9150 research outputs found
Sort by
What Can Be Done About A Disruptive Physician? A Legal Analysis
Get PDFHouse, a medical drama about an infectious disease specialist, entertained television audiences for years as the irascible and pill-popping physician solved medical mysteries with the zeal of a modern-day Sherlock Holmes while playing mind games with his coworkers. Uncanny intuition and eccentric thinking earned the physician great respect but his bullish behavior and antisocial tendencies were a distraction at the hospital. Not only did Dr. House clash with his fellow physicians but he also insulted patients, flouted hospital rules and caused great conflict with the hospital administrators. In fact, his actions often crossed the line into obnoxiousness and rage causing the hospital staff to tiptoe around his dysfunctional behavior. In the real world, Dr. House would be labeled a “disruptive physician” and would be subjected to disciplinary action including the loss of his hospital privileges. This article will explore the problems caused by being labeled a disruptive physician in a legal context with a focus on the peer review process and the relevant court cases
What You Don’t Know (Can Hurt You): Using Exam Wrappers to Foster Self-Assessment Skills in Law Students
Get PDF
A Study of Entrepreneurship Network Development
No full textThere is broad consensus among entrepreneurship scholars of the need to develop a more complete and integrated understanding of network development and change processes. This paper presents a study of entrepreneurship network development that quantifies network capital and network structure as the firm grows. The focus is on the transformation of entrepreneurship networks and how they develop over time. This research addresses an important gap in the entrepreneurship literature, where network relationships and network structure are simultaneously explored, and the dependent variable is the network itself. By drawing on the proposed arguments of Larson and Starr (1993) and Hite and Hesterly (2001), this study proposes integrating these two theoretical models to gain a more cohesive perspective of the evolution of the entrepreneur’s social network. This would provide scholars the ability to evaluate the various and often conflicting theoretical arguments, through micro- and macro-level lens, assessing changes in network ties and patterns of network structure. This research also tests for the moderating effects of industry environment, using a five-item scale to measure environmental dynamism. Findings from this research provide limited support for the propositions presented in the earlier literature, where the focus is on off-line networks. This research provides evidence that the rapid growth of online social network platforms and the interplay between offline and online networks have resulted in changing paradigms that require consideration of new theory that reflects the current business environment, where online networks have assumed a much greater role and the entrepreneur is less dependent on the resources and relationships provided by their offline networks
Energy-efficient Transaction Serialization
No full textThis dissertation presents two designs, the Transaction Serial Format (TSF) and the Transaction Array Model (TAM). Together, they provide full, efficient, transaction serialization facilities for devices with limited onboard energy, such as those in an Internet of Things (IoT) network. TSF provides a compact, non-parsed, format that requires minimal processing for transaction deserialization. TAM provides an internal data structure that needs minimal dynamic storage and directly uses the elements of TSF. The simple lexical units of TSF do not require parsing. The lexical units contain enough information to allocate the internal TAM data structure efficiently. TSF generality is equivalent to XML and JSON. TSF represents any XML document or JSON object without loss of information, including whitespace. The XML equivalence provides a foundation for the performance comparisons. A performance comparison of a C reference implementation of TSF and TAM to the popular Expat XML library, also written in C, shows that TSF reduces deserialization processor time by more than 80%
Effectiveness of Coloring as a Technique to Reduce Physiological and Psychological Stress
No full textColoring pre-drawn mandalas has been proposed as a brief, inexpensive, accessible distraction technique to reduce stress. The aim of the proposed study was to evaluate the effectiveness of coloring as a technique to reduce the both the physiological (i.e. blood pressure and heart rate) and psychological (i.e. negative affect) indicators of stress; the study also aimed to take into account the potential moderating effect of individual differences in ruminative response tendency. The goal was to help clarify some of the inconsistencies and gaps in the literature regarding the effectiveness of coloring for both physiological and psychological stress reduction. Keywords: coloring, mandala, stress, distraction, ruminatio
The Relationship between IQ and Adaptive Functioning in Adolescents and Young Adults with Schizophrenia Spectrum Disorder and Bipolar Disorder
No full textPrevious research has examined the relationship between intelligence and adaptive functioning (AF) in adults with Schizophrenia Spectrum Disorder (SSD) (which in this paper will refer to Schizophrenia and Schizoaffective disorder), and Bipolar Disorder (BD). These studies have suggested that many adults with these disorders, particularly SSD, have lower full scale intelligence quotients (FSIQs) and impairments in AF. However, studies on adolescents and young adults with psychotic or other severe psychiatric disorders, such as BD and low FSIQ\u27s rarely investigate AF impairments. Currently, there do not appear to be any studies investigating these relationships in adolescents with SSD and BD who are in residential treatment. The current study aims to fill this gap by examining the unique effect of psychopathology, specifically SSD and BD, on AF in an adolescent and young adult sample in residential treatment by controlling for IQ. One possibility is that those with SSD are particularly at risk for low AF because of the risk of low IQ associated with SSD. The relationship between Full Scale IQ Scores (FSIQ) and AF in adolescents and young adults with DSM-IV diagnoses of BD (43) and SSD (28) who were in residential treatment were examined. This study utilized a retrospective chart review of closed medical records of adolescents and young adults who were discharged from a residential treatment center between 2004 and 2014. It was anticipated that when controlling for IQ, the adolescents and young adults with SSD would have lower AF scores than those with BD. It was further hypothesized that when adolescents and young adults with SSD and adolescents and young adults with BD had equivalent levels of AF, those with SSD would need to have higher IQ scores to attain the same level of AF. The study found that individuals considered to have higher levels of AF had higher IQ\u27s, regardless of whether they had BD or SSD. Contrary to expectations, there was a fairly strong relationship between IQ and AF in individuals with BD and not in those with SSD. A value of this study is that it illustrates the limitations of the use of archival data in studies of the relationships between cognition and AF in youth with serious psychiatric disorders who are in residential treatment. Obtaining a more holistic picture of similar samples that incorporate additional demographic data, family histories, information on adverse life events, and detailed accounts of onset of diagnosis and symptoms, would help to more clearly elucidate the relationship between IQ and AF in youth with SSD or BD. Not only will this help clinicians gain a better understanding of these individuals\u27 performance, but it will also make them more cognizant in treatment of issues that may impact patients\u27 social, emotional, cognitive, and AF. Keywords: Bipolar disorder, Schizophrenia, Adaptive Functioning, Cognitive functioning, Adolescent
Separation-Individuation: A Psychoanalytic Examination of a Literary Character and Implications for Psychotherapy with Traumatized Adolescents
No full textThis doctoral project explores psychodynamic theories of separation-individuation processes of infancy and adolescence through an examination of the fictional narrator and protagonist of the novel The Catcher in the Rye. It examines the conceptions of Mahler, Kaplan, Loewald and Blos, and their clinical application to psychotherapy with adolescents. In particular, the study addresses the arrested development of Holden Caulfield, a 17-year old boy and the many ways in which his experience of trauma interfered with his ability to separate and achieve selfhood. His interpersonal difficulties, his thoughts, relationships to siblings, caregivers, teachers, and peers and his personal trauma combine to complicate his ability to separate and achieve individuation, the primary developmental task of adolescence. Theoretically, the present study applies a psychoanalytic framework to illustrate how the application of separation-individuation and trauma as presented in literature and life can inform clinical practice with adolescents and emerging adults. The limited focus on the relationship between trauma and separation-individuation in psychoanalytic research warrants further study in order to better inform clinical treatment. Recommendations and treatment interventions highlight the need for clinicians to be adept at working with traumatized adolescents by reflecting on the developmental needs of individuals during this critical age
Self-Identification in Multiracial Individuals
No full textThe multiracial (i.e. people of two or more races) population in the United States has existed for centuries and is growing; yet, much is still unknown about multiracial individuals\u27 identity development. Not much is known about which factors are predictive of the way multiracial individuals self-identify, though existing research has identified several factors that play a role in this process, including race-related physical appearance (Brunsma & Rockquemore, 2001; Rockquemore, 2002), familial relationships (Stepney et al., 2015), race-related experiences (Hall, 1992; Root, 1998; Salahuddin & O\u27Brien, 2011), and group membership variables (Davenport, 2016). However, these factors have not been examined together with regards to their relationship to self-identification and have not used measures specific to multiracial individuals. The current study used a mixed methods online survey to engage in a quantitative and qualitative examination of possible factors that influence self-identification and identity development in multiracial individuals 18 and older in the United States. Quantitatively, I tested whether race-related challenges unique to multiracial individuals, including challenges with racial identity, multiracial discrimination, and lack of family acceptance; parental closeness; race-related physical appearance; and demographic variables such as age, gender, SES, and racial group membership were associated with self-identification. Qualitatively, I asked participants to describe how any of the above factors influence their self-identification and identity any other factors they feel have influenced their identity development. The results of the qualitative and quantitative data indicate that race-related challenges, parental and peer closeness, race-related appearance, and group memberships were all important to the identification process, though the specific factors had with identification varied. Some race-related experiences and some group memberships (e.g. challenges with racial identity, Asian/Pacific Islander group membership) were associated with multiracial identification, while self-rated appearance was a marginal predictor of multiracial identification. Some race-related challenges and some group memberships were also associated with multiracial identity integration, conflict, and distance, while parental closeness and appearance were not. The qualitative results highlighted the complex ways in which similar experiences such as with parental closeness and physical appearance did play roles in people\u27s identification, but in different ways for different individuals that could not be detected as a consistent pattern quantitatively. The results of this study can help to inform current understandings of racial group identities, including specifically for multiracial individuals, as well as inform clinicians about how to best help these individuals, support them through challenges involved in multiracial experiences, and understand their identity formation processes. Keywords: appearance, biracial, ethnicity, identity, mixed, mixed-race, multiracial, race, parental closenes