Comparison of Provisions from Colorado's Blue Ribbon Commission for Health Care Reform and Federal Health Care Reform

A new issue brief commissioned by The Colorado Trust, and authored by the two lead staff members of the Colorado's Blue Ribbon Commission on Healthcare Reform (the 208 Commission), Tracy L. Johnson, PhD, Health Policy Solutions and Sarah Schulte, MHSA, Schulte Consulting, shows that there is significant agreement between our state's recommendations and the new federal law

Psychophysiology of respiratory disease : clinical considerations for the advanced practice nurse

The purpose of this article is to describe the psychophysiology of dyspnea in chronic obstructive pulmonary disease (COPD), identify the unique impact of respiratory disease on the female patient, and discuss the relationship of anxiety and depression in disease manifestation. Current COPD assessment and treatment guidelines published by the United States Department of Health and Human Services, the World Health Organization as well as the National Institute for Health and Care Experience (NICE) will be presented along with implications for the Advanced Practice Nurse (APN). Practitioners treat COPD patients with advanced physiological complications along with psychological comorbidities that worsen the disease perception and progression. Therefore, a recommendation will be made to integrate assessment and evaluation of psychological comorbidities in COPD patients, with particular consideration given to the female patient. Utilizing a holistic, int egrated treatment plan will serve to enhance patient care, alleviate disease burden and impact overall quality of life in the patient with COPD.peer-reviewe

Access to a Basic Income: Exploring a Matricentric Feminist Approach to Poverty Alleviation for Mothers in Ontario

While the literature on the nexus of poverty and motherhood is substantial, there is a dearth of scholarship exploring the intersection of basic income, poverty, and mothering. This article explores a matricentric feminist approach to poverty alleviation by means of access to a basic income. Such an approach recognizes that women, and mothers specifically, tend to be disadvantaged under current patriarchal, social and economic relations. Within this article, we consider the implications of basic income for mothers by exploring the merits and limitations of this approach to income security in several different domains. As such, we explore the impacts of basic income on mothers in relation to safe and affordable housing, quality childcare, and the overall health and wellbeing of mothers and their children

Do any folk remedies or herbals help induce labor?

Breast stimulation and electroacupuncture help, while other common remedies that have been studied are ineffective, possibly unsafe, or both. Unilateral breast stimulation shortens the time until the onset of labor in women at term (strength of recommendation [SOR]: A, systematic review). Electroacupuncture also may stimulate the onset of labor (SOR: C, observational studies)

Perceived effects of a substance abuse prevention science program among fourth and fifth grade children: A qualitative study

This project explores the perceptions of fourth and fifth grade students who participated in a substance abuse prevention program. Risk and protective factors are presented to assist the reader in understanding this project

States of consciousness: performing sensory perceptions

This conference discussion paper outlines the potential impacts of our emerging scientific understanding of the breadth of human (and non-human) sensory perceptions on the future of theatrical performance. We examine how sensory perspectives may be taught and learned by performers and audiences

Evaluating metabolites in patients with major depressive disorder who received mindfulness-based cognitive therapy and healthy controls using short echo MRSI at 7 Tesla.

ObjectivesOur aim was to evaluate differences in metabolite levels between unmedicated patients with major depressive disorder (MDD) and healthy controls, to assess changes in metabolites in patients after they completed an 8-week course of mindfulness-based cognitive therapy (MBCT), and to exam the correlation between metabolites and depression severity.Materials and methodsSixteen patients with MDD and ten age- and gender-matched healthy controls were studied using 3D short echo-time (20 ms) magnetic resonance spectroscopic imaging (MRSI) at 7 Tesla. Relative metabolite ratios were estimated in five regions of interest corresponding to insula, anterior cingulate cortex (ACC), caudate, putamen, and thalamus.ResultsIn all cases, MBCT reduced severity of depression. The ratio of total choline-containing compounds/total creatine (tCr) in the right caudate was significantly increased compared to that in healthy controls, while ratios of N-acetyl aspartate (NAA)/tCr in the left ACC, myo-inositol/tCr in the right insula, and glutathione/tCr in the left putamen were significantly decreased. At baseline, the severity of depression was negatively correlated with my-inositol/tCr in the left insula and putamen. The improvement in depression severity was significantly associated with changes in NAA/tCr in the left ACC.ConclusionsThis study has successfully evaluated regional differences in metabolites for patients with MDD who received MBCT treatment and in controls using 7 Tesla MRSI

Calidad cualitativa: ocho pilares para una investigación cualitativa de calidad

This article presents a model for quality in qualitative research that is uniquely expansive, yet flexible, in that it makes distinctions among qualitative research’s means (methods and practices) and its ends. The article first provides a contextualization and rationale for the conceptualization. Then the author presents and explores eight key markers of quality in qualitative research including (a) worthy topic, (b) rich rigor, (c) sincerity, (d) credibility, (e) resonance, (f) significant contribution, (g) ethics, and (h) meaningful coherence. This eight-point conceptualization offers a useful pedagogical model and provides a common language of qualitative best practices that can be recognized as integral by a variety of audiences. While making a case for these markers of quality, the article leaves space for dialogue, imagination, growth, and improvisation.Este artículo presenta un modelo de calidad en la investigación cualitativa que es excepcionalmente amplio, aunque flexible, ya que distingue entre los medios (métodos y prácticas) y los fines de la investigación cualitativa. El artículo ofrece en primer lugar una contextualización y una justificación de la conceptualización. Luego, la autora presenta y explora ocho aspectos clave de calidad en la investigación cualitativa. incluyendo (a) tema valioso, (b) rigor elevado, (c) sinceridad, (d) credibilidad, (e) resonancia, (f) contribución significativa, (g) ética y (h) coherencia significativa. Esta conceptualización de ocho puntos ofrece un modelo pedagógico útil y proporciona un lenguaje común de buenas prácticas cualitativas que pueden ser reconocidas como integrales por una variedad de audiencias. Mientras defiende estos marcadores de calidad, el artículo deja espacio para el diálogo, la imaginación, el crecimiento y la improvisación

When a Librarian's Not There to Ask: Creating an Information Resource Advisory Tool

It is 2am. A professor wakes up with a new direction for her research; she must immediately learn about bioethics. In a dorm a student is finally ready to begin a paper on Cuba. Where do they turn? The library web site presents them with a bewildering array of resources and no librarian on hand to serve as intermediary. How can librarians facilitate research in their absence? What interfaces can be designed to educate users in their search? What metadata is needed to enable accurate retrieval? What is the librarian’s role in the increasingly indirectly-mediated information-seeking environment? Can the reference interview be effectively translated into a search interface? This paper describes a step towards resolving these issues by creating an on-line tool to assist users in selecting the database(s) most germane to their research needs