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Short Report—The MDT Speed Date  [PDF]
Jenny Blythe
Creative Education (CE) , 2018, DOI: 10.4236/ce.2018.98093
Abstract: The importance of introducing both interprofessional education (IPE) and familiarity with the wider multidisciplinary team (MDT) roles cannot be underestimated in the undergraduate medical curriculum. This short report outlines an innovative method of teaching medical students about the role of the MDT in holistic patient management by way of a simulation “speed-date” and MDT meeting.
The Great Lapse: Climate Change, Water Resources and Economic Risks in the Great Lakes  [PDF]
Jenny Kehl
Journal of Water Resource and Protection (JWARP) , 2018, DOI: 10.4236/jwarp.2018.1011065
Abstract: The striking vastness of the world’s largest surface freshwater resource, the Laurentian Great Lakes, has generated the fallacy that they are not highly vulnerable to climate change. This fallacy has created a great lapse in our research and understanding of the effects of climate change on the Great Lakes, which are approaching critical environmental thresholds and jeopardizing ecosystem services. This article takes the novel approach of correcting the disconnect between the perception of vastness and the reality of vulnerability to climate change in the Great Lakes, and takes an additional novel step to link the water risks with the economic risks. The primary purpose is to demonstrate the interdependence of the freshwater ecosystem services affected by climate change with the economies that are highly dependent on those freshwater services in the Great Lakes region. Although many believe that environmental science or ethical arguments should be sufficient to warrant action on climate change, evidence shows that policy-makers are not compelled to generate advances unless there are strong economic components. This article highlights the leading edge of climate science for the Great Lakes, having conducted 32 in depth interviews with experts in microbiology, ecology, and limnology, among others, but it also adds substantively to previous work by providing economic evidence of water risks in the agricultural sector and energy sector, which constitute over $6 trillion in value and jobs that are specifically dependent on lakes waters. The article concludes by articulating three specific conclusions: the economic viability of the agricultural sector and the energy sector are jeopardized by loss of federal funding for climate change adaptation in the water sector; the existing policies such as between sectors such as the Farm Bill and Energy Future Bill are mal-aligned and should be aligned with the water sector; and negative environmental externalities including factors that exacerbate climate change should be incorporated into the true cost of water so we can more accurately conduct ecosystem valuation and, thus, address the true economic and environmental cost of climate change on the Great Lakes and our greatest water resources. This paper has not previously been published.
Empirical Verification of Swanson’s Caring Processes Found in Nursing Actions: Systematic Review  [PDF]
Mary Kalfoss, Jenny Owe
Open Journal of Nursing (OJN) , 2015, DOI: 10.4236/ojn.2015.511104
Abstract: Caring has long been recognized as central to nursing and is increasingly posited as a core concept although developing a theoretical description of caring which is adequate in the 21st. century continues to be a difficult task for nursing scholars. Consequently, verifying existing theoretical structures of caring remains an ongoing challenge. The aim of this article is to provide empirical verification of the caring processes of “knowing,” “being with,” “doing for,” “enabling” and “maintaining belief” from Swanson’s Middle Range Caring Theory based on the categorization of nursing actions from a systematic literature review on care. Methods: A systematic literature review was conducted in the fields of nursing sciences, medicine and psychology. Purposeful sampling was carried out covering a period from 2003-2013. The final sample included 25 articles. Results: Major themes of nursing actions included “knowing” which consisted of centering, nurturing, informed understanding, assessment skills, communication and respect for individual differences. “Being with” was characterized by intimate relationship, connecting, presencing, emotional adaptability awareness of self/other and decentering. “Doing for” included competence, knowledge, professional/technical skills, helping actions, anticipatory, multidisciplinary and preserving dignity. “Enabling” was characterized by self care, commitment, complexity of care, appropriate communication, information/education, sharing power, enabling choice and ongoing validation. Finally, “maintaining belief” was characterized by spiritual being, humanistic view, harmonious balance, hope, love, and compassion, meaning, and religious and spiritual orientation. Conclusion: Empirical verification was shown for the caring processes described in Swanson’s Caring Theory grounded in concrete nursing actions.
Pathogenesis of cardiac graft failure in children  [PDF]
Jenny Lin, Bahig M. Shehata
Open Journal of Pediatrics (OJPed) , 2012, DOI: 10.4236/ojped.2012.24051
Abstract: For many critical cardiac conditions such as cardio-myopathy, congenital heart defects, or arrhythmogenic disorders, cardiac transplantation is often an accepted treatment with optimistic one- and five-year survival rates of 90% and 75% in the pediatric patient population, respectively. However, poor long-term survival is a cause for concern, with cardiac graft failure being the leading cause in late mortality transplant recipients. Cardiac graft failure occurs through several mechanisms. However, the most common causes include cardiac allograft vasculopathy, myocardial fibrosis, and fibrofatty changes. Risk factors exacerbate these mechanisms through rejection, immunosuppressive drug side effects, hypertension, diabetes mellitus, renal dysfunction, and viral infection to increase the chance of cardiac graft failure. Changes in expression levels of various genes offer diagnostic potential for the future of cardiac transplantation. Through a comprehensive review of how multiple factors can lead a cardiac graft into failure, we hope to contribute to the longevity of cardiac grafts and pediatric heart transplant recipients.
Impact of Sequence Non-Identities on Recombination within the pil System of Neisseria gonorrhoeae  [PDF]
Stuart A. Hill, Jenny Wachter
Open Journal of Genetics (OJGen) , 2014, DOI: 10.4236/ojgen.2014.43023
Abstract:

Neisseria gonorrhoeae engages in extensive intra-cellular gene conversion between the PilE-expression locus (pilE) and the transcriptionally-silent pil gene copies (pilS). In silico analyses were applied to investigate the extent of sequence heterogeneity between the various pilS gene copies. Analysis of synonymous and non-synonymous substitutions between the different pilS genes indicated that relatively few amino acid changes would occur due to nucleotide polymorphisms towards the 5’ end of the pilS genes whereas more frequent amino acid substitutions would be incorporated within the “hypervariable” region. The lack of non-synonymous substitutions at the 5’ end of the genes was found to be under selective pressure as indicated by a positive DT score utilizing the Tajima test. The presence or absence of mismatch repair appeared to only impact recombination when non-identical DNAs recombined via the DNA transformation route, where small pil sequence heterogeneities were sufficient to terminate recombination tracts, with these sequence constraints being relieved in cells carrying a mutS mutation. Therefore, the data indicate that the effect of sequence heterogeneity on recombination within the pil

Building Knowledge: The Concept of Care  [PDF]
Mary Kalfoss, Jenny Owe Cand
Open Journal of Nursing (OJN) , 2016, DOI: 10.4236/ojn.2016.612096
Abstract: Aim and Objectives: The aim of this article is to explore whether the specific levels of caring described in Swanson’s Middle Range Caring Theory which include characteristics of caring, people’s concerns and commitments underlying caring, conditions that enhance/inhibit caring and consequences of caring and non-caring could be used in categorizing findings from two literature reviews investigating the concept of care. Background: Nursing has a long legacy as a caring/healing profession where caring is increasingly posited as one of the core concepts in modern nursing science. However, the meanings given to the concept of care remain elusive, ambiguous and unclear. Design: Two systematic literature reviews. Method: Twenty-nine articles based on strategic inclusion and exclusion criteria were synthesized. Data was retrieved from CINAHL, Medline, Embase and PsycInfo covering the period 2003-2016. The literature search used the key words care, concept analysis, systematic review, meta-synthesis, meta-analysis and narrative review. Results: Major themes found were related to the following characteristics of caring persons: compassionate, knowledgeable, positive and reflective. Concerns and commitments underlying caring were doing the right thing, connecting, focusing on the others’ experience, acknowledging individual dignity and worth and being present. Conditions that enhanced/inhibited caring were situational constraints, personality traits, communication skills, health problems and organizational features. Consequences of caring and non-caring actions included both positive and negative emotional, spiritual, physical, and social outcomes for patients, families and nurses. Conclusion: The specific levels of caring described in Swanson’s Middle Range Caring Theory are highly suitable for categorizing the findings from three literature reviews on the concept of care. Relevance to Clinical Practice: Swanson’s Middle Range Caring Theory can be used to guide clinical practice and encourage an individual approach to care. It has been shown to contain clear, comprehensible language in its theoretical basis; this encourages use in clinical practice.
An Improved Method for Fractionation of Small Quantities of Lettuce Latex  [PDF]
Thomas A. McKeon, Jenny Brichta
American Journal of Plant Sciences (AJPS) , 2018, DOI: 10.4236/ajps.2018.910145
Abstract: While large quantities of latex can be handled either by standard extraction techniques such as Soxhlet extraction or accelerated solvent extraction (ASE), smaller samples on the order of 0.3 - 0.5 g require handling on a microscale. We collected latex from lettuce plants in microcentrifuge tubes and, after drying under vacuum, resuspended the dried sample in acetone by holding in an ultrasonic cleaner. The resulting fine suspension was readily extracted with acetone and toluene to provide fractions representing the resin and rubber content of the latex. Using this approach, we compared latex from stems of bolting lettuce and from the floral stem of lettuce plants. While both types of stems contained a similar percentage of resin, the rubber content of the bolting stems exceeded that of the floral stems.
Youth for Sale: Using Critical Disability Perspectives to Examine the Embodiment of ‘Youth’
Jenny Slater
Societies , 2012, DOI: 10.3390/soc2030195
Abstract: ‘Youth’ is more complicated than an age-bound period of life; although implicitly paired with developmentalism, youth is surrounded by contradictory discourses. In other work [1], I have asserted that young people are demonized as risky and rebellious, whilst simultaneously criticized for being lazy and apathetic; two intertwining, yet conflicting discourses meaning that young people’s here-and-now experiences take a backseat to a focus on reaching idealized, neoliberal adulthood [2]. Critical examination of adulthood ideals, however, shows us that ‘youthfulness’ is itself presented as a goal of adulthood [3–5], as there is a desire, as adults, to remain forever young [6]. As Blatterer puts it, the ideal is to be “adult and youthful but not adolescent” ([3], p. 74). This paper attempts to untangle some of the youth/adult confusion by asking how the aspiration/expectation of a youthful body plays out in the embodied lives of young dis/abled people. To do this, I use a feminist-disability lens to consider youth in an abstracted form, not as a life-stage, but as the end goal of an aesthetic project of the self that we are all (to differing degrees) encouraged to set out upon.
Phenomenological Intentionality meets an Ego-less State
Jenny Barnes
Indo-Pacific Journal of Phenomenology , 2003,
Abstract: When using the phenomenological method, one aims to capture the essential structures of lived experiences. It has been my experience that phenomenology does this well, when researching experiences that are lived through our bodily senses and understood with our minds. When trying to capture and describe experiences that are beyond the understanding of the body and the mind, namely experiences of deep meditative states, one is confronted with the limitations of the research method itself. One of the fundamental concepts within the phenomenological method is that of Intentionality. It is assumed that human beings experience themselves and their worlds from the perspective of an individual ego that intends an object of consciousness. This subject-object interaction comprises the contents of consciousness itself. The challenge, in this paper, is to describe deep meditative states, whereby the subject and the object of consciousness become one. The phenomenological epoché is performed so that the researcher can be completely open to how the experiential data itself describes mystical experiences. This means bracketing out all preconceptions, all theories including that of intentionality, so that the researcher can open her/himself up to the essence of mystical meditation. When this is done, the mystical state informs an expansion of intentionality to include the state of oneness. Indo-Pacific Journal of Phenomenology, Volume 3, Edition 1, November 2003
Whither Roman Archaeology? Or Thither Roman Archaeology! Another London Perspective
Jenny Hall
Papers from the Institute of Archaeology , 2004, DOI: 10.5334/pia.231
Abstract:
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