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Background: According to the Healthy People 2020 goals, the sustainability of breastfeeding duration rates within the United States has not been achieved. To increase these rates, it is important that women with breastfeeding difficulties receive the support needed to continue breastfeeding. When supplementation occurs, it is essential that the breastfeeding relationship be preserved. Various methods of supplementation are often recommended including use of the supplemental feeding tube device (SFTD). Purpose: The question guiding this brief is “What evidence exists to support the use of an SFTD as a method of supplementation for breastfed infants?” Search Strategy: The PubMed and CINAHL databases were queried for original research published in English from 1990 through July 2016. Search terms included “supplemental feeding tube,” “breastfeeding,” “term infants,” “premature infants,” “Supplemental Nursing System,” “Lact-aid,” and “supply line.” Findings: Very limited research exists on the use of SFTDs as a method of supplementation for breastfed infants; however, existing research suggests that an SFTD may be useful as a supplementation method for breastfed infants. High-quality research is needed to evaluate the efficacy of using an SFTD for supporting exclusive and all breastfeeding rates. Implications for Practice: Nurses and providers need to be educated and trained in the use of SFTDs as well as all supplemental feeding methods. Information on efficacy and SFTD use should also be included in policies related to breastfeeding and human milk use. Implications for Research: Further research should determine best methods of supplementation for breastfed infants and should examine differences in breastfeeding rates when using the SFTD for supplementation.

Transforming the way thousands of professional school counselors approach their work with students Transforming the School Counseling Profession demonstrates how to effectively implement systemic, data-driven school counseling programs.This clearly written text presents the profession in easy-to-understand language, and is illustrated with numerous applied examples, case studies, and vignettes. The 5th Edition has been updated to include all of the latest CACREP, ASCA, and ACA standards. It also now includes the DSM-5. Coverage of cultural competence has been expanded throughout the book. Also available with MyLab Counseling MyLab is the teaching and learning platform that empowers you to reach every student. By combining trusted author content with digital tools and a flexible platform, MyLab personalizes the learning experience and improves results for each student. MyLab Counseling organizes all assignments around essential learning outcomes and the CACREP standards–enabling easy course alignment and reporting. Note: You are purchasing a standalone product; MyLab Counseling does not come packaged with this content. Students, if interested in purchasing this title with MyLab Counseling, ask your instructor to confirm the correct package ISBN and Course ID. Instructors, contact your Pearson representative for more information. If you would like to purchase both the physical text and MyLab Counseling, search for: 0134669843 / 9780134669847 Transforming the School Counseling Profession plus MyLab Counseling with Enhanced Pearson eText -- Access Card Package Package consists of:       0134610598 / 9780134610597 Transforming the School Counseling Profession 0134642651 / 9780134642659 MyLab Counseling with Enhanced Pearson eText -- Access Card -- for Transforming the School Counseling Profession

We have measured the absolute proper motion of the Sextans dwarf spheroidal galaxy using Subaru Suprime-Cam images taken at three epochs, with a time baseline of ~10 yr. We astrometrically calibrate each epoch by constructing distortion-correction 'maps' from the best available Subaru Suprime-Cam dithered data sets and from Gaia Data Release 1 positions. The magnitude limit of the proper motion study is V ~ 24. The area covered is 26.7 × 23.3 arcmin2, which is still within the core radius of Sextans. The derived proper motion is (μα, μδ) = (-0.409 ± 0.050, -0.047 ± 0.058) mas yr-1. The direction of motion is perpendicular to the major axis of the galaxy. Our measurement, combined with radial velocity and distance from the literature, implies a low eccentricity orbit, with a moderate inclination to the Galactic plane, and a period of 3 Gyr. Sextans is now some 0.4 Gyr away from its pericentre (rperi ~ 75 kpc), moving towards its apocentre (rapo ~ 132 kpc). Its orbit is inconsistent with membership to the vast polar structure of Galactic satellites. © 2018 The Author(s).

Rapid advances in neural imaging, particularly in regard to neural plasticity and brain changes, have resulted in an evolving neurorehabilitation paradigm for aphasia and related language disorders. Aphasia and Related Neurogenic Language Disorders has been adopted worldwide as a text for aphasia courses. This new 5th edition by Leonard LaPointe and Julie Stierwalt encompasses state-of-the-art concepts and approaches from an impressive cadre of experts who work in research labs, classrooms, clinics, and hospitals-including the world-renowned Mayo Clinic.As in previous editions, this book embraces a humanistic approach to treatment, addressing multicultural and multilinguistic considerations and social model interventions. The text encompasses a full continuum of cognitive-language disorder management-from everyday practicalities, assessment, and treatment to disorder-specific cases with evidence-based data. Additions to the 5th edition include chapters on pragmatics and discourse, telepractice, digital and electronic advances, funding and reimbursement, and comprehension, syntax, and linguistic based disorders.Key Features:A new chapter on neuroanatomical basics features exquisite illustrationsAn in-depth look at neurogenic communication disorders from Mayo Clinic provides firsthand insights on treating patients in an acute care hospital settingDiscussion and test questions, case studies, and clinical pearls offer invaluable didactic guidanceA chapter on expanded traumatic brain injury covers blast injuries and multisystem injuriesThis is the most comprehensive yet concise resource on aphasia and related disorders available today. New legions of speech language pathology students, residents, course directors, and practitioners will discover a remarkable guide on the treatment of communication disorders.

Edith Richman Stolzenberg (1913–2004) was the first woman to be hired as a social worker in Hartford Public High School in Hartford, Connecticut. In a career that spanned 60 years and much of 20th-century social welfare history, she was motivated by the social justice tradition of her Jewish upbringing and the religious value of hospitality to advocate for children and families. As we enter a harsh new era for social services, this oral history explores the radical possibilities for integrating social work goals and religious values.

Peers are an important adjunct to the public mental health service system, and are being increasingly utilized across the country as a cost-effective solution to workforce shortages. Despite the tremendous growth of peer-delivered support over the past two decades, it has only been within the past few years that peer programs have been the subject of empirical inquiry. The purpose of this study was to examine the prevalence and characteristics of peer-delivered parenting programs across the New York State public mental health service system. We surveyed 46 family peer organizations across New York State regarding their delivery of structured peer-delivered parenting programs. Thirty-four (76%) completed the questionnaire, and of them, 18 (53%) delivered a parenting program. Subsequent interviews with seven of the 18 organizations revealed peer organizations had been delivering eight unique parenting programs for upwards of two decades. Additionally, organizations offered multiple supports to families to participate. Training, supervision, and issues around fidelity are discussed, as well as the implications of this study for states utilizing a peer workforce.

Studies of the institutional development of the presidency and popular leadership by presidents over time lead us to contrary expectations as to how a nineteenth-century president would react to a major political scandal. Scholarship on newspapers of the late 1800s is also unclear on how a quasipartisan media, with some outlets moving toward independence, would cover a White House scandal. I find that a close analysis of the case of President Ulysses S. Grant and the Whiskey Ring scandal forces us to reconsider what we assume to be firmly modern developments in both presidential studies and media history. Though a supposedly “premodern” president, Grant still mounted a concerted effort to mitigate the damage of the scandal. Further, although the president could get his version of events across in prominent newspapers, Republican newspaper coverage was hardly reliable. Newspapers also connected politicians’ character and psychology to mistakes made in office and made presidential strategies to shape public perception clear to their audiences—emphases on political gamesmanship considered hallmarks of the modern media environment.

The traditional architecture of serial fusion based multi-biometric verification systems places an average performing or the worst performing individual verifier in the final stage. Because the final stage gives the verification decision using a single threshold and takes on the most confusing samples which are rejected by all previous stages, an average or the worst performing individual verifier may incur high verification errors in the final stage, which may negatively impact the performance of the whole system. Unfortunately, it is not possible to place a strong individual verifier in the final stage of a traditional architecture because if we place a strong individual verifier in the final stage, we will have to place a weak individual verifier in an earlier stage. Studies show that placing a weak individual verifier in an earlier stage worsens the performance of the whole system by giving more wrong decision earlier. Hence, the challenge is-how can we place the best performing individual verifier in the first stage and at the same time not place an average or the worst performing individual verifier in the final stage? In this paper, we address this challenge. We have come up with a very simple but effective solution. We have proposed a modification to the traditional architecture of serial fusion based multi-biometric verification systems. With rigorous experiments on the NIST multi-modal dataset and using three serial fusion based multi-biometric verification schemes, we demonstrated that our proposed architecture significantly improves the performance of serial fusion based multi-biometric verification systems. © 2018 IEEE.

Visual information on a talker's face can influence what a listener hears. Commonly used approaches to study this include mismatched audiovisual stimuli (e.g., McGurk type stimuli) or visual speech in auditory noise. In this paper we discuss potential limitations of these approaches and introduce a novel visual phonemic restoration method. This method always presents the same visual stimulus (e.g., /ba/) dubbed with a matched auditory stimulus (/ba/) or one that has weakened consonantal information and sounds more /a/-like). When this reduced auditory stimulus (or /a/) is dubbed with the visual /ba/, a visual influence will result in effectively 'restoring' the weakened auditory cues so that the stimulus is perceived as a /ba/. An oddball design in which participants are asked to detect the /a/ among a stream of more frequently occurring /ba/s while either a speaking face or face with no visual speech was used. In addition, the same paradigm was presented for a second contrast in which participants detected /pa/ among /ba/s, a contrast which should be unaltered by the presence of visual speech. Behavioral and some ERP findings reflect the expected phonemic restoration for the /ba/ vs. /a/ contrast; specifically, we observed reduced accuracy and P300 response in the presence of visual speech. Further, we report an unexpected finding of reduced accuracy and P300 response for both speech contrasts in the presence of visual speech, suggesting overall modulation of the auditory signal in the presence of visual speech. Consistent with this, we observed a mismatch negativity (MMN) effect for the /ba/ vs. /pa/ contrast only that was larger in absence of visual speech. We discuss the potential utility for this paradigm for listeners who cannot respond actively, such as infants and individuals with developmental disabilities.

In this review volume, the editors have included the state-of-the-art research and development in nano composites, and optical electronics written by experts in the field. In addition, it also covers applications for emerging technologies in High-Speed Electronics. In summary, topics covered in this volume includes various aspects of high performance materials and devices for implementing High-Speed Electronic systems. © 2019 by World Scientific Publishing Co. Pte. Ltd. All rights reserved.

Context.-Distinguishing chromophobe renal cell carcinoma (chRCC), especially in the presence of eosinophilic cytoplasm, from oncocytoma on hematoxylin-eosin can be difficult and often requires time-consuming ancillary procedures that ultimately may not be informative. Objective.-To explore the potential of multiphoton microscopy (MPM) as an alternative and rapid diagnostic tool in differentiating oncocytoma from chRCC at subcellular resolution without tissue processing. Design.-Unstained, deparaffinized tissue sections from 27 tumors (oncocytoma [n = 12], chRCC [n = 12], eosinophilic variant of chRCC [n = 1], and atypical oncocytic renal neoplasm [n = 2]) were imaged with MPM. Morphologic evaluation and automated quantitative morphometric analysis were conducted to distinguish between chRCC and oncocytoma. Results.-The typical cases of oncocytomas (12 of 12) and chRCC (12 of 12) could be readily differentiated on MPM based on the morphologic features similar to hematoxylin-eosin. The most striking MPM signature of both of the tumors was the presence of autofluorescent intracytoplasmic granules, which are not seen on hematoxylin-eosin-stained slides. Although we saw these granules in both types of tumors, they appeared distinct, based on their size, shape, cytoplasmic distribution, and autofluorescence wavelengths, and were valuable in arriving at a definitive diagnosis. For oncocytomas and chRCC, high diagnostic accuracies of 100% and 83.3% were achieved on blinded MPM and morphometric analysis, respectively. Conclusions.-To the best of our knowledge, this is the first demonstration of MPM to distinguish chRCC from oncocytoma in fixed tissues. Our study was limited by small sample size and only a few variants of oncocytic tumors. Prospective studies are warranted to assess the utility of MPM as a diagnostic aid in oncocytic renal tumors. © Copyright 2018 College of American Pathologists.

This study confronts the questionable reliability and accuracy of field test kits distributed globally to determine arsenic in drinking water. Because kits are the primary method of arsenic analysis in the areas most affected, an alternate, nontoxic formulation is needed to provide accurate results. Hypothesizing that introducing silver nitrate as the reagent in test kits could successfully substitute for restricted mercuric bromide, the study found that the reformulated kits provided reliable, precise, and accurate results over a broader range of contamination. Digital image analysis was used to examine the blue color value produced when arsine reacts with silver nitrate impregnated test strips. An optimal concentration of AgNO3 exhibiting the greatest linearity was determined by graphical comparison and the color intensity of the strips observed to be inversely proportional to the concentration of As (III). Adapted field test kits were then constructed to examine water samples ranging in arsenic contamination from 0 to 50 μg L−1. A series of reactions was completed to demonstrate reproducibility and test for the accuracy of the procedure. Statistical examination of colorimetrically quantified results confirmed the hypothesis that silver nitrate can reliably and precisely expand the kit’s range of detection while maintaining its low cost, quick assessment, and uncomplicated technique. This new method, using 0.4% m/v AgNO3 as a reagent for the Gutzeit reaction, was able to distinguish between concentrations of 0, 5, 10, 15, and 50 μg L−1 at the 95% confidence level. © 2018, Springer International Publishing AG, part of Springer Nature.

VRR spectroscopy was used for BCC and normal skin tissues with 532nm excitation. The spectra showed significant changes in collagen, carotenoids and lipids. These enhanced fingerprints demonstrate a potential use as label-free pathology method. © 2018 The Author(s).

This chapter describes and analyzes an ongoing project of memorialization of the Armenian Genocide in Turkey. It explores the importance of memorialization for collective historical memory, especially in situations where historical memory has been subverted by genocide denial. Among many aspects of memorialization, its role in bearing witness is explored and highlighted. Three components of the memory project are described: (1) the photography exhibitions, (2) the publications, and (3) the creation of memory sites. The project centers on the story of the Dildilian family in Ottoman Turkey before, during, and after the genocide, covering the years 1872–1923. A microhistory of the life of the Armenian minority is chronicled by means of the personal memories and stories of members of the family. The history is richly illustrated with photographs and drawings that serve as the basis of the photography exhibitions and books. Exhibitions and associated talks and panels have taken place in Istanbul, Merzifon, Diyarbakir, and Ankara. The chapter describes and analyzes the reaction of the Turkish public to the project.

This book explores the memory and representation of genocide as they affect individuals, communities and families, and artistic representations. It brings together a variety of disciplines from public health to philosophy, anthropology to architecture, offering readers interdisciplinary and international insights into one of the most important challenges in the 21st century. The book begins by describing the definitions and concepts of genocide from historical and philosophical perspectives. Next, it reviews memories of genocide in bodies and in societies as well as genocide in memory through lives, mental health and transgenerational effects. The book also examines the ways genocide has affected artistic works. From poetry to film, photography to theatre, it explores a range of artistic approaches to help demonstrate the heterogeneity of representations. This book provides a comprehensive and wide-ranging assessment of the many ways genocide has been remembered and represented. It presents an ideal foundation for understanding genocide and possibly preventing it from occurring again

IntroductionIntrapartum emergencies occur infrequently but require a prompt and competent response from the midwife to prevent morbidity and mortality of the woman, fetus, and newborn. Simulation provides the opportunity for student midwives to develop competence in a safe environment. The purpose of this study was to determine the inter-rater reliability of the McMahon Competence Assessment Instrument (MCAI) for use with student midwives during a simulated shoulder dystocia scenario. MethodsA pilot study using a nonprobability convenience sample was used to evaluate the MCAI. Content validity indices were calculated for the individual items and the overall instrument using data from a panel of expert reviewers. Fourteen student midwives consented to be video recorded while participating in a simulated shoulder dystocia scenario. Three faculty raters used the MCAI to evaluate the student performance. These quantitative data were used to determine the inter-rater reliability of the MCAI. ResultsThe intraclass correlation coefficient (ICC) was used to assess the inter-rater reliability of MCAI scores between 2 or more raters. The ICC was 0.86 (95% confidence interval, 0.60-0.96). Fleiss's kappa was calculated to determine the inter-rater reliability for individual items. Twenty-three of the 42 items corresponded to excellent strength of agreement. DiscussionThis study demonstrates a method to determine the inter-rater reliability of a competence assessment instrument to be used with student midwives. Data produced by this study were used to revise and improve the instrument. Additional research will further document the inter-rater reliability and can be used to determine changes in student competence. Valid and reliable methods of assessment will encourage the use of simulation to efficiently develop the competence of student midwives.