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2020

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Full-Text Articles in Nursing

In Adult Patients Receiving Wound Care, What Is The Effect Of Wound Care Given Using Clean Technique, Compared To Wound Care Given Using Sterile Technique On Efficient Wound Healing Process Without Complications?, Lily Gamble, Madison Taylor Oct 2020

In Adult Patients Receiving Wound Care, What Is The Effect Of Wound Care Given Using Clean Technique, Compared To Wound Care Given Using Sterile Technique On Efficient Wound Healing Process Without Complications?, Lily Gamble, Madison Taylor

Fall Showcase for Research and Creative Inquiry

We chose to research the effect of wound care given using clean technique compared to sterile technique. According to the US Center for Disease Control, nearly 1.7 million patients suffer from hospital-acquired infections and more than 98,000 of these patients die every year (Haque, et al., 2018). Due to this frightening statistic, we wanted to further understand and discover if using a certain technique when caring for wounds plays a major role in preventing complications, such as infections. We chose our topic based on our learning experiences in clinical and the classroom setting. We then found credible sources from medical …


Patient Education Effects On Health Outcomesâ , Hannah Lawrence Oct 2020

Patient Education Effects On Health Outcomesâ , Hannah Lawrence

Fall Showcase for Research and Creative Inquiry

The purpose of this research is to discuss how patient education can benefit patient health outcomes. Patient education involves helping patients to gain a better understanding of their condition, procedures, and how lifestyle choices can impact their health. There are many ways in which a patient can be educated. This includes discussions with the healthcare team and the use of other materials such as pamphlets, group classes, or videos. My research question is: How can patients with cardiovascular disease utilize tools gained from patient education improve health outcomes compared to those who have had inadequate education to prevent the development …


Do Adults With Bacterial Infections Develop Less Of An Antibiotic Resistance With Iv Antibiotics Than With Oral Antibiotics After A Full Course Of Treatment?, Navvy Stevens, Taylor-Erin Evitts Oct 2020

Do Adults With Bacterial Infections Develop Less Of An Antibiotic Resistance With Iv Antibiotics Than With Oral Antibiotics After A Full Course Of Treatment?, Navvy Stevens, Taylor-Erin Evitts

Fall Showcase for Research and Creative Inquiry

This study was conducted in order to discover if patients develop less of an antibiotic resistance when going through intravenous antibiotics, compared to using oral antibiotics. This concept was created due to the fact that many people that are prescribed oral antibiotics, do not finish the entire prescribed amount. When this occurs, it gives the bacteria that the antibiotics were trying to get rid of, have the chance to adapt and become resistant to the particular antibiotic. By discovering the percentage of people who were prescribed antibiotics that never finished a round of them, it aids in narrowing down what …


News From The Graduate School - Nursing Fall 2020, Otterbein Office Of Graduate Programs Oct 2020

News From The Graduate School - Nursing Fall 2020, Otterbein Office Of Graduate Programs

Graduate School

Newsletter that provides updates from the Graduate School and the Nursing Graduate Program.


Contraceptive Methods In The United States: The Question Of Abortive Mechanisms, Tara Ferenczy Oct 2020

Contraceptive Methods In The United States: The Question Of Abortive Mechanisms, Tara Ferenczy

Senior Honors Theses

This thesis reviews the many methods of contraception available in the United States. Although society’s understanding of women’s health has become a major topic, there is still a significant deficit of information regarding how the accessible methods affect women’s bodies, specifically reproductive tissue. The thesis analyzes numerous contraceptive options focusing specifically on the mechanisms of action to determine whether options have abortifacient properties so that readers may develop educated opinions regarding medical and ethical uses. Information involving strengths and limitations of each technique and the effects on both the female body and the reproductive material assist in understanding the process …


Kujdesi Infermieror Tek Pacientët Me Sëmundjet E Perikardit, Besartë E. Gërguri Oct 2020

Kujdesi Infermieror Tek Pacientët Me Sëmundjet E Perikardit, Besartë E. Gërguri

Theses and Dissertations

Në kuadër të këtij punimi do të paraqes një përmbledhje të detajuar rreth kujdesit infermieror tek pacientët me sëmundjet e perikardit, që ka për qëllim të përshkruajë gjendjen e përgjithshme shëndetësore të pacientëve me perikardit, duke shpjeguar rëndësinë se si kujdesi infermieror ndihmon në përmirësimin e shëndetit dhe mirëqenies së pacientëve, për t'u njohur fillimisht me përkufizimet e sëmundjes perikardiale, etiologjitë dhe patofiziologjitë e sëmundjes, prezantimet klinike, përcaktimin e diagnozës së sëmundjes, trajtimin dhe rolin infermieror në menaxhimin e sëmundjes perikardiale.

Ky punim për t'u realizuar është dashur të përdoren tema shkencore-akademike, për sa i përket përmbajtjes, metodologjisë dhe prezantimet …


Niveli I Depresionit, Stresit Dhe Ankthit Te Punëtorët Shëndetësorë Në Klinikën Infektive Në Qendrën Klinike Universitare Të Kosovës, Besart Lahu Oct 2020

Niveli I Depresionit, Stresit Dhe Ankthit Te Punëtorët Shëndetësorë Në Klinikën Infektive Në Qendrën Klinike Universitare Të Kosovës, Besart Lahu

Theses and Dissertations

Hyrje: Coronavirus (COVID-19) është sëmundje akute infektive e shkaktuar nga virusi Corona i ri. Sëmundja karakterizohet me kontagjiozitet të lartë dhe vdekshmëri relativisht të lartë krahasuar me sëmundjet tjera që përhapen përmes rrugëve respiratore. Mund ti prek njerëzit edhe në aspektin psikologjik. Në këtë kontekst, shumë njerëz përjetojnë reagime stresi, ankthi dhe depresioni. Ndër ta në radhë të parë janë punëtorët shëndetësor të profileve të ndryshme. Gjatë gjithë këtyre muajve përpos dinamikës së punës dhe rrezikut që u është kanosur, punëtorët shëndetësor kanë qenë të shqetësuar edhe për shëndetin e tyre dhe familjes si dhe ndryshimet në punë.

Qëllimi i …


Përjetimet Psikologjike Të Personave, Prindërit E Të Cilëve Vuajnë Nga Kanceri, Djellza Dushullovci Oct 2020

Përjetimet Psikologjike Të Personave, Prindërit E Të Cilëve Vuajnë Nga Kanceri, Djellza Dushullovci

Theses and Dissertations

Hyrje: Kanceri dhe trajtimi i tij kanë një ndikim të jashtëzakonshëm psikologjik dhe psiko-social si për pacientët ashtu edhe familjet e tyre dhe shoqërohen nga një seri ndryshimesh dramatike që përfshijnë dimensionet fizike, emocionale, shpirtërore, ndër njerëzore dhe shoqërore tek personat e prekur. Deklarimi i problemit: Qëllimi i hulumtimit është të zgjerojmë njohuritë tona rreth përjetimeve të veçanta psikologjike te personave që kanë prindër të prekur nga sëmundja e kancerit. Pra, të njoftohemi më për së afërmi me përjetimet të cilat janë më të shprehura tek këta persona, si dhe të kuptojmë m shumë se si sëmundja e prindit të …


Roli I Infermierëve Në Dhënien E Terapisë Te Pacientët Pediatrik, Edita Berisha Oct 2020

Roli I Infermierëve Në Dhënien E Terapisë Te Pacientët Pediatrik, Edita Berisha

Theses and Dissertations

Ky punim është realizuar me qëllim të zgjerimit të njohurive lidhur me rolin e infermierit në dhënien e terapisë tek pacientët pediatrik.

Objektivi specifik i kësaj teme është mënyra e administrimit të terapisë tek fëmijët, pasi që ky grup i pacientëve karakterizohet me vështërsi në marrjen e terapisë, dhe për këtë arsye është me rëndësi të dihet edhe roli i infermierit në aspektin etik ku qëllim kryesor është përmisimi i gjendjes së pacientit.

Infermieria pediatrike është një fushë e specializuar, që merret me kujdesin ndaj fëmijëve në kushte fiziologjike dhe në gjendje të sëmundjeve të ndryshme. Ajo përfshin kujdesin parandalues, …


Roli I Kujdesit Infermieror Në Administrimin E Barnave Te Pacientët Me Artrit Reumatoid, Aspektet E Dozimit Dhe Kompliansa Me Dokumentacionin Mjekësor, Erblina Ademi Oct 2020

Roli I Kujdesit Infermieror Në Administrimin E Barnave Te Pacientët Me Artrit Reumatoid, Aspektet E Dozimit Dhe Kompliansa Me Dokumentacionin Mjekësor, Erblina Ademi

Theses and Dissertations

Artriti reumatoid (AR) është një sëmundje sistemike kronike progreduese që kërkon terapi të vazhdueshme me medikamente të shumta. Mosrespektimi i terapisë së përshkruar për modifikimin e sëmundjes mund të rezultoj në dështim të trajtimit dhe kjo mund të shkaktojë përkeqësim të shëndetit të pacientit të shoqëruar me një nivel të lartë të aktivitetit të sëmundjes dhe dëmtime funksionale, gjendje e cila mund të kërkoj ndryshime të panevojshme të trajtimit. Qëllimi i studimit ishte vlerësimi i nivelit të pajtueshmërisë së vetë-raportuar me trajtimin dhe identifikimi i faktorëve që kontribuojnë në këtë pajtueshmëri duke përdorur si mostër përfaqësuese pacientët me artrit reumatoid. …


Kujdesi Infermieror Tek Diarretë, Leunora Morina Oct 2020

Kujdesi Infermieror Tek Diarretë, Leunora Morina

Theses and Dissertations

Në këtë punim do ta trajtojmë kujdesin e infermieres në trajtimin dhe menaxhimin e diarresë.

Objektivi i përgjithshëm i temës së diplomës është të ofrojmë njohuri për diarrenë, të ngrihet vetëdijësimi i popullatës duke pasur parasysh që diarrea është problem i madh për shëndetin dhe mirëqenien e individëve. Njohja e sëmundjes është shumë e rëndëndësishme në procesin e prandalimit dhe trajtimit të sëmundjes si: njohja e simptomave të sëmundjes, njohja e shkaktarëve të sëmundjes si dhe faktorët specifikë që ndikojnë në paraqitjen e diarreve.

Këto objektiva kanë të bëjnë veçanërisht për kujdesin dhe menaxhimin që duhet tu bëhet të sëmurëve …


Stresi Në Punë Në Mesin E Infermierëve Në Spitalin E Ferizajit, Krenare Ugzmajli Oct 2020

Stresi Në Punë Në Mesin E Infermierëve Në Spitalin E Ferizajit, Krenare Ugzmajli

Theses and Dissertations

Hyrje - duke e ditur se stresi në punë është fenomen global që prek të gjitha profesionet, fokusi i studimit tim është tek stresi në punë në profesionin e infermierisë, profesion i cili është kyç për të ofruar kujdes shëndetësor, dhe një aspekt i rëndësishëm është edhe niveli i stresit që infermierët përjetojnë në punën e tyre.

Qëllimi - i këtij hulumtimi është të identifikoj sa është i pranishëm stresi në punë në mesin e infermierëve në spitalin e Ferizajt. Me rezultatet e këtij studimi synohet që të dimë se cilat janë situatat më stresuese në profesionin e infermierisë, a …


Abcesi I Trurit Dhe Kujdesi Infermieror, Mevlude Sejdiu Oct 2020

Abcesi I Trurit Dhe Kujdesi Infermieror, Mevlude Sejdiu

Theses and Dissertations

Abscesi i trurit (ABCESI I TRURIT) përcaktohet si një infeksion fokal brenda parenkimës së trurit, i cili fillon si një zonë e lokalizuar e cerebritit, e cila më pas shndërrohet në një koleksion qelbi brenda një kapsule të vaskularizuar mirë. Abscesi i trurit duhet të diferencohet nga infeksionet parameningeale, përfshirë abscesin epidural dhe empiemën subdurale. Abscesi I trurit është një sfidë për neurokirurgun sepse nevojiten aftësi të mira klinike, farmakologjike dhe kirurgjikale për të siguruar rezultate të mira klinike dhe prognozë për pacientët abscesi I trurit. Konsideruar një infeksion i rrallë i trurit, abscesi i trurit mund të jetë një …


Rolli Infermierit Në Kujdesin Shëndetësor Tek Pacientët Me Diabet, Mersida Bajrami Oct 2020

Rolli Infermierit Në Kujdesin Shëndetësor Tek Pacientët Me Diabet, Mersida Bajrami

Theses and Dissertations

Diabeti është një çrregullim kronik dhe i pashërueshëm i glukozës në gjak. Ne dallojmë disa forma të diabetit, ku më e njohura janë diabeti mellitus tip 1 dhe tipi 2. Trajtimi joadekuat i diabetit mund të çojë në një sërë komplikimesh akute, kronike dhe të tjera. Sa më shpejt të diagnostikohet dhe trajtohet sëmundja, aq më i madh është suksesi dhe aq më e ulët është mundësia e ndërlikimeve.

Punimi paraqet rolin e infermierit në kujdesin shëndetësor dhe thekson rolin e saj në edukimin e pacientëve. Infermierja edukon pacientin në lidhje me metodat e trajtimit: farmakoterapi ose insulinë, ushqim të …


The Impact Of Nursing Hand Off Reports, Bobbie Umberger, Selena Carrera Oct 2020

The Impact Of Nursing Hand Off Reports, Bobbie Umberger, Selena Carrera

Fall Showcase for Research and Creative Inquiry

We will be evaluating and comparing different types of nursing handoff reports, such as verbal versus bedside. We researched different research articles and studies that compared bedside handoff reports to verbal handoff reports. These studies analyzed the effect on patients, such as safety and satisfaction, from the type of handoff report. In our research, we compared the advantages and disadvantages of verbal and bedside reports and found strategies to improve handover reports. From this information it was concluded that the bedside report is more effective than a verbal report for the patient and nurse.


Effectiveness Of School-Based Exercise Programs On Childhood Obesity, Amanda Newman, Hannah Deacon Oct 2020

Effectiveness Of School-Based Exercise Programs On Childhood Obesity, Amanda Newman, Hannah Deacon

Fall Showcase for Research and Creative Inquiry

Childhood obesity has increased over the past four decades. It is crucial for officials to increase awareness and implement a course of action regarding this issue. There are several complications that arise from childhood obesity including hypertension, type 2 diabetes mellitus, liver disease, reproductive conditions, heart disease, mood disorders, cancer, dyslipidemia; childhood obesity often results in obesity throughout adulthood. Children spend a substantial amount of time at school, therefore, schools become an ideal place to establish interventions to combat the health concern. A study was conducted and proved to be effective at decreasing body mass index (BMI) in school-aged children, …


Effectiveness Of Epipen And Its Alternativesâ , Rebecca Anderson, Emma Sanford Oct 2020

Effectiveness Of Epipen And Its Alternativesâ , Rebecca Anderson, Emma Sanford

Fall Showcase for Research and Creative Inquiry

The purpose of this project was to compare the effectiveness of the EpiPen and its alternatives. Epipens are the first-line treatment for systemic allergic reactions. The pharmaceutical company Mylan first came into existence in 1961, distributing medical and health products to medical professionals with the goal of providing access to affordable medicine. Epipens now-a-days can cost anywhere from $650-$700, while alternatives like Symjepi cost around $200, Adrenaclick is about $500 and Auvi- Q is around $5,000 for a twin pack but can be free with insurance . For this project we looked at various different sources about each brand. From …


Are Hormone Therapies More Effective In Treating The Manifestations/ Symptoms Of Menopause Than Lifestyle, Exercise, And Diet Changes?, Madison Wessells, Morgan Tharpe Oct 2020

Are Hormone Therapies More Effective In Treating The Manifestations/ Symptoms Of Menopause Than Lifestyle, Exercise, And Diet Changes?, Madison Wessells, Morgan Tharpe

Fall Showcase for Research and Creative Inquiry

For many women, menopause is a topic that is not discussed until they reach the age of 45 and begin to experience symptoms such as hot flashes and night sweats. Because of the taboo associated with menstrual cycles and female reproductive health, many women suffer in silence and are not aware of the various treatment options that are available to aid with the subsidence of their symptoms. These various treatment options range from medications such as hormone-replacement therapies, vitamin and mineral supplements, and changes in diet and exercise. For this presentation, the research that was conducted focused on hormonal therapies …


Loma Linda Nurse - Vol. 28, Loma Linda University School Of Nursing Oct 2020

Loma Linda Nurse - Vol. 28, Loma Linda University School Of Nursing

Loma Linda Nurse

FEATURES

4 | Faces of the Frontlines

12 | The COVID Effect

16 | Far and Away—Gabriele Stevens

18 | Leveling Up— A View of the Future

LLUSN HIGHLIGHTS

20-27 | ALUMNI NEWS

28-31 | HOMECOMING

32-35 | ACADEMICS

36-43 | FACULTY UPDATES


Utilization Of The “Do Not Disturb” Order To Improve Sleep Quality In The Medical-Surgical Patient, Paula Sell Bsn, Rn, Rebecca Johnson Bsn, Rn, Jolene M. Smar Bsn, Rn, Rachel Szafranski Adn, Rn Oct 2020

Utilization Of The “Do Not Disturb” Order To Improve Sleep Quality In The Medical-Surgical Patient, Paula Sell Bsn, Rn, Rebecca Johnson Bsn, Rn, Jolene M. Smar Bsn, Rn, Rachel Szafranski Adn, Rn

Patient Care Services / Nursing

No abstract provided.


Everything You Need To Know About Caregiving For Parkinson’S Disease, Lianna Marie Oct 2020

Everything You Need To Know About Caregiving For Parkinson’S Disease, Lianna Marie

Purdue University Press Book Previews

Caregiving for those who suffer from Parkinson’s disease comes with many challenges, from how to deal with guilt and loneliness to avoiding burnout and figuring out what to expect from an unpredictable disease. When giving care, too often caregivers neglect their own well-being. Everything You Need to Know About Caregiving for Parkinson’s Disease is not just about caring for your loved one, but also about taking care of yourself. Lianna Marie served as her mother's caregiver for more than twenty years after she was diagnosed with Parkinson’s disease. Drawing on firsthand experience, her training as a nurse, and the many …


The Complete Guide For People With Parkinson’S Disease And Their Loved Ones, Lianna Marie Oct 2020

The Complete Guide For People With Parkinson’S Disease And Their Loved Ones, Lianna Marie

Purdue University Press Book Previews

A diagnosis of Parkinson’s disease is as disorienting as it is devastating. The Complete Guide for People With Parkinson’s Disease and Their Loved Ones helps make sense of what comes next and what can be done, not just for those suffering from the disease but for their family and friends as well. A trained nurse and primary caregiver for her mother, who was diagnosed with Parkinson’s disease in 1991, Lianna Marie draws upon over twenty years of education, research, and direct experience. Written in straightforward and easily accessible language, this essential guide aims to help patients better understand their role …


Strengthening Human And Physical Infrastructure Of Primary Healthcare Settings To Deliver Hypertension Care In Vietnam: A Mixed-Methods Comparison Of Two Provinces, Lana Meiqari, Thi-Phuong-Lan Nguyen, Dirk Essink, Pamela Wright Phd, Ms, Med, Rn, Cen, Fedde Scheele Oct 2020

Strengthening Human And Physical Infrastructure Of Primary Healthcare Settings To Deliver Hypertension Care In Vietnam: A Mixed-Methods Comparison Of Two Provinces, Lana Meiqari, Thi-Phuong-Lan Nguyen, Dirk Essink, Pamela Wright Phd, Ms, Med, Rn, Cen, Fedde Scheele

Publications

In Vietnam, the overall prevalence of hypertension (HTN) was 21%, with lower estimates for the prevalence of HTN awareness and treatment. The health systems, like other low- and middle-income countries, were designed to provide acute care for episodic conditions, rather than a chronic condition where patients need long-term care across time and disciplines. This article describes the delivery and organization of HTN care at primary healthcare (PHC) settings in both urban and rural areas at Hue Province of Central Vietnam in comparison with Thai Nguyen province in Northern Vietnam based on the infrastructure capacity and patients' and providers' perspectives and …


2020 Fall Newsletter, Morehead State University. Nursing Department. Oct 2020

2020 Fall Newsletter, Morehead State University. Nursing Department.

Nursing Department Publications Archive

2020 Fall Newsletter of the Department of Nursing at Morehead State University.


Maternal And Newborn Care During The Covid-19 Pandemic In Kenya: Re-Contextualising The Community Midwifery Model, Rachel Kimani, Rose Maina, Constance Shumba, Sheila Shaibu Oct 2020

Maternal And Newborn Care During The Covid-19 Pandemic In Kenya: Re-Contextualising The Community Midwifery Model, Rachel Kimani, Rose Maina, Constance Shumba, Sheila Shaibu

School of Nursing & Midwifery, East Africa

Peripartum deaths remain significantly high in low- and middle-income countries, including Kenya. The COVID-19 pandemic has disrupted essential services, which could lead to an increase in maternal and neonatal mortality and morbidity. Furthermore, the lockdowns, curfews, and increased risk for contracting COVID-19 may affect how women access health facilities. SARS-CoV-2 is a novel coronavirus that requires a community-centred response, not just hospital-based interventions. In this prolonged health crisis, pregnant women deserve a safe and humanised birth that prioritises the physical and emotional safety of the mother and the baby. There is an urgent need for innovative strategies to prevent the …


Adolescents And Young Adults With Cancer Using A Symptom Heuristics App: Provider Perceptions And Actions, Catherine Fiona Macpherson, Kristin Stegenga, Jeanne Erickson, Lauri Linder, Amy Rose Newman, Ronald K. Elswick, John Charlson, Stefanie Thomas, Suzanne Ameringer Oct 2020

Adolescents And Young Adults With Cancer Using A Symptom Heuristics App: Provider Perceptions And Actions, Catherine Fiona Macpherson, Kristin Stegenga, Jeanne Erickson, Lauri Linder, Amy Rose Newman, Ronald K. Elswick, John Charlson, Stefanie Thomas, Suzanne Ameringer

College of Nursing Faculty Research and Publications

Purpose: This study examined health care providers' perceptions of the usefulness and ease of use of a symptom heuristics app delivered via a tablet computer as a resource for understanding symptom experiences of adolescents and young adults (AYAs) with cancer. AYAs' app-generated symptom reports were compared with providers' documentation of AYAs' symptoms.

Methods: This multisite study included responses from 86 AYAs 15–29 years of age who completed the Computerized Symptom Capture Tool (C-SCAT) before two scheduled visits for chemotherapy. After each visit, their providers completed a survey addressing their perspective of: (1) the usefulness of data provided by the C-SCAT …


A Narrative Inquiry Of Associate Degree Nursing Students' Stories About Their Experiences With Academic Misconduct, Bridget Maley Oct 2020

A Narrative Inquiry Of Associate Degree Nursing Students' Stories About Their Experiences With Academic Misconduct, Bridget Maley

Publications and Research

Academic misconduct is a growing national and global concern. There is a paucity of literature on academic misconduct in nursing. Utilizing the qualitative method of narrative inquiry, this study gives voice to students’ stories of academic misconduct and reveals intimate stories of their experience. The stories contribute to a deeper understanding of associate degree nursing students' experiences with academic misconduct. The findings of the study have implications for future research, nursing education, and practice.


Determining The Effectiveness Of System-Based Solutions To Improve Fragmented Care For Oncology Patients Living In Rural And Remote Regions: An Integrative Review, Andrea Nicole Fulmer Oct 2020

Determining The Effectiveness Of System-Based Solutions To Improve Fragmented Care For Oncology Patients Living In Rural And Remote Regions: An Integrative Review, Andrea Nicole Fulmer

Doctoral Dissertations and Projects

The purpose of this integrative review is to review, critique, and synthesize the current literature to determine the state of the science related to the established systems approach for improving healthcare management and care coordination of the oncology patient population in rural and remote regions. The oncology patient population with co-existing chronic disease living in rural and remote regions experience fragmented health care. New cancer diagnoses take precedence over other existing comorbidities and require focused and specialized care for lengthy periods of time. Research is significantly limited for the current state of science for the identified patient population living in …


Building Pipelines: Partnering For Successful Rn Residency, Leann Ogilvie, Laurie Ryan-Mcdonald Oct 2020

Building Pipelines: Partnering For Successful Rn Residency, Leann Ogilvie, Laurie Ryan-Mcdonald

Books, Presentations, Posters, Etc.

No abstract provided.


Home Health Care Nursing In The Pandemic: Preliminary Analysis Of Video Interviews, Richard P. Smiraglia, Edmund Pajarillo, Elizabeth Milonas, Sergey Zherebchevsky Oct 2020

Home Health Care Nursing In The Pandemic: Preliminary Analysis Of Video Interviews, Richard P. Smiraglia, Edmund Pajarillo, Elizabeth Milonas, Sergey Zherebchevsky

Publications and Research

No abstract provided.