Physiotherapy management is a key element of care for people with cystic fibrosis (CF) throughout the lifespan. Although considerable evidence exists to support physiotherapy management of CF, there is documented variation in practice. The aim of this guideline is to optimize the physiotherapy management of people with CF in Australia and New Zealand. A systematic review of the literature in key areas of physiotherapy practice for CF was undertaken. Recommendations were formulated based on National Health and Medical Research Council (Australia) guidelines and considered the quality, quantity and level of the evidence; the consistency of the body of evidence; the likely clinical impact; and applicability to physiotherapy practice in Australia and New Zealand. A total of 30 recommendations were made for airway clearance therapy, inhalation therapy, exercise assessment and training, musculoskeletal management, management of urinary incontinence, managing the newly diagnosed patient with CF, delivery of non‐invasive ventilation, and physiotherapy management before and after lung transplantation. These recommendations can be used to underpin the provision of evidence‐based physiotherapy care to people with CF in Australia and New Zealand.
Egan, Santos, and Bloom (2007). In experimental trials, subjects were given choices between 2 equally preferred food items and then presented with the unchosen option and a novel, equally preferred food item. In control trials, subjects were presented with 1 accessible and 1 inaccessible option from another triad of equally preferred food items. They were then presented with the previously inaccessible item and a novel member of that triad. Subjects, as a whole, did not prefer the novel item in experimental or control trials. However, there was a tendency toward a subject by condition interaction. When analyzed by primate versus nonprimate categories, only primates preferred the novel item in experimental but not control trials, indicating that they resolved cognitive dissonance by devaluing the unchosen option only when an option was derogated by their own free choice. This finding suggests that this phenomenon might exist within but not outside of the primate order.
This paper looks at the process of censoring via the differential geometric theory of Amari (1990) . This theory gives both a conceptual framework and a set of useful tools which help in mastering the asymptotic theory of estimation and testing. After briefly reviewing results from the theory, noting the natural geometry enjoyed by exponential and curved exponential families, the paper examines how censoring can be viewed in a geometric way. In particular the issue of information loss and the sampling properties of estimators are examined. Throughout a visual approach is taken in order to aid intuition and to give insight into the geometric theory
The efficacy of treating soilless substrate with a commercial humectant was tested as a means of suppressing drought stress in 4-week-old container-grown Zinnia elegans Jacq. ‘Thumbelina’. The humectant was applied as a substrate amendment at concentrations of 0.0, 0.8, 1.6 and 3.2% by volume prior to withholding irrigation. An untreated, well-watered control was also included. The substrate of treated plants was allowed to dry until the foliage wilted, at which time the plants were harvested and the following measurements taken: number of days to wilt (DTW), xylem water potential (ψx), shoot growth (shoot dry weight, leaf area) and root growth (length, diameter, surface area, volume, dry weight). For drought-stressed plants grown in humectant-treated substrate at concentrations of 1.6 and 3.2%, DTW increased 25 and 33%, respectively. A linear decrease in ψx was observed as the concentration of humectant increased from 0.0 to 3.2%. Linear trends were also noted for both volumetric moisture content (positive) and evapotranspiration (negative) as the concentration of humectant increased. For non-irrigated, untreated plants, stress inhibited shoot growth more than root growth, resulting in a lower root:shoot ratio. For non-irrigated, humectant-treated plants, the length of fine, water-absorbing roots increased linearly as humectant concentration increased from 0.0 to 3.2%. Using humectant-amended substrates may be a management option for mitigating the symptoms of drought stress during the production of container-grown bedding plants such as Z. elegans.
Despite numerous laws and religious tracts prohibiting homosexuality and the practise of same-sex activity in colonial North America, very few people were ever brought to trial – and even fewer found guilty – for engaging in such “unseemly practises.” Using both primary and secondary sources, this paper attempts to dissect the reasoning behind the relative lack of prosecutions of men thought to have participated in “sodomitical [sic] behaviour”. Issues of community, power, and religion as they related to sodomy will be discussed.
Points to the unique cultural, ethnic and linguistic identities of the three BalticStates: Estonia, Latvia and Lithuania; despite being for many years under the political and economic sway of one large neighbour or another. For over 500 years, the state of libraries and librarianship has been a reliable measure of varying degrees of freedom and subjugation in these countries. Traces the influences of religion, academic and private collections, Russian rule and the emergence of nationalism, the development of professional librarianship, independence following World War 1, and domination by the Soviet Union. Shows not only the effects of politics on libraries but also their counterbalancing role. Documents past preoccupations with Soviet propaganda and censorship with a view to assessing the current state of libraries as they enter a new era of political freedom, information technology and co-operation. Notes specific projects aimed at establishing Web sites and online public access catalogues (OPACs) in individual countries. Concludes that the fundamental steps to developing Baltic library networks and to decentralize the library system have been firmly established. Attributes these advancements to the unity of the people in their single minded determination to regain and promote the strong national identity that they feel has been denied them for so long.
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