A Study of Population Trends of that Portion of the Omaha Public School District Located in Sarpy County

Anticipating needs as a regular policy is vital in times of changing conditions. At no time in the history of public education have the schools been subjected by nation, state, and city to more factors calculated to affect change than the present. The changing neighborhoods within a school district and the probability of continuing change will have a far-reaching effect on our schools

The effect of message structure on inference making in recall.

This study attempted to determine the effect of manipulating the structure of a story on the production of inferences in recall. One independent variable, story structure, was manipulated four times. Each manipulation was administered to one of four groups composed of Communication 1113 students. After the presentation of the stimulus material, a question packet was administered to each student. The questionnaire tapped the three dependent variables: recall of cause, recall of consequence, and recall of congruency. In addition, the instrument also tapped the subjects' confidence in the accuracy of their answers. Analysis of the results revealed that when a story node is deleted or made incongruent, the subjects will produce inferences in recalling the manipulated node. The results also revealed that the manipulation of the cause node has a greater effect on recall than the manipulation of the consequence node. Testing of the confidence scores revealed that subjects were not aware of making congruency inferences but were aware of making consequence inferences

Housing Needs and Values as the Basis for Developing an Educational Housing Program for Canadian County, Oklahoma, Extension Service

Home economics Educatio

Non-Pharmacological Management of Nausea and Vomiting in Cancer: A Scoping Review

Prevention and management of nausea and vomiting are important in cancer treatment. Effective management requires both pharmacological and non-pharmacological interventions. Patients and family members have important contributions to achieve effective control of nausea and vomiting through self-management. The objective of this review is to explore and synthesize the scientific literature about self-management strategies as a type of non-pharmacological intervention for managing nausea and vomiting in cancer patients. The articles were searched in PubMed, Science Direct and ClinicalKey databases using keyword combinations of "cancer", “non-pharmacological”, "intervention", "management", "nausea" and "vomiting". The inclusion criteria were articles that were free; full text; published in the last five years; provided information about non-pharmacological strategies in managing nausea and vomiting in cancer; and were written in English. Out of a total of 232 papers identified, 21 were selected. The results show that non-pharmacological management of nausea and vomiting ranged from simple self-management techniques to integrative therapies and palliative interventions. Self-management emphasizes patient autonomy in their own care and encourages patients and families to assume the responsibility of managing relevant aspects of their condition. The strategies include dietary modifications, environmental modifications, psychological strategies, exercise and taking of medication as prescribed. The interventions discussed in this article can be applied by patients as directed or instructed by healthcare teams. Nurses play an important role in educating patients on non-pharmacological interventions and encouraging them to achieve self-efficacy. Further research of other such interventions with larger sample sizes is needed to provide more accurate results.   Abstrak Manajemen Nonfarmakologis Mual dan Muntah pada Kanker: Scoping Review. Pencegahan dan pengelolaan mual dan muntah penting dalam pengobatan kanker, yang efektif dengan intervensi farmakologis dan nonfarmakologis. Pasien dan anggota keluarga pun mempunyai kontribusi penting untuk mencapai pengendalian mual dan muntah yang efektif melalui manajemen diri pasien. Tujuan dari tinjauan ini adalah untuk mengeksplorasi dan menyintesis literatur ilmiah tentang strategi manajemen diri sebagai jenis intervensi nonfarmakologis untuk mengelola mual dan muntah pada pasien kanker. Artikel-artikel tersebut dicari di basis data PubMed, Science Direct, dan ClinicalKey menggunakan kombinasi kata kunci "kanker", "non-farmakologis", "intervensi", "manajemen", "mual", dan "muntah" dengan kriteria inklusi seperti: artikel tidak berbayar; teks lengkap; diterbitkan dalam lima tahun terakhir; memberikan informasi tentang strategi non farmakologis dalam manajemen mual muntah pada pasien kanker; dan ditulis dalam Bahasa Inggris. Dari total 232 makalah yang diidentifikasi, 21 dipilih untuk penelitian ini. Hasil telaah menunjukkan bahwa manajemen nonfarmakologis mual dan muntah meliputi teknik manajemen diri yang sederhana hingga terapi integratif dan intervensi paliatif. Manajemen diri menekankan otonomi pasien dalam perawatan mandiri dengan mendorong pasien dan keluarga untuk bertanggung jawab mengelola aspek yang relevan dari kondisi mereka. Strategi tersebut meliputi modifikasi pola makan, modifikasi lingkungan, strategi psikologis, olahraga, dan minum obat sesuai resep. Intervensi yang dibahas dalam artikel ini dapat diterapkan oleh pasien seperti yang diarahkan atau diinstruksikan oleh tim kesehatan. Perawat memainkan peran penting dalam mendidik pasien tentang intervensi nonfarmakologis dan mendorong mereka untuk mencapai efikasi diri. Penelitian lebih lanjut dari intervensi serupa lainnya dengan ukuran sampel yang lebih besar diperlukan untuk memberikan hasil yang lebih akurat. Kata Kunci: intervensi, kanker, manajemen, mual, muntah, nonfarmakologi

Disability Studies Pedagogy: Engaging Dissonance and Meaning Making

Student responses to disability studies pedagogy are influenced by the context in which they learn. This study examined student responses in two disability studies initiatives: one within a teacher preparation program that included American Indian students, the other within a stand alone, interdisciplinary course taken primarily by Americans of European descent. Course dialogue and students' written assignments were used to identify and categorize their responses. While some students readily engaged in critique of disability as culturally constructed, experiences of significant resistance related to positivist filters, adherence to individualism, and defense of identity-related norms. These responses are discussed as considerations for more effective pedagogy in this relatively new field

Pictograma de Fatiga: una opción para la evaluación de la severidad e del impacto de la fatiga

O objetivo foi validar o Fatigue Pictogram para uso no Brasil. Os dados foram coletados em quatro ambulatórios de oncologia de São Paulo (SP) e na Escola de Enfermagem da USP. A amostra de conveniência envolveu 584 pacientes com câncer, 184 acompanhantes e 189 estudantes de graduação enfermagem, que responderam ao Pictograma de Fadiga, ao Inventário de Depressão de Beck (IDB) e Escala de Karnofsky (KPS). Foram feitos testes de validade e confiabilidade. O Teste-reteste mostrou que o instrumento tem boa estabilidade. O primeiro item do Pictograma de Fadiga discriminou estudantes de cuidadores de pacientes, mas não pacientes de cuidadores. O segundo item discriminou todos os grupos. Observou-se adequada validade convergente (fadiga e depressão) e divergente (fadiga e Karnofsky). O Pictograma de Fadiga é válido, confiável e fácil de usar para avaliar fadiga em câncer, mas necessita ajustes para uso em pessoas saudáveis.The purpose of this paper was to validate the Fatigue Pictogram for use in Brazil. Data was collected at four oncology ambulatory clinics in Sao Paulo (Brazil) and at the Nursing School of Sao Paulo University. A convenience sample of 584 cancer patients, 184 caregivers and 189 undergraduate nursing students completed the Karnofsky Scale, Fatigue Pictogram-Brazilian Version, and the Beck Depression Inventory (BDI). Validity and reliability tests were performed. Test-retest showed that the instrument has good stability. The first item of the Fatigue Pictogram discriminated students from caregivers and patients but not patients from caregivers. The second item discriminated among all groups. Adequate convergent (fatigue and depression) and divergent (fatigue and Karnofsky Scale) validity was observed. The Fatigue Pictogram is a valid, reliable, and easy-to-use tool for assessment of cancer-related fatigue but needs adjustments for use among healthy individuals.El objetivo fue validar el Pictograma de Fatiga para su uso en Brasil. Los datos fueron recolectados en cuatro clínicas de oncología ambulatoria de São Paulo (SP) y la Escuela de Enfermería de la USP. La muestra de conveniencia incluyó 584 pacientes con cáncer, 184 acompañantes y 189 es tudiantes de posgrado en enfermería, que respondieran a la Pictograma de Fatiga, el Inventario de Depresión de Beck (BDI) y la escala de Karnofsky (KPS). Realizadas pruebas de validez y fiabilidad. Test-retest mostró que el instrumento tiene una buena estabilidad. El primer item del Pictograma de Fatiga discriminó estudiantes de los cuidadores de los pacientes, pero no los pacientes de los cuidadores. El segun item discriminó todos los grupos. Hubo suficiente validez convergente (fatiga y depresión) y divergente(Karnofsky y fatiga). Pictograma de Fatiga es válida, fiable y fácil de utilizar para evaluar la fatiga en el cáncer, pero necesita ajustes para el uso en personas sanas.CNPqCoordenacao de Aperfeicoamento de Pessoal de Nivel Superior (CAPES)FAPES

Non-verbal behaviour in same-sex and mixed-sex physiotherapist-patient interactions

Six male and six female physiotherapists were videotaped while treating male and female patients. The average duration of the therapist's gaze, smiling, touch, and speech, as well as the ratio of therapist's to patient's speech, were computed. It was found that these non-verbal behaviours differed as a function of sex of physiotherapist, sex of patient and point in the interaction. It was suggested that physiotherapists should increase their awareness of these behaviours in their interactions with patients

Fatigue Pictogram: an option for assessing fatigue severity and impact

El objetivo fue validar el Pictograma de Fatiga para su uso en Brasil. Los datos fueron recolectados en cuatro clínicas de oncología ambulatoria de São Paulo (SP) y la Escuela de Enfermería de la USP. La muestra de conveniencia incluyó 584 pacientes con cáncer, 184 acompañantes y 189 es tudiantes de posgrado en enfermería, que respondieran a la Pictograma de Fatiga, el Inventario de Depresión de Beck (BDI) y la escala de Karnofsky (KPS). Realizadas pruebas de validez y fiabilidad. Test-retest mostró que el instrumento tiene una buena estabilidad. El primer item del Pictograma de Fatiga discriminó estudiantes de los cuidadores de los pacientes, pero no los pacientes de los cuidadores. El segun item discriminó todos los grupos. Hubo suficiente validez convergente (fatiga y depresión) y divergente(Karnofsky y fatiga). Pictograma de Fatiga es válida, fiable y fácil de utilizar para evaluar la fatiga en el cáncer, pero necesita ajustes para el uso en personas sanas.The purpose of this paper was to validate the Fatigue Pictogram for use in Brazil. Data was collected at four oncology ambulatory clinics in Sao Paulo (Brazil) and at the Nursing School of Sao Paulo University. A convenience sample of 584 cancer patients, 184 caregivers and 189 undergraduate nursing students completed the Karnofsky Scale, Fatigue Pictogram-Brazilian Version, and the Beck Depression Inventory (BDI). Validity and reliability tests were performed. Test-retest showed that the instrument has good stability. The first item of the Fatigue Pictogram discriminated students from caregivers and patients but not patients from caregivers. The second item discriminated among all groups. Adequate convergent (fatigue and depression) and divergent (fatigue and Karnofsky Scale) validity was observed. The Fatigue Pictogram is a valid, reliable, and easy-to-use tool for assessment of cancer-related fatigue but needs adjustments for use among healthy individuals.O objetivo foi validar o Fatigue Pictogram para uso no Brasil. Os dados foram coletados em quatro ambulatórios de oncologia de São Paulo (SP) e na Escola de Enfermagem da USP. A amostra de conveniência envolveu 584 pacientes com câncer, 184 acompanhantes e 189 estudantes de graduação enfermagem, que responderam ao Pictograma de Fadiga, ao Inventário de Depressão de Beck (IDB) e Escala de Karnofsky (KPS). Foram feitos testes de validade e confiabilidade. O Teste-reteste mostrou que o instrumento tem boa estabilidade. O primeiro item do Pictograma de Fadiga discriminou estudantes de cuidadores de pacientes, mas não pacientes de cuidadores. O segundo item discriminou todos os grupos. Observou-se adequada validade convergente (fadiga e depressão) e divergente (fadiga e Karnofsky). O Pictograma de Fadiga é válido, confiável e fácil de usar para avaliar fadiga em câncer, mas necessita ajustes para uso em pessoas saudáveis

Going beyond (electronic) patient-reported outcomes: harnessing the benefits of smart technology and ecological momentary assessment in cancer survivorship research

Rapid developments in digital mobile and sensor technology have facilitated the active and passive collection of detailed, personalized data in increasingly affordable ways. Researchers may be familiar with the daily diary, portable computers, or the pedometer for the collection of patientreported outcomes (PRO) in cancer survivorship research. Such methods, termed ecological momentary assessment (EMA), have evolved with technological advances, e.g., collecting data or providing interventions (ecological momentary intervention, EMI) via apps or devices such as smartphones. These smart technology-adapted sEMA/ sEMI methods are more widely used in affective disorders or addictive behavior research but are currently still under-utilized in cancer survivorship research. A recent scoping review on the use of active EMA among cancer survivors identified twelve articles published between 1993 and 2018. Most of the included studies in that review used portable computers. This commentary will discuss the utility of sEMA/sEMI in cancer survivorship research and call for action to advance this area of science

Exercise counselling and referral in cancer care: An international scoping survey of health care practitioners’ knowledge, practices, barriers, and facilitators

Purpose: Evidence supports the role of prescribed exercise for cancer survivors, yet few are advised to exercise by a healthcare practitioner (HCP). We sought to investigate the gap between HCPs’ knowledge and practice from an international perspective. Methods: An online questionnaire was administered to HCPs working in cancer care between February 2020 and February 2021. The questionnaire assessed knowledge, beliefs, and practices regarding exercise counselling and referral of cancer survivors to exercise programs. Results: The questionnaire was completed by 375 participants classified as medical practitioners (42 %), nurses (28 %), exercise specialists (14 %), and non-exercise allied health practitioners (16 %). Between 35 and 50 % of participants self-reported poor knowledge of when, how, and which cancer survivors to refer to exercise programs or professionals, and how to counsel based on exercise guidelines. Commonly reported barriers to exercise counselling were safety concerns, time constraints, cancer survivors being told to rest by friends and family, and not knowing how to screen people for suitability to exercise (40 – 48 %). Multivariable logistic regression models including age, gender, practitioner group, leisure-time physical activity, and recall of guidelines found significant effects for providing specific exercise advice (χ2(7) = 117.31, p \u3c .001), discussing the role of exercise in symptom management (χ2(7) = 65.13, p \u3c .001) and cancer outcomes (χ2(7) = 58.69, p \u3c .001), and referring cancer survivors to an exercise program or specialist (χ2(7) = 72.76, p \u3c .001). Conclusion: Additional education and practical support are needed to equip HCPs to provide cancer survivors with exercise guidelines, resources, and referrals to exercise specialists