Student Healthcare Providers\u27 Illness Narratives: Impact on Family-Focused Care

In this study, we interviewed 30 students training for three areas of healthcare: medicine, nursing, and medical family therapy (MedFT). Through grounded theory analysis of these interviews, we looked to understand how these providers connected their own experiences with illness to their clinical work, particularly in including patients’ family members in care. The majority of participants, and especially those in medicine and nursing disciplines, described a tension between their desire to connect with patients and families and their developing definition of professionalism. For others, the impact of students’ personal experiences with illness seemed to provide a different definition of professionalism, making these personal connections more purposeful. We found that students described four significant processes around a core category of defining professionalism: (1) facing discrepancies between ideals around being a healthcare provider and students’ lived experiences, (2) coping with the challenges of healthcare culture, (3) navigating relationships between own experiences with illness and patients’ experiences, and (4) attempting to connect more closely with patients and their families. Implications suggest that training programs across disciplines consider how to support self-of-the-provider reflection, relational perspectives of illness, and students’ abilities to connect with patients and include families in care. Keywords: medical family therapy, illness narratives, collaborative care, family-centered care

Response of Channel Catfish, Ictaluri Punctatus, T-Lymphocytes to Outer Membrane Proteins of Edwardsiella Ictaluri

A thesis presented to the faculty of the College of Science and Technology at Morehead State University in partial fulfillment of the requirements for the Degree of Master of Science in Biology by Marlin Ann Lawson on February 29, 1999

Kangaroo Care Impact on Maternal Health: An Integrative Review

Health care should progress and change as the needs of the population change. As light is shed on the mothers’ experiences during the postpartum period, there is an increasing need to find and implement evidence-based interventions to promote their health and wellness. As a vulnerable population, postpartum women require appropriate treatments and interventions to avoid postpartum complications. Three key themes of postpartum health and well-being that directly and significantly impact mothers are postpartum depression, maternal and infant attachment, and exclusive breastfeeding. This integrative review addressed the correlation between each of these themes and how kangaroo care, upright skin-to-skin contact, impacts them. Inconsistent use of kangaroo care as an intervention for mothers postpartum was discovered in this review, as it is typically used for infants. Statistical evidence supporting the use of kangaroo care to improve overall maternal health was discussed in this integrative review. Keywords: kangaroo care (KC), postpartum depression, maternal and infant attachment, exclusive breastfeedin

Marshall University Music Department Presents the MUSIC ALIVE!

https://mds.marshall.edu/music_perf/1618/thumbnail.jp

Integrating Industry and National Economic Accounts: First Steps and Future Improvements

The integration of the annual I-O accounts with the GDP-by-industry accounts is the most recent in a series of improvements to the industry accounts provided by the BEA in recent years. BEA prepares two sets of national industry accounts: The I-O accounts, which consist of the benchmark I-O accounts and the annual I-O accounts, and the GDPby- industry accounts. Both the I-O accounts and the GDP-by-industry accounts present measures of gross output, intermediate inputs, and value added by industry. However, in the past, they were inconsistent because of the use of different methodologies, classification frameworks, and source data. The integration of these accounts eliminated these inconsistencies and improved the accuracy of both sets of accounts. The integration of the annual industry accounts represents a major advance in the timeliness, accuracy, and consistency of these accounts, and is a result of significant improvements in BEA's estimating methods. The paper describes the new methodology, and the future steps required to integrate the industry accounts with the NIPAs. The new methodology combines source data between the two industry accounts to improve accuracy; it prepares the newly integrated accounts within an I-O framework that balances and reconciles industry production with commodity usage. Moreover, the new methodology allows the acceleration of the release of the annual I-O accounts by 2 years and for the first time, provides a consistent time series of annual I-O accounts. Three appendices are provided: A description of the probability-based method to rank source data by quality; a description of the new balancing produced for producing the annual I-O accounts; and a description of the computation method used to estimate chaintype price and quantity indexes in the GDP-by-industry accounts.

Coding Human-Animal Interactions in Homes of Children with Autism Spectrum Disorders

Autism spectrum disorder (ASD) is a developmental disorder characterized by differences in social functioning, communication, sensory preferences, and behavior. These differences invite an effort to understand the human-animal bond and its impact on families and children with ASD. The purpose of this study was to determine if the Observation of Human-Animal Interaction for Research (OHAIRE) coding tool can be utilized in a home-based setting to code human-animal interactions in children with ASD. The OHAIRE is a coding tool developed to quantify the behavior of children when interacting with social partners and animals in naturalistic settings. The tool has been tested for reliability and validity within structured, community-based settings; however, it has not been used in home-based settings. This study aimed to analyze the feasibility of utilizing the OHAIRE tool in home-based settings. The second aim was to determine if interrater and intrarater reliability could be reached between coders using data from the home-based videos. Nine minutes of video were obtained for the study. Participant-provided video was challenging to obtain and presented some coding challenges as quality differed from training videos. Participant training and incentives may increase usability of home-based video for coding interactions. Interrater reliability agreement was reached between primary and secondary coders ranging from .842 to .888. Intrarater reliability was met with substantial agreement to almost perfect agreement and ranged from .792 to .929. The OHAIRE coding tool is a promising measure of in-home human-animal interactions that may require adaptations for coding home-based interactions. Further research should include testing in home-based settings with larger and more diverse sample sizes

Transcriptome-wide analysis of the response of the thecosome pteropod Clio pyramidata to short-term CO2 exposure

Author Posting. © The Author(s), 2015. This is the author's version of the work. It is posted here by permission of Elsevier for personal use, not for redistribution. The definitive version was published in Comparative Biochemistry and Physiology Part D: Genomics and Proteomics 16 (2015): 1-9, doi:10.1016/j.cbd.2015.06.002.Thecosome pteropods, a group of calcifying holoplanktonic molluscs, have recently become a research focus due to their potential sensitivity to increased levels of anthropogenic dissolved CO2 in seawater and the accompanying ocean acidification. Some populations, however, already experience high CO2 in their natural distribution during diel vertical migrations. To achieve a better understanding of the mechanisms of pteropod calcification and physiological response to this sort of short duration CO2 exposure, we characterized the gene complement of Clio pyramidata, a cosmopolitan diel migratory thecosome, and investigated its transcriptomic response to experimentally manipulated CO2 conditions. Individuals were sampled from the Northwest Atlantic in the fall of 2011 and exposed to ambient conditions (~380 ppm) and elevated CO2 (~800 ppm, similar to levels experienced during a diel vertical migration) for ~10 hrs. Following this exposure the respiration rate of the individuals was measured. We then performed RNA-seq analysis, assembled the C. pyramidata transcriptome de novo, annotated the genes, and assessed the differential gene expression patterns in response to exposure to elevated CO2. Within the transcriptome, we identified homologs of genes with known roles in biomineralization in other molluscs, including perlucin, calmodulin, dermatopontin, calponin, and chitin synthases. Respiration rate was not affected by short-term exposure to CO2. Gene expression varied greatly among individuals, and comparison between treatments indicated that C. pyramidata down-regulated a small number of genes associated with aerobic metabolism and up-regulated genes that may be associated with biomineralization, particularly collagens and C- type lectins. These results provide initial insight into the effects of short term CO2 exposure on these important planktonic open-ocean calcifiers, pairing respiration rate and the gene expression level of response, and reveal candidate genes for future ecophysiological, biomaterial and phylogenetic studies.The Extreme Science and Engineering Discovery Environment (XSEDE), which is supported by National Science Foundation grant number OCI-1053575, provided computing resources for the differential expression analysis. This material is based upon work supported by the National Science Foundation’s Ocean Acidification Program under grant number OCE-1041068 (to Lawson, Wang, Lavery, and Wiebe), the Woods Hole Oceanographic Institution’s Access to the Sea program (to Tarrant, Maas and Lawson) and the WHOI postdoctoral scholarship program (to Maas)

Mentoring in specialist workforce development: a realist evaluation

This study is a realist evaluation of developmental mentoring. It aims to contribute to the accumulation of knowledge about how mentoring works as an intervention and an approach. It is based on a project-in-practice: a Mentoring Programme that was offered to a group of non-medical specialist practitioners across all health and care sectors. Their specialism involved working with people living with long term neurological conditions. As a strategic innovation in workforce development, it was set up to address gaps in services and training opportunities. It ran in the north east of England from 2009-11. The research uses realist methodologies to understand ‘what works, how, for whom, in what circumstances and to what extent’ (Pawson and Tilley, 2004, p.2). It therefore focuses on causality and the way intervention outcomes evolve through people’s responses to resources and opportunities, contextually influenced. Having established the scope and framing of the research, and with the benefit of expert opinion, this study reviews relevant substantive theory and developmental mentoring literature to build a theory-primed and literature-populated framework to evaluate participant data. The analysis leads to the generation of a developmental mentoring model; an inverted hierarchy model for complex interventions, informed by developmental mentoring in a Mentoring Programme; an overarching programme theory that addresses ‘diversity and opportunity’, with subsidiary programme theories for learning and working differently and making a difference; and an evaluation framework for developmental mentoring in a Mentoring Programme. This study contributes to the accumulation of knowledge about developmental mentoring’s core concepts and theory in this field, using realist methodologies that are suited to the complexity of the topic