A Qualitative Study of Rural Nurse Practitioners\u27 In Medically Underserved Clinics

Retention of nurse practitioners is a serious problem in rural medically underserved areas. This study focused on the underserved areas in southeast Kansas, southwest Missouri, and northern Oklahoma. Approximately, three million persons reside in rural medically-underserved areas of the study area. Seventy-three percent of these adults have at least two or more complex chronic medical conditions and there are only 526 nurse practitioners to care for them. Rural providers face many challenges in caring for these individuals and experience anxiety and stress while caring for them. The purpose of this research study was to explore, analyze, and describe the phenomena of nurse practitioners practicing in rural underserved medical clinics. The research explored the nurse practitioners’ attitudes and feelings related to their current position in the rural setting. The study included the concepts of professional isolation, stress or other factors that negatively affect job satisfaction and retention. A qualitative phenomenological design was used to allow the subjects to describe their lived experience of their day to day practices

Investigating the role of model-based reasoning while troubleshooting an electric circuit

We explore the overlap of two nationally-recognized learning outcomes for physics lab courses, namely, the ability to model experimental systems and the ability to troubleshoot a malfunctioning apparatus. Modeling and troubleshooting are both nonlinear, recursive processes that involve using models to inform revisions to an apparatus. To probe the overlap of modeling and troubleshooting, we collected audiovisual data from think-aloud activities in which eight pairs of students from two institutions attempted to diagnose and repair a malfunctioning electrical circuit. We characterize the cognitive tasks and model-based reasoning that students employed during this activity. In doing so, we demonstrate that troubleshooting engages students in the core scientific practice of modeling.Comment: 20 pages, 6 figures, 4 tables; Submitted to Physical Review PE

Tailoring the surface charge of dextran-based polymer coated SPIONs for modulated stem cell uptake and MRI contrast

Tracking stem cells in vivo using non-invasive techniques is critical to evaluate the efficacy and safety of stem cell therapies. Superparamagnetic iron oxide nanoparticles (SPIONs) enable cells to be tracked using magnetic resonance imaging (MRI), but to obtain detectable signal cells need to be labelled with a sufficient amount of iron oxide. For the majority of SPIONs, this can only be obtained with the use of transfection agents, which can adversely affect cell health. Here, we have synthesised a library of dextran-based polymer coated SPIONs with varying surface charge from −1.5 mV to +18.2 mV via a co-precipitation approach and investigated their ability to be directly internalised by stem cells without the need for transfection agents. The SPIONs were colloidally stable in physiological solutions. The crystalline phase of the particles was confirmed with powder X-ray diffraction and their magnetic properties were characterised using SQUID magnetometry and magnetic resonance. Increased surface charge led to six-fold increase in uptake of particles into stem cells and higher MRI contrast, with negligible change in cell viability. Cell tracking velocimetry was shown to be a more accurate method for predicting MRI contrast of stem cells compared to measuring iron oxide uptake through conventional bulk iron quantification

Structure of the near-surface layers of the Sun: asphericity and time variation

We present results on the structure of the near-surface layers of the Sun obtained by inverting frequencies of high-degree solar modes from "ring diagrams". We have results for eight epochs between June 1996 and October 2003. The frequencies for each epoch were obtained from ring diagrams constructed from MDI Dopplergrams spanning complete Carrington rotations. We find that there is a substantial latitudinal variation of both sound speed and the adiabatic index Gamma_1 in the outer 2% of the Sun. We find that both the sound-speed and Gamma_1 profiles change with changes in the level of solar activity. In addition, we also study differences between the northern and southern hemispheres of the Sun and find a small asymmetry that appears to reflect the difference in magnetic activity between the two hemispheres.Comment: To appear in ApJ (January 2007

Degenerations of ideal hyperbolic triangulations

Let M be a cusped 3-manifold, and let T be an ideal triangulation of M. The deformation variety D(T), a subset of which parameterises (incomplete) hyperbolic structures obtained on M using T, is defined and compactified by adding certain projective classes of transversely measured singular codimension-one foliations of M. This leads to a combinatorial and geometric variant of well-known constructions by Culler, Morgan and Shalen concerning the character variety of a 3-manifold.Comment: 31 pages, 11 figures; minor changes; to appear in Mathematische Zeitschrif

Novel Approaches of Chemoradiotherapy in Unresectable Stage IIIA and Stage IIIB Non-Small Cell Lung Cancer

After completing this course, the reader will be able to

The role of metacognition in troubleshooting: an example from electronics

Students in physics laboratory courses, particularly at the upper division, are often expected to engage in troubleshooting. Although there are numerous ways in which students may proceed when diagnosing a problem, not all approaches are equivalent in terms of providing meaningful insight. It is reasonable to believe that metacognition, by assisting students in making informed decisions, is an integral component of effective troubleshooting. We report on an investigation of authentic student troubleshooting in the context of junior-level electronics courses at two institutions. Think-aloud interviews were conducted with pairs of students as they attempted to repair a malfunctioning operational-amplifier circuit. Video data from the interviews have been analyzed to examine the relationship between each group's troubleshooting activities and instances of socially mediated metacognition. We present an analysis of a short episode from one interview.Comment: 4 pages, 1 figure; Submitted to 2015 PERC Proceeding