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Durham, NH, United States

Constantian M.B.,University of Southern New Hampshire
Plastic and Reconstructive Surgery | Year: 2012

Background: There is little evidence-based information on secondary rhinoplasty patient motivations for surgery, satisfaction, or revision rates. Methods: The charts of 150 consecutive patients (121 women and 29 men) who underwent secondary rhinoplasty between July of 2007 and October of 2008 were reviewed; preoperative deformity severity was graded from 1 to 5. The patients primary reasons for surgery, patient and surgeon satisfaction, and postoperative depression or body dysmorphic disorder were tallied. Results: The average number of prior operations was 3.6. The most commonly expressed reason (41 percent) for undergoing revision was the development of a new deformity after the primary rhinoplasty. Those patients also had the most severe preoperative deformities (p < 0.02). Other motivations were failure to correct the original deformity (33 percent), an intolerable perceived loss of personal, familial, or ethnic characteristics (15 percent), the desire for further improvement in an already acceptable result (10 percent), and a new or unrelieved airway obstruction (1 percent). Ninety-seven percent of patients were happy with their outcomes. Forty patients (27 percent) were depressed before surgery and three (2 perent) displayed evidence of body dysmorphic disorder postoperatively. The depressed and dysmorphic patients did not have worse deformities than those who were not depressed postoperatively (p < 0.8695). Conclusions: Most secondary rhinoplasty patients have motivations similar to those of our other reconstructive patients and will be pleased with their surgical outcomes. The most severe preoperative deformities were iatrogenic. The unhappy postoperative patients, including those with body dysmorphic disorder, did not have more severe preoperative deformities than the others (i.e., their deformities alone did not justify their unhappiness). Clinical Question/Level of Evidence: Risk, IV. © 2012 by the American Society of Plastic Surgeons.


Van Engelen A.G.,New Hampshire Electrical Cooperative | Collins J.S.,University of Southern New Hampshire
Proceedings of the Annual Hawaii International Conference on System Sciences | Year: 2010

Utility companies are under pressure to reduce their own operating costs and support energy savings, while providing more services to their customers. These new services will be expected to include better information for customers to help them make decisions about energy use and optimizing current energy availability. This paper describes the use of Advanced Metering Infrastructure (AMI) as a way of monitoring energy usage, increasing operating efficiencies for the utility, and enabling information flows for supporting energy-saving schemes. Several options for implementing AMI are discussed. The impact of recent developments in communications protocol standardization is considered. The discussion includes the criteria and factors that should be used for making a choice among the possible options. The specific case examined here is an electric cooperative utility company in New Hampshire. © 2010 IEEE.


Fellman P.V.,University of Southern New Hampshire
International Journal of Networking and Virtual Organisations | Year: 2011

Complexity science affords a number of novel tools for examining terrorism, particularly network analysis and NK Boolean fitness landscapes. This paper explores various aspects of terrorist networks which can be illuminated through applications of nonlinear dynamical systems modelling to terrorist network structures. Of particular interest are some of the emergent properties of terrorist networks as typified by the 9/11 hijackers network, properties of centrality, hierarchy and distance, as well as ways in which attempts to disrupt the transmission of information through terrorist networks may be expected to produce greater or lesser levels of fitness in those organisations. © Inderscience Enterprises Ltd.


Scally C.P.,Albany State University | Koenig R.,University of Southern New Hampshire
Housing Policy Debate | Year: 2012

Policies and research around affordable rental housing remain stuck between the "rock" of not-in-my-backyard (NIMBY) fears and the "hard place" of deconcentrating poverty goals, leading to fragmented outcome measurement in contemporary project-based affordable rental housing programs. This article compares the motivations and results of existing research focused on NIMBY concerns around place to that of programs that promote the deconcentration of poor people. We suggest reframing the argument for project-based affordable rental housing by bolstering outcome measurement on neighborhoods and developments and expanding it to include tenants. Building upon current evaluation practices of mobility studies and the Low Income Housing Tax Credit program, we present a comprehensive framework for evaluating outcomes of project-based rental housing developments within their local context at three relevant scales: project, household, and community. We present an array of indicators and examine data collection needs and limitations, acknowledging the political and financial obstacles to comprehensive evaluation but arguing for the need to justify expenditures and prove results to the public. We recommend that government agencies stretch beyond NIMBY arguments and deconcentration of poverty goals to be proactive in targeting, measuring, publicizing, and redressing an expanded set of outcomes through better comprehensive planning for affordable housing. Through more rigorous and comprehensive evaluation of outcomes at all scales, it may be shown that affordable housing development yields a broad range of benefits for the people housed, projects financed, and the communities where it is built. © 2011 Virginia Polytechnic Institute and State University.


Lewis L.,University of Southern New Hampshire
International Journal of Enterprise Information Systems | Year: 2014

Elder care is of increasing global concern. The aging population is expected to increase two-fold by 2050. It is anticipated that there will not be enough caregivers to assist the elderly very soon, and thus researchers and entrepreneurs are looking at various types of information systems (IS) that will help alleviate the challenges in elder care. This paper examines one such IS: conversational agents in the form of avatars or robots as an aid to (i) decrease loneliness and depression among the elderly, (ii) increase cognitive function and quality of life, and (iii) generally help manage patient care. We discuss the state-of-the-science of research prototypes and commercial off-the-shelf ISs. We propose a novel concept and design, and we discuss the ethical ramifications of elderly patients possibly bonding with inanimate objects as if they were human companions. Copyright © 2014, IGI Global.

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