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Cornelia de Lange Syndrome: In the Realm of Caregivers and Surviving
Cornelia de Lange Syndrome (CdLS) is a rare congenital disorder that occurs in 1 in 10,000 live births. The goal of this research project was to further understand the impact of caregivers on children with disabilities, specifically CdLS. The purpose of this research project was to critically analyze the caregivers of those with Cornelia de Lange Syndrome, using the social model of disabilities as a theory and Derrida’s “structure” as a method; I argued caretakers of those with disabilities, specifically CdLS need to be given support, as well as resources, in order to maintain a healthy environment and family for the individual with special needs. In the study, it was found that caregivers would like more resources for their child, whether that be awareness, respite, or long-term care facilities.
Key words: caregiver, Cornelia de Lange Syndrome (CdLS), disability, resources, respit
Gestational Diabetes Mellitus
This paper reviews what gestational diabetes mellitus is; it’s pathophysiology, epidemiology, risks, effects, clinical characteristics, screenings, diagnostics, treatment, and recommended follow up. Gestational diabetes mellitus rate has doubled during the last 20 years in the United States. There is currently only one FDA approved medication (insulin) for gestational diabetes mellitus; however there are a couple anti-hyperglycemic agents that are used off label for this disease. This paper looks at their efficacy and safety of such medications; metformin and glyburide. Current guidelines, clinical trials, retrospective studies, systematic reviews, and case reports were used to assess gestational diabetes and management. This is to help guide pharmacists to understand gestational diabetes mellitus, best practices to manage this disease state, and recommended follow up
Behavioral Inhibition and Posttrauma Symptomatology: Moderating Effects of Safety Behaviors and Biological Sex
Behavioral inhibition – a temperamental tendency characterized by general sensitivity to negative outcomes – is a trait-level factor thought to contribute to maintenance of posttraumatic stress disorder (PTSD). Anxiety-related safety behaviors – actions performed to prevent or mitigate feared outcomes and associated distress – may impact the nature of the relation between behavioral inhibition and trauma-focused symptoms by interfering with natural habituation of anxiety. The current research examined the unique and interactive effects of behavioral inhibition, safety behaviors, and biological sex on PTSD symptom clusters in undergraduates (N = 133; 74% female; 77% White/Non-Hispanic) reporting exposure to Criterion-A trauma. Regression models indicated direct effects of safety behaviors for cognition-mood (p = .001, pr = .323) and intrusion (p \u3c .001, pr = .354) clusters. A main effect of behavioral inhibition was also noted for cognition-mood (p = .046, pr = .178). Participant sex moderated the relation between safety behaviors and arousal-reactivity symptoms (p = .035, pr = .187) with men demonstrating a stronger association as compared to women. Sex also moderated the relation between safety behaviors and avoidance-reactivity (p = .033, pr = -.190) with only women evidencing an association between safety behaviors and symptoms. Safety behaviors moderated the relation between behavioral inhibition and arousal-reactivity (p = .002, pr = .272) such that inhibition only predicted symptoms at high utilization of safety behaviors. Results suggest trauma-related safety behaviors are associated with more severe posttrauma symptoms though effects vary across sex and symptom cluster
EWB-WYO Comunidad Maya Water Distribution System Design
For the past five years, the University of Wyoming chapter of Engineers Without Borders (EWB-WYO) has worked with a small community in Guatemala to renovate the town’s water distribution system. Comunidad Maya receives its water supply from two spring box systems installed in nearby hills, but has suffered lately from insufficient water delivery. EWB-WYO has sent multiple teams to analyze the predicament from various angles and to ascertain the primary causes of the water shortage. These trips have been followed by periods of design and redesign, as EWB-WYO has sought the best long-term solution for the community.
In recent months, a design team of four students has created functional models of the entire pipe network, seeking to discover the regions of most critical loss within the system, and propose implementable changes. Various alternative designs were investigated and processed through multi-criteria decision and cost-benefit analyses. The most cost-effective, sustainable modifications were then selected for implementation, which is expected to take place in upcoming months
Ethics in and Out of the Courtroom
Ethics is something which influences each of us on an everyday basis. Within this paper, I explore ethical philosophy and individual ethics within the judicial system. The knowledge is varied on a case by case basis but each respondent felt a greater degree of education in ethical philosophy would benefit our court system