The Enforcement Of Selective Reduction Clauses In Surrogacy Contracts, Julia Dalzell

Law Student Scholarship

No abstract provided.

Informing Medicare's Two-Midnight Rule Policy With An Analysis Of Hospital-Based Long Observation Stays, Brad Wright, Xuan Zhang, Momotazur Rahman, Keith Kocher

Research Collection School Of Economics

Outpatient observation stays are increasingly substituting for standard inpatient hospitalizations. In 2013, the Centers for Medicare & Medicaid Services adopted the controversial Two-Midnight Rule policy to curb long observation stays and better define the use of hospital-based observation services versus inpatient hospitalizations. We seek to determine the extent to which Medicare beneficiaries exposed to long observation stays (>48 hours) are clinically similar to those with short observation stays (≤48 hours) because this has relevance to the Two-Midnight Rule.\nUsing 100% Medicare claims data from 2008 to 2010, we identified all patients with long observation stays (>48 hours) who were …

A Broad Stroke Or Different Strokes For Different Folks? Examining The Subtleties In Crisis Management Approaches Between State-Owned Enterprises And Privately-Owned Enterprises In China, Augustine Pang, Yang Hu, Eugene Woon

Research Collection Lee Kong Chian School Of Business

Several previous studies have been conducted to examine China’s management of internal crises, but few have investigated the approaches to crisis management used by domestic Chinese organizations. It is critical to study these organizations because their approaches exemplify the intricacies of crisis management at the local level. In China, there are two main types of organizations: state-owned enterprises (SOE) and privately owned enterprises (POE). This study aimed to determine how their business orientations led to different styles of crisis management in terms of media relations, government relations, and crisis responses. The findings showed that SOEs sought shelter from the government, …

The Macroeconomic Environment And The Psychology Of Work Evaluation, Nina Sirola, Marko Pitesa

Research Collection Lee Kong Chian School Of Business

This research tested the idea that the perception of the state of the macroeconomic environment impacts the psychology underlying an essential organizational function: The evaluation of employees’ work and the associated promotion and demotion decisions. We predicted that when the macroeconomic environment is perceived to be more (less) prosperous, people’s generalized sense of the extent to which individuals have control over outcomes increases (decreases), leading them to attribute more (less) responsibility for work outcomes to individuals rather than contextual influences. In Study 1, we tested this theory using data from 124,400 respondents surveyed across 57 countries and 19 years and …

2018 Fsdg Combined Abstracts, Grand Valley State University

Faculty Scholarly Dissemination Grant Abstracts

No abstract provided.

Judicial Appraisals Of Risk Assessment In Sentencing, John Monahan, Ann Metz, Brandon L. Garrett

Faculty Scholarship

No abstract provided.

Individual Autonomy In Corporate Law, Elisabeth De Fontenay

Faculty Scholarship

The field of corporate law is riven with competing visions of the corporation. This Article seeks to identify points of broad agreement by negative implication. It examines two developments in corporate law that have drawn widespread criticism from corporate law scholars: the Supreme Court's recognition of corporate religious rights in Burwell v. Hobby Lobby and the Nevada legislature's decision to eliminate mandatory fiduciary duties for corporate directors and officers. Despite their fundamental differences, both resulted in expanding individual rights or autonomy within the corporation-for shareholders and managers, respectively.

The visceral critiques aimed at these two developments suggest a broadly shared …

Precedent And The Semblance Of Law, Stephen E. Sachs

Faculty Scholarship

Like its author, Randy Kozel's *Settled Versus Right* is insightful, thoughtful, and kind, deeply committed to improving the world that it sees. But despite its upbeat tone, the book paints a dark picture of current law and the current Court. It depicts a society whose judges are, in a positive sense, *lawless* -- not because they disregard the law, but because they are without law, because they have no shared law to guide them. What they do share is an institution, a Court, whose commands are generally accepted. So *Settled Versus Right* makes the best of what we've got, reorienting …

Trade, Redistribution, And The Imperial Presidency, Timothy Meyer

Faculty Scholarship

No abstract provided.

Cellulose Modification For Use As Reinforcement In Bio-Based Composites, Ashley L. Rudolph

College of Graduate Studies: Theses & Dissertations

The goal of the research contained in this thesis is to provide an alternative method of developing polymers than the current petroleum-based polymeric products. Vegetable oil-based polymers are a popular alternative due to their low-cost and low toxicity. The carbon-carbon double bonds in the oil are ideal reactive sites for a free radical polymerization. Cellulose is a naturally occurring polymer. Modifying cellulose prior to making composites with tung oil allows a hydrophilic material to mix better with a hydrophobic resin. Vegetable oil-based polymers usually require the reinforcement of fibers to enhance the thermo-mechanical properties that would replace petroleum-based polymers. In …

Changing The First Lady's Mystique: Defining The First Lady's Legal Role And Upending Gender Norms, Ashlee A. Paxton-Turner

Faculty Scholarship

This Article explores the lack of formal guidelines governing the First Lady by first considering the history of the role and how the three branches of government have typically dealt with the role. Attention is also given to the possible intersection with the anti-nepotism statute when and if the First Lady acts as an advisor to the President. This Article then goes on to suggest that this lack of formality has allowed gender norms to govern the role. In an era where women’s rights have resurfaced as a central theme in political discourse, this Article concludes by suggesting some possible …

Delay Discounting And Cannabinoid Enzyme Inhibitors, Devin Andrew Galdieri

Graduate Theses, Dissertations, and Problem Reports (ETD)

Delay discounting is a measure of impulsive choice that is correlated with maladaptive behavior and psychological disorders. Disruptions to serotonin and dopamine pathways can cause changes in delay discounting, as can lesions to the prefrontal cortex and nucleus accumbens. The endocannabinoid system modulates other neurotransmitter systems, including dopamine and serotonin pathways. Cannabinoid receptors type 1 are found in relatively high concentrations in the nucleus accumbens and the prefrontal cortex. These receptors are activated by endogenous cannabinoids, which are synthesized on demand and broken down by catabolic enzymes. The action of these enzymes can be inhibited by a class of drugs …

Flexor Dysfunction Following Unilateral Transient Ischemic Brain Injury Is Associated With Impaired Locomotor Rhythmicity, Kiril Tuntevski

Graduate Theses, Dissertations, and Problem Reports (ETD)

Functional motor deficits in hemiplegia after stroke are predominately associated with flexor muscle impairments in animal models of ischemic brain injury, as well as in clinical findings. Rehabilitative interventions often employ various means of retraining a maladapted central pattern generator for locomotion. Yet, holistic modeling of the central pattern generator, as well as applications of such studies, are currently scarce. Most modeling studies rely on cellular neural models of the intrinsic spinal connectivity governing ipsilateral flexor-extensor, as well as contralateral coupling inherent in the spinal cord. Models that attempt to capture the general behavior of motor neuronal populations, as well …

The Neuro Clinic: A Pilot Model To Facilitate Student Clinical Development Through In-Class Patient Experiences While Meeting Community Need, Rosanne M. Thomas, Jamie Bayliss

Internet Journal of Allied Health Sciences and Practice

Purpose: To detail the implementation and assessment of a pilot model the Neuro Clinic. This is one component of a Patient Experience Model (PEM) of embedded progressive in-class patient experiences (IcPE) in a Doctor of Physical Therapy program. The Patient Experience Model, an innovative model of experiential learning, was developed to bridge the gap between didactic coursework and clinical education, facilitate progressive patient experiences and assess developing student professional and skill competence.

Methods: The Neuro Clinic was held in laboratory classroom space for six weekly sessions with consistent student: patient triads. Overwhelming patient interest indicated a need in our community …

Fostering Pt-Pta Student Relationships, Pilot Study, Kelly Hawthorne, Christina Cohoon, Eric Chambers

Internet Journal of Allied Health Sciences and Practice

Purpose: The purpose of this study was to assess physical therapist (PT) and physical therapist assistant (PTA) students' attitudes toward working in a team, direction and supervision, preparation for effective communication, and respect for and the value of physical therapist/physical therapist assistant (PT/PTA) teams following an interactive classroom session via a brief online questionnaire.

Methods: PT students in the second year of their doctor of physical therapy graduate studies in St Louis, MO and PTA students in the second year of their associate’s degree program in St Louis, MO were involved. A questionnaire was completed prior to and …

Plyometric Exercises From A Knee Anterior Cruciate Ligament Prevention Program On The Rate Of Isometric Torque Development And Vertical Jump Height, Jeffrey R. Doeringer, Sam Johnson, Marc Norcorss, Mark Hoffman

Internet Journal of Allied Health Sciences and Practice

Purpose: Plyometric exercises are incorporated in anterior cruciate ligament injures of the knee (ACL) injury prevention programs that have effectively decreased risk factors for anterior cruciate ligament injures of the knee injuries, but the impact on the rate of isometric torque development of the musculature of the knee is unclear. The purpose of this study was to determine the effects of a 6-week plyometric program pulled from a commonly utilized anterior cruciate ligament injures of the knee injury prevention program on rate of isometric torque development (RTD) in healthy active females.

Methods: College-aged participants were randomly split into two different …

Normative Grip Strength Values In Males And Females, Ages 50 To 89 Years Old, James R. Roush, Kaylee L. Gombold, R. Curtis Bay

Internet Journal of Allied Health Sciences and Practice

Purpose. To develop normative reference values for grip strength of males and females between the ages of 50 and 89 years old that can be used by health care professionals in clinical settings.

Methods. This study assessed data from a sample of males and females between the ages of 50 and 89 years old who participated in the Health and Retirement Study (HRS) sponsored by the National Institute on Aging. The Health and Retirement Study collected data from 6,266 participants in a physical measures sub-study. Grip strength was assessed in a standing position with the shoulder adducted and elbow flexed …

Are Audience Response Systems Worth The Cost? Comparing Question-Driven Teaching Strategies For Emergency Medical Technician Education, Lauren M. Maloney, James P. Dilger, Paul A. Werfel, Linda M. Cimino

Internet Journal of Allied Health Sciences and Practice

Purpose: As Emergency Medical Technician educators develop curricula to meet new national educational standards, effective teaching strategies validated for course content and unique student demographics are warranted. Three methods for answering multiple choice questions presented during lectures were compared: a) Audience Response System (ARS, clickers), b) hand-raising-with-eyes-closed (no-cost option), and c) passive response (no-cost option). The purpose was to determine if using the ARS resulted in improved exam scores. Method: 113 Emergency Medical Technician (EMT) students participated in this cross-over, block randomized, controlled trial, which was incorporated into their Cardiac Emergencies and Pulmonary Emergencies course lectures. Students took …

Experienced Practitioners' Views On Interpersonal Skills In Telehealth Delivery, Beverly W. Henry, Leah J. Ames, Derryl E. Block, John A. Vozenilek

Internet Journal of Allied Health Sciences and Practice

Background. As telehealth becomes a larger part of the health care landscape, clinicians are becoming prepared to operate technology-based­ systems for conducting routine care and exchanging information. Less defined are interpersonal skills for telehealth care delivery such as communication and therapeutic relationships that can influence clinical outcomes. Examples include clinician adaptability to the communication process via telehealth, clinician congeniality in communications, and striving to achieve telepresence. The purpose of this study was to describe interpersonal skills for telehealth delivery to assist in the preparation of health professionals.

Methods. Aqualitative methods approached was used to build on results from …

Schmick’S Frontier: Native American And Moravian Community Building In Colonial Pennsylvania, 1753-1765, Megan Trent Mcgee

Graduate Theses, Dissertations, and Problem Reports (ETD)

This dissertation explores community building during times of violence. I argue that the intense violence in Colonial Pennsylvania during the 1750s and 1760s did not prevent the Moravians from building multi-ethnic communities, even as other groups (French, British, and Iroquois) pursuing their own political gains sought to tear such communities apart. The project focuses on community building and cohesion during a time of violence. Both the Moravians and the Native Americans were marginalized outsiders in mid-eighteenth-century Pennsylvania. The Moravians were outsiders because they were Europeans who failed to integrate culturally with their European neighbors. The Delaware, Mohicans, and smaller Native …

Evaluation Of A Peer Group Model Of Supervision For The Allied Health Workforce In Queensland: A Descriptive Overview, Susan C. Pager, Pim Kuipers, Karen Bell, Fiona Hall

Internet Journal of Allied Health Sciences and Practice

Purpose: An evaluation of a large scale implementation of a peer group model of professional supervision was conducted to inform service planning and guide policy and practice. A descriptive overview of the findings is presented. Method: Allied health staff trained in peer group supervision were surveyed about their experience of the model, its challenges and benefits. Interviews were also conducted with senior managers. Results: Analysis of 248 responses indicated that 72% of trained staff had participated in peer group supervision, and that these peer groups had continued for an average of 17.2 months. The majority of groups adhered …

Understanding Patient Trust In The Athletic Setting Through Interviews, Shannon L. David, John H. Hitchcock

Internet Journal of Allied Health Sciences and Practice

Trust is a vital component of the patient-clinician relationship yet little is known about trust in the athletic training (AT) profession. Purpose: The purpose of this qualitative study was to define and understand trust in an athletic training setting. Methods: Interviews with Division I student-athlete patients (n=9) and athletic trainers (n=3) were conducted to collect data about participant views and definitions of trust. Data were analyzed using classical and constant comparison techniques; the trustworthiness of findings were assessed via peer debriefing, member checks, and reflexive journaling. Results: The analyses yielded 21 codes and four themes described to promote trust: (1) …

Reflective Approaches In Medical Education. Implications On Medical Imaging., Raja Farahhana Raja Azhar, Haji Mohamed Nadzri Mohd Yusoff, Zainul Ibrahim Zainuddin Dr.

Internet Journal of Allied Health Sciences and Practice

Abstract

Purpose: This paper reviewed literature regarding the utility and direction of reflective approaches in Medical imaging education.

Methods: The Scopus database was accessed. The word “Reflective” was used as the main search term to look for the relevant literature. The inclusion criteria used in this study comprised of those papers published in English between the years 2006 to 2016, indexed in Scopus database, and limited to those discussing the topic on reflective approaches in medical education. Published papers that have the main search terms in the articles’ title only were tabulated. The data were then filtered using …

Post-Traumatic Stress And Academic Performance Among Entry-Level Doctoral Physical Therapy Students In A Human Anatomy Cadaver Dissection Course, Sue E. Curfman, Gary P. Austin, Joyce S. Nicholas

Internet Journal of Allied Health Sciences and Practice

Background: Dissection of human cadavers can be a stressful experience for students. Purpose: The purposes of this study were twofold: 1) to determine if physical therapy students develop or experience a worsening of post-traumatic stress disorder (PTSD) symptoms during exposure to and dissection of human cadavers; and 2) to determine if these symptoms are related to academic performance. Methods: Previous history of a diagnosis of anxiety or post-traumatic stress disorder and level of prior exposure to cadavers were recorded among 26 entry-level first semester doctoral students in physical therapy (DPT) taking gross human anatomy. Their level of anxiety about working …

An Interspecies Investigation Of Thyroid Plasma Hormone Concentrations, Histology, And Gene Expression, Emily A. Underwood

Graduate Theses, Dissertations, and Problem Reports (ETD)

A high prevalence of endocrine disrupting chemicals (EDCs) in Great Lakes Areas of Concern (AOCs) has raised concerns as to the health and fitness of fish and wildlife. It is not well understood to what extent existing contaminants, many with continuing inflows into the environment, may impact fish populations. This study provides an initial characterization of thyroid endocrine-related effects in two indigenous fish species sampled from Great Lakes AOCs. Biomonitoring was conducted on a pelagic, top predator species, smallmouth bass (Micropterus dolomieu) and benthic, omnivorous brown bullhead (Ameiurus nebulosus) at 7 sites in spring and fall …

Understanding And Supporting Adults With Fetal Alcohol Spectrum Disorder - Strategies For Health Professionals: An Opinion Piece, Amy Martyniuk, Sherri Melrose

Internet Journal of Allied Health Sciences and Practice

Fetal Alcohol Spectrum Disorder (FASD) is a non-diagnostic umbrella term used to describe the spectrum of lifelong physical, mental and intellectual disabilities that can result from prenatal exposure to alcohol. Fetal Alcohol Spectrum Disorder is preventable when pregnant women abstain from drinking any type or amount of alcohol at any time during pregnancy. One in 100 children worldwide are affected. Prompt diagnosis and treatment referrals for infants and children improve functionality. Yet, conditions related to fetal alcohol exposure frequently remain unrecognized and untreated. Adults with both diagnosed and hidden Fetal Alcohol Spectrum Disorder experience significant cognitive, behavioral and executive functioning …

Characteristics Of Effective Teaching In Physician Assistant Programs From The Students' Perspective, Jennifer Forbes, Talia Sierra, Jane Trapp, Thomas Parish

Internet Journal of Allied Health Sciences and Practice

Purpose: This qualitative study aims to identify the characteristics physician assistant (PA) students find most important for effective teaching by faculty in physician assistant programs. With this information, physician assistant faculty can enhance their teaching effectiveness in the classroom and optimize the environment for student learning. Faculty may also use the data obtained from this study to increase the likelihood of their retention or promotion as student input regarding teaching effectiveness is frequently one of the variables used in faculty evaluations.

Methods: Physician assistant students from three physician assistant programs were emailed a survey that asked for their response to …

Syntheses Of Azepinoindole Alkaloids Cimitrypazepine, Fargesine And Hyrtioreticulins C & D, Ganesh Ghimire

Graduate Theses, Dissertations, and Problem Reports (ETD)

The Watanabe-Cenini-Söderberg reductive N-heterocyclization has emerged as a powerful tool for the synthesis of a variety of functionalized indoles. Söderberg’s elaboration of this methodology has been utilized as a late-stage cyclization protocol for the synthesis of azepinoindole alkaloids, a class of natural products characterized by an azepane skeleton fused with an indole ring. Short syntheses of the naturally occurring azepino[5,4,3-cd]indole alkaloids, cimitrypazepine, fargesine, and the diastereomeric hyrtioreticulins C & D have been completed starting from commercially available tetra-substituted benzene derivatives. The key azepinoindole core in each case was assembled via an intramolecular Mizoroki-Heck reaction followed by a …

Effect Of Experience Facilitating Problem-Based Learning (Pbl) On Physician Assistant Student Outcomes, Susan Hawkins, Anthony Goreczny, Nicole E. Brown

Internet Journal of Allied Health Sciences and Practice

Abstract

Purpose: The impact of prior problem-based learning (PBL) facilitation experience (measured by length of time facilitating) on student learning and student outcomes is unclear. The purpose of this study was to evaluate relationships of facilitator experience in problem-based learning on student outcomes. This study utilized both modified essay questions (MEQ) in the form of patient management assessments and multiple choice question (MCQ) assessments to evaluate different aspects of student acquisition and application of knowledge. Method: This study examined scores from six multiple choice question examinations and six patient management assessments (PMA), one each from six 5-week units …

Utilizing Standardized Patient Feedback To Facilitate Professional Behavior In Physical Therapist Students: A Pilot Study, Mary Anne Riopel, Bini Litwin, Nicki Silberman, Alicia Fernandez-Fernandez

Internet Journal of Allied Health Sciences and Practice

Purpose: Physical therapist (PT) students receive feedback on professional behavior performance from academic and clinical faculty members. Literature is lacking on the impact that verbal feedback from standardized patients (SPs) may have on physical therapist student learning of professional behaviors. The purpose of this pilot study was to examine the use of standardized patients’ feedback as a strategy for professional behavior development. Methods: A sample of convenience identified 13 doctoral physical therapist students prior to initiation of their first full-time clinical experience. Subjects were excluded if they had prior experiences with standardized patients or had completed a full-time clinical experience. …