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Self-Administered Psychotherapy for Chronic Non-Cancer Pain and Depression
No full textClinical Question: In adult individuals with a diagnosis of chronic non-cancer pain (CNCP) and depressive symptoms, do self-administered cognitive behavioral therapy (CBT) and mindfulness exercises decrease Numerical Pain Rating Scale (NPRS) scores? Purpose: CNCP negatively impacts quality of life, which is often exacerbated by a comorbid diagnosis of depression. The combination of chronic pain, depression, and low quality of life results in limited improvement when treating CNCP. Treatment methods for CNCP are typically focused on pharmacologic options that tend to carry higher treatment risks and negative outcomes. Despite evidence that psychological treatment options are beneficial for CNCP patients and depressed patients, there is a lack of access to these services. Focus must be directed on treating CNCP and depression together while simultaneously improving access to less utilized, safer treatment options such as CBT and mindfulness. Methods: A cross-sectional, single blind, randomized controlled study was conducted for CNCP adults with depressive symptoms. The independent variable of self-administered CBT and mindfulness techniques was performed for 8 weeks in the experimental group. The NPRS, Patient Health Questionnaire-9 (PHQ-9), and Quality of Life Scale (QOLS) were utilized in the control and experimental group to assess the dependent variables of pain severity, depression severity, and quality of life. Inclusion Criteria: Age 18 and older, diagnosis of CNCP, PHQ-9 score greater than or equal to 5, no thoughts of self-harm, access to a computer/smartphone, email address, ability to read and write in English. Analysis: SPSS and JMP software was utilized. A 2X2 mixed design ANOVA was run on each dependent variable. Homogeneity of covariances was tested with Levene’s test. Significance was set at p \u3c .05. There was a marginally significant change in the experimental group for pain, however after Tukey correction p = .059 for NPRS scores. Implications for Practice: Self-administered CBT and mindfulness interventions may be effective in improving clinical outcomes for CNCP and depression. Further research is needed on self-administered psychotherapy to determine efficacy of this intervention as an adjunct management tool for chronic pain. This study data confirms that all individuals with CNCP should be screened for depression with a validated screening tool, as it is evident CNCP and depression occur in conjunction
Your One Wild and Precious Life: The Prayer-poems of William Blake & Mary Oliver
Get PDFThe poetry of illuminated printmaker William Blake is remembered long after his death and the passing of the Romantic Movement of the late 18th and early 19th centuries. His collection, Songs of Innocence and Experience, examines individualism in celebration of the natural world and connections with God, or the divine, by using animals as subjects and metaphors for the human condition. Readers of Blake\u27s work can see the influence of his prayer-poems in the works of other writers, such as the late American poet Mary Oliver, whose poetry is also rich in religious undertones. While Blake\u27s The Lamb and its counterpart, The Tyger, speculate on the origins of creation, Oliver\u27s prayer-poems are an update on Blake\u27s for a more secular 21st-century world. Oliver\u27s Hummingbirds and Wild Geese are relevant to the modern reader in an examination of their humanity and spiritual connections to all of creation
Sciadopitys verticillata (Japanese Umbrella Pine), #1065-1067
Get PDFOver the course of the 2021 spring semester, I observed a grove of Japanese Umbrella Pines. These trees are a part of the University\u27s arboretum. In addition to making weekly observations, I researched the cultural significance of the Umbrella Pines. My research will hopefully contribute to future projects regarding the trees and help to enrich the University\u27s arboretum project.https://digitalcommons.salve.edu/bio140_arboretum/1028/thumbnail.jp
Preferred Learning Styles of Retail Health Providers: A Pilot Quality Improvement Project
No full textRetail health clinics continue to expand in the United States and offer a vast array of services including treatment for both acute and chronic health care needs. The providers who staff the retail clinics must be efficient with evidenced-based practice guidelines to provide the best care for the numerous patients seeking this type of health care. The Knowles Adult Learning Theory explains that for learning to be most effective in adults, a preferred learning style should be acknowledged and then exercised with learning. Despite many resources and time spent providing educational resources to the providers practicing in retail health clinics, there is a gap in knowledge regarding the preferred learning modalities to improve learning effectiveness. The purpose of this quality improvement study is to test the theory of Knowles Adult Learning Theory to identify the providers in retail health setting\u27s preferred learning style for effective competency learning of evidence-based guidelines. Quantitative data was collected through a researcher-developed survey within one organization specializing in family health and provides healthcare services to adults and children from 18 months and older. The organization chosen for this quality improvement project is most respected for offering convenient, affordable, and quality care. Implications into practice for this study include retail health organization educators improving the quality of learning provided to the retail health providers through identifying preferred learning styles to promote effective competency learning of evidence-based practice guidelines.Keywords: learning styles, adult learning, retail health, provider educatio
Graphic Newport, 1830-1930
No full textIn her “Graphic Newport, 1830-1930,” Nancy Whipple Grinnell documents the prolific accomplishments of many artists who rendered scenes of Newport and Newport life via graphic media—engravings, lithographs and new forms of printmaking. Covering a century of work, Grinnell carefully records different graphic techniques and the artists who used them in depicting life and landscapes in and around the city of Newport. This comprehensive and richly illustrated study will provide a substantial foundation for future work on the subject. Nancy Whipple Grinnell is Curator Emerita of the Newport Art Museum, where she served from 1998 through 2016. She is the author of a biography of the museum’s founder, Carrying the Torch: Maud Howe Elliott and the American Renaissance, and numerous museum catalogues and brochures. Grinnell’s recent projects have included organizing historical exhibitions for the Gilbert Stuart Museum with accompanying articles in American Art Review and producing the catalogue Rediscovering Matunuck: the Woodcock Collection of Hale Family Art. She chairs the Collections Committee at the Providence Art Club and is working on a book about Newport artists, 1850-1950
Freethought for the Masses: The Philosophy behind the Writings and Publications of Emanuel Haldeman-Julius
No full textBetween 1919 and 1951, the United States was bombarded with published and written content by Emanuel Haldeman-Julius. Based out of the small rural town of Girard, Kansas, Haldeman-Julius helped to reshape the publishing world with his methods and philosophically driven content. In the process he created the largest mail-order publishing house in the world, sold over 500 million copies of his Little Blue Book series that contained over 2,500 titles, and skirted controversy nearly every step of the way. His goals were lofty—1) bring knowledge to the masses one five cent pamphlet at a time and through his many other publications 2) increase awareness of the philosophy of freethought to as many people as possible by creating a platform for freethought publications written by authors who were freethinkers 3) and to alter the path of popular culture by focusing on the individual as an agent of change, which over time would potentially lead to a mass social movement led by a freethinking public that made decisions based on science and rationality, free of superstition and public pressure that is attached to a population where religious belief is found in the majority. Despite the immense success he had as a publisher and the influence he wielded over the American landscape during this time, since his death he has largely gone unnoticed by history and has been forgotten by popular culture in the United States. His efforts promoting the philosophy of freethought to a mass audience for an extended period gets little recognition. What little that has been written on him nearly always focuses on his Little Blue Book pamphlet series and how it radicalized the marketplace of cheap literature. The philosophy behind it all, that of freethought, is rarely connected to the finished product, his publications and his writing
Identity and Terrorism
No full textTerrorism is prevalent not only in conflict zones, but also non-conflict zones, albeit at a much lower scale and smaller scope. There are no shortages of studies on conflict, terrorism, or those of identity. However, there remains a significant gap related to links between regions of preexisting conflict, identity mobilization, and the development of terrorism. With that in mind, this dissertation focuses on conflict zones because they are in more pressing need of being addressed. Although identity is not the source of violent conflict or terrorism, it still plays an important role. This dissertation argues terrorism is more pervasive in conflict zones where identity can be more easily mobilized. Preexisting regions of conflict commonly present conditions that act to increase the efficacy of salient forms of identity, thereby increasing its availability as a tool for mobilization by elites and increasing the likelihood of protracted conflict, extremism, and terrorism. As such, identity is not a cause for terrorism, but identity is mobilized in conflict areas, and specific organizations adopt terrorism on behalf of the identity group and its causes. In the following chapters the link between conflict, identity mobilization, and terrorism is substantiated through a thorough literature review, historical examples, scholarly research, case studies, and statistical data related to regions with preexisting conflict. The case studies and statistical data provide unbiased information for comparative analysis, which ultimately leads to the dissertation’s argument and conclusion. This dissertation discusses the common characteristics or traits of such regions, how identity mobilization takes place, and its role in intensifying violence and increasing the likelihood of terrorism. This study informs the current theoretical understanding by introducing an expanded focus on the relationship between conflict zones, identity mobilization, and terrorism. This is done with the goal to contribute and expand the knowledge and understanding of the subject of international security issues and to support future counterterror and preemption efforts
Blue Jay Call Profile in Disparate Environments
Get PDFMany species of birds have been observed to develop higher-pitched calls in urban environments; however local Blue Jays are unstudied (Mockford and Marshall, 2009). The urban environment\u27s high noise pollution imposes a significant fitness challenge; then, the urban Jay calls will be different (higher) than rural Jay(Parris and Schneider, 2009). A series of recordings were taken in rural and urban environments; it was clear that there is a significant increase in maximum and minimum kHz in urban jays than rural jays. These results suggest that blue jays alter their calls to accommodate the environmental factors in urban settings similar to the ways tropics and great tit papers suggest
Tilia cordata (Littleleaf Linden) #1059
Get PDFIn this paper I studied the Tilia cordata, more commonly known as the Littleleaf Linden, over the course of three months. I included the history and uses of the Linden tree along with its symbolic value in European culture. This tree symbolizes friendship and peace which coincides with the critical concerns of the Sisters of Mercy.https://digitalcommons.salve.edu/bio140_arboretum/1027/thumbnail.jp