14,747 research outputs found

    Speech errors across the lifespan

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    Dell, Burger, and Svec (1997) proposed that the proportion of speech errors classified as anticipations (e.g., " moot and mouth ") can be predicted solely from the overall error rate, such that the greater the error rate, the lower the anticipatory proportion (AP) of errors. We report a study examining whether this effect applies to changes in error rates that occur developmentally and as a result of ageing. Speech errors were elicited from 8- and 11-year-old children, young adults, and older adults. The error rate decreased and the AP increased from children to young adults, but neither error rate nor AP differed significantly between young and older adults. In cases where fast speech resulted in a higher error rate than slow speech, the AP was lower. Thus, there was overall support for Dell et al.'s prediction from speech error data across the lifespan

    Race, Culture & Abuse of Persons with Disabilities

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    This chapter will explore how race and culture influence the lives of persons with disabilities who are experiencing abuse. The discussion will be framed by an intersectional lens and will be informed by cultural humility and critical race theory. Practitioners need to remain open to the idea that they cannot and will not know all there is to know about any given culture, and they should be open to hearing about their clients’ understanding and experiences of culture. Rather than knowing certain pieces of “knowledge” about a cultural group, it is more important to understand what pieces of culture the clients embrace or reject. This chapter will conclude with a composite client case example of a female, middle-aged, Korean immigrant with Multiple Sclerosis, who is very active in her Christian church, and who is being abused by her husband. Discussion of this case will highlight the intersectional context of the client’s experience and how they may influence her decision to seek help (and from whom) as well as her experience of receiving help. The case discussion also highlights the practitioner’s values and behaviors that are consistent with cultural humility and critical race theory

    Implications of Transitional Care Interventions on Hospital Readmissions in Patients With Destination Therapy Left Ventricular Assist Devices

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    Background: The rising number of patients with a left ventricular assist device (LVAD) require care management to successfully transition home after implantation. These patients and their families need to manage their heart failure, and the complexities of an LVAD and the associated lifestyle modifications. Translating knowledge of transitional care interventions in patients with chronic diseases to those with an LVAD may provide valuable insight. To help inform the furthering of care transitions in the LVAD patient population, an integrative review was conducted. Aim: The aim of this review was to explore the transitions of care interventions of care in patients and its potential for application in the destination therapy LVAD. Methods: This integrative review was guided by the Whittemore and Knafl's methodology. Results: A total of 12 articles from 264 retrieved articles met inclusion criteria and were included in the literature review. Discussion: This review identified that evidence-based transitional care interventions have been shown to decrease avoidable rehospitalization, the associated costs, and improve quality of life when compared to usual care. Implications for Practice: A common feature of transitional care interventions is the inclusion of nurse leadership. Nurses should be prepared to participate in transitional care interventions to optimally improve outcomes for patients with heart failure and potentially those with an LVAD. Additionally, to make transitional care interventions more effective they should be implemented with moderate intensity or greater. Conclusion: This review provided information supporting the trialing of transitional care interventions in patients with an LVAD and suggests pilot research to optimize interventions for this population

    Risk of Tooth Loss After Cigarette Smoking Cessation

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    INTRODUCTION. Little is known about the effect of cigarette smoking cessation on risk of tooth loss. We examined how risk of tooth loss changed with longer periods of smoking abstinence in a prospective study of oral health in men. METHODS. Research subjects were 789 men who participated in the Veterans Administration Dental Longitudinal Study from 1968 to 2004. Tooth status and smoking status were determined at examinations performed every 3 years, for a maximum follow-up time of 35 years. Risk of tooth loss subsequent to smoking cessation was assessed sequentially at 1-year intervals with multivariate proportional hazards regression models. Men who never smoked cigarettes, cigars, or pipes formed the reference group. Hazard ratios were adjusted for age, education, total pack-years of cigarette exposure, frequency of brushing, and use of floss. RESULTS. The hazard ratio for tooth loss was 2.1 (95% confidence interval [CI], 1.5-3.1) among men who smoked cigarettes during all or part of follow-up. Risk of tooth loss among men who quit smoking declined as time after smoking cessation increased, from 2.0 (95% CI, 1.4-2.9) after 1 year of abstinence to 1.0 (95% CI, 0.5-2.2) after 15 years of abstinence. The risk remained significantly elevated for the first 9 years of abstinence but eventually dropped to the level of men who never smoked after 13 or more years. CONCLUSION. These results indicate that smoking cessation is beneficial for tooth retention, but long-term abstinence is required to reduce the risk to the level of people who have never smoked.U.S. Department of Veterans Affairs Epidemiology (Merit Review grant); Massachusetts Veterans Epidemiology Research and Information Center; National Institutes of Health (R01 DA10073, R03 DE016357, R15 DE12644, K24 DE00419

    First Amendment Rights of Attorney and Judges in Judicial Election Campaigns

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    A Patent Misperception

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    Antitrust and intellectual property laws promote innovation and competition. As long as the costs of promotion do not exceed the benefit to society, then the laws act in harmony. Discord arises when patent holders use public and private ordering to restrain competition, restrict downstream trade, prevent the development of competing products and limit output by competitors. Using the Patent Act and the misperception of antitrust immunity to create a parallel and under-regulated legal system allows a small number of patent holders to coordinate their behavior to maximize profits and minimize competition. The Patent Act provides no shield to prosecution for antitrust violations - such is a patent misperception only. Harmony comes from balancing the costs of protection with the benefit to society. Innovation is best protected through the protection of intellectual property rights and the protection of competition

    Information Age Technology, Industrial Age Laws

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    The United States patent system was born during the Industrial Age — at a time where the focus was on promoting innovation in machines, and tangible means of changing the world. With the dawn of the Information Age, innovation is increasingly intangible. The industrial age laws, as currently interpreted, are not well-suited for the changing and evolving technological world. Information age innovators face challenges at the United States Patent and Trademark Office, through the judicial system and at the United States International Trade Commission. It is time for a change in the system to reflect the realities of modern technology. Adequate protection is not currently provided for intangible innovations. This lack of protection has wide-ranging implications, especially now as data processing is increasingly migrating to “the cloud,” geographic boundaries are eroding, and intangible technology is advancing in importance. The industrial age laws can incentivize innovation in the information age — and it is time to recognize this before private ordering subsumes the public interest

    The Flawed Nature of the False Marking Statute

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    In 2005, the United States Court of Appeals for the Federal Circuit rendered a decision on an “issue of first impression” interpreting a one hundred sixty-three year old provision of the United States Code - the “false marking” statute embodied in 35 U.S.C. § 292. It is false marking to mark as patented an unpatented article if done with the intent to deceive the public and, as such, is a fineable offense. The false marking statute remains one of only a handful of qui tam actions left intact from a rich history of varied incentives provided by the government for private enforcement. Enacted to protect patentees and viewed as a blend of public and private resources, the false marking statute has failed to work as intended. This failure is due to the interpretation of the statute given by the courts, eviscerating the penal nature and leaving us with an interpretation that is both false and flawed. Unduly emphasizing the fact that the false marking statute requires neither privity nor injury on the part of the party bringing suit, the courts’ interpretation ignores the culpability of the party who has falsely marked its innovation - harming both the patent system and the public. A party who falsely marks its innovation as patented, and does so with objective recklessness, should be presumed to have done so with the intent to deceive the public, and the burden should rest on the marker to prove that it lacked such intent. Furthermore, the penalty should reflect the culpability of the marking party, taking into account various mitigating factors, including whether the public was actually deceived, the materiality of the marking, and the harm to competitors caused by the marking. Only then can the false marking statute ring true as the effective and economically efficient vehicle it was designed to be
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