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Articles 4621 - 4650 of 5794
Full-Text Articles in Medicine and Health Sciences
Suicide Within United States Jails: A Qualitative Interpretive Meta-Synthesis, Laura Frank, Regina T. P. Aguirre
Suicide Within United States Jails: A Qualitative Interpretive Meta-Synthesis, Laura Frank, Regina T. P. Aguirre
The Journal of Sociology & Social Welfare
Suicide was the leading cause of unnatural deaths in local jails, accounting for 29% of all jail deaths between 2000 and 2007. Though much literature exists on suicide in jails, very little is qualitative. Additionally, little attention has been focused on how the Interpersonal Theory of Suicide applies to the jail environment. To gain a better understanding of suicide in jails, an interpretive meta-synthesis of three qualitative articles was conducted. The combined sample included thirty-four individuals from three jails. These three articles were analyzed to identify common themes that led inmates to suicide. Three broad categories were identified through constant …
Picturing Life, Molly Bathje
Picturing Life, Molly Bathje
The Open Journal of Occupational Therapy
The cover art of the summer 2013 issue of The Open Journal of Occupational Therapy provided by Jonathan Darnall reflects his unique life perspective, current roles, and values. An exploration of Jon’s life experience reveals how creative arts, including photography, have positively influenced his life and inform OT practitioners about the benefits of photography as an intervention and an occupation.
Enhancing Client-Centeredness In Parkinson's Disease Care: Attending To The Psychosocial Implications Of Lived Experience, Jeffrey D. Holmes, Sara Lutz, Mike Ravenek, Debbie L. Rudman, Andrew M. Johnson
Enhancing Client-Centeredness In Parkinson's Disease Care: Attending To The Psychosocial Implications Of Lived Experience, Jeffrey D. Holmes, Sara Lutz, Mike Ravenek, Debbie L. Rudman, Andrew M. Johnson
The Open Journal of Occupational Therapy
Evidence-based practice requires that clinicians interpret the best research evidence in the context of their clinical experience, while at the same time considering client knowledge and experiences. Although clinicians are becoming increasingly skilled at the evaluation of research evidence, the evidence-based practice process often neglects client values and self-identified health issues. Ignoring these key aspects of client-centered practice may lead to interventions that fail to target the implications of a client’s disease that are important to occupational participation and quality of life (QOL). A focus on client-centeredness is particularly important in progressive neurodegenerative disorders, such as Parkinson’s disease, where there …
Use Of Participant-Generated Photography In A Research Contribution Course, Maryellen Thompson
Use Of Participant-Generated Photography In A Research Contribution Course, Maryellen Thompson
The Open Journal of Occupational Therapy
This paper describes the use of small, qualitative studies focused on interviews done with participant-generated photographs as an effective and efficient way of teaching research to entry-level masters students. A comparison of using time-use diaries vs. participant-generated photography is presented to explicate the research process and demonstrate the advantages of using photography, including ease of data collection and data sharing. Over a three-year period of using participant-generated photographs as a guide for semi-structured interviews, students have consistently expressed enjoyment of the research process and increased empathy with their research participants.
Therapists As Educators: The Importance Of Client Education In Occupational Therapy, Kate E. Decleene, Angelia J. Ridgway, Julie Bednarski, Lori Breeden, Gina Gabriele Mosier, Deborah Sachs, Donna Stephenson
Therapists As Educators: The Importance Of Client Education In Occupational Therapy, Kate E. Decleene, Angelia J. Ridgway, Julie Bednarski, Lori Breeden, Gina Gabriele Mosier, Deborah Sachs, Donna Stephenson
The Open Journal of Occupational Therapy
Client education is a major component of everyday health care practice. Entry-level occupational therapy (OT) accreditation standards require educators to teach students how to demonstrate the ability to educate clients, family, caregivers, and significant others to facilitate their skills related to personal occupations. Although these standards are a necessity, entry-level programs are not required to teach students the teaching methodologies that support human learning. However, the educational standards do require students to apply the principles of teaching and learning processes. This project explored the evidence in teaching and learning strategies and how these were introduced to OT students during their …
Children With Developmental Disabilities And Their Motivation To Play, Lindsey Askins, Brittany Diasio, Dagmara Szewerniak, Susan M. Cahill
Children With Developmental Disabilities And Their Motivation To Play, Lindsey Askins, Brittany Diasio, Dagmara Szewerniak, Susan M. Cahill
The Open Journal of Occupational Therapy
The purpose of this qualitative study was to examine how and when children with developmental disabilities aged nine to 12 years spontaneously demonstrated play behaviors indicative of intrinsic motivation. Data was collected from six child participants and four parent participants through the use of the Pediatric Volitional Questionnaire (PVQ) and semi-structured photo-elicitation interviews. Overall, the children who participated in this study sought out play experiences with which they were familiar in their natural environments. Specifically, they sought out experiences that afforded them the opportunity to exercise control over their environment and create a sense of predictability. Each of the children …
Stakeholder Recommendations To Refine The Fitness-To-Drive Screening Measure, Sherrilene Classen, Sandra M. Winter, Craig A. Velozo, Elizabeth M. Hannold, Jason Rogers
Stakeholder Recommendations To Refine The Fitness-To-Drive Screening Measure, Sherrilene Classen, Sandra M. Winter, Craig A. Velozo, Elizabeth M. Hannold, Jason Rogers
The Open Journal of Occupational Therapy
In developing the web-based Fitness-to-Drive Screening Measure (FTDS) and keyform (results output) for use to identify at-risk older drivers, we examined the needs, perspectives, and suggestions of three stakeholders groups: occupational therapy practitioners, certified driver rehabilitation specialists (CDRSs), and family members/caregivers. We conducted three focus groups, which were moderated, recorded, transcribed, and analyzed using directed content analysis. Respondents in two focus groups also rated FTDS aspects (e.g., ease of use, format, and relevance), using a visual analog scale (VAS, 0-10 scale with 10 being excellent). All three stakeholder groups contributed to the development of the web-based FTDS. Results from occupational …
Indicators Of Simulated Driving Skills In Adolescents With Autism Spectrum Disorder, Sherrilene Classen, Miriam Monahan, Stephanie Hernandez
Indicators Of Simulated Driving Skills In Adolescents With Autism Spectrum Disorder, Sherrilene Classen, Miriam Monahan, Stephanie Hernandez
The Open Journal of Occupational Therapy
Adolescents are at high risk for motor vehicle crashes (MVCs). Teens with autism spectrum disorder (ASD) may have an even greater risk for MVCs due to impaired visual, cognitive, and motor skills critical for driving. This prospective two group study demonstrated the demographic, clinical, and simulated driving skill differences of seven adolescents with ASD (mean age = 15.14, SD ±1.22) compared to 22 healthy controls (HC) (mean age = 14.32, SD ±.72) through a comprehensive driving evaluation (CDE) conducted by an occupational therapist certified driving rehabilitation specialist (OT-CDRS). Adolescents with ASD performed poorer on right eye …
Trading In Our Paradigm Shifts For A Staircase, Diane Powers Dirette
Trading In Our Paradigm Shifts For A Staircase, Diane Powers Dirette
The Open Journal of Occupational Therapy
No abstract provided.
The Effects Of A Moisture-Wicking Fabric Shirt On The Physiological Responses During Acute Exercise In The Heat, Kimberly Wigboldy
The Effects Of A Moisture-Wicking Fabric Shirt On The Physiological Responses During Acute Exercise In The Heat, Kimberly Wigboldy
Masters Theses
The purpose of this study is to investigate the effects that a form fitted, moisture-wicking fabric shirt, promoted to have improved evaporative and ventilation properties, has on the thermoregulatory, physiological and perceptual response during moderate intensity exercise in the heat for an extended duration of exercise of 90 minutes. Ten healthy subjects (7 males, 3 females), completed two heat stress tests consisting of 20 minute seated rest in a neutral environment (24°C, 60% RH), 30 minute seated rest in a hot environment (33°C, 60% RH), and 90 minutes of exercise(50% V02 peak) on a magnetically-braked cycle ergometerin a …
Expressing, Responding, Protecting, And Inspiring Through Art, Molly Bathje
Expressing, Responding, Protecting, And Inspiring Through Art, Molly Bathje
The Open Journal of Occupational Therapy
Margy Hunter, MS, MA, LLP, OTR/L, created the cover of the Spring 2013 issue of The Open Journal of Occupational Therapy. She created this untitled work as a personal reflection on the impact of war on individuals and society, as well as on the history of the profession of occupational therapy (OT), which began in response to military service members’ needs. Also embedded in the creation of this piece are the restorative benefits of participation in creative arts for OT practitioners who deliver services to patients experiencing profound life changes. Additionally, this article explores the artists’ use of art …
Is Constraint Induced Movement Therapy (Cimt) Being Used?, Veronica T. Rowe, Katherine Banks
Is Constraint Induced Movement Therapy (Cimt) Being Used?, Veronica T. Rowe, Katherine Banks
The Open Journal of Occupational Therapy
No abstract provided.
Preparing Occupational Therapy Students For The Complexities Of Clinical Practice, Lisa J. Knecht-Sabres, Mark Kovic, Minetta Wallingford, Lavonne Ellen St.Amand
Preparing Occupational Therapy Students For The Complexities Of Clinical Practice, Lisa J. Knecht-Sabres, Mark Kovic, Minetta Wallingford, Lavonne Ellen St.Amand
The Open Journal of Occupational Therapy
This paper examined the effect of a unique amalgam of adult learning methodologies near the end of the occupational therapy (OT) students’ didactic education as a means to enhance readiness for clinical practice. Results of quantitative and qualitative data analysis indicated that the use of standardized patients, in combination with a sequential, semistructured, and progressively challenging series of client cases, in an OT adult practice (intervention) course, improved the students’ self-perception of their level of comfort and skill on various foundational, yet essential, OT-related competencies.
Teaching Effectiveness: Preparing Occupational Therapy Students For Clinical Practice, Jane C. Obrien, Scott D. Mcneil
Teaching Effectiveness: Preparing Occupational Therapy Students For Clinical Practice, Jane C. Obrien, Scott D. Mcneil
The Open Journal of Occupational Therapy
Medical educators must examine the ability of teaching methodologies to prepare students for clinical practice. Two types of assessment methods commonly used in medical education include the Short Objective Structured Clinical Examination (OSCE) and the Integrated Performance Procedural Instrument (IPPI). The use of these methods in occupational therapy (OT) education is less understood. With the increasing number of students enrolled in programs, faculty face challenges to examine how clinical competence is established using data to determine teaching effectiveness. This study examines two educational methodologies used in OT curriculum: the long written case study (IPPI) and short performance-based OSCE. The authors …
Grip And Pinch Strength Norms For Michigan Workers, Joel M. Phillips, Debra K. Lindstrom-Hazel, Samantha Harrow Swantek, Erin Courtnay Catalano
Grip And Pinch Strength Norms For Michigan Workers, Joel M. Phillips, Debra K. Lindstrom-Hazel, Samantha Harrow Swantek, Erin Courtnay Catalano
The Open Journal of Occupational Therapy
The purpose of this study was to create a norm reference of current grip and pinch strength norms for working-age Michigan adults. This normative study included a convenience sample of 179 volunteers who were employees at car plants in South East Michigan or hospital sites in West Michigan. Participants’ ages ranged from between 20 and 62 years of age with a mean age of 49.15 years. There were 78 females (44%) and 101 males (56%). Subjects were classified by gender and in the age categories of ages 20 to 49 years and ages 50-62 years. Grip and pinch strength norms …
Letter From The Editor: Let’S Talk About Function, Diane Powers Dirette
Letter From The Editor: Let’S Talk About Function, Diane Powers Dirette
The Open Journal of Occupational Therapy
No abstract provided.
Use Of A Specific Alpha7 Nicotinic Acetylcholine Receptor Agonist Can Prevent Loss Of Retinal Ganglion Cells In An In Vivo Rat Glaucoma Model, David Mata
Masters Theses
Acetylcholine (ACh) has been shown to have a neuroprotective effect against glutamate-induced excitotoxicity in cultured retinal ganglion cells (RGCs) through activation of α7 nicotinic ACh receptors (nAChRs). In this study, the neuroprotective effects of the α7 nAChR agonist, PNU-282987, were investigated using an in vivo model of glaucoma in adult Long Evans rats. Hypertonic saline injections were used to induce a glaucoma model. After one month, retinas were removed, flat mounted, fixed and labeled with an antibody against Thy 1.1 to label RGCs and fluorescently tagged for visualization. Eye drop application of PNU-282987 resulted in neuroprotection against RGC loss in …
Expression Of The Chemokine Receptor, Cxcr4, And Its Ligand, Sdf-1, Are Increased In Purkinje Cells Of The Multiple System Atrophy Cerebellum, Megan Welter
Masters Theses
Multiple System Atrophy (MSA) is a sporadic, neurodegenerative disease that consists of three conditions: autonomic dysfunction, Parkinsonism and cerebellar ataxia. Our lab conducted an Affymetrix global gene expression analysis using pons tissue of MSA patients to determine genes that are differentially expressed when compared to non- MSA controls. This study identified upregulated genes, including the C-X-C chemokine receptor type 4, CXCR4, to which stromal cell-derived factor-I (SDF-1) is the natural ligand. The CXCR4/SDF-1 signaling pair has been sho.wn to play multiple roles in the brain, such as inducing neuronal apoptosis and promoting leukocyte recruitment during inflammation. The MSA cerebellum presents …
Executive Functions And Social Interactions: Developing Social Scenarios, Mackenzie Waite
Executive Functions And Social Interactions: Developing Social Scenarios, Mackenzie Waite
Masters Theses
The aim of this study was to develop a series of vignettes to form the basis for an assessment of executive functions (EFs) for 9 – 12 year old children. Although EFs are necessary for effective social communication and positive social interactions, currently, most EF assessments focus on impersonal activities. Little research exists that incorporates real-time processing using ecologically valid social scenarios. The current study aims to develop realistic scenarios that children could encounter in daily life. Ethnographic interviews were conducted with six participants, who worked in a school with 9-12 year old children, to gain their perspective on social …
Explicit Teacher-Implemented Phoneme Awareness Instruction: Preschool Effects, Heather M. Osterhouse
Explicit Teacher-Implemented Phoneme Awareness Instruction: Preschool Effects, Heather M. Osterhouse
Masters Theses
The purpose of the current study was to investigate the impact of explicit, concentrated, teacher-implemented phonological awareness instruction for ―at risk‖ 4- year-olds. Early childhood educators were trained to implement a 10-week program delivered for 20-minute sessions, four times a week, in their classrooms. The program focused on phonological awareness beginning at the level of letter-sound knowledge and advancing to blending and segmenting constituent phonemes in words. Pre- to post-treatment comparisons of phonological awareness and letter knowledge skills indicated that children in the experimental group made significant gains in comparison to the control group in phoneme blending and letter knowledge. …
A Discursive Analysis Of A Pregnancy Center: How Pregnant Women Are Encouraged To Develop A Sense Of Self-Worth And Emotional Wellbeing Through The Use Of Rhetoric And Imagery, Jessica Postma
Masters Theses
This study presents and alternative approach to how pregnancy is interpreted in western society and how settings such as a pregnancy center both challenges and reinforces these social standards. The promotion of abstinence, the aversion to abortion, notions of truth and morality, religious narratives, and the standard of care are all integral components to this analysis of pregnancy, language, and culture.
A Preliminary Study Of The Articulatory And Acoustic Features Of Forward And Backward Tone Placement In Singing, Krista Wyllys
A Preliminary Study Of The Articulatory And Acoustic Features Of Forward And Backward Tone Placement In Singing, Krista Wyllys
Masters Theses
A variety of terms exist for describing tone quality in singing, and voice scientists, voice therapists, teachers of singing, and students of singing use different terms to describe the same sound. One aspect of tone quality is tone placement. Teachers of singing often rely on imagery and imitation to elicit correct tone placement from students of singing. More concrete data about what produces forward and backward tone placement could supplement singing teachers’ current practice of using imagery and imitation to elicit a desirable tone quality. This study examined forward and backward tone placement to determine the articulatory gestures and acoustic …
An Examination Of Executive Function, Mild Cognitive Impairment And Fall Risk In Community Dwelling Older Adults, Jennifer A. Blackwood
An Examination Of Executive Function, Mild Cognitive Impairment And Fall Risk In Community Dwelling Older Adults, Jennifer A. Blackwood
Dissertations
The aim of this three-paper dissertation was to examine the relationship between fall risk, executive function (EF) and mild cognitive impairment (MCI) in community dwelling older adults. Papers one and two describe how mild changes in cognition influence performance on four measures of fall risk, the Five Times Sit to Stand Test (FTSTS), usual gait speed, the Timed Up and Go (TUG) test, and the Activities Specific Balance Confidence Scale (ABC) in a group of community dwelling older adults. The third paper describes if participation in a progressively challenging domain specific computerized cognitive training intervention influenced performance on measures of …
A Prospective Examination Of Mindfulness Training On The Mitigation Of Postraumatic Stress Symptoms, Abby E. Blankenship
A Prospective Examination Of Mindfulness Training On The Mitigation Of Postraumatic Stress Symptoms, Abby E. Blankenship
Dissertations
The current study investigated the ability of a one-session computerized mindfulness intervention to mitigate posttraumatic stress disorder (PTSD)-like symptoms in response to a trauma analogue. Ninety-two participants were randomly assigned to either mindfulness training or no treatment. Participants assigned to the mindfulness training completed a 1-hour computerized mindfulness training and practiced their skills for 1 week. All participants were exposed to an analogue for real-life trauma and were assessed at 1- and 2-week follow-up. Participants assigned to the mindfulness condition exhibited significantly lower levels of PTSD-like symptoms at 2-week follow-up in comparison to the no treatment condition. In addition, participants …
Motivational Interviewing Assessment And Behavior Therapy As A Stepped-Care Approach To The Treatment Of Adolescent Depression, Tanya N. Douleh
Motivational Interviewing Assessment And Behavior Therapy As A Stepped-Care Approach To The Treatment Of Adolescent Depression, Tanya N. Douleh
Dissertations
Depression is a significant public health concern with a lifetime prevalence of 24.01 for adolescents in grades 9-12 (Lewinsohn, Hops, Roberts, Seeley, & Andrews, 1993) and a point prevalence of 4-6% (Kessler, Avenevoli, & Ries, 2001). The risks associated with adolescent onset depression include comorbidity, depressive episodes continuing into adulthood, and suicidality. These risks make it imperative to develop effective treatments to address adolescent depression. Stepped care is an approach to treatment which involves treatment of illness using the least invasive measures first and moving toward more invasive treatment as indicated by ongoing assessment. Through a single-participant design, the current …
Discovery And Characterization Of A Tanapoxvirus Encoded Human Neuregulin Mimetic, David Jeng
Discovery And Characterization Of A Tanapoxvirus Encoded Human Neuregulin Mimetic, David Jeng
Dissertations
Studies on large dsDNA viruses such as poxviruses have been helpful in identifying a number of viral and cellular growth factors that contribute to our broad understanding of virus-host interaction. Orthopoxviruses and leporipoxviruses are among the most studied viruses in this aspect. However, tanapoxvirus (TPV) a member of the genus Yatapoxvirus, still remains largely unexplored, as the only known hosts for this virus are humans and monkeys. Here, we describe the initial characterization of an EGF-like growth factor mimicking human neuregulin from TPV, expressed by the TPV-15L gene. Assays using a baculovirus expressed and tagged TPV-15L protein demonstrated the ability …
Impact Of Participating In A Short-Term Intervention Model Of Sports Education Camps For Children With Visual Impairments, John Michael Mcmahon
Impact Of Participating In A Short-Term Intervention Model Of Sports Education Camps For Children With Visual Impairments, John Michael Mcmahon
Dissertations
This three-paper format dissertation explores three topics relevant to participating in a short-term model Sports Education Camp for youth with vision impairments. The three papers are independent studies, yet build upon each other by first measuring physical performance in certain skills, then exploring their levels of self-perception, body mass index, and level of physical activity in their local communities, and finally describing the population of participants at various points over a 25-year period. Papers one and two examined differences in pre- and post-camp measures for first-time and repeat participants, with the first paper focusing on physical performance, and the second …
Relations Between Oral Pharyngeal Size And Kinematic Measures Of Tongue Related Swallowing Movements, Danielle Monast
Relations Between Oral Pharyngeal Size And Kinematic Measures Of Tongue Related Swallowing Movements, Danielle Monast
Honors Theses
Background: Though the tongue plays a critical role during the oral phase of swallowing, studies have found that the size and shape of tongue movements during swallowing can vary greatly among individuals. One factor that may contribute to this movement variability is oral-pharyngeal cavity geometry. A cavity with a different size and shape may require different movements for efficient swallowing. While there are a number of studies that have attempted to relate the oral-pharyngeal anatomy with features of orofacial movement, these studies focused on speech movements and no studies have directly evaluated the relation between swallowing related tongue movements and …
Crizotinib: A Tyrosine Kinase Inhibitor, Graham Mclaren
Crizotinib: A Tyrosine Kinase Inhibitor, Graham Mclaren
Honors Theses
Crizotinib is a small molecule tyrosine kinase inhibitor that is currently being marketed by Pfizer under the trade name Xalkori®. After its development in 2005, an appropriate target was discovered in 2007. By 2011 the FDA had approved crizotinib for use in patients with ALK+ non small cell lung cancer (NSCLC). ALK+ NSCLC is caused by a genetic mutation that truncates and flips a section of the EML4 gene and attaches it to a section of the ALK gene. The result is the EML4-ALK oncogene. The resulting protein from this mutation is capable of undergoing ligand independent dimerization, …
Interdisciplinary Health Fair And The Tendencies Of Young Adults To Receive Follow-Up Health Care, Kaelyn Monroe
Interdisciplinary Health Fair And The Tendencies Of Young Adults To Receive Follow-Up Health Care, Kaelyn Monroe
Honors Theses
The following proposal outlines the planning, implementation, and follow-up regarding an organized health fair that aims to promote healthy lifestyle in a minority population. The health fair will be conducted on October 9' 2012 at Climax Scott's Alternative High School. The populations addressed through this project include: 60 students ranging from 16-19 years of age, 30 individuals 19 years or older and 10 teachers. The health fair will be organized by three senior-level Bronson School of Nursing students: Alexandra Scheidt, Abby Smith, and Kaelyn Momoe. The thesis project committee consists of: Dr. Sally Vliem, Professor Wendy Kershner, and Professor Alice …