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Book Review Of Advanced Introduction To Empirical Legal Research, Arevik Avedian Sep 2024

Book Review Of Advanced Introduction To Empirical Legal Research, Arevik Avedian

Journal of Legal Education

No abstract provided.


Lcd 106: Introduction To Communication Sciences And Disorders, Yael Neumann Sep 2024

Lcd 106: Introduction To Communication Sciences And Disorders, Yael Neumann

Open Educational Resources

This course will provide an introduction to the development and disorders of speech, language, and communication in children and adults. Disorders such as autism, aphasia, stuttering, and learning disabilities will be discussed. Differences noted in culturally and linguistically diverse communities will also be addressed. The course activities will give students an experiential appreciation of the experience of communication challenges and supporting people with those challenges. Information about the professions of Speech-Language Pathology (SLP), Audiology, and Speech and Hearing Science will be reviewed as potential career paths.


A Genomics Driven Human Induced Pluripotent Stem Cell Model Of Infant All – Updates On Hematopoietic Differentiation, Meagan Vacek, Jacqelyn Nemechek, Irina Pushel, Priyanka Kumar, Bradley Thornton, Molly Leyda, Midhat Farooqi, Erin Guest, Jay L. Vivian, John M. Perry Sep 2024

A Genomics Driven Human Induced Pluripotent Stem Cell Model Of Infant All – Updates On Hematopoietic Differentiation, Meagan Vacek, Jacqelyn Nemechek, Irina Pushel, Priyanka Kumar, Bradley Thornton, Molly Leyda, Midhat Farooqi, Erin Guest, Jay L. Vivian, John M. Perry

Posters

Acute lymphoblastic leukemia in infants (iALL) is a high-risk subtype of childhood leukemia, with poor survival outcomes despite intensive therapies. Rearrangement of KMT2A (KMT2A-r) occurs in 70% of cases and is associated with chemotherapy resistance, early relapse, and rapid leukemic progression, all of which contribute to poor survival outcomes. The most common KMT2A-r in iALL is KMT2A::AFF1 (MLL::AF4), derived from t(4;11)(q21;23). This KMT2A-r generates a driver fusion oncogene which leads to epigenetic dysregulation of target gene transcription. Infant ALL’s cell of origin is thought to be a very early hematopoietic precursor, with transcriptomic studies of iALL blasts showing similarities to …


"Ghosts In This Country": Pediatric Caregiver Perspectives On Immigration Status In The Healthcare Setting, Anik Patel, Ali Fowler, Juan Farias Torres, Ana Contreras, Claudia Zepeda, Estefania Bazan, John Cowden, Frances Turcotte Benedict, Jennifer Watts, Kimberly A Randell Sep 2024

"Ghosts In This Country": Pediatric Caregiver Perspectives On Immigration Status In The Healthcare Setting, Anik Patel, Ali Fowler, Juan Farias Torres, Ana Contreras, Claudia Zepeda, Estefania Bazan, John Cowden, Frances Turcotte Benedict, Jennifer Watts, Kimberly A Randell

Posters

Background: There are approximately 11.4 million undocumented immigrants (UI) in the United States. Immigration status (IS) is a unique social determinant of health that directly and indirectly impacts health and healthcare access. There are gaps in our understanding about how IS impacts health, particularly because it is not frequently discussed in the healthcare setting. This study expands our understanding of immigrant caregiver perceptions about discussing IS in the healthcare setting and provides insight into specific needs that we may not be currently addressing. Methods: Setting: ED or Spanish-speaking majority pediatric clinic at Children's Mercy Inclusion criteria: Caregivers who are 18+, …


Complete Genome Sequence Of An Indian Outbreak Strain Of Chikungunya Virus, Eshna Laha, Deepak Jena, Viplov K. Biswas, Sharad Singh, Sunil K. Raghav, Asit K. Pattnaik, Soma Chattopadhyay Sep 2024

Complete Genome Sequence Of An Indian Outbreak Strain Of Chikungunya Virus, Eshna Laha, Deepak Jena, Viplov K. Biswas, Sharad Singh, Sunil K. Raghav, Asit K. Pattnaik, Soma Chattopadhyay

Nebraska Center for Virology: Faculty Publications

Here, we report the complete genome sequence of an Indian strain of chikungunya virus isolated from an infected patient from Hyderabad, Andhra Pradesh, India, during a massive outbreak in 2005–2006. The genome length spans 11,811 nucleotides and has a poly(A) tail of 29 residues at the 3′ end.


Artificial Intelligence In Orthopaedic Education: A Comparative Analysis Of Chatgpt And Bing Ai’S Orthopaedic In-Training Examination Performance, Clark Chen, Vivek Biololikar, Duncan Vannest, James Raphael, Gene Shaffer Sep 2024

Artificial Intelligence In Orthopaedic Education: A Comparative Analysis Of Chatgpt And Bing Ai’S Orthopaedic In-Training Examination Performance, Clark Chen, Vivek Biololikar, Duncan Vannest, James Raphael, Gene Shaffer

Einstein Health Papers

Background: This study evaluated the performance of generative artificial intelligence (AI) models on the Orthopaedic In-Training Examination (OITE), an annual exam administered to U.S. orthopaedic residency programs. Methods: ChatGPT 3.5 and Bing AI GPT 4.0 were evaluated on standardised sets of multiple-choice questions drawn from the American Academy of Orthopaedic Surgeons OITE online question bank spanning 5 years (2018–2022). A total of 1165 questions were posed to each AI system. The performance of both systems was standardised using the latest versions of ChatGPT 3.5 and Bing AI GPT 4.0. Historical data of resident scores taken from the annual OITE technical …


Barriers Of Access To Primary Healthcare Services By National Health Insurance Fund Capitated Members In Uasin Gishu County, Kenya, Barbara Nawire Were, Eunice Muthoni, Lillian Wambui Muiruri Sep 2024

Barriers Of Access To Primary Healthcare Services By National Health Insurance Fund Capitated Members In Uasin Gishu County, Kenya, Barbara Nawire Were, Eunice Muthoni, Lillian Wambui Muiruri

Population Health, East Africa

Purpose: The study identifes provision of primary healthcare services using the capitated health model as a prerequisite for promoting positive healthcare outcomes for a country’s population. However, capitated members have continued to face challenges in accessing primary healthcare services despite enrolment in the National Health Insurance Fund (NHIF). This study sought to determine if variables such as patient knowledge of the NHIF beneft package, NHIF Premium Payment processes, selecting NHIF capitated health facilities, and NHIF Communication to citizens’ infuences access to primary healthcare services. Method: A cross-sectional analytical research design was adopted. Data was collected from patients who were using …


In This Issuesystematic Revieworiginal Articlescase Report Sep 2024

In This Issuesystematic Revieworiginal Articlescase Report

Saudi Medical Journal

No abstract provided.


Biological Studies Of The Activity Of Manuka Honey Against Carbapenem-Resistant Enterobacterales (Cre) Bacteria, Mamdouh A. Bukhari, Razaz A. Qamash, Rasha A. Bulkhi, Jehad A. Bifari, Omar S. Bakhsh, Khalid O. Hawsawi, Ehab Y. Matuure, Kamil A. Sulaimani, Ashwaq T. Hakim, Maher S. Mujahid Sep 2024

Biological Studies Of The Activity Of Manuka Honey Against Carbapenem-Resistant Enterobacterales (Cre) Bacteria, Mamdouh A. Bukhari, Razaz A. Qamash, Rasha A. Bulkhi, Jehad A. Bifari, Omar S. Bakhsh, Khalid O. Hawsawi, Ehab Y. Matuure, Kamil A. Sulaimani, Ashwaq T. Hakim, Maher S. Mujahid

Saudi Medical Journal

Objectives: To evaluate the potency of Manuka honey UMF +15 against Carbapenem-resistant Enterobacterales (CRE). Bacterial resistance is a worldwide problem that is increasing year by year, especially Carbapenem resistance. Alternatives to antibiotics are needed to both reduce costs, and to reduce the spread of antibiotic resistance, with the ultimate goal of saving lives. Methods: The efficacy of Manuka honey UMF +15 was tested by 2 methods; Well diffusion assay and minimum bactericidal concentration (MBC) against twenty Carbapenem-resistant isolates which collected from Makkah city hospitals during three months of study from 1st of September 2023 up to 1st of December 2023. …


Determination Of The Effectiveness Of The Three-Minute Nutrition Screening (3-Minns) Tool In Adult Patients Hospitalized In A Cardiology Clinic, Asli Onur Canaydin, Habibe Sahin Sep 2024

Determination Of The Effectiveness Of The Three-Minute Nutrition Screening (3-Minns) Tool In Adult Patients Hospitalized In A Cardiology Clinic, Asli Onur Canaydin, Habibe Sahin

Saudi Medical Journal

Objectives: To determine the efficacy of the 3-Minute Nutrition Screening (3-MinNS) tool in adults hospitalized for cardiovascular diseases. Methods: In this descriptive cross-sectional study of 759 cardiovascular disease patients in Erciyes University Cardiology Clinic, anthropometric measurements and some routine biochemical parameters were recorded, and nutrition screening tools were used to determine malnutrition status. The power of 3-MinNS to detect malnutrition in cardiovascular diseases patients was calculated. Results: There was a strong positive correlation between 3-MinNS and Nutrition Risk Screening-2002 (NRS-2002) (r=0.719, p <0.001). A moderate agreement was found between 3-MinNS and NRS-2002 (κ=0.496, p <0.001). The sensitivity, specificity, and AUC of 3-MinNS were 79.1%, 75.0%, and 0.851, respectively, and it was determined to be a moderately effective nutrition screening tool that can be used to identify malnutrition in patients with cardiovascular diseases. Conclusion: The 3-MinNS is a moderately effective nutrition screening tool that can be administered within the first 24 hours of hospitalization in patients with cardiovascular diseases.


Physician Practices In Referring Rheumatoid Hand And Thumb Carpometacarpal Arthritis Cases To Hand Surgeons, Zahir T. Fadel, Zainalabden E. Jefri, Hussain A. Alkhalifah, Raghad A. Alzahrani, Mohammed B. Ashi, Osama A. Samargandi Sep 2024

Physician Practices In Referring Rheumatoid Hand And Thumb Carpometacarpal Arthritis Cases To Hand Surgeons, Zahir T. Fadel, Zainalabden E. Jefri, Hussain A. Alkhalifah, Raghad A. Alzahrani, Mohammed B. Ashi, Osama A. Samargandi

Saudi Medical Journal

Abstract Objectives: To investigate the referral practices across different medical specialties and identify possible barriers to hand surgery referral. Rheumatoid hand deformities (RHDs) and thumb carpometacarpal (CMC) arthritis may require surgery once deformities occur. However, in Saudi Arabia, the rate of referrals to hand surgeons remains low. Methods: This was a cross-sectional study that included 102 consultants of family medicine, rheumatology, and orthopedics across various regions of Saudi Arabia. A total of 30 institutions were contacted and requested to distribute a survey questionnaire to their physicians; these institutions included 8 private hospitals, 16 government hospitals, and 6 primary healthcare centers. …


What Do You Do With A Normal Appearing Appendix?: A National Study Of Pediatric Surgeons, Yasser S. Alfraih, Renad Almutawa Sep 2024

What Do You Do With A Normal Appearing Appendix?: A National Study Of Pediatric Surgeons, Yasser S. Alfraih, Renad Almutawa

Saudi Medical Journal

Abstract Objectives: Surgeons may encounter a grossly normal appearing appendix in a patient with clinically suspected appendicitis. The purpose of this study is to determine the practice of pediatric surgeons in Saudi Arabia when this is encountered, and determine the reasons behind their decision making. Methods: An electronic survey was sent to all pediatric surgeons in Saudi Arabia. Data points collected included demographics, peri-operative imaging preference, and personal practice when managing an intra-operative grossly normal appendix in symptomatic children. Results: A total of 105 responses were obtained yielding a response rate of 33.8% The majority of respondents, 88 (87.1%) would …


The Influence Of Social, Demographic And Economic Factors On Fertility Trends In Gulf Cooperation Council Countries: A Longitudinal Time Trend Analysis-1980-2021, Sultan A. Meo, Narmeen Shaikh, Anusha S. Meo Sep 2024

The Influence Of Social, Demographic And Economic Factors On Fertility Trends In Gulf Cooperation Council Countries: A Longitudinal Time Trend Analysis-1980-2021, Sultan A. Meo, Narmeen Shaikh, Anusha S. Meo

Saudi Medical Journal

Abstract Objectives: To analyze the fertility rate trends in the GCC countries and their association with socioeconomic factors so that policymakers may use the study findings for future healthcare plans. Methods: Total population, crude death rate, life expectancy, literacy rate, human development index (HDI), female employment, unemployment rate, urbanisation, gross domestic product (GDP) per capita and inflation were chosen as possible predictors of TFR trends. The data were collected for the Global Burden of Disease 2021 study and other official databases such as the World Bank, the United Nations Development Program and Our World in Data for the 6 Gulf …


Middle East Immunology Summit Of The Gulf Cooperation Council Association Of Immunology And Rheumatology (Gcc Air), 2023 Dubai, United Arab Emirate. Scientific Abstracts And Case Reports, Ahmed S. Zayat, Saadeya Naji, Omar Syed, Adeeba Al-Herz, Ahmed Elasareeri, Mira Merashli, Mahdi Abusalameh, Waleed Hafiz, Elsadeg Sharif, Martin Lee, Fahdah Alokaily, Suad Hannawi Sep 2024

Middle East Immunology Summit Of The Gulf Cooperation Council Association Of Immunology And Rheumatology (Gcc Air), 2023 Dubai, United Arab Emirate. Scientific Abstracts And Case Reports, Ahmed S. Zayat, Saadeya Naji, Omar Syed, Adeeba Al-Herz, Ahmed Elasareeri, Mira Merashli, Mahdi Abusalameh, Waleed Hafiz, Elsadeg Sharif, Martin Lee, Fahdah Alokaily, Suad Hannawi

Saudi Medical Journal

No abstract provided.


Who Director-General Declares Mpox Outbreak A Public Health Emergency Of International Concern Sep 2024

Who Director-General Declares Mpox Outbreak A Public Health Emergency Of International Concern

Saudi Medical Journal

No abstract provided.


Who Prequalifies The First Self-Test For Hepatitis C Virus Sep 2024

Who Prequalifies The First Self-Test For Hepatitis C Virus

Saudi Medical Journal

No abstract provided.


Food Insecurity Cost Estimates For El Paso: 2023, Thomas M. Fullerton Jr., Gregory S. Schober, Steven L. Fullerton, Eva Moya Sep 2024

Food Insecurity Cost Estimates For El Paso: 2023, Thomas M. Fullerton Jr., Gregory S. Schober, Steven L. Fullerton, Eva Moya

Border Region Modeling Project

Food insecurity is a fairly pervasive problem throughout the United States that is especially burdensome for low-income regions. While the latter is generally recognized, there have been very few efforts to quantify the dollar costs of food insecurity, especially at the regional level. This study attempts to do so for El Paso County, Texas. This is achieved by first adjusting for inflation cost estimates in a prior national level study. Regional differences with respect to the nation are then utilized to calculate comparable costs for El Paso. Results indicate that the economic damage wrought by food insecurity in El Paso …


Borderplex Business Barometer, Volume 8, Number 9, Thomas M. Fullerton Jr., Steven L. Fullerton Sep 2024

Borderplex Business Barometer, Volume 8, Number 9, Thomas M. Fullerton Jr., Steven L. Fullerton

Border Region Modeling Project

No abstract provided.


Team Development Through Leader Mindfulness And Authentic Leadership: Leader Mindfulness As An Antecedent To Authentic Leadership And Its Relationship With Team Development As Seen In Actual Turnover, Turnover Intention, Performance, Internal Mobility, And Promotions, Stefan Juerg Wermelinger Sep 2024

Team Development Through Leader Mindfulness And Authentic Leadership: Leader Mindfulness As An Antecedent To Authentic Leadership And Its Relationship With Team Development As Seen In Actual Turnover, Turnover Intention, Performance, Internal Mobility, And Promotions, Stefan Juerg Wermelinger

Dissertations and Theses Collection (Open Access)

The following research examines leader mindfulness as an antecedent to authentic leadership and its relationship with team development seen in actual turnover, turnover intention, performance, internal mobility, and promotions. The study has a significant advantage as team leaders and team members could be surveyed in a real company, and data from the human resource department could be linked to reconstruct the team settings. In addition, insights into internal mobility, actual turnover, and promotions could be calculated.

The study uses a theoretical framework that builds on leader mindfulness as an antecedent of authentic leadership and authentic leadership as a root concept …


Experimenting With Qr Codes And Envelope Size In Push-To-Web Surveys, Kyle Endres, Erin O. Heiden, Ki Park, Mary E. Losch, Karisa K. Harland, Anne L. Abbott Sep 2024

Experimenting With Qr Codes And Envelope Size In Push-To-Web Surveys, Kyle Endres, Erin O. Heiden, Ki Park, Mary E. Losch, Karisa K. Harland, Anne L. Abbott

Faculty Publications

Survey researchers are continually evaluating approaches to increase response rates, especially those that can be implemented with little or no costs. In this study, we experimentally evaluated whether or not including Quick Response (QR) codes in mailed recruitment materials for self-administered web surveys increased web survey participation. We also assessed whether mailing these materials in a non-standard envelope size (6 × 9 inch) yielded a higher response rate than invitations mailed in a standard, #10 envelope (4.125 × 9.5 inch). These experiments were embedded in a sequential mixed-mode (dual-frame phone and web) statewide survey. Including a QR code (in addition …


Understanding Why Youth Depart Early From Summer Camp, Victoria Povilaitis, Robert P. Lubeznik-Warner, Katie Mcgregor-Wheatley Sep 2024

Understanding Why Youth Depart Early From Summer Camp, Victoria Povilaitis, Robert P. Lubeznik-Warner, Katie Mcgregor-Wheatley

Journal of Youth Development

No abstract provided.


Long-Term Life-Skill Transfer From Sport-Based Positive Youth Development Programs, Travis R. Scheadler, Dawn Anderson Butcher, Samantha Bates Sep 2024

Long-Term Life-Skill Transfer From Sport-Based Positive Youth Development Programs, Travis R. Scheadler, Dawn Anderson Butcher, Samantha Bates

Journal of Youth Development

No abstract provided.


Beyond Machines: Exploring Human Identity In The Times Of Ai, Germán H. Alférez Sep 2024

Beyond Machines: Exploring Human Identity In The Times Of Ai, Germán H. Alférez

Achieve

Secular conflicting worldviews constantly influence our students with assumptions regarding human life, reality, origins, deity, the universe, purpose, truth, values, meaning, and destiny. In this presentation, we will review the concept of worldview and discuss major worldviews with a special emphasis on transhumanism. We will study how, as Adventist educators, we can help our students develop a reliable Biblical worldview from which they can pursue their vocation, make decisions, and prepare for eternity.


Congenital Diaphragmatic Hernia, Children's Mercy Kansas City Sep 2024

Congenital Diaphragmatic Hernia, Children's Mercy Kansas City

Clinical Pathways

No abstract provided.


A Systematic Unified Approach For Addressing Temporal Instability In Road Safety Analysis, Kazi Redwan Shabab, Tanmoy Bhowmik, Mohamed H. Zaki, Naveen Eluru Sep 2024

A Systematic Unified Approach For Addressing Temporal Instability In Road Safety Analysis, Kazi Redwan Shabab, Tanmoy Bhowmik, Mohamed H. Zaki, Naveen Eluru

Civil and Environmental Engineering Faculty Publications and Presentations

Multivariate models are widely employed for crash frequency analysis in traffic safety literature. In the context of analyzing data for multiple instances (such as years), it becomes essential to evaluate the stability of parameters over time. The current research proposes a novel approach, labelled the mixed spline indicator pooled model, that offers significant enhancement relative to current approaches employed for capturing temporal instability. The proposed approach entails carefully creating independent variables that allow us to measure parameter slope changes over time and can be easily integrated into existing methodological frameworks. The current research effort compares four multivariate model systems: year …


Thai Parents’ Reasons For Sending Their Children To Premium-Fee International Schools: Strategies For Establishing International Schools, Issara Wongcharoensin Sep 2024

Thai Parents’ Reasons For Sending Their Children To Premium-Fee International Schools: Strategies For Establishing International Schools, Issara Wongcharoensin

Theses and Dissertations from DePaul University

The study investigates the factors influencing Thai parents’ decisions when selecting international schools in the Bangkok Metropolitan Region. It examines how parents’ preferences for educational outcomes shape their choice among UK, US, or IB programs. Key findings reveal that dissatisfaction with Thai public schools drives many families to enroll their children in international schools. These institutions are valued for their supportive community atmosphere, opportunities for foreign college placements, and superior infrastructure. Preferences for different programs reflect distinct priorities: UK programs are preferred for their extracurricular activities, punctuality, and academic reputation; US programs for their emphasis on critical thinking, multiculturalism, and …


A Staged Approach Using Machine Learning And Uncertainty Quantification To Predict The Risk Of Hip Fracture, Anjum Shaik, Kristoffer A. Larsen, Nancy E. Lane, Chen Zhao, Kuan Jui Su, Joyce H. Keyak, Qing Tian, Qiuying Sha, Hui Shen, Hong Wen Deng, Weihua Zhou Sep 2024

A Staged Approach Using Machine Learning And Uncertainty Quantification To Predict The Risk Of Hip Fracture, Anjum Shaik, Kristoffer A. Larsen, Nancy E. Lane, Chen Zhao, Kuan Jui Su, Joyce H. Keyak, Qing Tian, Qiuying Sha, Hui Shen, Hong Wen Deng, Weihua Zhou

Michigan Tech Publications

Hip fractures present a significant healthcare challenge, especially within aging populations, where they are often caused by falls. These fractures lead to substantial morbidity and mortality, emphasizing the need for timely surgical intervention. Despite advancements in medical care, hip fractures impose a significant burden on individuals and healthcare systems. This paper focuses on the prediction of hip fracture risk in older and middle-aged adults, where falls and compromised bone quality are predominant factors. The study cohort included 547 patients, with 94 experiencing hip fracture. To assess the risk of hip fracture, clinical variables and clinical variables combined with hip DXA …


Documenting Cooperative Extension’S Family Resource Management Impacts: Insights And Outcomes From A National Effort, Suzanne Bartholomae, D. Elizabeth Kiss, Maria Pippidis Sep 2024

Documenting Cooperative Extension’S Family Resource Management Impacts: Insights And Outcomes From A National Effort, Suzanne Bartholomae, D. Elizabeth Kiss, Maria Pippidis

Journal of Human Sciences and Extension

Family Resource Management (FRM) professionals of the Cooperative Extension System contribute to the financial security and well-being of individuals and families and are committed to contributing to financial literacy education scholarship and better positioning Cooperative Extension within the field of financial and consumer education. This paper presents a summary of a multi-year initiative by a team of FRM Extension professionals who build the case for creating a reporting system to document FRM impacts nationally. Initiative activities are summarized and include reviewing existing reporting systems, garnering input from FRM Extension professionals about the delivery and evaluation of FRM programs, identifying barriers …


Examining The Experiences Of College Students Simulating The Community Worker Role In The Community Action Poverty Simulation, Jessica M. Limbrick, Portia Johnson, Sheri Worthy, Diann C. Moorman, Leigh Anne Aaron Sep 2024

Examining The Experiences Of College Students Simulating The Community Worker Role In The Community Action Poverty Simulation, Jessica M. Limbrick, Portia Johnson, Sheri Worthy, Diann C. Moorman, Leigh Anne Aaron

Journal of Human Sciences and Extension

Poverty is a pervasive issue impacting many areas of human sciences and Extension. Individuals living in the United States may have varying attitudes toward poverty. Research has shown that poverty simulations are effective in modifying attitudes toward poverty. The Community Action Poverty Simulation (CAPS) program is one such example that exposes its participants to the lived realities of poverty in the United States. While research on CAPS is plentiful, little research has examined the experiences of those who simulated the community worker role. This research explored the experiences of students who simulated community worker roles during a CAPS simulation. This …


Emotional Experiences Of Mental Health First Aid Trainees: A Qualitative Study, Alexander E. Chan, Emma T. Kniola, Raya Francis Sep 2024

Emotional Experiences Of Mental Health First Aid Trainees: A Qualitative Study, Alexander E. Chan, Emma T. Kniola, Raya Francis

Journal of Human Sciences and Extension

Mental Health First Aid (MHFA) is a program that helps participants identify, understand, and respond to mental health and substance use disorders. Research studies focusing on the emotional experiences of MHFA participants are lacking. Studying these experiences can help improve the training process for MHFA learners. This paper aims to identify participants’ motivations for signing up for MHFA and investigate their emotional experiences when applying MHFA knowledge in real-world settings. This qualitative study used semi-structured interviews. Participants (n = 20) completed 30-minute interviews. Thematic analysis was used to identify themes related to the motivators and feelings of participants when applying …