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As the fastest growing population sector worldwide, older adults are seen in almost every care setting in which clinicians practice. Developed as a resource for advanced practice nurses in any setting, Case Studies in Gerontological Nursing for the Advanced Practice Nurse presents readers with a range of both typical and atypical cases from real clinical scenarios. The book is organized into six units covering cases related to ageism, common health challenges, health promotion, environments of care, cognitive and psychological issues, and issues relating to aging and independence. Each case follows a similar format including the patient's presentation, critical thinking questions, and a thorough discussion of the case resolution through which students and clinicians can enhance their clinical reasoning skills. Designed to promote geriatric clinical education through self-assessment or classroom use, Case Studies in Gerontological Nursing for the Advanced Practice Nurse is a key resource for all those dedicated to improving care for older adults. © 2012 by John Wiley & Sons, Inc. All rights reserved.

The ideal user of scientific and technical information: shall we design one? The positive personality traits one would wish for in a spouse would do nicely for a start: patient; thoughtful; caring; able to see our (the librarians') virtues through the fog of early-morning not yet-wakefulness or late evening exhaustion; able to communicate needs and wants clearly and without a lot of emotional overtones; willing to work hard to obtain desired results; and apprecia tive of what We (librarians) do. Add to this other talents which, while useful, are less often associated with marriage: the ability to understand and retain complex organizational details; patience with less-than-perfect systems; an intuitive understanding of how information is organized; and a sense of how best to cope with the inter-face between the deluge of possible information resources and the limited needs of one particular user (not to mention limited capacities for retaining and controlling that information flood once the gates are open). © 1991 by The Haworth Press, Inc. All rights reserved.

The Lane Medical Library staff, working with a physician at Stanford University Medical Center, has developed a successful end user MEDLINE training program. 80th DIALOG and the National Library of Medicine’s (NLM) MEDLARS system are taught. Upon completion of the NLM course, students are eligible to receive academic credit and an NLM password. Several factors are identified as having been crucial to this success: (1) a strong working alliance between library staff and an enthusiastic physician, (2) early and ongoing support from influential leaders in the medical center, (3) minimization of barriers confronting potential end user searchers, and (4) strong emphasis on demonstration and hands-on practice. Costs and personnel support to achieve and maintain the program are discussed, and future plans outlined. © 1986 by The Haworth Press, Inc. All rights reserved.

A successful Software maintenance process depends on three factors: the maintenance goals, the technical properties of the system and the people performing the software maintenance. Most of the current work to investigate software maintenance only considers the first two factors, ignoring the third factor, which limits the scope and accuracy of these approaches. In this paper, we use change theory to introduce a deeper understanding of the software maintenance process. We utilize three change theories: Lewin's, Prochaska and DiClemente's, and Lippit's theories to introduce three different software maintenance models. These models consider the three success factors and incorporate contextual information to help maintainers better understand the software maintenance task to bring about an effective change.

Introduction: Like medicine, public health practitioners seek to understand causes of mortality, practices of humans and issues that can change population conditions, in order to preserve and care for life. The murder pandemic has been such in Jamaica that the World Bank sponsored a qualitative study on crime in urban areas in Jamaica in the late 1990s to provide a platform to guide policy intervention and programmes. As a result this study will fill the gap in the literature by providing the evidence to support that divorce and marriage are public health concerns from the perspective of murders. Objective: To evaluate the role of divorce and marital relationships on murders. Materials and methods: The data for this study are taken from various Jamaica Government Publications. The period for this work is from 1950 through 2013. Data were recorded, stored and retrieved using the Statistical Packages for the Social Sciences (SPSS) for Windows, Version 21.0. The level of significance that is used to determine statistical significance is less than 5% (0.05). Ordinary least square (OLS) regression analyses and curve estimations were used to determine models and best fitted models. Results: On average, annually, 523 Jamaicans are murdered (± 484), with there being 9,531 marriages (±22,747) and 904 divorces (±468). Logged marriage rate and divorce rate are factors of murder rate, with both independent factors accounting for 82.2% of the variability in the murder rate. Both factors are positively correlated with the murder rate, with the divorce rate accounting for most of the variance in the murder rate (R2 = 79.2%). Conclusion: Death can be extremely devasting to families, however, murder among married couples can severely disrupt the lives of both families along with any children from such relationship. © 2014, Chevron Publishing Corporation. All rights reserved.

This paper examines the factors surrounding the use of alcohol among Latino males. Prevention and treatment strategies for the provision of culturally competent treatment services are proposed, based on an analysis of the literature. © 1998 by The Haworth Press, Inc. All rights reserved.

Purpose: Evaluate five different recruitment strategies for their capacity to enroll and retain both healthy and vulnerable older adults as part of a multiyear influenza vaccination study. Methods: We analyzed recruitment methods and other characteristics of individuals who participated in or were considered for five sequential one-year studies. Results: Of 940 screened individuals, 820 met eligibility criteria with 795 enrolled over the five-year study (307 primary participants). Among these enrollees, 63.4% were female and 95.5% were white, with mean ages of 75.3 (older group) and 30.6 (younger group). More than a half (56.7%) of the participants enrolled more than once, participating an average of 2.56 (SD=1.6) times. The majority (81.9%) of individuals recruited each year were return participants identified during earlier recruitments. Physician referrals resulted in only 5.3% recruitments. Conclusions: Recruitment and retention of study subjects, especially older adults, was facilitated by the existence of a database listing past participants.

Examining a wide range of works, from Gulliver's Travels to The Hunger Games, Representing the Modern Animal in Culture employs key theoretical apparatuses of Animal Studies to literary texts. Contributors address the multifarious modes of animal representation and the range of human-animal interactions that have emerged in the past 300 years. © Jeanne Dubino, Ziba Rashidian, and Andrew Smyth 2014. All rights reserved.

If you are ever faced with an oncoming truck, this paper could save your life. We investigate the optimal path that you should take from the middle of the road to the curb in order to avoid being hit by an oncoming truck. Although your instincts may tell you to run directly toward the curb, it turns out that this path, although the shortest, is not generally the safest.

This phenomenological study explored 6 new counselors' experiences working in community mental health centers and their experiences of the Council for Accreditation of Counseling and Related Educational Programs-accredited training received in preparation for such work. Three themes from the interviews were identified to provide implications for counselor preparation: contextual descriptions, essential graduate training components, and supportive factors. © 2014 by the American Counseling Association. All rights reserved.

This article presents changes, along with historical perspectives, in the World Gymnastics Championships during the last 110 years - 1903 to 2013. Changes include: the events contested, team and individual achievements and dominance, debut of skills, difficulty expansion, judges, scoring, competition format, Finals qualification system, expansion of FIG affiliation, frequency cycle of the WC, number of teams and gymnasts per competition, age requirement of gymnasts, team size, venues, apparatus, devices for learning, education and certification courses, disseminating information, and expanded media coverage.

Using the known detection limits for high-resolution imaging observations and the statistical properties of true binary and line-of-sight companions, we estimate the binary fraction of Kepler exoplanet host stars. Our speckle imaging programs at the WIYN 3.5 m and Gemini North 8.1 m telescopes have observed over 600 Kepler objects of interest and detected 49 stellar companions within 1 arcsec. Assuming binary stars follow a log-normal period distribution for an effective temperature range of 3000-10,000 K, then the model predicts that the vast majority of detected sub-arcsecond companions are long period (P > 50 yr), gravitationally bound companions. In comparing the model predictions to the number of real detections in both observational programs, we conclude that the overall binary fraction of host stars is similar to the 40%-50% rate observed for field stars. © 2014. The American Astronomical Society. All rights reserved..