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Search Results: 1 - 10 of 5505 matches for " Mary Presciutti "
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Nutritional support and brain tissue glucose metabolism in poor-grade SAH: a retrospective observational study
J Michael Schmidt, Jan Claassen, Sang-Bae Ko, Hector Lantigua, Mary Presciutti, Kiwon Lee, E Sander Connolly, Stephan A Mayer, David S Seres, Neeraj Badjatia
Critical Care , 2012, DOI: 10.1186/cc11160
Abstract: We used a retrospective observational cohort study of 50 mechanically ventilated poor-grade (Hunt-Hess 4 or 5) aneurysmal SAH patients who underwent brain microdialysis monitoring for an average of 109 hours. Enteral nutrition was started within 72 hours of admission whenever feasible. Intensive insulin therapy was used to maintain serum glucose levels between 5.5 and 7.8 mmol/l. Serum glucose, insulin and caloric intake from enteral tube feeds, dextrose and propofol were recorded hourly. Cerebral metabolic distress was defined as a lactate to pyruvate ratio (LPR) > 40. Time-series data were analyzed using a general linear model extended by generalized estimation equations (GEE).Daily mean caloric intake received was 13.8 ± 6.9 cal/kg and mean serum glucose was 7.9 ± 1 mmol/l. A total of 32% of hourly recordings indicated a state of metabolic distress and < 1% indicated a state of critical brain hypoglycemia (< 0.2 mmol/l). Calories received from enteral tube feeds were associated with higher serum glucose concentrations (Wald = 6.07, P = 0.048), more insulin administered (Wald = 108, P < 0.001), higher body mass index (Wald = 213.47, P < 0.001), and lower body temperature (Wald = 4.1, P = 0.043). Enteral feeding (Wald = 1.743, P = 0.418) was not related to brain glucose concentrations after accounting for serum glucose concentrations (Wald = 67.41, P < 0.001). In the presence of metabolic distress, increased insulin administration was associated with a relative reduction of interstitial brain glucose concentrations (Wald = 8.26, P = 0.017), independent of serum glucose levels.In the presence of metabolic distress, insulin administration is associated with reductions in brain glucose concentration that are independent of serum glucose levels. Further study is needed to understand how nutritional support and insulin administration can be optimized to minimize secondary injury after subarachnoid hemorrhage.Hyperglycemia, defined as serum glucose > 11 mmol/l after suba
Gender Differences in Attitudes to Ageing among Norwegian Older Adults  [PDF]
Mary Kalfoss
Open Journal of Nursing (OJN) , 2016, DOI: 10.4236/ojn.2016.63026
Abstract: Increased life expectancy has led to policy interest in adding quality to years of life and in related concepts such as attitudes to ageing. Improving attitudes to ageing is regarded as one means of improving the participation and contribution of older people within society. In considering age- related attitudes in the dynamic nature of social identity, age is not just one social category that may or may not constitute a part of one’s identity. Other identities such as gender may be more salient in attitudes to ageing. The purpose of this study was to explore Norwegian gender differences in attitudes to ageing among 282 females and 200 males living in the community. Attitudes to ageing were measured using the Attitudes to Ageing Questionnaire (AAQ; Laidlaw, Power, Schmidt, & the WHOQOL-OLD Group, 2007). Both genders in this study had positive attitudes toward their ageing, in spite of acknowledging loss with problems of exclusion, making friends and talking about difficult feelings. Compared to men, women perceived ageing as a time of greater loss, however, they felt more strongly that ageing brought wisdom and that their life had made a difference. On the other hand, men felt more strongly that physical problems did not hold them back from doing what they wanted to do and believed more strongly that they passed on their experiences to others. Both genders felt that their identity was not defined by age, they didn’t feel old, aging was a privilege, and appraised the importance of exercising. Attitudes to ageing are becoming increasingly important in ageing societies. Such positive attitudes should be regarded with importance to health professionals, leaders and policy makers in planning interventions to buffer the detrimental aspects of ageing.
Student’s Perception of Missed Care: Focus Group Results  [PDF]
Mary Kalfoss
Open Journal of Nursing (OJN) , 2017, DOI: 10.4236/ojn.2017.77064
Abstract: Background: With the inflation of economic constraints on health care and demand to increase care quality, there is an increasing need to develop a clear understanding of what actions by health professionals are perceived as threatening quality care. Objective: To explore graduate nursing and pastoral care student’s perceptions of missed care in Norway. Research design: A qualitative study was employed with the formation of six focus groups. Data was analyzed via a thematic content of the discussions. Participants and research context: Thirty-one students attending a University College in Oslo participated. Findings: Five major themes and thirty subthemes were identified. Major themes included labor constraints, organizational contraints, professional constraints, communication constaints and emotional strain. Discussion: Findings of this study resonate with other research as well as with studies on missed nursing care. Findings also lend support to the definition of missed nursing care actions as required care that is omitted, either in part or whole, or delayed. Conclusion: The findings from this study extend understanding of what barriers health professionals perceive as inhibiting them from offering quality care. The focus groups provided a valuable flora for discussion regarding what participants perceived as missed.
Prayer for Good Governance: A Study of Psalm 72 in the Nigeria Context  [PDF]
Mary Jerome Obiorah
Open Journal of Philosophy (OJPP) , 2013, DOI: 10.4236/ojpp.2013.31A032

Contextualizationof Biblical texts is a priority of every exegete, who endeavors to bring the ancient scripts to dialogue with contemporary issues. This paper, which studies Psalm 72 and a prayer composed for good governance in Anambra State Nigeria, focuses on this hermeneutical interpretation. The writer adopts a simplified literary method in Biblical research that takes cognizance of the varied poetic techniques in Psalm 72 and engages in a detailed comparative study of a Psalm composed more than two millennia ago and a prayer of our time. Such comparative study reveals a striking similar preoccupation of the composers of both texts. Both prayed for good governance of which all developing countries today are in dire need.

Factors associated with relapse and remission of alcohol dependent persons after community based treatment  [PDF]
Mary Wangari Kuria
Open Journal of Psychiatry (OJPsych) , 2013, DOI: 10.4236/ojpsych.2013.32025

Knowledge of factors associated with relapse and remission after treatment for alcohol dependence enables the clinician to offer better individualized treatment. It also enables the clinician to predict which patients are likely to relapse and therefore offer appropriate and effective treatment to prevent relapse. Objective: This study sought to determine the factors associated with remission and relapse in a group of alcohol dependent persons undergoing Community Based Detoxification and Rehabilitation of alcohol dependent persons. Method: One hundred and eighty eight (188) persons with Alcohol Use Disorder Identification Test (AUDIT) positive were subjected to outpatient detoxification for 10 days using a pair of ampoules of high potency Vitamin B and C intravenously daily for 3 consecutive days, diazepam 5 mg and carbamazepine 200 mg for 5 and 10 consecutive nights respectively on an outpatient basis. The participants were visited twice a week (at home) by the community based health workers and reviewed once a week by the principal investigator and attended a bimonthly group therapy session conducted in groups of 20 s as part of the rehabilitation process. The groups were converted to self-help groups after 4 months to generate income for the participants. Results: Factors significantly associated with relapse to alcohol use included severity of alcohol use and craving for alcohol at intake and the age of onset of alcohol drinking. Further there was a statistically significant predictive value in the mean score of alcohol related problems in the community based group (health, social, financial and legal). Conclusion: Identifying factors that are associated with relapse after alcohol dependence treatment is likely to improve the effectiveness of treatment and prevent relapse in persons at risk.

A Photo-Based Environmental History of the Use of Climbing Plants in Central Oxford, UK  [PDF]
Mary J. Thornbush
International Journal of Geosciences (IJG) , 2013, DOI: 10.4236/ijg.2013.47102

This paper examines environmental change associated with climbing plants (ivy/creeper) on several historical buildings in central Oxford using archival photographs. ViewFinder from English Heritage was used to access the photo archives in an advanced search of the area of “Oxford” and in the county of “Oxfordshire”. The study includes a variety of buildings, including colleges, churches, chapels, asylums, inns/hotels, factories, a brewery, pubs, a castle as well as architectural elements, such as doorways, cloisters, gates, and walls. The findings reveal that a majority of photographs denoted ivy-/creeper-clad buildings (in nearly 53% of photographs found mostly in the Taunt collection). The greatest abundance of climbing plants was found in the 1880s followed by the 1900s. A further examination of University colleges is warranted due to the earlier and more frequent appearance of ivy/creeper on these buildings.

Assessment of an Interactive Internet Program to Educate Children Aged 7 - 9 about Science, the Brain and Drugs  [PDF]
Mary P. Metcalf
Creative Education (CE) , 2013, DOI: 10.4236/ce.2013.411097
Abstract: BrainTrain4Kids.com is an interactive science Internet program for children aged 7 - 9 developed with funding from the National Institute on Drug Abuse (NIDA). Based on NIDA’s classroom curriculum, Brain Power!, we adapted and expanded this material to optimize online media. The primary objective of the curriculum is to provide an early foundation for drug abuse prevention efforts by educating elementary school-aged children about the brain and how alcohol, tobacco, and drugs can harm it. Secondary aims include improving knowledge, appreciation for scientific inquiry, and improving/sustaining a positive attitude towards science. The program employs engaging and entertaining elements including Flashbased activities and educational games. Assessment of the program occurred using a two-group, randomized case/control pre/post trial with a crossover design using a convenience sample. Child participants (N = 102) from control and case groups had similar knowledge and attitudes towards science at baseline. At post-intervention, there was a significant increase in knowledge scores for the case group; this increase was retained at the six-week follow-up. Case group attitudes towards science were more positive immediately after post-intervention than at baseline, and at follow up than at baseline. BrainTrain4Kids can be an effective tool for educating children about science and drugs, and has the potential to positively impact attitudes. It can be used as a part of a drug abuse prevention program either in schools or at home.
Self-Pereception of Adults with Intellectual and Developmental Disabilities  [PDF]
Mary Rita Welle
Advances in Applied Sociology (AASoci) , 2014, DOI: 10.4236/aasoci.2014.41005

Adults with intellectual and developmental disabilities (IDD) may view themselves as children; indeed they are often treated in a childlike manner by others. Some may develop a self-perception that they are minors and view children more as peers. Using data from this author’s (Smith, 2006) unpublished dissertation, developmental self-perception is explored by using a subset of questions from the SSKAAT-R instrument (Griffiths & Lunsky, 2003). This study discusses how some adults with IDD self-identify as more closely resembling children. A total of 26 adults with IDD, 17 males and nine females, were involved. With IRB approval, questions that would assess understanding regarding perception of self (along with a follow-up question regarding sexual attraction) were posed. Of the 26 participants, 73% self-identified as more closely resembling adults, whereas the remaining 27% self-identified as more closely resembling children.

Measuring Surface Roughness through the Use of Digital Photography and Image Processing  [PDF]
Mary J. Thornbush
International Journal of Geosciences (IJG) , 2014, DOI: 10.4236/ijg.2014.55050

This paper aims to provide a quantitative method that employs image processing in the assessment of surface roughness based on digital photograph field surveys, as in previous studies employing the outdoor integrated digital photography and image processing (O-IDIP) method. Digital photographs were taken on two different days under contrasting outdoor lighting conditions (overcast versus clear sky). Images were captured mounted on a tripod close up to the surface of a 380-year-old wall located at the University of Oxford Botanic Garden in the City of Oxford, UK. Sampling points were established at regular intervals along the border wall and encompassed sections facing west, north, and east, respectively along the survey. Two photographs were taken with a digital camera at each sampling point, one containing a color chart used to calibrate outdoor lighting conditions across images, which was excluded from the other photographic pair. Histogram-based quantification was performed based on images converted to Lab Color mode. The 10-step calibration procedure presented in this paper required more adjustments of contrast. However, more adjustments were not required under a clear sky. Std Dev L measurements were used to establish categories in a simple 3-point roughness index, namely the surface roughness index (SRI). The results denote that pitting did not affect surface roughness measurements. The study shows that it is possible to use Std Dev L measurements to quantify surface roughness on a comparative basis.

“Do Not Weep” (Luke 7: 13): In the Footstep of the Compassionate Jesus  [PDF]
Mary Jerome Obiorah
Open Journal of Philosophy (OJPP) , 2014, DOI: 10.4236/ojpp.2014.43028

The divine image, which every human being bears as a result of God’s benevolence at creation, attracts us to the Divine. Human beings are religious by nature and in order to fully realise themselves as humans they have to be and live out the divine qualities instilled in each of them by the Creator. The opposite is often the case when human actions are critically evaluated. One of the divine qualities, which we ought to acquire and practice in order to enhance good human relationship, is compassion. This singular divine feature characterised Jesus earthly ministry in words and deeds. In this paper, the writer focuses on an episode in the life of Jesus, as recorded in the Gospel according to Luke 7: 11-17. Jesus had compassion on the widow who lost her only son; he consoled and restored her son back to her. In following Jesus’ footsteps we can make our world better and be able to bear and live with others.

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