Using Tutoring to Promote Student Success at a Community College

It is widely acknowledged that students who begin college by taking developmental curriculum are at a disadvantage in terms of likelihood of degree completion. Research and practice has shown that students who use tutoring can improve course grades. Bloom’s 1984 study demonstrated that one-on-one, face-to-face tutoring is effective. *Outstanding Student Poster: 1st Place Winnerhttps://fuse.franklin.edu/ss2014/1084/thumbnail.jp

Urban FABRICation: The Architectural Heightening of the Urban Tactile Sensibility A Fiber Arts Fabrication & Exhibition Center in Dublin, Ireland

The discipline of fiber arts has been in existence since the beginning of civilization to produce both functional equipment as well as aesthetically driven art pieces. The craft, at times highly specialized, often produces elements at the scale of the human body, due to the personal level by which fiber artifacts are produced. The making of artifacts and implementation of fiber art strategies have simultaneous cultural, environmental, formal, and gender-related relationships and implications. The design, construction and experience of buildings and inhabitable space at all scales can benefit from these relationships. It is the contention of this thesis to merge the complex web of relationships, benefits and implications of fiber arts into the discourse and practice of architecture. This symbiotic combination is intended to emphasize the importance of a heightened tactile sensibility in experiencing space. This contention intends to encourage a palpable design language to bridge varying scales of space and form. The study of fiber arts theories and methods of production in conjunction with architectural and urban design strategies will provide a framework in which to design an architectural manifestation of these ideas. The proposal for this project is a fiber arts fabrication and exhibition center situated in the Docklands of Dublin, Ireland. The program will provide specialized resources for fiber artists to both experiment with materials and produce fiber artifacts. It will also provide formal exhibition spaces for these pieces and those produced elsewhere. In addition, this specialized, semi-private program will negotiate the project’s relationship to the public and urban realm by providing an outdoor sculpture park with the ability to adapt to various public needs, including market and event space. By integrating a specialized program type within a predominantly residential neighborhood (in the process of being redeveloped), a unique community type can be established and maintained within the urban realm

The Role of Health Literacy and Numeracy on Exercise Self-efficacy and Exercise Behavior in the PAADRN Bone Health Intervention

INTRODUCTION: Osteoporotic bone fracture is a major cause of hospitalization, disability, loss of independent living capacity, and mortality among aging adults. Although physical exercise may sustain bone mineral density and prevent falls and fractures among individuals at risk for low bone mineral density, adherence to exercise recommendations is low. Increasing efficacy and effectiveness of treatment for osteoporosis would benefit from examination of heterogeneity of treatment effects. Previous research indicates that poor health literacy (HL) and health numeracy (HN) may be associated with less exercise behavior and heterogeneity of treatment effects may be evident across high and low level of health literacy and/or health numeracy. AIM: Examine heterogeneity of treatment effects due to HL/HN on post-intervention exercise self-efficacy and exercise behavior among older adults enrolled in a large, multi-site randomized controlled trial designed to increase exercise as part of osteoporosis guideline concordant care. METHODS: A secondary data analysis was conducted, utilizing a modified intent-to-treat approach. Linear mixed models with and without covariates were conducted to examine heterogeneity of treatment effects by incorporating the treatment by high/low HL/HN interaction. Analyses were conducted using pooled, as well as site-specific samples

Nurse Discharge Planning in the Emergency Department: A Toowoomba, Australia, Study

Aim. This study aimed to ascertain whether a model of risk screening carried out by an experienced community nurse was effective in decreasing re-presentations and readmissions and the length of stay of older people presenting to an Australian emergency department. Objectives. The objectives of the study were to (i) identify all older people who presented to the emergency department of an Australian regional hospital; (ii) identify the proportion of re-presentations and readmissions within this cohort of patients; and (iii) risk-screen all older patients and provide referrals when necessary to community services. Design. The study involved the application of a risk screening tool to 2139 men and women over 70 years of age from October 2002 to June 2003. Of these, 1102 (51.5%) were admitted and 246 (11.5%) were re-presentations with the same illness. Patients presenting from Monday to Friday from 08:00 to 16:00 hours were risk-screened face to face in the emergency department. Outside of these hours, but within 72 hours of presentation, risk screening was carried out by telephone if the patient was discharged or within the ward if the patient had been admitted. Results. There was a 16% decrease in the re-presentation rate of people over 70 years of age to the emergency department. Additionally during this time there was a 5.5% decrease in the readmission rate (this decrease did not reach significance). There was a decrease in the average length of stay in hospital from 6.17 days per patient in October 2002 to 5.37 days per patient in June 2003. An unexpected finding was the decrease in re-presentations in people who represented to the emergency department three or more times per month (known as 'frequent flyers'). Conclusions. Risk screening of older people in the emergency department by a specialist community nurse resulted in a decrease of re-presentations to the emergency department. There was some evidence of a decreased length of stay. It is suggested that the decrease in re-presentations was the result of increased referral and use of community services. It appears that the use of a specialist community nurse to undertake risk screening rather than the triage nurse may impact on service utilization. Relevance to clinical practice. It is apparent that older people presenting to the emergency department have complex care needs. Undertaking risk screening using an experienced community nurse to ascertain the correct level of community assistance required and ensuring speedy referral to appropriate community services has positive outcomes for both the hospital and the patient

Caffeine and attentional control:improved and impaired performance in healthy older adults and Parkinson’s disease according to task demands

INTRODUCTION: Caffeine is frequently consumed to boost goal-directed attention. These procognitive effects may occur due to the adenosine-mediated enhancement of monoamines, such as dopamine, after caffeine administration. As such, caffeine’s beneficial effects may be altered in conditions such as Parkinson’s disease (PD). However, whether caffeine improves cognition, and at what cost, has not been experimentally established in patients with neurodegenerative disease. METHODS: Single-dose trials to probe cognitive effects of caffeine are often confounded by short-term caffeine abstinence which conflates caffeine’s effects with treatment of withdrawal. Using a placebo controlled, blinded, randomised trial design, we assessed the effect of 100 mg of caffeine across well-established tasks (Choice reaction time, Stroop Task and Rapid Serial Visual Presentation Task; RSVP) that probe different aspects of attention in PD patients (n = 24) and controls (n = 44). Critically, participants withdrew from caffeine for a week prior to testing to eliminate the possibility that withdrawal reversal explained any cognitive benefit. RESULTS: Caffeine administration was found to reduce the overall number of errors in patients and controls on the Stroop (p = .018, η(2)(p) = .086) and Choice reaction time (p < . 0001, η(2)(p) = .588) tasks, but there was no specific effect of caffeine on ignoring irrelevant information in the Stroop task. On the RSVP task, caffeine improved dual item accuracy (p = .037) but impaired single item accuracy (p = .044). Across all tasks, there was little evidence that caffeine has different effects in PD participants and controls. CONCLUSION: When removing withdrawal effects as a factor, we demonstrate caffeine has beneficial effects on selective attention but is a double-edge sword for visual temporal attention and would need careful targeting to be clinically useful. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s00213-021-06054-9

Self-Reported Barriers of Middle-Aged and Older Adults Entering a Home-Based Physical Activity Program

The purpose of this study was to assess barriers experienced by mid-older adults upon entering a homebased, telephone-delivered physical activity (PA) program and examine differences in barriers for subgroups. Methods: Three hundred eighty four participants recruited from Tennessee, California, and Illinois for the Active Choices program, which was part of Active for Life®, completed one face-to-face counseling session and received follow-up telephone counseling. Barriers were analyzed qualitatively and quantitatively for subgroups of mid-older adults. Results: Personal, social, and environmental themes emerged as barriers. Lack of motivation was most salient for men while health barriers were more prominent for women; however, no significant differences were found between men and women. Both whites and African Americans reported lack of motivation as the most frequent barrier to PA. Health and weather barriers were more prominent for the oldest group of older adults. Few differences were reported by PA or weight status. Conclusions: In a large sample of mid-older adults varying in age, race, gender, and health status, multiple barriers to PA were reported. Differences across subgroups may have implications for future PA interventions

Refinement of Biomarker Pentosidine Methodology for use on Aging Birds

There is no reliable method for determining age for most species of long-lived birds. Recent success using the skin chemical pentosidine as a biomarker has shown promise as an aging tool for birds. Pentosidine levels have been determined only from the breast tissue of carcasses, and we sought to refine the procedure with respect to biopsy size and location for safe and effective use on living birds. We compared pentosidine concentrations in 4 skin-size samples (4, 6, 8, and 20-mm diameter biopsies) from the breast of black vulture (Coragyps atratus) carcasses. We also compared pentosidine levels from breast and patagial tissue to document potential differences among collection sites of deceased vultures (with unknown ages) and monk parakeets (Myiopsitta monachus; with actual, minimal, and unknown ages). Pentosidine concentrations (pmol pentosidine/mg collagen) were similar among the 4 sizes of vulture breast skin (P = 0.82). Pentosidine concentrations for the breast (x̄ = 8.9, SE = 0.55, n = 28) and patagium (x̄ = 8.9, SE = 0.51, n = 28) of vultures were similar, but in parakeets, pentosidine was higher in the breast (x̄ = 15.9, SE = 1.30, n = 105) than the patagium (x̄ = 11.5, SE = 1.10, n = 105). We made pentosidine-based age estimates for vultures and parakeets using a general age curve for wild birds. We also made vulture age estimates using plumage characteristics and a cormorant (Phalacrocorax auritus) age curve. Vulture pentosidine-based age estimates appear to correspond to plumage-based age estimates. Pentosidine-based age estimates for 88% of the known-aged parakeets (n = 17) were within 6 months of actual ages. Even though known ages were not available for all birds, we found a positive trend in pentosidine versus age for both species. We suggest that 6-mm diameter skin samples from the patagium of living vultures and other similar-sized birds will provide sufficient tissue for reliable age estimation and will not impair flight ability

The identification and measurement of postpartum anxiety in England: A Delphi survey

Postpartum anxiety has negative consequences for both mother and infant, so effective identification and measurement is vital to enable intervention. Despite NICE recommendations to prioritise the measurement of postpartum anxiety in mothers, current clinical measurement in England remains both fragmented and flawed. The Postpartum Specific Anxiety Scale [PSAS] offers an alternative, as it measures maternal-focused anxieties which can enable specifically targeted interventions. However, it is only currently used as a research tool and may require modification for clinical use. To inform modification of the PSAS, nineteen stakeholders from a variety of organisations participated in a two-round Delphi consensus survey to measure its clinical relevance and potential for effective identification of clinical anxiety. Descriptive analyses revealed all subscales of the PSAS scored highly across both domains, excluding Practical Infant Care Anxieties. Analyses also indicated good consensus between stakeholders across specific items, suggesting that the some items on the PSAS are relevant and effective at identifying clinical postpartum anxiety. Participants also expressed a need for a shorter version of the PSAS for clinical use, and that additional items may need including. Future research must now adapt the existing PSAS based on the results of this study and pilot the adapted measure in a clinical population