606 research outputs found

    Without reforms, ethical lobbying in Congress may remain theexception

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    While lobbying has been part of politics in Washington D.C for decades, in recent years the number of corporations and groups that lobby has shot up, with more than $2 billion spent on lobbying in 2014. While this lobbying is legal, is it ethical? Thomas T. Holyoke attempts to define ethical lobbying and suggests reforms to the nation’s lobbying laws. He argues that increasing transparency and accountability so that those who lobbyists represent know what is being lobbied for on their behalf will help push lobbyists to behave more ethically

    Being a member of an interest group stimulates political participation, or at least makes it easier

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    As political participation continues to decline, how can we encourage citizens to re-engage with politics and voting? One area that has seen participation increasing is membership in political interest groups. Using survey data from 1,071 individuals’ contacts with Congress, Thomas T. Holyoke examines the role of interest groups in stimulating political action and participation. He finds that many groups help to increase, or at least direct, their members’ political participation, so that those who are members of both political and professional interest groups have a greater than 60 percent chance of contacting Congress

    Extubation Readiness Test in a Pediatric Cardiac Intensive Care Unit

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    Extubation Readiness Test in a Pediatric Cardiac Intensive Care Unit Abstract Problem: The lack of standard extubation readiness tests (ERTs), that are practiced in pediatric ICUs to monitor extubation readiness, clinicians have the difficult task of weighing the risk versus benefit of extubation. ERTs can aid clinicians in deciphering patients ready to be successfully extubated and have shown to decrease length of mechanical ventilation and decrease extubation failures. Methods: The quality improvement (QI) project utilized a descriptive observational design to assess the effects of the implementation of an ERT in a pediatric cardiac ICU. This project used a convenience sample to include children aged neonate to 18 years of age admitted to the pediatric cardiac ICU who were mechanically ventilated with non-cyanotic single ventricle heart defects. Data collected from Oct 2022-May 2023 and included cardiac defect/admission diagnosis, ERTs used, number of extubation failures, and length of intubation. Results: A (N=77) patients met criteria for an ERT to be administered during the data collection period. Pre implementation (Oct 22-Dec 22) of ERT a (n=40) and post implementation (Feb 23-May 23) (n=37) met criteria for an ERT to be administered. In the post implementation (n=37; 100%) had an ERT performed. There was a (n=2; 5%) extubation failure rate pre-implementation and (n=0; 0%) extubation failures in the post implementation group. Implications for Practice: ERTs should be used in the cardiac ICU to prevent extubation failure, potentially decrease length of mechanical ventilation, and aide clinicians in identifying patients ready for liberation from mechanical ventilation earlier

    Golden Anniversary

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    Medical schools, perhaps more than other institutions, seem to attract a succession of individuals of strong personality to their faculties. Some of these characters are remembered because of their warmth, generosity, and wisdom. Others are remembered for less endearing traits. Both types are commemorated in this book of the memoirs of Dr. Ed Holyoke. The author faithfully and very effectively served the Anatomy Department and the College through 50 years of dramatic changes and draws mainly from his own rich store of personal reminiscences to fashion this delightful book. At times only a thin disguise protects him from identification as the perpetrator of some of the more mischievous pranks. Here is an account of student high spirits, practical jokes, and the antics of members of faculty, sometimes quaint, often amusing, occasionally outrageous. These memoirs paint vivid pictures of colorful individuals who walked the halls of a College of Medicine and University Hospital in days gone by, and whose ghosts, so it is reported, still haunt these same corridors. The non-medical reader may ask, Was medical school really like this? , or perhaps somewhat more ruefully, Was the distinguished gentleman, who is now my trusted physician, once a student like those spotlighted in this text? Alas, it may be so. However, in spite of the high spirits of student days, it remains true that the College of Medicine at the University of Nebraska has over the years more than adequately fulfilled its responsibility to train high-quality physicians for service to the community. Indeed, the boisterous good humor of college days almost certainly contributed to those qualities of character required in the physician. A physician\u27s robust common sense, his sense of humor, his equanimity in facing stress, are amongst the ingredients necessary for his role as a comfortor of the sick and distressed, and as an adviser and supporter of those who face fear, loss or tragedy. Books describing medical faculty and student life have always held a fascination, but to none more than the individuals who lived these times and experiences themselves. Undoubtedly, therefore, this book will create special interest and nostalgia in alumni of the College. Richard Gordon pulled back the curtain on medical student education elsewhere, some years ago, with his Doctor in the House series of publications. Dr. Ed Holyoke has done a similar superb job in drawing back the curtain in Nebraska to reveal the effervescent sub-culture which makes up the life of medical students and faculty. Alastair M. Connell, M.D. University of Nebraska College of Medicinehttps://digitalcommons.unmc.edu/cent_com/1001/thumbnail.jp

    Layered Pedagogies of Instruction and Restorative Justice: A Kindergarten Case Study of Community and Belonging

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    The current climate of education often results in surveillance of outcomes and accountability in early childhood learning and management, especially in schools serving Black, Indigenous, and Children of Color. Historically, classroom management has been about controlling students, the environment, and ultimately what and how learning takes place. In response, centering restorative justice as a humanizing approach to classroom management is necessary to focus on equity. However, this focus can be filled with tensions and conflicting philosophies against the status quo in schools. Likewise, classroom community practices, including punitive and restorative discipline, are typically looked at separately from academic learning, without consideration of the interconnected pedagogical decisions that undergird experiences for students. Positioning an either/or mentality can result in a dichotomy of what is good and bad in education that obscures the complexities and nuance of teachers’ work. This interpretive case study examines intersections of academics and community building to understand a sense of belonging in an early childhood classroom. This study illustrates how one kindergarten community navigated opposing perspectives and pedagogies. Discourse analysis revealed findings of how the class traversed the complexity of languaging to build community in a context self-identified as restorative, while also implementing highly structured literacy curricula, and a mix of discipline philosophies. This study humanizes tensions experienced within the constraints of the current educational system as teachers and young children build towards restorative justice as a way of being

    Digitalis

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    Corn and oats experiments, 1893.

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    Caption title.Experiments with corn / G.E. Morrow, F.D. Gardner -- Rate of growth and chemical composition of the corn plant / E.H. Farrington -- Experiments with oats, 1893 / G.E. Morrow, F.D. Gardner

    Milk tests : methods of testing milk

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    Caption title.Includes bibliographical references
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