Recognition of and Response to Obstetric Emergencies: Developing A Virtual Competency-Based Orientation Program

In order to improve outcomes in the perinatal setting, the development of a Virtual Competency-Based Orientation Program (CBO) toolkit is vital. Two toolkits, namely the Alliance for Innovation on Maternal Health (AIM) and the California Maternal Quality Care Collaborative (CMQCC), have been identified as effective in enhancing perinatal outcomes. AIM is a national initiative focused on improving maternal health outcomes, promoting safer birth practices, and saving lives through the implementation of best practices. CMQCC is a multi-stakeholder organization in California committed to eliminating preventable morbidity, mortality, and racial disparities in maternity care. Both AIM and CMQCC CBO toolkits incorporate research, quality improvement strategies, bundled care approaches, and collaborative outreach. The utilization of a bundled set of care strategies has been associated with positive outcomes in the maternal newborn setting. These open resource toolkits are designed to facilitate change readiness by engaging stakeholders in understanding the reasons for the proposed changes, gaining leadership support, assembling interprofessional implementation teams, and providing evidence-based information that demonstrates the need for orientation programs while identifying the necessary resources. The CBO outlined in this project serves as a guide for organizations of various backgrounds to effectively prepare, implement, and utilize for the promotion of best practices. The project follows the framework provided by the Centers for Disease Control and Prevention (CDC). Key considerations, including staff training, workflow adjustments, and ongoing evaluation, are crucial to warrant successful implementation and sustainable improvements in practices especially involving maternal hemorrhage and sepsis. Among existing toolkits, the CMQCC and AIM safety bundles have been noted to be exemplary in improving outcomes in the perinatal setting

Letter to Constance Matzen regarding award of a Lucile Elliott Scholarship, March 6, 1986

A letter from Susan Morrison to Constance Matzen accepting the Lucile Elliott Scholarship awarded to her

Freedom through Education: The Sunflower County Freedom Project

The United States intelligence community is an integral part of the security of our\u27 nation. It has been continually growing and redesigning itself for the past 230 years to suit the needs of the people and of the nation. Inhibiting the American intelligence system, however, is the struggle for the U.S. to find a balance between the rights of the people and the security of the nation. This struggle has been at the basis of change in almost every instance of intelligence redesign. It is these changes that have become the study of this thesis. Major trends found in the redesign of the U.S. intelligence system can be categorized in three ways. First, early American intelligence history shows the common mindset that intelligence was needed only in times of war. Were intelligence used in peace time, it would be a breach of the people’s rights to privacy as well as a breach of trust among nations. Second, as the nation evolved and became embroiled in more and greater conflicts, the people realized that it was necessary to not only have intelligence during wars, but also, in order for war time intelligence to be most effective, it had to remain flmctioning during peace time. It was essential, however, that these new, full time intelligence units severely limit their capabilities and functions during peace time. Finally, it has only been in the last sixty years that intelligence units have existed and functioned both during times of war and of peace. Vitally important to the study of these changes in attitude towards intelligence are the three common threads which are found throughout history. These threads which bind the history of intelligence redesign include: 1) Change to the intelligence community V comes on the heels of intelligence failures; 2) Intelligence failures occur because of the lack of cohesion in the intelligence community; 3) The lack of cohesion stems from the inherent American struggle to find a balance between rights and security

Inhibitory control and children's mathematical ability

Following recent research linking executive functioning to children 's skills, this thesis explores the relationship between children's inhibition effciency and mathematical ability. This relationship was initially explored using six Stroop task variants containing verbal, numerical or pictorial stimuli. The results indicated that, in the numerical variants only, children of lower mathematical abilty possess less effcient inhibition mechanisms, compared to children of higher mathematical ability. Thus, it is proposed that low-abilty mathematicians may possess a domain-specifc problem with the inhibition of numerical information. The increased interference scores of the lowability mathematicians, however, were only evident under those conditions which also required a degree of switching between temporary strategies. A series of experiments also examined children's ability to inhibit prepotent responses and switch between strategies whilst performing mental arithmetic. The aim of these experiments was to provide a more naturalistic and appropriate exploration of the hypothesized relationship between mathematical abilty and inhibition effciency. These results also indicated that low-ability mathematicians possess fewer executive resources to cope with increased inhibition demands. A further systematic manipulation of switching and inhibition demands revealed that the low-abilty mathematicians experienced a particular difculty when both types of inhibitory demands (i.e. inhibiting a prepotent response and inhibiting an established strategy)were present. This suggests that their reduction in inhibition effciency stems from the amount of demands, rather than the type of demands placed on the executive system. Furthermore, the results indicated that inhibition effciency may be a specifc element of mathematical ability rather than an element of intellectual ability in general. The final study involved a group of low-abilty mathematicians and examined the disturbing impact of irrelevant information on their arithmetic word problem solving abilty. This study revealed that irrelevant numerical (IN) information has a more detrimental impact on performance than irrelevant verbal (IV) information. It is proposed that it is more difcult to inhibit IN information, as it appears more relevant to intentions, and thus, enters WM with a higher level of activations. In sum, the results indicate that low-abilty mathematicians have a reduced domainspecific working memory capacity, characterized by ineffcient inhibition mechanisms

Slow practice as ethical aesthetics: the ecocritical strategy of patience in Geoffrey Chaucer’s "The Clerk’s Tale"

How can cultural works from the distant past—such as the Middle Ages—teach us ethical modes of behavior for today? One form of ecopoetics emerges through slow practice, making the reader collaborate in the measured process of co-creating the emotional impact of an imaginative text. Drawing on rich debates about slow cinema, this essay suggests how Chaucer’s “The Clerk’s Tale”—from his grand fourteenth-century poem, “The Canterbury Tales”—evokes a slow eco-aesthetics with ethical impact. The relative slowness of walking shapes how individuals respond to their environment. In turn, a deceleration of perception affects how travel comes to be written about, as seen in the tale of Patient Griselda. Introduced by Giovanni Boccaccio and adapted by such writers as Francesco Petrarch, Geoffrey Chaucer, and Christine de Pizan, she acts dynamically through her apparent silence and notorious patience. The environmental humanities offer paradigms for us to consider the strategies of slowness and patience. This essay shows how medieval pilgrimage literature evokes a slow aesthetic which is at the same time an ecocritical strategy. Slowness results in an enduring impact and heightened sensitivity to the ecological damage for which we all are culpable. Sloweness somatically inculcates key aspects of environmental awareness. Pilgrimage texts from the Middle Ages teach us slow ethical aesthetics, suggesting that the medieval moment—finally and a long time coming— is now.¿Cómo puede la producción cultural del pasado más lejano, como la del medievo, enseñarnos modos éticos de comportamiento para hoy en día? Una de las formas de la ecopoética surge a través de la práctica lenta, haciendo que el lector colabore en el proceso medido de co-crear el impacto emotivo de un texto ficticio. Inspirado en los valiosos debates en torno al “slow cinema” (cinematografía lenta), este ensayo plantea cómo “El cuento del erudito (The Clerk's Take)” de Chaucer, de su gran poema del sigo XIV, “Los cuentos de Canterbury”, logra evocar una ecopoética lenta con un impacto ético. La relativa lentitud del caminar determina cómo responde el individuo a su medio ambiente. La desaceleración de la percepción, a su vez, afecta a la forma en la que se narra el viaje, como se ve en el cuento de la paciente Griselda. Introducida por primera vez por Giovanni Boccaccio y adaptada por escritores como Francesco Petrarca, Geoffrey Chaucer, y Christine de Pizan, ella actúa dinámicamente por medio de su aparente silencio y su notoria paciencia. Las humanidades ambientales nos ofrecen paradigmas para considerar las estrategias de la lentitud y la paciencia. Este ensayo muestra cómo la literatura del peregrinaje medieval evoca una estética lenta que es a la vez una estrategia ecocrítica. La lentitud resulta en un impacto duradero y una sensibilidad aguzada hacia el daño ecológico del que somos todos culpables. La lentitud corporal inculca aspectos clave de concienciación medioambiental. Los textos medievales sobre el peregrinaje nos enseñan la lenta estética ética, sugiriendo que el momento medieval, tan largamente esperado, por fin ha llegado

Constitutional Law - State\u27s Interest in Wild Animals

North Carolina wildlife management programs should feel the impact of Hughes v. Oklahoma. The basis of North Carolina\u27s wildlife regulations and caselaw is state ownership. Since Hughes overrules Geer v. Connecticut, North Carolina - to be addressed in the conclusion - will need to follow a new theory espousing more federal involvement in state wildlife programs