Digital Commons Network^™

Joint Attention And Occupations For Children And Families Living With Autism Spectrum Disorder: A Scoping Review, Verna G. Eschenfelder, Christina M. Gavalas

The Open Journal of Occupational Therapy

Background: Research reports that children living with autism spectrum disorder (ASD) may demonstrate deficits in social, emotional, behavioral, and communication skills, which adversely affect social participation and occupational engagement. Joint attention skills constitute any nonverbal communication that captures the attention of another to create a shared interactional experience. The components of joint attention can be targeted through intervention to promote occupational engagement in childhood co-occupations.

Methods: A scoping review process was applied in the current study. Nineteen studies met the inclusion criteria to be analyzed through critical appraisal of topics and use of a matrix.

Results: Evidence indicates that joint …

Gw Nursing, Fall 2017, George Washington University, School Of Nursing

GW Nursing Magazine

No abstract provided.

Advances In Neuroscience Imply That Harmful Experiments In Dogs Are Unethical, Jarrod Bailey, Shiranee Pereira

Professional Science Research Ethics Collection

Functional MRI (fMRI) of fully awake and unrestrained dog 'volunteers' has been proven an effective tool to understand the neural circuitry and functioning of the canine brain. Although every dog owner would vouch that dogs are perceptive, cognitive, intuitive and capable of positive emotions/empathy, as indeed substantiated by ethological studies for some time, neurological investigations now corroborate this. These studies show that there exists a striking similarity between dogs and humans in the functioning of the caudate nucleus (associated with pleasure and emotion), and dogs experience positive emotions, empathic-like responses and demonstrate human bonding which, some scientists claim, may be …

A Healthy Subject’S Perspective Undergoing Dysphagia Diets, Carmen J. Meyer

Honors Projects

Because there are only a small number of publications that have examined dysphagia from the perspective of people living with this disorder, the primary purpose of this project is to help expand the clinical knowledge base by systematically recording and analyzing the experiences of a healthy subject placed on modified consistency diets. The first component of this project addresses research pertaining to swallowing disorders, diet levels on which clients with swallowing disorders are placed, medical conditions associated with dysphagia, the process that clinicians follow when making decisions about modified diets, and the emotional effects of being placed on a modified …

Long-Term Sustainment Of Rapid Improvement Events: A Case Study In “Room Readiness”, Gabriela V. Coronel

Undergraduate Honors Theses

Shifting payment models from fee for service (FFS) to pay for performance (P4P) have fundamentally changed the environment of healthcare administration in the United States (Center for Medicaid and Medicare Services (CMS), 2011). Due to this shift, there has been an increase in demand for tracking and improving quality measures to ensure not only patient safety, but optimization of utilization. Constraints on resources and capacity, coupled with increasing safety measures has developed a new study of patient flow (Miró, Sánchez, Espinosa, et al., 2003). Decreasing patient room turnover times has the potential to maximize utilization while ensuring patient safety and …

Aided Communication For Adults With Developmental Disabilities, Lindsay Bolding

Honors Projects

This honors project is a series of templates that will serve as a guide for residential facilities for individuals with autism and other developmental disabilities. What is the most effective way to facilitate communication in residential facilities for adults with developmental disabilities? While working at this type of facility during my time at Bowling Green State University, I have witnessed a need for implementation of new communication routes in the homes. While skill building such as communication is stressed in the homes, plans for staff to fulfill these skills can be lacking. The templates I have created can be used …

Deaf Access To Healthcare, Jennifer L. Yates

Senior Honors Theses

Modern medical professionals strive to provide culturally competent care; however, Deaf[1] culture remains overlooked. Common language and experience draw deaf individuals together as a cultural group. Ignorance about Deaf culture perpetuates barriers to holistic care in the medical setting. Deaf patients receive misdiagnoses, delayed treatment, and privacy breaches. Deaf culture understandably avoids healthcare and is characterized by numerous health disparities as a result. Obstacles hindering Deaf access to healthcare are directly opposed to the intended therapeutic relationship and holistic care. Increased awareness of Deaf culture is required to improve the Deaf’s access to healthcare.

[1] The word deaf should …

The Relationship Between The Military's Masculine Culture And Service Members' Help-Seeking Behaviors, Rachel Reit

Master's Theses (2009 -)

Since the terrorist attacks on September 11, 2001, over 2.5 million active duty U.S. military service members have deployed to Iraq and Afghanistan (Knobloch & Wilson, 2015). Of those who return as veterans, twenty percent experience serious mental health problems, and only 30-40% of them seek help or treatment (Tanielian & Jaycox, 2008; Wilson, Gettings, Hall, & Pastor, 2015). Recently, the military has increased efforts to encourage help-seeking behaviors among service members and to normalize mental health treatment. However, the military’s masculine culture and emphasis on strength and toughness inhibits the success of these efforts. The present studies investigate the …

Constructing Health Narratives: Patient Feedback In Online Communities, Katie Lynn Walkup

USF Tampa Graduate Theses and Dissertations

This project examines user-generated health narratives through corpus analysis of 246 reviews posted on Midwestern Hospital’s Yelp page. Understanding how different stakeholders act and interact within online health communities models a shift in new conceptions of health, and provides evidence of health ecologies’ ability to determine patient perceptions of care. Documents produced by users in these health communities represent health narratives comprised of a user’s health experience, that user’s treatment perceptions, and the community’s perceptions of the user’s experience. Author uses corpus methods to interpret user trace data and rhetorical moves embedded in health narratives. Findings suggest that users who …

A Prospective Trial: Traditional Versus Video-Based Teaching For Gynecologic Surgery, Mireille Truong

Health Sciences Education Symposium

This prospective study compared the effect of traditional versus video-based education in gynecologic surgery on cognitive and surgical skills performance among millennial medical trainees and evaluated the impact of individual learning preference on performance. Residents and medical students in their OBGYN rotation at an urban university-hospital were recruited and assigned to either traditional training (TT) or video-based training (VBT) for teaching of skills needed for total laparoscopic hysterectomy. Pre- and post-intervention knowledge and skills assessments were performed. Subjects’ learning preference was evaluated with the validated VARK© questionnaire. VBT and TT change in knowledge and skills assessment scores was compared, and …

Clarifying The Need For Inpatient Medication Education, Pamela Cox Raffaldt

Nursing Theses and Capstone Projects

Low health literacy is a problem for millions of Americans resulting in increased use of avoidable healthcare resources and poor health outcomes. Use of pharmaceutical regimens to manage acute and chronic health issues is the most common treatment modality. Unfortunately, people with low health literacy may have trouble understanding and following provider instructions; reading and following directions on medication bottles, either prescribed and/or over the counter; and identifying proper reasons for taking a medication. The purpose of this study was to increase patient self-agency for the treatment and management of acute and chronic health conditions through medication education. Providing medication …

University Of Nebraska At Omaha 2017-2018 Course Catalog, University Of Nebraska At Omaha

Graduate Catalogs

The University of Nebraska Omaha (UNO) is a premier metropolitan university that combines the resources of a doctoral research institution with a thriving community in the heart of Omaha.

With a global reach and vision, UNO is large enough to provide opportunities students seek, yet personal enough to include the mentorship they need to achieve academic excellence, creativity, and engaged learningat competitive tuition rates.

UNO is committed to and engaged with the city surrounding it, allowing students unique hands-on opportunities, internships, service learning,applied research, and other collaborative activities that enhance time in the classroom.

This is the ”O” we want …

Quality Improvement Initiative To Reduce Fall Risk In The Snf, Ramona C. Lancaster

Walden Dissertations and Doctoral Studies

Residents who fall in SNF either sustain significant decline to quality of life or die from their injuries. The average fall costs about $34,000 per incident. On average, 19.8% of residents fall at least once per month. The purpose of this project was to assess, identify, and advance nursing practice to decrease falls by evaluating current facility standard of practice, fall policy, procedures, and protocol. The objective was to create actions that would close the communication gap between clinicians and residents. This project encourages clinicians to intertwine resident feedback and strategies into the plan of care to help reduce fall …

Educating To The Collaborative Care Model, Darcy N. Duncan

Walden Dissertations and Doctoral Studies

The problem addressed in this project was the lack of experienced RNs needed in the acute care setting to deliver safe, quality patient care, while effectively managing resources and providing job satisfaction. The purpose of this project was to determine if an education module designed to educate charge and rover nurses on the Collaborative Care Model (CCM) would enhance staff nurses' abilities to provide safe, high quality care to patients, and improve staff nurse retention on one unit in an acute care setting. The theoretical frameworks utilized to guide the education module included: Lewin's theory of planned change, Benner's novice …

Designing Effective Messages To Promote Future Zika Vaccine Uptake, Jeanine Guidry

Theses and Dissertations

The Zika virus is associated with the devastating birth defect microcephaly, and while a vaccine was not yet available in early-2017, several were under development. It is imperative to identify effective communication strategies to promote uptake of a new vaccine, particularly among women of reproductive age. Moreover, though the Zika outbreak has received much social media attention, little is known about these conversations on Instagram. The purpose of this dissertation, therefore, was to understand current Zika-focused communication on Instagram and to inform effective communication strategies to promote future Zika vaccine uptake intent.

The study aims were: (1) explore Zika conversations …

Recovery From Design, Cassandra J. Ellison

Theses and Dissertations

Through research, inquiry, and an evaluation of Recovery By Design, a ‘design therapy’ program that serves people with mental illness, substance use disorders, and developmental disabilities, it is my assertion that the practice of design has therapeutic potential and can aid in the process of recovery. To the novice, the practices of conception, shaping form, and praxis have empowering benefit especially when guided by Conditional and Transformation Design methods together with an emphasis on materiality and vernacular form.

Alumni Journal - Volume 87, Number 2, Loma Linda University School Of Medicine

Alumni Journal, School of Medicine

Features
10 | An Unexpected Visit
12 | APC 2016 in Review
24 | Medicine, Faith, and Hope

Departments
2 | From the Editor
4 | From the President
6 | From the Dean
7 | The Student Fund
8 | School of Medicine News
42 | AIMS Report
46 | Alumni News
48 | In Memoriam
52 | Historical Snapshot
53 | What's Up Doc?

Extras
3 | New Executive Director
11 | Class Giving Report
49 | Tribute to Lawrence D. Longo '54

The Graphic Side Of Fear: The Effects Of Anti-Tobacco Graphic Threat Appeals, Latasha R. Swanson

Open Access Dissertations

Many public health organizations have proposed and implemented campaigns and policies involving graphic ads or warnings to deter individuals from smoking. The current study evaluated how high-cigarette dependent smokers evaluate these messages compared to low-cigarette dependent smokers using a mixed, 3 x 2 factorial design. A pilot study involving focus groups, interviews, and evaluation questionnaires (N=10) was conducted to classify graphic threat appeals and develop stimulus materials for the primary study. For the primary study, three graphic threat appeal conditions were evaluated by Amazon Mechanical Turk (MTurk) users (N=200). Findings suggested that the graphicness of the …

Experiences Of Stress And Coping Over Time By Caregivers Of Stroke Survivors: A Mixed-Methods Approach, Fang Ye

Dissertations and Theses (Open Access)

Background/ Objectives: Caregivers of stroke survivors often experience physical and mental stress, decreased physical and emotional well-being, high burden of care, social isolation, and neglecting self-care. The majority of previous research studies have identified caregiver experiences during the first one-to-two years post stroke. Little is known about caregiver experiences beyond the first two years of the post- stroke recovery trajectory, indicating a need for longitudinal study of their experiences over time. Therefore, the objectives of this study were to 1) investigate caregiver experiences of stress and coping over 5-7 years post stroke using quantitative methods, and 2) explore through …

Creating Environments Through The Art Of Occupational Therapy, Lydia Royeen

The Open Journal of Occupational Therapy

Dr. Lori Reynolds has an interest in therapeutic gardens and the creation of living spaces that promote well-being for older adults. Dr. Reynolds educates various stakeholders on the benefits of occupational therapy, including landscape architects and senior living administrators. Her advocacy to expand occupational therapy beyond its mainstream roles is infectious. She speaks passionately about her work in helping to create therapeutic gardens and how her role as an occupational therapist offers great perspective in this process. She appreciates the environmental impact on an individual’s health and well-being and practices from a person-environment-occupation theory.

Medical School Watercooler Newsletter - June 26, 2016, Lindsey Lyle

Watercooler Newsletter

This is the June 26, 2016 edition of the Frederick P. Whiddon College of Medicine's newsletter - Watercooler.

Contents Include:

• Third-Year Medical Students Host First M3 Case Report Symposium
• Class of 2018 Medical Students Begin Clinical Rotations
• USA Welcomes Dr. Marirose Trimmier

Exploring Sexuality Through Art Making, Martha C. Cowley, Jane Gallop, Amanda Hale Feinberg

LMU Theses and Dissertations

This research examined the usefulness of art making in exploring sexuality. Specifically, women participating in partners of sex addicts groups and the LGBTQ online community were invited to take an online survey, exploring both visually and verbally discuss how they view their sexuality and how they think others view their sexuality. The data was then analyzed within and between categories to produce three overarching themes: (1) Expressing sexuality: the tension between the self and others (2) The usefulness of art making to explore sexuality, and (3) Limitations and challenges of the study. Through the discussion of the themes, researchers found …

Implementation And Evaluation Of A Social Media Campaign To Promote Cervical Cancer Prevention And Control, Kelsie Nicole Dirksing

Senior Theses

Background: Cervical Cancer-Free South Carolina (CCFSC) is a member state of the Cervical Cancer-Free Coalition focused on eliminating cervical cancer through screening, follow-up care, HPV vaccination, and education. CCFSC utilizes social media to help spread awareness about cervical cancer prevention and control.

Purpose: The purpose of this thesis was to develop, implement, and evaluate a social media campaign for CCFSC during Cervical Health Awareness Month in January 2016.

Methods: Two social media plans – one for CCFSC use and another for CCFSC partner use – were developed for use during Cervical Health Awareness Month in January 2016. The CCFSC posts …

Volume 08, Meghan Enzinna, Casey Dawn Gailey, Raven Collins, Chiara Enriquez, Amelia Mcconnell, Alexander Morton, Emma Beckett, Leah G. Parr, Briana Adhikusuma, Taylor Embrey, Rowan Davis, Danielle Sisson, Bianca Cherry, Melissa Cacho, Chloe Woodward, Catherine Rollins, Carson Reeher, Landon Cooper, Haley Vasquez, Marlisha Stewart, Eric Whitehead, Sabrina Walker, James Bates

Incite: The Journal of Undergraduate Scholarship

Introduction from Interim Dean Dr. Jennifer Apperson

Indigenous Peoples and the Modern Era by Meghan Enzinna

"Who Says": How Selena Gomez and the Scene Attempt to Subvert the Popular Standards of Beauty by Casey Dawn Gailey

Art by Raven Collins

Meltdown on Social Media: Amy's Baking Company Meets Kitchen Nightmares by Nathena Haddrill

Art by Chiara Enriquez

Design by Amelia Mcconnell

Worth More Than a Thousand Words: A Visual Rhetorical Discussion of Virtual Reality by Examining "Clouds Over Sidra" by Alexander Morton

Design by Emma Beckett

The Sonata: An Analysis of Piano Sonata No. 14 in C Minor, K. …

Social Grief: A Grounded Theory Of Utilizing Status Updates On Facebook As A Contemporary Ritual, Celese Catania-Opris

Department of Family Therapy Dissertations and Applied Clinical Projects

The popular Social Networking Site, Facebook, offers its users the ability tocommunicate with others from all over the globe. Individuals can create a virtual identity for themselves enabling members to call, message, and locate others in a matter of seconds. The number of Facebook users appears to increase; yet, the number of members who die daily is not normally accounted. Facebook now permits the memorialization ofthe deceased’s profile. This allows members to continue commenting, sharing photos and videos, and visiting the deceased’s Facebook page. This trend led to the central question of this study, “What benefits, if any, are individuals …

Colorectal Cancer Prevention In The North Slope Borough Of Alaska Utilizing The Flu-Fit Intervention, Jennifer Jenkins

Theses and Dissertations--Public Health (M.P.H. & Dr.P.H.)

The intention of the Flu-FIT intervention is to increase colorectal cancer screening rates by combing two annual activities into one visit that doesn’t necessitate a doctors visit. The original study increased colorectal cancer screening rates by 14 percentage points and this program should be able to show similar results in the North Slope Borough of Alaska. The North Slope Borough has the highest incidence rate of colorectal cancer in the United States, and this proposed intervention could lead to a reduction in that rate by increasing screening and knowledge about colorectal cancer in the community.

An Efficient Method For Optimizing Segmentation Parameters, Jacob D' Avy, Wei-Wen Hsu, Chung-Hao Chen, Andreas F. Koschan, Mongi Abidi

Electrical & Computer Engineering Faculty Publications

Segmenting an image into meaningful regions is an important step in many computer vision applications such as facial recognition, target tracking and medical image analysis. Because image segmentation is an ill-posed problem, parameters are needed to constrain the solution to one that is suitable for a given application. For a user, setting parameter values is often unintuitive. We present a method for automating segmentation parameter selection using an efficient search method to optimize a segmentation objective function. Efficiency is improved by utilizing prior knowledge about the relationship between a segmentation parameter and the objective function terms. An adaptive sampling of …

The Need For Soft Skills In A Medical Assistant Program, Micheal L. Randolph

Walden Dissertations and Doctoral Studies

There is a perceived soft skills problem within the medical assistant program (MAP) at a 2-year technical college in the Midwestern United States. Soft skills refer to relational skills such as practicing self-management, communicating with various groups, adapting to change, negotiating, and resolving conflict. The purposes of this intrinsic case study were to (a) understand the perspectives of faculty, staff, and leadership regarding students' soft skills ability within the study MAP and (b) identify important soft skills needed in the workplace. An integrative conceptual framework that drew upon vocational and organizational theories was used as a theoretical framework for the …

Autism Spectrum Disorder: How Does Transitional Planning From Preschool To Elementary School Benefit Educational And Social Success?, Shakeika K. Everett

Honors Theses

Autism Spectrum Disorder (ASD) is a disorder that impacts millions of people worldwide on a daily basis. While most adults with autism have received, and continue to receive, the proper assistance in engaging in everyday life, children with autism face more challenges that impacts their engagement socially. Many intervention methods have been researched and implemented to assist in communication and social involvement for children with ASD. However, little research exists on helping young children with ASD effectively transition, both academically and socially, from one educational environment to another. This research will contain a case study of a six-year-old child enrolled …

Telephone Versus Face To Face Palliative Care Consults During Referral, John Weru

Internal Medicine, East Africa

Introduction: Palliative care aims at ameliorating patients and families suffering when they are faced with life-limiting illnesses. It involves symptoms management as well as psychosocial, spiritual support. As such, proper communication between clinicians taking care of the patient is an important aspect of this care. Studies have shown that errors in communication are common and relevant in palliative care as they negatively impact on the quality of care provided. The service at Aga Khan University Hospital, Nairobi (AKUHN) provides both in and out patient consult services. Primary physicians to patients consult the palliative care team via telephone models as well …