Digital Commons Network^™

Advancing The Field Of Human Services: Lgbt Competencies, Narketta Sparkman-Key, Nicola Meade, Ne'shaun Bordern

Counseling & Human Services Faculty Publications

Ethical Standards for Human Services Professionals and Generic Human Services Professional Competencies adopted by the National Organization for Human Services do not include language or competencies specific to lesbian, gay, bisexual and transgender (LGBT) communities. Without a specific ethical code and/or competency outlined by the field, human services practitioners do not have clear guidelines for their work with these populations. Additionally, researchers lack a way to formally measure professionals’ abilities with these populations. This leaves potential for these historically marginalized populations to continue to be in a vulnerable position. To address these needs, authors reviewed established competencies in other helping …

Preparing Practice-Ready Collaborative Healthcare Human Services Students: Considerations On Developing Interprofessional Education Competencies In Human Services, Kyulee Park, Francisca Rivas, Ne'shaun Borden, Kristy L. Carlisle

Counseling & Human Services Faculty Publications

Interprofessional collaboration, consultation, and cooperation have long been a direct and indirect professional responsibility of human services practitioners in integrated healthcare settings. In order to effectively educate and train practice-ready human services students for rapidly changing healthcare settings, it is critical that human services organizations and programs examine the need for interprofessional competency education. This article provides timely considerations on developing interprofessional education competencies in human services education.

Ethics Education In Human Services: Course Context And Teaching Activities, Linda Wark, Tammi Dice, Shoshana Kerewsky, Tricia Hudson

Counseling & Human Services Faculty Publications

Ethical choices are a cornerstone of effective human services practice. Human services professionals are expected to adhere to ethical standards, but little is written on the teaching strategies that ready students for ethical practice with clients. This article meets the need for such literature by addressing the teaching context that influences student learning in human services courses and presenting four teaching activities. Future directions and suggestions for research to examine the effectiveness of these activities are offered.

Further Validation Of The Consultation Skills Scale (Css): Relationships Between Consultation Skills, Supervisory Working Alliance, And Interprofessional Collaboration, Gulsah Kemer, Jeffry Moe, Kaprea F. Johnson, Emily Goodman-Scott, Zahide Sunal, Chi Li

Counseling & Human Services Faculty Publications

We conducted a confirmatory factor analysis (CFA) to obtain validity support for the Consultation Skills Scale (CSS) in a sample of 369 counseling professionals and interns. Upon obtaining a poor model fit from an initial CFA, we utilized modification indices and removed nine items from the CSS. As a result, we achieved a better model fit for the shorter 8-item instrument (CSS-S). To further examine validity of the CSS-S, we also explored the relationships between counselors' consultation skills and two related professional activities, ability to foster supervisory working alliance and ability to engage in interprofessional collaboration. We discuss the results …

Kkk In The Pd: White Supremacist Police And What To Do About It, Vida B. Johnson

Lewis & Clark Law Review

There is an epidemic of white supremacists in police departments. Police officers have been identified as members of white supremacist groups in Florida, Alabama and Louisiana. There have been scandals in over 100 different police departments, in over forty different states, in which individual police officers have sent overtly racist emails, texts, or made racist comments via social media. This is a nation-wide problem. It is one that is not limited to just beat officers; some of these shocking occurrences have even involved high-ranking members of their respective police forces. Although the F.B.I. warned of white supremacists infiltrating police departments …

A Hybrid Approach To Marijuana Federalism, Susan F. Mandiberg

Lewis & Clark Law Review

With the evident indulgence of the United States Department of Justice, states are jumping on the bandwagon of legalizing medicinal and recreational marijuana even though marijuana use is criminalized under the Federal Controlled Substances Act. The possibility that the federal government will at some point decriminalize marijuana use poses a challenge for the construction of a regulatory framework. In short, how should the states and the federal government divide regulatory responsibilities?

There has been significant academic discussion about possible regulatory frameworks to address this issue. Drawing upon existing federalism schemes in the environmental and natural resource area, this Article reviews …

Cannabis And Insurance, Francis J. Mootz Iii, Jason Horst

Lewis & Clark Law Review

Although many states have decriminalized or legalized cannabis, it remains a Schedule 1 drug under the federal Controlled Substances Act. The conflict between federal and state law presents many complicated issues, including problems relating to insurance coverage. Insurance law seeks to balance competing policy interests. On one hand, public policy supports reading insurance policies broadly to indemnify policyholders for their losses. On the other hand, public policy counsels against permitting insurance to indemnify (federally) illegal activity. In this Article, we explore some pressing issues arising from the conflict between these policy considerations and offer some analysis of the conflict in …

Reefer Madness In Federal Court: An Overview Of How Federal Courts Are Dealing With Cannabis Litigation And Why It Is Necessary To “Dig Into The Weeds”, Blake Marvis

Lewis & Clark Law Review

Litigation stemming from the state-legal cannabis industry has presented many unique questions for federal courts to grapple with. Can federal courts provide equitable relief to state-legal cannabis litigants, despite being in violation of federal law? Can workers in the state-legal cannabis industry sue their employers to recover required minimum wage under federal statutes? Is a contract that is made in a state-legal cannabis market automatically void? This Comment examines the precarious nature of state-legal cannabis litigation in federal courts through a dissection of how litigation has progressed. It also examines the framing of the arguments made in cannabis disputes. Although …

Shared Collection Development, Digitization, And Owned Digital Collections, Michelle M. Wu

Georgetown Law Faculty Publications and Other Works

While library models already exist for sharing physical materials and joint licensing, this paper envisions an aspect of future collections involving a national digital collection owned, not licensed, by libraries. Collaborative collection development, digitization, and digital object management of owned collections can benefit societies in multiple ways, from expanding access to users otherwise unable to reach these materials, to preserving content even when disaster strikes, to reducing duplication of effort and expense in collection or digitization. This article will explore both the benefits of and the challenges to this type of collaboration.

Safety In Children With Medical Complexity: Our Canaries In The Coal Mine?, Christine A. Schindler, Elisabeth S. Pordes, Steven D. Finkenbinder, K. Jane Lee

College of Nursing Faculty Research and Publications

Purpose of review

The goal of this paper is to describe the complicated and diverse safety risks facing children with medical complexity.

Recent findings

Children with medical complexity have an increased risk of experiencing adverse health outcomes related to multiple comorbidities, the complicated nature of their care, and frequent interactions with the health care system. The safety risks experienced by children with medical complexity are in large part due to the complex nature of their care rather than the specific risks posed by the complicated nature of their illnesses.

Summary

The complicated nature of care for children with medical complexity …

Spatial And Temporal Influences On Discrimination Of Vibrotactile Stimuli On The Arm, Valay Shah, Maura Casadio, Robert A. Scheidt, Leigh A. Mrotek

Biomedical Engineering Faculty Research and Publications

Body–machine interfaces (BMIs) provide a non-invasive way to control devices. Vibrotactile stimulation has been used by BMIs to provide performance feedback to the user, thereby reducing visual demands. To advance the goal of developing a compact, multivariate vibrotactile display for BMIs, we performed two psychophysical experiments to determine the acuity of vibrotactile perception across the arm. The first experiment assessed vibration intensity discrimination of sequentially presented stimuli within four dermatomes of the arm (C5, C7, C8, and T1) and on the ulnar head. The second experiment compared vibration intensity discrimination when pairs of vibrotactile stimuli were presented simultaneously vs. sequentially …

Exploring Action Coils For Bystander Intervention: Modeling Bystander Consequences, Victoria Banyard, Elizabeth Moschella, Ernest N. Jouriles, John H. Grych

Psychology Faculty Research and Publications

Objective: Individuals who take action to reduce sexual assault can experience a range of positive and negative consequences as a result of helping. This study examined how different types of consequences explain variation in confidence and intent to help. Participants: Nine hundred sixty-six individuals who reported intervening in a situation involving interpersonal violence; approximately half were recruited from university psychology courses and half through Amazon’s Mechanical Turk. Data were collected from September to December of 2016. Methods: Participants completed measures of consequences related to helping, bystander efficacy, and intent to help. Results: Positive reactions from victims and other individuals who …

The Evolution Of Pharmvar., Andrea Gaedigk, Katrin Sangkuhl, Michelle Whirl-Carrillo, Greyson P. Twist, Teri E. Klein, Neil A. Miller, Pharmvar Steering Committee

Manuscripts, Articles, Book Chapters and Other Papers

No abstract provided.

Resting Cerebral Blood Flow After Exercise Training In Mild Cognitive Impairment, Alfonso J. Alfini, Lauren R. Weiss, Kristy A. Nielson, Matthew D. Verber, J. Carson Smith

Psychology Faculty Research and Publications

Background:

Exercise training has been associated with greater cerebral blood flow (CBF) in cognitively normal older adults (CN). Alterations in CBF, including compensatory perfusion in the prefrontal cortex, may facilitate changes to the brain’s neural infrastructure.

Objective:

To examine the effects of a 12-week aerobic exercise intervention on resting CBF and cognition in CN and those with mild cognitive impairment (MCI). We hypothesized individuals with MCI (vs. CN) would exhibit greater whole brain CBF at baseline and that exercise would mitigate these differences. We also expected CBF changes to parallel cognitive improvements.

Methods:

Before and after a 12-week exercise intervention, …

Violence Is As American As Cherry Pie: Mass Incarceration And Juvenile Violence, Stephen C. Stanko, Gordon A. Crews

Criminal Justice Faculty Publications

The purpose of this chapter is to offer “food for thought” regarding an under researched area of juvenile violence causation: the possible connection between steadily increasing incarceration rates and steadily increasing incidents of school violence. Unfortunately, the negative, and sometimes violent, traits individuals develop while incarcerated are often brought out into their lives in society and personal lives, which often involve the raising of children. Research has documented the impacts that being incarcerated can have upon an individual. There is growing research supporting that these newly developed traits and behaviors can easily be imbedded in the children in which they …

Vertical Sleeve Gastrectomy Improves Ventilatory Drive Through A Leptin-Dependent Mechanism, Deanna M. Arble, Alan R. Schwartz, Vsevolod Y. Polotsky, Darleen A. Sandoval, Randy J. Seeley

Biological Sciences Faculty Research and Publications

Obesity hypoventilation syndrome (OHS) is a serious disorder characterized by daytime hypercapnia, disordered breathing, and a reduction in chemosensitivity. Vertical sleeve gastrectomy (VSG), a bariatric surgical procedure resulting in weight loss and weight-independent improvements in glucose metabolism, has been observed to substantially improve sleep-disordered breathing. However, it is unclear if the ventilatory effects of VSG are secondary to weight loss or the marked change in metabolic physiology. Using preclinical mouse models, we found that VSG leads to an improvement in the hypercapnic ventilatory response (HCVR) and reductions in circulating leptin levels independent of reductions in body mass, fat mass, and …

The Second Decade Of Numeracy: Entering The Seas Of Literacy, H. L. Vacher

Numeracy

This multipurpose editorial explores and tries to count the many types of literacy that are referred to by name in Wikipedia and Numeracy. Wikipedia’s Category:Literacy page identifies 44 kinds of literacy that are the subject of articles, ranging from numeracy and graphicacy to braille literacy and diaspora literacy. In addition, searching Google finds more than 30 adjective-literacy or noun-literacy collocations, including quantitative literacy, adult literacy, and document literacy, that do not have Wikipedia pages of their own but are mentioned on other Wikipedia pages. The sum puts this modest literacy count in line with the more than 70 bodies …

Stories Of The 3%: Foster Care Alumni Narratives Of Resilience And Postsecondary Attainment, Molly Sarubbi

Electronic Theses and Dissertations

Although education continues to be a pathway for social mobility, disparities remain in post-secondary attainment for traditionally marginalized populations such as the half-million youth in foster care (Children's Bureau, 2016). Due to multiple personal, social, and system barriers, only 46% of foster youth will earn a high school or GED diploma, and less than 3% will enroll in postsecondary education (Naccarato, Brophy & Courtney, 2010; Sarubbi, Parker, & Sponsler, 2016). Barriers impacting foster care alumni (FCA) have been widely documented, yet their narratives of resilience receive less attention. This study employs a participatory action research design in which FCA participants …

When Beneficence Benefits The Benefactor: Altruism And Rent Seeking, Taylor P. Stevenson

Journal of Business, Industry, and Economics

The process of rent seeking refers to the use of political processes to capture payments to a resource beyond the opportunity cost of the resource. I describe an example of rent seeking that coexists with the economic problem of explaining altruism. I use data from real property sales to estimate the value of an economic rent that accrued to an individual as the direct result of a local government public expenditure project on donated land. I argue that we may view the donation of the land as the winning bid in a rent seeking contest and therefore not purely altruistic.

Vehicle Make As A Determinant Of Automobile Loan Default, Exposure At Default, And Duration Until Default, Colene Trent Phd, Andrew Tiger Phd, Joel Wyatt, Kyle Yeoman

Journal of Business, Industry, and Economics

In the automobile loan market, lenders face the risk that borrowers will default. In evaluating potential clients, lenders would benefit from the ability to answer three questions: Who will default? What is the potential loss exposure when the borrower defaults? When will the borrower default? This paper suggests that lenders consider the make of vehicle purchased by the borrower when attempting to answer these questions. We analyze applicant-level and loan-level data from an American credit union, employing logistic, tobit, and censored normal regression. Our results suggest that lenders could more efficiently price for risk by including a borrower’s choice of …

Estimating The Spectrum In Computed Tomography Via Kullback–Leibler Divergence Constrained Optimization, Wooseok Ha, Emil Y. Sidky, Rina Foygel Barber, Taly Gilat Schmidt, Xiaochuan Pan

Biomedical Engineering Faculty Research and Publications

Purpose

We study the problem of spectrum estimation from transmission data of a known phantom. The goal is to reconstruct an x‐ray spectrum that can accurately model the x‐ray transmission curves and reflects a realistic shape of the typical energy spectra of the CT system.

Methods

Spectrum estimation is posed as an optimization problem with x‐ray spectrum as unknown variables, and a Kullback–Leibler (KL)‐divergence constraint is employed to incorporate prior knowledge of the spectrum and enhance numerical stability of the estimation process. The formulated constrained optimization problem is convex and can be solved efficiently by use of the exponentiated‐gradient (EG) …

Manuel D’Utilisation De L’Outil De Sélection Des Appareils De Protection Respiratoire De Niosh, National Institute For Occupational Safety And Health (Niosh)

Guides

No abstract provided.

Machine Safety: Energy Control Process (Lockout And Other Methods), Damien Burlet-Vienney

Guides

No abstract provided.

Vers Une Stratégie Intégrée De Prévention En Manutention : Document De Sensibilisation À La Prévention Des Troubles Musculosquelettiques (Tms) Reliés À Des Tâches De Manutention, Denys Denis, Edith Vinet

Guides

Destiné à tous les intervenants et les milieux de travail préoccupés par la prévention des troubles musculosquelettiques (TMS) reliés à des tâches de manutention, ce document propose une stratégie intégrée de prévention en manutention.

Combinant formation et intervention, cette stratégie repose sur la compréhension, l’observation et l’analyse de cinq principes d’action. Ces principes d’action sont les points communs de l’ensemble des techniques de manutention qu’utilisent les travailleurs. Chacun d’eux possède des repères d’observation caractéristiques. Les repères indiquent ainsi les compromis que le travailleur doit faire pour atteindre son objectif de préserver sa santé et sa sécurité, puisqu’ils sont liés aux …

A Principal Components Analysis Approach To Quantifying Foot Clearance And Foot Clearance Variability, Lauren C. Benson, Stephen C. Cobb, Allison S. Hyngstrom, Kevin G. Keenan, Jake Luo, Kristian M. O'Connor

Physical Therapy Faculty Research and Publications

Low foot clearance and high variability may be related to falls risk. Foot clearance is often defined as the local minimum in toe height during swing; however, not all strides have this local minimum. The primary purpose of this study was to identify a nondiscrete measure of foot clearance during all strides, and compare discrete and nondiscrete measures in ability to rank individuals on foot clearance and variability. Thirty-five participants (young adults [n = 10], older fallers [n = 10], older nonfallers [n = 10], and stroke survivors [n = 5]) walked overground while lower extremity 3D kinematics were recorded. …

Recommendations For The Conduct Of Economic Evaluations In Osteoporosis: Outcomes Of An Experts’ Consensus Meeting Organized By The European Society For Clinical And Economic Aspects Of Osteoporosis, Osteoarthritis And Musculoskeletal Diseases (Esceo) And The Us Branch Of The International Osteoporosis Foundation, M. Hiligsmann, J.-Y. Reginster, A.N.A. Tosteson, S.V. Bukata, K.G. Saag, D.T. Gold, P. Halbout, F. Jiwa, E.M. Lewiecki, Daniel Pinto, J.D. Adachi, N. Al-Daghri, O. Bruyère, M. Chandran, C. Cooper, N.C. Harvey, T.A. Einhorn, J.A. Kanis, D.L. Kendler, O.D. Messina, R. Rizzoli, L. Si, S. Silverman

Physical Therapy Faculty Research and Publications

Summary

Economic evaluations are increasingly used to assess the value of health interventions, but variable quality and heterogeneity limit the use of these evaluations by decision-makers. These recommendations provide guidance for the design, conduct, and reporting of economic evaluations in osteoporosis to improve their transparency, comparability, and methodologic standards.

Introduction

This paper aims to provide recommendations for the conduct of economic evaluations in osteoporosis in order to improve their transparency, comparability, and methodologic standards.

Methods

A working group was convened by the European Society for Clinical and Economic Aspects of Osteoporosis and Osteoarthritis to make recommendations for the design, conduct, …

Pain Management Resource Guide For Caregivers Of Children With Phantom Limb Pain, Micaela Monn, Amanda Steffen

Occupational Therapy Capstones

Approximately 80% of children, under the age of 18, develop phantom limb pain within one year after receiving an amputation (Burgoyne, Billups, Jiron, Kaddoum, Wright, Bikhazi, Parish, & Pereiras, 2012; Krane & Heller, 1995). Research on treating phantom limb pain has been focused on the adult population and often includes the use of pharmacological interventions (Subedi & Grossberg, 2011). Because phantom limb pain can cause psychological and physical dysfunction, it can negatively impact a child's ability to engage in everyday life. Currently, no holistic treatment guides are available for caregivers to refer to when helping their child manage his or …

Life Skills Program For Youth Who Have Experienced Homelessness, Michael Black, Ariel Campbell

Occupational Therapy Capstones

Background: According to the United States Department of Education (2017), for the 2016-2017 school year, there was an estimated 1,924 students enrolled in public schools in Wyoming experiencing homelessness, with an estimated 295 of these students unaccompanied by a family member or guardian. Homeless youth comprise one of the most vulnerable and medically underserved populations in the United States (Ammerman et al., 2004) and are also substantially more likely to have mental health concerns as a result of their past traumatic experiences (Davies & Allen, 2017). Homeless youth typically develop identities and habits that enable them to negotiate and survive …

Implementing An Occupational Therapy Student-Run Clinic At The University Of North Dakota, Ryan Walter, Kennedy Bresnahan

Occupational Therapy Capstones

Introduction: The curriculum of the occupational therapy program at the University of North Dakota (UND) includes approximately 185 hours of level I fieldwork experience where students work to integrate and practice skills learned within the classroom in a clinical setting. Students report that these experiences are often observation-based. Additionally, academic fieldwork coordinators are having an increasingly difficult time finding placements to support the growing number of students nationwide. A contributing factor to placement shortages is the tradition of using the apprenticeship model of supervision, where one student is supervised by one fieldwork educator (FWE). In order to ensure a consistent …

Navigating Cultural Differences Between Fieldwork Educators And Students, Tiana Brown, Norris Chin

Occupational Therapy Capstones

Background Cultural competency is an awareness and incorporation of knowledge about individuals and groups of people into specific policies, practices, standards and attitudes by incorporating the client's personal views, values and belief (Suk, Oh, & Im, 2018). Although it is important for future health care professionals and faculty to understand our growing diverse population, there is little to no emphasis on improving the interactions of diverse students and their fieldwork educators. Currently, there is no literature that provides guidance on facilitating culturally competent interactions and challenges for fieldwork educators or students. The purpose of this project was to develop a …