Digital Commons Network^™

Effects Of Acceptance Of Disability On Death Or Dialysis In Chronic Kidney Disease Patients: A 3-Year Prospective Cohort Study, Hsin-Hung Chiang, Hanoch Livneh, How-Ran Guo, Mei-Ling Yen, Tzung-Yi Tsai

Counselor Education Faculty Publications and Presentations

Background: Acceptance of disability (AOD) is a useful construct that assesses the ability of a patient to psychologically cope with chronic diseases, but its effect on long-term outcomes of patients with chronic kidney disease (CKD) remains unclear. This study aimed to evaluate the relation between AOD level and clinical outcomes in a cohort of CKD patients in Taiwan.

Methods: 262 CKD patients without dialysis at a hospital in Taiwan were consecutively recruited, from 2010 to 2011, and followed up for 3 years. At enrollment, demographic and clinical data were obtained, including baseline level measurement of AOD, using the …

Research On Knowledge Management In Pakistan: A Literature Review, Syed Rahmatullah Shah 4355910, Khalid Mahmood Dr.

Library Philosophy and Practice (e-journal)

This research is about knowledge management in academics and organizational business practices of Pakistan. Research proceedings revealed that knowledge management is emerging as new concept and is getting grounds in Pakistani environment. Article reviews the knowledge management literature in and about Pakistan. An overview of knowledge management initiatives and attempts in any form were focus of this research. Knowledge management related information was collected by literature search through websites, research journal archives, and library catalogues. This research is of practical use for researchers and organizational management who are involved in knowledge management research and practices.

Complete Issue 52(2)

Speaker & Gavel

Complete digitized issue (volume 52, issue 2) of Speaker & Gavel.

Bully Or Dupe?: Governor Chris Christie’S Image Repair On The Bridge Lane Closure Scandal, William L. Benoit

Speaker & Gavel

In 2013, two lanes leading to the George Washington Bridge – the busiest in the nation – in Fort Lee, NJ, were closed. In January of 2014, it emerged that Christie’s Deputy Chief of Staff Kelley instigated this problem. Governor Christie was accused of retaliating against Fort Lee’s Mayor Mark Sokolich, who had not endorsed Christie’s re-election bid. Christie fired Kelley, held a press conference, and apologized to Sokolich and the people of Fort Lee. Christie’s primary strategies were mortification and corrective action, but he also used denial, differentiation, minimization, and defeasibility to deal with this situation. Minimization was interesting …

The Person We Knew: Perceptions Of The Identity Of Loved Ones With Dementia By Family Caregivers, Amber Jannusch, Dena Huisman

Speaker & Gavel

While several studies have looked at the identity of dementia patients, most focus on the point of the view of the patient. However, caretakers’ and family members’ view of the identity of the dementia patient is unstudied. This study attempts to see how family caregivers’ view of their family member’s dementia manifests in communication about the loved one. This study is a preliminary examination of family caregivers’ constructions of the identity of their loved one, revealing that caretakers have one of three views: the patient without an identity, the patient as a different person, or the patient as “not lost” …

Copycat Forensics: How Social Learning Problematizes Intercollegiate Forensic Performances, Alyssa Reid

Speaker & Gavel

This paper highlights noticeable problems stemming from students adopting forensic norms without critiquing practice. Although many pedagogically sound reasons account for some structural similarities in events, many performance choices enacted in forensic competition are not grounded in educational principles but are learned and fostered through social learning. Currently, students can achieve forensic success without developing sound reasons for performance choices. Uncovering the ways in which students, judges, and coaches, produce and reproduce copycat performances can improve overall academic and competitive rigor.

Front Matter

Speaker & Gavel

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

On Marriage, Religious Freedom, Equality And Homosexuality: A Reply To Professor Huhn, George W. Dent Jr.

ConLawNOW

As Professor Huhn says, there is much on which we agree. I concur that the Free Exercise Clause gives citizens no power to override an Equal Protection decision by the Supreme Court (his answer to his Question 1), or a decision of a state supreme court to compel legal recognition of same-sex “marriage” (SSM) (his answer to his Question 2). We part company, though, over the meaning of equality and its application to marriage.

The Epigenetics Of Post-Traumatic Stress Disorder In Women And Ptsd In Women Veterans: Implications For Health Policy, Cheryl R. Brubaker Msn, Sdnp, Fnp-Bc, Judith Milner Psyd

DNP Forum

Women have long served in the military during war whether recognized or unrecognized, whether praised or unpraised, whether there by choice or not there by choice. Men and women both feel the wounds of war. So many times those wounds are very hard to ignore, and often those wounds are not so visible yet take their toll. Post-traumatic stress disorder (PTSD) is commonly associated with combat, with war, and with being a veteran (Fischer, 2014). Our understanding of women formally deployed as soldiers into combat and the consequences for these women is less well defined. Through a meta-synthesis of published …

Risk Assessment Strategy For Late Preterm Infants, Nisha Nair, Constance Hill

DNP Forum

Late preterm infants (LPIs), born between 34 and 36 6/7 weeks gestation, face many challenges. These infants comprise 71% of preterm births and 8.7% of all births in the United States (Hamilton, Martin, & Ventura, 2010). They have a higher incidence of medical complications than their full-term counterparts leading to longer hospital stays or readmissions (Consortium on Safe Labor, 2010; Khashu, Narayanan, Bhargava, & Osiovich, 2009; Pulver et al., 2010). The nurse’s role in educating parents of LPIs is pertinent as these babies are at heightened risk for a number of significant complications. The purpose of this project is to …

Commentary: Are Emergency Nurses Sbirt-Ready To Assist Vets And Other Chronic Non-Cancer Pain Patients?, Dorothy J. Moore, Danette K. Dutra

DNP Forum

Emergency Department (ED) Registered Nurses (RNs) spend significant time treating chronic pain patients. Chronic pain affects up to 100 million Americans (Simon, 2012) and as much as 30% of all opioid pain medications in the United States (US) are prescribed from EDs (Todd, Cowan, Kelly, & Homel, 2010). Abuse of these prescription drugs is America’s fastest growing drug problem (Paulozzi, Jones, Mack, & Rudd, 2011). For veterans of Operation Enduring Freedom (OEF), Operation Iraqi Freedom (OIF) and Operation New Dawn (OND), chronic non-cancer pain is the most frequent diagnosis (Higgins et al., 2014), and it is closely associated addiction disease. …

Understanding Veteran’S Health Beliefs: An Essential Part Of A Patient-Centered Approach To Treatment Adherence, Susan E. Phillips Dnp, Mph, Pmhcns, Mary Dolansky Rn, Phd

DNP Forum

Background: Patient centered care is a mechanism to encourage healthcare consumers to work together with health care professionals to achieve quality outcomes In the VA, non-adherence to treatment recommendations is problematic. Non-adherence results in poor use of VA resources as veterans come in for care but do not follow through with recommended treatment plans. Besides asking veterans about their health goals and preferences, understanding the veteran’s orientation regarding health beliefs and motivators for adherence to recommended treatment plans is essential for nurses who aim to help the veteran achieve healthy lifestyle behaviors.

Objective: The purpose of this study was to …

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 …

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

Campus Research Day Programs

Campus research day program for December 4, 2015.

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 …

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 …

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 …

Gait Training, Strength Training, And Pain Management Of A 26 Year Old Female Recovering From A Multiple Sclerosis Exacerbation: A Case Report, Ellen Cox

Case Report Papers

Background and Purpose: Multiple Sclerosis can be a debilitating disease that affects millions of people. Exacerbations range from mild to very severe. Due to the inconsistent nature of multiple sclerosis, the most effective treatments are still unclear. The purpose of this case report was to document the findings of an individual, who suffered a severe multiple sclerosis exacerbation after a series of stressful life events. Case Description: This case report presents a 26 year old female with a known history of multiple sclerosis. This patient suffered an exacerbation and her level of function went from living independently to unable to …

Neuromuscular Electrical Stimulation And Quadriceps Strength Following Patellar Fracture And Open Reduction Internal Fixation Surgery: A Case Report, Chelsea Hussey

Case Report Papers

Background and Purpose: Patellar fractures followed by open reduction internal fixation (ORIF) surgery can cause numerous impairments which can negatively impact a person’s ability to participate in normal daily activities. Quadriceps weakness is common following this type of injury and surgery, and the literature reflects varying opinions as to what is the best method for regaining strength. Previous studies have examined the use of neuromuscular electrical stimulation (NMES) in conjunction with traditional exercises on quadriceps strength following surgeries such as a total knee arthroplasty (TKA), but there is limited research involving patients status post (s/p) ORIF following a comminuted patellar …

Application Of A Short-Term Aquatic Physical Therapy Program For A Patient With Chronic Low Back Pain And Radiculopathy: A Case Report, Marc Asta

Case Report Papers

Background and Purpose: Within the confines of approved Physical Therapy (PT) visits from independent and national insurance companies, PTs are often challenged to improve a patient’s impairments and Quality Of Life (QOL) in a limited number of approved visits. The purpose of this case report is to document if six PT visits with aquatic intervention for a patient with chronic low back pain (CLBP) and radiculopathy improves a patient’s subjective and objective impairments in relation to his QOL. Case Description: The patient was a sixty-two year old male who presented to PT with CLBP for the previous forty years secondary …

The Effects Of Long-Term Use Of Stimulant Medication For Attention Deficit Hyperactivity Disorder, Melissa M. Jones

Graduate Research Projects

No abstract provided.

Preoperative Smoking Cessation Intervention: A Critical Appraisal Of The Evidence With Practice Recommendations, Casta Townsley

Student Projects for Graduate Degrees

Smoking is the single most important risk factor in the development of postoperative complications. Daily smoking increases the risk of postoperative complications by a factor of two to four. Smoking cessation preoperatively is beneficial in increasing rates of cessation and therefore reducing the incidence of complications postoperatively. As a result, smoking cessation should be recognized as a core element of care for the preoperative management of the surgical patient. Although the benefits of smoking cessation are well established, as is substantial evidence demonstrating that brief interventions are effective in increasing cessation rates among users, clinicians fail to consistently address the …

Harbor Notes, December 4, 2015, University Of South Florida St. Petersburg. Office Of University Advancement.

Harbor Notes

The December 4, 2015, issue of Harbor Notes.

León Fernández Guardia Y “El Número 13,013”, Ivan Molina Jimenez

Alambique. Revista académica de ciencia ficción y fantasía / Jornal acadêmico de ficção científica e fantasía

El presente artículo contextualiza la publicación del cuento "El número 13013" del escritor costarricense León Fernández Guardia. Impreso originalmente en 1908, este es un relato pionero, a nivel centroamericano, en los géneros de la ciencia ficción, policial y de terror. Además, fue uno de los primeros textos de este tipo en ser traducido al idioma inglés (1925).

The Amazon In Brazilian Speculative Fiction: Utopia And Trauma, M. Elizabeth Ginway

Alambique. Revista académica de ciencia ficción y fantasía / Jornal acadêmico de ficção científica e fantasía

There are two key moments when the Amazon is used as the setting for Brazilian science fiction, both during periods of dictatorship in the twentieth century. The first takes place during the authoritarian government of Getúlio Vargas (1930-1945), the second after the decades-long push for modernization and technological change imposed by the military government from 1964 to 1985. My study shows that, for writers of the first half of the twentieth century, the Amazon is a place of adventure, a setting for stories whose imaginative events ignore the region’s anthropology, history and indigenous cultures. Among the early Brazilian Amazonian adventure …

Recuerdos Que Curan. Memoria Y Ciencia Ficción En Chile, Kaitlin R. Sommerfeld, Juan C. Toledano

Alambique. Revista académica de ciencia ficción y fantasía / Jornal acadêmico de ficção científica e fantasía

A través del análisis de la novela Synco de Jorge Baradit y el cuento "Exerion" de Pablo Castro, se propone el uso de la literatura de ciencia ficción como vehículo para la curación de traumas producidos por la dictadura chilena de Augusto Pinochet. Los autores creen que a través del extrañamiento y la heterotopía, la ciencia ficción puede ser útil y pertinente a lo que se ha venido a llamar como literatura del trauma.

Daily Eastern News: December 04, 2015, Eastern Illinois University

December

No abstract provided.

A Fiscal Model Program Theory Proposal For Training Reentry Citizen Ex-Convicts To Remodel Abandoned Houses, James A. Hanson

Department of Educational Administration: Dissertations, Theses, and Student Research

The purpose of this study was to develop and examine a fiscal program theory model and proposal for training reentry citizen ex-convicts to remodel abandoned houses. A sustainable program theory model describes ways that training and employing these citizens to remodel abandoned houses may be expected to have benefits to a community. The recently released ex-convicts will learn a construction trade, earn a sustainable wage, and the once-abandoned houses will be returned to the city tax rolls. Vocational education and workforce training are key to this program. The literature indicates that national jobless rates for recently released inmates is well …

There Goes The Neighborhood: The Effects Of Residency Restrictions On Sex Offenders And The Community, Linde Christine Rush Burkey

Theses and Dissertations

Sex offender laws and regulations were enacted with the goal of preventing and reducing sex crimes, however, some scholars have argued sex offender laws may actually contribute to an increase in recidivism as a result of a number of unintended consequences. While there have been numerous studies examining the unintended consequences associated with residency restrictions, no research to date has examined the location of sex offender clusters and how these clusters affect the community and sex crimes within their geographical vicinities. While some researchers have established that the clustering of registered sex offenders occurs in certain geographical areas, further analysis …

Applications Of Structure Based Drug Design To Generate High Affinity Anti-Methamphetamine Immunotherapy And To Identify Novel Inhibitors Of Lox-1 To Treat Atherosclerosis, Shraddha Thakkar

Theses and Dissertations

Computer-aided rational drug design is one of the most promising approaches for the development of effective drug therapies. This dissertation describes applications of rational structure-based techniques in two cases. In the first study, we enhanced the potency of a therapeutic antibody against methamphetamine. In the second study we identified potentially therapeutic molecules to treat atherosclerosis. Methamphetamine abuse is a serious health hazard and a single chain variable fragment (scFv) of a therapeutic anti-METH antibody has been developed at this University. Anti-METH immunotherapy blocks or reduces the rate of METH entry into the brain. In this research we introduced rationally designed …