text Available Background: Each year, around one out of two nursing home (NH residents are hospitalized in France, and about half to the emergency department (ED. These transfers are frequently inappropriate. This paper describes the protocol of the FINE study. The first aim of this study is to identify the factors associated with inappropriate transfers to ED. Methods/design: FINE is a case-control observational study. Sixteen hospitals participate. Inclusion period lasts 7 days per season in each center for a total period of inclusion of one year. All the NH residents admitted in ED during these periods are included. Data are collected in 4 times: before transfer in the NH, at the ED, in hospital wards in case of patient's hospitalization and at the patient's return to NH. The appropriateness of ED transfers (i.e. case versus control NH residents is determined by a multidisciplinary team of experts. Results: Our primary objective is to determine the factors predisposing NH residents to inappropriate transfer to ED. Our secondary objectives are to assess the cost of the transfers to ED; study the evolution of NH residents' functional status and the psychotropic and inappropriate drugs prescription between before and after the transfer; calculate the prevalence of potentially avoidable transfers to ED; and identify the factors predisposing NH residents to potentially avoidable transfer to ED. Discussion: A better understanding of the determinant factors of inappropriate transfers to ED of NH residents may lead to proposals of recommendations of better practice in NH and would allow implementing quality improvement programs in the health organization. Keywords: Inappropriate transfer, Nursing home resident, Emergency department transfer, Potentially avoidable transfer, Appropriateness of transfer, Inappropriate hospitalization

  14. Effect of sociality and season on gray wolf (Canis lupus) foraging behavior: implications for estimating summer kill rate.

    Science.gov (United States)

    Metz, Matthew C; Vucetich, John A; Smith, Douglas W; Stahler, Daniel R; Peterson, Rolf O

    2011-03-01

    Understanding how kill rates vary among seasons is required to understand predation by vertebrate species living in temperate climates. Unfortunately, kill rates are only rarely estimated during summer. For several wolf packs in Yellowstone National Park, we used pairs of collared wolves living in the same pack and the double-count method to estimate the probability of attendance (PA) for an individual wolf at a carcass. PA quantifies an important aspect of social foraging behavior (i.e., the cohesiveness of foraging). We used PA to estimate summer kill rates for packs containing GPS-collared wolves between 2004 and 2009. Estimated rates of daily prey acquisition (edible biomass per wolf) decreased from 8.4±0.9 kg (mean ± SE) in May to 4.1±0.4 kg in July. Failure to account for PA would have resulted in underestimating kill rate by 32%. PA was 0.72±0.05 for large ungulate prey and 0.46±0.04 for small ungulate prey. To assess seasonal differences in social foraging behavior, we also evaluated PA during winter for VHF-collared wolves between 1997 and 2009. During winter, PA was 0.95±0.01. PA was not influenced by prey size but was influenced by wolf age and pack size. Our results demonstrate that seasonal patterns in the foraging behavior of social carnivores have important implications for understanding their social behavior and estimating kill rates. Synthesizing our findings with previous insights suggests that there is important seasonal variation in how and why social carnivores live in groups. Our findings are also important for applications of GPS collars to estimate kill rates. Specifically, because the factors affecting the PA of social carnivores likely differ between seasons, kill rates estimated through GPS collars should account for seasonal differences in social foraging behavior.

  15. Health and Safety Guide for Home Performance Contractors

    Energy Technology Data Exchange (ETDEWEB)

    Stratton, Chris [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Walker, Iain S. [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States)

    2012-02-15

    This report is intended to provide home performance contractor trainers with a resource to keep both their workers and home residents safe and healthy. This document is an attempt to describe what we currently believe is safe, what we believe is unsafe, and what we’re unsure about. It is intended to identify health and safety issues and provide historical context and current understanding of both risks and mitigation strategies. In addition, it provides links to more in-depth resources for each issue. When we tighten the thermal envelope of a house to improve comfort and reduce energy use, we have to be sure that we are not compromising the indoor air quality of the home. This means identifying and mitigating or eliminating pollution sources before and after you make changes to the home. These sources can include materials and finishes in the home, exhaust gasses from combustion appliances, soil gasses such as radon, and moisture from a bathroom, kitchen, or unvented clothes dryer. Our first responsibility is to do no harm — this applies both to our clients and to our employees. Currently, there are many new products that are widely used but whose health effects are not well understood. Our in ability to have perfect information means the directive to do no harm can be difficult to obey. Each home is a little bit different, and in the face of a situation you’ve never encountered, it’s important to have a solid grasp of the fundamental concepts of building science when the hard and fast rules don’t apply . The home performance industry is gaining momentum, and has the potential to expand greatly as energy costs continue to rise. It is imperative that we remain vigilant about protecting the health and safety of our workers and our customers. It only takes a few news stories about a family that got sick after their home was tightened by a home performance contractor to scare off potential customers and taint the reputation of the entire industry. Good

  16. Space use of wintering waterbirds in India: Influence of trophic ecology on home-range size

    Science.gov (United States)

    Namgail, Tsewang; Takekawa, John Y.; Balachandran, Sivananinthaperumal; Sathiyaselvam, Ponnusamy; Mundkur, Taej; Newman, Scott H.

    2014-01-01

    Relationship between species' home range and their other biological traits remains poorly understood, especially in migratory birds due to the difficulty associated with tracking them. Advances in satellite telemetry and remote sensing techniques have proved instrumental in overcoming such challenges. We studied the space use of migratory ducks through satellite telemetry with an objective of understanding the influence of body mass and feeding habits on their home-range sizes. We marked 26 individuals, representing five species of migratory ducks, with satellite transmitters during two consecutive winters in three Indian states. We used kernel methods to estimate home ranges and core use areas of these waterfowl, and assessed the influence of body mass and feeding habits on home-range size. Feeding habits influenced the home-range size of the migratory ducks. Carnivorous ducks had the largest home ranges, herbivorous ducks the smallest, while omnivorous species had intermediate home-ranges. Body mass did not explain variation in home-range size. To our knowledge, this is the first study of its kind on migratory ducks, and it has important implications for their conservation and management.

  17. Smart Cities - Smart Homes and Smart Home Technology

    OpenAIRE

    Faanes, Erlend Kydland

    2014-01-01

    This master’s thesis consists of two articles where the first article is theoretical and the second is the empirical study. Article I The purpose with this paper is to explore and illuminate how smart home and smart home technology can contribute to enhance health and Quality of Life in elderly citizens and allow them to live longer in their home. The paper provides a brief introduction to health promotion and highlights the thesis theoretical framework and foundation of Aaron Antonov...

  18. Nursing perception of patient transitions from hospitals to home with home health.

    Science.gov (United States)

    Smith, Shannon Bright; Alexander, Judith W

    2012-01-01

    The study's purpose was to determine nurses' opinions of sending patients from the hospital to home with home health services. The study occurred in the Charleston, South Carolina, Tricounty area (Berkeley, Charleston, and Dorchester counties). Home health agencies and hospitals were invited to participate. The study used a survey design to gather information on nursing perceptions of current practices and needed changes to improve transition of patients. The population was nurses (licensed practical nurses (LPNs) and registered nurses (RNs)) employed at inpatient hospitals or home health agencies in the area. Thirty-four RNs responded with no LPNs respondents. Agency administrators/chief nursing officers agreed for their agencies to participate and distributed the survey using a Research Electronic Data Capture (REDCap) Internet-based survey tool. Using the survey results and information from a literature review, the study developed a list of propositions, which participating administrators reviewed, for improving transitions to home. Both home health and hospital nurses reported a need to improve the process of sending patients from hospital to home with home health services. This study provides hospitals and home health agencies with propositions to facilitate the establishment of a process to communicate effectively patients care needs and streamline the discharging patients from the hospital to home health care; thus, improving patient transition. Case managers and discharge planners will need interagency collaboration along with evidence-based interventions to transition patients from the hospital to home with home health services with various populations. Direct patient care nurses in both hospital and home health settings should share the same accountability as case managers to ensure successful transitions.

  19. Representing in-home and out-of-home energy consumption behavior in Beijing

    International Nuclear Information System (INIS)

    Yu Biying; Zhang Junyi; Fujiwara, Akimasa

    2011-01-01

    It is expected that in-home and out-of-home energy consumption behavior in a household might be correlated with each other, probably due to the existence of household budget constraints. Ownership and usage of energy-saving technologies for in-home appliances (or vehicles) might lead to the increase in out-of-home (or in-home) energy consumption. It is therefore necessary to jointly represent in-home and out-of-home energy consumption in the same modeling framework. With this consideration, we first build a new type of energy consumption model based on the Multiple Discrete-Continuous Extreme Value (MDCEV) modeling framework. Next, we conducted a questionnaire survey in Beijing in 2009 and successfully collected the information about households' energy consumption, ownership/usage of in-home appliances and vehicles, and households' and their members' attributes from 1014 households. Throughout an empirical analysis, it is confirmed that the MDCEV model is effective to simultaneously describe the in-home and out-of-home energy consumption behavior. In addition, it is revealed that a set of household and personal attributes affect the ownership and usage of in-home appliances and vehicles. Furthermore, it is shown that the unobserved factors play a much more important role in explaining energy consumption behavior than the observed attributes of households and their members. - Highlights: → Representing in-home and out-of-home energy consumption behavior jointly. → MDCEV model is built to describe household energy consumption behavior. → Log-linear competitive relationships are found among expenditures of end-uses. → Model results provide some insights about the influence of varied observed factors. → Unobserved factors are more important in explaining energy consumption behavior.

  20. The material and social predicaments of home: women's experiences after aortocoronary bypass surgery.

    Science.gov (United States)

    Angus, J

    2001-09-01

    Several authors argue that women's lives are conditioned by social locations such as class, race, ethnicity, age, and chronic illness or (dis)ability. Patterns of advantage and disadvantage, domination and oppression are formed which constitute the groundwork of women's health. An institutional ethnography was designed to follow the experiences of 18 women on their return home following aortocoronary bypass surgery. Using the narratives of 3 women as examples, the author highlights the everyday activities pursued by the women in the first month after their return home. The author describes the circumstances under which the activities occurred and discusses the social relations reflected in the descriptions. From this analysis it is argued that research and substantive work would benefit from a more critical understanding of women's different experiences of the home and of home care.

  1. A Correlational Study of Telework Frequency, Information Communication Technology, and Job Satisfaction of Home-Based Teleworkers

    Science.gov (United States)

    Webster-Trotman, Shana P.

    2010-01-01

    In 2008, 33.7 million Americans teleworked from home. The Telework Enhancement Act (S. 707) and the Telework Improvements Act (H.R. 1722) of 2009 were designed to increase the number of teleworkers. The research problem addressed was the lack of understanding of factors that influence home-based teleworkers' job satisfaction. Job dissatisfaction…

  2. Modeling seasonal surface temperature variations in secondary tropical dry forests

    Science.gov (United States)

    Cao, Sen; Sanchez-Azofeifa, Arturo

    2017-10-01

    Secondary tropical dry forests (TDFs) provide important ecosystem services such as carbon sequestration, biodiversity conservation, and nutrient cycle regulation. However, their biogeophysical processes at the canopy-atmosphere interface remain unknown, limiting our understanding of how this endangered ecosystem influences, and responds to the ongoing global warming. To facilitate future development of conservation policies, this study characterized the seasonal land surface temperature (LST) behavior of three successional stages (early, intermediate, and late) of a TDF, at the Santa Rosa National Park (SRNP), Costa Rica. A total of 38 Landsat-8 Thermal Infrared Sensor (TIRS) data and the Surface Reflectance (SR) product were utilized to model LST time series from July 2013 to July 2016 using a radiative transfer equation (RTE) algorithm. We further related the LST time series to seven vegetation indices which reflect different properties of TDFs, and soil moisture data obtained from a Wireless Sensor Network (WSN). Results showed that the LST in the dry season was 15-20 K higher than in the wet season at SRNP. We found that the early successional stages were about 6-8 K warmer than the intermediate successional stages and were 9-10 K warmer than the late successional stages in the middle of the dry season; meanwhile, a minimum LST difference (0-1 K) was observed at the end of the wet season. Leaf phenology and canopy architecture explained most LST variations in both dry and wet seasons. However, our analysis revealed that it is precipitation that ultimately determines the LST variations through both biogeochemical (leaf phenology) and biogeophysical processes (evapotranspiration) of the plants. Results of this study could help physiological modeling studies in secondary TDFs.

  3. [Suicidal behavior and the broken home. Critical evaluation of a "causal hypothesis"].

    Science.gov (United States)

    Schaller, S; Schmidtke, A

    1988-06-01

    It has often been hypothesized that a broken home results in a "predisposition" towards suicidal behaviour. Previous findings concerning the incidence of broken homes among suicides have revealed rates that are considerably higher than might have been expected from the base rate of the incidence of broken homes among the population as a whole. However, when considering these results, it is necessary to take into account a number of general methodological problems as well as specific problems inherent in the study of the causes of suicidal behaviour. Therefore, due to methodological objections, it can be assumed that the covariation between the variable, broken home, and suicidal behaviour, as compared with other psychiatric disturbances, has been overestimated. It seems more likely that a broken home, in combination with the simultaneous and subsequent emergence of adverse circumstances, increases the probability of the appearance of deviant behaviour in general. Therefore, it would appear that the most useful approach for understanding suicidal behaviour is to analyse the learning history and background of patients who have exhibited such behaviour, while the variable, broken home, should be regarded as being only one of several factors conditioning the failure to develop or apply adequate coping strategies.

  4. Gendered home-based care in South Africa: more trouble for the troubled.

    Science.gov (United States)

    Akintola, Olagoke

    2006-11-01

    This study investigates the experiences of informal caregivers of people living with HIV in two semi-rural communities in South Africa. Ethnographic methods were used to collect and analyse data on the gendered nature and consequences of home-based care from 21 primary caregivers and 20 volunteer caregivers as well as 10 key informants. It was generally women who were poor, unemployed and unmarried who combined the care-giving role with their traditional role as homemaker and that of being the household head and breadwinner. The caregivers experienced physical strains and emotional problems, and were at elevated risk of being infected with HIV and TB. Men were largely absent in HIV/AIDS-affected homes and usually did not assist because of rigid gendered divisions of labour. Home-based care, by creating a disproportionate burden on women, is exacerbating existing gender inequities. It is argued that a thorough understanding of how home-based care undermines the physical health and psychological wellbeing of already vulnerable women is crucial for informing policies on home-based care. Thus, there is a need to incorporate gender perspectives when planning and implementing home-based care programmes.

  5. Our winters of discontent : addressing the problem of rising home heating costs

    International Nuclear Information System (INIS)

    Hughes, L.; Wysocki, A.

    2006-03-01

    The cost of space heating may soon increase due to rising fuel prices in international energy markets and the absence of federal and provincial energy security policies. This report examined the benefits and disadvantages of 2 approaches to assist those with limited incomes to meet heating requirements: (1) offering Low Income Fuel Assistance (LIFA) as a one-time payment during the heating season; and (2) the elimination of taxes for home heating fuels. The cost of home heating fuels and their impacts on consumers and governments were considered. A review of the Nova Scotia government's Keep the Heat program noted that the program was not responsive to increases in the price of home heating fuel, particularly if increases in a year exceeded the level of assistance. It was suggested that the removal of heating sales taxes could provide unnecessary windfalls to households with large homes, as well as windfall profits for landlords if savings were not passed on to tenants. Using Nova Scotia as a case study, an alternative support system was considered that guaranteed a set price for heating fuel for those in need. It was suggested that this approach could cost less than a lump-sum payment or the elimination of taxes on home-heating fuel. In addition, the approach would provide low-income consumers with predictable and affordable prices. It was concluded that as space heating energy costs continue to rise, all government fuel assistance programs run the risk of becoming larger and more costly. Other solutions included reducing Canada's dependence on fossil fuels through the use of solar energy; the reduction of residential energy demand; and the promotion of district heating. 26 refs., 9 tabs., 3 figs

  6. Home Health Compare: Find a Home Health Agency

    Science.gov (United States)

    ... page could not be loaded. The Medicare.gov Home page currently does not fully support browsers with " ... widget - Select to show Back to top Footer Home A federal government website managed and paid for ...

  7. Exercise at Home

    Science.gov (United States)

    ... Home Health Insights Exercise & Weight Exercise at Home Exercise at Home Make an Appointment Ask a Question ... with the movement and contact your provider. Posture Exercises Better posture means better breathing and movement. Axial ...

  8. Genome-wide analysis of positively selected genes in seasonal and non-seasonal breeding species.

    Directory of Open Access Journals (Sweden)

    Yuhuan Meng

    Full Text Available Some mammals breed throughout the year, while others breed only at certain times of year. These differences in reproductive behavior can be explained by evolution. We identified positively-selected genes in two sets of species with different degrees of relatedness including seasonal and non-seasonal breeding species, using branch-site models. After stringent filtering by sum of pairs scoring, we revealed that more genes underwent positive selection in seasonal compared with non-seasonal breeding species. Positively-selected genes were verified by cDNA mapping of the positive sites with the corresponding cDNA sequences. The design of the evolutionary analysis can effectively lower the false-positive rate and thus identify valid positive genes. Validated, positively-selected genes, including CGA, DNAH1, INVS, and CD151, were related to reproductive behaviors such as spermatogenesis and cell proliferation in non-seasonal breeding species. Genes in seasonal breeding species, including THRAP3, TH1L, and CMTM6, may be related to the evolution of sperm and the circadian rhythm system. Identification of these positively-selected genes might help to identify the molecular mechanisms underlying seasonal and non-seasonal reproductive behaviors.

  9. Home, Smart Home

    DEFF Research Database (Denmark)

    Hansen, Ellen Kathrine; Olesen, Gitte Gylling Hammershøj; Mullins, Michael

    2013-01-01

    The article places focus on how smart technologies integrated in a one family- home and particular the window offer unique challenges and opportunities for designing buildings with the best possible environments for people and nature. Toward an interdisciplinary approach, we address the interaction...... between daylight defined in technical terms and daylight defined in aesthetic, architectural terms. Through field-tests of a Danish carbon-neutral home and an analysis of five key design parameters, we explore the contradictions and potentials in smart buildings, using the smart window as example of how...... to the energy design is central. The study illuminates an approach of the design of smart houses as living organisms by connecting technology with the needs of the occupants with the power and beauty of daylight....

  10. Bringing Work Home: Take-Home Pesticide Exposure Among Farm Families

    NARCIS (Netherlands)

    Curwin, B.D.

    2006-01-01

    In this thesis take-home pesticide exposure among farm families, with an emphasis on herbicides, was investigated. Take-home exposure occurs when a worker unwittingly brings home a substance on his or her clothing or shoes, thereby potentially exposing his or her family. The pesticides investigated

  11. Seasonality and dietary requirements: will eating seasonal food contribute to health and environmental sustainability?

    Science.gov (United States)

    Macdiarmid, Jennie I

    2014-08-01

    Eating more seasonal food is one proposal for moving towards more sustainable consumption patterns, based on the assumption that it could reduce the environmental impact of the diet. The aim of the present paper is to consider the implications of eating seasonal food on the different elements of sustainability (i.e. health, economics, society), not just the environment. Seasonality can be defined as either globally seasonal (i.e. produced in the natural production season but consumed anywhere in the world) or locally seasonal (i.e. produced in the natural production season and consumed within the same climatic zone). The environmental, health, economic and societal impact varies by the definition used. Global seasonality has the nutritional benefit of providing a more varied and consistent supply of fresh produce year round, but this increases demand for foods that in turn can have a high environmental cost in the country of production (e.g. water stress, land use change with loss of biodiversity). Greenhouse gas emissions of globally seasonal food are not necessarily higher than food produced locally as it depends more on the production system used than transportation. Eating more seasonal food, however, is only one element of a sustainable diet and should not overshadow some of the potentially more difficult dietary behaviours to change that could have greater environmental and health benefits (e.g. reducing overconsumption or meat consumption). For future guidelines for sustainable diets to be realistic they will need to take into account modern lifestyles, cultural and social expectations in the current food environment.

  12. In-home contextual reality: a qualitative analysis using the Multiple Errands Test Home Version (MET-Home).

    Science.gov (United States)

    Burns, Suzanne Perea; Pickens, Noralyn Davel; Dawson, Deirdre R; Perea, Jaimee D; Vas, Asha K; Marquez de la Plata, Carlos; Neville, Marsha

    2018-02-06

    Adults with stroke frequently experience executive dysfunction. Despite the range of assessments that examine the effects of executive dysfunction on daily tasks, there remains a paucity of literature that examines the influence of the environment on performance in the community. The MET-Home is an ecologically valid assessment for examining post-stroke executive dysfunction in the home environment. This qualitative study explores the relationship between the environment and MET-Home performance among home-dwelling adults with stroke and matched controls. Using a descriptive qualitative approach, we analysed video, interview, and observation notes from a MET-Home validation study. An overarching theme of interplay between everyday task performance and the home environment produced further themes: naturalistically emerging supports and barriers and environment as strategy. Within naturalistically emerging supports and barriers, five contextual sub-themes were discovered: physical environment, social environment, temporal context, virtual context, and personal context. Within environment as strategy, we identified four sub-themes: reducing distractions, using everyday technologies, planning in context, and seeking social support. These findings extend the conceptualisation of how we evaluate executive dysfunction in the context of the community to also consider the inherent influence of the environment.

  13. Home hemodialysis: beliefs, attitudes, and practice patterns.

    Science.gov (United States)

    Jayanti, Anuradha; Morris, Julie; Stenvinkel, Peter; Mitra, Sandip

    2014-10-01

    There is increasing interest of the worldwide kidney community in home hemodialysis (HHD). This is due to emerging evidence of its superiority over conventional hemodialysis (HD), largely attributed to improved outcomes on intensive schedule HD, best deployed in patient's own homes. Despite published work in this area, universal uptake remains limited and reasons are poorly understood. All those who provide HD care were invited to participate in a survey on HHD, initiated to understand the beliefs, attitudes, and practice patterns of providers offering this therapy. The survey was developed and posted on the Nephrology Dialysis Transplantation-Educational (NDT-E) website. Two hundred and seventy-two responses were deemed suitable for complete analysis. It is apparent from the survey that there is great variability in the prevalence of HHD. Physicians have a great deal of interest in this modality, with majority viewing home as being the ideal location for the offer of intensive HD schedules (55%). A significant number (21%) feel intensive HD may be offered even outside the home setting. Those who offer this therapy do not see a financial disadvantage in it. Many units identify lack of appropriately trained personnel (35%) and funding for home adaptation (50.4%) as key barriers to widespread adoption of this therapy. Despite the interest and belief in this therapy among practitioners, HHD therapy is still not within reach of a majority of patients. Modifiable organizational, physician, and patient factors exist, which could potentially redefine the landscape of HHD provision. Well-designed systematic research of national and local barriers is needed to design interventions to help centers facilitate change. © 2014 International Society for Hemodialysis.

  14. Seasonal Variation in Epidemiology

    Science.gov (United States)

    Marrero, Osvaldo

    2013-01-01

    Seasonality analyses are important in medical research. If the incidence of a disease shows a seasonal pattern, then an environmental factor must be considered in its etiology. We discuss a method for the simultaneous analysis of seasonal variation in multiple groups. The nuts and bolts are explained using simple trigonometry, an elementary…

  15. Seasonality of absolute humidity explains seasonality of influenza-like illness in Vietnam.

    Science.gov (United States)

    Thai, Pham Quang; Choisy, Marc; Duong, Tran Nhu; Thiem, Vu Dinh; Yen, Nguyen Thu; Hien, Nguyen Tran; Weiss, Daniel J; Boni, Maciej F; Horby, Peter

    2015-12-01

    Experimental and ecological studies have shown the role of climatic factors in driving the epidemiology of influenza. In particular, low absolute humidity (AH) has been shown to increase influenza virus transmissibility and has been identified to explain the onset of epidemics in temperate regions. Here, we aim to study the potential climatic drivers of influenza-like illness (ILI) epidemiology in Vietnam, a tropical country characterized by a high diversity of climates. We specifically focus on quantifying and explaining the seasonality of ILI. We used 18 years (1993-2010) of monthly ILI notifications aggregated by province (52) and monthly climatic variables (minimum, mean, maximum temperatures, absolute and relative humidities, rainfall and hours of sunshine) from 67 weather stations across Vietnam. Seasonalities were quantified from global wavelet spectra, using the value of the power at the period of 1 year as a measure of the intensity of seasonality. The 7 climatic time series were characterized by 534 summary statistics which were entered into a regression tree to identify factors associated with the seasonality of AH. Results were extrapolated to the global scale using simulated climatic times series from the NCEP/NCAR project. The intensity of ILI seasonality in Vietnam is best explained by the intensity of AH seasonality. We find that ILI seasonality is weak in provinces experiencing weak seasonal fluctuations in AH (annual power power >17.6). In Vietnam, AH and ILI are positively correlated. Our results identify a role for AH in driving the epidemiology of ILI in a tropical setting. However, in contrast to temperate regions, high rather than low AH is associated with increased ILI activity. Fluctuation in AH may be the climate factor that underlies and unifies the seasonality of ILI in both temperate and tropical regions. Alternatively, the mechanism of action of AH on disease transmission may be different in cold-dry versus hot-humid settings

  16. Home field advantage: new stadium construction and team performance in professional sports.

    Science.gov (United States)

    Watson, Jack C; Krantz, Andrew J

    2003-12-01

    To identify the relations between new stadiums and home team performance and attendance for professional baseball (MLB) (n=14), basketball (NBA) (n=13), and football (NFL) (n=25) teams in the USA since 1950 dependent t tests assessed significance of increases in attendance in both MLB and the NBA and a significantly improved home winning percentage in MLB following the building of new stadiums. Implications include a better understanding of the rationales used by owners, fans, and players for building new stadiums.

  17. Paraprofessional Home Visitors' Perspectives on Addressing Poor Mental Health, Substance Abuse, and Domestic Violence: A Qualitative Study

    Science.gov (United States)

    Tandon, S. Darius; Mercer, Constance D.; Saylor, Elizabeth L.; Duggan, Anne K.

    2008-01-01

    This research was conducted to understand paraprofessional home visitors' perceptions of their training in addressing poor mental health, substance abuse, and domestic violence, and their actions in working with families in addressing these issues. Five focus groups were conducted with a total of 28 paraprofessional home visitors. Three main…

  18. Nonbreeding-Season Drivers of Population Dynamics in Seasonal Migrants: Conservation Parallels Across Taxa

    Directory of Open Access Journals (Sweden)

    Anna M. Calvert

    2009-12-01

    Full Text Available For seasonal migrants, logistical constraints have often limited conservation efforts to improving survival and reproduction during the breeding season only. Yet, mounting empirical evidence suggests that events occurring throughout the migratory life cycle can critically alter the demography of many migrant species. Herein, we build upon recent syntheses of avian migration research to review the role of non-breeding seasons in determining the population dynamics and fitness of diverse migratory taxa, including salmonid fishes, marine mammals, ungulates, sea turtles, butterflies, and numerous bird groups. We discuss several similarities across these varied migrants: (i non-breeding survivorship tends to be a strong driver of population growth; (ii non-breeding events can affect fitness in subsequent seasons through seasonal interactions at individual- and population-levels; (iii broad-scale climatic influences often alter non-breeding resources and migration timing, and may amplify population impacts through covariation among seasonal vital rates; and (iv changes to both stationary and migratory non-breeding habitats can have important consequences for abundance and population trends. Finally, we draw on these patterns to recommend that future conservation research for seasonal migrants will benefit from: (1 more explicit recognition of the important parallels among taxonomically diverse migratory animals; (2 an expanded research perspective focused on quantification of all seasonal vital rates and their interactions; and (3 the development of detailed population projection models that account for complexity and uncertainty in migrant population dynamics.

  19. Smart homes and home health monitoring technologies for older adults: A systematic review.

    Science.gov (United States)

    Liu, Lili; Stroulia, Eleni; Nikolaidis, Ioanis; Miguel-Cruz, Antonio; Rios Rincon, Adriana

    2016-07-01

    Around the world, populations are aging and there is a growing concern about ways that older adults can maintain their health and well-being while living in their homes. The aim of this paper was to conduct a systematic literature review to determine: (1) the levels of technology readiness among older adults and, (2) evidence for smart homes and home-based health-monitoring technologies that support aging in place for older adults who have complex needs. We identified and analyzed 48 of 1863 relevant papers. Our analyses found that: (1) technology-readiness level for smart homes and home health monitoring technologies is low; (2) the highest level of evidence is 1b (i.e., one randomized controlled trial with a PEDro score ≥6); smart homes and home health monitoring technologies are used to monitor activities of daily living, cognitive decline and mental health, and heart conditions in older adults with complex needs; (3) there is no evidence that smart homes and home health monitoring technologies help address disability prediction and health-related quality of life, or fall prevention; and (4) there is conflicting evidence that smart homes and home health monitoring technologies help address chronic obstructive pulmonary disease. The level of technology readiness for smart homes and home health monitoring technologies is still low. The highest level of evidence found was in a study that supported home health technologies for use in monitoring activities of daily living, cognitive decline, mental health, and heart conditions in older adults with complex needs. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

  20. Manufactured Home Energy Audit (MHEA)Users Manual (Version 7)

    Energy Technology Data Exchange (ETDEWEB)

    Gettings, M.B.

    2003-01-27

    The Manufactured Home Energy Audit (MHEA) is a software tool that predicts manufactured home energy consumption and recommends weatherization retrofit measures. It was developed to assist local weatherization agencies working with the U.S. Department of Energy (DOE) Weatherization Assistance Program. Whether new or experienced, employed within or outside the Weatherization Assistance Program, all users can benefit from incorporating MHEA into their manufactured home weatherization programs. DOE anticipates that the state weatherization assistance programs that incorporate MHEA into their programs will find significant growth in the energy and cost savings achieved from manufactured home weatherization. The easy-to-use MHEA uses a relatively standard Windows graphical interface for entering simple inputs and provides understandable, usable results. The user enters information about the manufactured home construction, heating equipment, cooling equipment appliances, and weather site. MHEA then calculates annual energy consumption using a simplified building energy analysis technique. Weatherization retrofit measures are evaluated based on the predicted energy savings after installation of the measure, the measure cost, and the measure life. Finally, MHEA recommends retrofit measures that are energy and cost effective for the particular home being evaluated. MHEA evaluates each manufactured home individually and takes into account local weather conditions, retrofit measure costs, and fuel costs. The recommended package of weatherization retrofit measures is tailored to the home being evaluated. More traditional techniques apply the same package of retrofit measures to all manufactured homes, often the same set of measures that are installed into site-built homes. Effective manufactured home weatherization can be achieved only by installing measures developed specifically for manufactured homes. The unique manufactured home construction characteristics require that

  1. What does built-in software of home ventilators tell us? An observational study of 150 patients on home ventilation.

    Science.gov (United States)

    Pasquina, Patrick; Adler, Dan; Farr, Pamela; Bourqui, Pascale; Bridevaux, Pierre Olivier; Janssens, Jean-Paul

    2012-01-01

    Recent home ventilators are equipped with built-in software which provides data such as compliance, estimations of leaks, tidal volume, minute ventilation, respiratory rate, apnea and apnea-hypopnea indexes, and percentage of inspirations triggered by the patient (or ventilator). However, for many of these variables, there is neither consensus nor documentation as to what is to be expected in a population of stable patients under noninvasive ventilation (NIV). To document the values and distribution of specific items downloaded from ventilator monitoring software, by diagnostic category. Analysis of data downloaded from home ventilators in clinically stable patients under long-term NIV, during elective home visits by specialized nurses. Data were collected from home ventilators of 150 patients with chronic obstructive pulmonary disease (n = 32), overlap syndrome (n = 29), obesity-hypoventilation (n = 38), neuromuscular disorders (n = 19), restrictive disorders (n = 21), and central sleep apnea syndrome (n = 11). On average, leaks were low, being lowest in patients with facial masks (vs. nasal masks), and increased with older age. Compliance was excellent in all groups. Patients with neuromuscular diseases triggered their ventilators less and tended to be 'captured', while other groups triggered at least half of inspiratory cycles. Most patients had a respiratory rate just slightly above the back-up rate. Residual apneas and hypopneas were highest in patients with central apneas. Built-in software of home ventilators provides the clinician with new parameters, some of which are a useful adjunct to recommended tools for monitoring NIV and may contribute to a better understanding of residual hypoventilation and/or desaturations. However, an independent validation of the accuracy of this information is mandatory. Copyright © 2011 S. Karger AG, Basel.

  2. Seasonal effect on trace metal elements behaviour in a reservoir of northern Thailand.

    Science.gov (United States)

    Grellier, S; Janeau, J L; Thothong, W; Boonsaner, A; Bonnet, M P; Lagane, C; Seyler, P

    2013-07-01

    Trace metal elements (TME) can be real threats for living organisms. However, few studies dealt with TME in reservoirs in rural areas where farming practises could induce negative effects. Mae Thang reservoir (northern Thailand) has been studied for 3 years to understand the seasonal behaviour of dissolved TME: Fe, Mn, Cd, Al, Pb, V, Cr, Co, Ni, Cu, Zn, Mo, U and As and associated physicochemical parameters. In situ measurements of these parameters were done during the dry and the wet seasons as well as water samples along the water column for further analyses and TME determination by inductively coupled plasma-mass spectrometry (ICP-MS). In the dry season, the water column was characterized by a strong stratification and anoxic conditions in the hypolimnion. High rain and water input from the watershed during the wet season induced mixing of the water. All TME, except Ni, Co and Cr were less concentrated in the wet season indicating a dilution effect by water input. There was thus no important dissolved pollution coming from the watershed. The anoxic conditions in the dry season enhanced the reduction of Fe and Mn and the desorption processes. Depth, and thus oxic-anoxic conditions were the main drivers of TME in the dry season, while in the wet season, dissolution processes from parent rocks of watershed were favoured. The average concentrations of TME in the reservoir were in the limit of the international and Thai standards. Only localized values in the bottom of the reservoir for Fe and Mn were higher than the limits.

  3. "I don't know what I was expecting": Home visits by neonatology fellows for infants discharged from the NICU.

    Science.gov (United States)

    Hobbs, Janice E; Tschudy, Megan M; Hussey-Gardner, Brenda; Jennings, Jacky M; Boss, Renee D

    2017-12-01

    When families transition from the neonatal intensive care unit (NICU) to the home, they become responsible for their infant's daily medical needs. Though neonatology physicians prepare families for hospital discharge, it is unclear how much clinicians understand about how their teaching and instructions translate into home care. The goal of this study was to evaluate the influence of a home visiting program on neonatology fellows' understanding of family needs soon after hospital discharge. Neonatology fellows conducted a home visit for an infant recently discharged. Before the visit, fellows reviewed their original discharge instructions, along with information about the family's neighborhood. During the home visit, fellows reviewed their discharge planning with families and discussed any challenges experienced. Afterwards, fellows completed a semi-structured interview; these transcriptions were manually coded for themes. Fellows identified several common women/family discharge challenges. These challenges fall into four domains: (1) inadequate discharge preparation, (2) medicalization of the home, (3) family adjustment to new "normal," and (4) the relevance of social context to discharge planning. Most (90%) fellows reported the home visit experience would affect their future NICU discharge practices and all agreed that home visits should be a part of neonatology training. Home visits allowed neonatology fellows to examine how their discharge preparation did, or did not, meet the family's needs. Incorporating home visits into neonatology training could help fellows learn about the relevance of social and community factors that are difficult to assess in the inpatient setting. © 2017 Wiley Periodicals, Inc.

  4. A comparison of the incidence and understanding of altitude illness between porters and trekkers in the Solu Khumbu Region of Nepal.

    Science.gov (United States)

    Newcomb, Lauren; Sherpa, Chhewang; Nickol, Annabel; Windsor, Jeremy

    2011-09-01

    Altitude illness can occur in anyone who ascends to high altitude. Better understanding of altitude illness is associated with a lower incidence of acute mountain sickness (AMS). The purpose of this study is to compare, for the first time, the incidence and understanding of altitude illness between foreign trekkers and indigenous porters in Nepal. Interviews and questionnaires were completed at the International Porter Protection Group Rescue Post at Machermo (4470 m). Participants completed the Lake Louise acute mountain sickness self-assessment questionnaire. They were also asked about their actions in response to high altitude illness scenarios as well as their perception of the vulnerability of porters vs trekkers to altitude illness. Ascent profile, age, gender, ethnic origin, and altitude of home residence were also obtained. Trekkers (n=131) had a significantly higher incidence of AMS (21% vs 8%) than porters (n=92; P porters (whose home villages were below 3050 m, n=61) had a numerically higher, though not significantly different, incidence of AMS (10% vs 3%) compared to highland porters (n=31). The majority of trekkers and porters recognized the symptoms of altitude illness and the most appropriate action to be taken. Despite the lower incidence of AMS in porters, around half felt that they were at greater risk than trekkers. Porters had a lower incidence of AMS, which may be attributable to repeated ascents through the trekking season, or differences in reporting symptoms. Both trekkers and porters demonstrated appropriate knowledge of actions to be taken in response to altitude illness. Copyright © 2011 Wilderness Medical Society. Published by Elsevier Inc. All rights reserved.

  5. Meals in nursing homes

    DEFF Research Database (Denmark)

    Kofod, Jens Erik; Birkemose, A.

    2004-01-01

    Undernutrition is present among 33% of nursing home residents in Denmark. Hence, it is relevant to examine the meal situation at nursing homes to single out factors that may increase or reduce the residents' food intake. in the ongoing Danish nursing home debate it is claimed that a new type...... of nursing home improves the residents' meal situation with a positive effect on nutrition. The aim of this work is to test the general hypothesis that (i) residents appreciate the meal situation in these nursing homes and (ii) nutritional status of the residents is improved in this type of nursing home....... This study was carried out in four Danish nursing homes at various locations in Denmark. The methods used are qualitative interviews and observations at four nursing homes in combination with measurement of body mass index (BMI) at two of the four nursing homes. Undernutrition is defined as a BMI below 20...

  6. Home Mechanical Ventilation: A 12-Year Population-Based Retrospective Cohort Study.

    Science.gov (United States)

    Povitz, Marcus; Rose, Louise; Shariff, Salimah Z; Leonard, Sean; Welk, Blayne; Jenkyn, Krista Bray; Leasa, David J; Gershon, Andrea S

    2018-04-01

    Increasing numbers of individuals are being initiated on home mechanical ventilation, including noninvasive (bi-level) and invasive mechanical ventilation delivered via tracheostomy due to chronic respiratory failure to enable symptom management and promote quality of life. Given the high care needs of these individuals, a better understanding of the indications for home mechanical ventilation, and health-care utilization is needed. We performed a retrospective cohort study using provincial health administrative data from Ontario, Canada (population ∼13,000,000). Home mechanical ventilation users were characterized using health administrative data to determine the indications for home mechanical ventilation, the need for acute care at the time of ventilation approval, and their health service use and mortality rates following approval. The annual incidence of home mechanical ventilation approval rose from 1.8/100,000 in 2000 to 5.0/100,000 in 2012, or an annual increase of approximately 0.3/100,000 persons/y. The leading indications were neuromuscular disease, thoracic restriction, and COPD. The indication for the remainder could not be determined due to limitations of the administrative databases. Of the 4,670 individuals, 23.0% commenced home mechanical ventilation following an acute care hospitalization. Among individuals who survived at least 1 y, fewer required hospitalization in the year that followed home mechanical ventilation approval (29.9% vs 39.8%) as compared with the year prior. Utilization of home mechanical ventilation is increasing in Ontario, Canada, and further study is needed to clarify the factors contributing to this and to further optimize utilization of health-care resources. Copyright © 2018 by Daedalus Enterprises.

  7. Home Care Services

    Science.gov (United States)

    Home care is care that allows a person with special needs stay in their home. It might be for people who are getting ... are chronically ill, recovering from surgery, or disabled. Home care services include Personal care, such as help ...

  8. Who is in charge? The impact of home-based computerized cognitive training on the Cognitive Training Alliance

    DEFF Research Database (Denmark)

    Wilms, Inge Linda

    2017-01-01

    Purpose: This case study observes and analyses how home-based computerized cognitive rehabilitation training impacts the relationship between the patient and home training assistants being either the spouse or paid care takers. The use of computerized cognitive training at home is fairly new...... to the emotional challenges of being a training assistant. A Cognitive Training Alliance model for a cognitive training alliance is proposed which takes into consideration the challenges of delegating training responsibility to computers and home-based assistants. Conclusion: It is important to understand how...... the use of computerized cognitive training in clinics or at home influences the training alliance to avoid or diminish frustration on the part of the patients and assistants....

  9. Attitudes of palliative home care physicians towards palliative sedation at home in Italy.

    Science.gov (United States)

    Mercadante, Sebastiano; Masedu, Francesco; Mercadante, Alessandro; Marinangeli, Franco; Aielli, Federica

    2017-05-01

    Information about the attitudes towards palliative sedation (PS) at home is limited. The aim of this survey was to assess the attitudes of palliative care physicians in Italy regarding PS at home. A questionnaire was submitted to a sample of palliative care physicians, asking information about their activity and attitudes towards PS at home. This is a survey of home care physicians in Italy who were involved in end-of-life care decisions at home. One hundred and fifty participants responded. A large heterogeneity of home care organizations that generate some problems was found. Indications, intention and monitoring of PS seem to be appropriate, although some cultural and logistic conditions were limiting the use of PS. Specialized home care physicians are almost involved to start PS at home. Midazolam was seldom available at home and opioids were more frequently used. These data should prompt health care agencies to make a minimal set of drugs easily available for home care. Further research is necessary to compare attitudes in countries with different sociocultural profiles.

  10. National Survey of Emergency Physicians Concerning Home-Based Care Options as Alternatives to Emergency Department-Based Hospital Admissions.

    Science.gov (United States)

    Stuck, Amy R; Crowley, Christopher; Killeen, James; Castillo, Edward M

    2017-11-01

    Emergency departments (EDs) in the United States play a prominent role in hospital admissions, especially for the growing population of older adults. Home-based care, rather than hospital admission from the ED, provides an important alternative, especially for older adults who have a greater risk of adverse events, such as hospital-acquired infections, falls, and delirium. The objective of the survey was to understand emergency physicians' (EPs) perspectives on home-based care alternatives to hospitalization from the ED. Specific goals included determining how often EPs ordered home-based care, what they perceive as the barriers and motivators for more extensive ordering of home-based care, and the specific conditions and response times most appropriate for such care. A group of 1200 EPs nationwide were e-mailed a six-question survey. Participant response was 57%. Of these, 55% reported ordering home-based care from the ED within the past year as an alternative to hospital admission or observation, with most doing so less than once per month. The most common barrier was an "unsafe or unstable home environment" (73%). Home-based care as a "better setting to care for low-acuity chronic or acute disease exacerbation" was the top motivator (79%). Medical conditions EPs most commonly considered for home-based care were cellulitis, urinary tract infection, diabetes, and community-acquired pneumonia. Results suggest that EPs recognize there is a benefit to providing home-based care as an alternative to hospitalization, provided they felt the home was safe and a process was in place for dispositioning the patient to this setting. Better understanding of when and why EPs use home-based care pathways from the ED may provide suggestions for ways to promote wider adoption. Copyright © 2017 The Author(s). Published by Elsevier Inc. All rights reserved.

  11. [Community coordination of dental care needs in a home medical care support ward and at home].

    Science.gov (United States)

    Sumi, Yasunori; Ozawa, Nobuyoshi; Miura, Hiroko; Miura, Hisayuki; Toba, Kenji

    2011-01-01

    The purpose of this study was to ascertain the current statuses and problems of dental home care patients by surveying the oral care status and needs of patients in the home medical care support ward at the National Center for Geriatrics and Gerontology. Patients that required continuous oral management even after discharge from the hospital were referred to local dental clinics to receive home dental care. We investigated the suitability and problems associated with such care, and identified the dental care needs of home patients and the status of local care coordination, including those in hospitals. The subjects were 82 patients. We ascertained their general condition and oral status, and also investigated the problems associated with patients judged to need specialized oral care by a dentist during oral treatment. Patients who required continuous specialized oral care after discharge from hospital were referred to dental clinics that could provide regular care, and the problems at the time of referral were identified. Dry mouth was reported by many patients. A large number of patients also needed specialized dental treatment such as the removal of dental calculus or tooth extraction. Problems were seen in oral function, with 38 of the patients (46%) unable to gargle and 23 (28%) unable to hold their mouths open. About half of the patients also had dementia, and communication with these patients was difficult. Of the 43 patients who were judged to need continuing oral care after discharge from hospital, their referral to a dental clinic for regular care was successful for 22 (51%) patients and unsuccessful for 21 (49%) patients. The reasons for unsuccessful referrals included the fact that the family, patient, nurse, or caregiver did not understand the need for specialized oral care. The present results suggest the need for specialized oral treatment in home medical care. These findings also suggest that coordinating seamless dental care among primary physicians

  12. Bringing Your Baby Home

    Science.gov (United States)

    ... for Educators Search English Español Bringing Your Baby Home KidsHealth / For Parents / Bringing Your Baby Home What's ... recall your baby's seemingly endless crying episodes. The Home Front Introducing your baby to others at home ...

  13. Attitudes, believes, determinants and organisational barriers behind the low seasonal influenza vaccination uptake in healthcare workers - A cross-sectional survey.

    Science.gov (United States)

    Boey, Lise; Bral, Charlotte; Roelants, Mathieu; De Schryver, Antoon; Godderis, Lode; Hoppenbrouwers, Karel; Vandermeulen, Corinne

    2018-04-28

    Seasonal influenza threatens hospitalised patients and residents of nursing homes annually. Due to age and chronic disease their protection following immunisation is diminished. Additional immunisation of direct contacts and in particular healthcare workers (HCWs) has proven added value. As vaccination coverage in HCWs remains low, we aimed to gain insight in the factors behind the demotivation for influenza vaccination. Attitudes and believes towards influenza vaccination and socio-demographic and professional determinants were surveyed in 5141 Belgian HCWs from 13 hospitals and 14 nursing homes. Additionally, influenza campaign coordinators of the participating healthcare institutions were interviewed about the factors of success/failure in their campaigns. The mean vaccination coverage registered by the participating healthcare institutions was 40.4% in the hospitals and 45.3% in the nursing homes. Overall, up to 90% of HCWs found it important not to infect their patients. However, only 20% of non-vaccinated HCWs considered influenza vaccination a duty to not harm their patients. Up to 40% of unvaccinated staff believed they could get influenza after vaccination and that vaccination weakens their immune system. Also, only about 20% of unvaccinated staff thought to have a high chance of getting influenza. Reasons for unvaccinated staff to get vaccinated in the future are self-protection and protection of family members. Factors that positively influenced vaccination coverage are encouragement by supervisors (OR, hospitals: 7.1, p < 0.001; nursing homes: 7.5, p < 0.001) and well-organized vaccination campaigns with on-site vaccination. Factors that negatively affected vaccination coverage are misconceptions about influenza and its vaccine (OR, range 0.1-0.7, p < 0.001 for most misconceptions) and underestimation of the risk of contracting influenza by patients or HCWs (OR of perceived susceptibility, range 2.1-5.1, p < 0.001 for most factors

  14. 24 CFR 982.610 - Group home: Who may reside in a group home.

    Science.gov (United States)

    2010-04-01

    ... 24 Housing and Urban Development 4 2010-04-01 2010-04-01 false Group home: Who may reside in a group home. 982.610 Section 982.610 Housing and Urban Development Regulations Relating to Housing and... Housing Types Group Home § 982.610 Group home: Who may reside in a group home. (a) An elderly person or a...

  15. Home area networks

    NARCIS (Netherlands)

    Koonen, A.M.J.

    2013-01-01

    This article consists of a collection of slides from the author's conference presentation. Some of the specific areas/topics discussed include: Convergence in home networks, home service scenarios; Home wired network architectures, CapEx and OpEx; Residential Gateway; Optical fiber types;

  16. Facilitating home birth.

    Science.gov (United States)

    Finigan, Valerie; Chadderton, Diane

    2015-06-01

    The birth of a baby is a family experience. However, in the United Kingdom birth often occurs outside the family environment, in hospital. Both home and hospital births have risks and benefits, but research shows that, for most women, it is as safe to give birth at home as it is in hospital. Women report home-birth to be satisfying with lowered risks of intervention and less likelihood of being separated from their family. It is also more cost effective for the National Health Service. Yet, whilst midwives are working hard to promote home birth as an option, it remains controversial. The aim of this paper is to raise awareness of the safety of home birth and the needs of women and midwives when a home birth is chosen. It provides an overview of care required and the role of the midwife in the ensuring care is woman-centred and personalised.

  17. Nurses' understandings of suitable footwear for older people.

    Science.gov (United States)

    Borland, Andrea; Martin, Caroline Hollins; Locke, John

    2013-01-01

    The purpose of this paper is to gain insight into nurses' understandings of what constitutes suitable footwear for older people in care homes. An exploratory descriptive qualitative survey was carried out of 20 registered nurses employed in six Scottish care homes for older people. Data were collected using a semi-structured questionnaire that included five open-ended questions. Content analysis was used to theme footwear perceptions. Participants had several views about what encompasses safe footwear; some were erroneous. The link between inappropriate footwear and falls was recognised by 80 per cent of respondents, but some were unclear about the features that effect or inhibit safety. No UK or international standardised guidelines were identified that advise nurses about appropriate footwear for older people. It is unknown whether respondents represent the nurse population because findings are restricted by a small sample size. Nonetheless, the group showed variable understanding of what constitutes safe footwear for older people and links with fall prevention. Improved nurse-education about what comprises safe footwear and the links with falls prevention in older people is required. Structured guidelines to direct nurse educators about what to teach student nurses about appropriate footwear for older people may work towards reducing falls. No guidelines to direct nurses about appropriate footwear for older people in care homes have been written. Key points have been developed.

  18. Seasonal patterns of predation for gray wolves in the multi-prey system of Yellowstone National Park.

    Science.gov (United States)

    Metz, Matthew C; Smith, Douglas W; Vucetich, John A; Stahler, Daniel R; Peterson, Rolf O

    2012-05-01

    1. For large predators living in seasonal environments, patterns of predation are likely to vary among seasons because of related changes in prey vulnerability. Variation in prey vulnerability underlies the influence of predators on prey populations and the response of predators to seasonal variation in rates of biomass acquisition. Despite its importance, seasonal variation in predation is poorly understood. 2. We assessed seasonal variation in prey composition and kill rate for wolves Canis lupus living on the Northern Range (NR) of Yellowstone National Park. Our assessment was based on data collected over 14 winters (1995-2009) and five spring-summers between 2004 and 2009. 3. The species composition of wolf-killed prey and the age and sex composition of wolf-killed elk Cervus elaphus (the primary prey for NR wolves) varied among seasons. 4. One's understanding of predation depends critically on the metric used to quantify kill rate. For example, kill rate was greatest in summer when quantified as the number of ungulates acquired per wolf per day, and least during summer when kill rate was quantified as the biomass acquired per wolf per day. This finding contradicts previous research that suggests that rates of biomass acquisition for large terrestrial carnivores tend not to vary among seasons. 5. Kill rates were not well correlated among seasons. For example, knowing that early-winter kill rate is higher than average (compared with other early winters) provides little basis for anticipating whether kill rates a few months later during late winter will be higher or lower than average (compared with other late winters). This observation indicates how observing, for example, higher-than-average kill rates throughout any particular season is an unreliable basis for inferring that the year-round average kill rate would be higher than average. 6. Our work shows how a large carnivore living in a seasonal environment displays marked seasonal variation in

  19. Seasonal temperature is associated with Parkinson's disease prescriptions: an ecological study

    Science.gov (United States)

    Rowell, David; Nghiem, Son; Ramagopalan, Sreeram; Meier, Ute-Christiane

    2017-12-01

    The aim of this study is to test what effect the weather may have on medications prescribed to treat Parkinson's disease. Twenty-three years of monthly time, series data was sourced from the Pharmaceutical Benefits Scheme (PBS) and the Bureau of Meteorology (BOM). Data were available for eight states and territories and their corresponding capital cities. The dependent variable was the aggregate levodopa equivalent dose (LED) for 51 Parkinson's medications identified on the PBS. Two explanatory variables of interest, temperature and solar exposure, were identified in the BOM data set. Linear and cosinor models were estimated with fixed and random effects, respectively. The prescribed LED was 4.2% greater in January and 4.5% lower in July. Statistical analysis showed that temperature was associated with the prescription of Parkinson medications. Our results suggest seasonality exists in Parkinson's disease symptoms and this may be related to temperature. Further work is needed to confirm these findings and understand the underlying mechanisms as a better understanding of the causes of any seasonal variation in Parkinson's disease may help clinicians and patients manage the disease more effectively.

  20. Effect of home construction on soil carbon storage-A chronosequence case study.

    Science.gov (United States)

    Majidzadeh, Hamed; Lockaby, B Graeme; Governo, Robin

    2017-07-01

    Urbanization results in the rapid expansion of impervious surfaces, therefore a better understanding of biogeochemical consequences of soil sealing is crucial. Previous research documents a significant reduction in soil carbon and nitrogen content, however, it is unclear if this decrease is a result of top soil removal or long-term soil sealing. In this study, soil biogeochemical properties were quantified beneath homes built on a crawl space at two depths (0-10 cm, and 10-20 cm). All homes, 11-114 years in age, were sampled in the Piedmont region of Alabama and Georgia, USA. This age range enabled the use of a chronosequence approach to estimate carbon loss or gain under the sampled homes. The difference in soil carbon content beneath homes and adjoining urban lawns showed a quadratic relation with age. Maximum C loss occurred at approximately fifty years. The same pattern was observed for MBC: C ratio suggesting that the soil carbon content was decreasing beneath the homes for first fifty years, then increased afterward. The average soil C and N content in the top 10 cm were respectively 61.86% (±4.42%), and 65.77% (±5.65%) lower underneath the homes in comparison to urban lawns. Microbial biomass carbon (MBC), and nitrogen (MBN) were significantly lower below the homes compared to the urban lawns, while bulk density and phosphorus content were higher beneath the homes. Copyright © 2017 Elsevier Ltd. All rights reserved.