Rural and County School Libraries

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Improving differential diagnosis of vocal cord dysfunction

textPurpose: The purpose of this study was to assess whether the factors historically presented in the literature to differentiate vocal cord dysfunction (VCD) from breathing difficulties of other etiologies accurately predict and identify patients who have VCD. The researchers were also interested in whether patients with VCD have a higher risk of misdiagnosis than patients with breathing difficulties of other etiologies. Finally, the present study investigated whether patients with VCD were more likely to have their symptoms attributed to psychological factors than patients with breathing difficulties of other etiologies. Method: A survey comprised of 23 questions regarding the participants’ previous and current diagnoses, triggers that precede breathing difficulty, and whether or not the participants have ever been misdiagnosed was posted to internet support groups, websites, blogs, and forums. The final participant pool included 20 participants with VCD and 25 participants with asthma. Results: None of the factors investigated accurately differentiated participants with asthma from participants with VCD one hundred percent of the time. However, participants with VCD were more likely to report throat tightness during an attack, association of an attack with symptoms of acid reflux, and rapid resolution of symptoms without treatment. Conversely, participants with asthma were more likely to report expiratory stridor and chest tightness, full resolution of symptoms with use of asthma medications, nocturnal symptoms or symptoms just after waking, and symptoms that seemed to be triggered by environmental agents or allergens. Preliminary findings from the present study suggest that patients with VCD are both more likely to receive a misdiagnosis and have their symptoms attributed to psychological factors than participants with asthma. Conclusion: A diagnosis of VCD must be made very carefully, ideally with instrumental evaluation of the vocal mechanism during an acute “attack” of breathing difficulty. The factors identified in the literature to differentially diagnose patients with asthma from patients with VCD do not accurately differentiate these populations. These findings suggest that continued education about the nature of VCD and differential diagnosis should be paramount to medical professionals.Communication Sciences and Disorder

Does gender matter in online learning?

It is generally noted that computing is gendered, with women opting out of IT. Will the impact of online learning change this? Some researchers claim that women are disadvantaged in online courses. Others argue that we need a ‘women‐friendly cyber‐classroom’. Yet our experience is that the women achieve better results than the men; it is loner males that are disadvantaged by distance learning. We argue that online courses need to be people‐friendly so that no learners are disadvantaged

Student-Centered Learning: Impact Academy of Arts and Technology

This case study is one of four written by SCOPE about student-centered practices in schools. The case studies address the following questions:1. What are the effects of student-centered learning approaches on student engagement, achievement of knowledge and skills, and attainment (high school graduation, college admission, and college continuation and success), in particular for underserved students?2. What specific practices, approaches, and contextual factors result in these outcomes?The cases focus on the structures, practices, and conditions in the four schools that enable students to experience positive outcomes and consider the ways in which these factors are interrelated and work to reinforce each other

Word mastery in oral reading, look on versus not look on, in the second grade

Thesis (Ed.M.)--Boston Universit

A Field Guide for Weathering: Embodied Tactics for Collectives of Two or More Humans

In our inherited meteorological practices and frameworks, weather conditions are managed for us in a range of ways (for example, through architecture, technology, commodity culture, infrastructure, economic rationale). This field guide brings the weather back to the body. A traditional field guide provides tools for the individual sovereign human subject to observe and document nature “over there”. In contrast, through a range of different activities, our field guide not only invites investigation and cataloguing of the field that we also comprise, but also challenges what counts as a noteworthy observation regarding the weather and also climate

The life and poetry of Emily Dickinson.

Thesis (M.A.)--Boston Universit

Crossroads to the 21 st Century: The Evolution of Ethnic Studies at Bowling Green University

At Bowling Green State University\u27s Fourth Annual Ethnic Studies Conference, scholar Dr. James A. Banks observed that Bowling Green State University is soon to become the only institution of higher education in the United States to institute a university-wide requirement in cultural diversity. The implementation of this landmark requirement demonstrates the depth and vigor of the commitment to excellence and equity in education held by the University\u27s Department of Ethnic Studies

Mapping the Discipline of the Olympic Games An Author-Cocitation Analysis

The authors conducted an author cocitation analysis on prominent authors writing about the Olympics during the 1990s. Author cocitation is an established bibliometric technique that can be used to measure the relative similarities of topics written about by the cited authors. This enables a visual representation of the “intellectual space” of the discipline, in this case the Olympics, to be created for the period under review. So core and peripheral research areas are identified, along with their major contributors. The representation appears as a two-dimensional cluster-enhanced map. Subject expertise was then applied to the results to place labels on the generated clusters of authors and their topics