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State Of Tennessee Advisory Council On Workers' Compensation, 2023 Summary Of Significant Tennessee Supreme Court Workers' Compensation Decision, Tennessee. Department Of Treasury.

Worker's Compensation Reports

No abstract provided.

State Of Tennessee Advisory Council On Workers' Compensation, 2025 Summary Of Significant Tennessee Supreme Court Workers' Compensation Decision, Tennessee. Department Of Treasury.

Worker's Compensation Reports

No abstract provided.

Tennessee Financial Literacy Commission 2025 Annual Report, Tennessee. Department Of Treasury.

Financial Literacy Report

No abstract provided.

2025 Tennessee Rail Transit State Safety Oversight Program, Annual Report Calendar Year 2025, Tennessee. Department Of Transportation.

Rail Transit State Safety Report

No abstract provided.

Management Of Internal Quality Assurance In Character Education, Rakhma Agustina Sulistyowati, Achmad Supriyanto, Mustiningsih Mustiningsih

Jurnal Pendidikan Humaniora

This study aims at describing the internal quality assurance management in character education. This research was a qualitative research using multi-site design study. The findings of this study were the implementation of quality assurance of schools vision and mission and the meaning of quality assurance; The establishment of indicators of quality standards and their implementation systems; The implementation of quality standard using activity program.

A Development Of Questionnaire For Assessing Implementation Of Multicultural Education In Learning At Elementary School, Lalu Hamdian Affandi

Jurnal Pendidikan Humaniora

The aim of this research is to develop a questionnaire of multicultural education implementation in learning at elementary schools. Questionnaire was developed based on four of five dimension of multicultural education proposed by James Banks in four point Likert Scale. Data were collected from 150 elementary school teachers employed in Lombok, West Nusa Tenggara. This research found that from 54 items, there are 29 items valid for 6 factors of multicultural education dimensions.

Al-Qur'an Speech Therapy For Children With Autism., Evi Chamalah, Meilan Arsanti

Jurnal Pendidikan Humaniora

Semarang Autism Therapy Center is one of the autism therapy centers in Semarang. This therapy is a combination between speech therapy and the Quran. Based on the identification of the problem, then the purpose of this study is to describe the implementation of Alquran Speech Therapy method in healing children with autism in Semarang autism therapy center. The result can be concluded that there is positive effect of giving the children suffering from autism speech therapy with Quran recitation.

No. 7, The Jefferson Street Bridge Project: Archaeological Investigations At The East Nashville Mounds Site (40dv4) And The French Lick/Sulphur Dell Site (40dv5) In Nashville, Davidson County, Tennessee (3 Vols.)

TDOT Archaeology Publications

No abstract provided.

No. 13, Archaeological Investigations At Kellytown (40wm10): A Fortified Late Mississippian Village In Middle Tennessee's Harpeth River Drainage, Davidson And Williamson Counties, Tennessee

TDOT Archaeology Publications

No abstract provided.

Benefits And Barriers: Csd Faculty Attitudes Toward Student Accommodations, Erika Squires, Lori A. Pakulski, Celeste Domsch

Teaching and Learning in Communication Sciences & Disorders

Purpose: Academic accommodations in Communication Sciences and Disorders (CSD) have been explored via university websites and surveys of clinical educators, but little is known about CSD faculty attitudes toward accommodations in higher education. This study explored the types of accommodations faculty report and the benefits and barriers they encounter in doing so.

Method: A cross-sectional, mixed-methods study design was used to survey CSD faculty and instructors about the types of accommodations used by CSD students and the benefits and barriers associated with accommodations. Descriptive statistics were used to summarize participants’ responses. Qualitative analyses were used to identify themes on benefits …

Creativity And Generosity: From Therapy To Canvas, Kelly Allen

The Open Journal of Occupational Therapy

Teresa Grzeslo, a retired occupational therapist and artist from Chicago, IL, created the artwork for the Spring 2026 issue of the Open Journal of Occupational Therapy (OJOT). The acrylic painting, Wetland Heron (2023), features a great blue heron with its characteristic piercing gaze and elegant form, standing still in a marshland environment among tall grasses and shallow water. Painted using only her right side while seated in her wheelchair at home in her art studio, the painting’s rich textures and detail reflect careful observation and a reverence for birds and wildlife. Grzeslo’s artistic practice began after developing multiple sclerosis (MS), …

The Occupation Of Dance And Its Potential Effects On Trauma, Magan Higgins Gramling

The Open Journal of Occupational Therapy

Trauma is a complex phenomenon. Because of its subjective nature, it can be defined in a variety of ways depending on the health care provider being asked. Though there are various forms of trauma, most definitions are comprised of components that establish its broad understanding of an emotional response to a disturbing incident. Trauma is a subjective experience and can occur in any setting, to any person. How trauma is stored in the body is less subjective though, with most experts understanding it not only lives in the brain, but also in the very cells affecting health and wellness on …

Occupational Therapy Student Performance In Level Ii Fieldwork Before And During A Global Pandemic, Ann M. Marsico, Cara A. Lekovitch, Ketki Raina

The Open Journal of Occupational Therapy

The COVID-19 pandemic disrupted academic curricula and clinical settings, creating uncertainty about its impact on occupational therapy (OT) student learning, fieldwork performance, and competence. This study examined OT student performance during Level II fieldwork and the support required from the Academic Fieldwork Coordinator (AFWC) across prepandemic (2019), emerging (2020), and postemergence (2021–2022) periods in an accredited entry-level OT doctorate (OTD) program. The study used a retrospective observational study and employe secondary data analysis using the American Occupational Therapy Association Fieldwork Performance Evaluation (AOTA FWPE) from 2019–2022. Two-hundred and two OTD students from four cohorts at one institution participated. Student performance …

Exploring Stress Contagion: The Effect Of Faculty Stress Levels On Occupational Therapy Graduate Students, Dana Kolbfleisch

The Open Journal of Occupational Therapy

Research has indicated a relationship between faculty and students as it pertains to stress levels and subsequent well-being in occupational therapy (OT) programs (Grab et al., 2021), a potential indication of a stress contagion effect. This research aimed to determine if faculty stress levels affect student stress levels in OT graduate programs. The researcher used an ecological correlational study design with a nonprobability convenience sampling procedure. Faculty and students (n = 19 and n = 165, respectively) from 367 accredited OT graduate programs across the United States completed a survey consisting of demographic questions and the PSS-10. In addition, OT …

A Study Of Artificial Intelligence (Ai) Use Among Entry-Level Occupational Therapy Doctoral Students, Gustavo Reinoso, Rachel Allen-Mchugh, Thomas Decker, Yolanda Griffiths, Stacey Huffman-Main, Leslie Jackson, Ashley Murray, Jamie Rognes, Christine Urish

The Open Journal of Occupational Therapy

Artificial intelligence (AI) is increasingly integrated into higher education, yet little research explores its use among entry-level occupational therapy doctoral (OTD) students. This study developed a scale to assess AI usage and perceptions, examining differences across academic years. Eighty OTD students from a mid-sized urban university completed a 44-item survey refined using a Delphi method with nine faculty experts. Exploratory factor analysis identified three subscales—Efficiency and Adaptability, Academic Integrity Concerns, and the Student-Professor Divide—accounting for 46.04% of the variance (Cronbach’s α = .72–.93). Multivariate analysis of variance revealed significant effects of academic year on subscale scores (Wilks’ Λ = .822, …

Doing Drag: Exploring The Experiences Of Drag As An Occupation For Performers In California, Alicia Montes, Anna Ranario, Lilibeth Rosales, Eileen Spahle, Nathan Gelman, Laura Greiss Hess, Karen Mccarthy

The Open Journal of Occupational Therapy

Background: Drag is a performative art where individuals explore identity, challenge societal norms, and foster community through exaggerated gendered performance. Drag in the United States is facing potential restrictions and remains underexplored in occupational science and occupational therapy literature.

Methods: This qualitative study explored the experiences of drag performers in California, applying an occupational perspective through the framework of form, function, and meaning. Five drag performers were interviewed. Reflective thematic analysis was used to interpret qualitative data.

Findings: Identity was the central theme, interconnected with form, belonging, non-belonging, meaning and motivation, and resistive occupation. Findings highlight drag …

Addressing Feeding And Eating Issues With The Pediatric Population Using A Telehealth Service Delivery Model: A Case Report, Lyndsay Fait, Raegan Furman, Devani Emery, Bryan M. Gee

The Open Journal of Occupational Therapy

Background: This case report reviews the implementation of telehealth-based occupational therapy interventions for pediatric feeding issues in a client with autism spectrum disorder (ASD) and Avoidant/Restrictive Food Intake Disorder (ARFID). It highlights the use of a synchronous telehealth service delivery model to address sensory-based feeding issues.

Method: A single-patient case report was conducted, outlining the occupational therapy process with an 11-year-old male with ASD and ARFID who receives most nutrition through G-tube feedings and presents food selectivity. Telehealth sessions were conducted via Zoom, with occupational therapy assistant students providing interventions under faculty supervision.

Results: Telehealth interventions were successfully implemented to …

Empowering Parents Through Occupational Therapy And Primary Care Partnerships: A Feasibility Study, Maureen M. Fischer, Jennifer E. Lape

The Open Journal of Occupational Therapy

Background: Partnerships between occupational therapists and primary care providers may increase parents' accessibility to needed information to support their children’s development and promote occupational engagement. The purpose of this study was to explore the feasibility and potential impact of occupational therapy-led parent education sessions in pediatric primary care.

Method: We designed a mixed methods feasibility study with two individualized parent education sessions within 2 weeks. The study took place at a pediatric primary care practice. Convenience sampling was used to recruit nine parents who met these criteria: parent/caregiver of a child 3 years of age or under, 18 years of …

Face And Content Validity Of The Corbett-Targeted Coin Test: A Survey Of Users And Experts, Carla Floyd-Slabaugh, Jeanine Beasley, Kaitlyn Anstey, Kasey Bowman, Kaitlyn Hesse, Lauren Mannes, Samantha Vansumeren, Kirk Anderson

The Open Journal of Occupational Therapy

Background: The Corbett-Targeted Coin Test (CTCT) is unique in that it measures dexterity with in-hand manipulation and proprioceptive target placement, but it lacks established face and content validity (CV).

Methods: Two mixed methods surveys were created and piloted, one for face validity (for users of the tool) and another for CV (for content experts), each using a 5-point Likert scale and open-ended comments. Quantitative data analysis included frequencies, means, and ranges. The content validity index (CVI) was calculated for CV. Qualitative data analysis used thematic analysis.

Results: The CTCT demonstrated 97.1% endorsement among users of the tool. Each item was …

The Development Of The Retire Well Program For First Responders, Boguslawa T. Syrotiak, Noralyn Davel Pickens, Cynthia Evetts

The Open Journal of Occupational Therapy

Background: First responders experience challenges during retirement transition because of exposure to stress and trauma on the job and a high level of identification with their work. Our objective was to develop a client-centered retirement transition program for first responders and their families.

Method: Using a participatory research approach, data were collected from two focus groups of health care providers and retired first responders and analyzed using a content analysis approach.

Results: Data yielded themes and subthemes leading to the development of an outline of a retirement transition program: The Retire Well program, an occupation-based program that …

The Relationship Between Burnout, Resilience, And Locus Of Control In Occupational Therapy, Tabitha Gibbs, Miguel Garcia, Karen Menard, William O'Bannon

The Open Journal of Occupational Therapy

Background: Burnout in occupational therapists is characterized by emotional exhaustion, depersonalization, and diminished accomplishment.

Method: This non-experimental correlational study, guided by Rotter’s Locus of Control Theory and the attribution theory of motivation, analyzed the relationship between resilience, locus of control, and burnout among occupational therapists using the Brief Resilience Scale, the Internal-External Locus of Control Short Scale -4, and the Copenhagen Burnout Inventory. The sample of 83 participants was obtained via questionnaires sent to a convenience sample of occupational therapists with at least 6 months of work experience in any practice setting.

Results: The results of this study …

Exploring Quality Of Life After Traumatic Brain Injury: Insights From The Peo Model, Natalie S. King, Bryan M. Gee, Mary Shotwell, Mark A. Campbell

The Open Journal of Occupational Therapy

Background: Traumatic brain injury (TBI) is a major global health concern, affecting millions of people each year. TBI often results in long-term physical, cognitive, and emotional impairments that can drastically reduce survivors' quality of life (QOL). These impairments influence daily activities, emotional well-being, social participation, and overall life satisfaction, highlighting the importance of a comprehensive approach to rehabilitation. This study seeks to provide deeper insights into the factors that influence the QOL for TBI survivors.

Methods: This research employed a phenomenological qualitative approach to understand how survivors navigate their post injury lives. Fourteen TBI survivors, aged 18 to …

Modeling Flood-Induced Cascading Disruptions In The Indian Electronics Supply Chain Using Influence Network Analysis, Surendra Orupalli, Hiroki Sayama

Northeast Journal of Complex Systems (NEJCS)

This study investigates flood induced disruptions in the Indian electronics supply chain using influence network analysis. Monsoon floods are recurring hazards that significantly impact economic activities, logistics, and industrial productivity. This study integrates district-level rainfall data (2020 to 2025) with supply chain network models to quantify cascading failures. The methodology applies rainfall thresholds (≥ 300 mm/month) to identify flood-prone districts and constructs a stochastic influence matrix representing inter-firm dependencies. Flood propagation dynamics are modeled iteratively with a propagation coefficient (α = 0.6) and convergence threshold (ε = 10⁻⁴). The resulting disruption profiles are mapped onto company-level revenues calibrated to India-specific …

A Mild Case Of Pseudoachondroplasia In A Child: Lessons For Long-Term Primary Care, Alec J. Pupo D.O., Connor J. Stinson D.O., Autumn Dye D.O.

The Journal of Integrated Primary Care

Background: Pseudoachondroplasia (PSACH) is a rare autosomal dominant skeletal dysplasia caused by pathogenic variants in the cartilage oligomeric matrix protein (COMP) gene. It is classically characterized by early-onset growth failure, disproportionate short stature, progressive epiphyseal dysplasia, and premature degenerative joint disease. Although phenotypic variability has been reported, PSACH is often regarded as a uniformly severe condition with predictable orthopedic morbidity.

Case Presentation: We report an eleven-year-old female with genetically confirmed PSACH who demonstrates an unexpectedly mild clinical phenotype, despite a maternal history of severe disease requiring bilateral total hip replacement during adolescence. The patient exhibited mild hip dysplasia, evolving genu …

Chronic Traumatic Encephalopathy And Career Duration In Former Professional American Football Players: A Literature Review, Malik I. Watson, Chase Forbes, Bhavik Singh, Etop Udoh, Kévin Borgella, Jonathan Mosley, Erik Zarandy

The Journal of Integrated Primary Care

Background:

Chronic traumatic encephalopathy (CTE) is a progressive neurodegenerative disease associated with repetitive head trauma and has been increasingly identified in former contact sport athletes, particularly American football players. Although the relationship between repetitive head impacts and CTE has been well documented, the role of career duration as a measurable exposure variable remains an important area of investigation. Understanding this relationship may provide clinically useful insight for primary care physicians responsible for longitudinal monitoring of individuals with extensive athletic exposure.

Methods:

This literature review examined published studies evaluating the relationship between football career duration, cumulative head impact exposure, and neuropathologic …

Integrating Oral Thc:Cbd Into Chronic Neuropathic Pain Management In Primary Care: A Two-Patient Observational Case Series, Camryn Butera, Tytianna Robinson, Samantha Temucin, Jade Mcnulty, Ryan Pinto, Maya Rakoczy, Jessica Peskin, Frederick J. Goldstein, Micky Bacchus, Sarah Kizun, Alivia Kurelowech, Alexandra Loverdi, Kruti Patel, Neha Bhardwaj, Tyler Kung, Hiren Walia, Rebecca Han, Alexa Romanella, Christie Okoye

The Journal of Integrated Primary Care

Introduction: Cannabis use among U.S. adults has increased substantially in recent years, and primary care physicians increasingly encounter patients using cannabis for chronic pain management. This case series describes two patients with chronic neuropathic pain participating in an observational study evaluating a dose-controlled oral tetrahydrocannabinol (THC): cannabidiol (CBD) formulation. Methods: Two participants completed a four-week program involving incremental oral administration of a 1:1 THC:CBD formulation. Pain intensity scores, medication use, and health-related quality of life (HRQoL) were assessed before and after the intervention. Results: Both participants reported reductions in pain intensity and decreased reliance on pre-study analgesic …

Implementing An Integrated Primary Care Model In Outpatient Specialty Medicine: Lessons Learned And Future Directions, Kristen Perry, Rachel Allen, Katherine Dollar, Christina B. Shook, Alexandra Alvarez, April Eaker, Molly Goodrich, Jennifer Patterson

The Journal of Integrated Primary Care

The Veterans Health Administration (VHA) has a successful history of integrating behavioral health into primary care through its Primary Care Mental Health Integration (PCMHI) program, utilizing the Colocated Collaborative Care (CCC) model to improve access, early intervention, and team-based care. Recognizing this model’s utility, coupled with the high prevalence of psychological concerns among patients with chronic medical conditions—such as cancer and pain—and their associated elevated suicide risk, VHA launched the Mental and Behavioral Health Integration (MBHI) into Specialty Medicine Demonstration Projects in 2022. These projects expand CCC services into outpatient Oncology and Pain Management clinics, supported by implementation facilitation strategies …

Innovations In Developing Behavioral Health Care Managers Within Collaborative Care Programs, Jesse K. Allen-Dicker, Virginia Kelly Arlt Mutch, Derek M. Tate

The Journal of Integrated Primary Care

The collaborative care model is an effective method to treat adults with depression and other psychiatric symptom presentations within primary care settings. Research suggests that patients treated by more experienced behavioral health care managers receiving consistent supervision experience greater symptom relief. Supervision is an essential and widely accepted component of the collaborative care model, though minimal guidance has been offered on how to best implement supervision and foster behavioral health care manager development within these programs. The present paper highlights the approach developed by a collaborative care program with an emphasis placed on consistent and frequent consultation and supervision and …

Gci #296: Integrated Experimental Protocol For Swirl-Assisted Cavitation Reactors (Vcir V2.2), Michael Victor Caldwell Mr.

Defensive Publications Series

This disclosure provides a methodology for high-intensity fluid transport using structured geometry instead of mechanical shear. By integrating four verified theoretical sub-systems, this reactor achieves up to a $150\%$ increase in mass transfer rates. Note: While the individual sub-mechanisms (thermal, acoustic, and centripetal) are documented in prior GCI disclosures (TDC #23, #289, #30), this integrated platform is currently at TRL-4 (Simulation Verified) and requires physical lab validation.

Voxel Ai Architecture Based On 12-Vector Highly Isotropic Phase Matrix (Logos/Moution), Olexandr Lozovyi

Defensive Publications Series

Modern artificial intelligence architectures based on floating-point matrix multiplications face rapid growth in energy consumption with scaling and the von Neumann bottleneck. This paper presents a non-classical computing model, Voxel Oscillator Computing (VOC AI), based on a 12-vector highly isotropic (within discrete lattice constraints) phase matrix (LOGOS/MOUTION), extending the established S-HVE (Harmonic Vector Equilibrium) and Resonant AI frameworks. The architecture uses a face-centered cubic (FCC) lattice with 12 balanced connections, where information is encoded as a phase (16-bit integer) without explicit amplitude weights. In 2D planar projections, this natively resolves into a 6-connected hexagonal lattice. The MOUTION algorithm implements discrete …