The Effectiveness Of A Congestive Heart Failure Teaching Program To Community-Based Elders

Heart failure affects more than 4.6 million people in the United States (Dahl & Penque, 2000). While mortality from myocardial infarction is on the decline, congestive heart failure numbers continue to rise. Statistics indicate that 550,000 cases occur each year, at an estimated cost of $21.4 billion a year (National Institutes of Health, National Heart, Lung and Blood Institute, 2002). Elders with congestive heart failure (CHF) do not always understand their disease nor do they recognize its symptoms. Recognition of CHF symptoms can lead to improved management and self-care. Therefore, the purpose of this study was to provide basic, low-literacy CHF education to rural community-based elders. Orem\u27s Self-Care Deficit Nursing Theory was used in the study. Orem\u27s theory is believed to be relevant as many elders with CHF show decreased ability for self-care agency. The following null hypothesis guided this research: There will be no difference in the knowledge level of community-based elders with CHF who receive CHF education and those who do not receive CHF education. The sample was obtained from a rural health clinic in a southern state. Subjects had to have CHF as diagnosed by their physician, live at home, and be able to read and write. Data were collected using a combination of researcher-designed information and pictorial educational materials created by and approved for use by Doctors Darren DeWalt, Michael Pignone, and Bonnie Angel of the University of North Carolina at Chapel Hill. A posttest survey created by the researcher was administered to both groups following the intervention. Data were analyzed using a two tailed t-test to test the difference between the groups

Distribution and conservation status of the Mt Mangana stag beetle, Lissotes menalcas (Coleoptera: Lucanidae)

Lissotes menalcas (the Mt Mangana Stag Beetle) is an obligate log dwelling beetle and is presently classified as vulnerable under the Tasmanian Threatened Species Protection Act 1995. The distribution, habitat and conservation status of this species were investigated through a combination of collation of known locations and searches for the in decaying logs across likely areas of occurrence. L. menalcas was found to have a wide distribution in south eastern Tasmania and is now recorded from 34 localities. The species was found in a variety of wet forest habitats from old-growth mixed forest through to 23-year-old wet eucalypt silvicultural regrowth. About 12% of wet eucalypt forest within the predicted range of L. menalcas is formally reserved, and another 14% on Crown land is unlikely to be subject to logging. L. menalcas appears to tolerate both wildfire and clear felling with regeneration burning. Because the species depends on an ongoing supply of rotting logs for its long-term survival, plantation development will probably lead to the elimination of the species from such areas. Analysis of the likely impact of plantation establishment within its range over the next ten years indicates that it will not reach levels that would lead it to be considered as vulnerable. Thus, it is recommended that the status of the species be changed from vulnerable to rare. However, there is a need to determine the ecological sustainability of present forest management practices in relation to the decaying-log habitat and to continue to monitor the extent of clearing and modification of the species' habitat

Miss Suvada Meggs to Mr. Meredith (16 October 1962)

https://egrove.olemiss.edu/mercorr_pro/2178/thumbnail.jp

Transgender Self-Attitudes: Formation and Change A Qualitative Study

The current study explored attitudes of transgender people about being transgender and how these attitudes had formed and changed over participants’ lifetimes. Using a qualitative, grounded theory approach (Charmaz, 2003), interviews with 11 transgender adults were coded and analyzed. Two primary categories of attitudes were identified: participant attitudes regarding acceptability of being transgender and attitudes regarding how possible they believed it is to be transgender and/or transition genders. Early in life, most participants had little exposure to the idea of being transgender, and those that knew of it often initially believed that it would too difficult or impossible to transition. Many also believed they would be rejected by others if they did transition. However, after periods of introspection and experiences of acceptance by cisgender people and other transgender people, these attitudes often changed. Participants began to have more dynamic views of gender, to experience more acceptance of their own gender identities, and to often appreciate aspects of being transgender. Implications of the study include fostering more acceptance for diverse gender identities and expressions from a young age, creating space for individuals to self-determine with unconditional acceptance, and promoting more positive examples of transgender people (not just as they transition but long after) in media and activism

Hypothesis for induction and propagation of chemical sensitivity based on biopsy studies.

The reactive airways dysfunction syndrome (RADS), the reactive upper airways dysfunction syndrome (RUDS), the sick building syndrome (SBS), and the multiple chemical sensitivity syndrome (MCS) are overlapping disorders in which there is an intolerance to environmental chemicals. The onset of these illnesses is often associated with an initial acute chemical exposure. To understand the pathophysiology of these conditions, a study of the nasal pathology of individuals experiencing these syndromes was undertaken. Preliminary data indicate that the nasal pathology of these disorders is characterized by defects in tight junctions between cells, desquamation of the respiratory epithelium, glandular hyperplasia, lymphocytic infiltrates, and peripheral nerve fiber proliferation. These findings suggest a model for a relationship between the chronic inflammation seen in these conditions and an individual's sensitivity to chemicals. A positive feedback loop is set up: the inflammatory response to low levels of chemical irritants is enhanced due to the observed changes in the epithelium, and the epithelial changes are propagated by the inflammatory response to the chemicals. This model, combined with the concept of neurogenic switching, has the potential to explain many aspects of RADS, RUDS, SBS, and MCS in a unified way

Mapping of ionospheric total electron content using global navigation satellite systems

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