On-Campus Occupational Therapy Clinic Enhances Student Professional Development and Understanding

Changing healthcare systems impact clinical sites that provide fieldwork for occupational therapy programs and require students to be prepared for the pace and demands of the clinical settings. Occupational therapy programs strive to enhance hands-on experiences in didactic curriculum to better prepare students for Level II fieldwork. An on-campus clinic course was implemented over two semesters with students engaging in the occupational therapy process with adult and pediatric clients from the community under the supervision of faculty. Student surveys and focus group data were analyzed over five years. Survey responses to open-ended question were triangulated with data from focus group results and themes were validated with quantitative survey data. The research explored the design of the on-campus clinic courses, the themes of the data analysis, and implications for learning opportunities with clients in an on-campus experience. The findings support the feasibility of implementing an on-campus clinic with positive student outcomes and enhanced faculty-student relationships that are sustainable over several years

Evidence Considerations for Mobile Devices in the Occupational Therapy Process

Mobile app-based device utilization, including smartphones and handheld tablets, suggests a need to evaluate evidence to guide selection and implementation of these devices in the occupational therapy process. The purpose of the research was to explore the current body of evidence in relation to mobile app-based devices and to identify factors in the use of these devices throughout the occupational therapy process. Following review of available occupational therapy profession guidelines, assistive technology literature, and available mobile device research, practitioners using mobile app-based devices in occupational therapy should consider three areas: client needs, practitioner competence, and device factors. The purpose of this guideline is to identify factors in the selection and use of mobile app-based devices throughout the occupational therapy process based on available evidence. Considerations for mobile device implementation during the occupational therapy process is addressed, including evaluating outcomes needs, matching device with the client, and identifying support needs of the client

On-Campus Occupational Therapy Clinic: Exploring a Supervision Model for Level I Fieldwork Within Curriculum

This study explored how a revised on-campus occupational therapy clinic model impacted occupational therapy graduate student professional development and clinical practice educator confidence in areas related to the on-campus clinic environment, professionalism, student learning, and collaboration. Specifically, clinical practice educator and student confidence were compared through quantitative survey data across multiple cohorts and clinical educators. This data was used to triangulate qualitative findings from focus groups and open-ended survey questions. Analysis across five years of qualitative data revealed themes related to professionalism including time management, planning, feedback, observation, collaboration, and communication. Quantitative data analysis found significant differences between clinical practice educator and student confidence in clinic environment, professionalism, and learning in an on-campus clinic. No significance was found in collaboration. Students were more confident in their familiarity with the on-campus clinic routine than clinical practice educators. Familiarity with the clinic routine was also related to clinical practice educators’ confidence in supporting student learning for growth and change and resolving challenges that impede student learning. Feedback and communication were important in the students\u27 experiences with benefits and suggestions to improve feedback provided by students. Educators and practitioners interested in alternative Level I fieldwork opportunities can consider the implications for a collaborative supervision model in an on-campus clinic environment

Analysis of the Virginia Teacher Evaluation System Through a Functionalist Lens

Effective teacher evaluations serve the dual function of being both summative and formative (Danielson & McGreal, 2000). The current evaluation tool in Virginia uses a traditional approach of incorporating standardized test scores as forty percent of a measure of teacher effectiveness. By way of a literature review, this article applies a sociological perspective to the process of teacher evaluations in Virginia through a functionalist lens. Additionally, an examination of the pros and cons of a traditional versus authentic student assessment model is included. Evidence gathered suggests the current Virginia teacher evaluation tool fulfills the summative, but not the formative, function. This discrepancy could have lasting negative ramifications if not remedied, as the need to support teachers in achieving maximum professional performance is central to the educational system serving its inherent function of producing competent citizens capable of contributing to society

Carcass Gain, Efficiency, and Profitability of Steers at Extended Days on Feed

Steers were individually fed for 22 and 44 days longer than the industry average marketing point of 0.5” backfat to determine carcass- based gain, efficiency, and deposition changes throughout the feeding period (142, 163, and 184 days on feed). Premiums and discounts for yield grade, quality grade, and overweight carcasses were applied to determine profitability. Feeding steers for 22 and 44 days longer increased carcass weight, quality grade, and yield grade 4 and 5s. Steers fed 44 days longer had increased total revenue and profit per head despite a decrease in live gain and efficiency

Expression of Human Microsomal Epoxide Hydrolase in Saccharomyces cerevisiae Reveals a Functional Role in Aflatoxin B1 Detoxification

The metabolism and genotoxicity of the carcinogenic mycotoxin, aflatoxin B1 (AFB), was studied in the lower eukaryotic yeast Saccharomyces cerevisiae. Recombinant strains of yeast were engineered to express human cDNAs for CYP1A1, CYP1A2, and microsomal epoxide hydrolase (mEH). Coexpression of mEH with CYP1A1 or CYP1A2 resulted in significant decreases in measurements of AFB genotoxicity. In cells expressing CYP1A2 and mEH, the level of AFB-DNA adducts was decreased by 50% relative to cells expressing CYP1A2 alone. Mitotic recombination, as assayed by gene conversion at thetrp5locus, was diminished by 50% or greater in cells coexpressing mEH and CYP1A2 compared to CYP1A2 alone. The mutagenicity of AFB in the Ames assay was also decreased by approximately 50% when AFB was incubated with microsomes containing CYP1A1 or CYP1A2 and mEH versus CYP1A1 or CYP1A2 alone. The biotransformation of AFB by CYPs is known to involve the generation of a reactive epoxide intermediate, AFB-8,9-epoxide, but previous direct biochemical and kinetic studies have failed to demonstrate any functional role for mEH in AFB detoxification. By reconstructing a metabolic pathway in intact yeast, we have shown, for the first time, that mEH may play a role in mitigating the carcinogenic effects of AF

Effect of GnRH Injection at - 72 h in MGA- PGEstrus Synchronization Protocol

Yearling beef heifers from 2 locations were synchronized with melengestrol acetate (MGA)- prostaglandin F2α (PGF) fi xed time AI (TAI) protocol. At PGF administration 72 h before AI, heifers were randomly assigned to receive either 0 or 5 μg gonadotropinreleasing hormone (GnRH). Th e administration of 5 μg GnRH at PGF did not increase estrus activity or improve TAI pregnancy rates at either location (Location 1, 56% (GnRH) vs. 57%; Location 2, 59% (GnRH) vs. 53%). Administering GnRH at PGF increased (74% vs. 63%) pregnancy rates for heifers inseminated during a follow- up heat detection period at one location. A low dose of GnRH administered 72 h prior to AI in a 14 d MGA- PGF synchronization protocol does not increase pregnancy rates or estrus expression in yearling, beef females bred with TAI when compared to the normal MGAPGF synchronization protocol

The Prevalence of Vitamin D Deficiency Is Similar between Thyroid Nodule and Thyroid Cancer Patients

Introduction. There are reported associations between vitamin D deficiency and breast, prostate, and colon cancer, but the relationship in thyroid cancer has not been evaluated. Methods. We evaluated serum calcium, creatinine, albumin, and 25-hydroxy vitamin D (25-OH-D) in 42 thyroid nodule, 45 thyroid cancer in remission, and 24 active thyroid cancer patients. Results. 25-OH-D was not different between groups. The percent with 25-OH-D levels <75 nmol/L was not significantly different between groups and was not affected by season of measurement, age, or cancer stage. Multivariate regression showed a BMI of ≥30 kg/m2 to be the only significant predictor of vitamin D deficiency. Conclusions. Rates of vitamin D deficiency are similar in thyroid nodules and thyroid cancer, although higher than the general population. This is different than previous studies for other cancers, which show higher rates of vitamin D deficiency. BMI was the only predictor of vitamin D deficiency

Distrust within protected area and natural resource management: A systematic review protocol

Trust is a key variable for successful natural resource management and is commonly the focus of conceptual and methodological development. Distrust, on the other hand, is frequently cited as an obstacle to management, but appears to be rarely defined, conceptually underdeveloped, and inconsistently examined. This systematic review protocol (OSF preregistration https://doi.org/10.17605/OSF.IO/GKUAW) was developed to answer two primary questions in relation to protected area and natural resource management: 1) How is distrust conceptualized, and 2) What methods are used to gather evidence of distrust? The aim is to provide a comprehensive overview of how distrust is theoretically developed and what questions are used to uncover distrust. Also, it will summarize findings on what leads to and results from distrust. Four academic and eight gray literature databases will be searched using Boolean keyword searches. Articles eligible for inclusion are those that present original research, gather and present evidence of distrust, and focus on protected areas and/or natural resource management. The review will result in a narrative synthesis that summarizes approaches to distrust within protected area and natural resource management