Faculty Perspectives: The Diffusion of Competency-Based Education

This roundtable is a dialogue of faculty perspectives concerning competencybased education. Adult educators facilitating in graduate programs may want to pay close attention to the transformation across the nation related to degree completion as many of our learners will be at the forefront of addressing these issues and implementing change

Logistical Bodies of Fulfillment

existence occurs in a spatial assembly of multiple scalar experiences that is intensified and brought to perception by the exponential advancement of a virtual extension. the physical realm that human cognition experiences acts as a bound container influenced by natural law and trusted forces. the virtual realm exists as a medium through which linkages are made that suppose unseen law, forces, and connections. the human existence experiences an interface between the multiplicities of the physical and the virtual. as technologies advance exponentially the recognition of a multiple temporality is intensified by digital networks and spatial extensions. the trusting of physical bounds is skewed at possible specific moments and seeks to create a new nature of spatial assemblage. this spatial assembly occurs across multiple strata of scales and ranges. a new spatial extension questions the influence of experiences towards the factors of existence including politics, economy, and culture. does the recognition of an extended spatial assembly across scales through a virtual realm anticipate a future trajectory for the discipline of architectural practice? logistical bodies of fulfillment speculates on the provocations of a new spatial extension intensified by a virtual existence. this speculation seeks provocations on the notions of bodily engagement and fulfillment through the logistical sequences of assemblage across multiple strata of scales

Are Accelerated Learning Formats the Answer to Meeting the Demand for Increased Adult Programs?

Accelerated learning formats allow adult learners to balance their personal and professional responsibilities with their role as a learner. The roundtable discussion will provide an opportunity to discuss the positive and negative implications of these learning formats and the quality of education that is being delivered

East meets West: Meditation in distance learning environments

This study investigates the infusion of eastern philosophy, specifically meditation into distance learning environments. How does adding meditative practice alter the learning setting for adult learners in distance learning environments? Literature on learning, yoga, meditation, compressed video, online learning, and neuroscience will be reviewed and addressed to look at the values of practice

Conventional and CT angiography in children: dosimetry and dose comparisons

Tremendous advances have been made in imaging in children with both congenital and acquired heart disease. These include technical advances in cardiac catheterization and conventional angiography, especially with advancements in interventional procedures, as well as noninvasive imaging with MR and CT angiography. With rapid advances in multidetector CT (MDCT) technology, most recently 64-detector array systems (64-slice MDCT), have come a number of advantages over MR. However, both conventional and CT angiography impart radiation dose to children. Although the presence of radiation exposure to children has long been recognized, it is apparent that our ability to assess this dose, particularly in light of the rapid advancements, has been limited. Traditional methods of dosimetry for both conventional and CT angiography are somewhat cumbersome or involve a potential for substantial uncertainty. Recent developments in dosimetry, including metal oxide semiconductor field effect transistors (MOSFET) and the availability of anthropomorphic, tissue-equivalent phantoms have provided new opportunities for dosimetric assessments. Recent work with this technology in state-of-the-art cardiac angiography suites as well as with MDCT have offered direct comparisons of doses in infants and children undergoing diagnostic cardiac evaluation. It is with these dose data that assessment of risks, and ultimately the assessment of risk-benefit, can be better achieved

Prevention of Work-Related Shoulder and Neck Injuries: A Systematic Review

Background Musculoskeletal disorders accounted for 33% of all workplace injuries and illnesses in 2011; sprains, strains and tears accounted for 38% of injuries. Typically, injuries resulted from repetitive motion and required a median of 23 days away from work. Currently, there are no practice guidelines for the prevention of work-related shoulder and neck injuries. Due to the social and economic costs of workplace musculoskeletal injuries, there is an urgent need to identify the most effective preventative interventions. Purpose To evaluate the current evidence for workplace interventions for the prevention of work-related shoulder and neck injuries. Method A systematic search of the following databases was performed using a comprehensive set of categorized search terms: CINAHL, EMBASE, MEDLINE, and PsychINFO. The search was limited to English articles published after the year 2000, yielding 17 systematic reviews and 21 randomized controlled trials. A team of 3 researchers evaluated each systematic review and 2 researchers independently reviewed each randomized controlled trial using the PEDro scale. Results 13 randomized controlled trials received a score of at least 6/9 on the PEDro scale and were included in this review. 11 articles investigating prevention of neck pain and injury yielded mixed evidence for ergonomic intervention, strength training, and all-around exercise. 2 separate studies showed positive evidence for microbreaks and for an integrated health program. 8 studies investigating prevention of shoulder pain and injury showed strong evidence for strength training and all-around exercise and mixed evidence for ergonomic intervention. 1 study showed positive effects of microbreaks. Conclusion Overall, there is a lack of quality evidence for the prevention of work-related shoulder and neck injuries. Current evidence shows a strong effect of strength training and exercise for preventing shoulder injuries. Ergonomic interventions, including forearm support, workplace modifications, and microbreaks have demonstrated mixed results. Strength training and all-around exercise should be utilized for the prevention of work-related shoulder injuries; however, more quality research needs to be performed to identify more effective interventions in this area

Exploring Ways to Investigate Instructors’ Roles in Facilitating Transformative Learning Processes for International Students

The purpose of this roundtable session is to identify, and develop ideas and methods to research ways in which face-to-face and online instructors of international students can most effectively facilitate positive transformation. The transitions and challenges that international students often experience will be discussed as well as varying perspectives about how these adult learners can be optimally supported. The benefits and limitations of previous research methods used to investigate international students’ transformation will be explored

A Narrative Tour of Transformative Learning in Doctoral Students

This roundtable emphasizes the literature on transformative learning as well as a phenomenological investigation through narratives. Storytelling through lived experiences provides first hand details into the process of finding oneself. The findings through this type of exchange can reveal new insight to the practice of teaching and learning

The Role of Early Intervention in Parental Self-Efficacy for Parents of Deaf and Hard-of-Hearing Children

Purpose: To investigate the effects of age at enrollment in early intervention (EI) and dosage of EI services (frequency and intensity) on parental self-efficacy (PSE) and to determine whether parents with better PSE demonstrate more involvement in deciding Individualized Family Service Plan goals (IFSP), services, and amount of services. Method: Sixty-five parent-child dyads were included in this retrospective between-subjects study. PSE was measured using the Scale of Parental Involvement and Self-Efficacy (DesJardin, 2003). Dosage of EI services and parent/professional involvement in IFSP decision-making were measured using a Child Demographic Questionnaire. Results: Statistically significant correlations were not found between age at EI enrollment and SPISE subscales. Statistically significant correlations were not found based on frequency or intensity of EI services. Mixed results were found regarding level of parent involvement in decision-making of IFSP goals, kinds of services, and amount of services. Conclusions: Findings demonstrate the complexities in determining the effects of age at EI enrollment, EI dosage, and central elements of the IFSP on self-efficacy in parents of children who are deaf/hard-of-hearing. Future studies are needed to validate these findings and further the knowledge base about the role of EI in supporting parents’ sense of self-efficacy in supporting their child’s development

Unintended and accidental medical radiation exposures in radiology: guidelines on investigation and prevention

This paper sets out guidelines for managing radiation exposure incidents involving patients in diagnostic and interventional radiology. The work is based on collation of experiences from representatives of international and national organizations for radiologists, medical physicists, radiographers, regulators, and equipment manufacturers, derived from an International Atomic Energy Agency Technical Meeting. More serious overexposures can result in skin doses high enough to produce tissue reactions, in interventional procedures and computed tomography, most notably from perfusion studies. A major factor involved has been deficiencies in training of staff in operation of equipment and optimization techniques. The use of checklists and time outs before procedures commence, and dose alerts when critical levels are reached during procedures can provide safeguards to reduce risks of these effects occurring. However, unintended and accidental overexposures resulting in relatively small additional doses can take place in any diagnostic or interventional X-ray procedure and it is important to learn from errors that occur, as these may lead to increased risks of stochastic effects. Such events may involve the wrong examinations, procedural errors, or equipment faults. Guidance is given on prevention, investigation and dose calculation for radiology exposure incidents within healthcare facilities. Responsibilities should be clearly set out in formal policies, and procedures should be in place to ensure that root causes are identified and deficiencies addressed. When an overexposure of a patient or an unintended exposure of a foetus occurs, the foetal, organ, skin and/or effective dose may be estimated from exposure data. When doses are very low, generic values for the examination may be sufficient, but a full assessment of doses to all exposed organs and tissues may sometimes be required. The use of general terminology to describe risks from stochastic effects is recommended rather than calculation of numerical values, as these are misleading when applied to individuals