Omaha Research Articles

Recovering Hiram Chase

Hiram Chase III (1861-1928) was an Omaha Indian and the first Native person to pass the Nebraska State Bar in 1889....This paper examines Chase's speech to the 1911 Convention of the Society of American Indians and prints and comments on two brief, previously unpublished biographical notes of Chase by his sons, Hiram IV and Kenneth Chase.

NEW HAMPSHIRE LOTTERY COMMISSION v. BARR, BRIEF OF AMICI CURIAE COALITION TO STOP INTERNET GAMBLING AND NATIONAL ASSOCIATION OF CONVENIENCE STORES IN SUPPORT OF DEFENDANTS-APPELLANTS AND SUPPORTING REVERSAL No. 19-1835 (1st Cir. Dec. 24, 2019)

NEW HAMPSHIRE LOTTERY COMMISSION v. BARR, BRIEF OF AMICI CURIAE COALITION TO STOP INTERNET GAMBLING AND NATIONAL ASSOCIATION OF CONVENIENCE STORES IN SUPPORT OF DEFENDANTS-APPELLANTS AND SUPPORTING REVERSAL No. 19-1835 (1st Cir. Dec. 24, 2019)

Evidence-based construction of index system for postoperative care of patients with colorectal cancer

Objective To construct a nursing care service index system for postoperative ostomy patients with colorectal cancer based on Omaha system, which is used to guide nursing practice. Methods Using the Omaha system as the conceptual framework, using literature search method, expert group discussion, Delphi expert correspondence method, screening indicators to establish a system of postoperative care services for patients with colorectal cancer. Results The two rounds of expert letters asked that the effective recovery rate of the volume was 100%(28/28). The coefficient of expert authority of the two rounds of letters was 0.88 and 0.89 respectively, and the coordination coefficients of the expert opinions were 0.476 and 0.501 respectively. The finalized indicator system for care services includes 4 first-level indicators, 13 secondary indicators, and 61 third-level indicators. Conclusion The results of this study are scientific and reliable, and the formation of postoperative ostomy patients with colorectal cancerThe indicator system can provide a reference for clinical practice. Key words: Colorectal cancer stoma; Omaha system; Care system

Application of nursing management under the guidance of Omaha system in patients with primary liver cancer

Objective To explore the effect of nursing management under the guidance of Omaha system in patients with primary hepatocellular carcinoma (HCC). Methods A total of 214 HCC patients admitted to Xianning Central Hospital from May 2013 to May 2018 were selected as study subjects.1 case was lost in the middle of the test, 2 cases were transferred to another hospital, 1 case was withdrawn without authorization, 4 cases were lost in the later period, and 206 cases finally met the standard.A total of 206 HCC patients who planned to undergo hepatic arterial interventional chemoembolization (TACE) were randomly divided into control group and observation group, each with 103 patients.The control group was given routine care, and the observation group was given nursing management under the guidance of the Omaha system.Changes in quality of life at admission and 3 months after discharge were compared. Results After discharge, the self-management behaviors of the observation group included diet management, daily life management, medication management and disease detection management scores, which were significantly higher than those of the control group on admission and after discharge, with statistically significant differences(P<0.05). After discharge, the 17 items of Hamilton Depression Scale(HAMD-17) score and Hamilton Anxiety Scale(HAMA) score in the two groups were significantly decreased, and the Social Support Rating Scale(SSQ) score and Numeric Rating Scale(NRS) score were significantly improved, and the changes in observation group were significantly greater than those in control group, and the differences were statistically significant(P<0.05). At 3 months after discharge, the scores of four items of physical function, psychological function, social function and material life status of Generic Quality of Life Inventory(GQOLI-7) in the two groups were significantly increased(P<0.05), and the increases in observation group were significantly higher than those in control group, and the differences were statistically significant(P<0.05). Conclusions The application of nursing management under the guidance of Omaha system to HCC patients undergoing TACE treatment can promote the development of good self-management behaviors, correct their negative emotions, improve their level of social support, alleviate their pain, and improve their quality of life. Key words: Primary hepatocellular carcinoma; Omaha system; Nursing management

Application effect of Omaha system in the whole-path management of childhood asthma

Objective To explore the effect of Omaha system in the whole pathway management of childhood asthma. Methods A total of 120 children with asthma admitted to this hospital from January 2016 to March 2018 were selected and divided into study group and control group with 60 cases each by random number table method.The control group was given basic management, while the research group was given Omaha-based full-path management.The management effect of the two groups was compared. Results The total satisfaction rate of the two groups was significantly higher than that of the control group(P<0.05). The C-ACT score of the study group after intervention(25.82±2.06) was significantly higher than that of the control group, the levels of PEF(82.32±2.32)% and FEV1(87.66±1.74)% were significantly higher than those of the control group, and the difference between the two groups was statistically significant(P<0.05). After intervention, the C-ACT score(25.82±2.06) in the study group was significantly higher than that in the control group, and the levels of PEF(82.32±2.32)% and FEV1(87.66±1.74)% in the study group were significantly higher than those in the control group, with significant differences between the two groups(P<0.05). The scores of quality of life including emotional function(44.25±8.96), activity(25.68±4.17) and symptoms(40.43±9.29) in the study group were significantly higher than those in the control group, with a significant difference between the two groups(P<0.05). Conclusions The application of Omaha system in the whole-path management is beneficial to the control of asthma in children, significantly improve the respiratory function of children, and significantly improve their quality of life, and the management effect is good, worthy of recommendation. Key words: Childhood asthma; Full-path management; Omaha system

"Their Blood Flowed from There": Pónka Geopolitics and Dispossession

In 1910 the Omaha Tribe was allowed to file suit against the United States for claims emanating from their 1854 treaty. The land in question was also claimed by the Ponca Tribe, so the United States invited the Ponca to join their defense. Depositions were taken from seven Northern Ponca elders in 1912. While the Ponca provided compelling evidence to verify their claims, the courts rejected their arguments in three venues: the US Court of Claims, the United States Supreme Court, and, later, the Indian Claims Commission. However, these depositions stand the test of time because they provide invaluable insights into the Ponca's own perceptions of their homeland, allowing us to reconsider Ponca culture and history through the eyes of their elders.

Effects of the Omaha system intervention on transitional care in elderly patients with chronic heart failure

Objective To explore the effectiveness of Omaha system on transitional care in elderly patients with chronic heart failure. Methods A total of 42 elderly patients with chronic heart failure were selected by convenient sampling method, and five consecutive nursing interventions were conducted from 3 days before discharge to 3 months after discharge. The Omaha system was applied to evaluate the outcome of the patients' cognition, behavior and condition(K-B-S)from four aspects of environment, physiology, psychology and health-related behaviors. Results After continuous nursing intervention, 3 months after discharge, the patients showed improvement in circulation, respiration, digestion-hydration problems, neuro-muscle-skeletal function, social interaction, mental health, sleep, drug treatment program and hygiene compared with 3 days before discharge, and the difference in K-B-S score was statistically significant(P<0.01 or P<0.05). The improvement of defecation status and medical expenses was not obvious, and the difference of K-B-S score was not statistically significant. Conclusions The transitional care plan for elderly patients with chronic heart failure based on Omaha system can reflect the nursing problems of patients and the direction of intervention, and improve the nursing outcome of patients. Key words: Chronic heart failure; Transitional care; Omaha system

Application of transitional care based on Omaha system in stroke patients

Objective To explore the effect of Omaha system-based transitional care on stroke patients' ability of daily life activities, quality of life and stroke recurrence rate. Methods A total of 82 stroke patients hospitalized in the department of neurology of this hospital were selected and divided into intervention group and control group by random number table method, 40 cases of each group. The control group received routine inpatient care, discharge instruction and telephone follow-up, while the intervention group received continued care management based on the Omaha system, led by members of the continuing care management group. Barthd index, concise health status questionnaire and physiological and biochemical indicators were used to measure the subjects at the time of inclusion and 6 months after intervention, and the recurrence rate of stroke in the two groups was compared with the end point of follow-up. Results According to the independent sample t test, the comparison between the two groups 6 months after the intervention: the patients in the intervention group had higher daily living activity ability than the control group, and the other dimensions of life quality scale except physical pain were better than the control group, the difference was statistically significant (P 0.05). Conclusion Omaha system-based transitional care can significantly improve the ability of daily life activities and quality of life of stroke patients, is an effective mode of transitional care of stroke. Key words: Transitional care; Stroke; Omaha systems; Quality of life

The Development of Services System of Integrated Home Care for the elderly based on Omaha System

Objective To develop a comprehensive services system of integrated home care for the elderly based on Omaha System. Methods The Omaha system was used to determine relevant indicators of the content of integrated home care services for the elderly, and identified through the Delphi expert consultation. Results After two rounds of expert correspondence consultation, the effective recovery rate of the questionnaire was 100.00%, the authoritative coefficient of the experts was 0.872 and 0.851, the variation coefficient of the first and second indexes in the second round of expert correspondence consultation was 0.00 to 0.28, The mean importance ratings ranged from 3.80 to 5.00 on a 5-point scale, and the full score was 33.33% to 100.00%. Finally, four first-level indicators including physiological field, social-psychological field, health-related behavior field, environmental field and other fields were established, as well as 43 second-level indicators. Conclusions The indicators related to the services system of integrated home care services for the elderly based on Omaha system are reliable and scientific, which can provide reference basis for further understanding the needs of the elderly of integrated home care services, improving the quality of medical care and old-age care services for the elderly. Key words: Elderly; Omaha system; Integrated care; The service contents

Application of Omaha system theory in self-management of patients with cardiac resynchronization therapy

Objective To investigate the effect of Omaha system theory in self-management of patients with cardiac resynchronization therapy (CRT). Methods A total of 90 cases of CRT patients in the department of cardiovascular medicine of the hospital from May 2015 to May 2017 were selected and randomly divided into control group and observation group, with 40 cases each.Patients in the control group were guided and followed up by routine discharge knowledge, while patients in the observation group were given personalized nursing intervention by Omaha system as a theoretical framework.Adult Health Self-Management Ability Assessment Scale and Minnesota Heart Failure Quality of Life Scale were used to investigate and compare the scores of self-management ability and quality of life after discharge from hospital, 1 week after discharge, 1 month after discharge, and 3 months after discharge. Results 1 month after discharge and 3 months after discharge, the self-management ability scores of the observation group were better than those of the control group, while the quality of life scores of physical, emotional and other fields were lower than those of the control group. All the differences were statistically significant (P<0.05). Conclusions The nursing of CRT patients guided by Omaha system theory can reflect the common problems of patients, provide feasible intervention measures and evaluation methods, and provide reference for improving patients' self-management ability and quality of life. Key words: Omaha system; CRT; Self-management ability; Life quality

Application of cardiac rehabilitation program based Omaha system in post percutaneous coronary intervention patients

Objective To investigate the effect of the cardiac rehabilitation program based Omaha system on patients after percutaneous coronary intervention (PCI) . Methods A convenient sampling method was used to select 127 patients from the Department of Cardiology of Wuxi Second People's Hospital from October 2017 to April 2018. According to the patient's hospitalization number, they were randomly divided into two groups, including 64 in the experimental group and 63 in the control group. During the intervention, 2 patients were lost in the experimental group and 1 patient was lost in the control group. There were 62 patients in each group to complete the study. Patients in the control group received routine care, while patients in the experimental group received cardiac rehabilitation based on the Omaha system. The effect of the intervention was measured by 6 min exercise test, secondary prevention knowledge and behavior questionnaire for post-PCI patients. Results After the intervention, The 6-minute exercise distance was (439.28±67.94) m in the experimental group, and it was (315.62±45.18) m in the control group. The exercise endurance of the experimental group was higher than that of the control group, and the difference was statistically significant (t=11.934, P<0.01) . The secondary prevention knowledge and behavior scores of the experimental group were (87.21±12.46) and (84.27±14.58) , which were higher than those of the control group (71.30±8.12) and (65.94±8.97) . The differences were statistically significant (t=8.423, 8.431; P <0.01) . Conclusions Cardiac rehabilitation programs based Omaha system can improve exercise endurance and secondary prevention behaviors of patients after PCI and its application should be promoted. Key words: Heart; Rehabilitation; Omaha system; Percutaneous coronary intervention; Exercise endurance; Secondary prevention

Effect of Omaha system measures combined with voice training in the treatment of patients with functional vocal dyspraxia caused by glottic insufficiency

Objective To explore the effect of Omaha system combined with voice training in the treatment of patients with functional vocal dyspraxia caused by incomplete glottic closure. Methods From January 2017 to December 2017, eighty-eight patients with vocal dystonia due to glottic insufficiency who were treated in the Second Hospital of Shaoxing were randomly divided into control group and observation group by random number table method, with 44 cases in each group.The control group was treated with voice training.The observation group was given Omaha system measures on the basis of treatment in the control group.After 8 weeks, the therapeutic effects, GRBAS index scores, VHI scores, changes in acoustic parameters, and laryngoscope scores were compared between the two groups. Results After treatment, the total effective rate of the observation group (90.91%) was significantly higher than that of the control group(59.09%)(χ2=9.317, P<0.05). After treatment, the scores of total deafness, roughness and other indicators were significantly reduced in both two groups, and the scores of GRBAS in the observation group were significantly lower than those in the control group(t=8.674, P<0.001; t=2.169, P=0.032; t=2.489, P=0.014; t=32.832, P<0.001; t=9.381, P<0.001). After treatment, the index scores and total VHI scores of both two groups were significantly decreased, and the scores of the observation group were significantly lower than those of the control group(t=2.222, P=0.028; t=3.144, P=0.002; t=2.003, P=0.048; t=5.763, P<0.001). After treatment, the maximum phonation time(MPT), basic frequency(Jitter), and lowest sound intensity(I-Low) were significantly reduced in the two groups, which in the observation group were significantly lower than those in the control group(t=4.037, P<0.001; t=4.789, P<0.001; t=4.717, P<0.001). The highest basic frequency(F0-High) and DSI index significantly increased in both two groups, which in the observation group were significantly higher than those in the control group(t=4.497, P<0.001; t=4.794, P<0.001). Conclusion The combination of Omaha system measures and voice training can significantly improve functional vocal disturbances caused by glottic insufficiency, significantly improve the quality of patients' voices, improve glottic closure, and contribute to the recovery of patients' voices.It is worthy of promotion in clinical practice. Key words: Omaha system measures; Vocal training; Glottic insufficiency; Functional vocal disturbance; Therapeutic effect; Vocal disorder severe index; Acoustics; Vocal

Christmas Card from a Cat Dancer in Mipple City: Omaha the Cat Dancer and Midwestern Counterpublics

Christmas Card from a Cat Dancer in Mipple City: Omaha the Cat Dancer and Midwestern Counterpublics

Application of Omaha system in PICC patient care

Objective To explore the evaluation and application of the Omaha system in the self-management of patients with central venous catheter (PICC) via peripheral venous implantation. Methods A total of 100 patients with PICC catheterization in the blood department of the hospital were selected and divided into the intervention group and the control group according to the voluntary principle, 50 patients of each group.The control group was taught and followed up after conventional catheterization.The intervention group was given systematic care of Omaha.The self-management ability of the two groups was observed 3 days before catheterization, 1 day before discharge and 2 weeks after discharge. Results The scores of self-management ability of the two groups were compared 3 days before catheterization, and the difference was no statistically significant(P>0.05). Compared with the control group, the self-management score of the routine catheterization observation, compliance to maintenance, catheter management confidence, exception handling, movement with the tube, daily life with the tube in the intervention group were increased after continued intervention with the Omaha system, 1 day before discharge and 2 weeks after discharge, and the differences were statistically significant (P<0.05). Conclusions The application of the Omaha system in the self-management of PICC patients has improved the self-management ability of patients in general and helped to improve the quality of life of patients with PICC. Key words: Omaha systems; Patients with PICC; Self-management ability

Study on the effect of Omaha system on continuous nursing intervention after PCI

Objective To explore the effect of continuous care intervention based on Omaha system on patient compliance and risk factors control after percutaneous coronary stent implantation (PCI). Methods A total of 81 patients with coronary heart disease receiving PCI surgery for the first time in this hospital were selected.By means of random number table, the patients were divided into intervention group (41 cases) and control group (40 cases). On the basis of receiving regular health education, the Omaha system intervention oriented continuous nursing was applied to experimental group.The behavior of PCI postoperative patients following doctor's instruction was used as questionnaire to evaluate the behavior of PCI postoperative patients following doctor's instruction, related risk factors and the improvements of physiological and biochemical indexes in both groups when discharged, 3 months after discharge and 6 months after discharge.In addition, the cardiovascular event occurrence rate of patients in both groups was compared at the end of follow-up visit. Results After repeated measure variance analysis, the score of patients in both groups was compared in different time and groups.The result of behavior of following doctor's instruction had statistical significance(P<0.05). After 6 months, except BMI value and cardiovascular event occurrence rate, the index difference of smoking rate, rate of blood pressure reaching the standard, glycosylated hemoglobin (HbA1c), total cholesterol (TC) and LDL-C had statistical significance(P<0.05). Conclusions Continuing care intervention based on Omaha system can significantly improve the level of compliance and risk factor control of patients after PCI, and is an effective mode of continuing care intervention after PCI. Key words: Omaha system; PCI; Continuous nursing; Compliance behavior; Risk factors

Application effect of continuous nursing based on Omah system in urology patients

Objective To study the effect of application of continued nursing based on Omaha system to the patients with urinary artificial orifice. Methods Review 80 cases of patient who was performed with total cystectomy and permanent urinary artificial orifice at abdominal wall in our hospital from Jun, 2015 to Nov, 2016 were selected as object of study, they were divided into observation group and control group according to different nursing methods with 40 cases for each group. The control group was administrated with conventional nursing, the observation group was additionally administrated with continued nursing theoretically based on Omaha system. The quality of life, the nursing evaluation of the Omaha system and the satisfaction score of the 2 groups were compared. Results The patients in observation group evidently had higher scores 88.4±4.4, 91.2±2.8, 89.7±3.6, 87.1±4.4, 87.3±3.4 in terms of social function, cognitive function, emotional function, role function, physical function and overall health,than 81.3±2.5, 81.2±3.4, 80.1±4.1, 81.2±3.5, 80.2±2.6 in the control group, the differences were statistically significant (t=8.378 0-15.028 2, P<0.01); the patients in observation group had evidently a higher autonomous nursing score 92.11±4.64 and patient satisfaction 97.50% (39/40) than 75.09±6.93 and 82.50% (33/40) in control group did, the differences were statistically significant (t=7.281, χ2=6.504, P<0.01). Conclusion The nursing program theoretically based on Omaha system and designed for the patients with urinary artificial orifice can effectively improve the patient′s life quality and autonomous nursing ability, and the patients are highly satisfied by the nursing, which has a clinical significance. Key words: Cystectomy; Urinary diversion; Omaha system; Continuous care

Application of Omaha management model for patients with chronic obstructive pulmonary disease

Objective To explore the clinical intervention effect of Omaha on chronic obstructive pulmonary disease(COPD) patients by comparing the routine nursing measures of COPD and the nursing measures under the Omaha management mode. Methods Using experimental design method research in Omaha based management system, according to the inclusion and exclusion criteria, 70 patients with COPD were collected, and they were divided into observation group and control group of 35 cases by random digits table method. The control group was received routine nursing measures of COPD and the observation group was accepted nursing measures under the Omaha management mode. The incidence rate of nursing problems before and after hospitalization was observed. The chronic obstructive pulmonary disease assessment (CAT) was used to evaluate the patient's disease status at admission, discharge and 1 month after discharge. Results The problems with the incidence rate of not less than 20% were analyzed statistically. Except the role change, mental status, social status, skin, eyesight, substance abuse have no significant difference (P>0.05), the others were statistically significant (t=4.158-55.940, P 0.05). CAT score was (18.14±1.01) points at 1 month after discharge in observation group and (20.17±1.41) points in control group, the difference was statistically significant(t=6.890, P<0.05). Conclusions The application of nursing intervention in patients with COPD of the Omaha system, can achieve improving disease in patients with COPD, and make it easier for the patient's disease level of long-term stability, to provide new ideas and directions for further adjuvant therapy COPD. Key words: Pulmonary disease, chronic obstructive; Omaha system; Disease evaluation

The application of the Omaha problem classification system in the assessment of hospitalized T2DM patients' health problems

Objective To evaluate the health problems of patients with type 2 diabetes mellitus(T2DM), including body, heart, society, environment, etc, and provide references for the management of diabetes. Methods A self-made questionnaire was used to investigate the health problems of 360 patients.SPSS 13.0 Statistical Software was used to analyze the situation and severity of the problem. Results There were 5 943 problems in 360 patients, with 16.51 problems per patient.There were 59.36% of the problems at moderate or moderate levels.The incidence rate was over 60 percent and there were 12 major health problems, including 6 healthy behaviors(Ⅳ-21 physical activity, Ⅳ-22 nutrition, Ⅳ-24 blood glucose monitoring, Ⅳ-25 foot care, Ⅳ-28 diabetes awareness, Ⅳ-29 health care supervision), 4 physiological areas(Ⅲ-10 vision, Ⅲ-11 pain, Ⅲ-12 oral hygiene, Ⅲ-15 circulation function), 2 psychological and social fields(Ⅱ-3 contact community resources, Ⅱ-4 mental health). Conclusion This group of patients with health problems and more serious, health behavior follows the situation is not very ideal, self management level is not high, most of the existing medium degree of anxiety, depression, diabetes community service less resources, utilization rate is low. Key words: Omaha system; Type 2 diabetes mellitus; Health problems

Application effect of case management pattern on tongue neoplasms surgery patients

Objective To study the effect of case management pattern on tongue cancer free flap repair patients. Methods A total of 148 cases of tongue cancer patients who were treated in the head and neck surgery department of Hu'nan Cancer Hospital from January 2015 to October 2016 were randomly selected as the research object. They were divided into intervention group (74 cases) and control group (74 cases) . The conventional management model of head and neck cancer was applied in the control group, at the same time, the intervention group adopted the case management pattern by assessing, planning, implementing, evaluating and responding to improve the effect of recovery and the tongue cancer patients' quality of life. University of Washington quality of life questionnaire (UW-QOL) , the health behavior of Omaha evaluation criteria, and mini-mental adjustment to cancer scale (Mini-MAC) were applied to evaluate patients' situation of the two groups 1 week and 6 months after surgery. Results At the time point of 1 week after surgery, the scores of the health behavior of Omaha evaluation criteria and Mini-MAC of the control group were (40.74±2.58) , (33.15±1.90) respectively, while the scores of the intervention group were (46.09±1.83) , (30.38±2.26) respectively, and there were statistical differences (P<0.05) . After 6 months, the scores of UW-QOL, the health behavior of Omaha evaluation criteria and Mini-MAC of the control group were (829.54±65.94) , (63.66±3.63) , (30.68±3.71) , and the intervention group scores were (1 124.13±46.74) , (75.54±1.36) , (27.61±2.31) respectively. The differences between two groups were statistically significant (t=-31.35, -26.38, 6.04; P<0.01) . Conclusions Case management model can effectively improve the quality of life in patients with tongue cancer after surgery. It was suggest to have positive effect on patients' health behavior and mental adaptation. Key words: Tongue neoplasms; Quality of life; Mental adaptation; Postoperative rehabilitation; Case management mode

Urban Villages and Local Identities: Germans from Russia, Omaha Indians, and Vietnamese in Lincoln, Nebraska by Kurt E. Kinbacher

Reviewed by: Urban Villages and Local Identities: Germans from Russia, Omaha Indians, and Vietnamese in Lincoln, Nebraska by Kurt E. Kinbacher Kevin Bower Urban Villages and Local Identities: Germans from Russia, Omaha Indians, and Vietnamese in Lincoln, Nebraska. By Kurt E. Kinbacher. Lubbock: Texas Tech University Press, 2016. ix + 256 pp. Illustrations, maps, tables, notes, index. $39.95 paper. Lincoln, Nebraska, contains an ethnic diversity and cosmopolitanism that, as is the case with other small cities in the region, belies popular notions of the Great Plains as ethnically homogenous and, in a word, boring. Successive arrivals of migrants and immigrants give cities like Lincoln a dynamic character that shapes the lives of both members of these ethnic groups and the city's existing "mainstream." Kurt Kinbacher compares the experiences of three groups of "urban villagers" who arrived in Lincoln, established themselves as distinct communities, and self-consciously have maintained their identities over time. Germans from Russia, ethnic Germans welcomed into Russia in the eighteenth century only to suffer famine and other hardships by the late nineteenth century, made up roughly 25 percent of Lincoln's population by 1920. Significant numbers of Omaha Indians, whose territory once included the land where Lincoln now stands, left their northeastern Nebraska reservation in the years during and after World War II, with about one-third of the enrolled members of the Omaha Nation currently residing in Lincoln. Vietnamese immigrants who came to Lincoln did so in several distinct waves following the 1975 conquest of the Republic of Vietnam and the decades of turmoil that followed under communist rule. Today about 5,000 Vietnamese live in Lincoln. Drawing meaningful comparisons between such distinct communities is challenging, but Kinbacher succeeds in balancing the larger historical forces shaping his subjects, concepts like "cosmopolitanism," "transnationalism," and "performed culture" are handled with a sophisticated but accessible touch and provide a compelling framework for comparison, and a deep local knowledge of both his urban villagers and the city they inhabit. Personal stories about individuals inhabiting these communities give the narrative a human face. Telling details, such as references to the politics of popular music in the Vietnamese community, demonstrate a rich engagement with the lived experiences of Lincoln's urban villagers. These aspects ultimately make Urban Villagers and Local Identities a book that should please both "insiders" from the communities in question and "outsiders" in search of a theoretical framework for understanding other immigrant communities in other places. Kinbacher provides a much-needed book that impressively integrates the experience of urban villagers into our understanding of cities on the Great Plains. Kevin Bower History Department Nebraska Wesleyan University Copyright © 2018 Center for Great Plains Studies, University of Nebraska–Lincoln