Chuukese and Marshallese Parent Perspectives of Early Childhood Development.

M.Ed. Thesis. University of Hawaiʻi at Mānoa 2018

Accommodations in the College Setting: The Perspectives of Students Living with Disabilities

Using a critical interpretive framework, the authors utilized semi-structured interviews to understand the experiences and perceptions of two college students living with disability concerning their use of accommodations, modifications, and adaptations in program requirements, classroom instruction, and testing. The central research questions were: “Are accommodations perceived as effective in supporting students with disabilities in their academic and social pursuits? Do students perceive that accommodations allow them maximum engagement and participation in their educational experiences?” and “To what extent are accommodations perceived by the participants as leveling the playing field for students with disabilities?” And, finally, “What do the participants perceive as the biggest obstacles to success for students with disabilities?” An understanding of the participants’ perceptions will enhance the overall awareness and appreciation for the experiences of students living with disability and will have direct implications for faculty-student interactions, student-to-student interactions as well as larger interactions within society

Anxiously Anticipating! A Parallel Journey to an Art and Equestrian Camp for Children with Disabilities

In many communities, there are few opportunities for children with disabilities to participate in engaging summer camp experiences. This poster will highlight one successful endeavor that provided this much-needed opportunity to children with disabilities. Little has been explored regarding how parents go about preparing their children for the camp experience that is to come; and few studies have documented the planning and preparation by camp staff. This presentation will explore one family’s efforts to prepare and support a child’s first venture into organized summer programming. At the same time, this presentation will detail the preparation (and surprising level of anxiety) of the staff that provided the camp as a service learning project. After careful selection and training, undergraduate students became day camp counselors for an immersive service learning experience where they planned and implemented a two-week day camp for schoolchildren with mild disabilities. Campers, counselor, and volunteers alike learned valuable social and academic enrichment skills during the camp experience, but did report mild to moderate anxiety associated with anticipating their involvement in the project. During the months preceding camp, journal and diary entries detail the ups and downs of camp preparation as well as the actual daily camp experience, describing the growth that occurred in both the campers and the counselors. These journal entries and practical suggestions for camp planning and camper preparation give voice to the camp experience through two perspectives – the camper/parent and the camp team. Service learning can take many forms and serve diverse purposes and populations. This poster documents the process of combining service learning with the provision of summer camp experiences for underserved populations - an exciting venture! This particular service learning experience – an equestrian, art, and science camp – enabled college students to learn new skills, enhance leadership abilities, develop important personal attributes, and widen their understandings of diverse populations. The same project enabled this camper, and many others, to make new friends, develop recreational competencies, and take risks in a safe environment. Perhaps, though, the greatest benefit to all was that intangible, mysterious experience that everyone needs to discover from time to time – fun

Intraduodenal sarcoma recurrence of retroperitoneal origin: an unusual cause for a duodenal obstruction.

Soft tissue sarcomas are uncommon tumors, and intraduodenal soft tissue sarcoma manifestation is even more rare. Only three cases of intraduodenal sarcomas have been reported in the literature thus far. Here, we report a case of an intraduodenal recurrence of a retroperitoneal sarcoma causing bowel obstruction. This unusual recurrence pattern likely relates to the patient's previous resection and radiation treatment, and highlights the benefits, limitations and follow-up strategies after multimodality treatment

Practical guidance for applying the ADNEX model from the IOTA group to discriminate between different subtypes of adnexal tumors.

All gynecologists are faced with ovarian tumors on a regular basis, and the accurate preoperative diagnosis of these masses is important because appropriate management depends on the type of tumor. Recently, the International Ovarian Tumor Analysis (IOTA) consortium published the Assessment of Different NEoplasias in the adneXa (ADNEX) model, the first risk model that differentiates between benign and four types of malignant ovarian tumors: borderline, stage I cancer, stage II-IV cancer, and secondary metastatic cancer. This approach is novel compared to existing tools that only differentiate between benign and malignant tumors, and therefore questions may arise on how ADNEX can be used in clinical practice. In the present paper, we first provide an in-depth discussion about the predictors used in ADNEX and the ability for risk prediction with different tumor histologies. Furthermore, we formulate suggestions about the selection and interpretation of risk cut-offs for patient stratification and choice of appropriate clinical management. This is illustrated with a few example patients. We cannot propose a generally applicable algorithm with fixed cut-offs, because (as with any risk model) this depends on the specific clinical setting in which the model will be used. Nevertheless, this paper provides a guidance on how the ADNEX model may be adopted into clinical practice

Prevalence of overweight among Dutch primary school children living in JOGG and non-JOGG areas

BACKGROUND: One of the most influential integrated approaches towards reducing childhood obesity is EPODE, a program that has been translated to over 20 different countries worldwide. AIM: The goal of this study was to explore how JOGG–the Dutch EPODE adaptation–might reduce overweight prevalence among children. METHODS: To compare whether overweight prevalence was different in JOGG areas vs. non-JOGG areas, in long-term JOGG areas vs. short-term JOGG areas, and in low SES JOGG areas vs. middle/high SES JOGG areas, secondary anthropometric and personal data of 209,565 Dutch children were mapped onto publicly available JOGG data. RESULTS: Findings showed that overweight prevalence decreased from 25.17% to 16.08% in JOGG-areas, and from 32.31% to 18.43% in long-term JOGG areas. However, when taking into account SES, the decrease in prevalence was mainly visible in low SES long-term JOGG areas. CONCLUSION: JOGG appeared to be successful in targeting areas where overweight was most prevalent. Low SES areas that had implemented JOGG for a longer period of time, i.e., six years, appeared to be successful in decreasing overweight prevalence

Migration aspirations and migration cultures:A case study of Ukrainian migration towards the European Union

An abundant body of research focused on macrolevel, mesolevel, and microlevel factors explaining why individuals move across international borders. In this paper, we aim to complement the existing literature by exploring how, within a single country, mesolevel factors differently impact migration aspirations, focusing on a case study of Ukraine. We particularly focus on how migration aspirations of individuals in two different regions can be explained by their international social networks with family members, on the one hand, and with friends, on the other. Furthermore, we explore whether regional migration characteristics play a role, as well as the interaction of such characteristics with individuals' frequency of contact with transnational networks. Our analyses are based on the EUMAGINE project and suggest that the interplay between regional migration characteristics and transnational social contact are key for explainingthe decline of migration systems over time

Dutch Adolescents’ Everyday Expressions of Sexual Behavior Trajectories Over a 2-Year Period:A Mixed-Methods Study

Using an extended definition of sexuality, this mixed-methods study builds on existing research into adolescents' emergent sexual development by longitudinally examining adolescents' sexual behavior trajectories (i.e., from less to more intimate sexual behavior). Over a 2-year period, 45 adolescents (M age = 15.9 years) reported on their sexual behavior using questionnaires and on their everyday expressions of sexuality in the form of semi-structured diaries. Cluster analysis using the questionnaire data identified three sexual behavior trajectories: a non-sexually active trajectory (meaning no or minor sexual behavior) (n = 29), a gradually sexually active trajectory (meaning step-by-step sexual behavior development) (n = 12), and a fast sexually active trajectory (meaning rapid sexual behavior development) (n = 4). Qualitative analysis using diaries revealed the following themes: romantic versus sex-related topics, desires, uncertainties, and references to the social context. In general, all adolescents reported more about romantic aspects of sexuality (than about sexual acts) in the diaries, regardless of their sexual behavior trajectory. Sexually active adolescents (i.e., gradual and fast) were more concerned with sexuality in their diaries, especially more with the physical aspects of sexuality, than non-active adolescents. Gradual adolescents experienced more desires about physical sexual contact and reported fewer references to their social network than non-active and fast adolescents. The findings suggest that sexual education that discusses the internal experiences of sexuality, such as feelings and thoughts, particularly the romantic aspects, may help adolescents process their preferences for different sexual and romantic acts and may contribute to healthy sexual development