Postcard: Hand Written Message from a Sister

This black and white printed postcard contains correspondence from one sister to another. Handwriting is on the front and the back of the card.https://scholars.fhsu.edu/tj_postcards/2057/thumbnail.jp

The need to do it all: Exploring the ways in which treatment foster parents enact their complex role

Treatment foster care (TFC) is an appealing approach for treating youth with emotional and behavioral disorders because it combines the potential for intensive interventions with opportunities for growth and development in a family-based setting. To accomplish this, TFC requires treatment foster parents to simultaneously play roles of both substitute caregiver/parent and front-line professional. This requires that treatment foster parents excel at both the behaviorally focused elements of an interventionist while simultaneously enacting the more relationally-based aspects of a parent. To date there has been little in the literature to explore the extent to which practicing treatment foster parents actually utilize both behavioral and relational approaches in their work with youth. This paper uses baseline data from a randomized trial ( = 247) to explore eight potential approaches that treatment foster parents might use (including: monitoring/supervision, approaches to discipline, consistency of responses to behaviors, time together, adult-child conflict, positive affect towards the child, perspective taking/empathy building, and communication) as well as a measure of their own assessment of their role. Results show that treatment foster parents recognize the complexities of their role, and most view themselves more as parents than as treatment providers. Substantial variation was evident on all examined dimensions of the treatment parent role (except supervision/monitoring). Variations in treatment parent approaches were most significantly related to child's age and their own view of their role. The paper concludes with discussion of implications and directions for future research

Association between pain outcomes and race and opioid treatment: Retrospective cohort study of Veterans

We examined whether pain outcomes (pain interference, perceived pain treatment effectiveness) vary by race and then whether opioid use moderates these associations. These analyses are part of a retrospective cohort study among 3,505 black and 46,203 non-Hispanic, white Department of Veterans Affairs (VA) patients with diagnoses of chronic musculoskeletal pain who responded to the 2007 VA Survey of Healthcare Experiences of Patients (SHEP). We used electronic medical record data to identify prescriptions for pharmacologic pain treatments in the year after diagnosis (Pain Diagnosis index visit) and before the SHEP index visit (the visit that made one eligible to complete the SHEP); pain outcomes came from the SHEP. We found no significant associations between race and pain interference or perceived effectiveness of pain treatment. VA patients with opioid prescriptions between the Pain Diagnosis index visit and the SHEP index visit reported greater pain interference on the SHEP than those without opioid prescriptions during that period. Opioid prescriptions were not associated with perceived treatment effectiveness for most patients. Findings raise questions about benefits of opioids for musculoskeletal pain and point to the need for alternative treatments for addressing chronic noncancer pain

ALISE school library special interest group (sig) session: Crafting resilience in k-12 and beyond

Researchers will share three papers exploring selected School Library topics. This interactive SIG session includes presentation of papers followed by open dialogue and Q&A regarding issues raised by the papers, implications for practice, and future areas for research. The 2021 session will include the following presentations: Preparing School Library Candidates to be Culturally Responsive School Librarians - The 2019 ALA/AASL CAEP School Librarian Preparation Standards emphasize preparing school librarian candidates that “articulate and model cultural competence and respect for inclusiveness, supporting individual and group perspectives” (ALA/AASL, 2019). This research study explores cultural understanding, experiences, and ways of knowing the world from internationally-based school library programs that LIS educators can implement to develop culturally competent learning experiences in the school librarian candidate preparation curriculum. Evidence-Based Practice and School Librarians: Analyses of Practitioners’ Data Collection - School librarian preparation programs are expected to prepare candidates to collect, assess, and apply data. This paper reports the findings of a multi-state study of school librarians’ evidence-collecting practices. Preliminary findings indicate that school librarians collect a wide array of evidence, but the likelihood of collecting specific types of data is influenced by multiple factors including the level of the school, and the librarian’s length of tenure, areas of certification, and placement in multiple schools. Librarians: Bridges to College Readiness - What relationship exists between the presence of a high school librarian and freshmen college students’ academic success? To answer this question, this study examined five years of a large comprehensive university’s first-year students’ data: demographics, first semester GPA, graduating high school demographics, and presence of the high school librarian. The findings are revealing

Altered resting state neuromotor connectivity in men with chronic prostatitis/chronic pelvic pain syndrome: A MAPP: Research Network Neuroimaging Study.

Brain network activity associated with altered motor control in individuals with chronic pain is not well understood. Chronic Prostatitis/Chronic Pelvic Pain Syndrome (CP/CPPS) is a debilitating condition in which previous studies have revealed altered resting pelvic floor muscle activity in men with CP/CPPS compared to healthy controls. We hypothesized that the brain networks controlling pelvic floor muscles would also show altered resting state function in men with CP/CPPS. Here we describe the results of the first test of this hypothesis focusing on the motor cortical regions, termed pelvic-motor, that can directly activate pelvic floor muscles. A group of men with CP/CPPS (N = 28), as well as group of age-matched healthy male controls (N = 27), had resting state functional magnetic resonance imaging scans as part of the Multidisciplinary Approach to the Study of Chronic Pelvic Pain (MAPP) Research Network study. Brain maps of the functional connectivity of pelvic-motor were compared between groups. A significant group difference was observed in the functional connectivity between pelvic-motor and the right posterior insula. The effect size of this group difference was among the largest effect sizes in functional connectivity between all pairs of 165 anatomically-defined subregions of the brain. Interestingly, many of the atlas region pairs with large effect sizes also involved other subregions of the insular cortices. We conclude that functional connectivity between motor cortex and the posterior insula may be among the most important markers of altered brain function in men with CP/CPPS, and may represent changes in the integration of viscerosensory and motor processing

Comparison of a nurse initiated insulin infusion protocol for intensive insulin therapy between adult surgical trauma, medical and coronary care intensive care patients

<p>Abstract</p> <p>Background</p> <p>Sustained hyperglycemia is a known risk factor for adverse outcomes in critically ill patients. The specific aim was to determine if a nurse initiated insulin infusion protocol (IIP) was effective in maintaining blood glucose values (BG) within a target goal of 100–150 mg/dL across different intensive care units (ICUs) and to describe glycemic control during the 48 hours after protocol discontinuation.</p> <p>Methods</p> <p>A descriptive, retrospective review of 366 patients having 28,192 blood glucose values in three intensive care units, Surgical Trauma Intensive Care Unit (STICU), Medical (MICU) and Coronary Care Unit (CCU) in a quaternary care hospital was conducted. Patients were > 15 years of age, admitted to STICU (n = 162), MICU (n = 110) or CCU (n = 94) over 8 months; October 2003-June 2004 and who had an initial blood glucose level > 150 mg/dL. We summarized the effectiveness and safety of a nurse initiated IIP, and compared these endpoints among STICU, MICU and CCU patients.</p> <p>Results</p> <p>The median blood glucose values (mg/dL) at initiation of insulin infusion protocol were lower in STICU (188; IQR, 162–217) than in MICU, (201; IQR, 170–268) and CCU (227; IQR, 178–313); <it>p </it>< 0.0001. Mean time to achieving a target glucose level (100–150 mg/dL) was similar between the three units: 4.6 hours in STICU, 4.7 hours in MICU and 4.9 hours in CCU (<it>p </it>= 0.27). Hypoglycemia (BG < 60 mg/dL) occurred in 7% of STICU, 5% of MICU, and 5% of CCU patients (<it>p </it>= 0.85). Protocol violations were uncommon in all three ICUs. Mean blood glucose 48 hours following IIP discontinuation was significantly different for each population: 142 mg/dL in STICU, 167 mg/dL in MICU, and 160 mg/dL in CCU (<it>p </it>< 0.0001).</p> <p>Conclusion</p> <p>The safety and effectiveness of nurse initiated IIP was similar across different ICUs in our hospital. Marked variability in glucose control after the protocol discontinuation suggests the need for further research regarding glucose control in patients transitioning out of the ICU.</p

Applying a natural language processing tool to electronic health records to assess performance on colonoscopy quality measures

Gastroenterology specialty societies have advocated that providers routinely assess their performance on colonoscopy quality measures. Such routine measurement has been hampered by the costs and time required to manually review colonoscopy and pathology reports. Natural Language Processing (NLP) is a field of computer science in which programs are trained to extract relevant information from text reports in an automated fashion

The Intersection of Information Ethics and Policy: Challenges and Opportunities for LIS Educators

The purpose of this session is to 1) present actual strategies and/or resources for addressing ethics and policy in LIS courses, and 2) engage the audience in discussions about the implications of ethics and policy in LIS instruction and research. The presentations in this peerreviewed panel will present diverse perspectives on the nature of information ethics and policy, and the relationship between them. These presentations highlight the role of ethics in policy, including real world examples highly relevant to LIS education and research. They include: • Lucy Santos Green and Melissa Johnston will present Educating Future LIS Scholars and Professionals on Ethical Publishing Policy for Scholarly Research. • A.J. Million and Johanna Bleckman will present Research Data Management and Street Level Bureaucracy. • Lesley Farmer will present Taking Ethical Responsibility for Addressing Fake News. • Michele Villagran and Suliman Hawamdeh will present Information Ethics from a Multicultural Perspective: Content Analysis of Library and Information Science Publications. • Dian Walster will present Using Student Created Scenarios to Teach Professional Ethics. The panel will begin with a brief introduction on the topic (5 minutes), followed by five 15 minute presentations (75 minutes). Panelists will conclude the session with a discussion related to the implications for LIS instruction and research (10 minutes)