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Journal articles on the topic 'Acute care settings'

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Author: Grafiati
Published: 10 December 2022
Last updated: 28 January 2023

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1

Frank, Chris, and Frank Molnar. "Dementia care in acute care settings." Canadian Family Physician 68, no. 1 (January 2022): 25–26. http://dx.doi.org/10.46747/cfp.680125.

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2

Gluck, Seymour M. "Acute Care in Chronic Care Settings." Journal of the American Geriatrics Society 36, no. 8 (August 1988): 755–56. http://dx.doi.org/10.1111/j.1532-5415.1988.tb07182.x.

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3

Mumtaz, Hassan. "Etiology of acute kidney injury in intensive care unit settings." Endocrinology and Disorders 4, no. 2 (December 24, 2020): 01–06. http://dx.doi.org/10.31579/2640-1045/059.

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Introduction: Acute kidney injury (AKI) is defined as a rapid loss of kidney function occurring over few hours or days. In intensive care unit settings, acute kidney injury (AKI) is a very prevalent condition as most of the patients who are admitted in intensive care units are critically ill. The incidence of acute kidney injury is increasing throughout the world mainly because of aging population and comorbidities which are associated with aging. In intensive care unit settings, the incidence of AKI may reach up to 67%. Though AKI effects depend on clinical situation yet associated with high morbidity and mortality. Objective: To determine the frequency of etiology of acute kidney injury in medical intensive care unit of KRL Hospital. Setting: Medical ICU, KRL Hospital, Islamabad. Duration: six months from 17th May 2017 to 17th November 2017. Study design: Descriptive case series. Material and method: In this study 118 patients were observed. After screening and application of exclusion criteria, a total of 118 patients who were fulfilling the inclusion criteria were selected as the study sample and were included in the final analysis regarding prevalence of risk factors associated with AKI. AKI was further classified using acute kidney injury network (AKIN) classification system. Patient age, gender, serum creatinine, etiology and outcome in form of recovery or mortality was recorded on specific proforma. Results: Overall incidence of AKI in ICU settings in this study was 37.8%(n=118) .Out of 118 patients who had AKI, 59.3%(n=70) were male , whereas 40.7% (n=48) were females. Most common risk factor associated with development of AKI was sepsis secondary to infectious illnesses and 39% (n=46) of the patients who developed AKI were suffering from infectious illnesses. Gastrointestinal, drugs and cardiac causes constitutes the 32.2% (n=38), 18.6% (n=22) and 10.2% (n=12) respectively of the AKI in ICU settings. Conclusion: Our study concludes that the frequency of etiology including infectious causes was 39%, cardiac pathology 10%, GI causes 32%, drugs was 19%.
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4

Sullivan, Dawn O., Mary Mannix, and Suzanne Timmons. "Integrated Care Pathways and Care Bundles for Dementia in Acute Care: Concept Versus Evidence." American Journal of Alzheimer's Disease & Other Dementiasr 32, no. 4 (April 12, 2017): 189–93. http://dx.doi.org/10.1177/1533317517698791.

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Caring for people with dementia in acute settings is challenging and confounded by multiple comorbidities and difficulties transitioning between community and acute care. Recently, there has been an increase in the development and use of integrated care pathways (ICPs) and care bundles for defined illnesses and medical procedures, and these are now being promoted for use in dementia care in acute settings. We present a review of the literature on ICPs and/or care bundles for dementia care in the acute sector. This includes a literature overview including “gray literature” such as relevant websites, reports, and government publications. Taken together, there is clearly a growing interest in and clinical use of ICPs and care bundles for dementia. However, there is currently insufficient evidence to support the effectiveness of ICPs for dementia care in acute settings and limited evidence for care bundles for dementia in this setting.
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5

Kent, Hannah, and Joan McDowell. "Sudden bereavement in acute care settings." Nursing Standard 19, no. 6 (October 20, 2004): 38–42. http://dx.doi.org/10.7748/ns2004.10.19.6.38.c3732.

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6

Kent, Hannah, and Joan McDowell. "Sudden bereavement in acute care settings." Nursing Standard 19, no. 6 (October 20, 2004): 38–42. http://dx.doi.org/10.7748/ns.19.6.38.s62.

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7

Smith, A. F. "Crisis Management in Acute Care Settings." British Journal of Anaesthesia 100, no. 6 (June 2008): 866. http://dx.doi.org/10.1093/bja/aen121.

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8

Glavin, Ronnie J. "Crisis Management in Acute Care Settings." Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare 7, no. 1 (February 2012): 61. http://dx.doi.org/10.1097/sih.0b013e3182467c7f.

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9

P. Fauri, Barbara Ettner, Pamela J., David. "BEREAVEMENT SERVICES IN ACUTE CARE SETTINGS." Death Studies 24, no. 1 (January 2000): 51–64. http://dx.doi.org/10.1080/074811800200694.

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10

Webster, Craig S. "Crisis Management in Acute Care Settings." Anesthesia & Analgesia 125, no. 3 (September 2017): 1069. http://dx.doi.org/10.1213/ane.0000000000002303.

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11

Bower, Fay L., and Cyndi S. McCullough. "Restraint Use in Acute Care Settings." JONA: The Journal of Nursing Administration 30, no. 12 (December 2000): 592–98. http://dx.doi.org/10.1097/00005110-200012000-00010.

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12

Kapasi, Sabina. "Outcomes Research in Acute Care Settings." Physical Therapy 78, no. 7 (July 1, 1998): 783. http://dx.doi.org/10.1093/ptj/78.7.783.

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13

Mumtaz, Hassan. "Etiology & Outcome of Acute kidney Injury in Intensive Care Unit Settings of a Tertiary Care Hospital." Endocrinology and Disorders 4, no. 2 (December 24, 2020): 01–05. http://dx.doi.org/10.31579/2640-1045/058.

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Introduction: Acute kidney injury (AKI) is defined as a rapid loss of kidney function occurring over few hours or days. In intensive care unit settings, acute kidney injury (AKI) is a very prevalent condition as most of the patients who are admitted in intensive care units are critically ill. The incidence of acute kidney injury is increasing throughout the world mainly because of aging population and co morbidities which are associated with aging. In intensive care unit settings, the incidence of AKI may reach up to 67%. Though AKI effects depend on clinical situation yet associated with high morbidity and mortality. The rationale of this study is that, as acute kidney is one of major factors contributing in mortality and morbidity of ICU patients, this study will be helpful in identifying important risk factor for development of acute kidney injury in ICU settings, leading to its early detection and thus decreasing associated morbidity and mortality. Objective: To determine the frequency of etiology and outcome of acute kidney injury in medical intensive care unit of KRL Hospital. Setting: Medical ICU, KRL Hospital, Islamabad. Duration: six months from 17th May 2017 to 17th November 2017. Study design: Descriptive case series. Material and method: In this study 118 patients were observed. After screening and application of exclusion criteria, a total of 118 patients who were fulfilling the inclusion criteria were selected as the study sample and were included in the final analysis regarding prevalence of risk factors associated with AKI and the outcome associated with AKI. AKI was further classified using acute kidney injury network (AKIN) classification system. Patient age, gender, serum creatinine, etiology and outcome in form of recovery or mortality was recorded. Results: Overall incidence of AKI in ICU settings in this study was 37.8% (n=118). Out of 118 patients who had AKI, 59.3% (n=70) were male, whereas 40.7% (n=48) were females. Most common risk factor associated with development of AKI was sepsis secondary to infectious illnesses and 39% (n=46) of the patients who developed AKI were suffering from infectious illnesses. Gastrointestinal, drugs and cardiac causes constitutes the 32.2 % (n=38), 18.6% (n=22) and 10.2% (n=12) respectively of the AKI in ICU settings. In terms of outcome, mortality rate in patients with AKI was significantly higher as compared to patients without AKI(P =<0.001) and 56.8%(n=67) of the patients who had AKI died during their ICU stay as compared to 30.4%(n=59) in patients without AKI. Conclusion: Our study concludes that the frequency of etiology including infectious causes was 39%, cardiac pathology 10%, GI causes 32%, drugs was 19% and mortality was 56.8% in patients with acute kidney injury.
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14

Hanson, Laura C., and Mary Ersek. "Meeting Palliative Care Needs in Post–Acute Care Settings." JAMA 295, no. 6 (February 8, 2006): 681. http://dx.doi.org/10.1001/jama.295.6.681.

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15

Oneschuk, Doreen, Robin Fainsinger, and Donna Demoissac. "Antibiotic Use in the Last Week of Life in Three Different Palliative Care Settings." Journal of Palliative Care 18, no. 1 (March 2002): 25–28. http://dx.doi.org/10.1177/082585970201800105.

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The purpose of this study was to examine the frequency and types of antibiotics prescribed in the last week of life in three different palliative care settings, including an acute care hospital, tertiary palliative care unit, and three hospice units. A total of 150 consecutive patients were evaluated, 50 in each of the three settings. Twenty-nine patients (58%) in the acute hospital setting, 26 (52%) in the tertiary palliative care unit, and 11(22%) in the hospice settings were prescribed antibiotics. In the acute care and tertiary palliative care settings, the most frequent route of antibiotic administration was intravenous and, in the hospice setting, oral. We conclude that there is marked variability in the numbers and types of antibiotics prescribed in these different palliative care settings in the last week of life. The high use of intravenous antibiotics and the large number of patients who were still receiving antibiotics at the time of death indicate the need for further prospective studies.
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16

Bridges, Jackie. "Being research-savvy in acute care settings." Nursing Older People 29, no. 4 (April 28, 2017): 15. http://dx.doi.org/10.7748/nop.29.4.15.s18.

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17

CRONIN-STUBBS, DIANE. "Delirium Intervention Research in Acute Care Settings." Annual Review of Nursing Research 14, no. 1 (January 1996): 57–73. http://dx.doi.org/10.1891/0739-6686.14.1.57.

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18

Simberlund, Jessica, Abby Bailin, and Rachel Goldman. "OCD TREATMENT TRACKS IN ACUTE CARE SETTINGS." Journal of the American Academy of Child & Adolescent Psychiatry 60, no. 10 (October 2021): S316. http://dx.doi.org/10.1016/j.jaac.2021.07.767.

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19

Best, Carolyn, and Jill Summers. "Strategies for nutritional care in acute settings." Nursing Older People 22, no. 6 (June 24, 2010): 27–31. http://dx.doi.org/10.7748/nop2010.07.22.6.27.c7838.

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20

Matsumoto, Andrea N., Michelle Pardee, and Jesus Casida. "Application of Hotspotting in Acute Care Settings." AACN Advanced Critical Care 29, no. 4 (December 15, 2018): 444–48. http://dx.doi.org/10.4037/aacnacc2018337.

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21

Grewal, Harjot Kaur, Lianping Ti, Kanna Hayashi, Sabina Dobrer, Evan Wood, and Thomas Kerr. "Illicit drug use in acute care settings." Drug and Alcohol Review 34, no. 5 (May 6, 2015): 499–502. http://dx.doi.org/10.1111/dar.12270.

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22

Janelli, Linda M. "Physical restraint use in acute care settings." Journal of Nursing Care Quality 9, no. 3 (April 1995): 86–92. http://dx.doi.org/10.1097/00001786-199504000-00011.

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23

Bhaskaran, G., and B. Poornamodan. "Learning Disabilities: Issues in Acute Care Settings." European Psychiatry 30 (March 2015): 1477. http://dx.doi.org/10.1016/s0924-9338(15)31147-0.

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24

Marwick, Thomas H., and Jagat Narula. "Cardiac Ultrasound Imaging in Acute Care Settings." JACC: Cardiovascular Imaging 3, no. 6 (June 2010): 671–72. http://dx.doi.org/10.1016/j.jcmg.2010.04.005.

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25

Gonzales, R. "Antibiotic Treatment of Acute Respiratory Infections in Acute Care Settings." Academic Emergency Medicine 13, no. 3 (February 22, 2006): 288–94. http://dx.doi.org/10.1197/j.aem.2005.10.016.

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26

TRERISE, B. "Underutilization of acute care settings in a tertiary care hospital." International Journal for Quality in Health Care 13, no. 1 (February 1, 2001): 27–32. http://dx.doi.org/10.1093/intqhc/13.1.27.

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27

Malone, Megan L., and Jennifer Loehr. "Home Health Care for Adults: A Tutorial for SLPs." Perspectives on Gerontology 18, no. 1 (January 2013): 7–13. http://dx.doi.org/10.1044/gero18.1.7.

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Today, the settings in which a speech-language pathologist (SLP) can practice are as varied as the patients served. From the skilled nursing facility to outpatient treatment to acute care, SLPs provide services in more settings than ever before. One setting that is growing in need is the home health setting. The home health setting provides many benefits to an SLP and to the patients receiving services.
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28

Cioffi, Jane, and Lorraine Ferguson Am. "Team nursing in acute care settings: Nurses’ experiences." Contemporary Nurse 33, no. 1 (August 2009): 2–12. http://dx.doi.org/10.5172/conu.33.1.2.

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29

Traynor, Victoria, Susan Brisco, and Tina Coventry. "Developing person-centred dementia care in acute settings." Nursing Older People 17, no. 8 (November 2005): 20–23. http://dx.doi.org/10.7748/nop2005.11.17.8.20.c2392.

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30

Cabrini, Luca, Giovanni Landoni, Alessandro Oriani, Valentina P. Plumari, Leda Nobile, Massimiliano Greco, Laura Pasin, Luigi Beretta, and Alberto Zangrillo. "Noninvasive Ventilation and Survival in Acute Care Settings." Critical Care Medicine 43, no. 4 (April 2015): 880–88. http://dx.doi.org/10.1097/ccm.0000000000000819.

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31

Redeker, Nancy S. "Sleep in Acute Care Settings: An Integrative Review." Journal of Nursing Scholarship 32, no. 1 (March 2000): 31–38. http://dx.doi.org/10.1111/j.1547-5069.2000.00031.x.

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32

Lusis, Stephanie. "Update on Restraint Use in Acute Care Settings." Plastic Surgical Nursing 20, no. 3 (2000): 145–50. http://dx.doi.org/10.1097/00006527-200020030-00006.

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33

Horn, W., and E. Clark. "P410: Effective geriatrics interventions in acute care settings." European Geriatric Medicine 5 (September 2014): S210. http://dx.doi.org/10.1016/s1878-7649(14)70574-1.

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34

Banach, David B., Gonzalo Bearman, Marsha Barnden, Jennifer A. Hanrahan, Surbhi Leekha, Daniel J. Morgan, Rekha Murthy, et al. "Duration of Contact Precautions for Acute-Care Settings." Infection Control & Hospital Epidemiology 39, no. 2 (January 11, 2018): 127–44. http://dx.doi.org/10.1017/ice.2017.245.

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35

Eng, Stephanie, and Magee L. DeFelice. "Hymenoptera Venom-Induced Anaphylaxis in Acute Care Settings." Journal of Allergy and Clinical Immunology 137, no. 2 (February 2016): AB35. http://dx.doi.org/10.1016/j.jaci.2015.12.114.

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36

Flynn, Greir Ander Huck, Barbara Polivka, and Jodi Herron Behr. "Smartphone Use by Nurses in Acute Care Settings." CIN: Computers, Informatics, Nursing 36, no. 3 (March 2018): 120–26. http://dx.doi.org/10.1097/cin.0000000000000400.

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37

Tahan, Hussein. "The Nurse Case Manager in Acute Care Settings." JONA: The Journal of Nursing Administration 23, no. 10 (October 1993): 53–61. http://dx.doi.org/10.1097/00005110-199310000-00012.

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38

DePhillips, Michelle, Jennifer Watts, Jennifer Lowry, and M. Denise Dowd. "Opioid Prescribing Practices in Pediatric Acute Care Settings." Pediatric Emergency Care 35, no. 1 (January 2019): 16–21. http://dx.doi.org/10.1097/pec.0000000000001239.

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39

Griffin, Susan D., and David McConnell. "Australian occupational therapy practice in acute care settings." Occupational Therapy International 8, no. 3 (August 2001): 184–97. http://dx.doi.org/10.1002/oti.145.

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40

Allerby, Katarina, Anneli Goulding, Lilas Ali, and Margda Waern. "Testing person-centered care in acute psychosis settings." International Journal of Integrated Care 22, S3 (November 4, 2022): 73. http://dx.doi.org/10.5334/ijic.icic22290.

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41

Miley, Helen, and Courtney Reinisch. "Addressing the Health Care Delivery Needs in the Acute Care Setting by Developing a Postmaster’s Acute Care Certification Program." Journal of Doctoral Nursing Practice 9, no. 1 (2016): 124–27. http://dx.doi.org/10.1891/2380-9418.9.1.124.

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The state of New Jersey certifies nurse practitioners and clinical nurse specialists from all specialties as advanced practice nurses (APNs). There are more than 4,000 certified APNs in the state in 17 specialty areas. APNs in the state have the privilege of practicing in various settings such as ambulatory, inpatient, and long-term care. The state does not limit the setting where an APN chooses to practice. A trend is emerging in the state to address the concern of primary care–educated APNs to prepare them for the delivery of care in the acute care setting. Some institutions within the state of New Jersey are requiring their primary care educated and certified adult primary care APNs working in an inpatient setting to obtain an acute care certification. Recognizing the needs of these adult primary care APNs, Dr. Helen Miley developed a postmaster’s certificate program which has been approved by Rutgers School of Nursing faculty. Although the first cohort has not yet been admitted to the program, it will be implemented in the near future. Because it is important to address the educational needs of adult primary care APNs, this article describes the needs assessment and development plan used for this program.
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42

Miley, Helen, and Courtney Reinisch. "Addressing the Health Care Delivery Needs in the Acute Care Setting by Developing a Postmaster’s Acute Care Certification Program." Clinical Scholars Review 8, no. 1 (2015): 39–42. http://dx.doi.org/10.1891/1939-2095.8.1.39.

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The state of New Jersey certifies nurse practitioners and clinical nurse specialists from all specialties as advanced practice nurses (APNs). There are more than 4,000 certified APNs in the state in 17 specialty areas. APNs in the state have the privilege of practicing in various settings such as ambulatory, inpatient, and long-term care. The state does not limit the setting where an APN chooses to practice. A trend is emerging in the state to address the concern of primary care–educated APNs to prepare them for the delivery of care in the acute care setting. Some institutions within the state of New Jersey are requiring their primary care–educated and primary care–certified adult primary care APNs working in an inpatient setting obtain an acute care certification. Recognizing the needs of these adult primary care APNs, Dr. Helen Miley developed a postmaster’s certificate program which has been approved by Rutgers School of Nursing faculty. Although the first cohort has not yet been admitted to the program, it will be implemented in the near future. Because it is important to address the educational needs of adult primary care APNs, this article describes the needs assessment and development plan used for this program.
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43

Davenport, Sarah. "Acute wards: problems and solutions." Psychiatric Bulletin 26, no. 10 (October 2002): 385–88. http://dx.doi.org/10.1192/pb.26.10.385.

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This paper describes rehabilitation principles and some specialised practice that could usefully inform the provision of acute in-patient care. A low secure rehabilitation setting is described using a method of case formulation to embed an envelope of care around an individual patient within a therapeutic ward milieu. This increases the collaboration and transparency around individual care planning and the capacity for self-reflection within the multi-disciplinary team, in a manner that may be applicable to other in-patient settings.
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44

Dugan, Janet, and Linda Mosel. "PATIENTS IN ACUTE CARE SETTINGS: Which Health-Care Services Are Provided?" Journal of Gerontological Nursing 18, no. 7 (July 1, 1992): 31–36. http://dx.doi.org/10.3928/0098-9134-19920701-09.

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45

Gillespie, Brigid M., Rachel Walker, Frances Lin, Shelley Roberts, Anne Eskes, Jodie Perry, Sean Birgan, et al. "Wound care practices across two acute care settings: A comparative study." Journal of Clinical Nursing 29, no. 5-6 (December 27, 2019): 831–39. http://dx.doi.org/10.1111/jocn.15135.

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46

Davies, Rebecca, Kenneth Murphy, and Faisil Sethi. "Sensory room in a psychiatric intensive care unit." Journal of Psychiatric Intensive Care 16, no. 1 (April 1, 2020): 23–28. http://dx.doi.org/10.20299/jpi.2019.016.

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Background: The use of sensory-based treatment developed in paediatric and neurodevelopment care is a relatively new practice in psychiatric intensive care and acute mental health settings. This report briefly reviews the literature on the use of sensory rooms in psychiatric intensive care units and acute mental health settings, and outlines the development of a sensory room in a female psychiatric intensive care unit.<br/> Method: We provide an account of the process of establishing a sensory room in a psychiatric intensive care unit setting, including considerations, protocol, training and feedback. The literature on sensory room use in psychiatric intensive care and acute mental health settings was reviewed using the PubMed database and Google Scholar for 'grey' literature.<br/> Results: Widespread positive patient and staff perspectives on sensory room use in psychiatric settings were identified in the literature. Some studies have identified links between sensory-based care and reduced rates of restrictive practice. Feedback from patients using the sensory room established in the report revealed themes of patients enjoying and valuing the practice, and highlighted the need for patient-centred choice in its provision.<br/> Conclusions: This report outlines the development of a sensory room in a female psychiatric intensive care unit and briefly reviews the literature on such, considering its efficacy in both patient experience and possible developments in reducing more restrictive practices in care in this clinical setting. It provides a basis for further evaluation and research on sensory room interventions and their effectiveness in improving clinical outcomes.
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47

Daffurn, K. "Roles of acute care nurse practitioners, physician assistants, and resident physicians in acute care settings." American Journal of Critical Care 7, no. 4 (July 1, 1998): 253–54. http://dx.doi.org/10.4037/ajcc1998.7.4.253.

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48

Li, Chih-Ying, Amol Karmarkar, Yong-Fang Kuo, Allen Haas, and Kenneth J. Ottenbacher. "Impact of Self-Care and Mobility on One or More Post-Acute Care Transitions." Journal of Aging and Health 32, no. 10 (June 5, 2020): 1325–34. http://dx.doi.org/10.1177/0898264320925259.

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Objective: To investigate the association between functional status and post-acute care (PAC) transition(s). Methods: Secondary analysis of 2013–2014 Medicare data for individuals aged ≥66 years with stroke, lower extremity joint replacements, and hip/femur fracture discharged to one of three PAC settings (inpatient rehabilitation facilities, skilled nursing facilities, and home health agencies). Functional scores were co-calibrated into a 0–100 scale across settings. Multilevel logistic regression was used to test the partition of variance (%) and the probability of PAC transition attributed to the functional score in the initial PAC setting. Results: Patients discharged to inpatient rehabilitation facilities with higher function were less likely to use additional PAC. Function level in an inpatient rehabilitation facility explained more of the variance in PAC transitions than function level while in a skilled nursing facility. Discussion: The function level affected PAC transitions more for those discharged to an inpatient rehabilitation facility than to a skilled nursing facility.
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49

Qureshi, Danial, Peter Tanuseputro, Richard Perez, Greg R. Pond, and Hsien-Yeang Seow. "Early initiation of palliative care is associated with reduced late-life acute-hospital use: A population-based retrospective cohort study." Palliative Medicine 33, no. 2 (December 3, 2018): 150–59. http://dx.doi.org/10.1177/0269216318815794.

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Background: Early palliative care can reduce end-of-life acute-care use, but findings are mainly limited to cancer populations receiving hospital interventions. Few studies describe how early versus late palliative care affects end-of-life service utilization. Aim: To investigate the association between early versus late palliative care (hospital/community-based) and acute-care use and other publicly funded services in the 2 weeks before death. Design: Retrospective population-based cohort study using linked administrative healthcare data. Setting/participants: Decedents (cancer, frailty, and organ failure) between 1 April 2010 and 31 December 2012 in Ontario, Canada. Initiation time before death (days): early (⩾60) and late (⩾15 and <60). ‘Acute-care settings’ included acute-hospital admissions with (‘palliative-acute-care’) and without palliative involvement (‘non-palliative-acute-care’). Results: We identified 230,921 decedents. Of them, 27% were early palliative care recipients and 13% were late; 45% of early recipients had a community-based initiation and 74% of late recipients had a hospital-based initiation. Compared to late recipients, fewer early recipients used palliative-acute care (42% vs 65%) with less days (mean days: 9.6 vs 12.0). Late recipients were more likely to use acute-care settings; this was further modified by disease: comparing late to early recipients, cancer decedents were nearly two times more likely to spend >1 week in acute-care settings (odds ratio = 1.84, 95% confidence interval: 1.83–1.85), frailty decedents were three times more likely (odds ratio = 3.04, 95% confidence interval: 3.01–3.07), and organ failure decedents were four times more likely (odds ratio = 4.04, 95% confidence interval: 4.02–4.06). Conclusion: Early palliative care was associated with improved end-of-life outcomes. Late initiations were associated with greater acute-care use, with the largest influence on organ failure and frailty decedents, suggesting potential opportunities for improvement.
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50

Ferns, Terry. "Factors that influence aggressive behaviour in acute care settings." Nursing Standard 21, no. 33 (April 25, 2007): 41–45. http://dx.doi.org/10.7748/ns2007.04.21.33.41.c4547.

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