2,182 research outputs found

    From: Joe Sanders

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    The Anatomy of Proof in Civil Actions

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    The Role of Dissenting Opinions In Louisiana

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    Good Grief! Children and Comics

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    Published by the Billy Ireland Cartoon Library & Museum in partnership with The Ohio State University Libraries. With original essays examining everything from Little Nemo to Calvin and Hobbes, from Batman to the Lumberjanes, from Bone to Maus, Children's Comics, Past and Present is your online introduction to the larger questions and contexts of the groundbreaking new exhibit at the Billy Ireland Cartoon Library & Museum.Published in partnership with the Billy Ireland Cartoon Library & Museum.1. How Comics Became Kids' Stuff, Joe Sutliff Sanders. -- 2. "Let's Go Exploring!": Illustrating Childhood Development in Calvin and Hobbes, James Curtis. -- 3. Traumatic Origins: Orphanhood and the Superhero, Jennifer Duggan. -- 4. Striking Camp: Empowerment and Re-Presentation in Lumberjanes, Kyle Eveleth. -- 5. The Great American Graphic Novel: Jeff Smith's Bone and Its Influences, Annette Wannamaker. -- 6. There Are Some Things You Can't Fix with a Magic Wand: Politics in Children's Comics, Camila Z. Tessler. -- 7. The Character in the Mask: An Analysis of Mask in Art Spiegelman's Maus, Taraneh Matloob Haghanikar.No embarg

    Delirium: Delirious Elders, Implementing Reduction Interventions Using Mobility

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    INTRODUCTION: This quality improvement project involved hiring, training, and managing 3 Delirium Mobility Aids to implement a non-pharmacologic delirium prevention bundle package, including early mobility, on hospitalized patients age \u3e65. Background: Delirium affects 20-30% of older hospitalized patients [1]. Patients with delirium have double the mortality rate [3], which increases with delirium duration [4]. Delirium worsens long term cognitive functioning [9,10,11,12]. Hospital costs increase by 2,500perpatient,totaling2,500 per patient, totaling 6,900,000,000 in Medicare expenditures [7]. A single delirium episode increases total yearly costs by ~64,421[2].Researchsuggeststhebesttreatmentisnon−pharmacologicmulticomponentinterventions[6],andthosewithmostbenefitincludeearlymobility,reorientation,cognitive/sensorystimulation,andhydration[5].Methods:Adeliriumpreventionprotocolwascreatedaddressingfourmainpillars.•Hydration:waterplacedwithinpatientreach.•Sensoryinput:•windowblindsopenedby9:00am•hearing−aidsandeye−glassesretrievedandutilized.•SoothingmusicviadeliriumTVchannelfornon−communicativepatients.•Reorientation:orientedtoperson/place/time3timesdaily.•Mobility:20−minwalk(mobilizationevent)3timesdailyWorkandtimeconstraintsprohibitedexistinghealthprofessionals(CNA,RN,MD,PT,OT)fromimplementingtheprotocol.Thusanewjobposition(DeliriumMobilityAid)wascreatedtoimplementthisprotocolforallpatientsage3˘e65admittedtoMedicalA(28−bedmedicalunit).ThiswasproposedtoProvidenceSt.VincentMedicalFoundationwhoawardeda64,421 [2]. Research suggests the best treatment is non-pharmacologic multicomponent interventions [6], and those with most benefit include early mobility, reorientation, cognitive/sensory stimulation, and hydration [5]. Methods: A delirium prevention protocol was created addressing four main pillars. • Hydration: water placed within patient reach. • Sensory input: • window blinds opened by 9:00 am • hearing-aids and eye-glasses retrieved and utilized. • Soothing music via delirium TV channel for non-communicative patients. • Reorientation: oriented to person/place/time 3 times daily. • Mobility: 20-min walk (mobilization event) 3 times daily Work and time constraints prohibited existing health professionals (CNA, RN, MD, PT, OT) from implementing the protocol. Thus a new job position (Delirium Mobility Aid) was created to implement this protocol for all patients age \u3e65 admitted to Medical A(28-bed medical unit). This was proposed to Providence St. Vincent Medical Foundation who awarded a 170,000 institutional grant for 12 months. The project residents reviewed applications, interviewed, and hired 3 CNA\u27s to fill the position 12 hr/day, 7 days/week. Physical and Occupational Therapy trained the aids for 3 weeks in delirium management and mobilization techniques. Data was collected in Epic flowsheetsand chart notes. Confusion-Assessment-Method (CAM) is a established delirium scoring system utilized on Medical A. Data from intervention year (2019) was compared to baseline data collected 2 years prior (2017, 2018) on the same hospital unit. Results: Preliminary data collected at month 9 of 12: • No statistically significant change in total delirium burden. However there is a trend toward decreased delirium in prolonged hospitalization (measured after day 4). For these patients with LOS \u3e 6 days, there was a 4% reduction in late-stay delirium compared to 2018 and 10% from 2017. • 7.5-13% more patients were completely delirium free after day 4 • Length of Stay (LOS): no significant change (5.5 days) • Patients admitted from home experienced a 4% increase in discharge to home (rather than care-facility) approaching near significance (p-value 0.06). • There was a trend toward reduction in hospital falls: 2017-33. 2018-29. 2019 (present)-19, projected to reach 25 by year’s end. • Press-Ganey patient satisfaction scores remained stable. Conclusion: Non-pharmacologic multicomponent prevention protocols, which include mobilization, implemented by specialized CNA’s, are a potentially viable treatment of delirium in elderly patients with prolonged hospitalization. This may increase rate of discharge to home, without worsening falls, LOS, or patient experience, and has a cost-savings benefit.https://digitalcommons.psjhealth.org/psv_internal/1004/thumbnail.jp

    There\u27s No One Just Like You

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    Illustration of smiling woman wearing green dresshttps://scholarsjunction.msstate.edu/cht-sheet-music/11182/thumbnail.jp

    The Evolution of Diversity: Revising Student Learning Outcomes

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    Presentation and group discussion about the composition and revision of diversity-related student learning outcomes

    Farm Broadcasting--The First Sixty Years; Agri Marketing; Public Service Utilization by Texas Radio Stations ; Enjoyment and information Gain in Science Articles ; Choose the right color for your Learning Style. ; Instant Speaking Course

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    Reviews of Farm Broadcasting--The First Sixty Years, by John C. Baker ; Agri Marketing; Public Service Utilization by Texas Radio Stations, by W. Bryant Boutwell; Enjoyment and information Gain in Science Articles, by Alan Hunsaker; Choose the Right Color for Your Learning Style, by Esther R. Sinofsky and Frederick G. Knirk; Instant Speaking Course, by B. Lauren Lillis
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