In the 2013 release of the U.S. National Physical Education Standards the term ＂physically literate＂ replaced ＂physically educated＂. Un- fortunately, most discourse within the profession about the term physically ...In the 2013 release of the U.S. National Physical Education Standards the term ＂physically literate＂ replaced ＂physically educated＂. Un- fortunately, most discourse within the profession about the term physically literate occurred primarily after its adoption. While we agree with the spirit and intent of the term, we feel it is essential to discuss not only what has been potentially gained but also lost. In our paper, we illustrate the similarity of the terms physically educated and physically literate and essentially, from a definitional perspective, find little difference--but are these terms interchangeable？ We provide a critical review of the standards and conclude that the change to physical literacy has produced a shift away from psychomotor outcomes to cognitive outcomes. Our concerns about this are many, but most importantly they are about the need to emphasize the ＂physical＂ in physical education （PE）. It is our belief that the key to elevating the profession and maintaining and increasing support for PE is in its ability to promote and provide physical activity. Without physical activity and physical fitness as main outcomes, PE increases its vulnerability to extinction as a standard part of the U.S. K-12 education curriculum.展开更多
Objective： To correlate file presence of anemia with mortality in hospitalized patients with decompensated HF （heart failure）. Methods： A total of 148 patients hospitalized for HF compensation were analyzed from A...Objective： To correlate file presence of anemia with mortality in hospitalized patients with decompensated HF （heart failure）. Methods： A total of 148 patients hospitalized for HF compensation were analyzed from April 1 to December 31, 2017 in a tertiary referral hospital for cardiovascular diseases. The diagnosis of anemia was established according to the Brazilian Ministry of Health criteria, considering a serum hemoglobin value of 〈 13 g/alL for men and 〈 12 g/dL for women. Data were collected through medical and physical attendance records. Statistical analysis was performed using the Epi Info program, version 7.0 for Windows, with Student＇ s t test for unpaired variables, Chi-square test and Fischer test. The significance ofp 〈 0.05 was considered. Results： Of the 148 selected patients, 63.5% were male, 60.1% were over 65 years old, 50.74% were enrolled in the first grade, and 93.2% were self-declared white. The prevalence of anemia observed in the study population was 72 （56.25%）, of which 49 （68%） were male and 23 （32%） were female. The mortality rate of the anemic patients was 19.4%, a total of 14 patients, whereas the non-anemic patients rate was 7.9%. It was observed that patients with worse outcome had hemoglobin 〈 12rag/alL （p = 0.045） and Functional Class （FC IV） by the New York Heart Association （NYHA） （p = 0.0001） at hospital admission. Conclusions： It is noticed that anemia is a frequent finding in patients with HF and that it interferes in the clinical manifestations, with worsening of the prognosis. Anemia treatment is not yet standarized in the HF approach, but patients without anemia appear to evolve with more favorable outcomes than anemia.展开更多
The increasing emission of primary and gaseous precursors of secondarily formed atmospheric particulate matter due to continuing industrial development and urbanization are leading to an increased public awareness of ...The increasing emission of primary and gaseous precursors of secondarily formed atmospheric particulate matter due to continuing industrial development and urbanization are leading to an increased public awareness of environmental issues and human health risks in China. As part of a pilot study, 12-h integrated fine fraction particulate matter （PM2.5） filter samples were collected to chemically characterize and investigate the sources of ambient particulate matter in Guiyang City, Guizhou Province, southwestern China. Results showed that the 12-h integrated PM2.5 concentrations exhibited a daytime average of 51 ± 22 μg m^-3 （mean -4- standard deviation） with a range of 17-128 μg m^-3 and a nighttime average of 55 ± 32 μg m^-3 with a range of 4-186 μg m^-3. The 24-h integrated PM2.5 concentrations varied from 15 to 157 μg m^-3, with amean value of 53 ± 25 μg m^-3, which exceeded the 24-h PM2.5 standard of 35μg m^-3 set by USEPA, but was below the standard of 75 μg m^-3, set by China Ministry of Environmental Protection. Energy-dispersive X-ray fluorescence spectrometry （XRF） was applied to determine PM2.5 chemical element concentrations. The order of concentrations of heavy metals in PM2.5 were iron （Fe） 〉 zinc （Zn） 〉 manganese （Mn） 〉 lead （Pb） 〉 arsenic （As）〉 chromium （Cr）. The total concentration of 18 chemical elements was 13 ± 2 μg m^-3, accounting for 25% in PM2.5, which is comparable to other major cities in China, but much higher than cities outside of China.展开更多
The aim of this study is to provide stimulating and comfortable environments for the occupants and minimize the risk of green building related health problems. Researcher has developed a number of assumptions that hel...The aim of this study is to provide stimulating and comfortable environments for the occupants and minimize the risk of green building related health problems. Researcher has developed a number of assumptions that helps to resolve the research problems, which includes the application of the indoor environmental quality and will highlight the required design standards of it to provide a healthy environment to the houses and chosen AREE （Aqaba residence energy efficiency） as a case study. The theoretical part goes through a brief study to definition of the required design standards which includes eight kinds of issues： indoor environmental quality intents, control of environmental tobacco smoke, control of chemicals contaminants, design well ventilated buildings, provide daylight/view, energy efficient lighting, thermal comfort, consider acoustics and its uses in all the elements of internal spaces. Than we going through the uses of these requirements by using descriptive analytical approach, we chose one case study （AREE）. To analyze the uses of their requirements of the indoor environmental quality and we also collect the information about this house from the owner of the AREE, then draw conclusions and list of references.展开更多
Objectives To explore the challenges of secondary use of routinely collected data for analyzing nursing-sensitive outcomes in Austrian acute care hospitals.Method A convergent parallel mixed methods design was perform...Objectives To explore the challenges of secondary use of routinely collected data for analyzing nursing-sensitive outcomes in Austrian acute care hospitals.Method A convergent parallel mixed methods design was performed.We conducted a quantitative representative survey with nursing managers from 32 Austrian general acute care hospitals and 11 qualitative semi-structured interviews with nursing quality management experts.Both results were first analyzed independently and afterward merged in the discussion.Results On average,76%of nursing documentation is already electronically supported in the surveyed Austrian hospitals.However,existing nursing data is seldom used for secondary purposes such as nursing-sensitive outcome analyses.This is due to four major reasons:First,hospitals often do not have a data strategy for the secondary use of routine data.Second,hospitals partly lack the use of standardized and uniform nursing terminologies,especially for nursing evaluation.Third,routine nursing data is often not documented correctly and completely.Fourth,data on nursing-sensitive outcomes is usually collected in specific documentation forms not integrated into routine documentation.Conclusion The awareness of the possibilities for secondary use of nursing data for nursing-sensitive outcome analyses in Austrian hospitals is still in its infancy.Therefore,nursing staff and nursing management must be trained to understand how to collect and process nursing data for nursing-sensitive outcome analyses.Further studies would be interesting in order to determine the factors that influence the decision-making processes for the secondary use of nursing data for outcome analyses.展开更多
Acoustic sensing is nowadays a very demanding field which plays an important role in modern society, with applications spanning from structural health monitoring to medical imaging. Fiber-optics can bring many advanta...Acoustic sensing is nowadays a very demanding field which plays an important role in modern society, with applications spanning from structural health monitoring to medical imaging. Fiber-optics can bring many advantages to this field, and fiber-optic acoustic sensors show already performance levels capable of competing with the standard sensors based on piezoelectric transducers. This review presents the recent advances in the field of fiber-optic dynamic strain sensing, particularly for acoustic detection. Three dominant technologies are identified - fiber Bragg gratings, interferometric Mach-Zehnder, and Fabry-Perot configurations - and their recent developments are summarized.展开更多
文摘In the 2013 release of the U.S. National Physical Education Standards the term ＂physically literate＂ replaced ＂physically educated＂. Un- fortunately, most discourse within the profession about the term physically literate occurred primarily after its adoption. While we agree with the spirit and intent of the term, we feel it is essential to discuss not only what has been potentially gained but also lost. In our paper, we illustrate the similarity of the terms physically educated and physically literate and essentially, from a definitional perspective, find little difference--but are these terms interchangeable？ We provide a critical review of the standards and conclude that the change to physical literacy has produced a shift away from psychomotor outcomes to cognitive outcomes. Our concerns about this are many, but most importantly they are about the need to emphasize the ＂physical＂ in physical education （PE）. It is our belief that the key to elevating the profession and maintaining and increasing support for PE is in its ability to promote and provide physical activity. Without physical activity and physical fitness as main outcomes, PE increases its vulnerability to extinction as a standard part of the U.S. K-12 education curriculum.
文摘Objective： To correlate file presence of anemia with mortality in hospitalized patients with decompensated HF （heart failure）. Methods： A total of 148 patients hospitalized for HF compensation were analyzed from April 1 to December 31, 2017 in a tertiary referral hospital for cardiovascular diseases. The diagnosis of anemia was established according to the Brazilian Ministry of Health criteria, considering a serum hemoglobin value of 〈 13 g/alL for men and 〈 12 g/dL for women. Data were collected through medical and physical attendance records. Statistical analysis was performed using the Epi Info program, version 7.0 for Windows, with Student＇ s t test for unpaired variables, Chi-square test and Fischer test. The significance ofp 〈 0.05 was considered. Results： Of the 148 selected patients, 63.5% were male, 60.1% were over 65 years old, 50.74% were enrolled in the first grade, and 93.2% were self-declared white. The prevalence of anemia observed in the study population was 72 （56.25%）, of which 49 （68%） were male and 23 （32%） were female. The mortality rate of the anemic patients was 19.4%, a total of 14 patients, whereas the non-anemic patients rate was 7.9%. It was observed that patients with worse outcome had hemoglobin 〈 12rag/alL （p = 0.045） and Functional Class （FC IV） by the New York Heart Association （NYHA） （p = 0.0001） at hospital admission. Conclusions： It is noticed that anemia is a frequent finding in patients with HF and that it interferes in the clinical manifestations, with worsening of the prognosis. Anemia treatment is not yet standarized in the HF approach, but patients without anemia appear to evolve with more favorable outcomes than anemia.
基金The U.S. Environmental Protection Agency (EPA), through its Office of Research and Development, partially funded and participated in the research described here through cooperative agreement CR-833232-01 through the U.S. National Science Foundation-National Research Council Research Associateship Awardfunded by the National Key Basic Research Program of China (2013CB430004)the National Natural Science Foundation of China (No. 40773067)
文摘The increasing emission of primary and gaseous precursors of secondarily formed atmospheric particulate matter due to continuing industrial development and urbanization are leading to an increased public awareness of environmental issues and human health risks in China. As part of a pilot study, 12-h integrated fine fraction particulate matter （PM2.5） filter samples were collected to chemically characterize and investigate the sources of ambient particulate matter in Guiyang City, Guizhou Province, southwestern China. Results showed that the 12-h integrated PM2.5 concentrations exhibited a daytime average of 51 ± 22 μg m^-3 （mean -4- standard deviation） with a range of 17-128 μg m^-3 and a nighttime average of 55 ± 32 μg m^-3 with a range of 4-186 μg m^-3. The 24-h integrated PM2.5 concentrations varied from 15 to 157 μg m^-3, with amean value of 53 ± 25 μg m^-3, which exceeded the 24-h PM2.5 standard of 35μg m^-3 set by USEPA, but was below the standard of 75 μg m^-3, set by China Ministry of Environmental Protection. Energy-dispersive X-ray fluorescence spectrometry （XRF） was applied to determine PM2.5 chemical element concentrations. The order of concentrations of heavy metals in PM2.5 were iron （Fe） 〉 zinc （Zn） 〉 manganese （Mn） 〉 lead （Pb） 〉 arsenic （As）〉 chromium （Cr）. The total concentration of 18 chemical elements was 13 ± 2 μg m^-3, accounting for 25% in PM2.5, which is comparable to other major cities in China, but much higher than cities outside of China.
文摘The aim of this study is to provide stimulating and comfortable environments for the occupants and minimize the risk of green building related health problems. Researcher has developed a number of assumptions that helps to resolve the research problems, which includes the application of the indoor environmental quality and will highlight the required design standards of it to provide a healthy environment to the houses and chosen AREE （Aqaba residence energy efficiency） as a case study. The theoretical part goes through a brief study to definition of the required design standards which includes eight kinds of issues： indoor environmental quality intents, control of environmental tobacco smoke, control of chemicals contaminants, design well ventilated buildings, provide daylight/view, energy efficient lighting, thermal comfort, consider acoustics and its uses in all the elements of internal spaces. Than we going through the uses of these requirements by using descriptive analytical approach, we chose one case study （AREE）. To analyze the uses of their requirements of the indoor environmental quality and we also collect the information about this house from the owner of the AREE, then draw conclusions and list of references.
文摘Objectives To explore the challenges of secondary use of routinely collected data for analyzing nursing-sensitive outcomes in Austrian acute care hospitals.Method A convergent parallel mixed methods design was performed.We conducted a quantitative representative survey with nursing managers from 32 Austrian general acute care hospitals and 11 qualitative semi-structured interviews with nursing quality management experts.Both results were first analyzed independently and afterward merged in the discussion.Results On average,76%of nursing documentation is already electronically supported in the surveyed Austrian hospitals.However,existing nursing data is seldom used for secondary purposes such as nursing-sensitive outcome analyses.This is due to four major reasons:First,hospitals often do not have a data strategy for the secondary use of routine data.Second,hospitals partly lack the use of standardized and uniform nursing terminologies,especially for nursing evaluation.Third,routine nursing data is often not documented correctly and completely.Fourth,data on nursing-sensitive outcomes is usually collected in specific documentation forms not integrated into routine documentation.Conclusion The awareness of the possibilities for secondary use of nursing data for nursing-sensitive outcome analyses in Austrian hospitals is still in its infancy.Therefore,nursing staff and nursing management must be trained to understand how to collect and process nursing data for nursing-sensitive outcome analyses.Further studies would be interesting in order to determine the factors that influence the decision-making processes for the secondary use of nursing data for outcome analyses.
文摘Acoustic sensing is nowadays a very demanding field which plays an important role in modern society, with applications spanning from structural health monitoring to medical imaging. Fiber-optics can bring many advantages to this field, and fiber-optic acoustic sensors show already performance levels capable of competing with the standard sensors based on piezoelectric transducers. This review presents the recent advances in the field of fiber-optic dynamic strain sensing, particularly for acoustic detection. Three dominant technologies are identified - fiber Bragg gratings, interferometric Mach-Zehnder, and Fabry-Perot configurations - and their recent developments are summarized.
