Digital Commons Network^™

Multimodal Medicine: Pain Control Potential, Tyler Ostlund

Master of Science in Nursing Family Nurse Practitioner

Due to the continual problem with overuse of, overdose on, and abuse of opioid medications for the past three decades it is paramount that effective, cheap, and above all safe forms of pain control are studied and applied. Multimodal pain management utilizes a combination of pharmacological and non pharmacological therapies in synergy to control pain and reduce dependence on strictly opioids. Combining the effects of medications or therapies that focus on treating different types or sources of pain such as inflammatory pain, neurological pain, etc. With the adoption of this method of pain management, the longstanding effects of the opioid …

The Use Of Distraction Techniques During Painful Procedures In Pediatric Patients, Bethany Hayward

Master of Science in Nursing Family Nurse Practitioner

No abstract provided.

From The Edge Of A Rib: Pro-Ana Edgeworking Narratives, Casey Dobbins

Cal Poly Humboldt theses and projects

People who deliberately practice eating disordered behaviors as a lifestyle form digital communities known as pro-ana. Pro-ana identity is constructed through the medicalized frameworks of anorexia nervosa that attempt to maximize weight loss and also manage other eating disorder behaviors such as binging and purging. This thesis examines pro-ana materials requested and produced on websites, Whisper, and Reddit, assembling these discursive and image exchanges into discourses that identify and describe eating disorder pathology and recovery. My ethnographic collection consists of screenshots of written materials and images from websites, Whisper posts, Reddit threads, and a Discord. This thesis examines discursive strategies …

Teaching Conversation Skills Using Bst And Video Modeling Via Telehealth, Margaret F. Groves-Bradley

Cal Poly Humboldt theses and projects

Abstract

The COVID-19 pandemic and the current state of education children have limited access to an environment where they can practice conversational skills with people outside of their immediate family. Traditionally, children with autism spectrum disorder (ASD) have a difficult time independently learning these skills, even in an environment that is ripe with social interaction(Grosberg & Charlop, 2017). The current study sought to use behavioral skills training, modeling, and prompting to teach the skills of responding to questions, asking questions, and changing the topic to one learner with ASD over telehealth. The study was conducted over three phases. The first …

Morphometric Examination Of Trigeminal Nerve And Its Adjacent Structures In Patients With Trigeminal Neuralgia: A Case-Control Study, Yunus Emre Kundakci, Nadi̇re Ünver Doğan, İnci̇ Kara, Mehmet Öztürk, Zeli̇ha Fazlioğullari, Ahmet Kağan Karabulut

Turkish Journal of Medical Sciences

Background/aim: Morphological differences that can lead the trigeminal nerve to neurovascular conflict and a new solitary pontine lesion are associated with the pathogenesis of trigeminal neuralgia (TN). In this case-control study, we aimed to contribute to the current discussions about the pathogenesis of TN by investigating the anatomical structures that may have an effect on the morphometric parameters of the trigeminal nerve. Materials and methods: This study included 25 patients with TN followed up for pain in the Department of Algology, Faculty of Medicine, and 25 age- and gender-matched controls. We performed morphometric measurements including the length and volume of …

Ultrasonographic/Regional Muscle Measurements For Diagnosing Sarcopenia In Older Adults With And Without Dementia, Zekeri̇ya Ülger, Gözde Şengül Ayçi̇çek, Özgür Kara, Murat Kara

Turkish Journal of Medical Sciences

Background/aim: Sarcopenia and dementia are growing concerns among older adults that muscle and brain atrophy may cooccur. We aimed to compare the age-related loss of muscle mass by using ultrasound (US), and skeletal muscle mass index (SMI) by bioelectrical impedance analysis in older adults with and without dementia. Materials and methods: A total of 221 older adults aged ≥65 years were included in the study. The diagnosis of sarcopenia was established if low muscle mass according to either SMI or sonographic gastrocnemius (GC) muscle thickness was combined with low grip strength. The diagnosis of dementia was based on the National …

Quality Improvement: Implementation Of Individualized Concussion Patient Education And Rehabilitation Treatment Plans, Briana Burgette, Tamara C. Valovich Mcleod

Clinical Practice in Athletic Training

Concussion is a significant health issue at all levels of sports participation. At Saint Luke’s Health System (SLHS) in Kansas City, Missouri, the sports medicine and concussion team discovered an issue with dissemination of patient education for concussion rehabilitation plans. A quality improvement project was launched in August 2019 to develop concussion educational rehabilitation plans, incorporating cluster symptoms into concussion profiles and improving communication during follow-up care. The project promoted improvement of patient understanding of individualized rehabilitation plans and effective communication for the treatment management team. Three cycles of a Plan-Do-Study-Act (PDSA) quality improvement project were completed over 6 months. …

A Biological Perspective On Interpreting Interaction Effect, Serdar Genç, Mehmet Mendeş

Turkish Journal of Veterinary & Animal Sciences

Factorial experiments are commonly employed in agricultural research as in other branches of applied sciences. In these experiments, inferences related to the interaction are essential. However, many researchers are still unable to analyze this type of experiment and interpret the results in the correct way. This is because researchers focus on interpreting the main effects although there is a significant interaction effect. Of course, meaningful main effects can exist even in the presence of an interaction, especially if interactions do not affect the main effects. Therefore, it is extremely important to understand thoroughly in which situations only the interaction effect(s), …

2021-22 Annual Report, Tennessee. Board Of Paroles

Annual Reports

This document is the annual report for the Tennessee Board of Parole during the fiscal year.

Making Connections To Address Mathematics Anxiety: A Case Study Of The Instructional Triangle And Remedial College Instructors, Njeri M. Pringle, Jamie L. Workman, Meagan C. Arrastia-Chisholm

Georgia Educational Researcher

Mathematics anxiety is a reality for many students as a number of community college and four-year university students feel disconnected from math and struggle to pass mathematics courses. Using a case study and grounded theory approach, six remedial mathematics instructors were interviewed and observed to examine their instructional strategies and practices. During the interviews, participants expounded upon the changes in strategies and practices implemented when aiding students struggling with anxiety. The Instructional Triangle was applied across participants to compare and contrast their experiences. The analysis focused on environmental factors that could increase or exacerbate mathematics anxiety. In particular, a theme …

Peer-Coaching Based Professional Development: A Sample Of A School Of Foreign Languages, Sinem Arslan Dönmez, Ahmet Şahin Assoc. Prof.

Georgia Educational Researcher

The purpose of this study is to investigate the views of lecturers about the effectiveness of the implementation of the peer-coaching practice conducted at the school of foreign languages of a foundation university. The lecturers who took part in the peer coaching practice in the academic year 2019-2020 acted as the participants in this case study. The qualitative data was collected via interviews and document analysis. Content analysis and descriptive analysis methods were used in the process of data analysis. The findings from the analysis showed that peer-coaching practice consisted of lesson observations, pre and post-observation meetings, and reflection stages. …

Effectiveness Of A Flight Simulation Training Visual Aid For Normal And Crosswind Approach And Landing, Shlok Misra, Victor Fraticelli Rivera, Nikhil Khale, Jorge L. D. Albelo Ph.D.

International Journal of Aviation, Aeronautics, and Aerospace

Flight simulators have a significant contribution to effective and efficient flight training across the globe. Significant literature has suggested the effectiveness of simulation tools in training pilots in different scenarios and is an area for continued development and research. To continue those efforts, this study assessed the effectiveness of visual aid to be used as an instructional aid for flight instruction for crosswind landings. The need for further training in crosswind landing is substantiated due to the significantly high number of accidents for General Aviation aircraft in the approach and landing phase of flights. The study utilized an experimental research …

Is A Framework Of Support Enough? Undergraduate Research For Online Stem Students, Emily Faulconer, Brent Terwilliger, Robert Deters, Kelly George

Publications

While undergraduate research is known as a high-impact practice, little research has been conducted for the online educational setting. Early research suggests that online students and faculty have similar interest in undergraduate research as their residential (face-to-face) counterparts. This point of view presents the framework of support developed for fully online students distributed globally and shares some of the challenges faced in online undergraduate research, including the issue of low recruitment (despite stated interest) that could be exacerbated by the COVID-19 pandemic.

Leadership Strategies Amidst Disruption And Shock: Communication Implications, Stephanie K. Douglas, Robin A. Roberts, Hermen Díaz Iii

Publications

Leaders’ prompt communication about the COVID-19 pandemic was critical to stakeholders’ safety and knowledge about the uncertainty of organizational operations. In this study, the communication of various university leaders was analyzed in response to the new decade’s deadliest exogenous shock, the spread of the deadly COVID-19 virus. Content analysis of statements from a sample of leaders in public universities contained elements of situational, behavioral, and adaptive leadership. The analysis was conducted to identify leaders’ statements detailing contingencies being implemented for the survivability of their universities. Primarily studied were leader statements responding to the intensity and severity of the pandemic, rapid …

Leadership Strategies Amidst Disruption And Shock: Communication Implications, Stephanie K. Douglas, Robin A. Roberts, Hermen Díaz Iii

Publications

Leaders’ prompt communication about the COVID-19 pandemic was critical to stakeholders’ safety and knowledge about the uncertainty of organizational operations. In this study, the communication of various university leaders was analyzed in response to the new decade’s deadliest exogenous shock, the spread of the deadly COVID-19 virus. Content analysis of statements from a sample of leaders in public universities contained elements of situational, behavioral, and adaptive leadership. The analysis was conducted to identify leaders’ statements detailing contingencies being implemented for the survivability of their universities. Primarily studied were leader statements responding to the intensity and severity of the pandemic, rapid …

The Character Of Jury Exclusion, Anna Offit

Faculty Publications

Encounters with the legal system are unevenly distributed throughout the American population, with Black and poor citizens targeted as disparate subjects of surveillance, arrest, and criminal conviction. At the same time, these encounters, as well as a stated belief in the unfairness of the legal system, are commonly viewed as legitimate grounds for excusal from jury service. This follows from an understanding of juror bias that assumes that people with negative experiences with legal actors—police and prosecutors, for example—will be less likely to trust and more likely to discount the contributions of those actors within the context of the jury …

Benchmarking Compositionality With Formal Languages, Josef Valvoda, Naomi Saphra, Jonathan Rawski, Adina Williams, Ryan Cotterell

Faculty Research, Scholarly, and Creative Activity

Recombining known primitive concepts into larger novel combinations is a quintessentially human cognitive capability. Whether large neural models in NLP can acquire this ability while learning from data is an open question. In this paper, we investigate this problem from the perspective of formal languages. We use deterministic finite-state transducers to make an unbounded number of datasets with controllable properties governing compositionality. By randomly sampling over many transducers, we explore which of their properties contribute to learnability of a compositional relation by a neural network. We find that the models either learn the relations completely or not at all. The …

A Survey On Distributed Reinforcement Learning, Maroning Useng, Suleiman Abdulrahman

Mesopotamian Journal of Big Data

In many settings, reinforcement learning (RL) has proven to be an effective tool for tackling difficult decision-making challenges. Traditional RL algorithms, on the other hand, frequently hit walls when confronted with issues of a sufficiently great scale or complexity. Distributed reinforcement learning (DRL) is a new area of study that hopes to circumvent these restrictions by dividing the learning workload among several computers. In this work, we offer a thorough overview of DRL, discussing its history, difficulties, applications, evaluation, scalability, and outstanding issues. We classify DRL approaches and frameworks and examine their similarities and differences. We also highlight the difficulties …

A Risk-Averse Mechanism For Suicidality Assessment On Social Media, Ramit Sawhney, Atula Tejaswi Neerkaje, Manas Gaur

Publications

Recent studies have shown that social media has increasingly become a platform for users to express suicidal thoughts outside traditional clinical settings. With advances in Natural Language Processing strategies, it is now possible to design automated systems to assess suicide risk. However, such systems may generate uncertain predictions, leading to severe consequences. We hence reformulate suicide risk assessment as a selective prioritized prediction problem over the Columbia Suicide Severity Risk Scale (C-SSRS). We propose SASI, a risk-averse and self-aware transformer-based hierarchical attention classifier, augmented to refrain from making uncertain predictions. We show that SASI is able to refrain from 83% …

Process Knowledge-Infused Learning For Suicidality Assessment On Social Media, Kaushik Roy, Manas Gaur, Qi Zhang, Amit Sheth

Publications

Improving the performance and natural language explanations of deep learning algorithms is a priority for adoption by humans in the real world. In several domains, such as healthcare, such technology has significant potential to reduce the burden on humans by providing quality assistance at scale. However, current methods rely on the traditional pipeline of predicting labels from data, thus completely ignoring the process and guidelines used to obtain the labels. Furthermore, post hoc explanations on the data to label prediction using explainable AI (XAI) models, while satisfactory to computer scientists, leave much to be desired to the end users due …

The Lognometer: A New Normalized And Computerized Device For Assessing The Neurodevelopment Of Fine Motor Control In Children, Christian O'Reilly, Rejean Plamondon, Nadir Faci

Publications

Motor skills are fundamental for the development of children. Neurodevelopmental tests currently used by professionals for measuring motor control maturity exhibit several limitations. To address some of these, we have designed the Lognometer, a tablet-based device that can run computerized neuromotor tests. To normalize this tool against a representative population, we collected handwritten triangles from 780 children. We used the Sigma-Lognormal model and a prototype-based parameter estimation algorithm to analyze these movements. To ensure clinical acceptance, we developed an explainable solution relying on statistical regression. We evaluated how well the proposed lognormal decomposition captures the motor control maturation between 6 …

Comparing Symbolic And Connectionist Algorithms For Correlating The Age Of Healthy Children With Sigma-Lognormal Neuromuscular Parameters, Zigeng Zhang, Christian O'Reilly, Rejean Plamondon

Publications

It is important to accurately evaluate the motor control maturity to help physicians diagnose delayed or abnormal motor development in children. Traditionally, it has been challenging to design assessment methods that are practical and accurate at the same time. This study aims to develop an effective algorithm to predict motor control maturity based on the Kinematic Theory of rapid human movements. We used handwritten pen strokes made on an electronic tablet by 513 children (5.5 to 13 years of age). We considered two types of movements: a single stroke and a triangle drawing test. For the analysis, Sigma-Lognormal parameters were …

Addictive Technology And Its Implications For Antitrust Enforcement, James Niels Rosenquist, Fiona M. Scott Morton, Samuel N. Weinstein

Articles

The advent of mobile devices and digital media platforms in the past decade represents the biggest shock to cognition in human history. Robust medical evidence is emerging that digital media platforms are addictive and, when used in excess, harmful to users’ mental health. Other types of addictive products, like tobacco and prescription drugs, are heavily regulated to protect consumers. Currently, there is no regulatory structure protecting digital media users from these harms. Antitrust enforcement and regulation that lowers entry barriers could help consumers of social media by increasing competition. Economic theory tells us that more choice in digital media will …

Regulations Governing Psychologists: An International Survey., Hee Sun Kim, Seowon Yoon, Gaeun Son, Euntaek Hong, Amanda Clinton, Catherine L. Grus, David Murphy, Alex M. Siegel, Eleni Karayianni, Michael O. Ezenwa, Georgia Zara, Germán Gutiérrez, Daniel Balva, Jeanyung Chey, Kee Hong Choi

School of Psychology

This study aimed to examine legal regulations on psychologists worldwide, such as those related to professional status and training models. An online survey was conducted by members of the Global Psychology Alliance and Asia Pacific Psychology Alliance. The survey included information on the legal status of psychologists in 55 countries. Representatives of 28 countries provided their responses, whereas information on the legal status of psychologists in 27 European countries was obtained from research data reported by the European Commission in 2016. We found that 80% of the 55 countries included in this study regulated professions in the field of psychology …

Flexible Goal-Directed Manipulation Of Representations: Computational Models Of Healthy And Pathological Human Cognition, Giovanni Granato

School of Engineering, Computing and Mathematics Theses

The brain is able to manipulate itself, adapting its internal world in a changing environment. In particular it continuously manipulates its representations to achieve goals. This competence is supported by many neurocognitive high-order processes that interact during the performance of a goal-directed behaviour (e.g. attention processes, executive functions, motivational systems). Overall, adult humans often face a new problem trough a change of the `perceptual point of view' (i.e. a representational change), rather then an extended research of the correct action to perform. On the other hand, infants and children contemporary develop motor competence and task-directed perceptual representations (e.g. categorical perception). …

The Application Of Poka-Yoke To Administration Functions Within An Organisation., Craig Dixon Woodward

School of Engineering, Computing and Mathematics Theses

Poka-yoke is a quality assurance technique developed by Shigeo Shingo in the 1960s. It is based on the theory that errors and defects have a cause and effect relationship. A defect is purely the effect of an error and by employing poka-yoke devices within processes to remove errors, defects can also be eliminated. The use of poka-yoke has made a significant contribution to organisations' ability to effectively control their core manufacturing processes but little attention has been given to the mistake-proofing of the surrounding administration or support processes. This thesis provides a definition of "administration" and justifies the need for …

Mothers’ Understanding Of Brain Development In Early Childhood: A Qualitative Study In Brazil, Marina Sayuri Yakuwa, Letícia Pancieri, Sarah Neill, Mello Df De

School of Nursing and Midwifery

To analyze mothers’ understanding of child brain development and their stimulus practices with children in the first months of life. Qualitative research, with 18 Brazilian mothers, over 18 years of age, used semi-structured interviews to identify their perspectives on important healthcare outcomes, based on reflexive thematic analysis. Mother’s accounts displayed little understanding of child brain development, focusing on the development of neuropsychomotor skills. There was relative uncertainty about the daily care practices that would provide appropriate child stimuli, through which to provide promotion and protection of child development. Maternal knowledge about child brain development indicates a need to strengthen parenting …

Managing Business Relationships For Social Impact: Introduction To The Special Issue, Maciej Mitręga, Dariusz Siemieniako, Krzysztof Kubacki, Stefanos Mouzas

Plymouth Business School

No abstract provided.

Covid-19 Pandemic Impact On Psychotropic Prescribing For Adults With Intellectual Disability: An Observational Study In English Specialist Community Services, D Naqvi, B Perera, S Mitchell, R Sheehan, R Shankar

Peninsula Medical School

Background Coronavirus disease 2019 (COVID-19) has had a disproportionate impact on people with intellectual disability (PwID). PwID are at higher risk of mental illness and receive psychotropic prescribing ‘off licence' also, to manage distress behaviour. The lockdown and reduction of multidisciplinary face-to-face appointments had an impact on care delivery, the recourse possibly being psychotropic prescribing. It is imperative to comprehend the influence the pandemic had on psychotropic prescribing patterns to enable future planning. Aims The aim was to understand the impact of the pandemic by comparing psychotropic prescribing patterns during the England lockdown with the prescribing patterns before lockdown in …

General Practitioner Views On Addressing Weight Opportunistically In Primary Care: An Embedded Sequential Mixed-Methods Study, Maryam Kebbe, Susan A. Jebb, Rachna Begh, Anna Christian-Brown, Hannah Wheat, Amanda Farley, Amanda Lewis, Paul Aveyard

Peninsula Medical School

Objective: To assess GPs’ thoughts, feelings, and practices on providing opportunistic weight loss interventions before and after educational training and application in practice. Methods: In an embedded sequential mixed-methods design, 137 GPs delivered a 30-second brief opportunistic intervention to a mean of 14 patients with obesity. To assess GPs’ experiences and views on the intervention, all were invited to complete pre- and post-trial questionnaires and 18 were purposively interviewed. Data were transcribed verbatim and analysed using inductive framework analysis. Results: GPs’ attitudes (importance, feasibility, appropriateness, helpfulness, and effectiveness), capacities (comfort, confidence, and knowledge), perceived subjective norms (role expectations), willingness, and …