Partnering with Hospital Providers to Facilitate Handoff for Persons with Dementia in the Acute Care Setting

Practice Problem: Individuals with Alzheimer\u27s disease and related dementias cannot verbalize their care needs during transitions of care (TOC) and rely on their home caregivers (HCs) for advocacy. The lack of communication between clinicians in one setting and HCs can lead to detrimental health outcomes for the length of stay. PICOT: The PICOT question that guided this project was: With the assistance of family nurse consultants (P), how does the implementation of standardized care needs communication tool for support persons of persons with dementia (I) vs. no standardized process (C) enhance the ability for the support person to communicate care needs during TOC (O) within 5 weeks (T)? Evidence: The review of high-quality studies reveals evidence that supports clinician-home caregiver communication as an approach to bridge gaps for the person with dementia (PWD) across health care settings. Intervention: The clinician-home caregiver communication checklist was used as an evidence-based tool to enhance the HC’s ability to communicate care needs for the PWD during care transitions. Outcome: There was a clinically significant improvement with the family nurse consultants’ utilization of the tool, and HCs who were offered the tool benefited from that time of preparation for their loved ones. There was a statistically significant improvement in family nurse consultants’ perception of the value and usefulness of the tool after they were introduced to it. Conclusion: The project findings revealed that using the standardized care needs communication tool, HCs can be crucial members to strengthen TOC for the cognitively impaired individual

Subject vs object

This paper focuses on the concepts that inform my thesis work for the Master of Fine Arts in Fine Arts Studio from Rochester Institute of Technology. I have always been intrigued by circumstances such as war and oppression. I have also wondered about the opposite, moments of peace and serenity. Inevitably, I have allowed these dualistic thoughts to govern my artwork, abstractly through form and underlying narratives. In my thesis, I investigate concepts such as identity, history, memory, and how they play a role in my artwork. I see history as a tool for examining identity, while memory serves as a more concrete channel for verifying truth. Throughout my research, I have discovered truths as well as conflicts. I have also reached a level of synthesis that fluctuates between the work as an object and myself as the subject

Examining the Relationship of Interoception, Self-Regulation, Eating Domains, and Eating Outcomes in College Students

College student weight gain has steadily increased throughout the past decades. Issues resulting from overweight and obesity can lead to chronic disease and increased mortality risk. Inability to maintaining a healthy weight status may be attributable to unhealthy eating behaviors that often lead to poor diet quality and overeating. Recently, cognitive behaviors such as interoception and dietary self-regulation have been of great interest in order to better understand the processes of eating behaviors and their relationship with obesity. The purpose of this study is to examine the associations of interoception, self-regulation, eating domains and body mass index (BMI) in college students. Furthermore, longitudinal associations between interoception, self-regulation, non-purposeful eating domain behaviors, and BMI were assessed. Lastly, we sought out to examine the mediated role of eating behaviors on relationships of interoception and self-regulation on BMI. This study was a longitudinal, repeated measures research study that collected data over 3 timepoints (1 timepoint per month) through the course of a single academic semester. There were 229 females who completed baseline measures and 104 participants who completed all 3 timepoints. Participants completed 7 validated questionnaires to assess interoception, self-regulation, and various eating behaviors and provided self-report of anthropometrics for body mass index (BMI) assessment. Baseline study results indicated a positive association between interoception and self-regulation. Also, interoception and self-regulation both had a significant negative association with the purposeful and non-purposeful eating domains. The non-purposeful eating domain had a positive association with BMI. Longitudinally, there were significant changes in interoceptive responsiveness, external, and uncontrolled eating throughout the study timepoints. Also, there were significant causal relationships between interoception, self-regulation, the non-purposeful eating domain behaviors, and BMI. Lastly, intuitive eating significantly mediated the relationships of interoception on BMI, as well as self-regulation on BMI. In conclusion, this research study has provided empirical evidence on the associations between interoception, self-regulation, purposeful and non-purposeful eating domains, and weight status. Future studies assessing long-term observation on interoception, self-regulation, and non-purposeful eating behaviors are needed to explore the processes that may affect college student’s weight status and overall lifestyles

Development of a Reference Wafer for On-Wafer Testing of Extreme Impedance Devices

This paper describes the design, fabrication, and testing of an on-wafer substrate that has been developed specifically for measuring extreme impedance devices using an on-wafer probe station. Such devices include carbon nano-tubes (CNTs) and structures based on graphene which possess impedances in the κ Ω range and are generally realised on the nano-scale rather than the micro-scale that is used for conventional on-wafer measurement. These impedances are far removed from the conventional 50- reference impedance of the test equipment. The on-wafer substrate includes methods for transforming from the micro-scale towards the nano-scale and reference standards to enable calibrations for extreme impedance devices. The paper includes typical results obtained from the designed wafer

Le potentiel de pêche du Nouveau-Québec

Les ressources piscicoles du Nouveau-Québec ont été exploitées depuis toujours par les Amérindiens (Indiens et Inuit) par la pêche de subsistance et la pêche domestique, pour lesquelles aucune statistique valable n'existe, mais dont on peut être sûr qu'elles n'ont pas affecté significativement les espèces touchées. Les deux dernières décennies ont vu la pêche industrielle et la pêche sportive surexploiter ponctuellement certains peuplements de poissons, particulièrement à la périphérie de la baie d'Ungava. Dans l'ensemble, cependant, le potentiel de pêche du Québec nordique demeure peu touché et la Convertion de la baie (de) James et du nord québécois, intervenue en 1975 entre les Indiens, les Inuit et les gouvernements du Québec et du Canada permet d'envisager que la gestion de ressources précaires mais volumineuses, en raison de l'étendue du territoire et de l'abondance des plans d'eau qu'il recèle, s'organisera dans des conditions exceptionnellement avantageuses, dans un esprit de conservation et dans le cadre d'une rationalité dont on connaît peu d'exemples et dont les populations autochtones récolteront les bons effets.The fishery resources of Nouveau-Québec have been used for centuries by the Amerindians (Indians and Inuit) through subsistence and domestic fishing activities, for which no reliable statistics are available but which did not significantly exploit the potential yield of any species. Over the last twenty years, commercial and sport fisheries have overexploited certains areas, specially along the shores of Ungava bay, but the total potential yield of northern Québec remains virtually untouched. The James bay Convention (1975) negociated by the Indians, the Inuit and the governments of Québec and Canada raises hopes for a rational management of this precarious resource, from which the amerindian population looks forward to deriving economical advantages and social benefits

Factors affecting methylmercury biomagnification by a widespread aquatic invertebrate predator, the phantom midge larvae Chaoborus

MeHg biomagnification by the phantom midge Chaoborus in relation to MeHg concentrations in their prey and its migratory behavior was investigated in two Canadian Precambrian Shield lakes. Three Chaoborus species with contrasted migratory behavior were collected in a fishless and a fish-inhabited lake. All species accumulated MeHg through their ontogenic development. In the lake inhabited by fish, all instars of Chaoborus punctipennis displayed a marked migratory behavior and were unable to biomagnify MeHg, whereas in the fishless lake, Chaoborus americanus and Chaoborus trivittatus biomagnified MeHg. Reduced biomagnification capacity of C. trivittatus, the coexisting species living with C. americanus, was also ascribed to a progressive vertical segregation with age. Growth dilution, amount and type of prey items or trophic position could not explain the different patterns of biomagnification. Our findings demonstrate that the most common invertebrate predator of temperate planktonic food webs can biomagnify mercury, contrarily to previous reports