550 research outputs found

    Developing an Inclusive Learning Environment for Refugee Students in Higher Education

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    The purpose of this session is to facilitate a dialogue focused on creating an inclusive learning environment for a marginalized population of adult learners, refugee students in higher education

    Re-Conceptualizing Ethical Practices in Adult Education in Contemporary Society using an Ethics-Centered Practice

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    This presentation will focus on re-conceptualizing and exploring ethical practices in adult education from the previous literature on ethics and developing an ethics-centered practice for modern adult education

    Was it a dream or nightmare? A narrative exploration of adult refugee learners’ experiences in a community college

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    Refugees enter the United States seeking a safe place to rebuild their lives after surviving life-threatening situations. In this journey, education is seen as a bridge from instability to self-sufficiency. The purpose of this narrative inquiry was to better understand the experiences of adult refugee learners as they navigate higher education in the United States. The research questions were: How do adult refugee learners’ prior life experiences influence the transition to higher education? How does the intersection of ethnicity and immigration status influence the higher education experience? and What strategies do adult refugee learners employ to navigate higher education

    Proposal for a clinic based model of physical therapist consultation in a geriatric outpatient clinic

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    Purpose: The purpose of this article is to describe the role of a certified geriatric physical therapist (PT) in a geriatric outpatient clinic. Methods: This pilot study used a model in which a geriatric certified doctor of physical therapy (DPT) provided consultations one afternoon a week for patients in the Outpatient Geriatric Clinic at the Louis Stokes Cleveland Veterans Affairs Medical Center (VAMC). Data collection included reason for referral, DPT’s interventions, and clinicians’ and patients’ perceptions. Results: Over 7 months, the DPT consulted on 25 male patients ranging from 65 to 91 years, with a mean age of 80. The majority of patients were classified into the neuromuscular category (64%) and received a home exercise program (60%). The addition of the PT consult service in the Geriatric Outpatient Clinic was well received by the multidisciplinary team. Conclusion: In addition to their traditional roles, physical therapists now have an opportunity to engage directly in primary care. The model described serves as an example of autonomous practice and the net result is increased quality of care, improved patient satisfaction, and increased knowledge about the profession of physical therapy on behalf of the referring clinician. The findings from this study provide support for the use of this model in settings other than the VAMC’s managed care setting

    Examination of Quasienantiomers of Oxadiazinanones Which Fail to Fractionally Crystallize

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    This thesis reports the crystallization of two new quasiracemic crystals, the synthesis of a new oxadiazinanone, and the identification of crystals of two new compounds. In previous research the quasiracemates, (5,R,6,S)-4-cyclohexyl-5-methyl-6-phenyl-2H-1,3,4-oxadiazinan-2-one and (5S,6R)-4-isopropyl-5-methyl-6-phenyl-2H-1,3,4-oxadiazinan-2-one, were mixed in solution and crystallized. Instead of fractionally crystallizing, as would be expected, the compounds formed quasiracemic co-crystals. This suggested that other mixtures of oxadiazinanones would be possible candidates for studying compounds which fail to fractionally crystallize. The first step in the process involves the synthesis of oxadiazinanones, using literature methods. A 4-step process is employed involving alkylation, nitrosation, reduction and cyclization. Because the starting material, norephedrine, is a chiral molecule, the desired enantiomer is synthesized starting with the proper enantiomer of norephedrine--either the (1S,2R) or (1R,2S) enantiomers. A new oxadiazinanone, (5R,6S)-4-cyclopentyl-5-methyl-6-phenyl-2H-1,3,4-oxadiazinan-2-one, was synthesized. After synthesis, the oxadiazinanones are mixed together and crystallized using vapor diffusion. X-ray diffraction is used to study the structures to determine the presence of quasiracemates. From the sixteen racemic pairs compared, it was found that quasiracemic crystals were formed from oxadiazinanones containing either an N4-cyclopentyl substituent or an N4-cyclohexyl substituent. The quasiracemic crystal formed has a lower Z\u27 than at least one of the quasienantiomers in the structure. Two additional compounds were synthesized, and the crystal structures were identified. These crystals were obtained when the intended N4-ethylated and N4-n-butylated oxadiazinanones failed to cyclize in the final step of the oxadiazinanone synthesis

    Evaluating Communication and Collaboration Among Healthcare Students

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    The purpose of this pilot study was to determine if the Interprofessional Collaborator Assessment Rubric (ICAR): Communication and Collaboration Dimensions would demonstrate good inter-rater reliability and be a useful and efficient tool to evaluate professional communication and collaboration between occupational therapy (OT) and physician assistant (PA) students. An additional aim of this study was to assess students’ thoughts, perceptions, and perceived value regarding these types of interprofessional opportunities. A sequential explanatory mixed methods design was used. An interclass correlation coefficient (ICC) examined the inter-rater reliability of the instrument for both faculty raters (n = 7) and standardized patient (SP) raters (n =5). Qualitative data was gathered from focus groups to assess the utility of the ICAR: Communication and Collaboration. Quantitative and qualitative data were also gathered from a convenience sample of student participants (n =19) to investigate the perceived value of this interprofessional experience. Quantitative data revealed that there was moderate inter-rater reliability for four out of five of the subscales. Three themes emerged from the rater and student focus groups. Students found the interprofessional education (IPE) opportunity to be valuable. They also felt that it enhanced their understanding of the OT/PA profession, as well as their comfort and ability to collaborate and communicate with other professionals. The results of this study suggest that the ICAR: Communication and Collaboration Dimensions has the potential to maintain inter-rater reliability among healthcare students. The results of this study also indicate that healthcare students view IPE events as being highly valuable and beneficial

    Double in situ hybridization in combination with digital image analysis: A new approach to study interphase chromosome topography

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    Double in situ hybridization with mercurated and biotinylated chromosome specific DNA probes in combination with digital image analysis provides a new approach to compare the distribution of homologous and nonhomologous chromosome targets within individual interphase nuclei. Here we have used two DNA probes representing tandemly repeated sequences specific for the constitutive heterochromatin of the human chromosomes 1 and 15, respectively, and studied the relative arrangements of these chromosome targets in interphase nuclei of human lymphocytes, amniotic fluid cells, and fibroblasts, cultivated in vitro. We have developed a 2D-image analysis approach which allows the rapid evaluation of large numbers of interphase nuclei. Models to test for a random versus nonrandom distribution of chromosome segments are discussed taking into account the three-dimensional origin of the evaluated 2D-distribution. In all three human diploid cell types the measurements of target-target and target-center distances in the 2D-nuclear image revealed that the labeled segments of the two chromosomes 15 were distributed both significantly closer to each other and closer to the center of the nuclear image than the labeled chromosome 1 segments. This result can be explained by the association of nucleolus organizer regions on the short arm of chromosome 15 with nucleoli located more centrally in these nuclei and does not provide evidence for a homologous association per se. In contrast, evaluation of the interphase positioning of the two chromosome 1 segments fits the random expectation in amniotic fluid and fibroblast cells, while in experiments using lymphocytes a slight excess of larger distances between these homologous targets was occasionally observed. 2D-distances between the labeled chromosome 1 and 15 segments showed a large variability in their relative positioning. In conclusion our data do not support the idea of a strict and permanent association of these homologous and nonhomologous targets in the cell types studied so far
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