Will You Fail Johnny\u27s Heart?

Within the game, the player with be placed in situations that they will have to make a decision that will affect their risk of developing heart failure. Through this game, I hope to help educate the population about what they can do to improve their health

The Evolution of Public Health Education and Training in the United Kingdom

The United Kingdom has a long and evolving history of public health education. From the initiation of formal standardised training for Medical Officers for Health in the early 1900s, to the current national public health training programme, public health education has adapted to the changing contexts of public health practice. Whilst the profession was originally only a medical specialty, subsequent re­­cognition of the skills and contribution of the wider public health workforce has led to changes in professional specialist training for public health, which is now open to non-medical applicants. This well-established professional training scheme allows the formal accreditation of competence in a broad range of public health skills. The academic component of public health training is provided by a rapidly growing number of postgraduate courses. Once confined to the UK’s first school of public health, the London School of Hygiene and Tropical Medicine and a handful of British Universities, the current 60 or so courses across the country are found in diverse university settings. Quality and standards in higher education are monitored by the Quality Assurance Agency for Higher Education but there are no other professional accreditation schemes for postgraduate courses in public health nationally. Public health education and training continues to face challenges in the UK, notably the current government plans for major restructuring of the National Health Service (NHS) which threatens the loss of traditional NHS training placements and has created uncertainty around how professional training might be structured in the future. Whilst the long established tradition of public health education and more recent adoption of competency-based approaches to training gives some flexibility to meet these challenges, insight and innovative responses are required to ensure that public health education and training are not destabilised by these challenges. Revisions of the curricula of postgraduate courses and the competencies required for professional accreditation along with provision of experience in the new locations where public health is to be practiced in the future will be key to ensuring that public health professionals are ready to tackle the key issues that confront them

Juvenile Idiopathic Arthritis: A Systematic Review of Occupational Therapy Interventions

Background: The purpose of this systematic review is to describe the current role of occupational therapy (OT) in the treatment of Juvenile Idiopathic Arthritis (JIA). JIA is an umbrella term that encompasses six subtypes of the disease. JIA is one of the most common childhood chronic diseases and can be accompanied by symptoms such as pain, stiffness, and loss of function, as well as psychosocial impacts. JIA participants generally receive pharmacological treatment, but less commonly receive therapeutic interventions to help reduce symptoms. Individualized treatment plans are necessary for clients with JIA due to the diverse nature of the disease. Occupational therapists are uniquely suited to deliver interventions due to the holistic nature of the profession. Methods: The OTPF-3 helped guide the systematic review as it is the definitive document that identifies the scope of occupational therapy practice. This study followed the PRISMA guidelines and searched the PubMed and CINAHL databases. Fifteen studies were identified by three researchers, based on identified inclusion and exclusion criteria. Results: After analyzing the data, six main themes were identified as the most common interventions. These themes are: aquatic/pool therapy, active range of motion, passive range of motion/stretching, orthotics/splints/casting, aerobic exercise, and modalities. Of the fifteen studies, four studies reported statistically significant findings and one study reported a clinically significant finding. Conclusions: Due to most studies having multiple interventions, it was difficult to determine which individual interventions were effective in improving outcomes. Aerobic exercise and aquatic therapy showed clinically significant changes. Modalities are also effective in helping to reduce pain and increase range of motion. Although occupational therapists did not deliver all the interventions in these studies, the profession has used most of them in practice and would be able to apply them to JIA clients. This systematic review identified interventions within the scope of occupational therapy practice that have the potential to be effective in treatment for individuals with JIA

Senior Recital: Katherine Johnston, clarinet

This recital is presented in partial fulfillment of requirements for the degree Bachelor of Music in Music Education. Ms. Johnston studies clarinet with John Warren.https://digitalcommons.kennesaw.edu/musicprograms/1295/thumbnail.jp

2016-2017 The Penderecki String Quartet

Penderecki String Quartet Master Class (April 8, 2017) - Progra

Prenatal visit communication and maternal body weight: patient-centered interviewing and behavioral counseling for recommended gestational weight gain

Background: Pregnancy and prenatal care are widely regarded as teachable moments for lifestyle and behavior change. However, clinicians cite many barriers to integrating high quality behavioral counseling for weight control into routine practice: lack of training, time constraints, perceptions that counseling is ineffective, and avoidance of sensitive discussions about weight. Moreover, a number of studies suggest that clinicians harbor (both implicit and explicit) weight bias; these negative attitudes towards overweight and obesity may reduce not only the effectiveness of patient-centered communication and behavioral counseling, but also the quality of care that patients receive. The purpose of this dissertation was to examine the relationship between maternal body weight (pre-pregnancy BMI and gestational weight gain) and provider communication (behavioral counseling and patient-centered communication) during prenatal care. Methods: The dissertation was a secondary data analysis using audio recordings, surveys and medical records reviews, collected as part of a randomized control trial of patient activation intervention. A total of 22 clinicians and 120 of their patients were recruited from a single urban teaching hospital’s obstetric outpatient clinic in Baltimore, MD. Audio recordings of prenatal visits were analyzed for patient-centered communication using the Roter Interaction Analysis System (RIAS), and then behavioral counseling strategies were also analyzed, using the 5A’s behavioral counseling framework (Assess, Advise, Agree, Assist and Arrange). Multivariate multilevel regression models with generalized estimating equations were used to examine the association between: 1) 5A’s behavioral counseling and gestational weight gain, 2) patient initiation of behavioral counseling discussion and the quality of behavioral counseling, and 3) maternal pre-pregnancy body weight and patient-centered communication. Results: The majority of clinicians were female (95.5%), White (59.1%), and obstetrics and gynecology residents (81.8%). Clinicians saw an average of 5.5 patients (range 1 – 18). The majority of patients were Black (84.2%), and 9.2% of patients had either gestational or pre-existing diabetes; 15.0% had pregnancy-induced or chronic hypertension. Overall, the patients’ median age was 22.0 years (interquartile range 6.0 years) and mean pre-pregnancy BMI was 28.4 kg/m2 (SD 6.5 kg/m2). In adjusted analyses, women who received counseling with 2 or more 5A’s strategies gained an average of 13.9 fewer pounds compared to women who did not receive any counseling (95% CI 4.9 – 23.0 pounds, p = 0.002). As compared to patients who received no counseling (predicted probability = 0.81, 95% CI 0.72 – 0.90), the predicted probability of excess gestational weight gain was significantly lower for patients who received counseling with 1 of the 5A’s strategies (PP = 0.50, 95% CI 0.35 – 0.64, p = 0.001) and was lowest among patients who received counseling with 2 or more of the 5A’s strategies (PP = 0.39, 95% CI 0.16 – 0.61). In the subset of prenatal visits that included behavioral counseling with at least one of the 5A’s, there were more behavioral counseling episodes per visit (p = 0.05) and the total duration of counseling was longer (p = 0.05) when patients initiated these discussions. Clinicians were more likely to use two or more 5A’s strategies in patient-initiated compared to clinician-initiated counseling episodes (p = 0.04). Patient-initiated behavioral counseling discussions included more socioemotional content than those initiated by clinicians (p = 0.02). Clinicians asked fewer lifestyle questions (p = 0.04) and used fewer approval (p = 0.01) and concern statements (p = 0.002) when providing care to patients with overweight, compared to patients with average weight. Clinicians gave less lifestyle information (p = 0.01) and used fewer self-disclosure statements when providing prenatal care to patients with obesity (p < 0.001) compared patients with average weight. There were no significant differences in biomedical questions, information giving or counseling. In post-visit surveys, clinicians were significantly less likely to strongly agree or agree that they liked patients with obesity and that these patients were accurate historians compared to patients with average weight (p < 0.05). Conclusions: In this dissertation, behavioral counseling with the 5A’s was associated with significantly less weight gain. Additionally, patient initiation of behavioral counseling was associated with more extensive, higher quality behavioral counseling during pregnancy, possibly mediated by socio-emotional cueing. However, the findings of this dissertation also suggest that clinician weight bias may influence patient-provider communication during routine prenatal care, resulting in less patient centered communication received by women with overweight or obesity. Interventions that promote the use of compassionate, nonjudgmental communication, including high quality behavioral counseling, may improve the quality of prenatal care and health outcomes for all women, irrespective of body weight

2015-2016 The Penderecki String Quartet

The Penderecki String Quartet Master Class (February 28, 2016 at 10:00 am) - Program The Penderecki String quartet Master Class (February 28, 2016 at 1:00 pm) - Progra

Senior Recital: Eric Donaldson, trumpet and flugelhorn & Erik Kosman, percussion

This recital is presented in partial fulfillment of requirements for the degrees Bachelor of Music in Music Education. Mr. Donaldson studies trumpet with Douglas Lindsey. Mr. Kosman studies percussion with John Lawless.https://digitalcommons.kennesaw.edu/musicprograms/1456/thumbnail.jp

Immigrant families' perceptions on walking to school and school breakfast: a focus group study

Background: Immigrant children face an increased risk of being overweight. Little is known about how immigrant families perceive school programs that may help prevent obesity, such as walking to school and school breakfast. Methods: Six focus groups (n = 53) were conducted with immigrant parents of school-aged children, two each in three languages: Vietnamese, Spanish, and Somali. A facilitator and translator conducted the focus groups using a script and question guide. Written notes and audio transcripts were recorded in each group. Transcripts were coded for themes by two researchers and findings classified according to an ecological model. Results: Participants in each ethnic group held positive beliefs about the benefits of walking and eating breakfast. Barriers to walking to school included fear of children's safety due to stranger abductions, distrust of neighbors, and traffic, and feasibility barriers due to distance to schools, parent work constraints, and large families with multiple children. Barriers to school breakfast participation included concerns children would not eat due to lack of appealing/appropriate foods and missing breakfast due to late bus arrival or lack of reminders. Although some parents acknowledged concerns about child and adult obesity overall, obesity concerns did not seem personally relevant. Conclusion: Immigrant parents supported the ideals of walking to school and eating breakfast, but identified barriers to participation in school programs across domains of the ecological model, including community, institution, and built environment factors. Schools and communities serving immigrant families may need to address these barriers in order to engage parents and children in walking and breakfast programs.Group Health Community Foundation (JC), Robert Wood Johnson Foundation Injury Free Coalition for Kids Obesity Synergy Grant (KB), Health Resources and Services Administration (HRSA) NRSA fellowship (MG)