Introduction-Pediatric guidelines emphasize the importance for healthcare providers to view children in the context of family and community, and promote community resources at visits. In 2006, a Family Help Desk (FHD) was established in an urban academic-based clinic in Baltimore, MD to assist healthcare providers in educating families about available community-based resources.Methods-A longitudinal cohort pilot study was conducted during a 6-week period in 2007 to evaluate the impact of the FHD in connecting at-risk families to community resources.Results-Overall, 6% of parents (n = 59) who brought their child for a scheduled clinic visit accessed the FHD. Parents had a mean of 1.7 social needs, including after-school programs and childcare (29%), employment (13%), housing (12%), and food (11%). Most parents who utilized the FHD (64%) contacted a community resource or service within 6 months of their clinic visit. Nineteen parents (32%) who utilized the FHD enrolled in community programs.Conclusion-A clinic-based multi-disciplinarymodel can empower families to connect with community-based resources for basic social needs.Practice implications-The Family Help Deskmodel has great potential for addressing family psychosocial needs, and educating families about community resources within the context of pediatric primary care.
We aimed to examine whether the ventilatory threshold (VT) during an incremental shuttle walk test (ISWT) could be determined using heart rate variability (HRV) analysis. Further aims were to assess variables capable of predicting performance in the ISWT and the intensity of this test. Beat-to-beat RR intervals and gas exchange values in 10 healthy subjects (31-83 years; 7 men) were collected during the ISWT. The ventilatory equivalent was used to assess VT from respiratory components. To determine the HRV threshold (HRVT), the instantaneous beat-to-beat variability values of the RR intervals at each stage of exercise were graphically plotted against walking speed (WS). The oxygen consumption at HRVT was calculated (VO2HRVT). No significant differences were found between walking speed (WS) at VT and WS at HRVT (5.04±1.00 vs. 5.10±1.04 km/h; p=0.89). Linear regression analysis revealed a strong correlation between VO2VT and VO2HRVT (r(2)=0.896). The Bland and Altman plot analysis revealed an agreement between VO2VT and VO2HRVT (-0.05; 95%CI: -0.30-0.20 L/min). Thus, the VT can be assessed during the ISWT using a simple heart monitor. The ISWT may be a useful tool to assess exercise capacity and prescribe walking programs.
An argument that we must read code for more than what it does—we must consider what it means. Computer source code has become part of popular discourse. Code is read not only by programmers but by lawyers, artists, pundits, reporters, political activists, and literary scholars; it is used in political debate, works of art, popular entertainment, and historical accounts. In this book, Mark Marino argues that code means more than merely what it does; we must also consider what it means. We need to learn to read code critically. Marino presents a series of case studies—ranging from the Climategate scandal to a hactivist art project on the US-Mexico border—as lessons in critical code reading. Marino shows how, in the process of its circulation, the meaning of code changes beyond its functional role to include connotations and implications, opening it up to interpretation and inference—and misinterpretation and reappropriation. The Climategate controversy, for example, stemmed from a misreading of a bit of placeholder code as a “smoking gun” that supposedly proved fabrication of climate data. A poetry generator created by Nick Montfort was remixed and reimagined by other poets, and subject to literary interpretation. Each case study begins by presenting a small and self-contained passage of code—by coders as disparate as programming pioneer Grace Hopper and philosopher Friedrich Kittler—and an accessible explanation of its context and functioning. Marino then explores its extra-functional significance, demonstrating a variety of interpretive approaches.
Dedicated to the dissemination of scholarly and professional information, Purdue University Press selects, develops, and distributes quality resources in several key subject areas for which its parent university is famous, including business, technology, health, veterinary medicine, and other selected disciplines in the humanities and sciences.CLCWeb: Comparative Literature and Culture, the peer-reviewed, full-text, and open-access learned journal in the humanities and social sciences, publishes new scholarship following tenets of the discipline of comparative literature and the field of cultural studies designated as "comparative cultural studies
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