Medicine and Health Sciences Commons^™

Impact Of Narrative Therapy On American Interracial Couples’ Marital Satisfaction., Emily Knutzen

School of Psychology, Family, and Community Research Conference

In the United States, the number of interracial couples has continued to rise since 1967 when miscegenation laws were overturned. Interracial couples face unique challenges related to racism, discrimination, and the complexity of blending cultures. The current study aims to explore the effectiveness of Narrative Therapy (NT) in increasing interracial couples’ reports of martial satisfaction. Twenty couples experiencing low marital satisfaction will be chosen using convenience sampling and randomly assigned to an intervention and control group. Pre-test, post-test, and two-month post-test follow up scores on the Index of Martial Satisfaction will be analyzed to assess for effectiveness of treatment.

Socioculturally Informed Emotionally Focused Couples Therapy: Impacts On Biracial Couples, Angie Lai

School of Psychology, Family, and Community Research Conference

This quantitative study aims to explore the efficacy of Emotionally Focused Couples Therapy (EFCT) for biracial couples using a randomized controlled trial with a control group and an experimental group. Each group will consist of 15 biracial couples who will receive 20 sessions of EFCT. The experimental group’s treatment will also include the 5 Practice Guidelines of Socioculturally Attuned Family Therapy (McDowell et al., 2018). Using the Dyadic Adjustment Scale (DSA), the Trust Scale, and the Relationship Structures (ECR-RS) questionnaire to measure efficacy, I hypothesize that couples who receive the socioculturally informed EFCT will show greater improvement.

A Comparative Study Of Emdr And Prolonged Exposure For The Treatment Of Posttraumatic Stress Disorder: Does Interoception Moderate Differences In Symptom Reduction?, Kristen Sievert

School of Psychology, Family, and Community Research Conference

This study aims to compare the efficacy and efficiency of Eye Movement Desensitization and Reprocessing (EMDR) and prolonged exposure (PE) in the treatment of posttraumatic stress disorder (PTSD) in adults. Both interventions are standardized treatments for PTSD, however, each intervention’s mechanism of action are different, with EMDR being classified as a bottom-up psychotherapy model and PE being classified as a top-down psychotherapy model. A second aim of this study is to investigate whether differences in treatment response to EMDR compared to PE is moderated by interoception, a person’s ability to be aware of their internal states of their body. To …

Emotionally-Focused Therapy And Couples From Collectivistic Cultures: Impact On Relationship Satisfaction, Jacob Cain, Stephen Lee

School of Psychology, Family, and Community Research Conference

This study aims to explore the efficacy of EFT in increasing marital satisfaction in couples of a non-Western, collectivist origin. Our treatment group, consisting of 30 couples of a non-Western, collectivist origin will participate in 14 sessions of EFT in which their marital satisfaction will be measured pretreatment, posttreatment, and at 6 and 12 month follow-ups. Utilizing a control group consisting of 30 couples of a Western, non-collectivist origin receiving the same treatment, we seek to explore how cultural factors such as a collectivist mindset and the de-emphasis of individual’s feelings and emotions might affect the efficacy of EFT in …

School Shootings And Preventative Strategies: An Examination Of Surviving, Learning, And Preparing For School Shootings' Impact On The Depression, Anxiety, And Behavioral Dysfunction Of Children And Adolescents., Julia Wakeham, Jamilah Andrews

School of Psychology, Family, and Community Research Conference

Since the modern era began, humanity has seen a stark increase in mass shootings, where four or more people are killed. Furthermore, many of the shootings occur in vulnerable communities, like schools. With an increase in school shootings, schools have taken precautions to prepare children, using increased security, school police officers, lockdown drills, and restricting children’s clothing, which is intended to keep children safe, but reinforces the fear of shootings and associated stress responses. Our research would examine the impact of surviving and preparing for school shootings on the anxiety, depression, and general functioning of children, adolescents, and young adults.

Reversible Cardiomyopathy, What Should The Clinicians Keep In Mind? A Case Report, Abdulmajeed A. Alzahrani, Saud A. Bahaidarah, Zuhair N. Al-Hassnan, Gaser A. Abdelmohsen

Journal of the Saudi Heart Association

Primary carnitine deficiency (PCD) is an autosomal recessive disorder characterized by decreased carnitine levels essential for Beta oxidation in various organs, including the heart. Early diagnosis and treatment of PCD can revert cardiomyopathy. A 13-year-old girl presented with heart failure due to dilated cardiomyopathy and severe cardiac dysfunction; following L carnitine treatment, the patient's clinical conditions improved, and cardiac functions returned to normal within weeks. Investigations revealed PCD; regular L carnitine has been provided, all cardiac medications are discontinued, and the patient is doing well. We believe PCD should be ruled out in every patient with cardiomyopathy.

A Clot In Transit: A Cause Of Death Or A Bystander?, Al-Zahraa Almahlawi, Mohammad Alghamdi, Mutaz Althobaiti, Duha Alahmadi, Yazeed Almalki, Rahaf Alsahli, Hamdan A Jahdali, Jinan Shamou, Salim Baharoon

Journal of the Saudi Heart Association

Introduction: The clot in transit is a rare manifestation of thromboembolic disease occurring usually in the setting of PE and frequently associated with poor outcomes. The best therapeutic option is not well established. We describe a series of 35 patients diagnosed with clots in transit including their therapeutic interventions and outcome between the period January 2016 to December 2020. Methods: a retrospective chart review of all patients with an Echocardiogram showing thrombi in the right heart chambers including patients with thrombus in the presence of central lines or other devices. We exclude patients where masses were described as tumors or …

Influence Of Material Properties On Granules Prepared By Dry Co-Rotating Twin Screw Extrusion And Counterrotating Batch Mixing, Afstathios Steve Pafiakis

Dissertations

Recently, the pharmaceutical industry has shown interest in continuous granulating technology because of the flexibility it offers as an option that bypasses the costly scale-up process associated with batch manufacturing. However, the granulation mechanism(s) using twin screw co-rotating hot melt extrusion (HME) has not been fully explored, and it is not yet well understood. This leads to costly experiments during development and process reliability problem in commercial manufacturing. The main objective of this dissertation is to increase the mechanistic understanding of the twin screw granulation process of systems containing an active pharmaceutical ingredient (API) and a polymer excipient. This is …

Benefits Of Using An Upright Laboring Position As Compared To Supine In The Second Stage Of Labor And The Impact On The Use Of Assisted Devices, Chelsey Cook

Master of Science in Nursing Family Nurse Practitioner

Abstract: This paper explores the conclusion that women and their infants are at an increased risk for harm when assisted devices are used during the second stage of labor. Traditional practices involving a supine position during pushing have been associated with an elevated likelihood of assisted delivery, necessitating interventions such as forceps, vacuum extraction, or episiotomy. However, emerging evidence suggests that adopting an upright position during labor may help decrease the need for these interventions and positively impact maternal and fetal outcomes.

Although comprehensive research on this topic is limited, the available evidence supports the benefits of an upright position …

Interview Of Pilots’ Inflight Loss Of Control Experiences, Neelakshi Majumdar, Karen Marais

International Symposium on Aviation Psychology - 2023

Inflight loss of control (LOC-I) continues to be a significant cause of General Aviation fixed-wing aircraft accidents. Nearly 20% of fixed-wing aircraft accidents in the last two decades involved LOC-I, and approximately 45% of LOC-I accidents are fatal. Previous studies suggest that the leading factors in aviation accidents are human factors-related. One approach to better understand the causes of LOC-I accidents is to analyze accidents using sources such as the National Transportation Safety Board (NTSB) database. However, the NTSB General Aviation accident reports include limited detail on human factors, specifically pilot actions and conditions. We interviewed pilots about their LOC-I …

A Multi-Method Approach To Work Design For Crew In Future Remotely Piloted Aircraft Operations, Kayler Marshall, Penelope Sanderson, Andrew Neal

International Symposium on Aviation Psychology - 2023

Globally, most safety regulators only allow crew to operate one remotely piloted aircraft (RPA) at a time due to workload concerns. More sophisticated automation is anticipated to alleviate operator workload, allowing crew to simultaneously operate more than one RPA. However, how work should be distributed amongst crew is still unknown. We employ a complementary set of methods for work design in a future system of RPA operation: Cognitive Work Analysis, computational modelling, and human-in-the-loop experiments. In this paper we describe each method, outlining the unique insights gained and how these are applied in the evaluation of work in a future …

Exploring Informal Learning Structures In Airline Operations, Barth Baron Jr., Dorrit Billman, Randall J. Mumaw

International Symposium on Aviation Psychology - 2023

Airline pilot training is extensive, highly structured, and driven by aircraft and airspace system operating requirements, yet pilots describe a tradition of between-pilot knowledge transfer and self-directed learning. While industry and regulators focus on “formal learning” systems, pilots report relying on this “informal learning” to build operational expertise, suggesting gaps in how successfully formal learning prepares pilots to handle operational complexities. The community that researches learning has extensively studied informal learning, including in a workplace setting, and its characteristics align with how pilots report increasing their skills and knowledge informally. However, no research into informal learning practices among airline pilots …

Resilient Strategies In Commercial Aviation, Michael Stewart, Bryan Matthews

International Symposium on Aviation Psychology - 2023

When we fly and nothing scary happens, is the system’s design affording this success? Not always — sometimes humans are the cause of success. This resilient performance is often overlooked. We explore two types of resilient performance strategies: countermeasures and modifications. countermeasures are behaviors triggered by variables anticipated to be challenging or problematic (i.e., pressures). To capture this, we look at examples of how a problem was avoided. For example, a country road may have a hairpin turn where accidents more frequently occur. With this pressure identified, we look at successful drivers for insights. Modifications are changes that are created …

Development Of Non-Viral Nano-Carriers For Gene Delivery And Covid-19 Vaccines, Zhongyu Li

Dissertations

Gene therapy is one of the most promising medical fields with the potential to effectively advance the treatment of difficult diseases by producing therapeutic proteins or repairing defective gene sequences. However, gene therapy presents severe challenges in delivery including renal clearance, phagocytosis, enzymatic degradation, protein absorption, and cellular internalization barriers, which have been barriers for translation into the clinic. Naked nucleic acids, with their intrinsic negative charge, electrostatically repulse the anionic cell membrane, preventing cellular uptake. Also, they are considered foreign genetic material when introduced into the body and are rapidly cleared by the reticuloendothelial system or degraded by nucleases, …

Extracting Lessons Of Resilience Using Machine Mining Of The Asrs Database, Immanuel Barshi, Bryan Matthews, Jolene Feldman

International Symposium on Aviation Psychology - 2023

NASA’s Aviation Safety Reporting System (ASRS) database is the world's largest repository of voluntary, confidential safety information provided by aviation's frontline personnel. The database contains close to 2 million narratives, many of which describe everyday situations in which people saved the day. In these situations, people’s resilient behavior solved a problem, dealt with a malfunction, and maintained a safe operation despite a serious perturbation. To be able to extract lessons of such resilience from this large database, the use of machine learning algorithms is being explored. In this report, we describe a comparison between two such algorithms: BERT and Word2Vec. …

The Viability Of See-And-Avoid For Urban Air Mobility Operations, Richard Mogford, Walter Johnson

International Symposium on Aviation Psychology - 2023

Urban Air Mobility (UAM) is an emerging aviation concept that could supplement today’s ground and air transportation systems. For UAM, it is generally assumed that the private sector will manage separation and not rely on the U.S. Federal Aviation Administration air traffic control system. To date, discussions of initial operations focus on using the visual abilities of the pilot to see-and-avoid (SAA) other aircraft. Decades of research on SAA has demonstrated that it is inadequate for reliable detection of aircraft that might pose a collision risk. The literature on multi-object tracking is also reviewed for findings on how well humans …

Nasa Human Factors Red Light/Green Light Analysis: Overview And Spacshiptwo Rl/Gl Case Study, Tracy Dillinger, Isabel Hernandez

International Symposium on Aviation Psychology - 2023

Historically, learning from accidents and incidents involves identifying errors of commission or omission and “things that go wrong” and how to reduce their recurrence. While well-intentioned, infrequent failures receive more attention than everyday successes. Human Factors analysis need not limit itself to learning from failures. Learning from “what goes right” involves identifying resilience factors associated with behaviors and processes that strengthen the system and reduce risk. This article provides an overview of how the National Aeronautics and Space Administration (NASA) Human Factors Task Force (HFTF) constructed the NASAHFACS model and the Red Light/Green Light approach. Using SpaceShipTwo as a case …

Concept Of A Cognitive Agent Supporting Collaboration In Human Teams, Wolfgang Sachsenhauser, Axel Schulte

International Symposium on Aviation Psychology - 2023

This contribution aims at the support of human teamwork between crew members of next generation combat aircraft by means of a distributed and adaptive assistant system. In future combined air operations several aircraft, manned and unmanned, operate together to achieve a common mission objective. That requires a high degree of coordination amongst the pilots, each of them being highly charged with e.g., managing unmanned vehicles from their cockpits. Our approach is to develop a distributed assistant system that observes each pilot in their cockpits. By use of a task model, it shall create and update a shared representation of the …

Concept Of An Automated Activity Determination In The Temporal Domain For Adaptive Pilot Assistance, Karl Tschurtschenthaler, Axel Schulte

International Symposium on Aviation Psychology - 2023

In this contribution, we describe our initial conceptual thoughts on how to determine pilot activity in real-time within a multitasking environment. The presented concept extends our previous research on determining the pilot activity which analyses manual and gaze interactions by evidential reasoning. This approach resulted in a fragmented pattern of activities over time due to the high frequency of gaze shifts. Our concept suggests concatenating the activities and using the resulting sequence as a feature set for classification. We hypothesize that this representations of activities reflects the complex nature of concurrent and serial multitasking more appropriately. For probabilistic inference, we …

Analyses Of The Boeing 737max Accidents: Formal Models And Psychological Perspectives, Immanuel Barshi, Asaf Degani, Robert Mauro, Randal J. Mumaw

International Symposium on Aviation Psychology - 2023

Two fatal accidents involving the B737MAX resulted from the flight crews’ inability to overcome the effects of the Maneuvering Characteristics Augmentation System (MCAS). MCAS was designed to mimic the control column feel pressure and pitching behavior of the B737NG, which was the certification basis for the B737MAX. We briefly describe the potential role of formally modeling different perspectives during system design, and how such modeling can reveal gaps and conflicts between perspectives. We also discuss some of the relevant human factors issues involved in these accidents and how the aircraft’s behavior may have affected the pilots’ psychological states. Implications for …

Development And Psychometric Evaluation Of Us Air Force Aptitude Composites For Aircrew Training, Montana R. Woolley, Thomas R. Carretta

International Symposium on Aviation Psychology - 2023

The Air Force Officer Qualifying Test (AFOQT) is used to qualify applicants for officer commissioning and for aircrew training. Although the current aircrew aptitude composites have shown predictive validity against initial aircrew training outcomes for many years, they also have demonstrated moderate to large mean score subgroup differences (SGDs) for females and racial/ethnic minorities. Historically, AFOQT aptitude composites have been computed from a combination of the cognitive subtests. The current study examined the utility of Predictive Success Models (PSMs) which added personality facets from the Self-Description Inventory for Officers to the existing cognitive composites. Three statistical methods were utilized to …

Initial Testing Of The Uncrewed Aerial System Pilot Kit (Uasp-Kit) In Operational Settings, Lynne Martin, Lauren Roberts, Joey Mercer, Yasmin Arbab, Charles Walter, William Mccarty, Charles Sheehe Iii, David Fuller

International Symposium on Aviation Psychology - 2023

Pilots for small uncrewed aerial systems (sUAS) are at a disadvantage for building situation awareness of the remote airspace in which they are flying, simply because they are distant from their vehicles. A tool to provide increased air traffic situation awareness for an sUAS pilot is being developed. The UAS pilot kit, “UASP-kit,” is small and self-contained, with its chief capability being to collect and display Automatic Dependent Surveillance-Broadcast reports from local aircraft. UASP-kits were taken into the field, introduced to users during a training course, and then left with them for use throughout the summer fire season. sUAS pilots …

Uas Voice Communications Intelligibility Testing, Alex Konkel

International Symposium on Aviation Psychology - 2023

Unmanned Aircraft Systems (UAS) operations are increasing rapidly. UAS would like to operate similarly to current aircraft in the National Airspace System (NAS), including communicating with air traffic control and possibly each other. The Federal Aviation Administration (FAA) is evaluating a potential voice communications system that would allow this to see if the system’s latency and voice intelligibility are sufficient to meet FAA requirements. This paper describes the results of the first phase of voice intelligibility testing. Participants completed two tests, a Message Completion Test developed by the Human Factors Branch and the Modified Rhyme Test, with the audio being …

Development Of A Concept For Analyzing Moral Decision-Making In High Presence Virtual Environments, Sissy Friedrich, Axel Schulte

International Symposium on Aviation Psychology - 2023

In future military aviation, Artificial Intelligence will play a key role in combat battlefield tactics by reducing workload and taking over decisions exploiting advantages of speed and precision of computers. However, the question of the so-called trigger authority remains the core issue in this field as ethical tensions arise when a machine decides over the use of lethal force. To enable the operator to make the most morally justifiable decision, the most suitable human-automation workshare has to be determined so that he is supported in just the right way and not overloaded nor exposed to automation bias or loss of …

Acquiring Manual Flying Skills In A Virtual Reality Flight Simulator, Wiestse D. Ledegang, Erik Van Der Burg, Ivo V. Stuldreher, Mark M. J. Houben, Eric L. Groen, Danny Van Der Horst, Erik A. M. Starmans, Guido Almekinders

International Symposium on Aviation Psychology - 2023

In this study, we explored the possibility of objectively assessing the progress in manual flying skills by student pilots using Virtual Reality (VR). Using a VR flight simulator of the Pilatus PC-7 training aircraft, fifteen participants without flying experience practiced basic flight maneuvers based on self-study and without receiving feedback. Relevant flight performance measures were normalized and a learning curve was fitted, representing learning speed and end-level. During some runs an N-back task was included as a secondary task to quantify the participants’ cognitive capacity. Interestingly, performance on the N-back was not a good predictor of someone’s learning curve. The …

Measuring The Lookout Behavior Of Student Pilots In A Virtual Reality Flight Simulator, Ivo V. Stuldreher, Erik Van Der Burg, Wietse D. Ledegang, Mark M. J. Houben, Eric L. Groen, Danny Van Der Horst, Erik A. M. Starmans, Guido Almekinders

International Symposium on Aviation Psychology - 2023

Learning adequate gaze behavior is essential in flight training. In this exploratory study we investigated the development of gaze behavior in flight training in a virtual reality (VR) flight simulator. Following standardized study material, fifteen participants without flying experience repeatedly practiced three basic flight maneuvers in a VR simulator of a small aircraft. During some runs, participants performed an additional N-back task to measure cognitive spare capacity. From the recorded gaze data we computed the percentage of time during which the gaze was directed outside the cockpit, i.e., the “Lookout”. This outside dwell ratio differed between flight maneuvers. A higher …

A Comparison Of Virtual Reality And High-Fidelity Flight Training Devices For Ab Initio Pilot Training, Naomi Paul, Brad Moncion, Shi Cao

International Symposium on Aviation Psychology - 2023

High-fidelity flight training devices (FTDs) have value for ab initio pilot training, but their high cost is a major limitation. Researchers want to know if low-cost simulators, including virtual reality (VR), may be effective for some aspects of ab initio pilot training, supplementing FTDs. This work used a between-subjects experiment with 20 participants – all student pilots at the University of Waterloo with under 20 hours of flight experience – to analyze performance changes after training using either a FTD or VR simulator for procedural and aircraft handling tasks over three training sessions. Performance was assessed using instructor evaluations for …

Flight Deck Procedures For A New Generation Of Pilots, Erik-Jan A.M. Huijbrechts, M. M. Van Paassen

International Symposium on Aviation Psychology - 2023

This paper considers the combined effect of two trends in commercial aviation. On the one hand, there is a continuing demand for pilots, implying that a new generation of pilots, will soon be flying our aircraft. On the other hand, legal aspects have had an adverse effect on innovation in the safety level of established procedures, leading to a trend for aircraft operating companies to adopt manufacturer’s recommended flight deck procedures rather than reviewing these and adapting these where appropriate to local needs. However, with the influx of new pilots to the workforce, the lack of innovation and adaptation of …

Get The Job Done Or Safety Above All? How Training Background Affects Safety In Helicopter Pilots, Anna Kaminska, Amy Irwin, Devin Ray, Rhona Flin

International Symposium on Aviation Psychology - 2023

Culture has been identified as one of the main input factors impacting flight safety and team performance. Diverse methodologies were used to examine how professional culture influences helicopter pilots’ safety-related behaviours. Study 1 (mixed-methods survey) showed that the main difference between civilian- and military-trained pilots can be put down to ‘safety vs. efficiency’, with pilots mentioning that what is perceived to be a threat seems to differ between military-and civilian-trained helicopter pilots. Additionally, having a multi-professional crew (military- and civilian-trained pilots together in a cockpit) was seen as having a positive effect on all non-technical skills, especially on situation awareness. …

Development Of A Test Scenario To Assess Kinetosis Risk In Military Flight Training, Simone Vera Löhlein, Mara Kaufeld, Andreas Seefried, Axel Schulte

International Symposium on Aviation Psychology - 2023

In order to develop a comprehensive test scenario to detect the risk of early motion induced kinetosis, in aviation more commonly known as airsickness (AS), we conducted a detailed survey on the experiences of jet-aircraft student pilots, flight instructors, and flight physicians to discover AS-related flight maneuvers and other non-motion-induced triggers. Subsequently, we use these findings to design test scenarios that simulate the relevant stimuli in a controlled laboratory setting. Additionally, we propose how gaze tracking can be used to get further information about the pilot’s behaviour. For instance, it gives information about head-down times related to secondary tasks and …