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Getting up to Speed on OER: Advice from a Newbie
Get PDFOpen Educational Resources (OER) programs are growing and institutions are looking for leaders to steer these programs successfully. This article will give advice to folks who are tasked with starting an OER program or joining an established program in its growth stage. It will discuss where to find OER research for those who don’t know much about it, such as LibGuides, pertinent journals, and OER repositories. Then, it will move onto building campus partnerships and finding like-minded people in your institution that can champion the cause and help grow the program as well as provide institutional support. Next, it will look at off-campus partnerships and working with outside stakeholders that share the same goals. Lastly, the article will give advice for keeping current on OER research and resources, and discuss some of the professional development opportunities available
Guideline-Based Approach for the Precautious Use of Oxytocin in Labor Augmentation and Emergency Cesarean Section Rates
Get PDFBackground: Exogenous oxytocin was approved by the FDA in 1962 and has been administered to help induce labor, advance a prolonged labor, assist with placental delivery, and manage postpartum bleeding. However, the use of this synthetic oxytocin is commonly both inconsistent and incautious in timing and dosing, with outcomes of uterine tachysystole (hyperstimulation), subsequent fetal oxygen desaturation and alterations in fetal heart rate patterns, all potentially leading to emergency cesarean sections (CS). Since such associations have been established, would the implementation of a guideline-based approach on the precautious use of synthetic oxytocin in labor augmentation reduce emergency CS rates?
Methods: An exhaustive literature search was performed using MEDLINE-PubMed, CINAHL, Proquest, and Web of Science databases. Key terms searched include oxytocin, intervention, fetal distress, reduc*, obstetric labor complications, education, guidelines as topic, protocol, and checklist. Articles that included a guideline approach to using oxytocin in labor augmentation and reported on emergency CS rates were included. Exclusion criteria included guidelines based on the third stage of labor. The remaining articles and their references were screened for eligibility, were critically appraised, and the quality of their evidence was assessed with the GRADE working group approach.
Results: Four studies met the inclusion and exclusion criteria and were eligible to be included in this systematic review. All were observational studies, 2 prospective and 2 retrospective. One study reported a significant reduction in the frequency of oxytocin use and a significant increase in overall emergency CS, but also a significant increase in oxytocin used in labors without dystocia. A second study found a significant reduction in the frequency of oxytocin use, emergency CS overall, and emergency CS indicated for fetal distress with a non-significant decrease in CS due labor dystocia. A third study reported a statistically significant reduction in the maximum oxytocin dose, with a non-significant decrease in CS rate post-checklist. The fourth study found a statistically significant reduction in the frequency of oxytocin use, a non-significant decrease in CS rate, a statistically significant increase in CS due to labor dystocia with a statistically significant reduction in those due to fetal distress. All studies were assessed as very low quality of evidence based on GRADE.
Conclusion: The studies collectively demonstrate that a guideline-based approach on the precautious use of synthetic oxytocin during labor management leads to a reduced frequency of its use and/or a decrease in the maximum dose. However, the impact on emergency CS rates became a moving target as each study used different guidelines. This reveals the necessity of a standardized approach that includes a universal definition of labor dystocia and a protocol that guides when to start, continue, or stop oxytocin. This could be accomplished by a future study that assessed a dose response curve to evaluate if a low or high dose oxytocin regimen, in combination with a universal guideline with provided markers for when to initiate and stop synthetic oxytocin, would correlate to a decline in emergent CS rates.
Keywords: oxytocin, intervention, fetal distress, reduc*, obstetric labor complications, education, guidelines as topic, protocol, and checklist
Program Evaluation of a Mental Health Agency
No full textThe increasing emphasis on empirical use and psychotherapeutic treatment effectiveness guides the need to assess our local community mental health agencies. The impact of our community mental health agencies to reach underserved and low socioeconomic populations must be addressed to further benefit the therapeutic needs of these individuals. In this study, we demonstrate how outcome assessment was used to track progress and outcome of clients seen within a local community mental health agency in Portland, Oregon. Researchers have outlined the profound benefit from effective treatment, however, very few have determined effectiveness from individual agencies. In addition, researchers have examined the growth and positive effect community mental health has offered since deinstitutionalization. The aim of this proposed study is to explore treatment outcome for individuals served by a local community health agency. The need for mental health resources in Oregon, specifically, Portland, is at an all-time high. Small community mental health agencies have served individuals and families throughout the greater Portland metro area. The agency in this study serves clients that hover or fall below the federal poverty limit. Thus, a sliding scale is used to meet their clients’ financial concerns. The effectiveness of the treatment provided is assessed in this study. This study will highlight the benefit of mental health services In Oregon that do not hold to insurance limitations
Porter House Review Prize for Fiction (award)
No full textShort story The Urg received the Porter House Review Prize for Fiction in February 2019
The Beard Conceals and Reveals: Covert Hair in Fourteenth-Century Chivalric Romance
Get PDFWhat do beards indicate beyond physical aspects of sex? What do literary representations of beards and hair suggest in terms of masculinity? In the character portraits from Geoffrey Chaucer’s The Canterbury Tales, male hair and beards are used by the characters to keep their secrets and portray who they want other characters to see while the author uses beards and hair to reveal the hypocrisy of this to the reader. Inversely, in “Sir Gawain and the Green Knight,” hair is used for concealment; in this poem it is used to conceal Bertilak de Hautdesert’s true identity as the Green Knight. In this essay I argue the beards and hair of male characters in both The Canterbury Tales and “Sir Gawain and the Green Knight” are a synecdoche, standing in for both the key attributes of the figure and revealing his hypocrisy
The Original Scarlet Letter: Flyting, Green Girdles, and Medieval Order in England
Get PDFIn focusing on the gendered perceptions of shame in “Beowulf” and “Sir Gawain and the Green Knight,” I argue that shame is used as a tool to maintain the social order with male characters, while female characters are used in tandem with feelings of humiliation to maintain this order, often severely limiting their agency. In both texts feelings of humiliation and shame were emotions to be utilized in displays of dominance, primarily through the act of flyting; as one man worked tirelessly to belittle the other, his own social power was increased. Shame-based tactics, like the flyte work when maintaining the social order for male characters. Queen Modthryth of “Beowulf,” however, fails at properly fulfilling her role in Anglo-Saxon society, but is not provided with a flyte to acknowledge her behavior. In contrast Lady Bertilak from “Sir Gawain and the Green Knight” is used to test Sir Gawain’s dedication to the chivalric code, while Morgan le Fay inevitably maintains the social order in her orchestration of the Green Knight’s challenge; shame and its literary representations do not operate in the same ways for women as they do for men
From Stacking to Tasking: Throwing, Running, and Race in Quarterbacks
No full textThere is a documented history of stereotyped and harmful media portrayals of athletes based on skin color. Some of these evident stereotypes, such as a “brain vs. Brawn stereotype are evident within organizations as well, referred to as racial stacking. This racial stacking has seemed to decrease over time, however, a new form of stacking has emerged. Stacking has now become racial tasking, specifically within the quarterback position in football. ESPN classifications of individual quarterbacks (Pocket Passer vs Dual Threat) in cohorts of high school quarterbacks entering college football were examined for the presence of racial tasking. For the years 2013-2017, Black quarterbacks were far more likely to be categorized as Dual Threat, with White quarterbacks being more likely categorized as Pocket Passer. Racial tasking is present in the different levels of football and will most likely continue to have negative impacts on Black quarterbacks.
Keywords: race, racial stacking, racial tasking, football, racial inequalit
The Oregon Digital Newspaper Program’s Commitment to Open Access
Get PDFThe Oregon Digital Newspaper Program (ODNP) at the University of Oregon Libraries is an initiative to digitize historic and current Oregon newspapers, making them freely available to the public through a keyword-searchable online database. The ODNP is committed to open access and has included collaboration and data sharing with larger programs like the Library of Congress’ Chronicling America historic newspaper website. Since 2015, the ODNP has increased its open access mission by archiving and hosting born-digital newspaper content, as well as continuing digitization of historic newspapers from microfilm and print. This article outlines the ODNP’s past and current open access efforts, inclusion of diverse content, and open source, sustainable applications, websites, and workflows
