All You Knew: Twentieth Century Southern Appalachian Coal Miners and their Experience with Death and Danger

Nineteenth century coal miners\u27 oral interviews from Kentucky, West Virginia, and Virginia convey their experiences as individuals and of a general community. Southern Appalachian coal miners experienced nearly constant dangers and threats to their lives underground which helped shape their relationships between other miners and industry controls. Added to coal miners’ occupational hazards, the long term emphysemic effects of coal mining and the physical prevalence of coal dust in the coal miner’s life created a life defined by danger. Miners reconciled this dehumanizing lifestyle through readily predictable methods, such as spirituality and camaraderie but also seemingly paradoxical methods, including carelessness and mischief underground

Occupational Therapy in the Intensive Care Unit

In recent years, the number of inpatient cardiovascular surgeries has significantly increased in hospitals around America. Occupational therapists in the intensive care unit (ICU) at Mills-Peninsula Medical Center (Burlingame, California) currently lack a standard protocol for addressing physical, cognitive, and psychosocial factors in patients post cardiac surgery. Furthermore, interventions are frequently guided by professional experience and clinical reasoning instead of current evidence. The American Occupational Therapy Association’s Centennial Vision encourages occupational therapists to pursue science-driven practices and provide evidence-based interventions. In response to this vision, an extensive review of current literature was conducted and applied to develop an evidence-based clinical pathway for the occupational therapists at Mills-Peninsula Medical Center. The proposed clinical pathway includes intervention guidelines for physical recovery, early detection of cognitive impairment, and psychosocial health for patients post cardiac surgery recovering in the ICU. The clinical pathway would establish a standard of care and facilitate patients’ return to their highest level of function during post-cardiac surgery rehabilitation.https://scholar.dominican.edu/ug-student-posters/1032/thumbnail.jp

Occupational Therapy in the Intensive Care Unit

In recent years, the number of inpatient cardiovascular surgeries has significantly increased in hospitals around America. Occupational therapists in the intensive care unit (ICU) at Mills-Peninsula Medical Center (Burlingame, California) lack a standard protocol for addressing physical, cognitive, and psychosocial factors in patients post cardiac surgery. Furthermore, individuals’ experience and clinical reasoning frequently guides interventions rather than current evidence. The American Occupational Therapy Association’s Centennial Vision encourages occupational therapists to pursue science-driven practices and provide evidence-based interventions. In response to this Vision, an evidence-based clinical pathway was developed for the occupational therapists at Mills-Peninsula Medical Center. The clinical pathway facilitates patients’ return to their highest level of function during post cardiac surgery rehabilitation. The proposed clinical pathway includes physical recovery, early detection of cognitive impairment, and psychosocial health for patients post cardiac surgery. The final clinical pathway was compiled into a clinical manual, entitled Clinical Pathway for Post Cardiac Surgery – Progression of Occupational Therapy in Intensive Care Unit, and adapted into a pocket guide

Catalytic Enantioselective Birch–Heck Sequence for the Synthesis of Tricyclic Structures with All-Carbon Quaternary Stereocenters

A new enantioselective desymmetrizing Mizoroki–Heck reaction is reported. The process affords high yields and enantioselectivities of tricyclic structures containing all-carbon quaternary stereocenters. The substrates for the reaction are efficiently synthesized from Birch reduction–alkylation of benzoic acid and benzoate esters

Catalytic Enantioselective Birch–Heck Sequence for the Synthesis of Tricyclic Structures with All-Carbon Quaternary Stereocenters

A new enantioselective desymmetrizing Mizoroki–Heck reaction is reported. The process affords high yields and enantioselectivities of tricyclic structures containing all-carbon quaternary stereocenters. The substrates for the reaction are efficiently synthesized from Birch reduction–alkylation of benzoic acid and benzoate esters

Monitoring a simple hydrolysis process in an organic solid by observing methyl group rotation

We report a variety of experiments and calculations and their interpretations regarding methyl group (CH3) rotation in samples of pure 3-methylglutaric anhydride (1), pure 3-methylglutaric acid (2), and samples where the anhydride is slowly absorbing water from the air and converting to the acid [C6H8O3(1) + H2O → C6H10O4(2)]. The techniques are solid state 1H nuclear magnetic resonance (NMR) spin-lattice relaxation, single-crystal X-ray diffraction, electronic structure calculations in both isolated molecules and in clusters of molecules that mimic the crystal structure, field emission scanning electron microscopy, differential scanning calorimetry, and high resolution 1H NMR spectroscopy. The solid state 1H spin-lattice relaxation experiments allow us to observe the temperature dependence of the parameters that characterize methyl group rotation in both compounds and in mixtures of the two compounds. In the mixtures, both types of methyl groups (that is, molecules of 1 and 2) can be observed independently and simultaneously at low temperatures because the solid state 1H spin-lattice relaxation is appropriately described by a double exponential. We have followed the conversion 1 → 2 over periods of two years. The solid state 1H spin-lattice relaxation experiments in pure samples of 1 and 2 indicate that there is a distribution of NMR activation energies for methyl group rotation in 1 but not in 2 and we are able to explain this in terms of the particle sizes seen in the field emission scanning electron microscopy images

36. A prospective, randomized study to compare the value of two fractionation schemes of palliative radiotherapy for inoperable non-small cell lung cancer

A prospective, randomized study was conducted in eight Polish institutions to compare the value of two fractionation schemes of palliative radiotherapy for inoperable non-small cell lung cancer. Assessed was the impact of either treatment on the degree and duration of relief of tumor-related symptoms and on patient's performance status. Secondary endpoints included treatment side-effects, objective response and overall survival. One hundred patients were randomly assigned to the dose of 20 Gy/5×/5 days (Arm A) or 16 Gy/2×/8 days (Arm B). There were 90 men and 10 women aged between 47 and 79 (mean 66). Eighty four patients had locally advanced tumor and 16 patients had metastatic disease. Squamous cell carcinoma was diagnosed in 65 patients, adenocarcinoma – in 9 patients, large cell carcinoma – in 1 patient and unspecified non-small cell carcinoma – in 25 patients. Fifty five patients were assigned to Arm A and 45 – to Arm B. Ninety eight patients received assigned treatment whereas two patients died before the end of treatment. The final results of the study will be presented at the conference

The Lantern Vol. 68, No. 1, Fall 2000

• In Attempting to Imitate J. Agard (III) • Headstones • Calligraphy Grace • Fifty Years • Morning • The Millstone • Quick Stop-Off • Jesus Wept (SuperBuick Bodybag) • Just a God • Amy • Silver Doubloons • Ogbanje • Left Behind • Asymmetrical Smile • Sundays • Pie in the Sky • No Surprises • Bill Gooden\u27s Son • Downcast Eyes Meet Tablecloth • Wetlands • Desperate Actions • Receiving End • A Pack of Matches • Coffeehttps://digitalcommons.ursinus.edu/lantern/1157/thumbnail.jp

The Lantern Vol. 68, No. 1, Fall 2000

• In Attempting to Imitate J. Agard (III) • Headstones • Calligraphy Grace • Fifty Years • Morning • The Millstone • Quick Stop-Off • Jesus Wept (SuperBuick Bodybag) • Just a God • Amy • Silver Doubloons • Ogbanje • Left Behind • Asymmetrical Smile • Sundays • Pie in the Sky • No Surprises • Bill Gooden\u27s Son • Downcast Eyes Meet Tablecloth • Wetlands • Desperate Actions • Receiving End • A Pack of Matches • Coffeehttps://digitalcommons.ursinus.edu/lantern/1157/thumbnail.jp