Science.gov

Sample records for kidney practicum breeze

  1. Land-Breeze Forecasting

    NASA Technical Reports Server (NTRS)

    Case, Jonathan L.; Wheeler, Mark M.; Merceret, Francis J. (Technical Monitor)

    2002-01-01

    The nocturnal land breeze at the Kennedy Space Center (KSC) and Cape Canaveral Air Force Station (CCAFS) is both operationally significant and challenging to forecast. The occurrence and timing of land breezes impact low-level winds, atmospheric stability, low temperatures, and fog development. Accurate predictions of the land breeze are critical for toxic material dispersion forecasts associated with space launch missions, since wind direction and low-level stability can change noticeably with the onset of a land breeze. This report presents a seven-year observational study of land breezes over east-central Florida from 1995 to 2001. This comprehensive analysis was enabled by the high-resolution tower observations over KSC/CCAFS. Five-minute observations of winds, temperature, and moisture along with 9 15-MHz Doppler Radar Wind Profiler data were used to analyze specific land-breeze cases, while the tower data were used to construct a composite climatology. Utilities derived from this climatology were developed to assist forecasters in determining the land-breeze occurrence, timing, and movement based on predicted meteorological conditions.

  2. Therapeutic Recreation Practicum Manual.

    ERIC Educational Resources Information Center

    Schneegas, Kay

    This manual provides information on the practicum program offered by Moraine Valley Community College (MVCC) for students in its therapeutic recreation program. Sections I and II outline the rationale and goals for providing practical, on-the-job work experiences for therapeutic recreation students. Section III specifies MVCC's responsibilities…

  3. The eastern Massachusetts sea breeze study

    NASA Astrophysics Data System (ADS)

    Thorp, Jennifer E.

    This study investigates many different aspects of the sea breeze at Logan Airport in Boston, Massachusetts (KBOS) and along the Massachusetts coastline. Part of the study adapts the method of predicting sea breeze events developed by Miller and Keim (2003) for Portsmouth, New Hampshire (KPSM) to KBOS. A nearly ten-year dataset of hourly KBOS surface observations (1998-2007) was used to identify 879 days when the sea breeze occurred or was likely to occur at the airport. These days were classified as sea breeze, marginal, or non-sea breeze events. Sea breeze events were further classified into fast and slow transitions, with a fast transition identified by a wind shift taking one hour or less to develop, and a slow transition identified by a wind shift taking two hours or more to develop. Marginal events were events that had a duration of 1 hour or less, no clear start or finish, or were interrupted by periods of "calm" or "light and variable" winds. Non-events were events in which the background conditions for a sea breeze to occur existed, but a sea breeze did not develop. Times of onset and event durations for the sea breeze events (fast, slow, and marginal) were calculated and used to create seasonal statistics by event type. It was found that seasonal variation did occur with both characteristics, but was more evident in the time of onset. Slow events occurred earliest in the day overall, while marginal events occurred a bit later, and fast events occurred the latest. Slow events had the longest duration overall, while marginal events, by definition, had the shortest duration. Seasonally, similar results were found for both characteristics with a few variations. United States surface analyses for each event at the time of onset (or average time of onset, 1500 UTC, for non-events) were classified using the seven synoptic classes developed by Miller and Keim (2003), and statistics were developed to evaluate the distribution of synoptic classes amongst the

  4. Evolving Practicum Issues in School Psychology Preparation

    ERIC Educational Resources Information Center

    Li, Chieh; Fiorello, Catherine A.

    2011-01-01

    Practicum experiences have been a critical aspect of the education and training of school psychologists at both the specialist and doctoral level. At the specialist level, the National Association of School Psychologists recently updated their standards for practicum, but the content, quality, and length of practicum vary tremendously across…

  5. Rethinking the Practicum: Limitations and Possibilities

    ERIC Educational Resources Information Center

    Grudnoff, Lexie

    2011-01-01

    Teachers and policy makers often view the practicum as being the critical component of initial teacher education (ITE) programmes. While numerous studies have investigated the practicum in ITE, less attention has been given to the role practicum plays in the transition from preparation to teaching. This study investigated 12 New Zealand first-year…

  6. Solar breeze power package and saucer ship

    SciTech Connect

    Veazey, S. E.

    1985-11-12

    A solar breeze power package having versatile sail and windmast options useful both on land and sea and especially useful in the saucer ship type design. The Vertical Axis Wind Turbine (VAWT) of the several Darrieus designs in conjunction with roll-up or permanently mounted solar cells combine in a hybrid or are used separately to provide power to a battery bank or other storage device.

  7. Public Service Practicum Curriculum Guide.

    ERIC Educational Resources Information Center

    Illinois State Office of Education, Springfield. Div. of Adult Vocational and Technical Education.

    This Public Service Practicum Curriculum Guide is intended to assist social science and occupational teachers in the areas of public service and related occupations to develop, implement, and operate an internship program. Designed for use in all schools in rural, suburban, or city settings, this guide is based on a program developed in Elk Grove…

  8. Winter Lake Breezes near the Great Salt Lake

    NASA Astrophysics Data System (ADS)

    Crosman, Erik T.; Horel, John D.

    2016-05-01

    Case studies of lake breezes during wintertime cold air pools in Utah's Salt Lake Valley are examined. While summer breezes originating from the Great Salt Lake are typically deeper, of longer duration, and have higher wind speeds than winter breezes, the rate of inland penetration and cross-frontal temperature differences can be higher during the winter. The characteristics of winter breezes and the forcing mechanisms controlling them (e.g., snow cover, background flow, vertical stability profile, clouds, lake temperature, lake sheltering, and drainage pooling) are more complex and variable than those evident in summer. During the afternoon in the Salt Lake Valley, these lake breezes can lead to elevated pollution levels due to the transport of fine particle pollutants from over the Great Salt Lake, decreased vertical mixing depth, and increased vertical stability.

  9. Problematizing the Practicum to Integrate Practical Knowledge

    ERIC Educational Resources Information Center

    Melville, Wayne; Campbell, Todd; Fazio, Xavier; Stefanile, Antonio; Tkaczyk, Nicholas

    2014-01-01

    This article examines the influence of a practicum teaching experience on two pre-service science teachers. The research is focused on examining a practicum in a secondary science department that actively promotes the teaching and learning of science as inquiry. We investigated the process through which the pre-service science teachers integrated…

  10. Undergraduate Practicum in a Liberal Education.

    ERIC Educational Resources Information Center

    VandeCreek, Leon

    The goals and nature of liberal education, the status of psychology within liberal arts, and the undergraduate practicum are discussed. A new development in psychology has been the practicum course, which some critics have claimed is a threat to the goals of liberal education. It is claimed that three dimensions are persistent themes in most…

  11. Workplace-Based Practicum: Enabling Expansive Practices

    ERIC Educational Resources Information Center

    Pridham, Bruce A.; Deed, Craig; Cox, Peter

    2013-01-01

    Effective pre-service teacher education integrates theoretical and practical knowledge. One means of integration is practicum in a school workplace. In a time of variable approaches to, and models of, practicum, we outline an innovative model of school immersion as part of a teacher preparation program. We apply Fuller and Unwin's (2004)…

  12. INTERIOR, FIRST FLOOR, A view looking southeast down the breeze ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    INTERIOR, FIRST FLOOR, A view looking southeast down the breeze way that connects B Building to H Building - Department of Energy, Mound Facility, B Building, One Mound Road, Miamisburg, Montgomery County, OH

  13. Mesoscale Modeling of the Inland Nocturnal Sea Breeze

    SciTech Connect

    Kurzeja, R.J.; Buckley, R.L.

    1995-09-12

    The mesoscale sea breeze has important consequences for many densely populated coastal environments, including convection initiation, aviation safety, and air quality. The sea breeze characteristics before and after sunset are markedly different (Sha et al 1993). A gravity current will form during the early afternoon due to the relatively large density difference between the land and sea air. During the afternoon, as the lighter land air is forced upward by the cooler dense sea air, Kelvin-Helmholtz (KH) billows often form along the interface, as well as thin regions of turbulent rising air, playing a crucial role in the mixing process (Simpson 1994). After sunset, the frontal zone expands as longwave radiation cools the surface which reduces vertical mixing. With further inland penetration, the sea breeze encounters increasingly stable air near the ground, resulting in the formation of an undular bore or cutoff vortex (Sha et al. 1993). It has been demonstrated that large-scale winds have profound effects on both the strength and inland penetration of sea breezes (Arritt 1993, among others). In general, offshore flow results in a sharper frontal discontinuity and less inland penetration, while onshore flow produces weaker fronts which may penetrate further inland. Most sea breeze studies have focused on its more dramatic daytime properties near the coast whereas inland nocturnal sea breezes have received much less attention. The reason for this neglect is a lack of good observational data in the boundary layer. Sha et al. (1991) note the necessity of high resolution data to capture the finer structures of the sea breeze. A unique opportunity to examine the nocturnal sea breeze became available at the Savannah River Site (SRS, located roughly 150 km from the Atlantic Ocean in southwestern South Carolina) during the Stable Boundary Layer Experiment (STABLE), 12-17 April, 1988. (Abstract Truncated)

  14. Sea breeze: Induced mesoscale systems and severe weather

    NASA Technical Reports Server (NTRS)

    Nicholls, M. E.; Pielke, R. A.; Cotton, W. R.

    1990-01-01

    Sea-breeze-deep convective interactions over the Florida peninsula were investigated using a cloud/mesoscale numerical model. The objective was to gain a better understanding of sea-breeze and deep convective interactions over the Florida peninsula using a high resolution convectively explicit model and to use these results to evaluate convective parameterization schemes. A 3-D numerical investigation of Florida convection was completed. The Kuo and Fritsch-Chappell parameterization schemes are summarized and evaluated.

  15. Beaufort Sea Mesoscale Meteorology Modeling Study: Sea Breeze Simulation

    NASA Astrophysics Data System (ADS)

    Liu, F.; Zhang, J.

    2009-12-01

    The Beaufort Sea and its adjacent continental areas are prominent geographical features which are largely covered by sea ice on a seasonal basis over the ocean and bounded by the Brooks Range in the south on land. This complex geographical environment offers unique challenges for mesoscale meteorology modeling. Further oil development in this area requires improved understanding of the surface wind field, a crucial parameter for assessing and predicting dispersal and movement of oil spills. As thus a study has been established to investigate the mesoscale features of the surface wind field throughout this region, specifically in relation to the sea breeze and topographic effects. In this study, we focus on the sea breeze effect. Based on the analysis of observed surface winds at the weather stations along the Beaufort coast, as well as model simulations with the weather research and forecast model (WRF), we found that the sea breeze along the Beaufort Sea coast is of different from the temperate latitude. Due to the stable Arctic boundary layer (inversion), which is unfavorable for the vertical convection, the offshore flow aloft occurs at relatively low level. In addition, due to continuous solar radiation, the sea breeze along the Beaufort coast is not followed by the land breeze. However the sea breeze’s strength and horizontal extent demonstrate a diurnal variation. The wind direction shows clockwise turning from 12:00 AKST to 00:00 AKST. Sea breeze could be a dominant factor causing the wind variation along the Beaufort Sea coast.

  16. Practicum and clinical experiences: postpracticum students' views.

    PubMed

    Ralph, Edwin; Walker, Keith; Wimmer, Randolph

    2009-08-01

    The clinical or practicum component of preservice undergraduate education across all disciplines typically is rated by prebaccalaureate students as the most important phase of their entire professional preparation. This study collected e-mail survey responses from 63 post-practicum nursing students who had just completed their culminating fourth-year clinical course. Students identified the most positive and the most negative aspects of that final practicum experience. These responses were compared with those reported by postpracticum students from the disciplines of engineering and teacher education. The cross-disciplinary similarity of these data related to postpracticum students' perceptions of this experiential learning phase of their preservice professional training was noted. The student voice provides a critical dimension to the program-enhancement process for all professional disciplines, and practicum organizers across the disciplines should value such student input and collaborate to improve the clinical phase of preservice education for all professions.

  17. Skill Acquisition and Perception Change of Counselor Candidates During Practicum.

    ERIC Educational Resources Information Center

    Delaney, Daniel J.; And Others

    The practicum is designed to provide supervised experience in the development of well trained counselors. A study at the University of Illinois using 10 post-master's degree students enrolled in a one semester supervised practicum investigated the relationship between the practicum and: (1) the development of counselor skills of empathy, warmth…

  18. Preservice Science Teachers' Perceptions of Their Practicum Classrooms

    ERIC Educational Resources Information Center

    Fazio, Xavier; Volante, Louis

    2011-01-01

    Practicum experiences in schools are highly valued in science teacher education programs. Yet, there are few studies examining secondary preservice science teachers' practicum classrooms. This mixed-methods study explored secondary preservice science teachers' perceptions of their practicum classroom learning environments, interpreted from an…

  19. Determining the Impact of Online Practicum Facilitation for Inservice Teachers

    ERIC Educational Resources Information Center

    Frey, Timothy

    2008-01-01

    This study investigated the impact of a project-based graduate practicum experience that was facilitated online. The study investigated the effects of the online practicum experience by: (a) using quantitative data to assess the learning and professional growth of the practicum participants in comparison to a group of teachers that did not…

  20. The Influence of Soil Moisture, Coastline Curvature, and Land-Breeze Circulations on Sea-Breeze Initiated Precipitation

    NASA Technical Reports Server (NTRS)

    Baker, David R.; Lynn, Barry H.; Boone, Aaron; Tao, Wei-Kuo; Simpson, Joanne

    2000-01-01

    Idealized numerical simulations are performed with a coupled atmosphere/land-surface model to identify the roles of initial soil moisture, coastline curvature, and land breeze circulations on sea breeze initiated precipitation. Data collected on 27 July 1991 during the Convection and Precipitation Electrification Experiment (CAPE) in central Florida are used. The 3D Goddard Cumulus Ensemble (GCE) cloud resolving model is coupled with the Goddard Parameterization for Land-Atmosphere-Cloud Exchange (PLACE) land surface model, thus providing a tool to simulate more realistically land-surface/atmosphere interaction and convective initiation. Eight simulations are conducted with either straight or curved coast-lines, initially homogeneous soil moisture or initially variable soil moisture, and initially homogeneous horizontal winds or initially variable horizontal winds (land breezes). All model simulations capture the diurnal evolution and general distribution of sea-breeze initiated precipitation over central Florida. The distribution of initial soil moisture influences the timing, intensity and location of subsequent precipitation. Soil moisture acts as a moisture source for the atmosphere, increases the connectively available potential energy, and thus preferentially focuses heavy precipitation over existing wet soil. Strong soil moisture-induced mesoscale circulations are not evident in these simulations. Coastline curvature has a major impact on the timing and location of precipitation. Earlier low-level convergence occurs inland of convex coastlines, and subsequent precipitation occurs earlier in simulations with curved coastlines. The presence of initial land breezes alone has little impact on subsequent precipitation. however, simulations with both coastline curvature and initial land breezes produce significantly larger peak rain rates due to nonlinear interactions.

  1. Dynamical analysis of sea-breeze hodograph rotation in Sardinia

    NASA Astrophysics Data System (ADS)

    Moisseeva, N.; Steyn, D. G.

    2014-12-01

    This study investigates the diurnal evolution of sea-breeze (SB) rotation over an island at the middle latitudes. Earlier research on sea breezes in Sardinia shows that the onshore winds around various coasts of the island exhibit both the theoretically predicted clockwise rotation as well as seemingly anomalous anticlockwise rotation. A non-hydrostatic fully compressible numerical model (WRF) is used to simulate wind fields on and around the island on previously studied sea-breeze days, and is shown to capture the circulation on all coasts accurately. Diurnal rotation of wind is examined, and patterns of clockwise and anticlockwise rotation are identified. A dynamical analysis is performed by extracting individual forcing terms from the horizontal momentum equations. Analysis of several regions around the island shows that the direction of rotation is a result of a complex interaction between near-surface and synoptic pressure gradient, Coriolis and advection forcings. An idealized simulation is performed over an artificial island with dramatically simplified topography yet similar dimensions and latitude to Sardinia. Dynamical analysis of the idealized case reveals a rather different pattern of hodograph rotation to the real Sardinia, yet similar underlying dynamics. The research provides new insights into the dynamics underlying sea-breeze hodograph rotation, especially in coastal zones with a complex topography and/or coastline.

  2. Dynamical analysis of sea-breeze hodograph rotation in Sardinia

    NASA Astrophysics Data System (ADS)

    Moisseeva, N.; Steyn, D. G.

    2014-09-01

    This study investigates the diurnal evolution of sea-breeze rotation over an island in the mid-latitudes. Earlier research on sea-breezes in Sardinia shows that the onshore winds around various coasts of the island exhibit both the theoretically predicted clockwise rotation as well as seemingly anomalous anti-clockwise rotation. A non-hydrostatic fully compressible numerical model (WRF) is used to simulate wind fields on and around the island on previously-studied sea-breeze days and is shown to accurately capture the circulation on all coasts. Diurnal rotation of wind is examined and patterns of clockwise and anti-clockwise rotation are identified. A dynamical analysis is performed by extracting individual forcing terms from the horizontal momentum equations. Analysis of several regions around the island shows that the direction of rotation is a result of a complex interaction between near-surface and synoptic pressure gradient, Coriolis and advection forcings. An idealized simulation is performed over an artificial island with dramatically simplified topography, yet similar dimensions and latitude to Sardinia. Dynamical analysis of the idealized case reveals a rather different pattern of hodograph rotation to the real Sardinia, yet similar underlying dynamics. The research provides new insights into the dynamics underlying sea-breeze hodograph rotation, especially in coastal zones with complex topography and/or coastline.

  3. Ocean breeze monitoring network at the Oyster Creek Nuclear Plant

    SciTech Connect

    Heck, W.

    1987-01-01

    The Oyster Creek Nuclear Generating Station (OCNGS) is located in New Jersey 10 km west of the Atlantic Ocean. Routine meteorological monitoring at the station has consisted of a single meteorological tower 120 m high and instrumented at the 10-m, 46-m, and 116-m levels. An analysis of 5 yr of data from this tower showed the OCNGS is affected by an ocean breeze approx. 1 day out of 4 during May through August. This suggested the need for meteorological monitoring in addition to the single met tower at OCNGS. As a result of the 1985 OCNGS meteorological monitoring study, GPU Nuclear established an ocean breeze monitoring network in the fall of 1986. It is a permanent part of OCNGS meteorological monitoring and consists of the same sites as used in the 1985 field study. Meteorological towers are located at the ocean site, the inland site, and at OCNGS. The ocean tower is 13 m (43 ft) high, the inland tower 10 m (33 ft), and the OCNGS tower 116 m (380 ft). Wind speed, wind direction, and temperature are measured on each tower; delta-temperature is also measured on the main tower. The instruments are calibrated in the spring, summer, and fall. The network is operated and maintained by GPU Nuclear Environmental Controls. The ocean breeze monitoring network and meteorological information system forms the basis for including the effects of the ocean breeze in OCNGS emergency off-site dose assessment.

  4. Scholarship of Teaching in Rehabilitation Counseling Practicum

    ERIC Educational Resources Information Center

    Kiener, Michael

    2007-01-01

    Understanding how students learn is a common goal for most educators; however pedagogical research in rehabilitation counselor education is limited. This study employed action research to investigate how six students learned beginning counseling skills in a rehabilitation counseling practicum class. Approximately 150 data points were analyzed by…

  5. Wireless Handhelds to Support Clinical Nursing Practicum

    ERIC Educational Resources Information Center

    Wu, Cheng-Chih; Lai, Chin-Yuan

    2009-01-01

    This paper reports our implementation and evaluation of a wireless handheld learning environment used to support a clinical nursing practicum course. The learning environment was designed so that nursing students could use handhelds for recording information, organizing ideas, assessing patients, and also for interaction and collaboration with…

  6. The Teaching Practicum in Thailand: Three Perspectives

    ERIC Educational Resources Information Center

    Phairee, Chatpong; Sanitchon, Nalinee; Suphanangthong, Irada; Graham, Steve; Prompruang, Jidapa; de Groot, Freek Olaf; Hopkins, Dave

    2008-01-01

    This article examines the teaching practicum in Thailand as it occurs in three settings: "Rajabhats"--four-year universities which offer an additional period of teaching practice, and where the vast majority of EFL teachers are educated; regular universities; and a TESOL short course certificate program for non-Thais preparing to teach English as…

  7. Student stakeholders impact redesign for management practicum.

    PubMed

    Young, Judith; Urden, Linda D

    2004-01-01

    Healthcare educators are continually challenged to respond to societal needs as they engage in the dynamic and ongoing process of curriculum redesign. The expectations of a group of stakeholders in the process, our students, were obtained through a survey process over time and led to change in the management and leadership practicum. The authors describe the survey process and its outcomes.

  8. Metaphor and Pedagogy in the Design Practicum

    ERIC Educational Resources Information Center

    Logan, Cheri

    2008-01-01

    This paper discusses the ways in which the long-established tradition of the design "practicum" continues to structure teaching and learning in undergraduate programmes. It draws on an in-depth empirical study of one degree course in graphic design and accompanying research in a small number of professional graphic design studios; this dual focus…

  9. Operation of the breeze tunnel to determine mass extinction coefficients

    SciTech Connect

    Sehmel, G.A.; Bonfante, R.; Catalano, E.; Rouse, W.G.; Banks, D.R.

    1993-06-01

    The breeze tunnel at the Edgewood Research, Development and Engineering Center (ERDEC) at Aberdeen Proving Ground, Maryland, is a unique facility for determining the efficacy of released smoke/obscurants in flowing air as a function of controlling variables. Optimum material feed characteristics and generator operating conditions can be determined. The facility allows investigation of the effects of different generator operating variables, airborne concentrations, and airborne particle sizes on mass extinction coefficients. The breeze tunnel is now available for Department of Defense (DoD) trials. During trials in the breeze tunnel, obscurants have been released from the compact-disc-generator, the IR-Log generator, and the XM56 generator. Obscurant release rates have ranged from an instantaneous puff to a continuous release of 10 lb/min. Extinction can be measured in the visual, infrared, and millimeter ranges of the electromagnetic spectrum. Experimental conditions allow calculation of mass extinction coefficients as a function of generator variables, including material release rates. Average mass extinction coefficients address attenuation from obscurants, both single primary particles and aggregates.

  10. Inclusion of the ocean breeze in Oyster Creek emergency off-site dose assessment

    SciTech Connect

    Heck, W.

    1986-01-01

    The Oyster Creek Nuclear Generating Station (OCNGS) is located 6 mi west of the Atlantic Ocean. From spring through late summer, atmospheric transport in the vicinity of OCNGS is periodically affected by the ocean breeze. The ocean breeze produces large differences in wind direction within the OCNGS emergency planning zone during the morning to evening hours. In addition, trajectory reversals can occur near the ocean breeze front. These two characteristics of the ocean breeze must be taken into account when interpreting results from conventional atmospheric dispersion models. The purpose of the study was to determine the flow characteristics of the ocean breeze and to apply these characteristics to an emergency preparedness implementing procedure (EPIP). The EPIP would be used to determine the radiological plume impact region if an accidental release occurred during an ocean breeze.

  11. Handbook for Student Teaching Practicum in Business Education.

    ERIC Educational Resources Information Center

    Ash, Barbara F.

    This handbook is intended to assist students, cooperating practitioners, and university supervisors who are involved in practicums for business education majors in Massachusetts. Policies for Suffolk University's student teaching practicum are outlined. Provided next are instructions and various reports and evaluation forms for student teachers…

  12. Gestalt Therapy and the Counseling Practicum: A Marriage.

    ERIC Educational Resources Information Center

    Witchel, Robert

    This paper briefly summarizes the literature relating to the counseling practicum experience, as well as reviews the development and basic principles of Gestalt therapy. A marriage between the Gestalt therapy approach and the counseling practicum is developed as follows: "Experiential learning, the here-and-now, I-and-thou, and integrating…

  13. Examining Perception of Competency through Practicum Competencies Outline

    ERIC Educational Resources Information Center

    Esposito, Giovanna; Freda, Maria Francesca; Bosco, Valentina

    2015-01-01

    Purpose: This study aims to examine the self-perceived competencies of 231 Italian students enrolled in a psychological degree program and involved in a practicum. It analyzes the subjective perception of the competences that students expect to develop, acknowledge as developed and that might be inferred from tasks performed during the practicum;…

  14. Burning out during the Practicum: The Case of Teacher Trainees

    ERIC Educational Resources Information Center

    Kokkinos, Constantinos M.; Stavropoulos, George

    2016-01-01

    The purpose of the present study was to empirically examine the link between practicum-related stressors, perceived general practicum stress, personal variables (i.e. general and teaching self-efficacy, epistemological beliefs, conceptions about teaching and learning, and trait anxiety) and burnout dimensions in a sample of 174 Greek student…

  15. Great Expectations: The TESOL Practicum as a Professional Learning Experience

    ERIC Educational Resources Information Center

    Canh, Le Van

    2014-01-01

    The practicum as a learning opportunity for prospective teachers of ESL or EFL remains underexplored. Most of the studies that have been documented in the TESOL practicum literature were conducted in either North America or a few Asian contexts with novice teachers. In this study the author used diaries by five Vietnamese EFL student teachers as…

  16. Preservice Science Teachers Reflect on Their Practicum Experiences

    ERIC Educational Resources Information Center

    Koc, Isil

    2012-01-01

    The practicum provides an opportunity for preservice teachers to apply knowledge and skills in actual classroom settings. Thus, it serves as a central component of virtually all teacher education programmes. This study focused the views of 16 preservice science teachers on their practicum experiences. Individual interviews were made to construct a…

  17. Peer Observation and Reflection in the ELT Practicum

    ERIC Educational Resources Information Center

    Day, Richard R.

    2013-01-01

    The purpose of this study was to determine if peer observation (PO) in an ELT practicum for graduate students led to reflective teaching. The 15 students in the practicum taught EFL at two universities in rural Thailand in eight-week intensive courses. Five questions were investigated: (1) Did PO help the students engage in reflective teaching?…

  18. Rehabilitation Counseling Practicum: A National Survey of Design and Implementation

    ERIC Educational Resources Information Center

    Dalgin, Rebecca Spirito; Bruch, Lori A.; Barber, Gerianne

    2010-01-01

    This national study documents current processes and practices used in the master's level rehabilitation counseling practicum such as type of supervision provided, training setting, activities related to rehabilitation skill development, written documentation used during practicum, and use of microskills training. Results are described in relation…

  19. National Depression Screening Day: An Undergraduate Practicum Experience

    ERIC Educational Resources Information Center

    Kay, Theresa S.; Rangel, Dianna K.

    2009-01-01

    Several authors have described the many benefits of undergraduate practica, how to organize an undergraduate practicum experience, and different undergraduate practicum activities. This article provides a description of the process of organizing and implementing National Depression Screening Day at a university campus as an undergraduate practicum…

  20. An innovative clinical practicum to teach evidence-based practice.

    PubMed

    Brancato, Vera C

    2006-01-01

    A clinical practicum was successfully implemented for RN to BSN students to apply evidence-based practice to actual clinical problems affecting nursing practice. The author describes how this practicum was implemented and the requisite resources and support systems. This senior-level capstone course enabled students to understand and value a lifelong learning approach to evidence-based practice.

  1. Research on Teaching Practicum--A Systematic Review

    ERIC Educational Resources Information Center

    Lawson, Tony; Çakmak, Melek; Gündüz, Müge; Busher, Hugh

    2015-01-01

    The aim of the present study is to conduct a systematic review research which focuses on research studies into the school practicum. In order to identify the main issues and also to provide a contemporary picture of practicum, 114 studies published on the topic are reviewed and analysed in terms of: (i) aims, (ii) main participants, (iii)…

  2. Loose among the Literati: Wired Writers and the Virtual Practicum

    ERIC Educational Resources Information Center

    Owen, Trevor; Takaki, Sudha

    2005-01-01

    This article discusses another ancillary project of the Writers In Electronic Residence's (WIER) program, "The Virtual Practicum," which provides online practice teaching placements to pre-service candidates. WIER offered its first virtual practicum in 1989 through the former Faculty of Education, University of Toronto, and has since expanded to…

  3. Conducting Action Research in a Practicum: A Student Teacher's Perspective

    ERIC Educational Resources Information Center

    Kasula, Alex

    2015-01-01

    This article looks at my reflection as a teacher during a master's degree practicum for a Second Language Studies Program. This particular practicum differs from the other common student teacher-training courses found in master's programs as it incorporated a teacher-training session on conducting action research (AR) in the classroom, a practice…

  4. Modeling the impact of bay breeze circulations on nitrogen deposition

    NASA Astrophysics Data System (ADS)

    Loughner, C. P.; Tzortziou, M.; Pickering, K. E.; Duffy, M.; Satam, C.

    2012-12-01

    Atmospheric gases and aerosols are deposited into watersheds and estuarine waters contributing to water quality degradation and affecting estuarine and coastal biogeochemical processes. Pollution that is deposited onto land can be transported into storm drains, groundwater, streams, and rivers where it is eventually transported into near-shore waters. Air quality models, which simulate the chemical transformation, atmospheric transport, and deposition of pollutants onto land and surface waters, can play an integral role in forecasting water quality, preparing water quality regulations and providing information on the sources of nutrients and pollutants for advanced estuarine biogeochemical models. Previous studies have found that Chesapeake Bay breezes cause localized areas of high air pollution concentrations and that model simulations with horizontal resolutions coarser than about 5 km are not able to capture bay breeze circulations. Here, we investigate the importance of capturing bay breeze circulations with high resolution model simulations (horizontal resolution of 1.33 km) to accurately simulate the spatial and temporal variability of nitrogen deposition into the Chesapeake Bay watershed. Nitrogen deposition into the watershed from air quality model simulations are compared with observed wet deposition and estimated dry deposition rates from the National Acid Deposition Program (NADP) and the Clean Air Status and Trends Network (CASTNET), respectively. The model simulation is conducted for the months of June and July 2011. Two concurrent air and water quality field campaigns, DISCOVER-AQ (Deriving Information on Surface Conditions from Column and Vertically Resolved Observations Relevant to Air Quality) and GeoCAPE-CBODAQ (Geostationary Coastal and Air Pollution Events-Chesapeake Bay Oceanographic Campaign with DISCOVER-AQ), were conducted in July 2011, and data obtained from these field experiments are used to evaluate the model simulations.

  5. A Numerical Study of Sea Breeze and Spatiotemporal Variation in the Coastal Atmospheric Boundary Layer at Hainan Island, China

    NASA Astrophysics Data System (ADS)

    Huang, Qian-Qian; Cai, Xu-Hui; Song, Yu; Kang, Ling

    2016-06-01

    Numerical simulations of sea breezes and the coastal atmospheric boundary layer (ABL) at Hainan Island, China during summer and winter are discussed. The different behaviour of sea breezes and the ABL on the leeward and windward sides of the island are examined, and it is found that offshore flows are more likely to create a strong sea-breeze signature, whereas the process of sea-breeze development under onshore flows is difficult to capture. At the location where the sea-breeze signal is remarkable, the height of the coastal ABL displays an abnormal decrease, corresponding to a transitional point from a continental ABL to a thermal internal boundary layer (TIBL) formed under sea-breeze conditions. This is corroborated by the sudden increase in the water vapour mixing ratio and/or wind speed, indicating the arrival of the sea breeze. Regarding the spatial distribution, the TIBL height decreases abruptly just ahead of the sea-breeze front, and above the cold air mass. When the sea-breeze front occurs with a raised head, a cold air mass is separated from the sea-breeze flow and penetrates inland. This separation is attributed to the interaction between the sea breeze and valley breeze, while the dry airflow entraining to the sea-breeze flow may also partially contribute to this air mass separation.

  6. Morning transition case between the land and the sea breeze regimes

    NASA Astrophysics Data System (ADS)

    Jiménez, Maria A.; Simó, Gemma; Wrenger, Burkhard; Telisman-Prtenjak, Maja; Guijarro, Jose A.; Cuxart, Joan

    2016-05-01

    An experimental field campaign took place in September 2013 near the coastline in the southeastern Campos basin in the island of Mallorca to characterize experimentally the transition between the sea and the land breezes and to further study the successful cases with the corresponding high-resolution numerical simulations. Favorable weather conditions were only found for one episode that comprised a well-formed nocturnal land breeze, followed by the morning transition to sea breeze until noon the next day, when incoming clouds switched off the breeze regime. To analyse this transition between land and sea breezes, the official network of stations is used, supplemented by a portable station close to the shore and soundings of temperature (taken by a captive balloon and remotely controlled multicopter). These data are used to check the goodness of the corresponding simulation at a horizontal resolution of 1 km. Model and observations see similarly both regimes and the transition, showing some differences in the timing and the details in the surface layer. This transient event is analyzed in terms of phases, going consecutively through land breeze, phase previous to the sea breeze, when land heating starts, but it is still colder than the sea, the preparatory phase when the land becomes warmer than the sea, and the development phase when the breeze front progresses inland.

  7. Hot Jupiter breezes: time-dependent outflows from extrasolar planets

    NASA Astrophysics Data System (ADS)

    Owen, James E.; Adams, Fred C.

    2016-03-01

    We explore the dynamics of magnetically controlled outflows from hot Jupiters, where these flows are driven by UV heating from the central star. In these systems, some of the open field lines do not allow the flow to pass smoothly through the sonic point, so that steady-state solutions do not exist in general. This paper focuses on this type of magnetic field configuration, where the resulting flow becomes manifestly time-dependent. We consider the case of both steady heating and time-variable heating, and find the time-scales for the corresponding time variations of the outflow. Because the flow cannot pass through the sonic transition, it remains subsonic and leads to so-called breeze solutions. One manifestation of the time variability is that the flow samples a collection of different breeze solutions over time, and the mass outflow rate varies in quasi-periodic fashion. Because the flow is subsonic, information can propagate inwards from the outer boundary, which determines, in part, the time-scale of the flow variability. This work finds the relationship between the outer boundary scale and the time-scale of flow variations. In practice, the location of the outer boundary is set by the extent of the sphere of influence of the planet. The measured time variability can be used, in principle, to constrain the parameters of the system (e.g. the strengths of the surface magnetic fields).

  8. Sea breeze Initiated Rainfall over the east Coast of India during the Indian Southwest Monsoon

    SciTech Connect

    Simpson, M; Warrior, H; Raman, S; Aswathanarayana, P A; Mohanty, U C; Suresh, R

    2006-09-05

    Sea breeze initiated convection and precipitation is investigated along the east coast of India during the Indian southwest monsoon season. The sea breeze circulations are observed approximately 70 to 80% of the days during the summer months (June to August) along the Chennai coast. Observations of average sea breeze wind speeds are stronger at a rural location as compared to the wind speeds observed inside the urban region of Chennai. The sea breeze circulation is shown to be the dominant mechanism for initiating rainfall during the Indian southwest monsoon season. Roughly 80% of the total rainfall observed during the southwest monsoon over Chennai is directly related to the convection initiated by sea breeze circulation.

  9. Detection and Prediction of the Delaware Summertime Sea/Bay Breeze

    NASA Astrophysics Data System (ADS)

    Veron, D. E.; Hughes, C.

    2011-12-01

    The Delaware Bay/Sea Breeze is a thermally driven coastal circulation that has significant impacts along Delaware's coastline. The passage of a sea breeze front has a cooling effect which often moderates summer heat. Pollutants can be transported by a sea breeze circulation affecting air quality. In addition, this frequently occurring local circulation is strong enough and of enough vertical and horizontal extent to effect offshore wind turbines. The potential moderation of weather, air quality, and offshore wind resource all have significant environmental and economic impacts which are important to a coastal population which has nearly doubled in the last two decades. An analysis of weather radar (NEXRAD) images is used as an initial method for detecting a sea/bay breeze front. These case study days are then used to develop an objective sea breeze detection scheme based on changes in the observed conditions at twenty-one meteorological stations run by the Delaware Environmental Observing System and the National Data Buoy Center. Three distinct classes of sea breeze circulation (classic, dew-point and weak) are derived based on location, penetration distance, temperature drop, and time of onset. In general, based on nine years of data from 2000 to 2009, sea/bay breezes along the Delaware coast are found to occur in the summer 63% of the time at coastal stations and 20% at inland stations. These same data are used to develop a local sea breeze prediction scheme for the Delaware ocean coast. Details of the return flow and structure of the sea breeze at high spatial and temporal resolution are investigated using a regional atmospheric model, WRF. Characterization of Delaware's sea/bay breezes using multiple data sources and locations creates a more complete understating of the impact of this low-level circulation on the local climate, and will be useful in understanding how things may change in the future as local land-use and global climate changes.

  10. Problematizing the Practicum to Integrate Practical Knowledge

    NASA Astrophysics Data System (ADS)

    Melville, Wayne; Campbell, Todd; Fazio, Xavier; Stefanile, Antonio; Tkaczyk, Nicholas

    2014-10-01

    This article examines the influence of a practicum teaching experience on two pre-service science teachers. The research is focused on examining a practicum in a secondary science department that actively promotes the teaching and learning of science as inquiry. We investigated the process through which the pre-service science teachers integrated their practical knowledge, and examined this in the context of the quantified reformed instruction they enacted. Using a mixed methods design, we have quantified these pre-service science teachers' practice using the Reformed Teaching Observation Protocol (Piburn et al. 2000), in concert with a narrative methodology drawn from in-depth interviews. Our analysis of the data indicates two important conclusions. The first is the importance of a consistently reformed image of science education being presented and practiced by both science teacher educators and cooperating teachers. The second is the recognition that a consistently reformed image may not be sufficient, of itself, to challenge pre-service teachers' views of science education. Pre-service teachers appear to be heavily influenced by their biographies and own science education. Consequently, it appears the extent to which a pre-service teacher identifies problems of teaching and learning, and then works toward possible resolution, influences their progress in shaping reformed views of science education.

  11. The coordinator role for a nursing online graduate practicum.

    PubMed

    McGonigle, Dee; Alestock, Jennifer; Upenieks, Valda; Hine, Lois; Sisk, Rebecca; Meeks-Sjostrom, Diana

    2014-01-01

    Although graduate students in nursing are adult learners and expert clinicians, they are often novices in the roles they seek upon graduation. Practicum experiences help students bridge the gap between theory learned in course work and beginning practice at the master's level. However, finding practica for online nursing graduate students at great distances is often a challenge. The value of having a point person for the coordination of students' practicum experiences in multiple settings is well known. What is less well known is how this coordination occurs across great distances in online courses that include a practicum component. The authors discuss the design and implementation of a practicum coordinator position in a graduate online program.

  12. Developmental practicum experiences of preservice teachers in deaf education: implications for practicum placement and faculty-student collaborative research.

    PubMed

    Guteng, S I; Tracy, T; Chappell, B

    2000-12-01

    The study examined the developmental practicum experiences of second-year graduate students in deaf education. Participants in the study consisted of a convenient sample of five practicum students. Triangulated data for the study came from the researcher's observational notes, e-mail correspondence with participants, and participants' journals. Inductive analysis was used to analyze the data. Results of the study evinced developmental experiences that are different from those reported in previous studies. The results of the study have significant implications for (a) practicum placement of graduate students in deaf education in terms of site-based orientation, use of the clinical model of supervision, opportunities for self-reflection, and periodic practicum seminars; and (b) faculty-student collaborative research in terms of planning, ethical issues, students' time needs, and training.

  13. Narrative inquiry in a nursing practicum.

    PubMed

    Lindsay, Gail M; Smith, Faith

    2003-06-01

    One approach to creating research-based nursing education is to think and write narratively about the daily life of a BScN program student and her teacher in diverse settings and over time. Gail, as a nurse-teacher, and Faith, as a nursing student and now Public Health Nurse, reconstruct their teaching-learning experiences in an integrated practicum in maternal-child health services as a narrative inquiry. After presenting this reconstruction of experience at a conference on maternal scholarship, further inquiry into their experiences shows how narrative inquiry matters to construction of nursing praxis and to life-long learning as a nurse. Teaching-learning relationships are seen as a template for a student's connections to people experiencing nursing care and to other clinicians. Construction of stories to live by that take into account becoming a nurse, constructing knowledge and enacting caring-healing nursing practices is illuminated through narrative inquiry.

  14. Readiness for practice: the senior practicum experience.

    PubMed

    Casey, Kathy; Fink, Regina; Jaynes, Cathy; Campbell, Linda; Cook, Paul; Wilson, Vicki

    2011-11-01

    Nursing students must be prepared to enter the practice environment ready to competently care for patients. The purpose of this study was to examine factors hypothesized to influence senior nursing students' perceptions of readiness for practice and to determine their level of comfort performing skills independently. This study also validates an investigator-developed instrument, the Casey-Fink Readiness for Practice Survey. Factor loading indicated four components tested by subscales in the survey: clinical problem solving, learning techniques, professional identity, and trials and tribulations. The greatest challenges reported by students were managing multiple patient care assignments, communicating with physicians, and caring for dying patients. Clinical competency, role development, and career planning support were areas in which students desired more assistance during their senior practicum course. Most survey respondents voiced confidence in their ability to problem solve and felt ready to assume the professional nursing role.

  15. SEA BREEZE REGIMES IN THE NEW YORK CITY REGION - MODELING AND RADAR OBSERVATIONS

    SciTech Connect

    MICHAEL,P.; MILLER,M.; TONGUE,J.S.

    1998-01-11

    The evolution of the sea breeze front in the region where New York and New Jersey meet can be different from that in adjacent regions. Bornstein (1994) and Reiss et al. (1996) have reported observations that show the sea breeze front advancing more slowly in this region than over Long Island and central New Jersey. While in the southern section of New Jersey a single, classical sea breeze development occurs. This paper presents results from model simulations, surface observations and remote sensing using the Weather Surveillance Radar-1988 Doppler (WSR-88D).

  16. Sea Breezes over the Red Sea: Affect of topography and interaction with Desert Convective Boundary Layer

    NASA Astrophysics Data System (ADS)

    Khan, Basit A.; Stenchikov, Georgiy; Abualnaja, Yasser

    2014-05-01

    Thermodynamic structure of sea-breeze, its interaction with coastal mountains, desert plateau and desert convective boundary layer have been investigated in the middle region of the Red Sea around 25°N, at the Western coast of Saudi Arabia. Sea and land breeze is a common meteorological phenomenon in most of the coastal regions around the world. Sea-Breeze effects the local meteorology and cause changes in wind speed, direction, cloud cover and sometimes precipitation. The occurrence of sea-breeze, its intensity and landward propagation are important for wind energy resource assessment, load forecasting for existing wind farms, air pollution, marine and aviation applications. The thermally induced mesoscale circulation of sea breeze modifies the desert Planetary Boundary Layer (PBL) by forming Convective Internal Boundary Layer (CIBL), and propagates inland as a density current. The leading edge of the denser marine air rapidly moves inland undercutting the hot and dry desert air mass. The warm air lifts up along the frontal boundary and if contains enough moisture a band of clouds is formed along the sea breeze front (SBF). This study focuses on the thermodynamic structure of sea-breeze as it propagates over coastal rocky mountain range of Al-Sarawat, east of the Red Sea coast, and the desert plateau across the mountain range. Additional effects of topographical gaps such as Tokar gap on the dynamics of sea-land breezes have also been discussed. Interaction of SBF with the desert convective boundary layer provide extra lifting that could further enhance the convective instability along the frontal boundary. This study provides a detailed analysis of the thermodynamics of interaction of the SBF and convective internal boundary layer over the desert. Observational data from a buoy and meteorological stations have been utilized while The Advanced Research WRF (ARW) modeling system has been employed in real and 2D idealized configuration.

  17. Review of MPH practicum requirements in accredited schools of public health.

    PubMed

    Oglesby, Willie H; Alemagno, Sonia A; Zullo, Melissa D; Hartman, Olivia; Smith, Katalin; Smith, Joseph; Buzzelli, Michael

    2013-06-01

    Accreditation criteria by the Council on Education for Public Health (CEPH) state that prior to graduation, Masters of Public Health (MPH) students must demonstrate the application of knowledge and skills through a practice experience, commonly called the "Practicum." The purpose of this research was to review those MPH Practicum requirements. Practicum guidelines from US-based schools of public health that were accredited as of October 2011 were reviewed. Data on each Practicum's level of coordination, timing, and credit and contact hours as well as information about written agreements, preceptors, and how the Practicum was graded were collected. Seventy-four Practicums in 46 accredited schools of public health were reviewed. The majority (85 %) of accredited schools controlled the Practicum at the school-level. Among the Practicums reviewed, most did not require completion of any credit hours or the MPH core courses (57 and 74 %, respectively) prior to starting the Practicum; 82 % required written agreements; 60 % had stated criteria for the approval of preceptors; and 76 % required students to submit a product for grading at the conclusion of the Practicum. The results of this research demonstrate that the majority of accredited schools of public health designed Practicum requirements that reflect some of the criteria established by CEPH; however, issues related to timing, credit and contact hours, and preceptor qualifications vary considerably. We propose that a national dialogue begin among public health faculty and administrators to address these and other findings to standardize the Practicum experience for MPH students. PMID:23334673

  18. Practicum Assessment of Culturally and Linguistically Diverse Early Childhood Pre-Service Teachers

    ERIC Educational Resources Information Center

    Nuttall, Joce; Ortlipp, Michelle

    2012-01-01

    The practicum is an integral component of teacher education courses, but culturally and linguistically diverse pre-service teachers can face particular struggles in meeting assessment requirements on the practicum in early childhood settings. This paper reports from a small, exploratory study of early childhood practicum handbooks from four…

  19. Review of MPH practicum requirements in accredited schools of public health.

    PubMed

    Oglesby, Willie H; Alemagno, Sonia A; Zullo, Melissa D; Hartman, Olivia; Smith, Katalin; Smith, Joseph; Buzzelli, Michael

    2013-06-01

    Accreditation criteria by the Council on Education for Public Health (CEPH) state that prior to graduation, Masters of Public Health (MPH) students must demonstrate the application of knowledge and skills through a practice experience, commonly called the "Practicum." The purpose of this research was to review those MPH Practicum requirements. Practicum guidelines from US-based schools of public health that were accredited as of October 2011 were reviewed. Data on each Practicum's level of coordination, timing, and credit and contact hours as well as information about written agreements, preceptors, and how the Practicum was graded were collected. Seventy-four Practicums in 46 accredited schools of public health were reviewed. The majority (85 %) of accredited schools controlled the Practicum at the school-level. Among the Practicums reviewed, most did not require completion of any credit hours or the MPH core courses (57 and 74 %, respectively) prior to starting the Practicum; 82 % required written agreements; 60 % had stated criteria for the approval of preceptors; and 76 % required students to submit a product for grading at the conclusion of the Practicum. The results of this research demonstrate that the majority of accredited schools of public health designed Practicum requirements that reflect some of the criteria established by CEPH; however, issues related to timing, credit and contact hours, and preceptor qualifications vary considerably. We propose that a national dialogue begin among public health faculty and administrators to address these and other findings to standardize the Practicum experience for MPH students.

  20. Temperature, comfort and pollution levels during heat waves and the role of sea breeze.

    PubMed

    Papanastasiou, Dimitris K; Melas, Dimitris; Bartzanas, Thomas; Kittas, Constantinos

    2010-05-01

    During the summer of 2007 several Greek regions suffered periods of extreme heat, with midday temperatures of over 40 degrees C on several consecutive days. High temperatures were also recorded on the east coast of central Greece, where a complex sea breeze circulation system frequently develops. The more intense events occurred at the end of June and July. The highest temperatures were observed on 26 June and 25 July, while the sea breeze developed only on 25 July. Meteorological data collected at two sites-a coastal urban location and an inland suburban site that is not reached by the sea breeze flow-as well as pollution data collected at the urban site, were analysed in order to investigate the relationship between sea breeze development and the prevailing environmental conditions during these two heat wave events. The analysis revealed that sea breeze development affects temperature and pollution levels at the shoreline significantly, causing a decrease of approximately 4 degrees C from the maximum temperature value and an increase of approximately 30% in peak PM10 levels. Additionally, several stress indices were calculated in order to assess heat comfort conditions at the two sites. It was found that nocturnal comfort levels are determined mainly by the urban heat island effect, the intensity of which reaches up to 8 degrees C, while the applied indices do not demonstrate any significant daytime thermal stress relief due to sea breeze development. PMID:19936799

  1. Identifying and tracking plumes affected by an ocean breeze in support of emergency preparedness

    SciTech Connect

    Schwartz, P.E.

    1989-01-01

    To better support emergency preparedness, General Public Utilities (GPU) Nuclear has investigated the frequency of occurrence of the mesoscale ocean breeze at the Oyster Creek Nuclear Generating Station (OCNGS). Through the analysis of the horizontal wind direction and temperature patterns, simple identification of the ocean breeze along with a plume tracking procedure has been developed and incorporated into the site's emergency plant to better safeguard the public with sophisticated protective action measures in case of a nonroutine release. The ocean breeze will frequently produce wind trajectory fields within the plant's emergency planning zone that are different from the normal gradient wind flow. This could greatly alter proper protective action measures since most utilities employ straight-line trajectory air dispersion models. Knowledge of the existence of the ocean breeze and the location of the ocean breeze front become important in the results generated from the straight-line Gaussian dose calculation methodology and in the further development of a more complex dose assessment model. This paper describes the verification and existence of the sea breeze phenomenon and the incorporation of its effects into the OCNGS emergency plan.

  2. Scaling Characteristics of Developing Sea Breezes Simulated in a Water Tank

    NASA Astrophysics Data System (ADS)

    Yuan, Renmin; Sun, Jianning; Luo, Tao; Wu, Xuping

    2013-09-01

    Sea-breeze circulations in a stably stratified environment have been simulated in a water tank. The floor of the tank was divided into two halves representing land and sea; the land side was heated from the bottom of the tank, and the sea side was insulated by an underlying sponge slab. The temperature profiles over both land and sea sides, the land-sea temperature difference, and the horizontal temperature distributions were measured. Particle tracking velocimetry was applied to obtain the two-dimensional velocity field orthogonal to the coastline. It was shown that the overall flow consists of a closed circulation caused by the horizontal temperature difference between land and sea, and a strong updraft occurring at the sea-breeze front. The dimensionless governing parameters are calculated from the measurements and used to characterize the developing sea breezes. The analysis confirms the scaling laws for sea-breeze velocity and depth. The results indicate that the scaling characteristics of the sea-breeze translation speed during the developing period are different to those during the following maintaining period. A criterion for the onset of the sea breeze is proposed based on these results.

  3. Patterns of Local Circulation in the Itaipu Lake Area: Numerical Simulations of Lake Breeze.

    NASA Astrophysics Data System (ADS)

    Stivari, Sônia M. S.; de Oliveira, Amauri P.; Karam, Hugo A.; Soares, Jacyra

    2003-01-01

    The lake-breeze circulation in the Itaipu region was investigated numerically using a nonhydrostatic version of the Topographic Vorticity Model. The area of study corresponds to a 100 km × 180 km rectangle, located on the Brazil-Paraguay border, with Itaipu Lake in its center. The characteristics of the lake breeze generated by the numerical experiments were consistent with the observations available in the area. The numerical experiments have shown that the land use effect is important in the spatial distribution of the lake-breeze circulation and that the topography contributes to modulating the breeze intensity, with the daytime valley-mountain circulation intensifying the lake breeze. However, the circulation pattern observed during daytime over the region is mainly due to the Itaipu Lake presence. The numerical results indicated that Itaipu Lake is able to generate and sustain a lake breeze, with 3.5 m s1 of maximum intensity and 1500-m depth, that propagates inland at 5.1 km h1 under typical undisturbed and calm-wind summer conditions.

  4. Temperature, comfort and pollution levels during heat waves and the role of sea breeze.

    PubMed

    Papanastasiou, Dimitris K; Melas, Dimitris; Bartzanas, Thomas; Kittas, Constantinos

    2010-05-01

    During the summer of 2007 several Greek regions suffered periods of extreme heat, with midday temperatures of over 40 degrees C on several consecutive days. High temperatures were also recorded on the east coast of central Greece, where a complex sea breeze circulation system frequently develops. The more intense events occurred at the end of June and July. The highest temperatures were observed on 26 June and 25 July, while the sea breeze developed only on 25 July. Meteorological data collected at two sites-a coastal urban location and an inland suburban site that is not reached by the sea breeze flow-as well as pollution data collected at the urban site, were analysed in order to investigate the relationship between sea breeze development and the prevailing environmental conditions during these two heat wave events. The analysis revealed that sea breeze development affects temperature and pollution levels at the shoreline significantly, causing a decrease of approximately 4 degrees C from the maximum temperature value and an increase of approximately 30% in peak PM10 levels. Additionally, several stress indices were calculated in order to assess heat comfort conditions at the two sites. It was found that nocturnal comfort levels are determined mainly by the urban heat island effect, the intensity of which reaches up to 8 degrees C, while the applied indices do not demonstrate any significant daytime thermal stress relief due to sea breeze development.

  5. Kidney Failure

    MedlinePlus

    ... if You Have Kidney Disease Kidney Failure Expand Dialysis Kidney Transplant Preparing for Kidney Failure Treatment Choosing Not to Treat with Dialysis or Transplant Paying for Kidney Failure Treatment Contact ...

  6. Kidney Facts

    MedlinePlus

    ... Home / Before The Transplant / Organ Facts / Kidney Organ Facts Heart Lung Heart/Lung Kidney Pancreas Kidney/Pancreas Liver ... Receiving "the call" About the Operation Heart Lung Heart/Lung Kidney Pancreas Kidney/Pancreas Liver Intestine Kidney Facts The kidneys are a pair of reddish-brown ...

  7. WARM BREEZE FROM THE STARBOARD BOW: A NEW POPULATION OF NEUTRAL HELIUM IN THE HELIOSPHERE

    SciTech Connect

    Kubiak, M. A.; Bzowski, M.; Sokół, J. M.; Swaczyna, P.; Grzedzielski, S.; Alexashov, D. B.; Izmodenov, V. V.; Möbius, E.; Leonard, T.; Fuselier, S. A.; McComas, D. J.; Wurz, P.

    2014-08-01

    We investigate the signals from neutral helium atoms observed in situ from Earth orbit in 2010 by the Interstellar Boundary Explorer (IBEX). The full helium signal observed during the 2010 observation season can be explained as a superposition of pristine neutral interstellar He gas and an additional population of neutral helium that we call the Warm Breeze. The Warm Breeze is approximately 2 times slower and 2.5 times warmer than the primary interstellar He population, and its density in front of the heliosphere is ∼7% that of the neutral interstellar helium. The inflow direction of the Warm Breeze differs by ∼19° from the inflow direction of interstellar gas. The Warm Breeze seems to be a long-term, perhaps permanent feature of the heliospheric environment. It has not been detected earlier because it is strongly ionized inside the heliosphere. This effect brings it below the threshold of detection via pickup ion and heliospheric backscatter glow observations, as well as by the direct sampling of GAS/Ulysses. We discuss possible sources for the Warm Breeze, including (1) the secondary population of interstellar helium, created via charge exchange and perhaps elastic scattering of neutral interstellar He atoms on interstellar He{sup +} ions in the outer heliosheath, or (2) a gust of interstellar He originating from a hypothetic wave train in the Local Interstellar Cloud. A secondary population is expected from models, but the characteristics of the Warm Breeze do not fully conform to modeling results. If, nevertheless, this is the explanation, IBEX-Lo observations of the Warm Breeze provide key insights into the physical state of plasma in the outer heliosheath. If the second hypothesis is true, the source is likely to be located within a few thousand AU from the Sun, which is the propagation range of possible gusts of interstellar neutral helium with the Warm Breeze characteristics against dissipation via elastic scattering in the Local Cloud. Whatever the

  8. Aerosol-cloud-land surface interactions within tropical sea breeze convection

    NASA Astrophysics Data System (ADS)

    Grant, Leah D.; Heever, Susan C.

    2014-07-01

    In this study, the influence of aerosols, surface roughness length, soil moisture, and synergistic interactions among these factors on tropical convective rainfall focused along a sea breeze front are explored within idealized cloud-resolving modeling simulations using the Regional Atmospheric Modeling System (RAMS). The idealized RAMS domain setup is representative of the coastal Cameroon rainforest in equatorial Africa. In order to assess the potential sensitivity of sea breeze convection to increasing anthropogenic activity and deforestation occurring in such regions, 27 total simulations are performed in which combinations of enhanced aerosol concentrations, reduced surface roughness length, and reduced soil moisture are included. Both enhanced aerosols and reduced soil moisture are found to individually reduce the precipitation due to reductions in downwelling shortwave radiation and surface latent heat fluxes, respectively, while perturbations to the roughness length do not have a large impact on the precipitation. The largest soil moisture perturbations dominate the precipitation changes due to reduced low-level moisture available to the convection, but if the soil moisture perturbation is more moderate, synergistic interactions between soil moisture and aerosols enhance the sea breeze precipitation. This is found to result from evening convection that forms ahead of the sea breeze only when both effects are present. Interactions between the resulting gust fronts and the sea breeze front locally enhance convergence and therefore the rainfall. The results of this study underscore the importance of considering the aerosol-cloud-land surface system responses to perturbations in aerosol loading and land surface characteristics.

  9. Sea-breeze over area of Kattegat as a mean of transport for atmospheric nutrient

    NASA Astrophysics Data System (ADS)

    Nissen, J. N.; Zagar, M. Z.

    2003-04-01

    SEA BREEZE CIRCULATION OVER AREA OF KATTEGAT AS A MEAN OF TRANSPORT FOR ATMOSPHERIC NUTRIENT J.Nissen and Mark Zagar Risø National Laboratory (DK). Wind Energy Department Department of Meteorology, Stockholm University Here a study of sea breeze circulation in the Kattegat Sea between Denmark and Sweden is presented. In the study the structure and circulations path in the thermal internal boundary layer occurring over Jutland and southwestern part of Sweden at hot summer days is described. A divergent wind field is observed at surface level and a convergent field is observed at the upper layer and an anticyclonic circulation with associated subsidence is set up over the colder water. The hypothesis is that the subsidence from the two sea breeze cells creates a narrow region over central part of Kattegat where nitrogen containing air originating from the agricultural areas in Denmark and Sweden are brought down to the water surface and thus can increase nitrogen deposition in this very narrow area. Hence making the sea breeze circulation one of the meteorological processes that can cause an episodic deposition event. A case study of a sea breeze episode in august 2000 is undertaken where data analyses is carried out by using a model run of COAMPS and evaluate towards experimental chemical and meteorological data

  10. Flow vector, Mach number and abundance of the Warm Breeze of neutral He observed by IBEX

    NASA Astrophysics Data System (ADS)

    Kubiak, Marzena A.; McComas, David; Galli, Andre; Kucharek, Harald; Wurz, Peter; Schwadron, Nathan; Sokol, Justyna M.; Bzowski, Maciej; Heirtzler, David M.; Möbius, Eberhard; Fuselier, Stephen; Swaczyna, Paweł; Leonard, Trevor; Park, Jeewoo

    2016-07-01

    With the velocity vector and temperature of the pristine interstellar neutral (ISN) He recently obtained with high precision from a coordinated analysis by the IBEX Science Team, we analyzed the IBEX observations of neutral He left out from this analysis. These observations were collected during the interstellar neutral observation seasons 2010---2014 and cover the region in the Earth's orbit where the Warm Breeze persists. The Warm Breeze is a newly discovered population of neutral He in the heliosphere. We search for the inflow velocity vector and the temperature of the Warm Breeze and used the same simulation model and a very similar parameter fitting method to that used for the analysis of ISN He. We approximate the parent population of the Warm Breeze in front of the heliosphere with a homogeneous Maxwell-Boltzmann distribution function and find a temperature of ~9 500 K, an inflow speed of ~11.3 km/s, and an inflow longitude and latitude in the J2000 ecliptic coordinates 251.6°, 12.0°. The abundance of the Warm Breeze relative to the interstellar neutral He is 5.6% and the Mach number of the flow is 1.97. We discuss implications of this result for the heliospheric physics and an insight into the behavior of interstellar plasma in the outer heliosheath.

  11. Refashioning the Practicum by Emphasizing Attending and Reflective Skills

    ERIC Educational Resources Information Center

    Oprandy, Robert

    2015-01-01

    In their 1970 guidelines for teacher-preparation programs (TPPs), TESOL's founders promoted practicum experiences that include "systematic directed observation, supervised teaching practice and progressive teaching responsibilities." TPPs with field experiences as centerpieces of their programs have been more effective in meeting the…

  12. Carrying Out Collaborative Action Research in a Practicum

    ERIC Educational Resources Information Center

    Ho, Belinda

    2013-01-01

    To help in-service English teachers improve their teaching practices and pupils' learning opportunities through an enquiry-oriented and cooperative approach, the author carried out collaborative action research during a practicum in a teacher education course at a university in Hong Kong. This article describes how the collaborative research…

  13. Enhancing Practicum Supervision with Asynchronous and Synchronous Technologies

    ERIC Educational Resources Information Center

    Teo, Yiong Hwee; McNamara, Sue; Romeo, Geoff; Gronn, Donna

    2015-01-01

    Three video/web conferencing technologies (Pocket Camcorder, Skype, Adobe Connect) were used in regional schools in Australia to determine whether the technologies are appropriate for the needs of the university supervisor, trainee teachers and supervising teachers with regard to practicum teaching placements. Findings revealed that Pocket…

  14. Explicating Practicum Program Theory: A Case Example in Human Ecology

    ERIC Educational Resources Information Center

    Chandler, Kathryn M. M.; Williamson, Deanna L.

    2013-01-01

    This study explicated the theory underpinning the Human Ecology Practicum Program offered in the Department of Human Ecology at the University of Alberta. The program has operated for 40 years but never been formally evaluated. Using a document analysis, focus group and individual interviews, and a stakeholder working group, we explored…

  15. Fostering Theory-Practice Reflection in Teaching Practicums

    ERIC Educational Resources Information Center

    Stenberg, Katariina; Rajala, Antti; Hilppo, Jaakko

    2016-01-01

    This article presents a design for supporting theory-practice reflection in teacher practicums. This design is based on three design principles that promote a transformative stance towards the creation of novel pedagogical approaches: mutual transformation of theory and practice, co-design among supervising teachers, university lecturers and…

  16. Counselor Effectiveness As A Function of Varied Practicum Training Techniques.

    ERIC Educational Resources Information Center

    Snyder, John F.; And Others

    This study investigated the differential effects of various training techniques on the counselor effectiveness of beginning practicum students. It was hypothesized that there would be significant differences between the subjects pre- and post-test scores on both the Affective Sensitivity Scale (ASS) and on the Counselor Verbal Response Scale…

  17. Cooperating Teachers' Roles and Responsibilities in a MATESOL Practicum

    ERIC Educational Resources Information Center

    Payant, Caroline; Murphy, John

    2012-01-01

    Responding to a gap in relevant literatures, this study explores cooperating teachers' perceptions of their roles and responsibilities as contributors to the practicum experiences of preservice teachers of English as a second language who were pursuing a master's degree. Research tools featured focus group and individual interviews with 11…

  18. The Impact of Facebook in Teaching Practicum: Teacher Trainees' Perspectives

    ERIC Educational Resources Information Center

    Goktalay, Sehnaz Baltaci

    2015-01-01

    Prompt feedback is one of the critical components of teacher education programs. To reap the greatest benefit from the teaching practicum process, the quality of feedback as well as its implementation by stakeholders, supervisors, cooperating teachers, and teacher trainees, takes on great importance. The purpose of this study is to examine how Web…

  19. Practicum for Simulated Methods in Office Occupation Education. Final Report.

    ERIC Educational Resources Information Center

    Hanson, Garth A.

    Thirty-six participants and four observers representing 34 states attended the practicum at the Utah State University campus in Logan, July 8-19, 1968. The purpose was to provide high school business teachers with practical knowledge, experience, and materials for designing and operating simulated business offices in their classrooms. The…

  20. Assessing the Performance in EFL Teaching Practicum: Student Teachers' Views

    ERIC Educational Resources Information Center

    Merç, Ali

    2015-01-01

    This study aims to find out whether or not pre-service EFL teachers are satisfied with the way their performance in teaching practice is measured. A questionnaire was developed to elicit student teachers' views related to the components of the measurement policies employed in the two practicum courses at Anadolu University English Language Teacher…

  1. Pre-Service Music Teachers' Concerns before a Practicum Stint

    ERIC Educational Resources Information Center

    Ramanaidu, Ramesh Rao; Wellington, Edna; Chew, Lim Zek; Hassan, Nik Rozalind Nik

    2014-01-01

    A crucial element in any teacher training programme is teaching practice. Terms such as practicum, refers to teaching practice which is embedded in the teacher training programme itself. Such stints become more challenging for a teacher, for their teaching would be observed and assessed by a teacher educator. The purpose of this study was to…

  2. Structuring Effective Practicum Experiences for Pre-Service Teachers

    ERIC Educational Resources Information Center

    Wyss, Vanessa L.; Siebert, Cathy J.; Dowling, Karen A.

    2012-01-01

    Practicum experiences are an extremely critical component to any teacher education program. Yet how pre-service teachers are included in classrooms can be organized in multiple ways and is influenced by many factors. Structurally, universities must consider school schedules and student course offering schedules. More important is ensuring…

  3. The impact of land and sea surface variations on the Delaware sea breeze at local scales

    NASA Astrophysics Data System (ADS)

    Hughes, Christopher P.

    The summertime climate of coastal Delaware is greatly influenced by the intensity, frequency, and location of the local sea breeze circulation. Sea breeze induced changes in temperature, humidity, wind speed, and precipitation influence many aspects of Delaware's economy by affecting tourism, farming, air pollution density, energy usage, and the strength, and persistence of Delaware's wind resource. The sea breeze front can develop offshore or along the coastline and often creates a near surface thermal gradient in excess of 5°C. The purpose of this dissertation is to investigate the dynamics of the Delaware sea breeze with a focus on the immediate coastline using observed and modeled components, both at high resolutions (~200m). The Weather Research and Forecasting model (version 3.5) was employed over southern Delaware with 5 domains (4 levels of nesting), with resolutions ranging from 18km to 222m, for June 2013 to investigate the sensitivity of the sea breeze to land and sea surface variations. The land surface was modified in the model to improve the resolution, which led to the addition of land surface along the coastline and accounted for recent urban development. Nine-day composites of satellite sea surface temperatures were ingested into the model and an in-house SST forcing dataset was developed to account for spatial SST variation within the inland bays. Simulations, which include the modified land surface, introduce a distinct secondary atmospheric circulation across the coastline of Rehoboth Bay when synoptic offshore wind flow is weak. Model runs using high spatial- and temporal-resolution satellite sea surface temperatures over the ocean indicate that the sea breeze landfall time is sensitive to the SST when the circulation develops offshore. During the summer of 2013 a field campaign was conducted in the coastal locations of Rehoboth Beach, DE and Cape Henlopen, DE. At each location, a series of eleven small, autonomous thermo-sensors (i

  4. Kidney Cysts

    MedlinePlus

    ... fluid-filled sac. There are two types of kidney cysts. Polycystic kidney disease (PKD) runs in families. In PKD, the ... place of the normal tissue. They enlarge the kidneys and make them work poorly, leading to kidney ...

  5. Your Kidneys

    MedlinePlus

    ... Homework? Here's Help White House Lunch Recipes Your Kidneys KidsHealth > For Kids > Your Kidneys Print A A ... and it will be lighter. What Else Do Kidneys Do? Kidneys are always busy. Besides filtering the ...

  6. Kidney Disease

    MedlinePlus

    ... How Can I Help a Friend Who Cuts? Kidney Disease KidsHealth > For Teens > Kidney Disease Print A ... Syndrome Coping With Kidney Conditions What Do the Kidneys Do? You might never think much about some ...

  7. Kidney Dysplasia

    MedlinePlus

    ... following early in life: blood-filtering treatments called dialysis a kidney transplant Children with dysplasia in only ... mild dysplasia of both kidneys may not need dialysis or a kidney transplant for several years. Kidney ...

  8. Land breeze and thermals: A scale threshold to distinguish their effects

    NASA Astrophysics Data System (ADS)

    Liu, Yongqiang

    2005-11-01

    Land breeze is a type of mesoscale circulation developed due to thermal forcing over a heterogeneous landscape. It can contribute to atmospheric dynamic and hydrologic processes through affecting heat and water fluxes on the land-atmosphere interface and generating shallow convective precipitation. If the scale of the landscape heterogeneity is smaller than a certain size, however, the resulting land breeze becomes weak and becomes mixed up with other thermal convections like thermals. This study seeks to identify a scale threshold to distinguish the effects between land breeze and thermals. Two-dimensional simulations were performed with the Regional Atmospheric Modeling System (RAMS) to simulate thermals and land breeze. Their horizontal scale features were analyzed using the wavelet transform. The thermals developed over a homogeneous landscape under dry or wet conditions have an initial scale of 2 5 km during their early stage of development. The scale jumps to 10 15 km when condensation occurs. The solution of an analytical model indicates that the reduced degree of atmospheric instability due to the release of condensation potential heat could be one of the contributing factors for the increase in scale. The land breeze, on the other hand, has a major scale identical to the size of the landscape heterogeneity throughout various stages of development. The results suggest that the effects of land breeze can be clearly distinguished from those of thermals only if the size of the landscape heterogeneity is larger than the scale threshold of about 5 km for dry atmospheric processes or about 15 km for moist ones.

  9. 78 FR 62300 - Prairie Breeze Wind Energy LLC; Supplemental Notice That Initial Market-Based Rate Filing...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-10-15

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF ENERGY Federal Energy Regulatory Commission Prairie Breeze Wind Energy LLC; Supplemental Notice That Initial Market... in the above-referenced proceeding, of Prairie Breeze Wind Energy LLC's application for...

  10. A case study of a distance-based public health nursing/community health nursing practicum.

    PubMed

    Vandenhouten, Christine; Block, Derryl

    2005-01-01

    Facilitating a distance-based public health/community health nursing practicum for RN to BSN students posed challenges and opportunities. Challenges included time involved in arranging the practicum, relationship building with agencies and staff, communicating with students, and the need for flexible practicum scheduling. Exposure to practice models from across the nation allowed students to compare and contrast these public health nursing models. Programs planning to offer this type of course should consider faculty workload particularly during the semester prior to teaching the practicum.

  11. Impact of Bay-Breeze Circulations on Surface Air Quality and Boundary Layer Export

    NASA Technical Reports Server (NTRS)

    Loughner, Christopher P.; Tzortziou, Maria; Follette-Cook, Melanie; Pickering, Kenneth E.; Goldberg, Daniel; Satam, Chinmay; Weinheimer, Andrew; Crawford, James H.; Knapp, David J.; Montzka, Denise D.; Diskin, Glenn S.; Dickerson, Russell R.

    2014-01-01

    Meteorological and air-quality model simulations are analyzed alongside observations to investigate the role of the Chesapeake Bay breeze on surface air quality, pollutant transport, and boundary layer venting. A case study was conducted to understand why a particular day was the only one during an 11-day ship-based field campaign on which surface ozone was not elevated in concentration over the Chesapeake Bay relative to the closest upwind site and why high ozone concentrations were observed aloft by in situ aircraft observations. Results show that southerly winds during the overnight and early-morning hours prevented the advection of air pollutants from the Washington, D.C., and Baltimore, Maryland, metropolitan areas over the surface waters of the bay. A strong and prolonged bay breeze developed during the late morning and early afternoon along the western coastline of the bay. The strength and duration of the bay breeze allowed pollutants to converge, resulting in high concentrations locally near the bay-breeze front within the Baltimore metropolitan area, where they were then lofted to the top of the planetary boundary layer (PBL). Near the top of the PBL, these pollutants were horizontally advected to a region with lower PBL heights, resulting in pollution transport out of the boundary layer and into the free troposphere. This elevated layer of air pollution aloft was transported downwind into New England by early the following morning where it likely mixed down to the surface, affecting air quality as the boundary layer grew.

  12. The Effects of Highly Detailed Urban Roughness Parameters on a Sea-Breeze Numerical Simulation

    NASA Astrophysics Data System (ADS)

    Varquez, Alvin Christopher G.; Nakayoshi, Makoto; Kanda, Manabu

    2015-03-01

    We consider the effects of detailed urban roughness parameters on a sea-breeze simulation. An urban roughness database, constructed using a new aerodynamic parametrization derived from large-eddy simulations, was incorporated as a surface boundary condition in the advanced Weather Research and Forecasting model. The zero-plane displacement and aerodynamic roughness length at several densely built-up urban grids were three times larger than conventional values due to the consideration of building-height variability. A comparison between simulations from the modified model and its default version, which uses uniform roughness parameters within a conventional method, was conducted for a 2-month period during summer. Results showed a significant improvement in the simulation of surface wind speed but not with temperature. From the 2-month study period, a day with an evident sea-breeze penetration was selected and simulated at higher temporal resolution. Sea-breeze penetration weakened and was more delayed over urbanized areas. The slow sea-breeze penetration also lessened heat advection downwind allowing stronger turbulent mixing and a deeper boundary layer above urban areas. Horizontal wind-speed reduction due to the increased urban surface drag reached heights of several hundreds of metres due to the strong convection.

  13. Bay Breeze Influence on Surface Ozone at Edgewood, MD During July 2011

    NASA Technical Reports Server (NTRS)

    Stauffer, Ryan M.; Thompson, Anne M.; Martins, Douglas K.; Clark, Richard D.; Goldberg, Daniel L.; Loughner, Christopher P.; Delgado, Ruben; Dickerson, Russell R.; Stehr, Jeffrey W.; Tzortziou, Maria A.

    2012-01-01

    Surface ozone (O3) was analyzed to investigate the role of the bay breeze on air quality at two locations in Edgewood, Maryland (lat: 39.4deg, lon: -76.3deg) for the month of July 2011. Measurements were taken as part of the first year of NASA's "Deriving Information on Surface Conditions from Column and Vertically Resolved Observations Relevant to Air Quality" (DISCOVER-AQ) Earth Venture campaign and as part of NASA's Geostationary for Coastal and Air Pollution Events Chesapeake Bay Oceanographic campaign with DISCOVER-AQ (Geo-CAPE CBODAQ). Geo-CAPE CBODAQ complements DISCOVER-AQ by providing ship-based observations over the Chesapeake Bay. A major goal of DISCOVER-AQ is determining the relative roles of sources, photochemistry and local meteorology during air quality events in the Mid-Atlantic region of the U.S. Surface characteristics, transport and vertical structures of O3 during bay breezes were identified using in-situ surface, balloon and aircraft data, along with remote sensing equipment. Localized late day peaks in O3 were observed during bay breeze days, maximizing an average of 3 h later compared to days without bay breezes. Of the 10 days of July 2011 that violated the U.S. Environmental Protection Agency (EPA) 8 h O3 standard of 75 parts per billion by volume (ppbv) at Edgewood, eight exhibited evidence of a bay breeze circulation. The results indicate that while bay breezes and the processes associated with them are not necessary to cause exceedances in this area, bay breezes exacerbate poor air quality that sustains into the late evening hours at Edgewood. The vertical and horizontal distributions of O3 from the coastal Edgewood area to the bay also show large gradients that are often determined by boundary layer stability. Thus, developing air quality models that can sufficiently resolve these dynamics and associated chemistry, along with more consistent monitoring of O3 and meteorology on and along the complex coastline of Chesapeake Bay must be a

  14. Observation on internal waves propagation during Land breeze event in Northern Tyrrhenian coast

    NASA Astrophysics Data System (ADS)

    Martellucci, Riccardo; Pierattini, Alberto; Paladini de Mendoza, Francesco; Melchiorri, Cristiano; Piermattei, Viviana; Ciampa, Francesco; Marcelli, Marco

    2015-04-01

    Internal wave propagation and water column mixing phenomena play an important role in many marine ecosystem coastal process. In Northern Tyrrhenian coast the experimental proposed approach is aimed to identify these type of oscillation in presence of breeze circulation. Along the Tyrrhenian coast summer period climate conditions allow the generations of high frequency land-sea breeze events. This local circulation, land-sea breeze indeed, may generate significant modifications of the sea waters physical parameters. Thay often appear as internal gravity waves especially in presence of stratified water and stable thermocline. Since the whole investigated process evolves on diurnal scale and in the space of a few miles the sampling plan was operated with a series of oceanographic surveys at 40 meters depth with 20 minutes interval one from another between 5 a.m. and 11 a.m. and they were repeted during each summers between 2012 - 2014. Coupled with the acquisition of physical parameters current data were collected with 500 kHz ADCP every 20s, the resolution of vertical profiles of CTD matches the ADCP 1 meter magnitude vertical resolution. in order to investigate the water column layers dynamics behavior, Brunt-Vaisala and Richardson number were computed using the sampled physical parameters. Coastal surveys analysis highlights the presence of temperature oscillation in proximity of the thermocline and bottom layers; these oscillations have been observed during all measure surveys, when the land breeze was over. Indeed the land breeze tends to generate an offshore transport causing bottom layers to lift. At the same time solar radiation heating causes a sink of the surface layers which flatten the layers in proximity of the thermocline. Therefore the oscillations of temperature observed during the oceanographic surveys have to considered as internal waves, as during earlier studies conducted in the Tyrrhenian Sea has been observed.

  15. Kidney Disease

    MedlinePlus

    ... version of this page please turn Javascript on. Kidney Disease What is Kidney Disease? What the Kidneys Do Click for more information You have two ... damaged, wastes can build up in the body. Kidney Function and Aging Kidney function may be reduced ...

  16. A characterisation of sea-breeze events in the eastern Cantabrian coast (Spain) from observational data and WRF simulations

    NASA Astrophysics Data System (ADS)

    Arrillaga, Jon A.; Yagüe, Carlos; Sastre, Mariano; Román-Cascón, Carlos

    2016-11-01

    The behaviour of the sea breeze along the north coast of Spain is investigated using observations of two topographically contrasting sites together with simulations from the Weather Research and Forecasting (WRF) model. An objective and systematic selection method is used to detect sea-breeze days from a database of two summer months. The direction and intensity of the sea breeze are significantly affected by the topography of the area; indeed, the estimated sea-breeze intensity shows an opposite relationship with the cross-shore temperature gradient for both sites. WRF simulations reproduce the onset of the sea breeze, but some characteristics are not adequately simulated: they generally overestimate the wind speed, smooth the temperature evolution and they do not represent the correct interaction with the terrain-induced flows. Additionally, four sensitivity experiments are performed with the WRF model varying the Planetary Boundary Layer (PBL) scheme, as well as the grid analysis nudging for an anomalous case study which is incorrectly filtered. As the two simulations considering nudging reproduce an unreal (not observed) sea breeze, this day turns out to be of great interest: it allows to evaluate the influence of the passage of the sea-breeze front (SBF) in other variables mainly related to turbulence. Furthermore, the best model scores are obtained for the PBL scheme that does not use a TKE closure.

  17. Using iPad2 for a Graduate Practicum Course

    ERIC Educational Resources Information Center

    Sachs, Lindsey; Bull, Prince Hycy

    2012-01-01

    iPads and iPhones continue to impact academia, but the iPad2 provides features that could enhance teacher education programs. This paper addresses how eight graduate students and a faculty used iPad2 to support a graduate practicum course. Participants were asked to report how they used their iPad2 each week in the form of a written log and…

  18. Comprehensive, technology-based clinical education: the "virtual practicum".

    PubMed

    Henderson, J V

    1998-01-01

    This article discusses the application of technology to promote more comprehensive clinical education in the biopsychosocial aspects of primary care. Comprehensive refers to the inclusion, in addition to scientific and technical knowledge, of knowledge that is less easily characterized, quantified, and taught: empathy, intuition, the demonstration of artistry. Clinical education will be increasingly facilitated by the proliferation of computers capable of displaying combinations of text, graphics, video, and sound; broadband networks capable of delivering these multiple media to the home or office; and new methods for using these technologies for education and training. However, current models for technology-based learning are limiting, lagging behind the rapid technological evolution driving our entry into the Information Age. Some recent educational models (Schon's reflection-in-action and reflective practicums [1], Boisot's E-space [2], Kolb's learning cycle [3]) provide for a more comprehensive and complete view of health professional education. This article describes these models in depth and proposes a new model for technology-based clinical training, the "Virtual Practicum," based on them. The Virtual Practicum is illustrated with a new interactive CD-ROM program, dealing with primary care of patients with HIV/AIDS. The concepts presented here are generally useful in thinking about clinical education, regardless of the means used.

  19. Photovoltaic at Hollywood and Desert Breeze Recreational Centers

    SciTech Connect

    Ammerman, Shane

    2015-09-24

    Executive Summary Renewable Energy Initiatives for Clark County Parks and Recreation Solar Project DOE grant # DE-EE0003180 In accordance with the goals of the Department of Energy (DOE) Office of Energy Efficiency and Renewable Energy for promoting solar energy as clean, carbon-free and cost-effective, the County believed that a recreational center was an ideal place to promote solar energy technologies to the public. This project included the construction of solar electricity generation facilities (40kW) at two Clark County facility sites, Desert Breeze Recreational Center and Hollywood Recreational Center, with educational kiosks and Green Boxes for classroom instruction. The major objectives and goals of this Solar Project include demonstration of state of the art technologies for the generation of electricity from solar technology and the creation of an informative and educational tool in regards to the benefits and process of generating alternative energy. Clark County partnered with Anne Johnson (design architect/consultant), Affiliated Engineers Inc. (AEI), Desert Research Institute (DRI), and Morse Electric. The latest photovoltaic technologies were used in the project to help create the greatest expected energy savings for60443 each recreational center. This coupled with the data created from the monitoring system will help Clark County and NREL further understand the real time outputs from the system. The educational portion created with AEI and DRI incorporates material for all ages with a focus on K - 12. The AEI component is an animated story telling the fundamentals of how sunlight is turned into electricity and DRI‘s creation of Solar Green Boxes brings environmental education into the classroom. In addition to the educational component for the public, the energy that is created through the photovoltaic system also translates into saved money and health benefits for the general public. This project has helped Clark County to further add to its own

  20. Kidney Diseases

    MedlinePlus

    ... until you go to the bathroom. Most kidney diseases attack the nephrons. This damage may leave kidneys ... medicines. You have a higher risk of kidney disease if you have diabetes, high blood pressure, or ...

  1. Kidney Tests

    MedlinePlus

    ... taking out waste products and making urine. Kidney tests check to see how well your kidneys are working. They include blood, urine, and imaging tests. Early kidney disease usually does not have signs ...

  2. Kidney Problems

    MedlinePlus

    ... our e-newsletter! Aging & Health A to Z Kidney Problems Basic Facts & Information The kidneys are two ... the production of red blood cells. What are Kidney Diseases? For about one-third of older people, ...

  3. Kidney stones

    MedlinePlus Videos and Cool Tools

    ... urine exits the kidney and enters the ureter. As urine can become very concentrated as it passes through the kidneys. When the urine ... chemicals dissolved in the urine can crystallize, forming a kidney stone (renal calculus). Usually the calculus is ...

  4. The Role of the Prepracticum in Lessening Student Teacher Stress: Student Teachers' Perceptions of Stress during Practicum

    ERIC Educational Resources Information Center

    Danyluk, Patricia

    2013-01-01

    Research on the student teaching practicum indicates that it is a time of enormous stress. The purpose of this study was to gather information from student teachers regarding their perceptions of stress while in the midst of their practicum. The questions were designed to gather information that could be used to create a less stressful practicum.…

  5. Scrutinising the Final Judging Role in Assessment of Practicum in Early Childhood Initial Teacher Education in New Zealand

    ERIC Educational Resources Information Center

    Zhang, Qilong; Cown, Paula; Hayes, Joanne; Werry, Sue; Barnes, Ruth; France, Lois; TeHau-Grant, Rawhia

    2015-01-01

    Practicum is the cornerstone of teacher education. Triadic assessment of practicum is an established model in early childhood initial teacher education in New Zealand. Based on a phenomenographic study on assessment of practicum, this paper presents a new perspective on triadic assessment. Interview data are collected from 35 participants (20…

  6. Development of an Instrument Measuring Student Teachers' Perceived Stressors about the Practicum

    ERIC Educational Resources Information Center

    Kokkinos, Constantinos M.; Stavropoulos, George; Davazoglou, Aggeliki

    2016-01-01

    The Stressors about Practicum Inventory, a self-report measure of perceived stressors about the practicum, was designed to provide those responsible for the training of primary school teachers with an informative, inexpensive and psychometrically sound tool. The present study describes the development and validation of the 94-item inventory in a…

  7. A Database Practicum for Teaching Database Administration and Software Development at Regis University

    ERIC Educational Resources Information Center

    Mason, Robert T.

    2013-01-01

    This research paper compares a database practicum at the Regis University College for Professional Studies (CPS) with technology oriented practicums at other universities. Successful andragogy for technology courses can motivate students to develop a genuine interest in the subject, share their knowledge with peers and can inspire students to…

  8. Examining the Practicum Experience to Increase Counseling Students' Self-Efficacy

    ERIC Educational Resources Information Center

    Ikonomopoulos, James; Vela, Javier Cavazos; Smith, Wayne D.; Dell'Aquila, Julia

    2016-01-01

    Counseling graduate students may begin practicum with low self-efficacy regarding their counseling abilities and skills. In the current study, we implemented a small-series (N = 11) single-case research design to assess the effectiveness of the practicum experience to increase counseling students' self-efficacy. Analysis of participants' scores on…

  9. Unveiling Pre-Service Teachers' Attitudes toward Teaching: The Role of Pedagogical Practicums

    ERIC Educational Resources Information Center

    Morales Cortés, Yimer Andrés

    2016-01-01

    This article reports a research developed at Universidad Pedagógica y Tecnológica de Colombia with a group of pre-service teachers that was immersed in an English teaching practicum. The main purpose of this inquiry was to find out the role that practicum exerted on novice teachers' attitudes towards teaching. Data were collected through…

  10. Research Practicum in Rehabilitation Counselor Education: Learning Research through Hands-on Experience

    ERIC Educational Resources Information Center

    Miller, Susan M.; Rintelmann, Kristen

    2007-01-01

    The purpose of this paper is to discuss the research thesis as an educational tool and to propose the research practicum as an alternative to the thesis in rehabilitation counselor education programs. The research practicum has the potential to become an important learning opportunity which will provide rehabilitation counseling students with…

  11. Theory and Practice in the Context of Practicum: The Perspectives of Norwegian Physical Education Student Teachers

    ERIC Educational Resources Information Center

    Standal, Øyvind Førland; Moen, Kjersti Mordal; Moe, Vegard Fusche

    2014-01-01

    Previous studies have found that student teachers value the practicum over other parts of physical education teacher education and that they experience a gap between theory and practice in their education. The purpose of this study was to provide more knowledge about the theory-practice relations in the context of the practicum of physical…

  12. Students as Evaluators in Practicum: Examining Peer/Self Assessment and Self-Efficacy.

    ERIC Educational Resources Information Center

    Fitzpatrick, Corine

    This study explores peer assessment and self-efficacy in a counseling practicum. Data was gathered on the perceptions of practicum students, in their second year of a master's program, with regard to the counseling competencies of their peers and themselves. Counselor self-efficacy was measured using the Counselor Self-Efficacy Rating Scale.…

  13. Early Childhood Practicum Students' Professional Growth in the USA: Areas of Confidence and Concern

    ERIC Educational Resources Information Center

    Wee, Su-Jeong; Weber, Elsa K.; Park, Soyeon

    2014-01-01

    This research examines specific areas of confidence and concern as expressed by 40 American undergraduate early childhood students on a practicum (supervised field-based internships); if their beliefs changed over the course of their practicum, and if prior teaching experience had an impact on their confidence levels. Areas of confidence and…

  14. Issues and Concerns Faced by Undergraduate Language Student Teachers during Teaching Practicum Experiences

    ERIC Educational Resources Information Center

    Ali, Mohd Sofi; Othman, Abdul Jalil; Karim, Abdul Faruk Abdul

    2014-01-01

    This study examined specific issues and concerns faced by Bachelor of Education student teachers majoring in Language and Literature during their 12-week teaching practicum experience. Specifically, three main areas of concerns were examined. They were: (1) specific issues and concerns related to the implementation of teaching practicum faced by…

  15. Making Preservice Teachers Better: Examining the Impact of a Practicum in a Teacher Preparation Program

    ERIC Educational Resources Information Center

    Scott, Laron A.; Gentry, Roberta; Phillips, Melissa

    2014-01-01

    Overwhelmingly, preservice teachers indicate a benefit of having a practicum in their teacher preparation program. Yet, with a shortage of highly effective special education teachers, there is limited research about the effectiveness of practicum experiences on preservice special education teacher's preparation. The purpose of this study was…

  16. Integrating Theory and Practice in the Pre-Service Teacher Education Practicum

    ERIC Educational Resources Information Center

    Allen, Jeanne Maree; Wright, Suzie Elizabeth

    2014-01-01

    This article reports on a study into student teachers' perceptions about their professional development during practicum. Framed within a symbolic interactionist perspective, the study examined to what extent, and how effectively, one group of student teachers was able to integrate theory and practice during a three-week practicum in the…

  17. Cybersupervision: Further Examination of Synchronous and Asynchronous Modalities in Counseling Practicum Supervision

    ERIC Educational Resources Information Center

    Chapman, Russell A.; Baker, Stanley B.; Nassar-McMillan, Sylvia C.; Gerler, Edwin R.

    2011-01-01

    The authors used an intensive single-subject quantitative design to examine cybersupervision of counseling practicum students in a university setting. Five female supervisees volunteered to receive their required weekly supervision online during a 14-week, semester-long counseling practicum. Following a face-to-face orientation meeting, all…

  18. International Students' Experience of Practicum in Teacher Education: An Exploration through Internationalisation and Professional Socialisation

    ERIC Educational Resources Information Center

    Barton, Georgina M.; Hartwig, Kay A.; Cain, Melissa

    2015-01-01

    This paper explores the practicum experience of international students studying in a teacher education course. Much research has investigated the experience of international students during their degree experience but there is limited research that has addressed the practicum; a key component of teacher education. The research that does exist…

  19. Do We Need More "Doing" Activities or "Thinking" Activities in the Field Practicum?

    ERIC Educational Resources Information Center

    Lee, Mingun; Fortune, Anne E.

    2013-01-01

    How do MSW students learn new professional skills in the field practicum? Does students' reflection affect the use of other learning activities during the field practicum? Students in field practica participate in activities that involve observation, doing (participatory), and conceptual linkage. In this study of MSW students, conceptual…

  20. University-Community Engagement: Exploring Service-Learning Options within the Practicum

    ERIC Educational Resources Information Center

    Vickers, Margaret; Harris, Catherine; McCarthy, Florence

    2004-01-01

    Since 1999, pre-service teachers undertaking the Bachelor of Teaching (Secondary) Program at the University of Western Sydney have participated in an alternate practicum called Professional Experience 3 (PE3). This practicum encourages students to engage in broader educational settings within local communities. Increasingly, a number of…

  1. Between Signification and Illumination: Unfolding Understandings of an A/r/tographical Turn on Practicum

    ERIC Educational Resources Information Center

    Carter, Mindy R.; Irwin, Rita L.

    2014-01-01

    School associates (SA's), or cooperating teachers (CT's), have arguably been one of the most powerful influences on the teacher candidate's (TC) pre-service experience. For this reason, most studies about the practicum have focused on this relationship. However, while observing one visual art student's practicum as her Faculty…

  2. From Learner to Teacher: Practice, Language, and Identity in a Teaching Practicum

    ERIC Educational Resources Information Center

    Trent, John

    2013-01-01

    This paper reports on a qualitative study that investigated the lived experiences of a group of pre-service English language teachers during a teaching practicum in Hong Kong. Multiple, in-depth interviews with student teachers were conducted during a 6-week practicum to understand the students' experiences of becoming teachers. A…

  3. The Teaching Practicum as a Locus of Multi-Leveled, School-Based Transformation

    ERIC Educational Resources Information Center

    El Kadri, Michele Salles; Roth, Wolff-Michael

    2015-01-01

    The teaching practicum is often considered as a compulsory activity for enculturating new members into the teacher community by providing opportunities to experience teaching in action. However, the practicum is rarely conceptualized in terms of its transformative potential. In this study, we report the results of a two-year ethnography study of a…

  4. Student Teachers' Views of Practicums (Teacher Training Placements) in Turkish and English Contexts: A Comparative Study

    ERIC Educational Resources Information Center

    Busher, Hugh; Gündüz, Müge; Cakmak, Melek; Lawson, Tony

    2015-01-01

    How student teachers experience their transformation into serving teachers in the liminal social spaces of the school-based practicum (teaching practice) is of key importance to them, their future students and their educators. The practicum is a challenging experience for student teachers, even with help from university and school-based mentors,…

  5. An Evaluation Study on the Educational Value of Teaching Practicum in Secondary Schools

    ERIC Educational Resources Information Center

    Baek, Sun-Geun; Ham, Eun Hye

    2009-01-01

    The purpose of this study is to evaluate the educational value of teaching practicum in secondary schools. For this purpose, on the basis of literature review and interviews, three evaluation criteria for measuring educational value of teaching practicum are constructed as follows: (1) practical teaching competence, (2) readiness for teacher, and…

  6. Local and Global--Conflicting Perspectives? The Place of Overseas Practicum in Preservice Teacher Education

    ERIC Educational Resources Information Center

    Cruickshank, Kenneth; Westbrook, Ros

    2013-01-01

    International practicum is disappearing from teacher education programs with the increasing pressures for "local experience". International practicum is seen as too different from local contexts to develop preservice teachers to meet professional standards. This study explores the teaching development of a group of 24 preservice teachers from a…

  7. Beginner Pre-Service Special Education Teachers' Learning Experience during Practicum

    ERIC Educational Resources Information Center

    Nonis, Karen P.; Jernice, Tan Sing Yee

    2011-01-01

    In Singapore, training for pre-service special education (PSSE) teachers is supported by a ten-week special education teaching (SET) practicum process in special school setting. In the first four weeks of SET practicum PSSE teachers are familiarized with their pupils, class routines, school culture and administrative processes within the school.…

  8. "Unruly Pupils" in Pre-Service English Language Teachers' Teaching Practicum Experiences

    ERIC Educational Resources Information Center

    Gao, Xuesong; Benson, Phil

    2012-01-01

    The teaching practicum is a pivotal event for pre-service teachers to experience the transition from being students to being teachers. This paper examines the emergence of "unruly pupils" as a central concern for pre-service English language teachers in their teaching practicum. The inquiry relates the pre-service teachers' perceived challenge of…

  9. Beyond Inquiry-Oriented Teacher Education: Rethinking the Practicum. Monograph No. 17.

    ERIC Educational Resources Information Center

    Zeichner, Kenneth M.

    This paper highlights some emerging trends in rethinking the teacher education practicum in North America. The paper discusses several major obstacles to student teacher learning that persist even in many of the new inquiry-oriented practicums that focus on the development of reflective teaching practice. While teachers praise the value of the…

  10. Nuclear science and engineering and health physics fellowships: 1984 description. Research areas for the practicum

    SciTech Connect

    Not Available

    1984-01-01

    This booklet describes available research areas at participating centers where a practicum may be held under the Nuclear Science and Engineering and Health Physics Fellowship program. After a year of graduate study each fellow is expected to arrange for a practicum period at one of the participating centers.

  11. A case study of sea breeze blocking regulated by sea surface temperature along the English south coast

    NASA Astrophysics Data System (ADS)

    Sweeney, J. K.; Chagnon, J. M.; Gray, S. L.

    2013-09-01

    The sensitivity of sea breeze structure to sea surface temperature (SST) and coastal orography is investigated in convection-permitting Met Office Unified Model simulations of a case study along the south coast of England. Changes in SST of 1 K are shown to significantly modify the structure of the sea breeze. On the day of the case study the sea breeze was partially blocked by coastal orography, particularly within Lyme Bay. The extent to which the flow is blocked depends strongly on the static stability of the marine boundary layer. In experiments with colder SST, the marine boundary layer is more stable, and the degree of blocking is more pronounced. The implications of prescribing fixed SST from climatology in numerical weather prediction model forecasts of the sea breeze are discussed.

  12. The influence of consecutive sea and land breeze days on the accumulation of photochemical oxidants and nitrogen oxide

    NASA Astrophysics Data System (ADS)

    Nakajima, Ko; Takahashi, Hideo

    2015-04-01

    Efforts have been made to improve the air pollution environment, in Japan, since the first photochemical smog was reported in 1970. While nitrogen oxide and non-methane hydrocarbon levels, both of which are precursors of photochemical oxidants (Ox), are tending to decrease, Ox levels are tending to increase. Local wind, such as sea and land breeze circulation, plays important roles in the production and accumulation of Ox. It has been suggested that continuous sea and land breeze circulation serves to accumulate pollutants. However, pollutant concentrations do not necessarily increase compared with the previous day even if similar weather conditions persist, such as sea and land breeze circulation. As such, the factors related to changes in the pollutant concentrations are not well understood. The purpose of this study is to analyze the accumulation and distribution of air pollutants for days in which sea and land breeze days was consecutive for two days. We chose to study sea breeze days in which a southerly wind develops in the southern Kanto plain, north of Tokyo Bay, during July and August for the years 19902012. We used principal component analysis and cluster analysis to classify the variations in pollutant concentrations. We classified sea breeze days into four groups, i.e., Group 1: days when the pollutant concentration decreased around Tokyo Bay and increased inland, Group 2: days when the concentration increased across almost the entire study region, Group 3: days when the concentration decreased inland and in southern Tokyo Bay, and Group 4: days when the concentration increased, particularly around Tokyo Bay. In Group 2, in which the pollutant concentration increased as compared with the previous day, the wind direction had clearly changed from southerly to northerly during the night of the first day and a land breeze penetrated toward the coastal area. In the other groups, wind velocity also became weaker but there was no change from sea-breeze to

  13. An Observational Study of Sea- and Land-Breeze Circulation in an Area of Complex Coastal Heating.

    NASA Astrophysics Data System (ADS)

    Zhong, Shiyuan; Takle, Eugene S.

    1992-12-01

    The diurnal evolution of the three-dimensional structure of a mesoscale circulation system frequently occurring in the area of Kennedy Span Center-Cape Canaveral has been studied using the data from the Kennedy Space Center Atmospheric Boundary Layer Experiment (KABLE). The case was chosen from the spring intensive data-collection period when the greatest daytime temperature difference between land and water (sea and inland rivers) occurs and the local circulations are most intense. The daytime flow structure was determined primarily by the mesoscale pressure-gradient form created by the temperature contrast between land and water. A strong sea-breeze circulation, the dominant feature of the daytime flow field, was modified by a local inland river breeze known as the Indian River breeze, in that divergent flow over the river enhanced the sea-breeze convergence on the seaward side and generated additional convergence on the landward side of the river. The rivers near the coastline also modified the initial flow field by enhancing convergence in the surrounding areas and speeding up the movement of the sea-breeze front. The nighttime flow structure was dominated by a large-scale land breeze that was relatively uniform over the area and became quasi-stationary after midnight. The nonuniformity of the wind-vector rotation rate suggests that mesoscale forcing significantly modifies the Coriolis-induced oscillation. No clear convergence patterns associated with the rivers were observed at night. Detailed characteristics over a diurnal cycle of the sea-land breeze and of the river breeze onset time, strength, depth, propagation speed and both landward and seaward extension, are documented in this study. Some boundary-layer characteristics needed for predicting diffusion of pollutants released from coastal launch pads, including atmospheric stability, depth of the thermal internal boundary layer, and turbulent mixing are also discussed.

  14. Solitary Kidney

    MedlinePlus

    ... Institute, Inc., Kidney School National Kidney Foundation MedlinePlus Kidney and Urologic Disease Organizations Many organizations provide support ... Organizations​​ . (PDF, 345 KB)​​​​​ Alternate Language URL Solitary Kidney Page Content On this page: What is a ...

  15. Investigation of sea-breeze convergence in Salento Peninsula (southeastern Italy)

    NASA Astrophysics Data System (ADS)

    Comin, Alcimoni Nelci; Miglietta, Mario Marcello; Rizza, Umberto; Acevedo, Otavio Costa; Degrazia, Gervasio Annes

    2015-06-01

    The frequency, the location and the characteristics of convective rainfall events induced by the convergence of different sea breeze systems on a Mediterranean peninsula (Salento, in southeastern Italy) are analyzed. Such events have been studied considering satellite/radar images and output fields from two Limited Area Models in the summer period of 2011-2013. A total of 20 days have been detected in which the precipitation due to sea-breeze convergence was clearly observed in satellite and radar images. The synoptic conditions associated with these events have been identified considering the averages of some relevant meteorological parameters in the selected days and the anomaly with respect to the climate. The presence of a cold trough in the central Mediterranean basin appears as a fundamental ingredient for the occurrence of sea breeze convergence and associated precipitation. High-resolution simulations with two state-of-art numerical models have revealed that both of them are generally able to simulate a convergence pattern correctly, apart from a couple of cases for each model. The higher rainfall amounts occur with weak synoptic wind, and weak-to-moderate values of Convective Available Potential Energy (CAPE). When the synoptic wind is of moderate intensity, the region of convergence moves toward the Adriatic coast for a prevailing southerly component, and toward the Ionian coast for a prevailing northerly component. On the opposite, the skin sea surface temperature is relatively uniform and the difference between the Ionian and the Adriatic Seas, surrounding the peninsula on the east and west side, is generally smaller than 1 K, having only a marginal effect on the sea breeze patterns. Similarly, the value of CAPE before the occurrence of rainfall has low prognostic value. The results shows that limited area models with a grid spacing of few km appear as appropriate tools for the simulation for such relatively small scale phenomena.

  16. Modeling mesoscale diffusion and transport processes for releases within coastal zones during land/sea breezes

    SciTech Connect

    Lyons, W.A.; Keen, C.S.; Schuh, J.A.

    1983-12-01

    This document discusses the impacts of coastal mesoscale regimes (CMRs) upon the transport and diffusion of potential accidental radionuclide releases from a shoreline nuclear power plant. CMRs exhibit significant spatial (horizontal and vertical) and temporal variability. Case studies illustrate land breezes, sea/lake breeze inflows and return flows, thermal internal boundary layers, fumigation, plume trapping, coastal convergence zones, thunderstorms and snow squalls. The direct application of a conventional Gaussian straight-line dose assessment model, initialized only by on-site tower data, can potentially produce highly misleading guidance as to plume impact locations. Since much is known concerning CMRs, there are many potential improvements to modularized dose assessment codes, such as by proper parameterization of TIBLs, forecasting the inland penetration of convergence zones, etc. A three-dimensional primitive equation prognostic model showed excellent agreement with detailed lake breeze field measurements, giving indications that such codes can be used in both diagnostic and prognostic studies. The use of relatively inexpensive supplemental meteorological data especially from remote sensing systems (Doppler sodar, radar, lightning strike tracking) and computerized data bases should save significantly on software development costs. Better quality assurance of emergency response codes could include systems of flags providing personnel with confidence levels as to the applicability of a code being used during any given CMR.

  17. The influence of the Atlantic Warm Pool on the Florida panhandle sea breeze

    USGS Publications Warehouse

    Misra, Vasubandhu; Moeller, Lauren; Stefanova, Lydia; Chan, Steven; O'Brien, James J.; Smith, Thomas J.; Plant, Nathaniel

    2011-01-01

    In this paper we examine the variations of the boreal summer season sea breeze circulation along the Florida panhandle coast from relatively high resolution (10 km) regional climate model integrations. The 23 year climatology (1979–2001) of the multidecadal dynamically downscaled simulations forced by the National Centers for Environmental Prediction–Department of Energy (NCEP-DOE) Reanalysis II at the lateral boundaries verify quite well with the observed climatology. The variations at diurnal and interannual time scales are also well simulated with respect to the observations. We show from composite analyses made from these downscaled simulations that sea breezes in northwestern Florida are associated with changes in the size of the Atlantic Warm Pool (AWP) on interannual time scales. In large AWP years when the North Atlantic Subtropical High becomes weaker and moves further eastward relative to the small AWP years, a large part of the southeast U.S. including Florida comes under the influence of relatively strong anomalous low-level northerly flow and large-scale subsidence consistent with the theory of the Sverdrup balance. This tends to suppress the diurnal convection over the Florida panhandle coast in large AWP years. This study is also an illustration of the benefit of dynamic downscaling in understanding the low-frequency variations of the sea breeze.

  18. The influence of the Atlantic Warm Pool on the Florida panhandle sea breeze

    USGS Publications Warehouse

    Misra, V.; Moeller, L.; Stefanova, L.; Chan, S.; O'Brien, J. J.; Smith, T.J.; Plant, N.

    2011-01-01

    In this paper we examine the variations of the boreal summer season sea breeze circulation along the Florida panhandle coast from relatively high resolution (10 km) regional climate model integrations. The 23 year climatology (1979-2001) of the multidecadal dynamically downscaled simulations forced by the National Centers for Environmental Prediction-Department of Energy (NCEP-DOE) Reanalysis II at the lateral boundaries verify quite well with the observed climatology. The variations at diurnal and interannual time scales are also well simulated with respect to the observations. We show from composite analyses made from these downscaled simulations that sea breezes in northwestern Florida are associated with changes in the size of the Atlantic Warm Pool (AWP) on interannual time scales. In large AWP years when the North Atlantic Subtropical High becomes weaker and moves further eastward relative to the small AWP years, a large part of the southeast U.S. including Florida comes under the influence of relatively strong anomalous low-level northerly flow and large-scale subsidence consistent with the theory of the Sverdrup balance. This tends to suppress the diurnal convection over the Florida panhandle coast in large AWP years. This study is also an illustration of the benefit of dynamic downscaling in understanding the low-frequency variations of the sea breeze. Copyright 2011 by the American Geophysical Union.

  19. Transient land breeze: Eclipse induced wind flow modifications—Observations over plant canopy

    NASA Astrophysics Data System (ADS)

    Murthy, B. S.; Latha, R.; Sreeja, P.; Dharmaraj, T.

    2012-11-01

    An experiment is conducted over Cassava plant canopy at a coastal station at CTCRI, Thiruvananthapuram (8°29'N, 76°59E) to study the response of meteorological parameters and land-sea breeze circulations to the annular solar eclipse on January 15, 2010. Observations reveal decrease of solar radiation to a minimum of 96 W m-2 during the peak eclipse period. Air temperature drops by 4 °C and relative humidity increases by 20%. Sensible heat flux reduces to zero. Transient land breeze occurs for a few minutes with a time lag of about 1 h possibly due to outflow from the umbra region or temperature gradient over land with the eclipse progressing in the eastward direction. Sea breeze is delayed by about 3 h on the next day of eclipse. Spectral energy density of wind (u, v, w) and temperature attains a minimum value during totality and increases later, attributable to reduction in turbulence due to eclipse-induced stability.

  20. A sea breeze induced thunderstorm over an inland station over Indian South Peninsula - A case study

    NASA Astrophysics Data System (ADS)

    Bhate, Jyoti; Kesarkar, Amit P.; Karipot, Anandakumar; Bala Subrahamanyam, D.; Rajasekhar, M.; Sathiyamoorthy, V.; Kishtawal, C. M.

    2016-10-01

    The dynamic interaction of sea breeze with the prevailing synoptic flows can give rise to meteorological conditions conducive for the occurrence to the thunderstorms over coastal and adjoining regions. Here, we present a rare case study of the genesis of the thunderstorm that occurred on 4th May 2011 at 1500Z over Gadanki (13.5°N, 79.2°E), one of the tropical inland stations (100 km) near to the east coast of the Indian peninsula. The objective of present work is to understand the underlying physical mechanism of initiation of such convection over this region. A set of meteorological observations obtained from microwave radiometer profiler, eddy covariance flux tower system, and Doppler weather radar, are used for investigating the convection genesis characteristics. In conjunction with observations, to bridge the gap of lack of high resolutional spatial observations, the high-resolution (2 km) model analysis is developed using Weather Research and Forecasting (WRF) model and four-dimensional data assimilation technique. The analysis of thermodynamical and dynamical indices carried out from the model analysis as well as observations. Results obtained from this study indicated the presence of a wind discontinuity line and a warm air advection from the north Indian region towards Gadanki caused this area hot dry and convectively active. The sea breeze front propagated over hot and dry area few hours before the genesis of the thunderstorm. The moisture flux convergence increased with the inland propagation of sea breeze front. We found that the inland penetration of sea-breeze front caused advection of moist and cold air over warm and dry region; reduction in dew point depression causing bulging of dry line and lowering of lifting condensation level; development of shear in wind direction and speed; increase in low level convergence and vertical velocity, upward transport of moist air and finally increase in helicity of the environment. The wind shear instability

  1. Virtual practicums within an MPH program: a career development case study.

    PubMed

    Goodman, Jeffrey

    2015-01-01

    This article focuses on an innovative "virtual" practicum arrangement and provides insight for public health professionals seeking a meaningful practicum experience. The traditional practicum model where a student physically reports to work at the field site with a near full-time commitment has become increasingly challenging and often limiting in terms of field site choices and experiences available to a student depending on the location of a school and the student's area of interest. This is particularly true with students who are enrolled in a distance learning program. The experience obtained from a practicum is more important than ever before as rapid changes occur in health service delivery models as a result of the Patient Protection and Affordable Care Act. Career development through a practicum can be vitally important to a mid-career student seeking to remain relevant and in demand within a changing job market. To fulfill these needs, while still obtaining the benefits of a practicum, a virtual practicum arrangement could provide a solution. This case study provides practical tips based on the successful experience of a recent MPH graduate.

  2. [Factors influencing the collaboration between clinical instructors and teachers in nursing practicum].

    PubMed

    Shiiba, Michiyo; Saito, Hisako; Fukuzawa, Yukiko

    2010-06-01

    Several ideas based on unification have been proposed for collaboration between clinical practice and education, but as they are difficult to adopt they have not become widespread. It is possible for practicum instructors and nursing school teachers to collaborate even when the practicum take place in institutions other than the nursing school, so an improvement in the quality of practicum can be expected. In this study, 384 practicum instructors in 34 institutions were surveyed to determine the criteria for collaboration between practicum instructors and nursing school teachers. We analyzed the "configuration factors", "characteristics", "influential factors" and "level of influence of the factors". We derived 3 major factors, "decision making", "cooperativeness", and "information sharing" and, 28 items as the configuration factors and found that although there was some collaboration it was insufficient. The factors that have a large influence on the level of collaboration have been suggested: the diverse number of curricula that one post accepts; the frequency of meetings; training that respects the students' understanding; participation and guidance in conferences; participation of practicum instructors and head of ward nurses in meetings; and educators' system of practicum guidance.

  3. Mechanical strength of extrusion briquettes (BREX) for blast-furnace and ferroalloy production: II. Effect of the method of grinding coke breeze on the strength of extrusion briquettes

    NASA Astrophysics Data System (ADS)

    Bizhanov, A. M.; Kurunov, I. F.; Dashevskii, V. Ya.

    2015-05-01

    The influence of the method of grinding coke breeze on the strength and the behavior of extrusion briquette (BREX) during static loading is studied. It is found that the size, the shape, and the surface relief of coke breeze particles affect the character of BREX fracture. The application of a shearing extruder for preliminary refinement of coke breeze can result in viscoelastic fracture of BREX due to an increase in its impact toughness.

  4. Evaluator/controller practicum for US Department of Energy emergency exercises

    SciTech Connect

    Lacher, L.; Converse, R.; Gasper, W.; Mitrani, J.

    1996-12-31

    Argonne National Laboratory has designed a practicum to help ensure that exercises at Department of Energy (DOE) facilities provide results that will be useful in maintaining or improving emergency preparedness while ensuring the safety of the public and the exercise participants. Participants in the first two offerings of the practicum came from DOE facilities nationwide. The practicum augments the usual forms of controller and evaluator training with actual practice in carrying out controller and evaluator roles. Feedback from participants indicated substantial benefit from the training. Many of the participants expressed a desire to present such training to others at their home facilities.

  5. Kidney Biopsy

    MedlinePlus

    ... right diagnosis. [ Top ] What should a person do days before a kidney biopsy? Days before the procedure, ... Top ] What can a person expect on the day of the kidney biopsy? A person should arrive ...

  6. Kidney Failure

    MedlinePlus

    Healthy kidneys clean your blood by removing excess fluid, minerals, and wastes. They also make hormones that keep your ... strong and your blood healthy. But if the kidneys are damaged, they don't work properly. Harmful ...

  7. Kidney transplant

    MedlinePlus

    Renal transplant; Transplant - kidney ... Barry JM, Conlin MJ. In: Renal transplantation. Wein AJ, ed. Campbell-Walsh Urology . 10th ed. Philadelphia, PA: Elsevier Saunders; 2011:chap 44. Kidney Disease: Improving Global Outcomes ( ...

  8. Kidney removal

    MedlinePlus

    ... the kidney. In: Wein AJ, ed. Campbell-Walsh Urology . 10th ed. Philadelphia, PA: Elsevier Saunders; 2011:chap ... the kidney. In: Wein AJ, ed. Campbell-Walsh Urology . 10th ed. Philadelphia, PA: Elsevier Saunders; 2011:chap ...

  9. A study of the Merritt Island, Florida sea breeze flow regimes and their effect on surface heat and moisture fluxes

    NASA Technical Reports Server (NTRS)

    Rubes, M. T.; Cooper, H. J.; Smith, E. A.

    1993-01-01

    Data collected during the Convective and Precipitation/Electrification Experiment were analyzed as part of an investigation of the sea breeze in the vicinity of Merritt Island, Florida. Analysis of near-surface divergence fields shows that the classical 24-hour oscillation in divergence over the island due to the direct sea breeze circulation is frequently disrupted and exhibits two distinct modes: the classical sea breeze pattern and deviations from that pattern. A comparison of clear day surface energy fluxes with fluxes on other days indicates that changes in magnitudes were dominated by the presence or absence of clouds. Non-classical sea breeze days tended to lose more available energy in the morning than classical sea breeze days due to earlier development of small cumulus over the island. A composite storm of surface winds, surface energy fluxes, rainfall, and satellite visible data was constructed. A spectral transmittance over the visible wavelengths for the cloud cover resulting from the composite storm was calculated. It is shown that pre-storm transmittances of 0.8 fall to values near 0.1 as the downdraft moves directly over the site. It is also found that under post-composite storm conditions of continuous clear sky days, 3.5 days are required to evaporate back into the atmosphere the latent heat energy lost to the surface by rainfall.

  10. Interaction of a cold front with a sea-breeze front Numerical simulations

    NASA Astrophysics Data System (ADS)

    Rhodin, A.

    1995-08-01

    This paper presents simulations of a front which passed the coast between the North Sea and northern Germany and thereby experienced some modifications of its mesoscale characteristics. The event was observed during the field experiment FRONTEX'89. The two-dimensional non-hydrostatic simulations presented in this paper resemble some of the observed characteristics and yield a detailed description of the evolution of the surface front. Over the sea several narrow frontal rain bands develop in the boundary layer which becomes unstable due to the increasing sea surface temperature near the coast. The rain bands move forward relative to the front due to the cross frontal circulation which is enhanced by the release of latent heat in the ascending warm air and by the cooling of the cold air below by evaporating precipitation. Over the heated land surface a sea-breeze front develops ahead of the synoptic-scale cold front. The strong frontal gradients of the sea-breeze front mask the broader frontal zone of the cold front at the ground. The sea-breeze front triggers deep convection ahead of the cold front in the afternoon and takes over all characteristics of the synoptic-scale front in the evening. The simulations show the mechanisms that caused the observed evolution and modification of the synoptic-scale cold front. They emphasize the strong influence of the surface heat fluxes on the characteristics of fronts on the mesoscale. The most important feature of the numerical model, necessary for the proper representation of the frontal characteristics on the mesoscale, is its high resolution. The simulations are restricted by the difficulties of finding an initial state and appropriate boundary conditions so that the results fit the observations for a long time period and that spin-up problems are avoided.

  11. Practicum projects of value: a successful strategic partnership between nurse executives and master's level academia.

    PubMed

    Hahn, Joyce A

    2010-01-01

    The opportunity exists for academia and the nursing executive community to collaboratively create cultures of excellence. One university formed relationships of collaborative synergy with nurse executives to provide practicum experiences of value for both the graduate nursing administration students and the health care facilities. The strategic preceptor partnerships offer graduate students the invaluable opportunity to experience the in-depth, real world perspective of nursing administration resulting in the enrichment of their academic scholarship. A final practicum work project is designed collaboratively with the preceptor and completed by the end of the second practicum semester. The resulting practicum project is an example of a mutually rewarding experience for the graduate nursing administration student and the preceptor. The collaborative synergistic model is a win-win situation for the university and the health care facility.

  12. Sea breeze analysis based on LES simulations and the particle trace calculations in MM21 district

    NASA Astrophysics Data System (ADS)

    Sugiyama, Toru; Soga, Yuta; Goto, Koji; Sadohara, Satoru; Takahashi, Keiko

    2016-04-01

    We have performed thermal and wind environment LES simulations in MM21 district in Yokohama. The used simulation model is MSSG (Multi-Scale Simulator for the Geo-environment). The spatial resolution is about 5[m] in horizontal and vertical axis. We have also performed the particle trace calculations in order to investigate the route of the sea-breeze. We have found the cool wind is gradually warmed/heated up as flowing into the district, then it blows up and is diffused. We will also discuss the contributions of the DHC (District Heating & Cooling) system in the area.

  13. The Amazon river breeze and the local boundary layer. I - Observations

    NASA Technical Reports Server (NTRS)

    De Oliveira, Amauri P.; Fitzjarrald, David R.

    1993-01-01

    Observations of the diurnal evolution of the planetary boundary layer over the Amazon rain forest, made at sites close to the confluence of the Solimoes and Negro rivers (approximately at 3 deg S, 60 deg W) near Manaus, Amazonas, Brazil, show the existence of a diurnal rotation of the wind near the surface and the frequent presence of low-level nocturnal wind maxima. These circulations are shown to be plausibly explained as elements of a river and land breeze circulation induced by the thermal contrast between the rivers and the adjacent forest.

  14. Incorporating a health policy practicum in a graduate training program to prepare advanced practice nursing health services researchers.

    PubMed

    DiCenso, Alba; Housden, Laura; Heale, Roberta; Carter, Nancy; Canitz, Brenda; MacDonald-Rencz, Sandra; Buckley, Christine Rieck

    2012-11-01

    Health services research benefits from the active engagement of researchers and policy makers from generation through to application of research-based knowledge. One approach to help graduate students learn about the policy world is through participation in a policy practicum. This is an opportunity to work for a defined period of time in a setting where policy decisions are made. This article focuses on the integration of the policy practicum into graduate nursing education for advanced practice nurses. Ten graduate students and two postdoctoral fellows who had recently completed their practicums and three policy makers who had recently supervised students in provincial, federal, and international practicum projects were invited to submit a narrative about the experience. Based on qualitative analysis of the narratives, this article outlines objectives of the practicum, the policy practicum journey, student learning, and finally, the benefits and challenges of the experience.

  15. From burden to spritual growth: Korean students' experience in a spiritual care practicum.

    PubMed

    So, Woi Sook; Shin, Hye Sook

    2011-01-01

    Little is known about how students learn spiritual caregiving. A phenomenological study was conducted to examine the experience of Korean nursing students in a spiritual care practicum. Interviews with 12 students were analyzed and organized into 40 themes, 17 theme clusters, and five categories describing their experience in the practicum. Students initially experienced burdens and helplessness,followed by improvement of coping skills, self-reflection, and spiritual growth.

  16. HIV and Kidney Disease

    MedlinePlus

    ... FOR KIDNEY DISEASE? HIV MEDICATIONS AND THE KIDNEYS DIALYSIS AND KIDNEY TRANSPLANTATION THE BOTTOM LINE WHY SHOULD ... disease (ESRD) or kidney failure. This can require dialysis or a kidney transplant. The rate of kidney ...

  17. Diagnosis of sea breeze cases over the Metropolitan Area of São Paulo with the WRF model

    NASA Astrophysics Data System (ADS)

    Homann, C.; Freitas, E. D.

    2013-05-01

    The sea breeze is a great responsible for the organization of severe weather events, climate patterns and air pollution dispersion over the Metropolitan Area of São Paulo (MASP), being the knowledge about its correct predictability very important in the region. The Weather Research and Forecasting (WRF) mesoscale model was used to simulate some events of sea breeze propagation over the MASP during the winter season of 2009 (18th and 20th june, 29th august, 02nd September) with the objective to analyze the skill of the model on the predictability of this events using the default parameterizations available in the model and identify some flaws and possible adjustments to be made in the model. For this purpose, the simulation results were compared with the observed velocity and wind direction collected in the "Campo de Marte" Airport - SP. The model had a good response for all simulated days, where the horizontal wind and the vapor mixing ratio indicating correctly the sea breeze arrival over the region. Another important feature observed in the wind moisture fields was the moments that the sea breeze reaches different parts of MASP in response to the Urban Heat Island effect, which can accelerate or prevent the sea breeze propagation depending on location, as observed in other studies, and the relative position of the metropolitan area with respect to the sea-shore and the topography of the region. It was observed that the sea-breeze front reaches the southwest portion of MASP approximately two hours before it reaches the northwest portion.

  18. Transformative learning through a research practicum for undergraduate nursing students.

    PubMed

    Kirkpatrick, Helen; Tweedell, Donna; Semogas, Dyanne

    2011-10-01

    In their final year of a Bachelor of Science in Nursing (BScN) program, students are required to take a research practicum related to clinical practice in a new or ongoing research project, supervised by nursing faculty. This course is designed to enhance students' understanding of the research process. The student's potential role as a research collaborator is emphasized. Involvement in an interdisciplinary narrative study with formerly homeless individuals challenged by severe alcohol dependence, in general poor health and living in a harm reduction environment, transformed students' values, assumptions, and beliefs. Not only did students gain confidence in their beginning skills as potential research collaborators, but they also felt that their future practice would be enhanced by new perspectives gained by studying a marginalized and stigmatized group, thus enabling them to appreciate cultural diversity and improve their competence.

  19. The effectiveness of separating theory and practicum as a conduit to learning physiology.

    PubMed

    Schuijers, Johannes A; McDonald, Stuart J; Julien, Brianna L; Lexis, Louise A; Thomas, Colleen J; Chan, Siew; Samiric, T

    2013-06-01

    Many conventional science courses contain subjects embedded with laboratory-based activities. However, research on the benefits of positioning the practicals within the theory subject or developing them distinctly from the theory is largely absent. This report compared results in a physiology theory subject among three different cohorts of students: those taking the theory subject alone, those taking it concurrent with a physiology practicum subject, and those who previously took the subject when it had practicums embedded within the one subject. The path model shows that students taking both physiology theory and physiology practicum attained a significantly higher result in online tests compared with those who took the theory subject alone (P < 0.05) and that this translated to a significantly higher result in the end-of-semester examination. Similarly, students taking both physiology theory and the physiology practicum attained a significantly higher end-examination result compared with those who took the physiology subject in previous years when the practicums were embedded within the theory subject (P < 0.05). In both cases, this increase was largely attained in components that tested critical thinking and deep learning (short theory application questions and extended written questions). We conclude that students undertaking both physiology theory and the physiology practicum likely performed better in the theory subject due to better problem-solving skills and a more developed understanding of theoretical content. We suggest that consideration be given in all science curricula to the separation of theory and practicum by developing two subjects with clearly defined different learning outcomes.

  20. Kidney Cancer

    MedlinePlus

    You have two kidneys. They are fist-sized organs on either side of your backbone above your waist. The tubes inside filter and ... blood, taking out waste products and making urine. Kidney cancer forms in the lining of tiny tubes ...

  1. Ectopic Kidney

    MedlinePlus

    ... Human Development March of Dimes National Office MedlinePlus Kidney and Urologic Disease Organizations Many organizations provide support ... Organizations​​ . (PDF, 345 KB)​​​​​ Alternate Language URL Ectopic Kidney Page Content On this page: What is an ...

  2. The Use of Per Session Clinical Assessment with Clients in a Mental Health Delivery System: An Investigation into How Clinical Mental Health Counseling Practicum Students and Practicum Instructors Use Routine Client Progress Feedback

    ERIC Educational Resources Information Center

    Yates, Chad Michael

    2012-01-01

    The purpose of this study was to investigate how clinical mental health counseling practicum students and practicum instructors use per session assessment feedback with clients they served at a university counseling center. Per session assessment and feedback has been shown to increase the treatment outcomes that counselors achieve while treating…

  3. 33 CFR 334.775 - Naval Air Station Pensacola, Pensacola Bay, Pensacola and Gulf Breeze, Fla.; naval restricted area.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 33 Navigation and Navigable Waters 3 2010-07-01 2010-07-01 false Naval Air Station Pensacola, Pensacola Bay, Pensacola and Gulf Breeze, Fla.; naval restricted area. 334.775 Section 334.775 Navigation... RESTRICTED AREA REGULATIONS § 334.775 Naval Air Station Pensacola, Pensacola Bay, Pensacola and Gulf...

  4. A case study of sea breeze blocking regulated by sea surface temperature along the English south coast

    NASA Astrophysics Data System (ADS)

    Sweeney, J. K.; Chagnon, J. M.; Gray, S. L.

    2014-05-01

    The sensitivity of sea breeze structure to sea surface temperature (SST) and coastal orography is investigated in convection-permitting Met Office Unified Model simulations of a case study along the south coast of England. Changes in SST of 1 K are shown to significantly modify the structure of the sea breeze immediately offshore. On the day of the case study, the sea breeze was partially blocked by coastal orography, particularly within Lyme Bay. The extent to which the flow is blocked depends strongly on the static stability of the marine boundary layer. In experiments with colder SST, the marine boundary layer is more stable, and the degree of blocking is more pronounced. Although a colder SST would also imply a larger land-sea temperature contrast and hence a stronger onshore wind - an effect which alone would discourage blocking - the increased static stability exerts a dominant control over whether blocking takes place. The implications of prescribing fixed SST from climatology in numerical weather prediction model forecasts of the sea breeze are discussed.

  5. Exploring Chinese Teachers' Commitment to Being a Cooperating Teacher in a University-Government-School Initiative for Rural Practicum Placements

    ERIC Educational Resources Information Center

    Lijie, Lu; Fang, Wang; Yunpeng, Ma; Clarke, Anthony; Collins, John

    2016-01-01

    Faced with urban schools' reluctance to host student teachers on practicum because "student teachers disturb their teaching order," Northeast Normal University in Changchun, China, collaborated with four rural provinces to develop a University-Government-School (UGS) initiative for rural practicum placements. To understand the teachers'…

  6. The Effectiveness of an Embedded Approach to Practicum Experiences in Educational Leadership: Program Candidates' Perspectives

    ERIC Educational Resources Information Center

    Chandler, Mary; Chan, Tak Cheung; Jiang, Binbin

    2013-01-01

    This study examined how effective an embedded practicum experience in an educational leadership program in a Southeastern University is in serving the purpose of preparing educational leaders to meet future challenges. Findings of this study confirm practicum areas that met the educational demands and highlight areas that need improvement to…

  7. Content Analysis of the Practicum Course in the Master of Science in Educational Leadership/Administration Program

    ERIC Educational Resources Information Center

    Norman, Scott W.

    2013-01-01

    In this study, I explored the overall efficacy of the Master of Science in Educational Leadership/ Administration (MSEL/A) program at Florida State University (FSU), by taking a closer look at the introductory course, Practicum in Educational Leadership (the Practicum), as well as the final assessment, the student e-portfolio. The MSEL/A at FSU is…

  8. Evaluating Creative Thinking of Rn-Bsn Students in the Course of Clinical Case Study and Practicum

    ERIC Educational Resources Information Center

    Ku, Ya-Lie

    2015-01-01

    This case study evaluated creative thinking of RN-BSN students in the course of clinical case study and practicum. Study design used quantitative and qualitative evaluations of creative thinking of RN-BSN students by triangulation method in the course of clinical case study and practicum. Sixty RN-BSN students self-perceived the changing levels of…

  9. Sea breeze regimes in the New York City region - modeling and radar observations

    SciTech Connect

    Michael, P.; Miller, M.; Tongue, J.S.

    1998-04-01

    During spring and summer, the well known sea breeze circulations can strongly influence airport operations, air-quality, energy utilization, marine activities and infrastructure. The geographic configuration of the New York City region presents a special challenge to atmospheric prediction and analysis. The New Jersey and Long Island coasts are at approximate right angles to each other, additionally Long Island is separated from the mainland of Connecticut by Long Island Sound. The various bodies of water in the region (Atlantic Ocean, Long Island Sound, New York Harbor, Jamaica Bay, etc.) have different surface temperatures. In addition the urbanization of the New York areas can modify atmospheric flows. This paper will present results from model simulations, surface observations and remote sensing using the Weather Surveillance Radar - 1988 Doppler (WSR-88D).

  10. Impact of land-sea breezes at different scales on the diurnal rainfall in Taiwan

    NASA Astrophysics Data System (ADS)

    Huang, Wan-Ru; Wang, Shih-Yu

    2014-10-01

    The formation mechanism of diurnal rainfall in Taiwan is commonly recognized as a result of local forcings involving solar thermal heating and island-scale land-sea breeze (LSB) interacting with orography. This study found that the diurnal variation of the large-scale circulation over the East Asia-Western North Pacific (EAWNP) modulates considerably the diurnal rainfall in Taiwan. It is shown that the interaction between the two LSB systems—the island-scale LSB and the large-scale LSB over EAWNP—facilitates the formation of the early morning rainfall in western Taiwan, afternoon rainfall in central Taiwan, and nighttime rainfall in eastern Taiwan. Moreover, the post-1998 strengthening of a shallow, low-level southerly wind belt along the coast of Southeast China appears to intensify the diurnal rainfall activity in Taiwan. These findings reveal the role of the large-scale LSB and its long-term variation in the modulation of local diurnal rainfall.

  11. Using the WRF model to simulate the playa breeze over Dugway Proving Ground

    NASA Astrophysics Data System (ADS)

    Spade, Daniela Maria

    The aim of this model and observation based study is to investigate the Advanced Research Weather Research and Forecasting Model's (WRF-ARW, although WRF from hereout) ability to simulate the three-dimensional structure of playa breezes and drainage flows occurring in Dugway Proving Ground, Utah using sub-km nesting in addition to improved land use and terrain datasets (as compared to the default datasets provided with WRF), in addition to studying the diurnal cycle and interactions between the playa breeze and drainage flows. A playa breeze is a thermally forced air circulation system that develops near the edge of playas, which have properties distinct from the surrounding land cover, including a higher thermal conductivity, a higher albedo due to the presence of a thin salt crust at the surface, sparse vegetation cover relative to the surrounding land cover, and a higher latent heat flux. The combination of each of these characteristics produces a thermally direct circulation, with low-level flow away from the playa during the day and toward the playa at night, the result of a cooler playa during the day and a warmer playa at night. Five model runs were performed using the Noah land Surface model, each employing a four telescoping nest strategy. Each model run was given a different set of physical parameterizations, with some using GFS model output and others using NAM model output. The object behind utilizing five model runs was to isolate the impacts made by the differing model parameterization schemes used for each simulation. This was accomplished by comparing the model run output to in situ weather observations, provided courtesy of the Mountain Terrain Atmospheric Modeling and Observation Program (MATERHORN), an ongoing Multidisciplinary University Research Initiative (MURI) sponsored by the Office of Naval Research with the University of Notre Dame acting as Project Lead. It was found that each of the five model simulations tended to produce a longer

  12. Student Perceptions of a Hands-on Practicum to Supplement an Online eHealth Course

    PubMed Central

    2012-01-01

    Background Since 2000, the Centre for Online Health (COH) at The University of Queensland has offered a range of online eHealth courses at the undergraduate and postgraduate level. While online learning has a number of advantages, in some domains, it can present some challenges to the development of practical skills and experience. Objective To assess students’ perceptions of the value of an eHealth practicum. Methods To supplement our online learning program, we introduced an eHealth practicum component that aimed to expose students to a range of clinically relevant learning experiences. Subsequently, by means of a questionnaire, student perceptions of the practicum were assessed. Results Over two semesters, a total of 66 students participated in the eHealth practicum, and questionnaire responses were very positive. The majority of students agreed that the practicum allowed them to gain necessary skills in eHealth applications (59%) and provided them with an opportunity to explore ways of using different eHealth tools for the delivery of health care at a distance (62%). Conclusions The study shows that a practical component in eHealth teaching was well received by students. While online teaching is appropriate for providing knowledge, the opportunity to develop practical skills may encourage students to use eHealth techniques in their future practices. PMID:23246840

  13. A study of atmospheric structures using sodar in relation to land and sea breezes

    NASA Astrophysics Data System (ADS)

    Aggarwal, S. K.; Singal, S. P.; Kapoor, Ramesh K.; Adiga, B. B.

    1980-06-01

    Simultaneous observations were made by an acoustic sounder and on a meteorological tower during the month of May 1978 at the Atomic Power Station Tarapur. The probing range of the acoustic sounder was 700 m. The meteorological tower could sense wind and temperature at various levels up to a height of 120 m. The site being close to the sea shore, the thermal environment of the lower atmosphere is controlled mostly by land and sea breeze circulations. Thermal convective structures were seen during the daytime and also at night. The frequency of plume formation and the height of the plumes were, however, low during the night. The convective boundary layer in the daytime ranged from 400 500 m while at night it was mostly under 200 m. The observation of thermals at night is explained by the presence of a naturally stable marine layer above 30 m at this site. In the morning hours, winds suddenly change their direction allowing advection of a land breeze which is responsible for the formation of surface-based shear echoes to a height of 200 m during the transition period and for the subsequent development of an elevated layer due to mixing of two different air masses. A marine layer was also seen over Tarapur for a few days during the early evening and night hours. Its height was mostly around 400 m. It may indicate the presence of a subsidence inversion at Tarapur. The need for collection of supporting meteorological data to a height of 500 m by tethered balloon or some other suitable in-situ technique is stressed.

  14. Chronic Kidney Diseases

    MedlinePlus

    ... Homework? Here's Help White House Lunch Recipes Chronic Kidney Diseases KidsHealth > For Kids > Chronic Kidney Diseases Print ... re talking about your kidneys. What Are the Kidneys? Your kidneys are tucked under your lower ribs ...

  15. Kidney disease - resources

    MedlinePlus

    Resources - kidney disease ... The following organizations are good resources for information on kidney disease: National Kidney Disease Education Program -- www.nkdep.nih.gov National Kidney Foundation -- www.kidney.org National ...

  16. Evaluation of an integrated simulation courseware in a pediatric nursing practicum.

    PubMed

    Shin, Hyunsook; Kim, Mi Ja

    2014-10-01

    This study examined the effect of integrated pediatric nursing simulation courseware on students' critical thinking and clinical judgment. Ninety-five senior nursing students participated in this study. Every student followed the established courseware schedule, as well as the regular pediatric nursing practicum. The courseware schedule included two simple simulation scenarios and one comprehensive scenario on the first day of the first, second, and third weeks of the practicum. Students' critical thinking scores showed significant improvement after the use of simulation courseware using high-fidelity simulators and standardized patients. No significant predictors were found for improvement in critical thinking, but bivariate transformation of upper and lower groups in critical thinking achievement revealed a significant difference in the clinical judgment ability between the two groups. Simulation courseware supplementation is an innovative learning strategy for improving nursing students' critical thinking and clinical judgment during clinical practicum. Clinical judgment may play a role in facilitating nursing student improvement in critical thinking ability. PMID:25275992

  17. Practicum in adapted physical activity: a Dewey-inspired action research project.

    PubMed

    Standal, Øyvind; Rugseth, Gro

    2014-07-01

    The purpose of this study was to investigate what adapted physical activity (APA) students learn from their practicum experiences. One cohort of APA students participated, and data were generated from an action research project that included observations, reflective journals, and a focus group interview. The theoretical framework for the study was Dewey's and Wackerhausen's theories of reflections. The findings show the objects of students' reflections, the kind of conceptual resources they draw on while reflecting, and their knowledge interests. In addition, two paradoxes are identified: the tension between reflecting from and on own values, and how practicum as a valued experience of reality can become too difficult to handle. In conclusion, we reflect on how practicum learning can be facilitated.

  18. Evaluation of an integrated simulation courseware in a pediatric nursing practicum.

    PubMed

    Shin, Hyunsook; Kim, Mi Ja

    2014-10-01

    This study examined the effect of integrated pediatric nursing simulation courseware on students' critical thinking and clinical judgment. Ninety-five senior nursing students participated in this study. Every student followed the established courseware schedule, as well as the regular pediatric nursing practicum. The courseware schedule included two simple simulation scenarios and one comprehensive scenario on the first day of the first, second, and third weeks of the practicum. Students' critical thinking scores showed significant improvement after the use of simulation courseware using high-fidelity simulators and standardized patients. No significant predictors were found for improvement in critical thinking, but bivariate transformation of upper and lower groups in critical thinking achievement revealed a significant difference in the clinical judgment ability between the two groups. Simulation courseware supplementation is an innovative learning strategy for improving nursing students' critical thinking and clinical judgment during clinical practicum. Clinical judgment may play a role in facilitating nursing student improvement in critical thinking ability.

  19. Kidney biopsy

    MedlinePlus

    Renal biopsy; Biopsy - kidney ... Barisoni L, Arend LJ, Thomas DB. Introduction to renal biopsy. In: Zhou M, Mari-Galluzzi C, eds. ... Saunders; 2015:chap 7. Topham PS, Chen Y. Renal biopsy. In: Johnson RJ, Feehally J, Floege J, ...

  20. Nursing Students' Satisfaction with Mobile Academic Electronic Medical Records for Undergraduate Clinical Practicum.

    PubMed

    Choi, Mona; Park, Joon Ho; Lee, Hyeong Suk

    2016-01-01

    The purpose of study was to evaluate satisfaction with and usability of mobile academic electronic medical records (AEMR) for undergraduate nursing students' clinical practicum. After an AEMR application on mobile devices was applied to the experimental group while a PC-based EMR system was used for the control group as usual in the fall semester, 2014. Two items of practicum satisfaction such as preparation of lab test and understanding of the results, and nursing intervention and documentation were significantly higher in the experiment group. The findings of usability survey showed that students in the experiment group consider the use of mobile AEMR in their job would increase their productivity. PMID:27332454

  1. Influence of tides on the sea breeze in the German Bight: How much model complexity is needed?

    NASA Astrophysics Data System (ADS)

    Fischereit, Jana; Heinke Schlünzen, K.; Gierisch, Andrea M. U.; Grawe, David; Petrik, Ronny; Hübner, Udo; Backhaus, Jan

    2015-04-01

    The state of the atmosphere near the coast is affected by the interaction of atmosphere and ocean. Thus, in order to predict the state of the atmosphere in coastal areas correctly, different oceanic characteristics and processes need to be considered. The goal of the present study is to identify whether tidal effects are relevant for the prediction of sea breezes at the German North Sea coast. For that an atmosphere model was extended to simulate the ocean in different complexities, leading to a coupled ocean-atmosphere-model. In contrast to many other studies the present study considers a two-way-coupling for momentum. That is, the simulation not only consideres a transfer of momentum from the atmosphere to the ocean but also a transfer from the ocean to the atmosphere. The model system is tested for a sea breeze situation, which is a common phenomenon in the German Bight in May and June. Six different scenarios with a grid size of 1.5 km are calculated: Inundated/dry mudflats for the entire simulation, high/low tide at Heligoland at midday and high/low tide at Heligoland at midday with a two-way-coupling for momentum. Tides influence sea breezes in two ways. Firstly, they influence the heat budget in coastal areas, as mudflats are inundated and fall dry. The study reveals that the air temperature in 10 m height follows the tidal cycle and thus reflects an inundated scenario during high tide and a dry scenario during low tide, respectively. Because of the alternation of the air temperature above the mudflats, the temperature gradient between land and sea areas is influenced, which modifies the sea breeze development. A time difference of one hour is found for the formation of the sea breeze front and its related cloud formation between those scenarios where low tide and high tide occur at midday respectively. Also the inland penetration of sea breezes is influenced by tides: with incoming tide their fronts are moved further inland. Secondly, tidal currents

  2. The Effects of Large-Scale Winds on the Sea Land-Breeze Circulations in an Area of Complex Coastal Heating.

    NASA Astrophysics Data System (ADS)

    Zhong, Shiyuan; Takle, Eugene S.

    1993-07-01

    A three-dimensional mesoscale numerical model has been used to examine the effects of large-scale background winds on the characteristics of the sea land-breeze circulations over an area with an irregular coastline and complex surface-heating patterns at Kennedy Space Center/Cape Canaveral in Florida. A series of numerical experiments was performed in which the large-scale winds were varied in both speed and direction. The surface heating was based on measured surface-temperature variation from the Kennedy Space Center Atmospheric Boundary Layer Experiment (KABLE) during the spring season when the land sea temperature gradient reaches its maximum. The results from the simulations compared reasonably well with data available from KABLE.The results show that an onshore large-scale flow produces weaker sea-breeze perturbations compared to those generated by an offshore flow. However, the coastal rivers and lagoons create intense surface convergence with strong vertical motion on the seaward side of the river by the merging of the onshore flow with the offshore river breezes, and such strong vertical motion can last for several hours. The disturbances caused by the inland water bodies are significant in the sea-breeze phase but are very minor in the land-breeze phase. An onshore synoptic wind causes an earlier onset of the sea breeze, but delays the onset of the land breeze, and a strong onshore flow of more than 5 m s1 does not allow the land breeze to develop at all. The maximum offshore wind speed and vertical motion at night are less sensitive to the magnitude of surface cooling than to the large-scale flow and daytime surface heating, which together determine the initial flow at the beginning of the land breeze phase. The results also show that the magnitude, the sense of rotation, and the diurnal variation of the dominant forces governing the wind-vector rotation change as the orientation of the synoptic wind direction changes. The rate of rotation in the sea-breeze

  3. The interaction of the sea breezes with the boundary layer along the Red Sea coast and its effect on the dust transport

    NASA Astrophysics Data System (ADS)

    Khan, Basit Ali; Stenchikov, Georgiy; Abualnaja, Yasser

    2013-04-01

    Sea and land breezes are common meteorological phenomena in most coastal regions of the world. The thermally induced mesoscale circulation of sea breezes modifies the planetary boundary layer (PBL) by forming a convective internal boundary layer (CIBL), which can trap dust and other pollutants in the thin convective layer while the return flow can transport dust and pollutants from the land towards the sea. We used the Advanced Research WRF (ARW) modeling system to study the structure and dynamics of sea breezes in the middle region of the Red Sea (around 25°N) on the western coast of Saudi Arabia. Results showed the existence of two thermal circulations on both the western and eastern coasts of the Red Sea. The modeling results are consistent with observations from buoys and meteorological towers along the Saudi Arabian coast and suggest that the onset of the sea breeze in this area typically occurs at about 0800 Local Standard Time (LST). The sea breeze decays after 1700 LST, although the timing of the onset and decay could be affected by the sea-land thermal gradient, topography, the sea-land orientation and the direction and strength of the wind. The depth of the predicted inflow layer reaches one kilometer while the height of sea breeze head may reach three kilometers. The rocky mountain range of Al-Sarawat, along the Saudi coast line, restricts the inland propagation of the sea breeze and significantly affects the structure of the flow. We conducted a detailed process analysis of our simulation results to understand the sea breeze and PBL interaction and its effect on local meteorology and dust transport.

  4. Air pollutant transport in a coastal environment. Part 1: Two-dimensional simulations of sea-breeze and mountain effects

    NASA Technical Reports Server (NTRS)

    Lu, Rong; Turco, Richard P.

    1994-01-01

    Over the southern California coastal region, observations of the vertical distributions of pollutants show that maximum concentrations can occur within temperature inversion layers well above the surface. A mesoscale model is used to study the dynamical phenomena that cause such layers, including sea breezes and mountain flows, and to study the characteristics of air pollutant transport in a coastal environment capped by a temperature inversion. The mathematical and physical structure of the model is described. Two-dimensional simulations corresponding to four configurations of coastal plains and mountains are discussed. The simulations reveal that pollutant transport over a coastal plain is strongly influenced by the topographic configuration, including the height of coastal mountains and their distance from the coastline. Sea breezes induced by land-sea thermal contrasts, as well as upslope winds induced along mountain flanks, both create vertical transport that can lead to the formation of elevated pollution layers. The sea-breeze circulation generates pollution layers by undercutting the mixed layer and lofting pollutants into the stable layer. Heating of mountain slopes acts to vent pollutants above the mountain ridge during the day; during the evening, pollutants can be injected directly into the inversion layer from the decaying upslope flows. In a land-sea configuration with mountains close to the coastline, the sea breeze and heated-mountain flow are strongly coupled. In the afternoon, this interaction can produce upslope flow from which polluted air is detrained into the inversion layer as a return circulation. When the mountains lie farther inland, however, pollutants may be trapped aloft when the mixed layer stabilizes in the late afternoon. As the nocturnal boundary layer forms over the coast in the evening, polluted mixed-layer air is effectively left behind in the inversion layer. In the Los Angeles Basin, the formation mechanism for elevated

  5. A first numerical simulation of the development and structure of the sea breeze on the Island of Mallorca

    NASA Astrophysics Data System (ADS)

    Ramis, C.; Romero, R.

    1995-09-01

    A numerical study of the development and structure of the sea breeze in Mallorca is presented using a meso- numerical model. The model includes a detailed representation of the soil and vegetation processes. The study covers a diurnal cycle. The results show that the model reproduces the main known features of the circulation and new ones appear, which seem to have an appreciable effect on the circulation during the decay of the sea breeze. The orography and soil dryness have been identified as the main factors determining the structure of the breeze. Three more experiments have been performed in order to isolate the effect of each factor. Acknowledgements. The authors are grateful to Prof. A. K. Sen of the Institute of Radio Physics and Electronics, University of Calcutta for valuable discussions. One of the authors (R. B.) expresses thanks to the C.S.I.R., New Delhi for financial assistance. Our special thanks are due to the two referees of this paper for their valuable critical comments. The Eastern Centre for Research in Astrophysics (ECRA) is also acknowledged for financial support. The Editor-in-Chief thanks M. Cliverd and A. E. Reznikov for their help in evaluating this paper.--> Correspondence to: A. B. Bhattacharya-->

  6. Identifying a Sea Breeze Circulation Pattern Over the Los Angeles Basin Using Airborne In Situ Carbon Dioxide Measurements

    NASA Astrophysics Data System (ADS)

    Brannan, A. L.; Schill, S.; Trousdell, J.; Heath, N.; Lefer, B. L.; Yang, M. M.; Bertram, T. H.

    2014-12-01

    The Los Angeles Basin in Southern California is an optimal location for a circulation study, due to its location between the Pacific Ocean to the west and the Santa Monica and San Gabriel mountain ranges to the east, as well as its booming metropolitan population. Sea breeze circulation carries air at low altitudes from coastal to inland regions, where the air rises and expands before returning back towards the coast at higher altitudes. As a result, relatively clean air is expected at low altitudes over coastal regions, but following the path of sea breeze circulation should increase the amount of anthropogenic influence. During the 2014 NASA Student Airborne Research Program, a highly modified DC-8 aircraft completed flights from June 23 to 25 in and around the LA Basin, including missed approaches at four local airports—Los Alamitos and Long Beach (coastal), Ontario and Riverside (inland). Because carbon dioxide (CO2) is chemically inert and well-suited as a conserved atmospheric tracer, the NASA Langley Atmospheric Vertical Observations of CO2 in the Earth's Troposphere (AVOCET) instrument was used to make airborne in situ carbon dioxide measurements. Combining measured wind speed and direction data from the aircraft with CO2 data shows that carbon dioxide can be used to trace the sea breeze circulation pattern of the Los Angeles basin.

  7. Career Guidance: An Implementation Model for Small High Schools. A Maxi I Practicum.

    ERIC Educational Resources Information Center

    Stevens, Richard; And Others

    The purpose of this practicum was to design, develop, and implement a career guidance program for small high schools. The program description would act as a model for implementation at other high schools desiring a career guidance program. The method of communicating the program to others was the writing of a "how to" book which others would use…

  8. Applied Research Consultants (ARC): A Vertical Practicum Model of Training Applied Research

    ERIC Educational Resources Information Center

    Nadler, Joel T.; Cundiff, Nicole L.

    2009-01-01

    The demand for highly trained evaluation consultants is increasing. Furthermore, the gap between job seekers' evaluation competencies and job recruiters' expectations suggests a need for providing practical training experiences. A model using a vertical practicum (advanced students assisting in the training of newer students) is suggested as an…

  9. Lessons Learned from Experiential Learning: What Do Students Learn from a Practicum/Internship?

    ERIC Educational Resources Information Center

    Simons, Lori; Fehr, Lawrence; Blank, Nancy; Connell, Heather; Georganas, Denise; Fernandez, David; Peterson, Verda

    2012-01-01

    A multi-method approach was used in a pilot assessment of student learning outcomes for 38 students enrolled in an undergraduate psychology practicum/internship program. The results from a pretest-posttest survey revealed that students improved their multicultural skills from the beginning to the end of the program. The results also indicate that…

  10. Web Conferencing of Pre-Service Teachers' Practicum in Remote Schools

    ERIC Educational Resources Information Center

    Gronn, Donna; Romeo, Geoff; McNamara, Sue; Teo, Yiong Hwee

    2013-01-01

    The purpose of this study was to field-test several conferencing technologies in regional schools to determine whether the technologies are appropriate for the needs of the university supervisor, trainee teachers and supervising teachers in practicum placements. The study also explored the potential of technology for other related purposes. Four…

  11. Windows into Classrooms: Using ICT to Facilitate Regional, Rural and Remote Practicum and Teacher Professional Learning

    ERIC Educational Resources Information Center

    Romeo, Geoff; Gronn, Donna; McNamara, Sue; Teo, Yiong Hwee

    2012-01-01

    The purpose of this study was to field-test several conferencing technologies in regional schools in Victoria to determine whether the technologies are appropriate for the needs of the university supervisor, trainee teachers and supervising teachers with regard to practicum placements. The study also explored the potential of technology for other…

  12. Evaluation of Student-Teachers' Performance in TEFL Practicum at Kuwait University.

    ERIC Educational Resources Information Center

    Al-Mutawa, Najat; Al-Dabbous, Jawahir

    A study investigated the process used in evaluating student teachers of English as a foreign language (TEFL) during the practicum period, in an effort to assess and improve the supervision process. Subjects were 34 student teachers from Kuwait University practice-teaching in intermediate and secondary schools. The students' evaluation was…

  13. Exploration of Children's Literature Core-Curriculum Alignment with Preservice Teacher Practicum Experience

    ERIC Educational Resources Information Center

    Clark, Julie A.

    2010-01-01

    This qualitative research, completed through the implementation of a case study, was conducted to explore the benefits of children's literature core-curriculum alignment with preservice teacher practicum experience. The significance of the study was based on four foundation issues: personal reading attitude, addressing the value of using…

  14. Counseling Skills Pre-Practicum Training at Guidance and Counseling Undergraduate Programs: A Qualitative Investigation

    ERIC Educational Resources Information Center

    Aladag, Mine

    2013-01-01

    This study was aimed to describe counseling skills pre-practicum training at guidance and counseling undergraduate programs in Turkey. A descriptive study was conducted based upon qualitative data. The research group of this study consisted of 11 guidance and counseling undergraduate programs voluntarily participate into study. The Survey Form…

  15. A Phenomenological Study: The Experience of Live Supervision during a Pre-Practicum Counseling Techniques Course

    ERIC Educational Resources Information Center

    Koltz, Rebecca L.; Feit, Stephen S.

    2012-01-01

    The experiences of live supervision for three, master's level, pre-practicum counseling students were explored using a phenomenological methodology. Using semi-structured interviews, this study resulted in a thick description of the experience of live supervision capturing participants' thoughts, emotions, and behaviors. Data revealed that live…

  16. Results of a Practicum Offering Teaching-Focused Graduate Student Professional Development

    ERIC Educational Resources Information Center

    Richards-Babb, Michelle; Penn, John H.; Withers, Michelle

    2014-01-01

    Providing chemistry graduate students with opportunities to learn about evidence-based teaching and to practice teaching skills in a mentored environment is crucial to their professional development. Herein is described the model for a graduate-level teaching practicum course specifically focused on the chemistry discipline. This course addressed…

  17. A Family Counselor Practicum Based on a Deliberate Psychological Education Model.

    ERIC Educational Resources Information Center

    Kaiser, Donna; Ancellotti, Teresa

    2003-01-01

    The authors describe a family counseling practicum that is based on cognitive-developmental theory and uses a Deliberate Psychological Education (DPE) model for developing a curriculum. Designed to promote the growth and development of adult learners, DPE facilitates learning and the developmental growth of beginning family counselors. (Contains…

  18. Maximizing Target Language Use in a Pre-­Service Practicum: Tensions, Power, and Identity Formation

    ERIC Educational Resources Information Center

    Parks, Susan

    2015-01-01

    This study draws from a cultural-historical perspective to explore the experiences of two pre-­service ESL teachers in terms of their efforts to maximize the use of the target language during a school practicum. Both student teachers were fluent in English, had received training in maximizing target language use during their university studies,…

  19. Crying in the Halls: Supervising Students with Symptoms of Emotional Problems in the Clinical Practicum

    ERIC Educational Resources Information Center

    Storrie, Kim; Ahern, Kathy; Tuckett, Anthony

    2012-01-01

    There is evidence that the number of university students with mental health problems has increased over the past few years. The literature also suggests that the number and effect of troubled health science students create significant problems in the clinical practicum. However, there are gaps in the literature as to how clinical teachers actually…

  20. Dangerous Practices: The Practicum Experiences of Non-Indigenous Pre-Service Teachers in Remote Communities

    ERIC Educational Resources Information Center

    Auld, Glenn; Dyer, Julie; Charles, Claire

    2016-01-01

    This paper seeks to explore the risks of providing preservice teachers with professional experiences in remote communities. In particular this paper focuses on the risks associated with this kind of professional experience. Twelve pre-service teachers were interviewed whilst on a three-week practicum around Katherine and in Maningrida in the…

  1. A Reflection on Bakhtin's "Epic and Novel" in the Context of Early Childhood Student Teachers' Practicum

    ERIC Educational Resources Information Center

    Naughton, Christopher

    2016-01-01

    It is common in early childhood education (ECE), for student teachers to be asked to reflect on incidents or scenarios that occur while on practicum and relate their reflections to "theory." This process of identification and corroboration, demonstrates the student's familiarity with the dominant developmental narratives within which ECE…

  2. Formative and Summative Evaluation of the FEHR-Practicum Training Module. Final Report.

    ERIC Educational Resources Information Center

    Collet, LeVerne S.; And Others

    The purpose of this project was to evaluate the FEHR (formative evaluation and heuristic research) Practicum training model, a computerized simulation providing practical experience in decision-oriented educational research and evaluation. The report is organized into five chapters. Chapter one contains an introductory discussion of the needs and…

  3. Assessment of the Practicum by Students from the Perspective of the Induction Process

    ERIC Educational Resources Information Center

    Pacios, Ana R.

    2013-01-01

    This article shows the assessments made by students from the Carlos III University of Madrid of the induction period in the practicum they performed during their courses of study, and their perceptions of and attitudes towards it. The method used was a survey comprising 6 questions about the induction process, which was carried out among 359…

  4. Border-Crossing: Cultural Hybridity and the Rural and Small Schools Practicum.

    ERIC Educational Resources Information Center

    Grenfell, Mike

    This paper describes the experiences of non-Indigenous preservice teachers during a 5-week rural cross-cultural practicum in Northern Territory (Australia) Aboriginal schools. The staff at the Education Resource Centre that serves and provides visiting teachers to Yirrkala Homeland Schools expressed a desire to become more fully involved in the…

  5. Marketing. Retailing 102, Promotions 202, Relations in Business 202, Management 302, Marketing Practicum 302.

    ERIC Educational Resources Information Center

    Manitoba Dept. of Education, Winnipeg.

    This teaching guide contains guidelines for conducting five secondary-level marketing cluster courses--Retailing 102, Promotions 202, Relations in Business 202, Management 302, and Marketing Practicum 302. Covered first are goals and objectives, teachers' notes and suggested activities, lists of suggested materials, and guidelines for correlating…

  6. Pre-Service Primary Teachers Negotiating Physical Education Identities during the Practicum

    ERIC Educational Resources Information Center

    Fletcher, Tim; Kosnik, Clare

    2016-01-01

    This research examined the ways in which pre-service primary teachers' experiences of physical education during the practicum influenced the development of their identities as teachers of physical education. Guided by a social constructivist view of identity, semi-structured interviews were conducted with 10 pre-service teachers over one academic…

  7. The Relative Effectiveness of Academic and Practicum Training on Developing Behavior Modification Skills in Parents.

    ERIC Educational Resources Information Center

    Watson, Luke S., Jr.

    This paper is concerned with evaluating the Parent Training Program component of the Parent Training Technology System. The specific problem assessed was the relative influence of academic and practicum training on developing behavior modification skills in parents who work with their own psychotic and mentally retarded children. Three parents…

  8. Literacy-Oriented Pedagogy in the Advice of Experienced Language Teachers as Prospective Practicum Assessors

    ERIC Educational Resources Information Center

    Walker, Elizabeth

    2012-01-01

    This study reports the impact of a professional development course on experienced, highly qualified secondary school teachers of English as a foreign language in preparation for their becoming paid assessors of student teachers on practicum. The course concerned a literacy-oriented pedagogy informed by literacy pedagogical content knowledge…

  9. Practicum Learnings for Counseling and Art Therapy Students: The Shared and the Particular

    ERIC Educational Resources Information Center

    Van Lith, Theresa; Voronin, Lorelei

    2016-01-01

    Practicum experience in counseling and therapy training can be an anxiety-inducing time as students begin to apply their acquired theoretical knowledge. On-site supervisors closely monitor students' development by making use of example-based involvements to provide valuable insights and learning opportunities. This paper examines the findings from…

  10. "We Are Left in Limbo!": Chinese EFL Student Teachers' Teaching Practicum Experience

    ERIC Educational Resources Information Center

    Yan, Chunmei; He, Chuanjun

    2015-01-01

    Tensions between vision and reality in the teaching practicum is a significant issue in research and practice globally, but scanty attention has been awarded to research into areas of tension in teaching practice itself. This paper reports on a study that examines a cohort of Chinese English as a Foreign Language (EFL) student teachers'…

  11. "My Two Masters": Conflict, Contestation, and Identity Construction within a Teaching Practicum

    ERIC Educational Resources Information Center

    Trent, John

    2010-01-01

    This paper reports the results of a qualitative study into the teaching practice experiences of eight preservice English language teachers in Hong Kong. Using in-depth interviews, the preservice teachers' practicum experiences are explored in terms of their understandings of the requirements of their teacher education institution and their…

  12. The Practicum in Preservice Teacher Education: A Review of Empirical Studies

    ERIC Educational Resources Information Center

    Cohen, Esther; Hoz, Ron; Kaplan, Haya

    2013-01-01

    This literature review presents a systematic analysis of 113 empirical studies conducted between 1996 and 2009, portraying a picture of the rationales, goals, activities, roles, and outcomes in the different practicum settings in teacher education programs. The review shows that the rationale, goals, and activities in the different practicum…

  13. Illuminating Students' Pre-Practicum Conceptual and Emotional States: Implications for Field Education

    ERIC Educational Resources Information Center

    Katz, Ellen; Tufford, Lea; Bogo, Marion; Regehr, Cheryl

    2014-01-01

    Pre-practicum student reflections were studied using an Objective Standard Clinical Examination adapted for social work. One hundred and nine students conducted simulated interviews and immediately wrote answers to reflective questions. Reflections were studied using descriptive qualitative methodology. Three patterns emerged: students rely…

  14. Peer Mentoring: A Way forward for Supporting Preservice EFL Teachers Psychosocially during the Practicum

    ERIC Educational Resources Information Center

    Nguyen, Hoa Thi Mai

    2013-01-01

    During the past several years, the importance of practicum as a vital proportion of the preservice teacher education program has been increasingly emphasized. There have been a number of initiatives for supporting preservice teachers. Among these, peer based relationship is increasingly emerged as an innovative strategy to provide additional…

  15. Reflective Practice and Self-Evaluation in Learning Positive Guidance: Experiences of Early Childhood Practicum Students

    ERIC Educational Resources Information Center

    McFarland, Laura; Saunders, Rachel; Allen, Sydnye

    2009-01-01

    This paper examines the role of self-reflection and self-evaluation in early childhood practicum students' development of positive guidance skills with children. We examine how helpful students find self-reflection and self-evaluation exercises and how their thoroughness of reflection relates to their progress in acquiring positive guidance…

  16. Unfolding Case-Based Practicum Curriculum Infusing Crisis, Trauma, and Disaster Preparation

    ERIC Educational Resources Information Center

    Greene, Catie A.; Williams, Amy E.; Harris, Pamela N.; Travis, Sterling P.; Kim, Sharon Y.

    2016-01-01

    The authors evaluated an unfolding case-based approach to a practicum in counseling course infusing crisis, trauma, and disaster preparation for changes in students' crisis self-efficacy across a semester. The course, informed by constructivist-developmental pedagogy and centered on the unfolding case, resulted in significant increases in…

  17. Practicum Experiences as Sources of Pre-Service Teachers' Self-Efficacy

    ERIC Educational Resources Information Center

    Martins, Maria; Costa, João; Onofre, Marcos

    2015-01-01

    This study examines physical education pre-service teachers' (PTs) self-efficacy and practicum experiences as self-efficacy sources through a mixed-method approach. For the quantitative phase, a self-efficacy questionnaire was applied to 141 PTs. Results showed a stronger self-efficacy in the relationship with students and discipline promotion.…

  18. Preservice EAL Teaching as Emotional Experiences: Practicum Experience in an Australian Secondary School

    ERIC Educational Resources Information Center

    Nguyen, Minh Hue

    2014-01-01

    Drawing on activity theory, this qualitative case study examines the emotional experiences of Maria, a preservice teacher of English as an additional language (EAL) during the practicum in an Australian secondary school setting and the factors shaping these emotions. Data included interviews with the preservice teacher before and after the…

  19. Developing Primary Pre-Service Teachers' Mathematical Content Knowledge during Practicum Teaching

    ERIC Educational Resources Information Center

    Livy, Sharyn L.; Vale, Colleen; Herbert, Sandra

    2016-01-01

    While it is recognised that a teachers' mathematical content knowledge (MCK) is crucial for teaching, less is known about when different categories of MCK develop during teacher education. This paper reports on two primary pre-service teachers, whose MCK was investigated during their practicum experiences in first, second and fourth years of a…

  20. Transforming the Existing Model of Teaching Practicum: A Study of Chinese EFL Student Teachers' Perceptions

    ERIC Educational Resources Information Center

    Yan, Chunmei; He, Chuanjun

    2010-01-01

    This paper reports on a study of Chinese pre-service teachers' perceived problems in their teaching practicum. Reflective paper-writing was employed to investigate the views of 210 student teachers on an English as a foreign language (EFL) teacher education programme in Central China. The findings highlight six major problems. The paper points out…

  1. Aboriginal Post-Interns' Views of Their Rural Teaching-Practicum

    ERIC Educational Resources Information Center

    Gerard, Jessi; Lapointe, Joshua; Ralph, Edwin; Walker, Keith

    2013-01-01

    In this article, two indigenous post-interns, who completed their 16-week extended-teaching practicum sessions in rural schools in one Western Canadian province, assess their school-based internship experiences. They summarize their perspectives in three areas: 1) the elements they perceived as positive during the internship, 2) the challenging…

  2. Super or Superfluous in the South Pacific?: Unearthing the Benefits of an Overseas Teaching Practicum

    ERIC Educational Resources Information Center

    Fitzsimmons, Phil; McKenzie, Barbra

    2006-01-01

    This article discusses the findings of a project that sought to understand the professional, and perhaps the personal, benefits gained from participating in an overseas teaching practicum. Using in-situ classroom observations, semi-structured interviews and informal discussions, it became apparent that the participating students believed they had…

  3. Intercultural Teacher Education: Challenges and Ethical Dilemmas on an International Practicum

    ERIC Educational Resources Information Center

    Chan, Jenny; Parr, Graham

    2012-01-01

    Interest is growing in the potential of international intercultural teaching practicums to connect students to international dimensions of education and to productively disturb the conceptions of teaching, diversity and culture that some pre-service teachers bring with them into their teaching. This paper reports on an international teaching…

  4. Creating a Sustainable and Supportive Teaching Practicum in Rural and Regional Locations

    ERIC Educational Resources Information Center

    Ryan, Josephine; Jones, Melitta; Walta, Caroline

    2012-01-01

    The study described in this paper Creating an effective practicum model for rural and regional preservice teachers is designed to address the ongoing difficulties experienced by schools and universities as they seek to provide high quality preservice teacher education for individuals in rural areas. Lecturers from the regional campuses of two…

  5. Designing and Implementing the TESOL Teaching Practicum Abroad: Focus on Interaction

    ERIC Educational Resources Information Center

    Tomas, Zuzana; Farrelly, Rai; Haslam, Mara

    2008-01-01

    The practical teaching course, also known as the "practicum", is an essential component in graduate TESOL programs in the United States. The rationale behind this course is to allow preservice teachers the opportunity "to acquire the practical skills and knowledge needed to function as effective language teacher[s]". Traditionally, practicum…

  6. Using Arts-Based Activities to Foster Transformative Learning during a Teaching Practicum in Kenya

    ERIC Educational Resources Information Center

    Black, Glenda; Bernardes, Rogerio

    2012-01-01

    This essay explores and presents strategies we, as Canadian faculty facilitators of a teaching practicum in Kenya, used to foster the pre-service teachers' knowledge and understanding of critical reflection and transformative learning processes by using arts-based activities. Participation in the arts-based activities while in Kenya encouraged the…

  7. When Communities Collide: The Shared Construction and Defence of Community and Identity during a Teaching Practicum

    ERIC Educational Resources Information Center

    Trent, John

    2014-01-01

    This article describes the results of a qualitative multiple case study investigation of the experiences of preservice teachers during a teaching practicum in Hong Kong. The study uses in-depth interviews with pairs of student teachers and their school-based supporting teachers to understand how the former positioned themselves as particular types…

  8. "L'arte D'arrangiarsi": Evaluation of an Innovative Practice in a Preservice Practicum

    ERIC Educational Resources Information Center

    Macy, Marisa; Squires, Jane

    2009-01-01

    Building on Opportunities for Student Teaching and Learning (BOOST) is a community-based summer preschool program developed, implemented, and coordinated by student teachers, university supervisors, and faculty. Ten preservice graduate students participated in BOOST practicum activities during the spring and summer terms of their 1-year Early…

  9. Examining Interaction in the Teaching Practicum: Issues of Language, Power and Control

    ERIC Educational Resources Information Center

    Hyland, Fiona; Lo, Margaret M.

    2006-01-01

    This study examines the post-observation interactions between six English as a Second Language (ESL) student teachers and their university tutors during their teaching practicum in Hong Kong. Data consist of interviews with university tutors, transcriptions of recorded conferences and stimulated recall interviews with student teachers. Case…

  10. 34 CFR 535.12 - In what circumstances may an IHE waive the training practicum requirement?

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 34 Education 3 2013-07-01 2013-07-01 false In what circumstances may an IHE waive the training practicum requirement? 535.12 Section 535.12 Education Regulations of the Offices of the Department of Education (Continued) OFFICE OF BILINGUAL EDUCATION AND MINORITY LANGUAGES AFFAIRS, DEPARTMENT OF...

  11. 34 CFR 535.12 - In what circumstances may an IHE waive the training practicum requirement?

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 34 Education 3 2012-07-01 2012-07-01 false In what circumstances may an IHE waive the training practicum requirement? 535.12 Section 535.12 Education Regulations of the Offices of the Department of Education (Continued) OFFICE OF BILINGUAL EDUCATION AND MINORITY LANGUAGES AFFAIRS, DEPARTMENT OF...

  12. 34 CFR 535.12 - In what circumstances may an IHE waive the training practicum requirement?

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 34 Education 3 2010-07-01 2010-07-01 false In what circumstances may an IHE waive the training practicum requirement? 535.12 Section 535.12 Education Regulations of the Offices of the Department of Education (Continued) OFFICE OF BILINGUAL EDUCATION AND MINORITY LANGUAGES AFFAIRS, DEPARTMENT OF...

  13. 34 CFR 535.12 - In what circumstances may an IHE waive the training practicum requirement?

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 34 Education 3 2011-07-01 2011-07-01 false In what circumstances may an IHE waive the training practicum requirement? 535.12 Section 535.12 Education Regulations of the Offices of the Department of Education (Continued) OFFICE OF BILINGUAL EDUCATION AND MINORITY LANGUAGES AFFAIRS, DEPARTMENT OF...

  14. 34 CFR 535.12 - In what circumstances may an IHE waive the training practicum requirement?

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 34 Education 3 2014-07-01 2014-07-01 false In what circumstances may an IHE waive the training practicum requirement? 535.12 Section 535.12 Education Regulations of the Offices of the Department of Education (Continued) OFFICE OF BILINGUAL EDUCATION AND MINORITY LANGUAGES AFFAIRS, DEPARTMENT OF...

  15. Bridging Community Generational Gaps through Experiential Learning: A College Nursing Student Practicum for Elderly Patients

    ERIC Educational Resources Information Center

    Pate, Jane D.

    2013-01-01

    At the study site, an elder care practicum was adopted after nursing students demonstrated a lack of interest in the well-being of elderly patients. The purpose of the study was to determine if there was a change in college nursing students' attitudes toward nursing home residents as a result of increased intergenerational exposure following…

  16. Experiences of Student Speech-Language Pathology Clinicians in the Initial Clinical Practicum: A Phenomenological Study

    ERIC Educational Resources Information Center

    Nelson, Lori A.

    2011-01-01

    Speech-language pathology literature is limited in describing the clinical practicum process from the student perspective. Much of the supervision literature in this field focuses on quantitative research and/or the point of view of the supervisor. Understanding the student experience serves to enhance the quality of clinical supervision. Of…

  17. A Content Analysis of Pre-Service School Counselors' Evaluations of an Urban Practicum Experience

    ERIC Educational Resources Information Center

    Holcomb-McCoy, Cheryl; Johnston, Georgina

    2008-01-01

    This article examines the evaluations of nine pre-service school counselors who completed a practicum in an inner-city or urban, predominately African American school. A content analysis of the pre-service counselors' narrative evaluations was studied and six themes emerged: (a) Relationships and Interactions with Urban Students and Educators, (b)…

  18. Investigating the Impact of a Practicum Experience in an Aquarium on Pre-Service Teachers

    ERIC Educational Resources Information Center

    Anderson, David; Lawson, Bethan; Mayer-Smith, Jolie

    2006-01-01

    This study investigated the impact of a three-week pilot practicum experience in an Aquarium setting on secondary pre-service biology teachers' epistemologies and pedagogies of teaching and learning. A qualitative case study methodology was employed to examine the experiences, views of teaching and learning, and teaching development of a small…

  19. Female MSW Students' Satisfaction with Practicum Supervision: The Effect of Supervisor Gender.

    ERIC Educational Resources Information Center

    Vonk, M. Elizabeth; And Others

    1996-01-01

    A 1995 study involving 78 female master's of social work (MSW) students compared satisfaction with field practicum supervision of those with female and those with male field instructors. Results revealed one statistically significant but practically unimportant finding that favored male instructors. The little existing research appears to support…

  20. Learning in the Practicum: Engaging Pre-Service Teachers in Reflective Practice in the Online Space

    ERIC Educational Resources Information Center

    Jones, Mellita; Ryan, Josephine

    2014-01-01

    It is argued that online discussion is a useful tool for creating opportunities for learning in teacher education. In a project designed to improve the practicum in rural areas, researchers placed pre-service teachers (PSTs) in two different moderated online discussion forums: an unstructured personal blog space and a structured threaded…

  1. Making the Grade: Describing Inherent Requirements for the Initial Teacher Education Practicum

    ERIC Educational Resources Information Center

    Sharplin, Elaine; Peden, Sanna; Marais, Ida

    2016-01-01

    This study explores the development, description, and illustration of inherent requirement (IR) statements to make explicit the requirements for performance on an initial teacher education (ITE) practicum. Through consultative group processes with stakeholders involved in ITE, seven IR domains were identified. From interviews with academics,…

  2. Facebook and the Final Practicum: The Impact of Online Peer Support in the Assistant Teacher Program

    ERIC Educational Resources Information Center

    Paris, Lisa F.; Boston, Julie; Morris, Julia

    2015-01-01

    Australian pre-service teachers (PST) frequently report feeling isolated and vulnerable during the high stakes Assistant Teacher Program (ATP) final practicum. Mentoring and online learning communities have been shown to offer effective support during periods in which pre-service and beginning teachers feel challenged. As social media…

  3. American Kidney Fund

    MedlinePlus

    ... upcoming screening events. Kidney Action Day Kidney Action Day Learn about our signature outreach event. About AKF ... support of AKF. Kidney Action Day Kidney Action Day Learn about our signature outreach event. Free health ...

  4. Polycystic kidney disease

    MedlinePlus

    Cysts - kidneys; Kidney - polycystic; Autosomal dominant polycystic kidney disease; ADPKD ... Polycystic kidney disease (PKD) is passed down through families (inherited). The 2 inherited forms of PKD are autosomal dominant ...

  5. Kidney Stones (For Parents)

    MedlinePlus

    ... Story" 5 Things to Know About Zika & Pregnancy Kidney Stones KidsHealth > For Parents > Kidney Stones Print A ... remove the stones from their urinary tracts. How Kidney Stones Form It's the kidneys' job to remove ...

  6. Kidney Stones in Children

    MedlinePlus

    ... Nephrology American Kidney Fund National Kidney Foundation MedlinePlus Kidney and Urologic Disease Organizations Many organizations provide support ... Disease Organizations​​ . (PDF, 345 KB) Alternate Language URL Kidney Stones in Children Page Content On this page: ...

  7. Extraintestinal Complications: Kidney Disorders

    MedlinePlus

    ... Extraintestinal Complications: Kidney Disorders Go Back Extraintestinal Complications: Kidney Disorders Email Print + Share The kidneys filter the ... but some less serious ones occur more frequently. Kidney stones These are probably the most commonly encountered ...

  8. Polycystic Kidney Disease

    MedlinePlus

    ... a kidney transplant or blood-filtering treatments called dialysis. The two main types of PKD are autosomal ... so people with kidney failure must receive either dialysis or a kidney transplant to replace kidney function. ...

  9. Evaluation of the atmospheric model WRF on the Qatar peninsula for a converging sea-breeze event

    NASA Astrophysics Data System (ADS)

    Balan Sobhana, Sandeepan; Nayak, Sashikant; Panchang, Vijay

    2016-04-01

    Qatar, a narrow peninsula covering an area of 11437 sq km, extends northwards into the Arabian Gulf for about 160km and has a maximum width of 88km. The convex shape of the coast-line and narrowness of the peninsula results in the Qatar region experiencing complex wind patterns. The geometry is favorable for formation of the land-sea breeze from both coastal sides of the peninsula. This can lead to the development of sea breeze convergence zones in the middle of the country. Although circulations arising from diurnal thermal contrast of land and water are amongst most intensively studied meteorological phenomena, there is no reported study for the Qatar peninsula and very few studies are reported for the Arabian Gulf region as whole. It is necessary to characterize the wind field for applications such as assessing air pollution, renewable energy etc. A non-hydrostatic mesoscale model, Weather Research and Forecast (WRF) with a nested high resolution grid permits the investigation of such fine scale phenomena. Data from eighteen land based Automated Weather Stations (AWS) and two offshore buoys deployed and maintained by the Qatar Meteorological Department were analyzed. Based on the analysis a clear case of sea breeze convergence were seen on 18 September 2015. Model simulations were used to investigate the synoptic conditions associated with the formation of this event. The season is characterized by week ambient north westerly wind over the Arabian Gulf. The WRF model performance is validated using observed in-situ data. Model simulations show that vertical extent of sea breeze cell was up to 1 km and the converging sea breeze regions were characterized with high vertical velocities. The WRF simulation also revealed that with high resolution, the model is capable of reproducing the fine scale patterns accurately. The error of predictions in the inner domain (highest resolution) are found to be relatively lower than coarse resolution domain. The maximum wind speed

  10. Kidney pain (image)

    MedlinePlus

    A kidney stone is a solid piece of material that forms in a kidney. Kidney stones may be the size of sand or ... A kidney stone is a solid piece of material that forms in a kidney. Kidney stones may be the ...

  11. Special Education Practicum at The University of Jordan: Preliminary Indicators of Students' Satisfaction and Concerns

    ERIC Educational Resources Information Center

    AL Jabery, Mohammad A.; AL Khamra, Hatem A.

    2013-01-01

    teachers are needed. The Special Education program at the University of Jordan places student teachers for their practicum in different educational settings. The purpose of this study was to report preliminary information about students' satisfaction and concerns…

  12. The Problematic Nature of the Practicum: A Key Determinant of Pre-service Teachers' Emerging Inquiry-Based Science Practices

    NASA Astrophysics Data System (ADS)

    Fazio, Xavier; Melville, Wayne; Bartley, Anthony

    2010-10-01

    This article disseminates findings from a multi-year study regarding secondary preservice science teachers’ perceptions toward inquiry-based science teaching, and the extent these perceptions are augmented by their practicum. While findings indicated that preservice teachers did improve their understanding and capability of using scientific inquiry due to their methods course, the role of practicum in supporting their newly developed perceptions was problematic. Issues ranging from associate teacher subjugation, availability of resources, time constraints, and the need to address curriculum standards were the most commonly cited reasons for preservice teachers’ difficulty in creating an inquiry-based environment during their practicum. Implications are presented highlighting the importance of practicum experiences as a key determinant of pre-service science teachers’ emerging inquiry-based science views and practices.

  13. Nursing student and professor perceptions and assessments of the achievement of practicum competencies: A mixed method approach.

    PubMed

    Fuentes-Pumarola, Concepció; Ballester-Ferrando, David; Gelabert-Vilella, Sandra; Bosch-Farré, Cristina; Malagón-Aguilera, M Carme; Rascón-Hernán, Carolina; Bonmatí-Tomàs, Anna; Fernandez-Peña, Rosario

    2016-10-01

    Within the context of the European Higher Education Area's requirement of competency-based assessments, the objective of the present study was to evaluate the Nursing Degree Practicum experience at the University of Girona (Spain) and ascertain student and faculty perceptions of the degree of competency achieved as a result of the practicum. This cross-sectional, descriptive, study combined quantitative analysis of a questionnaire and qualitative analysis of focus group comments. In the quantitative part of the study, 163 fourth-year nursing students completed the questionnaire; the qualitative analysis was derived from a focus group of 5 students and 5 professors. On the questionnaire, overall practicum evaluation was 8.39 on a 10-point Likert scale; scores evaluating the nurse mentor/instructor and nursing professor were 8.43 and 7.98, respectively. The geriatrics practicum experience received the lowest overall score (7.81), while the surgical practicum received the lowest score on the adequacy of knowledge acquired in the classroom in previous courses (5.54). The best scores were earned by the mental health and intensive/emergency care practicum experiences (a mean of 9.05 and 8.70, respectively). Students and professors in the focus group agreed that the practicum met the Nursing degree program's competency goals, highlighting practical activity as the best methodology to evaluate competencies. Participants highlighted the importance of reflective practice and the role of the nurse mentor/instructor in student learning, and indicated that it is essential for the university and the health care centers where students take practicum courses to maintain a strong relationship and good communication. Finally, feedback from the nurse mentor/instructor and Nursing professor was very important to students, both to motivate them and to help them learn. PMID:27552714

  14. Nursing student and professor perceptions and assessments of the achievement of practicum competencies: A mixed method approach.

    PubMed

    Fuentes-Pumarola, Concepció; Ballester-Ferrando, David; Gelabert-Vilella, Sandra; Bosch-Farré, Cristina; Malagón-Aguilera, M Carme; Rascón-Hernán, Carolina; Bonmatí-Tomàs, Anna; Fernandez-Peña, Rosario

    2016-10-01

    Within the context of the European Higher Education Area's requirement of competency-based assessments, the objective of the present study was to evaluate the Nursing Degree Practicum experience at the University of Girona (Spain) and ascertain student and faculty perceptions of the degree of competency achieved as a result of the practicum. This cross-sectional, descriptive, study combined quantitative analysis of a questionnaire and qualitative analysis of focus group comments. In the quantitative part of the study, 163 fourth-year nursing students completed the questionnaire; the qualitative analysis was derived from a focus group of 5 students and 5 professors. On the questionnaire, overall practicum evaluation was 8.39 on a 10-point Likert scale; scores evaluating the nurse mentor/instructor and nursing professor were 8.43 and 7.98, respectively. The geriatrics practicum experience received the lowest overall score (7.81), while the surgical practicum received the lowest score on the adequacy of knowledge acquired in the classroom in previous courses (5.54). The best scores were earned by the mental health and intensive/emergency care practicum experiences (a mean of 9.05 and 8.70, respectively). Students and professors in the focus group agreed that the practicum met the Nursing degree program's competency goals, highlighting practical activity as the best methodology to evaluate competencies. Participants highlighted the importance of reflective practice and the role of the nurse mentor/instructor in student learning, and indicated that it is essential for the university and the health care centers where students take practicum courses to maintain a strong relationship and good communication. Finally, feedback from the nurse mentor/instructor and Nursing professor was very important to students, both to motivate them and to help them learn.

  15. Exploring convective and sea-breeze dynamics using ensembles of idealised CRM simulations

    NASA Astrophysics Data System (ADS)

    Robinson, F.; Sherwood, S.; Patterson, M.

    2012-04-01

    We report on continuing work using large ensembles of simulations by the WRF model in a CRM configuration with different idealised boundary and initial conditions, to work toward a better understanding of the role of mesoscale and boundary-layer dynamics in unorganised deep convection. Runs employ an idealised domain that is homogeneous except for a heated "island" in the middle, and are mostly 2-D. The WRF model with fully parameterised physics can successfully reproduce the greater intensity of land-based convection in general relative to that over oceans, a key benchmark. Heterogeneity of the surface appears to be the primary reason for the greater intensity, but is not accounted for in standard parameterisations of deep convection although some are beginning to account for cold-pool dynamics and gust front effects. Sea breeze and gust fronts created by this heterogeneity are crucial in determining the location of subsequent convective onset, and the timing of collisions strongly affects convective intensity. To better understand the propagation of these currents we use further simplified, dry runs of WRF with varying degrees of complexity in the boundary and initial conditions. These range from the most idealised, "lock-release" case common in laboratory studies, to more meteorological cases with realistic diurnal solar heating of a land surface. We find that the well-known Benjamin formula typically used to predict frontal propagation works for idealised currents studied previously, but fails badly for those with more realistic surface heating, due to the introduction of internal structure within the cold current as it evolves. We argue that this is the main reason that observed fronts often propagate much more slowly than predicted.

  16. Effect of Sea Breeze on Air Pollution in the Greater Athens Area. Part II: Analysis of Different Emission Scenarios.

    NASA Astrophysics Data System (ADS)

    Grossi, Paola; Thunis, Philippe; Martilli, Alberto; Clappier, Alain

    2000-04-01

    The Mediterranean Campaign of Photochemical Tracers-Transport and Chemical Evolution that took place in the greater Athens area from 20 August to 20 September 1994 has confirmed the role of sea-breeze circulation in photochemical smog episodes that had been suggested already by a number of experiments and numerical studies.The meteorological and photochemical modeling of this campaign were discussed in Part I. Part II focuses on the study of the 14 September photochemical smog event associated with a sea-breeze circulation. The objective of the study is to identify and to understand better the nonlinear processes that produce high ozone concentrations. In particular, the effect of land and sea breezes is investigated by isolating the effect of nighttime and daytime emissions on ozone concentrations. The same principle then is used to isolate the effect on ozone concentrations of the two main sources of emissions in the greater Athens area: the industrial area around Elefsis and the Athens urban area. Last, the buildup of ozone from one day to another is investigated.From this study, it comes out that ozone production in the Athens area is mainly a 1-day phenomenon. The increased values of photochemical pollutant (up to 130 ppb at ground level) reached during summertime late afternoons on mountain slopes to the north and northeast of the city are related mainly to the current-day emissions. Nevertheless, the recirculation of old pollutants can have an important effect on ozone concentrations in downtown Athens, the southern part of the peninsula, and over the sea, especially near Aigina Island.

  17. Interaction Of Mesoscale Convective Systems With The Land - Sea Breezes Along The Guinea Coast Of West Africa

    NASA Astrophysics Data System (ADS)

    Coulibaly, A.; Omotosho, B. J.; Sylla, M. B.; Fink, A. H.

    2015-12-01

    1-3 hourly METARS/SYNOP observation data of wind (speed and direction), air temperature over land, covering the period 1983-2012, were used in order to characterize land-sea breezes (LSB) over five coastline stations (Abidjan, Accra, Lomé, Cotonou and Ikeja-Lagos) in the Guinean Coast, West Africa. In additional to this, 8 years (2003-2010) sea surface temperature (SST) data from adjacent Atlantic Ocean and monthly METARS/SYNOP observation data of precipitation (1983-2012) were also used. Based on wind speed and direction, the wind roses of all months over all stations have been plotted. These wind roses reveal that, globally, the northerly winds occurred rarely for the months of February, March, and April at Cotonou (Benin Republic).This is seen for other stations (Lomé and Accra). The night/morning time northerly winds appear at all stations, except Accra where there is no northerly wind or is very weak. According to the stations basis, the period of that night/morning northerly winds varies, except in summer period (July - September), where the normal s/w monsoon winds can weaken override at all stations. Set criteria based on the diurnal reversal of wind direction, and the thermal gradient necessary to drive the wind circulation, was used to identify land-sea breeze days. On station-wide basis, sea-breezes occur, at least all period of year, but less frequent in the summer months, where the minimum value of monthly mean temperature gradient is observed for selected stations.

  18. Shallow Convection along the Sea Breeze Front and its Interaction with Horizontal Convective Rolls and Convective Cells

    NASA Astrophysics Data System (ADS)

    Khan, B. A.; Stenchikov, G. L.; Abualnaja, Y.

    2014-12-01

    Shallow convection has been studied in the sea breeze frontal zone along the Arabian Red Sea coast. This convection is forced by thermal and dynamic instabilities and generally is capped below 500 hPa. The thermally induced sea breeze modifies the desert Planetary Boundary Layer (PBL) and propagates inland as a density current. The leading edge of the denser marine air rapidly moves inland undercutting the hot and dry desert air mass. The warm air lifts up along the sea breeze front (SBF). Despite large moisture flux from the sea, the shallow convection in SBF does not cause precipitation on the most part of the Arabian coastal plane. The main focus of this research is to study the vertical structure and extent of convective activity in SBF and to differentiate flow regimes that lead to dry and wet convection. The Weather Research and Forecasting Model (WRF) has been employed at a high spatial resolution of 500 m to investigate the thermodynamic structure of the atmospheric column along the SBF. We found that convection occurs during offshore and cross-shore mean wind conditions; precipitation in SBF frequently develops in the southern region of the Red Sea along the high terrain of Al-Sarawat Mountains range, while on most of the days convection is dry in the middle region and further north of the Red Sea. The coherent structures in the PBL, horizontal convective rolls (HCRs) and open convective cells (OCCs), play an important role shaping interaction of SBF with the desert boundary layer. The HCRs develop in the midmorning along the mean wind vector and interact with the SBF. Later in the afternoon HCRs evolve into OCCs. The convection is strongest, where the HCR and OCC updrafts overlap with SBF and is weakest in their downdraft regions.

  19. Effects of a senior practicum course on nursing students' confidence in speaking up for patient safety.

    PubMed

    Kent, Lauren; Anderson, Gabrielle; Ciocca, Rebecca; Shanks, Linda; Enlow, Michele

    2015-03-01

    As patient advocates, nurses are responsible for speaking up against unsafe practices. Nursing students must develop the confidence to speak up for patient safety so that they can hold themselves, as well as their peers and coworkers, accountable for patients' well-being. The purpose of this study was to examine the effects of a senior practicum course on confidence for speaking up for patient safety in nursing students. Confidence in speaking up for patient safety was measured with the Health Professional Education in Patient Safety Survey. The study showed a significant increase in nursing students' confidence after the senior practicum course, but there was no significant change in students' confidence in questioning someone of authority. PMID:25692337

  20. Lessons learned from an accelerated post-master's nurse educator certificate program: teaching the practicum course.

    PubMed

    Flood, Lisa Sue; Powers, Mary Ellen

    2012-01-01

    Nursing faces current and future shortages in the practice arena. The nurse educator shortage exacerbates the nursing shortage.This article describes an innovative and collaborative approach developed to increase the supply of nurse educators. An overview of the initial offering of this post-master's nurse educator certificate program, a grant-funded, cohort-based program, delivered online in an accelerated format, is provided. Particular attention is given to the nursing education practicum, a precepted teaching experience. This course is viewed as a culminating course, wherein the role transition from expert practitioner to novice educator occurs as students connect the experiential aspects of the practicum with knowledge gained in didactic courses and enter a new community of practice. Lessons learned and recommendations for future cohorts are discussed.

  1. An evidence based approach to undergraduate physical assessment practicum course development.

    PubMed

    Anderson, Brenda; Nix, Elizabeth; Norman, Bilinda; McPike, H Dawn

    2014-05-01

    Physical assessment is an important component of professional nursing practice. New nurse graduates experience difficulty transitioning the traditional head to toe physical assessment into real world nursing practice. This study was conducted to provide current data concerning physical assessment competencies utilized consistently by registered nurses. This quantitative study used a 126 item survey mailed to 900 Registered Nurses. Participants used a Likert-type scale to report frequency of use for physical assessment competencies. Thirty seven competencies were determined to be essential components of the physical assessment, 18 were determined supplemental, and 71 were determined to be non-essential. Transition of the new graduate nurse into professional practice can be enhanced by focusing content in physical assessment practicum courses on the essential competencies of physical assessment. Faculty for the university has analyzed data from this study to support evidence based changes to the undergraduate nursing program physical assessment practicum course.

  2. Preservice physical educators' self-efficacy beliefs toward inclusion: the impact of coursework and practicum.

    PubMed

    Taliaferro, Andrea R; Hammond, Lindsay; Wyant, Kristi

    2015-01-01

    The purpose of this study was to investigate the effect of completion of an adapted physical education (APE) course with an associated on-campus practicum on preservice physical educators' self-efficacy beliefs toward the inclusion of individuals with specific disabilities (autism, intellectual disabilities, physical disabilities, and visual impairments). Preservice students in physical education teacher education (N = 98) at a large U.S. Midwestern university enrolled in 1 of 2 separate 15-wk APE courses with an associated 9-wk practicum experience were surveyed at the beginning, middle, and conclusion of each course. Results of 4 separate 2-factor fixed-effect split-plot ANOVAs revealed significant improvements in self-efficacy beliefs from Wk 1 to Wk 8 and from Wk 1 to Wk 15 across all disability categories. Significant differences between courses were found only for autism in Time 1.

  3. Effects of a senior practicum course on nursing students' confidence in speaking up for patient safety.

    PubMed

    Kent, Lauren; Anderson, Gabrielle; Ciocca, Rebecca; Shanks, Linda; Enlow, Michele

    2015-03-01

    As patient advocates, nurses are responsible for speaking up against unsafe practices. Nursing students must develop the confidence to speak up for patient safety so that they can hold themselves, as well as their peers and coworkers, accountable for patients' well-being. The purpose of this study was to examine the effects of a senior practicum course on confidence for speaking up for patient safety in nursing students. Confidence in speaking up for patient safety was measured with the Health Professional Education in Patient Safety Survey. The study showed a significant increase in nursing students' confidence after the senior practicum course, but there was no significant change in students' confidence in questioning someone of authority.

  4. Student Triads: A Collaborative Approach to Practicum Experiences for Master's Nursing Students.

    PubMed

    Goodwin, Miki; Jenkins-Weinrub, Edith

    2015-01-01

    This article presents an approach for a collaborative practicum experience for master's degree nursing students. The students were placed into triads and then assigned as a group to work in a large health care organization. A triad consisted of 1 student from each concentration of study: nursing administration, nursing education, or nursing informatics, and the group was immersed in real-time problem-solving and decision-making processes over the course of the year. PMID:25689075

  5. Student Triads: A Collaborative Approach to Practicum Experiences for Master's Nursing Students.

    PubMed

    Goodwin, Miki; Jenkins-Weinrub, Edith

    2015-01-01

    This article presents an approach for a collaborative practicum experience for master's degree nursing students. The students were placed into triads and then assigned as a group to work in a large health care organization. A triad consisted of 1 student from each concentration of study: nursing administration, nursing education, or nursing informatics, and the group was immersed in real-time problem-solving and decision-making processes over the course of the year.

  6. Nursing Practicum in Gynaecology and Obstetrics – Early Influence Possibilities for a Specialty

    PubMed Central

    Kasch, R.; Baum, P.; Dokter, M.; Zygmunt, M.; Wirkner, J.; Lange, A.; Fröhlich, S.; Merk, H.; Kasch, J.

    2015-01-01

    Background: The shortage of skilled personnel is ubiquitous, basic and further training is a key aspect in the recruitment of new medical colleagues. The significance of the nursing practicum in its function as gateway to the gynaecology and obstetrics discipline is practically unexplored. Methods: In an online questionnaire, medical students in all German faculties were questioned about the practica in their courses. The questionnaire reached 9079 medical students. 149 participants in nursing practica were selectively asked to answer 140 questions. We analysed those students who could, on the basis of their experiences in nursing practica, imagine undertaking an internship (clinical elective) in gynaecology (internship yes “Iy”) separately from those who could not or were still undecided (internship no “In” or, respectively, internship perhaps “Ip”). Results: Altogether 149 medical students who participated in a nursing practicum in the gynaecology discipline were selected, of these 94.9 % were female. 92 (61.7 %) of the students replied that, after their gynaecological nursing practicum, they wanted to undertake an internship in gynaecology (Iy); 39 (26.2 %) answered negatively (In) and 18 (12.1 %) were still undecided (Ip). With regard to the parameters gender, age and duration of study, there were no significant differences among the 3 groups (χ2 0.83). Besides the didactic and professional quality of the training, Iy also mentioned having had a higher practical orientation. They attained their aims more frequently, were better integrated in the health-care team and acquired more practical competences. Satisfaction with the practicum was evaluated as highest among the Iy. Discussion: Those students who could imagine taking an internship in gynaecology were seen to be more satisfied with their practica than those participants who declined or were undecided. The high proportion of females is an early indicator for a feminisation of the

  7. Steps to Opening Scientific Inquiry: Pre-Service Teachers' Practicum Experiences with a New Support Framework

    NASA Astrophysics Data System (ADS)

    Rees, Carol; Pardo, Richard; Parker, Jennifer

    2013-04-01

    This qualitative multiple-comparative case study investigates (1) The reported experiences and impressions of four pre-service teachers (PTs) on practicum placement in four different classrooms (grades 1-9) where a new Steps to Inquiry (SI) framework was being utilized to support students conducting open inquiry; (2) The relative dispositions of the PTs toward conducting open inquiry, as indicated by their core conceptions regarding science, the purpose of education, effective teaching, and the capacity of students. Findings indicate that (1) although there were differences in the experiences of the four PTs, all four had an opportunity to observe and/or facilitate students conducting open inquiry with the SI framework, and after the practicum, all of them reported that they would like to include open inquiry in their own classrooms in the future; (2) one PT already possessed core conceptions indicative of a favorable disposition toward open inquiry before the placement; another altered her core conceptions substantially toward a favorable disposition during the placement; a third altered her conceptions regarding the capacity of students; and one PT maintained core conceptions indicative of a disposition that was not favorable to open inquiry despite the pronouncements that she would like to conduct open inquiry with students in their own future classroom. Possible reasons for the differences in the responses of the four pre-services teachers to the practicum placement are discussed.

  8. Usability of Academic Electronic Medical Record Application for Nursing Students' Clinical Practicum

    PubMed Central

    Lee, Hyeong Suk; Park, Joon Ho

    2015-01-01

    Objectives Nursing curricula for undergraduate nursing students need to reflect the information technology used in current nursing practice. A smart-device Academic Electronic Medical Record (AEMR) application can help nursing students access and document records for the clinical practicum. We conducted a pilot study to evaluate the usability of an AEMR application before applying it to the clinical nursing practicum. Methods A previously developed EMR application was modified as an AEMR to access patient information at bedside and to practice documentation. We added several features to the current EMR application to create an AEMR environment. We created a series of document forms and several useful scales on an external application, which included nursing admission notes, vital signs, and intake/output. The case scenarios and tasks were created by a research team to evaluate aspects of AEMRs, including their usability and functionality. Five nursing students completed 15 tasks using a think-aloud method with a tablet device. Results Minor usability issues were identified and rectified. All participants indicated that they became familiar with the application with little effort. They said that the application icons were intuitive, which helped them find patient information more quickly and accurately. Conclusions The application will improve timely access to patient data and documentation for nursing students. We are confident that this AEMR application will enhance nursing students' experience with their clinical practicum, and help them to better understand patient conditions and document them with ideal accessibility. PMID:26279956

  9. Implementing a prescribing practicum within a Master's degree in advanced nursing practice.

    PubMed

    Spence, Deb; Anderson, Maxine

    2007-11-01

    The recent introduction of Nurse Practitioner registration in New Zealand has resulted in the development of a number of Master's degree programmes in which students focus clinically and can complete a Nursing Council of New Zealand approved programme for prescribing. This article reports the implementation of a collaborative project undertaken to monitor and improve the effectiveness of the prescribing practicum papers delivered within two Master's degree programmes in advanced nursing practice. A developmental action research approach was used. Data were collected through interviews with practicum students, their medical supervisors and academic staff. Formative findings were progressively used to refine delivery of the practicum papers and a thematic analysis of summative findings identified areas for further improvement. The findings suggest that the processes being implemented are developing well. Further education is required to clearly differentiate medical and advanced nursing roles. Greater attention needs to be paid to the preparation of medical supervisors and, most significantly, revision of funding is required to more equitably support the ongoing development of nurses for advanced practice roles.

  10. Acute kidney failure

    MedlinePlus

    Kidney failure; Renal failure; Renal failure - acute; ARF; Kidney injury - acute ... There are many possible causes of kidney damage. They include: ... cholesterol (cholesterol emboli) Decreased blood flow due to very ...

  11. Diabetic Kidney Problems

    MedlinePlus

    ... too high. Over time, this can damage your kidneys. Your kidneys clean your blood. If they are damaged, waste ... in your blood instead of leaving your body. Kidney damage from diabetes is called diabetic nephropathy. It ...

  12. Chronic kidney disease

    MedlinePlus

    Kidney failure - chronic; Renal failure - chronic; Chronic renal insufficiency; Chronic kidney failure; Chronic renal failure ... Chronic kidney disease (CKD) slowly gets worse over months or years. You may not notice any symptoms for some ...

  13. Kidney cell electrophoresis

    NASA Technical Reports Server (NTRS)

    Todd, P.

    1980-01-01

    The following aspects of kidney cell electrophoresis are discussed: (1) the development and testing of electrophoresis solutions; (2) optimization of freezing and thawing; (3) procedures for evaluation of separated kidney cells; and (4) electrophoretic mobility characterization of kidney cells.

  14. Kidney cell electrophoresis

    NASA Technical Reports Server (NTRS)

    Todd, P.

    1979-01-01

    A kidney cell electrophoresis technique is described in four parts: (1) the development and testing of electrophoresis solutions; (2) optimization of freezing and thawing; (3) procedures for evaluation of separated kidney cells; and (4) electrophoretic mobility characteristics of kidney cells.

  15. Chronic Kidney Disease

    MedlinePlus

    ... control blood pressure, and make hormones. Chronic kidney disease (CKD) means that your kidneys are damaged and ... don't have any symptoms until their kidney disease is very advanced. Blood and urine tests are ...

  16. Diabetes and Kidney Disease

    MedlinePlus

    ... Disease, and Other Dental Problems Diabetic Eye Disease Diabetes and Kidney Disease What are my kidneys and ... urine until releasing it through urination. How can diabetes affect my kidneys? Too much glucose , also called ...

  17. Kidney (Renal) Failure

    MedlinePlus

    ... renal function using ureteral stenting, nephrostomy, surgery or dialysis. What is kidney (renal) failure? How is kidney ... as a urinary stent or kidney stone removal. Dialysis , including hemodialysis and peritoneal dialysis: These procedures remove ...

  18. Kidney Disease (Nephropathy)

    MedlinePlus

    ... or to have the blood filtered by machine (dialysis). Who Gets Kidney Disease? Not everyone with diabetes ... health care team. Kidney Failure Once kidneys fail, dialysis is necessary. The person must choose whether to ...

  19. Keep Your Kidneys Clear: Kicking Kidney Stones

    MedlinePlus

    ... PDF—450 kb) Hey, Parents: It’s a Noisy Planet Keep Your Kidneys Clear Keep Your Kidneys Clear ... Pike Bethesda, Maryland 20892 Department of Health and Human Services Office of Communications and Public Liaison

  20. I. Fundamental Practicum: Temperature Measurements of Falling Droplets, July, 1989. II. Industrial Practicum: Interaction and Effect of Adsorbed Organics on Reference Clays and Reservoir Rock, April, 1988. III. Apprenticeship Practicum: Studies of Group XIII Metal Inclusion Complexes, March, 1987

    NASA Astrophysics Data System (ADS)

    Wells, Mark Richard

    The temperature of 225 μm decane droplets falling through a hot, quiescent, oxygen -free environment were measured using laser-induced exciplex fluorescence thermometry. The temperature of the droplets was found to increase approximately 0.42^ circC/^circC increase in the environment temperature as the environment temperature was increased to 250^circ C. Less than 10% evaporation of the droplets was observed at the highest environment temperatures. This represents one of the first successful applications of a remote-sensing technique for the temperature determination of droplets in a dynamic system. Industrial practicum. The industrial practicum report, entitled "Interaction and Effect of Adsorbed Organics on Reference Clays and Reservoir Rock," is a discussion of the measurement of the effect adsorbed organic material, especially from crude petroleum, has on the surface area, cation exchange capacity, and zeta potential of reference clay material and reservoir rock. In addition, the energetics of adsorption of a petroleum extract onto several reference clays and reservoir rock were measured using both flow and batch microcalorimetry. These results are very important in evaluating and understanding the wettability of reservoir rock and its impact on the recovery of crude oil from a petroleum reservoir. Apprenticeship practicum. "Studies of Group XIII Metal Inclusion Complexes" investigates the structure and dynamics of liquid inclusion complexes having the general formula (R_4N) (Al_2 Me_6I) cdot (C_6H_6) _{rm x}. ^1H and ^{13}C spin-lattice relaxation times, nuclear Overhauser enhancements, and molecular correlation times were measured as well as diffusion coefficients of the various species in solution. The dynamics of transfer between "guest" and free solvent molecules were measured using a variety of techniques. The inherent structure of liquid inclusion complexes as an ordered medium for homogeneous catalysis was studied using hydrogenation catalyzed by

  1. KIDNEY XENOTRANSPLANTATION

    PubMed Central

    Cowan, Peter J.; Cooper, David K.C.; d’Apice, Anthony J.F.

    2013-01-01

    Xenotransplantation using pigs as donors offers the possibility of eliminating the chronic shortage of donor kidneys, but there are several obstacles to be overcome before this goal can be achieved. Preclinical studies have shown that while porcine renal xenografts are broadly compatible physiologically, they provoke a complex rejection process involving preformed and elicited antibodies, heightened innate immune cell reactivity, dysregulated coagulation, and a strong T cell-mediated adaptive response. Furthermore, the susceptibility of the xenograft to pro-inflammatory and pro-coagulant stimuli is probably increased by cross-species molecular defects in regulatory pathways. To balance these disadvantages, xenotransplantation has at its disposal a unique tool to address particular rejection mechanisms and incompatibilities: genetic modification of the donor. This review focuses on the pathophysiology of porcine renal xenograft rejection, and on the significant genetic, pharmacological and technical progress that has been made to prolong xenograft survival. PMID:24088952

  2. A Proposal for Methodology for Negotiation Practicum with Effective Use of ICT: A Technology Enhanced Course for Communication for Trust Building

    ERIC Educational Resources Information Center

    Yamamoto, Tosh; Tagami, Masanori; Nakazawa, Minoru

    2012-01-01

    This paper purports to demonstrate a problem solving case in the course of the development of methodology, in which the quality of the negotiation practicum is maintained or raised without sacrificing the class contact hours for the lessons for reading comprehension skills, on which the essence of negotiation practicum is solely based. In this…

  3. The Epistemography of an Urban and Regional Planning Practicum: Appropriation in the Face of Resistance. WCER Working Paper No. 2010-8

    ERIC Educational Resources Information Center

    Bagley, Elizabeth

    2010-01-01

    In this paper, the author describes an ethnographic study of a graduate-level practicum at a large Midwestern university in order to examine one of the ways urban planners develop expertise. The graduate students in the practicum were guided in the production of a site plan for a developing area by a planner with 34 years of planning experience.…

  4. [Formula: see text]Official Position of the American Academy of Clinical Neuropsychology (AACN): Guidelines for Practicum Training in Clinical Neuropsychology.

    PubMed

    Nelson, Aaron P; Roper, Brad L; Slomine, Beth S; Morrison, Chris; Greher, Michael R; Janusz, Jennifer; Larson, Jennifer C; Meadows, Mary-Ellen; Ready, Rebecca E; Rivera Mindt, Monica; Whiteside, Doug M; Willment, Kim; Wodushek, Thomas R

    2015-01-01

    Practical experience is central to the education and training of neuropsychologists, beginning in graduate school and extending through postdoctoral fellowship. However, historically, little attention has been given to the structure and requirements of practicum training in clinical neuropsychology. A working group of senior-level neuropsychologists, as well as a current postdoctoral fellow, all from a diverse range of settings (The AACN Practicum Guidelines Workgroup), was formed to propose guidelines for practicum training in clinical neuropsychology. The Workgroup reviewed relevant literature and sought input from professional organizations involved in education and training in neuropsychology. The proposed guidelines provide a definition of practicum training in clinical neuropsychology, detail entry and exit criteria across competencies relevant to practicum training in clinical neuropsychology, and discuss the relationship between doctoral training programs and practicum training sites. The proposed guidelines also provide a methodology for competency-based evaluation of clinical neuropsychology practicum trainees and outline characteristics and features that are integral to an effective training environment. Although the guidelines discussed below may not be implemented in their entirety across all clinical neuropsychology practicum training sites, they are consistent with the latest developments in competency-based education.

  5. [Formula: see text]Official Position of the American Academy of Clinical Neuropsychology (AACN): Guidelines for Practicum Training in Clinical Neuropsychology.

    PubMed

    Nelson, Aaron P; Roper, Brad L; Slomine, Beth S; Morrison, Chris; Greher, Michael R; Janusz, Jennifer; Larson, Jennifer C; Meadows, Mary-Ellen; Ready, Rebecca E; Rivera Mindt, Monica; Whiteside, Doug M; Willment, Kim; Wodushek, Thomas R

    2015-01-01

    Practical experience is central to the education and training of neuropsychologists, beginning in graduate school and extending through postdoctoral fellowship. However, historically, little attention has been given to the structure and requirements of practicum training in clinical neuropsychology. A working group of senior-level neuropsychologists, as well as a current postdoctoral fellow, all from a diverse range of settings (The AACN Practicum Guidelines Workgroup), was formed to propose guidelines for practicum training in clinical neuropsychology. The Workgroup reviewed relevant literature and sought input from professional organizations involved in education and training in neuropsychology. The proposed guidelines provide a definition of practicum training in clinical neuropsychology, detail entry and exit criteria across competencies relevant to practicum training in clinical neuropsychology, and discuss the relationship between doctoral training programs and practicum training sites. The proposed guidelines also provide a methodology for competency-based evaluation of clinical neuropsychology practicum trainees and outline characteristics and features that are integral to an effective training environment. Although the guidelines discussed below may not be implemented in their entirety across all clinical neuropsychology practicum training sites, they are consistent with the latest developments in competency-based education. PMID:26753742

  6. Clients becoming teachers: Speech-language pathology students' understanding of rehabilitation following clinical practicum in a rehabilitation setting.

    PubMed

    Attrill, Stacie; Gunn, Simon

    2010-04-01

    There has been limited research investigating the conceptual development of rehabilitation in speech-language pathology (SLP) students. The aim of this study was to describe SLP students' understanding of rehabilitation following completion of a clinical practicum in a rehabilitation setting. This study was conducted using a qualitative approach according to grounded theory methodology. Semi-structured interviews were conducted with 10 SLP students who had completed a practicum in a rehabilitation setting. Interview data analysis revealed the emergence of five axial categories. Clients becoming teachers was identified as the core category, as the notion that clients were fundamental to students' understanding of rehabilitation occurred reliably throughout the data and related to all other categories. A theoretical model was proposed that demonstrated successive levels of support to students in the acquisition of their understanding of rehabilitation on practicum. Students' understanding of rehabilitation was derived from client-related interactions and factors experienced on practicum in rehabilitation settings. Rehabilitation practicum provided students with a rich and complex learning environment that may facilitate the development of the "core skills" identified for rehabilitation practice.

  7. Medullary Sponge Kidney

    MedlinePlus

    ... Association of Kidney Patients National Kidney Foundation MedlinePlus Kidney and Urologic Disease Organizations Many organizations provide support ... PDF, 345 KB)​​​​​ Alternate Language URL Medullary Sponge Kidney Page Content On this page: What is Medullary ...

  8. The daily events and emotions of master's-level family therapy trainees in off-campus practicum settings.

    PubMed

    Edwards, Todd M; Patterson, Jo Ellen

    2012-10-01

    The Day Reconstruction Method (DRM) was used to assess the daily events and emotions of one program's master's-level family therapy trainees in off-campus practicum settings. This study examines the DRM reports of 35 family therapy trainees in the second year of their master's program in marriage and family therapy. Four themes emerged from the results: (i) Personal contact with peers-in-training engenders the most positive emotions during practicum; (ii) Trainees experience more positive emotions during therapy with families and couples in comparison with therapy with individuals; (iii) Positive affect increases over the course of a student's practicum year; and (iv) Trainees experience less positive affect in individual supervision in comparison with most other training activities. Flow theory offers guidance for supervisors helping trainees face developmental challenges of clinical training.

  9. Utilizing TRMM to Analyze Sea Breeze Thunderstorm Patterns During El Nino Southern Oscillations and Their Effects upon Available Fresh Water for South Florida Agricultural Planning and Management

    NASA Technical Reports Server (NTRS)

    Cooley, Clayton; Billiot, Amanda; Lee, Lucas; McKee, Jake

    2010-01-01

    Water is in high demand for farmers regardless of where you go. Unfortunately, farmers in southern Florida have fewer options for water supplies than public users and are often limited to using available supplies from surface and ground water sources which depend in part upon variable weather patterns. There is an interest by the agricultural community about the effect weather has on usable surface water, however, research into viable weather patterns during La Nina and El Nino has yet to be researched. Using rainfall accumulation data from NASA Tropical Rainfall Measurement Mission (TRMM) satellite, this project s purpose was to assess the influence of El Nino and La Nina Oscillations on sea breeze thunderstorm patterns, as well as general rainfall patterns during the summer season in South Florida. Through this research we were able to illustrate the spatial and temporal variations in rainfall accumulation for each oscillation in relation to major agricultural areas. The study period for this project is from 1998, when TRMM was first launched, to 2009. Since sea breezes in Florida typically occur in the months of May through October, these months were chosen to be the months of the study. During this time, there were five periods of El Nino and two periods of La Nina, with a neutral period separating each oscillation. In order to eliminate rainfall from systems other than sea breeze thunderstorms, only days that were conducive to the development of a sea breeze front were selected.

  10. Kidney Stones

    PubMed Central

    Kleeman, Charles R.; Coburn, Jack W.; Brickman, Arnold S.; Lee, David B. N.; Narins, Robert G.; Ehrlich, Richard M.

    1980-01-01

    The prevalence of kidney stones has steadily risen during this century; passage of a calculus and a positive family history increase the probability of recurrence. Findings from recent studies on the cause of renal calculi have stressed crystallization and crystal aggregation of stone minerals from supersaturated urine, rather than excessive organic matrix. Absence of normal urine inhibitors of calcium salts is also stressed. Formation of calcium oxalate stones is the major problem. Therapy with decreased calcium and oxalate intake, thiazides, phosphate salts and allopurinol in various combinations has substantially decreased the prevalence of recurrent stones. The rationale for the use of allopurinol is that uric acid salts enhance the tendency for calcium oxalate to crystallize from supersaturated urine. The hypercalciuria seen in 30 percent to 40 percent of patients with oxalate stones is usually caused by intestinal hyperabsorption of calcium. Although patients with uric acid calculi constitute only a small fraction of those in whom stones form, they represent a group in whom good medical therapy, based on sound physiologic principles, has proved extremely successful. Renal tubular syndromes lead to nephrocalcinosis and lithiasis through hypercalciuria, alkaline urine and hypocitraturia, the latter an inhibitor of calcium salt precipitation. Recent advances in surgical techniques are discussed, including the rationale for removing staghorn calculi. The ileal ureter and coagulum pyelolithotomy deserve special emphasis. ImagesFigure 2.Figure 4.Figure 5.Figure 7. PMID:7385835

  11. 6 GHz Microwave Power-Beaming Demonstration with 6-kV Rectenna and Ion-Breeze Thruster

    NASA Astrophysics Data System (ADS)

    Cummings, T.; Janssen, J.; Karnesky, J.; Laks, D.; Santillo, M.; Strause, B.; Myrabo, L. N.; Alden, A.; Bouliane, P.; Zhang, M.

    2004-03-01

    On 14 April 2003 at the Communications Research Center (CRC) in Ottawa, Ontario, a 5.85-GHz transmitter beamed 3-kW of microwave power to a remote rectifying antenna (i.e., rectenna) that delivered 6-kV to a special `Ion-Breeze' Engine (IBE). Three of CRC's 26.5-cm by 31-cm rectennas were connected in series to provide the ~6-kV output. RPI's low-voltage IBE thrusters performed well in a ``world's first'' power-beaming demonstration with rectennas and endoatmospheric ion-propulsion engines. The successful tests were a low-tech, proof-of-concept demonstration for the future full-sized MicroWave Lightcraft (MWLC) and its air breathing `loiter' propulsion mode. Additional IBE experiments investigated the feasibility of producing flight control forces on the MWLC. The objective was to torque the charged hull for `pitch' or `roll' maneuvers. The torquing demonstration was entirely successful.

  12. Strengthening field education in aging through university-community agency partnership: the Practicum Partnership Program.

    PubMed

    Lawrance, Frances P; Damron-Rodriguez, Joann; Rosenfeld, Peri; Sisco, Sarah; Volland, Patricia J

    2007-01-01

    The Practicum Partnership Program (PPP), an innovative field education model developed and implemented by six demonstration sites over four years (2000-2004), uses a structured university-community partnership, or consortium, as the foundation for designing, implementing, and evaluating internships for graduate social work students specializing in aging. This paper describes the site consortia and PPP programs, presents evaluation findings, and identifies future directions for the PPP. Student learning outcomes were positive and both students and consortia agencies reported positive PPP experiences. The PPP model underscores the value of the community agencies as equal partners in educating future geriatric social workers.

  13. Chronic kidney disease in kidney stone formers.

    PubMed

    Rule, Andrew D; Krambeck, Amy E; Lieske, John C

    2011-08-01

    Recent population studies have found symptomatic kidney stone formers to be at increased risk for chronic kidney disease (CKD). Although kidney stones are not commonly identified as the primary cause of ESRD, they still may be important contributing factors. Paradoxically, CKD can be protective against forming kidney stones because of the substantial reduction in urine calcium excretion. Among stone formers, those with rare hereditary diseases (cystinuria, primary hyperoxaluria, Dent disease, and 2,8 dihydroxyadenine stones), recurrent urinary tract infections, struvite stones, hypertension, and diabetes seem to be at highest risk for CKD. The primary mechanism for CKD from kidney stones is usually attributed to an obstructive uropathy or pyelonephritis, but crystal plugs at the ducts of Bellini and parenchymal injury from shockwave lithotripsy may also contribute. The historical shift to less invasive surgical management of kidney stones has likely had a beneficial impact on the risk for CKD. Among potential kidney donors, past symptomatic kidney stones but not radiographic stones found on computed tomography scans were associated with albuminuria. Kidney stones detected by ultrasound screening have also been associated with CKD in the general population. Further studies that better classify CKD, better characterize stone formers, more thoroughly address potential confounding by comorbidities, and have active instead of passive follow-up to avoid detection bias are needed.

  14. Foreign Students and the Tutoring Practicum: Intercultural Literacy for Students of Language and Culture beyond the Classroom.

    ERIC Educational Resources Information Center

    Boschetto, Sandra M.

    A practicum for teachers of English as a second language at the Michigan Technological University allows American foreign language students and foreign students enrolled at the institution to be paired for tutoring in cultural facts and awareness. The course has a minimum of two contact hours per week, and participants are involved in three areas:…

  15. Practicum as a Space and Time of Transformation: Self-Narrative of a Physical Education Pre-Service Teacher

    ERIC Educational Resources Information Center

    Margarida, Alves; Ana, Pereira; Amandio, Graca; Paula, Batista

    2012-01-01

    Understanding the role of the practicum in the PI (professional identity) construction and reconstruction within a pre-service teacher is crucial, since this is a remarkable moment in their initial training. This moment provides new feelings and challenges, and it represents the transition from students (pre-service teacher) to teachers…

  16. Affordances and Limitations of a Special School Practicum as a Means to Prepare Pre-Service Teachers for Inclusive Education

    ERIC Educational Resources Information Center

    Walton, Elizabeth; Rusznyak, Lee

    2014-01-01

    As education systems worldwide embrace inclusive education in some form, pre-service teachers need to be prepared to be pedagogically responsive to diverse students and learning needs. While much learning for inclusion takes place in course work in higher education institutions, field experiences, including practicum placements, can complement…

  17. Learning "Rules" of Practice within the Context of the Practicum Triad: A Case Study of Learning to Teach

    ERIC Educational Resources Information Center

    Chalies, Sebastien; Escalie, Guillaume; Stefano, Bertone; Clarke, Anthony

    2012-01-01

    This case study sought to determine the professional development circumstances in which a preservice teacher learned rules of practice (Wittgenstein, 1996) on practicum while interacting with a cooperating teacher and university supervisor. Borrowing from a theoretical conceptualization of teacher professional development based on the postulates…

  18. Regulating the Writing Process in the Teacher Training Practicum Guided by Feedback at the University of Barcelona

    ERIC Educational Resources Information Center

    Vidiella, Maria-Cinta Portillo; Garcia, Elena Cano

    2016-01-01

    This is a longitudinal study that focuses on blog-writing for the purpose of self-assessing competencies, and which was carried out within the practicum of a degree course in Primary Education Teaching at the University of Barcelona. Over the course of three academic years, students and a teacher have used a Platform 2.0 program, specially created…

  19. The Daily Events and Emotions of Master's-Level Family Therapy Trainees in Off-Campus Practicum Settings

    ERIC Educational Resources Information Center

    Edwards, Todd M.; Patterson, Jo Ellen

    2012-01-01

    The Day Reconstruction Method (DRM) was used to assess the daily events and emotions of one program's master's-level family therapy trainees in off-campus practicum settings. This study examines the DRM reports of 35 family therapy trainees in the second year of their master's program in marriage and family therapy. Four themes emerged from the…

  20. Cross-Cultural "Distance", "Friction" and "Flow": Exploring the Experiences of Pre-Service Teachers on International Practicum

    ERIC Educational Resources Information Center

    Uusimaki, Liisa; Swirski, Teresa

    2016-01-01

    The focus of this paper is to illustrate Australian regional pre-service teachers' perceptions of an international practicum: their cross-cultural understanding, notions of privilege and teacher/professional identity development. Findings indicate that there were three overlapping dimensions of cross-cultural understanding for pre-service…

  1. Learning to Teach English Language in the Practicum: What Challenges do Non-Native ESL Student Teachers Face?

    ERIC Educational Resources Information Center

    Gan, Zhengdong

    2013-01-01

    This study investigates the challenges sixteen non-native preservice ESL teachers in a Bachelor of Education (English Language) (BEdEL) programme from Hong Kong experienced in an eight-week teaching practicum. Qualitative data from semi-structured interviews and reflective journals were collected from all 16 participants to obtain a detailed…

  2. Creating Space for Pre-Service Teacher Professional Development during Practicum: A Teacher Educator's Self-Study

    ERIC Educational Resources Information Center

    Mukeredzi, Tabitha G.

    2015-01-01

    This article reports on my self-study of leading cohorts of Bachelor of Education student teachers through collaborative reflections applying reflective questions strategy during four weeks of residential practicum in a rural school. I explore the potential for reflective questions approach as an effective tool for reflection and professional…

  3. Teaching Practicum Assessment in Post-Apartheid Teacher Education: Is It Self-Serving or Serving Students?

    ERIC Educational Resources Information Center

    Davids, M. Noor

    2015-01-01

    This article investigates common understandings and practices of a group of supervisors assessing students during the Teaching Practicum in South Africa. In the light of this context and the need for a constructivist approach to develop students to be able to teach in diverse contexts, the question that the research intends to answer is as…

  4. Articulating Learning Objectives for an Undergraduate Teaching Assistant Program: Merging Teaching Practicum, Leadership Seminar, and Service Learning

    ERIC Educational Resources Information Center

    Murray, Jeffrey W.

    2015-01-01

    Since its inception in 2009, the Undergraduate Teaching Assistant Program (in the Department of Focused Inquiry at Virginia Commonwealth University) has evolved and expanded into an amalgamation of three distinct but overlapping elements: (i) teaching practicum, (ii) leadership seminar, and (iii) service learning experience. But only recently have…

  5. Practicum in a Self-Contained Environment: Pre-Service Teacher Perceptions of Teaching Students with Disabilities

    ERIC Educational Resources Information Center

    Rust, Ryan; Sinelnikov, Oleg

    2010-01-01

    The purpose of this study was to explore pre-service physical education teacher perceptions of teaching students with disabilities and professional preparation in a self-contained environment during a student teaching practicum. Data collection included formal interviews, informal interviews, direct observation with field notes, and critical…

  6. We're Actually Comfortable with Diversity: Affirming Teacher Candidates for Culturally Relevant Reading Pedagogy in Urban Practicum

    ERIC Educational Resources Information Center

    Hill, K. Dara

    2012-01-01

    This article chronicles the perspectives of two teacher candidates who displayed comfort with cultural issues and teaching for social justice, in contrast with many of their peers in the program who were uncomfortable with diversity. Their field experiences in a piloted urban reading practicum are documented, as part of a partnership with a…

  7. "I Couldn't Have Learned This Any Other Way": Learning to Teach Literacy across Concurrent Practicum Experiences

    ERIC Educational Resources Information Center

    Mosley Wetzel, Melissa; L. Roser, Nancy; Hoffman, James V.; Antonio Martínez, Ramón; Price-Dennis, Detra

    2016-01-01

    The authors, a team of literacy teacher educators who are focused on extending our own understandings of preservice teacher (PST) learning, conducted a cross-case analysis of how PSTs learned to teach literacy in three concurrent practicum experiences. We draw on Grossman's framework of representations, decompositions, and approximations to…

  8. German Literature and Culture under "Revue": Learner Autonomy and Creativity through the Theme-Based Theater Practicum

    ERIC Educational Resources Information Center

    Koerner, Morgan

    2012-01-01

    This article proposes a theatrically oriented, thematically structured course model for the upper level undergraduate German curriculum. The traditional focus on staging a single play in the German foreign language theater practicum neglects theater's potential to explore other literary genres and cultural texts and runs the danger of…

  9. Investigating the Stress Levels of Early Childhood, Primary and Secondary Pre-Service Teachers during Teaching Practicum

    ERIC Educational Resources Information Center

    Geng, Gretchen; Midford, Richard; Buckworth, Jenny

    2015-01-01

    This study investigated stress levels of pre-service teachers (PSTs) across three categories of teaching context: early childhood, primary and secondary. This paper focused on exploring the stressors in the completion of tasks in teaching practicum in the three categories of teaching context and an awareness of and access to support systems. The…

  10. A Critical Look at a Blended English Language Teacher Education Program with an Emphasis on the Practicum

    ERIC Educational Resources Information Center

    Koç, Ebru Melek

    2016-01-01

    The aim of the present study was to explore what types of difficulties student teachers enrolled in a Bachelor of Arts (B.A.) in English Language Teacher Education program offered in a blended format and their cooperating teachers encountered during the student teacher practicum. The participants were 21 fourth grade student teachers and 12…

  11. How Important Is Practicum to Pre-Service Teacher Development for Inclusive Teaching? Effects on Efficacy in Classroom Management.

    ERIC Educational Resources Information Center

    Sokal, Laura; Woloshyn, Debra; Funk-Unrau, Savannah

    2013-01-01

    Sixty pre-service teachers were surveyed about their confidence, concerns, and efficacy for inclusive classroom teaching before and after a course on inclusive education. Some students experienced a practicum in an inclusive setting alongside the coursework, and some students did not. Both groups made significant gains in all dependent variables…

  12. How School and University Supervising Staff Perceive the Pre-Service Teacher Education Practicum: A Comparative Study

    ERIC Educational Resources Information Center

    Allen, Jeanne M.; Ambrosetti, Angelina; Turner, David

    2013-01-01

    This paper reports on research conducted in two Australian universities to evaluate factors that are perceived to significantly impact on the professional experiences of pre-service teachers during practicum. Contextualised within teacher education programs in an urban university in Tasmania and a regional university in Queensland, the particular…

  13. Learning to be a midwife in the clinical environment; tasks, clinical practicum hours or midwifery relationships.

    PubMed

    Ebert, Lyn; Tierney, Olivia; Jones, Donovan

    2016-01-01

    Discussions continue within the midwifery profession around the number of and type of clinical experiences required to ensure competent midwifery graduates. Introduction of the three year Bachelor of Midwifery in Australia, almost two decades ago, was intended to reduce the pressure students were under to complete their academic requirements whilst ensuring students developed midwifery practice that encapsulates the philosophical values of midwifery. Currently, midwifery students are mandated to achieve a minimum number of clinical skills and Continuity of Care Experience (CCE) relationships in order to register upon completion of their degree. To achieve these experiences, universities require students to complete a number of clinical practicum hours. Furthermore students are required to demonstrate competent clinical performance of a number of clinical skills. However, there is no evidence to date that a set number of experiences or hours ensures professional competence in the clinical environment. The aim of this paper is to promote discussion regarding the mandated requirements for allocated clinical practicum hours, specified numbers of clinical-based skills and CCE relationships in the context of learning to be a midwife in Australia. PMID:26409311

  14. Learning to be a midwife in the clinical environment; tasks, clinical practicum hours or midwifery relationships.

    PubMed

    Ebert, Lyn; Tierney, Olivia; Jones, Donovan

    2016-01-01

    Discussions continue within the midwifery profession around the number of and type of clinical experiences required to ensure competent midwifery graduates. Introduction of the three year Bachelor of Midwifery in Australia, almost two decades ago, was intended to reduce the pressure students were under to complete their academic requirements whilst ensuring students developed midwifery practice that encapsulates the philosophical values of midwifery. Currently, midwifery students are mandated to achieve a minimum number of clinical skills and Continuity of Care Experience (CCE) relationships in order to register upon completion of their degree. To achieve these experiences, universities require students to complete a number of clinical practicum hours. Furthermore students are required to demonstrate competent clinical performance of a number of clinical skills. However, there is no evidence to date that a set number of experiences or hours ensures professional competence in the clinical environment. The aim of this paper is to promote discussion regarding the mandated requirements for allocated clinical practicum hours, specified numbers of clinical-based skills and CCE relationships in the context of learning to be a midwife in Australia.

  15. Kidney Disease Basics

    MedlinePlus

    ... Albumin Children and Kidney Disease Additional Kidney Information Contact Us Health Information Center Phone: 1-800-860- ... to share this content freely. March 1, 2012​ Contact Us Health Information Center Phone: 1-800-860- ...

  16. Testing for Kidney Disease

    MedlinePlus

    ... Albumin Children and Kidney Disease Additional Kidney Information Contact Us Health Information Center Phone: 1-800-860- ... to share this content freely. September 17, 2014​​ Contact Us Health Information Center Phone: 1-800-860- ...

  17. Hydronephrosis of one kidney

    MedlinePlus

    ... Acute hydronephrosis; Urinary obstruction; Unilateral hydronephrosis; Nephrolithiasis - hydronephrosis; Kidney stone - hydronephrosis; Renal calculi - hydronephrosis; Ureteral calculi - hydronephrosis; ...

  18. Observed and simulated features of the phases of the sea-breeze in the island of Mallorca

    NASA Astrophysics Data System (ADS)

    Jimenez, Maria A.; Cuxart, Joan; Simó, Gemma; Wrenger, Burkhard; Martinez-Villagrasa, Daniel; Guijarro, Jose A.; Telisman-Prtenjak, Maja; Lopez, Alvaro; Picos, Rodrigo

    2016-04-01

    In order to better understand the diurnal cycle of the Sea-Breeze (SB) in the island of Mallorca, during September 2013 and June 2014 two experimental field campaigns have been conducted in the Campos basin (at the south side). A total of 6 IOPs (clear skies and weak pressure gradient conditions) are analysed using observations taken close to the coastline (about 900 m inland) that consist on a surface portable station (equipped with a temperature and humidity probe, and one 2-D and 3-D sonic anemometers), a captive balloon (temperature and humidity) and a multicopter (temperature and humidity). Besides, observations from automatic weather stations of the AEMET network are taken as well as satellite-derived surface temperatures that together with the model outputs from high-resolution mesoscale simulations are used to better understand the organization of the flow at lower levels. With the combined inspection of observations and model results it is found that during the previous phase (after sunrise) land-breeze conditions were present and the sensible heat flux turned to positive meanwhile the turbulence started. In the preparatory phase (about 3 hours after sunrise) the wind close to the coast started to veer progressively towards the SB direction. As soon as the SB was initiated (about 5 hours after sunrise), the SB front progressed to the inland direction reaching a mature phase starting at noon. Afterwards, the SB decaying starts and close to sunset the wind speed was close to zero and veered towards the land to sea direction. During the campaign all phases were measured with special emphasis to the morning transition (from LB to SB) and the evening transition (from SB to LB) because of the strong wind shear (turbulence) reported during the mature phase. It is found that for all the different phases the model is able to capture the organization of the flow at lower levels although it experiences some difficulties in reproducing the thermal profile during the

  19. Myofibroblasts in Fibrotic Kidneys

    PubMed Central

    Nakagawa, Naoki; Duffield, Jeremy S

    2013-01-01

    Fibrosis of the kidney glomerulus and interstitium are characteristic features of almost all chronic kidney diseases. Fibrosis is tightly associated with destruction of capillaries, inflammation, and epithelial injury which progresses to loss of nephrons, and replacement of kidney parenchyma with scar tissue. Understanding the origins and nature of the cells known as myofibroblasts that make scar tissue is central to development of new therapeutics for kidney disease. Whereas many cell lineages in the body have become defined by well-established markers, myofibroblasts have been much harder to identify with certainty. Recent insights from genetic fate mapping and the use of dynamic reporting of cells that make fibrillar collagen in mice have identified with greater clarity the major population of myofibroblasts and their precursors in the kidney. This review will explore the nature of these cells in health and disease of the kidney to underst and their central role in the pathogenesis of kidney disease. PMID:24187654

  20. The role of bay breezes and regional transport on a high surface ozone episode during the Houston, Texas DISCOVER-AQ field campaign

    NASA Astrophysics Data System (ADS)

    Loughner, C.; Follette-Cook, M. B.; Pickering, K. E.; Estes, M. J.

    2014-12-01

    The highest observed surface ozone concentrations in the Houston metropolitan area in 2013 occurred on September 25, which coincided with the Texas DISCOVER-AQ (Deriving Information on Surface Conditions from Column and Vertically Resolved Observations Relevant to Air Quality) field campaign. Surface ozone was elevated throughout the Houston metropolitan area. Maximum 8-hour average ozone peaked along the western shore of Galveston Bay, reaching 124 ppbv, almost 50 ppbv above the current EPA standard of 75 ppbv, at La Porte Sylvan Beach. Continental air pollution from the north and northeast was transported into the Houston metropolitan area where it mixed with locally generated emissions. A bay breeze circulation formed causing pollutants that were transported out over the water in the morning to recirculate back inland where they mixed with freshly emitted pollution near the bay breeze convergence zone. The highest surface ozone concentrations were reported near the bay breeze front at La Porte Sylvan Beach. This ozone episode will be presented using measurements made during the DISCOVER-AQ field campaign and WRF and CMAQ model simulations.

  1. The role of refinery flaring events and bay breezes on a high surface ozone episode during the Houston, Texas DISCOVER-AQ field campaign

    NASA Astrophysics Data System (ADS)

    Loughner, C.; Follette-Cook, M. B.; Fried, A.; Pickering, K. E.

    2015-12-01

    The highest observed surface ozone concentrations in the Houston metropolitan area in 2013 occurred on September 25, which coincided with the Texas DISCOVER-AQ (Deriving Information on Surface Conditions from Column and Vertically Resolved Observations Relevant to Air Quality) field campaign. Surface ozone was elevated throughout the Houston metropolitan area with maximum 8-hour average ozone peaking along the western shore of Galveston Bay, reaching 124 ppbv, almost 50 ppbv above the current EPA standard of 75 ppbv. The NASA P-3B aircraft observed plumes from refinery flares west and northwest of Galveston Bay that were transported over the water. Continental air pollution from the north was transported into the Houston metropolitan area where it mixed with locally generated emissions. A bay breeze circulation formed causing pollutants that were transported out over the water in the morning to recirculate back inland where they mixed with freshly emitted pollution near the bay breeze convergence zone. The highest surface ozone concentrations were reported near the bay breeze front. This ozone episode will be presented using measurements made during the DISCOVER-AQ field campaign and a CMAQ model simulation with integrated source apportionment, which tracks the contribution of emissions source groups and regions on ozone concentrations.

  2. Impact of continuously varied SST on land-sea breezes and ozone concentration over south-western coast of Korea

    NASA Astrophysics Data System (ADS)

    Lee, Soon-Hwan; Lee, Hwa-Woon; Kim, Yoo-Keun; Jeon, Won-Bae; Choi, Hyun-Jung; Kim, Dong-Hyuk

    2011-11-01

    Several comparison studies including numerical experiments were carried out at the well urbanized Gwangyang Bay region, Korea, to clarify the relationship between the continuously varied SST distribution and meteorology and how that impacts the ozone concentration. The numerical models used in this study were Regional Atmospheric Modeling System (RAMS) and Comprehensive Air quality Model with eXtensions (CAMx) for meteorological and photochemical ozone fields, respectively. Based on buoy observations, the sea surface temperature (SST) had a noticeable influence on the near surface wind field and distribution of photochemical ozone because the mean SST near Gwangyang Bay changed by 2.8 °C over the five day period. Sea breeze with temporally varied SST was better represented than that estimated without the SST variation. Temporally changed SST distribution and its impact are more crucial factors for estimating the ozone concentration under weak synoptic conditions. And the accuracy of the estimated ozone concentration associated with the time varied SST tends to depend on the distance from the coastline. The acquisition of ocean conditions, including temporal variation in the SST, is indispensible for assessing and predicting the air quality, especially in well urbanized area near the coast.

  3. Primary preservice teachers' understandings of volume: The impact of course and practicum experiences

    NASA Astrophysics Data System (ADS)

    Zevenbergen, Robyn

    2005-02-01

    Mathematics teacher education programs are designed with an intention, explicit or implicit, to produce graduates who are competent in both pedagogic knowledge and discipline knowledge. This paper explores students' experiences in coming to learn mathematics and mathematics education. Using an example from a quiz question, supplemented with follow-up interviews with students, the paper raises questions as to the effectiveness of programs that adopt traditional approaches to the teaching of mathematics. It is shown how a functionalist perspective was adopted by many of the preservice teachers, which engendered a reproductive approach to teaching. The data raised concerns about preservice teachers' knowledge of volume, their pedagogic knowledge, and the role of the practicum on their learning.

  4. The Virtual Clinical Practicum: an innovative telehealth model for clinical nursing education.

    PubMed

    Grady, Janet L

    2011-01-01

    The Virtual Clinical Practicum (VCP) involves a clinical nursing education delivery strategy that uses video teleconferencing technology to address time, distance, and resource barriers. Technology-delivered education can augment the existing curriculum by increasing student access to clinical experts in specialty areas, thus supporting efficient use of faculty resources. This article describes the implementation of the VCP process and student perceptions of its effectiveness and usefulness. The VCP was shown to be a successful method of clinical nursing education, offering students exposure to clinical situations not available by other means. Opportunities for dialogue, critical reflection, and synthesis allowed students to experience the benefits of a traditional experience, enhanced through technology and tailored to the specific needs of the students. Respondents overwhelmingly recommended further use of the VCP to augment existing clinical nursing education methods.

  5. Cuba's kidney transplantation program.

    PubMed

    Mármol, Alexander; Pérez, Alexis; Pérez de Prado, Juan C; Fernández-Vega, Silvia; Gutiérrez, Francisco; Arce, Sergio

    2010-10-01

    The first kidney transplant in Cuba was performed on 24 February 1970, using a cadaveric donor. In 1979, living donor kidney transplantation began between first-degree relatives. A total of 2775 patients are enrolled in renal replacement therapy in 47 hospitals across the country, 1440 of whom are awaiting kidney transplantation. Organs for the kidney program are procured in 63 accredited hospitals equipped for multidisciplinary management of brain death. Accordingly, over 90% of transplanted kidneys are from cadaveric donors. Identification of potential recipients is carried out through a national, computerized program that affords all patients the same opportunity regardless of distance from a transplant center, and selection of the most suitable candidate is based primarily on HLA compatibility. KEYWORDS Chronic renal failure, kidney transplantation.

  6. Tissue engineering the kidney.

    PubMed

    Hammerman, Marc R

    2003-04-01

    The means by which kidney function can be replaced in humans include dialysis and renal allotransplantation. Dialytic therapies are lifesaving, but often poorly tolerated. Transplantation of human kidneys is limited by the availability of donor organs. During the past decades, a number of different approaches have been applied toward tissue engineering the kidney as a means to replace renal function. The goals of one or another of them included the recapitulation of renal filtration, reabsorptive and secretory functions, and replacement of endocrine/metabolic activities. This review will delineate the progress to date recorded for five approaches: (1) integration of new nephrons into the kidney; (2) growing new kidneys in situ; (3) use of stem cells; (4) generation of histocompatible tissues using nuclear transplantation; and (5) bioengineering of an artificial kidney. All five approaches utilize cellular therapy. The first four employ transplantation as well, and the fifth uses dialysis.

  7. Glycosphingolipids and kidney disease.

    PubMed

    Mather, Andrew R; Siskind, Leah J

    2011-01-01

    Glycosphingolipids, derived from the addition of sugar-moieties to the sphingolipid ceramide, are highly abundant in the kidney. Glycosphingolipids are known to play an important role in organ function at least in part from inherited lipid storage diseases such as Anderson-Fabry disease (Fabry's disease; FD) that results from a mutation in alpha-galactosidase a (α-GLA or α-Gal A), the enzyme responsible for catalyzing the removal of terminal galactose residues from glycosphingolipids. The inactivation in α-GLA in FD results in the accumulation of glycosphingolipids, including globosides and lactosylceramides, which manifests as several common pathologies including end-stage kidney disease. More recently, glycosphingolipids and other sphingolipids have become increasingly recognized for their roles in a variety of other kidney diseases including polycystic kidney disease, acute kidney injury, glomerulonephritis, diabetic nephropathy and kidney cancer. This chapter reviews evidence supporting a mechanistic role for glycosphingolipids in kidney disease and discusses data implicating a role for these lipids in kidney disease resulting from metabolic syndrome. Importantly, inhibitors of glycosphingolipid synthesis are well tolerated in animal models as well as in humans. Thus, an increased understanding of the mechanisms by which altered renal glycosphingolipid metabolism leads to kidney disease has great therapeutic potential.

  8. Collaborative design and use of an agency feedback form for student clinical practicum experience in community/public health nursing.

    PubMed

    Reilly, Janet Resop; Collier, Jill; Edelstein, Janice; Vandenhouten, Chris; Hovarter, Rebecca; Hansen, Judith M; Stewart, Stephanie; Turner, Mary Jo

    2012-01-01

    Evaluation of students in community and public health (C/PH) nursing clinical practica is a challenge, especially when preceptors are expected to evaluate students from different academic nursing programs. The need for a standardized student evaluation tool was identified during federally funded collaborative meetings held between C/PH academic and practice partners in Northeastern Wisconsin. This article focuses on the development and appraisal of the standardized Agency Feedback Form (AFF) for Student Practicum Experience in Community/Public Health Nursing, which was designed to meet the identified need. Four baccalaureate nursing programs implemented the AFF for 3 purposes: (1) to provide a consistent and easy evaluation form for preceptors to complete; (2) to communicate useful information about students' individual professional behaviors observed during practicum; and (3) to increase students' and preceptors' understanding of the population-based nursing interventions, using the Public Health Intervention Wheel. Future uses and implications of the AFF are also discussed.

  9. Nursing students' perceptions toward the nursing profession from clinical practicum in a baccalaureate nursing program-a qualitative study.

    PubMed

    Tseng, Hui-Chen; Wang, Hsiu-Hung; Weng, Wei-Che

    2013-03-01

    The purpose of this study was to explore senior nursing students' perceptions toward the nursing profession and their experiences in clinical practicum in Taiwan. This study used semistructured interview guides and unstructured face-to-face dialogue with the participants based on a qualitative method. A purposive sample with a snowball method from a baccalaureate nursing program in Southern Taiwan was used to recruit participants. A total of 30 senior nursing students participated in this study. Data were collected from February to May 2011. The interviews were transcribed verbatim, and data were analyzed based on the phenomenological approach of qualitative methodology. Data were categorized into three major themes: in-depth recognition of nursing, recognition of the meaning and value of life, and decision conflicts for being a nurse. The findings of the study not only help nursing educators further understand the educational effects of clinical practicum, but also provide information for managers of medical organizations to recruit and train newly graduated nurses.

  10. Teaching effectiveness and learning outcomes of baccalaureate nursing students in a critical care practicum: a lebanese experience.

    PubMed

    Makarem, S; Dumit, N Y; Adra, M; Kassak, K

    2001-01-01

    This process-product replicated study examines the relationship between the clinical teacher behavior effectiveness of critical care instructors and baccalaureate nursing students' learning outcomes in a critical care practicum. Teacher behaviors that were found to be significantly associated with student learning outcomes included flexibility, giving opportunity to observe, quality of answering questions, quality of discourse, feedback specificity, and concern for the learner's progress and problems.

  11. Distribution of Particulates in Hydrothermal Plumes of the Endeavour Axial Valley: Preliminary Results from the Sea Breeze Project

    NASA Astrophysics Data System (ADS)

    Nassif, T. H.; McDuff, R. E.; Robigou, V.; Stahr, F.

    2004-12-01

    Hydrothermal vent plumes provide zones for chemical reactions between vent fluids and seawater, potential habitats for anaerobic bacteria and zooplankton, and a probable mechanism for the dispersal of vent larvae. Within the Endeavour Integrated Study Site are five known vent fields situated along the axial valley of the Endeavour Segment of the Juan de Fuca Ridge (N.E. Pacific Ocean). Each of these fields has a particle rich neutrally buoyant plume above it almost constantly, a common characteristic of vent systems worldwide. The purpose of this study was to determine 1) how plume particle distribution varies along the Endeavour segment axial valley; 2) whether a correlation exists between vent activity and particle density in the surrounding water, and 3) if the peak signals in backscatter and light transmission fall within a consistent range of potential density values along the axial valley. Light transmission and backscatter data were collected from vertically oscillating CTD casts at 21 stations along the axial valley covering the fields of Mothra, Main Endeavour, High Rise, Salty Dawg, and Sasquatch during the Sea Breeze - REVEL 2004 seagoing program. Plume particle density within ocean water was measured using a Wetlabs transmissometer and a Seapoint turbidity sensor. Preliminary results indicate a positive correlation between "black smoker" activity and signal strength in backscatter and light transmission. Main Endeavour and High Rise, known to exhibit the most rigorous hydrothermal activity, show correspondingly high amplitude signals in both backscatter and light transmission. Predicted diurnal currents seem to effect lateral plume particle movement away from vent sources, greatly impacting the particle density in surrounding areas. Peak signals in backscatter and light transmission occur in less dense water moving northward from Mothra to Salty Dawg.

  12. Enhancing the Practicum Experience for Pre-service Chemistry Teachers Through Collaborative CoRe Design with Mentor Teachers

    NASA Astrophysics Data System (ADS)

    Hume, Anne; Berry, Amanda

    2013-01-01

    This paper reports findings from an ongoing study exploring how the Content Representation (CoRe) design can be used as a tool to help chemistry student teachers begin acquiring the professional knowledge required to become expert chemistry teachers. Phase 2 of the study, reported in this paper, investigated how collaboration with school-based mentors (associate teachers) on teaching practice (practicum) might impact on this process and student teachers' development of their pedagogical content knowledge (PCK). The collaboration involved identifying and discussing pedagogical issues related to a practicum-teaching topic using a student teacher's draft CoRe as a starting point and ongoing focus for the professional dialogue. Practicum offered an opportunity for aspects of student teachers' PCK, as embodied in their draft CoRes, to be explored and expanded upon in classroom programmes with the support and input of associate teachers. The findings were influenced by different contextual factors; however, the student teachers found their CoRes to be very useful frameworks for engaging in focussed professional dialogue with their teaching mentors. They valued the expertise, currency of knowledge and mentoring of their associates and reported positively about the contribution this support made to their PCK development via the CoRe design process and the transformation of the CoRe into classroom teaching.

  13. Assessment of the Need to Integrate Academic Electronic Medical Records Into the Undergraduate Clinical Practicum: A Focus Group Interview.

    PubMed

    Choi, Mona; Park, Joon Ho; Lee, Hyeong Suk

    2016-06-01

    As healthcare systems demand that nurses be competent in using electronic medical records for patient care, the integration of electronic medical records into nursing curricula has become necessary. The purpose of this study was to explore how students, new nurses, clinical instructors, and faculty perceive the integration of academic electronic medical records into the undergraduate clinical practicum. From January to February 2014, four focus group interviews with 18 participants were conducted based on purposive sampling. Content analysis was used on the unabridged transcripts to extract themes and develop meaningful categories. Three major themes and eight subthemes were revealed from the focus group interviews. The major themes were "electronic medical record as a learning tool for clinical practicum," "essential functions of academic electronic medical records," and "expected outcomes of academic electronic medical record." Participants expected academic electronic medical records to enhance students' nursing informatics competencies. The findings of this study can inform the process of developing academic electronic medical records for clinical practicum, which will then augment students' informatics competencies. PMID:27081757

  14. Keep Your Kidneys Healthy

    MedlinePlus

    ... Albumin Children and Kidney Disease Additional Kidney Information Contact Us Health Information Center Phone: 1-800-860- ... to share this content freely. September 17, 2014​​​​ Contact Us Health Information Center Phone: 1-800-860- ...

  15. Bioengineering Kidneys for Transplantation

    PubMed Central

    Madariaga, Maria Lucia L.; Ott, Harald C.

    2014-01-01

    One in ten Americans suffer from chronic kidney disease, and close to 90,000 people die each year from causes related to kidney failure. Patients with end-stage renal disease are faced with two options: hemodialysis or transplantation. Unfortunately, the reach of transplantation is limited because of the shortage of donor organs and the need for immunosuppression. Bioengineered kidney grafts theoretically present a novel solution to both problems. Herein we discuss the history of bioengineering organs, the current status of bioengineered kidneys, considerations for the future of the field, and challenges to clinical translation. We hope that by integrating principles of tissue engineering, and stem cell and developmental biology, bioengineered kidney grafts will advance the field of regenerative medicine while meeting a critical clinical need. PMID:25217267

  16. Mesoscale Simulations of a Florida Sea Breeze Using the PLACE Land Surface Model Coupled to a 1.5-Order Turbulence Parameterization

    NASA Technical Reports Server (NTRS)

    Lynn, Barry H.; Stauffer, David R.; Wetzel, Peter J.; Tao, Wei-Kuo; Perlin, Natal; Baker, R. David; Munoz, Ricardo; Boone, Aaron; Jia, Yiqin

    1999-01-01

    A sophisticated land-surface model, PLACE, the Parameterization for Land Atmospheric Convective Exchange, has been coupled to a 1.5-order turbulent kinetic energy (TKE) turbulence sub-model. Both have been incorporated into the Penn State/National Center for Atmospheric Research (PSU/NCAR) mesoscale model MM5. Such model improvements should have their greatest effect in conditions where surface contrasts dominate over dynamic processes, such as the simulation of warm-season, convective events. A validation study used the newly coupled model, MM5 TKE-PLACE, to simulate the evolution of Florida sea-breeze moist convection during the Convection and Precipitation Electrification Experiment (CaPE). Overall, eight simulations tested the sensitivity of the MM5 model to combinations of the new and default model physics, and initialization of soil moisture and temperature. The TKE-PLACE model produced more realistic surface sensible heat flux, lower biases for surface variables, more realistic rainfall, and cloud cover than the default model. Of the 8 simulations with different factors (i.e., model physics or initialization), TKE-PLACE compared very well when each simulation was ranked in terms of biases of the surface variables and rainfall, and percent and root mean square of cloud cover. A factor separation analysis showed that a successful simulation required the inclusion of a multi-layered, land surface soil vegetation model, realistic initial soil moisture, and higher order closure of the planetary boundary layer (PBL). These were needed to realistically model the effect of individual, joint, and synergistic contributions from the land surface and PBL on the CAPE sea-breeze, Lake Okeechobee lake breeze, and moist convection.

  17. Interannual Variation of the Summer Rainfall in the Taipei Basin Caused by the Impact of ENSO on the Land-Sea Breeze Activity

    NASA Astrophysics Data System (ADS)

    Chen, Tsing-Chang; Tsay, Jenq-Dar; Takle, Eugene S.

    2015-04-01

    The Taipei Basin, located in northern Taiwan, is formed by the intersection of the Tanshui River Valley (~30km) and the Keelung River Valley (~60km). Summer is the dry season in northern Taiwan, but the maximum rainfall in the Taipei Basin occurs during the summer. The majority of summer rainfall (75%) in this Basin is produced by afternoon thunderstorms triggered by the sea breeze interactions with the mountains to the south of this Basin. Environmental conditions for the roughly three million people living in the Taipei Basin are greatly affected by the land-sea breeze and afternoon thunderstorm activities. Thus, the water supply, air-land traffic, and pollution for this extremely urbanized basin can be profoundly affected by interannual variations of thunderstorm days and rainfall. A systematic analysis was made of thunderstorm days and rainfall for the past two decades. Opposite the interannual variation of the sea surface temperature (SST) anomalies over the NOAA NINO3 - 4 region, ΔSST (NINO3 - 4), clear interannual variations of these two variables emerge. Occurrence days of afternoon thunderstorm and rainfall amount in the Taipei Basin are double during the cold ΔSST(NINO3 - 4) phase compared to the warm phase. During the latter (former) El Niño-Southern Oscillation (ENSO) phase, the Taipei Basin needs a stronger (weaker) warm/moist monsoon southwesterly flow channeled through the land-sea breeze to trigger thunderstorm activity. In contrast, the convergence of water vapor flux over the southeast/east Asian monsoon region toward Taiwan is enhanced more (less) to maintain rainfall over the Taipei Basin during the cold (warm) ENSO phase.

  18. What Is Kidney Cancer (Renal Cell Carcinoma)?

    MedlinePlus

    ... the key statistics about kidney cancer? What is kidney cancer? Kidney cancer is a cancer that starts ... and spread, see What Is Cancer? About the kidneys To understand more about kidney cancer, it helps ...

  19. Mesoscale modeling of smoke transport over the Southeast Asian Maritime Continent: Interplay of sea breeze, trade wind, typhoon, and topography

    NASA Astrophysics Data System (ADS)

    Wang, Jun; Ge, Cui; Yang, Zhifeng; Hyer, Edward J.; Reid, Jeffrey S.; Chew, Boon-Ning; Mahmud, Mastura; Zhang, Yongxin; Zhang, Meigen

    2013-03-01

    The online-coupled Weather Research and Forecasting model with Chemistry (WRFchem) is used to simulate the transport of smoke particles over the Southeast Asian Maritime Continent during September-October 2006. In this period, dry conditions associated with the moderate El Niño event caused the largest regional biomass burning outbreak since 1997. Smoke emission in WRFchem is specified according to the Fire Locating and Modeling of Burning Emissions (FLAMBE) database derived from Moderate Resolution Imaging Spectroradiometer (MODIS) fire products. The modeled smoke transport pathway is found to be consistent with the MODIS true color images and measured mass concentration of surface PM10 (particulate matter with diameter less than 10 μm). The interplay of sea/land breezes, typhoons and storms over the subtropical western Pacific Ocean, trade winds, and topographic effects, can be clearly seen in the model simulation. The most severe smoke events in 1-5 October 2006 are found to be associated with the meteorological responses to the typhoon Xangsane (#18) over the western subtropical Pacific Ocean, which moved smoke from Sumatra eastward in the lower troposphere (below 700 hPa), forming smoke layers mixed with and above the boundary layer clouds over Borneo. In contrast, the second largest week-long smoke transport event of 15-18 October 2006 was associated with the seasonal monsoonal transition period, during which smoke plumes were wide spread over the 5°S-5°N zone as a result of (a) the near surface divergence coupled with the 700 hPa bifurcation of wind (flowing both to the west and to the east), and (b) the near-surface southeasterly and easterly winds along the equator transporting smoke from Borneo to Sumatra and Peninsular Malaysia. Analysis of data from the Cloud-Aerosol Lidar with Orthogonal Polarisation (CALIOP) shows that smoke particles in October 2006 were primarily located within 3.5 km above the surface. Smoke particles contributed roughly half

  20. The impact of anthropogenic land-cover change on the Florida Peninsula Sea Breezes and warm season sensible weather

    USGS Publications Warehouse

    Marshall, C.H.; Pielke, R.A.; Steyaert, L.T.; Willard, D.A.

    2004-01-01

    During the twentieth century, the natural landscape of the Florida peninsula was transformed extensively by agriculture, urbanization, and the diversion of surface water features. The purpose of this paper is to present a numerical modeling study in which the possible impacts of this transformation on the warm season climate of the region were investigated. For three separate July-August periods (1973, 1989, and 1994), a pair of simulations was performed with the Regional Atmospheric Modeling System. Within each pair, the simulations differed only in the specification of land-cover class. The two different classes were specified using highly detailed datasets that were constructed to represent pre-1900 natural land cover and 1993 land-use patterns, thus capturing the landscape transformation within each pair of simulations. When the pre-1900 natural cover was replaced with the 1993 land-use dataset, the simulated spatial patterns of the surface sensible and latent heat flux were altered significantly, resulting in changes in the structure and strength of climatologically persistent, surface-forced mesoscale circulations-particularly the afternoon sea-breeze fronts. This mechanism was associated with marked changes in the spatial distribution of convective rainfall totals over the peninsula. When averaged over the model domain, this redistribution was reflected as an overall decrease in the 2-month precipitation total. In addition, the domain average of the diurnal cycle of 2-m temperature was amplified, with a noted increase in the daytime maximum. These results were consistent among all three simulated periods, and largely unchanged when subjected to a number of model sensitivity factors. Furthermore, the model results are in reasonable agreement with an analysis of observational data that indicates decreasing regional precipitation and increasing daytime maximum temperature during the twentieth century. These results could have important implications for water

  1. A public-policy practicum to address current issues in human, animal, and ecosystem health.

    PubMed

    Herrmann, John A; Johnson, Yvette J; Troutt, H Fred; Prudhomme, Thomas

    2009-01-01

    There are recognized needs for cross-training health professionals in human, animal, and ecosystem health and for public health policy to be informed by experts from medical, science, and social science disciplines. Faculty members of the Community Health and Preventive Medicine Section at the University of Illinois at Urbana-Champaign, College of Veterinary Medicine, and the Institute of Government and Public Affairs, University of Illinois at Urbana-Champaign, have offered a public-policy course designed to meet those needs. The course was designed as a practicum to teach students the policy-making process through the development of policy proposals and to instruct students on how to effectively present accurate scientific, demographic, and statistical information to policy makers and to the public. All students substantially met the learning objectives of the course. This course represents another model that can be implemented to help students learn about complex, multifactorial issues that affect the health of humans, animals, and ecosystems, while promoting participation in public health policy development.

  2. Implementation of interprofessional learning activities in a professional practicum: The emerging role of technology.

    PubMed

    Brault, Isabelle; Therriault, Pierre-Yves; St-Denis, Louise; Lebel, Paule

    2015-01-01

    To prepare future healthcare professionals to collaborate effectively, many universities have developed interprofessional education programs (IPE). Till date, these programs have been mostly courses or clinical simulation experiences. Few attempts have been made to pursue IPE in healthcare clinical settings. This article presents the results of a pilot project in which interprofessional learning activities (ILAs) were implemented during students' professional practicum and discusses the actual and potential use of informatics in the ILA implementation. We conducted a pilot study in four healthcare settings. Our analysis is based on focus group interviews with trainees, clinical supervisors, ILA coordinators, and education managers. Overall, ILAs led to better clarification of roles and understanding of each professional's specific expertise. Informatics was helpful for developing a common language about IPE between trainees and healthcare professionals; opportunities for future application of informatics were noted. Our results support the relevance of ILAs and the value of promoting professional exchanges between students of different professions, both in academia and in the clinical setting. Informatics appears to offer opportunities for networking among students from different professions and for team members' professional development. The use of technology facilitated communication among the participants. PMID:25955721

  3. An investigation of the family practicum experience. Family and student perspectives.

    PubMed

    Arnold, Sandra H; DeGrace, Beth Werner; Qualls, Kathleen K

    2011-01-01

    Professional occupational therapy (OT) and physical therapy (PT) programs traditionally instruct students using volunteers, including children who have disabilities. Presenting a child before a classroom of students may deprive the child of dignity and may limit students' understanding of the child's disability and the importance of family-centered service delivery. An alternative approach that respects the child's privacy and promotes dignity is student observation in the context of the child's daily living. The Family Practicum Intervention Plan assignment (FPIP), part of the professional Neuro Rehab course, was created to facilitate students' understanding of a child with a disability while maintaining child dignity and family-centered values. This descriptive study explored, through two online surveys, the experiences of the OT and PT students and the families of children who participated in the FPIP. Additionally, the study investigated the influences of this participation on students' perceptions of family life and views of childhood disability. Overall, students and families perceived this assignment to be a good learning experience because it allowed the student to work within a real-life scenario and it gave the families an expert "voice" in the education of OT and PT students. The positive comments provided by the families and students and the desire of families to recommend the FPIP experience to other families suggest the value of the learning assignment. When developing OT and PT professional pediatric coursework, instructors should include assignments that take place in the child's natural environment to offer meaningful learning that maintains the dignity of the child.

  4. [Nurses' perceptions about a conference of students during a clinical nursing practicum].

    PubMed

    Muroya, Kazuko; Kawachi, Shinobu

    2011-03-01

    We conducted an investigation of students in a nursing practice leadership workshop for the purpose of understanding their perceptions about a student conference that was held during a clinical nursing practicum. As a result, we found that, at the time of the conference, a large proportion of students felt difficulty related to "Inexperience in discussion procedures" and "Students' inability to have an active exchange of opinions". A large proportion also thought that "Cooperation among students" and "The theme" had an effect on the conference. Compared to the group that had had experience as clinical practice leaders, the group that had not had such experience felt troubled by "Silence" during the conference. The group that had had experience as clinical practice leaders thought that "The physical environment of the setting" had an effect on the conference. In free descriptions of the learning, the following three categories were discovered: "Acquisition of problem-solving techniques", "Widening of the perspectives of nursing", and "Cultivation of an attitude toward the nursing profession".

  5. Facilitating undergraduate nurses clinical practicum: the lived experience of clinical facilitators.

    PubMed

    Dickson, Cathy; Walker, Jane; Bourgeois, Sharon

    2006-07-01

    Clinical practicum experience for undergraduate nurses remains undisputed as an essential component of any program. Exposure to the reality of professional practice and its integration of explicit, with tacit knowledge, is invaluable in producing skilled clinicians. Currently there are many issues that have arisen regarding clinical practice education for undergraduate nurses in Australia including; ongoing financial support and resourcing of clinical placements. Developing an understanding of these issues is central to the provision of quality clinical education. The aim of this study is to reveal dimensions of the lived experience of being a clinical facilitator, a popular model of nursing clinical education, to come to an understanding of how facilitation actually takes place in the clinical environment. The Hermeneutic phenomenological approach used in this study has brought to light five essential themes that elucidate the phenomena of facilitation. Those themes have been identified as; knowing your own limitations, employing the notion of stepping in or stepping back, developing alliances, acknowledging the reciprocity of the learning experience, and identifying appropriate clinical buddies. The recommendations from this study will have an impact on current issues and will inturn, influence the quality of clinical education for all stakeholders.

  6. Implementation of interprofessional learning activities in a professional practicum: The emerging role of technology.

    PubMed

    Brault, Isabelle; Therriault, Pierre-Yves; St-Denis, Louise; Lebel, Paule

    2015-01-01

    To prepare future healthcare professionals to collaborate effectively, many universities have developed interprofessional education programs (IPE). Till date, these programs have been mostly courses or clinical simulation experiences. Few attempts have been made to pursue IPE in healthcare clinical settings. This article presents the results of a pilot project in which interprofessional learning activities (ILAs) were implemented during students' professional practicum and discusses the actual and potential use of informatics in the ILA implementation. We conducted a pilot study in four healthcare settings. Our analysis is based on focus group interviews with trainees, clinical supervisors, ILA coordinators, and education managers. Overall, ILAs led to better clarification of roles and understanding of each professional's specific expertise. Informatics was helpful for developing a common language about IPE between trainees and healthcare professionals; opportunities for future application of informatics were noted. Our results support the relevance of ILAs and the value of promoting professional exchanges between students of different professions, both in academia and in the clinical setting. Informatics appears to offer opportunities for networking among students from different professions and for team members' professional development. The use of technology facilitated communication among the participants.

  7. Predictors of Taiwanese baccalaureate nursing students' physio-psycho-social responses during clinical practicum.

    PubMed

    Chen, Ya-Wen; Hung, Chich-Hsiu

    2014-01-01

    The nursing educational process may contribute to stress in nursing students, particularly during clinical rotations. This descriptive study explored the relationships between perceived stress, coping behaviors, personality traits, and physio-psycho-social responses in a clinical practicum among baccalaureate nursing students and identified predictors for physio-psycho-social responses. A cross-sectional design was employed. One hundred and one juniors enrolled in a four-year baccalaureate nursing program in Taiwan participated in this study. Four structured questionnaires were utilized to collect data. Multiple regression analysis showed that three predictors accounted for 53.2% of the variance in students' physio-psycho-social responses, including perceived stress, students' gender, and personality traits. The implication for nursing educators is providing immediate assistance and appropriate support to guide students through difficult learning when they need. Nursing instructors also should pay attention to students' gender-linked differences and be aware of individuals' personality traits, especially those with emotional instability, unsocial behaviors, and depressive signs.

  8. Collaborative Reflection through Dilemma Cases of Science Practical Work during Practicum

    NASA Astrophysics Data System (ADS)

    Yoon, Hye-Gyoung; Kim, Mijung

    2010-02-01

    In the goal of science teacher education, the role of reflection to cultivate the teacher as a transformative practitioner has been largely recognised. Reflective thinking is crucial for teachers to be mindfully and knowledgeably situated in teaching and transforming their actions. This study looks into the dilemmas of teaching practical work in elementary science classes and the roles of reflective thinking. Five preservice teachers, one inservice teacher, and one science teacher educator participated in the process of collaborative reflection (reflective writing on dilemma cases, sharing, and discussing) of teaching practical work during the preservice teachers' practicum. All participants wrote and shared two cases of his/her own dilemmas after teaching or observing lessons with science experiments. Preservice teachers also participated in a survey questionnaire and interviews to share their perspectives of practical work and the process of reflection. Looking into their reflection and discussion on the dilemmas of teaching through science practical work, the study attempts to explore how to make collaborative learning opportunities through reflective thinking. The findings of this study showed that the dilemmas of science practical work emerged in various dimensions of teachers' expectation and classroom interactions. Discussions on dilemma cases could facilitate reflecting and learning from different perspectives among participants. Based on these findings, we further discuss the implication of interactive reflection and discussion on dilemmas of practical work to enhance science teaching and develop collaborative communities in science teacher education.

  9. [An experience applying the teaching strategies of cooperative learning and creative thinking in a mental-health nursing practicum for undergraduates at a technical college].

    PubMed

    Huang, Yu-Hsien; Lin, Mei-Feng; Ho, Hsueh-Jen; Chang, Lu-Na; Chen, Shiue

    2015-04-01

    Lack of knowledge and experience is prevalent in undergraduate students who are taking their clinical practicum for mental-health nursing. This issue negatively affects the learning process. This article shares an experience of implementing a practicum-teaching program. This program was developed by the authors to facilitate the cooperative learning and clinical care competence of students. A series of multidimensional teaching activities was designed by integrating the strategies of peer cooperation and creative thinking to promote group and individual learning. Results indicate that the program successfully encouraged the students to participate more actively in the learning process. Additionally, the students demonstrated increased competence in empathetic caring toward patients, stronger friendship relationships with peers, and improved self-growth. The authors hope this teaching program provides a framework to increase the benefits for students of participating in clinical practicums and provides a teaching reference for clinical instructors. PMID:25854950

  10. [Achievements in the objectives of a practicum as seen through changes in awareness of nursing and care techniques in a basic nursing practice].

    PubMed

    Takai, Kiyako; Yuge, Nagisa; Nakamura, Emi; Yanahara, Hiroe; Kodama, Hiromi; Yamada, Miyuki; Yanai, Keiko; Ino, Kyouko

    2012-06-01

    This study aims to elucidate the level of achievement and the challenges in a basic nursing practicum for second-year nursing students through the association method. Analysis revealed various descriptions of learning through the practicum training experiences in terms of understanding the healthcare environment, planning and implementing daily life assistance, and involvement in building a supportive relationship with a care recipient. In this sense, we can assume that the goal of the practicum was achieved. The students' attitude toward learning showed an emphasis on knowledge, basics, reasoning, and acquisition of knowledge through experience. At the same time, however, we did not observe descriptions of developing the healthcare environment, understanding the methods of developing healthcare plans, or respect for privacy, thus not indicating whether the goal was achieved. In the future, it is necessary to additionally examine specific details of students' learning through analyzing their reports.

  11. [An experience applying the teaching strategies of cooperative learning and creative thinking in a mental-health nursing practicum for undergraduates at a technical college].

    PubMed

    Huang, Yu-Hsien; Lin, Mei-Feng; Ho, Hsueh-Jen; Chang, Lu-Na; Chen, Shiue

    2015-04-01

    Lack of knowledge and experience is prevalent in undergraduate students who are taking their clinical practicum for mental-health nursing. This issue negatively affects the learning process. This article shares an experience of implementing a practicum-teaching program. This program was developed by the authors to facilitate the cooperative learning and clinical care competence of students. A series of multidimensional teaching activities was designed by integrating the strategies of peer cooperation and creative thinking to promote group and individual learning. Results indicate that the program successfully encouraged the students to participate more actively in the learning process. Additionally, the students demonstrated increased competence in empathetic caring toward patients, stronger friendship relationships with peers, and improved self-growth. The authors hope this teaching program provides a framework to increase the benefits for students of participating in clinical practicums and provides a teaching reference for clinical instructors.

  12. Organ Facts: Kidney / Pancreas

    MedlinePlus

    ... the kidneys is to remove waste from the body through the production of urine. They also help to regulate blood pressure, blood volume and the chemical (electrolyte) composition of the blood. The pancreas is a five ...

  13. Kidney transplant - slideshow

    MedlinePlus

    ... M. Editorial team. Related MedlinePlus Health Topics Kidney Transplantation A.D.A.M., Inc. is accredited by ... M. is also a founding member of Hi-Ethics and subscribes to the principles of the Health ...

  14. Acute arterial occlusion - kidney

    MedlinePlus

    Acute renal arterial thrombosis; Renal artery embolism; Acute renal artery occlusion; Embolism - renal artery ... main artery to the kidney is called the renal artery. Reduced blood flow through the renal artery ...

  15. Bone kidney interactions.

    PubMed

    Nickolas, Thomas L; Jamal, Sophie A

    2015-06-01

    The fact that bone disease and kidney disease co-exist is well known. Formally, this inter-relationship is called chronic kidney disease mineral bone disorder or CKD-MBD. Traditionally, it was thought that bone played a passive role in CKD-MBD - specifically that kidney disease caused disordered mineral metabolism which resulted in bone disease and ultimately fractures. More recently however our understanding of bone function in general and the role that bone plays in CKD-MBD in particular, has changed. This chapter will briefly review epidemiology of fractures in chronic kidney disease (CKD) and the roles that imaging and measuring markers of mineral metabolism can play in assessing fracture risk. We will then review more recent data consistent with the concept MBD occurs early in the course of CKD and, via the secretion of novel molecules and/or signalling pathways, the bone can influence other organ systems. PMID:26156535

  16. Diet - chronic kidney disease

    MedlinePlus

    ... food instead of salt. DO NOT use salt substitutes because they contain potassium. People with chronic kidney disease also need to limit their potassium. POTASSIUM Normal blood levels of potassium help keep your heart beating ...

  17. Sulfadiazine for kidney disease

    USGS Publications Warehouse

    Rucker, R.R.; Bernier, A.F.; Whipple, W.J.; Burrows, R.E.

    1951-01-01

    The blueback salmon fingerlings (Oncorhynchus nerka) at the U.S. Fish-Cultural Station at Winthrop, Washington, underwent an infection that was caused by a very short, Gram-positive, nonmotile, rod-shaped bacterium. A further description is impossible at this time, as the organism has not been grown satisfactorily for proper identification. The disease was characterized by white, raised areas of dead tissue mainly in the kidney: for this reason it is referred to as kidney disease. Belding and Merrill (1935) described a disease among the brook, brown, and rainbow trout at a State hatchery in Massachusetts which, from the description, might be the same as kidney disease. J.H. Wales of the California Division of Fish and Game described (unpublished manuscript, 1941) a disease in hatchery trout in California which seems to be identical to kidney disease.

  18. Diabetes and kidney disease

    MedlinePlus

    ... diabetes and kidney problems Smoke Are African American, Mexican American, or Native American ... controlling your blood sugar level through: Eating healthy foods Getting regular exercise Taking medicine or insulin as ...

  19. Amyloidosis and Kidney Disease

    MedlinePlus

    ... body has fewer red blood cells than normal. Dialysis-related Amyloidosis People who suffer from kidney failure ... weight loss [ Top ] What are the symptoms of dialysis-related amyloidosis? The symptoms of dialysis-related amyloidosis ...

  20. Kidney Replacement Therapy

    MedlinePlus

    ... their function with either dialysis or a transplant. Dialysis Dialysis, the more common form of kidney-replacement ... the result of diabetes, not of hemodialysis. Peritoneal dialysis Another form of dialysis is called peritoneal dialysis. ...

  1. Forecasting for New York City and its Surroundings, with Emphasis on Sea-Surface Temperature's Effect on Sea Breezes and Other Coastal Circulations that Influence Air Quality

    NASA Astrophysics Data System (ADS)

    Knievel, J. C.; Rife, D. L.; Grim, J. A.

    2008-12-01

    The complex coastal setting of New York City, Long Island, and the surrounding urban environment affects boundary-layer winds and the way they transport hazardous airborne materials, including pollutants. Properly forecasting coastal circulations, such as sea breezes, is critical if weather-based decision support systems (DSSs) are to be useful to health officials, emergency responders, and anyone else interested in the challenges of predicting transport and dispersion in urban settings. The Research Applications Laboratory (RAL) within the National Center for Atmospheric Research (NCAR) is running a real-time forecast system focused on New York City (NYC) and its urban and suburban surroundings. The system is based on the Weather Research and Forecasting (WRF) Model and NCAR's Real-Time Four-Dimensional Data Assimilation (RTFDDA) System. The presenter will provide an overview of the project and present results from a few case studies of sea breezes and other circulations characteristic of the complex coastal setting of NYC and Long Island. A particular emphasis of the presentation will be the sensitivity of forecasts to sea-surface temperature (SST). The forecast system is currently using SSTs from gridded composites created by NCAR from observations by the Moderate Resolution Imaging Spectroradiometer (MODIS) aboard NASA's Aqua and Terra satellites.

  2. Kidney cell electrophoresis

    NASA Technical Reports Server (NTRS)

    Todd, P. W.

    1985-01-01

    Tasks were undertaken in support of two objectives. They are: (1) to carry out electrophoresis experiments on cells in microgravity; and (2) assess the feasibility of using purified kidney cells from embryonic kidney cultures as a source of important cell products. Investigations were carried out in the following areas: (1) ground based electrophoresis technology; (2) cell culture technology; (3) electrophoresis of cells; (4) urokinase assay research; (5) zero-g electrophoresis; and (6) flow cytometry.

  3. Signaling during Kidney Development.

    PubMed

    Krause, Mirja; Rak-Raszewska, Aleksandra; Pietilä, Ilkka; Quaggin, Susan E; Vainio, Seppo

    2015-01-01

    The kidney plays an essential role during excretion of metabolic waste products, maintenance of key homeostasis components such as ion concentrations and hormone levels. It influences the blood pressure, composition and volume. The kidney tubule system is composed of two distinct cell populations: the nephrons forming the filtering units and the collecting duct system derived from the ureteric bud. Nephrons are composed of glomeruli that filter the blood to the Bowman's capsule and tubular structures that reabsorb and concentrate primary urine. The collecting duct is a Wolffian duct-derived epithelial tube that concentrates and collects urine and transfers it via the renal pelvis into the bladder. The mammalian kidney function depends on the coordinated development of specific cell types within a precise architectural framework. Due to the availability of modern analysis techniques, the kidney has become a model organ defining the paradigm to study organogenesis. As kidney diseases are a problem worldwide, the understanding of mammalian kidney cells is of crucial importance to develop diagnostic tools and novel therapies. This review focuses on how the pattern of renal development is generated, how the inductive signals are regulated and what are their effects on proliferation, differentiation and morphogenesis. PMID:25867084

  4. Signaling during Kidney Development

    PubMed Central

    Krause, Mirja; Rak-Raszewska, Aleksandra; Pietilä, Ilkka; Quaggin, Susan E.; Vainio, Seppo

    2015-01-01

    The kidney plays an essential role during excretion of metabolic waste products, maintenance of key homeostasis components such as ion concentrations and hormone levels. It influences the blood pressure, composition and volume. The kidney tubule system is composed of two distinct cell populations: the nephrons forming the filtering units and the collecting duct system derived from the ureteric bud. Nephrons are composed of glomeruli that filter the blood to the Bowman’s capsule and tubular structures that reabsorb and concentrate primary urine. The collecting duct is a Wolffian duct-derived epithelial tube that concentrates and collects urine and transfers it via the renal pelvis into the bladder. The mammalian kidney function depends on the coordinated development of specific cell types within a precise architectural framework. Due to the availability of modern analysis techniques, the kidney has become a model organ defining the paradigm to study organogenesis. As kidney diseases are a problem worldwide, the understanding of mammalian kidney cells is of crucial importance to develop diagnostic tools and novel therapies. This review focuses on how the pattern of renal development is generated, how the inductive signals are regulated and what are their effects on proliferation, differentiation and morphogenesis. PMID:25867084

  5. [Pathological horseshoe kidney. Therapeutic aspects].

    PubMed

    Bennani, S; Touijer, A; Aboutaieb, R; el Mrini, M; Benjelloun, S

    1994-01-01

    The authors report the various therapeutic modalities of uropathies associated with horseshoe kidney, based on a series of 20 pathologic horseshoe kidneys, associated with 12 cases of renal stones, 5 ureteropelvic junction obstructions, 3 kidney tumors, 2 cases of pyonephrosis and finally 1 traumatic horseshoe kidney. The specific anatomic and surgical features of this uncommon malformation are emphasized and the therapeutic features of each uropathy associated with horseshoe kidney are discussed. PMID:7825982

  6. An Ectopic Pelvic Kidney

    PubMed Central

    Bhoil, Rohit; Sood, Dinesh; Singh, Yash Paul; Nimkar, Kshama; Shukla, Anurag

    2015-01-01

    Summary Background If a kidney does not ascend as it should in normal fetal development, it remains in the pelvic area and is called a pelvic kidney. Often a person with a pelvic kidney will go through his/her whole life unaware of this condition, unless it is discovered during neonatal kidney ultrasound screening or if complications arise later in life due to this or a completely different reason and the condition is noted during investigations. Generally, this is not a harmful condition but it can lead to complications like in our case. With appropriate testing and treatment, if needed, an ectopic kidney should cause no serious long-term health complications and all that may be required for the patient is reassurance with advice to follow up at regular intervals. Case Report A 28-year-old male presented with recurrent pain in his lower left abdomen for one month and an episode of hematuria 3 days earlier accompanied by an attack of acute pain lasting for 3–4 hours. He gave a history of passing 2 small (about 5 mm each) calculi in his urine after the occurrence of hematuria, following which pain decreased in intensity. No history of fever was present. Conclusions Although a simple ectopic kidney seldom causes symptoms, the association of malrotation of the renal pelvis with calculus increases the risk of hematuria and/or hydronephrosis, presenting with colicky pain as in the present case. The clinician should be aware of these in such a case. If asymptomatic, no treatment is required. However, the patient should be advised to have follow-up ultrasounds at regular intervals to detect complications like calculus, hydronephrosis, etc. With appropriate testing and treatment, if required, an ectopic kidney should not cause serious long-term health complications. PMID:26413178

  7. Kidney biomarkers in cirrhosis.

    PubMed

    Francoz, Claire; Nadim, Mitra K; Durand, François

    2016-10-01

    Impaired renal function due to acute kidney injury (AKI) and/or chronic kidney diseases (CKD) is frequent in cirrhosis. Recurrent episodes of AKI may occur in end-stage cirrhosis. Differential diagnosis between functional (prerenal and hepatorenal syndrome) and acute tubular necrosis (ATN) is crucial. The concept that AKI and CKD represent a continuum rather than distinct entities, is now emerging. Not all patients with AKI have a potential for full recovery. Precise evaluation of kidney function and identification of kidney changes in patients with cirrhosis is central in predicting reversibility. This review examines current biomarkers for assessing renal function and identifying the cause and mechanisms of impaired renal function. When CKD is suspected, clearance of exogenous markers is the reference to assess glomerular filtration rate, as creatinine is inaccurate and cystatin C needs further evaluation. Recent biomarkers may help differentiate ATN from hepatorenal syndrome. Neutrophil gelatinase-associated lipocalin has been the most extensively studied biomarker yet, however, there are no clear-cut values that differentiate each of these conditions. Studies comparing ATN and hepatorenal syndrome in cirrhosis, do not include a gold standard. Combinations of innovative biomarkers are attractive to identify patients justifying simultaneous liver and kidney transplantation. Accurate biomarkers of underlying CKD are lacking and kidney biopsy is often contraindicated in this population. Urinary microRNAs are attractive although not definitely validated. Efforts should be made to develop biomarkers of kidney fibrosis, a common and irreversible feature of CKD, whatever the cause. Biomarkers of maladaptative repair leading to irreversible changes and CKD after AKI are also promising.

  8. Peroxisomes and Kidney Injury

    PubMed Central

    2016-01-01

    Abstract Significance: Peroxisomes are organelles present in most eukaryotic cells. The organs with the highest density of peroxisomes are the liver and kidneys. Peroxisomes possess more than fifty enzymes and fulfill a multitude of biological tasks. They actively participate in apoptosis, innate immunity, and inflammation. In recent years, a considerable amount of evidence has been collected to support the involvement of peroxisomes in the pathogenesis of kidney injury. Recent Advances: The nature of the two most important peroxisomal tasks, beta-oxidation of fatty acids and hydrogen peroxide turnover, functionally relates peroxisomes to mitochondria. Further support for their communication and cooperation is furnished by the evidence that both organelles share the components of their division machinery. Until recently, the majority of studies on the molecular mechanisms of kidney injury focused primarily on mitochondria and neglected peroxisomes. Critical Issues: The aim of this concise review is to introduce the reader to the field of peroxisome biology and to provide an overview of the evidence about the contribution of peroxisomes to the development and progression of kidney injury. The topics of renal ischemia–reperfusion injury, endotoxin-induced kidney injury, diabetic nephropathy, and tubulointerstitial fibrosis, as well as the potential therapeutic implications of peroxisome activation, are addressed in this review. Future Directions: Despite recent progress, further studies are needed to elucidate the molecular mechanisms induced by dysfunctional peroxisomes and the role of the dysregulated mitochondria–peroxisome axis in the pathogenesis of renal injury. Antioxid. Redox Signal. 25, 217–231. PMID:26972522

  9. Necroinflammation in Kidney Disease.

    PubMed

    Mulay, Shrikant R; Linkermann, Andreas; Anders, Hans-Joachim

    2016-01-01

    The bidirectional causality between kidney injury and inflammation remains an area of unexpected discoveries. The last decade unraveled the molecular mechanisms of sterile inflammation, which established danger signaling via pattern recognition receptors as a new concept of kidney injury-related inflammation. In contrast, renal cell necrosis remained considered a passive process executed either by the complement-related membrane attack complex, exotoxins, or cytotoxic T cells. Accumulating data now suggest that renal cell necrosis is a genetically determined and regulated process involving specific outside-in signaling pathways. These findings support a unifying theory in which kidney injury and inflammation are reciprocally enhanced in an autoamplification loop, referred to here as necroinflammation. This integrated concept is of potential clinical importance because it offers numerous innovative molecular targets for limiting kidney injury by blocking cell death, inflammation, or both. Here, the contribution of necroinflammation to AKI is discussed in thrombotic microangiopathies, necrotizing and crescentic GN, acute tubular necrosis, and infective pyelonephritis or sepsis. Potential new avenues are further discussed for abrogating necroinflammation-related kidney injury, and questions and strategies are listed for further exploration in this evolving field.

  10. Brain–kidney crosstalk

    PubMed Central

    2014-01-01

    Encephalopathy and altered higher mental functions are common clinical complications of acute kidney injury. Although sepsis is a major triggering factor, acute kidney injury predisposes to confusion by causing generalised inflammation, leading to increased permeability of the blood–brain barrier, exacerbated by hyperosmolarity and metabolic acidosis due to the retention of products of nitrogen metabolism potentially resulting in increased brain water content. Downregulation of cell membrane transporters predisposes to alterations in neurotransmitter secretion and uptake, coupled with drug accumulation increasing the risk of encephalopathy. On the other hand, acute brain injury can induce a variety of changes in renal function ranging from altered function and electrolyte imbalances to inflammatory changes in brain death kidney donors. PMID:25043644

  11. Aging Kidney Transplantation.

    PubMed

    Musso, Carlos G; Giordani, María C; Imperiali, Nora

    2016-01-01

    There are several immunological and non-immunological factors related to renal graft deterioration, and histological lesions such as interstitial fibrosis and tubular atrophy overlap with those observed in aging kidneys. Consequently, it has been proposed that kidney transplant senescence could contribute to graft loss. The process of cell senescence displays characteristics such as an increased expression of specific aging suppressor genes, shortened telomeres, mitochondrial changes, increased expression of negative regulators of the cell cycle, and immunological senescence. Additionally, tubular frailty characterizes the aged kidney, making it more susceptible to ischemia, reperfusion, toxic injury, and consequently, to inflammation. Moreover, renal tissue injury predisposes the older graft not only to progressive deterioration due to glomerular hyperfiltration, but also triggers acute rejection due to increased immunogenicity. In conclusion, renal graft senescence is a complex process, and its better understanding will help the nephrologist in its management in order to achieve a longer graft survival. PMID:27103042

  12. Keep Your Kidneys Healthy: Catch Kidney Disease Early

    MedlinePlus

    ... point, you may need a kidney transplant or dialysis. It’s a good idea to talk with your ... healthy kidneys and finding a well-matched donor. Dialysis is a treatment that filters wastes and water ...

  13. Thoracic Kidney: Extremely Rare State of Aberrant Kidney

    PubMed Central

    Khoshchehreh, Mahdi; Paknejad, Omalbanin; Bakhshayesh-Karam, Mehrdad; Pazoki, Marzieh

    2015-01-01

    The thorax is the rarest place among all forms of renal ectopia. We report a rare case of an unacquired thoracic kidney. Only about 200 cases of the thoracic kidney have ever been reported in medical literature worldwide. In this paper we present the rarest form of nontraumatic nonhernia associated, truly ectopic thoracic kidney. The differential diagnosis and management options and classification of this rare form of aberrant kidney are discussed. PMID:26301113

  14. Broadening of Graduate Practicums (An overview of how Jacksonville State University increased the practical experiences available to employed Master's level students).

    ERIC Educational Resources Information Center

    Frith, Greg

    Educators agree that the interaction of teachers in training with exceptional children through the medium of practicums or internships is an essential component of every teacher education program. At the undergraduate level, where the student is usually pursuing a degree on a full time basis, ample opportunities exist for interaction with…

  15. What Type of Feedback Do Student Teachers Expect from Their School Mentors during Practicum Experience? The Case of Spanish EFL Student Teachers

    ERIC Educational Resources Information Center

    Martínez Agudo, Juan de Dios

    2016-01-01

    Mentorship represents a vital component in all teacher education programmes since mentors' feedback plays an essential role in shaping candidate teachers' professional identity. The quality of feedback provided by school mentors during the practicum experience constitutes the main focus of this study. This research paper aimed at investigating…

  16. These Kids Are So Bright! Pre-service Teachers' Insights and Discoveries during a Three-Week Student Teaching Practicum in Mexico.

    ERIC Educational Resources Information Center

    Faulconer, Tracy

    This study of three female preservice teachers who took part in a practicum teaching experience in Mexico focused on what the students learned, how they met the challenges of the experience, and how the experience affected their personal and professional lives later. This qualitative study used interviews with each student and observation field…

  17. Understanding Legitimate Teacher Authority in a Cross-Cultural Teaching Context: Pre-Service Chinese Language Teachers Undertaking Teaching Practicum in International Schools in Hong Kong

    ERIC Educational Resources Information Center

    Lai, Chun; Gu, Mingyue; Hu, Jingjing

    2015-01-01

    Legitimate teacher authority is fundamental to effective teaching, but is often a thorny issue that teachers need to grapple with when teaching in cross-cultural teaching contexts. By interviewing 18 pre-service Chinese language teachers on their understanding of legitimate teacher authority throughout teaching practicum at international schools…

  18. Pre-Service Science Teachers' Views on Their Online Argumentation about What Is Happening in Middle School Science Classrooms during Their Practicum Period

    ERIC Educational Resources Information Center

    Kaya, Osman Nafiz; Dogan, Alev; Kilic, Ziya; Ebenezer, Jazlin

    2004-01-01

    In this study, Pre-service Science Teachers' (PSTs) views about the potential benefits and existing barriers of their argumentation on the World Wide Web about what is happening in middle school science classrooms during two semesters of their practicum experiences were investigated. "Special Web Group" called the "Collaborative Action Research in…

  19. Hurricane Frederic tidal floods of September 12-13, 1979, along the Gulf Coast, Gulf Breeze-Fort Barrancas quadrangles, Florida

    USGS Publications Warehouse

    Franklin, Marvin A.; Scott, John C.

    1980-01-01

    Shown on the Gulf Breeze-Fort Barrancas topographic map are floodmark elevations and approximate areas flooded by Hurricane Frederic tides of September 12-13, 1979, along the shores of Big Lagoon, Pensacola Bay, Santa Rosa Sound, and the Gulf of Mexico from Seaglades eastward to Pensacola Beach, Florida. The still water elevations ranged from about 5 feet above National Geodetic Vertical Datum in sheltered areas to about 7.5 feet in areas subject to wind setup. Storm-tide frequency and records of annual maximum tides at Mobile, Alabama, since 1772, are presented. Offshore winds reached about 160 miles per hour. A wind-velocity of about 145 miles per hour was recorded near Dauphin Island, Alabama. (USGS)

  20. Chronic Kidney Disease and Medicines

    MedlinePlus

    ... Alternate Language URL Español Chronic Kidney Disease and Medicines: What You Need to Know Page Content What ... pharmacist and provider need to know about your medicine and supplement use Your kidneys do not filter ...

  1. At Risk for Kidney Disease?

    MedlinePlus

    ... Albumin Children and Kidney Disease Additional Kidney Information Contact Us Health Information Center Phone: 1-800-860- ... to share this content freely. March 5, 2014​ Contact Us Health Information Center Phone: 1-800-860- ...

  2. Kidney stones - self-care

    MedlinePlus

    Renal calculi - self-care; Nephrolithiasis - self-care; Stones - kidney - self-care ... You visited your health care provider or the hospital because you have a kidney stone. You will need to take self-care steps. Which steps ...

  3. Diet for Kidney Stone Prevention

    MedlinePlus

    ... may also help prevent kidney stones, such as citrus drinks. Recommendations based on the specific type of ... do to prevent kidney stones. Some studies suggest citrus drinks like lemonade and orange juice protect against ...

  4. Kidney Failure and Vascular Disease

    MedlinePlus

    ... toxic level, they can be removed artificially through dialysis, or a kidney transplant can be performed. A ... can be treated with an artificial kidney machine (dialysis) which removes toxins from the blood. Patients requiring ...

  5. Radial diffusive samplers for determination of 8-h concentration of BTEX, acetone, ethanol and ozone in ambient air during a sea breeze event

    NASA Astrophysics Data System (ADS)

    Roukos, Joelle; Locoge, Nadine; Sacco, Paolo; Plaisance, Hervé

    2011-01-01

    The radial diffusive sampler Radiello ® filled with Carbograph 4 was evaluated for monitoring BTEX, ethanol and acetone concentrations for 8-hour exposure time. The sampling rates were first evaluated in an exposure chamber under standard conditions. Benzene and toluene showed the highest sampling rates with satisfactory standard deviations. Ethylbenzene and xylenes showed medium sampling rates but higher standard deviations that can be attributed to a low affinity of these compounds with the adsorbent medium for short sampling time. Acetone has a fair result because of the increase of its partial pressure in the vicinity of the adsorbent surface in the course of sampling. The Carbograph 4 adsorbent does not seem to be suitable for sampling ethanol, likely because of its high volatility. The influences of three environmental factors (temperature (T), relative humidity (RH) and concentration level (C)) on the sampling rates were also evaluated, following a fractional factorial design at two factor levels (low and high). Results were only investigated on benzene, toluene and acetone. Temperature and relative humidity are found to be the most important factors leading to variability of the benzene and toluene sampling rates. The applicability of the sampler for 8-hour sampling was demonstrated by the results of a measurement campaign carried out during a sea breeze event. Mapping of benzene, toluene and acetone concentrations showed the highest concentrations in the industrial zone following the wind direction coming from the North. Nevertheless, the sea breeze tends to reduce the spread of the industrial plumes. On the contrary, the ozone map presents the lowest concentrations at the same industrial area indicating a net consumption of ozone. The highest ozone concentrations were found in the southeastern zone suggesting a local ozone formation.

  6. Polycystic Kidney Disease

    PubMed Central

    Harris, Peter C.; Torres, Vicente E.

    2010-01-01

    A number of inherited disorders result in renal cyst development. The most common form, autosomal dominant polycystic kidney disease (ADPKD), is a disorder most often diagnosed in adults and caused by mutation in PKD1 or PKD2. The PKD1 protein, polycystin-1, is a large receptor-like protein, whereas polycystin-2 is a transient receptor potential channel. The polycystin complex localizes to primary cilia and may act as a mechanosensor essential for maintaining the differentiated state of epithelia lining tubules in the kidney and biliary tract. Elucidation of defective cellular processes has highlighted potential therapies, some of which are now being tested in clinical trials. ARPKD is the neonatal form of PKD and is associated with enlarged kidneys and biliary dysgenesis. The disease phenotype is highly variable, ranging from neonatal death to later presentation with minimal kidney disease. ARPKD is caused by mutation in PKHD1, and two truncating mutations are associated with neonatal lethality. The ARPKD protein, fibrocystin, is localized to cilia/basal body and complexes with polycystin-2. Rare, syndromic forms of PKD also include defects of the eye, central nervous system, digits, and/or neural tube and highlight the role of cilia and pathways such as Wnt and Hh in their pathogenesis. PMID:18947299

  7. Medicines and Kidney Disease

    MedlinePlus

    ... Dialysis or Transplant Paying for Kidney Failure Treatment Contact Us Health Information Center Phone: 1-800-860- ... to share this content freely. ​​September 17, 2014 ​​ Contact Us Health Information Center Phone: 1-800-860- ...

  8. Monitoring Your Kidney Health

    MedlinePlus

    ... Dialysis or Transplant Paying for Kidney Failure Treatment Contact Us Health Information Center Phone: 1-800-860- ... to share this content freely. ​​September 17, 2014​​ ​​ Contact Us Health Information Center Phone: 1-800-860- ...

  9. Acquired Cystic Kidney Disease

    MedlinePlus

    ... Fax: 813–636–8122 Email: info@aakp.org Internet: www.aakp.org American Kidney Fund 6110 Executive ... Fax: 301–881–0898 Email: helpline@kidneyfund.org Internet: www.kidneyfund.org Life Options Rehabilitation Resource Center ...

  10. Hypoxia in Diabetic Kidneys

    PubMed Central

    Takiyama, Yumi; Haneda, Masakazu

    2014-01-01

    Diabetic nephropathy (DN) is now a leading cause of end-stage renal disease. In addition, DN accounts for the increased mortality in type 1 and type 2 diabetes, and then patients without DN achieve long-term survival compatible with general population. Hypoxia represents an early event in the development and progression of DN, and hypoxia-inducible factor- (HIF-) 1 mediates the metabolic responses to renal hypoxia. Diabetes induces the “fraternal twins” of hypoxia, that is, pseudohypoxia and hypoxia. The kidneys are susceptible to hyperoxia because they accept 20% of the cardiac output. Therefore, the kidneys have specific vasculature to avoid hyperoxia, that is, AV oxygen shunting. The NAD-dependent histone deacetylases (HDACs) sirtuins are seven mammalian proteins, SIRTs 1–7, which are known to modulate longevity and metabolism. Recent studies demonstrated that some isoforms of sirtuins inhibit the activation of HIF by deacetylation or noncatalyzing effects. The kidneys, which have a vascular system that protects them against hyperoxia, unfortunately experience extraordinary hypernutrition today. Then, an unexpected overload of glucose augments the oxygen consumption, which ironically results in hypoxia. This review highlights the primary role of HIF in diabetic kidneys for the metabolic adaptation to diabetes-induced hypoxia. PMID:25054148

  11. Is Progressive Chronic Kidney Disease a Slow Acute Kidney Injury?

    PubMed

    Cowgill, Larry D; Polzin, David J; Elliott, Jonathan; Nabity, Mary B; Segev, Gilad; Grauer, Gregory F; Brown, Scott; Langston, Cathy; van Dongen, Astrid M

    2016-11-01

    International Renal Interest Society chronic kidney disease Stage 1 and acute kidney injury Grade I categorizations of kidney disease are often confused or ignored because patients are nonazotemic and generally asymptomatic. Recent evidence suggests these seemingly disparate conditions may be mechanistically linked and interrelated. Active kidney injury biomarkers have the potential to establish a new understanding for traditional views of chronic kidney disease, including its early identification and possible mediators of its progression, which, if validated, would establish a new and sophisticated paradigm for the understanding and approach to the diagnostic evaluation, and treatment of urinary disease in dogs and cats.

  12. Is Progressive Chronic Kidney Disease a Slow Acute Kidney Injury?

    PubMed

    Cowgill, Larry D; Polzin, David J; Elliott, Jonathan; Nabity, Mary B; Segev, Gilad; Grauer, Gregory F; Brown, Scott; Langston, Cathy; van Dongen, Astrid M

    2016-11-01

    International Renal Interest Society chronic kidney disease Stage 1 and acute kidney injury Grade I categorizations of kidney disease are often confused or ignored because patients are nonazotemic and generally asymptomatic. Recent evidence suggests these seemingly disparate conditions may be mechanistically linked and interrelated. Active kidney injury biomarkers have the potential to establish a new understanding for traditional views of chronic kidney disease, including its early identification and possible mediators of its progression, which, if validated, would establish a new and sophisticated paradigm for the understanding and approach to the diagnostic evaluation, and treatment of urinary disease in dogs and cats. PMID:27593574

  13. Acquired cystic kidney disease.

    PubMed

    Levine, E

    1996-09-01

    ACKD is characterized by the development of many fluid-filled renal cysts and sometimes neoplasms in the kidneys of individuals with chronic renal failure but without a history of hereditary cystic disease. The condition is seen mainly in dialysis patients, but often begins in patients with ESRD before dialysis is started. Most patients with ACKD are asymptomatic, but the disorder may be associated with such serious complications as retroperitoneal hemorrhage and metastatic renal cell carcinoma. The diagnosis of ACKD and its complications is best achieved by CT scanning, although US and MR imaging may be useful in evaluation, particularly in patients not treated with dialysis. Cyst hemorrhage is common in ACKD and may cause flank pain and hematuria. Hemorrhagic cysts may be recognized by their CT scan, sonographic, or MR imaging features. Hemorrhagic cysts may rupture into the perinephric space causing large perinephric hematomas. These can usually be treated-conservatively. Patients with ACKD, particularly those treated with dialysis, have an increased risk of renal cell carcinoma. Renal cell carcinoma may also develop in the native kidneys of renal transplant recipients with good graft function many years after transplantation. Annual imaging of the native kidneys of all dialysis patients or of transplant recipients for the development of carcinoma is not justified, however, because it has not been shown to have a significant effect on patient outcome. Screening may, however, be useful in selected dialysis patients with good general medical condition and who have known risk factors for renal cell carcinoma including prolonged dialysis, large kidneys, ACKD, and male gender. Screening of the native kidneys of transplant recipients may be performed when they are referred for US evaluation of the renal allograft.

  14. Cholesteatoma in ectopic kidney.

    PubMed

    Karabulut, Yasemin Yuyucu; Tek, Mesut; Eti, Neslihan; Akbay, Erdem

    2016-09-01

    Cholesteatoma in the urinary system is a rarely seen benign condition. Rosina firstly defined this condition in the year 1953. Histopathologically it is characterized with keratinization, and squamous metaplasia of urothelial epithelium associated with desquamation of keratinized layers. Flank pain is the most common symptom that is caused by elimination of keratinous material. In our case we will discuss cholesteatoma developed in an ectopic kidney which has not been described in the literature before. PMID:27635299

  15. Cholesteatoma in ectopic kidney

    PubMed Central

    Karabulut, Yasemin Yuyucu; Tek, Mesut; Eti, Neslihan; Akbay, Erdem

    2016-01-01

    Cholesteatoma in the urinary system is a rarely seen benign condition. Rosina firstly defined this condition in the year 1953. Histopathologically it is characterized with keratinization, and squamous metaplasia of urothelial epithelium associated with desquamation of keratinized layers. Flank pain is the most common symptom that is caused by elimination of keratinous material. In our case we will discuss cholesteatoma developed in an ectopic kidney which has not been described in the literature before. PMID:27635299

  16. Kidney Cell Electrophoresis

    NASA Technical Reports Server (NTRS)

    Todd, P.

    1985-01-01

    Materials and procedures for microgravity electrophoresis of living human embryonic kidney cells were evaluated, ground support in the form of analytical cell electrophoresis and flow cytometry was provided and cells returned from space flight were analyzed. Preflight culture media, electrophoresis buffer, fraction collection media, temperature profiles, and urokinase assay procedures were tested prior to flight. Electrophoretic mobility distributions of aliquots of the cell population to be fractionated in flight were obtained. The protocol established and utilized is given.

  17. Kidney stones during pregnancy.

    PubMed

    Semins, Michelle J; Matlaga, Brian R

    2014-03-01

    Kidney stones affect 10% of people at some point in their lives and, for some unfortunate women, this happens during pregnancy. Pregnancy is a complex state and both physiological and mechanical changes alter risk factors for kidney stone formation. When a pregnant woman develops acute nephrolithiasis, the situation is more complicated than in nonpregnant women. Imaging limitations and treatment restrictions mean that special diagnostic and management algorithms are needed upon presentation. Ultrasonography remains the gold-standard first-line diagnostic imaging modality for kidney stones during pregnancy but several second-line alternatives exist. Acute renal colic during pregnancy is associated with risks to both mother and fetus. As such, these patients need to be handled with special attention. First-line management is generally conservative (trial of passage and pain management) and is associated with a high rate of stone passage. Presentation of obstructive nephrolithiasis with associated infection represents a unique and serious clinical situation requiring immediate drainage. If infection is not present and conservative management fails, ureteroscopy can be offered if clinically appropriate, but, in some circumstances, temporary drainage with ureteral stent or nephrostomy tube might be indicated. Shockwave lithotripsy and percutaneous nephrolithotomy are contraindicated during pregnancy.

  18. Students' Satisfaction with an Undergraduate Primary Education Teaching Practicum Design on Developing Technological, Pedagogical and Mathematical Knowledge

    NASA Astrophysics Data System (ADS)

    Doukakis, Spyros; Koilias, Christos; Chionidou-Moskofoglou, Maria

    During the 2008-2009 spring semester, 25 fourth-year undergraduate primary teachers attended the compulsory course "Teaching Mathematics-Practicum Phase". The course was organised so as to incorporate ICT and special mathematical scenarios in the teaching approaches of undergraduate primary teachers. This article presents course satisfaction of participants as found in the research study. A set of powerful ordinal regression methods has been applied on a survey database. The most important results focus on the determination of the course's weak and strong points, according to the MUSA methodology. The results show a high satisfaction level from the course. The global satisfaction level reaches 98% whereas partial (per criterion) satisfaction levels range from 90% to 97%, the lowest rate corresponding to the theoretical component of the course. The findings raise a number of research questions regarding ICT integration in undergraduate primary teachers' teaching practice.

  19. [The relationship between the contents and the level of achievement of objectives in an occupational health nursing practicum].

    PubMed

    Nakatani, Junko; Hara, Yoshiko; Ikeda, Tomoko; Ishihara, Itsuko

    2010-03-01

    The purpose of this study was to evaluate the program and teaching methods of the occupational health nursing practicum in order to enforce students' learning experience in the clinical practice. Self-evaluation sheets graded from levels 1 to 4 were from 63 students, and statistical analysis was performed in relation to their performance levels. The results of the analysis of 63 students' performance sheets indicated that the students achieved 3 points above average in all 14 course objectives. Scales analysis of the students' evaluation sheets also revealed that students' achievement levels were lower at the Industrial Health Organization in comparison with those at the industrial enterprises. To make students' practice more valuable, students' assessment skills of the workers and working environment should be emphasized in the classroom teaching and experience of learning at the laboratory. Moreover, the course objectives should be sufficiently linked to the practice areas in order to differentiate between the features of the Health organizations and enterprises.

  20. A case study of the Scaffolding Clinical Practicum Model: is it culturally competent for Hispanic nursing students?

    PubMed

    Lujan, Josefina; Vasquez, Rebecca

    2010-07-01

    The Institute of Medicine, Office of Minority Health, and the Health Resources and Services Administration have called for culturally competent teaching methods to promote the success of Hispanic nursing students. The article responds to this call by analyzing an innovative clinical practicum teaching method, the Scaffolding Clinical Model, in relation to the cultural competence needs of Hispanic nursing students. The analysis is presented through a case study of a cohort of predominantly (90%) Hispanic baccalaureate nursing students at a university on the United States-Mexico border. The cultural competence of the Scaffolding Clinical Model is analyzed by identifying how well it acknowledges and fosters the application of the four metaparadigms of Hispanic culture--conquest, collectivism, familism, and personalism--for Hispanic students. The metaparadigms are described and specific examples are offered about how the Model promotes application of the metaparadigms to accomplish cultural competence for Hispanic students. Recommendations for educators are also presented.

  1. Malignant schwannoma of kidney capsule.

    PubMed

    Romics, I; Bach, D; Beutler, W

    1992-11-01

    This report is of a malignant schwannoma originating in the capsule of the right kidney. Using sonography, nephroangiography, cavography, computer tomography, and bone scanning, metastases in the kidney or a retroperitoneal tumor could be diagnosed. After transperitoneal exploration, the right kidney and mesenteric metastases were removed. Due to tumor infiltration into the liver and tumor masses in the retroperitoneum, only nephrectomy and palliative excision of retroperitoneal metastases were done. Pulmonary metastases developed postoperatively, and the patient died three months after the operation.

  2. Florida Agriculture - Utilizing TRMM to Analyze Sea Breeze Thunderstorm Patterns During El Nino Southern Oscillations and Their Effects Upon Available Fresh Water for South Florida Agricultural Planning and Management

    NASA Technical Reports Server (NTRS)

    Billiot, Amanda; Lee, Lucas; McKee, Jake; Cooley, Zachary Clayton; Mitchell, Brandie

    2010-01-01

    This project utilizes Tropical Rainfall Measuring Mission (TRMM) and Landsat satellite data to assess the impact of sea breeze precipitation upon areas of agricultural land use in southern Florida. Water is a critical resource to agriculture, and the availability of water for agricultural use in Florida continues to remain a key issue. Recent projections of statewide water use by 2020 estimate that 9.3 billion gallons of water per day will be demanded, and agriculture represents 47% of this demand (Bronson 2003). Farmers have fewer options for water supplies than public users and are often limited to using available supplies from surface and ground water sources which depend in part upon variable weather patterns. Sea breeze thunderstorms are responsible for much of the rainfall delivered to Florida during the wet season (May-October) and have been recognized as an important overall contributor of rainfall in southern Florida (Almeida 2003). TRMM satellite data was used to analyze how sea breeze-induced thunderstorms during El Nino and La Nina affected interannual patterns of precipitation in southern Florida from 1998-2009. TRMM's Precipitation Radar and Microwave Imager provide data to quantify water vapor in the atmosphere, precipitation rates and intensity, and the distribution of precipitation. Rainfall accumulation data derived from TRMM and other microwave sensors were used to analyze the temporal and spatial variations of rainfall during each phase of the El Nino Southern Oscillation (ENSO). Through the use of TRMM and Landsat, slight variations were observed, but it was determined that neither sea breeze nor total rainfall patterns in South Florida were strongly affected by ENSO during the study period. However, more research is needed to characterize the influence of ENSO on summer weather patterns in South Florida. This research will provide the basis for continued observations and study with the Global Precipitation Measurement Mission.

  3. CD74 in Kidney Disease

    PubMed Central

    Valiño-Rivas, Lara; Baeza-Bermejillo, Ciro; Gonzalez-Lafuente, Laura; Sanz, Ana Belen; Ortiz, Alberto; Sanchez-Niño, Maria Dolores

    2015-01-01

    CD74 (invariant MHC class II) regulates protein trafficking and is a receptor for macrophage migration inhibitory factor (MIF) and d-dopachrome tautomerase (d-DT/MIF-2). CD74 expression is increased in tubular cells and/or glomerular podocytes and parietal cells in human metabolic nephropathies, polycystic kidney disease, graft rejection and kidney cancer and in experimental diabetic nephropathy and glomerulonephritis. Stressors like abnormal metabolite (glucose, lyso-Gb3) levels and inflammatory cytokines increase kidney cell CD74. MIF activates CD74 to increase inflammatory cytokines in podocytes and tubular cells and proliferation in glomerular parietal epithelial cells and cyst cells. MIF overexpression promotes while MIF targeting protects from experimental glomerular injury and kidney cysts, and interference with MIF/CD74 signaling or CD74 deficiency protected from crescentic glomerulonephritis. However, CD74 may protect from interstitial kidney fibrosis. Furthermore, CD74 expression by stressed kidney cells raises questions about the kidney safety of cancer therapy strategies delivering lethal immunoconjugates to CD74-expressing cells. Thus, understanding CD74 biology in kidney cells is relevant for kidney therapeutics. PMID:26441987

  4. Choriocarcinoma of the kidney.

    PubMed

    Mack, R B; Katz, S M; Amenta, P S

    1992-06-01

    Choriocarcinoma is a malignant germ cell tumor that usually arises from a previous gestation, but may also arise from germ cells anywhere along their known migratory pathway during fetal development. Gestational choriocarcinoma is highly sensitive to chemotherapy. This malignancy is known to undergo spontaneous regression of the primary tumor, which, in the face of metastases, may obscure the primary tumor site. The authors report the case of a patient with choriocarcinoma who was seen with pulmonary metastases and a single large lesion in the kidney 5 years posthysterectomy. The problems in resolving the primary site and the importance of a tissue diagnosis before nephrectomy are discussed.

  5. [Infertility and kidney transplantation].

    PubMed

    Atallah, David; Salameh, Charbel; El Kassis, Nadine; Safi, Joelle; Lutfallah, Fouad; Bejjani, Lina; Ghaname, Wadih; Moukarzel, Maroun

    2015-01-01

    Renal failure impairs the endocrine system, especially in women, due to hyperprolactinemia, altering fertility, ovulatory cycles, libido and growth in adolescents. Renal transplantation is considered the best solution to the problems of renal failure and and of dialysis, as evidenced by comparing the rate of hyperprolactinemia (100% in chronic renal failure, 60% in patients on dialysis and 35% in post-transplantation). Kidney transplant is less efficient for restoring perfect function of the hypothalamic-pituitary-gonadal axis due in part to the immunosuppressant regimens prescribed. When these drugs are properly managed, transplantation will restore near normal sexual function.

  6. Closed kidney injury.

    PubMed

    Viola, Tracey A

    2013-04-01

    The purpose of this article is to discuss the prevalence of blunt renal trauma and the nature of the problem, including the risk of renal injury with sports participation and epidemiology. Patient history of mechanism of injury, as well as examination findings, will risk-stratify patients to determine who needs immediate surgical intervention, who requires imaging, and what patients do not need further imaging. Computed tomography is readily available, fast, and accurate in the diagnosis of renal injury. Discussion of the athlete with congenital renal disease and the solitary kidney concludes this article.

  7. Acute Kidney Injury.

    PubMed

    Zuk, Anna; Bonventre, Joseph V

    2016-01-01

    Acute kidney injury (AKI) is a global public health concern associated with high morbidity, mortality, and healthcare costs. Other than dialysis, no therapeutic interventions reliably improve survival, limit injury, or speed recovery. Despite recognized shortcomings of in vivo animal models, the underlying pathophysiology of AKI and its consequence, chronic kidney disease (CKD), is rich with biological targets. We review recent findings relating to the renal vasculature and cellular stress responses, primarily the intersection of the unfolded protein response, mitochondrial dysfunction, autophagy, and the innate immune response. Maladaptive repair mechanisms that persist following the acute phase promote inflammation and fibrosis in the chronic phase. Here macrophages, growth-arrested tubular epithelial cells, the endothelium, and surrounding pericytes are key players in the progression to chronic disease. Better understanding of these complex interacting pathophysiological mechanisms, their relative importance in humans, and the utility of biomarkers will lead to therapeutic strategies to prevent and treat AKI or impede progression to CKD or end-stage renal disease (ESRD).

  8. Murine Kidney Transplant Technique.

    PubMed

    Plenter, Robert; Jain, Swati; Ruller, Chelsea M; Nydam, Trevor L; Jani, Alkesh H

    2015-10-20

    The first mouse kidney transplant technique was published in 1973(1) by the Russell laboratory. Although it took some years for other labs to become proficient in and utilize this technique, it is now widely used by many laboratories around the world. A significant refinement to the original technique using the donor aorta to form the arterial anastomosis instead of the renal artery was developed and reported in 1993 by Kalina and Mottram (2) with a further advancement coming from the same laboratory in 1999 (3). While one can become proficient in this model, a search of the literature reveals that many labs still experience a high proportion of graft loss due to arterial thrombosis. We describe here a technique that was devised in our laboratory that vastly reduces the arterial thrombus reported by others (4,5). This is achieved by forming a heel-and-toe cuff of the donor infra-renal aorta that facilitates a larger anastomosis and straighter blood flow into the kidney.

  9. Obesity and kidney protection

    PubMed Central

    Chandra, Aravind; Biersmith, Michael; Tolouian, Ramin

    2014-01-01

    Context: Obesity, both directly and indirectly, increases the risk for a variety of disease conditions including diabetes, hypertension, liver disease, and certain cancers, which in turn, decreases the overall lifespan in both men and women. Though the cardiovascular risks of obesity are widely acknowledged, less often identified is the relationship between obesity and renal function. Evidence Acquisitions: Directory of Open Access Journals (DOAJ), Google Scholar, PubMed, EBSCO and Web of Science has been searched. Results: The concept of the “Metabolic Syndrome“ helps us to understand this close link between obesity, diabetes, hypertension, and renal dysfunction. An elevated body mass index has shown to be one of the major determinants of glomerular hyperfiltration that lead to the development of chronic kidney disease. Interestingly, weight loss can lead to attenuation of hyperfiltration in severely obese patients suggesting a possible therapeutic option to combat obesity-related hyperfiltration. Conclusions: Various treatment strategies had been suggested to decrease impact of obesity on kidneys. These are blood pressure controling, inhibition of the renin-angiotensinaldosterone axis, improving glycemic control, improving dyslipidemia, improving protein uriaand lifestyle modifications. Regardless of the numerous pharmacotherapies, the focus should be on the root cause: obesity. PMID:25093156

  10. The kidney in space.

    PubMed

    Liakopoulos, Vassilios; Leivaditis, Konstantinos; Eleftheriadis, Theodoros; Dombros, Nicholas

    2012-12-01

    Renal adaptation in space has been studied during various space missions since the early 70s. Technical and financial disadvantages of performing experiments under real microgravity conditions have warranted the conductance of relative studies under simulated weightlessness on earth. Arriving in microgravity leads to a redistribution of body fluids to the upper part of the body and an exaggerated extravasation very early in-flight. Plasma volume as well as skin evaporation and oral hydration are reduced, while total body water seems to remain stable. Urinary sodium is diminished and a substantial amount of sodium is retained outside the intravascular space. Glomerular filtration rate shows a transient mild increase. Urinary albumin excretion is reduced although initial studies had demonstrated the opposite. Examination of renal histopathology after exposure to simulated microgravity in rats revealed glomerular atrophy, interstitial edema, and degeneration of renal tubular cells. Acute urinary retention which has been reported during spaceflights can lead to certain medical complications that could compromise an entire mission. Kidney stone formation is another important potential hazard for any manned spaceflight. Increased kidney stone formation in space is attributed to several factors including reduced fluid intake, hypercalciuria, and the presence of nanobacteria. Nutritional and pharmacological interventions are currently recommended as preventive measures against renal stone formation in space travelers. PMID:23001611

  11. Kidney Disease: Early Detection and Treatment

    MedlinePlus

    ... Bar Home Current Issue Past Issues Special Section Kidney Disease: Early Detection and Treatment Past Issues / Winter ... called a "urine albumin-to-creatinine ratio." Treating Kidney Disease Kidney disease is usually a progressive disease, ...

  12. Kidney Stones in Children and Teens

    MedlinePlus

    ... Issues Listen Español Text Size Email Print Share Kidney Stones in Children and Teens Page Content Article ... teen girls having the highest incidence. Types of Kidney Stones There are many different types of kidney ...

  13. High Blood Pressure and Kidney Disease

    MedlinePlus

    ... Information Center National Kidney Foundation Smokefree.gov MedlinePlus Kidney and Urologic Disease Organizations Many organizations provide support ... Alternate Language URL Español High Blood Pressure and Kidney Disease Page Content On this page: What is ...

  14. Overview of Kidney Diseases in Children

    MedlinePlus

    ... a kidney transplant or blood-filtering treatments called dialysis. Children with CKD or kidney failure face many ... kidneys do. The two types of treatment are dialysis and transplantation. More information is provided in the ...

  15. The kidney and bisphosphonates.

    PubMed

    Miller, Paul D

    2011-07-01

    Bisphosphonates are eliminated from the human body by the kidney. Renal clearance is both by glomerular filtration and proximal tubular secretion. Bisphosphonates given rapidly in high doses in animal models have induced a variety of adverse renal effects, from glomerular sclerosis to acute tubular necrosis. Nevertheless in the doses that are registered for the management of postmenopausal osteoporosis (PMO), oral bisphosphonates have never been shown to adversely affect the kidney, even (in post-hoc analysis of clinical trial data) down to estimated glomerular filtration rates of 15 ml/min. In addition fracture risk reduction has also been observed in these populations with stage 4 chronic kidney disease (CKD) with age-related reductions in glomerular filtration rate (GFR). Intravenous zoledronic acid is safe when the infusion rate is no faster than 15 min though there have been short-term (days 9-11 post-infusion) increases in serum creatinine concentrations in a small sub-set of patients from the postmenopausal registration trials. For these reasons intravenous zoledronic acid should be avoided in patients with GFR levels <35 ml/min; and the patients should be well hydrated and have avoided the concomitant use of any agent that may impair renal function. Intravenous ibandronate has not to date been reported to induce acute changes in serum creatinine concentrations in the PMO clinical trial data, but the lack of head-to-head comparative data between ibandronate and zoledronic acid precludes knowing if one intravenous bisphosphonate is safer than the other. In patients with GFR levels <30-35 ml/min, the correct diagnosis of osteoporosis becomes more complex since other forms of renal bone disease, which require different management strategies than osteoporosis, need to be excluded before the assumption can be made that fractures and/or low bone mass are due to osteoporosis. In addition, in patients who may have pre-existing adynamic renal bone disease, there is a

  16. APOL1 Localization in Normal Kidney and Nondiabetic Kidney Disease

    PubMed Central

    Madhavan, Sethu M.; O'Toole, John F.; Konieczkowski, Martha; Ganesan, Santhi; Bruggeman, Leslie A.

    2011-01-01

    In patients of African ancestry, genetic variants in APOL1, which encodes apolipoprotein L1, associate with the nondiabetic kidney diseases, focal segmental glomerulosclerosis (FSGS), HIV-associated nephropathy (HIVAN), and hypertensive nephropathy. Understanding the renal localization of APOL1 may provide clues that will ultimately help elucidate the mechanisms by which APOL1 variants promote nephropathy. Here, we used immunohistology to examine APOL1 localization in normal human kidney sections and in biopsies demonstrating either FSGS (n = 8) or HIVAN (n = 2). Within normal glomeruli, APOL1 only localized to podocytes. Compared with normal glomeruli, fewer cells stained for APOL1 in FSGS and HIVAN glomeruli, even when expression of the podocyte markers GLEPP1 and synaptopodin appeared normal. APOL1 localized to proximal tubular epithelia in normal kidneys, FSGS, and HIVAN. We detected APOL1 in the arteriolar endothelium of normal and diseased kidney sections. Unexpectedly, in both FSGS and HIVAN but not normal kidneys, the media of medium artery and arterioles contained a subset of α-smooth muscle actin-positive cells that stained for APOL1. Comparing the renal distribution of APOL1 in nondiabetic kidney disease to normal kidney suggests that a previously unrecognized arteriopathy may contribute to disease pathogenesis in patients of African ancestry. PMID:21997392

  17. Wars, disasters and kidneys.

    PubMed

    Lameire, N

    2014-12-01

    This paper summarizes the impact that wars had on the history of nephrology, both worldwide and in the Ghent Medical Faculty notably on the definition, research and clinical aspects of acute kidney injury. The paper briefly describes the role of 'trench nephritis' as observed both during World War I and II, supporting the hypothesis that many of the clinical cases could have been due to Hantavirus nephropathy. The lessons learned from the experience with crush syndrome first observed in World War II and subsequently investigated over many decades form the basis for the creation of the Renal Disaster Relief Task Force of the International Society of Nephrology. Over the last 15 years, this Task Force has successfully intervened both in the prevention and management of crush syndrome in numerous disaster situations like major earthquakes.

  18. Metals and kidney autoimmunity.

    PubMed Central

    Bigazzi, P E

    1999-01-01

    The causes of autoimmune responses leading to human kidney pathology remain unknown. However, environmental agents such as microorganisms and/or xenobiotics are good candidates for that role. Metals, either present in the environment or administered for therapeutic reasons, are prototypical xenobiotics that cause decreases or enhancements of immune responses. In particular, exposure to gold and mercury may result in autoimmune responses to various self-antigens as well as autoimmune disease of the kidney and other tissues. Gold compounds, currently used in the treatment of patients with progressive polyarticular rheumatoid arthritis, can cause a nephrotic syndrome. Similarly, an immune-mediated membranous nephropathy frequently occurred when drugs containing mercury were commonly used. Recent epidemiologic studies have shown that occupational exposure to mercury does not usually result in autoimmunity. However, mercury induces antinuclear antibodies, sclerodermalike disease, lichen planus, or membranous nephropathy in some individuals. Laboratory investigations have confirmed that the administration of gold or mercury to experimental animals leads to autoimmune disease quite similar to that observed in human subjects exposed to these metals. In addition, studies of inbred mice and rats have revealed that a few strains are susceptible to the autoimmune effects of gold and mercury, whereas the majority of inbred strains are resistant. These findings have emphasized the importance of genetic (immunogenetic and pharmacogenetic) factors in the induction of metal-associated autoimmunity. (italic)In vitro(/italic) and (italic)in vivo(/italic) research of autoimmune disease caused by mercury and gold has already yielded valuable information and answered a number of important questions. At the same time it has raised new issues about possible immunostimulatory or immunosuppressive mechanisms of xenobiotic activity. Thus it is evident that investigations of metal

  19. Stem cells and kidney regeneration.

    PubMed

    Chou, Yu-Hsiang; Pan, Szu-Yu; Yang, Chian-Huei; Lin, Shuei-Liong

    2014-04-01

    Kidney disease is an escalating burden all over the world. In addition to preventing kidney injury, regenerating damaged renal tissue is as important as to retard the progression of chronic kidney disease to end stage renal disease. Although the kidney is a delicate organ and has only limited regenerative capacity compared to the other organs, an increasing understanding of renal development and renal reprogramming has kindled the prospects of regenerative options for kidney disease. Here, we will review the advances in the kidney regeneration including the manipulation of renal tubular cells, fibroblasts, endothelial cells, and macrophages in renal disease. Several types of stem cells, such as bone marrow-derived cells, adipocyte-derived mesenchymal stem cells, embryonic stem cells, and induced pluripotent stem cells are also applied for renal regeneration. Endogenous or lineage reprogrammed renal progenitor cells represent an attractive possibility for differentiation into multiple renal cell types. Angiogenesis can ameliorate hypoxia and renal fibrosis. Based on these studies and knowledge, we hope to innovate more reliable pharmacological or biotechnical methods for kidney regeneration medicine.

  20. Vertical and horizontal NO2 transport in urban area associated with land-sea breeze as observed by ground-based MAX-DOAS

    NASA Astrophysics Data System (ADS)

    Takashima, H.; Kanaya, Y.

    2013-12-01

    Since July 2012, continuous NO2 profile observations have been performed by using ground-based Multi-Axis Differential Optical Absorption Spectroscopy (MAX-DOAS) at Fukuoka (33.55N, 130.36E), an urban site in Japan. MAX-DOAS is a passive remote sensing technique using scatted visible and ultraviolet solar radiation at several elevation angles, and it can allow us to retrieve vertical information on several trace gasses. In this study, the vertical resolution of the profiles is roughly 1 km below 2 km height. We investigate inhomogeneity of NO2 over Fukuoka by observing at two azimuth angles, Tenjin (downtown area) direction and Itoshima (out of downtown area) direction. Understanding of the spatial inhomogeneity of NO2 in urban area is important for measuring a priori profiles for satellite and for validating chemical transport model. Diurnal variation with maximum in the morning is clearly observed in both directions throughout the year for 0-1 km. Diurnal variation with maximum around noon is sometimes observed in Itoshima direction, which is delayed by 1-2 hours from maxima in Tenjin direction. The NO2 maximum for upper level (1-2 km) is also delayed from the maximum in Tenjin direction. From the analysis of surface wind field, these variations seems to be strongly related to vertical/horizontal transport of high concentration of NO2 from the downtown area (and development of the boundary layer) and horizontal transport of low concentration from ocean associated with land-sea breeze. We also present a comparison of NO2 data measured with the Ozone Monitoring Instrument (OMI) satellite sensor.

  1. Acute kidney injury in children.

    PubMed

    Merouani, A; Flechelles, O; Jouvet, P

    2012-04-01

    Acute kidney injury (AKI) affects 5% of critically ill hospitalized children and is a risk factor for increased morbidity and mortality. The current review focuses on new definitions of acute kidney injury, standardized to reflect the entire spectrum of the disease, as well as on ongoing research to identify early biomarkers of kidney injury. Its also provides an overview of current practice and available therapies, with emphasis on new strategies for the prevention and pharmacological treatment of diarrhea-associated hemolytic uremic syndrome. Furthermore, a decision-making algorithm is presented for the use of renal replacement therapies in critically ill children with AKI. PMID:22495187

  2. Robotic kidney implantation for kidney transplantation: initial experience.

    PubMed

    Hagen, Monika E; Pugin, Francois; Bucher, Pascal; Fasel, Jean; Markar, Sheraz; Morel, Philippe

    2010-12-01

    Despite improvements in minimally invasive techniques over recent decades, kidney implantation into the iliac fossa has remained a domain of open surgery. However, it was hypothesized that it would be feasible to perform robotic transplant kidney implantation as a means of reducing surgical trauma. Two robotic kidney transplantations into the iliac fossa were attempted in human cadavers. In the first cadaver, a 5 cm incision was placed in the right lower abdomen, the peritoneum was mobilized in a cranial direction, the iliac vessels were identified, and the kidney placed in the pre-peritoneal space. The incision was sealed with a gel port through which the Vinci(©) Surgical System was installed. In the second cadaver, a robotic kidney implantation with robotically sutured vascular and ureteric anastomoses was performed trans-abdominally. Open incision, identification, placement of gel port, and robotic docking were feasible. Robotic performance of vascular anastomosis was not possible in the first cadaver because of advanced decay and excess fat in the surgical field. Robotic kidney positioning was feasible and anastomoses were performed successfully in the second cadaver within 35, 25, and 20 min (arterial, venous, and ureteric, respectively). Robotic kidney transplantation seems feasible in human cadavers if tissue condition is suitable, but is very technically challenging. Because of the delicacy of anatomical structures, the cadaveric model with the risk of advanced decay and the absence of circulation sets limits on the exploration of this complex procedure. Hence, further research and animal work in this area is critical to improve understanding of the benefits and limitations of robotic kidney implantation. PMID:27627957

  3. Biomarkers in chronic kidney disease, from kidney function to kidney damage

    PubMed Central

    Lopez-Giacoman, Salvador; Madero, Magdalena

    2015-01-01

    Chronic kidney disease (CKD) typically evolves over many years, with a long latent period when the disease is clinically silent and therefore diagnosis, evaluation and treatment is based mainly on biomarkers that assess kidney function. Glomerular filtration rate (GFR) remains the ideal marker of kidney function. Unfortunately measuring GFR is time consuming and therefore GFR is usually estimated from equations that take into account endogenous filtration markers like serum creatinine (SCr) and cystatin C (CysC). Other biomarkers such as albuminuria may precede kidney function decline and have demonstrated to have strong associations with disease progression and outcomes. New potential biomarkers have arisen with the promise of detecting kidney damage prior to the currently used markers. The aim of this review is to discuss the utility of the GFR estimating equations and biomarkers in CKD and the different clinical settings where these should be applied. The CKD-Epidemiology Collaboration equation performs better than the modification of diet in renal disease equation, especially at GFR above 60 mL/min per 1.73 m2. Equations combining CysC and SCr perform better than the equations using either CysC or SCr alone and are recommended in situations where CKD needs to be confirmed. Combining creatinine, CysC and urine albumin to creatinine ratio improves risk stratification for kidney disease progression and mortality. Kidney injury molecule and neutrophil gelatinase-associated lipocalin are considered reasonable biomarkers in urine and plasma to determine severity and prognosis of CKD. PMID:25664247

  4. Ultrasonography of the Kidney: A Pictorial Review

    PubMed Central

    Hansen, Kristoffer Lindskov; Nielsen, Michael Bachmann; Ewertsen, Caroline

    2015-01-01

    Ultrasonography of the kidneys is essential in the diagnosis and management of kidney-related diseases. The kidneys are easily examined, and most pathological changes in the kidneys are distinguishable with ultrasound. In this pictorial review, the most common findings in renal ultrasound are highlighted. PMID:26838799

  5. Kidney Disease and Multiple Myeloma

    PubMed Central

    Rennke, Helmut G.; Laubach, Jacob P.; Richardson, Paul G.

    2013-01-01

    Summary Kidney injury is a common complication of multiple myeloma and other plasma cell dyscrasias, and it is associated with increased mortality. Multiple pathogenic mechanisms can contribute to kidney injury in the patient with myeloma, some of which are the result of nephrotoxic monoclonal Ig and some of which are independent of paraprotein deposition. The pathogenic mechanisms that underlie paraprotein-related kidney disease are increasingly well understood. A novel assay allowing the quantification of free light chains in the serum has aided the diagnosis of new onset disease and allowed for the earlier detection of relapse. Novel myeloma agents have shown considerable promise in reversing renal failure in some patients and improving outcomes. Stem cell transplantation remains a mainstay of management for younger patients with myeloma who are suitable candidates for intensive therapy, whereas the role of new drugs, plasma exchange, and kidney transplantation continues to evolve. PMID:23868898

  6. National Kidney Disease Education Program

    MedlinePlus

    ... online catalog . Alternate Language URL National Kidney Disease Education Program (NKDEP) Page Content Improving the understanding, detection, ... Care Promoting Patient Self Management CKD and Nutrition​​ Training for CDEs, RDs, and PharmDs Laboratory Eva​luation ...

  7. [Ascites and acute kidney injury].

    PubMed

    Piano, Salvatore; Tonon, Marta; Angeli, Paolo

    2016-07-01

    Ascites is the most common complication of cirrhosis. Ascites develops as a consequence of an abnormal splanchnic vasodilation with reduction of effecting circulating volume and activation of endogenous vasoconstrictors system causing salt and water retention. Patients with ascites have a high risk to develop further complications of cirrhosis such as hyponatremia, spontaneous bacterial peritonitis and acute kidney injury resulting in a poor survival. In recent years, new studies helped a better understanding of the pathophysiology of ascites and acute kidney injury in cirrhosis. Furthermore, new diagnostic criteria have been proposed for acute kidney injury and hepatorenal syndrome and a new algorithm for their management has been recommended with the aim of an early diagnosis and treatment. Herein we will review the current knowledge on the pathophysiology, diagnosis and treatment of ascites and acute kidney injury in patients with cirrhosis and we will identify the unmet needs that should be clarified in the next years. PMID:27571467

  8. Renal (Kidney) Manifestations in TSC

    MedlinePlus

    ... PKD1 genes, severe kidney disease can develop in infancy or early childhood and renal failure most often ... of renal angiomyolipoma and TSC is in its infancy and we will have further information in a ...

  9. How Is Kidney Cancer Diagnosed?

    MedlinePlus

    ... a person is healthy enough for surgery . Blood chemistry tests Blood chemistry tests are usually done in people who might ... a doctor to order a bone scan. Blood chemistry tests also look at kidney function, which is ...

  10. Keeping Your Single Kidney Healthy

    MedlinePlus

    ... function (BUN, creatinine) and electrolytes (blood salts and minerals) at your first long-term follow-up visit ( ... of urine into the kidney (reflux), or bladder removal (cystectomy). If you have any of these risk ...

  11. Autosomal Dominant Polycystic Kidney Disease

    MedlinePlus

    ... the U.S. The high cardiovascular death rate in dialysis patients with ADPKD remains a problem. Kidney transplantation ... who develop ESRD receive a transplant before beginning dialysis therapy. Limited organ availability has resulted in longer ...

  12. [Ascites and acute kidney injury].

    PubMed

    Piano, Salvatore; Tonon, Marta; Angeli, Paolo

    2016-07-01

    Ascites is the most common complication of cirrhosis. Ascites develops as a consequence of an abnormal splanchnic vasodilation with reduction of effecting circulating volume and activation of endogenous vasoconstrictors system causing salt and water retention. Patients with ascites have a high risk to develop further complications of cirrhosis such as hyponatremia, spontaneous bacterial peritonitis and acute kidney injury resulting in a poor survival. In recent years, new studies helped a better understanding of the pathophysiology of ascites and acute kidney injury in cirrhosis. Furthermore, new diagnostic criteria have been proposed for acute kidney injury and hepatorenal syndrome and a new algorithm for their management has been recommended with the aim of an early diagnosis and treatment. Herein we will review the current knowledge on the pathophysiology, diagnosis and treatment of ascites and acute kidney injury in patients with cirrhosis and we will identify the unmet needs that should be clarified in the next years.

  13. [Kidney involvement in sarcoidosis].

    PubMed

    Stehlé, T; Boffa, J-J; Lang, P; Desvaux, D; Sahali, D; Audard, V

    2013-09-01

    Sarcoidosis is a chronic multisystemic inflammatory disorder of unknown etiology, characterized by the presence of non-necrotizing epithelioid and giant cell granulomas. Various renal manifestations have been reported in patients with sarcoidosis. Disorders of bone and mineral metabolism related to the overexpression of 25-hydroxyvitamin-D1α-hydroxylase by alveolar and granuloma macrophages are frequently associated with sarcoidosis. Hypercalcemia and hypercalciuria are a major cause of renal injury predisposing to pre renal azotemia, acute tubular necrosis, nephrolithiasis and nephrocalcinosis. Therapeutic management of hypercalcemia includes preventive measures (limited sunlight exposure, limited vitamin D and calcium intakes, and adequate hydration) and specific treatment in cases of severe hypercalcemia (corticosteroid therapy, chloroquine or ketoconazole). Granulomatous tubulointerstitial nephritis is the most common renal lesion associated with sarcoidosis leading to end stage renal disease in some patients. In these cases, interstitial fibrosis seems to appear early in the course of sarcoidosis and is a major prognostic factor requiring rapid corticosteroid therapy to reduce the risk of severe renal impairment. Membranous nephropathy seems to be the most frequent glomerular disease that may occur in association with sarcoidosis. Among kidney allograft recipients, the risk of recurrence of granulomatous tubulointerstitial nephritis is high and may have a negative impact on the graft survival.

  14. Angiomyolipoma of kidney.

    PubMed

    Eble, J N

    1998-02-01

    Angiomyolipoma of the kidney is a clonal neoplasm, apparently part of a family of neoplasms derived from perivascular epithelioid cells. Early angiomyolipomas are small nodules composed of HMB-45-reactive spindle cells in the renal capsule, cortex, or medulla. Most angiomyolipomas are asymptomatic, and they are more common than previously appreciated, approaching 13 per 10,000 adults. They are much more prevalent in patients with tuberous sclerosis, where they often are accompanied by cysts and occasionally by renal cell carcinoma. That they are rarely diagnosed before puberty in patients without tuberous sclerosis, that large ones are more common in women than men, and that they occasionally grow rapidly during pregnancy suggest that hormones may play a role in stimulating the growth of angiomyolipoma. Pathologists should recognize that the presence of multiple angiomyolipomas is, at the least, presumptive evidence for the diagnosis of tuberous sclerosis and include this in their reports. Typical angiomyolipomas are benign but may have alarming properties: nuclear pleomorphism and mitotic activity, extension into the vena cava (21 cases), and spread to regional lymph nodes (39 cases), without malignant progression. The most common serious complication of renal angiomyolipoma is hemorrhage. Epithelioid angiomyolipoma is a recently recognized variant with malignant potential. Angiomyolipoma and lymphangiomyoma are closely related, and tumors with features of both have occurred. Angiomyolipomas have occurred in other organs in association with renal angiomyolipoma.

  15. Harvesting wind energy from the sea breeze in peri-urban coastal areas by means of small scale wind turbines - Case study: Viladecans, Llobregat Delta, northeast of Iberian Peninsula

    NASA Astrophysics Data System (ADS)

    Rojas, Jose I.; Cabrera, Barbara; Mazon, Jordi

    2016-04-01

    Wind speed data recorded during 18 years (1993-2010) in the Llobregat Delta (15 km south of Barcelona city; northeast of the Iberian Peninsula) were used to assess the wind energy generated by off-grid small scale wind turbines (the IT-PE-100 and the HP-600W) for the whole year and for the sea breeze period. The computations were made using QBlade, FAST and AeroDyn simulation tools and manufacturer power curves. Using manufacturer data, the HP-600W with hub-height 8 m would deliver 157 kWh during the whole year (78 kWh during the sea breeze period), with an average power of 18 W (37 W). In this work, the results of the simulations are compared with power and energy production data measured in an HP-600W turbine installed in situ from December 2014 to April 2016. Also, the measured power is compared to the power obtained by applying the measured wind in the period 2014-2016 to the manufacturer power curve and the power curve obtained with the simulations. The results of the computations agree with the experimental data, thus validating the proposed approach for wind resource estimation. The feasibility of using a vertical axis wind turbine for obtaining wind energy from the local, thermal wind regimes is also studied. This research confirms that the sea-breeze is an interesting wind energy resource for micro-generation in peri-urban coastal areas where large-scale wind farms cannot be implemented.

  16. Kidney of giraffes.

    PubMed

    Maluf, Noble Suydam Rustem

    2002-06-01

    This study focuses on certain aspects of the renal structure of the giraffe, with some implications as to its function. About 4,000 collecting ducts open at the truncated end of a curved crest that juts into the renal pelvis as the inner medulla (IM). Extensions of the pelvis pass between the medullary (MP) and vascular (VP) processes almost to the corticomedullary border. The MPs contain an IM and an outer medulla (OM) containing clusters of capillaries (vascular bundles). The VPs contain the interlobar arteries and veins. All of the IM and almost all of the OM, with its vascular bundles, are bathed with pelvic urine. The cortex comprises 63% of the parenchyma. The OM has nine times the mass of the IM. The IM comprises 4% of the parenchyma. The ratio of mass of the adult cortex to the medulla is 1.7:1.0, and the number of glomeruli per kidney is 6.6 x 10(6). Glomerular mass is 6.2-6.7% of renal mass in the adult and 5.2% in the 6-month-old calf. The dimensions of the glomerular capsules are the same across the thickness of the cortex. Every terminal collecting duct drains an estimated 1,650 nephrons. In the adult giraffe the ratio of thickness of the muscularis of the main renal artery (RA) to its diameter is 0.117 (right RA) and 0.132 (left RA). These ratios are close to those in rhinoceros and ox but greater than in man. The visceral arteries (celiac, anterior mesenteric, and renal) have about the same muscularis : diameter ratio. Giraffes have arterial hypertension, but atherosclerosis is apparently absent and serum lipid fractions are low.

  17. Perioperative acute kidney injury.

    PubMed

    Goren, O; Matot, I

    2015-12-01

    Perioperative acute kidney injury (AKI) is not uncommon and is associated with considerable morbidity and mortality. Recently, several definition systems for AKI were proposed, incorporating both small changes of serum creatinine and urinary output reduction as diagnostic criteria. Novel biomarkers are under investigation as fast and accurate predictors of AKI. Several special considerations regarding the risk of AKI are of note in the surgical patient. Co-morbidities are important risk factors for AKI. The surgery in itself, especially emergency and major surgery in the critically ill, is associated with a high incidence of AKI. Certain types of surgeries, such as cardiac and transplantation surgeries, require special attention because they carry higher risk of AKI. Nephrotoxic drugs, contrast dye, and diuretics are commonly used in the perioperative period and are responsible for a significant amount of in-hospital AKI. Before surgery, the anaesthetist is required to identify patients at risk of AKI, optimize anaemia, and treat hypovolaemia. During surgery, normovolaemia is of utmost importance. Additionally, the surgical and anaesthesia team is advised to use measures to reduce blood loss and avoid unnecessary blood transfusion. Hypotension should be avoided because even short periods of mean arterial pressure <55-60 mm Hg carry a risk of postoperative AKI. Higher blood pressures are probably required for hypertensive patients. Urine output can be reduced significantly during surgery and is unrelated to perioperative renal function. Thus, fluids should not be given in excess for the sole purpose of avoiding or treating oliguria. Use of hydroxyethyl starch needs to be reconsidered. Recent evidence indicates a beneficial effect of administering low-chloride solutions. PMID:26658199

  18. Do Kidney Stone Formers Have A Kidney Disease?

    PubMed Central

    Zisman, Anna L.; Evan, Andrew P.; Coe, Fredric L.; Worcester, Elaine M.

    2015-01-01

    Nephrolithiasis is a highly prevalent disorder affecting approximately one in eleven people and is associated with multiple complications including hypertension, cardiovascular disease, and chronic kidney disease. Significant epidemiologic associations with chronic kidney disease and ESRD have been noted and are reviewed herein, but debate persists in the literature as to whether kidney stone formation is a pathogenic process contributing to kidney disease. Corroborating evidence supporting the presence of kidney disease in stone formers includes the variability of renal function by stone type, the positive association of stone size with renal dysfunction, the presence of markers of renal injury in the urine of even asymptomatic stone formers, and direct evidence of renal tissue injury on histopathology. Proposed pathogenic mechanisms include recurrent obstruction and comorbid conditions such as recurrent urinary tract infections and structural abnormalities. Recent work evaluating the renal histopathology of different groups of stone formers adds further granularity, suggesting variability in mechanisms of renal injury by stone type and confirming the pathogenic effects of crystal formation. Genetic abnormalities leading to stone formation including cystinuria and primary hyperoxaluria, among others, contribute to the burden of disease in the stone-forming population. PMID:26376133

  19. Insights in public health: Strengthening the epidemiology workforce through mentorship: practicum and fellowship experiences in the Family Health Services Division at the Hawai`i Department of Health.

    PubMed

    Hayes, Donald

    2014-03-01

    There are significant shortages in the public health workforce and it's expected to worsen. Efforts to reduce this shortage are varied and include building the workforce by increasing exposure of students and young professionals in applied public health experiences. Providing these experiences increases productivity, and may help alleviate some of the workforce shortages in public health. This article seeks to highlight the work done at the Family Health Services Division (FHSD) in the Hawai'i Department of Health over the past 6 and half years in working with students in epidemiology practicum and fellowship experiences.

  20. The biblical view of the kidney.

    PubMed

    Kopple, J D

    1994-01-01

    The biblical view of the kidney differs radically from the modern perception. For example, there is no reference in the Bible to the fact that the kidneys make urine. The kidneys were viewed as the seat of conscience and of ethical feelings and yearnings, and the source of mortality and ethical activity. The kidneys were believed to be associated with the innermost parts of the personality. There are references to God examining the ethical nature of man through the kidneys or punishing man by injuring the kidneys. The fat around the kidneys was considered to be of special value for sacrifice and may have symbolized luxury or opulence. Much of the biblical understanding of the anatomy of the kidneys and the anatomic relationships between the kidneys, perirenal fat and the liver appears to be derived from observations made in domestic animals.

  1. Adult stem-like cells in kidney

    PubMed Central

    Hishikawa, Keiichi; Takase, Osamu; Yoshikawa, Masahiro; Tsujimura, Taro; Nangaku, Masaomi; Takato, Tsuyoshi

    2015-01-01

    Human pluripotent cells are promising for treatment for kidney diseases, but the protocols for derivation of kidney cell types are still controversial. Kidney tissue regeneration is well confirmed in several lower vertebrates such as fish, and the repair of nephrons after tubular damages is commonly observed after renal injury. Even in adult mammal kidney, renal progenitor cell or system is reportedly presents suggesting that adult stem-like cells in kidney can be practical clinical targets for kidney diseases. However, it is still unclear if kidney stem cells or stem-like cells exist or not. In general, stemness is defined by several factors such as self-renewal capacity, multi-lineage potency and characteristic gene expression profiles. The definite use of stemness may be obstacle to understand kidney regeneration, and here we describe the recent broad findings of kidney regeneration and the cells that contribute regeneration. PMID:25815133

  2. Current Bioengineering Methods for Whole Kidney Regeneration

    PubMed Central

    Yamanaka, Shuichiro; Yokoo, Takashi

    2015-01-01

    Kidney regeneration is likely to provide an inexhaustible source of tissues and organs for immunosuppression-free transplantation. It is currently garnering considerable attention and might replace kidney dialysis as the ultimate therapeutic strategy for renal failure. However, anatomical complications make kidney regeneration difficult. Here, we review recent advances in the field of kidney regeneration, including (i) the directed differentiation of induced pluripotent stem cells/embryonic stem cells into kidney cells; (ii) blastocyst decomplementation; (iii) use of a decellularized cadaveric scaffold; (iv) embryonic organ transplantation; and (v) use of a nephrogenic niche for growing xenoembryos for de novo kidney regeneration from stem cells. All these approaches represent potentially promising therapeutic strategies for the treatment of patients with chronic kidney disease. Although many obstacles to kidney regeneration remain, we hope that innovative strategies and reliable research will ultimately allow the restoration of renal function in patients with end-stage kidney disease. PMID:26089921

  3. Regenerating a kidney in a lymph node.

    PubMed

    Francipane, Maria Giovanna; Lagasse, Eric

    2016-10-01

    The ultimate treatment for end-stage renal disease (ESRD) is orthotopic transplantation. However, the demand for kidney transplantation far exceeds the number of available donor organs. While more than 100,000 Americans need a kidney, only 17,000 people receive a kidney transplant each year (National Kidney Foundation's estimations). In recent years, several regenerative medicine/tissue engineering approaches have been exploited to alleviate the kidney shortage crisis. Although these approaches have yielded promising results in experimental animal models, the kidney is a complex organ and translation into the clinical realm has been challenging to date. In this review, we will discuss cell therapy-based approaches for kidney regeneration and whole-kidney tissue engineering strategies, including our innovative approach to regenerate a functional kidney using the lymph node as an in vivo bioreactor.

  4. Adult stem-like cells in kidney.

    PubMed

    Hishikawa, Keiichi; Takase, Osamu; Yoshikawa, Masahiro; Tsujimura, Taro; Nangaku, Masaomi; Takato, Tsuyoshi

    2015-03-26

    Human pluripotent cells are promising for treatment for kidney diseases, but the protocols for derivation of kidney cell types are still controversial. Kidney tissue regeneration is well confirmed in several lower vertebrates such as fish, and the repair of nephrons after tubular damages is commonly observed after renal injury. Even in adult mammal kidney, renal progenitor cell or system is reportedly presents suggesting that adult stem-like cells in kidney can be practical clinical targets for kidney diseases. However, it is still unclear if kidney stem cells or stem-like cells exist or not. In general, stemness is defined by several factors such as self-renewal capacity, multi-lineage potency and characteristic gene expression profiles. The definite use of stemness may be obstacle to understand kidney regeneration, and here we describe the recent broad findings of kidney regeneration and the cells that contribute regeneration. PMID:25815133

  5. Molecular Imaging of the Kidneys

    PubMed Central

    Szabo, Zsolt; Alachkar, Nada; Xia, Jinsong; Mathews, William B.; Rabb, Hamid

    2010-01-01

    Radionuclide imaging of the kidneys with gamma cameras involves the use of labeled molecules seeking functionally critical molecular mechanisms in order to detect the pathophysiology of the diseased kidneys and achieve an early, sensitive and accurate diagnosis. The most recent imaging technology, PET, permits quantitative imaging of the kidney at a spatial resolution appropriate for the organ. H215O, 82RbCl, and [64Cu] ETS are the most important radiopharmaceuticals for measuring renal blood flow. The renin angiotensin system is the most important regulator of renal blood flow; this role is being interrogated by detecting angiotensin receptor subtype AT1R using in vivo PET imaging. Membrane organic anion transporters are important for the function of the tubular epithelium; therefore, Tc-99m MAG3 as well as some novel radiopharmaceuticals such as copper-64 labeled mono oxo-tetraazamacrocyclic ligands have been utilized for molecular renal imaging. Additionally, other radioligands that interact with the organic cation transporters or peptide transporters have developed. Focusing on early detection of kidney injury at the molecular level is an evolving field of great significance. Potential imaging targets are the kidney injury molecule- 1 (KIM-1) that is highly expressed in kidney injury and renal cancer but not in normal kidneys. While pelvic clearance, in addition to parenchymal transport, is an important measure in obstructive nephropathy, techniques that focus on upregulated molecules in response to tissue stress resulted from obstruction will be of great implication. Monocyte chemoattractant protein -1 (MCP-1) is a well-suited molecule in this case. The greatest advances in molecular imaging of the kidneys have been recently achieved in detecting renal cancer. In addition to the ubiquitous [18F]FDG, other radioligands such as [11C]acetate and anti-[18F]FACBC have emerged. Radioimmuno-imaging with [124I]G250 could lead to radioimmunotherapy for renal cancer

  6. World Kidney Day 2012: the global role of kidney transplantation.

    PubMed

    Garcia, Guillermo Garcia; Harden, Paul N; Chapman, Jeremy R

    2012-03-01

    There remain major challenges to providing optimal treatment for ESRD worldwide and a need, particularly in low-income economies, to mandate more focus on community screening and implementation of simple measures to minimize progression of chronic kidney disease. The recent designation of renal disease as an important noncommunicable disease at the United Nations High Level Meeting on Noncommunicable Diseases is one step in this direction.(32) But early detection and prevention programs will never prevent ESRD in everyone with chronic kidney disease, and kidney transplantation is an essential, viable, cost-effective, and life-saving therapy which should be equally available to all people in need. It may be the only tenable long-term treatment option for ESRD in low-income countries since it is both cheaper and provides a better outcome for patients than other treatment for ESRD. However, the success of transplantation has not been delivered evenly across the world and substantial disparities still exist in access to transplantation.We remain troubled by commercialization of living donor transplantation and exploitation of vulnerable populations for profit. There are solutions available. These include demonstrably successful models of kidney transplant programs in many developing countries; growing availability of less-expensive generic immunosuppressive agents; improved clinical training opportunities; governmental and professional guidelines legislating prohibition of commercialization and defining professional standards of ethical practice; and a framework for each nation to develop self-sufficiency in organ transplantation through focus on both living donation and especially nationally managed deceased organ donation programs. The Transplantation Society and the ISN have pledged to work together in coordinated joint global outreach programs to help establish and grow appropriate kidney transplant programs in low- and middle-income countries utilizing their

  7. Living kidney donors and ESRD.

    PubMed

    Ross, Lainie Friedman

    2015-07-01

    There are more than 325 living kidney donors who have developed end-stage renal disease and have been listed on the Organ Procurement and Transplantation Network (OPTN)/United Network for Organ Sharing (UNOS) deceased donor kidney wait list. The OPTN/UNOS database records where these kidney donors are listed and, if they donated after April 1994, where that donation occurred. These 2 locations are often not the same. In this commentary, I examine whether a national living donor registry should be created and whether transplantation centers should be notified when one of their living kidney donors develops end-stage renal disease. I consider and refute 5 potential objections to center notification. I explain that transplantation centers should look back at these cases and input data into a registry to attempt to identify patterns that could improve donor evaluation protocols. Creating a registry and mining the information it contains is, in my view, our moral and professional responsibility to future patients and the transplantation endeavor. As individuals and as a community, we need to acknowledge the many unknown risks of living kidney donation and take responsibility for identifying these risks. We then must share information about these risks, educate prospective donors about them, and attempt to minimize them.

  8. Hypercoagulability in Kidney Transplant Recipients.

    PubMed

    Parajuli, Sandesh; Lockridge, Joseph B; Langewisch, Eric D; Norman, Douglas J; Kujovich, Jody L

    2016-04-01

    Thrombosis remains an important complication after kidney transplantation. Outcomes for graft and deep vein thrombosis are not favorable. The majority of early kidney transplant failure in adults is due to allograft thrombosis. Risk stratification, early diagnosis, and appropriate intervention are critical to the management of thrombotic complications of transplant. In patients with end-stage renal disease, the prevalence of acquired risk factors for thrombosis is significantly high. Because of hereditary and acquired risk factors, renal transplant recipients manifest features of a chronic prothrombotic state. Identification of hereditary thrombotic risk factors before transplantation may be a useful tool for selecting appropriate candidates for thrombosis prophylaxis immediately after transplantation. Short-term anticoagulation may be appropriate for all patients after kidney transplantation.

  9. Computational analysis of kidney scintigrams

    SciTech Connect

    Vrincianu, D.; Puscasu, E.; Creanga, D.; Stefanescu, C.

    2013-11-13

    The scintigraphic investigation of normal and pathological kidneys was carried out using specialized gamma-camera device from nuclear medicine hospital department. Technetium 90m isotope with gamma radiation emission, coupled with vector molecules for kidney tissues was introduced into the subject body, its dynamics being recorded as data source for kidney clearance capacity. Two representative data series were investigated, corresponding to healthy and pathological organs respectively. The semi-quantitative tests applied for the comparison of the two distinct medical situations were: the shape of probability distribution histogram, the power spectrum, the auto-correlation function and the Lyapunov exponent. While power spectrum led to similar results in both cases, significant differences were revealed by means of distribution probability, Lyapunov exponent and correlation time, recommending these numerical tests as possible complementary tools in clinical diagnosis.

  10. PAI-1 and kidney fibrosis

    PubMed Central

    Ma, Li-Jun; Fogo, Agnes B.

    2016-01-01

    Substantial evidence demonstrates a link of increased plasminogen activator inhibitor-1 (PAI-1) and glomerulosclerosis and kidney fibrosis, providing a novel therapeutic option for prevention and treatment of chronic kidney diseases. Several mechanisms contributing to increased PAI-1 will be addressed, including classic key profibrotic factors such as the renin-angiotensin-system (RAS) and transforming growth factor-beta (TGF-β), and novel molecules identified by proteomic analysis, such as thymosin- β4. The fibrotic sequelae caused by increased PAI-1 in kidney depend not only on its classic inhibition of tissue-type and urokinase-type plasminogen activators (tPA and uPA), but also its influence on cell migration. PMID:19273183

  11. Growing kidney in the frog.

    PubMed

    Chan, Techuan; Asashima, Makoto

    2006-01-01

    An understanding of the regulation of kidney development has increased dramatically in the past decade. The pronephros, mesonephros, and metanephros represent three distinct renal organs that function, in succession, as the vertebrate excretory system during development of the kidney. These three organ systems are derived from the intermediate mesoderm and develop in a well-defined temporal and spatial sequence. The pronephros, which consists of a tubule, duct and glomus, is established first and is the simplest of the excretory organs in vertebrates. Xenopus pronephros serves as an ideal model for investigating organogenesis and development of renal function in vertebrates. In this article, we highlight the advantages of Xenopus for analyzing kidney organogenesis and the latest research in pronephros development. PMID:16554664

  12. The exposome for kidney stones.

    PubMed

    Goldfarb, David S

    2016-02-01

    The exposome is the assembly and measure of all the exposures of an individual in a lifetime. An individual's exposures begin before birth and include insults from environmental and occupational sources. The associated field is called exposomics, which relies on the application of internal and external exposure assessment methods. Exposomics has not yet been thoroughly applied to the study of kidney stones although much is known about how diet and fluid intake affect nephrolithiasis. Some other novel exposures that may contribute to kidney stones are discussed including use of antibiotics, urbanization and migration to urban heat islands, and occupation. People whose school and jobs limit their access to fluids and adequate bathroom facilities may have higher prevalence of stones. Examples include athletes, teachers, heathcare workers, and cab drivers. Occupational kidney stones have received scant attention and may represent a neglected, and preventable, type of stone. An exposomic-oriented history would include a careful delineation of occupation and activities. PMID:26615595

  13. [Scanner examination of the kidney].

    PubMed

    Richard, F; Khoury, S; Parienty, R; Ducellier, R; Fourcade, R; Küss, R

    1980-01-01

    On the basis of a large series of documents, the authors participate in establishment of the classification of scanner appearances of urological diseases of the kidney : peripheral or parapelvic sub-capsular cysts, carcinomas and their spread, multiple tumours but of different nature in the same kidney, angiomyolipomas, polycystic disease, renal abscess, hydated cyst, non-invasive exploration of kidneys showed to be non-functioning by I.V.U., tumours of the intrarenal excretory system, lumbar trauma, long-term surveillance of the retroperitoneal space in individuals undergoing surgery for a urological malignant renoureteric tumour. The authors suggest a new chronological arrangement of investigations in the presence of a renal mass discovered by I.V.U. Scanner has its place between echotomography and renal arteriography. Investigations may be stopped at renal echotomography when this examination offers definite evidence of the fluid nature of the mass. Solid or doubtful nature of the mass necessitates the use of a scanner examination.

  14. [Mechanism of and Therapy for Kidney Fibrosis].

    PubMed

    Kuma, Akihiro; Tamura, Masahito; Otsuji, Yutaka

    2016-03-01

    Fibrosis occurs in systemic tissues other than the brain and finally induces dysfunction of the fibrotic organ. Kidney fibrosis is related to scarring after acute kidney injury and the progression of chronic kidney disease. Kidney function decreases with the progression of kidney fibrosis. As fibrotic tissue cannot return to its original status, advanced kidney fibrosis requires the administration of dialysis or kidney transplantation. Thus, elucidation the mechanism of kidney fibrosis is an important research theme. The proliferation and activation of (myo) fibroblasts and the excessive production of an extracellular matrix are common mechanisms in fibrosis in many organs, but it seems that kidney fibrosis has specific pathways. Tubular epithelial, mesangial cells, and erythropoietin producing cells, which exist only in the kidney, participate in forming kidney fibrosis. This review highlights an understanding of the cells and their underlying mechanisms, which are specific to kidney fibrosis process: transforming growth factor-β (TGF-β), epithelial-mesenchymal transition, wingless/int-1 (WNT) signaling, renal anemia, and uremia. Finally, we describe potential therapies that focus on the mechanisms of kidney fibrosis: anti-TGF-β antibody and mammalian target of rapamycin (mTOR).

  15. Mathematical modeling of kidney transport.

    PubMed

    Layton, Anita T

    2013-01-01

    In addition to metabolic waste and toxin excretion, the kidney also plays an indispensable role in regulating the balance of water, electrolytes, nitrogen, and acid-base. In this review, we describe representative mathematical models that have been developed to better understand kidney physiology and pathophysiology, including the regulation of glomerular filtration, the regulation of renal blood flow by means of the tubuloglomerular feedback mechanisms and of the myogenic mechanism, the urine concentrating mechanism, epithelial transport, and regulation of renal oxygen transport. We discuss the extent to which these modeling efforts have expanded our understanding of renal function in both health and disease.

  16. The kidney and arterial hypertension.

    PubMed

    Ruilope, L M; Campo, C; Lahera, V

    1993-01-01

    It has been known for some time that a relationship exists between the kidney and blood pressure. The renal origin of arterial hypertension has been demonstrated in different animal models resembling human hypertension, with data from humans seeming to confirm this hypothesis. On the other hand, the renal vasculature also suffers the consequences of arterial hypertension, and renal insufficiency can develop as a result of elevated blood pressure levels. Antihypertensive therapy can prevent the development of renal damage secondary to hypertension. For example, calcium antagonists possess specific renal effects that not only facilitate their antihypertensive capacity but also protect the kidney from the development of renal failure.

  17. Pre-Practicum Training in Professional Psychology to Close the Research-Practice Gap: Changing Attitudes Towards Evidence-Based Practice

    PubMed Central

    Bearman, Sarah Kate; Wadkins, Melanie; Bailin, Abby; Doctoroff, Greta

    2014-01-01

    Despite the rapid proliferation of mental health interventions with proven benefit for youth, empirically supported interventions (ESIs) are underutilized in most service settings. Treatment outcome studies in these community-based settings suggest that the majority of youth do not show improvement, underscoring the importance of addressing the gap between research and practice. Clinician attitudes toward evidence-based practice (EBP) may limit the use of ESIs, and efforts to address these attitudes with post-graduate training pose significant challenges. Pre-practicum training in EBP may address these challenges by familiarizing students with the framework of EBP as well as with the current youth treatment evidence base and the theories and strategies of well-supported interventions. We describe a required EBP course within a professional psychology doctoral program. Forty-two students in two class cohorts completed a measure of attitudes toward EBP prior to the first class and after the final class lecture. Students were predominantly Caucasian women with bachelor's degrees. As expected, over the course of the class, student attitudes became significantly more favorable toward EBP. Students who had previously received a master's degree had more favorable attitudes prior to the class, and students with a prior bachelor's degree showed the greatest change in attitude. The results support the use of pre-practicum training in EBP to improve attitudes toward EBP, which may lead to use of effective practices with clients following training. PMID:25745525

  18. Kidney Failure Risk Projection for the Living Kidney Donor Candidate

    PubMed Central

    Grams, Morgan E.; Sang, Yingying; Levey, Andrew S.; Matsushita, Kunihiro; Ballew, Shoshana; Chang, Alex R.; Chow, Eric K.H.; Kasiske, Bertram L.; Kovesdy, Csaba P.; Nadkarni, Girish N.; Shalev, Varda; Segev, Dorry L.; Coresh, Josef; Lentine, Krista L.; Garg, Amit X.

    2016-01-01

    Background Evaluation of candidates for living kidney donation relies on screening for individual risk factors for end-stage renal disease (ESRD). To support an empirical approach to donor selection, we developed a tool that simultaneously incorporates multiple health characteristics to estimate a person’s likely long-term risk of ESRD in the absence of donation. Methods We used meta-analyzed risk associations from 7 general population cohorts, calibrated to US population-level incidence of ESRD and mortality, to project the estimated long-term incidence of ESRD in the absence of donation according to 10 demographic and health characteristics. We then compared 15-year projections to observed risk among recent US living kidney donors (N=52,998). Results There were 4,933,314 participants followed a median of 4 to 16 years. For a 40-year-old person with health characteristics similar to age-matched kidney donors, the 15-year ESRD risk projections in the absence of donation varied by race and sex: 0.24%, 0.15%, 0.06%, and 0.04% in black men, black women, white men, and white women. Risk projections were higher in the presence of lower estimated glomerular filtration rate, higher albuminuria, hypertension, smoking, diabetes, and obesity. In the model-based lifetime projections, ESRD risk was highest at younger age, particularly among African Americans. Risk projections in the absence of donation were 3.5–5.3-fold lower than 15-year observed risk post-donation in US kidney donors. Conclusions We suggest multiple health characteristics be considered together to estimate long-term ESRD risk for living kidney donor candidates. PMID:26544982

  19. When Your Child Needs a Kidney Transplant

    MedlinePlus

    ... match test. This determines whether your child's immune system will accept the new kidney. If the test comes back negative, the kidney is acceptable and the transplant can begin. In the operating room, your child will be given general anesthesia ...

  20. Drugs Approved for Kidney (Renal Cell) Cancer

    MedlinePlus

    ... Ask about Your Treatment Research Drugs Approved for Kidney (Renal Cell) Cancer This page lists cancer drugs ... that are not listed here. Drugs Approved for Kidney (Renal Cell) Cancer Afinitor (Everolimus) Aldesleukin Avastin (Bevacizumab) ...

  1. Acute kidney injury after pediatric cardiac surgery.

    PubMed

    Singh, Sarvesh Pal

    2016-01-01

    Acute kidney injury is a common complication after pediatric cardiac surgery. The definition, staging, risk factors, biomarkers and management of acute kidney injury in children is detailed in the following review article. PMID:27052074

  2. Kidneys and Urinary Tract (For Parents)

    MedlinePlus

    ... can have permanent kidney damage that eventually requires dialysis or a kidney transplant. High blood pressure (hypertension) . ... to the failure and sometimes requires surgery or dialysis. Dialysis involves using a machine or other artificial ...

  3. Risk Factors for Chronic Kidney Disease

    MedlinePlus

    ... for answers to your questions about kidney function, dialysis, keeping a job, Medicare, exercise, and more. With ... touch of the sugar". About 44% of new dialysis patients have diabetes. What you can do: Kidney ...

  4. Biologic Therapy (Immunotherapy) for Kidney Cancer

    MedlinePlus

    ... articles window. My Saved Articles » My ACS » Kidney Cancer (Adult) - Renal Cell Carcinoma + - Text Size Download Printable Version [PDF] » Treating Kidney Cancer TOPICS Document Topics GO » SEE A LIST » How ...

  5. Acute Kidney Injury in the Elderly

    PubMed Central

    Abdel-Kader, Khaled; Palevsky, Paul

    2009-01-01

    Synopsis The aging kidney undergoes a number of important anatomic and physiologic changes that increase the risk of acute kidney injury (formerly acute renal failure) in the elderly. This article reviews these changes and discusses the diagnoses frequently encountered in the elderly patient with acute kidney injury. The incidence, staging, evaluation, management, and prognosis of acute kidney injury are also examined with special focus given to older adults. PMID:19765485

  6. The cell cycle and acute kidney injury.

    PubMed

    Price, Peter M; Safirstein, Robert L; Megyesi, Judit

    2009-09-01

    Acute kidney injury (AKI) activates pathways of cell death and cell proliferation. Although seemingly discrete and unrelated mechanisms, these pathways can now be shown to be connected and even to be controlled by similar pathways. The dependence of the severity of renal-cell injury on cell cycle pathways can be used to control and perhaps to prevent acute kidney injury. This review is written to address the correlation between cellular life and death in kidney tubules, especially in acute kidney injury.

  7. THE AGING KIDNEY: PHYSIOLOGICAL CHANGES

    PubMed Central

    Weinstein, Jessica R.; Anderson, Sharon

    2010-01-01

    Age-associated loss of kidney function has been recognized for decades. With aging, many subjects exhibit progressive decreases in glomerular filtration rate (GFR) and renal blood flow (RBF), with wide variability among individuals. The fall in GFR is due to reductions in the glomerular capillary plasma flow rate, and the glomerular capillary ultrafiltration coefficient. In addition, a primary reduction in afferent arteriolar resistance is associated with an increase in glomerular capillary hydraulic pressure. These hemodynamic changes occur in concert with structural changes, including loss of renal mass; hyalinization of afferent arterioles and in some cases, development of aglomerular arterioles; an increase in the percentage of sclerotic glomeruli; and tubulointerstitial fibrosis. Aging is associated with altered activity and responsiveness to vasoactive stimuli, such that responses to vasoconstrictor stimuli are enhanced, while vasodilatory responses are impaired. Changes in the activity of the renin-angiotensin and nitric oxide systems appear to be particularly important, as is the modulating effect of gender. These changes may predispose the older kidney to acute kidney injury, including normotensive ischemic nephropathy, as well as progressive chronic kidney disease. PMID:20610357

  8. Can kidney regeneration be visualized?

    PubMed Central

    Peti-Peterdi, János; Burford, James L.; Hackl, Matthias J.

    2014-01-01

    Background Various cell types, including podocytes and parietal epithelial cells (PECs), play important roles in the development and progression of glomerular kidney diseases, albuminuria and glomerulosclerosis. Besides their role in renal pathologies, glomerular cells have emerging new functions in endogenous repair mechanisms. Better understanding of the dynamics of the glomerular environment and cellular composition in the intact living kidney is critically important for the development of new regenerative therapeutic strategies for kidney diseases. However, progress in this field has been hampered by the lack of in vivo research tools. Summary This review summarizes the current state-of-the-art in the application of the unique intravital imaging technology of multiphoton fluorescence microscopy for the dynamic visualization of glomerular structure and function over time in the intact, living kidney. Recently, this imaging approach in combination with transgenic mouse models allowed to track the fate of individual glomerular cells in vivo over several days and depicted the highly dynamic nature of the glomerular environment, particularly in disease conditions. Key Messages The technology is ready and available for future intravital imaging studies investigating new glomerular regenerative approaches in animal models. PMID:24854647

  9. Kidney Tumors | Office of Cancer Genomics

    Cancer.gov

    Pediatric kidney tumors fall into four primary categories: Wilms tumors (~85% of all cases), clear cell sarcomas of the kidney (~5%), congenital mesoblastic nephromas (~4%), and rhabdoid tumors of the kidney (~3%). The TARGET initiative is investigating three of these tumor types.

  10. HIV and chronic kidney disease.

    PubMed

    Naicker, Saraladevi; Rahmanian, Sadaf; Kopp, Jeffrey B

    2015-01-01

    Chronic kidney disease (CKD) is a frequent complication of HIV infection, occurring in 3.5 - 48.5%, and occurs as a complication of HIV infection, other co-morbid disease and infections and as a consequence of therapy of HIV infection and its complications. The classic involvement of the kidney by HIV infection is HIV-associated nephropathy (HIVAN), occurring typically in young adults of African ancestry with advanced HIV disease in association with APOL1 high-risk variants. HIV-immune complex disease is the second most common diagnosis obtained from biopsies of patients with HIV-CKD. CKD is mediated by factors related to the virus, host genetic predisposition and environmental factors. The host response to HIV infection may influence disease phenotype through activation of cytokine pathways. With the introduction of antiretroviral therapy (ART), there has been a decline in the incidence of HIVAN, with an increasing prevalence of focal segmental glomerulosclerosis. Several studies have demonstrated the overall improvement in kidney function when initiating ART for HIV CKD. Progression to end stage kidney disease has been reported to be more likely when high grade proteinuria, severely reduced eGFR, hepatitis B and/C co-infection, diabetes mellitus, extensive glomerulosclerosis, and chronic interstitial fibrosis are present. Improved renal survival is associated with use of renin angiotensin system blockers and viral suppression. Many antiretroviral medications are partially or completely eliminated by the kidney and require dose adjustment in CKD. Certain drug classes, such as the protease inhibitors and the non-nucleoside reverse transcriptase inhibitors, are metabolized by the liver and do not require dose adjustment. HIV-infected patients requiring either hemo- or peritoneal dialysis, who are stable on ART, are achieving survival rates comparable to those of dialysis patients without HIV infection. Kidney transplantation has been performed successfully in HIV

  11. BARTERING FOR A COMPATIBLE KIDNEY USING YOUR INCOMPATIBLE, LIVE KIDNEY DONOR: LEGAL AND ETHICAL ISSUES RELATED TO KIDNEY CHAINS.

    PubMed

    Tenenbaum, Evelyn M

    2016-01-01

    Kidney chains are a recent and novel method of increasing the number of available kidneys for transplantation and have the potential to save thousands of lives. However, because they are novel, kidney chains do not fit neatly within existing legal and ethicalframeworks, raising potential barriers to their full implementation. Kidney chains are an extension of paired kidney donation, which began in the United States in 2000. Paired kidney donations allow kidney patients with willing, but incompatible, donors to swap donors to increase the number of donor/recipient pairs and consequently, the number of transplants. More recently, transplant centers have been using non-simultaneous, extended, altruistic donor ("NEAD") kidney chains--which consist of a sequence of donations by incompatible donors--to further expand the number of donations. This Article fully explains paired kidney donation and kidney chains and focuses on whether NEAD chains are more coercive than traditional kidney donation to a family member or close friend and whether NEAD chains violate the National Organ Transplant Act's prohibition on the transfer of organs for valuable consideration. PMID:27263265

  12. Experiential learning in the animal sciences: development of a multispecies large-animal management and production practicum.

    PubMed

    Reiling, B A; Marshall, T T; Brendemuhl, J H; McQuagge, J A; Umphrey, J E

    2003-12-01

    Students enrolled in an introductory animal science course (ASG 3003) at the University of Florida were surveyed (n = 788) over a 3-yr period to ascertain their current experience and career goals in animal agriculture. Sixty-one percent of the students indicated that they were from an urban background. Only 4% were raised on a farm or ranch where the majority of family income was attributed to production agriculture. Eighty-six percent of the students had minimal or no experience working with large domestic farm animals, but nearly 64% of the students wanted to pursue a career in veterinary medicine. Disciplinary and species interests of the students were highly associated with previous background experiences. Students from nonagricultural backgrounds, who were most likely to indicate a career interest involving veterinary medicine, were most interested (P < 0.05) in animal behavior, whereas the students of rural background were more interested (P < 0.05) in animal management. Thirty-three percent of students were primarily interested in small companion animals; 22% in horses; 20% in domestic farm animals, including beef, dairy, swine, or sheep; and 24% in undomesticated zoo animals or wildlife. The career goals indicated by most students necessitate practical application of animal husbandry skills that are often assumed as general knowledge. Thus, a multispecies large animal management and production practicum (ANS 3206) was developed to provide students with hands-on experience. It was an elective course, and students were encouraged to enroll for two consecutive semesters. Teams of students rotated responsibilities among four livestock species (beef, dairy, equine, and swine). Daily responsibilities at each of the units included feeding and monitoring growth of feedlot cattle and finishing swine, farrowing assistance and baby pig processing, and equine training and foaling assistance. Students were also involved with all facets of a working dairy. Additionally

  13. Targeting Iron Homeostasis in Acute Kidney Injury.

    PubMed

    Walker, Vyvyca J; Agarwal, Anupam

    2016-01-01

    Iron is an essential metal involved in several major cellular processes required to maintain life. Because of iron's ability to cause oxidative damage, its transport, metabolism, and storage is strictly controlled in the body, especially in the small intestine, liver, and kidney. Iron plays a major role in acute kidney injury and has been a target for therapeutic intervention. However, the therapies that have been effective in animal models of acute kidney injury have not been successful in human beings. Targeting iron trafficking via ferritin, ferroportin, or hepcidin may offer new insights. This review focuses on the biology of iron, particularly in the kidney, and its implications in acute kidney injury. PMID:27085736

  14. Kidney disease associated with plasma cell dyscrasias

    PubMed Central

    Goes, Nelson B.; Spitzer, Thomas R.; Raje, Noopur S.; Humphreys, Benjamin D.; Anderson, Kenneth C.; Richardson, Paul G.

    2010-01-01

    Plasma cell dyscrasias are frequently encountered malignancies often associated with kidney disease through the production of monoclonal immunoglobulin (Ig). Paraproteins can cause a remarkably diverse set of pathologic patterns in the kidney and recent progress has been made in explaining the molecular mechanisms of paraprotein-mediated kidney injury. Other recent advances in the field include the introduction of an assay for free light chains and the use of novel antiplasma cell agents that can reverse renal failure in some cases. The role of stem cell transplantation, plasma exchange, and kidney transplantation in the management of patients with paraprotein-related kidney disease continues to evolve. PMID:20462963

  15. Renal function in single-kidney rats.

    PubMed

    Provoost, A P; De Keijzer, M H; Wessel, J N; Molenaar, J C

    1989-01-01

    Can a single kidney survive for a normal life span? This is the type of question frequently asked by patients and especially by parents of children who lose one kidney in early childhood. Based on our wide experience with single-kidney rats, we will try to give an answer to this question. After the removal of its counterpart, the single remaining kidney will rapidly adapt to the new situation by a compensatory increase in the glomerular filtration rate (GFR) and renal mass. This is true not only for intact kidneys but also for damaged ones. The GFR level obtained by damaged kidneys will be less than that of intact single kidneys, however, depending on the degree of initial damage. The GFR is stable for a certain period of time, which is longer for intact single kidneys than for damaged kidneys and also depends on the daily protein intake; after that renal function will deteriorate. This decline in GFR is preceded by a marked increase in urinary protein excretion. Although the follow-up period is not completed yet, the survival time of single intact kidneys in rats on a normal diet is expected to be 15%-20% less than the normal rat life span. In rats on a lifelong high protein intake the kidney survival time drops to 40% below the normal rat life span. In rats on a moderately reduced protein intake, however, single intact kidneys may survive for a normal life span. The situation is worse for single damaged kidneys. Depending on the severity of the initial damage, kidney survival time will be much less than a normal life span. We studied rats with an initial recovery to 75% of renal function. Despite this initial recovery, the animals died of renal failure within 50% of the expected life span. A low-protein diet prolonged the renal survival by about 12%, a high-protein diet shortened it by the same percentage.

  16. Dietary phosphorus and kidney disease.

    PubMed

    Uribarri, Jaime

    2013-10-01

    High serum phosphate is linked to poor health outcome and mortality in chronic kidney disease (CKD) patients before or after the initiation of dialysis. Therefore, maintenance of normal serum phosphate levels is a major concern in the clinical care of this population with dietary phosphorus restriction and/or use of oral phosphate binders considered to be the best corrective care. This review discusses (1) evidence for an association between serum phosphate levels and bone and cardiovascular disease (CVD) in CKD patients as well as progression of kidney disease itself; (2) the relationship between serum phosphate and dietary phosphorus intake; and (3) implications from these data for future research. Increasing our understanding of the relationship between altered phosphorus metabolism and disease in CKD patients may clarify the potential role of excess dietary phosphorus as a risk factor for disease in the general population.

  17. Epigenetics in acute kidney injury

    PubMed Central

    Tang, Jinhua; Zhuang, Shougang

    2015-01-01

    Purpose of review Recent advances in epigenetics indicate the involvement of several epigenetic modifications in the pathogenesis of acute kidney injury (AKI). The purpose of this review is to summarize our understanding of recent advances in epigenetic regulation of AKI and provide mechanistic insight into the role of acetylation, methylation, and microRNA expression in the pathological processes of AKI. Recent findings Enhancement of protein acetylation by pharmacological inhibition of histone deacetylases (HDACs) leads to more severe tubular injury and impairment of renal structural and functional recovery. The changes in promoter DNA methylation occur in the kidney with ischemia/reperfusion. microRNA expression is associated with regulation of both renal injury and regeneration after AKI. Summary Recent studies on epigenetic regulation indicate that acetylation, methylation, and microRNA expression are critically implicated in the pathogenesis of AKI. Strategies targeting epigenetic processes may hold a therapeutic potential for patients with AKI. PMID:26050122

  18. Kidney Transplantation in the Elderly

    PubMed Central

    Huang, Edmund; Segev, Dorry L.; Rabb, Hamid

    2010-01-01

    Summary There is an increase in the older incident end-stage renal disease population that is associated with an increasing prevalence of end-stage renal disease in the United States. This trend is paralleled by an increasing rate of kidney transplantation in the elderly. Although patient survival is lower in older versus younger kidney recipients, the elderly benefit from a reduction in mortality rate and improved quality of life with transplantation compared with dialysis. Immunologic, physiologic, and psychosocial factors influence transplant outcomes and should be recognized in the care of the elderly transplant patient. In this review, we discuss transplantation in the elderly patient, particularly the topics of access to transplantation, patient and graft survival, the impact of donor quality on transplant outcomes, immunology and immunosuppression of aging, and ethical considerations in the development of an equitable organ allocation scheme. PMID:20006794

  19. Percutaneous Ablation in the Kidney

    PubMed Central

    Wood, Bradford J.; Gervais, Debra A.

    2011-01-01

    Percutaneous ablation in the kidney is now performed as a standard therapeutic nephron-sparing option in patients who are poor candidates for resection. Its increasing use has been largely prompted by the rising incidental detection of renal cell carcinomas with cross-sectional imaging and the need to preserve renal function in patients with comorbid conditions, multiple renal cell carcinomas, and/or heritable renal cancer syndromes. Clinical studies to date indicate that radiofrequency ablation and cryoablation are effective therapies with acceptable short- to intermediate-term outcomes and with a low risk in the appropriate setting, with attention to pre-, peri-, and postprocedural detail. The results following percutaneous radiofrequency ablation and cryoablation in the treatment of renal cell carcinoma are reviewed in this article, including those of several larger scale studies of ablation of T1a tumors. Clinical and technical considerations unique to ablation in the kidney are presented, and potential complications are discussed. © RSNA, 2011 PMID:22012904

  20. Kidney Regeneration: Lessons from Development

    PubMed Central

    Chiba, Takuto; Hukriede, Neil; de Caestecker, Mark P.

    2015-01-01

    A number of genes involved in kidney development are reactivated in the adult after acute kidney injury (AKI). This has led to the belief that tissue repair mechanisms recapitulate pathways involved in embryonic development after AKI. We will discuss evidence to support this hypothesis by comparing the mechanisms of development with common pathways known to regulate post-AKI repair, or that we identified as cell-specific candidates based on public datasets from recent AKI translational profiling studies. We will argue that while many of these developmental pathways are reactivated after AKI, this is not associated with general cellular reprogramming to an embryonic state. We will show that reactivation of these developmental genes is often associated with expression in cells that are not normally involved in mediating parallel responses in the embryo, and that depending on the cellular context, these responses can have beneficial or detrimental effects on injury and repair after AKI. PMID:26120499

  1. Vascular heterogeneity in the kidney.

    PubMed

    Molema, Grietje; Aird, William C

    2012-03-01

    Blood vessels and their endothelial lining are uniquely adapted to the needs of the underlying tissue. The structure and function of the vasculature varies both between and within different organs. In the kidney, the vascular architecture is designed to function both in oxygen/nutrient delivery and filtration of blood according to the homeostatic needs of the body. Here, we review spatial and temporal differences in renal vascular phenotypes in both health and disease.

  2. [Diabetic kidney disease - Update 2016].

    PubMed

    Sourij, Harald; Edlinger, Roland; Prischl, Friedrich; Auinger, Martin; Kautzky-Willer, Alexandra; Säemann, Marcus D; Prager, Rudolf; Clodi, Martin; Schernthaner, Guntram; Mayer, Gert; Oberbauer, Rainer; Rosenkranz, Alexander R

    2016-04-01

    Recent epidemiological evaluations have shown that approximately 5% of all Austrians suffer from diabetes including renal involvement, i. e. 400.000 people in Austria are affected. The risk of start and progression of this disease can be ameliorated by lifestyle interventions as well as optimization of blood pressure and glucose levels. The present article represents the joint recommendations of the Austrian Diabetes Association and the Austrian Society for Nephrology for the prevention and treatment of diabetic kidney disease. PMID:27052231

  3. Epigenetic memory in kidney diseases.

    PubMed

    Mimura, Imari

    2016-02-01

    Epigenetic mechanisms have been the focus of intensive research. De Marinis et al. demonstrated that high glucose levels exert stimulatory effects on activation histone marks, leading to the upregulation of thioredoxin-interacting protein (TXNIP) gene expression, which is proinflammatory. They also showed that the effect was reversed by the inhibition of histone acetyltransferase, suggesting a new therapeutic approach for improving diabetic kidney disease. Epigenetic changes are memorized as epigenetic memory that could exacerbate diabetic complications.

  4. Nephrology Update: Chronic Kidney Disease.

    PubMed

    Saha, Sharmeela; Rahman, Mahboob

    2016-05-01

    Chronic kidney disease (CKD) affects more than 1 in 10 individuals in the United States. The care of these patients must be managed by family physicians and nephrology subspecialists. The kidneys often are affected by systemic processes such as diabetes and hypertension, and optimal management of these conditions is critical to slow decline in renal function in CKD patients. These patients are at high risk of cardiovascular disease, and statin therapy is recommended for adults with CKD who are at least age 50 years and not receiving dialysis. Patients with CKD and anemia can be treated with iron therapy and often with an erythropoietin-stimulating agent. Electrolyte abnormalities are managed with dietary changes and drugs. Sodium restriction and modification of dietary protein intake also may be needed. Consultation with a renal dietitian may be helpful. Because many drugs are metabolized by the kidneys, physicians should ensure that drug dosages are appropriate for the level of renal function. Early consultation with or referral to a nephrology subspecialist for patients with reduced renal function, resistant hypertension or electrolyte levels, and other conditions have been associated with improved outcomes in CKD patients.

  5. Nephrology Update: Chronic Kidney Disease.

    PubMed

    Saha, Sharmeela; Rahman, Mahboob

    2016-05-01

    Chronic kidney disease (CKD) affects more than 1 in 10 individuals in the United States. The care of these patients must be managed by family physicians and nephrology subspecialists. The kidneys often are affected by systemic processes such as diabetes and hypertension, and optimal management of these conditions is critical to slow decline in renal function in CKD patients. These patients are at high risk of cardiovascular disease, and statin therapy is recommended for adults with CKD who are at least age 50 years and not receiving dialysis. Patients with CKD and anemia can be treated with iron therapy and often with an erythropoietin-stimulating agent. Electrolyte abnormalities are managed with dietary changes and drugs. Sodium restriction and modification of dietary protein intake also may be needed. Consultation with a renal dietitian may be helpful. Because many drugs are metabolized by the kidneys, physicians should ensure that drug dosages are appropriate for the level of renal function. Early consultation with or referral to a nephrology subspecialist for patients with reduced renal function, resistant hypertension or electrolyte levels, and other conditions have been associated with improved outcomes in CKD patients. PMID:27163761

  6. Endogenous Inhibitors of Kidney Inflammation

    PubMed Central

    Trostel, Jessica; Garcia, Gabriela E.

    2015-01-01

    Although inflammation is the physiological response to pathogen invasion and tissue damage, it can also be responsible for significant tissue damage. Therefore, the inflammatory response must be carefully regulated to prevent critical inflammatory damage to vital organs. Typically, local endogenous regulatory mechanisms adjust the magnitude of the response such that the injurious condition is resolved and homeostasis is mantained. Humoral mechanisms that restrain or inhibit inflammation include glucocorticoid hormones, anti-inflammatory cytokines such as IL-10 and transforming growth factor-β (TGF-β), and soluble cytokine receptors; other mediators facilitate tissue healing, like lipoxins and resolvins. There is growing evidence that inflammation plays a critical role in the development and progression of heart disease, cancer, stroke, diabetes, kidney diseases, sepsis, and several fibroproliferative disorders. Consequently, understanding the mechanisms that regulate inflammation may offer therapeutic targets for inhibiting the progression of several diseases. In this article, we review the significance of several novel endogenous anti-inflammatory mediators in the protection from kidney injury and the potential of these regulatory molecules as therapeutic targets for treatment of kidney inflammatory diseases. PMID:26779569

  7. Multiple Myeloma and Kidney Disease

    PubMed Central

    Noiri, Eisei

    2013-01-01

    Multiple myeloma (MM) has a high incidence rate in the elderly. Responsiveness to treatments differs considerably among patients because of high heterogeneity of MM. Chronic kidney disease (CKD) is a common clinical feature in MM patients, and treatment-related mortality and morbidity are higher in MM patients with CKD than in patients with normal renal function. Recent advances in diagnostic tests, chemotherapy agents, and dialysis techniques are providing clinicians with novel approaches for the management of MM patients with CKD. Once reversible factors, such as hypercalcemia, have been corrected, the most common cause of severe acute kidney injury (AKI) in MM patients is tubulointerstitial nephropathy, which results from very high circulating concentrations of monoclonal immunoglobulin free light chains (FLC). In the setting of AKI, an early reduction of serum FLC concentration is related to kidney function recovery. The combination of extended high cutoff hemodialysis and chemotherapy results in sustained reductions in serum FLC concentration in the majority of patients and a high rate of independence from dialysis. PMID:24288486

  8. NAFLD and Chronic Kidney Disease

    PubMed Central

    Marcuccilli, Morgan; Chonchol, Michel

    2016-01-01

    Non-alcoholic fatty liver disease (NAFLD) is the most common cause of chronic liver disease in developed countries and it is now considered a risk factor for cardiovascular disease. Evidence linking NAFLD to the development and progression of chronic kidney disease (CKD) is emerging as a popular area of scientific interest. The rise in simultaneous liver-kidney transplantation as well as the significant cost associated with the presence of chronic kidney disease in the NAFLD population make this entity a worthwhile target for screening and therapeutic intervention. While several cross-sectional and case control studies have been published to substantiate these theories, very little data exists on the underlying cause of NAFLD and CKD. In this review, we will discuss the most recent publications on the diagnosis of NAFLD as well new evidence regarding the pathophysiology of NAFLD and CKD as an inflammatory disorder. These mechanisms include the role of obesity, the renin-angiotensin system, and dysregulation of fructose metabolism and lipogenesis in the development of both disorders. Further investigation of these pathways may lead to novel therapies that aim to target the NAFLD and CKD. However, more prospective studies that include information on both renal and liver histology will be necessary in order to understand the relationship between these diseases. PMID:27089331

  9. Role of kidney Doppler ultrasonography in the diagnosis and management of anuric kidney failure.

    PubMed

    Zand, Ladan; King, Bernard F; Qian, Qi

    2014-08-01

    Kidney perfusion can be acutely compromised by many factors including reduced systemic blood pressure and elevated intra-abdominal pressure. We present a case of near complete absence of kidney perfusion in a 57-year-old man with heart failure and new onset ascites. The renal perfusion defect was directly detected by Doppler ultrasonography. Immediate decompression with large-volume paracentesis restored the kidney perfusion and kidney function. This case illustrates that renal ultrasonography with Doppler flow analysis in appropriate settings can serve as an important adjunct in the diagnosis and treatment of acute oligoanuric kidney failure. Timely reversal of the perfusion defect can rescue kidney function.

  10. Assisting undergraduate nursing students to learn evidence-based practice through self-directed learning and workshop strategies during clinical practicum.

    PubMed

    Zhang, Qi; Zeng, Tieying; Chen, Ying; Li, Xiaopan

    2012-07-01

    To equip undergraduate nursing students with basic knowledge and skills and foster positive attitudes toward evidence-based practice (EBP), a pilot learning program during their clinical practicum was developed in a teaching hospital in China. This article describes the specific learning process through which self-directed learning and workshop strategies were used, and a pre- and post-intervention survey were conducted to evaluate the effectiveness of the learning strategies. The findings show a significant improvement in their perceptions of EBP knowledge, attitudes and beliefs, and behavior levels. Beginning competencies in EBP were achieved. Participants reported great satisfaction and have found this program helpful in promoting their analytical and problem-solving abilities, independent learning ability, and cooperative and communication abilities as well.

  11. Extracorporeal shockwave lithotripsy in anomalous kidneys.

    PubMed

    Baltaci, S; Sarica, K; Ozdiler, E; Dinçel, C; Küpeli, S; Gögüş, O

    1994-06-01

    Traditionally, stones in anomalous kidneys have been removed by open or percutaneous surgery. Extracorporeal shockwave lithotripsy (SWL) with the Dornier MPL 9000 lithotripter was performed in seven patients with horseshoe kidneys, four with pelvic ectopic kidneys, and six with malrotated kidneys. Twelve patients (71%) needed repeated treatments. A total of 11 patients (65%) in all the groups were stone free, and four patients had asymptomatic residual fragments no more than 5 mm in diameter. In the remaining two patients, no sign of stone disintegration was observed, and they underwent open surgery. Extracorporeal lithotripsy is the treatment of choice for stones in horseshoe or malrotated kidneys but is not useful for stones in most pelvic kidneys.

  12. Cyclosporine increases calcium in kidney medulla

    SciTech Connect

    Borowitz, J.L.

    1988-01-01

    Treatment of rats with 20, 50, or 100 mg/kg of cyclosporine p.o. markedly increased /sup 45/Ca accumulation in kidney slices especially in medulla. The effect was related to dose and duration of treatment, and was also observed in slices of kidney medulla from cyclosporine-treated mice. Total calcium was elevated in kidney medulla of cyclosporine-treated rats so that the effect is not merely an increased exchange but a build-up of calcium in the tissue. No histopathologic evidence of cyclosporine-related cell necrosis was present in mouse kidney, showing that calcium accumulation is not dystrophic in character. Accumulation of /sup 45/Ca in slices of rat heart, liver, or brain was not affected by cyclosporine pretreatment of the animals. It is suggested that cyclosporine-induced changes in calcium metabolism in kidney medulla may influence kidney function.

  13. CT of trauma to the abnormal kidney

    SciTech Connect

    Rhyner, P.; Federle, M.P.; Jeffrey, R.B.

    1984-04-01

    Traumatic injuries to already abnormal kidneys are difficult to assess by excretory urography and clinical evaluation. Bleeding and urinary extravasation may accompany minor trauma; conversely, underlying tumors, perirenal hemorrhage, and extravasation may be missed on urography. Computed tomography (CT) was performed in eight cases including three neoplasms, one adult polycystic disease, one simple renal cyst, two hydronephrotic kidneys, and one horseshoe kidney. CT provided specific and clinically useful information in each case that was not apparent on excretory urography.

  14. Phosphatidylinositol 3-kinase signaling determines kidney size

    PubMed Central

    Chen, Jian-Kang; Nagai, Kojiro; Chen, Jianchun; Plieth, David; Hino, Masayo; Xu, Jinxian; Sha, Feng; Ikizler, T. Alp; Quarles, C. Chad; Threadgill, David W.; Neilson, Eric G.; Harris, Raymond C.

    2015-01-01

    Kidney size adaptively increases as mammals grow and in response to the loss of 1 kidney. It is not clear how kidneys size themselves or if the processes that adapt kidney mass to lean body mass also mediate renal hypertrophy following unilateral nephrectomy (UNX). Here, we demonstrated that mice harboring a proximal tubule–specific deletion of Pten (PtenptKO) have greatly enlarged kidneys as the result of persistent activation of the class I PI3K/mTORC2/AKT pathway and an increase of the antiproliferative signals p21Cip1/WAF and p27Kip1. Administration of rapamycin to PtenptKO mice diminished hypertrophy. Proximal tubule–specific deletion of Egfr in PtenptKO mice also attenuated class I PI3K/mTORC2/AKT signaling and reduced the size of enlarged kidneys. In PtenptKO mice, UNX further increased mTORC1 activation and hypertrophy in the remaining kidney; however, mTORC2-dependent AKT phosphorylation did not increase further in the remaining kidney of PtenptKO mice, nor was it induced in the remaining kidney of WT mice. After UNX, renal blood flow and amino acid delivery to the remaining kidney rose abruptly, followed by increased amino acid content and activation of a class III PI3K/mTORC1/S6K1 pathway. Thus, our findings demonstrate context-dependent roles for EGFR-modulated class I PI3K/mTORC2/AKT signaling in the normal adaptation of kidney size and PTEN-independent, nutrient-dependent class III PI3K/mTORC1/S6K1 signaling in the compensatory enlargement of the remaining kidney following UNX. PMID:25985273

  15. Wait too long to talk about kidney disease and you could be waiting for a kidney.

    MedlinePlus

    ... Home Current Issue Past Issues Public Service Announcement Kidney Disease Past Issues / Summer 2006 Table of Contents ... Javascript on. Wait too long to talk about kidney disease and you could be waiting for a ...

  16. Subclinical Celiac Disease and Crystal-Induced Kidney Disease Following Kidney Transplant

    PubMed Central

    Capolongo, Giovanna; Abul-Ezz, Sameh; Moe, Orson W.; Sakhaee, Khashayar

    2015-01-01

    Decreased kidney function from kidney deposition of calcium oxalate has been previously described in inflammatory bowel disease as well as following jejuno-ileal and Roux-en-Y gastric bypass surgeries. Although celiac disease is the most prevalent bowel abnormality associated with intestinal malabsorption, its relationship to high kidney oxalate burden and decreased kidney function has not been established. We report a case of subclinical celiac disease and hyperoxaluria that presented with loss of kidney function as a result of high oxalate load in the absence of overt diarrhea, documented intestinal fat malabsorption, and nephrolithiasis. Subclinical celiac disease is commonly overlooked and hyperoxaluria is not usually investigated in kidney patients. We propose that this entity should be suspected in patients with chronic kidney disease in which the etiology of kidney damage has not been clearly established. PMID:22739230

  17. Kidney biomimicry--a rediscovered scientific field that could provide hope to patients with kidney disease.

    PubMed

    Stenvinkel, Peter; Johnson, Richard J

    2013-11-01

    Most studies on kidney disease have relied on classic experimental studies in mice and rats or clinical studies in humans. From such studies much understanding of the physiology and pathophysiology of kidney disease has been obtained. However, breakthroughs in the prevention and treatment of kidney diseases have been relatively few, and new approaches to fight kidney disease are needed. Here we discuss kidney biomimicry as a new approach to understand kidney disease. Examples are given of how various animals have developed ways to prevent or respond to kidney failure, how to protect themselves from hypoxia or oxidative stress and from the scourge of hyperglycemia. We suggest that investigation of evolutionary biology and comparative physiology might provide new insights for the prevention and treatment of kidney disease.

  18. Kidney biomimicry--a rediscovered scientific field that could provide hope to patients with kidney disease.

    PubMed

    Stenvinkel, Peter; Johnson, Richard J

    2013-11-01

    Most studies on kidney disease have relied on classic experimental studies in mice and rats or clinical studies in humans. From such studies much understanding of the physiology and pathophysiology of kidney disease has been obtained. However, breakthroughs in the prevention and treatment of kidney diseases have been relatively few, and new approaches to fight kidney disease are needed. Here we discuss kidney biomimicry as a new approach to understand kidney disease. Examples are given of how various animals have developed ways to prevent or respond to kidney failure, how to protect themselves from hypoxia or oxidative stress and from the scourge of hyperglycemia. We suggest that investigation of evolutionary biology and comparative physiology might provide new insights for the prevention and treatment of kidney disease. PMID:24220764

  19. Basics of kidney biopsy: A nephrologist's perspective

    PubMed Central

    Agarwal, S. K.; Sethi, S.; Dinda, A. K.

    2013-01-01

    The introduction of the kidney biopsy is one of the major events in the history of nephrology. Primary indications of kidney biopsy are glomerular hematuria/proteinuria with or without renal dysfunction and unexplained renal failure. Kidney biopsy is usually performed in prone position but in certain situations, supine and lateral positions may be required. Biopsy needles have changed with times from Vim–Silverman needle to Tru-cut needle to spring-loaded automatic gun. The procedure has also changed from blind bedside kidney biopsy to ultrasound marking to real-time ultrasound guidance to rarely computerized tomography guidance and laparoscopic and open biopsy. In very specific situations, transjugular kidney biopsy may be required. Most of the centers do kidney biopsy on short 1-day admission, whereas some take it as an outdoor procedure. For critical interpretation of kidney biopsy, adequate sample and clinical information are mandatory. Tissue needs to be stained with multiple stains for delineation of various components of kidney tissue. Many consider that electron microscopy (EM) is a must for all kidney biopsies, but facilities for EM are limited even in big centers. Sophisticated tests such as immunohistochemistry and in-situ hybridization are useful adjuncts for definitive diagnosis in certain situations. PMID:23960337

  20. Contrast-associated Acute Kidney Injury.

    PubMed

    Weisbord, Steven D; Palevsky, Paul M

    2015-10-01

    Contrast-associated acute kidney injury (CAAKI) is a common iatrogenic condition. The principal risk factors for CAAKI are underlying renal impairment; diabetes in the setting of kidney disease; and intravascular volume depletion, effective or absolute. CAAKI is associated with serious adverse short-term and long-term outcomes, including mortality and more rapidly progressive chronic kidney disease, although the causal nature of these associations remains unproved. Patients with chronic kidney disease and other risk factors for CAAKI who present with acute coronary syndrome should undergo indicated angiographic procedures.