16 results
Parental communication satisfaction with the clinical team in the paediatric cardiac ICU
- Jennifer K. Walter, Chris Feudtner, Arzu Cetin, Aaron G. DeWitt, Michelle Zhou, Diana Montoya-Williams, Rob Olsen, Heather Griffis, Catherine Williams, Andrew Costarino
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- Journal:
- Cardiology in the Young / Volume 34 / Issue 2 / February 2024
- Published online by Cambridge University Press:
- 26 June 2023, pp. 282-290
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Introduction
Understanding parents’ communication preferences and how parental and child characteristics impact satisfaction with communication is vital to mitigate communication challenges in the cardiac ICU.
MethodsThis cross-sectional survey was conducted from January 2019 to March 2020 in a paediatric cardiac ICU with parents of patients admitted for at least two weeks. Family satisfaction with communication with the medical team was measured using the Communication Assessment Tool for Team settings. Clinical characteristics were collected via Epic, Pediatric Cardiac Critical Care Consortium local entry and Society for Thoracic Surgeons Congenital Heart Surgery Databases. Associations between communication score and parental mood, stress, perceptions of clinical care, and demographic characteristics along with patient demographic and clinical characteristics were examined. Multivariable ordinal models were conducted with characteristics significant in bivariate analysis.
ResultsIn total, 93 parents of 84 patients (86% of approached) completed surveys. Parents were 63% female and 70% White. Seventy per cent of patients were <6 months old at admission, 25% had an extracardiac abnormality, and 80% had a cardiac surgery this admission. Parents of children with higher pre-surgical risk of mortality scores (OR 2.875; 95%CI 1.076–7.678), presence of surgical complications (72 [63.0, 75.0] vs. 64 [95%CI 54.6, 73] (p = 0.0247)), and greater satisfaction with care in the ICU (r = 0.93922; p < 0.0001) had significantly higher communication scores.
ConclusionThese findings can prepare providers for scenarios with higher risk for communication challenges and demonstrate the need for further investigation into interventions that reduce parental anxiety and improve communication for patients with unexpected clinical trajectories
Ten new insights in climate science 2022
- Maria A. Martin, Emmanuel A. Boakye, Emily Boyd, Wendy Broadgate, Mercedes Bustamante, Josep G. Canadell, Edward R. Carr, Eric K. Chu, Helen Cleugh, Szilvia Csevár, Marwa Daoudy, Ariane de Bremond, Meghnath Dhimal, Kristie L. Ebi, Clea Edwards, Sabine Fuss, Martin P. Girardin, Bruce Glavovic, Sophie Hebden, Marina Hirota, Huang-Hsiung Hsu, Saleemul Huq, Karin Ingold, Ola M. Johannessen, Yasuko Kameyama, Nilushi Kumarasinghe, Gaby S. Langendijk, Tabea Lissner, Shuaib Lwasa, Catherine Machalaba, Aaron Maltais, Manu V. Mathai, Cheikh Mbow, Karen E. McNamara, Aditi Mukherji, Virginia Murray, Jaroslav Mysiak, Chukwumerije Okereke, Daniel Ospina, Friederike Otto, Anjal Prakash, Juan M. Pulhin, Emmanuel Raju, Aaron Redman, Kanta K. Rigaud, Johan Rockström, Joyashree Roy, E. Lisa F. Schipper, Peter Schlosser, Karsten A. Schulz, Kim Schumacher, Luana Schwarz, Murray Scown, Barbora Šedová, Tasneem A. Siddiqui, Chandni Singh, Giles B. Sioen, Detlef Stammer, Norman J. Steinert, Sunhee Suk, Rowan Sutton, Lisa Thalheimer, Maarten van Aalst, Kees van der Geest, Zhirong Jerry Zhao
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- Journal:
- Global Sustainability / Volume 5 / 2022
- Published online by Cambridge University Press:
- 10 November 2022, e20
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Non-technical summary
We summarize what we assess as the past year's most important findings within climate change research: limits to adaptation, vulnerability hotspots, new threats coming from the climate–health nexus, climate (im)mobility and security, sustainable practices for land use and finance, losses and damages, inclusive societal climate decisions and ways to overcome structural barriers to accelerate mitigation and limit global warming to below 2°C.
Technical summaryWe synthesize 10 topics within climate research where there have been significant advances or emerging scientific consensus since January 2021. The selection of these insights was based on input from an international open call with broad disciplinary scope. Findings concern: (1) new aspects of soft and hard limits to adaptation; (2) the emergence of regional vulnerability hotspots from climate impacts and human vulnerability; (3) new threats on the climate–health horizon – some involving plants and animals; (4) climate (im)mobility and the need for anticipatory action; (5) security and climate; (6) sustainable land management as a prerequisite to land-based solutions; (7) sustainable finance practices in the private sector and the need for political guidance; (8) the urgent planetary imperative for addressing losses and damages; (9) inclusive societal choices for climate-resilient development and (10) how to overcome barriers to accelerate mitigation and limit global warming to below 2°C.
Social media summaryScience has evidence on barriers to mitigation and how to overcome them to avoid limits to adaptation across multiple fields.
Resolving the 3D Nano-architecture of the Actin Cytoskeleton
- James Galbraith, Jesse Aaron, Ulrike Boehm, Teng-Leong Chew, Catherine Galbraith
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- Journal:
- Microscopy and Microanalysis / Volume 26 / Issue S2 / August 2020
- Published online by Cambridge University Press:
- 30 July 2020, p. 1032
- Print publication:
- August 2020
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Situating dissemination and implementation sciences within and across the translational research spectrum - ADDENDUM
- Aaron L. Leppin, Jane E. Mahoney, Kathleen R. Stevens, Stephen J. Bartels, Laura-Mae Baldwin, Rowena J. Dolor, Enola K. Proctor, Linda Scholl, Justin B. Moore, Ana A. Baumann, Catherine L. Rohweder, Joan Luby, Paul Meissner
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- Journal:
- Journal of Clinical and Translational Science / Volume 4 / Issue 4 / August 2020
- Published online by Cambridge University Press:
- 06 July 2020, p. 371
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Use of concurrent evaluation to improve implementation of a home fortification programme in Bangladesh: a methodological innovation - CORRIGENDUM
- Haribondhu Sarma, Md. Fakhar Uddin, Mohammad Ashraful Islam, Mahfuzur Rahman, Grant J Aaron, Catherine Harbour, Cathy Banwell, Tahmeed Ahmed
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- Journal:
- Public Health Nutrition / Volume 24 / Issue S1 / April 2021
- Published online by Cambridge University Press:
- 23 March 2020, p. s71
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Use of concurrent evaluation to improve implementation of a home fortification programme in Bangladesh: a methodological innovation
- Haribondhu Sarma, Md. Fakhar Uddin, Mohammad Ashraful Islam, Mahfuzur Rahman, Grant J Aaron, Catherine Harbour, Cathy Banwell, Tahmeed Ahmed
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- Public Health Nutrition / Volume 24 / Issue S1 / April 2021
- Published online by Cambridge University Press:
- 05 March 2020, pp. s37-s47
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Objective:
This paper focuses on the use of ‘concurrent evaluation’ to evaluate a nationally scaled-up programme in Bangladesh that was implemented by BRAC (an international development organisation) using Shasthya Shebika (SS) – volunteer community health workers – to promote home fortification with micronutrient powders (MNP) for children under-five.
Design:We developed a programme impact pathway to conceptualise the implementation and evaluation strategy and developed a strategic partnership among the key programme stakeholders for better use of evaluation evidence. We developed a multi-method concurrent evaluation strategy to provide insights into the BRAC programme and created provision for course correction to the implementation plan while it was in operation.
Setting:One hundred sixty-four sub-districts and six urban slums in Bangladesh.
Participants:Caregivers of children 6–59 months, SS and BRAC’s staff members.
Results:The evaluation identified low awareness about home fortification among caregivers, inadequate supply and frequent MNP stockouts, and inadequate skills of BRAC’s SS to promote MNP at the community level as hindrances to the achievement of programme goals. The partners regularly discussed evaluation results during and after implementation activities to assess progress in programme coverage and any needs for modification. BRAC initiated a series of corrections to the original implementation plan to address these challenges, which improved the design of the MNP programme; this resulted in enhanced programme outcomes.
Conclusions:Concurrent evaluation is an innovative approach to evaluate complex real-world programmes. Here it was utilised in implementing a large-scale nutrition programme to measure implementation process and effectiveness.
Situating dissemination and implementation sciences within and across the translational research spectrum
- Aaron L. Leppin, Jane E. Mahoney, Kathleen R. Stevens, Stephen J. Bartels, Laura-Mae Baldwin, Rowena J. Dolor, Enola K. Proctor, Linda Scholl, Justin B. Moore, Ana A. Baumann, Catherine L. Rohweder, Joan Luby, Paul Meissner
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- Journal of Clinical and Translational Science / Volume 4 / Issue 3 / June 2020
- Published online by Cambridge University Press:
- 29 July 2019, pp. 152-158
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The efficient and effective movement of research into practice is acknowledged as crucial to improving population health and assuring return on investment in healthcare research. The National Center for Advancing Translational Science which sponsors Clinical and Translational Science Awards (CTSA) recognizes that dissemination and implementation (D&I) sciences have matured over the last 15 years and are central to its goals to shift academic health institutions to better align with this reality. In 2016, the CTSA Collaboration and Engagement Domain Task Force chartered a D&I Science Workgroup to explore the role of D&I sciences across the translational research spectrum. This special communication discusses the conceptual distinctions and purposes of dissemination, implementation, and translational sciences. We propose an integrated framework and provide real-world examples for articulating the role of D&I sciences within and across all of the translational research spectrum. The framework’s major proposition is that it situates D&I sciences as targeted “sub-sciences” of translational science to be used by CTSAs, and others, to identify and investigate coherent strategies for more routinely and proactively accelerating research translation. The framework highlights the importance of D&I thought leaders in extending D&I principles to all research stages.
Beyond public: architects, activists, and the design of akichi at Tokyo’s Miyashita Park
- Aaron Cayer, Catherine Tsukasa Bender
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- Journal:
- arq: Architectural Research Quarterly / Volume 23 / Issue 2 / June 2019
- Published online by Cambridge University Press:
- 04 September 2019, pp. 167-178
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- June 2019
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Peppered with galleries, ateliers, and upscale designer boutiques, Tokyo’s Shibuya ward is often described as a commercial haven for Japan’s urban fashionistas and style-conscious visitors. Within it, a narrow park sits atop a 1960s parking structure that was once a refuge for nearly one hundred homeless city residents until most were forcibly removed in 2010 by city officials. Dozens of blue tarp tents, umbrellas, weathered shoes, and cherished belongings were discarded, and the people who had lived there were fenced out indefinitely. Although this striking contrast of urban socioeconomic disparity is one that characterises many cities across the globe, the juxtapositions in Shibuya have been made increasingly visible by strong cohorts of unrelenting activists who have ignited decades of discourse and scholarly debate about individual rights to cities, as well as the role and agency of architects in the designing of public spaces. This article combines participant observations of art activists, semi-structured and oral history interviews of homeless residents in Tokyo, as well as historical analysis, to examine these tensions as they have played out at Miyashita Park in Shibuya, including how perpetual redesigns of the park by architects and urban planners tasked with ‘re-activating’ the park in the 1960s, 2000s, and again in the late 2010s, have been vehemently opposed. More specifically, the article examines how a vocal group of art activists organised in opposition to the park’s most recent redesign efforts sponsored by Nike and the idea that such a public-private partnership could produce an inclusive public space. Instead, the activists worked to problematise the appropriateness of terms such as ‘public’ altogether. Through art installations, writing, impromptu concerts, sporting events, and protests that engaged with the politics of their own bodies, the activists turned to alternative genealogies and definitions of ‘public’ as a way to connect more particularly to Japanese urban form and to resist hegemonic and imported concepts of ‘public’ as reproduced and reinforced by architects often without challenge. By drawing on alternative terms, such as akichi, meaning ‘open land’, the activists argue for a different sense of spatial inclusivity than the supposedly universal democratic ideals associated with designs for public spaces in Tokyo.
Convergence rates for estimators of geodesic distances and Frèchet expectations
- Part of
- Catherine Aaron, Olivier Bodart
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- Journal:
- Journal of Applied Probability / Volume 55 / Issue 4 / December 2018
- Published online by Cambridge University Press:
- 16 January 2019, pp. 1001-1013
- Print publication:
- December 2018
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Consider a sample 𝒳n={X1,…,Xn} of independent and identically distributed variables drawn with a probability distribution ℙX supported on a compact set M⊂ℝd. In this paper we mainly deal with the study of a natural estimator for the geodesic distance on M. Under rather general geometric assumptions on M, we prove a general convergence result. Assuming M to be a compact manifold of known dimension d′≤d, and under regularity assumptions on ℙX, we give an explicit convergence rate. In the case when M has no boundary, knowledge of the dimension d′ is not needed to obtain this convergence rate. The second part of the work consists in building an estimator for the Fréchet expectations on M, and proving its convergence under regularity conditions, applying the previous results.
Letter in Response to: “CJEM Debate Series: #Social Media – Social Media has Created Emergency Medicine Celebrities Who Now Influence Practice More Than Published Evidence”
- Aaron Orkin, Howard Ovens, Shelley McLeod, Catherine Varner, Don Melady, Cameron Thompson, Rick Penciner, Kuldeep Sidhu, David Dushenski, Bjug Borgundvaag
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- Journal:
- Canadian Journal of Emergency Medicine / Volume 20 / Issue S2 / October 2018
- Published online by Cambridge University Press:
- 23 January 2018, p. S89
- Print publication:
- October 2018
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11 - Conservation of migratory fishes in freshwater ecosystems
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- By Peter B. McIntyre, University of Wisconsin, Catherine Reidy Liermann, University of Wisconsin, Evan Childress, University of Wisconsin, Ellen J. Hamann, University of Wisconsin, J. Derek Hogan, Texas A&M University – Corpus Christi, Stephanie R. Januchowski-Hartley, Texas A&M University – Corpus Christi, Aaron A. Koning, University of Wisconsin, Thomas M. Neeson, University of Wisconsin, Daniel L. Oele, University of Wisconsin, Brenda M. Pracheil, Oak Ridge National Laboratory
- Edited by Gerard P. Closs, University of Otago, New Zealand, Martin Krkosek, University of Toronto, Julian D. Olden, University of Washington
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- Conservation of Freshwater Fishes
- Published online:
- 05 December 2015
- Print publication:
- 03 December 2015, pp 324-360
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Summary
Migratory fishes are natural wonders. For many people, the term migratory fish evokes images of salmon audaciously jumping at waterfalls as they return to their own riverine birthplace to spawn after years of growth in the ocean, but freshwater fishes actually show a broad spectrum of migration strategies. Migratory fishes include small species – three-spined sticklebacks that spawn in coastal streams around the northern Pacific and gobies that move from the ocean into tropical island streams by climbing waterfalls (McDowall, 1988) – as well as some of the largest freshwater fishes in the world, such as the Mekong dog-eating catfish and the Chinese paddlefish (Stone, 2007). Aside from migratory habits, these species have few shared characteristics; they encompass numerous evolutionary lineages, enormous differences in life history, and every possible direction and distance of migration. Biologists treat migratory freshwater fishes as a functional group because their life-history strategy revolves around long-distance movement between ecosystems in a perilous quest to take advantage of both high-quality breeding sites and bountiful feeding areas. As humans have physically blocked fish migrations, degraded breeding and feeding grounds and relentlessly harvested migrants for their flesh and roe, many populations have declined or been extirpated. This chapter will provide an overview of fundamental and applied research that is helping to guide efforts to conserve migratory freshwater fishes.
For practical purposes, we define migratory behaviour as the synchronized movement of a substantial proportion of a population between distinct habitats, which is repeated through time within or across generations. Modern definitions of fish migrations typically recognise both the adaptive benefits of migrating and individual variation in executing the general strategy (see McDowall, 1988; Lucas & Baras, 2001). Not every individual must move, the timing may vary somewhat from year to year, and the motive for migrating may include seeking refuge from harsh conditions in addition to breeding and feeding. Nonetheless, in most cases, migration is critical to individual fitness and population persistence because it enables specialised use of different habitats for growth and reproduction. Where their migration routes are blocked or key habitats are lost, migratory fishes often suffer rapid and catastrophic losses.
Human appropriation and degradation of the Earth's freshwater ecosystems (Vörösmarty et al., 2010; Carpenter et al., 2011) have transformed this reliance on multiple habitats into a detriment for many migratory fishes.
Contributors
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- By Mitchell Aboulafia, Frederick Adams, Marilyn McCord Adams, Robert M. Adams, Laird Addis, James W. Allard, David Allison, William P. Alston, Karl Ameriks, C. Anthony Anderson, David Leech Anderson, Lanier Anderson, Roger Ariew, David Armstrong, Denis G. Arnold, E. J. Ashworth, Margaret Atherton, Robin Attfield, Bruce Aune, Edward Wilson Averill, Jody Azzouni, Kent Bach, Andrew Bailey, Lynne Rudder Baker, Thomas R. Baldwin, Jon Barwise, George Bealer, William Bechtel, Lawrence C. Becker, Mark A. Bedau, Ernst Behler, José A. Benardete, Ermanno Bencivenga, Jan Berg, Michael Bergmann, Robert L. Bernasconi, Sven Bernecker, Bernard Berofsky, Rod Bertolet, Charles J. Beyer, Christian Beyer, Joseph Bien, Joseph Bien, Peg Birmingham, Ivan Boh, James Bohman, Daniel Bonevac, Laurence BonJour, William J. Bouwsma, Raymond D. Bradley, Myles Brand, Richard B. Brandt, Michael E. Bratman, Stephen E. Braude, Daniel Breazeale, Angela Breitenbach, Jason Bridges, David O. Brink, Gordon G. Brittan, Justin Broackes, Dan W. Brock, Aaron Bronfman, Jeffrey E. Brower, Bartosz Brozek, Anthony Brueckner, Jeffrey Bub, Lara Buchak, Otavio Bueno, Ann E. Bumpus, Robert W. Burch, John Burgess, Arthur W. Burks, Panayot Butchvarov, Robert E. Butts, Marina Bykova, Patrick Byrne, David Carr, Noël Carroll, Edward S. Casey, Victor Caston, Victor Caston, Albert Casullo, Robert L. Causey, Alan K. L. Chan, Ruth Chang, Deen K. Chatterjee, Andrew Chignell, Roderick M. Chisholm, Kelly J. Clark, E. J. Coffman, Robin Collins, Brian P. Copenhaver, John Corcoran, John Cottingham, Roger Crisp, Frederick J. Crosson, Antonio S. Cua, Phillip D. Cummins, Martin Curd, Adam Cureton, Andrew Cutrofello, Stephen Darwall, Paul Sheldon Davies, Wayne A. Davis, Timothy Joseph Day, Claudio de Almeida, Mario De Caro, Mario De Caro, John Deigh, C. F. Delaney, Daniel C. Dennett, Michael R. DePaul, Michael Detlefsen, Daniel Trent Devereux, Philip E. Devine, John M. Dillon, Martin C. Dillon, Robert DiSalle, Mary Domski, Alan Donagan, Paul Draper, Fred Dretske, Mircea Dumitru, Wilhelm Dupré, Gerald Dworkin, John Earman, Ellery Eells, Catherine Z. Elgin, Berent Enç, Ronald P. Endicott, Edward Erwin, John Etchemendy, C. Stephen Evans, Susan L. Feagin, Solomon Feferman, Richard Feldman, Arthur Fine, Maurice A. Finocchiaro, William FitzPatrick, Richard E. Flathman, Gvozden Flego, Richard Foley, Graeme Forbes, Rainer Forst, Malcolm R. Forster, Daniel Fouke, Patrick Francken, Samuel Freeman, Elizabeth Fricker, Miranda Fricker, Michael Friedman, Michael Fuerstein, Richard A. Fumerton, Alan Gabbey, Pieranna Garavaso, Daniel Garber, Jorge L. A. Garcia, Robert K. Garcia, Don Garrett, Philip Gasper, Gerald Gaus, Berys Gaut, Bernard Gert, Roger F. Gibson, Cody Gilmore, Carl Ginet, Alan H. Goldman, Alvin I. Goldman, Alfonso Gömez-Lobo, Lenn E. Goodman, Robert M. Gordon, Stefan Gosepath, Jorge J. E. Gracia, Daniel W. Graham, George A. Graham, Peter J. Graham, Richard E. Grandy, I. Grattan-Guinness, John Greco, Philip T. Grier, Nicholas Griffin, Nicholas Griffin, David A. Griffiths, Paul J. Griffiths, Stephen R. Grimm, Charles L. Griswold, Charles B. Guignon, Pete A. Y. Gunter, Dimitri Gutas, Gary Gutting, Paul Guyer, Kwame Gyekye, Oscar A. Haac, Raul Hakli, Raul Hakli, Michael Hallett, Edward C. Halper, Jean Hampton, R. James Hankinson, K. R. Hanley, Russell Hardin, Robert M. Harnish, William Harper, David Harrah, Kevin Hart, Ali Hasan, William Hasker, John Haugeland, Roger Hausheer, William Heald, Peter Heath, Richard Heck, John F. Heil, Vincent F. Hendricks, Stephen Hetherington, Francis Heylighen, Kathleen Marie Higgins, Risto Hilpinen, Harold T. Hodes, Joshua Hoffman, Alan Holland, Robert L. Holmes, Richard Holton, Brad W. Hooker, Terence E. Horgan, Tamara Horowitz, Paul Horwich, Vittorio Hösle, Paul Hoβfeld, Daniel Howard-Snyder, Frances Howard-Snyder, Anne Hudson, Deal W. Hudson, Carl A. Huffman, David L. Hull, Patricia Huntington, Thomas Hurka, Paul Hurley, Rosalind Hursthouse, Guillermo Hurtado, Ronald E. Hustwit, Sarah Hutton, Jonathan Jenkins Ichikawa, Harry A. Ide, David Ingram, Philip J. Ivanhoe, Alfred L. Ivry, Frank Jackson, Dale Jacquette, Joseph Jedwab, Richard Jeffrey, David Alan Johnson, Edward Johnson, Mark D. Jordan, Richard Joyce, Hwa Yol Jung, Robert Hillary Kane, Tomis Kapitan, Jacquelyn Ann K. Kegley, James A. Keller, Ralph Kennedy, Sergei Khoruzhii, Jaegwon Kim, Yersu Kim, Nathan L. King, Patricia Kitcher, Peter D. Klein, E. D. Klemke, Virginia Klenk, George L. Kline, Christian Klotz, Simo Knuuttila, Joseph J. Kockelmans, Konstantin Kolenda, Sebastian Tomasz Kołodziejczyk, Isaac Kramnick, Richard Kraut, Fred Kroon, Manfred Kuehn, Steven T. Kuhn, Henry E. Kyburg, John Lachs, Jennifer Lackey, Stephen E. Lahey, Andrea Lavazza, Thomas H. Leahey, Joo Heung Lee, Keith Lehrer, Dorothy Leland, Noah M. Lemos, Ernest LePore, Sarah-Jane Leslie, Isaac Levi, Andrew Levine, Alan E. Lewis, Daniel E. Little, Shu-hsien Liu, Shu-hsien Liu, Alan K. L. Chan, Brian Loar, Lawrence B. Lombard, John Longeway, Dominic McIver Lopes, Michael J. Loux, E. J. Lowe, Steven Luper, Eugene C. Luschei, William G. Lycan, David Lyons, David Macarthur, Danielle Macbeth, Scott MacDonald, Jacob L. Mackey, Louis H. Mackey, Penelope Mackie, Edward H. Madden, Penelope Maddy, G. B. Madison, Bernd Magnus, Pekka Mäkelä, Rudolf A. Makkreel, David Manley, William E. Mann (W.E.M.), Vladimir Marchenkov, Peter Markie, Jean-Pierre Marquis, Ausonio Marras, Mike W. Martin, A. P. Martinich, William L. McBride, David McCabe, Storrs McCall, Hugh J. McCann, Robert N. McCauley, John J. McDermott, Sarah McGrath, Ralph McInerny, Daniel J. McKaughan, Thomas McKay, Michael McKinsey, Brian P. McLaughlin, Ernan McMullin, Anthonie Meijers, Jack W. Meiland, William Jason Melanson, Alfred R. Mele, Joseph R. Mendola, Christopher Menzel, Michael J. Meyer, Christian B. Miller, David W. Miller, Peter Millican, Robert N. Minor, Phillip Mitsis, James A. Montmarquet, Michael S. Moore, Tim Moore, Benjamin Morison, Donald R. Morrison, Stephen J. Morse, Paul K. Moser, Alexander P. D. Mourelatos, Ian Mueller, James Bernard Murphy, Mark C. Murphy, Steven Nadler, Jan Narveson, Alan Nelson, Jerome Neu, Samuel Newlands, Kai Nielsen, Ilkka Niiniluoto, Carlos G. Noreña, Calvin G. Normore, David Fate Norton, Nikolaj Nottelmann, Donald Nute, David S. Oderberg, Steve Odin, Michael O’Rourke, Willard G. Oxtoby, Heinz Paetzold, George S. Pappas, Anthony J. Parel, Lydia Patton, R. P. Peerenboom, Francis Jeffry Pelletier, Adriaan T. Peperzak, Derk Pereboom, Jaroslav Peregrin, Glen Pettigrove, Philip Pettit, Edmund L. Pincoffs, Andrew Pinsent, Robert B. Pippin, Alvin Plantinga, Louis P. Pojman, Richard H. Popkin, John F. Post, Carl J. Posy, William J. Prior, Richard Purtill, Michael Quante, Philip L. Quinn, Philip L. Quinn, Elizabeth S. Radcliffe, Diana Raffman, Gerard Raulet, Stephen L. Read, Andrews Reath, Andrew Reisner, Nicholas Rescher, Henry S. Richardson, Robert C. Richardson, Thomas Ricketts, Wayne D. Riggs, Mark Roberts, Robert C. Roberts, Luke Robinson, Alexander Rosenberg, Gary Rosenkranz, Bernice Glatzer Rosenthal, Adina L. Roskies, William L. Rowe, T. M. Rudavsky, Michael Ruse, Bruce Russell, Lilly-Marlene Russow, Dan Ryder, R. M. Sainsbury, Joseph Salerno, Nathan Salmon, Wesley C. Salmon, Constantine Sandis, David H. Sanford, Marco Santambrogio, David Sapire, Ruth A. Saunders, Geoffrey Sayre-McCord, Charles Sayward, James P. Scanlan, Richard Schacht, Tamar Schapiro, Frederick F. Schmitt, Jerome B. Schneewind, Calvin O. Schrag, Alan D. Schrift, George F. Schumm, Jean-Loup Seban, David N. Sedley, Kenneth Seeskin, Krister Segerberg, Charlene Haddock Seigfried, Dennis M. Senchuk, James F. Sennett, William Lad Sessions, Stewart Shapiro, Tommie Shelby, Donald W. Sherburne, Christopher Shields, Roger A. Shiner, Sydney Shoemaker, Robert K. Shope, Kwong-loi Shun, Wilfried Sieg, A. John Simmons, Robert L. Simon, Marcus G. Singer, Georgette Sinkler, Walter Sinnott-Armstrong, Matti T. Sintonen, Lawrence Sklar, Brian Skyrms, Robert C. Sleigh, Michael Anthony Slote, Hans Sluga, Barry Smith, Michael Smith, Robin Smith, Robert Sokolowski, Robert C. Solomon, Marta Soniewicka, Philip Soper, Ernest Sosa, Nicholas Southwood, Paul Vincent Spade, T. L. S. Sprigge, Eric O. Springsted, George J. Stack, Rebecca Stangl, Jason Stanley, Florian Steinberger, Sören Stenlund, Christopher Stephens, James P. Sterba, Josef Stern, Matthias Steup, M. A. Stewart, Leopold Stubenberg, Edith Dudley Sulla, Frederick Suppe, Jere Paul Surber, David George Sussman, Sigrún Svavarsdóttir, Zeno G. Swijtink, Richard Swinburne, Charles C. Taliaferro, Robert B. Talisse, John Tasioulas, Paul Teller, Larry S. Temkin, Mark Textor, H. S. Thayer, Peter Thielke, Alan Thomas, Amie L. Thomasson, Katherine Thomson-Jones, Joshua C. Thurow, Vzalerie Tiberius, Terrence N. Tice, Paul Tidman, Mark C. Timmons, William Tolhurst, James E. Tomberlin, Rosemarie Tong, Lawrence Torcello, Kelly Trogdon, J. D. Trout, Robert E. Tully, Raimo Tuomela, John Turri, Martin M. Tweedale, Thomas Uebel, Jennifer Uleman, James Van Cleve, Harry van der Linden, Peter van Inwagen, Bryan W. Van Norden, René van Woudenberg, Donald Phillip Verene, Samantha Vice, Thomas Vinci, Donald Wayne Viney, Barbara Von Eckardt, Peter B. M. Vranas, Steven J. Wagner, William J. Wainwright, Paul E. Walker, Robert E. Wall, Craig Walton, Douglas Walton, Eric Watkins, Richard A. Watson, Michael V. Wedin, Rudolph H. Weingartner, Paul Weirich, Paul J. Weithman, Carl Wellman, Howard Wettstein, Samuel C. Wheeler, Stephen A. White, Jennifer Whiting, Edward R. Wierenga, Michael Williams, Fred Wilson, W. Kent Wilson, Kenneth P. Winkler, John F. Wippel, Jan Woleński, Allan B. Wolter, Nicholas P. Wolterstorff, Rega Wood, W. Jay Wood, Paul Woodruff, Alison Wylie, Gideon Yaffe, Takashi Yagisawa, Yutaka Yamamoto, Keith E. Yandell, Xiaomei Yang, Dean Zimmerman, Günter Zoller, Catherine Zuckert, Michael Zuckert, Jack A. Zupko (J.A.Z.)
- Edited by Robert Audi, University of Notre Dame, Indiana
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- Book:
- The Cambridge Dictionary of Philosophy
- Published online:
- 05 August 2015
- Print publication:
- 27 April 2015, pp ix-xxx
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Chapter 11 - Renewable Energy
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- By Wim Turkenburg, Utrecht University, Doug J. Arent, National Renewable Energy laboratory, Ruggero Bertani, Enel Green Power S.p.A., Andre Faaij, Utrecht University, Maureen Hand, National Renewable Energy Laboratory, Wolfram Krewitt, German Air and Space Agency, Eric D. Larson, Princeton University and Climate Central, John Lund, Geo-Heat Center, Oregon Institute of Technology, Mark Mehos, National Renewable Energy Laboratory, Tim Merrigan, National Renewable Energy Laboratory, Catherine Mitchell, University of Exeter, José Roberto Moreira, Biomass Users Network, Wim Sinke, Energy Research Centre of the Netherlands, Virginia Sonntag-O'Brien, REN21, Bob Thresher, National Renewable Energy Laboratory, Wilfried van Sark, Utrecht University, Eric Usher, United Nations Environment Programme, Dan Bilello, National Renewable Energy Laboratory, Helena Chum, National Renewable Energy Laboratory, Diana Kraft, REN21, Philippe Lempp, German Development Ministry, Jeff Logan, National Renewable Energy Laboratory, Lau Saili, International Hydropower Association, Niels B. Schulz, International Institute for Applied systems Analysis, Austria and Imperial College, Aaron Smith, National Renewable Energy Laboratory, Richard Taylor, International Hydropower Association, Craig Turchi, National Renewable Energy Laboratory, Jürgen Schmid, Fraunhofer Institute for Wind Energy and Energy System Technology
- Global Energy Assessment Writing Team
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- Book:
- Global Energy Assessment
- Published online:
- 05 September 2012
- Print publication:
- 27 August 2012, pp 761-900
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Summary
Executive Summary
Renewable energy sources – including biomass, geothermal, ocean, solar, and wind energy, as well as hydropower – have a huge potential to provide energy services for the world. The renewable energy resource base is sufficient to meet several times the present world energy demand and potentially even 10 to 100 times this demand. This chapter includes an in-depth examination of technologies to convert these renewable energy sources to energy carriers that can be used to fulfill our energy needs, including their installed capacity, the amount of energy carriers they produced in 2009, the current state of market and technology development, their economic and financial feasibility in 2009 and in the near future, as well as major issues they may face relative to their sustainability or implementation.
Present uses of renewable energy
Since 1990 the energy provided from renewable sources worldwide has risen at an average rate of nearly 2% a year, but in recent years this rate has increased to about 5% annually (see Figure 11.1.) As a result, the global contribution of renewables has increased from about 74 EJ in 2005 to about 89 EJ in 2009 and represents now 17% of global primary energy supply (528 EJ, see Figure 11.2). Most of this renewable energy comes from the traditional use of biomass (about 39 EJ) and larger-scale hydropower (about 30 EJ), while other renewable technologies provided about 20 EJ.
Importance of Employee Vaccination against Influenza in Preventing Cases in Long-Term Care Facilities
- Aaron M. Wendelboe, Catherine Avery, Bernardo Andrade, Joan Baumbach, Michael G. Landen
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- Journal:
- Infection Control & Hospital Epidemiology / Volume 32 / Issue 10 / October 2011
- Published online by Cambridge University Press:
- 02 January 2015, pp. 990-997
- Print publication:
- October 2011
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Objective.
Employees of long-term care facilities (LTCFs) who have contact with residents should be vaccinated against influenza annually to reduce influenza incidence among residents. This investigation estimated the magnitude of the benefit of this recommendation.
Methods.The New Mexico Department of Health implemented active surveillance in all of its 75 LTCFs during influenza seasons 2006-2007 and 2007-2008. Information about the number of laboratory-confirmed cases of influenza and the proportion vaccinated of both residents and direct-care employees in each facility was collected monthly. LTCFs reporting at least 1 case of influenza (defined alternately by laboratory confirmation or symptoms of influenza-like illness [ILI]) among residents were compared with LTCFs reporting no cases of influenza. Regression modeling was used to obtain adjusted odds ratios (aORs) and 95% confidence intervals (CIs) for the association between employee vaccination coverage and the occurrence of influenza outbreaks. Covariates included vaccination coverage among residents, the staff-to-resident ratio, and the proportion of filled beds.
Results.Seventeen influenza outbreaks were reported during this 2-year period of surveillance. Eleven of these were laboratory confirmed (n = 21 residents) and 6 were defined by ILI (n = 40 residents). Mean influenza vaccination coverage among direct-care employees was 51% in facilities reporting outbreaks and 60% in facilities not reporting outbreaks (P = .12). Increased vaccination coverage among direct-care employees was associated with fewer reported outbreaks of laboratory-confirmed influenza (aOR, 0.97 [95% CI, 0.95-0.99]) and ILI (aOR, 0.98 [95% CI, 0.96-1.00]).
Conclusions.High vaccination coverage among direct-care employees helps to prevent influenza in LTCFs.
Very high rates of vitamin D insufficiency in women of child-bearing age living in Beijing and Hong Kong
- Jean Woo, Christopher W. K. Lam, Jason Leung, Winny Y. Lau, Edith Lau, Xu Ling, Xiaoping Xing, Xi He Zhao, C. Murray Skeaff , Catherine J. Bacon, Jennifer E. P. Rockell, Aaron Lambert, Susan J. Whiting, Timothy J. Green
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- Journal:
- British Journal of Nutrition / Volume 99 / Issue 6 / June 2008
- Published online by Cambridge University Press:
- 01 June 2008, pp. 1330-1334
- Print publication:
- June 2008
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We aimed to describe the vitamin D status of young women living in two Chinese cities in the spring – Beijing in the north (latitude 39° north) and Hong Kong (latitude 22° north) in the south. We also examined the relationship between serum 25-hydroxyvitamin D and parathyroid hormone (PTH) concentrations to determine a threshold for serum 25-hydroxyvitamin D above which there is no further suppression of PTH. Finally, we examined whether dietary Ca intake influences this relationship. Non-pregnant women aged 18–40 years (n 441) were recruited between February and June. Fasting blood was collected and dietary intakes were assessed using 5 d food records. Mean serum 25-hydroxyvitamin D concentration was lower in Beijing than Hong Kong women (29 v. 34 nmol/l; P < 0·001). Vitamin D deficiency ( ≤ 25 nmol/l) was indicated in 40 % of Beijing and 18 % of Hong Kong women, and over 90 % of women in both cities were insufficient ( ≤ 50 nmol/l). Mean Ca and vitamin D intakes were 478 mg/d and 2·0 μg/d, respectively. The relationship between 25-hydroxyvitamin D concentration and PTH was linear throughout the range with a slope of − 0·36 (different from 0; P < 0·001; R 0·26), with no apparent threshold. There was no influence of Ca intake on the relationship between 25-hydroxyvitamin D and PTH concentration. Vitamin D deficiency is common and insufficiency is very common in non-pregnant women in Hong Kong and Beijing during spring. Serum 25-hydroxyvitamin D was inversely associated with PTH with no apparent threshold. Strategies such as vitamin D fortification or supplementation may be required.
Solar Effects on Tensile and Optical Properties of Hubble Space Telescope Silver-Teflon Insulation
- Kim K. de Groh, Joyce A. Dever, Aaron Snyder, Sharon Kaminski, Catherine E. McCarthy, Allison L. Rapoport, Rochelle N. Rucker
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- Journal:
- MRS Online Proceedings Library Archive / Volume 929 / 2006
- Published online by Cambridge University Press:
- 01 February 2011, 0929-II05-08
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- 2006
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During the fourth servicing mission of the Hubble Space Telescope (HST), the second set of solar arrays (SA-II) was replaced with a third set and the SA-II was brought back to Earth. A section of the retrieved SA-II solar array drive arm (SADA) multilayer insulation (MLI), which experienced 8.25 years of space exposure, was provided to NASA Glenn Research Center for environmental durability analyses of the top layer of silver-Teflon fluorinated ethylene propylene (Ag-FEP). Because the SADA MLI had solar and anti-solar facing surfaces and was exposed to the space environment for a long duration, it provided a unique opportunity to study solar effects on environmental degradation of Ag-FEP, a commonly used spacecraft thermal control material. Therefore, the objective of this research was to characterize the degradation of retrieved HST SADA Ag-FEP with particular emphasis on solar radiation effects. Data obtained included tensile properties, solar absorptance, surface morphology and chemistry. The solar facing surface of the SADA was found to be extremely embrittled and contained numerous through-thickness cracks. Tensile testing indicated that the solar facing surface lost 60% of its mechanical strength and 90% of its elasticity while the anti-solar facing surface had ductility similar to pristine FEP. The solar absorptance of both the solar facing surface (0.155 ± 0.032) and the anti-solar facing surface (0.208 ± 0.012) were found to be greater than pristine Ag-FEP (0.074). Solar facing and anti-solar facing surfaces were microscopically textured, and locations of isolated contamination were present on the anti-solar surface resulting in increased localized texturing. Yet, the overall texture was significantly more pronounced on the solar facing surface indicating a synergistic effect of combined solar exposure and increased heating with atomic oxygen erosion. The results indicate a very strong dependence of degradation, particularly embrittlement, upon solar exposure with orbital thermal cycling having a significant effect.