WorldWideScience

Sample records for wilderness therapy programs

  1. How wilderness therapy works: an examination of the wilderness therapy process to treat adolescents with behavioral problems and addictions

    Science.gov (United States)

    Keith C. Russell; John C. Hendee; Dianne Phillips-Miller

    2000-01-01

    This paper summarizes findings from a detailed study of the processes employed by four leading wilderness therapy programs focusing on how wilderness therapy works, the kinds of behavioral problems to which it is commonly applied, expected outcomes and the role of wilderness in the intervention and treatment process (Russell, 1999). Wilderness therapy is an emerging...

  2. Where's the Wilderness in Wilderness Therapy?

    Science.gov (United States)

    Rutko, Ebony A.; Gillespie, Judy

    2013-01-01

    This article seeks to provide a review of the theoretical and empirical literature in the field of wilderness therapy, the intent of which is to gain a greater conceptual understanding of the importance of the physical environment in therapeutic intervention. A review and consolidation of the existing literature reveal that the theories used to…

  3. Developing additional capacity for wilderness management: An international exchange program between South Africa and United States wilderness rangers

    Science.gov (United States)

    Pierre van den Berg; Ralph Swain

    2007-01-01

    Wilderness managers have limited time to initiate international exchanges. Additionally, the benefits to developing capacity for wilderness management around the globe are not significant enough to make the effort cost-effective. International assistance, including wilderness management exchange programs, is critical to protecting wild areas around the globe. Former...

  4. Wilderness educators' evaluation of the Impact Monster Program

    Science.gov (United States)

    William W. Hendricks; Alan E. Watson

    1999-01-01

    Since its development by Jim Bradley in the late 1970s, the Impact Monster, a wilderness education skit designed to teach minimum impact techniques, has been used as a wilderness education tool by federal land management agencies. This paper reports on an evaluation of the perceived effectiveness of the Impact Monster program and its content. Results indicate that the...

  5. A Cross-Cultural Exploration of 'Wild' in Wilderness Therapy: Canada, Norway and Australia

    Science.gov (United States)

    Harper, Nevin J.; Gabrielsen, Leiv E.; Carpenter, Cathryn

    2018-01-01

    This paper addresses pluralistic understandings of wilderness in the context of wilderness therapy (WT). The term wilderness perpetuates a modern worldview of place that beyond 'civilisation' exists an environment defined by risk, fear and an unpredictable nature. WT utilises outdoor travel and living practices during therapeutic intervention and…

  6. Attitudes toward roles in a wilderness education program

    Science.gov (United States)

    William W. Hendricks

    2000-01-01

    This study examined students’ attitudes toward the impact monster and the good guy roles in the impact monster skit and determined if attitudes differed by gender and grade level. In addition, differences in high- and low-involvement with the skit were analyzed. The impact monster skit is a popular wilderness education program designed to teach appropriate wilderness...

  7. Preventing Family and Educational Disconnection through Wilderness-Based Therapy Targeting Youth at Risk

    Science.gov (United States)

    Ronalds, Lisa; Allen-Craig, Sandy

    2008-01-01

    In an effort to address the issue of youth homelessness in Australia, Regional Extended Family Services (REFS) have developed a wilderness-based therapeutic intervention. REFS aim to provide early intervention services for young people at risk of homelessness, and their families. This study examined the outcomes of the REFS wilderness program by…

  8. Wilderness Recreation Education

    Science.gov (United States)

    Drury, Jack K.

    1977-01-01

    A Wilderness Recreation Education program aims to: offer students an opportunity to be involved with direct learning in the outdoors; instill an understanding of ways to exist within and enjoy the wilderness environment; and develop an awareness of an appreciation for the need to conserve and maintain the wilderness environment for generations to…

  9. Core Content for Wilderness Medicine Training: Development of a Wilderness Medicine Track Within an Emergency Medicine Residency.

    Science.gov (United States)

    Schrading, Walter A; Battaglioli, Nicole; Drew, Jonathan; McClure, Sarah Frances

    2018-03-01

    Wilderness medicine training has become increasingly popular among medical professionals with numerous educational opportunities nationwide. Curricula for fellowship programs and for medical student education have previously been developed and published, but a specific curriculum for wilderness medicine education during emergency medicine (EM) residency has not. The objective of this study is to create a longitudinal wilderness medicine curriculum that can be incorporated into an EM residency program. Interest-specific tracks are becoming increasingly common in EM training. We chose this model to develop our curriculum specific to wilderness medicine. Outlined in the article is a 3-year longitudinal course of study that includes a core didactic curriculum and a plan for graduated level of responsibility. The core content is specifically related to the required EM core content for residency training with additions specific to wilderness medicine for the residents who pursue the track. The wilderness medicine curriculum would give residencies a framework that can be used to foster learning for residents interested in wilderness medicine. It would enhance the coverage of wilderness and environmental core content education for all EM residents in the program. It would provide wilderness-specific education and experience for interested residents, allowing them to align their residency program requirements through a focused area of study and enhancing their curriculum vitae at graduation. Finally, given the popularity of wilderness medicine, the presence of a wilderness medicine track may improve recruitment for the residency program. Copyright © 2017 Wilderness Medical Society. Published by Elsevier Inc. All rights reserved.

  10. The Aldo Leopold Wilderness Research Institute: a national wilderness research program in support of wilderness management

    Science.gov (United States)

    Vita Wright

    2000-01-01

    The Aldo Leopold Wilderness Research Institute strives to provide scientific leadership in developing and applying the knowledge necessary to sustain wilderness ecosystems and values. Since its 1993 dedication, researchers at this federal, interagency Institute have collaborated with researchers and managers from other federal, academic and private institutions to...

  11. Wilderness adventure therapy effects on the mental health of youth participants.

    Science.gov (United States)

    Bowen, Daniel J; Neill, James T; Crisp, Simon J R

    2016-10-01

    Adventure therapy offers a prevention, early intervention, and treatment modality for people with behavioural, psychological, and psychosocial issues. It can appeal to youth-at-risk who are often less responsive to traditional psychotherapeutic interventions. This study evaluated Wilderness Adventure Therapy (WAT) outcomes based on participants' pre-program, post-program, and follow-up responses to self-report questionnaires. The sample consisted of 36 adolescent out-patients with mixed mental health issues who completed a 10-week, manualised WAT intervention. The overall short-term standardised mean effect size was small, positive, and statistically significant (0.26), with moderate, statistically significant improvements in psychological resilience and social self-esteem. Total short-term effects were within age-based adventure therapy meta-analytic benchmark 90% confidence intervals, except for the change in suicidality which was lower than the comparable benchmark. The short-term changes were retained at the three-month follow-up, except for family functioning (significant reduction) and suicidality (significant improvement). For participants in clinical ranges pre-program, there was a large, statistically significant reduction in depressive symptomology, and large to very large, statistically significant improvements in behavioural and emotional functioning. These changes were retained at the three-month follow-up. These findings indicate that WAT is as effective as traditional psychotherapy techniques for clinically symptomatic people. Future research utilising a comparison or wait-list control group, multiple sources of data, and a larger sample, could help to qualify and extend these findings. Copyright © 2016 The Authors. Published by Elsevier Ltd.. All rights reserved.

  12. A database application for wilderness character monitoring

    Science.gov (United States)

    Ashley Adams; Peter Landres; Simon Kingston

    2012-01-01

    The National Park Service (NPS) Wilderness Stewardship Division, in collaboration with the Aldo Leopold Wilderness Research Institute and the NPS Inventory and Monitoring Program, developed a database application to facilitate tracking and trend reporting in wilderness character. The Wilderness Character Monitoring Database allows consistent, scientifically based...

  13. Girls on Ice: An Inquiry-Based Wilderness Science Education Program

    Science.gov (United States)

    Pettit, E. C.; Koppes, M. N.

    2001-12-01

    We developed a wilderness science education program for high school girls. The program offers opportunities for students to explore and learn about mountain glaciers and the alpine landscape through scientific field studies with geologists and glaciologists. Our purpose is to give students a feeling for the natural processes that create the alpine world and provide an environment that fosters the critical thinking necessary to all scientific inquiry. The program is currently being offered through the North Cascades Institute, a non-profit organization offering outdoor education programs for the general public. We lead eight girls for a weeklong expedition to the remote USGS South Cascade Glacier Research Station in Washington's North Cascades. For four days, we explore the glacier and the nearby alpine valleys. We encourage the girls to observe and think like scientists through making observations and inferences. They develop their own experiments to test ideas about glacier dynamics and geomorphology. In addition to scientific exploration, we engage the students in discussions about the philosophy of science and its role in our everyday lives. Our program exemplifies the success of hands-on, inquiry-based teaching in small groups for science education in the outdoors. The wilderness setting and single gender field team inspires young women's interest in science and provides a challenging environment that increases their physical and intellectual self-confidence.

  14. The Role of Transport Use in Adolescent Wilderness Treatment: Its Relationship to Readiness to Change and Outcomes

    Science.gov (United States)

    Tucker, Anita R.; Bettmann, Joanna E.; Norton, Christine L.; Comart, Casey

    2015-01-01

    Background: Considering the sensitive ethical issues related to involuntary treatment of adolescents, research investigating youth transport practices and treatment outcomes is clearly needed. Youth transport is common practice in many private pay programs, including wilderness therapy programs. Objective: This study of 350 adolescents in…

  15. Wilderness managers, wilderness scientists, and universities: A partnership to protect wilderness experiences in the Boundary Waters Canoe Area Wilderness

    Science.gov (United States)

    Alan E. Watson; Ann Schwaller; Robert Dvorak; Neal Christensen; William T. Borrie

    2013-01-01

    The Boundary Waters Canoe Area Wilderness (BWCAW) in northern Minnesota has a rich history of advocacy for protection as wilderness. In the 1950s, Sigurd Olsen best described the song of the wilderness in Minnesota's north country: "I have heard the singing in many places, but I seem to hear it best in the wilderness lake country of the Quetico-Superior,...

  16. Dimensions of flow during an experiential wilderness science program

    Science.gov (United States)

    Wang, Robert

    Over the past twenty-five years, there has been an alarming decline in academic performance among American students. This trend is seen in failing test scores, poor attendance, and low first-year retention rates at post-secondary institutions. There have been numerous studies that have examined this issue but few to offer solutions. Mihalyi Csikszentmihalyi, the originator of flow theory, suggests that poor academic performance might be best explained in terms of lack of student motivation and engagement (flow) rather than a lack of cognitive abilities. This study was designed to examine a series of activities conducted during an Experiential Wilderness Science Program at a college located in the Rocky Mountain region. Specifically, this study measured student engagement for each activity and described the dimensions (phenomenological, instructional, etc.) that were present when there was a high frequency of engagement among program participants. A combined quantitative and qualitative research methodology was utilized. The Experience Sampling Form (ESF) was administered to 41 freshman students participating in a 3-day wilderness science program to measure the frequency of engagement (flow) for nine different activities. A qualitative investigation using journals, participant interviews, and focus groups was used to describe the dimensions that were present when a high frequency of engagement among program participants was observed. Results revealed that engagement (flow) was highest during two challenge education activities and during a river sampling activity. Dimensions common among these activities included: an environment dimension, a motivation dimension, and an instruction dimension. The environment dimension included: incorporating novel learning activities, creating student interests, and introducing an element of perceived risk. The motivation dimension included: developing internal loci of control, facilitating high levels of self-efficacy, and

  17. Magazines as wilderness information sources: assessing users' general wilderness knowledge and specific leave no trace knowledge

    Science.gov (United States)

    John J. Confer; Andrew J. Mowen; Alan K. Graefe; James D. Absher

    2000-01-01

    The Leave No Trace (LNT) educational program has the potential to provide wilderness users with useful minimum impact information. For LNT to be effective, managers need to understand who is most/least aware of minimum impact practices and how to expose users to LNT messages. This study examined LNT knowledge among various user groups at an Eastern wilderness area and...

  18. Perspectives from the Aldo Leopold Wilderness Research Institute: Amphibians and wilderness

    Science.gov (United States)

    Corn, Paul Stephen

    2001-01-01

    The decline of amphibian species has emerged as a major global conservation issue in the last decade. Last year, the Department of the Interior (DOI) initiated a major national initiative to detect trends in amphibian populations and research the causes of declines. The program, conducted principally by the U.S. Geological Survey (USGS), emphasizes lands managed by DOI, but collaboration with the Forest Service is encouraged to increase the scope of inference about population trends. Although amphibians are not usually the first group of animals that comes to mind when one thinks of wilderness, conservation of amphibian populations is clearly a wilderness issue.

  19. Eastern wilderness users: perceptions from two small wilderness areas

    Science.gov (United States)

    Nicholas Palso; Alan Graefe

    2007-01-01

    This study explores perceptions of wilderness recreationists in the eastern United States, with a focus on definitions of wilderness areas and factors that may decrease enjoyment of the wilderness experience. The eventual aim is to compare these data with information collected from wilderness users in the western United States. The few studies performed on this...

  20. The Effect of Wilderness Therapy on Adolescents' Cognitive Autonomy and Self-Efficacy: Results of a Non-Randomized Trial

    Science.gov (United States)

    Margalit, Daniella; Ben-Ari, Amichai

    2014-01-01

    Background: Adolescents participate in decision-making processes involving risky behaviors. Management of these important decisions may be promoted by enhancing adolescents' self-efficacy beliefs and cognitive autonomy. Objective: In order to elucidate the value of wilderness therapy to the successful management of decision making processes among…

  1. The Finnish "social wilderness"

    Science.gov (United States)

    Ville Hallikainen

    2000-01-01

    The cultural roots and images of the Finnish wilderness lie in its use as a source of livelihood practiced in southern and central Finland during the Middle Ages. There are statutory wilderness areas in Finland, but Finnish people consider many other areas as wilderness. It is important for management of the areas, statutory wilderness areas and the other wilderness-...

  2. Wilderness management dilemmas: fertile ground for wilderness management research

    Science.gov (United States)

    David N. Cole; William E. Hammitt

    2000-01-01

    Increasingly, wilderness managers must choose between the objective of wildness (“untrammeled” wilderness) and the objectives of naturalness and solitude. This dilemma has surfaced with awareness of the pervasiveness of human influence in wilderness and that regulation is often the only way to maintain outstanding opportunities for solitude. Should we trammel...

  3. Twenty-eight years of wilderness campsite monitoring in Yosemite National Park

    Science.gov (United States)

    Laurel Boyers; Mark Fincher; Jan van Wagtendonk

    2000-01-01

    The research, resource management and wilderness staffs in Yosemite National Park recently completed the third 10-year cycle of a wilderness campsite impact monitoring program. Initial results indicate an overall improvement in conditions due to a strong restoration program, decreased use and increased visitor education. Lessons learned point to the necessity for ample...

  4. Wilderness education: an updated review of the literature and new directions for research and practice

    Science.gov (United States)

    Kari Gunderson; Christopher V. Barns; William W. Hendricks; Leo H. McAvoy

    2000-01-01

    Many scientists, managers and advocates for wilderness consider education key to promoting appreciation and understanding of the cultural, environmental and experiential values of wilderness. Despite the large variety and diversity of wilderness information and education techniques, little research exists on the design and application of wilderness education programs...

  5. Humans apart from nature? Wilderness experience and the Wilderness Act

    Science.gov (United States)

    Mark Fincher

    2012-01-01

    Wilderness managers are faced with making judgments about the appropriateness of different types of recreational activities. One of the criteria they use is wilderness dependence-the notion that an activity should be allowed, or privileged if rationing is required, if it depends on a wilderness setting for much of its value. Inherent in this concept is the idea that...

  6. Trends in wilderness recreation use characteristics

    Science.gov (United States)

    Alan E. Watson; David N. Cole; Joseph W. Roggenbuck

    1995-01-01

    Recent studies at the Leopold Institute have included analysis of use and user trends at the Boundary Waters Canoe Area Wilderness, Desolation Wilderness, Shining Rock Wilderness, the Bob Marshall Wilderness Complex, Great Smoky Mountains National Park and Eagle Cap Wilderness. Some sociodemographics, like age, education, and the proportion of female visitors, have...

  7. Managing for wilderness experiences in the 21st Century: Responding to the recent wilderness critique

    Science.gov (United States)

    Joseph W. Roggenbuck

    2012-01-01

    This essay describes five major critiques of the wilderness idea and how wilderness managers might shape experience opportunities in wilderness in response. These challenges include the notions that the wilderness idea separates people from nature, that it denies the human story in "pristine" lands, that it privileges a kind of recreation favored by elites...

  8. Wilderness uses, users, values, and management

    Science.gov (United States)

    Alan Watson; David N. Cole; Gregory T. Friese; John C. Hendee; Peter Landres; Thoms F. Geary; Gerald L. Stokes; Jeff Jarvis; Wes Henry

    1999-01-01

    This chapter is a compendium of six papers written to add further depth to our national assessment of Wilderness, begun with the previous chapter. The first three papers summarize research and experience about the identity of Wilderness users and how Wilderness is used, use of Wilderness for personal growth, and changes of Wilderness values. The second three papers...

  9. Wilderness science: A historical perspective

    Science.gov (United States)

    David N. Cole

    2014-01-01

    Wilderness is a relatively new and powerful idea that is still finding its footing in the world of science. Although the intellectual history of wilderness can be traced farther back in time (Nash 2001), as a land classification wilderness is less than a century old, and it was just 50 years ago that wilderness was codified in legislation in the United States. While...

  10. Book review: The Wilderness Debate Rages On: Continuing the Great New Wilderness Debate

    Science.gov (United States)

    Peter Landres

    2009-01-01

    The Wilderness Debate Rages On is a collection of mostly previously published papers about the meaning, value, and role of wilderness and continues the discussion that was propelled by the editors' previous book The Great New Wilderness Debate (also a collection of papers) published in 1998. The editors state that this sequel to their previous book is mandated...

  11. Preservation of wilderness areas in Europe

    Directory of Open Access Journals (Sweden)

    Zoltán Kun

    2013-06-01

    Full Text Available A unique momentum has been created over the past few years for strengthening the protection of wilderness in Europe. Policy makers started to pay attention to the importance of truly untouched and non-managed areas and the European Parliament adopted a special report on wilderness in February 2009. The report was followed by the EC Presidency Conference in Prague, May 2009, on Wilderness Areas. The most important outcome of this event was the approval of the ‘Agenda for Wilderness’, which eventually led to the inclusion of wilderness in the new EU Biodiversity Strategy. This paper argues that these political successes have yet to be put into practice. Threats to wilderness areas are still increasing and there have been no improvements in the management of these areas. There are emerging threats, especially from tree felling and mining, which is driven by increase in commodity prices. In order to save the last pieces of wilderness in Europe and utilize the current opportunities to restore wilderness areas, science and field conservation must develop a common Wilderness Research Agenda for Europe. The main questions are: (i What are the ecosystem services and benefits that humans obtain for wilderness areas? (ii What is the potential contribution of such wilderness areas for reducing biodiversity loss, halt species extinctions and support biodiversity restoration in Europe? (iii What is the social perception of wilderness in different countries and across different sectors of society? (iv What should be considered wilderness in a densely populated area such as Europe?

  12. Wilderness at arm's length: On the outside looking in at special provisions in wilderness

    Science.gov (United States)

    Alan E. Watson

    2012-01-01

    While there is a long history of research on factors influencing wilderness recreation visitor experiences, there has been little focused research to understand the experiences of users visiting wilderness under legislative special provisions or the impact of these special provisions on wilderness recreation visitors. There are some exceptions. For example, contrasting...

  13. Sanitation in wilderness: Balancing minimum tool policies and wilderness values

    Science.gov (United States)

    Paul R. Lachapelle

    2000-01-01

    Officials with the four wilderness managing agencies are faced with balancing wilderness preservation values and the minimum tool policies of their respective agencies. One example is the management of sanitation, particularly human waste and the often intrusive infrastructure that accompanies its treatment and disposal. Because the treatment and disposal of human...

  14. 77 FR 56859 - Federal Register Notification of Redesignation of Potential Wilderness as Wilderness, Ross Lake...

    Science.gov (United States)

    2012-09-14

    ... Register Notification of Redesignation of Potential Wilderness as Wilderness, Ross Lake National Recreation..., Ross Lake National Recreation Area, and Lake Chelan National Recreation Area as the Stephen Mather... acres of potential wilderness within Ross Lake National Recreation Area, including approximately 1,667...

  15. Wilderness experience in Rocky Mountain National Park 2002; report to respondents

    Science.gov (United States)

    Schuster, Elke; Johnson, S. Shea; Taylor, Jonathan G.

    2003-01-01

    A substantial amount of backcountry (about 250,000 acres) in Rocky Mountain National Park [RMNP of the Park] may be designated as wilderness areas in the coming years. Currently, over 3 million visitors drives through the park on Trail Ridge Road, camp in designated campgrounds, day hike, etc. each year. Many of those visitors also report using the backcountry-wilderness areas that are not easily accessible by roads or trails. Use of the backcountry is growing at RMNP and is accompanied by changing visitor expectations and preferences for wilderness management. For these reasons it is of great importance for the Park to periodically assess what types of environments and conditions wilderness users seek to facilitate a quality experience. To assist in this effort, the Political Analysis and Science Assistance [PSAS] program / Fort Collins Center / U.S. Geological Survey, in close collaboration with personnel and volunteers from RMNP, as well as the Natural Resource Recreation and Tourism [NRRT] Department at Colorado State University, launched a research effort in the summer of 2002 to investigate visitorsa?? wilderness experiences in the Park. Specifically, the purpose of this research was: (1) To determine what constitutes a wilderness experience; (2) To identify important places, visual features, and sounds essential to a quality wilderness experience and; (3) To determine what aspects may detract from wilderness experience. Thus, answers to these questions should provide insight for Park managers about visitorsa?? expectation for wilderness recreation and the conditions they seek for quality wilderness experiences. Ultimately, this information can be used to support wilderness management decisions within RMNP. The social science technique of Visitor Employed Photography [VEP] was used to obtain information from visitors about wilderness experiences. Visitors were selected at random from Park-designated wilderness trails, in proportion to their use, and asked to

  16. Mapping wilderness character in Olympic National Park

    Science.gov (United States)

    James Tricker; Peter Landres; Jennifer Chenoweth; Roger Hoffman; Scott Ruth

    2013-01-01

    The Olympic Wilderness was established November 16, 1988 when President Ronald Reagan signed the Washington Park Wilderness Act. A total of 876,447 acres or 95% of Olympic National Park (OLYM) was designated as wilderness and became a part of the National Wilderness Preservation System, wherein wilderness character would be preserved. The purpose of this project was to...

  17. Naturalness and wilderness: the dilemma and irony of managing wilderness

    Science.gov (United States)

    Peter B. Landres; Mark W. Brunson; Linda Merigliano; Charisse Sydoriak; Steve Morton

    2000-01-01

    This paper summarizes a dialogue session that focused on two concepts that strongly influence nearly all wilderness management: wildness and naturalness. The origin and value of these concepts are discussed, as well as the dilemma and irony that arises when wilderness managers contemplate manipulating the environment to restore naturalness at the risk of reducing...

  18. Climate change: Wilderness's greatest challenge

    Science.gov (United States)

    Nathan L. Stephenson; Connie Millar

    2014-01-01

    Anthropogenic climatic change can no longer be considered an abstract possibility. It is here, its effects are already evident, and changes are expected to accelerate in coming decades, profoundly altering wilderness ecosystems. At the most fundamental level, wilderness stewards will increasingly be confronted with a trade-off between untrammeled wilderness character...

  19. Do recreation motivations and wilderness involvement relate to support for wilderness management? A segmentation analysis

    Science.gov (United States)

    Troy E. Hall; Erin Seekamp; David Cole

    2010-01-01

    Surveys show relatively little support for use restrictions to protect wilderness experiences. However, such conclusions based on aggregate data could hide important differences among visitors. Visitors with more wilderness-dependent trip motives were hypothesized to be more supportive of use restrictions. Using survey data from visitors to 13 wildernesses, cluster...

  20. Values of the urban wilderness

    Science.gov (United States)

    Paticia L. Winter

    2013-01-01

    Wilderness is widely supported by the American public (Campaign for America’s Wilderness 2003) and provides myriad ecosystem services and other benefits (Schuster and others 2005, Williams and Watson 2007). Wilderness services and benefits deemed important to the public include use (such as recreation) and non-usevalues (such as scenery appreciation) (Brown...

  1. The Economic Value of Wilderness

    Science.gov (United States)

    Claire Payne; J. Michael Bowker; Patrick C. Reed

    1991-01-01

    Wilderness is an integral part of the Federal land system. Since its inception in 1964, the National Wilderness Preservation System (NWPS) has grown to more than ninety million acres. It presents a source of controversy to many in society, while to many others its existence is virtually unknown. Among those who have an explicit interest in wilderness, there...

  2. Cognitive dimensions of recreational user experiences in wilderness: an exploratory study in Adirondack wilderness areas.

    Science.gov (United States)

    Chad P. Dawson; Peter Newman; Alan Watson

    1998-01-01

    This exploratory study involved identifying the dimensions of a wilderness experience sought by users based on the available literature and on input from wilderness users. Input was collected using focus group interviews with members of four groups that were primarily involved in wilderness use and preservation in recent years. Positive and negative dimensions are...

  3. Transcontinental wilderness survey: comparing perceptions between wilderness users in the eastern and western United States

    Science.gov (United States)

    Nicholas Palso; Alan Graefe

    2008-01-01

    This study explores the differences in perceptions of wilderness between recreationists in the Eastern United States and those from the West, with a focus on definitions of wilderness areas and factors that may decrease enjoyment of the wilderness experience. The few studies performed on this comparison over the past 25 years have produced inconsistent results and...

  4. Personal Wilderness Relationships: Building on a Transactional Approach

    Science.gov (United States)

    Dvorak, Robert G.; Borrie, William T.; Watson, Alan E.

    2013-12-01

    Wilderness managers are charged with the challenging goal of balancing resource protection and experience quality across a broad, value-laden landscape. While research has provided insight into visitors' motivations and their meanings for wilderness, a struggle exists to implement experiential concepts within current management frameworks. This research posits the human experience of wilderness to be an evolving, enduring relationship, and that research needs can be addressed by conceptualizing and investigating an individuals' personal wilderness relationship. The purpose of this study was to explore wilderness relationships of visitors to the Boundary Waters Canoe Area Wilderness. A predictive model was proposed to investigate the internal dimensions of a visitor's wilderness relationship. A mail-back questionnaire was distributed during the summer of 2007, resulting in a sample of 564 respondents. Data were analyzed using confirmatory factor analysis and structural equation modeling. Results from testing several relationship models provided support for a multidimensional structure consisting of five factors with a single overarching relationship factor. The preferred relationship model indicated the importance of identities and attachment in place relationships. Trust and commitment toward management were also important considerations. This research provided the preliminary evidence for a multidimensional wilderness relationship model and complements a perspective of wilderness experiences as wilderness. Findings may help to reframe decision-making and public-input processes that guide management actions to increased wilderness character protection and facilitate quality wilderness experiences.

  5. 75 FR 33573 - Information Collection; Aldo Leopold Wilderness Research Institute Wilderness Visitor Study

    Science.gov (United States)

    2010-06-14

    ..., methods used to protect wilderness conditions and social conditions, actions taken by managers to control... most important elements of the wilderness environment and social conditions, such as naturalness, wildness, challenge, self-reliance, crowding, and aesthetics; and 4. How current visitor use...

  6. Expanding Our Horizons. Wilderness Education Association Proceedings of the National Conference on Outdoor Leadership (Estes Park, Colorado, February 18-20, 2005)

    Science.gov (United States)

    Phipps, Maurice, Ed.; Hayashi, Aya, Ed.

    2005-01-01

    This document presents the proceedings of the Wilderness Education Association's 2005 National Conference on Outdoor Leadership. Following a brief history of the Wilderness Education Association (WEA), 21 conference papers are presented. Topics of the conference papers include: wilderness education curriculum, programs, history, environmental…

  7. Benefits of nonfacilitated uses of wilderness

    Science.gov (United States)

    Joseph W. Roggenbuck; B. L. Driver

    2000-01-01

    Using the taxonomy of personal benefits attributed to wilderness and developed for the 1985 national wilderness conference, this paper summarizes the research since published on the benefits of nonfacilitated uses of wilderness. It describes recent developments in theory and methods regarding leisure experiences and discusses the implications of these developments for...

  8. Wilderness fire management planning guide

    Science.gov (United States)

    William C. Fischer

    1984-01-01

    Outlines a procedure for fire management planning for parks; wilderness areas; and other wild, natural, or essentially undeveloped areas. Discusses background and philosophy of wilderness fire management, planning concepts, planning elements, and planning methods.

  9. Monitoring to Protect the Character of Individual Wildernesses

    Science.gov (United States)

    David N. Cole

    2006-01-01

    A primary goal of wilderness stewardship is to protect individual wilderness areas from most anthropogenic change. Numerous agents of change threaten to degrade wilderness character. These agents of change are both internal (for example, grazing) and external (for example, polluting industries) to wilderness. They can be activities (for example, recreation use) or the...

  10. Technical guide for monitoring selected conditions related to wilderness character

    Science.gov (United States)

    Peter Landres; Steve Boutcher; Liese Dean; Troy Hall; Tamara Blett; Terry Carlson; Ann Mebane; Carol Hardy; Susan Rinehart; Linda Merigliano; David N. Cole; Andy Leach; Pam Wright; Deb Bumpus

    2009-01-01

    The purpose of monitoring wilderness character is to improve wilderness stewardship by providing managers a tool to assess how selected actions and conditions related to wilderness character are changing over time. Wilderness character monitoring provides information to help answer two key questions about wilderness character and wilderness stewardship: 1. How is...

  11. Wilderness science in a time of change conference-Volume 4: Wilderness visitors, experiences, and visitor management; 1999 May 23-27; Missoula, MT

    Science.gov (United States)

    David N. Cole; Stephen F. McCool; William T. Borrie; Jennifer O' Loughlin

    2000-01-01

    Thirty-seven papers are presented on wilderness visitors, experiences, and visitor management. Three overview papers synthesize knowledge and research about wilderness visitors, management of visitor experiences, and wilderness recreation planning. Other papers contain the results of specific research projects on wilderness visitors, information and education, and...

  12. Navigating confluences: revisiting the meaning of "wilderness experience"

    Science.gov (United States)

    Karen M. Fox

    2000-01-01

    Concepts of wilderness and “wilderness experience” merge into a grand or metanarrative that describes how “wilderness experience” is and provides a normalized reference point for values, beliefs, actions, and choices. This paper engages and juxtaposes critiques by scholars and authors representing nondominant perspectives with the North American, wilderness...

  13. The triumph of politics over wilderness science

    Science.gov (United States)

    Craig W. Allin

    2000-01-01

    The National Wilderness Preservation System reflects the triumph of politics over science. The history of wilderness allocation has reflected political rather than scientific sensibilities. The preeminence of politics over science extends to wilderness management as well and is illustrated here by representative examples from the modern history of Yellowstone National...

  14. Keeping it wild: mapping wilderness character in the United States.

    Science.gov (United States)

    Carver, Steve; Tricker, James; Landres, Peter

    2013-12-15

    A GIS-based approach is developed to identify the state of wilderness character in US wilderness areas using Death Valley National Park (DEVA) as a case study. A set of indicators and measures are identified by DEVA staff and used as the basis for developing a flexible and broadly applicable framework to map wilderness character using data inputs selected by park staff. Spatial data and GIS methods are used to map the condition of four qualities of wilderness character: natural, untrammelled, undeveloped, and solitude or primitive and unconfined recreation. These four qualities are derived from the US 1964 Wilderness Act and later developed by Landres et al. (2008a) in "Keeping it Wild: An Interagency Strategy to Monitor Trends in Wilderness Character Across the National Wilderness Preservation System." Data inputs are weighted to reflect their importance in relation to other data inputs and the model is used to generate maps of each of the four qualities of wilderness character. The combined map delineates the range of quality of wilderness character in the DEVA wilderness revealing the majority of wilderness character to be optimal quality with the best areas in the northern section of the park. This map will serve as a baseline for monitoring change in wilderness character and for evaluating the spatial impacts of planning alternatives for wilderness and backcountry stewardship plans. The approach developed could be applied to any wilderness area, either in the USA or elsewhere in the world. Copyright © 2013 Elsevier Ltd. All rights reserved.

  15. Wilderness management through voluntary behavior change: an evaluation of the Pemigewasset Wilderness Management Plan

    Science.gov (United States)

    John M. Halstead; Cindy M. Brown; Albert E. Luloff; Bruce E. Lindsay

    1992-01-01

    The management plan for the Pemigewasset Wilderness Area of New Hampshire represents a departure from traditional plans. Results of this study indicate limited evidence of the Pemigewasset Wilderness Management Plan (PWMP), as currently implemented, having a large direct impact on diverting hikers from their planned destinations and promoting dispersed usage and low...

  16. The impact of an outdoor wilderness program on the participants' sense of connectedness to the natural world

    Science.gov (United States)

    Nodurft, Susan Jennings Johnson

    The main objective of this study was to determine the impact of an innovative, outdoor wilderness program on the participants' sense of connectedness with the natural world. Ancillary objectives looked at the impact of epistemological and pedagogical program elements, participants' people and place background experiences, and worldviews on this connectedness sense. The weekend program, based upon a philosophy of deep ecology, draws upon the Native American wisdom tradition and employs a pedagogy of myth, modeling and experiential learning. The researcher and fourteen volunteers primarily drawn from biology classes at a community college participated in the study. Snyder's (1988) four themes of connectedness and a heuristic qualitative design described by Moustakas (1990) were employed in determining the essence of impact. Data collection methods included pre- and post-questionnaires, audio and video tapes of the weekend, field notes, journals, and follow-up interviews. Upon completion of data gathering, three co-researchers were selected for focus study. Results of analysis are described in the form of in-depth profiles of the three co-researchers' experiences containing verbatim narration and common themes explicated from those profiles. Findings revealed that (1) the co-researchers experienced a deep and transforming sense of connectedness with the natural world, (2) a number of key program elements could be identified that facilitated connectedness, (3) childhood experiences played a significant role, and (4) pre-existing biocentric worldviews deepened as a result of the wilderness experience. Several important implications resulted from this study: (1) Transformative programs such as the outdoor program in this study, virtually nonexistent in mainstream environmental education, need to be taken seriously and efforts made to incorporate these types of programs in our public schools, (2) science educators need to examine and amend a belief structure which, in

  17. Bureau of Land Management Wilderness Areas

    Data.gov (United States)

    Earth Data Analysis Center, University of New Mexico — This dataset is meant to depict wilderness areas within the state of New Mexico managed by the Bureau of Land Management These wilderness areas are officially...

  18. Wilderness use in the year 2000: societal changes that influence human relationships with wilderness

    Science.gov (United States)

    Alan E. Watson

    2000-01-01

    The purpose of this paper is to extend a synthesis of knowledge about wilderness visitors and their visits developed in 1985. At that time, visitor research was in decline, and there was very little ability to understand trends. Over the last 15 years, wilderness visitor research has been initiated at many places in the U.S. where no previous studies had been completed...

  19. Science and stewardship to protect and sustain wilderness values: Tenth World Wilderness Congress symposium; 2013, 4-10 October, Salamanca, Spain

    Science.gov (United States)

    Alan Watson; Stephen Carver; Zdenka Krenova; Brooke McBride

    2015-01-01

    The Tenth World Wilderness Congress (WILD10) met in Salamanca, Spain in 2013. The symposium on science and stewardship to protect and sustain wilderness values was the largest of multiple symposia held in conjunction with the Congress. This symposium was organized and sponsored by the Aldo Leopold Wilderness Research Institute, the Wildland Research Institute of the...

  20. Characteristics of wilderness users in outdoor recreation assessments

    Science.gov (United States)

    Alan E. Watson; H. Ken Cordell; Lawrence A. Hartmann

    1989-01-01

    Wilderness use is often subsumed under outdoor recreation participation in large-scale assessments. Participation monitoring has indicated, however, that wilderness use has been increasing faster than outdoor recreation use in general. In a sample of Forest Service wilderness and nonwildemess users during the summer of 1985, detailed expenditure, activity, and travel...

  1. Mapping tradeoffs in values at risk at the interface between wilderness and non-wilderness lands

    Science.gov (United States)

    Alan Watson; Roian Matt; Tim Waters; Kari Gunderson; Steve Carver; Brett Davis

    2009-01-01

    On the Flathead Indian Reservation in Montana, U.S., the Mission Mountains Tribal Wilderness is bordered by a buffer zone. To successfully improve forest health within that buffer zone and restore fire in the wilderness, the managing agency and the public need to work together to find solutions to increasingly threatening fuel buildups. A combination of qualitative,...

  2. Lyme Disease: What the Wilderness Provider Needs to Know.

    Science.gov (United States)

    Forrester, Joseph D; Vakkalanka, J Priyanka; Holstege, Christopher P; Mead, Paul S

    2015-12-01

    Lyme disease is a multisystem tickborne illness caused by the spirochete Borrelia burgdorferi and is the most common vectorborne disease in the United States. Prognosis after initiation of appropriate antibiotic therapy is typically good if treated early. Wilderness providers caring for patients who live in or travel to high-incidence Lyme disease areas should be aware of the basic biology, epidemiology, clinical manifestations, and treatment of Lyme disease. Published by Elsevier Inc.

  3. National Wilderness Preservation System database: key attributes and trends, 1964 through 1999

    Science.gov (United States)

    Peter Landres; Shannon Meyer

    2000-01-01

    The Wilderness Act of 1964 established a National Wilderness Preservation System, and this publication is a compilation of selected information about every wilderness within this System. For each wilderness, the following information is given: legally correct wilderness name; public law that established the wilderness; date the enabling law was signed by the President...

  4. Frameworks for defining and managing the wilderness experience

    Science.gov (United States)

    Robert E. Manning

    2012-01-01

    A large and growing body of research on outdoor recreation and the wilderness experience has been conducted over the nearly 50 years since passage of the Wilderness Act of 1964. A number of conceptual and empirical frameworks have emerged from this body of knowledge that can be used to help define and manage the wilderness experience.

  5. Heat-related illness in the African wilderness

    African Journals Online (AJOL)

    Wilderness heat-related illnesses span a continuum of medical problems caused by ... of modern science, clothing technology, and an understanding of physiology ..... guidelines for wilderness emergency care, heat-related illnesses, and EAH ...

  6. The multiple values of wilderness

    Science.gov (United States)

    H. Ken Cordell; John C. Bergstrom; J. Michael Bowker

    2005-01-01

    Gone are those of the 1950s and early 1960s who championed preserving wild lands and who influenced and saw through the birth of the National Wilderness Preservation System (NWPS). Gone too are myriad eager managers and proponents of wild land protection of the late 1960s and 1970s who helped rear the fledgling Wilderness1 system and bring it into adolescence by adding...

  7. Paleontological excavations in designated wilderness: theory and practic

    Science.gov (United States)

    Christopher V. Barns

    2000-01-01

    Wilderness is widely recognized as a valuable environment for scientific research, and it is generally assumed that this research will benefit the wilderness resource. But what if the research is of value only in understanding an ecosystem that has been extinct for 65 million years? What if thousands of pounds of material must be removed from the wilderness to conduct...

  8. Active fans and grizzly bears: Reducing risks for wilderness campers

    Science.gov (United States)

    Sakals, M. E.; Wilford, D. J.; Wellwood, D. W.; MacDougall, S. A.

    2010-03-01

    Active geomorphic fans experience debris flows, debris floods and/or floods (hydrogeomorphic processes) that can be hazards to humans. Grizzly bears ( Ursus arctos) can also be a hazard to humans. This paper presents the results of a cross-disciplinary study that analyzed both hydrogeomorphic and grizzly bear hazards to wilderness campers on geomorphic fans along a popular hiking trail in Kluane National Park and Reserve in southwestern Yukon Territory, Canada. Based on the results, a method is proposed to reduce the risks to campers associated with camping on fans. The method includes both landscape and site scales and is based on easily understood and readily available information regarding weather, vegetation, stream bank conditions, and bear ecology and behaviour. Educating wilderness campers and providing a method of decision-making to reduce risk supports Parks Canada's public safety program; a program based on the principle of user self-sufficiency. Reducing grizzly bear-human conflicts complements the efforts of Parks Canada to ensure a healthy grizzly bear population.

  9. Monitoring selected conditions related to wilderness character: a national framework

    Science.gov (United States)

    Peter Landres; Steve Boutcher; Linda Merigliano; Chris Barns; Denis Davis; Troy Hall; Steve Henry; Brad Hunter; Patrice Janiga; Mark Laker; Al McPherson; Douglas S. Powell; Mike Rowan; Susan Sater

    2005-01-01

    One of the central mandates of the 1964 Wilderness Act is that “each agency administering any area designated as wilderness shall be responsible for preserving the wilderness character of the area.” Although wilderness comprises about 20 percent of National Forest System lands (over 35 million acres), the agency lacks a way to evaluate progress in fulfilling this...

  10. A special issue of the Journal of Forestry - Wilderness science and its role in wilderness stewardship

    Science.gov (United States)

    Susan F. Fox

    2016-01-01

    This special issue of the Journal of Forestry provides an overview of America’s National Wilderness Preservation System and highlights the important role that science serves in informing wilderness stewardship. The lead authors of the articles in this volume selected the Journal because it is highly respected and widely circulated among foresters and federal...

  11. Historical and current fire management practices in two wilderness areas in the southwestern United States: The Saguaro Wilderness Area and the Gila-Aldo Leopold Wilderness Complex

    Science.gov (United States)

    Molly E. Hunter; Jose M. Iniguez; Calvin A. Farris

    2014-01-01

    Fire suppression has been the dominant fire management strategy in the West over the last century. However, managers of the Gila and Aldo Leopold Wilderness Complex in New Mexico and the Saguaro Wilderness Area in Arizona have allowed fire to play a more natural role for decades. This report summarizes the effects of these fire management practices on key resources,...

  12. Wilderness management principles: science, logical thinking or personal opinion?

    Science.gov (United States)

    David N. Cole

    1995-01-01

    Recreational use adversely affects the ecological integrity of wilderness. Wilderness managers face the challenge of keeping this loss of ecological integrity to minimal levels, a task that must be accomplished primarily through management of wilderness visitors. For the past 30 years, researchers have assisted managers by assessing problems associated with...

  13. MOUNT HOOD WILDERNESS AND ADJACENT AREAS, OREGON.

    Science.gov (United States)

    Keith, T.E.C.; Causey, J.D.

    1984-01-01

    A mineral survey of the Mount Hood Wilderness, Oregon, was conducted. Geochemical data indicate two areas of substantiated mineral-resource potential containing weak epithermal mineralization: an area of the north side of Zigzag Mountain where vein-type lead-zinc-silver deposits occur and an area of the south side of Zigzag Mountain, where the upper part of a quartz diorite pluton has propylitic alteration associated with mineralization of copper, gold, silver, lead, and zinc in discontinuous veins. Geothermal-resource potential for low- to intermediate-temperature (less than 248 degree F) hot-water systems in the wilderness is probable in these areas. Part of the wilderness is classified as a Known Geothermal Resource Area (KGRA), which is considered to have probable geothermal-resource potential, and two parts of the wilderness have been included in geothermal lease areas.

  14. Shared wilderness, shared responsibility, shared vision: Protecting migratory wildlife

    Science.gov (United States)

    Will Meeks; Jimmy Fox; Nancy Roeper

    2011-01-01

    Wilderness plays a vital role in global and landscape-level conservation of wildlife. Millions of migratory birds and mammals rely on wilderness lands and waters during critical parts of their life. As large, ecologically intact landscapes, wilderness areas also play a vital role in addressing global climate change by increasing carbon sequestration, reducing...

  15. Medical Oversight, Educational Core Content, and Proposed Scopes of Practice of Wilderness EMS Providers: A Joint Project Developed by Wilderness EMS Educators, Medical Directors, and Regulators Using a Delphi Approach.

    Science.gov (United States)

    Millin, Michael G; Johnson, David E; Schimelpfenig, Tod; Conover, Keith; Sholl, Matthew; Busko, Jonnathan; Alter, Rachael; Smith, Will; Symonds, Jennifer; Taillac, Peter; Hawkins, Seth C

    2017-01-01

    A disparity exists between the skills needed to manage patients in wilderness EMS environments and the scopes of practice that are traditionally approved by state EMS regulators. In response, the National Association of EMS Physicians Wilderness EMS Committee led a project to define the educational core content supporting scopes of practice of wilderness EMS providers and the conditions when wilderness EMS providers should be required to have medical oversight. Using a Delphi process, a group of experts in wilderness EMS, representing educators, medical directors, and regulators, developed model educational core content. This core content is a foundation for wilderness EMS provider scopes of practice and builds on both the National EMS Education Standards and the National EMS Scope of Practice Model. These experts also identified the conditions when oversight is needed for wilderness EMS providers. By consensus, this group of experts identified the educational core content for four unique levels of wilderness EMS providers: Wilderness Emergency Medical Responder (WEMR), Wilderness Emergency Medical Technician (WEMT), Wilderness Advanced Emergency Medical Technician (WAEMT), and Wilderness Paramedic (WParamedic). These levels include specialized skills and techniques pertinent to the operational environment. The skills and techniques increase in complexity with more advanced certification levels, and address the unique circumstances of providing care to patients in the wilderness environment. Furthermore, this group identified that providers having a defined duty to act should be functioning with medical oversight. This group of experts defined the educational core content supporting the specific scopes of practice that each certification level of wilderness EMS provider should have when providing patient care in the wilderness setting. Wilderness EMS providers are, indeed, providing health care and should thus function within defined scopes of practice and with

  16. Backcountry as an alternative to wilderness?

    Science.gov (United States)

    John H. Schomaker; Thomas R. Glassford

    1982-01-01

    Backcountry areas have been suggested as recreation alternatives to wilderness. A problem with the concept is that areas which could be managed as backcountry are already used by recreationists. Visitors to a wilderness in Oregon and to a nondesignated roadless area in northern Idaho held many of the same values and sought the same kind of experiences. Therefore....

  17. An ecosystem approach to management: a context for wilderness protection

    Science.gov (United States)

    Paul A. Gray; Robert J. Davidson

    2000-01-01

    Sustainable development, ecosystem management and ecosystem health are three prominent catch phrases that now permeate the scientific and popular media, and form the basis of a growing number of private sector, government and academic programs. This discussion paper briefly explores the definition and application of these concepts as a context for wilderness protection...

  18. Wilderness recreation use: the current situation

    Science.gov (United States)

    Joseph W. Roggenbuck; Alan E. Watson

    1989-01-01

    The total amount of recreational use of the National Wilderness Preservation System is currently at about 14.5 million visitor days per annum. Trends indicate a stable or declining overall use; use on a per acre basis is declining. The common stereotype of the wilderness user as young, wealthy, urban, leisured, and a nonresident of the State or region is largely...

  19. The natural ecological value of wilderness

    Science.gov (United States)

    H. Ken Cordell; Danielle Murphy; Kurt H. Riitters; J.E. Harvard

    2005-01-01

    In Chapters 7 through 10 of this book, we examined the social and economic benefits or values from Wilderness. In this chapter, we attempt to examine the natural ecological values of Wilderness. We define ecological value generally as the level of benefits that the space. water, minerals, biota, and all other factors that make up natural ecosystems provide to support...

  20. Bryophytes from Tuxedni Wilderness area, Alaska

    Science.gov (United States)

    Schofield, W.B.; Talbot, S. S.; Talbot, S.L.

    2002-01-01

    The bryoflora of two small maritime islands, Chisik and Duck Island (2,302 ha), comprising Tuxedni Wilderness in western lower Cook Inlet, Alaska, was examined to determine species composition in an area where no previous collections had been reported. The field study was conducted from sites selected to represent the totality of environmental variation within Tuxedni Wilderness. Data were analyzed using published reports to compare the bryophyte distribution patterns at three levels, the Northern Hemisphere, North America, and Alaska. A total of 286 bryophytes were identified: 230 mosses and 56 liverworts. Bryum miniatum, Dichodontium olympicum, and Orthotrichum pollens are new to Alaska. The annotated list of species for Tuxedni Wilderness expands the known range for many species and fills distribution gaps within Hulte??n's Central Pacific Coast district. Compared with bryophyte distribution in the Northern Hemisphere, the bryoflora of Tuxedni Wilderness primarily includes taxa of boreal (61%), montane (13%), temperate (11%), arctic-alpine (7%), cosmopolitan (7%), distribution; 4% of the total moss flora are North America endemics. A brief summary of the botanical exploration of the general area is provided, as is a description of the bryophytes present in the vegetation and habitat types of Chisik and Duck Islands.

  1. Research plan for integrated ecosystem and pollutant monitoring at remote wilderness study sites

    International Nuclear Information System (INIS)

    Bruns, D.A.; Wiersma, G.B.

    1988-03-01

    This research plan outlines an approach to the measurement of pollutants and ecosystem parameters at remote, high-elevation, wilderness study sites. A multimedia, systems approach to environmental monitoring is emphasized. The primary purpose of the research is to apply and field test a technical report entitled ''Guidelines for measuring the physical, chemical, and biological condition of wilderness ecosystems.'' This document intended to provide Federal Land Managers with information to establish environmental monitoring programs in wilderness areas. To date, this monitoring document has yet to be evaluated under rigorous field conditions at a remote, high-elevation Rocky Mountain site. For the purpose of field testing approaches to monitoring of pollutants and ecosystems in remote, wilderness areas, evaluation criteria were developed. These include useability, cost-effectiveness, data variability, alternative approaches, ecosystems conceptual approach, and quality assurance. Both the Forest Service and INEL environmental monitoring techniques will be evaluated with these criteria. Another objective of this research plan is to obtain an integrated data base on pollutants and ecosystem structure and function at a remote study site. The methods tested in this project will be used to acquire these data from a systems approach. This includes multimedia monitoring of air and water quality, soils, and forest, stream, and lake ecosystems. 71 refs., 1 fig., 9 tabs

  2. Challenges in protecting the wilderness of Antarctica

    Science.gov (United States)

    Tina Tin; Alan Hemmings

    2011-01-01

    Since 1998, the wilderness values of Antarctica have been among those given legal recognition under the Protocol on Environmental Protection to the Antarctic Treaty. Despite the legal obligation, on-the-ground implementation has attracted little interest. The term "wilderness" and its consequential operational implication, including the designation of...

  3. Wilderness Medical Society practice guidelines for the use of epinephrine in outdoor education and wilderness settings: 2014 update.

    Science.gov (United States)

    Gaudio, Flavio G; Lemery, Jay; Johnson, David E

    2014-12-01

    The Epinephrine Roundtable took place on July 27, 2008, during the 25th Annual Meeting of the Wilderness Medical Society (WMS) in Snowmass, CO. The WMS convened this roundtable to explore areas of consensus and uncertainty in the field treatment of anaphylaxis. Panelists were selected on the basis of their relevant academic or professional experience. There is a paucity of data that address the treatment of anaphylaxis in the wilderness. Anaphylaxis is a rare disease, with a sudden onset and drastic course that does not lend itself to study in randomized, controlled trials. Therefore, the panel endorsed the following position based on the limited available evidence and review of published articles, as well as expert consensus. The position represents the consensus of the panelists and is endorsed by the WMS. In 2014, the authors reviewed relevant articles published since the Epinephrine Roundtable. The following is an updated version of the original guidelines published in Wilderness & Environmental Medicine 2010;21(4):185-187. Copyright © 2014 Wilderness Medical Society. Published by Elsevier Inc. All rights reserved.

  4. An examination of constraints to wilderness visitation

    Science.gov (United States)

    Gary T. Green; J. Michael Bowker; Cassandra Y. Johnson; H. Ken Cordell; Xiongfei Wang

    2007-01-01

    Certain social groups appear notably less in wilderness visitation surveys than their population proportion. This study examines whether different social groups in American society (minorities, women, rural dwellers, low income and less educated populations) perceive more constraints to wilderness visitation than other groups. Logistic regressions were fit to data from...

  5. The challenges and related strategies of planning for wilderness experiences

    Science.gov (United States)

    Kerri Cahill

    2012-01-01

    Planning is where science, public interests and management of wilderness areas come together. Unfortunately, science and information specifically supporting wilderness experiences, if any exists, is often perceived by managers as subjective, value laden, and hard to defend. This can sometimes lead to the tough decisions about providing high quality wilderness...

  6. Research needs for a better understanding of wilderness visitor experiences

    Science.gov (United States)

    Stephen F. McCool; Chad P. Dawson

    2012-01-01

    What information is needed to facilitate enhanced management of visitor experiences in wilderness? The final session of the workshop comprised a facilitated process with the 20 participants to identify research and information needs to support wilderness visitor experience management. The Wilderness Act and the previous presentations and discussions not only provided a...

  7. Wilderness Preparticipation Evaluation and Considerations for Special Populations.

    Science.gov (United States)

    Joy, Elizabeth; Van Baak, Karin; Dec, Katherine L; Semakula, Barbara; Cardin, Ashlea D; Lemery, Jay; Wortley, George C; Yaron, Michael; Madden, Christopher

    2015-12-01

    Children, older adults, disabled and special needs athletes, and female athletes who participate in outdoor and wilderness sports and activities each face unique risks. For children and adolescents traveling to high altitude, the preparticipation physical evaluation should focus on risk assessment, prevention strategies, early recognition of altitude-related symptoms, management plans, and appropriate follow-up. As the risk and prevalence of chronic disease increases with age, both older patients and providers need to be aware of disease and medication-specific risks relative to wilderness sport and activity participation. Disabled and special needs athletes benefit from careful pre-event planning for the potential medical issues and equipment modifications that may affect their health in wilderness environments. Issues that demand special consideration for female adventurers include pregnancy, contraceptive use, menses, and ferritin levels at altitude. A careful preparticipation evaluation that factors in unique, population- specific risks will help special populations stay healthy and safe on wilderness adventures. The PubMed and SportDiscus databases were searched in 2014 using both MeSH terms and text words and include peer-reviewed English language articles from 1977 to 2014. Additional information was accessed from Web-based sources to produce this narrative review on preparticipation evaluation for special populations undertaking wilderness adventures. Key words include children, adolescent, pediatric, seniors, elderly, disabled, special needs, female, athlete, preparticipiation examination, wilderness medicine, and sports. Copyright © 2015. Published by Elsevier Inc.

  8. Economic growth, ecological economics, and wilderness preservation

    Science.gov (United States)

    Brian Czech

    2000-01-01

    Economic growth is a perennial national goal. Perpetual economic growth and wilderness preservation are mutually exclusive. Wilderness scholarship has not addressed this conflict. The economics profession is unlikely to contribute to resolution, because the neoclassical paradigm holds that there is no limit to economic growth. A corollary of the paradigm is that...

  9. Where the wild things are: A research agenda for studying wildlife-wilderness relationship

    Science.gov (United States)

    Schwartz, Michael K.; Hahn, Beth; Hossack, Blake R.

    2016-01-01

    We explore the connection between US designated wilderness areas and wildlife with the goal of establishing a research agenda for better understanding this complex relationship. Our research agenda has two components. The first, “wildlife for wilderness,” considers the impact of wildlife on wilderness character. Whereas studies show that wildlife is important in both the perception and actual enhancement of wilderness character, the context and particulars of this relationship have not been evaluated. For instance, is knowing that a rare, native species is present in a wilderness area enough to increase perceptions of naturalness (an important wilderness quality)? Or does the public need to observe the species or its sign (e.g., tracks) for this benefit? The second part of our research agenda, “wilderness for wildlife,” considers the types of research needed to understand the impact of wilderness areas on wildlife and biodiversity conservation. Several studies show the effect of one area being designated wilderness on one wildlife species. Yet, there has been no research that examines how the networks of wilderness areas in the National Wilderness Preservation System (NWPS) are used by a species or a community of species. Furthermore, we found no studies that focused on how the NWPS affects ecological or trophic interactions among species. We hope that by providing a research agenda, we can spur multiple lines of research on the topic of wildlife and wilderness.

  10. Medical student electives in wilderness medicine: curriculum guidelines.

    Science.gov (United States)

    Lareau, Stephanie A; Caudell, Michael J; Pandit, Kiran B; Hiestand, Brian C

    2014-12-01

    Wilderness medicine has been a part of medical student education for many years and is becoming more popular. To help standardize and improve the student experience, we surveyed current elective directors to gain an understanding of what experts in the field thought were priority elements in a wilderness medicine elective. Although there is a diversity of opinion among leaders in the field, there are multiple topics on which there is concordance on inclusion or exclusion. Copyright © 2014 Wilderness Medical Society. Published by Elsevier Inc. All rights reserved.

  11. Wilderness values in America: Does immigrant status or ethnicity matter?

    Science.gov (United States)

    Cassandra Y. Johnson; J. Michael Bowker; John C. Bergstrom; H. Ken Cordell

    2004-01-01

    Little is known about the values immigrant groups or U.S.-born racial and ethnic minorities attribute to wilderness. However, the views of these groups are important to wilderness preservation because of increasing diversity along ethnic, cultural, and racial lines in the United States. We examine the proposition that wilderness is a social construction (valued...

  12. Wilderness social science responding to change in society, policy, and the environment

    Science.gov (United States)

    Alan E. Watson; H. Ken Cordell

    2014-01-01

    Wilderness social science has changed over the 50 years since passage of the Wilderness Act. This research was initially heavily influenced by the need to operationalize definitions contained in the Wilderness Act, the desire to report use levels, and the need for better understanding of the important values American people attached to wilderness. Over the past three...

  13. Information collection styles of wilderness users: a market segmentation approach

    Science.gov (United States)

    Roy Ramthun; Lynda Kersey; Jim Rogers

    2000-01-01

    Attempts to influence the behavior of wilderness visitors through the use of information are limited by the visitors’ reception of that information. This study examined the information gathering behavior of wilderness visitors and the effect of different information collection styles on visitors’ knowledge of low-impact behavior and attitudes toward wilderness...

  14. Population growth, economic security, and cultural change in wilderness counties

    Science.gov (United States)

    Paul A. Lorah

    2000-01-01

    A familiar version of the “jobs versus the environment” argument asserts that wilderness areas limit economic growth by locking up potentially productive natural resources. Analysis of the development paths of rural Western counties shows that this is unlikely: the presence of Wilderness is correlated with income, employment and population growth. Similarly, Wilderness...

  15. Celebrating the Past--Creating Our Future. Wilderness Education Association National Conference on Outdoor Leadership Proceedings (Paul Smith, New York, January 23-25, 2003).

    Science.gov (United States)

    Brawdy, Paul, Ed.; Luo, Ping, Ed.

    This proceedings of the 2003 Wilderness Education Association (WEA) conference contains 10 papers and presentation summaries on outdoor leadership, wilderness programs, and related training. Following a brief history of WEA, the entries are: (1) "Adventure Education and Rock 'n Roll: Sustaining the Revolution in Post-Communist Romania" (Dawn M.…

  16. Guidelines for measuring the physical, chemical, and biological condition of wilderness ecosystems

    Science.gov (United States)

    Douglas G Fox; J. Christopher Bernabo; Betsy Hood

    1987-01-01

    Guidelines include a large number of specific measures to characterize the existing condition of wilderness resources. Measures involve the atmospheric environment, water chemistry and biology, geology and soils, and flora. Where possible, measures are coordinated with existing long-term monitoring programs. Application of the measures will allow more effective...

  17. Environmental ethics and wilderness management: an empirical study

    Science.gov (United States)

    William A. Valliere; Robert E. Manning

    1995-01-01

    The underlying hypothesis of this study is that environmental ethics influence public attitudes toward wilderness management. To study this hypothesis, environmental ethics were defined, categorized, and measured empirically. Additionally, attitudes toward selected wilderness management issues were measured. Associations were found between beliefs in selected...

  18. The contribution of natural fire management to wilderness fire science

    Science.gov (United States)

    Carol Miller

    2014-01-01

    When the federal agencies established policies in the late 1960s and early 1970s to allow the use of natural fires in wilderness, they launched a natural fire management experiment in a handful of wilderness areas. As a result, wildland fire has played more of its natural role in wilderness than anywhere else. Much of what we understand about fire ecology comes from...

  19. Social construction of arctic wilderness: place meanings, value pluralism, and globalization

    Science.gov (United States)

    Daniel R. Williams

    2002-01-01

    This paper offers a social constructionist approach to examining the nature and dynamics of arctic wilderness meanings and values. Viewing wilderness as a socially constructed place responds to growing critiques of modern "Enlightenment" views of nature and society in three ways examined here. First, wilderness landscapes are seen as geographically organized...

  20. Personal wilderness relationships: Building on a transactional approach

    Science.gov (United States)

    Robert G. Dvorak; William T. Borrie; Alan E. Watson

    2013-01-01

    Wilderness managers are charged with the challenging goal of balancing resource protection and experience quality across a broad, value-laden landscape. While research has provided insight into visitors' motivations and their meanings for wilderness, a struggle exists to implement experiential concepts within current management frameworks. This research posits the...

  1. Origin of political conflict in Arctic wilderness areas

    Science.gov (United States)

    James N. Gladden

    2002-01-01

    There are several important factors related to political conflict associated with arctic wilderness areas: scientific studies, economic interests, ethnic identities, geographic differences, and national histories. How groups with an interest in these wilderness areas inject their values into these factors stimulates political debate with each other and with stewarding...

  2. The Culture That Constrains: Experience of "Nature" as Part of a Wilderness Adventure Program.

    Science.gov (United States)

    Haluza-DeLay, Randolph

    1999-01-01

    A study examined experiences of nature among eight adolescents during a 12-day wilderness trip. The trip generated feelings of good will toward nature but no increase in environmentally responsible behaviors. Group norms emphasized social interaction and constrained attention to nature. Outdoor educators should consciously plan for transfer of…

  3. Results From the 2014 National Wilderness Manager Survey

    Science.gov (United States)

    Ramesh Ghimire; Ken Cordell; Alan Watson; Chad Dawson; Gary T. Green

    2015-01-01

    A national survey of managers was developed to support interagency wilderness strategic planning. The focus was on major challenges, perceived needs for science and training, and accomplishments of 1995 Strategic Plan objectives. The survey was administered to managers at the four federal agencies with wilderness management responsibilities: the Bureau of Land...

  4. A relatively nonrestrictive approach to reducing campsite impact: Caney Creek Wilderness, Arkansas

    Science.gov (United States)

    David N. Cole; Thomas E. Ferguson

    2009-01-01

    An excessive number of highly impacted campsites led managers of the Caney Creek Wilderness to attempt to reduce campsite impacts with a program of trail relocation, education, closure of selected campsites, and site restoration. The strategy involved increasing the concentration of use somewhat, without resorting to the restrictiveness of a designated campsite policy...

  5. Changing conditions on wilderness campsites: Seven case studies of trends over 13 to 32 years

    Science.gov (United States)

    David N. Cole

    2013-01-01

    This report brings together seven case studies of trends in the number and condition of wilderness campsites over periods ranging from 13 to 32 years. Case examples come from five mountainous wilderness areas in the western United States: Sequoia-Kings Canyon Wilderness in California, the Eagle Cap Wilderness in Oregon, the Frank Church-River of No Return Wilderness in...

  6. Heat-related illness in the African wilderness | Hofmeyr | South ...

    African Journals Online (AJOL)

    ... and culminate in life-threatening heat stroke. The differential diagnosis in the wilderness is broad and should include exercise-associated hyponatraemia with or without encephalopathy. Clinical guidelines for wilderness and hospital management of these conditions are available. Field management and evacuation are ...

  7. Perceptions of stakeholders regarding wilderness and best management practices in an Alaska recreation area

    Science.gov (United States)

    Emily F. Pomeranz; Mark D. Needham; Linda E. Kruger

    2015-01-01

    This article focuses on the collaborative and voluntary Wilderness Best Management Practices (WBMP) for managing recreation in Tracy Arm-Fords Terror Wilderness in Alaska. Stakeholder definitions of wilderness, opinions about the WBMP, and whether these opinions are reflective of their perceptions of wilderness are examined. Interviews with tour operators, agency...

  8. The virtues of localism and arctic wilderness politics

    Science.gov (United States)

    James N. Gladden

    2007-01-01

    An analysis of co-managing structures and land use issues in three case studies of arctic wilderness politics shows that more formal and informal power sharing by government officials with local people results in less conflict. Greater input and control by nearby communities may also help to protect wilderness ecosystems and traditional values of northern cultures....

  9. Managing Human Activities in Antarctica : Should Wilderness Protection Count?

    NARCIS (Netherlands)

    Bastmeijer, C.J.

    2005-01-01

    Antarctica is often described as one of the world's last wildernesses. In harmony with this general perception, the wilderness values of Antarctica received legal status with the adoption of the Protocol on Environmental Protection to the Antarctic Treaty. Article 3(1) of the Protocol obliges each

  10. Gaps and opportunities for the World Heritage Convention to contribute to global wilderness conservation.

    Science.gov (United States)

    Allan, James R; Kormos, Cyril; Jaeger, Tilman; Venter, Oscar; Bertzky, Bastian; Shi, Yichuan; Mackey, Brendan; van Merm, Remco; Osipova, Elena; Watson, James E M

    2018-02-01

    Wilderness areas are ecologically intact landscapes predominantly free of human uses, especially industrial-scale activities that result in substantial biophysical disturbance. This definition does not exclude land and resource use by local communities who depend on such areas for subsistence and bio-cultural connections. Wilderness areas are important for biodiversity conservation and sustain key ecological processes and ecosystem services that underpin planetary life-support systems. Despite these widely recognized benefits and values of wilderness, they are insufficiently protected and are consequently being rapidly eroded. There are increasing calls for multilateral environmental agreements to make a greater and more systematic contribution to wilderness conservation before it is too late. We created a global map of remaining terrestrial wilderness following the established last-of-the-wild method, which identifies the 10% of areas with the lowest human pressure within each of Earth's 62 biogeographic realms and identifies the 10 largest contiguous areas and all contiguous areas >10,000 km 2 . We used our map to assess wilderness coverage by the World Heritage Convention and to identify gaps in coverage. We then identified large nationally designated protected areas with good wilderness coverage within these gaps. One-quarter of natural and mixed (i.e., sites of both natural and cultural value) World Heritage Sites (WHS) contained wilderness (total of 545,307 km 2 ), which is approximately 1.8% of the world's wilderness extent. Many WHS had excellent wilderness coverage, for example, the Okavango Delta in Botswana (11,914 km 2 ) and the Central Suriname Nature Reserve (16,029 km 2 ). However, 22 (35%) of the world's terrestrial biorealms had no wilderness representation within WHS. We identified 840 protected areas of >500 km 2 that were predominantly wilderness (>50% of their area) and represented 18 of the 22 missing biorealms. These areas offer a starting

  11. Wilderness stewardship challenges in the uKhahlamba Drakensberg Park World Heritage Site

    Science.gov (United States)

    Sonja Krüger

    2007-01-01

    The location of the uKhahlamba Drakensberg Park wilderness areas along an international border and within a World Heritage Site and Transfrontier Conservation Area, provides unique opportunities and challenges for the stewardship of these areas. Although the wilderness areas were proclaimed more than 30 years ago, wilderness-specific planning, management and monitoring...

  12. Wilderness experiences as sanctuary and refuge from society

    Science.gov (United States)

    William T. Borrie; Angela M. Meyer; Ian M. Foster

    2012-01-01

    Wilderness areas provide a sanctuary from human domination, for the plants and animals that exist there and also for the visitors who come there to escape the demands and pressures of modern society. As a place of refuge and sanctuary, we have found wilderness to allow experiences of connection, engagement and belonging. Two studies help illustrate the role of wildness...

  13. Wilderness restoration: From philosophical questions about naturalness to tests of practical techniques

    Science.gov (United States)

    David N. Cole

    2008-01-01

    When crafting the U.S. Wilderness Act, Howard Zahniser selected the word untrammeled rather than undisturbed to describe wilderness (Harvey 2005). This reflected his belief that places that had been disturbed by humans should be considered for wilderness designation because impaired ecosystems could be restored. Like many others, he hoped that restoration could be...

  14. The evolution of wilderness social science and future research to protect experiences, resources, and societal benefits

    Science.gov (United States)

    Alan E. Watson; H. Ken Cordell; Robert Manning; Steven Martin

    2016-01-01

    The historic Wilderness Act celebrated its 50th anniversary in 2014, and wilderness social science shared a similar legacy. As paradoxical as it might seem, humans are an important part of wilderness, helping to define the very concept and representing an important component of wilderness use and management. Much of the past five decades of wilderness-related...

  15. Visitor attitudes towards fire and wind disturbances in wilderness

    Science.gov (United States)

    Robert G. Dvorak; Erin D. Small

    2011-01-01

    This study examines visitor attitudes across the Boundary Waters Canoe Area Wilderness regarding the effects of natural disturbances on visitor planning and wilderness conditions. Visitors were intercepted at entry points and permit distribution locations during 2007. Results suggest that respondents were aware of recent wind and fire disturbances. Few respondents...

  16. Living waters: Linking cultural knowledge, ecosystem services, and wilderness

    Science.gov (United States)

    Linda Moon Stumpff

    2013-01-01

    American Indian tribes value pristine water sources that often originate in wilderness areas to support provisioning and cultural benefits. Based on interviews with four traditional leaders, this article focuses on the concept of living waters in ways that connect ecosystem service benefits to wilderness. Cultural knowledge connects indigenous water stewardship and...

  17. Science and stewardship to protect and sustain wilderness values: Seventh World Wilderness Congress symposium; 2001 November 2-8; Port Elizabeth, South Africa

    Science.gov (United States)

    Alan Watson; Janet Sproull

    2003-01-01

    The Seventh World Wilderness Congress met in Port Elizabeth, South Africa, in 2001. The symposium on science and stewardship to protect and sustain wilderness values was one of several symposia held in conjunction with the Congress. The papers contained in this proceedings were presented at this symposium and cover seven topics: state-of-knowledge on protected areas...

  18. Wilderness experience in Rocky Mountain National Park 2002: Report to RMNP

    Science.gov (United States)

    Schuster, Elke; Johnson, S. Shea; Taylor, Jonathan G.

    2004-01-01

    Approximately 250,000 acres of backcountry in Rocky Mountain National Park (RMNP or the Park) may be designated as wilderness use areas in the coming years. Currently, over 3 million people visit RMNP each year; many drive through the park on Trail Ridge Road, camp in designated campgrounds, or hike in front-country areas. However, visitors also report much use of backcountry areas that are not easily accessible by roads or trails. Use of the backcountry is growing at RMNP and is accompanied by changing visitor expectations and preferences for wilderness management. For these reasons it is of great importance for the Park to periodically assess what types of environments and conditions wilderness users seek, to help them facilitate a quality wilderness experience.

  19. A survey of exotic plants in federal wilderness areas

    Science.gov (United States)

    Marilyn Marler

    2000-01-01

    I conducted a survey of wilderness areas to provide an overview of plant invasions in the National Wilderness Preservation System. Fifteen per cent of responding mangers reported that exotic plants were among their top 10 management concerns, either because they are actively dealing with control of exotic pest plants or have prioritized prevention of their...

  20. Changes in the motivations, perceptions, and behaviors of recreation users: Displacement and coping in wilderness

    Science.gov (United States)

    Troy E. Hall; David N. Cole

    2007-01-01

    We describe how wilderness visitors perceive changes in wilderness use, impacts, and management. We examine how visitors have responded to change, both behaviorally and cognitively. The study was based on a sample of visitors to 19 Forest Service wildernesses in Oregon and Washington. Many respondents said the types of wilderness trips they take have changed since...

  1. Wilderness medicine in southern Africa

    African Journals Online (AJOL)

    injuries, and trauma care, whereas jungle expeditions require an understanding ... series will address expedition medicine, psychological and human factors, and ... Dead. Fig. 1. Cumulative wilderness rescue statistics from 1900 to early 2017,.

  2. Wilderness stewardship in America today and what we can do to improve it

    Science.gov (United States)

    Ken Cordell; Chris Barns; David Brownlie; Tom Carlson; Chad Dawson; William Koch; Garry Oye; Chris Ryan

    2016-01-01

    The authors of this article are recently retired wilderness professionals from universities or federal agencies. We were asked to share our observations about how wilderness stewardship is being managed in America today. We based our observations on our many years of combined professional wilderness career experience as managers, trainers, scientists, educators, and...

  3. Boundary Waters Canoe Area Wilderness - A long history of management guided by science

    Science.gov (United States)

    David Cole

    2016-01-01

    The Boundary Waters Canoe Area Wilderness (BWCAW) in northern Minnesota is one of the most iconic and cherished wilderness areas in the United States. One of the original wilderness areas established in 1964, the BWCAW protects a glaciated landscape of about 1,175 lakes, connected by several hundred miles of streams. Located adjacent to Canada's Quetico Provincial...

  4. Southern by the grace of God: wilderness framing in the heart of Dixie

    Science.gov (United States)

    Bryan K. Walton

    2000-01-01

    Wilderness advocacy in Alabama is as unique as the cultural flavor of the South. This paper documents how the most recent wave of wilderness activism in Alabama, embodied in the Alabama Wilderness Alliance, Wild Alabama, and WildLaw, have sought to place themselves within the cultural roots and heritage of the American South. In this paper, the efforts and impacts of...

  5. A monitoring strategy for the national wilderness preservation system

    Science.gov (United States)

    Peter B. Landres; David N. Cole; Alan E Watson

    1994-01-01

    In 1964, the Wilderness Act (P.L. 88-577) established the National Wilderness Preservation System (NWPS), currently composed of nearly 39 million hectares in 564 separate units, ranging in size from 2.4 he&ares to 3.5 million hectares. The purpose of the NWPS is “. . . to secure for the American people of present and future generations the benefits of an enduring...

  6. Wilderness restoration: Bureau of Land Management and the Student Conservation Association in the California Desert District

    Science.gov (United States)

    J. Dan Abbe

    2007-01-01

    The California Desert Protection Act of 1994 was the largest park and wilderness legislation passed in the Lower 48 States since the Wilderness Act of 1964. It designated three national parks and 69 Bureau of Land Management wilderness areas. The California Desert and Wilderness Restoration Project is working to restore and revitalize these lands through a public/...

  7. Human values and codes of behavior: Changes in Oregon's Eagle Cap Wilderness visitors and their attitudes

    Science.gov (United States)

    Alan E. Watson; John C. Hendee; Hans P. Zaglauer

    1996-01-01

    A study of visitors to Oregon's Eagle Cap Wilderness in 1965 offered a baseline against which to evaluate how those who recreate in wilderness have changed their views of wilderness. A study of visitors to that same wilderness area in 1993 provided comparative data. Some characteristics of the visitors changed in ways that would suggest that the values visitors...

  8. A framework to evaluate proposals for scientific activities in wilderness

    Science.gov (United States)

    Peter Landres

    2010-01-01

    Every year, the four Federal wilderness management agencies - U.S. DOI Bureau of Land Management, Fish and Wildlife Service, National Park Service, and the USDA Forest Service - receive hundreds of proposals to conduct scientific studies within wilderness. There is no consistent and comprehensive framework for evaluating such proposals that accounts for the unique...

  9. The role of wilderness experiences in leaders’ development toward authentic leadership

    NARCIS (Netherlands)

    Droffelaar, van Boy; Jacobs, M.H.

    2017-01-01

    Purpose – The purpose of this paper is to investigate the impact of leaders’ wilderness experiences on intentions to transform leadership behaviors toward authentic leadership. Design/methodology/approach – Content analysis was used on trail reports made by participants of a wilderness-based

  10. Research on the relationship between humans and wilderness in Alaska

    Science.gov (United States)

    Alan E. Watson

    2005-01-01

    At the 2005 Biennial George Wright Society Conference on Parks, Protected Areas, and Cultural Sites in Philadelphia, March 14 to 18, there were many sessions relevant to wilderness. One session provided focus on a priority research area of the Leopold Institute: understanding the effects of management actions on relationships between people and wilderness. A great...

  11. Wilderness recreation use estimation: a handbook of methods and systems

    Science.gov (United States)

    Alan E. Watson; David N. Cole; David L. Turner; Penny S. Reynolds

    2000-01-01

    Documented evidence shows that managers of units within the U.S. National Wilderness Preservation System are making decisions without reliable information on the amount, types, and distribution of recreation use occurring at these areas. There are clear legislative mandates and agency policies that direct managers to monitor trends in use and conditions in wilderness....

  12. Changing human relationships with nature: making and remaking wilderness science

    Science.gov (United States)

    Jill M. Belsky

    2000-01-01

    The paper identifies and discusses two major themes in wilderness social science. First, that wilderness studies (and its advocates) have been limited by an ontological tension between those who mainly approach the relationship between humans and nature on the basis of material factors and constraints and those who approach it through an examination of shifting...

  13. Conflicting goals of wilderness management: natural conditions vs. natural experiences

    Science.gov (United States)

    Alan E. Watson; Michael J. Niccolucci

    1995-01-01

    Beliefs and attitudes underlying wilderness visitors’ support for use restrictions were studied. Some evidence shows that in overused places visitors cite both protection of the resource and the wilderness experience as reasons for supporting restrictions. The research reported here provides the opportunity to assess the relative contribution of each of these reasons,...

  14. The impact of wilderness and other wildlands on local economies and regional development trends

    Science.gov (United States)

    Gundars Rudzitis; Rebecca Johnson

    2000-01-01

    There have been few economic studies of the impact of wilderness on nearby communities. The few studies that have been carried out find relatively modest economic impacts on the surrounding communities by people who come to recreate in federally wilderness areas. However, studies find that people are moving to areas near federally designated wilderness and other...

  15. Monitoring recreational impacts in wilderness of Kamchatka (on example of Kronotsky State Natural Biosphere Preserve)

    Science.gov (United States)

    Anya V. Zavadskaya

    2011-01-01

    This paper describes an assessment and monitoring program that was designed and initiated for monitoring recreational impacts in a wilderness in Kamchatka. The framework of the recreational assessment was tested through its application to a case study conducted during the summers of 2008 and 2009 in the Kronotsky State Natural Biosphere Preserve (Kamchatka peninsula,...

  16. 76 FR 78309 - Hawaiian and Pacific Islands National Wildlife Refuge Complex; Wilderness Review and Legislative...

    Science.gov (United States)

    2011-12-16

    ... wilderness, and accomplish refuge purposes in a way that preserves wilderness character. Our policies on... Forest, Palmyra Atoll, Pearl Harbor, Rose Atoll, and Wake Atoll. These refuges are located in Hawai'i... preserves wilderness character in accordance with (1) the Refuges' respective CCPs; (2) regulations on...

  17. New relationships with wilderness

    Science.gov (United States)

    Yang He

    2007-01-01

    I grew up in urban China, and to me wilderness was an enchanting yet elusive concept. Although I traveled extensively in China to remote locations, studied leisure and recreation management at Pennsylvania State University at the doctoral level, and taught recreation management at the University of Montana, backcountry camping is simply not a common practice among...

  18. Why is it important to monitor social conditions in wilderness?

    Science.gov (United States)

    Alan E. Watson

    1990-01-01

    “Social conditions in wilderness” refers to all aspects of human use of the wilderness that pose the possibility of impact to the resource and visitor experiences. The reasons for monitoring (1) use levels and use trends (including characteristics of use and users) and (2) the quality of the recreation experiences provided (ability to provide naturalness, privacy, and...

  19. A case study of communication with Anglo and Hispanic wilderness visitors

    Science.gov (United States)

    Julia Dawn Parker; Patricia L. Winter

    1998-01-01

    Educating, interpreting for, and communicating with wilderness visitors is necessary to promote appropriate low-impact wilderness recreation. The Angeles National Forest is located northeast of Los Angeles and is surrounded by a large and ethnically diverse population that provided a potentially ethnically diverse sample ofwilderness visitors for the purpose of this...

  20. Wilderness in the 21st Century: A framework for testing assumptions about ecological intervention in wilderness using a case study of fire ecology in the Rocky Mountains

    Science.gov (United States)

    Cameron E. Naficy; Eric G. Keeling; Peter Landres; Paul F. Hessburg; Thomas T. Veblen; Anna. Sala

    2016-01-01

    Changes in the climate and in key ecological processes are prompting increased debate about ecological restoration and other interventions in wilderness. The prospect of intervention in wilderness raises legal, scientific, and values-based questions about the appropriateness of possible actions. In this article, we focus on the role of science to elucidate the...

  1. The US Wilderness Managers Survey: Charting a path for the future

    Science.gov (United States)

    Chad P. Dawson; Ken Cordell; Alan E. Watson; Ramesh Ghimire; Gary T. Green

    2016-01-01

    The Wilderness Manager Survey (WMS) was developed in 2014 to support interagency strategic planning for the National Wilderness Preservation System (NWPS) and asked managers about their perceived threats to the NWPS, the need for science information to support decisionmaking, the need for education and training, and the most important problems for managers in the...

  2. Understanding place meanings for wilderness: Personal and community values at risk

    Science.gov (United States)

    Kari Gunderson

    2006-01-01

    Information about human relationships with wilderness is important for wilderness management decisions, including decisions pertaining to the use of wildland fire. In a study about meanings attached to a national forest, local residents were asked to identify places they valued on the forest, why they valued them, and how fuel treatments affected those values. Local...

  3. CENTENNIAL MOUNTAINS WILDERNESS STUDY AREA, MONTANA AND IDAHO.

    Science.gov (United States)

    Witkind, Irving J.; Ridenour, James

    1984-01-01

    A mineral survey conducted within the Centennial Mountains Wilderness study area in Montana and Idaho showed large areas of probable and substantiated resource potential for phosphate. Byproducts that may be derived from processing the phosphate include vanadium, chromium, uranium, silver, fluorine, and the rare earths, lanthanum and yttrium. Results of a geochemical sampling program suggest that there is little promise for the occurrence of base and precious metals in the area. Although the area contains other nonmetallic deposits, such as coal, building stone, and pumiceous ash they are not considered as mineral resources. There is a probable resource potential for oil and gas and significant amounts may underlie the area around the Peet Creek and Odell Creek anticlines.

  4. Adventure Program Risk Management Report: 1998 Edition. Narratives and Data from 1991-1997.

    Science.gov (United States)

    Leemon, Drew, Ed.; Schimelpfenig, Tod, Ed.; Gray, Sky, Ed.; Tarter, Shana, Ed.; Williamson, Jed, Ed.

    The Wilderness Risk Managers Committee (WRMC), a consortium of outdoor schools and organizations, works toward better understanding and management of risks in the wilderness. Among other activities, the WRMC gathers data on incidents and accidents from member organizations and other wilderness-based programs. This book compiles incident data for…

  5. Balancing tradeoffs in the Denali Wilderness: an expanded approach to normative research using stated choice analysis

    Science.gov (United States)

    Steven R. Lawson; Robert Manning

    2002-01-01

    Wilderness experiences are thought to be comprised of or defined by three dimensions, including social, resource, and management conditions. Decisions about how to manage wilderness recreation in Denali National Park involve potential tradeoffs among the conditions of resource, social, and managerial attributes of the wilderness experience. This study expands the...

  6. Guides to Sustainable Connections? Exploring Human-Nature Relationships among Wilderness Travel Leaders

    Science.gov (United States)

    Grimwood, Bryan S. R.; Haberer, Alexa; Legault, Maria

    2015-01-01

    This paper explores and critically interprets the role wilderness travel may play in fostering environmental sustainability. The paper draws upon two qualitative studies that sought to understand human-nature relationships as experienced by different groups of wilderness travel leaders in Canada. According to leaders involved in the studies,…

  7. The prevalence and significance of displacement for wilderness recreation management and research

    Science.gov (United States)

    Ingrid E. Schneider

    2007-01-01

    The concept of visitor displacement has important implications for wilderness management and research. Research on actual displacement of wilderness visitors is extremely limited, but this displacement likely follows patterns found for general recreationists: visitors employ a variety of coping responses and displacement is prevalent. Understanding if and when visitors...

  8. Donations as an alternative to wilderness user fees: the case of the desolation wilderness

    Science.gov (United States)

    Steven R. Martin

    2000-01-01

    Day-use visitors to the Desolation Wilderness were asked about making voluntary donations at the trailhead. Of the 111 visitors who used one of the four trailheads at which voluntary donations were requested, 55% reported making a donation, with an average reported donation amount of $4.20. Subjects were categorized into three groups: donors, would-be donors, and...

  9. Aeromagnetic map of the Sandia Mountain Wilderness, Bernalillo and Sandoval counties, New Mexico

    Science.gov (United States)

    Hedlund, D.C.; Cordell, L.E.

    1985-01-01

    During 1981 and 1982 the U.S. Geological Survey and the U.S. Bureau of Mimes conducted field investigations to evaluate the mineral resource potential of the Sandia Mountain Wilderness, Bernalillo and Sandoval Counties, New Mexico. This report and map represent only the results of the aeromagnetic compilation from previous publications (U.S. geological Survey, 1975a,b,c). The wilderness encompasses 61 mi2 (37,232 acres) within the Cibola National Forest, but the map area is about 145 mi2 and includes areas adjacent to the wilderness boundary.

  10. Wilderness science in a time of change conference-Volume 1: Changing perspectives and future directions; 1999 May 23-27; Missoula, MT

    Science.gov (United States)

    David N. Cole; Stephen F. McCool; Wayne A. Freimund; Jennifer O' Loughlin

    2000-01-01

    Ten papers presented as plenary talks at the conference, "Wilderness Science in a Time of Change," are included. Topics include: the influence of global change on wilderness and its management; contemporary criticisms and celebrations of the wilderness idea; the capacity of science to meet the challenges and opportunities wilderness presents; wilderness in...

  11. An on-line narrative of Colorado wilderness: Self-in-"cybernetic space"

    Science.gov (United States)

    Joseph G. Champ; Daniel R. Williams; Catherine M. Lundy

    2013-01-01

    The authors consider a new frontier for the study of wilderness recreation experience, an increasingly common form of blog known as online trip reports. Analysis and discussion in this article is the result of collecting and reflecting upon more than 300 trip reports focused on wilderness areas in the state of Colorado. The authors present a case study of one trip...

  12. Wilderness and the U.S

    Science.gov (United States)

    Cassandra Johnson Gaither

    2014-01-01

    The perspective of Latin American and Asian immigrants on nature and wildlands is strikingly different from the view typical of European Americans. The very idea of outdoor recreation may be strange to the cultures from which many of these immigrants originate. This chapter addresses immigrant interaction with wildlands and wilderness by examining the environmental...

  13. Funding strategies for wilderness management

    Science.gov (United States)

    Carolyn Alkire

    2000-01-01

    Funding wilderness protection will continue to be a challenge for public land managers. With continuing competition for federal funds and balanced budget goals, other sources of funds may be necessary to supplement annual federal appropriations. This paper identifies and evaluates five potential funding strategies and provides examples of each that are currently in use...

  14. Interacting effects of wildfire severity and liming on nutrient cycling in a southern Appalachian wilderness area

    Science.gov (United States)

    Katherine Elliott; Jennifer D. Knoepp; James M. Vose; William A. Jackson

    2013-01-01

    Aims Wilderness and other natural areas are threatened by large-scale disturbances (e.g., wildfire), air pollution, climate change, exotic diseases or pests, and a combination of these stress factors (i.e., stress complexes). Linville Gorge Wilderness (LGW) is one example of a high elevation wilderness in the southern Appalachian region that has been subject to stress...

  15. Tribal wilderness research needs and issues in the United States and Canada

    Science.gov (United States)

    Dan McDonald; Tom McDonald; Leo H. McAvoy

    2000-01-01

    This paper represents a dialogue between tribal wilderness managers and researchers on the primary research needs of tribal wilderness in the United States and Canada. The authors identify a number of research priorities for tribal wildlands. The paper also discusses some major issues and challenges faced by researchers conducting research in areas that are culturally...

  16. Wilderness, biodiversity, and human health

    Science.gov (United States)

    Daniel L. Dustin; Keri A. Schwab; Kelly S. Bricker

    2015-01-01

    This paper illustrates how wilderness, biodiversity, and human health are intertwined. Proceeding from the assumption that humankind is part of, rather than apart from, nature, health is re-imagined as a dynamic relationship that can best be conceived in broad ecological terms. Health, from an ecological perspective, is a measure of the wellness of the individual and...

  17. Toward an Ecological Paradigm in Adventure Programming

    Science.gov (United States)

    Beringer, Almut

    2004-01-01

    Many forms of adventure therapy, in particular wilderness therapy, rely on challenges in the outdoors to achieve objectives of client change. While nature is drawn on as a medium for therapy and healing, some adventure therapists give nature little if any mention when it comes to explaining therapeutic success. The dominant paradigm in psychology…

  18. A screening procedure to evaluate air pollution effects on Class I wilderness areas

    Science.gov (United States)

    Douglas G. Fox; Ann M. Bartuska; James G. Byrne; Ellis Cowling; Richard Fisher; Gene E. Likens; Steven E. Lindberg; Rick A. Linthurst; Jay Messer; Dale S. Nichols

    1989-01-01

    This screening procedure is intended to help wilderness managers conduct "adverse impact determinations" as part of Prevention of Significant Deterioration (PSD) applications for sources that emit air pollutants that might impact Class I wildernesses. The process provides an initial estimate of susceptibility to critical loadings for sulfur, nitrogen, and...

  19. Mineral resources of the Turtle Mountains Wilderness Study Area, San Bernardino County, California

    Science.gov (United States)

    Howard, Keith A.; Nielson, Jane E.; Simpson, Robert W.; Hazlett, Richard W.; Alminas, Henry V.; Nakata, John K.; McDonnell, John R.

    1988-01-01

    At the request of the U.S. Bureau of Land Management, approximately 105,200 acres of the Turtle Mountains Wilderness Study Area (CDCA-307) were evaluated for mineral resources (known) and resource potential (undiscovered). In this report, the area studied is referred to as "the wilderness study area" or simply "the study area"; any reference to the Turtle Mountain Wilderness Study Area refers only to that part of the wilderness study area for which a mineral survey was requested by the U.S. Bureau of Land Management.The wilderness study area is in southeastern San Bernardino County, Calif. Gold, silver, copper, and lead have been mined within and adjacent to the study area. Copper-zinc-silver-gold mineral occurrences are found in the southern part and gold-silver mineral occurrences are found in the northern part of the study area; identified low- to moderate-grade gold-silver resources occur adjacent to the study area along the western boundary. Six areas in the south-central and northwestern parts of the study area have high resource potential, two broad areas have moderate resource potential, and part of the southwest corner has low resource potential for lode gold, silver, and associated copper, lead, zinc, molybdenum, and tungsten. Alluvium locally within one of these areas has moderate resource potential for placer gold and silver, and the entire area has low resource potential for placer gold and silver. There is low resource potential for perlite, ornamental stone (onyx marble and opal), manganese, uranium and thorium, pegmatite minerals, and oil and gas within the study area. Sand and gravel are abundant but are readily available outside the wilderness study area.

  20. Perspectives from the Aldo Leopold Wilderness Research Institute: The Wildland Research institute

    Science.gov (United States)

    J. M. Bowker; H. Ken Cordell; Neelam C. Poudyal

    2014-01-01

    The Wildland Research Institute (WRi) at the University of Leeds (UK) came into being in October 2009. Its origins go back to a United Kingdom research councilfunded seminar series called Wilderness Britain? which ran between 1998 and 2000 and was coordinated from the University of Leeds. This opened up the wider debate on wilderness and rewilding in the UK and later...

  1. Bureau of Land Management Wilderness Study Areas

    Data.gov (United States)

    Earth Data Analysis Center, University of New Mexico — This dataset is meant to depict Wilderness Study Areas (WSA's), within the state of New Mexico, identified by the U.S. Bureau of Land Management (BLM) as having...

  2. PIEDRA WILDERNESS STUDY AREA, COLORADO.

    Science.gov (United States)

    Condon, Steven M.; Brown, S. Don

    1984-01-01

    The Pedra Wilderness Study Area, located approximately 30 mi northeast of Durango, Colorado, was evaluated for its mineral-resource potential. Geochemical and geophysical studies indicate little promise for the occurrence of mineral or energy resources in this area. This conclusion is supported by the findings of the earlier study and is suggested by the absence of significant mining activity in the area.

  3. Conservation planning for biodiversity and wilderness: a real-world example.

    Science.gov (United States)

    Ceauşu, Silvia; Gomes, Inês; Pereira, Henrique Miguel

    2015-05-01

    Several of the most important conservation prioritization approaches select markedly different areas at global and regional scales. They are designed to maximize a certain biodiversity dimension such as coverage of species in the case of hotspots and complementarity, or composite properties of ecosystems in the case of wilderness. Most comparisons between approaches have ignored the multidimensionality of biodiversity. We analyze here the results of two species-based methodologies-hotspots and complementarity-and an ecosystem-based methodology-wilderness-at local scale. As zoning of protected areas can increase the effectiveness of conservation, we use the data employed for the management plan of the Peneda-Gerês National Park in Portugal. We compare the approaches against four criteria: species representativeness, wilderness coverage, coverage of important areas for megafauna, and for regulating ecosystem services. Our results suggest that species- and ecosystem-based approaches select significantly different areas at local scale. Our results also show that no approach covers well all biodiversity dimensions. Species-based approaches cover species distribution better, while the ecosystem-based approach favors wilderness, areas important for megafauna, and for ecosystem services. Management actions addressing different dimensions of biodiversity have a potential for contradictory effects, social conflict, and ecosystem services trade-offs, especially in the context of current European biodiversity policies. However, biodiversity is multidimensional, and management and zoning at local level should reflect this aspect. The consideration of both species- and ecosystem-based approaches at local scale is necessary to achieve a wider range of conservation goals.

  4. Effectiveness of a confinement strategy in reducing pack stock impacts at campsites in the Selway-Bitterroot Wilderness, Idaho

    Science.gov (United States)

    David R. Spildie; David N. Cole; Sarah C. Walker

    2000-01-01

    In 1993, a management program was initiated in the Seven Lakes Basin in the Selway-Bitterroot Wilderness to bring high levels of campsite impact into compliance with management standards. The core of the strategy involved confining use, particularly by stock groups, and restoring certain campsites and portions of campsites. In just five years, campsite impacts were...

  5. Potential roles of research in enhancing the performance of management in securing high quality visitor experiences in wilderness

    Science.gov (United States)

    Stephen F. McCool

    2012-01-01

    Does research help managers provide opportunities for visitors to have high quality experiences in wilderness? Difficulties in applying visitor experience research result from several factors: the nature of wilderness itself, the character of the wilderness visitor experience challenge as a research and management topic, and the paradigm of research applications...

  6. Keeping it wild in the National Park Service: A user guide to integrating wilderness character into park planning, management, and monitoring

    Science.gov (United States)

    Peter Landres; Suzy Stutzman; Wade Vagias; Carol Cook; Christina Mills; Tim Devine; Sandee Dingman; Adrienne Lindholm; Miki Stuebe; Melissa Memory; Ruth Scott; Michael Bilecki; Ray O' Neil; Chris Holbeck; Frank Turina; Michael Haynie; Sarah Craighead; Chip Jenkins; Jeremy Curtis; Karen Trevino

    2014-01-01

    This User Guide was developed to help National Park Service (NPS) staff effectively and efficiently fulfill the mandate from the 1964 Wilderness Act and NPS policy to "preserve wilderness character" now and into the future. This mandate applies to all congressionally designated wilderness and other park lands that are, by policy, managed as wilderness,...

  7. Mineral resources of the Swasey Mountain and Howell Peak Wilderness Study Areas, Millard County, Utah

    Energy Technology Data Exchange (ETDEWEB)

    Lindsey, D.A.; Zimbelman, D.R.; Campbell, D.L.; Duval, J.S.; Cook, K.L.; Podwysocki, M.H.; Brickey, D.W.; Yambrick, R.A.; Tuftin, S.E.

    1989-01-01

    The Swasey Mountain and the Howell Peak Wilderness Study Areas are underlain by an east-dipping sequence of carbonate rocks, shale, and quartzite of Cambrian age. The Sand Pass mineralized area, immediately northwest of the Swasey Mountain Wilderness Study Area, contains numerous occurrences of jasperoid, small igneous intrusions of Tertiary age, and geochemical anomalies; the mineralized area has been explored for gold. Although no identified resources of metals are known in or near the wilderness study areas, the distribution of geologic structures and stream-sediment geochemical anomalies indicates there is a moderate potential for undiscovered resources of lead, zinc, copper, molybdenum, silver, and gold. An area of moderate potential for undiscovered resources of these metals extends south and east into the Swasey Mountain Wilderness Study Area from the Sand Pass mineralized area. A second area of moderate potential for undiscovered resources of these metals extends from the southern part of the Swasey Mountain Wilderness Study Area across the western part of the Howell Peak Wilderness Study Area. Both study areas contain inferred subeconomic resources of quartzite, high-purity limestone, and sand and gravel. Both areas have moderate resource potential for high-purity limestone and dolomite. Fossils, especially trilobites, of interest to collectors are present in both areas. The potential for undiscovered resources is moderate for oil and gas and is low for geothermal energy within the study areas. There is no potential for undiscovered resources of coal.

  8. Wilderness - between the promise of hell and paradise: A cultural-historical exploration of a Dutch National Park

    Science.gov (United States)

    Koen Arts; Anke Fischer; Rene van der Wal

    2011-01-01

    ‘Wilderness' is often seen as an ideal state in contemporary debates on ecological restoration. This paper asks what is left of ‘wilderness' in present-day Western Europe and explores this question by drawing on a case study of the Hoge Veluwe National Park in the Netherlands. An overview of intellectual histories of wilderness ideas is used as a backdrop to...

  9. Introducing Generation Y to the Wilderness

    Science.gov (United States)

    Taylor, Nicole; Gray, Tonia; Birrell, Carol

    2012-01-01

    Today's Western culture is characterized by high technology, time compression and a disconnection from the natural world. What happens when a group of young adult students who are firmly embedded within this world, embark on a 6-day unassisted wilderness experience? When divorced from the structural support of the everyday, and placed in an…

  10. Biodiversity in Finnish wilderness areas: Historical and cultural constraints to preserve species and habitats

    Science.gov (United States)

    Anna-Liisa Sippola

    2002-01-01

    The present status of species and habitats in Finnish wilderness areas is largely a consequence of past administrative, use, and management traditions in northern Finland. The existing wilderness legislation sets a framework for management, but historical uses and administrative decisions have influenced many prevailing practices. In addition, management of many uses...

  11. 36 CFR 261.57 - National Forest wilderness.

    Science.gov (United States)

    2010-07-01

    ...-burnable food or beverage containers, including deposit bottles, except for non-burnable containers... 36 Parks, Forests, and Public Property 2 2010-07-01 2010-07-01 false National Forest wilderness. 261.57 Section 261.57 Parks, Forests, and Public Property FOREST SERVICE, DEPARTMENT OF AGRICULTURE...

  12. 43 CFR 19.6 - Regulations respecting administration and uses of wilderness areas under jurisdiction of the...

    Science.gov (United States)

    2010-10-01

    ... which may be designated as wilderness areas by statute shall be developed with a view to protecting such... manner as will leave them unimpaired for future use and enjoyment as wilderness, with inconsistent uses...

  13. Wilderness biology and conservation: future directions

    Science.gov (United States)

    Reed F. Noss

    2000-01-01

    The new conservation movement—uniting scientists and activists—seeks to relook at the role of protected land. The result is a redefining of terms, the encompassing of the concept of ecosystems, incorporating both scientific and nonscientific approaches to conservation, and reconsidering management. This philosophical essay speculates on the future of wilderness and...

  14. Wilderness management planning in an Alaskan national park: last chance to do it right?

    Science.gov (United States)

    Michael J. Tranel

    2000-01-01

    Like many wilderness areas, Denali National Park and Preserve faces a variety of challenges in its wilderness management planning. As an Alaska conservation unit that has been significantly expanded by the Alaska National Interest Lands Conservation Act of 1980 (ANILCA), Denali faces the additional responsibility of acknowledging that its management of controversial...

  15. 76 FR 23335 - Wilderness Stewardship Plan/Environmental Impact Statement, Sequoia and Kings Canyon National...

    Science.gov (United States)

    2011-04-26

    ... compliance with Sec. 4(d)(5) of the Wilderness Act. The WSP will reevaluate existing wilderness-related plans... the Web site (to assist in reducing costs, the public is strongly encouraged to accept compact disks... available at any time. While you can ask us in your comment to withhold your personal identifying...

  16. The evolving role of science in wilderness to our understanding of ecosystems and landscapes

    Science.gov (United States)

    Norman L. Christensen

    2000-01-01

    Research in wilderness areas (areas with minimal human activity and of large spatial extent) formed the foundation for ecological models and theories that continue to shape our understanding how ecosystems change through time, how ecological communities are structured and how ecosystems function. By the middle of this century, large expanses of wilderness had become...

  17. Personal and social meanings of wilderness: Constructing and contesting places in a global village

    Science.gov (United States)

    Daniel R. Williams

    2000-01-01

    Description: This paper takes a social constructionist approach to examine the nature and dynamics of personal and social meanings of wilderness. The paper builds on geographic and social theory to discuss the ways in which conflicts over the meaning and value of wilderness are significant consequences of modernization and globalization. The process of modernization...

  18. 77 FR 55101 - National Wilderness Month, 2012

    Science.gov (United States)

    2012-09-06

    ... centuries, America's dramatic landscapes have attracted people from around the world to begin new lives and... launched the America's Great Outdoors Initiative, which laid the foundation for a comprehensive, community... invite all Americans to visit and enjoy our wilderness areas, to learn about their vast history, and to...

  19. 76 FR 55211 - National Wilderness Month, 2011

    Science.gov (United States)

    2011-09-07

    ... National Wilderness Month, 2011 By the President of the United States of America A Proclamation The mystery... of local economies, providing tourism and recreation revenue for communities. To help preserve our... agenda for the 21st century, with ideas stemming directly from the American people. We are working with...

  20. Counseling for the Wilderness Athlete and Adventurer During a Preparticipation Evaluation for Preparation, Safety, and Injury Prevention.

    Science.gov (United States)

    Young, Justin Mark J; Campbell, Aaron D; Raastad, Kate K

    2015-12-01

    Wilderness sports and adventures continue to increase in popularity. Counseling is an essential element of the preparticipation evaluation (PPE) for athletes in traditional sports. This approach can be applied to and augmented for the wilderness athlete and adventurer. The authors reviewed the literature on counseling during PPEs and gathered expert opinion from medical professionals who perform such PPEs for wilderness sports enthusiasts. The objective was to present findings of this review and make recommendations on the counseling component of a wilderness sports/adventure PPE. The counseling component of a PPE for wilderness sports/adventures should take place after a basic medical evaluation, and include a discussion on sport or activity-specific injury prevention, personal health, travel recommendations, and emergency event planning. Counseling should be individualized and thorough, and involve shared decision making. This should take place early enough to allow ample time for the athlete or adventurer to further prepare as needed based on the recommendations. Resources may be recommended for individuals desiring more information on selected topics. Copyright © 2015. Published by Elsevier Inc.

  1. Sexual Health Education in Massage Therapy Programs: A Survey of Program Directors

    Science.gov (United States)

    Zamboni, Brian D.; Healey, Dale K.

    2016-01-01

    Massage therapy program directors completed an online survey to explore sexual education in massage therapy programs. The overall data suggest that program directors are supportive of sexual health education in the training of massage therapists and that such education is integrated into several aspects of their training programs. To enhance…

  2. Fish abundance in the Wilderness and Swartvlei lake systems ...

    African Journals Online (AJOL)

    1995-11-06

    Nov 6, 1995 ... having a detrimental impact on fish communities, and propo- sals have been ... salinity gradient exists in the Wilderness system, with ...... Osmoregulation in juvenile Rhabdosargus .... Community metabolism and phosphorous.

  3. 78 FR 54747 - National Wilderness Month, 2013

    Science.gov (United States)

    2013-09-06

    ... the earth and its community of life are untrammeled by man, where man himself is a visitor who does not remain.'' Throughout our history, countless people have passed through America's most treasured... our wilderness areas, to learn about their vast history, and to aid in the protection of our precious...

  4. The verification of wilderness area boundaries as part of a buffer zone demarcation process: A case study from the uKhahlamba Drakensberg Park World Heritage Site

    Science.gov (United States)

    Sonja C. Kruger; Ian A. Rusworth; Kirsten Oliver

    2011-01-01

    Wilderness areas are by definition free from the sights and sounds of modern man. The boundaries of wilderness areas have traditionally been defined based on the management authorities' perceptions of which areas have wilderness quality. Experience shows that many areas classified as wilderness do not actually have wilderness qualities and do not provide a true...

  5. 36 CFR 293.16 - Special provisions governing the Boundary Waters Canoe Area Wilderness, Superior National Forest...

    Science.gov (United States)

    2010-07-01

    ... 36 Parks, Forests, and Public Property 2 2010-07-01 2010-07-01 false Special provisions governing the Boundary Waters Canoe Area Wilderness, Superior National Forest, Minnesota. 293.16 Section 293.16 Parks, Forests, and Public Property FOREST SERVICE, DEPARTMENT OF AGRICULTURE WILDERNESS-PRIMITIVE AREAS...

  6. 78 FR 67187 - Notice of Availability of the Draft General Management Plan/Wilderness Study/Environmental Impact...

    Science.gov (United States)

    2013-11-08

    ... focus on protecting natural resources and systems. Under this alternative, most of the Big Spring... Availability of the Draft General Management Plan/ Wilderness Study/Environmental Impact Statement for the... Management Plan/Wilderness Study/Environmental Impact Statement (GMP/WS/EIS) for the Ozark National Scenic...

  7. Goal interference and social value differences: understanding wilderness conflicts and implications for managing social density

    Science.gov (United States)

    Alan E. Watson

    2001-01-01

    Wilderness conflict research has mostly followed the direction of recreation research in the U.S. An interpersonal recreation conflict model proposed in the late 1970s has guided much of the conflict research in wilderness, with emphasis on determining the amount of interpersonal conflict resulting from goal interference and how much one or more hypothesized...

  8. Some principles to guide wilderness campsite management

    Science.gov (United States)

    David N. Cole

    1990-01-01

    Seven principles, derived from research on wilderness campsites, are proposed: (1) campsite impacts are complex; (2) impact is inevitable with repetitive use of campsites; (3) impact occurs rapidly, recovery occurs slowly; (4) the relationship between use and impact is asymptotic; (5) certain sites are more durable than others; (6) certain users cause less impact than...

  9. A Comparative Analysis for Wilderness User Fee Policy.

    Science.gov (United States)

    Leuschner, William A.; And Others

    1987-01-01

    Two similar wilderness areas, one of which charges user fees, were sampled in order to compare user characteristics, trip characteristics, and travel cost demand functions. The purpose was to examine the effect fees had on user behavior and choices of area. Results are presented. (MT)

  10. Atmospheric transport of contaminants to remote arctic wilderness areas: A pilot study

    International Nuclear Information System (INIS)

    Crayton, W.M.; Talbot, S.

    1993-01-01

    The Alaska Maritime National Wildlife Refuge includes the Tuxedni Wilderness Area (WA), which is required to meet the Class 1 air quality requirements of the Clean Air Act (42 CFT 7401 et seq.). The Act specifically protects such areas from significant deterioration; however, most Class 1 Wilderness monitoring focuses on visual impairment and traditional atmospheric pollutants such as NOx. This study was designed to assess the feasibility of also measuring atmospheric transport of potentially toxic elemental and organic contaminants to remote areas as a pilot for subsequent monitoring of Service lands to be undertaken through the Biomonitoring of Environmental Status and Trends (BEST) Program. Located on the western shore of Cook Inlet, the Tuxedni WA lies about 80 km downwind of a major petroleum complex that the City of Anchorage. Elemental contaminants emanating from the city will be studied in two species of widely distributed alpine vegetation (Cladina rangiferina, a lichen; and Hylocomium splendens, a moss) collected from elevated windward slopes on Chisik Island, a remote site in the WA. Vegetation samples will be analyzed for a suite of potentially toxic elements by inductively coupled plasma emission spectrometry and atomic absorption spectrophotometry. Polycyclic aromatic compounds originating from petroleum-related and urban sources will be studied through the deployment of lipid-containing passive accumulators and analysis by gas chromatography with photoionization detection. Reference areas will also be selected and monitored

  11. The global wilderness seminar for government agencies: a meeting at the crossroads of wildlands stewardship

    Science.gov (United States)

    Nancy Roeper; Peter Landres; Don Fisher

    2006-01-01

    Two days before the 8th World Wilderness Congress began in Alaska, nearly 200 government wildlands managers from 17 countries met to share ideas about common challenges and to explore ways to improve wildland stewardship globally. The goal for this Global Wilderness Seminar for Government Agencies was to lay the foundation for an operating peer network of government...

  12. The nature of conflict between hikers and recreational stock users in the John Muir wilderness

    Science.gov (United States)

    Alan E. Watson; M. J. Niccolucci; Daniel R. Williams

    1994-01-01

    The purpose of this research was to determine the extent of conflict between hikers and recreational stock users in a Sierra Nevada wilderness and to test the relative importance of various hypothetical predictors of conflict using multiple conflict measures. A survey of hikers and recreational stock users of the John Muir Wilderness in California revealed the ability...

  13. Linking wilderness research and management-volume 3. Recreation fees in wilderness and other public lands: an annotated reading list

    Science.gov (United States)

    Annette Puttkammer; Vita Wright

    2001-01-01

    This annotated reading list provides an introduction to the issue of recreation fees on public lands. With an emphasis on wilderness recreation fees, this compilation of historical and recent publications is divided into the following sections: historical context, arguments for and against fees, pricing mechanisms and the effects of price, public attitudes toward fees...

  14. The Wilders Case in the Netherlands and Beyond

    NARCIS (Netherlands)

    J.D. Temperman (Jeroen)

    2017-01-01

    textabstractDutch Politician Geert Wilders, leader of the rightist Party for Freedom (PVV), was tried in relation to (religious) defamation and hate speech charges in a case that lasted from 2009 to 2011. While fully acquitted, stakeholders are now bringing a case against the Netherlands for

  15. Mineral Resources of the Morey and Fandango Wilderness Study Areas, Nye County, Nevada

    Science.gov (United States)

    John, David A.; Nash, J. Thomas; Plouff, Donald; McDonnell, John R.

    1987-01-01

    The Morey (NV-060-191) and Fandango (NV-060-190) Wilderness Study Areas are located in the northern Hot Creek Range about 25 mi north of Warm Springs, Nev. At the request of the Bureau of Land Management, 46,300 acres of the Morey and Fandango Wilderness Study Areas were studied. In this report, the area studied is referred to as 'the wilderness study area', or simply 'the study area'. Geologic, geochemical, geophysical, and mineral surveys were conducted by the USGS and the USBM in 1984 to appraise the identified mineral resources and to assess the mineral resource potential of the study areas. These studies indicate that there are small identified resources of zinc, lead, and silver at the Lead Pipe property in the Fandango Wilderness Study Area, several areas of high potential for the occurrence of gold resources in the Fandango study area, small areas of low and moderate potential for the occurrence of silver, lead, and zinc resources in the Fandango study area, areas of moderate and high potential for the occurrence of silver, lead, and zinc resources in the Morey study area, and an area of low potential for copper, molybdenum, and tin in the Morey study area. Both study areas have low resource potential for petroleum, natural gas, uranium, and geothermal energy.

  16. Personal, societal, and ecological values of wilderness: Sixth World Wilderness Congress proceedings on research, management, and allocation, Volume I

    Science.gov (United States)

    Alan E. Watson; Greg H. Aplet; John C. Hendee

    1998-01-01

    The papers contained in Volume I of these Proceedings were originally scheduled for presentation at the Sixth World Wilderness Congress in Bangalore, India, in 1997. Due to a delay of the Congress until 1998, these 27 papers were compiled for publication prior to presentation. Volumes I and II contain papers covering seven topics: protected area systems: challenges,...

  17. Translation of the Speech Therapy Programs in the Logomon Assisted Therapy System

    Directory of Open Access Journals (Sweden)

    SCHIPOR, D. M.

    2010-05-01

    Full Text Available This interdisciplinary research was developed with a view to create and implement an intelligent informatics system for the treatment of dyslalic disorders, specific to the Romanian language (CBTS system - computer-based speech therapy, as a complementary speech therapy method, customised and client-oriented. The rules of the logotherapeutic guide have been expressed in pseudocode programs in order to allow a greater flexibility in expressing the logotherapeutic procedures in an informatics system. The pseudocode logopedic programs comprise the succession of stages of the therapeutic program from a speech therapy perspective, and based on what the expert system can achieve. The LOGOMON system is conceived in order to assist the physical therapist and the child during the entire therapeutic period, recording the main data related to the child, which proved to be useful in diagnosis and treatment. The experimental validation of the system proved that assisted therapy contributes to the improvement of classical therapy, to obtaining optimal results in correcting the dyslalic person's speech.

  18. Economic values of wilderness recreation and passive use: what we think we know at the beginning of the 21st century

    Science.gov (United States)

    John B. Loomis

    2000-01-01

    Two techniques are used to estimate the economic value of recreation and off-site passive use values of wilderness. Using an average value per recreation day ($39), the economic value of wilderness recreation is estimated to be $574 million annually. Generalizing the two Western passive use values studies we estimate values of Western wilderness in the lower 48 states...

  19. 36 CFR 294.2 - Navigation of aircraft within airspace reservation over the Boundary Waters Canoe Area Wilderness...

    Science.gov (United States)

    2010-07-01

    ... 36 Parks, Forests, and Public Property 2 2010-07-01 2010-07-01 false Navigation of aircraft within airspace reservation over the Boundary Waters Canoe Area Wilderness, Superior National Forest, Minnesota... Boundary Waters Canoe Area Wilderness, Superior National Forest, Minnesota. (a) Description of areas...

  20. The application of the wilderness concept in Antarctica and Svalbard : A comparison of the respective regulatory systems

    NARCIS (Netherlands)

    Neumann, Antje

    2016-01-01

    The wilderness values of Antarctica receive explicit legal protection under the Environmental Protocol to the Antarctic Treaty. However, different opinions exist, on the one hand, as regards the precise meaning of the wilderness concept at the international and national level and, on the other hand,

  1. Lyndon Baines Johnson signs the Wilderness Act into law

    Science.gov (United States)

    Susan A. Fox

    2016-01-01

    President Lyndon Baines Johnson signed the Wilderness Act into law on Sept. 3, 1964. In this photo, LBJ hands the pen he used to Alice Zahniser while naturalist, author, adventurer, and conservationist Mardy Murie (standing behind her) looks on.

  2. Protection of the wilderness and aesthetic values of Antarctica: Geographical Information Systems (GIS) as a tool

    Science.gov (United States)

    Rupert Summerson; Tina Tin

    2011-01-01

    Antarctica is designated by the Antarctic Treaty System as a "natural reserve devoted to peace and science" (http://www.ats.aq/index_e.htm). Multiple, and sometimes conflicting, values are protected. In a place where wilderness protection and certain forms of human activity are both prized, a discussion of the protection of the Antarctic wilderness...

  3. Valuing values: A history of wilderness economics

    Science.gov (United States)

    J. M. Bowker; H. K. Cordell; N. C. Poudyal

    2014-01-01

    Prior to the U.S. Wilderness Act of 1964, economics as a science was hardly considered applicable to the types of human values set forth in this pathbreaking legislation. Economics was largely confined to the purchasing and labor decisions of households and firms as well the functioning of markets and economies. However, around this time, John Krutilla (1967) in his...

  4. Nature-based outdoor recreation trends and wilderness

    Science.gov (United States)

    H. Ken Cordell; Carter Betz; Gary T. Green

    2008-01-01

    Wilderness and other public land management agencies, both federal and state, have been feeling a pinch. It seems this pinch may partly be in response to a growing perception, or perhaps misperception,that nature-based, especially wildland recreation, is on the decline. This perception has been getting a lot of media attention of late. Some of us who have done research...

  5. Estimated impact of global population growth on future wilderness extent

    Science.gov (United States)

    Dumont, E.

    2012-06-01

    Wilderness areas in the world are threatened by the environmental impacts of the growing global human population. This study estimates the impact of birth rate on the future surface area of biodiverse wilderness and on the proportion of this area without major extinctions. The following four drivers are considered: human population growth (1), agricultural efficiency (2), groundwater drawdown by irrigation (3), and non-agricultural space used by humans (buildings, gardens, roads, etc.) (4). This study indicates that the surface area of biodiverse unmanaged land will reduce with about 5.4% between 2012 and 2050. Further, it indicates that the biodiverse land without major extinctions will reduce with about 10.5%. These percentages are based on a commonly used population trajectory which assumes that birth rates across the globe will reduce in a similar way as has occurred in the past in many developed countries. Future birth rate is however very uncertain. Plausible future birth rates lower than the expected rates lead to much smaller reductions in surface area of biodiverse unmanaged land (0.7% as opposed to 5.4%), and a reduction in the biodiverse land without major extinctions of about 5.6% (as opposed to 10.5%). This indicates that birth rate is an important factor influencing the quality and quantity of wilderness remaining in the future.

  6. Personal, societal, and ecological values of wilderness: Sixth World Wilderness Congress proceedings on research, management, and allocation, Volume II

    Science.gov (United States)

    Alan E. Watson; Greg H. Aplet; John C. Hendee

    2000-01-01

    The papers contained in Volume II of these Proceedings represent a combination of papers originally scheduled for the delayed 1997 meeting of the World Wilderness Congress and those submitted in response to a second call for papers when the Congress was rescheduled for October 24-29, 1998, in Bangalore, India. Just as in Volume I, the papers are divided into seven...

  7. Idea Notebook: Wilderness Food Planning in the Computer Age.

    Science.gov (United States)

    Drury, Jack K.

    1986-01-01

    Explains the use of a computer as a planning and teaching tool in wilderness trip food planning. Details use of master food list and spreadsheet software such as VisiCalc to provide shopping lists for food purchasing, cost analysis, and diet analysis. (NEC)

  8. "Completely empowering": A qualitative study of the impact of technology on the wilderness experience in New Zealand

    Science.gov (United States)

    John D. Shultis

    2015-01-01

    Recent academic literature has expressed concern over the potential impact of the increasing types and levels of electronic (largely communication-related) technology brought by visitors into the wilderness. A key issue has been perceived changes in risktaking behavior by wilderness and backcountry users. Despite these concerns, extremely limited empirical assessment...

  9. An innovative art therapy program for cancer patients.

    Science.gov (United States)

    Deane, K; Fitch, M; Carman, M

    2000-01-01

    Art therapy is a healing art intended to integrate physical, emotional, and spiritual care by facilitating creative ways for patients to respond to their cancer experience. A new art therapy program was designed to provide cancer patients with opportunities to learn about the McMichael Canadian Art Collection and to explore personal feelings about their cancer experience through combined gallery and studio components. The role of the facilitator was to assist in the interpretation of a participant's drawing in order to reveal meaning in the art. This paper presents patients' perspectives about the new art therapy program. Content analysis of participant feedback provided information about the structure, process, and outcomes of the program. Evaluation of the art therapy/museum education program demonstrated many benefits for cancer patients including support, psychological strength, and new insights about their cancer experience.

  10. At Home in the Great Northern Wilderness: African Americans and Freedom’s Ecology in the Adirondacks, 1846-1859

    Directory of Open Access Journals (Sweden)

    Daegan Miller

    2013-05-01

    Full Text Available In the fall of 1846, the first of 3,000 African American settlers set foot on their 40-acre plots in the Great Northern Wilderness of New York State, a place we now call the “forever wild” wilderness of the Adirondack State Park. These black settlers were the initial wave of a social experiment meant to destroy both slavery and, more generally, racism throughout the entire United States through the redemptive practice of a utopian agrarianism. The settlers understood that nature and culture, wilderness and society, were thickly, dialectically intertwined. And they weren’t alone: their efforts were seeded by the white abolitionist, Gerrit Smith; fertilized by the utopian socialist communes that covered the Northeast in the 1840s; and nurtured by abolitionists, both black and white. To United States environmental history, I add two threads less frequently seen: African American history and an intellectual history of radical politics. Following these threads has led me beyond the disciplinary confines of history and into larger debates about the cultural politics of wilderness. In this article I argue that the critical wilderness paradigm currently reigning both in and beyond historical scholarship has obscured nuanced, sometimes radical visions of the natural world. Instead of an ironic, deconstructed notion of a troubling wilderness, I suggest another heuristic, the ecology of freedom, which highlights past contingency and hope, and can furthermore help guide our present efforts, both scholastic and activist, to find an honorable, just way of living on the earth.

  11. Public values of the Antarctic wilderness: A comparison of university students in Spain and the United States

    Science.gov (United States)

    John Peden; Tina Tin; Javier Benayas; Luis Pertierra; Pablo Tejedo; Jessica O' Reilly; Kees Bastmeijer; Pat Maher

    2015-01-01

    This paper summarizes preliminary results of a research study that investigated university students' perceptions of Antarctic wilderness and reports on discussions of these results at a workshop held at the 10th World Wilderness Congress. The purpose of the research study was to determine whether nationality and cultural differences were associated with beliefs...

  12. Coastal bathymetry data collected in May 2015 from Fire Island, New York—Wilderness breach and shoreface

    Science.gov (United States)

    Nelson, Timothy R.; Miselis, Jennifer L.; Hapke, Cheryl J.; Brenner, Owen T.; Henderson, Rachel E.; Reynolds, Billy J.; Wilson, Kathleen E.

    2017-05-12

    Scientists from the U.S. Geological Survey (USGS) St. Petersburg Coastal and Marine Science Center in St. Petersburg, Florida, conducted a bathymetric survey of Fire Island from May 6-20, 2015. The USGS is involved in a post-Hurricane Sandy effort to map and monitor the morphologic evolution of the wilderness breach as a part of the Hurricane Sandy Supplemental Project GS2-2B. During this study, bathymetry data were collected with single-beam echo sounders and Global Positioning Systems, which were mounted to personal watercraft, along the Fire Island shoreface and within the wilderness breach. Additional bathymetry and elevation data were collected using backpack Global Positioning Systems on flood shoals and in shallow channels within the wilderness breach.

  13. The socio-cultural value of New Zealand wilderness

    Science.gov (United States)

    Kerry Wray

    2011-01-01

    New Zealand's wilderness resource has become iconic on both a national and international scale, and provides an important source of cultural identity for many Kiwis (a colloquial term for a New Zealander). Now, in the early 21st Century, however, social changes such as urbanization, globalization, increasing consumerism, and growing international tourism may be...

  14. Wilderness stewardship in an era of global changes

    Science.gov (United States)

    David J. Parsons

    2006-01-01

    It seems increasingly clear that the primary challenge to the future preservation of wild landscapes will be adapting to the rapidly changing social and biophysical environments within which such areas exist. Established in large part as islands of naturalness, where human influences are minimized, wilderness ecosystems are now threatened by myriad changes, many of...

  15. 75 FR 54296 - Information Collection; Trends in Use and Users in the Boundary Waters Canoe Area Wilderness, MN

    Science.gov (United States)

    2010-09-07

    ... notice should be addressed to Alan E. Watson, Aldo Leopold Wilderness Research Institute, USDA Forest... submitted by e-mail to: [email protected] . The public may inspect comments received at the Aldo Leopold... to the building. FOR FURTHER INFORMATION CONTACT: Alan E. Watson, Aldo Leopold Wilderness Research...

  16. Visitor preferences for managing wilderness recreation after wildfire.

    Science.gov (United States)

    Ryan N.K. Brown; Randall S. Rosenberger; Jeffrey D. Kline; Troy E. Hall; Mark D. Needham

    2008-01-01

    The 2003 Bear Butte and Booth (B&B) Fires burned much of the Mount Jefferson Wilderness in the Deschutes and Willamette National Forests, Oregon. A question for managers is how best to manage recreation in fire-affected areas in ways that minimize adverse impacts on visitor experiences and the recovering landscape. To help address this question, we used onsite...

  17. Twentieth-century fire patterns in the Selway-Bitterroot Wilderness Area, Idaho/Montana, and the Gila/Aldo Leopold Wilderness Complex, New Mexico

    Science.gov (United States)

    Matthew Rollins; Tom Swetnam; Penelope Morgan

    2000-01-01

    Twentieth century fire patterns were analyzed for two large, disparate wilderness areas in the Rocky Mountains. Spatial and temporal patterns of fires were represented as GIS-based digital fire atlases compiled from archival Forest Service data. We find that spatial and temporal fire patterns are related to landscape features and changes in land use. The rate and...

  18. The Wilderness Expedition: An Effective Life Course Intervention to Improve Young People's Well-Being and Connectedness to Nature

    Science.gov (United States)

    Barton, Jo; Bragg, Rachel; Pretty, Jules; Roberts, Jo; Wood, Carly

    2016-01-01

    It is well understood that wilderness expeditions improve well-being; however, there is little supporting quantitative data. The aim of this study was to measure the impact of wilderness expeditions on self-esteem (SE) and connectedness to nature (CN) and assess whether benefits varied according to participant and expedition characteristics. SE…

  19. Mount Zirkel Wilderness and vicinity, Colorado

    International Nuclear Information System (INIS)

    Snyder, G.L.; Patten, L.L.

    1984-01-01

    Several areas of metallic and nonmetallic mineralization have been identified from surface occurrences within the Mount Zirkel Wilderness and vicinity, Colorado. Three areas of probable copper-lead-zinc-silver-gold resource potential, two areas of probable chrome-platinum resource potential, four areas of probable uranium-thorium resource potential, two areas of probable molybdenum resource potential, and one area of probable fluorspar potential were identified by studies in 1965-1973 by the USGS and USBM. No potential for fossil fuel or geothermal resources was identified

  20. Between wilderness and the middle landscape: A rocky road

    Science.gov (United States)

    Lisi Krall

    2007-01-01

    Wilderness preservation, as one branch of conservation, demonstrates a decidedly different cultural ethos than the utilitarian branch. Thus, preservation and utilitarian conservation represent different habits of thought fermenting in the cask of l9th century economic evolution. More specifically, the utilitarian branch of conservation can easily be viewed as an...

  1. SPORTS PHYSICAL THERAPY CURRICULA IN PHYSICAL THERAPIST PROFESSIONAL DEGREE PROGRAMS.

    Science.gov (United States)

    Mulligan, Edward P; DeVahl, Julie

    2017-10-01

    The specialty niche of sports physical therapy has grown at a significant rate over the past 40 years. Despite this growth there is little information or direction from the physical therapy education accreditation body or professional association to guide academic programs on the interest or necessity of this type of practice content in physical therapy professional degree programs. The purpose of this survey study is to report on the prevalence, attitudes, barriers, resources, and faculty expertise in providing required or elective sports physical therapy course work. Cross-sectional descriptive survey. A 57-item questionnaire with branching logic was distributed via a web-based electronic data capture tool to survey all Commission on Accreditation for Physical Therapy Education (CAPTE) accredited and candidate schools in the United States. Response data was analyzed to describe typical educational program profiles, faculty demographics, and correlational factors consistent with the presence or absence of specific sports physical therapy curricular content. Thirty one percent of the schools responded to the survey and the program demographics were consistent with all currently accredited schools in regards to their geography, Carnegie classification, and faculty and student size. Forty three percent of programs offered a required or elective course distinct to the practice of sports physical therapy. Descriptive information regarding the sequencing, curricular make-up, resources, and assessment of content competence is reported. The odds of providing this content nearly doubles for programs that have faculty with sports clinical specialist credentials, accredited sports residency curriculums, or state practice acts that allow sports venue coverage. This survey provides an initial overview of sports physical therapy educational efforts in professional physical therapy degree programs. The data can used to spur further discussion on the necessity, structure, and

  2. Fish abundance in the Wilderness and Swartvlei lake systems ...

    African Journals Online (AJOL)

    A longer duration tidal phase in the Swartvlei system during 1992 and 1993, compared to the Wilderness lake system, did not result in greater abundance of fish sampled. There appears to be no justification for the artificial maintenance of permanently tidal conditions in the Swartvlei and Touw River estuaries on the ...

  3. Modeling the distribution of white spruce (Picea glauca) for Alaska with high accuracy: an open access role-model for predicting tree species in last remaining wilderness areas

    Science.gov (United States)

    Bettina Ohse; Falk Huettmann; Stefanie M. Ickert-Bond; Glenn P. Juday

    2009-01-01

    Most wilderness areas still lack accurate distribution information on tree species. We met this need with a predictive GIS modeling approach, using freely available digital data and computer programs to efficiently obtain high-quality species distribution maps. Here we present a digital map with the predicted distribution of white spruce (Picea glauca...

  4. Landscape development, forest fires, and wilderness management.

    Science.gov (United States)

    Wright, H E

    1974-11-08

    fire. Major fires occur so often that the vegetation pattern is a record of fire history. All elements in the forest mosaic are in various stages of postfire succession, with only a few approaching climax. Fire interrupts the successful sequence toward climax. Geomorphic and edaphic factors in vegetational distribution are largely submerged by the fire regime, except for bog and other lowland vegetation. Fire recycles nutrients and renews succession. Nevertheless, despite the fire regime, the resulting long-term equilibrium of the forest mosaic, characterized by severe and irregular fluctuations of individual elements, reflects regional climate. In the BWCA and the western mountains, large virgin forests can be preserved for study and wilderness recreation. These wilderness areas must be managed to return them to the natural equilibrium which has been disturbed by 50 to 70 years of fire suppression. The goal should be to maintain virgin forests as primeval wilderness. This can be done by management that permits fire and other natural processes to determine the forest mosaic. Mechanized tree-felling and other human disturbances should be kept to an absolute minimum. Natural landforms also should be preserved for study and for certain nondestructive recreational activities. It is somewhat late for the Colorado River and other rivers of the West, because natural balances are upset by drainagebasin disturbances. Modification of plant cover on hillslopes changes infiltration and erosion rates and thus the stream discharge and sediment load, so the stream balance is altered from primeval conditions. Scenic Rivers legislation should thus be used to restore certain river systems and their drainage basins. Mountain meadows, badlands, desert plains, and patterned permafrost terrain are extremely fragile and sensitive. Intricate stream and weathering processes leave patterns easily obliterated by mechanized vehicles. Tire tracks can last for decades or centuries. The mineral

  5. Pre-Participation Medical Evaluation for Adventure and Wilderness Watersports.

    Science.gov (United States)

    Nathanson, Andrew T; Young, Justin Mark J; Young, Craig

    2015-12-01

    A request for a preparticipation medical evaluation for wilderness watersports may be made by guiding agencies, instructional camps, or by patients presenting for an annual visit. Although guidelines have been published regarding preparticipation physical evaluation for traditional competitive high school and collegiate sports, little has been written about medical evaluations for those wishing to engage in wilderness and adventure watersports. in this article, we offer guidance based on literature review and expert opinion. Watersports are among the most common recreational activities in the United states and are generally safe. Drowning, however, is a significant risk, particularly in small, self-propelled craft, and among children. Medical counseling before participation in watersports should include screening for medical conditions which may impair swimming ability, including a history of seizures, heart disease, and lung disease. Physicians should also promote preventive health measures such as use of lifejackets and sun protection, as well as alcohol avoidance. Swim testing tailored to specific activities should be strongly considered for children and those with questionable swimming ability. Copyright © 2015. Published by Elsevier Inc.

  6. Then the Wilderness Shall Bloom like a Rosy Bower

    DEFF Research Database (Denmark)

    Nielsen, Kirsten

    2014-01-01

    intertextual connections to the rest of the book. In my article, I have analysed how the Danish poet N.F.S. Grundtvig reworks Isa 35 in his hymn “Then the wilderness shall bloom like a rosy bower”, and how he reinterprets the wild animals as the Enemy (the Devil). In my view, the animals in Isa 35 have...

  7. Wilderness Management... A Computerized System for Summarizing Permit Information

    Science.gov (United States)

    Gary H. Elsner

    1972-01-01

    Permits were first needed for visits to wilderness areas in California during summer 1971. A computerized system for analyzing these permits and summarizing information from them has been developed. It produces four types of summary tables: point-of-origin of visitors; daily variation in total number of persons present; variations in group size; and variations in...

  8. The use of art and music therapy in substance abuse treatment programs.

    Science.gov (United States)

    Aletraris, Lydia; Paino, Maria; Edmond, Mary Bond; Roman, Paul M; Bride, Brian E

    2014-01-01

    Although the implementation of evidence-based practices in the treatment of substance use disorders has attracted substantial research attention, little consideration has been given to parallel implementation of complementary and alternative medical (CAM) practices. Using data from a nationally representative sample (N = 299) of U.S. substance abuse treatment programs, this study modeled organizational factors falling in the domains of patient characteristics, treatment ideologies, and structural characteristics, associated with the use of art therapy and music therapy. We found that 36.8% of treatment programs offered art therapy and 14.7% of programs offered music therapy. Programs with a greater proportion of women were more likely to use both therapies, and programs with larger proportions of adolescents were more likely to offer music therapy. In terms of other treatment ideologies, programs' use of Motivational Enhancement Therapy was positively related to offering art therapy, whereas use of contingency management was positively associated with offering music therapy. Finally, our findings showed a significant relationship between requiring 12-step meetings and the use of both art therapy and music therapy. With increasing use of CAM in a diverse range of medical settings and recent federal legislation likely to reduce barriers in accessing CAM, the inclusion of CAM in addiction treatment is growing in importance. Our findings suggest treatment programs may be utilizing art and music therapies to address unique patient needs of women and adolescents.

  9. Invasive alien freshwater fishes in the Wilderness Lakes System, a ...

    African Journals Online (AJOL)

    Invasive alien freshwater fishes in the Wilderness Lakes System, a wetland of international importance in the Western Cape Province, South Africa. ... A total of 87 893 fish comprising 16 species were caught. In addition to confirming the ... Key words: freshwater fish, invasive alien fishes, estuary, RAMSAR site, diversity.

  10. The impact of technology on the wilderness experience: A review of common themes and approaches in three bodies of literature

    Science.gov (United States)

    John Shultis

    2012-01-01

    In the last decade, increasing concern has been expressed about the impact of new technologies - especially communication technologies - on the wilderness experience. Many authors have suggested a tipping point has been reached, with new technologies changing the very nature of the 'traditional' wilderness experience in various ways. The loss of direct...

  11. How do migratory species add ecosystem service value to wilderness? Calculating the spatial subsidies provided by protected areas

    Science.gov (United States)

    Lopez-Hoffman, Laura; Semmens, Darius J.; Diffendorfer, Jay

    2013-01-01

    Species that migrate through protected and wilderness areas and utilize their resources, deliver ecosystem services to people in faraway locations. The mismatch between the areas that most support a species and those areas where the species provides most benefits to society can lead to underestimation of the true value of protected areas such as wilderness. We present a method to communicate the “off-site” value of wilderness and protected areas in providing habitat to migratory species that, in turn, provide benefits to people in distant locations. Using northern pintail ducks (Anas acuta) as an example, the article provides a method to estimate the amount of subsidy – the value of the ecosystem services provided by a migratory species in one area versus the cost to support the species and its habitat elsewhere.

  12. The human context and natural character of wilderness lands

    Science.gov (United States)

    H. Ken Cordell; Danielle Murphy; Kurt H. Riitters; J.E. Harvard

    2005-01-01

    This chapter describes the lands that make up the National Wilderness Preservation System (NWPS). The first section includes statistics on trends in designations since the creation of the NWPS and describes the current size of the System in total land area and number of areas across the country. Also included are descriptions of the prevalence of NWPS lands by states...

  13. Fire-climate interactions in the Selway-Bitterroot Wilderness area

    Science.gov (United States)

    Kurt F. Kipfmueller; Thomas W. Swetnam

    2000-01-01

    Tree-ring reconstructed summer drought was examined in relation to the occurrence of 15 fires in the Selway-Bitterroot Wilderness Area (SBW). The ten largest fire years between 1880 and 1995 were selected from historical fire atlas data; five additional fire years were selected from a fire history completed in a subalpine forest within the SBW. Results of the analysis...

  14. Exploring Mechanisms for Effective Technology-Enhanced Simulation-based Education in Wilderness Medicine: A Systematic Review.

    Science.gov (United States)

    MacKinnon, Ralph; Aitken, Deborah; Humphries, Christopher

    2015-12-17

     Technology-enhanced simulation is well-established in healthcare teaching curricula, including those regarding wilderness medicine. Compellingly, the evidence base for the value of this educational modality to improve learner competencies and patient outcomes are increasing.  The aim was to systematically review the characteristics of technology-enhanced simulation presented in the wilderness medicine literature to date. Then, the secondary aim was to explore how this technology has been used and if the use of this technology has been associated with improved learner or patient outcomes.  EMBASE and MEDLINE were systematically searched from 1946 to 2014, for articles on the provision of technology-enhanced simulation to teach wilderness medicine. Working independently, the team evaluated the information on the criteria of learners, setting, instructional design, content, and outcomes.  From a pool of 37 articles, 11 publications were eligible for systematic review. The majority of learners in the included publications were medical students, settings included both indoors and outdoors, and the main focus clinical content was initial trauma management with some including leadership skills. The most prevalent instructional design components were clinical variation and cognitive interactivity, with learner satisfaction as the main outcome.  The results confirm that the current provision of wilderness medicine utilizing technology-enhanced simulation is aligned with instructional design characteristics that have been used to achieve effective learning. Future research should aim to demonstrate the translation of learning into the clinical field to produce improved learner outcomes and create improved patient outcomes.

  15. The Use of Art and Music Therapy in Substance Abuse Treatment Programs

    Science.gov (United States)

    Aletraris, Lydia; Paino, Maria; Edmond, Mary Bond; Roman, Paul M.; Bride, Brian E.

    2014-01-01

    While the implementation of evidence-based practices (EBPs) in the treatment of substance use disorders (SUD) has attracted substantial research attention, little consideration has been given to parallel implementation of complementary and alternative medical (CAM) practices. Using data from a nationally representative sample (N = 299) of U.S. substance abuse treatment programs, this study modeled organizational factors falling in the domains of patient characteristics, treatment ideologies, and structural characteristics, associated with the use of art therapy and music therapy. We found that 36.8% of treatment programs offered art therapy and 14.7% of programs offered music therapy. Programs with a greater proportion of women were more likely to use both therapies, and programs with larger proportions of adolescents were more likely to offer music therapy. In terms of other treatment ideologies, programs’ use of Motivational Enhancement Therapy (MET) was positively related to offering art therapy, while use of Contingency Management (CM) was positively associated with offering music therapy. Finally, our findings showed a significant relationship between requiring 12-step meetings and the use of both art therapy and music therapy. With increasing use of CAM in a diverse range of medical settings, and recent federal legislation likely to reduce barriers in accessing CAM, the inclusion of CAM in addiction treatment is growing in importance. Our findings suggest treatment programs may be utilizing art and music therapies to address unique patient needs of women and adolescents. PMID:25514689

  16. Trail Crews: Developing a Service Component to Your Program.

    Science.gov (United States)

    Boehringer, Brad; Merrill, Kurt

    Through wilderness stewardship programs, service projects, or trail crews, college outdoor programs can help land management agencies with their maintenance needs and provide student participants with rewarding service learning opportunities. Trail crews are usually composed of volunteer outdoor enthusiasts who take part in a multitude of…

  17. Science informs stewardship: Committing to a national wilderness science agenda

    Science.gov (United States)

    Susan A. Fox; Beth A. Hahn

    2016-01-01

    The National Wilderness Preservation System (NWPS) is a vital component of the national and international infrastructure for science, education, and information. The NWPS serves as an important resource for advancing research, from discovering new dinosaurs (Arbour et al. 2014, Landon 2016) to understanding human history on the American landscape (Rasic 2003). The NWPS...

  18. Shared principles of restoration practice in the Chicago wilderness region

    Science.gov (United States)

    Christy Watkins; Lynne M. Westphal; Paul H. Gobster; Joanne Vining; Alaka Wali; Madeleine Tudor

    2015-01-01

    We describe the rules, norms, and strategies (institutional statements) that characterize ecological restoration across 10 organizations in the Chicago Wilderness region. Our use of Ostrom's IAD ADICO grammar tool is novel in both context (non-extractive resource management) and data type (qualitative interviews). Results suggest that, in contrast to a focus on...

  19. [Psychological Effects of Forest Therapy Program on Workers].

    Science.gov (United States)

    Ikei, Harumi; Koizumi, Haruka; Song, Chorong; Kouzuki, Mitsunori; Teratani, Seiichiro; Sakuma, Takahiro; Miyazaki, Yoshifumi

    2015-01-01

    To examine the psychological effects of forest therapy program on workers. The subjective symptoms index, a shortened version of the profile of mood states (POMS), and a semantic differential (SD) method were used to measure the psychological effects. The evaluations were performed 3 days before, during, and 1, 3, and 5 days after the forest therapy. The following results were obtained: (1) the subjective symptoms improved before breakfast and continued for 5 days; (2) the mood evaluated using POMS improved before breakfast and continued for 3 days; and (3) “comfortable,” “relaxed,” and “natural” feelings evaluated using the SD method were enhanced before breakfast, lunch, and dinner during forest therapy. These results provided scientific evidence of the psychological effects of forest therapy program on workers.

  20. The Role of Wilderness Protection and Societal Engagement as Indicators of Well-Being: An Examination of Change at the Boundary Waters Canoe Area Wilderness

    Science.gov (United States)

    Watson, Alan E.

    2013-01-01

    A societal decision to protect over 9 million acres of land and water for its wilderness character in the early 1960s reflected US wealth in natural resources, pride in the nation's cultural history and our commitment to the well-being of future generations to both experience wild nature and enjoy benefits flowing from these natural ecosystems.…

  1. Adapting Animal-Assisted Therapy Trials to Prison-Based Animal Programs.

    Science.gov (United States)

    Allison, Molly; Ramaswamy, Megha

    2016-09-01

    Prison-based animal programs have shown promise when it comes to increased sociability, responsibility, and levels of patience for inmates who participate in these programs. Yet there remains a dearth of scientific research that demonstrates the impact of prison-based animal programs on inmates' physical and mental health. Trials of animal-assisted therapy interventions, a form of human-animal interaction therapy most often used with populations affected by depression/anxiety, mental illness, and trauma, may provide models of how prison-based animal program research can have widespread implementation in jail and prison settings, whose populations have high rates of mental health problems. This paper reviews the components of prison-based animal programs most commonly practiced in prisons today, presents five animal-assisted therapy case studies, evaluates them based on their adaptability to prison-based animal programs, and discusses the institutional constraints that act as barriers for rigorous prison-based animal program research implementation. This paper can serve to inform the development of a research approach to animal-assisted therapy that nurses and other public health researchers can use in working with correctional populations. © 2016 Wiley Periodicals, Inc.

  2. Teaching wilderness first aid in a remote First Nations community: the story of the Sachigo Lake Wilderness Emergency Response Education Initiative

    OpenAIRE

    Karen Born; Aaron Orkin; David VanderBurgh; Jackson Beardy

    2012-01-01

    Objective. To understand how community members of a remote First Nations community respond to an emergency first aid education programme. Study design. A qualitative study involving focus groups and participant observation as part of a communitybased participatory research project, which involved the development and implementation of a wilderness first aid course in collaboration with the community. Methods. Twenty community members participated in the course and agreed to be part of the rese...

  3. Influence of landscape gradients in wilderness management and spatial climate on fire severity in the Northern Rockies USA, 1984 to 2010

    Science.gov (United States)

    Sandra L. Haire; Carol Miller; Kevin McGarigal

    2015-01-01

    Management activities, applied over broad scales, can potentially affect attributes of fire regimes including fire severity. Wilderness landscapes provide a natural laboratory for exploring effects of management because in some federally designated wilderness areas the burning of naturally ignited fires is promoted. In order to better understand the contribution of...

  4. The importance of wilderness landscape Analysis in development planning schemes for national parks, with special reference to the Mountain Zebra National Park

    Directory of Open Access Journals (Sweden)

    W. van Riet

    1977-12-01

    The Wilderness Act of September 1964, of the United States of America, states that "... wilderness, in contrast with those areas where man and his own works dominate the landscape, is hereby recognised as an area where the earth and its community of life are not influenced by man and where man himself is a visitor who does not remain55 (Nash 1967. The Act also states that a wilderness "... must retain its primeval character and influence and that it must be protected and managed in such a way that it appears to have been effected primarily by the forces of nature.”

  5. Geochemical survey maps of the wildernesses and roadless areas in the White Mountains National Forest, Coos, Grafton, and Carroll counties, New Hampshire

    Science.gov (United States)

    Canney, F.C.; Howd, F.H.; Domenico, J.A.; Nakagawa, H.M.

    1987-01-01

    The Wilderness Act (Public Law 88-577, September 3, 1964) and related acts require the U.S. Geological Survey and the U.S. Bureau of Mines to survey certain areas on Federal lands to determine what mineral values, if any, may be present. Results must be made available to the public and be submitted to the President and the Congress. This report presents the results a geochemical survey of the Great Gulf and Presidential Range-Dry River Wilderness Areas; the Dartmouth Range, Wild River, Pemigewasset, Kinsman Mountain, Mount Wolf-Gordon Pond, Jobildunk, Carr Mountain, Sandwich Range, and the Dry River Extention (2 parcels) Roadless Areas; and the intervening and immediately surrounding areas in the White Mountain National Forest, Coos, Grafton, and Carroll Counties, New Hampshire. The Great Gulf Wilderness was established when the Wilderness Act was passed in 1964, and the Presidential Range-Dray Wiver Wilderness was established by Public Law 93-622, January 3, 1975. The Dartmouth Range, Wild River, Pemigewasset, Kinsman Mountain, Mount Wolf-Gordon Pond, Carr Mountain, and Jobildunk areas were classified as a further planning area during the Second Roadless Area Review and Evaluation (RARE II) by the U.S. Forest Service, January 1979.

  6. A computer based learning program for radiation therapy

    International Nuclear Information System (INIS)

    Frenzel, T.; Kruell, A.; Schmidt, R.

    1999-01-01

    Many textbooks about radiation therapy for the education of medical, technical and scientific staff are available. But they are restricted to transfer of knowledge via text and figures. On the other hand movies and animated pictures can give you a more realistic impression of the procedures and technical equipment of a radiation therapy department. Therefore, an interactive multimedia teaching program was developed at the Universitaets-Krankenhaus Eppendorf for the department of radiation therapy. The electronic textbook runs under 'MS Windows 3.1 trademark ' (with multimedia extensions) and 'MS Windows 95 trademark ', contains eight chapters and can be used without any preliminary knowledge. The program has been tested by medical personnel, nurses, physicists and physicians and was generally welcome. The program was designed for people with different levels of education to reach as many users as possible. It was not created to replace textbooks but was designed for their supplement. (orig.) [de

  7. Comparing manager and visitor perceptions of llama use in wilderness

    Science.gov (United States)

    Alan E. Watson; Neal A. Christensen; Dale J. Blahna; Kari S. Archibald

    1998-01-01

    Llama use in wilderness is projected to increase over the next 5 years. While the greatest concerns about this increase in use are unexpected impacts to native flora, impacts to native fauna, and conflicts with other user types, there is also concern about how prepared managers are to deal with this increasing recreation demand. This research compares manager attitudes...

  8. The NSW radiation therapy PDY educational program. A review of the 2002 and 2003 programs

    International Nuclear Information System (INIS)

    Beldham-Collins, Rachael

    2005-01-01

    Each month, nine radiation oncology departments in the public health sector in New South Wales host a one-day educational program for graduate practitioners completing their professional development year (PDY). Various topics are presented which are considered relevant to graduates in the transition from the academic environment to full time work in busy clinical departments. This paper presents the findings of a review of the NSW State Radiation Therapy PDY educational program for 2002 and 2003 instigated by the NSW Chiefs Group. The program was evaluated to determine whether it enhanced the learning experiences of graduate practitioners during the PDY. The results indicate the educational program has been successful in enhancing the skills of the radiation therapy graduate practitioners. This finding suggests the program is having a positive impact on the experience of the graduate practitioners within radiation therapy in NSW. Copyright (2005) Australian Institute of Radiography

  9. The role of wilderness protection and societal engagement as indicators of well-being: An examination of change at the Boundary Waters Canoe Area Wilderness

    Science.gov (United States)

    Alan E. Watson

    2011-01-01

    A societal decision to protect over 9 million acres of land and water for its wilderness character in the early 1960s reflected US wealth in natural resources, pride in the nation's cultural history and our commitment to the well-being of future generations to both experience wild nature and enjoy benefits flowing from these natural ecosystems. There is no...

  10. Traditional ecological knowledge: Applying principles of sustainability to wilderness resource management

    Science.gov (United States)

    Nancy C. Ratner; Davin L. Holen

    2007-01-01

    Traditional ecological knowledge within specific cultural and geographical contexts was explored during an interactive session at the 8th World Wilderness Congress to identify traditional principles of sustainability. Participants analyzed the traditional knowledge contained in ten posters from Canada and Alaska and identified and discussed the traditional principles...

  11. Family Therapy Training in Child and Adolescent Psychiatry Fellowship Programs

    Science.gov (United States)

    Rait, Douglas Samuel

    2012-01-01

    Objective: This study describes the current state of family therapy training in a sample of child and adolescent psychiatry fellowship programs. Method: Child and adolescent psychiatry fellows (N = 66) from seven training programs completed a questionnaire assessing demographics, family therapy training experiences, common models of treatment and…

  12. Computer-based Programs in Speech Therapy of Dyslalia and Dyslexia- Dysgraphia

    Directory of Open Access Journals (Sweden)

    Mirela Danubianu

    2010-04-01

    Full Text Available During the last years, the researchers and therapists in speech therapy have been more and more concerned with the elaboration and use of computer programs in speech disorders therapy. The main objective of this study was to evaluate the therapeutic effectiveness of computer-based programs for the Romanian language in speech therapy. Along the study, we will present the experimental research through assessing the effectiveness of computer programs in the speech therapy for speech disorders: dyslalia, dyslexia and dysgraphia. Methodologically, the use of the computer in the therapeutic phases was carried out with the help of some computer-based programs (Logomon, Dislex-Test etc. that we elaborated and we experimented with during several years of therapeutic activity. The sample used in our experiments was composed of 120 subjects; two groups of 60 children with speech disorders were selected for both speech disorders: 30 for the experimental ('computer-based' group and 30 for the control ('classical method' group. The study hypotheses verified whether the results, obtained by the subjects within the experimental group, improved significantly after using the computer-based program, compared to the subjects within the control group, who did not use this program but got a classical therapy. The hypotheses were confirmed for the speech disorders included in this research; the conclusions of the study confirm the advantages of using computer-based programs within speech therapy by correcting these disorders, as well as due to the positive influence these programs have on the development of children’s personality.

  13. 3 CFR 8409 - Proclamation 8409 of September 3, 2009. National Wilderness Month, 2009

    Science.gov (United States)

    2010-01-01

    ... American people of present and future generations the benefits of an enduring resource of wilderness.” The... protection laws in many of our States and in countries around the world. The vision and structure established...

  14. From research to policy: The White Cap Wilderness Fire Study

    Science.gov (United States)

    Diane Smith

    2014-01-01

    On August 18, 1972, an aerial patrol reported a snag burning deep in the Selway-Bitterroot Wilderness in Idaho. Bob Mutch, then a young research forester, traveled to the site the following day for an on-the-ground assessment. It was, Mutch later recalled, a little "nothing fire" that posed no threat. And he was right. Growing to only 24 feet by 24...

  15. The Symbiotic Relationship Between Operational Military Medicine, Tactical Medicine, and Wilderness Medicine: A View Through a Personal Lens.

    Science.gov (United States)

    Llewellyn, Craig H

    2017-06-01

    There are direct and indirect linkages and a form of symbiosis between operational military medicine from World War II and present wilderness medicine, from the beginnings to contemporary practice, and the more recently evolved field of tactical emergency medical support. Each of these relationships will be explored from the historical perspective of the Department of Military & Emergency Medicine, Uniformed Services University of the Health Sciences from 1982 to the present. Copyright © 2017 Wilderness Medical Society. Published by Elsevier Inc. All rights reserved.

  16. Wilderness Recreation Demand: A Comparison of Travel Cost and On-Site Cost Models

    Science.gov (United States)

    J.M. Bowker; A. Askew; L. Seymour; J.P. Zhu; D. English; C.M. Starbuck

    2009-01-01

    This study used travel cost and on-site day cost models, coupled with the Forest Service’s National Visitor Use Monitoring data, to examine the demand for and value of recreation access to designated Wilderness.

  17. Wilderness protection in Europe : The role of international, European and national law

    NARCIS (Netherlands)

    Bastmeijer, Kees

    2016-01-01

    In recent years strong concerns have been raised about the protection of the remaining areas of wilderness in Europe. Despite an extensive human footprint, Europe still retains large areas with a high degree of native and free functioning ecosystems, where roads, buildings, bridges, cables and other

  18. Untrodden Paths: A Critical Conversation about Wilder Places in Outdoor Education

    Science.gov (United States)

    Straker, Jo; Potter, Tom G.; Irwin, David

    2017-01-01

    This paper asks, what is the outdoors, and challenges conceptions of the role the outdoors play in education. It critically examines why a better understanding of the outdoors is important to outdoor education, how wilder places are essential to education, and how learning generated from these places can be translated into sustainable thinking and…

  19. Tables of co-located geothermal-resource sites and BLM Wilderness Study Areas

    Energy Technology Data Exchange (ETDEWEB)

    Foley, D.; Dorscher, M.

    1982-11-01

    Matched pairs of known geothermal wells and springs with BLM proposed Wilderness Study Areas (WSAs) were identified by inspection of WSA and Geothermal resource maps for the states of Arizona, California, Colorado, Idaho, Montana, Nevada, New Mexico, Oregon, Utah, Washington and Wyoming. A total of 3952 matches, for geothermal sites within 25 miles of a WSA, were identified. Of these, only 71 (1.8%) of the geothermal sites are within one mile of a WSA, and only an additional 100 (2.5%) are within one to three miles. Approximately three-fourths of the matches are at distances greater than ten miles. Only 12 of the geothermal sites within one mile of a WSA have surface temperatures reported above 50/sup 0/C. It thus appears that the geothermal potential of WSAs overall is minimal, but that evaluation of geothermal resources should be considered in more detail for some areas prior to their designation as Wilderness.

  20. When Veterinarians Support Canine Therapy: Bidirectional Benefits for Clinics and Therapy Programs

    Directory of Open Access Journals (Sweden)

    John-Tyler Binfet

    2018-01-01

    Full Text Available This paper proposes a mutually beneficial model of collaboration between veterinarians and canine therapy programs. Veterinarians and the clinics for whom they work routinely establish collaborations with multiple and varied stakeholders. This might include a laboratory for processing samples and the corresponding courier company needed to deliver samples to the lab or a partnership with a local dog rescue organization for whom discounted rates are offered. One community partnership that stands to benefit both the clinic and the community agency, is for veterinarians to work in tandem with a local canine-assisted therapy program. The benefits to such an alliance are multifold and address aspects of veterinary medicine including client recruitment, community education, and access to a network of devoted dog enthusiasts.

  1. Application of an artificial intelligence program to therapy of high-risk surgical patients.

    Science.gov (United States)

    Patil, R S; Adibi, J; Shoemaker, W C

    1996-11-01

    We developed an artificial intelligence program from a large computerized database of hemodynamic and oxygen transport measurements together with prior studies defining survivors' values, outcome predictors, and a branched-chain decision tree. The artificial intelligence program was then tested on the data of 100 survivors and 100 nonsurvivors not used for the development of the program or other analyses. Using the predictor as a surrogate outcome measure, the therapy recommended by the program improved the predicted outcome 3.16% per therapeutic intervention while the actual therapy given increased outcome 1.86% in surviving patients; the artificial intelligence-recommended therapy improved outcome 7.9% in nonsurvivors, while the actual therapy given increased predicted outcome -0.29% in nonsurvivors (p < .05). There were fewer patients whose predicted outcome decreased after recommended treatment (14%) than after the actual therapy given (37%). Review of therapy recommended by the program did not reveal instances of inappropriate or potentially harmful recommendations.

  2. Investigation of Sylvatic Typhus at a Wilderness Camp

    Centers for Disease Control (CDC) Podcasts

    In this podcast, Dr. Greg Dasch discusses an outbreak of four cases of sylvatic typhus that occurred at a wilderness camp in Pennsylvania. Sylvatic typhus is very rare in the United States, with only 41 cases since it was discovered in the United States in 1975. Lab work at CDC and the discovery that all four camp counselors who became ill had slept in the same bunk at the camp between 2004 and 2006 ultimately led to confirmation that flying squirrels living in the wall of the cabin were to blame for the illnesses.

  3. Special offer: 7 days fly & drive Antarctica: The role of wilderness protection in deciding whether (semi) permanent tourist facilities in Antarctica should be prohibited

    NARCIS (Netherlands)

    Bastmeijer, Kees; Watson, A.; Sproull, J.; Dean, L.

    2007-01-01

    Antarctica is often described as one of 'world's last wildernesses'. Since 1990, tourism to this wilderness is developing rapidly. In a period of 15 years, the number of tourists that make landings in Antarctica has increased from 2,500 (1990/91) to more than 23.000 (2004/05). The diversity of

  4. Hunter College Dance Therapy Masters Program.

    Science.gov (United States)

    Schmais, Claire; White, Elissa Q.

    Described is development of the Hunter College dance therapy 18-month 30-credit masters program involving 33 adult students, (in two classes beginning in 1971 and 1972), an educational model, internship in psychiatric institutions, and preparation of instructional materials. The dance therapist is said to incorporate the psychiatric patient's…

  5. Future trends in society and technology: implications for wilderness research and management

    Science.gov (United States)

    George H. Stankey

    2000-01-01

    Judging the impact of social and technological trends on the future of wilderness is complex. Declining public trust, growing demands for scrutiny, a need to recognize the link between biophysical and socioeconomic systems, and the need for criteria to select among alternative futures challenge us. A burgeoning global population will increase resource impacts, but more...

  6. BENEFITS OF WILDERNESS EXPANSION WITH EXCESS DEMAND FOR INDIAN PEAKS

    OpenAIRE

    Walsh, Richard G.; Gilliam, Lynde O.

    1982-01-01

    The contingent valuation approach was applied to the problem of estimating the recreation benefits from alleviating congestion at Indian Peaks wilderness area, Colorado. A random sample of 126 individuals were interviewed while hiking and backpacking at the study site in 1979. The results provide an empirical test and confirmation of the Cesario and Freeman proposals that under conditions of excess recreational demand for existing sites, enhanced opportunities to substitute newly designated s...

  7. Assessment of the psychopathological effects of a horticultural therapy program in patients with schizophrenia.

    Science.gov (United States)

    Oh, Yun-Ah; Park, Sin-Ae; Ahn, Byung-Eun

    2018-02-01

    This study assessed the psychopathological effects of participation in a 10-session horticultural therapy program in patients with schizophrenia. The study design was pre and post test design of experimental and control groups. Twenty-eight Korean patients with schizophrenia, recruited from a mental health clinic and two mental health rehabilitation centers in Suwon, South Korea, were voluntarily assigned to either a control group (average age: 33.4±9.4years) or a horticultural therapy group (average age: 42.1±13.0years). The participants in the horticultural therapy group participated in a 10-session horticultural therapy program designed around various plant cultivating activities. The horticultural therapy program involved sessions once a week from April 2017 to June 2017. A psychiatrist evaluated the psychopathological symptoms of schizophrenic patients in both groups. To assess the clinical psychopathological effects, the Korean version of the Positive and Negative Syndrome Scale (PANSS) and Brief Psychiatric Rating Scale (BPRS) were used. The horticultural therapy group significantly improved in terms of positive, negative, and general symptoms on the PANSS after the 10-session horticultural therapy program. Moreover, the horticultural therapy group significantly improved in terms of clinical symptoms of schizophrenia in BPRS after the 10-session horticultural therapy program. However, there was no change in the PANSS and BPRS scores in the control group. This study showed the potential of horticultural therapy in improving psychopathological symptoms in psychiatric patients. Future studies should investigate the effects of long-term horticultural therapy program on the chronic symptoms of patients with schizophrenia. Copyright © 2017 Elsevier Ltd. All rights reserved.

  8. The global economic contribution of protected natural lands and wilderness through tourism

    Science.gov (United States)

    H. Ken Cordell; J. Michael Bowker

    2007-01-01

    These are the first-round results of a project aimed at exploring at a global scale the complex relationships between protected natural lands, tourism, and economic growth. In this fist round we mainly were interested in secondary sources of data and parameters from previously published studies. In presenting results for the 8th World Wilderness Congress, we provided...

  9. Being Alive to the Present: Perceiving Meaning on a Wilderness River Journey

    Science.gov (United States)

    Morse, Marcus

    2015-01-01

    In an earlier paper I identified two key forms of "meaningful experience" for participants on a wilderness river rafting journey, namely a feeling of humility and being alive to the present. However, space considerations led me to describe only the first of these forms in any detail. In this paper I identify and describe the qualities of…

  10. Beyond naturalness: Adapting wilderness stewardship to an era of rapid global change

    Science.gov (United States)

    David N. Cole

    2012-01-01

    Climate change and its effects are writ large across wilderness landscapes. They always have been and always will be (see Figure 1). But contemporary change is different. For the first time, the pace and direction of climate change appear to be driven significantly by human activities (IPCC 2007), and this change is playing out across landscapes already affected by...

  11. Personal therapy for undergraduate music therapy students: a survey of AMTA program coordinators.

    Science.gov (United States)

    Gardstrom, Susan C; Jackson, Nancy A

    2011-01-01

    The primary purpose of this study was to gather information in order to understand if and how various modalities of personal therapy are employed with undergraduate music therapy students in the United States. AMTA degree program coordinators were asked about 3 therapy modalities, in particular: verbal therapy, music therapy, and expressive arts therapy (excluding music therapy). It was predicted that less than a quarter of the respondents would indicate that personal therapy of any modality was required in their undergraduate curricula, but that a larger percentage would indicate that it was encouraged. Both hypotheses were supported, with just over 14% of the respondents indicating that they require some form of personal therapy and 32% indicating that they encourage it, with 73% of this latter subgroup encouraging verbal therapy and 46% encouraging music therapy. It was further predicted that, when therapy was required or encouraged, it was most often provided by an individual who was associated with the college/university and that therapy was usually provided in a group format. Respondent comments related to these 2 questions revealed considerable confusion between experiential exercises and personal therapy, leading to dubious validity of some of the numerical data. Qualitative treatment of narrative responses illuminated 4 salient issues regarding personal therapy for undergraduate music therapy students, as follows: (a) the legal and ethical feasibility of making personal therapy a requirement; (b) the cost and availability of qualified professionals; (c) the benefits of personal therapy as an integral facet of undergraduate music therapy training and education; and (d) the appropriateness of personal therapy at the undergraduate level of training.

  12. 76 FR 75557 - Draft Environmental Impact Statement for General Management Plan/Wilderness Study, Hawaii...

    Science.gov (United States)

    2011-12-02

    ... Environmental Impact Statement for General Management Plan/ Wilderness Study, Hawaii Volcanoes National Park, Hawaii AGENCY: National Park Service, Interior. ACTION: Notice of intent. SUMMARY: The National Park... updating the General Management Plan (GMP) for Hawaii Volcanoes National Park. As part of this conservation...

  13. The political ecology of human-wildlife conflict: Producing wilderness, insecurity, and displacement in the Limpopo National Park

    Directory of Open Access Journals (Sweden)

    Francis Massé

    2016-01-01

    Full Text Available Like conservation-induced displacement, human-wildlife conflict (HWC has potentially negative implications for communities in and around protected areas. While the ways in which displacement emerges from the creation of 'wilderness' conservation landscapes are well documented, how the production of 'wilderness' articulates with intensifications in HWC remains under examined both empirically and conceptually. Using a political-ecological approach, I analyse increases of HWC in Mozambique's Limpopo National Park (LNP and the subsequent losses of fields and livestock, as well as forms of physical displacement suffered by resident communities. While intensifications of encounters between wildlife on the one hand and people and livestock on the other result in part from increases in wildlife populations, I argue that HWC and the ways in which it constitutes and contributes to various forms of displacement results more centrally from changing relations between wildlife and people and the power and authority to manage conflict between them. Both of these contributing factors, moreover, are the consequence of practices that aim to transform the LNP into a wilderness landscape of conservation and tourism. HWC and its negative impacts are thus not natural phenomena, but are the result of political decisions to create a particular type of conservation landscape.

  14. Professional organisation profile: a faculty of expedition and wilderness medicine for Australasia.

    Science.gov (United States)

    Leggat, Peter A; Shaw, Marc T M

    2012-05-01

    A profile of the recent genesis of the Sub-Faculty of Expedition Medicine into a Faculty of Expedition and Wilderness Medicine of The Australasian College of Tropical Medicine is presented. Information is given on aims, structure, professional grades of membership, and the various activities of the Faculty, including publications and scientific meetings. Copyright © 2012 Elsevier Ltd. All rights reserved.

  15. Public participation in wilderness and backcountry litter control: a review of research and management experience.

    Science.gov (United States)

    Robert M. Muth; Roger N. Clark

    1978-01-01

    This paper describes the application of the Incentive System for Litter Control to wilderness and backcountry environments. Based on research, observation, and management experience, a set of procedures was developed and is presented here. Additional management considerations are discussed.

  16. Investigation of Sylvatic Typhus at a Wilderness Camp

    Centers for Disease Control (CDC) Podcasts

    2009-06-30

    In this podcast, Dr. Greg Dasch discusses an outbreak of four cases of sylvatic typhus that occurred at a wilderness camp in Pennsylvania. Sylvatic typhus is very rare in the United States, with only 41 cases since it was discovered in the United States in 1975. Lab work at CDC and the discovery that all four camp counselors who became ill had slept in the same bunk at the camp between 2004 and 2006 ultimately led to confirmation that flying squirrels living in the wall of the cabin were to blame for the illnesses.  Created: 6/30/2009 by Emerging Infectious Diseases.   Date Released: 6/30/2009.

  17. A qualitative exploration of the wilderness experience as a source of spiritual inspiration

    Science.gov (United States)

    Laura M. Fredrickson; Dorothy H. Anderson

    1999-01-01

    On-site observations, personal field journals, and in-depth interviews were used to examine qualitative aspects of the wilderness experience as a source of spiritual inspiration. Two groups of women kept personal journal accounts of their daily 'lived-experience' during one of two outdoor recreation trips; five participants went to the Boundary Waters Canoe...

  18. Multicultural training in the United States: a survey of occupational therapy programs.

    Science.gov (United States)

    Brown, Elena Verdine Donoso; Muñoz, Jaime Phillip; Powell, Janet M

    2011-01-01

    ABSTRACT This study was designed to describe multicultural training practices in occupational therapy programs. A survey was sent to occupational therapy programs in the United States to gather information on multicultural content, skills, and teaching methods as well as diversity context and challenges. The response rate was 54%. The most frequently covered multicultural content was related to cultural background and sociopolitical factors. Multicultural skills covered most often were practice oriented and interpersonal skills. Teaching methods reported as used most often differed from the methods thought by the respondents to be most effective. Programs reported multiple challenges to multicultural training including lack of time and lack of diversity in the student body, faculty, and environment. Results suggest that educators may need to expand multicultural content and skills to prepare occupational therapy students for providing care in increasingly diverse practice settings. In addition, increased use of teaching methods that focus on exposure to diverse populations and reflection may be needed to improve the effectiveness of multicultural training in occupational therapy programs.

  19. An analysis of the outdoor recreation and wilderness situation in the United States, 1989-2040: A technical document supporting the 1989 USDA Forest Service RPA Assessment

    Science.gov (United States)

    H. Ken Cordell; John C. Bergstrom; Lawrence A. Hartmann; Donald B. K. English

    1990-01-01

    The Analysis of the Outdoor Recreation and Wilderness Situation in the United States is intended to build upon past studies and to establish a new and better information base on outdoor recreation and wilderness demand and supply. Also, this assessment answers several key questions which will help identify ways to meet demand through the year 2040. Specifically, it is...

  20. Hikers and recreational stock users: Predicting and managing recreation conflicts in three wildernesses

    Science.gov (United States)

    Alan E. Watson; Michael J. Niccolucci; Daniel R. Williams

    1993-01-01

    A long-term problem that continues to grow in many wildland areas is the displeasure hikers express about meeting recreational livestock (primarily horses and mules) and seeing impacts from stock use. Three studies were conducted to provide a broad look at this interaction in wilderness and some of the contributors to the conflict between hikers and horse users....

  1. Simulated effects of sulfur deposition on nutrient cycling in class I wilderness areas

    Science.gov (United States)

    Katherine J. Elliott; James M. Vose; Jennifer D. Knoepp; Dale W. Johnson; William T. Swank; William Jackson

    2008-01-01

    As a consequence of human land use, population growth, and industrialization, wilderness and other natural areas can be threatened by air pollution, climate change, and exotic diseases or pests. Air pollution in the form of acidic deposition is comprised of sulfuric and nitric acids and ammonium derived from emissions of sulfur dioxide, nitrogen oxides, and ammonia....

  2. Growing pressures on Circumpolar North wilderness: A case for coordinated research and education

    Science.gov (United States)

    Lilian Alessa; Alan Watson

    2002-01-01

    Pressures are growing on undeveloped (wild) places in the Circumpolar North. Among them are economic development, oil and gas exploration and extraction, development of geothermal energy resources, development of heavy industry close to energy sources, and lack of appreciation for “other” orientations toward wilderness resources. An international seminar in Anchorage,...

  3. A Behaviorally-Oriented Activities Therapy Program for Adolescents.

    Science.gov (United States)

    Chasanoff, Enid; Schrader, Carl

    1979-01-01

    A behaviorally-oriented activities therapy program was designed and implemented with adolescents who manifested problems at school, at home, and with peers. Techniques employed included: contingency contracting, assertiveness training, relaxation training, and cognitive restructuring. (Author/KC)

  4. Comparison of international guideline programs to evaluate and update the Dutch program for clinical guideline development in physical therapy.

    Science.gov (United States)

    Van der Wees, Philip J; Hendriks, Erik J M; Custers, Jan W H; Burgers, Jako S; Dekker, Joost; de Bie, Rob A

    2007-11-23

    Clinical guidelines are considered important instruments to improve quality in health care. Since 1998 the Royal Dutch Society for Physical Therapy (KNGF) produced evidence-based clinical guidelines, based on a standardized program. New developments in the field of guideline research raised the need to evaluate and update the KNGF guideline program. Purpose of this study is to compare different guideline development programs and review the KNGF guideline program for physical therapy in the Netherlands, in order to update the program. Six international guideline development programs were selected, and the 23 criteria of the AGREE Instrument were used to evaluate the guideline programs. Information about the programs was retrieved from published handbooks of the organizations. Also, the Dutch program for guideline development in physical therapy was evaluated using the AGREE criteria. Further comparison the six guideline programs was carried out using the following elements of the guideline development processes: Structure and organization; Preparation and initiation; Development; Validation; Dissemination and implementation; Evaluation and update. Compliance with the AGREE criteria of the guideline programs was high. Four programs addressed 22 AGREE criteria, and two programs addressed 20 AGREE criteria. The previous Dutch program for guideline development in physical therapy lacked in compliance with the AGREE criteria, meeting only 13 criteria. Further comparison showed that all guideline programs perform systematic literature searches to identify the available evidence. Recommendations are formulated and graded, based on evidence and other relevant factors. It is not clear how decisions in the development process are made. In particular, the process of translating evidence into practice recommendations can be improved. As a result of international developments and consensus, the described processes for developing clinical practice guidelines have much in common

  5. Home programs for upper extremity recovery post-stroke: a survey of occupational therapy practitioners.

    Science.gov (United States)

    Donoso Brown, Elena V; Fichter, Renae

    2017-12-01

    Upper extremity hemiparesis is an impairment post-stroke that impacts quality of life. Home programs are an intervention strategy used by many occupational therapists to support continued motor recovery post-stroke, yet little is known about how these programs are designed and implemented. The purpose of this study was to describe how occupational therapy practitioners approach this task and specifically what strategies they use to support adherence and what types of technology are most commonly used. An on-line survey methodology was used. Participants were recruited through multiple sources including state associations and occupational therapy educational program directors. A total of 73 occupational therapy practitioners submitted complete surveys. It was found that majority of occupational therapy practitioners in the sample (n = 53) reported creating home programs focused on upper extremity motor recovery more than 80% of the time. Range of motion and strengthening were reported as being in the top three most commonly used interventions by more than half the sample, however incorporating clients' goals and interests were reported most often as strategies to create meaning in the home program. Respondents also reported limited incorporation of technology and strategies to support adherence. Personal motivation was reported by occupational therapy practitioners to be a key moderator of adherence to a home program. Occupational therapy practitioners often provide home programs for individuals post-stroke focusing on upper extremity function. Future research that aims to understand stakeholders' perspectives on home programs and determine effective strategies for ensuring adherence is needed.

  6. Securing wilderness landscapes in South Africa : Nick Steele, private wildlife conservancies and saving rhinos

    NARCIS (Netherlands)

    Wels,; H.,

    2015-01-01

    Private wildlife conservation is booming business in South Africa! Nick Steele stood at the cradle of this development in the politically turbulent 1970s and 1980s, by stimulating farmers in Natal (now KwaZulu-Natal) to pool resources in order to restore wilderness landscapes, but at the same time

  7. 75 FR 71730 - General Management Plan/Wilderness Study/Off-Road Vehicle Management Plan, Final Environmental...

    Science.gov (United States)

    2010-11-24

    ... management under alternative B would be to enable visitor participation in a wide variety of outdoor... DEPARTMENT OF THE INTERIOR National Park Service [2031-A046-409] General Management Plan/Wilderness Study/Off-Road Vehicle Management Plan, Final Environmental Impact Statement, Big Cypress National...

  8. Special offer-7 days fly and drive Antarctica: The role of wilderness protection in deciding whether (semi) permanent tourist facilities in Antarctica should be prohibited

    Science.gov (United States)

    Kees Bastmeijer

    2007-01-01

    Antarctica is often described as one of the world’s last wildernesses. Since 1990, tourism to this wilderness is developing rapidly. In a period of 15 years, the number of tourists that make landings in Antarctica has increased from 2,500 (1990/91) to more than 23,000 (2004/05). The diversity of tourist activities is also increasing. The 1991 Protocol on Environmental...

  9. GOAT ROCKS WILDERNESS AND ADJACENT ROADLESS AREAS, WASHINGTON.

    Science.gov (United States)

    Church, S.E.; Close, T.J.

    1984-01-01

    The Goat Rocks Wilderness and adjacent roadless areas are a rugged, highly forested, scenic area located on the crest of the Cascade Range in south-central Washington. Several mineral claims have been staked in the area. Mineral surveys were conducted. Geochemical, geophysical, and geologic investigations indicate that three areas have probable mineral-resource potential for base metals in porphyry-type deposits. Available data are not adequate to permit definition of the potential for oil and gas. There is little likelihood for the occurrence of other kinds of energy resources in the area. Evaluation of resource potential in the three areas identified as having probable mineral-resource potential could be improved by more detailed geochemical studies and geologic mapping.

  10. Public perception of the Antarctic Wilderness: Surveys from an educated, environmentally knowledgeable European community

    Science.gov (United States)

    Tina Tin; Kees Bastmeijer; Jessica O' Reilly; Patrick Maher

    2011-01-01

    In 2007 and 2008, students from Tilburg University (the Netherlands) collected 269 responses on a questionnaire about Antarctica and its management. Respondents in the Netherlands clearly supported protecting Antarctica as a wilderness, and acknowledged Antarctica's importance as part of the global climate system and as a science laboratory for the benefit of...

  11. Understanding the transformative aspects of the Wilderness and Protected Lands experience upon human health

    Science.gov (United States)

    Alan Ewert; Jillisa Overholt; Alison Voight; Chun Chieh Wang

    2011-01-01

    Wilderness and Protected Landscapes (WPLs) have long been considered special areas for a variety of reasons including baseline data, impact analyses, protected zones, and other tangible and intangible values. Another salient, and some would argue, a more important value offered through WPLs is that of human transformation. Accordingly, three theories have provided the...

  12. Mineral resources of the Muggins Mountains Wilderness Study Area, Yuma County, Arizona

    International Nuclear Information System (INIS)

    Smith, D.B.; Tosdal, R.M.; Pitkin, J.A.; Kleinkopf, M.D.; Wood, R.H.

    1989-01-01

    The Muggins Mountains Wilderness Study Area covers approximately 8,855 acres immediately south of the Yuma Proving Ground. This study area contains sand and gravel, and it has a moderate potential for gold in placer deposits. One small drainage basin along the southeast boundary of this study area has a moderate potential for uranium. This study area has a low potential for geothermal energy and for oil and gas resources

  13. Elements of anti-Islam populism : Critiquing Geert Wilders' politics of offense with Marcuse and Adorno

    NARCIS (Netherlands)

    Bot, Michiel

    2017-01-01

    The political performances of Dutch anti-Islam populist Geert Wilders revolve around a combination of giving and taking offense. In this article, I develop a critique of Wilders’ politics of offense by revisiting two classic texts of Frankfurt School critical theory that combine social theory with

  14. Effects of stock use and backpackers on water quality in wilderness in Sequoia and Kings Canyon National Parks, USA

    Science.gov (United States)

    Clow, David W.; Forrester, Harrison; Miller, Benjamin; Roop, Heidi; Sickman, James O.; Ryu, Hodon; Santo Domingo, Jorge

    2013-01-01

    During 2010-2011, a study was conducted in Sequoia and Kings Canyon National Parks (SEKI) to evaluate the influence of pack animals (stock) and backpackers on water quality in wilderness lakes and streams. The study had three main components: (1) a synoptic survey of water quality in wilderness areas of the parks, (2) paired water-quality sampling above and below several areas with differing types and amounts of visitor use, and (3) intensive monitoring at six sites to document temporal variations in water quality. Data from the synoptic water-quality survey indicated that wilderness lakes and streams are dilute and have low nutrient and Escherichia coli (E. coli) concentrations. The synoptic survey sites were categorized as minimal use, backpacker use, or mixed use (stock and backpackers), depending on the most prevalent type of use upstream from the sampling locations. Sites with mixed use tended to have higher concentrations of most constituents (including E.coli) than those categorized as minimal-use (p≤0.05); concentrations at backpacker-use sites were intermediate. Data from paired-site sampling indicated that E.coli, total coliform, and particulate phosphorus concentrations were greater in streams downstream from mixed-use areas than upstream from those areas (p≤0.05). Paired-site data also indicated few statistically significant differences in nutrient, E. coli, or total coliform concentrations in streams upstream and downstream from backpacker-use areas. The intensive-monitoring data indicated that nutrient and E. coli concentrations normally were low, except during storms, when notable increases in concentrations of E.coli, nutrients, dissolved organic carbon, and turbidity occurred. In summary, results from this study indicate that water quality in SEKI wilderness generally is good, except during storms; and visitor use appears to have a small, but statistically significant influence on stream water quality.

  15. Heart failure severity, inappropriate ICD therapy, and novel ICD programming: a MADIT-RIT substudy.

    Science.gov (United States)

    Daimee, Usama A; Vermilye, Katherine; Rosero, Spencer; Schuger, Claudio D; Daubert, James P; Zareba, Wojciech; McNitt, Scott; Polonsky, Bronislava; Moss, Arthur J; Kutyifa, Valentina

    2017-12-01

    The effects of heart failure (HF) severity on risk of inappropriate implantable cardioverter-defibrillator (ICD) therapy have not been thoroughly investigated. We aimed to study the association between HF severity and inappropriate ICD therapy in MADIT-RIT. MADIT-RIT randomized 1,500 patients to three ICD programming arms: conventional (Arm A), high-rate cut-off (Arm B: ≥200 beats/min), and delayed therapy (Arm C: 60-second delay for ≥170 beats/min). We evaluated the association between New York Heart Association (NYHA) class III (n = 256) versus class I-II (n = 251) and inappropriate ICD therapy in Arm A patients with ICD-only and cardiac resynchronization therapy with defibrillator (CRT-D). We additionally assessed benefit of novel ICD programming in Arms B and C versus Arm A by NYHA classification. In Arm A, the risk of inappropriate therapy was significantly higher in those with NYHA III versus NYHA I-II for both ICD (hazard ratio [HR] = 2.55, confidence interval [CI]: 1.51-4.30, P programming significantly reduced inappropriate therapy in patients with both NYHA III (Arm B vs Arm A: HR = 0.08, P programming with high-rate cut-off or delayed detection reduces inappropriate ICD therapies in both mild and moderate HF. © 2017 Wiley Periodicals, Inc.

  16. Curricular intersections of university extension and teaching in Physical Therapy programs

    Directory of Open Access Journals (Sweden)

    Shamyr Sulyvan de Castro

    Full Text Available Introduction University extension can be a vehicle for social change and aid in the education of university students; however, it is important to study how it is inserted in university programs so that educational actions and policies can be planned more adequately. Objectives To study the insertion of extension activities in undergraduate physical therapy curricula in Brazilian federal universities. Method Documentary research conducted by accessing files available on the Internet. Data were analyzed quantitatively in the form of numbers and percentages. We examined documents from 22 of the 29 federal universities that offered physical therapy programs. Results University extension takes the form of complementary academic activities together with other options such as participating in conferences, specific training courses and working as a teaching assistant. Undergraduate physical therapy courses have a 4,000h to 4,925h course load, of which 0.72% to 8.9% are dedicated to extension activities. Conclusion The data indicate that the insertion of extension activities in undergraduate physical therapy programs offered by Brazilian federal universities needs to be reassessed according to recommended policies and guidelines.

  17. Comparison of international guideline programs to evaluate and update the Dutch program for clinical guideline development in physical therapy

    Directory of Open Access Journals (Sweden)

    Burgers Jako S

    2007-11-01

    Full Text Available Abstract Background Clinical guidelines are considered important instruments to improve quality in health care. Since 1998 the Royal Dutch Society for Physical Therapy (KNGF produced evidence-based clinical guidelines, based on a standardized program. New developments in the field of guideline research raised the need to evaluate and update the KNGF guideline program. Purpose of this study is to compare different guideline development programs and review the KNGF guideline program for physical therapy in the Netherlands, in order to update the program. Method Six international guideline development programs were selected, and the 23 criteria of the AGREE Instrument were used to evaluate the guideline programs. Information about the programs was retrieved from published handbooks of the organizations. Also, the Dutch program for guideline development in physical therapy was evaluated using the AGREE criteria. Further comparison the six guideline programs was carried out using the following elements of the guideline development processes: Structure and organization; Preparation and initiation; Development; Validation; Dissemination and implementation; Evaluation and update. Results Compliance with the AGREE criteria of the guideline programs was high. Four programs addressed 22 AGREE criteria, and two programs addressed 20 AGREE criteria. The previous Dutch program for guideline development in physical therapy lacked in compliance with the AGREE criteria, meeting only 13 criteria. Further comparison showed that all guideline programs perform systematic literature searches to identify the available evidence. Recommendations are formulated and graded, based on evidence and other relevant factors. It is not clear how decisions in the development process are made. In particular, the process of translating evidence into practice recommendations can be improved. Conclusion As a result of international developments and consensus, the described processes

  18. Unexpected high vulnerability of functions in wilderness areas: evidence from coral reef fishes

    Science.gov (United States)

    Vigliola, Laurent; Graham, Nicholas A. J.; Wantiez, Laurent; Parravicini, Valeriano; Villéger, Sébastien; Mou-Tham, Gerard; Frolla, Philippe; Friedlander, Alan M.; Kulbicki, Michel; Mouillot, David

    2016-01-01

    High species richness is thought to support the delivery of multiple ecosystem functions and services under changing environments. Yet, some species might perform unique functional roles while others are redundant. Thus, the benefits of high species richness in maintaining ecosystem functioning are uncertain if functions have little redundancy, potentially leading to high vulnerability of functions. We studied the natural propensity of assemblages to be functionally buffered against loss prior to fishing activities, using functional trait combinations, in coral reef fish assemblages across unfished wilderness areas of the Indo-Pacific: Chagos Archipelago, New Caledonia and French Polynesia. Fish functional diversity in these wilderness areas is highly vulnerable to fishing, explained by species- and abundance-based redundancy packed into a small combination of traits, leaving most other trait combinations (60%) sensitive to fishing, with no redundancy. Functional vulnerability peaks for mobile and sedentary top predators, and large species in general. Functional vulnerability decreases for certain functional entities in New Caledonia, where overall functional redundancy was higher. Uncovering these baseline patterns of functional vulnerability can offer early warning signals of the damaging effects from fishing, and may serve as baselines to guide precautionary and even proactive conservation actions. PMID:27928042

  19. SPANISH PEAKS WILDERNESS STUDY AREA, COLORADO.

    Science.gov (United States)

    Budding, Karin E.; Kluender, Steven E.

    1984-01-01

    A geologic and geochemical investigation and a survey of mines and prospects were conducted to evaluate the mineral-resource potential of the Spanish Peaks Wilderness Study Area, Huerfano and Las Animas Counties, in south-central Colorado. Anomalous gold, silver, copper, lead, and zinc concentrations in rocks and in stream sediments from drainage basins in the vicinity of the old mines and prospects on West Spanish Peak indicate a substantiated mineral-resource potential for base and precious metals in the area surrounding this peak; however, the mineralized veins are sparse, small in size, and generally low in grade. There is a possibility that coal may underlie the study area, but it would be at great depth and it is unlikely that it would have survived the intense igneous activity in the area. There is little likelihood for the occurrence of oil and gas because of the lack of structural traps and the igneous activity.

  20. Retrospective review of antiretroviral therapy program data in ...

    African Journals Online (AJOL)

    ÿþB e r n t L i n d t j ø r n

    2009-12-31

    Dec 31, 2009 ... Methods: Descriptive retrospective analyses of reported ART Program Data from accredited private hospitals, between May 2005 and ... retention and tracing in the accredited private hospitals in Addis Ababa City Administration. [Ethiop J Health Dev. ..... therapy in rural communities: The Lusikisiki model.

  1. "Europe's wild heart" - new transboundary wilderness in the middle of the Old Continent

    Science.gov (United States)

    Hans Kiener; Zdenka Krenova

    2011-01-01

    The new born wilderness area "Europe's Wild Heart" is located on the border of two Central European states and is shared by two national parks - Bavarian Forest National Park and Sumava National Park. The Bavarian Forest NP with an area of more than 24,000 ha and the Sumava NP with more than 68,000 ha create the largest island of protected nature in the...

  2. Creating a commodified wilderness: Tourism, private game farming, and 'third nature' landscapes in KwaZulu-Natal

    NARCIS (Netherlands)

    Brooks, S.; Spierenburg, M.J.; Brakel, L.; Kolk, A.; Lukhozi, K.B.

    2011-01-01

    This article explores contemporary cultural geographies and underlying histories of change on private land in post-apartheid South Africa. Its focus is the expansion of wildlife-based tourism and related forms of commodified wilderness consumption in KwaZulu-Natal province. The article explores the

  3. Description of an Intensive Dialectical Behavior Therapy Program for Multidiagnostic Clients with Eating Disorders

    Science.gov (United States)

    Federici, Anita; Wisniewski, Lucene; Ben-Porath, Denise

    2012-01-01

    The authors describe an intensive outpatient dialectical behavior therapy (DBT) program for multidiagnostic clients with eating disorders who had not responded adequately to standard, empirically supported treatments for eating disorders. The program integrates DBT with empirically supported cognitive behavior therapy approaches that are well…

  4. Constructing nature as constructing science: expertise, activist science, and public conflict in the Chicago wilderness

    Science.gov (United States)

    Reid M. Helford

    2000-01-01

    In April 1996 an exciting new project was announced, an unprecedented conservation undertaking in one of the nation's most densely populated regions. Chicago Wilderness is a collaborative effort among the more than 90 organizations that make up the Chicago Region Biodiversity Council (CRBC) to protect, restore, and manage the region's natural landscapes...

  5. Lands with Wilderness Characteristics, Resource Management Plan Constraints, and Land Exchanges: Cross-Jurisdictional Management and Impacts on Unconventional Fuel Development in Utah's Uinta Basin

    Energy Technology Data Exchange (ETDEWEB)

    Keiter, Robert [Univ. of Utah, Salt Lake City, UT (United States); Ruple, John [Univ. of Utah, Salt Lake City, UT (United States); Holt, Rebecca [Univ. of Utah, Salt Lake City, UT (United States); Tanana, Heather [Univ. of Utah, Salt Lake City, UT (United States); McNeally, Phoebe [Univ. of Utah, Salt Lake City, UT (United States); Tribby, Clavin [Univ. of Utah, Salt Lake City, UT (United States)

    2012-10-01

    Utah is rich in oil shale and oil sands resources. Chief among the challenges facing prospective unconventional fuel developers is the ability to access these resources. Access is heavily dependent upon land ownership and applicable management requirements. Understanding constraints on resource access and the prospect of consolidating resource holdings across a fragmented management landscape is critical to understanding the role Utah’s unconventional fuel resources may play in our nation’s energy policy. This Topical Report explains the historic roots of the “crazy quilt” of western land ownership, how current controversies over management of federal public land with wilderness character could impact access to unconventional fuels resources, and how land exchanges could improve management efficiency. Upon admission to the Union, the State of Utah received the right to title to more than one-ninth of all land within the newly formed state. This land is held in trust to support public schools and institutions, and is managed to generate revenue for trust beneficiaries. State trust lands are scattered across the state in mostly discontinuous 640-acre parcels, many of which are surrounded by federal land and too small to develop on their own. Where state trust lands are developable but surrounded by federal land, federal land management objectives can complicate state trust land development. The difficulty generating revenue from state trust lands can frustrate state and local government officials as well as citizens advocating for economic development. Likewise, the prospect of industrial development of inholdings within prized conservation landscapes creates management challenges for federal agencies. One major tension involves whether certain federal public lands possess wilderness character, and if so, whether management of those lands should emphasize wilderness values over other uses. On December 22, 2010, Secretary of the Interior Ken Salazar issued

  6. The relationship between perceptions of wilderness character and attitudes toward management intervention to adapt biophysical resources to a changing climate and nature restoration at Sequoia and Kings Canyon National Parks

    Science.gov (United States)

    Alan Watson; Steve Martin; Neal Christensen; Gregg Fauth; Dan Williams

    2015-01-01

    In a recent national survey of federal wilderness managers, respondents identified the high priority need for scientific information about public attitudes toward biophysical intervention to adapt to climate change and attitudes of the public toward restoration of natural conditions. In a survey of visitors to one National Park wilderness in California, visitors...

  7. First Steps to the Last Frontier: Programming Suggestions for Alaskan Adventures.

    Science.gov (United States)

    Miner, Todd

    This article provides an overview of trip programming in Alaska for those seeking a low-cost wilderness adventure. Alaska is a land of glaciers, mountains, lakes, rivers, forests, and wildlife. Safety is a major concern when traveling in Alaska. A local guide or outdoor educator can assist with safety and logistical planning. Travelers should plan…

  8. Wilderness, natural areas, and ecological reserves: thoughts on the politics of the big outside

    Science.gov (United States)

    R. McGreggor Cawley

    2000-01-01

    This essay offers some loosely organized comments on the project of preserving wilderness on the scale of the big outside. These comments are arranged around a subject that has been the topic of quite a bit of debate over the past few years—the possibility that the nature in our discussions about federal land and the environment is an artifact of social construction....

  9. Wilderness Education Association certification and safety, ecological impact, and curriculum standardization of graduates

    OpenAIRE

    Detzel, David

    1985-01-01

    Graduates of the Wilderness Education Association (W.E.A.) were surveyed by mail to investigate the effects of their certification on safety, ecological impact, and curriculum standardization of their subsequent leadership activities. Self-reports showed a slight, but not statistically significant, decrease in the number of post- W.E.A. course evacuations and rescues. Graduates reported a moderate W.E.A. influence on their accident records, and knowledge of W.E.A. stan...

  10. Europe’s Wild Heart – still beating? Experiences from a new transboundary wilderness area in the middle of the Old Continent

    Directory of Open Access Journals (Sweden)

    Zdenka Křenová

    2013-03-01

    Full Text Available The face of Europe has been shaped by human civilization for centuries and wilderness did not only vanish from the continent’s surface but also from humans’ minds and experiences. However, there are still a few places left, which have remained more or less unmodified and have at least the potential for rewilding. Among them are the Šumava National Park and the neighbouring Bavarian Forest NP, which together create a unique forest zone in the middle of Europe susceptible to host and demonstrate natural forest dynamics and ecosystem processes. This is also a large and very important Natura 2000 area. Transboundary cooperation between both National parks has improved since 1990, when the former Iron Curtain Corridor was opened, and culminated by the project Europe’s Wild Heart. The main goal of the project Europe’s Wild Heart, which started in 2008, was to develop a transboundary wilderness area in the core zones of the two national parks – BFNP and ŠNP. The project area was 13,060 ha and a “life story” of this project is described in this paper. A common “vision 2020” was signed where both parks committed among other things “to achieve a joint core area of about 15,000 ha with harmonized management principles, information services and monitoring networks to officially become the first and largest transboundary wilderness area in Central Europe”. Unfortunately, the bark beetle outbreak which followed the Kyrill hurricane in 2008 and 2009 escalated the discussion about appropriate forest management in the ŠNP. Opponents of the national park principles, non-intervention and wilderness concept became more and more vocal. The situation escalated after the election in 2010 when the Green Party was replaced by conservatives (ODS – Civic Democratic Party at the Czech Ministry of Environment. Clear cuttings were started in some former non-intervention parts of the ŠNP and hunting was again allowed in the core zone. Since then

  11. Implementing antiretroviral therapy programs in resource-constrained settings: lessons from Monze, Zambia.

    Science.gov (United States)

    Adedimeji, Adebola; Malokota, Oliver; Manafa, Ogenna

    2011-05-01

    We describe the impact of an antiretroviral therapy program on human resource utilization and service delivery in a rural hospital in Monze, Zambia, using qualitative data. We assess project impact on staff capacity utilization, service delivery, and community perception of care. Increased workload resulted in fatigue, low staff morale, and exacerbated critical manpower shortages, but also an increase in users of antiretroviral therapy, improvement in hospital infrastructure and funding, and an overall community satisfaction with service delivery. Integrating HAART programs within existing hospital units and services may be a good alternative to increase overall efficiency.

  12. Genome Sequences of Four Subcluster L2 Mycobacterium Phages, Finemlucis, Miley16, Wilder, and Zakai

    OpenAIRE

    Herren, Christopher D.; Peister, Alexandra; Breton, Timothy S.; Hill, Maggie S.; Anderson, Marcy S.; Chang, Adeline W.; Klein, Sydney B.; Thornton, Mackenzie M.; Vars, Stacy J.; Wagner, Kasey E.; Wiebe, Paige L.; Williams, Thomas G.; Yanez, Coraima P.; Ackles, Jasanta M.; Artis, Darius

    2017-01-01

    ABSTRACT Four subcluster L2 mycobacteriophages, Finemlucis, Miley16, Wilder, and Zakai, that infect Mycobacterium smegmatis mc2155 were isolated. The four phages are closely related to each other and code for 12 to 14 tRNAs and 130 to 132 putative protein-coding genes, including tyrosine integrases, cro, immunity repressors, and excise genes involved in the establishment of lysogeny.

  13. Changes in the forest landscape of the Charles C. Deam wilderness, Southern Indiana, 1939-1990

    Science.gov (United States)

    MIchael A. Jenkins; George R. Parker

    2000-01-01

    We used aerial photographs from 1939, 1974, and 1990 to examine how land cover has changed on the 5,286-ha Charles C. Deam Wilderness of Hoosier National Forest over this time span. Digital elevation models were used to examine changes in land-cover class (closed-canopy forest, open forest, agriculture/old-field, clearcut, and pine plantation) within each land type (...

  14. A 12-week supervised exercise therapy program for young adults with a meniscal tear: Program development and feasibility study

    DEFF Research Database (Denmark)

    Skou, Søren T.; Thorlund, Jonas B.

    2018-01-01

    on clinical expertise and available evidence. Six patients (age range 22–39 years) considered eligible for meniscal surgery by an orthopedic surgeon underwent the program. Patients completed the Knee Injury and Osteoarthritis Outcome Score (KOOS) and evaluated the program during a semi-structured qualitative...... interview. Feedback from patients was included to finalize the exercise therapy program. Median improvements (Range) in KOOS subscales were 15 (0–33) for Pain, 11 (−11 to 50) for Symptoms, 16 (3–37) for Function in daily living, 23 (10–45) for Function in sport and recreation, and 9 (−6 to 31) for Quality...... of life. The patients found the program relevant and effective with only a few short-lasting adverse events and important clinical improvements after four to ten weeks. Physical therapist supervision was considered important. No patients wanted surgery up to 6 month after the exercise therapy program...

  15. 76 FR 13404 - Cancer Therapy Evaluation Program Intellectual Property Option to Collaborator

    Science.gov (United States)

    2011-03-11

    ... Option to Collaborator AGENCY: National Institutes of Health, HHS. ACTION: Notice. SUMMARY: The National... Cancer Therapy Evaluation Program's Intellectual Property Option to Collaborator. [[Page 13405... Evaluation Program (CTEP)'s Intellectual Property Option to Collaborator. The proposed revision represents a...

  16. Book Review: And then there were none: The demise of Desert Bighorn Sheep in the Pusch Ridge Wilderness

    Science.gov (United States)

    Cain, James W.

    2018-01-01

    And Then There Were None: The Demise of Desert Bighorn Sheep in the Pusch Ridge Wilderness. Paul R.Krausman. 2017. The University of New Mexico Press, Albuquerque, New Mexico, USA. 248 pp. $65.00 hardcover. ISBN 978‐0‐8263‐5785‐4.

  17. Process and Outcome Evaluation of an Art Therapy Program for People Living with HIV/AIDS

    Science.gov (United States)

    Feldman, Matthew B.; Betts, Donna J.; Blausey, Daniel

    2014-01-01

    Program evaluation offers an opportunity for improving the implementation and impact of art therapy. This article describes a process and outcomes evaluation of an art therapy program within the mental health services unit of a community-based organization for people living with HIV/AIDS. The aims were to assess utilization patterns and program…

  18. Use of a radiation therapy treatment planning computer in a hospital health physics program

    International Nuclear Information System (INIS)

    Addison, S.J.

    1984-01-01

    An onsite treatment planning computer has become state of the art in the care of radiation therapy patients, but in most installations the computer is used for therapy planning a diminutive amount of the day. At St. Mary's Hospital, arrangements have been negotiated for part time use of the treatment planning computer for health physics purposes. Computerized Medical Systems, Inc. (CMS) produces the Modulex radiotherapy planning system which is programmed in MUMPS, a user oriented language specially adapted for handling text string information. St. Mary's Hospital's CMS computer has currently been programmed to assist in data collection and write-up of diagnostic x-ray surveys, meter calibrations, and wipe/leak tests. The computer is setup to provide timely reminders of tests and surveys, and billing for consultation work. Programs are currently being developed for radionuclide inventories. Use of a therapy planning computer for health physics purposes can enhance the radiation safety program and provide additional grounds for the acquisition of such a computer system

  19. Impact of programming strategies aimed at reducing nonessential implantable cardioverter defibrillator therapies on mortality: a systematic review and meta-analysis.

    Science.gov (United States)

    Tan, Vern Hsen; Wilton, Stephen B; Kuriachan, Vikas; Sumner, Glen L; Exner, Derek V

    2014-02-01

    Patients who receive implantable cardioverter defibrillator therapies are at higher risk of death versus those who do not. Programmed settings to reduce nonessential implantable cardioverter defibrillator therapies (therapy reduction programming) have been developed but may have adverse effects. This systematic review and meta-analysis assessed the relationship between therapy reduction programming with the risks of death from any cause, implantable cardioverter defibrillator shocks, and syncope. MEDLINE, EMBASE, and clinicaltrials.gov databases were searched to identify relevant studies. Those that followed patients for ≥6 months and reported mortality were included. Six met the inclusion criteria; 4 randomized (Comparison of Empiric to Physician-Tailored Programming of ICDs [EMPIRIC], Multicenter Automatic Defibrillator Implantation Trial-Reduce Inappropriate Therapy [MADIT-RIT], Avoid Delivering Therapies for Non-sustained Arrhythmias in ICD Patients III [ADVANCE III], and Programming Implantable Cardioverter-Defibrillators in Patients with Primary Prevention Indication to Prolong Time to First Shock [PROVIDE]) and 2 prospective studies (Role of Long Detection Window Programming in Patients With Left Ventricular Dysfunction, Non-ischemic Etiology in Primary Prevention Treated with a Biventricular ICD [RELEVANT] and Primary Prevention Parameters Evaluation [PREPARE]). These 6 studies included 7687 (3598 conventional and 4089 therapy reduction programming) patients. Most (77%) participants were men, had a history of ischemic heart disease (56%), and were prescribed β-blockers (84%). Therapy reduction programming was associated with a 30% relative reduction in mortality (95% confidence interval, 16%-41%; Pprogramming (P=0.5). Therapy reduction programming results in a large, significant, and consistent reduction in mortality, with no apparent increase in the risk of syncope.

  20. Boron neutron capture therapy: Brain Tumor Treatment Evaluation Program

    International Nuclear Information System (INIS)

    Griebenow, M.L.; Dorn, R.V. III; Gavin, P.R.; Spickard, J.H.

    1988-01-01

    The United States (US) Department of Energy (DOE) recently initiated a focused, multidisciplined program to evaluate Boron Neutron Capture Therapy (BNCT) for the treatment of brain tumors. The program, centered at the DOE/endash/Idaho National Engineering Laboratory (INEL), will develop the analytical, diagnostic and treatment tools, and the database required for BNCT technical assessment. The integrated technology will be evaluated in a spontaneously-occurring canine brain-tumor model. Successful animal studies are expected to lead to human clinical trials within four to five years. 2 refs., 3 figs

  1. Novel ICD Programming and Inappropriate ICD Therapy in CRT-D Versus ICD Patients: A MADIT-RIT Sub-Study.

    Science.gov (United States)

    Kutyifa, Valentina; Daubert, James P; Schuger, Claudio; Goldenberg, Ilan; Klein, Helmut; Aktas, Mehmet K; McNitt, Scott; Stockburger, Martin; Merkely, Bela; Zareba, Wojciech; Moss, Arthur J

    2016-01-01

    The Multicenter Automatic Defibrillator Implantation Trial-Reduce Inappropriate therapy (MADIT-RIT) trial showed a significant reduction in inappropriate implantable cardioverter defibrillator (ICD) therapy in patients programmed to high-rate cut-off (Arm B) or delayed ventricular tachycardia therapy (Arm C), compared with conventional programming (Arm A). There is limited data on the effect of cardiac resynchronization therapy with a cardioverter defibrillator (CRT-D) on the effect of ICD programming. We aimed to elucidate the effect of CRT-D on ICD programming to reduce inappropriate ICD therapy in patients implanted with CRT-D or an ICD, enrolled in MADIT-RIT. The primary end point of this study was the first inappropriate ICD therapy. Secondary end points were inappropriate anti-tachycardia pacing and inappropriate ICD shock. The study enrolled 742 (49%) patients with an ICD and 757 (51%) patients with a CRT-D. Patients implanted with a CRT-D had 62% lower risk of inappropriate ICD therapy than those with an ICD only (hazard ratio [HR] =0.38, 95% confidence interval: 0.25-0.57; Pprogramming significantly reduced the risk of inappropriate ICD therapy compared with conventional ICD programming in ICD (HR=0.14 [B versus A]; HR=0.21 [C versus A]) and CRT-D patients (HR=0.15 [B versus A]; HR=0.23 [C versus A]; Pprogramming significantly reduces the risk of inappropriate ICD therapy in both ICD and CRT-D patients. http://clinicaltrials.gov; Unique identifier: NCT00947310. © 2016 American Heart Association, Inc.

  2. A multifaceted rehabilitation program for women with cancer.

    Science.gov (United States)

    Johnson, J B; Kelly, A W

    1990-01-01

    A multifaceted rehabilitation program for women diagnosed with cancer includes a personal fitness plan, aerobic exercise classes, journaling, and a six-day environmental wilderness experience. The program's purpose is for participants to learn how to cope with uncertainties in life and to promote a wellness concept for living with cancer. This is achieved through successfully meeting the challenges of the program. A descriptive study, using journal entries of the pilot group's 12 women with breast cancer, provides insight into participants' views of the program. Their responses described: personal growth through succeeding at new and difficult experiences; normalization engendered by communicating with others having cancer; exhilaration at focusing on challenging events external to personal health problems; and courage that overrode their fears of facing what seemed impossible.

  3. Reduced stress and improved physical functional ability in elderly with mental health problems following a horticultural therapy program.

    Science.gov (United States)

    Han, Ah-Reum; Park, Sin-Ae; Ahn, Byung-Eun

    2018-06-01

    This study aimed to determine the effects of a plant cultivation-based horticultural therapy program for elderly people with mental health problems. Pre- and post-test design with experimental and control groups. Twenty-eight elderly Korean people with mental health problems participated from April to June 2017 at a farm located in Suwon, South Korea. The participants were randomly assigned to either the control (n = 14) or horticultural therapy group (n = 14); the latter participated in once-weekly sessions of a previously designed 10-session horticultural therapy program. The pre-test occurred 1 week before starting the horticultural therapy program. The post-test was completed within 1 week after finishing the final program session. Cortisol levels were measured in saliva samples collected from both groups. The Senior Fitness Test was used to assess physical functional ability in both groups. In the horticultural therapy group, the cortisol levels decreased significantly from before to after the horticultural therapy program, and the post-test scores for six subtests of the Senior Fitness Test improved significantly. No significant improvements were seen in either measure in the control group. This study demonstrates the potential ability of horticultural therapy to improve the stress levels and physical functional abilities of elderly people with mental health problems. In future studies, it would be interesting to verify the long-term effects of this horticultural therapy program and to compare its effects with regard to sex, age, and various mental symptoms. Copyright © 2018 Elsevier Ltd. All rights reserved.

  4. Instructor and Adult Learner Perceptions of the Use of Internet-Enabled Devices in Residential Outdoor Education Programs

    Science.gov (United States)

    Bolliger, Doris U.; Shepherd, Craig E.

    2018-01-01

    As more adults frequent wilderness areas, they bring Internet-enabled devices (e.g., smart phones, tablets) with them. This study focuses on adults' perceptions of these devices in relation to desired outdoor learning experiences. Specifically, researchers examined the perspectives of naturalists who taught outdoor education programs and park…

  5. The effect of ICD programming on inappropriate and appropriate ICD Therapies in ischemic and nonischemic cardiomyopathy: the MADIT-RIT trial.

    Science.gov (United States)

    Sedláček, Kamil; Ruwald, Anne-Christine; Kutyifa, Valentina; McNitt, Scott; Thomsen, Poul Erik Bloch; Klein, Helmut; Stockburger, Martin; Wichterle, Dan; Merkely, Bela; DE LA Concha, Joaquin Fernandez; Swissa, Moshe; Zareba, Wojciech; Moss, Arthur J; Kautzner, Josef; Ruwald, Martin H

    2015-04-01

    The MADIT-RIT trial demonstrated reduction of inappropriate and appropriate ICD therapies and mortality by high-rate cut-off and 60-second-delayed VT therapy ICD programming in patients with a primary prophylactic ICD indication. The aim of this analysis was to study effects of MADIT-RIT ICD programming in patients with ischemic and nonischemic cardiomyopathy. First and total occurrences of both inappropriate and appropriate ICD therapies were analyzed by multivariate Cox models in 791 (53%) patients with ischemic and 707 (47%) patients with nonischemic cardiomyopathy. Patients with ischemic and nonischemic cardiomyopathy had similar incidence of first inappropriate (9% and 11%, P = 0.21) and first appropriate ICD therapy (11.6% and 14.1%, P = 0.15). Patients with ischemic cardiomyopathy had higher mortality rate (6.1% vs. 3.3%, P = 0.01). MADIT-RIT high-rate cut-off (arm B) and delayed VT therapy ICD programming (arm C) compared with conventional (arm A) ICD programming were associated with a significant risk reduction of first inappropriate and appropriate ICD therapy in patients with ischemic and nonischemic cardiomyopathy (HR range 0.11-0.34, P programming and delayed VT therapy ICD programming in both ischemic and nonischemic cardiomyopathy patients. High-rate cut-off and delayed VT therapy ICD programming are associated with significant reduction in first and total inappropriate and appropriate ICD therapy in patients with ischemic and nonischemic cardiomyopathy. © 2014 Wiley Periodicals, Inc.

  6. Medical Music Therapy: A Model Program for Clinical Practice, Education, Training and Research

    Science.gov (United States)

    Standley, Jayne

    2005-01-01

    This monograph evolved from the unique, innovative partnership between the Florida State University Music Therapy Program and Tallahassee Memorial HealthCare. Its purpose is to serve as a model for music therapy educators, students, clinicians, and the hospital administrators who might employ them. This book should prove a valuable resource for…

  7. An Exploratory Study of the Restorative Benefits of Hiking in Wilderness Solitude and Its Relationship to Job Satisfaction

    Science.gov (United States)

    Ellison, Mark Andrew

    2010-01-01

    The purpose of this exploratory research was to examine the relationship between the restorative benefits of hiking in wilderness solitude (RBHWS) and job satisfaction. This research is a jumping off point, intended to guide future research on the RBHWS, and the practical utilization of this in human resource development. This research sought to…

  8. Documentation of COMRAD program (= Comprehensive System for Interactive Planning in Radiation Therapy)

    International Nuclear Information System (INIS)

    Pfister, G.; Friedlein, H.P.

    1984-05-01

    COMRAD is a radiotherapy planning program for calculating dose distribution in two- and three-dimensional patient geometries with coplanar or non-coplanar fields. The program was developed at the IBM Scientific Center Heidelberg and extended for applications in neutron therapy at the IKE by integration of the neutron dose formula and further specification options. These modifications were necessary for an accurate determination of inhomogeneities in neutron therapy and for neutron kerma calculations. Administrative data, e.g. patient name and number, date, doctor and physicist appear on all printed dose distributions. The treatment data comprise the therapy unit in use, specifications of the radiation field (radiation axis, source/skin distance, portal size, rotation parameters), dose specifications, and field specifications. The location and orientation of the planar cuts through the patient (windows) into which dose distributions shall be calculated can be set at will. The same applies to the density of the raster points at which dose values shall be computed. (orig./HP) [de

  9. Europe’s Wild Heart - still beating' Experiences from a new transboundary wilderness area in the middle of the Old Continent

    Czech Academy of Sciences Publication Activity Database

    Křenová, Zdeňka; Kiener, H.

    2012-01-01

    Roč. 2, č. 2 (2012), s. 115-124 ISSN 1805-0174 R&D Projects: GA MŠk(CZ) ED1.1.00/02.0073 Institutional support: RVO:67179843 Keywords : wilderness * transboundary cooperation * national park * biodiversity * Natura 2000 Subject RIV: EH - Ecology, Behaviour

  10. Evaluation of a Music Therapy Social Skills Development Program for Youth with Limited Resources.

    Science.gov (United States)

    Pasiali, Varvara; Clark, Cherie

    2018-05-21

    Children living in low-resource communities are at risk for poorer socio-emotional development and academic performance. Emerging evidence supports use of group music therapy experiences to support social development through community afterschool programming. To examine the potential benefit of a music therapy social skills development program to improve social skills and academic performance of school-aged children with limited resources in an afterschool program. We used a single-group pre/post-test design, and recruited 20 students (11 females, 9 males), ages 5 to 11 years, from an afterschool program. The music therapy social skills program consisted of eight 50-minute sessions, and we measured social competence and antisocial behavior using the Home & Community Social Behavioral Scale (HCSBS; Merrell & Caldarella, 2008), and social skills, problem behaviors, and academic competence using the Social Skills Improvement System (SSIS; Gresham & Elliot, 2008a, 2008b). Only students who attended a minimum of six sessions (N = 14) were included in data analysis. Results showed no significant change in individual HBSC subscale scores; however, the total number of low-performance/high-risk skills significantly decreased. SSIS teacher results indicated significant improvement in communication, significant decrease of hyperactivity, autistic behavioral tendencies and overall problem behaviors, and marginal decreases in internalization. Parent ratings mirrored, in part, those of the teacher. Results indicated that music therapy has the potential of being an effective intervention for promoting social competence of school-aged children with limited resources, particularly in the areas of communication and low-performance/high-risk behaviors. Teaching skills through song lyrics and improvisation emerged as salient interventions.

  11. Freedom of speech versus freedom of religion? The case of Dutch politician Geert Wilders

    OpenAIRE

    Howard, Erica

    2017-01-01

    Dutch right-wing politician Geert Wilders has already been prosecuted once for incitement to hatred and group defamation over remarks and a film criticising Islam and comparing the Quran to Hitler’s Mein Kampf. He was acquitted, but now faces another criminal trial on the same charges concerning remarks he made in March 2014 about ‘fewer Moroccans’. This Article examines Wilders’ expressions which led to both prosecutions. The case law of the European Court of Human Rights on freedom of expre...

  12. Patients' mental models and adherence to outpatient physical therapy home exercise programs.

    Science.gov (United States)

    Rizzo, Jon

    2015-05-01

    Within physical therapy, patient adherence usually relates to attending appointments, following advice, and/or undertaking prescribed exercise. Similar to findings for general medical adherence, patient adherence to physical therapy home exercise programs (HEP) is estimated between 35 and 72%. Adherence to HEPs is a multifactorial and poorly understood phenomenon, with no consensus regarding a common theoretical framework that best guides empirical or clinical efforts. Mental models, a construct used to explain behavior and decision-making in the social sciences, may serve as this framework. Mental models comprise an individual's tacit thoughts about how the world works. They include assumptions about new experiences and expectations for the future based on implicit comparisons between current and past experiences. Mental models play an important role in decision-making and guiding actions. This professional theoretical article discusses empirical research demonstrating relationships among mental models, prior experience, and adherence decisions in medical and physical therapy contexts. Specific issues related to mental models and physical therapy patient adherence are discussed, including the importance of articulation of patients' mental models, assessment of patients' mental models that relate to exercise program adherence, discrepancy between patient and provider mental models, and revision of patients' mental models in ways that enhance adherence. The article concludes with practical implications for physical therapists and recommendations for further research to better understand the role of mental models in physical therapy patient adherence behavior.

  13. Developing social standards for wilderness encounters in Mount Rainier National Park: Manager-defined versus visitor-defined standards

    Science.gov (United States)

    Kristopher J. Lah

    2000-01-01

    This research compared the differences found between manager-defined and visitor-defined social standards for wilderness encounters in Mount Rainier National Park. Social standards in recreation areas of public land are defined by what is acceptable to the public, in addition to the area’s management. Social standards for the encounter indicator in Mount Rainier’s...

  14. Play Therapy Training among School Psychology, Social Work, and School Counseling Graduate Training Programs

    Science.gov (United States)

    Pascarella, Christina Bechle

    2012-01-01

    This study examined play therapy training across the nation among school psychology, social work, and school counseling graduate training programs. It also compared current training to previous training among school psychology and school counseling programs. A random sample of trainers was selected from lists of graduate programs provided by…

  15. Effects of low intensity prescribed fires on ponderosa pine forests in wilderness areas of Zion National Park, Utah

    Science.gov (United States)

    Henry V. Bastian

    2001-01-01

    Vegetation and fuel loading plots were monitored and sampled in wilderness areas treated with prescribed fire. Changes in ponderosa pine (Pinus ponderosa) forest structure tree species and fuel loading are presented. Plots were randomly stratified and established in burn units in 1995. Preliminary analysis of nine plots 2 years after burning show litter was reduced 54....

  16. Development of input data layers for the FARSITE fire growth model for the Selway-Bitterroot Wilderness Complex, USA

    Science.gov (United States)

    Robert E. Keane; Janice L. Garner; Kirsten M. Schmidt; Donald G. Long; James P. Menakis; Mark A. Finney

    1998-01-01

    Fuel and vegetation spatial data layers required by the spatially explicit fire growth model FARSITE were developed for all lands in and around the Selway-Bitterroot Wilderness Area in Idaho and Montana. Satellite imagery and terrain modeling were used to create the three base vegetation spatial data layers of potential vegetation, cover type, and structural stage....

  17. The effects of animal-assisted therapy on wounded warriors in an Occupational Therapy Life Skills program.

    Science.gov (United States)

    Beck, Christine E; Gonzales, Florie; Sells, Carol Haertlein; Jones, Cynthia; Reer, Theresa; Zhu, Yao Yao

    2012-01-01

    Animal-assisted therapy (AAT) has gained much attention in civilian and military health care. Evidence supports its benefits with varied populations with diseases and disabilities, but no research has been done with injured or ill service members. This pretest, posttest nonrandomized control group study evaluated the effects of AAT on Warriors in transition (N=24) attending an Occupational Therapy Life Skills program with the long-term goal of improving their successful reintegration. Although significant differences were not found between the groups on most measures, anecdotal reports by participants and observers indicate that participants eagerly anticipated being with the therapy dogs, expressed pleasure and satisfaction with the experience, and regretted seeing it end. There were significant correlations between mood, stress, resilience, fatigue, and function at various measurement points. This is the first study to formally assess the benefits of AAT with wounded service members in garrison. Suggestions for future research are provided.

  18. Wilderness leadership--on the job.

    Science.gov (United States)

    Kanengieter, John; Rajagopal-Durbin, Aparna

    2012-04-01

    Lessons taught and learned in the challenging, unpredictable environment of a wilderness expedition have direct applications to today's business world. That's according to two directors at the National Outdoor Leadership School, who in this article share five principles for expedition--and career-success. (1) Practice leadership. The fundamental philosophy of NOLS is that leadership can be learned-even by those who don't think they have a natural ability to lead. You just need to practice making decisions, then reflecting on and learning from the outcomes. (2) Lead from everywhere. In an expedition group, or in an organization, you can play four roles, often simultaneously: designated leader, active follower, peer leader, and self-leader. Effective teamwork rests on knowing how and when to step into each role. (3) Behave well Leadership means getting along in a diverse group, cooperating with teammates, effectively resolving conflict, and keeping yourself and others motivated. (4) Keep calm. On expeditions and in business, people often end up scrapping not only Plan A but also Plan B. Leadership involves planning for things you can control, letting go of things you can't, expecting the unexpected, and maintaining composure when unforeseen circumstances arise. (5) Disconnect to connect. The fast-paced, high-tech world of work wreaks havoc on leaders' ability to engage in the careful, strategic thinking required of them. It's important to disconnect from 21st-century distractions and to connect with nature once in a while.

  19. RESULTS OF OUTPATIENT PROGRAM ON EFFECTIVE THERAPY OF REFRACTORY ARTERIAL HYPERTENSION

    Directory of Open Access Journals (Sweden)

    M. M. Batyushin

    2015-12-01

    Full Text Available Aim. To increase in efficacy of antihypertensive therapy in patients with refractory arterial hypertension (HT.Material and methods. Patients with refractory HT were revealed during first month of program. The causes of refractory HT were analyzed. Combined antihypertensive therapy was prescribed to reach target level of blood pressure (BP. This therapy lasted 24 weeks and included angiotensin converting enzyme (ACE inhibitor, thiazid diuretic (indapamide and dihydropyridine calcium antagonist (nifedipine XL.Results. 200 patients with refractory HT were revealed. True refractory HT took place in 59,9% of patients and pseudo refractory HT – in 40,1% of patients. Lack of diuretics or combined antihypertensive therapy were the main reason of insufficient BP control. Proposed 3-drugs therapy resulted in reduction of systolic BP from 190 to 132 Hg mm and diastolic BP from 104 to 81 Hg mm. Target level of BP was reached in 94% patients. There were no side effects which demanded to stop therapy.Conclusion. High incidence of pseudorefractory HT (40,1% is revealed. Significant prevalence of renal disturbances especially chronic interstitial inflammatory could be responsible for refractory HT development. Use of 3-drugs therapy (ACE inhibitor, indapamide and nifedipine XL provides effective control of BP in refractory and pseudorefractory HT.

  20. RESULTS OF OUTPATIENT PROGRAM ON EFFECTIVE THERAPY OF REFRACTORY ARTERIAL HYPERTENSION

    Directory of Open Access Journals (Sweden)

    M. M. Batyushin

    2007-01-01

    Full Text Available Aim. To increase in efficacy of antihypertensive therapy in patients with refractory arterial hypertension (HT.Material and methods. Patients with refractory HT were revealed during first month of program. The causes of refractory HT were analyzed. Combined antihypertensive therapy was prescribed to reach target level of blood pressure (BP. This therapy lasted 24 weeks and included angiotensin converting enzyme (ACE inhibitor, thiazid diuretic (indapamide and dihydropyridine calcium antagonist (nifedipine XL.Results. 200 patients with refractory HT were revealed. True refractory HT took place in 59,9% of patients and pseudo refractory HT – in 40,1% of patients. Lack of diuretics or combined antihypertensive therapy were the main reason of insufficient BP control. Proposed 3-drugs therapy resulted in reduction of systolic BP from 190 to 132 Hg mm and diastolic BP from 104 to 81 Hg mm. Target level of BP was reached in 94% patients. There were no side effects which demanded to stop therapy.Conclusion. High incidence of pseudorefractory HT (40,1% is revealed. Significant prevalence of renal disturbances especially chronic interstitial inflammatory could be responsible for refractory HT development. Use of 3-drugs therapy (ACE inhibitor, indapamide and nifedipine XL provides effective control of BP in refractory and pseudorefractory HT.

  1. CARL: a LabVIEW 3 computer program for conducting exposure therapy for the treatment of dental injection fear.

    Science.gov (United States)

    Coldwell, S E; Getz, T; Milgrom, P; Prall, C W; Spadafora, A; Ramsay, D S

    1998-04-01

    This paper describes CARL (Computer Assisted Relaxation Learning), a computerized, exposure-based therapy program for the treatment of dental injection fear. The CARL program operates primarily in two different modes; in vitro, which presents a video-taped exposure hierarchy, and in vivo, which presents scripts for a dentist or hygienist to use while working with a subject. Two additional modes are used to train subjects to use the program and to administer behavioral assessment tests. The program contains five different modules, which function to register a subject, train subjects to use physical and cognitive relaxation techniques, deliver an exposure hierarchy, question subjects about the helpfulness of each of the therapy components, and test for memory effects of anxiolytic medication. Nine subjects have completed the CARL therapy program and 1-yr follow-up as participants in a placebo-controlled clinical trial examining the effects of alprazolam on exposure therapy for dental injection phobia. All nine subjects were able to receive two dental injections, and all reduced their general fear of dental injections. Initial results therefore indicate that the CARL program successfully reduces dental injection fear.

  2. Accreditation of emerging oral health professions: options for dental therapy education programs.

    Science.gov (United States)

    Gelmon, Sherril B; Tresidder, Anna Foucek

    2011-01-01

    The study explored the options for accreditation of educational programs to prepare a new oral health provider, the dental therapist. A literature review and interviews of 10 content experts were conducted. The content experts represented a wide array of interests, including individuals associated with the various dental stakeholder organizations in education, accreditation, practice, and licensure, as well as representatives of non-dental accrediting organizations whose experience could inform the study. Development of an educational accreditation program for an emerging profession requires collaboration among key stakeholders representing education, practice, licensure, and other interests. Options for accreditation of dental therapy education programs include establishment of a new independent accrediting agency; seeking recognition as a committee within the Commission on Accreditation of Allied Health Education Programs; or working with the Commission on Dental Accreditation (CODA) to create a new accreditation program within CODA. These options are not mutually exclusive, and more than one accreditation program could potentially exist. An educational accreditation program is built upon a well-defined field, where there is a demonstrated need for the occupation and for accreditation of educational programs that prepare individuals to enter that occupation. The fundamental value of accreditation is as one player in the overall scheme of improving the quality of higher education delivered to students and, ultimately, the delivery of health services. Leaders concerned with the oral health workforce will need to consider future directions and the potential roles of new oral health providers as they determine appropriate directions for educational accreditation for dental therapy.

  3. Classroom drama therapy program for immigrant and refugee adolescents: a pilot study.

    Science.gov (United States)

    Rousseau, Cécile; Benoit, Maryse; Gauthier, Marie-France; Lacroix, Louise; Alain, Néomée; Rojas, Musuk Viger; Moran, Alejandro; Bourassa, Dominique

    2007-07-01

    This evaluative study assesses the effects of a school drama therapy program for immigrant and refugee adolescents designed to prevent emotional and behavioral problems and to enhance school performance. The 9-week program involved 136 newcomers, aged 12 to 18, attending integration classes in a multiethnic school. Pretest and posttest data were collected from the students and their teachers. The self-report and teacher's forms of the Strengths and Difficulties Questionnaire were used to assess emotional and behavioral symptoms. At the end of the program, although there were no reported improvement in self-esteem or emotional and behavioral symptoms, the adolescents in the experimental group reported lower mean levels of impairment by symptoms than those in the control group, when baseline data were controlled for. Their performance in mathematics also increased significantly compared to that of their control peers. The findings suggest that the workshops may have an impact on social adjustment of recently arrived immigrants and refugees. This drama therapy program appears to be a promising way of working preventively and in a nonstigmatizing manner with adolescents who have been exposed to diverse forms of adversity, among which are war and violence.

  4. Wilderness in the Circumpolar North: searching for compatibility in ecological, traditional, and ecotourism values; 2001 May 15-16; Anchorage, AK

    Science.gov (United States)

    Alan E. Watson; Lilian Alessa; Janet Sproull

    2002-01-01

    There are growing pressures on undeveloped (wild) places in the Circumpolar North. Among them are pressures for economic development, oil and gas exploration and extraction, development of geothermal energy resources, development of heavy industry close to energy sources, and lack of appreciation for "other" orientations toward wilderness resources by...

  5. Assessing an Intergenerational Horticulture Therapy Program for Elderly Adults and Preschool Children

    OpenAIRE

    Predny, Mary Lorraine

    1999-01-01

    ASSESSING AN INTERGENERATIONAL HORTICULTURE THERAPY PROGRAM FOR ELDERLY ADULTS AND PRESCHOOL CHILDREN by Mary Lorraine Predny Dr. Diane Relf, Chair Horticulture Department ABSTRACT The goal of this research project was to determine if introducing intergenerational interactions would supplement or detract from the use of horticulture as a therapeutic tool when working with elderly adults and preschool children. The program was set up to compare ind...

  6. Faculty perceptions of occupational therapy program directors' leadership styles and outcomes of leadership.

    Science.gov (United States)

    Snodgrass, Jeff; Shachar, Mickey

    2008-01-01

    This research study investigated the relationship between faculty perceptions of occupational therapy program directors' leadership styles and outcomes of leadership and the effects of moderating demographic and institutional characteristics. Data for this study were collected utilizing the Multifactor Leadership Questionnaire Form 5X and the self-designed Demographic and Institution Questionnaire. The study working sample included 184 graduate occupational therapy faculty members from 98 (65%) of all accredited academic occupational therapy programs in the United States for the 2005-06 academic year. Major findings from the study indicate that, in general, transformational leadership had a significant (p leadership outcomes whereas transactional leadership had a significant (p leadership attribute (although belonging to the transactional leadership construct) was found to be a positive predictor of leadership outcomes. Demographic and institutional characteristics did not have a significant (p > 0.01) influence on perceived leadership styles and leadership outcomes. The results of this research show that the most effective occupational therapy leaders in academia have been found to be those who adopt and utilize a full range of leadership styles that combine both transformational and transactional contingent reward leadership styles and suggest common effectiveness for other allied health fields.

  7. Expansion of the wilderness values scale with three sub-scales: Personal maintenance, expression and learning, and societal maintenance

    Science.gov (United States)

    Rudy M. Schuster; Ken Cordell; Gary T. Green

    2007-01-01

    The purpose of this research was to expand the wilderness value scale administered in the 1994 and 2000 versions of the National Survey on Recreation and the Environment using questions included in the 2003 NSRE. A data set of 1,900 cases was randomly split in half. Validity of the additional questions was tested using principal component analysis, a confirmatory...

  8. Screening procedure to evaluate effects of air pollution on Eastern Region wildernesses cited as Class I air quality areas.

    Science.gov (United States)

    Mary Beth Adams; Dale S. Nichols; Anthony C. Federer; Keith F. Jensen; Harry Parrott

    1991-01-01

    The USDA Forest Service's Eastern Region manages eight wilderness areas that have been designated as Class I air quality areas by the Federal Clean Air Act. As part of this legislation, Federal land managers are required to consult with air pollution regulators on the potential impacts of proposed air pollution emissions--including phytotoxic gases and acidic...

  9. Curriculum-Level Strategies That U.S. Occupational Therapy Programs Use to Address Occupation: A Qualitative Study.

    Science.gov (United States)

    Hooper, Barb; Krishnagiri, Sheama; Price, Pollie; Taff, Steven D; Bilics, Andrea

    This study's objective was to describe curriculum-level strategies used to convey occupation to occupational therapy students. The study used a descriptive qualitative research design. Fifteen occupational therapy and 10 occupational therapy assistant programs participated in interviews, submitted curriculum artifacts such as syllabi and assignments, and recorded teaching sessions. Data were coded both inductively and deductively and then categorized into themes. Occupational therapy programs designed strategies on two levels of the curriculum, infrastructure and implementation, to convey knowledge of occupation to students. The degree to which strategies explicitly highlighted occupation and steered instruction fluctuated depending on how differentiated occupation was from other concepts and skills. Two arguments are presented about the degree to which occupation needs to be infused in all curricular elements. To guide curriculum design, it is critical for educators to discuss beliefs about how ubiquitous occupation is in a curriculum and whether curricular elements portray occupation to the extent preferred. Copyright © 2018 by the American Occupational Therapy Association, Inc.

  10. Reintegrating Family Therapy Training in Psychiatric Residency Programs: Making the Case

    Science.gov (United States)

    Rait, Douglas; Glick, Ira

    2008-01-01

    Objective: Given the marginalization of couples and family therapy in psychiatric residency programs over the past two decades, the authors propose a rationale for the reintegration of these important psychosocial treatments into the mainstream of general psychiatric residency education. Methods: After reviewing recent trends in the field that…

  11. Long Detection Programming in Single-Chamber Defibrillators Reduces Unnecessary Therapies and Mortality: The ADVANCE III Trial.

    Science.gov (United States)

    Gasparini, Maurizio; Lunati, Maurizio G; Proclemer, Alessandro; Arenal, Angel; Kloppe, Axel; Martínez Ferrer, Josè B; Hersi, Ahmad S; Gulaj, Marcin; Wijffels, Maurits C E; Santi, Elisabetta; Manotta, Laura; Varma, Niraj

    2017-11-01

    This study sought to evaluate the effects of programming a long detection in single-chamber (VVI) implantable cardioverter-defibrillators (ICDs) in the multicenter prospective ADVANCE III (Avoid DeliVering TherApies for Non-sustained Arrhythmias in ICD PatiEnts III) trial. Programming strategies may reduce unnecessary ICD shocks and their adverse effects but to date have been described only for dual-chamber ICDs. A total of 545 subjects (85% male; atrial fibrillation 25%, left ventricular ejection fraction 31%, ischemic etiology 68%, secondary prevention indications 32%) receiving a VVI ICD were randomized to long detection (30 of 40 intervals) or standard programming (18 of 24 intervals) based on device type, atrial fibrillation history, and indication. In both arms, antitachycardia pacing (ATP) therapy during charging was programmed for episodes with cycle length 320 to 200 ms and shock only for cycle length functions enabled. Therapies delivered were compared using a negative binomial regression model. A total of 267 patients were randomized to long detection and 278 to the control group. Median follow-up was 12 months. One hundred twelve therapies (shocks and ATP) occurred in the long detection arm versus 257 in the control arm, for a 48% reduction with 30 of 40 intervals (95% confidence interval [CI]: 0.36 to 0.76; p = 0.002). In the long detection arm, overall shocks were reduced by 40% compared to the control arm (48 vs. 24; 95% CI: 0.38 to 0.94; p = 0.026) and appropriate shocks by 51% (34 vs. 74; 95% CI: 0.26 to 0.94; p = 0.033). Syncopal events did not differ between arms, but survival improved in the long detection arm. Among patients implanted with a VVI ICD, programming with the long detection interval significantly reduced appropriate therapies, shocks, and all-cause mortality. (Avoid DeliVering TherApies for Non-sustained Arrhythmias in ICD PatiEnts III [ADVANCEIII]; NCT00617175). Copyright © 2017 The Authors. Published by Elsevier Inc. All

  12. Progress in sensorimotor rehabilitative physical therapy programs for stroke patients

    Science.gov (United States)

    Chen, Jia-Ching; Shaw, Fu-Zen

    2014-01-01

    Impaired motor and functional activity following stroke often has negative impacts on the patient, the family and society. The available rehabilitation programs for stroke patients are reviewed. Conventional rehabilitation strategies (Bobath, Brunnstrom, proprioception neuromuscular facilitation, motor relearning and function-based principles) are the mainstream tactics in clinical practices. Numerous advanced strategies for sensory-motor functional enhancement, including electrical stimulation, electromyographic biofeedback, constraint-induced movement therapy, robotics-aided systems, virtual reality, intermittent compression, partial body weight supported treadmill training and thermal stimulation, are being developed and incorporated into conventional rehabilitation programs. The concept of combining valuable rehabilitative procedures into “a training package”, based on the patient’s functional status during different recovery phases after stroke is proposed. Integrated sensorimotor rehabilitation programs with appropriate temporal arrangements might provide great functional benefits for stroke patients. PMID:25133141

  13. Wilderness medicine: strategies for provision of medical support for adventure racing.

    Science.gov (United States)

    Townes, David A

    2005-01-01

    In adventure racing, or multisporting, athletes perform multiple disciplines over a course in rugged, often remote, wilderness terrain. Disciplines may include, but are not limited to, hiking, trail running, mountain biking, caving, technical climbing, fixed-line mountaineering, flat- and white-water boating, and orienteering. While sprint races may be as short as 6 hours, expedition-length adventure races last a minimum of 36 hours up to 10 days or more and may cover hundreds of kilometres. Over the past decade, adventure racing has grown in popularity throughout the world with increasing numbers of events and participants each year. The provision of on-site medical care during these events is essential to ensure the health and safety of the athletes and thus the success of the sport. At present, there are no formal guidelines and a relatively small amount of literature to assist in the development of medical support plans for these events. This article provides an introduction to the provision of medical support for adventure races. Since a wide variety of illness and injury occur during these events, the medical support plan should provide for proper personnel, equipment and supplies to provide care for a wide range of illness and injury. Foot-related problems are the most common reasons for athletes to require medical attention during these events. This article also highlights some of the controversies involved in the provision of medical support for these events. Suggested penalties for acceptance of medical care during the event and strategies for removal of an athlete from the event for medical reasons are offered. In addition, some of the challenges involved in the provision of medical support, including communication, logistics and liability are discussed. This information should prove useful for medical directors of future, similar events. Because of their extreme nature, expedition-length adventure races represent a new and unique area of wilderness and

  14. Modifiable variables in physical therapy education programs associated with first-time and three-year National Physical Therapy Examination pass rates in the United States

    Directory of Open Access Journals (Sweden)

    Chad Cook

    2015-09-01

    Full Text Available Purpose: This study aimed to examine the modifiable programmatic characteristics reflected in the Commission on Accreditation in Physical Therapy Education (CAPTE Annual Accreditation Report for all accredited programs that reported pass rates on the National Physical Therapist Examination, and to build a predictive model for first-time and three-year ultimate pass rates. Methods: This observational study analyzed programmatic information from the 185 CAPTE-accredited physical therapy programs in the United States and Puerto Rico out of a total of 193 programs that provided the first-time and three-year ultimate pass rates in 2011. Fourteen predictive variables representing student selection and composition, clinical education length and design, and general program length and design were analyzed against first-time pass rates and ultimate pass rates on the NPTE. Univariate and multivariate multinomial regression analysis for first-time pass rates and logistic regression analysis for three-year ultimate pass rates were performed. Results: The variables associated with the first-time pass rate in the multivariate analysis were the mean undergraduate grade point average (GPA and the average age of the cohort. Multivariate analysis showed that mean undergraduate GPA was associated with the three-year ultimate pass rate. Conclusions: Mean undergraduate GPA was found to be the only modifiable predictor for both first-time and three-year pass rates among CAPTE-accredited physical therapy programs.

  15. Take a Paws: Fostering Student Wellness with a Therapy Dog Program at Your University Library

    Science.gov (United States)

    Lannon, Amber; Harrison, Pamela

    2015-01-01

    Therapy dogs are trained and socialized to provide comfort to individuals who are ill or experiencing stress. The following article explores therapy dog outreach programs in academic libraries by describing a successful venture at McGill University Library. Background, planning advice, assessment results, and recommendations are presented with an…

  16. Integrating Therapy Dog Teams in a Physical Activity Program for Children with Autism Spectrum Disorders

    Science.gov (United States)

    Obrusnikova, Iva; Bibik, Janice M.; Cavalier, Albert R.; Manley, Kyle

    2012-01-01

    The use of therapy-dog teams in programs for children with disabilities is becoming increasingly popular in school and therapeutic settings and has been shown to provide physical, social, and emotional benefits for the children. This article describes the basic steps for implementing therapy dog-assisted activities in physical activity programs…

  17. Physiological and Psychological Effects of a Forest Therapy Program on Middle-Aged Females.

    Science.gov (United States)

    Ochiai, Hiroko; Ikei, Harumi; Song, Chorong; Kobayashi, Maiko; Miura, Takashi; Kagawa, Takahide; Li, Qing; Kumeda, Shigeyoshi; Imai, Michiko; Miyazaki, Yoshifumi

    2015-12-01

    The natural environment is increasingly recognized as an effective counter to urban stress, and "Forest Therapy" has recently attracted attention as a relaxation and stress management activity with demonstrated clinical efficacy. The present study assessed the physiological and psychological effects of a forest therapy program on middle-aged females. Seventeen Japanese females (62.2 ± 9.4 years; mean ± standard deviation) participated in this experiment. Pulse rate, salivary cortisol level, and psychological indices were measured on the day before forest therapy and on the forest therapy day. Pulse rate and salivary cortisol were significantly lower than baseline following forest therapy, indicating that subjects were in a physiologically relaxed state. Subjects reported feeling significantly more "comfortable," "relaxed," and "natural" according to the semantic differential (SD) method. The Profile of Mood State (POMS) negative mood subscale score for "tension-anxiety" was significantly lower, while that for "vigor" was significantly higher following forest therapy. Our study revealed that forest therapy elicited a significant (1) decrease in pulse rate, (2) decrease in salivary cortisol levels, (3) increase in positive feelings, and (4) decrease in negative feelings. In conclusion, there are substantial physiological and psychological benefits of forest therapy on middle-aged females.

  18. The "RAPID" Cognitive-Behavioral Therapy Program for Inattentive Children: Preliminary Findings

    Science.gov (United States)

    Young, Susan

    2013-01-01

    Objective: The objectives of the current study were to ascertain feasibility and acceptability of directly delivering a cognitive-behavioral therapy (CBT) group intervention for inattentive children in a school setting, to examine the reliability of the RATE-C Questionnaires that accompany the program, and to determine whether they can be used to…

  19. An open trial of outpatient group therapy for bulimic disorders: combination program of cognitive behavioral therapy with assertive training and self-esteem enhancement.

    Science.gov (United States)

    Shiina, Akihiro; Nakazato, Michiko; Mitsumori, Makoto; Koizumi, Hiroki; Shimizu, Eiji; Fujisaki, Mihisa; Iyo, Masaomi

    2005-12-01

    The purposes of this study were to examine the therapeutic efficacy of combined group cognitive behavioral therapy (CGCBT) and to explore the characteristics of the patients who failed to complete it. Our group cognitive behavioral therapy combined with assertiveness training for alexithymia and self-esteem enhancement therapy were attended over a 10-week period. Twenty-five participants were enrolled in the study. The clinical symptoms were assessed before and after treatment, using rating scales including the Eating Disorder Inventory-2, the Bulimic Investigatory Test, Edinburgh, the Toronto Alexithymia Scale, the Rosenberg Self-Esteem Scale, and Global Assessment of Functioning. Sixteen participants (64%) completed the CGCBT program. Completion of the CGCBT resulted in significant improvements in reducing binge-eating behavior and improving social functioning. Eight patients (32%) significantly improved using the Clinical Global Impression Change (CGI-C). Stepwise logistic regression analysis of the results indicated that a lower age (P=0.04) and psychiatric comorbidity (P=0.06) were predictors of dropout from the CGCBT program. Our CGCBT program is a promising first-line treatment for bulimic outpatients. Lower age and the presence of comorbidity had effects on dropout rates.

  20. Gender and diversity topics taught in Commission on Accreditation for Marriage and Family Therapy Education programs.

    Science.gov (United States)

    Winston, Ebony Joy; Piercy, Fred P

    2010-10-01

    This article explores how the topics of gender and diversity are being taught and defined in accredited marriage and family therapy programs through syllabi content analysis and interviews with selected faculty. We examined findings by program (master's and doctoral) and type of training (those that taught specific gender and culture courses and those that attempted to infuse gender and culture throughout the curriculum). We examined 39 syllabi from 21 master's and 18 doctoral training programs. In addition, we conducted 20 interviews with faculty members. (Eighteen were White/Caucasian, one was African American and one was Asian Indian.) Some variation in topic areas was found between master's and doctoral programs and between those programs that offered specific course content and those that offered infused course content. However, qualitative interview data reflected many similarities. Particularly apparent was the level of commitment, transparency, and experiential learning methods professors used, regardless of program level or type. © 2010 American Association for Marriage and Family Therapy.

  1. The Impact of a Therapy Dog Program on Children's Reading Skills and Attitudes toward Reading

    Science.gov (United States)

    Kirnan, Jean; Siminerio, Steven; Wong, Zachary

    2016-01-01

    An existing school program in which therapy dogs are integrated into the reading curriculum was analyzed to determine the effect on student reading. Previous literature suggests an improvement in both reading skills and attitudes towards reading when students read in the presence of a therapy dog. Using a mixed method model, the researchers…

  2. South Fork Flathead Watershed Westslope Cutthroat Trout Conservation Program, Annual Report 2002.

    Energy Technology Data Exchange (ETDEWEB)

    Grisak, Grant; Marotz, Brian

    2003-06-01

    In 1999, Montana Fish, Wildlife & Parks (MFWP) began a program aimed at conserving the genetically pure populations of westslope cutthroat trout in the South Fork Flathead River drainage. The objective of this program is to eliminate all of the exotic and hybrid trout that threaten the genetically pure westslope cutthroat populations in the South Fork Flathead. The exotic and hybrid trout populations occur in several headwater lakes and their outflow streams. In 2001 MFWP released a draft environmental assessment, pursuant to the Montana Environmental Policy Act (MEPA), that addressed the use of motorized equipment to deliver personnel and materials to some of these lakes in the Bob Marshall and Great Bear Wildernesses (Grisak 2001). After a 30-day public comment period, MFWP determined that the complexity of issues was too great and warranted a more detailed analysis. These issues included transportation options for personnel, equipment and materials, the use of motorized equipment in wilderness, fish removal methods, fish stocking, and the status and distribution of amphibian populations in the project area. Because the program also involves the U.S. Forest Service (USFS) and Bonneville Power Administration (BPA), the environmental analysis needs to comply with the National Environmental Policy Act (NEPA). In October 2001, pursuant to NEPA, MFWP, along with the USFS and BPA initiated an environmental assessment to address these issues. In June 2002, the three agencies determined that the scope of these issues warranted an Environmental Impact Statement. This specialist report describes the logistical, technical and biological issues associated with this project and provides an analysis of options for fish removal, transportation and fish stocking. It further analyzes issues and concerns associated with amphibian populations and creating new domesticated stocks of westslope cutthroat trout. Finally, this document provides a description of each lake, the best

  3. A 12-Week Exercise Therapy Program in Middle-Aged Patients With Degenerative Meniscus Tears

    DEFF Research Database (Denmark)

    Stensrud, Silje; Roos, Ewa M.; Risberg, May Arna

    2012-01-01

    Normal 0 false false false EN-US X-NONE X-NONE MicrosoftInternetExplorer4 STUDY DESIGN: Case Series. BACKGROUND: Exercise is a viable treatment alternative to arthroscopic partial meniscectomy in patients with degenerative meniscus tears. No study has reported in detail type of exercises, progres......Normal 0 false false false EN-US X-NONE X-NONE MicrosoftInternetExplorer4 STUDY DESIGN: Case Series. BACKGROUND: Exercise is a viable treatment alternative to arthroscopic partial meniscectomy in patients with degenerative meniscus tears. No study has reported in detail type of exercises......, progression, tolerance, and potential benefit from an exercise therapy program in these patients who have not had surgery. This study describes a progressive exercise therapy program aiming at improving neuromuscular function and muscle strength in middle-aged patients with degenerative meniscus tears...... had undergone surgery. DISCUSSION: The described neuromuscular- and strength-training program should be considered for rehabilitation of middle-aged individuals with degenerative meniscus tears. Head-to-head comparison of programs in a randomized design is however needed to be able to answer...

  4. Fish communities of the Wilderness Lakes System in the southern Cape, South Africa

    Directory of Open Access Journals (Sweden)

    Alexis A. Olds

    2016-08-01

    Full Text Available The Wilderness Lakes System, a temporarily open and closed estuary with three associated lakes situated in the southern Cape region of South Africa, was sampled using a range of sampling gears to assess the fish community. A total of 25 species were sampled throughout the system, with the highest diversity in the Touw Estuary (23 species and the lowest in Langvlei (11 species. Estuary-associated marine species (13 species dominated species richness with smaller proportions of estuarine resident (7 species, freshwater (3 species and catadromous species (2 species. Estuarine resident species dominated the catch numerically. The size–class distribution of euryhaline marine species indicated that upon entering the Touw Estuary as juveniles, the fish move up the system towards Rondevlei where they appear to remain. Three freshwater species were recorded in the system, all of which are alien to the Wilderness Lakes System. Decreasing salinity in the upper lakes appears to be a driving factor in the distribution and increasing abundance of the freshwater fishes. Sampling followed a drought, with the system experiencing substantially increased levels of mouth closure compared to a similar study conducted in the 1980s. The timing of mouth opening and the degree of connectivity between the lakes influence the nursery function of the system as a whole. Management actions need to focus on improving ecological functioning of this system, in particular how mouth opening is managed, to facilitate nursery function and limit the establishment of invasive species. Conservation implications: Key management actions are required to improve fish recruitment potential into and within the system. These include maintenance of adequate marine inflow through adherence to artificial mouth breaching protocols and improving connectivity between the lakes through sediment removal from localised deposition points within the connecting channels.

  5. The Idaho Power Burst Facility/Boron Neutron Capture Therapy (PBF/BNCT) Program overview

    International Nuclear Information System (INIS)

    Dorn, R.V. III; Griebenow, M.L.; Ackermann, A.L.; Miller, L.G.; Miller, D.L.; Wheeler, F.J.; Bradshaw, K.M.; Wessol, D.E.; Harker, Y.D.; Nigg, D.W.; Randolph, P.D.; Bauer, W.F.; Gavin, P.R.; Richards, T.L.

    1992-01-01

    The Power Burst Facility/Boron Neutron Capture Therapy (PBF/BNCT) Program has been funded since 1988 to evaluate brain tumor treatment using Na 2 B 12 H 11 SH (borocaptate sodium or BSH) and epithermal neutrons. The PBF/BNCT Program pursues this goal as a comprehensive, multidisciplinary, multiorganizational endeavor applying modern program management techniques. The initial focus was to: (1) establish a representative large animal model and (2) develop the generic analytical and measurement capabilities require to control treatment repeatability and determine critical treatment parameters independent of tumor type and body location. This paper will identify the PBF/BNCT Program elements and summarize the status of some of the developed capabilities

  6. Fighting in thin air: operational wilderness medicine in high Asia.

    Science.gov (United States)

    Rodway, George W; Muza, Stephen R

    2011-12-01

    The current conflict in Afghanistan is the first major military action in which the United States and other North Atlantic Treaty Organization (NATO) forces have found themselves regularly engaged in combat at high altitudes. However, high altitude warfare is not a new concept in Asia by any means. This article will offer a short general historical review of high altitude warfare in Asia and then specifically address some of the operational challenges faced by troops carrying out missions at high altitude in the ongoing conflict in Afghanistan. Additionally, there will be discussion of evidence-based interventions being used to attempt to maintain optimal health of the warfighter at high altitude in this theater of operations. Years of research into how to alleviate the problematic nature of military operations in the high altitude environment has resulted in extensive risk management recommendations from the US Army, specifically aimed at preventing altitude-related casualties. Copyright © 2011 Wilderness Medical Society. Published by Elsevier Inc. All rights reserved.

  7. Debris flow from 2012 failure of moraine-dammed lake, Three Fingered Jack volcano, Mount Jefferson Wilderness, Oregon

    Science.gov (United States)

    Sherrod, David R.; Wills, Barton B.

    2014-01-01

    In the late spring or early summer of 2012, a flood emanated from a small moraine-dammed lake on the northeast flank of Three Fingered Jack in the Mount Jefferson Wilderness. Channel erosion or slope collapse breached the natural dam of the lake, leading to a sudden lowering of lake level by 2.8 m and discharge of 12,700 cubic meters (m3) of water. The resulting debris flow formed a bouldery deposit extending about 0.35 km downslope.

  8. [Effects of an intensive thalassotherapy and aquatic therapy program in stroke patients. A pilot study].

    Science.gov (United States)

    Morer, C; Boestad, C; Zuluaga, P; Alvarez-Badillo, A; Maraver, F

    2017-09-16

    Stroke remains the leading cause of acquired disability. Health and social planning and management may vary and although prevention is crucial, having better treatments and strategies to reduce disability is needed. To determine the effect of an intensive program of thalassotherapy and aquatic therapy in stroke patients, valuing clinical parameters and functional validated scales. A quasi-experimental prospective study consisting of a specific program assessed pre- and post- 3 weeks treatment to 26 stroke patients with a mild-moderate disability. The outcomes measured were: Berg Balance scale, Timed Up and Go test, 10-meter walking test, 6-minute walking test and pain Visual Analogue Scale. After intervention, participants had a significant improvement in all outcomes measured. Our results suggest that an intensive program of thalassotherapy and aquatic therapy could be useful during stroke rehabilitation to improve balance, gait and pain.

  9. Physiological and Psychological Effects of a Forest Therapy Program on Middle-Aged Females

    Directory of Open Access Journals (Sweden)

    Hiroko Ochiai

    2015-12-01

    Full Text Available The natural environment is increasingly recognized as an effective counter to urban stress, and “Forest Therapy” has recently attracted attention as a relaxation and stress management activity with demonstrated clinical efficacy. The present study assessed the physiological and psychological effects of a forest therapy program on middle-aged females. Seventeen Japanese females (62.2 ± 9.4 years; mean ± standard deviation participated in this experiment. Pulse rate, salivary cortisol level, and psychological indices were measured on the day before forest therapy and on the forest therapy day. Pulse rate and salivary cortisol were significantly lower than baseline following forest therapy, indicating that subjects were in a physiologically relaxed state. Subjects reported feeling significantly more “comfortable,” “relaxed,” and “natural” according to the semantic differential (SD method. The Profile of Mood State (POMS negative mood subscale score for “tension–anxiety” was significantly lower, while that for “vigor” was significantly higher following forest therapy. Our study revealed that forest therapy elicited a significant (1 decrease in pulse rate, (2 decrease in salivary cortisol levels, (3 increase in positive feelings, and (4 decrease in negative feelings. In conclusion, there are substantial physiological and psychological benefits of forest therapy on middle-aged females.

  10. Manualization of Occupational Therapy Interventions: Illustrations from the Pressure Ulcer Prevention Research Program

    Science.gov (United States)

    Blanche, Erna Imperatore; Fogelberg, Donald; Diaz, Jesus; Carlson, Mike; Clark, Florence

    2011-01-01

    The manualization of a complex occupational therapy intervention is a crucial step in ensuring treatment fidelity for both clinical application and research purposes. Towards this latter end, intervention manuals are essential for assuring trustworthiness and replicability of randomized controlled trials (RCT’s) that aim to provide evidence of the effectiveness of occupational therapy. In this paper, literature on the process of intervention manualization is reviewed. The prescribed steps are then illustrated through our experience in implementing the University of Southern California/Rancho Los Amigos National Rehabilitation Center’s collaborative Pressure Ulcer Prevention Project (PUPP). In this research program, qualitative research provided the initial foundation for manualization of a multifaceted occupational therapy intervention designed to reduce incidence of medically serious pressure ulcers in people with SCI. PMID:22214116

  11. Investigating the experiences in a school-based occupational therapy program to inform community-based paediatric occupational therapy practice.

    Science.gov (United States)

    Rens, Lezahn; Joosten, Annette

    2014-06-01

    A collaborative approach with teachers is required when providing community-based occupational therapy to educationally at risk children. Collaborators share common goals and interact and support each other but challenges arise in providing collaborative occupational therapy in settings outside the school environment. The aim of this study was to capture experiences of teachers and occupational therapists working within a school-based occupational therapy program to determine if their experiences could inform collaborative practice. In this pilot study, participant responses to questionnaires (n = 32) about their experiences formed the basis for focus groups and individual interviews. Two focus group were conducted, one with teachers (n = 11) and one with occupational therapy participants (n = 6). Individual interviews were conducted with the supervising occupational therapist, school principal and two leading teachers. Descriptive statistics were used to analyse the data from closed questions, and thematic analysis using a constant comparison approach was used to analyse open ended questions, focus groups and interviews. Three main themes emerged: (i) the need for occupational therapists to spend time in the school, to explain their role, build relationships, understand classroom routines and the teacher role; (ii) occupational therapists need to not see themselves as the expert but develop equal partnerships to set collaborative goals and (iii) occupational therapists advocating for all parties to be informed throughout the occupational therapy process. The pilot study findings identified teacher and therapist experiences within the school setting that could inform improved collaborative practice with teachers and community-based occupational therapists and these findings warrant further investigation. © 2013 Occupational Therapy Australia.

  12. Critical Loads of Acid Deposition for Wilderness Lakes in the Sierra Nevada (California) Estimated by the Steady-State Water Chemistry Model

    Science.gov (United States)

    Glenn D. Shaw; Ricardo Cisneros; Donald Schweizer; James O. Sickman; Mark E. Fenn

    2014-01-01

    Major ion chemistry (2000-2009) from 208 lakes (342 sample dates and 600 samples) in class I and II wilderness areas of the Sierra Nevada was used in the Steady-State Water Chemistry (SSWC) model to estimate critical loads for acid deposition and investigate the current vulnerability of high elevation lakes to acid deposition. The majority of the lakes were dilute (...

  13. Differences between the family-centered "COPCA" program and traditional infant physical therapy based on neurodevelopmental treatment principles.

    Science.gov (United States)

    Dirks, Tineke; Blauw-Hospers, Cornill H; Hulshof, Lily J; Hadders-Algra, Mijna

    2011-09-01

    Evidence for effectiveness of pediatric physical therapy in infants at high risk for developmental motor disorders is limited. Therefore, "Coping With and Caring for Infants With Special Needs" (COPCA), a family-centered, early intervention program, was developed. The COPCA program is based on 2 components: (1) family involvement and educational parenting and (2) the neuromotor principles of the neuronal group selection theory. The COPCA coach uses principles of coaching to encourage the family's own capacities for solving problems of daily care and incorporating variation, along with trial and error in daily activities. The purpose of this study was to evaluate whether the content of sessions of the home-based, early intervention COPCA program differs from that of traditional infant physical therapy (TIP) sessions, which in the Netherlands are largely based on neurodevelopmental treatment. The study was conducted at the University Medical Center Groningen in the Netherlands. A quantitative video analysis of therapy sessions was conducted with infants participating in a 2-arm randomized trial. Forty-six infants at high risk for developmental motor disorders were randomly assigned to receive COPCA (n=21) or TIP (n=25) between 3 and 6 months corrected age. Intervention sessions were videotaped at 4 and 6 months corrected age and analyzed with a standardized observation protocol for the classification of physical therapy actions. Outcome parameters were relative amounts of time spent on specific physical therapy actions. The content of COPCA and TIP differed substantially. For instance, in TIP sessions, more time was spent on facilitation techniques, including handling, than in COPCA sessions (29% versus 3%, respectively). During COPCA, more time was spent on family coaching and education than during TIP (16% versus 4%, respectively). The major limitation of the study was its restriction to the Netherlands, implying that findings cannot be generalized automatically to

  14. A program on quality assurance and dose calibration for radiation therapy units in Venezuela

    International Nuclear Information System (INIS)

    Padilla, M.C. de; Carrizales, L.; Diaz, J.; Gutt, F.; Cozman, A.

    1996-01-01

    The results of a five year program (1988-90-91-92-93) on quality assurance and dose calibration for 12 Cobalt-60 units from public hospitals, which represents 30% of total radiation therapy units in Venezuela, are presented. The remarkable improvement in the general performance of these units can be seen in the IAEA/WHO Postal TLD Intercomparison results which gave 100% within ± 5% in 1990 and 1992, while 63% in 1990 and 44% in 1992, with errors up to 37% were obtained for the participants not included in the program. The difference between the two groups lead the government to decrete through the Gaceta Oficial de la Republica de Venezuela, Resolution G-1397 on March 3, 1993, the quality assurance and dose calibration programs shall be established for all radiation therapy installations in Venezuela. The project for the standards was developed by the SSDL physicists and it was already approbated by the Health Ministry. It is expected that the Norms will enter into effect by the end of 1994. (author). 14 refs, 1 fig., 3 tabs

  15. A program on quality assurance and dose calibration for radiation therapy units in Venezuela

    Energy Technology Data Exchange (ETDEWEB)

    Padilla, M.C. de; Carrizales, L; Diaz, J; Gutt, F; Cozman, A [Instituto Venezolano de Investigaciones Cientificas, Caracas (Venezuela). Lab. de Calibracion Dosimetrica

    1996-08-01

    The results of a five year program (1988-90-91-92-93) on quality assurance and dose calibration for 12 Cobalt-60 units from public hospitals, which represents 30% of total radiation therapy units in Venezuela, are presented. The remarkable improvement in the general performance of these units can be seen in the IAEA/WHO Postal TLD Intercomparison results which gave 100% within {+-} 5% in 1990 and 1992, while 63% in 1990 and 44% in 1992, with errors up to 37% were obtained for the participants not included in the program. The difference between the two groups lead the government to decrete through the Gaceta Oficial de la Republica de Venezuela, Resolution G-1397 on March 3, 1993, the quality assurance and dose calibration programs shall be established for all radiation therapy installations in Venezuela. The project for the standards was developed by the SSDL physicists and it was already approbated by the Health Ministry. It is expected that the Norms will enter into effect by the end of 1994. (author). 14 refs, 1 fig., 3 tabs.

  16. Impact of following self-management program for presternal keloids in combination of surgery and radiation therapy

    International Nuclear Information System (INIS)

    Miyashita, Tsuguhiro; Tateno, Atsushi; Kumazaki, Tatsuo; Hyakusoku, Hiko; Horiuchi, Junichi

    1999-01-01

    The combination therapy of surgical removal and the post-operative irradiation is thought as a gold standard therapy for intractable keloid. However, even when both methods were used, presternal keloids had a high incidence of recurrence. We reviewed 40 patients with presternal keloids who were treated with surgical removal and postoperative irradiation. Patients age range was 9 to 81 years (average 31.5 years, median 25 years), and the male to female ratio was 21:19. A comparative study was performed on recurrence rates by patients' age, sex, and keloid size, and with or without a self-management program that we designed. Overall relapse rate was 48%, which included minimal or partial recurrences. Of all recurrence, 57% occurred within six months and 84% within a year. The recurrence rates were 62% in male and 32% in female (P=0.057), 58% in those whose ages were less than thirty and 29% in those whose ages were thirty or greater (P=0.079), and 54% when the size of keloid was under 8 cm and 33% in 8 cm or more (P=0.240). A significant difference of recurrence rates was revealed just between the first half (67%) and the second half (32%) of therapeutic periods performed without or with the postoperative self-management program, respectively (P=0.028). It is suggested that the following application of our self-management program is useful for therapy in presternal keloids treated with surgical resection and radiation therapy. Keloids of young or male cases were exhibiting a tendency to recur. These patients should be treated with a strict self-management program. (author)

  17. SALVEREMO, an automatic system for the search and rescue in the wilderness and mountain areas

    Science.gov (United States)

    Penna, Roberto; Allasia, Walter; Bianchi, Luca; Licata, Enrico; Duranti, Pierluigi; Molino, Andrea; Bagalini, Enea; Sagliocco, Sergio; Scarafia, Simone; Prinetto, Paolo; Airofarulla, Giuseppe; Carelli, Alberto

    2016-04-01

    SALVEREMO project aims at designing and prototyping an innovative system for searching and rescuing individuals (especially hikers and mountaineers) who got lost or in peril in wilderness or mountain areas. It makes use of Remotely Piloted Aircraft System (RPAS) equipped with a sensor suite specifically selected according to the requirements identified involving alpine rescuers and government officials. The peculiarity of the proposed solution is the exploitation and integration of the special skill and expertise coming from different competence fields. It will dramatically decrease the searching time in the wilderness and remote areas off the beaten tracks, providing rescuers and operators with a decision support system increasing successful results and reducing rescue missions costs. The system benefits from the adoption of a scaled-down Base Transceiver Station (BTS) embarked in the payload sensor suite of a small RPAS that can be carried in a back pack of rescuers. A Software Defined Radio (SDR) board implementing the BTS protocol stack has been integrated in a complex sensor suite made up of open processing boards and camera devices. Moreover computer vision (CV) algorithms for real time pattern detection and image enhancements have been investigated for assisting the rescuers during the searching operations. An easy-to-use ground station application has been developed for speeding up the overall mission accomplishment. Aknowledgement SALVEREMO project is a research project co-funded by Regione Piemonte according to the call for proposal POR F.E.S.R. 2007/2013, "Linea di attività I.1.3-Innovazione e PMI - Polo della Meccatronica e dei Sistemi Avanzati di Produzione". The authors want to thank "Il Soccorso Alpino Italiano" for the invaluable support for establishing operative requirements.

  18. Effect of motor relearning program poststem cell therapy in chronic stroke

    Directory of Open Access Journals (Sweden)

    Jorida Fernandes

    2017-01-01

    Full Text Available A 59-year-old male, with chronic hemiplegia, received the first dose of stem cell therapy 1 year back. Physiotherapy was started immediately. The patient was evaluated using Fugl-Meyer assessment scale and functional independence measure before and after physiotherapy. After 6 months of physiotherapy intervention using motor relearning program, improvements were observed in the motor outcome with significant changes in the upper extremity, especially the hand component.

  19. A Standardized, Evidence-Based Massage Therapy Program for Decentralized Elite Paracyclists: Creating the Model.

    Science.gov (United States)

    Kennedy, Ann B; Trilk, Jennifer L

    2015-09-01

    Evidence suggests that para-athletes are injured more often than able-bodied athletes. The benefits of massage therapy for these disabled athletes are yet to be explored. This paper documents the process followed for creating a massage program for elite paracycling athletes with the goal to assess effects on recovery, rest, performance, and quality of life both on and off the bike. Massage therapists' private practices throughout the United States. A United States Paracycling team consisting of 9 elite athletes: 2 spinal cord injury, 2 lower limb amputation, 1 upper limb amputation, 1 transverse myelitis, 1 stroke, 1 traumatic brain injury, and 1 visually impaired. The process used to develop a massage therapy program for para-cyclists included meetings with athletes, coaching staff, team exercise physiologist, and sports massage therapists; peer-reviewed literature was also consulted to address specific health conditions of para-athletes. Team leadership and athletes identified needs for quicker recovery, better rest, and improved performance in elite paracyclists. This information was used to generate a conceptual model for massage protocols, and led to creation of the intake and exit questionnaires to assess patient health status and recovery. Forms also were created for a general health intake, therapist information, and a therapist's SOAAP notes. The conceptual model and questionnaires developed herein will help to operationalize an exploratory study investigating the feasibility of implementing a standardized massage therapy program for a decentralized elite paracycling team.

  20. Stanley Cavell, Classical Hollywood and the Constitution of the Ordinary (With Notes on Billy Wilder

    Directory of Open Access Journals (Sweden)

    Tatjana Jukić

    2016-04-01

    Full Text Available When in his Tanner lectures Stanley Cavell sets out to define Ordinary Language Philosophy or – rather – to explain how it demarcates philosophy as such, he takes up psychoanalytic literary criticism in order to articulate the terms of this task. Yet the constitution of the ordinary, in Cavell, is never quite accessed from within psychoanalysis-cum-literature alone; instead, it takes another relation, that of psychoanalysis and literature to classical Hollywood, for Cavell to address the ordinary in terms of its constitution. I propose to discuss this complex using two films by Billy Wilder as a passageway to Cavell’s analytic procedure.

  1. Occupational Therapy Home Program for Children with Intellectual Disabilities: A Randomized, Controlled Trial

    Science.gov (United States)

    Wuang, Yee-Pay; Ho, Guang-Sheng; Su, Chwen-Yng

    2013-01-01

    This study aimed to investigate the effectiveness of a proposed occupational therapy home program (OTHP) for children with intellectual disabilities (ID). Children with ID were randomly and equally assigned to OTHP or to no OTHP groups. The primary outcome measures were Canadian Occupational Performance, Bruininks-Oseretsky Test of Motor…

  2. The Effects of Forest Therapy on Coping with Chronic Widespread Pain: Physiological and Psychological Differences between Participants in a Forest Therapy Program and a Control Group.

    Science.gov (United States)

    Han, Jin-Woo; Choi, Han; Jeon, Yo-Han; Yoon, Chong-Hyeon; Woo, Jong-Min; Kim, Won

    2016-02-24

    This study aimed to investigate the effects of a two-day forest therapy program on individuals with chronic widespread pain. Sixty one employees of a public organization providing building and facilities management services within the Seoul Metropolitan area participated in the study. Participants were assigned to an experimental group (n = 33) who participated in a forest therapy program or a control group (n = 28) on a non-random basis. Pre- and post-measures of heart rate variability (HRV), Natural Killer cell (NK cell) activity, self-reported pain using the visual analog scale (VAS), depression level using the Beck Depression Inventory (BDI), and health-related quality of life measures using the EuroQol Visual Analog Scale (EQ-VAS) were collected in both groups. The results showed that participants in the forest therapy group, as compared to the control group, showed physiological improvement as indicated by a significant increase in some measures of HRV and an increase in immune competence as indicated by NK cell activity. Participants in the forest therapy group also reported significant decreases in pain and depression, and a significant improvement in health-related quality of life. These results support the hypothesis that forest therapy is an effective intervention to relieve pain and associated psychological and physiological symptoms in individuals with chronic widespread pain.

  3. Differences Between the Family-Centered "COPCA" Program and Traditional Infant Physical Therapy Based on Neurodevelopmental Treatment Principles

    NARCIS (Netherlands)

    Dirks, Tineke; Blauw-Hospers, Cornill H.; Hulshof, Lily J.; Hadders-Algra, Mijna

    Background. Evidence for effectiveness of pediatric physical therapy in infants at high risk for developmental motor disorders is limited. Therefore, "Coping With and Caring for Infants With Special Needs" (COPCA), a family-centered, early intervention program, was developed. The COPCA program is

  4. A Pharmaceutical Care Program to Improve Adherence to Statin Therapy : A Randomized Controlled Trial

    NARCIS (Netherlands)

    Eussen, Simone R. B. M.; van der Elst, Menno E.; Klungel, Olaf H.; Rompelberg, Cathy J. M.; Garssen, Johan; Oosterveld, Marco H.; de Boer, Anthonius; de Gier, Johan J.; Bouvy, Marcel L.

    2010-01-01

    BACKGROUND: Despite the well-known beneficial effects of statins, many patients do not adhere to chronic medication regimens. OBJECTIVE: To implement and assess the effectiveness of a community pharmacy based pharmaceutical care program developed to improve patients' adherence to statin therapy.

  5. Gender and Diversity Topics Taught in Commission on Accreditation for Marriage and Family Therapy Education Programs

    Science.gov (United States)

    Winston, Ebony Joy; Piercy, Fred P.

    2010-01-01

    This article explores how the topics of gender and diversity are being taught and defined in accredited marriage and family therapy programs through syllabi content analysis and interviews with selected faculty. We examined findings by program (master's and doctoral) and type of training (those that taught specific gender and culture courses and…

  6. Competencies for 2020: Revalidation of the Curricular Competencies of the Emory University Doctor of Physical Therapy Program

    Science.gov (United States)

    Bridges, Patricia H.; Carter, Vincent M.; Phillips, Tami; Chong, Hyun; Conwell, Ryan; Hensley, Brittany; Kimbrell, Alyson; Sigle, Mallory

    2013-01-01

    Background: Transformation in the healthcare environment prompted Emory University's Doctor of Physical Therapy Program (DPT) to revalidate its competency-based education program. The goal was to revalidate the essentialness of its curricular competencies: Provision of Patient Care, Interpersonal Relationships, Teaching and Learning, Research,…

  7. Appraisal of and response to social conditions in the great gulf wilderness: relationships among perceived crowding, rationalization, product shift, satisfaction, and future behavioral intentions

    Science.gov (United States)

    Rudy M. Schuster; David Cole; Troy Hall; Jennifer Baker; Rebecca Oreskes

    2007-01-01

    Purposes were to describe on-site social carrying capacity from the users' perspectives, provide management applications, and refi ne constructs of product shift and rationalization used by visitors as coping responses to crowding. Data were gathered using on-site exit surveys of hikers in the Great Gulf Wilderness and analyzed with descriptive statistics,...

  8. Maternal Melatonin Therapy Rescues Prenatal Dexamethasone and Postnatal High-Fat Diet Induced Programmed Hypertension in Male Rat Offspring

    Directory of Open Access Journals (Sweden)

    You-Lin eTain

    2015-12-01

    Full Text Available Prenatal dexamethasone (DEX exposure and high-fat (HF intake are linked to hypertension. We examined whether maternal melatonin therapy prevents programmed hypertension synergistically induced by prenatal DEX plus postnatal HF in adult offspring. We also examined whether DEX and melatonin causes renal programming using next-generation RNA sequencing (NGS technology. Pregnant Sprague-Dawley rats received intraperitoneal dexamethasone (0.1 mg/kg or vehicle from gestational day 16 to 22. In the melatonin-treatment groups (M, rats received 0.01% melatonin in drinking water during their entire pregnancy and lactation. Male offspring were assigned to five groups: control, DEX, HF, DEX+HF, and DEX+HF+M. Male offspring in the HF group were fed a HF diet from weaning to 4 months of age. Prenatal DEX and postnatal HF diet synergistically induced programmed hypertension in adult offspring, which melatonin prevented. Maternal melatonin treatment modified over 3000 renal transcripts in the developing offspring kidney. Our NGS data indicate that PPAR signaling and fatty acid metabolism are two significantly regulated pathways. In addition, maternal melatonin therapy elicits longstanding alterations on renal programming, including regulation of the melatonin signaling pathway and upregulation of Agtr1b and Mas1 expression in the renin-angiotensin system (RAS, to protect male offspring against programmed hypertension. Postnatal HF aggravates prenatal DEX induced programmed hypertension in adult offspring, which melatonin prevented. The protective effects of melatonin on programmed hypertension is associated with regulation of the RAS and melatonin receptors. The long-term effects of maternal melatonin therapy on renal transcriptome require further clarification.

  9. Music in the mountains: creating sustainable therapy programs from short-term missions

    Directory of Open Access Journals (Sweden)

    Rachel Foxell

    2015-01-01

    Full Text Available This field report describes the experiences of a Registered Music Therapist (RMT living, working, and musicking1 during a short-term health mission to Northern India. Using a sustainability approach, collaboration with several local and global health organisations resulted in the development of a therapeutic music program for children with disabilities. Disability is a complex phenomenon, and in rural areas of India, disability is viewed as a foundation for shame and exclusion. The Community-based project, Samvedna, oversees the therapy, healthcare, and education of over 100 children with a disability in remote villages and is heavily involved in disability advocacy in the area. Sustainable programs are more effective for individuals and communities in both the short and long term. RMTs and other health professionals can be instrumental in setting up sustainable programs, such as teaching specific skills and knowledge to local teams, provided there is thorough preparation and ongoing collaboration to determine the priorities and expectations of the program.

  10. Cost-effectiveness of a graded exercise therapy program for patients with chronic shoulder complaints.

    NARCIS (Netherlands)

    Geraets, J.J.; Goossens, M.E.J.B.; Bruijn, C.P. de; Groot, I.J.M. de; Koke, A.J.; Pelt, R.A.; Heijden, G. van der; Dinant, G.J.; Heuvel, W.J.A. van den

    2006-01-01

    OBJECTIVES: The present study evaluated the cost-effectiveness of a behavioral graded exercise therapy (GET) program compared with usual care (UC) in terms of the performance of daily activities by patients with chronic shoulder complaints in primary care. METHODS: A total of 176 patients were

  11. The Effects of Forest Therapy on Coping with Chronic Widespread Pain: Physiological and Psychological Differences between Participants in a Forest Therapy Program and a Control Group

    Directory of Open Access Journals (Sweden)

    Jin-Woo Han

    2016-02-01

    Full Text Available This study aimed to investigate the effects of a two-day forest therapy program on individuals with chronic widespread pain. Sixty one employees of a public organization providing building and facilities management services within the Seoul Metropolitan area participated in the study. Participants were assigned to an experimental group (n = 33 who participated in a forest therapy program or a control group (n = 28 on a non-random basis. Pre- and post-measures of heart rate variability (HRV, Natural Killer cell (NK cell activity, self-reported pain using the visual analog scale (VAS, depression level using the Beck Depression Inventory (BDI, and health-related quality of life measures using the EuroQol Visual Analog Scale (EQ-VAS were collected in both groups. The results showed that participants in the forest therapy group, as compared to the control group, showed physiological improvement as indicated by a significant increase in some measures of HRV and an increase in immune competence as indicated by NK cell activity. Participants in the forest therapy group also reported significant decreases in pain and depression, and a significant improvement in health-related quality of life. These results support the hypothesis that forest therapy is an effective intervention to relieve pain and associated psychological and physiological symptoms in individuals with chronic widespread pain.

  12. The Development of a Mindfulness-Based Music Therapy (MBMT) Program for Women Receiving Adjuvant Chemotherapy for Breast Cancer

    Science.gov (United States)

    Lesiuk, Teresa

    2016-01-01

    Problems with attention and symptom distress are common clinical features reported by women who receive adjuvant chemotherapy for breast cancer. Mindfulness practice significantly improves attention and mindfulness programs significantly reduce symptom distress in patients with cancer, and, more specifically, in women with breast cancer. Recently, a pilot investigation of a music therapy program, built on core attitudes of mindfulness practice, reported significant benefits of enhanced attention and decreased negative mood and fatigue in women with breast cancer. This paper delineates the design and development of the mindfulness-based music therapy (MBMT) program implemented in that pilot study and includes clients’ narrative journal responses. Conclusions and recommendations, including recommendation for further exploration of the function of music in mindfulness practice are provided. PMID:27517966

  13. M-X Environmental Technical Report. Environmental Characteristics of Alternative Designated Deployment Areas, Wilderness and Significant Natural Areas.

    Science.gov (United States)

    1980-12-22

    eoMended USA 48,150 25 0 NV-060-288 135 None - -- - - 136 Monte Crieto - None - - - -- 137A Big Skey USFS Arc D0e 4-667 Rare II Wilderness 100,770 1O 0...Pershing 2,005 100 132 Jeraey goes- - - - 133 Siwerds Creek None i14 Smith Croek Po.------ 12 lselthymaxil, Sit*4? .r m SF y- 200 100 130 Hote Cristo ...Mudd) Rtiv.er Sp.ringsn 8S. 00( Curr% County, NM Hartley Count ), n3𔃻 Other Affected Subunitb or (court ivk 4 Snake 104 (C 5 Pine I.. CO0 6 W bte I

  14. The Role of Occupational Therapy in Community-Based Programming: Addressing Childhood Health Promotion

    Directory of Open Access Journals (Sweden)

    Julie Kugel

    2017-01-01

    Full Text Available Background: Obesity and poor health habits impact youth’s health and occupational participation. Occupational therapy’s role in preventing and treating obesity continues to emerge in the research literature. This article explores the impact of a community-based program emphasizing health and wellness for female youth. Methods: Five girls 11 to 13 years of age participated in the healthy occupations program. Before and after the program, the participants engaged in an individual semi-structured interview and completed the Canadian Occupational Performance Measure and the CATCH Kids Club Questionnaire. The youth participated in a focus group midprogram. Results: The participants were receptive to information regarding healthy behaviors and initiated positive health behavior changes after implementation of a 7-week healthy lifestyle community- based program. Conclusion: Occupational therapy can collaborate with community partners to provide programming focused on health promotion and prevention as part of the interprofessional approach to preventing and treating childhood obesity and building healthier communities.

  15. [Effects of an intensive therapy program for behaviorally disordered mentally handicapped patients on staff personnel in residential care].

    Science.gov (United States)

    Elbing, U; Rohmann, U H

    1994-03-01

    This study evaluates the effects of an intensive therapy program designed for mentally handicapped persons with severely disturbed or autistic behavior on their staff personal which had an active role in the program. The staff members rated their professional competence, quality of interaction with the client, team culture and work satisfaction before and after being engaged in the program, with additional ratings of their personal aims at the beginning of the program. Three sets of data were obtained with the program being conducted three times in a row. The testings of the related as well as the independent samples show differentiated program effects. The main effect is an increase of the professional competence and quality of interaction, especially by the qualified staff members. Trainees put emphasis on the development of their personal relationship with the client. The results are discussed in terms of the impact of learning processes specific to the roles of the staff members and motivational factors on learning and therapy outcome, along with institutional conditions influencing successful learning. Thus the program facilitates the professional and interpersonal learning process of staff members in a specific way with success as well as with limitations.

  16. Parents and Young Children with Disabilities: The Effects of a Home-Based Music Therapy Program on Parent-Child Interactions.

    Science.gov (United States)

    Yang, Yen-Hsuan

    2016-01-01

    Responsive parenting style and synchronous parent-child interactions have a positive impact on children in terms of language, cognitive, and social-emotional development. Despite widely documented benefits of music therapy on parent-child interactions, empirical evidence for the effects of music therapy on parent-child synchrony is lacking. To examine effects of parent-child dyads' participation in a six-week home-based music therapy program on parent response, child initiation, and parent-child synchrony, as well as parents' daily use of musical activities with their child. Twenty-six parent-child dyads participated in this pretest-posttest within-subject single-group design study. Participating dyads included parents and their child with disabilities or developmental delays (ages 1-3 years inclusive). Parent-child dyads participated in a home-based music therapy program that included six weekly 40-minute sessions, and incorporated five responsive teaching strategies (i.e., affect, match, reciprocity, shared control, and contingency). Observational data were recorded for parent-child interactions and parent-child synchrony. Parents' positive physical and verbal responses, as well as children's positive verbal initiations, increased significantly pre- to post-intervention; however, children's positive physical initiations did not increase significantly. Parent-child synchrony also improved significantly pre- to post-intervention. Findings support the use of home-based music therapy programs to facilitate parent-child interactions in the areas of parental responsiveness and child-initiated communication, as well as parent-child synchrony. © the American Music Therapy Association 2015. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

  17. Policies and programs to facilitate access to targeted cancer therapies in Thailand.

    Directory of Open Access Journals (Sweden)

    Rosarin Sruamsiri

    Full Text Available Increasing access to clinically beneficial targeted cancer medicines is a challenge in every country due to their high cost. We describe the interplay of innovative policies and programs involving multiple stakeholders to facilitate access to these medicines in Thailand, as well as the utilization of selected targeted therapies over time.We selected two medicines on the 2013 Thai national list of essential medicines (NLEM [letrozole and imatinib] and three unlisted medicines for the same indications [trastuzumab, nilotinib and dasatinib]. We created timelines of access policies and programs for these products based on scientific and grey literature. Using IMS Health sales data, we described the trajectories of sales volumes of the study medicines between January 2001 and December 2012. We compared estimated average numbers of patients treated before and after the implementation of policies and programs for each product.Different stakeholders implemented multiple interventions to increase access to the study medicines for different patient populations. During 2007-2009, the Thai Government created a special NLEM category with different coverage requirements for payers and issued compulsory licenses; payers negotiated prices with manufacturers and engaged in pooled procurement; pharmaceutical companies expanded patient assistance programs and lowered prices in different ways. Compared to before the interventions, estimated numbers of patients treated with each medicine increased significantly afterwards: for letrozole from 645 (95% CI 366-923 to 3683 (95% CI 2,748-4,618; for imatinib from 103 (95% CI 72-174 to 350 (95% CI 307-398; and for trastuzumab from 68 (95% CI 45-118 to 412 (95% CI 344-563.Government, payers, and manufacturers implemented multi-pronged approaches to facilitate access to targeted cancer therapies for the Thai population, which differed by medicine. Routine monitoring is needed to assess clinical and economic impacts of these

  18. Standardized programming to reduce the burden of inappropriate therapies in implantable cardioverter defibrillators - Single centre follow up results

    Directory of Open Access Journals (Sweden)

    U. Boles

    2018-03-01

    Full Text Available Background: Current algorithms and device morphology templates have been proposed in current Implantable Cardioverter-Defibrillators (ICDs to minimize inappropriate therapies (ITS, but this has not been completely successful. Aim: Assess the impact of a deliberate strategy of using an atrial lead implant with standardized parameters; based on all current ICD discriminators and technologies, on the burden of ITS. Method: A retrospective single-centre analysis of 250 patients with either dual chamber (DR ICDs or biventricular ICDs (CRTDs over a (41.9 ± 27.3 month period was performed. The incidence of ITS on all ICD and CRTD patients was chronicled after the implementation of standardized programming. Results: 39 events of anti-tachycardial pacing (ATP and/or shocks were identified in 20 patients (8% incidence rate among patients. The total number of individual therapies was 120, of which 34% were inappropriate ATP, and 36% were inappropriate shocks. 11 patients of the 250 patients received ITS (4.4%. Of the 20 patients, four had ICDs for primary prevention and 16 for a secondary prevention. All the episodes in the primary indication group were inappropriate, while seven patients (43% of the secondary indication group experienced inappropriate therapies. Conclusions: The burden of ITS in the population of patients receiving ICDs was 4.4% in the presence of atrial leads. The proposed rationalized programming criteria seems an effective strategy to minimize the burden of inappropriate therapies and will require further validation. Keywords: Implantable cardioverter-defibrillator (ICDs, Inappropriate therapies, Standardized programming

  19. Prevalence of Physical Disability and Accommodation Needs among Students in Physical Therapy Education Programs

    Science.gov (United States)

    Hinman, Martha R.; Peterson, Cathryn A.; Gibbs, Karen A.

    2015-01-01

    Most research on graduate students with disabilities (SWDs) has focused on medical education. The purposes of this study were to: (1) estimate the prevalence of students with physical disabilities (SWPDs) in physical therapy programs, (2) identify common types of physical disabilities, (3) document the types of accommodations requested by SWPDs,…

  20. Mine and prospect map of the Vermilion Cliffs-Paria Canyon Instant Study Area and adjacent wilderness areas, Coconino County, Arizona, and Kane County, Utah

    Science.gov (United States)

    Lane, Michael

    1983-01-01

    Vermilion Cliffs-Paria Canyon Instant Study Area and adjacent wilderness areas are mostly in Coconino County Ariz., but extend into Kane County, Utah. The area studied in this report encompasses about 560 mi2 (1,450 km2). The study area includes the established Paria Canyon Primitive and Vermilion Cliffs Natural Areas between U.S. Highways 89 and 89A.

  1. ["StigMa" - Evaluation of a Psychological Therapy Program for Stigma-Management].

    Science.gov (United States)

    Schenner, Manuela; Kohlbauer, Daniela; Meise, Ullrich; Haller, Christina; Pixner-Huber, Martina; Stürz, Kristina; Günther, Verena

    2018-01-01

    The project "Stigma Management - StigMa" aims on the evaluation of an adaptive therapy program for patients with psychiatric illness to help them in managing internalized stigma and self-stigmatization. The patients for this pilot-study were recruited in day-hospitals of pro mente tirol . 26 patients participated in 11 group sessions, following 6 modules: "Education", "Activation of Resources", "Social Network", "Self-Esteem", "Social competence in public places" and "My personal stigma management". The control group consisted of 20 patients who did not participate in StigMa. Pre-post-evaluation was done by the Internalized Stigma of Mental Illness-Scale 1. No significant interaction effects could be observed, although in the treatment group, the burden of perceived discrimination was significantly less pronounced after training than before it. The program, however, was evaluated as being extremely positive by the participants. The program StigMa will be adapted in accordance with the suggestions of the participants and reevaluated taking into consideration methodological optimization. © Georg Thieme Verlag KG Stuttgart · New York.

  2. High-dose-rate intraoperative radiation therapy: the nuts and bolts of starting a program

    Science.gov (United States)

    Moningi, Shalini; Armour, Elwood P.; Terezakis, Stephanie A.; Efron, Jonathan E.; Gearhart, Susan L.; Bivalacqua, Trinity J.; Kumar, Rachit; Le, Yi; Kien Ng, Sook; Wolfgang, Christopher L.; Zellars, Richard C.; Ellsworth, Susannah G.; Ahuja, Nita

    2014-01-01

    High-dose-rate intraoperative radiation therapy (HDR-IORT) has historically provided effective local control (LC) for patients with unresectable and recurrent tumors. However, IORT is limited to only a few specialized institutions and it can be difficult to initiate an HDR-IORT program. Herein, we provide a brief overview on how to initiate and implement an HDR-IORT program for a selected group of patients with gastrointestinal and pelvic solid tumors using a multidisciplinary approach. Proper administration of HDR-IORT requires institutional support and a joint effort among physics staff, oncologists, surgeons, anesthesiologists, and nurses. In order to determine the true efficacy of IORT for various malignancies, collaboration among institutions with established IORT programs is needed. PMID:24790628

  3. Driblando a censura: o macarthismo e a figuração do trabalho em Sunset Boulevard, de Billy Wilder

    OpenAIRE

    Sheila Maria Ribeiro Saad

    2014-01-01

    Sunset Boulevard (Crepúsculo dos Deuses, EUA) foi coescrito e dirigido pelo cineasta Billy Wilder (1906-2002), entrando em cartaz em 1950 período marcado pela ascensão do macarthismo nos Estados Unidos. Para burlar a censura imposta pelo Red Scare, o filme apresenta diversas possibilidades de interpretação, as quais serão perseguidas ao longo da análise. Dentre elas, observa-se o melodrama aos moldes hollywoodianos; um panorama da transição do cinema mudo ao sonoro (e suas implicações); um m...

  4. Feasibility of a pedometer-based walking program for survivors of breast and head and neck cancer undergoing radiation therapy.

    Science.gov (United States)

    Javaheri, Pantea Amin; Nekolaichuk, Cheryl; Haennel, Robert; Parliament, Matthew B; McNeely, Margaret L

    2015-01-01

    This pilot study assessed the feasibility and acceptability of a pedometer-based walking program for people with breast cancer and head and neck cancer (HNC) undergoing radiation therapy treatment. Participants were given a pedometer and prescribed a home-based walking program that included an individualized weekly step-count goal during the 3- to 5-week course of radiation therapy. Feasibility was determined by calculating recruitment rate, completion rate, and rate of adherence. Secondary outcomes included 6-minute walk test (6MWT) distance, step count, physical activity level, and psychological outcomes of depression, happiness, self-esteem, and sleep quality. A total of 21 participants were recruited. All participants completed the study; adherence to prescribed step counts was 91% at follow-up. Analysis found a significant improvement in happiness, as measured by the Oxford Happiness Questionnaire (mean difference 0.3, p=0.003), and a borderline significant improvement in 6MWT distance (mean difference 35 m, p=0.008). This pilot study demonstrated the feasibility of a pedometer-based walking program for survivors of breast cancer and HNC undergoing radiation therapy.

  5. Evaluation of a brief treatment program of cognitive behavior therapy for insomnia in older adults.

    Science.gov (United States)

    Lovato, Nicole; Lack, Leon; Wright, Helen; Kennaway, David J

    2014-01-01

    To evaluate the efficacy of a brief 4-w group-administered treatment program of cognitive behavior therapy for insomnia (CBT-I) for older adults with sleep maintenance insomnia. Randomized controlled trial of CBT-I compared to waitlist control with comparisons at pretreatment, posttreatment, and 3-mo follow-up. Flinders University Sleep and Circadian Rhythm Research Laboratory, Adelaide, South Australia. One-hundred eighteen adults with sleep maintenance insomnia (mean age = 63.76 y, standard deviation = 6.45 y, male = 55). A 4-w, group-based treatment program of CBT-I including bedtime restriction therapy, sleep education, and cognitive restructuring. Seven-day sleep diaries, actigraphy, and several self-report measures to assess perceived insomnia severity, daytime functioning, and confidence in and beliefs about sleep. The brief group-administered CBT-I program produced improvements in the timing and quality of sleep including later bedtimes, earlier out-of-bed times, reduced wake after sleep onset, and improved sleep efficiency. Participants also reported a reduction of the Insomnia Severity Index, Flinders Fatigue Scale, Epworth Sleepiness Scale, Daytime Feeling and Functioning Scale, Sleep Anticipatory Anxiety Questionnaire, the Dysfunctional Beliefs and Attitudes Scale, and increased Sleep Self-Efficacy Scale. The treatment program used in the current study has demonstrated potential for a brief, inexpensive, and effective treatment of sleep maintenance insomnia in the older adult population.

  6. 42 CFR 423.153 - Drug utilization management, quality assurance, and medication therapy management programs (MTMPs).

    Science.gov (United States)

    2010-10-01

    ... PRESCRIPTION DRUG BENEFIT Cost Control and Quality Improvement Requirements § 423.153 Drug utilization... 42 Public Health 3 2010-10-01 2010-10-01 false Drug utilization management, quality assurance, and medication therapy management programs (MTMPs). 423.153 Section 423.153 Public Health CENTERS FOR MEDICARE...

  7. Feasibility of a Prototype Web-Based Acceptance and Commitment Therapy Prevention Program for College Students

    Science.gov (United States)

    Levin, Michael E.; Pistorello, Jacqueline; Seeley, John R.; Hayes, Steven C.

    2014-01-01

    Objective: This study examined the feasibility of a prototype Web-based acceptance and commitment therapy (ACT) program for preventing mental health problems among college students. Participants: Undergraduate first-year students ("N" = 76) participated between May and November 2011. Methods: Participants were randomized to ACT or a…

  8. Teaching wilderness first aid in a remote First Nations community: the story of the Sachigo Lake Wilderness Emergency Response Education Initiative.

    Science.gov (United States)

    Born, Karen; Orkin, Aaron; VanderBurgh, David; Beardy, Jackson

    2012-01-01

    To understand how community members of a remote First Nations community respond to an emergency first aid education programme. A qualitative study involving focus groups and participant observation as part of a community-based participatory research project, which involved the development and implementation of a wilderness first aid course in collaboration with the community. Twenty community members participated in the course and agreed to be part of the research focus groups. Three community research partners validated and reviewed the data collected from this process. These data were coded and analysed using open coding. Community members responded to the course in ways related to their past experiences with injury and first aid, both as individuals and as members of the community. Feelings of confidence and self-efficacy related access to care and treatment of injury surfaced during the course. Findings also highlighted how the context of the remote First Nations community influenced the delivery and development of course materials. Developing and delivering a first aid course in a remote community requires sensitivity towards the response of participants to the course, as well as the context in which it is being delivered. Employing collaborative approaches to teaching first aid can aim to address these unique needs. Though delivery of a first response training programme in a small remote community will probably not impact the morbidity and mortality associated with injury, it has the potential to impact community self-efficacy and confidence when responding to an emergency situation.

  9. Comprehensive pelvic floor physical therapy program for men with idiopathic chronic pelvic pain syndrome: a prospective study

    OpenAIRE

    Masterson, Thomas A.; Masterson, John M.; Azzinaro, Jessica; Manderson, Lattoya; Swain, Sanjaya; Ramasamy, Ranjith

    2017-01-01

    Background Male chronic pelvic pain syndrome (CPPS) is a heterogeneous constellation of symptoms that causes significant impairment and is often challenging to treat. In this prospective study, we evaluated men with CPPS who underwent comprehensive pelvic floor physical therapy (PFPT) program. We used the previously validated Genitourinary Pain Index (GUPI) to measure outcomes. Methods We included 14 men who underwent physical therapy for idiopathic CPPS from October 2015 to October 2016. Men...

  10. Mexican immigrant mothers' perceptions of their children's communication disabilities, emergent literacy development, and speech-language therapy program.

    Science.gov (United States)

    Kummerer, Sharon E; Lopez-Reyna, Norma A; Hughes, Marie Tejero

    2007-08-01

    This qualitative study explored mothers' perceptions of their children's communication disabilities, emergent literacy development, and speech-language therapy programs. Participants were 14 Mexican immigrant mothers and their children (age 17-47 months) who were receiving center-based services from an early childhood intervention program, located in a large urban city in the Midwestern United States. Mother interviews composed the primary source of data. A secondary source of data included children's therapy files and log notes. Following the analysis of interviews through the constant comparative method, grounded theory was generated. The majority of mothers perceived their children as exhibiting a communication delay. Causal attributions were diverse and generally medical in nature (i.e., ear infections, seizures) or due to familial factors (i.e., family history and heredity, lack of extended family). Overall, mothers seemed more focused on their children's speech intelligibility and/or expressive language in comparison to emergent literacy abilities. To promote culturally responsive intervention, mothers recommended that professionals speak Spanish, provide information about the therapy process, and use existing techniques with Mexican immigrant families.

  11. Protocol for a home-based integrated physical therapy program to reduce falls and improve mobility in people with Parkinson’s disease

    Directory of Open Access Journals (Sweden)

    Morris Meg E

    2012-07-01

    Full Text Available Abstract Background The high incidence of falls associated with Parkinson’s disease (PD increases the risk of injuries and immobility and compromises quality of life. Although falls education and strengthening programs have shown some benefit in healthy older people, the ability of physical therapy interventions in home settings to reduce falls and improve mobility in people with Parkinson’s has not been convincingly demonstrated. Methods/design 180 community living people with PD will be randomly allocated to receive either a home-based integrated rehabilitation program (progressive resistance strength training, movement strategy training and falls education or a home-based life skills program (control intervention. Both programs comprise one hour of treatment and one hour of structured homework per week over six weeks of home therapy. Blinded assessments occurring before therapy commences, the week after completion of therapy and 12 months following intervention will establish both the immediate and long-term benefits of home-based rehabilitation. The number of falls, number of repeat falls, falls rate and time to first fall will be the primary measures used to quantify outcome. The economic costs associated with injurious falls, and the costs of running the integrated rehabilitation program from a health system perspective will be established. The effects of intervention on motor and global disability and on quality of life will also be examined. Discussion This study will provide new evidence on the outcomes and cost effectiveness of home-based movement rehabilitation programs for people living with PD. Trial registration The trial is registered on the Australian and New Zealand Clinical Trials Registry (ACTRN12608000390381.

  12. Immunological indices of blood and interstitial fluid in estimation of a program of therapy of upper limb secondary edemas

    International Nuclear Information System (INIS)

    Kuz'mina, E.G.; Degtyareva, A.A.; Doroshenko, L.N.; Rogova, N.M.; Zorina, L.N.

    1990-01-01

    The efficacy of therapy of upper limb secondary edemas after 4 programs was compared among 83 patients. The methods were as follows: traditional method (TM) including routine conservative therapy, acupuncture (AP), He-Ne laser OKG-13 and semiconductor laser against a background of traditional therapy. A study was made of the time course of the extent of edema, total protein, IG, G, A and M and circulating immune complexes (CIC) during therapy of such patients. Blood serum and interstitial fluid indices were compared. It was shown that the application of both lasers led to increasing efficacy of TM and AP

  13. Paws for a Study Break: Running an Animal-Assisted Therapy Program at the Gerstein Science Information Centre

    Directory of Open Access Journals (Sweden)

    Allison Bell

    2013-06-01

    Full Text Available The Gerstein Science Information Centre is the Science and Health Sciences library serving the University of Toronto community. As the second largest library on campus, Gerstein is a mecca for studying and can accommodate 1100 students. Research has shown that high levels of stress, anxiety, depression, and other mental health disorders are prevalent among both medical students and the student population as a whole. In recent years, Gerstein staff members have seen evidence of the rising levels of student stress in their dealings with the public while providing reference and research help. Animal-assisted therapy (AAT is often used in hospital and rehabilitation settings and, most recently, to help young children learn to read by providing a stress-free learning environment in public libraries and schools. Studies on animal-assisted therapy have shown that AAT decreases blood pressure, cortisol, and reduces anxiety overall. In response to these findings, staff at Gerstein decided to implement an AAT program, “Paws for a Study Break,” comprised of several sessions when a therapy dog and her handler would visit the library to hold ‘office hours’ and give students a break from their studying during the Winter 2012 exam period. Through a total of six visits of ninety minutes each, 417 visitors were received. Best practices and lessons learned are discussed, including steps involved in coordination of the event, working with volunteers, publicity avenues, dealing with media requests, costs involved, and evaluation techniques. Based on the completed evaluation forms, the response to the therapy dog program at Gerstein was overwhelmingly positive; students were very appreciative, and there are plans underway to repeat this program on an ongoing basis.

  14. Designing and implementing a physiology course for a new doctoral occupational therapy program with student feedback.

    Science.gov (United States)

    Goodman, Barbara E; Ikiugu, Moses N

    2017-09-01

    Recently, the Occupational Therapy Department requested a custom-designed medical physiology course for the students in the new occupational therapy doctoral program. The first author, a physiologist with extensive experience in teaching both undergraduate preprofessional and medical students in human physiology, was recruited to design and implement the course. The course was designed to be consistent with the constructivist philosophy that guides the occupational therapy curriculum. The course was offered for the first time during fall/spring 2015/2016 and included both first- and second-year occupational therapy doctoral students. A number of anonymous assessment tools were used to evaluate students' perceptions regarding the effectiveness of various pedagogies used in the course in enhancing their learning. A summative course assessment survey with comments was used at the end of the course. This paper describes the model of course design and the student feedback, which generated some suggestions for improvement of the course. This approach in designing a new course for a new disciplinary group of students should be helpful to other faculty involved in developing courses for health career programs populated by students with variable physiology backgrounds and different educational needs. The final relevant feedback from the course would be to have the students evaluate the usefulness of the course to their future careers immediately following their certification examinations in a year or two and during their subsequent clinical experiences; however, that information will likely be more difficult to obtain. Copyright © 2017 the American Physiological Society.

  15. Results of ENHANCED Implantable Cardioverter Defibrillator Programming to Reduce Therapies and Improve Quality of Life (from the ENHANCED-ICD Study)

    DEFF Research Database (Denmark)

    Mastenbroek, Mirjam H.; Pedersen, Susanne S.; van der Tweel, Ingeborg

    2016-01-01

    -reported outcomes. The "ENHANCED Implantable Cardioverter Defibrillator programming to reduce therapies and improve quality of life" study (ENHANCED-ICD study) was a prospective, safety-monitoring study enrolling 60 primary and secondary prevention patients at the University Medical Center Utrecht. Patients...... programming strategy, unnecessary ICD therapy was prevented in 10% of ENHANCED-ICD patients during a median follow-up period of 1.3 years. With respect to patient-reported outcomes, levels of distress were highest and perceived health status lowest at the time of implantation, which both gradually improved...... during follow-up. In conclusion, the ENHANCED-ICD study demonstrates that programming a NID 60/80 for VT/VF detection is safe for ICD patients and does not negatively impact their quality of life....

  16. Comparison of manual therapy and exercise therapy in osteoarthritis of the hip: a randomized clinical trial.

    NARCIS (Netherlands)

    Hoeksma, H.L.; Dekker, J.; Ronday, H.K.; Heering, A.; Lubbe, N. van der; Vel, C.; Breedveld, F.C.; Ende, C.H.M. van den

    2004-01-01

    OBJECTIVE: To determine the effectiveness of a manual therapy program compared with an exercise therapy program in patients with osteoarthritis (OA) of the hip. METHODS: A single-blind, randomized clinical trial of 109 hip OA patients was carried out in the outpatient clinic for physical therapy of

  17. Response of lake chemistry to changes in atmospheric deposition and climate in three high-elevation wilderness areas of Colorado

    Science.gov (United States)

    Mast, M. Alisa; Turk, John T.; Clow, David W.; Campbell, Donald D.

    2011-01-01

    Trends in precipitation chemistry and hydrologic and climatic data were examined as drivers of long-term changes in the chemical composition of high-elevation lakes in three wilderness areas in Colorado during 1985-2008. Sulfate concentrations in precipitation decreased at a rate of -0.15 to -0.55 μeq/l/year at 10 high-elevation National Atmospheric Deposition Program stations in the state during 1987-2008 reflecting regional reductions in SO2 emissions. In lakes where sulfate is primarily derived from atmospheric inputs, sulfate concentrations also decreased although the rates generally were less, ranging from -0.12 to -0.27 μeq/l/year. The similarity in timing and sulfur isotopic data support the hypothesis that decreases in atmospheric deposition are driving the response of high-elevation lakes in some areas of the state. By contrast, in lakes where sulfate is derived primarily from watershed weathering sources, sulfate concentrations showed sharp increases during 1985-2008. Analysis of long-term climate records indicates that annual air temperatures have increased between 0.45 and 0.93°C per decade throughout most mountainous areas of Colorado, suggesting climate as a factor. Isotopic data reveal that sulfate in these lakes is largely derived from pyrite, which may indicate climate warming is preferentially affecting the rate of pyrite weathering.

  18. Cognitive Behavior Therapy Compare to Campaign Advertisement Programs in Reducing Aggressive Driving Behavior

    OpenAIRE

    Ina Saraswati; Dyah T Indirasari; Dewi Maulina; Guritnaningsih A Santoso

    2011-01-01

    This study was conducted to examine the effectiveness of three intervention programs, i.e. CBT (Cognitive Behavior Therapy), humor appeal advertisements (positive ads), and fear appeal advertisements (negative ads) in reducing aggressive driving behavior. 196 young adults age between 18–35 years old, who are considered to be at risk in performing aggressive driving behavior had completed four self report inventories. The four inventories measures perception on traffic conditions, degree of fr...

  19. Managing brown bears and wilderness recreation on the Kenai Peninsula, Alaska, USA

    Science.gov (United States)

    Jacobs, Michael J.; Schloeder, Catherine A.

    1992-03-01

    The Russian River-Cooper Lake-Resurrection River trail system, on the Kenai Peninsula, Alaska, traverses essential brown bear habitat. To set management guidelines for this area, the trail system was monitored using questionnaire cards and electronic trail counters from 1984 through 1987. This helped to determine the extent and type of human use and human-bear encounters in the area. Management recommendations were intended to reduce the potential displacement of brown bears by hikers and to inform wilderness users of the proper camping techniques to avoid attracting bears to the campsite. An average of 5800 visitors hiked or camped along the trail system each year. Encounters between hikers and brown bears averaged 7/yr while encounters with black bears averaged 35/yr. Minor problems occurred with both the electronic trail counters and the questionnaire. Modilications to these methods are discussed. A Limits of Acceptable Change format should be considered for the trail system to determine the character and future direction of recreational activities and monitoring of the trail system should continue in the future.

  20. The Development of a Postgraduate Orthopaedic Manual Therapy Residency Program in Nairobi, Kenya.

    Science.gov (United States)

    Cunningham, Shala; Jackson, Richard; Muli, Daniel Kangutu; McFelea, Joni

    2017-01-01

    There are very few opportunities for long-term, comprehensive postgraduate education in developing countries because of fiscal and human resource constraints. Therefore, physiotherapists have little opportunity following graduation to advance their skills through the improvement of clinical reasoning and treatment planning and application. To address the need for sustainable advanced instruction in physiotherapy within the country, a postgraduate Residency program was initiated in Nairobi, Kenya in 2012. The mission of the program is to graduate advanced orthopedic practitioners who can lead their communities and local profession in the advancement of clinical care and education. Since its inception, six cohorts have been initiated for a total of 90 resident participants. In addition, six program graduates are being trained to continue the Residency program and are serving as teaching assistants for the on campus modules. This training will result in a self-sustaining program by 2020. The manual therapy Residency education model allowed for advancement of the participating physiotherapists professional development utilizing evidence-based practice. This was done without altering the current education system within the country, or accessing expensive equipment. The Residency program was developed and established with the cooperation of a local education institution and a non-profit corporation in the United States. This collaboration has facilitated the advancement of orthopedic clinical standards in the country and will, hopefully, one day serve an as a template for future programs.

  1. Effect of Adding Interferential Current in an Exercise and Manual Therapy Program for Patients With Unilateral Shoulder Impingement Syndrome: A Randomized Clinical Trial.

    Science.gov (United States)

    Gomes, Cid André Fidelis de Paula; Dibai-Filho, Almir Vieira; Moreira, William Arruda; Rivas, Shirley Quispe; Silva, Emanuela Dos Santos; Garrido, Ana Claudia Bogik

    The purpose of this study was to measure the additional effect of adding interferential current (IFC) to an exercise and manual therapy program for patients with unilateral shoulder impingement syndrome. Forty-five participants were randomly assigned to group 1 (exercise and manual therapy), group 2 (exercise and manual therapy + IFC), or group 3 (exercise and manual therapy + placebo ultrasound). Individuals participated in 16 treatment sessions, twice a week for 8 weeks. The primary outcome of the study was total score of the Shoulder Pain and Disability Index (SPADI). The secondary outcomes were the pain and disability subscales of SPADI, Numeric Rating Scale, and Pain-Related Self-Statement Scale. Adjusted between-group mean differences (MDs) and 95% confidence intervals (CIs) were calculated using linear mixed models. After 16 treatment sessions, statistically significant but not clinically important differences were identified in favor of the exercise and manual therapy program alone in the SPADI-total (group 1 vs group 2, MD 11.12 points, 95% CI 5.90-16.35; group 1 vs group 3, MD 13.43 points, 95% CI 8.21-18.65). Similar results were identified for secondary outcomes. The addition of IFC does not generate greater clinical effects in an exercise and manual therapy program for individuals with unilateral shoulder impingement syndrome. Copyright © 2018. Published by Elsevier Inc.

  2. The Stoplight Program: A Proactive Physical Therapy Intervention for Children With Acute Lymphoblastic Leukemia.

    Science.gov (United States)

    Tanner, Lynn; Sencer, Susan; Hooke, Mary C

    Chemotherapy may cause neuromuscular impairments that can have life-long effects. The Stoplight Program (SLP) was developed as a proactive physical therapy (PT) intervention directed at impairments in children with acute lymphoblastic leukemia (ALL). In this program evaluation, we assessed the feasibility of the SLP delivered as part of standard care and identified body function and activity patterns in patients who received the intervention. Children ages 1 to 22 years, diagnosed with ALL, received an assessment by a physical therapist as part of usual care. The SLP intervention used 3 levels to categorize the impairment levels and intensity of PT. Of the children (n = 135) screened, 46% completed 5 intervention visits and 32% completed the program and met discharge criteria. At initial assessment, 46% of children ages 1 to 5 years and 67% of children ages 6 to 22 years had abnormal motor function. Those completing the program tested within the healthy norms. Research is needed on variables that influence adherence to a PT program and the range of functional impairment and activity limitations in this population.

  3. [Development and Effects of a Cognitive-behavioral Therapy Based Program in Reducing Internalized Stigma in Patients with Schizophrenia].

    Science.gov (United States)

    Kim, Mi Young; Jun, Seong Sook

    2016-06-01

    This study was done to develop a internalized stigma reducing program based on cognitive-behavioral therapy and appropriate for patients with schizophrenia and to evaluate its effectiveness. The study design was a mixed method research. Qualitative study, 13 patients with schizophrenia who had experience in overcoming stigma were purposively chosen for interviews and data were analyzed using Giorgi method. Quantitative study, 64 patients with schizophrenia (experimental group=32, control group=32) were recruited. The cognitive-behavioral therapy-based program for reducing internalized stigma in patients with schizophrenia was provided for 8 weeks (12 sessions). Data were collected from June. 20, 2013 to Feb. 14, 2014. Quantitative data were analyzed using χ²-test, t-test, repeated measures ANOVA with the SPSS program. Qualitative results, from the experience of coping with stigma in patients with schizophrenia seventeen themes and five themes-clusters were drawn up. Quantitative results showed that internalized stigma, self-esteem, mental health recovery and quality of life were significantly better in the experimental group compared to the control group. Study findings indicate that this program for reducing internalized stigma in patients with schizophrenia is effective and can be recommended as a rehabilitation program intervention to help patients with schizophrenia to cope with internalized stigma.

  4. Effects of an experiential learning program on the clinical reasoning and critical thinking skills of occupational therapy students.

    Science.gov (United States)

    Coker, Patty

    2010-01-01

    This study examined the effects of participation in a 1-week, experiential, hands-on learning program on the critical thinking and clinical reasoning skills of occupational therapy students. A quasi-experimental, nonrandomized pre- and post-test design was used with a sample of 25 students. The students had completed three semesters of didactic lecture coursework in a master's level OT educational program prior to participation in a hands-on therapy program for children with hemiplegic cerebral palsy. Changes in critical thinking and clinical reasoning skills were evaluated using the following dependent measures: Self-Assessment of Clinical Reflection and Reasoning (SACRR) and the California Critical Thinking Skills Test (CCTST). Changes in pretest and posttest scores on the SACRR and the CCTST were statistically significant (p>0.05) following completion of the experiential learning program. This study supports the use of hands-on learning to develop clinical reasoning and critical thinking skills in healthcare students, who face ever more diverse patient populations upon entry-level practice. Further qualitative and quantitative investigations are needed to support the results of this study and determine which components of experiential learning programs are essential for developing clinical reasoning and critical thinking skills in future allied health professionals.

  5. A decade of building massage therapy services at an academic medical center as part of a healing enhancement program.

    Science.gov (United States)

    Rodgers, Nancy J; Cutshall, Susanne M; Dion, Liza J; Dreyer, Nikol E; Hauschulz, Jennifer L; Ristau, Crystal R; Thomley, Barb S; Bauer, Brent A

    2015-02-01

    The use of complementary and integrative medicine therapies is steadily becoming an integral part of health care. Massage therapy is increasingly offered to hospitalized patients for various conditions to assist with the management of common symptoms such as pain, anxiety, and tension. This article summarizes a decade of building the massage therapy service at a large tertiary care medical center, from the early pilot studies and research to the current program offerings, and the hopes and dreams for the future. Copyright © 2014 Elsevier Ltd. All rights reserved.

  6. [Evaluation of an intensive therapy program for treatment of severe behavioral disorders in mentally handicapped patients with autistic or psychotic behavior].

    Science.gov (United States)

    Elbing, U; Rohmann, U H

    1993-09-01

    The development of severely disturbed and socially accepted behavior in mentally handicapped persons with autistic or psychotic symptoms is documented before, during and after an intensive therapy program conducted in a residential institution for mentally handicapped persons. Seven single case studies were made as long term observation with a duration between 18 and 33 weeks, mostly with a multiple baseline design. One or two follow ups with at least four weeks length were conducted in six out of seven cases up to four years after the end of the intensive therapy. The main results show (1) the decrease of disturbed behavior and the increase of socially accepted behavior during the therapy program, and (2) the significant reduction of the disturbed behavior patterns taking place during the baseline phase before the beginning of the therapy in all cases but one. The results are discussed under the aspects of a possible explanation for the findings and their impact on the discussion about psychotherapy research.

  7. Telehealth, Wearable Sensors, and the Internet: Will They Improve Stroke Outcomes Through Increased Intensity of Therapy, Motivation, and Adherence to Rehabilitation Programs?

    Science.gov (United States)

    Burridge, Jane H; Lee, Alan Chong W; Turk, Ruth; Stokes, Maria; Whitall, Jill; Vaidyanathan, Ravi; Clatworthy, Phil; Hughes, Ann-Marie; Meagher, Claire; Franco, Enrico; Yardley, Lucy

    2017-07-01

    Stroke, predominantly a condition of older age, is a major cause of acquired disability in the global population and puts an increasing burden on health care resources. Clear evidence for the importance of intensity of therapy in optimizing functional outcomes is found in animal models, supported by neuroimaging and behavioral research, and strengthened by recent meta-analyses from multiple clinical trials. However, providing intensive therapy using conventional treatment paradigms is expensive and sometimes not feasible because of social and environmental factors. This article addresses the need for cost-effective increased intensity of practice and suggests potential benefits of telehealth (TH) as an innovative model of care in physical therapy. We provide an overview of TH and present evidence that a web-supported program, used in conjunction with constraint-induced therapy (CIT), can increase intensity and adherence to a rehabilitation regimen. The design and feasibility testing of this web-based program, "LifeCIT," is presented. We describe how wearable sensors can monitor activity and provide feedback to patients and therapists. The methodology for the development of a wearable device with embedded inertial and mechanomyographic sensors, algorithms to classify functional movement, and a graphical user interface to present meaningful data to patients to support a home exercise program is explained. We propose that wearable sensor technologies and TH programs have the potential to provide most-effective, intensive, home-based stroke rehabilitation.

  8. A proton beam delivery system for conformal therapy and intensity modulated therapy

    International Nuclear Information System (INIS)

    Yu Qingchang

    2001-01-01

    A scattering proton beam delivery system for conformal therapy and intensity modulated therapy is described. The beam is laterally spread out by a dual-ring double scattering system and collimated by a program-controlled multileaf collimator and patient specific fixed collimators. The proton range is adjusted and modulated by a program controlled binary filter and ridge filters

  9. The Development of a Mindfulness-Based Music Therapy (MBMT) Program for Women Receiving Adjuvant Chemotherapy for Breast Cancer

    OpenAIRE

    Lesiuk, Teresa

    2016-01-01

    Problems with attention and symptom distress are common clinical features reported by women who receive adjuvant chemotherapy for breast cancer. Mindfulness practice significantly improves attention and mindfulness programs significantly reduce symptom distress in patients with cancer, and, more specifically, in women with breast cancer. Recently, a pilot investigation of a music therapy program, built on core attitudes of mindfulness practice, reported significant benefits of enhanced attent...

  10. How do eHealth Programs for Adolescents With Depression Work? A Realist Review of Persuasive System Design Components in Internet-Based Psychological Therapies.

    Science.gov (United States)

    Wozney, Lori; Huguet, Anna; Bennett, Kathryn; Radomski, Ashley D; Hartling, Lisa; Dyson, Michele; McGrath, Patrick J; Newton, Amanda S

    2017-08-09

    Major depressive disorders are common among adolescents and can impact all aspects of their daily life. Traditional therapies, cognitive behavioral therapy (CBT), and interpersonal psychotherapy (IPT) have been delivered face-to-face. However, Internet-based (online) delivery of these therapies is emerging as an option for adolescents. Internet-based CBT and IPT involve therapeutic content, interaction between the user and the system, and different technological features embedded into the online program (eg, multimedia). Studies of Internet-based CBT and IPT for adolescent depression differ on all three aspects, and variable, positive therapy effects have been reported. A better understanding of the treatment conditions that influence therapy outcomes is important to designing and evaluating these novel therapies. Our aim was to examine the technological and program delivery features of Internet-based CBT and IPT for adolescent depression and to document their potential relation to treatment outcomes and program use. We performed a realist synthesis. We started with an extensive search of published and gray literature. We included intervention studies that evaluated Internet-based CBT or IPT for adolescent depression. We included mixed-methods and qualitative studies, theoretical papers, and policy/implementation documents if they included a focus on how Internet-based psychological therapy is proposed to work for adolescents with depression/depressive symptoms. We used the Mixed-Methods Appraisal Tool to assess the methodological quality of studies. We used the Persuasive System Design (PSD) model as a framework for data extraction and analysis to examine how Internet-based CBT and IPT, as technology-based systems, influence the attitudes and behaviors of system users. PSD components described for the therapies were linked to reported outcomes using a cross-case comparison method and thematic synthesis. We identified 19 Internet-based CBT programs in 59 documents

  11. The Impact of a Therapy Dog Program on Children's Reading: Follow-Up and Extension to ELL Students

    Science.gov (United States)

    Kirnan, Jean; Ventresco, Nina E.; Gardner, Thomas

    2018-01-01

    An initiative in which therapy dogs were integrated into a school-wide reading curriculum was analyzed to determine the effect on student reading in the program's second year. Prior research on the first year of this specific program (Kirnan et al. in "Early Child Educ J" 44(6):637-651) demonstrated improvement in reading scores only for…

  12. The Development of a Postgraduate Orthopaedic Manual Therapy Residency Program in Nairobi, Kenya

    Directory of Open Access Journals (Sweden)

    Shala Cunningham

    2017-06-01

    Full Text Available IntroductionThere are very few opportunities for long-term, comprehensive postgraduate education in developing countries because of fiscal and human resource constraints. Therefore, physiotherapists have little opportunity following graduation to advance their skills through the improvement of clinical reasoning and treatment planning and application.BackgroundTo address the need for sustainable advanced instruction in physiotherapy within the country, a postgraduate Residency program was initiated in Nairobi, Kenya in 2012. The mission of the program is to graduate advanced orthopedic practitioners who can lead their communities and local profession in the advancement of clinical care and education. Since its inception, six cohorts have been initiated for a total of 90 resident participants. In addition, six program graduates are being trained to continue the Residency program and are serving as teaching assistants for the on campus modules. This training will result in a self-sustaining program by 2020.DiscussionThe manual therapy Residency education model allowed for advancement of the participating physiotherapists professional development utilizing evidence-based practice. This was done without altering the current education system within the country, or accessing expensive equipment.Concluding remarksThe Residency program was developed and established with the cooperation of a local education institution and a non-profit corporation in the United States. This collaboration has facilitated the advancement of orthopedic clinical standards in the country and will, hopefully, one day serve an as a template for future programs.

  13. HIV Therapy Simulator: a graphical user interface for comparing the effectiveness of novel therapy regimens.

    Science.gov (United States)

    Lim, Huat Chye; Curlin, Marcel E; Mittler, John E

    2011-11-01

    Computer simulation models can be useful in exploring the efficacy of HIV therapy regimens in preventing the evolution of drug-resistant viruses. Current modeling programs, however, were designed by researchers with expertise in computational biology, limiting their accessibility to those who might lack such a background. We have developed a user-friendly graphical program, HIV Therapy Simulator (HIVSIM), that is accessible to non-technical users. The program allows clinicians and researchers to explore the effectiveness of various therapeutic strategies, such as structured treatment interruptions, booster therapies and induction-maintenance therapies. We anticipate that HIVSIM will be useful for evaluating novel drug-based treatment concepts in clinical research, and as an educational tool. HIV Therapy Simulator is freely available for Mac OS and Windows at http://sites.google.com/site/hivsimulator/. jmittler@uw.edu. Supplementary data are available at Bioinformatics online.

  14. Melatonin Therapy Prevents Programmed Hypertension and Nitric Oxide Deficiency in Offspring Exposed to Maternal Caloric Restriction

    Directory of Open Access Journals (Sweden)

    You-Lin Tain

    2014-01-01

    Full Text Available Nitric oxide (NO deficiency is involved in the development of hypertension, a condition that can originate early in life. We examined whether NO deficiency contributed to programmed hypertension in offspring from mothers with calorie-restricted diets and whether melatonin therapy prevented this process. We examined 3-month-old male rat offspring from four maternal groups: untreated controls, 50% calorie-restricted (CR rats, controls treated with melatonin (0.01% in drinking water, and CR rats treated with melatonin (CR + M. The effect of melatonin on nephrogenesis was analyzed using next-generation sequencing. The CR group developed hypertension associated with elevated plasma asymmetric dimethylarginine (ADMA, a nitric oxide synthase inhibitor, decreased L-arginine, decreased L-arginine-to-ADMA ratio (AAR, and decreased renal NO production. Maternal melatonin treatment prevented these effects. Melatonin prevented CR-induced renin and prorenin receptor expression. Renal angiotensin-converting enzyme 2 protein levels in the M and CR + M groups were also significantly increased by melatonin therapy. Maternal melatonin therapy had long-term epigenetic effects on global gene expression in the kidneys of offspring. Conclusively, we attributed these protective effects of melatonin on CR-induced programmed hypertension to the reduction of plasma ADMA, restoration of plasma AAR, increase of renal NO level, alteration of renin-angiotensin system, and epigenetic changes in numerous genes.

  15. Mineral resource potential of the Piedra Wilderness Study Area, Archuleta and Hinsdale counties, Colorado

    Science.gov (United States)

    Bush, Alfred L.; Condon, Steven M.; Franczyk, Karen J.; Brown, S.Don

    1983-01-01

    The mineral resource potential of the Piedra Wilderness Study Area is low. No occurrences of metallic minerals, of valuable industrial rocks and minerals, or of useful concentrations of organic fuels are known in the study area. However, a noneconomic occurrence of gypsum in the Jurassic Wanakah Formation lies a few hundred feet west of the WSA boundary, is believed to extend into the WSA, and has a low resource potential. Particular attention was paid to the possible occurrence of organic fuels in the Pennsylvanian Hermosa Formation, of uranium and vanadium in the Jurassic Entrada Sandstone and Morrison Formation, and of coal in the Cretaceous Dakota Sandstone. Thin coaly beds in the Dakota have a low resource potential. Extensive sampling of stream sediments, limited sampling of rock outcrops and springs, and a number of scintillometer traverses failed to pinpoint significant anomalies that might be clues to mineral deposits.

  16. Maternal Melatonin Therapy Rescues Prenatal Dexamethasone and Postnatal High-Fat Diet Induced Programmed Hypertension in Male Rat Offspring

    OpenAIRE

    Tain, You-Lin; Sheen, Jiunn-Ming; Yu, Hong-Ren; Chen, Chih-Cheng; Tiao, Mao-Meng; Hsu, Chien-Ning; Lin, Yu-Ju; Kuo, Kuang-Che; Huang, Li-Tung

    2015-01-01

    Prenatal dexamethasone (DEX) exposure and high-fat (HF) intake are linked to hypertension. We examined whether maternal melatonin therapy prevents programmed hypertension synergistically induced by prenatal DEX plus postnatal HF in adult offspring. We also examined whether DEX and melatonin causes renal programming using next-generation RNA sequencing (NGS) technology. Pregnant Sprague-Dawley rats received intraperitoneal dexamethasone (0.1 mg/kg) or vehicle from gestational day 16 to 22. In ...

  17. [Distance education: use of the WebCT as a support tool for teaching intravenous therapy in nursing undergraduate programs].

    Science.gov (United States)

    Dias, Denise Costa; Cassiani, Silvia Helena De Bortoli

    2003-01-01

    This investigation focused on a learning environment via internet, through which Intravenous Therapy (IVT) was taught. Due to its complexity, Intravenous Therapy was chosen against numerous subjects to be taught through an e-learning environment, by comprising both technical procedures and conceptual aspects that can be discussed through a virtual learning environment. The objectives of this study were to develop educational material about Intravenous Therapy to guide students through the learning related to intravenous therapy, to have the related educational material evaluated by experts, and to evaluate the students' use of this material, considering difficulties and/or advantages, participation/interaction in this environment, and usability of its tools. The interface used for the internet-based training program was WebCT.

  18. Preventing childhood anxiety disorders: Is an applied game as effective as a cognitive behavioral therapy-based program?

    NARCIS (Netherlands)

    Schoneveld, E.A.; Lichtwarck-Aschoff, A.; Granic, I.

    2018-01-01

    A large proportion of children experience subclinical levels of anxiety and cognitive-behavioral therapy (CBT) aimed at preventing anxiety disorders is moderately effective. However, most at-risk children do not seek help or drop out of programs prematurely because of stigma, lack of motivation, and

  19. Speech-language therapy program for mouth opening in patients with oral and oropharyngeal cancer undergoing adjuvant radiotherapy: a pilot study.

    Science.gov (United States)

    Marrafon, Caroline Somera; Matos, Leandro Luongo; Simões-Zenari, Marcia; Cernea, Claudio Roberto; Nemr, Katia

    2018-01-01

    Purpose Assess the effectiveness of an orofacial myofunctional therapeutic program in patients with oral or oropharyngeal cancer submitted to adjuvant radiotherapy through pre- and post-program comparison of maximum mandibular opening. Methods Prospective study involving five adult patients and five elderly patients postoperatively to oral cavity/oropharynx surgery who were awaiting the beginning of radiotherapy or had undergone fewer than five treatment sessions. The study participants had their maximum jaw opening measured using a sliding caliper at the beginning and end of the program. Two mobility exercises and three mandibular traction exercises were selected and weekly monitored presentially for 10 weeks. Descriptive data and pre- and post-therapy comparative measures were statistically analyzed using the Wilcoxon test. Results Ten patients (two women and eight men) with mean age of 58.4 years, median of 57.0 years, completed the therapeutic program. They presented mean maximum mandibular opening of 31.6 ± 11.7 and 36.4 ± 8.0 mm pre- and post-therapy, respectively (p =0.021). Conclusion The proposed orofacial myofunctional therapeutic program increased the maximum jaw opening of patients referred to adjuvant radiotherapy for oral cavity or oropharynx cancer treatment.

  20. Mineral resources of the South Mccullough Mountains Wilderness Study Area, Clark County, Nevada

    International Nuclear Information System (INIS)

    DeWitt, E.; Anderson, J.L.; Barton, H.N.; Jachens, R.C.; Podwysocki, M.H.; Brickey, D.W.; Close, T.J.

    1989-01-01

    The authors present a study of 19,558 acres of the South McCullough Mountains Wilderness Study Area. The study area contains no identified mineral resources and has no areas of high mineral resource potential. However, five areas that make up 20 percent of the study area have a moderate potential either for undiscovered silver, gold, lead, copper, and zinc resources in small vein deposits; for lanthanum and other rare-earth elements, uranium, thorium, and niobium in medium-size carbonatite bodies and dikes; for tungsten and copper in small- to medium-size vein deposits; or for silver and gold in small vein or breccia-pipe deposits. Six areas that makeup 24 percent of the study area have an unknown resource potential either for gold, silver, lead, and copper in small vein deposits; for gold, silver, lead, zinc, copper, and arsenic in small vein or breccia-pipe deposits; for lanthanum and other rare-earth elements, uranium, thorium, and niobium in medium-size carbonatite bodies and dikes; or for tungsten and copper in small vein deposits

  1. Between Clinic and Experiment: Wilder Penfield's Stimulation Reports and the Search for Mind, 1929-55.

    Science.gov (United States)

    Guenther, Katja

    In medicine, the realm of the clinic and the realm of experimentation often overlap and conflict, and physicians have to develop practices to negotiate their differences. The work of Canadian neurosurgeon Wilder Penfield (1891-1976) is a case in point. Engaging closely with the nearly 5,000 pages of unpublished and hitherto unconsidered reports of electrical cortical stimulation that Penfield compiled between 1929 and 1955, I trace how Penfield's interest shifted from the production of hospital-based records designed to help him navigate the brains of individual patients to the construction of universal brain maps to aid his search for an ever-elusive "mind." Reading the developments of Penfield's operation records over time, I examine the particular ways in which Penfield straddled the individual and the universal while attempting to align his clinical and scientific interests, thereby exposing his techniques to standardize and normalize his brain maps.

  2. Effectiveness of a Standardized Equine-Assisted Therapy Program for Children with Autism Spectrum Disorder.

    Science.gov (United States)

    Borgi, Marta; Loliva, Dafne; Cerino, Stefania; Chiarotti, Flavia; Venerosi, Aldina; Bramini, Maria; Nonnis, Enrico; Marcelli, Marco; Vinti, Claudia; De Santis, Chiara; Bisacco, Francesca; Fagerlie, Monica; Frascarelli, Massimo; Cirulli, Francesca

    2016-01-01

    In this study the effectiveness of an equine-assisted therapy (EAT) in improving adaptive and executive functioning in children with autism spectrum disorder (ASD) was examined (children attending EAT, n = 15, control group n = 13; inclusion criteria: IQ > 70). Therapeutic sessions consisted in structured activities involving horses and included both work on the ground and riding. Results indicate an improvement in social functioning in the group attending EAT (compared to the control group) and a milder effect on motor abilities. Improved executive functioning was also observed (i.e. reduced planning time in a problem-solving task) at the end of the EAT program. Our findings provide further support for the use of animal-assisted intervention programs as complementary intervention strategies for children with ASD.

  3. Successful and rapid response of speech bulb reduction program combined with speech therapy in velopharyngeal dysfunction: a case report.

    Science.gov (United States)

    Shin, Yu-Jeong; Ko, Seung-O

    2015-12-01

    Velopharyngeal dysfunction in cleft palate patients following the primary palate repair may result in nasal air emission, hypernasality, articulation disorder and poor intelligibility of speech. Among conservative treatment methods, speech aid prosthesis combined with speech therapy is widely used method. However because of its long time of treatment more than a year and low predictability, some clinicians prefer a surgical intervention. Thus, the purpose of this report was to increase an attention on the effectiveness of speech aid prosthesis by introducing a case that was successfully treated. In this clinical report, speech bulb reduction program with intensive speech therapy was applied for a patient with velopharyngeal dysfunction and it was rapidly treated by 5months which was unusually short period for speech aid therapy. Furthermore, advantages of pre-operative speech aid therapy were discussed.

  4. Palliative care and palliative radiation therapy education in radiation oncology: A survey of US radiation oncology program directors.

    Science.gov (United States)

    Wei, Randy L; Colbert, Lauren E; Jones, Joshua; Racsa, Margarita; Kane, Gabrielle; Lutz, Steve; Vapiwala, Neha; Dharmarajan, Kavita V

    The purpose of this study was to assess the state of palliative and supportive care (PSC) and palliative radiation therapy (RT) educational curricula in radiation oncology residency programs in the United States. We surveyed 87 program directors of radiation oncology residency programs in the United States between September 2015 and November 2015. An electronic survey on PSC and palliative RT education during residency was sent to all program directors. The survey consisted of questions on (1) perceived relevance of PSC and palliative RT to radiation oncology training, (2) formal didactic sessions on domains of PSC and palliative RT, (3) effective teaching formats for PSC and palliative RT education, and (4) perceived barriers for integrating PSC and palliative RT into the residency curriculum. A total of 57 responses (63%) was received. Most program directors agreed or strongly agreed that PSC (93%) and palliative radiation therapy (99%) are important competencies for radiation oncology residents and fellows; however, only 67% of residency programs had formal educational activities in principles and practice of PSC. Most programs had 1 or more hours of formal didactics on management of pain (67%), management of neuropathic pain (65%), and management of nausea and vomiting (63%); however, only 35%, 33%, and 30% had dedicated lectures on initial management of fatigue, assessing role of spirituality, and discussing advance care directives, respectively. Last, 85% of programs reported having a formal curriculum on palliative RT. Programs were most likely to have education on palliative radiation to brain, bone, and spine, but less likely on visceral, or skin, metastasis. Residency program directors believe that PSC and palliative RT are important competencies for their trainees and support increasing education in these 2 educational domains. Many residency programs have structured curricula on PSC and palliative radiation education, but room for improvement exists in

  5. Promotional Model: A New Direction for National Program in Immunization (NPI) and Oral Rehydration Therapy (ORT) in Nigeria

    OpenAIRE

    P.EKERETE, Paulinus

    2000-01-01

    The National Program on Immunization (NPI), formerly known as the Expanded Program on Immunization (EPI) and Oral Rehydration Therapy (ORT), were relaunched in1984 after the problems of vaccine supply have been corrected. The NPI aimed to protect children against six childhood killer disease and ORT, to remedy dehydration. In order to achieve these objectives, Partner-in-Health strategy was set up to educate, convince and motivate mothers, pregnant women and community to accept the programme....

  6. The iSBTc/SITC primer on tumor immunology and biological therapy of cancer: a summary of the 2010 program

    Directory of Open Access Journals (Sweden)

    Urba Walter J

    2011-01-01

    Full Text Available Abstract The Society for Immunotherapy of Cancer, SITC (formerly the International Society for Biological Therapy of Cancer, iSBTc, aims to improve cancer patient outcomes by advancing the science, development and application of biological therapy and immunotherapy. The society and its educational programs have become premier destinations for interaction and innovation in the cancer biologics community. For over a decade, the society has offered the Primer on Tumor Immunology and Biological Therapy of Cancer™ in conjunction with its Annual Scientific Meeting. This report summarizes the 2010 Primer that took place October 1, 2010 in Washington, D.C. as part of the educational offerings associated with the society's 25th anniversary. The target audience was basic and clinical investigators from academia, industry and regulatory agencies, and included clinicians, post-doctoral fellows, students, and allied health professionals. Attendees were provided a review of basic immunology and educated on the current status and most recent advances in tumor immunology and clinical/translational caner immunology. Ten prominent investigators presented on the following topics: innate immunity and inflammation; an overview of adaptive immunity; dendritic cells; tumor microenvironment; regulatory immune cells; immune monitoring; cytokines in cancer immunotherapy; immune modulating antibodies; cancer vaccines; and adoptive T cell therapy. Presentation slides, a Primer webinar and additional program information are available online on the society's website.

  7. Cultivations...and potting on a strategic plan for a social and horticultural therapy program.

    Science.gov (United States)

    Smilski, Andrea

    2008-01-01

    This research endeavored to develop a strategic growth plan for St. Ann's Garden Club (SAGC), a Non-Profit Social and Horticultural Therapy program, located at Providence Farm in Duncan, British Columbia. SAGC is a day program for older adults with mental illness and/or drug/alcohol addiction. The aim of the program is to be sustainable within the context of stakeholders needs, preferences, and resources and therefore they sought a strategic analysis prior to launching a growth strategy. SAGC has valuable intangible resources that contribute to strong core competencies and effectiveness despite facing many program issues requiring change in order for them to be sustainable. These same issues are shared by many public and non-profit health and wellness programs as they struggle to remain relevant in today's changing healthscape. To adequately focus the study and provide sound direction, the strategic analysis highlighted SAGC's environment, opportunities, issues, priorities, and requirements and was conducted through multiple iterations of the action research cycle. Data was gathered using surveys, interviews, and a focus group. The findings supported a capital campaign to build as new larger clubhouse and establish a more diverse sustainable funding base. Using a resource based perspective, a three year strategic plan was formulated for SAGC to help them cultivate growth and sustainability.

  8. The Impact of the Project K Youth Development Program on Self-Efficacy: A Randomized Controlled Trial.

    Science.gov (United States)

    Deane, Kelsey L; Harré, Niki; Moore, Julie; Courtney, Matthew G R

    2017-03-01

    A key issue for youth development programs is whether the learning they provide is transferred to participants' daily lives. It is also important that they are effective for the diverse range of participants they attract. This study used a randomized controlled trial design to measure the impact of Project K, a New Zealand-based youth development program, on academic and social self-efficacy. Project K combines a 3-week wilderness adventure, a 10 day community service component, and 1 year of mentoring to promote positive growth in 14-15 year olds with low self-efficacy. At baseline, the evaluation included 600 Project K (46 % female) and 577 Control participants (48 % female) and revealed that Project K was effective in improving both social and academic self-efficacy from pre- to post-program with effects being sustained 1 year later. Parents' perceptions of changes in the participants' interpersonal skills supported these findings. Differential program effects were found across participant subgroups, particularly 1 year after program completion. The implications of these differences are discussed.

  9. A multidisciplinary weight-loss program: the importance of psychological group therapy

    Directory of Open Access Journals (Sweden)

    Gustavo Duarte Ferrari

    Full Text Available Abstract In addition to dietary factors and sedentary habits, there is a relationship between obesity and psychological variables, even without a clear distinction between cause, effect, and correlation. Despite this relationship, weight-loss programs are limited to a combination of nutrition and physical education, leaving psychological intervention out of the treatment plan. Self-esteem issues, depression, and anxiety are just some of the emotional conditions related to obesity. However, there is no information in the literature about the importance of psychological counseling in a multidisciplinary program for weight-loss in adults. In this context, the main objective of this study was to analyze the effect of cognitive-behavioral therapy in groups (CBTG combined with nutrition and physical education within a multidisciplinary approach to treat obesity. 46 individuals (7 men and 39 women were divided into two groups: control (GC and psychology (GP. Baseline and intervention measures were obtained prior to intervention and before the final meeting, including physical capacity tests and the administering the International Physical Activities Questionnaire (IPAQ. Both groups attended weekly lectures given by a nutritionist and two physical education professionals for 12 weeks. In addition, the GP participated in weekly sessions of CBTG for the same period. After the program, there were significant changes in body mass index, waist circumference, body fat percentage, and strength of the lower limbs in both groups. In addition to these changes, the GP also showed improvements in diastolic blood pressure and IPAQ scores, being the only one that increased its time of weekly physical activity. Thus, it was concluded that the psychological treatment might play an important role in a multidisciplinary weight-loss program.

  10. A pet-type robot AIBO-assisted therapy as a day care program for chronic schizophrenia patients: A pilot study

    Directory of Open Access Journals (Sweden)

    Shin Narita

    2016-07-01

    Full Text Available Background AAT (Animal-assisted therapy was developed to promote human social and emotional functioning as a day care program for psychiatric patients. Aims In this study, we performed AAT using a pet-type robot, AIBO for schizophrenic patients. Methods After obtaining informed consent, we performed the AIBO-assisted therapy for three schizophrenic (ICD-10, F20.x2 patients (male: 1, female: 2 whose medication did not change over the 8 weeks study period in a ward. Results It was found that the AAT using AIBO may be useful for the patients with negative and general psychopathological symptoms such as “Anxiety” and “Uncooperativeness”. Conclusion We make use of this result, and we want to develop the AAT program using a pet-type robot, AIBO which may be suitable for Japanese psychiatric patients.

  11. Model for implementing cognitive behavioural therapy for smartphone app based smoking cessation program

    Directory of Open Access Journals (Sweden)

    Abdullah Alsharif

    2015-11-01

    Full Text Available Smoking cessation programs are widely implemented to assist smokers in the process of quitting smoking. Cognitive Behavioural Therapy (CBT is a psychological approach that is increasingly used in smoking cessation programs. CBT has also been implemented for smoking cessation programs and has been successful in helping smokers to quit. Another advantage of CBT is that it can be combined with different tools and technologies and hence made to deliver effective health intervention programs. The recent advancements in smartphone technologies have been widely explored to develop smoking cessation apps as tools to assist with quitting smoking. However, most existing smartphone apps lack follow-up and adherence to clinical guidelines for treatment. To date, there are no studies which have explored implementing CBT modules into smoking cessation apps. Therefore, there is a need for implementing behavioural change mechanisms in smoking cessation apps to help smokers quit effectively. In this study, we propose a new approach that combines mobile health technology and CBT methods to provide an effective smoking cessation program. The ubiquitous presence of smartphones and the various communication benefits they provide are utilized by our proposed system to provide a CBT paradigm into smoking cessation app systems and hence enhance their success potential. Currently, the proposed system is at the implementation stage, which is soon to be followed by a clinical trial to study the impact of this system on smoking cessation.

  12. WE-G-BRB-02: The Role of Program Project Grants in Study of 3D Conformal Therapy, Dose Escalation and Motion Management

    International Nuclear Information System (INIS)

    Fraass, B.

    2015-01-01

    Over the past 20 years the NIH has funded individual grants, program projects grants, and clinical trials which have been instrumental in advancing patient care. The ways that each grant mechanism lends itself to the different phases of translating research into clinical practice will be described. Major technological innovations, such as IMRT and proton therapy, have been advanced with R01-type and P01-type funding and will be discussed. Similarly, the role of program project grants in identifying and addressing key hypotheses on the potential of 3D conformal therapy, normal tissue-guided dose escalation and motion management will be described. An overview will be provided regarding how these technological innovations have been applied to multi-institutional NIH-sponsored trials. Finally, the panel will discuss regarding which research questions should be funded by the NIH to inspire the next advances in radiation therapy. Learning Objectives: Understand the different funding mechanisms of the NIH Learn about research advances that have led to innovation in delivery Review achievements due to NIH-funded program project grants in radiotherapy over the past 20 years Understand example advances achieved with multi-institutional clinical trials NIH

  13. High effectiveness of self-help programs after drug addiction therapy

    Directory of Open Access Journals (Sweden)

    Kristensen Øistein

    2006-08-01

    Full Text Available Abstract Background The self-help groups Alcoholics Anonymous (AA and Narcotics Anonymous (NA are very well established. AA and NA employ a 12-step program and are found in most large cities around the world. Although many have argued that these organizations are valuable, substantial scepticism remains as to whether they are actually effective. Few treatment facilities give clear recommendations to facilitate participation, and the use of these groups has been disputed. The purpose of this study was to examine whether the use of self-help groups after addiction treatment is associated with higher rates of abstinence. Methods One hundred and fourteen patients, 59 with alcohol dependency and 55 with multiple drug dependency, who started in self-help groups after addiction treatment, were examined two years later using a questionnaire. Return rate was 66%. Six (5% of the patients were dead. Results Intention-to-treat-analysis showed that 38% still participated in self-help programs two years after treatment. Among the regular participants, 81% had been abstinent over the previous 6 months, compared with only 26% of the non-participants. Logistic regression analysis showed OR = 12.6, 95% CI (4.1–38.3, p Conclusion The study has several methodological problems; in particular, correlation does not necessarily indicate causality. These problems are discussed and we conclude that the probability of a positive effect is sufficient to recommend participation in self-help groups as a supplement to drug addiction treatment. Previous publication This article is based on a study originally published in Norwegian: Kristensen O, Vederhus JK: Self-help programs in drug addiction therapy. Tidsskr Nor Laegeforen 2005, 125:2798–2801.

  14. Distribution and risk factors for spread of amphibian chytrid fungus Batrachochytrium dendrobatidis in the Tasmanian Wilderness World Heritage Area, Australia.

    Science.gov (United States)

    Pauza, Matthew D; Driessen, Michael M; Skerratt, Lee F

    2010-11-01

    Chytridiomycosis is an emerging infectious disease caused by the pathogen Batrachochytrium dendrobatidis (Bd) and is the cause of the decline and extinction of amphibian species throughout the world. We surveyed the distribution of Bd within and around the Tasmanian Wilderness World Heritage Area (TWWHA), a 1.38 million ha area of significant fauna conservation value, which provides the majority of habitat for Tasmania's 3 endemic frog species (Litoria burrowsae, Bryobatrachus nimbus and Crinia tasmaniensis). Bd was detected at only 1 (3%) of the 33 sites surveyed within the TWWHA and at 15 (52%) of the 29 sites surveyed surrounding the TWWHA. The relatively low incidence of the disease within the TWWHA suggests that the majority of the TWWHA is currently free of the pathogen despite the fact that the region provides what appears to be optimal conditions for the persistence of Bd. For all survey sites within and around the TWWHA, the presence of Bd was strongly associated with the presence of gravel roads, forest and < 1000 m altitude--factors that in this study were associated with human-disturbed landscapes around the TWWHA. Conversely, the presence of walking tracks was strongly associated with the absence of Bd, suggesting an association of absence with relatively remote locations. The wide distribution of Bd in areas of Tasmania with high levels of human disturbance and its very limited occurrence in remote wilderness areas suggests that anthropogenic activities may facilitate the dissemination of the pathogen on a landscape scale in Tasmania. Because the majority of the TWWHA is not readily accessible and appears to be largely free of Bd, and because Tasmanian frogs reproduce in ponds rather than streams, it may be feasible to control the spread of the disease in the TWWHA.

  15. Pilot evaluation of a group therapy program for children bereaved by suicide.

    Science.gov (United States)

    Daigle, Marc S; Labelle, Réal J

    2012-01-01

    Thousands of children are bereaved each year by suicide, yet there exists very little literature specifically on the psychological care, programs, and interventions available to help them. (1) To build and validate theoretical models for the Group Therapy Program for Children Bereaved by Suicide (PCBS); (2) to test these models in a preliminary evaluation. In the first part, we built theoretical models, which were then validated by scientists and clinicians. In the second part, the sessions of the PCBS were observed and rated. The participating children were tested pre- and postprogram. Positive changes were observed in the participating children in terms of basic safety, realistic understanding and useful knowledge, inappropriate behaviors, physical and psychological symptoms, child-parent and child-child communication, capacity for social and affective reinvestment, actualization of new models of self and the world, self-esteem, awareness and use of tools, cognitive, verbal, written and drawing abilities, cognitive dissonance, ambivalence, antagonism, and isolation. The changes reported in the bereaved children show that the PCBS has some efficacy.

  16. Dynamics of cardiovascular parameters in combined aortic malformations under the influence of a physical therapy program during the rehabilitation process

    Directory of Open Access Journals (Sweden)

    Serhii Kalmykov

    2017-12-01

    Full Text Available Purpose: to study hemodynamic parameters and the reaction of the cardiovascular system to the dosed physical load of patients combined aortic defect with heart failure of the I degree under the influence of the complex physical therapy program developed by us during the rehabilitation process. Material & Methods: the study involved 26 middle-aged men with a diagnosis: combined aortic valve disease, HF I st. Result: dynamics of functional parameters of the cardiovascular system of patients under the influence of the physical therapy program is analyzed. Conclusion: the combination of morning hygienic gymnastics, therapeutic gymnastics, independent activities and dosed walking with a therapeutic massage contributes to the normalization of vascular tone, motor-vascular reflexes and blood pressure, increasing the tolerance of the cardiovascular system to physical activity.

  17. Development of the image registration program for portal and DRR images in radiation therapy

    International Nuclear Information System (INIS)

    Watanabe, Hiroyuki; Ito, Takeshi; Nakazeko, Kazuma; Tachibana, Atsuhi; Hashimoto, Takeyuki; Shinohara, Hiroyuki

    2012-01-01

    In this article, the authors propose an image registration program of portal images and digitally reconstructed radiography (DRR) images used as simulation images for external beam radiation therapy planning. First, the center of the radiation field in a portal image taken using a computed radiograhy cassette is matched to the center of the portal image. Then scale points projected on a DRR image and the portal image are deleted, and the portal image with the radiation field is extracted. Registration of the DRR and portal images is performed using mutual information as the registration criterion. It was found that the absolute displacement misregistrations in two directions (x, y) were 1.2±0.7 mm and 0.5±0.3 mm, respectively, and rotation disagreement about the z axis 0.3±0.3deg. It was concluded the proposed method was applicable to image registration of portal and DRR images in radiation therapy. (author)

  18. The clinical case for proton beam therapy

    International Nuclear Information System (INIS)

    Foote, Robert L; Haddock, Michael G; Yan, Elizabeth; Laack, Nadia N; Arndt, Carola A S

    2012-01-01

    Over the past 20 years, several proton beam treatment programs have been implemented throughout the United States. Increasingly, the number of new programs under development is growing. Proton beam therapy has the potential for improving tumor control and survival through dose escalation. It also has potential for reducing harm to normal organs through dose reduction. However, proton beam therapy is more costly than conventional x-ray therapy. This increased cost may be offset by improved function, improved quality of life, and reduced costs related to treating the late effects of therapy. Clinical research opportunities are abundant to determine which patients will gain the most benefit from proton beam therapy. We review the clinical case for proton beam therapy. Proton beam therapy is a technically advanced and promising form of radiation therapy

  19. The Effect of Cognitive Behavioral Therapy and Cognitive Behavioral Therapy Plus Media on the Reduction of Bullying and Victimization and the Increase of Empathy and Bystander Response in a Bully Prevention Program for Urban Sixth-Grade Students

    Science.gov (United States)

    McLaughlin, Laura Pierce

    2009-01-01

    The purpose of this study was to investigate the effect of cognitive behavioral therapy and cognitive behavioral therapy plus media on the reduction of bullying and victimization and the increase in empathy and bystander response in a bully prevention program for urban sixth-graders. Sixty-eight students participated. Because one of the…

  20. Meeting the Challenge of Instructor Shortages: A Blended Teaching and Learning Model for a Neuroscience Course in a Doctor of Physical Therapy Program.

    Science.gov (United States)

    Ge, Weiqing

    2018-01-01

    Physical therapy workforce shortages are expected to increase for all 50 states through 2030. There is a recognized nationwide unprecedented shortage of well-prepared physical therapy instructors. One practical solution can be to share instructors among Doctor of Physical Therapy (DPT) programs using a blended teaching and learning model. The purpose of this project was to evaluate the effectiveness of a blended teaching and learning model for a neuroscience course in a DPT program. Faculty members from two DPT programs collaborated to develop, implement, and evaluate a blended teaching and learning model. The Blackboard Learning Management System (LMS) was available at both institutions and chosen as the learning platform. The design of this research study was retrospective nonexperimental observational. The overall feedback from the students was positive. Most students (91.6%) strongly agreed or agreed that the content of the course was appropriate for learning neuroscience. The students taking this blended course performed slightly better than the students taking the traditional course, though there was no significant difference (p=0.06). The results support the use of a blended teaching and learning model to meet faculty shortage challenges. Future research with a larger sample size is necessary.

  1. Treatment outcomes in patients with internet addiction: a clinical pilot study on the effects of a cognitive-behavioral therapy program.

    Science.gov (United States)

    Wölfling, K; Beutel, M E; Dreier, M; Müller, K W

    2014-01-01

    Internet addiction is regarded as a growing health concern in many parts of the world with prevalence rates of 1-2% in Europe and up to 7% in some Asian countries. Clinical research has demonstrated that Internet addiction is accompanied with loss of interests, decreased psychosocial functioning, social retreat, and heightened psychosocial distress. Specialized treatment programs are needed to face this problem that has recently been added to the appendix of the DSM-5. While there are numerous studies assessing clinical characteristics of patients with Internet addiction, the knowledge about the effectiveness of treatment programs is limited. Although a recent meta-analysis indicates that those programs show effects, more clinical studies are needed here. To add knowledge, we conducted a pilot study on the effects of a standardized cognitive-behavioral therapy program for IA. 42 male adults meeting criteria for Internet addiction were enrolled. Their IA-status, psychopathological symptoms, and perceived self-efficacy expectancy were assessed before and after the treatment. The results show that 70.3% of the patients finished the therapy regularly. After treatment symptoms of IA had decreased significantly. Psychopathological symptoms were reduced as well as associated psychosocial problems. The results of this pilot study emphasize findings from the only meta-analysis conducted so far.

  2. Treatment Outcomes in Patients with Internet Addiction: A Clinical Pilot Study on the Effects of a Cognitive-Behavioral Therapy Program

    Directory of Open Access Journals (Sweden)

    K. Wölfling

    2014-01-01

    Full Text Available Internet addiction is regarded as a growing health concern in many parts of the world with prevalence rates of 1-2% in Europe and up to 7% in some Asian countries. Clinical research has demonstrated that Internet addiction is accompanied with loss of interests, decreased psychosocial functioning, social retreat, and heightened psychosocial distress. Specialized treatment programs are needed to face this problem that has recently been added to the appendix of the DSM-5. While there are numerous studies assessing clinical characteristics of patients with Internet addiction, the knowledge about the effectiveness of treatment programs is limited. Although a recent meta-analysis indicates that those programs show effects, more clinical studies are needed here. To add knowledge, we conducted a pilot study on the effects of a standardized cognitive-behavioral therapy program for IA. 42 male adults meeting criteria for Internet addiction were enrolled. Their IA-status, psychopathological symptoms, and perceived self-efficacy expectancy were assessed before and after the treatment. The results show that 70.3% of the patients finished the therapy regularly. After treatment symptoms of IA had decreased significantly. Psychopathological symptoms were reduced as well as associated psychosocial problems. The results of this pilot study emphasize findings from the only meta-analysis conducted so far.

  3. The clinical case for proton beam therapy

    Directory of Open Access Journals (Sweden)

    Foote Robert L

    2012-10-01

    Full Text Available Abstract Over the past 20 years, several proton beam treatment programs have been implemented throughout the United States. Increasingly, the number of new programs under development is growing. Proton beam therapy has the potential for improving tumor control and survival through dose escalation. It also has potential for reducing harm to normal organs through dose reduction. However, proton beam therapy is more costly than conventional x-ray therapy. This increased cost may be offset by improved function, improved quality of life, and reduced costs related to treating the late effects of therapy. Clinical research opportunities are abundant to determine which patients will gain the most benefit from proton beam therapy. We review the clinical case for proton beam therapy. Summary sentence Proton beam therapy is a technically advanced and promising form of radiation therapy.

  4. Management of pain induced by exercise and mobilization during physical therapy programs: views of patients and care providers

    Directory of Open Access Journals (Sweden)

    Rannou François

    2011-07-01

    Full Text Available Abstract Background The expectations of patients for managing pain induced by exercise and mobilization (PIEM have seldom been investigated. We identified the views of patients and care providers regarding pain management induced by exercise and mobilization during physical therapy programs. Methods We performed a qualitative study based on semi-structured interviews with a stratified sample of 12 patients (7 women and 14 care providers (6 women: 4 general practitioners [GPs], 1 rheumatologist, 1 physical medicine physician, 1 geriatrician, 2 orthopedic surgeons, and 5 physical therapists. Results Patients and care providers have differing views on PIEM in the overall management of the state of disease. Patients' descriptions of PIEM were polymorphic, and they experienced it as decreased health-related quality of life. The impact of PIEM was complex, and patient views were sometimes ambivalent, ranging from denial of symptoms to discontinuation of therapy. Care providers agreed that PIEM is generally not integrated in management strategies. Care providers more often emphasized the positive and less often the negative dimensions of PIEM than did patients. However, the consequences of PIEM cited included worsened patient clinical condition, fears about physical therapy, rejection of the physical therapist and refusal of care. PIEM follow-up is not optimal and is characterized by poor transmission of information. Patients expected education on how better to prevent stress and anxiety generated by pain, education on mobilization, and adaptations of physical therapy programs according to pain intensity. Conclusion PIEM management could be optimized by alerting care providers to the situation, improving communication among care providers, and providing education to patients and care providers.

  5. [Intranarcotic infusion therapy -- a computer interpretation using the program package SPSS (Statistical Package for the Social Sciences)].

    Science.gov (United States)

    Link, J; Pachaly, J

    1975-08-01

    In a retrospective 18-month study the infusion therapy applied in a great anesthesia institute is examined. The data of the course of anesthesia recorded on magnetic tape by routine are analysed for this purpose bya computer with the statistical program SPSS. It could be proved that the behaviour of the several anesthetists is very different. Various correlations are discussed.

  6. Frequently Asked Questions about Music Therapy

    Science.gov (United States)

    ... at an approved music therapy degree program, the music therapy student must complete an internship at an approved internship ... needs to play in every session, but rather, music therapy students choose one instrument to be their major instrument ...

  7. Game-Based Cognitive-Behavioral Therapy (GB-CBT) Group Program for Children Who Have Experienced Sexual Abuse: A Preliminary Investigation

    Science.gov (United States)

    Misurell, Justin R.; Springer, Craig; Tryon, Warren W.

    2011-01-01

    This preliminary investigation examined the efficacy of a game-based cognitive-behavioral therapy group program for elementary school-aged children who have experienced sexual abuse. Treatment aimed to improve: (a) internalizing symptoms, (b) externalizing behaviors, (c) sexually inappropriate behaviors, (d) social skills deficits, (e) self-esteem…

  8. The Therapy Garden Nacadia®

    DEFF Research Database (Denmark)

    Sidenius, Ulrik

    The therapy garden Nacadia® is designed to provide a setting and framework for a nature-based therapy (NBT) program for people suffering from stress-related illnesses. It was established through an evidence-based health design in landscape architecture (EBHDL) process, an interdisciplinary...... collaborative process that used state-of-the-art evidence and expert knowledge on therapy gardens and NBT. This PhD project is an exploratory study that examines the relationship between the design of a therapy garden, a nature-based therapy program and citizens with severe stress. The overall aim is to gain...... analyses, observations, participants’ logbooks, interviews and questionnaires. The first part of the study determined how the different types of activity were distributed around the garden and that the most preferred rooms were described as: “Enclosed”, or “slightly closed” but with a “view out”, to “see...

  9. Optimal Implantable Cardioverter Defibrillator Programming.

    Science.gov (United States)

    Shah, Bindi K

    Optimal programming of implantable cardioverter defibrillators (ICDs) is essential to appropriately treat ventricular tachyarrhythmias and to avoid unnecessary and inappropriate shocks. There have been a series of large clinical trials evaluating tailored programming of ICDs. We reviewed the clinical trials evaluating ICD therapies and detection, and the consensus statement on ICD programming. In doing so, we found that prolonged ICD detection times, higher rate cutoffs, and antitachycardia pacing (ATP) programming decreases inappropriate and painful therapies in a primary prevention population. The use of supraventricular tachyarrhythmia discriminators can also decrease inappropriate shocks. Tailored ICD programming using the knowledge gained from recent ICD trials can decrease inappropriate and unnecessary ICD therapies and decrease mortality.

  10. What Is Nutrition Support Therapy?

    Science.gov (United States)

    ... Sponsored CE Programs Calendar of Events What Is Nutrition Support Therapy All people need food to live. ... patient populations from pediatrics to geriatrics. Key Terms: Nutrition Support Therapy The provision of enteral or parenteral ...

  11. Multimedia education program and nutrition therapy improves HbA1c, weight, and lipid profile of patients with type 2 diabetes: a randomized clinical trial.

    Science.gov (United States)

    Velázquez-López, Lubia; Muñoz-Torres, Abril Violeta; Medina-Bravo, Patricia; Vilchis-Gil, Jenny; Klϋnder-Klϋnder, Miguel; Escobedo-de la Peña, Jorge

    2017-11-01

    To evaluate the effect of a multimedia education program and nutrition therapy on metabolic control in patients with type 2 diabetes. What is the effect of a multimedia education program and nutritional therapy on metabolic control in type 2 diabetes? A randomized clinical trial was conducted in 351 patients randomly assigned to either an experimental group receiving a multimedia diabetes education program (MDE) and nutrition therapy (NT) (NT + MDE: n = 173), or to a control group who received nutrition therapy only (NT: n = 178). At baseline, 7, 14, and 21 months, the glycated hemoglobin (HbA1c), glucose, cholesterol, triglycerides, LDL-cholesterol, and HDL-cholesterol were measured. Weight, body mass index (BMI), waist circumference (WC), fat percentage, fat and lean mass, systolic blood pressure (SBP), and diastolic (DBP) were also recorded. Glycated hemoglobin decreased in both groups, although the group with NT + MDE had a greater reduction, with a difference of -0.76% (95%CI -1.33 to -0.19) at 7 months and -0.73% (95%CI -1.37 to -0.09) at 21 months. Only in the NT + MDE did the glucose decrease at 7 (-41.2 mg/dL; 95%CI -52.0 to -30.5), 14 (-27.8 mg/dL; 95%CI -32.6 to -23.1), and 21 months (-36.6 mg/dL; 95%CI -46.6 to -26.6). Triglycerides and the atherogenic index decreased in both groups at 7 and 14 months; while only in the NT + MDE group did it decrease at 21 months. (p Nutrition therapy and a multimedia diabetes education program have a favorable impact on achieving metabolic control goals in type 2 diabetes.

  12. Therapy in Motion.

    Science.gov (United States)

    Costonis, Maureen Needham, Ed.

    This book contains a collection of articles on the subject of movement therapy. It can be used as a set of supplementary readings for an academic course in dance therapy or a psychiatric residency program. It includes an exhaustive bibliography on this field for students and practioners in this field. Four principal themes have been selected as a…

  13. A pilot analysis of the psychological themes found during the CARING at Columbia--Music Therapy program with refugee adolescents from North Korea.

    Science.gov (United States)

    Choi, Carolyn Mi Hwan

    2010-01-01

    The purpose of this study was to identify the psychological themes found during the modified CARING at Columbia-Music Therapy (CAC-MT) program with refugee adolescents from North Korea. Nine students attending an alternative school participated in this study. Academically, students belong to an equivalent middle school level. Students participated in a music therapy program comprised of 25 sessions. A multiple case analysis was conducted to gather qualitative results. Students were found to be exposed to various psychosocially stressful life situations such as lack of social support system, family separation, academic difficulty, and economic hardship throughout their adaptation process to their new country. There were 5 common psychological themes--avoidance, distrust, loneliness, feelings of loss, and fear--found among the refugee students over the course of the CAC-MT treatment. For future research, studies with a larger sample size and differing types of session structure should be conducted to closely examine the effects of this program on refugee adolescents.

  14. The design and relevance of a computerized gamified depression therapy program for indigenous māori adolescents.

    Science.gov (United States)

    Shepherd, Matthew; Fleming, Theresa; Lucassen, Mathijs; Stasiak, Karolina; Lambie, Ian; Merry, Sally N

    2015-03-03

    Depression is a major health issue among Māori indigenous adolescents, yet there has been little investigation into the relevance or effectiveness of psychological treatments for them. Further, consumer views are critical for engagement and adherence to therapy. However, there is little research regarding indigenous communities' opinions about psychological interventions for depression. The objective of this study was to conduct semistructured interviews with Māori (indigenous New Zealand) young people (taitamariki) and their families to find out their opinions of a prototype computerized cognitive behavioral therapy (cCBT) program called Smart, Positive, Active, Realistic, X-factor thoughts (SPARX), a free online computer game intended to help young persons with mild to moderate depression, feeling down, stress or anxiety. The program will teach them how to resolve their issues on their own using Cognitive Behavioural Therapy as psychotherapeutic approach. There were seven focus groups on the subject of the design and cultural relevance of SPARX that were held, with a total of 26 participants (19 taitamarki, 7 parents/caregivers, all Māori). There were five of the groups that were with whānau (family groups) (n=14), one group was with Māori teenage mothers (n=4), and one group was with taitamariki (n=8). The general inductive approach was used to analyze focus group data. SPARX computerized therapy has good face validity and is seen as potentially effective and appealing for Māori people. Cultural relevance was viewed as being important for the engagement of Māori young people with SPARX. Whānau are important for young peoples' well-being. Participants generated ideas for improving SPARX for Māori and for the inclusion of whānau in its delivery. SPARX computerized therapy had good face validity for indigenous young people and families. In general, Māori participants were positive about the SPARX prototype and considered it both appealing and applicable

  15. Prognosis of medical and economic efficiency of a patient-oriented program implementation aimed at formation of adherenceto drug therapy among rural population

    Directory of Open Access Journals (Sweden)

    E A Kitaeva

    2018-02-01

    Full Text Available Aim. Development and implementation of novel organizational management technologies of medical care aimed at formation of adherence to drug therapy in patients from rural areas and calculation of medical and economic efficiency of implementation of this project. Methods. The study subject was the population of Rybnaya Sloboda district of the Republic of Tatarstan. Patient recruitment into the groups was conducted in the polyclinic of Rybnaya Sloboda central regional hospital. The duration of the study was 6 months for each of two groups with further follow-up and evaluation of adherence to therapy for 2 months. Results. Annually stroke affects 5.6 to 6.6 million of people around the world, 35% of whom die in the acute period. Recently, serious rejuvenation of cardiovascular disorders has been observed. The main reason for such trend is low patients’ compliance to drug therapy. And patients’ compliance itself allows significantly decreasing the risk of cardiovascular complications. The article discussed the issues of low compliance to drug therapy, presents the methods of its formation in patients from rural area. The examples of foreign and Russian experience of increasing patients’ compliance to drug therapy are described and the key intervention points for patients are determined. On the basis of conducted analysis, implementation was developed and suggested for patient-oriented program aimed at formation of adherence to drug therapy of rural population. Also, the authors performed evaluation of medical and economic efficiency of implementation of a patient-oriented program aimed at formation of adherence to drug therapy of rural population (assessment of expenditures for medications, hospital stay, incapacity related to the main disease; evaluation of expenditures for prevention of complications and disability. Conclusion. Effective organization of prophylactic activity is of great importance for prevention of cardiovascular disease

  16. Experiential Learning and Therapy.

    Science.gov (United States)

    Hatala, Elaine

    This paper describes the experiential therapy program at the Bowling Green Adolescent Center (New Jersey). This model supports the view that the therapeutic process of addiction treatment is accelerated and enhanced by providing the patients with experiential interventions. Experiential therapy includes goal setting, hands-on participation,…

  17. Group Cognitive Behavioural Therapy Program Shows Potential in Reducing Symptoms of Depression and Stress among Young People with ASD

    Science.gov (United States)

    McGillivray, J. A.; Evert, H. T.

    2014-01-01

    We examined the efficacy of cognitive behavioural therapy (CBT) delivered in groups on the reduction of symptoms of depression, anxiety and stress in young people on the autism spectrum. Utilising a quasi-experimental design, comparisons were made between individuals allocated to a group intervention program and individuals allocated to a…

  18. Feasibility of group Cognitive Remediation Therapy in an adult eating disorder day program in New Zealand.

    Science.gov (United States)

    Roberts, Marion E

    2018-05-02

    To explore the feasibility of integrating group Cognitive Remediation Therapy (gCRT) into an eating disorder day program in Auckland, New Zealand. A consecutive series of 28 patients took part over an 8-month period in the context of a service audit. Main outcome measures were the Detail and Flexibility Questionnaire (DFlex) and qualitative feedback from patients. Significant shifts in self-report inefficient cognitive style were observed pre/post gCRT with large effect sizes (Cohen's d av ) for both cognitive rigidity and attention to detail outcomes. Patient feedback was positive, with themes of enjoyment, increased insight, and positive social interaction/esteem boosting in the context of the group emerging. Support for the acceptability, adaptation, expansion, practicality, and limited-efficacy testing of gCRT in an Australasian day program setting has been found, suggesting integration of this module into existing day treatment programs is merited. Larger scale trials may help delineate the clinical characteristics of good responders. Copyright © 2018. Published by Elsevier Ltd.

  19. Clinical and biochemical effects of a 3-week program of diet combined with spa therapy in obese and diabetic patients: a pilot open study

    Science.gov (United States)

    Fioravanti, Antonella; Adamczyk, Przemysław; Pascarelli, Nicola Antonio; Giannitti, Chiara; Urso, Renato; Tołodziecki, Michał; Ponikowska, Irena

    2015-07-01

    Obesity is a major risk factor for arterial hypertension, coronary artery disease, dyslipidemias, and type 2 diabetes. Spa therapy has long been used for treating obesity and its comorbidities. Enlargement of adipose tissue has been linked to a dysregulation of adipokine secretion and adipose tissue inflammation. Adipokines are currently investigated as potential drug targets in these conditions. Our primary aim was to assess the clinical efficacy of a 3-week program of diet combined with spa therapy in obese patients with and without type 2 diabetes. The secondary aim was to examine whether this combined program influences the response of serum levels of leptin, adiponectin, visfatin, and high-sensitivity C-reactive protein. Fifty obese males were enrolled and 21 of these featured a type 2 diabetes. During the 3-week period of the study, the patients were on a 1,000-kcal diet and were involved in mineral bath and total body's mud-pack applications (15 procedures). Patients were assessed at baseline and at the end of the therapy for clinical and biochemical parameters (total cholesterol, triglycerides, high-density lipoprotein cholesterol, low-density lipoprotein cholesterol, glycemia, and adipokines). We showed that a 3-week program of spa therapy in obese patients induced significant decrease of body weight, body mass index, triglycerides, total cholesterol, low-density lipoprotein (LDL) cholesterol, glycemia, and serum levels of leptin and high-sensitivity C-reactive protein. So, a cycle of mud-bath therapy associated with a controlled diet may be a promising treatment for obesity and type 2 diabetes decreasing body weight and many risk factors for atherosclerosis and metabolic syndrome.

  20. A Partnership Training Program: Studying Targeted Drug Delivery Using Nanoparticles In Breast Cancer Diagnosis and Therapy

    Science.gov (United States)

    2015-12-01

    Imaging 28: 698–707. 15. Newman RJ, Bore PJ, Chan L, Gadian DG, Styles P, et al. (1982) Nuclear magnetic resonance studies of forearm muscle in Duchenne...against the parental U87 cells. In morphology, cell death was obvious after exposure to DT390-BiscFv806. We further analyzed the cytotoxicity of DT390...funded) 4. NIH Exploratory/Developmental Research Grant Program ( Parent R21) Sheddable Bivalent Fold-back Format Immunotoxin for Prostate Cancer Therapy

  1. Effect of an art brut therapy program called go beyond the schizophrenia (GBTS) on prison inmates with schizophrenia in mainland China-A randomized, longitudinal, and controlled trial.

    Science.gov (United States)

    Qiu, Hong-Zhong; Ye, Zeng-Jie; Liang, Mu-Zi; Huang, Yue-Qun; Liu, Wei; Lu, Zhi-Dong

    2017-09-01

    Creative arts therapies are proven to promote an interconnection between body and mind, but there are major obstacles for providing therapeutic services in prisons due to inmates' inherent mistrust for verbal disclosure and rigid self-defenses, especially among inmates with schizophrenia. Thus, we developed a structured and quantitative art brut therapy program called go beyond the schizophrenia to actually measure the benefits of art therapy on prison inmates in mainland China. Upon completion of the program, the intervention group reported a decrease in anxiety, depression, anger, and negative psychiatric symptoms and showed better compliance with rules, socialization with peers, compliance with medications, and regular sleeping patterns after 16 weekly sessions of go beyond the schizophrenia. This article concludes that the art brut therapy was effective for the inmates with schizophrenia in mainland China and provides encouraging data on how to enhance mental health for inmates with schizophrenia. Art brut therapy can reduce emotional distress and negative psychiatric symptoms among Chinese inmates. Arts brut therapy can enhance Chinese inmates' compliance with rules, socialization with peers, compliance with medicines, and regular sleeping patterns. Arts brut therapy in conjunction with medication is highly recommended for recovery of Chinese inmates with schizophrenia, especially for patients with negative symptoms. Copyright © 2017 John Wiley & Sons, Ltd.

  2. Cultural Adaptation of a Cognitive Behavior Therapy Guided Self-Help Program for Mexican American Women with Binge Eating Disorders

    Science.gov (United States)

    Shea, Munyi; Cachelin, Fary; Uribe, Luz; Striegel, Ruth H.; Thompson, Douglas; Wilson, G. Terence

    2012-01-01

    Data on the compatibility of evidence-based treatment in ethnic minority groups are limited. This study utilized focus group interviews to elicit Mexican American women's (N = 12) feedback on a cognitive behavior therapy guided self-help program for binge eating disorders. Findings revealed 6 themes to be considered during the cultural adaptation…

  3. Preventing childhood anxiety disorders: Is an applied game as effective as a cognitive behavioral therapy-based program?

    OpenAIRE

    Schoneveld, E.A.; Lichtwarck-Aschoff, A.; Granic, I.

    2018-01-01

    A large proportion of children experience subclinical levels of anxiety and cognitive-behavioral therapy (CBT) aimed at preventing anxiety disorders is moderately effective. However, most at-risk children do not seek help or drop out of programs prematurely because of stigma, lack of motivation, and accessibility barriers. Applied games have received increased attention as viable alternatives and have shown promising results, but direct comparisons between applied games and the gold-standard ...

  4. The status of temporomandibular and cervical spine education in credentialed orthopedic manual physical therapy fellowship programs: a comparison of didactic and clinical education exposure.

    Science.gov (United States)

    Shaffer, Stephen M; Brismée, Jean-Michel; Courtney, Carol A; Sizer, Phillip S

    2015-02-01

    The purpose of this investigation was to establish a baseline of physical therapist education on temporomandibular disorders (TMD)-related topics during credentialed orthopedic manual physical therapy fellowship training and compare it to cervical spine disorders education. An online survey was distributed electronically to each fellowship program credentialed by the American Physical Therapy Association (APTA) and recognized by the Academy of Orthopedic Manual Physical Therapists (AAOMPT). Data were analyzed to compare overall exposure to TMD educational content, including a direct comparison of TMD and cervical spine disorders education. The response rate was 79%. Thirteen programs (87%) reported providing both didactic and clinical training on both TMD and cervical spine disorders. Didactic education for cervical spine disorders ranged from 16-20 hours to over 25 hours, whereas TMD hours ranged from 0 to 6-10 hours. Clinical education for cervical spine disorders ranged from 11-15 hours to over 25 hours, whereas TMD hours ranged from 0 to 6-10 hours. The number of hours of exposure during didactic training and the number of patients exposed to during clinical training were significantly different when comparing TMD to cervical spine disorders exposure (P<0.0001). The data indicate a lack of uniformity between credentialed fellowship programs in orthopedic manual physical therapy with respect to the extent to which programs expose trainees to evaluation and management of TMD. There is consistency in that all programs provided more training on cervical spine disorders than TMD. Despite a high level of clinical specialization, fellows-in-training receive minimal TMD education.

  5. Animal assisted therapy (AAT program as a useful adjunct to conventional psychosocial rehabilitation for patients with schizophrenia: results of a small-scale randomized controlled trial.

    Directory of Open Access Journals (Sweden)

    Paula eCalvo

    2016-05-01

    Full Text Available Currently, one of the main objectives of human-animal interaction research is to demonstrate the benefits of animal-assisted therapy (AAT for specific profiles of patients or participants.The aim of this study is to assess the effect of an AAT program as an adjunct to a conventional 6-month psychosocial rehabilitation program for people with schizophrenia. Our hypothesis is that the inclusion of AAT into psychosocial rehabilitation would contribute positively to the impact of the overall program on symptomology and quality of life, and that AAT would be a positive experience for patients. To test these hypotheses, we compared pre-program with post-program scores for the Positive and Negative Syndrome Scale (PANSS and the EuroQoL-5 dimensions questionnaire (EuroQol-5D, pre-session with post-session salivary cortisol and alpha-amylase for the last four AAT sessions, and adherence rates between different elements of the program.We conducted a randomized, controlled study in a psychiatric care center in Spain. Twenty-two institutionalized patients with chronic schizophrenia completed the 6-month rehabilitation program, which included individual psychotherapy, group therapy, a functional program (intended to improve daily functioning, a community program (intended to facilitate community reintegration and a family program. Each member of the control group (n=8 participated in one activity from a range of therapeutic activities that were part of the functional program. In place of this functional program activity, the AAT-treatment group (n=14 participated in twice-weekly 1-hour sessions of AAT. All participants received the same weekly total number of hours of rehabilitation. At the end of the program, both groups (control and AAT-treatment showed significant improvements in positive and overall symptomatology, as measured with PANSS, but only the AAT-treatment group showed a significant improvement in negative symptomatology. Adherence to the AAT

  6. Animal Assisted Therapy (AAT) Program As a Useful Adjunct to Conventional Psychosocial Rehabilitation for Patients with Schizophrenia: Results of a Small-scale Randomized Controlled Trial.

    Science.gov (United States)

    Calvo, Paula; Fortuny, Joan R; Guzmán, Sergio; Macías, Cristina; Bowen, Jonathan; García, María L; Orejas, Olivia; Molins, Ferran; Tvarijonaviciute, Asta; Cerón, José J; Bulbena, Antoni; Fatjó, Jaume

    2016-01-01

    Currently, one of the main objectives of human-animal interaction research is to demonstrate the benefits of animal assisted therapy (AAT) for specific profiles of patients or participants. The aim of this study is to assess the effect of an AAT program as an adjunct to a conventional 6-month psychosocial rehabilitation program for people with schizophrenia. Our hypothesis is that the inclusion of AAT into psychosocial rehabilitation would contribute positively to the impact of the overall program on symptomology and quality of life, and that AAT would be a positive experience for patients. To test these hypotheses, we compared pre-program with post-program scores for the Positive and Negative Syndrome Scale (PANSS) and the EuroQoL-5 dimensions questionnaire (EuroQol-5D), pre-session with post-session salivary cortisol and alpha-amylase for the last four AAT sessions, and adherence rates between different elements of the program. We conducted a randomized, controlled study in a psychiatric care center in Spain. Twenty-two institutionalized patients with chronic schizophrenia completed the 6-month rehabilitation program, which included individual psychotherapy, group therapy, a functional program (intended to improve daily functioning), a community program (intended to facilitate community reintegration) and a family program. Each member of the control group (n = 8) participated in one activity from a range of therapeutic activities that were part of the functional program. In place of this functional program activity, the AAT-treatment group (n = 14) participated in twice-weekly 1-h sessions of AAT. All participants received the same weekly total number of hours of rehabilitation. At the end of the program, both groups (control and AAT-treatment) showed significant improvements in positive and overall symptomatology, as measured with PANSS, but only the AAT-treatment group showed a significant improvement in negative symptomatology. Adherence to the AAT

  7. The Effect of Vestibular Rehabilitation Therapy Program on Sensory Organization of Deaf Children With Bilateral Vestibular Dysfunction

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    Amir Abbas Ebrahimi

    2018-01-01

    Full Text Available The purpose of this study was to determine the effect of vestibular rehabilitation therapy program on the sensory organization of deaf children with bilateral vestibular dysfunction. This cross-sectional and analytic study was conducted on 24 students between the age of 7 and 12 years (6 girls and 18 boys with the profound sensorineural hearing loss (PTA>90 dB. They were assessed through the balance subtest in Bruininks-Oseretsky test of motor proficiency (BOTMP. For children which the total score of the balance subtest was 3 standard deviation lower than their peers with typical development, vestibular function testing was completed pre-intervention. Posturography Sensory organization testing (SOT was completed pre- and post-intervention with SPS (Synapsys, Marseille, France. Children with bilateral vestibular impairment were randomly assigned to either the exercise or control group. Exercise intervention consisted of compensatory training, emphasizing enhancement of visual and somatosensory function, and balance training. The exercise group entered in vestibular rehabilitation therapy program for 8 weeks. The children initially participating in the control group were provided the exercise intervention following the post-test. Based on the results there was significant difference in condition 5 and 6, areas of limits of stability (LOS, vestibular ratio and global score in posturography at the end of the intervention, but there was no significant difference in the control group in posturography (P<0.05. The results indicated that testing of vestibular, and postural control function, as well as intervention for deficiencies identified, should be included in deaf children rehabilitation program.

  8. Mastitis therapy: Direct and indirect costs

    OpenAIRE

    Boboš, S.; Radinović, M.; Vidić, B.; Pajić, M.; Vidić, V.; Galfi, A.

    2013-01-01

    One of the most important problems in milk production, causing great economic loses is certainly mastitis. In order to minimize economic losses from mastitis dairy farms introduce different mastitis management programs. These programs include mastitis therapy and prevention. In mastitis control prevention is most important and when mastitis occurs cost of therapy and milk discharge is very important. In our study we examined cost of mastitis treatment and m...

  9. STUTTERING THERAPY FOR A CHILD AT INTERMEDIATE STUTTERING LEVEL

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    Nevzeta SALIHOVIKJ

    2009-11-01

    Full Text Available Stuttering therapy very often demands combination of various approaches or its modification. The main purpose of this study was to present an integrated approach to stuttering modification therapy and fluency shaping therapy for an intermediate school-age male stutterer (11 years old.The therapy for the child lasted for 12 months, sessions have been carried out twice a week, each session lasted for 45 minutes. The child still attends the therapy. The therapy uses integration of stuttering modification therapy and fluency shaping therapy. For the purpose of the fluency shaping therapy, delayed auditory feedback program is applied. During the stuttering modification therapy the child has been taught how to stutter more easily which implies prolongation of all sounds in words on which child stutters, with easy and soft transition from one sound to another. It is continuously being worked with the child on reducing negative feelings and attitudes as well as elimination of avoidance of words and speaking situations. We explained to the parents the treatment program and their role in the program realization. We also explained the possible causes of stuttering, and tried to identify and reduce fluency distractors, and engage the child in as many situations as possible which improved speech fluency.After the application of this program the child has improved fluency during the conversation in clinical and nonclinical conditions (environment. This fluency consists of spontaneous and controlled fluency. Furthermore, fear of speaking and avoidance of speech situations are significantly reduced. On the basis of the applied therapy on the child at intermediate stuttering level it can be concluded that it is possible to integrate successfully both approaches: stuttering modification therapy and fluency shaping therapy.

  10. Effects of a physical therapy home-based exercise program for Parkinson's disease

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    Viviane Vieira Santos

    Full Text Available INTRODUCTION: Parkinson's disease (PD is a neurological disorder that causes loss of functional abilities and independence. The aim of this study was to evaluate the effects of a physical therapist-supervised home-based exercise program in patients with PD using the UPDRS scale. MATERIALS AND METHODS: Thirty-three PD patients in the 1.5 to 3 Hoehn and Yahr stages participated in the trial. The patients and their relatives received a booklet with a 12-week home program, with a series of strengthening, stretching and flexibility exercises. The patients were trained by a physical therapist, and each session took 60 minutes, three times a week. RESULTS: We classified our patients in four groups: Group 1 - patients under 60 years of age and less than five years of PD; Group 2 - patients under 60 years of age and more than five years of PD; Group 3 - patients over 60 years of age and less than five years of the disease; and Group 4 - patients over 60 years of age and more than five years of PD. Significant improvement was found in group 1 in mentation, activities of daily living and motor function (p > 0.05. Group 3 presented statistically significant differences in motor function subscale (p > 0.05 and Group 4 showed no worsening in mentation subscale (p > 0.05. Group 2, however, presented no difference in all subscales (p < 0.05. CONCLUSION: Although not all patients improved their UPDRS scores, our data support the use of a home program as an alternative method of physical therapy treatment for PD patients.

  11. Effects of Group Counseling Programs, Cognitive Behavioral Therapy, and Sports Intervention on Internet Addiction in East Asia: A Systematic Review and Meta-Analysis.

    Science.gov (United States)

    Liu, Jun; Nie, Jing; Wang, Yafeng

    2017-11-28

    To evaluate the effects of group counseling programs, cognitive behavioral therapy (CBT), and sports intervention on Internet addiction (IA), a systematic search in ten databases was performed to identify eligible studies without language restrictions up to January 2017. A meta-analysis and trial sequential analysis (TSA) was performed, respectively. A total of 58 randomized controlled trials (RCTs), which included 2871 participants, were incorporated into our meta-analysis. The results showed that group counseling programs, CBT, and sports intervention could significantly reduce IA levels (group counseling program: standardized mean difference (SMD), -1.37; 95% confidence interval (CI), -1.89 to -0.85; CBT: SMD, -1.88; 95% CI, -2.53 to -1.23; sports intervention: SMD, -1.70; 95% CI, -2.14 to -1.26). For group counseling programs, this treatment was more effective in four dimensions of IA, including time management, interpersonal and health issues, tolerance, and compulsive Internet use. For CBT, this treatment yielded a positive change in depression, anxiousness, aggressiveness, somatization, social insecurity, phobic anxiety, paranoid ideation, and psychoticism. For sports intervention, the significant effects were also observed in all dimensions of the IA scale. Each of group counseling programs, cognitive behavioral therapy, and sports intervention had a significant effect on IA and psychopathological symptoms. Sports intervention could improve withdrawal symptoms especially.

  12. Electroconvulsive therapy in geriatric patients: A literature review and program report from Virginia Commonwealth University, Richmond, Virginia, USA

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    Andrew D Snyder

    2017-01-01

    Full Text Available Electroconvulsive therapy (ECT is an effective therapeutic intervention in the elderly patients with major depression, especially those with psychosis, suicidality, catatonia, nutritional compromise, and resistance to medications. Response rates can be as high as 80%. We present an extensive review of the relevant literature, provide a description of the ECT program at Virginia Commonwealth University in Richmond, Virginia, USA, and present results of our experience with ECT in fifty elderly patients. The treatments were safe, well tolerated, and produced high response rates, variably between 68% and 84%. Patients in the long-term maintenance ECT program continue to show sustained benefits from ECT.

  13. ["FESZEK": A program based on cognitive behavioral therapy in Vadaskert Child and Adolescent Psychiatry Hospital and Outpatient Clinic].

    Science.gov (United States)

    Kis, Dóra Sarolta; Miklós, Martina; Füz, Angelika; Farkas, Margit; Balázs, Judit

    2017-01-01

    Attention-deficit/hyperactivity disorder (ADHD) is a common child psychiatric disorder, which occurs in approximately 4-6% of school-aged children. The symptoms of ADHD cause difficulties in academic performance, during leisure activities and affect family-, and peer relations as well. The most effective treatment for managing ADHD is the combination of non-pharmacological and pharmacological interventions. The aim of this paper is to introduce the "Fészek" program - which takes place in Vadaskert Child and Adolescent Psychiatry Hospital and Outpatient Clinic - where children with the diagnosis of ADHD or showing the symptoms of ADHD go through the diagnostic procedure and participate in a cognitive behavioral therapy program.

  14. Longitudinal Study of Speech Perception, Speech, and Language for Children with Hearing Loss in an Auditory-Verbal Therapy Program

    Science.gov (United States)

    Dornan, Dimity; Hickson, Louise; Murdoch, Bruce; Houston, Todd

    2009-01-01

    This study examined the speech perception, speech, and language developmental progress of 25 children with hearing loss (mean Pure-Tone Average [PTA] 79.37 dB HL) in an auditory verbal therapy program. Children were tested initially and then 21 months later on a battery of assessments. The speech and language results over time were compared with…

  15. Telephone-administered cognitive-behavioral therapy for clients with depressive symptoms in an employee assistance program: a pilot study.

    Science.gov (United States)

    Lam, Raymond W; Lutz, Kevin; Preece, Melady; Cayley, Paula M; Bowen Walker, Anne

    2011-02-01

    To assess the clinical and work productivity effects of a brief intervention using telephone-administered cognitive-behavioral therapy (CBT) for clients with depressive symptoms attending an employee assistance program (EAP). Self-referred clients attending the PPC Canada EAP with clinically relevant depressive symptoms at initial assessment were offered an 8-session telephone-administered CBT program. Outcomes before and after intervention were assessed with the 9-item Personal Health Questionnaire (PHQ-9), Global Assessment of Functioning (GAF), and clinician ratings of work absence and performance impairment. Fifty clients were referred to the pilot program; 39 participated and 31 completed the telephone CBT program. Among program participants, there was significant improvement in PHQ-9 and GAF scores. There was also a significant reduction in performance impairment but not work absence. Anecdotal reports indicated high satisfaction ratings among participants. The results of this pilot study, although limited by the absence of a comparison or control group, suggest that a brief telephone-administered CBT program can improve depressive symptomatology, work productivity, and general function in depressed clients attending an EAP. Further controlled studies are needed to confirm these preliminary findings.

  16. The "RAPID" cognitive-behavioral therapy program for inattentive children: preliminary findings.

    Science.gov (United States)

    Young, Susan

    2013-08-01

    The objectives of the current study were to ascertain feasibility and acceptability of directly delivering a cognitive-behavioral therapy (CBT) group intervention for inattentive children in a school setting, to examine the reliability of the RATE-CQuestionnaires that accompany the program, and to determine whether they can be used to measure outcome. Eighty-eight parents/carers, their children (age 8-11), and teachers at mainstream primary schools in London participated by completing the RATE-C Questionnaires; 48 participated in the group treatment following which the Questionnaires were readministered together with a semistructured interview. The intervention had a completion rate of 92%. Postgroup interviews supported the acceptability of a direct intervention with young children. Reliability of the RATE-C Total scores was excellent for parent/carer, child, and teacher ratings; postintervention parent/carer ratings indicated significant improvement on scales of attention, emotion, and conduct with medium to large effect. The results support the reliability of the RATE-C Scales, and feasibility and acceptability of the RAPID intervention.

  17. Physical therapy education in Saudi Arabia

    OpenAIRE

    Alghadir, Ahmad; Zafar, Hamayun; Iqbal, Zaheen Ahmed; Anwer, Shahnawaz

    2015-01-01

    [Purpose] To review the physical therapy educational program model, professional curriculum, and gender representation at major universities, as well as the quality and scope of physical therapy practice in Saudi Arabia. [Methods] Information regarding course curriculum, gender representation, and the quality and scope of physical therapy practice was collected from six universities in Saudi Arabia, the Saudi Physical Therapy Association, and the Saudi Health Commission. [Results] The first b...

  18. Sleep technologists educational needs assessment: a survey of polysomnography, electroneurodiagnostic technology, and respiratory therapy education program directors.

    Science.gov (United States)

    Wells, Mary Ellen; Vaughn, Bradley V

    2013-10-15

    In this study, we assessed the community and educational needs for sleep technologists by surveying program directors of nationally accredited polysomnography, electroneurodiagnostic technology, and respiratory care educational programs. Currently, little is known about our educational capacity and the need for advanced degrees for sleep medicine technical support. A questionnaire was developed about current and future community and educational needs for sleep technologists. The questionnaire was sent to directors of CAAHEP-accredited polysomnography and electroneurodiagnostic technology programs (associate degree and certificate programs), and directors of CoARC-accredited respiratory therapy associate degree and bachelor degree programs (n = 358). Qualitative and quantitative data were collected via an internet survey tool. Data analysis was conducted with the IBM SPSS statistical package and included calculating means and standard deviations of the frequency of responses. Qualitative data was analyzed and classified based on emerging themes. One hundred seven of 408 program directors completed the survey. Seventy-four percent agreed that demand for qualified sleep technologists will increase, yet 50% of those surveyed believe there are not enough educational programs to meet the demand. Seventy-eight percent of those surveyed agreed that the educational requirements for sleep technologists will soon increase; 79% of those surveyed believe sleep centers have a need for technologists with advanced training or specialization. Our study shows educators of associate and certificate degree programs believe there is a need for a bachelor's degree in sleep science and technology.

  19. Morphologic evolution of the wilderness area breach at Fire Island, New York—2012–15

    Science.gov (United States)

    Hapke, Cheryl J.; Nelson, Timothy R.; Henderson, Rachel E.; Brenner, Owen T.; Miselis, Jennifer L.

    2017-09-18

    IntroductionHurricane Sandy, which made landfall on October 29, 2012, near Atlantic City, New Jersey, had a significant impact on the coastal system along the south shore of Long Island, New York. A record significant wave height of 9.6 meters (m) was measured at wave buoy 44025, approximately 48 kilometers offshore of Fire Island, New York. Surge and runup during the storm resulted in extensive beach and dune erosion and breaching of the Fire Island barrier island system at two locations, including a breach that formed within the Otis Pike Fire Island High Dune Wilderness area on the eastern side of Fire Island.The U.S. Geological Survey (USGS) has a long history of conducting morphologic change and processes research at Fire Island. One of the primary objectives of the current research effort is to understand the morphologic evolution of the barrier system on a variety of time scales (from storm scale to decade(s) to century). A number of studies that support the project objectives have been published. Prior to Hurricane Sandy, however, little information was available on specific storm-driven change in this region. The USGS received Hurricane Sandy supplemental funding (project GS2–2B: Linking Coastal Processes and Vulnerability, Fire Island, New York, Regional Study) to enhance existing research efforts at Fire Island. The existing research was greatly expanded to include inner continental shelf mapping and investigations of processes of inner shelf sediment transport; beach and dune response and recovery; and observation, analysis, and modeling of the newly formed breach in the Otis Pike High Dune Wilderness area, herein referred to as the wilderness breach. The breach formed at the site of Old Inlet, which was open from 1763 to 1825. The location of the initial island breaching does not directly correspond with topographic lows of the dunes, but instead the breach formed in the location of a cross-island boardwalk that was destroyed during Hurricane Sandy

  20. CAREGIVER COMPLIANCE WITH PHYSICAL THERAPY HOME PROGRAM: A PILOT STUDY IN PEDIATRIC OUTPATIENT CLINICS IN KUWAIT

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    Maryam M. Almandil

    2017-06-01

    Full Text Available Background: Compliance depends on the caregiver and the health care professional committing to the same objectives.Compliance with the prescribed physical therapy (PT home program is a significant contributor to treatment success. Methods: One hundred caregivers were invited to fill in a questionnaire after the explanation of the procedure, and signing the consent form. The questionnaire explored factors affecting compliance including nature of the exercise, physical and emotional stresses on the caregiver, and the role of PT in teaching and counseling the caregiver. Result: Ninety-one participants out of the 100 were committed to administering the exercises with their children. Despite this, there was a discrepancy in either the frequency of repeating the exercises per day or the content of the exercise program when compared with the exercise program prescribed by the therapist. Some of the primary reasons for these differences were the pain experienced by the child when exercising (71%, having other family commitments (57%, not having the time to administer the home program (37%, and lacking skills or equipment to administer the exercises (34%. Conclusion: Adherence to treatment is a complex act that requires an understanding of treatment approach, having the confidence in one’s skills to administer the unsupervised home program and the existence of a support system both in the hospital and at home that can provide aid when needed. It is the PT role to address all these issues when prescribing a home program to meet treatment objectives.