3,186 research outputs found

    Beyond the Biography of a Gene

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    Collins approaches the ethical nuances of Cal’s intersex narrative in Middlesex, drawing comparisons with current debates in North Carolina concerning gender-normative bathroom use and trans rights, in order to advocate for more ethical practices of relation and responsibility outside of mere knowledge creation and policy

    Psychophysiology of respiratory disease : clinical considerations for the advanced practice nurse

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    The purpose of this article is to describe the psychophysiology of dyspnea in chronic obstructive pulmonary disease (COPD), identify the unique impact of respiratory disease on the female patient, and discuss the relationship of anxiety and depression in disease manifestation. Current COPD assessment and treatment guidelines published by the United States Department of Health and Human Services, the World Health Organization as well as the National Institute for Health and Care Experience (NICE) will be presented along with implications for the Advanced Practice Nurse (APN). Practitioners treat COPD patients with advanced physiological complications along with psychological comorbidities that worsen the disease perception and progression. Therefore, a recommendation will be made to integrate assessment and evaluation of psychological comorbidities in COPD patients, with particular consideration given to the female patient. Utilizing a holistic, int egrated treatment plan will serve to enhance patient care, alleviate disease burden and impact overall quality of life in the patient with COPD.peer-reviewe

    Therapeutic pluralism in mental health nursing practice

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    Cognitive behaviour therapy (CBT) is a much-debated subject in terms of its efficacy and status as the ‘treatment of choice’ for depression and anxiety. This article critically analyses the claimed merits of this therapy over others, and evaluates its efficacy as a standalone ‘combined therapy’, by examining dismantling, additive, comparative and component studies. The article examines behavioural activation in particular, as the contested active ingredient in the cognitive behavioural model, and the application of this and CBT in the context of evidence-based, person-centred and holistic mental health nursing practice

    Abstracting Intimacy: Lily Briscoe\u27s Artistic Vision in To the Lighthouse

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    Stakeholder engagement in water governance as social learning: lessons from practice

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    The OECD Principles on Water Governance set out various requirements for stakeholder engagement. Coupled with conceptualizations of social learning, this article asks how we define and enact stakeholder engagement and explores the actual practice of engagement of stakeholders in three fields of water governance. The results suggest that a key consideration is the purpose of the stakeholder engagement, requiring consideration of its ethics, process, roles and expected outcomes. While facilitators cannot be held accountable if stakeholder engagement ‘fails’ in terms of social learning, they are responsible for ensuring that the enabling conditions for social learning are met

    Making a Place at the Table: A Guide for Small, Rural, and Suburban Libraries

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    This article serves as resource for libraries in rural and suburban areas that are serving communities experiencing changes to their ethnic diversity, particularly an influx of immigrants from one central location with English as a second language (i.e. India, China, Syria, etc.). Within, resources include: research supporting the benefits of having a multilingual collection; common missteps and pitfalls in serving minority communities; examples of how to determine the community’s needs; provides recommendations for finding community partners; and shares resources from the American Library Association and other organizations to find grants, develop collections, and conduct outreach services

    Gender, race, and intersectionality on the federal appellate bench.

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    While theoretical justifications predict that a judge’s gender and race may influence judicial decisions, empirical support for these arguments has been mixed. However, recent increases in judicial diversity necessitate a reexamination of these earlier studies. Rather than examining individual judges on a single characteristic, such as gender or race alone, this research note argues that the intersection of individual characteristics may provide an alternative approach for evaluating the effects of diversity on the federal appellate bench. The results of cohort models examining the joint effects of race and gender suggest that minority female judges are more likely to support criminal defendants’ claims when compared to their colleagues on the bench, even after controlling for other important factors. This suggests that our understanding of judicial behaviors may be assisted by the inclusion of how individual characteristics overlap rather than examining those characteristics alone
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