5,634 research outputs found

    Computers for Teachers: A qualitative evaluations of Phase 1

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    Resolving the Uncertainty of Preterm Symptoms: Women’s Experiences With the Onset of Preterm Labor

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    Objective: To describe expectant women\u27s experiences with the onset of preterm labor. Design: Qualitative, using grounded theory methods. Setting: Southwestern tertiary women\u27s hospital. Participants: Thirty pregnant women who were less than 35 weeks gestation, had experienced preterm labor within the past 7 days, and had no previous experience with preterm labor. Data Source: Taped and transcribed interviews. Results: Themes that emerged from the interview data included the following: recognition and naming of sensations, a consistent pattern of attribution of symptoms, the threat or risk inferred by the attributed cause of the symptom pattern, the associated certainty or uncertainty about these attributions, the process of interpreting and verifying symptom meaning, and the decision to self-manage the symptoms or engage health care assistance. The core process of women experiencing the onset of preterm labor symptoms was identified as resolving the uncertainty of preterm labor symptoms: recognizing and responding to the possibilities. Conclusions: Preterm labor often is not within expectant women\u27s consciousness. They may attribute the symptoms to nonthreatening causes, which results in delays in seeking care for preterm labor. Education about symptom patterns at the onset of preterm labor will increase the probability that women and their health care providers will recognize and interpret the early, subtle symptoms that herald the onset of preterm labor. Uncertainty in illness theory and attribution theory offer frameworks for understanding women\u27s experiences with the onset of preterm labor

    Computers for Teachers: A evaluations of Phase 1: survey of recipients

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    Open Hearings: A Questionable Solution

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    Open Hearings: A Questionable Solution

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    Pigs Will Fly : Protecting the Los Angeles River by Declaring Navigability

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    In 2010, the Environmental Protection Agency (EPA) declared the Los Angeles River “navigable” for purposes of enforcing Clean Water Act (CWA) protections, which could limit destruction of the river’s tributaries and wetlands and expand recreational opportunities for the city. The EPA’s declaration was criticized by some as regulatory overreach— “like declaring that pigs will fly” —because the Los Angeles River does not fit within traditional notions of navigability. Others have attempted to remove navigability language from the CWA, suggesting that it is not the appropriate test for environmental protection. After examining the history of the Los Angeles River and providing a background on CWA jurisprudence, this Note argues that the EPA’s case by case approach to declaring navigability is an effective way to uphold the goals of the CWA while expanding CWA protection for the Los Angeles River and other urban and western rivers

    A Portable, Low-Cost Wheelchair Ergometer Design Based on a Mathematical Model of Pediatric Wheelchair Dynamics

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    Evaluation and training of wheelchair propulsion improves efficiency and prevents orthopaedic injury in pediatric manual wheelchair users. Ergometers allow static propulsion and emulate typical conditions. Currently available ergometers have deficiencies that limit their use in motion analysis. A new ergometer is developed and evaluated based on a model of wheelchair inertial dynamics that eliminates these deficiencies. This makes integrated motion analysis of wheelchair propulsion in current community, home, and international outreach efforts possible
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