Until large numbers of bat fatalities began to be reported at certain North American wind energy facilities, wildlife concerns regarding wind energy focused primarily on bird fatalities. Due in part to mitigation to reduce bird fatalities, bat fatalities now outnumber those of birds. To test one mitigation option aimed at reducing bat fatalities at wind energy facilities, we altered the operational parameters of 21 turbines at a site with high bat fatalities in southwestern Alberta, Canada, during the peak fatality period. By altering when turbine rotors begin turning in low winds, either by changing the wind‐speed trigger at which the turbine rotors are allowed to begin turning or by altering blade angles to reduce rotor speed, blades were near motionless in low wind speeds, which resulted in a significant reduction in bat fatalities (by 60.0% or 57.5%, respectively). Although these are promising mitigation techniques, further experiments are needed to assess costs and benefits at other locations.
Methodology An e-mailed questionnaire with follow-up was sent to 198 deans of dental/medical schools, 1,628 directors of residency programs in nine medical/dental residency programs, 427 medical students in 12 medical schools, and 368 health related organizations, facilities and programs.Results More than half (58%) of the responding deans of medical schools and 50% of the deans of dental schools reported that a curriculum for patients with disabilities was not a high priority at their school. A majority (61%) of deans of medical schools, and 47% of the deans of dental schools, reported that their graduates were competent to treat patients with disabilities. However, majorities of dental/ medical school seniors and graduates expressed inadequate competency in the care of these patients. A majority of the directors of medical/dental residencies indicated a need for additional training for their residents. ConclusionThere is need for increased didactic and clinical preparation of dental/medical school graduates in the care of individuals with special health needs. The interest expressed by health profession educators in an effort to develop appropriate curriculum modules provides an opportunity to prepare new graduates for the care of an increasing population of individuals with disabilities.
This article reviews the classification and etiology of fever of unknown origin (FUO) in the adult population. A systematic diagnostic approach is discussed, equipping the NP to follow a careful history and physical, as well as focused diagnostic tests and procedures to determine the underlying cause of FUO.
Special Olympics is the largest sports organization in the world serving athletes with intellectual disabilities. Because of their unique needs, Special Olympics has designed a multitude of programs specifically for athletes with intellectual disabilities, including the world's largest public health screening program for people with intellectual disabilities, known as the Special Olympics Healthy Athletes Program. This article describes the Healthy Athletes program and some of the results of the program within the context of impacting health care professional education with respect to athletes with intellectual disabilities.
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