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Diabetes distal symmetrical peripheral neuropathy (DSPN) is the most prevalent form of neuropathy in industrialized countries, substantially increasing risk for morbidity and pre-mature mortality. DSPN may manifest with small-fiber disease, large-fiber disease, or a combination of both. This review summarizes: (1) DSPN subtypes (small- and large-fiber disease) with attention to clinical signs and patient symptoms; and (2) technological diagnosis and screening for large- and small-fiber disease with inclusion of a comprehensive literature review of published studies from 2015-present (N = 66). Review findings, informed by the most up-to-date research, advance critical understanding of DSPN large- and small-fiber screening technologies, including those designed for point-of-care use in primary care and endocrinology practices.

Background:Moral distress has detrimental effects on nurses which impacts the entire healthcare cycle. Described as a crescendo effect, resolved situations of moral distress leave residue on the nurse with three potential outcomes: moral numbing, conscious objection to the situation, and burnout.Objective:This metaethnography strives to achieve a fuller understanding of moral distress by interpreting the body of qualitative work of moral distress in emergency and critical care nurses.Method:This study used the Noblit and Hare?s approach of interpretative synthesis. Ten studies met the criteria and were used in this synthesis.Ethical considerations:Ethical issues were minimal since no human subjects were involved. Ethical requirements were respected in all study phases.Results:The synthesis of qualitative research on moral distress resulted in one central theme, ?the battle within,? and five subthemes.Conclusions:The unique nature of this nursing specialty resulted in a lasting inner conflict for nurses that is consistent with the previously described crescendo effect. The effects are complex and long lasting and may potentially affect the nurses? future patient care.

Purpose The purpose of this article is to provide conceptual clarification of secondary traumatic stress (STS) in nurses. Background As an empathetic helping profession, nurses are at increased risk for STS. Interchangeable usage of related terms among multidisciplinary literature has resulted in lack of conceptual clarity resulting in conflation of terms. Conceptual clarity is necessary for a foundation for further research on treatment. Methods Rodgers' evolutionary model of concept analysis. Results Nurses are predisposed to STS due to exposure, empathy, bonding, and personal factors. Essential attributes were found to be posttraumatic stress disorder-like symptoms, biological symptoms, social symptoms, and psychological symptoms. Resultant consequences included an altered worldview, interpersonal difficulties, and decreased occupational commitment. Conclusion This concept analysis, the first focusing on STS, provides conceptual clarity and a concept map of STS within the nursing population.

本书将儿童,童年回忆和西班牙内战联系在一起,提出了"佛朗哥儿童"这个新概念.在童年研究和历史回忆研究的二元框架下,作者分析了"佛朗哥儿童"在西班牙20世纪后半叶至今的代表性文学影视作品,以此揭示出儿童在西班牙政治中的重要性,并呈现了西班牙近几十年来的历史和文化走向

As New Jersey’s second largest city, Jersey City has experienced a surge in urban redevelopment and new development, particularly its downtown wards closest to New York City. Situated on the Hudson River directly across from downtown New York City, Jersey City is an ideal location for New Jersey developers and realtors to redevelop in order to attract New York City’s financial sector employees and individuals desiring more living space at lower rental or mortgage costs. In other words, downtown Jersey City exemplifies urban gentrification. In the last twenty years, several public policies helped spur waterfront development to attract potentially wealthier residents. In an effort to lure developers and investors, Jersey City officials relied heavily on municipal tax abatements to offset increasingly high property taxes. So after two decades, has Jersey City demonstrated that Payment in Lieu of Taxes (PILOT), tax abatements and other tax policy incentives are in fact feasible in terms of the following questions: What have been the implications of these policies? Who benefited from and who was marginalized from these policies? This paper examines the rising concerns surrounding tax abatements and other pro-development tax policies. By examining a medium sized city like Jersey City, this case study is especially useful in understanding the significant issues and shortcomings with urban redevelopment tax incentives. Too often these incentives benefit a political and financial elite at the economic expense and loss of political rights of long-term residents and renters.

The mayoral archive includes both official and personal documents that can be used for research on various aspects of New Haven's history. Much of the DeStefano collection, for example, has various reports and studies on economic development and school construction projects, which were key to his administration.The Hilton C. Buley Library hosts a growing collection of mayoral papers from four New Haven mayors: Biagio “Ben” DiLieto (1980–90), John Daniels (1990–94), John DeStefano Jr. (1994–2014) and Toni Harp (2014–20). The materials are available to the public by appointment. Many items—including the full DeStefano papers—are available in a digital archive through the Buley Library website or the Connecticut Digital Archive portal. Jackie Toce, librarian and head of technical services at Buley Library, has spent the last seven years leading the digitization efforts for the archive, one of the reasons DeStefano donated the materials to Southern.4 Buley Library will host an exhibition and formal unveiling of the archive in late October 2021, which will run through the end of the year.

This work offers a political and historical analysis of Newark's modern politics since 1950, culminating with Mayor Cory Booker's rise to power and prominence both in the city and in American political consciousness. Newark's recent political history offers an interesting case study in mayoral elections, community development, and coalition building politics. While Newark is the quintessential post-industrial city, Booker has received critical attention for his post-racial politics since he frequently bypasses racial and traditional urban politics. At the same time, relations between the mayor, the municipal council, and Newark's diverse communities were often so fractious that sustainable coalition building proved to be an elusive goal to resolve longstanding crime, education, and other social problems. Based on original interviews with Cory Booker, city council members, and other prominent Newark politicians, A Post Racial Change is Gonna Come is a powerful history of how Newark became the focal point for transformative politics in urban America.

This is the fourth in a series of books dealing with Washington, DC. Like the first three, this also is the outgrowth of special seminars conducted in the Department of Political Science at Howard University. We examine Washington, DC's challenges, because it is vital to know the conditions under which the residents of the most powerful city in the world continue to live, based on sound empirical evidence.

Law, Politics, and African Americans in Washington, DC explores the legal challenges and triumphs of African Americans and law and politics in Washington, DC, a city whose majority population comprises African Americans. It examines the interconnection between law and politics in Washington, DC, because it is vital to know the legal conditions under which the African American residents of the most powerful city in the world live, based on sound empirical evidence. Law, Politics, and African Americans in Washington, DC addresses two major questions: - Why study African Americans in terms of law and politics? - Why examine law and politics at the local level, in this case Washington, DC?