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The observation that “(d)rugs don’t work in patients who don’t take them” seems obvious; however, for older people living with HIV and cardiovascular disease (CVD), the potential for taking large numbers of medications on a regular basis may present as an overwhelming task, particularly as HIV and CVD progress and worsen over time. The extent to which older people living with HIV and CVD follow medication schedules for the treatment of these chronic health conditions is not understood well, and myriad questions exist with regard to medication adherence and older people living with HIV and CVD. For instance, do older people living with HIV and CVD take all medications as prescribed? Does this group prioritize which medications to take, perhaps demonstrating a preference for taking antiretroviral medications for the treatment of HIV as opposed to statins for the treatment of CVD? In the process of answering these and other questions, recognizing the individual and his or her attitudes and behaviors within the context of the dyadic relationship shared between patient and physician is paramount. Developing a more thorough understanding of this dyadic relationship allows for a better grasp of the context within which medication adherence occurs for older people living with HIV and CVD. That said, because of the ability to lend itself to an understanding of human behavior, human development, and psychology, the Andersen and Newman Behavioral Model of Health Service Use provides a worthwhile conceptual basis for beginning to answer these questions. © 2015 The Author(s). This open access article is distributed under a Creative Commons Attribution (CC-BY) 4.0 license.
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The chapter traces the development of Orthodoxy by focusing on the Ecumenical Patriarchate of Constantinople and the Russian Orthodox Church in the early modern period. It is based on the premise that in both cases Orthodoxy faced three main challenges: imperial/political, intellectual, and financial. In both the Ottoman and the Russian empires, the Orthodox Church played important roles in the political, administrative, cultural, economic, ideological, and social lives of the Orthodox believers. Orthodoxy usually provided legitimizing ideological support to state authority, was forced to reckon with Western cultural and theological trends, and also proactively defended its economic interests. For most of the period, the Ecumenical Patriarchate and the Russian Orthodox Church maintained constant contacts, even in the face of mutual suspicions of each other’s motives. The chapter argues that early modern Orthodoxy proved adaptive, developed over time, and withstood the challenges it faced, ultimately keeping its symbolic capital largely intact.
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Human societies are known for their resilience and ability to adapt to short- and long-term environmental change. Despite their pragmatism and adaptability, humans could be forced to move and/or seek better conditions for survival, especially when climate change and water availability are at issue. This chapter provides case studies on easy-to-adopt rainwater harvesting applications as effective climate change adaptation strategies in rural and urban settings to increase human resiliency.
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Yaakov Shabtai’s “Departure” seems, at first glance, only to chronicle the illness and death of an unnamed grandmother living in Tel Aviv, as witnessed through the eyes of her grandson. The grandmother, an observant Jewish woman with socialist politics, liberal social views, and many friends, differs strikingly from her Israeli family. They are wholly secular Jews who disavow belief in religion. They observe yahrzeits, Jewish religious festivals, and holy days only as long as grandmother lives. They discontinue all Jewish observance the moment the grandmother dies, thus allegorizing a complete intergenerational break in Jewish identity. The story ends with the melancholic narrator realizing that he has no memory of the date of his grandmother’s death. This article contends that this seemingly simple narrative has profound historical and referential meanings. The story functions as an allegorical critique of escalating social and religious divisions in Israel, as well as the implications of the loss of Jewish religion on Jewish identity. “Departure” reveals that the process of dis-identification and post-Zionism begins with the family: symbolically with the figure of the grandmother, whose peaceful, sociable identity stands in peril of becoming removed from the possibilities of her mode of Jewish being influencing future generations.
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The American Library Association is committed to recruiting persons of color and those with disabilities to the profession, yet these groups are underrepresented among librarians. While intentional discrimination was the impetus for the Civil Rights Act of 1964, empirical studies in the workplace have exposed continued discrimination through unconscious bias. Extending such research to the library profession raises the question: How do librarians perceive the underrepresented as potential fellow library staff? In my recently conducted study of public library staff and future librarians, participants agreed that library staff should represent the diversity of the communities served; there was little support, however, for actively attempting to advance proportional representation through education or hiring. © , Published with license by Taylor & Francis.
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The nomothetic thrust of personality research has been the subject of some significant recent criticism. One major problem is the failure in much personality research to sufficiently scrutinize its methods and its background beliefs. This produces conceptual schematizations of personality that do not sufficiently take into account the disunity and plasticity that affects what is construed as personality; it also underplays the necessity of more fully theorizing the network of infrapsychic and transpersonal systems, processes, structures, templates, interfaces, flows of stimuli, qualities of embodiment and contingencies that dynamically manifest as personality. It is through unfolding the complexity inherent in this network that personality theorization can move forward in new ways. This paper provides a provisional, beginning taxonomy of this network in order to start a research dialogue about personality that doesn't begin with the operative background beliefs of nomothetic methodology, that doesn't tacitly or overtly construe the individual to be a self-regulating, homeostatic system, and that resists presupposing personality as a cohesive, stable quality of personhood.
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We report on two large studies conducted in advanced algebra classrooms in the US, which evaluated the effect of replacing traditional algebra 2 curriculum with an integrated suite of dynamic interactive software, wireless networks and technology-enhanced curriculum on student learning. The first study was a cluster randomized trial and the second was a quasi-experimental replication study using a subset of the original treatment teachers. Both studies demonstrated significant impact on student learning of core algebra concepts including both procedural and conceptual problems. Various variables were modeled to understand the impact of such an intervention including demographic factors and class level. We found that being in an honors class significantly predicts learning gains but being in a non-honors SimCalc class significantly predicts learning gains versus all other groups. We also found significant effects of treatment on difference scores for problems which demanded simple procedural approaches and those that demanded complex conceptual understanding.
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The recent evidence from Eastern Europe suggests that one of the major obstacles towards the adoption of euro may lie in the impact that the recession of 2008 exerted on the trajectory of real exchange rates in new member countries (European Commission, 2015). This paper aims to establish and explain the relationship between the external shocks derived from the global financial crisis and recession of 2008 and equilibrium real exchange rate in advanced transition economies of Eastern Europe. The interplay between the external and internal balances is explained by developing an inter-temporal optimizing model of the real exchange rate determination in a small open economy with structural distortions. The results of our model suggest that, in the aftermath of recession, if the Eastern European economies attempt to restore and maintain the balance between the consumption, saving, and investment, the equilibrium real exchange rate will tend to reverse its trajectory from appreciation to depreciation over time in order to encourage a greater production in the future. The equilibrium real exchange rate depreciation in the future may obtain either as a result of an increase in the direct subsidies on investment or as a result of reduced subsidies on the "net-of-investment" income. The deprecation of countries’ real exchange rate, however, may continue to act as an effective constraint against the adoption of euro. © 2015, Institute of Eastern Europe and Central Asia. All rights reserved.
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Apparent synchrony between eruption/emplacement of large igneous province (LIP) magmas and mass extinction has led to the implication of magmatism as a primary trigger of global scale environmental change. Evaluating the efficacy of magmatism as a driver of global change depends on the relative timing of magmatism and environmental change, and the magma effusion/intrusion rate, both of which can be constrained by high-precision geochronology. Early Jurassic (Pliensbachian-Toarcian) global ocean anoxia and acidification, carbon isotope perturbations, and biotic crisis have been linked to "synchronous" eruption and emplacement of the Karoo and Ferrar LIPs. To better constrain the timing and duration of Ferrar magmatism, we apply the single crystal, chemical abrasion U-Pb ID-TIMS method to zircon crystals isolated from twenty Ferrar LIP sills and lavas, and the Dufek intrusion. Dates suggest that both intrusive and extrusive Ferrar magmatism occurred over an interval of 349. ±. 49 kyr, beginning with intrusive magmatism as early as 182.779. ±. 0.033 Ma. Lava eruption was synchronous with, and in some cases postdates intrusion. When coupled with existing geochronology on the Karoo province, our dates confirm broad synchrony between Karoo and Ferrar magmatism, though Karoo magmatism began demonstrably prior to Ferrar magmatism, starting as early as 183.246. ±. 0.045 Ma. The short-lived magmatic history of the Ferrar LIP makes it a plausible trigger for early-Jurassic environmental change. © 2015.
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Recent interest in materials culture and artifactual literacies has helped the authors of this article rethink how they teach preservice and inservice teachers and collaborate with K-12 teachers. Each discipline has its own stuff that can help students understand the products and practices of a field beyond what they might be able to glean from text. To that end, every teacher should see their classroom and content area as a "place for my stuff" because objects speak and communicate more messages through form, color, size, and texture than print alone. © 2015 International Literacy Association.
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Conventional methods of addressing the needs of students with print disabilities include text-to-speech services. One major drawback of text-to-speech technologies is that computerized speech simply articulates the same words in a text whereas human voice can convey emotions such as excitement, sadness, fear, or joy. Audiobooks have human narration, but are designed for entertainment and not for teaching word identification, fluency, vocabulary, and comprehension to students. This chapter focuses on the 3-year pilot of CRISKids; all CRIS recordings feature human narration. The pilot demonstrated that students who feel competent in their reading and class work tend to be more engaged in classroom routines, spend more time on task and demonstrate greater comprehension of written materials. When more demonstrate these behaviors and skills, teachers are better able to provide meaningful instruction, since less time is spent on issues of classroom management and redirection. Thus, CRISKids impacts not only the students with print disabilities, but all of the students in the classroom.
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