THE QUEST FOR SELF: USING MANDALA ART IN REFLECTIVE PRACTICE JOURNALING

This article is a nexus of research, personal journaling reflections, and mandala creation from the authors own journals and focuses on the use of Mandalas as part of a reflective practice journaling process. Attention to mandala usage within reflective practice considering depth interiority, engaging and sharing with others. The authors approach to mandala construction is included followed by an exercise for observation and assessment of mandalas. The structure for reflective practice helps shape transformational leaders, using expressive arts, narratives in journaling. This transformational Discovery pathway and narrative exercises can be used for creating professional learning communities. This form of reflective practice has possibilities for increased self-awareness and self-care by creating a permanent record of thoughts and anchors

Experiences influencing physician rural practice and retention : a phenomenological study

Title from PDF of title page (University of Missouri--Columbia, viewed on September 17, 2010).The entire thesis text is included in the research.pdf file; the official abstract appears in the short.pdf file; a non-technical public abstract appears in the public.pdf file.Dissertation advisor: Dr. Jennifer Hart.Vita.Ph. D. University of Missouri--Columbia 2009.A physician maldistribution exists when comparing rural with urban areas. It is necessary to ensure rural citizens have available, accessible, and acceptable quality medical care to remedy health disparities resulting from the lack of physicians. Using theories of symbolic interactionism and experiential place integration as the lenses for analysis, I sought to study the phenomenon of becoming a rural physician and the experiences that influenced physicians to choose rural practice. This was a qualitative study using a transcendental phenomenological approach. Fifteen individual interviews were conducted. For the participants in this study, rural upbringing, family values, early experiences regarding medicine, and identity in place were experiences prior to medical school that influenced the desire to practice and live in a rural area. Rural clinical medical school and residency experiences, the culture of the medical school, and preceptor relationships were experiences during medical school that influenced physicians' choices. Family, partners, and loan forgiveness were experiences that influenced practice type and location. Professional support and integration into the community were experiences influencing retention.Includes bibliographical references

Limb Evolvability in Pan Troglodytes

In primates, trait covariance is common among limb segments and bony structures. Trait covariance signifies the changes in one trait that may influence the development and/or evolution of another trait. Evolvability - or the ability for a trait to respond to evolutionary pressures - is affected by trait covariance. Covarying traits may limit a trait’s ability to respond to selective pressures, and that traits with high covariance have high integration and low evolvability. In this study, we estimate measures of evolvability (evolvability, responsibility, integration, and autonomy) of limb segments of common chimpanzees (Pan troglodytes). We hypothesize that the covariance between the humerus, femur, and tibia will follow established patterns for great apes and that the humerus will be less integrated than the femur or tibia. After controlling for sex, results support our hypothesis: that the covariance pattern is as expected and that the humerus is less integrated (and therefore less evolvable) than the bones of the lower limb

Formula for the Removal and Remediation of Polychlorinated Biphenyls in Painted Structures

An activated metal treatment system (AMTS) removes and destroys polychlorinated biphenyls (PCBs) found in painted structures or within the binding or caulking material on structures. It may be applied using a "paint-on and wipe-off" process that leaves the structure PCB-free and virtually unaltered in physical form. AMTS is used in conjunction with a solvent solution capable of donating hydrogen atoms. AMTS as a treatment technology has two functions: first, to extract PCBs from the material, and second, to degrade the extracted PCBs. The process for removing PCBs from structures is accomplished as an independent step to the degradation process. The goal is to extract the PCBs out of the paint, without destroying the paint, and to partition the PCBs into an environmentally friendly solvent. The research to date indicates this can be accomplished within the first 24 hours of AMTS contact with the paint. PCBs are extremely hydrophobic and prefer to be in the AMTS over the hardened paint or binder material. The solvent selected must be used to open, but not to destroy, the paint s polymeric lattice structure, allowing pathways for PCB movement out of the paint and into the solvent. A number of solvent systems were tested and are available for use within the AMTS. The second process of the AMTS is the degradation or dehalogenation of the PCBs. The solvent selection for this process is limited to solvents that are capable of donating a hydrogen atom to the PCB structure. Additional AMTS formulation properties that must be addressed for each site-specific application include viscosity and stability. The AMTS must be thick enough to remain where it is applied. Several thickening agents have been tested. Adding a stabilizing agent ensures that the AMTS will not evaporate and leave unprotected, activated metal exposed. During AMTS formulation testing, a number of reagents were evaluated to ensure the rate of dehalogenation was not inhibited by its addition to the system

Medicaid expansion in Missouri : the rural provider perspective

"Missouri expanded Medicaid in 2020, extending coverage eligibility to an estimated 225,000 - 275,000 Missourians. Many new enrollees live in rural and other health care workforce shortage areas. This study focuses on health care provider availability to care for new Medicaid enrollees."--Introduction

A Bench-scale Evaluation of the Removal of Selected Pharmaceuticals and Personal Care Products by UV and UV/H₂O₂ in Drinking Water Treatment

A bench-scale study of the degradation of four selected pharmaceuticals and personal care products (PPCPs) was carried out using UV and UV/H₂O₂ treatment employing low pressure (LP) and medium pressure (MP) lamps. The target substances included the pharmaceutical compounds ibuprofen, naproxen, and gemfibrozil, along with the bactericide triclosan. There were four main objectives of the study, as follows: to evaluate the removal of the target compounds using UV irradiation alone and UV/H₂O₂, to determine the reaction kinetics for direct and indirect photolysis of each selected compound, to determine the influence of major water quality parameters on the efficacy of treatment, and to compare the applied UV and UV/H₂O₂ doses to those that have been found to be effective for disinfection and removal of taste and odour compounds, respectively. For initial ultra-pure water experiments the target compounds were spiked at concentrations of approximately 250 µg/L (~1 µM). In latter ultra-pure water experiments and in the partially-treated water experiments, the selected PPCPs were spiked at a lower range (c~500-1000 ng/L), which is more representative of reported environmental concentrations. In an ultra-pure water matrix, a high LP fluence of 1000 mJ/cm² caused only triclosan to substantially degrade. Furthermore, with LP-UV/H₂O₂ only triclosan and naproxen had average percent removals above 60% at a typical disinfection fluence of 40 mJ/cm² with 100 mg/L H₂O₂. Complete degradation of all four compounds in ultra-pure water was achieved with very high fluences (compared to those used for UV disinfection) with MP-UV alone (at or above 1000 mJ/cm²) or with relatively high fluences for MP-UV/H₂O₂ (200-300 mJ/cm²) with 10 mg/L H₂O₂. Overall, when compared at similar applied fluences, the MP lamp was much more effective than the LP lamp. Furthermore, the addition of H₂O₂ typically increased removal rates, in some cases substantially, through formation and subsequent reaction of the PPCP with the •OH radical. When target substances were treated all together in an ultra-pure water solution, removals were lower than when they were treated independently at the same individual concentrations (~250 µg/L) this may simply have been the result of a higher total contaminant concentration in solution, which lessened the availability of the •OH radical and incident UV irradiation for degradation of all compounds. On the other hand, removals were improved when the combined target compounds were present at a lower individual concentration range (~750 ng/L), which suggests that removals may be concentration driven, with reduced matrix effects seen at lower overall contaminant concentrations. Furthermore, during the partially-treated water experiments, variability in treatment performance was observed with differing water quality; however, it was not evident which specific quality parameters influenced treatment effectiveness. On the other hand, substantial and sometimes complete, degradation of the target compounds was still seen in the partially-treated water with high MP-UV/H₂O₂ doses (e.g. 300 mJ/cm² + 10 mg/L H₂O₂ and 500 + 10 mg/L H₂O₂). For the kinetic experiments, compounds were spiked individually in ultra-pure water (c~250 µg/L = ~1µM). The photolysis of the target compounds during treatment was assumed to be a pseudo-first-order reaction. Kinetic parameters were determined for both direct and indirect photolysis for both lamps. The calculated rate constants confirmed the importance of •OH radicals for degradation of these compounds, especially for ibuprofen and gemfibrozil. For ibuprofen and gemfibrozil, direct photolysis rate constants could not be determined for LP-UV because very little degradation was seen at the fluences tested. LP-UV direct phototlysis rate constants for naproxen and triclosan were 0.0002 and 0.0033 cm²/mJ, respectively. Overall rate constants describing degradation of the four compounds due to LP-UV/H₂O₂ ranged from 0.0049 to 0.0124 cm²/mJ. All four compounds had fluence-based reaction rate constants for MP-UV indirect photolysis of approximately 0.01 cm²/mJ, while MP-UV direct photolysis rate constants ranged between 0.0007-0.007 cm²/mJ, with ibuprofen having the lowest and triclosan the highest. The overall trends were similar to those seen by other researchers for the removal of taste and odour compounds. For example, fluences required for substantial removal were much higher than typical disinfection doses, the MP lamp was more effective than the LP lamp (when compared solely on a fluence-basis), and the addition of H₂O₂ improved removals. On the whole, UV/H₂O₂ appears to be a very promising technology for the removal of these selected PPCPs during drinking water treatment, and is likely to be equally effective for other, similar contaminants

A New Formulation for the Removal and Remediation of Polychlorinated Biphenyls in Painted Structures

This new technology report will describe the laboratory development of a new and innovative solution for the removal and destruction of PCBs found in painted structures or within the binding or caulking material on structures. The technology incorporates a Bimetallic Treatment System (BTS) that extracts and degrades only the PCBs found on the facilities, leaving in most cases the structure virtually unaltered

Zero-Valent Metal Emulsion for Reductive Dehalogenation of DNAPLs

A zero-valent metal emulsion is used to dehalogenate solvents, such as pooled dense non-aqueous phase liquids (DNAPLs), including trichloroethylene (TCE). The zero-valent metal emulsion contains zero-valent metal particles, a surfactant, oil and water, The preferred zero-valent metal particles are nanoscale and microscale zero-valent iron particles

Nutrition Students’ Perception of The Role of the SLPs in Treating People Living with HIV/AIDS

This project explores nutrition students’ perceptions of SLPs\u27 and Nutritionists’ role in healthcare needs of PLWHA through survey research. The results will describe participants’ perceptions of the SLPs\u27 and Nutritionists’ roles in the healthcare needs of PLWHA. Recommendations are made regarding interprofessional training curricula for SLP and Nutrition students

Aquatic biosurvey of the Lovell River on UNH land

We assessed the physical, chemical and biological conditions at two sites along the Lovell River on University of New Hampshire (UNH) -owned conservation land. The discharge was 4.4 m3 s-1 at Site 1 and 5.7 m3 s -1 downstream at Site 2. Canopy coverage ranged from 8-25%. Canopy was dominated by Eastern Hemlock (79-84%). Much of the stream was strewn with large boulders and the substrate consisted of rocks of highly variable sizes ( 3-549 cm dia.). Specific conductivity (22.1-23.3 µS), pH (6.4) and temperature (7.9-8.3 °C) varied little between sites. Macro-invertebrate bio-indices indicated either excellent water quality with no apparent organic pollution (3.0/10) or good water quality with possible slight organic pollution (4.4/10)