Digital Commons Network^™

A Prospective Pilot Study Of The Energy Balance Profiles In Acute Non-Severe Burn Patients, Tyler Osborne, Dale Edgar, Paul Gittings, Fiona Wood, Thomas Le Huray, Brodie Allan, Brendan R. Scott, Bradley Wall

IHR Papers and Journal Articles

Background:Major burn patients have been shown to exhibit a hyper-metabolic state of activity which can persist for up to two years after burn. The relationship between total body surface area (TBSA) and resting metabolic rate (RMR) has been investigated in larger burns (≥20% TBSA), however not in non-severe burns (≤15% TBSA). The primary aim of this observational study was to examine the association between the acute effects of burns

Methods: The study included data from 39 participants (82% male), all admitted to the State Adult Burn Unit at Fiona Stanley Hospital. Each patient was recruited upon admission and RMR …

Characteristics Of Quality Activities In A Tertiary Teaching Hospital In Western Australia, Qun Catherine Li, Jonathan Karnon, Simon Towler, James Codde

IHR Papers and Journal Articles

Objective: This study aims to describe the characteristics of quality activities in a tertiary quaternary hospital in Western Australia.

Methods: Data from the study hospital’s electronic quality management system Governance, Evidence, Knowledge and Outcome between 1 January 2015 and 31 December 2019 was analysed by using descriptive and thematic methods.

Results: Quality assurance (QA) accounted for 68.3% of all quality activities in the study hospital. Principal investigators of activities were mostly in clinical roles and relatively senior in their profession. Collaboration within the same profession and same team was common, but much less so across departments. The median quality cycle …

Starting A New Anti-Seizure Medication In Drug-Resistant Epilepsy: Add-On Or Substitute?, Mubeen Janmohamed, Nicholas Lawn, Katrina Spilsbury, Josephine Chan, John Dunne

IHR Papers and Journal Articles

Objectives: Randomized studies in drug-resistant epilepsy (DRE) typically involve addition of a new anti-seizure medication (ASM). However, in clinical practice, if the patient is already taking multiple ASMs, then substitution of one of the current ASMs commonly occurs, despite little evidence supporting this approach.

Methods: Longitudinal prospective study of seizure outcome after commencing a previously untried ASM in patients with DRE. Multivariable time-to-event and logistic regression models were used to evaluate outcomes by whether the new ASM was introduced by addition or substitution.

Results: A total of 816 ASM changes in 436 adult patients with DRE between 2010 and 2018 …

Quantification Of The Negative Impact Of Sedation And Inotropic Support On Achieving Early Mobility In Burn Patients In Icu: A Single Center Observational Study, Lauren Bright, Lisa Van Der Lee, Dana Hince, Fiona M. Wood, Dale W. Edgar

IHR Papers and Journal Articles

Introduction: Early rehabilitation for burns survivors in the intensive care unit (ICU) is arguably more challenging than the general population. Early achievement of functional verticality milestones (FVMs) has the potential to ameliorate the detrimental effects of bed rest and immobility observed in ICU patients and reduce healthcare costs. However, the time to achieving FVMs after burn injury is influenced by factors such as sedation practices, cardiovascular stability, mechanical ventilation, acute skin reconstruction and length of stay (LOS) during the acute intensive care period.

Objectives/Aims: The aims of this study were to identify the association between early achievement of FVMs and …

Reducing Hospital Discharges Back Into Homelessness, Jake Turvey, Isaac Wood, Lisa Wood, Amanda Stafford

IHR Papers and Journal Articles

No abstract provided.

Post-Stroke Lateropulsion And Rehabilitation Outcomes: A Retrospective Analysis, Jessica Nolan, Erin Godecke, Katrina Spilsbury, Barbara Singer

IHR Papers and Journal Articles

Purpose: A person with post-stroke lateropulsion actively pushes themselves toward their hemiplegic side, or resists moving onto their non-hemiplegic side. This study aimed to determine the association of lateropulsion severity with: • Change in function (Functional Independence Measure – FIM) and lateropulsion severity (Four-Point Pusher Score – 4PPS) during inpatient rehabilitation; • Inpatient rehabilitation length of stay (LOS); • Discharge destination from inpatient rehabilitation.

Methods: Retrospective data for 1,087 participants (aged ≥65 years) admitted to a stroke rehabilitation unit (2005–2018) were analysed using multivariable regression models.

Results: Complete resolution of lateropulsion was seen in 69.4% of those with mild lateropulsion …

Hydropoetics: The Rewor(L)Ding Of Rivers, John Ryan

Nulungu Journal Articles

Valued in utilitarian terms as channels for industry, agriculture, and urban development, rivers are among the most biodiverse yet degraded ecosystems globally. In addition to pragmatic conservation measures, the long-term wellbeing of rivers requires new perspectives on human–water relations that call attention to—and nurture—the cultural, social, and spiritual significance of riverscapes. Drawing from current thinking in the interdisciplinary environmental humanities, this article proposes the idea of hydropoetics as an outlook on rivers based on the ancient idea of poiesis. On a planet undergoing rapid environmental change, three features—embodiment, relationality, and multiscalarity—are important to a hydropoetics attuned to the urgencies of …

Effectively Communicating Comprehensive Tumor Genomic Profiling Results: Mitigating Uncertainty For Advanced Cancer Patients, Nicci Bartley, Megan C. Best, Barbara B. Biesecker, Alana Fisher, David Goldstein, Bettina Meiser, David M. Thomas, Mandy L. Ballinger, Phyllis Butow

IES Papers and Journal Articles

Objective: To understand advanced cancer patients’ experience of uncertainty when receiving comprehensive tumor genomic profiling (CTGP) results, and their perceptions of how healthcare provider (HCP) communication impacts uncertainty.

Methods: Thirty-seven semi-structured interviews with advanced cancer patients were conducted within two weeks of patients receiving CTGP results. Transcripts were thematically analyzed, using an inductive approach.

Results: We identified three themes that illustrate patient experience of uncertainties when receiving CTGP results: 1. Type and degree of uncertainty fluctuates along with changing illness circumstances and the nature of the CTGP results; 2. HCPs’ co-ordination of care and communication shapes uncertainty, with immediate, clearer …

The Content, Teaching Methods And Effectiveness Of Spiritual Care Training For Healthcare Professionals: A Mixed-Methods Systematic Review, Kate Fiona Jones, Piret Paal, Xavier Symons, Megan C. Best

IES Papers and Journal Articles

Context: Spirituality has been demonstrated to play an important role in healthcare, yet many staff feel ill-equipped to deliver spiritual care. Spiritual care training programs have been developed to address this need.

Objective: The aim of this mixed-methods systematic review was to identify spiritual care training programs for healthcare professionals or students, and to investigate program content, teaching methods, key outcomes, and identified challenges and facilitators.

Methods: A mixed-methods systematic review was conducted. The search terms (‘religio*’ OR ‘spiritual*’ OR ‘existenti*’) were combined with (‘educat*’ OR ‘train*’ OR ‘curricul*’ OR ‘program*’), AND (‘care’ OR ‘therap*’ OR ‘treatment’ OR ‘competenc*’). Search …

Australian Perspectives On Spiritual Care Training In Healthcare: A Delphi Study, Kate F. Jones, Jennifer Washington, Matthew Kearney, David Kissane, Megan C. Best

IES Papers and Journal Articles

Objective: The aim was to establish core components of spiritual care training for healthcare professionals in Australia.

Methods: This study used the Delphi technique to undertake a consensus exercise with spiritual care experts in the field of healthcare. Participant opinion was sought on (i) the most important components of spiritual care training; (ii) preferred teaching methods; (iii) clinical scenarios to address in spiritual care training; and (iv) current spiritual assessment and referral procedures.

Results: Of the 107 participants who responded in the first round, 67 (62.6%) were female, 55 (51.4%) worked in pastoral care, and 84 (78.5%) selected Christian as …

Longitudinal Patterns In Fear Of Cancer Progression In Patients With Rare, Advanced Cancers Undergoing Comprehensive Tumour Genomic Profiling, Phyllis Butow, Fabiola Müller, Christine E. Napier, Nicci Bartley, Mandy L. Ballinger, Barbara Biesecker, Ilona Juraskova, Bettina Meiser, Timothy E. Schlub, David M. Thomas, David Goldstein, Megan C. Best, Members Of The Pigeon Project

IES Papers and Journal Articles

Introduction: Fear of cancer progression (FCP) impacts quality of life and is a prevalent unmet need in patients diagnosed with advanced cancer, particularly as treatment options are reduced. We aimed to identify longitudinal patterns in FCP over 6 months in patients with advanced cancer receiving comprehensive tumour genomic profiling (CTGP) results, and their correlates.

Methods: Patients with pathologically confirmed metastatic disease (∼70% rare cancers) receiving or post their last line of standard therapy completed questionnaires at T0 (prior to CTGP), T1 (immediately post CTGP results) and T2 (2 months later).

Results: High stable (N = 52; 7.3%) and low/moderate …

Systematic Review Of Medical Education On Spirituality, John Wenham, Megan Best, David Kissane

IES Papers and Journal Articles

Background

Spirituality is a fundamental dimension of our human nature that impacts on medical care and yet is relatively neglected by medical education courses in Australia.

Aim

This systematic review was conducted to assess the curriculum content currently used to develop medical student understanding of, and engagement with, spirituality in the context of patient care.

Methods

Studies published in English from 2010 to the review date were included in order to focus on the most recent curricula. Studies included medical students in undergraduate or postgraduate programmes, doctors in resident training programmes and registrars. Interventions considered for inclusion were curriculum modules …

Breast Density Notification: Evidence On Whether Benefit Outweighs Harm Is Required To Inform Future Screening Practice, Brooke Nickel, Rachel Farber, Meagan Brennan, Jolyn Hersch, Kirsten Mccaffery, Nehmat Houssami

Medical Papers and Journal Articles

No abstract provided.

The Awareness Level Of Orthodontic Treatment Among Early Adolescents (A Survey Among Students Of 111 Public Junior High School, Jakarta), Khuzaima Adyasti, Dwita Pratiwi, Erwin Siregar

Journal of Dentomaxillofacial Science

No abstract provided.

Global Southerners In The North, Ama Francis

Sabin Center for Climate Change Law

Third World Approaches to International Law (TWAIL) scholarship contends that international law privileges nation-states in the Global North over those in the Global South. The literature primarily draws on a Westphalian conception of the North-South divide in analyzing asymmetrical issues of power in the global political economy. Given the expansion of global capitalism, however, the nation-state-based mode of analysis misses the fact that there are Global Souths in the geographic North and Global Norths in the geographic South. This Essay makes two theoretical claims.

First, it argues that racial capitalism renders expendable populations across the geographic North and South, destabilizing …

The Climate Leadership And Community Protection Act’S Environmental Justice Promise, Hillary Aidun, Julia Li, Antonia Pereira

Sabin Center for Climate Change Law

In 2019, New York State Governor Andrew Cuomo signed the Climate Leadership and Community Protection Act (“CLCPA”) into law. The CLCPA was passed with the objective of addressing climate change and minimizing the adverse impacts on the “economic well-being, public health, natural resources, and the environment of New York.” S. 6599, 2019-2020 Sen., Reg. Sess. § 1 (N.Y. 2019). The CLCPA seeks to meet these objectives by reducing statewide greenhouse gas emissions, scaling up renewable energy to avoid further climate change, and improving the resiliency of the state in order to address unavoidable climate change impacts. Id. The law created …

The Efficacy Of Resistance Training In Addition To Usual Care For Adults With Acute Burn Injury: A Randomised Controlled Trial, Paul M. Gittings, Benedict M. Wand, Dana A. Hince, Tiffany L. Grisbrook, Fiona M. Wood, Dale W. Edgar

Physiotherapy Papers and Journal Articles

Resistance training immediately after a burn injury has not been investigated previously. This randomised, controlled trial assessed the impact of resistance training on quality of life plus a number of physical, functional and safety outcomes in adults with a burn injury. Patients were randomly assigned to receive, in addition to standard physiotherapy, four weeks of high intensity resistance training (RTG) or sham resistance training (CG) three days per week, commenced within 72h of the burn injury. Outcome data was collected at six weeks, three and six months after burn injury. Quality of life at 6 months was the primary endpoint. …

Implementing Skill Acquisition Research In High Performance Sport: Reflecting On The Importance Of Autonomy-Support For Successful Collaboration, Khaya Morris-Binelli, Sean Müller, Fleur E.C.A. Van Rens, Dave Staniforth, Brendyn Appleby, Simon M. Rosalie

Physiotherapy Papers and Journal Articles

Perceptual-cognitive-motor skills, such as visual anticipation, are pivotal for superior performance in sport. However, there are only a limited number of skill acquisition specialists working with coaches to develop these skills in athletes. The purpose of this paper is to present a brief reflection on the use of psychological strategies to create an autonomy-supportive environment to embed a skill acquisition research project in high-performance sport. The research project was conducted with the Australian national field hockey high-performance unit and investigated individual differences in expert goalkeepers’ visual anticipation. The paper first discusses the role of a skill acquisition specialist, how they …

Self-Reported Measures Of Training Exposure: Can We Trust Them, And How Do We Select Them?, Myles Murphy, Philip Glasgow, Andrea Britt Mosler

Physiotherapy Papers and Journal Articles

Editorial

Speech-Language Pathologist And Parent Perspectives On Speech-Language Pathology Services For Children With Autism Spectrum Disorders, Brenda L. Beverly, L. Amanda Mathews

Brenda L. Beverly Publications

Many speech-language pathologists (SLPs) are underprepared to serve children with ASD, despite a growing need and increased expectation for ASD expertise. To understand this practice gap, 60 SLPs and 26 parents of children with ASD were surveyed regarding SLP knowledge and competency. Of concern was that only about 50% of SLPs correctly identified ASD defining criteria. Respondents rated eight SLP practices as Important to Very Important, but SLPs reported being only Somewhat Competent to Competent. The parents’ rating of SLP competency was significantly lower than parental ratings of importance for one educational practice, use of non-standardized assessment and observational methods. …

Assessing Language Delay In Twins: Low Gesture Use And Birth History Factors, Lori G. Foran, Kelli J. Evans, Brenda L. Beverly

Brenda L. Beverly Publications

Identification of language disorders in children younger than 3 years remains challenging despite agreement that early intervention improves outcomes. This study of twin language and gesture development substantiated the twinning effect, an unexplained lag in expressive and receptive language seen in twins, for a group of 88, 16- to 18-month-old twins who did not present with extreme perinatal risk. A valid, parent-report measure revealed word production ≤10^th percentile for 15 twins. Pregnancy complications, but not a positive family history of speech, language or learning disorders or other case history factors, significantly increased the odds of this early expressive delay. …

Utilizing An Instructional Intervention In Aquatics: An Experimental Study For Improving Wellness Awareness In Adults, Felisa Fayette Mastel

Education

The medical community recognizes the importance of regular, vigorous exercise. The evidence is indeed overwhelming in support of physical fitness for the prevention of disease and disability; yet nearly 80% of the population does not exercise enough to produce a health benefit (CDC, 2018). Thus, it is necessary to find a way to assist individuals to increase an awareness concerning physical fitness and furthermore, overall wellness awareness. This quantitative study’s instructional intervention treatment interlaced the six dimensions of wellness and Knowles andragogy interwoven within a single activity; in this case water exercise. Hence, the purpose of this study was to …

Redefining What's Manly: Using Masculine Attributes To Describe Counseling Services For Men, Riley Nicholas Rodemaker

Dissertations and Theses @ UNI

Men are diagnosed with mental illness at a similar rate to women, and men deal with similar levels of impairment (Kessler et al., 1994). Despite this impairment, men do not seek help for their mental health as often as women do (Smith et al., 2013). One reason may be that counseling is seen as feminine. In this thesis, I describe an experimental study that examined the effect of using masculine attributes to describe counseling services on men’s attitudes. Adult male participants ages 18 to 35 (N = 818) read a short story that featured a conversation with a friend that …

Examining Individual Differences In Attitudes Toward The Insanity Defense, Dominique M. Kornely

Dissertations and Theses @ UNI

The purpose of the present study was to examine how individual differences in stigma against people who are mentally ill, free will beliefs, just world beliefs, and sentencing goals are associated with attitudes toward the insanity defense. Because there are many misconceptions about what the insanity defense is, and how it is actually used as a sentence, the Not Guilty by Reason of Insanity (NGRI) plea may be underutilized due to public opinions reflecting misunderstanding and/or possible biases (Perlin, 2017). Understanding the relation between individual beliefs and attitudes about the insanity defense would help to better understand potential biases present …

Advocates And Researchers Working Together To Improve School Health Education, Joseph Donnelly, Michael Young, Katherine J. Roberts

Department of Public Health Scholarship and Creative Works

Purpose: This article discusses the need for continued evaluation of health education interventions/curricula and provides tools and resources to facilitate the selection of appropriate, evidencebased interventions/curricula for school health education programs. Methods: We review the literature related to the evaluation of school health education programs, provide a review of the basics for understanding evaluation design and results, and identify resources for selecting effective curricula. Conclusions: There is a need for additional rigorously designed evaluations of school health education programs. School health educators and other advocates for school health education must have a basic understanding of evaluation design and how to …

Executive Functions And Writing Skills In Children With And Without Adhd, Elia F. Soto, Lauren N. Irwin, Elizabeth S.M. Chan, Jamie A. Spiegel, Michael J. Kofler

Department of Psychology Faculty Scholarship and Creative Works

Pediatric attention-deficit/hyperactivity disorder (ADHD) has been associated with impairments in executive functioning and academic writing skills. However, our understanding of the extent to which these children’s writing difficulties are related to their underdeveloped executive functions—and whether this relation is attributable to specific executive functions—is limited. Method: A clinically-evaluated and carefullyphenotyped sample of 91 children ages 8–13 (M = 10.60, SD = 1.25; 37 girls) were administered multiple, counterbalanced tests of the three core executive functions (working memory, inhibitory control, set shifting), assessed for ADHD symptoms via multiple-informant reports, and completed standardized, norm-referenced testing of three core writing skills (written expression, …

Tele-Forensic Interviewing Can Be A Reasonable Alternative To Face-To-Face Interviewing Of Child Witnesses., Jason J. Dickinson, Nicole E. Lytle, Debra Ann Poole

Department of Psychology Faculty Scholarship and Creative Works

Objective: Tele-forensic interviews have the potential to aid investigations when children live far from interviewers, there is a risk of disease transmission, or when expertise is not locally available. However, it is unknown whether tele-forensic interviewing is an effective alternative to face-to-face interviewing, particularly for children most prone to suggestibility and lapses of attention. Hypotheses: Previous studies suggested that school-age children would provide similar amounts of information across interview modes but provided no basis for predicting how misinformation impacts accuracy across modes or how 4- and 5-year-olds would react to tele-forensic interviewing. Method: Children (4–8 years, N = 261, Mage …

The Editors’ Perspective: Online Teaching And Learning In A Pandemic, Cindy L. Hayden, Dana M. Howell, Renee Causey-Upton

Journal of Occupational Therapy Education

No abstract provided.

Kinesthetic Learners During The Covid-19 Pandemic: Occupational Therapy Students’ Perspective On E-Learning, Michael Stamm, Kailey Francetic, Regina Reilly, Angela Tharp, Nicole Thompson, Ryleigh Weidenhamer

Journal of Occupational Therapy Education

The purpose of the study was to understand the perspective of kinesthetic learners in an online learning environment. A Microsoft Forms survey was created and distributed to the sample population using the university electronic mailing list. If self-identified as kinesthetic learners, subjects were asked to participate in a semi-structured focus group. Twenty-six subjects responded to the survey, with 73% (n=19) identifying as kinesthetic learners. Quantitative results showed subjects felt most confident in content comprehension but less confident in clinical application. Qualitative data collection led to emergence of the following four themes—advantages, disadvantages, accommodations to e-learning, and external factors. …

Clinical And Professional Reasoning Development In Level Ii Fieldwork: Occupational Therapy Assistant Students’ Perception, Marie-Christine Potvin, Jeanne M. Coviello, Eden Rothacker, Caitlin Taylor, Taryn Pettigrew, Mary Beth Thomas, Laronda Lockhart-Keene

Journal of Occupational Therapy Education

Occupational therapy academic programs are tasked with preparing occupational therapy assistant (OTA) students to develop and use clinical and professional reasoning in practice. A component of this academic education, Level II fieldwork (FW), develops clinical and professional reasoning by allowing students to practice this skill. Although numerous studies have investigated this topic in occupational therapy students, only one small study has previously investigated this in OTA students during Level II FW. Thus, we designed a mixed methods study of OTA students during Level II FW (n = 58) to confirm and expand our knowledge of learning experiences that develop …