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Presents the thesis "The Initial Interview In Pastoral Counseling: Scriptural And Theological Implications," submitted to the Faculty of the Catholic Theological Union at Chicago, Illinois in partial fulfillment of the requirements for the Degree of Master of Theological Studies. Most useful counseling goal; Christology; Discipleship; Holy Spirit; Community of faith.

The burden of Alzheimer’s disease (AD) affects not just the individual but also families, providers, and society. Early recognition and diagnosis of AD may reduce cost by reducing interaction with the health care system, earlier initiation of treatment, and prolonging time to long- term care. Primary care providers, the first contact for diagnosis of patients with AD, are not fulfilling the potential of early diagnosis for a variety of reasons. Biomarkers of AD emerge on average 15 to 20 years before clinical diagnosis, yet currently established biomarkers are not easily available in the primary care setting. A growing body of literature is focused on identifying additional non-invasive early signs of AD. The aims of this program of research were to understand factors contributing to the AD diagnosis variability in primary care settings and methods to improve early diagnosis by primary care providers. Four studies were undertaken to achieve these aims. The first study reported the results of an integrated review estimating the prevalence of missed diagnosis in primary care when compared to trained raters’ diagnoses. The findings call to attention the difficulty primary care providers face to detect and diagnose AD at all levels of the healthcare system. This led to the second study. Chronic pain is a common comorbid ailment seen in those with AD and often is a driving factor of patients seeking medical care. In order to understand the pain experience in those with worsening cognition, the second study was a secondary analysis of a cross-sectional age- and sex-matched two group cohort study and found that the experience of pain differs between males and females as a measure of cognition worsened suggesting a possible role of pain as a tool to distinguish those at risk for AD. This finding led to the third study, which was a narrative review conducted to describe how alterations in senses have been associated with the diagnosis of AD. The results suggested differences in smell, taste, vision, hearing, and proprioception were associated with different levels of the AD continuum but points out an obvious gap in the literature concerning other senses. This led to the fourth study examining evidence that the ε4 allele of Apolipoprotein E modifies the experience of pain in those individuals carrying the allele such that greater temperatures are required to elicit pain and the experience of that pain is more unpleasant. Additional studies should expand on the results of this pilot study.

In this thesis modifications to the Wavelet Galerkin Method using Daubechies Wavelets will be presented. Such modifications are needed since the compact support of the scaling functions, used to approximate the solution, introduces significant errors near the boundaries of the domain of the problem. This thesis will point out the cause for these errors and remedies to minimize them. The variations of the Galerkin Method will be applied to several test cases, which include a differential equation with variable coefficients, and their results will presented. In addition, a presentation of Wavelet Theory and of the methods used to solve differential equations with constant coeffi-cients, that can be embedded in a periodic domain, will also be given.

There is interest at all levels of government, including the office of the president, to study continually each case to determine whether a large capital investment today could be cost effective in the sense of reducing future operating and maintenance costs. This paper is an effort to provide the government executive, who is responsible for the operating cost in his facility, with concepts and methods by which he may endeavor to achieve a more cost effective operation. Although this paper is limited to the electronic equipment area, the government executive can apply the same approach and techniques to his area of operation. The review presented of the electronics development from times preceding Marconi’s early attempts at radio transmissions to the present art of large scale integration used in modern electronics shows a continuing improvement in electronic equipment reliability. Although people like Fleming and Deforest were pioneers in the vacuum tube development, which was the backbone of electronics up until 1950, the pioneers of today’s technology are people like Bardeen and Brattain, who invented the early point contact transistor, and Shockley, who invented the junction transistor. The manufacturing techniques of the junction transistor led to the later development of integrated circuits. All of these electronic break-throughs were accompanied by improvements in equipment reliability. In addition, the equipment, space, and power requirements were reduced to the point where significant automation could be introduced without increasing space requirements. The reliability improvements achieved by large scale integration are several orders of magnitude over that of the tube type equipment of the 1940’s. Many managers can attach a cost factor to the improved probability that the equipment will operate without failure during a given operation. This factor, plus savings in maintenance costs and building space, are all factors that contribute to the cost effectiveness of a large capital investment today to reduce tomorrow’s operating budget. The hypothesis set forth in this study is: Reliability, maintainability, maintenance time, and operating cost can form the basis for a cost effective analysis to determine whether it is practical to modernize an obsolete plant to the current technology. This paper takes a look at the history of electronics development and the inherent improvements in all areas of operation that accompanied these developments. Suggestions are put forth for the government executive to provide him with guidance in applying this information to the applicable areas of his operation. This is followed by a sample case to demonstrate how the reliability function can be utilized to take advantage of these electronics improvements which have occurred over the past few decades. The conclusions of this paper take the liberty to project the results of the sample case into the other areas of interest to the government executive. These areas of probability of operation for a given mission support period and space savings versus facility costs are equally important when considering the cost effectiveness of modernizing a facility.

2031-01-01

The study reported here attempts to demonstrate the utility of group play therapy as a method of reducing aggression in preadolescent aged boys. Previous research has attempted to demonstrate the value of play therapy as a method of dealing with a variety of emotional and behavioral problems.

The problem of determining the pressure distribution on the surface of a two-dimensional airfoil in steady, incompressible, potential flow is considered. The airfoil is replaced by a closed vortex sheet which automatically satisfies Laplace's equation and the boundary condition at infinity. Then, the remaining boundary conditions are used to derive an integral-differential equation and boundary condition for the vortex strength distribution. This equation is solved by a finite-element procedure in which the exact airfoil geometry is used. Solutions are obtained for airfoils with both finite and cusped trailing edge angles

291p. Essential portion in Purdue univ. Studies in higher education

U.M.