Technology Applications to Enhance the Interpreter Referral Process and Address Changes in the Industry

With the passage of the Americans with Disabilities Act, sign language interpreter demands have dramatically increased and non-profit agencies for the Deaf have been inundated with requests for interpreting services. Paper and pencil systems to track interpreter requests, bill for services, and pay the interpreters have quickly become ineffective for handling large volumes of interpreter requests. As Eighinger (1999) asserts, It is…incumbent upon agencies in order to maintain a competitive advantage to invest in technology. Valley Center of the Deaf (VCD) and Community Outreach Program for the Deaf (COPD) have developed customized software to handle the needs of their interpreter referral programs

The Purposes and Accountability of the Corporation in Contemporary Society: Corporate Governance at a Crossroads

Little attention has been paid to how the governance structures of public corporations adapt to structural changes in the social, political, economic and legal environments in which they operate. Bradley et al chronicle the recent changes in the conduct of business enterprise and establish the necessary conditions for a system of corporate governance capable of accommodating these changes

Perspectives of Canadian Distance Educators on the Move to Online Learning

Our qualitative study explored transition in seven Canadian universities—early providers of distance education that transitioned to online learning between 2002 and 2017. We interviewed 16 individuals who were involved in the design, planning, or implementation of online learning. Participants reported their universities experienced significant impacts on organizational structure and roles. Many saw an increased focus on learning and teaching. Access, revenue generation, and technology were identified as drivers of online learning; traditional learning and teaching practices were shifting; challenges experienced included resistance to change and lack of dedicated resources; and effective, visionary leadership was seen to be critically important. We propose that the roots of today’s challenges and opportunities in online learning may be found in the experiences of distance educators who were early adopters

Using photography to voice young people's views about community and local service delivery

Youth offending has received significant attention in recent years in Queensland and across Australia. While the voices of young people who are offending or at risk of offending are evident in some studies, other reports do not identify them as key stakeholders. A recent university-industry research collaboration sought to prioritise the voices of young people engaging with The Lighthouse, a diversionary service within Townsville Aboriginal and Islander Heath Services (TAIHS), through use of qualitative, Photovoice methods. The primary aim of this photovoice project was to capture the perceptions and needs of young people currently at risk of offending, and to document those views to help shape local service delivery. A thematic analysis enabled the identification of four key themes. These themes identified that participants felt unsafe and under surveillance in public spaces; they wanted more amenities where they could enjoy being in the community with their peers; they reported that peers and family were very important to them; and they appreciated services on offer at The Lighthouse and acknowledged these services supported behavioural change. The findings provide a unique contribution to the use of creative research methodologies, and to policy and service delivery focused on young people at risk of offending

Experiencias vividas ante la enfermedad incurable y duelo de un ser querido, en padre de familia, Villa Chaguitillo, Sebaco - Matagalpa, I semestre de 2019

Nuestro trabajo se realizó con el propósito de comprender la experiencia vivida ante la enfermedad incurable y duelo de un ser querido, en padres de familia, villa Chaguitillo, Sébaco-Matagalpa, I semestre de 2019. El paradigma utilizado fue el interpretativo, con enfoque cualitativo de tipo descriptivo y fenomenológico. Se aplicaron instrumentos como entrevista, y guía de observación. En conclusión se puede decir que a partir de este proceso de enfermedad y muerte en una hija, surgen cambios en la vida de esta familia, no solo por el hecho de que hay un miembro menos en ella, sino también porque existieron en el primer proceso necesidades que obligaron a los padres a tomar la decisión como desprenderse de objetos materiales para solventar parte de las necesidades, además del hecho de cambiar de entorno a causa de la muerte de su hija, finalmente, tal experiencia, trae consigo efectos positivos, pues la vivencia deja en las familias el asumir responsablemente el cuido de sus hijos, por lo tanto se recomienda reconocer que fué un proceso muy duro por el que ellos atravesaron, y que, por el bienestar de sus vidas en primera instancia, en segunda por su hija que aún conserva, deberían pasar por un tratamiento psicológico, que les ayude a sobrellevar la parte final del proceso. Palabras clave: Leucemia, duelo, sentimiento

Associations of Objectively Measured Light-Intensity Activity on Metabolic Risk Factors in Female Adults

Metabolic syndrome (MetSy) has been defined as a collection of metabolic irregularities that increase the risk of cardiovascular disease, type 2 diabetes, and all-cause mortality. Women are at an even greater risk for developing MetSy when compared to men with prevalence increasing with age. Moderate to vigorous physical activity (MVPA) has shown consistent association with decreases in risk of MetSy; however, light physical activity (LPA) has been studied less often in comparison. PURPOSE: The purpose of this study was to examine relationships between accelerometer-determined LPA and MetSy risk factors (waist circumference (WC), glucose, high density lipoprotein (HDL), triglycerides, systolic blood pressure (SBP), and diastolic blood pressure (DPB)) across women of different age groups. METHODS: A cross-sectional study design was used to examine 68 female participants, ages 20-65, employed in sedentary careers working in an urban area in the south central United States. Venous blood samples were taken from the antecubital area of the arm from all participants who had fasted at least eight hours prior to their scheduled appointment times. Physical activity data was collected for seven days via hip-worn accelerometers with LPA being measured based on Freedson cut-points (100-1951 counts per minute). MetSy was diagnosed based on the criteria set forth by the National Cholesterol Education Program in 2002. Data were analyzed using regression analysis with SPSS version 20.0. Between-subject analysis was conducted for four age groups (group1=20-35; group2=36-45; group3=46-55; group4=55 and older) using LPA, WC, glucose, HDL, triglycerides, SBP, and DPB. RESULTS: Between-subject regression analysis showed HDL as a significant MetSy risk factor in a full model (p=0.02) and a model with age groups as the only independent variable (p=0.00). Post-hoc Tukey tests showed significance differences in HDL among groups 4 and 2 (confidence interval (CI): 4.03, 35.92; p=0.00), and groups 4 and 3 (CI: 6.06, 39.63; p=0.00). Significance dropped below the apriori level of 0.05 in a model based on LPA. Post-hoc Tukey tests revealed non-significant (α\u3e0.05) associations between LPA levels (high, medium, low) and all MetSy values. CONCLUSION: The relationship between LPA and MetSy risk factors has been studied less frequently than MVPA in relation to MetSy risk factors. Based on these findings LPA is not significantly related with these risk factors. Future studies should continue to explore the relationship between LPA and MetSy risk factors among both men and woman, and in different settings

The TiM system: developing a novel telehealth service to improve access to specialist care in motor neurone disease using user-centered design

Objectives: Attendance at a specialist multidisciplinary motor neurone disease (MND) clinic is associated with improved survival and may also improve quality of life and reduce hospital admissions. However, patients struggle to travel to clinic and may experience difficulties between clinic visits that may not be addressed in a timely manner. We wanted to explore how we could improve access to specialist MND care. Methods: We adopted an iterative, user-centered co-design approach, collaborating with those with experience of providing and receiving MND care including patients, carers, clinicians, and technology developers. We explored the unmet needs of those living with MND, how they might be met through service redesign and through the use of digital technologies. We developed a new digital solution and performed initial testing with potential users including clinicians, patients, and carers. Results: We used these findings to develop a telehealth system (TiM) using an Android app into which patients and carers answer a series of questions about their condition on a weekly basis. The questions aim to capture all the physical, emotional, and social difficulties associated with MND. This information is immediately uploaded to the internet for review by the MND team. The data undergoes analysis in order to alert clinicians to any changes in a patient or carer’s condition. Conclusions: We describe the benefits of developing a novel digitally enabled service underpinned by participatory design. Future trials must evaluate the feasibility and acceptability of the TiM system within a clinical environment