The Use of Architectural Drawing in the Documentation of Log Folk Housing

In order to remedy the shortcomings of past log structure documentation efforts, six proficiencies were established as necessary for the folklorist: (1) knowledge of, and use of, aerial photographs and topographic maps, (2) familiarity with usage of the compass, steel measuring tape and alidade, (3) accuracy in building measurement techniques, (4) the ability to competently compile a field notebook using standardized architectural notation, (5) operation of the camera as a recording tool, and (6) the production of measured drawings using the techniques specified by the Historic American Buildings Survey. The Rigsby House, a log structure in Warren County, Kentucky, served as a case study documentation, Providing the folklorist with a demonstration of techniques adaptable to his own documentation problem. Relevant comments on the difficulties inherent in recording structures constructed of wooden timbers were interjected as necessary throughout the text. Emphasis was placed on proficiencies three, four, and six, with more limited discussion of the remaining skills. Thirty-five illustrations were broken down into one perspective photograph, one aerial photograph, one partial elevation photograph, one topographic map, one plot plan, seventeen field notebook entries, twelve measured drawings, and one ion structure terminology drawing

Kentucky\u27s Age of Wood

The old tools and wooden objects illustrated in this book are homely reminders of a time when the majestic forests of the frontier were the source not only of the pioneer’s house, barn, and fences, but of his children’s toys, his wife’s egg basket, and a hundred other necessities and pleasures. More than fifty delicate line drawings by Ira Kohn and the clear, nontechnical discussion by Kenneth Clarke of the making and uses of these humble objects—many of them unfamiliar to the eyes of the current generation of Kentuckians—give the reader new insight into the life of the pioneer. Both authors are affiliated with Western Kentucky University. Kenneth Clarke is professor of English and folk studies. Ira Kohn is on the staff of the Kentucky Museum.https://uknowledge.uky.edu/upk_cultural_history/1020/thumbnail.jp

Methodological limitations of psychosocial interventions in patients with an implantable cardioverter-defibrillator (ICD) A systematic review

<p>Abstract</p> <p>Background</p> <p>Despite the potentially life-saving benefits of the implantable cardioverter-defibrillator (ICD), a significant group of patients experiences emotional distress after ICD implantation. Different psychosocial interventions have been employed to improve this condition, but previous reviews have suggested that methodological issues may limit the validity of such interventions. Aim: To review the methodology of previously published studies of psychosocial interventions in ICD patients, according to CONSORT statement guidelines for non-pharmacological interventions, and provide recommendations for future research.</p> <p>Methods</p> <p>We electronically searched the PubMed, PsycInfo and Cochrane databases. To be included, studies needed to be published in a peer-reviewed journal between 1980 and 2008, to involve a human population aged 18+ years and to have an experimental design.</p> <p>Results</p> <p>Twelve studies met the eligibility criteria. Samples were generally small. Interventions were very heterogeneous; most studies used cognitive behavioural therapy (CBT) and exercise programs either as unique interventions or as part of a multi-component program. Overall, studies showed a favourable effect on anxiety (6/9) and depression (4/8). CBT appeared to be the most effective intervention. There was no effect on the number of shocks and arrhythmic events, probably because studies were not powered to detect such an effect. Physical functioning improved in the three studies evaluating this outcome. Lack of information about the indication for ICD implantation (primary vs. secondary prevention), limited or no information regarding use of anti-arrhythmic (9/12) and psychotropic (10/12) treatment, lack of assessments of providers' treatment fidelity (12/12) and patients' adherence to the intervention (11/12) were the most common methodological limitations.</p> <p>Conclusions</p> <p>Overall, this review supports preliminary evidence of a positive effect of psychosocial interventions on anxiety and physical functioning in ICD patients. However, these initial findings must be interpreted cautiously because of important methodological limitations. Future studies should be designed as large RCTs, whose design takes into account the specific challenges associated with the evaluation of behavioural interventions.</p

Impact of Optimized Breastfeeding on the Costs of Necrotizing Enterocolitis in Extremely Low Birthweight Infants

To estimate risk of NEC for ELBW infants as a function of preterm formula and maternal milk (MM) intake and calculate the impact of suboptimal feeding on NEC incidence and costs

Supplementary Material, Supplementary_File – Clinical Quality and Patient Experience in the Adult Ambulatory Setting

<p>Supplementary Material, Supplementary_File for Clinical Quality and Patient Experience in the Adult Ambulatory Setting by Susan Congiusta, DNP, RN, Philip Solomon, MD, Joseph Conigliaro, MD, MPH, Roseanne O’Gara-Shubinsky, RN, MBA, Nina Kohn, MBA, MA, and Ira S. Nash, MD in American Journal of Medical Quality</p