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1دورية أكاديمية
المؤلفون: Eugene C Cordero, Diana Centeno, Anne Marie Todd
المصدر: PLoS ONE, Vol 15, Iss 2, p e0206266 (2020)
الوصف: Strategies to mitigate climate change often center on clean technologies, such as electric vehicles and solar panels, while the mitigation potential of a quality educational experience is rarely discussed. In this paper, we investigate the long-term impact that an intensive one-year university course had on individual carbon emissions by surveying students at least five years after having taken the course. A majority of course graduates reported pro-environmental decisions (i.e., type of car to buy, food choices) that they attributed at least in part to experiences gained in the course. Furthermore, our carbon footprint analysis suggests that for the average course graduate, these decisions reduced their individual carbon emissions by 2.86 tons of CO2 per year. Surveys and focus group interviews identify that course graduates have developed a strong personal connection to climate change solutions, and this is realized in their daily behaviors and through their professional careers. The paper discusses in more detail the specific components of the course that are believed to be most impactful, and the uncertainties associated with this type of research design. Our analysis also demonstrates that if similar education programs were applied at scale, the potential reductions in carbon emissions would be of similar magnitude to other large-scale mitigation strategies, such as rooftop solar or electric vehicles.
وصف الملف: electronic resource
العلاقة: https://doaj.org/toc/1932-6203Test
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المؤلفون: Marie Todd
المصدر: Nursing and Residential Care. 24:9-13
الوصف: The prevalence of venous leg ulceration is increasing, particularly among the older population who often present with complex multiple comorbidities. In this article, Marie Todd gives an overview of the most up-to-date guidelines and the evidence that supports them.
الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_________::db124c6422f3fe22ec38bf49e375a8faTest
https://doi.org/10.12968/nrec.2022.0013Test -
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المؤلفون: Anne Marie Todd
المصدر: The Routledge Handbook of Environment and Communication ISBN: 9781003119234
الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_________::7a576630368c9d5b2e29761cce574939Test
https://doi.org/10.4324/9781003119234-25Test -
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المؤلفون: Lauren F Collins, Della Corbin-Johnson, Meron Asrat, Zoey P Morton, Kaylin Dance, Alton Condra, Kimberly Jenkins, Marie Todd-Turner, Jeri Sumitani, Bradley L Smith, Wendy S Armstrong, Jonathan A Colasanti
المصدر: Open forum infectious diseases. 9(9)
مصطلحات موضوعية: Infectious Diseases, Oncology
الوصف: Background Long-acting injectable (LAI) antiretroviral therapy (ART) has the potential to improve medication adherence, reduce human immunodeficiency virus (HIV) stigma, and promote equity in care outcomes among people with HIV (PWH). We describe our early experience implementing LAI-cabotegravir/rilpivirine (CAB/RPV) for maintenance HIV-1 treatment. Methods We launched a pilot LAI-ART program at a large Ryan White-funded clinic in the Southeast, which accept provider-initiated referrals from April 14, 2021 to December 1, 2021. Our interdisciplinary program team (Clinician-Pharmacy-Nursing) verified clinical eligibility and pursued medication access for eligible patients. We describe (1) demographic and clinical variables of PWH referred and enrolled and (2) early outcomes among those accessing LAI-CAB/RPV. Results Among 58 referrals, characteristics were median age 39 (Q1–Q3, 30.25–50) years, 74% male, and 81% Black, and payor source distribution was 26% Private, 21% Medicare, 19% Medicaid, and 34% AIDS Drugs Assistance Program. Forty-five patients (78%) met clinical eligibility for LAI-CAB/RPV; ineligibility concerns included evidence of confirmed or possible RPV resistance (n = 8), HIV nonsuppression (n = 3), possible RPV hypersensitivity (n = 1), and pregnancy (n = 1). Among 45 eligible PWH, 39 (87%) enrolled and 15 (38%) initiated LAI-CAB/RPV after a median of 47 (Q1–Q3, 31–95) days since enrollment. Conclusions Implementing LAI-ART at a Southern US Ryan White-funded clinic has been challenged by the following: substantial human resource capital to attain drug, administer injections, and support enrolled patients; delayed therapy initiation due to insurance denials; patient ineligibility primarily due to possible RPV resistance; and inability to provide drug regardless of payor source. These barriers may perpetuate disparities in ART access and outcomes among PWH and should be urgently addressed so that LAI-ART can be offered equitably.
الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::efe4d190b7f73aebd9f0c87853f5233eTest
https://pubmed.ncbi.nlm.nih.gov/36147599Test -
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المؤلفون: Christine Newman, Aoife M. Egan, Tomas Ahern, Maisa Al-Kiyumi, Siobhan Bacon, Elgelani Bahaeldein, Gabriela Balan, Mary-Jane Brassill, Emily Breslin, Elizabeth Brosnan, Louise Carmody, Hilda Clarke, Caroline Coogan Kelly, Linda Culliney, Recie Davern, Maeve Durkan, Kalthoom Elhilo, Elizabeth Cullen, Mairead Fenlon, Pauline Ferry, Ahmed Gabir, Linda Guinan, Geraldine Hanlon, Marie Heffernan, Tom Higgins, Shu Hoashi, Oratile Kgosidialwa, Amjed Khamis, Brendan Kinsley, Breda Kirwan, Anne James, Pyeh Kyithar, Aaron Liew, Ihtisham Malik, Linda Matthews, Colm McGurk, Cathy McHugh, Yvonne Moloney, Matt S Murphy, Paula Murphy, Dina Nagodra, Eoin Noctor, Marie Nolan, Aislong O'Connor, Emily O'Connor, Domhnall O'Halloran, Linda O'Mahoney, Triona O'Shea, Eoin P. O'Sullivan, Moby Peters, Graham Roberts, Hannorah Rooney, Jayant Sharma, Aoife Smyth, Maria Synnott, Bheesham Tarachand, Marie Tighe, Marie Todd, Michael Towers, Antoinette Tuthill, Wan Mahmood, Obada Yousif, Fidelma P. Dunne
المصدر: Diabetes research and clinical practice. 189
مصطلحات موضوعية: Cohort Studies, Endocrinology, Diabetes Mellitus, Type 2, Pregnancy, Endocrinology, Diabetes and Metabolism, Internal Medicine, Pregnancy Outcome, Pregnancy in Diabetics, Humans, Female, General Medicine, Ireland, Retrospective Studies
الوصف: Report the outcomes of pregnant women with type 1 and type 2 diabetes and to identify modifiable and non-modifiable factors associated with poor outcomes.Retrospective analysis of pregnancy preparedness, pregnancy care and outcomes in the Republic of Ireland from 2015 to 2020 and subsequent multivariate analysis.In total 1104 pregnancies were included. Less than one third attended pre-pregnancy care (PPC), mean first trimester haemoglobin A1c was 7.2 ± 3.6% (55.5 ± 15.7 mmol/mol) and 52% received pre-conceptual folic acid. Poor preparation translated into poorer pregnancy outcomes. Livebirth rates (80%) were comparable to the background population however stillbirth rates were 8.7/1000 (four times the national rate). Congenital anomalies occurred in 42.5/1000 births (1.5 times the background rate). More than half of infants were large for gestational age and 47% were admitted to critical care. Multivariate analyses showed strong associations between non-attendance at PPC, poor glycaemic control and critical care admission (adjusted odds ratio of 1.68 (1.48-1.96) and 1.61 (1.43-1.86), p 0.05 respectively) for women with type 1 diabetes. Smoking and teratogenic medications were also associated with critical care admission and hypertensive disorders of pregnancy.Pregnancy outcomes in women with diabetes are suboptimal. Significant effort is needed to optimize the modifiable factors identified in this study.
الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::f3b2819ef6c2e0b024c55d1a7a90f3d8Test
https://pubmed.ncbi.nlm.nih.gov/35709911Test -
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المصدر: BMJ Case Reports. 16:e251895
مصطلحات موضوعية: General Medicine
الوصف: With an increasing number of patients seeking gender-affirming hormone therapy (GAHT), the clinical impact of testosterone treatments on headache needs to be determined. Our case report looks at the potential effect of testosterone on migraine among transgender patients. We present two transmasculine patients who used masculinising hormone therapy with testosterone. Both patients described their headache as moderate-to-severe pain with features that fulfilled the criteria for chronic migraine without aura. Following GAHT, one patient improved in both frequency and intensity of headache symptoms while the other noted improvement in headache intensity alone. Our report postulates that testosterone therapy may have a positive impact on headaches in individuals participating in GAHT, highlighting the need for further research on the role of testosterone therapy on headache in transmasculine individuals.
الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_________::4ed2c66e66eeffe4f06e816709e1eefbTest
https://doi.org/10.1136/bcr-2022-251895Test -
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المؤلفون: Marie Todd
المصدر: International Journal of Palliative Nursing. 25:407-409
مصطلحات موضوعية: Advanced and Specialized Nursing, Terminal Care, medicine.medical_specialty, business.industry, Skin Care, Exercise Therapy, Manual Lymphatic Drainage, Caregivers, Compression Bandages, Hospice and Palliative Care Nursing, medicine, Humans, Lymphedema, Intensive care medicine, business, End-of-life care
الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::540b4355f4bcda5d9216ab8d8c45dfa3Test
https://doi.org/10.12968/ijpn.2019.25.8.407Test -
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المؤلفون: Marie Todd
المصدر: British Journal of Nursing. 28:S32-S37
مصطلحات موضوعية: medicine.medical_specialty, business.industry, medicine.medical_treatment, Compression bandaging, Compression therapy, Varicose Ulcer, Older population, 030207 dermatology & venereal diseases, 03 medical and health sciences, Treatment Outcome, 0302 clinical medicine, Calamine, Chronic oedema, Wound management, Compression Bandages, Chronic Disease, medicine, Edema, Humans, 030212 general & internal medicine, Intensive care medicine, business, Psychosocial, General Nursing
الوصف: The prevalence of venous leg ulcers and chronic oedema is increasing because of the rise in the older population who have comorbidities. Managing and living with these conditions is extremely costly in resource and human terms and there is often a cyclical process of ulceration, healing and recurrence, resulting in significant physical and psychosocial morbidity. Identifying those at risk and advising on lifestyle changes to prevent progression of these conditions will help in avoiding high wound management and compression costs, nursing input and associated patient morbidity. Compression bandaging is the linchpin in managing these conditions and it must be started as early as possible. However, many patients find it difficult to tolerate bandaging because of issues such as pain, the inability to wear shoes and itch. Therefore, if compliance is to be achieved, it is important to select a compression bandaging system that addresses the issues that patients have difficulty with. AndoFlex TLC Calamine is a compression bandaging system that deals with many of these problems, and is easy to apply and remove. Testimonials by practitioners treating patients with chronic oedema, ulceration and/or skin problems will demonstrate the benefits and effectiveness of AndoFlex TLC Calamine.
الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::57b67098b17f6c32e26a1c7fcf277d5cTest
https://doi.org/10.12968/bjon.2019.28.12.s32Test -
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المؤلفون: Marie Todd
المصدر: Nursing and Residential Care. 21:252-258
مصطلحات موضوعية: medicine.medical_specialty, Population ageing, 030504 nursing, business.industry, General Medicine, stomatognathic diseases, 03 medical and health sciences, 0302 clinical medicine, Wound management, Physical therapy, Medicine, 030212 general & internal medicine, 0305 other medical science, business
الوصف: The prevalence of venous leg ulcers is expected to increase, due to an ageing population and sedentary lifestyles. Marie Todd emphasises the importance of well-trained staff, effective wound management and adequate compression.
الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_________::deca1a399578cffa93a6850c37021bd1Test
https://doi.org/10.12968/nrec.2019.21.5.252Test
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