HPV (Human Papillomavirus) Vaccine -- Gardasil®-9: What You Need to Know

This document describes the HPV vaccine. These topics are addressed: why get vaccinated?, HPV vaccine, risks of a vaccine reaction, some people should not get this vaccine, and the National Vaccine Injury Compensation Program.

The need to create awareness towards Cholesterol

Objectives: Nowadays we witness some misinformation towards cholesterol effect in our patients health in mass and social media. The aim of this study was to evaluate the level of awareness towards cholesterol levels in a Portuguese sample and to assess targets for interventions with gains in cardiovascular health.

Opening a Distillery: Legal Details That Producers Need to Know

Like any new business venture, starting a distillery requires careful planning and a major investment of resources. Marylanders interested in opening a distillery should consider taking classes and talking to existing distillers before starting out on their own. This guide is intended to provide an overview of the legal process of getting the required licenses and permits needed to open a distillery.

Are we teaching our students what they need to know about ageing? Results from the National Survey of Undergraduate Teaching in Ageing and Geriatric Medicine

Introduction - Learning about ageing and the appropriate management of older patients is important for all doctors. This survey set out to evaluate what medical undergraduates in the UK are taught about ageing and geriatric medicine and how this teaching is delivered. Methods – An electronic questionnaire was developed and sent to the 28/31 UK medical schools which agreed to participate. Results – Full responses were received from 17 schools. 8/21 learning objectives were recorded as taught, and none were examined, across every school surveyed. Elder abuse and terminology and classification of health were taught in only 8/17 and 2/17 schools respectively. Pressure ulcers were taught about in 14/17 schools but taught formally in only 7 of these and examined in only 9. With regard to bio- and socio- gerontology, only 9/17 schools reported teaching in social ageing, 7/17 in cellular ageing and 9/17 in the physiology of ageing. Discussion – Even allowing for the suboptimal response rate, this study presents significant cause for concern with UK undergraduate education related to ageing. The failure to teach comprehensively on elder abuse and pressure sores, in particular, may be significantly to the detriment of older patients.

Succession in the Family Business: Need to Transfer the ‘Socio-Emotional Wealth’ (SEW)

Rather often we have to confront with the pessimistic views on the future of the family business. Contrary to these prognosis, the FB is not only present but also improving its position in the global economy and playing a key role in the European economy too. They represent 60 % of employment and more than 60 million jobs in the private sector. Among many internal challenges of FB in the five years’ time, the importance of the ‘company succession’ is increasing together with the renewing technology and ‘attracting the right sills/ talents’ (Global Family Survey, 2015). This article is focusing on the transfer of socio-economic wealth (SEW) as a key intangible asset within the intergenerational changes in the FB. The paper outlines the various concepts (narrow vs. broad) of the SEW and special attention is paid to the risk prone [taken] and risk adverse entrepreneurial attitudes. In this relation, the authors made distinction between the ‘opportunity’ and ‘necessity entrepreneurs’. Using empirical experiences based on multi-site company case studies in the three INSIST project countries, the various sub-sections are focusing on the transfer of the following key components of the SEW to the next generation: trust-based social-system, generic human values (i.e. openness, mutual respect, correctness, reliability, responsibility etc.) and ‘practice based – embedded collective knowledge’. Key lesson of this analysis is the following: transferring physical assets in the succession process seems to us less important than the transfer of the intangible one embedded in the company’s culture community. Further systematic national and international investigations – combining quantitative and qualitative research tools – are necessary to acquire more accurate picture on the impacts of transferring both intangible and tangible assets in the succession process in the FB.

What You Need To Know About Radon And Your Health

This brochure discusses these topics concerning radon: What Is Radon?, Health Effects Of Radon, Radon Action Level, How Much Radon In A Home Is Safe?, What Do I Do If I Have A Radon Problem?, Major Radon Entry Routes, How Do I Know If I Have A Radon Problem?, Where Should I Test?, Retesting For Radon and Radon in Water.

Species-people correlations and the need to account for survey effort in biodiversity analyses

Aim Positive regional correlations between biodiversity and human population have been detected for several taxonomic groups and geographical regions. Such correlations could have important conservation implications and have been mainly attributed to ecological factors, with little testing for an artefactual explanation: more populated regions may show higher biodiversity because they are more thoroughly surveyed. We tested the hypothesis that the correlation between people and herptile diversity in Europe is influenced by survey effort

Dying in hospital: medical failure or natural outcomes?

The purpose of this study was to describe patterns of medical and nursing practice in the care of patients dying of oncological and hematological malignancies in the acute care setting in Australia. A tool validated in a similar American study was used to study the medical records of 100 consecutive patients who died of oncological or hematological malignancies before August 1999 at The Canberra Hospital in the Australian Capital Territory. The three major indicators of patterns of end-of-life care were documentation of Do Not Resuscitate (DNR) orders, evidence that the patient was considered dying, and the presence of a palliative care intention. Findings were that 88 patients were documented DNR, 63 patients' records suggested that the patient was dying, and 74 patients had evidence of a palliative care plan. Forty-six patients were documented DNR 2 days or less prior to death and, of these, 12 were documented the day of death. Similar patterns emerged for days between considered dying and death, and between palliative care goals and death. Sixty patients had active treatment in progress at the time of death. The late implementation of end-of-life management plans and the lack of consistency within these plans suggested that patients were subjected to medical interventions and investigations up to the time of death. Implications for palliative care teams include the need to educate health care staff and to plan and implement policy regarding the management of dying patients in the acute care setting. Although the health care system in Australia has cultural differences when compared to the American context, this research suggests that the treatment imperative to prolong life is similar to that found in American-based studies.

Postpartum sleepiness and sleepy driving in Australian mothers

This paper reports on a prospective study investigating the prevalence of maternal postpartum fatigue and sleepiness and highlights the potential increased crash risk faced by mothers when driving in the postpartum period. Twenty-four mothers from across Australia completed a sleep and driving diary for seven consecutive days at three time points; when their baby was 6, 12 and 18 weeks old. The results showed that the mothers’ sleep varied within the sample, however on average sleep disruption and lack of sleep consolidation was experienced. A high proportion of the mothers reported fatigue and sleepiness impacting their functioning early in the postpartum period, with sleepiness being more enduring throughout the period. Of concern, a high proportion of driving journeys undertaken by the mothers were during high levels of sleepiness, particularly early in the postpartum period and during late night and early hours of the day. These findings have highlighted the need to educate mothers about the potential increased safety risk of driving during the postpartum period and identified key information that should be conveyed.

Prevalence of alcohol-impaired driving and riding in northern Ghana

Objective The objective of this study was to determine the roadside prevalence of alcohol-impaired driving among drivers and riders in northern Ghana. The study also verifies motorists’ perception on their own alcohol use and knowledge of legal Blood Alcohol Concentration (BAC) limit of Ghana. Method With the assistance of police, the systematic random sampling was used to collect data at roadblocks using a cross-sectional study design. Breathalyzers were used to screen whether motorists had detectable alcohol in their breath and a follow-up breath tests conducted to measure the actual breath alcohol levels among positive participants. Results In all, 9.7% of the 789 participants had detectable alcohol among whom 6% exceeded the legal (BAC) limit of 0.08%. The prevalence of alcohol-impaired driving/riding was highest among cyclists (10% of all cyclists breath tested) followed by truck drivers 9% and motorcyclists (7% of all motorcyclists breath tested). The occurrence of a positive BAC among cyclists was about 8 times higher, (OR=7.73; p<0.001) and 2 times higher, among motorcyclists (OR=2.30; p=0.039) compared with private car drivers. The likelihood for detecting a positive BAC among male motorists/riders was higher than females (OR=1.67; p=0.354). The odds for detecting a positive BAC among weekend motorists/riders was significantly higher than weekdays (OR=2.62; p=0.001). Conclusion Alcohol-impaired driving/riding in Ghana is high by international standards. In order to attenuate the harmful effects of alcohol misuse such as alcohol-impaired driving/riding, there is the need to educate road users about how much alcohol they can consume and stay below the legal limit. The police should also initiate random breath testing to instil the deterrence of detection, certainty of apprehension and punishment, and severity and celerity of punishment among drink-driving motorists and riders.

The role of extension in fisheries development among rural communities

It is a common knowledge that there exists a wide gap between domestic fish production and demand in Nigeria. Government recognizes this situation and has in recent years encouraged fish production through fishing inputs subsidies, DFRRI assisted fingerlings production among others. Despite these efforts, impact at the grassroots has been low. One of the major reasons for the failure could be attributable to inadequate involvement of rural communities in fish production. This missing link appears to be ignorance of local communities in harnessing this potential to stimulate fish production. There is therefore the need to educate the rural dwellers through effective extension services. Strategies to achieve the required awareness have been discussed

Educação para o desenvolvimento sustentável no ensino básico : contributos da integração das tecnologias da informação e comunicação e do envolvimento familiar nos primeiros anos de escolaridade

A necessidade de se educar para o desenvolvimento sustentável é um ponto assente nas atuais políticas educativas internacionais. Considera-se fulcral desenvolver nos alunos as competências necessárias para analisar criticamente e tomar de decisão frente às atuais problemáticas relacionadas com as dimensões ambiental, social e económica, sob uma perspetiva sistémica. No entanto, a literatura de referência aponta a escassez de recursos intencionalmente concebidos para apoiar práticas didático-pedagógicas dos professores mais coerentes com estas diretrizes. Assim, o presente estudo tem por finalidade desenvolver estratégias, conceber e explorar recursos didáticos multimédia para promover a Educação para o Desenvolvimento Sustentável (EDS), no contexto da Educação em Ciência com orientação Ciência-Tecnologia-Sociedade (CTS), através da integração das Tecnologias da Informação e Comunicação (TIC) e do envolvimento familiar (EF) nos primeiros anos de escolaridade, assim como compreender os impactes dos mesmos na alteração das práticas dos professores tornando-as mais coerentes com as orientações EDS/CTS. Face a esta finalidade, adotámos uma metodologia de natureza qualitativa, nomeadamente o Estudo de Caso na vertente multicasos, ao longo da investigação. O estudo envolveu o 1º Ciclo do Ensino Básico de um Agrupamento de Escolas de Aveiro (Portugal), nomeadamente professores, alunos e respetivos familiares. Por entender serem os professores um elemento-chave de mudança do processo educativo, o estudo envolveu a conceção e implementação de uma Oficina de Formação de professores e uma comunidade online, a servir de plataforma de comunicação entre as escolas e as famílias. Assim, para a recolha de dados recorremos às técnicas de inquérito, observação e análise documental. Os respetivos instrumentos utilizados para cada técnica foram questionários, diário da investigadora, e-portefólios reflexivos e registos de interação na comunidade online. Os dados qualitativos e quantitativos foram analisados através da técnica de análise de conteúdo e análise estatística descritiva, respetivamente. Os resultados apontam que a integração das TIC e o incentivo ao envolvimento familiar contribuem positivamente para a promoção da EDS nos primeiros anos de escolaridade. Contudo, considerando o contexto em estudo onde as escolas atendem muitas famílias provenientes de meios socioeconómicos menos favorecidos, é preciso repensar a integração das TIC, para que estas não se configurem como mais uma barreira para o envolvimento familiar. Assim, trabalhar a EDS/CTS para além dos muros da escola, envolvendo as famílias dos alunos e colocando as TIC como uma ponte de comunicação é apresentado nesta investigação como o principal contributo para a consecução da EDS.

L’assainissement écologique des eaux usées domestiques : scénario d’aménagement type pour les résidences isolées de pays développés nordiques

L’aménagement des systèmes d’assainissement conventionnel des eaux usées domestiques entraine actuellement la déplétion de ressources naturelles et la pollution des milieux récepteurs. L’utilisation d’une approche écosystémique plus globale telle que l’Assainissement Écologique, visant la fermeture du cycle de l’eau et des éléments nutritifs (phosphore et azote), contenus dans les excréments, par leur réutilisation à travers l’agriculture, permettrait d’améliorer de façon écologique cette situation. Toutefois, ce paradigme émergent est peu enseigné aux professionnels de l’aménagement responsables de sa planification, surtout au niveau de son application dans les pays développés nordiques. C’est pourquoi, afin d’améliorer la planification de ce type de système, il faut informer ces derniers des pratiques les plus adéquates à adopter. Pour y arriver, un scénario d’aménagement type a été développé à partir d’une revue exhaustive de la littérature et de l’analyse des données en se basant sur les recommandations de l’approche en fonction du contexte étudié. Ce scénario aidera les professionnels à mieux comprendre l’Assainissement Écologique et son aménagement. Il représente alors un point de départ pour les discussions interdisciplinaires et participatives que celui-ci requiert. En conclusion, il y a encore de nombreux manques d’informations concernant l’utilisation de traitements alternatifs dans les climats nordiques et l’acceptation de ceux-ci par les usagers. De plus, les cadres législatifs demeurent un obstacle considérable à l’aménagement d’un tel système. Cette recherche permet cependant de démystifier l’approche auprès des professionnels et pourrait aider à modifier certains cadres législatifs afin d’y intégrer sa philosophie.

Om lärarskapets moraliska dimension : ett perspektiv och en studie av lärarstuderandes nätbaserade seminariesamtal

In this dissertation, an educational perspective called the moral dimension of teaching is developed. The work includes a theoretically informed discussion from a pragmatist point of view in which the concept of pedagogical rhythm is introduced. The concept captures the need for teachers to regularly shift their intentions and occasionally act in contradictory ways as a consequence of the moral which emerges from interaction in pedagogical situations. Using this perspective, criteria are developed for the characteristics of discussions of the work of teachers, which are desirable in order for students in pre-service teacher education to have opportunities to develop their teachership. Secondly, the educational perspective as it is conceptualised serves as a theoretical framework for a study of discussions taking place in net-based seminars among students in teacher education. The study consists of 14 recorded seminars in which discussions of the work of teachers are analysed in terms of content and direction for reflection. The result of the analysis is a construction of four different focal points for processes of making judgements: existential, performative, critical and professional. Mainly the performative, and to some extent the critical, focal points appear to be supported by the net-based environment, although potential for the professional focal point is found when available tools in net-based settings are used in deliberate ways. Finally, based on these four focal points, possible future predispositions among student teachers are deliberated. Student teachers’ future opportunities to develop a moral and epistemological authority are discussed, as well as teachers’ general opportunities to exercise professional responsibility. The conclusion emphasises that a perspective such as the one developed in the dissertation is important, as it creates an understanding for the need to educate student teachers to exercise a form of responsibility that goes beyond being accountable to society.