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In the acute-care setting patients with altered mental status as a result of such diverse etiologies as stroke, traumatic brain injury, degenerative neurologic impairments, dementia, or alcohol/drug abuse are routinely referred for dysphagia testing. A protocol for dysphagia testing was developed that began with verbal stimuli to determine patient orientation status and ability to follow single-step verbal commands. Although unknown, it would be beneficial to ascertain if this information on mental status was predictive of aspiration risk. The purpose of this investigation was to determine if there was a difference in odds for aspiration based upon correctly answering specific orientation questions, i.e., 1. What is your name? 2. Where are you right now? and 3. What year is it?, and following specific single-step verbal commands, i.e., 1. Open your mouth. 2. Stick out your tongue. and 3. Smile. In a consecutive retrospective manner data from 4070 referred patients accrued between 1 December 1999 and 1 January 2007 were analyzed. The odds of liquid aspiration were 31% greater for patients not oriented to person, place, and time (odds ratio [OR] = 1.305, 95% CI = 1.134–1.501). The odds of liquid aspiration (OR = 1.566, 95% CI = 1.307–1.876), puree aspiration (OR = 1.484, 95% CI = 1.202–1.831), and being deemed unsafe for any oral intake (OR = 1.688, 95% CI = 1.387–2.054) were, respectively, 57, 48, and 69% greater for patients unable to follow single-step verbal commands. Being able to answer orientation questions and follow single-step verbal commands provides information on odds of aspiration for liquid and puree food consistencies as well as overall eating status prior todysphagia testing. Knowledge of potential increased odds of aspiration allows for individualization of dysphagia testing thereby optimizing swallowing success.
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Purpose: To compare the amplitude, latency, morphology, and threshold of the auditory P300 using standard oddball and omitted paradigms. Research Design: P300 waveforms were measured from the Cz electrode site. Frequent stimuli for both paradigms were 1000 Hz tone bursts. Target stimuli for the standard oddball paradigm were 2000 Hz tone bursts and an omitted stimulus, or silent gap, for the omitted paradigm. Study Sample: Fifteen bilaterally normal-hearing young adults. Results: There were significantly lower amplitudes, poorer morphology, and higher thresholds for the P300 using an omitted paradigm compared to the standard oddball paradigm. Conclusion: These results suggest that the auditory P300 could have a larger exogenous component than traditionally thought.
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Thirteen chapters and 47 sections of the book"Digital libraries, its theory and practices" were worked on and the book is ready to send to the publisher. Did a paper that was accepted by the journal Library Hi Tech. Visited China and gave 2 seminars in 2 universities in China.
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Worked on book about Fabian feminism. Finished the final chapter but book isn't complete yet. Wrote and delivered paper in London in March 2009. Is expanding book to include 1980's and 1990's Fabian feminism.
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This is the remarkable, moving true story of two families brought together through tragedy and triumph. One loses a family member; one regains a life. See how it happens, as it happens. Be there at bedside, through the waiting, through the wondering as Joe brings you through the days, weeks and months leading up to and following his wife Jean's transplant. Learn how circumstances beyond anyone's direct control come to intersect, changing forever all those who experience it from their own perspectives spoken in first person language.
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This handbook is an approachable reference for all levels of educational leadership. The topics are presented with a clarity that makes the mathematics accessible, even if the reader has not had prior training in research methods or statistics.
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I was awarded sabbatical leave for Fall 2009. My sabbatical proposal was titled “How Web 2.0 Technologies Are Transforming Writing in Nonprofit Organizations.” My plan, as laid out in my sabbatical proposal, involved tracking and analyzing the online presence of 3-5 nonprofit organizations, and reporting on the ways the nature of their organizational writing had changed, directly and indirectly, as a result of the use of web 2.0 technologies, including blogs, wikis, and social networking sites such as Facebook and Twitter.
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This project involved gathering, analyzing, and preparing for publication the new empirical evidence on the working of capital markets in several economies of East and Central Europe, additionally providing material to enrich the curriculum in economics and finance. It also provided material for a conference presentation.
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