An Initial Evaluation of the Impact of Location Obfuscation Mechanisms on Geospatial Analysis

2018 ◽  
pp. 153-180
Author(s):  
Pedro Wightman ◽  
Mayra Zurbarán
Keyword(s):  
Geospatial Analysis ◽  
Initial Evaluation ◽  
Location Obfuscation ◽  
The Impact

scholarly journals Relationship Transformation between Israeli Settlers and West Bank Palestinians: The Case of "Roots"

2018 ◽  
Vol 18 (4) ◽  
pp. 70-75
Keyword(s):  
Conflict Resolution ◽  
West Bank ◽  
Initial Evaluation ◽  
Preliminary Assessment ◽  
Strategic Approach ◽  
Religious Dialogue ◽  
The Impact

Against the background of on-going research on the impact of Israeli-Palestinian inter-religious dialogue for conflict resolution efforts; the authors here present a preliminary assessment of the impact and dynamics of a relatively new Israeli-Palestinian initiative known as “Roots”. It is unique in that it has provided a framework for cooperation and relationship transformation to occur between Israeli settlers and neighboring West Bank Palestinians. This paper will present an initial evaluation, concerning the background, strategic approach, impact, and challenges facing this organization in the context of relevant conflict resolution theories.

581 Impact of Weight on Insomnia Severity, Sleep Quality, and Insomnia Improvement in a Clinically Referred Pediatric Sample

SLEEP ◽  
2021 ◽  
Vol 44 (Supplement_2) ◽  
pp. A229-A229
Author(s):  
Kara Duraccio ◽  
Danielle Graef ◽  
Dean Beebe ◽  
Kelly Byars
Keyword(s):  
Sleep Quality ◽  
Weight Status ◽  
Sleep Hygiene ◽  
Sleep Medicine ◽  
Initial Evaluation ◽  
Clinically Referred ◽  
Adolescent Sleep ◽  
The Impact ◽  
Insomnia Severity ◽  
Over Time

Abstract Introduction Children with overweight/obesity are more likely to have shortened sleep, though little is known about the role of weight status in insomnia severity, sleep quality, and sleep hygiene in clinically referred youth. Methods A total of 1133 children (43.7% female) presented to a Pediatric Behavioral Sleep Medicine Clinic for insomnia. At the initial evaluation, caregivers of children ages 2–10.9 years (N = 744) completed the Pediatric Insomnia Severity Scale (PISI) and the Children’s Sleep Habits Questionnaire (CSHQ); adolescents ages 11–18 years (N = 389) completed the PISI, the Adolescent Sleep Hygiene Scale (ASHS), and the Adolescent Sleep Wake Scale (ASWS). The PISI was completed during at least one Pediatric Behavioral Sleep Medicine visit subsequent to evaluation and initiation of treatment. Patient height and weight, objectively measured within 3 months of the initial evaluation, was used to determine sex-adjusted body mass index z-scores (BMIz). Hierarchal linear regression models were used to determine the impact of BMIz on baseline PISI insomnia severity scores, and CSHQ, ASHS, and ASWS total scores, after covarying for income. Repeated-measures general linear modeling was used to determine whether weight status moderated improvement in insomnia severity over time, covarying for income. Results For children (ages 2–10.9), weight was not associated with baseline insomnia severity (p=.62) or predictive of insomnia improvement following behavioral sleep medicine intervention (p=.71), though higher weight predicted poorer parent-reported sleep quality (p=.006). For adolescents (ages 11–18), higher weight was predictive of higher baseline insomnia severity (p=.026), though did not predict insomnia improvement over time (p = .86); higher weight was also predictive of poorer sleep hygiene (p<.001) and worse sleep quality (p=.03). Conclusion Initial insomnia severity and subjective sleep quality may be worse for youth of higher weight, particularly for adolescents; these findings increase our understanding of how and when overweight/obesity negatively impacts sleep. Fortunately, youth with higher weight respond equally well to pediatric behavioral sleep medicine interventions as their lower-weight peers, suggesting that these interventions need not be modified based on patient weight. Support (if any) Cincinnati Children’s Hospital Medical Center Division of Behavioral Medicine and Clinical Psychology’s Research Funds

scholarly journals The Climate Action Simulation

2019 ◽  
Vol 51 (2) ◽  
pp. 114-140 ◽  
Author(s):  
Juliette N. Rooney-Varga ◽  
Florian Kapmeier ◽  
John D. Sterman ◽  
Andrew P. Jones ◽  
Michele Putko ◽  
...  
Keyword(s):  
Climate Change ◽  
Focus Group ◽  
Energy Systems ◽  
Role Playing ◽  
Energy System ◽  
Initial Evaluation ◽  
Emotional Engagement ◽  
Action Simulation ◽  
Climate Action ◽  
The Impact

Background. We describe and provide an initial evaluation of the Climate Action Simulation, a simulation-based role-playing game that enables participants to learn for themselves about the response of the climate-energy system to potential policies and actions. Participants gain an understanding of the scale and urgency of climate action, the impact of different policies and actions, and the dynamics and interactions of different policy choices. Intervention. The Climate Action Simulation combines an interactive computer model, En-ROADS, with a role-play in which participants make decisions about energy and climate policy. They learn about the dynamics of the climate and energy systems as they discover how En-ROADS responds to their own climate-energy decisions. Methods. We evaluated learning outcomes from the Climate Action Simulation using pre- and post-simulation surveys as well as a focus group. Results. Analysis of survey results showed that the Climate Action Simulation increases participants’ knowledge about the scale of emissions reductions and policies and actions needed to address climate change. Their personal and emotional engagement with climate change also grew. Focus group participants were overwhelmingly positive about the Climate Action Simulation, saying it left them feeling empowered to make a positive difference in addressing the climate challenge. Discussion and Conclusions. Initial evaluation results indicate that the Climate Action Simulation offers an engaging experience that delivers gains in knowledge about the climate and energy systems, while also opening affective and social learning pathways.

scholarly journals Development of a Functional Analytical Nurse Observation Chart (FANOC)

2013 ◽  
Vol 42 (1) ◽  
pp. 111-116 ◽  
Author(s):  
David Veale ◽  
Selina Warlow ◽  
Tara O'Donoghue ◽  
Chris Callow
Keyword(s):  
Daily Life ◽  
Initial Evaluation ◽  
Staff Satisfaction ◽  
Rater Agreement ◽  
Experience Of Care ◽  
Brief Training ◽  
Observed Behaviour ◽  
Training And Support ◽  
The Impact ◽  
Mediators Of Change

Background: There has been little evaluation or development of nurse observation charts on psychiatric in-patient units since they were first introduced. Aim: We aimed to develop a new nursing chart that adds a functional and contextual assessment of the observed behaviour. We describe its initial evaluation in an in-patient setting. Method: A member of the staff coded a participant's behaviour as either an instance of an individual's daily life problem; or an improvement; or a non-clinically relevant behaviour. We evaluated the charts in 14 in-patients and compared the coding of the behaviour against that of one of the investigators. Results: After brief training the inter-rater agreement resulted in Kappa = 0.496 with p < .001. Removal of a rating of neutral behaviours resulted in a higher Kappa = 0.546 with p < .001. Conclusions: The inter-rater reliability was only moderate for the Functional Analytical Nurse Observation Charts. Frequent training and support from management and therapy staff is required to maintain a psychologically informed environment and observation in an in-patient setting. An area for further research is to explore the impact that a FANOC has on staff satisfaction and an individual's experience of care, and whether it can assist in determining mediators of change before an improvement in symptoms.

Initial evaluation of patients diagnosed with pancreatic cancer within a community health system.

2015 ◽  
Vol 33 (3_suppl) ◽  
pp. 269-269
Author(s):  
Kathryn Tzung-Kai Chen
Keyword(s):  
Pancreatic Cancer ◽  
Emergency Department ◽  
Health System ◽  
Community Health ◽  
Outpatient Clinic ◽  
Care Center ◽  
Tertiary Care ◽  
Initial Evaluation ◽  
Entire Cohort ◽  
The Impact

269 Background: The management of pancreatic patients who are referred to a tertiary care center is well described. However, many patients receive their initial evaluation and care at community health systems. We sought to describe how patients present within the community, the patterns of initial evaluation, and the impact on management. Methods: In a period spanning 3 years (2010-2013), 82 patients were newly diagnosed with pancreatic cancer, as identified by a cancer registry at a community health system. Under IRB approval, data regarding patient characteristics, initial evaluation, and management were retrospectively collected from the electronic medical record (EMR) and analyzed. Results: Of the 82 patients, 68 patients had sufficient data available in the EMR for analysis. Thirty-two patients (47%) initially presented to outpatient clinic, and 36 patients (53%) presented to the emergency department. The presenting complaint was identified as abdominal pain in 33 patients (49%), jaundice in 20 patients (29%), and general malaise in 9 patients (13%). Patients who presented through outpatient clinic vs. emergency department received similar initial imaging studies upfront, including CT of the abdomen and pelvis (61% vs. 72%) and abdominal ultrasound (27% vs. 17%). Sixteen percent of those patients evaluated in outpatient clinic were subsequently admitted, compared to 94% of those patients evaluated in the emergency department. Finally, 31% of those presenting in outpatient clinic eventually underwent surgical resection, compared to 8% of those presenting through the ER, and the median time to surgery for the entire cohort was 1.1 months. Conclusions: Within the community, half of all patients present through the emergency department, and the majority of these are admitted for work up and management of symptoms. In contrast, those patients who present through outpatient clinic are less likely to be admitted, and are more likely to undergo definitive resection. This likely represents a disparity on several levels: the acuity of patients presenting to the emergency department vs. clinic, and how they are managed in each setting.

scholarly journals Bidirectional chemotherapy allowing surgery and HIPEC for malignant peritoneal mesothelioma

2019 ◽  
Vol 4 (2) ◽  
Author(s):  
Barbara Noiret ◽  
Clarisse Eveno
Keyword(s):  
Case Report ◽  
Ct Scan ◽  
Cytoreductive Surgery ◽  
Initial Evaluation ◽  
Peritoneal Mesothelioma ◽  
Malignant Peritoneal Mesothelioma ◽  
Response To Chemotherapy ◽  
The Impact ◽  
Macroscopic Response

AbstractBackgroundThis case report aims to describe the impact of the bidirectional chemotherapy (BDC) on resecability for initially unresectable malignant peritoneal mesothelioma (MPM).MethodsWe report a case of 55-year-old male with the diagnosis of initially unresecable MPM. The BDC combined intravenous (IV) chemotherapy (Cisplatin–Pemetrexed) and intra peritoneal (IP) chemotherapy (Cisplatin). The response to chemotherapy was assessed by CT – scan and laparoscopy.ResultsInitial evaluation classed the disease as unresecable with PCI at 39. At the reevaluation, CT – scan and laparoscopy showed a macroscopic response, allowing surgery consisting of cytoreductive surgery and hyperthermic intra peritoneal chemotherapy (Doxorubicin and Cisplatin).ConclusionsBDC (IV and IP) has promising results and allows to undergo surgery for selected patients with borderline or initially unresectable MPM.

scholarly journals Initial Evaluation of the Impact of Math Study Groups on First-Year Student Course Success

2020 ◽  
Author(s):  
Marissa Jablonski ◽  
John Reisel ◽  
Hossein Hosseini ◽  
Ethan Munson ◽  
Leah Rineck
Keyword(s):  
Study Groups ◽  
Initial Evaluation ◽  
First Year ◽  
Course Success ◽  
The Impact ◽  
First Year Student
Sign in / Sign up

Export Citation Format

Share Document