Difficult Passage

A story about the way we are all strangers to each other (and to ourselves), no matter how close we are or think we are, and the way we shower insensitivities on those we love. And about the pain of such realization

Lamp Light

Does you head ache after studying? If it does, check up on your lamps. Do you really have a lamp suitable for close reading on your desk, or is it just something you brought from home? We\u27re casting no aspersions on your mother\u27s light fixtures, but chances are she didn\u27t buy that lamp you have with the idea of seeing it carried off to college for study purposes

Worlds Apart: Social Mechanisms of Contrasting Fertility in European American and Native American Populations on the Northern Plains

The purpose of this study was to explore the relationship between fertility and household economy on Montana\u27s Northern Plains. Low fertility and outmigration in European American communities have led to dramatic depopulation of the region. At the same time, isolated Indian reservations in the area have grown in population due to high fertility and return migration. A mixed methods research approach was used to explore the relationship between fertility and social acceptance of communal household economic strategies. Census data and birth records described differences in fertility and household economy between European American and Native American populations in six Plains Indian reservation counties; inferential tests demonstrated patterns of variation among fertility and economic variables in 37 rural counties. Qualitative ethnographic data were collected in two representative communities, one predominately European American and one predominately Native American, documenting individual beliefs and actions that reflected and reinforced community themes of ideal fertility. Findings delineated value constellations that supported culturally specific fertility ideals. European American informants idealized delayed parenthood, childrearing within a nuclear family setting, household self-sufficiency, and avoidance of public assistance. In contrast, Native American informants idealized early parenthood, childrearing within an extended family setting, mutually dependent extended family households, and acceptance of tribal assistance without stigmatization. Analysis of state and tribal TANF programs and teen pregnancy prevention initiatives illustrate culturally specific approaches to public policy that influence fertility behaviors. State and federal programs reinforce dominant culture ideals of delayed parenthood and nuclear family self-sufficiency; they pathologize Native American patterns of family formation by removing parenthood from the context of community. Some tribes have assumed administration of TANF and adapted the program in order to preserve traditional childrearing practices and maintain family-building systems

Applying adult education principles in an interpersonal management skills training program for hospital operations managers

Total quality management--Performance expectations and review--manager as a teacher/facilitator

The Backward Gazing Mediaevalism of Dante Gabriel Rossetti

The theme of this thesis is to present an analysis of some of Rossetti\u27s poems, ballads, and translations in the light of the mediaevalism and mysticism as portrayed in them. The material is an outgrowth of a comparative study of these works and the sources whence he obtained his inspirations, - namely, the Early Italian Poets and Dante

Prospectus, March 6, 2002

https://spark.parkland.edu/prospectus_2002/1008/thumbnail.jp

Computed tomography measures of nutrition in patients with end-stage liver disease provide a novel approach to characterize deficits

Aim Patients with cirrhosis and end-stage liver disease (ESLD) develop severe nutrition deficits that impact on morbidity and mortality. Laboratory measures of nutrition fail to fully assess clinical deficits in muscle mass and fat stores. This study employs computed tomography imaging to assess muscle mass and subcutaneous and visceral fat stores in patients with ESLD. Methods This 1:1 case-control study design compares ESLD patients with healthy controls. Study patients were selected from a database of ESLD patients using a stratified method to assure a representative sample based on age, body mass index (BMI), gender, and model for end-stage liver disease score (MELD). Control patients were trauma patients with a low injury severity score (<10) who had a CT scan during evaluation. Cases and controls were matched for age +/- 5 years, gender, and BMI +/- 2. Results There were 90 subjects and 90 controls. ESLD patients had lower albumin levels (p<0.001), but similar total protein levels (p=0.72). ESLD patients had a deficit in muscle mass (-19%, p<0.001) and visceral fat (-13%, p<0.001), but similar subcutaneous fat (-1%, p=0.35). ESLD patients at highest risk for sarcopenia included those over age 60, BMI< 25.0, and female gender. We found degree of sarcopenia to be independent of MELD score. Conclusions These results support previous research demonstrating substantial nutrition deficits in ESLD patients that are not adequately measured by laboratory testing. Patients with ESLD have significant deficits of muscle and visceral fat stores, but a similar amount of subcutaneous fat

Prospectus, January 16, 2002

https://spark.parkland.edu/prospectus_2002/1001/thumbnail.jp

Prospectus, February 6, 2002

https://spark.parkland.edu/prospectus_2002/1004/thumbnail.jp