Development of a Short Trauma Screening Tool (STST) to Measure Child Trauma Symptoms: Establishing Content Validity

Purpose: The purpose of the study was to identify major symptom domain variables common to child trauma and create a prototype short trauma symptom screening tool (STST) intended for use in pediatric medical settings. Methods: This manuscript describes the first two phases of an on-going prospective mixed-method instrument development study. Phase 1 exploratory factor analysis was conducted with an archived LONGSCAN CBCL dataset to: (1) identify behavioral symptoms endorsed by children with known trauma exposure; and (2) generate a preliminary STST item pool. During Phase 2, researchers convened an expert panel (N = 10) and conducted Content Validity Index (CVI) procedures with the 20-item preliminary STST item pool, to further inform item retention, elimination and modification for an updated prototype STST. Findings: Expert quantitative scores yielded a CVI of 0.90 for the overall preliminary STST. The first two phases of this study assisted researchers with identifying 12 items that represent nine child trauma symptom domain variables, which include: (1) aggression/anger; (2) anxiety/fear; (3) sexual concerns; (4) elimination concerns; (5) somatic concerns; (6) depression; (7) dissociation; (8) physical acting out; and (9) dysregulation. Conclusions: The first two phases of STST development resulted in development of a brief, empirically-derived prototype screening tool that features 12 items operationalizing nine domains of child trauma symptoms. Developers can now advance to the next phase of STST development; feasibility assessment and psychometric testing

Improvement in Cluster Head Selection Method by Considering Residual Energy and Distance between Nodes to Base Station in WSN

Wireless Sensor Network(WSN) performs energy extensive tasks and it is essential to rotate the roll of cluster head to make it efficient. Hierarchical routing having cluster based topology is a very efficient approach for improving throughput. In this paper we aim to improve network life time by using LEACH based protocol by considering residual energy and distance of nodes in WSN. In our proposed approach we adopt dynamic clustering with dynamic selection of cluster heads in first round and static clustering with dynamic selection of cluster heads from second round. The protocol has been simulated in NS2 and results show improvement in energy efficiency, throughput, less packet drops and packet delivery ratio when compared to LEACH. DOI: 10.17762/ijritcc2321-8169.15064

Profiles in Faculty Leadership: The Experience of 1985-1986 California Community College Senate Presidents

The Problem: Very little has been written about leadership in community colleges from the faculty perspective. California, with its highly evolved system of community colleges, 20 year history of faculty senates and recent reform legislation mandating shared governance is a logical platform from which to explore the issue of faculty leadership. This study was conducted in an effort to learn more about those who have served as California community college senate presidents. Of particular interest were the individual\u27s motivations, expectations and reflections on the experience as well as the individual\u27s involvement in college governance activity in the five years following his or her service as senate president. The Research: The study was descriptive in nature and employed methodological triangulation to explore the problem from multiple perspectives. A 20 question Senate President Survey (SPS) instrument was mailed to all faculty members who had been identified as serving as a local senate president at a California community college during 1985-86. This instrument sought demographic information, and probed attitudes and perceptions about the experience. Two groups of respondents were identified, those who were more active than they had been during their presidency and those who were less active. In depth semistructed telephone interviews of six respondents from each group were then conducted and issues were probed in more detail. The California Community College Chancellor\u27s Office and Department of Finance documents provided a third source of information about the institutions at which each senate president served. The Results: From this research a demographic profile of those who served as senate presidents in 1985-86 was developed. It was learned that more than half of those individuals had withdrawn from governance activity at their colleges. Statistically significant correlations between current governance activity levels and other institutional or individual variables could not be found. The interviews of former senate presidents revealed perceptions about their experience, their colleagues, union and senate relationships, administrative and senate relationships and attitudes related to shared governance

A History of the Concept of Creativity in Western Nursing: A Cultural Feminist Perspective

Using historical methodology, this study examined the concept of creativity in Western nursing from a cultural feminist perspective. An exploration of the concept was accomplished by means of a review emanating from the English literature of Western nursing and its allied disciplines of education and psychology. Two distinct views of creativity were delineated--the classical and the contemporary. The classical understanding required the completion of a major product or attainment in order for creativity to be ascribed. In contrast, the contemporary view was that of a novel, unrestrained thought process. It required no creative work or attainment for its ascription. The creative lives of select Western nurses, e.g., Florence Nightingale, Lillian Wald, Margaret Sanger, and Sister Elizabeth Kenny were also examined. It was revealed that they achieved major attainments worthy of the classical ascription of creativity. The compatibility of these nurses\u27 personal philosophies with that of cultural feminism was demonstrated. Cultural feminism emphasized the differences between men and women. Women were purported to be more cooperative, altruistic, and life affirming than men. The male dominated political arena was viewed as fragmented, corrupt, and inadequate. Therefore, this second feminist tradition challenged women to initiate social reform by achieving major attainments in the public sphere. Cultural feminist philosophy harmonized with the classical theory of creativity. This research indicated that the convergence of complex social, economic, and political forces during the nineteenth and twentieth centuries led to nursing\u27s current definition of creativity as a thought process. The ways in which nursing\u27s contemporary view of creativity had impacted its educational objectives and method, influenced the aspirations of its practitioners, and determined nurses\u27 perception of their work was also explained. Nursing was encouraged to consider which definition of creativity would best meet the needs of the profession in the twenty-first century. This study has implications for both nursing practice and education. It suggests that their contemporary theory of creativity actually impedes the production of creative work. It indicates that both the classical view of creativity and the philosophy of cultural feminism have much to offer members of a profession composed mostly of women

Phytochemical and Ethno-Pharmacological Review of the Genus Araucaria – Review

Distribution, traditional uses, isolated chemical constituents and pharmacological activities of some common species of the genus Araucaria are reviewed in this paper. Almost 19 species belong to the genus, Araucaria. It is indigenous to North America. Biflavanoid, diterpene, phenyl propanoid and lignans are abundant in the genus. The most common pharmacological activity of Araucaria in modern medicines is anti-inflammatory. It also possesses other pharmacological activities such as antiulcer, antiviral, neuro-protective, anti-depressant and anti-coagulant. The aim of the present paper is to present an extensive review of the plants in this genus including their traditional uses, chemical constituents and pharmacology.Keywords: Araucaria, Ethnopharmacology, Phytochemistry, Biflavanoids, Diterpen

Appropriate medication prescribing in elderly patients: how knowledgeable are primary care physicians? A survey study in Parma, Italy.

What is known and Objective:  Increasing attention is being paid to inappropriate medication prescribing for the elderly. A growing body of studies have detected a prevalence of inappropriate prescribing ranging from 12% to 40% worldwide, including Regione Emilia-Romagna, Italy. To improve quality of prescribing, a multi-phase pilot project in the Local Health Unit (LHU) of Parma, Regione Emilia-Romagna, was established. This phase aimed to assess primary care physicians\u27 knowledge of appropriate prescribing in elderly patients. Methods:  In total, 155 primary care physicians (51% of the total), convened by the LHU of Parma for an educational session, were asked to complete anonymously a 19-item paper survey. Knowledge of inappropriate medication use in the elderly was assessed using seven clinical vignettes based on the 2002 Beers Criteria. Topics tested included hypertension, osteoarthritis, arrhythmias, insomnia and depression. Data regarding physician\u27s perceived barriers to appropriate prescribing for elderly patients were also collected. To evaluate the relationship between physician knowledge scores and physician characteristics, physicians were classified as having a \u27low score\u27 (three or below) or a \u27high score\u27 (six or more) with respect to their knowledge of prescribing for the elderly. Results and Discussion:  All physicians completed the survey. Most physicians (88%) felt confident in their ability to prescribe appropriate medications for the elderly. Thirty-nine physicians (25%) received a \u27high score\u27 compared to 26 (17%) who received a \u27low score\u27. \u27Lower score\u27 respondents had been in practice for a longer time (P \u3c 0·05) than \u27higher score\u27 respondents. Perceived barriers to appropriate prescribing included potential drug interactions (79% of respondents) and the large number of medications a patient is already taking (75%). What is new and Conclusion:  The study results show an unsatisfactory knowledge of appropriate prescribing among primary care physicians in the LHU of Parma, especially among older physicians. Educational strategies tailored to primary care physicians should be establish to enhance knowledge in this area and improve quality of prescribing

Amy Carpenter Hay, BA, MS, Oral History Interview, February 04, 2015

Major Topics Covered: Personal and educational background Evolution of the satellite/regional care system The development of the Proton Therapy Center The Center for Global Oncology The Office of Global Business Developmenthttps://openworks.mdanderson.org/mchv_interviewsessions/1202/thumbnail.jp