3,798 research outputs found
Complexity, Depth Ecology and Climate Change
No full textDiscussions with Depth Psychologists in the Age of the Anthropocene: This book contains dynamic perspectives on global challenges such as ecological destruction, climate issues, failed leadership, and limiting beliefs, while turning to imagination, dreams, symbol, metaphor, and mythology to help us gain a broader understanding of how we each fit into the fabric of the whole.If you care about the planet and your part in it, don't miss this important series of interviews with leading scholars, educators, depth psychologists, and scientists who each bring critical information on how to respond to the growing crisis through connection with soul.Contributors include Jungian analyst Jerome Bernstein; climate scientist and Jungian, Jeffrey Kiehl; Jungian scholar, Susan Rowland; Depth educator/author Robert Romanyshyn; Depth educator Veronica Goodchild; plus other scholars, educators, or Jungian analysts including Steve Aizenstat, Sally Gillespie, Susannah Benson, Nancy Furlotti, Michael Conforti -co-edited by Bonnie Bright and Jonathan Paul Marshall. See also
Cincinnati 1996
No full textBright Sheng.Live recording.Title and author not confirmed.Electronic reproduction from Rulan Chao Pian Audio Cassette Collection.Performers, unknown
R code for: A fat chance of survival: Body condition provides life-history dependent buffering of environmental change in a wild mammal population
No full textAll R code files used in the analysis of data for "A fat chance of survival: Body condition provides life-history dependent buffering of environmental change in a wild mammal population", published in Climate Change Ecology (doi: 10.1016/j.ecochg.2021.100022). For any questions, as well as the data underpinning these analyses, please reach out to the corresponding author: [email protected]
Circadian Phase-Shifting Effects of Bright Light, Exercise, and Bright Light + Exercise
Full text linkabstract: Limited research has compared the circadian phase-shifting effects of bright light and exercise and additive effects of these stimuli. The aim of this study was to compare the phase-delaying effects of late night bright light, late night exercise, and late evening bright light followed by early morning exercise. In a within-subjects, counterbalanced design, 6 young adults completed each of three 2.5-day protocols. Participants followed a 3-h ultra-short sleep-wake cycle, involving wakefulness in dim light for 2h, followed by attempted sleep in darkness for 1 h, repeated throughout each protocol. On night 2 of each protocol, participants received either (1) bright light alone (5,000 lux) from 2210–2340 h, (2) treadmill exercise alone from 2210–2340 h, or (3) bright light (2210–2340 h) followed by exercise from 0410–0540 h. Urine was collected every 90 min. Shifts in the 6-sulphatoxymelatonin (aMT6s) cosine acrophase from baseline to post-treatment were compared between treatments. Analyses revealed a significant additive phase-delaying effect of bright light + exercise (80.8 ± 11.6 [SD] min) compared with exercise alone (47.3 ± 21.6 min), and a similar phase delay following bright light alone (56.6 ± 15.2 min) and exercise alone administered for the same duration and at the same time of night. Thus, the data suggest that late night bright light followed by early morning exercise can have an additive circadian phase-shifting effect.The final version of this article, as published in Journal of Circadian Rhythms, can be viewed online at: http://www.jcircadianrhythms.com/article/10.5334/jcr.137
Variation in the surgical management of complicated diverticulitis: a cross-sectional study of European surgeons
No full textIntroduction: There are many options for the surgical management of complicated diverticulitis, and standards vary widely despite international practice recommendations. We conducted a survey to capture the variation in practice across Europe.
Methods: An online questionnaire was distributed to fellow and surgeon members of the European Association of Endoscopic Surgery (EAES) via email using the Opinio survey platform. Participants shared their demographic details. We asked members to rank the most likely intervention for patients with both stable and unstable Hinchey Class III, as well as Hinchey Class IV diverticulitis based on practice standards in their country. We used descriptive statistics, including counts and percentages, to characterize survey results. We created a heatmap to visualize the percentage of votes received for each intervention.
Results: We received 233 responses from surgeons and fellows across Europe from various countries, including Italy (35.6%), Greece (11.2%), and the United Kingdom (9.9%). Most members (79.4%) self-reported having expertise in colorectal surgery. For patients with stable Hinchey III diverticulitis, surgeons offered Hartmann's resection (HR) (41.6%), primary resection and anastomosis (PRA) (18.5%), laparoscopic peritonea lavage (LPL) prior to HR (16.9%), or LPL prior to PRA (15.5%), or LPL only (8.6%). In total, 31.4% of respondents offered LPL prior to sigmoid resection (HR + PRA). For patients with unstable Hinchey III diverticulitis, respondents offered HR (73.9%), PRA (3.85%), LPL only (6.84%), or LPL followed by sigmoid resection (15.4%). For patients with stable Hinchey IV diverticulitis, surgeons offered HR (71.7%), PRA (4.7%), LPL only (1.3%), or LPL then sigmoid resection (22.3%). Finally, for patients with unstable Hinchey IV diverticulitis, surgeons offered HR (83.1%), PRA (1.3%), LPL only (3.5%), or LPL followed by sigmoid resection (12.1%).
Conclusion: Significant variation exists in the surgical management of complicated diverticulitis across Europe. Efforts must be made to increase the awareness and uptake of surgical guideline recommendations in clinical practice
Dr. GPT will see you now: the ability of large language model-linked chatbots to provide colorectal cancer screening recommendations
No full textPurpose: This study assessed the performance of LLM-linked chatbots in providing accurate advice for colorectal cancer
screening to both clinicians and patients.
Methods: We created standardized prompts for nine patient cases varying by age and family history to query ChatGPT, Bing
Chat, Google Bard, and Claude 2 for screening recommendations to clinicians. Chatbots were asked to specify which screening test was indicated and the frequency of interval screening. Separately, the chatbots were queried with lay terminology
for screening advice to patients. Clinician and patient advice was compared to guidelines from the United States Preventive
Services Task Force (USPSTF), Canadian Cancer Society (CCS), and the U.S. Multi-Society Task Force (USMSTF) on
Colorectal Cancer.
Results: Based on USPSTF criteria, clinician advice aligned with 3/4 (75.0%), 2/4 (50.0%), 3/4 (75.0%), and 1/4 (25.0%)
cases for ChatGPT, Bing Chat, Google Bard, and Claude 2, respectively. With CCS criteria, clinician advice corresponded
to 2/4 (50.0%), 2/4 (50.0%), 2/4 (50.0%), and 1/4 (25.0%) cases for ChatGPT, Bing Chat, and Google Bard, respectively.
For USMSTF guidelines, clinician advice aligned with 7/9 (77.8%), 5/9 (55.6%), 6/9 (66.7%), and 3/9 (33.3%) cases for
ChatGPT, Bing Chat, Google Bard, and Claude 2, respectively. Discordant advice was given to clinicians and patients for 2/9
(22.2%), 3/9 (33.3%), 2/9 (22.2%), and 3/9 (33.3%) cases for ChatGPT, Bing Chat, Google Bard, and Claude 2, respectively.
Clinical advice provided by the chatbots stemmed from a range of sources including the American Cancer Society (ACS),
USPSTF, USMSTF, and the CCS.
Conclusion: LLM-linked chatbots provide colorectal cancer screening recommendations with inconsistent accuracy for both
patients and clinicians. Clinicians must educate patients on the pitfalls of using these platforms for health advice
Henri Temianka Correspondence; (bright)
Full text linkThis collection contains material pertaining to the life, career, and activities of Henri Temianka, violin virtuoso, conductor, music teacher, and author. Materials include correspondence, concert programs and flyers, music scores, photographs, and books.https://digitalcommons.chapman.edu/temianka_correspondence/1461/thumbnail.jp
- …
