End-of-Life Care for Individuals with Dementia

End-of-life care for individuals with dementia can be complicated and difficult for clinicians, families and the patient. This paper examines the current literature on end-of-life practices for individuals with dementia and discusses emerging trends to help inform clinicians about factors that influence end-of-life care for individuals with dementia. Research articles highlight nursing home care, hospice and palliative care, and decision-making as major themes influencing end-of-life care, and suggest recommendations for clinicians in improving practice in these areas

One Two One

These things, they speak in whispers. Come close, lean in, listen up. Whisper back. Tell me everything. I know you’ve been here, too. I know you’ll understand. I know you have a shoebox full of memories just like these hidden deep inside your closet. I know

Leadership Profile: Danny Meyer

Danny Meyer is showcased as a restaurateur extraordinaire. His unique leadership style engages staff and customers to create a dining experience that is both pleasurable and memorable. This is one of five profiles of leaders in the hospitality and tourism industries

Seasonal Micro-Environments of Ticks on Candlers Mountain, VA

Undergraduate Basi

Leadership Styles and Asian Tourism

Leadership in Hospitality and Tourism is multifaceted and reflects the many dimensions of the fields. Behind the innovations and advancements are the individuals that emerged as leaders who generated them. Leadership in Asian Tourism is explored; five industry leaders are introduced and then showcased in separate articles that follow

Flint’s Children: Narratives on Hope

Hope plays an important role in resiliency, well-being, and buffering against adversity. To explore children’s experiences with hope while developing in low-income communities, we conducted interviews with twenty-one children residing in Flint, Michigan, ages 9-12 years. Research questions focused on the specific hopes children have, the importance they ascribe to different hopes, and their experiences of feeling hopeful or less hopeful about desired outcomes. Children expressed interrelated hopes across multiple social-ecological domains, including hopes for themselves, hopes for their interpersonal relationships, and hopes for the community. Children placed particular importance on their hopes of helping others, which included providing for their families and aiding others in the community. Children, however, expressed uncertainty regarding their hopes related to career aspirations, academic achievement, financial stability, and obtaining basic needs. Our findings expand upon what is known about children’s internal dialogues with feeling hopeful or less hopeful about desired outcomes in low-income communities. These findings can enhance community and school-based programming so they further align with the specific hopes that children have, and attune to areas in which children in impoverished communities are most in need of hope-engendering strategies

Serum biochemistry panels in African buffalo: Defining reference intervals and assessing variability across season, age and sex

Serum biochemical parameters can be utilized to evaluate the physiological status of an animal, and relate it to the animal’s health. In order to accurately interpret individual animal biochemical results, species-specific reference intervals (RI) must be established. Reference intervals for biochemical parameters differ between species, and physiological differences including reproductive status, nutritional resource availability, disease status, and age affect parameters within the same species. The objectives of this study were to (1) establish RI for biochemical parameters in managed African buffalo (Syncerus caffer), (2) assess the effects of age, sex, pregnancy, and season on serum biochemistry values, and (3) compare serum biochemistry values from a managed herd to a free-ranging buffalo herd and to values previously published for captive (zoo) buffalo. Season profoundly affected all biochemistry parameters, possibly due to changes in nutrition and disease exposure. Age also affected all biochemical parameters except gamma glutamyl transferase and magnesium, consistent with patterns seen in cattle. Sex and reproductive status had no detectable effects on the parameters that were measured. The biochemical profiles of managed buffalo were distinct from those observed in the free-ranging herd and captive buffalo. Biochemical differences between buffalo from captive, managed, and free-ranging populations may be related to nutritional restriction or lack of predation in the context of management or captivity. The reference intervals provided in this study, in addition to the seasonal and age-related patterns observed, provide a foundation for health investigations that may inform management strategies in this ecologically and economically important species

Sensory/Manipulation Interventions for Children with Autism and Developmental Disabilities: An Evidence-Based Practice Project

We did not find sufficient evidence to conclude that any of our three interventions impacted occupational performance, which is the basis of occupational therapy. Multiple were designed for diagnoses other than Autism Spectrum Disorder and were not designed with occupational engagement as a goal. In addition, two of the interventions, the Wilbarger Protocol and Therasuit, were not reviewed by any of the expert review groups. In order for conclusions to be made about the effectiveness and efficacy of these interventions, thorough, high-quality research is needed. We do not recommend the use of the Wilbarger Protocol, Therasuit, or CranioSaccral Therapy as comprehensive treatments in clinical occupational therapy practice at this time

Risks, reflection, rewards, and resistance: academic perspectives on creative pedagogies for active learning

In recent decades there has been a paradigmatic shift in higher education towards active learning, requiring educators to adopt student-centred approaches to teaching to promote deep learning and the development of essential graduate attributes. A ‘Creative pedagogies for active learning’ course was designed to offer academic staff an opportunity to take risks in developing innovative student-centred teaching approaches. While participants encountered ‘dissonance’ during the early stages of the creative pedagogies course, the course leads were able to support participants through this period of uncertainty and risk-taking towards successfully disrupting their own teaching practice. This reflective analysis paper outlines the course and showcases several case studies of practice by participants. We also reflect on their experiences through a subsequent roundtable discussion. This revealed that the course had made a longer-term impact on some participants in terms of their teaching and assessment practice and showcasing this to other educators. However, resistance to change in some departments was noted, making it difficult for staff to implement creative pedagogies more widely in practice. Suggestions for overcoming resistance are presented, and the paper concludes with future directions for taking this work forward