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Open Educational Resources: Opportunities, Challenges, Impact!
Get PDFAs always, Oregon Librarians are on the cutting edge of identifying our patrons’ crucial needs and creatively finding ways to remedy these needs. Providing our communities access to otherwise unobtainable resources that support growth and learning has always been among our shared goals as librarians. We know that by providing these resources, we are enhancing inclusive community engagement and providing a crucial contribution for both individuals and society as a whole.
A pressing issue at hand that speaks to both individuals and our society is access to higher education. Oregon’s college students are facing increasing barriers to accessing a college education, opting to delay, or in many cases, permanently putting off attending college due to rising costs. K–12 schools also face seemingly endless budget constraints. Trimming the budget by aging out textbooks or limiting the purchase of textbooks to a “classroom only set” are budget strategies that often make it to the bargaining table. Surprisingly perhaps, it is not just the rising cost of tuition. The cost of textbooks has outpaced almost every other consumer good—including food, healthcare, and housing (Bureau of Labor Statistics, 2016). We can close this gap. Academic Librarians have found themselves embracing a new opportunity with the advent of Open Educational Resources (OER)
Co-Occurring Opioid Use Disorder and Posttraumatic Stress Disorder and the Efficacy of the IPS Supported Employment Model
No full textCo-occurring posttraumatic stress disorder (PTSD) and opioid use disorder (OUD) present unique challenges in employment and treatment retention. Research has begun to explore the use of a vocational model in assisting these individuals to obtain gainful employment and maintain abstinence. The current study is a secondary data analysis of a 24-month prospective cohort, randomized study assessing the efficacy of the individual placement and support (IPS) model. The original trial examined employment outcomes and treatment retention in a clinic population diagnosed with moderate-to-severe OUD who were receiving medication-assisted treatment (MAT). The current study sought to explore the relationship between co-occurring OUD and PTSD, the usefulness of the IPS model in increasing positive employment outcomes, and possible influences on treatment adherence and completion related to co-occurring diagnoses. One-way ANOVA analyses confirmed that individuals with a co-occurring PTSD diagnosis comprised a higher proportion of program dropout/early termination than did individuals without a co-occurring diagnosis. However, individuals with a co-occurring PTSD diagnosis were not less likely to obtain competitive employment outcomes than were individuals without a co-occurring diagnosis. These findings suggest the importance of additional research to better understand the unique risk and protective factors for individuals with co-occurring diagnoses, to promote entrance and retention in treatment, and to establish effective evidence-based practices for individuals with co-occurring diagnoses who are seeking employment support
Factors that Influence Eating Behaviors in Road Racing Cyclists
No full textThe present study investigated how four constructs (fitness orientation, body dissatisfaction, overweight preoccupation, and executive set-switching) may moderate the risk for disordered eating symptoms among a sample (n = 85) of amateur road racing cyclists. The study examined these constructs with road racing cyclists in the State of Oregon during race year 2018. It was hypothesized that the internalization of an athletic lifestyle, body dissatisfaction, and overweight preoccupation would more strongly predict symptoms of disordered eating in this population than inefficient executive function characteristics such as faulty set-switching. Using 3 subscales of the Multidimensional Body-Self Relations Questionnaire (MBSRQ) and The Trail Making Test B as the independent variables, and the Eating Attitudes Test (Eat-26) total score as the dependent variable, relationships were evaluated with a linear regression. The results indicated that among the participants, the MBSRQ subscale Overweight Preoccupation significantly predicted EAT-26 scores (β = .573, p \u3c .001), while MBSRQ-Fitness Orientation, MBSRQ-Body Areas Satisfaction, and Trail Making Test B showed no significant linear relationships with EAT-26 outcomes. This effect appears to be best explained by an internalized archetypal image of a lean, strong, racing cyclist, even if scores on the EAT-26 did not generally meet the threshold for disordered eating
Pharmacy Management & Leadership Learning Through Case Studies
Get PDFThis Casebook is a compilation of cases used in the Social Administrative Sciences classroom at Pacific University School of Pharmacy to help you (the student pharmacist) apply critical thinking, problem solving, and decision-making to common administrative-related challenges seen in pharmacies. These cases do not contain a clinical pharmacy component, in order to focus on the many other important and often overlooked administrative tasks a pharmacist is likely to encounter in their day-to-day work.
This book is similar to a clinical casebook, where it is expected that the focus is on the process of solving the case, not necessarily finding a “right” answer. The cases in this book provide real-world scenarios and can be applied to administrative issues that may arise in pharmacy practice. You as the student pharmacist are tasked with working through the scenario to develop a solution to the problem presented. This book provides a wonderful starting point for these types of leadership and administrative discussions.https://commons.pacificu.edu/pup/1004/thumbnail.jp
Stimulation of the Gasserian Ganglion for Trigeminal Neuropathic Pain Refractory to Medical Management
Get PDFBackground:Trigeminal neuropathic pain (TNP) is an often debilitating facial pain syndrome for which there is no known cure or effective treatment. It differs from its more commonly known counterpart, trigeminal neuralgia (TN), in that it is constant and does not have an anatomical etiology which would allow for surgical correction. TNP is frequently refractory to pharmacologic therapy using high dose antiepileptics. Previous attempts to use nerve stimulation as a treatment method involved invasive surgical techniques and frequent electrode migration.
Methods: Exhaustive search of available medical literature was conducted using Clinical Key, MEDLINE-Ovid and Web of Science and the following search terms: trigeminal neuropathic pain, neuromodulation and stimulation. Articles were assessed for quality using GRADE criteria.
Results: Two case series studies fit all eligibility criteria. Each utilized a temporary electrode placed for a trial period to assess efficacy and determine candidacy for permanent implantation. One study found that in those with a positive trial, 96.3% at 6 months and 46.7% of patients at 24 months experienced pain reduction from baseline. Another study found that 62.5% of patients with a positive trial experienced pain reduction at 6 months, with 37.5% still experiencing pain reduction at 12 months.
Conclusion: Stimulation of the Gasserian ganglion (GG) may be an effective treatment for long-term pain reduction in TNP; however, current studies are of very low quality due to small cohort size and lack of an RCT.
Keywords: Trigeminal neuropathic pain, Gasserian ganglion, trigeminal neuropathy, stimulation, neuromodulatio