Rural and County School Libraries

published or submitted for publicatio

The life and poetry of Emily Dickinson.

Thesis (M.A.)--Boston Universit

Improving differential diagnosis of vocal cord dysfunction

textPurpose: The purpose of this study was to assess whether the factors historically presented in the literature to differentiate vocal cord dysfunction (VCD) from breathing difficulties of other etiologies accurately predict and identify patients who have VCD. The researchers were also interested in whether patients with VCD have a higher risk of misdiagnosis than patients with breathing difficulties of other etiologies. Finally, the present study investigated whether patients with VCD were more likely to have their symptoms attributed to psychological factors than patients with breathing difficulties of other etiologies. Method: A survey comprised of 23 questions regarding the participants’ previous and current diagnoses, triggers that precede breathing difficulty, and whether or not the participants have ever been misdiagnosed was posted to internet support groups, websites, blogs, and forums. The final participant pool included 20 participants with VCD and 25 participants with asthma. Results: None of the factors investigated accurately differentiated participants with asthma from participants with VCD one hundred percent of the time. However, participants with VCD were more likely to report throat tightness during an attack, association of an attack with symptoms of acid reflux, and rapid resolution of symptoms without treatment. Conversely, participants with asthma were more likely to report expiratory stridor and chest tightness, full resolution of symptoms with use of asthma medications, nocturnal symptoms or symptoms just after waking, and symptoms that seemed to be triggered by environmental agents or allergens. Preliminary findings from the present study suggest that patients with VCD are both more likely to receive a misdiagnosis and have their symptoms attributed to psychological factors than participants with asthma. Conclusion: A diagnosis of VCD must be made very carefully, ideally with instrumental evaluation of the vocal mechanism during an acute “attack” of breathing difficulty. The factors identified in the literature to differentially diagnose patients with asthma from patients with VCD do not accurately differentiate these populations. These findings suggest that continued education about the nature of VCD and differential diagnosis should be paramount to medical professionals.Communication Sciences and Disorder

REVISITING ANNA MOSCOWITZ\u27S KROSS\u27S CRITIQUE OF NEW YORK CITY\u27S WOMEN\u27S COURT: THE CONTINUED PROBLEM OF SOLVING THE PROBLEM OF PROSTITUTION WITH SPECIALIZED CRIMINAL COURTS

This article explores New York City\u27s non-traditional, judicially based response to prostitution. This article first recounts the history of New York City’s Women’s Court. It then examines the work of the Midtown Community Court, the “problem-solving court” established in 1993 to address criminal issues, like prostitution, in Midtown Manhattan. It also discusses the renewed concerns about sex work in New York and describe the movement, propelled by modern reformers, to address prostitution through specialty courts. It then contrasts the shared features and attributes of the Women’s Court and Midtown Court models. Finally, the article urges modern reformers to step back from the problem-solving court movement and their call for the creation of more such specialized criminal courts

Fixing a Flat at 65 MPH: Restructuring Services to Improve Program Performance in Workforce Development

Business leaders have easy access to primers on organizational change; indeed many are bestsellers. In contrast, little is available to nonprofit executives intent on restructuring their organizations. And, while many lessons from the business world are relevant, there are unique aspects of nonprofits' missions and organizational cultures that demand special attention. This report examines the restructuring of three leading workforce development organizations that were seeking to improve performance. Based on their many achievements and the occasional misstep, Fixing a Flat at 65 MPH offers nonprofit managers seven guiding principles addressing the most significant challenges likely to arise during a major reorganization

Documenting the History of Inca Precious Metal Production using Geochemical Techniques from Lake Sediments in the Andahuaylas Region of Peru

The process of studying heavy metal concentrations in lake sediments in order to reconstruct pollution history has been used in a variety of environments and locations. Laguna Pacucha is one in a series of metal pollution studies from Peru and Bolivia, an area with a rich history of metallurgy. Laguna Pacucha lies in the Andahuaylas region of Peru, 145 km west of Cuzco, the Inca capital, and 20 km west of Curamba, a presumed ancient smelting site. The sediment record of Laguna Pacucha reveals a metal record that dates beyond 1225 AD. A major density change ~1225 AD, concurrent with a known period of drought, inhibits the possibility of a reliable age model below this point. Increases in Zn, As, and Cu after ~1225 AD could be indicative of local copper smelting, which supports separate evidence of the Curamba archeological site (near Laguna Pacucha) as a potential copper smelting site. These concentrations drop around the time of the Spanish conquest, and then the concentrations of a number of different metals increase after ~1600 and decrease by ~1850 AD, which could indicate smelting, but more likely indicates a change in land use. Our results provide a complex record of a changing Andean environment, and indicate a need for further study in the Andahuaylas region

Does gender matter in online learning?

It is generally noted that computing is gendered, with women opting out of IT. Will the impact of online learning change this? Some researchers claim that women are disadvantaged in online courses. Others argue that we need a ‘women‐friendly cyber‐classroom’. Yet our experience is that the women achieve better results than the men; it is loner males that are disadvantaged by distance learning. We argue that online courses need to be people‐friendly so that no learners are disadvantaged

Student-Centered Learning: Impact Academy of Arts and Technology

This case study is one of four written by SCOPE about student-centered practices in schools. The case studies address the following questions:1. What are the effects of student-centered learning approaches on student engagement, achievement of knowledge and skills, and attainment (high school graduation, college admission, and college continuation and success), in particular for underserved students?2. What specific practices, approaches, and contextual factors result in these outcomes?The cases focus on the structures, practices, and conditions in the four schools that enable students to experience positive outcomes and consider the ways in which these factors are interrelated and work to reinforce each other

Service Learning Project

UNLV CSUN Preschool has been accredited by the National Association for the Education of Young Children (NAEYC) since 1994. The preschool’s mission is to “Provide a model inclusive early childhood program that serves children of students, faculty, staff, and the surrounding campus community. As the field of early childhood care and education evolves to meet the growing needs of today’s young children and their families, our preschool will continue to play a leadership role in teaching, training, and research at UNLV.” (unlv.edu/preschool/about).https://digitalscholarship.unlv.edu/educ_fys_103/1043/thumbnail.jp

A Field Guide for Weathering: Embodied Tactics for Collectives of Two or More Humans

In our inherited meteorological practices and frameworks, weather conditions are managed for us in a range of ways (for example, through architecture, technology, commodity culture, infrastructure, economic rationale). This field guide brings the weather back to the body. A traditional field guide provides tools for the individual sovereign human subject to observe and document nature “over there”. In contrast, through a range of different activities, our field guide not only invites investigation and cataloguing of the field that we also comprise, but also challenges what counts as a noteworthy observation regarding the weather and also climate