Medical Home Access Effect on Recidivism Rates of the Inner City Juvenile Detention Population

This is an overview of the DNP project that was used for the writer’s Doctor of Nursing Practice degree. The project focus is the population at Gilliam Youth Services Center, the juvenile detention center that serves Denver County, Colorado. The project’s objective was to provide resources to the residents that are served by Gilliam, in the form of access to a medical home. The assessment attempted to provide data to show that there is a need for an intervention to provide this population with the resources and benefits that the services of a medical home provide

Stress relaxation behind elastic shock waves in rocks

The amplitude of elastic shock waves in Arkansas novaculite is observed to decrease at a rate of ≈3.3 kb/mm for shock propagation path lengths of 6 to 12 mm. The amplitude of the final shock state in the experiments is held near the 155-kb pressure level. A total variation of elastic shock wave amplitude (Hugoniot elastic limit) of ≈40 kb (from 110 to 70 kb) is observed in ≈1 cm of shock travel. The intrinsic attenuation term in a constitutive equation for a stress-relaxing elastoplastic material is found to account for ≈90% of the observed peak pressure attenuation of the elastic shock, as compared with the ≈10% which is predicted from the instantaneous elastic shock profile. The Hugoniot elastic limits of Sioux and Eureka quartzites, which were not as intensively studied as the Arkansas novaculite, are also found to decrease with shock propagation path length

The five-minute oscillations: What's left to be done

Current observational methods for studying these oscillations at large horizontal wavenumbers are discussed in detail and several two dimensional power spectra obtained with a CID camera on the main spectrograph of the McMath telescope at Kitt Peak National Observatory are described. The best-resolved observations of the p-mode obtained at chromospheric elevations are also presented. Recent progress in studies of the p-modes at low wavenumbers with full-disk velocity detection schemes is summarized. These full-disk observations of radial and low-degree non-radial modes were shown to place severe constraints on the theoretical calculation of solar interior structure. Progress in making fully-consistent solar models which fit both the high- and low-wave number observations is described. Finally, the observational and theoretical improvements that are necessary for further progress in solar seismology are summarized

Barriers to Family Cancer Communication in Southern Appalachia

This study examines cultural issues surrounding family cancer communication in Appalachia, providing insight into participants’ communication choices regarding their illness within their families. Stories of 29 female Appalachian cancer survivors from Northeast Tennessee and Southwest Virginia were collected via a mixed methods approach in either a day-long story circle (N=26) or an in-depth interview (N=3). Qualitative content analysis was used to identify unique barriers to family cancer communication in Appalachia. Two barriers emerged: 1) the health of other family members and 2) cancer in a “taboo” area. These findings suggest that Appalachian female cancer survivors struggle with similar issues as survivors outside of the region regarding family cancer communication. However, there appear to be additional barriers to family cancer communication for Appalachian women that may be a result of cultural norms of the region

Balltracking: an highly efficient method for tracking flow fields

We present a method for tracking solar photospheric flows that is highly efficient, and demonstrate it using high resolution MDI continuum images. The method involves making a surface from the photospheric granulation data, and allowing many small floating tracers or balls to be moved around by the evolving granulation pattern. The results are tested against synthesised granulation with known flow fields and compared to the results produced by Local Correlation tracking (LCT). The results from this new method have similar accuracy to those produced by LCT. We also investigate the maximum spatial and temporal resolution of the velocity field that it is possible to extract, based on the statistical properties of the granulation data. We conclude that both methods produce results that are close to the maximum resolution possible from granulation data. The code runs very significantly faster than our similarly optimised LCT code, making real time applications on large data sets possible. The tracking method is not limited to photospheric flows, and will also work on any velocity field where there are visible moving features of known scale length

The mean magnetic field of the sun: Observations at Stanford

A solar telescope was built at Stanford University to study the organization and evolution of large-scale solar magnetic fields and velocities. The observations are made using a Babcock-type magnetograph which is connected to a 22.9 m vertical Littrow spectrograph. Sun-as-a-star integrated light measurements of the mean solar magnetic field were made daily since May 1975. The typical mean field magnitude is about 0.15 gauss with typical measurement error less than 0.05 gauss. The mean field polarity pattern is essentially identical to the interplanetary magnetic field sector structure (seen near the earth with a 4 day lag). The differences in the observed structures can be understood in terms of a warped current sheet model

Fourier Analysis of Gapped Time Series: Improved Estimates of Solar and Stellar Oscillation Parameters

Quantitative helio- and asteroseismology require very precise measurements of the frequencies, amplitudes, and lifetimes of the global modes of stellar oscillation. It is common knowledge that the precision of these measurements depends on the total length (T), quality, and completeness of the observations. Except in a few simple cases, the effect of gaps in the data on measurement precision is poorly understood, in particular in Fourier space where the convolution of the observable with the observation window introduces correlations between different frequencies. Here we describe and implement a rather general method to retrieve maximum likelihood estimates of the oscillation parameters, taking into account the proper statistics of the observations. Our fitting method applies in complex Fourier space and exploits the phase information. We consider both solar-like stochastic oscillations and long-lived harmonic oscillations, plus random noise. Using numerical simulations, we demonstrate the existence of cases for which our improved fitting method is less biased and has a greater precision than when the frequency correlations are ignored. This is especially true of low signal-to-noise solar-like oscillations. For example, we discuss a case where the precision on the mode frequency estimate is increased by a factor of five, for a duty cycle of 15%. In the case of long-lived sinusoidal oscillations, a proper treatment of the frequency correlations does not provide any significant improvement; nevertheless we confirm that the mode frequency can be measured from gapped data at a much better precision than the 1/T Rayleigh resolution.Comment: Accepted for publication in Solar Physics Topical Issue "Helioseismology, Asteroseismology, and MHD Connections

Complex Transitions Between C3 and C4 Photosynthesis During the Evolution of Paniceae: A Phylogenetic Case Study Emphasizing the Position of Steinchisma Hians (Poaceae), A C3-C4 Intermediate

A two-tiered, nested molecular phylogenetic study of panicoid grasses to explore character state transitions between the C3 and C4 adaptive syndromes is presented. A broad survey of 92 panicoid species was sampled for the grass-specific insert sequence in the chloroplast RNA polymerase locus (rpoC2), combining published and unpublished sequences. This portion of the study also included an intensive phylogenetic investigation of one clade of seven species that included Steinchisma hians, which is notable for exhibiting intermediacy between the C3 and C4 photosynthetic types. Both rpoC2 data and previously published sequences of the F subunit of an NADH-dependent dehydrogenase were analyzed together for this small group. A rigorous phylogenetic investigation of S. hians and 13 other species of Panicoideae included in the broad survey was then performed with sequences of both rpoC2 and the externally transcribed spacer region of the nuclear ribosomal repeat. These 14 species were selected to maximize representation among photosynthetic subtypes. Combined analysis resolved single origins of two photosynthetic subtypes. A reversion of C4 to C3 photosynthesis during the evolution of the lineage that includes S. hians is identified. These and other recent results indicate that repeated reversions from C4 to C3 have occurred. The C3 species Panicum laxum has a strongly supported sister group relationship to S. hians (C3-C4). The most parsimonious interpretation is that S. hians represents an incipient reversal from C3 to C4 photosynthesis, beginning with the capacity to compartmentalize photorespiratory metabolism in the bundle sheath tissue

Mothered, Mothering & Motherizing in Illness Narratives: What Women Cancer Survivors in Southern Central Appalachia Reveal About Mothering-Disruption

Informed by a mothering-disruption framework, our study examines the illness narratives of women cancer survivors living in Southern Central Appalachia. We collected the stories of twenty-nine women cancer survivors from northeast Tennessee and southwest Virginia using a multi-phasic qualitative design. Phase I consisted of women cancer survivors participating in a day-long story circle (n=26). Phase II consisted of women cancer survivors who were unable to attend the story circle ; this sample sub-set participated in in-depth interviews (n=3) designed to capture their illness narratives. Participants\u27 illness narratives revealed the presence of: (1) mothering-disruption whereby cancer adversely impacted the mothering role ; and (2) mothering-connection , whereby the cancer experience motivatedmother-survivors. Participants\u27 illness narratives reflected thatthe role of mother was the preeminent role for mother-survivor and whenever there was oppositional tension between the roles of mother and survivor , the women-survivors seemed to linguistically relocate away from the survivor role and toward the mothering role. As a result , women-survivors seemingly rejected medicalization of their identities by emphasizing their mothering responsibilities , something we term motherizing