Hennepin Technical College

Major changes in the allocation of health care funds requires that nurse administrators develop excellent grant writing skills. However, many nurse managers indicate they need assistance in developing grant proposals. A step-by-step approach to writing a grant proposal is presented. While it is targeted primarily to the novice grant writer, the seasoned grant writer will particularly benefit from the discussion of the common mistakes.

Major changes in the allocation of health care funds requires that nurse administrators develop excellent grant writing skills. However, many nurse managers indicate they need assistance in developing grant proposals. A step-by-step approach to writing a grant proposal is presented. While it is targeted primarily to the novice grant writer, the seasoned grant writer will particularly benefit from the discussion of the common mistakes.

Within the anxiety disorders, behaviors performed in order to mitigate a perceived catastrophic outcome (e.g., washing hands excessively to prevent contamination) are considered safety behaviors. Traditionally, safety behaviors are thought to maintain pathological anxiety by interfering with threat disconfirmation of inaccurate threat estimations. Building on the work of Deacon and Maack (2008) the present study sought to examine how safety behaviors might also contribute to the development and exacerbation of anxiety concerns. This hypothesis was examined in a sample of 61 undergraduate participants. Participants were instructed to either perform a variety of contamination-related safety behaviors, (n = 31) or to simply monitor their cleanliness-related safety behaviors (n = 30) for a week. Results showed that instructions to engage in safety behaviors resulted in statistically significant increases on a measure of contamination fear, threat estimation, and responses on a behavioral-approach task (BAT). The magnitude of this increase was independent of baseline level of contamination fear and did not affect measures of anxiety or depression. The implication of these findings in terms of the effects of safety behaviors on threat estimation, contamination concerns, and attentional processes are discussed. [JCBPR 2015; 4(2.000): 85-96]

Countries look to borrow those educational systems that have been successful at meeting particular needs in other parts of the world. However, whether looking to Europe, Asia or the United States, technical and vocational education and training (TVET) programmes are not easily replicated in a new context. Even with well-intentioned government policy and support, they become more or less successful when aligned with the needs of industry, how TVET is viewed and utilized, and cultural and societal impacts of how youth transition to work and career. This paper presents an aspect that is often missing from the literature onthis subject: anexamination of the factors influencing how the TVET implementation plays outwithin a particular industry and country. This paper considers a case involving the process of borrowing a manufacturing skill development programme from theUnited States for implementation in South Africa.

BACKGROUND: While most self-expanding transcatheter valves are repositionable, only one fully retrievable valve is currently available. The Meridian valve is a new self-expanding valve with full retrievability properties. The objective of our study was to evaluate the early feasibility, preliminary safety, and efficacy of transcatheter aortic valve replacement with the HLT Meridian valve (HLT, Inc). METHODS: This was a multicenter early feasibility study including patients with severe aortic stenosis at high surgical risk undergoing transfemoral transcatheter aortic valve replacement with the 25-mm Meridian valve. All serious adverse events were adjudicated by an independent clinical events committee according to Valve Academic Research Consortium-2 criteria. Echocardiography data were assessed by an independent echocardiography core laboratory. RESULTS: A total of 25 patients (mean age, 85±6 years; 80% of men) were included. The valve was successfully implanted in 22 (88%) patients (annulus too large and extreme horizontal aorta in 2 and 1 unsuccessful cases, respectively). Valve retrieval because of an initial nonadequate positioning was attempted and successfully performed in 10 (40%) patients. Echocardiography post-transcatheter aortic valve replacement showed a low mean residual gradient (10±4 mm Hg) and the absence of moderate-severe aortic regurgitation (none-trace and mild aortic regurgitation in 76% and 24% of patients, respectively). Mortality at 30 days was 8%, with no cases of disabling stroke, valve embolization, or major/life-threatening bleeding complications. At 6-month follow-up, the cumulative mortality rate was 12%, with no changes in echocardiographic parameters and no cases of valve dysfunction. The majority of patients (89%) were in New York Heart Association class I-II at 6 months. CONCLUSIONS: Transcatheter aortic valve replacement with the Meridian valve was feasible and associated with acceptable early and 6-month clinical results. Valve retrieval after full valve deployment was successfully performed in all attempted cases, and valve performance was excellent, with low residual gradients, no cases of moderate-severe aortic regurgitation, and none-trace residual aortic regurgitation in the majority of patients. CLINICAL TRIAL REGISTRATION: URL: https://www.clinicaltrials.gov. Unique identifier: NCT02838680 (RADIANT-Canada); NCT02799823 (RADIANT-US).

No AccessJournal of Urology1 Jan 1938Primary Retroperitoneal Leiomyosarcoma E. King Morgan, and Charles M. Stone E. King MorganE. King Morgan More articles by this author , and Charles M. StoneCharles M. Stone More articles by this author View All Author Informationhttps://doi.org/10.1016/S0022-5347(17)71835-6AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail "Primary Retroperitoneal Leiomyosarcoma." The Journal of Urology, 39(1), pp. 63–64 © 1938 by The American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 39Issue 1January 1938Page: 63-64 Advertisement Copyright & Permissions© 1938 by The American Urological Association Education and Research, Inc.MetricsAuthor Information E. King Morgan More articles by this author Charles M. Stone More articles by this author Expand All Advertisement PDF DownloadLoading ...

Meconium ileus was first described by Landsteiner in 1905 (4), and many reports have since appeared correlating the condition with pancreatic insufficiency (2, 3). Neuhauser (5) found roentgen evidence of air bubbles mixed with thick meconium in 40 per cent of his cases and considered this finding characteristic of meconium ileus. Bruwer and Hodgson (1), however, reported a similar observation in imperforate anus. Recently White (6) described 6 cases of uncomplicated meconium ileus in which no air-fluid levels could be demonstrated on the upright film. He attributed the appearance of fluid levels in previously reported cases of meconium ileus to such complications as gangrene, peritonitis, and volvulus, or to gastric lavage, and believed that their absence could be regarded as a new sign of the disease. In the case to be reported here, air-fluid levels were demonstrable, though no complications were present. case report A white female infant weighing 4,040 gm. was born on Sept. 8, 1956. The pregnancy appeared to have been normal and delivery was uncomplicated. Examination immediately after birth revealed no unusual features. On the evening of the first day of life, mild abdominal distention was observed. This progressed and was associated with vomiting and increased distention within twenty-four hours after delivery. A supine film (Fig.1) showed multiple dilated loops of bowel, many of which represented small intestine. It was difficult to tell whether or not there was any gas in the colon. The bubble appearance described by Neuhauser was observed, involving several loops of bowel in the mid-abdomen. Figure 2 shows the upright film. A half-dozen or more air-fluid levels are apparent. A barium enema study was attempted, and the rectum and part of the lower sigmoid were fairly well demonstrated. From the films, it was concluded that there was no evidence of low obstruction or of a partially imperforate anus. After this first attempt, two films, an anteroposterior and a lateral, were made with the patient held in such a way that the head was low and the feet were high. These films are reproduced as Figures 3 and 4. Again multiple air-fluid levels were demonstrated. On a repetition of the barium enema, the barium was seen to pass to the mid-transverse colon (Fig.5). It was concluded that the patient had a small bowel obstruction. Exploratory laparotomy was undertaken at the age of thirty-four hours. No free fluid was encountered in the peritoneal cavity. The small bowel was dilated to a maximal diameter of 4 cm., extending from a point about 15 cm. distal to the ligament of Treitz to within 10 cm. of the ileocolic valve. The affected segment presented a dusky appearance and a putty-like consistency. An enterostomy was created some 20 cm. above the ileocolic valve, disclosing a stringy, plastic, and tenacious meconium.

Radiography of infants, particularly in the neonatal period, frequently presents a challenge to both the radiologist and the technical staff, often taxing their ingenuity as well as their patience. Consistently satisfactory films from the standpoints of freedom from motion and precise posturing are not always easily obtained. In addition, the services of at least one assistant have been necessary in order that the infant may be properly held. Exact duplication of position, when needed for comparative purposes, has often been difficult to attain without excessive exposure, and significant quantities of total-body radiation have sometimes been received unnecessarily by the patient. Furthermore, the need for a device to facilitate erect chest examination became evident in the interpretation of the mediastinal shadow in infants. Mediastinal shadows which appeared wide in the supine posture frequently were found to be normal when an erect examination was performed. Many contrivances have been developed for positioning and immobilizing infants during radiographic examination, and several are commercially available. For children weighing less than 15 pounds immobilization necessitates support of the head and proper weight distribution of the torso, without compromising the circulation of the extremities. Utilizing the device herein described, we have obtained excellent, easily reproducible films of the chest, abdomen, and hips. We believe it has merit for the following reasons: 1. The apparatus is safe, economical, and easily constructed. 2. No plywood or masonite is used, obviating artifacts from this source. 3. It is adaptable to standard equipment, and erect teleroentgenograms can be made without undue strain from the suspension. 4. A lead shield is incorporated for protection of the gonads and reduction in total-body irradiation. 5. Re-examination is rarely necessary, thus eliminating one source of excessive exposure. 6. Parents, nurses, and technicians receive no exposure since the device need not be held. 7. It is valuable for immobilizing infants during radiation therapy. The apparatus is comprised of four essential parts: a rigid supporting frame; a muslin or canvas cover for this frame; supporting loops and belts; a sheet of lead or lead rubber. A used 14 × 17-inch film hanger serves as a frame over which a closely fitting envelope of sturdy cloth is drawn. To this cloth, four loops of similar material, approximately 2 inches in width, are sewed for support of the extremities in such a manner that the infant assumes the frog position. A larger loop is placed transversely across the frame at the level of the crotch for support during lateral chest examination. A broad band of cloth fashioned as a pocket is then placed transversely across the frame at the level of the abdomen and affixed to one side of the frame permanently by stitches, and to the other side by an adjustable metallic or plastic buckle.

Abstract In support of emission and fuel burn reduction goals, the aviation industry is actively pursuing the advancement of electrified aircraft propulsion (EAP) technology. This includes turbo-electric and hybrid electric propulsion designs that combine gas turbine engine and electrical system hardware. Such architectures exhibit a high degree of coupling between subsystems. This drives the need for system-level control strategies to ensure the safe, coordinated, and efficient operation of all subsystems. The design and certification of any aircraft propulsion system requires that all potential subsystem failures are identified, and the hazards posed by these failures are appropriately mitigated. This requirement is particularly challenging for EAP systems due to their integrated nature. One approach to assist in EAP failure mitigation is the inclusion of automated reconfiguration capabilities within the propulsion control system. Such control modes, referred to as reversionary control modes, are designed to automatically detect failures and activate backup control modes upon failure detection. This paper covers the design and evaluation of reversionary control mode logic developed for a partially turbo-electric propulsion concept. Test results from a real-time hardware-in-the-loop (HIL) evaluation of the concept are also presented and discussed. The results show that the developed reversionary control logic can successfully detect and mitigate subsystem failures in a representative environment that includes actual electrical system hardware.

Need help defining your goals, identifying strengths or just need a sounding board for new ideas? Are you a seasoned member who can share resources and experience? Come to this session to learn about SIGUCCS? newest membership benefit: a formal mentoring program. Established in fall 2012, this program gives SIGUCCS members the opportunity to define and achieve their personal and/or professional development goals in a safe partnership. This presentation will discuss the first year program guidelines, outcomes and implementation strategies such as: forming an advisory committee and pairing interested mentees and mentors. These outcomes include success stories and lessons learned, as well as how to get involved in 2014.

BACKGROUND: There is increasing evidence that vascular disease and chronic perfusion deficits play a role in the progression of age-related macular degeneration (AMD). This controlled clinical study evaluated the safety and feasibility of treating patients with late-stage AMD and associated geographic atrophy (GA). In addition, exploratory endpoints evaluated the potential to disrupt the disease process and initiate functional changes. METHODS: A total of 17 subjects with confirmed late-stage AMD with GA, ophthalmic artery stenosis, and systemic stability were enrolled in this prospective multicenter study. Eleven (64.7%) of these subjects were successfully treated with ophthalmic artery angioplasty using an investigational ophthalmic percutaneous transluminal catheter system designed for this novel anatomical target and indication for use. Primary endpoints included procedure-related complications and procedural feasibility. All exploratory analyses were focused on ophthalmic outcomes and assessed for potential efficacy in choroidal thickness, visual acuity, reading ability, and patient-reported outcomes. Treated subjects were followed for 3 months by the interventional neuroradiology site and for 6 months by the ophthalmology site. RESULTS: All systemic procedure-related adverse events (AEs) were potentially expected, effectively treated, resolved without sequelae, and included bronchial abrasion and hemoptysis secondary to intubation, urinary tract infection secondary to urinary catheterization, and vascular access site inflammation and hematoma. Procedure-related ocular AEs (eg, suspected retinal microemboli and potential reperfusion injury) were asymptomatic, graded as mild, and resolved without treatment or sequelae. Mean (SD) primary lesion stenoses decreased 59% from 43.7 (14.25)% to 18.2 (12.09)%. At study exit, mean best-corrected visual acuity improved by 6.7 letters (P=0.003) over baseline, and reading ability results improved 3.4%, 5.1%, and 28.5% (P=0.03) over baseline for reading acuity, critical print size, and reading speed, respectively. Patient-reported outcomes showed improvements in mobility and independence and in reading and accessing information. CONCLUSIONS: The feasibility of ophthalmic artery angioplasty in this population was demonstrated with the investigational devices, while providing an acceptable safety profile. Efficacy and functional improvement were also seen, providing guidance for future study.

Background: Despite being the largest sector of the health care workforce with potential to support advancing psychedelics in health care, nurses and their views toward psychedelics and changing legal restrictions remain mostly unknown. Aims: To identify an optimal predictive model for nurses’ support (or not) of decriminalization of psychedelics. Methods: Secondary analysis of e-survey data from 1092 registered nurses and advanced practice registered nurses invited randomly from the Minnesota Board of Nursing registry. To develop an optimal predictive model, multinomial logistic regression with backward selection using the Akaike information criterion (AIC) was applied to the training set. The final model was fitted to the validation set for effect estimation, with performance assessed using multiclass area under the curve (AUC). Results: Backward selection using AIC identified several key predictors of support for decriminalization of psychedelics in Minnesota: age, gender identity, specific spiritual orientation, awareness of Colorado’s psychedelic decriminalization, and scores from the Attitudes and Perceptions Questionnaire legal and effects subscales. The final model demonstrated excellent discriminative ability with a multiclass AUC of 0.870 (95% confidence interval [CI]: 0.847–0.898). Pairwise comparisons revealed outstanding discrimination between supporters and opponents of decriminalization (AUC = 0.973, 95% CI: 0.952–0.987). Conclusion: Age (younger/older), (awareness/lack of awareness) of Colorado’s decriminalization laws, and attitudes (concerns/lack of concerns) toward effects and legal status of psychedelics predicted a nurse’s (more/less positive) attitude toward psychedelics. This model offers an informative starting point for understanding nurses’ and, by proxy, the communities in which they live and work and provides initial direction toward tailoring curricular and professional development resources on psychedelics for nurses across the United States.

The study presents the design and implementation of team teaching in high school geography classes and analyzes the students' opinions regarding this type of teaching approach. The didactic activity was carried out in the 9th grade, at the Earth's Atmosphere learning unit. The participants in this activity were high school students, a geography teacher and a physics teacher. The research findings highlight the advantages and challenges of team teaching and suggest ways to improve this approach.

In a world where the landscape and demographics served in education are continually changing, so too must our development of courses that are accessible and accommodating to learners of all demographics including race, ethnicity, culture, socioeconomic status, disability, ability, and much, much more. With a framework surrounding Universal Design for Learning (UDL) and Curriculum, this session will provide tips and tricks for helping develop and deliver online and blended curricula that proactively allow for equal access for all learners. * Universal Design for Learning (UDL) and Instruction is a set of principles for curriculum development that give all individuals equal opportunities to learn.

Want to get your classes ready to show off a marvelous six-pack? Exercise your healthy choice by joining us to hear how two faculty members have been successful with the implementation of this six-pack of 3rd party LMS Integrations. Improve your student engagement and success rates by one or more of the following 3rd party tools to be presented: Zoom, Atomic Learning, ReadSpeaker, Cengage (Mindtap), Pearson and Labyrinth. We will demonstrate how we use these products in a variety of blended and online courses at both of our institutions with the result of engaging students with access to rich learning applications.

The shooting method is used in FE analysis for solving problems in infinite domains. To restrain the instability of marching solutions caused by the position of the main diagonal of a stiffness matrix in a matrix of the shooting method, a special retransformation of sets of the marching solutions is presented. The developed procedure allows elimination of the influence of the main diagonal, obtains a converging general solution of a system of interest, and defines the position of a bound in the infinite domain within the framework of the finite element analysis. The plane stress problem of a semi-infinite strip is utilized as a model for demonstrating the accepted approach. © 1997 by John Wiley & Sons, Ltd.

Want to get your online classes ready to show off a marvelous six-pack? Exercise your choice by joining us to hear how two faculty members have been successful with the implementation of this six-pack of third-party LMS Integrations. Improve your student engagement and success rates by one or more of the following third-party tools to be presented: Zoom, Atomic Learning, ReadSpeaker, Cengage (Mindtap), Pearson (MyIT Lab), and Office365. We will demonstrate how we use these products in a variety of blended and online courses at both of our institutions with the result of engaging students with access to rich learning applications.

Many programs and colleges in Minnesota require their students (or faculty) to complete an online portfolio. There are many worthwhile programs out there. Over the last year, the two speakers have taught 100s of students how to use Google Sites. Sites can easily integrate many of Google’s other products into an ePortfolio that is easy to create and teach. We will talk about:: Using Google Site to easily build a template so all students in a program or class will start with the same website. Learn how you can use and work with Sites in your classroom (including group projects), your career or your job search. We will dig into some of the unusual and fun features of Sites, besides the basics of customizing designs, adding pages, images and text. Participants will leave this session with a clear understanding of how they can use this free tool. Building a Google Site is a creative way for students to showcase professional information and accomplishments. Google Sites are also a great option for group and team projects, online or in the classroom. Students can share information easily with one another via their Google Drive. Google Sites have a variety of privacy settings that are easy to use and change.

Grab your laptop or iPad and join us in this interactive session that will test your digital and computing skills! Learn how to identify the skills your students need to successfully complete your class. Explore the classroom of the future and learn how to +upgrade your cloud computing knowledge. Discover ways to shorten URL’s, create screenshots quickly, learn to program, remediate computing skills, and use apps in the classroom. Learn how to turn your voice into text—or even text in other languages to quickly share your comments online. Collaborate in the cloud and poll or share files.

C-shaped canal anatomy is most commonly found in mandibular second molars. The complex anatomy can be challenging to the clinician during negotiation, debridement, and obturation. The fan-shaped regions, transverse anastomoses, fins, and webs of the C-shaped anatomy can be identified and treated with the help of radiographic and clinical diagnosis. Adequate knowledge of the root canal configuration is essential to achieve success in endodontic therapy. This case series highlights the management of four different cases of C-shaped canal configurations categorized on the basis of Fan's Classification. Despite the significant challenges, a positive outcome was achieved in all the cases through specific protocols and modified obturation techniques.