The impact of coastal realignment on the availability of ecosystem services: gains, losses and trade-offs from a local community perspective.

Coastal realignment is the procedure of repositioning or removing coastal defense structures to restore tidal flooding and facilitate the development of intertidal ecosystems in a previously reclaimed area from the sea. A key policy objective of coastal realignment is to increase ecosystem services provided by intertidal ecosystems and thereby contribute to human well-being. However, the social response to coastal realignment is often negative, raising the question as to what extent communities living nearby project locations recognize, value and benefit from the goods and services provided by restored intertidal ecosystems.

The Li-F-H ternary system at high pressures.

Evolutionary crystal structure prediction searches have been employed to explore the ternary Li-F-H system at 300 GPa. Metastable phases were uncovered within the static lattice approximation, with LiFH, LiFH, LiFH, LiFH, LiFH, and LiFH lying within 50 meV/atom of the 0 K convex hull. All of these phases contain HF (n = 1, 2) anions and Li cations.

Explanations for medically unexplained symptoms: a qualitative study on GPs in daily practice consultations.

Background: General practice is the centre of care for patients with medically unexplained symptoms (MUS). Providing explanations for MUS, i.e.

Palliative Care for Terminally Ill Individuals With Borderline Personality Disorder.

Individuals with borderline personality disorder (BPD) exhibit persistent patterns of instability in mood, impulse control, self-image, and interpersonal relationships. These issues complicate quality end-of-life care for this population and are of particular concern for hospice and palliative care nurses and health care providers. This article presents case studies of terminally ill individuals with BPD as a series of vignettes that present common clinical issues encountered by the palliative care team.

Symptom management for medically unexplained symptoms in primary care: a qualitative study.

Background: GPs have a central position in the care of patients with medically unexplained symptoms (MUS), but GPs find their care challenging. Currently, little is known about symptom management by GPs in daily practice for patients with MUS.

Aim: This study aimed to describe management strategies used by GPs when confronted with patients with MUS in daily practice.

Effects of Nonhydrostatic Stress on Structural and Optoelectronic Properties of Methylammonium Lead Bromide Perovskite.

We report synchrotron X-ray diffraction, photoconductivity, and photoluminescence investigations of methylammonium-lead-bromide (MAPbBr) under various stress conditions, supported by density-functional-theory (DFT) calculations. The properties of MAPbBr show substantial dependence on the hydrostatic conditions. While nonhydrostatic compression of MAPbBr leads to amorphization above 2.

Decomposition Products of Phosphine Under Pressure: PH2 Stable and Superconducting?

Evolutionary algorithms (EAs) coupled with density functional theory (DFT) calculations have been used to predict the most stable hydrides of phosphorus (PHn, n = 1-6) at 100, 150, and 200 GPa. At these pressures phosphine is unstable with respect to decomposition into the elemental phases, as well as PH2 and H2. Three metallic PH2 phases were found to be dynamically stable and superconducting between 100 and 200 GPa.

Heme interplay between IlsA and IsdC: Two structurally different surface proteins from Bacillus cereus.

Background: Iron is an essential element for bacterial growth and virulence. Because of its limited bioavailability in the host, bacteria have adapted several strategies to acquire iron during infection. In the human opportunistic bacteria Bacillus cereus, a surface protein IlsA is shown to be involved in iron acquisition from both ferritin and hemoproteins.

More Than Fear Induction: Toward an Understanding of People's Motivation to Be Well-Prepared for Emergencies in Flood-Prone Areas.

This article examines the extent and manner to which evaluations of flood-related precautions are affected by an individual's motivation and perception of context. It argues that the relationship between risk perception and flood risk preparedness can be fruitfully specified in terms of vulnerability and efficacy if these concepts are put into the perspective of prevention-focused motivation. This relationship was empirically examined in a risk communication experiment in a delta area of the Netherlands (n = 1,887).

Palliative care for terminally ill individuals with schizophrenia.

Individuals with schizophrenia are often medically undertreated and experience symptoms that interfere with communication and the capacity to make medical decisions. These issues complicate quality end-of-life care for this population and are of particular concern for hospice and palliative care nurses and health care providers. This article presents a case study of a terminally ill patient with schizophrenia.

Direct thermodynamic and kinetic measurements of Fe²⁺ and Zn²⁺ binding to human serum transferrin.

Human serum transferrin (hTf) is a single-chain bilobal glycoprotein that efficiently delivers iron to mammalian cells by endocytosis via the transferrin/transferrin receptor system. While extensive studies have been directed towards the study of ferric ion binding to hTf, ferrous ion interactions with the protein have never been firmly investigated owing to the rapid oxidation of Fe(II) to Fe(III) and the difficulty in maintaining a fully anaerobic environment. Here, the binding of Fe(2+) and Zn(2+) ions to hTf has been studied under anaerobic and aerobic conditions, respectively, in the presence and absence of bicarbonate by means of isothermal titration calorimetry (ITC) and fluorescence spectroscopy.

You have been framed! How antecedents of information need mediate the effects of risk communication messages.

This study investigates the processes that mediate the effects of framing flood risks on people's information needs. Insight into the effects of risk frames is important for developing balanced risk communication that explains both risks and benefits of living near water. The research was inspired by the risk information seeking and processing model and related models.

Improving flood risk communication by focusing on prevention-focused motivation.

This article proposes an approach to flood risk communication that gives particular emphasis to the distinction between prevention and promotion motivation. According to E. Tory Higgins, the promotion system and the prevention system are assumed to coexist in every person, but one or the other may be temporarily or chronically more accessible.

Hospice and palliative care for terminally ill individuals with serious and persistent mental illness: widening the horizons.

Terminally ill individuals with serious and persistent mental illness (SPMI) are currently underserved by palliative care. However, palliative care nurses can expect to see more patients with SPMI because an estimated 6% of the adult population has chronic mental illness, and mortality and morbidity rates are higher in this group. Reasons for these increased rates are discussed.

Perception and communication of flood risks: a systematic review of empirical research.

Flood hazards are the most common and destructive of all natural disasters. For decades, experts have been examining how flood losses can be mitigated. Just as in other risk domains, the study of risk perception and risk communication has gained increasing interest in flood risk management.

The thermodynamic and binding properties of the transferrins as studied by isothermal titration calorimetry.

Background: In mammals, serum-transferrins transport iron from the neutral environment of the blood to the cytoplasm by receptor-mediated endocytosis. Extensive in-vitro studies have focused on the thermodynamics and kinetics of Fe(3+) binding to a number of transferrins. However, little attention has been given to the thermodynamic characterization of the interaction of transferrin with its receptor.

Emotions, trust, and perceived risk: affective and cognitive routes to flood preparedness behavior.

Despite the prognoses of the effects of global warming (e.g., rising sea levels, increasing river discharges), few international studies have addressed how flood preparedness should be stimulated among private citizens.

Does communicating (flood) risk affect (flood) risk perceptions? Results of a quasi-experimental study.

People's risk perceptions are generally regarded as an important determinant of their decisions to adjust to natural hazards. However, few studies have evaluated how risk communication programs affect these risk perceptions. This study evaluates the effects of a small-scale flood risk communication program in the Netherlands, consisting of workshops and focus group discussions.

The perception of flood risk and water nuisance.

In this paper we applied the psychometric paradigm to validate a questionnaire that assesses the risk perception characteristics of flooding and water nuisance. The state-trait anxiety inventory was used as a bench mark to determine whether perceptions are related to anxiety characteristics. A focus group was used to further validate the questionnaire.

Nursing staff's attitudes toward seclusion & restraint.

1. Staff preferred to treat patients as they themselves wanted to be treated. 2.

Syndrome of inappropriate antidiuretic hormone secretion: recognition and management.

Older persons are at greater risk for developing hyponatremia. Renal system changes which occur with aging cause alterations in the functional balance of fluid and electrolytes, and sodium regulation is not as effective. In one form of hyponatremia seen among the elderly, total body sodium content is normal, but water is retained because of increased antidiuretic hormone (ADH) secretion.

The elderly type II diabetic: a treatment challenge.

Type II or noninsulin dependent diabetes mellitus is the predominant type of diabetes in the elderly. Complexities of diabetes management with elderly patients are discussed, including differences in presenting signs and symptoms of the disease, treatment complications that occur with concomitant illnesses or age-related physiological changes, and drug interactions that can lead to either hypo- or hyperglycemia. The goals of treatment are discussed.

Reducing restraints: where to start.

To begin a restraint reduction program at a large neuropsychiatric Veterans Affairs medical center, nursing educators examined perceptions of and knowledge about restraint use among 113 nursing staff members employed on one acute, two intermediate, and five long-term care units. Strumpf and Evans' (1988) Perceptions of Restraint Use Questionnaire, a knowledge test, and questions about personal characteristics were used. Top reasons for restraint use identified were to prevent pulling on an intravenous line, to prevent breaking open sutures, and to protect from a fall.