Optimizing Atraumatic Emergency Care in Child Sexual Abuse

Child sexual abuse has been identified as a common problem. According to the United States Department of Health and Human Services, in 2010 it was estimated that child victims of sexual abuse accounted for 9.2% (69,368) of the 573,794 children under the age of 12 years who were the victims of maltreatment. The emergency department (ED) is often the point of entry into the healthcare system for child sexual abuse victims, which adds to the resource burden of this department nationwide. The purpose of this evidence-based project was to develop a best-practice screening tool for medical providers to guide the care of the sexually abused female child and also to assess their educational preparation to care for this population. Ajzen’s Theory of Planned Behavior and Rogers’ Diffusion of Innovations Model guided this project at a large multi-center hospital system in Indiana. A critical appraisal of the literature was conducted to establish best-practice. To determine if implementation of a screening tool into the electronic health record changed medical provider practice, a matched case-control study design was applied. Education on best-practice recommendations was presented for nurses and medical providers. Pre- and post-intervention data were collected from medical records of female pediatric patients examined in the ED for sexual abuse and reviewed to determine the necessity of an anogenital exam. The odds of receiving an anogenital exam were greater prior to the implementation of the screening tool (OR 16; AR 75%). These findings support that a screening tool intervention decreased unnecessary anogenital exams in these female children. A survey of the medical providers was completed demonstrating 64.9% reporting no training to care for this vulnerable population of children. A Pearson Chi-Square was calculated to compare MD and PA providers educational preparation in the area of child sexual abuse (X2 =12.067, df =1, p \u3c .001) demonstrating more preparation in the MD group. Enhanced educational preparation in best-practice care would benefit all medical providers caring for these children in various settings

Peacocking

Trickle-up theory offers an explanation of the influence of style bloggers turned tastemakers in the latest development of street style fashion. The impact of style bloggers continues to grow, as does that of the industry insiders and celebrities who are repeatedly photographed at various events and introduced to the world online. Street style magnets attract photographers and tweeters, and eager to please their audience they preen and pose like peacocks

Kuiki Echo

Kuiki Eko is a fiber art piece, done in the style of Classic Traditional Hawaiian Quilting (Arthur, (2010). This quilt is an artistic impression rather than a well-designed utilitarian home accessory. When translated, Kuiki Eko, means “stitching echo,” homage to the type of stitch used to manipulate the quilt’s surface. Inspired by the use of the echo stitch in Hawaiian quilts, repetition is explored through the surface design, motifs, and process of creation. The rhythm of the echo stitch is an aspect of this style. Just as an echo can never take the place of the original voice, this fiber art piece interprets the traditional method of Hawaiian quilting in a modified way. A sort-of 21st century offshoot of the original quilt process- another echo

Cilia

Textural and tactile, the jacket design “Cilia” explores conversations of the senses. The surface of the jacket is dimensional, offering play in the movement of each individual cilia-like felt tab. Cilia are finger-like organelles within some cells in the human body. Identical in structure to flagella, they line the surfaces of certain of our cells where they beat in rhythmic waves. They are an important part of many of our organs including eyelashes, the inner nose, and our digestive system

Lucent: Lightweight Waterproof Jacket

Lucent is a lightweight and waterproof activewear jacket, achieved by exploring creative pattern making by using a half-scale dress form design process. The initial prototype of this jacket was draped on an Alvanon half-scale dress form. The experience of designing in half-scale was an iterative process with contemplative reflecting on the process. Iteration is an integral part of the design process because the making of iterative prototypes underwrites a process of critical thinking beyond the first solution. This method contributed to the creative development of the work by facilitating discussion and iteration. The half-scale sample challenged me to think beyond the initial design. The iterative half-scale process facilitates a dialogue between the creator and the object, sparked new ideas, clarified ideas, and reignited the creative process

Thermic: A Research-driven Base Layer Developed for Runners

The objective of this study was to develop and test a base layer concept that aids in thermal comfort while running in cold weather. The base layer concept was developed through a participatory design scenario where attributes that are important to runners who run more than 30 miles per week were identified and applied through concepts generated in quasi-experimental controlled design sessions and tested through wear trials in actual use environments. The outcome of this research is Thermic, a further refined prototype, based on wear test results. This project followed a Participatory Design (PD) process where runners (a.k.a. users) were active participants in the creation and testing of the base layer. PD methods are grounded in the context of use and involve users as inside and active contributors throughout each step of design and development process

Teaching the Next Generation of Technical Designers About Cotton Performance Technologies Through a Problem-Based Learning Project

The purpose of this project was to increase students\u27 awareness of advancements by Cotton, Inc. to enhance the functional properties of cotton. In teams of two, students in a technical design course worked on a semester-long project that involved developing an innovative performance apparel ensemble for an underserved market using technologically enhanced cotton fabrics. Students created technical packages for each garment and submitted a comprehensive report documenting the entire design process and outcomes. Fabric and support was provided by Cotton, Inc.. The class was framed by a Problem-Based Learning (PBL) approach in which the students learned about cotton through the experience of solving an open-ended problem which was: How can cotton technologies add value and increase performance apparel end-users? Through this question, the author framed the delivery of technical design concepts (e.g., development of tech packs, fittings, sample development) as they related directly to the student\u27s project

Lucent Two: A Breathable Hooded Rain Jacket

The aim of Lucent Two was to create a breathable and lightweight apparel solution for runners while running in humid climatic conditions because many rain jackets cling to the wearer’s skin and become very uncomfortable. This performance running piece protects against rain through the use of silicone-impregnated ripstop nylon used as the outer shell. To keep the fabric off sweaty skin and increase ventilation, the garment is constructed with two layers where the outer layer on the upper body floats freely on top of an underlayer made of mesh. Many other functional details elevate the design of this jacket. The inspiration for the aesthetics of the jacket was drawn from Nick Veasey who creates x-rays of fashion items. By using ripstop nylon, and layering different translucent blue shades the designer was able to create an x-ray type effect when the garment is backlit

Design with a client in mind: using an abstract model for apparel design

The purpose of this project was to design a line of three non-traditional women's business wear jackets that successfully met the needs of a specific target market according to Lamb and Kallal's Functional, Expressive, and Aesthetic (FEA) Consumer Needs Model (1992). The jackets explored creative silhouettes and Computer Aided Design (CAD) software, and computerized embroidery embellishment.Highest Honors

Functional Analysis and Treatment of Self-Injurious Feather Plucking in a Black Vulture (Coragyps atratus)

Feather plucking (FP) is a maladaptive behavior observed in captive avian species. This self-injurious behavior results in damage to and removal of feathers and skin tissue, resulting in animal welfare and financial consequences. The etiology and maintenance of FP have been hypothesized through medical and environmental processes, yet a definitive solution has not been found. The current study investigated the environmental variables maintaining the FP of a Black Vulture (Coragyps atratus), as well as evaluated a function-based treatment for this behavior. The behavior was found to be maintained by positive reinforcement in the form of contingent attention. Treatment consisted of noncontingent reinforcement. Results further demonstrate the validity of function-based assessment and treatment with captive animals