155 research outputs found

    Memories of Food and Season Extension Among Elderly in Ohio

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    Bringing the Visual Arts Classroom Into the 21St Century

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    Bringing the visual arts classroom into the 21st century technology has become a key component to everyday life and society, especially in education. Although teachers are faced with many barriers that can hinder the integration of technology into the classroom, such as cost/funding, teacher training, and teacher planning time, with some support and planning, teachers will begin to see and use technology as a invaluable resource and tool in the classroom. The purpose of this project was to provide visual arts teachers with the information, background, and tools to begin their journey of integrating technology into the visual arts classroom. A curricular unit was developed to provide visual arts teachers with an example of how technology can be successfully and easily incorporated into their classrooms. Through this curricular unit many tools, ideas, and options were introduced to better equip them for this task

    Allopathic and Osteopathic Residents Perform Similarly on the Orthopedic In-Training Examination (OITE).

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    INTRODUCTION: There is a bias in the medical community that allopathic training is superior to osteopathic training, despite the lack of substantiation. The orthopedic in-training examination (OITE) is a yearly exam evaluating educational advancement and orthopedic surgery resident\u27s scope of knowledge. The purpose of this study was to compare OITE scores between doctor of osteopathic medicine (DO) and medical doctor (MD) orthopedic surgery residents to determine whether any appreciable differences exist in the achievement levels between the 2 groups. METHODS: The American Academy of Orthopedic Surgeons 2019 OITE technical report, which reports the scores from the 2019 OITE for MDs and DOs, was evaluated to determine OITE scores for MD and DO residents. The progression of scores obtained during various postgraduate years (PGY) for both groups was also analyzed. MD and DO scores throughout PGY 1-5 were compared with independent t-tests. RESULTS: PGY-1 DO residents outperformed MD residents on the OITE (145.8 vs 138.8, p \u3c 0.001). The mean scores achieved by DO and MD residents during PGY-2 (153.2 vs 153.2), 3 (176.2 vs 175.2), and 4 (182.0 vs 183.7) did not differ (p = 0.997, 0.440, and 0.149, respectively). However, for PGY-5, the mean scores for MD residents (188.6) were higher than those of DO residents (183.5, p \u3c 0.001). Both groups had trends of improvement seen throughout PGY 1 to 5 years, with both groups showing an increase in average PGY scores when compared to each preceding PGY. CONCLUSION: This study provides evidence that DO and MD orthopedic surgery residents perform similarly on the OITE within PGY 2 to 4, thus displaying equivalencies in orthopedic knowledge within the majority of PGYs. Program directors at allopathic and osteopathic orthopedic residency programs should take this into account when considering applicants for residency

    Risk factors for liposomal bupivacaine resistance after total hip or knee arthroplasties: A retrospective observational cohort in 237 patients

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    Purpose: Liposomal bupivacaine demonstrated promise decreasing postoperative pain in total hip and total knee arthroplasty (THA/TKA). Some randomized trials have shown non-superior results; however, confounding variables were not accounted for in such analyses. This study attempts to determine risk factors associated with failure of pain management in patients receiving liposomal bupivacaine. Methods: Postoperative pain scores were collected following primary or revision arthroplasties between January 2016 and December 2017. Retrospective analysis of institutional total joint quality and outcomes registry was screened and patients undergoing primary or revision arthroplasties who completed a multi-modal pain management including liposomal bupivacaine were included in the study. Patients with a history of infection/deviated from the institutional pain management protocol were excluded. Results: A total of 237 patients were included for analysis. Younger patients less than 64 years old had significantly higher pain scores between 0 and 12 h and \u3e 24 h. Active smokers had significantly higher pain scores between 0 and 6 h and \u3e 24 h. Patients with a history of opioid use/pain management had significantly higher pain scores at 6-12 h and 24-48 h. Regression analysis indicated risk factors for resistance to liposomal bupivacaine are younger patients less than 64 years old, those undergoing primary THA, and patients with a history of smoking/pain management/opioid use. Conclusion: We identify risk factors for resistance to liposomal bupivacaine, which include younger age less than 64 years old, history of smoking/pain management/opioid use. Future studies should use these risk factors as exclusion criteria when using liposomal bupivacaine or initiating any randomized trials regarding efficacy

    Locus of control moderates

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    Workplace bullying is regarded as one of the most devastating stressors at work for those targeted, and the bullying-mental health relationship is well-documented in the literature, even under lower levels of exposure. However, less is known about when and for whom these negative behaviors have more effect. Perceived control over outcomes in life (i.e., internal locus of control) has normally been related to good health and well-being, while relying on chance and/or powerful others (i.e., external locus of control) have been related to stress and poor health. In situations with reduced individual control like bullying, however, these mechanisms may act differently. Hence, the aim of the present study was to investigate whether internal and external locus of control, respectively, moderates the bullying-mental health relationship. Data were gathered in 2014-2015 from 1474 Russian employees (44% response rate), and analyzed using Mplus and SEM modeling. Included measurement scales were the Negative Acts Questionnaire-Revised, the General Health Questionnaire-12, and Levenson's Locus of Control scale. Although the prevalence of high intensity bullying was low, the results showed the expected positive relationship between exposure to bullying behaviors and psychological strain. Furthermore, this relationship was moderated by locus of control. In line with our expectations, internal locus of control did not have the generally assumed positive effect on strain when exposed to bullying behaviors. On the other hand, external locus of control seems relatively beneficial when facing bullying behaviors. The results of this study thus support that exposure to bullying and its associated behaviors are unique stressors where personal characteristics seem to play a different role than normally expected when facing other kinds of stressors

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    This is the story of a loving relationship between a doctor and a vibrant, elderly woman. In the story, the doctor learns to accept his patient’s noncompliance with medical regimens; at the same time, he learns something about his own noncompliance
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