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Search Results: 1 - 10 of 3625 matches for " Diann Kelly "
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Civic-Political Development in the Context of Economic Apartheid in Distressed Communities: A Theoretical Model  [PDF]
Diann Kelly
Advances in Applied Sociology (AASoci) , 2017, DOI: 10.4236/aasoci.2017.712025
Abstract: As class status improves, engagement in civic and political activities increases. These activities are voting, volunteerism and vocal activism. However, depressed socio-economic status leaves many individuals disengaged from civic-political structures. Applying Attachment Theory, this article proposes there are five statuses of civic-political development to being an engaged citizen. These statuses correspond to fixed class categories and are 1) disengaged and detached; 2) insecure, responsive; 3) insecure, subscribing; 4) secure, subscribing; 5) secure and defining. The lower the quintile, the less engaged an individual is in the civic-political structures of society and attached to their community. Organizing communities is one way to engage individuals into the civic-political structures of their community in spite of their economic status.
Effects of two different protocols of oxytocin infusion for labor induction on obstetric outcomes: A cohort study  [PDF]
Alessandro Ghidini, Diann Wohlleb, Victoria Korker, John C. Pezzullo, Sarah H. Poggi
Open Journal of Obstetrics and Gynecology (OJOG) , 2012, DOI: 10.4236/ojog.2012.22020
Abstract: Objective: Concerns remain about the safety and efficacy of high dose and low dose protocols of oxytocin for labor induction. We have compared 2 regimens of oxytocin induction (low-dose vs high dose) on perinatal outcomes over a 1-year period. Study Design: Included were all women undergoing induction of labor at term with live singleton gestations. Cesarean delivery (CD) and a composite adverse neonatal outcome (5-min Apgar score < 7, umbilical artery pH < 7.10, or need for admission to NICU) were assessed using logistic regression analysis. Admission-to-delivery intervals was compared between the two groups by log-rank test. Results: A total of 544 women fulfilled the study criteria. The two groups were comparable for demographic and obstetric variables. There was no significant association between oxytocin regimen and rates of CD (P = 0.77) or adverse neonatal outcome (P = 0.99) even after controlling for confounders. The admission-to-delivery interval was significantly shorter for the high-dose group than for the low-dose group (median interval = 11.7 vs 14.3 hours, respectively, P = 0.026). Conclusion: Use of a high-dose protocol of oxytocin administration for induction of labor at term is associated with similar rates of cesarean section and adverse neonatal outcome as a low-dose protocol, but with an average of 2.5 hours shorter duration of labor.
Renal Abscess in a Patient Presenting with Persistent Hiccups
Mark Flanagan,Katie Jennings,Diann Krywko
Case Reports in Emergency Medicine , 2013, DOI: 10.1155/2013/459453
Renal Abscess in a Patient Presenting with Persistent Hiccups
Mark Flanagan,Katie Jennings,Diann Krywko
Case Reports in Emergency Medicine , 2013, DOI: 10.1155/2013/459453
Abstract: Hiccups are common, typically limited, and rarely present with adverse complications. In the context of persistent or intractable episodes, however, hiccups may signal a more serious underlying cause. Here, we present an unexpected and pathologic case of hiccups in a patient who was ultimately diagnosed with renal abscesses. 1. Introduction Hiccups are also known as “hiccoughs”, synchronous diaphragmatic flutter (SDF), and “singultus”, from the Latin word singult, which roughly translates as “catch one’s breath while sobbing” [1, 2]. Hiccups have usually been characterized as a benign annoyance and in most cases this proves true. However, persistent or intractable episodes are reported to have an organic cause approximately 80% of the time with the remaining 20% thought to be psychogenic in nature. Therefore, it is important to maintain a high index of suspicion in those patients to search for an underlying disease process. 2. Case Report A 47-year-old male presented to the emergency department (ED) complaining of nausea, vomiting, diarrhea, stomach pain, and constant hiccups for three days. He had attributed his symptoms to having the flu and had been self-medicating with DayQuil and NyQuil without relief. The nausea and vomiting were not associated with eating or drinking and emesis was described as nonbloody and nonbilious. His past medical history was significant for previously treated tuberculosis. He denied any medications, allergies, or past surgeries. He lived alone and denied any current use of alcohol, tobacco, or illicit drug use but endorsed prior abuse of alcohol, cocaine, and marijuana. He was an unemployed construction worker with no recent travel. Review of systems revealed increased fatigue over the prior 4-5 days, an estimated 30 pound unexpected weight loss over the past three months, peeling of palms and recent upper respiratory infection symptoms, but was otherwise negative. Upon arrival, his vital signs were as follows: oral temperature 97.3°F, blood pressure 123/78, heart rate 72, respiration rate 20, and an oxygen saturation of 96% on room air. He was noted to be persistently hiccupping, although in no acute distress and generally well appearing. Examination of the ENT, neck, chest, and cardiovascular system were within normal limits. Abdominal exam was soft and exhibited normal bowel sounds. There was mild epigastric tenderness to palpation, no guarding, no rebound, and no masses. Rectal exam revealed guaiac positive stool. He was noted to have mild desquamation of his palms bilaterally. ED laboratory results were significant
What’s in a Bot? L2 Lexical Development Mediated through ICALL  [PDF]
Kelly Arispe
Open Journal of Modern Linguistics (OJML) , 2014, DOI: 10.4236/ojml.2014.41013

In recent years, the field of Second Language Acquisition (SLA) has made great strides to refocus its attention on the essential role that vocabulary plays in becoming a proficient L2 learner (Nation, 2001). Moreover, Computer Assisted Language Learning (CALL) has made advances in providing interactive online tools that help L2 learners strategically engage and work through their vocabulary development. This present study reports on how an Intelligent CALL tool (ICALL), Langbot, helps learners at the beginner and intermediate levels with their lexical acquisition. Modeled after instant messaging systems, which create a synchronous communicative environment, Langbot acts like a pedagogical scaffold or online buddy that caters to the vocabulary needs of each individual learner. It provides 1) translation requests with examples in context, 2) a frequency-based “word of the day” and 3) quizzes based on recent inquiries and a specific frequency range according to the learner’s level. The results from breadth and depth tests (N = 142), suggest that learners at all levels that have access to Langbot significantly improve their vocabulary breadth, while only intermediate-high learners with access to Langbot improve their vocabulary depth. Furthermore, survey data demonstrate Langbot’s effectiveness and accessibility based on learner perceptions.

Mapping Avian Influenza Transmission Risk at the Interface of Domestic Poultry and Wild Birds
Diann J. Prosser,Mary Ann Ottinger,John Y. Takekawa
Frontiers in Public Health , 2013, DOI: 10.3389/fpubh.2013.00028
Abstract: Emergence of avian influenza viruses with high lethality to humans, such as the currently circulating highly pathogenic A(H5N1) (emerged in 1996) and A(H7N9) cause serious concern for the global economic and public health sectors. Understanding the spatial and temporal interface between wild and domestic populations, from which these viruses emerge, is fundamental to taking action. This information, however, is rarely considered in influenza risk models, partly due to a lack of data. We aim to identify areas of high transmission risk between domestic poultry and wild waterfowl in China, the epicenter of both viruses. Two levels of models were developed: one that predicts hotspots of novel virus emergence between domestic and wild birds, and one that incorporates H5N1 risk factors, for which input data exists. Models were produced at 1 and 30 km spatial resolution, and two temporal seasons. Patterns of risk varied between seasons with higher risk in the northeast, central-east, and western regions of China during spring and summer, and in the central and southeastern regions during winter. Monte-Carlo uncertainty analyses indicated varying levels of model confidence, with lowest errors in the densely populated regions of eastern and southern China. Applications and limitations of the models are discussed within.
Investigating the Suitability of Agile Methods for Requirements Development of Home Care Systems  [PDF]
Sandra Kelly, Frank Keenan
Journal of Software Engineering and Applications (JSEA) , 2010, DOI: 10.4236/jsea.2010.39104
Abstract: The ageing population in developed countries brings many benefits but also many challenges, particularly in terms of the development of appropriate technology to support their ability to remain in their own home environment. One particular challenge reported for such Home Care Systems (HCS) is the identification of an appropriate requirements development technique for dealing with the typical diverse stakeholders involved. Agile Methods (AMs) recognize this challenge and propose techniques that could be useful. This paper examines the desirable characteristics identified for requirements development in HCS and investigates the extent to which agile practices conform to these. It also sets out future work to improve the situation for the non compliant points found.
A longitudinal study of the professional dispositions of teacher candidates  [PDF]
Arlene Ignico, Kelly Gammon
Natural Science (NS) , 2010, DOI: 10.4236/ns.2010.22014
Abstract: The purpose of this study was to examine the professional disposition scores of Physical Education teacher candidates over time. In ad-dition, differences between teacher and student ratings were investigated. Participants were 65 students who completed three methods courses (A, B, and C) across a two-year period. Both the teacher and the students completed a profes-sional dispositions instrument in each of the three classes. Results indicated a decrease in disposition self ratings and teacher ratings over time. A 2 (Rater) x 3 (Time) ANOVA revealed that the student and teacher ratings were different for classes A and B but not for class C. The findings are encouraging in light of the strong alignment between teacher and student ratings in the upper-level class. The dispositions in-strument appears to be a valid and reliable method to assess the professional behaviors of teacher candidates.
Where Science Meets Art: Sociology and Social Work  [PDF]
Stephanie Kelly, Tony Stanley
Sociology Mind (SM) , 2012, DOI: 10.4236/sm.2012.24044
Abstract: The nexus of neo-liberalist influences in our current risk society has produced a crisis for both New Zealand sociology and Social Work, playing out in practice domains and in the academy. This paper argues that by co-habituating and co-operating, we may have a tangible way forward. One of the biggest challenges for Social Work practitioners is to come to terms with the role of theory in the practice of their discipline—a discipline that is often fast-paced, but increasingly focused on dealing with one client at a time, and often reduced to a dyad emphasis in practise: that of client and worker. One of the biggest challenges for the sociologist embarking on a career in research is to come to terms with sociology as methodological toolkit for social activism where knowledge of theory can be applied toward sustained societal change. Both offer a methodological approach to understanding the human condition in context. Both disciplines are at risk because of neo-liberalisation, and this, we argue must be avoided by a move toward each other.
Skin-Sparing Mastectomy: An Update for Clinical Practice  [PDF]
Kelly Lambert, Kefah Mokbel
Surgical Science (SS) , 2013, DOI: 10.4236/ss.2013.41010

Aim: To review the oncological safety and aesthetic advantage of skin-sparing mastectomy (SSM) for invasive breast cancer (IBC) and ductal carcinoma in-situ (DCIS). Controversies including the impact of radiotherapy (RT) on immediate breast reconstruction (IBR), preservation of the nipple-areola complex (NAC) and the role of endoscopic mastectomy are also considered. Methods: Literature review using Medline and PubMed. Results: SSM is safe in selected cases; including IBC < 5 cm, multi-centric tumours, DCIS and for risk-reduction surgery. Inflammatory breast cancers and tumours with extensive involvement of the skin represent contra-indications to SSM due to an unacceptable risk of local recurrence. SSM can facilitate IBR and is associated with an excellent aesthetic result. Prior breast irradiation or the need for post-mastectomy radiotherapy (PMRT) do not preclude SSM, however the cosmetic outcome may be adversely affected. Nipple/areola preservation is safe for peripherally located node negative tumours. A frozen section protocol for the retro-areolar tissue should be considered in these cases. The advent of acellular tissue matrix systems has widened the applicability of implant-based immediate reconstruction following SSM. Data on endoscopic mastectomy is limited and superiority over conventional SSM has not been demonstrated. Conclusion: SSM is safe in selected cases and is associated with advantages over simple mastectomy, including a superior aesthetic outcome and a potential reduction in the number of reconstructive procedures per patient.

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