838 research outputs found

    What makes us tic?

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    Published work 1971-2006, comprising 4 books, various articles, 2 review discussions on a videorecording, and supporting documents

    E. M. Broner: 07-13-1981

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    E. M. Broner was a Jewish-American feminist writer, best known for her books Weave of Women, Her Mothers, Journal-Nocturnal and Seven Stories, and Summer is a Foreign Land. She begins the interview by reading a passage from her novel Weave of Women. Broner continues by defining the feminist writer, discussing the intentional and unintentional exclusion of women in writing, and talking about her connections to women in her own life. She discusses the writing process behind Her Mothers and talks about the modern relationship between mothers and daughters. She concludes the interview by discussing the evolution of women as writers and by reading a passage from the end of Her Mothers.https://digitalcommons.brockport.edu/writers_videos/1016/thumbnail.jp

    June Jordan: 09-24-1981

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    June Jordan was a poet and former professor of English at Stony Brook University. She begins the interview by reading her poem,ā€œA Poem about Intelligence for My Brothers and Sisters.ā€ She continues the interview by discussing how she first became a poet, and talks about her own political poetry and political poetry as a genre. She then talks about the situation in South Africa during the time period of this interview. Jordan briefly touches on her future literary plans and her contribution to literature as a black female writer, and ends the interview by discussing her criticism with the feminist movement.https://digitalcommons.brockport.edu/writers_videos/1019/thumbnail.jp

    Challenges, Opportunities, and Adaptations of a College Preparatory 4-H Youth Development Program during COVID-19

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    SARS-CoV-2 (COVID-19) has proliferated across the United States, and in the process, it has disrupted all sense of normalcy. Because adolescents are in a critical period for growth and development, youth are particularly susceptible to negative impacts of disruption from COVID-19. Therefore, sustaining youth development programs is essential to ensuring positive youth development occurs despite significant challenges. Unfortunately, the implementation of programs that maintain safety precautions can be challenging. Many programs have been forced to either cancel all activities or to transition program elements to a virtual format. Rural Medical and Science Scholars (RMSS) program administrative staff made the decision to transition to a virtual delivery. Despite only having a few weeks to reshape the program, RMSS administrative staff were able to innovatively adapt to new challenges in order to deliver a successful program. The success of the program extends beyond its participants. By understanding potential program barriers and successful adaptation methods, other youth development programs will be better equipped to sustain program activities and youth outreach during the COVID-19 pandemic

    A group-based approach to stabilisation and symptom management in a phased treatment model for refugees and asylum seekers

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    BACKGROUND: Traumatised asylum seekers and refugees may present with significant and complex mental health problems as a result of prolonged, extreme, and multiple traumatic events. This is further complicated by ongoing complex social circumstances. CONCEPTS: In our work at the Traumatic Stress Clinic (TSC), the understanding afforded by the concept of complex posttraumatic stress disorder (PTSD) together with the related notion of a phased treatment model, provides a useful framework for organising our work with this population. CLINICAL APPLICATIONS: An explication of complex PTSD as it applies to our client group is presented, followed by a description of our phased treatment model and an outline of the core principles, which guide our clinical approach. Our symptom management and stabilisation groups have been developed and refined over time and draw on techniques from a variety of cognitive behavioural therapies. These are described in some detail with illustrative clinical case vignettes. CONCLUSION: This paper concludes with some reflections on the challenges inherent to working with this complex client group

    A Qualitative Study to Explore Perception of Impacts of Preemption of Tobacco Regulation on Counties in Appalachian Tennessee

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    Bottom-up processes, starting at the local government level, are valuable for more-stringent tobacco control measures. The existence of industry-backed state-level tobacco control preemption in states has impeded policy progress within the state and localities/communities. A national public health goal under Healthy People 2020 is to eliminate state-level preemption across the United States. This study explored individual-level perceptions of the impact of state-level preemption in Appalachian Tennesseeā€”a high-smoking, low-income region. During 2015ā€“2016, a community-engagement project to develop a Population Health Improvement Plan (PHIP) involving over 200 stakeholders and 90 organizations was conducted in Appalachian Tennessee to identify policies/programs to address tobacco use. Using a multifaceted framework approach that focused on prevention, protection, and cessation, interviews and meeting discussions were audio-recorded and transcribed. Content analysis using NVivo 11 was conducted to generate themes. Although the central focus of the PHIP was not preemption, the issue emerged naturally in the discussions as a major concern among participants. Cultural and normative factors in Appalachian Tennessee were identified as key rationales for participantsā€™ aversion to state preemption. Thus, repealing preemption would facilitate culturally tailored and region-specific policies/programs to the high tobacco use among Appalachian Tennessee communities where statewide/nationwide policies/programs have not had the intended impacts

    Multispectral brain morphometry in Tourette syndrome persisting into adulthood

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    Tourette syndrome is a childhood-onset neuropsychiatric disorder with a high prevalence of attention deficit hyperactivity and obsessive-compulsive disorder co-morbidities. Structural changes have been found in frontal cortex and striatum in children and adolescents. A limited number of morphometric studies in Tourette syndrome persisting into adulthood suggest ongoing structural alterations affecting frontostriatal circuits. Using cortical thickness estimation and voxel-based analysis of T1- and diffusion-weighted structural magnetic resonance images, we examined 40 adults with Tourette syndrome in comparison with 40 age- and gender-matched healthy controls. Patients with Tourette syndrome showed relative grey matter volume reduction in orbitofrontal, anterior cingulate and ventrolateral prefrontal cortices bilaterally. Cortical thinning extended into the limbic mesial temporal lobe. The grey matter changes were modulated additionally by the presence of co-morbidities and symptom severity. Prefrontal cortical thickness reduction correlated negatively with tic severity, while volume increase in primary somatosensory cortex depended on the intensity of premonitory sensations. Orbitofrontal cortex volume changes were further associated with abnormal water diffusivity within grey matter. White matter analysis revealed changes in fibre coherence in patients with Tourette syndrome within anterior parts of the corpus callosum. The severity of motor tics and premonitory urges had an impact on the integrity of tracts corresponding to cortico-cortical and cortico-subcortical connections. Our results provide empirical support for a patho-aetiological model of Tourette syndrome based on developmental abnormalities, with perturbation of compensatory systems marking persistence of symptoms into adulthood. We interpret the symptom severity related grey matter volume increase in distinct functional brain areas as evidence of ongoing structural plasticity. The convergence of evidence from volume and water diffusivity imaging strengthens the validity of our findings and attests to the value of a novel multimodal combination of volume and cortical thickness estimations that provides unique and complementary information by exploiting their differential sensitivity to structural chang

    Radon Potential, Geologic Formations, and Lung Cancer Risk

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    OBJECTIVE: Exposure to radon is associated with approximately 10% of U.S. lung cancer cases. Geologic rock units have varying concentrations of uranium, producing fluctuating amounts of radon. This exploratory study examined the spatial and statistical associations between radon values and geological formations to illustrate potential population-level lung cancer risk from radon exposure. METHOD: This was a secondary data analysis of observed radon values collected in 1987 from homes (N = 309) in Kentucky and geologic rock formation data from the Kentucky Geological Survey. Radon value locations were plotted on digital geologic maps using ArcGIS and linked to specific geologic map units. Each map unit represented a package of different types of rock (e.g., limestone and/or shale). Log-transformed radon values and geologic formation categories were compared using one-way analysis of variance. RESULTS: Observed radon levels varied significantly by geologic formation category. Of the 14 geologic formation categories in north central Kentucky, four were associated with median radon levels, ranging from 8.10 to 2.75 pCi/L. CONCLUSION: Radon potential maps that account for geologic factors and observed radon values may be superior to using observed radon values only. Knowing radon-prone areas could help target population-based lung cancer prevention interventions given the inequities that exist related to radon

    Oral versus intraā€vaginal imidazole and triazole antiā€fungal treatment of uncomplicated vulvovaginal candidiasis (thrush)

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    Internal sources: ā€¢ Health Services Research Unit, University of Aberdeen, UK ā€¢ Clinical Epidemiology Program, Ottawa Hospital Research Institute, The Ottawa Hospital, Canada (Salary support for Julia Worswick) ā€¢ Centre of Academic Primary Care, University of Aberdeen, UK External sources: ā€¢ JMG holds a Tier 1 Canadian Research Chair in Knowledge Transfer and Uptake, Canada ā€¢ MCW was funded by a Health Foundation Improvement Science Fellowship and the University of Strathclyde, UK ā€¢ The Health Services Research Unit is funded by the Chief Scientist ODice, Scottish Executive Health Department, UK ā€¢ The Health Economic Research Unit is funded by the Chief Scientist ODice, Scottish Executive Health Department, UKPeer reviewedPublisher PD
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