Pilot Study of a Breastfeeding Support Training Program Designed Particularly for Infants with Common Congenital Anomalies and Defects

The American Academy of Pediatrics (American Academy of Pediatrics [AAP], 2018), the World Health Organization (World Health Organization [WHO)], 2018), and The March of Dimes (March of Dimes, 2016) recommend exclusive breastfeeding for the first six months of life. In 2014, 79% of women in the United States began breastfeeding their infants, but only 40.7% and 18.8% continued breastfeeding exclusively at three and six months respectively (Centers for Disease Control and Prevention, 2017). This doctoral project promotes breastfeeding by creating and testing simple teaching algorithms for training registered nurses to support breastfeeding, including for infants with trisomy 21, congenital heart defects, and oral cleft defects. To validate the new algorithms, two focus groups were held with a total of nineteen registered nurses in Central California (four registered nurses in one focus group and fifteen in the other). Participants tended to be older with an average of 29.6 years of experience primarily in obstetrical nursing. A qualitative study showed the nurses enjoyed learning through role play and felt they learned valuable information. The biggest barrier to learning identified was feeling overwhelmed by the amount of information presented in the algorithm for infants with common congenital anomalies and defects

Evaluating the Experience of Patient and Provider Satisfaction in Participation in a Hybrid Virtual Perinatal Care Model in a Private Practice Setting

Improving access to health care in general and to appropriate prenatal care specifically are two leading health indicators (LHI) as designated by Healthy People 2020 (U.S Department of Health and Human Services, 2010). The California Department of Public Health (CDPH) also prioritizes minimizing health disparities that prevent women from entering into prenatal health care (CDPH, 2019). In Fresno county, transportation to specialty care such as perinatal care has been identified as a barrier (CDPH, 2017). The American College of Obstetricians and Gynecologists (ACOG) and The American Academy of Pediatricians (AAP) have identified a standard of fourteen to sixteen visits for routine perinatal care (Riley, Papile, & Kilpatrick, 2012) which has demonstrated best outcomes for mother and baby. These visits can result in disruption of work, increased child care expenses, travel and long office wait times that can lead to barriers to participation in adequate perinatal care. This doctoral project will be a pilot study to evaluate patient satisfaction with participation in this model as the virtual component is a new addition to standard office care. The project will also evaluate physician and nurse practitioner (NP) satisfaction in providing virtual obstetric care in order to help determine if this novel model can help decrease obstacles to care

Modelling ecosystem services in terrestrial systems

Over the past few decades, a multi-disciplinary research community has documented the goods and services provided by ecosystems in specific sites scattered across the world. This research community has now begun to focus on creating methods and tools for mapping and valuing the ecosystem services produced on any landscape in the world. We describe some of these methods and tools and how they calculate and express ecosystem service provision and value on landscapes. We also describe methods for predicting landscape change. These predictions can be used by multi-ecosystem service models to assess potential changes and trade-offs in ecosystem service provision and values into the future

Electronic Document Distribution: Design of the Anonymous FTP Langley Technical Report Server

An experimental electronic dissemination project, the Langley Technical Report Server (LTRS), has been undertaken to determine the feasibility of delivering Langley technical reports directly to the desktops of researchers worldwide. During the first six months, over 4700 accesses occurred and over 2400 technical reports were distributed. This usage indicates the high level of interest that researchers have in performing literature searches and retrieving technical reports at their desktops. The initial system was developed with existing resources and technology. The reports are stored as files on an inexpensive UNIX workstation and are accessible over the Internet. This project will serve as a foundation for ongoing projects at other NASA centers that will allow for greater access to NASA technical reports

Electronic document distribution: Design of the anonymous FTP Langley Technical Report Server

An experimental electronic dissemination project, the Langley Technical Report Server (LTRS), has been undertaken to determine the feasibility of delivering Langley technical reports directly to the desktops of researchers worldwide. During the first six months, over 4700 accesses occurred and over 2400 technical reports were distributed. This usage indicates the high level of interest that researchers have in performing literature searches and retrieving technical reports at their desktops. The initial system was developed with existing resources and technology. The reports are stored as files on an inexpensive UNIX workstation and are accessible over the Internet. This project will serve as a foundation for ongoing projects at other NASA centers that will allow for greater access to NASA technical reports

Preservice Teachers’ Perceptions of Students with Learning Disabilities: Using Mixed Methods to Examine Effectiveness of Special Education Coursework

As the number of K-12 students with learning disabilities educated in general education classrooms grow, it is essential to examine the preparation and perceptions of pre-service teachers (N=15) who will educate students with learning disabilities. Within the context of an undergraduate learning disabilities method course, this study examined how pre-service teachers perceived students with learning disabilities as well as the effectiveness of particular course experiences, including fieldwork with students with learning disabilities, video vignettes, lesson planning, assigned reading, and center-based instruction, in shifting perceptions. Using a convergent, mixed method design, teacher educators at a university in the northeast used surveys, journals, and focus groups to examine pre-service teachers’ perceptions over time. Both quantitative and qualitative data indicate perceptions shifted positively in response to the methods course. Reflections and suggestions for other teacher educators are offered

Stressful Experiences in Children and Adolescents: Initial Report from the PSEI-NCPV Honolulu Study

As part of a federal study of the biology of stress and resilience, a comprehensive, structured stress-history interview (PSEI-NCPV) was administered to 307 participants recruited in Honolulu. A moderate correlation between childhood stress and current depression was found. A relatively high rate of "severe bullying/hazing," and a high mean stress-intensity reating for "blood-drawing induced anxiety" call for further research

World wide web implementation of the Langley technical report server

On January 14, 1993, NASA Langley Research Center (LaRC) made approximately 130 formal, 'unclassified, unlimited' technical reports available via the anonymous FTP Langley Technical Report Server (LTRS). LaRC was the first organization to provide a significant number of aerospace technical reports for open electronic dissemination. LTRS has been successful in its first 18 months of operation, with over 11,000 reports distributed and has helped lay the foundation for electronic document distribution for NASA. The availability of World Wide Web (WWW) technology has revolutionized the Internet-based information community. This paper describes the transition of LTRS from a centralized FTP site to a distributed data model using the WWW, and suggests how the general model for LTRS can be applied to other similar systems

World Wide Web Implementation of the Langley Technical Report Server

On January 14, 1993, NASA Langley Research Center (LaRC) made approximately 130 formal, \u27unclassified, unlimited\u27 technical reports available via the anonymous FTP Langley Technical Report Server (LTRS). LaRC was the first organization to provide a significant number of aerospace technical reports for open electronic dissemination. LTRS has been successful in its first 18 months of operation, with over 11,000 reports distributed and has helped lay the foundation for electronic document distribution for NASA. The availability of World Wide Web (WWW) technology has revolutionized the Internet-based information community. This paper describes the transition of LTRS from a centralized FTP site to a distributed data model using the WWW, and suggests how the general model for LTRS can be applied to other similar systems

Stressful experiences in children and adolescents: initial report from the PSEI-NCPV Honolulu Study.

As part of a federal study on the biology of stress and resilience, a comprehensive, structured stress-history interview (PSEI-NCPV) was administered to 307 participants recruited in Honolulu. A moderate correlation between childhood stress and current depression was found. A relatively high rate of "severe bullying/hazing," and a high mean stress-intensity rating for "blood-drawing induced anxiety" call for further research