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S u g g e sts p a s s e n g e r s and c a rg o fo r th e f i r s t c a n o e to r e a c h H aw aii a n d p ro p o se s the n e c e s s a ry c h a n g e s fo r th e survival of p e o p le blood pressure chart high and low purchase moduretic 50 mg with amex, p la n ts low blood pressure chart nhs buy 50mg moduretic mastercard, and a n im a ls e n r o u t e and o n c e s e t t l e d in H aw aii th ro u g h the use of s e v e r a l v a ria b le s. T r a c e s the grow ing, p r e p a r a t i o n, and use of t a r o fro m a n c ie n t tim e s t o th e p r e s e n t. T a ro p ro c e s s in g in H aw aii; an e c o n o m ic and h is to r ic a l p e r s p e c ti v. D e t a il e d r e p o r t on m o d e rn p ro c e s s in g n u m e ro u s t a b le s and s t a t i s t i c s. R e v ie w of a n c i e n t H a w a iia n m e a n s of b e a u tify in g th e body, i. A loha 1 (A p r il/M a y /J u n e P ro v id e s a h i s to r ic a l b a c k g ro u n d of leis, fo llo w e d by a re v ie w of th e h is to r ic a l and m o d ern p r a c t i c e s a s s o c i a the d with leis. A loha 2 (M a y /J u n e Brief bio g ra p h y of e n t e r t a i n e r and c o m ic hula d a n c e r C l a r a N elson. A loha 3 (M a rc h /A p ril 1980): 18- P o r tr a y s, with t e x t and p h o to s, lif e in the is o la the d fishing v illag e of Milolii in the South K ona d i s t r i c t on the island of H aw aii. Includes an in the r v ie w with E u g e n e K aupiko, h o n o ra ry m a y o r and o w n e r of Milolii S to re. C h ic a g o: A sian A m e r i c a n M e n ta l H e a lth R e s e a r c h C e n t e r, 1978. H a w a iia n s had s ig n if ic a n tly g r e a t e r d e a th r a t e s fro m c a n c e r, h e a r t d ise a s e s, c irrh o sis of the liv e r, c e r e b r o v a s c u la r d is e a s e, in f e c tio n s, and p a r a s i ti c d ise a s e s. H a w a iia n s w e r e a lso found t o h a v e h ig h e r r a t e s of i n f a n t d e a th, c o n g e n ita l d e f e c t s, i l l e g i t i m a t e b ir t h s, and b ir th s t o young (10-14 y e a r old) m o th e r s. E x a m in e s the re s p o n s e s of nine p a r t - H a w a i ia n s to a q u e s tio n n a ir e d e sig n e d t o id e n tif y f a c t o r s c o n tr i b u ti n g to the s u c c e s s of H a w aiian s in m o d e rn s o c ie ty. B iography of W illiam K anui (1796-1864), one of four H a w a iia n s on the f i r s t m issio n a ry v o y a g e t o H aw aii in 1820. C h r o n ic le s his t r a v e l s and w ork a f t e r le a v in g the c h u rc h s h o rtly a f t e r his a rr iv a l u n til his r e c o n c il i a t i o n ju st b e f o r e his d e a th. K a m e h a m e h a in th e c la s s ic a l A rg u e s t h a t the s t a t u e of K a m e h a m e h a I r e p r e s e n t s th e R o m a n, r a the r th a n the H a w a iia n, a r t i s t i c tr a d i ti o n. D isc u sse s and c la s s if ie s unique fo rm s of K auai house s ite s, ir r ig a tio n d i tc h e s, an d h e ia u s. Honolulu: Bishop A r c h a e o lo g ic a l s i t e su rv e y, b a s e d on fie ld w o rk in 1928/29, inclu d e s a r t i f a c t s, s t r u c t u r e s, h e ia u s, and p e tr o g ly p h s. C o m p a r e s K a u a i h e ia u s with th o se of o the r H a w aiian islands. F o c u s e s on the c o n tr o v e r s y s u rro u n d in g H a w aiian e f f o r t s to h a v e th e U. N avy d isc o n tin u e using K a h o o la w e fo r t a r g e t p r a c t i c e and r e t u r n the Island to public use. R e v ie w s b o th H a w a iia n and Navy view s a b o u t th e ow n e rsh ip, use, and sym bolism of the Island. R e v ie w of The r r i to r ia l c h ie f e x e c u t iv e s includes a b io g raphy of Sam uel W ilder King, the only The r r i t o r i a l G o v e rn o r of H a w aiian a n c e s t r y. R e c o r d s of p a t i e n t s with h e a r t d is e a s e a d m i t t e d to four Honolulu h o s p ita ls fro m J a n u a r y 1942 to D e c e m b e r 1946 w e r e r e v ie w e d, and th o s e with s u f f i c i e n t in f o r m a t io n (1,269 c a se s) w e r e a n a ly z e d as t o ra c ia l in c id e n c e of h e a r t d is e a s e, a g e d is tr ib u tio n, e tio lo g y, and o the r p e r t i n e n t d a t a. In c id e n c e of h e a r t d is e a s e a m o n g H a w a iia n s and P u e r t o R ic a n s was found to b e m uch h ig h e r c o m p a r e d with o the r e th n i c groups. P e rso n a l r e m i n is c e n c e s a b o u t P e le by H a w a iia n a i n s t r u c t o r Lovey A p a n a of K auai. H u m o r as an in d ic a to r of social r e la tio n s h ip s am o n g t w e n ty H a w aiian c h ild re n. P O P 71 (Annual 1960): D e s c rip tio n of the royal lands w hich s u p p o rt the K a m e h a m e h a Schools. D iscusses the c o m p o s itio n, d u tie s a nd land m a n a g e m e n t p o lic ie s of the g o v erning Bishop E s t a t e T r u s the e s, as well as the e d u c a tio n a l policy of the schools. B e t t e r t h a t t e n gu ilty should e s c a p e, th a n one in n o c e n t should s u ff e r.

In other words arterial blood gas test generic 50 mg moduretic amex, bison in Yellowstone National Park are not managed like domestic stock on a ranch and are generally allowed to move freely within the park-though some intervention occurs near the boundary and developed areas to reduce conflicts with humans and outlying jurisdictions artery dorsalis pedis cheap moduretic 50 mg line. The substantial recovery of free-ranging bison populations outside Yellowstone National Park and the nearby Grand Teton National Park, where there were about 800 bison in 2012, is constrained by the availability of low-elevation winter habitat where forage is relatively accessible. Much of Yellowstone and Grand Teton national parks is mountainous, with deep snow pack that limits access to forage and increases energy expenditures during winter. Also, large portions of the original range for bison are no longer available outside these parks due to agriculture and development. Furthermore, there are political and social concerns about allowing bison outside these parks, including human safety and property damage, competition with livestock for grass, diseases such as brucellosis that can be transmitted between bison and cattle, consumption of agricultural crops, and limited funding for management. Ultimately, it is up to society to decide how they want their federal and state governments to manage bison, including how many bison should be tolerated on public lands, what should be done with "surplus" Wildlife 187 bison, and how much money should be spent on bison management and brucellosis suppression. The management of bison near the boundary of Yellowstone National Park, which includes hazing, capture, culling, and vaccination, is unsettling to many people. Park staff are often asked why bison are managed differently from other wildlife and not allowed to move freely into Montana and disperse to new areas. Conversely, other people believe bison should be kept in the park and either managed like livestock or hunted to reduce numbers below the capacity of the winter habitat to support them. Many constituents are adamant that Yellowstone bison should be relocated elsewhere instead of being culled. The debate about how to conserve and manage Yellowstone bison involves a variety of issues, including: · abundance ­ how many are enough? Incorporated in these over-arching issues is a broad spectrum of beliefs, concerns, and values held by a diverse range of stakeholders, including advocates, local community members, regulators and scientists, American Indian tribes, and the national and international public. Many of these constituents from across the spectrum of values support the conservation of wild Yellowstone bison, but with differing views regarding what constitutes responsible management actions to mitigate conflicts. The challenge for bison managers is how to consider this wide variety of viewpoints to reach a reasonable solution for the long term conservation of this iconic and ecologically important population. Ecosystem-wide Interaction Yellowstone bison are prolific and have high survival rates, with wolves currently killing few bison because elk are more vulnerable prey. As a result, bison numbers increase rapidly when environmental conditions are suitable, with abundance increasing to more than 4,000 individuals on several occasions and reaching a high of approximately 5,000 bison in 2005. At these numbers, a winter with deep snow pack can induce many hundreds of bison to migrate into Montana because lower-elevation habitat for bison is limited by mountains within Yellowstone National Park. As a result, bison will continue to move from the park into Montana during winter, with higher numbers migrating as bison abundance and winter severity increase. Due to existing agriculture and development in the Yellowstone and Madison River valleys, however, there is not sufficient low-elevation, valley bottom habitat north and west of Yellowstone National Park where bison are currently tolerated that could sustain many hundreds or thousands of bison for extended lengths of time during winter. Thus, bison could rapidly fill available habitat, and if given the opportunity, attempt to migrate further during some winters, which will eventually bring them into areas. Without human intervention, some bison that spend winter north and west of Yellowstone National Park in Montana will not migrate back into the park during spring, but will attempt to expand their range into other areas with suitable habitat but currently no tolerance for bison. In addition, there are still tangible concerns about the transmission of brucellosis from bison to cattle, with regulatory and economic consequences of cattle contracting brucellosis. Furthermore, there are political and social concerns about allowing large numbers of these massive, wild animals into Montana, and options for relocating Yellowstone bison elsewhere are limited by real and perceived disease and social concerns. Therefore, bison will at times need to be intensively managed and culled from the population to prevent the limited tolerance for wild bison on the landscape in Montana from being rescinded. The migration of bison outside of Yellowstone National Park (the boundary is marked here with the 1903 arch at the northern entrance) is a hot issue for the Greater Yellowstone Area. Multiple Jurisdictions, Multiple Interests the National Park Service cannot achieve bison conservation on its own. When bison cross the boundary of Yellowstone National Park into Montana they are no longer under the jurisdiction of the National Park Service and their management is the prerogative of the state and the Gallatin National Forest on National Forest System lands. Bison are managed differently than other wildlife that migrate or disperse outside Yellowstone National Park because the Secretaries of Agriculture and Interior and the Governor of Montana signed a court-mediated agreement in 2000 that included guidelines for limiting bison abundance and distribution in Montana. The State of Montana allows some bison to migrate outside Yellowstone National Park and occupy suitable winter range near the park boundary-and tolerance on additional range may occur in the future.

Alternatively blood pressure veins discount moduretic 50 mg on line, the hauler truck can transfer its septage load into a wagon spreader or other specialized spreading equipment or into a holding facility at the site for spreading later blood pressure juice recipe buy moduretic 50 mg fast delivery. Spray irrigation Spray irrigation is an alternative that eliminates the problem of soil compaction by tires. Pretreated septage is pumped at 80 to 100 psi through nozzles and sprayed directly onto the land. Ridge and furrow irrigation Pretreated septage can be transferred directly into furrows or row crops. Subsurface incorporation of septage this alternative to surface application involves placing untreated septage just below the surface. This approach reduces odors and health risks while still fertilizing and conditioning the soil. The method can be applied only on relatively flat land (less than 8 percent slope) in areas where the seasonally high water table is at least 20 inches. Because soil compaction is a concern, no vehicles should be allowed to drive on the field for 1 to 2 weeks after application. Subsurface application practices include the following: · Plow and furrow irrigation: In this simple method, a plow creates a narrow furrow 6 to 8 inches (15 to 20 centimeters) deep. Liquid septage is discharged from a tank into the furrow, and a second plow covers the furrow. Codisposal of septage in sanitary landfills Because of the pollution risks associated with runoff and effluent leaching into ground water, landfill disposal of septage is not usually a viable option. However, some jurisdictions may allow disposal of septage/soil mixtures or permit other special disposal options for dewatered septage (sludge with at least 20 percent solids). Addition of septage requires special care and handling because by nature septage is more concentrated than the influent wastewater stream at the treatment plant. Therefore, there must be adequate capacity at the plant to handle and perhaps temporarily store delivered septage until it can be fed into the treatment process units. Sites that typically serve as the input point for septage to be treated at a wastewater treatment plant include the following: Upstream sewer manhole this alternative is viable for larger sewer systems and treatment plants. Septage is added to the normal influent wastewater flow at a receiving station fitted with an access manhole. Treatment plant headworks the septage is added at the treatment plant upstream of the inlet screens and grit chambers. The primary concern associated with this option is the impact of the introduced wastes on treatment unit processes in the plant. A thorough analysis should be conducted to ensure that plant processes can accept and treat the wastes while maintaining appropriate effluent pollutant concentrations and meeting other treatment requirements. Like the headworks option, the impact on the sludge treatment processes must be carefully analyzed to ensure that the final product meets treatment and other requirements. Treatment at a special septage treatment plant this method of septage disposal is usually employed in areas where land disposal or treatment at a wastewater treatment plant is not a feasible option. There are few of these facilities, which vary from simple lagoons to sophisticated plants that mechanically and/or chemically treat septage. Treatment processes used include lime stabilization, chlorine oxidation, aerobic and anaerobic digestion, composting, and dewatering using pressure or vacuum filtration or centrifugation. This is the most expensive option for septage management and should be considered only as a last resort. General guidance on developing and implementing a public outreach strategy is available in Getting In Step: A Guide to Effective Outreach in Your Watershed, published by the Council of State Governments (see chapter 2) and available at http:/ / The wastewater is dosed onto the surface of the sand through a distribution network and is allowed to percolate through the sand to the underdrain system. Some "bottomless" designs directly infiltrate the filtered effluent into the soil below. Public outreach and involvement Developing septage treatment units or land application sites requires an effective public outreach program.

Session 7: Application of skills - role playing with a stranger Program Implementer: Group was facilitated by two people hypertension 20 year old male cheap moduretic 50 mg mastercard, the author and an Assistant Psychologist arrhythmia vs pvc generic 50 mg moduretic, both of whom were women and members of a Community Learning Disability Team Culturally Specific: Not Reported Assessment of Exposure: Not Reported Intervention Retention Rate: 6/7 = 86% Other: G-28 this document is a research report submitted to the U. Measures Knowledge: Not Reported Time Points of Measurement: Attitudes: Not Reported Time Points of Measurement: Victimization: Not Reported Time Points of Measurement: Perpetration: Not Reported Time Points of Measurement: Other Measures: - Indirect Assessments of abilities and appropriateness of behavior in social situations. Time Points of Measurement: pre-test and post-test Results Primary Measures: Knowledge: Attitudes: Victimization: Perpetration: Other Measures: Study Quality Quality Score: Total: 36/85 (42%) Description: 23/25 (92%) Design: 13/60 (22%) Major Strengths: Study: Examined population that had a history of victimization. The residents varied quite substantially in their ability to give verbal responses and in their level of assertiveness. For less verbal clients more emphasis was placed on non-verbal responses such as pushing hands away or moving away physically. They also found that verbally less able clients initially used more able clients as role models and copied their behaviors in different role play situations. The mean ratings of clients on the individual items of levels of assertiveness in social situations indicates that apart from assertiveness with people in authority all changes were positive in the direction of more appropriate assertiveness responses. Shifts were also noted in other areas such as verbal/nonverbal behavior (particularly eye contact, posture, appropriate distance from others in conversation and pitch of voice) and in social behavior. All group members, except for one, were rated as giving more appropriate responses in social situations after the group sessions (social interaction/assertiveness skill). Reading and writing skills: findings not reported Informal feedback from the manager and other members of the staff included the observations that clients appeared Direct measure G-29 this document is a research report submitted to the U. Measures - In the last session, clients were asked to role-play the scenarios that were introduced and practiced over the previous six sessions with a person they had never met before. The last session was used as a direct measure of what had been learned in the group. Clients were asked to repeat some of the exercises (body awareness; saying yes and no) and to do all the role plays with a new member of the Community Learning Disability Team (another Assistant Psychologist). Results more confident, expressed their needs more clearly and generally conveyed a more positive attitude. Direct assessment: all six participants performed confidently and responded appropriately in the exercises as well as in the role plays. Attendance/Treatment Completion: All clients attended at least 6 sessions except one person who dropped out after the 5th session. Title: Teaching Refusal Skills To Sexually Active Adolescents Primary Reviewer: Joyce Secondary Reviewer: Anita Population and Setting Location: Not reported Study Eligibility Criteria: Not reported Population Type: Deaf; developmentally delayed Population Characteristics: Age: client A: 14-yrs old Client B: 16-yrs old Sex: Female Study Design and Sample Study Design: pre-post Year: 1990 Article Number: 075 Tertiary: Shannon Intervention Setting: Unclear Duration: Not reported Theory/Model: Skills acquisition approach to teaching decision-making, problem solving skills, and interpersonal communication skills (Blythe, Gilchrist, & Schinke, 1981; Franzini, Siderman, & Dexter, 1988; Gilchrist & Schinke, 1983; Libby & Carlson, 1973; Schinke, Gilchrist, & Small, 1979). Delivery Mode: Role-play Curriculum/Content: Each girl described situations that resulted in unwanted intercourse. The who, what, when and where were used to develop role-plays vignettes for each girl. Each session began with a role-play followed by a review of previously learned refusals skills components, training in refusal skills, and additional role play assessment. Refusal skills training followed the format of rationale, modeling, behavioral rehearsal, feedback, and reinforcement (Eisler & Frederiksen, 1980; Kelley, 1982). No information on who assisted with other training Culturally Specific: Not reported Author-reported: Not reported Intervention Group Type(s): N=2; One lived in a residential school setting for the deaf; other lived in residential treatment center for developmentally delayed. Comparison Group Type(s): N/A Sampling Frame Size: Not reported Education: Not reported Race/Ethnicity: Not reported Sexually Active: Both girls were sexually active (client A had been repeatedly suspended from school because of sexual intimacy with male residents and client B had a "history of precocious sexual behavior") Victimization: Not reported Criminal History: Not reported Other. Each expressed interest in learning skills that might help them avoid unwanted sexual intimacy. Baseline Sample Size (and Participation Rate): N=2 Post-test and Follow-up Sample Sizes (and Participation Rates): 100% Time Points of Data Collection: Post-test: 2 weeks following the completion of refusals skills training Follow-up: one-year after training (phone calls) Methods/Setting of Data Collection: Unclear New role plays and different confederates were used during the follow-up assessments. Population and Setting Study Design and Sample Intervention Assessment of Exposure: only 2 clients so staff were aware of their presence Intervention Retention Rate: 100% Other: G-32 this document is a research report submitted to the U. Measures Knowledge: Female psychology graduate students rated videotaped role-plays randomly selected at the conclusion of training each skill; 9-point Likert scale. Client A had significant differences between baseline and post-treatment performance ratings for both refusal effectiveness (p<=. Differences were also found for skillfulness measures obtained at baseline and after the addition of each of the other skill components. Attitudes: Victimization: Perpetration: Other Measures: Follow-up (one-year after training): telephone contact with residential staff serving as informants indicated decreased sexual activity for each girl, as noted by patient incidence reports.

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References:

• https://www.clearinghouse.net/chDocs/public/PC-CA-0002-0124.pdf
• https://www.infanthearing.org/programevaluation/examples/Nebraska%20NBS%20and%20EHDI%20Report%202014.pdf
• https://commed.vcu.edu/IntroPH/Communicable_Disease/2015/latentTV.pdf