27217 research outputs found
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Whistle
No full textWhistle is a blurred boundary collection of short stories and essays based on my experiences growing up in Walsenburg, Colorado. The eight distinct pieces feature similar characters and overlap thematically across both genres.Creative WritingMastersUniversity of New Mexico. Dept. of EnglishMueller, DanielMartin, GregVizcaino-Aleman, MelinaRapp Black, Emil
THE LIVED EXPERIENCES OF COUNSELING PROFESSIONALS CONDUCTING SUICIDE RISK ASSESSMENTS FOR YOUTH: A PHENOMENOLOGICAL APPROACH
No full textThis study explored the lived experiences of counseling professionals conducting suicide risk assessments for youth kindergarten through 12th grade receiving a suicide risk assessment recommendation. A qualitative phenomenological approach was utilized to capture the perceptions of the participants in this study. Fifteen (15) in depth, semi-structured interviews and a focus group with seven (7) returning participants were the primary sources of data for this study. Five (5) themes emerged: Care, Supervisory Relationship, Challenges, Symptoms of Vicarious Trauma and Transcendent Growth Experiences. Implications for the counseling profession may encompass enhanced organizational development, supervision, training and clinical preparation for counseling professionals providing a vital service to youth and their families.Doctor of PhilosophyDoctoralUniversity of New Mexico. Division of Individual, Family and Community EducationRifenbary, DeborahGoodrich, Kristopher M.Perry, Christina M.Kamal, Reshm
Notice of a Request for a Class 3 Modification to the Resource Conservation and Recovery Act Facility Operating Permit, Sandia National Laboratories
No full textThe Department of Energy/National Nuclear Security Administration (DOE/NNSA) and Sandia Corporation (Sandia) are submitting a request for a Class 3 Modification to the Resource Conservation and Recovery Act Facility Operating Permit (the Permit) for Sandia National Laboratories (SNL). The DOE/NNSA and Sandia are requesting that the New Mexico Environment Department (NMED) designate solid waste management units (SWMUs) 8, 58, 68, 149, 154, and 502 as approved for Corrective Action Complete status. The DOE/NNSA and Sandia have implemented corrective measures at these 6 SWMUs in accordance with the requirements of an April 2004 Compliance Order on Consent between NMED, DOE, and Sandia, and the plans approved by NMED. The NMED made preliminary determinations in January and February 2016 that corrective action is complete at these SWMUs, which are located on Kirtland Air Force Base immediately southeast of Albuquerque, New Mexico.
Information about these SWMUs will be presented in poster format at a meeting on Tuesday, June 21, 2016, 6:00 – 8:00 p.m. at Manzano Mesa Multigenerational Center, located at 501 Elizabeth SE in Albuquerque. Posters will be available for review, and personnel from SNL will be available to answer questions during the entire meeting. Attendees will also be able to make written comments during the meeting. All written comments submitted during the meeting will be forwarded to the NMED
Exercise versus no exercise for treatment of post-thrombotic syndrome
No full textPurpose: The purpose of this case study and evidence based literature analysis is to determine the effect of exercise on symptoms due to venous insufficiency in those with post-thrombotic syndrome (PTS). Background: Post-thrombotic syndrome (PTS) is the most common long-term complication from a deep vein thrombosis (DVT). PTS is a form of venous insufficiency that occurs in an area that has previously been diagnosed with a DVT. PTS can greatly affect an individual's quality of life and requires, sometimes frequent, medical attention. Common symptoms can range from minor to severe and include: leg swelling, limb pain, intractable edema, leg ulceration, and skin changes. Although there has been advancement in the medical field with prevention of DVT, it still affects 1 to 3 of 1,000 people in the general population annually, and studies have shown that 20% to 50% of those develop PTS. The use of compression stockings and/or pharmacotherapy is a popular subject in PTS research; however, research on exercise as an effective treatment is less available. Case Description: This study is based on a 61-year-old female presenting to the emergency room in November 2015 with complaints of severe abdominal pain. She was then admitted to the hospital under inpatient status to undergo a cholecystectomy. Following surgery, this patient was evaluated by a physical therapist and deemed inappropriate for discharge at that time due to nausea and high level of pain. This patient then complained of right popliteal pain with an insidious onset and had a positive Homan's sign on the right as assessed by a physical therapist. Shortly after onset of pain, this patient was positively diagnosed with a DVT and was placed on anticoagulants. This patient’s course of treatment inspired the following PICO question: for those patients who have suffered a DVT and have been diagnosed with post-thrombotic syndrome, does a regular exercise program versus no exercise at all decrease frequency and severity of symptoms due to venous insufficiency? Outcomes: A review of current literature showed that there is limited research available on exercise and PTS. Analysis of literature was extended to include the effects exercise has on venous insufficiency and venous ulceration. Several studies were analyzed and all produced similar results: exercise is not harmful for those with venous insufficiency and/or PTS and can be a beneficial treatment that may improve patients' quality of life in a variety of ways. Discussion: Of all 9 articles analyzed, one crucial piece of information was clear: exercise is safe for those with venous insufficiency and/or PTS. Overall, these articles showed that exercise either has no effect or has a positive effect on those suffering from venous insufficiency and/or PTS. Favorable effects of exercise include improved calf muscle pump function, calf muscle strength, calf muscle endurance, ankle ROM, severity of symptoms, patient reported pain, ability to perform ADLs, and quality of life. In addition, studies addressing individuals with venous ulceration, due to venous insufficiency, exercise showed to promote increased healing of ulceration. Based on the preceding evidence, exercise should be considered as an adjunct to medical treatment for venous insufficiency, including those diagnosed with PTS. Exercise aimed at lower body strengthening and conditioning will prove to be beneficial for this patient and should be considered as an outpatient treatment following her DVT. Further research should be conducted to address specific exercise guidelines for those diagnosed with PTS
Dry needling's efficacy in chronic low-back pain
No full textBackground and purpose: Physical therapy is a common treatment with multiple interventions for patients with chronic low-back pain. Chronic low-back pain is a common diagnosis with significant complexity in treatment. The purpose of this study is to research and discuss if dry needling enhances the efficacy of standard treatment for patients with chronic low-back pain. Case Description: The patient in this case is a 35 year-old female diagnosed with chronic low-back pain. She initially presented to physical therapy following a motor vehicle accident that resulted in neck, upper-back and lower-back pain. Her disability from neck and upper back pain resolved quickly. The low-back pain persisted through the course of treatment and progressed to chronic low-back pain including psychological factors and related disability. She was reevaluated following seven months of physical therapy without complete resolution of symptoms. Her most significant limitations at reevaluation include an inability to stand more than 15 minutes, pain with prolonged sitting over two hours, and an inability to return to previously enjoyed high-level activities including running. Outcomes: Nine articles were found through literature searches and critically evaluated. The literature demonstrated support for adding dry needling to a course of treatment including exercise, manual therapy and education. The patient appeared to have temporary improvements following the addition of dry needling to the course of treatment. These improvements did not persist, and the patient was referred for further imaging following five treatments that included individualized therapy including dry needling for the low-back pain. Discussion: High quality literature regarding dry needling for chronic low-back pain is lacking. The author utilized literature regarding acupuncture and dry needling, finding it to support the addition of trigger-point dry needling to standard care for a patient with chronic low back pain. The patient presented did not respond well to this treatment, and due to multiple factors, was referred for further imaging with a physician. Further studies to create guidelines for optimum dosing are needed
Exercise Training modalities for improving mobility in adults with multiple sclerosis
No full textBackground/Purpose: This paper was written to investigate potential rehab techniques for a patient with multiple sclerosis (MS) who was having difficulty with mobility. This research addresses the PICO question: Is resistance training or endurance training more efficient at improving mobility in adults with multiple sclerosis. There are many treatment options when working with a patient who has MS and this paper looks into the best practice for improving mobility.Case Description: Mrs. G. presented to outpatient physical therapy with primary progressive multiple sclerosis with an Expanded Disability Status Scale (EDSS) of 8.5 indicating that she is limited to her bed, chair, and wheelchair. She presented to an outpatient physical therapy clinic with decreased strength and mobility. She wanted to improve her ability to transfer to and from her wheel chair. Outcomes: A review of current literature found varying evidence supporting the efficacy of resistance and endurance exercises improving walking mobility in people with MS. Not all research found improvements in mobility after resistance training. Research looking into endurance training for improving mobility in people with MS found statistically significant data supporting this intervention. One study comparing resistance and endurance training for improving walking mobility found both interventions statistically similar (Sabapathy NM, Minahan CL, Turner GT, and Broadley SA, 2011). Discussion: The literature about improving mobility in people with multiple sclerosis focuses mainly on improving walking speed. There was no research on increasing bed mobility in patients with multiple sclerosis who scored higher than an 8 out of 10 on the EDSS meaning that they were restricted to bed, chair, and wheelchair activities. With this limitation in MS research, it is difficult to draw conclusions relevant to this case study. There is a need for further research into improving mobility for patients with more severe MS
"THE DISTEMPER OF A GENTLEMAN": GROTESQUE VISUAL AND LITERARY DEPICTIONS OF GOUT IN GREAT BRITAIN 1744-1826
No full textIn this dissertation I explore the way in which visual and literary representations of gout in British literature and popular culture during the period 1744-1826 evince anxieties regarding over-consumption, particularly in relation to imperial expansion. I argue that the prevalence of gout in graphic satire indicates a common cultural understanding and perception of upper-class over-consumption of food, alcohol, material goods, and sex that threatens the health of the entire British body politic. These depictions provide a way through which the interests of those outside of the ruling classes can begin to develop a sense of community and subtly articulate a voice calling for an alteration or revision of the unwritten constitution of the nation. In chapters one through three I demonstrate the ways in which examples of gout in graphic satire evidence widespread dissatisfaction with upper-class over-consumption as it affects the nation’s political, economic, and social systems. In chapter four I examine representations of gouty men of the aristocracy and upper gentry in Sarah Fielding’s The Countess of Dellwyn and Tobias Smollett’s The Adventures of Roderick Random; I contend that Fielding and Smollett offer rather more radical and nuanced depictions of this stock figure than those common within the graphic satire of the era. These authors’ representations thus offer greater possibilities for revision of the unwritten constitution structuring the nation and its institutions. In chapter five I argue that Samuel Richardson’s Clarissa depicts Mr. Harlowe as a nouveau riche character representative of the changing physiognomy of the upper classes; his over-consumption demonstrates the contagious nature of immoderation and the tragic effects that it has upon women, who are treated as commodities used to enable further aggregation and aggrandizement.EnglishDoctoralUniversity of New Mexico. Dept. of EnglishHouston, GailWoodward, CarolynHunt, AeronHaynie, AeronBrandzel, Am
Avalanche ISFET Sensing Chip for DNA Sequencing
No full textDNA sequencing is a fundamental tool for biological science, aimed primarily at uncovering the genetic contributions to diseases. The first Human DNA sequence, which employed conventional fluorescent-based Sanger Sequencing method, took many years to complete at a cost of over three billion dollars. In one survey, it shows that Human Genome Project (HGP) had generated more than 20 billion in personal income for Americans and 310 thousand jobs in USA, only during year 2010. The HGP has increased the need for high-throughput, low cost, fast, accurate and inexpensive DNA sequence technique. This demand has forced a fundamental shift away from the conventional Sanger sequencing technique to Next Generation Sequencing (NGS) technique for genome analysis. NGS techniques provide high-throughput; low cost, user-friendly DNA sequencing and they are opening fascinating new opportunities in biomedicine. In near future, as the price of complete DNA sequencing goes further down to a few hundred dollars, we will then have DNA sequence data of millions of people. The enormous DNA sequencing data and corresponding correlation will allow us to figure out which sequences are responsible for which traits. As we relate the sequences of all of these people to their traits, we will be able to connect the dots and learn the genetic equations that define health, disease, longevity, intelligence, and other personality traits.
In this dissertation, we propose a new avalanche ion-sensitive field effect transistor (A-ISFET) capable of sensing very weak pH changes during DNA synthesis. This is the first attempt to operate ISFET in avalanche mode. A-ISFET is the core of our proposed highly dense, low-cost and high-throughput DNA sequencing technique. To validate our proposed concept, we have designed, laid-out, fabricated, and successfully tested a test chip with arrays of A-ISFET using TSMC 0.25um CMOS process. Our research also includes the development of data processing circuits and system architectures for fast and efficient data processing. The test chip is used as the verification of this new DNA sequencing concept and the validation of the interfacial circuitry for the synchronization of sensing system. Each of the unit cells in the test chip is accessed through column-select and row-select signals during readout process. We design a test environment and test setup for correct readout of the sensing data from the chip through proper synchronizing signal. A specially milled and shaped structure is used to inlet and outlet the bio-chemical on the gate surface of the A-ISFET arrays. The inlet and outlet is attached to a time-controlled valve to control the flow of liquids on the surface of A-ISFET chip for test and verification of this novel DNA sensing concept. The test chip has been tested both at normal mode and at avalanche mode. Test results show that the sensitivity at avalanche mode is 6 times more than the normal mode of operation.
We have developed a model to determine the signal-to-noise ratio (SNR) of A-ISFET. The model identifies that there is an optimum bias point of A-ISFET to have maximum SNR sensitivity from the sensor. Every electronic device generates its own intrinsic noise, in addition to other induced noise from associated nearby components. We have identified different noise components of A-ISFET and have modeled their respective characteristics with bias change. Different noise components that we find in A-ISFET are thermal noise, flicker noise, shot noise, and dark current noise. This noise modeling of A-ISFET sensor will help us to understand noise sources better and to predict the sensor behavior with change of bias. Using the noise model, we can select a bias point to minimize the noise impact of A-ISFET sensor and maximize its SNR.
We also have developed a physical operation-based drain current model for A-ISFET during avalanche operation. Since A-ISFET operates in avalanche region, an accurate model for the breakdown behavior is therefore very important from both circuit design and circuit reliability point of view. The avalanche breakdown can result from impact ionization, a parasitic bipolar transistor, or the punch-through effect. Our developed model of A-ISFET drain current at avalanche region is due to impact ionization. We have validated the drain current model at avalanche through a correlation study among analytical model results, SPICE simulation results, and experimental measured results.Doctor of Philosophy : EngineeringDoctoralUniversity of New Mexico. Dept. of Electrical and Computer EngineeringZarkesh-Ha, PaymanCalhoun, VinceEdwards, JeremySharma, AshwaniSzauter, Pau