Catalogue Search | MBRL
Are you sure you want to remove the book from the shelf?
{{itemTitle}}
58
result(s) for
"Kessler, Jill"
Sort by:
Diagnostic accuracy of sentinel node identification is maintained with the addition of local lidocaine and subareolar radioactive colloid injection
Preoperative sentinel node localization (SNL) using a subareolar injection of radiotracer technetium-99m-sulfur colloid (Tc
99m
SC) is associated with significant pain. Lidocaine use during SNL is not widely adopted partly due to a concern that it can obscure sentinel node identification and reduce its diagnostic accuracy. We prospectively identified women with a biopsy-proven infiltrating breast cancer who were awaiting a SNL. The women completed the McGill pain questionnaire, Visual Analog Scale, and Wong–Baker FACES Pain Rating Scale prior to and following SNL. We identified a retrospective cohort of women with similar demographic and tumor characteristics who did not receive lidocaine before SNL. We compared sentinel lymph node identification rates in the two cohorts. We used Wilcoxon rank sum tests to compare continuous measures and Fisher’s exact test for categorical measures. Between January 2011 to July 2012, 110 women consented, and 105 were eligible for and received lidocaine prior to Tc
99m
SC injection. The post-lidocaine identification rate of SNL was 95 % with Tc
99m
SC, and 100 % with the addition of intraoperative methylene blue dye/saline. Pain range prior to and following the SNL was unchanged (
P
= 0.703). We identified 187 women from 2005 to 2009 who did not receive lidocaine during preoperative SNL. There was no significant difference in the success rate of SNL, with or without lidocaine (
P
= 0.194). The administration of lidocaine during SNL prevents pain related to isotope injection while maintaining the success rate. We have changed our practice at our center to incorporate the use of lidocaine during all SNL.
Journal Article
Responses to the Sports Inventory for pain among BASE jumpers
BASE jumping is considered to be among the most dangerous sporting activities in the world. Individuals involved in this activity jump off of four different types of fixed objects that include buildings, antennas, spans (e.g., bridges), and edges (e.g., cliffs). There are many similarities between skydiving and BASE jumping, but there are distinct differences that force BASE jumpers to deal with more hazards in less time resulting in a much smaller margin of error necessary to make a successful jump. Although there is a high risk of injury and death compared to more traditional sports, no studies have examined how these extreme sport participants perceive pain. A total of 134 BASE jumpers were categorized on the basis of experience (low, medium, high) and completed the Sports Inventory for Pain (Meyers, Bourgeois, Stewart, & LeUnes, 1992) that measured six dimensions of pain coping styles. Multivariate analyses revealed significant differences on five of the six dimensions. In each significant finding, there was a similar pattern such that experienced BASE jumpers used more conservative pain coping styles than inexperienced participants as conceptualized by the instrument. It is argued that more conservative responses among experienced jumpers are associated with a greater awareness of the risk factors involved in BASE jumping and a higher level of self-preservation.
Journal Article
Treatment of service dogs at restaurants and the law
Again, the Department of Justice has been very clear that there are only a few instances in which a team may be excused from a place of business: * Aggressive behavior (such as growling, lunging, snapping at people or other animals) * Urinating or defecating inappropriately * Inappropriate barking * Unwanted attention towards other patrons * Eating off the floor or tables * Disruptive behavior requiring excessive efforts from the handler to control the dog If you have reason to doubt the validity of the service dog, there are only two questions you may ask: 1. References: \"Service Animals,\" US Department of Justice, Civil Rights Division, Disability Rights Section, July 12, 2011, accessed 10-6-15 http://www.ada.gov/service_animals_2010.htm \"Service Animal Section,\" International Association of Canine Professionals, accessed 10-6-15 http://www.canineprofessionals.com/index.php?option=com_content&view=article&id=143:service-dog-poor-behavior&catid=20:site-content Credit: By Jill Kessler-Miller, expert witness in lawsuits involving dogs
Newsletter
Treatment of service dogs at restaurants and the law
Again, the Department of Justice has been very clear that there are only a few instances in which a team may be excused from a place of business: * Aggressive behavior (such as growling, lunging, snapping at people or other animals) * Urinating or defecating inappropriately * Inappropriate barking * Unwanted attention towards other patrons * Eating off the floor or tables * Disruptive behavior requiring excessive efforts from the handler to control the dog If you have reason to doubt the validity of the service dog, there are only two questions you may ask: 1. References: \"Service Animals,\" US Department of Justice, Civil Rights Division, Disability Rights Section, July 12, 2011, accessed 10-6-15 http://www.ada.gov/service_animals_2010.htm \"Service Animal Section,\" International Association of Canine Professionals, accessed 10-6-15 http://www.canineprofessionals.com/index.php?option=com_content&view=article&id=143:service-dog-poor-behavior&catid=20:site-content Credit: By Jill Kessler-Miller, expert witness in lawsuits involving dogs
Newsletter
Treatment of service dogs at restaurants and the law
Again, the Department of Justice has been very clear that there are only a few instances in which a team may be excused from a place of business: * Aggressive behavior (such as growling, lunging, snapping at people or other animals) * Urinating or defecating inappropriately * Inappropriate barking * Unwanted attention towards other patrons * Eating off the floor or tables * Disruptive behavior requiring excessive efforts from the handler to control the dog If you have reason to doubt the validity of the service dog, there are only two questions you may ask: 1. References: \"Service Animals,\" US Department of Justice, Civil Rights Division, Disability Rights Section, July 12, 2011, accessed 10-6-15 http://www.ada.gov/service_animals_2010.htm \"Service Animal Section,\" International Association of Canine Professionals, accessed 10-6-15 http://www.canineprofessionals.com/index.php?option=com_content&view=article&id=143:service-dog-poor-behavior&catid=20:site-content Credit: By Jill Kessler-Miller, expert witness in lawsuits involving dogs
Newsletter
LEARNING-DISABLED CHILDREN'S USE OF MNEMONIC STRATEGIES FOR VOCABULARY LEARNING (MEMORY)
The primary purpose of this investigation was to explore the potential benefits of providing learning-disabled children with a strategy for facilitating the learning of vocabulary definitions. It was of interest to provide further documentation for one or more theoretical views of learning disabilities. In Experiment 1, two mnemonic strategy conditions, pictorial keyword and verbal keyword, were compared to two nonmnemonic conditions, one in which the definitions were accompanied by pictures and one in which they were accompanied by sentence contexts. Two hundred forty subjects were selected in equal numbers from three groups--learning-disabled 4th/5th-grade students, nondisabled chronological-age match, and nondisabled reading-age match--and randomly assigned to the four experimental conditions (n = 20). Following study, subjects were tested for cued definitional recall and then for cued definitional recognition of 14 items. Results from Experiment 1 indicated that disabled learners substantially benefitted from the pictorial keyword mnemonic when contrasted with the other three conditions. Support was generated for the control process, verbal deficit, and developmental lag notions of learning disabilities. Due to ceiling effects in the nondisabled same-age match, the findings could not be clearly interpreted; this led to Experiment 2. In Experiment 2, 60 subjects, half of whom were learning disabled and half of whom were nondisabled fourth graders, were randomly assigned to either the pictorial keyword mnemonic or nonmnemonic picture condition. Students were tested for cued recall and cued recognition of a lengthened list of 20 items immediately after study and 2 days later. The results suggested that strategy-instructed learning-disabled pupils' performance was enhanced to a level of performance equivalent to strategy-instructed nondisabled students (i.e., evidence for a control process deficit). Delayed testing revealed that subjects maintained the benefits derived from the keyword strategy but in differential amounts depending on the group. Since support can be found for several hypotheses of learning disabilities, it may do well for researchers to restructure their thinking about the mutual exclusivity of each theoretical viewpoint.
Dissertation
THE INFLUENCE OF THE FAIRY TALE ON THE LITERARY LANGUAGE OF ERICH KAESTNER'S \FABIAN\ (GERMANY)
In his 1931 novel, Fabian, Erich Kastner engages in the use of traditional literary devices and conventions to complement, contrast, or otherwise modify the work's contemporary themes. The interaction of these techniques and themes comprises a literary language which serves to activate the reader's skills in interpreting the text. The literary language is responsible for informing the reader of the specific contexts influencing the work, for eliciting reactions or responses from him, and for drawing him into the text. The better informed the reader regarding the various contexts and literary signifiers that Kastner structures within the Fabian text, the more complete the reader's interpretation of the novel will be. This dissertation proposes that Erich Kastner employs features of two primary elements, the modern big city (Gro(beta)stadt), and the traditional fairy tale (Marchen), upon which the foundation of Fabian is built. Through an analysis of the classical components of these two literary vehicles, it is shown that Fabian may be viewed as a modern anti-fairy tale. Each literary device is examined on its own merit, after which an in-depth textual analysis examines the synthesis of these two literary influences in Kastner's text.
Dissertation