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A Clinical Case Study of Rumination and Emesis in an Adult Male with Intellectual Disability

Description: An evaluation of a series of interventions was conducted for an individual who engaged in life-threatening rumination and emesis. There is substantial research indicating that the delivery of peanut butter (Barton & Barton, 1985; Greene, Johnston, Rossi, Racal, Winston, & Barron, 1991) and/or chopped bread following meals (Thibadeau, Blew, Reedy, & Luiselli, 1999), chewing gum (Rhine & Tarbox, 2009), and satiation procedures (Dudley, Johnston, & Barnes, 2002; Lyons, Rue, Luiselli, & DiGennario, 2007; Rast, Johnston, Drum, & Conrin, 1981) can be effective treatments for rumination. In the current case, each of these interventions was found to be either ineffective or contraindicated based on the participant's fragile health status. Previous literature has shown that liquid delivery can affect rates of rumination in some clients (Barton & Barton, 1985,; Heering, Wilder, & Ladd, 2003). We examined how liquid affected the rate of rumination during and after meals. Based on the individual's medical condition, oral nutrition and fluids were discontinued indefinitely and a gastronomy-jejunostomy tube was used for nutrition. All rumination ceased when fluids and nutrition were delivered via the jejunostomy tube. Finally, a fluid analysis procedure was implemented in which the participant received small amounts of fluid while NPO. Color and flavor were manipulated systematically, and results suggested that flavor impacted the rate of rumination.
Date: May 2016
Creator: DeLapp, Christina Marie
Partner: UNT Libraries

Development of On-Board Fluid Analysis for the Mining Industry - Final report

Description: Pacific Northwest National Laboratory (PNNL: Operated by Battelle Memorial Institute for the Department of Energy) is working with the Department of Energy (DOE) to develop technology for the US mining industry. PNNL was awarded a three-year program to develop automated on-board/in-line or on-site oil analysis for the mining industry.
Date: August 16, 2005
Creator: Pardini, Allan F.
Partner: UNT Libraries Government Documents Department