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Reflections [Complete Issue : Fourth Quarter 2003], Sigma Theta Tau International, Mary Margaret Mooney, Kammie Monarch, Patricia R. Messmer, Jacqueline L. Gonzalez, Sharon M. Weinstein, Ann Marie T. Brooks, Grayce M. Sills, Rita Turley, Lynn Basford, Scott Rhoades, Norman C. Olsen, Gail Wolf, Theresa S. Standing, Frances M. Kramer, Elizabeth Percival, Teresa Ransdell

Sigma Past Publishing - Reflections Magazine

Publishing History: Print issues of Reflections magazine were published from 1975 to 1999 and its successor, Reflections on Nursing Leadership (RNL) began publication in 2000. RNL migrated to an online format, http://www.reflectionsonnursingleadership.org, in 2006 and continues today.

RNL is a member benefit of the Honor Society of Nursing, Sigma Theta Tau International (STTI). The historical print issues have been made openly available.

Publishing Frequency: Quarterly until its transition to online. It’s now updated virtually every day.

Format: Print, 1975 - 2005; Online, 2006 - present

Feature Articles in this Issue:Â

Hog-housed!

Magnet Hospitals: Powerful Force for Excellence

March to …

Mental Health Training In Primary Care. Impact On Physicians Knowledge, Abdallah D. Al-Khathami, Abdullah M. Mangoud, Sheikh I. Rahim, Mahdi S. Abumadini

Neurosciences

OBJECTIVE: The objective of this study was to measure changes in the Primary Health Care (PHC) physicians’ knowledge towards mental illnesses after a short-term training course. METHODS: The interventive study consisted of a sample of 31 PHC physicians randomly selected from different PHC centers in Eastern Saudi Arabia. The physicians were exposed to a 4-day intensive training course in mental illnesses in June 1999. They were assessed using multiple choice questions testing before (pre-test) and after (post-test) to assess their knowledge regarding mental illnesses. RESULTS: The analysis of the accumulated data indicated that there was a significant improvement in the …

A Scoring System As A Tool For Antenatal Care Audit In Family Medicine, Rabaa K. Al-Momen, Izzeldin El-Jack, Noura A. Al-Nowaiser, Noura A. Al-Rowais

Saudi Medical Journal

OBJECTIVE: To propose the antenatal assessment score (AAS) as a tool for auditing the process of antenatal care in family medicine, and to highlight its accessibility by applying it at 2 family health care centers. METHODS: A descriptive study of an audit process was conducted in 2 primary health care centers (non commissioned officers9 [NCO] and officers9 health centers [OC]) belonging to the Department of Family Medicine, Armed Forces Hospital, Riyadh, Kingdom of Saudi Arabia from February 2001 to June 2002. A systematic random sample of patients registered at the maternal registers of both centers was selected. A score system …

Prevalence And Correlates Of Nocturnal Enuresis In The United Arab Emirates, Valsamma Eapen, Abdulazim M. Mabrouk

Saudi Medical Journal

OBJECTIVE: To determine the prevalence, socio-demographic correlates and associated psychopathology in children with enuresis. METHODS: A community survey of a stratified sample of 400 6-16 year old school children was carried out in the Al-Ain City, United Arab Emirates. Psychiatric disturbance, if any, was ascertained using the Rutter Parent Scale. RESULTS: Thirty-two out of the 400 children (8%) surveyed, reported wetting the bed at least once per week. More boys were affected than girls, and 90% of those with enuresis were aged 6-11 years. Presence of enuresis was found to be associated with psychosocial stress in the family; large family …

Comparative Evaluation Of Multiple Choice Question Formats. Introducing A Knowledge Score, Sheikh I. Rahim, Mahdi S. Abumadini

Neurosciences

OBJECTIVE: Over the last 6 years different multiple choice question (MCQ) formats have been used in postgraduate examinations for trainees in psychiatry. In phase 1 - K-type True/False (T/F) items with negative marking; in phase 2 combined T/F and type-A one-best answer (OBA) questions without negative marking; in phase 3 exclusively OBA without negative marking. The study compares the gross scores (GS) obtained with different MCQ formats, and introduces knowledge score (KS). METHODS: The study was conducted in the Saudi Council for Health Specialties, Riyadh, Kingdom of Saudi Arabia from 1996 to 2002. The mean percentile scores obtained by all …

Use Of Methylprednisolone In Acute Spinal Injury, Ahmed M. Alkhani, Abdulsattar H. Ghomraoui

Neurosciences

OBJECTIVE: To obtain an appraisal for the use of methylprednisolone (MP) in the early management of acute spinal cord injury (SCI) in our health system and the attitude to its use. METHODS: A printed questionnaire on MP in acute SCI was distributed to all major spinal and neurosurgical centers in Riyadh, Kingdom of Saudi Arabia between October and November 2001. RESULTS: A total of 31 replies were collected for statistical analysis. There were 23 replies from doctors (74%) who see 5 or more cases of acute SCI per year. Sixteen doctors (53%) use MP in acute SCI (National Acute Spinal …

Gilles De La Tourette Syndrome Treated Effectively With Clozapine, Abdulrazzak M. Alhamad

Neurosciences

A report of Gilles de la Tourette syndrome in a 16-year-old male and a 20-year-old female from the Kingdom of Saudi Arabia, illustrating difficulties in diagnosis, comorbidity and management. A successful trial of clozapine therapy after failure of conventional treatments is reported over a period of more than 2 years and discussed.

Pervasive Developmental Disorders. Etiological, Diagnostic And Treatment Conundrum, Naseem A. Qureshi, Yasser S. Al-Ghamdy, Tariq A. Al-Habeeb

Neurosciences

Pervasive developmental disorders are severe childhood psychiatric disorders that afflict millions of children worldwide. Despite availability of tremendous data on these disorders, there is a paucity of information among clinicians including mental health professionals. Pervasive developmental disorders, caused by multiple neurobiological and environmental etiologies, are characterized mainly by impaired social interactions, impaired communication and language, and abnormal repetitive interests and behaviors. A clear understanding of the underlying pathophysiological mechanisms of pervasive developmental disorders requires routine developmental surveillance, extensive clinical diagnostic workup and laboratory investigations. The children with pervasive developmental disorders need a multimodal treatment approach. In Arabian Gulf countries, research …

Clinical Profile Of Myasthenia Gravis In The Sultanate Of Oman, Poovathoor C. Jacob, John T. Tharakan, Pratap R. Chand, Roshan L. Koul, Alexander P. Chacko

Neurosciences

OBJECTIVE: Clinical study and follow up of myasthenia gravis patients in Oman. METHODS: Follow up of 50 consecutive myasthenia gravis patients referred to the Sultan Qaboos University Hospital, Oman for a median period of 3 years from 1997 to 2000. We based the diagnosis on the clinical picture, repetitive nerve stimulation tests and edrophonium test. We performed a computerized tomography scan of the chest and anti-acetylcholine receptor antibodies. We reviewed the results of immuno modulatory treatment including thymectomy and compared these with other studies RESULTS: Of 50 patients, 6 had purely ocular myasthenia. Of the 44 with generalized myasthenia, 28 …

Students Advisee System (Sas) / Bahariah Napiah, Napiah Bahariah

Student Works (2000-2009)

Students advisee system(SAS) is a system that will help as a way for interaction among students and with their academic advisor, This system may be very useful for the faculty of computer science and information technology areas. The main objective of SAS project is to create a web based application for interaction between students and academic advisor. In this system students allow to share their problem with their academic advisor directly without any limit. SAS includes 7 important modules and the main modules are Chat Room and Mail modules. Hopefully this system will be the most useful system and may …

The Third Leg Of The Antitrust Stool: What The Business Schools Have To Offer To Antitrust, Albert A. Foer

NYLS Law Review

No abstract provided.

Body Image And Quality Of Life: A Comparative Study Between Black And White Females, Chrissy Mitchell

Theses

This research examines the relationship between body image avoidance behaviors and quality of life for black an white females. The subjects in this study included 39 black females and 24 white females in St. Louis County. The ages of participants ranged from 14 to 20 years old. In order to examine the relationship between these two variables the mean, standard deviation, and an independent t-test was performed. There was a strong positive correlation between BIAQ and QOL Importance subscale for Black and White females. A discussion of limitations of this study and implications for future research will be discussed later.

Longwood University Catalog 2003-2004, Longwood University

Undergraduate Catalogs

No abstract provided.

The Relationship Between Marital Satisfaction And Caregiver Burden In Parents Who Care For Adult Children With Development Disabilities, Jujuane M. Easter

Theses

This study examines the relationship between marital satisfaction and caregiver burden in parents of individuals with mental disabilities. Eighteen couples (18 women and 18 men) completed a demographic questionnaire, the Index of Marital Satisfaction (IMS), and the Caregiver's Burden Scale (CBS). It was hypothesized that there would be a negative correlation between marital satisfaction and caregiver burden. The correlations between the IMS scale and CBS scale were calculated for men and women separately. Findings indicate that the correlation for the IMS scale with the CBS scale for men was not statistically significant (.246). Also, the correlation for the IMS scale …

No.14 An Order Regarding Diversity In State Contracting And Procurement, Phil Bredesen

Executive Orders

No abstract provided.

No.07 An Order Establishing The Governor's Children's Cabinet, Phil Bredesen

Executive Orders

No abstract provided.

No.11 An Order Establishing The Governor's Interagency Working Group On Air Quality, Phil Bredesen

Executive Orders

No abstract provided.

No.08 An Order Constituting The Tennessee Office Of Homeland Security, The Homeland Security Council And The Tennessee Governor’S Citizen Corps Advisory Committee, Phil Bredesen

Executive Orders

No abstract provided.

Recovery From Substance Abuse: The Role Of Unsupportive Social Interactions, Michelle Marie Schmitt

Theses and Dissertations

ABSTRACTRECOVERY FROM SUBSTANCE ABUSE: THE ROLE OF UNSUPPORTIVE SOCIAL INTERATIONSBy Michelle M. Schmitt, M.A., M.S. A dissertation submitted in partial fulfillment of the requirements for the degree of Doctor of Philosophy at Virginia Commonwealth University.Virginia Commonwealth University, 2003Major Director: Kathleen M. Ingram, Ph.D., Assistant Professor, Department of Psychology It has been estimated that over 20 million individuals struggle with substance abuse and/or dependence each year. Theories of addiction and recovery have long incorporated the notion of social support and helping relationships to facilitate adjustment. However, the literature investigating the role of social support is fraught with contradictions. In addition, in …

Orthodontic Faculty Recruitment And Retention: Goals And Perceptions, Sheldon L. Peck

Theses and Dissertations

There is a shortage of faculty in academic dentistry and orthodontics in particular. The purpose of this study was to quantify real and perceived differences in income, workload, and satisfaction between full-time academic and private practice orthodontists. Surveys were returned by 119 (70%) faculty, 79 (36%) private practitioners, and 160 (59%) orthodontic residents. Average annual income for faculty was less than half that of private practitioners. Faculty also reported working significantly more hours per week and taking less vacation time. Though both faculty and practitioners perceived their own jobs to be more satisfying overall, faculty felt academics was more stressful, …

Measurement Of Forces And Moments In Three-Dimensional Archwires, Dwight Van Buelow

Theses and Dissertations

AbstractMEASUREMENT OF FORCES AND MOMENTS IN THREE-DIMENSIONAL ARCHWIRESBy Dwight V. Buelow, D.D.S.A thesis submitted in partial fulfillment of the requirements for the degree of Master of Science at Virginia Commonwealth University.Virginia Commonwealth University, 2003Major Director: Steven J. Lindauer, D.M.D., M.D.Sc.Chairman and Professor, Department of OrthodonticsOrthodontic tooth movement occurs in response to the application of controlled mechanical force systems. The purpose of this study was to improve understanding of those force systems by evaluating differences between the resultants of two-dimensional and three-dimensional orthodontic appliance activations. An in-vitro model was constructed and three force-moment gauges were used to measure the forces and …

K3 Endo, Pro Taper, And Pro File Systems: Breakage And Distortion In Severely Curved Roots Of Molars, Matthew Todd Ankrum

Theses and Dissertations

K3 ENDO, PRO TAPER, AND PRO FILE SYSTEMS: BREAKAGE AND DISTORTION IN SEVERELY CURVED ROOTS OF MOLARS.By Matthew T. Ankrum, D.D.S.A Thesis submitted in partial fulfillment of the requirements for the degree of Master of Science at Virginia Commonwealth University.Virginia Commonwealth University, 2003Major Director: Gary R. Hartwell, D.D.S., M.S.Chairman and Professor, Department of EndodonticsIt was the aim of this study to investigate the incidence of file breakage and distortion when the Pro Taper, K3 Endo and ProFile systems were used to instrument canals in the severely curved roots of extracted molars.Forty-five roots of extracted mandibular and maxillary molars with curvatures …

Evaluation Of Shear Bond Strength Of Two Resin-Modified Glass-Ionomer Cements, Emily Y. Ro

Theses and Dissertations

Purpose: To compare the in-vitro shear bond strengths of a new paste-paste formulation of resin-modified glass-ionomer cement (Rm-GIC) to an exising powder-liquid formulation. The study will test the hypothesis that the new paste-paste formulation of Rm-GIC (Fuji-Cem ™, GC Corp, Tokyo, Japan) has the same bond strength as an existing popular powder-liquid formulation of Rm-GIC (Rely-X ™ Luting Cement, 3M, St. Paul, MN)Materials and Methods: A total of 33 human molars were sectioned parallel to the occlusal surface to expose mid-coronal dentin and mounted parallel to the bond shearing device on the universal testing machine (Instron). For Group I samples …

Effects Of Public And Private Evaluation On Procrastination In A Laboratory Setting, Joel Deloy

Theses and Dissertations

No abstract provided.

Patterns Of Water Uptake And Rhizosphere Salinity In Casuarina Obesa Miq. During A Drying Period At Lake Toolibin, Western Australia, Patrick J. Mitchell

Theses : Honours

Lake Toolibin is one of a few remaining freshwater lakes in the central wheatbelt of Western Australia. Since monitoring began at Lake Toolibin in the early 1970's groundwater levels have risen to within 1-2 m of the lakebed with an accompanying migration of salt. The site-specific nature of water uptake in Casuarina obesa Miq. (the dominant lakebed tree species) and rhizosphere salinity were explored spatially through analyses of soil properties (groundwater depth and salinity, particle size and components of soil water potential ψ₁). Plant water sources (using δ²H signatures) and water availability (based on ψ_{leaf …}

Multivariate Geostatistical Analysis With Application To A Western Australian Nickel Laterite Deposit, Ellen Bandarian

Theses : Honours

Although it can be time consuming and computationally more expensive to work with multivariate data, it is often desirable to exploit the relationships among and between the variables sampled across a study region. In most cases the availability of this secondary information can enhance the estimation of the primary variable(s). The aim of this research is to describe and then demonstrate the use of multivariate statistical methods in geostatistical analysis. The methods will be illustrated by application to a multivariate data set from an actual mineralisation. The data suite is known as MM22D and comes from the Murrin Murrin nickel …

Attitude Of Students Towards Peers With Disabilities: The Effect Of Including Students From An Education Support Centre In An Inclusive Middle School Setting, Steven J. R. Mcgregor

Theses : Honours

This research examines the attitudes of middle school students towards their peers with disabilities. The opportunity for students with disabilities to participate in inclusive education in Western Australia has increased steadily in recent years. The impact of inclusion on stakeholders within the education arena is, therefore, an important area of research. As part of this increased demand for inclusive education a trial inclusion program was set-up at a middle school in regional Western Australian. The target group for this study was all Year 8 (N = 199) students at that school. The attitude of the Year 8 students towards students …

Identifying Complex Issues Surrounding The Construction Of Indigeneity In Film And Documentary, Debbie Carmody

Theses : Honours

Indigenous identity can only be located within . a framework of historical dislocation from where white notions of assimilation are shattered. Therefore Indigeneity can only be defined in relation to the black experience within colonialism's hegemonic structures. I will argue this by looking at constructions of Indigenous Australians in the feature film Radiance (1998) directed by Rachel Perkins, and the documentary Sissy (2000) directed by Debbie Carmody (previously known as Debbie Gittins), which was made as part of this thesis. This raises questions: What is the black experience and the process of black survival within colonialism's hegemonic structures? How does …

Geography, Industrial Organization, And Agglomeration, Stuart S. Rosenthal, William C. Strange

Center for Policy Research

This paper makes two contributions to the empirical literature on agglomeration economies. First, the paper uses a unique and rich database in conjunction with mapping software to measure the geographic extent of agglomerative externalities. Previous papers have been forced to assume that agglomeration economies are club goods that operate at a metropolitan scale. Second, the paper tests for the existence of organizational agglomeration economies of the kind studied qualitatively by Saxenian (1994). This is a potentially important source of increasing returns that previous empirical work has not considered. Results indicate that localization economies attenuate rapidly and that industrial organization affects …

Does Whole-School Reform Boost Student Performance? The Case Of New York City, Robert Bifulco, William Duncombe, John Yinger

Center for Policy Research

Thousands of schools around the country have implemented whole-school reform programs to boost student performance. This paper uses quasi-experimental methods to estimate the impact of whole-school reform on students' reading performance in New York City, where various reform programs were adopted in dozens of troubled elementary schools in the mid-1990s. This paper complements studies based on random assignment by examining a broad-based reform effort and explicitly accounting for implementation quality. Two popular reform programs--the School Development and Success for All--do not significantly increase reading scores but might have if they had been fully implemented. The More Effective Schools program does …