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Editor's Note, Todd T. Holm

Speaker & Gavel

Editor's note by Todd Holm from volume 52, issue 2 of Speaker & Gavel.

Front Matter

Speaker & Gavel

Front matter and table of contents for Volume 52, Issue 2 of Speaker & Gavel.

Pacing A Punch: The Rise In Power Of Super Pacs And The 2016 Election, Kevin Coroneos

Political Analysis

No abstract provided.

Electing Our Judges And Judicial Independence: The Supreme Court's "Triple Whammy", Martin H. Belsky

ConLawNOW

In this article, Martin Belsky makes the case for judicial selection based on merit, as opposed to popular elections. Belsky cites Caperton v. A.T. Massey Coal Company and the recent defeat of three Iowa supreme court justices because of their opinion in a controversial gay marriage case for the proposition that judicial elections can, and do, yield unjust results. Belsky asserts the need for judicial independence, but concludes that this goal is not achievable through elections because of the “triple whammy” of constitutional limitations: (1) the First Amendment protection of the right of judges and judicial candidates to give specific, …

The Roberts' Court Takes A Sledge Hammer To Ashwander And Cautious Constitutional Jurisprudence: Citizens United V. Federal Election Commisson, Allen Shoenberger

ConLawNOW

In this January’s decision of Citizens United v. Federal Election Commission, the Supreme Court overturned more than 100 years of legislative precedent, as well as its own precedent of twenty years, to permit corporations to spend unlimited amounts of money on direct advocacy of the election or defeat of candidates for political office. The breadth of the holding is startling. Although the specific context considered a video-on-demand ninety minute diatribe regarding Presidential aspirant Hilary Clinton, the plain import of the holding reaches all federal and state elections, presidential, congressional, gubernatorial, judicial, and janitorial!

Originalism And Its Tools: A Few Caveats, David T. Hardy

ConLawNOW

In District of Columbia v. Heller, the United States Supreme Court adopted original public understanding as an interpretative tool. While this approach has the virtue of establishing meaning independent of a court’s personal values and preferences, this article explores some hazards which courts should try to avoid. First, one must resist the temptation to see historians as invariably objective; some are apt to push a personal agenda, or get a reputation as a “debunker,” at the cost of distorting, overlooking, or even inventing the historical record. Historical studies of this type have misled the Ninth Circuit, and a dissent …

A Review Of The Principles And Benefits Of Cue-Based Feeding, Diana M. Cormier

DNP Forum

Literature reflects that neonatal clinical practices are increasingly infant-driven, and promote, developmentally based care. Particularly, in the area of oral feeding, practitioners are moving away from traditional gestational age criteria for the initiation of oral feeding, or progressing feedings based on volume, instead they are trending toward feeding protocols that are based on developmental maturity.

A statement released by the American Academy of Pediatrics (2008), made the attainment of independent oral feeding one of the critical criteria for hospital discharge of preterm infants. This statement not only reflected the increased research attention on oral feeding acquisition and outcomes, it caused …

Handoff Communication In The Emergency Department, Kristen Matichko

DNP Forum

The communication of patient information through use of handoff ensures continuity of care and patient safety. A study of hand-off reports between pre-hospital personnel and staff in the emergency department revealed a lack of complete or formal information dialogue. Nurses play a vital role in the process of communication and information exchange through the use of handoff despite minimal guidelines for that exchange in current nursing practice. The pre-hospital hand-off informational exchange impacts patient safety as well as the planning and implementation of nursing care based upon that information.

The sample used was from a convenience sampling of patients arriving …

A Brave New World Of Ambient Intelligence In The Casinos Of Macau: Reality Or Fiction?, Hugo Luz Dos Santos Mr.

UNLV Gaming Research & Review Journal

The article scrutinizes the brave new world of ambient intelligence in the casinos of the Macau, Special Administrative Region of People´s Republic of China, chiefly in regards to the (candent) issue of privacy of the casino patrons.

Moreover, this scientific article provides an overview about the secondary use of big data of the casino patrons for law enforcement purposes.

Becoming Respectable: A History Of Early Social Responsibility In The Las Vegas Casino Industry, Jessalynn R. Strauss

UNLV Gaming Research & Review Journal

Today’s gaming corporations actively engage with their communities by supporting nonprofit organizations and adopting environmentally friendly practices among other socially responsible actions. This research considers precursors to modern corporate social responsibility (CSR) in the gaming industry by examining the philanthropic activities of the casino owners in Las Vegas in the early days of its development. This historical look at early philanthropy in the gaming industry provides a contextual background for considering contemporary corporate social responsibility. While the gaming industry has clearly come a long way from its early ties to organized crime, an understanding of this context helps further discussion …

Faculty Senate Minutes - December 4, 2015, Usm Faculty Senate

Faculty Senate Minutes

No abstract provided.

The Bates Student - Volume 145 Number 9 - December 4, 2015, Bates College

The Bates Student

No abstract provided.

Lectures Of The 21st Century: Hispanic Students' Perceptions Of Active Learning, Cihtlalli Guadalupe Garcia

Theses and Dissertations

With the current movement towards active engagement in higher education, research on student perception of teaching strategies can shed light into how teaching practices are received. While there is abundant research on student perception of active learning, little research has focused on how Hispanic students perceive this form of pedagogy. The primary purpose of this study is to examine how Hispanic students respond to active learning classrooms. This descriptive study will provide initial findings of students’ responses to active learning, enabling institutions and instructors to understand challenges and address barriers to improve the graduation rates of Hispanic students. A total …

Guide To The Mark Kronquist Collection, Linfield College Archives

Linfield Archives Finding Aids

This collection includes wine bottles, wine glasses, wine corks, and other memorabilia from the 1980s, as well as numerous books pertaining to the wine industry.

Campus Research Day Program: December 4, 2015, Southern Adventist University

Campus Research Day Programs

Campus research day program for December 4, 2015.

The Use Of Manual Therapy And Strengthening Exercises To Improve Plantarflexion Strength And Mobility Following Achilles Tendon Repair: A Case Report, Jason Glikman

Case Report Papers

Background and Purpose: The incidence of Achilles tendon ruptures is 1 in 10,000 per year, mostly affecting 30 to 50 year old males. These ruptures occur from either strong eccentric or concentric contractions of the gastrocnemius/soleus complex during acceleration or deceleration. Impact motions are common causes of this tendon ruptures. Neglected Achilles tendon ruptures occur when 4 weeks pass before treatment. This case report describes the clinical management of a patient with a neglected Achilles tendon rupture with global scar tissue formation due to a 3-month time period between injury and surgical repair, followed by a further 3-month time period …

Multimodal Physical Therapy Management Of A Patient With Unilateral Neglect Post-Stroke In An Outpatient Setting: A Case Report, Meghan Riley

Case Report Papers

Background and Purpose: Unilateral neglect (ULN) syndrome negatively affects recovery post-stroke and is often associated with falls, longer stays in rehabilitation, and the need for more assistance at discharge. Typical physical therapy treatments include voluntary trunk rotation, visual scanning exercises, mirror therapy, hemispheric activation, sensory awareness training, and lower extremity loading but the efficacy of these treatments is still unclear. The purpose of this case report is to describe multimodal physical therapy (PT) management that includes common PT interventions to alleviate symptoms of ULN and report upon the outcomes of the various treatment methods for rehabilitation of neglect during functional …

Trunk Control And Standing Tolerance Of A Patient With Paraparesis As A Result Of Transverse Myelitis And Mycotic Aneurysm Rupture: A Case Report, Ashley Tomaswick

Case Report Papers

Background and Purpose: Transverse myelitis (TM) is a rare condition in which the spinal cord becomes inflamed resulting in pain, paraparesis or paraplegia, impaired sensation, and/or impaired autonomic function. Approximately two-thirds recover with mild to moderate symptoms, but one-third are left with severe and disabling symptoms. Cerebral mycotic aneurysm (CMA) rupture is a brain injury due to a burst artery resulting in diminished blood supply to the brain. There is literature on beneficial physical therapy (PT) intervention progressions following brain injury, such as bed mobility strategies and pre-gait activities, but there is little published on PT for impairments as a …

Use Of The Lower Extremity Functional Scale (Lefs) In A Patient After A First Metatarsophalangeal Joint Implant: A Case Report, Courtney Brinckman

Case Report Papers

Background and Purpose. The LEFS was initially designed as a functional outcome measure for patients with lower-extremity orthopedic conditions.1 While the LEFS has been used for a broad spectrum of lower-extremity pathologies, there is a paucity of research that investigates the use of LEFS in patients who have had a first MTP joint implant. The purpose of this case report was to investigate the use of LEFS in a patient with a right first MTP HemiCAP(®) joint implant. Case Description. The patient was a 56 year-old male with bilateral pes planus. Conservative treatment for 9 years did not decrease symptoms …

Application Of A Balance Training Program In A Patient With Charcot Marie Tooth Disease: A Case Report, Eduardo Pena

Case Report Papers

Background and Purpose: Charcot Marie Tooth Disease (CMT) is the most common progressive inherited neurological disorder1. Characteristics include muscle weakness and reduced sensation beginning in the distal lower extremities. Individuals with CMT have increased difficulty sensing and maintaining balance. There is minimal research on the effectiveness of balance training and outcome measures in this population. The RUSK Hospital Modified Romberg Protocol (RUSK MRP) is used as a balance-training program for patients with a neurological diagnosis, however no information is available on its effectiveness in CMT. The purpose of this case report was to investigate the effectiveness of the RUSK MRP …

Restoring Functional Mobility In A Patient With Delayed Onset Of Physical Rehabilitation Following A Hemorrhagic Stroke: A Case Report, Bettie Kruger

Case Report Papers

Background and Purpose: Hemorrhagic stroke accounts for 10% to 15% of all strokes and is associated with a high mortality rate. A decompressive craniectomy is a neurosurgical procedure to reduce intracranial pressure in order to minimize risk of mortality and disability. It has been suggested that early and frequent mobilization following stroke onset is optimal for motor recovery. The purpose of this case report is to provide a framework of sub-acute rehabilitation that facilitated motor recovery and functional mobility in a patient with delayed participation in physical therapy (PT) following a stroke. Case Description: A 54 year-old female underwent an …

The Use Of Postural Reeducation And Strengthening Exercises In The Reversal Of Functional Scoliosis: A Case Report, Cory Marcoux

Case Report Papers

Background and Purpose: There is a multitude of research regarding structural and idiopathic scoliosis, but very minimal literature about non-structural (functional) scoliosis and more importantly, how to treat it. The purpose of this case report was to examine the use of stretching, strengthening, and postural reeducation for a patient who presented with a non-structural scoliosis. Case Description: The patient was a 37-year-old female who underwent a left-sided lumbar discectomy at level L5/S1 following an acute onset of left foot-drop. The patient later presented with severe back pain and spasms from an infection of the disc at the surgical site that …

Acute Care Outcome Measures In A Patient Status-Post Right Total Knee Arthroplasty (Tka) Following A Left Tka Staged Five Weeks Apart: A Case Report, Stephanie Sanderson

Case Report Papers

Background and Purpose: Total knee arthroplasty (TKA) is one of the most frequently performed orthopedic procedures in the U.S. Thousands of people undergo TKA every year in hopes of improving their functional abilities and reducing their pain levels. The purpose of this case report was to document acute care outcome measures in a patient who underwent bilateral TKA staged five weeks apart and to assess the possible implications that a short staging period might have on the patient’s ability to recover. Case Description: The patient was a 58-year-old male who following a left TKA underwent a right TKA, secondary to …

Use Of Manual Therapy And Sport Specific Re-Training In An Adolescent Elite Sprinter With Bilateral Pedicle Stress Fractures: A Case Report, Erika Lopez

Case Report Papers

Background and Purpose: Bilateral pedicle stress fractures are extremely rare, with few cases reported in the literature. The pedicle is known to be the second weakest point of the vertebra, has a short moment arm from the vertebral body, and can resist a large amount of cyclic shear forces.1 There have been several reports describing pedicle stress fracture in adolescent athletes.1 However, in those reports the fracture was usually associated with contralateral spondylolysis, and isolated pedicle fractures are rarely found. 1This case report details a conservative approach using manual therapy, Pilates exercises, and sport specific re-training in an adolescent sprinter …

A Progressive Physical Therapy Plan Of Care For A Patient With Charcot-Marie-Tooth Disease Following Myocardial Infarction: A Case Report, Paige Blasco

Case Report Papers

Background and Purpose: Charcot-Marie-Tooth disease (CMT) is a neuromuscular disease that leads to distal muscle atrophy, weakness, and sensory loss. Myocardial infarction (MI) is often a result of coronary artery disease, which has an incidence rate of 34.6% in men over 80. While rehabilitation practices for CMT and MI have been described separately, there is a paucity of research investigating physical therapy (PT) interventions for patients who have both health conditions. The purpose of this case report was to investigate the PT management of a patient with CMT following an acute MI in the acute and sub-acute care settings. Case …

Functional Mobility Management Of A Patient With Adult-Onset Hereditary Proximal Motor Neuropathy Following A Tibial Fracture: A Case Report, Timothy Lira

Case Report Papers

Background & Purpose: Adult-onset hereditary proximal motor neuropathy (AHPMN) is a subcategory of spinal muscular atrophy, caused by survival motor neuron gene mutation. This rare disease, affecting approximately 1 in 10,000 people, presents as proximal weakness and muscle wasting, more commonly in the lower extremities, in addition to gait unsteadiness and difficulty standing. Additionally, the lifetime risk of developing CHF is one in five; Since the diagnosis poses a risk factor for falling, it may increase the likelihood of falls. Regarding seniors over the age of 65, fall-related injuries increased from 49.4% to 58.8% between 2005 and 2013, accounting for …

Core Strengthening And Lower Extremity Flexibility; A Model For Physical Therapy Treatment Of Acute Nonspecific Low Back Pain: Case Report, Todd Wilde

Case Report Papers

Background & Purpose: Effective physical therapy treatment strategies are needed in order to improve outcomes for patients with low back pain. Current trends indicate that treatment effect size could be enhanced by implementing patient-specific management strategies based on examination findings (1, 2). The purpose of this report is to describe the physical therapy management and functional recovery of an individual with work-related acute nonspecific low back pain based on a treatment approach consisting of core strengthening and lower extremity flexibility. Case Description: The patient is a 51 year-old male with a one-month history of low back pain without radiculopathy secondary …

Clinical Reasoning And Intervention Selection For A Patient With Lower Extremity Weakness Following Acute Alcoholic Polyneuropathy: A Case Report, Sarah Uzel

Case Report Papers

Background and Purpose: Acute alcoholic polyneuropathy (AAP) can present with a variety of symptoms including paresthesia and paralysis. There is little literature relating to physical therapy management and interventions for a patient with AAP. It is unclear what constitutes the best medical management and physical therapy practices for these patients. The purpose of this case report was to describe the clinical reasoning behind interventions selected for a patient with AAP in the acute setting. Case Description: The patient was a 33 year old male, who was diagnosed with AAP after two days in acute care. Intervention during the first two …

Vestibular Rehabilitation For A 17-Year Old Female With Post-Concussion Symptoms: A Case Report, Elizabeth Mosley

Case Report Papers

Background: Post-concussion syndrome is defined as a group of symptoms occurring after a traumatic brain injury (TBI) that can persist for durations ranging from weeks to years. The Centers for Disease Control and Prevention estimates that 1.7 million Americans experience TBI annually. Vestibular rehabilitation has been shown to help alleviate common symptoms after concussions, such as dizziness, headaches and impaired balance. The purpose of this case report is to describe the physical therapy management of a patient with post-concussion symptoms two months post-injury. Case Description: The patient is a 17-year-old female with a history of concussion following a syncopal episode …

Functional Training To Reduce Fall Risk In A Patient Following Cancer Treatment: A Case Report, Kristin O'Kelly

Case Report Papers

Background and purpose: The National Cancer Institute reports that approximately 39.6% of individuals will be diagnosed with cancer during their lifetime. Due to the large percentage of Americans affected each year, multiple studies have looked at the long-term effects of cancer treatment and survivorship on physical function. Studies have demonstrated that over half of cancer survivors age 55 and over have fallen in the past year, possibly as a result of treatment and subsequent muscle weakness, difficulty with balance, and impaired walking. The purpose of this case report was to detail interventions aimed at these modifiable factors in a patient …