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An Exploration of the Training Needs for End-of-Life Doulas in Alzheimer\u27s Disease and Related Dementias
No full textThe end-of-life doula movement originated from the birth doula movement during the 21st century to serve as companions, mentors, and advocates for the dying. The end-of-life doula role is relatively new, and there are no standardized practices for overseeing training programs. This project sought to describe the experience of trained end-of-life doulas working with persons living with dementia and to identify the educational need to improve dementia training. This project used a qualitative descriptive design. Eight doulas were recruited through a purposive sampling method and completed in-depth interviews. These interviews were then analyzed in two cycles of coding: descriptive and pattern coding. Five themes were identified: three describing doula experiences (working with people living with dementia, impact on families, techniques for working with people living with dementia) and two describing educational needs relating to ADRD (doula attributes, what should be taught to doulas). Participants described the experience of working with people living with dementia as unique when compared to other disease processes. They emphasized the lack of and need for training in caring for persons living with dementia at end-of-life. Results were mapped to the principles of adult learning theory, and recommendations were made for future efforts to improve dementia training for end-of-life doulas
Advanced progressive supranuclear palsy with non-supranuclear ophthalmoparesis
No full textAdvanced progressive supranuclear palsy with non-supranuclear vertical ophthalmoparesi
Saccadic smooth pursuit and VOR suppression in cerebellar ataxia
No full textSaccadic smooth pursuit and VOR suppression in cerebellar ataxi
Oculopalatal tremor with palato-ocular synchrony during eye closure
No full textAlthough patients with oculopalatal tremor (OPT) typically have both pendular nystagmus (oculo-) and palatal tremor (-palatal), sometimes only one or the other may be present. However, if pendular nystagmus is present or absent, large vertical ocular oscillations (that are synchronous with palatal tremor) can usually be brought on by active eye closure. This finding is especially noticeable in this patient with a right lower motor facial palsy as the globe can be directly visualized. The patient had a right vestibular schwannoma, and the etiology of OPT (and the facial palsy) was related to the resection
Vestibular neuritis one week after onset
No full textThis is a patient with a peripheral HINTS exam that is compatible with left vestibular neuritis: 1) abnormal (left) HIT; 2) unidirectional (right-beating) nystagmus; 3) negative test of skew; 4) no left sided hearing loss
Prominent eyelid nystagmus with upbeat nystagmus
No full textLid nystagmus is commonly seen with vertical nystagmus, especially in upbeat nystagmus (UBN) since there is simultaneous excitation of the superior rectus and levator palpebrae (LP) muscles via the central caudal nucleus (part of the 3rd nucleus). This is necessary so that the lid stays out of the visual axis in upgaze. When the eyes move downward, the LP descends with the globe (to protect the cornea) mainly by relaxing. This patient presented with dizziness and imbalance and had very subtle spontaneous UBN (which was not initially appreciated), but with much more prominent lid nystagmus which can be seen with each upward quick phase of the nystagmus. Given this central pattern of vestibular nystagmus, MRI was performed which showed cerebellar and diffuse brainstem (medulla to midbrain although only one representative pontine image is included here) "salt and pepper" contrast enhancement, suggestive of CLIPPERS (chronic lymphocytic inflammation with pontine perivascular enhancement responsive to steroids). She improved after administration of steroids
Trax & Green loop integration Rio Grande plan
No full textreportThe Rio Grande Plan envisions a revitalized civic and transportation hub centered on the historic Rio Grande Depot, with a cut- and-cover rail trench along 500 West serving as its backbone
Corporate landlords and evictions in Salt Lake City
No full textposterUtah is a landlord-friendly state with many laws that put undue stress on tenants, including: • 72-hour eviction notice - the shortest among all states • 1 of 4 states where those who are evicted are on the hook for 3x the amount they owe, plus legal fees
Clockwork Sword
No full textsynopsisSlash, stab, and shoot your way through a multi-tiered museum filled with corrupted automata, customizing your weapon with the scraps of the fallen. Clockwork Sword is a thrilling isometric hack and slash, in which you utilize combinations of weapons and elements to conquer your foes.Windowshttps://store.steampowered.com/app/3433330/Clockwork_Sword/Hack and Slas
Your mileage may vary: a tale of two studies on leaving and returning to libraries
No full textjournal articleThis study seeks to expand the understanding of librarians\u27 professional motivations and experiences of re-entering the field after a break in order to provide suggestions about how to improve the re-entry experience